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Why I Wake                                                                                                                The unit staff developed an            were colorful, with the slogan         tool to facilitate necessary

                                                                                                                                                                       and a small amount of
                                                                                                                                information sheet that could be
                                                                                                                                                                                                              conversations, as well as to
                                                                                                                                handed out and reviewed with
                                                                                                                                                                                                              patient safety. This educational
                                                                                                                                the parents upon admission             information. They didn’t want          foster parental partnership in
                                                                                                                                                                       them to be too overwhelming
     You Up                                                                                                                     and reinforced throughout the          with information but rather to         tool demonstrated an increase
                                                                                                                                                                       spark questions and conversation
                                                                                                                                child’s stay. This would engage
                                                                                                                                                                                                              in patient satisfaction scores on
                                                                                                                                the nurses in partnering with the
                                                                                                                                parents, and help them explain         with the healthcare team.              the Press Gany question “staff
                                                                                                                                                                                                              concern to make your
                                                                                                                                                                       When finalized, the cards were
     at Night                                                                                                                   the differences in their nursing       copyrighted as well.                   stay restful”.
                                                                                                                                care during day and night shifts,
                                                                                                                                stressing the importance of
                                                                                                                                overnight assessments. Their                                                  Patients satisfaction was
                                                                                                                                                                                                              increased and perception
                                                                                                                                goal was to increase parental                                                 of restfulness improved by

     Kara Fitzpatrick, BSN, RN                                                                                                  knowledge and satisfaction                                                    educating the families ahead
                                                                                                                                regarding their child’s experience                                            of time about the necessary
     Charlotte Smith, MSN, RN, NE-BC                                                                                            on the night shift.                                                           disruptions at night in the

     Marjorie Solferino Transou, BSN, RN                                                                                                                                                                      hospital. This initiative has since
                                                                                                                                As part of the information sheet,      The information cards where            gone hospital-wide at Cohen’s
                                                                                                                                they created the slogan “Why I         distributed to patients and            and enables the nurses to provide
                                                                                                                                Wake You Up at Night” to help          families on the hematology             safe and comprehensive care
                                                                                                                                translate this information to          oncology unit. The nurses found        at night without sacrificing the
                                                                                                                                patients and families.  The cards      this to be a useful instructional      patient’s satisfaction.











                                                                                                                                                                        Current

                                                                The hematology oncology unit at Cohen Children’s                                                        Nurse Manager
                                                                Medical Center is a busy unit where patients stay                                                        Cardiac Cath Lab
                                                                for extended periods of time for treatment of                                                           Lenox Hill Hospital
                                                                conditions requiring chemotherapy, transfusions
                                                                of blood products and antibiotic therapy. As part of                      2016
                                                                these treatments, nurses need to perform necessary
                                                                assessments during the night, such as intravenous                          Assistant Nurse Manager
                                                                (IV) site checks and vital signs. Now, nobody likes to                     CTICU/Step Down              2012
                                                                be woken up, especially to be poked and prodded                            Lenox Hill Hospital
                                                                by a nurse. If you’re the parent of a sick child, this                                                  Staff Nurse
                                                                can be particularly upsetting. Even though our                    2011                                  Cardiothoracic ICU
                                                                nurses would inform parents of the importance of                                                        LIJ Medical Center
                                                                these interruptions, we felt parents deserved more                Staff Nurse                                                            Hazel Pinto, RN
                                                                continuous reinforcement of this information.                     Respiratory Care Unit
                                                                                                                                  LIJ Medical Center


      8     Northwell Health                                                                                                                                                                                     The Rounds  •  Volume 1, 2017      9
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