Two of KP Fresno\u2019s geriatric-certified nurse\u2019s recently had the opportunity to present at the National American Delirium Conference in Sacramento in June. Clinical Nurse Specialist Krystal Pombo, MSN, RN, CNS, AGCNS-BC, Adult Services, and Staff Nurse III Danny Nguyen, RN, BS, Gero-BC, Telemetry, shared findings from an evidence-based performance improvement project focused on cognitive health.<\/p>\n
\u201cThe project involved a sleep assessment of patients upon admission or each morning,\u201d Nguyen said. \u201cThe nurses ask about their sleep, whether they got a lot, some or little. If the patient had poor sleep, there is a sleep menu the Geriatric Committee revamped that includes offering a lavender towel, eye mask, ear plugs, dimmer lights, or medication like melatonin. Lack of sleep plays a big role in delirium.\u201d<\/p>\n
Nguyen said that if a patient reports severe sleep deprivation, the team works with physicians to determine what else they can do to help improve sleep outcomes. Sleep deprivation can be a factor that contributes to delirium which can cause medical complications or a worsening of symptoms.<\/p>\n
The sleep assessment project has been implemented in Med-Surg, Telemetry and Critical Care Unit.<\/p>\n
Since this project was implemented, Pombo said patient sleep assessment completion increased from 35.3% to 95.7%. The patient-reported sleep quality improved from 76.6% to 86%.<\/p>\n
\u201cThis work aligns with facility initiatives specific to the Senior Surgical Care Program as well as our recent recognition as a level 2 Age-Friendly Health System,\u201d Pombo said.<\/p>\n
For Nguyen, he was proud to represent KP Fresno and the Geriatric Committee\u2019s work at the conference.<\/p>\n
\u201cIt was an amazing experience and gave me a bigger picture about why we need to do the research and quality improvements in these areas to advocate for our patients,\u201d Nguyen said. \u201cBecoming a certified geriatric nurse gave me the opportunity to learn about our older population. This education gives me a better insight into providing individualized care, and about the age-related disease process. I\u2019m thankful for the opportunity to learn, grow and expand my knowledge. I wanted to give back to the elders who once took care of us.\u201d<\/p>\n
Sleep Assessment
\nPurewick (regional CNS project)
\nUltrasound-Guided IV Training<\/p>\n
Geriatric Escape Room
\nImproving Registered Nurse National Certification at KP-Fresno
\nGamification to Enhance Staff Satisfaction
\nSecure-A- Cath
\nGeriatric Symposium
\nGeriatric Care Cart
\nCCU -Competencies-Various Teaching Strategies
\nEnd Tidal CO2 in PACU<\/p>\n","protected":false},"excerpt":{"rendered":"
Two of KP Fresno\u2019s geriatric-certified nurse\u2019s recently had the opportunity to present at the National American Delirium Conference in Sacramento in June.<\/p>\n","protected":false},"author":1,"featured_media":1433,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[57],"tags":[],"ncal_area":[69],"site_only":[],"report_year":[58],"class_list":["post-1539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-new-knowledge-innovation-improvements","ncal_area-fresno","report_year-58","entry","has-media"],"yoast_head":"\n