Nursing Directors Meeting

NK7-21

SMAT 10/5/11 11am ETower Board Room

Objective - Review supply cost for PH/SFMC, PRC report, contracts, savings initiatives, policies & SMAT Report Card.

Present: Chair person -Daniel Reeves, CFO, PSFHC Kathy Guy, Dir Professional Resources Maria Guth, Dir. Value Analysis Mike Force, Dir Pharmacy Patrick Ballard, Dr. Finance Ann Kjosa, VP Nursing – SFMC Dr. Jeff Oram-Smith, CMO, PSFHS Karla Barber , Dir. Value Analysis Dr. Pete Walsh, VP MSA, SFMC Rochelle Salmore, Mgr Wound Care Jerry Rameriz – Interim Dir Supply Chain Mgmt Kate McCord, CNO PSFHS Absent Jamie Smith, COO, PSFHC Phyllis Jordan, Manager OR Mark Hartman, VP Operations Lonnie Cramer, Dir Imaging Services Rose Ann Moore, Dir Pt. Care, PH Kelli Saucerman, Dir. CE/QI PSFHC Gail Decker, Dir Revenue Cycle Kelly Ledbetter, Mgr. Peri-op SFMC

Approval of minutes Send corrections to Danielle Osowicki Agenda Items Discussion Action Responsible Reflection To the world you may be one person. To one Jeff Oram- person you may be the world Smith Ear Pressure Ulcer Pressure Ulcers on Ears from 30% of nosocomial Pressure Ulcers are on the ears from oxygen tubing. There are ear foams that can be Rochelle Review Oxygen Tubing used by the staff to help cushion the tube on the ear that can help reduce the ulcers. Nurses on two floors Salmore have been taping the ear foams on the nasal cannula packages so the staff will use them on all necessary patients. Percentages of ulcers on these floors have decreased from 57% in February to 34% in August. Unfortunately aprox 2/3 of the ulcers are not documented by the physicians.

Would like a estimated price on what a pressure ulcer can cost the facility.

Options are to change the tubing to a softer silastic oxygen cannula or to change the ear foam that is used. Current oxygen tubing is $.19 where the suggested product, Westmed, is $.90 for 14ft. Current ear covers used, AirLife Ear Covers: $.42. (These usually only stay when taped on.) Suggested product, OxyEars: $.83

A study will be done that will involve the 4th, 11th and BBU floors. 11th floor is currently taping the covers to the tubing so they will stay with this process. 4th floor will be using the soft tubing BBU will use the improved OxyEars foam. This study will take place for 3mo. Need to check with respiratory on the # of pt’s that are on full-time oxygen per floor MILD (Minimally Gail Decker and Kelli Saucerman Will remain on the Agenda for November Gail Invasive Lumbar were not in attendance. Decker/Kelli Decompression) Saucerman Procedure Billing Going Green Trash compacter update Patrick has a follow-up meeting scheduled on 10/12 at 8:30am. Patrick Ballard Nutrition Services is unhappy with the location of the container.

Patrick will contact Kirsi Aryan-Edwardson, Director of Littleton Nutrition Services, to discuss their process. Supply Chain Update Recall Process (ECRI) October 28th they will Go Live. Jerry Currently collecting all user information to set up for training. Rameriz ECRI coordinators will alert certain individuals who have been trained with any recalls.