Headlines CaringSeptember 16, 2010 Certifi ed nurse-

Certifi ed nurse-, Dana Cvrk, CNM (right), and labor & delivery nurse, Elizabeth West, RN, support patient, Kerin Mejia, through a labor contraction moments before she gave birth to a beautiful baby girl. See senior vice president for Patient Care, Jeanette Ives Erickson’s, column on page 2.

The newsletter for Patient Care Services Massachusetts General Jeanette Ives Erickson

Certifi ed nurse-midwives When choosing a caregiver to guide them through and , women should know they have a choice

urse-midwifery has been a recognized healthcare profes- sion since the early 20th cen- Nurse-Midwifery tury, but surprisingly, many people are still unclear about Philosophy of Care what nurse-midwives do. First established in rural Kentucky Jeanette Ives Erickson, RN, senior vice president •Focus on prevention for Patient Care and chief nurse and education NNin the 1920s, nurse-midwives brought family health •View pregnancy as a services to poor and under-served areas of the Appa- Nurse-midwives bring a holistic approach to the normal process lachian Mountains. Today, more than 7,000 certifi ed management of pregnancy, labor, and childbirth. They •Provide nurse-midwives practice in all 50 states providing indi- have their own patients and work collaboratively with compassionate, vidualized, holistic care as integral members of the ob- obstetricians and maternal fetal medicine family-centered care stetrical team. within the Vincent multi-disciplinary obstetrical ser- •Encourage women’s Certifi ed nurse-midwives are registered nurses vice. participation in who’ve completed graduate-level training in midwifery, According to Marie Henderson, CNM, director of decision-making passed the national certifi cation exam offered by the the Nurse-Midwifery Program, “A nurse-midwife can •Use technology American Midwifery Certifi cation Board, and been li- start to manage the prenatal care of an expectant and intervention censed by the state to practice in birthing centers, clin- mother as early as the fi rst positive pregnancy test. If, appropriately ics, and . At MGH, nurse-midwives practice after a risk assessment, a pregnancy is deemed low-risk •Consult, refer, and within guidelines established in collaboration with the (as the vast majority of are), a woman can collaborate with division of Maternal Fetal Medicine and within the choose to have a nurse-midwife manage her care. The members of the scope of practice prescribed for advanced practice goal of nurse-midwives is to support the choices healthcare team nurses. Of the more than 3,500 babies delivered at women make by providing accurate information, en- MGH each year, approximately one third are delivered couragement through the discomfort of pregnancy, re- by nurse-midwives. spect for cultural values, and anticipatory guidance.”

continued on next page

Page 2 — Caring Headlines — September 16, 2010 Jeanette Ives Erickson (continued)

Contrary to popular misconceptions, giving birth Midwives encourage a variety of positions for women with the guidance of a nurse-midwife does not neces- during labor (as shown in the photo on the front cover). sarily mean giving birth at home, nor does it mean Shifting positions helps women cope with the pain of giving birth without the benefi t of pain medication. childbirth more effectively. Nat ural childbirth (no medication) can be accom- MGH serves a global community. Respect for cultural For the well- modated when it’s the mother’s choice, but pain values is an important part of midwifery care. Supporting medication and/or an epidural are available. the choices of women who come to us from other coun- being of both As Henderson is quick to point out, “That’s what tries means honoring the beliefs and traditions surround- makes MGH such an incredible place to give birth. ing labor and childbirth in their native countries. A map the baby and the Women who choose midwifery care can deliver in a of the world hangs in the midwifery call room as a way of mother, nurse- birthing room in the company of their partner or affi rming the local and global practice of MGH midwives. support person, the midwife, and a labor nurse. The Midwives are trained to assess complications through- midwives talk entire obstetrical team (obstetricians, pediatricians, out pregnancy. During the day, the triage area on the anesthesiologists, maternal-fetal medicine specialists, Labor & Delivery Unit is run by midwives who assess to expectant and access to the MGH Blood Bank) is available if each woman’s concerns and admit, or defer admission, the need arises. Nurse-midwives are trusted members accordingly. mothers about of the obstetrical team. Every woman contemplating Says Henderson, “It’s a privilege to do what I do. As a prenatal testing, motherhood should know that nurse-midwifery care midwife, I bring a set of skills to women as they give is safe for moms and safe for babies.” birth. To touch a baby’s head as it enters the world and smoking, alcohol Nurse-midwives view the onset of pregnancy as hand that baby to its mother is an incredible moment.” an opportunity to provide valuable health education. Nurse-midwife, Amy Kogut, CNM, says one of her fa- use, nutrition, For the well-being of both the baby and the mother, vorite things about being a nurse-midwife is, “that mo- weight-control, nurse-midwives talk to expectant mothers about pre- ment when the mom and family see their baby for the natal testing, smoking, alcohol use, nutrition, fi rst time — especially when they don’t know the gender. exercise, fl u weight-control, exercise, fl u shots and other vac- They just love it because it’s here, it’s theirs, and it’s cines, oral care, breast-feeding, motherhood, home/ amazing. There’s just nothing else like it.” shots and life balance, even the use of seat belts. Moms are For information on becoming a nurse-midwife, other vaccines, given the most up-to-date information to empower e-mail Marie Henderson at: [email protected]. them to make the best choices for themselves and To arrange a consult with a nurse-midwife at MGH, call oral care, their babies. 617-724-2229. breast-feeding, motherhood, In this Issue home/life balance, Certifi ed Nurse-Midwives ...... 1 The Knight Center ...... 9 • Annual Regulatory Compliance Training even the use of Jeanette Ives Erickson ...... 2 • Certifi ed Nurse-Midwives Fielding the Issues ...... 10 seat belts. • Acute Care Documentation (ACD) Ramadan at MGH ...... 4 Announcements ...... 11 Clinical Narrative ...... 6 • Daphne Noyes and Rachel Spence, RN Collaborative Governance ...... 12 Reinvigorating Our No-Smoking Campaign ...... 8

September 16, 2010 — Caring Headlines — Page 3 Observances

Ramadan at MGH an opportunity to celebrate and educate — by Firdosh Pathan, RPh

n August 24, 2010, in the employees, patients, families, and visitors as they came to- spirit of unity and commu- gether to enjoy good food and good company. Firdosh nity-building, Patient Care Pathan, RPh, who organized the event, and Audrey Jasey, Services, Human Resources, RN, co-chair of the PCS Diversity Committee, offered Below: event organizer, and the MGH Muslim com- welcoming remarks. Guest speaker, Abdur-Rahman, pro- Firdosh Pathan, RPh, and munity held an Iftar (a break- vided insight into the meaning and importance of fasting guest speaker, Abdur-Rahman, OOing of the fast during the Holy month of Ramadan). It during the month of Ramadan. And Muslim chaplain, welcome guests before was the tenth observance of this important Muslim Imam Talal Eid, ThD, led the gathering in prayers. (at right): breaking fast holiday, and heavy rain didn’t dampen the spirits of Muslims follow the religion of Islam. Ramadan is a spe- cial month for more than 1.2 billion Muslims around the world. It is a time for inner refl ection and devotion to God. During Ramadan, the ninth month of the Islamic (Photos by Paul Batista) Paul (Photos by

Good food. Good friends. Evening prayers. And a chat about the benefits

Page 4 — Caring Headlines — September 16, 2010 Observances (continued)

lunar calendar, healthy Muslim adults and many chil- ing one another, or helping the sick and poor. Rama- Typically, Muslims dren fast from dawn until sunset. Smoking and marital dan is a time for Muslims to be better Muslims. The el- celebrate Iftar with family intimacy are forbidden during fasting, and at the end of derly and expectant mothers may abstain from these in their home countries, the day the fast is broken with prayer and a meal called practices or choose to observe the fasting tradition at but many Muslims living the Iftar. another time of year. in the United States are During Ramadan, Muslims perform good deeds such The purpose of Ramadan and the fasting tradition is apart from their families as giving more to charity, discontinuing bad habits, visit- to acquire self-control, discipline, generosity, and God- during Ramadan. Having consciousness. Because an opportunity to share Ramadan is a lunar this celebration with month, it begins approxi- friends and colleagues in mately 11 days earlier each the MGH community year. was a much-appreciated At the end of the holy gesture for Muslim staff month, Muslims celebrate and patients. Eid-ul-Fitr, the festival of Perhaps Pathan said it fast-breaking, which will best in his prayer prior to take place this year breaking fast, “We have September 10th or 11th one God, one humanity, (depending on the sight- one world to share. I ing of the moon). hope that all the people of the world who pray to this God can one day live together in Peace.” For more information about prayer times or to learn more about the Muslim religion, send e- mail to [email protected] or [email protected].

Above: Friends of all ages enjoy time together. Below: Muslims pray before breaking fast. of fasting. What better way to spend a Ramadan evening?

September 16, 2010 — Caring Headlines — Page 5 Clinical Narrative

Traditional dance is good medicine for patient on Cardiac Step-Down Unit

y name is Daphne Noyes, and I am a staff chaplain. I work pri- marily on the Interventional She had been at Cardiology Unit, the Cardiac MGH for four months Surgical ICU, and the Cardiac Surgical Step-Down Unit. Like eating unfamiliar food, MMother MGH chaplains, I provide spiritual care to pa- tients and families of all backgrounds, denominations, being cared for by and faith traditions, and to those who don’t subscribe to any particular tradition. people who spoke Patients who’ve been hospitalized for a long time Staff nurse, Rachel Spence, RN (left), a different language, can become withdrawn, listless, or what a chaplain and staff chaplain, Daphne Noyes might describe as, dispirited. This was the case with and undergoing Mrs. A, a 70-year-old Arabic-speaking woman. When I y name is Rachel Spence. I have met Mrs. A, she was in the Cardiac Surgical ICU, se- been a cardiac surgical nurse on procedures that dated and intubated. I spoke to her softly, held her hand, the Cardiac Step-Down Unit said a silent prayer, and left. This became my routine as since 2004. Recently, I had the must have seemed she remained seriously ill in the ICU for several weeks. privilege of taking care of Mrs. A. as foreign to her as One afternoon I met her sons, who spoke English as She had come to Boston to visit well as Arabic. I described the role of the Chaplaincy MMfamily last October when she unexpectedly ended up her surroundings... and told them about my visits with their mother. They in a community hospital undergoing major surgery. seemed vaguely appreciative, but disinterested. The After several complications from surgery and other I thought how Imam (Muslim chaplain) who had also visited Mrs. A chronic health issues, Mrs. A was brought to MGH. confi rmed that the family expressed little interest in In caring for Mrs. A, I learned a lot about who she frustrating it must chaplaincy support. was despite the differences in our language and culture. be for her to be a Over time, Mrs. A was transferred several times be- I knew that when I left her room, she liked to have her tween the ICU and the Step-Down Unit. She had TV remote and suctioning device (a tip that let her stranger in this been at MGH for four months eating unfamiliar food, suction her oral secretions) nearby; she liked her blan- being cared for by people who spoke a different lan- kets pulled up to her neck so only her head peeked out; strange land. guage, and undergoing tests and procedures that must she liked that I held her hand when she was anxious or have seemed as foreign to her as her surroundings. not feeling well; and she liked that I helped her under- Treatment decisions were made by one of her sons. I stand her dialysis routine. We spent a lot of time to- thought how frustrating it must be for her to be a gether. My desire was to help Mrs. A become physi- stranger in this strange land. cally well and also address her spiritual and emotional continued on next page

Page 6 — Caring Headlines — September 16, 2010 Clinical Narrative (continued)

needs. Mrs. A’s spiritual and emotional needs became a critical part Mrs. A the whole while. With every movement, her dress made a gen- of her healing process. In thinking about how to encourage Mrs. tle jingling sound. When the rhythm got livelier, Mrs. A began clap- A’s well-being, I knew that all disciplines involved in her care ping along with the music, smiling broadly. I’d never seen her make would have to work together. voluntary movements like that before. The dancer ended her perfor- mance with a deep bow to Mrs. A in a gesture of respect and esteem. Daphne: I recalled several studies that spoke to the positive effect Despite her tracheotomy, Mrs. A called out, “Bravo!” several times. music can have on cardiac patients. I thought this might be a way to lift Mrs. A’s spirits. I consulted a friend familiar with Middle Rachel: We watched Mrs. A smile and clap. You could feel the sense of Eastern arts and culture, and she suggested an Egyptian singer, Um peace she felt watching this reminder of ‘home.’ Our focus shifted Kalthoum. I brought a CD of Um Kalthoum’s recordings to Mrs. from the dancer to Mrs. A. The smile stayed on her face long after the A’s room. When the music started to play, I saw Mrs. A smile for dancer was gone. That’s when I realized that Mrs. A wasn’t ‘just’ a pa- the fi rst time. I let Mrs. A’s nurse, Rachel, know about this inter- tient. She was a mother, sister, wife, and friend who had touch ed our vention so that Mrs. A could enjoy the music as often as she liked. lives as much as we hoped we had touched hers. In my eight years of But I still sensed there was more we could do. , Mrs. A was the most challenging patient I ever worked with, It wasn’t a big leap from music to dance. Not that Mrs. A would but I grew to love her. It was a privilege to be her nurse, advocate, and be able to dance, but she might enjoy seeing some traditional folk friend. dancing from her native country. I ran the idea by Rachel and the nursing director, who both enthusiastically agreed. Mrs. Daphne: In just fi ve minutes, Mrs. A was transported back to her A’s son, who was overseas at the time, translated homeland. The music and dance lifted her (and staff) to a the offer to his mom by phone. Mrs. A wel- bright, happy place where we were all reminded of the fullness comed the chance to see a bit of culture and beauty of humanity. from her homeland. I contacted a lo- cal dancer and explained the situation. Rachel: Mrs. A recently transferred to another unit and an- She was happy to comply with our re- other MGH ‘family.’ But I still visit her and tell her (in quest to provide this unusual form of heal- the broken Arabic I picked up over the past few ing to Mrs. A. months) that I miss her and hope some day she’ll be able to return to her Rachel: One evening after a diffi cult day of homeland as a whole, testing and generally not feeling well, Mrs. healthy person sur- A got her wish. With the help of the Chap- rounded by the culture laincy, we arranged for an Egypt ian folk she loves and the people dancer to come to Mrs. A’s room. As the mu- she holds dear. sic began, Daphne, several unit service associ- ates and critical care technicians, and I watched Comments by Jeanette Ives Erickson, RN, the ‘private’ performance along with Mrs. A. senior vice president for Patient Care and chief nurse Daphne: The dancer arrived around 6:00pm wear- It’s not surprising that patients become dispirited after ing a deep green, fl oor-length dress with gold span- spending a long time in the hospital, especially when gles, a headband, and sandals. I escorted her to Mrs. they’re far from home as Mrs. A was. Daphne and A’s room. Introductions were made using a combina- Rachel recognized Mrs. A’s need for an emotional tion of hand gestures and Arabic-English translations ‘boost,’ and they found that boost in the form of a dancer (with the help of a unit service associate who spoke from Mrs. A’s homeland. What better medicine? They Arabic). allowed Mrs. A to re-connect with her world through When the music started, the dancer began to sway the joy of familiar music and dance. This narrative and turn, moving her arms in graceful arcs, smiling at speaks to the power of teamwork, the importance of ho- listic care, and the indelible impact we have on patients Traditional Middle-Eastern folk dancer, and families. Amanda (Hanan) Leone, performs the Baladi, Thank-you, Daphne and Rachel. the women’s folk dance of Egypt

September 16, 2010 — Caring Headlines — Page 7 Quit Smoking

Smoke ‘knot’ here reinvigorating our no-smoking policy — submitted by the MGH No-Smoking Committee

ccording to Nancy McCleary, RN, of ment is important not just for the safety of our patients, families, the MGH Tobacco Treatment Service, and staff, but also to be compliant with Joint Commission, “Smoking is the single most prevent- CMS, and other regulatory standards. We respect everyone’s able cause of death and disability in the right to enjoy a smoke-free environment.” United States. Research shows that sec- Several tools are available to help educate staff about the ond- and third-hand smoke (the resi- smoke-free policy and how to enforce it. The PCS Excellence due left from tobacco smoke) can ser- Every Day website (http://intranet.massgeneral.org/excel- iously lenceeveryday/Toolkit/environ- AAthreaten the health of non-smok- mentofcare.asp) offers talking ers.” To promote good health for points for managers; handouts the entire hospital community, showing a map of the campus MGH discourages the use of to- with the locations of the smok- bacco products and is launching a ing shelters clearly marked; and hospital-wide no-smoking cam- a reminder to staff about appro- paign on September 17, 2010. priate use of nicotine-replace- The campaign, under the aus- ment products. pices of Jean Elrick, MD, senior Says Michelman, “Managers vice president of Administration, and supervisors are expected to and led by Bonnie Michelman, di- hold staff accountable for adher- rector of Police, Security & ing to the no-smoking policy Outdoor Services, focuses on edu- just as they would for any other cation, enforcement, and en- policy such as attendance, per- hancement of the MGH no-smok- formance, or dress code.” This is ing policy. The policy prohibits a perfect example of, ‘It takes a smoking in or around buildings village.’ If any MGH employee owned or occupied by MGH. On sees someone smoking in an un- the main campus, smoking is per- designated area, he or she mitted only in two designated should let the individual know shelters: one on North Grove that MGH is a smoke-free envi- Street, and one on Blossom Street. ronment and direct them to one A series of posters and the slo- of the shelters. gan, “Smoke ‘Knot’ Here,” have To assist employees who been developed to help communi- want to quit smoking, the cate both the policy and the loca- Tobacco Treatment Service of- tion of smoking shelters. fers several options for assis- Says Michelman, “Our com- tance. For more information, mitment to a smoke-free environ- call 6-7443.

Page 8 — Caring Headlines — September 16, 2010 The Knight Center

2011 annual regulatory compliance education Some important changes in the coming year — by Gino Chisari, RN, director, The Norman Knight Nursing Center for Clinical & Professional Development

ealthStream, the on-line October 1, 2010, with a mandatory completion date of learning-management system December 31, 2010. Courses will include the standard that allows us to manage, fi re-safety, infection-control, and HIPPA education, deliver, and track the learning and for those with direct patient contact, there is up- activities of staff throughout dated information on restraint use, fall-prevention, and Patient Care Services, has other quality and safety issues. vastly improved our ability to The new model will allow us to meet, and in some provide and monitor our an- cases, exceed our regulatory requirement to maintain HHnual regulatory compliance education. Since 2009, compliance on an annual basis. One benefi t of adopt- PCS staff have used HealthStream to complete their ing this new process will be having all members of annual required training. Completion dates for these Patient Care Services in compliance at the same time courses typically coincided with the date of employees’ and within a very short time frame. Under the new sys- tem, as information changes, it will be easier to com- municate those changes directly to those affected, and all clinicians will have the most up-to-date informa- Beginning with the new fi scal year, PCS employees tion available. The system will add an extra layer of will participate in a pilot program in which 2011 regulatory safety to our efforts to provide high-quality, patient- and family-centered care. compliance education will be assigned on October 1, 2010, with The Knight Nursing Center HealthStream team worked with many content experts throughout the a mandatory completion date of December 31, 2010. hospital to create a meaningful, comprehensive, and concise program. Annual regulatory compliance educa- annual performance appraisals. This was an effective tion is crucial in ensuring we’re all informed and in system, but it was labor-intensive to track and compile sync as we work together to provide the safest possible compliance rates. HealthStream’s electronic tracking environment for our patients, families, and one an- and reporting functions allow us to customize the com- other. Staff of The Knight Nursing Center look for- pletion dates of required training to meet the specifi c ward to exploring new and innovative ways to meet requirements of regulatory agencies. and exceed our educational needs. Beginning with the new fi scal year, PCS employees For more information on HealthStream of the will participate in a pilot program in which 2011 regu- changes in our annual regulatory compliance educa- latory compliance education will be assigned on tion, call 6-3111.

September 16, 2010 — Caring Headlines — Page 9 Fielding the Issues

An update on the Acute Care Documentation project

Question: What’s going on with the Acute Care Doc- Question: How will e-chart impact patient care? umentation project? Jeanette: Electronic systems help ensure patient safety and improve Jeanette: As you know, the Acute Care Documenta- care. The goal of e-chart is to improve communication among members tion (ACD) project is a joint MGH-BWH initiative to of the care team while streamlining the documentation process. With automate the inpatient . A sophisticated the new system, clinicians from both hospitals will be able to share pa- clinical information system called, MetaVision, is being tient information and develop integrated plans to improve patient care. confi gured to meet the specifi c needs of our clinicians. The new application will be called “e-chart.”

Question: How is e-chart being created?

Question: Who will use e-chart? Jeanette: The ACD project team, which includes nurses, physicians, health professionals, and information systems staff, is using an iterative Jeanette: Everyone who provides documentation in the process to ensure that content and design will work for end-users. The patient chart will use e-chart. That includes nurses; nurse clinical content we gathered over the past year is being built into the practitioners; physicians; assistants; patient care MetaVision software. A separate usability team is ensuring that informa- associates; physical therapists; occupational therapists; tion is clear, effi cient, and consistent from screen to screen, while a sub- pharmacists; respiratory therapists; case managers; social ject-matter team is reviewing content to ensure the design refl ects clini- workers; speech pathologist; nutritionists; and chaplains. cian workfl ow. The ACD joint content committee, comprised of repre- Initially, e-chart will be rolled out on three pilot units: the sentatives from both hospitals, is reviewing this work and making rec- Ellison 4 Surgical ICU; the Ellison 9 Cardiac Care Unit; ommendations for modifi cation. This comprehensive process relies on and the White 9 General Medical Unit. participation from a multi-disciplinary team and follows sound informat- ics principles.

Question: Does that mean MGH will be “paperless” once e-chart is implemented? Question: Will there be enough computers for all clinicians?

Jeanette: While the fl owcharts and many notes will be Jeanette: More than 900 computers were installed at the bedside computerized, the gray books will continue to house pa- prior to the EMAR roll-out. The ACD project will see installation of tient consents and other medical records not yet available new computers in hallways and common areas along with wide-scale dis- electronically. The ACD project builds on the automated tribution of mobile computers to support the work of roving-clinicians. systems already in place, including provider order entry For more information about the ACD project, contact Sally Millar, (POE) and the electronic medication administration re- RN, director of Informatics, at 6-3104. cord (EMAR).

Page 10 — Caring Headlines — September 16, 2010 Announcements Published by Caring Headlines is published twice each month by the department of Patient Care Services at Massachusetts General Hospital Eldercare MGH Bicentennial Pathways of Healing Publisher monthly discussion group Logo Mind-Body-Spirit Jeanette Ives Erickson, RN Continuing Education Program senior vice president Join facilitators, Janet T. Loughlin, for Patient Care LICSW, Partners EAP, and Barbara Submit your ideas presented by Moscowitz, LICSW, geriatric social The LVC Retail Shops the MGH Nurses’ Alumnae Association Managing Editor worker for the Eldercare monthly will help celebrate the hospital’s Susan Sabia discussion group, sponsored by 200th anniversary by carrying September 24, 2010 the Employee Assistance Program. items featuring the MGH 8:30am–4:00pm Editorial Advisory Board Come and discuss subjects bicentennial logo. Submit O’Keeffe Auditorium Chaplaincy relevant to eldercare. suggestions. The fi rst 25 staff to Michael McElhinny, MDiv submit usable ideas will receive a Speakers Next session: Editorial Support $10 LVC Retail Shop gift card. Dr. Herbert Benson, director, Marianne Ditomassi, RN October 12, 2010 MGH Mind-Body Institute; Mary Ellin Smith, RN 12:00–1:00pm E-mail ideas to: Amanda Coakley, RN, staff [email protected] Materials Management Doerr Conference Room specialist Edward Raeke Yawkey 10-650 (“MGH General” in Outlook) $30.00 for MGHNAA members Nutrition & Food Services Old friends and new members and MGH employees Martha Lynch, RD are welcome $40.00 for all others Susan Doyle, RD Feel free to bring your lunch October is Register by September 17, 2010 Offi ce of Patient Advocacy For more information, call 6-6976 Domestic Violence at: www.mghsonalumnae.org Robin Lipkis-Orlando, RN or visit www.eap.partners.org. or e-mail mghnursealumnae@ Offi ce of Quality & Safety Awareness Month partners.org Keith Perleberg, RN Information tables will be set 6 Contact Hours Orthotics & Prosthetics Save the date up in the Main Corridor to help Mark Tlumacki raise awareness about domestic PCS Diversity Third annual violence and hospital-wide Deborah Washington, RN resources available for patients Knight Visiting Physical Therapy WorkStrong Fair and employees. Occupational Therapy Michael Sullivan, PT Tuesday, October 5, 2010 Scholar The Institute for Patient Care Police, Security & Outside Services 7:00–11:00am Patricia M. Reilly, RN, Joe Crowley and MGH Physical and Wednesday, October 6, 2010 program manager for Integrative Occupational Therapy invite 10:00am–2:00pm Care at BWH is the 2010 Knight Public Affairs Suzanne Kim you to attend the third annual Main Corridor Visiting Scholar. A recognized WorkStrong Fair, featuring For more information, expert in complementary Respiratory Care resources to keep our patients therapies, Reilly has lectured Ed Burns, RRT and ourselves healthy and safe. contact Liz Speakman, director of HAVEN at MGH extensively on stress-reduction, Social Services Ellen Forman, LICSW Try out new equipment, at 6-7674. leadership-development, and learn about work-related injuries caregiver fatigue. Her research Speech, Language & Swallowing and how to prevent them, get focuses on the impact of Disorders and Reading Disabilities your fl u vaccine, enter a raffl e to complementary therapies on Carmen Vega-Barachowitz, SLP win a WiiFit or tickets to sporting Nursing History patients and clinicians. Training and Support Staff events, and enjoy refreshments Stephanie Cooper Reilly will present, “The Shift is from Whole Foods, BoYo, and Tom Drake Call for photos and artifacts on! Are you ready to take the J. Pace & Son. The Institute for Patient Care In preparation for the MGH Quantum Leap?” Gaurdia Banister, RN Thursday, September 30, 2010 bicentennial, the department 11:00am–2:00pm and 3:00–5:00pm of Nursing is creating a book Thursday September 23, 2010 Volunteer Services, Medical Interpreters, Ambassadors, Under the Bulfi nch Tent commemorating major Grand Rounds: 1:30-2:30pm O’Keeffe Auditorium and LVC Retail Services nursing milestones. Paul Bartush For more information, call 6-6548 The Nursing History For more information, contact Committee is looking for Mary Ellin Smith, RN at 4-5801. Distribution photographs, articles, artifacts, Ursula Hoehl, 617-726-9057 and information that would help Submissions describe the journey All stories should be submitted of MGH nurses. to: [email protected] For more information, call: Please send ideas to Georgia 617-724-1746 Peirce, director, PCS Promotional Communications and Next Publication Publicity, at 4-9865. October 7, 2010

September 16, 2010 — Caring Headlines — Page 11 Collaborative Governance An update on changes to collaborative governance — by Mary Ellin Smith, RN, professional development manager

pplications are now being practice. Five sub-committees will report to the new accepted for appointment Practice and Quality Committee. Sub-committees and re-appointment to col- have been created to refl ect the issues of most con- laborative governance com- cern to patients, caregivers, and regulatory agencies. Over the course mittees. Collaborative gover- Staff seeking appointment or re-appointment to ei- nance is a critical component ther the Nursing Practice Committee or Quality of the past year, of the professional practice Committee will be asked to identify which sub-com- model supporting communi- mittee they’d like to be part of. The fi ve sub-commit- collaborative cation and decision-making and placing authority, re- tees are: Fall Prevention; Pain Management; Restraint AAsponsibility, and accountability for patient care with Usage; Skin Care; and Policy, Procedure and Prac tice. governance has practicing clinicians. Responding to technological advances, and in an- undergone several Over the course of the past year, collaborative gov- ticipation of electronic acute care documentation, an ernance has undergone several changes, and more Informatics Committee has been added. This com- changes, and changes are expected in the near future. Changes made mittee will evaluate and make recommendations re- so far include: lated to technology and work closely on the roll-out more changes are • a re-design of the Nursing Practice and Quality com- of Acute Care Documentation. mittees The transition of the Commit- expected in the • the addition of an Informatics Committee to collab- tee to the Inter-Disciplinary Research Committee orative governance will help promote inter-disciplinary collaboration, ev- near future. • the transition of the Nursing Research committee to idence-based practice, and knowledge-development. an inter-disciplinary research committee Applications are due by November 1, 2010; appli- The re-design of the Nursing Practice and Quality cations may be obtained from your directors. For committees is occurring so that we’re in a better posi- more information, contact Mary Ellin Smith, RN, at tion to address the relationship between quality and 4-5801.

First Class US Postage Paid Headlines Permit #57416 aringSeptember 16, 2010 Boston, MA C Returns only to: Bigelow 10 Nursing Offi ce, MGH, 55 Fruit Street Boston, MA 02114-2696

Page 12 — Caring Headlines — September 16, 2010