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Disclosure Statement
There are no conflicts of interests noted from our team for this project or
presentation
Poll
Front Line Staff
Frustration
Repeating inefficient methods
Less direct patient care
Leadership
Not knowing where to start
Large undertaking
Under utilized resources
Releasing Time to Care
Developed by the National Health Services in 2007
Program to promote quality, safety and efficiency
Based on LEAN principles
What We Do As RT2C
Implement grassroots ideas from frontline staff and patients
Unit directed by frontline staff who are Ward Leads
Track data including quality indicators
RT2C for Acute Care for Elders (ACE)
ACE patients are at higher risk for: falls, hospital-acquired infections, pressure
sores, deconditioning
Have complex medical and psychosocial backgrounds
Require specialized holistic nursing care for optimal outcomes
Beginning Assumptions
RT2C is another top-down approach
Work for data gathering and interpretation
Staff resistance to change
Simple Practical Efficiency
Ice Water Trays
Reduced travel time
More efficient medication administration
Infection Control
Omnicell Stock
Reduce follow up time with pharmacy
Faster response time for sick patients (ex. Sepsis, high BP, GIB)
Better support for end of life
Making an Impact
Hand hygiene rates
Hospital Acquired Pneumonia, MRSA, C. diff, and Falls etc.
Patient and Staff Satisfaction Surveys
Activity Follows
Making an Impact
ACTIVITY FOLLOW
Direct patient care time increased by 7%
Patient flow decreased by 4%
Medicine Management decreased by 2%
It Takes a Team
Front Line Staff buy-in
Staff consensus (voting, ideas box, huddles)
Completed tasks show efficacy
Major cornerstone improving staff wellbeing
What We Are Still Struggling With
Enough hours backfilled for RT2C leads
Finding time to consistently run daily huddles
RT2C role definition
Ward Lead Burnout