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Archived Webinars

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  • Catheters
    ‘Uh-Oh’ to ‘Oh-Yeah!’: A Nurse Driven Urinary Catheter Removal Protocol

    April 24, 2013
    Featuring: Nancy DiRico, MSN, RN, CMSRN and Deborah Fry, MT (ASCP), MBA, CIC
    Lehigh Valley Health Network

    This webinar discusses the inappropriate use of urinary catheters as associated with negative patient outcomes: urinary tract infections (UTIs), patient discomfort and dignity issues, impediment of mobility, restraint issues, increased healthcare costs, morbidity and mortality. An overall increase in staff knowledge will result in a decrease of catheter associated urinary tract infections (CAUTIs). Learn how to positively impact quality patient outcomes through an evidence based, nurse driven urinary catheter removal protocol. This presentation is part of the NICHE Webinar Solutions Series.

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  • Comfort
    Implementing Therapeutic Activity During Continuous Observation

    June 18, 2012
    Featuring: Christine Waszynski, RN, MSN, GNP-BC, APRN; Patricia Veronneau, RN, BS, MSN; Karyn Therrien, RN, MSN; Angela Massa, GN, BSN; Melissa Broussea, GN, BSN; and Sarah Levick, GN, BSN
    The Hartford Hospital

    This webinar will describe the development and effectiveness of a therapeutic activity intervention designed to decrease agitation in patients receiving continuous observation. The team will describe the types of activities made available to patients, the resources utilized to provide these activities and the process put in place to expand this project. The presenters hope that other hospitals will replicate this successful program. This presentation is part of the NICHE Webinar Solutions Series.

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    The Effectiveness of Addressing Upper Body Warmth with Elderly Patient

    October 23, 2013
    Featuring: Sue Durkin, MSN, CCRN, CCNS
    Advocate Good Samaritan Hospital

    While the aspect of “comfort” is a high priority among healthcare providers, the perception by patients can sometimes be the opposite. Comfort is associated with contentment and synonymous with relief, calmness, well-being and being consoled. Often, when basic needs are met, contentment and satisfaction occur and contribute to decreased agitation, an improved mood and increased comfort. To help counter lower satisfaction scores among the older adult patient population, Advocate Good Samaritan Hospital used a simple intervention of care: providing a fleece “Comfort Shawl” for warmth. This intervention was intended to address comfort needs, prevent adverse safety events and improve patient satisfaction. A pilot was launched in 2011 to gauge the effectiveness of this intervention. Learn the details and results of this simple yet innovative program in this webinar. This presentation is part of the NICHE Webinar Solutions Series.

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  • Communication
    Communication Tune-Up: The Elderspeak Challenge

    July 24, 2012
    Featuring: Kristine Williams, RN, PhD, FNP-BC, FGSA
    University of Kansas

    Positive communication is of critical importance to older adult patients, yet persons who care for older adults in health care settings are often challenged to communicate effectively. Elderspeak, or simplified speech, is a common communication style in older adult patient care. Older adults find elderspeak patronizing, and it fails to improve older adults’ ability to understand communication. Join Dr.Williams for this NICHE webinar and learn how elderspeak promotes negative stereotypes of aging and the message of reduced competency it implies. Participants will be able to identify and practice key strategies to improve their own communication. This presentation is part of the NICHE Webinar Clinical Series.

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    Enhancing Interprofessional Communication via a Pictogram Based Communication Intervention

    November 6, 2013
    Featuring: Kellie Flood, MD, Terri Middlebrooks, BSN, RN and Sara Savage, OT/L
    University of Alabama-Birmingham Hospital/Health System

    At this hospital’s Acute Care for Elders (ACE) Unit daily interdisciplinary team rounds are conducted to review patients’ cognitive, sensory and functional status. Some ACE staff are not always able to participate in the rounds. An initiative was launched to develop pictograms for use on patient room white boards to communicate patient cognitive, sensory and functional status to care providers and assess the impact on communication of patient status to all team members. Join us to learn how this initiative improved interdisciplinary team communication and patient/family satisfaction. This presentation is part of the NICHE Webinar Solution Series.

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    Implementing a Communication Protocol in the SICU: “Look Who is Talking Now”

    October 24, 2012
    Featuring: Naomi Milner, RN, BSN, CCRN; Sandia Royal, RN MSN, CCRN, MPA
    Robert Wood Johnson University Hospital

    This webinar will describe the development and implementation of a communication protocol in two surgical intensive care units. The presenters will explore barriers to effective communication between the healthcare team and families and patients. How comorbidities of some hospitalized older adults impact communication and underline the need for discussions regarding end of life care and updating the family will also be detailed. Join us to learn how this communication protocol can benefit your hospital’s geriatric population.

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    Improving Care Transitions: Using Teleconferencing for Communication and Coordination During Transition of Elderly Patients between Rural Acute and Skilled Nursing Facilities

    April 1, 2015
    Featuring: Wanda Miller, DNP, RN, CENP
    Riverside Tappahannock Hospital

    Poorly managed transitions can diminish health, increase cost, and cause dissatisfaction in care. Inadequate communication of patient information and care requirements often exacerbate disruptions in the care of older adults, especially in rural areas. Riverside Tappahannock Hospital and The Orchard, a Riverside skilled nursing facility, partnered to use teleconferencing as a better process for handoffs of care. Learn how you can make teleconferencing part of your transitions by attending this webinar.

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  • Critical Care
    Achievements in Eliminating Ventilator Associated Pneumonia (VAP)

    November 5, 2014
    Featuring: Sheila McMillan, RN, CCRN and Cynthia Kellerman, RN, MSN, CNS PCCN
    Twin Cities Community Hospital

    This NICHE site was experiencing high Ventilator Associated Pneumonia (VAP) rates in the ICU. To meet this challenge, VAP bundling practices were designed based on evidenced based guidelines. Implementation of the bundling practices and additional interventions achieved a zero VAP rate. View this webinar to learn how to lower VAP rates and improve patient outcomes.

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    Preventing VTE in Hospitalized Medical Patients: A National Priority

    November 18, 2014
    Featuring: Patty Pokrandt, RN, BSN, St. Mary Mercy Hospital; Kristen Cowan, RN, MBA, University of MI

    Between 60,000 and 100,000 Americans die each year of Venous Thromboembolism (VTE). A team at St. Mary Mercy Hospital launched a series of interventions to help reduce hospital associated VTE. An increase in VTE risk assessments completed on admission was a central focus of the effort. Appropriate pharmacological therapy was also stressed. Attend this important NICHE Online Connect Webinar and start making VTE prevention a priority at your hospital.

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    The Impact of Sepsis on an Aging Population

    September 26, 2012
    Featuring: Denise Moeschen, RN, BSN, CCRN and M. Candice Wild, APRN-CNS, BC
    BryanLGH Medical Center

    Severe sepsis is frequently under diagnosed at an early stage when it is still reversible. Increased interdisciplinary collaboration, reduction of variability by use of a standardized screening process, and protocol-directed interventions can help ensure that every patient receives the best care possible. This webinar will discuss the incidence and prevalence of sepsis and the impact on older adult patients. The presentation will also examine the stages of sepsis, the pathophysiology of sepsis and its progression to severe sepsis and septic shock. Early signs and symptoms and subtle indicators of organ dysfunction that herald the onset of severe sepsis in the older adult patient will also be identified. Register for this webinar now to gain an understanding of strategies and treatment considerations for the septic older adult patient. This presentation is part of the NICHE Webinar “Responding to the Needs of the Critically Ill Older Adult” Series.

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  • Delirium
    A Pilot Program Engaging Families to Collaborate in Delirium Recognition

    March 19, 2014
    Featuring: Pamela Brady MS, RN and Barbara Schrage MS, RN
    Strong Memorial Hospital

    Patient care staff often cannot recognize delirium because patient baselines are not always known on admission. Families can be a resource in recognizing a family member’s change from baseline but are unfamiliar with the concept of delirium and are not empowered to report changes. The NICHE coordinators at Strong Memorial Hospital developed an educational video designed to arm family members with better knowledge about delirium and how to recognize and report changes in behavior to staff. Learn the details and results of this effort by attending this important NICHE webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Delirium Management: Nursing and Occupational Therapy Collaboration

    February 6, 2013
    Featuring: Karen Joost, RN, MS, NE-BC; Suzanne Brown, OTR/L; Martha Watson, MS, RN-BC, GCNS
    The Miriam Hospital

    Delirium impacts a high percentage of older adult patient populations, with resolutions taking several hours to several days or weeks in some hospitals. Acute delirium, defined as a disturbance of consciousness with impaired attention and or disorganized thinking, is associated with increased length of stay, cost, and rates of mortality. Using a team of varied specialists, including occupational therapists, hospitals can develop a sensory integrative approach to create a stronger patient-centered plan of care. With hands-on training for CNAs and other hospital team members, staff can work to increase confidence with early identification of delirium and strategies for symptom management. This presentation is part of the NICHE Webinar Solution Series.

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    Delirium Prevention: Making the “Case” for the Importance of Sleep

    November 18, 2015
    Featuring: Carolyn Moretti, RN, BSN; Robert Cole, RN, BS; Stephanie Connor, RN, BSN, St. Joseph Health Services, Our Lady of Fatima Hospital

    One of the precipitating risk factors of delirium is a disturbance in the sleep/wake cycle. Promoting knowledge of non-pharmacological sleep interventions was a goal this education program at Our Lady of Fatima Hospital. The NICHE GIAP provided the first indication that sleep education should be considered. The program employed a variety of training elements. Give your older adult patients a better night’s sleep by attending this informative webinar.

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    Dilemma of Delirium in the Geriatric Hip Fracture Patient

    October 10, 2012
    Featuring: Amy Williamson, RN, BSN, ONC
    Texas Health Harris Methodist Hospital Fort Worth

    The purpose of this activity is intended to enrich and broaden the nurse’s knowledge related to better caring for geriatric hip fracture patients at risk for delirium. Topics to be included are identifying patients at risk for delirium, diagnostic studies and treatment options, and nursing role in providing a therapeutic environment for this patient population. This presentation is part of the NICHE Webinar “Responding to the Needs of the Critically Ill Older Adult” Series.

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    Developing An Order Set for Management of Delirium with an Interdisciplinary Team

    May 21, 2014
    Featuring: Brenda Belbot MSN, MHA, RN-BC
    St. John Providence Health System

    Realizing their hospital had no standard process to determine if a patient was experiencing delirium and no prescribed delirium treatment plan a team at St. John Providence Health System developed an interdisciplinary holistic plan of care to identify and manage delirium. The team selected the Confusion Assessment Method (CAM®) for delirium assessment and developed two order sets for management of delirium. Learn how you can create your own healing environment for your patients by joining us for this important webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Elevating Nursing Awareness of Delirium Through EMR Redesign and Team Education

    June 8, 2016
    Featuring: Astrid Block, RN, MS, GCNS-BC; Anne Klevay, MSN, RN, PMHCNS-BC; Joy Caneda, RN, OCN, Stanford Healthcare

    Stanford Health Care increased nursing delirium awareness by developing a standardized process using the Confusion Assessment Method (CAM) tool. Customized incorporation of the CAM into the electronic medical record helped improve and standardize delirium screening. A number of educational components were included in the initiative. Give your patients improved care using this advanced initiative. Learn how by registering for this informative webinar.

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    Nursing Driven Acute Delirium Prevention

    September 23, 2015
    Featuring: Joyce Restifo, MSN, GCNS-BC, Summa Barberton Hospital

    The prevalence of delirium in acute care hospitals ranges from 10-24%. A team at Summa Barberton Hospital developed a nursing driven acute delirium prevention protocol that helped decrease delirium prevalence in older adult patients from 52.8% to 29.8% after one year. Learn how you can put this protocol to work at your facility by attending this NICHE Online Connect Webinar.

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    Nurse Recognition of Acute Delirium: A Pilot Study

    September 11, 2013
    Featuring: Bette K. Idemoto, PhD, RN, ACNS-BC, CCRN; Denise M. Kresevic, PhD, RN, GNP-BC, GCNS-BC, University Hospitals Case Medical Center

    Delirium is a complex syndrome associated with significant morbidity/mortality, adverse patient outcomes and increased cost of care. University Hospitals Case Medical Center conducted a pilot study to evaluate an innovative CNS multi-phased educational program that included didactic teaching, bedside mentoring, and consultation. General medical and ICU RNs were surveyed to assess their competency in detecting and managing delirium. Planned education and consultations on patients were provided as part of interdisciplinary rounds. The study revealed that traditional didactic education was insufficient in improving detection and that enhanced CNS telephone consultation to bedside nurses in the midst of delirium patient crises can provide needed support and timely cost-effective targeted interventions. Join us to learn more about this important study and its result. This presentation is part of the NICHE Webinar Solution Series.

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    Patient Activity Cart (PAC) for Better Care

    February 10, 2011
    Featuring: Tyleen Smith, BSN, RN

    Cognitive impairment, including delirium, in older adult patients can add challenges for nurses responsible for their care. Providing nursing staff with tools and support to help them care for patients with confusion/delirium can improve staff satisfaction and decrease stress levels. Recognizing the need to upgrade the quality of care for older adult patients, the interdisciplinary NICHE team at Saint Francis Hospital in Tulsa, Oklahoma, created an educational component outlining interventions for confusion/delirium. The interventions used equipment supplied in a Patient Activity Cart (PAC). Tyleen Smith details the team’s effort and use of the PAC in this “Solutions” webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Reducing Delirium with a Team Approach

    November 17, 2010
    Featuring: Catherine Roscoe-Herbert, DNP, APRN, FGNLA
    UH Case Medical Center

    Delirium has become a major medical crisis facing the hospitalized older adult patient. In this webinar, Cathy Hebert, RN, GCNS-BC, of Mission Hospital describes their team approach to reducing the incidence of delirium and improving the recognition/diagnosis of delirium through the use of nationally recognized best practices embedded in the electronic medical record.

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    Screening of Older Adults for Delirium Risk Prior to Orthopedic Surgery

    March 20, 2012
    Featuring: Anne Vanderbilt, MSN, CNS, CNP and Barbara Messinger-Rapport, MD
    Cleveland Clinic

    Finding the incidence of delirium in older adult patients after elective hip surgery was up to 15%. The Cleveland Clinic undertook a nurse/physician research study to consider the necessity of screening for high-risk individuals prior to orthopedic surgery. In this webinar, Anne Vanderbilt and Dr. Rapport will discuss what the study discovered and how it can help reduce the incidence of delirium in older adult patients. This presentation is part of the NICHE Webinar Solution Series.

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    The Delirium Observation Screening Scale (DOS Scale)

    March 9, 2016
    Featuring: Grace Matthews, MSN, RN -BC, University of Iowa Hospitals & Clinics

    Busy inpatient nurses need tools to help them obtain assessments. This webinar describes the use of the DOS Scale in delirium identification and early treatment. The initiative used the electronic medical record to support the staff nurse at the bedside. A NICHE electronic report was developed to trend delirium status over the length of the admission and alerts signaled when the DOS Scale was over three to remind nurses to implement delirium strategies and notify the licensed independent practitioner to use the delirium order set. Add this tool to your practice. Register to attend the webinar.

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    TThe Magic Power of an Externship; Leveraging Student Interest in an Externship into a Volunteer Bedside Companion Program for Delirium Prevention

    May 13, 2015
    Featuring: Theresa Bernaz, MS, MA, RNC; Lourdes Pineda, MSN, RN, BC, Overlook Medical Center

    Recruiting volunteers for their bedside companion program was a challenge for Overlook Medical Center so they created the “Healthcare Externship for College Students with a Focus on Delirium Prevention.” A training component for the nursing and pre-med college students included classroom work, lectures and videos on aging and physical/mental changes, what delirium was, and ways to prevent delirium in older adult patients. Attend this webinar to learn how you can put this innovative program to work for your facility.

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  • Dementia
    Creating Smooth Transitions for Your Patients with Dementia

    May 23, 2012
    Featuring: Maggie Murphy-White, MA
    Alzheimer’s Association, St. Louis Chapter

    Join us to examine why we need to look more closely at transitional care. The following important questions will be discussed: How do challenging transitions affect our hospital and our older adult patients? What can you do today to improve care for your older adult patients with dementia who are stuck in the health care revolving door? In this new webinar Maggie Murphy-White will detail the answers and depict several transitional care models. This presentation is part of the NICHE Webinar Clinical Series.

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    Dementia Communication Skills: An Iowa Model Evidence-Based Practice (EBP) Project

    April 29, 2015
    Featuring: Angela Renkema, RN, BSN, MedStar Washington Hospital Center

    Staff on the geriatric unit at MedStar Washington Hospital Center were feeling stressed and uncomfortable when communicating with older adult patients with dementia. The nurse residents believed that lowering stress levels would increase staff satisfaction and patient outcomes. A dementia communication education program helped achieve this goal. Survey data revealed an increase in comfort level and staff satisfaction. Sit in on this important webinar and gain a better understanding of communication “do’s” and “don’ts” when caring for older adult patients with dementia.

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    Gerontological Nursing Assessment of Geriatric Syndromes and Discovery Hand-off

    April 11, 2012
    Featuring: Joanne Alderman, MSN, RN-BC, APRN, FNGNA
    OSU Medical Center

    This webinar will deal with assessing geriatric syndromes and will cover areas of assessment, action codes, initial and shift assessments, DISCOVERY and intervention, and possible contributing factors. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Integrative Healing Arts and the Geriatric Patient

    May 9, 2013
    Featuring: Brenda Belbot, RN-BC, MSN, MHA and Jenna Godfryd, RN-BC, BSN
    St. John Hospital and Medical Center

    The webinar provides an introduction to the integrative healing arts and their value in the care of the geriatric population, particularly the management of dementia and delirium. The discussion will also include the importance of the RN caregiver using the integrative healing arts to help center herself and effectively deliver care. The webinar also showcases how and when to use aromatherapy, music therapy and hand massage in the dementia and delirium geriatric patient, with a focus on decreasing medication use for this population. This presentation is part of the NICHE Webinar Solution Series.

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    Managing Behavioral Disturbances in Patients with Dementia

    June 4, 2014
    Featuring: Kristy Todd, MSN, FNP-BC, RN-BC
    Saint Mary’s Health Care

    To help improve care for dementia patients, Saint Mary’s launched an initiative to develop a pathway that addressed causes of behavioral disturbances that resulted in changes in behavior. The nurse-driven pathway focused on issues such as pain, bladder and bowel management and social/environmental needs. The initiative decreased length of stay rates and gave nurses more confidence in providing care for patients with behavioral disturbances. Discover more about the application and results of this innovative program during this NICHE Online Connect webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Rapid Response for Dementia and Behavioral Issues

    September 14, 2011
    Featuring: Brenda Belbot, RN, MSN, MHA

    Recognizing the affect delirium, dementia and other psychiatric conditions can have on older adult patients, the NICHE team at St. John Hospital and Medical Center, Detroit, Michigan, assembled a team of specially trained professional associates to assist units with assessment and treatment of behavioral conditions. Brenda will discuss how and why they put together the “Behavioral Health Rapid Response Team” in the new-for-2011 “Solutions” Online Connect Webinar from NICHE. This presentation is part of the NICHE Webinar Solution Series.

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  • Emergency Department
    Creating a Continuum of Care: Seniors Emergency Center

    December 7, 2010
    Featuring: Bonnie Mahon, RN, BSN, MSM, CMSRN, CAN-BC

    Did you know only infants go to the emergency room at a higher rate than people 75 and older? And it’s increasing. With this trend comes a challenge for the health care system to meet the unique needs of non-acute older adult patients. In this webinar, Bonnie Mahon describes the creation of the first-of-its-kind Seniors Emergency Center at Holy Cross Hospital in Maryland. Learn how the innovative unit is designed to provide emergency care to older adults and promotes a continuum of care that starts in the hospital and continues into the community. This presentation is part of the NICHE Webinar Solution Series.

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    Establishing a Baseline for Improving Geriatric Care at the Hospital of the University of Pennsylvania

    June 19, 2013
    Featuring: Rebecca Trotta, PhD, RN
    Hospital of the University of Pennsylvania

    This webinar will allow participants to understand how Hospital of the University of Pennsylvania (HUP) approached this initiative and the lessons learned in implementing it. This webinar will detail the rationale for establishing a baseline, the process undertaken, the challenges encountered, the lessons learned, as well as next steps and recommendations for colleagues in similar clinical settings. This presentation is part of the NICHE Webinar Solution Series.

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    Supporting Hospitalized Frail Seniors from ED to Hospital to Home

    March 28, 2013
    Featuring: Carla Loftus, RN, MN, GNC(C); Nana Asomaning, RN(EC), MN, GNC(C), NP-adult; Rebecca Ramsden, RN(EC), MN, GNC(C), NP-adult
    Mount Sinai Hospital

    A visit to the ED and subsequent hospitalization are sentinel events for elderly patients. Care of older adult patients poses a clinical challenge for frontline staff. To better meet the needs of its older adult patients and support capacity building for frontline staff, Mount Sinai Hospital implemented several Advanced Practice Nursing (APN) roles. The presentation will detail each role and how they interact to support older adult patients as they transition between the community, emergency department, inpatient and outpatient settings. This presentation is part of the NICHE Webinar Solution Series.

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    The “Great” Kit: Enhancing Geriatric Resources, Education, and Tools in the Emergency Department

    October 20, 2011
    Featuring: Linda Hassler, RN, MS, GCNS-BC
    Meridian Health

    Emergency Department (ED) nurses historically have not received educational preparation in the care of older adults. To improve the quality of care for older adult patients in the ED, Meridian Health, Brick, NJ, initiated a geriatric educational program specifically designed for ED nurses. Assembled under the “banner” of the GREAT (Geriatric Resources, Education, and Tools) Kit, this initiative brought together a number of geriatric focused resources and tools for use in the ED.

    In this new Solutions Webinar, Linda will outline the components and use of the GREAT kit and how it yielded improved patient satisfaction and improved satisfaction of the ED staff with age appropriate quality of care provided to older adult patients. This presentation is part of the NICHE Webinar Solution Series.

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    The Virtual Senior Emergency Department

    January 7, 2015
    Featuring: Dwayne Dobschuetz, MSN, RN
    Northwestern Memorial Hospital, Department of Emergency Medicine

    The number of older adults with ED visits has doubled over the last decade. The special care needs of older adults are not well aligned with current priorities for ED physical plant design and care delivery. Northwestern Memorial Hospital engaged the GEDI WISE (Geriatric Emergency Department Innovations through Workforce, Informatics, and Structural Enhancements) program to improve ED visits for older adults. GEDI WISE is an integrated multidisciplinary approach that involves elements to improve patient safety and satisfaction. Learn more about this innovative program by registering for the NICHE Online Connect Webinar now

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  • Environment
    Cultural Diversity; It Can’t be Ignored

    June 18, 2014
    Featuring: Veronica Rankin, MSN, RN, CMSRN, CNL
    Carolinas Healthcare System

    Caregivers often find it difficult to provide holistic care to culturally diverse patient populations. A program at Carolinas Healthcare System improved staff awareness and sensitivity using continuing education resources, cultural diversity celebration gatherings and diversity tools. Join this important discussion and learn how to help staff better relate to diverse populations.

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    Environmental and Social Approaches to Improve Outcomes for the Hospitalized Older Adult

    May 18, 2011
    Featuring: Sandra Wright, RN, BSN, MS, Clinical Manager
    The Christ Hospital

    Care of the hospitalized older adult is complex. Older adults have a higher incidence of baseline vulnerabilities, including functional impairments, sensory challenges, and multiple chronic health problems. Additionally, the hospital environment may not accommodate age-related changes including those related to hearing, vision, and mobility. Consequently the older adult is predisposed to decreased satisfaction, delirium and functional decline, as well as falls and fall-related injuries.

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  • Function and Falls
    A Mobility Team: Making a Move to Reduce Hospital Falls

    February 18, 2014
    Featuring: Diane Kuehnlenz, MS, APN, CCNS, CWOCN
    Advocate Lutheran General Hospital

    Patient hospital falls are a reportable problem with many causative factors including deconditioning, that in turn makes the patient more difficult for the care staff to mobilize. Advocate Lutheran formed a “Mobility Team” to train nursing staff on proper techniques of transfers and ambulation of patients, and encourage early and frequent ambulation. During the pilot study, Mobility Team interventions with patients experiencing falls decreased fall reoccurrences to zero. Attend this webinar to learn how you can put a Mobility Team in place at your facility. This presentation is part of the NICHE Webinar Solution Series.

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    Impacting Frailty and Person-Centered Care: Goal Attainment Scaling

    September 12, 2012
    Featuring: Dana McNamara-Morse, RN, NP, MC, GNC(C) and Julie Sutherland-Jotcham, BScN, RN, GNC(C)
    Annapolis Valley Health

    In August 2010, Julie Sutherland-Jotcham and Dana McNamara-Morse implemented a pilot program to improve the care of seniors in Soldiers Memorial Hospital’s Mayflower unit. Working with residents and the interprofessional team, they introduced the use of the Clinical Frailty Scale © and Goal Attainment Scaling.

    Frailty has been shown to have a predictive value, correlating with institutionalization and even death. Goal Attainment Scaling (GAS) is a standardized scoring process by which individualized treatment and goals are measured over the course of treatment/intervention. In this webinar, they will share the Clinical Frailty Scale ©, the research they inspired on the Mayflower Unit, and ultimately the wonderful impact it had in improving resident care. This presentation is part of the NICHE Webinar “Responding to the Needs of the Critically Ill Older Adult” Series.

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    Implementing Staggered Shifts for Patient Care Technicians to Reduce Falls and Decrease Noise

    September 7, 2016
    Featuring: Jason Mejzak, MSN, RN-BC, CMSRN, NE-BC; Melissa Mordecai, MSN, APN, ACNP-BC, CEN, Kennedy Health

    Patient falls are a ubiquitous in-hospital adverse event which are catastrophic to patients, clinicians and healthcare systems. Through a collaborative effort between the Shared Governance Council and nursing administration, staggering shifts were trialed on a 21-bed Medical-Surgical unit. As a result, the amount of falls were decreased and patient satisfaction regarding noise and quietness increased.

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    Improving Functional Outcomes of ACE Unit Patients by Optimizing Skilled Therapy Services through Group Sessions

    November 16, 2016
    Featuring: Vanessa Gentry, PT; Alyssa Trotsky, PT, DPT, Beaumont Health

    A recent study conducted by the team at Beaumont Health found that implementation of a standardized exercise regime for acute care hospitalized patients 65 years and older is safe, economical, and effective. Developing a group exercise program, hospitalized patients are able to receive therapy at a higher frequency leading to improvements in functional outcomes. The average gait speed improved and patients appeared more motivated to participate in group therapy sessions. The significant improvement in gait speed directly correlates with decreased fall risk, morbidity, and mortality rates. Join this webinar to learn how to improve functional outcomes by optimizing skilled therapy services.

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    Prevention of Functional Decline Using a Nurse Driven Mobility Protocol

    March 23, 2016
    Featuring: Cristiane Fukuda, MSN, ANP-BC; Sandy Gandee, MS, RN, ACNS-BC
    Northside Hospital

    The program at Northside used a nurse driven protocol to provide nursing staff with tools and resources to assess functional status and mobility level, and implement a mobility plan. The program was called “STEP IN.” The protocol incorporated assessment of functional status using the Modified Barthel Index and the Get-up-and-Go test. A training course educated nurses and patient care technicians about mobility. Sit in on this webinar to hear how the protocol could help your facility reduce fall rates and readmissions.

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    Redesigning Fall Prevention Program: Building on the Evidence

    May 11, 2016
    Featuring: Viktoriya Fridman, RN, MSN, ANP-BC; Michelle Cruickshank, RN, Maimonides Medical Center

    A team at Maimonides redesigned their existing fall prevention program by adopting best practices and using specific nursing interventions to minimize the risk of falling. The new program used a fall risk assessment tool, implemented Purposeful Rounding and developed the “Stay With Me Program.” You can start this nursing quality improvement activity at your facility. Start the process by attending this innovative webinar presentation.

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    The KATZ INDEX: What Can It Do for You?

    September 25, 2013
    Featuring: Denise Schwartz, BSN, RN-BC
    Bayshore Community Hospital, Meridian Health

    Allowing patients to preserve their independence through promoting their baseline function, and avoiding the possibility of sub-acute rehabilitation should be the focus of nursing care. Research shows that 74.3% of patients develop functional decline while hospitalized and 32% of discharged patients develop functional decline six months post-hospitalization. Nurses need a tool to measure a patient’s baseline functional status and track it from initial admission, and from shift-to-shift to monitor/prevent functional decline. The KATZ INDEX is that tool. Bayshore Community Hospital incorporated the Katz Index into their charting system to assess patients’ functional status. Learn how the KATZ INDEX was implemented and the results in this important presentation. This presentation is part of the NICHE Webinar Clinical Series.

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  • GPCA (Geriatric Patient Care Associates)
    Geriatric Education for Nursing Assistants: An Organizational Strategy

    March 6, 2013
    Featuring: Barb Seliger, BSN, RN-BC
    Aspirus Wausau Hospital

    This webinar will feature the history and implementation of specialized education in geriatrics for the certified nursing assistants at Aspirus Wausau Hospital. As the hospital progressed with its NICHE journey, it was understood it needed to impart a basic knowledge and utilize evidence-based practice to encourage the nursing assistants to help avoid functional decline in older adult patients. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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  • GRN
    A Collaborative Approach Among Registered Nurses and Certified Nurse Assistants to Improve Nurse Satisfaction and Selected Patient Outcomes

    July 8, 2015
    Featuring: Kelly Castle BSN, RN-BC, Erin Dellagrotta BSN, RN-BC, The Miriam Hospital

    A review of NDNQI scores in a medical/surgical telemetry unit at The Miriam Hospital revealed dissatisfaction among RNs about current work conditions, specifically staffing and resource availability. An educational intervention fostered a collaborative approach to work flow between RNs and CNAs that improved staff satisfaction and teamwork. Put this initiative to work for your staff and improve patient outcomes. View this Online Connect Webinar now.

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    Creating a Unified Health System GRN Program

    March 18, 2015
    Featuring: Julie Simon, MSN, RN, ACNS-BC, GCNS-BC, CMSRN, Erica Yates, MSN, RN, ACNS-BC, CRRN
    Cleveland Clinic

    The Cleveland Clinic applied a systems approach to the existing Geriatric Resource Nurse (GRN) programs that existed throughout its health system to provide better care and improved outcomes for older adult patients. The new approach included a focus on both delirium and Grand Rounding, and used didactic teaching and newly developed screening and rounding tools. Register for this webinar to learn how you can apply this GRN approach at your facility.

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  • Heart Failure
    Nursing Practice Implications for Older Adults with Heart Failure Across Healthcare Settings

    April 26, 2012
    Featuring: Cathy Roscoe-Herbert, DNP, APRN, FGNLA
    UH Case Medical Center

    Heart failure is a #1 national diagnosis-related group (DRG). As such, nurses need to work closely as partners with other health care providers to promote patient-centered care, education and communication of care needs for older adult patients with heart failure. In this new webinar Dr. Cathy Roscoe-Herbert will discuss how nurses can take a leading role in the overall improvement of the quality of life and quality of care for older adults with heart failure across health care settings. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Population Health Management of the Heart Failure Patient

    July 13, 2016
    Featuring: Lynne Driscoll, RN, CCM, CPHM; Nina Laing, RN, BSN, CPHM
    South County Health

    SCHHS established a system-wide, community approach to heart failure care in order to sustain positive patient outcomes and reduce avoidable admissions/readmissions. The initiative included establishing a “Standard of Care” for each setting within the system, a heart failure intranet site, a callback program, and an education component, among other measures. The readmission rate dropped by 10% as a result of the effort. Take better care of your heart failure patients by taking part in this important presentation.

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    The Role of the GRN in the Heart Failure Clinic

    May 22, 2013
    Featuring: Kimberly Osborne, BSN, RN-BC; Karla Gunderson, BSN, RN; Julie Thompson, APRN
    Bergan Mercy Medical Center

    The Heart Failure Clinic at Bergan Mercy saw its first patient on July 3, 1996. Since that time, it has evolved as best practices have emerged in the research of CHF regarding patient longevity and decreased hospital admissions. Bergan Mercy joined, along with the Alegent System, as a NICHE hospital in 2010. The Geriatric Resource Nurse program began at Alegent’s first NICHE hospital, Immanuel. All of the Heart Failure Clinic nurses are GRN’s. Learn how this valuable education equips nurses to give excellent care in this setting, improving outcomes and preventing harm for our older adults. This presentation is part of the NICHE Webinar Solution Series.

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  • Integrated System Implementation
    Improving Staff’s Ability to Work with “Challenging” Patient Behaviours: An Acute Care Approach

    January 20, 2016
    Featuring: Nana Asomaning, RN, EC, MN, NP, GNC (c); Rebecca Ramsden, RN, EC, MN, NP, GNC (c), Mount Sinai Hospital, Canada

    Mount Sinai identified an imperative to build clinicians’ competence, confidence, and capacity in working with older adult patients with delirium, dementia, and associated behaviours. Various staff participated in structured, educational workshops that helped improve knowledge, skills, and confidence in dealing with behavioural issues. Attend this webinar to learn how you can put this innovative program to work for your facility.

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    Interdisciplinary Geriatric Difficult Case Conference: Innovative Approach to Learning

    April 13, 2016
    Featuring: Patti Pagel, MSN, RN, GCNS-BC; Patrice Fedel MS, RN, GCNS-BC; Margie Hackbarth, MBA; Aaron Malsch MSN, RN, GCNS-BC, Wheaton Franciscan Health Care

    The NICHE program is based on the fact that there is a shortage of geriatric prepared providers to care for our aging population. Wheaton Franciscan took up this challenge with a program to elevate the quality of geriatric care. The initiative provides an accessible and affordable education forum in which challenging geriatric cases are discussed in order to learn from interdisciplinary teams. Participants agreed they gained a deeper understanding of the management of challenging behaviors in older adults. Add this innovative concept to your practice by registering for the webinar now.

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    Rounding on the 15

    June 6, 2012
    Featuring: Lora Bognar MSN, RN-BC, ANP-BC and Lynnelle Tampac, RN-BC, MD
    The Valley Hospital

    Rounding on the 15 is a unique method used at The Valley Hospital, Ridgewood, New Jersey to prevent patient falls. This technique uses a multidisciplinary approach to ensure patient safety. No skill is required for visualizing each and every patient at minimum every 15 minutes around the clock. After a 1 week pilot, 93% of staff voted to continue Rounding on the 15. After 365 days of using this practice, we were able to reduce fall rates, restraint rates and 1:1 rates, all at the same time. Considering this a best practice, it has been rolled out hospital-wide. This presentation is part of the NICHE Webinar Solution Series.

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  • Long Term Care (LTC)
    Assessment and Management of Older Adults with Heart Failure (Part 1)

    January 19, 2012
    Featuring: Dr. Rebecca Boxer
    Case Western Reserve University

    This two-part program will review evidence-based practice for the older adult heart failure that can be applied to multiple care settings, including the hospital, skilled nursing, home care and long term care.

    In Part 1 the epidemiology of heart failure for older adults will be discussed. The demographics particular to older adults will be reviewed and made relevant to practice in the older age group. Clinical evaluation including the physical exam, frailty and cognitive assessment will be an important part of the program. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Assessment and Management of Older Adults with Heart Failure (Part 2)

    February 16, 2012
    Featuring: Dr. Rebecca Boxer
    Case Western Reserve University

    This two part program will review evidence-based practice for the older adult with heart failure which can be applied to multiple care settings, including the hospital, skilled nursing, home care and long term care.

    The second part will discuss medication management, non-pharmacologic therapies and pitfalls to heart failure care for older adults. Tips to recognizing the patient with end-stage heart failure will be an important part of this session. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Crossing the Continuum of Care – Creating New Partnerships

    July 23, 2014
    Featuring: Chris Schuh, RN, BSN, Virginia Payne, BSN, RN and Julia Newton, RN-C, BSN, CMSRN
    Baylor Health Care System

    Approximately 20-25% of people admitted to skilled nursing facilities are re-hospitalized in 30 days. To counter this problem the team at Baylor Health Care System developed partnerships between the hospital and skilled nursing facilities to decrease risk and improve outcomes. The partnerships focused on education and creating geriatric practice changes to reduce hospital admissions and readmissions. Attend this webinar and learn how to adapt this initiative for your facility.

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    Implementing Long Term Care Advisory Standards for an Alzheimer’s and Dementia Program at the Lighthouse, Brick, NJ

    July 9, 2014
    Featuring: Linda Hassler, RN, MS, GCNS-BC, FNGNA
    Meridian Health

    More than five million Americans or one-in-eight older adults have dementia. This webinar will discuss the challenges of caring for older adult patients with dementia, describe the role of the National Council of Certified Dementia Practitioner’s course and list steps to training staff in dementia care. Critical training areas include reducing pain, preventing falls, understanding wandering and encouraging restraint-free care. Sit in on this NICHE webinar and learn the steps to implementing a training program in dementia care for your interdisciplinary team.

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    Implementing NICHE Across the Continuum of Care

    July 22, 2015
    Featuring: Kathleen Fletcher RN, DNP, GNP-BC, FAAN
    Riverside Health System

    Riverside’s educational program for nursing staff builds on the NICHE Geriatric Resource Nurse (GRN) and Geriatric Patient Care Associate (GPCA) curricula to elevate the NICHE model throughout the care continuum and improve outcomes for older adult patients. This webinar is a great opportunity to learn how to extend NICHE throughout your facility or system. Register now.

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    Medication Reconciliation: A Tool for Transitions of Care

    September 22, 2011
    Featuring: Dr. Manju Beier, FASCP, CGP

    Discharge of a patient from an acute care setting is one of the most crucial transitions in care, with potential impact on patient outcomes post discharge, including readmission. In the past decade, initiatives to improve the discharge process, particularly discharge summaries, have yielded standards and tools to improve the process. The Joint Commission Board of Commissioners has approved revisions to the National Patient Safety Goal (NPSG) on reconciling medication information, effective July 1, 2011 for the ambulatory, behavioral health care, critical access hospital, home care, hospital, long term care, and office-based surgery accreditation programs. After completing this session, the participant will be able to discuss the rationale behind the NPSG on medication reconciliation and identify the key elements/steps of a medication reconciliation process. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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  • Medication
    Appropriateness of Prescribing Criteria in Older Adults: State of the Art

    December 13, 2011
    Featuring: Dr. Maju Beier
    University of Michigan

    Inappropriate prescribing commonly occurs in adults aged 65 years or older who have a higher prevalence of co-morbidity, disability, and dependency than younger adults. A number of studies have documented that potentially inappropriate medication (PIM) prescribing in older adults is common in the ambulatory setting, nursing homes, and the emergency department and that exposure to inappropriate medications is associated with increased morbidity, mortality, health care resource utilization, and adverse drug events (ADEs). This webinar will address the fact that prescribing can be assessed by process or outcome measures that are explicit (criterion-based) or implicit (judgment-based). This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Implementation of a Geriatric Medication Surveillance Program in a Community-Teaching Hospital

    March 5, 2014
    Featuring: Thom K. Nguyen, PharmD
    Hunterdon Medical Center

    The Geriatric Medication Surveillance Program at Hunterdon Medical Center was designed to provide a medication review process that would identify and resolve pharmaceutical care issues. The 2012 study used the computerized-patient record system and incorporated predefined triggers to identify risk medications. A clinical intervention documentation and reporting tool was used to assess cost-savings. The program fostered support and communication across all disciplines, encouraged more staff medication education and yielded over $5,000 in cost-savings. Improve care for your geriatric population by attending this NICHE webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Influenza and Pneumonia Vaccinations for Older Adults

    November 16, 2011
    Featuring: Cindy Nigolian, GCNS-BC
    NICHE Clinical Administrator

    Nurses can play a key role in leading the organization to develop influenza and pneumonia vaccine policies that identify, inform and educate at-risk populations. For her NICHE Organizational Strategy, Cindy Nigolian has developed a set of tools designed to support these efforts and promote the acceptance and use of influenza and pneumonia vaccinations among older adults. In her presentation, she will outline the use of interventions, staff and family education efforts, tracking tools and the evaluation process for vaccine initiatives. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Medication Management in Hospitalized Seniors: The ACE Approach

    December 4, 2013
    Featuring: Sandra Karam, MS, RN, GCNS-BC and Allison Dery, PharmD
    Sentara CarePlex Hospital

    Polypharmacy and physiologic changes occurring with age predispose older adults to harm from medication use. Sentara launched a program to improve medication safety and appropriateness in older hospitalized patients using the Acute Care for Elders (ACE) approach. Patients admitted to the ACE unit were evaluated for medication reconciliation, functional status prior to admission, inpatient medication review using the Beers and STOPP/START criteria, and identification of potential ADEs. The ACE approach to medication management for older adults patients led to identification and reduction of inappropriate medication use, improving medication safety and appropriateness. Learn how the ACE approach could help your hospital by attending this important webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Use of Opiate Medications for Chronic Non-Cancer Pain Management in Older Adults

    October 7, 2015
    Featuring: Lisa Binns-Emerick, MSN, ACNS-BC, Rosa Parks Geriatric WISH/Wayne State University

    There is currently minimal guidance in the literature on opiate use and alternative chronic non-cancer pain management in the older adult. Rosa Parks Wellness Institute for Senior Health clinic’s study involved implementation of a practice model change for chronic non-cancer pain management within the older adult population. One of the model’s aims was to provide effective and appropriate opiate alternatives. Sit in on this informative webinar to learn how your facility can help reduce opiate use for your older adult patients.

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  • NICHE Resources
    A Hospital Uses NICHE Materials to Promote Patient, Associate, Family and Community Engagement

    November 3, 2016
    Featuring: Sue Harvey, RN, PPCN
    Advocate South Suburban Hospital

    Learn how NICHE education, resources and materials are used in hospital programs to engage patients, families, and staff to improve the care of elder patients. Advocate South Suburban Hospital’s NICHE program impacts the delivery of geriatric-sensitive patient care, family education, staff education, safety programs, volunteer services, community programs, and system committees.

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    Hardwiring NICHE: Role of the Nurse Manager

    December 12, 2012
    Featuring: Dennise Lavrenz, BSN, MBA
    University of Wisconsin Hospital and Clinics

    Many organizations struggle to assure management practices are aligned to complement and reinforce the change that an organization is embarking upon. Successful NICHE programs utilize a systematic approach to launching and sustaining NICHE. This webinar is designed to provide a framework for the Nurse Manager to effectively hardwire NICHE in their organization.

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    Innovative Use of a NICHE Webinar to Improve Patient Satisfaction in a Hospital

    February 4, 2015
    Featuring: Rebecca Willis, BSN, RN-BC, Wheaton Franciscan-Elmbrook Memorial

    A Geriatric Resource Nurse (GRN) team at Wheaton Franciscan-Elmbrook used an education initiative to help improve Press Ganey nurse communication scores. Focus was on improving nurses’ technique when using therapeutic communication with their older adult patients. The NICHE “Communication Tune-Up: The Elderspeak Challenge” webinar was used in the education effort. Join us for this webinar to learn how the GRN-led initiative improved patient satisfaction and raised Press Ganey communication scores. Register now.

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    NICHE Measurement and Program Evaluation: Parts 1 & 2

    August 6, 2014
    Featuring: Linda Bub, MSN, RN, GCNS-BC, Director, Education and Program Development

    To ensure success and sustainability of NICHE programs, sites are encouraged to evaluate their program with tools and resources developed specifically for geriatric care, staff knowledge and attitude assessment, clinical outcomes benchmarking and finally level of program implementation. This webinar provides a comprehensive review of the three NICHE benchmarking tools: The GIAP (Geriatric Institutional Assessment Profile), the Unit Performance Survey, and the membership Profile/Program Evaluation. A review of how to use these tools to build your program, demonstrate impact of the program on clinical outcomes, staff knowledge/attitudes and program growth over time will also be covered. Join us for this invaluable guide to assessing your NICHE program’s progress.

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  • Nutrition and Elimination
    Promoting Evidence-Based Dysphagia Assessment and Management by Nurses

    January 19, 2011
    Featuring: Sonia Sandhaus, MSN, RNC, FNP, GNP

    According to the U.S. Census, 15% of people over age 60 are estimated to have dysphagia. Unrecognized and/or untreated, dysphagia can result in dehydration, malnutrition, and renal failure. Moses Taylor Hospital’s Hospital Elder Life Program (HELP)© recognized the significant role nurses could play in assessing and managing dysphagia in older adult patients and developed a training module for its RNs and licensed practical nurses. Sonia Sandhaus discusses this initiative in this “Solutions” webinar. This presentation is part of the NICHE Webinar Solution Series.

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  • Oral Health
    Oral Health: An Overview for Older Adults

    September 17, 2014
    Featuring: Erin Hartnett, DNP, APRN-BC, CPNP; Mark Wolff, DDS, PhD; Caroline Dorsen, PhD, FNP-BC; Rita Jablonski, PhD, RN, ANP

    Poor oral health can negatively affect a person’s health and well being. Oral diseases can affect many aspects of general health, and some health conditions can, in turn, have an effect on oral health. Older adults may have more difficulty than younger adults accessing effective interventions to prevent and control oral disease. Barriers include lack of insurance, physical limitations that make brushing teeth difficult, and lack of perceived need for oral healthcare. Join us for this first in a new webinar series to get an overview of oral health in older adults and learn about oral health competencies, the oral-systemic connection, interventions, promotion, collaboration, and referrals.

    In collaboration with NICHE (Nurses Improving Care for Healthsystem Elders), the Hartford Institute for Geriatric Nursing (HIGN) and the Oral Health Nursing Education and Practice (OHNEP) have developed a new Oral Health Webinar Series. This new series will address and promote interprofessional oral health, and provide tools and education that healthcare professionals can use to improve the quality of oral healthcare that older adults receive. Each webinar, 1 hour in length, will provide nursing continuing education.

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    Oral Health: Dementia

    December 10, 2014
    Featuring: Judi Haber, PhD, APRN, BC, FAAN, Elaine Amella, PhD, RN, FAAN, Pam Stein DMD, MPH, Rita Jablonski, PhD, RN, ANP

    As adults age, experience frailty and suffer from conditions such as dementia, the management of oral healthcare may become more difficult and pose challenges to care providers and family. Studies have shown that dementia should be considered a major influence on peoples’ oral health. Although people who are experiencing a cognitive decline face additional challenges maintaining positive oral hygiene, it does not have to have a negative effect on the older adult’s quality of life. This webinar will discuss key oral health problems as well as interprofessional assessment and treatment strategies of oral health issues for older adults with Dementia.

    In collaboration with NICHE (Nurses Improving Care for Healthsystem Elders), the Hartford Institute for Geriatric Nursing (HIGN) and the Oral Health Nursing Education and Practice (OHNEP) have developed a new Oral Health Webinar Series. This new series will address and promote interprofessional oral health, and provide tools and education that healthcare professionals can use to improve the quality of oral healthcare that older adults receive. Each webinar, 1 hour in length, will provide nursing continuing education.

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    Oral Health in Older Adults in Acute Care Settings

    March 4, 2015
    Featuring: Judi Haber, PhD, APRN, BC, FAAN, A. Ross Kerr, DDS, MSD, Halley Ruppel, MS, RN, CCRN, Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN, Mary, Brennan, DNP, AGACNP-BC, ANP, RN

    The oral health care of patients, especially elderly patients, in acute care or hospital settings is often overlooked. Studies have shown that poor oral hygiene is prevalent among hospitalized older adults and it can result in difficulty eating, malnutrition, ventilator acquired pneumonia (VAP), and other complications. Integrating oral health into the nursing care plan and utilizing a collaborative care approach could reduce the incidence of these complications. This webinar will discuss key oral health problems in acute care settings as well as interprofessional strategies to promote good oral hygiene.

    In collaboration with NICHE (Nurses Improving Care for Healthsystem Elders), the Hartford Institute for Geriatric Nursing (HIGN) and the Oral Health Nursing Education and Practice (OHNEP) have developed a new Oral Health Webinar Series. This new series will address and promote interprofessional oral health, and provide tools and education that healthcare professionals can use to improve the quality of oral healthcare that older adults receive. Each webinar, 1 hour in length, will provide nursing continuing education.

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    Oral Health for Older Adults in Palliative Care and Long-Term Settings

    June 10, 2015
    Featuring: Featuring: Dawn Pavlu, APN, ACHPN; Rose Anne Indelicato, MSN, APN-BC, ACHPN, OCN; Charles Tilley, MS, ANP-BC, ACHPN, CWOCN; Alexander Ross Kerr, DDS, MSD; Judi Haber, PhD, APRN, BC, FAAN

    Elders residing in institutional settings have unique oral care needs. Often facing multiple chronic conditions, limited access to dental care, and self-care deficits, these seniors are especially vulnerable to suboptimal oral hygiene and oral/dental complications. This webinar will focus on the role of nursing and the interprofessional team in the oral care of elders in long term care settings. Emphasis will be placed on the palliative oral care issues of those with multiple medical co-morbidities or serious advanced illness. Oral palliative care focuses on the management of oral symptoms and the promotion of oral hygiene and comfort, with the goal of optimizing quality of life.

    In collaboration with NICHE (Nurses Improving Care for Healthsystem Elders), the Hartford Institute for Geriatric Nursing (HIGN) and the Oral Health Nursing Education and Practice (OHNEP) have developed a new Oral Health Webinar Series. This new series will address and promote interprofessional oral health, and provide tools and education that healthcare professionals can use to improve the quality of oral healthcare that older adults receive. Each webinar, 1 hour in length, will provide nursing continuing education.

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  • Orthopedics
    Creating a Best Practice Osteoporosis Protocol in Elderly Hip Fracture Patients

    September 9, 2015
    Featuring: Kindra McWilliam-Ross, MSN, APRN, ACNS-BC
    Texas Health Harris Hospital Fort Worth

    Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 44 million U.S. women and men aged 50 and older. Texas Health Harris Hospital’s initiative to improve outcomes for geriatric hip fracture patients applied evidence-based guidelines to a multidisciplinary patient care approach. The team developed an osteoporosis protocol for patients that included extensive follow-up. Sign-up for this important webinar to learn how you can improve care of your older adult patients.

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    Interdisciplinary Collaboration Fosters Success in New Geriatric Fracture Program at RIH

    October 9, 2013
    Featuring: Nadia Mujahid, MD and Donna Dumouchel, RN
    Rhode Island Hospital, Lifespan

    Hip fractures are becoming increasingly common and traumatic events in the older adult population. Orthopedic and geriatrics comanagement programs reduce variability and improve care quality in mortality, length of stay (LOS) and other critical outcomes. The Rhode Island Hospital (RIH) Orthopedics and Geriatrics programs formed an interdisciplinary team to plan and implement the RIH Geriatric Fracture Program (GFP) starting in 2011. Three process improvements accelerated the program’s progress toward measurable success: streamlined admittance of GFP patients from the ED to facilitate early operative intervention; development of ED admission, pre-operative and post-operative order sets to address delirium reduction and expedite pain management; and collaborative orthopedic and geriatric post-operative care co-management. Sit in on this new webinar to discover how these protocols improved the quality of care, outcomes and patient satisfaction. This presentation is part of the NICHE Webinar Solution Series.

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    Pre-Operative Assessment and Education Sessions for Hip and Knee Surgical Patients

    March 9, 2011
    Featuring: Trish Walsh, RN, BScN, GNC(C)
    Mark LeCouter, BScN, BBA

    The discharge-planning process for hospitalized older adults requires extensive planning and cooperation. Moreover, older adult patients undergoing hip and knee surgery are at high risk for post-discharge complications and stress. To help forestall complications, the Cape Breton District Health Authority, Sydney, Nova Scotia, Canada, developed a program that included comprehensive discharge planning and a pre-operative, home-based assessment and education session. Trish Walsh and Mark LeCouter discuss this innovative solution to discharge problems in this “Solutions” webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Screening of Older Adults for Delirium Risk Prior to Orthopedic Surgery

    March 20, 2012
    Featuring: Anne Vanderbilt, MSN, CNS, CNP and Barbara Messinger-Rapport, MD
    Cleveland Clinic

    Finding the incidence of delirium in older adult patients after elective hip surgery was up to 15%. The Cleveland Clinic undertook a nurse/physician research study to consider the necessity of screening for high-risk individuals prior to orthopedic surgery. In this webinar, Anne Vanderbilt and Dr. Rapport will discuss what the study discovered and how it can help reduce the incidence of delirium in older adult patients. This presentation is part of the NICHE Webinar Solution Series.

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  • Pain/Palliative
    Bringing Evidence Based Practice to Inpatient Pain Assessment and Management

    May 27, 2015
    Featuring: Cassia Yi, RN, MSN, CCRN, UC San Diego Health System

    An interdisciplinary Pain Management Task Force reviewed the internal status of pain management and recommended changes to stimulate improvements and meet regulatory recommendations at this system. Identification of knowledge gaps, strengths and areas for improvement supported formulation of an educational program to help improve pain assessment and management for older adult patients. Register for this webinar to learn how to adapt this initiative for your facility.

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    “But I’m Not Ready Yet: Talking to Patients, Families and Your Team about Palliative Care”

    February 18, 2015
    Featuring: Jennifer Gentry, MSN, RN, ANP BC, GNP, ACHPN, FPCN, Hospice and Palliative Nurses Association, Pittsburgh, Pennsylvania

    Every nurse knows that the discussion of palliative care with older adult patients, families and the healthcare team can be an uncomfortable intervention. The communication skills needed to initiate this discussion are critical but often not in the “toolkits” of many nurses. This webinar, presented in conjunction with the Hospice and Palliative Nurses Association (HAPNA), will discuss common barriers to palliative care discussions and the best communication techniques for introducing palliative care to patients and caregivers. View this important webinar to learn how you can add palliative care communication skills to your practice.

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    Palliative Care and Pain Satisfaction: The Miriam Hospital’s Relationship with Home and Hospice Care of Rhode Island for a Palliative Care Consult Service

    September 24, 2014
    Featuring: Edward Martin, MD, MPH; Martha Watson, MS, RN-BC, GCNS-BC, The Miriam Hospital

    The Miriam Hospital recognized the positive impact of a Palliative Care Consult Service on pain satisfaction and patient/family experiences. However, referrals were often made very late in the hospitalization and RN/MD staff had a poor understanding of the differences between palliative care and hospice services, causing confusion that often delayed referrals. Nursing leadership developed a comprehensive plan to increase consults. Attend this innovative presentation to learn how you can increase palliative care knowledge and expedite consults.

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    Pain Management in an ACE Unit

    September 10, 2014
    Featuring: Tonya Maunsell, MSN,RN, OCN and Imelda Sanchez, MSN, RN
    Christus Santa Rosa Medical Centre

    Christus Santa Rosa Medical Centre set out to improve their ACE unit’s HCAHPS Pain Control satisfaction score from 38.2% in May 2013 to 80% by the end of September 2013. The NICHE team at the medical centre used a number of interventions focused on development of individualized pain treatment plans for older adult patients. View this important presentation to learn how you can apply similar interventions at your hospital and achieve better pain management for your patients.

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    Impact of Palliative Education on ICU Nurses’ Moral Distress

    April 23, 2014
    Featuring: Catherina Madani, MSN, RN, CHPN and Cassia Chevillon, RN, MSN, CNS, CCRN
    University of California at San Diego

    Close to half of all Americans that die in a hospital spend time in a critical care unit within the last few days of their life and one in five Americans die in an ICU. Unfortunately, nurses rarely receive emotional preparedness training needed to care for these patients, leaving them in the midst of complicated situations feeling unempowered and frustrated – known as “moral distress.” This webinar will discuss an initiative to educate nurses about the need and benefit of palliative care in an ICU setting. Join us to learn how you can adapt this initiative for your hospital. This presentation is part of the NICHE Webinar Solution Series.

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    A Multidisciplinary Effort to Improve Patient Care and Satisfaction with Pain Management

    January 22, 2014
    Featuring: Martha Watson, MS, RN-BC, GCNS and Megan Begnoche MSN, RN, AOCN
    The Miriam Hospital

    The Miriam Hospital found the quality indicator used to measure patient perception of effective pain management was below target. The hospital recognized this as an opportunity for a hospital-wide improvement effort. The hospital’s newly formed Pain Management and Palliative Care Steering Committee developed a comprehensive, proactive approach to pain management to ensure evidence-based practice and standards of care were appropriately and consistently used. This included an emphasis on a multidisciplinary approach across all hospital settings. Sit in on this webinar to discover how you can improve pain management at your hospital. This presentation is part of the NICHE Webinar Solution Series.

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    Enhancing Staff Nurse Knowledge of Geriatric Palliative Care

    June 13, 2012
    Featuring: Tara A. Cleary, DNP, GNP – BC, OCN
    Long Island Jewish Medical Center

    The content of this webinar addresses the challenges faced by hospital nursing staff in caring for older adults with advanced illness that could benefit from palliative care interventions. This presentation is part of the NICHE Webinar Clinical Series. The webinar will:

    • Define geriatric palliative care
    • Cover markers for initiation of palliative care in geriatrics
    • Briefly identify assessment and interventions related to symptom management for older adults
    • Include the American Geriatrics Society (AGS) Pharmacological Managementof Persistent Pain in Older Adults (2009)
    • Discuss feeding issues associated with dementia
    • Clarify misconceptions related to palliative care versus hospice care

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  • Patient and Family Education
    A Pilot Program Engaging Families to Collaborate in Delirium Recognition

    March 19, 2014
    Featuring: Pamela Brady MS, RN and Barbara Schrage MS, RN
    Strong Memorial Hospital

    Patient care staff often cannot recognize delirium because patient baselines are not always known on admission. Families can be a resource in recognizing a family member’s change from baseline but are unfamiliar with the concept of delirium and are not empowered to report changes. The NICHE coordinators at Strong Memorial Hospital developed an educational video designed to arm family members with better knowledge about delirium and how to recognize and report changes in behavior to staff. Learn the details and results of this effort by attending this important NICHE webinar. This presentation is part of the NICHE Webinar Solution Series.

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    Developing a Patient/Family Advisory Council

    November 10, 2011
    Featuring: Carrie Hays McElroy, RN, MSN-HCA
    St. Mary Mercy Hospital

    If we are to design services and provide programs for senior adults, it is vital that we consider the input and expertise that they, themselves can bring to the planning table. As part of their organizational strategy, St. Mary Mercy Hospital in Livonia, MI developed a Patient/Family Advisory Council to help guide their work and ensure that they included the wise voice of the customer. Carrie will review the background to this work and the steps involved in the development of this Council. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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    Family Centered Care – Elder Care at Dartmouth-Hitchcock Integrating Geriatrics with Patient and Family Centered Care on Medical Specialties

    May 9, 2012
    Featuring: Justin Montgomery, APRN, FNP-C, MSN, Geriatric Nurse Coordinator, Dartmouth-Hitchcock Medical Center

    Dartmouth-Hitchcock Medical Center (DHMC) is the only academic medical center in New Hampshire and the major referral center for critical access hospitals in the rural regions of Northern New England. New Hampshire is aging faster than the national average with a disproportionate number coming from the rural northern regions of the state. DHMC is a NICHE member hospital, but had no inpatient geriatric specific program. Utilizing resources from NICHE and the American Geriatric Society, a multi-disciplinary team began a quality improvement project titled Elder Care at Dartmouth-Hitchcock whose purpose was providing elder specific care in a patient and family centered model. Results of this effort have led to improvements in nursing specific quality indicators, increased patient and staff satisfaction, and future opportunities for improvement.

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    Family Centered Care – Elder Care at Dartmouth-Hitchcock Integrating Geriatrics with Patient and Family Centered Care on Medical Specialties

    May 9, 2012
    Featuring: Justin Montgomery, APRN, FNP-C, MSN, Geriatric Nurse Coordinator, Dartmouth-Hitchcock Medical Center

    Dartmouth-Hitchcock Medical Center (DHMC) is the only academic medical center in New Hampshire and the major referral center for critical access hospitals in the rural regions of Northern New England. New Hampshire is aging faster than the national average with a disproportionate number coming from the rural northern regions of the state. DHMC is a NICHE member hospital, but had no inpatient geriatric specific program. Utilizing resources from NICHE and the American Geriatric Society, a multi-disciplinary team began a quality improvement project titled Elder Care at Dartmouth-Hitchcock whose purpose was providing elder specific care in a patient and family centered model. Results of this effort have led to improvements in nursing specific quality indicators, increased patient and staff satisfaction, and future opportunities for improvement.

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  • Safety
    Eliminating Continuous Observations: Cost-effectiveness without Patient Safety Compromise

    May 7, 2014
    Featuring: Ruth Crothers, PhD, RN-BC, ACNS-BC, GCNS-BC, CNOR and Sharon Brown, MSN, RN, FACHE, NE-BC
    St. Mary Medical Center

    This webinar will describe the challenges of providing patient safety and responsible stewardship, and discuss measures to eliminate continuous observation without compromising patient safety. The study at St. Mary Medical Center included interdisciplinary initiatives targeting physical therapists, pharmacists, volunteers and skilled nursing facilities. Nurse sensitive initiatives included a falls prevention team, activity kits, frequent observation/purposeful rounding and a nursing assistants competency program. Join us to learn the results of this study and how the initiatives can be applied at your facility. This presentation is part of the NICHE Webinar Solution Series.

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    When Laughing is No Longer Funny: Managing Transient Urinary Incontinence in Hospitalized Elderly Women

    June 22, 2016
    Featuring: Grace Umejei, BSN, RN, CWOC
    Texas Health Presbyterian Hospital Dallas

    Transient Urinary Incontinence (TUI) affects 75% of females over 60-years-of-age. A study by a team at Texas Health Presbyterian set out to answer the question: Is behavioral modification therapy (including bladder diaries) more effective than passive TUI care in reducing TUI episodes in older adult female patients on a rehabilitation unit? Learn their important findings by sitting in on this NICHE Online Connect Webinar.

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  • Skin
    Decreasing Hospital – Acquired Pressure Ulcers by Focusing on Decreasing Moisture Associated Skin Damage (MASD)

    January 8, 2014
    Featuring: Dawn Carson, RN, BA, NHA, CWOCN
    Penn Presbyterian Medical Center

    Clinicians are often confused about what Moisture Associated Skin Damage (MASD) is and how it is different, but also related to pressure ulcers. Moisture is a factor in pressure ulcer development and skin damage due to moisture is often a precursor to the development of MASD wounds. Penn Presbyterian Medical Center’s initiative to determine best practice in MASD prevention involved a new prevention protocol that helped reduce the rate of hospital-acquired MASDs. Join us for this informative presentation and learn more about the impact of MASD on the prevention of pressure ulcers and how you can adapt the prevention protocol for your facility. This presentation is part of the NICHE Webinar Solution Series.

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    SORES To SKINS: Pressure Ulcer Prevention and Management Program

    July 11, 2012
    Featuring: Poh-Lin Lim, RN, BN, Med, GNC(C)
    Victoria General Hospital

    This update on pressure ulcer management will describe the Victoria General Hospital Wound Care Program. Clinical best practice guidelines on Pressure Ulcer prevention and treatment will be detailed. It will also provide attendees with the ability to identify the various stages of pressure ulcers and the wound bed preparations essential for wound management. Join us for this important presentation as Poh-Lin Lim shares her hospital’s experience in developing, implementing, evaluating and sustaining the program. This presentation is part of the NICHE Webinar Clinical Series.

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    Creation and Validation of a Nurse Initiated Perioperative Pressure Ulcer Risk Assessment and Intervention

    October 21, 2015
    Featuring: Anita Meehan, MSN,RN-BC, ONC; Nancy Beinlich, RN, MSN, CWON
    Akron General Medical Center

    Studies suggest that between 19% and 66% of surgical patients develop a hospital-acquired pressure ulcer (HAPU). A team at this hospital developed a nurse-initiated, peri-operative pressure ulcer risk assessment tool to help identify older adult patients at risk of developing HAPUs following surgery and implement preventative measures. Register for this webinar to learn how to add this tool to your practice.

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  • Stroke
    BE FAST at the First Sign of Stroke: Time Saved is Brain Saved

    June 7, 2013
    Featuring: Emily Schaab, DNP, ANP-BC, GNP-BC, RN, CNRN, Mount Sinai Medical Center and Kelly Anderson, BSN, RN, Intermountain Medical Center

    This webinar will enable the learner to rapidly recognize acute stroke symptoms in the hospitalized older adult, and to differentiate between symptoms suggestive of acute stroke and those that likely represent a “stroke mimic.” It will also introduce the learner to strategies for development of a process in your institution to ensure that older adults who present to the Emergency Department are rapidly assessed upon arrival for symptoms suggestive of acute stroke. This presentation is part of the NICHE Webinar Clinical Series.

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    Skilled Nursing Facility Early Stroke Identification Education: The Effects on Staff Knowledge

    September 21, 2016
    Featuring: Traci Thomas, BSN, RN, Eisenhower Medical Center

    This study looks at the importance of education and staff knowledge in the setting of the skilled nursing facility, with the goal to improve patient outcomes, increase quality of care and improve communication.

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  • Substance Abuse
    The 4th D – Drug and Alcohol Addictions in the Older Adult

    October 5, 2011
    Featuring: Susan Hochstedler BS, ASN, RN, LADC1; Robert Henriques MSN, PMHNP-BC, FNP-BC; Sara Barnum MS, RN-BC
    Northeast Hospitals

    One of the most overlooked challenges that face providers of healthcare for older adults is their behaviors surrounding alcohol and drug use. We often screen for the 3D’s: Dementia, Delirium and Depression but we rarely look at the “4th D”, drug and alcohol addictions as a contributing factor to the need for hospitalization. Screening for alcohol use when admitted to the hospital if often undertaken but rarely is drug use discussed. Even more alarming is the fact that providers do not routinely address both issues in the medical office visit. The problem is multifaceted since alcohol use is widely accepted, as well as anything prescribed by a doctor. Yet many elders will have actual medical problems that can be attributed to their drug and alcohol use such as falls, malnutrition, coordination, memory, and isolation – just to name a few. The team at Northeast Hospitals will address the problem and give practical approaches to adding the “4thD” to the routine assessment and safeguards if prescribing for the older adult. This presentation is part of the NICHE Webinar Organizational Strategy Series.

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  • Transitions
    A Positive Discharge “Touch”: Implementation of a Centralized Nurse-Led Hospital Discharge Telephone Call Program

    November 4, 2015
    Featuring: Margaret Emrick, RN, BSN, University of California, San Francisco Medical Center

    Hospital discharge is a significant transition for patients and caregivers as they assume management of complex treatment plans in the home environment. To clarify discharge instructions, review medications, evaluate symptoms, and facilitate outpatient handoffs UCSFMC re-engineered and expanded their follow-up phone call program for inpatients, the ED, and peri-op services. The call program uses specially trained RNs to assist patients and families with transitional care needs. Get in touch with your transitioning patients using this innovative program. Register today to learn more.

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    Acuity Adaptable Delivery Care Model for the Senior Adult

    January 23, 2013
    Featuring: Kristy Todd, MSN, FNP-BC, RN-BC
    Saint Mary’s Health Care

    The aging of the U.S. population has profound implications for acute care nursing practice. Care provided must respond to an acute healthcare crisis, as well as recognize the likelihood of rapidly deteriorating conditions. Traditionally, in order for patients to receive the level of care matching their varying acuity they may be moved three to six times during their short stay, which adds to missed or delayed treatments, medication errors, patient falls, and individual contact with as many as 50-100 caregivers. Typical nursing units may transfer or discharge 40-70% of its patients every day. By incorporating an evidence-based acuity adaptable care delivery model, hospitals can reduce the amount of transfers, decrease length of stay, and improve patient satisfaction. This presentation is part of the NICHE Webinar Solution Series.

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    Improving Care Transitions: Utilizing a Geriatric Interprofessional Scholar Program to Hard-wire Geriatric Processes Throughout a Hospital

    February 17, 2016
    Featuring: Emily Simmons, MSN, RN-BC, CNL; Andres Viles, MSN, RN, CCNS, CEN, University of Alabama at Birmingham Hospital

    The aim of the “Scholar Program” is to provide efficient, cost-effective coordinated care. The program was open to all disciplines and involved training and completion of process improvement projects over a two-year period. The projects use rapid-cycle change to continuously improve and hardwire geriatric care processes throughout all units at the hospital. You can implement this program at your facility. Learn how by registering for the webinar.

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    Improving Care Transitions: Utilizing a Geriatric Interprofessional Scholar Program to Hard-wire Geriatric Processes Throughout a Hospital

    February 17, 2016
    Featuring: Emily Simmons, MSN, RN-BC, CNL; Andres Viles, MSN, RN, CCNS, CEN, University of Alabama at Birmingham Hospital

    The aim of the “Scholar Program” is to provide efficient, cost-effective coordinated care. The program was open to all disciplines and involved training and completion of process improvement projects over a two-year period. The projects use rapid-cycle change to continuously improve and hardwire geriatric care processes throughout all units at the hospital. You can implement this program at your facility. Learn how by registering for the webinar.

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    Lights! Camera! Action! – Transitions Telepresence Reduces Readmissions

    February 3, 2016
    Featuring: Mae Dizon, DNP (c), MSN, ANP-BC, El Camino Hospital

    This community hospital turned to technology to help prevent avoidable readmissions among patients discharged to skilled nursing facilities (SNF). Collaboration between care teams is critical to ensure smooth transitions. Telepresence permitted timely communication of patient information between care settings to occur as flawlessly as possible. SNF seven-day and thirty-day readmission rates declined as a result of the initiative. Learn how you can “get the cameras rolling” to help reduce readmissions by attending this informative webinar.

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    STARForUM: Crossing the Quality Chasm in Care Transitions

    July 10, 2013
    Featuring: J. Michelle Moccia MSN, ANP-BC, CCRN and Kathleen Dattolo, LMSW
    St. Mary Mercy Hospital

    This webinar will enable the learner to obtain information on how to formulate a work group of nursing facilities (independent, assisted, skilled), EMS, home healthcare agencies, non-licensed medical providers, and RNs to partner and address deficiencies in process of care. Tools will be shared along with outcome metrics. This presentation is part of the NICHE Webinar Solution Series.

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    Transitions from ACE: Reducing 30-day Hospital Readmission in Nursing Home Patients Using an Advanced Practice Nurse Model

    November 20, 2013
    Featuring: Patti Pagel, MSN, RN, GCNS-BC
    Aurora Health Care

    One-fourth of Medicare beneficiaries discharged from the hospital to home may be readmitted to the hospital, costing $4.34B. Readmissions lead to patient dissatisfaction and medical errors, and can result in financial penalties for hospitals. To counter high rates of readmissions from skilled nursing facilities, an Aurora Health Care team launched a pilot program targeting avoidable hospital readmissions of older adult patients. The pilot involved placing advance practice nurses employed by Aurora in partner skilled nursing facilities to assist in managing complex older adult patients. Join us for this webinar to learn how this pilot program used the APN model to successfully reduce readmissions to the hospital. This presentation is part of the NICHE Webinar Solution Series.

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    Transitioning Home Post-Hospital: Collaborative Project to Support Older Adult Transitions

    January 21, 2015
    Featuring: Joanne Grosh, RN, MA, Lisa Senawi, RN, MSN
    Saint Joseph Mercy Chelsea Health System

    A community research partnership explored and supported transitions of older adults through the healthcare system at Saint Joeseph Mercy Chelsea Hospital, specifically from a hospital stay to home with rehabilitative services. This presentation discusses key findings of care transitions from the perspectives of older adults and service providers, and describes resources developed to facilitate communication. Attend this webinar to find out how you can adapt this initiative for your facility.

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    Transitions of Care (TOC): How a Senior Adult Primary Care Practice Brought the Pieces of the Post Hospitalization Puzzle Together to Reduce 30-day Readmission Rates

    June 24, 2015
    Featuring: Marybeth Lepczyk, MSN, RN
    Detroit Receiving Hospital/Wayne State University Rosa Parks Wellness Institute for Senior Health

    Detroit Receiving Hospital established the Transitions of Care (TOC) program to reduce 30-day readmission rates. The interdisciplinary TOC Team uses a standardized clinical care transitions process and a digital TOC database to house information/communication regarding a patient’s transition of care. Register for this NICHE Online Connect Webinar to learn how you can improve transitions for your older adult patients.

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