Whiteboards: Improving communication between nursing & - - PowerPoint PPT Presentation

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