STOP: Hospital Acquired Pneumonia Implementing Evidence-Based Practice (EBP)

2.50
Hdl Handle:
http://hdl.handle.net/10755/149456
Type:
Presentation
Title:
STOP: Hospital Acquired Pneumonia Implementing Evidence-Based Practice (EBP)
Abstract:
STOP: Hospital Acquired Pneumonia Implementing Evidence-Based Practice (EBP)
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Lum, Anne K., RN, MS
P.I. Institution Name:John Muir Medical Center, Walnut Creek
Title:Clinical Nurse Specialist
Co-Authors:Angela C. Percival, RN, BSN
[Evidence-based Practice Session Presentation] Method: The Aspiration Prevention Team recently implemented an EBP a house wide program to assist nursing in the prevention aspiration in all patient populations.  The policy incorporates three parts: Perform an RN Swallow Screening by using an evidence based tool on admission and change of condition on all adult patients (except obstetrics).Identify ?at risk? patients at meals with the use of a gold meal tray and use.  ?STOP?-- campaign which includes 4 key EBP recommendations with feeding.S- Sit the patient upT- Take time to assist and observeO- Oral Care after each mealP- Position them up for 30 minutes after mealPerform oral care regime to decrease oral bacterial load and why it helps to decrease risk.Additional supportive measures implemented as part of the house wide program: Mandatory education for all nursing staffPhysician educationMultidisciplinary care plan designed to incorporate a joint plan of care for nursing, speech therapy and the dietitian all on one care planPatient/Family brochure educating them on Aspiration prevention.  Outcomes/Results:Patients are being identified at risk that do not fall into the ?expected? at risk population profile.  Speech therapy evaluations are now completed within 24 hours to evaluate a ?high risk? patient.  Monthly reviews are completed on all patients discharged with secondary diagnoses of aspiration and nursing peer review is performed on all those cases where might have been preventable. The goal of this program is for each unit to prevent one aspiration per month. Lessons learned:Data on aspiration prevention and incidence is difficult to obtain based on coding requirements. This is our baseline year of collecting frequency of preventable aspiration and nurse performance of accurate screening and implementation of the care plan elements.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSTOP: Hospital Acquired Pneumonia Implementing Evidence-Based Practice (EBP)en_GB
dc.identifier.urihttp://hdl.handle.net/10755/149456-
dc.description.abstract<table><tr><td colspan="2" class="item-title">STOP: Hospital Acquired Pneumonia Implementing Evidence-Based Practice (EBP)</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lum, Anne K., RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">John Muir Medical Center, Walnut Creek</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">anne.lum@johnmuirhealth.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Angela C. Percival, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Method: The Aspiration Prevention Team recently implemented an EBP a house wide program to assist nursing in the prevention aspiration in all patient populations. &nbsp;The policy incorporates three parts: Perform an RN Swallow Screening by using an evidence based tool on admission and change of condition on all adult patients (except obstetrics).Identify ?at risk? patients at meals with the use of a gold meal tray and use.&nbsp; ?STOP?-- campaign which includes 4 key EBP recommendations with feeding.S- Sit the patient upT- Take time to assist and observeO- Oral Care after each mealP- Position them up for 30 minutes after mealPerform oral care regime to decrease oral bacterial load and why it helps to decrease risk.Additional supportive measures implemented as part of the house wide program: Mandatory education for all nursing staffPhysician educationMultidisciplinary care plan designed to incorporate a joint plan of care for nursing, speech therapy and the dietitian all on one care planPatient/Family brochure educating them on Aspiration prevention.&nbsp; Outcomes/Results:Patients are being identified at risk that do not fall into the ?expected? at risk population profile.&nbsp; Speech therapy evaluations are now completed within 24 hours to evaluate a ?high risk? patient.&nbsp; Monthly reviews are completed on all patients discharged with secondary diagnoses of aspiration and nursing peer review is performed on all those cases where might have been preventable. The goal of this program is for each unit to prevent one aspiration per month. Lessons learned:Data on aspiration prevention and incidence is difficult to obtain based on coding requirements. This is our baseline year of collecting frequency of preventable aspiration and nurse performance of accurate screening and implementation of the care plan elements.</td></tr></table>en_GB
dc.date.available2011-10-26T10:02:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:02:47Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.