FALL 2020Celebrating teamwork, communication, achievement and excellenceOur nurses arecreating positiveimpact, every day andone patientat a time, and helpingour communitythrough the COVID-19pandemic of the lastseveral months. Weare so proud of how these front-linehealth care teams, united in caringand courage, have continued toprovide science-based, technicallyprecise, compassionately deliveredpatient care.In this issue, you can read aboutthe people and personalities on ourProfessional Governance Council,Advanced Provider PracticeCouncil, Clinical Practice Council,Diversity, Equity and InclusionCouncil, EMR Council, ProfessionalDevelopment Council, Quality andSafety Council, and EvidenceBased Practice and ResearchCouncil. We also highlight the 2020Nursing Science and ProfessionalGovernance Conference heldduring Nurses Week in May, Year ofthe Nurse Recognition and AwardsCeremony, and recent recipients ofDaisy Awards.DAISY COVID Team AwardThe DAISY Foundation added an award this year to recognize the caring, courageand compassion nurses and teams have demonstrated during the COVID-19pandemic.The following units were recognized:Emergency DepartmentDavis 12 Surgical SpecialtiesMICUDavis 14 Ortho/TraumaTower 7 MISCU BlueCTICUTower 7 MSICU GoldEast 4 Accelerated AccessOur clinicians give of themselvesin many ways, including charitablegiving, and we offer a personal lookat why one of our own employeesgives to UC Davis Health. We alsoTOBY MARSH CONTINUED ON PAGE 2
toby marsh continued from page 1highlight how our nurses have gotten involved in the Sacramentochapter of the National Association of Hispanic Nurses and the localimpact from their activities. Other content features our progresson ambulatory nurse sensitive indicators and how Patient CareServices recently launched an initiative to declutter and approvethe appearances of all in-patient care areas. We also have a storyon the burn team – the American Nurses Association has officiallyrecognized our burn nursing as a nursing specialty.There’s so much more in this issue, so enjoy this opportunity tolearn about our nurses and their impact throughout our community,especially with underserved populations. As an academic medicalcenter, we’re making enormous progress on so many fronts vitalto a healthy, equitable and just society. Nurses are always there inthe most difficult moments, no matter the challenge – our caring isevident to patients and their families. We are a bit like the rabbit inthe famous battery commercial – we keep going, and going, andgoing. Thank you for you amazing professional commitment anddedication.Yours in Health,Toby K. Marsh, RN, MSA, MSN, FACHE, NEA-BCChief Nursing and Patient Care Services OfficerUC Davis Medical Center2uc davis health nurse newsletter FALL 2020AmbulatoryNurseSensitiveIndicatorsUC Davis Medical Center voluntarilysubmitted ambulatory data in the2018 Magnet Designation Documentsto demonstrate the outpatientadult infusion areas outperformedthe benchmark for the time fromregistration to opioid administrationfor patients with sickle cell diseasein vaso-occlusive crisis. In 2022we will be required to demonstrateoutperformance of the nationalbenchmark for two nurse-sensitiveindicators (NSIs) for the ambulatorysetting.The UC Davis Comprehensive CancerCenter is tracking time to opioid andextravasation rates in the adult andpediatric infusion areas. AmbulatoryOperations is tracking falls withInjury and will submit this as one ofthe required NSIs across all primarycare and specialty clinics. Otherpossible NSIs for ambulatory settingsare depression and hypertensionscreening with follow-up. Ambulatoryhas also identified possible NSIs forendoscopy and procedural areas:surgical/procedural errors andunplanned admissions/transfers.
GRATITUDE HEALSOur clinicians give of themselves in manyways, including charitable giving. “Why IGive” offers a personal look at why one ofour own gives to UC Davis Health.Betty Clark, BSN, MPA, RNPatient Care Services Director(retired)Betty Clark, BSN, MPA, RN, retired in March 2016 as the PatientCare Services Director overseeing Adult Intensive Care, cappingmore than 30 years as a nurse and nurse manager at UC DavisMedical Center. But retirement didn’t mean slowing down forBetty, especially in supporting her former colleagues in nursingat UC Davis Health.A longtime donor to UC Davis, Betty established an endowedsupport fund in 2016 for Re-Igniting the Spirit of Caring (RSC),and followed up with a larger pledged gift to the fund in June2020.What makes someone like Betty invest in the future of nurses atUCDH? We sat down with Betty to find out.The Gratitude Heals campaign is an ongoing effort by PatientCare Services to inspire and encourage the role – and impact– of philanthropy in the improved care of patients and self-careof clinicians and staff. The campaign is centered around four giftfunds: The CARE Project Re-Igniting the Spirit of Caring Endowed Fund Patient Assistance Fund Child Life Support FundIf you’re interested in learning moreabout the campaign, please scan theQR code or contact John Gorney [email protected] did you become a nurse?I wanted to be a teacher from a very young age. When Igraduated high school, there were few positions for teachersopen. I had a strong interest in the sciences so I redirectedmy energy toward preparing to a nursing career. I figured outalong the way that a major role for nurses was teaching.You had a wonderful career at UC Davis Medical Center.What made it is so memorable for you?The patients, the staff and the daily challenges made comingto work interesting and rewarding.Why is giving back to UC Davis Health important to you?I was raised that it was the right thing to give back for all ofthe education, support and kindnesses shown to me. I havebeen fortunate to come from a family that believes in helpingothers. I learned so much over the years, made mistakes andwas mentored by wonderful nurses.Why is the Reigniting the Spirit of Caring the program youchoose to support?I always took the same classes that we required the staffto take. I wanted to be able to explain the class, why it wasrequired or recommended. I attended RSC and was morethan grateful that I did. I certainly received more than Icontributed. I realized that like many nurses, I kept going fullspeed and did not take the best care of myself. You have togrieve, feel the emotions, refill and refresh to be able to giveto the staff, patients and families.You have been a donor to UC Davis for more than 30years? What would you say to nurses thinking about givingthrough Employee Giving’s payroll deduction program?Find your passion, go slow and advance your donation(s) asyou gain confidence in the system and your salary allows.Contact Employee Giving and see if there is a need thatspeaks to you. Be involved.What would you tell your former nursing colleagues aboutinvesting in the future of nursing through RSC?I believe in my heart that the RSC program makes adifference in the lives of the staff who will and do care for meand my family. I believe that the RSC helps those in needfind their way back to why they chose nursing and the areawhere they provide care. I believe that strong, smart, caringnurses, RTs and all caregivers are needed now and in the future.What comes next for Betty Clark?I am hoping once we recover from COVID-19 to travel toeastern Canada, Scotland, Ireland, Wales and England. Ihope to see my friends in person. Lastly, I am getting readyto upgrade the kitchen. House issues seem never ending!uc davis health nurse newsletter FALL 20203
Cancer Center NewsEven when COVID-19 started to appear in March ofthis year, UC Davis Health Cancer Center didn’t slowdown. In fact, increase in Cancer Center’s patientvolume transpired. Nursing is the heart of CancerCenter operations, and the ultimate driver for manyopportunities in delivering the best quality care topatients. There are several valuable projects occurringat the Cancer Center.Another significant effort amid COVID-19 is providingfinancial counseling for Cancer Center patients. One ofCancer Center’s R2 Initiatives is financial toxicity. CancerCenter’s early identification is a crucial step in financialhardships.The Pediatric Pain Consultation Clinic is a new monthlyclinic that focuses on patients with a hematological oroncologic diagnosis. Priority patients will be those withsickle cell disease. This is the first chronic pain programfor pediatrics.The Cancer Center has also started two new UnitBased Practice Councils where chairside nurses nowhave a stronger voice and increased contributionregarding their nursing practice.In addition, Pediatric Infusion is piloting anAromatherapy program set for Jan 2021 as well as theOutpatient Bone Marrow Transplant program set forFeb 2021.Lastly, there are a few key leadership changes in theCancer Center nursing teams. We welcomed CortleighMeihls as the new Rad Onc Nurse Manager, KarsenKoehncke as BMT/Apheresis/Progenitor Lab NurseManager, and Anthony Quam as the Pediatrics Clinic& Infusion Nurse Manager. Key nursing leadershippositions are strategically filled with exceptional CancerCenter clinical trailblazers.Cancer Center nursing leaders will continue todrive critical initiatives to best serve the oncologydemographics.4uc davis health nurse newsletter FALL 2020PICC nurses left to right: Kaitlyn Morris, Mag Browne-McManus, NurseManager, Shannon Reese and Erin O’HaraPICC ServicesA new UC Davis PICC services was createdin September 2019. Our team is focused ongaining vascular access while simultaneouslypreserving vessels for our UC Davis patientpopulation. We specialize in pediatrics andall other challenging patient populations. Ourservice provides PIV’s, extended dwell PIV’s,midlines, and PICC’s. We act as a consultingteam for difficult access patients. In doing so, wetake into consideration the patient’s needs andassist in determining the most appropriate andbest line. We also help coordinate patient carewith other departments such as InterventionalRadiology, CSC, Anesthesia, etc. This is toensure timely scheduling and completion of ourline placements. Our team is up to date on thelatest research and best practices in the vascularaccess field; we often trial new products allowingus to achieve the best possible outcome for ourpatients. For example, we are currently workingwith UC Davis’s Products Committee and arelooking to implement a new, more desirable PICCline that will be 1 French size smaller. In doing so,this will reduce the thrombus rate in our patients.Our service is working towards hiring and trainingan additional PICC nurse. With an additional staffmember we aim to be a seven-day service withextended hours by January 2021.
Hospital-Wide Inpatient 5S Initiative In May of 2020, Patient Care Services, launchedan initiative to declutter and approve the appearances of all inpatient care areas. 5S is a techniqueof Lean Methodology for removing waste from yourwork environment. A key aspect of 5S is an organized space. 5S involves evaluating everything thatis present in a space. In a nutshell: organize, clean,repeat. 5S includes the steps of:Sort – Separating clutter from needed items Set in Order – Removing redundancy and arrangingfor ease of use. Shine – Keeping the work area clean and in workingorder for health and safety. Standardize – Outcome of 1st three steps. Sustain – Keeping the changes going. This initiative was led by our Quality and Safety RNChampions, who recently completed Six SigmaGreenbelt certification. In addition, multiple otherdepartments collaborated to quickly conduct astaged roll out. Due to this initiative, we were able to:Improve overall appearance of patient care areas bydecluttering spaces and shared work areas.Identify effective strategies to further expand the RedBag Waste Initiative and consolidate supplies.Removal of unnecessary items and/or fixed equipment from patient rooms.Collaborate with IT to re-imagine workspaces,conduct performance maintenances on all WOWs,and arrange equipment and respective cables foraesthetics and ability to clean spaces.Engage both night and day shift.East 5 Neuro/Rehab Med Station Before and Afteruc davis health nurse newsletter FALL 20205
National Association of HispanicNurses NAHNFront row, left to right: Lupe Padilla RN, Sandra Calderon FNP, Karla Plascencia FNP (non UC Davis Nurse), Diana Arellano RNBack row, left to right: Maria Lozano Vazquez RN, Irene Cisneros Fong RN, Jason Ramos RNThe National Association of Hispanic Nurses (NAHN)was founded in 1975 and is celebrating 45 years! NAHNwas founded to pave the way for advancing healthin Hispanic communities. The mission and focus areto address issues that impact Hispanic communitiesin the US. As policy makers, NAHN and its membersprovide expertise and perspective on the social andstructural determinants of health impacting our patientsand community. Some of the policies and advocacyof NAHN include statements against family separation,statements for increasing nursing workforce diversity,support for DACA students and Alzheimer’s CaregiverSupport Act. NAHN has over 2000 members in 24states and is growing their current 47 chapters.6uc davis health nurse newsletter FALL 2020NAHN Sacramento ChapterReinstated in 2019, the Sacramento NAHN Chapterwas re-established by alumni and students of the BettyIrene Moore School of nursing with the direction of Dr.Mary Lou de Leon Siantz and Dr. Elizabeth Rice. Dr deLeon Siantz is an emeritus professor and the foundingdirector of Center for the Advancement of MulticulturalPerspectives in Science (CAMPOS); Dr. de Leon Siantzis a founding member and a former national NAHNpresident. Dr. Rice is associate Dean for Students andFaculty Success and Clinical professor at the BettyIrene Moore School of Nursing.With the direction and passion of both Dr. Rice and Dr.de Leon Siantz, our members and board have workedto increase our presence in the community and growour chapter members. Nationally, Hispanics make up18% of the population but only account for 7% of theregistered nurses in the US. Our chapter mission is toincrease the number of Hispanics in higher education,with a focus on nursing careers. Sandra Calderon, MS,RN, FNP-C, a Nurse Practitioner in the Cancer Center– Infusion Urgent Care is the Sacramento NAHNPresident.
Opening ofRenal DialysisUniversityTower 1University Tower 1 Dialysis Opening DayOn June 25, 2020, we inaugurated the opening of thenew state-of-the-art dialysis unit on University Tower1(UT1). The Renal Services made the long-anticipatedmove to the newly completed 12 bay unit to include oneisolation room in UT1. The move came after many yearsof operations in North 5 that only housed 4 bays.The new 12 bay unit increased our capacity to meetthe growing needs of our Acute Kidney Injury (AKI) andEnd Stage Renal Disease (ESRD) patients. The new unithas all the amenities required to provide safe patientcentered dialysis with a focus oncustomer service. Each bay comeswith individual TV monitors andtelephones.Patient safety is prioritized usingthe new Centralized ReverseOsmosis machine that operates24/7 in an automated process,simple to operate, and produces5,000 to 13,000 gallons of waterper day that is designed tomeet all current standards of theAssociation for the Advancementof Medical Instrumentation (AAMI).The automated heat disinfection ofthe distribution loop simply and easily reduces biofilmdevelopment and minimizes levels of endotoxin, fungi,yeast and other microbial contaminants.After the first month of operations in the larger unit, wehave seen the benefits as we have seen a significantincrease of patients being provided care. We improvedour throughput in the first two months by 125% andserved more ICU treatments compared to the previousmonths when we were in North 5. We also extendedour unit’s operation up to 11:00 pm.Dialysis team members celebrating their new work spaceThe new unit also has a nice shared break room withAIM/PICC department, that can be converted to a staffconference room for meetings, with the ability to doZoom or Webex. The new unit also has the designatedCN3 office, the MDs or fellows’ room with a microscopethat can project its view to a big screen monitor, dialysismanagement office, and a built-in shower room for staff.uc davis health nurse newsletter FALL 20207
2020 NursingScience andProfessionalGovernanceConferenceCurriculum on the Go: Development of a Mobile Application for anAdvanced Practice Fellowship delivered by Jennifer McGrath, TraumaProgram APP and Christi DeLemos, APP DirectorThe 2020 Nursing Science and ProfessionalGovernance Conference was scheduled to occur duringNurses Week on May 6th. This program has evolvedfrom the original Professional Governance Celebrationthat has traditionally taken place in the ground floorauditorium and now include oral presentations. Theevent offers councils, individuals and teams acrossthe organization a venue in which to present theirevidence-based practices, quality improvementinitiatives, innovations and research. The original2020 event format followed a similar structure to ourinaugural conference in 2019, including an all-dayschedule with breakout concurrent sessions, a poster8uc davis health nurse newsletter FALL 2020session with presenters standing with their postersfor ‘poster professor rounds. Based on feedback fromour 2019 event, we scheduled the 2020 conferenceto occur on the same day as our annual NursingRecognition celebration which was to transpireduring a midday break from the conference activities.The COVID-19 pandemic prompted rescheduling of theconference to August 5, 2020. With the date change,the EBP and Research Council opted to start the dayearlier and compress the schedule with a virtual-onlyposter session. Initially, the rescheduled event wasplanned to occur in a hybrid fashion with both in-personand WebEx attendance at the oral presentations.As state and local guidance evolved, the eventwas changed to an all-virtual offering. The EBP andResearch Council used a portion of the existing roomreservation to provide plenty of space for speakersto present while broadcasting live to attendees viaWebEx. The event schedule was published online sothat attendees could join sessions according to theiravailability during the day. The event started off witha brief welcome from Clinical Nurse Scientist, LoriMadden and comments from both Toby Marsh, ChiefNursing and Patient Care Services Officer and StephenCavanagh, Dean of the Betty Irene Moore Schoolof Nursing. As has become tradition, the EvidenceBased Practice Fellows presented their work duringpodium presentations. These were followed by a mixof 5-minute Ignite! sessions and 20-minute podiumpresentations from a variety of speakers. The dayconcluded with a session featuring the top scoringabstracts in each “Best” category – these 20-minutepresentations highlighted the great work accomplishedby the best of the best. All oral presentations havebeen published on the Center for Nursing Sciencewebsite. UC Davis nurses can “attend” sessions atany time and evaluate those presentations via linkson the website. CEs are offered according to theamount of time reflected in the sessions evaluated.Over 90 nurses participated in the live event withoverwhelmingly positive responses from thosewho commented.Once the event was rescheduled, the poster sessionwas an aspect that presented a challenge – particularlywhat space to hold such an event in with adequate
Ventilator-Associated Pneumonia (VAP) Prevention Initiatives in UC Davis Health Emergency Department delivered by by Yvonne Hansen and Marni Farrdistancing and how to maintain an engaged processwhere authors could advance their skills in presentingtheir work to attendees. The Center for Nursing Scienceleveraged an existing relationship with CanterburyMedia to develop a virtual poster session that includesaudio recor