Tri-County Health Care • 415 Jefferson Street North • Wadena, MN 56482 • 218-631-3510 or Toll-Free 1-800-631-1811
Transforming Care at the Bedside (TCAB):
Transforming Care at the Bedside (TCAB) is a national initiative sponsored by the Robert Wood Johnson Foundation (RWJF) whose goal is to address quality of care on medical and surgical units.
The program engages leaders at all levels of the organization while focusing on the work of one unit.
The total time all health care workers spend in direct patient care on a medical surgical unit is 1.7 hours in a 12-hour period (IOM, Keeping Patients Safe).
The TCAB goal is to increase the time nurses spend in direct patient care to 70 percent. Increasing the time nurses spend with patients promotes healing and improves patient satisfaction. TCAB units also seek to redesign and enhance the admission and discharge processes, improve handoffs, streamline documentation, and optimize routine care practices.
Since Tri-County Health Care’s TCAB launch, we have tested many interventions. Some of the most successful include:
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Fall risk prevention program
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Supply bins at the bedside
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Reorganizing of supply Omnicell to save steps for nurses
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Skin assessment forms
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EPIC “help sheets”
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Calendars in patients rooms
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New work stations with EPIC close to patient rooms
Our goal is to have patient and family representatives on the TCAB improvement team. Teams design, rapidly test and evaluate interventions. Those ideas that are a success are implemented throughout all medical surgical units.
“TCAB has allowed our nurses to share ideas with others on the unit and improve patient care. We now have more time to spend with our patients and their families,” says Kathy Kleen, Tri-County Health Care’s Director of Patient Care.
Find even more useful information at:
National Library of Medicine Website
Brought to you in conjunction with TCH and the Bio-Medical Library, University of Minnesota
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