Table 2 Implementation of ChIP timeline, monitoring, and stakeholder roles
From: Implementation strategy fidelity evaluation for a multidisciplinary Chest Injury Protocol (ChIP)
Date | What | Who |
|---|---|---|
18 October 2017 | Policy online as draft for comment | ED CNC |
20 October 2017 | Research nurse hired | ED CNC/implementation team |
23 October 2017 | High-flow nasal cannula (HFNC) machines labelled with instructions | ED CNC |
October 2017 | Filming for video by the implementation team | Implementation team, staff from departments involved |
25 October 2017 | Item prepared for surgical staff newsletter | ED CNC/implementation team |
26 October 2017 | Video Version 1 | Implementation team |
30 October 2017 | Video Version 2 Training materials (including PowerPoint) developed Chip packets for staff tearoom Notices prepared for newsletter | Implementation team |
31 October 2017 | Organise dates and instructors for educational sessions for - Ward - ICU - ED - Surgical registrars - Anaesthetic - Physiotherapists | Implementation team |
6 November 2017 | Implementation plan final Draft emails for each department organised Advertising flyers prepped | Implementation team |
7 November 2017 | Final version of ChIP video completed and uploaded to YouTube channel | Implementation team |
7 November 2017 | Email went out to all staff, managers Except site 2 | Implementation team/managers |
13 November 2017 | Premature ChIP activation at site 1, went smoothly | ED staff |
15 November 2017 | Incentive spirometers ordered | ED CNC |
16 November 2017 | Discussion re role of ICU liaison: - Education for ward, switch, and bed manager - Audit switch pagers and check compliance - Ensure education for new surgical/ICU and anaesthetic registrars is sustainable, will incorporate ChIP into hospital orientation sessions. | Implementation team |
20 November 2017 | Stakeholders approve policy Organise educational sessions to be delivered | Stakeholders—executives, managers, etc. Fisher & Paykel Implementation team |
21 November 2017 | 11 new pagers programmed and tested with all of their existing capcodes plus the new capcode allocated for 880 | Implementation team |
22 November 2017 | Go live date | Â |
22 November 2017 | First patient has ChIP activated at site 2 (without electronic medical record being active) | Â |
23 November 2017 | Consult Clinical Pathway order for ChIP is available in FirstNet for site 2 | Â |
23 November 2017 | Contract for casual RN (clinical champion) processed | Â |
27-28 November 2017 | Based on feedback: - PowerPoint presentation edited to include how to chart HFNP - Videos updated—both updated to include patient education, incentive spirometer, how to chart HFNC - A dedicated ‘cheat sheet’ algorithm for site 2 as their notification process is different | Implementation team |
30 November 2017 | Queries from surgical staff regarding charting of HFNC and observations | Â |
4 December 2017 | 15 educational sessions more provided this week ChIP in nursing grand rounds this week Some issues with HFNC being charted to medication chart—education regarding same | Implementation team |
5 December 2017 | Switched incentive spirometers to volume-driven devices | Physiotherapy/implementation team |
1 February 2018 | 44 ChIP notifications since November | Â |
6 February 2018 | Fact sheet for patients and contacts at site 2 added to electronic medical record (emailed 27/11/17) | Implementation team |