LAWNLINES - Lawnwood Regional Medical Center

33 Years of Service To The Treasure Coast
1978 2011
LAWNLINES
LRMC & HI EMPLOYEE NEWSLETTER
JUNE 2011
From Rodney‟s Desk
Lawnwood has come a long way on the road to achieving our
status as one of the best hospitals in the United States. We
continue to build on our successes and elevate our reputation
for excellent comprehensive healthcare with the addition of our
new ICU expansion which will open in July.
I want to thank you and the entire Lawnwood Team for all of the
hard work and dedication that has brought us to this milestone
in our history. It is because you have ceaselessly labored to
provide our patients with compassionate and quality care that
we are where we are today.
In May we honored those employees who have been with
Lawnwood in increments of 5 years. Their names are listed in
an article on page 4. Some of them were here when the hospital
was in its infancy and I‟m sure they have interesting recollections
of what things were like then. I‟m also sure that, like you,
Rodney Smith, CEO they strove to do their best in the face of the constantly challenging
world of change that is healthcare. And I‟m sure that they welcomed you to Lawnwood
when you became a part of our excellent team to help us become better and better.
All of us working together, supporting one another, as we focus on doing the right thing for every
patient is what makes us who we are. Lawnwood is defined by the people who work here and that
definition is something I am extremely proud of.
On June 21st at 1:00 p.m. we will have a ribbon-cutting ceremony for our new addition. Afterwards,
there will be an open house until 4:00 p.m. so we can show you and the members of the
community we serve our state-of-the-art expansion. I personally hope that you will be able to attend.
I would very much enjoy this opportunity to greet you as we begin another chapter in the
story that is Lawnwood Regional Medical Center & Heart Institute. I‟d also like to thank you in person
for all you do for our patients, the community and Lawnwood. See you there.
Thank You for Participating in the
Employee Engagement Survey
92.98% of the Lawnwood Team took the
survey and we set a new participation record!

Your Actions Will Affect Your 2012 Medical Plan Options
During the past few years, the HCA Wellness Program, Life: Live it Well, has partnered with H2U to offer free
employee health screenings, the Personal Health Assessment (PHA), a tobacco cessation program, online
coaching tools and wellness incentives. This year, HCA will continue its commitment to a healthy work environment
by making some major changes to the wellness program.
Annual health screenings and the PHA will now be a part of what you must do each year to get the most from
your benefits. Your participation in a qualified employee health screening will affect the medical plan options
you have available for 2012.
What to Know:
Lawnwood is hosting on-site employee health screenings from 7:00 a.m. to 1:00 p.m. on the following dates:
July 12, July 22, July 25, July 26
August 5, August 15, August 16
September 9, September 26, September 27
October 4, October 13
To schedule a screening appointment, log on to HCArewards.com, click on “Schedule a Health Screening”
and choose “Step 1: Schedule a Health Screening.”
If you complete a qualified health screening, you will have more medical plan options during the annual benefits
enrollment period this fall.
If you also take the Personal Health Assessment after completing your screening, you can earn up to $500 in
Wellness Credits in a Health Reimbursement Account (HRA) for 2012.
Your Action is Required:
If you complete a qualified health screening between July 1 and October 21, 2011:
You will have more than one medical plan option during the annual enrollment period this fall. For example,
your options may include Well Care Level 1, Level 2, Level 3 and/or a local HMO/POS plan.
If you ALSO take the PHA by November 30, 2011:
After you complete a qualified health screening and your results are available, you will have the opportunity
to take the PHA. When you complete the PHA, you will earn $250 in Wellness Credits in an HRA.
If your screening results show you have low-risk scores and/or less than three moderate-risk scores, you
will automatically earn an additional $250 in Wellness Credits in an HRA for 2012.
If your screening results show you have three or more moderate-risk scores and/or one or more high-risk
scores, go to the doctor and submit a completed Physician Referral Notice to H2U. It must be signed by
your physician by the deadline listed on the form in order to receive an additional $250 in Wellness Credits
for 2012.
If you do not complete a qualified health screening between July 1 and October 21, 2011:
You will have limited medical plan options during the annual enrollment period this fall. For example, your
only option for 2012 coverage may be the Well Care Level 1 Plan, which has the lowest premiums but
also the highest deductible and more out-of-pocket costs.
If you complete a qualified health screening but do not ALSO take the PHA by November 30, 2011:
You will not qualify for or receive Wellness Credits in an HRA for 2012.
An announcement will be mailed to employees who will be eligible for the updated wellness
program. The mailing will instruct you when to go to HCArewards.com to schedule a qualified
health screening.
For more information, log on to HCArewards.com or contact H2U at (800) 771-0428 or feedback@h2u.com.

An important message from V.O.I.C.E. – The Employee Advisory Group
The VOICE Committee has made a recommendation at their most recent meeting that they would like to
pass on to all staff. It is based on certain facts that were discussed in the group – so first, the facts:
Fact 1: Every person makes a choice each day to make it good, positive, meaningful and cheerful, or
to just go through the motions and sometimes even add misery
Fact 2: Healthcare, as we knew it 20, 10 and even 5 years ago, has changed significantly – while it has
gotten better for patients, it has become more challenging for healthcare workers, and it is never going
back to the old ways – healthcare workers must be strong and adaptable
Fact 3: Regardless of the changes, and the extra tasks, learning, and motivation required, there are
some people who brighten our work space every day, and we think that they are highly resilient and
positive – they always make the day better
Fact 4: If we want to move forward in a more stable, more pleasant, more energized environment,
then we have to ALL behave like those who brighten our work space
So, those are the facts. Now here are the recommendations of the committee:
If you are one of the bright, positive, resilient people whose glass is always greater than half full, then the
VOICE committee would like to recruit you
You don‟t have to come to all the meetings (though we would love to have you) but you do have to gather
a group of your peers, who are like you, and ask them to join your team, and make a happier environment
a reality
Then, in the day to day, the great times and the tough times, you all have to be committed to “keeping it
real” and helping others who struggle more than you to maintain a positive attitude, holding yourself and
others accountable for our collective “space”
In order to do this, you have to believe in the strength of our Lawnwood team, and recognize that everyone
here provides value and quality to the sick, even though they may each have a special style of their own
And finally, you have to “keep it real” yourself, by being comfortable with the fact that change in healthcare
is inevitable and good, and have the confidence in our strength to help guide our team
If you are interested in this concept in any way at all, please contact one of the members of V.O.I.C.E. -
Mike Peto, Karen Ludwig, Natalie Dennis, Susan Shepherd, Deborah Mark, Janice Plana, Hyacinth Richards,
Lorette Gouws, Christina Richardson, Ken Carpenter, Neville Morris, Jennifer Stevenson, Joanna
Beebe, Clare Maschek, Kathy Springsteel, Jackie Caruso, Marvi Debus or Susie Norris ………… and let‟s
make the one change that everyone can get excited about!
V – Vision of improved Employee and Patient Satisfaction through voice
O – Ownership – We own our environment – renting is not an option
I – Involvement leads to improvement
C – Collaboration builds Commitment
E – Empowering employees to make positive changes
We Want To Hear your V.O.I.C.E. -
Employee Advisory Group
We have changed the day of your V.O.I.C.E. meetings to the 4th
Tuesday of each month. Please come and be heard. We need people
from every department to be involved so that we can address
specific situations unique to your floor or department. This month‟s
meeting will be Tuesday June 28, 2011 at 8 am in the Cafe Classroom.
Enjoy breakfast with other EAC members, share ideas, take
part and have ownership; together we can keep Lawnwood the premier
choice of our community. Our patients need us to exceed all
expectations and we need to support, encourage and assist one
another to be the very best that each one of us is. Meetings times
are normally from 8am until 930, but please come even if you can
be there part of the meeting. We‟d like as much input as possible so
we hope to see you there!

2010
On Thursday, May 12th, we celebrated the following Lawnwood Team employees for their years
of service through 2010 at Lawnwood Regional Medical Center & Heart Institute.
5 Years of Service as of 12-31-2010: Employees hired in 2005
Maritza AI-Khatib, Emily Anckle, Kathleen Anson, Crista Ashburn, Lisa Augusthy, Nicole Barozi,
Beverly Barr, Sobeida Bayona, Angeline Bazelais, Dana Black, Geraldine Bolden, Don Campbell,
Cathy Carter, Crystal Castleberry, Maria Castro, Francoise Claude, Tanya Clemetson, Chernice
Collins, Jennifer Curry, Elizabeth Dolly, Linnett Durrant, Hyacinth Faulkner, Christin Francona,
Karen Gayle, Linda Hahn, Claude Harris, Windell Haughton, Cynthia Herd, April Hill, Dominique
Hill, Jeffrey Hiss, Debra Iglesias, Cynthia Jones, Dicey Jones, Michelle Kelley, Edward Kelly,
Chantale Lordeus, Alexiss Masmela, Wende May, Marie McDermott, Joseph Michael, Carole
Miller, George Moen, Lorianne Molnar, Kathleen Morris, Andrea Mulligan, Ivette Negron, Tracy
Nonato, Kimberle Omler, Terry Owens, Valeriia Pannin, Dawn Paries, Beatrice Philogene, Viliane
Pierre, Carol Postma, Marcia Reid, Tiffany Riles, Teresa Rodriquez, Velaine Royes, Tracy Sciturro,
Claudia Sessing, Valerie Shamon, Cynthia Sheelar, Edward Skrob, Maria Smith, Penny
Smith, Sarah Smith, Kathleen Springsteel, Nancy Stiglbauer, Serena Thomas, Sheron Thomas,
Yvette Thomas, John Vincent, Yvonne Warfle and Barbara Wood
10 Years of Service as of 12-31-10: Employees hired in 2000
Bayard Abellard, Karen Andrito-Hett, Gwenline Banner, Barbara Bartley, Susanna Biles, Pamela
Burchell, Marilyn Case, Narine Dawkins, Marvi Debus, Anthony Depasquale, Rose Etienne,
Carissa Hamrick, James Hart, Marva Haughton, Marjorie Humphrey, Sharon Irving-Smith, Rebecca
Kuchar, Vivian Main, Carole Marsden, Richard McGregor, Beth McNees, Margaret Miklas,
Beryl Muise, Kathy Nesmith, Mark Newnham, Kim Nobles, Carmen Ordonez, Barbara Pfister,
Lindsey Porter, Debbie Simari, Lori Skoblicki and Ivania Stevenson
15 Years of Service as of 12-31-10: Employees hired in 1995
Gregory Ayson, Brian Carroll, Julia Cooper, Tammy Fongemie, David Henry, Nina Higgs, Violet
Moore, Mary Reynolds, Hyacinth Richards, Josephine Stephens, Tracy Ventrella and Lorenzo
Yearby
20 Years of Service as of 12-31-10: Employees hired in 1990
Wilma Hill, Kathy Ladd, Debra Mark, Clare Maschek, Barbara Rinelli and Katherine Williams
25 Years of Service as of 12-31-10: Employees hired in 1985
Jim Biles, Ranae Carpenter, Susan Deluca, Neil Gawlak, Henri Hamilton and Michelle Hoff
30 Years of Service as of 12-31-10: Employees hired in 1980
Nancy Benjamin, Victoria Dykes, Cynthia Lucero, Carl Noble, Gloria Pack, Susan Sangabriel,
Laura Vaughn and James Wohlford
The combined service of these dedicated and loyal employees is 131,500 hours.
Congratulations and thank you to each and every one.
Service
Awards

Welcome New LRMC&HI Team Members
Please offer a warm welcome to these new members of the LRMC&HI Team who joined us in May:
Certified Nurses Aides Jessica Pace, Rachel Schmidt & Regina Sloat; Director of Cardiac Cath
Dennis Holloway; Floor Equipment Operator Ochel Joseph Jr.; OR Techs Stephanie Moore & Phillip
Powell; Registered Nurses Yvon Dieurestil, Sherene Fearon, Leslie Giordano, Rizza Justado,
Catharine Laughlin, Janette Marin, Stephanie Quintana & Cheryl Roberson
We welcome you to the Lawnwood family and hope that your experiences at Lawnwood Regional Medical
Center & Heart Institute are personally and professionally rewarding.
Vial of Life Program Provides Crucial Information
With the start of hurricane season, St Lucie County HCA hospitals are
launching a program to help seniors and individuals with health conditions
during a storm emergency or medical crisis beyond the season.
St. Lucie and Lawnwood Regional medical centers teamed up with the
American Red Cross and the St. Lucie County Fire District to launch Vial of
Life. The free program was introduced to the public in Fort Pierce on Tuesday
during WPTV NewsChannel 5 Chief Meteorologist Steve Weagle's annual
bike ride from Sebastian to Boca Raton to raise awareness about the
Red Cross and hurricane season.
Program participants tape a small pill bottle to the inside of their refrigerator.
The bottle contains a form listing the patient's medical history, medications,
allergies, pre-existing conditions, physician, health insurance information and
emergency contacts. Bottles are available at the Red Cross office in St.
Lucie West and at all EMS and fire stations in the county.
A red dot sticker on the outside of the refrigerator signals emergency responders that the patient
is a program participant.
Lawnwood emergency room chief Dr. Lee Winans said the vial is crucial to swift treatment, especially
in the event of an emergency during a storm.
"One of the biggest problems of emergency care is the lack of information," said Winans, who advises
young and old alike to pick up a vial. "The vial contains information that is vital to a patient's
care. In many cases, hospital stays are extended because of a lack of information."
Deputy Fire Chief Brian Blizzard said the program will help increase the timeliness and quality of
care.
"This is going to be critical for patients that can't communicate," Blizzard said. "Having this information
definitely puts us ahead of the curve."
Red Cross representatives said they've already been getting calls from members of the public inquiring
about the program and how to receive a vial. Rights now, 1,600 vials are available for public
pickup. By next week, thousands more will be ready for distribution, Red Cross executive director
Sarah Ruwe said.
"This is part of our preparedness message to get people ready for hurricane season and any
other emergencies," Ruwe said. "Seniors, anyone who lives alone and people with medical conditions
should participate."
GET YOUR VIAL OF LIFE
Free vials will be handed out at all St. Lucie County EMS stations and Red Cross outreach
events.
Vials are also available at the American Red Cross office, 540 N.W. University Blvd. in St. Lucie
West.
For more information on the program, call the Red Cross at 772-878-7077

July Educational Opportunities
July 6, 2011
BLS-HCP Recertification
8:00 am - Pavilion Conference Center
July 16 & 17, 2011
ACLS Weekend Course
8am to 5pm - Private Dining Room
July 18, 2011
NRP - Neonatal Resuscitation Class
8am - 2nd Floor Classroom
July 19, 2011
BLS-HCP Recertification
3:30 pm - Pavilion Conference Center
Thank you to all of the staff for keeping up with all the rapid changes
that have been made this last month with documentation and screen
changes. This is an AWESOME group that always pulls together to do
the right thing no matter how big the project or frustrating it can be.
Thank you again for doing the right thing to help keep us GREEN for
Meaningful Use and our move to meet the governmental requirements
for Electronic Health Records.
MEANINGFUL USE INFORMATION
How does ” meaningful use “apply to me?
Essentially meaningful use is all about YOU!!!
A “meaningful user” achieves meaningful use through successfully demonstrating use of criteria
that has been developed around three fundamental goals. At the highest level, meaningful use is
focused on and defined by achieving the following:
USING certified EHR technology in a meaningful manner (e.g., computerized physician
order entry (CPOE));
PARTICIPATING in the electronic exchange of health information to improve quality
of care; AND
SUBMITTING information on clinical quality measures (CQM) to CMS (or to the
state if a Medicaid program).
The criteria for meaningful use is designed to become increasingly more rigorous over the course
of three stages. HCA is currently focused on implementing Stage 1 of Meaningful Use.
More information is available on PORTAL under the Meaningful Use Tab.
Call Extension
4421
for information
or
to register for
any of these
classes

Lawnwood Regional Achieves the Blue Cross Blue Shield
Center of Distinction for Cardiac Excellence again in 2011
Lawnwood Regional Medical Center and Heart Institute is 1 of 27 top heart hospitals in the State of Florida
achieving again in 2011 the status as Blue Distinction Centers for Excellence in Cardiac Care®. Lawnwood
was also recognized in 2010 and 2009 for Cardiac Excellence.
"It is a credit to the high caliber of cardiovascular care in our region that the Treasure Coast is home to
some of the best healthcare in the nation,” said Rodney Smith, CEO and President of Lawnwood. “With
Lawnwood‟s Heart Institute being one of the top-ranked in patient outcomes and practices, Blue Cross
Blue Shield recognizes us again in 2011, and we are proud to be one of the hospitals the insurance company
recommends to their customers first.”
Blue Distinction is a nationwide program created by the Blue Cross and Blue Shield Association to help
members easily identify outstanding medical centers that have demonstrated expertise in delivering quality
health care.
“Lawnwood pioneered open-heart surgery on the Treasure Coast in 1999, and today remains the leader
with the best outcomes in heart and vascular surgery,” said Dr. Peter Downing, Chief Cardiovascular Surgeon,
“We have done over 5,000 open heart surgeries since we began, and during that time, the hospital
has done over 49,500 heart catheterizations and over 9,000 interventions with balloons and stents.”
“The experience here is better than anybody certainly in the 2-county area we serve, but also better than
most of the hospitals to the South of us and the north of us.” Dr. Downing said.
Designation as Blue Distinction Centers means these facilities' overall experience and aggregate data met
objective criteria established in collaboration with expert clinicians' and leading professional organizations'
recommendations. Area hospitals had to apply to achieve Blue Distinction Center status. The selection
process used administrative and clinical data supplied by hospitals. Each facility's structure, processes,
and care outcomes are rigorously evaluated. The criteria for designation include nationally endorsed quality
measures, developed in collaboration with medical experts and professional organizations.
How Many Days Should a CHF Patient Be In The Hospital?
If you answered 3 days you are CORRECT!!!
According to national guidelines per the Medicare Geometric Length of Stay (which is our GOAL and EX-
PECTATION TO ACHIEVE) CHF patients should, on average, stay with us for: 3 DAYS
To meet this goal, we all need to work together to ensure early interventions in every
area:
*Daily multidisciplinary discussion and goal setting at IDT Rounds - EVERYONE
*Timely and proper medication and administration - NURSING AND PHARMACY
*Timely test completion and quick results - LAB AND DIAGNOSTIC IMAGING
*Ensure proper patient activity - NURSING AND PT/OT
*Proper nutrition - NURSING AND DIETARY
*Early discharge planning - CASE MANAGEMENT
We are LAWNWOOD!!! We can do it! Thank you from the Care Coordination Team

HAND HYGIENE is the #1 way to prevent the spread of infection!!
Don‟t STRIKE OUT!
During the upcoming weeks, the Infection Prevention “UMPIRES” and other secret “COACHES” will be
monitoring compliance with hand hygiene. HOME RUN HITTERS will be recognized and rewarded. Players
who “strike out” will be reminded/educated about the “rules of the game”. Continued “errors” and failure
to “follow the rules” may result in written citations.
“RULES of the Game”
RULE #1 Wash Hands With SOAP AND WATER:
when visibly dirty
when contaminated with proteinaceous material
when contaminated with blood or body fluids
before eating or handling food
after using the restroom
Hit a HOME RUN With Hand
Hygiene
RULE #2 Decontaminate Hands With ALCOHOL GEL:
when not visibly soiled
before direct patient contact
before donning sterile gloves to insert central intravascular lines
before inserting urinary catheters, other IV catheters, or invasive devices that do not require
surgical placement
after contact with patient‟s intact skin
after contact with mucous membranes or non- intact skin if hands are not visibly soiled
after removing gloves
if moving from a contaminated body site to a clean body site during patient care
after contact with objects (including equipment) located in the patient‟s environment
ERRORS:
Wearing artificial fingernails
Not performing hand hygiene when appropriate such as before touching a patient, removing
gloves, starting an IV, etc …
Not following the “Rules of the Game”
Be an “ALL STAR” hand hygiene team player!
Protect yourself, your patients and others from infection

Employee Health

June is EMPLOYEE SAFETY Month at HCA
2011 EMPLOYEE SAFETY CHILDREN'S POSTER CONTEST
HCA Hospital Employee Safety Month -June 2011
The Employee Safety Children's Poster Contest is intended to raise
awareness of the importance of occupational, health and safety. We
urge employees to talk to your children, grandchildren, nieces and
nephews about workplace safety and actions taken to make work
safer. This discussion will help the children create artwork for the
poster competition. It is also a fun activity for adults to share with
children.
Employee safety is a broad category with many possible interpretations.
Posters should encourage promotion of one of the following
employee injury hazards:
Slip/Trip/Falls
Blood & Body Fluid Exposures
Patient Handling
Materials Handling
The contest rules and timeline are below. BE SURE TO READ ALL THE RULES CAREFULLY SO THAT
ALL POSTERS/DRAWINGS WILL BE ELIGIBLE. If you have questions on the poster contest please contact
Aggie Weaver in Employee Health. Have fun!
Poster Contest Rules
1. Entry is open to hospital employees' children, grandchildren, nieces and nephews between the ages of
5 and 12. There will be TWO age categories with a winner from each category:
1) Ages 5-8
2) Ages 9-12
2. The poster drawing must relate to employee safety and should illustrate an example of safety at work.
Encourage your children to be creative.
3. All entries must be no larger than 16" x 20". Submittals larger than this will not be included in the corporate
judging.
4. Only one entry per child is allowed. Parents/sponsors are limited to verbal assistance only. All drawings
must be an individual effort and be free-hand originals. No traced pictures please.
5. Each poster submitted must include contestant's name, age, sponsoring employee name and facility
clearly printed on an index card attached to the BACK of the poster to be eligible. Also add the name of
the school they attend and their hobbies.
6. A panel of independent judges will choose the winners. Criteria for judging will be creativity and how
well each poster expresses employee safety.
7. The posters will be displayed in the hospital during the month
of June to coincide with Hospital Employee Safety Month. The
sooner the poster is received by Employee Health, the longer it
will be displayed. Deadline for submitting posters will be Monday,
June 27th.
8. The winning poster for each age group will be sent to Corporate
by July 8, 2011 for consideration in the national poster competition.
9. HCA Senior Management in Nashville will be picking the Top
12 posters to include in the 2012 calendar. The 2011 calendar
and winners from previous years can be seen at the Employee
Health Department. There are some really cute drawings. Come
by and see them to get some ideas you can give your children for
the contest.
HAVE FUN AND REMEMBER, WORK SAFELY

FREE FinancialKnowledge Classes - July 14th - Mark Your Calendar Now
The FinancialKnowledge classes will be back on July 14th and if you‟re interested in achieving a sound
personal future, we recommend that you attend one or more of the offerings. In addition to the classes, you
may also sign up to meet one-on-one with a Certified Financial Planner...all FREE.
Here‟s what one of your Lawnwood co-workers had to say about the program: “I really was so impressed
with the classes and how well everything was explained so informed decisions could be made. These topics
have never been a favorite of mine and I know so little about financial planning that I tend to dread it all
and or ignore everything. I decided to attend the classes as I had just finished preparing my own tax return
(for the very first time ever!!!) using Turbo Tax and had all the figures regarding my 401k earnings for
2010. The attendance was light for the classes so the Certified Financial Planner could answer questions
as we went along. The handouts he had for each class were great and made his explanations that much
easier to comprehend. I amazed myself at how much I understood and retained.
I think the key component to the success I had with the classes was because the instructor was so good.”
You will do yourself a big favor if you avail yourself of this important opportunity. The schedule is:
July 14, 2011 – Education Classroom
7:30AM-8:30AM Step 1: Creating Your Financial Foundation
8:45AM-9:45AM One-on-One Instruction
10:00AM-11:00AM Step 2: Breaking Free Of Debt & Managing Credit
11:30AM-12:30PM One-on-One Instruction
2:45PM-3:45PM Step 3: Building Wealth with Investments
4:15PM-5:15PM Introduction to the New HCA 401(k) Fund Options
To register for one or more of the classes and/or to make an appointment with the CFP, please go to
HCArewards.com and log in. On the page that appears after login, click on “Money” in the list of blue items
on the left side of the page. In the dropdown box that appears, click on “Financial Prosperity” and use the
links on that page to register for class or schedule your appointment to met with a CFE.
Now That‟s
FAST Customer Service
We had a spectacular display of speedy customer service
one day this month when one of the Valet employees,
Eric Reske chased down a visitor‟s car when
she accidently left her purse on top of it. As the car
turned the corner and began heading toward 23rd
Street, the purse slid off as Eric caught it, kept running
and saved the day when he finally was able to get the
car stopped and give the visitor her purse.
Eric‟s new nick name is “Gazelle”. Great job of service
recovery, Eric!
DON‟T FORGET TO USE THE NEAR MISS LINE WHEN APPROPRIATE
EXT 8135
A NEAR MISS IS :
“AN UNDESIRED EVENT OR FINDING THAT UNDER SLIGHTLY DIFFERENT CIRCUMSTANCES,
COULD HAVE RESULTED IN OR CAUSED HARM OR DAMAGE TO PEOPLE, PROPERTY OR ENVI-
RONMENT”
SOME EXAMPLES OF A NEAR MISS ARE:
A patient swings at an employee (but misses)
A patient curses or threatens staff
A confused patient acting out
A patient‟s family member or visitor cursing or threatening staff
An environmental condition was such that it could have caused harm

Dear 3rd and 4th Floor Doctors and Nurses,
Esmeralda G. was born on October 26, 1954 in La Yerbabuena, Michoacan, Mexico. She was the fourth
child born from Camerino and Ysaura G. At the age of twenty- four, Esmeralda began to suffer from renal
failure and was immediately brought to the United States. In 1987, she began her dialysis and her journey
to receive a kidney transplant. When she finally received her transplant, she was ecstatic to finally live a
normal life and enjoy the many luxuries of that life had to offer. It was soon after her transplant that she
was diagnosed with diabetes and suffered many complications. Fifteen years after her transplant, she lost
her kidney and returned
to her dialysis, twice every week.
Although, Esmeralda suffered over 40 years with many illnesses, she always kept a smile on her face and a
positive attitude about life. She never said anything about the pain of the 27 surgeries that she experienced,
most of which were very dangerous and doctors were doubted of her survival. In August of 2010, her doctors
informed us that she had no more than three months left to live but she never gave up. Esmeralda was
able to live eight more months and survived a very complicated surgery. On May 21,2011 at 4:20pm, Esmeralda
passed away but was not alone because she was accompanied by her parents and all12 of her siblings
until her last breath.
Throughout her life, Esmeralda never complained about her illnesses and faced life with a positive and joyful
spirit. When asked how she was feeling, she always responded ''Bien'' or "Okai'. Esmeralda loved everyone
she came into contact with and everyone loved her. She thanked God everyday for letting her live and
be surrounded by people that genuinely cared about her. She was a very strong and admirable. woman and
we are very sure that she will never be forgotten.
On behalf of Esmeralda's parents, brothers, sisters, and entire family, we would like to thank you for your
support and endless accommodations. From the bottom of our hearts, we appreciate the countless nights
that you aided Esmeralda in ensuring that she was comfortable and always looked after. Through her many
visits to the emergency room, hospital, dialysis, and doctors' appointments, we are sure that Esmeralda herself
is thankful to have known such caring and great people. Thank you for your dedication and everything
you did to contribute to Esmeralda's well being and life. We know that without your love for her it would
have been very difficult for her to live as long as she did.
Forever thankful, The Familia G.
Attn: Administrator
On April 1, I was driving north from Lantana to my home in New Jersey with the intention of visiting the gardens in
Fort Pierce on the following day. I stayed at the Hampton Inn in Ft. Pierce. Unfortunately on the 2nd I awoke with a
serious shortness of breath. My wife called 911 and I was admitted to your emergency room.
For many years I sold medical equipment to hospitals in the New York area and spent much time in many of New
York's prestigious hospitals as a salesman. I am 89 years old and also spent time in various hospitals as a patient
undergoing some major procedures including a triple bypass, so I am somewhat familiar with hospital procedures
and care.
While being admitted to Lawnwood my reaction was "I am going to this small town hospital, hopefully they will be
capable of handling whatever problem I have today.”
My experience was absolutely terrific. Your staff was super.
The ambulance crew preformed outstandingly well. In addition to handling their usual transportation, tests, oxygen
therapy etc. their empathy to me and more important to my wife was extraordinary. I had a high comfort level
which is quite important to me.
I do not recall ever getting as fast, efficient and caring attention in a hospital as I did that day at Lawnwood. The
aides, the nurses, the doctor, all made it almost a pleasure to be a patient in a hospital, if that is possible.
Please accept my grateful thanks and appreciation and pass them on to your staff.
Sincerely, Sy G.

At right is Madison Webb, 10, 4th grade. She was on
the Principal‟s Honor Roll all year for her straight “A”
academic performance. Her paper on technology was
recognized at Nationals and she received the highest
FCAT English score.
Susan Addison, Outpatient Department, proudly
announces the academic accomplishments of her
beautiful granddaughters.
At left is Ashlynn Wyatt, 11, 5th grade at Fairlawn
Elementary. She was on the A Honor Roll and was
awarded a $75 bond for her composition on “Why
I‟m Proud To Be An American Safety Patriot”.
At left is Riley Wyatt, 8, 3rd grade. She was on the
A-B Honor Roll..

Kathy Springsteel, Case Management, is
proud to announce the graduation of her handsome
son, Anthony Springsteel, who graduated
in the top 10% of his class from Treasure
Coast High School with a cord for both AICE
and High Honors.
He will attend USF in Tampa to pursue Electrical
Engineering in the Fall.
Congratulations, Anthony!
Frances McGlenn, Pharmacy, is proud to
announce the birth of her beautiful first
grandchild.
Malcolm Louis Lang was born April 27,
2011 in Sanford FL.
Mal is the son of Jared Lang and Rebecca
McGlenn Lang.
Congratulations, Frances!

Patti Larghi, Speech Therapy, is
proud to announce the graduation
of her handsome son, Daniel,
from Florida Atlantic University.
He earned a Bachelors of Music
degree in Audio Engineering.
Congratulations, Daniel.
Best of luck in your career.
Congratulations to Cecille Lucero,
daughter of Cynthia Lucero, Cardiac
Cath Recovery, and Bing who used
to work in the Laboratory.
Cecille graduated on May 7, 2011
with a degree of Juris Doctor from the
Florida State University College of
Law.
Cecille used to be a Volunteen here
at Lawnwood.
Congratulations, Cecille!
We wish her good luck and success
in her career!

The Sting of Summer: Be Prepared, From Bites to Burns
For those who vacationed on the Florida coastline this Memorial Day, the summer season launched with a bang, or
more specifically, with hundreds of stings. Because of steady Atlantic winds, this past holiday weekend the beaches
were swamped with reddish-colored jellyfish, known as mauve stingers, resulting in more than 800 reported stings
among the beachgoers.
Though summer has not officially started, the Memorial Day Florida jellyfish debacle is a sharp reminder of the many
stings, burns, nips, bites and rashes that arise during the summer months ahead.
ABC news spoke with pediatricians, dermatologists and emergency medicine experts to pull together a guide to preventing,
identifying and treating the various ills that can accompany your summer fun.
Jellyfish
Although there are many different species of jellyfish throughout the coastal United States, the resulting
sting is largely the same. When you come into contact with a jellyfish, either underwater or
when they're beached on land, small barbs in the tentacles catch on your skin and cause red welts.
If you think you've been stung by a jellyfish (and given how painful a jellyfish sting is, you usually
know it), the best thing to do is rinse the sting in saltwater, not freshwater, says Dr. Lee Winans,
head of the emergency room at Lawnwood Regional Medical Center in Fort Pierce, Fla. "The little
barbs are packets of poison, and if you use freshwater, it will cause them to rupture and make the
reaction worse," he says. Rubbing or patting the area can also cause these packets to rupture, so
take a shell or credit card and scrape the barbs off the area while rinsing in the saltwater, says Dr.
James Schmidt, a pediatric emergency medicine physician at Children's Hospital of the King's Daughters in Norfolk,
Va. There are a lot of old wives' tales or home remedies concerning jellyfish stings. Some people say you should pee
on the sting, others say to use vinegar or meat tenderizer on them. These remedies can be somewhat helpful because
they neutralize the jellyfish venom to an extent, says Winans, but in the ER doctors would use ammonia to do
that. If the stings cover a large portion of the body, systemic reactions such as nausea, vomiting and breathing problems
can occur in some people and these symptoms should be checked out by a medical professional right away.
Otherwise, use topical hydrocortisone cream and hot or cold compresses (whichever feels best).
Sun Burn vs. Sun Poisoning
We all know we should be wearing sunscreen, but sunburns still happen. The question is,
when is a sunburn more than just an aloe vera and sit in the shade for a few days type of
affair? When sunburn is severe, causes blisters or covers a large part of the body, it can
result in sun poisoning -- an extension of heat stroke that is marked by dehydration, fever
and headache. Sunburn is a form of inflammation, so when a significant area of skin is
inflamed, the body reacts to the inflammation with flu-like symptoms, says Dr. Neil Korman,
a dermatologist at U.H. Case Medical Center. It is most dangerous in the very young
and the very old, and if acute sunburn is accompanied by vomiting, you should seek
medical attention as rehydration with IV fluids may be necessary, Winans says.
The Bite from the Mystery Bug
Spiders, bees and chiggers -- oh my! For most people, summer months mean more hours spent
outside in the woods, the grass, or out on the beach, but vacationers aren't the only species to flood
the outdoor arena. Various members of the insect animal kingdom will be out in full force this summer,
so it's important to know which pests are merely pesky, and which ones may be cause for
worry.
Bees and hornet stings are usually not problematic unless you are allergic to their sting or if multiple
stings are received at once. Wheezing or excessive swelling around the face or site of sting should
be checked out by a doctor immediately, especially if it seems the person is having an allergic reaction
to the sting, says Winans.
As for spider bites, most are harmless, but a few species of poisonous spiders can cause more serious reactions. In
the southern U.S., brown recluse spiders can result in large, painful bites that, left untreated, can lead to loss of a
limb. Unlike normal spider bites, which get better over the course of a few days, poisonous bites will only get worse
and the skin around the bite can start to die, says Winans. "Recluse and black widow," which are native to Florida,
"bites will be quite painful, and the pain will migrate to other parts of the body," he says. "The bites can turn yellow
and look almost like an egg white with a bubble," he says. They should be seen by a medical professional immediately.
Chigger, mosquito and fire ant bites, while painful and itchy, are benign. They usually appear as small itchy bumps, or
in the case of ant bites, small pus-filled bumps. "Put topical over-the-counter steroid cream on bites, but try not to itch
them, that will only open them up to a possible infection," Winans says.

Bulletin Board
As of June 2, 2011, the new addition was added and „Live‟ to the Fire Alarm System
Just so there is no confusion we have changed/updated location names as follows:
The name of the existing 3rd floor ICU will be called 3rd Floor MS-ICU (Med-Surg).
The new 2nd floor ICU addition will be called 2nd Floor TICU (Trauma ICU).
The new 3rd floor ICU addition will be called 3rd Floor SICU (Surgery ICU).
The new 1st floor North Stair Corridor will be called 1st Floor North Stair W Corridor Exit.
The new 1st floor shell area will be addressed as 1st Floor ER Shell Area.
The new ICU 4th floor mechanical space will be called 4th Floor ICU Penthouse.
Please be aware of these changes so that if the PBX operator announces an emergency code like a
„Code Red‟ you would know where to respond, if necessary.
CASE MANAGEMENT DOCUMENTATION IS MOVING:
Beginning June 14th, Case Management Discharge Planning notes can be accessed from the main
PCI screen in Meditech. Once a note is documented in Midas, you will see the header "Case Management
Review Reports" in PCI. To review, access as you would any other section on the PCI screen to
display the most up to date report and notes.
The Wound Photography policy was revised in May. The changes in the policy include:
Need to obtain consent for photography prior to photographing wound/s for the first time.
(Only one consent per admission needed). If unable to obtain consent or if patient refuses,
document why photo was not taken and be sure to fully document the appearance of the
wound.
All wound photos should have a ruler included in the photo along with a patient identifier and
the date the photo was taken. (Date inclusion is the additional information needed within the
photo).
Use only scotch tape to secure photographs to mounting sheets. Staples may NOT be
used.
The updated policy is available on Portal.
Give the Gift of Life
The next Employee Blood Drive is being held on Friday, June 24 th , from 10:30 a.m. to 3:30
p.m. in the Employee Parking Lot. Donors will be given a cafeteria meal ticket and a chance in
a drawing for a $50.00 Wal-Mart gift card. Please mark this date on your calendar and plan to
“Give the Gift of Life”. Thank you.
Be sure to read:
“ Important
Benefit Changes
are Coming
This Fall”
on page 2 !!!!
Read LawnLines on the Internet
Go to the Lawnwood Home Page at
www.lawnwoodmed.com and place your cursor
over “For Professionals”. In the dropdown box
that appears, click on “For Employees”. Then
scroll down to the bottom of the next page to
LawnLines and download this month‟s issue.