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“Tuck in” rounding


                                                                                                                                Because we want to continually improve the
                                                                                                                                patient experience at Glen Cove Hospital, we
                                                                                                                                created “Tuck In” rounding as a way to reduce
                                                                                                                                noise. What does “TUCK IN” stand for?


                                                                                                                                     T           Toilet - Ask the patient if they need
                                                                                                                                                 to use the bathroom or address any
                                                                                                                                                 toileting needs






                                                                                                                                                 need to get comfortable, pain or
     Glen Cove Hospital                                                                                                             U            Unwind - Ask the patient what they                 John Meister, RN
                                                                                                                                                 sleep medication, extra pillows or
     Collaborative Care Councils – made                                                                                                          blanket, water or tea, TV on or off,
                                                                                                                                                 and offer the patients a back rub
                                                                                                                                                 with provided lotions.                            Current
     for making a difference.                                                                                                                    Call Bell - Be sure to make the                   Director
                                                                                                                                     C           call bell in an available and                     Advanced Practice Nurses


                                                                                                                                                                                                   LIJ Medical Center
                                                                                                                                                 comfortable place.
     The Collaborative Care Councils (CCC) at Glen Cove         The process is based off the SIRS threshold for
     Hospital are helping to redefine quality care. Last        patients with hospital acquired CDIFF.  Currently,                                                                                                  2004
     year, the Collaborative Care Council in the Rehab          Glen Cove is under the threshold for hospital                                    Keep the door open or closed?                                      Heart Failure Nurse Practitioner
     unit completed a very successful project last              acquired CDIFF.  Going forward they will be following               K            If the patient is alert and oriented                               LIJ Medical Center
                                                                                                                                                 ask if they have a preference.
     year called “Pressure Ulcer Risk and Reduction”            up on medication education to patients, especially
     (PURR). As a result, the hospital was able to reduce       upon discharge.
     hospital acquired pressure ulcers by 50%.  This
     year, their CCC is working on reducing CAUTI’s. The                                                                                         Implement quiet time hours -                     1991
                                                                                                                                                 Communicate with the patient that
     strategy is to remove Foley as early as possible and       Caring for each other with                                            I          after 10pm the unit has effective                Assistant Nurse Manger
     performing bladder scans and straight caths as per                                                                                          quiet hours to promote sleep                     LIJ Medical Center
     doctors’ orders.  They had an abstract for a poster        Team Lavender.                                                                   and healing.
     presentation accepted at a national conference on
     safety in rehab hospitals.  RN Jennifer Guertin and        Team Lavender is an interdisciplinary group created                              Need and Thank - Close out with                                 1985
     her manager Alexis Alexander will be attending the         to address the emotional needs of employees at Glen                 N            asking what else the patient needs
     conference this week to present their poster.              Cove Hospital during times of crisis, stress or trauma.                          before exiting and thank them.                                 Registered Nurse
                                                                It is essentially a rapid response team for caregivers,                                                                                         LIJ Medical Center
     The Collaborative Care Council in Telemetry and CCU        offering them emotional, spiritual and physical
     is currently expanding on its already existing project     support while providing opportunities to discuss
     for the CDIFF initiative.  They are collecting data        feelings and explore coping mechanisms. It also gives           Other than our "Tuck In" rounding, we will also be            1984
     and reviewing it every three months for all patients       employees access to additional support resources.               working on environmental noise reduction such                 Registered Nurse
     currently taking or new to Proton Pump Inhibitors to       We’re committed to caring for our people so they can            as reducing noise from IV pumps, reducing ring-               LIJ Medical Center
     see if they are at risk for hospital acquired CDIFF.       care for others.                                                er volume on phones, addressing door noise and
                                                                                                                                educating the patient about headphone option for
                                                                                                                                the television.
      12     Northwell Health                                                                                                                                                                                   The Rounds  •  Volume 1, 2017      13
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