Nurses share what their personal and institutional patient care plans are for 2011, and how those goals will affect patient care. From obtaining new certifications to taking the time to listen to and interact with those under their care, nurses focus on the bedside to take their practice to a whole new level.
Isis Zambrana, RN
Director of Clinical Quality Improvement
North Shore Medical Center, Miami, Fla.
For 2011, our goal will remain consistent with our hospitals overall mission to put patient care first and provide high-quality, compassionate healthcare. We educate our staff on the latest clinical guidelines and evidence-based care. We also create the culture of accountability. Next, management and administration deliver the tools to help our staff do their jobs correctly. We provide resources and support to facilitate effective communication as well as an efficient and safe environment. Since the safety of our patients and staff is of utmost importance, we build safeguards into our clinical processes to prevent process breakdowns that could have adverse effects. Patients appreciate being involved in their healthcare. For example, our hospital has developed an initiative for heart failure patients. When a patient receives a heart failure diagnosis, the hospital goes above and beyond to help him or her manage the disease. Each patient has a followup appointment scheduled with his or her doctor before he or she leaves the hospital, and every patient also receives a scale to help monitor his or her weight at home. Patients also receive a phone call from the hospital at least 48 hours after discharge so they can ask clinical questions or raise any health concerns.Juana Grillo, RN
Juana Grillo, RN, CMSRN
Staff Nurse 3 East Medical/Surgical
Coral Springs (Fla.) Medical Center
My New Years resolution is to improve customer service. As a member of the Ambassador Council committee, Im focused on the care provided to patients, recognizing patient and family perspectives, values, belief and culture with a sincere and caring attitude that will help me succeed in accomplishing the overall mission of excellence. The customer service culture at CSMC starts with nursing leadership. I will encourage staff to work together for the safety and satisfaction of the patients. Helping patients to understand their rights and responsibilities and will improve the patient-nurse relationship, patient satisfaction and trust. Bedside report encourages patient and family participation in decision-making, emphasizing family-centered care. Being a good listener, assessing and anticipating patients needs with hourly rounds give confidence to patients. Prompt responses to call lights are the primary tool for patients safety. Physician-nurse rounding is another of our initiatives to create security for the patient and improve customer service. I learn from my patients that an approach with a genuine smile can change their day and also will give them the trust to know that they are in good hands.
Ryann E. Basiliere, RN, MSN, CNL, PCCN
Orlando (Fla.) Health
While many individuals will resolve to improve their overall health, those of us in nursing should extend that resolution to include improving the health of patients in the acute care setting. As nurses, we must be adept to nursing-sensitive outcomes, such as nosocomical infections. It is our responsibility to monitor and control infection outbreaks in the healthcare setting. For 2011, I hope that nursing will become engaged and empowered to enforce infection control guidelines and to develop and implement policies that would prevent these infections. I would like to see nursing truly take control over our environment of care and advocate for our patients when it comes to devices or procedures that put them at risk for infection. When nursing becomes empowered to participate in research and use evidence-based medicine, the vision of this New Years resolution will crystallize into one of our greatest accomplishments. As we continue to safeguard our patients, I hope that the reform of nursing will include diligent efforts to improve our current practice of infection control and establish new guidelines that will protect our patients when they need it the most.Dasha Smith, RN
Dasha Smith, RN
Coral Springs (Fla.) Medical Center
As the new year approaches, we keep in mind that nursing is a constantly changing industry. As nurses, we look forward to growing and changing while we eagerly anticipate finding ways to meet new challenges. One of my resolutions is to focus on ways to personally improve patient care. I plan on doing this is through good communication. This not only includes communication across the healthcare continuum; it also includes our patients. I plan to fully involve the patients in their care by communicating to them what is being done for them within their plan of care and teaching them about their disease processes and preventive measures they can take by identifying risk factors. Experience with patients has taught me that communication is the key in enhancing the quality of patient care, and no doubt this has influenced my goals a great deal. As the saying goes, When we know better, we do better. That applies not only to healthcare providers, but also to the people for whom we so passionately care.Taina Borges, RN
Taina Borges, RN
Manager of Telemetry
Coral Gables (Fla.) Hospital
For 2011, my resolution for patient care is to continue to provide high-quality, cost-effective nursing care that promotes patient safety to our diverse community. I intend to execute these goals by first implementing a SWOT analysis S-strength, W-weakness, O-opportunity and T-threats. This system will help organize and identify my plan of action throughout my main focus areas, which include reducing falls and hospital acquired pressure ulcers, increasing VTE prophylaxis among eligible patients and including more education processes for the staff and patients.
My patients have continuously reinforced the importance of the nursing staff going back to the basics. This means the nursing staff spends more quality time educating patients, including on the care plan and disease process, medications and discharge planning. This has definitely influenced my goals to actively including patients in their health education processes and care delivery.
Margie Butler, RN
St. Josephs Hospital
St. Josephs Hospital is growing to meet the needs of the community with a $35 million project that aims to serve more critical care patients and expand orthopedic services in a spacious and comfortable setting.
Using evidence-based design, St. Josephs created an environment with elements known to increase safety and reduce medical errors and infection. For example, each of the 52 private rooms features an identical floor plan that allows our team to work more efficiently with
each patient. The sink near the door allows visitors to take part in one of the most important patient safety practices: washing their hands when entering and exiting the room.
Decentralized nursing stations decrease walking distance for nurses, allowing them to spend more time at the patients bedside. Placement of medication, supplies and nutrition rooms are organized around the process of care delivery to keep resources close to nursing staff.
St. Josephs Hospitals new ICU provides rooms with support space for families and overnight accommodations for visitors who can be collaborators in care. Every private suite has a
full bathroom and shower for patients and their families, who are welcome to stay at the bedside.
Also included in the two-story, 25,000-square-foot addition is a family-focused care unit designed for patients requiring hospitalization following orthopedic surgery. Twenty-six patient rooms large enough to accommodate rehabilitation equipment give patients more space to increase mobility and receive therapy services in the privacy of their room.
Carmelle Christine Lo, RN, BSN, BBA
Florida Atlantic University, Boca Raton, Fla.,
Memorial Hospital West, Pembroke Pines, Fla.
As a caring and dedicated professional, I know there is always room for improvement, and it is my desire to search for new ways to practice and provide care at an optimal level. I resolve to dedicate myself to new graduate nurses entering our profession and be a supportive and helpful mentor.
My mentorship will promote a healthy working environment conducive to motivation and encouragement and positively influence the quality of care. Wanting the best patient outcome has led me to devote and dedicate myself beyond my nursing practice to acting as a mentor at my Magnet facility.
It is important to listen to the needs of the new nurse, to help them feel comfortable to ask questions and learn how to best care for our patients. This support will be reflected in positive patient outcomes, nursing retention and when new nurses aspire to become leaders themselves and continue the learning cycle within the nursing profession.
Marie Novero, RN, MSN
Memorial Hospital West, Pembroke Pines, Fla.
My resolution for patient care is to search for ways to reduce medication errors. Literature suggests that when all errors are accounted for, a patient can expect, on average, to experience more than one medication error each day. To help decrease hospital medication errors, we have recently adopted a systemwide practice of distributing patient-friendly medication schedules to patients and families. As an active member of the research shared governance council, I plan on achieving my resolution by continuing my efforts in determining the effectiveness of these schedules and improving ways to involve patients and families in the medication administration process. As part of a Magnet-designated hospital, we rely heavily on evidence-based practice and are constantly searching for ways to improve our research-driven hospital culture. We also practice patient-family centered care, which we hope will help reduce medication errors.Jennifer Gianos, RN
Jennifer Gianos, RN, CBN, RNFA, CNOR
Program Coordinator/Bariatric Manager, Surgical Weight Loss Institute at North Shore Medical Center, Fort Lauderdale, Fla.
For bariatric patients to be successful, they must be fully engaged and committed to making lifestyle changes. In the new year, I aim to help motivate our patients to comply with recommended lifestyle changes and treatment plans. In addition, I will continue to give them the necessary tools to reach their long-term health goals. For example, implementing evidence-based care, taking more time at the bedside, etc.
I will fully engage patients in their treatment and follow-up care, provide education and help patients reduce barriers to making healthier lifestyle choices. One of our teams strategies is to implement phone conferences between clinical staff and patients post-discharge. For patients who live far from the hospital, phone conferences can be an effective way to keep them on track.
Every goal we make is based on our patients needs. Every day, our patients teach us something, and we make it an ongoing priority to adjust our program to give patients what they need to be successful along their journey to achieve health.