Improving Medication Education

Catherine R Lopez BSN, RN

University Medical Center Medical/Oncology Unit

Introduction
Introduction Methods
Methods Results
Results Discussion
Discussion
The
The focus
focus ofof the
the project
project initially
initially was
was geared
geared toward
toward Nurse
Nurse survey
survey HCAPS
HCAPS scores
scores January
January 2016-
2016- January
January 2017
2017 Effective
Effective education
education about
about medications
medications is is particularly
particularly
exploring
exploring howhow to to increase
increase the the HCAPS
HCAPS scores
scores forfor important
important during
during discharge
discharge as as its
its the
the last
last time
time
Re-education
Re-education to
to all
all RNs
RNs on
on the
the medical/oncology
medical/oncology
Communication
Communication about about Medicines
Medicines on on TT7
TT7 byby 10%
10% teach
unit
unit teach back
back can
can occur
occur between
between health
health carecare provider
provider
over
over 66 months.
months. To Tomymy knowledge,
knowledge, there there was
was nono and
and patient.
patient. The
The education
education must
must be be clear
clear andand
specific
specific guidelines
guidelines for for medication
medication education
education
A nurse survey was created to review and comprehendible
comprehendible so so that
that the
the patient
patient has has enough
enough
especially
especially during
during discharge.
discharge. ThereThere was
was significant
significant
variability understand how and when nurses were educating knowledge
knowledge to to support
support adherence
adherence to to the
the medication
medication
variability from
from nurse
nurse to to nurse
nurse on on the
the deliverance
deliverance of of
education. patients. Because I didnt find specific guidelines regiment,
regiment, otherwise,
otherwise, the
the patient
patient maymay fall
fall to
to
education. II wanted
wanted to to create
create aa more
more uniform
uniform
approach addressing patient education for medications, I misconceptions.
misconceptions.
approach to to patient
patient education
education for for nurses
nurses to to
reference. drew from medical literature on best practice for
reference. During
During exploring
exploring alternatives
alternatives andand
investigating delivering and receiving education in related
investigating causations
causations for for the
the scores
scores emerged
emerged the the
possibility settings. A standardized plan was presented for Conclusion
possibility that
that staffing
staffing variances
variances correlated
correlated to to the
the Conclusion
monthly education to all RNs of the unit to initiate a more
monthly HCAPS
HCAPS scores scores under
under Communication
Communication
about uniformed way of delivering medication education Evidence
Evidence based
based studies
studies and
and best
best practices
practices
about Medicines.
Medicines. AAsearch search forfor data
data of
of nurse
nurse
variance during admission and upon discharge. supported
supported aa setset of
of guidelines
guidelines which
which II usedused to to draft
draft aa
variance reports
reports from
from January
January 2016-
2016- January
January 2017
2017 Nurse Variance Reports
was Furthermore, not only would the plan be beneficial standardized
standardized approach
approach whenwhen delivering
delivering education
was complied
complied to to compare
compare with with HCAPS
HCAPS scorescore during
during January 2016- January 2017 education
to the patients, it would also ensure that the data to
that
that time
time frame.
frame. While
While close
close examination
examination of of the
the to our
our patients.
patients. TheThe objective
objective isis to
to minimize
minimize re- re-
nurse collected for examination in the future would be
nurse variance
variance reports
reports and
and HCAPS
HCAPS scores
scores were
were admissions,
admissions, improve
improve patient
patient safety,
safety, increase
increase patient
patient
underway measureable.
underway re-education
re-education to to all
all RNs
RNs on on the
the satisfaction,
satisfaction, and
and ultimately
ultimately improve
improve patient
patient
medical/oncology
medical/oncology unit unit was
was completed.
completed. outcomes
outcomes on on TT7.
TT7. The
The data
data shows
shows that that HCAPS
HCAPS
scores
scores occasionally
occasionally were were related
related to to monthly
monthly score,
score,
however,
however, waswas found
found inconclusive
inconclusive due due to to limited
limited
analysis
analysis time
time (13
(13 month
month time
time span).
span). IfIf allowed
allowed II
Purpose
Purpose would
would like
like to
to continue
continue research
research on on this
this topic
topic toto
Increase
Increase the
the HCAPS
HCAPS scores
scores for
for Communication
Communication create
create aa discharge
discharge bundle.
bundle.
about
about Medicines
Medicines onon TT7
TT7 byby 10%
10% over
over 66 months
months
through
through best
best practices
practices by
by re-education
re-education toto all
all RNs.
RNs.
Identify,
Identify, ifif any,
any, the
the association
association between
between HCAPS
HCAPS
scores
scores and
and the the nurse
nurse variance
variance reports
reports over
over the
the Acknowledgements
expansion
Acknowledgements
expansion of of 13
13 months.
months. Ana
Ana L.
L. Garcia,
Garcia, BSN,RN
BSN,RN
Medical/Oncology-
Medical/Oncology- Nursing
Nursing PI
PI Coordinator
Coordinator

Julie
Julie Guest,
Guest, EdS,
EdS, MSN,
MSN, RN
RN
Nurse
Nurse Residency
Residency Program
Program Coordinator
Coordinator

Cindy
Cindy

Mary
Mary Ann
Ann Baker
Baker
Nurse
Nurse Manager
Manager Medical/Oncology
Medical/Oncology