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Care
o STICU at BUMC
o Type of care: Emergent and Critical Care
o Conditions: TBI, GSW, Burns, and MVA
o Services: RT, PT, OT, Case Management, Social Work
o 20 beds
1:1 or 1:2
Nursing
Patient
Interdisciplinary
teamwork
supporting patient-centered
care
Focus
o
o
o
o
o
communication
Focus
Continuing education
Collaborative patient assignment process
Staff support with complex patients
Importance of staff wellbeing/debriefing (Keene, et al., 2010).
Voices are heard
individual
12/2/15
Integration
Quality
improvement activities
o Concurrent Audits occur daily
o Data directly impacts the quality of Pt care
Both the nurse manager and clinical leader are in
charge of these audits
Examples- Catheter Associated Urinary Tract Infection
(CAUTI) and central line audits
resources, My Chart
Integration
electronic EKG
7
Concurrent
and process
audits to assess compliance
after improvements
Organization
support issue
o Re-Audits
o Accountability checks
for CNLs performing
audits
Miscommunication
Data
reported back to
nursing staff
o Individual meetings
o Results publicly posted
9
10
In
Pilot
of evidencebased, standardized
report tool in Trauma
ICU
o
o
o
o
o
o See Handouts!
Goal:
Decrease
miscommunication and
consequential errors
11
12
12/2/15
Cresswell,
14
Wong,