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First Cardiac Services 2011 Kick-Off A Huge Success !By Ian N. Saludares, RN, BSN, CCRN

February 24, 2011 marked a first for the cardiac services. We had our very own 2011 kick-off. This year’s theme is We Put

Patients First … ALWAYS – reflecting on the commitment of all members to provide the highest quality, most compassionate care and service to each

patient, in every encounter.

It was nice to see all the other units under the cardiac services come

together to celebrate our successes and accomplishments and to set up our goals for "2011 Making it Better Plan for Our

Patients and Employees."

Catherine Halliday - Director of Cardiac Services gave a comprehensive annua l repor t focus ing on our

accomplishments and other areas we need to focus on for the coming year. We have successfully opened the Vivian

Seymour Milstein Family Heart Center last February 2010.

We can all be proud that our intensive

c a rd i a c c a re u n i t h a d s e ve r a l accomplishments and awards the previous year. It included having the highest rate (80%) of CCRN nurses at

the entire NYP healthcare system. Cathy also mentioned that we have started our journey to the Beacon Award. Cecilia Ma

our very own patient care director also received 2 leadership awards in 2010.

Jacqueline McCarthy - Patient Centered

Care Manager gave us a presentation on “Putting Patient First… “Always”.  She gave us a comprehensive update on HCAHPS

- Hospital Consumer Assessment of Healthcare Providers and Systems. She emphasized the importance of creating a

“culture of always”. This can be accomplished by involving the entire TEAM and a g re a t e r fo cu s on CONSISTENCY.

Debbie Hollenberg - Q.A.

Coordinator did 2 presentations on

Getting to the Goal: Core Measures and

2011 Quality Patient Safety Goals. The

morning session ended with Cathy

Halliday presenting the 2011 key targets

for the Cardiac Services:

■ Seek out ways to foster teamwork.

■Think creatively about how to lower

costs.

■Take an active role in length of stay

reduction.

■ Embrace IT innovation to improve

care.

■ Provide highest quality and safest

care.

After lunch the entire group had a break

out session. Our CCU team included:

Katherine Masaganda, Siobhan Southern,

Sarah Graham, Remy Cordeta, Susan

Sicat, Susan Carreon, Melie Tiburcio,

Roland Collins, Helen Jones, Susie

Sanchez, our clinical coordinator Miriam

Donio and our nurse educator Terry

Capuano. As a group we identified 2

quality patient safety goals that we will

focus on this year.

These include:

■ Effective Communication

■ Infection Prevention

We also identified two best practices we

will implement on our unit:

■CLABSI Reduction Initiative

■Bedside Shift Reporting

And 2 Core Measures that have direct

impact on our patient population:

■Acute Myocardial Infarction

■Congestive Heart Failure

After the break out sessions one

representative from each unit did a report

out - a 5 minutes presentat ion

highlighting one item the group discussed

on the break out sessions. Our team

decided to present our goal of

implementing the best practice of

Bedside Shift Reporting. 

We had the opportunity to hear

recorded messages from other top

leaders of NYP like Dr. Herbert Pardes,

Dr. Steve Corwin. Dr. Robert Kelly and

Willie Manzano our chief nursing officer.

Our very own Cecilia Ma with Cathy

Halliday gave the closing remarks for the

day. We are all hoping that next time

more of us will be able to attend. Just

wait and see on the 2012 Kick-Off..... we

are going to take it to the next level!

Let us all continue working as a

TEAM because Together Everyone

Achieves More ! AWESOME work guys!

M A R C H 2 0 1 1 V O L U M E 1 I S S U E N O . 1

Unit Practice Council Update

Raciel Lee

Remi OdusoteSharton Hewitt

Devon Nicholas

Melissa Kok

Jackie Shinyonya

Steve Qiu

Julie Setaro

New Radiation Badge Holder in the pantry! Now, instead of taking the badges home, you can leave them in a designated spot. Reminder, every quarter we receive new badges from the Radiation Safety Department and must return the old badges.

Bedside End of Shift Reporting

TOP 10 REASONS TO DO BEDSIDE END OF SHIFT REPORTING

10. Ever had a patient ask with a quiver in her voice, " Whom am I getting next?" 9 . Ever get into a patient's room and think, I don't know whom she gave her report on. This guy is really sick! 8 . Ever look at your watch only to think, Good grief, it's 8:30 and I haven't even laid eyes on my other patient. ! 7 . Ever wish someone would help you learn about new equipment / machine you've never seen without making you feel incompetent? 6 . Ever enter a room to find the IV bag dry and the Foley bag full? 5 . Ever think you did not need to hear the details of the domestic quarrel that went on last shift? (When we discuss patients outside their presence, we often say things that b o r d e r o n gossip and distract us from the medically relevant points). 4 . Ever wish you could find an easy way to keep your patients informed and include them in their health decisions? 3 . Ever wish you could get into your shift more easily? 2 . Ever wish the off-going nurse would say a  few n i c e t h i n g s a b o u t y o u t o m a ke t h e transition smoother and help you build trust with your patient. 1 . Ever wish we would all practice nursing based on clinical evidence and clearly proven best practices? 

Calendar of Events

April 1 & 22 Days CCRN Certification

Review CourseBaldwin Hall

Milstein Hospital

April 7, 2011Certified Nurses Day

Heart Center Riverview Terrace

7 am to 9am

Cecilia’s Corner

CCRN Question of the Month

A 36-year-old obese male is one day post - gastroplasty. He has a sudden onset of restlessness, dyspnea, and chest pain. His heart rate is 122 per min., and auscultation of heart sound reveals an increased intensity of a pulmonary S2.

These findings should lead the nurse to suspect that the patient has developed

A. aspiration pneumonia.

B . a spontaneous pneumothorax.

C. a pleural effusion.

D. a pulmonary embolus.

Announcements:Thank you everyone for all your efforts in preparing

for the Mock Joint Commission Survey. The result is great.

Effective April 1, 2011 patient rooms in Milstein will decrease from 18 to

16 and increase from 6 to 8 at the Heart Center. The house staff will cover the 14 patients in MB and the other 2 (Rms. 277 & 275) will be covered by the NP

team from the HC.

The IABP catheters were changed from 8Fr to 7.5Fr

of 40 cc, 34 cc.

Nightshift overtime is posted in BIDSHIFT

for the April 3-30th Schedule.

Next Staff Meeting will be on Mar. 22 Tue @7am

CCU Dashboardfor January

Primary Nurse IdentifiedJan. MB - 58% HC - 67% Feb. MB - 53% HC - 43%

Discharge Call Manger Report% attempt - 50%

% Completed - 25%# DC to Home - 12

Hand Hygiene Compliance - 87%

Missed Opportunity - 2

Attention to Special / Personal Needs - 92.3 %

Information Given to Family While in the ICU - 94.2 %

Best of luck to Louella Galarpe-Danao, Gina Uy, and Yvette Reyes who are moving to Cath lab.

MARCH BIRTHDAY

CELEBRANTS

It's time to STOP thinking we CAN'Tand figure outHOW WE CAN !

RememberWe Put Patients First – Always

Let us all Go Beyond Expectations!

Bedside End of Shift Reporting Template

Coming Out Soon !