St. Mark's Hospital - October 22, 2018
by Robin Phillips, MSN, RN, BC, BC-NE

Robin Phillips, MSN, RN, BC, BC-NE
Associate Chief Nursing Officer

As Associate CNO, I have the privilege of leading and working in partnership with St. Mark’s Hospitals 437 nurses. I see each day how this remarkable group of caregivers create patient centered healing environments for their patients and families. Nurses provide top notch care in implementing medical orders as well as providing those human touches that make the difficult bearable. They work hard to individualize the care by treating the human response to illness. That’s what creating a healing environment is about.

Nursing strategy, in 2018 and beyond, is focused on 4 strategic pillars: Advocacy and leadership, Performance Visibility, Consistency in practice operations and Leveraging scale.

Advocacy and leadership is focused on the leadership pipeline. Nurses participate in selecting the right candidate for their department with peer interviewing; every new hire not only is interviewed by the director but also by a select group of top performers using peer interviewing. Directors complete employee rounds on each employee every month to provide opportunity for employees to VOICE their concerns, needs, and hear what is going well. Each department is also represented by a registered nurse on the facility Nurse Practice Council; another forum for nurses to make decisions effecting nurse sensitive indicators and nursing practice.

Performance visibility is improving with the availability of the Nursing Portal to provide metrics to nurse leaders to track and compare nursing care at the unit level across the company.

Consistency in practice operations is focusing on reducing CAUTI and CLABSIs. The daily Director Leader Huddle was transformed in September to a Safety Huddle with directors reporting from each clinical area on patient safety with an emphasis on central line and foley catheter days. At the unit level, Nurse Leader Rounding occurs every day with every patient by the Nursing Director or Charge Nurse. This individual time between the patient and a nurse leader promotes issue resolution and improves the patient’s experience.

Leveraging scale is being utilized to improve effectiveness of nurse educator through a shared services model. The unit educator will spend more time teaching staff at the bedside and less time on administrative duties.

St. Mark’s is receiving several new or improved technologies in the next few months. These include the conversion to Hill Rom Nurse Call, an upgrade to Pyxis ES for medication security and delivery, improved technology for the HUGS infant security system, and the addition of iMobile communication. The new technology is geared to improve patient safety, communication, and nurse efficiency which means more time at the bedside.

Several providers have given education lectures this year. The nursing staff appreciated learning from their medical colleagues and look forward to more learning events in the future. Thanks to the medical staff for your continued support of nursing.

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