nursing excellence

Nursing Excellence 2014

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Dear Nursing Colleagues,

Welcome to the latest edition of Nursing Excellence, summarizing the year 2014 – as we celebrate National Nurses Week! I’d like to thank the editorial team for another

amazing achievement in commemorating last year and to all of you who submitted accomplishments to the Nursing Excellence Team.

The Magnet Journey is alive and well!! We continue to meet all the Magnet Standards with the work of the 4 Magnet Component Committees and many community projects. Our Professional Practice Model (PPM) got a “refresh” after seeking your feedback on our original model. We have received many accolades for the newly designed PPM. In addition to many awards and recognitions in 2014 – among the most significant was receiving “Modern Healthcare’s Top 100 Best Places to Work Award” as voted by you, who were randomly surveyed. I was able to participate in the award ceremony in Chicago and it was truly an honor to be among the other recipients of the award.

Additionally, it was a very proud moment for nurses at Cottage Health System when we opened the Gary Hock Family Simulation Training Center on 2 East at SBCH last November. Through Mr. Hock’s incredibly generous gift to Nursing, we were able to fund the redesign of 3 former Operating Rooms to create the simulation center and also to partially fund the staffing for the next 5 years. We also were able to purchase 4 new “state of the art” mannequin simulators. We expect over 1,500 participants in 2015 to experience the art of Simulation Training. Many thanks to Jennifer Granger Brown, Simulation Coordinator and Gordon Arkell our Simulation Technician for their hard work in designing, programming and sharing their expertise in the art of Simulation Training.

I would like to thank all of you for your dedication to our patients, for your expertise in your specialty, for seeking further certification and advanced degrees, and your commitment to Cottage Health System. You are the best!! Happy Nurses Week…

Herb Geary, MBA, BSN, RN, FACHE Vice President, Patient Care Services and Chief Nursing Officer Cottage Health System

Table of ConTenTs

Magnet® Journey

4Transformational Leadership

8Structural Empowerment

16Exemplary Professional Practice

35New Knowledge, Innovations and Improvements

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nURsInG eXCellenCe CoMMITTee

Jennifer Bower (Education/CHS)

Ellen Fenger (Surgical and Trauma/SBCH)

Dodi Gauthier (Education/CHS)

Herb Geary (Chief Nursing Officer)

Carol Henderson Nelson (Education/CHS)

Shawn Hodges (Materials Management)

Jan Ingram (Parish Nursing)

Linda Reimer (Patient Care Services)

Tokie Shynk (Critical Care/SBCH)

Dan Thomas (CRH)

Kathryn Von Dollen (PACU/SBCH)

Cover photo by Glenn Dubock (Media Services)


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What an impressive year! 2014 has brought many exciting changes in health care as well as in Nursing at Cottage. The Magnet journey continues to thrive with the four component committees continuing to meet monthly along with the Magnet steering committee. Each of the component committees can proudly reflect on their work this year; work that continues to gain momentum. The accomplishments are many and the highlights include:

TRansfoRMaTIon leadeRshIp (Tl): Herb Geary’s Quarterly Newsletter: The committee discusses important trends in nursing and provides recommendations on topics for the newsletter. His themes focused on professionalism, change, national/CHS perspective, CHS projects, Simulation, and the nurse’s role in the Ebola challenge. Each of the letters has provided insight on things to come.

Created a Working List of Nursing Committees: The TL committee was able to put together a list of committees with nursing involvement; the list is based on information from the Nursing Professional Portfolios. The list identifies the committee chair/co-chairs, mission statement, and meeting dates/times and can be found on the Portal, Education and Training website under the Magnet tab.

sTRUCTURal eMpoweRMenT (se): Nursing Back to School Day: The SE committee supports and encourages nurses as lifelong learners. In May, this event allows staff the opportunity to explore their option: to become a nurse or to further their nursing education.

Recognition of Certified Nurses: The committee sends a personalized letter to the home of individuals who achieve initial and recertification. During the week of Certified Nurses day on March 19th, the committee along with Herb Geary sends a recognition email to those who hold specialty nursing certification. The committee also distributes green “I am a specialty certified nurse” ribbon for nurses to wear during the week. A celebratory ad was also placed in the Santa Barbara News-Press and Independent honoring the certified nurses.

eXeMplaRy pRofessIonal pRaCTICe (ep): Nursing Professional Practice Model Revision: We asked, you answered, we listened… The Professional Practice Model (PPM) is an important reflection of the nursing care provided at CHS. Based on a series of surveys and the determination of the EP committee to represent the voice of nursing, our original PPM image was changed. The wording associated with the PPM remains consistent as nurses agreed that the words accurately reflect our values.

Peer Evaluation for 2015: The EP committee embraced the challenge to lead CHS nurses toward the best practice of Nursing Peer Evaluation. With staff input via surveys and focus groups, the process will be implemented in 2015.

new KnowledGe, InnovaTIons, and IMpRoveMenTs (nK): Communication Enhancing Access to Conducting Research at CHS: The NK committee has been working on spreading the news about CHS New Knowledge, Innovations, and Improvements. NK collaborates with the Research Department to distribute the Research newsletter quarterly. Each member of the NK team takes turns contributing to the newsletter that features information about research, quality improvement (QI), process improvement (PI), and Evidence Based Practice (EBP).

Attend the Research Advisory Committee (RAC) meeting: Members from the NK committee rotate attendance at the RAC meeting. Here the NK committee members learn about the process of nursing research as well as new and exciting ideas nurses have for research.

MaGneT QUalITy CelebRaTIonAugust brought our 2nd annual Magnet Quality celebration, another successful showing of quality outcomes driven by nursing see the full story on page 7.

Chs sToCK phoTosWe have all seen and possibly used those generic pictures of nurses on flyers, PowerPoints and posters. With such talented staff of our own, we determined it was time to create a stash of stock photos highlighting CHS nurses. With the assistance of Glenn Dubock, photographer extraordinaire, we now have nursing photographs that give a glimpse into the “day in the life” of CHS nurses at all campuses. The pictures focus on collaboration, teaching moments, role-to-role interactions, team meetings, simulation, and HIPAA compliant patient interactions. Special thank-you to those who were photographed and represent the spirit of nursing at CHS and exemplify our core values of Excellence, Integrity, and Compassion.

If you have questions about the Magnet journey, I am here to assist!

Sincerely, Jennifer Bower, MSN, RN Nursing Magnet Program Coordinator [email protected] 805-448-5941 (cell), x54641


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ReCoGnIzInG MaGneT JoURney leadeRs:

Transformational Leadership: Visionary, Courageous, Strategic Planner, Influential, Empowering

Co-Chairs: linda bacon, herb Geary Members: amy vandenheuvel, amy vanderputten, Caroline Rosen, denise Mcdonald, edmund wroblewski, Jim ouellette, Kim Morales, nick Urton, sabine Keller

Structural Empowerment: Life-Long Learner/Teacher, Commitment to Community, Professionally Engaged, Nurse Role Model

Co-Chairs: Mary Meola, Carol h. nelson Members: Tia Caldwell, diane barkas, dodi Gauthier, ellen fenger, Gary Milgram, Gina Randall, Jan Ingram, Judy Corliss, Kim velasquez, Rhonda bernstein, Roya nassirpour, shawn hodges, shelley algeo

Exemplary Professional Practice: Passions for the Professional Practice Model, Nurse/patient Satisfaction, Nurse-Sensitive Indicators, Interdisciplinary Influence

Co- Chairs: darcy Keep, liz lundquist, sherrie Grimes Members: Karin dewitte, Christine pimentel, daniela Maaia, danilyn Mclaughlin, Jennifer dunn, Jennifer ferrick, Jennifer Granger, Jennifer wobig, Karen Rose, lauren sutherlin, leann de luna, lindsay picotte, Mary Gensler, sandra Ibrahim, stella Riddell, susan e. white, Tammy Mcdevitt, Tegan hannah, Colleen wheeler.

New Knowledge, Innovations, and Improvements: Innovator, Adventuresome, Tolerant of Uncertainty, Confident, Risk Taker, Forward Thinking, Tech Savvy

Co: Chairs: Tokie shynk, dan Thomas Members: emily Rorden, Jacki Cutroni, laura Canfield, lindy Chavez, lorie loomis, patti wicklund, vicki lekas, Marsha baselice


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n• Critical Care: Compassion Doesn’t End Whenthe Heart Stops: Perceptions of HonoringCeremony at End-of-Life

• MICU: The Upside Down World of ARDS: Careof the MICU Patient on a RotoProne Bed

• 1RT: Day/Night Shift Rotation: StaffingGuidelines for Neurology/Urology Nurses

• 4S: Oncology Nursing Symposia: InnovativeLearning Events Created by Nurses, for Nurses

• 4S: Welcome to your new knee: using a staffcreated video to educate patients

• SE: Professional Development: DefiningStructure and Process to Recognize andPromote CHS Certified Nurses

• SE: Beyond Florence: The Image of Nursing:Creating a Legacy

• SICU: Promoting Employee Satisfactionand Retention Through Unit Based SharedGovernance

• NPs: The role of the Neuroscience NursePractitioner through the continuum of thepatient’s hospitalization.

• GVCH ICU: Do we really hear our patients?Active Listening for Patient Engagement

• MIC/BC: CordStat: Testing for Drug Exposurein-utero

• TL: What is Transformational Leadership (TL)?

• 3RT: An Approach to Team Nursing

• 1WC: Get Back to Teaching with Teach back

• 1WC: Critical Incident Stress Debriefing Team

• Endo: Comparison of Conventional BowelPreparation to a Low Volume Split-Dose Prep inthe Inpatient Population

• Parish Nurses: Parish Nursing Program’s MentalHealth Outreach: PathPoints-Behavioral Health

• Peds/PICU: Sleeping Safely: Implementation ofa Pediatric Sedation Nurse

• Peds/PICU: The Pediatric Re-Charging Station:Caring for the Caregivers in the Pediatric andPediatric Intensive Units.

• CNSs: Advanced Practice Registered NursingAPRN

• NK: Advancing Nursing Research With ToolsYou Can Use

• EP: We Asked, You Answered, We Listened:Our New Professional Practice Model

• Dialysis: Got Water?

• GVCH Leadership: Huddle for High Reliability:Transforming Care at the bedside: Target CoreMeasures

• GVCH Sub Acute: Infection Reduction; Sub-Acute unit from 10.9 to 2.0

• 3WC: Implementing Change in the CareDelivery System: An RPCT Pilot Program

• CRH: Validation study of a Fall Risk AssessmentTool Specific to the Acute

• NICU: Home Bound: Addressing NeonatalLength of Stay

• SBCH ED: Creating a Culture of Safety –Quality Improvement efforts focusing onmedication use and administration

• Education: Stayin’ Alive!

• Educaton: Tools for Teacher

• Education: A Site with Vision: Enhancing theEducation & Training Website

• SYVCH ED: Cross Training Staff Between ED’s

• QI: Implementing a formal dysphagia screeningprotocol for acute stroke patients.

• QI: Reducing Hospital Acquired VenousThromboembolism (DVT & PE) UtilizingElectronic Screening Tool/Order Set

• Care Management: Project S.I.T.D.O.W.N

• Trauma: 2014 Distracted Driving AwarenessCampaign

• Trauma: 2013 Distracted Driving AwarenessCampaign

nURsInG posTeRs

KEY:

• Red: Transformation Leadership | • Green: Structural Empowerment

• Purple: Exemplary Professional Practice | • Blue: New Knowledge, Innovations, & Improvements


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MosT CReaTIve: peds/pICU: The pediatric re-charging station: Caring for the caregivers in the pediatric and pediatric intensive care units

MosT InfoRMaTIve: Critical Care: Compassion doesn’t end when the heart stops: perceptions of honoring ceremony at end-of-life


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MaGneT QUalITy CelebRaTIon

2nd annUal MaGneT QUalITy CelebRaTIon: a booT sCooTIn’ sUCCess

The 2nd Annual Magnet Quality Celebration held August 21st was a great success! The event celebrated 38 professional Nursing posters displaying quality outcomes, research and information. The western themed event kicked off at 0700 and was well attended into the night, concluding at 0100. This year’s posters exemplified nursing’s commitment to enhancing outcomes and striving for excellence. The event celebrated nursing successes and sought to share the efforts from the past year. Attendees once again were invited to vote for their favorite posters. The winners were awarded a trophy by Herb Geary and presented their posters at the Shared Governance C3 event that October.

The winning posters included:

MosT InfoRMaTIve:

Critical Care: Compassion doesn’t end when the heart stops: perceptions of honoring ceremony at end-of-life

MosT CReaTIve:

Peds/PICU: The Pediatric re-charging station: Caring for the caregivers in the pediatric and pediatric intensive care units

I neveR Knew “wow”:

MICU: The upside down world of ARDS: Care of the MICU patient on a RotoProne bed

honoRable MenTIons Go To:

MIC/BC: CordStat: Testing for drug exposure in-utero

Nurse Practitioners: The role of the neuroscience nurse practitioner though the continuum of the patient’s hospitalization.

Structural Empowerment Magnet Component Committee: Beyond Florence: The image of nursing: Creating a legacy

Peds/PICU: Sleeping safely: Implementation of a pediatric sedation nurse

Endoscopy: Comparison of conventional bowel preparation to a low volume split-dose prep in the inpatient population

Care Management: Project S.I.T.D.O.W.N

For those who missed the event or would like to review the posters at their leisure, an electronic version of the posters is available on the Employee Portal>Education & Training>Magnet tab>Magnet Quality Celebration. The posters are listed by unit/department. I neveR Knew “wow”:

MICU: The upside down world of aRds: Care of the MICU patient on a Rotoprone bed


l-R: The three team leaders are Mia sanders, debra lee,

and Judy Corliss

endosCopy depaRTMenT leadeRshIp

The team leader role was implemented in early 2014 to help staff adapt to the new department footprint and streamline work flow. The team leader is responsible for assignments, facilitating, prioritizing, adding on cases, and trouble-shooting. As a result the team experienced improved throughput and staff/patient satisfaction.

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The advIsoRy boaRd nURse eXeCUTIve CenTeR

Herb and the Nursing Directors attended the Advisory Board’s Nurse Executive Conference, “Energizing the Nursing Workforce.” Based on the information presented, an on-site presentation was selected by the leadership team centered on cultural diversity. The presenter, Katherine Virkstis of the Advisory Board spoke to more than 60 CHS Clinical Managers, Clinical Nurse Coordinators and Educators on “Equipping Staff to Care for Diverse Patient Populations.”

l-R : linda bacon, denise Mcdonald, Carol henderson nelson, dan Thomas, herb Geary, sherrie Grimes, Tokie shynk.

The ed lanTeRn pRoJeCT

The Emergency Department at SBCH formed a committee to apply for the Lantern Award through Emergency Nurses Association (ENA); the team identified how their department exemplifies exceptional and innovative performance as it relates to leadership, practice, education, advocacy and research. Although they did not achieve this recognition, the ED was able to identify areas of strength and weaknesses and learned valuable lessons throughout the process.

l-R: Jacki Cutroni, Cathy Cleek, donna featherstone

ebola pRepaRedness aT CoTTaGe

healTh sysTeM

In October a Dallas Presbyterian Hospital RN was diagnosed with the Ebola virus. As this news spread across the world, Nurses, Physicians and the Leadership at Cottage sprang in to action. Lead by Infection Control Practitioner Leslie Stanfield and Dr. David Fisk, a plan was developed that engaged a multidisciplinary team at CHS. Infection Prevention and Control focused first on training employees and physicians most likely to be involved in direct care of a potential Ebola patient, assuring all CDC guidelines and safe practices were in place. Based on this plan, over 222 Health Care Providers volunteered to participate in training sessions. Specialized personal protective equipment was purchased and a secured isolation unit was established, dubbed the Highly Infectious Care Unit (HICU) located on 3 Centennial at SBCH. Leadership provided frequent updates to employees regarding the work that was being done to protect staff and patients while caring for the needs of our community.

l-R: susie Thielmann, leslie stanfield with a team training to care for a suspected ebola patient.


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eMeRGenCy depaRTMenT: IMpRovInG The nURse’s eXpeRTIse as a pReCepToR

The ED identified that increased nurse involvement would improve the training and positively influence patient care outcomes. The focus was to have a team, rather than a single individual, work with the preceptee to better meet their goals. Preceptor class attendance was required to improve their knowledge.

Practice improvements included:

• Midpoint meetings with the team and preceptee

• Frequent updates and communication with the team, educators andpreceptee

• Increased input from nurses regarding the preceptor process

• Individualization of program

l-R: front: lindsey dudley, Judy Umansky, Jolee farias, Jenael Rose, Jamie Considine back: lauren sutherland, Tammy Mcdevitt, blake henderson, Christy philip

welCoMe laURa CanfIeld, Msn, Rn, aCns-bC, CnRn, sCRn, CCRn To nURsInG adMInIsTRaTIon

In October, Laura Canfield, joined Nursing Administration as the Director of Acute Care Services. Previously, Laura served 3.5 years as the Clinical Nurse Specialist for Neuroscience at SBCH and is board certified in 4 clinical specialties with 19 years of nursing experience. Prior to joining CHS, she was the Director of Critical Care Services in Orange County, CA.

epIC ChoICe...as Chs’s eleCTRonIC healTh ReCoRd (ehR)

Why EHR? Under the 2009 economic stimulus package, health care providers who demonstrate meaningful use of certified electronic health record systems can qualify for Medicare and Medicaid incentive programs.

IT identified strong Medical Staff and Nursing Leadership as a key to success. Herb Geary is a member of the IT Governance Structure.

Out of 32 participants Herb Geary, Laura Davidson and Caroline Rosen were the nursing representatives for the EHR selection team, which included site visits. All nursing departments were invited to the onsite EPIC demonstrations to help with the decision.

Isla vIsTa TRaGedy

The tragic events of May 23rd resulting in the death and injury

of many in Isla Vista strongly impacted our local communities.

Cottage Health System met the challenge. A remarkable group of

caring and dedicated professionals responded to the calls for

emergency assistance in the field and throughout CHS. News of the

extraordinary work of so many who were there in our community’s time of need was shared in the aftermath

and exemplified the core values of Cottage Health System.


heRb’s QUaRTeRly newsleTTeR

To enhance communication with Nurses in Cottage Health System, Herb Geary, VP of Patient Care Services and CNO, committed to providing a quarterly newsletter that updates everyone on the state of nursing at Cottage. It highlights major events in Nursing including the annual Nursing Quality Celebration and prepared us for changes like Knowledge Based Medication Administration (KBMA). Herb represents CHS at leadership committees and ensures Nursing has a voice in decision making. The Magnet Transformational Leadership Committee, co-chaired by Herb, plays an important role in providing ideas as well as feedback for the newsletter.

We thank you Herb for your transformational leadership!

The newsletter is emailed to all nurses quarterly and can be found on the portal>education and training>home page>news

flU vaCCIne pRoTeCTInG eaCh oTheR and oUR paTIenTs

Flu outbreaks in hospitals have been attributed to low vaccination rates among healthcare providers. Hospitals with 100% employee vaccine compliance reduce the risk of patients dying from influenza acquired in the hospital by 40%.

Employee Health and Safety (EH&S), led by Angeli Mancuso’s leadership, successfully vaccinated 3,424 employees for a 97% compliance. This was achieved utilizing 35 RNs and multiple approaches:

• 25 general clinics across the health system

• 15 unit based nursing departments giving vaccinations

• NRU RNs providing 10 evening roaming vaccination services

• 15 clinics located at the MICU/SICU Greeter desk

• EH&S who attended 3 EVS and 2 Volunteer Services meetings

CoMplIanCe

division 12-11-14 employees loa* vaccinated % declined Compliance %

cottage health 178 0 176 99% 2 100% system

goleta Valley 355 5 337 96% 13 100% cottage hospital

pacific 259 5 246 97% 8 100% diagnostic lab

santa barbara 2,718 48 2,581 97% 89 100% cottage hospital

santa Ynez Valley 88 2 84 98% 2 100% cottage hospital

total 3,598 60 3,424 97% 114 100%

GeneRal flU ClInICs by faCIlITy

facility Clinics

hollister business services building 2

goleta Valley cottage hospital 8

pdl core lab 2

pdl pscs 2

santa barbara cottage hospital 8

santa Ynez Valley cottage hospital 3

total 25

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shawn hodGes QvaT pRoJeCT ManaGeR

Shawn has had a variety of roles at CHS (Clinical Nurse, CRN, CNC, Clinical Manager, Project Manager, RN for Transition Planning), in her newest role as Quality Value Analysis Project Manager, she coordinates the planning, implementation, and monitoring of the Quality Value Analysis program.

Utilizing a team approach, four distinct groups (Invasive Surgical, Non-Clinical, Pharmacy, Physician Preference and Universal Clinical) focus on action items including savings initiatives, product standardization and utilization, and savings strategies for CHS.

Initiative approval focuses on Quality, Safety, Patient and Staff Satisfaction and Clinical

Program Growth/Development in addition to budgetary impact.

Serving as clinical liaison for the health system’s supply chain, Shawn facilitates the sharing of clinical information and feedback which supports our Patient First culture.

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l-R: nicole huff, Gayle Mercado and bruce Read, pharmacy Clinical Coordinator.

syvCh fIndInG TheIR nIChe

Santa Ynez Valley Cottage Hospital received the national designation Nurses Improving Care for Health System Elders (NICHE), indicating its commitment to elder care excellence.

Nicole Huff, Gayle Mercado and Bruce Read comprised the team that completed the NICHE Leadership Training Program and put together the implementation plan for the hospital.

Through participation in the NICHE program, NICHE provides us with:

• State-of-the-art training tools andresources

• Evidence-based protocols that lead toimproved clinical outcomes

• Positive fiscal results

• Enhanced nursing competencies for thecare of elderly patients.

• Staff receives educational opportunities(including preparing nurses forcertification in geriatric nursing) andrecognition for their work.

Jennifer Granger Msn, Rn (formerly Med surg Clinical educator) transitioned to simulation Center Coordinator. The new Gary M. hock patient Care simulation Center opened the last quarter of 2014.


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GaRy M. hoCK faMIly paTIenT CaRe sIMUlaTIon CenTeR

CHS received a generous donation from Gary Hock, a member of our Santa Barbara community, specifically allocated to build and support a state of the art simulation center.

Simulation offers staff the opportunity to learn new skills and fine tune existing skills away from the bedside where it is safe to make mistakes. Debriefing with video allows staff to reflect on their practice, providing them with an excellent learning opportunity.

CHS trains staff on the critical skills necessary to care for our patients that are high risk, low volume, i.e.: rapid response and code blue team training. With our new simulation center, high fidelity mannequins, and state of the art audio visual equipment, we are able to expand on this foundation. Jennifer Granger, Simulation Coordinator and Gordon Arkell, Simulation Technology Specialist, work with inter-professional teams in many areas of the hospital to provide specialized training.

After making his legacy gift, Mr. Hock died shortly before the center named in his honor was opened. The new Gary M. Hock Family Patient Care Simulation Center dedication and open house was celebrated with his wife, Lyn, and other family members.

anCC MaGneT ConfeRenCe dallas TeXas

Representatives from each of the Magnet component committees attended the Magnet conference in Dallas. The team joined more than 7000 nurses to share evidence-based practices and innovations in nursing. Upon return, the team shared highlights of the conference which assisted the Magnet committees to set goals for the year.

l-R: Jacki Cutroni, lauren sutherlin, Jennifer bower, Kim velasquez, amy vandenheuvel

Ron werft, Ceo and lyn hock

l-R: dodi Gauthier, Jennifer Granger and guest allison sharpe

l-R: lindsey picotte, dodi Gauthier, linda bacon, Gordon arkell, Tokie shynk and lyn hock


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CsUCI leadeRshIp sTUdenTs MenToRInG The fUTURe of nURsInG

CHS Nurse Leaders mentored 27 BSN leadership students from California State University Channel Islands covering a breadth of projects and improvement initiatives (see list below).

leader student project

Kim morales Jason chang research and improve the endoscopic retrograde cholangiopancreatogaphy procedure

dan thomas/ Jacquelynn dinardo developed a 3 year educational plan for carf educational maggie Wordell accreditation standards

dan thomas/ diane grill, rn enhancing education through technology maggie Wordell

dan thomas/ maria magana formalize nurse competencies for the employee portal maggie Wordell

colleen Wheeler megan brainerd developed a protocol and policy for unintended retained foreign bodies (in settings and for procedures other than surgery

colleen Wheeler aurelie figlio defining staff roles to prevent hospital acquired pressure ulcers; revised hapu protocol

donna Janega danielle hines improving compliance with core measures in the sicu

diane barkas morena loomis implementing 2% chlorohexidine gluconate single use wipes for bathing to decrease colonoization and hais via contaminated bath basins in

critical care

diane barkas angela Krego developed the prone patient protocol and the use of the rotoprone bed

caroline rosen olivia mariea improving the patient discharge process

elizabeth taylor linzey cristina perez implementing the fall stop fall prevention program for the elderly

tim Kadrie / stephanie donaghe identification & implementation of 12 lean efficiency stragies liz lundquist for the pediatric outpatient multispecialty clinics

tim Kadrie / stephanie lepas identification of 4 lean efficiency strategies including centralized liz lundquist referral system which would utliize rn time for nursing related activities.

caroline rosen olivia mariea improving the patient discharge process

caroline rosen stephanie donaghe identification & implementation of 12 lean efficiency strategies for the pediatric outpatient multispecialty clinics

caroline rosen stephanie lepas identification of 4 lean efficiency strategies including centralized referral system which would utilize rn time for nursing related activities

laurie biscaro ashley ronaldson-may project sit doWn (studied the retention of discharge planning education when rn is standing and when rn is sitting) patient’s perception of time spent increased by 50%

darcy Keep melissa hurtado conducted a staff training on the relationship between bariatric surgery and substance abuse

darcy Keep dallas fisher researched and developed recommendations for discharge follow up phone calls to prevent readmissions to 5 east

cherie mignone Jamie Kohl evaluate staff’s care standards in the sub-acute setting

cherie mignone Jordin anastasia continuous Quality improvement in infection rates and environmental practices in the sub-acute care setting

leslie stanfield Kaitlin brennen-esquer ppe compliance: conducted audit & created a ppe 101 module then placed on healthstream

leslie stanfield sofia segerstrom “Wet-to-dry” contact times; created “Wet-to-dry” cards and increased training to all staff (eVs; staff meetings)

leslie stanfield nicole lemke, rn increasing ppe compliance rates in sicu/micu via auditing

lindsay picotte brian Wong develop a standardized competency reference tool

Jennifer granger cindy mathes sim lab protocols and instructions

donna Yacobian autumn moon establish policy and procedure data base & tracking method


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l-R: laura biscaro and ashley Ronaldson May, CsUCI bsn student

RaIsInG saTIsfaCTIon by sITTInG down

The Case Management team along with Ashley Ronaldson May conducted a study on the patient perception of sitting vs. standing at the bedside during patient interactions. When the Case Manager sat down for patient conversations, the patient reported an increased understanding of what they could expect during their hospital stay, a more positive interaction, and participated more fully in their discharge planning. Sitting down says, “You have my undivided attention.”

ResUlTs fRoM ReseaRCh sTUdy:

Actual Standing Time: 5.43 minutes

Actual Sitting Time: 5.95 minutes

Perceived Standing Time: 8.34 minutes

Perceived Sitting Time: 15.89 minutes

nURsInG baCK To sChool day

CHS held the second Nursing Back to School Day. The event featured seven schools, including on-site and online degree programs. Members of Human Resources were also available to answer questions and discuss the education benefits offered to employees. The event was attended by over 8o people, mostly nurses interested in attaining their BSN.


Top: l-R: Ginny de Garza sanders, Marna Kaupas, Gail figueroa, alison McCeney and valerie Maloney.

bottom: participants practicing

hands on pRaCTICe

The SWOT department held an Ostomy Hands on Workshop in May, giving attendees a chance to explore the world of SWOT while providing opportunities to practice with the many materials used for ostomy and wound care.

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on-sITe classesCHS nurses are committed to professional development as demonstrated by exceptional participation in on-site classes. We collaborate to enhance the patient care experience while elevating our knowledge and confidence.


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an evenInG of InspIRaTIon

Gina Bifano with the help of the Education Department, arranged for author Hollye Jacobs to speak about her bestselling book, “The Silver Lining” that offers a supportive and insightful guide to breast cancer. The event brought together CHS staff and community members for an inspirational evening. l-R: hollye Jacobs, speaker/author, and Gina bifano

pRepaRInG foR ClInICal pRaCTICe

The CHS ACLS instructor team is an integral part of introducing new MD residents to CHS. This course certifies them in ACLS and trains on equipment used on all CHS campuses. The ACLS instructor team ensures successful completion by all residents and helps prepare them for a smooth transition to their clinical experience.front, l-R: barbara fantone, Janet o’Connor back, l-R: Christy block, Cheryl Mingee, Ryan Castorino, Rose bray, susan Mozako

CaRe of The TRaUMa paTIenT wITh a TRaCheosToMy: np bRIdGes KnowledGe Gap

The clinical nurses identified a low frequency/ high risk patient population knowledge gap regarding the use of tracheostomy in the trauma patient. To bridge this gap, Eileen Kelleher developed an in-service highlighting general concepts of tracheostomy care and progression toward decannulation in order to increases nurses’ familiarity with this patient population.eileen Kelleher

aCadeMy of MedICal sURGICal nURses (aMsn) CeRTIfICaTIon RevIew CoURse

Thirty seven CHS nurses from CRH, Subacute, Telemetry, Neurology, Oncology, Pulmonary Renal Infectious Disease and Surgical Trauma attended the AMSN Certification Review Course was held

on site. The program is free to our nurses in promotion of Med-Surg certification. The CMSRN credential recognizes that the highest standards of medical-surgical nursing practice have been achieved (AMSN, 2014).Caroline ashman, course instructor

Juliette fish

CaRInG foR paTIenTs wITh alCohol wIThdRawal

The care and treatment required for patients experiencing Alcohol Withdrawal is complex. Juliette Fish’s presentation included the physiologic reasons for the occurrence of alcohol withdrawal as well as the evidence-based approach for the care of these patients. The presentation was attended by Clinical Nurses, Social Workers, Student Nurses and Drug and Alcohol counselors.


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nURse speCIalTy CeRTIfICaTIon CoMMeMoRaTIon

March 19th commemorates the birthday of Dr. Margretta “Gretta” Styles, a nurse who advocated for nursing certifications and developed the first research study to validate the importance of nurse credentialing. Certification empowers nurses by validating nursing specialty knowledge and helps enhance the knowledge base of a growing career.

In 2014 CHS honored and supported nurse specialty certification in a variety of ways such as:

• Nurses (after 6 months of employment)are eligible to receive a certificatebonus. CHS will provide up to $1,000for each nationally-recognized initialcertification you receive and $500 forre-certification. The complete list ofeligible certifications can be foundunder the Certification Bonus policyin the Human Resources Policies andProcedures.

• A celebratory advertisement was placed in the Santa Barbara News-Press and Independent.

• Each certified nurse received a ThankYou email and printable card from HerbGeary.

• The Magnet Structural EmpowermentCommittee sent hand written thank youcards to new and re certified nurses.

• Green “I am a specialty certified nurse”ribbons weredistributed andworn by nursesduring the weekof March 19th.

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accepting the award on behalf of sbCh, Caroline Rosen and Kathy pelham from presenter dr. James Merlino (Chief patient experience officer of the Cleveland Clinic). not pictured: scott shum (service excellence Consultant).

Cleveland ClInIC’s besT pRaCTICe of The yeaR awaRd: TeaCh baCK

Cardiac Telemetry received the Best Practice of the Year Award at the Cleveland Clinic’s Patient Experience: Empathy & Innovation Summit. The award was for developing and implementing a successful program for patient education regarding medications using the Teach Back method. This program demonstrated success through improved patient satisfaction scores on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys and was shared with the med-surg units and system wide.

aCKnowledGInG eXCellenCe

The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) provides a Distinguished Professional Service Award each year at national convention to a member who demonstrates unparalleled dedication, commitment, leadership, diligence, excellence and outstanding expertise to the both nursing and the organization. The recipient of the award, Dodi Gauthier, was given this distinction at the 2014 National conference in Orlando, FL.


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communitY evenTs and healTh faIRs CHS nurses extend their expertise and passion for helping others, out into the community. Aligning with our Professional Practice Model nurses are committed to wellness and prevention in the community. CHS nurses help to organize, promote and staff free local health fairs that fill health and health education needs in our community to make a lasting impact on community wellness.

endosCopy Is blUe foR naTIonal ColoReCTal CanCeR awaReness MonTh

Staff nurses from CHS Endoscopy volunteered for colon cancer screening in March. Together with Gastroenterologists, Sansum Ednoscopy and the Colon Cancer Center, this team was able to offer cancer screenings and help to facilitate colonoscopies. In support of the event the team wore blue!

MenTal healTh faIR

As a collaborative project with the Shared Governance Council on Psychiatric Services and many community agencies, the 9th annual Mental Health Fair, was held in May. More than 20 agencies that provide services to those who are living with mental illness participated in the event. l-R: Melanie Jackson, darcy Keep, leesbeth lagendyk, sabine Keller, Tim stahl

sKIn CanCeR sCReenInG

CHS and the Cancer Center of Santa Barbara sponsored the free Annual Skin Cancer Screening Event. Nancy Garcia volunteered for this event and appeared on a T.V. news segment of Univision promoting Skin Cancer awareness to the Spanish speaking community of Santa Barbara.nancy Garcia (far Right)

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fall sTop CoMMUnITy oUTReaCh pRoGRaM

As part of trauma services commitment to the community programs such as Fall Stop create opportunities for members of the community to come and learn how to maintain health. Nurses from the ED supported the fall Stop campaign by assisting with blood pressure, vision, hearing, and medications screenings. pic: Tammy Mcdevitt, amanda Montgomery, david linzey


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InaTTenTIonal blIndness

The Distracted Driving Campaign sponsored by the Trauma Department, is a collaborative effort comprised of RNs from several units, BSN students from CSUCI, CHP officers and SBUSD high schools. The campaign focused on the phenomenon of “inattentional blindness” or failure to recognize an unexpected stimulus that is in plain sight.

l-R: debbie aitken, Jenn wobig, liz Taylor-linzey

fIRsT aId leadeRshIp – vIva la fIesTa.

During the 3 day Fiesta celebration in August, at Our Lady Of Guadalupe Church, Parish Nurse Elly Walters Bible facilitated the SB County EMS program coordination. She trained volunteers in first aid, disaster safety, and created a first aid station that provides service for several hundred community members ensuring a safe celebration.

eXTendInG oUR ReaCh

The Parish Nursing program expanded their community outreach program by adding 3 new venues in 2014. New additions included: Casa Serena, a recovery program for women and two new low income senior living facilities, Presido Springs, and Shifco. These additional programs directly serve our at risk community members.

parish nursing Team

blood dRIve

Parish Nurse Elly Walters Bible organized a Blood Drive with United Blood Services at St Joseph’s Parish in Carpinteria. She recruited participants resulting in 35 units of donated blood.


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vaCCInaTe foR a healThIeR CoMMUnITy

Another successful year of providing free or low cost flu vaccines to our community! More than 1300 vaccines were given by Parish Nursing and other CHS nurses. Clinics were held at venues including:

• Santa Barbara and Goleta farmersmarkets

• Avocado Festival in Carpinteria

• YMCA

• Catholic Charities

• 7 local churches

• Isla Vista and Carpinteria FoodBanks

• Homeless outreach at Pershing andAlameda parks,

• 4 homeless shelters

• 4 senior housing units

• Senior Expo

CoMMUnITy UpdaTe

The Santa Barbara Chapter of the Mended Hearts Association hosted Rose Bray and Arie Dejong who presented on the new Goleta Valley Cottage Hospital and plans for extended services to the community.

Rose bray and arie dejong vp GvCh (far right) along with members of the Mended hearts association

eXpandInG CoMMUnITy seRvICes

Through a generous private grant the Parish Nursing Program was able to purchase a new Cholestech LDX system that allows the team to offer off-site cholesterol screening to qualifying community clients.

Jessica huey (lab), vanessa Gonzales, Jan Ingram, Cori beveridge, sitting Cathy Mollkoy

students, volunteers, and in the red elly walters-bible


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TRaUMa CoMMUnITy sUppoRT

Liz Taylor-Linzey took a leadership role in coordinating multiple community educational opportunities to promote wellness and reduce trauma in the community.

fallsTop

The FallSTOP program was envisioned and developed by RNs from SBCH’s Trauma services. This program provides education, evaluations and support to a broad spectrum of Santa Barbara County seniors while partnering with local nursing students. FallSTOP also features periodic formal screening events. The goal of FallSTOP is to empower active seniors with education that encourages fitness and safety.

pedIaTRIC TRaUMa pRevenTIon

As a Level II pediatric trauma center, nurses provide education about backover/frontover vehicular injuries, heatstroke from kids left in cars, child passenger safety, distracted driving and helmet use for bikes, skateboards and scooters. Hundreds of community members were reached through: ParentClick Family Fair, Santa Barbara Health Fair and Family Day, SYVCH Health Fair, Santa Barbara Open Streets, and the Lompoc Senior Health Fair. Along with education, free helmets were given to our community members.

sanTa baRbaRa senIoR eXpo

FallSTOP participated for the third year at the hugely popular Senior Expo and once again conducted fall risk assessments for community dwelling seniors; this assessment is recommended by the CDC. Approximately 200 seniors were evaluated by the 30 + nursing and non-nursing volunteers. The newly rebranded fallSTOP program was highlighted by a popular local news personality.


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aRThRITIs walK

4 South Orthopedic staff supported the Arthritis Foundation and its work to support patients suffering from the debilitating effects of arthritis.

back row: angelica benavides, Kelly williams, billy norton, fabiola zamora, Mary herzberg, david silva, Jasmin borrmann, danielle beck, ontario Johnson, Kari hebert, emily wissink, lindy Chavez. front Row: Marley herring, nancy barbosa, Tegan hannah, lisa Kiefer, diana McClintock, dana sayet

walKInG foR a CaUse

The Santa Barbara Cancer Center held its annual Cancer Center Walk/Run in October and the 5 South Oncology RNs were there to lend their support.

CoMMUnITy ClInICs

CHS nurses volunteer throughout the year at community clinics providing free medical care for the most vulnerable members of Santa Barbara County—the medically underserved, homeless, or uninsured populations. Partnering with community medical personnel, social workers and resources (Companion Care, SB Neighborhood Clinics and Sansum Clinic) our nurses are integral in helping individuals navigate the resources available in our community and decrease the impact on our emergency medical system. As role models, they mentor the next generation of healthcare workers.

alameda park doctors without walls (dww) clinics. l-R: Jan Ingram, angeli Mancuso, and Cathy Mollkoy not pictured: Maggie Cote, Jan fadden, summer Galey


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education

a CollaboRaTIve plannInG sessIonCottage Critical Care Education Council met for their annual retreat to facilitate planning of critical care education and competencies for the upcoming year. With an update by Tokie Shynk, on the Magnet Journey and inspired by “A promise of Caring” video presentation, the council embarked on a day of communication exercises, reviewing the current gap analysis and building leadership accountability. The 2015 Education and annual Competency plan was established as an outcome of this exciting and productive day.

l-R: sarah Gray, Kelli Jackson, lesley Gardia, Rose bray, diane barkas, vivian elbert, dariah pace-Martinez, sharon Morley, patti wicklund, paula Gallucci, Christine block, Janet o’Connor, , vanaja selvaraj, donna Janega (not pictured Tokie shynk)

CelebRaTInG CITIzenshIp

Brooke Bulaclac was part of the recruitment effort in hiring nurses from the Philippines in 2005/2006. She was one of the first 5 international nurses that began their training at Cottage in January 2006. She is a full time Clinical Resource Nurse in the MICU and in August achieved her United States Citizenship.

edUCaTIon plannInG – a TeaM appRoaChAt an offsite gathering, representatives from Education, Clinical Nurse Specialists, Emergency Department, Women’s Services, and Children’s Services collaborate to envision education needs for the upcoming year. Final outcome: an effective education calendar that supports our shared goals to empower staff with learning.

Jackie werner, bsn, Rn-bC, onC comes to Cottage from oakland, Ca where she was the Clinical educator and Informatics support for Medical-surgical and Medical Telemetry at Kaiser permanente oakland Medical Center. she is a Caritas Coach, is certified in nursing professional development, nonviolent Crisis Intervention and is an elneC trainer.

natalie Kunes, bsn, Rn, CMsRn (formerly 1wC/Tele) transitioned to full time Med surg Clinical educator. she now provides leadership for new Graduate Rns


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front row from left to right: nicole Moore (peds), Karineh yekiazarian (Gv- ed), Cristina perez (peds), Jamie Kohl (sb- ed), Kaitlin esquer (sb-ed). Middle row from left to right: eugenia pickett (1wC), erin Claros- lewis (5s), ashley Rutledge (1RT), sofia segerstrom (CRh), danielle hines (1RT), Conef bardinas (3wC), olivia Mariea (sICU), diane Grill (sICU), Jordan hamilton (3wC), Tessa woodey (1wC), shannon Joyce (1RT). back row from left to right: Christina Rodriguez (3RT), vanessa Cameron- otto (oR), abigail velazquez (3wC), Cristina luna (3RT), Celina hunt (CRh), Melissa hurtado (CRh), Megan brainerd (CRh), Jane sonberg (3wC), brian wong (sb-ed), Thi-anh Tran (3RT), dianna hosley (Gv- Ms), brian hale (1RT), leticia aguayo (1RT) lauren Thomas (1wC).

fall 2014 new GRadUaTe nURses

These new graduates have shown success in their ability to quickly adapt and be flexible to change whether it be conference room changes, using a new simulation center, finding a new path of travel through the closed hallways during construction or changing their plan of care to meet the needs of their patients. Their dedication to excellence, integrity and compassion has been recognized throughout this program by peers, managers and CHS staff.

2014 new GRadUaTe nURses

The New Graduate Nurse Training Program assists new nurses with their transition to practice. The foundation of the program consists of clinical preceptorship, simulation and task training with reflection and debriefing. In alignment with our commitment to nursing excellence, the New Graduate Nurse Training Program provides the structure and process that supports role development of the new nurse. Cottage Health System is excited to welcome New Graduate Nurses into their new roles! Welcome nurses!


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front row left to right: Cari voth (3RT), natalie Mock (3wC), vanessa Gonzalez (sb-ed), Julie anne de santi (1RT), Carisa epley (CRh), aaron stilwell (1wC). back Row left to right: sarah stolz (1RT), alexis (lee) zaragoza (1RT), emily lloyd (CRh), nina fuentes (1wC), bien palma (1RT), alejandra Granados (3wC), sarah post (3wC), seneca James (sb-ed), erin de bono (3wC).

spRInG 2014 new GRadUaTe nURse

This new grad group has proven their determination and commitment to both the CHS organization and the nursing profession while facing challenges with the Board of Registered Nursing licensure process. Many of these new grads have worked at CHS in varying departments and roles including Employee Health, Security Services and Patient Care Techs and have now transitioned to Registered Nurse! These new graduate nurses have been complimented for their enthusiasm, compassion and engagement in the learning process.


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new deGRees

baCheloRs of sCIenCe In nURsInG [bsn]

Colleen Wheeler – Quality Sarah Gomez – 3 RT Sharilyn Vasquez – 3 RT Heidi Rigoli – 5 East LeAnn De Luna – CRH Kirsten Springer – SICU Nina Catellanos – Eye Center Gennine D’Ambra – GVCH Med Surg MasTeR of sCIenCe In nURsInG [Msn]Amy VandenHeuvel – CRHAnnamarie Mendoza – SICUJennifer Granger – Education

oTheR deGRees (non-nURsInG)

(Masters in psychology with emphasis in somatics) Heather Walker – SYVCH Med Surg

new CeRTIfICaTIons

CeRTIfIed MedICal sURGICal ReGIsTeRed nURse [CMsRn]

Jasminda Estrada [1 RT] Maria Figueroa [1 WC] Esperanza Perez [1 WC]Jet Irabon [3 RT]Marissa Hernandez [3 WC] Bevra Kreyger [3 WC] Maria Cooper [Post-Surgical Care]Tamara Arnold [SYVCH Med Surg] Georgia Rutherford [Subacute] Wen Xiong [Subacute] David Holt [Subacute]Tami Perez [NRU]Ella Murray [3 RT]Heather Lengson [3 WC] Ryan Cox [1 WC]Sara Kida [NRU]Kimberly Brondum [NRU]

CeRTIfIed pedIaTRIC nURsInG [Cpn]

Sharon Partee [Pediatrics]

pRoGRessIve CaRe CeRTIfIed nURses [pCCn]

Bryant Doan [1 WC]Kathleen Pelham [1 WC]Liza Sanchez [1 WC]Mark Garcia [MICU]Ryan Cox [1 WC]

neonaTal InTensIve CaRe nURseRy [nICn]

Kathleen Dudley [NICU]

boaRd of CeRTIfICaTIon foR eMeRGenCy nURsInG [bCen]

Lindsay Dudley [ED]Jolee Farias [ED]

CeRTIfIed pedIaTRIC eMeRGenCy nURse [Cpen]

Carolyn Palmer [ED]

anCC GeRonToloGy nURsInG [Rn-bC]

Hangama Abassi [Transfusion Suite]MaTeRnal newboRn nURsInG [RnC-Mnn]

Karen Garcia [MIU]

psyChIaTRIC-MenTal healTh nURsInG [Rn-bC]

Franklin Horton [5E]Timothy Stahl [5E]Heidi Rigoli [5E]

ClInICal nURse CooRdInaToR [CnC]

Jackie Cutroni [ED]Victoria Brown [ED]Stephanie Remick [MICU]Ryan Eller [3WC]Denise Caldwell [Surgery]Judy Corliss [Endoscopy]Sheila Fink [Cardiac Cath Lab]Selveda Ertas [CRH

peRIanesThesIa nURsInG [Cpan]

Chalan Kochis [PACU]Margaret Kluzak [PACU]

oRThopedIC nURse CeRTIfICaTIon [onC]

Naomi Wilson [4S]Sheri Sosko [4S]

naTIonal aCadeMy of CeRTIfIed CaRe ManaGeMenT [naCCM]

Misty Fetko [Care Management]

CeRTIfIed eMeRGenCy nURse [Cen]

Jenael Rose [ED]Carolyn Palmer [ED]Dawn Heimendinger [ED]

aMeRICan assoCIaTIon of CRITICal-CaRe nURses [aaCn]

Lacey Wyand [MICU]Gretchen Jones [MICU]Maria Rivera [MICU]Jessica Freeman [MICU]Juanita Hepburn [MICU]Brooke Colligan [MICU]Lori Tatick [MICU]Melissa Roan [SICU]Rebecca Johnson [SICU]Taylor Mendenhall [MICU]Erin Morrissey [SICU]Danielle Hartman [MICU]John Kratochvil [SICU]Teresa Lurie [SICU]Jessica Conway [MICU]

woUnd CaRe CeRTIfICaTIon [wCC]

Sarah Sheppard [Wound Care]

CeRTIfIed woUnd CaRe nURse [CwCn]

Krista Roney [Wound Care]

CeRTIfIed neURosCIenCe ReGIsTeRed nURse [CnRn]

Alma Patino [1 RT]

InpaTIenT obsTeTRIC nURsInG [RnC-ob]

Ramona Pursel [Birth Center]

neW CeRTIfICaTIons, deGRees and pRoMoTIonsNursing, like health care in general, has become increasingly complex. The knowledge-intensive requirements of modern nursing require extensive education, as well as a strong personal commitment to excellence. Board certification of nursing plays an increasingly important role in the assurance of high standards of patient care.

Jennifer Granger, Rn and simulation lab Coordinator attained her Msn in nursing education from wGU this year!


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Karen Garcia began her nursing career as a student at san Marcos health academy 2001-2002 where she became a Cna. This was her first step into the adn program at sbCC. Karen became a new grad with her colleague, Rachel Goodwin in 2006. she was hired to the Mother Infant Unit in 2007 while Rachel went to the nICU.

In 2014, Karen received her nCC certification in Maternal-newborn nursing and was promoted to a Clinical Resource nurse. she continues to blossom as she now is working on her certification as a lactation consultant.

sheri sosko, an Rn for 4 south at sbCh, completed her orthopedic nurse Certification furthering her expertise and providing her patients the utmost care in the field of orthopedic nursing.

pRoMoTIons

ClInICal ResoURCe nURse [CRn]

Billy Norton [4 S] Laura Mimms [Surgery]Kristy Sharp [3 OP] Erika Herrera [3 OP] Angela Myers [CRH] Carly Roberts [NRU] Stephanie Lang [3 WC] Velislava Nikolov [CRH] Emma Lindawan [CRH] Gerardo Romo [CRH] Richardo Gonzales [CRH] Karen Cosio [Subacute]Monica Booth [MICU] Lori Tatick [MICU] Keri Djupstrom [MICU] Kirsten Springer [SICU] Karen Garcia [MIC] Laura Danhauer [NICU]Laura Gibson [SICU] Erin Morrissey [SICU] Shauna Schoolland [ED] Jamie Considine [ED]Blake Henderson [ED]Karen Schoenbachler [SICU]Candice Leary [NICU] Ann Bradbury [1 RT] Morgan Noe [1 RT] Crystal Ledbetter [1 RT] Kristine Gastellum [1 RT] Chelsea Brooks [1 RT] Kyndra Alspaugh [1 RT] Heather Lengson [3 WC] Julie Dalton [1 RT] Sara Howell [Surgery]Jared Cordtz [Surgery]Mia Sanders [Endoscopy]

Kirsten springer, Rn in the sICU at sbCh, achieved her bsn and stroke Certification.

nina Catellanos, Rn for the Cottage eye Center, succeeded in obtaining her bsn from wGU this year.

Misty fetko, a Utilization Review Rn at sbCh, received certification in Case Management this year.

Maria o’byrne, GvCh subacute Rn, received certification in diabetic wound Care.

laine swartz, an Rn with GvCh ICU, achieved certification as a Critical Care nurse.


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endoscopy achieved a major goal set by staff. 50% of the nursing staff has a certification in a professional nursing organization!

linda akutagawa, Rn, oCn – oncology nursing certificationKim Morales, Rn, MaoM, CGRn – sGna certificationdebra lee, Rn CGRn – sGna CertificationJudy Corliss, Rn, Msn, CGRn – sGna Certificationsally Jordan, Rn, bsn, CGRn - sGna CertificationKim lemon, Rn, CGRn – sGna Certification

annaMaRIe Mendoza

I started my nursing career in 2008 at Cottage Hospital where I worked on the Surgical Trauma Unit (5south/3Ridley tree) for 6 years and loved

it. I continued my education with a BSN program through Channel Islands. I had a great preceptor, Tina Collins, in the education department. Through my leadership project I developed a nursing tool for the floors that pertained to our patient education videos, this tool was implemented throughout Cottage. I received my Certified Med-Surg Certification along the way. Seven months ago I transferred

to our SICU, where my education continues. I completed my MSN in nursing education this past August. I look forward to helping out in the education department where ever I am needed. I am grateful for the extensive opportunities Cottage has provided me.

annamarie Mendoza, bsn, RnC for the sICU at sbCh attained her Msn in nursing education.

valIdaTInG KnowledGe Maria Johnson accepted the challenge of preparing the Endoscopy

technicians for certification. This certification is offered through the SGNA (Society of Gastrointestinal Nurses and Associates) professional organization.

Jill drain, Rn, bsn, CwCn, Center for wound Management at GvCh, specialty Certification: Certified wound Care nurse, CwCn\

Krista Rooney, Rn for the wound Care Management Center at GvCh received her certification for wound Care nurse.

amy vandenheuvel received her Masters in nursing from Chamberlain University

Gennine d’ambra, Rn, received her bsn in august and attended the american society of pain Management conference in san diego in october. The conference helped Gennine bring back new ideas for pain management for the obese patient.


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team bUIldInG naTIonal nURses weeK

l-R: nick Urton, paula Gallucci and brooke bulaclac celebrate national nurses week by making grilled cheese sandwiches for staff.

This emergency dept.’s education day brought about interfacility collaboration to improve the quality of patient care across Chs campuses.

In october, emergency department nurses were recognized during emergency nurses week.


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danilyn Mclaughlin and Jennifer bower

anCC MaGneT UpdaTe

Jennifer Bower and Danilyn McLaughlin attended a workshop exploring the updated Magnet model and revised sources of evidence. These changes incorporate the latest evidence-based best practice and were shared with each of the Magnet Component Committees. Moving forward the committees’ efforts will continue to reflect the latest in nursing research.

l-R: Teresa bannon, debbie dawson, Kathryn boschke

Mother Infant nurses attended the National Mother Baby Conference in New Orleans to gain new knowledge in prenatal, intrapartum & postpartum care of the mother-infant dyad both in the hospital and through transition home. Topics included: fetal alcohol syndrome, postpartum hemorrhage, simulation drills, intergenerational nursing, palliative care and caring for postpartum depression. They presented their new knowledge to their peers.

CoTTaGe aT nTI In denveR

Of the 7,000 National Teaching Institute (NTI) participants , 29 were from Cottage. RNs from Critical Care, Acute Care, Peds, Quality and Subacute attended the 4+ day conference bringing back a wealth of information to their colleagues.

conferencesCHS nurses engage in professional development in a variety of ways including attending local, national, and international conferences. The knowledge acquired during these events is then brought back to CHS and translated into practice.


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l-R: vanaja selvaraj, donna Janega, stephanie Glynn, lorraine fernando, nancy pepper, Karen schoenbachler, Chris schulman, Jared Grode, anita hine, Janet o’Connor, susan Mozako, Maggie Caspary

ThaT’s TRaUMaTIC

Chris Schulman (Trauma Symposium Speaker) provided staff with an informative preview of the CHS Trauma symposium to staff that were unable to attend the popular offsite symposium. Topics included end point of resuscitation, special consideration of geriatric trauma patients, sedation, delirium, progressive mobility in critically ill patients and creating an environment of clinical expertise.

aMeRICan soCIeTy of peRIanesThesIa nURses (aspan) las veGas

Members from the PACU team had an opportunity to explore specialty topics ranging from general surgery innovations to best practices when caring for patients with autism, PTSD, cardiac stents and emergence delirium.

l-R: Marie butcher, Kathryn von dollen, Kelly park, Maria peterson

Mary fulcher and Mary Iler

“TRaUMa by The sea”

Emergency Department nurses attended an annual conference in Monterey that presented timely information on the care of trauma patients. Themes included innovations in new equipment and emergency care.

Judy Corliss (middle row, far right) with other nurse fellows at Texas Christian University

benefITInG fRoM CollaboRaTIon

Judy Corliss attended the Society of Gastroenterology Nurses retreat for Nurse Fellows. The retreat included workshop sessions focused on professional writing and trends affecting the practice of gastroenterology nursing.


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syRIaAn active international volunteer for the last ten years, Juliette Fish has worked in a variety of countries including Haiti, Bolivia, Honduras, Nicaragua, Tanzania and Guatemala. In this capacity she provided direct primary care and health education to underserved and marginalized populations. After returning from Lebanon, while working in a Syrian refugee camp, Juliette was honored for her humanitarian efforts with the Presidents Volunteer Service Award (PVSA).

The PVSA’s “goal is to encourage more individuals to embody the spirit of volunteerism that makes this country so great. Through PVSA, Americans of all ages – from youth to seniors – are invited to participate and berecognized by our nation’s president for being active citizens.” http://www.presidentialserviceawards.gov/about

MeXICo Over the past 12 years Elizabeth Link has participated in 24 Cataract clinics in Ensenada, Mexico in association with Surgical Eye Expeditions (SEE) International.

This year Elizabeth gave talks at One Legacy ambassador meetings on Cornea Transplants and attended the Annual Transplant Symposium in Pomona, CA. Elizabeth was in Pasadena, CA to place a rose on the One Legacy Rose Parade float honoring the donors and recipients of corneal transplants at SBCH.

panaMaVolunteering with Floating Doctors for 2 weeks, Angeli Mancuso was a part of 10 clinics located on 8 different remote islands in Panama providing free acute and preventative care to the local residents, many of whom had never had access to medical care. Their mission is to reduce the burden of disease in the developing world and to promote improvements in health care delivery worldwide.

serVice abRoadCHS nurses give back to our community through volunteering both locally and globally. Offering their time, their knowledge and getting to know our local and global communities speaks to the core values of CHS excellence, integrity and compassion. Commitment to community is also recognized as an essential component of Magnet standards.


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l-R: stacey bailey, evelyn leyson, Tracey lord, Jessica huey, Gail figueroa, esperanza perez, sharon smith, sharon lewis, Jeannee diaz, sabine Keller, Top Right : Kristen Jennings, Christine ebner. absent: ann bradbury, Kim brondum, Tina dabby, bobbi evans, John ferritto, angela Garner, brittany haliani, Christy lau, Michelle libbey, Jeni McClure, Carol h. nelson, Maria o’byrne, edrie ohl, nicole pardini, alma patino, Michelle Renner, sheri sosko, Katie sothcott, sparky sparkman, Carolyn strahler, Carrie szablowski, susan weingartner, angie wielgosh

dIabeTes lIaIson MeMbeRs CoMMITTed To oUR paTIenTs

The mission of the Diabetes Liaison Team is to advocate for standards of excellence for patients with hyperglycemia. We commit to the goal of blood sugar control, diabetes education for patients and staff with the goal of improved health.

The diabetes liaison members have participated in many activities. Examples include:

• Review of diabetes policies and procedures (insulin pen)

• Insulin pen training and rollout

• POC quality control audit for expired test strips

• Diabetes education coverage during CDE’s absence

• Communication to staff members the information learned at diabetes liaisonmeetings

• Checking contents of diabetes tool kits for expired items

• Reinforcing hypoglycemia protocol

• Encouraging use of diabetes education videos

• Sharing information with nurses on units regarding the CPOE diabeteseducation flow sheet

“ nurses functioning

in the highest

capacity of

accountability,

competence

and autonomy.”


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shaRInG KnowledGe aT naTIonal ConfeRenCes

Maggie Wordell and Amber Gonzalez P.T. presented a paper at the National conference of the Association of Rehabilitation Nurses (ARN) outlining how CRH developed and implemented a plan to demonstrate organizational conformance to the CARF Brain Injury Specialty Program standards.

Maggie also presented a poster on how a web-based data base was developed that improved clinician access to Evidence-Based Practice research and provided team education related to accessing and applying Evidence Based Practice materials.

amber Gonzalez p.T., and Maggie wordell

CRH nurses attended the Association of Rehabilitation Nurses Annual Education Conference in Anaheim. Two posters were presented: one on Fall Risk Assessment by Dan Thomas and Evidence Based Practice by Maggie Wordell. CRH attendees shared the information with their Nursing Team focusing on Journey Mapping, Team Work and Cultural Competency.

l-R: leann de luna, dan Thomas, Julie hardin, Maggie wordell


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we asKed, yoU answeRed, we lIsTened

The Professional Practice Model (PPM) is an important reflection of the nursing care provided at CHS. The PPM was created for nurses by nurses at CHS in 2010, and evaluation of the model was essential in maintaining relevancy and currency of the model. The Magnet Exemplary Professional Practice (EP) team listened to your feedback regarding the Professional Practice Model (PPM). Based on a series of surveys and the determination of the EP committee to represent the voice of nursing, the PPM image was changed. The wording associated with the PPM remains consistent as nurses agreed that the words continue to accurately reflect CHS nursing values.

Chs ppM TIMelIne

February 2009: A Professional Practice Model Strategic Planning Committee was formed with nursing leadership from across the system. It was determined that the model should be a compellation of input from ALL NURSES within the organization, as these were the people who could best articulate the role of nursing at CHS.

August 2010: An all-day retreat was organized to develop a survey for ALL NURSES in the system to provide input into the model

Survey sent to ALL NURSES in the system

A facilitator was recruited to review the survey data and assist in creating a model at the Professional Model retreat

Retreat with a consultant to bring the data together in a visual representation (research and staff values)

November 2010: Models were developed and the best model was selected from the top three

Input from focus groups provided the final touches

December 2010: Model rolled out December 2010

Exemplary Professional Practice (EP) Magnet Component Committee following the magnet standards determined it was time to evaluate the PPM

Survey developed to gather feedback from ALL NURSES about the current PPM

June 2013 Survey sent to ALL NURSES in the system

EP committee collated data from the survey and worked with a consultant to revise the PPM image based on CHS nurses feedback.

April 2014 New PPM images narrowed to 2 choices. ALL NURSES in the system were re-surveyed and asked for input regarding the 2 options.

We asked, you answered, we listened… new PPM image chosen


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back row: M. perez, C.n.a. M.vermillion, RCp; C. brown, Rn; J.simpson; Rd; T. Chea, Msw; C. Mignone, Rn; C. ferrari, Rn; J. anastasia, sn. front row: M. syers, Cna; ana pelcastre, Cna; M. Courter, resident, C. lona, resident

The sUbaCUTe TeaM

The Subacute Team had three patients transfer to their unit with chronic non-healing stage four pressure ulcers. Over time, with infinite care, patience, and wound expertise, we healed all three. Many nurses (and patients) might give up in the face of a stage IV baseball-sized sacral ulcer; however our experience demonstrates that healing is possible. It took an interdisciplinary team of expert wound nurses, PCT’s, an MD, a Dietician, Respiratory care support and cooperative patients to achieve this extraordinary outcome.

sGna ChaMpIon Laurie Thurber applied for and was accepted as a SGNA (Society of Gastroenterology Nurses and Associates) Infection Champion. Elements of the role include carrying out the mission and vision of the Infection Prevention Champions program. Priorities

include education on infection prevention, maintaining high quality control within the endoscopy arena and addressing performance improvement needs. She has a responsibility to be familiar with and communicate practice guidelines and industry practice changes with her peers.

Congratulations Laurie!

Karla blancarte and Jeni McClure

nURsInG & paIn GRand RoUnds

This year three Pain Grand Rounds were presented and six Nursing Grand Rounds with a variety of topics.

The Acute Care Nurse Practitioners of the Neuroendovascular Service presented, “Endovascular Repair of Intracranial A-V Malformations and Aneurysms,” in April and discussed the prevalence, incident and treatment strategies for these two conditions.

In May, as part of the celebration of Nurses Week, two stories of caring were presented: one story by the nurses of 3 Ridley-Tree and another from a nurse at CRH. The first, an emotional story entitled, “A Special Viewing,” was related to a trauma incident and assuring that a sister could see her younger brother who perished in an accident. The other inspirational story discussed “Walking Tall” and what rehabilitation nursing meant to one particular individual.

June brought a group of Palliative Care staff mem-bers together to present how palliative care can be a factor in moral distress for the nursing staff and how the palliative care team can support health care team members as well as family members and the patient.

In July, the grand rounds focused on Surviving Sepsis and the goal to decrease mortality from this disorder. Using case studies, the presenters demonstrated how CHS is managing the complex patient diagnosed with sepsis. In July, “A Multi-Disciplinary Approach to a Child’s Challenging Journey with Cancer,” was the topic presented by many of the Pediatric Unit’s staff members. The story line was that of an adoles-cent diagnosed with acute lymphoblastic leukemia.

In February, August, and November, Nursing Grand Rounds focused on Pain Management and was led by Susan White.


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l-R: eva dulnik, Gennine d’ambra, lynne Jessop, susan e. white, ann bradbury, patti stetson

aMeRICan soCIeTy foR paIn ManaGeMenT nURsInG (aspMn)

CHS nurses attended the ASPMN 24th Annual National Conference in San Diego to learn the latest challenges and trends in pain management nursing. Susan E. White (Palliative Care) and Kim Brondum (NRU) prepared a podium presentation “Point of Care Pain Management”, describing the Cottage Sedation Nurse role development and implementation. Unfortunately, Kim was delayed in Cabo San Lucas by hurricane Odile and unable to present. Susan presented and Lynne Jessop assisted during the Q&A session.

The CHS nurses at the conference enjoyed sessions on chronic pain conditions, pain management in the obese patient, and end-tidal CO2 monitoring bringing back valuable information to their peers.

senIoR fall pRevenTIon pRoGRaM pResenTaTIon

Liz Taylor-Linzey presented the journey of CHS’s fallSTOP program from concept to roll out at the National Injury Prevention Alliance of

Los Angeles County annual symposium. The audience included Injury Prevention officers from government agencies, non-profits and other health systems.

l-R: susan e. white, sue Jervik, (president of the soCal Chapter of the american society for pain Management nursing

CITy of hope paIn ResoURCe nURse TRaInInGSusan E. White attended the City of Hope Pain Resource Nurse (PRN) Training Course in Pasadena. She co-presented a workshop titled Planning and Sustaining Your PRN Program. Susan developed the annual 2-day PRN course at SBCH in 2009. Since then over 150 Cottage nurses have attended. A PRN functions both as a resource and a change agent in disseminating information, interfacing with nurses, physicians, other healthcare providers, patients and families to facilitate quality pain management.

Pain Resource Nurse Role: Description and Responsibilities www.cityofhope.org/prc


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Janael Rose and david linzey

ena posTeR pResenTaTIon

Jenael Rose and David Linzey presented their poster “Operation Zero Fury” at the Emergency Nurses Association (ENA) annual conference. The focus was to address the increasing number of assaults in EDs against nurses, and lateral hostility. Their objectives are to increase staff safety, teamwork and reduce burn out.

pedIaTRIC TRaUMa podIUM pResenTaTIon

Jennifer Wobig presented “Non-Accidental Trauma in Children with Traumatic Brain Injury” at the Pediatric Trauma Society Annual Meeting in Chicago. Jenn delivered the results of a research project looking at the implementation of a screening policy and its effect on test utilization and identification of abuse. She was one of fifty podium presenters at this year’s first meeting.

naTIonal soCIeTy of GasTRoenTeRoloGy ConfeRenCe

Judy Corliss presented a poster at the National Society of Gastroenterology Nurse and Associates (SGNA) conference in Nashville Tennessee. The poster was a culmination of an inpatient research project, with Jonathon Grotts, CHS research analyst assisting, entitled “Comparison of Conventional Bowel Preparation to a Low Volume Solution in the Inpatient Population”.


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Top: david linzey and liz Taylor-linzey bottom: debbie and emma aitken

13Th annUal TRaUMa/CRITICal CaRe syMposIUM

“I loved it all! Great variety and cultural components, excellent nursing contributions, engaging, funny speakers” said one CHS nurse after attending the symposium. 80 CHS nurses and 161 others from across the country attended the conference, and two trauma nurse specialists were among the speakers, including Jenn Wobig. All presentations, panel discussions, Q&As, and debates explored current best practices in trauma and critical care to achieve better patient outcomes.

l-R: Maria Rivera, becky love, Taylor Mendenhall, Marilyn lang, stephanie Jones & lisa nicassio

2014 CRITICal CaRe TIaRa ball

Nurses from the Critical Care team celebrate at the Tiara Ball where a former MICU Septic patient case was presented along with other extraordinary patient care stories. The event highlights for the community the positive outcome of Cottage’s Slay Sepsis campaign while focusing on the remarkable patient care experience of a few of our most memorable patients.

a ChaMpIon foR ChIldRen

The Pacific Coast Business Times named Liz Lundquist, Director of Children’s Services at Cottage Children’s Hospital, the 2014 Champion Nurse. Liz was noted for her career-long passion for the care of children as well as for her advocacy for neonatal and pediatric patients at Cottage. Liz has been a driving

force that ensures Children’s Services has the benefit of dedicated pediatric clinicians including Clinical Nurse and Child Life Specialists, physical therapy and pharmacy.


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hCahps: ConsIsTenT CaRe foR IMpRoved paTIenT eXpeRIenCe

The intent of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiative is to establish a standardized survey and data collection methodology to assist healthcare facilities to gather information and improve the patient experience. CHS utilizes the HCAHPS survey to complement the data collected from the traditional Press Ganey survey. Based on the results of these data collection tools, organization and unit level goals are created, along with initiatives to improve the patient care experience.


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CaRole shapIRo Carole shapiro (27 years) retired from sbCh. she was raised in wisconsin and received a ba in speech Correction and audiology from the University of wisconsin at Madison in 1966. Carole received her aa degree in nursing from santa barbara City College in 1986. while at Chs, she worked in Med-surg, postpartum nursery, labor and delivery, nICU, Goleta valley Cottage hospital birth Center and Mother Infant Care. Carole is looking forward to spending more time with her granddaughters, scrapbooking and traveling.

ChRIsTy laU Christy lau (holding the cake) (35 years) retired from the eye Center that she helped open in 1991. her dedication as a nurse, mentor, and friend will be missed. she always led by example and exemplified an excellent work ethic. Christy now begins her next adventure as a grandmother extraordinaire.

debbIe walTeRdebbie walter (32 years) retired from the eye Center after working in MICU. debbie, a dedicated Rn had an interesting and varied work history prior to Cottage . she will now have time to pursue her love of travel, spend time with her family and her puppy.

sheRRI GRIMessherrie Grimes (13 years) after 13 years as the director of acute Care services at sbCh, sherrie Grimes decided to leave her 40+ year career and join her husband in retirement. sherrie left a legacy of numerous projects, accomplishments, and policies for which Cottage is forever grateful. sherrie was known as “The project Queen” and could be counted on for juggling multiple projects simultaneously. she now enjoys spending time with her family and relaxes between her homes in Illinois, simi valley, and their boat in ventura harbor. we wish her all the best – she deserves every minute of it!!

feRn GebeRTfern Gebert (far left) (33 years) retired from the operating Room. she worked in a doctor’s office before joining sbCh. fern became a circulating oR Rn in the Urology Cysto Room. her legacy included creation of a mobile Cysto cart to respond to emergent needs outside of the operating room. fern will be spending her time with her family and watching her grandchildren’s sporting events.

GaIl MCMUllen Gail McMullen (30 years) retired from Mother Infant Care after being a part of the team for 15 years. her nursing career included 4 north Telemetry, nursery, nICU, and labor and delivery. Gail has always had a passion to care for our patients with multiple births, since she has twin boys. Gail will enjoy time with her husband and cheering on their boys at hockey games.

Coleen vannosTRand35 years NRU

MaRy nelson peRRy31 years SICU

lInda Coe30 years OPS

laRRy aRIew24 years Oncology

laMbeRTo pIpIT11 years PPSU

MaRIlyn ThoMasMarilyn Thomas (35 years) retired from the eye Center. Marilyn says, “My 35 years of nursing at Cottage were the best years of my life and taking care of patients was my reward and calling.” she graduated from saint scholastic in duluth, Minnesota and has returned there to retire. she is filling her time volunteering with the area blood pressure clinics.

ReTIReMenTsMany thanks to our valued retirees for their dedicated service to Cottage. They will be greatly missed around the halls of CHS and we wish them the very best!


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patients fIRsT Building on the CHS core values of Excellence, Integrity and Compassion: We strive to be leaders in patient satisfaction by empowering every employee to make a positive impact on the patient experience.

The Patients First steering committee recognizes the effect each individual has on the patient experience Quarterly, the committee formally acknowledges the departments and services that have met the set goals for overall patient satisfaction results, most improved overall patient satisfaction ranking, and service with overall quality ranking 90% or above. This award is presented to the department with the understanding that it is a team effort and the honor is shared amongst the team. Congratulations to this year’s winners.

2014 QUaRTeRly awaRds


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GUIdebooK app foR CoTTaGe syMposIUM

The 2014 Trauma & Critical Care, Nursing Oncology and Saving the Brain Symposiums used the Content Management System “Guidebook” to facilitate the attendee experience while saving the meeting organizers valuable resources. Guidebook allows mobile access to an event via web browser or mobile apps for smartphones and tablets.

Content includes the schedule of events with descriptions, speaker’s presentations, vendor lists and attendees. Real time updates allow speakers to make last minute changes to their presentations, which can be rapidly uploaded.

Early adoption of new technology is supported by Nursing at Cottage Health System as we continue on our Magnet journey!

“blending research,

evidence-based

practice and

innovation, to

improve

outcomes.”


2014 nURsInG pRoJeCTs

Nurses at CHS participate and lead a variety of projects including evidence-based practice (EBP), quality improvement (QI), and research (R).

ebp: Using evidence to solve a clinical practice problem (change practice)

QI: To improve current problems/processes (improve patient care)

Research (R): A systematic investigation to fill a gap in knowledge (generate new knowledge)

student/school project (s): Project undertaken as part of a student course/school project.

new nURsInG pRoJeCTs In 2014

R bacon, linda use of doulas and patient outcomes in the community hospital setting

QI biscaro, laurie community case management: high-risk patient case management program and the post-acute treatment help (path) program

QI biscaro, laurie project sit doWn

QI corliss, Judy potential for improved success and safety of ercp by using general anesthesia

s ellison, tina emergency room overcrowding

s goozee, denys comprehensive advanced nursing field experience for Western governors university

s mclaughlin, danilyn are med-surg nurses experiencing burnout

s moesker, Kate do resource nurses make a difference: comparing patient satisfaction scores before and after implementation

QI pelham, Kathy teachback

QI urton, nicholas chg bath Wipe change investigation

onGoInG nURsInG pRoJeCTs In 2014

QI barkas, diane evaluation of prone therapy in patients with acute respiratory distress syndrome

QI barkas, diane pre-hospital to discharge: a cns led multidisciplinary team for improving clinical outcomes for out of hospital cardiac arrest patients

QI barkas, diane Quality improvement registry for acute respiratory distress syndrome

R collins, tina the effect of a nurse intern program on transition to professional nursing practice

R granger, Jennifer nurse engagement in the competency process

QI harper, Karen collective impact model: study of patients who died with a cancer diagnosis using nQf (national Quality forum) measures

s lord, tracey outpatient diabetes data management

R rodgers, debra nursing care at the time of death

QI taylor-linzey, elizabeth distracted driving campaign

QI taylor-linzey, elizabeth fallstop: confidence, strength, stability

R thomas, dan fall risk assessment specific to the acute physical medicine rehabilitation hospital setting: a Validation study

R Wobig, Jennifer the impact on outcome of the implementation of tranexamic acid (tXa) in a massive

transfusion protocol in a community hospital

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l-R back row: Carol henderson nelson, Gordon arkell, lvn, frances McKinney, administrative assistant, Jennifer Granger, Maggie wordell, Jennifer bower, susan Garrett, sr. department assistant

fRoM edUCaToRs To webMasTeRs

The education department unveiled their new, user-friendly, visually pleasing, education and training website. The site, accessed through the portal, was officially launched in January. Through hard work, collaboration, and teamwork the site showcases up-to-date resources utilizing technology to meet the needs of the end-users. The website process improvement project was presented at C3 and was well received. Project outcomes were measured by reviewing the number of “hits” the site receives monthly. As the graph displays, the site has a lot of traffic.

l-R: stephanie Remick Moore and Janet shepherd

The benefITs of pRofessIonal oRGanIzaTIon InvolveMenT

In August, the SB County AACN Chapter hosted a Journal club on Derived Hemodynamics. The focus was on the physiology behind hemodynamic monitoring and fluid optimization. Participants left with a better understanding and in-depth knowledge on how to use derived hemodynamics to treat patients with sepsis and other life-threatening illnesses. This knowledge directly improves our bedside expertise in caring for critically ill patients of our community.

There are many benefits of joining your local professional organization chapter, are you an active participant in a professional organization? Reach out, get involved!

CoTTaGe aUThoR: eXpands nURsInG KnowledGe

The Society of Obstetrical Anesthesia (SOAP) published a consensus statement regarding life support modifications for the pregnant women in Anesthesia and Analgesia. Two of the authors are perinatal nurses; one of them is Cottage Hospital’s Perinatal Educator, Dodi Gauthier.

UsInG TeChnoloGy To enhanCe The paTIenT CaRe eXpeRIenCe: endoReCTal/endoanal UlTRasoUnd

Laura Rodriguez led the project which uses the technology to stage endorectal cancers, sphincter evaluations, and evaluation of anorectal fistulas. The advantage of this procedure is that rectal cancers can be located and staged which impacts the mode of treatment for patients.


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sTops: shaRInG Chs besT pRaCTICe ReseaRCh

In May, critical care’s research poster “Compassion Doesn’t End When the Heart Stops” was presented at the National Teaching Institute (NTI) for Critical Care in Denver, Colorado. The Poster highlights the Bathing and Honoring Practice done at the end of life with our patients’ families and staff. This qualitative study interviewed 12 nurses’ perceptions of this practice in the MICU and SICU. Hospitals from across the country were interested in starting this practice at their institutions, from small rural hospitals and hospices in Kansas to larger institutions such as Stanford, Mayo Clinic, and Johns Hopkins.

l-R: diane barkas, Tokie shynk and lisa nicassio

CRh ReseaRCh pRoJeCT: CallInG foR a ChanGe In pRaCTICe

A study, initiated by Dan Thomas, was completed at CRH to validate a Fall Risk Assessment tool specific to the inpatient acute Rehabilitation and comparing the Morse Fall Risk Assessment with an alternative tool. 931 patient records were included in the study. The findings were conclusive in validating the efficacy, specificity and predictive value of the alternative scale. The research was presented at two national Rehabilitation Conferences and accepted for publication in the Rehabilitation Nursing Journal. The team is in the process of changing practice at CRH where the newly validated Casa Colina Fall Risk Assessment Scale (CCFRAS) will be used to assess the CRH patient population for fall risk.

l-R: dan Thomas, andrea pavic oT, erin bisaccia pT, Jonathan Grotts Research analyst

feCal MICRobIal TRansplanT

A new evidence based practice treatment has begun in Endoscopy. The team started a fecal microbial transplant program aimed at treating refractory C-Diff. Specimens from donors who have been screened are “transplanted” into the recipient via colonoscopy, increasing the amount of “good” bacteria back in to the colon. Kim Lemon (pictured at right) coordinates this program in the Endoscopy Department.


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nURsInG eXCellenCe QUalITy InfoRMaTIon

At Cottage Health System we are committed to refining and improving the processes of quality care and to understanding how we compare to national and state quality benchmarks. Clinical measures are used to track and assess the quality, outcomes, and satisfaction of care. We monitor several conditions and areas of clinical care, including the following:


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hea

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rts

“nursing is an art: and if

it is to be made an art,

it requires an exclusive

devotion, as hard a

preparation as any

painter’s or sculptor’s

work; for what is the

having to do with dead

canvas or dead marble,

compared with having to

do with the living body,

the temple of God’s spirit?

It is one of the fine arts:

I had almost said the

finest of fine arts.”

– Florence Nightingale


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post office box 689, santa barbara, california 93102 | www.cottagehealthsystem.org


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