2008 NursiNg ANNuAl report - Catholic Health System
2008 NursiNg ANNuAl report - Catholic Health System 2008 NursiNg ANNuAl report - Catholic Health System
Nursing Initiatives Nursing Grand Rounds Continue Reinstated on November 1, 2007, this program enlists various nursing units monthly to discuss how to better serve their respective patient population. Nursing Grand Rounds provides an opportunity for nurses to share their knowledge and skills with their colleagues. Nurses were surveyed to discover which topics or nursing units they would like to learn more about. Each nursing area decides what to present and works with an advanced practice nurse in applying for continuing education credit for the presentation. Each month, Nursing Grand Rounds is attended by 30-40 nurses, physicians, and other healthcare professionals. Rapid Response Team (RRT) In partnership with the Institute for Healthcare Improvement 100,000 Lives Campaign, Sisters Hospital continues this program of advancing the level of care when a patient’s clinical condition begins to deteriorate. With nurses working as part of an interdisciplinary team, the overall goal of the RRT is to provide swift assessment of at-risk patients and to reduce patient mortality. In April 2008, a Code 10 review process was developed for completion at the unit level, allowing for earlier identification of opportunities for RRT intervention. Patient Care assistant III program Senior level nursing students are receiving a more detailed education on the clinical aspect of nursing care working at the bedside. By learning different procedures such as phlebotomy and EKG’s, future nurses gain greater hands-on experience, which translates into better care for our patients and a better educational experience for our nurses. Third Annual Nursing Satisfaction Survey Nurses at Sisters Hospital completed an online survey to determine their job satisfaction and their level of participation in decision making over the last three years. Notably, both professional development and contribution to decision making have shown a cumulative rise. 46.00 45.50 45.00 44.50 44.00 43.50 43.00 Overall Work Satisfaction 42.50 Overall Work Satisfaction 42.00 SOC OVERALL 2006 SOC OVERALL 2007 SOC OVERALL 2008 PARTICIPATE IN DECISION MAKING 64.00 63.50 63.50 63.00 62.50 62.45 62.00 61.50 61.32 61.00 6 60.50 60.00 2006 2007 2008 SATISFIED WITH MY JOB
Nursing Initiatives Remote Cardiac Monitoring Remote cardiac monitoring is a tool used to effectively monitor the cardiac status of patients whose primary diagnosis for admission to the hospital is not cardiac. Multiple patients with non-cardiac diagnoses require cardiac monitoring due to a cardiac history. The greatest need came from our postoperative population. Due to their cardiac history the need for cardiac monitoring was necessary and these patients routinely came to the telemetry unit or ICU post-operatively when the surgeons would have preferred their patients be on the surgical floor. Since the implementation of remote cardiac monitoring, we have expanded our coverage area to include Labor and Delivery and Mother/Baby areas where we monitor mom. At this time we can remotely monitor eight patients throughout the hospital. Each patient needs to meet certain inclusion criteria. Once the patient is on monitor, telemetry nurses assess that patient every eight hours, document rhythm and place a strip in the chart for the doctor to review. The patient’s cardiac rhythm is being monitored 24 hours a day from the telemetry unit. If the monitor technician sees a change in rhythm or that patient’s primary floor nurse notices a physical change in the patient, we communicate with a direct phone line. Nursing staff has coined this two-way direct communication phone the “Bat Phone.” When the phone at either end rings, there is immediate connection after the handset is picked up. Along with the patient care provided, there is education related to cardiac disease and disease management provided by the telemetry staff to the patient, their family and nurses on the floor. In 2008 we cared for 433 patients which totaled 1217 days. From January to July of 2009, we have cared for 428 patients which totaled 1364 patient days. Remote monitoring has been used as a patient and physician satisfier as well as a patient safety tool. 4 North Telemetry ADC 40 30 20 10 0 Jan Feb Mar Apr May Jun Jul Remote Utilization 250 200 150 100 50 0 Jan Feb Mar Apr May Jun Jul # Patient # Remote Days 7
- Page 1 and 2: 2008 Nursing Annual Report
- Page 3 and 4: Message From The CNO Dear Nursing C
- Page 5 and 6: Nursing Committees/Councils Patient
- Page 7: Nursing Initiatives Promoting Relat
- Page 11 and 12: Oral Presentations National Impleme
- Page 13 and 14: Nurses in the Community Community C
- Page 15 and 16: Certifications Agugliaro, Jane RN -
- Page 17 and 18: Certifications Samra, Amandeep RN-
- Page 19 and 20: Awards and Recognitions Congratulat
- Page 21 and 22: Educational Accomplishments Pamela
- Page 23 and 24: Hospitals are held together, glued
Nursing Initiatives<br />
Remote Cardiac Monitoring<br />
Remote cardiac monitoring is a tool used to effectively monitor the cardiac status of patients whose<br />
primary diagnosis for admission to the hospital is not cardiac. Multiple patients with non-cardiac diagnoses<br />
require cardiac monitoring due to a cardiac history. The greatest need came from our postoperative<br />
population. Due to their cardiac history the need for cardiac monitoring was necessary<br />
and these patients routinely came to the telemetry unit or ICU post-operatively when the surgeons<br />
would have preferred their patients be on the surgical floor.<br />
Since the implementation of remote cardiac monitoring, we have expanded our coverage area to<br />
include Labor and Delivery and Mother/Baby areas where we monitor mom. At this time we can remotely<br />
monitor eight patients throughout the hospital. Each patient needs to meet certain inclusion<br />
criteria. Once the patient is on monitor, telemetry nurses assess that patient every eight hours, document<br />
rhythm and place a strip in the chart for the doctor to review. The patient’s cardiac rhythm is<br />
being monitored 24 hours a day from the telemetry unit. If the monitor technician sees a change in<br />
rhythm or that patient’s primary floor nurse notices a physical change in the patient, we communicate<br />
with a direct phone line. Nursing staff has coined this two-way direct communication phone the<br />
“Bat Phone.” When the phone at either end rings, there is immediate connection after the handset is<br />
picked up. Along with the patient care provided, there is education related to cardiac disease and disease<br />
management provided by the telemetry staff to the patient, their family and nurses on the floor.<br />
In <strong>2008</strong> we cared for 433 patients which totaled 1217 days. From January to July of 2009, we have<br />
cared for 428 patients which totaled 1364 patient days. Remote monitoring has been used as a patient<br />
and physician satisfier as well as a patient safety tool.<br />
4 North Telemetry ADC<br />
40<br />
30<br />
20<br />
10<br />
0<br />
Jan Feb Mar Apr May Jun Jul<br />
Remote Utilization<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
Jan Feb Mar Apr May Jun Jul<br />
# Patient<br />
# Remote Days<br />
7
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