READI Study Phase 1 Float Nurse Training Slides

Report
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.

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