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Huddle of the Day
NEWS FROM THE NAVIGATOR
JANUARY 26, 2018
Clinical Nurse II-III: Become a valuable resource for team to ensure success for our HF patients. Conduct post-discharge chart audits and submit to the Navigator weekly.
Clinical Nurse IV-V: Make a direct impact ensuring that our HF patients re-ceive the standard of care by conducting real-time chart reviews, intervening when necessary, tracking interventions and reporting to management to help meet and sustain our Key measures goals.
For more information, please contact Cherice via VOCERA or email to get started!
HEART FAILURE:
C linical Ladder Opportunities!!
We currently have 2 programs available now for Heart Failure for those of you searching for clinical ladder opportunities. A third oppor-tunity will be announced at a later date as it pertains to stroke.
Here is a quick glace of the pro-grams currently available:
HF Call-Back RN:
Clinical Nurse II-III: Follow up with acute CHF patients after discharge to reinforce educa-tion and promote compliance with self-care management; a key component to our HF in reducing readmissions and improving patient satisfaction.
Clinical Nurse IV-V: Collect, track, and report data obtained during call backs to improve quality of care across the healthcare continuum.
2. HF Quality Champion:
Speaking of HEART FAILURE . . . LOOK how close we are to meeting our Key measures for this month!!
Only one week left! Lets get 80% across the board!!!
Page 2 Huddle of the Day
STROKE:
ED, RRT, ICU, and PCU Nurses:
If you haven’t already, please complete your NIHSS and submit your certificate of completion to Holly Nyhuis in education.
MS and CDU Nurses:
Did you know you can complete the NIHSS training and receive free CEUs? Although your units are not required to complete the training, this is a great educational opportunity. Contact Cherice if interested for instructions.
**ALL RNs and PCTS:
2-hour Mandatory “Time is Brain: Initial Stroke Training”:
Please make sure you have registered for one of the 10 sessions available in NetLearning. If you are experiencing difficulty, please notify your Clinical Resource Nurse for assistance.
Questions? Please contact Cherice Gertsman, Special Programs Navigator/Stroke Coordinator via VOCERA (“Nurse Navigator”) or via email: [email protected]
NEWS FROM THE NAVIGATOR
Policy # 200.316 Discharge Plan-ning has been archived. Discharge planning information (shown below) can be found in policy # 200.312 Plan of Care.
Discharge Planning:
1. The discharge planning process is initiated early in the care, treatment and services process.
2. Early identification of patients requiring discharge planning will be accomplished by the following methods:
a. Admission screening by nursing staff, case management and/or social work.
b. Interaction with the physician at admission to coordinate the discharge date.
c. Referrals, as identified, for care planning.
STROKE is a MEDICAL EMERGENCY in which time is of the essences in achieving positive patient outcomes. For this reason, there are critical documentation pieces and time sensitive tasks that must be met when
Policy Update for Discharge Planning Information
3. Interdisciplinary rounds:
a. Unit managers will determine the frequency of discharge planning rounds based on patient population and required participants.
b. Rounds will be:
1) Coordinated by the RN case manager and/or charge nurse as needed, and
2) Will involve the medical treatment team.
3) Involve the patient/family in the planning process to see that the patient’s post-hospitalization care needs are met.
4) Post-acute care needs will be assessed and referrals for such care needs and interventions will be documented in CIS.
c. If the frequency of the interdiscipli-nary rounds does not meet an indi-vidual patient’s needs, the patient’s nurse will be responsible for consult-ing the appropriate disciplines to arrange for services to meet the patient’s needs after discharge.
4. Discharge instructions:
a. The discharge nurse will provide instructions to the patient/family based on the discharge orders to include as appropriate to the patient, information on activity, medications, wound care and follow up appointments.
b. The patients’ understanding and receipt of the discharge instructions will be documented.
Page 3 Huddle of the Day
Sonja Mattingley- OB (Nursery & Mother-Baby) Pictured with CNO, OB Manger, Sonja & immediate past Daisy winner from ICU
PDR is pleased to announce the 4th Quarter of 2017 Daisy Award Winner: presented on 1/22/2018
Please think of energizing your department, families, friends, and social media networks to join us and be a part of a bigger team effort to help babies who cannot help themselves. The commitment is not time consum-ing and is actually a lot of fun!
All participating team captains are invited to a brunch kickoff party on Feb 1 at 10am. Please RSVP to Linda Piper at [email protected] if you plan to attend and become a captain for the 2018 walk!
S outh Lake Hospital is part-nering again this year with the March of Dimes to help
raise funds crucial to understand-ing the needs of prematurely born babies and developing technolo-gies to help them.
We need team captains for the walk! The Walk is May 5th, 2018 right here at the National Training Center and South lake Hospital.
March of Dimes
Page 4 Huddle of the Day
Other ways that South Lake Hospital protects their patients are:
Proper hand hygiene every time
In the Operating Room the surgeon scrubs their hands and arms up to the elbows with an antiseptic agent
We clean our patients with Sage Wipes prior to sending them to surgery
We use electric clippers if necessary, never a razor
All team members in the OR will completely cover their hair with a OR bonnet and may wear booties to cover their feet
If indicated, antibiotics are given before surgery
and then continued after surgery, but discontinued within 24 hours
We work with our dieticians to create a meal plan which will provide appropriate nutrition for healing
We will educate our patient and family members about proper care of the surgical site once they get home
A ll of us can participate in this important goal
of keeping our patients free from surgical site infections by practicing proper hand hygiene and keeping our environment clean.
Reducing Surgical Site Infections
H ave you noticed more green scrubs lately? These green scrubs worn by team members assigned to procedural or
surgical areas. Team members change into the green scrubs when they arrive at work, and will change out of them before they leave the building. This is one way that we are continuing to keep our patients safe and free from surgical site infections.
Page 5
Library and Clinical Resources
O rlando Health’s Swift web-site provides a wealth of up-to date knowledge-based information available 24 hours a day, 7 days a week.
Available under the Clinical tab are links to Library Services, CareNotes, CDC, Lexi-Comp, and more.
Reference materials are current until newer ones are released. For example, BLS and ACLS reference materials are good until updates are released from the American Heart Association. Drug companies publish reference books every year, so they must be replaced every year.
M ake sure clinical reference materials are current and utilize Swift’s Resources for the most current clinical resources.
Page 6 Huddle of the Day
New STEMI Flow Chart
The flow chart for the STEMI process has been updated. Please take a look at the new STEMI Flow Chart to
stay up to date and informed!
Page 7 Huddle of the Day
The U.S. push toward encour-aging breast-feeding at hospi-tals is an outgrowth of the global Baby-Friendly Hospital Initiative, launched in 1991 by the World Health Organi-zation and UNICEF in re-sponse to research showing the health benefits of breast-feeding. Breast-fed babies have lower rates of diabetes, child-hood leukemia, sudden infant death syndrome and other illnesses. The WHO (World Health Organization) main-tains that breast-feeding will help cut child deaths from malnutrition, which is now responsible for nearly half of all deaths of children younger than 5.
To become certified, a hospi-tal must adopt 10 practices that research has shown to promote breast-feeding, in-cluding skin-to-skin contact between mother and infant within the first hour of life and rooming in — 23 out of 24 hours a day.
“It’s a myth that moms sleep better when the baby’s in the nursery,” said Macenroe, whose organization has been designated by WHO to certify U.S. hospitals. “Research shows that moms sleep better when babies are closer to them.”
The U.S. government’s goal is to have 80 percent of new moms breast-feeding initially, 60 percent of moms continu-ing to breast-feed at six
months and 34 percent breast-feeding for a year — the recom-mendation of the American Academy of Pediatrics.
The guidelines also call for decreasing the share of new-borns who receive infant for-mula within the first two days of life from 24 percent in 2006 to 14 percent in 2020.
In 2011, the Centers for Dis-ease Control and Prevention reports, 79 percent of all moms began to breast-feed, but that 49 percent continued nursing at six months and only 27 percent after a year. The biggest disparities fall along socioeconomic lines, with higher-income mothers exclusively breast-feeding.
Macenroe said her work is slow going. “We’re trying to change a hospi-tal culture that’s been in place for many, many decades,” Macenroe said. As late as 2011, the CDC re-ported that 78 percent of U.S. hospitals still gave non-breast milk (infant formula) to healthy, breast-feeding
infants. Many still send new mothers home with goodie bags filled with bottles and formula.
Although the baby-friendly movement has been growing, in 2007, barely 2.9 percent of all U.S. births were in baby-friendly facilities, HHS re-ports. Its goal is 8.1 percent by 2020.
South Lake Hospital began its journey towards becoming designated as a Baby Friendly Hospital in 2014. We are currently in the final phase known as the Designation Phase, as of January 2018. Our goal is to host a site visit, which includes staff questions about Baby Friendly Hospital practices, and to become des-ignated by the end of 2018.
The Baby-Friendly Hospital Initiative
Page 8 Huddle of the Day
D ue to the na-tional shortage of IV solu-tion bags, we have been doing many IV medica-tions as an IV push/bolus instead of an infusion. If you have any questions about how to administer
It will be a series of 10 classes that will focus on the parts of medical words, what they mean and how to pronounce and spell them correctly.
Upon successful completion of the class you will receive a certificate of completion.
The class if free of charge.
Sign up in net learning now for ‘medical terminology’ the classes will be held from 4:30—6:00 twice a week with a start date of February 27th.
For more information contact:
Rosemary Crain, MSN, RN, PCCN
352-394-4071 ext. 2936
As part of South Lake Hospitals SHINE program medical termi-nology will be available again in February.
The medical terminology class is geared towards our ancillary team members that are looking to grow within South Lake Hospital.
January PEAK is now in NetLearning
Tittle: End of Life care- Respiratory Symptoms
H ave you lost your stethoscope?
See the administrative supervi-sor to describe and claim.
Page 9 Huddle of the Day
High Census = High Stress
Woah! You all been BUSY! Please take time for yourself by checking into the Chillax Room located across from Out-patient Registration.
Take 5 minutes to recharge. Enjoy the tranquil nature scenes displayed on the TV, listen to the fountain, follow the meditation exercise, or simply close your eyes and just breathe.
SLH Field Day
Register in the beBetter portal.
Registration closes two weeks from to-day, Wednesday February 7th. Bringing family members?
Awesome! RSVP for them by emailing [email protected] with their names and ages.
What fun events will you participate in on Friday, February 9th from 6:00-7:00pm? Check out the flyer for all this information and more. This is a FUN, family-friendly field day – join in today!
Joint Commission Corner
Each week you will get a chance to win a prize if you email Lynn Obrien the cor-rect answer.
The 5th responder gets the prize.
What equipment can power strips be used for? A. ALARIS Pump
B. DINAMAP C. No medical equipment
D. O2 Sat Monitor
Answer from last week:
What is the turn around time for STAT lab work?
1 (one hour) from the time the specimen is received into the laboratory.
Stress Relieving Tools and Tips
1. Beat stress by initiating positive
relationships 2. Get Moving – regular exercise is
a powerful stress reliever 3. Prioritize & Organize 4. Eat Well 5. Get Enough Sleep 6. Break Bad Habits
Your Pet’s Picture If you would like your pet’s picture to be
featured in our huddle email please send a
picture to:
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