READI – Readiness Evaluation and Discharge Interventions Study Phase 1 orientation for float nurses Description: Technical Contact: This course is designed to explain the READI ( Readiness Evaluation and Discharge Interventions Study). It will take approximately 10 minutes to complete this course. If you have technical questions please contact the Service Desk at Insert your Learning platform help desk info here. Content Contact: Insert PI or Educator name and contact information Learning Objectives This presentation is designed to be used for float nurses who provide care to patients being discharged from the READI study implementation unit. Upon completion of the learning session, the nurse will be able to: 1. Complete the RN-RHDS discharge readiness assessment 2. Follow READI study procedures. READI Study READI: Readiness Evaluation And Discharge Interventions Multi-site study, commissioned by the American Nurses Credentialing Center and led by nurse researchers from Marquette University, University of Maryland, and University of Michigan. If you have questions: Ask your charge nurse or other RNs on the unit Or Ask them to contact the READI study PI or study educator at your site READI STUDY AIMS To determine the impact on post-discharge utilization (readmissions and ED visits) and costs of implementing discharge readiness assessment as a standard nursing practice for adult medical-surgical patients. Tool for Discharge Readiness Assessment Readiness for Hospital Discharge Scale – Short Form RN-RHDS (Weiss et al., 2010, 2014) 8 questions 0-10 point scale Higher scores = greater readiness Completed by the discharging nurse on the day of discharge (within 4 hours before discharge) Assessment should be used by the nurse in conjunction with all other nursing assessments to determine individualized nursing interventions as needed. RNRHDS takes about 5 minutes to complete RN-RHDS: 8 Questions in 4 Subscales Patient’s Personal Status How physically ready is your patient to go home? How would you describe your patient’s energy today? Consider pain/discomfort, strength, emotional readiness, physical ability to care for self RHDS Subscales Patient’s Knowledge How much does your patient know about problems to watch for after going home? How much does your patient know about restrictions (what he/she is allowed and not allowed to do) after going home? Consider caring for self at home, taking care of personal or medical needs, who/when to call for problems, what happens next in follow-up treatment plan, available community services RHDS Subscales Patient’s Coping Ability How well will patient be able to handle the demands of life at home ? How well will your patient be able to perform his/her personal care ( for example, hygiene, bathing, toileting, eating) at home? Consider ability to perform his/her medical treatments RHDS Subscales Patient’s Expected Support How much help will your patient have with personal care after he/ she goes home? How much help will your patient have with medical care needs (medications, treatments) at home? Consider emotional support, help with household activities Instructions for Completing the RN-RHDS Who When • All patients discharged to home • Includes patients going to family homes or independent living communities • The RN-RHDS should normally be completed within 4 hours before discharge. • Usually completed after the majority of discharge teaching has been completed. • Allow time to respond to any concerns identified in the RN-RHDS. Use your nursing judgment to determine appropriate interventions Instructions for Completing the RN-RHDS (Paper version) Place patient label on the bottom of the RN-RHDS form Fill in RN Research ID Answer the 8 RN-RHDS questions and the 5 additional patient descriptor questions. Place completed forms in the designated location on your unit for the READI STUDY forms Human Subjects Protection • Approved through Marquette University IRB and your hospital IRB • Data will be reported only in aggregate form • The researchers will not be able to identify specific patients or nurses. • We use the RN Research ID only for statistical purposes (to adjust for a nurse taking care of multiple patients in the study). • All patient-level data will be de-identified by your site PI before it is released to the research team. Privacy • Patient Labels will be removed before sending to the study team Patient • Label information is needed by your site Principal Investigator to request readmission and patient descriptors from EHR • The study team will not be able to link Nurse IDs to a specific nurse. Nurse • No information will be provided to your hospital administration regarding specific nurses or their individual discharge readiness assessments Ready for READI Complete a RN-RHDS discharge readiness assessment for every patient discharged home. Thank you for your participation in this important nursing research project.