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Compiled by | Jordan Colwell, MHA, BSN, RN Contact | Jordan Colwell, MHA, BSN, RN P 308.630.1450 E Jordan.Colwell@rwmc.net 4021 Avenue B Scottsbluff, NE 69361

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Table of Contents A Note From The Editor

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Safety Sense

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A Message From Shirley

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Breakfast with Shirley

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Professional Development

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Coffee With Shirley

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Boxer Rebellion

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Shared Governance Updates

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Service Excellence

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Happy Spring and welcome to this edition of the Magnetic Times!

F. Jordan Colwell F. JORDAN COLWELL, MHA, BSN, RN Survey Preparedness/Magnet Coordinator

May has been a busy month for patient services and shared governance. We also celebrated Nurses Week in May. On April 30 and May 1 we had the privilege of having nationally known speaker, Julie Burney, MA conduct a presentation on Handling Challenges with Wit and Wisdom. Julie was very funny and I hope everyone who attended enjoyed her presentation. The Magnet Fair was held May 2 in the Main Lobby, upper level of the hospital. During this fair, we had numerous vendors, posters, and fun activities for staff as a way for us to say thank you to all the nurses! This year’s theme was Delivering Quality and Innovation in Patient Care. On May 8, we had our Break for Excellence Nursing Lunch. We appreciate everyone who showed their support for nurses and who contributed to the future of nursing by buying a 50/50 raffle ticket. Please congratulate the following 2013 Magnet Nursing Award Winners: Friend of Nursing Peg McFarland, OR LPN of the Year Sonja Gilliland, LPN, OR

New Knowledge/Innovations Mary Lockwood, RN, OR Structural Empowerment Lenna Booth, RN, Cath Lab Exemplary Professional Practice Chris Micheels, RN, PACU Empirical Outcomes Ruth McGee, RN, Medical/Oncology (3E) Transformational Leadership Lori Reifschneider, RN, Women’s Center Preceptor of the Year Travis Hargreaves, RN, ICU/PCU Congratulations to the following nurses who won a free trip to this year’s ANCC National Magnet Conference, “The Magic of Magnet” in Orlando, Fla. from October 2–4!! Deb Merritt, ARU • Diana Rohrick, Home Care Matt Blaylock, ICU/PCU • Janelle Schroeder, Quality Resources Enjoy the pictures from all the activities that happened in May! Best Wishes,

Jordan Colwell

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Shirley Knodel SHIRLE Y KNODEL, MS, RN Chief Nursing Officer VP of Patient Care

“Educated, well-to-do, and well connected, Ms. Nightingale was a British woman who was named after the city of her birth: Florence, Italy. During the Crimean War of the 1850s, Ms. Nightingale earned her moniker: “The Lady with the Lamp.” In the face of horrific wartime conditions, she ministered to wounded and dying soldiers, leaving such a “heart print” that she was immortalized in a poem by poet Henry Wadsworth Longfellow:

Monday’s Promise Responsibility

“Lo! In that hour of misery A lady with a lamp I see Pass through the glimmering gloom, And flit from room to room.”

Wednesday’s Promise Determination

(Tye, J. 2009, The Florence Prescription, p. 15)

In honor of Nurses Week, May 6–10, it seems appropriate to reflect on our nursing roots, honoring the woman whose mantra, when treading where nurses and in those days, women, had never gone before was, “Proceed until Apprehended!” This has come to be known today as “Self- Empowerment.” I would like to invite you to take The SelfEmpowerment Pledge with me:

I will take complete responsibility for my health, my happiness, my success, and my life, and will not blame others for my problems or predicaments. Tuesday’s Promise Accountability I will not allow low self-esteem, self-limiting beliefs, or the negativity of others to prevent me from achieving my authentic goals and from becoming the person I am meant to be.

I will do the things I am afraid to do, but which I know should be done. Sometimes this will mean asking for help to do that which I cannot do by myself. Thursday’s Promise Contribution I will earn the help I need in advance by helping other people now, and repay the help I receive by serving others later. Friday’s Promise Resilience I will face rejection and failure with courage, awareness, and perseverance, making

these experiences the platform for future acceptance and success. Saturday’s Promise Perspective Though I may not understand why adversity happens, by my conscious choice I will find strength, compassion, and grace through my trials. Sunday’s Promise Faith My faith and my gratitude for all that I have been blessed with will shine through in my attitudes and in my actions. Self-empowered caregivers come ready to care for others in their best state of being, ready to face challenges, learn from mistakes, and most importantly to be courageous in their caring. This is the kind of care giver I would want. Happy Nurses Week and Hospital Week! Credit for the quotes and the pledge go to Joe Tye, author of the Florence Prescription and numerous other books. Mr. Tye is also a national speaker and consultant, and is working with many Nebraska hospitals on patient satisfaction improvement initiatives.

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Sarah Shannon Certified Medical Interpreter in Spanish

Dan Hughes Certified Flight Paramedic I chose to be a paramedic in my senior year of high school. I have always enjoyed science and medicine. I would frequently watch Discovery Channel programs on anything medical. I have also always enjoyed helping people. In Alaska, during my senior year of high school, I took the EMT Basic course and was hooked. I enrolled in the paramedic program the next year (2002) at WNCC and obtained my certification in May 2005. I also obtained an AOS Paramedic (Associates of Occupational Studies) from WNCC. I began my EMS career in January 2005 as a communication specialist with Air Link dispatch at Regional West. In May when I completed my National Registry EMT-P certification

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I began working at Valley Ambulance where I remained until 2008. From 2008-2011 I worked for Marcus Daly Hospital in Hamilton, Mont., at a hospital based ambulance service. In February 2012, I was pleased to accept a position as Flight Paramedic with Air Link at Regional West and have spent a great part of the last year studying for my advance certifications. What I like most about working at Air Link is having the opportunity to work with such knowledgeable and dedicated individuals. I learn something new every day. My special interests continue to be pre-hospital EMS. Non-professionally I enjoy almost anything outdoors, especially hunting and fishing.

Why did you choose to go into nursing? I wanted to be the source of comfort for others.

certification for legal interpretation from the Nebraska Supreme Court.

Education History I attended high school at Eagle Pass, Texas and then attended Southwest Texas School of Business. I continued my education at Western Nebraska Community College and went on to become a registered nurse and earn a Bachelor of Science degree in Nursing from the University of Nebraska Medical Center College of Nursing-Western Nebraska Division. I also attended the University of Arizona Agnese Haury Institute for Interpretation to become a certified Spanish interpreter and obtained my

I joined Regional West as a nursing director in 2006, after serving two years as the director of nursing at Beverly Health Care. Prior to that, I served as the assistant clinic director at Panhandle Community Services. I like nursing because every day I sense that for a moment I have made a difference in someone’s life whether it’s a patient, family member, or coworker. What advice would you give a new nursing grad just starting out? Keep your focus on the patient, always!


Melissa Amateis Certified Emergency Room Nurse After graduating high school in 2001 I enrolled in a Basic EMT course. The course was a stepping stone that guided me into nursing. I found the medical field fascinating and challenging, and learned that I could become a nurse right here in the panhandle, allowing me to stay close to family and friends. I attended WNCC for my general course work and then was accepted into the University Of NebraskaScottsbluff College Of Nursing in the fall of 2004. After taking that EMT-B course in 2001, I quickly gained employment at Beverly Health Care and obtained my CNA. After working at Beverly for a year, I looked for work closer to my family and started working at Heritage Nursing home in Bridgeport with my sister who was also a CNA at the time. I then completed a Medication Aide course and did this for a short time before transitioning into the Education and New Hire Coordinator position at Heritage in Bridgeport. I spent my transition of nursing school on 3rd floor Medical/Oncology and after graduating nursing school and then passing my nursing boards in January 2007, I began working there. I feel that I established a solid foundation of my nursing career working on 3rd floor. I worked with some of the best nurses and friends during this time. I had always wanted to work in the Emergency Department but was never sure when I should take the leap. After taking an ACLS and TNCC course and talking

with some close friends I decided to put my application into the ER and started in June 2011. I currently work in the Emergency Department as a trauma and charge nurse. Over the last 12 years, I have learned so many things and have established a close network of friends and experiences that I cherish. Learning something new every day I work is my driving force in my nursing career. Whether it’s something I learn from a patient or something I learn from a co-worker, I don’t ever take an experience for granted; there is always something to learn and grow from. Most of all I value the satisfaction I feel when I have truly helped someone overcome something big or small. Outside of work, I enjoy spending time with my family and friends. My husband John is a busy farmer and we have twin girls who turned five in April. I have family in Minnesota and Virginia so traveling is something we do very well. I also enjoy ranch work and barrel racing with my horses. My girls are learning to ride horses (with helmets) and this keeps me very busy and slightly anxious. I occasionally get out a camera and enjoy taking pictures of my girls, family, and western Nebraska. I am looking forward to a fishing/canoe trip to the Boundary Waters of Minnesota with my Dad and brother in June.

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“Boxer Rebellion Against Colon Cancer” pays off for Festival of Hope It was a chilly day for runners and walkers, but the March 23 “Boxer Rebellion Against Colon Cancer” 5K fun run/walk paid off for the Festival of Hope. The event, which was organized to support colon cancer awareness, raised $891. The proceeds will be used by the Festival of Hope to help patients with non-medical expenses as they go through cancer treatment. Nearly 80 runners came from as far away as Colorado to participate in the 5K fun run/ walk, which was sponsored by the Regional West Endoscopy Department, Regional West Community Health, and the Scotts Bluff County Health Department.

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“We are very grateful to those who organized and participated in the ‘Boxer Rebellion.’ I thank everyone for their efforts, on behalf of those who will benefit from this donation,” said Vincent Bjorling, MD, a Festival of Hope Advisory Board member. The Festival of Hope is a nonprofit organization whose mission is to help regional cancer patients with non-medical expenses related to their cancer care and treatment. The 2013 Festival of Hope will be held June 15 at the Scotts Bluff County Fairgrounds in Mitchell, Neb. For more information, visit www.festivalofhope.net.


Summer Parker Summer Parker Service Excellence Manager

Do you ever find yourself wondering with the departure of Karla Edwards, the former Service Excellence Director, just who is in charge of Service Excellence at Regional West? Where is the office located and what exactly is this person doing? No worries, I have all the information you are looking for and more. The new Service Excellence office is located on the ground floor next to the financial cashier’s office and in that office you can find me, Summer Parker, the new Service Excellence Manager. Here is a little about my background: • I graduated with a degree in Elementary Education and Special Education from the University of Nebraska at Kearney. Since graduation I have worked as an Elementary teacher in Glendale, Ariz. and Colorado Springs, Colo. Although teaching was a lifelong dream, I wanted to reach out to the Human Resources field and help adults be successful in the work force. I started looking for opportunities and was hired as a Human Resource manager for a management company in North Platte.

Resources Department at Regional West as a Generalist in the spring of 2012. I had no intentions of leaving the Human Resources field but when the Service Excellence position became available I knew it would be a fantastic opportunity for me to utilize my teaching skills and experience to help Regional West continue along the path to becoming an institution with extraordinary customer service. • My goals are to work with all departments, both clinical and non-clinical, to create a program that will make Regional West a top performer when it comes to patient satisfaction scores. I feel that my enthusiasm and drive will be a big asset to the journey to excellence in customer satisfaction. If any of you have any suggestions, questions, concerns, ideas, or would just like to meet me in person, I can be reached at Ext. 1021 or via email summer.parker@rwmc.net.

• After six years of living away from my parents I decided it was time to move closer to my hometown of Lisco. I was hired by the Human

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In late 2009 Regional West Medical Center started its Safety Culture Initiative journey. Since that time, a strong cause analysis program has been developed, safety behavior training is provided to new hires, and safety coaches are actively participating. Next up in this journey is simulation. Simulation is defined as a “teaching technique that reproduces actual events and processes under test conditions.” It’s basically practicing a scenario, event, or skill that one would encounter in everyday work. It’s a way to work at “getting it right” before we do it for real.

Susan Backer SUSAN BACKER, MSN, APRN‑CNS, ACNS‑BC Patient Safety Officer/CNS

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Why is it important that we do simulation? Practicing skills, algorithms, processes, etc. enable us to perform well in actual situations. For example, if we have a surgical patient who develops malignant hyperthermia, how do we respond? This is an emergency situation requiring coordinated efforts of a lot of people. Simulating this scenario helps us identify roles and how they need to function; where supplies are or if they are unavailable, prompting a need to make sure they are available for the real event; how to mix the drug

for treatment with actual hands on practice using placebos; and practice to communicate clearly, cross monitor, and speak-up for safety. So how will we do this? We are currently developing a simulation program for Regional West Medical Center. This includes education on simulation for our nursing educators as well as developing a structure for high fidelity simulation. High fidelity simulation is practicing a scenario with the natural work team, using the equipment and materials needed, in the environment the scenario would occur. The process for this type of simulation includes three aspects (sometimes called “Triple Play”): 1.) Protocol development 2.) Technical skills partnered with Collegial Interactive Team Skills practiced in the 3.) Environment in which the situation would occur. First a protocol is developed using a 12 step process. This includes mapping the process and evaluating its effectiveness; identifying requirements the process must meet including evidence-based practices and professional standards; modifying the process to reduce risk and


improve effectiveness; and developing job aids and/or policy/procedure as appropriate. Once this is done we are ready to move toward simulation. Next, a toolkit is developed to promote teamwork. We call this Collegial Interactive Teamwork (CIT). This toolkit has Five Tones developed to “set the tone” for respectful and professional interactions that make it more likely that people will ask questions and speak up when safety concerns arise. The CIT Toolkit also houses Five Tools designed to help us maintain situational awareness (knowing what is going on around you), provide leadership and direction, share correct information with correct meaning, think clearly to make the best choices for the patient, and speak up for safety. Many of these tools are already familiar, such as three-way repeat backs, phonetic and numeric clarification, SBAR, ARCC, etc. There are a few new tools that are easy to learn and probably familiar as well. The last part of this “triple play” is the environment. We practice the scenario in the environment the event would occur, the people who would be involved in the event, and with the supplies we would use. So, if we were to simulate a scenario on Malignant Hyperthermia, we would do this in the surgical suite with the entire team who would care for this patient during the event.

breathing, throwing up, blinking, talking, etc. He’s really quite fun! The group goes through the simulation in the environment where the event would occur. The protocol is performed as if it were really happening. This part will be videotaped for learning purposes by the participants in the group only. Videotaping helps them to see how they act and react in a situation. • Last is the debrief. That’s where the participants evaluate how the simulation went. This process is led by a facilitator. The recording is played back and everyone has an opportunity to comment on the experience. What lessons did we learn? How did we feel about the role we played? Are there parts of the protocol that need to be changed? What went well? What in the environment didn’t flow well? Do we need to add supplies or make them more readily accessible? The recording is deleted after the debrief has occurred. So that’s a brief overview of what to expect next on our Safety Journey. Keeping patients safe is a big deal. Learning how to work together collegially is key to keeping patients safe. Simulation prepares us to be ready to provide safe, high quality care in an efficient manner when the real event occurs. “What you do every day is what you do in an emergency.”

Now let’s put it all together. The simulation would look something like this: • A briefing would occur prior to running the simulation. The briefing includes education on the protocol and appropriate use of safety behaviors (CIT Toolkit) with the protocol. • Next we would execute the simulation using a simulator (lovingly called “Sim Man”). The Sim Man can perform all kinds of bodily functions like

Joe Martin, Battalion Chief, LAFD

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March 26, 2013 Attending: Kellie Witcofski, Laurie Lopez, Keli Brehm, Taylor Anderson, Julie Smith, Hope Dubs, and Jake Talley. • One staff nurse asked why the hospital is not using LPNs as much as they once were. Shirley explained that the hospital is trying to move to more RNs across the house and is currently working with Human Resources and the Shared Governance Councils to work on an RN job description. A clause would be added saying that if you are an associate degree RN, Regional West will offer education reimbursement for associate RNs to get their BSN in approximately three to five years. Shirley also explained that the nursing units are trying to get to a true primary care model without LPNs. • A staff nurse asked if there was a possibility that the Pediatrics department is moving to RCU. Shirley explained that David Griffiths and John Ferguson are working with architects to develop a plan to study to make sure it is cost effective and then in the future, that is their hope. • Shirley explained that the last patient in RCU was dismissed March 31 and will officially close officially July 1. Shirley explained that she has been working with Sarah Shannon and meeting with different nursing homes throughout the city to contract out care.

• • A staff nurse asked about census and if it is getting better. Shirley explained that census is low and she explained that census is low throughout the country and she does not believe it will increase with the new health care model and law. • Shirley conducted a brainstorming activity with the group regarding reducing staff turnover. Ideas/issues that the group came up with were: • Complacency (losing caring motivation and not wanting to contribute to the organization). • Low census (loss of income). • Aides (child care and other obligations makes scheduling difficult). • Plan to leave for Colorado after they get their experience here. • Seasoned staff resist new ideas from younger staff. • Seasoned and younger staff do not partner up as teams and seasoned staff do not feel they are valued which impedes teamwork. • Flexible scheduling would be something that would help retain staff.

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Coffee April 23, 2013 Attending: Tonya DeMott, Angela Rodriguez, Cody McLellan, Mandi Barry, Michelle Keener, Elva Garcia, Briana Pickon, Kara Plett, and Shelly Meisner. • One nurse commented that since she has been here, upgrading the physical facility is the most challenging she has seen. • Shirley discussed that remodeling the hospital is a common theme that needs to be addressed. The question she gave the group is how many beds to we actually need in the future? The Administration Team is currently working on how to redevelop some areas of the hospital. She gave an example of possibly moving Pediatrics to the north side of the old RCU. • A Nurse from Outpatient Surgery commented that staff are coming in during the weekend to work on infusions and paying them call back instead of having staff nurses on the floors take the patient. The outpatient surgery nurses are concerned that they are coming in to help with infusions when there are no surgery cases with which to help. • A nurse that works in surgery commented that she enjoys that Inn Touch is available for employees and thanked Shirley for it. She stated that

she travels from Gordon to work and if she had to buy or rent a house in Scottsbluff during her work time, she would not be able to afford it. • A question came up regarding what is all behind the construction at St. Mary Plaza. Shirley provided an update of what is currently occurring at St. Mary and also what possibly might happen in the North Plaza. • A nurse asked about more loan forgiveness programs for staff nurses and knew there was a program that came out in February but not all staff nurses heard about it. She suggested that when there is loan forgiveness programs that the government has, that it gets sent to all staff nurses. Shirley mentioned that there are many programs out there and more programs that we have to help our staff nurses would be helpful. Shirley will work with the Human Resources Department to get information out to all employees. • Shirley wanted to address the budget issues with the group and stop any rumors about the hospital closing. She stated that the hospital is financially stable but we have to relook at the budget to make sure that we never get in the position where we are not financially stable.

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• The next topic discussed was the charting system and the possibility of potentially joining with larger hospitals to contract out our technology since we are a middle level hospital. We currently spend roughly $11 million a year on technology. • Shirley then discussed RAC reports and how we have to report a number of charts per month to CMS in order to get reimbursed. • Shirley mentioned that the new Nurse-Finance Council will start looking at cost containment, including new patient information guides and start and stop times for IV fluids. • An OR nurse talked about how they were using sterile Penrose instead of using regular tourniquets and that costs a lot of money so the OR nurses researched the cost and educated all staff members to use the Penrose if necessary and regular tourniquets the rest of the time.

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• A nurse mentioned that when a patient leaves they get all of their medication list instructions and then get the same list when they go pick up their medications at the pharmacy. The nurse wanted to know if they could only print one list so we are not wasting paper. Shirley said she would talk with Nancy Sloan about this process. • A nurse asked about physician recruitment and Jordan Colwell provided a list of the upcoming recruited physicians.


Nurses Day 2013

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Shared Governance Council Updates March 28, 2013 Coordinating Council (CC) New Business The Brand for Shared Governance was revealed at the March council meeting. The Magnet Fair flyers will be developed using the new Marketing/PR materials. Shirley and Jordan are coordinating a workgroup to begin developing the structure and functions of the council. Members for the workgroup have been identified and the first meeting of the new council will convene on April 25. A drawing for attending the 2013 National Magnet Conference was conducted during the council meeting. Four individuals were selected from four different random drawings including Shared Governance Council members, Coordinating Council member, and Management Advisor. The winners are: Deb Merritt, Night Council; Matt Blaylock, Chair-Elect, Night Council; Janelle Schroeder, Chair, Coordinating Council and Care & Practice Council; and Diana Rohrick, Management Advisor Nurse, Finance Council. Shirley requested input on whether or not a Shared Governance Council should “own” the nurse residency content, format etc. The Council would work in cooperation with Leadership, who would set the direction, and the clinical coordinators, who would act as content experts. Historically, content for the residency program has been developed with the nursing directors. Julie Schaff has recommended Care and Practice “own” the content. Alicia Kuntz, Julie Schaff, Shirley Knodel, and Susan Wilhelm will meet to discuss the Residency Program.

Old Business Shared Governance Model-Continuing review of current Shared Governance Model and what updates are needed as Shared Governance at Regional West Medical Center evolves.

Nurse/Physician Council (NPC) New Business Nancy Hicks-Arsenault, Jordan Colwell, and Paulette Schnell met with Dr. Morgan to discuss direction for the committee. Safety and quality are his prime objectives. It was discussed that we may be able to assist with the CPOE process. Connie Rupp presented the idea of having nurses from the council go through the physician training to be able to be available to help during the role out. Dr. Arnold has agreed to set up training for nurses and unit secretaries. It was also discussed we may be able to help with scripting for communications, but need to check on the processes in place. Motion from Dr. Massey to have the council meet P.R.N was made. He notified the council no matter what was decided, he would attend P.R.N. The plan was presented at Coordinating Council. Old Business None Projects and Status A publicity campaign for Doctors Day was coordinated with ► Continued to page 17

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medical staff and Holly Anderson and it was rolled out the week of March 25.

Professional Practice Council (PPC)

Nurse/Physician photo book with names for each unit is under discussion. Considering work on a Provider ID book for each department that provides a photo and identifying information for providers.

New Business

Working with Amy Potts in the Medical Staff Office to recognize Physicians on Physicians Day, which is March 30. Also looking at how the council can support the HEO transition.

Quality and Safety Council (QSC) New Business Liz Ossian, Chair, and Christy Jay, Chair-Elect, were absent for the March council meeting. Margo Ferguson, Management Advisor, served as meeting chair. For April: The council will work on a poster for the Magnet Fair. Old Business Susan Backer volunteered to work with the 2nd floor UPC Chair on Hand Hygiene improvement interventions. Projects and Status Christy Jay, Michelle Powell, and Liz Ossian worked on a nursing peer review PowerPoint to be used to educate nursing staff and Nursing Peer Review committee members. The PowerPoint was finalized during the council meeting. For April: The council will work on the development of Peer Review committee member qualifications, including interview-like questions and necessary qualities/characteristics of members. There are at least three cases ready for review.

Education on what can legally be discussed with patient via phone for preprocedure and follow-up calls. Old Business

Magnet RN/Friend of Nursing Awards Magnet Awards 2013 were selected at the March meeting. The council enacted an anonymous selection process. Basic RN job description. Standardized nursing uniform pilot study.

Projects and Status Social Media position statement was created. The council continues to discuss education needs on social media guidelines and education on basic social media use.

Care and Practice Council (CPC) New Business The council submitted a poster for the Magnet Fair related to the Fall Prevention Program project. Old Business Fall Prevention Program. Projects and Status The council conducted a workday on March 27. The council worked to revise Procedure 150.2 to align with the H2Model© and Upright® resources.

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The council also worked to develop job aids (Job aids help employees complete process steps, provide memory aids and/or ward of hazards. Types of job aids include: forms, checklists, decision aids, reference guides, signs, etc.). The council worked to identify possible candidates for a focus group to review the revised procedure and job aids for understanding and ease of use. The council began work on a Go-Live Plan including staff education, documentation plan and informatics request, and transition to organizationwide, multidisciplinary Falls Team. Tentative launch party for the pilot on ARU is June 1, pending input from stakeholders.

Evidence-Based Practice Council (EBPC) New Business The council conducted a brainstorming session related to the EBP/Research structure at Regional West. The EBP toolkit has been updated on the campus homepage. The council will continue work on a poster for the Magnet Fair. Old Business

Night-Shift Council (NSC) New Business Lori Miller came to the meeting and discussed changes in the works regarding Nutrition Services. This includes tracking patient trays so the trays do not get “lost.” They are also working on getting payroll deduct as an option for payment for employees. When talking to other staff on nights, they are VERY excited about this as an option and would like to see this implemented quickly. Lori stated there is some hang ups in the process with Human Resources at this time. As a council, Night Shift Council stated we would fully support this and the other projects Nutrition Services are working on. Projects and Status For the night food cart we discussed an additional vending machine that had “food” choices instead of snacks or keeping the cafeteria open a bit longer, or opening later in the night shift to provide food for the night shift. At this time, the option being researched by Lori is having a set up so night staff can call in their order; the same as the patients do.

The council has begun work with the ICU to trial a unit-focused journal club. Exploring the possibility of using Wordpress.com for online journal club.

The council was in favor of this idea as do the other nurses John has spoken with on the night shift.

Distribution of EBP surveys will be the 2nd and 3rd floors this month.

This option will be more of a reality when payroll deduction is implemented.

Projects and Status The council has critiqued the literature found relating to nursing fatigue at the March meeting.

Night Shift Council is fully backing this as a positive change and Lori will report back to us at our May meeting. I would like to request, as the Coordinating Council, we support this change and push to get payroll deduction initiated.

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April 25, 2013 Coordinating Council (CC) New Business Public Relations -The Brand for Shared Governance will be revealed at the March council meeting with the Magnet Fair flyers as the first activity to use the new Marketing/PR materials. Magnet Fair-Coordinating Council will be assisting with planning the Magnet Fair. New Council-CC approved the formation of a new council to address/ support resource management as it relates to nursing. Shirley and David Griffiths will meet with Nursing Directors on March 12, to discuss purpose, structure and membership. Following the March 12 meeting, Shirley and Jordan will coordinate a workgroup to begin developing the structure and functions of the council. Members for the workgroup have been identified and will be invited to participate. RN Satisfaction Survey-Susan Backer presented the facility overview data for the survey. Shirley discussed two areas of opportunities for Shared Governance involvement with idea of engaging in activities to raise awareness with the goal of improving satisfaction (satisfaction scores). Old Business Shared Governance Model-Continuing review of current Shared Governance Model and what updates are needed as Shared Governance at RWMC evolves.

members to officially disband the committee. For the last six months we have struggled to find purpose within the nursing services Shared Governance model. We reviewed our mission and vision and realized we have achieved our goals and there is no need for this council. We are excited that we achieved our goals and are now eager to join other councils within Shared Governance. Jordan Colwell handed out dates and times for all council meetings as well as a brief summary of what each council is working on. He also explained that each council is excited to welcome new members. It was noted if a council member is serving or has served on the council for at least six months, and attends 2/3 of the scheduled meetings after they join the council (there will be no excused absences), they will get credit for the clinical ladder. Directors will contact Becky Nerud for the attendance rosters for consideration during annual review of clinical ladder points. At this time, I would like to thank Dr. Michele Arnold, Shirley Knodel, Sheli Goodwin, Jordan Colwell, and Nancy Hicks-Arsenault for all of their support and guidance!

Quality and Safety Council (QSC) New Business Magnet Fair Booth. Old Business Reviewed Power Point for Nursing Peer Review. Projects and Status Completed poster for Magnet Fair.

Nurse/Physician Council (NPC) New Business

Putting the final touches to the Education Power Point regarding Nursing Peer Review.

At the April Nurse/Physician Council meeting it was agreed upon by all â–ş Continued to page 20

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Professional Practice Council (PPC)

Care and Practice Council (CPC)

New Business

New Business

Vision Statement—formulate. Magnet Fair table. Old Business Magnet Nursing awards. RN job description. Social media position statement. Projects & Status Magnet Fair table—will ask for volunteers to help man the table. Magnet Nursing awards—all winners were announced in their respective departments by April 25. All nominees will be honored at the Nurses Day presentations and the Magnet Fair. RN job description is completed, with the change of the licensure definition to read “Will hold a current and valid RN Nebraska license.” The social media statement was reviewed by Shirley Knodel and Paul Hofmeister. Paul requested that we add a statement to reference the existing hospital policy related to social media. This has been done and will be presented to the committee for their review and then submitted for completion.

The council will finalize the poster content and design for the Magnet Fair related to the Fall Prevention Program project. Old Business Fall Prevention Program. Projects & Status The council began work on a launch plan including staff education, pilot, documentation, and informatics request, and transition to organizationwide, multidisciplinary Falls Team. Janelle Schroeder and Sarah Shannon attended the ARU March staff meeting and introduced the pilot. ARU education began on April 15. ARU staff will have until May 15 to complete the self-guided education in anticipation of the pilot launch on the same day. Staff will chart the fall risk assessment and the fall risk interventions on paper until the H2M is incorporated into the EMR (HED). • Rebecca Montanez presented the documents to the forms committee for approval. The informatics request will be finalized at the April meeting and submitted for consideration. A timeline for completion will be requested from the committee at the time of submission. Things to accomplish: • Plan for staff access to the Upright® program training. • Final forms approval/publishing. • Informatics request. • Final draft of fall prevention procedure (150.2).

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Evidence-Based Practice Council (EBPC) New Business Election of a new chair-elect. Old Business The fatigue recommendation will be finalized at this meeting. Final EBP surveys will be compiled. Magnet Fair poster is done thanks to Ellen Otto and Carrie Herr. Need to finalize poster for printing. Discuss house-wide journal club. Possible date of June 18 at 4pm. Topic: Sepsis. Projects and Status Fatigue proposal will be finalized at this meeting. Will give recommendation at next coordinating council meeting. Magnet fair poster in final stages.

Night-Shift Council (NSC)

Nurse/Finance Council (NFC) New Business The purpose of the Nurse/Finance Council will be presented by Shirley Knodel and David Griffiths. Shirley will introduce the concept of Level of Authority and how it is used within the Shared Governance councils. Mission and Vision development will begin. Charter review and adoption will be discussed. Nominations for Chair, Chair-elect, and Recorder will be discussed. A Management Advisor candidate will be discussed. Old Business Will be receiving an update from Lori Miller during the May meeting regarding food cart options.

New Business Working on meeting with Pharmacy Department regarding certain medication pass times. Old Business Will be receiving an update from Lori Miller during the May meeting regarding food cart options.

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Magnetic Times May/June 2013