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Issue , Winter 2006

Words of Wisdom

-- Mother Teresa


Letter from the Magnet Steering Committee

On behalf of the Magnet Steering Committee, welcome to the first issue of SVMH Nurse. In addition to showcasing progress toward our goal of earning a Magnet designation for the hospital (as did its predecessor Magnet News), this quarterly newsletter will celebrate each of you and deliver inspiration as well as information. By sharing your story ideas, suggestions for improvement, questions and news with a committee member you will help ensure that every issue reflects our incredible nursing team and our dynamic profession. Each issue of SVMH Nurse will feature something for every nurse--from introducing new hires and career and education opportunities to a behind-the-scenes look at our nurses at work, in the community and in life. You'll see a number of recurring columns, but the related subject matter will change with every issue. The significance of achieving the Magnet hospital designation may differ for each of us. Perhaps one of the most significant changes will be for the bedside nurse. In Magnet hospitals, bedside nurses participate in the patient care decision making process and have greater control over their own practice at the bedside, where they are the clinical experts. In most nonMagnet hospitals, the policies and procedures that impact the bedside clinical practice usually occur at the director level. This is our chance to create a change for our patients and our nursing practices. Please feel free to contact any of the following individuals with your comments, suggestions and questions--Jeanne Hayashi, ext. 1188, PACU; Cynthia Hopkins, ext. 2729, Nurse Recruiter; Janis Magers, ext. 2121, 4th Floor; Mary Stepien, ext. 2397 or Kathy Finnigan, ext. 2996. They can also be reached via MOX or Outlook.

Kind words can be short and easy to speak, but their echoes are truly endless.

Inside this issue

Magnet Update . . . . . . . . . . . . . . . . . . . . . . . . 2 What's New . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Personal Fitness and Well-Being . . . . . . . . . . 3 Nurses in Education . . . . . . . . . . . . . . . . . . . . . 4 FAQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Nurses in Profile . . . . . . . . . . . . . . . . . . . . . . . 5 Welcome New Nurses . . . . . . . . . . . . . . . . . . . 6 Letter from Irene . . . . . . . . . . . . . . . . . . . . . . . 6 Nurses in Life . . . . . . . . . . . . . . . . . . . . . . . . . . 7 News On Promotions . . . . . . . . . . . . . . . . . . . . 7 Department Focus . . . . . . . . . . . . . . . . . . . . . . 8

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Magnet Update

Shared Governance In November 2005, several members of our nursing staff and nurse leadership participated in a teleconference on shared governance, an ongoing topic at Magnet meetings. The title of the conference was--How to Create and Sustain a Culture of Nurse Empowerment. Shared governance is a professional practice model founded on the principles of partnership, equity, accountability and ownership. These principles foster a culturally sensitive, empowering environment that enables sustainable and accountability-based decisions and an interdisciplinary design for patient care. Watch for more details in future issues. Rapid Cycle Videos So many good things are already coming out of our quest for Magnet status. Here are some recent highlights: Several nurses--we like to think of them as our resident "budding actresses"--volunteered to teach and demonstrate Rapid Cycle Improvement concepts for a series of videotaped presentations. The Magnet Steering Committee has already viewed and edited the drafts, and after final editing, they will be available for you to view. We'll let you know when they're ready. Recognition and Rewards Program The Rewards and Recognition Committee (a sub-committee of the Magnet Steering Committee) carefully crafted a new hospital-wide Recognition and Rewards program. The proposal was skillfully presented by Helene Woods to the Magnet Steering Committee and the Customer Service Committee. With the endorsement of Magnet Committee and the Customer Service Committee, it will be presented to Senior Administration. Sub-committee members Jeannie Hayashi, Agnes Lalata, Diane Mesiroff, Helene Woods, Gladys Gaboury and Julie Dixon took on this ambitious project to honor and recognize the organization's most valuable

Words of Wisdom

What is the recipe for successful achievement? To my mind there are just four essential ingredients: Choose a career you love, give it the best there is in you, seize your opportunities, and be a member of the team. -- Benjamin F. Fairlessa

What's New

Skills Day Twenty-four staff nurses launched a major education campaign for our CNAs, NAs and CAs last December. Skills Day was repeated in January 2006. More than130 people participated in the two events. RNs staffed a variety of interactive stations that covered topics including infection control, mock codes, AM/PM care, positioning and skin care, restraints, reporting and documentation, admitting patient routine and post op room set-up.

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Mock Code Blue Drills Mock Code Blue Drills are being conducted throughout the hospital. A team of 18 staff nurses work in pairs on all shifts, all units, setting up a mannequin for a mock drill. So far, staff have responded positively and feel these rehearsals help to prepare for the real thing.

Improving Postoperative Ambulation A group of staff nurses is working on a project to improve the practice of postoperative ambulation. A highly-motivated team of RNs and CNAs meets to identify methods that help ensure that our patients are ambulated early and often enough to improve outcomes. The group is looking at research to approach this as evidence based practice.

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Words of Wisdom

Every tomorrow has two handles. We can take hold of it with the handle of anxiety or the handle of faith. -- Henry Ward Beecher

Personal Fitness and Well-Being

While the rewards of nursing are many, some days and situations can create more than a little stress. As medical professionals, you understand the negative impact that too much stress can have on health and well-being. For many of us, it's impossible to spend an hour at the gym, put our feet up or take a nap in the middle of our shift. So, what's a nurse to do? Here are four techniques, adapted from The Wellness Encyclopedia, written by the editors of the UC Berkeley Wellness Letter that may help. Each takes only a few minutes (20 minutes or less combined), is easy to learn and causes minimal disruption to your routine: COUNTDOWN With your eyes closed, count backward from 20, exhaling slowly. Concentration and imagination are necessary. Imagine you are going down a stairway. When you reach zero and want to resume your normal routine, inhale and count to three. IMAGERY Stop what you are doing and close your eyes. Imagine a beautiful scene, perhaps something you saw on your last vacation. Spend five minutes examining and enjoying every detail of this mental picture. If you are by a lake, listen to the water lapping. Count the trees and the flowers. See, hear and smell the surroundings. THE TURTLE This simple exercise, adapted from a yoga practice, is designed to relax the muscles of your neck and back. Sit up straight and let your chin fall to your chest as you exhale. Inhale and move your head back slowly as though trying to touch the back of your neck with your head. Pull your shoulders up as though trying to touch them to your ears. Then release. You can do this anytime, anywhere. It doesn't even look all that strange. SCANNING At your desk, during a break, or even while waiting at a traffic stop, inhale and slowly "scan" your body. Think about each muscle group--face and neck, shoulders, arms, abdomen, legs and feet--and seek out tense muscles. As you exhale, relax all the muscles that are tense. It may help, as you scan your body, to recite silently some phrase that has a calming effect.

Greater Customization of Alaris Pumps Our new Alaris pumps can be easily tailored to the needs of our individual practices. Through a wireless server, preprogrammed information, such as drug doses or limits, can be changed with a simple pass of the pump through the wireless hot spot in SSPD. At the request of PACU nurses, a team of pharmacists and nurses reorganized the data so that the three most commonly used PCA drugs now appear on the first page. The PACU nurses believe that this small change makes updating and programming the PCAs significantly faster and easier.

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Nurses in Education

Attracting and maintaining a top-notch nursing staff means providing advanced education and certification opportunities. It also means supporting our local nursing programs to ensure a continued source of qualified nursing professionals. Salinas Valley Memorial offers a variety of incentives that support staff nurses in their efforts to further their education and enhance their skills. Certifications are available for nurses


Registered Nursing programs at Hartnell College have achieved amazing improvements, including a 100 percent graduation rate. Thanks to a strong community partnership with Salinas Valley Memorial Healthcare System, five new full-time faculty members, an enhanced curriculum and the leadership of Debra Denham, Ph D, RN, Hartnell's Director of Nursing and Health Services Education, more nurses are graduating than ever before. Last year, Salinas Valley Memorial Healthcare System joined forces with California State University, Dominguez Hills to launch nursing classes at our Ryan Ranch facility. In September 2005, this program included twenty nurses pursuing their Bachelor of Science in Nursing (BSN) and ten who are working on their Master of Science in Nursing (MSN) degree. Salinas Valley Memorial funds instructor salaries and provides the location. The nursing program accommodates up to thirty BSN and fifteen MSN students. If you have questions about the certification bonus, tuition reimbursement or the classes available for BSN and MSN degrees, talk to the nursing director of your unit.

who work in a specialized area such as critical care, oncology, orthopedics, neonatal intensive care and cardiac care, for example. For the Magnet designation, these certifications reflect excellence in nursing. Upon successful completion of a certification program related to your area of care, the hospital pays a bonus. Reimbursement for tuition and books is available for nurses who pursue a BSN or MSN degree, and those who take courses related to their job. We have long been advocates of quality nursing education in the local community. It's much easier to recruit qualified nursing students who already live in the community, and for working nurses to pursue a degree if it's close to home. During the past two years, the Licensed Vocational Nursing and


If you have a question you would like answered in a future issue of SVMH Nurse, please send a MOX to any member of the Magnet Steering Committee.

Q: If I am hired for a specific unit but it is not

Q: How long is orientation for new nursing staff? Q: Is there a program for recent graduates? A: You need to work in the unit for an introductory A: The hospital nursing orientation takes one week A: Yes. The New Grad Program spans approximately period of six months or receive administrative approval.

and then you spend another two weeks on the hiring unit. There is an evaluation at the end of the threeweek orientation for readiness. ten weeks for the Med/Surg Clusters and thirteen weeks for the Progressive Care Clusters. Each individual is re-evaluated upon completion of the program for additional orientation needs.

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exactly where I want to be, how much time must pass before I can transfer to another unit?

Q: What is the starting salary for graduate nurses? A: $33.63 per hour

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"Every day brings new challenges working in so many different specialized areas of the hospital. Getting close to people quickly and being able to make a positive difference in their day and their

Nurses in Profile

Molly McCarty, RN, BSN, PHN There's good reason that Molly McCarty, RN, BSN, PHN was named Salinas Valley Memorial Healthcare System's 2005 Nurse of the Year. She's considered "a nurse to listen to" by the medical and nursing staff, nursing students and those new to the organization. Her obvious love for her patients as well as her professionalism and exceptional nursing skills seem to bring out the best in everyone around her. Raised in San Diego and graduating from the University of San Francisco in 1979, Molly lived in Utah, Colorado, Oklahoma and Arkansas before joining the nursing staff in 1988. "When we landed here, I looked for the best hospital in the area and found SVMHS," says Molly. "I talked my way into a float position and soon after, they formed an official Float Pool."

health is a great reward."

Molly is trained to provide care for patients on all of the Medical/Surgical and Critical Care units. "I wanted to see and experience the whole gamut of the nursing profession and continue to take on new challenges," says Molly. "For me, being at the bedside caring for patients is what I want to do. Every day brings new challenges working in so many different specialized areas of the hospital. Getting close to people quickly and being able to make a positive difference in their day and their health is a great reward." Molly has two grown sons and is an active member of the VIP (Very Important Players) Soccer League Committee and the Down Syndrome's Parent Network and serves on the Magnet Steering Committee, is chairman of the PPC, and is part of the

newly created "SCIP+ " project. "So many people inspire me," says Molly. "I'd especially like to honor Diana Tanner, a dear friend who lost her battle with cancer last year. She was named 2005 Employee of the Year, a well-earned award. As a buyer for the Surgery Department, Diana had a special bond with nurses, patients and staff, and her "can-do" spirit was an inspiration to us all. Our heartfelt sympathy goes out to her family."

"I wanted to see and experience the whole gamut of the nursing profession and continue to take on new challenges."

From left, Molly McCarty, RN, BSN, PHN with 2005 Employee of the Year Diana Tanner. SVMH NURSE Wi te r 0 0 6 w w SVMHSNURSE , , Wi nn te r 22 0 0 6 · · w w


Welcome New Nurses

Welcome to the nurses who have joined our staff over the past few months. NICU: Maria Arbulu Marie Boyles Nicole Fehr Margaret Mullins Kristi Piccoli Jane Schaller SRMC: Holly Shannon Julie Vasher Janeen Whitmore Pediatrics: Leanne Hall MSR: Xiaoli Liu Amanda McDougall Laurence Perras Joan Tayamin Patrick Thiels Comprehensive Cancer Center: Marilyn Fortin Haileen Quizon MSCV: Virginia Portillo Wound Care Center: Marcy Klein ICU: Dominique Fairbanks Level II: Teresa Burrola Ricardo Martinez Towers: Jose Caballes Janice Christy Mischelle Cruz Heart Center: Michelle Ortaleza Christine Whisler SSOP: Audra Reed Emergency Room: Catalino Santos Madeline Ventura Diagnostic Imaging: Jan Wood Float Pool: Valerie Ball Royetta Calderon Shandria Olota Alicia Reynoso Case Management: Janice Sanning


Clinical Interdisciplinary Documentation Redesign Project (CIDR)

SVMHS is a leader in utilizing electronic clinical documentation (ECD). As with any program or system at SVMHS, ECD is reviewed and evaluated periodically. Based on a series of assessments involving both internal staff and external experts, we have decided to redesign the system. SVMHS ECD team members are to be commended for developing our current documentation model which has served us well. The many enhancements and advancements developed by MEDITECH over the past 15 years and a variety of non-MEDITECH computer applications used by SVMHS, as well as significant increases in data reporting required by regulatory agencies are the primary motivators for redesigning the system. We have contracted with Navin Haffty and Associates to coordinate the Clinical Interdisciplinary Documentation Redesign or Project CIDR (pronounced cider). Project CIDR is vital to SVMHS in terms of meeting our patient care practice, policy, reporting, regulatory and information technology needs. With input from bedside patient care, information technology and education staff, to name only a few, we will create an evidence-based documentation system. The new documentation product will be easier to use and will automatically update changes in healthcare. Our goal is to simplify the documentation process. We expect to complete this project by December 2007. John Fletcher, Senior Vice President/Finance and Information Technology and I are sincerely committed to the success of Project CIDR. To stay informed, we will attend ICIC meetings and receive frequent progress reports from Project CIDR leadership. Doreen Faiello, RN, Administrative Director/Patient Care Services and Support Services is administrative sponsor for this project and Virginia Williams, RN, MSN, Clinical Nurse Educator, will serve as Project CIDR coordinator. Jeff Adams of Navin Haffty & Associates will provide informatics project management and oversight. Of course, to be truly successful, Project CIDR requires the dedication, participation and collaboration of SVMHS clinical staff, manager and director level interdisciplinary teams that will be announced in the near future. I am excited about this important opportunity for our organization, and look forward to working with each of you to make this project a true success.

Irene Neumeister, RN Senior Vice President, Patient Care and Cardiovascular Services


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Words of Wisdom

To succeed, jump as quickly at opportunities as you do at conclusions. -- Benjamin Franklin

Nurses in Life

Linda Minor, CCRN

"Shoot for the moon and even if you miss it, you will land among stars."

That quote hangs in Linda Minor's office at the YMCA and it's a code that she lives by. Linda, is a Critical Care Registered Nurse at Salinas Valley Memorial, Director of Health and Fitness and an instructor at the Salinas YMCA, a personal trainer, a wife and mother of two children. "I set high goals for myself, then go for it," says Linda. "Earlier in life, I was hesitant to pursue my dreams for fear that I wouldn't do well. Once I started accomplishing things, I changed my mindset." New to the area and joining Salinas Valley Memorial in 1987 as a Pharmacy tech, Linda was encouraged to consider nursing school. She graduated from the Registered Nursing Program at Hartnell in 1991 and completed an internship in critical care nursing--her true professional love. Then, Linda decided to shoot for the moon once again. "I'd struggled with my weight for a while and then had two children," recalls Linda. "I was a cheerleader in high school and fairly athletic, so exercise was a logical weight management strategy." Making her own music tapes and using a step unit, she began working out at home. "I started feeling better about myself and realized how much I loved working out. A friend suggested that I try teaching step classes at the Y, and I thought `why not?'" In her usual style, Linda wanted to be the best she could be. She earned certifications through the American Council on Exercise, American College of Sports Medicine and the Aerobics and Fitness Association of America--all rigorous and demanding certification programs. Today, in addition to her nursing career at the hospital, she is Director of Health and Fitness at the Salinas YMCA where she also teaches five to eight classes every week and is a personal trainer for a number of clients. "I enjoy working both ends of the spectrum--with critically ill patients at one end and people who are in great shape at the other," says Linda. "I'm told that I motivate people. It's a great way to honor all the people who motivate me."

News On Promotions

In January, Irene Neumeister, RN, Senior Vice President, Patient Care and Cardiovascular Services named Gail Pieper, RN, MSN, Lisa Paulo, RN and Doreen Faiello, RN to her support team. Gail Pieper, Senior Administrative Director Patient Care Services and Clinical Operations, now plays a leading role in the oversight of nursing operations. Lisa Paulo, Senior Administrative Director Patient Care Services, Nursing Analyst provides support for financial aspects of the division, serves as Solucient Coordinator and continues her role as Staffing Office Director. When Doreen Faiello returns from a Leave of Absence in February , she will assume new responsibilities as Administrative Director Patient Care Services and Support Services which include the new clinical interdisciplinary documentation redesign project (CIDR). Doreen will continue as JCAHO representative for Nursing, her role with the Magnet program, and oversee Case Management. In addition, Jean Aromin, RN, BSN, OCN has been promoted to Director of the Comprehensive Cancer Center and Agnes Lalata, RN, BSN has been promoted to the Director of Medical Surgical and Cardiovascular Services.

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Department Focus

In each issue of SVMH Nurse, we will highlight a department or cluster of nursing units. We think that it will be interesting to learn more about other areas of the hospital. In this issue, we are presenting a list of all the departments along with department and director contact information.

Critical Care Clusters consist of several departments including ICU/CCU,

Level II, 4th and 5th Tower, Heart Center, Heart Center Holding Area, Cardiac Rehab, Cath Lab, ED, Critical Decision Unit and Diagnostic Imaging. ICU/CCU and Level II are located on the first floor, 4th/5th Towers next to 4th and 5th floor.

Annette Schuessler, Director, ICU/CCU, Level II, th and th Tower Margaret Sanders, Assistant Director Gabriele Carroll, Diana Bokemeier, AHNs, ICU/CCU Glorinda Pastorius, Claudia Pagano, Maria Dela Merced, AHNs, Level II ext ext 20 ext 0 ext 90

The Surgical Department actually includes four distinct yet interdependent departments. With the exception of Endoscopy which is on the Cislini Plaza level, these departments are located on the first floor of the hospital.

Surgery Post Anesthesia Care Unit Joyce Wyman Outpatient Surgery Center Endoscopy Candace Reed Sumudio, Director for Surgical Services Missy Erausquin, Assistant to the Director of Surgery Debbie Avilez, Jeanne Hayashi and Max Zabala, Post Anesthesia Care Unit Donna Ritenour, Joyce Wyman Outpatient Surgery Center Lorrie Mendoza, Endoscopy ext ext ext 9 ext 90 ext 0 ext 9 ext ext 202 ext 90

Ruth Andrews-Inguill, Linda Sarratt, Martha Galaz, AHNs, th and th Floor Towers ext or 92 Terry Aaroe, Director for Heart Center, Holding Area and Cardiac Rehab Cheron McClintock, Gloria Isla, Maria Gutierrez, AHNs, Heart Center Holding Area Julia Kuwada, Director for Cardiac Rehab Debra Short, Assistant Director of Cath Lab ext 2 ext 90 ext 26 ext 99 ext or 66 ext 0 ext 29 ext 29 ext 29 ext 0 ext 200

The Medical Surgical Cluster consists of 3rd Floor (CV3), 4th Floor (Ortho), 5th Floor Oncology and Pediatrics.

Jean Aromin, Director Comprehensive Cancer Center Mary Prokopchuk, Diane Mesiroff, Renee Armenta, AHNs , th Floor Agnes Lalata, Director, MSCV ext 26 ext ext 2 ext ext 6 ext 96 ext

Maternal/Child Services includes SRMC, Well-baby Nursery, NICU,

2nd floor. SRMC includes Labor & Delivery Post Partum (mother & baby), and 2nd Floor.

Midge Elkins, Senior Administrative Director Kathleen McGuinness, Director for SRMC Laura McCord, Leticia Aninzo, Astrid Hoops, AHNs, 2nd Floor Sharon Roberts, Director for NICU NICU Rose Maniwang, Clinical Assistant Director Karina Kessler, AHN, Nursery ext 26 ext 09 ext 2 ext 2 ext 20 ext 696 ext 20 or 26

Rosa Gonzalez, Catherine Gomez, AHNs, rd Floor Lisa Garcia, Prescila Balgos, Agnes Herrera, AHNs, Pediatrics A J Barrel, Director for th Floor Janis Magers, Neena Moriyana, AHNs, th Floor

Nuala Rippere, Director for Emergency Room and Clinical Decision Unit Darrin Mooneyham, Assistant Director Jewel Burr, Ellen Thorp, Hal Rightmyer, Flormelissa Tinajero, AHNs Mary Stepian, AHN, Diagnostic Imaging Emergency Room Critical Decision Unit

Other Departments

Janice Sanning, Manager for Case Management Judy Snyder, Director for Education ext 96 ext 92

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