2.50
Hdl Handle:
http://hdl.handle.net/10755/182382
Category:
Abstract
Type:
Presentation
Title:
A Multifaceted Approach: Cultural Change for Restraint Utilization
Author(s):
Augustyn-Lindsay, Marcia
Author Details:
Marcia Augustyn-Lindsay, RN, MSN, NEA-BC, St. Elizabeth Health Center, Youngstown, Ohio, USA, email: marcia_augustyn-lindsay@hmis.org
Abstract:
The Centers for Medicare and Medicaid Services (CMS) and the Joint Commission publish standards that protect the rights, dignity and safety of patients. A hospital wide initiative began to transform the attitudes and culture of the organization with the goal of providing a less restrictive and safe environment for our patients. Key to this transformation was the redefinition of the role of the behavioral health clinical nurse specialist and the introduction of the Patient Safety Companion. A team, consisting of the Chief Nursing Officer, nurse leaders, Advance Practice Nurses, educators, staff nurse representatives of our shared governance councils, and the Chief Medical Officer was established. This team developed and implemented physician order sheets, policies, procedures, and protocols to meet the standards. Major educational programs for staff nurses and physicians were developed and implemented. The Behavioral Health Clinical Nurse Specialist role transitioned to include a major focus on patient assessment, use of alternatives to restraints, and the documentation of patients requiring medical surgical and behavioral restraints. Her role also included the ongoing coaching and mentoring of staff. In addition, the new role of Patient Safety Companion was developed and implemented as a restraint alternative to preserve patient safety. As a result of this initiative, restraint episodes decreased from 10% to 1% in four months. In addition, a significant reduction in falls was realized.
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.titleA Multifaceted Approach: Cultural Change for Restraint Utilizationen_GB
dc.contributor.authorAugustyn-Lindsay, Marciaen_US
dc.author.detailsMarcia Augustyn-Lindsay, RN, MSN, NEA-BC, St. Elizabeth Health Center, Youngstown, Ohio, USA, email: marcia_augustyn-lindsay@hmis.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182382-
dc.description.abstractThe Centers for Medicare and Medicaid Services (CMS) and the Joint Commission publish standards that protect the rights, dignity and safety of patients. A hospital wide initiative began to transform the attitudes and culture of the organization with the goal of providing a less restrictive and safe environment for our patients. Key to this transformation was the redefinition of the role of the behavioral health clinical nurse specialist and the introduction of the Patient Safety Companion. A team, consisting of the Chief Nursing Officer, nurse leaders, Advance Practice Nurses, educators, staff nurse representatives of our shared governance councils, and the Chief Medical Officer was established. This team developed and implemented physician order sheets, policies, procedures, and protocols to meet the standards. Major educational programs for staff nurses and physicians were developed and implemented. The Behavioral Health Clinical Nurse Specialist role transitioned to include a major focus on patient assessment, use of alternatives to restraints, and the documentation of patients requiring medical surgical and behavioral restraints. Her role also included the ongoing coaching and mentoring of staff. In addition, the new role of Patient Safety Companion was developed and implemented as a restraint alternative to preserve patient safety. As a result of this initiative, restraint episodes decreased from 10% to 1% in four months. In addition, a significant reduction in falls was realized.en_GB
dc.date.available2011-10-28T15:21:49Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:21:49Z-
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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