CORE MEETING MINUTES Tuesday 7/7/09

7:30 Immunizations
Staff agreed that during the “back to school crunch” we will need extra help. Immunization letters were sent out to parents encouraging them to bring their children in early .

– even with this letter, we still get the bulk of kids between end of July and up until the first week of September

Last year immunization sites were put in the clusters (as well as the core) and all the LPN’s working that day would give the immunizations along with us, unless they were busy.

Core Staff feel that this wound be a good thing to have again this year.

The state has made many changes in the distribution of immunizations. For now, the flow staff will not order immunizations but can check the consent form and hand out the VIS.

We still need all cluster staff to know that patient stickers need to go on the back and from of the stickers. Every day it seems like we are getting new guidelines for immunizations which makes it pretty confusing. Bobbie has volunteered to help simplify the process.




8:00 CORE Work Flow
Drop In Records- the number of monthly drop in’s for june increased from 52 to 53. These are the highest since tracking the drop ins began.
The data shows that Wednesdays continue be the busiest with the most drop in’s.

Core work flow (continued)
Wound care Records- The number of Wound cares that were done last month dropped from 146 to 125. Some of the reasons for this were because we were able to heal and discharge a lot of our patients. And this is the quiet before the storm.

Wound care has patterns of high volume and low volume.. an example would be: May- high number of new patients – why? Because the nice weather is coming and more people are outdoors

June drops off because people have gotten used to the weather, not as many injuries and school is still in.

We should see a rise in July as summer is in full bloom, kids are out of school… etc

Wound Care Days of the week The high volume days have changed. Since may. Last month our busiest month was tied with Wednesdays and Fridays. This would not of been so bad, but because Wednesday is our busiest day for drop in’s , the work load felt impossible to co. Our lightest wound care day was Thursday.

The goal for June was to even out the wound care days so that Thursday picked up and Wednesday’s dropped off.

This goal was met. We evened out the wound care so that all days are about the same.

8:15 Nurse of the day cell phone- CORE staff have proposed that they get a cell phone that the Doctors or flow staff could use when trying to get a hold of the CORE staff. This would increase communication between the core and the clusters. The Cell phone number would be put on the daily schedule. The CORE RN would carry the cell phone and hand it off to another staff member when leaving the premise. We were not able to finish this discussion due to time constraints. Will be put on the agenda next meeting