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The Beginning Landscape
County-Run Level I Trauma Center, Lion’s Burn Center, Transplant Center, and Teaching Hospital with the largest free-standing trauma center west of the Mississippi26 Operating Suites and Procedure Rooms
1500+ cases per month (24/7, 365) Approximately 210 full-time employees
Affiliation with Univ. School of Med. So. NVFour-state catchment, includes: SW Utah; NW Arizona;
parts of Southern California; and Nevada Las Vegas: Major transient and tourist population
Recent EHR implementation
Presentation Objectives
Structural SupportTeam selectionLeadership SupportExpert Champions
Developing and growing SUSP conceptsStaff engagement
Enacting changeLessons Learned
Structural SupportTeam SelectionIdentify Team Requirements
Members: Strengths Technical Knowledge Personality Characteristics
Member Availability: Heavy OR days / times
Leadership Foster support at all levels of leadership
Procure Expert Champions Physicians, ancillary department heads, etc.
Develop educational opportunities relevant to employee populationEducation Day(s)
Identify windows of opportunityWeekend In-ServicesContest(s) with incentive(s)Partner with professional organization(s)
Offer CEU’s
Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN!
Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN!
Staff Education Day12 Education stations
Science of Safety Video Staff Safety Assessment Survey Numerous other educational opportunities
Staff volunteered for presentations at stations Employee-driven subject matter
Certificates of Appreciation awarded
Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN!
Tidbit Trivia ContestTidbits of SUSP information emailed weeklyMonthly “Trivia Contest” about emailed tidbits
Score 100% to be entered in drawing Entrant name placed in drawing for $25 gift card Winners drawn at monthly staff meeting
Handouts with trivia questions and answers available at staff meeting
Partnered with local AORN ChapterEncouraged educational awarenessOffered free CEUs
Patient Positioning Safety Normothermia Sterile Technique
Growing SUSP ConceptsStaff Engagement - Learning Can Be FUN!
Staff Engagement OutcomesLearning Can Be FUN!
Education Day Reinforced team concepts and boosted morale Employee enthusiasm and participation
Tidbit Trivia Apathetic response
Decreased quantity of trivia and question complexity Posted hard copies of trivia and questions
Cancelled due to lack of participation Workstation access?
AORN Partnership / Educational Seminar Employee enthusiasm and participation
Weekend In-Services Employee enthusiasm and participation
Nurturing New Growth Adding Nutrients
Utilize Staff Safety Assessment Survey Results Act on issues identified by staff
Share evidence-based SUSP informationKnowledge improves acceptance
Develop Cheerleaders!Garner employee support to promote SUSP concepts
Watching It Grow!Added physician championsIncorporated new WHO timeout guidelinesIncorporated Central Line Bundles in ORImproved Hand-off Communication
Beta BlockerIsolation
Moved clipping from OR to Pre-OpImproved patient education Easier access to hand sanitizersIntegrated charge RN meetingsImplemented PUP in pre-op holding
Watching It Grow!Senior leadership empowers RN’s as patient
advocate
Distribution of SUSP ConceptsSurgery ResidentsMonthly Meetings
Surgery Committee Meeting CAUTI Meetings
Weeding Out The UnwantedHasty departures from pre-op holding
Poor communication habitsPPE excursions outside the ORPoor hand hygieneKnowledge deficits“Silo” mentalityOperative positioning tissue injuries
What Have We Learned?SUSP Project
Success = Dedication! Initial enthusiasm begins to wane in 2nd year Need revitalizing booster shot
Not everything works as planned i.e. Tidbit Trivia
Surgical Site Infections (SSIs)↑ Rate of CABG SSIs after EHR implementation
Suspect: WOW usage / Inadequate hygieneImproved knowledge [may not] translate to practice (SSI’s can ↑)
Expect Resistance - Old habits die hard !
UMC’s Future Landscape
Sprouted new initiatives!SUSP “Tidbits” Repurposed
Infection Control Committee Meetings
Skin Council Meeting Articles in
WOW pop-up hygiene reminders
More To Come….Posters promoting xxx days
without an SSIPosters promoting xxx
procedures without an SSIService Line Incentive
Competition