Did you know that PEARL has an auto-fill capability that can fill in a portion of your report for you, using a patient’s medical record number? This feature makes your reports faster and more accurate, since the information is fed directly from the patient’s record. So, when you’re getting ready to create a new PEARL report, make sure you have the patient’s medical record number (or P number) before you start!
Every six months, Tri County Health Department inspects our Bistro and Patient Services line. During the inspection, the Health Department observes food temperatures, food handling, cross contamination prevention, hand hygiene procedures, food storage practices, illness policies, and general cleanliness.
We’re pleased to announce we received a perfect score on our recent health inspection! It is always our top priority to provide a safe environment for our patients and our associates. Congratulations to our Nutrition Services department on their dedication to making PVMC a safe place to work and receive care!
Yesterday’s incident at Platte Valley provides a reminder and opportunity for our watchfulness. Thank you again to our Labor and Delivery staff whose quick action led to swift response by our security team and the Brighton Police Department (details were sent via email yesterday).
As a reminder, weapons are not permitted in any of our facilities. If you see someone with a firearm or knife inside any of our buildings, ask them to take their weapon back outside or call security at X1461 to assess the situation. If they refuse, call 911. With everyone’s attention every day, we will ensure the safety and security of our associates, patients and visitors.
Our On-Site Security Team & Commitment to Your Safety
We have an on-site security team here to help us provide safe and compassionate care. Security is provided by our Plant Services team Monday through Friday, 8 a.m. to 4 p.m. If a security incident happens during this time, please call Mai at x1451. HSS Security Services provides security Mon – Fri, 4 p.m. to 8 a.m. and 24 hours a day on Saturdays and Sundays. Our HSS officer can be reached by calling x1461.
As part of our on-going effort to ensure everyone’s safety, we conduct regular safety and security risk assessments and will soon have security coverage 24/7. HSS Security Services provides security for most SCL Health care sites, including Platte Valley. And while the start date for 24/7 coverage has not yet been determined, HSS is presently recruiting a full staff for Platte Valley. When we are ready to implement the program, more information such as security procedures, contact information, and security staff duties will be provided.
The full-time security staff will help us prepare for many emergency situations – ranging from active shooters, hostage situations, and other security challenges to threats from fires, tornadoes, floods, and even pandemics of infectious diseases.
Please know the safety and security of our associates, patients and guests is our number one priority. If you have a safety concern, please call X1461.
Last weekend, our friends at Hudson Fire and our own Platte Valley medics started advanced cardiac life support on a patient out in the field. Working together, they were able to return circulation, stabilize, and transport the patient to the ER. Upon arrival, Dr. Stafford quickly realized the patient was having a heart attack and needed a Cardiac Cath procedure. Since it was the weekend and our Cath Lab was closed, we arranged for a transfer to Good Samaritan. The patient was ventilated needed a critical care team, with a nurse, during transport.
“We called every nearby agency, and they were all 30 minutes to an hour away. So instead of waiting, I went (as the nurse) with Platte Valley Ambulance,” explained House Supervisor and Nurse Andrea Moore. “I made the decision to go because I wanted our patient to get to the cath lab quickly to increase chances of recovery. And because our EMS crew was so willing to do the right thing, we were able to get to Good there within a reasonable amount of time.”
“Great teamwork and flexibility was demonstrated by many amazing associates during the care of this patient,” explains Vice President of Operations Kurt Gensert. “I am proud to work with a team who make unselfish, smart decisions every day keep our patients safe. There’s no doubt their quick actions were responsible for ensuring a safe transport.”
Congratulations to everyone involved for your quick actions.
Editor’s note: this story was brought to our attention on Monday. If you have a quick story to share about safe care, great catches, or even someone’s experience, please email your idea or news tip to: email@example.com.
Platte Valley Medical Center is committed to providing positive patient experiences and this includes taking care of our patients’ belongings. Two policies describe our processes (Patient Belongings and Valuables and Lost and Found) please find them in the PVMC policy system on the PVMC Landing page.
Here are some important points to remember:
- Encourage patients to leave valuables and belongings at home, or have them taken home, when possible
- If an associate takes responsibility for valuables or belongings; such as placing them in a safe in ED Admissions or storing any items for the patient, the patient must be given a receipt.
- Use the paper Clothing and Valuables Record and envelope to create the inventory
- Place the original form (white) in the medical record (and scanned), give the copy (yellow) to the patient as a receipt.
- Emergency Department: Use the Clothing and Valuables Record and envelope to create an inventory of belongings
- Admitted patients: Documented belongings in the electronic medical record.
- Use the patient belongings tab to document valuables including medications, glasses, dentures, canes, etc. If items were placed in the safe note that in the belongings disposition section
- Transferring patients: The receiving unit confirms the patient belongings tab documenting the inventory of belongings is complete and accurate, paying particular attention to confirm assistive devices (hearing aids, glasses, or dentures) are with the patient. The belonging disposition section should reveal if documents have been placed in the safe
Lost and Found
- Place found items in a patient belongings bag, label with date, time, location, and person name who found the items or and with a patient label if known.
- Give found items to Environmental Services Staff AS SOON AS POSSIBLE, when found. (Ask Environmental Service staff to take the items to the Plant Service Office.)
- Do NOT keep items in the unit where found- always get them to Environmental Services
Plant Service creates a log (saved to the G drive) which can be referenced by the Plant Services Assistant (extension1451), House Supervisors (1589) and Patient Relations Advocate (1560) to learn if items are in the Lost and Found area.
We’ve worked hard to make sure the eSummit with Epic & Business Systems transition goes as smoothly as possible, but our patients may notice the increased activity and there may be some unavoidable delays.
*Patients may notice:
- It will take a little longer to enter patient information as we begin using eSummit.
- We may need to ask for information patients have provided in the past. They may be used to us already having that information in our records.
- Super Users wearing florescent green vests. They may have questions about what is going on in the hospital.
If a patient asks you about the transition, here are some tips for communicating with them. Please use this scripting as needed:
On June 1, we are joining the world’s largest Electronic Medical Records (EMR) system called Epic. This transition will take place during your visit. We already know how to use an electronic medical record, but it may take us a bit longer than usual as we begin using this new system. You will be asked for information you have provided in the past, including your ID and insurance card. This is to ensure your safety and make sure your information is correct in our system. Thank you for your patience with us as we move to the new system together.
Suggested Script Regarding Longer Wait Times:
You may experience longer wait times than normal due to this system change. Our goal is to be back to normal soon. Thank you for your patience during this transition.
Sometimes we all need a little reminder to be aware of our surroundings. Awareness helps us to anticipate problems and build a system of ongoing checks designed to spot safety problems. A latent failure is an error that hasn’t been manifested yet, but, will be evident when another triggering event occurs that reveals it. They can be caused by loopholes in the system’s defenses, barriers, and safeguards. Sometimes, these failures aren’t discovered until an accident occurs, but with a little vigilance and care, it doesn’t have to happen this way. With vigilance, normal day to day operations will turn up deficiencies in our processes that are opportunities to learn and improve. This is just another reason why reporting good catches is so important. To learn more about Sensitivity to Operations, click here to download the flyer.
On Tuesday, April 18, one of our Environmental Services associates Rosalva Vasquez noticed a patient alarm going off and the patient in clear distress while cleaning. The alarm was set to 1, which was inaudible from outside the room, and sounding because the patient had pulled the circuit cord directly out of his BiPAP machine. This could have led to a more serious safety event had Rosalva not immediately notified a nurse who quickly restored oxygen to the patient.
Rosalva’s careful action demonstrates how the care and attention of everyone at Platte Valley can make a difference in our patient’s safety and overall experience!
Starting next Wednesday, March 1, we will begin a housewide daily Check-In for Safety starting promptly at 8:45 a.m. A leader or representative from each department will participate in the 15-minute huddle in Conference Room C every Monday through Friday to discuss any housewide safety concerns.
Daily Check-Ins maximize our awareness of the entire hospital about immediate concerns impacting Patient and Associate Safety. It provides direction about priorities and responsibilities to resolve problems.
“The feedback we’ve heard from other SCL Health hospitals who perform daily check-ins has been excellent,” explains VP of Operations Kurt Gensert. “They’ve told us we’ll wonder why we didn’t start the program sooner.”
Click on the photos below to view the participant guide:
In an effort to improve language communications, PVMC now has 8 iPads for video interpreters. The following departments will have their own iPads to use as needed for patients:
- ED – the wall across from the ED director’s office (by the double doors leading to Medical Imaging).
- Medical Imaging – the Quality Control room (this may change)
- Cath Lab – the Inventory room
- ICU – the MED room
- Med Surg – the Charge Nurse’s office
- OR Suites – the PACU storeroom
- OB – the Postpartum Well Baby Nursery
- Physical Medicine – the Equipment room (in gym)
Please remember our Spanish Interpreter Lidia Puga will be your first option. If she is not available then you can use the telephone OR video interpreters. For both video and telephone interpreters you will need to provide the following information each time you use the services (this is not optional):
- Caller’s full name (you can provide first name and initial of last name if you wish)
- Department Accounting Unit # (please ask your supervisor for the number if you’re uncertain)
- Employee ID # (This is your Kronos emp. #)
Note: Physicians and PAs will use P1234 as their number
- Patient’s Name
- Patient’s MR #
We are phasing out Telelanguage services so please keep this in mind when you come across phones with their number. If you need assistance with programming the new number on the Spectralink or desk phones, or you have any questions or concerns, please call me at x1905. Thank you for your patience.
Lidia Puga, MBA, CST
Teresa Vanderford knows a lot about hard work. In addition to her full-time role as Platte Valley’s Stroke and Chest Pain Coordinator, Teresa recently completed her Master’s of Nursing with a Clinical Nurse Leader (CNL) emphasis in less than a year and a half!
Teresa joins a select group of nurses around the country as there are only 4,460 professional nurses who have earned the CNL credential throughout the US. Teresa received her degree from the University of South Alabama.
A certified CNL is a master’s educated nurse, prepared for practice across the continuum of care within any healthcare setting. CNLs oversee care coordination, provide direct patient care in complex situations, put evidence-based practice into action, ensure patients benefit from the latest innovations in care delivery, evaluate patient outcomes and assesses cohort risk, and have the decision-making authority to change care plans when necessary.
“I decided to pursue my CNL credential because I loved the fact that it encompasses both clinical and evidence-based practices,” explained Teresa.
Congratulations Teresa! Thank you for bringing your best to PVMC.
All clinical staff should now have received a web-based survey on Patient Safety. The survey asks for your opinion about patient safety issues and error and event reporting in our facility. This survey is part of our hospital’s efforts to continuously improve patient safety and the working environment for clinicians at PVMC.
If you have yet to complete the survey, a reminder e-mail is slated for distribution on or about February 8th. Please watch for it and complete your confidential survey as soon as possible and definitely before the February 14 deadline.
Your input and efforts are extremely important and will contribute to improving the safety culture on your unit and throughout the hospital, please watch for the survey to arrive in your e-mail box and respond right away.
If you have any questions or problems with the survey, contact Colleen Casaceli, Patient Safety Manager, at firstname.lastname@example.org or Ext. 1553.
During January and early February clinical staff will be asked to complete a Hospital Survey on Patient Safety, a web-based survey that asks for your opinion about patient safety issues and error and event reporting in our facility. This survey is part of our hospital’s efforts to continuously improve patient safety and the working environment for clinicians and staff at PVMC.
If your clinical department is participating, the survey should arrive in your hospital email account today. If you forget to complete the survey, a reminder e-mail is slated for distribution on or about February 8th. Please watch for it and complete your confidential survey as soon as possible and definitely before the February 14 deadline.
Your input and efforts are extremely important and will contribute to improving the safety culture on your unit and throughout the hospital, please watch for the survey to arrive in your e-mail box and respond right away.
If you have any questions or problems with the survey, contact Colleen Casaceli, Patient Safety Manager, at email@example.com or Ext. 1553.
No, this is not the latest upgrade for e-care-net. Code net is a new product that we use to document care of cardiac arrest patients (Code Blues). The House Supervisors carry the little handheld device, which is like a cell phone. There is an app on the phone that the Supervisors document the activities that occur during a code. At the end, the physicians sign the screen and the Supervisor pairs the information that was recorded with the information from the defibrillator. The combined information is then uploaded to a computer and a printed copy is sent to the patient’s chart. This allows us to capture data that we can review to help us improve our Code Blue responses to ensure we are delivering the best care possible for our patients.
The focus on patient safety culture in healthcare is key to quality patient outcomes. Drilling in the Perinatal Unit has allowed processes to be acted out, videotaped, and reviewed in a safe learning environment.
This year was especially realistic due to the fact we had OB providers from Alcott and Pediatricians from both Brighton Pediatrics and Premier Pediatrics involved in the drills as well as members of the Anesthesia team. Their presence allowed a full team approach and the ability to practice those closed loop communication skills the Perinatal Department learns yearly in Team STEPPS.
The Perinatal Department would like to thank all those who participated hospital wide in our drills during the first three weeks of September. We realize the codes were called at difficult times, but that only added to the realistic aspects of the drill. In addition, a thank you to each provider who gave of their time as it allowed our department to improve teamwork and potentially impact patient safety and quality results.
THANK YOU ALL!
THE PERINATAL DEPARTMENT
For a number of years now, whenever there is a very difficult situation such as a fetal demise in the Women’s Center (OB), staff place a small laminated card picturing a leaf and tear on the door of the patient who has experienced loss, notifying all employees who may come by that this particular patient and family are facing a very difficult time.
Unfortunately we have not had anything we could place on patient doors in other parts of the hospital (ER, ICU, Med/Surg) notifying staff of similar situations such as a death or an extremely ill patient … however we do now. If you see this flower symbol near or on a patient door anywhere in the hospital, when near their room please be aware that this patient and/or their family are facing a very difficult time. Your respect for their privacy by being as reserved and quiet as possible will be greatly appreciated.
Do you feel PVMC proud? What does that even mean? Find out at our latest Patient’s Voice Lunch and Learns.
Friday, August 28th
Monday, August 31th
Wednesday, September 9th
Tuesday, September 15th
Thursday, September 17th
These 30 minute sessions are between noon and 12:30 p.m. and again from 1to 1:30 p.m.
You may have heard about recent reports of infections with carbapenem-resistant Enterobacteriaceae (CRE), a highly resistant form of bacteria, linked to endoscopic retrograde cholangiopancreatography (ERCP) procedures. Most recently, Ronald Reagan UCLA Medical Center notified 179 patients who underwent ERCP that they may have been exposed to CRE from contaminated duodenoscopes. As of Monday, February 23, a total of seven UCLA patients were infected and two have died.
PVMC strives for healthcare without infections. We believe that any number of preventable infections is unacceptable and that every infection should be thoroughly investigated. In addition, the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) are working together to explore optimal protocols for duodenoscope reprocessing (cleaning and disinfecting before reusing on other patients).
What are duodenoscopes and why are they a focus of this investigation?
• Duodenoscopes are flexible, lighted tubes that are threaded through the mouth, throat, and stomach into the top of the small intestine (duodenum); they are used during ERCP procedures (defined below).
• Duodenoscopes are more complex than other endoscope instruments, which can make them more difficult to clean and disinfect. The elevator channel in duodenoscopes can allow bacteria to remain after cleaning, even if all recommended procedures are followed.
What are ERCP procedures and how are they different from other endoscopic procedures?
• ERCP scope procedures are different from most other endoscopic procedures such as routine colonoscopies.
• ERCP procedures involve the upper gastrointestinal (GI) system and allow direct access to the bile or pancreatic ducts to deliver treatment to reopen ducts that have been closed by tumors, gallstones, inflammation, infection, or other conditions.
Are ERCP procedures safe?
• It is important for the public to be aware that infections associated with ERCP procedures, while rare, can occur.
• For most people, the health benefits of the ERCP procedure greatly outweigh the risks of infection. According to the FDA, there are more than 500,000 ERCP procedures using duodenoscopes in the U.S. each year. From January 2013 through December 2014, ERCP was associated with infections in 135 patients.
• It is safer to undergo this hi-tech diagnostic procedure, which allows less invasive access through the mouth and throat and into the top of the small intestine, than to have a surgical procedure as was previously required.
What can I do to stay safe if I need an ERCP procedure?
• Discuss the benefits and risks of procedures using duodenoscopes with your physician. For most patients, the benefits of ERCP will outweigh the risks of infection. ERCP often treats life-threatening conditions that can lead to serious health consequences if not addressed.
• Ask your doctor what to expect following the procedure and when to seek medical attention. Following ERCP, many patients may experience mild symptoms such as a sore throat or mild abdominal discomfort. Call your doctor if, following your procedure, you have a fever or chills, or other symptoms (e.g., chest pain, severe abdominal pain, trouble swallowing or breathing, nausea and vomiting, or black or tarry stools) that may be a sign of a more serious problem.
• Tell your doctor if you have been hospitalized in another facility or country.
• Take antibiotics only as prescribed. Misuse and overuse of antibiotics can lead to the development of antibiotic resistance.
• Insist that everyone (e.g., doctors, nurses, other healthcare providers, visitors) wash their hands before touching you. Wash your hands as well, especially after going to the bathroom; before and after coming into contact with a wound, dressing/bandage, or medical device; after blowing your nose, coughing, or sneezing; and before eating.
Please contact Colleen Casaceli, Infection Preventionist and Patient Safety Manager, via email firstname.lastname@example.org or (303) 498-1553, for any further questions or concerns.
As you may have heard, flu is already circulating in Colorado and about half of the viruses detected so far are a “drifted” influenza A (H3N2). That means that our seasonal flu vaccination’s effectiveness may be decreased, but, should still provide some protection and reduce the likelihood of severe outcomes such as hospitalization and death. Therefore, we should continue to promote the flu vaccination because other viruses may still circulate this season.
In addition, antiviral medications (oseltamivir or zanamivir) should be used for treatment and prevention of influenza as early as possible for any patient with suspected or confirmed influenza when a high risk of complications exists. Other practices that should help decrease the spread of influenza include hand washing, cough etiquette, staying home from work/school when ill (especially with a fever), and avoiding people who are sick with influenza.
Patients with influenza should be placed in Droplet Precaution Isolation and every caregiver (even if vaccinated) should wear a mask when caring for these patients.
PVMC participates in the Colorado Department of Public Health and Environment (CDPHE’s) influenza testing program and sends specimens from patients admitted w/ influenza to the state labs. This information is important and is used to predict outbreaks and the spread of influenza. We will keep you informed as the season progresses. You can contact me at X1553 if you have any additional questions.
Colleen Casaceli, Patient Safety Manager
Platte Valley Medical Center (PVMC) was recently recognized by the Immunization Action Coalition (IAC) and the Colorado State Department of Public Health and Environment (CDPHE) for achieving one of the highest reported rates in the administration of the Hepatitis B vaccine at birth.
Hepatitis B (HBV) is a serious disease caused by the hepatitis B virus which attacks the liver. It is highly infectious and easily spread from an infected mother to her newborn. For a newborn infant who becomes infected with the hepatitis B virus, there is a 90% chance the infant will become a chronic carrier of the hepatitis B virus. Chronic carriers have a 25% lifetime chance of developing cirrhosis, liver cancer, liver failure, and death. With an estimated 800 U.S. newborns chronically infected with hepatitis B each year, staff at PVMC felt it was imperative that PVMC’s newborn population receive the vaccination.
“With the recognition from the IAC and the CDPHE, PVMC is one of only five hospitals within Colorado, and 74 nationally, to receive this honor. It validates that we are making a difference in the health of our newborn population,” said PVMC’s Women’s and Newborn Center Director Carri Montgomery. “We immunized greater than 90 percent of the babies born at PVMC in 2013 and took additional steps to prevent Perinatal transmission of hepatitis B.”
The national standard of care to prevent hepatitis B virus infections in babies is to administer the Hepatitis B vaccine to all newborns before they leave the hospital or birthing center. This standard is followed by PVMC.
“Hospitals and birthing centers have a responsibility to protect babies from life-threatening hepatitis B infection,” said the Executive Director and Founder of IAC Deborah Wexler, M.D. “Platte Valley Medical Center’s commitment to best practice, providing hepatitis B vaccination at birth, has shown them to be a leader in preventing the transmission of hepatitis B virus”.
Platte Valley Medical Center continues to strive for excellence in patient safety and quality and is proud to be in the elite class of hospitals recognized for their work in preventing Hepatitis B in newborns.
Take a moment this October 20-26 to reflect on all of the great improvements that have occurred at Platte Valley Medical Center this year. Here are just a few of the organization-wide projects and there are many more department specific projects:
- Joint Commission Stroke Certification
- Planetree and Patient Experience
- Health and Wellness Program
- Information Systems
- Clinical Quality Measures
- Joint Commission triennial accreditation
- Central Registration Redesign
- Reducing Readmissions
- Reducing Falls
Thanks to the entire organization for its willingness to adopt improvements and to our Performance Improvement Department that helps us facilitate and measure improvements.
Our PI team: Sandy Alexander, Marie Campbell, Colleen Casaceli, Wendy Colon, Shari Engelhardt, Carol Hurdlebrink, Phadrah Milligan, and Cynthia Reeves.
At Platte Valley Medical Center, the Rapid Response Team is different from the Code Blue Team that responds to a patient experiencing a cardiac or respiratory arrest. Code Blue is drawn from a medical model. An example would be a hospital patent “Coding” –no breathing, no pulse. The patent’s skin would become blue or ashen – hence Code Blue. The Rapid Response Team intervenes upstream from a “potential code” situation, relying on bedside nurses who are highly sensitive to signs that a patient’s condition is deteriorating, and empowered to call others into action. The Rapid Response and Code Blue staff includes an experienced critical care charge nurse, a respiratory therapist, House Supervisor, Phlebotomist and physician (critical care or hospitalist). A code team leader will be a physician in attendance on any code team; this individual is responsible for directing the resuscitation effort and is said to “run the code.”
Hospitals using Rapid Response Teams typically observe reductions in the number of cardiac arrests, unplanned transfers to the ICU, and, in some cases, the overall mortality rate.
When a patient demonstrates signs of imminent clinical deterioration or early signs of potential downward spiral, nurses on units outside of the ICU call a “Rapid Response Team,” also known as a RAT. Bedside nurses call by phone or overhead page, and team members are alerted simultaneously or sequentially. During a Code Blue, the bedside nurse pushes the blue button on the wall in the patient’s room or calls #555 so it is announced over the hospital public address system. During a RAT or Code Blue, appropriate staff and doctors would immediately drop what they are doing and respond with the Crash Cart to the coding patent.
RAPID RESPONSE TEAM (RRT)
Criteria for calling the RRT:
- Concern that something is wrong
- Acute change in heart rate (<40 and >130 BPM)
- Acute change in systolic blood pressure (<90 MM HG)
- Acute changes in respiratory rate (<8 OR >24 RPM)
- Acute changes in O2 saturation (<90% despite supplemental oxygen)
- Acute change in mental status
CODE BLUE C
Criteria for calling code blue:
- All Cardiac and Respiratory arrest
- Acute changes in Vital Signs.
- Airway – Threatened
- Breathing – All Respiratory arrests (RR<5, RR>36)
- Circulation – All Cardiac Arrest (Pulse rate<40 or >140)
- Neurological – Sudden fall in level of consciousness or repeated or prolonged seizures
- Other – any patient who may not fit the criteria above who you are seriously worried about
Help protect our patients. The Center for Disease Control (CDC) issued the Safe Injection Practice guidelines to prevent the transmission of infections in healthcare settings. Despite our efforts and best intentions, we do occasionally find breaches in compliance with the Safe Injection Practices. To ensure that you understand how to protect YOUR patients through compliance with these guidelines, please review the attached Patient Safety News Issue 51.
At one point or another, every department at Platte Valley Medical Center comes in contact with the public. With that contact, we have the opportunity to present a positive image to our community. Patient Access personnel are most often responsible for providing patients and visitors with their first impressions of our hospital.
In an average day, Patient Access handles a variety of requests from many people including physicians, nurses, patients and visitors.
During the registration process, patients sometimes are feeling apprehensive and need support. When people aren’t feeling well, Patient Access staff need to be fast, accurate and above all, friendly.
Patient Access personnel are committed to assure accuracy of information to support several hospital departments and to foster optimal health for all.
I am pleased to work and be part of such a great team!
Thank you for your exceptional work!
Patient Access Manager
Well, the Safety Attitude Questionnaire is done and over with, and results are pending. If you missed it, that’s quite a shame because there were Nuggets tickets to be won just for participating!
Congratulations to the Winners!
Dr. D. Slusher and Joey LaRosa each won Nuggets tickets,
Dr. J. Meyer and Christy Gallegos won pink fleece PVMC vests,
Jeanette Nelson and Amanda Partridge won coffee coupons.
Did you know there is a specific place within Soarian to document your follow up on critical lab values? There is! Please read the latest issue of the Patient Safety News to not only learn where to capture all those important pieces of information related to critical lab values (i.e.; the date and time you contacted the physician, and any follow up orders received), but also to refresh your memory on PVMC’s overall critical values procedure.
Platte Valley Medical Center wants to evaluate the progress of our organization’s Patient Safety efforts. We need input from our clinical staff and physicians to measure, analyze and drive actionable goals. We have opted to administer a Safety Attitude Questionnaire (SAQ) survey for this purpose. The survey will be administered via e-mail beginning November 7th. The survey consists of 30-40 questions and should only take about 10 minutes to complete. This is a confidential survey being administered by a third party; PVMC will only receive de-identified data. Please watch for your e-mail from Pascal Metrics and support this survey by responding as soon as possible. The survey period will be closed mid-December and a drawing for Nuggets tickets, fleece PVMC apparel and coffee coupons will be held to award participation. Let’s hear from you!
Studies have shown that 40-50% of medical information patients receive is immediately forgotten and 30-50% of patients leave their provider visits without understanding their treatment plan. Traditionally healthcare providers “tell” patients what they need to do to be healthy because we think we know what is best for them. Evidence shows improved patient outcomes, however, by using strategies of engaging, communicating, and motivating patients to decide what they should be doing to improve their own health.
In the 4th quarter of 2011 a group of interdisciplinary team members from PVMC had the opportunity to attend the Iowa Chronic Care Consortium Clinical Health Coach training program. Karen Albrecht, Franchesca Neil, Gentry Mansur, Michele Siem, and Dennis Bradberry attended the training and in 2012 have participated in hospital improvement projects such as Project RED, facilitated by Cynthia Reeves, and Smoking Cessation. Recently, they developed a HealthStream module with video demonstrations on how to provide effective discharge education to our patients. Various interdisciplinary departments have been selected to complete the HealthStream module because of their interactions with our patients. Please join us in our change to coaching our patients to health and not telling them to be healthy.
We have a lot to be proud of. In addition to being named a national top performing hospital on key quality measures by The Joint Commission (TJC), we continue to provide the best quality care. In fact, in the past year, PVMC has been recognized by many national organizations for its strong performance!
“We understand that what matters most to our patients is safe, effective care. That’s why Platte Valley Medical Center has made a commitment to positive patient outcomes through evidence-based care processes,” explains PVMC President and CEO John Hicks. “I am proud to work in an organization filled with employees who are dedicated to providing the best care for our patients. To rank in the upper echelon of hospitals nationally, is a reflection of this effort!”
In conjunction with the Colorado Hospital Association, PVMC supports transparency of and access to hospital safety and quality data for patients that rely on universally recognized calculation and reporting methods. PVMC encourages interested patients to utilize the Colorado Hospital Report Card website, the Hospital Compare website operated by CMS, and The Joint Commission’s Quality Check website.
Not all of our patients speak English as their first language, and fortunately Logicare (Teacher’s Pet) has the ability to translate our discharge instructions for them, from English to Spanish. However, be sure to read the new Patient Safety News to learn about the shortcomings of Logicare’s translation function, and what you need to do to protect your patients, and yourself. Please review this flyer, Patient Safety News Issue 48 Logicare for more details.
Do you work nights or rotating shifts, have an extended workload or too many jobs? Do you have an overwhelming sense of tiredness, lack of energy, exhaustion associated with impaired physical and/or cognitive functioning? If this is you, chances are you’re simply TIRED!
Assess your fatigue level now; complete the ASPAN Fatigue Evaluation Checklist here:
If you fit the fatigue profile, the good news is there are some simple strategies you can use to fight fatigue. Download this issue of Patient Safety News – Healthcare Worker Fatigue now to see them all.
We are upgrading our RISKweb system to RISKplus/W, and the changes involved are fairly minor.
During this wonderful time of year it is tempting to “dress up” with artificial nails. Please reconsider this decision. Artificial nails have the potential to harbor infection.
You may think it’s a cold because you’re sneezing and nursing a runny nose, but it may very well be your latex gloves. Did you know healthcare workers are at a greater risk of developing latex allergies?
In the October issue of The Patient Safety News, latex allergies are explained in great detail. Open the file and learn how latex sensitivities occur. If you have additional questions, please call Patient Safety Manager Colleen Casaceli at X1553.
Winning a national award is cause for celebration and we have many reasons to celebrate. Enjoy this short video compilation of the press we have received about our national The Joint Commission Top Performer.
Visit the link below to read a great article The Brighton Blade published, which features an interview with Kurt Gensert about what it actually took to win the award:
Platte Valley Medical Center (PVMC) was recently named one of the nation’s top performers on key quality measures by The Joint Commission (TJC), the leading accreditor of health care organizations in America. PVMC was recognized for achieving excellence in adhering to evidence-based practices that enhance heart attack, pneumonia, and surgical patient outcomes.
PVMC is one of only five hospitals in Colorado being honored with this recognition, an achievement only 14 percent of accredited hospitals have attained nationally. Inclusion on the list is based on hospital performance reported to The Joint Commission during the previous calendar year. …more
Seems like a friendly reminder, but are you truly taking precautions to stay away from infections? In the June issue of the Patient Safety Newsletter, read all about how to stay healthy while taking care of patients who may have CDI and what you should do to keep transmission to a minimum. Do you really want to miss out on our lovely Colorado weather? Wash those hands!
The Performance Improvement Department is pleased to announce its current Infection Prevention-Related initiatives at PVMC:
- The Surgery Department joined the CO Hospital Association’s Collaborative regarding JOINTS to focus on evidence-based practices to reduce the risk of surgical infections in hip and knee replacement patients.
The state health department (CDPHE) invited us to participate in a nationwide hospital acquired infection prevalence study which was conducted in May.
For the rest of the initiatives, click here to download the Infection Prevention Update file. You may also get additional information by calling PVMC’s Manager of Patient Safety Colleen Casacelli at x1553.
Following December’s Joint Commission survey, PVMC has earned The Joint Commission’s Gold Seal of Approval™ for accreditation by demonstrating compliance with The Joint Commission’s national standards for health care quality and safety in hospitals. The accreditation award recognizes PVMC’s dedication to continuous compliance with The Joint Commission’s state-of-the-art standards.
Your daily efforts to ensure PVMC is providing safe, high quality care and services to our patients, visitors, and staff are greatly appreciated. Thank you and congratulations!
Patients should be encouraged to send their valuables home with friends or family when possible. The safe is to be used only for items such as cash, credit cards, jewelry, passports, etc. All other items should be kept with the patient.
The safe is located in the ED Admissions Office. For the complete details, download the procedure document here. For questions about the safe, please contact Cynthia Reeves (x1552) or Chiyon Lee (x1450).
With Spring we welcome Spring flowers and the potential for severe weather. Now’s the time to refresh your memory regarding PVMC’s Severe Weather Plan with the April Issue of Patient Safety News. If you have additional questions regarding response to severe weather, please speak with your supervisor or refer to the Severe Weather Alert policy on the intranet.
Remember that when The National Weather Service issues a Watch it means that severe weather is possible, but not imminent. However, when a Warning is issued, it indicates that severe weather has been localized and is imminent for our area.
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.
During our recent Joint Commission survey, there were several discoveries of entries that lacked dates and/or times. So, this Issue of the Patient Safety News focuses on that very thing – dating and timing. Please take a look and see what actions have been taken to correct this, and how you play a role in helping us ensure ongoing compliance.
- Include the date, time and writer’s signature
- Be legible
- Be done in pen, not pencil
- Use a cross thru for correction of errors, then initial and date -do not use white out
- Be free of PVMC “Do Not Use Abbreviations”
Click here for the March issue: Patient Safety News Issue 43 Dating-Timing