use of a timed observation tool to study interruptions during nurses’ medication administration
DESCRIPTION
Use of a timed observation tool to study interruptions during nurses’ medication administration. Amy McLaughlin, BSN, RN, PCCN Heather Cable, RN Rutland Regional Medical Center. I’m passing meds… have some respect!!. Who We Are…. - PowerPoint PPT PresentationTRANSCRIPT
Amy McLaughlin, BSN, RN, PCCNHeather Cable, RN
Rutland Regional Medical Center
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We work together on the Progressive Care Unit at Rutland Regional Medical Center (RRMC) in Rutland, Vermont. Our patient population is varied and consists
of Cardiac, Pulmonary, and high-acuity patients who do not require Intensive Care.
Our Unit’s Culture supports staff participation in various committees focused on patient safety and satisfaction. The fast-paced environment, combined with high
patient turnover and acuity, reinforces the need for Nurse-led interventions aimed at improving patient care and outcomes.
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Our first step was a review of PCU medication administration data.
An informal Research Question was the result…
A Literature Review then followed… …which helped guide us to our formal
Research Question…
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One-Page Tool
Real Time Second to second
Easy to Navigate
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First draft was an excel spreadsheet tool…
Busy
Smallest time increment in minutes
…back to the “drawing board”…
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Combined everything we needed:
One, attractive, easy-to-read page
Time-Stamped (Second-to-Second)
Easy to Individualize
“One Click is All You Need”!!
…And Here’s How It Looks…
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7/9/2011 7/9/2011 7/9/2011 7/9/2011 7/9/2011 7/9/2011 7/9/2011 7/9/2011
7:28:02 AM 7:32:27 AM 7:32:50 AM 7:34:33 AM 7:34:58 AM 7:36:05 AM 7:36:28 AM 7:36:50 AM
TASKS TRUE TRUE TRUE TRUE
PHYSICIAN
NURSE
PATIENT TRUE TRUE 0:00:23 0:00:23
OTHER CLINICAL PROFESSIONAL TRUE 0:00:25
FAMILY
PHARMACY/ OMNICELL
COMPUTER
TELEPHONE
OTHER
LNA
CASE MANAGER RN
SCANNER
MED ADMIN PROCESS TRUE 0:08:48
Over a period of one week in July, 2011, medication passes were observed on PCU from 7am to 11am.
A total of 67 passes were captured during Phase I of the Observation Process, using our tool.
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Implementation of Nurse-led Intervention
Medication Room Etiquette“Respecting the Process”
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How Will It Look?
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Staff PledgeI pledge to follow proper medication administration practices
to ensure the safety of my patients, myself , and my fellow health care professionals.
How Did We Get How Did We Get Support?Support?
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Will our Data support that our Intervention led to decreased interruptions?
Will our Intervention need an adjustment? Might we go Hospital-Wide? Might we Publish? Perhaps other facilities will be able to use our
Tool!22
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