C ODE W RITE! NOVEMBER 2003
WETU/Wesson 2/LDRP Newsletter Magnet Montage What does MAGNET status mean to
WETU has now officially joined Women’s Services, after spending the last 10 years under the auspices of Ambulatory Care. Please help welcome them back into our family!
Baystate? Baystate Medical Center’s gaining a MAGNET hospital status will attract nurses to come to work with us. Magnet Hospitals have lowered nurse vacancy rates and result in less difficulty filling positions which will help us to give excellent patient care. With the nursing shortage projections, this is a
PeriPad……………... A column with an interesting twist from your friendly neighborhood perinatologist!
July’s Jewels 341 Total Deliveries includes 9 sets of twins 21 Booked Sections 62 Emergent Sections
course Baystate is taking to be proactive in having enough nurses employed by the hospital to do the work that our patients need. MAGNET status also makes a commitment to existing nurses by assuring salaries and benefit packages are the best in the marketplace. An exciting addition to RN staff’s educational support is coming in the near future. Baystate administration has approved funding for nurses desiring specialty certifications. RN’s will be eligible for reimbursement for specialty certifications as well as renewals (RNC). In addition to the reimbursement of fees after securing a successful certification, a one time, $500 (net) bonus will be awarded. For Wesson Women’s Services, certifications in either Maternal/Child or Perinatal High Risk are eligible. According to Tim Teehan RN. of Nursing Staff Development, this program could take effect as early as January 2004.
SIGNS Signs are observations of abnormalities indicative of a disease or a specific problem. For example, articles on shoulder dystocia management invariably list a number of clinical “signs”. These include: WCO sign—the infant just Won’t Come Out, Turtle sign or “cranial recoil” when the fetal head rapidly withdraws inward after its initial delivery. Fat Face or “double chin” sign when the plethoric, plump jowls of the infant are noted to abut firmly against the maternal perineum. But, there is yet another sign, long forgotten from Francois Mauriceau, the premier accoucher in France in the late seventeenth century. His insightful book, Maladies des Femmes Grosses (Seasons of Pregnant Women), was followed by a companion text that included his case reports, his Observations. In this latter text, he relates that if he entered a house for a delivery and saw that the father of the baby had big shoulders, he worried about the possibility of dystocia! Voila! A sign rediscovered! How about we call this one the “French Connection”, or better yet, the “Schwarzenegger sign”!
VOLUME 1, ISSUE 3
Staff meetings and Magnet nurse reps will keep you informed as details become available.
O R N E R “It’s an honor to be associated with such a skilled and devoted staff, providing excellent care for the women in our community”
JoAnn Mizell, RN Manager WETU Baystate’s Bits! Sue came into my room, sat down and asked me what questions I had and answered each one. I felt very special.
The Cerner project’s proposed "go-live" dates are rapidly approaching. MLH will be first in January with Franklin to follow in February or early March, and BMC in May. The entire program is still in the process of being built, and everyone is working at a furious pace. (Just ask Brenda Spath!) Hands on training for the Lead Superusers should begin within the next month. After that I will be looking for Superusers to assist in the training and implementaion of this new system. Anyone interested? I'll post dates and a sign up list soon.
Diane…very compassionate. Donna maintained her sense of humor without a word of complaint!
Kathy Freme RN, BSN
A Lesson Learned… by Na ncy Ri nes R N, BSN An elderly peasant in China had two large pots, Each hung at the ends of a pole which he carried across his neck. One of the pots had a crack in it while the other was perfect. At the end of the long walk from the stream to the house, the cracked pot arrived half full, while the intact pot delivered its full volume of water. For two years this went on daily, the bearer delivering only one and a half pots of water to his house. Of course, the perfect pot was proud of achieving its full potential but the poor cracked pot was ashamed of its imperfection, and miserable that it was able to accomplish only half of what it had been made to do. After two years of abject failure, it spoke to the water bearer one day by the stream. “I am ashamed of myself, because this crack in my side
REAL SMOOOOOOOOTH!!! Let’s make our days and nights go more smoothly when a Cesarean is looming! Recently, a small study group including Gail Bordua, Chris Curylo and Beth Zabielski met to see if we could make nonemergent, unbooked Cesarean sections get accomplished more expediently. The most consistent problem identified is lack of communication. We polled anesthesia and some attending OB’s and got a wide range of ideas about how long it should take to get a “section” going. The ACOG standard for an emergency section is 30 minutes. We concluded that with good communication and cooperation, our excellent staff can do this in 20 minutes. An algorithm of necessary contacts is being developed to assist in streamlining this process. Our docs and patients will be happier, making our jobs more pleasant! Chris Curylo RN
Terekah’s Tips!!! “If you need a new hairstyle, please visit a salon. What you and a pair of scissors can do in 10 minutes may take months for your stylist to undo.” “Tapered Jeans…I also had trouble parting with mine but I did it and I’m finally free.” “BOOT CUT ONLY”
causes me to leak all the way back to your house.” The bearer said to the pot, “Did you notice that there are flowers on your side of the path, but not on the other pot’s side? That’s because I have always known about your flaw, so I planted flower seeds Beside your side of the path, and every day while we walk back, you water them.” “For two years I have been able to pick those beautiful flowers to decorate the table. Without you, just the way you are, there would not be this beauty to grace the house.” Each of us has his own peculiar flaws. But it’s our cracks and flaws that make our lives together so interesting and rewarding. We just have to take each person, and ourselves, for what they are and look for the good in each.
WELCOME TO OUR NEW RESIDENTS! Emily Singer —Emily is a graduate of Smith College. She’s a drummer who also enjoys gardening. Congrats to Emily on her recent engagement to Greg Murphy, a BMC ER Resident!
Emily Weber —Emily hails from Gainesville, FL—she is a graduate of Mt Holyoke College and loves to ski, sing and write songs. Emily also recently became engaged—Best Wishes!
Mona Baruah —Mona comes to us from India. Mona is married with a son, Adit, and enjoys cooking, movies and music. She LOVES OBGYN!
Fadi Mirza—Fadi is a native of Beirut, Lebanon where he completed one year in Pediatrics. He was a Biology Major and loves soccer, music and the internet.
Anita Sandhu—A Biology/Psychology major, Anita received her degree from University of Texas in Austin. She has a beautiful dog named “Isabelle”. She loves to hike, run and snowboard as well as spend time with “Izzy”!
Awesome August! 372 Total Deliveries includes 10 sets of twins 20 Booked Sections 77 Emergent Sections
Hints… This beautiful baby has grown up right before our eyes! She has improved her sewing skills and has gone into the birthing process full tilt boogie. She could be anyone who frequents the halls of WETU, WIN2 or LDRP. Happy Guessing! Submit your guess to one of the boxes in LDRP, WETU or Wesson 2 kitchens by Nov 30th---Winner will be randomly selected from all the correct answers—A WONDERFUL PRIZE will be awarded!!! Congratulations to last issue’s winner— Alicia Coles RN, LDRP—she correctly identified the little sweetheart as Susan Kendall !
“It would have been nice to have a quieter room.” “The discharge process needs to be more timely.”
DID YOU KNOW???
…the location of the Difficult Airway tray?—Find it in the Anesthesia Workroom outside of PACU PARTING WORDS “I am still determined to be cheerful and happy, in whatever situation I may be; for I have also learned from experience that the greater part of our happiness or misery depends upon our dispositions, and not upon our circumstances.” Martha Washington 1732-1802
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