Friday, July 13, 2007
This presentation is part of : Transforming Care at the Bedside: Evidence-based Practice in a Community Hospital
The Seton 1 TCAB Story
Marilyn Jordan, BSN, RN, Nursing, Our Lady of Lourdes Memorial Hospital, Inc, Binghamton, NY, USA

Seton 1, a cardiovascular telemetry and designated stroke unit, was the first medical unit to which TCAB was spread at Lourdes. Baseline and ongoing measures are the same as those for 3 West: time and motion studies; satisfaction surveys completed by members of all disciplines; fall, pressure ulcer and adverse drug event rates; RN vacancy rate; staff turnover rate; patient satisfaction scores; and nursing hours per patient day. This unit also was selected as a demonstration unit for the Institute for Healthcare Improvement (IHI) TCAB project. 


The TCAB goals on this unit are to:  improve patient and nursing satisfaction by increasing nurse-to-nurse communications to better facilitate patient care and improve patient outcomes; decrease time spent “hunting and gathering” materials and equipment; and create a more pleasant, comfortable and efficient working environment.


Examples of innovations include, but are not limited to the following: nurse aide safety rounds and hiring a cardiac monitor technician (Safe and Reliable Care); daily multidisciplinary rounds and weekly “Time out for TCAB”sessions (Vitality and Teamwork); daily “Quiet Time” (Patient Centeredness); and phone in medication room along with relocation of supplies (Efficiency).

 Outcomes achieved include, but are not limited to the following:  Fall rate less than 0.0060; pressure ulcer rate less than 0.0020; adverse drug event rate less than 0.0025; RN vacancy rate remaining at 0; voluntary staff turnover rate remaining at 0; and increased patient satisfaction.