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A solution to geographically challenged communication: Virtual huddles
Session Abstracts
JOURNAL OF RADIOLOGY NURSING
THE CODE TEAM! Be Prepared, Not Scared will give the tools and confidence to improve your teams’ response during unanticipated events, all while having fun! Come learn how to lead an effective mock code program in your setting. A solution to geographically challenged communication: Virtual huddles Candice M. Zabko, RN, MSN, Christopher Rowe, BSN, RN, CRN, The Johns Hopkins Hospital Our nursing team is spread out among 6 different buildings and 7 different modalities. While communication is shown to impact patient safety, collaboration and teamwork, geography has been our most consistent challenge. As a leadership team, we set out to bridge this geography - induced communication gap in order to better meet the needs of our patients. Due to our vast geography, our team was unable to conduct a daily morning huddle. Such a huddle would help us plan for the day, discuss resources as a team, identify obstacles, and pass along important information. Our communication has historically been done via text pages, emails, and laborious rounding by the charge nurse about 2 hours per instance). We held brainstorming sessions with staff to get their input on how we could go about changing our unit culture and practice. We decided to implement a “virtual huddle” every morning via webcams at computers in each work area. Prior to implementing the virtual huddle, we surveyed staff about patient safety, the “big picture” of the unit, the importance of daily huddles, sense of connection with colleagues, and information needed to do their jobs well. This same survey was given to staff after a 3 month trial of the virtual huddle. The most significant improvements during the post-implementation survey were related to the “big picture” of daily unit operations, a sense of connection to colleagues, and having the information needed to do their jobs well. We have continued past the trial and have implemented this into our daily unit practice. Our experiences with the virtual huddle have allowed better communication to meet the needs of our patients in a diversely geographical unit. Deaf patients in I.R.: An Evidence-Based Practice Guide Kathleen Snyder, MS, RN, CNE, Kaiser Permanente and Montgomery College American Sign Language (ASL) is a visual and gesturebased communication system used by 500,000-2,000,000 Americans (Gallaudet University, 2010). Accommodating an ASL using patient and interpreter during their stay in Interventional Radiology requires a thoughtful and innovative team. The Interventional Radiology nurse 152
must be prepared to lead the team in providing culturally sensitive care for deaf patients, while ensuring the quality and safety of the procedure. This poster presentation will provide an evidence-based practice guide for radiology nurses to discover deaf culture and bridge common safety gaps specific to this community. Implementation of Patient Flow Strategies in Interventional Radiology Allyson Kornahrens, MSN, RN, CRN, CCRN, CNL, Suzanne Abrams, RN, BSN, CEN, Southside Hospital Limited literature is available on patient flow through the Interventional Radiology department. It is conjectured that strategies to improve the flow of patients while maintaining high levels of patient safety and improving the continuity of care can be implemented, and will limit delays in care and improve patient satisfaction this 341 bed community hospital in which the Interventional Radiology department is without a dedicated holding area. Reduction in same day cancellation of outpatient UFE patients due to high blood pressure Laurie J. Nichol, MSN, RN, CCRN, CRN, Wellstar Windy Hill Hospital Poster presentation of Six Sigma study addressing same day UFE cancellations between 2 radiology groups. Loss of productivity, decrease in customer satisfaction, and potential profit loss highlighted Capnography in the Outpatient Setting Nicole Holmes, RN, BSN, Fresenius Vascular Care Implementing & Educating on Capnography in an Outpatient Setting using side-stream monitoring. In most outpatient settings the sedation that is provided to patients are associated with an increase risk of respiratory and cardiovascular depression with combinations of benzodiazepiens and opioid narcotics. Sedation and analgesia introduces an independent risk factor for morbidity and mortality in addition to the procedure itself. Nurses administering moderate sedation should monitor and recognize abnormalities of physiologic variables, which include, blood pressure, respiratory rate, oxygen saturation by pulse oximetry, electrocardiographic monitoring and capnography. Early intervention is critical to avert respiratory depression and improve the quality of care and ultimately patient outcomes. Capnography triggers early intervention and decreases the incidence of oxygen desaturation during procedures performed under moderate sedation.
www.radiologynursing.org
JUNE 2016
JOURNAL OF RADIOLOGY NURSING
THE CODE TEAM! Be Prepared, Not Scared will give the tools and confidence to improve your teams’ response during unanticipated events, all while having fun! Come learn how to lead an effective mock code program in your setting. A solution to geographically challenged communication: Virtual huddles Candice M. Zabko, RN, MSN, Christopher Rowe, BSN, RN, CRN, The Johns Hopkins Hospital Our nursing team is spread out among 6 different buildings and 7 different modalities. While communication is shown to impact patient safety, collaboration and teamwork, geography has been our most consistent challenge. As a leadership team, we set out to bridge this geography - induced communication gap in order to better meet the needs of our patients. Due to our vast geography, our team was unable to conduct a daily morning huddle. Such a huddle would help us plan for the day, discuss resources as a team, identify obstacles, and pass along important information. Our communication has historically been done via text pages, emails, and laborious rounding by the charge nurse about 2 hours per instance). We held brainstorming sessions with staff to get their input on how we could go about changing our unit culture and practice. We decided to implement a “virtual huddle” every morning via webcams at computers in each work area. Prior to implementing the virtual huddle, we surveyed staff about patient safety, the “big picture” of the unit, the importance of daily huddles, sense of connection with colleagues, and information needed to do their jobs well. This same survey was given to staff after a 3 month trial of the virtual huddle. The most significant improvements during the post-implementation survey were related to the “big picture” of daily unit operations, a sense of connection to colleagues, and having the information needed to do their jobs well. We have continued past the trial and have implemented this into our daily unit practice. Our experiences with the virtual huddle have allowed better communication to meet the needs of our patients in a diversely geographical unit. Deaf patients in I.R.: An Evidence-Based Practice Guide Kathleen Snyder, MS, RN, CNE, Kaiser Permanente and Montgomery College American Sign Language (ASL) is a visual and gesturebased communication system used by 500,000-2,000,000 Americans (Gallaudet University, 2010). Accommodating an ASL using patient and interpreter during their stay in Interventional Radiology requires a thoughtful and innovative team. The Interventional Radiology nurse 152
must be prepared to lead the team in providing culturally sensitive care for deaf patients, while ensuring the quality and safety of the procedure. This poster presentation will provide an evidence-based practice guide for radiology nurses to discover deaf culture and bridge common safety gaps specific to this community. Implementation of Patient Flow Strategies in Interventional Radiology Allyson Kornahrens, MSN, RN, CRN, CCRN, CNL, Suzanne Abrams, RN, BSN, CEN, Southside Hospital Limited literature is available on patient flow through the Interventional Radiology department. It is conjectured that strategies to improve the flow of patients while maintaining high levels of patient safety and improving the continuity of care can be implemented, and will limit delays in care and improve patient satisfaction this 341 bed community hospital in which the Interventional Radiology department is without a dedicated holding area. Reduction in same day cancellation of outpatient UFE patients due to high blood pressure Laurie J. Nichol, MSN, RN, CCRN, CRN, Wellstar Windy Hill Hospital Poster presentation of Six Sigma study addressing same day UFE cancellations between 2 radiology groups. Loss of productivity, decrease in customer satisfaction, and potential profit loss highlighted Capnography in the Outpatient Setting Nicole Holmes, RN, BSN, Fresenius Vascular Care Implementing & Educating on Capnography in an Outpatient Setting using side-stream monitoring. In most outpatient settings the sedation that is provided to patients are associated with an increase risk of respiratory and cardiovascular depression with combinations of benzodiazepiens and opioid narcotics. Sedation and analgesia introduces an independent risk factor for morbidity and mortality in addition to the procedure itself. Nurses administering moderate sedation should monitor and recognize abnormalities of physiologic variables, which include, blood pressure, respiratory rate, oxygen saturation by pulse oximetry, electrocardiographic monitoring and capnography. Early intervention is critical to avert respiratory depression and improve the quality of care and ultimately patient outcomes. Capnography triggers early intervention and decreases the incidence of oxygen desaturation during procedures performed under moderate sedation.
www.radiologynursing.org
JUNE 2016