Osler 4 CUSP Overview

Stacey Taylor & Dianne Bettick

Project 1: Hand Hygiene

Osler 4 Hand Hygiene Monthly Results
89% 89% 90%

75%

74%

75%

March

April

May

June

July

August

Current Measures for Improvement

posted laminated hands throughout unit signed by each staff member updated signs encouraging all staff to wash hands designated unidentified staff to monitor hand washing giving direct feedback to staff for compliance and non-compliance

Future Measures for Improvement

Report card for each staff member:
stars for washing hands

Ask me if I have washed my hands button:

participation of patients multidisciplinary approach of CCSC to monitor

Real life story to encourage compliance

Project 2: Revised Patient Hand Off Report

Reviewed current literature regarding various report styles-One on One, Bedside, Unit Surveyed staff to determine satisfaction levels with current report style/report sheet & preferred report style

Survey results: 22/26 Nurses Ranked Preferred Report Style

Report style 1st choice At the bedside Unit 1 4 2nd choice 2 2 3rd choice 4 4 4th choice 5 7 5th choice 6 5

One to One

11/22 responses

6
7/22 responses 1

4
7/22 responses 3

1
1

0
1

One to One 6 w/a brief team huddle Pre recorded 0

8/22 responses

10/22 responses

Survey Results
90% felt having a report sheet was helpful 95% felt we should revise the report sheets

Some of the responses regarding sheets:

shorten the report sheets, put more than 1 patient on a sheet (to save paper) I think it's important that there is a place where we can put important patient information that does not get lost between change of shifts (hence the report sheet is still useful for this). However, there needs to be a way to shorten the report sheet and save some paper. Stick to basics and updates. Way too much info on paper Need to know what is their treatment and goal for discharge etc. I like the idea of the MD handoff and place nursing issues in the nursing section. but this too generates more paper. We could start with one to one and still use the reports sheets until we can come up with a report that transitions to our other needs. But the one on one is the best way for now to give report. Review of systems Not in excel --too cumbersome. Follow the handoff notes of thayer team with things to be aware of for coming shift. Short narrative from MD note so we're on the same page. Educational needs.

Future Measures for Improvement

By September 30th: Identify necessary changes to report sheet used By October 7th: Implement changes to report sheet Future Improvements: Implementation of one to one report style Possible transition from current report sheet to POE hand off note

Screenshot from POE Hand off note

Project 3: Creation of Acuity Scale

Reviewing current literature regarding standardized acuity scales and the benefit they offer Will research various types of standardized acuity scale Will survey staff with regard to different aspects of standardization