ISPP 2015

Career Opportunities in Pharmacy
Transforming Care at the Bedside: Empowering Better Nursing Care

They gave us kinda of an overview of how to change
things, how to start small and kinda gave the
power to us, to the staff nurses, and we are the
ones with the patients, with the doctors, with the families day to day. Our status board is probably one of the
first projects that we came up with, just trying to help out the nurses, make them feel more empowered to take control of
their day. It consists of a red, yellow, green board. Every two hours either the charge nurse
or the desk clerk calls the nurse and asks what color are you? Green meaning I’m good, everything is going fine, I’m doing alright right, yellow meaning well, I’ve got some things to do and I’ll be okay in about an hour. Red means I’m swamped, I’ve got the
patient with chest pains the doctors rounding, writing up the orders, I have patients being transferred, I’m swamped and I need help. What is your color, honey? One time on
this side you get a whole team of nurses that was red, a whole team of nurses over here that was green. I looked up onto the board and saw that and said let’s go help Diana’s team. A whole pack of them came over here and just said what can we do to help, on their own, just helping each other.
Still gives me chills to tell that story. One thing that we found is to try to identify patients who are at risk for
falls, most of our beds have bed alarms on them and patient’s wear ruby red socks. If someone is seen wandering out in the hallway with these ruby red socks on we know they are a fall risk, we know to go and intervene and guide them back to their room. On our TCAB unit we have a whiteboard and it’s a dry erase
board that’s in the patient room where we identify who the nurses is and who the clinic assistant is. The biggest place on the board is for
the question what is the most important thing I can
do for you today and the patients are floored they just
can’t believe it they love that. I love that. Multi-disciplinary round is kind of a project I’ve been working on and I’ve
been very close with. We pick one or two patients that are real complex and we get together a little team. There’ve been times that we brought the
families into ot and they really enjoy it because they feel that they are heard and
they’re telling their story in their wishes for their family member. What we can do in putting all these heads together is to try and make things better for the
patients in order to get them discharged. Hi, this is Annie on four, I need a CRT
in 455. With a critical response team, if a nurse is
feeling that just something is not going right with
the patient they can call in critical response which is an ICU nurse
that will come up and assess the patient and a respiratory
therapist. Its two new eyes looking at a problem. The role of the express admit nurse has given the autonomy of that marriage to
have more time to take care of that patient that came in. Their goal is to take care of that patient and get that patient settled and processed through the system. They don’t
have any other patients that they’re tending to at the time. OK, let’s go to ICU. Now with the TCAB unit and the changes that we’ve made we spend over sixty percent of our time at the patient’s bedside or in what we call
value-added care. We have clarification of what’s
going on, we have time with the patient. You
develop a better relationship with them they feel like they’re listened to.
They feel like they have a say. We started TCAB here and when it was time to cutback and simplify my life the obvious choice would have been to fall out at med-surge but there was no way. But there was no way that I would leave here. It’s too exciting and it was too ground breaking and empowering so I actually chose the job that paid
the least amount of money but gave me the most satisfaction. I’ve been a nurse for years and years and years and this is nothing like anything I’ve
ever seen. You are so welcome, I’ll come back and see you in a minute.

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