In patient meeting

[Virtual Presenter] Good morning everyone. It is an honor to be here today to discuss Bryan Bunderson's successes and failures in patient care and customer training and onboarding. During this presentation, I will be examining Bryan's successes, such as the press Ganey satisfaction score of 100%, pump and medication scanning above 90%, and successful transition with bariatric surgeries, as well as his failures, such as an increase in falls and injuries, medication errors, difficulty with pain control, disorganization in OR readiness, and patients sent home without Home health services. Let us begin..

[Audio] The news regarding spines patients is a mix of good and bad; however, their preferred medication can still be used for pain relief. Orthopedic patients must be prescribed ample ambulatory time, Williams and Taunton's prescribed pain medications, follow physical therapy instructions, and adhere to fall prevention protocols. Bariatric patients must be monitored for inputs/outputs, flatus, bowel movements, and receive strict fluid instruction. To further improve our team, we welcome Josh Wiltz, Cheyenne Berry, and Rebekah Shuh into the fold. With the end of this year comes a few obligations such as deadlines for talent RQI and self-evaluations, plus quality updates including a new narcotic process, identification bands, and OR readiness. Lastly, there are numerous topics requiring attention such as care team insight surveys, DME Hoyer and BSC, on call MDs, EMTALA, charge nurses, dropped calls, meals for patients, safety surveys, and medication side effects..

[Audio] Our focus on providing quality care to our patients has been rewarded with outstanding results: for the past 6 months, patient satisfaction scores have been at a perfect 100%. We have also seen a consistent pump scanning rate of over 90%, and a medication scanning rate above 98%, despite the volume of medications administered. Moreover, the number of call-ins this year has been minimal, and our documentation of fall safety measures has been higher than expected. On top of that, the transition to bariatric surgeries has gone very smoothly. I'm proud to report these impressive results, which are a testament to our staff's dedication to quality patient care..

[Audio] Despite some good news, there are serious issues that need to be resolved. There have been an increase in falls and medication errors, such as wrong medications and incorrect doses of narcotics. Post surgical patients are not being properly mobilized, and pain control has yet to be properly addressed. There have also been cases where patients were not ready for surgery coming from the floor, with two sent home without proper armbands. Further, there have been issues with home health and input/output issues with bariatric patients. It is of utmost importance to address these issues in order to ensure the safety and wellbeing of our patients..

[Audio] When medicating spine patients, orders given by the charge nurse or physician should always be followed and the first-choice medication should be used. After administering the medication, the patient's pain should be reassessed. As a reminder, setting an alarm on a phone can be beneficial to not miss out on this important task. The table provided contains a list of first-choice medications along with instructions to stay in contact with the provider if any questions arise..

[Audio] Complying with the physician's orders is essential when it comes to the ambulation of patients. Specifically, Doctor Taunton's patients ought to be walked in the hall, and Doctor Williams' patients should only ambulate inside the room. To keep the patient's pain at an acceptable level, we should frequently assess it and use intravenous and oral medications if necessary. PT will give us guidelines and restrictions regarding the ambulation of patients; if unsure, it is best to inquire before taking a step forward. Moreover, we should make sure that the walker used for the patient has the correct height, and that no patient is ever left by themselves in the bathroom. When ambulating a patient, wearing a gait belt is recommended; if deemed necessary, the door of the bathroom should be left ajar and the staff should stay outside..

[Audio] Accurately charting all intake and output, as well as any gas that is passed, is essential when caring for bariatric patients. It is important to remember that strict fluid restriction is always in effect for this type of patient, and patient education should be continuously reinforced to ensure compliance. In addition, it is beneficial to encourage frequent ambulation which allows the patient to be out of bed for meals. If any questions arise, be sure to contact the surgeon rather than trying to guess the answer..

[Audio] We have three new members joining us: Josh, Cheyenne, and Rebekah. They are here to help us work more efficiently and effectively. So let's all do our part to make them feel welcome and part of the team. To help them get to know us all better, let's take a few moments to go around the room introducing ourselves..

[Audio] Ensuring that all of your talent assignments, RQI, and self evaluations are completed is essential for taking part in the year-end profit sharing. Ensure that your talent assignments are complete within the next two weeks, and note that RQI is due by December 31st with no exceptions. Self evaluations also need to be completed within the next two weeks. Do not hesitate to meet these important deadlines..

[Audio] As discussed, it is critical to be aware of the quality issues that impact our patient meetings. All narcotics discrepancies must be investigated and tracked, and any narcotics need to be wasted within 30 minutes of being removed. All patients must have an ID and allergy band, without exceptions, and any patient being taken to the operating room must have their consent signed, an IV access, and be wearing a gown with all jewelry removed. Additionally, script pads must be kept in the pyxis and not at the nurse's station, and any notification of a physician should be noted under MD notification in CC. Following these protocols will allow us to ensure a high level of patient safety..

[Audio] During patient meetings, it is essential that everyone receives the best care. To accommodate this, new bedside commodes must be replaced and slings for the Hoyer lift must be prepared. All patients must remain in the emergency room to avoid any EMTALA violations. The charge nurse must also be informed of changes that occur and of any calls that are transferred. It is important to inform patients and their families of any potential side effects of medications. Additionally, it is essential to keep noise levels in the nurse station low in order to reduce patient complaints. Finally, the care team insights survey must be completed between Dec 1-Dec 15 with results to be shared..

THANK YOU. Questions?. PRESENTATION TITLE. 12.