Download Clinical Education Newsletter, March 2012

Editors:
Vivian Norman, RN,
MSN, CCRN
Clinical Education Newsletter, March 2012
Mary Welly, RN, BC,
BSN
Editor’s Notes
1
Celebrating the
Success of our Staff
2
E d i t o r ’s N o t e s
March 2012: in this issue you will find some exciting
happenings at St. Joseph Hospital:
2012 Nurse Week
3
Award Nominations
March Madness: when the Nurses who make up the shared
2012 Foundation
Sponsored
Scholarships
4
governance councils of St. Joseph Hospital gather to share best
practices, accomplishments and goals for the coming year. It is the one time
each year that we re-focus our attention on our
marvelous Magnet designation. This year’s March Madness will be held on
March 28.
Caritas Centering
Exercise
5
Nurse Week: Blessing of the Hands will be held on Monday, May 7, and
Clinical Narrative
6
Preventing
Functional Decline
While Hospitalized
7
Alaris System IUI
Inspection
8
Vickie’s Research
9
Searching for
Policies: Tips and
Tricks
10
Policies and
Procedures
11
the Nurse week reception will be on May 10. There will be more details on the
flyer on page 3.
Research Fair: The Nursing Research Council will hold the first “Sacred
Cows: Moooving the Evidence” on May 7. Submit your clinical question in the
designated boxes that will be placed on the units.
We would like to encourage all of you to attend these events. It will add to
the professionalism, and besides, will be fun, too!
Mary & Vivian,
(your professional, social planners,
And newsletter editors for March)
Formatting Editor: Phyllis Sharum
Evidence Based Practice Seminar, October 5, 2012
NEW Skin Care
Cleansers and
Protectors
October may seem a long way from now, but a Planning Committee is already
strategizing for our 8th Annual Evidenced-Based Practice Conference!
Burlews Clues
12-14
MicroBytes
15-16
Power Minute
Labeling
17
This year the focus will be on the care of the geriatric patient
throughout the hospital.
Page 2
Celebrating the Success of
our Staff

Kathryn Cosgrove, Night Shift House Supervisor, graduated with her BSN from Cal State Fullerton.


Cathy Shinto (CVSSU) recently received her CN III and was accepted into the MSN program at Vanguard University.
Charlene Gozony, RN (Main PACU) recently received her BSN from the University of Phoenix.

Hooi Teng Chen RN, CNOR from CVOR passed the perioperative nursing certification exam.

Diana Quing RN, CNOR from Main OR passed the perioperative nursing certification exam

Terry Roth RN, CNOR from Main OR passed the perioperative nursing certification exam

Treva Thomas RN from CVOR completed the perioperative nursing 101 course

Diana Perkins RN from Main OR completed the perioperative nursing 101 course

Diane Upton RNC, L&D Day Clinical Coordinator, just graduated with a MSN from Phoenix University.
Diane was the recipient of a full scholarship from the March of Dimes for her MSN program
T
hank you to all who completed the survey,
“Healing Relationships Skills and Attributes Survey”!

152 surveys were completed at SJO!
Two i-pods were given away for participating and the winning names were drawn during
Research Council.
We would like to congratulate:
Esmeralda R. Delos Reyes (Rina) from General Surgery and Nic DuPree from BHS!!
Rina Delos Reyes
Nic DuPree
Page 3
2012
Nurse Week Award Nominations
H
ere is your opportunity to recognize a co-worker who exemplifies
excellence and quality within nursing at St. Joseph Hospital. Please
take a few moments and fill out a nomination form. Anyone can nominate.
Nancy Bernardino Clinical Excellence Award
This award is to recognize a licensed staff nurse providing direct patient care,
who exemplifies our four core values – Dignity, Excellence, Service, and
Justice.
Nursing Leadership Excellence Award
This award was created to recognize Directors, Managers, Clinical Coordinators,
Educators, Advanced Practice Nurses and extended role nurses who are
excellent leaders and mentors.
Nursing Assistant Award
This award is intended to recognize the major contribution of our nursing
assistants and patient care technicians to the overall success of patient care
within our organization.
Nurse Yearling Award
This award honors a newly graduated nurse or a seasoned nurse who is in a new
area of expertise.
Nomination forms have been distributed and are available on the nursing units, in
the Staffing Office, Cafeteria, and in Katie Skelton's office. Forms are also available
on CareNet in the Nursing Center of Excellence.
Drop boxes for completed forms are located in the SJH Cafeteria, Staffing
Office, SFDB (Katie's office), Renal Center, CV-OR & Main OR Nursing Lounges,
ED Nursing Lounge, Cancer Center and the Pavilion Outpatient Nursing Lounge,
or the Information Booth on the 1st floor.
Deadline for turning in nominations is Tuesday, March 13, 2012.
Nominees and winners will be recognized during the Nurse Week Reception
on Wednesday, May 9th.
For any questions please call Peggy Walsh at ext. 28381.
Page 4
2 0 1 2 Fo u n d a t i o n S p o n s o r e d S c h o l a r s h i p s
S
t. Joseph Hospital is offering six Foundation sponsored scholarships. Applications may
be picked up in person from the Clinical Education Department, 2nd Floor, Sister Frances Dunn
Building, beginning April 2 and must be returned by May 31. Scholarships will be awarded
during July 2012.
Employees who have completed one full year of
employment at St. Joseph Hospital are eligible
for the following scholarships:
Sister Frances Dunn Scholarship
Larry K. Ainsworth Leadership
Scholarship
This scholarship will be awarded to individuals
working towards health-care or health-business
related degrees, specifically those fields in which
St. Joseph Hospital has a vested interest.
The following two scholarships are open to both
employees and non employees:
Alice Paone Scholarship
This scholarship provides an avenue for the proThis scholarship provides individuals with cermotion of professional advancement in nursing,
tificates, degrees, or coursework leading to licen- as well as to provide a mechanism for the resure for healthcare related careers, specifically
cruitment and retention of highly qualified nursthose fields in which St. Joseph Hospital has a
ing staff. Recipients may be employees, volunvested interest.
teers or their children. There is no assumed employment obligation attached to this scholarship
Dominick Gentile Scholarship
for non-employees.
This scholarship provides for the promotion of
professional advancement in health related areas Thomas Dorsey Scholarship
for Renal Center nurses and technicians, as well This scholarship provides for the promotion of
as to provide a mechanism for the retention of
professional advancement for Cardiac Catheterihighly qualified staff.
zation Lab nurses and technicians, as well as to
provide a mechanism for the recruitment and
retention of highly qualified staff. This scholarPractice RN Scholarship
ship is awarded to any professional or technical
This scholarship provides an avenue for the pro- cardiovascular or radiographic program that remotion of Advanced Nursing Practice, as well as sults in a degree or certificate.
to provide a mechanism for the recruitment and
Recipients of this award may be employees, volretention of highly qualified staff. This scholarunteers, and/or their children, or community
ship is intended to support the academic
members with a St. Joseph Hospital sponsor.
achievement of the R.N./B.S.N. to the M.S.N.
There is no assumed employment obligation atlevel.
tached to this scholarship for non-employees.
Madeline Colette Seeds Advanced
Page 5
Caritas Centering exercise
Breathing is a miracle of life.
Use the time that you are washing your hands to take a few slow, deep
breaths.
Relax …… Calm ….. Refresh
Use the time that you are washing your hands to think of not only cleansing your hands, but also cleansing your spirit, to be prepared to enter
into your patient’s environment. To be the environment.
Remember, what is in your heart comes out your hands.
Core principles of Jean Watson’s
Theory of Human Caring
Practice of Loving kindness and Equanimity
Authentic Presence; Enabling deep belief of others
Cultivation of one’s own spiritual practice – beyond ego
“Being” the caring-healing environment
Allowing for Miracles
Page 6
Clinical Narrative by: Salem Sweeton, RN, Clinical Nurse II, Med Pulmonary
I
t was my second night shift during my 10-week preceptorship. I was sitting at the nurses’ station charting when the code blue was called out. I thought to myself, “I should just continue charting; they probably have enough people already”. Then, something told me to get up and see what I could do.
So, I got up and walked back to the room. I saw some faces full of panic, and then I saw the pale, blue, life
-less face of an elderly woman being jostled around by each compression that the charge nurse was giving.
I thought, “The charge shouldn’t be doing compression he (I’m sure) has many other things to do for this
patient right now.”
I put on my gloves and went into the room and took over compressions. Although I had been trained, this
was only the second time doing compressions on a person’s chest. I remember looking into the woman’s
face as her ribs cracked under the force of my compressions. She seemed gone. I thought, “there is no
hope here, why bother” Then, I though “what if this was someone I knew or my loved one, would I just
give up? So, I started to pray as I continued compressions. By this time, the whole team was there. They
gave 1 mg of epinephrine and were preparing to intubate when they called for a pulse check.
To my amazement, she had a strong pulse. Some time, while my hands were on her sternum cracking her
ribs, her heart started to beat again. She was transferred to ICU and I don’t know how she did after that.
As a new grad I learned many great lessons that night.
I learned that I do have something to offer, but most of all, I learned that there is always hope. I will never
forget that I had a hand in helping to bring her pulse back. It is an amazing feeling.
“True success comes from
knowing that you are making a
difference, no matter how small,
in the life of a patient, a
colleague, or a student”
By: Karen Baguley, MSN, RN
Toronto, Ontario, Canada
Page 7
SJH’s Gerontology Nursing Special Interest Group (GNSIG) each month presents EBP
information to update staff and family members in providing improved care for our senior
patients.
“The Gero-Gem”
Preventing Functional Decline While Hospitalized
What is Functional Decline?
Functional decline is the decrease in the ability to perform activities of daily
living (ADL’s) such as walking, bathing, transferring from bed to chair,
toileting, or feeding self. Functional decline leads to loss of independence
and quality of life. One third to one half of all hospitalized older patients will
experience some decline and is the most common complication of
hospitalization.
Bed rest and Functional Decline
Studies show that by the second day of bed rest, muscle
deconditioning begins to occur, especially in those greater than 60 years old.
Leg muscles are most affected. Safely transferring from bed to chair
without assistance is required to continue living independently. Maintaining the leg strength is crucial.
Bed rest also leads to decrease in aerobic capacity, vasomotor instability, and respiratory function.
Due to these factors, senior patients on bed rest are prone to complications such as DVT’s, falls,
syncope, atelectasis, and constipation.
Activities to Prevent Functional Decline
While a hospital is not conducive to normal activities, try to maintain as “normal” of a lifestyle as possible. The
following activities will assist to prevent functional decline.
Walking at least three times a day, as long as approved by physician. Patient should ask for assistance when
walking to prevent falls. Make sure patient has slip resistant socks or shoes on. If unable to get out of bed,
request physical therapy and encourage simple bed exercises.
Encourage patient to wear glasses and hearing aids and keep available at bedside.
Keep assistive devices that patient uses available at bedside (cane, walker).
Assist patient to get out of bed for all meals. Not only will this help keep moving, but it will also assist with
digestion and lung function.
Encourage/offer patient to toilet every two hours while awake. Encourage use of bathroom or bedside
commode instead of bedpan.
Have patient sit at the sink to bathe or shower if this is their normal routine. Have patient brush their
teeth and hair while up and assist changing gowns. These are good arm activities. Keep mind active with music, newspapers, puzzles, phone calls, and TV.
REMIND PATIENT TO BE SAFE AND NOT GET UP ALONE
REFERENCE:
King, B. (2006). Functional decline in hospitalized elders. MEDSURG Nursing, 15(5), 265-272.
Page 8
PRIOR
to attaching the Alaris Module to the Main Brain INSPECT for Cracks
Rationale: the unit will does not function properly
Page 9
Welcome to Vickie’s Research Corner
Research Fair
Here we are in 2012 and the Nursing Research Department and Council has been very busy planning
another wonderful year! We have planned a wonderful Nursing Research Fair on May 7th, 2012 during
Nurses Week; so please SAVE THE DATE!! The concept of the research fair came from our own Beth Winokur after going to a Magnet Conference and seeing another hospital present their research fair. She
brought the idea to the research council and here we are planning away!
The fair will be located in the staff entry-way to Building Two. The theme is Sacred Cows!
Moooving the Evidence! Sacred Cows are “traditional practices that are routinely carried out but may not
be justified as best practices to achieve optimal patient outcomes” (Mick, 2011). Examples include the
Cash Cow- this is the most expensive but cost-ineffective traditional practice being performed without
supporting evidence; the Mad Cow- this is the craziest, most bizarre, outlandish, weird, and ridiculous
traditional practice being performed
Without evidence; I never saw a purple cow- no one has ever read any evidence that supports this
traditional practice or can explain why it is being done; “Til the cow comes home”- a traditional practice
of unknown origin being performed for the greatest number of years without supporting evidence; Don’t
have a cow- everyone would be upset to give up this traditional practice, even though there is no
evidence for doing it; and put the cow out to pasture- everyone is aware there are no benefits to this
practice and would like to get rid of it! (Mick, 2011).
Watch for Nursing Research Council members coming to your unit to present and look for the Great
Cookie Experiment over the next month. AND……… put on your overalls and come to the farm to see how
all the sacred cows impact your practice. We will also be running a contest soliciting Clinical Practice
Questions throughout the next several months that will continue through the day of the fair! Each unit
will have their own cow box to place a Clinical Practice Question in and hopefully be selected as the
winner – if you win you get to go to the Magnet Conference in October which is in Los Angeles this year.
This is a great opportunity for a staff nurse to go to this conference! All nurses are encouraged to submit
a clinical practice question.
Page 10
Searching for a Policy?
Page 11
New
Skin Care-Cleansers and Protectants
Remedy Z-Guard
Skin Protectant
Remedy Antimicrobial
Remedy Clear-Aid Skin Protec-
Remedy Antifungal Clear Oint-
Remedy Dimethicone Skin Protec-
Page 12
Burlew’s Clues
By: Danielle Linden
Keep up with the latest evidence
We realize how difficult it can be for RNs to keep up with the professional literature, but with the push
toward Evidence Based Practice keeping up with the evidence is more important than ever. Let the
folks at Burlew Medical Library help keep you up to date on new articles published in your fields of
interest. We subscribe to 100’s of nursing journals in electronic format and can set you up to receive
automatic Table of Content (TOC) notification emails when new journal issues are released. For instance, if you work in the Infusion Center, we can set you up to receive a monthly email with the list of
new articles published in the latest issue of Journal of Infusion Nursing. You will have the ability to
access any of the articles online through the Burlew Medical Library – or you can request the articles
directly from us. The following is an abbreviated list of journals that we can set you up to receive TOC
emails for – the full list of journals is available on our A-Z Online Journal List at
www.BurlewMedicalLibrary.org:
AACN Advanced Critical Care
Advances in Skin & Wound Care
AJN, American Journal of Nursing
AORN Journal
Cancer Nursing
Dimensions of Critical Care Nursing
Holistic Nursing Practice
Journal of Cardiovascular Nursing
Journal of Emergency Nursing
Journal of Patient Safety
MEDSURG Nursing
AND MORE!!!
Contact Danielle Linden at ext 17759 or [email protected] for more information
Nurses earn FREE CEUs from CINAHL through the Burlew Medical LIbrary
Visit http://ceu.cinahl.com/
Under the “New User Enrollment” section, choose “Click here for pre-registration”
Fill out the form and click “register” (remember to write down your password!)
Once you register you will be sent an “unlock” code and further instructions for confirming your account to
the email you provided in the registration form. Check your spam or junk mail file if you do not receive this
email within 10 minutes
After confirming your account you will be logged in to the home page. Click on the “available modules” tab
for a list of classes. Before taking your first test you will be asked to fill out a form with your professional
information and hospital affiliation. Please use the hospital’s address, 1100 W. Stewart Dr. Orange, CA
92863
Please see the FAQs for more information or contact CINAHL at [email protected] or 800-959-7167
Page 13
New Book List
Alexander's surgical procedures
Alexander, Edythe Louise; Rothrock, Jane C.; Alexander, Sherri M.
Basic arrhythmias
Walraven, Gail
Basic concepts of psychiatric-mental health nursing
Shives, Louise Rebraca
Cancer nursing: principles and practice
Yarbro, Connie Henke; Wujcik, Debra; Gobel, Barbara Holmes
Caring for older adults holistically
Anderson, Mary Ann
Change leadership in nursing: how change occurs in a complex hospital system
Hickey, Mairead; Kritek, Phyllis Beck
Clinical decision making: case studies in medical-surgical nursing
Ankner, Gina M.
Drugs in pregnancy and lactation: a reference guide to fetal and neonatal risk.
Briggs, Gerald G.; Freeman, Roger K.; Yaffe, Sumner J.
Electronic health records and nursing
Gartee, Richard; Beal, Sharyl
Essentials of e-learning for nurse educators
Bristol, Tim J.; Zerwekh, JoAnn
Essentials of fetal monitoring
Murray, Michelle L.; Huelsmann, Gayle; Koperski, Nanci
Gerontological nursing: Scope and standards of
American Nurses' Association.
Grief, loss and bereavement: evidence and practice for health and social care practitioners
Wimpenny, Peter; Costello, John Francis
Human caring science: a theory of nursing
Watson, Jean
Intravenous medications: a handbook for nurses and health professionals
Gahart, Betty L.; Nazareno, Adrienne R.
Page 14
New Book List, con’t
Manual of neonatal care
Cloherty, John P.
Manual of perioperative care in adult cardiac surgery
Bojar, Robert M.
Measuring caring : international research on caritas as healing
Nelson, John; Watson, Jean.
Pediatric nursing procedures
Bowden, Vicky R.; Greenberg, Cindy Smith
Pharmacology and the nursing process
Lilley, Linda Lane, et al.
Primary care : the art and science of advanced practice nursing
Dunphy, Lynne M. Hektor.
Psychiatric mental health nursing : concepts of care in evidence-based practice
Townsend, Mary C.
Review of hemodialysis for nurses and dialysis personnel
Kallenbach, Judith Z.
Shared governance: a practical approach to transform professional nursing practice
Swihart, Diana.
Transcultural concepts in nursing care
Andrews, Margaret M.; Boyle, Joyceen S.
Your first year as a nurse: making the transition from total novice to successful professional
Cardillo, Donna Wilk
Page 15
How to register for classes on HealthStream
●
MicroBytes by: Phyllis
www.healthstream.com/hlc/sjhsca
●
Once you login to HealthStream,
enter your User ID (your 6 digit
employee number) and the password:
comply (lower case)
Enter the website address:
Go to CareNet, look for the HealthStream logo on the
home page:
1. Click on the Catalog Tab.
2. Either search by Category or type the course your looking for in the search field.
3. Click on the Course you are searching for and it will
take you to the Curriculum Overview.
Click on Enroll
4. Click on the link Course Information
to review the class details. Then click
on Enroll. The Course Details window
will open. You are not registered yet.
Click on the link to the learning activity and click on Register. You will see
confirmation of class registration.
Page 16
Computer Classes for April,
May, June, 2012
All classes are held in Computer Room 6B using Office 2007
April
May
June
Access:
Introduction
April 19; 8:30-12
Queries
May 17; 8:30-12
Forms and Reports
June 13; 8:30-12
Excel:
Introduction
Intermediate
April 16; 8:30-12
June 4; 8:30-12
May 7; 8:30-12
Pivot Tables
May 30; 9-12
Excel Visual Basic Applications
(for Advanced Users only!)
May 2; 8:30-12
Part 1 of 2
June 6; 8:30-12
Part 2 of 2
PowerPoint
Introduction
May 10; 8:30-12
Creating Powerful Presentations
June 21; 8:30-12
Word
Introduction
April 24; 8:30-12
Intermediate
May 16; 8:30-12
Outlook
April 27; 1-3pm
Publisher
April 23; 9-12
Please contact Phyllis Sharum, x17435,
for any questions regarding the Classes.
[email protected]
June 25; 9-11am
Page 17
Please
Read
IV Lines & Intravenous Medications that
Require a Label
Please Label: Multiple medications infusing into one IV site
Please Label: Continuous medication infusions, regardless if only one
medication per IV site
What type of label do I use?
A white label is preferred (exception: unless a pre-printed label is used, such
as in critical care settings)
What do I write on the label?
Print clearly, the name of the medication infusing
When do I label the line?
The IV line will be labeled at the time of connection
Where do I place the label?
The label is to be placed at the end of the tubing, closest to the insertion site
[i.e. insertion into the primary line, directly into the IV site]
Please label…
Tubing’s/Catheters Infusing Medications
other than peripheral intravenous routes:
Epidural Medications or Femoral Nerve Blocks are to be labeled at the time of
connection, closest to the insertion site
Central Venous Catheters, Hemodialysis Catheters, and Peritoneal Dialysis
Catheters are to be labeled with the clearly printed name of the catheter whether or
not medications are currently infusing
Reference: RX-444 Medication / IV Administration, page 12 of 15
Power Minute sent on 06.28.11 by Tina Retrosi, Patient Safety Officer
Power Minute re-sent on 10.11.11 by Tina Retrosi, Patient Safety Officer