his time with his family on the lake while the facility needs him to five days a week all year round because of the patient volume. Another weakness she sees is the communications the staff have with families in that she feels because of our growing volumes and our small facility that our nurses feel rushed. She states that she feels that sometimes our patients are not getting the education that they need due to the nurses and providers feeling rushed. "We have patients that are not used to having long wait times and because of this they tend to take that out on the nurses and providers, which causes them to rush people through their visits." Sandy emphasizes this is something that causes a dominoes effect because when we feel rushed we tend to not get to the root cause of the problem which in turn causes the patient to not get proper care and education which in turn causes patients to revisit our emergency rooms and possibly have readmissions for the same problems which causes our facility to lose money.
10 C157 Essentials of Advanced Nursing Practice Field Experience Sandy explains that evidence-based practice activities at GICH are focused on improving patient safety. The vision of GICH is to provide patient centered care with the help of exceptionally competent professionals who work collaboratively using clinical evidence-based practice standards. This has resulted in consistently high patient experience scores and our synergentic team of physicians, nurses, volunteers, and support staff who are all committed to the patient and family-centered model of care. GICH has committees that focus on fall prevention, sepsis prevention, Catheter-Associated Urinary tract infections (CAUTI), and most recently the COVID-19 committee, along with many other committees to address patient safety and how to make it better. These committees are made up of multidisciplinary teams consisting of nurses, educators, physicians, clinicians, and support staff who meet monthly to discuss ways of improving patient satisfaction and patient quality. The multidisciplinary teams follow evidence- based practices and process improvement techniques in efforts to enhance the patient’s quality of care. Quality improvement is the main focus for the leadership team at GICH with many quality improvement projects currently taking place. Senior leadership along with the quality improvement department, educational department, and nurse leaders are consistently working together to develop solutions to improve the quality of care for our patients. One quality improvement project currently taking place at GICH is daily engagement boards. These are whiteboards which each department leader has hanging on their wall. The board is broken up into sections labeled goals, things to do, and things completed. Sandy states that each leader can design their board to best match their needs but also need to reflect different aspects in which the other leaders can help them. She states that once a week the leadership group goes to each other
11 C157 Essentials of Advanced Nursing Practice Field Experience
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- Fall '18
- Nursing, GICH