In This Issue:

Nurses Making a Difference

MSCV3 Selected for Online Physician Order Forms Pilot

Meet Our Nurses

What's New

Nurse Q & A

Nurse Volunteer Opportunities:

Heart & Sole Race
May 16
6:30 a.m. to 1:00 p.m.
SVMHS main campus

MCSIG Health Fair
May 21
3:00 to 6:00 p.m.
MCOE or Hartnell (TBD)

Relay for Life
June 19 and 20
Hartnell College track

Nurses Making a Difference
Nicosia Brake, RN, BSN, PediatricsNicosia Brake, RN, BSN, Pediatrics

“I enjoy that, at SVMHS, I can care for patients and participate in development of evidenced based policies and procedures that ensure excellence and patient safety,” says Nicosia Brake, RN, BSN. In 2006, after earning a BSN in her native Newfoundland, she joined SVMHS and has been a nurse in pediatrics since late that year. She is also crossed trained to care for newborns in the NICU.

“I’d never thought about nursing as a career until my college counselor told me she thought I would make a good nurse,” recalls Nicosia. “After joining the nursing program, I knew I wanted to specialize in pediatrics. My passion is working with kids.”

Soon after joining pediatrics, Nicosia and other nurses found that they often encountered several versions of the same policy. “So, I volunteered to represent pediatrics on the Nursing Policies and Procedures Committee,” she says. “I wasn’t excited about the policy end of nursing while in school, but now I really love it.”

Given that a commitment to evidence based practice requires staying on top of the many related changes, Nicosia spearheaded an effort to have all nurses on the unit pursue pediatric nurse certification. “Studying for the certification exam is a great way to learn about the latest developments in evidenced based practice,” Nicosia says. “There’s a strong sense of teamwork as we all learn the same things together to improve patient safety and quality of care. I appreciate that SVMHS encourages and supports continuing education and offers so many ways to be involved in change and improvement.”

Nicosia is currently enrolled at the University of Phoenix and anticipates graduating in early 2011 with a Masters of Science in Nursing and Health Administration. In her spare time she enjoys exploring her new home state and spending time with the many friends she has made since moving to the area.

Nurses Earning Pediatric Certification
Prescila Balgos, RN
Nicosia Brake, RN, BSN
Cynthia Emeterio, RN
Lisa Garcia, RN, BSN
Maria Gonzalez, RN
Cheryl Hadland, RN, BFA
Leanne Hall, RN
Agnes Herrera, RN
Melanie Luna, RN, BS
Heidi Olguin, RN
Rebecca Pitman, RN, BSN
Infanta Rogers, RN
Doreen Very, RN
Teresa Woodrow, RN
Pamela Yates, RN

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MSCV3 Selected for Online Physician Order Forms Pilot

MSCV3The Medical/Surgical Cardiovascular unit on the third floor—better known as MSCV3—was selected to pilot online physician order forms. “We’re paving the way for the electronic medical record,” explains Marie Marbach, RN, chair of the MSCV3 Practice Council since January 2008 and a member since the council’s inception. The process began last year with an initial roll-out of Workstation on Wheels (WOW), a component integral to the implementation of online physician order forms.

“The nurses started using WOWs for updating patient information at the bedside,” says Marie, “and identified connectivity issues that were quickly resolved by the IT department.” The project began with streamlining the physician order forms using typical order sets. The forms will soon be accessible online by staff and physicians. The physician, unit assistant or nurse simply prints off the form, the physician checks the appropriate boxes and gives it to the unit assistant. This eliminates the risk of outdated forms, the need for storage and the challenges of deciphering pages of handwritten orders.

“Overall, the reception has been very positive,” Marie continues. “Any time technology is involved, there’s a learning curve. We already see how the system will benefit our patients by increasing accuracy and speed of completing orders as well as our ability to view orders in a timely manner. We are proud to be part of this significant advancement in patient care.”

MSCV3 Practice Council
Virgie Acoba, RN, AHN p.m. shift
Al Alcarez, UA p.m. shift
Aizel Castaneda, RN III, Co-chair of practice council
Cathy Gomez, RN, BSN, AHN days
Agnes Lalata Nieto, RN, BSN, Director MSCV3
Marie Marbach, RN III, Chair of practice council
Jan Moffitt, RN, BSN, AHN nights


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Meet Our Nurses

Marylou Castro
Marylou Castro, RN“As a little girl, I looked up to nurses, seeing their dedication and genuine care for people,” says Marylou Castro, RN, Diagnostic Imaging. “And I knew that’s what I wanted to be.” Growing up in Flagstaff, Arizona, Marylou was a teenager when her family moved to the Peninsula. After high school, she was a CNA at a convalescent hospital and at SVMHS. Later she worked at an OB/GYN practice, before going to nursing school. Graduating in 1989, she rejoined SVMHS and worked on Level II for 13 years. “When a position opened up in diagnostic imaging a few years ago, I decided to try a different type of nursing,” she recalls. In 2007, Marylou was one of four DI nurses to earn certification in using ultrasound for PICC line insertions. “We are responsible for PICC line insertions for patients throughout the hospital. It’s rewarding to see how the changes in DI nursing practice have improved the comfort level and care for our patients.” Marylou and her husband have two grown children. In her spare time, she loves sewing and quilting.


Delories Colclough, RN, BSNDelories Colclough
Delories Colclough, RN, BSN has worked nights in our Comprehensive Cancer Center for nearly 30 years, first as a CNA. Graduating from San Jose State with her BSN in 1982, she was a bedside nurse in the unit until being named AHN in 1986. “About eight years ago I decided to return to bedside care,” she says. “It’s quieter at night so I have more time to get to know my patients and help them work through their fears, hopes and dreams.” She also draws on her skills as a third-level Reiki practitioner to provide palliative care. “A calm, accepting mindset can make all the difference for patients and their family,” she says. “I’m blessed to be able to care for patients at the end of life and help make the process as comfortable as possible.” Delories recently announced her engagement and plans to marry in the near future. She has a grown son who is following in her footsteps as a CNA. In her spare time she loves hiking and other outdoor activities.


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  What's New

Nurse Engagement Survey Starting April 6th

On April 6th we are launching our first Nurse Engagement Survey developed by the Advisory Board. The survey provides information that can be used to improve our professional nursing environment and support your passion for nursing. The goal is to gather information from you about your satisfaction with issues such as professional growth opportunities, teamwork, salary and benefits, work environment and autonomy, for example. We’ll use the information to identify opportunities and measure our progress in achieving continued excellence in nursing and patient care. The survey is scheduled for April 6 and 24. It takes just 10 minutes to complete and can be done on MEMNET either from home or at the hospital. Join in and make a difference, as well as be eligible for prizes and treats.

HR Policies Available in New Policy Software

Human Resources policies are now available in the new policy software—go to MEMNET and click on “Clinical Policies,” then click “HR Policies.” Advantages include:

• Quick and easy access to the most current policies.
• A variety of search methods including keywords, policy title and “all of the above.”
• A hyper-link feature that allows you to quickly access related policies.

Eventually all administrative policies will be located here, providing a single, centralized database for both administrative and clinical policies.

Pressure Ulcer Initiative: Quick Reference Guide for Documentation

Based on a proposal by Dana Rogers, RN III, ICU/CCU, the Pressure Ulcer Initiative was launched in May 2008. Pressure Ulcer Initiative: Quick Reference Guide for Documentation—authored by Janet Vervaecke, RN, BSN, MBA, CWCN, Wound Healing Center nurse, Chris Cagle, RN, BSN, Wound Healing Center manager and Dana Rogers—provides an easy-to-follow guide for care and documentation of patients with pressure ulcers. Clinical Informatics played a key role in creating standardized online documentation that you can use to chart patients from admission to discharge. For a copy of the booklet, please contact our Regional Wound Healing Center at 772-1077.

Kathleen Bartholomew, RN, MNNoted Author and Speaker Kathleen Bartholomew Coming to SVMHS

If you attended the Regional Nurse Network workshop in June, you’re sure to remember Kathleen Bartholomew, RN, MN, who spoke on the pressing issue of nurse-to-nurse hostility. Author of several books on the subject, a consultant and speaker, Kathleen shines a bright light on workplace hostility and our obligation as nursing professionals to identify and eliminate these behaviors. On May 11, in celebration of National Nurses Week, Kathleen will present at three times at Salinas Valley Memorial. Mark your calendar for this informative and inspiring session. More details will be available soon via MOX.

Professional Role Based Nursing Care Model Workshops Scheduled

For SVMHS nurses who have not yet participated in the Professional Role Based Nursing Care Model classes presented by Maria O’Rourke, the new sessions began March 3 and 4. Sessions are presented in a series and participants must attend each of the four classes. Group 7 will meet March 3 and 24, April 23 and May 12; group 8 meets March 4 and 25, April 22 and May 13. If you have questions about your scheduled sessions, please check with your department director or AHN. For questions about class content, please contact the Education Department at ext. 1744.


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Nurse Q & A

Q: Based on what you've learned about horizontal hostility, how would you respond when you see someone exhibiting it toward you or another person?

A: Whether it was happening to me or someone else, my first step would be to try to diffuse the situation by finding a private place to talk. Sometimes, people roll their eyes or have a sarcastic look that they may not even be totally conscious of. It’s important to bring these behaviors to light in a caring, yet direct way so the damaging behavior can be stopped. If it involves gossip, I point out to the person who’s doing it how it sounds and its impact on others. When the unit is busy, which naturally increases everyone’s stress level, people might be a little more abrupt than usual. We all have to be conscious of our attitude and the way we affect others, including visiting parents who are already in the midst of an emotionally difficult situation.
—Debbie Thorpe, RN, BSN, Neonatal Intensive Care Unit

Francis Bullman, RN, MSNA: After attending the Regional Nurse Network class on horizontal hostility, I remember commenting to my supervisor that the related behaviors are often subtle and hard to put my finger on. She told me to trust my instincts and that if it feels wrong, it’s wrong. I now feel more empowered and know that I don’t have to put up with it. If I see a co-worker exhibiting hostility toward someone else, I would definitely report it, but may go to my supervisor rather than speaking to that person directly. If it happens to me, I address it appropriately and confidently. Excusing these behaviors and letting them go makes for an unpleasant working environment and that can negatively affect patient care.
—Francis Bullman, RN, MSN, Surgery

Rhonda Courter, RN, BSNA: I’ve been a nurse for 22 years. When I was a new grad, a co-worker was rude and overly critical toward me and it made me doubt myself. Raised in a family that was rather stoic, it was hard for me to speak my mind. I didn’t want to make waves or appear unprofessional. But, it was critical for me as a person and a nursing professional to learn to stand up for myself and set boundaries. The whole concept of horizontal hostility was addressed so clearly at the Regional Nurse Network workshop I attended last June. Each of us has to decide what kind of nurse we want to be. When I’ve caught myself being short with someone else, I realized that it wasn’t right the moment it happened and I apologized right there. I think it’s important to point out how someone else’s behavior is affecting me in a nurturing, but firm way.
—Rhonda Courter, RN, BSN, Progressive Care

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Question for the next SVMHS Nurse e-newsletter:
"How has serving on a committee impacted your nursing practice?”
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Today's Smile from our own Peggy Clancy, RN

Illustration © Peggy Clancy, RN
Illustration © Peggy Clancy, RN

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