Project Name: Improving Trauma Documentation in the ER Project Manager Name: Holly Leveille Report Period ending: 6/29/2014 Total Number of project hours completed thus far: 48 hours A. Progress Made Since beginning the Project: The progress that has been made has been quite slow with trying to meet my goals and project objectives. Objective 1-part a and c have partially been completed. With Objective 2, part b has been completed. I have gathered many articles and data in regards to the importance of maintain accurate times while in the ED and documenting Glasgow Coma Scales (GCS). I believe that this information will be helpful to present to employees during the teaching part of this activity. I have meet with Janee, my interim ED manager multiple times to further discuss the development of our trauma program at North Ottawa Community Hospital (NOCH). We have discussed many times, how to implement GCS documentation and how to maintain accurate times. Kelli Overway and I have sat down and now educated and trained Janee in ImageTrend (the statewide data collection software system). B. Progress Expected next reporting period: I currently feel like I am very behind where I would like to be in this project. I would have liked to be further along by this point in time. I have had to sit down and reevaluate my goals of this project. I have determined that our hospital is not ready to start logging data into the ImageTrend website on a regular basis yet, by June 15 th , 2014 as regularly planned. Over the next 2 weeks, I plan on meeting with the ED Meditech super user to determine what and if any changes can be made to the ED module to help us document GCSs for patients. I will also start 2
working on a poster board presentation about the importance of using accurate times and what ImageTrend actually is. Janee, Kelli, and I are continuing trying to work with coding to gather the patient data for the patients who will be logged into the database. I plan on presenting my coworkers with information on what ImageTrend is, why we need to log GCS, how we will be logging it, and why we need to keep accurate times. C. Interdisciplinary Collaboration: The use of interdisciplinary collaboration is going to be key with this project. So far I have been working with my ED interim manager to coordinate trauma education, implementation, and research. I have been working with my supervisor Kelli Overway, who was also ImageTrend trained with me to educate Janee, the new ED interim manager, to develop the manual, start logging data, and launching the program. Kelli and I will also be potentially training Kelly Daniels, another ER RN to log data, because Kelli Overway will be leaving the hospital in September. Working with the information technologies (IT) department was also very important because they were the ones who were able to give feedback on what changes could and couldnt be done with the computer systems. They were also the ones who were able to work directly with the Meditech programmers who are based in Boston to make changes to our specific computer system that our hospital uses. D. Issues/Concerns The issues or concerns that I have experienced so far with this project have to do with starting the collection of the actual logging of data into ImageTrend. When I picked my topics I felt that they were real issues of improvement that were needed in the ED. Change came about 3
to the project when key members left the project or there was an organizational change (Heldman, 2011, p. 241) at our hospital. The initial ED manager left and a new ED manager filled in her spot which meant I have spent hours educating and then training her on the data collection and software piece of ImageTrend. The new ED director has many things that she would like to address throughout the department. ImageTrend trauma data logging, addressing the need for GCS collection on many patients, and accurate time problems are many of the issues that are on her already long list. Another issue I didnt expect was to have two large projects this semester that would take up quite a bit of my time. I have been feeling very stressed with returning to work after medical leave, have had financial stress, and also I am worried about success with these projects (especially since this one isnt right where I want it to be). E. Plan to Address Issues/Concerns In order to maintain this project, I need to address the issues and concerns that are present. First I need to make sure that I am balancing work, school, and my personal life. I need to try and balance the stress of all three. I notice that I do better with this when I write down a list of tasks that need to be completed and can visually see when they are due. Heldman (2011) states that the project manager needs to be flexible when dealing with change, change happens, communication about change needs to happen quickly, and the project manager needs to know when to say no (p. 240). I understand that my management team has changed at work, and that I have no control over this. My new manager is very busy with learning her new role in our department. She has many new tasks to complete, quite a few meetings to attend, and many new ideas that she would like to implement. A way to control the outcome of my project would be to adjust the project 4
schedule (Heldman, 2011, p. 250). This isnt possible since we have deadlines for the project because of this class. Another way to control the outcome is to modify the scope (Heldman, 2011, p. 250). I am considering modifying the objectives of the plan. The objective to be removed would be logging data into ImageTrend software by July 1, 2014. Currently our department does not have the hours available to pay someone to document the patients charts into the software program by this start date. We have currently trained our manager in the software, but to push to have a plan in place by July 1, 2014 will be impossible.
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References Heldman, K. (2011). Project Management JumpStart. (3 rd ed.). Indianapolis, IN: Wiley Publishing. McSpiritt, C. (2010). Three ways to get your project back on schedule. Retrieved from http://chrismcspiritt.com/3-ways-to-get-back-on-schedule/
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Holly Leveille FSU Nur 495 Improving Trauma Documentation in the ED ACTIVITY DESCRIPTION HOURS 6/13 Meeting with Janee 3 6/18 Meeting with Janee 3 Gathering data 20 Data entry w/Kelli Overway on ImageTrend 10 Meeting with IT 2 Problem solving phone conversation with ImageTrend 2 ImageTrend Training 8