Nurses at White Plains (N.Y.) Hospital are getting ready for the third annual Professional Showcase during national Nurses Week. We have more than 45 posters, which present the latest evidence-based practices, research and process improvements throughout the hospital, said Samantha Silverstein, RN, CNDR, surgical services quality analyst and co-chairwoman of the nursing quality council.
Displayed on the main floor of the hospital, the professionally prepared posters will showcase what some units have accomplished based on previous quality initiatives, while others will present new ones.
In looking for an EBP model that would serve as a guide, Paul Quinn, RN-BC, MSN, CNM, NE-BC CEN, CCRN, director of nursing, adapted the John Hopkins EBP model by Robin Newhouse. Our visual model of the performance improvement, EBP and nursing research continuum shows how each facet is unique to itself, and the information from one feeds to the other, Quinn said. It is an ongoing process of discovery, research, application and improvement.From left, Cathy Waters, RN, med/surg director; Teresa MacLeod, RN, labor and delivery staff nurse; and Patty DeSantis, RN, labor and delivery staff nurse, discuss the perinatal bereavement program at White Plains (N.Y.) Hospital. This year Bonnie Thompson, RN, labor and delivery nurse manager, will present on infant abduction and how to create a secure environment.
After seeing the need for consistent pain management in the ED, Peggy Ohnmacht, RNC, CEN, C-EFM, ED staff nurse and co-chairwoman of Magnet champions, researched the topic and formed an ED task force for improvement. Last fall, led by Ohnmacht, Geonilyn Acang-Belgrave, RN, BSN, unit leader; Denise Chen, RPA-C, ED physician assistant; Gina Desanto, RN, BSN, ED staff nurse; Marie Webster, RN, ED staff nurse; and Denise Thacke, RN, MSN, ED staff nurse, prepared and presented a 59-page PowerPoint education program to all ED nurses and physicians during a two-month period.
As a result of our program, we have changed a number of our practices, like instituting multimodal dosing and holistic interventions, such as warm blankets and dimmer lighting where appropriate, and weve also educated staff about common myths and misconceptions about pain, Ohnmacht said.Ava Ramirez-dela Cruz, RN, orthopedics staff nurse, left, and Anne Verrastro RN, ICU staff nurse, explain the follow-up discharge phone protocol used in orthopedics to measure patient outcomes and satisfaction.
In their efforts to improve documentation, staff now document, at discharge, the patients pain level, degree of comfort and whether patients understand what to do if they experience pain at home.
During the past two years, Sally Tortora, RN, ONC, staff nurse, orthopedics; Betty Leung, RN, MSN, ONC, nurse manager, orthopedics; Carol Smullen, RN, ONC, total joint-replacement program coordinator; and Anila George, MS, physical therapist, have organized and implemented a weekly formalized orthopedic interdisciplinary patient education program, in which take-home material reinforce the information provided.
For the past 10 months, RN unit leaders have conducted post-discharge calls to patients 10 days after hospital discharge. Because most of our patients go to a rehab unit first, we schedule the calls around the time that they return home, Leung said. Unit leaders ask a series of questions, which Tortora has collated over the past six months, to measure specific areas such as patients pain, ambulation, symptoms, attendance and feedback about the preop education program. We have learned about patient satisfaction and patient outcomes as well as how the patients feel they benefited from our program, Tortora said.