NICU 8A & 8C STAFF MEETING TUESDAY, OCTOBER 14, 2014

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1 NICU 8A & 8C STAFF MEETING TUESDAY, OCTOBER 14, 2014

2 ACCOLADES Praise from Patients All the staff! Everybody here has been great! I love this hospital. This is the best hospital I have ever been to. All of the staff are friendly, informative, helpful, kind, encouraging, etc Mother of MaKenna Hazelip Bergholz

3 ACCOLADES Shining Star Card Karyn is one of our best patient & family advocates. She is the kind of bedside nurse who gives Children's Hospital of Pittsburgh such an amazing reputation for being a caring place. Recently she had to deal with a very difficult family who gave her a hard time. Most people would have refused to care for their baby again. Instead, Karyn went right back to caring for this tiny baby and worked even harder to help the young mother by going the extra mile in educating her about the baby's condition and teaching this Mom how to participate in care. The next day the Mom came to me to tell me how much more she "feels like a real Mom" because of the new skills that Karyn taught while including her in the baby's care. With another baby, who was very difficult for the nurses to care for, Karyn volunteered to do continuity-of-care for him. Prior to that time this baby's parents were somewhat difficult to deal with. I saw that their positive attitude change was a result of the good education and support they received from Karyn, and also the fact that she was very honest with them and strongly encouraged the Nurse Practitioners and doctors to be more forthcoming about the baby's prognosis. The NICU is most fortunate to have this fine and very professional as a member of our team, and our babies are very blessed to have such a loving and compassionate person to care for them so tenderly.

4 Educational Opportunities Developmental Care Conference October 22 nd Rangos March of Dimes Education Day October 29 th Two sessions; 8a-12noon and 1p- 5p No cost, 4.25 CEUs

5 WELCOME Welcome to our October Hires Maggie Andrews RN Brett Freund RN Kirsten Walther RN Amanda Briski UT Heather Homolek HUC Angela Bhattari PCT Melissa Strizinger PCT Kylie Sedlock PCT Michael Schmidt PCT Kristen Simon PCT

6 Staffing Updates We have hired 17 RNs since July 10 additional RNs have accepted job offers 8 are scheduled to start in Nov 2 are scheduled to start in Dec We are continuing to recruit for a 0.6 UT position as well as 3 RN positions Interviews will start soon for our vacant CL positions

7 8A MEDICATION CARTS -Organized by assignment -Syringe storage -PPID -Medication administration - 4 additional Med Carts have been ordered to accommodate changes in acuity/assignments ($32,000)

8 8A EQUIPMENT UPDATES - No Lock on Unicells - No syringes - Thermometer in each room - Wall brackets for respiratory blenders - 2 additional light blue cribettes have been ordered - Hand sanitizers will be relocated closer to the bed

9 BREAST MILK Due to everyone's s efforts more than 85% of our mothers are providing at least some breast milk for their infant! Central Sterile is going to lease 22 additional breast pumps so that there is a sufficient number available for our mothers We continue to work on identifying a funding source for additional breast milk warmers A donor breast milk bank is being developed in Pittsburgh, anticipated opening is early 2015.

10 8A PANTRY STORAGE -Syringes -Extra storage to free up counter space

11 PANTRY REVISIONS Work has been completed in the 8C/NICU Pantry 1 New Freezers and refrigerators should be installed soon in 8C/NICU Pantry 2 A counter will be added to make up for the counter space which was lost in this pantry

12 SUN ROOM MONITORS The monitors have been installed in the sun room An order must be written for the patient to go to the sun room Monitors appear on the central monitor as OBS1 and OBS2 Will NOT ring to the phones Will NOT pull data forward (into cerner)

13 Special order supplies Special order supplies are now available on 8A The smaller supplies (ND tubes, pill cutters, pill splitters) are located in the Work room. Larger supplies (Bili blanket covers, Bili masks and snuggle up s) are located in the Treatment room.

14 Staffing and Supplies Any Concerns?

15 WORK ENVIRONMENT Peg, Bev, Steph, and I are very proud to be a part of a STRONG multidisciplinary force all working together within two great units to achieve the one ultimate goal.provide the best care possible for our babies and families. The work and dedication you all display daily is truly a miracle within itself and never goes unnoticed regardless of how busy we are. The first step in continuing our excellence is recognizing our challenges. A gap within our working relationships between the RN s and the NNP s has been voiced by you, and must be addressed. In doing so we need to take a look at the hospital core values and our own values as a peer to our coworkers. -Dignity and Respect -Caring and Listening Peg, Steph, and I will be holding breakout sessions in small groups and at the huddles. This will provide everyone an opportunity to voice their thoughts in person and have a positive conversation. We will also be asking for RN and NNP volunteers to help design strategies that will improve the working relationships between these two groups.

16 FLU SHOTS We work with a high risk population so it is extremely important that we have high compliance with flu prevention vaccinations. Please see your CL or one of your Leadership team members today to receive your shot! -Questions ask the pro Marvis Rhea

17 CONDITION A OR C ON 8A -8A is still an acute care floor -Condition A or C must be called By dialing

18 PATIENT ID BANDS -All patients must be wearing an ID band -Not allowed to be taped to anything, hung on anything, or placed in the chart -This is a serious patient safety issue!

19 BED RE-AGGREGATION Due to changes in patient populations, administration has been looking at where patients are placed Acute care cardiac patients will be placed on 7A 7C will be an acute care medical unit Short stay/observation patients will be placed on the new Observation unit (by the ED).

20 MODEL OF CARE / CARE COORDINATION Care Coordination huddles twice a day RNs Identify care delays and barriers to discharge Reduce avoidable days Participation on daily rounds Promote parent engagement in rounds Help minimize distractions / interruptions Delegate tasks/calls when appropriate

21 Committee Updates Practice Council Scheduling Nurse Advisory Pain Council Education

22 CCRN We will be moving to CCRN certification being a requirement for NICU RNs. We will have pre-paid vouchers available

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