Shared Decision-Making Council Meeting

Shared Decision-Making Council Meeting

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January 5, 2016 7am-3pm

Attendance

Present: Theresa MacLeod, Joanne Sheehan, Susan Sousa, Michelle Bartsch, Ann Cunillera, Jane Ciarmella, Kristin Chipoco, Xiachong Yu, Patti DeSantis

Absent:

Guest Speakers: Romina Hipolito, Erica Zippo, Marie Nestor, Karen Abril (PACU educator)

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
Ann Cunillera / -Maternal Child Health Score Card / -Ann Cunillera breast feeding rate for December is 74%
-Xiachong Yu has not finished the audits of the charts for her JC measure
-Xiachong Yu breastfeeding numbers are joint commission does not include mother’s choice or medical indication in exclusive numbers
-Schedules c-sections before 39 weeks is a joint commission fallout if not medically indicated or a scheduled induction before 39 weeks are also a ding
Structural Empowertment / Service / Divisional / Theresa MacLeod
Joanne Sheehan
Michelle Bartsch
Romina Hipolito
Karen Abril
Jane Ciaramella
Susan Sousa
Ann Cunillera / -Discuss documentation task force
-Duromorph documentation
-6F/L&D/NICU hand off
-EMAR
-Goals for 2017 / -NICU & 6F haven’t met yet because of staffing issues
-No one from L&D has volunteered
-Printing out the Duromorph sheet and L&D will begin the sheets and hand sheet off to 6F nurse
-Hourly respiration, pain, sedation and oxygen saturation
-Get anesthesia meds off EMAR
-Jane spoke with PACU and IT
-Medication show on EMAR as INFCE PRN
-Jane will address this at the Med Management meeting
-PACU has an outcome that generates a message to pharmacy that the patient is being transferred to the floor
-PACU Phase 1 Outcomes in PACU and L&D
-INFCE PRN is pulled from the OR pyxis and Jane is following up on this issue
-Pain record documented every four hours
-Karen (PACU educator) showed us a screen shot of their PACU Phase 1 outcomes
-Patient transferred to inpatient flor triggers a message to send order to pharmacy
-Discuss the duromorph 24 hour medication ordered by anesthesia
-The message to pharmacy specifies the medication to be discontinued, L&D would have to tailor the message to the proper medication
-Erica Zippo discussed the PACU intervention on how it automatically sends the pharmacy a fax but not on the L&D intervention
-INFCE is a problem with the pyxis in L&D OR and it is being investigated
-Discussed how it should be a stock med
-Discuss to discontinue the IV, the doctors need to discontinue the LR and saline flush
-Come up with a list of medications that should be discontinued when transferring
-Erica will look into why the PACU message to pharmacy doesn’t happen in L&D
-Each staff chooses 2 unit goals and 1 staff goal
-Unit goals such as breastfeeding exclusivity and supplementation and unit goals coming from management
-Discuss certain goals like patient satisfaction such as chart reviews every month, follow a patient every month, what kind of action plan
Exemplary Professional Practice / Quality / MCH recruitment fair / -MCH recruitment fair / -Present our statistics on a poster
-Develop questions about breastfeeding stats and baby friendly
-Present duromorph time clock
-Present a 10 steps to baby friendly poster
New Knowledge, Innovations, and Improvements / Growth / Baby Friendly / Theresa MacLeod
Joanne Sheehan
Michelle Bartsch
Susan Sousa
Ann Cunnilera
Romina Hipolito
Marie Nestor / -Hand off in WBN / -Discuss handoff is not practical if the census is high
-It should only be used between a transfer from L&D to WBN, not shift to shift
-Nurses should initial sticker when CCHD, bath, hep, 4 ext etc all done
-Shift to shift “I did it” will be put back on
Empirical Outcomes / Efficiency

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