Successful Discharge Care

Amanda Thompson, RN BN Safer Healthcare Now!

Coordinator

Our Story

• Population served approx. 5,000 primarily, elderly clients

• 96% of admissions through ED

• Notre Dame Bay Memorial Health Centre has 49 beds

• Providing service to Twillingate and 16 other small communities

Aim Statement

• To decrease our mortality rate by 20% by implementing all 6 elements over the next 6 weeks

• Very ambitious goal• Very ambitious team

Aim Statement

• We wanted to have perfect discharge care

• Having all the components • Road to recovery

• SHN Coordinator• ER Physician• Nurse Manager• Floor Nurse• Education Coordinator• Pharmacy Representative

Our Team

Creating an Environment of Change

• Staff Education• Public education• Form changes• Statistics• Resources already

available

Beta Blockers on Discharge

90% 90%

0%

20%

40%

60%

80%

100%

Percentages

Beta Blocker on Discharge

% Received

Goal

ASA on Discharge

90% 90%

0%

20%

40%

60%

80%

100%

Percentages

ASA on Discharge

% Received

Goal

ACE or ARB on Discharge

60%

85%

0%

20%

40%

60%

80%

100%

Percentages

ACE on Discharge

% Received

Goal

Statin on Discharge

66.66%

90%

0%

20%

40%

60%

80%

100%

% Received Goal

Statins on Discharge

Challenges

• Smokers helpline

• Computer systems

• Documentation

• Buy in

• Education

• Changing thought process

Lessons Learned

• Change is hard• Buy in required• Education is the

key• The desire to

know

Where are we now?

0%

20%

40%

60%

80%

100%

Beta Blocker ACE or ARB ASA Statin

Discharge Medications

What’s Next

Continue to: »Monitor»Information»Compliance reports

We have changed the way we treat

AMI patients in Twillingate, and have paved the way for the rest

of the region.

Contact Information

Amanda Thompson, Safer Healthcare Now! Coordinator

Central HealthGrand Falls-Windsor, NLPhone: 709-292-2647Email: athompson@cwhc.nl.ca

Thank You!