NOVEMBE R/ DECEMBER 2011

news for employees and friends of wakemed

www.wakemed.org

WakeMed Rehab Earns Three-Year CARF Reaccreditation

Cary Hospital – 1991 Cary Hospital – present day As of October, WakeMed’s Rehab programs were reaccredited for three years by CARF International, a human services accreditation agency. WakeMed’s accreditation includes the Rehab Hospital for Cary Hospital Celebrates 20th Anniversary general rehabilitation and specialty programming in stroke, spinal On December 16, 1991, Cary Hospital opened as Western Wake Medical WAKEMED CARY HOSPITAL cord injury care and brain injury rehabilitation, as well as a specialty Center, an 80-bed hospital designed to replace the former Western Wake spinal cord and brain injury day treatment program. Hospital in Apex. But the journey to make Cary Hospital a reality was not an This accreditation is the highest level awarded and demonstrates our easy one. In 1981, WakeMed (then called Wake Medical Center) and Kentucky- commitment to programs and services that are measurable, account- based Humana Inc. filed applications with the state seeking permission to able and of the highest quality. CARF surveyors made no recommen- build a hospital in Cary. The state granted WakeMed’s request, but Humana dations, signifying that the on-site reviewers did not identify any areas appealed the decision. Court battles ensued for five years. Finally, in 1986, of nonconformance. This is an extraordinary accomplishment, as only the N.C. Court of Appeals upheld the decision to grant the beds to three percent of CARF surveys result in no recommendations. WakeMed and in 1988, the Wake County Commissioners also approved. Years Today, WakeMed Cary Hospital is a full-service hospital with 156 beds, OF CARE AND COMPASSION “We expected a great survey result because of the scope of services we 1,053 employees and a 683-member medical staff. IN OUR COMMUNITY offer and positive patient outcomes we deliver, but a recommendation- free survey is beyond expectation,” commented Beth Rud- • • • • • • • • • • • • • • • • • • • • isill, director, (Rehab Hospital). “I am grateful to the staff WakeMed Brier Creek Healthplex and leadership for the hard work they put in every day.” Bedside Reporting Opens January 9 CARF is an independent, non-profit accrediting body whose Goes Live January 4 mission is to promote the quality, value and optimal out- As the system-wide rollout for bed- comes of services through a consultative accreditation pro- side reporting approaches, Barry cess that centers on enhancing the lives of the persons Swanner, RN, (Children’s Emergency served. For more information, visit www.carf.org. Department) (below left) can be rec- ognized as the founder of WakeMed’s new Bedside Report Guidelines. Through the acronym BEDSIDE, ▲ Swanner created an easy way for incoming and Brier Creek Healthplex will open to the outgoing nurses to remember how to conduct a bed- public on January 9. The new, 50,000 side report together during shift change in a time- square-foot facility will be home to effective, convenient and efficient manner. WakeMed’s sixth full-service emer- In summary, BEDSIDE stands for: gency department (ED). In addition to Begin with introductions, and be sure to the 24 /7 ED, the healthplex will fea- “gel in” as you enter the room. ture a variety of outpatient services Erase and update the patient’s whiteboard. including diagnostic imaging, labora- Discuss patient care. tory services and physician offices. Safety checks Please Join Us for Interventions An Employee Open House Disposition update Ensure understanding, encourage FRIDAY, JANUARY 6 questioning and exit, making certain you “gel out.” 1 0 A M T O 3 P M Veterans Day at WakeMed Swanner worked with his department’s On Friday, November 11, WakeMed hosted unit council and manager Laurie Cook, Veterans Day recognition ceremonies on the Raleigh Campus and at Cary RN, to create and implement this Supporting the Inter-Faith Food Shuttle’s Hospital to honor all WakeMed employees, physicians and volunteers who new bedside reporting process in the BackPack Buddies Program are veterans or currently serving in the U.S. Armed Forces. Children’s Emergency Department Held in the Andrews Center, the Raleigh Campus ceremony drew 85 about a year ago. It covers all pertinent participants and included special remarks from Dr. Bill Atkinson, president activities for nurses to conduct at & CEO, as well as a keynote presentation by Rudy Rudisill, Jr., major shift change. Holiday Dessert & general, retired, N.C. Department of Crime Control & Public Safety, Chief “We knew we needed to do something Deputy Secretary - Office of the Secretary (shown with Dr. Atkinson about bedside reporting, since it is now above). The WakeMed Color Guard (shown above) presented the colors Punch Socials Sheila DeBastiani required by The Joint Commission, and Throughout December, WakeMed is celebrating before soloist (Heart Center - Invasive Cardiology) sang we also wanted to enhance patient sat- the holidays with employee dessert-and-punch the National Anthem. A representative from Spiritual Care offered the Teo Eclarinal isfaction,” said Swanner, who used the socials at locations across the system. invocation, and , TSgt, USAFR, retired, (Telecommunications) research article “Bedside Shift Report read the President’s Proclamation. These socials also present an opportunity Improves Patient Safety and Nurse (continued on page 2) for employees to donate needed items to Accountability” (Journal of Emergency the Inter-Faith Food Shuttle’s BackPack Nursing, July 2010) for reference. This Buddies program. See the WakeMedWeb article shows that bedside reporting is for dates, locations and details. an evidence-based practice to enhance take the Survey! Employees – We Want Your Feedback! patient safety and staff accountability. (continued on page 2) It also cites how the bedside report keeps patients and families at the center of their care and all clinical care decisions, and reassures them that the entire team has the information needed to follow the plan of care. SPOTLIGHT ON “Since we implemented this process, we have observed many improvements during shift- WakeMed’s 2011 change: less patient concerns, more confidence from patients and more focus from staff,” In February, the WakeMed Workplace added Swanner. “This leads to increased patient safety and better patient outcomes.” Circle of Excellence Assessment & Engagement Survey Cook added, “We have learned over the years that patients really only feel uneasy if they are Award Recipients will launch to all employees. This not being informed. Using this process, we are able to keep them informed. I am very proud online survey will provide WakeMed Read about this year’s Circle of of what Barry and the rest of our team have accomplished.” leadership with valuable feedback to Excellence award recipients help us continue to improve our WakeMed will officially implement a modified version of the bedside reporting on January 4, profiled inside this edition of workplace. It is a follow-up to the 2012, for all inpatient units, including the Observation Units. Mandatory staff education began Microscope. Nominated by their assessment conducted in previous on November 8. Bedside reporting is an evidenced-based nursing practice standard that peers, these employees represent years, which provided feedback that supports the Swanson Theory of Caring, adopted by WakeMed Nursing. It helps nurses deliver the best of the best at WakeMed. has guided many new initiatives and care that promotes the dignity, respect and empowerment of patients/families. Contact Please help us recognize them programs. Stay tuned for more in Jonnie Simmons, RN, director of Heart Center Operations, with questions at ext. 05150. for their contributions to early 2012! our organization. Comings & Goings

WakeMed Physician Practices welcomes Schmett Jones to the Education/Quality Specialist team. Women’s Pavilion & Birthplace - Raleigh welcomes Kayla Brock, RN; Andrea Penny, RN; and Lisa Bailey, RN. The department also welcomes clinical secretary Ivette Clement-Andoney, and recognizes Susan Gaskill, RNC, as she moves into the role of supervisor/educator. Nancy Taylor (Imaging Services) retired ▲ from WakeMed on November 23 after 31 Veterans Day at WakeMed yearsCOMINGS of dedicated service. GOINGS She has been an asset to the Imaging Services depart- (continued from page 1) ment and will be greatly missed. JayLenoPerformsat WakeMed Foundation Society of 1961 Gala Cary Hospital’s ceremony, held in the 5C Medicine welcomes Elizabeth Mungai, Conference Center, drew 44 participants. RN and India McRae, RN. To celebrate WakeMed’s 50th anniversary this year, Jay All were invited to sing God Bless America Leno, one of the country’s premier comedians, gave a live Spiritual Care welcomes Mary Ann and recite the Pledge of Allegiance. David performance at the WakeMed Foundation’s Society of 1961 Poythress back to the department as Coulter, senior vice president and adminis- supervisor and a Clinical Pastoral Educa- Appreciation Gala, held on Saturday, December 10, at the trator of Cary Hospital, gave remarks and tion supervisor for interns and residents. Raleigh Convention Center. Over the past 20 years, Leno read the President’s Proclamation. An invo- Also, the department welcomes six new has performed hundreds of comedy shows around the cation was given by staff chaplain Diane Clinical Pastoral Education residents: United States and has been known as America’s late Cox (Spiritual Care). Jamytta Bell, Tawny Bernhardt, Toby night TV leader. In the 2009 Harris Poll, he was named Bonar, Diane Bower, Adrienne Keller and America’s favorite TV personality. Patty Pace; 11 Clinical Pastoral Education interns: Nathan Blake, Lois Cavanagh- The annual Society of 1961 gala provides the opportu- Daley, Richard Hill, Allonia Holmes, nity for the Foundation to thank members of the Society Lydia Malone, Jackie Montague, Amanda of 1961. Named after WakeMed’s founding year, the Rackley, Bryon Taylor, Debbie Wall, Kody society was established to recognize donors who Witt and Priscilla Wright; as well as four annually contribute $1,350 or more to the Foundation. Urban Ministry Clinical Pastoral Education interns: Lamar Reece, Faith Dickens, Brian Belting and Jack McKenny. The Adult Emergency Department wel- comes Cheryl Seagroves, RN; Lori Edmund- son, RN; Jennifer Gooch, RN; Angela Bowman, RN; and nursing assistants Schann Westbrook and Teresa Wilson. Home Health wishes a fond farewell to A Terrific Tournament! Tammy Berg, RN, and Tomica Young, RN. (above) Tom Gettinger, executive vice presi- The department welcomes Tammy Little, dent and chief operating officer; Kristi Sund- RN. berg (Physical Therapy - Cary Hospital); Jackie 6C Surgery & Trauma welcomes nursing Tunis (Administration - Cary Hospital); and assistants Rachel Dietrich and Kimberly David Coulter, senior vice president and Adams. administrator of Cary Hospital, enjoy a great day of golf. Congratulations to Susan Alvey and her Volun- Introducing teers at WakeMed Cary Hospital Golf Commit- the New Class of tee for another spectacular charity golf outing. Pediatric Emergency More than 110 golfers took to the greens at Fellows MacGregor Downs Country Club on a beautiful day in October for the 13th annual event. Spe- B r e a s t C a n c e r A w a r e n e ss M o n t h The current class of pediatric cial thanks to the event’s Ace Sponsor, Miller- The Surgical Services - Operating Room team gathers on the helipad to emergency medicine fellows work- Motte College, and Eagle Sponsors, Riley promote Breast Cancer Awareness month in October. Their pink gloves ing within WakeMed’s Children’s Contracting and Jani-King, as well as addi- and hats were donated by Medline, a health care product vendor. Emergency Department (CED) is tional sponsors Kangaroo Express/The Pantry, an impressive bunch, bundling Sterling Capital Management LLC, VALIC, SRI talent, a passion for medicine and a dedicated interest in research related to pediat- Wolfson’s Children’s Hospital in emergency medicine, Surgical, Brasfield & Gorrie, WakeMed Cary ric health care. Each fellow was accepted into the Pediatric Emergency Medicine he applied for the WEPPA PEM Fellowship. Dr. Miller’s Hospital Volunteer Board, Overstreet Signs, (PEM) Fellowship program, a partnership among WakeMed; Wake Emergency Physi- research interest is in developing a medical delivery Hampton Inn, Carolina Hurricanes, RR Donnel- cians, PA (WEPPA); and the UNC School of Medicine’s Department of Emergency system for children suffering from severe asthma. ley, Carolina RailHawks, Panera Bread and Medicine, after completing a competitive application process and two to three years About the Fellowship: Started in the sum- Compass Group. of training in an accredited residency program in emergency medicine or pediatrics. mer of 2008, the WEPPA PEM Fellowship was the idea of The volunteers raised $32,000, which will Meet the Fellows: Second-year the late Marilyn Hicks, MD, former benefit programs and services through The fellow Scott Connelly, MD, grew to love the pediatric emergency medicine Volunteers at WakeMed Cary Hospital. Triangle area while completing his pediat- physician and medical director of ric residency at Duke University Medical WakeMed’s CED. Dr. Hicks believed Center. He earned his doctor of medicine that WakeMed needed an infrastructure that would allow for the future employment degree at the University of Medicine & of subspecialists for the care of children. Today, the fellowship program has graduated Dentistry of New Jersey. He heard great two classes of fellows and can hold four fellows at a time. The supportive training things about the WEPPA PEM Fellowship, environment it offers, coupled with an outstanding patient population to learn from so he applied. His research is on patient (WakeMed’s CED sees the highest volume of pediatric patients in the state), have simulation to benefit patient safety. quickly made it one of the nation’s premier PEM Fellowships. Drs. Jain, Howard, Connelly and Miller Neva Howard, MD, a first-year fellow, “The growth in pediatric care at WakeMed has been impactful for our fellows,” completed her residency in pediatrics at commented Courtney Mann, MD, program director for the PEM Fellowship since Columbia University Medical Center/New York-Presbyterian Hospital. She earned September 2010 and WEPPA physician. “They gain tremendous clinical exposure from the WakeMed CED her doctor of medicine degree at the Stanford University School of Medicine. She and the pediatric specialists at WakeMed Children’s, including the Level IV Neonatal Intensive Care Unit, chose the PEM Fellowship to gain a strong clinical background. Dr. Howard’s pediatric radiology, and pediatric surgery with Dr. Phillips and Dr. Wadie, among others.” J. Duncan research is in the development of deliberate practice and application of medicine. Phillips, MD, is the surgeon-in-chief and director of Pediatric Surgery for WakeMed Children’s Hospital, and pediatric surgeon George Wadie, MD, joined Dr. Phillips in October. First-year fellow Neil Jain, MD, arrived at WakeMed from Yale-New Haven Hospital in Connecticut where he completed his residency in emergency medicine. He earned Dr. Mann also noted that the program’s relationship with the UNC School of Medicine’s Department of his doctor of medicine degree from The University of Tennessee College of Medicine. Emergency Medicine has been beneficial as well as the fellows’ access to the WakeMed Center for Innova- He chose the PEM Fellowship for its research flexibility and supportive environment. tive Learning, a primary resource for learning resuscitative care medicine. WakeMed’s attending physicians, Dr. Jain’s research interest is in ultrasound. who bring a variety of medical backgrounds to the table, are also a huge asset. Davis Miller, MD, second-year fellow, earned his doctor of medicine degree at “As emergency care for children has become a popular subspecialty, our fellowship program continues East Carolina University’s Brody School of Medicine and completed his pediatric to evolve. From simulation to subspecialists to research, we offer invaluable learning opportunities to our residency at the University of Florida at Jacksonville. After working at Jacksonville’s fellows,” added Dr. Mann. “We are excited to have Scott, Neva, Neil and Davis as a part of our team.” 2 [ T positionourselves for future success. aswe tackle current challenges and Teamworkthrough collaboration. Thank you for considering these concepts systems;and appreciating new relationships and points of view. differencesand conflict productivity; leading by facilitating; redesigningmind to each other and our patients and families; acknowledging and utilizing environments and quality results. Other skills include listening with enhancedan open patient experience, physician and employee satisfaction, andsafer constitutes a capacity and means for achieving outcomes, such as comes.”an Collaboration calls upon skills that respect individual contributions involvingjoint ownership of decisions and collective responsibility definitionfor out is a “process of joint decision making among interdependent opedparties, and nurtured. Effective teamwork reflects collaboration. Collaboration teamsdo not equal by teamwork. Teamwork cannot be forced; it must be paradigmdevel with many redesign efforts focused around work teams. But, Thework team is considered to be a basic unit of work performance in this new greaterinterdisciplinary and collaborative work. processes,even a fresh look at our roles and relationships, and often especiallyinvolves in acute care hospitals, may represent a fundamental redesign poratingof these challenges and changes into our patient-care delivery orientedsettings, performance measures to ensure we are improving over time. approachesIncor- to our roles, empowered and involved employees, and results- Thework often features interdisciplinary teams at our core, multidimensional ence,and improve clinical outcomes across an ever-expanding continuum. variations of care, increase efficiency, control costs, improve systemsthe patient are considering experi various stages of evaluation and redesign to reduce patients. assistantsontheunit caring for waytokeep more nurses andnursing sionofthecurrent transport team asa Administration),reviewed theexpan Lee nursingatCary Hospital, and Sturtevant specialworkgroup, including topnon-nursing task. Last spring, a transportprocess wasidentified asa aftertheneed foranenhanced patient toExcellence initiative, wasdeveloped egy,which began Wellspringasa Road impactingpatient care. Thenew strat ontheRaleigh Campus, positively programwasofficially implemented OnOctober 17,newapatient transport identifiedby their green uniforms. Above: New Patient TransportPatient New Program Enhancing Patient Care Patient Enhancing O N C R U O M O R F E T O N A : G N I S R U N F O G N I K A E P S , manager,, (Imaging Services - F Setting a new standard of excellence in the art and science of nursing care and caring. and care nursing of science and art the in excellence of standard new a Setting fora dramatic redesign of the health care industry. Patient care calleddelivery on us to consider new processes and approaches, and the potential helast ten years have been full of challenges and changes that have Patient transporters are easily , RN,,executive director of ocu Senior Vice President & President Vice Senior Chief Nursing Officer Nursing Chief Jennifer Gail RN, MSN, NEA-BC wakemed NURSINGnews

Cindy Boily Cindy -

- ] Teletracking. impactonpatient placement through turnoverofbeds, leading positivetoa discharges,there muchisa quicker havingtransporters perform more patient oneontheunit tomake thecall. By patient’sroom, instead ofrelying onsome talServices immediately toclean the discharge,heorshecontacts Environmen calledbytheunit totransport patienta for nextpatient. Whenpatient a transporter is full,empty andready tobecleaned forthe Accessstaff toknow what patient beds are Teletrackingprocess, which allows Patient portersarecriticala part oftheautomated staffedtothose hours. Thepatient trans porterswould bemost helpful, andthey discharge,pm,to7when2 patient trans theworkgroup determined peak hours for toexpand this program.” nursingassistants. We hadalways wanted port,instead ofrelying onnurses and employeeswere hired forpatient trans and5CMedicine,” said Lee. “Part-time programon3ACVIC, 6ACVIC, 5BNIC ofyears, andeven piloted day-shifta Toexpand theprogram this October, “Wetalked about this forcouplea s On Nursing

-

-

-

- - - 3 - - 1 1 0 2 R E B M E C E D / R E B M E V O N nursingstudents orX-ray students. WakeMedvolunteer Guest Ambassadors, serviceskills. Often, they areformer CPRcertified andhave strong customer Services),allpatient transporters must be Leeandsupervisor patientacuity andtravel distance. Under twotothree jobs every hour, depending on thematalltimes. They usually complete theirentire shift andkeep pager a with needsofourpatients.” focusedontheacute care andservice nursesandnursing aides ontheunits, chiefnursing officer. “Ithelps keep our MSN,NEA-BC, senior vice president and atdischarge,” commented havethis valuable support forour patients Honoring the Past, Creating the Future the Conference Magnet National 2011 Creating Past, the Honoring excellence,”commented tothis conference, nowknow.I It’s allabout Designation andnurse outcomes inMagnet hospitals. 4. onnursing’s future role inhealth care. history,current trends andthe impact ofMagnet 3. ship,practice andoutcomes. asitrelates toleader andscience ofnursing 2. deliveryofcare. systemonnursing healthcare delivery cationschangingofa 1. Future Past,Creating the Magnet:Honoring the encewasthemed 6,000nurses, theconfer Baltimore.Drawing over tialingCenter (ANCC) in ConferenceoftheAmerican Nurses Creden staffnurses tothe2011 National Magnet wasable tosend several nurse leaders and fromvarious nursing departments, WakeMed ScholarshipProgram andfinancial support ThankstotheWakeMed Foundation Skills deservesthis designation!” believingthat wecandothis, andWakeMed manager,(5AMedicine). “Ileft theconference Thetransporters aremobile throughout “Thenursing care team issoexcited to To describe newresearch findings onpatient To synthesize theunderstanding ofnursing To discuss theart To describe theimpli “Itruly didn’t understand what formanddeveloping newways torecognize staff. on decreasing falls, hand hygiene compliance, creating a new report Meeting to improve patient outcomes, the Council has concentrated . Objectives. were: Zebulon/ meant fornursing, butthanks AimeeGuy W

endell

- - - CindyBoily PaulineStillman N O (Imaging urseUnit Council at utpatientSkilled& Magnet , RN,, , RN,, faster.” nursesandeverything isdonelot a isincreased, there isless stress forour theunit tocomplete transports, workflow don’thave totake asmany nurses off “Thetransporters arelifesavers we– MelissaCraft absolutelywonderful,” commented EmergencyDepartments. transportprogram toexpand tothe thereisanopportunity forthe Andwhile inpatients arethe priority, hadtoaccompany thetransport before. porterfrees upthenurse manager who withthese patients, thepatient trans criticala care nurse often needs tostay orother tests fromam.pmto 77While lishedforpatients whoneed CTscans - Somenight coverage wasalso estab “Thisnewtransport program is Bottom Clapp RN,(STICU); and (CVTesting); RN,(5A MIC); T A CVIC); D RN,(Surgical Services - OR); Gutierrez tionArea) and RN,(Heart Center Observa op tthe Conference: iannaKnight N P , RN,,manager, (Neuro ICU). ursingFacility hoto: ,RN, (5B NIC) MeghanKuebler P ,RN, (NICU) hoto:

D D anielCorbin KellieBabson ,RN, (6A Susan onica www.wakemed.org

P Stacey arrishMills O ’Leary

,RN, , -

, , , -

-

NOVEMBER/DECEMBER 2011 NEWS, RECOGNITION AND INF AND RECOGNITION NEWS, ORMA TION F TION OR W OR AKEMED N AKEMED URSES WAKEMED FOCUS ON NURSING november/december 2011 [ Raleigh Campus Emergency Department ] Working to Improve Patient STAFF Nurse council Throughput August & October Recap Article contributed by Ed Keating, RN, Clinical Educator/ Supervisor, Raleigh Campus ED New SNC Leaders Elected Emergency departments (EDs) across the nation are faced with many challenges – increased volumes, acuity, wait times, elopement rates and throughput issues. The combination of these issues can ultimately extend the length of stay in the ED. WakeMed ED volumes and acuity have also steadily increased. In July 2010, a planning team formed in the Raleigh Campus Adult ED to create a throughput strategy to better serve ESI 3 patients who make up about 60 percent of the total ED volume and traditionally have the longest wait times. ESI stands for the Emergency Severity Index, which determines the level of patient acuity on a scale of 1 to 5. A dedicated strategy was needed for ESI 3 patients, who fall in the middle of the scale, so they could be seen in a more timely manner. The team knew a successful strategy could not Attendees at the October SNC Meeting: include facility expansion or increased staffing. The team Top - SandeeJene Hales, RN, (Emergency Department); Gary Jenkins, also recognized that many patients could be “vertical,” RN, (CV Testing); and Steph Hurley, RN, (Staffing Resources - Cary meaning they did not need to lie in a bed, but could Hospital) ambulate to the provider. Therefore, a team of providers Far Left – Jamie Yates, RN, (3E CVIC) and Vickie Garner, RN, (3E CVIC) and a process were established to allow patients to move from room to room to receive services. Above – An SNC work group discusses current topics. Central to the plan was the creation of a waiting room Left - Wendy Hanks, RN, (2 West ICU - Cary Hospital); Heather Smith, where patients could wait if the next care room was in RN, (Staffing Resources); Sharon Ogrodnick, RN, (Staffing Resources); use. They could also await services (such as radiology) and Marissa Stevenson, RN, (2 West ICU - Cary Hospital) provided outside the ED, and results and disposition. Two underused overflow triage rooms and three Minor Care rooms This August, the WakeMed Staff Nurse Council (SNC) reintroduced nurse members to evidence- were dedicated to the new provider team. After four trials, the ESI 3 based practice (EBP) as it relates to patient care. Prior to the meeting, each SNC member was team was deployed on January 1, 2011, from 11 am to assigned a research article highlighting EBP to read. During the meeting, members gathered into 11 pm, including a physician, a physician’s assistant, two RNs and workgroups to discuss and analyze each article. a nurse tech as staffing allowed. The overall impact of the new “As one of our members said, when it comes to EBP, you can’t argue with the facts or research,” strategy can be measured in several ways: commented Jennifer Myers, RN, (Women’s Pavilion & Birthplace - Raleigh), current SNC chair. • The Minor Care area sees nearly twice the number of patients “At the August meeting, we reminded all of our nurses how important EBP is to the care of per day than they did previously. our patients.” • The average length of stay for ESI 3 patients has decreased They also discussed the professional image for nursing – how the image of nurses can be by about one hour. enhanced, for example, through nursing attire, to positively impact patients’ perceptions of their • The peak daily wait time in the main lobby typically runs at less caregivers. Dianna Knight, RN, than 50 percent of the peak daily wait time prior to implementation, manager, (6A CVIC) is cur- and the number of patients who leave without being seen rently leading a WakeMed (elopement) dropped by one-third. task force on this effort. Stay • In September 2011, the PRC key driver, Overall Quality of Care, tuned for more details. achieved the 100th percentile for the first time ever, with 70.6 percent of respondents giving an excellent rating. At the October SNC meeting, • Staff satisfaction has increased with increased patient satisfaction. elections were held for the Physicians have nearly unanimously endorsed the new strategy. next round of SNC leaders. Evaluation of the new strategy continues, but the initial results of this Sandee Jene Hales, RN, H onoring Our Nurses program have transformed Raleigh Campus ED wait times, elopement (Emergency Department - WakeMed DAISY Winners rates and total lengths of stay. Cary Hospital) was elected the Now Featured on WakeMedWeb! new SNC chair after running against Helen Voss, RN, To see pictures of each month’s WakeMed DAISY (Rehab Hospital) and Eleanor Award winner and read more about why they were 2011 NC Nurses Association Valentine, RN, (Heart Center nominated, go to the WakeMedWeb and click Observation Area). Voss and Departments, then Nursing Administration, then Annual Convention Valentine were tapped to DAISY Award Winners. Please join us in congratu- become co-chair and Raleigh lating these extraordinary nurses! Below: Erica Saunders, RN, (1 East Chest Pain Center - Cary Campus SNC liaison respec- Hospital) and Sara Griffith, RN, (3E CVIC and Clinical Adminis- tively. All three nurses will trators - Cary Hospital) at the NCNA Convention begin working with SNC leadership (including Myers and Cary Hospital SNC liaison Lorilyn Several WakeMed nurses Heinig, RN, of Cary Hospital’s 3 West Medical/Surgical unit) in January 2012, with their official participated in the 2011 North positions beginning in January 2013. Making this year’s election unique, Hales will become the Carolina Nurses Association first SNC chair who works at a location other than the Raleigh Campus. (NCNA) Annual Convention, Also discussed at the October meeting was the 2011 Nurse Engagement Survey – an anonymous, including Paula Bird, RN, online survey taken in November by direct care nurses, including non-management RNs and director of Medical/Surgical LPNs. This year’s goal for participation was 80 percent, with a stretch goal of 85 percent. Nursing Services at Cary Hospi- tal; Cindy Boily, RN, MSN, “This survey is so important because NEA-BC, senior vice president it reflects our voice as nurses,” said & chief nursing officer; Brenda Myers. “It gives us a chance to anony- Clatworthy, RN, manager, N u rs i n g p R O F E S S i on a l d E V E l o p ment mously express our opinions about (STICU); Sara Griffith, RN, (3E CVIC and Clinical Adminis- what is going well and what can be trators - Cary Hospital); Kelly Johnson (Nursing Administra- Book Series improved upon.” tion); Janice Neff, RN, (Nursing Administration); Erica Join Nursing Education staff for a group Lastly, it was announced that the new Saunders, RN, (1 East Chest Pain Center - Cary Hospital); discussion. Register via Learning Link: discharge time-out sheet, created by Jonnie Simmons, RN, director, (Heart Center Operations); and code NE014-11086. Participants must the SNC, would officially roll out Betty Woodard, RN, PhD, director, (Nursing Research & Evi- obtain a copy of the book and read it system-wide on December 6. After dence-Based Practice). The convention was held in October completely prior to the class. 3.0 looking at patient satisfaction data in Durham and featured keynote speakers Kevin Sowers, RN, contact hours awarded. Contact earlier this year, the SNC decided that MSN, president of Duke University Hospital, and Rich Bluni, Nursing Education at ext. 08024 nursing could directly enhance the RN, motivational speaker and author of Inspired Nurse. for details. patient discharge process. They moved NCNA is the professional organization for all registered A Charge Nurse’s Guide forward with creating a new process nurses in North Carolina. Their mission is to serve the chang- B y cathy leary & and piloted it on certain units. This ing needs of its members, address nursing issues, and advo- scott allen new method of discharging patients cate for the health and well-being of all people. Through was described in detail in the NCNA, nurses can become powerful advocates for patients NED A - Raleigh Campus August issue of Microscope. and the nursing profession. Bird, Neff, Simmons and Saun- Thursday, January 12 ders have all served as NCNA delegates. The NCNA House of 8:30 to 9:30 am Delegates passes amendments to the association’s bylaws, ref- Wednesday, January 18 erencing proposals that focus on NCNA and nursing issues. 1 to 2 pm 4 Q PICCstats and presents at system-wide forums. practicesand communicating changes. She also does the mostlines, making recommendations, educating on best createanother program at the Kraft YMCA. forthe Cardiac Rehab program and was essential in helping toringpatients. She streamlined the documentation required andis quick to make improvements. 6AUnit Council, Erly recognizes needed process changes openvisitation on her unit. programin intermediate care, and she helped implement Shealso increased resources by developing a cross-training competenciesand ensure evidence-based practice standards. raisethe standard of care in the ICU. She worked to increase Alsoa recipient for Workforce Excellence, Kristin strives to Hospital Cary - WestICU 2 Merritt Kristin withbreakdown have experienced healing. SCIpatients have developed further breakdown, and patients skinbreakdown. Since the implementation of rounding, no anew process for rounding on high-risk SCI patients with careinitiative team, Linda helped develop new orders and Asan active member of the Spinal Cord Injury (SCI) skin Administration Nursing Rehab Mayo Linda facilitatesthe monthly Public Reporting meetings and nursesand physicians about cases needing attention. She measures.She devised a new process to communicate with patientcases and how they meet publicly reported quality patientcare in terms of quality and safety, Mary reviews Avital resource for information and tools that enhance Analysis Clinical Mary (PICC)service. She drives the service by placing the championof the Peripherally Inserted Central Catheter Alsoa recipient for Unsurpassed Service, Angie is a -Nursing Services Imaging Jones Angie opeda process regarding patient orders for controlled medicationsare ready in a timely manner. She also devel forregulatory compliance and works with nursing to ensure stancedistribution. She trains staff, retrieves documentation Sieglindevoluntarily acts as facilitator for controlled sub Pharmacy Holland Sieglinde properhand hygiene. Glorianever hesitates to teach staff or family members about motivatedand seeks out materials to help educate her peers. patientrooms with care, efficiency and precision. She is self- Alsoa recipient for Workforce Excellence, Gloria cleans all Services Environmental Gloria forHealthworks and implements new technologies for moni Service,Beth is a driving force behind quality improvement Alsoa recipient for Workforce Excellence and Unsurpassed Healthworks Beth protocolwon second place in a national contest. emphasison cleaning certain objects in patient rooms. This EnvironmentalServices to promote a cleaning protocol with herefforts toward hand hygiene. She works tirelessly with Melindahas gained tremendous respect across WakeMed for Prevention Infection Melinda withsevere infections. monitorthat has the potential to improve care for patients teachstaff and physicians how to use a new non-invasive teamand trauma performance improvement. She has helped tives,such as the clinical operations committee, the sepsis Bettielouis involved in several quality improvement initia Department Emergency Bettielou aprofessional and nurturing manner. As a member of the Shevalues timely, open and honest communication in Noissue is too sensitive or difficult for Erly to approach. CVIC 6A Erlinda patients. andshe also created a guide on taking care of pregnant follow-upcalls to patients to address their care and concerns, familiesand coworkers. Sandra volunteered to help make Atthe front desk, Sandra provides quality service to patients, Department Emergency Bullock Sandra advocatesfor evidence-based practices and processes. substancesin Pyxis. uality Outcomes Drossman Krizay Garrison Chavez Cooper Conerly Nominated by their peers, the employees spotlighted in this issue of Microscope represent the best of the best in our organization. Quality OutcomesUnsurpassedServiceWorkforce ExcellenceFiscalResponsibilityMarketDevelopment

These are the men and women who have made a measurable difference in one or more of our five Strategic PlanGoals:

- - U

- - somethingto help his team. havethe assistance they need. He is always doing sentfor a scan to ensure the Imaging Services staff nervouspatients. He will stay with patients if they are David’scompassionate, calm demeanor helps soothe Hospital Cary - Department Emergency Blackmon David Manualsite. ofthe WakeMed Faculty Physicians Operations theMedical Staff, and was instrumental in the success developmentof a physician portal with members of reoccur.He has been a leader in meetings for the putssafeguards in place to ensure an issue does not Asa Web developer, Ron resolves issues quickly and Services Information Bentley Ron team’sbudget by staying aware of operations. theoffice, and she always finds ways to reduce her individuallyto discuss ideas for enhancements within customerservice issues. She spends time with her staff herselfavailable to help teach employees or assist with Dr.Amerson is a role model for her staff and makes Group Medical Center City - Physicians WakeSpecialty Theresa patientcare. patientsupplies to preserve the highest level of tookcorrective action on an unplanned change in support,he implemented changes in protocol. He also recognizedan inconsistency in non-invasive ventilator Randypromotes patient and staff safety. When he Hospital Cary - Services Care Respiratory VestRandy facilitatingfiscal responsibility. Team,she worked to improve patient outcomes while ofthe Road to Excellence Medical-Surgical Supply tionwith minimal impact to the budget. As a member Collaborative,creating a plan to provide staff educa instrumentalin 5C’s participation in the NC CAUTI Asclinical educator/supervisor, Sheila has been Medicine 5C VeederSheila sheprovides. Tammiand request her because of the caring service herunit and a mentor for students. Patients praise ifthe alarm is not for her patient. She is a resource on alwaysone of the first to respond to bed alarms, even Alsoa recipient for Workforce Excellence, Tammi is Hospital Cary - Medicine East 2 TammiTomkinson dedicatedherself to finding a solution for her patient. practiceand contacting Infection Prevention. Julia tratorbefore looking up the WakeMed policy on the withthe physician, charge nurse and clinical adminis eralIV because it was in place for eight days. She spoke Juliarecently had concerns about her patient’s periph 1 Unit Observation Strickland Julia importanceof hand hygiene. withQuality & Patient Safety to share about the tooffer feedback. She has even rounded to other units Sheapproaches team members, including physicians, aboveand beyond to increase hand hygiene awareness. Alsoa recipient for Workforce Excellence, Annette goes Services Environmental Smith Annette activein soft alarm and constant observer education. safedelivery of food to these patients and has also been in-servicesto Food & Nutrition Services staff on the forbehavioral health patients. She volunteered to give mittee,Francy offers recommendations for the best care Aschair of the Behavioral Health Holding Area com 1 Unit Observation Moseley Francy changesin orders. tionand efficiently keeps the team informed about observethe WakeMed Red Rule for patient identifica matchedwith the right chart. She reminds nurses to checkingorders and making sure the right papers are Asunit secretary, Jackie is vigilant about double- Raleigh Women’s- Birthplace & Pavilion Mihm Jackie WakeMed 2011CircleofExcellence nsurpassed Service merson, MD Amerson, Award RecipientsAward 5

-

- -

- - ngel Holloway Angel wideinitiatives and is a master at service recovery. pocket.She rallies the facility to participate in system- newspapersfor the ED waiting area out of her own lostpatients to their destination or even purchasing –by bringing a waiting child coloring supplies, walking Cindyalways tries to improve the customer experience Healthplex North - Administration Flannagan Cindy nitrousoxide in the CED to support best practice. Catchand SAFE Kids, and she led an effort to place musicfor comfort. Laurie supports programs like Good suchas hourly rounding, bedside reporting and using tomerservice program, helping implement initiatives Asmanager, Laurie is the force behind her team’s cus Children’sDepartment Emergency Laurie nursesand physicians on the care of ostomy patients. future.She has taken a leadership role in educating services,progressing to an outpatient clinic in the near beganresearching how WakeMed could provide these pre-and post-hospitalization education and care, she WhenJoanna recognized that ostomy patients needed Services Resource Nursing Clinical Burgess Joanna addressconcerns. helpeducate and train other caregivers on how to listensto patient concerns, and takes it upon herself to seeingpatients efficiently and consistently. She actively Karenapproaches her supervisor with methods for Pool Supplemental Services Therapy Brown Karen partnerto ensure their project was completed on time. preparednessgrant cycle, she worked with an external planninggrant deadlines. In the most recent hospital sistentlykeeps customers top-of-mind, especially when atedby her coworkers and regional partners. She con- Janis’friendly attitude is always noticed and appreci Planner/SMATDisaster II Brown Janis asfacilitating staff orientation and teaching classes. alsohelps with other programs for his department, such ingwith groups to ensure everyone was educated. He LearningLink system, answering questions and meet instrumentalin the implementation of a revised Alsoa recipient for Workforce Excellence, Brian was Training& Development Staff Broush Brian ofinfusion reactions to improve patient safety. developedan orderset for a medication with a high risk willingto address opportunities for improvement, she ingothers and helping work out the kinks. Always pilotbedside prescription delivery on 3E CVIC, educat Portiavolunteered to be a resource for the discharge Pharmacy Johnson Portia transitionof services and makes enhancements. chairsthe Pediatric Committee, which helps with the toensure therapists are giving the best care. She also ticipatesin the Pediatric Spinal Fusion Committee outstandingclinical skills and compassion. She par- Alsoa recipient for Workforce Excellence, Whitney has Therapy Physical Hughes Whitney presentationson cardiac medications, among others. MedSmartprogram calculations and educational service– medication monitoring form guidelines, Sheinitiated many best practices related to customer Excellence,Jenna helped bring pharmacists to the units. Alsoa recipient for Quality Outcomes and Workforce Pharmacy Huggins Jenna fora coworker and has an outstanding work ethic. adjustmentsif needed. He is always willing to fill in arrives30 minutes early to check the schedule and make perfectattendance. He never misses work and often Sincejoining WakeMed in 1990, Paul has maintained Services Environmental Howard Paul toher unit’s Optiflex Committee for cost savings. unitthrive. For example, she is a valuable contributor goesabove and beyond and does anything to help her andensures that everyone can meet patients’ needs. She Angelleads her fellow nurse techs in their daily huddles Nursing Rehab Cook A redstar denotesarecipient’s recognition inmorethan onecategory.

- - - - implementations. theGE analyst with testing for new programs and areasof WakeMed Faculty Physicians, and she assists Manualand serves as the GE system resource for many allowsthem to shadow her, she created a GE Training maximizeperformance. She trains new employees and Alsoa recipient for Workforce Excellence, Sandra helps Surgery/Trauma General - Physicians WakeMedFaculty Sandra responsibilitiesto ensure all the work was covered. leaderwas out for two months, Barbara took on extra whatthey need and how she can assist. When her team’s differentclinics, departments and buildings to see invaluable.She is proactive about checking in with Barbara’swork ethic and customer service skills are Services Environmental WellsBarbara toWakeMed for care. patientsand becomes the reason they want to return pleasantand humble. She touches the lives of her ownfamily members and is naturally kind, respectful, excellence.She treats her patients as if they are her Annahnever wavers from her commitment to service Area Observation Center Heart Schwartz Annah pediatricpharmacy tech and the workflow of her team. developeda manual explaining the responsibilities of a onquality improvement projects to enhance protocols. She ina timely manner. An asset to the Pharmacy, she takes Asa tech, Jamie goes the extra mile to deliver medications Pharmacy Roush Jamie improvement. reviewspatient charts for errors or opportunities for sinceshe educated others on the process. She also witha new orderset for vented patients in the ICU Pyxis.She will be instrumental in achieving compliance happenagain, for example, with medication supplies in Cherylmakes improvements to ensure issues do not Pharmacy Reilly Cheryl knownas the “gold standard” for others to follow. tohelp her coworkers, and her documentation skills are appropriatereimbursement. She spearheads form changes initiatesexcellent documentation standards to ensure Alsoa recipient for Workforce Excellence, Priscilla Rehab Outpatient Raasch-Mason Priscilla theunit, he asks other nurses to see if they need anything. atturning a negative into a positive, and when he is on alwayssays, “I will be there in a minute.” He is a master mechanicfor 4E Pediatrics. When he receives a call, he Alsoa recipient for Workforce Excellence, Perry is the zone Services Facility Perry isinvolved and when she knows an impact will be felt. solving.She initiates contact where HR/Compensation tionto her responses that provides help with problem Sheanswers calls and e-mails promptly, adding informa Loriis open to creative ways to address challenges. Operations - Resources Human Neff Lori passionattracts them and makes them feel at ease. thego-to person for patients who have concerns. Her com patientbathe. As an aide in the Health Park, Mary is often outsideher realm of responsibility, such as helping a andbeyond to help patients, even when a task stretches Alsoa recipient for Quality Outcomes, Mary goes above Rehab Outpatient Murdock Mary transportand to assist techs so studies can be expedited. asked.She always makes herself available for patient cerns.She is quick to help when needed, without being offeringa blanket or taking time to chat about their con Lisais a true patient advocate and puts patients at ease, Hospital Cary - Services Imaging Martinez Lisa only16 certified functional manual therapists in the state. cleanthe unit if an aide is not available. Miriam is one of isoften requested by patients and takes it upon herself to resourcemanagement and a team therapy approach. She Miriamoffers ways to enhance patient care, such as Rehab Outpatient Miriam Perdue Lloyd Loughry

- - - NOVEMBER/DECEMBER 2011 Leighann Flanagan LueShandra McKnight Billie Wilson Emergency Department Food & Nutrition Services - Cary Hospital Compliance & Audit Services As clinical educator/supervisor, Leighann is constantly LueShandra works hard to make improvements in her Billie is known to work beyond her responsibilities to teaching classes and making rounds to help teach department. She was active in creating a new food ser- determine how processes can be improved, and she presses nurses processes and procedures. She is her depart- vice initiative in the Women’s Pavilion that improved for improvements until they are implemented. She drills ment’s stroke liaison and sepsis “guru” and is leading the relationship. She is known for her sense of duty, into hot topics to develop her expertise and is a trusted the way with her work on non-invasive hemodynamic integrity, caring attitude and attention to detail. resource within her department. monitoring. Janis McLaughlin Meredith Wise Lisa Forte Outpatient Rehab STICU ( c o n t i n u e d WakeMed OneCall As manager, Janis is highly regarded by her staff. She For STICU, Meredith serves on the unit council, is the from front) Also a recipient for Unsurpassed Service, Lisa is a works hard to provide a comfortable work environment, infection control resource nurse and is the Work-Life natural leader and communicator, always willing to boost morale and enhance the work/life balance for her Committee chairperson. She can be counted on to help LuAn White share her knowledge. In fact, she shares information team. Janis has been known to jump in and take shifts with quality improvements and recently planned her Outpatient Rehab - North Healthplex about the OneCall program, which she helped to build, at Healthworks if there are staffing challenges. unit’s first recognition picnic. Meredith has also been with other hospitals and vendors so they can learn instrumental in helping promote hand hygiene. LuAn develops great relationships with physicians, Jennifer McLucas-Ingold creating methods to facilitate better communication from our model. Clinical Resource Management between physicians and staff. She ensures patients are Carrie Fraser Jennifer is active in enhancing Case Management iscal Responsibility seen in a timely manner and will stretch her hours F STICU Substance Abuse Services and the Behavioral Health to enhance patient care. Jeff Armstrong Also a recipient for Unsurpassed Service, Carrie takes department, including an improved referral system that Mobile Critical Care Services the time for the emotional side of her patients – wash- resulted in more efficient patient transfers. As tempo- Jeff has done an outstanding job of negotiating prices orkforce Excellence ing their hair, helping them shave or chatting. Carrie rary supervisor for Behavioral Health Services, she put W with vendors, suppliers and mechanics to ensure Erin Allender also developed a new communication tool to leave on new systems into place that enhanced team stability. WakeMed is maximizing our vehicle lifespan while patient clipboards that details the patient’s history, Pharmacy Cathy Meacham reducing costs. He was also instrumental in researching hospital course and family phone numbers, etc. a camera and drive monitoring system that was success- Erin is a problem solver and worked to provide a large Case Management fully implemented in all ambulances. amount of research and data regarding platelet func- Eleanor Goodrow For improved workflow, Cathy wrote a proposal to tion testing when the affect of a certain medication Emergency Department - North Healthplex change the process of physician advisor referrals for Janette Castro was questioned. She also identified an outdated policy Eleanor teaches many certification courses for the Chest Pain Observation patients. It is currently under Pharmacy and process for epoprostenol patients and worked to system and a splinting class for new ED staff. She also review by leadership. Cathy serves as a mentor for her Also a recipient for Unsurpassed Service, Janette went revise both with step-by-step instructions. helps ensure that orientation materials for new nurses coworkers, educating them on proper procedures. above and beyond to research and implement lower cost remain current. As charge nurse, Eleanor is always Tammy Baker Neha Mehta medications. She helped the Pharmacy change providers supportive of her team and communicates gratitude for certain medications to save WakeMed over $30,000 CICU Pathology Labs - Cytology for their work. annually. To save even more, she helped implement Tammy facilitated training on many new processes, Neha’s top goal is maintaining her department’s high a process for order entry that helps check for a generic including venipuncture and Soft ID, and was essential SandeeJene Hales level of patient care. She was a resource in a recent equivalent of each medication. to the CICU starting online nursing documentation Emergency Department - Cary Hospital change in molecular testing. She researched and with Soarian Critical Care. In addition to committee SandeeJene is often used by department management evaluated the new test, provided training to techs Sara Reichardt participation, Tammy is a resource for new equipment as an example of good customer service. She is chair of and continues to monitor progress. Surgical Services - Inpatient PACU and processes. She collaborates to develop education. her unit-based council, which helped add white boards Brigit Piercy Sara led her department’s implementation of Optiflex to patient rooms to promote bedside reporting. She is supply management. She identified areas of waste, Helen Best 5C Medicine active in the Emergency Nurses Association and works supply overstocks and patient charging practices that Heart Center - Invasive Cardiology A member of the Medical-Surgical Supply Committee to stay current on nursing issues. could be enhanced. With MPDC, Sara created a lean stock Helen created many policies and templates to simplify and nursing expert on peritoneal dialysis, Brigit of supplies and educated staff on entering charges cor- charging for services. Last year, she volunteered to Keathren Hewett enhances patient care products, nursing policy and pro- rectly. As a result, in April through June, her department’s complete a project on Current Procedural Terminology Wound Care cedure, and education. As a member of the Mental Health Optiflex compliance was 100 percent. codes. A significant financial impact would have been Also a recipient for Unsurpassed Service, Keath does Workgroup, she collaborated to improve processes result- felt if the changes were not made. She participates in things for the therapists to make their jobs easier, such ing in the creation of the Behavioral Response Team. Kathy Tigner the Speaker’s Bureau and is eager to share knowledge. as helping apply wound vacs. He takes pride in his role Dollie Reed-Boling Respiratory Care Services - Cary Hospital as aide and recently surveyed therapists to find out the When Kathy realized that certain rentals in her depart- Monica Bock Heart Center - Invasive Cardiology strengths and weaknesses of his team. On his own, he ment were exceeding the budget (potentially delaying Pathology Labs - Phlebotomy Dollie has a wealth of knowledge and passes it on to her met with other aides to come up with enhancements. critical ventilator therapies for patients), she pushed for Monica created helpful, easy-to-understand literature peers to ensure their success. She proactively takes time the expansion of the Radar Find inventory management for patients and has visited doctors’ offices to help Janice Horner with management and staff when she sees opportunities tool to include rental equipment and implemented a their staff prepare patients and families for a visit to Quality & Patient Safety for improvement, and she willingly moves out of her competitive pricing process among vendors. As a result, the hospital. Her patience and positive attitude are Passionate about employee wellness, Janice is working comfort zone to learn new equipment. rental expenses are down by 40 percent. appreciated, and she is diligent about communication. on a stress reduction pilot project to help keep staff Vickie Riddle Ruby Brown-Herring focused. She also volunteers frequently to help with wellness screenings and is active in the readmission Infection Prevention arket Development Wake AHEC Administration task force, surgical care improvement team and Vickie created the Infection Control Resource Nurse M As associate director for Mental Health, Ruby has Susan Evans Quality & Patient Safety committee. program so units can have a direct contact in Infection worked to analyze the program and make changes that Prevention. She presents at hospital and nursing Milk Bank are consistent with state guidelines. She volunteered Oxana Kamneva orientations to educate on hand hygiene and infection Susan is instrumental in increasing donations to to become an instructor for the statewide initiative to Pharmacy prevention practices. Vickie is diligent about communi- the WakeMed Milk Bank and stays in contact with com- teach direct care workers in mental health and was Oxana’s positive attitude and professionalism set her cating infection prevention processes and changes. munities and hospitals nationwide that need assistance. selected to chair the Mental Health Directors group. apart. She volunteered to precept the next generation Because of her dedication and knowledge, the WakeMed Daniel Schmidt Milk Bank is ranked number 10 in the nation and has Debbie Bryant of pharmacists and was quick to help with a project to validate the adjustment nomogram for a certain medi- Heart Center - Invasive Cardiology been recognized by HMBANA as one of the most progressive Observation Unit 1 cation, getting the research off the ground and building Daniel is considered a clinical expert on his depart- and successful milk banks in the United States. Debbie always volunteers to be a superuser on her unit a data collection sheet. ment’s new equipment and procedures. He enjoys learn- for new processes and equipment and is currently her ing new things and is eager to share knowledge. He Angela Newman unit’s Soarian and MAK representative. She serves as Virginia “Ginny” Kellum volunteers to train staff and has the ability to teach 3 West Medical-Surgical - Cary Hospital both charge nurse and preceptor, and is the driving Children’s Asthma Program others in a way that is easy to understand. Angela helped create a Joint Center of Excellence to force behind the creation of the Guide for Professional Through staffing transitions and the implementation enhance and grow orthopaedic services at Cary Hospital. Success (GPS) Mentoring Program on her unit. of the Electronic Health Record (EHR), Ginny helped Stacey Sliger Exceptional at building relationships, she also helped MPDC open Cary Hospital’s successful Medical Treatment Unit Elisa Castro develop new strategies to manage the change. She took on new responsibilities, such as processing new patient An inventory control specialist, Stacey looks for ways and was the driving force behind the project. Women’s Pavilion & Birthplace - Raleigh referrals, to ensure things continue to run smoothly. to reduce waste, improve ordering and monitor stock. As a member of the Charge Nurse Committee, Elisa has Julie Stauss She also developed a method to communicate scanned For example, she realized that her department’s method helped with many activities that enhance her depart- Pharmacy EHR documents to providers. for managing surgical inventory was inadequate, so she ment. She encourages advanced education and even worked with Supply Chain Management to create a Julie coordinated the creation of the Mobile Pharmacy took a Spanish class to better understand her patients Lindsay Kimbrell system that brought annual inventory accuracy up to Unit (MPU) for deployment during disaster. She worked and be more flexible with her assignments. Pathology Labs - Microbiology 99.4 percent – a department record. with community groups to obtain support, and met with the N.C. Board of Pharmacy and Drug Enforcement Cindy Crist Also a recipient for Unsurpassed Service, Lindsay served as the very first laboratory ambassador at Melissa Sparks Administration to develop policies and procedures. Julie STICU WakeMed and was assigned to trial the program Pharmacy also serves on the N.C. Association of Pharmacists Emer- Cindy strives to improve processes that can enhance with NICU management. She has been praised for Also a recipient for Unsurpassed Service, Melissa gency Preparedness Team to learn about best practices patient care. When she finds an opportunity to make her efficiency, thoroughness and enthusiasm and has is involved with implementing new technology for across the state. something easier or safer, she acts. She is her unit’s shown how collaboration among departments can Pharmacy and Nursing, and even created a training representative on the diabetes committee and is a greatly enhance patient care. manual for computerized physician order entry superuser for the Point-of-Care lab printer. She is a go-to hanks (CPOE). She also organized 24/7 Pharmacy coverage T person on the STICU for equipment and processes. Amber Lewis and training for CPOE go-live cycles. Melissa is a A Special Thanks to Our 2011 COE Committee Members Brenda Denning Outpatient Rehab go-to resource for many systems, and goes above and Anna Baird-Hensley, Human Resources Also a recipient for Unsurpassed Service, Amber has beyond to ensure patient safety and communication. Administration Bob Boss, Environmental Services assisted, on her days off, with shifts at other rehabilita- Dot Eldreth, Women’s Pavilion & Birthplace - Cary As executive assistant to the chief nursing officer Holly Warner tion sites when staffing challenges arise. She provides , Imaging Services Administration (CNO), Brenda has been instrumental in familiarizing Cynthia Gwathney outstanding leadership and has developed creative WakeMed Faculty Physicians - , Community Services two CNOs with WakeMed. When the CNO role was new, Susan Hester solutions to assist with scheduling at other sites. Pediatric Intensivists , WakeMed Physician Practices - she played a key role in establishing a structure for Susan Jackson As a member of the Continuous Quality Improvement Administration nursing councils, meetings and retreats. She also Matthew McCain (CQI) Committee, Holly helped create the withdrawal , Interpretation & Translation Services plans and schedules hundreds of executive meetings. Cristina Krasny Facility Services assessment tool (WAT) for children with prolonged intu- Jessica Marchand, Food & Nutrition Services Sue Doligalski As electronics supervisor, Matt ensures the tube system, bations in the PICU. With the WAT, providers can better Skip Roy, Acute Rehabilitation Services nurse call bell system and fire alarms are functioning. care for patients with withdrawal symptoms. Holly also Pathology Labs - Apex Healthplex Coleen Smith, Public Relations Recently, when the tube system shut down, Matt went helped create discharge standing orders for several Sue was vital to the implementation of new chemistry Grover Smith, Pathology Laboratories beyond the repair to resolve the issue. He consulted pediatric conditions to enhance patient flow. analyzers, writing procedures and guidelines for all Cindy Wells, Wake AHEC Administration with the manufacturer and spent hours troubleshoot- pathology labs. She trained on the new analyzer to Oral Wise, Ambulatory Services Administration ing to find a solution. The manufacturer is now using share her knowledge with coworkers. A cross-trained this solution across the country. med tech, she often helps resolve staffing challenges. 6 A red star denotes a recipient’s recognition in more than one category. DR topractice using different implants. theanatomy. They also had the opportunity itiesof cadavers to get a detailed look at dissectionson the lower and upper extrem couldperform residents surgeonsand insidethe lab, Center.Once theAndrews parkedbehind thelab was atedby Synthes, anatomy.Oper suresand paedicexpo differentortho residentsabout surgeonsand Octoberto teach Campusin late Amobile cadaver lab came to the Raleigh SurgeonsResidents& HelpingTeach WakeMed M . Ca. ob a clinicala secretary should not bedoing. ingServices) asshe demonstrates everything teer nursingcontact hours. Pictured isevent volun fact,there were well over 100) inexchange for fullyfinding the required 50safety errors (in theattraction, with 222 employees success fullofsafety hazards. Over 260 visitors toured environmentwhere patient care situations are nursesand caregivers totour simulateda HouseofHorrors event, anopportunity for ments,hosted the annual Patient Safety Learning,incollaboration with other depart OnOctober 26, the Center for Innovative Thrills&Chills businesscommunity andorganizations. Triangle’s the for difference a make to efforts and achievements professional gle.Thehonorees areselected fortheir exceptionalTrianfemaletheleadersin Leader ness Women Extraordinaire Award from 2011 Training)areceived each& ment P president of Operations & Logistics; and Group; Medical WakeSpecialtyPhysicians FallsPointe - Caryat WakeMed &medical director at Michele Casey WomenExtraordinaire WakeMedLeaders Named House of Horrors amela s ey AnnieBrito il

e - P Y

oung - at - C ada sum Ti aad s ie to given is award This . n e i ofWake Orthopaedics and OkechukwuNwoko, M ,director, (Staff Develop , RN,, (Adult Acute Care Nurs , MD, director of Primary ie eri Sumiel Georgia C l t ver aseyJenkins, M S a

e f L a yo t b y u n vice , g D Busi - D , , - - - - -

- - If • ingactions: daysdefectivea product ispotentially inthe system, employees should take the follow inthe Pharmacy with plana toimplement itsystem-wide. To reduce the number of coordinatorsare: responsiblefor leading the process tosecure, report and take action. Alert and recall helpmanage this process. Once notified ofanalert orrecall, department managers are thatany risk ofharm iskept tominimum.a WakeMed alert and recall coordinators beimmediately directed tothe department coordinating the required corrections so manufacturers,distributors, etc. When notices are received, itisimportant that they Alerts,recalls orhazardous notices come toWakeMed from government agencies, Alerts & Recalls Management. administratorand Patient Safety/Risk secureit; and notify the clinical orsite removethe item from service and respondtothe person’s medical needs; ment,take the measures necessary to injuredfrom producta orpiece ofequip Shouldanyone (patient, staff, visitor) be properauthorities. theissue tothe manufacturer and toStrategic Sourcing, who will report org notifyLassiter at or,when applicable, the packaging; happens,save the product/equipment isnot functioning properly. When this instructions,has defective packaging or productorpiece ofequipment has poor Onyour own, you may notice that a Complete • When • Sourcing)at is,contact youdonot know who the coordinator ittothe alert and recall coordinator. thatislinked inthe e-mail, and submit orityand take the actions requested. willbetitled ; and,; when feasible, return the item badge at all times. Status Blue) and should display a be registered in Reptrax (formerly vendors in a WakeMed facility must Please help enforce this policy – all access to clinical areas. all the requirements stipulated for badge means the vendor has met any clinical area, while a vertical registered but they cannot enter badge means that the vendor has ent vendor badges. A horizontal Employees will now see two differ November 30. Status Blue to Reptrax as of vendor compliance system from WakeMed has converted its any WakeMed facility. That said, certain criteria before entering mandates that all vendors meet WakeMed compliance policy To protect patient safety, the to Reptrax Changed from Status Blue Vendor Compliance System a

you s o

you know f

includingwhen the recall oralert has ended. This process isbeing piloted appropriaterecipients information with alert/recall and requested actions, tomanage process the alert/recall by automatically sending e-mails tothe newA electronic process was developed that uses SharePoint and Outlook Vehicles: TransfusionProducts: Pharmaceuticals: PathologyLab: MedicalProducts: MedicalEquipment: Food: EnvironmentofCare:

the receive P

eggy N of [email protected] U

documentation

R plassiter@wakemed. o an JessicaMarchand G Services Institute WakeMed Emergency & SafetyOfficer, Executive Director Barb Bisset,RN,PhD

v

L ENT alert an MaggieKane assiter e

e-mail B M

. Make. itpria or P

recall hyllisCheeley (Strategic 0 3 r e A

notice, P

lexJenkins form eggy B

havesh B Melanie

but (PatientManagement) Safety/Risk arb

L it

(Food Nutrition& Services)

have - - assiter .

- B isset sa P

not atel R (Pharmacy) (Pathology Labs) ice ary Hospital Helipad Reopened Helipad Hospital Cary (Supply Chain) , RN,, PhD, (Emergency Services)

already and Attachments and Additions New (Clinical Engineering) Reducing At-RiskDays (Pathology Labs) C babies! and grooms brides, new family,all WakeMed the Welcometo Okauru. celebratedthe birth ofson Prince George QueensleyOkoro marriedBryen Lester onOctober 15. C AndrewonOctober 11. andhusband Jamie welcomed son David WhitneyHughes thebirth ofAnsley Denise onOctober 5. Trauma)and husband Jimmy celebrated MichelleStrickland onOctober 1. Lab)was married toDerek Stevens A Neurology,were married onOctober 1. and X onSeptember 24. Processing)married Daniel Wimbush K August29. welcomedson Jackson Dennis on SupplementalPool) and husband John ShelleyFrye KaitlynRose onAugust 11. Trauma)and husband Alex welcomed Miel comedson Paxon Tang onSeptember 30. Cardiology- Team) and her husband wel ourtneyOktyabrsky assandraBolduc uanSeepolmuang imBurton shley f ScottBinford 7 WakeMed transporthelipadandpatients using thehospital canonceagain openits balls were added to nearby marker power lines so aerial and removed A e A t rcari

P C seen arker ary Hospital, trees were recently ty first (Pathology Labs Specimen- (Acute Rehab Services) (Therapy Services

a (Pathology Labs Core-

WakeMed (Acute Rehab Services) A (2D Rehab) recently , a PAa, with Raleigh (Administration) irMobile.

Safety , PharmD,, (Pharmacy FIRST , RN,, (6C Surgery & (6C Surgery &

notice,

and

-

- • • • O pulmonologists, CaryHospital. Featuring twoexpert Pulmonologypractice located behind Physicians(WSP) established newa OnNovember 14,Wake Specialty and Above: Adds Pulmonology Practice Wake Specialty Physicians membersatext. 08196. anyofthe Pharmacy team Formore information, contact employeecustomers. directinteractions with patient and formedication counseling and other errors.This way, they have more time ClosedSunday Saturday:am8topm4 Monday-Friday:am8to11 pm Hoursof majorinsurance plans. yourlunch break. They accept all P1visitor parking deck, orduring hospital,ifyou are leaving toward the convenientstop onthe way out ofthe GiftShop). This new location isa tothe newly renovated and relocated Campus(near theElevators, C next onthe first floor ofthe Raleigh Pharmacyinnewlya renovated space AndrewsCenter, reopened asThe locatedonthe first floor ofthe Outpatient Pharmacy, formerly Octobern 25, the WakeMed ingsystem initsnew location. Pharmacy’snewautomated dispens AlexJenkins Ambulatorypharmacy manager 2700tomake anappointment. com/pulmonology http://www.wakemedphysicians. details,visit their newwebsite at theintensivist program. Formore inpatientsatCary Hospital through daysweek,a while also treating practicesees private patients several MPH,and Relocates OutpatientPharmacy RaleighCampus

• • • • SangeetaJoshi reducedrisk ofmedication processingandgreatly a allowsfor faster prescription automateddispensing system Withinthe pharmacy, an theywill order itfor you. theydon’t have itonthe shelf, over-the-counterproducts. If cationsandwide a variety of providesall prescription medi ThePharmacy atWakeMed SanjayPatel •

O • • SangeetaJoshi peration • • , PharmD,, tries outthe • • • Sanjay . Call. (919) 350- • , MD, • • • • , MD,,MPH, P

atel ▲ •

, MD,,the

• • , MD,, • •

•

• •

- - •

• • •

NOVEMBER/DECEMBER 2011 • • • • • Non profit Organization U.S. Postage PAID Microscope is a newsletter written by and for Raleigh, NC the employees of WakeMed. Our goal is to provide WakeMed Health & Hospitals Permit NO. 1307 employees and friends of WakeMed with the most 3000 New Bern Avenue up-to-date news on all of the hospital system’s activi- Raleigh, North Carolina 27610 ties. The Public Relations department thanks all of the employees who contributed to this publication. ADDRESS SERVICE REQUESTED We welcome comments and suggestions on this publication and its content. Call (919) 350-8120, e-mail [email protected], or write Microscope, Wake­Med Public Relations Department, 3000 New Bern Avenue, Raleigh, NC 27610.

Coleen Smith, Moira Dutton, Editors Leslie Keefe, Design WakeMed Employees, Photos

©WakeMed Public Relations, November/December 2011

Fall Community Outreach Events Touch Thousands CALENDAR OO F F E E V V E E N N T T S S To help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events. For complete details and fee information, visit the WakeMedWeb. Please send calendar submissions to the Public Relations depart- ment or e-mail [email protected].

Receive a Bonus Staff Development & Training for Helping an Experienced Enroll in any of the listed classes via Learn- ED Nurse Join WakeMed ing Link or ask your manager/supervisor to Earn $300 per experienced ED nurse referral e-mail [email protected] with – Let your friends and family know that your name and employee number, and WakeMed’s Raleigh Cam- course name, date(s) and time(s). For hroughout the fall, WakeMed hosted pus is a great place to be a information, visit the WakeMedWeb or call many community outreach events to offer nurse. If they accept a ext. 08306. Please note: Some classes have TWake County residents the opportunity to focus position as an Adult ED preliminary requirements. nurse, you get a paycheck on their health and wellness as well as learn Employee Development bonus! For details and more about the WakeMed facilities and services Myers Briggs for Employees – Thursday, instructions, visit the December 15, 8:30 am to 12:30 pm, in the located in their communities. In all, approxi- homepage of the Wake- mately 2,000 residents participated in events Medical Office Building, SD&T Classroom #3 MedWeb. (Code=SDME) such as WakeMed Health Day at the SAS Winter Chill Tennis Championship golf tournament (September Wake AHEC Challenge Educational credit available for all programs. 30 at Prestonwood Country Club in Cary), the Benefiting WakeMed Chil- Stand By Your Man men’s health event (Sep- For details/fees, call ext. 08547 or visit www. dren’s – Saturday, January wakeahec.org and click Program Listings. tember 21 at Cary Hospital), the Ladies Day 28, (snow date: February 4) Head to Toe: Sarah women’s health and wellness event (October 6 (top left) at the Raleigh Racquet Club. Indoor tennis OSHA and North Carolina Infection Control at North Healthplex) and the Head to Toe Bright, RN, (Wake Specialty for adults and children (ages 4 to 12). Com- Methods – Tuesday, December 13, 5:45 pm, in the Andrews Center community wellness series (October 11-27 at Physicians - Holly Springs Medical petitive and Just-For-Fun programs avail- various WakeMed facilities and Wake County Center) administers a flu shot, while able. Dinner will be served - prizes and other The Mind Matters: Overview of Mental community centers). These events included physical therapist Courtney Hudson activities included. More details and tickets Illness for the Certified Nursing Assistant – Tuesday, December 13, 9 am, at Cary free health screenings, seminars and informa- (Outpatient Rehab - Clayton are available at www.childrencantwait.org. Hospital tion, as well as other activities related to living Medical Park) (top right) discusses Volunteer Orientation a healthier, less stressful lifestyle. posture at the Garner event held Raleigh Campus – Monday, December 12, Nursing Education at White Deer Park Nature Center. from 5:30 to 8:30 pm, and Wednesday, Nursing Professional Book Series – When Approximately 850 people attended the semi- December 14, from 9:30 am to 12:30 pm. Both Chicken Soup Isn’t Enough by Suzanne Ladies Day: nars while 780 received a cholesterol screen- (bottom photo) sessions held in Conference Dining. Gordon (NE014-11088), Monday, December Women enjoy a healthy lunch during ing, 900 had their blood pressure checked, 554 Cary Hospital – Tuesday, December 20, from 19, 7:30 to 8:30 am, in Conference Dining the event at North Healthplex. received a bone density screening, 433 received 8:30 am to noon. Held in the Conference (Raleigh Campus) a flu shot, 73 received a prostate exam and 51 Center. received a vascular screening. These results would not have been possible without the hard work of the Corporate & Community Health department as well as hundreds of What an Employee! staff volunteers from throughout WakeMed. Jennifer Curtin, RN, (Staffing Resources) won Brown, RN. The following Women’s Pavilion the female division of the WakeMed Scrub & Birthplace - Raleigh staff also became IBCLCs: Valerie Barlow, PharmD, (Pharmacy) was Run 10K, with a time of 41:15. Jodi Rucker, RN; Susie Reynolds, RN; Deborah “Our strategy this fall was to reach as many selected as one of UNC Eschelman’s most Woodruff, RN; Amy McCutchin, RN; Tara Roberts, people as possible in the communities where notable leaders and will be featured in the Becky Roy, RN, (4E Pediatrics) received the RN; and Georgi Murray, RN. Also, Bonny Reid our hospitals and facilities are located,” Carolina Pharmacy Alumni magazine. November WakeMed DAISY Award for (Birth & Parent Education) passed the International commented Deb Laughery, vice president Barlow was also elected to the North Extraordinary Nurses. Board of Lactation Consultants Exam and is now a of Public Relations. “We want Wake County Carolina Association of Pharmacists Acute Patty Starling (Clinical Analysis) graduated registered lactation consultant. residents to know that we are conveniently Care Executive Committee. from the University of Phoenix with a bache- As of November 8, 6C Surgery & Trauma went located near their own neighborhoods, and Kristin Merritt, RN, (2 West ICU & MSIC - lor’s degree in Healthcare Administration and 55 days without a patient fall and 47 days without we are eager to provide the quality care they Cary Hospital) was accepted into the AONE a minor in Health Information Systems. a patient being placed in restraints. The unit’s need to live the healthiest lives possible.” Nurse Manager Fellowship Program. Only Kimberly Earp, RN, (3B CVSIC) completed management team hosted pizza parties for staff 25 applicants from across the United States her master’s degree in nursing from Walden to celebrate. • • • • • • • • • • • • • • • • • • • • • • • • • were chosen. University. Mike Ross, RPh, and Angela Smith, PharmD, (both Cat Colvin (Trauma Services) passed the Lori Bristol, RN, (Emergency Department - of Pharmacy - Cary Hospital) earned the title of ATSRCB exam and is now recognized as Apex Healthplex) earned her CEN. Board Certified Pharmacotherapy Specialist after a Certified Specialist in Trauma Registry. MICU recognizes the following employees: passing the board exam in Pharmacotherapy. Caroline Elder (2D Rehab) received her Laurel Meadows, RN, received the 2011 Team In November, a serious incident was avoided by the Wound Ostomy Certification (CWON). Support award; Stacey Carroll, RN, received quick actions of Christine O’Neil, RN, (Center for the 2011 Clinical Performance award; Alisha A proposal by Annie Brito, RN, (Adult Acute Innovative Learning), Detective David Brock (Cam- Davenport, RN, received the 2011 Greatest Care Nursing Services) and Fran Powell, pus Police & Public Safety) and Gregg Colvin, MD, Clinical Growth award; Lissa Tassos, RN, RN, (Center for Innovative Learning) was (WakeMed Faculty Physicians - Hospitalists). They was named Best R&R Supporter; and Greg accepted for presentation at the 2012 Human all worked together to assist a patient who was Anderson, RN, passed the Adult Nurse Patient Simulation Network Conference. trying to park his car in the parking deck when he Practitioner boards. Also, Clint Dean, RN; Bob New NICU Respite Room Shannon Roberson, RN, (Children’s Emer- became sick and dizzy and crashed into one of the McVeigh, RN; Janet Faulk, RN; Gloria Ilonze, The NICU recently created a respite room gency Department) received her Certified pillars. The patient is okay thanks to their assis- RN; Pam Pluff, RN; and Sarah Tiffany, RN, had for unit nurses as well as parents of NICU Pediatric Nurse (CPEN) credential. tance until the Code Blue team and EMS arrived. outstanding attendance for 2011. patients. The room was created by the Benita Smith, RN, (Children’s Emergency Alex Jenkins, PharmD, (Pharmacy) was named the The following Lactation staff recently became NICU Retention & Recognition Committee. Department) was selected to be the facilita- new ambulatory pharmacy manager. He will also International Board Certified Lactation Consul- The unit purchased items for the room, tor for the Pediatric Special Interest Group serve as interim medication safety officer, his tants (IBCLCs): Tracy Weidig, RN, and Joan and staff did the shopping. of the Emergency Nurses Association. former position, until the position is filled. 8