Successful Discharge Care
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Transcript of Successful Discharge Care
Successful Discharge Care
Amanda Thompson, RN BN Safer Healthcare Now!
Coordinator
Our Story
• Population served approx. 5,000 primarily, elderly clients
• 96% of admissions through ED
• Notre Dame Bay Memorial Health Centre has 49 beds
• Providing service to Twillingate and 16 other small communities
Aim Statement
• To decrease our mortality rate by 20% by implementing all 6 elements over the next 6 weeks
• Very ambitious goal• Very ambitious team
Aim Statement
• We wanted to have perfect discharge care
• Having all the components • Road to recovery
• SHN Coordinator• ER Physician• Nurse Manager• Floor Nurse• Education Coordinator• Pharmacy Representative
Our Team
Creating an Environment of Change
• Staff Education• Public education• Form changes• Statistics• Resources already
available
Beta Blockers on Discharge
90% 90%
0%
20%
40%
60%
80%
100%
Percentages
Beta Blocker on Discharge
% Received
Goal
ASA on Discharge
90% 90%
0%
20%
40%
60%
80%
100%
Percentages
ASA on Discharge
% Received
Goal
ACE or ARB on Discharge
60%
85%
0%
20%
40%
60%
80%
100%
Percentages
ACE on Discharge
% Received
Goal
Statin on Discharge
66.66%
90%
0%
20%
40%
60%
80%
100%
% Received Goal
Statins on Discharge
Challenges
• Smokers helpline
• Computer systems
• Documentation
• Buy in
• Education
• Changing thought process
Lessons Learned
• Change is hard• Buy in required• Education is the
key• The desire to
know
Where are we now?
0%
20%
40%
60%
80%
100%
Beta Blocker ACE or ARB ASA Statin
Discharge Medications
What’s Next
Continue to: »Monitor»Information»Compliance reports
We have changed the way we treat
AMI patients in Twillingate, and have paved the way for the rest
of the region.
Contact Information
Amanda Thompson, Safer Healthcare Now! Coordinator
Central HealthGrand Falls-Windsor, NLPhone: 709-292-2647Email: [email protected]
Thank You!