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ANA and SPHM Is this a safe work environment? A Decade and Counting - PDF document

Sep 07, 2022 •107 likes •185 views

12/21/2017 Ruth Francis, MPH, MCHES Dee Kumpar, MBA, BSN, RN, CSPHP Jennifer Berry, MSN, RN, CNRN Renee Neidhardt, MSN, RN BC Rhonda Turner, MSN, RN, CSPHA Seun Ross DNP, MSN, CRNP F, NP C, NEA BC ANAs 360 Degrees View of Safe

  1. 12/21/2017 Ruth Francis, MPH, MCHES Dee Kumpar, MBA, BSN, RN, CSPHP Jennifer Berry, MSN, RN, CNRN Renee Neidhardt, MSN, RN ‐ BC Rhonda Turner, MSN, RN, CSPHA Seun Ross DNP, MSN, CRNP ‐ F, NP ‐ C, NEA ‐ BC ANA’s 360 Degrees View of Safe Patient Handling & Mobility /Falls Session C508 ‐ Thursday, March 22, 2018: 1:15 PM ‐ 2:15 PM Panel Presentation Disclosures Panel Objectives Dee Kumpar is a Clinical Consultant for Hill ‐ Rom. • Elucidate the use of the ANA National Standards to establish a culture of safety and create a sustainable program. The other presenters for this presentation have disclosed no conflict of interest related to this topic. • Describe the role of SPHM in both Early Mobility and Falls Prevention programs for the patient; ad Healthcare worker injury prevention for the clinician. • Demonstrate the tools utilized to develop and sustain a successful SPHM/Falls Program ANA and SPHM Is this a safe work environment? A Decade and Counting Ruth Francis, MPH, MCHES 1

  2. 12/21/2017 Is it safe at your workplace? ANA’s Involvement With SPHM For more information… SPHM Interprofessional National Standards The Research Supporting References • American Nurses Association. (2013) Safe Patient Handling and Mobility Mobility Interprofessional National Standards. Dee Kumpar, MBA, BSN, RN, CSPHP • American Nurses Association. (2011). 2011 Health & Safety Survey Report. LCWA Research Group. • Department of Labor, Bureau of Labor Statistics. (2011). Nonfatal Occupational Injuries and Illnesses Requiring Days Away from Work 2

  3. 12/21/2017 Patient: Potential Complications of Immobility Patient Benefits from Early Mobility Respiratory : VAP associated with Neurological : delirium, 10 ‐ 11 days more in ICU. Respiratory depression, anxiety, tract infections, atelectasis, and forgetfulness, and confusion 1 pulmonary embolism. 1 Musculoskeletal : Strength loss of Cardiovascular : postural 50% in first 3 ‐ 4 weeks take about hypotension, cardiac muscle 4 weeks to recover. osteoporosis, atrophy, orthostatic intolerance, and muscle atrophy and weakness, deep vein thrombosis 1 and contractures. 3 Hematologic : anemia 1 Renal : calculi 2 Skin : $43k average cost of care for Gastrointestinal : constipation and stage III/IV pressure ulcers in acute fecal impaction 2 care and additional 4 days in LOS. 3 1. Knight J, et al. Nurs Times . 2009;105(21):16 ‐ 20. 2. Knight J, et al. Nurs Times . 2009;105(22):24 ‐ 27. 3. Nigam Y, et al. Nurs Times . 2009;105(23):18 ‐ 22. Titsworth WL, et al. J Neurosurg . 2012;116:1379–1388.Winkelman C, et al. Intensive Crit Care Nurs . 2012;1 ‐ 12. Balas M, et al. Crit Care Med . 2012;40:12. Data on File. 199711; Page 4. Focus on Fall Prevention Advancing Mobility to Improve Outcomes • Increased length of stay. • Most frequently reported adverse • 21% more likely to be readmitted to the hospital within 30 days of incident in adult inpatient units. discharge. • 700K – 1M patients fall per year. • 2.7 times more likely to be discharged to post ‐ acute care. • Caregiver injury • 30% to 50% of hospital patient falls result in physical injury. • 4% to 6% result in serious injury. • 11,000 fatal falls in hospitals/ year. Currie LM. Agency for Healthcare Research and Quality; 2008. Hitcho EB, et al. J Gen Intern Med. 2004;19(7): 32 ‐ 739. Ganz DA, et al. Agency for Healthcare Research and Quality; Wong CA, et al. The Joint Commission Journal on Quality and Patient Safety. 2011;37(2):81 ‐ 87. January 2013. Centers for Medicare and Medicaid Services. September 2012. Oliver D, et al. Clin Geriatr Med. 2010;26(4):645 ‐ 92. Pompeii LA, et al. Am J Ind Med. 2009;52(7):571 ‐ 8 Protecting Patients by Mobilizing Earlier and Often Preventing Falls in the Epilepsy Monitoring Unit Jennifer Berry, MSN, RN, CNRN 3

  4. 12/21/2017 Epilepsy Monitoring Unit Preventing Falls • 6 Bed Monitored Unit • It is not a case of if but when the patient has a seizure • Part of 36 bed neuroscience/ORL unit • Just as likely to happen out of bed • Fall risk characteristics of EMU patient differ from • Options: standard inpatient • Keep the patient in bed • Younger • Allow to ambulate freely • More alert • Ambulate within arms reach • Falls occur within 3 days of admission • Ambulate with a gait belt • Something else? • In the bathroom Using Technology Why is this different? • Started using mobile lift with safety vest to • It doesn’t just ambulate patients in the hallway reduce the risk of • Not practical in the confines of a patient fall and/or injury room • Installation of ceiling lifts offered a new • It prevents the fall option from happening • Tracks that extended into the bathroom Safe Patient Handling & Mobility References Programs in Action! • Pati, S., Kumaraswamy, V. M., Deep, A., Chung, S., Plueger, M., Kiyota, G., & Treiman, D. M. (2013). Characteristics of falls in the epilepsy monitoring unit: A Renee Neidhardt, MSN, RN ‐ BC retrospective study. Epilepsy & Behavior, 29(2013), 1 ‐ 3. doi:http://dx.doi.org/10.1016/j.yebeh.2013.06.013 • Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B., Gerke, J. K., Hoerth, M., . . . Noe, K. H. (2015). Fall prevention and bathroom safety in the epilepsy monitoring unit. Epilepsy & Behavior, 48(2015), 75 ‐ 78. doi:http://dx.doi.org/10.1016/j.yebeh.2015.05.026 4

  5. 12/21/2017 VHA SPHM Program Process SPHM History SPHM Implementation & Ongoing Collaboration is Key! • 2008 – Veterans Health Administration (VHA) Safe Patient Program Success Handling & Movement Program ‐ Department of Veterans Affairs (VA) • VHA Directive 2010 ‐ 032, Safe Patient Handling Program and Facility Design • 2013 ‐ American Nurses Association, Safe Patient Handling & Mobility: Interprofessional National Standards • 2016 – VHA, Center for Engineering & Occupational Safety and Health (CEOSH), Safe Patient Handling and Mobility Guidebook. Implementing the ANA, SPHM: Interprofessional National Standards Charlie Norwood VA Medical Center SPHM Program Success Putting ANA’s Safe Patient Handling and Mobility Standards into practice: The Charlie Norwood VA Medical Center’s journey. American Nurses Association, American Nurse Today (9)8. In 2018 the CNVAMC SPHM Program continues to show a decrease in reported incidents rates related to lifting and repositioning! *Automated Safety Incident Surveillance Tracking System Benefits of SPHM Programs References American Nurses Association, (ANA). (2014). Navigating the new safe patient handling and m obility inteprofessional Crea ting a national standards webinar –CE:1. Retrieved from http:/ / eventcenter.commpartners.com/ se/ Meetings/ Playback.aspx?meeting.id=218810. Culture of American Nurses Association, (ANA). (2013). Safe patient handling and m obility: Interprofessional national standards. Across the care continuum . Silver Spring, MD: Nursesbooks.org. Sa fety Gallagher, S. (2013). Im plem entation Guide to the Safe patient handling and m obility: Interprofessional national standards. Silver Spring, MD: Nursesbooks.org. ha s its Neidhardt, R. (2014). Putting ANA’s Safe Patient Handling and Mobility Standards into practice: The Charlie Norwood VA Medical Center’s journey. American Nurses Association, Am erican Nurse Today (9) 8. Benefits!!! Veterans Health Administration, (VHA), Department of Veterans Affairs, (VA). (2010). Safe Patient Handling Program and Facility Design. VHA Directive 2010-032. Retrieved from https:/ / w w w .va.gov/ vhapublications/ View Publication.asp?pub_ID=2260 5

  6. 12/21/2017 SPHM & Fall Prevention Journey Igniting SPHM from Facility to System to Community 2013 2012 2015 Began reigniting Rhonda Turner, MSN, RN, CSPHA facility SPHM Team 2016 October – Asked to Lead Western Region and 2016 Co-Lead BH System Team Begin where you are. Lead with purpose. Go with energy. ~Tiffany Hettinger, 2017 NCMC CNO ~ VA SPHM Conference 2017 Quality and Innovation with SPHM and Fall Prevention • Pre ‐ fall Huddle – Proactive peer collaboration to decrease patient falls An effective SPHM program requires a complex interplay among • Floor Rescue Algorithm –Supporting BH Policy 13204.2, a number of disciplines and departments. The goal of the everyone has a role with floor retrieval utilizing SPHM program is to create a partnership between employers and Technology healthcare workers that implements and supports safety goals. • SPHM Hand –On Class ‐ Designed 1.5 hour class, trialed Gallagher, 2013, p. 26 in NOCO – approved by BH System Nursing Executive Council 8/3/2017 • System Mandatory Education – yearly education regarding SPHM and Fall Prevention • Post Fall Huddle Process – Developed tool working with “Live in the land of implementation” system Fall team to guide staff in the event of a fall ~Gail Powell ‐ Cope~ WHAT ARE WE UP AGAINST? Seun Ross DNP, MSN, CRNP ‐ F, NP ‐ C, NEA ‐ BC 6

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