Steve’s Weekly Wrap-Up

“People don’t always remember what you say or even what you do, but they always remember how you made them feel.” – Maya Angelou

As you may have heard we have pushed back the date for the Frist Awards to March 4th. That provides a small window to nominate a co-worker for this prestigious award. This is the highest honor awarded by our hospital and company to those individuals who exemplify our mission, vision and values both inside and outside of the hospital. I hope you will take advantage of this final opportunity to recognize someone.

This week I took the opportunity to shadow JB, Blair, Matt and Candice doing bedside reporting. Their knowledge of their patients, the information hand-off and involvement of the patients and families was spectacular. However what I was most impressed with was how they managed up the incoming care giver. I watched as they reinforced with the patient the skills and caring of the nurse taking over their care and I could see how that put the patient at ease with the transition. They really modeled how this important nursing function should happen every time.

Our new EAG/EAC hospital specific group is looking for members. Lisa brown and Liana Rogers are looking for people who want to participate in this important committee. One of the tasks will be to help identify our Frist award winners. Please contact Liana at Liana.Rogers@hcahealthcare or lisa.brown4@hcahealthcare.com if you are interested.

On March the 5th we are having another visit from our Group President Chuck Hall and CFO Mike Marks. I am not sure of the agenda as of now but we will keep you updated as it gets closer.

Our Joint Commission Sepsis Survey has been rescheduled for March 24th. I am looking forward to showing them the great work you all have done around identifying sepsis and reducing the mortality around this condition in our hospital.

As part of our Emergency Preparedness here at CNH we are looking for any local HAM radio operators. If you are a licensed HAM operator and are will to help in the event of an emergency/disaster please contact Liana Rogers at 478-538-0407 or liana.rogers@HCAHEALTHCARE.COM

As part of our drive to improve patient experience we are focused in the ED on the time from the patients arrival to when our physician or other qualified medical provider (PA) greets the patient. Our goal is 10 minutes or less for 2015. So far through yesterday we have an average of 8 minutes!!! Congrats to the ED team. Another goal is our length of stay for admitted patients to be under 210 minutes. We are still struggling with LOS but have some strategies that involve our admitting physicians, unit nurses and ED staff. Michael Dykes will be assembling a group that represents all of these areas to brainstorm some solutions. The experience in the ED sets the stage for the rest of the patients stay.

Patient safety must be the first and last thought in everything we do for our patients. Last week I wrote about the purpose of hourly rounding. This week I want to focus on the accuracy and timeliness of assessments, reassessments, MEWS scores and neuro checks. As you know these are ways we track patient’s conditions or detect a change in their overall health. By taking these as directed by the physician or hospital policy we are able to treat our patients more timely and effectively and intervene earlier when these indicators change. It is critical to the well-being of our patients that these are done correctly every time. I know these were part of the skills fair this week and I hope to see some dramatic improvement in our compliance. Here is our compliance for last week: Vital signs – 65%, MEWS – 40%, neuro Checks – 20%, Pain assessment/reassessment – 75%. I think we can all agree these can and should be greater than 99%. Please focus on these areas and speak to Christie, Brandi, Sarah or Michael if you are unclear on the standards or process to complete these timely and accurately. Kudos to Jennifer Reynolds and Kerri Maddox for their outstanding performance on these measures of care.

 

Recognition:

My mother had the misfortune of fracturing her hip and as a result spent Christmas at Northside.  We spent the majority of the day with her.  When we left she was throwing herself a huge pity party when there was a knock at the door.  A gentleman (Wayne Thompson) and three teenage boys came in and sang Christmas carols.  She was so touched and has shared this story with many.  I just wanted you to know how much that meant to her.  I am not sure who arranged this but if you could please let them know how much she enjoyed this, that would be wonderful!  Thanks!   –    L.M.

The staff of the hospital who took such great care of me back in December – a huge thank you!    –   C. F.

I was admitted to the hospital to have a total hip replacement on my right hip and I have to say it wasn’t something entered into lightly but was the only option left open to me to be well again.  However, I was scheduled early morning 6 am and greeted with a smile at the front desk from the check-in clerk and then taken through the pre-op area where I had the loveliest people taking care of me.  The area was warm and clean and everything was calm which I really needed it to be and I was seen quite quickly by the anesthesiologist and set up with my IV and all the necessary things before meeting up with my surgeon Dr. Barnes.  I think I was wheeled away for surgery at about 9 am, one of the first on the list, and just as well as I was ready almost to get off the gurney! Within a short space of time I was awake and on the third floor of the building with everything I could wish for to enable me to recover as quickly as possible with a parade of nurses checking in to monitor my progress during the following hours before my release.  My husband was with me during this time and was made to feel welcome even though I am sure another body in a recovery ward is not always the best situation for nurses to work around.  I recall having a decent after op tray of food consisting of those items which are easy to swallow and digest which was very welcome and plenty of juice, followed by the next morning’s breakfast which was presented very nicely on a tray and it was hot and just sufficient food to stimulate my appetite again.  Whoever was in charge of the food service that day did a great job.  Anyway, having not spent 48 hours in the hospital, I left on the Saturday afternoon having completed all the routine tests including seeing Dr. Barnes and the physiotherapist and was actually able to walk with the help of my walker around the ward.  I am now almost 2 months into my recovery and love my new hip!  I’m free from the pain of the arthritis at last, my only challenge was and is the physiotherapy which I know really enjoy as I gain back more and more of my freedom to do the things I want to do in life.  The gym is now my friend!

I would like you please to give a huge thank you to all those lovely people who took such great care of me in the hospital.  From the check –in desk all the way through to checking out again 36 hours later.  Many, many thanks.   –     C.F.

Never underestimate the impact you have on our patients and families. Thanks for being part of the Northside team.

 

Steve