Presentation is loading. Please wait.

Presentation is loading. Please wait.

Nurse Practitioners arent built in a day. Anna Green Nurse Practitioner – ICU Liaison Nurse Practitioner Project Officer Western Health, Australia.

Similar presentations


Presentation on theme: "Nurse Practitioners arent built in a day. Anna Green Nurse Practitioner – ICU Liaison Nurse Practitioner Project Officer Western Health, Australia."— Presentation transcript:

1 Nurse Practitioners arent built in a day. Anna Green Nurse Practitioner – ICU Liaison Nurse Practitioner Project Officer Western Health, Australia

2 Map of Australia Melbourne

3 Leadership core competencies Visionary Idea Commitment Energising Empowerment McLeod J. Leaders arent built in a day. Human Capital Issue 3.1: 24-27

4 ICU Liaison Nurse Role Case-Manage patients post ICU discharge Accept referrals for unstable patients Rapid Response System - respond to clinical marker referrals

5 ICU Liaison hours worked Two full time EFT 7 day a week cover 8am to 6pm One day a week allocated to non clinical work Research Leadership Education Meetings/Committee Working towards 24 hour service Expanding service throughout the network

6 Leadership development Internal Leadership skills Self External 19961998

7 Goal achievement 2004 Australia's First Critical Care NURSE PRACTITIONER

8 Three Fundamental Problems Failure to Rescue Failure in planning Failure to communicate Failure to recognise deteriorating patient condition http://www.ihi.org

9 What is a Rapid Response System? Medical Emergency Team Outreach Team MET & ICU Liaison Service ICU Liaison Team

10 What are these warning signs? Altered CNS Fall in GCS of >2 points Heart Rate >120 per minute Systolic blood pressure <90mm Hg Respiratory Rate >30 breaths per minute Sa02 >90% on oxygen Difficulty in breathing UO <60mls for 2 hours Worried Staff (Green & Williams 2006)

11

12 What difference Can a NP led Rapid Response Team Make? Fast Track Patients to the ICU Decreased cardiac arrest calls Increased medical emergency calls Improved survival for medical emergencies +/- reduction in readmissions (Ball et al., 2003; Pittard, 2003) +/- reduction in ICU patient mortality (Ball et al., 2003; Garcea et al., 2004; Priestly et al., 2004) +/- decrease ICU LofS (Green & Williams, 2006)

13 Survey Responses Clear Guidelines Back-upSupport Prompt (Green & Williams, 2006)

14 Survey Response Disagreement with parameters Poor response from MO when called Overstepping boundaries Increased workload for ICU MO Further education (Green & Williams, 2006)

15 What extended practices do I need Referral to ICU consultants Ordering of diagnostic tests Ordering of radiological tests Limited prescribing rights Admission / Discharge

16 ICU Liaison – extensions to practice Clinical Practice Research Education Conference Policy Management Counselling Limited Prescribing Direct referral to Medical Specialists Admit / Discharge Initiate Diagnostics

17 Reflecting on my achievements Pioneered the ICU Liaison Role Implemented Nurse-led Rapid Response Team Australias 1 st Critical Care NP Published 5 Papers National / International Guest Speaker Founding Member of the Victorian NP Group

18 Future Endeavour's Expansion Succession Planning Victorian NP Group Australian Network

19 Concluding remarks: leadership tips for the Nurse Practitioner Reenergize via successful results Leave your comfort zone Do not avoid conflict Benefit the organisation Recognise when change needs to occur and acting upon it


Download ppt "Nurse Practitioners arent built in a day. Anna Green Nurse Practitioner – ICU Liaison Nurse Practitioner Project Officer Western Health, Australia."

Similar presentations


Ads by Google