Nursing Council Reports for October

Nursing Council Reports for October

Nursing Research Evidence-Based Practice Council
Chair: Cathaleen Ley, PhD, RN
Co-Chair: Cheryl Briggs, BSN, RN

  • The October Journal Club was led by Denise Matteson, BSN, RN, CAPA, clinical educator, Edwards Surgical Pavilion, who presented the article, Does Post Anesthesia Care Unit Visitation Decrease Family Member Anxiety. The Journal Club meets on the third Monday of every month from 12-1pm in the second floor conference room, South Tower. Please bring your lunch and join us to explore how to incorporate research evidence into practice.
  • A Scholarly Activity database is available for nurses and clinical support staff to showcase their scholarly work presented through posters, podium presentations, journal publications, and webinars. Please submit information on all of your scholarly activities since January 2014. Access the database by clicking Scholarly Activities on the Nursing website or by clicking here.
  • Phase II of the Readiness Evaluation & Discharge Intervention (READI) Study on MSU began October 16, 2015. This phase of the study will last for four months and requires the nurse to assess the patient’s readiness for discharge as well as assess the patient’s perception of readiness for discharge. Cathaleen Ley provided an update of this study to the Council.
  • Bedside Scientist grants are funded throughout the year. Please contact Cathaleen Ley at for more information.


Nursing Quality Council
Chair: Cathaleen Ley, PhD, RN
Co-Chair: Lauren Stylc, RN

  • Due to that Magnet Conference, no meeting was held in October.
  • Unit-based Nursing Quality Councils continue to focus efforts on reducing CAUTIs, HAPU, CLABSI, and injury falls and improving the patient experience related to nursing care.


Professional Nurse Council
Chair: Carrie Jackson, MSN, RN
Co-Chair: Daniel Shields, RN
Initiatives: SNAC, Diversity/Advocacy, Community, COPE

  • Shirley Knelly provided a presentation on quality based reimbursement and metrics, which showed measures, thresholds, and benchmarks for 2014, along with current performance. She reviewed how patient satisfaction scores account for 45% of the dollars we receive from the state for quality-based reimbursement.
  • The Annual United Way campaign has kicked-off and will end November 20. This year’s theme, Mission: Possible, reminds us we can have a positive impact on the lives of friends and neighbors who struggle to meet basic needs we may often take for granted.
  • Harvest for the Hungry: We hope to provide more than 100 Thanksgiving baskets for our community families in need. Baskets will be picked up by the Lighthouse Shelter on Tuesday, November 17.
  • COPE:  The COPE team presented at the Magnet with a standing ovation! In September, there were three COPE sessions and two one-on-one sessions in October.
  • Cultural Diversity:  Martin Luther King, Jr. celebration plans are underway and again we will have essay/art contest for school children. The theme for this year is Using the Dream to Unite Us. Additionally, the Cultural Diversity Festival has been changed to a Cultural Diversity Week from June 20-25, 2016.


Clinical Education Council
Chair:  Melody Kennedy, BSN, RN
Co-Chair: Gena Kosmides, BSN, RN
Initiatives: Professional Development

  • Pharmacy Tips and Reminders:
    • Please reconcile discrepancies within 24 hours.
    • RIE recently addressed frequent issues regarding calls and med messaging
      • From inpatient units: The pharmacy receives aver 276 med messages in a single day, 1900 a week and 7500 messages a month. This is difficult to manage.
      • Each call delays that meds getting filled by how long it takes to answer the phone, address the question and return to fill the need.
      • Please allow 15 minutes for STAT requests and 1 hour for routine requests
    • Escorts MAY transport non-controlled medications with patient charts while transporting  patients between floors
      • Medications will be placed in a secured bag by nurse and attached to chart for transport
      • PCTs are allowed to retrieve medications from the tube station and properly store in designated areas.
    • Multi-dose medications (creams, inhalers, insulin pen) assigned to a patient belong outside the patient room in designated drawer.
      • Upon discharge from the hospital, staff nurses should dispose of pens, creams, inhalers in sharps container or red garbage bins. Return remainder of meds in a sealed bag to pharmacy for restocking or proper disposal.
    • All patient supplied medications should be delivered to the pharmacy IN PERSON by the staff nurse, DO NOT send through the tube station
      • Always return patient supplied medications to the patient upon discharge.
  •  Joint Commission reviews and mock tracers will begin soon, if not already, on your unit.
    • Look for purple papers


Interdisciplinary Informatics Council
Chair: Bill Moore, BSN, RN
Co-Chair: Jennifer Dupre, MSN, RN

  • The EPIC 2015 upgrade is scheduled for July 16, 2016, mark your calendars!
  • Doc Flowsheet changes:
    • Sub Q emphysema can be documented under the skin integrity assessment screens.
    • SBAR and INDEX screen changes:
      • Telemetry orders will now display if the order is expired or soon to expire.
      • Restraint orders will also display if they are expired or soon expire.


Clinical Practice Council
Chair: Tina Andersen, BSN, RN
Co-Chair: Denise Matteson, BSN, RN, CAPA

CPC approved the following policies to move on to the Hospital Policy Review Committee (HPRC):

  • Pediatric Sedation SNP 15.2.70- revised to include clarification on locations where pediatric sedation can be performed and introduction of new pediatric sedation scale
  • Banked Allograft Tissue Management #TBD – former blood bank policy that is being changed to a hospital-wide policy for all to access
  • Aseptic Practices SNP 15.4.03– updated to reflect current practice
  • Surgical Patient Receiving Local Anesthesia SNP 15.4.01 updated to reflect current practice


Charge Nurse Council
Chair: Lisa Davis, RN
Co-Chair: Devra Cockerille, RN

  • Due to that Magnet Conference, no meeting was held in October.


Nursing Operations Council
Chair:  Irma Holland, MSN, RN

  • Slides from the Magnet Conference 2015 were shared with  the group. AAMC was highlighted in three different breakout sessions. The COPE session received a standing ovation.
  • Holly Greever shared a presentation on Unit Level Certification levels. The directors agreed to set unit base certification goals by December 10, 2015.
  • The nursing recruitment team of Marita Kellers, Tom Urbanski and Simone Davis-Campbell shared update on the Human Resources hiring process and a plan to expedite the hiring of nursing graduates. The new process will include a group interview. The goal is to streamline the process and make offers to the right candidates in a timely manner. New candidates will be asked to complete a skills survey instead of a letter of recommendation from their clinical instructors.
  • The core measure of flu vaccination was discussed and Directors were asked to encourage nurses to document the vaccination or patient refusal. The documentation goal is 100%.
  • Clint Welch gave an update on the upcoming IV pump conversion.
  • According to Kathie Lester, the EPIC upgrade go-live is scheduled for  July 16, 2016.  Training to begin  May 30-July 2 and super user coverage will be July 16-July 30.
  • Pauline Clarke announced her resignation and thanked the group for their support.

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