Nursing Update 2009 - 2010 - Yale-New Haven Hospital

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Nora O’Keefe, RN Heather Miska, RN 2 n u r s I n g u P D A T e Dear Colleagues: As we write this letter, we are finalizing our application to the American Nurses Credentialing Center for Magnet status. We are proud that the Staff Nurse Council (SNC) has played a crucial role in capturing, studying and sharing the best practices that abound throughout this hospital – a crucial standard for Magnet consideration. In the past year, the SNC has increased awareness of collaborative governance and strengthened the process of practice improvements. Our vision of achieving excellence through continuous improvement and innovation is what drives our practice to provide the safest quality care to our patients every day. Another area that is paying dividends for our patients’ safety is the culture of research that the Staff Nurse Council has nurtured among our nurses through collaborative governance. Not long ago, few of us were engaged in research, and evidence-based nursing was seen more frequently in classrooms than in patient care rooms. But we are proud to say: we have changed all that. As you read Nursing Update, you will learn about ideas and implementations – driven by nurses at the bedside and supported by our nurse leaders – that have raised the bar for patient care in this organization. You will read about vastly reduced bloodstream infections in the Pediatric Intensive Care Unit, how psychiatric nurses are helping colleagues on medicine units better identify and care for patients struggling with mental illness, and the positive impact bedside reporting has on increasing patient safety and satisfaction. Yale-New Haven Hospital is a complex institution that is frequently near full census. Many of our patients come to us with illnesses, diseases and injuries that other hospitals are simply not prepared to treat. Some of our patients undergo groundbreaking surgery, others receive cutting-edge diagnostic procedures, and others come in, deliver healthy babies and leave after two days, happily unaware of the medical muscle poised to help mothers or babies if their condition requires it. Last year, we helped to treat almost 55,000 inpatients and had almost 611,000 outpatient visits – a record in both areas. Starting in October, we opened Smilow Cancer Hospital at Yale-New Haven, and over the course of seven months, we’ve opened new patient care units or moved existing ones into this impressive new facility. The journey to Magnet is a rigorous process that reflects extremely well on those hospitals that achieve it. The Staff Nurse Council is proud of the role we play in harnessing the energy, talent and passion for excellent practice that marks each and every Yale-New Haven nurse and in giving those nurses a voice. These voices join collaboratively to improve how we deliver safe, quality care to our patients, and Staff Nurse Council is extremely proud to contribute to this important effort. Sincerely, Nora O’Keefe, RN Heather Miska, RN Staff Nurse Council Co-Chair Staff Nurse Council Co-Chair Heart and Vascular Center Children’s Psychiatric Nursing Procedures Inpatient Service
TrAnsformATIonAL LeADershIP success of rounding with staff nurses Each week, members of the Nursing Cabinet – the hospital’s nursing leadership – receive valuable feedback from one unit’s entire interdisciplinary team as they walk the floor and meet with staff and patients. During this time, staff nurses tell cabinet members about topics such as equipment needed for increased patient safety, how an additional computer would decrease the time spent documenting information, compliance progress or a job well done by staff or an individual. Do you have what you need to do your job? Tell me a little bit about your patient. Such open-ended questions elicit key information about what is important so nurse leaders can address the issues of the staff nurse. Cluster leaders and Staff The Nursing Cabinet at YNHH includes (front row, l-r): Patricia Span, RN, director, Center for Professional Practice Excellence; Leslie O’Connor, APRN, director of nursing, Yale-New Haven Psychiatric Hospital; Carol Kupec, RN, director of nursing, Emergency Services; Sue Fitzsimons, RN, PhD, senior vice president, Patient Services; Diane Vorio, RN, vice president, Patient Services; Ena Williams, RN, director of nursing, Perioperative Services; Francine LoRusso, RN, director of nursing, Heart and Vascular Center; and Cathy Stevens, RN, director of nursing, Women’s and Infants Services. In the middle row are (l-r): Bertie Chuong, RN, director, Ambulatory Services Division; Kathy Kenyon, RN, director of nursing, Medicine; Catherine Lyons, RN, clinical program director, Smilow Cancer Hospital; Nora O’Keefe, Staff Nurse Council co-chair; Heather Miska, RN, Staff Nurse Council co-chair; and Carol Just, RN, director of nursing, Surgery. In the back row are (l-r): Stephanie Bilskis, RN, practice administrator, Community Health; Sherri Barnhill, RN, coordinator, Nursing Safety and Quality; and Cheryl Hoey, RN, director of nursing, Pediatrics. Missing from photo are: Lori Hubbard, RN, Magnet coordinator; and Janet Parkosewich, RN, DNSc, interim nurse researcher. Nurse Council members are frequently part of rounding, which helps to more widely disseminate awareness of emerging patient safety and quality issues. “We want to hear directly from the staff nurses about their challenges, concerns and questions and to hear about their successes improving the quality of care for our patients,” said Diane Vorio, vice president, Patient Services. “Rounding provides us with an excellent opportunity to facilitate needed changes more quickly so the nurses can focus on patient safety and satisfaction.” nurses strengthen, improve practice within heart and Vascular Center Yale-New Haven Hospital Heart and Vascular Center is Connecticut’s largest and most comprehensive provider of heart and vascular services, including adult and pediatric cardiac operating rooms, interventional laboratories, rhythm management facilities, advanced imaging services – nuclear, CT and MRI, and a Chest Pain Center. Because of its reputation for excellence, Yale-New Haven attracts some of Y A L e - n e w h A V e n h o s P I T A L 3
Page 1 and 2: n u r s i n g u P D A T E The work
Page 3: The journeY To mAgneT Dear Colleagu
Page 7 and 8: Connecticut Hospital association’
Page 9 and 10: YNHH RN turnover and vacancy rates
Page 11 and 12: Bedside reporting increases patient
Page 13 and 14: we work hard to ensure a pleasant w
Page 15 and 16: therapeutic hypothermia protocol.
Page 17 and 18: ecognition and Clinical Advancement
Page 19 and 20: The 2009 Nightingales were (front r
Page 21 and 22: Two Ynhh nurses named nurse leader
Page 23 and 24: Publications Bush, A., & Banyas, R.
Page 25 and 26: Knickerbocker, J. (2010, March). Pa
Page 27 and 28: EdITORIaL BOaRd YNHH NuRSES’ VISI

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