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G

s al I s b lo

ues in Nursing & Hea

Transformational Leadership

Structural Empowerment

Empirical Outcomes New Knowledge, Innovations, & Improvements

lth

Ca re

Exemplary Professional Practice


ironment v n E Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


Env

ironment

Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


Env

ironment

Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


2007 - 2008 NURSING VACANCY & TURNOVER RATES

12.00% 10.00%

9.70% 7.60%

8.00% 6.00%

5.98% 3.93%

4.00% 2.00% 0.00% 2007 RN TURNOVER RATE

2008 YTD RN VACANCY RATE


Env

ironment

Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


Efforts of the interdisciplinary falls team, coordinated by the Nursing Division have included an increase in weekend staffing, implementation of hourly rounding, and improved patient education. Improved communication, including standardized shift-to-shift reports, debriefing post-fall, and unit-based report cards have also assisted in a steady reduction of the inpatient fall rate at HSS.

Rate of Falls & Falls with Injury 3.5 3

3.2 2.7

2.5

2.4

2

2.0

1.5 1 0.5 0

0.18 1st Q. 08

0.07 2nd Q. 08 Falls

0.08 3rd Q. 08

0.23 4th Q. 08

Falls with Injury

There was a steady decrease in the rate of inpatient falls, from 3.2 during the 1st quarter, to 2.0 in the 4th quarter of 2008. The rate of patient falls with injury is very low, and was consistently below 1% for each quarter of 2008.

SATISFACTION WITH NURSING CARE 92


Nu rse Frie ndl ine ss so fR esp ons e to Ca lls Att ent ion to S pec ial Ne eds Att itud e to wa rds Re que sts Ke pt P atie nt I nfo rme d

Nu rse sS kill Ov era ll R atin go fR NC are

Pro mp tne s

SATISFACTION WITH NURSING CARE

92

90

2007

88

2008

86

84

82

80

78

76


2008 Total Education Attendees = 7,686 Orientation

CPR Continuing Education Grand Rounds

Perioperative Inservice Patient Safety Inservice

Pilot Programs Redesign of Care

e office of Professional Development provided on-site education to 7,686 nursing staff in 2008. œNew RN orientation (202)

œCPR Heartsaver/BLS recertification training (265)

œContinuing Education programs (93)

œGrand Rounds presentations (104)

œPerioperative Patient Safety in-service initiatives (3,947)

œInpatient Patient Safety in-service initiatives (2,533)

œUnit-based pilot programs(451)

œRedesign of Care at the Bedside training (91)

sing staff also attended several national conferences in 2008, which include,


Env

ironment

Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


Env

ironment

Management Governance

Professional Relationships

Values

Recognition Reward

Care Delivery


HSS 2008 Nursing Annual Report  

Hospital for Special Surgery Department of Nursing 2008 Annual Report

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