Maternal Child Staff Meeting June 14, 2011
Pediatrics
Presiding: Linda Warren BSN, RN (Interim Manager)
Present: Denise McElwain Sec/Tech, Marcy Chambers RN, Bernadette Golt RN, Jennie Chambers RN, Karyn Messick RN, Jan Smith RN Recording: Jan Smith RN
TOPIC DISCUSSION CONCLUSION
ACTION/
FOLLOW-UP Approval of minutes Approval
Health Stream Kudos to all Peds staff for keeping up with and completing all the items on there list.
New items added to Health Stream regularly. Please check frequently.
FYI
T&A’s Order sets need updating - Did a group of you work on this? Contacting MD’s to see what they would like on the order sets Getting pharmacy involve etc.
Jan will help but need help from the staff. Is this started or done and who was helping.
Many are going to be done as out pt. Will hold until we find out if needed.
FYI
Stocking Not always stocked well.
New stocker Deveron often misses items needed and stocks items not needed. Denise to show him how to look at the pars on the unit. Did Denise show him and is it better.
Doing better with notes and follow-up.
FYI
Productivity Remains at 100% FYI
Schooling or Certifications
Anyone else going Jennie working on Masters and
Karyn working on pre Bachelors
FYI
Time clock Please do not punch in before 0650 and must punch out by 1930 if not busy Kudos to the entire staff you guys are doing great.
Keep up the good work. FYI
Hospital Survey Action Plan
1. I feel free to tell my supervisor what I think. Glad to be able to voice there opinions.
2. Improve information dissemination via hospital email, posting, and verbally to all staff on all shifts.
.Call or come to office when you need to.
They Like Linda’s Letters
FYI
Committee chairs to post minutes explaining what they are working on.
OB/Peds Committee MM need to be posted on both units – sometimes Peds unit feels like they don’t always get all the information provided to staff. Is this any better
Yes it is better but need Global information coming out sooner. Would like OB MM and Peds MM.
FYI Linda Safety Cuddles Security System on both the Birthing Center and
Pediatrics – Guy will be around looking at the ceilings to see how they will be able to run the wires. Installing around middle of July now.
Education will begin a little before installation. Need Volunteers to train so they can train others.
Rep to come on June 22nd to look at wiring and exits.
Denise and Karyn volunteer to be trainers.
FYI
ER Report sheet Jenni and Bernadette working on for Frontline leadership projects. Where are you with this?
It is in the works with IT. IT working with Chester River – probably done in Oct. Staff can print out and start working with.
FYI
Flexible Scheduling Staff interested. Diane finding out what other hospitals are doing with Pediatric units. Did Diane get back to you guys about this.
No one has heard from Diane. Jan to call Diane and see what is happening in other hospitals.
Jan
Self Scheduling Staff looking into self scheduling modules. Connie spoke with ICU which is a small unit and they do self scheduling and they have no written guidelines. Jenni has spoken to the ER staff and they love self scheduling. So where do you guys want to go with this?
Starting with this schedule to come out soon to staff. Then will need time to adjust.
Jan
Alcohol to Cords Working well per MDs. No infection noted. FYI
Nurse Credentialing Must be done by June 15th. Remember to submit it. If having problems let Linda or Dian Walbridge know.
FYI Birth Certificates Be aware that they need to be completed within 24hrs. Vilma
will chase you down to get them. Apparently we got a below normal score for our report card.
FYI
Badges It has been noted that there are people who can swipe their badges and walk onto OB that are not suppose to be coded. Please let me know if you notice anyone that shouldn’t be coded.
FYI
Pharmaceutical Waste The changes will happen around June 28th, Representatives will be around to do a brief education session as a follow-up to the online ed.
Complete online education so you won’t be left in the dark.
FYI
Nursery information sheets
New information sheets have been created to help the Nsy nurses know about all the babies on the unit. We hope that
this will help with communication between nurses and the Peds MDs. This way they do not have to chase down each nurse taking care of there pts.
Fish tank Again thanks for taking that on.
Team Stepps Introduction classes are posted please come. Highly encouraged. Staff Concerns
IV Stat lock Inservice – July 25-29 0730 & 1830.
Evidence based practice – IV site checks Q 1 hr birth to 1 yr. age 1-14yr Q 2hrs.
Representatives will be here Jenni & Vonnie NDNQI –Pain air assessments – Pain reassessments aren’t
being done in a timely fashion. If put pt declined then don’t need to reassess or put pain tolerable. Anything else needs to be reassessed.
Karyn putting together a helpful hint book and samples of correct/incorrect
reassessments.
Karyn & all
Sickle Cell & PCA order sets – Approved by Pediatricians Given to P&P com. And then to pharmacy.
Jenni Reactive Airway Order Set – Karyn will take to Peds. Meds
tracker need to add asthma to with possible discharge orders.
Linda – Rob Carroll Bladder Scanner – Dr Ceppedes has us to do frequent scans
on her pts. We have to borrow all the time when it may be inconvenient for the other floor.
Can we get our own? Linda
Maternity leave for Ashlea – may need another sec tech on the unit.
Will look at in the near future. Linda Pediatric pt census – Can we find out – the Peds pts
average length of stay in the ED
Linda to check with Grace Gonzalez in the ER
Linda Pull schedule list – need to keep one in the book.
Discussed being pulled to the BC sometimes when not needed. Discussed being pulled to ER for 1: And pt never coming in.
All
Next staff meeting July 12th 6pm
Maternal Child Staff Meeting June 14, 2011
Birthing Center
Presiding: Linda Warren BSN, RN (Interim Manager)
Present: Lynn Crouch RN, Sandy Simmons RN, Priscilla England RN, Amy Forrest RN, Aymee Gonzalez RN, Debbie Correa US, Sonia Dutt RN, Julie Callahan RN, Karen VanTrieste RN,
Recording: Lynn Crouch RN
TOPIC DISCUSSION CONCLUSION
ACTION/
FOLLOW-UP Approval of minutes Approval
Schooling or Certifications
Anyone else going Amy Forrest near future
AWHONN EFM
FYI Nurse Credentialing Must be done by June 15th. Remember to submit it. FYI Positions 0.9 position staff nurse – we are currently interviewing.
Nurse Manager position –start interviewing on Friday
Karen VanTrieste position of clinical nurse educator a PT (.5) Will not be filled until after new manager has been filled. Nursery Project The Nsy nurse and other staff are coming in at 0630 to assist
the MDs in the Am for rounds. We are doing a 2 month pilot. We are documenting the times MDs arrive to the unit and if any complaints are lodged. A survey was given to the
Pediatricians about what their concerns are. The results are in and the two major concerns are this:
1. Not all the information they need is in the medical record.
2. Staff are not familiar with my patients was a concern with half of the Pediatricians.
We are working are these areas of concern.
Nsy information sheets have been created to help the staff who are assigned to the Nsy know more about all the babies so they may answer questions the MDs may ask. The night shift prepares the information sheets for the on coming Nsy nurse and then they are to stay to help til 0730.
There is a book in the Nsy of Vonnies to Document MD time of arrival. DR need /problems.
FYI
Time code Delays The OR has started doing time code delays which is noted on Started the 8th of June
the current OR sheet. It is to be a discussion between the circulator, MD and Anesthesiologist as to what the code should be if a schedule CS was delayed. If a pt is scheduled for 0745 then the pt should be in the room by that time. That means the anesthesiologist and MD has seen the pt and are ready for the pt.
Badges It has been noted that there are people who can swipe their badges and walk onto OB that are not suppose to be coded. Please let me know if you notice anyone that shouldn’t be coded.
Doctors, volunteers, Med. Rec people etc. Let Linda know if you guys notice anyone that shouldn’t have access.
FYI
Shift huddles These are not being done – so we need to start. Oncoming shifts are to wait to see pts until the huddle is over.
Staff like the name cuddles instead of huddles. They need to be done.
FYI
Call Hours Call hours are done to meet the ratios needs of the unit. Is done per need at the time for the schedule – it will fluctuate according to FTE needed. There are several FTE that are out of staffing right now. I am looking for per diems and fill vacancies as fast as poss. Carol keeps track of call given to whom on each schedule and adjusts as needed.
FYI
Transport of Newborns
The Director of performance measurement and improvement is using our logs for statistical purposes so these must be done on any transport. Please.
FYI
Birth Certificates Be aware that they need to be completed within 24hrs. Vilma will chase you down to get them. Apparently we got a below normal score for our report card.
This is a state requirement. I have called the Vital Records 2 times and no one has called me back yet. If the pt can’t give us a name yet then it goes down as Baby girl or Boy. Please explain the importance of getting them done for the state. It will cost them money to have it changed.
FYI
Health Stream / Annual Education
There are items added all the time so please check often. EFM is online now and mandatory for all L&D staff. There are 7 modules and please take your time and do the modules with case studies it is very educational. Don’t rush through them.
FYI
You can save and quit and then come back to where you were.
OBTV in the OR Wiring is being done to change where the computer is in the OR. When complete it will be at the back of the room out of the way of the door and anesthesiologist.
We will soon have OBTV at the back of the OR, giving more space where the door is.
FYI
Urine controls The controls will be changing soon to a new type so they may look different. The documentation sheets will be changing also. Be aware
FYI
ACOG task force has 6 sub committees-Update
Is mostly complete. Some items are still being worked on such as the Nursery project, statistical items and registration. Some problems with the registration printer. Quick
registration, transport by the ER techs, completed registration on the floor later.
We will need to monitor how this is working, let Linda know when problems arise so she can get them taken care of. Remember new changes to how processes are done will have some issues to iron out be patient and be nice.
FYI
R &R Mary Delashmutt bringing Bahaman RNs were here.
Everything went well. They thank us for being so educational and informative. Thanks to all the staff.
Hospital Survey Action Plan
1. Workloads in Department distributed fairly. Guidelines were put out to help better plan.
2. Important information communicated effectively.
- Improve information dissemination via hospital email, postings, verbally to all staff on all shifts.
-Committee chairs to post all MM-putting out MM to all - Off going shift huddles - Not being done
Is this any better – do you feel like you are getting the information in a timely manner.
Linda sent to everyone email. FYI
The “Doors” Concerns: Pt can’t get snacks from waiting area Triage pt can’t do the circle walk.
Have to be answering the door bell all night for visitors just going to get a snack.
FYI
Posting schedule C/S orders
The posting office is faxing over orders for scheduled C/S. Make them a part of the admission orders – add them to order section in the chart.
Posting orders may need to be rewritten and faxed to
pharmacy and it is not being done.
FYI
Charge nurse Classes will be coming up in the fall – if you are interested 3 staff is interested. FYI
contact Carol. I will post the date soon. Staff Concerns
IV Stat lock Inservice – July 25-29 0730 & 1830.
Evidence based practice – IV site checks Q 1 hr birth to 1 yr. age 1-14yr Q 2hrs.
Representatives will be here Jenni & Vonnie Being pulled – We have to look at staffing ratios and
remember Peds staff doesn’t take care of M/Bs up here that often. As an example BC nurses going to Peds and taking 4-5 Peds pts when we are not that comfortable. Remember pull only if needed and if you are not if you should pull from Peds call me and I may be able to help with the decision process.
Tech being pulled for 1:1 from the BC – Linda should be called first.
FYI
Personal Fans – Call plant ops for Fans if your pt requests one. These must go home with the pt.
FYI Summer interns – have been assigned to nurses, must do
200 hours. One from Chesapeake and one from Salisbury
Please be supportive and helpful.
FYI Educational packets – Education comm... has worked hard
to get these ready for summer education. They will be on a clipboard in the conference room. You will get your own sign off list in your mailbox. Please remember to check your mailbox whenever here.
Thanks to Lynn and the Ed comm...
FYI
Pt bands and scanning – There is some difficulty scanning bands that have wrinkled bands that were not put on properly. Please be aware when placing bands on pt.
FYI
Dishes – some dishes have gone missing. Staff need to clean up own dishes that are used. Whoever is tossing the dishes please stop.
Would like to see those who use and dirty dishes clean up after themselves. We may start checking everyday before change of shift.
FYI
Glucometer – when needed stat hard to get to work right. Suggested to put in 12 “0s” or 0s and the room number or band number.
Lisa Lyons aware but still has to have 12 characters.
FYI
Next staff meeting July 12th 2pm conference room.
