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DirectorofNursing.pptxPRESENTED BY
GWEDOLYN BREMER, MSN
Director of Nursing Cuyahoga County department of corrections
1
Health care justice at Cuyahoga County Corrections starts with the organizational readiness to promote change.
Understanding the roles and the scope of practice of individual team members, self-evaluation, and awareness of team members strengths and weakness must be accomplished with the support of management.
It is crucial for the CCC to learn how to collaboratively interact in an ever-changing environment that promotes the health, wellness and safety of our patient population.
Justice
As a part of our mission as healthcare providers at the CCC – We are dedicated to maintaining the trust and respect of those we serve by committing ourselves to be efficient and effective in the delivery of safety services.
Striving to provide care that supports the physical needs of individuals committed to our custody along with making every effort to assist all inmates who are in need, at all times.
Cuyahoga County Sheriff’s Department Mission
Nursing Ethics Oath- I solemnly pledge myself before God and the presence of this assembly; to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious (poisonous) and mischievous and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession and will hold in confidence all personal matters committed to my keeping and family affairs coming to my knowledge in the practice of my calling. With loyalty will I promise to “collaborate with the health care team in an atmosphere of mutual respect and consideration”. “Also, devote myself to the welfare of those committed to my care.”
Nursing Pledge
Create an interdisciplinary team of medical staff that consist of doctors, physicians’ assistants, nurse practitioners, nurses and correctional officers who work collaboratively to facilitate a timely patient triage that encourages evidence-based practices to promote healthy safe outcomes while in the custody of the Cuyahoga County Corrections
Healthcare Goals
Rapid acute patient retrievals decrease medical emergencies
Decrease organizational health expense
Promote family stability
Decrease death and litigation
Time of Importance
Follow through and getting the job done
Understanding other team members are depending on you
Having open proactive communication
Knowing how to take ownership of work
Accountability
Does not meet goals
Is not responsible
Cause frustration and disengagement with other team members
Unaccountable Member
Starts with ME as being an example of professionalism and having a motivation strategy to create and maintain the spirit of enthusiasm among employees
Making accountability a habit
How To Get Done
Ask employee various questions such as:
Is there anything we should do as a team?
Do you as a team member need more or less direction?
How can we improve the way our team work together?
Promoting Accountability
Keeping track of their commitment to the team
Holding each team member accountable
Creating employees who are productive, contributors and successful
Tracking Accountability
Share the team vision, goals and what are expected with each member and use each opportunity to interact with the team.
Understand staffs individual strengths – helps to understand where each team member should be placed to shine and once in correct position it gives that team member opportunities to promote wellness
Make the staff feel appreciated and supported
Motivation Strategies
Cleaning out cabinets in the backroom in order to provide space for items that are shared amongst team members (ex. coffee)
Support of new ideas in an effort to promote “thinking outside of the box”
Having an employee suggestion box will encourage creativity, support healthy team communication and viewpoints
Offering opportunities for growth
Creating Team Leaders
Focus on strengths in an effort to decrease weaknesses
Motivation Strategies Continued
Empowerment
Encouraging to believe in their contribution to the team and their unique effort that promotes health care safety.
Educational investments
Documentation training
Assessment training
Wound care training
Motivation Strategies continued
Celebrate each success that promotes team spirit, support, and trust
Team activities both during and after work hours
Parking
Rewards
Coffee/donut day
Cookies for a Cause
Team Dress Down (Must wear bottom half of uniform)
Motivation Strategies Cont…
Teamwork and Collaboration are Essential
It Allows Individuals to Work Together, Builds Positive Relations, and Promotes Open Communication.
Cooperation and Collaboration Promotes Accountability for Oneself who is Willing to Accept Change in the Efforts of Achieving the Same Goal
Teamwork Collaboration Cooperation
TEAM OF SPOTTERS – this team will be located in Sally Port where all inmates arrive.
Vital signs of all inmates that enter into the CCC will be measured during the classification prescreening perform by the corrections officers.
Measuring and recording inmates vital signs accurately is important as this gives an indication of the patient's physiological state.
Vital signs and answers gathered will prompt the priority of care and will allow a simple but needed health assessment. (Recorded on health card for intake assessment team.)
a. Respiratory (pulse oximeter)
b. HTN (blood pressure)
c. HIV (medications)
d. Diabetic (Accu-check)
e. Cancer (medications)
f. Kidney failure (facility information if dialyzed)
g. ETOH – (last use/ how much)
h. Drugs – (last use/ name of drug/how much)
TEAMS
INTAKE ASSESSMENT TEAM- Assess individuals according to the severity of health care needs. All incoming medication needs to be evaluated by nursing staff to determine prioritization of medical and mental heath needs
DISPENSARY TEAM - Assess inmates who are coming into Sally Port, give urgent calls to health assessment runners (paramedics, nurses) to assess for health services and the need to go to the dispensary.
MEDICAL EMERGENCY TEAM- All qualified health staff must be on alert.
TB/ Kite TEAM- Interpret all TB readings and evaluate kites for services
Teams
CART TEAM- focus on safe and efficient deliver of medications (carry kite, report any known immediate health concerns)
MEDICAL FLOOR NURSE TEAM – Assess medical, prescription and equipment needs (if the inmate has equipment during initial assessment must have during LOS)
MEDICATION RECORDER TEAM – Recording all new medication orders and retrieval from the pharmacy (assist cart nurses for medication retrieval if the cart is of late return)
WOUND TEAM – All wound care and documentation
DIABETIC TEAM – Assess levels and health concerns
Teams
Mental Health Team
All Mental Health issues will be assessed in the Mental Health area
All intakes which involve Mental Health will be assessed by a Mental Health nurse.
New Mental Health commits
Inmates in restraint chairs (initial placement and removal)
All Mental Health inmates will be initially assessed by a Mental Health nurse if problems arise while on the unit.
Mental Health is to contact medical only if acute declining health.
No inmate will be brought to medical who has been pepper sprayed those inmates will be assessed and restraints will be checked in the restraint room.
This will help to decrease confusion, hostility, and conflict
Team
ALL TEAMS RESPONSIBILITIES
BUILDING RELATIONSHIPS WITH POD OFFICERS TO ESTABLISH INMATES HEALTH NEEDS
PROFESSIONALISM
REGISTRATION
DOCUMENTATION
INMATE CARE AND FOLLOW-UP/CONTIUED CARE
ORGANIZATION
CLEANINESS
INMATE HEALTH CARE EDUCATION
MEDICAL SPACE UTILIZATION
HEALTH CARE ENVIRONMENT
Coming together as a team is a beginning
Keeping together as a team is progress
Working together as a team is success
WORKING TOGETHER
