![]() ![]() Purpose: Family-centered care redefines relationships in health care. EB42 Redefining Relationships in Health Care: Partnering With Families During Rounds and Bedside Report This process is an ongoing, ever-changing process and will never be done, as the world of medicine is ever changing. The competency validation process ensured that the staff delivers the same level of care to patients of the same acuity. Standardizing the policies and procedures resulted in an efficacious and evidence-based approach to clinical practice. The practice guidelines defined the care that every patient receives regardless of physical placement within the facility. Evaluation/Outcomes: Rebuilding a stronger foundation for practice has been arduous however, it has been a valuable undertaking. The final step was to create a competency-validation process. Next, the policies were reviewed and revised to include evidence-based practice. In 3 years, the individual unit standards of care were unified into 2 comprehensive nurse practice guidelines, neonatal and pediatric, with addenda for specific care delivered by the individual units. To this end, a dedicated multidisciplinary team of clinical experts joined together with the goal of rebuilding the foundations of hospital practice, policy and procedure, standards of care, and a process for validating competency at orientation and ongoing assessment beyond initial validation. The Joint Commission has established standards to assess competence objectively. As the nation’s health care system evolves, there is a growing need to ensure patient safety through the maintenance of competency-validated staff. The combined experience of all staff must be integrated with processes zlines, and competency validations, all of which will culminate in a higher quality of care and help ensure positive patient outcomes. Description: Published reports support the idea that years of experience do not independently equate to nursing competence. Purpose: In a journey to competence, remove silos and inconsistencies in care by defining objective measurements for evaluation of skills and knowledge spanning all disciplines. EB41 Cultivating Competent Nurses 1 Step at a Time The length of stay decreased in 4 out of the 5 hospitals, and ventilator days decreased with program implementation, so patients are demonstrating positive outcomes from the mobility program. Based on the data, implementation of a systematic progressive mobility program will decrease length of stay, ventilator days, and complications that can arise in the ICU. Additionally, there was a decrease in ventilator days, as well as unplanned extubations. Evaluation/Outcomes: Among the 5-hospital system, there was a significant decrease in ICU length of stay in 4 out of the 5 hospitals within 90 days after implementation. After program implementation, postimplementation data were tracked and compared with preimplementation data. Participation in multidisciplinary rounding was facilitated to promote consistency among the ICUs. Consistent and comprehensive education was provided to all critical care registered nurses, respiratory therapists, and physical therapists to ensure a high probability of success. A systematic and comprehensive progressive mobility program was developed by using the AACN’s ABCDE bundle. A retrospective review of ICU length of stay, ICU readmissions, patient ventilator days, and hospital-acquired pressure ulcers showed an increased trend for 4 out of the 5 hospitals in 12 months. An assessment of critically ill patients in a 5-hospital system revealed an opportunity to improve patient outcomes. As regulatory agencies monitor patient outcomes, nursing practice should be driving improved patient care delivery, especially in critical care. Description: Critical care patient outcomes are closely evaluated and analyzed for trends, variance in practice, and unfavorable outcomes. Finally, implement and manage sedation per recommended evidence-based practice guidelines. Additionally, implement and monitor for delirium throughout ICU hospital stay and treat delirium as recommended by evidence-based practice guidelines. Purpose: Improve patient outcomes by standardizing and implementing a nurse-driven progressive mobility program in the intensive care units (ICUs) for a 5-hospital system. ![]()
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