eamc east alabama regional medical center
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EAMC East Alabama Regional Medical Center. Bridget Bordelon , Celia Bynum, Kimberly Childress, Meredith Gean , Baylee Smith. Las Muchachas. Meet Kate Ruud! Unit Manager, EAMC CVICU. A Brief History of EAMC…. Construction of EAMC began in 1950 228 Beds - PowerPoint PPT PresentationTRANSCRIPT
EAMCEast Alabama Regional Medical Center
Bridget Bordelon, Celia Bynum, Kimberly Childress, Meredith Gean, Baylee Smith
Las Muchachas
Meet Kate Ruud!Unit Manager, EAMC CVICU
A Brief History of EAMC…
• Construction of EAMC began in 1950• 228 Beds• One of the “Top 100 Heart Hospitals in the
U.S.”• “100 Best Places to Work in America”• CVICU has 8 beds
• Mission – High Quality, Compassionate Health Care
• Vision– To be a national leader in quality, cost and service
• Values– Excellence --Integrity—Compassion—Respect--
Teamwork
Staffing• 18 RNs• 4 MCTs Full Time• 5 Advanced Practice Nurses (Clinicians)• Director of Critical Care• Nurse ManagerThe staff makes group decisions for patient assignments
Charge Nurse Responsibilities-Audit (check beds, check crash carts, perform glucose controls on accu-check machines)
• Used to go directly to manager (tattling)
• Now they are encouraged to talk to each other first
• If there is a safety issue, then staff are encouraged to go directly to the manager• the manager listens to each
side of the conflict and helps determine a plan of action using EAMC’s discipline plan
Conflict Resolution
National Patient Safety Goals
• Prevention of central line infections• Use full drapes during insertion (and
hold physicians accountable)• Wear mask, hat, and gowns
• Ventilator associated pneumonia• Extubation times and
reintubation rates.
Safety Goals (cont.)• Strict glucose control
• Rated by online cardiovascular service• 6 o’clock glucose post-operative days 1 and 2
Financial Concerns
• Problems with Reimbursements
• Recombinant Advisory Committee (RAC) examines charts for correct documentation
• Important to chart everything carefully• Medicare/Medicaid
coverage• Don’t over-staff
Change Needed
• Losing nurses to graduate schools and other opportunities
• Majority of nurses are new graduates– They lack experience– May not understand all
aspects of CVICU right away
Patient Delivery Care Model
• “Family Nursing”– Each nurse has ~2 patients
but everyone works as a team to take care of “fresh hearts” and new admits
– No such thing as: “that’s not my patient…”
– The patients are critical! “Can’t do it alone!”
Patient Assignments
• According to patient acuity and nurse skill level– One nurse will not have 2
“fresh hearts”– More experienced nurses will
take care of more critical patients
– It is important for the nurses to be comfortable with their patients. When the new nurse is ready they can take care of sicker patients
Scheduling
• Day shift and night shift hold scheduling meetings
• 3 nurses per shift• Night shift may choose to do “6 on, 8 off”• After schedules are written the staff can
switch shifts if necessary
Motivation
• Every staff member is motivated differently– Recognition– Self-motivated– “Whip-cracking”
• No matter what kind of motivation they require, each staff member wants to give the highest quality of care.
• “We want our unit to be the best!”
Recruiting
• No active recruiting from outside the hospital at this time
• Earn & Learn• Getting nurses from step down unit• Scholarship program
Attrition Rate
• In the last year 3 staff RNs were lost– 1 moved– 2 went to CRNA school
• No nurses lost due to job dissatisfaction
Encouraging Staff Retention
• “Family” atmosphere• Provide opportunities for
advancement• Make them feel valued
and important• Excellent teamwork– “works like a well-oiled
machine”– Everyone knows their role
Questions??