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NOVEMBER

DECEMBER

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

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Table of Contents Lettterr from the Edito or

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NDN NQI Results For CAUTI

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Sharredd Governance Coouncil Chairs

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Safe etyy Sense

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Skin n Care Note

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Servvic ce Excellence

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Cale endar of Events

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Brea akfast with Shirley

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Mag gnet Moment

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Share ed Governance Reports

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Slee ep Deprivation

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Mag gnet Conference Photos

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Special News Article e

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Pink k Glove Dance

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Happy Holidays and welcome to the November and December edition of the Magnetic Times. This fall I was busy traveling around the country attending ng workshops on accreditation n and standards, as well as the Magnet Conference in Los Angeles, Calif.,. I have to say, all of my training has been wonderful and I look forward to sharing what I have learned with everyone at Regional West Medical Center.

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

The message I continued to hear at the Magnet Conference was that front line staff members are the key for any frontline change to occur. Shared Governance is a sounding board for the front line staff. Here at

Regional West, we have six councils that RNs can be a part of; Evidencebased Practice, Night Shift, Nurse/ Physician, Professional Practice, Care and Practice, and Quality and Safety Councils. If you have any questions about any of the councils or would a like to be more involved with one of them, please contact one of the th council members listed. Please remember that Shared Governance is not impacted by our Magnet Designation decision. If we were not applying for Magnet, I know that Shared Governance would still be part of our institution because, “it is the right thing to do for nurses!� Happy 2013,

Jordan Colwell

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2013 Shared Governance Council Chair and Co-Chair Care & Practice Council Meets 3rd Thursday of each month in the Keith Room 2 to 3:30 p.m Chair Janelle Schroeder, RN (Quality) schroej@rwmc.net Chair-elect Brooke Borgman, RN (Cardiac Cath Lab) brooke.borgman@rwmc.net Management Advisor Sarah Shannon, RN (Director of RCU and Float Pool) shannos@rwmc.net Quality & Safety Council Meets 3rd Thursday of each month in the Keith Room 9:30 to 11 a.m. Chair Liz Ossian, RN (3 East-Medical Oncology) ossiane@rwmc.net Chair-elect Christy Jay, RN (Surgery) jaycca@rwmc.net Management Advisor Margo Fergusion, MT (ASCP) (Director of Quality Resource) fergusm@rwmc.net Nurse/Physician Council Meets 3rd Thursday of each month in the SB II 7 to 8 a.m. Chair Paulette Schnell, RN (Community Health) schnelpt@rwmc.net Chair-elect Sheli Goodwin, RN (Home Health) goodwis@rwmc.net Management Advisor Nancy Hicks-Arsenault, RN (Director of ER, PCU, ICU) nancy.hicks-arsenault@rwmc.net Evidenced-Based Practice Council Meets 3rd Thursday of each month in the Keith Room 3:30 to 5 p.m Chair Alicia Kunz, RN (Education) alicia.kunz@rwmc.net Chair-elect Carrie Herr, RN (Outpatient Surgery) carrie.herr@rwmc.net Management Advisor Susan Backer, RN (Pt. Safety Officer/Clinical Nurse Specialist) backers@rwmc.net

In the Spirit of Christmas Third, fifth, and eighth grade students from Community Christian School put Christmas spirit into action Thursday at The Village at Regional West. The students and their families donated “a truck load” of gift items to provide an on-site Christmas shopping experience for assisted living residents. On Thursday afternoon the students arrived at The Village, set up tables, set out the merchandise, and then escorted residents through the “Christmas store” to select free gifts to give their families and friends. The students then wrapped the gifts, helped write Christmas cards and carried the residents’ packages back to their apartments. Residents were delighted by the huge selection of new and gently used household items, clothing, toys, and other gifts on display in The Village’s commons area. They were even more excited that they didn’t have to pay for any gifts they chose.

Professional Practice Council Meets 3rd Thursday of each month in the Keith Room 9:30 to 11 a.m. Chair Lenna Booth, RN (Cath. Lab) boothl@rwmc.net Chair-elect Nina Palomo, RN (Interventional Radiology) palomom@rwmc.net Management Advisor Diana Baratta, RN (Director of Medical-Surgical Services) diana.baratta@rwmc.net Night Shift Time and date TBA Chair John Furman, RN (House Supervisor) furmanj@rwmc.net Chair-elect Matt Blaylock, RN (CICU/BCU Staff nurse) matt.blaylock@rwmc.net Management Advisor Stephen Matthews, RN (ICU/PCU) stephen.matthews@rwmc.net

Jim Eastman helped Village resident Betty Smith shop and then carried her Christmas gift selections back to her assisted living apartment.

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Magnet Moment By Rachelle Noe, RN

When Regional West recently received new beds, the Education department was tasked with adding instructional videos to Swank. In-service videos were created for the Excel Care ES Bariatric bed (989) and the Avanta 2 bed (990). To view the videos, log into your Swank Health Training. Select Search, type in the course number you want to view. 989–Excel Care ES Bariatric bed–approximately 26 minutes long. 990–Avanta 2 bed–approximately 16 minutes long. Need CEUs??? Contact Jeanette McFeely, WOCN or Rachelle Noe, RN. Several sites are available for free continuing education related to wound care and ostomies.

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Save the Date

By Alicia Kunz, MSN, RN

Event

Date

Time

Place

Residency Class

Dec. 12

8 a.m. to 5 p.m. Building 211/Harms

Residency Class ACLS-Recertification Course ACLS-Recertification Course

Dec. 19 Jan. 16 Jan. 17

Noon to 5 p.m. Building 211/Harms 8 a.m. to 5 p.m. South Plaza 1202 8 a.m. to 5 p.m. South Plaza 1202

ACLS-Recertification Course

Jan. 24

8 a.m. to 5 p.m. South Plaza 1202

ED/Peds Case Review

Jan. 31

Noon to 1p.m.

SB II


Sleep Deprivation Sleep is a vital physiological function. Many of us do not get enough sleep and the consequences can be quite serious. Traits of the sleepy individual include reduced vigilance, reaction time, psychomotor coordination, and decision making. Common signs and symptoms of fatigue include:

Cheri Weinmeister CHERI WEINMEISTER, BSN, RN, CCRN Clinical Resource Nurse ICU/PCU

▪ Increased negativity, irritability, and bad mood ▪ Inability to concentrate ▪ Lack of energy ▪ Short term memory loss ▪ Apathy ▪ Poor communication Chronic sleep deprivation has long term consequences for individuals. It has been noted that sleep deprivation can increase the risk of cardiovascular disease, obesity, insulin resistance, and can contribute to adverse events and medication errors. Findings have also shown that moderate levels of fatigue produce performance deficiencies that are greater than those induced by alcohol intoxication. Individual nurses need to protect their own health and safety as well as that of their patients. Our professional

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nursing organizations should take the initiative in setting standards that will protect nurses in and out of the workplace. If we fail to recognize and address sleep deprivation as a serious health issue, we may find our nursing shortage to be more acute than what we predicted it to be.


Volunteers and Friends of Regional West Nursing Scholarship Program Have you ever stopped by the Daily Grind coffee cart at Regional West to get one of their delicious specials, or have you ever bought a piece of candy from the Gift Shop? What about a $6 piece of jewelry from the Apex jewelry fair that happens three times a year? If you have done any one of those things, you have contributed to the Volunteers and Friends Nursing Scholarship Program.

Janelle Debes JANELLE DEBES Assistant Director Volunteer Services and Guest Relations

Volunteers and Friends (V & F) was established in the 1950s to support and promote Regional West and to financially contribute to educational programs that provide health care in our region. They recognized a need to keep nurses in the area and to serve the panhandle of Nebraska and the surrounding states; therefore they felt the best way to accomplish this was through nursing scholarships. In 1953, V & F designated their first scholarship recipient and awarded her $200. The program has only grown since then. V & F has been adding and changing fundraisers to provide even more scholarships to well-deserving students and now provides multiple $1,000 scholarships to UNMC and WNCC students. Once a year, members from the V & F board meet with Regional West Foundation to award $10,000 in scholarships to UNMC students. The V & F board also meets to award recipients of the Accelerated Nursing Scholarship at WNCC and UNMC.

As times change so will the fundraising efforts but it has always been a tradition for the volunteers at Regional West to raise money for LPN and RN students in the area to help them further their educational goals. Scholarships will continue to be the main priority of the volunteers at the hospital. Next time you grab a cup of coffee or purchase a book from the book fair, please remember that you are contributing to the Volunteers and Friends at Regional West Nursing Scholarship Program and it cannot be done without your support. Thank you!

The Volunteers and Friends at Regional West Medical Center Board of Directors

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Regional West Employees Star In Pink Glove Dance Video To Support Breast Cancer Awareness More than 200 Regional West Health Services employees starred in a video for the national Pink Glove Dance competition, an event that promotes breast cancer awareness and prevention. The volunteer cast included staff from nearly every Regional West department – from the Breast Health Center to ICU, Food Service to physicians, administration to Air Link, and even residents of The Village at Regional West. The Regional West video was a volunteer effort by oncology nurse practitioner Sue Schoeneman, MSN, ACNP-BC, and medical/oncology nurse Megan Anderson, RN, OCN, who choreographed it. It was produced by Charter Media. The video was posted October 12 on www.pinkglovedance.com along with the videos of other national participants, and can be viewed by the public. It was also be shown throughout the day Friday, October 12 in The Park Bench Café at Regional West. “Our oncology team of nurses has three breast cancer survivors. When we saw the advertisement for the pink glove dance contest we questioned whether we could pull it together to make a video and decided, ‘Lets go for it.’ Everybody was very excited to help and participate in the video.

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Whether we won or lost it was worth the time and effort to make the video,” Anderson added. The song used in Regional West’s video is “Part of Me” by Katy Perry. An interesting side note is that the artist gave permission to use this song specifically for the Pink Glove Dance competition. The original Pink Glove Dance video premiered in November 2009 and featured 200 Portland, Ore. hospital workers wearing Medline’s pink gloves and dancing in support of breast cancer awareness and prevention. “Gloves are the first point of contact between the health care worker and the patients. And, because the glove is pink, we hoped it would get people talking about breast cancer,” said Andy Mills, president of Medline. As a result, Medline received hundreds of calls from health care facilities, breast cancer survivor groups, schools and other organizations throughout the U.S. and the world inquiring about participating in another video. The first nationwide video competition in 2011 included 139 teams and was won by a South Carolina hospital.


NDNQI results for CAUTI The Shared Governance Care and Practice committee was able to celebrate a win recently. The NDNQI reports for the first quarter of 2012 showed zero catheter associated urinary tract infections (CAUTI). There has been a steady decrease in the rate since the committee began educating on the cause and prevention of CAUTI in April of 2011. The council worked on the project for over a year. Council members researched best practices and rewrote the policies and procedures associated with the process. We then embarked on a mass education of every employee of

the hospital who inserted, discontinued, or cared for foleys. A total of 18 trainings were conducted by the council, which is made up of floor nurses that trained the staff during their off time. The result was a welcome reward for all the hard work the council put in. They all deserve a huge pat-on-the -back for all of their hard work and dedication. This was also a win for the Shared Governance councils in general. It proved that what we do in these committees really does make a difference.

Rebecca Montanez REBECCA MONTANEZ, BSN, RN Manager Medical Surgical Services

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David Edwards DAVID EDWARDS, MA, CHEP Emergency Preparedness Coordinator

The “Emergency Management Coffee Break Training” is a bi-weekly publication for all employees, regardless of skill level, emergency or disaster response expertise, or position. The objective of each lesson is to increase employee awareness and expose employees to Regional West’s emergency management program.

▪ First aid kit

We have already encountered below freezing temperatures and snow this season. Are you ready for winter? Do you have a 72-hour emergency kit? How about a family communications plan? Do you have a winter emergency kit in your car?

▪ Bottled water

The Federal Emergency Management Agency’s (FEMA) Ready.gov page (www.ready.gov) has information about getting ready for winter. Some of the recommendations include:

▪ Fire extinguisher (A-B-C type)

Prepare a winter storm plan that will enable you and your family to survive for up to 72 hours without any outside assistance. ▪ Have extra blankets on hand ▪ Ensure that each member of your household has a warm coat, gloves and mittens, hat and water-resistant boots. ▪ Ensure all family members know what to do when a winter storm watch or warning is issued

▪ One-week supply of food (include items that do not require refrigeration or cooking in case of power loss) ▪ Nonelectric can opener

▪ One-week supply of essential prescription medications ▪ Extra blankets and sleeping bags

Develop an emergency communications plan ▪ In case family members are separated from one another during a winter storm, have a plan for getting back together ▪ Ask an out-of-state relative or friend to serve as the “family contact.” After a disaster, it’s often easier to call long distance. Ensure all family members know the name, address, and phone number of the contact person. If You Must Be Outdoors In Winter Weather

▪ Flashlight and extra batteries

▪ Dress warmly. Wear loose-fitting, layered, light-weight clothing. Layers can be removed to prevent perspiration and chill. Outer garments should be tightly woven and water repellant. Mittens are warmer than gloves and are recommended.

▪ Portable, battery-operated NOAA Weather Radio and AM/FM radio and extra batteries

▪ Stretch before you go out. If you go out to shovel snow, do a few stretching exercises to warm up your body. Also, take frequent breaks.

Assemble a disaster supplies kit for your home containing

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If you have heart problems or if you lead a sedentary lifestyle, be careful of over exertion and heart attack. Be aware of the symptoms of dehydration. ▪ Protect your lungs from extremely cold air by covering your mouth. ▪ Watch for signs of frostbite and hypothermia. ▪ Change wet clothing frequently to prevent loss of body heat. Wet clothing loses all of its insulating value and transmits heat rapidly. ▪ Remember to help your neighbors who may require special assistance— infants, elderly, and people with disabilities.

▪ Battery booster (“jumper”) cables

Winter Readiness for Your Automobile

▪ First aid kit

▪ If you plan to travel during the winter, the Nebraska Emergency Management Agency (NEMA) and the National Weather Service recommend you stay abreast of local weather reports. When the forecasters predict threatening weather, the best bet is to seek shelter and wait out the storm.

▪ Flashlight or emergency light with extra batteries

▪ The Nebraska Department of Roads provides up to the minute road conditions at www.511nebraska.org. Knowing the road conditions may mean the difference between arriving on time and not arriving at all.

▪ A high calorie, nonperishable food

▪ Those who travel during the worst of times are advised to carry a winter storm supply kit in their vehicle. Assemble a separate disaster supply kit for the trunk of each car used by your family that includes:

▪ A tow chain or rope

▪ Transistor radio with extra batteries ▪ A brightly colored cloth ▪ Candles Keep your cell phone charged and have a spare battery or a charger for use in the car. If you are stranded in your car during a blizzard, make a call and wait for help to arrive. Do not try to walk to safety. We cannot escape winter weather so get prepared and be careful out there. For more information, go to www.ready.gov.

▪ Blankets or sleeping bag ▪ Extra sets of dry clothing ▪ A windshield scraper ▪ A shovel ▪ A container of sand ▪ Tire chains

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Clear Communication by Nurses One of the patient satisfaction survey questions that we seem to struggle with most is in regards to communication. “During this hospital stay, how often did nurses explain things in a way you could understand? Would you say always, usually, sometimes, or never?” What they are trying to get at with this and the other nurse communication questions is: Are we providing an environment conducive to healing? For that to happen, research shows that the patient must feel like they can trust their health care provider and have caring and honest communication with them. (As a side benefit, a culture of trust, caring and honest communication reduces law suits.) How can you improve your communication with patients and increase their trust in your care?

Karla Edwards K ARL A EDWARDS Director Service Excellence

Make an effort to listen to patients. Ask them questions that encourage them to talk, ask you questions, and clarify what they don’t understand. If patients are reluctant to talk with you, they will not ask questions or voice concerns. How are you to address those concerns when you don’t know them?

Let the patient know that you are actively listening to them by responding often. Responding with “yes,” “I see,” “uh huh,” or “okay” works very well. It lets the patient know that you are paying full attention to them. However, communication is more than words! In order to truly listen actively, one must look the patient in the eye, still your hands, sit down at eye level with the patient and be completely “with” them. Don’t think about how you are going to reply or what is next on your list. Listen! As you control your body language, watch the patient’s. Do they grimace when they say their pain is a four? Are they curled up in a fetal position? Do they turn away from you when you walk in the room or do they open their body up and lean closer to you? A patient’s facial expressions will demonstrate whether or not they are understanding, accepting, agreeing, or afraid. Finally, study after study shows that hourly rounding greatly impacts the quality of care and the patient’s perception of care. It must be done with every patient, every hour, every shift.

This is the perfect opportunity for you to connect the dots from their care to the patient satisfaction survey! Tell the patient, “I want to make sure I’m explaining this in a way that you understand. I know it is complicated. Please don’t hesitate to ask questions.” When the surveyor asks the question, the patient will remember that you mentioned it numerous times.

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October Attending: Carmen Benavides, Kathy McCool, Shirley Knodel, Tina Delgado, Steven Sanchez, Jake Talley, and Bobbi Decker Questions, Concerns, etc. | Tina is concerned about the low number of surgeries in the last month. Staff was sent home at least once a week in Pre-Admit Testing. Others commented that this is happening in other surgery areas too. Shirley remarked that we are trying to recruit more Orthopaedic surgeons to the area. | Why doesn’t RCU take more patients? | Kathy said that the pre-admission packets that are given to pre-admit BICC patients are often thrown away or not even used. She remarked that there could be some cost savings in the amount of paper work thrown away. Kathy McCool will make a list for Shirley Knodel of the packet information that does not need to be given to the BICC. Shirley will determine if the information can be recycled and used in other packets. | Shirley asked if the group is aware of wasted supplies (i.e. blood pressure cuff, basins, etc.). Shirley remarked that she would like a group that would be willing to look at the supply issue. She will take the idea to the Coordinating Council and have a group work on it. Shirley will visit with Janet Lewis about keeping and cleaning disposable cuffs in outpatient surgery and then throwing the remainder away on Fridays .

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| Shirley was asked what is going on with the uniform project and she provided an explanation. | There was a question about staffing with the addition of Dr. Sanchez and Dr. Scheer. Shirley commented that additional perioperative assistants will be hired as the volume goes up.


November Attending: Susan DeBlieck, Keli Brehm, Beth Kugler, Pam Adams, Barb Stokes, Kim Kniss, Melissa Snyder, Cindy McGaughy, Chris Micheels, Shirley Knodel, and Michelle Keener Questions, Concerns, etc. | Discussed the census across the house | Discussed plans for the Apria building. | Discussed the departments at the St. Mary’s Plaza. | Question was asked if there was a replacement plan for Dr. Colon. Shirley mentioned that Dr. Morgan will serve on the interim basis. | Discussed the surgery wing construction. | Asked questions about statistic results in the OR. | Discussed value-based purchasing. | Asked about the recruitment of physicians. | Questions were asked about satisfaction scores. | Discussed computer software updates. | Talked about physician relationships.

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Care and Practice Council 2012 Review By Rebecca Montanez, RN, Outgoing Chair After three years as the chairperson for the Care and Practice counsel, I have completed my time and I am stepping down and handing the reins over to Janelle Schroeder. It doesn’t seem like it has been that long, but we have accomplished a lot. During my time as chair we have implemented Rounding with a Purpose. This is the concept that each nurse should be anticipating the patients needs and addressing the three P’s, (Patient needs, IV pump, and positioning), every time they are in the room. Research has shown this not only increases patient safety and satisfaction, but it also increases the nurse’s efficiency and saves time in the end.

the co-chair (or co-pilot as I like to refer her) they have, and I had the best, thanks Janelle. Most important, I learned how important Shared Governance is and what a difference it truly makes. I look forward to continuing as a management advisor in the future. I encourage all of our nurses to get involved. We can make such a positive impact to our practice and our work environment through these councils. I challenge all of you to find a council that fits you and get involved.

Another big project taken on by the council was the Catheter Associated Urinary Tract Infections or CAUTI. The council researched best practices and implemented care changes to reflect those, then educated the Regional West staff. The results have been very positive as the CAUTI rates have decreased significantly. Other projects include writing a bladder scanner procedure, modifying the POC dextrose procedure for nursing, and made a proposal to improve protecting our patient’s health information. The committee is currently working on making a recommendation on research about nursing fatigue. We are also kneedeep in a massive overhaul of the Falls Program. I have learned so much as chairperson. I have learned how to organize and lead a group. I have learned how to structure education. I have learned that a chairperson is only as good as the group they lead and ► Con ntinued to page 19 9

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Professional Practice Council 2012 Review By Michelle Powell, RN, Outgoing Chair The Professional Practice Council’s mission is to promote and support the professional nurse through a positive work environment. Every year the Professional Practice council works to make the RN Clinical Ladder as fair and equitable as possible, and to give the RNs at Regional West an incentive to grow professionally. We had an all-day work session in October to review and revise the 2012 policy/program. The council also fielded questions from directors and staff throughout the year to clarify different aspects of the ladder and how certain activities would qualify. The council decided to support a pilot research study involving all RNs wearing the same colored scrubs throughout the facility and the effect it would have on patient satisfaction. A research team from UNMC including Shirley Knodel, Sarah Shannon, and Connie Rupp was in charge of the project, but the council has assisted them by supplying a list of focus group questions and choosing the scrub color options for nurses to vote on as well as the scrub styles that would be available to choose from. Since this is an actual research project that may be published, the research team has been diligent to make sure all the steps in the process are followed correctly with the assistance of a statistician from UNMC.

The second annual Magnet Nursing Awards which are promoted and presented by the council were a highlight for Nurses Week. Registered Nurses were nominated by other staff in the following categories: New Knowledge and Innovation; Exemplary Professional Practice; Structural Empowerment; Transformational Leadership. Other award categories included Outstanding LPN and Friend of Nursing. This year another award category was added for Outstanding Preceptor, which allowed student nurses to nominate those whom they felt were great preceptors. Some of the projects the council is currently working on include development of a professional position statement regarding the use of social media networking. Another ongoing project is how to promote retention within our hospital, the council has brainstormed some ideas and will decide how best to pursue some of these ideas. With annual performance evaluations changing to be performed annually on a person’s hire date, the council will also be deciding, with the assistance of several directors, whether to keep the Clinical Ladder application dates the same as they are currently or to change them to coincide with the performance evaluations. ntinued to page 20 0 ► Con

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Quality and Safety Council 2012 Review Liz Ossian, RN, Chair The patient is at the center of all we do. As health care changes and the expectations of the public rise, we must set new goals for ourselves. Quality and Safety has taken on a project aimed at improving hand hygiene practices, with the ultimate goal of reducing hospital-acquired infections. This is an exciting opportunity to implement an evidencebased practice change. The Joint Commission developed a Targeted Solutions Tool to assist health care facilities in assessing and improving hand hygiene compliance. By identifying the barriers to performing hand hygiene properly, we can choose the right interventions; education for staff, relocating foam dispensers, or other identified changes.

Quality and Safety council is currently working on a recommendation for how nursing peer review might work for our facility. Modeled after physician M & M, the goal of peer review is to improve nursing practice and identify improvements at the system or individual level by examining unusual events. I look forward to continuing our important work in the coming year. If you are interested in joining the Quality and Safety committee, please contact me, Jordan, or your manager/director (or just come to a meeting!). We meet on the fourth Thursday of the month in the Keith Room from 9:30 to 11 a.m. See you there!

The unit-to-unit handoff project was completed at the end of last year, and with communication being at the root of many errors, this was a project where the improvements in patient care are innumerable.

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Evidence-based Practice 2012 Review Susan Backer, MSN, APRN-CNS, ACNS-BC The EBP Council decided on a shared leadership model so Billy Harris facilitated the meetings, Joe Salazar recorded minutes and Susan Backer sent out the agenda and represented the council at the Coordinating Council meetings. 2012 work included: ▪ Copyright issues for posting articles for Journal Club were explored. Michele Parks, Librarian, shared information regarding copyright laws. She checked with several hospital libraries including, Poudre Valley and Bryan LGH. There are several options in regards to using articles. One – see only CINAHL full-text articles and provide a link to the article; Two – partner with Copyright Clearance Center & pay an annual fee; Third - use a pay for use service through Copyright Clearance Center. Option two and three are expensive. ▪ The council investigated how to expand Journal Club to a broader audience. Billie Harris research implementation through the Information Systems Department. Billy contacted a representative for Go-To-Training, a Citrix product. It is web-based, interactive, and does not require use of the facilities server. Employees would be able to participate off site. Other benefits of the service include: one may participate live or view recorded sessions, and the ability to provide inclass quizzes and monitor attendance. Limitations include:

price of $1,400/year for a corporate account, limit of 25 off-site attendees, and only one session can take place at a time; however, there is unlimited access to recorded sessions. Participation can be expanded, if needed, at an additional cost. An organization may demo the product for 30 days. Go-To-Meeting was demonstrated and looks like a viable way to do this. This project was put in the hands of Steve Hodges, VP of Human Resources, as it involves paid time to participate in Journal Clubs from home and possibly a larger project proposal to include expanded use for participating in meetings from home. ▪ EBP Classes were offered twice during 2012 with a total of 11 attendees. Classes were offered in a three part series: | Session I: Creating a Vision | Session II: Searching for Evidence | Session III: Evaluating the Evidence ▪ Due to low attendance the EBP Council worked to solicit new members. It was felt there needs to be a review of the mission and vision statement Statement for 2013. The council may need to change the day and/or time of the meeting.

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Magnet Conference 2012

Cirque Du Soleil Iris

Magnet Conference 2012

Universal Studios Craig Hospital receiving an award

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Magnet Conference 2012

Magnet Conference 2012

Universal Studios Magnet Conference 2012

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Magnet Nursing