1. Acute Care Board Presentation 2014

2. 2014 Acute Nursing Goals ● Reduce noise as evidenced by HCAPHS ● Improve cleanliness as evidenced by HCAPHS ● Pain Management as evidenced by HCAPHS

3. Nursing Modalities ● Activities of daily living ● Medication Management ● IV Therapy ● Disease Management ● Fall prevention ● Discharge Education

4. Acute Care Nursing Staffing ● Nursing Supervisor (Denise Mayer) ● Emergency Manager (Sarah Johnson) ● Administrative Assistant (Lynette Outwater) ● 17 Full-time RN’s ● 4 Part-time RN’s ● 6 Call-in RN’s ● 2 Full-time LPN’s (Health-unit Coordinators) ● 1 Part-time LPN (Health-unit Coordinator) ● 1 Full-time Health-unit Coordinator ● 7 Full-time CNA’s ● 7 Call-in CNA’s

5. Acute Care Nursing con’t Three types of patient admissions ● Observation ● Acute Care ● Skilled Care

6. Acute Care Nursing Unit Statistics 2013 ● Observation - 306 ● Acute Care - 488 ● Skilled Care - 1618

7. Cardio-Pulmonary Department ● Supervisor (JoAnn Wolfe, RRT) ● 1 RRT ● 2 Respiratory techs ● 1EKG tech ● 3 Call-in Cardio-pulmonary techs

8. Respiratory/Cardiac Modalities ● Asthma Teaching ● Breathing Exercises ● C-PAP/Bi-Pap ● Incentive Spirometry ● Nebulizers ● Oxygen Therapy ● Peak Expiratory Flow ● Pulmonary Function ● Pulse Oximetry ● Smoking Cessation ● Pulmonary Rehab ● EKG ● Holter Monitors

9. Cardio –Pulmonary Statistics 2013 ● EKG’s – 1818 ● Pulmonary Function Tests- 145 ● Holters – 99 ● Pulmonary Rehab – 5

10. Cardiac –Rehab Telemedicine ● Program Coordinator (Sue Holbrook, RN) ● Mary Labadie, RN

11. Cardiac Rehab/Telemed Modalities ● Risk factor modification ● Heart monitoring ● ECG Monitoring ● Exercise ● Follow-up program ● Secondary prevention ● Physician encounters telemedicine visits ● Exercise stress test ● Nuclear stress testing (with exercise or with chemicals

12. Cardiac-Rehab/TeleMed 2013 Statistics ● Cardiac-Rehab – Patient 46 with 727 visits ● Telemedicine – 106 visits ● Nuclear & plain stress tests – 169

13. Diabetes Education ● Diabetic Educator (Lynn Kihm RN, CDE) ● Lois Salter RN, MSN ● Marlie Carlson, Registered Dietician

14. Diabetes Education ● Onsite evaluation in 2013 was a success. The diabetes program was recertified ● The Certification Program Coordinator for the State of Michigan Diabetes program stated that the support for Diabetes Education is noticed throughout the organization

15. Diabetes Education Program Strengths ● Impressive community outreach programs ● Weekly presence on two local radio stations ● Strong hospital administration support ● Implementation of AADE’s “Crosswalk of 2012 Standards into 10 Standards of Care

16. Diabetes Education Modalities ● Manage Diabetic Patients ● Educate the patient on living as a diabetic ● Educate community on healthy living

17. Diabetes Education ● Support Group ● Walk for Diabetes ● Ride for Diabetes ● Foot Clinic ● Glucometer Clinic ● Wellness Committee TAS/Three Lakes Academy

18. Diabetes Education Statistics for 2013 ● New patient referrals – 79 ● Patients that completed their education program – 129 (72 new + 57 that were in process)

19. Infusion Therapy ● Supervisor (Janet Ottenhoff) ● 2 RN’s (Anna Marcus & Mary Kemling) All three are certified as Oncology RN’s. This requires class time and a national exam.

20. Infusion Therapy Modalities ● Chemotherapy ● Blood Transfusions ● Outpatient IV Antibiotics ● Phlebotomy ● Fluid Replacement There were 1489 patients seen in Infusion Therapy in 2013.

21. Sleep Study ● 2 Registered Polysomonography Techs ● 1 Certified Polysomonography Tech ● 1 Ward Clerk

22. Sleep Lab Modalities ● Sleep Study for Adults & Children ● C-PAP Management ● Day Studies for Narcolepsy ● 2014 Home Sleep Apnea studies

23. Sleep Study Statistics 2013 ● Sleep Studies – 230 Target Goal for 2014 - 237

24. Wound Care ● Certified Wound Care Nurse (Shari White) Wound Care Modalities ● Performs skin assessment on all Skilled Care Patients ● Consults on wounds on AC & LTC ● Performs dressing changes ● Consults on wounds in ED and Physician offices ● Performs foot care

25. Wound Care Statistics 2013 ● Acute Care visits – 112 (This includes skilled care visits. They were separated beginning in June) ● Skilled Care visits – 221 (June-December) ● LTC visits – 219 ● Outpatient visits – 495 ● Dr. office visits – 52 ● Tele-med visits – 5 ● ED visits – 6 ● Foot Care visits - 1230

35. THE END