1.1 W E L C O M E ! K a r e n C u r t i s s M a r c h 1 6 , 2 0 1 4 Engaging with Patients and Families for Safe, Compassionate Care Presented by: Karen Curtiss and Mary Foley RN PhD Hosted by: PeaceHealth, Ketchikan, May 16, 2014

2. 2 For You, Your Family, and Your Patients Tragedy Transformed To Tools Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 3. 3 Today Were All About the Power of 3s Patient Safety Crew Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 4. 4 My Story is Your Story Too Patient Safety Crew Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 5. 5 The Power of 3 in Head Heart Hands For your family For your patients For your peace of mind Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 6. 6 Leading with my heart.. I Was a Care Partner for My Dad IPF: Devastating Diagnosis BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 7. 7 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 8. 8 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 9. 9 I Was a Care Partner for My Dad Successful lung transplant at Super Star IPF cured! Fall VAP BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 10. 10 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall VAP MRSA BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 11. 11 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall VAP MRSA C diff BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 12. 12 I Was a Care Partner for My Dad Successful lung transplant IPF cured! Fall VAP MRSA C diff DVT BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 13. 13 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall VAP MRSA C diff DVT PE BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 14. 14 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall VAP MRSA C diff DVT PE MRSA again BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 15. 15 I Was a Care Partner for My Dad Successful lung transplant IPF cured! Fall VAP MRSA C diff DVT PE MRSA again C diff againBillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 16. 16 I Was a Care Partner for My Dad Successful lung transplant at Super Star! IPF cured! Fall VAP MRSA C diff DVT PE MRSA again C diff again Stage 4 Bed Sore all the while BillAydt,marriedtoMargaret,51years 6children,9grandchildren(Lily,age3,shown) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 17. 17 And failed. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 18. 18 Next, I was a Care Partner for my husband, Sandy Routine Bowel Resection Sepsis Emergency Surgery to remove dead tissue VRE Follow up surgery to repair bowel system Then, for our son, Alex Misdiagnosis: Appendicitis Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 19. 19 Who are Your Nearest and Dearest? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 20. 20 Crying at Stoplights Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 21. 21 Peeling Onions for Answers Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 22. 22 1 in 3 Patients Needlessly Suffer or Die from Preventable Adverse Events* * Global Trigger Tool Shows That Adverse Events In Hospitals May Be Ten Times Greater Than Previously Measured, David Classen, et al, April 2011. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 23. 23 And the Death Toll? 400,000 lives every single year Equal to 3 Boeing 747s crashing every single day with no survivors2 3rd Leading Cause of Death Cost? $60 billion+ Imagine the number of nurses who could be recruited, educated and paid 1. A New Evidence Based Estimate of Patient Harms Associated with Hospital Care, John James, Journal of Patient Safety, Septembeer 2013 2. Almost 1000 planes, about 400 passengers in each. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 24. 24 Whats More These Tolls are Likely Under-Reported Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 25. 25 Air Travel is 3,000 Times Safer Than Hospital Care Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 26. 26 The house is on fire and no one smells the smoke. Of the 19 industrialized countries, the U.S. has the highest rate of preventable death from medical errors. (World Health Organization) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 27. 27 So Whats the Harm in Hospital Care? Around 2008, the term Never Events was coined to describe common and preventable harm and death to patients, like. *MDRO Infections *Falls Blood Clots *Medication Mix-ups Bed Sores *CLABSI *Sepsis UTI/CAUTI VAP * Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 28. 28 What Does This Mean in Human Terms? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 29. 29 What Does This Mean in Human Terms? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Pick 2 30. 30 What Does This Mean in Human Terms? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders OR Choose ZERO 31. 31 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Heroes Choose ZERO 32. 32 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 33. 33 Patients Need Informed & Engaged Care Partners Patients families are the Quarterbacks for care Keep a daily care journal (track medications, tests, results, questions, answers, goals, trends in vitals) Coordinate with other family members and friends if necessary Trust your gut Speak up - Politely, but firmly - Repeat as necessary Accept personal discomfort (Expect not to be popular) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 34. 3434 Families for Patient Safety CampaignZERO.org Checklists to ZERO OUT HACS Safe & Sound Community Workshops Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 35. 35 So I Wrote this Guide Book for My Family & Yours Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders If wed had Safe & Sound in the Hospital for my fathers hospital stay, he would be alive today. 36. 36 So I Wrote this Guide Book for My Family & Yours Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Checklists to Prevent Falls Hospital Infections Blood Clots VAP Bed Sores Readmissions MORE 37. 37 So I Wrote this Guide Book for My Family & Yours Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders What to Look For What to Say What to Do When to get a nurse! 38. 38 Checklists Work! P L E A S E Wash Hands! About Bloodstream Infections: Germs can invade the body through cuts or breaks in the skin, resulting in serious infection thats carried through the body in the bloodstream. Risk Factors: Use of a tube and bag system called an IV or a central line to deliver fluids because the skin has to be broken for these lines to be inserted. 24 Use this Checklist to Help Prevent Bloodstream Infection P When a central line is inserted, ask: Are you using a central line bundle?" P Watch to make sure that nurses and doctors always: I Wash their hands thoroughly before touching your loved one I Use sterile instruments and supplies I Sterilize the skin I Choose the safest spot Ask, Why? if groin is chosen I Use a clean sheet to drape your loved one's body I Wear a mask I Cover the area with a sterile pad P Make sure any openings in the skin are kept covered at all times. xxx xxx x x x Central line IV lines often go here (but not always) Central line can go in the groin, but its not the safest place xxx shows example surgery sites Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Quick information 6th grade literacy level Icons and pictures 39. 39 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Use this Checklist to Help Prevent a Urinary Tract Infection (UTI)* P Every day, ask if the Foley catheter can be removed. P When no longer needed, ask the doctor for a written order to take it out. I If not taken out as ordered, politely remind at every shift change until the tube and bag are removed from your loved ones body. P Ask about the cleaning plan (daily is ideal). P To prevent urine from going back into your loved ones body, keep an eye on the tube for kinks and tangles, and straighten them. I Make sure the bag hangs below your loved ones stomach area so urine cant back up the tube. P Make sure the bag is replaced when full. P L E A S E Wash Hands! About Urinary Tract Infections A urinary tract infection (UTI) can develop when germs enter the body through a plastic tube used to drain urine. The bladder, kidneys and urethra can all be infected. (*This infection is also called a CAUTI for Catheter Associated Urinary Tract Infection.) Risk Factors:: Use of plastic tube and bag system for urine collection (called a Foley catheter) GetaNurseif: Youseesignsof(oryourlovedonetellsyouabout): I Chills,shivering,bodyaches,headaches,confusion I Painoraburningfeelinginthelowerstomacharea I Lowerbackpain I Bloodinurinebag(Youmayseeaslightlypinkcolor.) Notes: 31 Remember, Its OK to Speak Up 40. 40 One Pennys Worth of Cardboard Can Save a Life 30 Degree Angle Guide This can help you check that your loved ones head and back are supported at an angle of 30 degrees or more. PartnerHealth www.partnerhealth.com Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 41. 41 Follow Checklists, Take Notes, and Share 36 s Daily Care Notes Day 1 Date: Todays Nurses: Todays Care Partners: When doctors and nurses hand off their notes about your loved one to the next shift, ask them to do so in front of both of you. Speak up about any incorrect or incomplete information. Make sure corrections are made to your loved ones chart. Questions and Concerns to Share with the Medical Staff: Their Answers, New Information: Be Sure to Cover Goals for the Day: What to Expect for the Day: If you need more Daily Care Notes pages, just go to www.SafeAndSoundBooks.com to download and print.36 s Care Partner To-Do List for the Day Ask for a copy of your loved ones medication chart every morning. Note date and time of review on chart. Ask attending doctor to review it. Follow the checklists on pages 20 to 33 that apply to your loved one. Keep germs away from your loved one! If needed, remind to wash hands even doctors and nurses! Help double check every time your loved one gets a medicine. Take good care of yourself too! See page 12 for some ideas. Get a nurse for any alarms that ring in your loved ones room. Spend time planning for your loved ones care at home (pages 47 52). Vital Signs Ask nurses for this information when they check vital signs. Ask for attending doctor if vital signs worsen Time: (am/pm) Temperature: Pulse: Blood Pressure: Oxygen Saturation: Trend is: II Better II Same II Worse Time: (am/pm) Temperature: Pulse: Blood Pressure: Oxygen Saturation: Trend is: II Better II Same II Worse Time: (am/pm) Temperature: Pulse: Blood Pressure: Oxygen Saturation: Trend is: II Better II Same II Worse Time: (am/pm) Temperature: Pulse: Blood Pressure: Oxygen Saturation: Trend is: II Better II Same II Worse 37 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 42. 42 Connect the Mind-Body-Spirit Healing for All Howto GetStarrted Hubert H. Humphrey Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Howto GetStarrted The greatest healing therapy is friendship and love. Hubert H. Humphrey 43. 43 Remember, Its OK to Speak Up Remember to Wash Hands! Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 44. 44 Reactions: Peace of Mind is Common 100% of users surveyed say they would recommend Safe & Sound checklists to friends and family. Since my husband and I are both in our middle 80's, probably one of us will be in the hospital sometime. I carefully went through the checklists realizing that these records would be very helpful!! It will bring comfort and peace. Joanne L. Cerling Review posted on Amazon* 4 4 *See more at: http://www.amazon.com/Safe-Sound-Hospital-Must-Have-Checklists/ Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 45. 4545 Deity Docs Stressed Out Nurses But Will They Throw Them Under the Bus? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 46. 46 So Were Partnering for Patients and Families .for Safe & Sound Care Copyright@2014, PartnerHealth Karen Curtiss Ma Mary Foley RN PhD Safe & Sound Tools for Nurse Leaders Co-Authors Safe & Sound Nursing Tools for Patient and Family Engagement 47. 47 It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm. Florence Nightingale British Nurse and Humanitarian 1820-1910 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 48. 48 Good News/Bad News: Sometimes Hard to Tell Which is Which Circa 2000 Circa 1900 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 49. 49 Swiss Cheese Health Care Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 50. 50 The U.S. Holds the Worst Record Among Industrialized Nations for Medical Errors Plus Our rate of improvement is much slower than the other 18 industrialized countries. (WHO) And We spend more on healthcare per capita than any other industrialized nation. (Rand data) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 51. 51 Why? What would we have if we built a car from the very best car parts: Ferrari engine + Porsche brakes + BMW chassis -- wrapped in a Volvo body? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 52. 52 A Very Expensive Pile of Junk that Doesnt Go Anywhere! Our Fractured, Expensive, Unsafe Health Care System Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 53. 53 Why? We have trained, hired and rewarded people to be cowboys, but it is pit crews that we need pit crews for patients. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 54. 54 Nursings Glass Ceiling (Voting Rights Act Needed!) CNOs are often part of the senior leadership team, but a 2011study of 8 hospitals by the National Center for Healthcare Leadership revealed they were not voting members of any of the boards (although they had active board agenda presence) and The CNO as a senior team member was apparent in driving clinical projects, but leadership in setting quality and patient safety goals was not as clear Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 55. 55 Another Kind of Glass Ceiling Journal of Nursing Care Quality, Djukic and Kovner, RN Work Project report Nurses licensed before 2007- 2008 are usually not included in performance improvement efforts in their hospitals. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 56. 56 Naval Gazing Impedes Innovation Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 57. 57 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 58. 58 I am a patient and I need to be heard. Morgan Gleason - Aged 15 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 59. 59 Decrease HACs by 40% by 2014 Improve Care Transitions & Drive Down Readmissions Engage Patients and Families in Patient-Centered Care Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 60. 60 3-out-of-4 patients, age 64+, leave the hospital with an incorrect prescription or no understanding of at least one medication regimen. (Yale New Haven study, December 2012) Yale New Haven study by Dr. Leora Horwitz of patients aged 64+ with heart failure, acute coronary syndrome or pneumonia, December 2012. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 61. 61 Patients Forget 80% of What You Tell Them* Remembered Forgotten * Numerous studies in the U.S and U.K. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 62. 62 20% of Patients are Back Within 30 days Cant get to follow-up doctor appointments Cant get prescriptions filled Take medications incorrectly Leave the hospital with infection and dont know signs, dont get treatment early Dont know, or ignore/minimize, early warning signs of common post-stay complications (i.e. blood clots) Dont know, or ignore/minimize, early warning signs for complications related to their condition, especially congestive heart failure Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 63. 63 Checklists Activate Clinicians Why Not Patients & Families? AHRQ Keystone ICU Checklist Project results: Virtually eliminated CLABSIs in ICUs in U of Michigan Hospitals Reduced mortality rate overall by 10% SAFETY CHECKLIST USE YIELDS 10 PERCENT DROP IN HOSPITAL DEATHS, John Hopkins, Release Date of 01/31/2011 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 64. 64 Simple Solution to a Complex Problem Dont you just love this? When patients receive recorded discharge Instructions to take home, the results are astounding 15% reduction in readmissions 63% increase in HCAHPS scores 100% of patients who used the recordings are glad to have them 100% say they improve my understanding of discharge instructions Study at Cullman Regional Medical Center, Cullman, Alabama, Good-to-Go Discharge Program, http://www.crmchospital.com/for_patients_guests/good-to-go_discharge_instructions.aspx Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 65. 65 Patient & Family Engagement: Key to Meeting the Triple Aim of Health Care Wherever engagement takes place, the emerging evidence is that patients who are actively involved in their health and health care achieve better health outcomes, and have lower health costs, than those who arent. Patients With Lower Activation Associated With Higher Costs; Delivery Systems Should Know Their Patients Scores Judith H. Hibbard, Jessica Greene, and Valerie Overton, Health Affairs February 2013 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 66. 66 Whats an Activated Patient? Less likely to choose surgical interventions More likely to have better functional status Reports higher satisfaction, and Has higher medication adherence rates * Health Affairs study, Feb. 2013 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 67. 67 An average of 17 years is required to translate new research into practice. IOM, Crossing the Quality Chasm, 2001 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 68. 68 We Dont Have 17 Years Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 69. 6969 We cannot solve our problems with the same thinking we used when we created them. - Albert Einstein Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 70. 70 Informed & Engaged Families: Untapped Resource to Support Safety AND Accelerate Change No one is more patient- centered. No one knows your patient better. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 71. 71 Sarahs Story Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 72. 72 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 73. 73 Good Starting Places! Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 74. 74 Together, We Accelerate Quality Improvements with New Thinking Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 75. 75 First and foremost, evidence-based: Quality & Safety Education for Nurses methodology as the main platform (see more at www.QSEN.org) Content and evidence from the National Quality Foundation report (most recent edition) Incorporates additional content and evidence from the Partnership for Patients, Joint Commission, CDC, AHRQ and others Aligned with goals of the goals of the Affordable Care Act Endorsed by clinical leaders in patient safety Aligned with the majority of HCAHPs metrics Safe & Sound Nursing Tools for Patient & Family Engagement for Patient Safety Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 76. 76 Patients Families: Your Extra Pair of Eyes, Ears and Hands No one Is better able to interpret patients slightest gestures or words for signs of recovery or problems. Safe & Sound Checklists for Care Partners Teach new information quickly Shift attitudes (anxiety to confidence) Change behaviors (helpless to helpful) Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 77. 77 Your Good Communication is Critical It is well documented that communication between care givers, patients, and family members can improve outcomes Patients and families learn better, faster coming from YOU! Teamwork requires effective communication Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 78. 78 Your Leadership and Coaching are Critical! Every Patient Looks up to Nurses as Partners No one spends more time with patients and their families. The best communicators are the best listeners. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 79. 79 The Power of Empathy Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 80. 80 Safe & Sound Collaborations for Patients -- QSEN Style Safe & Sound Tools for Nurse Leaders Connect with the heart: Were in this together Every patient could be me, or my loved one Share Facts with Patients: Simple checklists Evidence based 6th grade literacy level Friendly, matter-of-fact delivery Provide Tools: Antibacterial wipes 30-degree angle tool Hand washing reminder tent signs Canes, non-skid socks... More Copyright@2014, PartnerHealth 81. 81 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Use this Checklist to Help Prevent Your Loved One from Falling P Tell nurses you are concerned about your loved one taking a fall or falling out of bed. I Ask about getting a cane or walker, and using bed rails. I Ask about the hospital's fall protection equipment such as low beds and floor padding. P Look for things in your loved ones room that might cause a trip and fall. I Point out all furniture and equipment on wheels. I Discuss ways to move around the room without leaning on wheeled items for support. P Ask for a bed alarm and a room close to the nurses' station. P Make sure someone helps your loved one go back and forth to the bathroom or commode, and that someone is on standby in your loved one's room for every trip. P Hang the CAUTION! signs (at right) in cant-miss spots in your loved ones room, such as on doors or over the head of the bed. P Bring non-skid socks or slippers for your loved one to wear when out of bed. P If you are able, lend your arm for support when your loved one walks. I Please dont take a risk you might injure yourself its OK to ask for help. P Watch to make sure the hospital gown and any IV tubes wont trip your loved one. P L E A S E Wash Hands! About Falling: Falls can happen to anyone in an unfamiliar place. Most patients are tired, weak or sleepy from medications, or suffering from conditions affecting balance. Whos At Risk: All patients are at risk for Falling 30 P R I N T P Partne FA P R I N T P A T I E N T S N A M E A B O V E PartnerHealth www.partnerhealth.com C A U T I O N !FALL RISK P R I N T P A T I E N T S N A M E PartnerHealth www. C A U FALL P R I N T P A T I E N T S N A M E A B O V E PartnerHealth www.partnerhealth.com C A U T I O N !FALL RISK Your Toolkit! Head Written 6th Grade Literacy Heart Aural Active Voice Hands Tactile Positive Can Do Checklist Sample Script Practical Tools 82. 82 Take the Hard Hat Challenge Today! Copyright@2013, PartnerHealthwww.PartnerHealth.com Who wants to prevent falls? Who wants to prevent infections? Right here, right now! 83. 83 The Safe & Sound Rubric for Creating Care Collaborations Head Written 6th Grade Literacy Heart Aural Active Voice Hands Tactile Positive Can Do Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 84. 84 Quick Tips! Use the active voice 6th grade literacy level: 1 and 2-syllable words Simple declarative sentences: avoid compound sentences Use common terms Bed sores not pressure ulcers OR debicutus Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 85. 86 Safe & Sound Collaborations for Patients -- QSEN Style Safe & Sound Tools for Nurse Leaders Connect with the heart: Were in this together Every patient could be me, or my loved one Share Facts with Patients: Simple checklists Evidence based 6th grade literacy level Friendly, matter-of-fact delivery Provide Tools: Antibacterial wipes 30-degree angle tool Hand washing reminder tent signs Canes, non-skid socks... More Copyright@2014, PartnerHealth 86. 87 Its Your Turn! Whats Your Plan to? Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 87. 88 Be the Change You Want to See For your family For your patients For your peace of mind Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 88. 89 To all the world you are just one person But to one person you could mean the world. Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders 89. 90 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders Thank you for the gift of your time today. It means the world to us. 90. 91 Ideas? Questions? Contact us at: Karen@PartnerHealth.com Telephone: 847.208.6074 Copyright@2014, PartnerHealthSafe & Sound Tools for Nurse Leaders