CSI Summary
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CSI Project
Increase Turning Compliance and Documentation Within Inpatient Unit
St. Bernard Parish Hospital, Chalmette, Louisiana
CSI Presentation
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CSI Toolkit
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Project Topic:
Increase turning compliance and documentation within inpatient unit
Hospital, City and State:
St. Bernard Parish Hospital, Chalmette, Louisiana
Unit:
- Medical-Surgical/Telemetry
CSI Participants:
- Aj’ee Murrell, BSN, RN
- Courtney Smith, BSN, RN, PCCN, CMSRN, CV-BC
- Jasmine Mollow, LPN
- Jessica Hightower, BSN, RN
- Coach: Toni Wood, MSN, BSN, RN
Project Goals/Objectives:
- Improve compliance with 2-hour turning protocol to 95%
- Increase accurate nurse/patient care tech (PCT) charting in the Electronic Health Record (EHR)
- Starting percentage: 22%
- Goal: 75%
- Maintain 0% Hospital Acquired Pressure Injuries (HAPIs)
- Increase Healthy Work Environment Assessment Tool (HWEAT) true collaboration from 5.19 to 5.50
Project Outcomes:
- Improved compliance with 2-hour turning protocol to 95%
- Increased accurate nurse/patient care tech (PCT) charting in the Electronic Health Record (EHR) 96%
- Maintained 0% Hospital Acquired Pressure Injuries (HAPIs)
- HWEAT3 True Collaboration score decreased from 5.19 to 4.84
Project Overview:
This project aimed to improve staff documentation practices during the second quarter while maintaining zero hospital-acquired pressure injuries (HAPIs) on the medical-surgical unit. The initiative was driven by identified gaps in consistent documentation and low adherence to scheduled patient repositioning.
To address these challenges, several key interventions were implemented. These included enhancing admission assessments by incorporating lines, drains, and airway (LDA) images, reinforcing staff education on mobility expectations, and promoting real-time documentation practices.
Together, these strategies were designed to guide clinical practice and improve accountability while also providing a means to monitor outcomes. The overall goal was to strengthen compliance, enhance patient safety, and sustain the unit’s success in preventing HAPIs.
Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.
Disclaimer
The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.