Volume 4
WHAT’Snew
Number 2
January 23, 2015
Pennsylvania Hospital
Nightingale
The New
The image of the nurse is synonymous with hospitals and doctors’ offices. But in 2015, that sure is one old school point of view. Today’s nurses defy old stereotypes. Both male and female, many earn multiple advanced degrees, working out of uniform and beyond the bedside to all areas of health care.
“She truly is an expert in knowing what is available and optimizing all resources to make sure our patients receive the education they need to help them to feed their infants in the safest and healthiest way, long after they leave the hospital.” — Pamela Powers, MSN, RN, ACNS-BC, CENP
Inside The New Nightingale continued...................................2 Traumatology Moves................2 Year in Review: A Look Back at 2014! ...............2 Way to Represent! ...................3 TJC Corner.................................4 Ebola Preparedness..................4
Meet Debi Page Ferrarello, MSN, MS, IBCLC, RLC, director of Family Education and Lactation at Pennsylvania Hospital, whose tireless efforts recently earned the 20-plus years maternal/child health care veteran the 25th annual Nightingale Award of Pennsylvania for Community Nursing. Like the 19th century pioneering nurse and social reformer Florence Nightingale for which the award is named after, Ferrarello helps her patients way outside of hospital walls. Ferrarello is responsible for program development, implementation and evaluation of the hospital’s Lactation Program and Childbirth Education. She oversees Solutions for Women, PAH’s specialty boutique located in the community, which caters to new moms and cancer survivors. She creates and facilitates interdepartmental taskforces to tackle problems and directs and innovative lactation consultation internship program. A published researcher and author, she is also the team leader for the hospital’s Baby-Friendly journey to create an optimal environment for infant feeding and mother-baby bonding. “Frankly, I was very surprised to learn that I was even considered for the position because, like all of us, I was just plugging along, doing
my job and doing what I care about,” said Ferrarello. “In health care, we are honored to do work that matters…work that is meaningful and that has an impact on people’s lives for the long run. The fact that the award was for nursing care at the community level, means a lot to me because the community is where people live their lives. They come to the hospital for one just small slice of their lives. Making a difference in the community means that we make a difference in real life.” Pamela Power, MSN, RN, ACNS-BC, CENP, clinical director of Women’s Health at PAH, and the one who nominated Ferrarello for the award, wasn’t at all surprised that she received it. “Debi is both a clinical expert in her area of practice, lactation, and an expert educator of her community,” said Power. “She understands that our community members need to be educated by using modalities that go far beyond ‘handouts’ and encourages us to seek out and use technology of the day. She truly is an expert in knowing what is available and optimizing all resources to make sure our patients receive the education they need to help them to feed their infants in the safest and healthiest way, long after they leave the hospital.”
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Nightingale
The New
Traumatology Moves
/ / / Continued from Cover
Ferrarello, who is also an International Board Certified Lactation Consultant, spearheaded change processes for staff, physicians, mothers and families to provide care that promotes breastfeeding and supports breast and bottle feeding mothers, in order to create an optimal environment for infant feeding and mother-baby bonding. She also led PAH through the performance improvement odyssey that makes the hospital eligible to achieve Baby-friendly status. She is currently working with the women’s health team to prepare for a site visit from Baby-friendly USA so PAH can be officially accredited as a “Baby-friendly” designation — a designation held by only about 200 hospitals in the U.S. right now that indicates that the hospital has adopted “best practices” related to promoting mother/baby bonding and optimal infant feeding. Her efforts primarily contributed to PAH being chosen as one of 90 hospitals across the country to participate in a $6 million grant to help hospitals achieve Baby Friendly status through performance improvement. “Baby-friendly hospitals have a positive impact on their community, so this is a big deal for us and we’re really excited,” said Ferrarello. Ferrarello is responsible for the PAH Parent Education Program that serves more than 3,000 women and their families each year
with education ranging from childbirth and breastfeeding classes to Infant CPR. “Debi is someone who wants to improve our community by helping mothers to be the best mothers that they can be. This helps infants grow up to be healthy and well cared for and help our community to grow stronger with each generation,” said Power. “I am so grateful that our community has someone like Deb who is so skilled, so passionate, and so capable to do this noble work.” A nationally well-regarded expert in her field, Ferrarello was called to Washington, D.C., last year by the National Institutes of Health’s National Institutes of Child Health and Human Development (NICHD) to be part of a think tank for the Safe to Sleep campaign. The group addressed issues related to community education about safe sleep for infants for women at the community level. “I love that my job allows me to work with a lot of different people in a lot of different ways,” said Ferrarello. “It gives me the support I need to serve on the national board of my professional association, to teach new-to-practice nurses how to support their breastfeeding patients, to offer classes that help prepare expectant parents for parenthood, and to work with colleagues across all disciplines to create a culture that helps patients to meet their goals.”
As of January 15, Penn Medicine’s Division of Traumatology, Surgical Critical Care and Emergency Surgery administrative offices have relocated from HUP to: Penn Presbyterian Medical Center Division of Traumatology, Surgical Critical Care & Emergency Surgery 51 N. 39th Street Medical Office Building, 1St Floor, Suite 120 Philadelphia, PA 19104 Administrative phone number: 215-662-7323 Clinical office phone: 215-662-7320 Fax: 215-243-2065. All division faculty and staff telephone and fax numbers can be located by using the phone directory link on the main UPHS intranet site. Penn Medicine’s Level 1 Regional Resource Trauma Center will transition to the new Pavilion for Advanced Care at Penn Presbyterian Medical Center on Feb. 4. Look for more about the Trauma Center’s move in future issues of System News and What’s New.
Year in Review: A Look Back at 2014! Hospital of the University of Pennsylvania As we welcome in the Year, the Penn PennsylvaniaNew Hospital
Medicine department of Communications is taking a look back at 2014, Penn Presbyterian Medical Center a year filled with more
December
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Chester County Hospital
January
breakthroughs in medical research, growth on Penn Medicine’s campus, and philanthropic support.
February
This year, we took a different approach and put together a year in review video to showcase the many achievements of our faculty, staff, and students in 2014. From gene therapy to gigantic sculptures to glowing tumors, we’ve got your 2014 roundup of Penn Medicine news. Check out
March
April
May
Way to Represent! Five out of 11 Q215 CAREs Foundation Grants Awarded to PAH > Carlene Clark, Pharmacy, for Show Sjogren’s, a new project to be launched to show social support, share resources and bring awareness to those with Sjogren’s syndrome, a chronic autoimmune disease in which people’s white blood cells attack their moisture-producing glands. > Lauren Cliggitt, Hall-Mercer/Child Trauma Program, to help fund the continuation of weekly meetings for the Teen Girls Trauma Support Group. Participants, ages 14-17, have undergone individual traumafocused therapy but continue to live with high levels of stress. This support group helps empower them so they can cope more effectively, connect with others and create meaning and purpose in their lives. > Debi Page Ferrarello, Family Education/Lactation, for Milk Mamas, a new program to be offered to mothers of PAH Intensive Care Nursery patients to facilitate breast feeding for the most vulnerable of infants. Through this program, mother-to-mother breastfeeding support sessions, as well as direction from a lactation consultant, will be available.
Congratulations to all the winners of the Penn Medicine CAREs grant for the second quarter of FY15: > Christina Bach, Oncolink – UPHS
Camp Kesem Camper Scholarship for Children of Parents of the Abramson Cancer Center
> Marge Delaney, Human Resources – UPHS
“Clean Clothes” for the Veterans Group of Powelton Village
> John Flamma, Emergency Medicine – PPMC
Patient Medication Assistance
> Gary Ginsberg, Facilities – PPMC
People’s Emergency Center Food Cupboard
> Matt Kearney, Family Medicine and Community Health and the Center for Public health Initiatives – PPMC
Lea Elementary Health and Wellness Initiative
> Nicole Leighton, General Internal Medicine – CPUP
Transitional care support from hospital to home for high-risk heart patients of GI Medicine
> Kerry Nihill, Penn Medicine Academy – UPHS > Melinda Lamb, Endoscopy, for St. Wilfrid’s Free Clinic, where volunteers from First Presbyterian Church in Haddonfield, NJ, join forces with other local community organizations to host a monthly health clinic offering health screenings, counseling, hygiene products, food and friendship. > Michelle Sohlich-Miller, Intensive Care Nursery, for the Pennsylvania Hospital Women’s Health Outreach School Education Project to enable PAH Women’s Health nurses to expand their community outreach and partner with local schools to offer health education to the community.
the “This Year in Penn Medicine News” video: http://bit.ly/14hLevl. Stay tuned in 2015 as we celebrate the 250th anniversary of the Perelman School of Medicine and release the next editions of the Penn
June
July .com/PennMed
Homework Helper Program, The Drueding Center
Each quarter, the CAREs Foundation awards grants of up to $2,000 per project to community and hospital-based programs on behalf of employees or Perelman School of Medicine students who volunteer their time to support those programs. For more information and to apply, please visit www.Pennmedicine. org/community. Applications for the next round of grants are being accepted until March 1.
discoveries and innovations; excellence in training tomorrow’s physicians and scientists; safe and compassionate patient care; and service to the community.
Medicine Facts & Figures brochure and the 2015 edition of Simply Because to learn more about how Penn Medicine is committed to a tradition of pioneering medical
August
September .com/PennMedNews
October PennMedicine.org/news
November
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needs. “When requests are submitted routinely, we will not have a mad dash to clean and repair to maintain survey readiness,” said Lord-Gartner.
TJC Corner Staying in a State of Perpetual Preparedness The Joint Commissions (TJC), the independent, notfor-profit organization that accredits and certifies more than 20,500 health care organizations and programs in the U.S., is due to inspect PAH any day now until April 20. Keep on the lookout! TJC’s visit with us will be announced at 7:30 a.m. the morning of their arrival. Surveyors will be here for five (5) days beginning at approximately 7:45 a.m. each day. Staff will receive a notice of TJC’s arrival through the Emergency Notification System and via email through the “Site PAH All Members” group. “Our ongoing surveillance is vital to every day survey readiness at PAH,” said Marian LordGartner, MSN, RN, Regulatory Compliance manager, Performance Improvement. Staff are asked to please utilize the new Somax electronic system to report work orders to Engineering Services and contact Environmental Services for their cleaning
Keep a keen eye out for: • H allway Clutter: Hallway clutter poses
a safety hazard, especially in the event of an emergency. Please always keep hallways clear of items other than code carts, isolation gowns and carts designated for isolation rooms. All other items must be removed from hallways within 30 minutes of use. • D usty Surfaces: Keep areas clean
and request help when needed by contacting Environmental Services. For routine requests (trash removal, spill, rugs, curtain, exterminator) call x3235 from 7:30 a.m. to 4 p.m. During off hours, call the EVS 24 Hour Hotline at x3930. • P roper O2 Tank Storage &
Transport: Proper oxygen tank handling is critical for the safety of our patients, guests, and employees. O2 Tank storage and transport is regulated by the Centers for Medicare Services and Department of Health — as well as TJC. Following these steps to assure safety and compliance: • Store tanks with greater than (>) 500 PSI in
“Ready for Use” (previously named “Full”) racks found in the Clean Supply Storage areas • Only store tanks with less than (<) 500 PSI in the
“Empty O2” racks found in the soiled utility rooms
Ebola Preparedness at Penn Medicine
• Always place O2 tanks in a rack (single and/or
multiple racks are available in all clinical areas)
• Transport O2 tanks in designated holders on
stretchers or beds
• Do not leave O2 tanks sitting on the floor (upright
or laying down)
• Emergent situations only (in the absence of
a holder) — pad the O2 tank with blankets and assure security on the bed before transporting the patient Look for the following button on the PAH Intranet page to access the Somas electronic system to report work orders to Engineering Services:
Engineering Request Don’t forget to Sweep! Is your unit performing a daily “Ten Minute Sweep” for survey prep? This 34 point check off list literally takes no more than ten minutes to complete and is being adopted as a “best practice” to continue after TJC survey. The list can be found here under the Survey Prep Tools section of TJC page on PAH’s Intranet: http:// uphsxnet.uphs.upenn.edu/pahhome/jcaho/. Visit the Regulatory Requirements button on the PAH Intranet homepage for access to more information such as education tips and tools, TJC newsletter and TJC Everyday survey prep tools and resources. Please contact Marian LordGartner, MSN, RN, at marrian.lord-gartner@ uphs.upenn.edu, x7722 or 215-300-6761.
WHAT’Snew EDITORIAL STAFF
Preparations for the possibility of caring for a patient with Ebola continue at HUP to maintain competency. HUP is part of an elite group of 35 hospitals nationwide — and the only adult hospital in Pennsylvania — declared capable of safely caring for patients with Ebola by the Centers for Disease Control (CDC). The isolated Special Triage and Treatment Units at HUP where a suspected Ebola patient would be evaluated and cared for remain ready. We continue to screen outpatients throughout the Health System as recommended by the CDC for at-risk travel and symptoms. As always, we encourage all staff to continue to check for updates at http://pennpoint.uphs.upenn.edu/sites/ebola/default.aspx. As a reminder, two phone lines have been established to assist clinicians and staff around the clock: > Clinicians with patient-related questions should call 215-614-0524 where a physician is available to handle calls about screening, isolation and, if necessary, lead arrangements for patient transport to HUP from another entity. > General questions not pertaining to direct patient care call 215-615-2929. For Ebola guidelines and further information about preparedness, visit the PAH Intranet homepage.
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Olivia Fermano Editor and Photographer Pamela Furches Design Graphic Design Barry Ogburn Photography
ADMINISTRATION
Susan E. Phillips Senior Vice President, Public Affairs Holly Auer Director of Communications Sally Sapega Director of Internal Communications Contact What’snew at: Department of Communications Pennsylvania Hospital Philadelphia, PA 19106 phone: 215.829.6799 email: olivia.fermano@uphs.upenn.edu WHAT’Snew is published biweekly for PAH employees. Access WHAT’Snew online at http://news.pennmedicine.org/inside/whats-new/.