READI – Readiness Evaluation and Discharge Interventions Study Description: Technical Contact:...
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READI – Readiness Evaluation and Discharge Interventions Study Descripti on: Technical Contact: Content Contact: This course is designed to explain the READI ( Readiness Evaluation and Discharge Interventions Study). It will take approximately 10 minutes to complete this course. If you have technical questions please contact the Service Desk at Insert your Learning platform help desk info here. Insert PI or Educator name and contact information Phase 1 orientation for float nurses
READI – Readiness Evaluation and Discharge Interventions Study Description: Technical Contact: Content Contact: This course is designed to explain the
READI Readiness Evaluation and Discharge Interventions Study
Description: Technical Contact: Content Contact: This course is
designed to explain the READI ( Readiness Evaluation and Discharge
Interventions Study). It will take approximately 10 minutes to
complete this course. If you have technical questions please
contact the Service Desk at Insert your Learning platform help desk
info here. Insert PI or Educator name and contact information Phase
1 orientation for float nurses
Slide 3
Learning Objectives This presentation is designed to be used
for float nurses who provide care to patients being discharged from
the READI study implementation unit. Upon completion of the
learning session, the nurse will be able to: 1.Complete the RN-RHDS
discharge readiness assessment 2.Follow READI study
procedures.
Slide 4
READI Study READI: Readiness Evaluation And Discharge
Interventions Multi-site study, commissioned by the American Nurses
Credentialing Center and led by nurse researchers from Marquette
University, University of Maryland, and University of
Michigan.
Slide 5
If you have questions: Ask your charge nurse or other RNs on
the unit Or Ask them to contact the READI study PI or study
educator at your site
Slide 6
READI STUDY AIMS To determine the impact on post-discharge
utilization (readmissions and ED visits) and costs of implementing
discharge readiness assessment as a standard nursing practice for
adult medical-surgical patients.
Slide 7
Tool for Discharge Readiness Assessment Readiness for Hospital
Discharge Scale Short Form RN-RHDS (Weiss et al., 2010, 2014) 8
questions 0-10 point scale Higher scores = greater readiness
Completed by the discharging nurse on the day of discharge (within
4 hours before discharge) Assessment should be used by the nurse in
conjunction with all other nursing assessments to determine
individualized nursing interventions as needed. RNRHDS takes about
5 minutes to complete
Slide 8
RN-RHDS: 8 Questions in 4 Subscales Consider pain/discomfort,
strength, emotional readiness, physical ability to care for self
Patients Personal Status How physically ready is your patient to go
home? How would you describe your patients energy today?
Slide 9
RHDS Subscales Patients Knowledge How much does your patient
know about problems to watch for after going home? How much does
your patient know about restrictions (what he/she is allowed and
not allowed to do) after going home? Consider caring for self at
home, taking care of personal or medical needs, who/when to call
for problems, what happens next in follow-up treatment plan,
available community services
Slide 10
RHDS Subscales Patients Coping Ability How well will patient be
able to handle the demands of life at home ? How well will your
patient be able to perform his/her personal care ( for example,
hygiene, bathing, toileting, eating) at home? Consider ability to
perform his/her medical treatments
Slide 11
RHDS Subscales Patients Expected Support How much help will
your patient have with personal care after he/ she goes home? How
much help will your patient have with medical care needs
(medications, treatments) at home? Consider emotional support, help
with household activities
Slide 12
Nurse Assessment Form
Slide 13
Instructions for Completing the RN-RHDS All patients discharged
to home Includes patients going to family homes or independent
living communities Who The RN-RHDS should normally be completed
within 4 hours before discharge. Usually completed after the
majority of discharge teaching has been completed. Allow time to
respond to any concerns identified in the RN-RHDS. Use your nursing
judgment to determine appropriate interventions When
Slide 14
Instructions for Completing the RN-RHDS (Paper version) Place
patient label on the bottom of the RN-RHDS form Fill in RN Research
ID Answer the 8 RN-RHDS questions and the 5 additional patient
descriptor questions. Place completed forms in the designated
location on your unit for the READI STUDY forms
Slide 15
Human Subjects Protection Approved through Marquette University
IRB and your hospital IRB Data will be reported only in aggregate
form The researchers will not be able to identify specific patients
or nurses. We use the RN Research ID only for statistical purposes
(to adjust for a nurse taking care of multiple patients in the
study). All patient-level data will be de-identified by your site
PI before it is released to the research team.
Slide 16
Privacy Patient Patient Labels will be removed before sending
to the study team Label information is needed by your site
Principal Investigator to request readmission and patient
descriptors from EHR Nurse The study team will not be able to link
Nurse IDs to a specific nurse. No information will be provided to
your hospital administration regarding specific nurses or their
individual discharge readiness assessments
Slide 17
Ready for READI Complete a RN-RHDS discharge readiness
assessment for every patient discharged home. Thank you for your
participation in this important nursing research project.