Presented by: Patricia Higazi MSN, RN, COHN Yvette Conyers MSN, RN - PowerPoint PPT Presentation

Presented by: Patricia Higazi MSN, RN, COHN Yvette Conyers MSN, RN March 26, 2018

 By the end of this session you will:  Be familiar with Children’s Hospital of The King’s Daughters Safety Coach Program  Understand the program implementation process  Be able to describe benefits of a Safety Coach Program

Virginia’s only free-standing, full-service pediatric hospital, located in Norfolk, VA. We are a not-for- profit, 206 bed, teaching hospital with 5,000 admissions a year. We are home of EVMS Department of Pediatrics and the heart of a comprehensive pediatric healthcare system. We have a Level 1 Pediatric Trauma designation. 30+ 6 18 4 Pediatric Pediatric Primary Care Pediatric Subspecialty Surgical Pediatric Urgent Care Clinics Practices Practices Centers Our Service Area: Southeastern Virginia  Northeastern North Carolina  Virginia’s Eastern Shore  2 million people  460,000 children  11,500 square miles 

Safety – (patient and staff) is an Organizational Initiative We have participated in a national collaborative – Children’s Hospital Associations (CHA) - Solutions for Patient Safety (SPS) since 2013. Initially this was patient safety driven only. Error Prevention training and error prevention tools were rolled out to the entire organization in 2014 Patient Safety and Employee Safety were integrated in October 2016 SAFETY COACH PROGRAM Started by meeting with C Suite – informational briefing

SAFETY COACH PROGRAM In 2016, the organization’s COO requested that the organization implement a Safety Coach Program that would align with the SPS Safety Coach program begun at other Children’s Hospitals. Development of an implementation team A core implementation team was chosen from the Performance Improvement/Patient Safety and Occupational Health departments This team met to collaborate on educating the key leaders within the organization. A program draft was rolled out with a timeline at the VP operations meeting – which was met with unanimous approval. The core implementation team created a syllabus for training, both for the safety coaches and for their department leadership. The syllabus was created using material from other children's hospitals programs.

 The core implementation team determined that we would choose departments to be included in the program in waves o This was a learning process for all of us, including the implementation team – we learned that we needed to start slowly to ensure the best approach o Determined we would include a mixture of inpatient, outpatient, clinical, and non clinical departments for the kick off o We wanted our safety coaches to be volunteers and to have the respect of their peers and management

 2 inpatient units ▪ 1 Critical Care ▪ 1 Acute Care  1 ambulatory unit ▪ Radiology Sedation  1 ancillary department ▪ Laboratory  1 support services department ▪ Engineering

• Safety Coach Implementation Team was tasked with establishing expectations for: • Department Leadership • Safety Coaches • Safety Coach Implementation Team

Calling all leaders • Support from department leadership was our first “ask” • Please attend a training session – offer feedback about what would be even better if…. • Keep safety on all staff meeting agendas • Assure coverage for them to attend 1 hour monthly meeting • Assure your coaches are qualified and performing • Encourage and provide visible support to the coaches and their activities • Remember: coaches are not judges and will focus on feedback

Perform 3-5 observations a week - check box format + free text Give weekly feedback to management/unit leaders Consistently attend monthly safety coach meeting - at least one safety coach from each department every month Total time commitment designed to be no more than 4 hours a month

1. We will round on your department leadership point person • Provide support, obtain & provide feedback (“even better if…”) 2. We will round on Safety Coaches Provide support, obtain & provide feedback (“even better • if…”) 3. Review submitted Behavior Observation Tools and identify trends 4. We will continue to rollout the Safety Coach Program system wide

 CAP Program Points (Nursing Only)  Safety Coach Champion – Quarterly  Badge Recognition  Peer to Peer recognition- as the safety coach you are able to reward your peers for their positive behavior

o Development of a group email for Safety Coaches to easily share information and keep in contact o Developed a Safety Coach Volunteer packet which included an application and information on what they would be expected to do o Met with chosen departments at their regular monthly staff meetings to educate the front line staff on the program and generate interest from volunteers o Training provided for leadership in these departments – outlined leadership responsibilities to safety coaches o Applications rolled in for wave 1 and the classes for safety coaches were scheduled o The same was true for wave 2 ( 13 added departments)

o The survey was not accessible to those with little access or knowledge of computers o Too many classes were provided - so each class had only a few attendees o Duration of class was too long especially for clinical staff o Time commitment from the Safety Coach Implementation team was significant

 Curriculum: adapted from Solutions for Patient Safety Colleagues  Topics:  Coaching  Reinforcing  5:1 feedback  Reward recognition on units  Class length: 2 + hours - Lessons Learned

 2 -3 hour class was too long so a computer based training was developed which would cover 50% of the class information  Class time was reduced to one hour +  Provide FOOD – everyone is busy this may be their only time to eat  More scenarios for class education

 Wave 3 – Currently in roll-out process with 8 additional departments  Currently 74 trained Safety Coaches  Approximately 800 Behavior Observation Tools completed  Additional staff from previous waves are asking to train in the current wave  Staff from departments that are not in one of the first 3 waves are requesting to become Safety Coaches!

 Resident – Weight  PPE (highest overall trend across all departments)  Chemo 2 nd check on secondary tubing  Syringe Caps in cribs  Resident – Identity Badge  Floating staff  Identify education needs such as protocols for PPE for visiting residents, students

 Questions?