the Basics
This is Cedars-Sinai Nursing’s Vision Statement
Excellence in Human Caring
This is the current process for improving care on the unit:
UPC, TCAB (also PI, RCA after certain NSI events + debrief huddle, MD/RN and other collaborative committees)
This is how we know patients are satisfied with our care
Regular standing ovations, donations to the Circle of Friends in honor of staff, HCAHPS, leadership rounding on patients
Largest ethnic patient group at Cedars:
Caucasian (large Iranian, Russian groups)
This is CS’s ___ Designation (Number):
This is Cedars-Sinai Nursing’s Vision Statement
Excellence in Human Caring
This quality improvement program won first place for Application to Nursing Practice at the 2017 CS Nursing Research conference:
Neutropenic protocol: More consistently reinforced education and auditing of all neutropenic protocols including daily CHG bathing for patients and education for their families
**Bonus Question**
Name 3 patient safety goals for the unit
0 CLABSIs, 0 falls, 0 Pressure Injuries St 2 and greater; Goals for Neutropenic Precautions Monitoring are: 40 Audits monthly and >90% compliance
This is the number of licensed beds at CS
886
(Largest non-profit hospital in Western US)
In Magnet example 4a, a pt who is transferred into general inpatient hospice on 4SE requires much interdisciplinary support; List at least 3 of the many services and systems that can be utilized to meet her needs.
Seasons Hospice; Supportive Care Medicine; POCR rounds; Love Blanket Program; Spiritual Care; Hospice Care Plan
** Double Score** This is the Nursing Theory used at Cedars-Sinai with a description of its basic principle.
What is Orem’s Model of Nursing (Self Care Deficit Theory), the nurse identifies and meets a patient’s self-care deficits while allowing patient’s opportunities to meet their own self-care needs as much as possible
This was the best scored item in the last nurse satisfaction survey:
"The training and development opportunities offered by my organization have helped me to improve"
These are 3 oncology specific features on CS Link
Oncology Care Plans, Beacon/Springboard, Oncology Navigator, ECOG score
Name 3 programs support the professional development of nurses at CSMC:
Tuition reimbursement program; 16 hours of paid time to attend continuing education courses and conferences; Core Curriculum courses (Onc, med-wurg); Specialty internships; Rising Stars
In Magnet Example EP6, 4SW demonstrated the implementation of Evidence-based guidelines for hematopoietic cellular therapy called this
The Foundation for the Accreditation of Cellular Therapy Joint Accreditation Committee-ISCT & EBMT (FACT-JACIE) **Bonus question**
These are Cedars-Sinai Core Nursing Values:
Advocacy, Global Awareness, Courage and Inclusion
The innovative project/protocol helped to decrease infection risk for neutropenic patients through screening admitting patients
Use of Admissions Priority Guide by Patient Placement and 4 South to screen transfers and admissions during influenza season to prevent and reduce health care associated Influenza like illnesses.
Name 3 ways that innovation is rewarded at CS:
Awards: Presidents Award, Employee of the Month, Standing Ovations Nursing Research Conference Awards Nursing Awards: New Knowledge and Innovation Award, Empirical Outcomes Award
The earliest roots of Cedars-Sinai opened in Los Angeles in this year:
1902
**Double Score** Name all 5 of the Magnet Model Components:
Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge and Innovation, Empirical Outcomes
Name 2 item on the Nursing Strategic Plan that CS is excelling in organization wide:
NSI exceeds mean National benchmark Reliability in Nursing’s standardized protocols (CAUTI, VAP, CLABSI, Frailty, HAPU, Falls); Increased documentation and decreased us of restraints; Increased Alaris pump integration in Peds and Oncology; Continual regulatory readiness with integrated learning from tracers; HCAHPS on Education/Information, Patient Preference, Responsiveness, Pt/Family education; Nurse engagement—81%; Specialty certified—81%; Increase %BSN and %MSN and #enrolled in PhD program > 80%; Increase community volunteer opportunities
Describe nursing and unit orientation for new grads and new hires
NEO: Hospital wide and nursing specific topics. 1 shift dedicated to unit orientation, 3 precepted shifts. New hires meet with leadership regularly. A folder provides educational tools to support their success. New grad nurses additionally participate in NGRP (classroom, skills labs, sim days, CP shift, and 8 weeks with a nurse preceptor). Specialty specific provided throughout first year: NG/NH Onc course, 2 day Chemo Course, Chemo certification, 2 day SCT course
These are 4 ways we incorporate nursing research in practice:
Weekly clinical pearls Monthly clinical posters PPM aligns with evidence-based guidelines such as FACT-JACIE CLABSI, CAUTI, Skin care bundle Nursing Antibiotic Stewardship measures (culturing prior to antibiotics, using aseptic technique with blood culture draws to prevent contaminant results, allergy assessment, documenting and reporting antibiotic reactions) 4 South monthly journal club, cardiac champions, PUP stars
Through CS, over --- volunteers provide care in the community with $--- million given to community benefits. (closest answer wins):
3000, $650 million
In Magnet Example 13EO, the neutropenic precautions program included HH and CHG observation and education. In phase II of the program, name a change that was implemented.
Reviewing the annual heating-ventilation air-conditioning reports in the protective environment rooms. Using Influenza Season Management protocol presenting with flu like symptoms to the clinic or ED with improved pt masking and triage to reduce transmission when admitted to 4S. Implement closed unit with soft stop for HH. Installed brackets for bathing basins, so they would not be placed on the floor.