2.50
Hdl Handle:
http://hdl.handle.net/10755/166380
Category:
Abstract
Type:
Presentation
Title:
A Kidney Transplant CORE Curriculum for Acuity-Adaptable Delivery
Author(s):
Bonuel, Nena; Degracia, Alma; Hood, Cheryl; Patel, Samir; Andries, Janet
Author Details:
Nena Bonuel, MSN, RN, CCRN, CNS, APRN-BC, The Methodist Hospital, Houston, TX, email: nbonuel@tmhs.org; Alma Degracia, RN, MBA, CCRN; Cheryl Hood, Transplant PA; Samir Patel, Pharm D-Transplant Specialist; Janet Andries, BSN CRRN
Abstract:
HEALTHCARE ORGANIZATION DESCRIPTION: 1352 licensed beds; non-profit, tertiary, adult care, teaching hospital, inpatient and outpatient services; affiliated with Weill Medical College of Cornell University; employs over 2,000 Registered Nurses; awarded Magnet recognition in 2002; Fortune "100 Best Companies to Work For" in 2006 and 2007; named by U.S. News & World Report as one of "America's Best Hospitals." BACKGROUND OF PRACTICE INNOVATION: To improve our renal transplantation outcomes, our Multi-Organ Transplant unit embarked on a novel evidence-based care delivery called Acuity-Adaptable Care Delivery. Four Acuity-Adaptable patient rooms were developed within the 30-bed unit. Acuity-Adaptable Care delivery means keeping the patient in the same room from admission to discharge and the level of care is brought to the patient. When a potential kidney transplant patient is admitted to the unit, the patient returns to the same room post transplantation from Perioperative Anesthesia Care Unit (PACU). To prepare for changes in patient acuity, nursing staff competency will also be addressed to include hybrid nurses who possess critical-care and acute-care skills. PRACTICE INNOVATION PURPOSE: (1) To determine what type of education can support an acuity-adaptable care delivery and the significant outcomes of the educational strategy. PRACTICE INNOVATION OBJECTIVES: (1) Describe a Kidney Transplant Nursing CORE Curriculum to match a novel care delivery in the management of renal transplant patients. (2) Discuss the evidence-based nursing outcomes of the educational strategy. PRACTICE INNOVATION IMPLEMENTATION: An educational strategy was developed through transdisciplinary collaboration with Nursing Executive champion, Clinical Nurse Specialist, Transplant Clinical Pharmacist, Transplant Physician Assistant, Nursing Director and a Clinical Development Specialist. The one-week didactic core curriculum includes the following: (a) 2006 Advance Cardiac Life Support certification guidelines, (b) 12 LEAD ECG, (c) Acute Renal Failure, (d) Treatment Consideration of End-Stage Renal Disease, (e) Ethical Consideration of Renal Transplantation, (f) Hemodynamic Monitoring, (g) Physiologic Roles of Fluid and Electrolytes, (h) Arterial Blood Gas Interpretation, (i) Glucose Control, (j) Post-Operative Management of Renal transplant Patient, (k) Transplant Pharmacology, (l) Chronic Allograft Nephropathy, (m) Complication of Renal Transplant, and (n) Transplant Infectious Diseases. After the one-week classroom instruction, a three month clinical rotation to different Intensive Care units was scheduled. A graduated program allowed the nurse to complete identified ICU competencies. PRACTICE INNOVATION OUTCOMES: Eleven seasoned transplant nurses completed the program and three months post educational program completion, staff eagerly tested their new learned skills to their renal transplant patients. After six months of operation, the acuity-adaptable care delivery has shown improvement in the length of stay and cost in renal transplantation outcomes. CONCLUSIONS: (1) The transplant nurses that were initially trained serve as mentors and trainers for the junior and new nurses in the transplant floor. (2) Transplant nurses gain increase confidence in their nursing skills with the added knowledge of critical care concepts and skills. (3) The transplant floor nurses are consistently recognized in the honor rolls for patient satisfaction.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
ANCC Magnet Practice Innovations
Conference Host:
American Nurses Credentialing 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 for further details regarding this item.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Kidney Transplant CORE Curriculum for Acuity-Adaptable Deliveryen_GB
dc.contributor.authorBonuel, Nenaen_US
dc.contributor.authorDegracia, Almaen_US
dc.contributor.authorHood, Cherylen_US
dc.contributor.authorPatel, Samiren_US
dc.contributor.authorAndries, Janeten_US
dc.author.detailsNena Bonuel, MSN, RN, CCRN, CNS, APRN-BC, The Methodist Hospital, Houston, TX, email: nbonuel@tmhs.org; Alma Degracia, RN, MBA, CCRN; Cheryl Hood, Transplant PA; Samir Patel, Pharm D-Transplant Specialist; Janet Andries, BSN CRRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/166380-
dc.description.abstractHEALTHCARE ORGANIZATION DESCRIPTION: 1352 licensed beds; non-profit, tertiary, adult care, teaching hospital, inpatient and outpatient services; affiliated with Weill Medical College of Cornell University; employs over 2,000 Registered Nurses; awarded Magnet recognition in 2002; Fortune "100 Best Companies to Work For" in 2006 and 2007; named by U.S. News & World Report as one of "America's Best Hospitals." BACKGROUND OF PRACTICE INNOVATION: To improve our renal transplantation outcomes, our Multi-Organ Transplant unit embarked on a novel evidence-based care delivery called Acuity-Adaptable Care Delivery. Four Acuity-Adaptable patient rooms were developed within the 30-bed unit. Acuity-Adaptable Care delivery means keeping the patient in the same room from admission to discharge and the level of care is brought to the patient. When a potential kidney transplant patient is admitted to the unit, the patient returns to the same room post transplantation from Perioperative Anesthesia Care Unit (PACU). To prepare for changes in patient acuity, nursing staff competency will also be addressed to include hybrid nurses who possess critical-care and acute-care skills. PRACTICE INNOVATION PURPOSE: (1) To determine what type of education can support an acuity-adaptable care delivery and the significant outcomes of the educational strategy. PRACTICE INNOVATION OBJECTIVES: (1) Describe a Kidney Transplant Nursing CORE Curriculum to match a novel care delivery in the management of renal transplant patients. (2) Discuss the evidence-based nursing outcomes of the educational strategy. PRACTICE INNOVATION IMPLEMENTATION: An educational strategy was developed through transdisciplinary collaboration with Nursing Executive champion, Clinical Nurse Specialist, Transplant Clinical Pharmacist, Transplant Physician Assistant, Nursing Director and a Clinical Development Specialist. The one-week didactic core curriculum includes the following: (a) 2006 Advance Cardiac Life Support certification guidelines, (b) 12 LEAD ECG, (c) Acute Renal Failure, (d) Treatment Consideration of End-Stage Renal Disease, (e) Ethical Consideration of Renal Transplantation, (f) Hemodynamic Monitoring, (g) Physiologic Roles of Fluid and Electrolytes, (h) Arterial Blood Gas Interpretation, (i) Glucose Control, (j) Post-Operative Management of Renal transplant Patient, (k) Transplant Pharmacology, (l) Chronic Allograft Nephropathy, (m) Complication of Renal Transplant, and (n) Transplant Infectious Diseases. After the one-week classroom instruction, a three month clinical rotation to different Intensive Care units was scheduled. A graduated program allowed the nurse to complete identified ICU competencies. PRACTICE INNOVATION OUTCOMES: Eleven seasoned transplant nurses completed the program and three months post educational program completion, staff eagerly tested their new learned skills to their renal transplant patients. After six months of operation, the acuity-adaptable care delivery has shown improvement in the length of stay and cost in renal transplantation outcomes. CONCLUSIONS: (1) The transplant nurses that were initially trained serve as mentors and trainers for the junior and new nurses in the transplant floor. (2) Transplant nurses gain increase confidence in their nursing skills with the added knowledge of critical care concepts and skills. (3) The transplant floor nurses are consistently recognized in the honor rolls for patient satisfaction.en_US
dc.date.available2011-10-27T15:32:25Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T15:32:25Z-
dc.conference.date2008en_US
dc.conference.nameANCC Magnet Practice Innovationsen_US
dc.conference.hostAmerican Nurses Credentialing 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 for further details regarding this item.-
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