Volume 20, Issue No. 5 - January 24, 2011
Transcription
Volume 20, Issue No. 5 - January 24, 2011
A Weekly Publication for the People of Queen’s | Volume 20 | Number 5 | January 24, 2011 Fair Updates Staff on Technique and Technology 1. 2. There was no lack of a pulse at Queen’s Resuscitation Fair 2011, held last week over a period of three full days. Organizers and participants of the wellattended event kept the information flowing from 8:00 am to 4:00 pm on Tuesday, Wednesday, and Thursday for probably the longest health care-related fair of any kind at Queen’s in recent memory. It was organized and presented by the Code Blue Committee. “The fair was done to help staff update their knowledge on new procedures and technologies,” explained Code Blue Committee chair Danny Rausch, RRT, “and to provide a venue for a comparison of two new models of defibrillators.” Upon entering the Resuscitation Fair tent at the old ER turnaround, two long tables represented each of the two defibrillator/AEDs (automatic external defibrillator): the Zoll R-Series and the Philips HeartStart MRx. One of the two models will become the new defibrillators used at Queen’s. Staff who attended the fair were offered evaluation forms to rate the models, thereby contributing to the selection. Aside from advanced technologies like patient monitoring parameters, feedback on the effectiveness of compression, and voice commands for AED mode, the defibrillator/AEDs were rated mostly for ease of use, simplicity, and intuitive controls at all levels— certainly critical when seconds count. (Continued on page 3 .) 3. 1. Kevin Matsumoto, RN, and Danny Rausch, RRT, at the entrance to the Resuscitation Fair. Lucy Spoozak, RN, and volunteer Pete Sajona are at the registration table behind them. 2. Zoll clinical educator Lisa Ferland demonstrates her company’s defibrillators. 3. OR RNs Leilani Gabriel, Elise Muoio, and Jenny Empaynado try out the Philips defibrillator as Philips rep Michael Pesek watches. Stacy Terashita Recognized for P&P Project Stacy Terashita, MSW, of the Pain & Palliative Care Department received an Award of Merit for her Advocating for Clinical Excellence (ACE) Project, “Striving for Wholeness and Transdisciplinary Teamwork at QMC’s Pain & Palliative Care Department.” The ACE Project is a five-year National Cancer Institutefunded innovative psycho-oncology educational initiative to improve the deliv- New in the Harkness Dining Room Submitted by Food & Nutrition Services Beginning this month, you will notice some changes in the Harkness Dining Room. A new menu is being implemented with an emphasis on healthy and fresh options. Check out new salad bar choices and fresh vegetable selections each day. Grab & Go selections have also been expanded for those in a hurry. If you have a favorite item that is currently offered, please let Food & Nutrition Services know by emailing [email protected] or via the customer comment cards in the dining room. An effort is also being made to reduce trash production. Currently, wet food waste and cooking oil is recycled. Every item counts for the remainder the trash, as it either ends up in the “sanitary landfill” or is burned and converted to electrical power. H-Power processes more than 2,000 tons of trash each day. Queen’s trash ends up there after it is picked up. Large hammers break it up, and then it goes onto a conveyor belt. Metal is removed by large magnets, and then the remainder is burned. The heat creates steam, which then goes into a turbine and runs a generator that makes electrical power. That’s the good news. However, H-Power estimates it processes 500 tons of Styrofoam material alone each day! Here at Queen’s, we use an average 6,500 “to go” containers each week, and trash is charged by the pound. Alternatives for the Styrofoam “to go” containers were looked at to reduce trash volume, including ones made of com2 ery of palliative care by psychologists, social workers, and spiritual care professionals through an intensive advocacy and leadership training program. The program is conducted by the City of Hope, an independent medical and Loliana Shelter Says Thanks The following letter was sent from Loliana Family Shelter to thank those who gave during the holiday season. On behalf of the families who live at Loliana, and our Staff, I would like to extend a mahalo for your generosity in postable materials like sugar cane. However, Queen’s doesn’t yet have the ability to compost waste on campus. Sugar cane must be burned, which actually results in more pollution than Styrofoam. As a result, it was decided to serve food on plates that produce a smaller trash volume. (An additional $0.29 will be charged for “to go” containers at the register.) Plastic wrap and foil will continue to be provided for those who need to transport food from the dining area. These measures are expected to dramatically reduce trash volume, which ultimately saves money for the medical center. research institution recognized worldwide for its compassionate patient care, innovative science and translational research, and promising new therapies. One of approximately 300 competitively selected participants from throughout the U.S., Stacy received more than 30 hours of transdisciplinary education to improve end-of-life knowledge, team skills, leadership, and strategies toward becoming a more effective role model and advocate for enhanced palliative, end-of-life, and bereavement care. After the intense training session, participants returned to their respective organizations to implement their knowledge. “Part of the ACE Project expectation was to identify a change project,” Stacy explained. Those projects were then presented at a reunion conference, and the best of them, including Stacy’s, were recognized with Awards of Merit or Advocacy Honors. Stacy’s project helped her department partner up to do more collaborative work with Hospital Ministry. A chaplain is now included in department rounds and leads a centering activity for the staff before rounds commence. This is a flexible platform which may include prayer, readings, and/or meditation. The Ceremony of Remembrance, now held annually to honor those who have died, also falls under the umbrella of work included in Stacy’s project. sharing Christmas gifts with our families this holiday season. Loliana is a shelter for homeless families with children; all the families have very low income. This has been an especially difficult time for them financially. Some parents have lost their jobs and others have had their work hours decreased. Many are struggling each month to pay the rent, buy food and purchase clothing for their children. They would never imagine spending their money on items we may think are necessary to our lives. That is why your gifts of rice cookers and pots and pans were such a blessing to all the families. One single parent mother of three young children said, “I’m so excited to get a rice cooker! I’ve been cooking my (Continued on page 3 .) Lon Le, RN, and Michael Dang, MD. Resuscitation Fair MICU RNs Ryan Uyechi, Erica Silva, and Michelle Souza explain the CPR flow sheet. (Continued from page 1.) Featured at the event was a standout new technology now being used at Queen’s—the ResQPod, a simple looking device that attaches to a patient’s face mask where air is pumped during cardiac arrest. The device improves cardiac output (blood circulation) during CPR from 30% to 80-100% by preventing over-inflation of the lungs. The increased blood circulation provides more oxygen to the brain and other vital organs, improving patient outcomes. Fair goers also learned about the new drug tray in code carts, which includes premixed dopamine (blood pressure medication) bags that simply need to be hung and used, as opposed to having to mix the medication during a crisis. Also featured were the changes to BLS (Basic Life Support) and ACLS (Advanced Cardiovascular Life Support) procedures, which stress circulation and lead to less damage to the heart and brain for better outcomes. One of the highlights was the skills station, where fair goers could practice their intubation and chest compression rice on the stove. I’ve never had a brand new set of pats and pans.” The look in her eyes and the smile on her face expressed the joy and happiness that your gifts gave to her and her children. Once more, to The Queen’s Medical Center ‘ohana, I would like to thank you for your generosity and loving support. You have truly made this a very special Christmas for everyone at Loliana. God bless you and your families, Mahalo nui loa and aloha ke akua, Pearl M. Yamashiro, Program Manager 1. skills. Another table featured D2B (Door to Balloon), the initiative that aims to get cardiac arrest patients from the doors of the ER to balloon angioplasty in 90 minutes or less. D2B is now being emphasized for patients already at Queen’s who have a cardiac arrest. Andrea Stamp, RN, of QET 6, detailed the importance of preventing CLABSI (central line-associated bloodstream infection), which is a patient safety initiative. Andrea noted that Consumer Reports is now reporting on hospital infection rates across the country. Eventually, Queen’s will be listed, but the medical center has already implemented best practice for CLABSI, with QET 6 leading the way with zero infections since January 2010. The Neuroscience Institute featured its best, including a new and simpler stroke awareness acronym: FAST. Instead of the old list of stroke symptoms that should prompt a 911 call, all you have to remember is: Face (one side droops—ask the person to smile); Arms (one arm numb or weak—ask the person to raise both arms); Speech (slurred—ask the person to repeat a simple sentence); Time (if any of these symptoms are present, call 911 and get to the hospital immediately). Other displays included CPR flow sheet, cardiac resuscitation, code status 2. 3. 1. Clockwise from front left: Brian Sheldon, ER tech, Carmen Olarti, unit secretary, Wes Ige, RN, Steve Hobbs, PhD, RN, BC, Nikki Lewis, RN, and Kathy Anzelon, RN, CNS (patient) demonstrate trauma resuscitation. 2. UH School of Nursing graduate student Yojana Tsui checks out a skull model at the Neuroscience table as Kawehi Kauhola, RN, looks on. 3. Clinical Ops manager Stephen Kaya demonstrates the ResQPod. update, medical resuscitation, the Rapid Response Team and others. It was a lot to take in, but well worth the effort— and staff had three full days to do it, thanks to the dedication of the Code Blue Committee, those who prepared displays, and worked at their tables. 3 Nominations are now being accepted for the 2011 Ke Kauka Po‘okela Awards. Ballots are available on the Queen’s Intranet, in Harkness Dining Room, from Harkness 303 & 307 (The Queen’s Referral Line), and a copy has been sent to all departments. For more information, call Merary at 537-7172. . . . . . . . . . . . . . . . . . . . . Jill Kurasaki, RN, has joined the Pain and Palliative Care Department. Jill has been a staff nurse on Iolani 2 and QET 9E for the last 18 years and brings a strong med/surg background and leadership skills to the team. . . . . . . . . . . . . . . . . . . . . The CARE•Link Ambulatory Project is now on the Queen’s Intranet, under “What’s New.” Current coverage includes: overview of the project, EPIC ambulatory site visit schedule, forms, contact information, and other relevant information. . . . . . . . . . . . . . . . . . . . . A free hula class for employees taught by kumu hula Kawai Fujimoto returns to the Women’s Health Center on Fridays from 12:00 to 1:00 pm. No experience is Rent: Kam Hts: Lg 3/1, cvd pkg. lg, nice, clean, quiet, vw, convenient, cntrl location, on bus line, nr airport, hosp. No pets. $1,700. Lv msg @595-7250. Salt Lake: Room for rent, fully furn w/pkg & much more. $700. Call 221-6932. Makiki: 2/2/1 remodeled condo @ 1400 Pensacola St., walk to QMC, 950sf, 11th flr corner unit, very cool, cross breeze, sec bldg, pool, new appl, w/d in unit, encl lanai. Call Greg at 258-2436 to see. Moiliili: 1/1/1 BR, part furn, sec condo, 570sf, top flr w/elev, w/d. $1,500 incl water, sewer, gas. 808-377-0077. 4 necessary. Call 537-7117 to register. . . . . . . . . . . . . . . . . . . . . A City & County storm drainage improvement project will begin on Monday, January 24, affecting Punchbowl (mauka of Vineyard Boulevard) and Lusitana Streets. The duration of the project is approximately 8 weeks, Mondays through Fridays, 8:30 am to 3:30 pm. During construction, you may need to take alternate routes and encounter traffic delays. Any questions or concerns should be directed to project manager Glenn Hokama, Insituform Technologies, Inc., at 682-4750 or Vincent Chan, City & County of Honolulu, Department of Design & Construction, at 768-8425. . . . . . . . . . . . . . . . . . . . . The American Board of Obstetrics & Gynecology Maintenance of Certification January 2011 reading list is now available online on HML’s Digital Library at www.hml.org. Look for the Physicians Portal, then click on the “Specialties” tab to access the list. . . . . . . . . . . . . . . . . . . . . Nicole Lucero, RN, QET 10 Post Partum, received recognition from the Honolulu Fire Department as one of several “bystanders turned rescuers.” Nicole was dining with friends, including an off-duty fire fighter, when the restaurant staff called out for a doctor or nurse. A prominent Hawaiian musician had just gotten off the stage and collapsed, complaining of chest pain. He was already unresponsive when Nicole and her friend approached. They both administered CPR until emergency responders arrived. . . . . . . . . . . . . . . . . . . . . Freedom from Smoking will be held February 2 to March 23 in the Kame- Misc: Fundraiser: Zumbathon to support Kailua Intermediate School. Sat, 1/29, 4:30-6:30 (doors open @4pm for reg/sign in). $10 at the door. Free classic car show & movie. Call 728-6653 for more information. Placing an ad: Queen’s employees only. Include name, phone and Employee ID number. Mail to Creative Services—Print Connection, fax to 547-4002 or e-mail to [email protected] by Wednesday. The Print Connection reserves the right to edit or refuse any ad. The Print Connection does not make any warranty about the fitness of any product or service listed in Q-Mart. hameha Auditorium. The $120 fee may be covered by insurance. The eight-class American Lung Association program uses positive behavior changes. Call 5474823 for information or to register. . . . . . . . . . . . . . . . . . . . . If you haven’t noticed yet, the online Queen’s Print Connection is now being posted with full color photos as of the beginning of 2011. Check it out at www.queens.org, or on the Queen’s Intranet at eww.queens.org. . . . . . . . . . . . . . . . . . . . . The Queen’s Medical Center, by Jason Y. Kimura (hardcover, 175 pages, $39.95) will be available at Barnes & Noble, Borders Books & Music, Amazon.com, the Queen’s Gift Shop, Women’s Health Center, and other retail outlets. An institution that has become a part of the fabric of Hawai‘i over 150 years, the story of Queen’s is intertwined with Hawaiian history, life in Hawai‘i in times past, the introduction and development of Western medicine, and more. The book features many historical photos, illustrations, and medical equipment of the past and present. Weekly The Queen’s Print Connection is published by Creative Services. If you have news or wish to opine, call us at 537-7532 or e-mail [email protected]. News deadline is the Monday prior to publication. QHS/QMC President. . . . . Art Ushijima Publisher. . . . . . . . . . . . . . . . Roy Cameron Editor/Writer. . . . . . . . . . . . Jason Kimura Assist. Ed./Writer. . . . . . Glee Stormont www.queens.org The Queen’s Medical Center is a 501(c)(3) nonprofit corporation. Please recycle