In the Know – April 2015 - Princeton Community Hospital

April 2015
VISION, MISSION &
CORE VALUES
Vision:
Providing the healthcare of the future ... today.
PCH Emergency Department Adds
i-STAT to Improve Patient Care
Mission:
Princeton Community Hospital Association will lead
in building a health care system that provides a
broad range of health care services which improve
the health status of individuals in defined geographic
regions. We will emphasize high quality, low cost and
predictable outcomes for all our services.
Core Values: CARING SERVICE
C Committed: We are committed to serving
our customers.
A Attitude: We are responsible for displaying an
attitude of professionalism, courtesy, and respect.
R Respectful: We are responsible for respecting
others.
I Integrity: We are responsible for displaying
integrity and honesty at all times.
N No Passing Zone: We are responsible for
responding to the needs and safety of our
customers.
G Genuine Care: We are responsible for listening, anticipating, and responding to customer
needs in a timely manner.
S Satisfaction: We are responsible for maintaining high levels of satisfaction.
E Encourage Excellence: We rely on each
other to provide patient care. Together, we are
responsible for the outcomes of our efforts.
R Responsive: Our responsiveness will convey
our concern and willingness to serve.
V Value: Our patients, staff, and physicians each
play an important role and we value their contribution to our success.
I Image: We will take pride in our appearance,
as well as in the appearance of our hospital.
C Communicate: We recognize that good
communication is essential in understanding the
needs of our customers and in helping them
appropriately.
E Enjoy: Enjoy your work and the opportunity to
make a difference.
The Mission, Vision, and Values are the building blocks of
the hospital’s strategic and operational plans, budgets,
resource allocation, and policies and procedures. Each
manager is responsible for communicating and ensuring
that staff understands the hospital Mission and Vision
Statement and how their roles integrate to promote the
success of the entire organization.
Desiree Hatfield, RN, is shown using the new i-STAT System in the Emergency Department at
Princeton Community Hospital.
The i-STAT® System by Abbott Point of Care is an advanced handheld blood
analysis system that delivers lab-quality results at the patient’s bedside in
minutes.
Every day, health care professionals face an expanding set of challenges,
working in increasingly complex and stressful environments with limited resources and constrained budgets. That is why it is important that diagnostic
blood analysis processes be streamlined to ensure patients receive the most effective and efficient care.
(continued)
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(i-STAT – continued from page 1)
Desiree Hatfield, RN; Dr. Robert Snidow; and Dr. Amy Fought are excited with the preliminary results of the i-STAT system in the Emergency Department.
The advanced biosensor technology of the i-STAT System
enables patient-side blood testing, so that health care professionals can access real-time, lab-quality results within
minutes, rather than hours. By accelerating the availability
of diagnostic test results, the i-STAT System provides
health care professionals with the information they need to
make treatment decisions sooner, which may lead to enhanced quality of care and improved system efficiency.
the blood was drawn and the physician was preparing to
discharge the patient. Prior to i-STAT, this would have
taken one hour.”
Abbott Point of Care Healthcare Solutions Executive Sheila
Wilson said, “As a patient, a visit to an emergency room
can be a very uncertain and scary time, and delays in emergency care can have severe implications. The addition of iSTAT to the emergency room at PCH allows key lab tests to
be performed right at the patient’s bedside. With the use of
this technology, results are available within just a few minutes providing physicians with critical information needed
to make treatment decisions in a more timely manner for
his/her patient. For patients, this could mean earlier treatment resulting in a better outcome as well as a shorter stay
in the Emergency Department. While working with the
PCH team, it was clear that improving patient care and experience in the emergency department and the rest of the
hospital is a goal that the administration and staff at PCH
value tremendously. I-STAT is one of the tools they are
using to reach that goal.”
Lightweight, portable, and easy to use, the i-STAT System
features single-use disposable cartridges that perform a
broad menu of the most commonly performed diagnostic
tests, including cardiac markers, blood gases, chemistries
and electrolytes, lactate, coagulation, and hematology.
Director of Emergency Services, Critical Care and Employee Health Kim Poe said, “On the 8th of April 2015,
PCH implemented point of care blood testing in the Emergency Department. The staff were excited, engaged, and
anxiously awaiting our first bedside test results. Our first
patient had an increase in their second troponin (protein
that helps diagnose a heart attack), the physician was notified 15 minutes after the blood was drawn instead of
what once took one hour. Within five minutes of provider
notification, arrangements were being made to transfer
the patient for a cardiac catheterization. Our second patient’s second troponin was at baseline 15 minutes after
Kim Poe added, “The Emergency Department Physicians,
Advance Practice Clinicians and nurses would like to thank
the Board of Directors and Executive Team for the investment in i-STAT. We see enhanced quality and efficiency
each day.”
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Contributed photograph.
Contributed photograph.
Emergency Department and Lab: Let Them Eat Cake
The Emergency Department celebrated the launch of the i-STAT System on
April 7, 2015 with a festive and delicious cake.
Dear Staff of Emergency Room and Dr. Lane,
In honor of National Laboratory Professionals Week (April 19–25,
2015), the Lab treated department employees to a creative cake.
Thank you!
On May 8, 2015 my beloved sister was admitted and passed away. Your care, attention, and kindness will be forever
appreciated.
May God bless each and every one of you. I am sure there is a place in heaven for all of you.
Sincerely yours,
Patsy G. Bennett and Family
Dear Nursing Staff,
Thank you so much for all of the kindness and compassion that we received while our son was a patient on 3-East
Pediatrics. The nursing staff was very professional and showed lots of compassion toward children. We would also like
to thank you for having such a clean facility. Being able to take a hot shower without leaving our son’s room meant a
lot to us. Thank all of you again.
Thank all of you again,
The Paul Family
To Our PCH Family,
We would like to thank everyone for all the gratitude and kindness during the loss of my husband and Staci’s father who
passed away April 12, 2015. He was a patient here for some time. Everyone – the doctors, nurses, and the entire staff
were wonderful. It truly is a PCH Family in time of need. We appreciate all the flowers, money, hugs, and kindness.
Love,
The Family of Samuel Meadows
Debbie, Staci, and Jason
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For Men: Free Screening for Prostate and Colon
Cancer Held April 25, Parkview Center
April 25 marked the eleventh anniversary of the annual
free men’s health screening for prostate and colon cancer
for men 50 and over, or for those with a family history of
prostate cancer.
Drs. Gene Duremdes, Omar Kassem, Bhasker Pujari, and
Mian Shah volunteered their time to conduct the exams.
A total of 112 men from Mercer, McDowell, Monroe,
Raleigh, and Summers Counties, West Virginia; and Bland,
Giles, and Tazewell Counties, Virginia, participated in this
year’s screening. In addition to the exam, each participant
received educational literature and a gift bag.
Men who are 50 or older and are at average risk for prostate cancer should
talk with their health care provider to determine their need for screening
for prostate cancer. Men who are at higher risk, such as African American
men or men with a family history of the disease should discuss screening
with their healthcare provider as early as age 40.
Lisa Wood, Patient Advocate Representative; and Kim Barnett, Staff Education/TC Coordinator, handled registration.
Lois Garrison, Community Volunteer; Melinda Perdue, Tumor Registrar;
Betty Mitchell, Environmental Services; and Kristi Fox, Nursing Student.
Thanks to all physicians, nurses, nursing students, and all
others who helped make the free screening possible.
Mercer County Technical Education Center nursing student volunteers. Front row: Patricia Leighton, Kristi Fox, Stephanie Tillett, Sarah Jennings, Indy
Toussaint, and Tanika Rucker. Back row: Casey Bradbury, Charles Ayers, and D. J. Steele,
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Examining physicians Dr. Bhasker Pujari, Dr. Omar Kassem, and Dr. Gene Duremdes. Not pictured:
Dr. Mian Shah. While visiting family in the area, retired physician Dr. Bhasker Pujari was gracious
enough to volunteer his time for the screening.
Rick Puckett, RN, Vice President of Quality and Safety with son
Jonathan Puckett, Central Transport.
Mark Pickett, RN, Emergency Preparedness Coordinator/Education Department
Instructor.
Nurses who assisted with the screening – Sheree Coppola, OCN, RN, Outpatient
Oncology; Julie Lilly, RN, BSN, Oncology Navigator/Cancer Care Coordinator; and
Khristy Shrewsbury, RN, BSN, Manager of Inpatient and Outpatient Oncology.
According to the American Cancer Society, more than 190,000
new cases of prostate cancer are diagnosed in the U.S. each
year. Fortunately, there is a lot you can do to keep your
prostate healthy as you age—and stay ahead of the game. Here
is what Christopher Saigal, MD, an assistant professor of urology at UCLA's Jonsson Cancer Center, says to do:
prostate cancer. Having a father or brother with prostate
cancer more than doubles a man’s risk of developing this
disease.
• Include more soy in your diet from sources such as tofu,
soy nuts, soy flour, or soy powders.
• Keep a healthy weight and exercise regularly.
• Don't smoke.
• Eat more fruits and vegetables. Tomatoes, watermelons,
pink grapefruits, guava and papaya contain lycopene, a
powerful antioxidant. Cruciferous vegetables such as broccoli, cauliflower, cabbage, Brussels sprouts, bok choy and
kale also are good choices.
• Eat more selenium-rich foods such as wheat germ, tuna,
herring and other seafood and shellfish, beef liver, kidney,
eggs, sunflower and sesame seeds, cashews, mushrooms,
garlic and onions. Selenium reduces risk of prostate cancer.
• Get a PSA blood test and digital rectal exam annually beginning at age 50.
• Let your doctor know if you have a family history of
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Nurses Honored During National
Nurses Week – May 6 - 12, 2015
During National Nurses Week and throughout the year,
Princeton Community Hospital, The Behavioral Health
Pavilion, Mercer Medical Group, and Athens Family Practice are proud to celebrate the role nurses play in delivering
the highest level of quality care to our patients.
Each nursing unit has identified areas specific to the
population they serve and have developed teams to
make improvements in the various areas. Before a topic
was decided upon the following aspects were researched:
The National Nurses Week 2015 theme “Ethical Practice –
Quality Care” recognized the importance of ethics in nursing and acknowledges the strong commitment, compassion, and care nurses display in their practice and
profession.
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Nurses are the backbone of our organization and we thank
them for their remarkable commitment to our patients’
wellbeing.
A few examples of what are currently being measured
include the following:
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Here are some of the nursing highlights for the year:
Hospital-wide:
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New IV pumps – the Carefusion Alaris – were purchased
and implemented. This smart pump allows Pharmacy
to wirelessly transmit drug information to the pump.
This enables the nurse to select the medication he/she
is going to infuse and program the rate of infusion. The
pump “guardrails” or stops the nurse if the rate or dose
is too high or too low. Khristy Shrewsbury oversees this
program and tracks it for compliance. The new pump is
an important safeguard for patient care.
Medication side effect training
Nurses listening carefully to patients
Timely response to call bells
Complete documentation for charging purposes
Use of IV pump “guardrails”
Patient falls
Nutrition/daily weights
All the pillars have team members that are champions
to assist peers with consistency.
All nursing units have areas where the Quality Improvement Measures are posted.
If scores decline in any area, action plans are put into
place immediately.
All nursing units had representatives involved with
building dictionaries for the new Carefusion IV pump,
as well as assisting with education and implementation
of the new IV pumps/ PCA and CO2 monitoring
equipment.
This is an ongoing process and in order to ensure success, all identified areas must be incorporated into everyone’s practice of delivering quality care to the patients.
The nursing staff have embraced this concept and have
been working diligently to make improvements.
All nursing units have participated and have staff engaged with the Transforming Care Together PI project this
year. Pillars for safety, quality, customer satisfaction,
key processes are evaluated and monitored.
Falls hospital-wide:
What is “Transforming Care Together?”
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Nursing has refocused on Quality Improvement Measures
by utilizing the concept of Transforming Care Together.
This model utilizes five pillars:
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Problem area/baseline identified
Goal determined
Team members identified
National organizational alignment
Determine how to measure the results
Steps put into place to achieve the goal
Does the data represent what we think it does
Clinical Quality
Key Processes
Stewardship
Safe Environment
Patient Experience
The goal of all nursing units is to reduce patient falls.
Last year we had 103 inpatient falls and, year to date, we
have had 51 inpatient falls. That is a great improvement.
Cancer Center:
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The Cancer Center received three-year accreditation
from the American College of Surgeons with nursing
being highlighted in the report.
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Nursing/Patient Care Services participated in the
women’s and men’s free health screenings in April and
October. We also had team representation to raise funds
for Relay for Life (for the American Cancer Society) and
Walk for Women and Diva Fever 5K Walk/Run (for the West
Virginia Breast and Cervical Cancer Screening Program).
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The Cancer Center is working with CAMC on a clinical
affiliation and on clinical trials. Representatives from
the Cancer Center attended the Breast Seminar and the
Palliative Care Seminar in Charleston. Sherry Traylor
and Cami Maxwell are members of the West Virginia
Chapter of Oncology Nursing Society. Sherry Traylor,
Cami Maxwell, Sheree Coppola, and Tabitha Dalton are
oncology certified nurses.
required a team consisting of PCH, GE Healthcare, and
Iatrix. This allows nursing to remain at the bedside and
document electronically on the fetal monitor tracing,
therefore building a constant flow of patient information to the electronic record. This ensures more accurate
and complete documentation since it is done in real
time. Angel Sylvester, RN, was the lead staff member
from the Women’s Center and Donna Pritt, RN, from IT.
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The Women’s Center participated in a West Virginia
state pilot study regarding safe sleep for babies. Safe
sleep habits have been incorporated into the teaching
module for all mothers. The PCH Volunteers have assisted with this by providing each new mother a sleep
sack to take home. Funds for the program are provided
by the annual Macey Whittaker SIDS Awareness 5K
Walk/Run, sponsored by the volunteers. West Virginia
First Lady Joanne Tomblin visited PCH and presented a
certificate in recognition of our participation. Recently,
Kathy Dotson, RN, and Krista Branham, RN, were featured on WVVA’s In Focus discussing the topic of SIDS
awarenesss and the Macey Whittaker 5K Walk/Run.
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In keeping with the times and recommended standards
of care, the Women’s Center staff initiated Kangaroo
Care immediately following birth. Research has shown
that placing the baby to the mother’s chest for a period
of time immediately after birth assists with the transition to the outside world. Kangaroo Care offers many
benefits for both the mother and infant.
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All of the current experienced RNs completed a Perinatal Continuing Education Program which consisted of
four modules. Once completed, each nurse earned a
total of 56 continuing education credit. This involved a
tremendous amount of self study and testing. There
was a skills check off section that was coordinated by
Roanoke Memorial Hospital. All pediatricians participated in the skills check off portion.
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Digital photography is now being used for newborn pictures for the parents who request it. The nursing staff
takes the photos and uploads them via the internet to
“Mom365 Web Nursery.” Digital photography produces
higher quality images and enables greater creativity.
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Women’s Center Nursing participated in a hands-on
drill for Post Partum Hemorrhage using the Noelle
simulator. The drill was coordinated by the West Virginia Perinatal Associated and conducted at PCH.
Khristy Shrewsbury, RN, BSN, Oncology Nurse Manager
3-West/3-East:
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3-West staff developed a patient education brochure for
the orthopedic total hip and total knee replacement patients. This booklet was designed to help patients and
their families better understand the procedures and facilitate recovery through proper care, both before and
after surgery.
3-East staff worked with Elisabeth Harry, RN, to develop her BSN project at Bluefield State College – a
brochure on the dangers of secondhand and thirdhand
smoke for children. Copies of the brochure were shared
with the Women’s Center, Day Surgery, ER, and Pulmonary Rehab to help educate patients, visitors and
community members about the dangers of smoking.
Marlene Martin, RN, BSN, 3-East/3-West Nurse Manager
ICU/CCU:
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This past year in ICU/CCU, two nurses worked with
the rest of the staff to develop brochures on Mechanical
Ventilation and ICU/CCU Visitation. The goal is to
provide additional educational information and enhance communication with our patients and their families.
Kim Poe, RN, BSN, Director of Emergency Services, Critical
Care and Employee Health
Sandy Counts, RN, BSN, Women’s Center Nurse Manager
The Women’s Center:
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Congratulations to Angie Walker,
3-South, for passing her certification test
to become a certified nursing assistant.
In collaboration with IT (Danny Farley and Donna
Pritt) we have successfully interfaced documentation
between our fetal monitoring system, Centricity Perinatal and Meditech. This was a huge undertaking, which
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Congratulations to Winners of Nutrition Services’
“Biggest Loser” Competition
As part of National Nutrition Month in March, Nutrition Services launched a “Biggest Loser” competition for all employees that ran from April 1 through April 30. Forty-three participants, including three employees from The Pavilion,
weighed in on April 1. Nineteen employees completed the competition and weighed in at the end of April.
Although there were only two weigh-ins, participants were encouraged to meet with our registered dietitians for three
scheduled sessions throughout the month of April for discussions on various nutrition/weight loss-related topics.
Thanks to all who participated in the competition!
FIRST RUNNER UP: KIM BRIDGES, RN. Kim lost 5.4% of her total body weight. Kim was
presented a certificate and prize by Registered Dietitian Tisha James, RD, LD; Director of Nutrition Services Lee Morelock; and Registered Dietitian Melissa Wilbur, MS, RD, LD.
The Biggest Loser was Licensed
Psychologist Cheryl Taylor (The
Pavilion) who lost 7.5% of her
total body weight!
SECOND RUNNER UP: CHRISSY MONK. Chrissy lost 5.2% of her total body weight. Chrissy
received a certificate and prize from Registered Dietitian Tisha James, RD, LD; Director of Nutrition Services Lee Morelock; and Registered Dietitian Melissa Wilbur, MS, RD, LD.
Weight loss tip:
Think lifestyle change, not short-term diet. Permanent weight loss is not something that a “quick-fix” diet can achieve. Instead,
think about weight loss as a permanent lifestyle change—a commitment to replace high-calorie foods with healthier, lower calorie alternatives, reduce your portion sizes, and become more active. Various popular diets can help jumpstart your weight loss, but permanent changes in your lifestyle and food choices are what will work in the long run.
Slow and steady wins the race. Aim to lose one to two pounds a week to ensure healthy weight loss. Losing weight too fast can
take a toll on your mind and body, making you feel sluggish, drained, and sick. When you drop a lot of weight quickly, you’re actually
losing mostly water and muscle, rather than fat.
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PCH Pharmacy Lends a Hand to Amedisys Hospice
By West Virginia regulation, the PCH Pharmacy is not
permitted to dispense medications in the retail setting.
In emergency and limited situations, our pharmacists
can assist for the wellbeing and safety of the residents
of West Virginia.
Hospice called recently hoping that the pharmacy
could help. Their pediatric hospice patient was being
discharged home and had orders for morphine oral
liquid. They could not find a retail pharmacy that
would help prepare the specific concentration ordered for the child.
They were able to obtain the morphine from the retail pharmacy. Hospice Nurse brought Diana Vest,
Pharm D, the medication and the correct concentration was prepared for the child.
Hospice called because they needed one dose of
diphenhydramine injection for their patient. Retail pharmacies in the area could not help them.
PCH Pharmacy assisted so that the patient
could receive the needed medication.
Right: PCH Pharmacy received this thank you card,
signed by employees, from Amedisys Hospice,
Bluefield, West Virginia.
The Pavilion Participates
in WVHCA Trade Show
The Behavioral Health Pavilion of the Virginias
became a member of the West Virginia Health
Care Association (WVHCA) this spring and had
a booth at the 2015 WVHCA Trade Show held
Monday, May 4, at Embassy Suites Hotel in
Charleston, West Virginia.
The convention is designed to provide information for nursing facilities, skilled nursing units,
and assisted living communities in West Virginia.
Director of Business Development Connie Cochran and Director of Outpatient
Services Kimberly Franklin greeted approximately 250 trade show attendees.
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National Donate Life Month Recognized by
Center for Organ Recovery & Education and PCH
Princeton Community Hospital and Center for Organ Recovery & Education (CORE) personnel gathered on the afternoon
of April 13 to raise a flag in honor of National Donate Life Month and to raise awareness locally of the importance of organ
and tissue donation. The “Donate Life” flag replaced the PCH flag for the remainder of the month of April.
Thousands of lives are saved each year with organ transplants. Thousands more are waiting to be saved. A single donor
can save up to eight lives. Please consider becoming an organ and tissue donor. For additional information, visit
www.core.org or call 412.963.3550. You may also call CORE’s Charleston office at 304.388.6293.
PCH Chief Operating Officer Jeff Lilley, William Thompson, and CORE Professional Services Liaison Holly Mitchell, MPH, CHES.
Will Thompson is a former hospital employee and Iraq veteran. He was twice
deployed to Iraq as a staff sergeant in the United States Army National
Guard. During his second deployment, he acquired a chronic debilitating
lung disease. An organ donor saved his life when on June 6, 2012, Will received a double lung transplant.
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Director of Security Nick Poe and Assistant Nursing Director ED/ICU/
CCU Joe Henricks, RN, BSN, BS, raise the “Donate Life” flag.
PCH Welcomes Radiologist
Basim Antoun, M.D.
Dr. Basim Antoun joined Professional Imaging, Inc., in early April.
Board Certified in Diagnostic Radiology, Dr. Antoun recently served
as Associate Radiologist at Bluefield Regional Medical Center, and as
Director of Radiology at The Clinic – Richlands/ Claypool, Virginia,
and Tazewell Community Hospital, Tazewell, Virginia.
He was Associate Radiologist at St. Luke’s Hospital in Bluefield, and
Paducah Diagnostic Center, Paducah, Kentucky, and Director of Radiology at Memorial Hospital, Manchester, Kentucky.
Dr. Antoun holds medical degrees from Metro Health Medical Center, Cleveland, Ohio; University of Virginia, Charlottesville, Virginia;
and American University Hospital, Beirut, Lebanon.
Dr. Antoun resides in Bluefield, Virginia.
Dr. Basim Antoun.
Annual Voluntary Benefits Enrollment
Attention Benefit Eligible
Employees (20 Hours or
Greater)
The 2015 PCH Voluntary Benefit Enrollment will be conducted June 15 through
June 26, 2015.
• Voluntary plans offered at this enrollment are: Whole Life, Accident, Short
Term Disability, Critical Illness, LegalShield and Identity Theft Insurance
• Employees hired on or after 3/1/14
will be required to attend an appointment – if you do not schedule
your own appointment one will be
made on your behalf.
National Benefits Group of America, Inc.
To make your appointment, please visit
www.pch.nbga.timetrade.com and
follow the onscreen instructions to login.
Scheduling your
appointment is as easy
as 1-2-3!
1 2 3
Select your
appointment
location.
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Choose an
available
appointment.
Click “Make
Appointment”
to confirm.
National Volunteer Week • April 12–18, 2015
Princeton Community Hospital Volunteers play a vital role in providing compassionate care to the people of our community. Daily, they touch the lives of our patients, family members, and other visitors with their kindness and caring hearts.
PCH Volunteers give back to the community with every hour they serve, and their efforts are deeply appreciated.
Contributed photograph.
Woodmen of the World Insurance presented gifts to PCH Volunteers during Volunteer Week. Shown here with the gifts are Margaret Conner, Betty
Gates, Nancy Harvey, Mary Reedy, and Sam Conner.
Photographed during the annual Volunteer Banquet held April 14, the newly elected PCH Volunteer Officers are Corresponding Secretary Barbara
Fogus, Secretary Teona Music, Vice President Valerie Presley, President Elect Martha Sabol, and President Sam Conner.
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