VCSQI Nurse Navigators
and Co-Pilots
Summer 2017 Quarterly Meeting
The Boar’s Head Inn
Improving heart care quality, patient experience and costs
Panel Discussion / Q&A
 Panel
Members:
 Robbin
 Pam
 Jill
Shifflett, UVA
Thorpe-Kirstein, Sentara
Melia, Bon Secours
 Liza
Szelkowski, Inova
 Moderator:
Debbie Nadzam
A Day in the Life of a Cardiac Surgery Co-pilot

0630
Meet with the surgery patient in pre-op holding, review plan of care

0700
Pre-round on in-patients, discuss issues/concerns with patient and
bedside nurse

0730
Round with Cardiac Surgery Team

0830
Meet with families in the main surgical waiting area, provide update
from OR

0900
Round on in-patients, provide review of care, post-op instructions,
discharge medication education and follow up with orders
from rounding
A Day in the Life of a Cardiac Surgery Co-pilot

1000
Place follow-up calls to discharges from previous day
 Review
plan of care at home
 Answer
questions
 Review
medications
 Confirm
follow up appointments

1030
Update families in the surgical waiting room

1100
See 5 day post op in office to reinforce education
A Day in the Life of a Cardiac Surgery Co-pilot

1200
Update families with surgeon immediately post-op

1300
Round on in-patients to reinforce education and encourage
activity, assist with discharge education.

1330
Escort family of the Cardiac Surgery patient to CVI, provide
update

1400
See pre-op testing patients in the office
DISCUSSION / Q&A
 Initiatives
 Patient
to mitigate 30-day readmissions
and Family Engagement