Sterling'sAunt

Sterling'sAunt

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  1. Sterling'sAunt

    Core Measures and time per chart?

    RE: NCFLYGAL Can you tell me, do you also place the data into graphs for analysis. Do you present the data at whatever meeting it is presented to at your organization? Do you put the data into a format to have it available for peer to peer comparison...
  2. Sterling'sAunt

    Patient Flow / Medication Reconcilliation

    I am also interested in the same information. We concentrate on patient flow and "pull the cord" when a patient is waiting for a bed but we don't have indicators to truly reflect what is going on in house. I feel we should have that as well. We do ...
  3. Sterling'sAunt

    Night Shift Error...Maybe

    And then we wonder why we have longer than necessary lengths of stay. Where is the case manager if the patient no longer needs to be hospitalized?
  4. Sterling'sAunt

    LEAN Thinking or Deployment

    Do any of you work in acute care settings where the LEAN technology or thinking has not only been implemented but is part of your culture? I am interested in hearing your viewpoint on the processes and have changes occurred that have given time back ...
  5. Sterling'sAunt

    Your Call Light is On Can I help YOU?

    Kiyasmom: I too wondered if I was really cut out for this. When I was a nursing student, I was caring for an unresponsive, 20 something, glioblastoma patient. He was a nice looking guy from a very nice family. I had certainly done my homework, I was ...
  6. Sterling'sAunt

    Your Call Light is On Can I help YOU?

    Another patient was a bilateral amputee. He put his call light on and asked to see the social worker to help him make out his advance directives. She came and once the paperwork was finished he asked her, "what do I need to do next?" She said "Nothi...
  7. Sterling'sAunt

    Your Call Light is On Can I help YOU?

    The call light went off Nurse went to the patient, "can I help you"? the patient only had one eye. He said, I feel feverish. He also felt warm. The nurse went to get the thermometer and when she came back to his room she said, "here put this thermo...
  8. Sterling'sAunt

    Bedside Report...

    Update on bedside report. I previously said we were just rolling this out and had encountered some staff who were uncomfortable. Well we have rolled it out to 3 units. We had about 4-5 days of some being uncomfortable, the next unit it was maybe 2-3...
  9. Sterling'sAunt

    Who owns Core Measures in your facility?

    We have struggled with the heart failure LV assessment and ACEI/ARB elements as well. We have put into practice the steps that the case manager is responsible to get the LV assessment on the chart even if it is pulling from a previous admission or ...
  10. Sterling'sAunt

    Bedside Report...

    We ask the visitors to please step out while we check on the patients. No more is said than would be said if the physician were in the room speaking to the patient. I personally don't think we need to pass on as many "non value added"comments abou...
  11. Sterling'sAunt

    Who owns Core Measures in your facility?

    What elements are the hardest for you in regards to compliance?
  12. Sterling'sAunt

    Core Measures and time per chart?

    We can only sample SCIP because our volume is not enough with AMI, CHF or PNE. It takes approx 10 per CHF, 15 per AMI, 20-25 for PNE and SCIP. One thing many vendors and corporations do not figure into the statistics is the analysis of the data. La...
  13. Sterling'sAunt

    Bedside Report...

    There are many advantages to bedside hand-off. You can search the internet for "patient bedside report" and find may success stories. Nurses waiting for report to be over so they can go home and the report taking entirely too long is one reason. Ho...
  14. Sterling'sAunt

    Bedside Report...

    We are rolling this out presently and we are encountering staff who are very uncomfortable with the process. I want to support them in any way I can but at this point I think it would be positive if I and the manager could talk to someone who has im...