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2017 Conference Posters
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Addressing the Gap of Quality Initiative Education for Internal Float Pool Nurses through Evidence-Based Leadership

Gina Hernandez
RN Nursing Supervisor/Staffing Coordinator
Cook Children's Medical Center
hernndzfam@att.net

Purpose

To implement quality initiative education to Internal Float Pool nurses and post-implementation, to evaluate nurse compliance of hospital-acquired condition (HAC) bundles and pain reassessment documentation and involvement in safety event reports.


Children's Health - The New Roadmap to Home: Care Management in the Driver's Seat

Dorothy Foglia
Vice President and Associate Chief Nursing Officer
Children's Health, Children's Medical Center Dallas
dorothy.foglia@childrens.com

Kirsi Hayes, BSN, RN
Maeve Sheehan MD, MBA, FAAP
Geneva Burnap, MBA, RN, NEA-BC

Purpose

This project outlines strategies to navigate the complexities of a healthcare system by placing care management in the driver’s seat. Patient care is fraught by fragmented communication and care. Bridging the transition from fee-for-service to value-based care requires collaborative work from multiple health care partners with diverse perspectives. Redundant services contribute to inefficient and ineffective care, as well as confused patients, and they are counterproductive in preventing readmissions and reducing cost. Our experience outlines this journey in building integrated care across our system and moving care from traditionally defined “silos”to “systems-based care” using personnel, efficiencies, technology, and collaboration.


Collaborative Multidisciplinary Huddles Driven by Bedside Nurses and Implementation of Lean Visual Management Tools Drive Patient Discharge Planning

Scott Ward
Nurse Manager
Baylor Scott and White Health, Baylor University Medical Center Dallas
sctt.m.wrd@gmail.com

Yvonne Acosta BSN, MBA, RN

Purpose

The purpose of this poster is to show that engaged and empowered Bedside Nurses drive patient discharge planning. Collaborative multidisciplinary huddles fostered by transformational leaders and implementation of Lean Management Visual System tools are key inputs into the necessary communication among all parties involved to facilitate a seamless discharge for the patient.


Evaluating the Results of a Practice Change to Improve Outcomes: Does Skin-to-skin Contact During Cesarean Surgery Reduce NICU Observations?

Lindsay Ward, DNP, RN
Nursing Manager, NICU, Mother/Baby, Breastfeeding
Texas Health Hurst-Euless-Bedford
lindsayschneider@TexasHealth.org

Jeannette T. Crenshaw, DNP, RN, LCCE, IBCLC, NEA-BC, FAAN
Richard E. Gilder, MS, BSN, RN, CNOR, BCNI

Purpose

The purpose of this evidence-based practice project was to evaluate the results of a practice change initiative, implementing skin-to-skin care during cesarean surgery.


Implementation of a Nurse-driven Protocol for the Management of Inpatient Hypoglycemia

Candice Herman
Magnet Program Director
Methodist Charlton Medical Center
candiceherman@mhd.com

Purpose

Hypoglycemia is a major and preventable cause of morbidity and mortality in the hospital setting. The only protocol for treating hypoglycemia in the hospital was tied to the physician order set for sliding scale insulin. This order set was initiated for a glucose of 60 mg/dL or less and used D50W intravenously as the treatment. Additionally, there were no physician orders for patients being treated with oral agents and there were no orders for treating mild hypoglycemia with dietary carbohydrates. Previous attempts by pharmacy to revise the hospital’s physician order sliding scale order set were unsuccessful.


Simple Interventions Can Break the Cycle of Pediatric Emergency Department Utilization for Low Acuity Conditions

Dorothy Foglia
Vice President and Associate Chief Nursing Officer
Children's Health, Children's Medical Center Dallas
dorothy.foglia@childrens.com

Maeve Sheehan MD, MBA, FAAP

Purpose

An inter-professional team across our healthcare system completed two projects to reduce the volume of low acuity emergency department (ED) cases. One utilized Community Health Workers (CHWs) in the ED to interact with families in real time, while the other intervention involved partnering with a primary care pediatrician (PCP) in our integrated network.


The State of Nursing Education in Texas

Julie Withaeger, MSN, RN
Doctor of Nursing Practice Student
Texas Tech University Health Sciences Center
julie.withaeger@ttuhsc.edu

Lisa Mason, MHA, MBA, BSN, RN, NEA-BC
Brandi McDonald, MSN, RN, CMSRN, CNML

Purpose

Inform conference attendees about the current state of registered nurse education in Texas.