We improve lives. In big ways through learning, healing and discovery.
In small, personal ways through human connection. But in all ways, we improve lives.
Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth. Page 1 of 2
Purpose: May Meeting Facilitator: Raelyn Nicholson Sponsor: Michelle Ballou and Carolyn Dietrich Date: 5/28/2014 Scribe: Arlette Kokeny Timekeeper: Raelyn Nicholson Out Today: Location: Blue PACU Time: 0900 - 1000
Topic Discussion Recommendations/ Actions Follow-up GPS Component Magnet Component Catch-A-Bug May Initiative: Callie Dewbre submitted research article regarding the spread of bacteria via lanyards and badges. Staff who read article and completed questions received CE. June Initiative: Hand Hygiene Per a request by John Harney, perioperative services needs to think of ways to improve hand hygiene. For the month of June, the council will focus on methods to improve rates. Council members identified that a barrier to proper hand hygiene is awkwardly placed foamers. If some were moved to more convenient locations, rates may improve.
May Initiative: Encourage staff to wipe down badges with cavi wipes every shift. June Initiative: When council members see staff/family/other employees not use proper hand hygiene, they will use the handheld foamer and say, We are trying to improve our hand hygiene in the PACU and I noticed that you didnt foam. May I offer you some? The council may implement a reward system in the future. Raelyn will speak with Michelle and Carolyn about the feasibility of moving foamers.
1, 2, 3, & 6 2, 3, 4 May Audits Medication scanning PreOp: 96.97% (target 93%) PACU: 97.8% (target 93%) Patient scanning PreOp: (target 98%) PACU: (target 98%) Hand Hygiene PreOp: (target 95%) PACU: (target 95%) Lab specimen labeling PreOp: (target 100%) Critical lab documentation PACU: 100% (target 100%) Medication labeling PACU: 100% (target 95%) To prevent scanning errors when PACU meds are discontinued, RNs need to contact the anesthesiologist to reinstates the PACU orders.
1, 2, 3, & 7 2, 3, 4
Perianesthesia Quality and Patient Safety Council We improve lives. In big ways through learning, healing and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth. Page 2 of 2 Topic Discussion Recommendations/ Actions Follow-up GPS Component Magnet Component Ambu Bag on Transport Nurses and CNAs are occasionally forgetting to take an ambu bag. Council indicated that any change takes time for staff to adjust. The sign next to the transport monitors is helpful. The council recognized their role in reminding staff to take ambu bags and model this new standard. Raelyn will speak with CNAs to remind them of taking ambu bags.
1, 2 2, 3 Joint Commission Preparation Management would like the council to help periop prepare for upcoming JCAHO visit. This may include assisting in a mock visit, helping Nicole Babu with trackers, and working on the outcomes board.
Council will readdress JCAHO needs in June meeting. Raelyn will communicate with management to fine tune details. She will also email JCAHO PowerPoint (made by Kyla, Carolyn, and Raelyn) so that council can educate themselves on JCAHO requirements.
2, 3, 6, 7 1, 2, 3
UCHealth Global Path to Success 1. Quality and Patient Experience 2. Engaged Workforce 3. Growth 4. Clinical & Non-Clinical Integration 5. Deliver Superior Value 6. Academic Enterprise 7. Mission, Vision and Brand Awareness Ensure universal, distinctive standard of quality and patient experience. Attract, retain and excite a unified and engaged workforce. Enhance reach and relevance through growth. Integrate clinically and non- clinically across our system. Deliver superior value to remain an option for most payor plans. Maintain, enhance and leverage the academic enterprise. Enhance messaging around the mission, vision and brand
Magnet Model Components 1. Transformational Leadership 2. Structural Empowerment 3. Exemplary Professional Practice 4. New Knowledge, Innovations & Improvements 5. Empirical Outcomes Leadership that results in extraordinary outcomes by empowering, influencing, and motivating others. Strategies used to support shared leadership decision-making, life-long learning and professional development. Interprofessional collaboration to ensure patient safety resulting in high-quality outcomes. Integration of evidence-based practice and research into practice. New ways of achieving high-quality, effective and efficient care through innovation. Measurable outcomes related to the impact of structure and process on patients, staff, and the organization.