2.50
Hdl Handle:
http://hdl.handle.net/10755/182686
Category:
Abstract
Type:
Presentation
Title:
Leaving Alive: Implementing Initiatives to Decrease Hospital Mortality
Author(s):
Bogdan, Karen; Cloutier, Kathleen; Steinmetz, Peggy; Jager, Amy; Sorbellini, Diana
Author Details:
Karen Bogdan, RN, MS, CCRN, Advocate Christ Medical Center, Oak Lawn, Illinois, USA, email: karen.bogdan@advocatehealth.com; Kathleen Cloutier, RN, BSN, CCRN; Peggy Steinmetz, RN, MS; Amy Jager, RN, BSN, CCRN; Diana Sorbellini, RN, PCCN, Advocate Christ Medical Center/Hope Children's
Abstract:
Poster Presentation: Purpose: The purpose of this project was to use evidence-based measures to reduce hospital mortality following a cardiopulmonary arrest event (CAE). Specific tactics included monitoring the use of Advanced Cardiac Life Support (ACLS) protocol and implementing a Rapid Response Team (RRT). Description: A two part approach was used to optimize patient outcomes after CAE. Initially, code blue data was examined with a focus on treatment strategy rather than demographics. Treatment documentation showed compliance with ACLS guidelines at 23%. To enforce the use of ACLS guidelines, all staff received updated education. Mock code blues, staged with a mannequin, were called at sporadic intervals without notice. Team members were expected to respond, react accurately, and debrief afterward. The team is accountable for following BLS and ACLS protocol. Action plans are developed when noncompliance occurs. The RRT provides early intervention for patients exhibiting signs of instability outside the intensive care units. The RRT works collaboratively with the primary nurse to assess, implement, and evaluate emergent patient needs to reduce the incidence of unexpected CAE. The RRT is available for intervention with inpatients, outpatients, visitors and staff. Though criteria are set for the initiation of a rapid response, nurses are able to call the RRT for consultation and support in any critical situation. This collaborative approach and mentoring has enhanced the nursing relationship. Evaluation/Outcomes: Overall compliance with ACLS protocol averages 98%. Hospital mortality decreased from 2.89% in 2004 to 2.1% year to date 2007. RRT enhancements include early treatment of suspected inpatient stroke and patient driven calls. Collaboration with patient care is now the strength in our nursing division. REFERENCE: AHA ACLS guidelines
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleLeaving Alive: Implementing Initiatives to Decrease Hospital Mortalityen_GB
dc.contributor.authorBogdan, Karenen_US
dc.contributor.authorCloutier, Kathleenen_US
dc.contributor.authorSteinmetz, Peggyen_US
dc.contributor.authorJager, Amyen_US
dc.contributor.authorSorbellini, Dianaen_US
dc.author.detailsKaren Bogdan, RN, MS, CCRN, Advocate Christ Medical Center, Oak Lawn, Illinois, USA, email: karen.bogdan@advocatehealth.com; Kathleen Cloutier, RN, BSN, CCRN; Peggy Steinmetz, RN, MS; Amy Jager, RN, BSN, CCRN; Diana Sorbellini, RN, PCCN, Advocate Christ Medical Center/Hope Children'sen_US
dc.identifier.urihttp://hdl.handle.net/10755/182686-
dc.description.abstractPoster Presentation: Purpose: The purpose of this project was to use evidence-based measures to reduce hospital mortality following a cardiopulmonary arrest event (CAE). Specific tactics included monitoring the use of Advanced Cardiac Life Support (ACLS) protocol and implementing a Rapid Response Team (RRT). Description: A two part approach was used to optimize patient outcomes after CAE. Initially, code blue data was examined with a focus on treatment strategy rather than demographics. Treatment documentation showed compliance with ACLS guidelines at 23%. To enforce the use of ACLS guidelines, all staff received updated education. Mock code blues, staged with a mannequin, were called at sporadic intervals without notice. Team members were expected to respond, react accurately, and debrief afterward. The team is accountable for following BLS and ACLS protocol. Action plans are developed when noncompliance occurs. The RRT provides early intervention for patients exhibiting signs of instability outside the intensive care units. The RRT works collaboratively with the primary nurse to assess, implement, and evaluate emergent patient needs to reduce the incidence of unexpected CAE. The RRT is available for intervention with inpatients, outpatients, visitors and staff. Though criteria are set for the initiation of a rapid response, nurses are able to call the RRT for consultation and support in any critical situation. This collaborative approach and mentoring has enhanced the nursing relationship. Evaluation/Outcomes: Overall compliance with ACLS protocol averages 98%. Hospital mortality decreased from 2.89% in 2004 to 2.1% year to date 2007. RRT enhancements include early treatment of suspected inpatient stroke and patient driven calls. Collaboration with patient care is now the strength in our nursing division. REFERENCE: AHA ACLS guidelinesen_GB
dc.date.available2011-10-28T15:35:27Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:35:27Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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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