Wednesday, June 25, 2014

Nursing Excellence (Magnet) Updates


Sorry this is SO long but please take the time to read through it because there is a lot of really great info. J I am going to be updating the Nursing Excellence Roadmap, as related to the PICU, as well as the PICU Accomplishments document, and will put those papers in your mailbox sometime soon (let me know if there is anything you would like to see included). I am also going to send out an e-mail with the PowerPoint from the last Nursing Excellence Meeting.  This included information on nursing advancements in the past year as well as reward and recognition opportunities at MUSC. So here we go…

Important Dates:

7/1- Epic Go-Live
7/8- PICU Leadership Meeting cancelled for epic roll-out
8/1- Magnet Document will be submitted
Now- MUSC RN to BSN Fall Semester Scholarship is accepting applications.
-       Remember you must apply to both the school of nursing and the scholarship separately.
-       I have heard the application does not save as you are filling it out so make sure you have all information needed handy!
-       This is over an $1 million investment MUSC has set aside for nursing
-       With the new clinical ladder you should be able to easily use a project from advancing your degree to become and RN III (and get a pay raise)

Nursing Excellence Accomplishments:

I was so impressed at the last meeting with how far nursing has come at MUSC recently. Please read through as all of this is good to know if we are chosen for a site visit by Magnet Surveyors and you might learn something new!

-       Increased nursing participation in committees at every level giving nursing a voice in hospital wide decisions
o   New CNO Advisory Committee
o   New Nursing Reward and Recognition Committee
§  New DAISY Award Recognition- Now all nominees receive a pin and letter from our CNO and COO (anyone can nominate a nurse via the intranet so if you catch someone going above and beyond, like we do every day, please recognize them by nominating our peers)
§  Revamped Friends of Nursing Gift Fund- donations made specifically to nursing are going directly back into opportunities for nurses
o   PICU Leadership Committee
§  Meets the second Tuesday of the Month and all are welcome.
§  We have almost doubled participation the past few months.
o   Nurse Alliance
§  Is anyone interested in representing the PICU at these meetings? There are different sub committees if anyone has a specific interest.
o   There is now a nurse on the hospital-wide Communications Committee
§  Development of an MUSC app was approved.
§  E-Mail ideas to Amber Patterson. She is a bedside RN in one of the adult units who wants our input. She said after attending an information technology conference she has realized the possibilities are endless. Current ideas include- bus schedule with gps tracking, education apps for patients and families, insulin and heparin calculators, cafeteria information, etc. etc.
-       Percentage of nurses who have a BSN at MUSC is now 62% compared to only 39% statewide.
o   The Institute of Medicine’s recommendation is that 80% of RNs have a BSN by the year 2020 (?) and have related this to better patient outcomes through evidence based practice.
o   MUSC now has partnerships with 6 Universities who offer tuition assistance and has re-started the RN to BSN program at MUSC with 30 full ride scholarships available
-       Changes have been made to help nurses advance with the new Clinical Ladder
o   This year we have at least three RNs applying for RN III- Sheri, Anna, Kelsey
o   Current RN IIIs include Patricia, Natalie and Erin
-       Hospital wide increase in certification by 30%
o   We only have one new certification and lost Jason who has one so this is a very easy opportunity for us. 
o   Remember the hospital will now pay upfront for you to take it meaning no out of pocket costs anymore and once you pass you receive incentive pay (several 7C RNs recently passed the CPN and can probably answer questions about payment).
-       There is now a Nursing Annual Report and a Nursing Excellence Website
-       Increased MUSC Nursing participation and recognition at conferences at the local, state, national and international level
o   Example: Storm Eye RN enrolled in the new Evidence Based Practice class was able to present findings at local and state level was then invited to present in New Orleans and now is going to London England.
o   Erin is in the EBP class if anyone has questions
-       Using our NDNQI Benchmarks we have initiatives in place to improve practices (hospital wide)
o   CAUTI
o   Employee Satisfaction
o   Hand Hygiene
o   Bottoms Up (Skin Team- reduction in the number of stage II pressure ulcers saving the hospital millions of dollars)
o   Falls
o   Why Not Campaign- to decrease use of restraints
-       Increased participation in professional organizations
o   Sign up to be a member of the AACN if you haven’t already

I apologize again that this is so long but there is so much interesting information.
If you made it to the bottom of this message- thank you. J

Let me know if you have questions! –Kelsey strawn@musc.edu

Tuesday, June 24, 2014

Important Patient Safety and Practice Change regarding Lipids!



Attention Nurses!
 

Starting Friday, June 27th, PNs and lipids will no longer be run as “IV Fluids” in the Alaris pump.

You can find them under “Guardrails drugs.”

For PNs, select the item with the appropriate dextrose concentration
·        There is a wildcard entry if the dextrose is not a standard concentration
·        Guardrails rate safety checks will now be based on the GIR (glucose infusion rate in mg/kg/min)

For lipids, if infused separately from PN, Guardrails safety checks will now be based on “dose” of lipids in g/kg/day.

Questions? Ask your nurse educator or PharmD! 

Newly Certified Nurses



Congratulations to our three newly Certified Pediatric Nurses on 7C....

Kate Seay
Lisa McCormick
Michelle Liechty!!!   

I am so incredibly proud of each of you.



Monday, June 23, 2014

June Staff Meetings

Where has this month gone?  We will be having June staff meetings on the days and times listed below.  Please make an effort to attend as we will be discussing our Employee Engagement and Culture of Safety Scores.  We will also give an Epic update to ensure we are ready for the Go Live next Tuesday.

I will be posting the Employee Engagement and Culture of Safety Scores in the break rooms of each unit.  There will also be place to make suggestions for our action plan for next year.  You can use this to bring forth ideas or express concerns if you are not able to attend the staff meetings or if you think of something else later.
7C Staff Meetings:  6/24 & 6/26 @ 0730

PICU Staff Meetings:  6/25 & 6/30 @ 0730

Proper Waste and Return of Controlled Substances

There have been a number of occurrences of controlled medications being put in the unlocked return bin for pharmacy.  Please remember that if you do not hang a drip, but have already signed for it from pharmacy, you must waste it and have a witness document the wastage and return the card to pharmacy.  Also, any other controlled substances that are dropped or patient refuses to take after it was drawn up or opened must be placed in a biohazard bag and locked in the narcotic box bin for the pharmacy to pick up.

Please let me know if you have questions.

Thanks,

Melinda

Friday, June 13, 2014

So proud of our team!

PICU and 7C staff,

It seems like the last few weeks have been filled with trauma, drama, tragedy, sadness, and a few high spots (like our recent ADEM patients coming back to visit all well and whole!).  I could probably name at least 50 things I have seen you do or heard about that have been just AMAZING!  The family-centered care focus you strive for each day is more evident on our units than anywhere else at MUSC.  I know it is incredibly difficult to try to separate ourselves from our patients/families, and I know they appreciate your compassion, dedication, high quality care, and relentless patient advocacy.

Please try to take some time to unwind, relax, love on your families, and support each other.  I'm sure we all have a little PTSD from such demanding work and I am so thankful you all are up to the challenge.  I just want to make sure we are seeking healthy ways to rejuvenate (yes, wine is good for your cholesterol!).

If anyone has any ideas on how we can better debrief from crazy or sad events or anything else I can do to promote a healthy work environment, please let me know.  We will be reviewing our employee engagement scores in the next two weeks and I want to include this in our action planning.  It wasn't on our list of challenges, but after all we weathered together in the past year, it is on my priority list.

Thanks again for all you do.  Please feel free to use this comment thread to give a shout out to your peers!

Warmly,

Melinda

Incentive pay for critical care



Hey guys,

Incentive has been approved through Wednesday, 6/18, for PICU, PCICU, and NICU.  PICU is ok tonight, but I know NICU and PCICU need help.  The standard incentive pay applies:  $125/12 hour shift extra.  You must not call out sick any other time in the pay period.  Please call the charge nurse in PICU if you are interested.  If you sign up for PICU and get floated somewhere else, you will still get the incentive pay.  7C staff can only sign up for PICU to cover appropriate patients.

Thanks so much!

Melinda

Monday, June 2, 2014

Hand Hygiene Audits

Each month our unit needs to do a minimum of 30 hand hygiene audits.  Rebecca sends out an email at the beginning of the month to the staff who are responsible for that months audits.  In the last few months, we have had ZERO compliance for 7C and PICU.  Please note that this is a MANDATORY duty.   I understand that some of you  have been repeatedly asked and have still not complied for many months.  From now on, consider this part of your job competencies.  If you do not comply, you will not be eligible for a merit raise from your evaluation.

Please let me know if you have questions.  The audits take only a few minutes to complete.

Thanks,

Melinda

Wednesday, May 28, 2014

Interested in Palliative Care?

MUSC's Palliative Care Training Committee is looking for pediatric nurses to join their team.  If you have a passion for palliative care and are interested in improving the way we offer palliative services to our patients and families, please consider representing pediatrics.  Responsibilities include monthly meetings, the 4th Wednesday of every month from 8am-9am, a two-day Pediatric End of Life Nursing Education Consortium (ELNEC) training course, and facilitating the training of current and future staff here at MUSC.  As we develop our Palliative Care program, we want to ensure that our special population has a passionate, experienced, advocate to represent them.
Let Melinda or Erin know as soon as possible if you are interested.   

Wednesday, May 21, 2014

PICU transports to the OR

Hey guys,

Just to clarify:  When a patient is going to the OR from the PICU, our agreement with anesthesia is that they will come up to take the patient down to the OR.  IF we have a PCT, they should accompany anesthesia and remain until they bring our X2 monitor brick back.  If we have no PCT, anesthesia can keep the brick but they need to know it has a battery life of only about two hours.  They also need to assure us they will return the brick with the patient.

Let me know if that is still confusing.

Thanks,

Melinda

Congratulations Nurse of the Year Winners and Top Nominees

Congratulations to all of our Nurse of the Year Winners and Top Nominees:

Nurse of the Year for 7C:  Julianne Walsh

Nurse of the Year for PICU:  Kelsey Strawn

CH Nurse of the Year for Advocacy:  Kate Santos Seay, 7C

CH Top Nominee for Nurse of the Year for Innovation:  Erin O'Donnell, NPDF

CH Top Nominee for Nurse of the Year Integrity:  Karen Loury, 7C

CH Top Nominee for Nurse of the Year for Expertise:  Patricia Prause, PICU


Other RNs on our team who were nominated for CH NOY include:  Angi Kemp, PICU (collaboration); Kate Siegfried, 7C (collaboration); and Kelsey Strawn, PICU (Leadership).

I am so very proud to have the BEST nursing team in all of MUSC.  You guys make great things happen every day!  Thank you so much for giving your all for our patients and families.

Melinda

Selfie Contest Winners!!





Congratulations to the PICU for being one of the Nurses Week Selfie Contest Winners!  Great job and proof that you are not just brilliant, but creative as well!  Kudos to the night shift for making such adorable props.  If you were in the picture, see Erin for your prize.

Melinda

Friday, May 16, 2014

Incentive Pay - SHOW ME THE $

Hey guys,

Once again we are offering incentive pay for critical care starting tonight (Friday, May 16th) through Wednesday, May 21.  You can sign up with the charge RN in the PICU (876-6222).  7C RNs can also sign up.  If you are not needed in the PICU, you may be floated to another appropriate unit, but will still receive the flat rate bonus of $125/shift.

Please be sure to put your name on the bonus sheet record and turn in a time entry form indicating what shift you worked for bonus.

Thanks so much!

Melinda

Wednesday, May 7, 2014

2013 PICU RN Accomplishments


Hi Everyone! Erin and I recently went through and updated the “PICU Magnet Manual.” In doing so, I realized there are so many amazing accomplishments from the past year! This is long but in honor of Nurses Week I wanted to recognize everyone on their hard work:

-        PICU Leadership Council:
o    Implemented WAT Scores and State Behavioral Scores
o    Completed a Nurse-Driven Sedation Protocol (hopefully will be implemented within the next year)
o    Increased participation (Meets 2nd Tuesday of the Month for anyone who wants to check it out)
-        Awards/Recognition:(I know there are more!!)
o    As of May 1st, we have gone 2 years without a VAP
o    Zero CAUTI in January and February (awarded $200- used for the new Keurig)
o    WOOF (With Out One Fall) Award
o    DAISY (June 2013)- Jennifer Shaw
o    PICU Nurse of the Quarters                 
§  January-March 2013: Sheri
§  April- June 2013: Angi
§  July-September 2013: Jason
§  October- December 2013: Karen
o    PICU Nurse of the Year: Tiffany (2013), Kelsey (2014)
o    MUSC Nurse of the Year Nominees (2013): Anna, Tiffany
-        New Programs/Studies:
o    Half Pint Study
o    PiCCO Monitors
o    Telemedicine
o    Multi-Disciplinary Evidence Based Practice Workshop: new hyperglycemia protocol
-        PICU Staff Continuing Their Education:
o    Erin, Sheri, Julie, Allie
-        Applying for RN III:
o    Anna- Project: box of extra supplies to be taken to met calls and codes
o    Sheri- Project: post-orientation mentoring
o    Kelsey- Project: *to be determined, suggestions welcomed*
-        CCRN’s:
o    Melinda, Patricia, Jason, Kelsey (Erin, Angi, Sheri, and Emily soon…)
-        PCCN:
o    Allie
-        PSANE (Pediatric Sexual Assault Nurse Examiner)
o    Brooke (studying for this)
-        ABLS (Advanced Burn Life Support) Certified:
o    Angi, Erin, Kelsey
-        ECMO Team Members:
o    Mandy, Jen B.
-        Half-Pint Study Super Users:
o    Emily, Jamie, Alicia, Jenifer, Linette, Natalie, Patricia, Sheri, Anna
-        Epic Super Users:
o    Alicia, Ashley, Gregg, Emily, Brooke, Patricia, Marilyn, Emily, Erin, Melinda
-        Trauma Symposium Conference Attendees:
o    Jamie, Ashley, Emily, Angi, Patricia
-        Nurse Residency Program Participants:
o    Jamie, Gregg
-        Medical Mission Trips:
o    Jamie, Jen B.
-        AACN Members:
o    Melinda, Patricia, Natalie, Jason, Angi, Sheri, Anna, Kelsey, Erin

Congrats to everyone on so many accomplishments in one year! Keep in mind how all of this relates back to the Magnet Principles of Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, and New Knowledge, Innovation, and Improvements- continue with the hard work! I am sure there are things I have missed so please let me know!! –Kelsey Strawn