Going back to school?

University of Pheonix now offers 5% off tuition in addition to tuition reimbursement offered by MUSC! 

http://www.phoenix.edu/alliance/healthcare/m/musc.html

http://www.phoenix.edu/alliance/wfsepg.html

Funeral Information for Jerry Wallace

Jerry's family called the unit to pass along the following funeral information:

Harley Funeral Home
Greenwood, SC
Family and friends visitation, Thursday 6-8pm

Funeral Service, Friday 2pm

Final Reminder: Expirations on 06/30/2013 - IMPORTANT! (BLS, PALS, TB and CATTS list)

BLS
Emily Dorman
Kate Santos

PALS
Brooke Nitterhouse

TB
*Note: TB Screening is the June Competency for both 7C and PICU.  If your TB test does NOT expire at the end of June, you are still included on this list, however, your expiration date is posted next to your name.  You are highly encouraged to get on the same schedule as both units.  If you choose to not receive the TB this month, you will need to remember to get it done on your own.*
7C
Emily Dorman
Kelly Grommersch
Mary Carla London
Karen Loury (exp 5/31/14)
Lauren Mercede (exp 5/31/14)
Amy Russell (exp 5/31/14)
Kate Santos
Philip Schlabs
Kate Siegfried
Sara Smith
Amanda Taylor
Kylie Weddington
PICU
Katherine Baldwin
Ryan Crittenden
Nicole Daigle
Ashley Gardner (exp 1/31/14)
Sandy Likavec (exp 1/31/14)
Marc Lindsey
Jayme Mason
Bobby Morrow (exp 9/30/14)
Brooke Nitterhouse
Alicia Piede
Sarah Jane Rudolph
Laura Smith
Lauren Wallace
Krishna Woods (exp 3/31/14)

CATTS
7C
Lauren Mercede
Philip Schlabs
Kylie Weddington
PICU
Nicole Daigle
Jayme Mason
Brooke Nitterhouse
Laura Smith

Success Factors Annual Evaluations for Staff

Hey guys,

From the flood of Success Factors emails in your inbox, I'm sure you have all realized it is time for annual evaluations.  Please take a moment to complete your 360 Peer evaluations.  These are completely anonymous!  If you do not wish to participate, please still login and select "Decline to Participate".  The peer eval will not show as completed until everyone has either answered or selected the decline option.  This causes a time delay in me being able to collate the information, review the employee self eval, and then add my own comments for the final rating.

All 64 of you must be done by August 31st.  That means I need to complete the evals ASAP to have enough time to meet with each of you to review.  I really want to have at least 20-30 minutes with you all to review the evaluation, set goals for next year, discuss professional development goals (we all have to have them for next year....this is new), and to learn from you how I can better meet your needs and those of the unit.  So, I am asking that you complete all 360 evals by June 30th.  That will give me two months to get everything done.  I will also be moving into my new house at some point during July/August and taking some time off.  I will not ask any of you to come in on days off to review your evaluation, but will coordinate a time when you are here.  This includes night shift, so I will be staying late and coming in early for most of the next two months.

If you did not complete your self review by the May 31st deadline and wish to do so, please email me and I can send it back to you for review with a new deadline of June 30th.  After that, I will just have to go with peer evals and my experiences with you over the past year.  Please remember that MENTOR means you excel in that area and are able to mentor others and that MEETS/SOLID means you are great too, just maybe not at a level yet to be a resource to others in that area.  DOES NOT MEET is self explanatory.

Remember to get all of your CATTS, TB, etc. done by June 30th or you will have to be marked DOES NOT MEET in job competencies.  This means you would automatically NOT be eligible for any merit raise that may be offered.  Being aware of our current financial strains, we are all assuming there will be no merit raises offered, but that has not yet been announced.  Unit goals count for 25% of your score.  For 7C those goals were patient satisfaction and hand hygiene.  For PICU, those goals were hand hygiene and CAUTI.  We are on the cusp of meeting the 90% hand hygiene goal, so WASH YOUR HANDS!!!  That is a gimmie goal that we should meet everyday even when no one is looking!  We should score well with patient satisfaction and CAUTI.

Please let me know if you have questions or concerns.  I can tell you as a team, you guys are ROCKSTARS!!!!!!!!!!!!!!!!!

Thanks so much for making me the luckiest Nurse Manager!

Melinda

Congratulations 7C on the WOOF Award!

http://academicdepartments.musc.edu/pr/multimedia/video/musc-2013-woof-awards

PRISMAFLEX Classes

PICU RNs:

If you were not able to attend a Prismaflex class in May, please sign up in CATTS for one of the following classes in August.

End User:

Aug 27^th: 0800 – 1000 in 2 West Class Room (maximum 20 participants)

                   1300 – 1500 in 2 West Class Room (maximum 20 participants)

Aug 30^th: 0800 – 1000 in 2 West Class Room (maximum 20 participants)

                   1200 – 1400 in 2 West Class Room (maximum 20 participants)

Super User:

Aug 29^th: 1500 – 2100 in 2 West Class Room (maximum 20 participants)

Thanks!
Erin

Lots of Updates!

PEWS: We are rolling out Pediatric Early Warning Signs (PEWS) on 7C beginning Monday June 24.  I've gone over the details with a few of you and others may have used these when floating to 7E or 7B.  This is a paper form for now, but after the trial the safety team will try to have it put in McKesson.  It will DEFINITELY be in EPIC.  I have placed laminated copies of the algorithm in each wallaroo.  It walks you through exactly what to do depending on your patient's score.  Scoring is done at least Q4, more often if their score is higher.  Please page Tanya Green with any questions at 13408.  She will be around Monday to help roll these out.

Labeling: In safety rounds over the last few months we have been discussing the need for labeling of all lines, tubes, and drains to prevent accidental misuse.  The issue is being taken to practice council in hopes of creating a hospital-wide policy.  In the meantime, it was decided to implement this practice in PICU and 7C as we attempted to do months ago.  Please label all tubes and drains with grey OTHER labels or white tape.  This includes foleys, NG, GT, Chest Tubes, JPs, Peritoneal drains, etc.  Let me know if you have any questions. 

Allergy Acknowledgements: Allergy acknowledgements are now being audited and PICU and 7C are missing quite a few.  Please get in the habit of clicking on the RED allergy icon (Stop sign w/ !) and making sure each allergy says CONFIRMED.  I posted screen shots on both education boards for clarification.  If you have questions about this, please let me know. 

Resident Skills:  Did you know that Residents need to learn how to place IVs, foleys, and other nursing skills?  Let them do your work for you!  Dr. Evans created a survey for third years to determine their comfort level with performing necessary skills and two of the skills residents are least comfortable with are PIV placement and foley placement.  Help them help you by offering to show them how to do it, or allow them to perform the skill with your guidance.  Please don't hand them the foley kit and walk away, but take advantage of their help and engage them so they learn.  If you meet resistance with this, please let myself or Dr. Evans know. 

Thanks Everyone!

Erin

CATTS and TB due by June 30th - Please complete ASAP

If you are on the list below, please complete your CATTS as soon as possible.  After June 30th, you will be marked for not completing unit competencies.  This is a very small list and I truly appreciate everyone getting busy on this before the last week of June!!!  Great job!

PICU - Daigle	Nicole
Kemp	Mary
Mason	Jayme
Rudolph	Sarah Jane
Woods	Krishna
7C

Loury	Karen
Schlabs	Philip
Smith	Mari
Weddington	Kylie

There is now TB serum on both units.  Please get your PPD placed as soon as possible.  Even if you are not due in June, just go ahead and have it done so you can be on the same schedule as the rest of the unit next year.  It will not hurt you to have it done again.  Thanks to Amelia for getting the serum on the units.  What a win!  Remember the PPD has to be read by June 30th, so you much have it placed by June 27 or 28.

Thanks so much!

Melinda

SBS and WAT

PICU- you may have noticed the State Behavioral Scale (SBS) is now under vital signs in McKesson, yay!  Just to clarify: this scale is to be used on every MECHANICALLY VENTILATED patient receiving IV SEDATION.  Here is the link to the creator's website for more info: http://www.marthaaqcurley.com/sbs.html

This scale is to be used at least Q4 (yes, even on chemically paralyzed patients), and before and after bolus sedation is given.  I have placed laminated copies of the scale in each bedside chart for reference.

The WAT-1 scales are also now in McKesson under the 24 hour assessment.  You can find it between Neuro and Special Neuro if you select "show all" to the far left where the systems are listed.  When planning for extubation, note how long your patient has been on drips- more than a few days?  Ask the team if they would like WAT scores.  >5 days?? DEFINITELY complete WAT scores.  WAT scores should be completed Q4 starting with the FIRST wean (usually prior to extubation) and continuing until 72 hours after their LAST dose (usually enteral) of sedation.

Any questions, please let me know, the builders can always fix/tweak things that aren't working.  Thanks!   

Updated List: 6/30/13 expirations

Please turn in all documentation to Amanda's mailbox for BLS and PALS.  TB documentation can either be placed in Amanda's mailbox OR in the TB envelope where the TB is administered in the med room. Thanks!

BLS
Emily Dorman
Kate Santos
Amanda Smith
Jason Williams

PALS
Brooke Nitterhouse

CATTS
Nicole Daigle
Emily Dorman
Angi Kemp
Karen Loury
Jayme Mason
Lauren Mercede
Brooke Nitterhouse
Sarah Jane Rudolph
Philip Schlabs
Amanda Smith
Laura Smith
Kylie Weddington
Krishna Woods

TB - Majority of the staff on both units needs to be TB tested, this is the competency for the month and the goal is to have all employees on the same schedule for TB testing - June will be the month for all TB testing. 
7C
Lindsay Amerman
Shane Crawford
Emily Dorman
Kelly Grommersch
Michelle Liechty
Mary Carla London
Karen Loury
Lisa McCormick
Lauren Mercede
Amy Russell
Philip Schlabs
Kate Santos
Kate Siegfried
Amanda Smith
Sara Smith
Amanda Taylor
Trel Terry
Julianne Walsh
Kylie Weddington
PICU
Katherine Baldwin
Natalie Ball
Melinda Biller
Kerry Bryers
Jen Bussey
Ryan Crittenden
Nicole Daigle
Anna Durstine
Sheri Fannin
Ashley Gardner
Angi Kemp
Jen Larkins
Donna Lee
Sandy Likavec
Marc Lindsey
Tammy Major
Jayme Mason
Bobby Morrow
Tiffany Mullins
Brooke Nitterhouse
Alicia Piede
Sarah Jane Rudolph
Carrie Smith
Laura Smith
Kelsey STrawn
LaureN Wallace
Madeline Ward
Jason Williams
Krishna Woods

TB Test

All Staff,

I beg, borrowed, and stole 3 TB solution vials from employee health for our units. There are ONLY three vials which will produce approximately 50 total skin tests, and once the vials are gone you will have to go to Employee Health. The supplies will be in the unit refridgerators. Please remember that everyone must complete a skin test and have the documentationt to Amanda by the end of June! Thanks,

Amelia

Deadline Extended - 2013 Employee of the Year Nominations

Nominations will now be accepted through Thursday, June 13th.

Nominate colleagues and coworkers that go above and beyond their call of duty!
Recognize a fellow employee for their dedication to provide the best possible experience for our patients, for their commitment to MUSC Excellence, and for their willingness to go above and beyond.
It's easy to nominate! Nominate by going to the Medical Center Intranet Homepage and finding the EOY link at the top left-hand corner. Fill out the nomination form and submit!

Medical Center Intranet Homepage:https://www.musc.edu/medcenter/index.htm
Nomination Form:https://www.musc.edu/medcenter/eoy/nomination_open.html

TB documentation!!!

Please remember to turn in documentation that you received your TB immunization.  Any TB tests that I receive, I'll hold on to and scan/email all documentation over to Employee Health once PICU and 7C have received their annual TB.  Hopefully this can save you a few minutes. 
Please let me know if you have any questions.
Amanda

CATTS lessons DUE on 6/30/13!

Updated List - employees who have CATTS lessons to complete by June 30, 2013

7C
Emily Dorman
Karen Loury
Kelli Masters
Lauren Mercede
Stephanie Mishoe
Amy Russell
Philip Schlabs
Amanda Smith
Amanda Taylor
Julianne Walsh
Kylie Weddington

PICU
Nicole Daigle
Angi Kemp
Jayme Mason
Brooke Nitterhouse
Sarah Jane Rudolph
Laura Smith
Krishna Woods

Emergency Data Forms

All Staff:

Emergency data forms have been placed in your mailboxes.  The emergency data forms are required to be updated every June, the start of hurricane season.  Please fill out a new form and return to Amanda's box by June 30, 2013.

Also, an email has been sent to everyone with an updated list of disaster teams and the disaster call tree.

Thank you!

Attendance

In my recent review of attendance since January 1st, many of our staff have exceeded the limits per hospital policy.  I will be following up with those offenders this week with the necessary disciplinary action.  Some of you who are at 3 occurrences have received an email warning.  Please remember the policy is no more than 3 attendance ooccurrences in a rolling 6 month period.  FMLA is excused.  Also, it is NOT true that an MD excuse will cover you.  Unless the absence is FMLA related, it still counts as an occurrence.  Please let me know if you have questions.

Thanks, Melinda

Guardrails Data

Great job using guardrails everyone!  Here is the most recent data for Children's Hospital.

Profile	April 2013	May 2013
NICU	82.3%	83.1%
Gen Ped/Ped Onc < 40 kg	61.8%	59.8%
Gen Ped/Ped Onc > 40 kg	70.5%	68.1%
Ped Crit Care < 20 kg	64.5%	68.2%
Ped Crit Care 20-40 kg	76.3%	85.4%
Ped Crit Care > 40 kg	78.4%	92.1%

Keep it up!
Erin

Expirations within the next 30/60/90 days!

PICU & 7C:

There are quite a bit of certification and immunization expirations coming up within the next 90, especially the next 30 days - expiring June 30, 2013.

JUNE 2013
TB Test
EVERYONE on 7C & PICU needs to be tested for TB this month, June 2013!  The unit will not be able to administer the TB test this year so you will need to get tested at Employee Health.  The hours that you can be TB tested are from 7:30a.m. - 3:30p.m. and Employee Health is located at: 57 Bee Street, Charleston, SC. Once the TB test has been administered by Employee Health, you can have a fellow nurse on the unit read your results after 48 hours.

CATTS
All CATTS lessons must be completed by June 30, 2013!  Check previous posts on the blog for a list of employees who still need to complete their CATTS lessons. 

BLS
Emily Dorman
Kate Santos
Amanda Smith
Julie Taylor
Jason Williams

PALS
Brooke Nitterhouse
Kate Siegfried

JULY 2013
BLS
Melinda Biller
Anna Durstine
Kelcy Scott
Krishna Woods

PALS
Marilyn Julian

AUGUST 2013
BLS Michelle Liechty
Amelia Little

DON'T SUCCUMB TO APATHY!!!! LET YOUR VOICE BE HEARD! Survey Deadline is Saturday at Midnight!

Below are the response rates as of this afternoon for the MUSC Employee Perspectives Survey:

Response Rate for Friday, May 31, 2013
Service Line	6:55 AM	4:49 PM
Ambulatory Care	73%	81%
Children's	57%	60%
Clinical Services	64%	68%
Digestive Disease	64%	71%
Executive Medical Director	86%	89%
Facilities	89%	91%
Finance & Support Services	78%	88%
Heart & Vascular	57%	60%
Hollings Cancer Center	66%	72%
Hospital Administration	94%	97%
OCIO	82%	93%
Institutional Relations	88%	91%
MACC	67%	69%
Musculoskeletal	73%	75%
Neuroscience	70%	73%
Psychiatry	66%	71%
SACC	62%	65%
Transplant	79%	81%
Women's Care	69%	73%
MUSC Overall	69%	74%

Our Hospital Goal is 80% participation.  Our unit goal is 100%.  We are currently between 55 and 60% for PICU and 7C.  Please help me get the most information so we can make real plans to improve our units in the coming year.  I truly want 7C & PICU to be the BEST places to work in the CH.  You guys already give the best care...as demonstrated again this week with wonderful teamwork in both areas!  Ya'll make me proud each day.

Thanks,

Melinda

New Asthma Guidelines for Weaning Albuterol

FYI- this has been rolled out by Dr. Evans and RT's

https://tegr.it/y/13yt4

8 min presentation :)

MEDICATION SAFETY ALERT!

This was presented in EROC last week.  When confirming new med orders, please look at both "versions".  The MD enters the order, then Pharmacy re-enters it and the orders show up side-by-side.  They should MATCH.  If they don't, please call Pharmacy to correct.  See link below for a screen shot (it makes sense when you see it).  A physician ordered Valproic Acid, and the Pharmacy ordered Vancomycin... yikes!

Confirming Med Orders

Any questions, see me.

Erin

Employee Satisfaction Survey ENDS TOMORRROW!

Please complete the employee satisfaction survey.  The deadline is TOMORROW June 1, 2013 at midnight.  So far only 50% of PICU staff and 59% 7C staff have completed the survey.  Our goal is > 80%.  Let your voice be heard!

2013 Employee of the Year - nominate a co-worker!! :)

It's that time of year again!

Nominate the 2013 Employee of the Year Medical Center

Who: All MUHA Employees are encouraged to participate

What: Nominate colleagues and coworkers for work that goes above and beyond their “call of duty!”

When: Monday, May 27, 2013 at 7am through Monday, June 10, 2013 at 7am.

Where: Medical Center Intranet homepage.  Follow this link to nominate: Employee of the Year Nominations

Why: To recognize a fellow employee for their dedication to provide the best possible experience for our patients, for their commitment to MUSC Excellence, and for their willingness to go above & beyond!

5/31/13 EXPIRATIONS!

Please see list below for people with certifications/immunizations that will expire on May 31, 2013

BLS:
Lauren Mercede

TB:
Karen Loury
Lauren Mercede
Amy Russell

We must have documentation that you have been re-certified or received an updated immunization by May 31, 2013.  If this is not completed, you will not be able to work on or after June 1, 2013 until this has been updated.

Nominate a Peer! Ends Friday!