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Lutheran Senior Services

Lutheran Senior Services. Why we choose Interact II Tools. Where we started…. Data poor Health Care Reform Growth of short stay rehab program Move to Evidence Based Practice. Tools We Are Using. Resident Transfer Form Change in condition cards Care Maps SBAR. T R A N S F E R E

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Lutheran Senior Services

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  1. Lutheran Senior Services Why we choose Interact II Tools

  2. Where we started… • Data poor • Health Care Reform • Growth of short stay rehab program • Move to Evidence Based Practice

  3. Tools We Are Using • Resident Transfer Form • Change in condition cards • Care Maps • SBAR

  4. T R A N S F E R E N V E L O P E

  5. Change in Condition Cards

  6. C A R E M A P S

  7. Define a Process Clinical Guidelines for Management of LRI • Assessment / Observation standards • Review Broncho-pulmonary assessment in Optimus • Define guidelines for staff • Communication • Build Profile order set “Management of URI” • Nursing orders • Assess Bronchopulmonary status BID and prn • Provide additional fluids • Encourage coughing and deep breathing • Encourage mobility • Monitor VS and O2 Sat BID and prn • Physician orders • IV fluids • Antibiotic therapy • Oxygen therapy • Nebulizer treatments • Portable CXR • CBC • BMP

  8. Process (cont.) • CARE PATH: Symptoms of Lower Respiratory Infection (INTERACTII) • SBAR Communication as a guide to communication with physician • Education • Develop powerpoint education tool covering the steps defines in Assessment and Communication • Skills training • Completing a respiratory assessment • Equipment: Lung sound recordings, Double ear stethoscope • Understanding the findings of the assessment • Monitoring • Track hospitalizations and review using Quality Improvement Tool (INTERACTII) • Report quarterly and include in quality Dashboard

  9. Staff Education

  10. Assessing Lung Sounds • http://www.easyauscultation.com/lung-sounds.aspx • http://www.wilkes.med.ucla.edu/lungintro.htm • http://www.cvmbs.colostate.edu/clinsci/callan/breath_sounds.htm • http://faculty.etsu.edu/arnall/www/public_html/heartlung/breathsounds/contents.html

  11. Challenges and Successes

  12. Data Findings Re-Hospitalization Rates

  13. The Next Step… Partnering with Hospitals

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