Abstract WP352: Stroke Rounds: An Organizational Approach to Core Measures Improvement

Abstract

Background & Purpose: In 2011 our team realized a deficiency in nursing knowledge of stroke patient care and Stroke Core Measures, after discovering that our stroke education scores were 84% overall for the year. An innovative stroke rounding process was launched following hospital-wide education regarding stroke patient care and the Stroke Core Measures with the purpose of increasing bedside nursing knowledge and competency with these topics. Methods: A rounding worksheet was created using the Stroke Core Measures. Stroke rounds are completed three times weekly by the Neuroscience Nurse Educator, Clinical Nurse Leader, and bedside nurse. A discussion with the nurse includes chart review, completion of a rounding worksheet, and individualizing stroke care plan goals. This may progress to obtaining additional orders and/or consulting additional disciplines. Results: Preliminary data for the second quarter of 2012 identifies that stroke education scores increased to 100% as of the end of April. Review of the stroke rounding worksheets identified that initiation of stroke education is occurring earlier in patients’ hospitalizations. Anecdotal reports from nurses indicate increased knowledge of Core Measures and comfort in caring for stroke patients. A formal facility-based survey to nursing will be completed prior to presentation in 2013. Conclusions: Success with rounds in the stroke unit precipitated the process in critical care. Both units now are utilizing the process and have received positive feedback from nursing staff.