Cardiothoracic Surgery Pathway Betsy Hancock RN BSN PCCN
Cardiothoracic Surgery Pathway Betsy Hancock, RN, BSN, PCCN, Clinical RN III MSPCU Permanent Charge
Why do we need a Pathway? O Increasing satisfaction between patients and staff O Clear, concise goals for the patient to achieve O Improve/maintain our national average for overall LOS
Literature Review O Clinical pathways are associated with reduced in- hospital complications and improved documentation without negatively impacting on length of stay and hospital costs. (Kotter, 2010) O Most studies reported a decreased length of stay and reduction in hospital costs when clinical pathways were implemented. (Kotter, 2010). O Twenty studies(11, 400 patients) compared stand alone clinical pathways with usual care. These studies indicated a reduction in in-hospital complications 95% confidence interval(Kotter, 2010).
UCH’s Pathway OGoal DC is 5 days! OGoal Transfer to MSPCU Hour 25
What I need from you O MD Notes O What do you specifically need from nursing every day? O How soon should we be starting a Heparin/Lovenox bridge for our valves? O Is there a typical number of drains you start with? O There’s a lot of repetition with meds, labs, etc. Do you want more detail?
What the MSPCU is doing O SHALK Shift O 36 bed stepdown O Educational Roll-out for RNs O Temporary Pacemaker Education O …. Clinical Pathway!
Reference O Kotter, T. , Kinsman, L. , Machoota, A. , Gothe, H. (2010) Clinical Pathways: Effects on professional practice, patient outcomes, length of stay, and hospital costs. The Cochrane Library, (3). 1 -115. (LOE I)
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