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School of Nursing and Healthcare Leadership RN to BSN Capstone Project Presentations Schedule WebEx Sum m er Sem ester, 20 16 Nursing 4 73 Professional Pathways Faculty Alicia Swanson, MSN, RN, PHN Thursday, July 28 th (9am -2:30 pm ) WebEx Link: https:/ / mnscu.webex.com/ join/ alicia.swanson
Presenter’s Nam e Tim e Topic and Sum m ary Sheralyn Schram 9:00am - 9:30am Red ucing Lo ng -t er m Neg a tiv e Effects of Op ioid Ma na g em ent thro ug h the Pro m otio n of Alter na tiv e Tr ea tm ent Mod a lit ies The purpose of my project is to reduce the long-term negative effects of opioid treatment by reducing their use for chronic pain and, instead, implementing and supporting the use of a multidisciplinary approach. Chronic opioid use has led to hyperalgesia, dependence, and depression while minimally improving pain and function, if at all. A multidisciplinary approach has proven to be more effective for chronic pain management and would include physical/ occupational therapy, behavioral health, interventional procedures, and holistic treatments such as acupuncture, massage, and essential oils (Dodrill, Helmer, & Kosten, 2011) . My team of champions includes fellow nurses, my mentor (head RN), the physical therapy team, psychologists and the medical doctor. So far I have created an educational pamphlet for patients which includes information regarding the negative long-term effects of chronic opioid therapy and research supporting several non- narcotic treatment options. In this past week my team and I have been actively passing out pamphlets to appropriate patients and educating where necessary. References Dodrill, C. L., Helmer, D. A., & Kosten, T. R. (2011). Prescription pain medication dependence. The Am erican Journal of Psychiatry, 168(5), 466-71. Retrieved from http:/ / trmproxy.mnpals.net/ login?url=http:/ / search.proquest.com/ docview/ 864795712?acountid=12548
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Laurie McReynolds 9:30am - 10:00am Im p rov e a nd Incr ea se Pa tient Ed uca tio n Reg a rd ing Op ioid Med ica tion The purpose of my project is to improve and increase patient education on opioid medication, reducing adverse side effects, addiction, and overdose by implementing a brochure on opioid medication and general pain clinic information. Evidenced based practice research also shows that information presented to the patient with regards to opioids and pain clinic information does help the knowledge deficit (Costello, 2015). My team and I have (doctors, addiction specialists, clinical assistants, nurses, and pain psychologists) have put together a pain brochure to be provided to patients coming to the Interventional Pain Clinic. Staff education power point on how to implement the brochure was developed. Thus, far the company I work far is one of the largest health care companies in the Midwest so the project is still in the approval stage, but we hope to have the okay from the legal and patient compliance department within three months. Tammy Heeter 10:00am - 10:30am Dev elop m ent of a TB Screening Too l for Pa tients a t the Point of Entry The purpose of this project was to develop a TB screening tool for patients at the point of entry, and implementation of the Respiratory Protection Plan. OSHA’s recommendations are to have a process in place for early identification of active TB patients. The focus was on emergency department patients. I worked with Employee Health (my mentor), Emergency Department Director, Computer Information Systems (CIS), and organization educators. Researching and developing the screening tool went well. The process of making a new policy and presenting to the appropriate committees for approval is a much lengthier process than what I had thought it would be. Therefore, it could be up to six months before this change is implemented, and a year before we would know the success of the screening tool. Mariah Schoonover 10:30am - 11:00am Telem ed icine in a County Ja il Telemedicine in the correctional setting has the potential to improve access to and timeliness of care for the inmate population in a correctional setting, while reducing costs by eliminating unnecessary clinic and/ or emergency room visits to which the inmates must be transported and supervised. The Chisago County Jail nurse identified a need for a more efficient, accessible, and timely care for the jail inmates, and expressed interest in exploring the possibility of implementing telemedicine into the new county jail that will be built in the near future. The purpose of this capstone project was to develop a solid framework and flow sheet for implementing telemedicine in the Chisago County jail as well as outlining who will fulfill the roles and responsibilities for each of the steps towards implementation. During this project I worked with the staff at Chisago County Public Health, the Chisago County corrections nurse, and the jail auditor to develop a detailed telemedicine implementation flow sheet that will be used in planning, installing, and utilizing telemedicine in the jail. The project and the flow sheet have been well received by the corrections nurse, and the Public Health supervisor and director. Upon completion of this project, a completed flow sheet will be ready for presentation to community leaders, jail administration, the county board, and all other key players involved in planning the new jail. Overall, the project has gone very smoothly and the staff have been very supportive and willing to collaborate to make this project a success for everyone involved.
SLIDE 3 Brooke Dukart 11:00am - 11:30am W ork Rela t ed St ress Ov erloa d The purpose of the project that I am working on is to implement two (15 minute) breaks in an eight hour work day for nursing professionals. This will be done by blocking employees 15 minutes (both one in am and
- ne in pm) on computerized schedule. The nurses have verbalized being overworked and stressed. I am
working with my mentor, manager, owner, and nursing staff employees. The project is going good, however, it was a challenge to implement change, as the industry I am working with is revenue based and time=money. Roxana Eng 11:30am - 12:00pm An Enha nced Return-to -W ork Process for W a r ehouse W o rk ers w ith Lum b a r Ba ck Pa in. Lumbar back pain is the most common cause of job-related disability and a leading contributor to missed work days (U.S Department of Health and Human Services, 2014). Health related expenses and work loss account for about 75–90% of the socio-economic cost of lumbar back pain cases (Paquette, 2008). The purpose of this project is to enhance the current return-to-work process for Target warehouse workers with lumbar back pain. This would support case manager’s ability to improve warehouse workers return to work rates and ultimately reduce cost for the employer. To achieve this goal the writer sought the collaboration of mentor, team leaders, and case managers at the Reed Group. So far the project has progressed as expected. The collaboration of the aforementioned individuals has been key for the development of the project. References: Paquette, S. (2008). Return to work with chronic low back pain: using an evidence-based approach along with the occupational therapy framework. Work, 31(1), 63-71 9. U.S Department of Health and Human Services.(2014).Low back pain. Retrieved at http:/ / www.ninds.nih.gov/ disorders/ backpain/ low-back-pain-brochure.pdf BREAK 12:00pm - 12:30pm BREAK 12:30pm - 1:00pm Holly Blilie 1:00pm - 1:30pm Im p lem enting Best Pra ctice: Intim a te Pa rtner Vio lence More than one in four women have experienced intimate partner violence (IPV) in their lifetime. Victims of IPV often experience significant health consequences. In addition, the associated costs are staggering, both to the individual and to society. The US Preventative Services Task Force recommends that clinicians screen women of childbearing age for IPV, and provide or refer women who screen positive to interventions
- services. Some agency employees are not comfortable with addressing IPV with clients, including their
assessment and response to clients experiencing IPV. Therefore, the purpose of this project was to identify and integrate use of an evidence based IPV screening tool for women of childbearing age, in addition to developing a quick reference card with contact information for local IPV resources.
SLIDE 4 Heidi Swanson 1:30pm- 2:00pm Fa ll Elim ina tio n I am working on a falls elimination project with the Manager of Nursing Administration, on the standardization of the bed/ chair alarm equipment. When a patient falls it effects everyone on the health care team. Falls can be detrimental for the patient, can increase length of stay and increase health care costs (Trepanier, & Hilsenbeck, 2014). I have worked with a multitude of staff from all areas of health care. First Hospital Administration had to be on board, understand the problem and ways to resolve it before the implementation could happen. The provision of care committee, who works on reporting falls and the follow-up after the fall. The bio-med staff to ensure the new alarms were checked and passed
- inspection. The maintenance team to help with installation. All of the nursing staff, and therapy staff to
ensure all patients were screened for falls risk and alarms utilized on high risk patients. The environmental service team to ensure the proper cleaning of the alarms, and when to discard the sensor pads. Last but not least, the Nurse Informatics team to help create post-falls charting and nurse directed orders. At this point, the new bed/ chair alarms are installed and staff education is ongoing. We are slowly adjusting to new equipment and working out the kinks to streamline our process to make this a part of our daily routine. Trepanier, S., & Hilsenbeck, J. (2014). A Hospital System Approach at Decreasing Falls with Injuries and
- Cost. Nursing Econom ic$, 32(3), 135-141 7p.
Douglas Reiter 2:00pm- 2:30pm Med ita tio n for Assisted Liv ing Resid ents My project involves initiating meditation into an assisted living facility to aid clients to reduce anxiety, depression and somatic symptoms that have increased due to anxiety and depression. The hope is that by implementing independent meditation via a recorded session and clients focusing on a mantra, they will be able to self-regulate their emotions and reduce anxiety and depression independently. The team involves the Dean of Nursing, Regional RN, Housing Manager, Home Health Aids and the clients themselves. The intervention has been initiated and changes have been made to individual client plans such as head phones for 1 individual to enable him to hear the CD, another CD was purchased for another client that wanted to complete the intervention independently. Home Health aides have learned the potential benefit to the clients and a reduction in work load related to decreased behaviors. Staff have been communicating with myself and the other RNs and have been a great benefit to the project.
