Kenmore Mercy Hospital
Kronicle
News and announcements for Nursing Staff at Kenmore Mercy Hospital July/August 2018 We use the term ”Nurse Engagement“ often and we hear about it being a very important part of our nursing profession. What exactly is nursing engagement, what does it mean for us, how can we incorporate nursing engagement in our nursing practice? According to Dempsey, “Nursing engagement is nursing commitment and satisfaction with their jobs. Nurse Engagement affects patient and associate safety, quality of care and patient experience.” How we enhance our own engagement within our profession and the care we provide patients is the obligation of all nurses regardless of their position in their work life How do we gain, maintain or grow in our engagement? 1. Get involved: involvement in shared governance, unit base councils, performance improvement projects on your units or hospital committees . 2. Taking an interest in how we can provide patient care and sharing those ideas to affect positive changes. 3. Progressing in your education whether it is reading a professional article to gain knowledge, attending an in-service, furthering your education, sharing your knowledge. 4. Working collaboratively with your colleagues, working on ways to make processes more effective. 5. Strive towards nursing excellence in your nursing practice. 6. Taking care of yourself and each other to help avoid burnout in this often hectic, ever changing healthcare environment. As nurses we all have the ability to make things better and to be engaged in that process... “Be the change you want to see in this world” ~ Mahatma Gandhi
Hospital Recognized for Quality Stroke Care Kenmore Mercy Hospital has achieved the American Heart Association/American Stroke Association’s Get With The Guidelines - Stroke Gold Plus Quality Achievement Award for the fifth consecutive year. The award recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.
From L to R: Emily Jerge, RN, Frank Gyimah, NA, Christopher Dowd, RN, Samad Rasul, MD, and Maureen Audino, RN from the ICU, are just a few individuals who serve our stroke patients.
According to Joy MacNeil-Ennis, BSN, RN, clinical stroke advisor, “Kenmore Mercy Hospital earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period.” These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-todate, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. The measures also looks at whether patients, prior to discharge, have scheduled a follow- up visit and are receiving education on care transition interventions and health management. “Kenmore Mercy Hospital is dedicated to improving the quality of care for our stroke patients by implementing the American Heart Association’s Get With The Guidelines-Stroke initiative,” stated George Kalonaros, MD, who heads up the hospital’s stroke team.
Welcome To Our New Hires From June - July June: Mary Bonasera, RN – 2 West Stephanie Correa, NA – 2 West Samantha Dunn, RN – 2 West Latasha Leeper. NA - MRU Ryan Lewis, RN – 2 West Wendy Lin, NA – 2 West Leah MacPherson, RN - 2 East Maggie Matthews, RN – 2 East Natalie Niemel, RN – 2 West Rachel Tronolone, RN – 2 East Lauren Zakroczemski, RN – 2 East Jordan Jennings, NA – 2 West July:
“Great Catch” Makes A Difference for Patients Thank you to nursing assistant Russell Duerr, from the operating room, for his questioning attitude and willingness to speak up when something doesn’t seem quite right. Russell made a “Great Catch” when he spotted a hair coming out of a sterile packet. He immediately took the item out of use and reported it to his manager who had the purchasing department look into the matter. The Great Catch program is a Quality & Patient Safety initiative designed to help Catholic Health catch and avoid situations that have the potential to cause harm to our patients.
Rachel Colan, NA - MRU Elizabeth DiCarlo, NA - 2 East Amanda Fromm, RN - 2 West Lindsey Guzdek, NA - ER Amy Lanigan, RN - 2 West Tiffany Klis, RN - 2 East
Crista Rodriguez, RN, from the Operating Room was also presented with the Great Catch Award. She noticed that a patient’s right shoulder was marked for surgery instead of the left shoulder. Crista double checked the surgical consent to verify the surgery was scheduled on the left shoulder. The error was immediately corrected.
Save the Date
Thank you Russel and Crista for your attention to detail!
ANA-New York Professional Nurses Association of WNY September 25, 2018 “How to better care for our transgender patients.” Location: Classic V, 2425 Niagara Falls Blvd., Amherst, NY 14228 Time: Networking & Registration: 5:30 pm, Dinner: 6:00 pm PNA Membership Meeting: 6:30 pm Presentation: 6:45 pm Carly Gerretsen, DNP, RN, FNP-C, RNFA, will discuss how many transgender individuals face barriers and challenges that make it difficult to find & receive competent healthcare or feel they have had a positive provider experience. The purpose of this activity is increase nurses’ knowledge base of caring for transgender patients. For more information please check out our website: wnypna.org or the Facebook page - Western New York Professional Nurses Association-WNYPNA.
2
The Great Catch Program highlights “great catches” and recognizes associates for catching errors that could cause injury to a patient. This program has helped to improve safety of our patients and associates.
Malignant Hyperthermia Cart Added in OR The hospital recently added a new malignant hyperthermia (MH) cart which is housed in the Operating Room. This new cart contains all the equipment needed to bring to the patient experiencing malignant hyperthermia including the refrigerated medications where in our old system you needed to obtain three items in the crisis: a drug box, the malignant hyperthermia cart and the medication Ellen Colan, CCRN, RN, BSN, and lead pharmacist Jim Bartlett with the cart. from the refrigerator. Malignant hyperthermia is a potentially fatal, inherited disorder usually associated with the administration of certain general anesthetics and/or the drug succinylcholine. The disorder is due to an acceleration of metabolism in skeletal muscle. The signs of MH include muscle rigidity, rapid heart rate, high body temperature, muscle breakdown and increased acid content. Immediate treatment with the drug dantrolene usually reverses the signs of MH. The underlying defect is abnormally increased levels of cell calcium in the skeletal muscle. There is mounting evidence that some patients will also develop MH with exercise and/or on exposure to hot environments. Without proper and prompt treatment with dantrolene sodium, mortality is extremely high. The best way to protect yourself, your family, your patients and facility, is to be prepared before it’s too late.
ICU Nurse Receives DAISY Award
Needle Safety Education An upward trend on needle stick injuries was noted in the hospital throughout 2017 and the beginning of 2018.
Kenmore Mercy Hospital honored Chris Dowd, RN, from the Intensive Care Unit, with the DAISY Award in June. The nomination praised Chris for his professionalism and compassion shown to a traumatic brain injury patient. When he found out the patient would be in the hospital for his wedding anniversary, Chris purchased a card, flowers, and candy for the man’s DAISY Award-winner Chris Dowd, RN, wife on his behalf. with his proud co-workers Sandy Conti, RN, and Tina Rose, RN.
This is just one of many stories that demonstrates how Chris treats his patients like family and shows that they matter. His award is part of the DAISY Foundation’s program to recognize the extraordinary efforts nurses perform every day.
OR Recognizes National Time Out Day
This prompted nursing leadership to survey our nurses to gain insight into why our rates have been increasing. The survey results showed that many of our nurses are unaware that each of our needles have a safety mechanism which greatly reduces the chance of being stuck by a used needle. This prompted leadership to provide a facility-wide education for nurses on the safety features of each needle used at the hospital. The education proved to be valuable and will hopefully lead to a decrease in the number of needle stick injuries. If you have not received the needle safety education, please contact your manager and education will be provided to you.
Nursing Research Projects
On June 13, Kenmore Mercy’s Operating Room celebrated National Time Out Day. During National Time Out Day, the Joint Commission joins the Association of periOperative Registered Nurses (AORN) in asking healthcare personnel to be a superhero for patient safety. A time out is a powerful tool that supports a culture of safety and the ability of anyone on the surgical team being able to speak up for safe practices in the operating room. This SUPER HERO acronym stands for nine elements of a safety culture that can come into play as part of practicing a Time Out, including: Support a safety culture Use The Joint Commission’s Universal Protocol and AORN Surgical Checklist Proactively reduce risk in the OR Effect change in your organization Reduce harm to patients Have frank discussions about hazardous situations Empower others to speak up when a patient is at-risk Respect others on the surgical team Openly seek opportunities for improving patient safety Speak Up, Reach Out
Submit Your Nomination for Advanced Practice Provider of the Year!
These individuals — certified nurse practitioners (CNP), certified registered nurse anesthetists (CRNA), clinical nurse specialists (CNS), and physician assistants (PA) — collaborate with our physicians to optimize the quality and the continuum of patient care.
A big portion of the Magnet document is based off of the involvement of clinical nurses in research studies. Being involved in research promotes involvement in your profession and becoming a stakeholder in making positive changes on your unit and throughout the hospital. There have been numerous nursing research initiatives so far in 2018, if you have an idea that could be turned into a nursing research project, contact your manager to get started. 2018 Nursing Research Projects: • Music Therapy in the PACU • Early Initiation of Palliative Care Consults in the ICU • Utilization of an Admission/Discharge nurse on 2 South • Understanding and decreasing ICU readmissions • Improving the discharge process • Sepsis education • Initiation of the MEWS scoring system • Advanced Practice Providers (AKA) midlevels) sitting at the bedside to increase patient satisfaction • Facilitators and barriers of the Magnet Journey
3
August Shared Governance Takeaways Nursing Informatics:
Marlin Boards – If you would like to add information to your unit’s Marlin board, contact your manager for the request form. PR is researching if Marlin Boards can be dimmed at night. Follow up is being completed for MD’s that are sending orders through Tiger Text. Orders are not to be taken through Tiger Text if they are please print the screen and sent it to Heather Telford or Dr. Stehlik Would like to see your pet on one of our memos? Please text a picture of your pet and their name to Amber at 331-0275.
Peer Review (PR):
Your feedback is important us! 2018 KMH Professional Nursing Practice VOA Survey August 6 – August 27, 2018
Your opinions matter and your voices are powerful. Please keep the line of communication open by participating in this confidential Nurse Voice of the Associate survey, specifically designed to address the needs of our nurses.
The peer review committee is looking for a representative from the Peri-op units. Please let your manager know if you are interested in joining.
Questions focus on: autonomy, professional development, leadership, interprofessional relationships, quality of nursing care adequacy of resources and teamwork.
Peer Review information sheet was created which will be placed on the Marlin boards.
Thank you for your anticipated participation in the 2018 Professional Nursing Practice Voice of the Associate Survey. We are listening — and want to hear from nurses.
Peer Review identified the need to focus on interprofessional communication Nursing Practice: VOA results are out and will be reviewed with staff. Nursing specific VOA will take place from 8/6-8/26- Sign into your CHS email for confidential survey link. 4 Eyes assessment trial is completed. This program will be rolled out onto remaining units-education will take place soon. Patient falls declined in June. 2 West, 2 South and MRU all had a reduction in fall rate!
Retention & Recruitment: Discussed meaningful recognition- staff prefer face to face recognition as opposed to second hand such as Kudos. Exit interview process was reviewed. The nursing practice committee discussed what would draw new associates to work at KMH. Magnet recognition and education support rank high for recruitment of new nurses.
4
How to Take The Survey
On August 6, you received an email with instructions and a secure link to complete the 2018 Professional Nursing Practice Voice of the Associate Survey. It is very important to Nursing team that you participate in this survey. The survey takes about 10 minutes to complete and will provide Kenmore Mercy with valuable information to help improve your work experience as a registered nurse. If you have questions, please contact the Press Ganey Help Desk at hdesk@pressganey.com or by calling 800.849.2292. Phone support is available 8 a.m. - 8 p.m., Monday - Friday. Nurses who complete the survey and provide a printout or phone print screen will receive a choice of one of the following: • $5.00 voucher good for a meal in the Kenmore Mercy cafeteria. OR • A medium hot drink (coffee or tea) or a 20 oz soda and either a donut or bagel (w/ or w/o cream cheese) from the Kenmore Mercy Tim Hortons.
Associate Picnic Picture Page