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Plan Your Road Trip: An Algorithm for Safety. Presented by: Rebecca Shutts BSN Kathleen Carey MSN, CNS Kevin Hamel RN. Objectives. Increased understanding of a safe method of intra-hospital transport for PCU patients utilizing the appropriate staff and equipment. - PowerPoint PPT Presentation
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Plan Your Road Trip: An Algorithm for Safety
Presented by:Rebecca Shutts BSN
Kathleen Carey MSN, CNS Kevin Hamel RN
Objectives
• Increased understanding of a safe method of intra-hospital transport for PCU patients utilizing the appropriate staff and equipment.
• Describe our process of sharing data with staff to hardwire an existing process.
Concerns• “ I am off the unit for hours at a time with a
stable patient, and I have to leave my other patients with a covering RN.”
• “I have all of my patients and all of his / her patients so I can’t possibly teak a break right now”
• “ I can’t be in two places at once.”
The Purpose• To ensure patients traveling to other
departments for testing and / or procedures are accompanied by the appropriate personnel and equipment.
• To decrease number of hand of off care reports throughout the day.
• To increase availability of critical equipment and personnel.
Methods• Data Collection
• Research
• Collaboration
The Algorithm
• Policy development
• House-wide Education
• Implementation
Methods
0
10
20
30
40
50
60
70
80
90
100
Pre-Algorithm
1 Week Post
3 Months Post
Results96.4
Hours
64.18 Hours
34.25 Hours
RN Hours off PCU
Conclusion• Successful implementation of a risk stratified
approach to patient safety with 100% compliance.
• Decreased the number of hand of off care reports throughout the day.
• Increased availability of critical equipment and personnel.
• Increased staff satisfaction while decreasing the need for additional FTEs.
Future Opportunities• Insulin drip patients
• Patients who have received thrombolytic therapy
• Educating new nurses
• Examining criteria
• Expanding to other units
Questions??Rebecca Shutts RN, BSN, PCCN, WCC
Email: [email protected]
Kathleen Carey RN, CNS-BC Critical Care, CCRNEmail: [email protected]
Kevin Hamel RNEmail: [email protected]
References
1. Mayer NJ. Transporting telemetry patients: an algorithm enables safe patient transport without an RN or monitoring. Am J Nurs 2009;109 (11):35-37
2. Larson, TS, Brady WJ. Electrocardiographic monitoring in the hospitalized patient: a diagnostic intervention of uncertain clinical impact. Am J Emerg Med 2008;26(9):1047-55.
