The team’s quality
improvement and
educational project was
accepted as a poster in
2018 at the Association
for Nursing Professional
Development Conference.
NEW KNOWLEDGE, INNOVATION AND IMPROVEMENTS
Enhancing Digital Fluency with Care Alliance
In 2018, our Care Alliance team collaborated with clinical teams
to expand Children’s Hospital Colorado’s outreach education
programs to partners in rural areas throughout our seven-state
region. To do that, they created a monthly virtual pediatric
education series utilizing an easy-to-access online platform called
VIDYO, the same platform used for telehealth patient care.
ANDREA ELMORE,
MS, RNC-OB, C-EFM
JULIE BIANCO,
BSN, RN, CPEN
STRUCTURAL EMPOWERMENT
CHRISTINA WOOD,
MD, MS
Preparing for Labor
With a multidisciplinary audience of providers from all over
the region, the monthly series offered pediatric education
topics chosen from needs assessments or requested via
multiple channels. Our multidisciplinary faculty presenters
gave evidence-based talks on various pediatric diagnoses,
centered around reviews of current literature and an overview
of clinical pathways used by Children’s Colorado. Attendees also
participated in case studies and discussion designed to direct
clinical practice, and presenters offered resources for clinical
care. Continuing medical and nursing education hours are
available on a quarterly basis.
So far, the series has received positive feedback via monthly
evaluations and anecdotal feedback from our Care Alliance
partners, who have told us it’s convenient and relevant, and
that it provides great access to pediatric education and experts.
It’s an efficient way of delivering education across hundreds
of miles — decreasing the amount of time we need to send a
faculty presenter out of state. The series will continue into 2019.
at any of our emergency and urgent care locations.
Education and Training Improve Team Communication
JANA STRANGFELD,
BSN, RN, CHSE It doesn’t happen often, but our Emergency Department and urgent care
locations sometimes must serve as emergent stops for women in labor — on
average one a year. It’s an infrequent but high-risk event.
MARILYN HERNANDEZ,
MHA, BSN, NE-BC,
RNC-OB, C-EFM In 2018, a multidisciplinary team from the ED, the Colorado Intensive Maternal
Fetal Health unit and the Neonatal Intensive Care Unit came together to
increase safety for obstetric patients in our ED. The CIMFH and NICU teams
were already conducting simulation trainings, but because of the high risk of
precipitous birth and postpartum hemorrhage in the ED, the team wanted
all areas to receive education and training, and for that training to be more
assessible.
COURTNEY MCCLELLAN,
MSN, CPN
JULIE BLANK,
BSN, RN, RNC-NIC
SEAMUS MOORE
BS, CHSOS
32
A debriefing following one simulation yielded eight opportunities for
improvement —but the logistics of in-situ simulations were becoming more
challenging, and the team knew they had to find a better way. They answered
that challenge with an educational video of an in-situ simulated precipitous birth
in the ED, which serves as a training resource for all teams involved.
The video highlights the eight improvement opportunities to model ideal states
of team communication, role clarity and patient handoffs, as well as the expert
clinical care required for a patient population not often seen in a pediatric ED.
The video is accessible on Altitude, a learning resource accessible from all in-
network computers. This education and training can now be utilized at any time
at any of our emergency and urgent care locations.
Clinical Expertie and Programs | 33