NURSING EXCELLENCE
Excellence | Integrity | Compassion
2015
NURSING EXCELLENCE Excellence | Integrity | Compassion
2015
TABLE OF CONTENTS
Dear Nursing Colleagues,
Dear Nursing Colleagues,
Exemplary Professional Practice (EP):
Magnet® Efforts*
It is my pleasure to introduce you to the 2015 edition of Nursing Excellence, celebrating last year’s accomplishments – as we launch National Nurses Week! The editorial team has done another outstanding job of bringing together achievements, outcomes, and accomplishments of the over 1,100 RNs at Cottage Health. Kudos to the Nursing Excellence Committee for their countless hours of assembling and editing the publication and to the creative and artistic talents overseen by our Marketing Department.
2015 has been another successful year as Cottage Health nurses change and adapt to reflect best practice standards. I would like to thank those who have sustained their commitment to ensure the success of our Magnet efforts. Many Magnet Component Committee members have served on their respective committee since its inception. Committee members’ contributions of passion, ideas, resilience and persistence provide the drive to maintain an impressive program that serves to honor the profession of nursing. Without committed members, these committees would not be making the changes necessary to raise the professional bar; I am truly honored to work with such a proficient group of nurses.
• Implemented Nursing Peer Evaluation • Updated Professional Practice Model to reflect the new hospital brand
Structural Empowerment
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Exemplary Professional Practice
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New Knowledge, Innovations and Improvements
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NURSING EXCELLENCE
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2015
NURSING EXCELLENCE COMMITTEE Jennifer Bower (Education/CH), Ellen Fenger (Surgical & Trauma/ SBCH), Susan Garrett (Education), Dodi Gauthier (Education & Women’s Services/CH), Herb Geary (Chief Nursing Officer/ CH), Carol Henderson Nelson (Education/CH), Shawn Hodges (Materials Management/CH), Jan Ingram (Parish Nursing), Linda Reimer (Patient Care Services), Tokie Shynk (Critical Care/SBCH), Dan Thomas (CRH), Kathryn Von Dollen (PACU/SBCH)
THANK YOU TO Glenn Dubock, Monie de Wit and Rosemarie Jones for their invaluable photo contributions
This past year we saw the highest participation rates in our Employee Engagement Survey at 91% and our engagement score of 88%. Additionally, we participated in our bi-annual NDNQI Nurse Satisfaction Survey and every domain scored higher than the “Magnet Mean” for all Magnet hospitals across the country in RN:RN, RN:Nurse Leader, RN:MD relationships. If the Magnet Mean represents hospitals in the top 5% of the country – then you really do enjoy an RN Professional Satisfaction rate that is better than the top 5% of hospitals in the country!! Congratulations Cottage Health nurses!! In addition we saw the highest Patient Satisfaction Scores we have ever seen since launching Patients First. Our patients are telling us that you are making the difference in their patient experience. Looking back on 2015, one of the most profound efforts was in the closure of the Subacute Unit at Goleta Valley Cottage Hospital (GVCH). Cherie Mignone and her staff were amazing as they helped transition their residents to a new facility in Camarillo and found new opportunities for the staff who worked together as a family for decades. It was a team effort and it was really something to be proud of. And speaking of PROUD, both Santa Ynez Valley Cottage Hospital (SYVCH) and GVCH moved into their new facilities last year and through “big team efforts” across the system for training, transition, and move day – both made history. For SYVCH it was a “50 year re-dedication” and for GVCH, it was time to say good-bye to a tired building. Both new facilities are stunning!! Congratulations on your new digs and bringing high quality care into brand new environments in which you can practice nursing. Last, our Magnet work is very important. In 2015 we took on “Peer Evaluations” as a Magnet Project put forth by the Exemplary Professional Practice Committee. Almost all of you attended a class and participated in rating your colleagues. This is a very high level of autonomy in professional practice and your commitment to this best practice is commendable. Thank you for all you do for our patients and our health care team at Cottage Health. Happy Nurses Week!! Sincerely yours,
*REFERENCED American Nurses Credentialing Center (2014). 2014 Magnet Application Manual. Silver Spring, MD Magnet® and National Magnet Conference™ are trademarks of the American Nurses Credentialing Center
Herb Geary, MBA, BSN, RN, FACHE Vice President, Patient Care Services and Chief Nursing Officer Cottage Health
I would also like to thank each and every nurse at Cottage Health as you enhance the profession of nursing. Many of you have returned to school and successfully obtained Bachelor degrees while others have achieved their Masters in Nursing. Others have achieved specialty nursing certifications, served as nurse mentors, and given time to the community as nurse volunteers. Together you have raised patient satisfaction scores and improved our nursesensitive indicator rates on a unit and organizational level! These are impressive feats and I applaud you! The Magnet Component Committees continue to thrive. Each committee has set and achieved many goals. This year’s accomplishments include: Transformational Leadership (TL): • Increased visibility of VP Patient Care Services and CNO with quarterly newsletter by Herb Geary • Created Leadership Growth Opportunities brochure • Updated Philosophy of Nursing Structural Empowerment (SE): • Finalized efforts for nurse certification recognition plaques • Defined goal for nurse certification - 50% of eligible staff in departments • Collaborated with Marketing and Nurse Leadership to recognize nurses for March 19th National Nurse Certification Day
• Developed and implemented Peer Interview questions • Started work on the nursing section for the Cottage Health website • Continued quarterly submissions to the Research Newsletter covering topics including writing for publication, collaborative research project in SICU and Advanced Practice Nursing • Began working toward developing a Modified Early Warning System (MEWS) for CottageOne The highlight of the year for me was seeing the peer evaluation process come to fruition. The EP committee employed a systematic plan grounded in evidence to support the rollout of this best practice. We learned during our first year and will continue to listen to the clinical nurses, nurse managers and leaders as we adapt the processes to ensure successful execution of this valuable practice. If you have any questions about our Magnet Component Committees or Cottage’s efforts to meet Magnet standards, I am here to assist! Sincerely,
Jennifer Bower, MSN, RN Nursing Magnet Program Coordinator Cottage Health
[email protected] 805-448-5941
2015
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New Knowledge, Innovations, and Improvements (NK):
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Transformational Leadership
NURSING EXCELLENCE
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LETTER FROM THE NURSING MAGNET PROGRAM COORDINATOR
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LETTER FROM THE CHIEF NURSING OFFICER
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RECOGNIZING MAGNET JOURNEY LEADERS
TRANSFORMATIONAL LEADERSHIP (TL):
STRUCTURAL EMPOWERMENT (SE):
2015 MAGNET QUALITY CELEBRATION
Visionary, Courageous, Strategic Planner, Influential, Empowering
Life-Long Learner/Teacher, Commitment to Community, Professionally Engaged, Nurse Role Model
The 3rd Annual Magnet Quality Celebration was held over three days in Burtness. This year’s Southern Charm theme was inspired by the National Magnet Conference held in Atlanta, Georgia. The event featured 47 posters, from all three campuses, created by nursing units/departments and focused on sustaining outcomes. All disciplines were invited to come and support their nursing colleagues, learn about our exciting achievements and enjoy some refreshments. Each year the caliber of posters goes up and this year was no exception! Attendees were asked to vote for their top three posters, categories included: I never knew, “wow”, most creative and most informative. Winners were awarded trophies presented by Herb Geary and myself, while winners plus two honorable mentions presented their posters at the October C3 Shared Governance event. I would like to personally thank each unit/department for their efforts in creating the posters for the event; the level of professionalism is something to be proud of! Thank you to Herb Geary and Nursing Leadership along with the Magnet Steering and Magnet Component Committees for your ongoing support of the Magnet efforts and the Magnet Quality Celebration.
Innovator, Adventuresome, Tolerant of Uncertainty, Confident, Risk Taker, Forward Thinking, Tech Savvy
2015
Co-Chairs: Dan Thomas, Tokie Shynk | Members: Ian McLelland, Jacqueline Cutroni, Jay Fife (joined in November), Jennifer Bower, LeAnn De Luna, Lindy Chavez, Lorie Loomis, Patti Wicklund, Vicki Lekas, Virginia Clay (joined in November)
EXEMPLARY PROFESSIONAL PRACTICE (EP): Passions for the Professional Practice Model, Nurse/Patient Satisfaction, Nurse-Sensitive Indicators, Interdisciplinary Influence
Jennifer Bower, MSN, RN Nursing Magnet Program Coordinator
NURSING EXCELLENCE
NURSING EXCELLENCE
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Co-Chairs: Darcy Keep, Laura Canfield, Liz Lundquist | Members: Christine Pimentel, Danilyn McLaughlin, Donna Janega, Jennifer Bower, Jennifer Dunn, Jennifer Ferrick, Jennifer Granger Brown, Jennifer Wobig, Karen Rose, Karin deWitte, Kirsten Springer, Lauren Sutherlin, LeAnn De Luna, Lindsay Picotte, Mary Gensler, Sandra Ibrahim, Stella Riddell, Susan E. White, Tegan Hannah
2015
NEW KNOWLEDGE, INNOVATIONS, AND IMPROVEMENTS (NK):
Co-Chairs: Carol Henderson Nelson, Mary Meola, Caroline Rosen (joined in November) | Members: Amy Johnson, Diane Barkas, Dodi Gauthier, Ellen Fenger, Gary Milgram, Gina Randall, Jennifer Bower, Judy Corliss, Kimberly Velasquez, Paula Gallucci, Rhonda Bernstein, Shawn Hodges, Shelley Algeo, Tia Caldwell
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Co-Chairs: Herb Geary, Linda Bacon | Members: Amy Jenneve, Amy VandenHeuvel, Caroline Rosen, Christine Block, Denise McDonald, Dinarte Viveiros, Ed Wroblewski, MD, Jennifer Bower, Jim Ouellette, Kim Morales, Nick Urton, Sabine Keller
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MAGNET QUALITY CELEBRATION
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MAGNET QUALITY CELEBRATION
MAGNET QUALITY CELEBRATION
Transformational Leadership
NURSING POSTERS
• MS/Critical Care: Beyond the Final Breath: A Bathing and Honoring Practice
• Quality Improvement: Learning tPA Door to Needle Times for Acute Ischemic Stroke Patients
• Critical Care: Bottoms Up: Prone Protocol in a Community Hospital Improving Outcomes in ARDS
• Nursing Administration: Lippincott Transition Task Force: Lippincott for Procedure Resource
• MICU: Breaking the Fall: Going Above and Beyond the Bundle
• Exemplary Professional Practice: NDNQI*
• Palliative Care: Celebrating 10 Years of Palliative Care at Cottage • Quality Improvement: Changes in the Cottage Health Sepsis World • PICU: A Child’s Journey: Guiding a Family through Grief in the Pediatric Intensive Care Unit • CNS Team: Costing Out Care: Creating Our Own Clinical Nurse Specialist Outcomes Summary© Tool • One Oak Park: Critical Incident Debriefing • Endoscopy: Demystifying the Screening Colonoscopy, a Community Event • 4S Orthopedics: Dress for Success • Emergency Department: Emergency Department’s Journey with Behavioral Health Patients and EDHU • Exemplary Professional Practice: Peer 2 Peer Evaluation to Raise Professionalism
• Nursing Administration: Fall HEAT Team • Psychiatry/Chemical Dependency: Fall Prevention on a Psychiatric Unit
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NURSING EXCELLENCE
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2015
• Education: Expansion of Cottage Health Simulation Program with the Gary M. Hock Family Patient Care Simulation Center
• Cottage One: From Best of Breed to Big Bang: Nurses Play a Key Role in the CottageOne HER Implementation
• New Knowledge, Innovations, & Improvements: So You Want to Publish Your Research? Get Started Stat!*
I Never Knew, “wow”: PICU: A Child’s Journey: Guiding a Family Through Grief in the PICU
• CRH: Nursing Professional Pathway representing Cottage Rehabilitation Hospital From Novice to Expert • Pediatric Outpatient: Outpatient Nursing: Keeping Patients Healthy • GVCH Emergency Department: Patient Satisfaction Project GVCH ED Waiting Room Slide Show • PEDS: Patient Education Day Successes
Most Informative: Mother Infant Care: Transcutaneous Bilirubin (TcB): In the Newborn Nursery
• 3 Ridley-Tree: Perception vs. Reality: Bariatric A3 Lean Project Study
• GVCH MS: Reduction of Respiratory Related Events in Post-Operative Ortho Patients through the Implementation of Multi-modal Analgesia • One Ridley-Tree: Role of the Stepdown Nurse • Endoscopy: Scope Cleaning Done Right • Structural Empowerment: The Sky’s the Limit*
Photo, left to right: David Thoman, MD (Metabolic and Bariatric Surgery Director), Julie Eggli, Ellen Fenger, Lynda Garrett, Jeannee Diaz, RD (Clinical Nutrition)
Most Creative: Endoscopy: Capsule Endoscopy
• Trauma Services: Substance Abuse in Trauma • Transformational Leadership Cottage Health: Leadership Growth Opportunities*
• GVCH Subacute: The Handoff of a Lifetime: Closing a Unit and Discharging 30 Residents
• Oncology T-Suite: T-Suite • SYVCH: Why NICHE?
SUCCESSFUL STRATEGIC PLANNING Julie Eggli (Bariatric Coordinator) and Lynda Garrett (Bariatric MBS Clinical Reviewer) supported the bariatric program accreditation process by planning and ensuring interdisciplinary staff education, preparing patient outcome data, maintaining policies and procedures and assuring patient safety within Cottage Health. The outcome of their collaboration was the designation as a “Bariatric Surgery Center of Excellence” by the American Society for Metabolic and Bariatric Surgery (ASMBS).
• Birth Center: Promoting Physiological Birth
• MIC: Transcutaneous Bilirubin (TcB): Implementation in the Newborn Nursery
• Psychiatry/Chemical Dependency: How to Care for the Psychiatric Patient on a Medical Unit
* Denotes Magnet Component Committee posters
• Trauma Services: Non-Accidental Trauma in Children
• Education: Securing the Future of Nursing for our Community
• Parish Nursing: Homeless Outreach
Purple: Exemplary Professional Practice Blue: New Knowledge, Innovations, and Improvements
Honorable Mention: MS/CC: Beyond the Final Breath: A Bathing and Honoring Practice Birth Center: Promoting Physiological Birth
EDUCATION DEPARTMENT—EMPOWERING NURSES THROUGH LEARNING At the Education Department annual retreat, educators planned classes and anticipate needs for the year ahead. Herb Geary discussed nursing updates. Claire McCarthy (Change Consultant) and Steve Caputo (Manager, Organizational Development) presented an overview of the change process in preparation for the launch of CottageOne. Department and unit clinical educators met at the La Casa de Maria Retreat and Conference Center. Photo, back row, left to right: Susan Garrett, Carol Henderson Nelson, Tracey Lord, Christy Block, Frances McKinney, Maggie Wordell, Gordon Arkell, Lindsay Picotte, Natalie Kunes, Jackie Baker, Tina Collins, Cherie Mignone, Vicki McPhail | Front row: Shelley Algeo, Jennifer Granger Brown, Susie Thielmann, Patti Wicklund, Jennifer Bower
2015
• Endoscopy: Capsule Endoscopy
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• Transformational Leadership: Just Culture*
Green: Structural Empowerment
“Identifies and communicates mission, vision and values, and asks for the involvement of the work group to achieve the vision.”
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• Trauma Nurse Practitioners: Alcohol Withdrawal in the Trauma Patient
• SICU: Journey to Zero Harm Events in the SICU
Red: Transformational Leadership
NURSING EXCELLENCE
• NICU: Alarm Management in the NICU
• Trauma Nurse Practitioners: Impact of Trauma Nurse Practitioners
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• GVCH ICU: Active Listening for Patient Engagement: Positive Patient Outcomes of GVCH ICU Effective Listening Program
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TRANSFORMATIONAL LEADERSHIP
AMY VANDENHEUVEL, MSN, RN, CRRN CLINICAL MANAGER ONCOLOGY AND ORTHOPEDICS
In celebration of Nurses Week a “Dress for Success Fashion Show” was held. The event featured professional looks from Medelita (scrubs), J.Jill (women’s fashion), and Men’s Wearhouse (men’s fashion). Benefit cosmetics provided free mini makeovers and gift bags. Andrew Gajardo (SICU) along with Mario Solis (RT) DJ’d the event with the clothing modeled by our talented nurse models, including Denise McDonald and Ian McLelland (pictured above). The event highlighted the professional nurse, aligning our outer image with our inner values of excellence, integrity, and compassion.
EMPOWERING RN AND MD COLLABORATIVE LUNCHEON The Santa Barbara County Chapter of the American Association of Critical Care Nurses hosted its annual AACN RN MD Luncheon at the Fess Parker Doubletree Resort. Fifty local critical care nurses and physicians discussed “Treatment of Atrial Fibrillation and Medical/ Surgical Paradigm Shifts” which included surgical treatment and options for ligation of the left atrial appendage for the prevention of stroke due to atrial fibrillation. Photo, front row, left to right: Rhonda Alvarado, Vicki McClain, Sharon Morley, Janet O’Conner | Back row: Gregory Cogert, MD, Donald Thomas, MD, Karen Carroll, Rose Bray
Volunteering their time, expertise and attendance, Vicki McPhail (through her work on the Host Committee) and Dodi Gauthier (on the Program Committee) helped make this Convention one of the “best ever.” About 3,000 participants, speakers and exhibitors attended the AWHONN Convention in Long Beach.
Mary Fulcher accepted the position of Clinical Manager of the Emergency Department at Goleta Valley Cottage Hospital (GVCH). Mary has been with the Cottage family for more than 25 years and recently served as the Interim Manager of the GVCH Emergency Department. Mary and the ED team seamlessly transitioned the ED to its new 20-bed operation and successfully navigated multiple regulatory surveys. Prior to her role at GVCH, Mary served as a Clinical Nurse Coordinator in the Emergency Department at Santa Barbara Cottage Hospital.
COTTAGE CHILDREN’S MEDICAL CENTER (CCMC) WELCOMES DINARTE VIVEIROS, MHA, BSN, RN, CPEN, CLINICAL MANAGER OF THE OUTPATIENT CLINICS Dinarte Viveiros joins us from The Hospital for Sick Children in Toronto, Canada, where he served as the Clinical Director overseeing the inpatient and emergency department operations. He joined Cottage Health in March as the Clinical Manager of the Outpatient Clinics for CCMC. His leadership skills have been a welcome addition to our Magnet efforts, as well as to CCMC and the strategic planning for the outpatient clinics.
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Photo, left to right: Vicki McPhail, Dodi Gauthier
MARY FULCHER, RN, CEN CLINICAL MANAGER, EMERGENCY DEPARTMENT
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NURSING EXCELLENCE
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2015
ASSOCIATION OF WOMEN’S HEALTH, OBSTETRIC AND NEONATAL NURSING (AWHONN) CONVENTION
For the past four years she has served on the Transformational Leadership Magnet Component Committee and also served as the Coordinating Council representative for CRH. Amy is currently pursuing her Master’s in Business Administration.
She comes to CH with a wealth of experience, knowledge and demonstrated success. She has served as Director of Healthcare Risk Management for over 600 CVS Minute Clinics across the country, where she established a Patient Safety Organization. She served as Director of Risk Management at UMASS Medical Center in Worcester, MA and was Corporate Director of Risk Management Regulatory Compliance for Covenant Health System in Knoxville, TN. In addition, Shirley served as an Assistant Professor in the Doctoral Program of Nursing Practice for Massachusetts General Hospital Institute of Health Professions.
2015
DRESS FOR SUCCESS: A NURSING WEEK CELEBRATION FASHION SHOW
Your uniform is your outer display of achievement and prestige. It makes the general statement to your patients that you personally care about your appearance, and will in turn, take good care of them.
Shirley Shea joined Cottage Health in October and oversees Risk Management, CMS and Joint Commission Readiness and Response, and Patient Relations.
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Scrubs
Amy VandenHeuvel was promoted to Clinical Manager for Oncology and Orthopedics at Santa Barbara Cottage Hospital. Amy started her Cottage career at Cottage Rehabilitation Hospital. Over six years Amy advanced from CN II to CRN to CNC while achieving her Masters of Science in Nursing and Certification in Rehabilitation Nursing. Amy brings a wealth of nursing experience and leadership to this position as well as a passion for excellence in patient care and professional practice.
RISK MANAGEMENT WELCOMES SHIRLEY SHEA, JD, MN, RN, CPHRM, DIRECTOR OF RISK MANAGEMENT AND REGULATORY AFFAIRS
NURSING EXCELLENCE
Welcome to the Dress for Success Nurses week 2015 fashion show. This event is to highlight the Professional Nurse, aligning our outer image with our inner values of excellence, integrity, and compassion.
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TRANSFORMATIONAL LEADERSHIP
GVCH SUBACUTE TRANSITION: EXCELLENCE, BY THE NUMBERS Goleta Valley Cottage Hospital Subacute staff relocated their residents to Saint John’s Pleasant Valley Hospital. The team’s incredible collaboration demonstrated excellence, integrity and compassion. Months of planning culminated in a successful transition for residents. Photo, front row, left to right: Charlotte Dullea, Maricruz Rubio (LVN), Kelle Eden, Rafael Perez (CNA), Marietta Syers (Activity Director), Janet Velasquez (LVN), Lorena Cruz (CNA), Jorge Rodriguez (LVN), Patricia Husbands | Back row: Lindsay Picotte, Jessica Perez (LVN), Roberto Lopez (CNA), Christa Brown, Juanita Carter (CNA), Cherie Mignone, Nancy Sanchez (CNA), Milla Richards, Shelly Hines (Activity Director), Gosia Laszuk, Aurora Banales (CNA), Kenia Jimenez-Lopez, Karina Vega (LVN), Catlan Mullaney (LVN), Faustino Pascual (CNA)
LEADERSHIP FOR COMMUNITY SAFETY
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NURSING EXCELLENCE
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2015
to Saint John’s Pleasant Valley (SJPV)
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to alternate facilities
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to home
76 STAFF TRANSITIONED:
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ambulance rides within California and one flight out of state
within Cottage Health
100s 1000s
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moved on
of personal boxes and medical equipment for residents moved to SJPV of dollars’ worth of medical equipment and furniture donated to nonprofit groups
VILLA RIVIERA WELCOMES MARCELLE COALE AS MANAGER Marcelle Coale accepted the position of manager at Villa Riviera, Cottage Health’s 20-bed assisted living facility overlooking Santa Barbara’s Riviera hills. She has worked at Santa Barbara Cottage Hospital since 2009 on 5 South and in the Transfusion Suite. She previously worked in community home health and long term care settings. Marcelle earned her Bachelor’s Degree in Psychology in Brazil. In the fall, she completed state-sanctioned training for Long Term Care Administration and successfully passed the California state examination to obtain her Long Term Care Administrator’s License, Residential Care Facility Elderly (RCFE).
NATIONALLY APPOINTED MASTER FACULTY FOR AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING (ASPMN)
VIRGINIA “GINNY” CLAY ADVANCED PRIMARY STROKE CENTER PROGRAM COORDINATOR
Susan E. White was selected as a Nationally Appointed Master Faculty member for the Pain Management Certification Review Course that is administered by ASPMN. Faculty members are selected from a large pool of renowned speakers and pain experts. With this appointment Susan can expand her influence and promote optimal nursing care for people affected by pain.
Ginny Clay began her Cottage career as a travel nurse in the Emergency Department. In November she accepted the position of Cottage Health Stroke Program Coordinator. She is responsible for developing a sustainable framework for the stroke certification processes, leading initiatives for enhanced quality programs and public reporting. Her responsibilities also include comprehensive education program development and delivery for patients, families, staff and the community.
2015
27 RESIDENTS RELOCATED:
Photo, left to right: Liz Lundquist, Tokie Shynk, Wende Cappetta, Linda Bacon, Mary Meola, Herb Geary, Denise McDonald, Darcy Keep, Carol Henderson Nelson, Laura Canfield, Dan Thomas
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BY THE NUMBERS…
Herb Geary and the Nursing Directors attended the Advisory Board’s Nurse Executive Center Conference, “Achieving Care Continuity on a Budget.” Based on the relevance of the information presented, Joan Meadows of the Advisory Board was invited to speak to more than 60 Cottage Health nursing leaders at SBCH about “Achieving Care Continuity: Best Practices for Building a System that Never Discharges the Patient.”
NURSING EXCELLENCE
Photo, left to right: Elly Walters-Bible (in yellow) and Bridgett Cooke (in orange) with Our Lady of Guadalupe Church volunteer team
THE ADVISORY BOARD NURSE EXECUTIVE CENTER CONFERENCE
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Elly Walters-Bible facilitated and coordinated the Santa Barbara County Emergency Medical Services (EMS) program for the Our Lady of Guadalupe Church Fiesta event. She trained volunteers in first aid and disaster safety and they provided services at the event for several hundred community members to assure a safe and organized celebration.
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TRANSFORMATIONAL LEADERSHIP
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NURSING EXCELLENCE
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2015
KATE MOESKER, BSN, NURSE NAVIGATOR
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RNs LEAD PCT MOCK CODES This two hour simulation-based class coordinated by Lindsay Picotte, assisted by Jennifer Granger Brown and Gordon Arkell, Sim Tech Specialist, has provided Med-Surg PCTs with the opportunity to practice and gain confidence in their role during a code blue or rapid response scenario. Participant comment: “Overall, it was a very good experience. It [makes] more sense to be included in mock codes with RNs and other staff members to really get a more comprehensive 'real-life' experience in a code situation.” Photo, from left to right: Naomi Wilson, Greg Lyon (PCT), Ermilio Evangelista, (PCT), Maria Velasco (PCT), Ricardo Rodriguez (PCT), Lindsay Picotte
Kate Moesker started her career at Cottage Health in 2010 in Neurology and transitioned to her new role in April. As a nurse navigator for Cottage’s brain and spinal tumor patients, she is a patients’ guide and advocate from diagnosis to survivorship. She collaborates with members of the patient’s health care team to develop individualized care plans and connect patients with appropriate education and supportive resources in the community.
Nurse Leaders mentored 26 BSN leadership students from California State University Channel Islands in a variety of projects and improvement initiatives. LEADER STUDENT PROJECT/OUTCOME Tracey Lord
Katie Corley
Created “TRUST” brochure as a teaching tool for educating patients on diabetes survival skills
Lorie Loomis
Casie Berlfein
Survey to assess nurses’ knowledge of central line care and maintenance
Judy Corliss
Lauren Beltran
Revised patient instructions to improve readability
Maggie Wordell
Hanna Tobin
Improved patient satisfaction related to education and the discharge experience
Jennifer Granger Brown
Katrina Carraso
Developed an evaluation tool for Simulation-Based Learning Center
Angeli Mancuso
Sara Arias
Enhanced our Needle Stick Prevention program
Mary Meola / Lisa Hutchens
Jairo Gonzalez / Corene Hutchison
Developed four simulation scripts for the interoperative Magnetic Resonance Imaging training
Darcy Keep
Bethany Mesker / Megan Swann
Evaluated difference between the Morse and Edmonson Fall Tool. Result: Edmonson was most predictive of falls
Jennifer Ferrick Erica Lopez
Established new alarm limits in the Neonatal Intensive Care Unit to reduce “Alarm Fatigue” and improve safety
Liz Taylor-Linzey
Allyson Toscher
Created a readmissions assessment tool
Caroline Rosen
Amanda Quick
Created a “Tell Me”– “Show Me” handout and Heart Failure brochure, to reduce readmissions
Diane Barkas Marc Gonzales
Assisted with implementation of sacral dressing to reduce incidence of Hospital Acquired Pressure Ulcers (HAPUs) in the Surgical Intensive Care Unit
Maggie Wordell
Meredith Allison
Developed a CRH Nursing Professional Pathway and Nursing orientation
Tim Kadrie / Liz Lundquist
Ann Mitchell
Audited nursing time to improve cost effectiveness in Outpatient Pediatric Clinics
Jennifer Granger Monique Nadeau Brown
Standardized qualitative competency tools developed for simulation lab educators / instructors
Donna Yacobian Anna Lerner
Created a template using National Database of Nursing Quality Indicators measures to standardize information for meaningful benchmarking
Shelley Algeo Joyce Rara
Focused on change strategies, developed master calendar with intention to identify high activity
Susan San Marco
Assisted with “Train the Trainer” program to improve identification and reduction of HAPUs
Kerry Burns
Jennifer Wobig Morgan Figley
Through education worked to increase compliance of Substance Abuse Evaluation Team (SUET) requirements for trauma patients
Jim Ouellette Mike Wathem
Developed an Interoperative Temperature Management Plan to prevent post-op complications due to hypothermia
Lorie Loomis James Griswold
Evaluated current post-discharge calls, survey developed to assess patient perception of quality
Gayle Mercado / Wende Cappetta
Jane Sterling
Implemented Meaningful Use by facilitating patient access to the hospital portal
Tracey Lord / Karen Harper
Tara Van Wingerden / Created a tool to determine the specific rationale for diabetic patient readmissions Anna Bury
2015
Data reflects employees who have u3lized the Co8age Healthcare Educa3on Loan. Rev. 1/8/16
She came to Santa Barbara Cottage Hospital in 2007 as the Clinical Manager for Cardiac Telemetry. As a leader at SBCH for the past eight years, Caroline has steered highly visible CH initiatives and teams, engaging in innovative work on medication harm reduction through the Cottage Health Harm Error Reduction Action Team (HEAT) and acting as co-presenter for “Getting Back to Teaching with Teach Back for Medication Education,” which earned her team a Cleveland Clinic 2014 Practice of the Year Award.
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CH Loan/Scholarships for Nursing Degrees
In September, Caroline Rosen joined Goleta Valley Cottage Hospital as the new Director of Nursing. Originally from Santa Barbara, Caroline attended Santa Barbara High School, moved on to SBCC, Cal State Northridge, Holy Family College in Philadelphia and Western Governors University, completing Bachelor’s degrees in Biology and Nursing and a Master’s degree in Nursing.
COTTAGE NURSES MENTOR CSUCI LEADERSHIP STUDENTS
NURSING EXCELLENCE
The Nurse Back to School Day was a well-attended event providing the opportunity for nurses, and those interested in the profession, to obtain information about going back to school. Local and online schools showcased their programs to interested candidates. Representatives from Cottage Health Human Resources provided information about our robust scholarship and tuition reimbursement programs.
WELCOME CAROLINE ROSEN, MSN, RN, BC-NE, DIRECTOR OF NURSING AT GOLETA VALLEY COTTAGE HOSPITAL
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LIFELONG LEARNING IN ACTION
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good land.
great move.
new hospital.
the new GOLETA VALLEY COTTAGE HOSPITAL
Growth and Renovation NEW GOLETA VALLEY COTTAGE HOSPITAL (GVCH) VENDOR TRAINING In preparation for the GVCH transition into the new hospital, over 140 staff participated in two vendor training days. The Education Department orchestrated the two-day event. Staff rotated through stations and were oriented to new equipment by multiple vendors and educators. Participants then shared the information with their peers in department-specific orientation. Photo: Lindsay Picotte (Instructor) and Vendor Day participants Vendor Day Schedule
SANTA YNEZ VALLEY COTTAGE HOSPITAL (SYVCH) REDEDICATION
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2015 Photo: Nicole Huff (Clinical Manager) in new SYVCH ED
Photo, left to right: C.J. Jackson (SYVCHF Vice President), Charles Chester (SYVCHF Past President and Co-Chair Building Campaign), Gerry Shepherd (SYVCHF President), Tresha Sell (SYVCHF Director and Co-Chair Building Campaign), Wende Cappetta (SYVCH Vice President), Ron Werft (CH President & CEO), Bob Nourse (CH Chair Board of Directors)
Over 180 staff participated in two DitL “Day One Rehearsals” with the help of volunteers who acted as patients and family members. These two days helped to prepare staff for what it would be like in their new surroundings along with identifying issues that could be worked on or resolved prior to the move. Months of planning went in to developing department specific scenarios that tested workflow, equipment and processes.
NURSING EXCELLENCE
DAY IN THE LIFE (DitL) TRAINING
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NURSING EXCELLENCE
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2015
The SYVCH $12 million, state-mandated seismic upgrade and expansion project was completed in April, with the final phase of SYVCH emergency department renovations and the remodel of the public entrance. Nursing participation and leadership empowerment were key in overcoming challenges that occurred during the final phase of the project, while patient satisfaction scores never dropped below the 90th percentile!
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TRANSFORMATIONAL LEADERSHIP
Pa#ent Move Sequence Process • Star
