Letter from Shawn Levitt
Lately, I have been hearing many comments about the weather both during personal conversations, and from the media. Many ask, "Where are the long, lazy, hot days of Summer that I remember?" Well, the weather is different now as our planet continues to evolve and react to the environmental impact of human technology. There is no "normal" summer, or winter anymore. As our planet evolves, so must we adapt to the variations in the seasons and also learn to let go of the "way it used to be," in order to move forward.
Now more than ever, there is a need for us to be willing and open to new methods and processes related to our traditional work and mission of providing excellent clinical care to our patients and families.
This analogy is very similar to our health care industry. There are those who lament over the old processes claiming that they were better and that too much technology is changing the face of caring to our patients and their families. I would argue that we as humans have always adapted and evolved to ever higher levels of functioning. It is our nature to observe, question, try new things and evolve. Now more than ever, there is a need for us to be willing and open to new methods and processes related to our traditional work and mission of providing excellent clinical care to our patients and families.
We at the DMC have integrated the LEAN methodology and High Reliability practices throughout our organization, requesting innovation and leadership from employees at all levels to work with leadership to improve the way we provide care and do business. Through the brilliance of many we have identified improvements to workflows, financial opportunities or waste, enhanced patient safety and overall experience.
While we are challenged to respond and adapt to dynamic legislative and regulatory standards, we should not look upon this as "extra work", but as an opportunity to modify our existing practices, utilizing our nationally recognized foundation of technology to aspire to be the best hospital in both the state of Michigan and the Tenet Health system.
Mark Samuel in his book Creating the Accountable Organization states, "Typically, we assume that leadership is the exclusive domain of management. Yet successful organizations have leaders at all levels of the organization." In this ever changing environment, and as part of the Tenet family, we need strong leadership from everyone in order to keep the DMC in the national spotlight. We have the talent, technology and the desire to serve.
Each of us must choose to observe, question, be willing to try new things through innovation, and lead in order to achieve success.
Shawn Levitt, BSN, MHSA, RN, FACHE, CPHQ, CMCN
Chief Nursing Officer
Detroit Medical Center
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Meet the DMC PNC
The mission of the DMC PNC is to represent professional nurses and promote shared decision-making in the pursuit of excellence in
Every month nurses from each DMC hospital come together in the RIM eighth floor conference room for an all day meeting. Together they form the DMC Professional Nurse Council (DMC PNC). The mission of the DMC PNC is to represent professional nurses and promote shared decision-making in the pursuit of excellence in nursing care. Our motto is "If it touches nursing practice at the DMC, it belongs to PNC."
Professional Nurse Council members discuss practice issues, develop and review policies, and collaborate in decision-making with leadership and other departments. Ongoing communication with the DMC nursing staff is available via the nursing website and through each hospital's council. The goal is to give staff nurses a voice in determining best nursing practice and standards of care.
The primary members are staff nurses who are also the site PNC chairs at each hospital. Of these, one member is elected by the group to serve as Chair and one as Chair-Elect. Other participants who support the group as advisors and mentors are Advanced Practice Nurses, Nurse Executives, Educators, Nurse Managers, and Directors. Representatives from Pharmacy, Clinical Transformation, R & R and MedVat also attend monthly.
We all work at different hospitals but together we work as one, representing the best nurses ever...DMC Nurses!
Meet your DMC PNC
||Joshua Alexander, RN
||Molly Duane, BSN, RN, CCRN
DMC PNC Chair-Elect
Graduate of Wayne State University
Staff Nurse in MICU at HUH for 29 years
Chair of HUH/HWH PNC and CC PNC
||Sheri Frank, BSN, RN, CCRN
2014 DMC PNC secretary
DRH's associate DMC PNC member
Graduate of Madonna University
Chair of DRH's Practice Review/Safety and Quality Council
Staff Nurse in Neuro ICU at DRH for 15 years
||Laura Kovie, RN
DMC PNC Chair
3rd floor RIM
Gradate of Baker College – Clinton Township
Staff Nurse for 6 ½ years
||Kevin LeForge, RN
RIM PNC Chair
6th floor RIM
Gradate of Schoolcraft College
Staff Nurse for 5 years
||Pam Loszewski, RN, CCRN
Staff Nurse in the ICU at HVSH for 20 years
HVSH PNC Chair
||Patty Reaume, BSN, RN
CHM PACU for 20 years
CHM PNC Chair elect
||Angel Schultz, RN
Chair of Sinai-Grace PNC
Staff Nurse NICU at Sinai-Grace since 2007
"I feel very strongly about the importance of nurses' input in their everyday evidence-based practice."
||Charlene Staddon, BSN, RN
Staff Nurse at DRH for 21 years
(Spinal cord unit, neuro-trauma ICU, recovery room and pre-op holding)
Chair of DRH Coordinating Council
"I love being a nurse and being a part of the councils. We are the voice for all nurses at the DMC."
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Celebrating the DMC’s PCAs:
Compassion In Action
PCA Day was celebrated with the theme "Compassion in Action", a perfect tribute to recognize all PCAs, ED Technicians, Medical Assistants and Mental Health Technicians, for all of the hard work and dedication provided by each of them, for the sake of excellent patient care.
The Recognition Ceremony was held at DMC Children's Hospital of Michigan on June 10th, to honor our Hospital Winners. The guest speaker was William Randall Brown, Regional Director Service Excellence. The DMC PCA Council, Patient Care Service Division and The Department of Nurse Recruitment sponsored the event.
From left: Kim Howell, Kevin Lundberg, Kimberly Pritchard, Tamika Tarver and Gigel Peti Bota.
Congratulations to our hospitals’ PCAs of the year!
Kevin Lundberg, CPCT
Began his PCA position at CVI in February of 2012
DMC Children's Hospital of Michigan
Started with the DMC in 2008
DMC Detroit Receiving Hospital
Kim Howell, CPCT
Began working at the DMC in 1990
DMC Harper University Hospital
Tamika Tarver, CPCT
Began her PCA position at HUH in November 2011
DMC Huron Valley-Sinai Hospital
Gigel Peti Bota, CPCT
With the DMC since 2004
DMC Hutzel Women's Hospital
Has been at HWH as a PCA since 1999
DMC Rehabilitation Institute of Michigan
Kimberly Pritchard, CPCT
Has been working at the DMC since 1995
DMC Sinai-Grace Hospital
Began her career at the DMC in 1972
On June 12th, the PCAs enjoyed a Rock n' Bowl Party held at Majestic-Garden Bowl. Bowling, food and fun! Click here to view more PCA Celebration pictures.
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DMC 2014 Research and
Evidence-Based Practice Day
Research and Evidence-Based Practice Day is a way for the DMC's academic partners and nurses to share the impact of their research, while hearing new perspectives and forging collaborative partnerships.
Nursing research is the foundation of advancing health care. As a champion of impactful nursing research, the DMC Nursing Research Council organized an initiative in 2010, bringing together the nursing community to highlight just that subject The goal was not only to provide a forum for advance practice nurses and DMC Scholars to present their evidence-based practice and research projects, but also to expose staff nurses to these insights, igniting and fueling their own research ambitions. Three lectures were offered on a rotating schedule along with continous oppurtunities to preview posters and talk with authors about their research. Podium presentations were: Mooving Sacred Cows Out of Nursing Practice (presenter: Maria Bobo, DNP, RN, WHNP-BC); Distinguishing Research from QI or Evidence-Based Practice (presenter: Margaret L. Campbell, PhD, RN, FPCN); and Finish the Job (presenter: Mary Sieggreen, MSN, APRN, BC, CVN).
Now an annual event at the DMC, Research and Evidence-Based Practice Day remains a way for the DMC's academic partners and nurses to share the impact of their research, while hearing new perspectives and forging collaborative partnerships.
Wayne State University and Drexel University were onsite to assist those with additional education decisions. Congratulations to Nicoli Novak (DMC RIM), Drexel University's iPad winner!
Thanks to everyone who made Research Day 2014 a wonderful success! Click here to view posters.
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Targeting Toileting to
Reduce Patient Falls
Successful fall prevention programs use the critical thinking of nurses to link research-based risk factors with specific nursing interventions to reduce the risk of falling.
The causes of falls are complex, and assessing each patient for their risk of falling is required to determine what the patient needs in order to keep them safe. Comprehensive fall prevention programs combine environmental risks with key strategies to reduce the risk of patient falls and fall rates. Ann Hendrich (2006) found that there is a direct safety benefit from targeting individual patient risk factors so they can be reduced or eliminated. It is a known fact that more than 50% of all falls occur while patients are trying to get to the toilet, return from the toilet, and while trying to exit the bed to get to the toilet. It is a universal phenomenon, and it is the one most often overlooked (Hendrich, 2006).
Alert patients who have fallen while trying to meet elimination needs often report they felt concerned about asking for nursing help given how "busy" they perceive nursing staff to be. Regularly scheduled toileting of high-risk patients with impaired gait and mobility due to functional deficits or drug side effects will reduce falls in most acute care hospitals between 50% and 70%, yet this intervention is inconsistently applied (American Nurse, 2011)
Successful fall prevention programs use the critical thinking of nurses to link research-based risk factors with specific nursing interventions to reduce the risk of falling. Since lack of assistance while toileting accounts for the majority of falls, a variety of interventions need to be in place. It will take contributions from the entire care team to meet the goal of keeping patients safe.
Speaking directly and clearly about fall risk to patients and their families can help reduce personal risk taking that contributes to falls.
Interviews with patients who have fallen often show that they did not understand their own personal risk, and staff failed to involve the family. Speaking directly and clearly about fall risk to patients and their families can help reduce personal risk taking that contributes to falls. Letting patients know they may suffer a minor injury, a permanent injury, or even a fracture as a result of a fall should be considered as a possible element of effective patient education. Patients with symptoms of confusion, depression, or dementia will benefit from continuous monitoring (chair and bed alarms and visual or remote monitoring) to assure they do not attempt to get up without assistance.
Environmental factors that may impact the risk of falls include:
- Distance between beds, chairs and toilets
- Line of sight for staff observing patients
- Signposting, particularly of toilets
- Tubing, poles and cords
The goal is to reduce the likelihood of falls while maintaining dignity and independence. So what can the healthcare team do?
- Talk with your patient and family (use patient self assessment, scripting)
- Ensure call light is within patient's reach
- Ensure patient's personal belongings are within reach (eyeglasses, cell phone, etc.)
- Assess the need for side rails
- Ensure bed is in lowest position
- Check for medications associated with falls risk (i.e., anti-depressants, sleeping tablets, sedation, anti-psychotics)
- Check footwear for secure fit, non-slip sole
- Consider lighting best for patient (i.e. bedside light left on overnight, night light in bathroom)
- Offer toilet every hour while awake (take patient to bathroom every three hours – "Mr. Jones, I am here to escort you to the bathroom.")
- Provide falls brochure to patient/family, engage them in care plan, remind at-risk patients that your need to stay with them while they are in the bathroom is to keep them safe – "safety trumps privacy." Address any concerns patient/family may have.
- Use posters/flyers on bathroom doors as reminders for patient/family
American Nurse Today (2011). Meeting the challenge of falls reduction. American Nurse Today Vol. 6 No. 3.
Hendrich, A. (May/June 2006). Inpatient Falls: Lessons from the Field. Patient Safety & Quality Healthcare. Retrieved via this link.
Institute for Healthcare Improvement (2009). Leadership for Safety: Supplement 1 Patient Safety WalkRounds. Retrieved via this link.
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Detroit Fire Department: Engine 40 Fire House
Back to School Community Project
Once again, the Detroit Receiving Hospital Professional Nurse Council & the Education Department are partnering with Detroit Fire Department, Engine 40 for their Back to School event. Last year with help of donors like you, the council provided almost 100 backpacks filled with school supplies! We are hoping you will join us in this community effort again. We are collecting supplies at DRH in Education Suite 3N-2 until August 22nd. So, if you see those sales for 10 for $1 spiral notebooks or 1¢ pocket folders, grab a couple and drop them off. Attached is a list of things the kids can use. Any help is appreciated.
If you would like to come by and bring your family for the event, it is a great time. If you want to help the firefighters stuff the backpacks, it's always fun working with them. This year the DRH Educators will have a table with demos of AED and a CPR game. We won't turn away help with that either. So grab some supplies, bring the family and join us at Engine 40.
Suggested School Supplies List
- Backpacks for...
- high school
- Crayons, washable markers, and Sharpies
- Pencils, erasers
- Erasable-ink pens, pens (red and black)
- Pencil cases
- Paper (tablets, printer, writing and construction, etc.)
- Spiral notebooks
- Rulers and protractors
- Safety scissors
- Glue sticks
- Thumb drives
- Hand sanitizer and wipes
- Band aids
- Tooth brushes and paste
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RIM Receives Tenet
Clinical Innovation Award
There have been hundreds of “good catches” at RIM, in which patients have been prevented from falling and the patients and families have experienced a high sense of security through the use of video monitoring.
DMC Rehabilitation Institute of Michigan was the proud recipient of a Tenet Innovation Award at the April National Tenet Leadership Conference in Dallas, Texas. One of ten recipients across the country, RIM was recognized for commitment to patient safety through the use of video monitoring technology on its new neuroscience unit.
Patient falls are a significant risk to all patients and especially those in an acute inpatient rehabilitation environment. Patients recovering from a neurological condition such as a traumatic brain injury or stroke are at an even greater risk to fall due to impaired judgment, decreased mobility and balance. Even as patients increase their mobility, their confidence often exceeds their capability thus increasing their risk for falling. The Neuroscience Unit had the highest incidence of falls and highest fall rate at RIM. This unit also had the highest sitter usage.
As one part of the redesign of the new unit, which opened in November 2012, the nursing team launched the use of video monitoring technology 24 hours a day, 7 days per week. Their goal was to reduce falls below the NDNQI mean of 5.72 for Rehabilitation Facilities and to reduce their reliance on sitters. Through the use of this creative technology and the outstanding commitment of the nursing team, the neuroscience unit had excellent results in 2013! The number of falls decreased from 67 to 21 (69%) and the fall rate per 1000 patient days decreased from 9.29 to 3.3 (a 68% reduction). The number of sitters used also decreased 28%. There have also been hundreds of "good catches" in which patients have been prevented from falling and the patients and families have experienced a high sense of security through the use of video monitoring.
RIM was presented with a beautiful crystal trophy at the conference and received a check for $10,000 to use towards continued efforts to innovate and build a culture of safety.
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DMC PCA Preceptor Workshop
October 1, 2014 • 8:00am – 5:00pm
Huron Valley–Sinai Hospital, Nursing Education Classroom 3C-348
No cost to the employee
Register in NetLearning
You may also email nursing education: Diana Bowman (email@example.com) or Michelle Compton (firstname.lastname@example.org)
Save the date!
DMC Pain conference
September 19, 2014
Kresge Auditorium at the Kresge campus (Old Hutzel Hospital)
Watch for more information
9th Annual Children's Hospital of Michigan Nursing Conference: Excellence in Nursing: Research/Practice/Innovation
September 26, 2014
Registration is now open; click here for more.
Click here for a conference brochure.
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Congratulations to the following for their outstanding accomplishments!
DMC Children’s Hospital of Michigan
- Ashley Rentz, RN, received her BSN (NICU)
- Rhonda Caldwell, RN, (interim manager of ED), received her BSN
- Christopher Childers, BSN, RN, graduated with her Bachelor of Science in Nursing from Walden University
- Cherrese Johnson graduated with her Bachelors of Science in Nursing from Walden University
- Christine Jones, BSN,RN, completed the RN to BSN program from Walden University, April 2014
- Gayle Wintemute graduated with her Bachelors in Science in Nursing from Walden University
- Simon Keleel, RN, BSN, CHM Nurse of the Year and Practice Nurse of the Year (5W)
- Andrea Venettis, RN, CHM Rookie RN of the Year (5W)
- Claudine Hoppen, CRNA, will take on the interim role of CNO
- Lesley Rakowski, RN, and Lori Ryba, RN, successfully completed their Residency Program
- Congratulations Shantè Page! Shantè's paper "Creating a Caring Climate: Stay, Don't Go!" will be presented September 12, 2014 at the National Association of Neonatal Nurses, Annual Educational Conference in Phoenix, AZ.
DMC Harper University
and Hutzel Women’s Hospitals
- Kelly Zsude, BSN, RN, Pain Management POH
- James Reppert, BSN, RN, CEN Emergency Department
- Kecia Brassel-Veasley, MSN, RN, NE, Nursing Administration Emergency Dept.
- Corinne Hamstra, BSN, RN-BC, passed her ANCC Informatics Nursing board certification examination
- Tamika Tarver, SDSC/Recovery
- Aaron Hamilton, Clinical Decision Unit
- Latoyia Sheffield, Post Partum
- Kevin Lundberg, Intermediate Care Unit
- Nichole Reynolds, Post Partum
- Patricia Ann Terry, Emergency Department
- Vanessa Holmes, 10 Webber South
- Jocelyn Williams, 10 Webber South
- Ida Ruffin, 5 Webber South
- Laressa Hale, 5 Webber South
- Luvenia Herrington, 5 Webber South
- Margo Scott, 8 Webber South
- Joni Harris, 8 Webber South
- Catherine Ritter, 8 Webber South
Professional Development Ladder Recipients for June 2014
- Lynn Diemer, BScN, RN-BC, Diagnostic Radiology
- Laurie Dupuis, RN-BC, Patient Testing Center
- Valentina Farr, CMS, RN, Diagnosis and Observation
- Sandra Gibbings, RNC-OB, Labor and Delivery SWAT
- Joan Goddard, BSN, RN-BC, Patient Testing Center
- Jeffrey Little, BSN, RN, Intermediate Care Unit
- Nicole Lotze, RN, SWAT
- Cheryl Perkins, BSN, RN, Labor and Delivery
- Marci Smith, RN, 9 Webber South
- Chaundra Smith, RN, BBA, Labor and Delivery
- Carolyn Sanders, BS, BSN, RN, BC BSN, from the RN-BSN Completion Program from University of Detroit
- Chaim Leiberman, BSN, RN, CCRN, passed AACN Critical Care Registered Nurse Certification Exam (6ICU)
Daisy Award Recipients
- Stefanie Davis, BSN, RN, 10 Webber South
- Anatascia Bernal, BSN, RN, 2 Brush
- Reynaldo Escote, RN, 6ICU
- Kathy Meloche, BSN, RN-BC, and Michele Seator RN, MSN, BC NE, Evidence-Based Practice: Evaluation of the Implementation of a Comprehensive Pain Management Education Program. DMC Research and Evidence-Based Practice Day, Detroit Michigan, May 6, 2014.
Circle of Excellence Award Recipient
The Circle of Excellence Awards recognize up to 25 individuals who exemplify excellence and innovation in the care of acutely and critically ill patients and their families. Award recipients must be an active AACN member.
- Sheri Testani, MSN,RN,NE-BC, Administrative Director Critical Care and Specialty Services at Harper University Hospital was chosen as one of the recipients. Congratulations!
DMC Detroit Receiving Hospital
- Bethany Cornett RN, CEN, passed the Emergency Certified Nurse Exam
- Congratulations DRH PCAs and ED Techs! April and May 2014 Certified Patient Care Technicians through the National Healthcareer Association:
- Brittany Andrews, PCA, CPCT, 4T
- Gina Ashford, PCA, CPCT, 5M
- Crystal Davis, PCA, CPCT, 5M
- Carla Harris, ED tech, CPCT, ED
- Torrie Hobbs, ED tech, CPCT, ED
- Michael McCray, PCA, CPCT, 3T
- Keith Orr, ED tech, CPCT, ED
- Natoya Pershard, PCA, CPCT, DRH Pool
- Bonnie Powell, PCA, CPCT, 5M
- Gregory Simpson, PCA, CPCT, 4T
- Kim Howell, PCA, CPCT, 4U
- Victolyn Fleming, MSN, RN, graduated with a Masters in Nursing from Walden University
- Christina Gravalese, MSN, RN, graduated with a Masters in Nursing from Walden University
- Cathy June, BSN, RN, presented Too Hot to Handle – Response to a Community Need, as a Lighting Round presenter at the Emergency Cardiovascular Care Update 2014 (ECCU 2014) Conference in Las Vegas June 4, 2014
Cathy June pictured with Dr. Knicker, the father of CPR, and his lovely wife. Dr. Knicker discovered CPR and published the first research on its use in 1960. He is also credited with the invention of defibrillation.
DMC Rehabilitation Institute of Michigan
2014 Tenet Clinical Innovation Award
- "Using Video Monitoring Technology to Reduce Falls on a Rehabilitation Neuroscience Unit," Awarded April 2014
- Iwona Malysa, BSN, RN, CRRN (Staff Nurse, Neuroscience unit) and Julie Jarzeboski, BSN, RN (Staff Nurse, Spinal Cord Injury unit)
- Winner: Rasheena Simmons, PCA (Spinal Cord Injury unit)
- Runner-up: Twanna Murphy, PCA (Physical Medicine and Rehabilitation unit)
- Deborah Jones-Davis, PA-S (Float Pool)
- Kimberly Davis, Unit Clerk (Spinal Cord Injury)
- Lynn Tomaszewski, BSN, RN, (Staff Nurse, Physical Medicine and Rehabilitation unit) graduated April 2014, from Walden University with her Bachelor of Science in Nursing
- Nicoli Novak, BSN, RN, CRRN, (Manager, Neuroscience unit) obtained her Rehabilitation Nursing Certification
- Monica Bates, PCA (Physical Medicine and Rehabiliation unit) obtatined her PCA Certification
- Krisandra Gill-Mance, PCA (Neuroscience unit) obtained her PCA Certification
- Amanda Montgomery, PCA (Physical Medicine and Rehabiliation unit) obtained her PCA Certification
- Andrea Neal, PCA (Neuroscience unit) obtained her PCA Certification
- Tenesha Smiley, PCA (Physical Medicine and Rehabiliation unit) obtained her PCA Certification
- Maria Bobo, DNP, RN, WHNP-BC, CRRN (Director, Patient Care Services) obtained her Rehabilitation Nursing Certification
- Jennifer Poor, SLP, promoted to Clinical SLP specialist
- Colleen O'Brien, OT, promoted to Clinical OT specialist
DMC Sinai Grace Hospital
- Caprice Tye-Banks, BSN, MHA, RN graduated in June with her Master of Health Administration from the University of Phoenix
Congratulations to the following nurses certified as Lactation Counselors
- Holly Cloutier, RN, CLC
- Erin Steudle, RN, CLC
- Sharon Bleyaert, RN, CLC
DMC Huron Valley-Sinai Hospital
- Jennifer Hunley, MSN, RN, Graduated from Madonna University with a Master's of Science in Nursing – Nurse Administration
- Jennifer Damour, MSN, RN, Graduated from Madonna University with a Master's of Science in Nursing – Nurse Administration
- Barbara Sierra, RN, ONC passed the orthopedic nurse certification exam
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