Monthly 1:1 with CNO Hazel Robertshaw Phd, RN, CENP
Monthly 1:1 with CNO Hazel Robertshaw PhD, RN, CENP
Josh Kulp, BSN, RN Director of Critical Care1/14/2014
Staffing
T-system has submitted the resource allocation and requires an RN full time. We have two options:
- Contract an RN with T-system experience
- Move an ED RN full time to do the required build and testing
The contract would give us someone with immediate skill. An internal RN would provide local knowledge and would then be available in the future once the system is up and running for longer term support.
Wendy/Laurie do not have bandwidth at present to take on this work with Meaningful Use and other McKesson related issues.
Josh has asked his team if anyone interested as he wants an internal clinical nurse to do this work as this will be better in the long run. Sherry O’Neill has volunteered.
We discussed ED staffing and if this was going to work with the current vacancies. Josh requested help from the float pool.
Action: Hazel to move Patty Trickey into the ED full time to backfill Sherry for the duration of the project.
Josh is continuing to actively fill the open positions.
Equipment
Moving forward with assessing different monitors for the ED to meet the new sepsis guidelines.
GE and Phillips being reviewed by RN’s, MD’s and biomed. Tom Weibel will be doing negotiations with the vendors.
New computers on wheels have been purchased from capital funds.
Quality
Patient flow continues to be a challenge. With no “hold orders allowed” it is taking a long time for the CPOE orders to get into the system. This is creating flow issues in the department. We discussed going back to the table to talk about re-instating “holding orders” with the medical staff. This will be more important as we move forward with the new ED metrics.
The move back to T-system will impact efficiency and patient safety especially around order management.
Doing well with the all the core measures metrics.
Finance
Productivity
Currently in the red. We need to add some focus on this. Will be presenting at the next productivity review committee.
Josh will need to demonstrate what is driving the productivity variance. The volume seems to be a significant factor. We need to work out how to engage the clinical staff in ensuring that we provide safe care within the standard set. If there is a need to change the standard then Josh will need to work with Janet Kerr.
Cost containment. ED doing a good job keeping non-salary costs in line with volume.