UCHEALTHADVANCEDPRACTICENEWS

UCHealthAdvancedPractice

News

August/September2018

Au

APPFELLOWSHIPTODEVELOPSKILLS INTHISISSUE

Transitiontoadvancedpracticeisoftenachallengeforprovidersthatchooseaspecialtypractice.Bedsidenursesarenotonlychallengedwithlearningnewcontent,butalsoanewwayofthinking.AtUCD,wewillbelaunchingthreefellowshipprogramsaimedatcreatingapracticebasedlearningenvironmentfornewgraduatespursuingacareerintraumasurgery,neurologicalsurgeryandinterventionalradiology.ThenewprogramisopentonewgraduateNPandPAadvancedpracticeprovidersacrossthecountry.Thefellowshipprogramdevelopmenteffortisbeingledbyanadvisoryboardwithrepresentationfromadvancedpracticeprovidersinallthreeareas,supervisingphysicians,thecenterfornursingresearchandtheBettyIreneMooreschoolofnursing,

Theone-yearprogramwillfocusonbuildingonexistingskillswithstructuredlearning.Keylearningstrategies:

• Directpatientcareinasupervisedstructuredenvironment

• Anunderstandingofthemission,visionandadvancedpracticequalitymetricsatUCDavis

• Simulationtrainingatourstateoftheartcenterforvirtualcare

• Didacticcoursesintopicsrelatedtoyourspecialty.

• Online-learningmodules,• Quality

improvementconferences,grandrounds,journalclubsandcompleteotherappropriateclinicalrotationstoassurecomprehensiveexposuretoproceduresandmultidisciplinarycollaborationalongtheentirecarecontinuum.

TheprogramwillconcludewillafellowgraduationprograminDecemberof2019.

AdvancedPracticeGrandRoundsRegistertoday!https://www.eventbrite.com/e/advanced-practice-grand-rounds-tickets-48883769671PleasejoinusfortheSeptemberAdvancedPracticeGrandRounds.Thetopicis"SurgicalInnovationsforParkinson’sDisease.“

OurspeakerisLauraSperryisaboardcertifiedAdultNursePractitionerandtheClinicalCoordinatorfortheDeepBrainStimulation(DBS)Programatthe

UniversityofCalifornia,DavisMedicalCenterinSacramento,CA.CMEandlunchprovided!

AdvancedPracticeSymposiumscheduledSept5thsellsout!NationallyrecognizedspeakerKathleenFlaritywillspeakatUCDforourannualAdvancedPracticeSymposium.Herlecturetitle“PassionforPractice”willreviewcompassionfatigue,burnoutandselfcarefortheadvancedpracticeprovider.KathleenFlarityDNP,PhD,CEN,CFRN,FAENisaResearchNurseScientistforUCHealth,Colorado.Additionally,ColonelKathleenFlarityistheMobilizationAssistanttoCommandSurgeon,AirMobilityCommand,ScottAFB,IL.Sheisanexperiencednursepractitioner,emergencyandcriticalcareflightnursewithover37yearsofmilitaryservice.Shehasspentdecadesinspiringandempoweringleaders;buildingtrust,earningrespect,andmotivatingotherstofostersuccess.Sheisarenownedclinicalexpertandhaspublished13bookchaptersand26articlesgoverningemergency/advancedpracticeandflightnursingincluding8researcharticles.DinnerProvided,2CMEcreditsforattendance.ContactChristiDeLemostobeaddedtothewaitlist.

AdvancedPracticeFellowshiplaunchedatUCDby[ArticleAuthor]

UCHEALTHADVANCEDPRACTICENEWS|August/September 2

BILLINGTIPOFTHEMONTH

StudentdocumentationIfyouareworkingwithanadvancedpracticestudent,youcannotuselinkinglanguageorpointthebillingdepartmenttotheirdocumentation.Studentsarenotcredentialedhealthcareprovidersinoursystemandtheirdocumentationisnoteligibleforbilling.Youmustcreateyourownnoteforanypatientseenwithastudent.

COSTSstudyunderwayAcrossthecountry,healthcareorganizationsarereshapingtheirteamstoensurethatadvancedpracticeprovidersarebeingusedtothetopoftheirlicense.Asthelabormarketbudgetgrowstighter,theCOSTSstudyaimstodemonstratethesubstantialvaluethatAPP’sbringtotheirteams.Advancedpracticeprovidersinmultiplesurgicalspecialtiesareparticipatinginthestudytobetterunderstandthevalueofindirectcareintheinpatientsetting.

FASTFACTS

96%Ofalladvancedpracticeprovidersprescribemedications.All50stateshaveprescribingprivilegesforadvancedpractice.Onaveragenationally,APP’swrite23prescriptionsperday.

33%ofthehealthcareprovidersjoiningtheUSworkforceby2030willbenursepractitioners (NPs)orphysicianassistants (PAs),researchersproject.

FORMOREINFORMATION

N Engl J Med. 2018;378:2358-2363. Published online June 20, 2018.

WhatisaTelesitter?

Telesitterisavideomonitoringsystem.Thepurposeofthevideomonitoringistoprovidecontinuousvisualmonitoringofin-patientsbytrainedmonitorstaff(locatedonsouth4).Thehopeisthatthiswillallowforthehospitaltoprovideobservationtomorepatients,improvingthesafetyofourpatients.Themonitorconsistsofa360degreecamera,lowlightsensitivitysothatitcanbeusedatnight,2-wayspeakerallowingthetrainedpersonneltocommunicatewiththepatientandthepatienttorespondback,alarmthatcanbeactivatedbymonitorpersonnelforemergencies,andaprivacyindicatorlight.Thesefunctionsareallcontrolledfromthecontrolcenteronly.Inordertocontactthepersonnelyouhavetwooptions,youmaycallthenumberthatisontheactualmonitor,oryoumayvocera“Telesitter”.Italsoimportanttoknowthatitdoesnotrecordanyaudioorvisual.

Wherewillthemonitorsbeused?

ThepilotfloorsforthissystemwillbeonDavis14,Davis11,andTower4priortorollingouttoallinpatientunits.

Whenwillthisstart?

YouwillstartseeingmonitorsonAugust2.ThewayyoucantellifaroomhasthemonitorisbytheAvaSysflagonthedoorway.

Whowillutilizethissystem?

PatientselectionwillbedeterminedbythenursingstaffandNursingSupervisorbased

onprotocol(PatientCareStandardIV-72).ThereshouldbenoneedfortheprovidertoorderanythinginEMR.PatientsthatareclassifiedasHighSuicideRiskwillnotbeeligibleandwillstillrequirea1:1SpecialDutyCaregiver.

Howdoesthisimpacttheprovider?

Thereshouldbeverylittleimpactonyouastheprovider.Ifyouneedtodoanexamthatwouldrequireprivacy,youmaynotifythemonitorpersonnelbyVoceraorphonethatyouneed“privacymode”andforhowlong.Youwillbeabletotellthatthecameraisinprivacymodebythelightonthemonitorturningoff.Asalways,ourroleistomonitorourpatientsandensureweareprovidingthebestpossiblecare.IfyouseeanadverseeffectthatthepatienthasrelatedtotheTelesitter,itisourresponsibilitytonotifythenursingstaff,theon-callNursingsupervisor,and/orfileanIRifindicated.Itisalsoourresponsibilitytosharethepositiveoutcomesthatmaycomefromthissystem.

FormoreinformationonthesystemyoumaygotoUCLearningandreviewtheon-lineintroductorycourse.

Comingtoafloornearyou…telesitterByElizabethMaese

Remotevideomonitoringsystemthatallowsformonitoringofmultipleatriskpatientsfromasinglelocation