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Caring Kits
Caring kits were developed at Walnut Creek to support isolation patients and improve compliance with protocols amidst high C. difficile rates. These kits consolidate necessary supplies, reducing staff trips to external areas, and include items such as disposable thermometers, writing tools, and personal care items. The initiative has received positive feedback from staff and contributed to a stronger unit culture by enhancing care for patients and easing the workload on healthcare providers.
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Caring Kits
- 1. Caring Kits ClaudiaPalmer, Staff Nurse IV KP Walnut Creek [email protected]
- 2. Caring Kits: Overview What? Development and spread of admission kits for isolation patients as a part of caring, healing environment for both patients and staff Why? Walnut Creek has experienced high c diff rates, especially on 3 South The 3 South CEET committee (Care Experience Excellence Team) had brainstormed a variety of ideas to combat c diff, but none of the ideas had produced sustainable results
- 3. Caring Kits: Overview During my shifts, I noticed: Staff continually entering/exiting isolation rooms to get needed admission supplies. As the trips increased, the compliance to Isolation Protocol decreased The items they searched for were stored throughout the unit, including clear across on the other station Staff using their own pens/markers in isolation rooms and then holding onto them and using them again at the nursing stations and in other rooms
- 4. Caring Kits: Development Engagement of Staff / Disciplines Educated staff prior to start of project in huddles, staff meetings and with flyers Conducted brief surveys with staff Conducted brief in-services with other disciplines (EVS, PCTs, etc) to build and sustain a caring-healing relationships Change in culture
- 5. Caring Kits: What’sinside? Kits include: • Pens / Dry Erase Markers / Black Sharpie With Pieces Of Red Tape • Disposable Thermometers • Disposable Blood Pressure Cuffs • Disposable Stethoscope • Wash Cloths, Wash Basin, Emesis Basin • Gift Bags • Lotion, Baby Powder • No-rinse Foaming Shampoo • Incentive Spirometer • Admission Welcome Letter • Absorbent Pads • Small Trash Bags • Pneumonia Prevention Letter / Fall Prevention Letter / Pt & Fam Info Sheets Kits include: • Pens / Dry Erase Markers / Black Sharpie With Pieces Of Red Tape • Disposable Thermometers • Disposable Blood Pressure Cuffs • Disposable Stethoscope • Wash Cloths, Wash Basin, Emesis Basin • Gift Bags
- 6. Kits Include •Lotion, Baby Powder • No-rinse Foaming Shampoo • Incentive Spirometer • Admission Welcome Letter • Absorbent Pads • Small Trash Bags • Pneumonia Prevention Letter / Fall Prevention Letter / Pt & Fam Info Sheets
- 7. Caring Kits: Results Results C diff rates Positive feedback from staff “Helps to relieve some of the stress that occurs with isolation admits” “Saved me time and the hassle of looking for everything” “I felt cared for knowing that someone took the time to care for them and to help make their lives better/easier” Stronger Unit / Team Increased Awareness for C diff Gift of Time
- 8.
Editor's Notes
- #3 Benefit? Decreased c diff rates Engagement of entire unit and multiple disciplines Creation of healing environment for staff and patients Fulfillment in seeing kits initiated and spread throughout hospital
- #5 Staff Surveys: We incorporated feedback from staff, making them feel heard and involved Did you use the kit? (Y/N) If no, why? Anything to remove? Anything to add? PCTs / EVS Felt included and important; willing to help: Dr Grief part of team communicated to EVS management. Staff worried about wasting supplies, Kim (manager) bought retractable dry erase markers: unit assistant reminded staff about kits, stored extra pens and markers at their desk. Anything with red outside of storage or Isolation room, thrown out, cleaned site on counter Educated PCTs asking them to ask RNs whether admits are isolation patients in order to get the kit Problem with storage space – we’d come back and kits moved by material services Keeping up difficult – use committee time to make kits or modified/nonclinical staff As of May, Material Services assembling the kits Change in culture Initially needed to remind (hound) staff to use kits Over several weeks, we were running out of kits
- #6 Separate supply of red marked pens, dry erase markers and black sharpies at UA desk for transfer patients Kits include: pens / dry erase markers / black sharpie with pieces of red tape disposable thermometers disposable blood pressure cuffs disposable stethoscope wash cloths, wash basin, emesis basin gift bags Lotion, baby powder no-rinse foaming shampoo Incentive Spirometer admission welcome letter absorbent pads small trash bags Pneumonia prevention letter / Fall prevention letter / Pt & Fam info Sheets
- #8 Results C diff rates We have seen improvement in our C diff rates on 3 South (although a recent spike has set us back), but overall compliance is better than before. Gratitude from colleagues: They expressed that they felt cared for knowing that someone took the time to care for them and to help make their lives better/easier. Stronger unit / team We had a good team to begin with, but I feel that this has made us stronger – the RNs, PCTs, UAs, EVS have all been involved and engaged to co-create the isolation kit. Increased awareness for c diff Staff are more mindful about educating one another, the patients and their families so that we all remain safe. Increased patient/family and safety satisfaction. The patients feel welcomed by staff/unit. They enjoy their ‘goodie bag.’
- #9 Isolation Kits have become caring kits. Both patients and staff have benefitted from a more caring and healing environment. Hoping the extra 5 minutes will help prevent another Mrs 3100. Material Services is going to start supplying all units with these kits. If you would like anymore information, please feel free to contact me.