V. 24 • No. 20 • May 11, 2015 Queen’s Celebrates Nursing Excellence THE 21ST ANNUAL Nursing Excellence Awards were held at The Queen’s Medical Center in Honolulu last Friday as the culmination of Nurses Week 2015. The awardees are as follows: LEADERSHIP Eileen Wong, CCRN, BSN QET 4C SICU Eileen was the initiator and champion of the international DAISY Award which recognizes nurses for outstanding patient care, and is currently spreading the recognition to QMC-West O‘ahu. She also gathered support for her unit to apply for the Beacon Award and recently received the Circle of Excellence Award from the American Association of Critical-Care Nurses (see stories on both awards on page 2). Eileen is co-chair of the SICU/QET 4C Unit Council and has fostered a fun, inclusive environment to keep staff nurses engaged. She practices shared governance by ensuring staff is informed, gets background, is involved in assessments, and are able to make recommendations. She is an active member of the RN Retention Committee. As relief charge nurse, Eileen is five steps ahead of staff and stays on top of rounding. She is also a valued opinion leader in SICU. EDUCATION Judie Ilano, CCRN, BSN QET 4C SICU Judie teaches SICU crisis skills to senior nurses at the University of Hawai‘i at Manoa. ¯ She is an active member of the American Association of Critical-Care Nursing (AACN)–Hawai‘i Chapter, participating in educational events and formerly serving as treasurer. Eileen Wong Judie Ilano Jodi Ka‘alekahi Jessica Gill Kathie Stiner Jill Slade Judie is actively involved in shared governance as Unit Council co-chair and is a driving force for the unit’s annual competence fair. She is an effective educator for patients and families, and is sought after for her skill at communicating in Tagalog. RESEARCH or EVIDENCE BASED PRACTICE Jodi Ka‘alekahi, CCRN, AND Endoscopy, Kamehameha 4 Jodi has reached out and worked with R-Matrix and Imi Hale because she is committed to expanding her research knowledge, specifically with the Native Hawaiian population. As a Nurse Research Fellow, Jodi is the principal investigator (PI) on a colonoscopy program study. She continuously seeks higher education opportunities and has almost completed her MS degree. Jodi’s goal is to combine research and nursing in her practice and to actively educate her nurse peers on evidence-based practices. PERFORMANCE IMPROVEMENT Jessica Gill, MSN QET 4C Jessica created and implemented a transfer checklist project which improved communication between providers. The collected data from the project is already (Continued on Page 2) Nursing Excellence (Continued from page 1.) showing positive results. Jessica’s transfer checklist project has improved patient outcomes and motivated others to do their own performance improvement projects. Jessica doesn’t hesitate to get involved in performance measures for VAP prevention, CAUTI prevention, and CLABSI prevention, all nursing-sensitive indicators. Clinical Practice Kathryn Stiner, PCCN, BSN Charge Nurse, QET 6/3 Kathie is an all around experienced nurse who is recognized by peers as expert in her specialty. She is a strong proponent of documentation and conducts regular audits to assure that charts reflect her organizational standards. Kathie mentors new graduate nurses in the principles of basic nursing care, such as ambulation, careful I/Os, and weight Queen’s a Beacon of Excellence THE QUEEN EMMA TOWER 4C-Surgical Intensive Care Unit (QET 4C-SICU) at The Queen’s Medical Center in Honolulu has received the Silver-level Beacon Award for Excellence from the American Association of Critical-care Nursing (AACN). QMC’s Silver-level recognition signifies continuous learning and effective systems to achieve optimal patient care. The QET 4C SICU earned the award by meeting rigorous criteria in the AACN’s six Healthy Work Environment Standards of Leadership Structures and Systems; Appropriate Staffing and Staff Engagement; Effective Communication, Knowledge Management, Learning, and De- for cardiac patients, gaining the respect of peers and doctors alike. She is a falls prevention champion on QET 6/3. Her leadership has resulted in a decreased fall rate. Eileen Wong Given Circle of Excellence Award Queen Emma Nursing Leadership Award * NURSING EXCELLENCE Leadership award Jill Slade, CCRN, BSN winner Eileen Wong, CCRN, BSN, QET4C Nurse Manager, QET 4 SICU SICU, has also been recognized nation- *Nominations are from physicians. Jill’s mentoring goes beyond the doors of QMC and into the community, even to the Hilo Medical Center’s ICU, where she helped staff with patient satisfaction and bedside care issues. Jill was the AACN Ambassador and coaches staff on seeking specialty licenses, such as the CCRN. She actively mentors multiple nurse managers on various units at Queen’s. Jill implemented a device integration project in the SICU and has built positive working relationships with Mihae Yu, MD, Mona Ghows, MD, and the staff of the SICU. She is active in multiple house-wide initiatives, including leading: a lab specimen labeling effort with DLS to reduce errors; education on proper blood bank labeling; and an effort to identify gaps in immunizations. She also led efforts to track patients to increase safety, and was a major stakeholder on restraint reduction. velopment; Evidence-Based Practice and Processes; and Outcome Measurement. The unit is the first in Hawai‘i to achieve the three-year national distinction. Recipients who earn the Bronze-level award show success in developing, deploying, and integrating unit-based performance criteria for optimal outcomes, while Gold-level awardees have demonstrated excellent sustained unit performance and patient outcomes. “Next time, we will achieve gold,” predicts Eileen Wong, who spearheaded the application process. While Eileen credits the entire unit ally by the American Association of Critical-Care Nurses (AACN) with a Circle of Excellence Award. Eileen is one of 25 nurses from across the country who have been selected based on their excellent outcomes in the care of acute and critical patients and their families. A QMC nurse for the past 22 years, Eileen helped to initiate the Buddy System for safe patient care, wherein every patient is monitored 24/7 by a primary nurse or designated nurse buddy. The newly achieved Beacon Award is another of Eileen’s pet projects which all contribute towards putting patients first at Queen’s. In addition to her work on the international DAISY award, Eileen has championed the nomination of other Circle of Excellence award recipients. She is the fourth QMC nurse to receive this coveted distinction and will be formally recognized at the AACN National Teaching Institute & Critical Care Exposition in San Diego, California, later this month. Criteria used to evaluate Circle of Excellence Award candidates include relentless promotion of patient-driven excellence; communication skills; true collaboration; effective decision making; meaningful recognition of others; ability to transform thinking, structures, and processes; and ability to address challenges and remove barriers to excellent patient care and achieve visible results through leadership. Awardees receive a plaque and a $1,000 honorarium, and become members of the Circle of Excellence Society. for achieving the award, special recognition goes to application contributors Oscar Bautista, Joanne Weldon, Julie Sy, Judy Illano, Reanne Takara, Asa Miyahira, Suerte Dureg, Peter Massey, and Rose Hata. “The Beacon Award for Excellence is a significant milestone on the path to exceptional patient care and healthy work environments. Units that receive this national recognition serve as role models to others on their journey to excellent patient and family care,” said AACN President Teri Lynn Kiss, RN, MSSW, CNML. APRNs Elevate the Practice of Nursing “ADVANCED PRACTICE Registered Nurses (APRNs) add significant value and contributions to patient care which optimizes the entire spectrum of hospital care,” says Martin Camacho, APRN-Rx, ACNP-BC, ENP-BC. Advanced Practice Registered Nurse (APRN) is a broad, general classification with a myriad of specialty certifications. Although it may seem confusing, what’s truly important is that the credentials mean these nurses have taken the time and effort to improve their knowledge base for the ultimate goal of better serving the patient. APRNs have passed national certification exams and completed either master’s or PhD educational requirements. The APRN Committee at Queen’s wants to help patients, families, and hospital staff better understand what all of those credentials mean. “APRNs are integral to so many different facets of patient care—especially research, education, and evidence-based practice—that positively affect patient outcomes,” explained Marti, who is chair of the committee. There are currently four APRN designations. A Nurse Practitioner (NP) cares for a variety of patients based on their specialization. These include pediatrics, 2015 Cherylee Chang, MD, and Sanders Sandoval, APRN consult on a patient with a traumatic brain injury using an image from a portable head CT scanner (right). geriatrics, mental health, woman’s health and oncology. They can take health histories and do complete physical exams; diagnose and treat acute and chronic illnesses; provide immunizations; prescribe and manage medications and other therapies; order and interpret lab tests and x-rays; and provide health education and supportive counseling. A Clinical Nurse Specialist (CNS) provides advanced nursing care in hospitals or clinics. They incorporate clinical expertise and evidence-based practice to augment nursing care and influence health care systems. Their expertise aids in diagnosing, treatment, prevention, and remediation strategies which affect the utilization of key interventions and help streamline medical care. They are also key in developing quality improvement programs and serve as mentors, educators, researchers, and consultants. A Certified Registered Nurse Anesthetist (CRNA) administers anesthesia and related care before and after surgical, therapeutic, diagnostic, and obstetrical procedures. They also administer and monitor pain management treatment plans. A Certified Nurse Midwife (CNM) provides primary care to women of all ages, including gynecological exams, family planning, prenatal care, management of low risk labor and delivery, and neonatal care. “Specializations quickly branch out, allowing a nurse to be active in different settings and to best utilize newly emerged clinical care,” Marti adds. “Their research provides continued support to physicians and the nursing team.” Queen’s administration fully supports advanced practice nursing and this summer will begin a new APRN Practice Transition Program. The year-long program will support APRN new hires with less than three years of experience or those with a lapse in practice with clinical support, development, and continued education. Qualified new hires will automatically be enrolled in the program. For more information about APRNs, contact Marti by email at [email protected]. For information about the new transition support program, contact Mimi Harris at [email protected]. A RETIREMENT TEA for Sally Jones, RN, Trauma Program Manager, will be held on Tuesday, May 19, from 2:00 – 3:30 pm in the Harkness Dining Room. All are invited to say aloha and celebrate her 35 years of service at The Queen’s Medical Center. . . . . . . . . . . . . . . . . . . . . THERE’S A LET’S GO PINK special offer though the month of May to welcome new massage therapist Sterling Coria to the Queen’s Women’s Health Center in Honolulu. Special prices are: 50 minute massage, $45; 25 minute massage, $22.50; 15 minute mini massage, $8.75. Call 691-7734 to schedule. . . . . . . . . . . . . . . . . . . . . JOURNEY TOGETHER: Cancer Survivorship Conference 2015, “Finding Your Own Path,” will be held on Thursday, June 11, from 9:00 am – 4:00 pm at the Pomaikai Ballrooms at Dole Cannery in Iwilei. Registration, resource fair, and continental breakfast begin at 8:00 am. Register online at: https:// www.uhbooks.hawaii.edu/conference/ hcccc2015.asp. . . . . . . . . . . . . . . . . . . . NORTH HAWAI‘I COMMUNITY HOSPITAL (NHCH) successfully reached their goal in their Clean Hands Are Safe Hands campaign. Staff and volunteers were rewarded with a special lunch for exceeding the 1,000-coin marker for displaying proper hand hygiene over the past two months. QMC Gets An A For Patient Safety THE QUEEN’S MEDICAL CENTER has been recognized for its dedication to patient safety with an A grade in the Spring 2015 Hospital Safety Score, which rates how well hospitals protect patients from preventable medical errors, injuries, and infections within the hospital. The A grade is considered a valuable indicator for patients looking for a safe place for care. The Hospital Safety Score is compiled under the guidance of some of the nation’s leading patient safety experts and administered by The Leapfrog Group, a national, nonprofit hospital safety watchdog. The first and only hospital safety rating to be peer-reviewed in the Journal of Patient Safety, the Score is free to the public and designed to give consumers information they can use to protect themselves and their families when facing a hospital stay. “The Queen’s Medical Center is proud to receive the distinction of an A grade hospital,” said QHS/QMC President Art Ushijima. “We make it a priority to put our patients first, and this grade is a tribute to our dedicated Queen’s team who always works to provide the highest quality health care to the people of Hawai‘i.” “The Queen’s Medical Center’s A grade validates its achievement in preventing harm within the hospital, and we are proud to recognize the efforts of the care providers and staff,” said Leah Binder, President and CEO of The Leapfrog Group, which administers the Hospital Safety Score. “Patient safety requires constant vigilance, and we encourage Queen’s and all other A hospitals to continue demonstrating unrelenting commitment to patients by consistently providing a safe environment for care.” Developed under the guidance of Leapfrog’s Blue Ribbon Expert Panel, the Hospital Safety Score uses 28 measures of publicly available hospital safety data to produce a single A, B, C, D, or F score, representing a hospital’s overall capacity to keep patients safe from preventable harm. More than 2,500 U.S. general hospitals were assigned scores in April 2015, with about 31 percent receiving an A grade. The Hospital Safety Score is fully transparent, offering a full analysis of the data and methodology used in determining grades on the Hospital Safety Score website. Now, for the first time, patients can also review their hospital’s past safety performance alongside its current grade on the website, allowing them to determine which local hospitals have the best track record in patient safety and which have demonstrated consistent improvement. To see Queen’s full score and to access consumer-friendly tips for patients and loved ones visiting the hospital, visit www.hospitalsafetyscore.org or follow Has This Ever Happened To You? “I have a situation that I’m not sure how to handle, and my manager is not available. I think there is a policy and procedure that would guide me, but I don’t know how to find it, so I’ll just guess what to do.” There’s a link to Policies & Procedures under the Publications section of the Queen’s Intranet. Don’t guess – look it up. Policies and procedures (P&Ps) are developed to ensure that our activities are performed in compliance with the law and other rules and regulations. They also are designed to lead to quality outcomes—either clinically, operationally, or both. The Hospital Safety Score on Twitter or Facebook. Consumers can also download the free Hospital Safety Score mobile app for Apple and Android devices. The Queen’s Print Connection is published by Creative Services. If you have news or wish to opine, call 691-7532 or email [email protected]. The news deadline is Monday prior to publication. QHS/QMC Pres. . . . . . . .Art Ushijima Publisher . . . . . . . . . . . . . .Keala Peters Editor/Writer . . . . . . . . . .Jason Kimura Assist. Ed./Writer . . . . . Glee Stormont NHCH Contributor . . .Krista Anderson The Queen’s Health Systems consists of The Queen’s Medical Center, The Queen’s Medical Center – West O’ahu, The Queen’s Health Care Centers, Queen Emma Land Company, Queen’s Development Corporation, Queen’s Insurance Exchange, Inc., Moloka‘i General Hospital and North Hawai‘i Community Hospital, and has ownership interests in CareResource Hawai‘i, Hamamatsu/Queen’s PET Imaging Center, and Diagnostic Laboratory Services, Inc. queens.org The Queen’s Health Systems is a 501 (c) (3) nonprofit corporation
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