January/February 2019

Kenmore Mercy Hospital

Kronicle

News and announcements for Nursing Staff at Kenmore Mercy Hospital

January/February 2019 The concept of mindfulness has become more prominent in nursing literature and practice in the past few years.

2019 Nursing Goals Patient Experience - Focus on:

In the American Journal of Nursing article from June 2015, there was a page of simple tips to nurses and patients, telling them “to pause, be present and listen.”

• How often did the nurse listen to you carefully?

• Did the nurse treat you with courtesy and respect?

• How often did you get help as soon as you wanted?

• Was the area around your room quiet at night?

• Did the staff describe medication side effects?

Often as we begin our day, we get out of bed thinking about getting to work on time, about child care, what will my day be like, what I need to do when I get home, or what do I have to accomplish by the end of the week or month.

• C. difficile • CAUTI • SSI

Our brains are racing with all of these thoughts. What is sometimes missing and may be helpful in our lives, is to think about being centered and present in the moment.

A helpful acronym that comes from the AJN article that may help reduce stress and help us to be present in the moment is: STOP S: stop and take a step back and pause T: take a few deep breaths O: observe inside yourself P: proceed after you pause We work in a very challenging and ever changing environment. We need to be aware of ourselves in the moment for our own wellbeing and for the people we serve.

Please take a few minutes to read this attached article and keep it posted in your department.

Let’s try to keep ourselves and each other focused and centered as we take our everyday journey!

My best to all of you. Thank you for the wonderful care you provide to all we serve. ~ Cheryl

Patient Safety: • UTI • CLABSI

• Falls • Pressure Ulcers

Coordination of Patient Care: • TeleTracking • Patient Safety Huddles • Enhancement of patient outcomes associate interprofessional plan of care • Mobility Program Nursing Excellence: • BSN Hires • Enhance Certified Nurses • Magnet Appreciation Associate Engagement: Enhance Associate Engagement focusing on: • Teamwork, Collaboration • Interprofessional Relationships • Recognition • Communication • Workplace Safety Succession Planning and Mentorship: Focus on identifying and building succession planning in all nursing levels: • RN • Advisor • Supervisor • Director

• Nurse Manager • CNO

Build and improve mentorship program in: • RN • Advisor • Supervisor • Director

• Nurse Manager • CNO

ASU Nurse Receives Great Catch Award Congratulations to Patricia Harter, RN, from the Ambulatory Care Unit.

She received Great Catch Award in January in recognition of her questioning attitude.

The Great Catch Program highlights “great catches” and recognizes associates for catching errors that could cause injury to a patient.

Our behavior focus for February and March is Love.

How can we display loving service and compassion to our patients and our coworkers?

In our daily lives, how will we demonstrate God’s love to all we meet? All of us can be mindful examples of that love simply by allowing ourselves to be who we truly are when we respond to others with love, in all circumstances.

We can bring the blessings of who we are to any situation simply through our love and compassion.

In addition to Valentine’s cards and chocolate hearts, here are a few examples of displaying love in action: express empathy for others; cultivate attitudes of joy in yourself; appreciate the blessings that you are and that you have, and feel grateful for them; choose to smile when you go to sleep, and when you wake up in the morning; have a positive attitude - be the person everyone enjoys working with because you have a positive, can-do attitude; be loyal, trustworthy, and honest; and be a giver, not a taker.

Giving promotes cooperation and social connection - when we give to others, we don’t only make them feel closer to us; we also feel closer to them.

When a nurse accidently removed a wrong medication from a drawer and hung it, Patricia noticed that the wrong medication was hung and it was stopped.

She immediately notified her supervisor and the physician. The correct medication was then administered to the patient. The nurse who was initially involved in hanging the wrong medication was informed.

This program has helped to improve safety of our patients and associates.

Thank you to Patricia for having a great questioning attitude resulting in the patient receiving the correct medication.

February is Heart Month!

This great event was made possible by the interdisciplinary team of Erik Musielak, RDCS; Carolyn Hilbert, RT; Theresa Jackson, RD; Susan McClure, RN; Joy MacNeil, RN; Mary Willis, RN; Elaine Schrutt, RN; and Sarah Nielsen, RN.

#WearRedDay was here to help us kick off Heart Month!

Thank you to all of our associates and visitors for supporting the fight against heart disease and helping us raise awareness for women’s heart health.

Proceeds from the raffle will benefit the American Heart Association.

Visit goredbuffalo.heart.org for important heart health resources.

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Providing Patient Diabetes Education

by Megan Kosmoski, BSN, RN, CDE How many patients in your assignment right now have diabetes?

How many do you think you have cared for in the past two weeks?

I’m guessing…quite a few.

“In 2014, a total of 7.2 million hospital discharges were reported with diabetes as any listed diagnosis among U.S. adults aged 18 years or older.”1 Add to that, “reports indicate that only 5-7% of individuals eligible for DSMES [Diabetes Self-Management Education and Support] through Medicare or a private insurance plan actually receive it.”2 5-7%! Chances are your patient has not received diabetes education in his or her lifetime.

As a registered nurse and certified diabetes educator (CDE), my role is to guide people with diabetes toward better understanding and management of what can be a very complex disease process.

I am available to you and your patients five days a week, including a few Saturdays each month. You may place a diabetes education referral without a doctor’s order at any time: choose “Common Daily” > “Referrals” > “Diabetic Care Referral”.

Certainly place a referral for a new diabetes diagnosis or medication, a patient admitted with hypoglycemia, hyperglycemia, DKA/ HHS or diabetes complication, but also any patient you feel could benefit from diabetes education.

Additionally, we offer DSMES classes at Kenmore Mercy Hospital and throughout Catholic Health; information can be found in the navy blue DM education penda flexes on your nursing unit or by directing the patient to contact HealthConnection at 447-6205.

Feel free to contact me: Megan Kosmoski, BSN, RN, CDE at x76273 or pager: 643-7619. Thank you! http://www.diabetes.org/assets/pdfs/basics/cdc-statisticsreport-2017.pdf 1

Standards of Medical Care in Diabetes – 2019. Diabetes Care 2019;42(Suppl. 1)S46-S60 2

Welcome To Our New Nurses From November - December January: Kelsie Becker, RN, BSN - 2 South Taylor Horne, RN, BSN - ED Deanna Farina RN, BSN - ED Breonna LaRusso, RN, BSN - 2 South Samantha Ruda, RN, BSN - ICU February: Melissa Borgese, RN, BSN - Float Elizabeth Sutherland, RN, BSN - 3 East

Save the Date March is Colon Cancer Awareness Month and National Nutrition Month and March 25-29 is Gastrointestinal Nurses and Associates Week.

Take the time to learn more about colorectal cancer and gastrointestinal diseases, such as diverticulosis, colitis, and Crohn’s.

Get the facts about risk factors, prevention strategies, treatment options and nutritional considerations. Thursday, March 28 starting at 1 p.m. in the Community Room.

Join us for our Gastrointestinal Education Day featuring guest speakers Daniel Leberer, MD, colorectal surgeon, discussing colon cancer at 1 p.m.

Timothy M. Adams, MD, colorectal surgeon, discussing diverticulosis at 2 p.m.

The HR Service Center Kiosk has moved to room 4041 (across from Associate Health).

This space is open for associates to use the computer, phone and printer to perform work related tasks.

You can access your Catholic Health email, Employee Space or Manager Space, or print or scan work related documents.

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Nutrition Screening, Assessment, and Reassessment (Policy # FN-07-CN)

Compassion Helps with Patient Healing

This policy is instituted to ensure ALL patient’s nutritional status is evaluated within 24 hours of admission and throughout their hospitalization. The patients identified to be at high nutrition risk, based on established criteria, will be assessed and an individualized care plan will be developed, evaluated, and updated as needed.

• Upon admission of all acute care patients, the RN will complete a nutrition screen within 24 hours, with the exception of surgical patients who will be screened by the Registered Dietitian within 24 hours of admission to the floor.

• The Nursing screen will initiate a referral to Nutritional Services for all patients found to be at high risk, based on established criteria.

- The Registered Dietitian will complete a nutrition assessment in the patient’s medical record, when appropriate, within 1 (one) day of the referral.

• If at any time during the patient’s hospital stay, the patient’s status changes and any high-risk criteria are identified, they can be referred by any member of the multidisciplinary care team, to a Registered Dietitian for an assessment.

• Reassessment occurs at regular intervals in the course of a patient’s hospital stay.

- High risk patients will be reassessed at a maximum of every 5 days from the initial assessment and documented in the medical record, unless the Dietitian determines the need for more frequent monitoring.

- Recommendations for interventions requiring a provider order will be documented in the electronic medical record.

- Patients in ICU will be reassessed within 3 (three) days of the initial review, or sooner if the Registered Dietitian determines the need for more frequent monitoring.

RN Swallow Screen • The swallow screen is a requirement for certain patients - It is the expectation that the RN will utilize nursing judgement for those that do not fit the specific diagnosis listed on the Swallow Screen.

- Example: Respiratory compromise, excessive secretions, change in mental status • It is expected that any change in patient condition will prompt the nurse to re-screen the patient and follow protocol thereafter.

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When Jennifer Zoratti (seen above in red) arrived at the Emergency Department in August, she was afraid. Little did she know that would be start of a whirlwind tour of Kenmore Mercy Hospital.

While it turned out to be much more than Jennifer ever bargained for, including a week under sedation in the ICU and a diagnosis of West Nile Virus, she can’t say enough about the care provided to her.

The list of doctors, nurses and other clinical staff that stood by her side is large, but that’s the caring and compassion that Kenmore Mercy is all about.

The associates and Jennifer’s family were her cheerleaders the entire time, keeping her motivated, and helping her to heal.

That included special time with her three children, baking cookies from scratch during occupational therapy sessions, songs from food service ambassador Gloria Peay, and special activities during the holiday season.

Jennifer was finally discharged from the 3 East Patient Care Unit on January 3, just shy of Christmas. Since she was unable to go home for the holidays, the nursing staff arranged for a Christmas party with her family on the unit.

Today, Jennifer is home with her loved ones and grateful for her care and the people that stood by her side.

Jennifer Zoratti baked cookies as part of her occupational therapy.