December 13, 2013
Hello. A few months ago, I wrote to you about the launch of Hello humankindness— a powerful idea that reflects our shared heritage and future hopes and guides the way we treat our patients, each other and the people in our communities. The response has been overwhelming. I can't count how many friends, family members, colleagues, and perfect strangers have told me they've been deeply moved and inspired by our message. I'm sure many of you have had similar experiences. In a very short time, the number of people in our communities who are familiar with Dignity Health has grown considerably. In fact, awareness has doubled since last year. But you and I both know that Hello humankindness cannot simply be an inspiring message. It must be a lived experience — for the people we serve, the communities we touch and for all of us as members of the Dignity Health family. Recently, an employee shared a letter that described such an experience. A Medal of Honor recipient from the Vietnam War was being treated at St. Joseph's Medical Center in Stockton for a number of health issues. During his three-month stay, his lower left leg had to be amputated and he'd suffered a major infection. His wife faced challenges of her own. She was battling cancer. Together, their spirits were about as low as they could be. Then one evening, the nurses on duty
surprised them with a special dinner and an uplifting movie, "Trouble with the Curve," featuring his favorite actor, Clint Eastwood. Both were incredibly grateful. The patient was recently released from a Veterans hospital where he had continued his recuperation. And his wife's cancer is in remission. No message we deliver as an organization will ever be as powerful as stories like these from the women and men closest to our patients who deliver and experience the culture of humankindness at Dignity Health. The ability of Hello humankindness to grow and endure as a movement will depend on the ideas, actions, and practices that occur each day in our hospitals, clinics and offices. Have you come across inspiring stories in your facility like the Medal of Honor recipient's? Are there things you do or say in your job that might serve as an example of kindness and humanity for the rest of us? Please share those stories on https://www. dignityhealth.org/humankindness. You also can send an email or text to humankindness@dignityhealth.org. Just as important are your ideas on how we can better deliver on our promise of humankindness in our hospitals and clinics. Do you have a "humankindness practice" that should become a standard practice for Dignity Health? What can we do for our patients or each other to demonstrate the power of
humankindness at every interaction? I ask you to imagine a world where everyone who seeks care from Dignity Health is treated not just as a patient, but as a person who holds the same hopes and anxieties about their health as we do for ourselves and our families. Please share your ideas and humankindness practices with your colleagues, supervisors, and senior leaders during huddles, employee forums and individual meetings. And you can also send them directly to me by emailing or texting me at Lloyd@ DignityHealth.org. Together, our hopes, discussions, and conclusions will become the foundation for the changes we implement in our hospitals and care centers, the reforms we champion throughout the health care industry, and the example we set for the world. I look forward to hearing from you.
Lloyd H. Dean President/CEO
December
Gift Shop News
20% off (No candy, flowers/plants, books/newspapers)
Employee Discount Week starts early!
December 9th - 24th
Holiday Hours December 24: Open until 1:00 p.m. December 25: CLOSED December 26: Open at 9:00 a.m. (All Christmas items will be 50% off December 26th)
December 31: Open until 1:00 p.m. January 1: CLOSED
We wish all of you and your families a very Merry Christmas, and a Happy New Year! Here’s to good health, love and prosperity in 2014! Today, Dec. 13th, we will be closed for our Volunteer luncheon from 11:00 a.m. till 2:00 p.m., where we will draw the lucky WINNER for the Demdaco Nativity set! Thank you all for participating in the opportunity drawing!
December 13, 2013
State Disaster Drill - 12-10-13
December 13, 2013
Welcome our newest employees to Mercy Dayna Barrios
Found earring in the Staff Parking Lot C
Cancer Center
Terrell Chambers Lab
Warda Ali
Respiratory
@ Mercy Medical Center
If you lost the mate to this earring, contact Lindsey Gallagher by phone at 564-5077 or by email at Lindsey.gallagher@dignityhealth.org.
Thank You to all the employees that were involved in planning, decorating and cleaning up the employee holiday party.
Thank you! The Education Department helping out with the Blood Drive last week.
If you have any stories of humankindess you would like to share, submit them at: https://dignityhealth. org/humankindness/.
To those departments who participated in the Safety Attitude Questionnaire (SAQ). Results will be shared in January/February 2014
Use your network user name and password to login.
December 13, 2013
2013
BOOT CAMP…….a CNA Continuing Education
Course Objectives:
Mercy Medical Center Clinical Education Department offers courses designed for Certified Nurse Aides which are intended to insure their understanding of anatomy, physiology, patient needs and nursing care delivery. Courses will focus on theory as well as clinical application.
Course Fee:
EMPLOYEES $10.00 Deposit NON-EMPLOYEES $20.00 Fee
Pre-registration is required and must be done in person no less than 3 business days in advance of course. All dates and times are subject to change.
Contact Hours:
Provider approved by the California Board of Certified Nursing Assistants: Provider number NAC 6753 for 4 contact hours per session. All CNA’s must attend the full 4 hour session; no partial credit will be given. Classes will be held on December 13, 2013 & December 20, 2013. Each day will consist of two sessions with a total number of 8 contact hours per day. We strive to meet the needs of our staff and community!
Refund Policy:
If the Education Dept. is notified prior to 3 business days in advance of the course, a full refund will be given. Unless a student reschedules the course, all textbooks and materials must be returned in the condition received. Refunds will not be given for cancellations less than 3 business days prior to the course, or failure to return required textbook/materials. In the event a textbook is returned damaged, all deposits and/or fees will be forfeited.
Day: Friday Time: 8:00 a.m. - 12 noon & 1:00 p.m. - 5:00 p.m. December 13 December 13 December 20
December 20
Multi-Drug Resistant Bacteria, Cholesterol, Fluid & Electrolytes, & Medical Errors CNA -Nurse Relationship, Special Communication Needs, Ethics & Medical Errors Physiology of Carbapenem-resistant Enterobacteriaceae (CRE), Extended Spectrum Beta Lactamase (ESBL), Methicillin-resistant Staphylococcus Aureus (MRSA), Vancomycin-resistant Enteroccoccus (VRE) & Clostridium difficile (C-Diff). To be determined
2014 schedule to be announced….. Course Location Mercy Staff Development 2740 M Street, 2nd Floor, Merced, CA 95340 209-564-4384
December 13, 2013
JUST FOR NURSES
Tip of the Week: Surgical Care Improvement Project (SCIP) by Susan Rutherford, RN MSN Quality Facilitator
S: Recognizing Our Responsibilities: A Review of “Implications of the New International Sepsis Guidelines for Nursing Care” from the American Journal of Critical Care B: Published in May 2013, this article provides an overview of the updated Surviving Sepsis Campaign bundles. The authors of this article participated as nursing representatives for the sepsis guideline revision task force. The authors present an overview of the updated sepsis bundle and guidelines for other supportive care. A: Sepsis, a systemic inflammatory response to infection, remains a leading cause of death worldwide among adults, children and neonates. The authors opened the article by providing a very brief explanation of the cellular processes and tissue hypoperfusion involved in sepsis that serve as a nice reminder of the pathophysiology of sepsis. Additionally, the authors stress the importance of nursing in early recognition and resuscitation of sepsis for improving outcomes and reducing mortality. While the article did not cover early recognition of sepsis in great detail, the article did provide recommendations for nurse-driven improvement projects for sepsis. The recommendations included disseminating information at meetings and during rounds, enlisting nurse champions, and using the new guidelines as a performance improvement initiative.
The article did a good job of identifying the bundle elements and the goals of the 6 hour bundle. The 6 hour bundle is aimed at resuscitation to correct sepsis induced hypoperfusion. Within the first 3 hours of identifying severe sepsis, obtain a lactate level, obtain 2 sets of blood cultures, start antibiotics, and administer 30ml/kg of crystalloid fluids for hypotension or lactate >4. Provided it does not delay antibiotics more than 45 minutes, obtain 2 sets of blood cultures to optimize identification of infective organism. Within 6 hours of septic shock, hypotension that does not respond to initial fluid boluses or for initial lactates >4, apply pressors for hypotension, measure CVP, measure ScVO2, and remeasure the lactate level if the initial level was elevated. The goals of the 6 hour bundle are: CVP of 8-12mm Hg, MAP of >65, urine output >0.5ml/kg, and ScVO2 of 70% or SVO2 of 65%. Norepinephrine is the first choice vasopressor and nursing is responsible for titrating dosages and monitoring B/P, perfusion, mental status and urine output. Supportive care includes VAP prevention for patients undergoing mechanical ventilation, glycemic control, VTE prophylaxis, stress ulcer prophylaxis, ensuring appropriate nutrition, and goal setting for patients and families. R: Early recognition is key. Our hospital already participates on a severe sepsis multidisciplinary team within the Dignity Health system. Our nurses currently do SIRS and severe sepsis screens for patients every shift
and sepsis screening is built into the Rapid Response. Perhaps we should consider routine sepsis rounding and identify nursing sepsis champions for every department. The sepsis bundles are widely publicized and have even been on out screen savers and built into physician sepsis order sets. Our responsibility is to ensure that the bundles are fully implemented.
Sources Kleinpell, R., Aitken, L., Schorr, C. (2013). Implications of the new international sepsis guidelines for nursing care. American Journal of Critical Care, 22(3), 212-222. Retrieved from ajcc.aacnjournals.org
Look in next week’s issue of In Roads for the question about this week’s article. The first day and night shift nurse to email lindsey. gallagher@dignityhealth.org with the correct answer will receive a Mercy Medal from Greg Rouleau, VP CNO.
December 13, 2013