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Why

Nurse Led Rounds Jennifer Oakley (CNM Comprehensive Stroke unit) Raewyn Hohua (Clinical Nurse Specialist/stroke). Why. Value Staff Service of Excellence Wellbeing of patients and their whanau. Value of Nurse led Rounds. 1) Role modelling leadership 2) Staff development

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Why

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  1. Nurse Led RoundsJennifer Oakley (CNM Comprehensive Stroke unit) Raewyn Hohua (Clinical Nurse Specialist/stroke).

  2. Why • Value Staff • Service of Excellence • Wellbeing of patients and their whanau

  3. Value of Nurse led Rounds 1) Role modelling leadership 2) Staff development 3) Setting clinical expectations for stroke standards of care 4) An opportunity for patient and whanau input

  4. Operationalising Nurse Led Rounds • Socialise staff to the concept of the ‘why’ • Discuss how they think it should be undertaken • Discuss what is involved • Develop and socialise the proforma

  5. Proforma

  6. Analysing the Data - Skin Integrity

  7. Analysing the Data – Continence (Bladder)

  8. Analysing the Data – Continence (Bowel)

  9. Analysing the Data – Oral Care

  10. Analysing the Data – Review of Medications

  11. Analysing the Data – Stroke Parameters

  12. Analysing the Data – Stroke Outcome Measures

  13. Analysing the Data – Patient Weight

  14. Analayisng the Data – Patient Dressed in Own Clothes

  15. Analysing the Data – Shoulder Pain

  16. Analysing the Data – Others • Peripheral lines checked • NG/PEG checked • Any infection? • VTE prophylaxis • Wristband checked

  17. Analysing the Data – Patient/Family Involvement

  18. Future improvements • Acute and Rehab Stroke Patients • Review current Proforma • Practise development

  19. Summary • Nurses are valued • Strong nursing leadership • Patient centric care • Evidenced based stroke care • Reduction in complications

  20. Referances • Catangui, E., & Slark, J. (2012). Nurse-led rounds: A valuable contribution to acute stroke care. British Journal of Nursing. doi: 10.12968/bjon.2012.21.13.801 • Jennings, F., & Mitchell, M. (2017). Intensive care nurses’ perceptions of Inter Speciality Trauma Nursing Rounds to improve trauma patient care-A quality improvement project. Intensive & Critical Care Nursing. 40. pp 35-43. • Parissopoulos, S., Timmins, F. and Daly, L. (2013). Re-exploring the ritual of the ward round. doi: 10.1111/nicc.12042. • Pottle, A. (2011). The first 13 months of nurse-led ward rounds for patients post PCI in tertiary centre. British Journal of Cardiac Nursing. 6(10).

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