Show Menu

Pneumonia Improvement Strategies Cheat Sheet by

improvement     healthcare     strategies     pneumonia

Pneumonia Improv­ement Strategies

By Discha­rge
Key Changes for Improving Pneumonia Care
Antibi­otics within 4 hours of arrival
• Develop preprinted orders­/pr­otocols that prompt to give antibiotics
• Visible reminder or checklist to prompt
• Provide reports of antibiotic timing comparing hospital to other facilities
• Work with ED personnel to start antibiotic in ED
Initial antibiotic according to guidelines
• Develop preprinted orders­/pr­otocols that include antibiotic choices
• Make initial antibiotic guidelines easily accessible to staff through pocket­-sized cards and posting in medication room
• Physician and nurse education on current antibiotic recommendations
• Encourage pharma­cists to consult on antibiotic use for pneumonia patients
• Provide reports of antibiotic use comparing hospital to other facilities
• Infection Control Nurse or other designee to review utiliz­ation
Blood cultures performed within 24 hours
• Develop preprinted orders­/pr­otocols that prompt blood culture testing
• Visible reminder or checklist to prompt testing
• Infection Control Nurse or other designee to review for testing
• Provide reports of blood culture testing comparing hospital to other facilities
Blood culture prior to first dose of antibiotic
• Develop preprinted orders­/pr­otocols that prompt for testing prior to antibiotic
• Visible reminder or checklist to prompt testing before antibiotic
• Educate nursing staff on importance of obtaining a culture prior to antibiotic
• Provide reports of compliance comparing hospital to other facilities
• Develop method to clearly document time of initial antibiotic and time of blood cultures
Oxygen­ation assessment within 24 hours
• Develop preprinted orders­/pr­otocols that prompt for ABG or SaO2 check
• Visible reminder or checklist to prompt testing
• Infection Control Nurse or other designee to review utilization
• Provide reports of compliance comparing hospital to other facilities
Influenza vaccin­ation
• Develop standa­rdized method for assessing vaccin­ation status using nursing admission database, preprinted history & physical assessment forms or adult immuni­zation assessment forms
• Develop preprinted orders­/pr­otocols for influenza vaccination
• Chart sticker physician prompts to order vaccine for indicated patients
• Develop a patient histor­y/t­racking system to track vaccine status through permanent chart sticker, database etc.
Pneumo­coccal vaccin­ation
• Develop standa­rdized method for assessing vaccin­ation status using nursing admission database, preprinted history & physical assessment forms or adult immuni­zation assessment forms
• Develop preprinted orders­/pr­otocols for pneumo­coccal vaccination
• Chart sticker physician prompts to order vaccine for indicated patients
• Develop a patient histor­y/t­racking system to track vaccine status through permanent chart sticker, database etc.
Adult smoking cessation advice­/co­uns­eling
• Develop method to assess each patient’s smoking status using nursing admission database, preprinted history & physical assessment forms or other
• Develop preprinted orders­/pr­otocols that prompt smoking cessation counseling for adult smokers
• Designate respon­sib­ility and accoun­tab­ility for ensuring approp­riate counseling to one person per shift
• Encourage allied health staff to provide smoking cessation counseling
• Provide counseling during other routine contact
• Create reminder system to encourage smoking cessation counseling
• Create docume­ntation system to capture counseling done
• Coordinate efforts with patient’s physician for follow-up in office

Download the Pneumonia Improvement Strategies Cheat Sheet

3 Pages
//media.cheatography.com/storage/thumb/davidpol_pneumonia-improvement-strategies.750.jpg

PDF (recommended)

Alternative Downloads

Share This Cheat Sheet!

 

Comments

No comments yet. Add yours below!

Add a Comment

Your Comment

Please enter your name.

    Please enter your email address

      Please enter your Comment.

          Related Cheat Sheets

          QAPI Cheat Sheet

          More Cheat Sheets by Davidpol