Nursing Innovation and Excellence - Baptist Health South Florida

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TECHNOLOGY DRIVES CHANGEPatient care and nursingpractice are being revolutionizedby sweeping advances in technologyat Baptist Health. Thissystemwide priority receivednational recognition again in 2009,for the seventh consecutive year,when Baptist Health was namedone of the nation’s “Most WiredHospitals and Health Systems” byHospitals & Health Networks.In the fall of 2007, we beganour Clinical Transformation Project,which positioned Baptist Healthto lead the national movementtoward evidence-based medicineand the computerization of allmedical records. In 2008, wetransitioned to a new corporatemodel for our Nursing Informaticsteam, composed of informaticsnurses at each of our hospitalswho have expertise and experiencein clinical workflow andhealthcare technology. In a unique,organizationwide approach, theNursing Informatics team providesinitial and ongoing on-site trainingand support for nurses as newtechnology and systems are rolledout at our facilities.With patient safety as theprimary goal, Nursing Informaticsexperts collaborate with InformationTechnology professionals tostandardize and automatemultiple clinical documentationcomponents, such as admissionassessment, shift assessment,interdisciplinary patient notes,critical values and the critical careflow sheet.In addition, more than 600state-of-the-art portable, wirelessWorkstations-on-Wheels (WOWs)were rolled out, enabling oureICUAt Baptist Health hospitals, the eICU LifeGuard team, composed of critical care nursesand physicians, uses cutting-edge computer technology to electronically monitor themedical conditions of patients in intensive care units. Over a two-year period, nearly500 eICU-related nursing interventions were documented, resulting in positivepatient outcomes.Robotic SurgeryAt South Miami Hospital’s Centerfor Robotic Surgery and at BaptistHospital, specially trained nursesassist surgeons using the da VinciRobotic Surgical System totreat gynecological, prostate,urological and colorectal diseases,as well as heart and lung problems.For patients, robotic surgeryoffers quicker recoveries,less pain and a shorterhospital stay.BAPTIST HEALTH 19 NURSING REPORT
Fabienne Goutier, R.N.Homestead HospitalWorkstation-on-WheelsFabienne Goutier planned on being alawyer, but the native of Haiti had achange of heart when she startedtaking criminal justice classes. Shethought nursing or teaching was herbetter calling. “I have a capacity forcaring,” she said. “I’d like to teach, but Iwould rather save someone’s life. Here,I can do both.” She became a registerednurse and was hired at HomesteadHospital in 2008. Ms. Goutier floatsbetween Emergency, ICU and PCU. Onher days off, the married mother oftwo young children cooks food for thehomeless and volunteers to help thehungry. “I think that’s all part ofcaring,” she said. “I can’t just do itinside the hospital. I come from a ThirdWorld country. I don’t want to go tosleep saying, ‘Well, I’ve eaten, but Ihaven’t helped anybody else eat.’ ” Ms.Goutier said she appreciates workingat a stable organization like BaptistHealth and enjoys her diverse group ofcolleagues. “I know there are so manyavenues for me here,” she said.Across Baptist Health, nurses use high-tech Workstations on Wheels (WOWs),reducing paperwork and increasing time spent with patients.clinicians to access all clinical data,enter orders and use electronicdocumentation. This means ournurses can spend more time withpatients at the bedside.Another important effort toimprove patient care focused onmedication administration safety.The medication administrationapplication (MAK) was implementedat all Baptist Healthhospitals. This computer applicationuses bar-coded patientarmbands and unit dosemedications, as well as wirelesstechnology at the point of care.This system is designed to helpreduce medication errors byensuring the “five rights” ofmedication administration: Rightpatient, right drug, right time,right dose and right route.In 2009, Baptist Healthbecame one of the first healthcaresystems in the country to open apatient Transfer Center staffedaround-the-clock by nurses, aswell as emergency medical technicians.The Center is equippedwith real-time computer accessto bed availability, EmergencyCenter and ICU status at all ofBaptist Health’s hospitals. Thishelps the Center’s nurses quicklyroute patients to the hospitalthat can best deliver the carethey need, whether the patient isbeing transferred from within theBaptist Health system or from anoutside hospital. In the first eightmonths of operation, the TransferCenter logged 12,400 cases, withthe average transfer taking fivehours and about 15 phone calls.Beyond the examples mentionedhere, numerous initiativesare taking place throughoutBaptist Health that leveragecutting-edge technology —ensuring that our nurses have themost advanced tools to providethe best possible patient care.BAPTIST HEALTH 20 NURSING REPORT
Page 1 and 2: NURSING ANNUAL REPORT2009Nursing In
Page 3 and 4: A MISSION OF CARINGIam proud to sha
Page 5 and 6: A CULTURE OF QUALITY60%Baptist Heal
Page 7 and 8: WORKFORCE DEVELOPMENT AND PROFESSIO
Page 9 and 10: Ozzie Drago, R.N.Baptist Outpatient
Page 11 and 12: Annual Summit for Nursing Leaders:
Page 13 and 14: BAPTIST HEALTH 12 NURSING REPORT
Page 15 and 16: TRIM =PerformanceImprovementOn beha
Page 17 and 18: specific locations, enablingnurses
Page 19: overall direction for the individua
Page 23 and 24: COMMUNITY OUTREACHBaptist Health re
Page 25 and 26: Murielle Pariente, R.N.Doctors Hosp

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