Inpatient Unit Transition Playbook: Operational Prep, Unit Preparation, Staff Alignment
Quickly transition into an inpatient unit using this comprehensive playbook focused on operations preparation, unit readiness, and staff alignment. The resource provides essential documents and guidelines for smooth conversion, covering various aspects such as team-based nursing, temporary nursing assistants, training facilitation, simulation recommendations, leadership presence, and more. Access the detailed playbook on the Advocate Aurora COVID page for step-by-step guidance.
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Converting to Inpatient unit Playbook Staff Operations Unit This resource is designed for units that need to quickly transition into an inpatient unit Section 1 is for the operations prep Section 2 is for the unit preparation Section 3 is for the staff For all these sections, the resource documents are on the Advocate Aurora COVID page and are linked. 1 Created by NEPD Created 11/25/2020 Sponsor:
Converting to Inpatient unit Playbook Operation documents COVID site Operations This playbook is intended to help you jumpstart the transition to an inpatient unit. It is not intended to be a full accounting of all policies/procedures or need to know items located on the COVID19 info site. Leaders/Managers review these documents Refer to the COVID unit playbook if your unit is also converting to a COVID Unit Determine with Site Leadership the following: What type of patient are you expecting to have in these areas? What resources are available from the site to support care of those patients? Are you using a Team Based Nursing approach? o Get resources from the COVID 19 Info site: Nursing Resources Section>subsection Team Based Nursing o Email for questions: ASC-Surge-staff@aah.org Are you utilizing TNA model? o Get resources from the COVID 19 Info site: Nursing Resources Section> Temporary Nursing Assistant o Email for questions: ASC-Surge-staff@aah.org Are we activating any of the below approved changes to Nursing Practices improve efficiencies? o Family communication guidelines o AAH Pandemic Emergency Documentation Plan for Adults Alert Staff about change to an inpatient unit Communicate to your team about the impending change in your unit. Consider different methods based on how soon the information is need (i.e. happening now next shift needs to know versus full staff communication) Send updates when the change is confirmed with the timeline 2 Created by NEPD Created 11/25/2020 Sponsor:
Converting to Inpatient unit Playbook Operation documents COVID site This playbook is intended to help you jumpstart the transition to an inpatient unit. It is not intended to be a full accounting of all policies/procedures or need to know items located on the COVID19 info site. Operations Facilitate Training Determine which items non-nurse roles (HUC/CNA/TECH/UAP etc.) would benefit from reviewing prior to patient care and communicate expectation of review Consider highlighting key documents or COVID need-to-knows in each huddle on a rotating basis Work with leadership and NEPD team to set up shadowing time for staff on an inpatient unit SIMULATION Simulation team recommends a COVID Code simulation to minimize staff fears and improve comfort level during these critical situations Simulation team is also available to train staff on how to prone patients. Walk through process simulations for new processes, patient flow, medication stocking or other planning For Wisconsin sites contact Lynne Delfosse - Lynne.Delfosse@aah.org For Illinois sites contact Kari Congenie- Kari.Congenie@aah.org Lisa Plucinski- Lisa.Plucinski@aah.org Leadership Presence Have leadership or NPDS on the unit to help with the transition Be available for admission/discharge, charting/EPIC, equipment and medication help for the first 3-5 days Leadership/CNS/NPD should have office space (temporary is fine) while unit is used this way Consider officially assigning a buddy inpatient unit that this area can call to help answer questions about patient care or process especially on off hours Partner with the system NEPD department for support and education not already created 3 Created by NEPD Created 11/25/2020 Sponsor:
Print and post in areas where it makes sense as a just in time resource (this is also in the COVID Playbook) Unit Cleaning Place Near Cleaning Supplies or Product needing cleaning Surface Disinfectant Substitution Info Pour Bottle Disinfectant Acute Site Process Air assist device cleaning guide with talking points Emergency Response Print and place near/on code carts Adult bag mask filter information Pediatric bag mask filter information Acute care adult emergent response (CPR) guidelines Specimen Collection and Deisolation Guidance Print and place near specimen collection materials Specimen collection Deisolation and testing of previously COVID-19 positive (Acute care and ambulatory/outpatient settings) Virtual Vigil Recommend Printing and placing in a binder near tablets for reference. Visitation guide should be printed in multiple copies to handout to family Device disinfection procedure for video visitation Using virtual visitation guidance Video visitation guide for family Video visitation guide for care team Resilience/Wellbeing Resource for Team Members Recommend sending out on regular basis as a reminder and/or posting in a common area Resilience & well-being resource guide Employee Assistance Program (EAP) Moral distress and COVID-19 4 Created by NEPD Created 11/25/2020 Sponsor:
Converting to Inpatient unit Playbook Unit documents COVID site This playbook is intended to help you jumpstart the transition to an inpatient unit. Make sure that these item are available and labeled as well as shared with staff. Unit Supply List to gather for your unit, work with Central Supply, Bio Med, Pharmacy and Facilities: Emergent Supplies Intubation trays/code cart Defibrillator Ventilation bag, oral airway, nasal airway, pulse oximeter with O2 and respiratory supplies (Christmas tree) tele patches, tele monitoring equipment, stethoscopes O2 and respiratory supplies including filters for ventilation bags Suction supplies and wall suction Portable vitals carts (BP cuff/pulse ox/thermometers) Medication/supply needs Medication supply area Fridge for medication Glucometer Sharps containers Controlled Substance Waste Bin Miscellaneous supplies adhesive bandages, alcohol wipes, 2x2 gauze, Ted stockings, appropriate needles, syringes, 5 Created by NEPD Created 11/25/2020 Sponsor:
Converting to Inpatient unit Playbook Unit documents COVID site This playbook is intended to help you jumpstart the transition to an inpatient unit. Make sure that these item are available and labeled as well as shared with staff. Unit Supply List to gather for your unit, work with Central Supply, Bio Med, Pharmacy and Facilities: Patient room modifications & supplies: Gait Belts Portable dividers to create rooms Bedside tables with supplies Patient belonging storage Patient toiletry supplies Small garbage cans if available Printed material such as patient menus or admission packets SCDs Bedside monitors Unit needs Alaris pumps with extra channels Computers with scanners Printer and prescription printer Pens, notepads, printer paper Clean sinks for handwashing Cleaning wipes Linen cart with linen Clean utility area Portable phones Garbage containers or carts Dirty linen bags and holders Dirty utility room with sink and dirty linen cart Additional Unit Needs Access to: Specimen collection supplies Portable oxygen Isolation PPE/signage Gloves Universal procedure masks Face shields/goggles Isolation gowns Hand sanitizer 6 Created by NEPD Created 11/25/2020 Sponsor:
Unit documents COVID site This playbook is intended to help you jumpstart the transition to an inpatient unit. Make sure that these item are available and labeled as well as shared with staff. Unit Start Date End Date Interventions on the unit Signage for isolation/AGP (aerosol generating procedure) Clean and dirty utility rooms Team Based Nursing Temporary Nursing Assistants RT RN interventions (Note level here) Virtual Visits and Vigils Visitor Limitations 7 Created by NEPD Created 11/25/2020 Sponsor:
Unit documents COVID site This playbook is intended to help you jumpstart the transition to an inpatient unit. Make sure that these item are available and labeled as well as shared with staff. Unit Consider creating a document like this that has how to call for help at your facility and place it in the unit (thank you ASLMC for sharing) 8 Created by NEPD Created 11/25/2020 Sponsor:
Staff Preparation/Resources Space for instructions of announcement about switching? Staff These resources and much more can be found on the COVID19 Info Site. You can easily get to it through a link on the AAH Nursing Hub or simply CLICK HERE Nursing Care Acute Care Readiness Course SBAR Fall prevention strategies Handling medications in Patient Rooms Glucometer instructions Advanced Directives SBAR Critical Care Onboarding for the Non-Critical Care Nurse Critical Care Onboarding for the Non-ICU Nurses (VIDEO) Nursing Guidelines for Tracheotomy Care V60 helmet RT job aid Ventilator tip sheet Look at these resources carefully for information on how to care for the acute care patient Acute Care Readiness Patient belongings nursing practice alert Here are key items you need to know about the care of patients. Other strategies EPIC and charting Surge Inpatient Nurse Self-Paced 100 Workbook Surge Inpatient Nurse Self-Paced 200 Workbook Surge Inpatient Nurse Self-Paced Course Details COVID-19 Tip Sheets EPIC Emergency Documentation for Adults Consider printing out these resources for staff, be present to mentor staff and consider having a phone a friend resource if needed until staff comfortable EPIC 9 Created by NEPD Created 11/25/2020 Sponsor:
