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1 Development of a Distance Based Long-Term Care Nurse Residency ProgramEdelman, Linda S.; Eaton, Jacqueline; Garrett, Larry C.; Carlson, Michelle; Podchinenova, Tatiana; Madden, ConnieLong term care (LTC) nursing is complex and highly regulated. Many LTC nurses (RNs) are associate degree trained with little leadership or gerontological nurse training. LTC RN burnout and turnover is high. LTC nurse residency programs (LTC NRP) for baccalaureate prepared RNs that include didactic a...
2 Implementation of Patient Reported Outcomes in a Burn Outpatient ClinicMcMurtrey, L.; Knitz, D.; Webb, C.; Barger, K.; Weeks, H.; Cochran, A.Patient Reported Outcomes (PRO) quantify symptoms, function and quality of life from a patient's perspective. Burn patients haveunique needs related to pain, itching, physical function, depression and post-traumatic stress disorder. Our clinic set out to implement an outpatient PRO assessment that w...
3 Prolonged Care of the Burn Patient in a Non-Burn Facility Following a Mass Casualty Incident: An Integrated Regional ApproachMatherly, Annette F.; Casucci, Tallie; Stratford, Chris; Ipson, Cory; Rennemyer, John; Alberts, Hendrick; Alnami, Abdulrahman; Barillo, Dave; Blayney, Carolyn; Brownson, Elisha; Buttrey, Jan; Cochran, Amalia Cochran; Chung, Kevin; Deeter, Lyndsay; Edelman, Linda S,; Eshraghi, Niknam; ; Hick, John L....Create evidence-based educational materials for prolonged care of the burn patient in a non-burn facility after a mass casualty incident.
4 How to Provide a Centralized Model of Wellness to Optimize Physician HealthWhite, S.; Zingg, R. Wilson; Fouts, D. Banner M.; Childress, S.; Walker, K.; Budhathoki, A.; Thielking, .; Howell, J.; Sample, S.; Effiong, A.; Horyna, A.; Dunson, W.; Milligan, D.; Robinson, N; Mijangos, J.; Sweetenham, J.; Beck, A; Hansen, P.The cancer hospital and outpatient clinics of Huntsman Cancer Institute (HCI) at the University of Utah take an innovative, proactive approach to create a culture of wellness supporting professional resilience. The Linda B. and Robert B. Wiggins Wellness and Integrative Health Center (Wellness Cente...
5 A Hybrid Oncology Certification Review Course: An Intervention for Increasing Certified NursesLee, Sunghee; Austria, Mary JeanHuntsman Cancer Institute (HCI) is a 100 bed NCI designated hospital that provides over 167,000 outpatient clinic visits annually. In early 2016, only 22% of nurses were oncology certified despite the available financial support for exam reimbursement and a review program conducted in a study group ...
6 Care Management: The Value of a Registered Nurse in Ambulatory Care Manager RolesNoss, TiffanyAlternative payment models, increasingly complex chronic conditions and national quality initiatives such as Patient Centered Medical Home have necessitated care management services in primary care. Care management is a relatively new specialty and minimum qualifications and professional requirement...
7 Barrier Solutions to Acute Normovolemic HemodilutionPommerenke, A.; Morrissey, C; Boi, LucaPatient blood management is "the scientific use of safe and effective medical and surgical techniques designed to conserve blood, prevent anemia, decrease bleeding, and optimize coagulation in an effort to improve patient outcomes. Acute normovolemic hemodilution can be a component of patient blood ...
8 Sleep and Healing on the Inpatient Medical Rehab Floor: A CQI Initiative Physical Medicine & Rehabilitation Dare to AchieveWagner, Graham; Waller, Laura; Christiansen, Jake; Taylor, Kasi; Derbidge, ChristinaSleep is a dynamic component of human health and well-being. Consistent with research in acutely hospitalized ill patients, our initial data collection has shown suboptimal to poor sleep in SCI patients in the IMR setting. Brainstorming with hospital staff identified milieu factors as well as patien...
9 Defining Current Practice of Iron Deficiency Screening Among High-Risk NeonatesWilles, Dallin; Schiefelbein, Julieanne; Christensen, RobertThe U of U NBICU does not use consistent screening for iron deficiency in infants who are known to be at risk. There was no consistency in the tests used or timing of the studies for SGA or IDM infants. VLBW infants were consistently screened, but not consistent with timing of tests. IDM, SGA and VL...
10 Implementation of a Healthcare Assistant and Medical Assistant Skills Development Course at Huntsman Cancer InstituteKeddington, Amanda; Gunnell, Jansi; Asay, Marie; Austria, Mary-JeanHealthcare (HCA) and medical assistants (MAs) are essential to hospitals and clinics. Despite this, they typically do not receive additional training other than an orientation to their unit. As an education group, the question was posed, how would an additional skills development course that include...
11 Improving Care Transitions in PsychiatryGodecke, Kelly; Freeman, Brenner; Ferrell, Sean; Atwood, Ned; McColgan, Brittany; Bonebrake, Katie; Fujiki, Amanda; Fulmer, BrianAt the beginning of this project in July 2016, there was no standardized procedure for handoffs, or sign-out, between the day teams and the night float resident at the University Neuropsychiatric Institute. In order to improve patient safety and meet accreditation requirements, second-year psychiatr...
12 Implementation of a Hospital Foodservice Wellness Nutrition ProgramTaylor, Anne PesekThe majority of Americans do not meet dietary recommendations. Diet is the single most significant risk factor for disability and premature death. Less nutritious items lead sales at most hospital and cafeteria food service venues. MISSION: To educate and enable individuals to make healthy food and ...
13 Moran CORE - Clinical Ophthalmology Resource for EducationLombardo, NancyThe Moran CORE website is an open-source, free multi-media ophthalmology collaboration between health sciences education resource for residents, fellows, students, and ophthalmologists worldwide.
14 Pain Management and Opioid Tapering on Acute Inpatient RehabCapizzi, Allison; Kirk, Melissa; Lee, Venessa; Golish, Mathew; Garstang, SusanPM&R Resident CQI Drug Cost Project 2016‐2017 revealed opioids were the most common class of pain medication prescribed, consisting 15% of all medications ordered at discharge. Resident physicians are the providers most closely evaluating a patients pain medication use. We now know opioids have li...
15 Effective Auditing System for Respiratory Therapist Driven ProtocolsSparkman, Cinthea; Fulcher, Earl; Kappelman, Paul; Lamb, Bret; Malinda Rush; Markewitz, BoazTherapist driven protocols have become commonplace in many hospitals. At University of Utah Health we implemented protocol driven care in April 2008 and we have demonstrated improved patient outcomes through their use.2 In order to maintain our gains we developed, and have since refined, an audit pr...
16 The Peer EBP Mentor: Incorporating and Supporting Evidence-Based PracticeTran Vo, Christina; Kotobalavu, CassidyAlthough incorporating evidence-based practice (EBP) improves patient outcomes and reduces cost, nurses do not consistently implement EBP or understand their resources. A national survey in 2012 (Melnyk, 2012) of more than 1,000 nurses suggested that resistance from nursing leaders, organizational c...
17 Non-Invasive Cardiac Output Monitoring: Creation and Utilization of a Nurse-Driven ProtocolDrury, Zachary; Fasano, Tiffany; Johnny, Jace; Smith, McCaylaCurrently a registered nurse in the Huntsman ICU can initiate NICOM PLR without a provider order. The frequency of initiation for appropriate patients is low due to perceived time limitations. Objective: to create a nurse driven protocol to utilize noninvasive hemodynamic monitoring in critically il...
18 A Compassionate Workplace Starts With YOUChildress, Sue; Banner, MelissaHuntsman Cancer Institute (HCI) is an NCI designated cancer hospital. During a three year period this organization addressed concerns related to moral distress, workload, and environment to create a more "Compassionate Workplace." Although metrics from the ProQOL V survey instrument showed a modest ...
19 Interprofessional Teams: Communication Effect on Adherence to ProtocolsSwindells, JulieInterprofessional Education Collaborative Expert Panel identified communication as 1 of 4 core competency domains for interprofessional collaborative practice. Only 7 of 13 healthcare professional associations explicitly define communication in their professional codes of practice. Joint Commission ...
20 The Effect of Scheduled Quarterly Conversations with Nurse Manager on Nursing Staff Engagement ScoresD'Ausilio, JamieNursing leadership plays a pivotal role in sustaining staff engagement through support, communication, and trust (Dempsey, 2016). Staff engagement is increased when the leader communicates with staff members on a regular basis (Manning & Reilly, 2016). Starting December 2015, IMRU leadership impleme...
21 Surviving and Thriving: Integrating a Resiliency Thread into an Oncology Nurse Residency CurriculumKotobalavu, Cassidy; Austria, Mary-JeanThe nursing shortage is an ongoing issue that is anticipated to intensify. It is predicted that by 2025, this shortage will be more than twice as large as any nurse shortage experienced since the 1960's Buerhaus et al, 2009). In addition, about 17.5% of new graduate nurses leave their first job with...
22 Anesthesia Protocol for Intraoperative Catastrophic EventsDeCou, Jennifer; Gnadinger, PhilCatastrophic events, such as an intraoperative death, code, or unexpected course of surgery can add significant stress to the job of an anesthesiologist. In the past, there has been perceived production pressure to continue on to the next scheduled case without time off, or even time to debrief or p...
23 Changing the Culture of Incivility: Exploring How Education Can Promote a Culture of Cooperation, Collaboration, and CommunicationStevens, GinaIn a 12 month period: 21% of registered nurses and nursing students report being physically assaulted and over 50% report being verbally abused (The Joint Commission, 2016). Incivility is often overlooked and considered to be "normal" or "acceptable" behavior (Christie & Jones, 2014). The American N...
24 Safe Enteral Medication Administration: Current Guidelines Versus Current Nursing PracticeDrury, Zachary; Doig, Alexa; Elofson, KathrynThe aim of this study was to evaluate the total volume of fluids given when administering enteral medications in a combined method versus and individual method while assessing the frequency of tube occlusion and observed reactions.
25 Narrow the Gap: Team Based Pre-Visit Reviews to Improve A1C in Patients with Type 2 Diabetes at a Family Medicine Residency ClinicMcAdams, Eric; Gunning, Karen; Pigott, Heidi; Shrier, Susan-Saffel; Belleville, Shirley; Brown, Ben; Petrovich, Jessica; Black, MichaelLack of Hemoglobin A1C (A1C) control in diabetes leads to increased neuropathy, nephropathy, ophthalmologic and cardiovascular disease.HEDIS measures define control for patients with Type 2 Diabetes as having an A1C less than 8%. Many factors contribute to A1C control, including ease of testing, edu...
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