1. Plan Your Road Trip: An Algorithm for Safety Presented by: Rebecca Shutts BSN Kathleen Carey MSN, CNS Kevin Hamel RN

2. Objectives Increased understanding of a safe method of intra-hospital transport for PCU patients utilizing the appropriate staff and equipment. Describe our process of sharing data with staff to hardwire an existing process.

3. Concerns “ I am off the unit for hours at a time with a stable patient, and I have to leave my other patients with a covering RN.” “I have all of my patients and all of his / her patients so I can’t possibly teak a break right now” “ I can’t be in two places at once.”

4. The Purpose To ensure patients traveling to other departments for testing and / or procedures are accompanied by the appropriate personnel and equipment. To decrease number of hand of off care reports throughout the day. To increase availability of critical equipment and personnel.

5. Methods Data Collection Research Collaboration

6. The Algorithm

7. Policy development House-wide Education Implementation Methods

8. Results 96.4 Hours 64.18 Hours 34.25 Hours RN Hours off PCU

9. Conclusion Successful implementation of a risk stratified approach to patient safety with 100% compliance. Decreased the number of hand of off care reports throughout the day. Increased availability of critical equipment and personnel. Increased staff satisfaction while decreasing the need for additional FTEs.

10. Future Opportunities Insulin drip patients Patients who have received thrombolytic therapy Educating new nurses Examining criteria Expanding to other units

11. Questions?? Rebecca Shutts RN, BSN, PCCN, WCC Email: rshutts@cvph.orgrshutts@cvph.org Kathleen Carey RN, CNS-BC Critical Care, CCRN Email: kcarey@cvph.orgkcarey@cvph.org Kevin Hamel RN Email: khamel@cvph.orgkhamel@cvph.org

12. References 1.Mayer NJ. Transporting telemetry patients: an algorithm enables safe patient transport without an RN or monitoring. Am J Nurs 2009;109 (11):35-37 2.Larson, TS, Brady WJ. Electrocardiographic monitoring in the hospitalized patient: a diagnostic intervention of uncertain clinical impact. Am J Emerg Med 2008;26(9):1047-55.