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Development of Cue Cards Clara Officer, Nurse Manager, Children’s Centre Clare McGinness, Nurse Director, Specialty Services
Children’s Centre
Children’s Centre – Big Picture Map
Chaos in admission and discharge process
Lack of preoperative information
Lack of discharge information
A3 Problem Solving
Current State Data • 86 phone calls in a 3 month audit period from
parents of children asking common clarity questions • Staff frustration with the process of answering same
questions • Press Ganey indicating
• Low in information pre operative • Instruction care at home
Root Cause - Validation
Lack of standardised care
Counter Measure
Develop standardised care for each patient group
Plan • Development of care bundles (45) for all care
pathways: • Pre-admission information sheet – for the patient and family • Discharge information sheet – for the patient and family • Cue Cards for the nursing staff – these are evidence based daily care
plans for standardising patient care. They are laminated and sit in the patient folder by the bed
• Education – in the form of power point presentations on each computer in the ward for quick referencing for all staff re each diagnosis
Cue Card Development
Education for Staff
Implemented - December 2011 • Evaluated by:
• Phone calls • Patient feedback • Staff feedback • Audit • Way of life
Results
86
24
0
10
20
30
40
50
60
70
80
90
100
3 month pre implementation 3 month post implementation
Number of Telephone Calls Received by Children's Centre Pre & Post Implementation of Cue Cards
No of Calls Received
Results
Children’s Centre – Big Picture Map
VSM Activity
WaitingBusynessFrustration
Develop A3
Development of Quality Plan 2013-14
Children’s Centre
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