Whiteboards: Improving communication between nursing & ancillary staff
About the Research 0 Patient whiteboards serve as a communication tool for patients, families, and the healthcare team. Whiteboards promote patient care and teamwork. Nurses surveyed feel whiteboards promote patient advocacy. 0 Missed nursing care is contributed to dysfunctional teamwork. Both NAs and RNs feel there is a major breakdown in communication. Suggestions to improve communication include a joint report each shift, debriefings, and use of communication boards. 0 Whiteboards can significantly improve patient satisfaction scores
Whiteboards What ’ s new? 0 Whiteboards are not new, however they are not being utilized to their full advantage We would like to… 0 Increase whiteboard compliance 0 Incorporate new information 0 Daily labs, O2 Saturation, D/C Plan, goal of the day, new medications, skin care, tests/procedures, specimens, etc. 0 Involve ancillary staff; PT/OT, physicians, speech therapists, case managers, social work 0 Tailor whiteboards specifically to each patient
Whiteboards as a communication tool 0 Serve as a quick reference for the interdisciplinary team 0 Promotes teamwork 0 Aids in decreasing missed nursing care 0 Involves patients and families in care 0 Improves patient and family satisfaction
Whiteboards Project Interventions 0 Baseline compliance audits 0 Review of patient satisfaction scores 0 Patient and staff surveys 0 Education 0 Compliance audit after education 0 Reinforcement of education 0 Compliance audit for sustainability 0 Follow-up survey 0 Review of patient satisfaction scores
Whiteboards How is 5B doing?
Whiteboards Feedback 0 Patients say the most important information to know is… 0 Nurse/NA on shift 0 Doctor rounding 0 When pain medication is due 0 Anticipated D/C date 0 Tests/procedures 0 Physicians are requesting we include information such as daily INRs, pulse ox readings and other patient specific information 0 The diabetic educator complimented our floor for utilizing the whiteboard to communicate blood glucose readings, this involves the patients and families with care 0 Resource nursing assistants are picking up on this and are implementing on other floors!
Feedback Continued 0 Nurses feel the most important information to include 0 Fall scores 0 Specimens that need collected 0 Pain medications 0 Diet 0 Glucose readings 0 Tests/procedures 0 PT recommendations
Whiteboards & Patient Satisfaction 0 Information relevant to the whiteboards 0 Pain is well controlled 0 Nurses explain things in a way you understand 0 Attention to special/personal needs 0 Nurses kept you informed
Patient Satisfaction continued
Whiteboards Noted Barriers 0 Using abbreviations such as CHH for a diet (cardiac heart healthy) or OOB (out of bed) 0 Updating whiteboard and erasing old information 0 Writing too much information or patient sensitive information (patient having diarrhea) 0 Discussing information written on the whiteboard with the patient 0 Incorporating new information such as daily INRs
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