Standardization of Training for Caregiver Competency: Initial Discharge of a Child with a Tracheostomy

2.50
Hdl Handle:
http://hdl.handle.net/10755/182293
Category:
Abstract
Type:
Presentation
Title:
Standardization of Training for Caregiver Competency: Initial Discharge of a Child with a Tracheostomy
Author(s):
Miske, Laura
Author Details:
Laura Miske, RN, MSN, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA, email: miske@email.chop.edu
Abstract:
The initial discharge to home of a child with a tracheostomy, with or without mechanical ventilation, is a complex process that requires a multidisciplinary effort. The safe transition to home is dependent upon the competency of the caregivers in the home and available resources. The Advanced Practice Nurses (APN's)who manage over 150 patients with tracheotomies used post-discharge phone interactions and quality improvement data to identify opportunities to improve the discharge process. A multidisciplinary team created a tracheostomy teaching book which included step by step instructions of all skills needed by the caregivers. A standardized teaching documentation tool was produced to provide consistency and appropriate documentation of competency. Lastly, a nursing standard was written, which provided a framework for teaching, preparation of the home and community resources. An IRB approved assessment survey was sent to the 668 RNs and Respiratory Therapists (RTs) that work with this population and 56% responded. Most staff (75%) expressed the need for additional education on the process for the initial discharge home. Based on these results, an education plan was designed with a power point presentation, visual aids and interactive tools for unit based skills fairs. The interactive tools, including a video, designed by APNs, RNs and RTs, provided a scenario-based approach for teaching and documentation. Information was distributed by an APN, using our hospital and unit level PPM councils.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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_US
dc.typePresentationen_GB
dc.titleStandardization of Training for Caregiver Competency: Initial Discharge of a Child with a Tracheostomyen_GB
dc.contributor.authorMiske, Lauraen_US
dc.author.detailsLaura Miske, RN, MSN, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA, email: miske@email.chop.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182293-
dc.description.abstractThe initial discharge to home of a child with a tracheostomy, with or without mechanical ventilation, is a complex process that requires a multidisciplinary effort. The safe transition to home is dependent upon the competency of the caregivers in the home and available resources. The Advanced Practice Nurses (APN's)who manage over 150 patients with tracheotomies used post-discharge phone interactions and quality improvement data to identify opportunities to improve the discharge process. A multidisciplinary team created a tracheostomy teaching book which included step by step instructions of all skills needed by the caregivers. A standardized teaching documentation tool was produced to provide consistency and appropriate documentation of competency. Lastly, a nursing standard was written, which provided a framework for teaching, preparation of the home and community resources. An IRB approved assessment survey was sent to the 668 RNs and Respiratory Therapists (RTs) that work with this population and 56% responded. Most staff (75%) expressed the need for additional education on the process for the initial discharge home. Based on these results, an education plan was designed with a power point presentation, visual aids and interactive tools for unit based skills fairs. The interactive tools, including a video, designed by APNs, RNs and RTs, provided a scenario-based approach for teaching and documentation. Information was distributed by an APN, using our hospital and unit level PPM councils.en_GB
dc.date.available2011-10-28T15:17:50Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:17:50Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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