April - CHI St. Vincent
Transcription
April - CHI St. Vincent
A publication of CHI St. Vincent April 2016 Inside this issue: Page 2: Staffing Update, Trauma Education, Call for Abstracts Page 3:Breakfast with Bryan, CHI SVI new OR Manager, CHI SVHS Thank You Page 4:NCAP Deadline, CPR at St. Mary’s, CNOR Prep Exam Page 5:PCA, RN Referral Bonus Page 6: 40 Under 40, Nursing Autonomy Page 7: Daisy and STAR Awards Page 8: Magnet Sources of Evidence Page 9:Healthcare Explorers, Donate Life Month Page 10: Certified Nurses Day Page 11: Certified Nurse, Magnet Update Page 12: Great Catches CHI St. Vincent Nursing wished a fond farewell to SVP & Chief Nursing Officer, Brenda Baird, MSN, RN, CENP who departed her role as Chief Nurse Executive for CHI St. Vincent. Brenda has joined the Northeast Georgia Health System where she will serve as the Vice President and Chief Nursing Officer. Brenda came to CHI St. Vincent in 2007. Here during her eight plus years, she led nursing on an amazing journey that continues today. There are a few of the many accomplishments: implemented professional nursing shared governance; led a four year journey which resulted in CHI St. Vincent Infirmary becoming the first and only ANCC Magnet recognized hospital in Arkansas; Magnet contributed to CHI St. Vincent Infirmary being recognized by US News & World Report as the top hospital in Arkansas for the past 3 years; led the journey at CHI St. Vincent Morrilton to becoming designated as the first and only ANCC recognized Pathway hospital in 2013; represented CHI St. Vincent in multiple national publications and conference presentations; served as CHI St. Vincent Executive sponsor of the Cerner build and implementation; led the Care Value implementation; led formation of CHI St. Vincent Simulation Lab with Blue and You donation in 2012; and worked with the Vogel Family on Nursing Excellence scholarships for bedside nurses. As you can tell, in eight years, Brenda has led CHI St. Vincent nursing to new heights. We thank Brenda for her years of service to promote nursing professional development and recognize the impact of nurses in the care of our patients. We wish her well for the future! (more photos, p. 15) Page 13:Education Offerings Page 14:Kudos & Recognition, CHI SVHS Ice Cream Thank You Page 15:Farewell Letter from SVP&CNO Page 16: Nursing Levels of Communication, Nursing Calendar Page 17:ACLS & BLS Page 18: Nurses Week Calendar CHI St. Vincent Infirmary CHI St. Vincent North CHI St. Vincent Hot Springs CHI St. Vincent Morrilton Interested in participating in the CHI St. Vincent Nursing Clinical Advancement Program (NCAP)? NCAP Champion Meetings are held: CHI St. Vincent Infirmary: third Tuesday of the month, 4-5 pm, 4th floor Orthopaedic Conference Room CHI St. Vincent Hot Springs: second Friday of the month, 7:30-8:30 am, Dublin Room Magnet Progress continues to be made on efforts surrounding nurse and PCT recruitment. Source of The partnership with Allegis has ramped up considerably this past month. Target Evidence TL7 Open Houses are one initiative that has been successful with Allegis. The first Open House was for CHI SVI Neuro and OR/PACU with 4 RN offers. Facebook advertising is reaching over 35,000 people – so the word is definitely getting out! Allegis has added three “Sourcers” to the recruiting team who are available to support and provide possible candidates to aid the recruiters. In addition, they are now reaching out to include the surrounding states of MO, TX, OK, LA, MS, and TN. Another Open House is scheduled in Hot Springs to target the Emergency Department and Med/Surg on April 21. PCT Hiring PCT/MHT activity since February 1, 2016 Total applicants screened to determine if qualified Individuals 152 Active in hiring process (includes upcoming interviews) 83 Offers accepted 76 Started in Orientation 51 Scheduled for next orientation on 4/25/16 15 PCT Coordinator, Vanessa Jensen, BSN, RN, continues to visit CNA schools to recruit PCT’s. Vanessa also rounds on nursing units to get updates from PCT’s on the work environment as well as to resolve issues. A PCT Recruitment Fair for CHI St. Vincent Hot Springs is being planned. Magnet Source of Evidence EP6 March education for the Operating Room at CHI St. Vincent Hot Springs focused on trauma. Dr. John Webb , Trauma Medical Director at CHI SVHS prepared a 1 hour presentation about resuscitation of the trauma patient in the operating room. All staff that participate in the care of the operative patient were invited; including nursing staff, scrub techs, and anesthesia. The in-service focused on the steps of a crash laparotomy, as well as how both staff and equipment should be prepared. Thank you to the OR staff for staying up to date in trauma standards of care to provide the best they can for our trauma patients! Do you have a NCAP question? Email your question to the new NCAP mailbox at [email protected] for a response! Magnet Source of Don't miss the opportunity to have your abstract be a part of the 2017 American Evidence NK2 Nurses Association Conference, taking place March 8–10, 2017, in Tampa, Florida. The Call for Abstracts is now open through May 2, 2016. The theme for the conference is "Translating Quality into Practice." For more information or to submit your abstract, go to the American Nurses Association website or https://ana.confex.com/ana/anaconf17/cfp.cgi 2 Magnet Source of Evidence TL8 Bryan Williams, MSN, MBA, RN, NE-BC, Vice President Patient Care Services at CHI St Vincent Hot Springs hosted a breakfast on March 25, 2016. The group was celebrating their years of service. Left to Right Christine McNamee, PCT Terry Coffey, RN Logan Gillham, RN Tammy Ward, RN Debbie Dark, SSTech Byron Robinson, BSN, RN, CNOR, has accepted the position of Nurse Manager for Perioperative Services at CHI SVI. He started in the new role March 27, 2016. Byron graduated from UAMS with an AS in Surgical Technology and started at CHI SVI as a scrub tech on the orthopedic team in 2007, a position he held for five years. He pursued a nursing career and graduated from Baptist Health College of Little Rock in 2012 with a Diploma in Nursing. Byron then worked as a staff nurse in the cardiovascular OR for two years before being promoted to CVOR Supervisor in 2014, which was his most recent role. He obtained his BSN from the University of Arkansas at Little Rock in 2015, where he made the Dean’s List and Chancellor’s List. Please congratulate and support Byron as he transitions to his new role. The CHI SVHS administration team had a “Thank You” celebration for the night shift staff on March 17, 2016, recognizing all the hard work being done during this time of sustained high patient volumes! The team cooked made to order omelets and pancakes. The “Thank you” is for the Co-Workers at SVHS that continue to care for those in our community as we experience unprecedented sustained volumes. 3 CHI SVHS_4E CHI SVHS_CCL CHI SVHS_ED CHI SVHS_GI Lab CHI SVHS_CS The deadline for the FY16 portfolio submission for the Nursing Clinical Advancement Program (NCAP) has been extended to August 1st. In review of the calendar, it was noted that the program deadline fell on a Sunday. In order to better facilitate submissions for our NCAP participants, it was agreed to extend the submission deadline to the following day. The adjusted deadline for submission of NCAP portfolios to Judy McCarey on 3 West at CHI SVI is Monday, August 1, 2016 at 12:00 pm. Locations will be determined and communicated for other facilities. A group of co-workers from CHI SVI provided a Basic Life Support course for the Juniors and Seniors at Mount St. Mary’s High School on April 14th and 15th, 2016. It has become an annual tradition that CHI St. Vincent nurses perform skills check-offs for the girls at Mount St. Mary’s Academy. One of the goals of CHI St. Vincent is to nurture the healing ministry of the Church, supported by education and research in order to emphasize human dignity and social justice as we create healthier communities. It is important to give back to the community in which we live. These girls learn Basic Life Support as part of a health class that is provided by the school. The BLS instructors look forward to this community service each year because these girls are so knowledgeable and are truly interested in learning new skills. The girls at Mt. St. Mary’s provide many hours of volunteer service to CHI SVI also. This is a wonderful relationship that benefits the hospital, school, and the community. There is the bonus of having fun with our coworkers outside of the hospital and knowing we are helping others at the same time. CHI SVI instructors were Jonell Lynch, BSN, RN, Amy Ramick, MNSc, RN, ANCS-BC, Michele Revere, RN, Christy Sanders, MSN, RN, Farren Rippond, MSN, RN, Debbie Payton, RRT, BS, CPFT, Mary Stokes, Winston Shields and Lynn Sears. There will be a Certified Operating Room Nurse (CNOR) Exam Prep and Review Course at CHI St. Vincent Infirmary in the St. Vincent DePaul Room on May 14-15, 2016. This two day course is designed to prepare perioperative nurses to take the CNOR exam and to demonstrate clinical competence and knowledge of practice standards. It includes 16 contact hours. Register online at http://www.periop-ed.com The review course is open to participants from all campuses. 4 Magnet Source of Evidence SE3EO Magnet Source of Evidence SE11 We want to hear from YOU! The PCA is an annual survey for employees from across the organization. By gathering your feedback and opinions about how things are going, we hope to make improvements to our work environment and ensure CHI is a place that we all want to work. This important survey is being created and administered by Healthstream, a professional research and survey administration organization. A big reason behind using a third party vendor to guarantee your anonymity and confidentiality. The survey is completely confidential and anonymous. No one will see or know your individual survey results. Based on your feedback, action plans will be developed to address areas of concern or improvement. We want to make CHI St. Vincent the best place to work. This is YOUR opportunity to provide feedback and opinions about how things are going, In addition, participation in the PCA is part of the RN Quality Performance Incentive Plan which began July 1, 2015. Eligible RNs at each campus may earn a $100 bonus if nursing units achieve ≥ 90% engagement in the survey. Magnet Source of Evidence EP11EO Volunteer Opportunities Mission Outreach CHI St. Vincent supports nurses’ participation in community healthcare outreach. Volunteers are needed for the Lonoke School District Health Fair on Saturday, April 30th from 8am-12pm. Lonoke High School Football Field 501 W. Academy St. Lonoke, AR If you would like to Volunteer, please contact: Tiffani Butler Physician Services CHI St. Vincent [email protected] 501-442-5523 5 Call for Innovation Award Nominations! The Innovation Award is presented to a person or department at CHI St. Vincent that has implemented a creative solution to a problem or has made a positive impact on patient care in an innovative way. Please submit nominations to Nurse Managers or Market Directors. The search is on for the 2016 Arkansas's Most Compassionate Nurse! Do you know a nurse that you feel is the most compassionate, caring and empathetic caregiver? Nominate them for the Nursing Compassion award put on by ThinkNurse.com, Farm Bureau and PCI Publishing. Email their name, where they work, phone number and short message about why they are most deserving of this Nominate a candidate today! Send or email your nomination to: NURSING COMPASSION & NURSE EDUCATOR 2016 P.O. Box 17427, Little Rock, Arkansas 72222 or email [email protected] Deadline is April 30, 2016 Magnet Source The Arkansas Action Coalition of Evidence sponsors the Arkansas Nursing 40 SE11 Under 40 award each year to celebrate and encourage dedication to the nursing profession. This program recognizes those with a dedication to the nursing profession and a promise to grow in leadership for the advancement of nursing and improved health care for those in Arkansas. This is the second year for the 40 Nurse Leaders Under 40 award. This year, there were three CHI St. Vincent nurses who were selected for this recognition! Farren Rippond, MSN, RN (Clinical Education), Holly Taylor, BSN, RN, CNOR (RN Residency Program), and Sylvain Tientcheu, BSN, RN (CHI SVI_4N) were among the forty nurses named to this year’s list of honorees. The Arkansas Action Coalition will host a celebration on Friday, June 10th to honor all forty of the Nurse Leaders. Congratulations Farren, Holly and Sylvain for your dedication and commitment to nursing! Submitted by Peggy Diaz, RN CHI St. Vincent Infirmary, 7 East What is Nursing Autonomy to me? Magnet Source of Evidence EP16 To me, autonomy is being able to make decisions about my patient’s care, within my scope of practice. As a bedside nurse, we can anticipate, prevent and treat complications. As long as I stay within my scope of practice, I feel I have full autonomy. I don’t tell the physician what to do. But I am able to question the treatment ordered for my patient. I feel we have a lot of autonomy on 7 East. We work well with physicians. They listen to us. If I am not sure of something, I can call the physician for clarification. Every year the nurses at CHI St. Vincent take the NDNQI RN Satisfaction Survey. Every year we have scored low on autonomy. Probably because most of us do not understand autonomy. Every year the Oncology Unit Council works on ways to help nurses have a better understanding of autonomy. I remember several years ago having a board in the bathroom where we would put our examples of autonomy! The last NDNQI Survey we took for October 2015, we increased our score for autonomy. Every year we pick something to work on and something to celebrate. This year we picked “Nursing Administration” to work on and the item we picked to celebrate was "Autonomy." Join us as we celebrate 7E autonomy. Starting in April, we will have a monthly potluck on staff meeting day. We also have many other ideas to celebrate autonomy. 6 Magnet Source of Evidence SE11 Devin Williams-Anton, RN, is the April 2016 DAISY Award for Extraordinary Nurses winner at CHI St. Vincent. Williams-Anton is a RN on the Neurosurgical ICU unit at CHI SVI. Here’s an excerpt from Williams-Anton’s nomination letter, which was written by a nurse who had a family member as a patient: My great aunt suffered an aneurysm. The patient care was exemplary. But the care of our family was even more outstanding. This nurse took the time to sit with my great uncle and his children. She explained some of the care options mentioned by the physician. She answered questions about what a feeding tube would look like, where would a feeding tube be placed, what would Tracheostomy be and how would it work. More important than the knowledge imparted is the time she took to make my family more informed and empowered to make some very special and difficult decisions. Kindness and patience were unparalleled. When her shift ended, she left behind her personal phone number and asked the family to call if my aunt’s health deteriorated. She wanted to support them through the situation even after working all night long. My great uncle was very hard of hearing and this nurse took special care to speak so he could understand what she was saying. After our experience was over, my great uncle stated no one could have cared for us better. There is no better compliment for a registered nurse. The DAISY Award was established by the DAISY Foundation in memory of J. Patrick Barnes who died at 33 of ITP, an auto-immune disease. The Barnes Family was awestruck by the clinical skills, caring and compassion of the nurses who cared for Patrick, so they created this national award to say thank you to nurses everywhere. Transporter Patrice Armstrong has been named the winner of the April Shining S.T.A.R. Award at CHI St. Vincent. S.T.A.R. stands for Superior Teamwork Achieved by Relationships. The award is presented to a non-licensed nursing care team member who goes above and beyond the call of duty and is the kind of person that our patients, their families and our staff recognize as an outstanding role model. The award was presented at the Patient Care Governing Congress by Chaplain Cindy Goza. “She is probably one of the most incredible women that we have,” Goza said. “She’s in our transport system. She’s also going to college to study to by a psychiatrist.” On this day, Armstrong was bringing a patient back to their room and noticed they were having a seizure. “She immediately got assistance. She didn’t hesitate to get the right people on board,” Goza said. “It made a tremendous difference in this patient’s life. This is typical of her in her work and her calling. She is so gifted. I am amazed at the work she is doing and the goals that she has set. It’s with great honor that we give her the Shining S.T.A.R. Award.” The award is presented quarterly. For more information, contact the Human Resources 7 Training Coordinator at 501-552-3672. Transformational Leadership (TL) Magnet Champions Is your practice area represented? Want to learn more about nursing excellence and impacting change in Nursing? The Magnet Champions meet the third Wednesday of the month from 4-5pm in LaHarpe Room at CHI St. Vincent Infirmary TL1EO. Nursing’s mission, vision, values, and strategic plan align with the organization’s priorities to improve the organization’s performance. TL2. Nurse leaders and clinical nurses advocate for resources to support nursing unit and organizational goals. TL3EO. The CNO influences organization-wide change beyond the scope of nursing. TL4. The CNO is a strategic partner in the organization’s decision-making. TL5. Nurse leaders lead effectively through change. TL6. The CNO advocates for organizational support of ongoing leadership development for all nurses, with a focus on mentoring and succession planning. TL7. Nurse leaders, with clinical nurse input, use trended data to acquire necessary resources to support the care delivery system(s). TL8. The CNO uses various methods to communicate, be visible, and be accessible to nurses throughout the organization. TL9EO. Nurse leaders (exclusive of the CNO) use input from clinical nurses to influence change in the organization. Structural Empowerment (SE) SE1EO. Clinical nurses are involved in interprofessional decision-making groups at the organizational level. SE2EO. The healthcare organization supports nurses’ participation in local, regional, national, or international professional organization. SE3EO. The organization supports nurses’ continuous professional development. SE4EO. Nurses participate in professional development activities designed to improve their knowledge, skills, and/or practices in their workplace. SE5. Nursing education opportunities are provided for those interested in a nursing career. SE6. The organization provides opportunities to improve nurses’ expertise in effectively teaching a patient or family. SE7. The organization facilities the effective transition of registered nurses and advanced practice registered nurses into the work environment. SE8. The organization provides educational activities to improve the nurse’s expertise as a preceptor. SE9. The organization supports nurses’ participation in community healthcare outreach. SE10EO. Nurses participate in the assessment and prioritization of the healthcare needs of the community. SE11. Nurses are recognized for their contributions in addressing the strategic priorities of the organization. Exemplary Professional Practice (EP) EP1. Clinical nurses are involved in the development, implementation, and evaluation of the professional practice model. ( EP2EO. Clinical nurses are involved in the development, implantation, and evaluation of the professional practice model. EP3EO. Unit or clinic level nurse (RN) satisfaction data outperform the mean or median of the national database used. EP4. Nurses create partnerships with patient and families to establish goals and plans for delivery of patient-centered care. EP5. Nurses are involved in interprofessional collaborative practice within the care delivery system to ensure care coordination and continuity of care. EP6. Nurses incorporate regulatory and specialty standards/guidelines into the development and implementation of the care delivery system. EP7EO. Nurses systematically evaluate professional organizations’ standards of practice, incorporating them into the organization’s professional practice model and care delivery system. EP8EO. Nurses use internal and external experts to improve the clinical practice setting. EP9. Nurses are involved in staffing and scheduling based on established guidelines, such as ANA’s Principles for Nurse Staffing, to ensure that RN assignments meet the needs of the patient population. EP10. Nurses use trended data in the budgeting process, with clinical nurse input, to redistribute existing nursing resources or obtain additional nursing resources. EP11EO. Nurses participate in recruitment and retention assessment and planning activities. EP12. Nurses assume leadership roles in collaborative interprofessional activities to improve the quality of care. EP13EO. Nurses participate in interprofessional groups that implement and evaluate coordinated patient education activities. EP14. Resources, such as professional literature, are readily available to support decision-making in autonomous nursing practice. EP15. Nurse at all levels engage in periodic formal performance reviews that include a self-appraisal and peer feedback process for assurance of competence and continuous professional development. EP16. Nurse autonomy is supported and promoted through the organization’s governance structure for shared decision-making. EP17. Nurses use available resources to address ethical issues related to clinical practice and organizational ethical situations. EP18EO. Workplace safety for nurses is evaluated and improved. EP19EO. Nurses are involved in the facility- or system-wide approach focused on proactive risk assessment and error management. EP20EO. Clinical nurses are involved in the review, action planning, and evaluation of patient safety data at the unit level. EP21EO. Nurses are involved in implementing and evaluating national or international patient safety goals. EP22EO. Unit- or clinic-level nurse-sensitive clinical indicator data outperform the mean or median of the national database used. EP23EO. Unit- or clinical-level patient satisfaction data (related to nursing care) outperform the mean or median of the national database used. New Knowledge, Innovations, and Improvements (NK) NK1EO. The organization supports the advancement of nursing research. NK2. Nurses disseminate the organization’s nursing research findings to internal and external audiences. NK3. Clinical nurses evaluate and use evidence-based findings in their practice. NK4EO. Innovation in nursing is supported and encouraged. NK5EO. Nurses are involved with the design and implementation of technology to enhance the patient experience and nursing practice. NK6EO. Nurses are involved in the design and implementation of work flow improvements and space design to enhance nursing practice. 8 Magnet Source of Evidence SE5 We are excited to announce this summer’s Healthcare Exploration camps for CHI SVHS and CHI SVI. This is an chance to reach out to students in our community who are entering their junior and senior year in high school to allow them to explore healthcare opportunities as a career. Applications for students to participate in the exploration camp are due by May 27, 2016. In addition, there are volunteer opportunities available. Four hour blocks are available to serve as camp “counselors” and assist with tours, activities and safety of our campers. For more information or to submit an application, contact Amy Funderburk, MSN, RN, NE-BC or Lana Lambert, MSN, APRN, RN-BC as below. CHI ST. VINCENT INFIRMARY CHI ST. VINCENT HOT SPRINGS JUNE 13-17 0900-1600 CENTER FOR HEALTH EDUCATION 2 St. Vincent Circle Little Rock, AR 72205 JUNE 20-24 0900-1600 LEGACY LEARNING LAB 300 Werner Street Hot Springs, AR 71913 For more information: Amy Funderburk at 501-552-3772 or at afunderburk@ stvincenthealth.com For more information: Lana Lambert at 501-622-7522 or at [email protected] Magnet Source of Evidence SE9 April is one of the busiest months of the year for ARORA (The Arkansas Regional Organ Recovery Agency) and other organizations across the country that support organ, tissue and eye donation. That is because April is National Donate Month. Established in 2003, National Donate Life Month is observed each April to celebrate the extreme generosity of the many people who have saved and enhanced lives by becoming organ, tissue and eye donors. ARORA encourages Arkansans to observe National Donate Life Month by registering to become an organ, tissue and eye donor at their local DMV office, online at donatelifearkansas.org, or by requesting a paper registration form by calling ARORA at 866.660.5433. ARORA urges registered donors to share with their families their decision to register to become a donor. Patsy Wallace BSN, RN, CNOR, Amy Ramick MNSc, RN, ANCS-BC, Kristina Raley MSN, APRN, ACNP-BC, Becky Gertsch, MS (ARORA Hospital Coordinator) and Liz Mahan, BSN, RN, RN-BC participated in an ARORA booth at CHI SVI on April 15, 2016 to promote organ/tissue donation awareness. 9 CHI St. Vincent celebrated National Certified Nurses Day by honoring nurses in the organization who contribute to better patient outcomes through national board certification in their specialty. A RN license allows nurses to practice; certification affirms advanced knowledge, skill, and practice to meet the challenges of modern nursing. Drop-in receptions were held at all four facilities on March 18th and leader rounding on the units occurred on March 19th. Thank you to all of our certified nurses! 10 Magnet Source of Evidence SE3EO Magnet Source of Evidence SE3EO Alison DeLee, RN, CMSRN is a nurse on the 4 East Medical/Surgical unit at CHI St. Vincent Hot Springs. She is a certified Medical/Surgical Registered nurse. Alison was a LPN for 2 years before returning to school and becoming a RN, graduating from National Park Community College in 2010. She obtained her professional nursing certification in 2015. Alison saw a flyer promoting CHI St. Vincent’s certification reimbursement program in her unit’s break room and made the decision to sit for the exam. “I thought it was very interesting. I am a charge nurse on my unit and I thought this was something that was important for charge nurses to have.” In order to prepare for the exam, Alison borrowed a medical surgical exam review book from a friend. “A lot of what was in there was what I learned in school, so it was a nice refresher. I studied for a while and took sample questions.” Medical-surgical nurses are the largest group of practicing health care professionals in the acute care setting. Thank you Alison for all of your hard work and dedication to advancing your professional practice! A group of nurses met in April to begin writing the Magnet re-designation document for CHI St. Vincent Infirmary. Stories included: Improvements in barcode medication administration use of teachback for patient education Healthcare Explorers program learning needs assessment nursing innovation to prevent falls in the CHI SVI_MICU clinical nurse involvement in the staffing and scheduling process clinical nurses input into the budgeting process evaluation of the nursing professional practice model and other exciting exhibits of how CHI St. Vincent nurses are using their knowledge and expertise to improve the care of patients! Attendees included: Maria Whitt, MSHM, BSN, RN, NEA-BC, JoAnn Frazier, BSN, RN, CPHQ, Robbie Hemmer, BSN, BBA, RN, Amy Funderburk DNP, RN, NE-BC, Sandra Hansel, RN, CDE, Lana Lambert, MNSc, RN, APRN-BC, Liz Mahan, BSN, RN, NPD-BC, Sharon Markham, BSN, RN, CMSRN, Tyler McDonald, MHA, BSN, RN, CNOR, Susan Pastor, ND, RN, CENP, Todd Sann, MHA, BSN, RN, Don Rowe, BSIE, Patsy Wallace, BSN, RN, CURN, and Greg Williams, MSN, RN, CCRN. For more information, check out the policy on the CHI SV Insider! Details at CHI SV Insider >> Policies >> Patient Care Services >> “Certification: Professional Nursing Certification Reimbursement Guidelines” 11 Michelle Davis, RN CHI SVI_CCU A cardiologist was reviewing a patient’s telemetry history. A six second pause was found. This finding and other data led the physician to determine that the patient had Brady Tachy Syndrome which would require the patient to have a pacemaker. Michelle, along with the charge nurse, reviewed this data and found that the patient was not admitted to the unit at the time where the data reflected the pause. The telemetry viewed was actually from the previous patient that had not been discharged out of the monitor. The nurse notified the cardiologist and the family was notified as well of the wrong diagnosis. Michelle was Paying Attention to Detail. She felt unsure that the rhythm observed by the cardiologist was correct. Her persistence prevented the patient from receiving an unneeded pacemaker. Natalie Manatt, RN and Shana Coffman, RN CHI SVHS_OPD A patient was receiving a blood transfusion. The patient stated that they were not feeling well and the nurses felt that the patient “did not look right”. The blood transfusion was stopped immediately. After the transfusion was stopped Natalie and Shana still felt something was wrong. They assessed the patient and determined that the patient was having a heart attack. The patient was quickly transported to the Emergency Department for evaluation. Natalie and Shana had Questioning Attitude. The became aware that the patient’s condition had changed and their quick recognition of a heart attack allowed them to send the patient to the Emergency Department for proper care. Pam Keefover CHI SVN_Admin A patient was wandering in the facility. Pam noticed that the patient looked lost and appeared unsteady on their feet. She quickly found a wheelchair and assisted the patient to sit down. She then was able to escort the patient back up to their room. Her quick actions prevented this patient from falling. Gretchen Christensen, RN CHI SVHS_5W Laura Skipper, RN CHI SVHS_CCL Daniel Bright, PD CHI SVI_Pharmacy Gretchen was taking care of a patient with a diagnosis of renal disease. She received orders for a tube feeding that contained the appropriate nutrients for a renal patient to consume. Gretchen also noticed that the patient had lactose intolerance. The tube feeding ordered contained lactose. Gretchen worked with the nutrition and dietary department to find a tube feeding that met the requirements for a patient with renal disease who also has lactose intolerance. Gretchen Had Questioning Attitude. She received an order for tube feeding, but found the patient to have an intolerance. She ensured that the patient received the appropriate diet. A patient was transferred from an extended care facility to the Cath Lab for a procedure. After receiving the patient, Laura read through the paperwork that was sent with the patient. Upon investigation Laura found another patient’s information was mixed in with her patient’s paperwork. She notified the transferring facility of her finding and verified the correct identity of the patient that had been transferred. Laura Had A Questioning Attitude. She thoroughly inspected the patient’s information and found another patient’s paperwork. She clarified that the patient present was correct and stopped a further HIPAA violation. A patient admitted to a unit was ordered to have Bupropion 150 mg daily (regular release) on the medical record. This dose was verified by pharmacy and the patient received 2 doses. During a chart review, Daniel noticed that the home medication list had Bupropion 150 mg XL (extended release) entered instead of regular release. He verified this with the physician and changed to order to reflect the XL medication. This is a great example of Paying Attention to Detail. Daniel was able to resolve a discrepancy with the medication. Do you know someone who should be recognized for a great catch? Contact Jenny Bradford at 501-552-3913 or [email protected] 12 Magnet Source of Evidence SE4EO The classes listed below are some of the variety of ways that CHI St. Vincent provides regular access to in-service programs and continuing education opportunities to its RNs. To register, sign up in LEARN or contact a clinical educator for need additional assistance. Date Time Class Room Facility 04/26/2016 0800-1600 Clinical Coach Workshop Mercy Room CHI St. Vincent Hot Springs 04/26/2016 0800-1800 Trauma Nursing Core Course (TNCC) – Day 1 Calhoun Room CHI St. Vincent Hot Springs 04/27/2016 0800-1800 Trauma Nursing Core Course (TNCC) – Day 2 Calhoun Room CHI St. Vincent Hot Springs 04/27/2016 0730-1500 Basic Arrhythmia – Day 1 Calhoun Room CHI St. Vincent Hot Springs 04/28/2016 0730-1500 Basic Arrhythmia – Day 2 Calhoun Room CHI St. Vincent Hot Springs 04/28/2016 1200-1300 Cancer Conference McAuley Room CHI St. Vincent Hot Springs 05/02/2016 1100--1500 IABP Theory Part 2 Webinar with Skills Southwestern Bell CHI St. Vincent Infirmary 05/03/2016 1900-2100 ArNA Monthly Meeting Dublin Room CHI St. Vincent Hot Springs 05/03/2016 0800-1100 Safety First North Auditorium CHI St. Vincent Infirmary 05/04/2016 0800-1600 ECG Rhythm Analysis & Dysrhythmia Interpretation Dunkerton/AP&L CHI St. Vincent Infirmary 05/04/2016 0800-1400 CPI- Initial Class Southwestern Bell CHI St. Vincent Infirmary 05/05/2016 0800-1600 ECG Rhythm Analysis & Dysrhythmia Interpretation Dunkerton/AP&L 05/05/2016 0800-1630 Taking Charge Workshop Southwestern Bell CHI St. Vincent Infirmary 05/05/2016 1200-1300 Cancer Conference McAuley Room CHI St. Vincent Hot Springs 05/06/2016 0800-1600 ECG Rhythm Analysis & Dysrhythmia Interpretation Dunkerton/AP&L CHI St. Vincent Infirmary 05/06/2016 0800-1630 Taking Charge Workshop Dublin Room CHI St. Vincent Hot Springs 05/10/2016 1300-1500 Rhythm Response Calhoun Room CHI St. Vincent Hot Springs 05/10/2016 0800-1200 CPI – Re-Certification Mercy Room CHI St. Vincent Hot Springs 05/10/2016 0800-1200 ECG Rhythm Analysis & Dysrhythmia Interpretation Dunkerton/AP&L CHI St. Vincent Infirmary 05/10/2016 1300-1500 Rhythm Response Southwestern Bell CHI St. Vincent Infirmary 05/11/2016 1400-1500 Nursing Challenges Calhoun Room 05/11/2016 0800-1800 ACLS Provider Southwestern Bell CHI St. Vincent Infirmary 05/12/2016 1200-1300 Cancer Conference McAuley Room 05/12/2016 0830-1230 PALS Renewal Course Southwestern Bell CHI St. Vincent Infirmary 05/17/2016 0800-1600 CPI – Initial Certification Mercy Room CHI St. Vincent Hot Springs 05/18/2016 0730-0930 Rhythm Response Calhoun Room CHI St. Vincent Hot Springs 05/18/2016 0830-1530 PALS Provider Southwestern Bell CHI St. Vincent Infirmary 05/19/2016 1200-1300 Cancer Conference McAuley Room 05/19/2016 0830-1130 CPI Recertification Southwestern Bell CHI St. Vincent Infirmary 05/19/2016 1300-1600 Safety First North Auditorium 05/20/2016 0800-1600 Clinical Coach Workshop Southwestern Bell CHI St. Vincent Infirmary 05/24/2016 0800-1600 Clinical Coach Workshop Calhoun Room 05/24/2016 0800-1800 TNCC Southwestern Bell CHI St. Vincent Infirmary 05/25/2016 0730-1500 Basic Arrhythmia – Day 1 Calhoun Room 05/25/2016 0830-1130 CPI Recertification Southwestern Bell CHI St. Vincent Infirmary 05/26/2016 0730-1500 Basic Arrhythmia – Day 2 Calhoun Room CHI St. Vincent Hot Springs 05/26/2016 1200-1300 Cancer Conference McAuley Room CHI St. Vincent Hot Springs 06/01/2016 0800-1400 CPI Initial Certification Southwestern Bell CHI St. Vincent Infirmary 06/02/2016 1300-1600 Safety First North Auditorium CHI St. Vincent Infirmary 06/03/2016 0800-1630 12 Lead ECG Workshop Main Auditorium CHI St. Vincent Infirmary 13 CHI St. Vincent Infirmary CHI St. Vincent Hot Springs CHI St. Vincent Hot Springs CHI St. Vincent Hot Springs CHI St. Vincent Infirmary CHI St. Vincent Hot Springs CHI St. Vincent Hot Springs Magnet Source of Evidence SE11 Degrees Obtained: CHI SVHS_SICU Melissa Owen, BSN, RN and Chae Brewer, BSN, RN completed their bachelors degrees in nursing! CHI SVI_CCU: Susan Robinson, BSN, RN completed her bachelors degree in nursing from Chamberlain! Amy Funderburk, DNP, RN, NE-BC (Market Director of Nursing, Jack Stephens Heart Institute) completed her doctorate of nursing practice! Certifications Achieved: CHI SVI_CCL: Joel Henry, RN and Ken Ruff, RN received certification for RCIS! CHI SVI_CVSD: Marcus Motes, RN obtained certification for CCRN! CHI SVI_4W: Robin Wilson, RN passed the certification exam for ANCC Medical-Surgical nursing! Community Service/Events: CHI SVI_CCL: Don Spencer, RT travelled to Mississippi in March 2016 to help with disaster relief due to recent flooding. CHI SVI_CCL: Pam Pritchett, RN participated in the Congo Road Baptist Church Food Bank. CHI SVI_Med Diag: Robbie Hemmer, BSN, BBA, RN volunteered in the medical tent at the Little Rock Marathon. CHI SVHS_CTC: Elizabeth Bright, RN and Nicole Smoke, RN worked and participate in Run/Walk “Get Your Rear In Gear” sponsored by St. Vincent as part of the Colon Cancer Coalition to raise awareness of Colon Cancer. Missions: CHI SVI_CCL: Jevon Watts, RT travelled to Armenia on a Christian mission trip with her local church in April 2016. CHI SVHS_CTC: Nicole Smoke, RN went to Arlington Texas with her children on ‘Mission Arlington’. They had Vacation Bible School and helped with many other Mission Arlington projects. Professional Organization Membership: CHI SVI_8E: Karla Robles, BSN, RN, PMHBC obtained a membership with American Psychiatric Nurses Association. Service Awards: CHI SVI_4W: Dawn Burger – 5 years CHI SVI_4W: Sharon Shelton – 16 years CHI SVI_4W: Mary Jo Burger – 30 years Other: Congratulations to Holly Taylor, BSN, RN, CNOR who was invited to be a representative to CHI’s the Promise roundtable discussion. CHI SVHS_1E: Amy Keeling, RN was named Employee of the Month in the department. Publications: Congratulations to CHI SVM’s Laura Clark-Bean APRN for her story “The Road Less Traveled” and Holly Taylor, BSN, RN, CNOR for her story “Cindy From the Sidewalk”, both of which were chosen for the CHI Sacred Stories 17th edition. Robbie Hemmer, BSN, BBA, RN was one of four nursing panelists who talked to UALR students who were considering a career in nursing. How are you recognized in the Nursing News? Your Nurse Manager or Supervisor completes a monthly Reward & Recognition Assessment form and sends it to Wendi Summerville, Executive Assistant. Be sure to include your credentials! We’d love to recognize YOU! CHI St. Vincent leaders celebrated patient care staff in April by giving Ice Cream on day shift and night shift on behalf of the Board, physicians, and coworkers. This was a THANK YOU to the care teams for an out- standing job during recent regulatory surveys. 14 I would like to take this opportunity, as I depart CHI SV after eight years, to thank each of you for all you do each day for our patients and their families. I have been blessed to work with such an extraordinary group of professional nurses and other members of the healthcare team at CHI SV. Evidenced daily is our mission in action, extending the healing ministry of Jesus Christ. I think back to the topical issues encountered when I joined the organization in 2008. A couple of those issues included the fact that RNs did not have access to email and the organizational philosophy was that unit level quality data should not be posted and shared with bedside nurses! It has been an honor to watch nurses, not only obtain access to work email, but to have access to all quality data and become instrumental in improving the care of patients we serve through the use of the data. It has also been exciting to observe the many nurses that have pursued additional degrees and certifications over the years and offering encouragement to others to do the same. I wish each of you the very best personally and professionally in the years ahead! Farewell and Thank You Brenda for all your years of leadership! 15 Magnet Source of Evidence EP9 Schedule Dates Sign Up Available Balancing Begins Staffing Office Review Market Director Review Final Schedule Posted April 24 -June 4, 2016 March 13, 2016 March 27, 2016 April 3, 2016 April 6, 2016 April 10, 2016 June 5- July 16, 2016 April 24, 2016 May 8, 2016 May 15, 2016 May 18, 2016 May 22, 2016 July 17- August 27, 2016 June 5, 2016 June 19, 2016 June 26, 2016 June 29, 2016 July 3, 2016 August 28- Oct 8, 2016 July 17, 2016 July 31, 2016 August 7, 2016 August 10, 2016 August 14, 2016 Oct 9 – Nov 19, 2016 August 28, 2016 September 11, 2016 September 18, 2016 September 21, 2016 September 25, 2016 Nov 20-Feb 11, 2017 October 9, 2016 October 23, 2016 October 30, 2016 November 2, 2016 November 6, 2016 The local chapter of ARNA (Arkansas Nurses Association) meeting is held the 1st Thursday of the month in the SWB Room at CHI St. Vincent Infirmary beginning at 1700 with the educational presentation starting at 1730. Please RSVP to Patti Esmail, LR Chapter coordinator, at [email protected], so we will have enough food and handouts. The local chapter of Nurses Christian Fellowship is held the 1st Tuesday of each month at CHI St. Vincent Infirmary from 4p-5pm (meeting room varies) Contact Holly Taylor BSN, RN, CNOR for room location or for more information! 16 BLS/ACLS Tips Heart Code ® BLS Renewal Instructions Magnet Source of Evidence SE4EO Three steps are required to renew BLS with HeartCode. STEP 1: Log into LEARN>Catalog>BLS in search box>click search> BLS provider renewal (online HeartCode BLS)>Show class schedule>Register for your selected class>verify class date. THERE IS NO ACTUAL CLASS TO ATTEND. You will be assigned HeartCode BLS Part 1 and Part 2. REMEMBER it may take 24 to 48 hours for the assignment to be viewable in LEARN. Complete the online cognitive portion, HeartCode BLS Part 1. This portion will take approximately one hour to complete. STEP 2: HeartCode BLS Part 2 is done on LEARN with manikins in the Skills Lab located on the first floor in the Education Department at CHI SVI and CHI SVHS. The manikin is in the House Supervisor’s office at CHI SVN and in the case manager’s office at CHI SVM. Part 2 skills demonstration is self-directed using a voice-assisted manikin. Completion time is approximately 15-30 minutes. For CHI SVI, call Patsy Wallace, BSN, RN, CURN, Clinical Nurse Educator, at 501-552-3751 to schedule Part 2 skills check off or you may email her at [email protected]. At CHI SVHS, CHI SVN or CHI SVM you may check off independently, then email Patsy Wallace for a card. Do NOT wait until the end of the month to complete the skills portion! After Part 1, you have 60 days to complete Parts 2 & 3 unless your card is expired. If you decide to take a live ACLS class instead of the online version, Do Not open the program in LEARN. The hospital is charged for the license. Be good stewards of our resources. Any Educator can schedule Parts 2 & 3. If one is not available, leave a message and then try calling another Educator. STEP 3: At CHI SVI you will receive your BLS card at the time of completion of the course. The BLS card will be faxed to the Human Resources Department at that time. Heart Code® ACLS Renewal Instructions Three steps are required to renew ACLS with HeartCode. STEP 1: Log into LEARN>Catalog>ACLS in search box>click search> ACLS provider renewal (online HeartCode ACLS)>Show class schedule>Register for your selected class>verify class date. THERE IS NO ACTUAL CLASS TO ATTEND. You will be assigned HeartCode ACLS Part 1 and Part 2. REMEMBER it may take 24 to 48 hours for the assignment to be viewable in LEARN. Complete the online cognitive portion, HeartCode ACLS Part 1. This portion will take approximately four hours to complete. STEP 2: HeartCode ACLS Part 2 is done on LEARN with manikins in the Skills Lab located on the first floor in the Education Department at CHI SVI and CHI SVHS. The manikin is in the House Supervisor’s office at CHI SVN and in the case manager’s office at CHI SVM. Part 2 skills demonstration is self-directed using a voice-assisted manikin. Completion time is approximately 15 minutes. For CHI SVI Call Patsy Wallace, BSN, RN, CURN, Clinical Nurse Educator, at 501-552-3751 to schedule Part 2 skills check off or email [email protected]. At CHI SVHS, CHI SVN or CHI SVM you may check off independently then email Patsy Wallace for a card. STEP 3: At CHI SVI you will receive your ACLS card at the time of completion of the course. The ACLS card will be faxed to the Human Resources Department at that time. 17 18