Nurse Link - Loyola Medicine · 2012-02-28 · Reflections of a Nurse 4 Kudos to Nursing 4 Ethical...
Transcript of Nurse Link - Loyola Medicine · 2012-02-28 · Reflections of a Nurse 4 Kudos to Nursing 4 Ethical...
Author
The Patient Safety Committee explored oppor-
tunities to meet compliance standards with the
Joint Commission Standard PC-02.01:19 and
the National Patient Safety Goal 13.01.01
which state “The hospital informs the patient
and family how to seek assistance when they
have concerns about a patient’s condition.” As
a result, the Committee was charged with ful-
filling these compliance standards and to fur-
ther the implementation of the LUHS Strategic
Quality Plan which calls for us to educate and
involve patients and families in the LUHS
Safety Program. Working together, this com-
mittee has created a Patient/Family-Initiated
Rapid Response Team workflow, patient edu-
cation materials and staff education materials.
The original program on which this is modeled
is “Condition H”, developed in response to an
incident that occurred at Johns Hopkins Hospi-
tal in 2001 involving 18-month old Josie King,
who died as a result of dehydration despite her
mother’s attempts to alert staff that something
was wrong. Her mother, determined that
something good would come from her infant
daughter’s death, has since established the
Josie King Foundation. Mrs. King has worked
with stakeholders from Johns Hopkins Hospi-
tal to improve patient safety, including the
development of the Patient/Family-Initiated
Rapid Response Team concept. This form of
Rapid Response Team is intended to empower
patients and families to summon emergency
medical attention while in the hospital.
This program does not change the Rapid
Response Team process that is currently in
place. The only addition to the current process
is to now empower the patient or family to
initiate a RRT.
Many hospitals have implemented a Patient/
Family-Initiated RRT, and have found that
there are very few inappropriate activations of
the RRT by patients and families.
We have piloted the Patient/Family-Initiated
RRT on 5 Tower, 2NE/2Neuro ICU and
3NEWS and are now spreading the program to
adult inpatient units. The nurses and staff of
these units have received education regarding
this program, and includes the requirement of
completing a Nursing Computer Based Learn-
ing module.
Our Go-Live date was January 31, 2012.
We hope you will support this effort that em-
powers families and patients to participate in
this important patient safety initiative.
If you have any questions or concerns please
contact:
Anita Koeller, at 6-5488
Sharon Englert at 6-5142
Magnet education programs were conducted
on all Fridays in January. Information was first
extended to all council co-chairs and
managers. Staff nurses were invited too
through emails and Gottlieb nurse managers/
staff also attended. The education program
involved a review of all the information
required for document submission in 2013.
Our document will include outcome measures
from April 1, 2011 through March 31, 2013.
Continues on page 3
Patient/Family-Initiated Rapid Response Team
Nurse Link J A N U A R Y 2 0 1 2 V O L U M E 6 I S S U E 1
2013 Magnet Launch
Transformational
Leadership
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
Practice
Structural
Empowerment
I N S I D E
T H I S I S S U E :
Patient Rapid
Response
1
Magnet Launch 1
CNE Corner 2
Reflections of a
Nurse
4
Kudos to
Nursing
4
Ethical
Considerations
5
Spiritual
Corner
6
Clinical
Ladder
7
Nurse Navigator 8
Certification
Corner
8
Transfusion Safe-
ty Update
9
Magnet
Ambassador
10
APN Council 10
Education &
Professional Dev.
10
Nsg Professional
Practice
10
Nsg Quality &
Safety
11
Nsg Research 11
Magis & OPEX 12
Ask me About 13
Educational
Offerings
14
Magnet Forces
1 Quality of Nursing Leadership 2 Organizational Structure 3 Management Style 4 Personnel Policies and Programs 5 Professional Models of Care 6 Quality of Care 7 Quality Improvement 8 Consultation and Resources 9 Autonomy 10 Community and the Hospital 11 Nurses as
Teachers 12 Image of Nursing 13 Interdisciplinary
Relationship 14 Professional Development
Structural
Empowerment
Paula A. Hindle, RN,
MSN, MBA
Chief Nurse Executive
CNE Corner Thank you all for your hard work over the past several months. In particular, the last month we have been excep-tionally busy due to construction pro-jects limiting the number of available beds and an unusual increase in the patient volume. However, we have risen to the challenge continue to pro-vide exceptional care. Again, thank you for your commitment to our pa-tients.
We are currently recruiting a number of nursing positions. To date, we had over 60 nurses begin orientation from mid-December through January. These nurses are now coming off orientation. Next week we have scheduled an Open House to expedite the recruiting pro-cess and as of Monday, February 20th, we had 134 nurses signed up. Human Resources and nurse managers will be on site to interview and offer positions pending reference checks and Human Resource screenings. To attract experienced nurses to the job fair we are offering a one-hour educational program with Kathy Ostrowski, RN, Risk Manager, on legal issues in nurs-ing. The presentation will be given twice. In addition, the first 100 attendees will be given a $5.00 Star-bucks gift card and all attendees will be eligible for a drawing to win an iPad. Managers and staff will be available to provide tours to anyone interested. So if you know someone who would be a great compliment to our staff, please invite them to register. The Open House is February 29th from 2:00 – 8:00
p.m. in SSOM, room 150. I will keep you informed about the results of the fair.
As you know, February is “Marathon” month for CPR and clinical competencies. Please remember to review the video educational program available in e-learning in advance of attending the marathon. There have been many changes in the CPR standards. Also, while you are at the marathon, you will see coming attractions describing the new infusion pumps, beds, and cardiac monitoring equipment that will be purchased with-in the next several months. These pur-chases are part of Trinity’s capital in-vestment in Loyola. The infusion pumps will roll out mid-April, then the beds (after we trial beds from 2 vendors), and then the cardiac monitoring systems throughout the house. Eventually, the pumps and monitors will automatically download patient data directly into Epic. These are wonderful projects that support the nursing staff and improve the work flow for staff.
Finally, we have also completed an evaluation of lift equipment to reduce/eliminate the need for staff to do heavy lifting. We are finalizing the products and the proposal over the next month. I see all of these initiatives to support and assist you in patient care.
CNE Corner P A G E 2
N U R S E L I N K
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
2013 Magnet Continuation
P A G E 3 V O L U M E 6 I S S U E 1
Evidence to support written descriptions is needed and
teams are being formed for Transformational Leadership,
Structural Empowerment, Exemplary Professional Prac-
tice, and New Knowledge, Innovations and Improvements.
Please contact Debbie Jasovsky, Magnet Program Direc-
tor, at [email protected] or 708-216-4604 if you are
interested in joining one of these teams.
And
the winner is… Be sure to nominate the
most deserving RN to the
2012 Nursing Excellence Awards.
Applications due March 2.
In Celebration of American Heart Month
Please feel free to wear red turtlenecks or long sleeved
tees under your scrubs during the month of February.
DON’T FORGET!!
Clinical ladder
application are due:
April 30, 2012
July 31, 2012
October 31, 2012
January 31, 2012
P A G E 4
Kudos to Nursing Presentations:
Sandra Weszelits APN, MSN presented a Skill Lab-working
with Gastrostomy Tubes to Surgery
Residents (11/11) and a Lecture about Feeding Access in
Children to to Pediatric Residents (12/11)
Publications:
Mary Kay Larson BS MSN CNN APRN-BC, Nurse Practi-
tioner at Homer Glen contributed to a manuscript: The Addi-
tion of a Nurse Practitioner to an Inpatient Surgical Team
Results in Improved Utilization Resources. Larson is listed
as one of the co-authors as well as L.Robles, M. Slogoff, E.
Ladwig-Scott, D. Zank , G.V. Aranha and M. Shoup
Mary Maryland, PhD, MSN, APN-BC, American Cancer
Society Nurse Navigator at the Cardinal Bernardin Cancer
Center., published an article in The Online Journal of Issues
in Nursing, January 31, 2012. The article is entitled: Patient
Advocacy in the Community and Legislative Arena
Certifications:
Elmer R. Dulce MBA, BSN, RN
Operational Excellence Leader, received certified in Nurse
Executive
Acknowledgements:
Linda Flemm, MSN, APN, AOCNS was appointed to the
first individual learning needs assessment (ILNA) develop-
ment committee for the AOCNS® ILNA Program. ILNA
is a new option for renewing oncology certification that
will involve the use of an assessment to determine the indi-
vidual learning needs of the certified nurse.
Erin Fruth, RN-BC was selected by The Academy of Med-
ical Surgical Nurses (AMSN) to participant on a Clinical
Leadership Development program for bedside nurses. The
charter requires the 8 nationally selected task force mem-
bers to determine curriculum and whether or not the pro-
gram grants a certificate.
Academic Advances:
Sarah Born MSN, RN from 3 NEWS
Graduated, May 14, 2011 from Lewis
University with a Nursing Education degree.
Sima Patel MSN, RN from 3 NEWS
graduated from Loyola Niehoff School of Nursing, May
14, 2011 as an Adult Clinical Nurse Specialist with Cardi-
ac focus.
Judy Rey MSN, RN from Cardiographics graduated from
Loyola Niehoff School of Nursing, December 2011
many obstacles came in my way and that was
one of the best decisions that I made; going into
nursing. I know this will sound cheezy but I do
feel this is what I am supposed to be doing.
I must be honest, even though I complain about
work issues, I do love being a nurse. I can’t see
myself doing anything else and there is nothing
better than knowing that you helped someone or
that feeling that you made a difference in a life
of that one patient.
While I was in high school my
grandparents moved into our house
because they needed help. My grandma
had diabetes and had suffered from
multiple strokes. She needed assistance
with bathing, insulin injections and meal
preparation. I stepped in to help out
whenever my mom needed a break.
I enjoyed helping grandma and she told me
I would be a good nurse.. I took her advice
looked into nursing and never looked back.
I never changed my mind no matter how
N U R S E L I N K
Reflections of a Nurse Dawn Mack, RN, BSN,
OCN
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
Practice
Structural
Empowerment Transformational
Leadership
Mark G. Kuczewski, PhD
The Fr. Michael I. English, SJ, Professor of Medical Ethics
Director, Neiswanger Institute for Bioethics & Health Policy Loyola University Chicago Ethical Considerations
P A G E 5 V O L U M E 6 I S S U E 1
What’s in a Hug? Professionalism & Touching
In the age of high tech medicine, we no longer place as much
emphasis on touch as the healing professions once did.
However, even in our current age, it is clear that the relation-
ship between the patient and the caregiver is of therapeutic
benefit. But the limits of such touching raise questions of
professional boundaries. So, ethicists sometimes hear the
question, is it OK to hug a patient? One of the frustrating
things about ethicists is that we tend to begin all answers the
same, “It depends. . .” Here are some things on which it de-
pends.
Such an expression of affection should seem appropriate to
the relationship and context.
In general, we speak about professional distance as a key
component of the relationship with a patient. For instance,
when one takes a history or physical, an objective and neutral
affect and tone create a judgment-free quality to the
environment that enables the patient to discuss problems that
could be very awkward in other social settings. As a result,
the nurse or physician does well not to introduce an especially
personal element to the environment. But, the dramas of birth,
life, and death are often partially lived out in the clinical
setting and these can introduce a very personal dimension to
the relationship. There are certainly situations in which the
patient has experienced something personally transformational
such a bad news, good news, seems demoralized after a trying
round of treatment. If the patient has developed a rapport with
the caregiver, they may reach out for a sign of support such as
a hug. If it seems natural and unforced, it may be helpful and
probably no real cause for concern.
The less powerful person should be initiating the hug. When
considering if it is ethical to hug patients, the issue of the
power imbalance in the relationship is paramount. While nurs-
es and physicians may consider patients outspoken based on
some memorable experiences, most patients understand that
they do not want to anger or alienate their nurse or
physician. Patients know that they are dependent on the good
will of their health-care providers for timely and effective
care. As a result, if a provider initiates a hug, the patient may
not feel empowered to decline even if he or she feels very
uncomfortable. Thus, in most cases, the less powerful person
in the relationship, the patient, should be the initiator. Of
course, there can be exceptions to this rule, e.g., a child one
has treated for a long time for a challenging illness.
When in doubt, substitute a handshake or similar sign of
support. And doubt early and often. In general, the occasional
benefits of a hug between a provider and patient are not
dramatic enough to outweigh even a few negative events. As
a result, the default position is clear. Any time you question
the propriety of a hug, just don’t do it. One can often easily
and graciously deflect the momentum toward a hug by
extending one’s hand for a handshake.
The cases in which doubts are least likely to arise typically
involve elderly patients with whom the caregiver has a
long-term relationship. The most dubious situations tend to
involve patients with whom the nature of the show of
affection could be misunderstood as intending a romantic or
sexual meaning. And, of course, this is bi-directional. If the
caregiver suspects that such might be a patient’s intention, he
or she should refrain from hugging and deflect this via a
handshake or other strategy. While it might seem awkward at
the moment, setting such a boundary immediately is far less
uncomfortable than having to dispel the patient’s misconcep-
tions later on.
In conclusion, a simple matter such as hugging is actually a
somewhat complicated issue. This is because being a
professional is a complex role that combines job skills and
one’s very being. Nurses and physicians do not leave their
personal side at home when they come to work but bring their
passion and personality to bear on their work. As a result,
drawing specific boundary lines can be difficult.
Nevertheless, keeping few simple considerations in mind can
help one to be more effective and avoid frequent missteps.
A Practice TJC Visit Mary E. Altier, MSN, RN, CPHQ
Center for Clinical Effectiveness
2012 Joint Commission Mock Surveys by Schweighoefer &
Associates for Hospital & Home care settings were complet-
ed February 6-10th and in the Ambulatory setting on Febru-
ary 15-17th.
Consultants (1 physician, 2 nurse's and a life safety engineer)
will be visiting units and procedure areas throughout the
health system, interviewing
staff, reviewing procedures, and
inspecting our facilities.
For additional information on standards and accreditation,
please visit the Joint Commission Readiness web page or
contact the CCE at 63290.
Exemplary
Professional
Structural
Empowerment
P A G E 6
Spiritual Corner By: Bob Andorka, Chaplain
TAKE TIME While driving to the hospital
one morning, I began to think
about all the things on my TO
DO list for the week. I remem-
bered my new 2012 calendar
which I had organized the
night before. This week would
be filled with meetings, phone
calls, computer work, people
to follow up with and ongoing
projects. There would be daily
responsibilities of patient care
visits, charting and mentoring
new students. Outside of work,
the calendar reminded me that I promised my kids I’d get
them back to college and that I would help my wife with her
fundraising work. Not to mention I would have to deal with
the washing machine that just stopped working and needed
repairs.
As I pulled up to the stoplight, I felt myself getting
anxious about all that was now on my plate. Then I noticed
the license plate on the car ahead of me. It read “NT
ENGH TM”. It stated what I was feeling - NOT ENOUGH
TIME. It was a feeling I had a lot over the last few past
years. Like the Jim Croce’s song, “There never seems to be
enough time to do the things you want to do once you find
them.”
As I thought about it more, I realized that the deeper
issue here was not having enough time, but rather whether I
felt control over the time I had. In other words, would I begin
this New Year allowing time to control me or could I resolve
in 2012 to take control of time? It is an interesting question
and one that, as healthcare workers, is worth reflecting on.
Do I feel overwhelmed by all the demands made on my
time? How can I take time back? Are there ways that I can
better control my time rather than time control me? Are there
ways that others might be able to assist me? Do I need to say
“No” more than I do now? Can I schedule in time for myself
for relaxation, regeneration, reflection?
A New Year is upon us with new opportunities and new
challenges. Vow to take time to do some of the things you’ve
always wanted to do but couldn’t find the time.
Consider these ideas that columnist Ann Landers offers for
using time:
Call up a forgotten friend. Drop an old grudge, and replace
it with some pleasant memories.
Take better care of yourself. Remember, you’re all
you’ve got. Vow to eat more sensibly. You’ll feel bet-
ter and look better, too.
Share a funny story with someone whose spirits are
dragging. A good laugh can be very good medicine.
Vow not to make a promise you don’t think you can
keep.
Free yourself of envy and malice.
Encourage some youth to do his or her best. Share
your experience, and offer support. Young people
need role models.
Make a genuine effort to stay in closer touch with
family and good friends.
Find the time to be kind and thoughtful. All of us
have the same allotment: 24 hours a day. Give a com-
pliment. It might give someone a badly needed lift.
Think things through. Forgive an injustice. Listen
more. Be kind.
Apologize when you realize you are wrong. An
apology never diminishes a person. It elevates him.
Examine the demands you make on others.
Lighten up. When you feel like blowing your top, ask
yourself, "Will it matter a week from today?"
Avoid malcontents and pessimists. They drag you
down and contribute nothing.
Express your gratitude. Give credit when it’s due—
and even when it isn’t. It will make you look good.
Read something uplifting. Help feed your soul.
Return those books you borrowed. Reschedule that
missed dental appointment. Clean out your closet.
Take those photos out of the drawer and put them in
an album.
Don’t be afraid to say, "I love you." Say it again.
They are the sweetest words in the world.
N U R S E L I N K
P A G E 7 V O L U M E 6 I S S U E 1
Using nursing skill to enhance patient care in anoth-er unit or department (collaboration)
Participating in health or professional promotion activities (health walk, donating blood, 2 hours of flu vaccination administration or employee health fair attendance = 1 point/event) (Mentor/preceptor)
Points will be given to those who participate in the research e-journal club or those who encourage others (quality improvement)
When utilizing the criteria under “Mentor/Preceptor: Mentors level 2 nurses to advance to level 3 and assisting level 3 to advance to level 4, the date that the newly leveled nurse must be included.
An applicant can take credit under the criteria Mentor/Preceptor: primary preceptor or relief preceptor but not both.
Reminder letters to submit renewal applications or sabbatical letters will not be sent. Additionally, you will not receive a letter when your sabbatical letter is accepted.
Under the criteria Mentor/Preceptor section, “Participates in health or professional promotion related activities”, be sure to fulfill the asterisks with email, pictures or other documentation for
evidence of participation
The roster for CPR, PALS or NRP classes taught does not need to be submitted unless the letter from nursing education does not include the dates.
Applicants who wish to be recognized as a medical interpreter in either Spanish or Polish must
complete requirements set by the Interpreter Services. Contact Patient Relations for more information. (Communication)
Sabbatical Letter:
There is no need to submit last year’s Sabbatical Letter with a renewal application.
When completing sabbatical year application, the only requirement is the Application Sabbatical Letter and the 16 contact hours. No other
documentation is necessary.
~New Updates to be aware of for 2012~
The clinical ladder application is more than just a compilation of a stack of papers. It is your own
personal professional portfolio and something to very proud of!
The Clinical Ladder Oversight Committee has
listened to feedback and has made criteria changes to emphasize bedside expertise and activities.
Always review and use the most updated criteria and forms on the Intranet.
Some highlights:
Beginning July 31, 2012 application points
requirements will increase:
Weighted points required for level 3: 20
points
Weighted points required for level 4: 40
points
The level 4 required project has been
eliminated. Projects will still be awarded
(5 points) for involvement in a project that reaches beyond one’s own department or unit.
Added clinical practice criteria/points:
Technical expertise (clinical competence)
Incorporation of patient’s cultural or spiritual customs (clinical competence)
Completing the validation as an interpreter and using this skill (communication)
Climbing the Clinical Ladder
(Updates)
Sonja Winkler RN CPN
Julie Liberio RN, MSN, CCRN, TNCC
Michelle Krauklis RNC-NIC, MSN
Transformational
Leadership
Exemplary
Professional
Practice
Structural
Empowerment
P A G E 8
Certification Corner PCCN: Progressive Care
Certified Nurse
K. Thomas MS RN PCCN
The designation, PCCN, is a
registered service mark of the
American Association of Criti-
cal Care Nurses (AACN) Certification Corporation. It
refers to nurses who are certified in progressive care, a
term used to describe acutely ill patients in intermedi-
ate, step down, telemetry, transitional care, direct ob-
servation units and emergency departments. Progres-
sive care is part of the continuum of critical care.
The most recent practice analysis of progressive care
nursing, undertaken in 2008,verified that a specialized
level of nursing skill, knowledge, and task
performance is required of the nurses in those areas,
given the level of acuity of the patients in a progressive
care area.
A nurse eligible to sit for the certification exam must
have current, unencumbered license as an RN or APRN
in the U. S., as well as 1,750 hours in direct bedside care
within the last two years of nursing practice, with 875 of
those hours in the most recent year prior to application.
Many applicants misread that as a two-year requirement,
missing the important modifier of “within the last two
years”.
Membership in the AACN benefits the exam applicant
by reducing the cost of the exam, as well as qualifying
the applicant for CE upon completion of an AACN-
approved PCCN review course. If you are interested in
pursuing the PCCN, contact Karen Thomas at kthom-
[email protected] or office, 61717.
N U R S E L I N K
PCCN
American Cancer Society Patient Nurse Navigator
Mary Maryland, PhD, RN
Your American Cancer Society’s Patient Navigation Services Center is located
in the Lower Level of the Cardinal Bernardin Cancer Center. Cancer patients and their
caregivers can access comprehensive resources for any cancer-related concern.
As your American Cancer Society Patient Navigation staff person –also known as a “ nurse navigator” – I
will serve as a personal guide by providing individual support, resources, services and assistance to address the
day-to-day challenges of living with cancer. The service is free and confidential, and places an emphasis on helping
patients overcome barriers to quality care; whether logistical, emotional or financial.
As each cancer experience is unique, I will help connect patients and caregivers with the most appropriate
American Cancer Society (ACS) programs and services to help improve each individual’s access to health care and
quality of life. Whether it is getting patients and caregivers the information they need to make treatment decisions and
better understand their disease, helping them deal with the day-to-day challenges of living with cancer, such as
transportation and insurance issues, or connecting them with resources such as local support groups or clinical trials,
the American Cancer Society provides help throughout the disease continuum – from the time of diagnosis, through
treatment, into survivorship. Research has shown that these services are able to increase treatment compliance and
follow-up care.
Fighting cancer is a difficult, challenging journey, but I am here to help you so our patients don’t have to go
through it alone. To contact me, please call extension 73080, I am typically here from 8:30 AM to 4:00 PM. Please
feel free to just stop by, and remember all ACS services are free of charge.
Exemplary
Professional
Practice
Exemplary
Professional
Practice
Structural
Empowerment
Structural
Empowerment
New Knowledge,
Innovations, &
Improvements
Blood Type Verification– The Why
P A G E 9 V O L U M E 6 I S S U E 1
On January 10, 2012 we started a
new process ~ verification of the
patient’s blood type before
transfusions take place. Why in
the world would we do that???
There are two really good reasons
~ first, the organizations that
regulate the Blood Bank told us to.
But more important, it helps
improve patient safety.
Every time you send a sample to
the Blood Bank, we check the
patient’s history, that way we are
alerted to potential type
discrepancies between specimens
which could indicate the
misidentification of a patient at the
time of sample collection. Patients
who are new to Loyola don’t have a
history to check. In order to keep
them safe as well, we will always
verify the blood type on a second
specimen (collected at a different
time) before we give them blood.
In emergency situations, group O red
blood cells issued with an Emergency
Release Form from the blood bank
can always be given.
Keep transfusion safe ~ for you
AND your patient!
Questions?? Call Cathy Shipp, RN,
Transfusion Safety Officer
at extension, 64836 or pager 10691
The most important thing to remember is that your patient
needs to be observed for signs of transfusion reaction. If
your patient is scheduled for a test or treatment delay the
transfusion until their return if possible. If your patient
has a fever and their transfusion can be delayed treat the
fever first.
Certain medications are problematic with blood transfu-
sions. Medications should never be given in the same IV
line as a blood component. In addition, if your patient is
receiving IV anti-fungal medication (especially
Amphotericin) wait for an hour after the medication is
infused before your transfuse platelets. This will allow
your patient to optimize their benefit from the platelet
transfusion.
Finally, if your patient is going home after their
transfusion make sure there is someone who will be with
them for an extended time to observe them for delayed
transfusion reactions ~ especially Transfusion Related
Acute Lung Injury (TRALI) which can develop hours
after the transfusion is completed.
Keep transfusion safe ~ for you AND your patient!
In nursing school we learned the “5 Rights” of medica-
tion administration ~
Right Patient
Right Medication
Right Dose
Right Route
Right Time.
Right?
Now let’s think of the “5 Rights” of Blood
Administration. We still want the Right Patient and we
still want the Right Time. Instead of the Right Medica-
tion we want the Right Blood Component. And finally,
we want the Right Indication and the Right
Documentation. Over the next few editions of Nurse
Link we’ll take a look at each of these Rights.
Last month we looked at the Right Patient. Now let’s
consider the Right Time!
Does timing matter when it comes to blood transfu-
sions? The answer is not as simple as you might think.
Transfusion in an emergency can be lifesaving and
needs to take place as soon as possible but in
“non-emergencies” you can make things easier for both
you and your patient if you think for a minute about
how you time the transfusion.
Transfusion Safety Update Catherine A. Shipp, RN, BSN, HP(ASCP)
Transfusion Safety Officer
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
Practice Structural
Empowerment
P A G E 1 0
Magnet Ambassador Council
Last October, the Magnet Ambassador Council hosted its second annual Magnet Celebration. The celebration honored Judy McHugh and Patricia Hummel who were both recipients of prestigious awards at the national Magnet conference. Loyola’s council representatives’ exhibited ingenuity by presenting their work through clever and entertaining skits and presentations. Artistic talent aside, Loyola’s nurses exemplified their dedication and innovation through their various programs and projects. Whether it was designing a continuing education program, improving patient outcomes or coordinating hospital-wide events, these councils proved that the work of a few can have a significant impact on many. Through the work of the Help for the Holidays committee, the council found a way to treat the human
spirit by embodying the Christmas spirit. Led by Jennifer Johnson and Erica Dixon, many of the nurses helped raise funds for Loyola staff in need of financial assistance throughout the holiday season. Jennifer and Erica spear-headed the project by coordinating Taffy Apple sales, bake sales and “keep the change” collection boxes throughout the cafeteria. As a result, the Help for The Holidays committee raised $1880.54 to help many of our employees ’ families. The Ambassadors decided to celebrate their hard work with a cookie and recipe exchange at the December meeting. It was a great opportunity to build relationships within the council, and many great ideas were suggested for a fantastic 2012. The Magnet Council meets the first Tuesday of every month at 7:00am-8:30am in the SSOM, Room 170.
N U R S E L I N K
MAC contacts: Barb Devereux, BSN, RN Erin Fruth RN-BC
EPC contacts:
Barb Hering RNC,MSN APN/CNSD
Diane Stace RN, MSN, APN, CCRN, CCNS
Education Stipend calendar changed back to January to January, $300 per person per year
March Legal Conference at LUHS, sponsored by Education & Professional Development Council & Nursing Education Department, date March 10, 2012
Certification Campaign Kickoff on March 19th, National Certification Day!
APN Council APNC contacts: Pat Hummel, RNC, MA, NNP, PNP, CCRN, CCNS
The APN group is forming it's yearly goals, including increasing billing and increasing the number of APNs with DNP or PhD degrees. Other goals include documenting how the APN's impact nursing care, and increased APN involvement with journal review, CQI, and research.
Nursing Professional Practice Council NPPC contacts:
Erin Podgorny BSN,RN,CCRN-CMC
Renee Niznik BSN, RN
Continue to coordinate monthly grand rounds for nurses & residents that offer continuing education credits.
Promoted nursing staff to attend and prepare for 2013 Magnet Launch presentations, continuing education credit available.
Discussed Q shift vital signs including accurate temperature assessment. Discussion of a temperature quality project to be determined.
Presented the J-tip Local Anesthetic Injection process to the Pain Committee. This alternative will be piloted in our hospital-based, pediatric population.
Education and Professional
Transformational
Leadership Structural
Empowerment
Exemplary
Professional
Practice
New Knowledge,
Innovations, &
Improvements
P A G E 1 1 V O L U M E 6 I S S U E 1
Nursing Research Fellowship Program The current Nursing Research Fellows, Karen Thomas, Jillian Erlander, and ah Suchecki, are engaged in data collection and are excited to be working on their research projects. They look forward to completing their data collection, data analysis, and sharing the findings of their research with their nursing colleagues. We all have questions about our nursing practice, what is yours? The Nursing Research Council is currently preparing for the 3
rd cohort of Nursing Research Fellows. Watch for future
e-mails regarding the application process to the Nursing Research Fellowship Program. Current Research If you are currently participating in a nursing research study or worked on a study between September 2010 and December 2011 please e-mail the details of your study to [email protected]. Please include the following information:
Study title
IRB approval date
Study status: in progress or completed
Data collection dates
PI & co-PI name and credentials
Role of the organizational nurses in the study (PI, team member, etc)
Study scope: internal to a single organization, multiple organizations within a system, or independent organization
collaborative
Study type: qualitative or quantitative
Publication and/or presentations related to study
Nursing e-Journal Club The 5
th Nursing e-Journal Club article will launch soon. The title of the study is “The impact of nurse-directed patient educa-
tion on quality of life and functional capacity in people with heart failure.” Rose Lach, PhD, RN and Karen Thomas, MS, RN, PCCN developed the research critique for this study. Remember that participating in the Nursing e-Journal Club provides a great opportunity for you to:
Learn to interpret research articles by reading prepared critiques
Access clinical research with possible implications for practice
Share your thoughts and opinions about the identified study with your colleagues via the on-line communication system
EARN CONTACT HOURS. After completing the required steps of the e-Journal process, print and complete
the evaluation form and send it to Pam Clementi, room 0701, Mulcahy.
Nursing Research Council
NQSC contacts:
Judy McHugh RN, MSN
Nancy Forcier RN
Meliza Lee RN, RN-BC
Karen Thomas RN MS, PCCN
Stephanie Wolski BSN
Nursing Quality & Safety Council
Continued to monitor the core measures and nurse sensitive indicators with the information and results presented
by the appropriate leaders.
Paula Hindle discussed the Trinity Balanced Scorecard. We need to strive on obtaining improved patient satisfaction because
CMS will reimburse funds based on patient satisfaction scores.
Eagle and SOS e-learning are going live in January.
Volunteers are still needed for Restraint/Fall/ Bed Enclosure Marathon.
If interested contact the Nursing Staff Education Office.
Transformational
Leadership
NRC contacts:
Pam Clementi PhD, APRN, BC
Barb Pudelek, RN-BCC, MSN, ACNP
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
Practice
Structural
Empowerment
P A G E 1 2
MAGIS & OPEX
Fish bones are an important part of fully delivering the Magis
commitment here at LUHS. Yes indeed, you read that cor-
rectly, fish bones are critical to fulfilling the promise of
more. If you hang in here with me for a bit, I think you will
find yourself in agreement… While Magis simply means
“more”, it implies a greater commitment to helping all LUHS
constituents more fully realize potential, more completely
utilize talents and make more dreams actualities. It is
essentially about actualizing untapped potential for
good. This actualization needs a foundation upon which it
can take place. Our buildings, people, processes and services
are that necessary platform.
The nuts and bolts of care provision and community support
are less glamorous than complex medical procedures, yet are
of equal impact and value to the whole patient care cycle.
Replenishing supplies, house cleaning, billing, patient
appointment setting, meal delivery, staff scheduling, patient
placement planning and all manner of decidedly operational
tasks is simply vital to the competent and compassionate
delivery of highly reliable patient care. Ensuring operations
are effective, efficient and beneficial, is crucial to LUHS’
fulfillment of its Magis commitment.
You might have heard the phrase “no margin means no
mission”. A better way to think about it might be “smooth
operations aid care and secure the mission”. LUHS has set
about revitalizing and expanding its Operational Excellence
program to achieve this very state—smooth operations that
do not hinder, but rather complement or bolster patient care.
Operational Excellence (OpEx), as a term, carries different
meanings. Please allow me to share what it means to me as
the new System Director for Operational Excellence.
OpEx enables and preserves LUHS’ ability to deliver care,
teaching and innovative practices through the elimination of
wasted time, effort, materials, knowledge and talent.
OpEx believes in a responsibility to educate and be educated
through work and service to others. OpEx will educate the
organization in Lean Six Sigma techniques to recognize
instability and waste in practices and procedures, to mitigate
that waste, to bring stability. OpEx will constantly learn
from internal partners.
OpEx recognizes that the holistic care of the patient includes
meeting physical, psychosocial and spiritual needs. Through
every action taken, every analytical tool applied, every
process change suggested, OpEx will ensure patient
care partners can address these needs fluidly, quickly
and effectively.
OpEx believes that we have a responsibility to work
together to respect yet continuously improve the
various processes we use.
OpEx is inherently about providing a supportive
environment that enhances the quality of care and
services. The function’s existence and name
exemplify the pursuit of excellence and this
philosophy.
The tools with which we deliver upon our
commitment are numerous and varied—because
opportunities to improve are numerous and varied.
They are primarily drawn from the Lean and Six Sig-
ma disciplines. Over the next 12 months, the
entire system will be offered the chance to learn and
apply these tools, to know OpEx, bring more to the
organization, and more to our patients.
Among these tools is the Ishikawa diagram—a simple
way to capture and show commonalities among our
improvement opportunities. When completed, the
Ishikawa looks like a fish skeleton—heads, spine,
fins and even a little tail. It is often called the fish
bone diagram. The Ishikawa diagram is foundational
in all OpEx work because it readily captures the state
of reality, in order to target the right opportunities, in
the right way and get things on a transformative path
for the better. So you see it really is true, fish bones
are an important part of fully delivering on the
promise of more, of Magis, here at LUHS.
N U R S E L I N K
Amber Gravett, PhD., LSS, MBB
P A G E 1 3
Go Green Tip
ASK ME ABOUT... Be sure to use EVERY opportunity to
educate patients and families about
various health topics:
All information is available on the patient
education web site:
http://www.luhs.org/internal/clin_res/
edusupp/index.htm
February: Heart Awareness
March: Nutrition/Obesity Awareness
April: Donate Life Awareness
May: Stroke Awareness
Please keep in mind that Loyola recycles but how much depends on YOU.
Don’t forget to put any recyclable items in the blue recycle bins.
This includes all clean plastic [including bags], Styrofoam, and
non-protected paper – paper with no confidential information on it.
Confidential paper must be put in the grey bins for shredding or shredded on
site. This does NOT include glass, paper towels, gloves, or facial tissue.
N U R S E L I N K
Nurse-driven
campaign to
educate the
public about
national health
initiatives
Transformational
Leadership
New Knowledge,
Innovations, &
Improvements
Exemplary
Professional
Practice
Structural
Empowerment
Nancy Madsen BSN, BA, RN–BC
Educational Offerings
Executive Editor: Deborah A. Jasovsky
Managing Editors: Theresa Pavone
Kristi Dombrow
Linda Flemm
Nursing Department: February thru May 2012 Legal March 10 Trauma Pearls March 24 Palmer Research Symposium March 31 (this program is sponsored by the Niehoff School of Nursing) Preceptor Workshop May 5 Organ Donation May 19
Oncology Nursing Courses: OCN Review Course April 28 and May 19 ONS Chemotherapy and Biotherapy Class May 4 and May 11
Contact Linda Flemm for more information [email protected] or go to the
Loyola Nursing Oncology Website
HR Department:
General Staff:
Employee Information Exchange
03/15/2012 10:30 AM - 11:30 AM 04/19/2012 10:30 AM - 11:30 AM 05/17/2012 10:30 AM - 11:30 AM 06/21/2012 10:30 AM - 11:30 AM
Putting Your Strength to Work 02/22/2012 9:00 AM - 11:00 AM
Dealing with Difficult People 03/21/2012 1:00 PM - 3:15 PM 03/28/2012 1:00 PM - 3:15 PM CEU Credits: 4 (Must attend both Classes)
New Manager HR Systems Overview
Performance Management 03/07/2012 8:00 AM - 12:00 PM CEU Credits: 4
06/13/2012 8:00 AM - 12:00 PM CEU Credits: 4
Crucial Conversations 02/29/2012 1:00 PM - 4:15 PM
03/07/2012 1:00 PM - 4:15 PM
03/14/2012 1:00 PM - 4:15 PM CEU Credits: 10 (Must attend all 3 classes)
Coaching for Development and Improvement 03/14/2012 9:00 AM - 11:00 AM CEU Credits: 2
05/02/2012 1:00 PM - 3:00 PM CEU Credits: 2
New Manager HR Systems Overview 03/22/2012 10:00 AM - 11:00 AM
Leave of Absence Management 04/18/2012 9:00 AM - 12:00 PM
Hire to Fit 05/16/2012 9:00 AM - 12:00 PM
Nurse Link Staff