Winter 2017 Issue
Table of Contents
- A Message from Nursing Leadership
- IMCU Nurse Manager Receives DAISY Nurse Leader Award
- Highlights from the Nursing Patient Safety and Quality Symposium
- Many thanks to Karen Proctor, our Honorary Nurse
- Nursing Grand Rounds: The Cocoanut Grove Fire — A Look Back 75 Years
- Nurse Tank Project Spotlight: The NICU H.O.U.S.E.
- Nursing Campus Integration Update
- Upcoming Professional Development Programs
A Message from Nursing Leadership
Dear Friends and Colleagues,
It has been a wonderful year. Thank you for being part of the extraordinary journey of 2017 as we move towards campus consolidation. In this year of caring for one another, we have seen how dedication, resilience, empathy and commitment can make a difference in the lives of our co-workers and team members. We have seen an improvement in our clinical quality outcomes, thus decreasing avoidable harm to our patients. We are thankful for our patients, families and the Boston community who choose Boston Medical Center as their healthcare provider of choice. It is the extraordinary, compassionate nurses, our collaborative colleagues, and all the BMC staff and employees that make us great.
As we continue to move mountains, here's to a bright new year of working together to transform healthcare and advance the health of the residents of Boston, our patients and their families.
Wishing you a bright holiday season, and, peace and cheer in the new year!
IMCU Nurse Manager Receives DAISY Nurse Leader Award
Jennifer Plummer, BSN, RN, Nurse Manager of the IMCU, was recently awarded the first ever DAISY Nurse Leader Award at Boston Medical Center (BMC). The DAISY Nurse Leader Award is given to nurse leaders who are “a role model for compassion and exemplary practice; creates an environment where attributes of trust, mutual respect, and continued professional development are modeled and supported; and motivates staff with a shared vision and enthusiasm to achieve better outcomes for themselves and for their patients.”
Nominated by the IMCU nursing staff, Jennifer has “transformed our floor into a place where staff want to come in and do their very best. She promotes teamwork, communication, mutual respect and treats everyone fairly.” We couldn’t be more thrilled in celebrating Nurse Leader Jennifer Plummer!
Jennifer joined Boston Medical Center in January of 2016. Prior to coming to BMC, she held various roles as a nurse manager and staff nurse in the Partners Healthcare System, where she worked primarily in the Emergency Department. Jennifer attended Northeastern University and Westbrook College. She enjoys reading, yoga, spin cycling and currently lives in Brookline with her husband and two children.
Highlights from the Nursing Patient Safety and Quality Symposium
On October 18, 2017, the Nursing department hosted a Nursing Patient Safety and Quality Symposium during Quality Week at BMC. Over 60 nurses attended and keynote speakers included Diane Hanley MS, RN-BC, EJD, Associate Chief Nursing Officer of Nursing Education, Quality and Professional Practice, Michael Botticelli MEd, BA, Executive Director of the Grayken Center for Addiction Medicine and Tammy Hshieh MD, MPH, Associate Physician at Brigham and Women’s Hospital and Instructor in Medicine at Harvard Medical School. Participants also learned quality improvement methods and best practices from Emma Trucks, MPH and Nicole Lincoln, MS, RN, APRN-BC. Below are highlights from some of our featured speakers.
Unveiling of BMC’s Nursing Professional Practice Model
Associate Chief Nursing Officer Diane Hanley kicked off the symposium with the unveiling of the design of Nursing’s professional practice model (PPM). The PPM schematic was chosen by nursing staff and illustrates the vision, mission and professional practice of BMC nurses. The model:
- Establishes a shared vision of nursing practice
- Provides an overarching framework for inter-professional care
- Demonstrates a partnership of leaders and bedside clinicians
- Designs, implements and advances over time
- Includes the care delivery model
- Demonstrates alignment with organizational mission, vision and values
Thank you to all the staff for their commitment to patient centered care, our care delivery model and shared governance – core components of BMC Nursing’s professional practice model.
The Opioid Epidemic: How We Got Here, How We End It
Video duration: 53 minutes, 18 seconds
Michael Botticelli MEd, BA, Executive Director of the Grayken Center for Addiction Medicine and former Director of the National Drug Control Policy, takes us through an in-depth look at the opioid epidemic and our efforts to provide substance use care at BMC. To learn more about the Grayken Center, visit their website.
Improving Care for the Geriatric Patient through Delirium Prevention and Treatment
Video duration: 29 minutes, 36 seconds
According to the U.S. Department of Health and Human Services, 5 older patients become delirious every minute and 2.6 million older adults develop delirium each year in the United States, costing hospitals billions of dollars. Tammy Hshieh MD, MPH, Associate Physician at Brigham and Women’s Hospital and Instructor in Medicine at Harvard Medical School, provides an overview of delirium, morbidity and mortality rates, and non-pharmacologic strategies for nursing and clinical staff in preventing adverse outcomes.
Many thanks to Karen Proctor, our Honorary Nurse
We would like to acknowledge and thank Karen Proctor for her 30+ years of service at Boston Medical Center (BMC). Karen has had an amazing career here at BMC and as she embarks on her retirement, we honor and celebrate her commitment and dedication to the nurses and staff.
Karen Proctor first came to BMC in April of 1987 as a temp on a short-term assignment reporting to the Vice President of Nursing at Boston University Hospital. She then moved to a full-time position in Nursing Employment before joining Nursing Education as Program Coordinator, where she dedicated her career to support the Nursing department’s educational programs and clinical educators.
Often described by her colleagues as “a welcoming spirit, a jack of all trades, the go-to person,” Karen is “the glue that holds the department together.” From registering staff for programs through organizing the Nursing department’s major events and activities right down to the details, Karen always went above and beyond, going the extra mile to ensure Nursing was successful. As one educator said, “Karen has always been the advocate for the BMC nursing staff. She can never be truly replaced.”
Another clinical educator recalls, “When I was hired into the clinical instructor group in May of 2004, my first point of contact was Karen Proctor. Hers was the first phone number that I had at BMC. I was so grateful for a lifeline to someone on the other end who could help me navigate my new uncharted waters. Whether doing something on a moment’s notice and with a smile, lending an ear, Karen has always been there for me and our group.”
While she supported over 20 clinical educators, Karen also served as the Ross Committee Chair, lead organizer of Nurses’ Week, a member of the Recognition Committee for the Nursing Excellence Awards, and more importantly, the fun part of her job – the “patient” in many of our education videos!
When asked about her most proud professional accomplishment, her daughter said, “Nurses’ Week — My mother spends months planning it and puts her heart and soul into making it a special time for all nurses because she knows they deserve the appreciation. I can’t even begin to count the hours she spends on weekends putting together baskets, planning speaker events and making sure the entire week runs smoothly for everyone.”
“My mother always said she should have been a nurse. I believe working with nurses was her way of indirectly providing care for not only the patients but the BMC community. BMC has a special place in her heart and she always strived to make the community there a better place,” said her son.
Karen, we can’t thank you enough for your years of selfless service. You will be sorely missed by employees all over the hospital. We honor and celebrate you for all your work and dedication to Boston Medical Center. Thank you.
Nursing Grand Rounds: The Cocoanut Grove Fire — A Look Back 75 Years
On November 28, 1942, the Cocoanut Grove in Boston was “the scene of the deadliest nightclub fire, killing 492 people and injuring hundreds more.” Joseph S. Blansfield, NP, MS, TCRN, Program Manager of Trauma and Acute Care Surgery, takes us through that moment in time in Boston and in the U.S., how the fire happened and its immediate impact that resulted in advances in burn and psychiatric care, public safety and disaster response.
The Cocoanut Grove Fire: A Look Back 75 years, the Disaster that Changed Everything
Video duration: 56 minutes, 41 seconds
Nurse Tank Project Spotlight: The NICU H.O.U.S.E.
A new parent support group program, called the NICU H.O.U.S.E., Helping Others Understand and Share Experiences, is underway at Boston Medical Center and provides support to parents whose babies are being cared for in the neonatal intensive care unit (NICU). Most of the babies who come through the NICU are premature and very sick. “There are some babies who are very fragile for weeks and they don’t have great odds of living. There is a lot of complications that go along with these babies, so they [the mothers] will sit there at the bedside and worry the whole time that their baby may not make it,” said Donna Stickney, BSN, RN, Nurse Manager of the NICU.
By having a support group, the staff nurses found a way to provide additional care and create opportunities for parents to bond and share their experiences with one another while they are at the hospital for lengths of time. Parents engage in weekly activities such as simply sharing a meal together, taking photos of their babies and sharing their milestones, bringing photos from home of their other children and putting them together in a scrapbook.
“They’re sitting there, smiling, kind of laughing and eating together and just getting out of sitting in the room with their baby, hearing bad news if they are really sick. Coming in here [the group], being able to de-stress and talk about things that maybe don’t have to do with healthcare…it’s nice to see that they are able to make friends and talk to each other,” said Michelle Racioppi, RN.
“We were a little concerned about the language barrier for some parents but once they got here and they saw what one mother was doing, they were able to do the same,” said Patricia Edman, RN. “Kudos really goes to the young staff nurses. They’ve been very warm and caring that I think the mothers feel very comfortable talking to them,” said Judy Burke, RN. “It makes it a little homier. I think we tend to focus on the medical aspect but there’s somebody here that probably hasn’t had a meal and sometimes you have to remind the parents, ‘Did you eat today?’” said Carol Brown, RN.
The NICU H.O.U.S.E. meets two times a week, Tuesday and Thursday afternoons and an evening group is in the early stages of being formed.
Nursing Campus Integration Update
From Carol A. Conley RN, DNP, CENP, NEA-BC
As of January 1, 2018, we will be 273 days away from the date when the East Newton Pavilion (ENP) will be closing. Although this seems like a long time, it will be here before we know it! As such, we are actively working on many aspects of planning for the move:
- People – Position selection for the new units has occurred for Menino nurses and will soon be starting for ENP nurses.
- Equipment – We have begun inventories of equipment on the current units and planning for what will be needed on the new units. There will be activities occurring each month prior to the move. Right now the focus is clear the clutter!
We will need to move everything out on ENP so we don’t want to move trash or broken equipment. We will have several formal “clear the clutter” weeks in which dumpsters will be available and staff will be encouraged to clear out anything that will not be needed on the new units. On Menino, this is equally important so we can make room for equipment and supplies that will be coming over. We will soon be asking for “Equipment Champions” from each unit so we can have a team focused on specific tasks each month leading up to the move.
- Communication – We have created a Nursing Campus Integration section on the Nursing Intranet for all information related to the move. Additionally, I have had a chance to conduct a recent round of staff meetings with ENP staff. I will continue with rounding and information sessions as we move forward. Please look for schedules on your units and in the calendar posted on the website.
As I have rounded, here are some of the frequently asked questions from all of you.
- When is the East Newton Pavilion (ENP) moving?
We are planning to have all programs located in the ENP moved by September 30, 2018. We are currently beginning detailed planning for the actual move. We expect to begin in early September of 2018 although there may be certain programs that move a bit earlier.
- I work on one of the units in the ENP, when will I know what my new position will be on Menino?
We will be working with RNs on the East Newton Pavilion beginning in January of 2018 by listing RN positions for all areas which will be available in October of 2018. There will be an organized process beginning in February of 2018 in which nurses will select open positions in areas to which they are qualified in seniority order. We expect all RNs will have completed the process by late March or early April of 2018.
- How will I know what my seniority is?
Seniority dates for all MNA nurses will be posted in mid-January on your units.
- I am a nurse who works on the ENP. How will I know anything about the units on Menino?
There are unit profiles completed for each Menino unit posted on the Nursing Campus Integration website. There are also binders on each unit which have unit descriptions and manager profiles. If you would like further information, please let your manager, Associate Chief Nursing Officer or Carol Conley know and we can arrange for you to tour the unit and/or meet the manager. Tour times will be announced and posted on the Nursing Campus Integration website.
- What happens to my seniority once I move to the Menino campus?
East Newton Pavilion nurses who belong to the MNA will retain seniority on the new Menino unit.
- How will the CNA, unit coordinator and tech positions be decided?
As of October 2017, BMC is in discussion with unions representing ancillary staff within nursing. We will be looking to agree upon a process with the unions. We expect the selection itself will take place in the spring of 2018.
- When will training begin if I need to learn new competencies for my new unit?
Competencies for each unit have been identified. Once the selection process is complete, we will begin some of the training in the spring with refreshers as needed in September. Educators and managers will be reaching out to you individually as needed.
I am available to meet with any staff members in groups or individually to answer any questions you may have. We recognize there are many details to keep track of and this can be a stressful time. If there is anything I can help with, please do not hesitate to contact me.
Carol A. Conley RN, DNP, CENP, NEA-BC
Nursing Director, Campus Integration
Email: [email protected]
Office: East Newton Pavillion Room 1650 (in Professional Development)
(I split my time between ENP and the nursing admin area on east concord St, please leave me a note if I am not there)
2018 Preceptor Program Schedule Now Available
The BMC Preceptor Development Program is designed to help you make the transition from staff nurse to preceptor. If you have never attended a Preceptor course, Part I is focused on nurses new to precepting. If you have attended a Preceptor Course and would like to attend a session to enhance your skills, Part II is perfect for you. This program is offered quarterly.
7:30 a.m. - 11:00 a.m. — Part I: The Art of Precepting, Basics and Beyond
11:00 a.m. - 12:00 p.m. — Lunch (on your own)
12:00 p.m. - 3:30 p.m. — Part II: Fine Tuning Your Skills
2018 Dates: January 8, May 8 or September 10
The program is offered quarterly. To learn more, watch the video below or register in HealthStream.
Boston Medical Center grants 3.5 per part nursing contact hours to nurses who complete this program. You must stay for the entire program, complete pre and post testing, and complete an evaluation form. This program has no commercial support. Faculty and planners have no vested interests, and there are no conflicts of interest. There will be no discussion of off label uses of drugs. Boston Medical Center is an approved provider of continuing nursing education by American Nurses Association, Massachusetts, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Inpatient Nurses: Be your BESTT
The BMC Emergent Situation Team Training (BESTT) is now accepting enrollment for this 2-hour clinical team based simulation. You will learn how to respond to an adult decompensating patient. Nursing staff who come in from home will be paid regular hourly rate as education time and receive 2 continuing nursing education hours.
|Tuesday, January 16||7:00 a.m. - 9:00 a.m.||Thursday, January 25||5:00 p.m. - 7:00 p.m.|
|Tuesday, February 6||2:00 p.m. - 4:00 p.m.||Thursday, February 13||7:00 a.m. - 9:00 a.m.|
|Tuesday, March 13||7:00 a.m. - 9:00 a.m.||Thursday, March 29||5:00 p.m. - 7:00 p.m.|
|Tuesday, April 10||7:00 a.m. - 9:00 a.m.||Thursday, April 26||5:00 p.m. - 7:00 p.m.|
|Tuesday, May 8||7:00 a.m. - 9:00 a.m.||Tuesday, May 29||2:00 p.m. - 4:00 p.m.|
The team trainings take place in the Solomont Simulation Center located in the basement of the Moakley addition. Please use the side door entrance off the Shapiro driveway. To pre-register for the program, follow these instructions to register in HealthStream. Nursing staff who come in from home will be paid the regular hourly rate as education time and receive 2 continuing nursing education hours.
Boston Medical Center grants 2 nursing contact hours to nurses who complete this program. You must stay for the entire program, participate in the activity, and complete the evaluation form. This program has no commercial support. Faculty and planners have no vested interests, and there are no conflicts of interest. There will be no discussion of off label uses of drugs. Boston Medical Center is an approved provider of continuing nursing education by American Nurses Association, Massachusetts, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Trauma Care Everywhere Workshop January 23
Calling all BMC nurses in non-critical care areas who care for trauma patients....There will be a day-long trauma workshop on January 23, 2018 from 7:00 AM - 3:30 PM. This class is limited to 20 nurses. To learn more, email and/or register through [email protected] and [email protected].
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