The Nurses are Driving TCAB!

Meriter nurses pose for pictures to promote TCAB

Meriter nurses are taking part in a new quality initiative that puts the front-line nurses in charge.

Seventeen Wisconsin hospitals were selected from across the state to participate in the Aligning Forces for Quality Transforming Care at the Bedside (AF4Q TCAB). Bringing together hospital teams from across the state to lead improvements in the quality and safety of patient care, it is a part of an innovative nationwide program led by the Robert Wood Johnson Foundation, the nation’s largest philanthropy dedicated to improving the health and health care of all Americans.

TCAB is a new nurse-led hospital program that engages frontline staff to work together to identify, pilot, test and adopt new practices over an 18-month period. Participating nurses will then share their successes and lessons learned with other hospitals across the country.

Eight hospitals in southern Wisconsin participating are: Reedsburg Area Medical Center; Beloit Health System; Mercy Hospital, Janesville; Meriter Hospital; St. Mary’s Hospital, Madison; Monroe Clinic; Divine Savior Healthcare, Portage; and Stoughton Hospital .

“By participating in AF4Q TCAB, nurses will be on the frontlines, working together with others across Wisconsin to formulate innovations and improve the care they deliver,” said Judy Warmuth, Wisconsin Hospital Association vice president, workforce.   “This program will empower staff in our hospitals to reduce adverse events and unanticipated deaths, reduce harm from falls and implement evidence-based care.”

 Meriter has two teams participating – 6 Tower and 8 Tower – both Medical/Surgical units. 6 Tower nursing staff will first test Staff Huddles on their day shift. These huddles are meant to improve handoff of patient care which improves patient safety and also increase efficiency of communication and foster teamwork among staff.  8 Tower is setting out to reduce time spent searching for supplies and maximize time at the patient’s bed side by first reorganizing the Nurse Servers. Nurse Servers are the supply closets in every patient room. The intent is to make sure all supplies nurses need are easily available at bedside/  After obtaining input from fellow staff, the nurse servers will be put in stocked and put in place on April 19. Staff will then organize the storage units  making sure everything that’s needed has a parking spot and purging items that have just accumulated.

TCAB promotes participants to freely try successful endeavors from other units. 6 Tower has their eye on 8 Tower’s Nurse Servers!

“The beauty of TCAB is that quality becomes practical in the hands of bedside nurses who are given the tools to conduct small tests of change, then adapt, adopt, or abandon those tests until an innovation becomes a new way of doing things,” according to WHA’s TCAB Project Manager Stephanie Sobczak. The 18 TCAB hospital units participating in the project are also charged with spreading their improvement strategies to the entire hospital.

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