Registered Nurse Residency Program – Kaweah Delta Health …daily.kdhcd.org/public/attachments/8833_FEB_Communi_K_2016.pdf · Registered Nurse Residency Program – Kaweah Delta

1A Newsletter For Kaweah Delta Employees Communi-K

A Monthly Publication for Kaweah Delta Employees February 2016

Registered Nurse Residency Program – Kaweah Delta Health Care District

Health care today is heading toward a severe nursing shortage. Acute care facilities report vacancy rates of 10% to 18%, with turnover rates at 13% in general, and 18% to 50% for new graduate nurses. Higher patient acuities, advanced technologies, and heavier workloads are increasing the stress and anxiety of new nurses transitioning from academia to professional practice. This can have a negative impact on patient safety and outcomes.

The Institute of Medicine (IOM) Report of 2010 recommended implementation of nurse residency programs (NRPs) to reduce nurse turnover by supporting nurses transitioning into new practice. The IOM recognizes the changing landscape of academic preparation of nurses and encourages continued education and support of NRPs as critical to successfully develop and integrate newly licensed nurses into the health care team.

Kaweah Delta is meeting this challenge by implementing the Registered Nurse Residency

Program (RNRP). All new graduate registered nurses hired by KDHCD participate in the 12 month program designed to facilitate professional development and improve patient outcomes. The program includes monthly sessions covering topics like clinical decision making, time management, and communication, as well as time in the LHMSkills lab to practice skills including managing IVs, chest tubes, IUCs, and head to toe assessments. Debriefing sessions at each session allow reflection on practice to share and learn from each other’s experience. Comments from our RN residents confirm the value of the program:“Useful information for new RN’s.”“It’s nice to know I’m not the only one feeling the way I do and the process of transitioning.”“It gave me an opportunity to learn in a non-stressful environment.”“I liked the hands-on learning, lots of questions answered!”“We are not forgotten about as new grads, the extra support is great.”

Since the RNRP debut in August 2015, 37 participants from all over KDHCD are enjoying the program with more to come. Our goal of moving new nurses from novice to expert to provide optimum patient care for our community is well supported by our Registered Nurse Residency Program.

K

2 FebruaryCommuni-K

Dec 15 FYTD Goal

Scores 73% 74% 71%Percentile Ranking

Change in Percent Top

Box from prior month+2% - -

Surveys Received 173

December 2015 Patients' Feedback: Collection date

-70

Highest Performing Unit

4 Tower

Response Distribution

INPATIENT

66

Pacesetter Units

Broderick Pavilion, 2 North

Top Priorities73100

Urgent Care � SPC – Ben Maddox � SPC – Akers

Therapy Specialists-Exeter � Therapy Specialists-Lovers Lane � Therapy Specialists-Exeter

Dinuba Therapy � Hand Therapy � Outpatient Neuro

Mental Health � Hospice � Rehab � Home Health � Pediatrics

Top Priorities

More Outstanding Performance

52118

73

0

20

40

60

80

100

0 to 45 & 6789 & 10

Pe

rce

nt

1. Staff describe side effects of new meds 2. Staff consider post discharge

preferences3. Timely respone to call button

3A Newsletter For Kaweah Delta Employees Communi-K

Distinguished Physician: Dr. Javed

By: Sonia Duran-Aguilar

We met with Dr. Javed to recognize him as the Distinguished Physician for the Non-Acute NPC. He was pleasantly surprised. I was happy to have Visalia Dialysis Management and our Renal Services and Oncology Director in attendance.

Nadia is one of the dependable charge nurses at 3W. She is always willing to lend a helping hand. 3W can get incredibly busy and when Nadia is Charge she makes it a point to be in the room with the floor nurse when the patient arrives. She always greets the patients in a respectful manner. I've worked with a lot of different charge nurses throughout the hospital and Nadia is a step above the rest. She is not only an advocate for her patients but also her nurses. She is a great nurse and I hope to be as great a nurse as her one day. 3W is lucky to have her.

Nadia Ruvalcaba Nomination by: Stacy DelgadoMonth: January

Employee of the Month

Photo (left to right): Sonia Duran-Aguilar, Dr. Tariq Javed, Darrell Chudej, Jon Knudsen, and Cindy Shaver

Learn more at:www.kaweahdelta.org/patientsafetysymposium

4 FebruaryCommuni-K

Staff:Robertalee DeCosta, RN

Linda Ellison, RNCheryl Oliveira

Ofelia Padilla, RN

By: Ed Largoza, Director of Patient Experience

High quality physician communication is a major driver of positive patient experiences. Doctors are greatly admired and are often viewed as the leader of care by patients and their families. It is no wonder that three of the top six areas that have the greatest impact on our patients’ overall rating of care are linked to interactions with our physicians.

When our patients are surveyed, they rate their doctors on the following three questions:

1. During this hospital stay, how often did doctors treat you with courtesy and respect?

2. During this hospital stay, how often did doctors listen carefully to you?

3. During this hospital stay, how often did doctors explain things in a way you could understand?

The answer options that our patients select from are Always, Usually, Sometimes, and Never. We only get credit for an answer of Always.

Below is a list of providers that have outperformed the national benchmark in physician communication over the last six months (July through December 2015). Only physicians who received at least six surveys were included in the list.

Thank you for being a standout in physician communication!

• Dr. Leheb Araim• Dr. Robert Ayers• Rita Barron• Dr. Yasser Barsoum• Dr. Abraham Betre• Dr. Lori Anne Boken• Dr. David Borge• Dr. Sandra Bosman• Dr. Sergio Caminha• Dr. Jochebed Carter• Dr. Ian Duncan• Dr. Frank Feng• Dr. Bruce Hall• Dr. Shreya Jain• Dr. Shaiquel Jilani• Dr. Satish Kesavaramanujam• Dr. Talaksoon Khademi

• Dr. George Lake• Dr. Bruce Le• Dr. Hoang Le• Dr. Meenakshi Pant• Dr. Kyle Potts• Dr. Payam Rohani• Dr. Juan Sabogal• Dr. Ivan Sarria• Dr. Donald Schengel• Dr. Fadel Shammout• Dr. Shashi Sharma• Dr. Vajeeh Siddiqui• Dr. David Surdyka• Dr. Raman Verma• Dr. Rodolfo Vicente• Dr. Nicholai Weibell

Excelling in Communication

Continued on page 5

5A Newsletter For Kaweah Delta Employees Communi-K

Here are five keys tips (from John Hopkins University) to improve patients’ perceptions of physicians:

1. Introduce oneself

2. Explain one’s role in the patient’s care

3. Touch the patient

4. Ask open ended questions such as “How are you feeling today?”

5. Sit down with the patient

We appreciate your partnership in helping us exceed our patients’ expectations and providing them with world class service. If I can support you in any way, please contact me, Ed Largoza- Director of Patient Experience, at 559-624-5051 (office), 559-300-3121 (cell), or via email at [email protected].

Continued from Excelling in Communication on page 4K a w e a h D e l t a

Celebrates

Friday

Celebrate National Wear Red Day on Friday, Feb. 5, by

wearing the color red to work. By doing so you make it your

mission to help in the American Heart Association’s fight against

heart disease.

Available at KaweahKorner Now!

*Supplies are limited

feb 5th

• Learn about the Impella® family of products• Self guided and hands on learning• Small-group targeted product lectures and presentations• Convenient on-site location

6 FebruaryCommuni-K

New Leaders

Kassie WatersQuality Improvement Manager

Performance Improvement

Eva PierceHIM Manager

Health Informati on Management

Arthur Ray MadridEnvironmental Services Manager

Environmental Svcs-Main Campus

Lindi FunstonVolunteer Program Manager

Human Resources

Vickie SkidmoreDirector of Health Informati on

Health Informati on Management

New Law Allows NPs & PAs to Sign POLST forms

New Law Allows NPs & PAs to Sign POLST forms California’s POLST program changed on Jan. 1, 2016, when Assembly Bill 637 went into

eff ect, allowing nurse practi ti oners and physician assistants – under the supervision of a physician and within their scope of practi ce – to sign POLST forms and make them acti onable medical orders.

Starti ng Jan. 1, 2016

• Assembly Bill 637 authorizes nurse practi ti oners (NPs) and physician assistants (PAs) – under the supervision of a physician and within their scope of practi ce – to sign POLST forms and make them acti onable medical orders.

• The new law went into eff ect on Jan. 1, 2016. Nurse practi ti oners and physician assistants were not able to sign POLST forms unti l that date.

• POLST signing authority is not expanded to include any other professional classifi cati ons.

• The revised POLST form, which includes a signature line for “Physician /Nurse Practi ti oner / Physician Assistant” on the front and instructi ons on the back, is available for download as a PDF and available for bulk purchase through Med-Pass.com.

• The revised POLST form is marked with an eff ecti ve date of 1/1/2016.

• NPs and PAs who sign POLST forms aft er Jan. 1, 2016, are strongly encouraged to use only the revised form with 1/1/2016 eff ecti ve date.

• The revised POLST form includes a new space on the back where NPs and PAs should write the name of their supervising physician. The signature of the supervising physician is not required.

• POLST forms completed prior to 1/1/2016 and signed by the pati ent/decision maker and a physician will remain valid.

POLST IN 2016

7A Newsletter For Kaweah Delta Employees Communi-K

Events

Friday, Feb. 5National Red Friday!

Friday, Feb. 5 7:30 AM -3:30 PMImpella Mobile Learning LabWest Side of Acequia Wing

Monday, Feb. 85:30 PMBe Heart Smart -An Interactive ForumWomen & Cardiac HealthGateway Church1100 S. Sowell Street, Visalia

Saturday, Feb. 13 8 AMWalk With A DocTopic: Healthy HeartBlain Park3101 S. Court St., Visalia, CA 93277

Tuesday, Feb. 235:30-7:30 PMOpen House and Visalia Chamber Mixer at Chronic Disease Center325 S. Willis Street

Humana Vitality

• Rack up big Vitality points!• Bump up your Vitality status!• Improve your health!

Goals are offered to you based on your Health Assessment and Vitality Check results.

Set a new goal today:Log into your Humana.com account.Hover over “Get Healthy” tab. • Click “My Goals” • Click “Set Goals”

Follow the instructions to complete your goal, get healthy, and earn big vitality points!

We are here to help!KDHCD Champion Helpers: [email protected] Customer Service:1-800-708-1105 (6am-4pm PST)

8 FebruaryCommuni-K

GME Residents in the Spotlight

Residents Name: Evan Kung, M.D.Desired Specialty: AnesthesiologyMedical School: Medical College of Wisconsin Kaweah Delta Residency: Transiti onal YearPracti ce Philosophy: The pati ent comes fi rst.What do you like about living in Tulare County? I like the warmer weather compared to Wisconsin (especially in the winter). I also like the small town feel of Visalia and how everything in town is so close by. What’s the most important advice you have for pati ents? Take care of your body. Although medicine has come a long way, there are sti ll a lot of things that can’t be treated but can be easily prevented with a litt le self-care. What’s something about you most people don’t know? I worked as an

Economics Research Analyst in San Francisco before I went to medical school.

Residents Name: Kunal Singh Kamboj, D.O.Desired Specialty: Physical Medicine and Rehabilitati on – matched at VA-GLA/UCLAMedical School: Western University of Health SciencesKaweah Delta Residency: Transiti onal YearPracti ce Philosophy: Empowering pati ents to take control of their life and help guide them to opti mal health, physically and mentally. What do you like about living in Tulare County? My extended family has lived in the Central Valley for the last 30 years, the opportunity to come back to an area I consider my second home and serve the community that has enriched my life was something I could not pass up. What’s the most important advice you have for pati ents? No matt er how bad things can get, your body is resilient and capable of healing itself and we are here to help guide you toward your goals.

What advice do you have for a student who would like to become a physician? Be diligent, take criti cism, and don’t be afraid to be wrong. Keep balance in other aspects of your life.

9A Newslett er For Kaweah Delta Employees Communi-K

Residents Name: Matt hew Poliakoff , D.O.Desired Specialty: Emergency MedicineMedical School: Lake Erie College of Osteopathic MedicineKaweah Delta Residency: Emergency Medicine Practi ce Philosophy: Always do what is best for the pati ent.Who infl uenced you to become a physician and why? My dad. What do you like about living in Tulare County? Good food and relati vely cheap housing.What’s the most important advice you have for pati ents? Take at least one day a week to do something you enjoy.What’s something about you most people don’t know? I am very claustrophobic

Residents Name: Tyrone Philipson, M.D., EMT-PDesired Specialty: Emergency MedicineMedical School: American University of Anti gua College of Medicine Kaweah Delta Residency: Emergency MedicinePracti ce Philosophy: To treat all of my pati ents as if they were family or friends. What do you like about living in Tulare County? Easy accessibility to Sequoia Nati onal Park and Morro bay/SLO. What’s the most important advice you have for pati ents? Think before you do something dangerous or with an increased risk level. A second of not thinking can aff ect you for the rest of your life. DON’T DRINK and DRIVE!!What advice do you have for a student who would like to become a physician one day? Truly think of your reasons for becoming a physician, only do it if YOU want to do it. Do not do it because of family

expectati ons or any other extenuati ng circumstances. The job is too important and the pati ents expect and require the best. If your heart is not in it there is no way you can give your all to your pati ents.

GME Residents in the Spotlight

10 FebruaryCommuni-K

Dru QuesnoyMarketing & Public Relations Director(559) [email protected]

Please submit articles no longer than 500 words* by the 15th of the month.

* Exceptions to length are made on a case-by-case basis.

K

More than medicine. Life.