HCAP Scores/Quality Improvement Project

College of Central Florida RN to BSN NUR 4827 Leadership RACI- Action Plan Organization/Unit: _______________________________ Date Created:______________________________ Strategy Title: ____________________________________ Last Modified: _____________________________ Student: ____________________________________________________________________________________ As you begin to develop an Action Plan, ask yourself the following questions before completing the worksheet. What is the main purpose or objective of the Action Plan? What do you seek to accomplish? Why is it important to your unit or organization? How does it fit into the strategic plan of the organization? Who will need to be involved? Who are your key allies? What challenges must you address? What strategies will you use to manage resistance and promote change? What resources are needed? Support the need for the change using evidence-based research in a 200-word minimum explanation of the rationale for the change. ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ Description of the Strategy: ____________________________________________________________________ What is the Issue? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ________________________________________________________________________________________ What is the Action? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ______________________________________________________________________________________ What is the Expected Outcome? ____________________________________________________________________________________________ ____________________________________________________________________________________________ _________________________________________________________________________________ This worksheet will be used for the following projects. Although you will NOT need to implement the projects during this course, it is important to understand how to navigate the process and develop a realistic action plan. You will implement your STAR Competence Project following your RACI plan during NUR 4950. 1.) Professional Development- Nursing Competency Project 2.) Unit Specific Policy Update 3.) 4.) 5.) 6.) Staff/ Interdisciplinary Communication Improvement Project HCAP Scores/Quality Improvement Project Staff Retention Idea Project STAR Competency Project STEP/ACTION R A R = the person/groups RESPONSIBLE-the doer A = the person ACCOUNTABLE is the decision-maker C = those who are CONSULTED are resources I = those who are INFORMED have a need to know C I Resources Deadline College of Central Florida RN to BSN NUR 4827 Leadership RACI- Action Plan Organization/Unit: Operating Room Date Created: 9/21/20018 Strategy Title: Staff Retention Last Modified: 9/21/2018 Student: John Hershel Support the need for the change using evidence-based research in a 200-word minimum explanation of the rationale for the change. Staff retention has been an ongoing issue in the operating room for many years. Nurses are unprepared for the amount of cases and the intensity of the cases that come through the doors daily. HCAP Scores/Quality Improvement Project

Many nurses feel that they do not know what to do or who to contact for the information. This has led to many nurses quitting and the operating room being understaffed. This comes after the nurse has gone through training and many hours of pay spent on them. There is a need for more training for the nurses with access to current policies and procedures for them to follow. This will not leave the nurse feeling as though all of the pressure is on their shoulders. Description of the Strategy: The operating room manager will instill a new training policy that will include where to find policies, needed phone numbers, and making sure that new is able to experience different surgeries. There will be a sign-off sheet that each new employee as well as a meeting with the manager at the completion of this sheet. The new employee will be able to explain what they have seen and they feel they need help with. What is the Issue? The issue is new nurses not being able to have all available resource at their disposal. This leaves the nurse feeling abandoned and not knowing what to do. There are many components to consider in the care of a surgical patient and none of these should be left for the nurse to investigate while involved in a surgery. What is the Action? The action is to create a training policy that will educate the new nurses on what action to take. This training course will include current policies, where to find policies, current surgeon preference cards, a list of unit phone numbers, and the chain of command. What is the Expected Outcome? The expected outcome is to retain 85% of nurses that are hired after the use of the new training program. HCAP Scores/Quality Improvement Project

This worksheet will be used for the following projects. Although you will NOT need to implement the projects during this course, it is important to understand how to navigate the process and develop a realistic action plan. You will implement your STAR Competence Project following your RACI plan during NUR 4950. 1.) 2.) 3.) 4.) 5.) 6.) Professional Development- Nursing Competency Project Unit Specific Policy Update Staff/ Interdisciplinary Communication Improvement Project HCAP Scores/Quality Improvement Project Staff Retention Idea Project STAR Competency Project STEP/ACTION R Create new OR Manager, training program myself A OR Manager, myself C OR Manager, education department Obtain list of hospital phone numbers Myself Myself IT, PBX operator Update surgeon preference cards Myself Myself Surgeons, staff Print current hospital policies Myself Myself Train select staff OR Manager, to be preceptors myself Implement new OR Manager, training program myself, education department I OR Manager, education department, administration OR Manager, education department Resources Operating room policies Deadline 10/15/2018 Hospital Directory 10/15/2018 OR Manager Surgeons, staff, computer data base 10/15/2018 Computer data base 10/15/2018 OR Manager, education 10/31/2018 OR Manager 11/1/2018 OR Manager, OR Manager administration, education department OR Manager, OR Manager, OR Manager, myself myself, administration education department OR Manager, OR Manager, OR Manger, myself, administration, administration, education education education department department department R = the person/groups RESPONSIBLE-the doer A = the person ACCOUNTABLE is the decision-maker C = those who are CONSULTED are resources I = those who are INFORMED have a need to know …