2010 Nursing ANNUAL v4d - PinnacleHealth

Pain Rounds on PSCUThe PSCU has always been proud of their exemplary painmanagement for surgical patients. When PinnacleHealthtransitioned to the HCAPHS survey for patient satisfaction, theunit received a limited amount of unit-based data and patientsatisfaction with pain scores varied across each quarter. It wasdifficult for the unit management team and staff to fully assesspatient satisfaction with pain management due to the lownumbers of surveys. In order to provide a more accurate andtimely assessment of patient satisfaction with pain management,the Nurse Manager, Vicki Duffin, RN, and Clinical NurseSpecialist, Mary Ann Clement, CRNP, developed andimplemented unit-based “Pain Rounds.” The goals were to 1)assess patient satisfaction with pain management; 2) assess staffnurse interventions for pain management and 3) mentor staff inappropriate pain management. A rounding questionnaire wasdeveloped by the committee. Mary Ann and Vicki established aschedule to do the rounds on a weekly basis on all surgicalpatients. In addition, the patient’s current pain regime and lengthof stay is reviewed. If the patient is still experiencing pain, the NMand CNS will consult with the patient’s primary nurse. They willreview what interventions have been done to address the pain andprovide suggestions for pain relief strategies. The conversationwith the primary nurse provides an opportunity for educationregarding appropriate pain management. This process has beendiscussed at the interdisciplinary pain committee meeting and hasbeen shared as a best practice.Since October 2009, 320 patients have been surveyed during PainRounds. Results show that 97% of patients are satisfied with theirpain management. In addition, 96% of patients feel thateverything possible has been done to control their pain. Seventyfivepercent of patients report no or mild pain (0-3 score on the0-10 pain scale). Also, 100% of patients report that they are askedto rate their pain on a scale of 0-10. The pain scale is the standardfor assessing pain at PinnacleHealth.Unit Consolidation at Community CampusOn August 30, 2010, two units at the Community GeneralCampus re-located to improve efficiency and enhance the safety ofpatient care. A new 50-bed Cardiac Telemetry Oncology (CTO)Unit was formed by merging the previous 34-bed MedicalTelemetry, 14-bed Oncology and 24-bed 1 Main Units. Themanagement team for the unit includes Theresa Sellers, NM; JudyNipple, CM; Kathi Lenig, CM; Ann Anthony, SDI; and KimFowler, CNS. To provide a smooth transition, staff played anactive role in determining thelocation of supplies and set upof the unit. Social gatheringswere planned to provideopportunities for staff membersto interact and get to knoweach other. The managementteam and staff worked with thephysician groups to promotecollegial relationships.A new Orthopedic, Spine andBariatric (OSB) Unit wasformed from the 2 North/SouthUnit. This new unit did not consolidate staff but did relocate to anew unit on the first floor of the Community Campus. Staffmembers were excited to move to the new unit and were veryinvolved in decisions regarding unit set-up and the storage ofequipment. The unit practice committee assisted in organizing theunit and recreated bulletin boards from the old unit so that it feltlike home.Healthy Work Environment StudyIn 2009, PinnacleHealth was invited to participate in a researchstudy being conducted by Marlene Kramer, PhD, RN, VicePresident of Health Sciences Research Associates. Twenty Magnethospitals were selected across the country to participate. Thepurpose of the study is to examine the impact of the workenvironment on the transition of newly licensed registered nursesduring the first year of practice. Experienced RNs completed theEssentials of Magnetism (EOM) II survey in May 2009. The EOMII measures several work processes or relationships that contributeto a healthy work environment. A total of 657 experiencedPinnacleHealth registered nurses from 34 clinical units completedthe EOM II (43.8% response rate). Dr. Marlene Kramer presentedthe aggregate results of the EOM II survey at the 2010 PHSNursing Research Conference. The results supported the followingconclusions:• Harrisburg Hospital nurses equaled or exceeded the NationalMagnet Hospital Profile on six of the eight EOM II scales. Thisrepresents the 99th percentile of achievement among 205Magnet Hospitals surveyed with the EOM or EOM II.• Community General Hospital nurses equaled or exceeded theNational Magnet Hospital Profile on five of the eight EOMIIscales.29