“Patients undergoing surgery, particularly those with pre-existing respiratory conditions or chest tubes, face a high risk of postoperative pulmonary complications, such as hypoxia and pneumothorax, which can prolong hospital stays and worsen outcomes (Dhillon et al., 2023). The incentive spirometer (IS), a non-invasive tool designed to encourage deep breathing and lung expansion, effectively prevents such complications. However, adherence to IS use is often hindered by insufficient patient education and inconsistent reminders. Studies suggest that interactive tools like checklists and reminder systems can significantly improve IS engagement and documentation (Kneuertz et al., 2020; Pangborn et al., 2020).”

Winifred Afu, BSN, RN; Anna Gabriel, BSN, RN; Somi Kim, MN, RN and Sarah Muh, BSN, RN (2 South CV Stepdown); Jennifer Nguyen MN, RN and Teaira Yates, BSN, RN (5 East/West Internal Medicine Breathing Better: Enhancing IS Compliance through Nursing Interventions [Emory Healthcare Nurse Residency] Emory Saint Joseph’s Hospital, Atlanta GA

“Healthcare-associated infections (HAIs) increase mortality rates and costs, especially in ICUs where central-line use is common (Denkel et al., 2023). Central-line associated bloodstream infections (CLABSIs) often occur when preventive measures fail. Patient reluctance to bathe and reliance on traditional soap and water further hinder infection control. CHG wipes have proven more effective in preventing CLABSIs (Denkel et al., 2023), and education on CHG protocols can reduce CLABSI rates by up to 30% (Reynolds et al., 2021), emphasizing the need for proper education and adherence.”

Alyssa Lowe, BSN, RN, RCIS; Taynara Pimenta, BSN, RN and Taylor Shaw, BSN, RN 2W Cardiac Care Unit (CCU) Scrub-A-Dub-Dub: CHG Bath for All [Emory Healthcare Nurse Residency] Emory Saint Joseph’s Hospital, Atlanta GA

“The operating room (OR) is a high-pressure environment that brings together diverse personalities, communication styles, and stressful situations. These dynamics can contribute to poor communication and incivility, leading to increased burnout among OR staff (Sillero & Zabalegui, 2018). Effective collaboration and open communication are crucial for ensuring patient safety and fostering a supportive team culture where personnel feel confident voicing concerns about risks and safety issues. By addressing the complexities of OR interactions and reducing incivility, healthcare organizations can alleviate staff stress, enhance team cohesion, and improve employee retention and patient safety (Laflamme et al., 2019).”

Alexandra Colina, BSN, RN; Shavanee Reid, MSN, RN and Yolanda Ward, MSN, RN Cardiovascular Operating Room (CVOR) Code Clear Communication: ORchestrated Dialogue: Streamlining OR Communication for Professional Excellence [Emory Healthcare Nurse Residency] Emory Saint Joseph’s Hospital, Atlanta GA