190 ANNUAL ASPAN CONFERENCE ABSTRACTS

THE PERIANESTHESIA NURSING PRACTICE COMMITTEECarol Lopez, RN, MS, CAN-BC, Presenter

Kerry Porter, RN, CNIV, Betty McMullin, RN, BSN, CPAN

The Queens Medical Center, Honolulu, HI 96813

Background: Identification of variables in nursing practices in peri-

anesthesia areas provided the impetus to form our Perianesthesia Nurs-

ing Practice Committee.

Objectives: To ensure patient safety by standardizing nursing practices,

policies and procedures across all perianesthesia related units while in-

corporating all ASPAN Standards.

Process: Monthly meetings with member representation from peri-

anesthesia areas began in 2006. Policies, procedures and protocols

have been developed, updated and revised. Membership has grown to

include areas that provide care involving moderate sedation, resulting

in standardization of admission and discharge processes as well as poli-

cies and procedures.

Success: Monitoring occurs in all areas with moderate sedation. Criteria

for admission and discharge for phase II is a direct result of staff educa-

tion incorporating the ASPAN Standards.

Implications: Potential problems are identified and resolved. Education

and interventions are initiated to ensure positive outcomes for patients,

while providing safe patient care.

PATIENT ROUNDING 5 PATIENT SATISFACTIONLillian Bailey, RN BSN, CAPA, Meggie Kwan, RN BSN, CAPA,

Sylva McClurkin, RN, BSN,CAPA

Patient satisfaction is a major goal of care delivery in Day Surgery. A pa-

tient satisfaction survey revealed unacceptable scores. Patient scores re-

lated to a sense of safety, security, and caring were considered as factors

contributing to patient dissatisfaction. Process change was implemented

to improve satisfaction scores. The Lean process helped in ameliorating

patient flow and time efficiency, but there was still a need to attain oper-

ational excellence. Patient rounding was implemented as a strategy for

improving outcomes. The 4 C’s that were adapted to increase patient

and customer satisfaction are Caring, Compassion, Commitment, and

Communication. This was based on the institution’s dedication to Faith-

ful Loving Care. A committee was formed to discuss strategies that iden-

tified factors and initiatives for increasing patient satisfaction scores.

Improving contact with patients by those providing bedside care may

serve to enhance patient satisfaction. Patient rounding was identified

as a strategy. It was determined that all RN’s and PCA’s will alternate

rounding on an hourly basis. Patient satisfaction scores increased from

84% to 100%. Rounding became a part of the culture and integrated

into all aspects of perianesthesia nursing care. The unit continues to

monitor quarterly satisfaction scores to sustain excellence in patient

care.

TRANSFORMING PATIENT EDUCATION AT THE BEDSIDE,ONE SURGERY AT A TIMEJudy McMahan, RN, BSN, CAPA, Joan Vater, RN, CAPA,

Mary Lou Rigdon, RN, CAPA, Sharon Hay, RN, Melissa Thomasson, RN,

BSN, Andrea Jordan, RN

The Christ Hospital, Cincinnati, OH

Our Same Day Surgery unit recently began using the Press Ganey Patient

Satisfaction surveys. We successfully improved ‘‘informed about delays’’

(lowest score). We struggled with the next lowest score- ‘‘information re-

ceived day of surgery.’’ When calling post -op patients we found dissatis-

faction that most of the pertinent information regarding self/home care

was given post-operatively. Neither patients nor families could absorb

this amount of teaching at the end of a long day. After a literature search,

our Patient Satisfaction Committee found several articles which ad-

dressed this problem. We decided on an approach based on the PDSA

(Plan, Do, Study, Act) model of implementation.

Members of this committee and Unit Council each decided on one sur-

gery to research and find best practices both pre-op and post-op. We

had 5 min. huddles with a few staff nurses at a time to obtain feedback

about each surgery and tap into their particular expertise. Instructions

were revised as a result.

We compiled this information into a ‘‘book,’’ which we placed through-

out the unit.

Having standardized instructions increased our patient satisfaction

scores. Staff feels confident that they are informing patients and families

according to best practice. A post project survey indicated higher job sat-

isfaction after implementation of standardized instructions. We also ob-

tain feedback from patients with the post-op phone call.

STANDARDIZATION OF HANDOFF REPORTING IN SAMEDAY SURGERYPat Messerich, B.S.,R.N.,CPAN CNIII

The Queen’s Medical Center, Honolulu, HI 96813

Background: Inconsistencies in handoff reporting and concerns about

patient safety in Same Day Surgery (SDS) provided the impetus to de-

velop a standardized communication tool.

Objective: To ensure patient safety in the perioperative arena by stan-

dardizing our nursing practice through incorporation of ASPAN Stan-

dards and Joint Commission National Patient Safety Goals.

Process: A handoff report form was developed in collaboration with all

staff members working in the SDS unit. Prior to implementation, the new

tool was piloted, revised and approved by Unit Council. Staff meetings

were held to disseminate and inform all involved staff working in Pre-op,

Operating Room, Phase I, and Phase II, of the new handoff report tool.

Success: A standardized handoff report now accompanies each patient

throughout the preoperative process.

Implications: Patient safety is supported through utilization of a stan-

dardized communication tool when delivering handoff reporting for

our patients within Same Day Surgery.