Successful Discharge Care

1. Successful Discharge Care Amanda Thompson, RN BN Safer Healthcare Now! Coordinator

2. Our Story • Notre Dame Bay Memorial Health Centre has 49 beds • Providing service to Twillingate and 16 other small communities • Population served approx. 5,000 primarily, elderly clients • 96% of admissions through ED

3. 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

4. Aim Statement • We wanted to have perfect discharge care • Having all the components • Road to recovery

5. Our Team • SHN Coordinator • ER Physician • Nurse Manager • Floor Nurse • Education Coordinator • Pharmacy Representative

7. Creating an Environment of Change • Staff Education • Public education • Form changes • Statistics • Resources already available

8. Beta Blockers on Discharge

9. ASA on Discharge

10. ACE or ARB on Discharge

11. Statin on Discharge

12. Challenges • Smokers helpline • Computer systems • Documentation • Buy in • Education • Changing thought process

13. Lessons Learned • Change is hard • Buy in required • Education is the key • The desire to know

14. Where are we now?

15. What’s Next Continue to: • Monitor • Information • Compliance reports

16. We have changed the way we treat AMI patients in Twillingate, and have paved the way for the rest of the region.

17. Contact Information Amanda Thompson, Safer Healthcare Now! Coordinator Central Health Grand Falls-Windsor, NL Phone: 709-292-2647 Email: athompson@cwhc.nl.ca

18. Thank You!