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BEST NURSING
PRACTICE as described in
Lindgren & Ames (2005),
Henneman, Dracup, Ganz, Molayeme & Cooper
(2001) &
(2002) for mechanically ventilated
patients can achieve decreased length of ventilator days as well as
decreased length of ICU stay by an average of 2.7 and 3.6 days,
respectively. Multidisciplinary team collaboration that incorporates
effective communication with the patient is necessary for achieving these
stated outcomes. "Give the patient paper and pencil to determine if
handwriting is legible. Picture and alphabet boards can be useful as well...
one such tool is the EZ Board." The Vidatak EZ Board is distributed
internationally and sold through the AACN as the only research-based
communication tool shown to reduce frustration and improve patient
satisfaction.
There is no better time
than now to take action that will improve patient satisfaction with care.
Under the direction of the Centers for Medicare and Medicaid Services, the
Agency for Healthcare Research and Quality (AHRQ) developed a survey
instrument called the Hospital Consumer Assessment of Healthcare Providers
and Systems (HCAHPS). This assessment tool is designed to measure and
publicly report
patient perceptions of care so consumers make informed decisions when
choosing a hospital. Improve patient satisfaction in your hospital. Train
your staff to provide the Vidatak EZ Board to all nonverbal and non-English
speaking patients to ensure optimizing their outcomes and ability to
participate in their care.
For
patients who cannot speak and non-English speaking patients, The
Vidatak EZ Board is
available in 17 languages and
designed by patients from evidenced-based practice research addressing the
needs of numerous patient populations. All non-English boards are
bilingual with English subtitles. The front of the board is divided into
various categories to include: I am, I want, I want to see,
and I want to clean. Under each category is a list of words specific
to that category from which the patient can point, circle, or check. The
front also includes a section of alphanumeric symbols. Attached to the front
of the communication board is a pen holder and dry erase pen. The back of
the board includes a pain scale and human diagram. It also includes a
category of pain descriptions and sensory perceptions that guide the
practitioner to use discretion when addressing pain or discomfort.
For the
healthcare provider who truly cares about what their patients are
experiencing, Vidatak provides one of the best solutions for intervening
with impaired communication. Prepare your staff and your facility for our
evidence-based EZ Picture Board to be released early 2008. Join us today.
Here is what a patient told us.
“It
would create an interface between the patient & the staff that would
formalize the requirement that they pay attention to what the patient
is trying to say. It would be like a passport. The
person, even if they didn't use it, could wave it, say 'I matter. I
can be heard. I have a stake in this. It's not just about you acting
on me. It's about my being able to tell
you what I want, what I'm doing'. I believe
the concept itself is very strong, because it would both obligate the
staff to stop & listen with a fresh ear, instead of saying, 'Oh well,
they're intubed. They can't talk. Let's just write
them off.’ It could inspire, to instill hope & empower those who are
not as strong willed as I am.”
Standards of Care
The Joint
Commission 2008 National Patient Safety Goal 13 states, "Encourage patient's
active involvement in their own care as a patient safety strategy." 13A
states, "Define and communicate the means for patients and their families to
report concerns about safety and encourage them to do so."
We are working
closely with the Joint Commission and collaborating research findings to
help improve their Standards of Care with respect to patient communication
by requiring health care practitioners to assess, intervene and evaluate
their intervention in such a way that assessment scoring will show
improvement or warrant a referral for auxiliary staff resources such as
interpreters, speech language pathologists, etc. The State of California is
following this lead and developing a statewide policy to do the same.
Evidence Based Practice
The Vidatak EZ Board is the only clinical,
research-based, communication intervention for the voice disabled patient.
It was actually designed by mechanically ventilated patients! Clinical
research at UCLA Medical Center has shown the EZ Board used with proactive
nursing care that engages the patient and patients family can reduce patient
frustration, increases overall satisfaction with healthcare, and most
importantly, can improve the use of pain and anxiolytic medication. Please
click here for further
instructions.
Our new EZ Boards are 17 x 11,
two-sided, dry-erase boards with new research-based content and now come
individually shrink-wrapped with pre-assembled with marker. Today, the EZ
Board is used in over 1,000 hospitals throughout the US as well as
healthcare facilities in Canada, United Kingdom, Australia and India.
Recommendations
We recommend the boards be stocked in
preoperative rooms for preoperative teaching, recovery rooms, ER's, ICU's,
rehabilitation units, head and neck suites, nursing homes, hospices and
general medicine units where there may be patients who are unable to
verbally communicate or cannot speak English. We also recommend the boards
be made available through your interpreter/translation department for
non-English speaking patients.
For the safety of your patient and
increased utilization of your EZ Boards, you may also want to invest in our
beside rail holder to allow for easy access and storage of your patient’s
communication board. Much like the call light, keeping this board within
reach empowers the patient and promotes autonomy. These holders are durable
and reusable.
Please click on the savings
analysis link (top left) for a detailed summary and a sample calculation
of how implementing the Vidatak EZ Board into standard practice hospital
wide can save your hospital hundreds of thousands of dollars with reduced
sedation, length of ICU and hospital stay and reduced FTE’s.
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