Case, Hannah M, BSN, RN

Cougle, Kimberly, BSN, RN

Roman, Kimberly L, BSN, RN

Samson, Shirley E, BSN, RN

Waite, Courtney R, BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingEnvironmental Modifications In The ConfusedPatientHannah M. Case BSN, RNLehigh Valley Health Network, Hannah.Case@lvhn.orgKimberly Cougle BSN, RNLehigh Valley Health Network, Kimberly.Cougle@lvhn.orgKimberly L. Roman BSN, RNLehigh Valley Health Network, Kimberly.Roman@lvhn.orgShirley E. Samson BSN, RNLehigh Valley Health Network, Shirley.Samson@lvhn.orgCourtney R. Waite BSN, RNLehigh Valley Health Network, Courtney.Waite@lvhn.orgFollow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursingThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtCase, H. Cougle, K. Roman, K. Samson, S. Waite, C. (2019, Sept 26). Environmental Modifications In The Confused Patient. PosterPresented at: LVHN Vizient/AACN Nurse Residency Program Graduation, Lehigh Valley Health Network, Allentown, PA.Lehigh Valley Health Network, Allentown, PennsylvaniaHannah Case, BSN, RN; Kimberly Cougle, BSN, RN; Kimberly Roman, BSN, RN; Shirley Samson, BSN, RN; Courtney Waite, BSN, RN• Increase in number of confused patients on 7k• Risk of confusion after anesthesia• Confused patient trying to drink hand sanitizer on tray• Confused patient trying to drink Urinal• Falls occurred that could have been prevented if the bed alarm was activated.REFERENCESNelson, J.J., & Staffileno, B. A. (2017). Improving the patient experience: call light intervention bundle. Journal of pediatric nursing, 36 (2017):37-43Pronovost,P., Needham, D., Berenholtz. S., Sinopoli, D., Chu, H., Cosgrove, S., … Goeschel, C. (2006). An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU. The New England journal of medicine, 356(25):2660Wongrakpanich, S., Danji, K., Lipsitz, L., & Berry, S. (2018). STOP-FALLING: A Simple Checklist Tool for Fall Prevention in a Nursing Facility. Journal of the American Medical Directors Association. doi:10.1016/j.jamda.2018.10.002.Comeau, Odette Y., et al. “Safety First! Using a Checklist for IntrafacilityTransport of Adult Intensive Care Patients.” Critical Care Nurse, vol. 35, no. 5, 2015, pp. 16–25., doi:10.4037/ccn2015991.• P- Registered Nurse and Technical Partners caring for confused patients on 7k. • I- Use of the checklist• C- Nurses use of interventions before and after using the checklist. • O- Providing a safer environment for confused patients• Continue to utilize checklist in rooms of confused patients on 7k in hopes that environmental modifications will lead to decreased falls and patient safety issues on the unit. BACKGROUNDP I C OIMPLEMENTATON (Survey and Checklist)NEXT STEPSEnvironmental Modifications In The Confused Patient7K Cedar CrestEVIDENCE• Research has shown that checklists or intervention bundles can improve the quality of patient care. (Nelson & Staffileno, 2017)• “Staff were very satisfied with the use of a STOP-FALL checklist and lowered the number of falls in the nursing home. Staff agreed that checklist did not interfere with routine patient care. Checklist also increased staff’s knowledge on preventing falls” (Wongrakpanich, S. et al., 2018)• Checklist promoted adherence to infection control practices, meaning that a checklist helped remind staff to perform specific interventions. (Pronvost et al., 2006)• After reviewing pre and post checklist we found when solely looking at staff “ALWAYS” compliance of the 11 environmental modifications, 5 of them increased, 3 of them stayed the same, and 3 of them decreased. 

Environmental Modifications In The Confused Patient

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=2184&context=patient-care-services-nursing

Environmental Modifications In The Confused Patient

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