K Phos Shortage

There is a K Phos shortage and this will affect our fluid orders, especially for DKA patients.  Please see table below to familiarize yourself with the fluids we will use instead.

	USUAL DKA fluid	ALTERNATIVE FLUID during KPhos shortage
Normal Saline bag with electrolytes	NaCl 154 mEq/L with  K Acetate 20 mEq/L and KPhos 20 mmol/L (total sodium = NS)	NaCl 114 mEq/L with K Acetate 20 mEq/L, KCl 20 mEq/L, and Sodium Glycophos 20 mmol/L  (=40 mEq Na) (total sodium = NS)
D10 bag with electrolytes	D10W with 0.45% NaCl (77 mEq/L)  K Acetate 20 mEq/L and KPhos 20 mmol/L (total sodium = ½ NS)	D10W with NaCl 37 mEq/L, K Acetate 20 mEq/L, KCl 20 mEq/L, and Sodium Glycophos 20 mmol/L (=40 mEq Na) (total sodium = ½ NS)

 
The orders for these fluids are on paper, not in CPOE.

Let me know if you have questions.

Erin

Nurses Week 2014

National Nurses Week is celebrated each year May 6^th-12^th. In appreciation for all you do, this year the Children’s Hospital leadership is hosting a special CH Nurses Week Opening Ceremony on May 5^th from 12:30pm to 1:30pm in the Child Life Atrium. All are welcome to attend and refreshments will be available.

During the Children’s Hospital Nurses Week Ceremony, seven new awards will be presented to pediatric nurses. The awards are for a Nurse of the Year in Expertise, Innovation, Accountability, Advocacy, Integrity, Collaboration, and Leadership. The seven winners and top nominees will  receive an individual invitation to attend. Your nurse manager will be sending out award criteria and instructions for nominations next week.

Please mark your calendars and we look forward to celebrating Nurses Week with you!

Sincerely,

The Children’s Hospital Leadership Team

More information to come on how to nominate a coworker for any of these awards.  We will also have our traditional Nurse of the Year for each unit.

Thanks, Melinda

Urology In-service

Dr. Purvis and the Urology team are holding an in-service covering bladder exstrophy, reimplantation, pyeloplasty, drain care, and nursing implications.  All are invited to attend, Friday March 14, 12pm - 1pm in the 7East conference room. 

Employee Survey Participation Rates

As of this morning, PICU is at 37% participation and 7C at 48%.  Great job getting us started.  Please everyone take this opportunity to provide anonymous input.  Obviously, you are always welcome to bring me your ideas and concerns throughout the year.  This is merely the formalized process to benchmark where we are and what specific areas we can continue to work on the improve our care and our work environment!

The link to the Morehead Employee Engagement Survey is in your email from February 10th.

Thanks so much for your help with this!

Melinda

Don't forget - Employee Survey is open through 2/24

Please take a moment to complete our annual employee engagement survey.  The link is in your email.  Remember this is TOTALLY anonymous.  We need everyone's input to enable us to make appropriate action plans to keep our units performing well and to create a healthy work environment.

thanks!

Melinda

Show me the $$$$ Incentive pay for critical care through Monday night shift 2/17

Both PICU and NICU are very short this weekend.  We are offering incentive bonus (flat rate of an extra $125 on top of your regular pay) for those who work an extra 12 hour shift.  Please contact the PICU charge nurse or sign up in kronos for the open shifts.  If you sign up and are not needed but float to another unit, you will still receive the bonus pay.

Thanks so much!

Melinda

Mandatory Optilinks training for all charge RNs

ALL CHARGE NURSES ON 7C AND PICU MUST ATTEND ONE OF THESE TRAINING SESSIONS!!!!  WE WILL GO LIVE WITH OPTILINKS (replacing nursing checkbook, assignment sheet, and acuity tools) on March 9th schedule.  Thanks, Melinda

All,

Please note OptiLink Training Classes for CNs and CULs begin this week. There are currently still 225 available seats open across all class date and time options!!  

Some have inquired if a charge nurse or CUL attended Super User training last week, do they also need to attend CN/CUL training? They do not (the 2.5 hr Super User training fully encompassed 1.5 CN/CUL training).

Charge Nurses:  Offered Feb 11^th, 12th, 19^th, and 20^th. Sign up in CATTS. Total of 400 slots.

·         Feb. 11^th 8am – 9:30am : OptiLink Charge Nurse Training Session 1 (Library Rm 438) 28 slots

·         Feb. 11^th 10am – 11:30am : OptiLink Charge Nurse Training Session 2 (Library Rm 438) 28 slots

·         Feb. 11^th  1pm –2:30pm : OptiLink Charge Nurse Training Session 3 (Library Rm 438) 28 slots

·         Feb. 11^th 3pm –4:30pm : OptiLink Charge Nurse Training Session 4 (Library Rm 438) 28 slots

·         Feb. 12^th 8am – 9:30am: OptiLink Charge Nurse Training Session 5 (Library Rm 440) 28 slots

·         Feb. 12^th 10am – 11:30am: OptiLink Charge Nurse Training Session 6 (Library Rm 440) 28 slots

·         Feb. 12^th 1pm –2:30pm: OptiLink Charge Nurse Training Session 7 (Library Rm 440) 28 slots

·         Feb. 12^th 3pm –4:30pm: OptiLink Charge Nurse Training Session 8 (Library Rm 440) 28 slots

·         Feb. 19^th 8am – 9:30am: OptiLink Charge Nurse Training Session 9 (Library Rm 440) 28 slots

·         Feb. 19^th 10am – 11:30am: OptiLink Charge Nurse Training Session 10 (Library Rm 440) 28 slots

·         Feb. 19^th 1pm –2:30pm: OptiLink Charge Nurse Training Session 11 (Library Rm 440) 28 slots

·         Feb. 19^th 3pm –4:30pm: OptiLink Charge Nurse Training Session 12 (Library Rm 440) 28 slots

·         Feb. 20^th 8am – 9:30am: OptiLink Charge Nurse Training Session 13 (CSB 220) 16 slots

·         Feb. 20^th 10am – 11:30am: OptiLink Charge Nurse Training Session 14 (CSB 220) 16 slots

·         Feb. 20^th 1pm –2:30pm: OptiLink Charge Nurse Training Session 15 (CSB 220) 16 slots

·         Feb. 20^th 3pm –4:30pm: OptiLink Charge Nurse Training Session 16 (CSB 220) 16 slots

Lauren Parnell, MSHCA, ATC

Senior Reporting Analyst

Enterprise Business Intelligence

Medical University of South Carolina

843.876.0424

CMH 275

Important Updates

February Staff Meeting Dates:

•      PICU:  2/25 and 2/27 at 0730

•      7C:  2/26 and 2/28 at 0730

•      You can attend on either unit!  We will be honoring our Employees of the Quarter for the last three quarters....sorry I got so behind with Amanda leaving us!

Upcoming Deadlines:

• RN License renewal due by April 1st
• CATTS lessons and Competencies due by May 30th 

Equipment Logs:

Please remember to log out any equipment when it is borrowed or sent somewhere for repair.  This past weekend, we were "missing" the X2 brick to one of the PICU monitors and no one knew it was in biomed being repaired.  7C is also missing a brick which has yet to be located.  You will save your coworkers and nurse manager a great deal of wasted time by completing the log so we know where to look first!  Thanks!

Staffing Updates:
Please welcome our new staff!!

•  7C - Britton Bickel, PCT
•  7C - Latoya Holland, PCT
•  7C - Julia Mack, RN
•  7C - Andre Jennings, Unit Secretary

• PICU - Allison Jolly, RN traveler

• PICU and 7C Administrative Assistant:  Rebecca Little, starts 2/24/14

Vote for Employee of the Quarter for October - December 2013:

Link to 7C voting:

https://www.surveymonkey.com/s/6RBN79V

Link to PICU voting:

https://www.surveymonkey.com/s/6RD8KWY

Employee Survey Starts Today!!!! Please respond by February 24th

2014 Employee & Medical Staff Survey Please see Dr. Cawley's note below. You will receive an email link to the 100% anonymous survey.  Remember I do not see any individual comments or demographic data...just the overall scores in each category.  This is your chance to speak up and help our team make improvement plans for the next year.  My #1 goal is to have greater than 90% participation on both units so we have a true representation of how we are doing and what we need to do better. Please let me know if you have questions.  Look for the link in your email today! Thanks, Melinda Dear MUSC Medical Center Team, Our employees and physicians are our most valuable resource! Employee and physician commitment and satisfaction are essential to delivering the important mission of MUSC. I am deeply committed to this and expect that our leadership actions focus on these areas. This past year, we took a number of actions to improve employee engagement. First and most important is that every work group should have a plan, which the leader you report to led and implemented. Second, we have had a senior management plan. Today you will receive an email from Morehead Associates/Press Ganey, a national survey research firm, to gather employee and medical staff opinions. This survey is a great opportunity to share your perceptions across a variety of key areas that affect your satisfaction, which will help MUSC Medical Center improve your workplace. I encourage each of you to participate in this important survey - I value your input and look forward to hearing from you. For clarification of key terms in the survey, when you see the term: Organization: Consider your primary employer, i.e. the MUSC Medical Center (MUHA) Senior Management: Consider the CEO/Executive Director and Administrators of the MUSC Medical Center. The person I report to: Consider the person you report to directly; the person who conducts your performance evaluation. (Whose name is identified in the email you received from Morehead/PressGaney.) Work unit: Consider the group of employees you work with on a regular basis, usually reporting to one leader. Employees: Consider the people who work at MUSC Medical Center, the College of Medicine, and MUSC Physicians. Customer: Consider patients, families, visitors, vendors, residents, community, and fellow employees. Interprofessional teamwork: The work required when job tasks involve employees with different job duties/responsibilities. The survey will be administered online. For technical or PIN assistance, feel free to contact the Morehead Associates Help Desk at MH-support@pressganey.com or 1-800-849-2292 option 1. For employees who don't have a personal workstation with a computer, we have reserved several computer rooms to offer computer access to take the employee survey. View computer room schedule.   CONFIDENTIALITY --> We are committed to ensuring the confidentiality of all individual survey responses - all survey data is kept on a Morehead Associates/Press Ganey server and is not accessible by anyone at MUSC, MUSC Physicians, or MUHA. All survey responses must be received by Monday, February 24, 2014. Thank you for the great care you provide every day! Patrick J. Cawley, M.D. Executive Director/CEO, Medical Center and Vice President for Clinical Operations, University