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Clinical Practice Council

Clinical Practice Council. Increasing Quality Nursing Time at the Bedside Results of August 2011 Assessment. The Tool. “Direct Care”. 33.3% of Med/ Surg Nurses’ Time was spent in Direct Care. Bedside Procedure Vitals Wound/Skin Care Incontinence ADLs Administering Meds Assessment

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Clinical Practice Council

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  1. Clinical Practice Council Increasing Quality Nursing Time at the Bedside Results of August 2011 Assessment

  2. The Tool

  3. “Direct Care” • 33.3% of Med/Surg Nurses’ Time was spent in Direct Care • Bedside Procedure • Vitals • Wound/Skin Care • Incontinence • ADLs • Administering Meds • Assessment • Emergency • Teaching (in pt room) • Care Rounds • Delivering Ice/Food/Beverage • Escorting Patient off Unit Time in Direct Care

  4. “Waste” • 6.2% of time is wasted on system delays, or searching for things • Waiting Delays • Looking for Equipment • Looking for Supplies • Looking for Info • Looking for Person • Retrieving Supplies • Retrieving Equipment % Waste

  5. Documentation: • All documentation activities • Computer data entry • Monitoring/Assessment: • Vital Signs • Assessment • Monitor Patient • Med Activity: • Administer Meds • Med Activity • Personal Care: • Incontinence • ADLs • Delivering Food • Ice/Beverage • Care Coordination: • Communication w/ Care Team • Report • Care Conference • Paging Caregiver • Calling Ancillary Dept. • Care Rounds Team Doc • Hunting/Gathering: • Look for Supplies • Look for Equipment • Look for Person • Look for Information • Retrieve Supplies • Deliver Supplies • Other: • Miscellaneous activities such as hand hygiene, relieving 1:1, downtime Primary Activity Domains

  6. What opportunities do you see? What categories should be priority? • Which items add value to the patient’s care? • Which items do not add value to the patient’s care? • Over which items do we have high control? Moderate control? Influence only? No influence? What does the data tell us? (diagnosis)

  7. Any “aha’s” or surprises? • How good do we want to be, by when? • We will increase the % of time spent in _____ care from 33.6% to X% by (date) • How will we get there? Where do we want to be?

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