Lehigh Valley Health NetworkLVHN Scholarly Works

Patient Care Services / Nursing

Dialysis Communication RecordPaul Howells RN,BSN,MBA,CNN

Susann R. Groller RN, BSN, MBALehigh Valley Health Network, Susann.Groller@lvhn.org

Follow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursing

Part of the Nursing Commons

This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.

Published In/Presented AtHowells, P., Groller, S. (2010, May). Dialysis Communication Record. Poster presented at: The American Nephrology NursesAssociation National Symposium, San Antonio, TX.

Dialysis Communication RecordRenal Dialysis Center

Lehigh Valley Health Network, Allentown, Pennsylvania

Pre-Game Warm-Up: A Winning Season:

References• Amato-Vealey,E.J.,Barbara,M.P.,Vealey,R.(2008)Hand-off

Communication:ARequisiteforPerioperativePatientSafety.AORN Journal,88,763-775.

• Forsythe,L.,Persaud,D.,Swanson,M.,&Stierman,C.(2008).Smoothingtheprocessofhand-offcommunication.OR Nurse Journal,February,56-61.

A Losing Season:

The Previous Form

Gap Analysis

Rationale for Revision of Form

New Dialysis Communication Record•Duringatwoweekobervationperiodthefollowing

trendswerenoted: -PhosphateBinderswerenotgivenwithmeals

-CarbohydrateCountingInsulinCoveragewasnotgivenpriortopatientarrivalindialysis

-Refrigeratedmedications,skincareproducts,orspecialtycareitemswerenotsentwithpatient

-Dialysisstaffwasnotawareofpatientsrequiringair-borneisolation

-TheexistingDialysisCommunicationSheetwasalteredbynursingunits

A New Playbook:

•JCrecommendationonhand-offcommunication•Enhancecultureofsafety•Createconsistentpracticesatallsites•Createstandardizedhand-offmethodandform•Ensureconsistencyinadministrationofmedications -Insulin -PhosphateBinders•Ensurerequireditemswould

accompanythepatienttodialysis

-Chart -Medications -Skincareproducts