Browsing by Author "Washofsky, Anne"

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    Enhancing Inpatient Team Communication Among Pediatric Nurses and Residents
    Hayes, Andrew; Washofsky, Anne; Boggs, Lia; Ward, Chad (2022-04-28)
    Background: Nurse and physician collaboration is important in patient care satisfaction. Improving communication among the inpatient nurses and residents was identified as a top priority within our Pediatric Quality Improvement Committee at Carilion Children's Hospital for 2021. ​ Methods: Communication committee formed (inpatient pediatric residents and nurses).​ Communication survey administered.​ Interventions were identified through survey results and committee planning:​ - Nurse-Intern Mentor Program​ - Human Factor Engineers audit of rounding which led to addition of a clinical lead nurse on rounds​ - Communication Guidelines for nurses and residents​ PDSA cycles carried out following interventions​. Post-intervention survey administered 1 year from start of project​. Summary and Conclusion: Communication deficiencies among nurses and residents decreased following the initiation of Nurse-Intern Mentor program, addition of Clinical Lead Nurse on rounds, and implementing communication guidelines for nurses and residents. There was NO improvement in the communication deficiency responses involving the “delays of care”. Face-to-face communication also did not significantly improve post-intervention. More intervention planning is required to promote improvement in face-to-face communication among nurses and residents. ​
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    Preventing Severe Hypoglycemia with a Continuous Glucose Monitor Device in an Infant with Glycogen Storage Disease 1a undergoing a Gastrostomy Tube Placement: Case Report
    Ward, Chad; Washofsky, Anne; Nguyen, Emily; Fortune, Laura; Wattsman, Terri-Ann (2022-11-12)
    We describe a case in which a continuous glucose monitor (CGM) was used during hospitalization to safely prevent severe hypoglycemia in a 10-month-old male with glycogen storage disease 1a undergoing placement of a gastrostomy tube. The child was admitted to the hospital for placement of a gastrostomy tube given increased severe hypoglycemic episodes at home secondary to worsening feeding aversion. During hospitalization, the CGM was monitored before, during and after surgery. Severe hypoglycemic episodes were avoided while hospitalized. The CGM device assisted with the management and titration of continuous dextrose infusion while the child was fasting. The CGM device improved patient and family centered outcomes by reducing the need for frequent finger stick point-of-care glucose checks and allowed the family and anesthesiologist to carefully monitor the child’s blood glucose continuously during the procedure.