RELEASING TIME TO CARE TEAMS CALL JULY 23, 2014
Today’s Agenda 1) Roundtable – team updates/discussion • Where are you at? • 1 or 2 things you have done to engage other staff and physicians • An idea you have heard about that you are going to try 2) CLWK.ca – update on resources available 3) Activity Follows 4) Questions
What is an Activity Follow? • It is a one hour detailed recording of activities a member of the nursing staff undertakes • It captures the task at hand and the location where it is performed • These pieces of information are recorded every minute during the hour
Why do an Activity Follow? To be able to understand what: • Activities are being undertaken by the staff on the unit • Find out how much time staff are spending on direct patient care Don’t forget the 10-point checklist • Where these activities are taking place • To find out what may be impinging on these activities, i.e. interruptions, etc.
Tools required to do an Activity Follow • A3 clipboard • watch with second hand or digital display • pedometer • pencil with eraser • activity follow sheet (A3)
Tips for doing an Activity Follow • Observer is a member of the unit staff • Choose a staff member who is representative of the unit team • Ask their permission to follow them • Communicate to the team and patients that you are doing a follow for “xxx” hours • Communicate that this is not judgemental but will help inform what needs to be improved • Review the definitions and modify as needed • Practice
• At the top of the first minute, the staff member was collecting a cart from the hallway in order to carry out a procedure
• At the top of the second minute, the staff member is looking in the supplies area for the supplies missing from the cart.
• Auto-calculates direct care time • Tallies and categorizes interruptions
Baseline 50% 40% 30% 25% 22% 20% 17% 14% 10% 10% 5% 3% 2% 2% 0% Motion Administration Handovers Medicine Discussion Staff Hygiene Patient Flow Other Direct Care Management
After WOW, PSAG, Shift Handovers... 50% 44% 40% 30% 20% 17% 11% 10% 7% 6% 5% 5% 4% 0% 0% Motion Administration Handovers Medicine Discussion Staff Hygiene Patient Flow Other Direct Care Management
Direct care time 1. Activity Follow 2. Activity Follow 3. Create charts analysis results entered to display carried out into Totaliser or direct care time Analyzer trend over time
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