Evidence-Based Practice Fellowship Projects

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Brianne Wright
8 years ago
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1 2006 Identify best practice for use of translation services to improve care of non- Elaine MacNeilly/11L Stephanie Gilbertson-White English speaking patients Implementing an oral care project with older adults at risk for aspiration Amelia Gianinno/14L Carla Graf pneumonia Use of saline vs. heparin to keep PIVs open in ICN patients Robin Bisgaard/ICN Steve Kloman Screening and identification of older patients at risk for delirium Julia Chin/12L Carla Graf Pediatric apheresis and dialysis priming solutions Beth DuVardo/AHU Pauline Chin Improving pain management with pediatric palliative care patients Janelle Facchino/7L Jackie Pozza Examine and adopt best practices for assessing preop nutritional status in elective surgery patients Tania Yarema/MZ ICU Susan Barbour 2007 Best practice for chemotherapy induced oral mucositis Sharyn Boissevain- Stephanie Gilbertson-White Chen/11L In a population of ICN patients, does training nurses on cue-based feeding Fritzi Drosten/ICN Steve Kloman schedules improve % of desired intake? Does it improve nurse satisfaction? A sedation wake up protocol in the ICU. Can re-implementation make a Leeda Dudley/9-13 Hildy Schell difference? ICU Will PICU RN staff participation in multidisciplinary rounds result in shorter Jennifer Harvey/PICU Marcia Lo & Shelley Diane length of stay in the PICU? For adult patients in an acute care BMT unit, does implementing a family-nursefall Rowena Henry/11L Carla Graf prevention partnership reduce patient falls? Managing hypotension in apheresis patients on ACE inhibitors Janet Leiva/AHU Pauline Chin Eliminating painful IV starts Lalaine Villamor/14L Stephanie Gilbertson-White 1 EBP Fellowship current

heparin to keep PIVs open in ICN patients Robin Bisgaard/ICN Steve Kloman Screening and identification of older patients at risk for delirium Julia Chin/12L Carla Graf Pediatric apheresis and

2 2008 Improving procedures and documentation around use of restraints Krista Chavez/ED Tina Quon Reducing falls in patients receiving cancer chemotherapy/bmt Catherine Lewis/11L Carla Graf Improving care planning related to withdrawal of life sustaining care in terminally ill patients 2009 Hannah Pascucci/6 PICU Shelley Diane Use of probiotics (yogurt) to reduce incidence of c. difficile infection in patients Bethany Carlson/11L Pauline Chin receiving antibiotics Use of ultrasound guided PIV insertion by RNs to reduce need for multiple Denise Clark/RRT Hildy Schell attempts and reduce related delays in care Restraint use in Neuro ICU Amy Dunne/Neuro Lisa Day ICU Improving urinary incontinence outcomes in home health patients Carrie Meer/Home Health Elise Hazlewood & Susan Shapiro Reducing urinary catheter associated UTI rates in Neuro ICU Michele Nomura & Maureen Buick Lynne Tom/Neuro ICU Review of practices for repeated blood draws on neonates and best practices related to using already-placed PICC lines Amanda Giordano/ICN Robin Bisgaard 2 EBP Fellowship current

difficile infection in patients Bethany Carlson/11L Pauline Chin receiving antibiotics Use of ultrasound guided PIV insertion by RNs to reduce need for multiple Denise Clark/RRT Hildy Schell attempts

3 2010 What is the compliancy rate of implementing 8 components of a nonpharmacological Bernadine Garrett- Carla Graf sleep protocol by ACE unit RNs and how does the protocol impact sleep medication usage? Hines/5 E/W MZ What is the effect of a personal hand sanitizer on hand hygiene compliance John Peeke/ML PACU Daphne Stannard rates? What is the effect of a handoff tool on high-risk medication safety rates? Yuan Yuan Liu/10 CVT Elise Hazlewood 2011 Does the use of a standardized communication tool in the ICN increase the Stephanie Mazely/ICN Robin Bisgaard documentation of X-ray verification of enteral feeding tubes? Does implementation of a sleep promotion program in the ICU increase patients Denise Hildy Schell reports of sleep satisfaction and decrease the prevalence of delirium? Rummelhart/9-13ICU Does the implementation of palliative care education improve the ED nurse s Phin Matouka/ED Tina Quon level of comfort and perceived effectiveness when caring for dying patients and their families? Does the implementation of an educational module in an adult acute care floor Debbie Burge/12 Long Sarah Brynelson increase nurses knowledge of continuous pulse oximetry, including their ability to detect early hypoxemia and to initiate appropriate interventions, as compared to inservice training on the use of the monitors? Does providing evidence-based peer education on the SCHMID Falls Risk Tool to Suzanne Tay-Kelley & Tracy Moran nurses on an adult surgical oncology unit increase knowledge of and improve accuracy in the scoring of the tool? Kelli Cochran/5 N Does the provision of evidence-based JP drain care education for nursing Christina Yebra/4 E Janice Hull increase patients knowledge of JP drain care and maintenance upon discharge as compared to standard practice? Does the implementation of an evidence-based educational intervention for Sarah Kabatt/PCICU Lori Fineman 3 EBP Fellowship current

What is the effect of a handoff tool on high-risk medication safety rates?

4 maintaining chest tube patency in postoperative pediatric cardiac patients decrease the frequency of milking and stripping of chest tubes by PCICU nurses? 2012 Does the implementation of a standardized RN to PCA report on a Transitional Kathleen Elise Hazlewood Care Unit improve RN/PCA communication? Rodriguez/10 CVT Does a patient/nurse collaborative fall risk assessment tool increase patient Angie Cowen/10 CVT Elise Hazlewood awareness of fall prevention? Does breastfeeding and breast pump education for nurses in a pediatric cardiac intensive care unit (PCICU) increase the nurses comfort, knowledge and facilitation of breastfeeding infants with congenital heart defects? Courtney Gregory/PCICU Does educating the RN staff of an adult medicine inpatient unit using a standardized discharge teaching tool improve RN s knowledge of evidence based discharge teaching instruction for patients with a newly placed feeding tube? Does an education intervention on Palliative/End-of-Life Care to a select cadre of RNs on a 44-bed Hematology/Oncology unit impact nurses knowledge and comfort with discussion of EOL issues with providers and patients? Does pre-surgical education for patients undergoing primary total knee or hip arthroplasty increase the rate of patient ambulation on post-op day zero? Is 4% Na Citrate equivalent to Heparin 1000 units/ml for a locking solution to maintain CVC patency when evaluating BFR, aspiration, and line reversal for HD patients > 18 years old during a 61 day period? Meghan Gebauer/5 E/W Lori Fineman/Daphne Stannard Janice Hull Jolene Scarella/11 L Tracy Moran Olga Sukhenko/12 L Carla Graf/Daphne Stannard Stefanie Thompson/AHU Carol Viele 4 EBP Fellowship current

Rodriguez/10 CVT Does a patient/nurse collaborative fall risk assessment tool increase patient Angie Cowen/10 CVT Elise Hazlewood awareness of fall prevention?

5 2013 Does the implementation of quiet time in Pediatric Intensive Care Unit will Yuliya Shaklevich/PICU Shelley Diane reduce noise and improve patient/family and nurses' satisfaction? Implementation of a hand hygiene and skin care teaching bundle Cristina Canete/ICN Robin Bisgaard Evaluation and implementation of a standardized algorithm for obtaining blood Erin Gasser/9/13 ICU Hildy Schell cultures on sepsis patients in adult medical-surgical ICU Implementation of the mannitol bundle on PIV mannitol extravasations William Gersten/8L Carol Viele Utilization of standardized patient education tools and teaching for adults in an outpatient setting to improve patient understanding of dust mite control and allergen avoidance Glenna Mote- Yates/ACC Darlene Lee Young Count in progress visual indicator and impact on interruptions and staff awareness 2014 Margo Peterson/MZ OR Jeanette Bird Intervention to assure NPO status in pre-op pediatric patients Carol Costello/BCH OR Jeanette Bird Use of scripted pain management instructions and use of patient whiteboards Ofelia Gonzales/13 L Sarah Brynelson for nurse-patient satisfaction Improving the discharge process in the NICU Martha Mehr/ICN Robin Bisgaard Insulin administration with the on-demand meal system Byanqa Robinson/11L Melissa Lee The use of diaries in the ICU Clare VanDeMark/9/13 ICU Charlotte Garwood & Hildy Schell 5 EBP Fellowship current

Hildy Schell cultures on sepsis patients in adult medical-surgical ICU Implementation of the mannitol bundle on PIV mannitol extravasations William Gersten/8L Carol Viele Utilization of standardized

6 2014 Managing postoperative urinary retention in the orthopedic patient Mike Heinbach/12 L Lindsay Bolt Standardizing the operating room (OR) to intensive care unit (ICU) handoff Ashley Jannesen/10 Cass Piper ICC Healing touch and the effects on pain in adult hospitalized patients Anne Jensen/14 M Melissa Lee Medication list review in the ambulatory setting Michelle Darlene Lee Young Sison/Ambulatory Float Pool Oral hydration of the PCI patient Rochelle Christina Lemanski Szuba/Interventional Cardiology Shortness of breath: The 6 th vital sign? Maia Yannacone/14L Virginia Carrieri-Kohlman Improving pain management with non-pharmacologic therapies for In progress Kisha Fields/12L Sarah Brynelson postoperative patients Intentionally Round Like a CHAMP: Communicative, Hourly, Active, Mindful, and In progress Melody Haworth/9L Melissa Lee Purposeful (CHAMP) Rounding Reevaluating Central Line KVO Policy In progress Vivian Huang/11L Cass Piper-Sandoval The Neonatal T-Piece Resuscitator: To use or not to use this is the question. In progress Tina Ly, RN/ICN Robin Bisgaard Care of the Pediatric Psychiatric Patient within BCH In progress Tamara Barbette Murphy O Connor/BCH Supervisor A Standardized Nursing Approach to Pain and Sedation Management in Pediatric Cardiac Intensive Care In progress Julianna Schmidt/PCICU Sarah Brynelson 6 EBP Fellowship current

Sison/Ambulatory Float Pool Oral hydration of the PCI patient Rochelle Christina Lemanski Szuba/Interventional Cardiology Shortness of breath: The 6 th vital sign?

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Definition from the Greek word, iatros,, meaning healer, iatrogenesis means brought forth by a healer