Three years and counting Leadership Challenges S imultaneously assuring patient and staff safety M odifying communication style to include patients and families on a routine basis I ncreasing visibility on all shifts ID: 728414
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BRYLIN HOSPITAL
PARS UPDATEThree years and counting …Slide2
Leadership Challenges
Simultaneously assuring patient and staff safety
M
odifying communication style to include patients and families on a routine basis
Increasing visibility on all shiftsChanging staffing methodology ( acuity based vs. census based) while maintaining financial stabilitySlide3
Lessons Learned by Leadership
Communicate, communicate, communicate
Listening can be more valuable than talking
Celebrate positive changes even the small ones
Leadership buy in is a mustCulture change is a process not an eventLeaders don’t have all of the answersSlide4
S/R Events
2005 = 1,0762006 = 6822007 = 4582008 = 3582009 = 195
2010 = 150Slide5
The Six Core Strategies
Vehicles for changeEach have been critical to our successesThe staff on the Child and Adolescent Unit were surveyed about which strategy they felt was most key in assisting with the decreasing S/R events
Data collection and the use of S/R prevention tools were equally identified as being key in our reduction effortsSlide6
Use of Data to Inform Practice
Data is everywhere
Sources of Data :
S/R events
Near missesPt/parent satisfaction surveysStaff satisfaction surveysExit interviews with staff
Review of stat medications
Verbal feedback from staff, patients, and families
Incident/accident reports
Direct focused observationsSlide7
Lessons Learned with Data Collection
Data needs to be shared so that it can be used as a yardstick for progressThe more that you drill down, the more information you will find
Isolated incidents usually aren’t
Never underestimate the importance of observation as a means of gathering data
Patients, families, and staff are excellent resources for informationSlide8
Use of S/R Prevention Tools
Trauma screen at admissionTrauma assessment within 24 hrs. of admission
Calming tools and snack given at admission
Calming boxes within 24 hrs of admission
Safety plans started at admission and updated throughout stayPeers encouraged to orient new admissions to the unit
Orientation to use of the calming room
Individualized treatment
Child directed daily goal setting and self evaluation at the end of the day
Open visiting and phone calls
Pet visitsSlide9
Lessons Learned from the Use of S/R Prevention Tools
Engaging kids works better than controlling kids
The milieu drives behavior
One size does not fit all … Individualize
Individual safety plans are only useful if used
Individual safety plans need to be revised as needed
Most kids know what they need most of the time