SophiaPretty
$14/per page/Negotiable
I want to be sure that my reflective journal for nur590b is written correctly
University of Phoenix Material
Self-Reflective Practicum Journal
|
Name |
Tracey Frazier |
Mentor
Mentor’s Phone number
|
Robin Birchfield, CRNP
205-249-2558 |
|
NUR/590 Facilitator |
Marilyn Klakovich |
Approved Learning Agreement Date |
02-25-2015 |
|
Date, |
Brief Summary of Activity |
Objective and Evidence of Accomplishment Numbers |
|
02-25-2015 5 hours RT – 5 hours
02-26-2015 5 hours RT – 10 hours
02-28-2015 5 hours RT – 15 hours
03-11-2015 5 hours RT – 20 hours
03-25-2015 5 hours RT – 25 hours
03-11-2015 1 hour RT – 26 hours
03-18-2015 8 hours RT- 34 hours
03-20-2015 2 hours RT – 36 hours
04-08-2015 1 hour RT – 37 hours
05-01-2015 3 hours RT – 40 hours
08-5-2015 8 hours RT – 48 hours
09-10-2015 1 hours RT – 49 hours
10-22-2015 6 hours RT – 55 hours
12-12-2015 5 hours RT – 60 hours
12-18-2015 1 hours RT – 61 hours
12-19-2015 3 hours RT – 64 hours
12-22-2015 3 hours RT – 67 hours
|
1a. Completed literature review on 5 peer-reviewed articles.
1a. Completed literature review on 5 peer-reviewed articles.
1a. Completed literature review on 5 peer-reviewed articles.
1b.Chart review performed and data gathered to determine need for core measure pocket guide for nursing staff.
1b. Chart review performed
1c. Mentor meeting and summary completed
2a. Creating an educational plan and pocket guide
2a. Working on presentation.
2b. Mentor meeting and summary completed.
3a. Presented educational material and pocket guide to nursing staff.
3b. Concurrent chart review performed.
3c. Met with mentor and summary completed.
4a. Chart review comparison started.
4a. Chart review comparison and graph completed
4b. Mentor meeting completed.
4c. Written practicum and learning experience evaluation completed.
4d. Overall practicum and learning experience evaluation completed. |
1a. Literature review of articles taught me the importance of core measures, the role of meeting core measures in health care and reimbursement along with a needs assessment for our facility.
1a. The article reviews have helped me to realize the importance, the necessity, and the background of why core measures abstraction and reporting is necessary. As the data is gathered and extracted structure provides coordination of information to be reported to CMS.
1a. The literature review helped me to understand how performance is evaluated. Performance is evaluated by dividing the number of patient charts that meet standards by total number of charts that were reviewed. Performance is reported in percentage and can be compared with other facilities across the United States. Care is rated by reporting the percentage of patient with the same diagnosis according to a set of practice standards.
1b. Chart review’s performed to determine the need for education and a pocket guide to help improve on core measures. Practicum hours were spent reviewing charts to gather data on what nurses are documenting and not documenting. The information gained during my chart reviews will help me develop an educational pocket documentation guide to help improve our core measure scores. Reviewing charts reinforced the need for this project. The importance of documenting data such as flu/pneumonia immunizations, CHF teaching, and VTE prophylaxis for value-based purchasing was emphasized. It revealed the surprising fact that many nurses do not fully understand the importance of the documentation criteria to meet core measures and the significance it has on reimbursement. There were many missed measure that were found that can be a simple fix with proper education and reminders. The purpose of the needs assessment is to evaluate if our facility would benefit from education and a core measures pocket guide for the nursing.
1b.The chart reviews has proved the need for staff education and pocket guide to ensure that we meet the measures and improve the quality of care we give our patients. I have learned that documentation is more important than ever.
1c. Meet with mentor and presented peer-reviewed annotated bibliographies and first round of chart review results. She agreed that there is a definite the need for staff education and a pocket guide to help improve core measures.
2a. Creating the education plan to explain the importance of core measures and pocket guide helped to realize that we can improve our scores by offering a gentle reminder that each staff member can keep with them at all times while at work.
2a. Developing the pocket guide and educational material for the nursing staff meeting helped me to understand that meeting core measures can be detrimental to the survival of our facility.
2b. Met with Robin today to discussed and review the plan for the educational material and pocket guide. Discussed the plan for presenting the material to the nursing staff. Reassurance given by Robin that the project is going well.
3a. Presenting the educational material and pocket guide to the nursing staff was successful. Received positive feedback from nursing staff. Many of them stated that they were grateful for the pocket guide because it gives them quick and easy access to the information that is needed for documentation on each admission and the different diagnosis.
3b. Reviewing charts is time consuming but very educational and is helpful to in ensuring that all measures are met. Although, there continue to be missed measures I am encouraged that we will improve in time and implementation of our pocket guide.
3c. Met with mentor today and discussed the chart reviews and how concurrent chart reviews are beneficial to meeting core measures.
4a. Chart review comparison started. It is exciting to see the progress that has been made in improving core measures. I have learned that by performing concurrent chart reviews we are able to prevent missed measures.
4a. The graph was completed and shows improvement in meeting core measures at our facility. It feels good knowing that my work has made a difference in the documentation of the care that we provide at our facility.
4b. Met with Robin Birchfield, CRNP today and presented the graph showing improvement in the core measures documentation. She was very impressed with the results.
4c. This practicum has taught me the importance of meeting core measures and with proper documentation we can improve our scores. Encouraging and continuing staff education will help us to exceed the state and national averages.
4d. This practicum has been a very educational experience for myself as well as the staff members at Bibb Medical Center. It is my hope that we can continue to meet or even exceed core measures on a national level.
|
and I need assistance on how to present my EOA's.
Attachments: