Communication Drives Success
Courier drivers in the Northwest improve communication and morale after going through an Issue Resolution--and move forward on revamping routes for greater efficiency.
Courier drivers in the Northwest improve communication and morale after going through an Issue Resolution--and move forward on revamping routes for greater efficiency.
Oncology unit-based team pays attention when it uses which tubing--and saves $25,000 a year.
It started with a question from Oncology RN Tom Fought, a member of the Oregon Federation of Nurses and Health Professionals (OFNHP), at the Interstate Medical Office in the Northwest.
Why, he wondered, was primary tubing used for low-reaction drugs instead of the less-expensive short or secondary tubing?
That prompted the department’s unit-based team to start an improvement project that wound up saving $25,000 a year.
When patients come in for chemotherapy or other infusion medications, the drugs are administered via an IV: The bag holding the medication is hung on a pole, with a line that goes into the patient’s vein. When primary tubing is used, the valve to stop the flow of medication is very close to the patient’s body.
If the drugs being used have a high potential for an adverse reaction, it’s essential to use primary tubing, so that if there is an emergency and the line has to be shut, only a very little additional medication reaches the patient.
When the short tubing or secondary tubing is used, the valve to stop the flow of medication is farther from the patient. In this situation, if the valve is closed, more medication is in the line and will flow into the patient until the tube is empty. These types of tubing are appropriate when the medication has a low potential for a negative reaction.
Primary tubing is $4.10 per unit, short tubing is $3.65 and secondary tubing is 65 cents. The costs add up if primary tubing is used when it’s not necessary.
“I had no idea that we would be saving the unit that much money by conforming the tubing,” Fought says.
This team alone was able to save $25,000 a year. If every Kaiser Permanente oncology infusion department adopted this practice, the savings would be dramatic.
“This was such an easy tweak—we just needed to think outside of the box,” says Lacey Anderson, RN, the Infusion Team Lead and a member of OFNHP, who was involved in the project. “The team realized this was such a great idea and wondered, ‘Why haven’t we been doing this all along?’”
Heidi Rolf, the department manager and the UBT’s management co-lead, is proud of the work the team has accomplished. She attributes the success to the leadership of the team and notes that since the team has advanced to a Level 4 on the Path to Performance, team members have more camaraderie and are more engaged.
“At first it was a little difficult to change the habits of the nursing staff,” Fought says. “Within a few weeks, we had everyone on board and our tubing project took off.”
This full-page comic from the 2014 Winter Hank takes a humorous look at organizing your to-dos.
Format:
PowerPoint
Size:
8.5" x 11"
Intended audience:
Anyone who creates PowerPoint presentations in their work to support unit-based teams and performance improvement
Best used:
This six-page deck provides LMP Communications' suggestions for presentation design, structure and approach. Find templates, tips and ideas for effective presentations.
Quick tips, in six slides, for better PowerPoint presentations.
A list of some of the projects undertaken by UBTs to address affordability.
This poster, which appeared on the back cover of the Winter 2013 Hank, lists 10 ways to eliminate waste.
Three PowerPoint slides show the growth in performance improvement projects focusing on affordability.
This PowerPoint slide, from the November/December 2012 Bulletin Board Packet, features a Colorado UBT that saved money and reduced customer complaints by tackling a printer problem.
Format:
PDF
Size:
8.5" x 11"
Intended audience:
Frontline employees, managers and physicians
Best used:
This poster features a Northern California team that found a way to get medications to patients in the hospital more quickly. Post on bulletin boards, in break rooms and other staff areas.
This poster, from the November/December 2012 Bulletin Board Packet, features a Northern California team that found a way to get medications to patients in the hospital more quickly.
This PowerPoint slide highlights a business services team that discovered a glitch, corrected it, and brought in $10 million in Medicare reimbursements.