CCU HeartbeatThe Official Newsletter Publication of the Cardiac Intensive Care Unit

CCU DashboardPrimary Nurse Identified

March MB - 61% HC - 89%Average of Needs Met

March MB - 4.8 HC - 5.0

Attention to Special / Personal Needs - 91.3 %

Information Given to Family While in the ICU - 91.7 %

Discharge Call Manger Report

% attempt - 72.7%% Completed - 45.5%# DC to Home - 11

Hand Hygiene Compliance - 87 %

Missed Opportunity - 2

CLABSI YTD = 3One for each month of Jan,

Feb and March

2nd Annual CCU Skills DayBy Katherine Masaganda, RN, BSN

Marjorie AquendeJonanthan Bunagan

Miriam DonioKaren Leigh

Ian N. SaludaresSiobhan Southern

APRIL BIRTHDAY

CELEBRANTS

Editorial BoardCecilia MaMiriam DonioIan N. Saludares

ContributorsSusan CarreonKatherine MasagandaChing Reburiano

On March 8, 2011, we had our 2nd annual CCU Skills Day. The skills day doesn’t only

target the novice nurses, it also attracts nurses that have been in t h e C C U f o r some t ime to u p d a t e t h e i r

knowledge and refresh their skills.

The morning started off with a delicious breakfast provided by our PCD Cecilia Ma. There were 4 main topics discussed: Therapeutic Hypothermia, Intra-aortic Balloon Pump, Central Lines / Pacemakers, and ECMO. The Therapeutic Hypothermia station was covered by Miriam Donio. The insightful power point presentation was presented at the Nursing Grand Rounds last February. The Intra-Aortic Balloon Pump station was c o v e r e d b y M i r i a m Candaroma. She talked about the fact that IABP is a cardiac assist device designed to increase coronary perfusion and decrease myocardial oxygen consumption. She reminded us NOT to panic when receiving a patient on IABP, instead to stay calm and remember how to start up the device, assess the patient, and how to interpret the waveforms. The central lines and pacemaker station was covered by our nurse educator Audrey Graham-O’Gilvie. She discussed Central Line-Associated Bloodstream Infection and she reminded all of us that the maintenance of central lines should ALWAYS be meticulous and properly managed. We demonstrated proper changing of central line dressing and reviewed proper documentation. She also talked about pacemakers and the impor tance o f consistently assessing the pacemaker settings and battery life. Our nurses are so lucky to be given the opportunity to expand our knowledge and sharpen our skills within the comforts of our own unit. It was a very productive and successful day. We are all looking forward to the next CCU skills day.

April 2011 - Vol.1 Issue 2

Nursing Fellowship in Quality & Patient SafetyBy Ian N. Saludares, RN, BSN, CCRN

The NYP School of Continuing Education for Nurses sponsored the 2nd cohort of Nursing Fellowship in Quality and Safety. The 3 day event was held at the Rockefeller University. There were a total of 63 participants from all the different campuses of NYPH. Our very own unit was represented by yours truly and by Susana Sicat, RN, BSN, CCRN - Clinical Nurse III. Suzanne Boyle, DNSc, RN - VP of Nursing & Patient Care Services for NYP - Weill Cornel l opened the event. Several distinguished speakers were invited to talk about topics and issues that provided bedside nurses with a broad understanding of quality improvement and patient safety initiatives. Some of the topics included: DMAIC: How to Develop a Quality Project by Alan Levine, MSN, MBA, RN, CPHQ - Director of Nursing at the Allen Hospital. Introduction to the Quality Improvement Projects by Peggy Quinn, MPH, RN - Director Quality Compliance at CHONY. CLABSI, VAP, CAUTI, Hand Hygiene, - What the Current Data Tell Us & the Nurse’s Role by Janett Pike , BSN, CIC - Nurse Epidemiologist. Sentinel Events, Root Cause Analysis & Failure Mode & Effect Analysis by Mary Quinn, MSN, RN - Director Nursing Quality Innovation.

continue at the back .....

Picture from L-R: Suzanne Boyle, Natalia Cineas ,Leonie Campbell, Susana Sicat, Ian Saludares, Barry Gallison, Judith Rizzo and Peggy Quinn.

CCRN Questions of the Month

1. A patient with documented myocardial infarction suddenly develops a loud systolic murmur, the most likely cause is which of the following ?

A. pulmonary embolism B. congestive heart failure C. ruptured papillary muscle D. increased systematic vascular resistance.

2 . A patient with unstable angina has an IABP inserted. Hemodynamics are: HR=148 (Sinus Tachycardia); MAP=40 mmHg; PAOP=25 mmHg; CI=1.4L/min/m2. Which of the following should be included in the patient’s plan of care ?

A. checking timing of IA If BP, decreasing balloon to 1:2 frequency B. stat echo, Lasix, checking timing of balloon C. Dobutamine, Isuprel, 12 lead EKG D. Adenosine, stat Hgb, Hct, Dobutrex.

Calendar of Events

Name our Newsletter Results

27%

57%

2%

14%

CCU Rhythm CCU Heartbeat CCU Happenings Others

Others includes: CCU Pulse & Updates, Cardiac Gazette,

CCU Monitoring, The Pulse: CCU Monitor,

Compassionate Care in Unity, Hyper-beat, CCU Chatterbox.

Nurse Fellowship in Quality & Patient Safety

Patient Satisfaction, Press Ganey, HCAHPS & the Role of the Inter Disciplinary Team by Jaclyn Mucaria, MPA - Senior Vice President, Ambulatory Care & Patient Centered Care Services. Core Measures & How Nursing Documentation Can Help by Debra Hollenberg, MSN, RN - Director of Clinical Excellence. A mock Root Cause Analysis was also facilitated by Dr. Joseph Cooke.

Pat Keil, MA, RN, CHPQ - Director of Accreditation & Regulatory Compliance presented on Everything You Wanted to Know About the Joint Commission But Were Afraid to Ask. Ruchi Tiwari, PharmD, MS - Corporate Pharmacy Manager discussed The Many Phases of Medication Safety. Dr. Karen Scott, MPH - VP for Quality & Patient Safety presented Culture of Safety Survey:Results & Implications. At the end of the 3 day event the nurse fellows presented potential projects that they will work on their individual units. Since CLABSI has been an ongoing issue in our unit, we have decided to focus our efforts on decreasing the rates of CLABSI. We are asking for your support as we roll out new initiatives to help improve our patient outcomes. The 3 day event ended with a pinning ceremony for all the new nurse fellows of quality and safety and the issuance of certificates.

New York Presbyterian Hospital

Celebrates Certified Nurses DayEXCELLENCE * PROFESSIONALISM * DEDICATION

Cecilia’s Corner

May 4-11National Nurses

WeekCall for Posters

Parade of Posters

May 5Catch-Up 2011:

Heart Failure, Devices

and Interventions

May 17Annual American

Heart Walk Sign up under

NYP-ColumbiaUniversity

Cardiac Heart Walkers

May 112011 Nurses Week

CulturalExtravaganza

3pm-6pmRiverview Terrace

Heart Center

Winner Judith Anuada-Gumban

Congratulations to Roland Collins CCRN certified !!!

Congratulations to Sarah Graham CCRN certified !!!

Congratulations to Sonia Joseph, MS in Family NP

10th Year Anniversary - Judith Gumban & Tracey McKay.

Check out NYP Learning for REQUIRED modules.

Thanks to Derrick Smith, RN, BSN CCRN and Karlene Ma, Pharm.D, BCPS for initiating our “Drug Review of the