Reason for Action: Nurse Managers cannot alone drive quality goals and strategic alignment. Charge Nurse/ Clinical Resource Nurses are 24/7 extension of leadership but need to be mentored with alignment of goals. Mentoring Charge Nurses/Clinical Resource Nurses to be an extension of the Nurse Manager/ Director can bring ownership of strategic goals to the bedside of every shift. Goal: • Create 24/7 directive leadership for bedside caregivers and quality outcomes with mentorship Plan: • Create standard work to start each shift with mentorship and directive leadership between the Director/Manager and the Charge Nurse for the next 12 hour shift. • Align the standard work to support the strategic mission of the hospital • Provide proactive discussion around potential issues the CRN might be facing for the shift that will identify solutions for prevention Do: • Meet with each Charge Nurse at the beginning of the shift and review the checklist • Create the expectation and mentor any issues that the Charge Nurse might be facing for the shift • Address any risks to quality, safety or staffing proactively Check: The Charge nurse leaves the status check aware of his/her focus for the shift and is equipped with solutions to any risks. The Nurse Manager leaves with a better understanding of the unit for the shifts and where he/she may step in to impact the outcomes 20160531_1215 Act: Status Check: 0 2 4 6 8 10 12 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014 2015 Rate of CAUTI/1000 Foley Days, 3rd Med Surg CAUTI NDNQI Mean 86 88 90 92 94 96 98 2015 Scan Rates of MedicaBons, 3rd Med Surg Scan Rates of MedicaCons Target 0 0.2 0.4 0.6 0.8 1 1.2 2015 Incidence of PotenBally Preventable Postop VTE, 3rd Med Surg VTE Target 0 0.2 0.4 0.6 0.8 1 1.2 1.4 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014 2015 Rate of CLABSI/1000 Central Line Days, 3rd Med Surg CLABSI NDNQI Mean 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014 2015 % of surveyed paBents with Hospital acquired Pressure Ulcers Stage II and above, 3rd Med Surg Pressure Ulcers NDNQI Mean 0 1 2 3 4 5 6 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 2014 2015 # of Falls with Injury/1000 PaBent Days, 3rd Med Surg Falls Falls with Injury NDNQI Mean Total Falls NDNQI Mean Falls with Injury Clinical Resource Nurse M T W T F Recognition Title: Shift Status Checks; Mentoring Shift Leaders to Drive Outcomes Author: Tasha Frisinger RN MSN CNML Hospital: Rapid City Regional Hospital City: Rapid City, SD Email: [email protected]