September / October 2018

Kenmore Mercy Hospital

Kronicle

News and announcements for Nursing Staff at Kenmore Mercy Hospital September/October 2018

Teamwork in healthcare is essential. We depend on our colleagues to be there to help and support us as we provide care to our patients.

Mentors Helping Improve Nurse Retention

Teamwork also helps the workplace become more enjoyable, as we can depend on others consistently.

We all know what it feels like to be on a cohesive team so what are some of those specific qualities to make us a good team player?

• Show genuine commitment… strive towards excellence • Be reliable and responsible… all the time • Keep your team informed ... share your ideas • Always be ready to help; be generous with your knowledge and assistance • Support and respect others-become self-aware how you treat or respond to others • Be a problem solver • Be aware of what challenges your teammate faces and help them out.

Challenge yourself to be even a better team player and watch the team work grow and become more cohesive!

Teamwork makes it dream work!

Kenmore Mercy is always striving to improve our nurse retention rates and over the past year one activity that focused on retaining our nurses was the implementation of the Nurse Mentor Program.

The mentor program was developed as a collaborative effort between Kenmore Mercy nursing leadership, CWA representatives as well as a nurse from our corporate team.

The mentor program was developed based off of AMSN guidelines and is led by 2W clinical nurse, Johanna Boyd. The mentor program was designed to guide a mutual relationship between an experienced nurse (mentor) and a new nurse or nurse transitioning to a new role (mentee).

It provides a framework adopted from the Academy of MedicalSurgical Nurses Mentoring Program, for the passage of wisdom, caring, and confidence between new and experienced nurses.

The mentor serves as an immediate resource person and provides moral support, guidance and advice. It was no surprise that the mentor program was met with enthusiasm from experienced clinical nurses with an overwhelming eagerness to represent each direct care unit and become mentors.

Each mentor is provided education by Johanna who also carefully pairs each mentor and mentee, based off of a profile each nurse fills out, to ensure it is a good match. The mentors were celebrated in September with a luncheon where they also received a

ICU Using MEWS ICU nurse manager Kristen Parisi, RN, BSN, CCRN, and ICU clinical nurse Mary LaMartina, RN, BSN, CCRN, both attended the 2017 Magnet Conference. While there, they learned about the value of the implementation of the Modified Early Warning Score (MEWS).

The MEWS is a simple, physiological score that may allow improvement in the quality and safety of management provided to our patients.

The primary purpose is to prevent delay in intervention and promote early intervention at the start of patient decline. The MEWS was initiated on September 24 and the goals of the program are to; decrease rapid responses, decrease mortality and decrease transfers to the ICU. Stay tuned for more updates through the MEWS news!

Welcome To Our New Hires From August - October August: Clare Hourihan, RN - ED Joshua Miller, BSN, RN - 2E/2S Mariam Mannan, BSN, RN - 3E September: Jenna Handrich, BSN, RN - ED Cara Matiash, RN - ED Sarah Naples, BSN, RN - 2W Karinina Quimpo, BSN, RN - 2W Megan Schermerhorn, BSN, RN - 3E October: Amber Czaja, BSN, RN - 2W Marissa Krzyzan (Fortino), BSN, RN - ED Meghan Leonardi, BSN, RN - 2W Kayla Thorn, BSN, RN - ED Allyson Wolf, BSN, RN - 2E/2S

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Fall Back Into Magnet Our Celebration Continues Monday, October 29 Visit our Magnet table during the following times: 6:30 a.m. - 8 a.m., 9 a.m. - 4 p.m, and 10 p.m.- midnight Cider and donuts will be served.

• Sign the re-commitment to our Nursing Professional Practice Model • Blessing of the Hands • Leave a message on the “What Magnet Means to Me” board • Play Magnet trivia for a chance to win a prize • Put in your guess for the count in the candy jar (winner announced on Friday) Wednesday, October 31 Visit Magnet table during the following times: 6:30 a.m. - 8 a.m., 9 a.m. - 4 p.m., and 10 p.m. - midnight Cider and donuts will be served.

• Sign the re-commitment to our Nursing Professional Practice Model • Receive Magnet gift from Cheryl Hayes • Leave a message on the “What Magnet Means to Me” board • Play Magnet trivia for a chance to win a prize • Put in your guess for the count in the candy jar (winner announced on Friday) Friday, November 12 Visit Magnet table during the following times: 6:30 a.m. - 8 a.m., 9 a.m. - 4 p.m., and 10 p.m. - midnight Cider and donuts will be served.

• Sign the re-commitment to our Nursing Professional Practice Model • Unit winner announced for Gerard Place collection (winning unit will get pizza/wings) • Leave a message on the “What Magnet Means to Me” board • Play Magnet trivia for a chance to win a prize • Put in your guess for the count in the candy jar (winner announced at the end of the day) • Wining unit for Gerard Place Collection announced. **Jar of chocolate guessing game will be throughout week **There will be a collection for Gerard Place throughout the week and the unit that contributes the highest number of donations will win a pizza party (needs list on the back)

“Great Catch” Makes A Difference for Patients

October Shared Governance Takeaways Nursing Informatics: All Marlin boards are up and running. Please use the request form to submit items for the boards. We are researching if the boards can be dimmed at night with remote controls.

Dereta Billips

Marianne Lovullo

James McQuade

Thank you to the nursing team in our Ambulatory Surgery Department - registered nurses Delreta Billips, Kimberly DeGlopper (not pictured), and Marianne Lovullo, for their questioning attitudes and willingness to speak up when something doesn’t seem quite right.

Thank you also to James McQuade, BSN, RN, from 2 West.

Delreta, Kim, and Marianne made a “Great Catch” by questioning test results for a patient scheduled for spine surgery. By suggesting a different type of test, they were able to identify a large clot in the iliac vein. As a result, the surgery was canceled and the patient had an Inferior Vena Cava Filter implanted and was admitted for treatment.

In June, it was James’ knowledge of his patient who had been previously admitted that led to a life saving intervention. He recognized she was not as alert as she usually was, and was staring off across the room, but would follow commands upon stimulation.

He felt something was wrong and therefore completed a neuro exam at the bedside utilizing the interpreter service and the patient’s family. The patient complained of worsening blurred vision, worsening headache, dizziness, and severe pressure in the back of her head/ neck.

A rapid response was called and a stat CT was ordered. The patient was immediately transferred to ICU. She eventually was treated with Plavix, an EVD placed, and a suboccipital craniectomy done.

Thank you Delreta, Kim, Marianne, and James for your attention to detail!

Follow up is being done for doctors that are sending orders through Tiger Text. Orders are not to be taken through Tiger Text. If they are please print the screen and send it to Heather Telford and Dr. Stehlik. Policy must be followed.

The Policy for cell phone use was reviewed.

Can they be used for work related research?

Cheryl Hayes will look into and follow up with committee.

If you would like to see your pet on one of our memos, please text the picture and name of your pet to Amber at 331-0275 Peer Review: Case reviews showed a trend in issues with blood transfusions. Please review the policy.

Consents must be signed and need to be reviewed/signed by two nurses and hung on time.

Nursing Practice: Visitor policy was reviewed- guidelines for visitors were discussed and a sheet to be handed to each visitor will be created.

Magnet celebration week October 29 November 2. Look for signs posted on Marlin boards and throughout units for details.

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.

Retention & Recruitment: Reviewed survey results and follow up plan (meaningful recognition and manager engagement) committee will resurvey in early 2019

Emergency Nurse of Excellence Recognized

“Return to Care” - what takes nurses away from the bedside? Is it a factor in nurse retention? Most common things were; looking for supplies, families/visitors and phone calls.

Congratulations to this year’s Emergency Nurse of Excellence Melissa Cavalluzzo, RN. Runner-ups for the award were registered nurses Cheryl Robinson and Kelsey Tavano.

Melissa Cavalluzo

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Associate Forum Dates Monday, October 29 from 5 p.m. – 7 p.m.

Tuesday, October 30 from 1 p.m. – 3 p.m.

Wednesday, October 31 from 10 a.m. – noon Thursday, November 1 from 10 p.m. – midnight Tuesday, November 6 from 5 - 7 p.m.

Friday, November 9 from 11:30 a.m. – 1:30 p.m.

Tuesday, November 13 from 1 p.m. – 3 p.m.

Wednesday, November 14 from 10 p.m. – midnight Visit us in our new location for 2018, the 3 West Patient Care Unit. Our emphasis this year is “You are our patients’ experience.”

Congratulations to Renata Pagels, RN (ICU) who won the Move With Care puzzle game. A special thank you to Nila Alemany, from Radiology, who donated the basket.

Acts of ...

In September, we started a new patient experience initiative where we focus on and emphasize specific behaviors each month. September featured compassion, October was Excellence, and November’s focus is gratitude. Placing a renewed emphasis on our behaviors toward patients, their families, and our fellow co-workers will hopefully see an enhanced and strengthened culture around Kenmore Mercy. Culture and patient experience are a natural connection as good culture builds good outcomes.

You may have noticed pictures on the Marlin boards with the phrases “Acts of Compassion” or “Acts of Excellence.” These pictures are a way to highlight the great interactions and behaviors exhibited by our associates in all that they do.

Anybody can submit a picture (with the permission of the person you’re featuring) when you “catch them” in an act of compassion, excellence, or gratitude. This is also a nice way to recognize our associates and continue to build engagement as we strive to live out our mission and values on a daily basis.

If you see someone who should be recognized, you can send your note and photo to Roxana Schuler or call her at x76211.

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Nursing Picture Pages