The hospital has its share of weaknesses as well. Cindy complains that one area that she sees a great weakness in, is identifying the top priority needs initiatives and ensuring that they are a focus for resolution. Often times the top priority needs of the community are not something that the hospital alone can tackle. It takes strong community partnerships to assess the situation, define a solutions approach, and set sustainable goals for resolution. IUHBH introduces evidence-based practice into our care delivery by utilizing a team of Advanced Practice Nurses to conduct research projects and develop bundles for care for fall
9 ESSENTIALS OF ADVANCED NURSING PRACTICE prevention, pressure ulcers, pain management, bloodstream infection prevention, catheter associated urinary tract infection management, and many more initiatives including National Patient Safety Goals. National Patient Safety Goals are reviewed annually for quality improvement. National Patient Safety Goals are posted on all nursing units, discussed in all unit meetings and at monthly nursing shared governance meetings where they can identify any gaps that may exist and put action plans in place to mitigate. As the CNO, Cindy facilitates the, Nursing Shared Governance Council. This council is constantly identifying ways for quality improvement. They have a collaborative meeting to start, then breakout sessions to tackle each of the national patient safety goals, having a team for each goal. Each team has a clinical educator and a clinical nurse specialist to help lead the discussions towards quality improvements. A6. Recommendation for Organizational Change It is recommended that IUHBH partner with Indiana Substance Abuse and Mental Health Services Administration to integrate the screening tool, SBIRT into the routine standard care of all patients they encounter. SBIRT stands for; S-Screening, BI-Brief Intervention, RT-Referral to Treatment. This screening tool can be utilized on every patient at intake regardless of the reason for admission or seeking urgent care. The screening tool will have to be completed prior to discharging a patient from IUHBH. According to The US Department of Health and Human Services (2015), The SBIRT tool is an evidenced based practice that is used to help identify, reduce, and prevent abuse of alcohol and
10 ESSENTIALS OF ADVANCED NURSING PRACTICE illicit drugs. The screening tool is quick and easy, with a few questions a healthcare professional can identify the need to further assess an individual that may require a referral for treatment. This tool is patient centered, and equivalates to the best care for the patient. A6A. Rationale for Recommended Change The data from the latest community needs assessment identified the top priority community need as substance abuse. The implementation of the SBIRT tool directly addresses the need that is identified as one of IUHBH’s weaknesses. Addressing this weakness of
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- Spring '18
- Nursing, Health care provider, Cindy Herrington