Transforming Care at the Bedside
We are one of 16 Wisconsin hospitals participating in the Transforming Care at the Bedside (TCAB) grant program, funded by the4 of the Robert Wood Johnson Foundation. The goal of the TCAB program is to encourage front-line staff to identify, plan and implement changes to improve efficiency, patient care and satisfaction, and staff vitality. Crossing Rivers Health has completed many improvement projects as a part of the TCAB program. These include quiet time, RN–physician rounding, stocked patient room closets, parking lots for equipment storage, RN–RN report sheet, recycling in patient rooms, discharge health care handbags and patient room service for meals, with more improvements to come in the future. Many of the projects are described in more detail below.
Our registered nurses and physicians make rounds together to see patients. This improves communication among patients, nurses and medical providers.
We are better able to meet all patient needs. We have also reduced nonemergent phone calls to physicians, thereby reducing interruptions of patient clinic appointments.
Patients have an hour of undisturbed rest time from 12:30 to 1:30 p.m. every day. Patients are not scheduled for therapies, nursing interventions, tests or other activities, unless they are medically necessary. Follow-up surveys after quiet time was initiated have had very positive results and numerous positive comments from patients and staff.
Patient room service for meals
Nursing and nutrition services are developing patient room service for meals. Patients will be able to make their own food selections from menus specific to their dietary needs.
A registered nurse or certified nursing assistant visits each patient every hour during waking hours to see if the patient has any concerns. We make sure pain is under control, water and personal items are within reach, hygiene cares are completed, and more.
Discharge health care handbag
Our patients are discharged with a reusable zippered tote bag to store discharge instructions, health education materials, medications and other health items. Research has shown that use of such a tote bag by patients helps to reduce confusion at medical appointments and emergency room visits and decrease medication errors, such as being prescribed multiple medications for the same condition by different health care providers.
Recycling in patient rooms
Recycling receptacles for plastics, glass, metals and aluminum are available in patient rooms. This helps Crossing Rivers Health reduce the amount of garbage we produce.