Nursing Risk Management Paper

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Risk Management/PI: Rachel Beal, COO

Dashboard:
Acute:
Seclusions: July: 4 – 2.18% August: 13 – 7.78% September: 3 – 1.69%
Holds: July: 6 – 3.26% August: 17 – 10.17% September: 3 – 1.69% Patient Aggression No Injury: July: 2.18% August: .06% September: 7.87%
Patient Aggression Injury: July: 5.98% August: 16.76% September: 2.81%
Elopements: July: 1 – .54% August: 0% September: 0%
Falls: July: 2 – 1.09% August: 1 – .06% September: 0%
Medication Variances: July: 7 – 4.38% August: 8 – 5.06% September: 8 – 5.11%

RTC:
Seclusions: July: 0% August: 0% September: 0%
Holds: July: 16 – 11.81% August: 23 – 18.41% September: 17 – 15.48%
Patient Aggression No …show more content…
Nursing Performance Improvement
Restraint Rate Acute - Apr: 3.22% May: 7.6% Jun: 6.16% Jul: 3.26% Aug: 10.17% Sept: 1.69%
Seclusion Rate Acute - Apr: 2.81% May: 4% Jun: 5.21% Jul: 2.18% Aug: 7.78% Sept: 1.69%
Restraint Rate RTC - Apr: 6.21% May: 11.6% Jun: 6.47% Jul: 11.8% Aug: 18.41% Sept: 15.5%
Pt Satisfaction Score on Safety Acute - Apr: 4.23% May: 4.17% Jun: 4.16% Jul: 4.09% Aug: 4.32% Sept: 4.31%
Pt Satisfaction Score on Safety RTC - Apr: 3.33% May: 3% Jun: 4.33% Jul: 4.29% Aug: 3.9% Sept: 5%
Pt Score Related to Understanding the Meds and How to Take Them Acute - Apr: 4.54% May: 4.51% Jun: 4.56% Jul: 4.51% Aug: 4.64% Sept: 4.47%
Pt Score Related to Understanding the Meds and How to Take Them RTC - Apr: 5% May: 4% Jun: 4.83% Jul: 4.57% Aug: 4.7% Sept: 5%
Dr. Simon requested that the joc sheet be reviewed with the nursing staff and that it is followed. She also asked that we do not admit patients that are purely detox. Patients have to be diagnosed with depression as well. Anthem is not paying for detox patients.

Fall Rate
Inpatient Adult-2 & Inpatient Adolescent -1
2nd Qtr. – 1.13%
3rd Qtr. – .57%
RTC-1
2nd Qtr. – …show more content…
= 8.9% Aug. = 6.7% Sept. = 17.5% GOAL = <3.5%/42%
MHT Vacancy Rate: Jul. = 7.1% Aug. = 13.3% Sept. = 4.0% GOAL = <3.5%/42%
PSH Vacancy Rate: Jul. = 6.8% Aug. = 6.2% Sept. = 7.3% GOAL = <2%/24%

Introductory Orientation/ Competencies:
Nursing: Jul. = 14.3% Aug. = 0% Sept. = 0% GOAL = 75%
Clinical: Jul. = 0% Aug. = 0% Sept. = 0% GOAL = 75%
Admin: Jul. = 60% Aug. = 40% Sept. = 33.3% GOAL = 75%
PSH: Jul. = 41.2% Aug. = 20% Sept. = 20% GOAL = 75%

Introductory Evaluations:
Nursing: Jul. = 46.2% Aug. = 50% Sept. = 0% GOAL = 75%
Clinical: Jul. = 0% Aug. = 0% Sept. = 0% GOAL = 75%
Admin: Jul. = 66.6% Aug. = 66.6% Sept. = 0% GOAL = 75%
PSH: Jul. = 44.4% Aug. = 44.4% Sept. = 0% GOAL = 75%

Annual Orientations/Competencies:
Nursing: Jul. = 11.8% Aug. = 53% Sept. = 22.2% GOAL = 80%
Clinical: Jul. = 0% Aug. = 100% Sept. = 33.3% GOAL = 80%
Admin: Jul. = 66.6% Aug. = 53.3% Sept. = 60% GOAL = 80%
PSH: Jul. = 25% Aug. = 54.5% Sept. = 30.8% GOAL = 80%

Employee Injuries:
Incidents/EARs: Jul. = 8 Aug. = 20 Sept. = 3 GOAL = 0
Medical Claims: Jul. = 2 Aug. = 10 Sept. = 3 GOAL = 0
Lt Duty/Missed Time: Jul. = 0 Aug. = 4 Sept. = 1 GOAL =

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