Baystate Health Scholarly Commons @ Baystate Health Baystate Medical Center Nursing Report Newsletters and Blogs 2018 Baystate Medical Center Nursing Report - 2018 Christine Klucznik RN Baystate Health, [email protected] Follow this and additional works at: https://scholarlycommons.libraryinfo.bhs.org/ bmcnursing_report Part of the Medicine and Health Sciences Commons Recommended Citation Klucznik, Christine RN, "Baystate Medical Center Nursing Report - 2018" (2018). Baystate Medical Center Nursing Report. 1. https://scholarlycommons.libraryinfo.bhs.org/bmcnursing_report/1 This Book is brought to you for free and open access by the Newsletters and Blogs at Scholarly Commons @ Baystate Health. It has been accepted for inclusion in Baystate Medical Center Nursing Report by an authorized administrator of Scholarly Commons @ Baystate Health. 2018 NURSING REPORT National Recognition U.S. News & World Report Baystate Medical Center’s Medical & U.S. News & ranked Baystate Medical Center Surgical ICU has been recognized World Report third among Massachusetts hospitals by the American Association of and placed in the top 10% nationally Critical-Care Nurses with the Silver among 4,500 hospitals rated in seven Beacon Award for Excellence of nine categories, including all for aligning practices with national cardiac conditions, all orthopedic standards and achieving superior Dear Colleagues, conditions, and chronic lung disease outcomes. which would shape a new work environment. Practice, New Knowledge, Innovation, & Welcome to the 2018 Baystate Medical Center care. Nursing Report. This year was an amazing year You will see evidence of this work throughout the Improvements, and Empirical Outcomes. Within, for Baystate Medical Center nurses and we are so report. As you’ll see on page five, Baystate Medical you also will see patient stories that connect to Baystate Medical Center retained appreciative of their dedication and commitment Center achieved statistical improvements that our nursing mission, the care provided, and to its Magnet® designation from The Baystate Health Nurse Residency to our patients and the communities we serve. resulted in nurse engagement scores above the the powerful connection our nurses have to our the American Nurses Credentialing Program was accredited with distinction Center (ANCC), placing it among the This report highlights the accomplishments and mean in five of the seven domains in the areas of patients. These stories clearly show how our in 2018 as a Practice Transition leaders nationally in nursing practive celebrates the excellence of Baystate nursing. Autonomy, Fundamentals of Quality Nursing Care, nurses are advancing care and enhancing lives. Program by the American and self-governance. Nationally, only With our ever-changing health care landscape, Leadership Access and Responsiveness, Professional Nurses Credentialing Center’s 7% of hospitals receive the Magnet nursing’s role in shaping the future of health care Development, and RN to RN Teamwork and Thank you to our clinical teams – your dedication Commission on Accreditation, designation, and only 26% of those to nursing practice and patient care positively one of only two in the state of delivery has never been more important. Baystate Collaboration. have been certified three times. nurses forge ahead as stewards of patient care impacts our organization and our community. Massachusetts. and embody the essence of Magnet, continually Baystate Medical Center nurses are currently on the striving for clinical excellence. Relationship-based journey to a fourth Magnet designation, the most For the eighth time, Baystate Medical care, delivered with empathy and compassion, is prestigious distinction a health care organization Center named a Watson Health 50 Top Cardiovascular Hospital the cornerstone of our practice. can receive for nursing excellence and quality Christine Klucznik, DNP, RN (formally Truven Health Analytics) patient outcomes designated by the American Chief Nursing Officer based on measures of quality, safety, Nurses Credentialing Center (ANCC). This report Vice President, Patient Care Services In 2017, the Employee Engagement Survey results and experience. indicated that more needed to be done to improve is structured to reflect our accomplishments in the the work environment of our clinical nurses. Much Magnet pillars of Transformational Leadership, of 2018 was spent creating innovative strategies Structural Empowerment, Exemplary Professional MEMBERS OF THE NATIONALLY RECOGNIZED BAYSTATE MEDICAL CENTER NURSING TEAM: In photo standing from left: Argira Manferdini, RN; Daryl Mucci, RN*; Diane Gauthier, RN; Crystina Hayden, RN; Zachary Kline, RN; Christine Klucznik, DNP, RN, CNO; Carlo Reale, RN; Melissa Poirier, RN; Anita Temple, RN; Eulogio Valdes, RN; Alyson Bruneault, RN*; Mishaela Brennan, RN; Ashley Anderson, RN; Jeremiah Berlin, RN*; Tran Lam, RN. Sitting from left: Judy Nham, RN; Charles Hansen, RN*; Madison Valle, RN; Magdalena Uy, RN; Carmen Texidor, RN; Kaitlyn Patrick, RN; Izilda Barbosa, RN*; Jennifer Summers, RN. *Nurses who appear on the cover. Also on the cover are Alicia Whyte-Bartley, RN; Orville Libanan, RN; Rita Banks, RN; and Pamela Rivera, RN. Baystate Medical Center Transformational Leadership 4 2018 - Powering a Strategy to Create and Sustain Nurse Engagement Nursing at a Glance - Creating the Case for Holistic Care - BMC Nursing Care Delivery Model POPULATION EDUCATION & CERTIFICATION - Ambulatory Nursing in the Forefront - Advancing Nursing in Primary Care % Clinical Nurse 68 (not including APN) Structural Empowerment 10 BSN or - BMC Night Council Higher - Baystate Women’s Converts to New Electronic System % % (2017: 31%) 10.5 % 44 - Nurse Residency Accreditation RN Turnover 7 1,800+ RN Vacancy RNs at Baystate Certified Rate (2017: 31%) Rate Medical Center Exemplary Professional Practice % Leadership RNs 14 100 - Bridging the Gap Between Ambulatory Care and the Emergency Department BSN or Nurses are Higher - Introducing the Integrative Healing Arts Council the largest % group, % % 59 Inside What’s making up Masters 49 New Knowledge, Innovation, & Improvements 17 25% of the 25 Certified or Higher total hospital - Making Strides to Guard Against Patient Falls employee - Neonatal Quality Improvement Collaborative population. - Women’s Evaluation and Treatment Implements Maternal Fetal Triage Index - Art of Innovation 2018 BAYSTATE CELEBRATES - Implementation of the M Technique® (Employee Recognition Program) - Anaphylaxis Recognition and Management 4,843 795 TEAMWORK & COMPASSION Research, Awards, Advancements, & Certifications 23 Total Recognitions BMC RNs Recognized Most Frequently Recognized for BMC RNs for Milestone Years Caring Values of Service STORIES OF CARE Powering a Strategy to Create and the responsibilities of a chief nursing officer, is another way of having their voice heard, Sustain Nurse Engagement and builds a relationship with the CNO. In 2017, Baystate Medical Center’s employee • To improve communication, an inter- engagement survey ranked the Nursing professional Night Shared Governance Department in the 13th percentile. The overall Council was created. This engaged group of score was 3.8 with 41% of the units performing night nursing and ancillary staff bring in the lowest tier and 15% performing in the forward concerns, develop solutions, and highest. The Chief Nursing Officer (CNO), the deliver outcomes. Executive Nursing Council, and over 70 clinical • An Integrative Healing Arts Nursing Council staff and nurse leaders gathered at a retreat was formed to inspire the team and reignite to explore concerns and plan solutions. A their passion. World Café format was used to identify key themes. Nurses expressed concerns about • A Recruitment, Retention, and Recognition visibility of nursing leadership on all shifts, lack Council made up of bedside nurses of communication, and a desire to spend more launched in February 2019. time at the bedside. After six months of this work, the overall Multi-pronged approach to address concerns engagement score rose to 4.05, +0.25. The most significant change was in the Tier • Nurse leaders (managers, assistant nurse engagement. Tier 1 (most engaged) units managers, and educators) are now scheduled statistically improved from 15% performance to on off-shifts to assist and connect with 41%, while Tier 3 (least engaged) units dropped their staff. from 41% to 15%. The manager engagement • CNO unit rounding on day and night shifts index also improved to 4.13, +0.20. The increase was structured and embedded in the monthly in engagement is attributed to addressing staff schedule. concerns of visibility and communication. Nurse • Team members can informally engage with leaders are committed to continued support of Sarah Caddeo, RN and Maxine Griffiths Desko, RN the CNO during monthly “Coffee with the these initiatives. CNO” sessions scheduled around both the night and day shifts. The CNO gains insight into the nurses’ workflow and challenges by donning standard attire and shadowing Nurses Supporting One AnotherSupporting One a nurse at the point of care on a frequent Intensive Care Unit (ICU) nurses need to be well versed in a variety of surgeries, emergencies, conditions, and complications. One type of high risk patient basis. (During an ICU shadow, nurses were ICU nurses care for are women who have undergone breast reconstruction with free tissue flaps. The surgery offers long-term benefits over breast implants; experiencing difficulty