Innovation Profile - Mghpcs.org

Innovation Unit Profiles – Phase II
MGH Innovation Unit: Blake 7/Medical ICU
Core Interventions
Relationship-Based Care
Attending Nurse Role (ARN)
SBAR Handover Rounding
Guideline
Operationalization
Tactics to hardwire the philosophy of relationship-based care
(e.g. patient/family included in patient rounds and plan of care):
Patient and family will be included in plan of care, including
patient/family meetings and families participating on rounds
Family presence during codes
Continue open visitation hours
Focus on transition of care, i.e. visiting patients after
transfer from unit
Continue patient/family diary
ARN assignment: 18 # ARNs day/eve: 1
Shifts covered: 8 hour days Days of week: Mon-Fri
Primary functions:
Start discussion of estimated transfer date at admission
Coordination of care amongst interdisciplinary team
Provide patient/family orientation to MICU’s RBC model
Establish patient relationship across trajectory of care
Enhance patient/family experience
SBAR Handover Rounding Guidelines will be used for:
Shift to shift report at the bedside
Transfer of patients
Patient issues
Key Pre-Admission/Admission
Data
Upon admission, estimated discharge and transfer dates
will be estimated
Innovation Unit Patient and
Family Notebook for Patients
and Families
Domains of Practice
Interdisciplinary Team Rounds
Nurse to review packet with the patient and/or family upon
admission. ARN to encourage its daily use by patient, family
and care team.
MICU diary for patients and families will continue to be
distributed
Maximize scope of service for all of the health care disciplines.
Unit staff nurses are responsible for daily care of patients.
ARN is responsible for trajectory of patient and care
coordination with the team.
Time of rounds: 8:00am
Role groups to participate:
ARN, Nurses, Respiratory, Case Manager, Chaplaincy, PT,
Physicians, SW
White Boards
Electronic
Strategically placed on unit to facilitate patient placement,
discharge planning, throughput, etc.
In Room
Meeting to determine optimum location
Update daily with nurse name and patient goal(s).

Innovation Unit Profiles – Phase II
Voalte Communication
Toughbook utilization by ARNs
Facilitates timely two-way communication.
Will utilize as soon as available
Uses:
SBAR Handover Rounding Guidelines
Discharge readiness tools
Implement Discharge Follow-up
Phone Calls
Quiet Hours
N/A – patients not discharged from MICU
Efforts to minimize/reduce noise and interruptions in patient’s
environment.
Increase staff awareness of noise
Establish Quiet time: 3-5pm, 10pm – 6am
Discharge Readiness Tool
N/A
Unit-Based Interventions
Operationalization