2.50
Hdl Handle:
http://hdl.handle.net/10755/157193
Category:
Abstract
Type:
Presentation
Title:
Extending the Benefits of Interdisciplinary ICU Rounds to Nightshift
Author(s):
Zucconi, Michele; Ott, Ann Marie; Henderson, Beth; Abate, Samantha; O'Reilly, Holly
Author Details:
Michele Zucconi, South Jersey Healthcare Regional Medical Center, Vineland, New Jersey, USA, email: zucconim@sjhs.com; Ann Marie Ott; Beth Henderson; Samantha Abate; Holly O'Reilly
Abstract:
PURPOSE: The ICU night shift nurses are typically excluded from the benefits of interdisciplinary patient rounding such as: education, communication, camaraderie, and reinforcement of core measures and therapeutic care bundles. These nurses may also feel less empowered due to decreased opportunities for interaction with other members of the healthcare team. The "Quality Rounds" program was developed by staff to extend the benefits of morning ICU Interdisciplinary Rounds to night shift nurses. Description: After identifying unacceptable compliance with several core measures and care bundles, the night shift staff of a New Jersey, non-teaching community hospital conducted a literature review and observed daytime interdisciplinary rounds for their effective practices. The idea of "nursing huddles" as described in the literature was then adapted to include a review of the various core measures and IHI bundle standards, which are often discussed with the ICU Director and the interdisciplinary team during the daytime rounds. The night shift staff developed and then redesigned a tool to guide these discussions. Included on this tool, the "Quality Checklist," are essential elements of recommended treatment protocols that have been drawn from various organizations viewed to be leaders in quality outcomes. The night shift staff increased their familiarity with these measures and bundles and became able to identify potential fallouts before they reached the twenty-four hour mark. Their findings were then followed up with the appropriate members of the healthcare team. Handoff communication is thus enhanced. EVALUATION: Use of the "Quality Checklist" has brought indicators, initiatives and measures typically discussed only on dayshift into the daily practice and discussion of the nightshift. As a result, the previously "left out" night shift staff became increasingly motivated and engaged in improving the quality of care delivered to patients 24 hours a day. Quality indicator data has continued to improve since the inception of the "Quality Rounds," which began in earnest in October, 2007. At this time, the CICU has been without an incidence of Ventilator Associated Pneumonia since November 2007 and without an incidence of a Central Line Associated Bacteremia since October, 2007.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleExtending the Benefits of Interdisciplinary ICU Rounds to Nightshiften_GB
dc.contributor.authorZucconi, Micheleen_GB
dc.contributor.authorOtt, Ann Marieen_GB
dc.contributor.authorHenderson, Bethen_GB
dc.contributor.authorAbate, Samanthaen_GB
dc.contributor.authorO'Reilly, Hollyen_GB
dc.author.detailsMichele Zucconi, South Jersey Healthcare Regional Medical Center, Vineland, New Jersey, USA, email: zucconim@sjhs.com; Ann Marie Ott; Beth Henderson; Samantha Abate; Holly O'Reillyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157193-
dc.description.abstractPURPOSE: The ICU night shift nurses are typically excluded from the benefits of interdisciplinary patient rounding such as: education, communication, camaraderie, and reinforcement of core measures and therapeutic care bundles. These nurses may also feel less empowered due to decreased opportunities for interaction with other members of the healthcare team. The "Quality Rounds" program was developed by staff to extend the benefits of morning ICU Interdisciplinary Rounds to night shift nurses. Description: After identifying unacceptable compliance with several core measures and care bundles, the night shift staff of a New Jersey, non-teaching community hospital conducted a literature review and observed daytime interdisciplinary rounds for their effective practices. The idea of "nursing huddles" as described in the literature was then adapted to include a review of the various core measures and IHI bundle standards, which are often discussed with the ICU Director and the interdisciplinary team during the daytime rounds. The night shift staff developed and then redesigned a tool to guide these discussions. Included on this tool, the "Quality Checklist," are essential elements of recommended treatment protocols that have been drawn from various organizations viewed to be leaders in quality outcomes. The night shift staff increased their familiarity with these measures and bundles and became able to identify potential fallouts before they reached the twenty-four hour mark. Their findings were then followed up with the appropriate members of the healthcare team. Handoff communication is thus enhanced. EVALUATION: Use of the "Quality Checklist" has brought indicators, initiatives and measures typically discussed only on dayshift into the daily practice and discussion of the nightshift. As a result, the previously "left out" night shift staff became increasingly motivated and engaged in improving the quality of care delivered to patients 24 hours a day. Quality indicator data has continued to improve since the inception of the "Quality Rounds," which began in earnest in October, 2007. At this time, the CICU has been without an incidence of Ventilator Associated Pneumonia since November 2007 and without an incidence of a Central Line Associated Bacteremia since October, 2007.en_GB
dc.date.available2011-10-26T19:30:19Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:30:19Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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