What Our Patients Are Saying

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Hello Team,

Please follow the link and complete the online Prisma update

http://www.healthstream.com/hlc/lifespanhd

CTIC Unit Practice

June 8, 2016

10:00 AM CTIC Break Room

Present: A. Lanoue, M. Gaboriault, S. Martin, W. Swain, R. David, M. Buzzerio, C. Farias

Bedside cart contents – Based on our last meeting, Michelle revised the contents of the cart to make them more user friendly given current practice.  She received feedback for several staff members.  Using the newly devised content list, Sam filled a cart and is now requesting feedback.  This feedback is due by June 13 for finalization.

For precaution patients, the carts must be pulled from the rooms.  If you do not know a precaution status, check the OR schedule for clarification.  If it is still unclear, the carts need to be left outside the rooms until the final determination can be made.  This will be communicated to all staff.

Open positions – currently there are 2 open CTIC positions one each 36 hour day and night.  We will be orienting one or two new CCIs in the mid-summer through the fall.

Rounding –Staff have requested that rounding with LIPs occur at night as well.  Renee will communicate to her team the need to have these at 9pm each night.  The charge nurse in the CTIC on nights needs to ensure that this occurs and the RN staff is present.   Day time rounding is as follows: 9:30 Monday, Tuesday and Thursday.  It will be at 10:30 on Wednesday and there will be walking rounds every Friday at 8:30.  Nurses are required to be present when their patient is being presented and participation is strongly encouraged.

Collaborative projects:

Extubation: We will review the plan for meeting the 6 hour mark to wean and extubate each patient.  Obstacles in meeting this will be studied.  Michelle, Mike, Michelle and Renee will convene on this.

Early Mobility of our patients is necessary.  This is the next project.  Team leads will be Wendy, Amy, Chris, and Darryk.  We will work with PT as well to coordinate this aspect of the care.

Both project results will be presented at our July meeting.

Phones – We will be using the phones for communication amongst the staff both RN and LIPs.  We need to utilize these.  This is for patient and staff safety.  The current phones are not able to be switched out.  The alternative has a deficiency being able to hear properly.  Smarty phones are expensive and not practical.  Clips will be supplied.  The phone for a singled patient assignment can be kept in the patient room alongside the desktop computer.  This process will start on Monday.  Stacey will take the lead.  The US will ensure that the batteries are in working order, there will be a sign in list.

Other projects will be building an AF pathway so that all will be on the same page n treatment.

For now, follow up meeting will be July 13 time and place TBD.

Respectfully Submitted,

Paula Gellner, MS, RN

Dear Staff,

Although this was a short week, a lot has been going on behind the scenes.

• I met with our secretaries and unit assistants to review work flow.  The minutes of the meeting s are at the end of this email.
• Additionally, we will be having a better process for ensuring that we have properly cleaned IABPs in the CTIC.  This new process will be finalized next week and communicated.
• Please ensure that the IABP site dressings are changed as outlined in the policy 2 days for gauze dressings and 7 days for Tegaderm.
• We have a sample bedside cart on CTIC.  Please take a look this over the weekend and let us know your thoughts.  Michelle did a lot of work researching the contents that would be most helpful to have on hand.  Sam put the sample together this week.
• I am still reviewing restraint data and will need to continue with this for the next 6 months!  Remember to address this is in the plan of care , document every 2 hours and ensure that you always have a current order.
• EKG strips need to be scanned.  Please only leave valid identified strips for the US to scan.  Nothing in that is ambiguous should be left in the folder.
• There will be an ICTU staff meeting on Tuesday June 8^th at 6:30PM.  Attendance is strongly encouraged!  There will be a call in option communicated.
• Next week we will have two former nurse rejoin our teams:  Nicole Landroche on CTIC and Kristen Finocchi on ICTU!
• Donna Saul will be conducting her coffee hours as follows:
  • June 7thCTIC 1-2pm
  • June 13 ICTU 1-2pm

Respectfully Submitted,

Paula Gellner, MSRN

Manager CTIC/ICTU