RSSAll Entries in the "Uncategorized" Category

Eight new anticoagulant EPs added to NPSG

By Accreditation Insider

The Joint Commission announced revisions to its anticoagulant therapy National Patient Safety Goal (NPSG) on December 7. NPSG 03.05.01 has eight new Elements of Performance (EPs). The accreditor wrote that the changes are a response to a rise in adverse drug events tied to direct oral anticoagulants.

All the changes are listed in R3 Report 19 and will take effect on July 1, 2019. The update applies to all Joint Commission accredited hospitals, critical access hospitals, nursing care centers, and medical centers accredited under the ambulatory health care program.

The update comes nine days after The Joint Commission released updates to its suicide prevention NPSG. Those changes will also go into effect in July.

The update requires impacted facilities to:

  • Have evidence-based protocols for starting, continuing, and reversing anticoagulant treatment
  • Establish processes for responding to adverse drug events and bleeding
  • Educate patients on anticoagulant treatment
  • Use devices desinged to reduce dosing errors, such as programmable pumps and pre-filled syringes

Before the Plane Crash

In January 2009, all eyes were focused on the Hudson River after a plane flying out of New York’s LaGuardia Airport struck a flock of geese and crash landed in the river. Thanks to fast acting by the pilots, all 155 passengers survived, with few major injuries, in the disaster dubbed “the Miracle on the Hudson.” However, trouble emerged in the aftermath when people tried to find out which hospital their loved ones had been sent to.

“Some of the patients went to New York and some went to New Jersey. And because of HIPAA laws, it was very difficult for airline authorities to get the names of who was where,” says Sharon Carlson, RN, director of Emergency Preparedness at Sharp HealthCare in San Diego, CA. “As a family member you can imagine your terror knowing that your loved one was in a plane crash and not knowing where they are. That’s a big issue we always have, reunifying people after a disaster.”

“Because of [the Miracle on the Hudson] we decided in San Diego that we needed to make relationships before an event happens,” she adds. “Get to know each other, work together, know each other by first name, know each other’s number.”

Using the lessons learned from the Hudson, Carlson and her health system joined a disaster partnership with their local airport, San Diego International (SAN.) The airport has been growing steadily over the past decade, with over 22 million people flying in and out of it in 2017. The airport partnership was started originally in 2010 by UC San Diego Health system.

The transportation administration requires SAN to conduct major disaster drills periodically. As part of the partnership, Sharp Healthcare is included in those drills, Carlson says. They practice their communication process once a year to ensure everybody is on the same page and that there’s been no changes in the contact information.

“We have a partnership with the airports, so they know who to contact at our hospitals,” she says. “And we’ve sent it through our compliance and legal departments, they know what kind of information we can give them.”

In the event of a plane crash or disaster, airport staff have a list of hospital contacts so they can reach out, then read names off the plane’s manifest and the hospital will be able to tell them which people on the list are there or not.

“We don’t give out conditions, injuries, or illnesses,” she says. “We just say if they’re here or not. Because the airline is wanting to tell the family members ‘ok, go over here, your loved one is at this hospital.’”

HFAP Ligature Standard Remain Same After CMS Memo

This first appeared August 23, 2018 in Hospital Safety Insider.

HFAP, one of the oldest accrediting organizations for U.S. hospitals, recently updated 13 of its standards to align with the expectations on ligature risk and other hazards that CMS outlined in a memo in December. The standards have been approved by CMS, but will not be revised again in light of the July memo, says Alise Howlett, AIA, CFPE, CHFM, HFAP’s emergency management, physical environment, and life safety standards advisor.

The July CMS memo states that surveyors would use Joint Commission ligature recommendations. Howlett says that the additional guidance is simply that, additional guidance.

The updated HFAP standards range from staff training on identifying patients for risk of self-harm to building safety policies and monitoring, from building security to life safety compliance, from privacy and safety concerns in a safe setting to requirements for environmental risk assessments.

“The HFAP standards have been approved by CMS and simply outline updates for accreditation expectations. They will be enforced per the direction of CMS which stated that AOs will use their judgment as to the identification of ligature and safety risks, what level of citation will be made for deficiencies, and the corrective action to be taken for mitigation and remedy. This is all outlined in QSO 18-21,” says Howlett.

HFAP was not part of The Joint Commission’s panel of experts, but “all accrediting organizations with deeming authority are working from the same playbook: the CMS regulations,” says Howlett.

Subscribe to Nurse Leader Insider!

Get expert advice, tips, and best practice strategies on nursing burnout, recruitment and retention, communication, leadership, and much more!

Subscribe to the Nurse Leader Insider for FREE now!

Happy Nurses Week!

Nurses Week image

HCPro Spring Sale!

We’re celebrating spring with a #spring sale! Add to your nursing library and save 35% off your book purchase through the end of March.

17499467_1170682139727532_463237517817187240_n

Rock Your Health: How to get what you want every time you ask

I know – that doesn’t sound possible. But how would you like to raise your odds of success?

Have you ever wanted something to happen to improve your life and it just wasn’t happening? No matter how hard you tried? Maybe you were trying too hard and need to slack off a bit. Sometimes we block our desires by pushing too hard and then get frustrated thinking “Why aren’t I getting anywhere? I’m working as hard as I can and getting nowhere.”

Here’s an example. I was teaching a class for teachers on how to bring positivity into the classroom using the Law of Attraction and suddenly realized that as much as I know about all the ways in the world to attract great things to my life, I still don’t always practice them. This class became a reminder of that, so I’d like to share with you five tips to help you do less, feel better and attract more.

Here are some tips to get you started.

  • First decide what desire you want to manifest for yourself
  • Create a Vision Board that represents what your desire looks like and display it where you see it every day
  • Schedule time every day to focus on your desire in a relaxed state
  • Practice techniques you enjoy daily that relax you like meditation, yoga, Tai Chi, exercise, listening to relaxing music, etc.
  • Keep a journal of all the things you start manifesting as proof that it works

Now you will be on your way to getting what you want (almost) every time you ask. I would love to hear your comments about this.

Join our Nursing Book Review Group!

We would like to thank everyone who responded to our call for authors last month! The response has been fabulous and we’re still going through emails.

We are once again opening up our Nursing Book Review Group!  If you didn’t have a chance to join last year or if you’re new to us, now is your chance to join an ad-hoc group interested in reading and reviewing prepublication drafts of books and training materials in your areas of interest and expertise.

Our editors will send you periodic emails listing upcoming projects available for outside review. If you’re interested, just let us know. We’ll send reviewing guidelines and give you an idea of our timeframe. If it works for you, we’ll send the draft chapters as they’re available, and a printed copy of the book when it’s complete. In addition, you will be recognized as a reviewer inside the printed book.

Please have a minimum of five years of nursing experience and be in an educational, supervisory, or leadership role within your organization.

For more information or to sign up as a reviewer, please fill out our reviewer form.

Become an HCPro Author

Last summer, we asked you to join our Nursing Book Review Group and the response was overwhelming. We are thrilled with how many of you were eager to share your thoughts and ideas for a variety of our nursing products.

We are looking for enthusiastic nurse managers, nurse leaders, and nurse educators who are willing to become authors and share their experiences, success stories, and lessons learned with fellow colleagues.

We’re currently looking for authors for an upcoming critical thinking text as well as an upcoming nursing program orientation text. If this is something you’re interested in, please email me at mclarke@hcpro.com. You don’t have to be an experienced author, we’ll provide you with the tools and guidance needed.

If you have an idea for a different book than the topics already mentioned, please email us. We’re always looking for new topics that will help you do your jobs better.

Note: If you didn’t have a chance to join our Nursing Book Review Group last year, keep an eye on this spot for an upcoming announcement about the group.

We look forward to hearing from you!

Take Five: How renewal rooms revive stressed out nurses

With long shifts, hard work, and close contact with the sick and the dying, it’s unsurprising that many nurses are burnt out. One study found that nearly one-third of oncology nurses exhibit emotional exhaustion and 50% report levels of emotional distress. Despite the fact they might be hurting, nurses are often expected to “tough it out,” hiding their stress from the eyes of others.

Compassion fatigue is a huge issue for us all in bedside nursing, and we as leaders need to look into and address that,” says Jacklynn Lesniak, RN, MS, BSN, senior vice president of patient care services and chief nursing officer at Cancer Treatment Centers of America (CTCA) at Midwestern Regional Medical Center in Zion, IL.

In response, CTCA Midwestern created several “nurse renewal rooms,” with one in each inpatient tower, surgical department, and outpatient care area. The rooms were designed by Jillianne Shriver, RN, BSN, HN-BC who studied relaxation techniques and holistic nursing for three months for the project.

Only one nurse is allowed in the room at a time, giving them much needed private time away from the eyes of patients and coworkers. Each room is laden with relaxation material and décor: aromatherapy and meditation material, a yoga mat, a sand garden, books for reading and journaling, and music therapy.  When a nurse feels he or she needs to step back, they inform their charge nurse that they need to use the room. Then they hand over their communications devices and go into the renewal room for a couple minutes to decompress.

“I decided that I really wanted somewhere for the nurses to take that time to renew, rejuvenate, and recharge,” Shriver says. “To step out of whatever situation they may be in, whether that be a stressful or busy day, and have five to 15 minutes to themselves to be able to focus, ground themselves, take a deep breath, and then step back into practice.”

Not only did the renewal rooms work, they worked well. CTCA Midwestern reported that the first renewal room was used 422 times in the first three months and 96% of nurses said they felt better after using it. Which is pretty impressive when you consider the first renewal room was just a supply area with a massage chair and some relaxing decorations.

To read more in-depth about nurse renewal rooms, check out the original article at HealthLeaders.com.