lutheran senior services
DESCRIPTION
Lutheran Senior Services. Why we choose Interact II Tools. Where we started…. Data poor Health Care Reform Growth of short stay rehab program Move to Evidence Based Practice. Tools We Are Using. Resident Transfer Form Change in condition cards Care Maps SBAR. T R A N S F E R E - PowerPoint PPT PresentationTRANSCRIPT
Lutheran Senior ServicesWhy we choose Interact II Tools
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Where we started…
Data poorHealth Care ReformGrowth of short stay rehab programMove to Evidence Based Practice
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Tools We Are Using
Resident Transfer FormChange in condition cardsCare MapsSBAR
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TRANSFER
ENVELOPE
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Change in Condition Cards
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CARE
MAPS
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Define a ProcessClinical Guidelines for Management of LRI
Assessment / Observation standards• Review Broncho-pulmonary assessment in Optimus• Define guidelines for staff
Communication• Build Profile order set “Management of URI”
– Nursing orders Assess Bronchopulmonary status BID and prn Provide additional fluids Encourage coughing and deep breathing Encourage mobility Monitor VS and O2 Sat BID and prn
– Physician orders IV fluids Antibiotic therapy Oxygen therapy Nebulizer treatments Portable CXR CBC BMP
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Process (cont.)
• CARE PATH: Symptoms of Lower Respiratory Infection (INTERACTII)– SBAR Communication as a guide to communication with physician
Education• Develop powerpoint education tool covering the steps defines in Assessment
and Communication• Skills training
– Completing a respiratory assessment Equipment: Lung sound recordings, Double ear stethoscope
– Understanding the findings of the assessmentMonitoring
• Track hospitalizations and review using Quality Improvement Tool (INTERACTII)
• Report quarterly and include in quality Dashboard
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Staff Education
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Assessing Lung Sounds
http://www.easyauscultation.com/lung-sounds.aspx http://www.wilkes.med.ucla.edu/lungintro.htm http://www.cvmbs.colostate.edu/clinsci/callan/breath_sounds.htm http://faculty.etsu.edu/arnall/www/public_html/heartlung/breathsounds/contents.html
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Challenges and Successes
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Data FindingsRe-Hospitalization Rates
Dec Jan Feb March April ytd0%
5%
10%
15%
20%
25%
30%
The Next Step…
Partnering with Hospitals