On July 21st, a new process was put into place to identify inpatients that may benefit from an outpatient sleep study.
The process starts at admission with an initial screening performed by nursing. If the patient scores high on the initial screen, our sleep technician, Andrea Ramberg, will visit the patient to conduct a more thorough screening with the patient. If after that screening, the patient is a candidate for an outpatient sleep study, Andrea will be contacting the attending physician for an order and work with scheduling to schedule the test post-discharge. Andrea will also educate the patient on sleep apnea and the risks associated with it, while helping the patient understand how cpap therapy can benefit them.
Andrea has seven years’ experience in the sleep field and is very knowledgeable about how sleep apnea can affect a patient’s long term health.
If you have any questions or concerns, please contact Rebecca Rockwood at 815-759-4845 or Andrea Ramberg at 815-759-4214.
At this week’s Open Forums, you’ll hear information about Centegra’s preparation for the possible event that we encounter a patient suspected of having the Ebola virus. Centegra Health System is prepared. Key leaders are regularly meeting to ensure best practices are in place that align with the current recommendations from the Centers for Disease Control and Prevention (CDC).
Centegra takes this threat seriously. Our teams are working with the McHenry County Department of Health, Illinois Department of Health and other local agencies to ensure our response is well coordinated with our community partners. Please talk to your leader about your department’s role in our process.
Immediate isolation will be implemented for patients who have traveled to high-risk areas in Africa in the last 21 days and present with the following symptoms:
A fever of 100.5 or higher
All Associates and Physicians will wear Personal Protective Equipment (PPE) until Ebola is ruled out. Patients who call our facilities with these complaints will be triaged and directed through the Centegra Hospital-McHenry Emergency Department for instructions prior to arrival at the hospital.
Key contacts for more information: CH-McHenry: Karen Van Buren, RN, Infection Preventionist 815-759-4574 CH-Woodstock: Cindy Schweder, RN, CIC, Infection Preventionist 815-334-3916 CPC and Centegra Immediate Care: Basia Scherbaum, RN, MSN 815-337-1985 Media Inquiries: Michelle Green, Senior PR Coordinator 847-341-0274
Why are we implementing a new procedure? Past interventions and initiatives have been unsuccessful due to inconsistency and no accountability.
FY14 HCAHPS “Quietness of Hospital Environment” scores were at their lowest.
Too many visitors on the unit or at patient’s bedside are frequent contributors to a noisy environment.
Increased noise level at the nurse stations when other departments are present. Shift change is a large contributor to the increased noise level.
Studies show that a quiet environment contributes to faster healing, decreased length of stay and improved patient satisfaction.
Increase our HCAHPS score when it comes to “Quietness of Hospital Environment” question, which will also improve our overall patient satisfaction score.
Educated staff empowered to support a healing environment for our patients.
How are we planning to improve our scores? We will provide education, set appropriate expectations and implement new processes.
Implement on the Nursing Unit: It is important to understand what the inpatient units will be doing during quiet time.
The hospital operator will announce quiet time at 1:45pm daily.
Each floor designate a responsible Associate to perform the following:
Techs and Nurses: Inform patient’s we are preparing for quiet time; ask them to minimize noise. They can help by using headphones for TV, turning cell phones on vibrate, etc.
Nurses: Dim lights on the unit
Techs and Nurses: Closing patient’s doors
HUCS: Close unit doors to each unit at 1:45p.m.
Patient care will be continued, however, we will try to minimize as much as possible during this time.
Nurses will educate patients and any visitors present regarding visiting hours and quiet time upon admission. A Skylight short education video is in production; once available nursing will be required to show patients upon admission and units will be monitored for compliance.
Implement in ER, PACU, SDS, CATH Lab, and Radiology Departments: Before patients are taken to the nursing units please discuss with patient’s family members the recommended 2 visitor per room option; additional visitors will need to wait in the visiting lounge and take turns; this will help us maintain a quiet healing environment. We understand this will require a huge change. Nursing leaders will follow up regularly to ensure these processes are followed.
Please inform your staff to call security for assistance and support if you have any issues with visitors.
H.U.S.H Initiative FAQ’S
Will signs be posted to help enforce/inform staff and visitors of this initiative?
Yes! Signs will be delivered to each unit. They should be posted on the outside of the unit doors and in break rooms so that staff and visitors will have a visual reminder to lower voices and be respectful of quiet hours.
What happens when it’s quiet time and several Associates are talking loudly on the unit and no one is listening when they are asked to keep voices low?
Please notify your Charge Nurse or Supervisor of the situation and ask for assistance. If issues continue, department leaders should be notified via email (if leader is unavailable) of specific situations; provide details for appropriate follow up.
What if a patient’s family member asks to spend the night because their care expectations are not being met?
First inquire why they feel that their loved one is not receiving appropriate care; reassure them we provide exceptional care. Let them know they will be notified of changes in their loved ones condition and for added comfort, they are welcome to call for updates. It is important to ensure this is communicated with the nurse taking care of the patient as well as passed on to the patient’s future nurses. Exceptions will be made for patient with declining condition, patient is confused – family member needs to “sit” overnight; or peds patient. NOTE: appropriate bed assignment is required (private room preferred).
What if 3 visitors are in a patient’s room at one time?
First assess the situation. If the noise level is loud or excessive, please ask visitor(s) to support our healing environment by lowering their voices. If the situation does not improve, kindly ask one of the visitors to wait in the visitor lounge area. Explain our recommended 2 visitors at a time policy. If all attempts fail, ask your Charge Nurse or Security for assistance.
What do I do if I notice someone in the hallway with no visible identification?
Kindly ask for identification such as a visitor ID badge, employee badge or contractor ID badge; inform guest it must be displayed at all times. If they are unable to produce an ID badge please escort them to the front desk to obtain one. If you are met with resistance please notify Security immediately. This is for the safety of all our patients and staff.
Effective tomorrow, Saturday, September 13, at 7 a.m., all labor and delivery services will be offered exclusively at Centegra Hospital-McHenry. This complete transition is the result of months of hard work and careful attention to detail by teams at both Centegra Hospital-McHenry and Centegra Hospital-Woodstock.
Mothers who arrive at Centegra Hospital-Woodstock will be redirected to Centegra Hospital-McHenry. As always, the Emergency Department at Centegra Hospital-Woodstock is prepared to handle emergency deliveries. We have contacted our community partners and Emergency Medical Services personnel to notify them about the transition.
As we look ahead to the future, we will continue to improve our Family Birth Center by providing OB hospitalists and 24/7 in-house neonatology coverage. This fall we will share more information about the ways we’re ensuring our Family Birth Center provides an exceptional patient experience and the safest, highest-quality care available in the region.
I would once again like to recognize all of the providers and Associates who have given outstanding care at Centegra Hospital-Woodstock. We appreciate everyone’s support as we welcome them to the Centegra Hospital-McHenry family.
–Rachel Sebastian, Vice President & Site Administrator, Centegra Hospital-McHenry –Dr. Sheila Senn, Vice President & Site Administrator, Centegra Hospital-Woodstock
For a printer copy verison of this memo, please click here.
I’m delighted to share the news that our cardiac team is currently performing its 1,000th cardiac surgery at Centegra Hospital-McHenry. Led by Dr. Thomas Hinkamp, a cardiac surgeon from Cardiac Surgery Associates, S.C., our team began surgery at 8:30 a.m. this morning.
The patient has already received outstanding care from so many members of our health care team including nurses, physicians, and clinicians in lab, cath lab, medical imaging, respiratory care and same-day surgery. After his surgery he will be in the Intensive Care Unit and will transfer to the Cardiac Telemetry Unit. He will receive inpatient cardiac rehabilitation and other inpatient care before he leaves our hospital.
Our first cardiac surgery was performed Oct. 27, 2006 when our team performed bypass surgery on a female patient. Since then, the team has performed coronary artery bypass procedures, valve repairs and replacements, Cox Maze procedures and other cardiac surgeries on patients whose lives were forever changed.
In some way, every one of us will have a hand in his care and recovery. Let’s enjoy this important milestone together. We will celebrate the 1,000th cardiac surgery with angel food cake in the hospital cafeterias on all shifts Monday, Oct. 14. Join us that day as we recognize how our Physicians and Associates collaborate to provide our patients advanced services and compassionate care.
Please join me in congratulating our cardiac teams and our entire health system on this special occasion.
– Rachel Sebastian, Vice President and Site Administrator, Centegra Hospital-McHenry
At the end of this month, the Department of Pharmacy Services will modernize, advance, and personalize the way that pharmacy clinical functions are provided at Centegra Hospital – McHenry. Dedicated floor pharmacists will be assigned to decentralized services on the 5th, 6th and 7th floors Monday through Friday 0700-1530. The pharmacists who will be providing decentralized clinical services are Dimple Patel, Pharm. D. who will mostly cover the 5th floor, and Dale Christensen, Pharm. D. and Samantha Tasic, Pharm. D. , who will be assigned to the 6th and 7th floors. Their principal responsibilities will be to manage clinical pharmacy protocols, engage antimicrobial stewardship, provide drug information and in-services to medical and nursing staff, participate in patient care rounding, provide direct patient care through patient teaching, counseling and medication reconciliation, and maintain a consistent presence for general consulting and enhanced access.
This is an exciting time for Centegra and the Department of Pharmacy. We hope that you notice pharmacy’s presence on these units and welcome our pharmacists as you encounter them.
Please note contact information for the decentralized floor pharmacists:
Dimple Patel, Pharm. D.: Office: 815-759-4508. Page 815-903-6042 Christensen, Pharm. D. and Samantha Tasic, Pharm. D.: Office: 815-759-4256. Page: 815-903-6032