November - CHI St. Vincent

A publication of CHI St. Vincent
Table of Contents
November 2015
Staffing Innovation Summit
Page 2 Certified Nurse, Community Service,
Page 3 Nurses of the Year
Page 4 Nurse Managers
Page 5 New RN Coordinator Pt
Care Tech Program
Page 6 Unplanned change, RICE
Magnet Source of
Evidence EP9, TL2, TL8
On Monday, November, 16, 2015, nurses in all levels and all roles from across the
CHI St. Vincent health system gathered at Wildwood Park in Little Rock to participate
in a Staffing Innovation Summit. The group participated in team building activities and
heard about challenges across the United States as well as regionally and locally
contributing to a national RN shortage. Current strategies were reviewed including
recruitment and retention initiatives, skill mix on medical/surgical units, and new programs that could be implemented promptly after the
first of the year. The event and outcomes will be profiled in our next edition of Nursing News. (see p. 5)
Page 7 Clinical Nurse Leader/
Impella
Page 78Kudos
Page 9 Daisy, NCAP
Page 10 Education
Page 11 Focus on Safety
Page 12 RN Acute Transition
Program, Window Clings
Magnet Source
of Evidence
TL3EO
Page 13 Regulatory Fair
Page 14 New Staff, Delirium
Webniar
Page 15 Support Groups
Page 16 Calendar
Healthcare Hero Award
Magnet Source of
Evidence EP3EO
Page 17 ACLS/BCLS
Congratulations to Brenda Baird MSN, RN, CENP, SVP and Chief
Nurse of CHI St. Vincent who was recognized for her leadership
contributions to Healthcare in Arkansas. She was the recipient of
the Healthcare Hero Award and named Health Care Professional of
the Year by Arkansas Business. CHI St. Vincent dominated the finalists and other nominations included CHI St. Vincent Morillton,
small Hospital of the Year, CHI St. Vincent Infirmary, large Hospital
of the Year, and Jan Brandeburg, BSN, MNEd, RN-BC for Nurse of
the Year.
Page 18 Perinatal Bereavement
Program, Nurse Health Study
Page 19Scholarships, Code
STEMI, Scholarships
Page 20 Guidelines for Student
Projects, Alarm Fatigue
CHI St. Vincent
Infirmary
CHI St. Vincent
North
CHI St. Vincent
Hot Springs
CHI St. Vincent
Morrilton
2
Structural Empowerment
What is Structural Empowerment? Community, Certification & Education Programs, Transition
to Practice, Clinical Coaches, Patient Education, Nurses contributing to the strategic priorities of the
organization, participation in Professional Organizations that leads to changes in practice.
Magnet Source of
Evidence SE 3EO
Meet a Certified Nurse
CHI St. Vincent Morrilton acknowledges Wanda Christie, PhD, RN, RN-BC as an
exemplary nursing professional! Wanda currently works as a PRN medical-surgical
nurse at CHI SVM, as well as an Assistant Professor of Nursing at Arkansas Tech
University. She was encouraged to pursue specialty certification by her manager
Zak Baker, utilizing CHI St. Vincent’s participation in the ANCC Success Pays program.
Along with achieving professional certification, Wanda has recently been published
in Nursing Management and a presented a podium presentation at the Sigma Theta
Tau International 43rd Biennial Convention. Congratulations Wanda Christie!
Volunteering at Webb Community Center
Magnet Source of
Evidence SE10EO
Nurses from CHI SVHS participated in a community
event at the Webb Community Center. The center
serves the needy in and around Hot Springs by collecting clothes, food, household goods and focuses on the
needs of youth in the area. This health fair included
blood pressure checks, blood glucose checks, and the
group handed out educational materials on various
health concerns. Participants included:
Barb Erby, BSN, RN
Liz Bright, RN, OCN
Jason Tisdale, RN
Vicky Sanders BS, RN, CNML
2
3
Magnet Source
of Evidence EP12
Policy Integration
The Patient Care Governing Congress November meeting was a special session that included the Practice Council at CHI SVHS. Three off site sessions had been held in September and October to review all clinical care policies throughout the health system
and over 103 nurses and care partners in all levels and roles contributed. Goals included:
•Delete all procedural policies that are covered sufficiently by eCRS
•Merge all CHI SVHS policy verbiage into existing CHI St. Vincent format
•Communicate disposition of EACH policy
•Review to ensure that ALL campus workflows are covered
•Ensure that revised policy reflects current best practice and update references
•Total 1377 policies reviewed
•770 policies (55.96%) officially deleted
•491 policies will be merged or adopted as new
•69 policies tabled/referred to other team pending resolution of items
Policies were taken to Congress and acted on.
Magnet Source
of Evidence
SE10EO
Community Events
If that exam
were a patient
you wouldn’t
back down! Are
YOU ready for
the next step?
AACN Certification Corporation
CHI St. Vincent
reinvests in nurses
by paying for
professional
nursing
certification through
ANCC Success
Pays where nurses
can achieve national
certification and pay
nothing out of
pocket.
For other national
professional
nursing certification
organizations, CHI
St. Vincent will
reimburse the
nurse.
Details at CHI
St. Vincent
Insider>>
Policies>>Patient
Care Services>> see
policy ON005ADM
3
4
Transformational Leadership
Recognizing our Newest Nurse Managers and Trauma Coordinator!
Magnet Source
of Evidence
TL 3 EO
Tabitha Breshears, BSN RN CEN, is the Nurse Manager for
the Emergency Department. She joins us from White River
Health System in Batesville. Tabitha has more than 15 years
of Emergency Department experience in various leadership
roles and she was instrumental in developing the first satellite
ER in Arkansas. She completed her Diploma in Nursing from
the Baptist School of Nursing and completed her Bachelor of
Science Degree in Nursing from Arkansas State University. Â
She is a Regional Board Member of the North Central Trauma
Regional Advisory Council and she is appointed to the Arkansas Governor’s Council for Suicide Prevention. She is Certified
in Emergency Nursing.
Shawnte Hill, BSN RN PMH-BC, has been promoted to Nurse
Manager of 8W and 8E at CHI St. Vincent Infirmary.
Hilll has done an outstanding job in the Interim Nurse Manager
role over the past several months. She has more than sevenÂ
 years of experience in Behavioral Health and has functioned
as a Nurse Leader in this area. Shawnte completed her Licensed Practical Nursing Degree from Ozark College in Mountain View and her Bachelor of Science Degree in Nursing from
Arkansas State University in Jonesboro. She is a Certified
Psychiatric Mental Health Nurse.
George Moore, BSN RN, has been promoted to nurse manager of MICU and SICU at CHI St. Vincent Infirmary.
He has worked for CHI St. Vincent for 16 years. Before that he
was a paramedic for 26 years. In 2006, Moore earned his
nursing degree, and in August he completed his Bachelor of
Science Degree in Nursing from Chamberlain University.
Jenny Bowe, nurse manager of the Mother Baby Unit and
NICU, paved the way to great success for George while serving as the interim nurse manager of MICU and SICU.
4
5
Queena Waggoner, BSN RN, is the new
Nurse Manager for CHI St. Vincent Infirmary
PACU, Phase II Recovery, Pre-op/Holding, in
both Main and Outpatient Surgery Center and
Pre-admission Testing. She was previously
the Nurse Manager in Labor and Delivery.
Queena is currently in school to become a
Nurse Practitioner.
Jenny Bowe, MSN RN, has assumed Nurse
Manager responsibility for all of the Women’s
service line, to include Mother/Baby, NICU and
Labor and Delivery at CHI St. Vincent. Jenny
recently completed her MSN at Chamberlain
College of Nursing and is the chair of the Patient Care Leadership Council. Jenny acted as
interim Nurse Manager for MICU and SICU for
the past two years.
Todd Sann, Started as an ADN, BSN through
Viterbo University, Masters in Health Care
Administration through Ashford University.
Eagle Scout, Volunteer Boy Leader for the
past 25 years. Enjoys hunting, camping and
the outdoors. Father of 5 children ages 21 to
14. Nursing experience, Long Term care,
Post Surgical Care, Hospital Supervision,
Emergency Department Director, RN Clinical
Instructor, AHA CPR Instructor. Professional
Membership Emergency Nurses Association
(ENA), Wisconsin Organization of Nurse Executives (W.O.N.E.).
Nicholas Elliott, RN BSN, CEN EMT-P, is the
new trauma coordinator for CHI St. Vincent.
Nicholas has worked as a nurse in the emergency department at CHI St. Vincent Infirmary for the past three years. Before that, he
was a nurse in the emergency department at
CHI St. Vincent North
5
NEW ROLE
RN Coordinator
Patient Care Tech
Program
The Staffing Innovation Summit,
held on November
16, generated new
ideas to enhance
staffing on patient
care units throughout CHI St. Vincent. One of the
immediate actions
from the Summit is
the creation of a
position for a coordinator of patient
care tech recruitment, assimilation
and support.
Please visit the internal job postings
through HR Payroll
Connection and
look for: RN Coordinator Patient
Care Tech Program. The job description is posted. The RN who
accepts this position will have the
opportunity to develop the program,
interface with the
community and inspire individuals to
pursue a career in
healthcare.
6
When Leaders facilitate Unplanned Change
Magnet Source
of Evidence TL5
On October 30, 2015, the organization experienced a water link that resulted in a Code Green. During this event,
there were numerous other codes that occurred. It took teamwork to get the job done! I was lucky to have some
great team member working that night. I first would like to thank Sharon Crawford, RN. She was staffing on 4N. She
helped facilitate 7E patient movement to 4N. This assistance allowed me to handle other codes, assist the 8E
staff, and assess the situation for the leadership team. I would also like to express my gratitude to Crawford Matthews and Kimberly Bloodsaw who were both working in the staffing office that night. They went above and beyond by helping transport the 7E patients to 4N. The staff of 7E handled this stressful event very well. I would like to
thank Reima Cambi, Greg Pelton, Lauren McCurry, and Richard Page. The staff of 4N were extremely supportive
and accommodating with the influx of patients. I would like to thank Joseph Djiega, Madolyn Matchet, and Raven
Nowden. I would like to thank Shawnte Hill Nurse Manager of Behavioral Health and the 8E staff: Gloria Greathouse,
Serena Harris, Rose Williams, Karla Robles, Jenia Thurman, Manythia Wilburn, Charles Watts, and Mark Funderward. This team did great making the best of the situation. Lastly, I would like to express my gratitude to the leadership team that came in to help with the Code Green: Polly Davenport, Amy Funderburk, Angie Longing, Chris Stines,
Kevin Cullinan, Deb Foster, Neil Gaiser (for turning off the water), and Paul Gaskin. Submitted by Angela Willis
DNP, RN, CNML House Supervisor
Happy Birthday Baby Jesus!
Magnet Source
of Evidence TL2
As part of our Nursing Strategic Plan’s RICE Project the Patient Care Governing Congress is coordinating
the collection of items for the Crisis Pregnancy Center of North Little Rock.
Please bring all donated items to Congress on December 1, 2015
Items are requested for newborn to 3 months of age and include:
Diapers newborn, 4,5,6
Diaper bags
Clothing newborn to 3 month
Baby wash, shampoo, lotions
The Crisis Pregnancy Center depends on the support of CHI St Vincent nursing to supply their cupboards
for the year. Please help as much as you can! Your individual donations should be made through your
Unit Councils.
6
7
Clinical Nurse Leader Role
Magnet Source
of Evidence
TL7
The Clinical Nurse Leader is an emerging nursing role developed by the American Association of Colleges of Nursing
(AACN) in collaboration with an array of
leaders from the practice environment.
Two AACN task forces were convened to
identify (1) how to improve the quality of
patient care and (2) how to best prepare
nurses with the competencies needed to
thrive in the current and future healthcare
system. CHI St. Vincent Infirmary is
proud to recognize Brittany Lewis MSN,
RN, CNL as one of only four Certified
Clinical Nurse Leaders in the state of Arkansas! Brittany obtained her certification on September 15, 2015. During her
third year of medical school, Brittany discovered her real passion: nursing. Brittany believes that her unique skill set will allow
her to provide, safe, cost-effective, evidenced-based care. Her goal is to improve patient outcomes by helping patients and their families put together “the big picture” of
health care. Congratulations Brittany!
Impella Comes to CHI SVI
Magnet Source
of Evidence
SE2EO
The Impella is an FDA
cleared, percutaneous ventricular assist device designed to provide a patient’s
heart with hemodynamics
support.
The catheter-based heart
pump is manufactured by
Abiomed, headquartered in
Danvers, Massachusetts.
The Impella is currently the world's smallest heart
pump. The whole device is less than the width of a
pencil, and the pump is tinier than an eraser. This
tiny device acts like a temporary artificial heart as it
maintains blood flow through the body during a
cardiac procedure. It works by pumping blood
throughout the body when the heart is too weak to
do it itself – providing time for the heart to rest and
heal. Roger Swayze, BSN, MBA/HCM, CCRC,
Nurse Manager CHI SVI_CVICU and CCSD was
instrumental in arranging the eLearning and Simulation Van to stop in Little Rock for training in our
healthcare community.
7
NCAP Volunteer
Activities
Health Fair
Monday,
November, 30th
Turner Dairy
6901 I-30 Little
Rock, AR 72209
8am to 11am and
4pm to 6pm
Contact:
Tiffani Butler
TButler
@StVincentHealth.com
501-442-5523
8
Exemplary Professional Practice
Magnet Source
of Evidence
EP11EO, NK 2
Kudos & Recognition
Service Awards: Karen Garner BSN RN – 15 years CHI SVI_L&D
Joy Woolfolk BSN RN – 20 years CHI SVI_L&D
Degrees Obtained:
Certifications: Christy Hartmann BSN RN RNC-OB CHI SVI_L&D
Pregnancy Clinic/Maternal/Child: Brooke Copeland, RN, Lactation Educator successfully passed the International Board of Lactation Consultant Examination.
Community Event Participation Shannon Moore RN CHI SVI_NICU – Honduras Medical Mission
Cancer Center: Elizabeth Bright RN, OCN 10/10/15 at Ladies of Guadalupe Glenwood Health Fair and 10/31/15 at Webb Center Health Fair
Maternal/Child: Marsha Oliver MNSc, Manager Maternal/Child, was co-chair of the In the Pink luncheon honoring breast cancer survivors.
Breast Center: Pam Howlett, MNSc, APRN, Manager Breast Center, was co-chair of the In the Pink Luncheon
PREGNANCY CLINIC: Teresa Norton, MNSc, APRN, Christy Sellers, LPN and Kari Weston, LPN volunteered for the In the Pink Luncheon.
OP: Lisa Stanfield, RN -Cancer Gala committee
Heart Center: Mike Long RN - Our Lady of Guadalupe Parish in Glenwood Screening
Professional Memberships: MICU: Jason Tisdale RN joined AACN
Education:
Nicole Sanders, Abeni Jones, Kate Gutierrez all attended the Basic Critical Care Course
Jessica Bieker attended the CRRT course
MICU: Jesse Bowden RN completed Basic Critical Care Course
SICU: TNCC completion: Sellie Williams RN and Narissa Whisenhunt RN
2W: Christy Graves, RN starting back to school for BSN
Presentations and Posters
Wanda Christie, PhD, RN, RN-BC
Publication: Christie, W. (2015). Perceptions of managerial support after workplace violence. Nursing Management, 22 (7), 32-36.
Podium Presentation: The Lived Experience: How ED RNs Resolve Emotional Pain after PPWPV, STTI Bicentennial Convention, Las Vegas,
NV, 11/9/2015
Deborah Meiklejohn, MNSc, RN presented a poster entitled Fusion STEMI USA 2015 , on October 29, 2015 at the Fusion STEMI Conferrence, Dallas, Tx
Unit Recognitions:
CHI SVI_7E Monthly BCMA awards:
100% compliance from Sept 27, 2015-Oct 24th are:
Peggy Diaz RN
Laura McNeil RN
Mackenzie Rigney BSN RN
Leah Smith RN
Peggy Diaz RN
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, the executive assistant to our system CNO, Brenda Baird, MSN, RN, CENP. Be sure to include your credentials! We’d love to recognize YOU!
8
9
Magnet Source
of Evidence
EP11EO
Daisy Winners
Connie Pugh , RN
CHI SVI_3NW (left)
Mercedes Rogers BSN, RN
CHI SVI_CVSD (right)
Nurse of the Year Awards: Ortho/Spine
At the recent 2015 Ortho/Spine
Symposium, two nurses from
CHI SVI were chosen as Nurses
of the Year.
Nicole Kincaid RN, 4 North, (left)
was awarded Ortho Nurse of the
Year
Daina Potter 4 East (right) was
awarded Neuro/Spine Nurse of
the Year.
Outstanding NCAP Portfolios
Magnet Source
of Evidence
EP11EO
At the annual review of our Nursing Clinical Advancement Program Portfolios, the
NCAP Panel chose the top three examples of organization, professionalism,
and completeness. The winners were:
Holly Taylor BSN, RN, CNOR, Coordinator of Perioperative Residency Programs
Dora Thompson, RN-BC CHI SVN_ICU
(not pictured)
Cathy James, RN, CHI SVI_3NW
9
If you need to
be Fit Tested,
the PICC Team
may be able to
help you!
Emma NowdenMaxwell, RN,
VA-BC and
Joey Guinto,
BSN, RN,
VA-BC, have
all been trained
to perform fit
testing. This
group is
multi-talented!
10
Educational Offerings: Nov 17- Jan 29, 2016
Date
Time
Class
Room
Magnet Source
of Evidence
SE4EO
Facility
11/17/2015 0800-1200 Phlebotomy Training
Lab Classroom
CHI St. Vincent Hot Springs
11/19/2015 0830-1130 CPI Recertification
Southwestern Bell
CHI St. Vincent Infirmary
11/20/2015 0800-1600 Clinical Coach Class
Southwestern Bell
CHI St. Vincent Infirmary
11/20/2015 0800-1600 Medical-Surgical Certification Review
Calhoun Room
CHI S. Vincent Hot Springs
11/24/2015 1300-1600 Safety First
North Auditorium
CHI St. Vincent Infirmary
12/01/2015 1300-1600 Critical Thinking
Southwestern Bell Room
CHI St Vincent Infirmary
12/02/2015 0800-1600 Basic Dysrhythmia Course Day 1
Southwestern Bell Room
CHI St. Vincent Infirmary
12/03/2015 0800-1600 Basic Dysrhythmia Course Day 2
Southwestern Bell Room
CHI St. Vincent Infirmary
12/03/2015 0800-1400 CPI Initial Class
Dunkerton/AP&L Room
CHI St. Vincent Infirmary
12/03/2015 1200-1300 Cancer Conference
McAuley Room
CHI St. Vincent Hot Springs
12/04/2015 0800-1600 Basic Dysrhythmia Course Day 3
Southwestern Bell Room
CHI St. Vincent Infirmary
12/04/2015 0800-1630 Taking Charge Workshop
Calhoun Room
CHI St. Vincent Hot Springs
12/04/2015 0800-1630 LRCCP Renal/Endocrine Update
South Auditorium
CHI St. Vincent Infirmary
12/08/2015 0800-1100 Safety First
North Auditorium
CHI St. Vincent Infirmary
12/09/2015 0800-1200 Basic Dysrhythmia Course Day 4
Southwestern Bell Room
CHI St. Vincent Infirmary
12/10/2015 1200-1300 Cancer Conference
McAuley Room
CHI St. Vincent Hot Springs
12/10/2015 0830-1230 PALS Renewal Course
Southwestern Bell Room
CHI St. Vincent Infirmary
12/11/2015 0800-1630 Taking Charge Workshop
Dunkerton/AP&L Room
CHI St. Vincent Infirmary
12/16/2015 0730-1800 ACLS Provider Course
Southwestern Bell Room
CHI St. Vincent Infirmary
12/17/2015 1200-1300 Cancer Conference
McAuley Room
CHI St. Vincent Hot Springs
12/17/2015 1000-1200 Rhythm Response
Southwestern Bell Room
CHI St. Vincent Infirmary
12/18/2015 0830-1130 CPI Recertification Class
Southwestern Bell Room
CHI St. Vincent Infirmary
01/20/2016 0830-1230 PALS Renewal Course
Southwestern Bell Room
CHI St. Vincent Infirmary
01/27/2016 1300-1600 Critical Thinking
Southwestern Bell Room
CHI St Vincent Infirmary
01/28/2016 0830-1130 CPI Recertification Class
Southwestern Bell Room
CHI St. Vincent Infirmary
01/29/2016 0830-1430 PALS Provider
Southwestern Bell Room
CHI St. Vincent Infirmary
Please check the Education Calendar on the CHI St. Vincent Insider >>Education >>Calendar for a schedule or check LEARN
by going to the catalog and searching for specific classes. Coworkers at CHI SVHS contact Clinical Education at 501-662-1015.
10
11
Magnet Source
of Evidence
EP18EO
Focus on Safety
A fifty-six year-old female presented to the Emergency Department complaining of chest pain.
Safety Event
Shortly after arriving she was admitted to inpatient. The patient had previous admissions to this facility.
The home med list from her most recent stay four months earlier was carried over with no changes. The
home med list indicated that she took 20 mg Zanaflex (Tizandine) TID. The home medication reconciliation was completed by the attending physician with no changes.
Good Catch, but…
After admission to inpatient the attending nurse gave the patient 4mg of Zanaflex even though the order
called for 20mg, because she said she knew it was not right. However, the nurse did not investigate the
order further to confirm and/or correct dose. The following morning the next scheduled dose was administered, but only 4mg was given. The nurse charted that 16mg was given, but stated that she removed
the 5 tablets and she knew that it could not be right. Therefore, she put 4 of the tablets back in the drawer.
Error Continues
The next day a third dose of 20mg was administered. The nurse did not notice anything unusual about
the dose. Shortly thereafter, the patient’s blood pressure began to drop and the medication was discontinued.
Results
The error caused additional medications to be given and additional monitoring. The patient is now fine.
Reinforcement of the Error Prevention Tools and Safety Behaviors:
When completing task that are critical use STAR (Stop Act Think Review). Performing in the face of uncertainty makes you ten times more likely to make a mistake! Stop and Resolve; Review your plan, Resolve the concern, Reassess your actions – Stop when unsure and check with an expert source.
Challenge Questions
What happened when you were doing something and did not pause, did not stop to think about what you
were doing?
When has there been a time when something was not right, something seemed odd but you did not stop
to think it through and ensure your actions were the best?
11
12
RN Acute Care Transition Program
Magnet Source
of Evidence
EP11EO
If you know an RN who has been away from the bedside for 5 years or less than one year acute
care experience… suggest they transition into acute care nursing practice by working here, at
CHI St. Vincent !
Applications are now open!
The RN Acute Care Transition Program is intended for the RN with an active Arkansas license who wants a full time paid position. In addition to a clinical practicum, the program
offers an update on:
Bedside technology
Medication administration
IV skills
Physical assessment
For additional information go to CHIstvincent.com OR
Phone a Nurse Recruiter:
Kristy Fritz at 501-552-3738 Tammy Kinney at 501-622-4621
Magnet Source
of Evidence
EP11EO
Nursing Window Clings
Share your pride in nursing at CHI St Vincent by displaying this window cling in your car! The idea was
brought back from the annual ANCC Magnet Conference by Holly Taylor, BSN, RN, CNOR. Holly
worked with Marketing to develop the cling using the tag line from the Recruitment & Retention Council,
“Imagine the Power of Nursing”. These clings will be available in December through Patient Care Governing Congress.
12
13
Magnet Source
of Evidence
EP12, EP22EO
Regulatory Fair
Nurse Driven Urinary Catheter Removal
Protocol Algorithm
Foley catheter in
place?
No
No action
needed
Yes
Does the patient have a
current post op order to
discontinue urinary catheter?
• Hematuria gross, diagnostically significant
• Urinary retention, documented with evidence of
bladder scans and physicians progress note
Does the patient meet at
least one criteria for
continuing catheter?
•Urologic/gynecologic surgery
Discontinue urinary
catheter per post op orders
PATIENTS WITH THE
FOLLOWING CONDITIONS
WILL BE EXCLUDED FROM
THE PROTOCOL
•Urologic placement of difficult catheter as
evidenced by physician progress note
Yes
Urethral Injury
Bladder Injury
Catheter Placed by Urology
Chronic Para/Quadriplegia
Maintain catheter and
perform care per policy
Continue to reassess
need for an indwelling
catheter on a daily basis
•Strict intake and output of patients with evidence
of hemodynamic, renal , electrolyte or respiratory
instability
•Epidural pain control for post-surgical patients
CHI SVI
Nov 11
8-4:30pm
Dunkerton
•Immobility due to physical impairment such as
fractures, trauma, debilitation
•Comfort care for end of life
Review
No
• Urinary obstruction, documented with evidence of
bladder scans and physicians progress note
•Pressure ulcers/perianal or perirectal wounds with
incontinence
Certification
Course
Yes
Criteria for Continuing Indwelling Urinary
Catheter:
Med/Surg
No
Remove catheter per policy
Document “indwelling catheter
discontinued per protocol”
For post void care,
refer to Equipment:
Bladder Scan Policy
Wake Forest Baptist Medical Center
At our recent Regulatory Fair at all four facilities, nurses became familiar with work the CAUTI
Team has been doing to reduce catheter associated urinary tract infections. In addition to a new
urinary catheter removal algorithm, nurses practiced inserting indwelling urinary catheters under
sterile technique. Evidence based practice stresses avoiding indwelling catheters and early removal should they be necessary.
******
CHI SVHS
Nov 20
8-4:30p
Calhoun
Room
Register in
LEARN
Questions?
Sharon
Markham
smarkham@stvincenthealt
h.com
13
14
Magnet Source
of Evidence
SE7
Welcome to CHI St. Vincent!
Please welcome these newly hired nurses to the CHI St. Vincent family! Remember to take time to introduce yourself and assist them through their orientation period. Orientation is a unique time to introduce
new employees to the mission, goals, core values, policies, procedures, and services offered by CHI St.
Vincent. All nurses and care partners have a responsibility to foster the team spirit that is found in the CHI
St. Vincent relationship-based care environment.
September 28 Orientation
Front Row, Left to Right: Amber Davis, Chardilaine Whitlock,
Brittany Moody, Stacy Wood
Back Row Left to Right: Brenda Cothren, Leslie Fullerton,
Fonda Honey, Carrie Williams, Ann Murphy
Magnet Source
of Evidence
NK3
Delirium Webinar
Wednesday, December 3, 2015, 11am – 12noon, CST
You may watch it from your office or personal computer through Live Meeting Link: https://www.livemeeting.com/cc/chi/join?
id=GSP2R9&role=attend&pw=XzR%2BB..%5E6 Participant Call #:877-810-9415 Participant Code: 4033161#
Delirium: It’s not just a Phase
Joy Dienger, PhD, RN; Jennifer Dreher, MSN, ACNS-BC, RN-BC;
Zakiyyah Thurman, MSN, RN, CMSN, OCN
Joy Dienger is the Nurse Researcher at TriHealth in Cincinnati, Ohio. She collaborated with Jennifer Dreher and Zakiyyah Thurman and the
members of the Bethesda Geriatric Committee in the development and implementation of a delirium risk assessment and evaluation program
for older hospitalized adults outside the ICU.
To earn CE, complete Attendance Roster, sign and scan document to: Dr. Claudia Smith at [email protected] so that we can
email webinar attendees the link to SurveyMonkey™ Program Evaluation. A CE Certificate will be emailed to attendees who complete
the evaluation and provide name and email address. Thank you. Education offering provided by the CHI National Nursing Research
Council
Contacts: Jodeena Kempnich, MSN, RN, Clinical Practice Coordinator, Nebraska, [email protected] or 402.343.4634
Claudia Smith, PhD, RN Nurse Scientist, CHI St. Luke’s Health-Baylor St. Luke’s Medical Center [email protected] or 832-355-8921
1.0 contact hours will be awarded for successful completion of this activity. CHI St. Luke’s Health Baylor St. Luke’s Medical Center is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
14
15
Support Group Calendar FY16
Magnet Source
of Evidence
TL9
If you are a Patient Care Technician, Patient Care
Coordinator, or a Unit Coordinator we are bringing
back the support groups for your position per request
to Congress!
PCT, MHT, Monitor Technician and Paramedic Meetings:
December 8, 2015
CHI SVI: Large Admin Conf. Rm
CHI SVN: Teleconference Room*
CHI SVM: Admin. Conf. Room*
Time 1400 and 1730
February 9, 2016 CHI SVI: Large Admin Conf. Rm
CHI SVN: Teleconference Room*
CHI SVM: Admin. Conf. Room*
April 12, 2016 CHI SVI: Large Admin Conf. Rm
CHI SVN: Teleconference Room*
CHI SVM: Admin. Conf. Room*
June 14, 2016 CHI SVI: Large Admin Conf. Rm
CHI SVN: Teleconference Room*
CHI SVM: Admin. Conf. Room*
*PCTs at CHI SVN and CHI SVM may participate by phone conference in the
rooms below. Dial in number 501-552-8049 code: 262626#
Patient Care Coordinator Meetings: Time 0800
January 22, 2016
April 22, 2016
July 22
October 28
CHI SVI: Large Administrative Conference Room
CHI SVHS: Dublin Room
CHI SVM & CHI SVN: Ask Executive Assistant for location
*PCCs at CHI SVN and CHI SVM may participate by phone conference in the rooms
below. Dial in number 501-552-8066 code: 123789#
Unit Coordinator Meetings Time 1500
 December 16, 2015 (due to holiday week)
 February 24, 2016
 April 27, 2016
 June 22, 2016
Location: First Floor Education Center (room will vary) at CHI SVI
15
PROFESSIONAL
ORGANIZATION
MEMBERSHIP
Did you know that
CHI St. Vincent reinvests in it’s nursing staff by supporting membership in professional nursing organizations? See our
Policy under Patient Care Services: Professional
Organization Membership Reimbursement Guidelines.
FREE memberships are offered
to nurses in
school in the
American
Thoracic
Society
and
American
Academy on Communication in
Healthcare
16
Levels of Communication: Nursing Practice
Magnet Source
of Evidence
EP 23EO
Nursing Schedule Calendar
Schedule Dates
September 27-Nov 7
Nov 8- January 30, 2016
Magnet Source
of Evidence
EP9
Sign Up Available
Balancing Begins
Staffing Office Review
Exec Director Review
Final Schedule
Posted
August 16, 2015
August 30, 2015
September 6, 2015
September 9, 2015
September 13, 2015
September 27, 2015
October 11, 2015
October 18, 2015
October 21, 2015
October 25, 2015
December 20, 2015
January 3, 2016
January 10, 2016
January 13, 2016
January 17, 2016
January 31, 2016
February 14, 2016
February 21, 2016
February 24, 2016
February 28, 2016
March 13, 2016
March 27, 2016
April 3, 2016
April 6, 2016
April 10, 2016
April 24, 2016
May 8, 2016
May 15, 2016
May 18, 2016
May 22, 2016
June 5, 2016
June 19, 2016
June 26, 2016
June 29, 2016
July 3, 2016
July 17, 2016
July 31, 2016
August 7, 2016
August 10, 2016
August 14, 2016
August 28, 2016
September 11, 2016
September 18, 2016
September 21, 2016
September 25, 2016
October 9, 2016
October 23, 2016
October 30, 2016
November 2, 2016
November 6, 2016
January 31-March 12, 2016
March 13- April 23, 2016
April 24 -June 4, 2016
June 5- July 16, 2016
July 17- August 27, 2016
August 28- Oct 8, 2016
Oct 9 – Nov 19, 2016
Nov 20-Feb 11, 2017
16
17
Magnet Source
of Evidence
SE 4EO
BLS & ACLS Instructions
BLS/ACLS Tips
HeartCode ® BLS
Three steps are required to renew BLS with HeartCode.

Do Not wait until the
end of the month to
complete the skills
part!

After Part 1, you have
60 days to complete
Parts 2 & 3 unless
your card is expired.

If you decide to take a
live 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 or
Kathy McNespey,
Education/Radiology
Administrative
Assistant.
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 I
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. Print the certificate after completing the
course and bring it with you to the skills lab in the Education Department if you have
access to a printer.
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 St. Vincent Infirmary. Part 2 skills
demonstration is self-directed using a voice-assisted manikin. Completion time is approximately 15-30 minutes. Call Patsy Wallace, BSN, RN, CURN, Clinical Nurse Educator, at
501-552-3751 to schedule Part 2 skills check off or email [email protected].
STEP 3: 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.
Online ACLS Renewal with HeartCode® ACLS
 Log in to LEARN
 Click on 'Catalog'
 In the search box type ACLS and click 'search'
 Click on ACLS-provider renewal (online HeartCode® ACLS)
 Click 'show class schedule'
 Click 'register' for the month you wish to take the course.
 THERE IS NO ACTUAL DATE OF CLASS TO ATTEND the course is online and not in a
classroom.
You will be assigned Heart-Code® ACLS Part 1 and Heart-Code® ACLS Part 2 and 3.
It may take 24 to 48 hours for the assignment to be viewable to you in
LEARN.
Part 1: Complete the online cognitive portion of HeartCode® ACLS
Part 2: Email Patsy Wallace, BSN, RN, CURN, at [email protected] or call
501-552-3751 to schedule your skills check off which should take approximately
15-30 minutes.
17
18
New Knowledge, Innovations & Improvements
Perinatal Bereavement Program
Magnet Source
of Evidence
EP4
The Perinatal Bereavement Program held the annual Journey Memorial Service Sunday, Nov. 1 at CHI St.
Vincent Infirmary. The event brings together parents, family members and friends who have experienced
miscarriage, stillbirth or newborn death. Historically, these loses are seldom discussed or even acknowledged. The service provides support for families who are grieving and who can sometimes feel isolated in
their grief. An ornament is placed on a Christmas tree in honor of each child. This program was recognized on the CHI SVI Magnet document is an exemplar in practice.
Nurses Health Study
Magnet Source
of Evidence
NK3
Join the next generation of the world's largest, longest-running study of health and wellness. Are you a female nurse or nursing student between 20 and 46 years old, who lives in the U.S. or Canada? If so, in the
Nurses’ Health Study 3 to contribute to groundbreaking research on “lifestyle, environment, nurses’ worklife,
and women’s health.” Researchers at Harvard School of Public Health and Brigham and Women’s Hospital
in Boston conduct the study, which builds on the two previous Nurses’ Health Studies.
To complete the study, please visit: http://nhs3.org/
What is New Knowledge, Innovations, & Improvements? Innovations are novel or new ways of doing things. Who do we use Evidence Based Practice and Nursing Research at the bedside? How
does technology impact practice? How do nurses18impact work flow and work space?
19
Magnet Source
of Evidence
NK3, NK4EO
Presentations
Deborah Meiklejohn, MNSc, RN
presented a poster entitled
Fusion STEMI USA 2015 , on October 29, 2015 at the Fusion
STEMI Conferrence, Dallas, Tx
AND won Best Poster!
Congrats on your work Deborah!
Taking Charge
Workshop
CHI SVHS
December 4
8-4:30pm
Calhoun Room
Register in LEARN
Magnet
MagnetSource
Source
ofofEvidence
Evidence
007
NK3,
NK4EO
Scholarships Available
This class is required
for all Charge Nurses
and NCAP points for
charge.
Questions?
Christy Sanders
[email protected]
FREE CE
A free contact hour
opportunity from
CCI. RNs can obtain
1.5 contact hours by
reading the white paper at www.ccinstitute.org/
whitepaper and completing the post test.
19
Student Project Update
St. Vincent Infirmary
St. Vincent Morrilton
Magnet Source
of Evidence
SE4EO
Are you a student and a project is part of your degree work? CHI St Vincent
has NEW Nursing Integration Practice & Project Guidelines that will become a
part of our student policy and approved through NEOC.
The student project should demonstrate their knowledge acquired through the educational program and
should align with the organizational and nursing goals. Students that are required to complete a final
project and plan to include CHI St. Vincent data must complete the following steps.
The student is required to contact the Director of Nursing Excellence & Education via email, to advise
CHI St. Vincent of the proposed clinical project.
Medication Safety
DID YOU
KNOW?...
~ Both oral and IV Amiodarone potentiate the
effects of warfarin and
can increase the INR.
~ Furosemide given too
rapidly IV push can
cause ototoxicity and
should therefore be administered over 1-2
minutes.
~ Famotadine IV needs to
locked in the refridgerator. It is a Joint Commission requirement that
any medicine that is not
patient specific (i.e. does
not have a patient label)
must be locked up either
in the medication pyxis
or the refrigerator. Since
IV famotadine requires
refridgeration, comes in
bulk supply and is not
assigned to a patient, it
must be in a locked container.
The Education Department will confirm a current Affiliation Agreement with the school.
The Education Department will confirm that the student has completed a hospital facility orientation if the
project requires a clinical component with patient or staff? (Research could involve staff instead of just
patients would just remove the whole sentence and state …completed facility orientation “as appropriate”.) involvement.
The student will be responsible for engaging an onsite supervisor (who will assign/approve the supervisor?) to act as a coach and a guide within the clinical environment and notify the Clinical Education Department. Who will then approve the supervisor??
The Site Supervisor will assist with the process through the organization. The Site Supervisor will facilitate contact with the Quality Department to assist with data collection. If there is a research or a quality
improvement component there will be a need to present to the Nursing Research Council and possibly
the Research Review Council.
The student will be asked to give a final presentation of the project. Internal dissemination of the project
will be decided on by the internal site supervisor and will also decide on who reviews the final presentation. The site supervisor is also responsible to ensure a final project report is provided to the NRC/RRC
as appropriate to close the project tracking.
The student will provide the hospital with a final copy of the project.
If the student is not approved or does not follow the Nursing Integration Practice & Project Guidelines the
student will not be able to proceed with the project and will not be endorsed by CHI St. Vincent for validation of data.
Any questions about this process should be referred to Lana Lambert MNSc, RN, APRN, BC, Director of
Nursing Excellence & Education at (501) 622-1834 or [email protected]
Alarm Fatigue in LEARN
Magnet Source
of Evidence
SE4EO
Repeated exposure to large numbers of clinical alarms creates an environment resulting in sensory overload. Alarm fatigue occurs due to the caregiver’s desensitization to the clinical alarms alerts. As a result, response times may be delayed, or alarms missed altogether. Development of strategies for alarm
management to reduce alarm fatigue and improve patient safety are critical.
In an effort to meet the NPSG for Clinical Alarms a LEARN module titled. “Alarm Management –ANCC”
will be assigned to all RNs, PCTs, and UCs. The completion date for this module is January 15, 2016.