Nursing Excellence 2014
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2 Table of contents | Letter from the Chief nursing officer G Cover photoby VonKathryn (PACU/SBCH) Dollen (CRH) Dan Thomas Care/SBCH) (Critical Tokie Shynk (Patient Services) Care ReimerLinda Nursing) (Parish Jan Ingram (Materials Management) Shawn Hodges (Education/CHS) Henderson Nelson Carol (Chief Nursing Officer) Herb Geary (Education/CHS) Gauthier Dodi (Surgical andTrauma/SBCH) Ellen Fenger (Education/CHS) Jennifer Bower C N 45 and Improvements Innovations Knowledge, New 35 Practice Professional Exemplary 16 Structural Empowerment 8 Transformational Leadership 4 Table ofCon Magne O UR lenn Dubock (Media Services) (Media lenn Dubock MMITT S I N t® Journey G E EE XC ELLEN
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Cottage Health System Vice andChief Nursing Officer Patient President, Services Care BSN, FACHE RN, Herb MBA, Geary, System. You Week… Happy Nurses are the best!! andyourcommitment toCottage Health degrees, and advanced inyourspecialty, certification further forseeking for yourexpertise to ourpatients, I wouldliketothank allofyouforyourdedication ofSimulation inthe art theirsharing expertise Training. Technician and programming fortheir hard work indesigning, Simulation ArkellBrown, andGordon Coordinator ourSimulation ofSimulationthe art Training. Many toJennifer thanks Granger Wesimulators. in2015toexperience 1,500participants over expect We “state were also 4new able topurchase mannequin ofthe art” center the staffingforyears. fund thenext5 topartially andalso tocreate the Rooms simulation Operating of3former the redesign Hock’s wewere able tofund toNursing, generous incredibly gift Training November. last at Center SBCH Through on2East Mr. Family Hock Simulation theHealth System Gary when weopened Additionally, proud moment at fornurses avery Cottage itwas other ofthe recipients award. ceremony amongthe anhonortobe truly inChicago anditwas able toparticipateinthe award Iwas who were randomlysurveyed. Healthcare’s Top Places toWork 100Best Award” you, by voted as “Modern receiving was in 2014–amongthe significant most PPM. Inadditiontomany awards designed andrecognitions newly We model. on ouroriginal have many received accolades forthe Practice (PPM) Model got a“refresh” yourfeedback seeking after Professional Our andmany communityCommittees projects. Standardsthe with Component Magnet work ofthe 4Magnet isaliveandwell!! Journey Magnet The We continue all tomeet accomplishmentswho submitted tothe Nursing Excellence Team. achievement incommemorating andtoallofyou amazing year last thank the editorial team for another foranother team thank the editorial National Week! Nurses I’d liketo wecelebratethe 2014–as year Nursing Excellence, summarizing Welcome of tothe latest edition Nursing Colleagues, Dear 4/24/15 4:54 PM What an impressive year! 2014 has brought many exciting changes in health care as well as in Nursing at Cottage. The Magnet journey continues to thrive with the four component committees continuing to meet monthly along with the Magnet steering committee. Each of the component committees can proudly reflect on their work this year; work that continues to gain momentum. The accomplishments are many and the highlights include:
Transformation Leadership (TL): Herb Geary’s Quarterly Newsletter: The committee discusses important trends in nursing and provides recommendations on topics for the newsletter. His themes focused on professionalism, change, national/CHS perspective, CHS projects, Simulation, and the nurse’s role in the Ebola challenge. Each of the letters has provided insight on CHS Stock Photos things to come. We have all seen and possibly used Created a Working List of Nursing Committees: The TL committee was able to put those generic pictures of nurses on together a list of committees with nursing involvement; the list is based on information flyers, PowerPoints and posters. from the Nursing Professional Portfolios. The list identifies the committee chair/ With such talented staff of our co-chairs, mission statement, and meeting dates/times and can be found on the Portal, own, we determined it was time Education and Training website under the Magnet tab. to create a stash of stock photos highlighting CHS nurses. With Structural Empowerment (SE): the assistance of Glenn Dubock, Nursing Back to School Day: The SE committee supports and encourages nurses as photographer extraordinaire, we lifelong learners. In May, this event allows staff the opportunity to explore their option: to now have nursing photographs become a nurse or to further their nursing education. that give a glimpse into the “day Recognition of Certified Nurses: The committee sends a personalized letter to the home in the life” of CHS nurses at all of individuals who achieve initial and recertification. During the week of Certified Nurses campuses. The pictures focus on day on March 19th, the committee along with Herb Geary sends a recognition email to collaboration, teaching moments, those who hold specialty nursing certification. eTh committee also distributes green “I am role-to-role interactions, team a specialty certified nurse” ribbon for nurses to wear during the week. A celebratory ad meetings, simulation, and HIPAA was also placed in the Santa Barbara News-Press and Independent honoring the certified compliant patient interactions. nurses. Special thank-you to those who were photographed and represent Exemplary Professional Practice (EP): the spirit of nursing at CHS Nursing Professional Practice Model Revision: We asked, you answered, we listened… and exemplify our core values The Professional Practice Model (PPM) is an important reflection of the nursing care of Excellence, Integrity, and provided at CHS. Based on a series of surveys and the determination of the EP committee Compassion. to represent the voice of nursing, our original PPM image was changed. The wording associated with the PPM remains consistent as nurses agreed that the words accurately If you have questions about the reflect our values. Magnet journey, I am here to Peer Evaluation for 2015: The EP committee embraced the challenge to lead CHS nurses assist! toward the best practice of Nursing Peer Evaluation. With staff input via surveys and Letter from the nursing magnet program coordinator from the Letter focus groups, the process will be implemented in 2015. New Knowledge, Innovations, and Improvements (NK): Communication Enhancing Access to Conducting Research at CHS: The NK committee has been working on spreading the news about CHS New Knowledge, Innovations, and Improvements. NK collaborates with the Research Department to distribute the Research newsletter quarterly. Each member of the NK team takes turns contributing to the newsletter that features information about research, quality improvement (QI), process improvement (PI), and Evidence Based Practice (EBP). Sincerely, Attend the Research Advisory Committee (RAC) meeting: Members from the NK Jennifer Bower, MSN, RN committee rotate attendance at the RAC meeting. Here the NK committee members Nursing Magnet Program learn about the process of nursing research as well as new and exciting ideas nurses have Coordinator for research. [email protected] Magnet Quality celebration 805-448-5941 (cell), x54641 August brought our 2nd annual Magnet Quality celebration, another successful showing of quality outcomes driven by nursing see the full story on page 7.
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4 nursing magnet program LEADERSHIP H Kim F Co-Chairs: MaryMeola,Carol Model Community, Role Nurse Engaged, Professionally Learner/Teacher,Life-Long Commitment to Empowerment: Structural Kim Morales, Rosen, Members: Co-Chairs: Empowering Visionary, Planner, Strategic Courageous, Influential, Transfor Re Members: TiaCaldwell, enger, GaryMilgram,GinaRandall,JanIngram,Judy Corliss, odges, c V o elasquez, Rhonda g D n enise Mc S helley mational Leadership: A i L z inda my i n N ick Urton, g V A B anden Ma D acon, lgeo onald, g H H D B ne euvel, ernstein, Roya ernstein, erb Geary iane S E abine Keller dmund t Jo H B . A arkas, N my ur elson W V ney roblewski, Jim anderputten, Caroline D odi Gauthier, N assirpour, L eade r O S s: E hawn uellette, llen F Co- Chairs: Influence Interdisciplinary Indicators, Nurse/patient Nurse-Sensitive Satisfaction, forthe Practice Professional Passions Model, Practice: Professional Exemplary L Co: Chairs:Tokie Thinking, Forward Savvy Tech Tolerant ofUncertainty,Risk Confident, Taker, Innovator,Improvements: Adventuresome, Kno New Tammy Mc L Maaia, Gensler, Marsha Members: Members: Karin errick, JenniferGranger, Jennifer indy Chavez, auren D S B S utherlin, anilyn Mc aselice andra Ibrahim, E D wledge, Innovations, and Innovations, wledge, D mily Rorden, JackiCutr evitt, Tegan arcy Keep, L orie D S L e hynk, L e W aughlin, Jennifer A L oomis, itte, Christine nn L D H D iz S an Thomas annah, Colleen tella Riddell, e L L undquist, P una, atti W L W oni, indsay P icklund, obig, Karen Rose, imentel, D S unn, Jennifer L S herrie Grimes aura Canfield, usan W P icotte, Mary heeler. V D icki E aniela . W L hite, ekas, 4/24/15 4:54 PM Nursing Posters
• Critical Care: Compassion Doesn’t End When • CNSs: Advanced Practice Registered Nursing the Heart Stops: Perceptions of Honoring APRN Ceremony at End-of-Life • NK: Advancing Nursing Research With Tools • MICU: The Upside Down World of ARDS: Care You Can Use of the MICU Patient on a RotoProne Bed • EP: We Asked, You Answered, We Listened: • 1RT: Day/Night Shift Rotation: Staffing Our New Professional Practice Model Guidelines for Neurology/Urology Nurses • Dialysis: Got Water? 4S: Oncology Nursing Symposia: Innovative • • GVCH Leadership: Huddle for High Reliability: Learning Events Created by Nurses, for Nurses Transforming Care at the bedside: Target Core • 4S: Welcome to your new knee: using a staff Measures created video to educate patients • GVCH Sub Acute: Infection Reduction; Sub- • SE: Professional Development: Defining Acute unit from 10.9 to 2.0 Structure and Process to Recognize and • 3WC: Implementing Change in the Care Promote CHS Certified Nurses Delivery System: An RPCT Pilot Program SE: Beyond Florence: The Image of Nursing: Magnet Quality celebration • • CRH: Validation study of a Fall Risk Assessment Creating a Legacy Tool Specific to the Acute SICU: Promoting Employee Satisfaction • • NICU: Home Bound: Addressing Neonatal and Retention Through Unit Based Shared Length of Stay Governance • SBCH ED: Creating a Culture of Safety – NPs: The role of the Neuroscience Nurse • Quality Improvement efforts focusing on Practitioner through the continuum of the medication use and administration patient’s hospitalization. • Education: Stayin’ Alive! • GVCH ICU: Do we really hear our patients? Active Listening for Patient Engagement • Educaton: Tools for Teacher • MIC/BC: CordStat: Testing for Drug Exposure • Education: A Site with Vision: Enhancing the in-utero Education & Training Website • TL: What is Transformational Leadership (TL)? • SYVCH ED: Cross Training Staff Between ED’s • 3RT: An Approach to Team Nursing • QI: Implementing a formal dysphagia screening protocol for acute stroke patients. • 1WC: Get Back to Teaching with Teach back • QI: Reducing Hospital Acquired Venous 1WC: Critical Incident Stress Debriefing Team • Thromboembolism (DVT & PE) Utilizing • Endo: Comparison of Conventional Bowel Electronic Screening Tool/Order Set Preparation to a Low Volume Split-Dose Prep in • Care Management: Project S.I.T.D.O.W.N the Inpatient Population • Trauma: 2014 Distracted Driving Awareness Parish Nurses: Parish Nursing Program’s Mental • Campaign Health Outreach: PathPoints-Behavioral Health • Trauma: 2013 Distracted Driving Awareness Peds/PICU: Sleeping Safely: Implementation of • Campaign a Pediatric Sedation Nurse • Peds/PICU: The Pediatric Re-Charging Station: Caring for the Caregivers in the Pediatric and Pediatric Intensive Units.
KEY: • Red: Transformation Leadership | • Green: Structural Empowerment • Purple: Exemplary Professional Practice | • Blue: New Knowledge, Innovations, & Improvements 5
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6 Magnet Quality celebration caregivers inthepediatricand intensivecare units P Mos eds/ t P C ICU: The r ea ti ve: P ediatric r
e-charging station:Caringforthe perceptions ofhonoringceremony atend-of-life Critical Car Mos t Info e: Compassiondoesn’t endwhentheheartstops: rm a ti ve:
4/24/15 4:54 PM Magnet Quality Celebration
2nd Annual Magnet Quality Celebration: A boot scootin’ success
The 2nd Annual Magnet Quality Celebration held August 21st was a great success! The event celebrated 38 professional Nursing posters displaying quality outcomes, research and information. The western themed event kicked off at 0700 and was well attended into the night, concluding at 0100. This year’s posters exemplified nursing’s commitment to enhancing outcomes and striving for excellence. The event celebrated nursing successes and sought to share the efforts from the past year. Attendees once again were invited to vote for their favorite posters. The winners were awarded a trophy by Herb Geary and presented their posters at the Shared Governance C3 event that October. The winning posters included: Most Informative: Critical Care: Compassion doesn’t end when the heart stops: perceptions of honoring ceremony at end-of-life Most Creative: Peds/PICU: The Pediatric re-charging station: Caring for the caregivers in the pediatric and pediatric intensive care units
I Never Knew “Wow”: MICU: The upside down world of ARDS: Care of the MICU patient on a RotoProne bed Honorable mentions go to: MIC/BC: CordStat: Testing for drug exposure in-utero Nurse Practitioners: The role of the neuroscience nurse practitioner though the continuum of the patient’s hospitalization. Structural Empowerment Magnet Component Committee: Beyond Florence: The image of nursing: Creating a legacy Peds/PICU: Sleeping safely: Implementation of a pediatric sedation nurse Endoscopy: Comparison of conventional bowel preparation to a low volume split-dose prep in the inpatient population Care Management: Project S.I.T.D.O.W.N For those who missed the event or would like to review the posters at their leisure, an electronic version of the posters is available on the Employee Portal>Education & Training>Magnet tab>Magnet Quality Celebration. I Never Knew “Wow”: The posters are listed by unit/department. MICU: The upside down world of ARDS: Care of the MICU patient on a RotoProne bed 7
NursingYearbook_2014.indd 7 4/24/15 4:54 PM “ Identifies and communicates mission, vision and values, and asks for the involvement of
leadership the work group to achieve the vision.”
Transformational L-R: The three team leaders are Mia Sanders, Debra Lee, and Judy Corliss
Endoscopy Department leadership
The team leader role was implemented in early 2014 to help staff adapt to the new department footprint and streamline work flow. The team leader is responsible for assignments, facilitating, prioritizing, adding on cases, and trouble- shooting. As a result the team experienced improved throughput and staff/patient satisfaction. 8
NursingYearbook_2014.indd 8 4/24/15 4:54 PM The Advisory Board Nurse Executive Center
Herb and the Nursing Directors attended the Advisory Board’s Nurse Executive Conference, “Energizing the Nursing Workforce.” Based on the information presented, an on-site presentation was selected by the leadership team centered Ebola Preparedness at Cottage on cultural diversity. The presenter, Katherine Virkstis of the Health System Advisory Board spoke to more than 60 CHS Clinical Managers, In October a Dallas Presbyterian Hospital RN Clinical Nurse Coordinators and Educators on “Equipping Staff was diagnosed with the Ebola virus. As this news to Care for Diverse Patient Populations.” spread across the world, Nurses, Physicians and L-R : Linda Bacon, Denise McDonald, Carol Henderson Nelson, Dan the Leadership at Cottage sprang in to action. Thomas, Herb Geary, Sherrie Grimes, Tokie Shynk. Lead by Infection Control Practitioner Leslie Stanfield and Dr. David Fisk, a plan was developed that engaged a multidisciplinary team at CHS. Infection Prevention and Control focused first on training employees and physicians most likely to be involved in direct care of a potential Ebola patient, assuring all CDC guidelines and safe practices were in place. Based on this plan, over 222 Health Care Providers volunteered to participate in training sessions. Specialized personal protective equipment was purchased and a secured isolation unit was established, dubbed the Highly Infectious Care Unit (HICU) located on 3 Centennial at SBCH. Leadership provided frequent updates to employees regarding the work that was being done to protect staff and patients while caring for the needs of our community.
L-R: Susie Thielmann, Leslie Stanfield with a team training to care for a suspected Ebola patient.
The ED Lantern Project
The Emergency Department at SBCH formed a committee to apply for the Lantern Award through Emergency Nurses Association (ENA); the team identified how their department exemplifies exceptional and innovative performance as it relates to leadership, practice, education, advocacy and research. Although they did not achieve this recognition, the ED was able to identify areas of strength and weaknesses and learned valuable lessons throughout the process.
L-R: Jacki Cutroni, Cathy Cleek, Donna Featherstone
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NursingYearbook_2014.indd 9 4/24/15 4:54 PM NursingYearbook_2014.indd 10 10 Transformational leadership with thewith decision. demonstrations tohelponsite EPIC were tothe invited departments Allnursing sitevisits. included which team, selection for the EHR were the nursing representatives Rosen andCaroline Davidson Laura Herb of32participants Geary, Out Structure.the ITGovernance of isamember Herbsuccess. Geary to akey as and Nursing Leadership Staff IT identified strong Medical programs. incentive andMedicaid Medicare for qualify health recordcan systems ofcertified electronic use meaningful whodemonstrate providers care economic stimulus package, health Why E ( E EP County, CA. inOrange Services Care of Critical the Director shewas CHS, to joining ofnursing19 years experience. Prior with specialties in4 certified clinical andisboard Neuroscience at SBCH for theSpecialist Nurse Clinical as 3.5years Previously, served Laura Services. ofAcute Care Director Nursing Administration the as In Octob A S M W EH CR le d SN el IC mi R) ctr N c , R c , CCR n o HR? UnderHR? the 2009 ho i N m on s er, joined Canfield, Laura , tr e ic A N ic L a C e...as C
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, o r d B L • • • Practice improvements included: improve their knowledge. attendanceto class Preceptor required their was goals. meet to better to have rather ateam, work than the with asingleindividual, preceptee was influencefocus training andpositively The patientcare outcomes. Em • ED ide The as a of need was shared inthe shared aftermath was of need were there inourcommunity’s time extraordinary work of so many work ofso who extraordinary -R: ack: caring and dedicated professionals professionals anddedicated caring and throughout CHS. News ofthe News and throughout CHS. Individualiz Increa preceptee Fre me Midpoint and exemplified the of values core challenge. Aremarkable of group impacted our local communities. communities. ourlocal impacted e emergency assistance inthe field F resulting intheresulting death andinjury ront: rg L Cottage Health System the met quent andcommunication updates and the educators with team, auren Pr The trag of many inIslaVista strongly en sed input the regarding nurses process preceptor from sed e L indsey c responded tothe for calls responded c ntified that increased involvementnurse ntified that increased wouldimprove the S ep utherland, Tammy Mcdevitt, y Cottage Health System. Isla ation ofprogram t ic events ofMay 23rd ic events D etings with the andpreceptee with team etings o D epa r udley, JudyUmansky, Jolee Vi
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t he Nur se’s P hilip Ex pe rti 4/24/15 4:54 PM se Flu Vaccine Protecting each other and our patients
Flu outbreaks in hospitals have been attributed to low vaccination rates among healthcare providers. Hospitals with 100% employee vaccine compliance reduce the risk of patients dying from influenza acquired in the hospital by 40%.
Employee Health and Safety (EH&S), led by Angeli Mancuso’s leadership, successfully vaccinated 3,424 employees for a 97% compliance. This was achieved utilizing 35 RNs and multiple approaches:
• 25 general clinics across the health system • 15 unit based nursing departments giving vaccinations • NRU RNs providing 10 evening roaming vaccination services • 15 clinics located at the MICU/SICU Greeter desk • EH&S who attended 3 EVS and 2 Volunteer Services meetings
Herb’s Quarterly Newsletter compliance To enhance communication with Division 12-11-14 employees loa* vaccinated % declined Compliance % Nurses in Cottage Health System, Herb Geary, VP of Patient Care Cottage Health 178 0 176 99% 2 100% System Services and CNO, committed to providing a quarterly newsletter Goleta Valley 355 5 337 96% 13 100% that updates everyone on the state Cottage Hospital of nursing at Cottage. It highlights Pacific 259 5 246 97% 8 100% major events in Nursing including Diagnostic Lab the annual Nursing Quality Santa Barbara 2,718 48 2,581 97% 89 100% Celebration and prepared us for Cottage Hospital changes like Knowledge Based Santa Ynez Valley 88 2 84 98% 2 100% Medication Administration Cottage Hospital (KBMA). Herb represents CHS at leadership committees and TOTAL 3,598 60 3,424 97% 114 100% ensures Nursing has a voice in decision making. The Magnet
Transformational Leadership General Flu Clinics by Facility Committee, co-chaired by Facility Clinics Herb, plays an important role in providing ideas as well as Hollister Business Services Building 2 feedback for the newsletter. Goleta Valley Cottage Hospital 8
We thank you Herb for your PDL Core Lab 2 transformational leadership! PDL PSCs 2
The newsletter is emailed to all Santa Barbara Cottage Hospital 8 nurses quarterly and can be found on the portal>education and Santa Ynez Valley Cottage Hospital 3 training>home page>news TOTAL 25
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NursingYearbook_2014.indd 11 4/24/15 4:54 PM NursingYearbook_2014.indd 12 12 Transformational leadership feedback which supports ourPatient First which supports culture.feedback informationShawn theofclinical and facilitates sharing forthe liaison health clinical system’s as Serving supplychain, impact. inadditiontobudgetary Growth/Development Program Value ofthemonitoring Quality program. Analysis Manager, implementation, shecoordinates the planning, and Value Quality role as Planning), inher newest Project Analysis Manager, Clinical CNC, Manager, Project forTransition RN CRN, Nurse, (Clinical at ofroles CHS hadavariety Shawn has S $1,000,000 $1,200,000 $1,400,000 $1,600,000 $1,800,000 hawn $200,000 $400,000 $600,000 $800,000 H $0 od g es Q Patient andStaff andClinical Satisfaction onQuality,Initiative focuses approval Safety, forCHS. strategies andsavings utilization, and standardization product initiatives, onactionitems including savings focus Physician Preference andUniversal Clinical) Pharmacy, Surgical, Non-Clinical, (Invasive approach, ateam Utilizing fourdistinctgroups
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U N Pr Non-Clinical nbudgeted ew o Center openedthelastquarter of2014. Gary M. S S Jennifer GrangerM I tem j imulation CenterCoordinator urg Clinical e Pharmacy ct S Mana avings C H ost ock Physician Preference E I ncrease P ducator) transitionedto g atient Care e
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NET Savings L • • • • uswith: provides NICHE program, Through participationin NICHE the for the hospital. and puttogether the implementation plan Training Leadership the NICHE Program the that comprised team Read completed Nicole Huff, GayleBruce Mercado and elder excellence. care commitment indicating its to (NICHE), forHealth SystemImproving Care Elders the received national Nurses designation Santa Ynez Valley Cottage Hospital SYV P • -R: harmacy ClinicalCoordinator recognition fortheirrecognition work. certification in geriatric nursing) and for nurses (including preparing Staff re ofelderlycare patients. Enhanced n Positive fis outcomes clinical improved Evide State-of resources N C icole H f nce-based protocols that to nce-based lead i ceives opportunities educational H nd -the-art training tools and trainingtools -the-art uff, GayleMercado and cal results cal i n ursing competencies for the g
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B ruce Read, 4/24/15 4:54 PM Gary M. Hock Family Patient Care Simulation Center
CHS received a generous donation from Gary Hock, a member of our Santa Barbara community, specifically allocated to build and support a state of the art simulation center.
Simulation offers staff the opportunity to learn new skills and fine tune existing skills away from the bedside where it is safe to make mistakes. Ron Werft, CEO and Lyn Hock Debriefing with video allows staff to reflect on their practice, providing them with an excellent learning opportunity.
CHS trains staff on the critical skills necessary to care for our patients that are high risk, low volume, i.e.: rapid response and code blue team training. With our new simulation center, high fidelity mannequins, and state of the art audio visual equipment, we are able to expand on this foundation. Jennifer Granger, Simulation Coordinator and Gordon Arkell, Simulation Technology Specialist, work with inter- professional teams in many areas of the hospital L-R: Dodi Gauthier, Jennifer Granger and guest Allison Sharpe to provide specialized training.
After making his legacy gift, Mr. Hock died shortly before the center named in his honor was opened. The new Gary M. Hock Family Patient Care Simulation Center dedication and open house was celebrated with his wife, Lyn, and other family members.
ANCC Magnet Conference Dallas Texas
Representatives from each of the Magnet component committees attended the Magnet L-R: Lindsey Picotte, Dodi conference in Dallas. The team joined more than Gauthier, Linda Bacon, 7000 nurses to share evidence-based practices Gordon Arkell, Tokie Shynk and Lyn Hock and innovations in nursing. Upon return, the team shared highlights of the conference which assisted the Magnet committees to set goals for the year.
L-R: Jacki Cutroni, Lauren Sutherlin, Jennifer Bower, Kim Velasquez, Amy VandenHeuvel
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NursingYearbook_2014.indd 13 4/24/15 4:54 PM NursingYearbook_2014.indd 14 14 Transformational leadership L andimprovement listbelow). a breadth ofprojects initiatives (see N CHS C Kim
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tragies B M e ception of ariatric R F U odule then oto oreign lcers; onmental P rone S urgery eased B ed 4/24/15 4:54 PM L-R: Laura Biscaro and Ashley Ronaldson May, CSUCI BSN student
Raising Satisfaction by Sitting Down
The Case Management team along with Ashley Ronaldson May conducted a study on the patient perception of sitting vs. standing at the bedside during patient interactions. When the Case Manager sat down for patient conversations, the patient reported an increased understanding of what they could expect during their hospital stay, a more positive interaction, and participated more fully in their discharge planning. Sitting down says, “You have my undivided attention.”
Results from research study:
Actual Standing Time: 5.43 minutes Actual Sitting Time: 5.95 minutes Perceived Standing Time: 8.34 minutes
Perceived Sitting Time: 15.89 minutes
Nursing Back to School Day
CHS held the second Nursing Back to School Day. The event featured seven schools, including on-site and online degree programs. Members of Human Resources were also available to answer questions and discuss the education benefits offered to employees. The event was attended by over 8o people, mostly nurses interested in attaining their BSN. 15
NursingYearbook_2014.indd 15 4/24/15 4:54 PM On-Site Classes CHS nurses are committed to professional development as demonstrated by exceptional participation in on-site classes. We collaborate to enhance the patient care experience while elevating our knowledge and confidence. ERMENT W
“ The conditions under which care is provided, including material
EMPO resources, human resources and organiza- tional characteristics, that allows nurses the capacity to mobilize Structural people and resources to get things done.”
Top: L-R: Ginny De Garza Sanders, Marna Kaupas, Gail Figueroa, Alison McCeney and Valerie Maloney. Bottom: Participants practicing
Hands on Practice
The SWOT department held an Ostomy Hands on Workshop in May, giving attendees a chance to explore the world of SWOT while providing opportunities to practice with the many materials used for ostomy and wound care.
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NursingYearbook_2014.indd 16 4/24/15 4:54 PM An Evening of Inspiration
Gina Bifano with the help of the Education Department, arranged for author Hollye Jacobs to speak about her bestselling book, “The Silver Lining” that offers a supportive and insightful guide to breast cancer. The event brought together CHS staff and community members for an inspirational evening. L-R: Hollye Jacobs, speaker/author, and Gina Bifano
Preparing for Clinical Practice
The CHS ACLS instructor team is an integral part of introducing new MD residents to CHS. This course certifies them in ACLS and trains on equipment used on all CHS campuses. The ACLS instructor team ensures successful completion by all residents and helps prepare them for a smooth transition to their clinical experience. Front, L-R: Barbara Fantone, Janet O’Connor Back, L-R: Christy Block, Cheryl Mingee, Ryan Castorino, Rose Bray, Susan Mozako
Care of the Trauma Patient with a Tracheostomy: NP bridges knowledge gap
The linicalc nurses identified a low frequency/ high risk patient population knowledge gap regarding the use of tracheostomy in the trauma patient. To bridge this gap, Eileen Kelleher developed an in-service highlighting general concepts of tracheostomy care and progression toward decannulation in order to increases nurses’ familiarity with this patient population. Eileen Kelleher Juliette Fish
Caring for Patients with Alcohol Withdrawal Academy of Medical Surgical Nurses (AMSN) Certification Review Course The care and treatment required for patients experiencing Thirty seven CHS nurses from CRH, Subacute, Alcohol Withdrawal is complex. Juliette Fish’s presentation Telemetry, Neurology, Oncology, Pulmonary Renal included the physiologic reasons for the occurrence of alcohol Infectious Disease and Surgical Trauma attended withdrawal as well as the evidence-based approach for the the AMSN Certification Review Course was held care of these patients. The presentation was attended by on site. The program is free to our Clinical Nurses, Social Workers, Student Nurses and Drug nurses in promotion of Med-Surg and Alcohol counselors. certification. The CMSRN credential recognizes that the highest standards of medical-surgical nursing practice have been achieved (AMSN, 2014). Caroline Ashman, course instructor
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NursingYearbook_2014.indd 17 4/24/15 4:54 PM NursingYearbook_2014.indd 18 18 Structural empowerment • • • • • suchways as: of certificationvariety ina nurse specialty andsupported honored In 2014CHS career. ofagrowing base knowledge andhelps enhanceknowledge the nursing validating by nurses specialty empowers Certification credentialing. theto validate importance ofnurse the study first research and developed fornursing certificationswho advocated of Dr. Margretta “Gretta” anurse Styles, Mar Co Nur of March 19th. theduring week nurses by worn and distributed were ribbons Gre andre certified nurses. tonew cards sent thank handwritten Committee you Mag The Geary. You email andprintable Herb from card c Each Inde in theSantaBarbaraNews-Pressand A celebratoryadvertisementwasplaced Procedures. in the Human Policies Resources and policy Bonus under the Certification be found certificationseligible can re-certification. The complete listof certification you receive and$500for initial nationally-recognized for each up to$1,000 provide will CHS bonus. are toreceive eligible acertificate Nurse mm ch 19th commemorates the birthday se spe en “I am a specialty certified certified nurse” en “Iamaspecialty pendent. e s (after 6monthss (after ofemployment) ertified aThank received nurse ertified m net Structural Empowermentnet o ci r al a ti t on y c e rti f ic a ti on 4/24/15 4:54 PM Acknowledging Excellence
The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) provides a Distinguished Professional Service Award each year at national convention to a member who demonstrates Accepting the award on behalf of SBCH, Caroline Rosen and Kathy Pelham from presenter unparalleled dedication, Dr. James Merlino (Chief Patient Experience Officer of the Cleveland Clinic).N ot pictured: Scott Shum (Service Excellence Consultant). commitment, leadership, diligence, excellence and Cleveland Clinic’s Best Practice of the Year Award: Teach Back outstanding expertise to the both nursing and the Cardiac Telemetry received the Best Practice of the Year Award at the organization. The recipient of Cleveland Clinic’s Patient Experience: Empathy & Innovation Summit. The the award, Dodi Gauthier, was award was for developing and implementing a successful program for patient given this distinction at the education regarding medications using the Teach Back method. This program 2014 National conference in demonstrated success through improved patient satisfaction scores on Hospital Orlando, FL. Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys and was shared with the med-surg units and system wide.
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NursingYearbook_2014.indd 19 4/24/15 4:54 PM NursingYearbook_2014.indd 20 20 Structural empowerment P screenings. andmedications hearing, pressure, vision, blood with assisting Stop by campaign the fall ofthemembers community supported tomaintain the from how tocome ED health. Nurses and learn par As F ic: Tammy Mc all St t of trauma services commitmentt oftrauma tothe services community Fall such programs for as Stop create opportunities op Co D evitt, mmu A manda Montgomery, n it y Outr ea c h D Pr avid o gr L inzey a m
in the event. in the event. mental with who are participated living illness tothose than 20agencies that services provide Mental Health Fair, held in May. was More and many community the 9th annual agencies, onPsychiatric Council Services Governance As acolla As Staff n E impact oncommunity a lasting wellness. in our community needs health education tomake health local fairs free that healthfill and staff and community. promote help toorganize, nurses CHS committed in towellness andthe prevention Model Practice are our Professional nurses with outintohelping the community. others, Aligning for and passion their expertise extend nurses CHS COMMUNIT Men the woreevent blue! team ofthe Insupport colonoscopies. facilitate ablecancer andhelp tooffer to screenings and the Cancer Colon Center, this was team SansumEdnoscopy Gastroenterologists, with for colon cancer inMarch. Together screening N of Santa Barbara. communityawareness tothe Spanish speaking ofUnivision promoting Skinsegment Cancer onaT.V.for this andappeared event news Event. Garcia volunteered Screening Nancy Annual the Skin free Cancer sponsored CH Ski L L Colo Mon and agendyk, -R: MelanieJackson, ndos ancy Garcia ( S andthe Cancer Center ofSanta Barbara n Can t t r al urses from CHS Endoscopy volunteered volunteered Endoscopy CHS from urses h e c ct opy borative project with the with Shared project borative S H HEAL abine Keller, Tim c eal al Can e F r ar Right) i
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Inattentional Blindness
The Distracted Driving Campaign sponsored by the Trauma Department, is a collaborative effort comprised of RNs from several units, BSN students from CSUCI, CHP officers and SBUSD high schools. The campaign focused on the phenomenon of “inattentional blindness” or failure to recognize an unexpected stimulus that is in plain sight.
L-R: Debbie Aitken, Jenn Wobig, Liz Taylor-Linzey
First Aid Leadership – Viva la Fiesta.
During the 3 day Fiesta celebration in August, at Our Lady Of Guadalupe Church, Parish Nurse Elly Walters Bible facilitated the SB County EMS program coordination. She trained volunteers in first aid, disaster safety, and created a first aid station that provides service for several hundred community members ensuring a safe celebration.
Extending our reach
The Parish ursingN program expanded their community outreach program by adding 3 new venues in 2014. New additions included: Casa Serena, a recovery program for women and two new low income senior living facilities, Presido Springs, and Shifco. These additional programs directly serve our at risk community members.
Parish Nursing Team
Blood Drive
Parish Nurse Elly Walters Bible organized a Blood Drive with United Blood Services at St Joseph’s Parish in Carpinteria. She recruited participants resulting in 35 units of donated blood.
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NursingYearbook_2014.indd 21 4/24/15 4:54 PM NursingYearbook_2014.indd 22 22 Structural empowerment extended services tothe community. services extended Cottage andplansfor Hospital Valley Goleta onthepresented new who Dejong Bray andArie Rose hosted Association Hearts Mended The Santa B Co • • • • • • • • • • venues including: were Clinics held at nurses. other CHS Nursing and Parish were by given community! More than 1300vaccines vaccines cost toour orlow flu free Co V Cathy Mollkoy Jan Ingram,Cori Jessica community clients. qualifying to screening cholesterol offer off-site LDX that the to system team allows Cholestech anew able topurchase the Nursing was Program Parish Through ag S Ex H right) alongwithmembersoftheMended Rose Anothe e earts a Alameda parks, Alameda Banks markets Senior E Senior housingunit 4 senior 4 homeless she Homeless outr Isla Vista andCar c 7 local Cat YMC Avoc Santa Bar r pand cci mmu mmu v B ic holic Charities ray and A H na ado Festival inCarpinteria r successful year of providing ofproviding r successful year A ssociation es uey ( i n n n t hurches xpo it it e fo g bara and Goleta farmers bara andGoleta arbara Chapter ofthe enerous grant private L y Upda y ab), A Co rie B everidge, sitting r each ateach Pershing and V lters mmu D a anessa Gonzales, ejong pinteria Food H t eal e n s VP it t G y h V i C e H r (far
S tudents, volunteers,andinthered E lly W alters- B ible 4/24/15 4:54 PM Trauma Community Support
Liz Taylor-Linzey took a leadership role in coordinating multiple community educational opportunities to promote wellness and reduce trauma in the community.
fallSTOP
The FallSTOP program was envisioned and developed by RNs from SBCH’s Trauma services. This program provides education, evaluations and support to a broad spectrum of Santa Barbara County seniors while partnering with local nursing students. FallSTOP also features periodic formal screening events. The goal of FallSTOP is to empower active seniors with education that encourages fitness and safety.
Pediatric Trauma Prevention
As a Level II pediatric trauma center, nurses provide education about backover/frontover vehicular injuries, heatstroke from kids left in cars, child passenger safety, distracted driving and helmet use for bikes, skateboards and scooters. Hundreds of community members were reached through: ParentClick Family Fair, Santa Barbara Health Fair and Family Day, SYVCH Health Fair, Santa Barbara Open Streets, and the Lompoc Senior Health Fair. Along with education, free helmets were given to our community members.
Santa Barbara Senior Expo
FallSTOP participated for the third year at the hugely popular Senior Expo and once again conducted fall risk assessments for community dwelling seniors; this assessment is recommended by the CDC. Approximately 200 seniors were evaluated by the 30 + nursing and non-nursing volunteers. The newly rebranded fallSTOP program was highlighted by a popular local news personality.
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NursingYearbook_2014.indd 23 4/24/15 4:55 PM NursingYearbook_2014.indd 24 24 Structural empowerment support. RNs were there tolend their and the 5SouthOncology Center Walk/Run inOctober Center annual held its Cancer The San W McClintock, H H L Kari D D F B arthritis. thefrom debilitating of effects patients suffering support Foundation work to andits the Arthritis supported 4 S Art Kelly indy Chavez. abiola ack row: annah, erring, anielle avid al outh Orthopedic staff outh Orthopedic H h W ki ebert, S riti ilva, Jasmin illiams, Z n N B L amora, Mary ta Barbara Cancerta Barbara isa Kiefer eck, g ancy A s ngelica fo D E W ana mily F O B B r ntario Johnson, al ont Row:Marley r illy arbosa, T aCa S W ayet , k B B N D issink, enavides, orrmann,
orton, iana H erzberg, u egan se not pictur L A mentor the nextgeneration workers. ofhealthcare they role models, As the system. impact onouremergency medical navigate the resources available inourcommunity anddecrease and SansumClinic) areinhelping ournurses integral individuals Clinics workers andresources (Companion SB Neighborhood Care, social community with personnel, Partnering medical populations. oruninsured homeless, underserved, medically County—the Barbara forthe ofSanta care vulnerable members most medical free providing CH Co -R: JanIngram, lameda mmu S nurses volunteerS nurses throughout the at year community clinics P ed: MaggieCote, Jan n ark it D y octors A c ngeli Mancuso,andCathyMollkoy l i n W ic ithout s W F adden, alls ( DWW S ummer Galey ) clinics. 4/24/15 4:55 PM EDUCATION
A Collaborative Planning Session Cottage Critical Care Education Council met for their annual retreat to facilitate planning of critical care education and competencies for the upcoming year. With an update by Tokie Shynk, on the Magnet Journey and inspired by “A promise of Caring” video presentation, the council embarked on a day of communication exercises, reviewing the current gap analysis and building leadership accountability. The 2015 Education and annual Competency plan was established as an outcome of this exciting and productive day.
L-R: Sarah Gray, Kelli Jackson, Lesley Gardia, Rose Bray, Diane Barkas, Vivian Elbert, Dariah Pace-Martinez, Sharon Morley, Patti Wicklund, Paula Gallucci, Christine Block, Janet O’Connor, , Vanaja Selvaraj, Donna Janega (not pictured Tokie Shynk)
Celebrating Citizenship Brooke Bulaclac was part of the recruitment effort in hiring nurses from the Philippines in 2005/2006. She was one of the first 5 international nurses that began their training at Cottage in January 2006. She is a full time Clinical Resource Nurse in the MICU and in August achieved her United States Citizenship.
Education Planning – A Team Approach At an offsite gathering, representatives from Education, Clinical Nurse Specialists, Emergency Department, Women’s Services, and Children’s Services collaborate to envision education needs for the upcoming year. Final outcome: an effective education calendar that supports our shared goals to empower staff with learning.
Jackie Werner, BSN, RN-BC, ONC comes to Cottage from Oakland, CA where she was the Clinical Educator and Informatics support for Medical-Surgical and Medical Telemetry at Kaiser Permanente Oakland Medical Center. She is a Caritas Coach, is certified inN ursing Professional Development, Nonviolent Crisis Intervention and is an ELNEC trainer.
Natalie Kunes, BSN, RN, CMSRN (formerly 1WC/Tele) transitioned to Full time Med Surg Clinical Educator. She now provides leadership for New Graduate RNs
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NursingYearbook_2014.indd 25 4/24/15 4:55 PM NursingYearbook_2014.indd 26 26 Structural empowerment fall 2014newGRadUaTe nURses e during construct intowelcome Welcome Graduateroles! Nurses their New new nurses! nurse. role Cottage developmentthe ofthe Health System structure that andprocess new to isexcited supports In alignment ourcommitment with tonursing excellence, Graduate Training Nurse the New provides Program of the consistssimulation preceptorship, ofclinical anddebriefing. program reflection trainingwith andtask Graduate with Nurse theirThe New transitiontopractice.nurses new Thefoundation assists Training Program integrity andc conference room These newgrad 2014 xcellence, N ew G r o ad mpassion hasb uates haveshown i changes,using on orchangingtheirplanofc u a t e Nur ses een recognizedthroughoutthisprogr a newsimulati
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staff. 4/24/15 4:55 PM front row left to right: Cari voth (3RT), natalie Mock (3wC), vanessa Gonzalez (sb-ed), Julie anne de santi (1RT), Carisa epley (CRh), aaron stilwell (1wC). back Row left to right: sarah stolz (1RT), alexis (lee) zaragoza (1RT), emily lloyd (CRh), nina fuentes (1wC), bien palma (1RT), alejandra Granados (3wC), sarah post (3wC), seneca James (sb-ed), erin de bono (3wC).
Spring 2014 New Graduate Nurse
This new grad group has proven their determination and commitment to both the CHS organization and the nursing profession while facing challenges with the Board of Registered Nursing licensure process. Many of these new grads have worked at CHS in varying departments and roles including Employee Health, Security Services and Patient Care Techs and have now transitioned to Registered Nurse! These new graduate nurses have been complimented for their enthusiasm, compassion and engagement in the learning process.
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NursingYearbook_2014.indd 27 4/24/15 4:55 PM NursingYearbook_2014.indd 28 28 Structural empowerment nURsInG [Msn] MasTeR ofsCIenCeIn M Gennine D’Ambra–GVCH Catellanos –EyeNina Center Kirsten Springer –SICU Luna –CRH De LeAnn Heidi –5East Rigoli Sharon Partee [Pediatrics] Sharon Partee C C NEW M Heather Walker–SYVCH emphasis insomatics) (Masters inpsychologywith Ot Jennifer Granger –Education MendozaAnnamarie –SICU Amy VandenHeuvel –CRH VasquezSharilyn –3RT Sarah G Wheeler –Quality Colleen Nur B NEW an increasinglyplays rolein important the assurance care. ofhigh ofpatient standards of nursing certification Board commitment astrong personal well toexcellence. as as nursing education, require extensive knowledge-intensiveNursing, The ofmodern requirements like increasingly complex. health become care in general, has N R Georgia Rutherford[Subacute] Tamara Arnold[SYVCHMedSurg] Maria Cooper[Post-SurgicalCare] Bevra Kreyger[3WC] Marissa Hernandez[3WC] Jet Irabon[3RT] Esperanza Perez[1WC] Maria Figueroa[1WC] Jasminda Estrada[1RT] Kimberly Brondum[NRU] Sara Kida[NRU] Ryan Cox[1WC] Heather Lengson[3WC] Ella Murray[3RT] Tami Perez[NRU] David Holt[Subacute] Wen Xiong[Subacute] E a E E ed ed RTI GI RTI c he e helo s S F F i r Surg Surg T
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EN CC] 4/24/15 4:55 PM ] PROMOTIONS sheri sosko, an Rn for 4 south at Clinical Resource Nurse [CRN] sbCh, completed her orthopedic nurse Certification furthering Billy Norton [4 S] Kirsten springer, Rn in the her expertise and providing her Laura Mimms [Surgery] sICU at sbCh, achieved her patients the utmost care in the Kristy Sharp [3 OP] bsn and stroke Certification. field of orthopedic nursing. Erika Herrera [3 OP] Angela Myers [CRH] Carly Roberts [NRU] Stephanie Lang [3 WC] Velislava Nikolov [CRH] Emma Lindawan [CRH] Gerardo Romo [CRH] Richardo Gonzales [CRH] Karen Cosio [Subacute] Monica Booth [MICU] Karen Garcia began her nursing nina Catellanos, Rn for the Lori Tatick [MICU] career as a student at San Marcos Cottage eye Center, succeeded Keri Djupstrom [MICU] Health Academy 2001-2002 in obtaining her bsn from wGU where she became a CNA. This Kirsten Springer [SICU] this year. was her first step into the ADN Karen Garcia [MIC] program at SBCC. Karen became Laura Danhauer [NICU] a new grad with her colleague, Rachel Goodwin in 2006. She Laura Gibson [SICU] was hired to the Mother Infant Erin Morrissey [SICU] Unit in 2007 while Rachel went to the NICU. Shauna Schoolland [ED] Jamie Considine [ED] In 2014, Karen received her NCC certification in Maternal- Blake Henderson [ED] Newborn Nursing and was Karen Schoenbachler [SICU] promoted to a Clinical Resource Nurse. She continues to blossom Candice Leary [NICU] as she now is working on her Ann Bradbury [1 RT] certification as a lactation consultant. Morgan Noe [1 RT] Misty fetko, a Utilization Review Crystal Ledbetter [1 RT] Rn at sbCh, received certification in Case Management this year. Kristine Gastellum [1 RT] Chelsea Brooks [1 RT] Kyndra Alspaugh [1 RT] Heather Lengson [3 WC] Julie Dalton [1 RT] Sara Howell [Surgery] Jared Cordtz [Surgery] Mia Sanders [Endoscopy]
laine swartz, an Rn with GvCh ICU, achieved certification as a Maria o’byrne, GvCh subacute Critical Care nurse. Rn, received certification in diabetic wound Care. 29
NursingYearbook_2014.indd 29 4/24/15 4:55 PM NursingYearbook_2014.indd 30 30 Structural empowerment the obesepatient. ideas forpainmanagement helped Genninebringbacknew D Management conference in the Gennine Chamberlain University her Mastersin A for G Care ManagementCenterat Krista Rooney, R C Certified G for Jill her W V iego in my V C C drain C W W A BSN H H N V merican ound Care ound Managementat received hercertification , \ anden S in pecialty Certification: , R O D W ’ ctober. Theconference A A n, bsn ound Care ugust andattended mbra, R H S euvel received N ociety of N ursing from N forthe , C urse. N wCn, Center , received N urse, P ain W ound S an M me. provided has Cottage opportunities extensive forthe Iam grateful Iam needed. where ever department education tohelping outin forward Ilook the August. nursing this past education to our SICU,Icompleted my where my MSN continues. education in Kim S Judy Corliss,R D Kim Morales,R L certification inaprofessional nursingorganization! E Maria J Maria V A on the Trauma Surgical Unit and (5south/3Ridley loved tree) for6years my nursingI started Hospital in career 2008atCottage where Iworked A inda ally Jordan, R ndoscopy achievedamajorgoalsetbystaff. 50%ofthenursingstaff hasa ebra nnamarie Mendoza, al nna SN L innursingeducation. i emon, R da A L m kutagawa, R ee, R ohnson acceptedohnson the challenge the Endoscopy ofpreparing a ti ri n N e Mendoza g N CGR N N N , CGR Knowled Certification along the way.Certification months ago Itransferred Seven my Certified Med-Surg Ireceived throughout Cottage. implemented was this tool videos, education our patient to anursingpertained that forthe floors tool I developed Through my leadership department. the project education preceptor,Channel Ihadagreat Islands. Tina in Collins, through Icontinued program aBSN my with it. education , M , , M BSN N SN AO N – N , CGR , CGR , – BSN S O M, CGR G S C NA G N N , R professional organization. professional andAssociates) Nurses Gastrointestinal of is offered (Society through the SGNA forcertification.technicians This certification N NA –oncologynursingcertification - Certification – N g S Certification N S C forthe G e – G NA NA S G Certification Certification NA certification S ICU at SB C H attainedher 4/24/15 4:55 PM team building
National Nurses Week L-R: Nick Urton, Paula Gallucci and Brooke Bulaclac celebrate National Nurses Week by making grilled cheese sandwiches for staff.
This Emergency Dept.’s Education Day brought about interfacility collaboration to improve the quality of patient care across CHS campuses.
In October, Emergency Department Nurses were recognized during Emergency Nurses Week. 31
NursingYearbook_2014.indd 31 4/24/15 4:55 PM NursingYearbook_2014.indd 32 32 Structural empowerment research. reflect thelatestinnursing efforts willcontinueto forward thecommittees’ Committees. Moving Magnet Component shared witheachofthe best practiceandwere the latestevidence-based These changesincorporate sources ofevidence. revised and model Magnet updated the exploring workshop attended a McLaughlin andDanilyn Jennifer Bower AN B D into practice. and translated toCHS back then brought is events these knowledge acquired during The international conferences. and attending national, local, ofways includinga variety in professional development engage in nurses CHS C ower anilyn Mc onferences CC Ma L g aughlin andJennifer ne t Upda t e Co topeers. their knowledge presented their new They depression. intergenerational forpostpartum palliative andcaring care drills, nursing, Topics hemorrhage, simulation postpartum alcohol fetal included: syndrome, of the mother-infant inthe andthrough both hospital transitionhome. dyad inprenatal, knowledge intrapartum care new &postpartum togain Orleans Mother attended Infant nurses the National Mother Conference Baby inNew L colleagues. colleagues. attended the 4+day conference back awealth ofinformation totheir bringing Cottage. RNsfromCritical Care, AcutePeds,QualityandSub Of the7,000NationalTeaching Institute(NTI)participants,29werefrom -R: Teresa tt a g e a B annon, t
N TI D i ebbie n D enve D awson, Kathryn r B oschke acute 4/24/15 4:55 PM Mary Fulcher and Mary Iler
L-R: Vanaja Selvaraj, Donna Janega, Stephanie Glynn, Lorraine Fernando, Nancy Pepper, “Trauma by the Sea” Karen Schoenbachler, Chris Schulman, Jared Grode, Anita Hine, Janet O’Connor, Susan Emergency Department nurses attended Mozako, Maggie Caspary an annual conference in Monterey that That’s Traumatic presented timely information on the care of trauma patients. Themes included Chris Schulman (Trauma Symposium Speaker) provided staff with an innovations in new equipment and informative preview of the CHS Trauma symposium to staff that were emergency care. unable to attend the popular offsite symposium. Topics included end point of resuscitation, special consideration of geriatric trauma patients, sedation, delirium, progressive mobility in critically ill patients and creating an environment of clinical expertise.
American Society of PeriAnesthesia Nurses (ASPAN) Las Vegas
Members from the PACU team had an opportunity to explore specialty topics ranging from general surgery innovations to best practices when caring for patients with autism, PTSD, cardiac stents and emergence delirium.
L-R: Marie Butcher, Kathryn Von Dollen, Kelly Park, Maria Peterson
Judy Corliss (middle row, far right) with other Nurse Fellows at Texas Christian University
Benefiting from Collaboration
Judy Corliss attended the Society of Gastroenterology Nurses retreat for Nurse Fellows. The retreat included workshop sessions focused on professional writing and trends affecting the practice of gastroenterology nursing. 33
NursingYearbook_2014.indd 33 4/24/15 4:55 PM NursingYearbook_2014.indd 34 34 Structural empowerment corneal transplantsatcorneal SBCH. the of honoring donorsandrecipients Paradefloat Rose onthe OneLegacy rose toplace a CA inPasadena, was Elizabeth Transplant CA. inPomona, Symposium Transplants andattended the Annual onCornea meetings ambassador Legacy gave atOne talks Elizabeth This year International. (SEE) Surgicalwith Eye Expeditions Mexico inassociation in Ensenada, clinics in24Cataract participated has Ove Me presidentialserviceawards.gov/about activecitizens.”for being http://www. ournation’s by recognized president toparticipate andbe are invited – youthof allages –from toseniors Americans PVSA, Through great. so thatvolunteerism this makes country theof spirit toembody individuals PVSA’sThe “goal isto encourage more Volunteer Award Service (PVSA). with the Presidents humanitarian efforts forher camp, honored Julietterefugee was Lebanon,from whileworking inaSyrian returning After populations. marginalized and tounderserved health education and care primary direct she provided Tanzania Inthis capacity andGuatemala. Nicaragua, Honduras, Haiti, Bolivia, ofcountries including in avariety Juliette Fish worked ten years, has last An activeinter S standards. component ofMagnet an essential as Commitment tocommunitycompassion. recognized also is and integrity knowledge and excellence, getting our and local global toknow communities tothe corevalues ofCHS speaks toour back community give through nurses volunteeringCHS locally both and globally. their their Offering time, ser y riA xic r the past 12 years Elizabeth Link Link Elizabeth 12years r the past v o ice ab national volunteer forthe r oad care delivery worldwide. worldwide. delivery care to promote improvements inhealth world inthe and developing disease mission istoreduce the burden of Theirhad access care. tomedical many ofwhomhadnever residents, preventative tothe care local acuteand free Panama providing on 8different remote islandsin located of10clinics apart was Angeli Mancuso for 2weeks, Volun P ana teering with Floating Doctors Floating with Doctors teering m a 4/24/15 4:55 PM practice
L-R: Stacey Bailey, Evelyn Leyson, Tracey Lord, Jessica “ Nurses functioning Huey, Gail Figueroa, Esperanza Perez, Sharon Smith, in the highest Sharon Lewis, Jeannee Diaz, Sabine Keller, Top Right : Kristen Jennings, Christine Ebner. capacity of Absent: Ann Bradbury, Kim Brondum, Tina Dabby, Bobbi Evans, John Ferritto, Angela Garner, Brittany Haliani, accountability, Christy Lau, Michelle Libbey, Jeni McClure, Carol H. Nelson, Maria O’Byrne, Edrie Ohl, Nicole Pardini, Alma competence Patino, Michelle Renner, Sheri Sosko, Katie Sothcott, and autonomy.” Sparky Sparkman, Carolyn Strahler, Carrie Szablowski, Susan Weingartner, Angie Wielgosh
Diabetes liaison members committed to our patients
The mission of het Diabetes Liaison Team is to advocate for standards of excellence for patients with hyperglycemia. We commit to the goal of blood sugar control, diabetes education for patients and staff with the goal of improved health. Exemplary Professional The diabetes liaison members have participated in many activities. Examples include: • Review of diabetes policies and procedures (insulin pen) • Insulin pen training and rollout • POC quality control audit for expired test strips • Diabetes education coverage during CDE’s absence • Communication to staff members the information learned at diabetes liaison meetings • Checking contents of diabetes tool kits for expired items • Reinforcing hypoglycemia protocol • Encouraging use of diabetes education videos • Sharing information with nurses on units regarding the CPOE diabetes education flow sheet
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NursingYearbook_2014.indd 35 4/24/15 4:55 PM NursingYearbook_2014.indd 36 36 Exemplary Professiosnal practice L Competency. Nursing Team Team Mapping, onJourney focusing Work andCultural Wordell. Maggie by the attendeestheir shared information with CRH Practice and DanThomas by on FallBased Evidence Assessment Risk Education Conference inAnaheim. Two were one presented: posters ofRehabilitation attended nurses Annual the Nurses Association CRH -R: L e A nn D e L una, D an Thomas,Julie H r access toEvidence- developed thatimprovedclinician was data base aweb-based how on aposter presented also Maggie N S W A materials. Practice Evidenceapplying Based related toaccessingeducation and standards. Program Specialty Injury Brain conformance tothe CARF to demonstrate organizational andimplemented aplan developed outlining CRH how (ARN) Nurses ofRehabilitationthe Association at the National conference of P.T.Gonzalez apaper presented WordellMaggie andAmber ardin, Maggie esearch and provided team team andprovided esearch ha mber Gonzalez a ordell ti ri onal Confe n g Knowled W ordell P .T., andMaggie Based Practice r en g c e a es t
4/24/15 4:55 PM We asked, you answered, we listened
The Professional Practice Model (PPM) is an important reflection of the nursing care provided at CHS. The PPM was created for nurses by nurses at CHS in 2010, and evaluation of the model was essential in maintaining relevancy and currency of the model. The Magnet Exemplary Professional Practice (EP) team listened to your feedback regarding the Professional Practice Model (PPM). Based on a series of surveys and the determination of the EP committee to represent the voice of nursing, the PPM image was changed. The wording associated with the PPM remains consistent as nurses agreed that the words continue to accurately reflect CHS nursing values.
CHS PPM Timeline
February 2009: A Professional Practice Model Strategic Planning Committee was formed with nursing leadership from across the system. It was determined that the model should be a compellation of input from ALL NURSES within the organization, as these were the people who could best articulate the role of nursing at CHS.
August 2010: An all-day retreat was organized to develop a survey for ALL NURSES in the system to provide input into the model
Survey sent to ALL NURSES in the system
A facilitator was recruited to review the survey data and assist in creating a model at the Professional Model retreat
Retreat with a consultant to bring the data together in a visual representation (research and staff values)
November 2010: Models were developed and the best model was selected from the top three
Input from focus groups provided the final touches
December 2010: Model rolled out December 2010
Exemplary Professional Practice (EP) Magnet Component Committee following the magnet standards determined it was time to evaluate the PPM
Survey developed to gather feedback from ALL NURSES about the current PPM
June 2013 Survey sent to ALL NURSES in the system
EP committee collated data from the survey and worked with a consultant to revise the PPM image based on CHS nurses feedback.
April 2014 New PPM images narrowed to 2 choices. ALL NURSES in the system were re-surveyed and asked for input regarding the 2 options.
We asked, you answered, we listened… new PPM image chosen
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NursingYearbook_2014.indd 37 4/24/15 4:55 PM NursingYearbook_2014.indd 38 38 Exemplary Professiosnal practice Congratulations Laurie! her peers. practice changes with practice andindustry guidelines andcommunicate with familiar tobe a responsibility She has improvement performance addressing needs. high quality control the within arena endoscopy and prevention, maintaining oninfection include education outcome. this extraordinary achieve andcooperative patients to support care Respiratory anMD, PCT’s, aDietician, woundnurses, of expert team It aninterdisciplinary ispossible. took healing ourexperience demonstrates thatsacral ulcer; however might upinthe baseball-sized face give ofastage IV allthree.Many (andpatients) nurses wehealed expertise, care, patience, infinite time,with Over andwound chronicunit with stage non-healing fourpressure ulcers. The Subacute Te The s M. Courter,resident,C.lona,resident J. anastasia,sn.frontrow:M.syers,Cna;anapelcastre, J.simpson; Rd;T.Chea,Msw;C.Mignone,Rn;ferrari, back row:M.perez,C.n.a.M.vermillion,RCp;C.brown,Rn; u ba cut e am hadthreepatients transfer totheir t ea m
S Champions program. Priorities Champions Priorities program. Prevention ofthe Infection vision outthe missionand carrying Elements ofthe role include Champion. Infection Associates) and Nurses of Gastroenterology (Society aSGNA accepted as was La G urie Thurberurie forand applied NA Cha m p i on Susan White. by onPainManagement led andwas Rounds focused In February, andNovember, August, Nursing Grand leukemia. acute lymphoblastic with cent diagnosed was that ofanadoles line Thestory staff members. manythe by topicpresented ofthe Pediatric Unit’s to aChild’s Cancer,” with Journey Challenging was InJuly, sepsis. with “A Approach Multi-Disciplinary the ismanaging complex CHS patient diagnosed the presenters demonstrated how studies, Using case this from disorder. mortality and the goal todecrease Sepsis In July, onSurviving rounds the focused grand andthe members patient. family well as as members team health care the support palliativecan team care forthe inmoraldistress nursingfactor staffand how a togetherbers topresent palliativebe how can care June brought ofPalliative staffmem agroup - Care individual. what rehabilitation nursing meant tooneparticular “Walking discussed Tall”inspirational story and inanaccident.brother The other whoperished that her asister younger and assuring could see Viewing,”Special related toatrauma incident was entitled, an emotionalstory Thefirst, at CRH. “A the of3Ridley-Tree nurses andanother anurse from by were onestory presented: ofcaring two stories In May, ofthe celebration part as Week, ofNurses twoconditions. forthese strategies theincident prevalence, andtreatmentdiscussed andAneurysms,”Malformations inApril and ofIntracranial Repair A-V “Endovascular presented, Service Neuroendovascular Care Practitioners The of Acute Nurse the topics. of Nursingavariety Roundswith Grand and six Nur Karla This year t This year s B i lancarte andJeniMcClure n g hree Pain Grand Rounds were presented Roundswere PainGrand presented hree & P a i n G r and Ro u nds 4/24/15 4:55 PM - L-R: Eva Dulnik, Gennine D’ambra, Lynne Jessop, Susan E. White, Ann Bradbury, Patti Stetson
American Society for Pain Management Nursing (ASPMN) L-R: Susan E. White, Sue Jervik, (President of the SoCal Chapter of the American Society CHS nurses attended the ASPMN 24th Annual National Conference in for Pain Management Nursing San Diego to learn the latest challenges and trends in pain management City of Hope Pain Resource nursing. Susan E. White (Palliative Care) and Kim Brondum (NRU) Nurse Training prepared a podium presentation “Point of Care Pain Management”, Susan E. White attended the City of describing the Cottage Sedation Nurse role development and Hope Pain Resource Nurse (PRN) implementation. Unfortunately, Kim was delayed in Cabo San Lucas Training Course in Pasadena. She co- by hurricane Odile and unable to present. Susan presented and Lynne presented a workshop titled Planning Jessop assisted during the Q&A session. and Sustaining Your PRN Program. The CHS nurses at the conference enjoyed sessions on chronic pain Susan developed the annual 2-day PRN conditions, pain management in the obese patient, and end-tidal CO2 course at SBCH in 2009. Since then monitoring bringing back valuable information to their peers. over 150 Cottage nurses have attended. A PRN functions both as a resource and a change agent in disseminating information, interfacing with nurses, Senior Fall Prevention Program Presentation physicians, other healthcare providers, Liz Taylor-Linzey presented the journey of CHS’s fallSTOP program patients and families to facilitate quality from concept to roll out at the National Injury Prevention Alliance of pain management. Los Angeles County annual symposium. Pain Resource Nurse Role: Description The audience included Injury Prevention and Responsibilities www.cityofhope. officers from government agencies, non- org/prc profits and other health systems.
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NursingYearbook_2014.indd 39 4/24/15 4:55 PM NursingYearbook_2014.indd 40 40 Exemplary Professiosnal practice year’s firstmeeting. podium presenters at this identification oneoffifty was of She abuse. and utilization ontest effect andits implementation policy ofascreening at the looking in Chicago. Jenn project deliveredofaresearch the results Traumatic at the Pediatric Trauma Injury” Brain Annual Meeting Society P teamwork out. andreduce burn andlateral hostility. staffsafety,nurses, are toincrease Their objectives EDs against in assaults of toaddress number the increasing was The focus annual conference. (ENA) at the Association Emergency Nurses Fury” Je ENA Janael Roseand Je ed nnifer Wobig “Non-Accidental presented Trauma inChildren with “Operation their presented Zero poster andDavid Linzey nael Rose i
a P tric os t e T r r
Pr D a avid um esen L a inzey P t od a ti on ium
Pr esen t a ti on Population”. intheSolution Inpatient VolumePreparation toaLow of Conventional Bowel entitled “Comparison assisting, analyst research CHS Jonathonwith Grotts, inpatient project, research aculmination ofan was Tennessee. poster The conference inNashville (SGNA) and Associates Nurse of Gastroenterology at theposter National Society Confe N Judy C Gas a ti tr onal orliss a presented r oen en c S t e o e r ci olo e t y of g y 4/24/15 4:55 PM L-R: Maria Rivera, Becky Love, Taylor Mendenhall, Marilyn Lang, Stephanie Jones & Lisa Nicassio
2014 Critical Care Tiara Ball
Nurses from the Critical Care team celebrate at the Tiara Ball where a former Top: David Linzey and Liz Taylor-Linzey MICU Septic patient case was presented along with other extraordinary patient Bottom: Debbie and Emma Aitken care stories. The event highlights for the community the positive outcome of Cottage’s Slay Sepsis campaign while focusing on the remarkable patient care 13th Annual Trauma/ experience of a few of our most memorable patients. Critical Care Symposium
“I loved it all! Great variety and cultural components, A Champion for Children excellent nursing contributions, The Pacific Coast Business Times named Liz Lundquist, Director of Children’s engaging, funny speakers” said Services at Cottage Children’s Hospital, the 2014 Champion Nurse. Liz was one CHS nurse after attending noted for her career-long passion for the care of children as well as for her the symposium. 80 CHS nurses advocacy for neonatal and pediatric patients at Cottage. Liz has been a driving and 161 others from across the force that ensures Children’s Services has country attended the conference, the benefit of dedicated pediatric clinicians and two trauma nurse specialists including Clinical Nurse and Child Life were among the speakers, Specialists, physical therapy and pharmacy. including Jenn Wobig. All presentations, panel discussions, Q&As, and debates explored current best practices in trauma and critical care to achieve better patient outcomes.
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NursingYearbook_2014.indd 41 4/24/15 4:55 PM NursingYearbook_2014.indd 42 42 Exemplary Professiosnal practice and unit level goals initiatives alongwith toimprove are created, and unitlevel the patient experience. care organization data ofthese collection tools, onthe results Based survey. the from Ganey traditionalPress collected tocomplement the survey data information andimprove the the HCAHPS patient utilizes experience. CHS togather facilities healthcare toassist anddata collection methodology survey is toestablish astandardized The inte H C AHPS nt of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiative andSystems Providers ofHealthcare nt (HCAHPS) ofthe ConsumerAssessment Hospital : Cons i s t en t Ca r e fo r I m p r oved P a ti en t
Ex pe ri en c e 4/24/15 4:55 PM retirements Many thanks to our valued retirees for their dedicated service to Cottage. They will be greatly missed around the halls of CHS and we wish them the very best!
Carole Shapiro Christy Lau Fern Gebert Gail McMullen Fern Gebert (far left) (33 Carole Shapiro (27 years) Christy Lau (holding the cake) Gail McMullen (30 years) years) retired from the retired from SBCH. She was (35 years) retired from the Eye retired from Mother Infant Operating Room. She worked raised in Wisconsin and Center that she helped open Care after being a part of the in a doctor’s office before received a BA in Speech in 1991. Her dedication as a team for 15 years. Her nursing joining SBCH. Fern became Correction and Audiology from nurse, mentor, and friend will career included 4 North a circulating OR RN in the the University of Wisconsin be missed. She always led Telemetry, Nursery, NICU, and Urology Cysto Room. Her at Madison in 1966. Carole by example and exemplified Labor and Delivery. Gail has legacy included creation of a received her AA degree in an excellent work ethic. always had a passion to care mobile Cysto cart to respond nursing from Santa Barbara Christy now begins her next for our patients with multiple to emergent needs outside City College in 1986. While at adventure as a grandmother births, since she has twin boys. of the operating room. Fern CHS, she worked in Med-Surg, extraordinaire. Gail will enjoy time with her will be spending her time Postpartum Nursery, Labor and husband and cheering on their with her family and watching Delivery, NICU, Goleta Valley boys at hockey games. her grandchildren’s sporting Cottage Hospital Birth Center events. and Mother Infant Care. Carole is looking forward to spending more time with her granddaughters, scrapbooking and traveling. Coleen Vannostrand 35 years NRU
Mary Nelson Perry
sherri grimes 31 years Sherrie Grimes (13 Years) SICU After 13 years as the Director of Acute Care Services at Linda Coe SBCH, Sherrie Grimes decided Debbie Walter 30 years to leave her 40+ year career Debbie Walter (32 years) and join her husband in retired from the Eye Center OPS retirement. Sherrie left a after working in MICU. legacy of numerous projects, Debbie, a dedicated RN had an Larry Ariew Marilyn Thomas accomplishments, and policies interesting and varied work Marilyn Thomas (35 years) 24 years for which Cottage is forever history prior to Cottage . She retired from the Eye Center. grateful. Sherrie was known will now have time to pursue Oncology Marilyn says, “My 35 years as “The Project Queen” and her love of travel, spend time of nursing at Cottage were could be counted on for with her family and her puppy. Lamberto Pipit the best years of my life juggling multiple projects 11 years and taking care of patients simultaneously. She now was my reward and calling.” enjoys spending time with her PPSU She graduated from Saint family and relaxes between Scholastic in Duluth, her homes in Illinois, Simi Minnesota and has returned Valley, and their boat in there to retire. She is filling Ventura Harbor. We wish her her time volunteering with the all the best – she deserves 43 area blood pressure clinics. every minute of it!!
NursingYearbook_2014.indd 43 4/24/15 4:55 PM NursingYearbook_2014.indd 44 44 Exemplary Professiosnal practice Congratulations tothis year’s winners. understanding that andamongst theteam. effort the honorisshared itisateam with Thisto quality ispresented the department ranking90%orabove. award the overall with andservice patient overall improved most ranking, satisfaction results, that goals have patient foroverall the met set andservices satisfaction departments on the patient experience Quarterly, the the committeeacknowledges formally has The Patients each individual the effect recognizes committee First steering tomake employee impactexperience. apositive onthe patient empowering every by We satisfaction in patient leaders tobe and Compassion: strive Integrity Building corevalues ofExcellence, onthe CHS patients f ir s t
2014 qu a rt e r ly awa r ds 4/24/15 4:55 PM Guidebook App for Cottage Symposium
The 2014 Trauma & Critical Care, Nursing Oncology and Saving the Brain Symposiums used the Content Management
System “Guidebook” to facilitate ements the attendee experience while saving the meeting organizers v valuable resources. Guidebook allows mobile access to an event via web browser or mobile apps for smartphones and tablets.
Content includes the schedule of events with descriptions,
speaker’s presentations, vendor mpro I lists and attendees. Real time updates allow speakers to make last minute changes to their presentations, which can be rapidly uploaded.
Early adoption of new technology is supported by Nursing at Cottage Health System as we continue on our Magnet journey!
“Blending research, evidence-based practice and
innovation, to New Knowledge, Innovations and improve outcomes.”
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NursingYearbook_2014.indd 45 4/24/15 4:55 PM 2014 Nursing Projects
Nurses at CHS participate and lead a variety of projects including evidence-based practice (EBP), quality improvement (QI), and research (R). EBP: Using evidence to solve a clinical practice problem (change practice) QI: To improve current problems/processes (improve patient care) ements Research (R): A systematic investigation to fill a gap in knowledge (generate new knowledge) v Student/School project (S): Project undertaken as part of a student course/school project. New Nursing Projects in 2014 mpro I R bacon, Linda Use of Doulas and Patient Outcomes in the Community Hospital Setting
QI biscaro, Laurie Community Case Management: High-Risk Patient Case Management Program and the ost-Acute Treatment Help (PATH) Program
QI biscaro, Laurie Project SIT DOWN
QI corliss, Judy Potential for Improved Success and Safety of ERCP by Using General Anesthesia
S ellison, Tina Emergency Room Overcrowding
S goozee, Denys Comprehensive Advanced Nursing Field Experience for Western Governors University
S mcLaughlin, Danilyn are Med-Surg Nurses Experiencing Burnout
S moesker, Kate Do Resource Nurses Make a Difference: Comparing Patient Satisfaction Scores efore and After Implementation
QI pelham, Kathy TeachBack
QI urton, Nicholas CHG Bath Wipe Change Investigation
New Knowledge, Innovations and Ongoing Nursing Projects in 2014
QI barkas, Diane Evaluation of Prone Therapy in Patients with Acute Respiratory Distress Syndrome
QI barkas, Diane Pre-hospital to Discharge: A CNS Led Multidisciplinary Team for Improving Clinical Outcomes for Out of Hospital Cardiac Arrest Patients
QI barkas, Diane Quality Improvement Registry for Acute Respiratory Distress Syndrome
R collins, Tina The Effect of a Nurse Intern Program on Transition to Professional Nursing Practice
R granger, Jennifer Nurse Engagement in the Competency Process
QI harper, Karen Collective Impact Model: Study of Patients who Died with a Cancer Diagnosis using NQF (National Quality Forum) Measures
S lord, Tracey Outpatient Diabetes Data Management
R rodgers, Debra Nursing Care at the Time of Death
QI taylor-Linzey, Elizabeth distracted Driving Campaign
QI taylor-Linzey, Elizabeth fallSTOP: Confidence, Strength, Stability
R thomas, Dan Fall Risk Assessment Specific to the Acute Physical Medicine Rehabilitation Hospital Setting: Validation Study
R Wobig, Jennifer The Impact on Outcome of the Implementation of Tranexamic Acid (TXA) in a Massive ransfusion Protocol in a Community Hospital
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NursingYearbook_2014.indd 46 4/24/15 4:55 PM L-R back row: Carol Henderson Nelson, Gordon Arkell, LVN, Frances McKinney, Administrative Assistant, Jennifer Granger, Maggie Wordell, Jennifer Bower, Susan Garrett, Sr. Department Assistant
From Educators to Webmasters
The education department unveiled their new, user-friendly, visually pleasing, education and training website. The site, accessed through the portal, was officially launched in January. Through hard work, collaboration, and teamwork the site showcases up-to-date resources utilizing technology to meet the needs of the end-users. The website process improvement project was presented at C3 and was well received. Project outcomes were measured by reviewing the number of “hits” the site receives monthly. As the graph displays, the site has a lot of traffic.
Cottage Author: Expands Nursing L-R: Stephanie Remick Moore and Janet Shepherd Knowledge
The Society of Obstetrical Anesthesia (SOAP) The benefits of professional published a consensus statement regarding life organization involvement support modifications for the pregnant women in In August, the SB County AACN Chapter hosted Anesthesia and Analgesia. Two of the authors are a Journal club on Derived Hemodynamics. The perinatal nurses; one of them is Cottage Hospital’s focus was on the physiology behind hemodynamic Perinatal Educator, Dodi Gauthier. monitoring and fluid optimization. Participants left with a better understanding and in-depth Using Technology to Enhance the knowledge on how to use derived hemodynamics Patient Care Experience: Endorectal/ to treat patients with sepsis and other life- endoanal ultrasound threatening illnesses. This knowledge directly Laura Rodriguez led the project which uses the improves our bedside expertise in caring for technology to stage endorectal cancers, sphincter critically ill patients of our community. evaluations, and evaluation of anorectal fistulas. There are many benefits of joining your local The advantage of this procedure is that rectal professional organization chapter, are you an cancers can be located and staged which impacts active participant in a professional organization? the mode of treatment for patients. Reach out, get involved! 47
NursingYearbook_2014.indd 47 4/24/15 4:55 PM Compassion doesn’t end when the heaRt stops: Sharing CHS Best Practice Research
In May, critical care’s research poster “Compassion Doesn’t End When the Heart Stops” was presented at ements the National Teaching Institute (NTI) for Critical Care v in Denver, Colorado. The Poster highlights the Bathing and Honoring Practice done at the end of life with our patients’ families and staff. This qualitative study mpro I interviewed 12 nurses’ perceptions of this practice in the MICU and SICU. Hospitals from across the country were interested in starting this practice at their institutions, from small rural hospitals and hospices in Kansas to larger institutions such as Stanford, Mayo Clinic, and Johns Hopkins.
L-R: Diane Barkas, Tokie Shynk and Lisa Nicassio
CRH Research Project: Calling for a change in practice
A study, initiated by Dan Thomas, was completed at CRH to validate a Fall Risk Assessment tool specific to the inpatient acute Rehabilitation and comparing the Morse Fall Risk Assessment with an alternative tool. 931 patient records were included in the study. The findings were conclusive in validating the efficacy, specificity and predictive value of the New Knowledge, Innovations and alternative scale. The research was presented at two national Rehabilitation Conferences and accepted for publication in the Rehabilitation Nursing Journal. The team is in the process of changing practice at CRH where the newly validated Casa Colina Fall Risk Assessment Scale (CCFRAS) will be used to assess the CRH patient population for fall risk.
L-R: Dan Thomas, Andrea Pavic OT, Erin Bisaccia PT, Jonathan Grotts Research Analyst
Fecal Microbial Transplant
A new evidence based practice treatment has begun in Endoscopy. The team started a fecal microbial transplant program aimed at treating refractory C-Diff. Specimens from donors who have been screened are “transplanted” into the recipient via colonoscopy, increasing the amount of “good” bacteria back in to the colon. Kim Lemon (pictured at right) coordinates this program in the Endoscopy Department. 48
NursingYearbook_2014.indd 48 4/24/15 4:56 PM Nursing excellence Quality information
At Cottage Health System we are committed to refining and improving the processes of quality care and to understanding how we compare to national and state quality benchmarks. Clinical measures are used to track and assess the quality, outcomes, and satisfaction of care. We monitor several conditions and areas of clinical care, including the following:
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NursingYearbook_2014.indd 49 4/24/15 4:56 PM healing arts
“Nursing is an art: and if it is to be made an art, it requires an exclusive devotion, as hard a preparation as any painter’s or sculptor’s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God’s spirit? It is one of the Fine Arts: I had almost said the finest ofF ine Arts.”
– Florence Nightingale
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NursingYearbook_2014.indd 51 4/24/15 4:56 PM Post OfficeB ox 689, Santa Barbara, California 93102 | www.CottageHealthSystem.org
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