Several people have asked about why I decided to resign my position as ICU Director and switch to my new role as Director of Clinical Nursing Administration, so I wanted to give you each some insight into this change. The simple answer is that I had been working in the ICU at Platte Valley for over 20 years now and needed a change. The more complex answer is that I continually practice self-reflection, and during this process I ask myself several questions; am I happy doing what I currently am doing? Am I contributing to the level that is required for the position I am in? Am I making a difference? Is there anything else I would rather be doing? Is there someone else who can do what I am doing? There may be other questions but this is a start.
For each of these questions it is important to really spend some time thinking about the answers and comparing them with personal goals. This process is important not only if or when you are thinking of changing jobs, but on a regular basis to determine if you are truly giving life your best effort. This practice is a method of doing self-evaluation on an on-going basis. If you have long range career goals in mind, this is a great method to evaluate whether you are progressing towards or meeting your goals.
One of the things I discovered was that while I continued to love working in the ICU, I especially enjoy working with staff. I really like seeing new associates thrive and become successful members of the healthcare team. I felt that I could meet my personal needs by utilizing my talents in a new role as Director of Clinical Nursing Administration, and I felt the ICU was at a good place for a management transition. I also knew there were qualified leaders within the ICU and the hospital that could step up to lead the ICU into the future. I look forward to serving this hospital in my new role. My replacement will be Danielle Humphrey.
Danielle has been a nurse for 10 years and has worked in the ED for 4.5 years now. She served in the military for most of her career and completed several active duty tours in combat areas taking care of serious trauma victims. She and her family returned to Brighton, her husband’s family home. Danielle is assuming the ICU Director role and has jumped in at one of our busiest times as we prepare for the Epic transition. Please welcome Danielle and support her as she becomes the great leader we all know she will be.
Thanks to everyone who submitted name suggestions, it was a very difficult process to decide on the perfect name. Since Vira was suggested outside the contest deadline, there is no winner of the contest.
Our robot needs a name! We need your help to give the new InTouch-Vita Telemedicine robot a warmer and more welcoming name. As you’re pondering your entry, remember that we strive to demystify and humanize the care we give; the robot will need a name that sounds warm and caring.
This contest is open to all employees from now until January 31. Your suggestions can be submitted here. Employees who don’t have access to email may submit a paper suggestion in the ICU with Loree Morales or Trinh Trinh. The winning name will be chosen by the ICU Leadership Team, and the winner will also receive a prize.
About the Robot: The InTouch-Vita robot is a state-of-the-art telemedicine tool to bridge the gap between patient needs and physician availability. The Vita can be controlled by a physician, “driving” the robot from his or her laptop, or by hospital staff using the front control panel. It is equipped with a fish-eye lens for wide viewing inside patient rooms, as well as a high-definition zoom lens for getting a closer look at vitals, drip bags, or even the dilation of a patient’s eye. The large screen at the top allows the patient to see the physician, and they can have a conversation. The Vita also has a corded phone so that a staff member or patient can speak with the physician privately. A digital stethoscope and Bose headphones allow the physician to hear the patient’s heartbeat and breath, with a nurse’s assistance. Finally, near the base of the robot, a combination of radar and ultrasound tools allow the robot to steer itself through hallways without running into obstacles, even if someone is driving remotely. The Vita has a battery life of about 6 hours.
Our robot will be monitoring patients in the ICU and M/S/T units. The robot is made possible by our partnership with SCL Health in an effort to bring access to critical care physicians from hospitals to our patients in Brighton.
PVMC will work with St. Joseph’s Hospital/National Jewish Health for off-site critical care/intensivist consultation, 24/7/365. Intensivists at SCL Health St. Joseph’s Hospital will work to round and consult twice a day and ad hoc (i.e., emergently) with our in-house hospitalists and ICU nursing staff via a high resolution, mobile, programmed, audio/video unit. The “robot” will live and charge in a docking station in the ICU and will be mapped to travel to specific locations around the ICU, and eventually, around the hospital.
Once it has a name, we can introduce the robot to patients and make them feel more comfortable with this new, high-tech method of care.
PVMC reached its highest level of comparison against the HealthStream database recently with a 94th percentile ranking for the overall rating of the hospital. This means that as a hospital we are out-performing 94 percent of all hospitals in HealthStream’s national database.
Earlier in the month we recognized Medical Imaging for their outstanding scores and today we feature Surgical Services and ICU. In the next two issues of The ICE, we will also highlight the Medical/Surgical/Telemetry Unit, the Women’s & Newborn Center, Emergency and Environmental Services for their contributions to excellence.
Surgical Services received a 91st percentile ranking for the HealthStream database for the third quarter during a time where their volume was also performing at record levels.
Specific strategies to achieve these scores included –
The surgery team is providing exceptional service to our patients and these results are evidence of these top scores. KUDOS to the entire Surgery Department!
PVMC is proud to also recognize the ICU Department for their excellence in patient perceptions as evidenced by an 84th percentile ranking for the HealthStream database for the third quarter. (This means they are out-performing 84 percent of all hospitals in HealthStream’s national database.)
Specific strategies to achieve these scores include –
The ICU is providing exceptional service to our patients and these results are evidence of these excellent scores. Congratulations to the entire ICU department!
Thank you Surgical Services and ICU for making us all PVMC proud! These scores reflect PVMC’s ongoing commitment to Planetree Pillars of Healing and the integration of Studer concepts.
Please congratulate Christy Moe and Dianna Read for successfully achieving a great professional milestone. Recently, these ICU Charge Nurses passed the CCRN exam and became certified.
The CCRN certification was introduced in 1976 for nurses providing direct bedside care to acutely or critically ill adults, pediatric or neonatal patients. As healthcare becomes increasingly complex and challenging, certification has emerged as a mark of excellence. It show patients, employers and the public that a nurse is qualified and competent, and has met the rigorous requirements to achieve specialty and/or subspecialty certification.
Today, more than 90,000 practicing nurses hold one or more of these certifications. The CCRN exams are 3-hour tests consisting of 150 multiple-choice items. Nurses must meet specific criteria related to working directly with critical care patients in order to take the exam.
Anariza (Rizza) Grush showed her commitment to learning, setting high goals and working hard to reach them by recently graduating with her Masters Degree in Nursing as a Family Nurse Practitioner from the University of Northern Colorado. Rizza has been working full time nights in the ICU since starting here in November of 2001. She is definitely a great role model to her peers.
She works very hard for her patients, is always willing to go the extra mile for her co-workers, has a generous spirit, loves to laugh, AND is very smart. She not only earned her Master’s degree while working full-time (which is incredible in itself) but was a able to move her son here from the Philippines and see him graduate High School and join the Navy. He has completed his basic training and is enjoying life as a sailor. Rizza’s husband, Bill, lives in Durango so she also makes many trips back and forth in order to spend time with him. As you can tell she is a very busy lady and one that will be successful in whatever goals she sets for herself in the future. Rizza we are proud of you!!
Trevor Z’ Dorne is an RN in the ICU and has been here since October, 2012. Trevor also works nights (there might be a theme here). Trevor is very committed in doing the best he can for his patients. His goal was to take the CCRN exam and on 5/29 (his wedding anniversary) he took and passed this challenging exam. Trevor has some issues with test anxiety and we all tease him because we are sure he has purchased and studied every CCRN prep product that is on the market. We are all proud of his courage to set this goal for himself and prove to himself, his peers, and his patients that he indeed is a great critical care nurse.
Congratulations to Joy Memmen RN, CCRN in ICU!!! Joy passed her CCRN exam in January. The CCRN exam is an exam that is offered by the American Association of Critical Care Nurses. The CCRN is awarded to acute and critical care nurses who have met eligibility requirements, a total of 1750 hours of direct bedside care in the past two years and 875 in the most recent year, and the passing of a clinical certification exam. As healthcare becomes increasingly complex and challenging, certification has emerged as a mark of excellence showing patients, employers and the public that a nurse is qualified and competent and has met the rigorous requirements to achieve specialty or subspecialty certifications. Nurses must be actively engaged in caring for critically ill patients in order to qualify to take the test. More than 68,000 acute and critical care nurses are presently certified worldwide in adult, pediatric or neonatal nursing. CCRN certification validates your knowledge of nursing care of acutely and/or critically ill patients to hospital administrators, peers, patients and, most importantly, to yourself. CCRN certification promotes continuing excellence in the critical care nursing field. The 3-hour CCRN exam contains 150 items; the items are based on the AACN Synergy Model for Patient Care, with 80% focusing on Clinical Judgment and 20% focusing on Professional Caring and Ethical Practice. Please join us in congratulating Joy on this great professional achievement!!
When patients are admitted to the hospital we collect a great deal of information; currently, there are least 29 different elements that nurses must chart for every patient. To ensure that we were capturing all of that information on every patient, every time, the ICU started to track all of those elements. Amy Vue, Unit Assistant, developed a tracking tool to collect data each month on every patient admitted to ICU or SDU. Each nurse was listed on the Admission data tool, as well as how much of the admission data they had actually collected on the patients they admitted. We then took all of this information and posted it in the ICU break room for all of us to see. The nurses were able to see how well they were doing, and used this information as an educational tool to identify areas that they could improve on.
In July we had 3 nurses who scored 100% on every admission they did for the entire month. Kathy Coons, Sarah Massengill, and Sara Russell all completed every element on every admission they did during July. We had several nurses who were almost perfect, Kelly Bergstrom, Joy Memmen, and Preston Klimper missed only 1 element on all of the admissions they completed.
Platte Valley Medical Center is being measured by the Centers for Medicare and Medicaid Services on how many times we give flu and pneumonia vaccines to eligible patients. Two departments have achieved 100% in recent months on these measures. The Pre-Admissions Testing and Pre-Op areas reached 100% for patients seen in December and January 2011; the ICU/SDU Department reached 100% for January. Thanks to everyone involved in keeping our patients healthy by providing timely flu and pneumonia vaccinations.
Naomi first earned her CNRN five years ago, but let it expire when she was no longer working with neuro patients. Because Platte Valley Medical Center is pursuing JCAHO certification as a Primary Stroke Center, Naomi decided to re-certify in neuroscience nursing.
Within the field of nursing, the CNRN test is widely considered to be the most difficult. To prepare for the four-hour, 200+ question exam, Naomi purchased the text recommended by the American Association of Neuroscience Nurses and studied every day for six months. Naomi said that preparing for the CNRN not only tested her intellectually but also challenged her self-discipline.
Naomi is now the only CNRN nurse at Platte Valley Medical Center. The CNRN is awarded by the American Association of Neuroscience Nurses.
On Thursday, June 14, we will hold our second Critical Care Case Presentation from 7:00-8:00 a.m. in the Conference Center. This month’s topic is “Deceptive Diagnosis: When Cancer Mimics Meningitis.” The purpose of this presentation is to provide complex case education and an opportunity for collegial dialogue. “Deceptive Diagnosis” will be presented by Dr. Rai Kakkar, Dr. William Lee, and Dr. Edgar Mora. Breakfast will be provided by the Bistro so come hungry!
The ICE team received the following “Thank-You” from Michele Siem for several staff who generously gave their time to our community:
I would like to thank everyone who helped out with the Stroke Fair on Saturday, May 19th, and Strike Out Stroke Sunday, May 20. We had over 30 participants who were screened at the Stroke Fair. We were able to identify several people who were at high risk and required follow-up. Without the help of many people, the day would not have been as successful as it was. I will try to remember all that assisted and if I do not mention you, it is simply that I forgot:
As we have more of these community events I notice that the participants are made up of people who have been coming to PVMC for years, those who are just learning about us, and those that had stopped coming but our giving us another chance. We had people from each of these groups on the 19th. It really feels good when you are able to take someone who was giving us another chance and they tell you they will be coming back to PVMC. The feeling that you get from that “win” makes the volunteering on your day off well worth it.
Thanks again to all of the staff that volunteered and helped make our first Stroke Fair and Strike Out Stroke a success!
This Thursday, May 10, from 7:00-8:00 a.m. in Conference Room A, we will hold our first Critical Care Case Presentation. The purpose is to provide complex case education and an opportunity for shared discussion.
Breakfast will be provided by the Bistro, so please join us for this interactive learning opportunity presented by Critical Care Specialists Edgar Mora, M.D. and Samay Dalal, M.D.
Kathleen Bogacz was the center of a celebration recently in ICU. She was awarded a Planetree Token of Kindness. “These tokens were created to celebrate the power of individual acts, big and small, recognizing those who make a difference in the lives of patients, families and staff, and how collectively these individual acts create a community that is transforming healthcare.” Kathleen also received flowers and a lovely cake decorated with a tree.
The following email was sent to The ICE from ED Charge Nurse Brad Lehmann in recognition of ICU Nurse “Kat” for her Planetree spirit.
“I wanted to let you know about an encounter I had at Home Depot last week. As I was perusing the vegetable seeds, one of the employees approached me and said he recognized me from PVMC. He stated that his 92 year old mother has been in our Emergency Department and was admitted several times. He told me, ‘You guys at the hospital are wonderful.’ He then talked about the last time she was in our ICU. Her nurse was Kathleen “Kat” Bogacz. Kathleen had been telling the gentleman’s mother she was going to read her some passages from a book (I don’t know the book’s name). However his grandmother was discharged the next day, before Kat was to be her nurse. He stated Kat was happy she was being discharged but disappointed she didn’t get to read her the book. He then told me one week later their family received a copy of the book in the mail. I was very touched by this story and thought what a super act of Planetree kindness. The one caveat to this story was that it happened over two years ago. Kat was demonstrating the Planetree spirit before it was introduced to PVMC and she had such a lasting impact on this family. Way to go KAT!”
In celebration of Certified Nurses’ Day, next Monday, March 19, we are pleased to acknowledge several PVMC nurses who have achieved certification in their areas of expertise. When you encounter these great nurses, please let them know how much you appreciate the hard work and dedication they demonstrate by achieving and maintaining their certifications:
Anariza, Naomi, Lee, and Michele all have their CCRN, which is the certification for nurses working at the bedside of acutely critically ill patients. The CCRN is awarded to acute and critical care nurses who have met eligibility requirements, a total of 1750 hours of direct bedside care in the past two years and 875 in the most recent year, and the passing of a clinical certification exam. The certification is valid for three years and then the nurse must either re-test or renew the certification. In order to renew, the nurse must have 100 CERP’s (specialty education hours) and 452 hours of bedside care over the past three years.
Gentry Mansur recently became the first PVMC nurse to receive her Certified Medical-Surgical Registered Nurse credential, and at least three more nurses will receive their certification this year. All PVMC Medical Surgical nurses are encouraged to obtain their certification as this credential recognizes the highest standards of medical-surgical nursing practice have been achieved. Certification is bestowed successfully completing the MSNCB examination.
Surgical Services Nurses
Denise recently received her American Board of Perianesthesia Nursing Certification (ABPANC) for care of patients post anesthesia. To be CPAN certified demonstrates a commitment to life-long learning and ensures Denise is committed to staying current in her specialty and demonstrates her ability to meet nationally recognized standards of achievement.
Pam is the Surgical Services clinical coordinator. She is also a Registered Nurse, Certified in Labor and Delivery, which indicates she has been certified at the national level.
Mark has his CNOR certification for Operating Room Nurses. Earning the CNOR credential is a mark of distinction and a highly sought after personal as well as professional accomplishment. The CNOR credentialing program is for perioperative nurses interested in enhancing as well as validating their specialized knowledge and skills and providing the highest quality care to patients.
Certification is a process by which a nongovernmental agency validates, based upon predetermined standards, an individual nurse’s qualifications for practice in a defined functional or clinical area of nursing. Nursing certification recognizes knowledge, skills, abilities, and experience in areas beyond the scope of RN licensure. Patients and families, employers, and nurses all benefit from certification.
This is an exceptional achievement and serves as a validation of our nurses’ commitment to career development and dedication to patient care.
Note: As many of you know, Caleb Siem (Med/Surg), son of Michele Siem (ICU) was married recently to a beautiful young lady by the name of Emily. Michele, Emily’s Mom-to-be, who is very talented in making quilts, made a special quilt just for Emily with a letter that describes the quilt and what it means. Since her letter is so inspirational, we thought we’d share it with you as well.
I would like to tell you a few things about this quilt. The quilt is being made with you and Caleb in mind. Your quilt is made with two fabrics, each fabric is beautiful on it’s own, just as you and Caleb are wonderful as individuals. The quilt brings two fabrics together into one quilt and as you wed the two of you are brought together into one marriage.When you see your quilt you will notice that at times one fabric is prominent and the other serves as background, then in other blocks they are reversed. As your marriage happens you will notice this same phenomenon in your life. Each of you will move between being the focus and being the supporter. If you look closely at the quilt you will undoubtedly be able to find errors. If you look critically at each other you will find each other are less than perfect as well. The point is to not focus on the imperfections but stand back, look at the big picture and the beauty of the quilt and your marriage will shine through. Your quilt is made up of the top, which is represented by you and Caleb, the backing represents your family, and the quilting threads are the love that holds your quilt, your marriage and family together. The “quilting” brings out the beauty of the quilt just as love brings out the beauty of your marriage.
One other similarity that you will find betweenyour quilt and your life, you do not always get things in the timeframe that you think they should occur. The fact that you are getting this letter instead of your quilt at this time is an example of that. Even fabric gets back-ordered.
With all my love,
The students in Miss Anderson’s and Mrs. McDaniel’s third grade classes at Bromley East Charter School have been working hard to provide PVMC patients with get well cards. The pet partner teams (Paws to Heal) and our volunteer patient advocates give the cards to patients when they visit their rooms. Our patients have really enjoyed getting the cards. They provide a bright spot in what can be a long day as a patient. It’s such a pleasure to see them giggle when they read the cards.
From the moment an individual begins to have stroke symptoms, their brains cells are not receiving the oxygen-carrying blood they need to function. This can cause damage to the affected areas of the brain – possibly resulting in disabilities such as trouble moving, speaking or thinking. The longer brain cells are deprived of blood and oxygen, the greater chance of damage to the brain….
Stroke is the nation’s third leading cause of death. On average, someone suffers a stroke every 40 seconds and someone dies of a stroke every 3.1 minutes. Stroke is a leading cause of serious, long-term disability in the United States, with about 4.7 million stroke survivors alive today.
ACT F.A.S.T. if you suspect someone is having a stroke:
PVMC is pleased to announce that it is in the preliminary stages of applying for The Joint Commission’s (TJC) Primary Stroke Center Certification. This certification is based on the recommendations for primary stroke centers published by the Brain Attack Coalition and the American Stroke Association’s statements and guidelines for stroke care. The Joint Commission launched the program—the nation’s first—in 2003. There are currently more than 800 certified primary stroke centers in 49 states and certification is available only to stroke programs in Joint Commission-accredited acute care hospitals.
“Our commitment to excellence in the care and treatment of acute stroke is another step in our expansion of evidence-based medicine, supporting technologies, systems, and staff expertise,” elates Kurt Gensert, vice president of Nursing. “We know that access to this kind of local, community-based specialty care is vital to Brighton and the surrounding region’s health and well being.”
PVMC Neurologist Dr. Rai Kakkar will lead the program as Stroke Director. He brings many years of experience in leading complex stroke care systems. His knowledge and experience pairs nicely with the operational support offered through other members of the stroke team, which includes Curtis May, PVMC’s Stroke Coordinator for the program.
Certified primary stroke centers:
Stroke is the nation’s third leading cause of death. On average, someone suffers a stroke every 40 seconds and someone dies of a stroke every 3.1 minutes. Stroke is a leading cause of serious, long-term disability in theUnited States, with about 4.7 million stroke survivors alive today.
PVMC is being considered for the Sustained Improvement Award in ventilator associated pneumonia (VAP) based on our progress in implementing systems showing sustained and consistent reduction over a period of more than 24 months.
Our application for the award has been submitted to the U. S. Department of Health and Human Services. Our ICU has achieved more than 900 days without a ventilator associated pneumonia and we believe PVMC is well positioned to receive this recognition for eliminating hospital associated infections. Stay tuned because we expect their decision by early April.
On Jan 21st several of the ICU staff attended an education program for CRRT (Continuous Renal Replacement Therapy). This is a therapy for patients who require a specific type of dialysis. On Sunday, January 30th, we provided this service for our first patient at PVMC.
On Jan 24th several ICU staff attended IABP (Intra aortic balloon pump) training. We have two balloon pumps at PVMC and they are used for patients with heart damage and require the balloon pump to make it easier for the heart to work. We have inserted balloon pumps on a few patients, but had to transfer them out for further care. This is a therapy that we are able to provide to patients that do not need to be transferred for things like open heart surgery.
On January 28th, the ICU staff decided they all wanted to “dress up” their scrubs for the day. On the 28th we held “Glam Day.” The staff wore shiny necklaces and earrings; some wore bracelets or fancy watches. They enjoyed themselves so much they have designated each Friday with a theme. On February 4th, we participated in Wear Red for Women and Heart Disease, and February 18th we will wear valentine-related attire (red, pink, heart prints, etc). If you are interested in any of our other themes, come to the ICU and view our calendar.