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Charge Nurse Attributes Saving a
Patient to RQI Training
PROVIDER STORY
Harrison Medical Center staff are improving their
competence and confidence in CPR skills thanks to the
immediate, objective feedback RQI manikins provide.
“Codes are so chaotic and stressful, but knoing that ou’re
giving good compressions and ventilations reall helps ith
Harrison Medical Center, located in that stress level.”
Bremerton, Wash., is part of CHI ranciscan —
Health, one of the larest health care Heidi Dix on, RN
Charge Nurse, Post-Anesthesia Care Unit
sstems in the et ond, Washinton Harrison Medical Center
reion. The ed facilit has receied
an A
rade from The eapfro rop for CHALLENGE
the past for ears and incldes Harrison Medical Center’s education department had
comprehensie stroe and heart care always sponsored basic life support S and adanced
incldin openheart srer and cardioascular life support S trainin classes but an early
a leel III trama center. uality improement study usin a local fire department’s feedbac
maniin reealed that clinicians’ sills could use improement
and additional consistency The hospital needed a more effectie
feedbacdrien PR trainin proram
SOLUTION
or arrison edical enter the merican eart
® ®
ssociation’s Resuscitation uality Improement RQI
proram tacles two traditional PR trainin challenes—infreuency
of practice and lac of instant feedbac on PR uality Performin
PR is not part of many health care proiders’ reular practices
Some rarely perform it other than durin their biannual trainin
ithout practice PR compression and entilation sills derade
and oerall PR effectieness is reduced—often hain a neatie
effect on patient outcomes
RI maniins proide the direct feedbac and reularity of practice
employees need to improe and maintain hihuality PR sills oer
time RI’s “low-dose/high-frequency” trainin is reuired eery
three months which can initially be seen as timeconsumin but is
easily proen otherwise “During our initial launch we brought the RQI
stations into the deartents and aroached it as a fun actiity”
said eidi Dion R chare nurse postanesthesia care unit and RI
champion “Once eeryone saw how uicly they could learn RI it
really helped with that resistance”
or more information, isit s at
www.RQIPartners.com CONTINUED ON BACK
SOLUTION CONTINUED
Implementation went smoothly Yelena atson R S SR
SE clinical education coordinator proed on paper RI’s cost
alidity ensurin leadership’s full support “e no loner pay
employees to sit throuh four hours of S or two days of S
classes pay instructors to teach the classes or pay the administratie
fees that support these instructorled classes” said atson
RESULTS
Increased taff Coetence and Confidence—ith seen
® ®
Resuscitation uality Improement RI carts stationed on
RQI Cart
hospital units in emerency departments in operatin rooms and
een a unit that traels amon its clinic locations the oraniation
Resuscitation Quality Improvement: recently completed its first uarter of RI trainin
• roides a hihreliailit platform for In addition to compression freuency and depth Dion learned that
simlationased master learnin each person has an ideal position for performin PR “nowin what
implemented throh lodose, position enables you to proide the best compressions maes a hue
hihfreenc alit improement difference” she said “Some employees I wored with had a hard time
sessions that measre and erif C passin until we altered their stance een minutely—somethin we
competence and aard a ne AHA wouldn’t hae nown without RI’s direct feedbac”
eCredential pon completion hile it’s too soon for hard data atson and Dion hae heard
• pports master of Hihalit encourain feedbac from employees many of whom hae newfound
C sills throh feedacdrien confidence in their PR sills—includin Dion herself he recently
delierate practice saed a atient s life who eerienced cardiac arrest shortly after a
• ills sessions last approimatel colectoy
mintes per arter hile conitie “I felt secure in the uality of my compressions and I new when I
learnin actiities last p to mintes needed to switch out because my compressions weren’t as ood”
per arter said Dion “nd I wasn’t hyperentilatin the patient with my rescue
• Administrators ill hae analtic data breathin because that’s another piece of RI feedbac odes
related to all actiities performed. are so chaotic and stressful but nowin that you’re iin ood
Tracin of performance and related compressions and entilations really helps with that stress leel”
continos alit improements The patient had an ecellent outcome and was dischared home
initiaties related to resscitation can neuroloically intact— direct proof that RI saes lies “o ee not
e traced and monitored. only coetence but confidence in your CR sills you should be
• imlation stations deploed at doing it uch ore often than eery two years” said atson
locations conenientl accessed Dion added that without a feedbac deice the PR learnin cure
stdents, alloin sills modles to e doesn’t delier the same results because it lacs immediate obectie
completed drin the normal shift feedbac “ith RI you almost become entirely retrained on PR
• Comprehensiel addresses the because now you’re doin it at the riht rate and depth—it’s lie a
competenceased reirements for whole new ball ame”
accreditation as estalished
The oint Commission
or more information, isit s at
www.RQIPartners.com © I artners, C D
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