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ICU Made 4 U: Critical Care Education for Novice Nurses
Brooke Blair, Taylor Soltis, Jessica Schmidt, and Jennifer Rice
Background: The novel Coronavirus 2019 (COVID 19) pandemic had a large impact on education in the healthcare setting. At Henry Ford Jackson Hospital (HFJH), due to staffing constraints and emergent clinical needs, nurses hired during the COVID 19 pandemic did not complete standard critical care orientation after March 2020. During yearly learning needs assessments, nurses identified opportunities for enhanced education regarding the management of critically ill patients. Staff Development... Read More
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From “Drip & Ship” to “Give & Go”: Transitioning from Alteplase to Tenecteplase for Acute Ischemic Stroke
Lisa Cohen and Megan Brady
Introduction: Stroke is the leading cause of disability among adults and fifth leading cause of death in the United States The goals of treatment include reducing neurologic injury in order to reduce mortality and long term disability Ischemic stroke patients presenting within 24 hours of symptom onset should be evaluated for pharmacologic and mechanical reperfusion therapy Pharmacologic treatment options identified in the current guidelines recommend intravenous alteplase if a... Read More
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The Impact of an Oral Hygiene Bundle on Hospital Acquired Pneumonias
Catherine A. Draus, Kristina Boudreau, Lisa Cohen, Jennifer Dejans, Rachel Eklund, Kelsey Hebel, Pam Johnson, Jennifer Michalski, Princetta Morales, Hannah M. Musgrove, and Anastasia Vasilevski
Background: Hospital acquired infections (HAIs) have a significant impact on patient outcomes with hospital acquired pneumonias (HAPs) accounting for a large part of the cost and care burden. At Henry Ford Hospital, the HAP rate over the last 3 years has increased from 1181 (June 2020) to 1869 (June 2021) to 1078 (June 2022), in large part due to the COVID 19 pandemic. Review of the literature shows that... Read More
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Orthopedic Back to Basics: Improving Total Joint Replacement Metrics in a Specialized Patient Population
Danielle Elswick, Melissa DeFord, and Jennifer Morse
Aim: Neurovascular checks following total hip and knee arthroplasty is a Joint Commission standard for all certified programs. Accurate and timely completion of these checks can be difficult in the Michigan Department of Corrections (MDOC) population. This is mainly due to the logistics of the unit and lower volume of cases compared to the non-MDOC population. The main goal of this quality improvement project was to increase completion compliance... Read More
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Trauma Talks: Implementation of Microlearning on a Medical Surgical Unit
Jennifer Michalski and Meghan Smith
Introduction: Healthcare is dynamic. Nurses, like other healthcare professionals, need to stay up to date on evidence based care and healthcare system changes.
Education must meet:
• Varied learner types
• Generational learner differences
• Be engaging to the learner
• Meet known learner needs/educational gap
• Convenient during a 12 hour shift
• Microlearning, also known as, Just-in-time learning, has gradually integrating into healthcare education delivery with increased... Read More
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The Impact of Participation in a Virtual Journal Club on Nursing Research Knowledge
Princetta Morales and Anastasia Vasilevski
Introduction: Nursing participation in hospital and unit based projects in the surgical intensive care unit (SICU) related to professional development or quality improvement has been minimal. Research indicates that nursing participation in a journal club increases critical thinking, improves problem solving, promotes engagement in professional discussion, and provides tools to apply current research knowledge to patient care leading to improved patient outcomes. As a result, the Virtual Nursing Journal... Read More
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Improving Early Detection of C. difficile Infections
Hannah M. Musgrove, Princetta Morales, and Abigail Ruby
Background: Patients with C. difficile will have liquid, loose, mucous like, or non formed stools. These infections can occur in both the inpatient and community settings and can range from diarrhea to life threatening illness. C. difficile positive stool samples collected within the first three calendar days of hospital admission is considered community acquired. Positive stool samples for C. difficile calendar day 4 or greater are considered hospital acquired.... Read More
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Using Interprofessional Collaboration to Reduce CLABSI Rates in an Intensive Care Setting
Hannah M. Musgrove, Abigail Ruby, and Arielle H. Gupta
Background: Central line associated bloodstream infections (CLABSI) are preventable hospital-acquired infections associated with increased morbidity and mortality, and cost. CLABSIs are the most expensive healthcare associated infection (HAI) with a cost upwards of $90,000 per infection. This cost does not account for increased length of stay or future readmissions. The criteria used to define CLABSIs in an acute care setting is based on the Centers for Disease Control and... Read More
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Decreasing Medical Device Related Tracheostomy Pressure Injuries with Hydroconductive Dressings
Jennifer Rice, Randi D. Ruder, Shannon Johns, Hannah Gonzalez, Danielle Elswick, and Jessica Schmidt
Aim: Medical device related pressure injuries (MDRPIs) are pressure injuries that result from prolonged exposure to a compressive force, tension, shear, or combination of all from a health care associated medical device. MDRPIs are negative hospital acquired patient outcomes that are costly to an organization. At Henry Ford Jackson Hospital (HFJH) there was an increase noted in MDRPIs from new tracheostomies in 2022:
Quarter 1 2022: Two tracheostomy... Read More
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Recharge Rooms: An Innovative Concept to Support Staff Well-Being
Madelyn L. Torakis and Gwen Gnam
Introduction: Henry Ford Hospital partnered with Studio Elsewhere, a minority and women-owned design and technology studio from New York, that uses evidence-based and data-driven practices in developing virtual and physical interventions to promote brain health. These spaces, known as Recharge Rooms, are developed based on the theory that natural environments support health and resilience by reducing stress and anxiety and provide for better overall mental health. As a result,... Read More
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