Shared Decision-Making Council Meeting

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October 6, 2016 7am-3pm

Attendance

Present: Theresa MacLeod, Joanne Sheehan, Susan Sousa, Michelle Bartsch, Xiachong Yu

Absent:Jane Ciarmella, Ann Cunillera, Kristin Chipoco

Guest Speakers: Claudia Colantonio and Nancy Longworth

Time meeting adjourned: 3:00 pm

Magnet Component / Pillar / Topic / Discussion Leader / Discussion / Outcome/To Do
Transformational Leadership / People / Maternal Child Health Score Card / Xiachong Yu / -Informed us on our July breast feeding exclusively numbers / -Inform and discuss with staff on baby I&O’s
-Confirm doctor order for donor milk or formula is documented
Structural Empowertment / Service / Divisional / Theresa MacLeod
Michelle Bartsch / -Peer Counseling
-MCH unit counsel membership seats / -Discuss and reevaluate peer counseling, if we can utilize it and need more individuals to go through training
-Educate staff on peer counseling which are Jessica (nights) and Karen (days) from NICU, Patty (days) from L&D, and Jane
-Discuss at MCH meeting how it will improve employee’s satisfaction
-Discuss changing the unit leader seat to leadership seat which would be the charge nurses in each unit calling it staff leader seat
-bring in people who can work on a project for a limited amount of time
Exemplary Professional Practice / Quality / Maternal Child Health Score Card
New Knowledge, Innovations, and Improvements / Growth / Baby Friendly / Theresa MacLeod
Joanne Sheehan
Susan Sousa
Claudia Colantonio
Nancy Longworth / -Reevaluate nurse to patient assignment
-How do other baby friendly hospitals staff
-JHACO findings in documentation
-DOH visit
-New members / -Discuss how one nurse should get AP and GYN patients, while another nurse should get dyads to meet the 3 dyad per nurse ratio
-Research how other hospitals began baby friendly and how they function
-Discuss charting issues on 6F our pain reassessments every four hours and one hour after giving pain medicine
-Discuss postpartum fundal and lochia check has to be every four hours for twenty four hours and outcomes need to be everyday
-Vital signs need to done every four hours for the first twenty four hours
-Discuss we need to add the I&O for IV fluids given to mother and if mother has voided
-Reeducate our nurses on our c-section patients for the first 24 hours their respirations, pain and sedations need to be evaluated and documented every hour
-Discuss if we should have our patients on IV pumps to measure accurate fluids given
-Document the correct preferred language on patients and forms being done correctly
-Reevaluate policy’s Intravenous Therapy Guidelines, Obstetric Standard of Care including Medical Screening Exam, Epidural or Intrathecal Morphine Management and Management of the Inpatient Experiencing Pain and Safe use of Opioids
-Educate staff on all the issues which were brought up from JHACO visit
-Council created a C/S duromorph checkoff sheet to have nurses and techs signoff and handoff all tasks was done
-Transferring patient from L&D to Mother Baby they will both go over pain assessments, eMAR during report
-Our task force leaders on Mother/Baby are Michelle and Nancy from days and Maureen and Margaret on nights, will follow up and find out who the representatives are on L&D and NICU
-L&D protocol has changed regarding assessment and discharging outpatients includes MD notes and discharge order
-Discuss vacant spots and possible candidates Colleen Cunney (6F), Kerry Dineen (admit nurse), Kathey Scott (NICU)
Empirical Outcomes / Efficiency

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