EP32-10 Nursing Practice Council (NPC) January 24, 2012 (See Highlighted Section in Minutes re Hand Hygiene)
PresentAbsent is highlighted / Cheryl Imlay RN, ED (Chair)
Mary Bonds RN, 11th
Earnestine Nichols, RN, 7th
Tiffany Epps, RN, 4th
Robert Hollenback, RN, CVU
Yvette Grijalva, RN, 5th
Karen Rackley, RN, PH ED
Velda Baker, RN, GI Lab
Lisa Gore, RN 8th / Sybilla Loughmiller BSN, RNC
Christine Tavenner, RN, MNN Mom/Baby
Meredith Kilgore, RN, NICU
Sandra Everett, RN, 5S
Kathy Hoops, RN, SFMC PeriOp
Elizabeth Urata, RN, Pediatric
Judy Day, RN, 5N
Brett Skattum, RN, SFMC ICU / Deb Nussdorfer RN Magnet
Theresa Lutze RN PH Manager Rep;
Dorothy Bennett, RN, Wound
Louise Wilson RN, Float
Dan Jones, RN, Cripple Creek Urgent Care
Penny Sharkey, RN, PH ICU
Gina Wamble, RNC, PH, OPS
Penny Sharkey, RN, PH ICU
Joan Schoendaller RN, 9th
Agenda Items / Discussion / Action / Follow-up
Celebrate! /
- Cheryl Imlay reported the ED interim Clinical Manager from Blue Jay consultant group wassaying we are ready for Magnet (based on his observations of us and other ED’s)
NPC 2012 /
- Commitment letter/Accountability-reviewed letter with members.
Centura NPC / Yvette gave report from Centura NPC; The Centura NPC is working on the Centura order policy. Compared with PSF order policy and only minor differences.
Committee also looking at falls. Discussed fall in ED at Centura facility that used the John Hopkins fall risk in which patient was assessed at a level #2. SFMC and PH using John Hopkins and modified assessment tool. The Centura NPC is reviewing the literature for evidence based practice recommendations.
Discussion: Did the ED Nurse complete assessment correctly? Meds given in ED could make patient high fall risk once in the unit. / Will be meeting with Rose Ann Moore, PSF Fall Committee chair to get input for Centura committee.
Announcements /
- New change in assigning beds. When ED calls for bed through bed control unit will have 15 minutes to get bed ready, then bed control assign bed.
- Ann Kjosa VP nursing working on redoing hand-off communication—needs staff nurse to help with this—contact Cheryl if interested.
- ED has full time admit nurses that are doing the medication reconciliation. Feedback; some have been great but other times have noted information entered incorrectly.
- Theresa Lutze shared that she has seen change in staff to be better nurses and more self motivated to improve practice since we have started down the Magnet road.
- CAP applications due February 15th. See PSF nursing web site for more information or contact Cassie Tumanis RN (CVU) who is chair.
RBC: Self Care and Pt Safety / Extended shifts; TJC recommendations (see handout); A lot of nursing research right now looking at effects of 12 hr versus 8 hr on both staff health and patient safety. Our Nurse Staffing Council discussing multiple issues related to staffing. / Take breaks and encourage your colleagues to take breaks during the shift. / All
Nurses Week / Should we bring back Tim Porter O’Grady? Yes. Would like more front line staff to attend.
Ideas-theme; Nurses Connected
- Night nurses flashlights
- Something to put all the pins on since cannot attach to badge. .
- Hourly education offerings or half-day education? Please tape for facilities not close (Cripple Creek).
- Who’s paying for staff to attend class?
- Educated staff on the importance for needing to check the patient when telemetry calls.
- Have noticed staff on units do not understand the sense of urgency with telemetry calls.
- Recommended pay to send charge nurses to attend training.
- Staff nurses need to experience sitting infront of monitors to experience what that is like. Can feel the frustration of the telemetry techs however, if in middle of toilet patient can’t stop doing that—telemetry needs to call charge nurse.
- When telemetry calls need to drop everything and check on patient.
- If patient confused and taking telemetry off need to document.
- SFMC telemetry issues seem to be resolved.
Cheryl will follow-up with Pam to get list of who attended and if it was videotaped.
Rob will check with Olinda / All
Cheryl
Rob
Goal 1. Promote professional development, increase individual and team accountability, and strengthen the professional nursing culture through formal unit level nursing peer review in all clinical nursing service areas
Nursing Pt Safety and Quality Council / NPC members have been asked to champion upcoming hand washing campaign. Hospital hand hygiene compliance rate between 52 and 69%. National average < 50%. PSFHS needs to take additional actions to try to improve our compliance.
Issue discussed at Nursing Quality Council and the following initiative will roll out;
- Glow-germ; skills review and staff meetings
- Dr. Weber attends staff meetings or meets with staff at change of shift.
- Train the trainer—RN/CNA each unit from day and night shift to do audits and bring to staff attention when they don’t wash hands.
- Need to get staff to hold each other accountable.
- Will be sending out education material
- New signage—buttons