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February 2018 Edition 

                                         

Average Daily Census:


Sarasota Memorial Hospital continues to be blessed with high volumes as length of stay remains stable. ICU has been particularly challenged. Several overflow areas are in use on a daily basis. It is anticipated that census will peak in mid-March. Discharge orders placed prior to 10am will assure capacity for new admissions each day.

Sarasota Memorial continues to experience very high patient volumes. Click here for an updated guide to units that have recently opened to help us meet seasonal bed needs. We appreciate your help in our efforts to streamline the discharge process for patients who are ready to go home.

 

 

Continuing Education Activities see full calendar here

February 16, 12:00 pm -1:00 pm, Lung Cancer presented by Paul Chomiak, MD & Kevin Koehler, MD
February 24, 8:00am - 4:00pm, Pediatrics Conference, Various Speakers
March 2, 8:00 am - 9:00 am, Cutaneous Manifestation of Common Infections, Seetha Lakshmi, MD, USF
March 8, 12:00-1:00, Trauma Grand Rounds
March 16, 8:00am - 9:00am, Baby Friendly Hospital Designation, presented by Washington Hill, MD and Mary O'Connor, RN
April 6, 8:00am - 9:00am, Sexuality and Intimacy in Chronic Illness, presented by Joelle Vlahakis, MD
April 12, 12:00 pm - 1:00 pm, Trauma Grand Rounds
April 20, 8:00 am - 9:00 am, Compartment Syndrome, presented by Matthew Klima, DO
May 4, 8:00 am - 9:00 am, TBA
May 10, 12:00 pm - 1:00 pm, Trauma Grand Rounds
May 18, 8:00 am - 9:00 am, Endometrial Cancer .

Mobility is Medicine!

We are introducing a new culture in the care for our patients and we need your help in achieving this change.
For every day a patient is not out of bed and moving, they lose up to 1.3% of muscle strength.

Our Medical Executive Committee unanimously approved the Progressive Mobility Order in SCM – which initiates a Nurse Driven Protocol for increasing activity and mobility in our patients
     • In order to progress patients with other activity orders – nurses may be contacting you to get the Progressive Mobility order
     • We are working with many physicians to get more order sets changed to progressive mobility and will keep you posted

By moving:
     • We can help prevent complications in our patients such as DVTs, pressure ulcers, falls, and delirium.
     • We can help maintain or improve a patient’s function. Improved function results in decreased length of stay, better discharge plan, and overall patient satisfaction.

How can you help in this initiative and culture change? By speaking and demonstrating the idea that mobility is medicine.
     • Order Progressive Mobility as your patient’s activity order (unless contraindicated)
     • Encourage our patients to keep moving.
     • Encourage staff and patients to get out of bed for meals.
     • Encourage nurses to assess patient mobility by having patients walk from the stretcher to the bed instead of sliding them over.
     • Empower the patients to move and empower the patients to ask to be moved.
     • During unit rounding, ask about mobility of the patient and when the patient was last mobilized.
     • Be a champion for the culture change in mobility.

Thank you for your support in this initiative as it takes every member of the SMH team to help change the culture.
If you have any questions or concerns, please feel free to contact Karen Reynolds- x4124 or Julie Ennis x1786

Sedation Credentialing:  
After evaluation of the sedation processes at SMHCS by surveyors and consultants, it has been determined that there is a deficiency in documentation of competencies in sedation education and advanced life support skills. The Medical Executive Committee has approved changing the requirements for privileges to include:
   1. Current American Heart Association ACLS, ATLS, PALS, NALS, and/or NRP certification.
   2. Passing rate of the SMH Sedation Exam is also required.
   3. New Sedation for Non-Anesthesiologist Practitioner Delineation of Privilege form
These requirements must be completed by January 31, 2018. Failure to complete these requirements by this date will result in relinquishment of sedation privileges. Please contact Aubrey George at MedStaffServices@smh.com or call (941)917-1507 with questions.

Staff Influenza Guidelines
Please remember to be vigilant with you hand hygiene and stay home if you have been identified to have influenza. It is critical that staff members with influenza stay home so they aren’t spreading the infection. As an organization we are following CDC guidelines and are not requiring employees to be swabbed and confirmed positive for influenza. If you feel you have flu like symptoms please stay home and obtain documentation from your primary care physician or one of the SMHCS walk-in clinics. All staff should stay home until afebrile (without the use of fever reducing medicines) for a minimum of 24 hours. If they return with cough or sniffles, they must wear a mask.

Thank you all for protecting our patients and team members, 

Kyle Garner, MD

Chief of Staff