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The Surgical Care Improvement Project (SCIP) Teri Ransbury, Admin. Director Quality & Risk Management / Infection Preventi...
Corona Regional Medical Center <ul><li>Began in 1933, with the founding of Corona community hospital </li></ul><ul><li>Mer...
Corona Regional Medical Center <ul><li>300 physicians representing more than 40 specialties </li></ul><ul><li>71% of our p...
 
<ul><li>STAFF EDUCATION </li></ul><ul><ul><li>Monthly nursing staff meetings </li></ul></ul><ul><ul><li>Medical staff meet...
<ul><li>SCIP/ CORE MEASURE TEAM   </li></ul><ul><ul><li>Biweekly Meetings </li></ul></ul><ul><ul><li>Members: </li></ul></...
<ul><li>INCLUDES: </li></ul><ul><li>Discontinuation  of prophylactic antibiotics  within 24 hours  (the pharmacy places ST...
<ul><li>Green Sticker </li></ul><ul><li>Documents reasons for not discontinuing prophylactic antibiotics </li></ul>DEVELOP...
<ul><li>SCIP LABEL </li></ul><ul><li>Post-op charts are identified. The sticker is placed in front of the chart. </li></ul...
Foley Necessity Sticker
<ul><li>Letters to the Nurses and Physicians </li></ul><ul><li>Nursing champions for each unit </li></ul><ul><li>Communica...
<ul><li>Develop  SCIP/Core Measure Bulletin Boards  </li></ul><ul><ul><li>Posted monthly with colored graphs  </li></ul></...
<ul><li>Preoperative pre-printed orders </li></ul><ul><li>Core Measure Checklist </li></ul><ul><li>Prophylactic Antibiotic...
Adult Surgical Antibiotic Prophylaxis Orders <ul><li>Appropriate Antibiotic according to Procedure  </li></ul><ul><li>With...
Adult Venous Thromboembolism Prophylaxis Orders
Post-Op Total Joint Orders <ul><li>Includes Appropriate Antibiotic  </li></ul><ul><li>Discontinuation within 24 hours </li...
<ul><li>And  </li></ul><ul><li>the journey  </li></ul><ul><li>continues…… </li></ul>
SCIP <ul><ul><ul><li>QUESTIONS  ??? </li></ul></ul></ul>
<ul><li>THANK YOU </li></ul>
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The scip core measures journey

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The scip core measures journey

  1. 1. The Surgical Care Improvement Project (SCIP) Teri Ransbury, Admin. Director Quality & Risk Management / Infection Prevention / Medical Staff
  2. 2. Corona Regional Medical Center <ul><li>Began in 1933, with the founding of Corona community hospital </li></ul><ul><li>Merge in 1992 with circle City Medical Center </li></ul><ul><li>Became Corona Regional Medical Center </li></ul><ul><li>240 – bed community hospital </li></ul><ul><li>-160 – bed acute care hospital </li></ul><ul><li>- 80-bed rehabilitation campus </li></ul><ul><li>Employs more than 1,000 trained health care professionals </li></ul>
  3. 3. Corona Regional Medical Center <ul><li>300 physicians representing more than 40 specialties </li></ul><ul><li>71% of our professionals, clinical and ancillary staff live in the greater Corona/Norco area </li></ul><ul><li>We seek to be the leading community healthcare provider, serving our communities as the healthcare partner of choice for patients, staff, and physicians. </li></ul>
  4. 5. <ul><li>STAFF EDUCATION </li></ul><ul><ul><li>Monthly nursing staff meetings </li></ul></ul><ul><ul><li>Medical staff meetings </li></ul></ul><ul><ul><li>Nursing orientation </li></ul></ul><ul><ul><li>SCIP/Core measure packets and tests for nursing registry </li></ul></ul><ul><ul><li>Posters </li></ul></ul>STRATEGIES
  5. 6. <ul><li>SCIP/ CORE MEASURE TEAM </li></ul><ul><ul><li>Biweekly Meetings </li></ul></ul><ul><ul><li>Members: </li></ul></ul><ul><li>Chief Nursing Officer </li></ul><ul><li>Nursing Directors-ED, ICU, MS,PCU </li></ul><ul><li>Nursing Educator </li></ul><ul><li>Nursing Managers </li></ul><ul><li>Pharmacy Director </li></ul><ul><li>Quality Director/Manager </li></ul><ul><li>SCIP Coordinator </li></ul><ul><li>Core Measure Coordinator </li></ul><ul><li>Core Measure Nurse </li></ul>STRATEGIES
  6. 7. <ul><li>INCLUDES: </li></ul><ul><li>Discontinuation of prophylactic antibiotics within 24 hours (the pharmacy places STOP date and time) </li></ul><ul><li>Correct selection of prophylactic antibiotics </li></ul><ul><li>VTE Prophylaxis orders </li></ul>Develop Pre-Printed Orders
  7. 8. <ul><li>Green Sticker </li></ul><ul><li>Documents reasons for not discontinuing prophylactic antibiotics </li></ul>DEVELOP STICKERS TO ALERT NURSES AND PHYSICIANS DEVELOP STICKERS TO ALERT NURSES AND PHYSICIANS
  8. 9. <ul><li>SCIP LABEL </li></ul><ul><li>Post-op charts are identified. The sticker is placed in front of the chart. </li></ul>DEVELOP STICKERS TO ALERT NURSES AND PHYSICIANS
  9. 10. Foley Necessity Sticker
  10. 11. <ul><li>Letters to the Nurses and Physicians </li></ul><ul><li>Nursing champions for each unit </li></ul><ul><li>Communicate with Physicians </li></ul><ul><ul><li>Correct selection of prophylactic antibiotics </li></ul></ul><ul><ul><li>Copies of preoperative pre-printed orders </li></ul></ul>STRATEGIES
  11. 12. <ul><li>Develop SCIP/Core Measure Bulletin Boards </li></ul><ul><ul><li>Posted monthly with colored graphs </li></ul></ul><ul><ul><li>Posted in each unit </li></ul></ul><ul><li>Recognize SCIP Stars </li></ul><ul><ul><li>Names of physician in each star who are SCIP champions </li></ul></ul><ul><li>Anesthesiologist are responsible for administering and documenting pre-op antibiotics in O. R. </li></ul>STRATEGIES
  12. 13. <ul><li>Preoperative pre-printed orders </li></ul><ul><li>Core Measure Checklist </li></ul><ul><li>Prophylactic Antibiotic orders </li></ul><ul><li>VTE Prophylactic orders </li></ul><ul><li>Total Joint orders </li></ul><ul><li>Hysterectomy orders </li></ul>SCIP FORMS
  13. 14. Adult Surgical Antibiotic Prophylaxis Orders <ul><li>Appropriate Antibiotic according to Procedure </li></ul><ul><li>Within 30-60 minutes of incision </li></ul><ul><li>Discontinuation within 24 hours of surgery </li></ul>
  14. 15. Adult Venous Thromboembolism Prophylaxis Orders
  15. 16. Post-Op Total Joint Orders <ul><li>Includes Appropriate Antibiotic </li></ul><ul><li>Discontinuation within 24 hours </li></ul><ul><li>VTE Prophylaxis </li></ul>
  16. 17. <ul><li>And </li></ul><ul><li>the journey </li></ul><ul><li>continues…… </li></ul>
  17. 18. SCIP <ul><ul><ul><li>QUESTIONS ??? </li></ul></ul></ul>
  18. 19. <ul><li>THANK YOU </li></ul>

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