2.50
Hdl Handle:
http://hdl.handle.net/10755/162065
Category:
Abstract
Type:
Presentation
Title:
Improving Hand-Offs of Nurses in Surgery and Critical Care
Author(s):
Friedrichs, Katherine; Gadol, Joanne S.; Sortman, Suzanne
Author Details:
Katherine "Katy" Friedrichs, BSN, RN, CNOR, University of Colorado Hospital, Aurora, Colorado, USA, email: katy.friedrichs@uch.edu; Joanne S. Gadol, BSN, RN, CNOR; Suzanne Sortman, BSN, MA, RN, CNOR
Abstract:
Poster presented at AORN's 58th Annual Congress: Transferring patients between perioperative services and critical care, and relaying pertinent patient care information was identified as an opportunity to improve hand-over communication. A multidisciplinary team representing critical care OR charge nurses and nurse managers from OR and PACU, and anesthesiology met with patient safety and risk management to do a root cause analysis on this process. Gaps identified were inconsistency with nursing and anesthesiology transporting the patient to PACU or critical care unit; inconsistency with directing critical care staff to the correct OR entry door for hand-over of patient care creating long waits; critical care staff unfamiliar with layout of OR entry points and rooms; challenges with transferring patient to units and switching out equipment and monitors; and no guideline in place for transfers between areas to be a resource for teaching and mentoring anesthesia residents, MDs, and nursing staff for critical care and OR/PACU. The taskforce created a guideline November/December 2009, which was reviewed by nursing and the anesthesia team and supported. All perioperative and critical care nursing staff were educated on the guideline January 2010, with roll-out of the new guideline and transfer process beginning February 2010. A follow up meeting would be planned for six months post-implementation. Since the rollout, the anesthesia team and nursing have escorted the patient on transfers and handovers of care jointly. Follow up phone calls for additional information regarding the patient between areas have decreased anecdotally and satisfaction between physicians and nursing has improved.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
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_US
dc.typePresentationen_GB
dc.titleImproving Hand-Offs of Nurses in Surgery and Critical Careen_GB
dc.contributor.authorFriedrichs, Katherineen_US
dc.contributor.authorGadol, Joanne S.en_US
dc.contributor.authorSortman, Suzanneen_US
dc.author.detailsKatherine "Katy" Friedrichs, BSN, RN, CNOR, University of Colorado Hospital, Aurora, Colorado, USA, email: katy.friedrichs@uch.edu; Joanne S. Gadol, BSN, RN, CNOR; Suzanne Sortman, BSN, MA, RN, CNORen_US
dc.identifier.urihttp://hdl.handle.net/10755/162065-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Transferring patients between perioperative services and critical care, and relaying pertinent patient care information was identified as an opportunity to improve hand-over communication. A multidisciplinary team representing critical care OR charge nurses and nurse managers from OR and PACU, and anesthesiology met with patient safety and risk management to do a root cause analysis on this process. Gaps identified were inconsistency with nursing and anesthesiology transporting the patient to PACU or critical care unit; inconsistency with directing critical care staff to the correct OR entry door for hand-over of patient care creating long waits; critical care staff unfamiliar with layout of OR entry points and rooms; challenges with transferring patient to units and switching out equipment and monitors; and no guideline in place for transfers between areas to be a resource for teaching and mentoring anesthesia residents, MDs, and nursing staff for critical care and OR/PACU. The taskforce created a guideline November/December 2009, which was reviewed by nursing and the anesthesia team and supported. All perioperative and critical care nursing staff were educated on the guideline January 2010, with roll-out of the new guideline and transfer process beginning February 2010. A follow up meeting would be planned for six months post-implementation. Since the rollout, the anesthesia team and nursing have escorted the patient on transfers and handovers of care jointly. Follow up phone calls for additional information regarding the patient between areas have decreased anecdotally and satisfaction between physicians and nursing has improved.en_GB
dc.date.available2011-10-27T08:45:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:45:06Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
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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