Wound Clinic Staff Meeting 2011

Feb 10, @ 1530 PCUC, Conference Room

Members Invited:Dorothy Bennett RN, Vangie Daneshfar RN, Gilda Rolls-Dellinger RN,Cheryl Rudolph RN, Sara Simpson RN, Kathy Smith RN, Sheridan Smith RN,TJ Smith RN, Rochelle Salmore RN Absent: Patty Starr, US

Item / Subject / Responsible for Action
Call to order / welcome. Happy Birthday Patty !
THANK YOU for the great job you do every day! Thanks, too for being flexible, i.e. working in Clinic instead of assigned inpt when census, WEATHER, and sickness demands. Our productivity has been >100% thanks to your hard work!
Reflection / A Helping Hand / Rochelle
Concerns Follow up and new / Concerns for 11/10 follow up
Ostomy teaching and documentation – Cheryl to make up an ostomy resource guide for all of us. Progress report
Concerns for 1/11
VAC boxes with patient labels being put in trash. Ideas to fix this?Writing first name only. Better?
Concerns for 2/11
Suture removal kits have changed. We need to order reusable Russians, Adsons, Iris Scissors, suture scissors, curette for inpatient use.
Payroll form: please complete on time. Call Rochelle and leave message so she can get entries in on Monday morning.
Billing – discussion of new CMS regulations
Chair needed for Associate campaign. Vangie volunteered / In progress: List supplies to order, community resources, tips.
Resolved
Rochelle will get with Sterile Processing for appropriate marking. We will need to drop off and pick up instruments as needed.
Report from Porter/Littleton / Sara – Inpatient – observations & learning – We are much more efficient. They took some of our ideas for themselves. Overall we do all things the same way. Porter has written wound care protocols for each type of wound. They are going to share with us.
Outpatient – observations & learning – their clinic is more efficient because each room is stocked with most common dressings and instruments. This will require locks on cabinets and labeling. Labeling spaces in cupboards will make restocking rooms easier. It will be responsibility of each person to restock their own room. This isn’t being done well now.
Porter has a 3M compression wrap. With SN off contract we need to look into that . / Sara and Dorothy to label and stock rooms.
Rochelle to order locks and check with ID nurses about keeping one large bandage scissors in room and cleaning in between pts.
Unit Practice Council / Report: Patient comment cards have been numbered so we can track number sent out.
Will resume inviting one staff person to each meeting. Rochelle’s expectation that whoever is invited does attend.
Please review VAC policy for revisions – done 1/11, but questions, and revisions added during meeting.
Abthera policy review – accepted as is. / Rochelle to retype and send again for all staff to review.
Unit Skills / Please correct your own tests. Get answer sheet from R’s box.
SMART Goals & Essential Job Functions / Need to meet with Rochelle 1:1 to set your goals. Times: 0830 and lunch times work better. EF and goals reviewed thoroughly.
PI study / Assignments – review. International participation opportunity. Form is different and has only a little additional information that we need to gather.

Tasks for UPC: (decisions in italics)

  1. Determine requirements for UPC leader: attend System Practice Council
  2. Decide how long the leader should hold office and then select a leader.Hold office for one year. Take turns with position. Choose chair elect who can attend meetings if chair can’t.
  3. Determine responsibilities of members : everyone gets a chance to talk. Be respectful. PARTICIPATE!
  4. Determine a way to monitor when a 3-week period has passed; determine criteria for “progress”, then to determine what steps need to be taken if the wound is not progressing.
  1. Are we measuring correctly? (Reviewed: length measured first, then widest part perpendicular to that line. Depth is not part of the tunnel (usually)
  2. Define whether it is palliative or not
  3. In “treatment plan” in Wound Expert, be sure to look at previous plan so we know if we have changed anything.
  4. Remember to consider requesting labs, formal diabetic education – beyond what we do.
  1. Look at educational competencies and needs to identify what SWAB and WC need – discuss NOW
  2. Look at and share best practices with SMC and Porter for outpatient care…and inpt care. Choose two areas, i.e. venous stasis leg ulcers and ????? Can use Wound Expert for initial stepdiscuss later.
  3. Will need to align our goals with nursing goals –
  4. Will need to conform our agenda with System Practice Council –

Wound Prevalence PI Study Assignments

Feb 16, 2011 Assignments / Assigned time / Time allotted
CCU / Jennifer Brill & helpers / 1300 / Sara / 1.5 hr / Dorothy
CVU / Kacey Lee / 1300 / Vangie & Gilda / 1.5 hr / Rochelle
4TH / Courtney Albright / 1330 / Kathy / 1.5 hr / Kathy
5TH / Maksimowics, Meridth, / 1430 / Dorothy / 1.5 hr / TJ
7TH / Carlos Johnson / 1430 / Vangie / 1.5 hr / Gilda
8TH / Jane Wilson / 1230 / Kathy / 1 hr / Vangie
9TH / Barb Corder / 1430 / Gilda / 1 hr / Sara
11TH / Gail Albritton / 1300 / Dorothy / 1 hr / Connie
SFMC CCU / Davi Howard / 1330 / Rochelle & Connie / 1 hr
SFMC Surg / Judy Kelow / 1400 / Rochelle & Connie / 1 hr
SFMC Med / Lois Boschee / 1500 / Rochelle & Connie / 1 hr
SFMC NICU / Susan Zamora (NNP) / NNP to do
SFMC Peds / Lisa Pearman / 1300 / Rochelle & Connie / .5 hr must do first