CaringMarch 19, 2020 PACU Skills Day - preparing staff to meet the needs of an expanded patient population in the peri-operative setting ...
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Caring
•
Headlines
March 19, 2020
PACU Skills Day
preparing staff to meet the needs of an expanded
patient population in the peri-operative setting
See story on
pages 4-5
Pam Wrigley, RN (right), staffs the eCare Blood Administration station
at recent PACU Skills Day training event.
Nursing & Patient Care Services
Massachusetts General Hospital
Debbie Burke
Exemplary response to the
coronavirus outbreak
A
As the coronavirus (COVID-19) possible environment, and to pro-
continues to affect communities tect yourselves, as well.
around the world, our MGH Inci
dent Command Team has been I want to thank associate chief
hard at work overseeing our response nurse, Theresa Gallivan, for the
to this rapidly changing situation. great job she’s doing as inpatient
operations section chief on our
I want to take this opportunity to Incident Command Team.
thank everyone for the professional
way you’ve stepped up to meet the I ask that you continue to conserve
increased demand for care and ser- resources (respirators, masks, per-
Debbie Burke, RN
vices. sonal protective equipment, and senior vice president for Nursing & Patient
precaution gowns); and that you Care Services and chief nurse
There’s no way to know how exten- take the time to read daily updates
sive the outbreak will be, but I have to stay abreast of changes in prac- the coronavirus page on Apollo for
the utmost confidence in all of you. tice and policies. up-to-date information.
I know you have the skill and exper
tise to ensure our patients receive Please direct any questions to your
the highest quality care in the safest managers or supervisors, or go to
Debbie Burke
In this Issue
Raising Awareness about Delirium..................................... 9
PACU Skills Day............................................................................. 1
Patient Experience Feedback............................................. 10
Debbie Burke........................................................................... 2-3
• Exemplary Response to the Coronavirus DAISY Awards............................................................................ 11
PACU Skills Day...................................................................... 4-5 Practice Update......................................................................... 12
Pediatric Book Drive................................................................... 6 Tuesday Take-Aways................................................................ 13
Social Worker in Japan............................................................... 7 Announcements............................................................. 14-15
Celebrating Purim........................................................................ 8 Changes to Dialing 911......................................................... 16
(Debbie Burke’s photo by Joshua Touster )
Page 2 — Caring Headlines — March 19, 2020
Debbie’s Photo Gallery
(Above and at right): Thank-you and happy
Social Work Month to our colleagues who care for the
social and psychological needs of patients and families.
You are making a difference!
(At left): Congratulations to our newly board-certified physical
therapy clinical specialists (l-r), Alexandra Smith, Lisa Moran,
Lauren McGlone, Audra Wallace, Monica Warren, and Amanda
Barry, who celebrated at the APTA conference in Denver.
(At right and below): Congratulations to the
Blake 13 Newborn team (right) and the White 9
Medical team (below) on receiving Excellence in
Action Awards — well deserved!
March 19, 2020 — Caring Headlines — Page 3
Peri-Operative Care
(Above): Skills Day team leaders (l-r): Susan Barisano, RN; Laura Cameron, RN;
John Graham, RN; Carol McMahon, RN; and Madeleine McGarry, RN.
A staff-driven training event to ensure PACU nurses have the
skills necessary to care for an expanded patient population
Page 4 — Caring Headlines — March 19, 2020
PACU Skills Day
T
— by Janet Dauphinee Quigley, RN, nursing director
The Post-Anesthesia Care Unit (PACU)
Stations: recently underwent a re-organization that
expanded its patient population to in-
• TR bands fem-stops clude patients from all surgical specialties,
• Temporary pacing Interventional Radiology, and patients re-
covering from cardiac interventional pro-
• Micro infusion pumps cedures. PACU nurses now provide pre-
• Port-o-Cath access operative patient preparation, recovery
care, extended care, and preparation for
• Defibrillation review discharge home.
and re-certification
• Bladder scanner To ensure that PACU nurses are equipped
with the necessary skills to accommodate
• Precautions this shift in practice, the unit held a spe-
• PVRs cial Skills Day — a staff-driven training
event, coordinated by team leaders: Susan
• Blood administration Barisano, RN; Laura Cameron, RN; John
Graham, RN; Madeleine McGarry, RN;
(eCare) and Carol McMahon, RN.
Based on feedback from their nursing col-
leagues, skill stations were created to ad-
dress specific gaps identified by staff.
Training was available to all three shifts:
8:00am-12:00pm; 2:00-4:00pm; and 7:00-
9:00pm. Each station accommodated five
participants at a time and ran for 30 min-
utes. More than a hundred nurses at-
tended.
Said PACU leaders, Janet Dauphinee
Quigley, RN; Cheryl Ryan, RN; Katie
Daly, RN; and Teri MacDonald, RN, “We
are so proud of our PACU team. They
went above and beyond to ensure we con-
tinue to provide the safest, highest quality
patient care.”
One attendee was heard to say, “This is
ridiculously fabulous!”
For more information, contact Cheryl
Ryan, RN, at 617-643-7706.
March 19, 2020 — Caring Headlines — Page 5
Inter-Disciplinary Support Supporting our kids Respiratory Care and Perfusion hold book drive for pediatric patients I — by Jeliene Larocque, ECMO coordinator Inspired by their ECMO colleagues Many MGH ECMO specialists The story out of Des Moines inspired in Iowa, the departments of Respir have spent time reading to babies MGH clinicians to hold a book drive atory Care and Perfusion at MGH and children while providing in the hope that other departments came together to support pediatric ECMO care. ECMO (extracorpo- will also step up and participate. patients by picking up the mantle of real membrane oxygenation) is a the #booksforparker campaign. Staff form of life-support similar to the Thanks to everyone who has donated of the two departments collected heart-lung bypass machine used in books! To learn more about #books- books to donate to patients in the cardiac surgery. It mimics the func- forparker, go to: www.weareiowa.com/ Pediatric ICU, Emergency Depart tion of the heart and lungs, allow- news/local-news/dane-pratt-mercyo- ment, and Radiology. ing patients to rest and heal. ne-reads-to-patient-books-for-parker/. Page 6 — Caring Headlines — March 19, 2020
Social Work
(At left): social worker, Jennifer, D’Alotto,
addresses Forum for Japan Cancer Patients.
(Below): D’Alotto and her hosts in Japan.
(Bottom): Conference participants.
(Photos provided by staff)
Bringing
M
My name is Jennifer D’Alotto, and I’m an oncology social worker
with the Bone Marrow Transplant, Leukemia, and Survivorship pro-
grams. In January, I attended the Forum for Japan Cancer Patients in
social-work
Tokyo, hosted by the Comprehensive Academy for Advanced Oncol
ogy, an offshoot of the Tokyo Biochemical Research Foundation.
knowledge
The forum was an opportunity for patients and families to network
and share ideas about issues related to cancer treatment. I was invited
to speak about genomic testing and cancer treatment at MGH, and
the advocacy, support, and resources available to patients here.
and expertise The forum was held at a time when Japan is preparing for a new can-
cer compulsory-education requirement, scheduled to roll out in April.
to Japan Many of those in attendance were self-identified individuals who had
seen a need and were there seeking solutions. Their circumstances
may have varied, but their enthusiasm for improving the experience
— by Jennifer D’Alotto, LICSW of patients and families was shared by all.
I was proud to represent MGH and humbled by the creativity and
dedication of this incredible group of advocates.
March 19, 2020 — Caring Headlines — Page 7
Spiritual Care
Rabbi Benjamin Lanckton
(left) leads festive Purim
service in the MGH Chapel.
Revelry, ‘hamentashen,’ and a
good time were had by all.
Purim: a celebration
of triumph
T
— by Rabbi Ben Lanckton, staff spiritual care provider
The celebration of Purim, a Jewish holiday commemorating Reverend Alice Cabotaje, chanted another in Tagalog; and
a failed plot against Jews of ancient Persia, typically involves Lanckton chanted his chapters in Biblical Hebrew, com-
public revelry, food, wine, costumes, gifts, charitable giving, plete with different voices for all the characters.
and special cookies called, hamentashen. Like most Jewish
holidays, Purim revolves around the re-telling of a story — Lanckton and music therapist, Hannah Shefsky, offered the
this one is ‘Megillat Esther.’ On March 10, 2020, Rabbi Purim Kiddush blessing over grape juice and hamentashen,
Benjamin Lanckton, festively dressed as Dancer the Kosher whose triangular shape is said to represent Haman’s hat.
Reindeer, led this year’s Purim service in the MGH Chapel.
The department of Spiritual Care provides services in the
Costumed speakers read from a translation of Megillat MGH Chapel every Tuesday and Thursday at 12:15pm;
Esther, a scroll of the Hebrew Bible, or Old Testament, watch all-user e-mails for topics.
while members of the congregation sounded noisemakers
called, ‘graggers’ every time the villain, Haman, was men- The Jewish Passover preparation service will be held,
tioned. Clinical pastoral education resident, Christine Park, Tuesday, April 7th, at 12:15pm. For more information, call
chanted a chapter in Korean; Spiritual Care director, Rabbi Lanckton at 617-724-3228.
Page 8 — Caring Headlines — March 19, 2020
Raising Awareness
Raising awareness about
delirium
What is delirium? How is delirium different
Delirium is a sudden state of confu- from dementia?
sion or inattention, or a change in Delirium comes on suddenly (hours
one’s ability to think clearly. It occurs to days) and can often be reversed if
in one in three hospitalized patients addressed promptly. Some people
65 years old or older. with delirium are agitated while
others appear sleepy. Some experi-
Delirium is most common in very ill ence both periods of agitation and
patients, such as those in intensive lethargy. #delirium #WDAD2020 #MGH
care units or those with underlying
medical problems, but it can occur Dementia comes on slowly, usually
in any patient in any setting. over years, and is not reversible. Facebook page: facebook.com/
Patients with dementia often show massgeneral.
What are the effects of signs of memory loss and difficulty
delirium? performing daily tasks, which can For more information, contact:
Patients who develop delirium are
worsen with time. • Liza Nyeko, at 617-643-5484
more likely to stay in the hospital • Colleen Gonzalez, RN, at
The Blum Center’s March 6th 617-643-5478
longer, be discharged to a rehab or
nursing home rather than home,
presentation on delirium can be • Sophie Ryan, MD, at
viewed on the Mass General 617-732-7432
and have trouble participating in
their recovery, giving them a higher
risk of poor outcomes. Delirium can be prevented
It’s important to recognize patients with delirium early and employ
Some patients with delirium suffer preventive strategies to those at high risk of developing delirium.
from confusion for weeks or months Preventive strategies include: hydration; nourishment; sleep; keeping
after discharge and require ongoing active (body and mind); and avoiding unnecessary medications.
care.
What are we doing to manage delirium?
Since 2018, the MGH Delirium Steering Committee and its work
groups have been developing strategies to:
• help providers identify, assess, document, prevent, manage, and
monitor delirium using proven best-practices
• promote mobility while keeping patients safe from falling
• employ activity carts and partner with volunteers to help keep
patients engaged
• educate staff about changes and improvements as they occur
• educate patients and families about how to recognize signs and
symptoms of delirium so they can alert the care team
March 19, 2020 — Caring Headlines — Page 9
Patient Experience
Listening to our
patients
You can help improve the care experience
Beginning this spring, MGH will introduce a
new way of reaching out to patients after visits to
better understand their care
experience.
We encourage patients
to respond by e-mail, phone, or text.
Your feedback is highly valued and
helps us make MGH even better.
Page 10 — Caring Headlines — March 19, 2020Recognition
DAISY Award
recipients
? ? ?
? ? ?
Will someone from your unit be
one of the first to be selected?
Nominate your nurse
or nurse colleague for a
DAISY Award today
Scan code to nominate
a nurse, or e-mail:
MGHDAISYAward@partners.org
March 19, 2020 — Caring Headlines — Page 11Practice
February 28, 2020
Validated March 12, 2020
For up-to-date policy and practice information related to the coronavirus,
go to: https://apollo.massgeneral.org/coronavirus/
Periodically, the PCS Office of Quality & Safety issues practice alerts and updates to communicate new information or changes to
policies, procedures, or practices. Alerts and updates are generated by trends identified in safety reports, feedback from staff and
leadership, or changes in regulatory requirements.
For more information about individual practice updates or alerts, contact the PCS Office of Quality & Safety,
or go to the Excellence Every Day portal page at: http://intranet.massgeneral.org/pcs/EED/EED-Alerts.asp.
Page 12 — Caring Headlines — March 19, 2020In preparation for the Joint Commission visit,
the PCS Office of Quality, Safety & Practice
sends out weekly resources that are quick and
easy to read by staff. These ‘Tuesday Take-Aways’
should be distributed to staff and are also
available on the Excellence Every Day portal
page at: www.mghpcs.org/eed/rr/.
March 19, 2020 — Caring Headlines — Page 13Announcements
National Health Climate change Conversations Blum Center
Care Volunteer and health 2020: with Caregivers Events
the public health
Week challenge of our time for families, caregivers, Thursday, March 19, 2020
honoring our volunteers patients, and staff MGHfC Parenting Series:
and their commitment to Saturday, April 4, 2020 “Setting the Stage for
service Open to all disciplines, an educational series Healthy Eating Habits”
d
sponsored by the Dementia
e
April 19-25, 2020 student rate available.
Caregiver Support Program
n
A one-day symposium Tuesday, March 24th
o
Look for special events
p
presented by the MGH Shared Decision Making:
t
recognizing our more April 21, 2020
Pos
Institute of Health “Coronary Heart Disease”
than 1,300 volunteers 5:30–7:00pm
Professions’ nurse-led Center
who provide services in O’Keeffe Auditorium
for Climate Change, Climate Wednesday, March 25th
more than 50 programs Justice, and Health. “Legal and Financial Planning
throughout the hospital. “Delirium, Dementia, and
• Examine the intersection Following a Dementia
Diagnosis,” presented by Depression: Which is it?”
of climate change
For more information and health care and Steven Cohen of Pabian &
about activities planned Russell, LLC. Monday, March 30th
opportunities for research,
for the week, or volunteer education, and advocacy “Top 10 Sleep Questions”
opportunities at Mass
General, e-mail: • Discuss policy implications Admission is free; seating is
limited; light refreshments; Programs are free and open
for public health
mghvolunteer@partners.org, to MGH staff and patients.
or call 617-726-8540.
• Examine the role of health parking vouchers available.
professionals in engaging RSVP to: 617-724-0406, or All sessions held in the Blum
in climate issues email: dementiacaregiver Patient & Family Learning
For detailed information, go support@mgh.harvard.edu. Center from 12:00–1:00pm.
to: info.mghihp.edu/. Events are live-streamed
Leading across For more information, call
professions: building 617-643-8809. and recorded on the Mass
General Facebook page at:
trust and re-framing facebook.com/massgeneral.
conflict in inter- Albert H. Brown
professional teams For more information,
Medical Nursing New Biomed call 617-724-3823.
Thursday, April 30–Saturday,
May 2, 2020 Visiting Scholar Website
Open to all disciplines, Friday, April 24, 2020 The re-designed website is
special rates available.
This immersive workshop
7:30am–4:00pm
O’Keeffe Auditorium
a resource for staff who use
medical devices supported
New hours
aims to expand your skills as Developing a Therapeutic, by Biomed. The new site for outpatient
an inter-professional leader.
bed
Compassionate, and Safe offers a more user-friendly Pharmacy
y ne
Response to Managing menu, on-line service requests,
a
Participants will learn to: FAQs, and more. The outpatient Pharmacy
Disruptive Patient Behavior
• apply models of trust to
M tpo
in the Wang Building is now
understand your own The new site integrates open:
Presentations held
pos
inter-professional team/ the Model Shop web
environment throughout the day, featuring pages, providing one site Monday through Friday
keynote speaker, Colleen
• create a plan to enhance Snydeman, RN, executive
for all Biomed services. 8:30am–7:00pm
trust in your team (Note: although the URL
director, PCS Office of
• develop strategies to Quality, Safety & Practice,
has changed, accessing the Reminder that staff can use
flatten power hierarchies site is the same — under the dedicated professional
at 2:15pm.
• re-frame how you think Partners Applications, click phone line (617-643-4276)
about conflict Biomed Site, then select to contact the Pharmacy,
To register, go to: www.
• test your skills in relational mghpcs.org/KnightCenter/
MGH Clinical Biomedical Monday through Friday.
dynamics Engineering Website.)
index.asp.
• learn to leverage conflict Weekend hours:
to empower higher Visit the new website during Saturday 9:00am–3:00pm
functioning teams Contact hours awarded for St. Patrick’s Day week and
each session. Sunday 9:00am–12:30pm
For detailed information, go you could be a winner! Click
on St. Patrick’s Day-themed For more information, call
to: info.mghihp.edu/leading- For more information, 617-724-3100.
across-professions-2020. icons to be entered in a
call Brian Cyr, RN, at raffle to win a gift card to
CE credit available for some 617-726-3130. MGH eateries!
disciplines.
Page 14 — Caring Headlines — March 19, 2020Patient Safety ACLS Classes Dermatology
Culture Survey Certification: Bootcamp Published by
(Two-day program) Caring Headlines is published once a
We want to hear June 5-6, 2020 month by Patient Care Services.
from you! Day one: Starr Center
Publisher
June 11, 2020 Simches Research Building Debbie Burke, RN, senior vice
“Speak Up for Patient 8:00am–3:00pm 2nd floor president for Patient Care
Safety” by completing the Day two: The department of Managing Editor
MGH/MGPO Survey on June 12th Dermatology is offering a Susan Sabia
Patient Safety Culture. 8:00am–12:00pm 2-day conference providing Editorial Advisory Board:
Providers and employees a crash course on the most Disability Program Manager
should have received an prevalent topics related to
Zary Amirhosseini
email from SurveyMonkey Re-certification: Editorial Support
April 8, 2020 skin cancer, skin disorders,
(emort@partners.org via and issues related to hair
Marianne Ditomassi, RN
SurveyMonkey) with a link to 5:30–10:30pm Mary Ellin Smith, RN
and nails. Informatics
the confidential survey. Ann Marie Dwyer, RN
CPR Training ($100) Target audience is:
This is an opportunity to June 11th Medical Interpreters
share your views on our 2:00– 5:30pm • nurse practitioners Carmen Vega-Barachowitz, SLP
culture related to patient • social workers Materials Management
safety and transparency. Your Locations to be announced. • psychologists Edward Raeke
candid responses inform our Some fees apply. For informa • physicians Nutrition & Food Services
efforts to ensure all clinicians tion, contact Jeff Chambers • physician assistants Donna Belcher, RD
Susan Doyle, RD
and staff feel comfortable at acls@partners.org.
16 CME credits Office of Patient Advocacy
reporting errors and speaking To register, go to: Robin Lipkis-Orlando, RN
up when something isn’t http://www.mgh.harvard. To register, go to: https:// Office of Quality & Safety
right. We are committed to edu/emergencymedicine/ mghcme.org/courses/ Colleen Snydeman, RN
making Mass General the assets/Library/ACLS_ course-detail/dermatology_ Orthotics & Prosthetics
safest possible environment registration%20form.pdf. bootcamp. George Reardon
for everyone who comes PCS Diversity
through our doors. For more information, call Deborah Washington, RN
866-644-7792. Physical Therapy
Completing the survey Occupational Therapy
automatically enters you in a Michael Sullivan, PT
drawing to win raffle prizes Police, Security & Outside Services
and weekly drawings for Joe Crowley
Coffee Central gift cards. Public Affairs
Colleen Delaney
For more information, Respiratory Care
contact Jesse Russell at: Ed Burns, RRT
jrussell7@partners.org. Social Work
Ellen Forman, LICSW
Speech, Language & Swallowing
Disorders and Reading Disabilities
Carmen Vega-Barachowitz, SLP
Spiritual Care
Carmen Vega-Barachowitz, SLP
The Institute for Patient Care
Please check before attending events.
Gaurdia Banister, RN
Training and Support Staff
Gino Chisari, RN
Many activities are being canceled or Volunteer Services
Jacqueline Nolan
postponed due to the coronavirus Distribution
Jacqueline Nolan, 617-724-1753
Submissions
All stories should be submitted
to: ssabia@partners.org
For more information, call:
617-724-1746
Next Publication
April 23, 2020
March 19, 2020 — Caring Headlines — Page 15Safety/Awareness
No more dialing 9 before
calling 911
I
In response to a new federal law re- For all other calls outside the All 911 calls made from a Mass General
quiring businesses to simplify access hospital phone system, dialing 9 land line are flagged and reported to Police
to 911 emergency services, Mass then 1 is still required. & Security. You may receive a follow-up
General has updated its telecommu- call from Police & Security subsequent to
nications systems so that callers no In light of this change: calling 911.
longer have to dial 9 before dialing
911. Effective immediately, callers
• be vigilant when dialing out-
side the hospital to avoid ac- This change is intended to make it easier
using hospital land lines can dial 911 cidentally calling 911 for employees to reach 911 in the event of
directly to reach emergency assis- an emergency. For more information, call
tance. (Dialing 9-911 will continue
• if you do accidentally call 911,
don’t hang up. Tell the opera- Tom Mahoney, Police, Security & Outside
to work.) tor you dialed 911 by mistake Services, at 616-724-7694.
“911, what is your emergency?”
First Class
US Postage Paid
Permit #57416
Headlines Boston, MA
March 19, 2020
Returns only to:
Volunteer Department, GRB-B 015
MGH, 55 Fruit Street
Boston, MA 02114-2696
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