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Latest News From PNCC
| 7/3/2008 |
PNCC MEETING MINUTES JUNE 16,2008 |
| Professional Nursing Care Committee Meeting Minutes June 16, 2008 0730-0900 Members present: John Nangle, Teri Lewis, Kathy Phillips, Tiffany Frederick, Joe Sack, and Vikki Hickmann Guests: Lynda Coats, (RN 0rtho/neuro staffing comm. Chair), Denise Borne (RN Cardiac Rehab) 1) Discussion was heard regarding potential changes in Cardiac rehab as to their staffing of licensed RN’s to other personnel. Concerns were issued as to whether the RN would be able to fulfill their professional responsibilities if the RN staff was decreased. Discussions around national staffing guidelines in this specialty were considered and the question of whether the hospital wants to meet those standards or not. Lynda Coats from staffing committee was present and will speak with the other members on the state staffing committee about this issue. The PNCC asked to have copies of the job descriptions of staff in the Cardiac rehab unit, evaluation tools, copies of the national standards, program description as it is presented to patients and families and a summary of how other cardiac rehab units in the state are staffing. Once this data is compiled, this information will be shared with the hospital staffing committee and will be presented at the Clinical Practice Committee as needed. Vikki Hickmann will be working with Denise Borne on evaluating the data and presenting argument, as needed to support safe patient care and support RN professional practice. 20 Lynda Coats was unavailable to give update on Staffing Committee as she had other responsibilities. Terri Lewis gave update on staffing incident reports through April 2008. Overall nurses are filling out for April, staffing incident reports (hospital form) to staffing request documentation forms (ONA form) 4:1 ratio. Terri has been acknowledging receipt of ONA form to specific nurses, but will now also acknowledge filling out the hospital form. Tiffany Fredericks stated the amount of educational funds used to this date was approximately $50,000. The budget is $135,000 for 2008. Requests for funds usually peak in the fall and continue to rise until the end of the year or until the funds run out. There has been no other request for additional roll over funds made from other units UPC’s beside the usage by ICU at this time. Other agenda items were not discussed and meeting adjourned at 0900, Respectfully submitted, Vikki Hickmann RN PNCC Chair |
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| 5/20/2008 |
PNCC MAY 12, 2008 MEETING MINUTES |
| Professional Nursing Care Committee Meeting Minutes May 12, 2008 0730-1000 Members present: Anne Coleman, Kathy Phillips, Tiffany Fredericks, Terri Lewis, Joe Sack, John Nangle, and Vikki Hickmann Guests: Jane Hanson, Alison Hamway General discussion of staffing changes in various units related to budgetary needs. Changes in practice of traveler usage and CNA 1:1. This was to bring members unaware of changes up to speed. 1) Terri will in the June meeting bring the committee up to date on SRDF usage and hospital staffing incident reports. She will consult with ONA regarding the use of their new spreadsheet and report to committee in June. 2) Jane Hanson CNO for Cascade healthcare invited to attend PNCC quarterly meeting. Specifically the committee was curious regarding effects on direct care nursing practice with staffing changes. Committee members voiced concern of unilateral changes in skill mix; changes in hours per patient day assigned to acuity levels. Specific units were given as examples. The PNCC brought up the issue that this might run contrary to the staffing law. Jane assured the PNCC that she was in favor of a team effort specifically as it relates to the hospital Staffing Committee to assess, plan, implement and re-evaluate matters of direct patient care staffing. The question was asked, “is the intensity of the patient reflected in the staffing?” This was not specifically answered. The Leader Management Institute was cited to have some information on this, but was not discussed at length to gain understanding on this subject. The discussion also posed the question as to how has the use of the Electronic Medical Record (EMR) impacted the intensity and hours per patient day of overall patient care. Jane did say she was for dong a time study to try and obtain some objective data to answer this question. Jane also stated that she is trying to support the management team in promoting American Organization of Nurse Executives (AONE) standards. She also stated that she is beginning work with the various departmental Directors to promote AACN leadership standards. Another issue of nursing practice was discussed. It was stated that some nurses thought the Alcohol Withdrawal Procedure might need to be evaluated. Terri Lewis and John Nangle wondered if there were many patients requiring intubation and/or transfer to the ICU. Questions were raised surrounding the amount of staffing support direct care nurses were allotted with this type of patient. Did they have time to do the potential q 30 min. assessments? Was patient safety compromised in any way? Did the charting reflect the intensity of care? Terri Lewis said she would try and research some of this information to present at the June meeting. Jane stated that she would research the amount of respiratory depressions related to alcohol withdrawal and report back to the PNCC. 3) The new Charter for the PNCC was adopted with one final addition of an RN to do orientations of new RN’s to St Charles. Tiffany Fredericks brought the committee up to date on which UPC has used the roll over fund to date. The only one is the ICU. There was some confusion as to whether this fund would cover food at the lecture. It was decided that it would as the PNCC educational fund does cover meals with lecture/conference attendance. She will report in June what the total is for the roll over fund usage. 4) John Nangle will head up a survey for RN’s related to staffing. The purpose will be to gain information to the effects (if any) changes in staffing have made on their professional practice. The survey will be short, approximately 5 questions and will try to be unit specific. The survey will be available on the units in hard copy and there will be an email component. Meeting adjourned 1000, Respectfully submitted, Vikki Hickmann RN PNCC Chair |
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| 4/21/2008 |
PNCC MEETING MINUTES 4-14-2008 |
| Professional Nursing Care Committee Meeting Minutes April 14, 2008 0900-1000 Present: Vikki Hickmann, Linda Coates, Sue Davidson, John Nangle, Joe Sack, Tiffany Fredericks, Terri Lewis This hour long meeting was an orientation session lead by Sue Davidson RN PhD from ONA in Clinical Practice. The new PNCC notebooks created by ONA were handed out to all members present. There was a special meeting of the Staffing Committee from 0800-0900, called by Jane Hansen CNO, Cascade Healthcare Comm. The PNCC Chair, UPC reps and Sue Davidson were invited to attend. The subject of this meeting will be discussed at the May PNCC meeting or members may discuss the subject matter with those who attended the meeting. Respectfully submitted, Vikki Hickmann RN PNCC Chair |
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| 3/15/2008 |
PNCC MEETING MINUTES 3-10-08 |
| Professional Nursing Care Committee Meeting Minutes 3-10-08 0730-1000 Present: Terri Lewis (CCU RN). Kathy Phillips (Med RN). Karen Stanard (ER RN), Vikki Hickmann (ER RN) 1) Staffing committee report unavailable. Terri Lewis reported on the unit rep meeting last month. She states that the reps now know about the new SRDF paperwork and that she will be working with John nangle on making sure that new forms are in the unit notebooks. Vikki Hickmann reported on the process of notifying and orienting the UPC chairs as to the utilization of the rollover fund usage. UPC chairs from ICU, IMCU, ER, Behavioral Health and Ortho/Neuro were given a packet of information and explanation of the process given in person to each one. Now, the committee waits to see how the units will act and the committee is available to help as needed in this new process. 2) Karen Stanard reported on the fund management process. She has had some requests from RN’s for items that do not specifically relate to education such as wanting reimbursement for RN licensure. Karen and/or Tiffany will bring any questionable requests to the committee for input. The fund is set up for education of RN’s related to their practice and in some cases self improvement as will be beneficial to the RN’s practice (such as classes like heart math etc). The committee will have input in cases that may be ambiguous. We want the RN’s to know there is an email on web outlook that is specifically to the PNCC. Just need to put in “pncc” as the address. Karen brought up the idea to keep track of quarterly expenditures to track more closely where the fund total is. Karen also will be working with the education dept. to possibly have a web site in house available to inform RN’s of statewide educational offerings further into the future so that nurses may better plan their expenditures. The example is if a nurse needs trauma education and the class they want is not offered until December the fund may be depleted to the point that they are unable to use the current year funds. If they knew about the class earlier, they may be able to apply for funds sooner. The PNCC is still waiting for any RN’s with an interest to participate on the committee to contact any of the members or Duke the bargaining unit president or Alison Hamway the ONA rep. We are planning an orientation of new members and for those members that never received official orientation at the April meeting on the 14th at 0730 Center for Health and Learning class room H. Meeting adjourned 1000 Respectfully submitted, Vikki Hickmann PNCC Chair |
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| 2/15/2008 |
PNCC MEETING MINUTES JANUARY 2008 |
| Minutes for Professional Nursing Care Committee Meeting Thursday January 10,2008 100-1230 Members present: Karen Stanard (ED), Tiffany Fredericks (FBC), Terri Lewis (CCU), Vikki Hickmann (ED) Agenda item one information presented by report. Linda Coats RN chair of hospital Staffing Comm. Gave an update on general activity of the committee. There are some deficits in committee representation, specifically RN part from FBC. This will try to be rectified by Tiffany Fredericks bringing this to the attention of former FBC staffing comm. Member. They will then organize an election / consensus vote to pick another RN from their unit. An up to date report of staffing incident reports (SIR) and staffing documentation request forms (SDRF) will be given to Linda by Terri Lewis (staffing report manager) for presentation at the Feb 12th staffing comm. meeting. Terri is compiling data from the two (2) forms on a spreadsheet and categorizing certain criteria obtained from the reports. It seems there continues to be some uncertainty by RN’s as to how to fill out staffing forms, where to find them and who to send them to when they are completed. Terri will be contacting John Nagel to give a presentation at the next Unit Rep. meeting to hopefully answer some of these questions. Education fund managers report (Tiffany Fredericks and Karen Stanard) informed the PNCC that all the funds were used for 2007. It was reported that Keryn Glass is doing a great job and that her addition has really helped the distribution of educational funds. Thanks Keryn. Item two discussed the use of the 2004-07-contract roll over funds (pg 71 of recent contract). The committee decided to use the UPC as the unit based decision-making body for direction of the funds. There will be criteria for fund usage with the distribution of the funds in keeping with the contract. The distribution will utilize the present system, meaning the PNCC fund request application form and there will be an additional spreadsheet created specifically for these 3 annual distributions in the amount of $ 14, 857.33 per year. Oversight for the use of the funds will be achieved with the reporting of expenditures and an evaluation by the UPC chair of the educational process. The UPC chairs will be invited to the Feb 12th PNCC mtg at 1300. Vikki will have specific criteria written up to be presented to the chairs at that meeting. Item three was discussed and the committee decided they did not want to plan a staffing education class at this time. The committee decided it wanted to wait to have that class in conjunction with orientation of new PNCC members after the election. Email has been sent to Duke Sells regarding organization of an election. Discussion regarding sponsoring nursing students for convention was thought to be more appropriate at the District level as the PNCC education contract funds are not appropriated for that purpose. Item four discussed the use of the new PNCC email address. Karen Stanard will be sending out an email from this address to all RN’s explaining its purpose and function. We hope to increase communication between all RN’s and allow them a way to get specific questions answered in a timely manner. Meeting adjourned 1230 Respectfully submitted, Vikki Hickmann PNCC Chair |
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| 2/15/2008 |
PNCC MEETING MINUTES FEBRUARY 2008 |
| Professional Nursing Care Committee Meeting Minutes 2-12-08 1300-1530 Present: Terri Lewis (RN CCU), Michi Sato (RN ED), Linda Coats (RN ORTHO/NEURO Chair Staffing Comm), Anne Coleman (RN Operative Services), Vikki Hickmann (RN ED, Chair PNCC), Kathy Phillips (RN MED), Alison Hamway (ONA). Leslie Toll (HR), Keryn Glass, (PNCC Admin Assit.) Karen Fitzgerald (Education), Joe Sack,(RN IMCU) Liz Lefever (RN IMCU) 1) Report regarding Staffing Comm. from Linda. They have gone to quarterly meeting and will change as needed. All minutes and info regarding the Staffing Comm is on the “I drive” and may be accessed by Nursing. Linda reported that the comm. is observing the new ability to monitor patients from IMCU on telemetry units and how this will impact need for additional staff. She is on the committee and Kathy Phillips is on the UPC on Medical floor where the new program will start. All committees will be watching to evaluate the effects on patient care and RN workload. There will be an evaluative process after the system is in place therefore any input to the committee over seeing this implementation will be needed. Report from Terri Lewis regarding the accounting of filed Staffing Incident Reports (SIR-Hospital) and Staffing Request Documentation Forms (SRDF- ONA) given. She found that there are primarily SIR forms filled out and very few SRDF. We do not know if we are not receiving them or if they are not being filled out. Terri plans on going to the next Unit Rep meeting (Feb 25th, 0730 classroom C) to speak to this issue. Remember that the SRDF is kept in the ONA notebooks, which should be on all units. If you cannot locate them please contact the Unit Rep on your unit or contact a PNCC member and we will get one to you. You may email Terri Lewis or email the PNCC from the hospital email system. 2) Discussion with ONA and HR regarding using the roll over funds that were agreed upon in the most recent contract page 71. The PNCC wanted these funds to be made available for Unit Practice Committees to apply for. The funds would be available to 1/3 of the UPC’s each year for the next 3 years. (the fund is being dispersed by making available $14, 857.33 per year for 3 years). The total amount $44, 572 works out for 655 RN’s to be $68 / RN. Therefore the PNCC wants to allow a UPC to apply for this fund, in the same manner an individual RN applies for PNCC funds. The discussion was required between the Hospital and ONA (as this is a contractual issue) to clear up any confusion and allow the PNCC to move forward with the process. Agreement was reached and now the PNCC will move forward to talk with the UPC chairs and clarify the process of fund application. Vikki Hickmann will try to get on the agenda of the next UPC chair meeting so that she may present this information. We hope this approach may help each unit participate in education that specifically meets the needs of their units. We hope it will foster an environment of collective contribution. There was also mention made that one PNCC member was asked for “ a PNCC voucher” when she put her time for PNCC business on the supplemental time sheet. Leslie Toll said this should not happen. Leslie Toll also said she would provide the PNCC with the totals of PNCC hours used per month for the months of Oct. Nov. Dec 2007 and Jan.2008. 3) Vikki will write up an example of the process for this special fund application, including a process for evaluation. This will be given to the PNCC for comment and then presented at the UPC Chair meeting. 4) Joe Sack and Liz Lefever came to the PNCC to discuss resources and strategies to improve their unit (IMCU) and help the UPC be more effective. The PNCC gave suggestions as to process and referred them to the contract that explains what the PNCC function is. Linda Coats gave information of evaluation of staffing standards and acuity, in general. Joe and Liz spoke to there wish to improve their patient care and staff participation in self-governance in IMCU. They also spoke to the support they get from their management team to help them accomplish these goals. The PNCC would like to thank Liz and Joe for coming and allowing us the opportunity to help them. That is what we are here for. 5) Meeting times for the remainder of 2008 were decided upon and rooms will be scheduled in the next week. This will go out to the stcharlesnursing.org web site and be posted on the lower level ONA bulletin board. Meeting adjourned 1530 Respectfully submitted, Vikki Hickmann RN, PNCC Chair |
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| 12/13/2007 |
PNCC MEETING MINUTES 12-11-2007 |
| Minutes for Professional Nursing Care Committee Meeting Tuesday December 11, 2007 1130-1330 Members present: Karen Stanard (ED), Tiffany Fredericks (FBC), Vikki Hickmann (ED), Alison Hamway (ONA ) Agenda item one was discussion surrounding the 2008 PNCC election. The committee may have up to 12 members. At present we have six. The negotiating team, specifically Duke Sells and Alison Hamway will be coordinating the election in January. It is important that with approximately 655 RN’s we have representation from as many units as possible on the PNCC. Item two discussed the upcoming CNO interviews and PNCC involvement in the process. Dates will be finalized and locations given to the PNCC from Duke Sells communication with administration. Item three discussed the process of the restructuring of the Family Birthing center and concerns were brought to the attention of the PNCC by an RN from that unit. Alison Hamway also stated there has been some discussion around changing how triage is presently done in the dept. and also some changes surrounding Lactation consultant utilization. As some may know the FBC has increased the bed size with their remodel and staffing issues have been of concern to the practicing RN’s on that unit. The PNCC recommended that the FBC staffing committee rep. research present and recommended staffing model, as suggested by management, and compare how this relates to the Standards and Guidelines for Professional Nursing Practice in the Care of Women and Newborns as put forth by Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). As part of the Staffing Law, under 333-510-0045- Nursing Services Staffing 3e, it states, “ the written staffing plan must: be consistent with nationally recognized evidence-based standards and guidelines established by professional nursing specialty organizations, such as, but not limited to, The American Assoc. of Critical Care Nurses, American Operating Room Nurses (AORN), or American Society of Peri-Anesthesia Nurses(ASPAN).” Item four discussed how RN’s are filling out the Staffing Incident Reports and Staffing Request Documentation Forms. It seems that nurses are filling out both forms and sending them to the staffing office. There will be a reiteration of the fact that the hospital does not recognize the ONA form (Staffing Request Documentation Form), so there is no reason to send them a copy. The ONA form needs to be sent to the PNCC and the hospital staffing incident report goes to the staffing office. The hospital form is reviewed by a member of the PNCC (Terri Lewis), and the data is tabulated on a spreadsheet. This information will be clarified in a St Charles Nursing website letter from the PNCC chair this week. Item five announced that hopefully in the next 1 to 2 weeks there will be a PNCC email address set up by the hospital IT dept. This will allow nurses to ask about their educational funding, ask for issues to be put on the PNCC agenda or anything else one may want communicated relating to PNCC functions. Item six informed the committee that changes in the PNCC education disbursement work instruction is still in progress, and we will keep the members informed when any changes are finalized. Meeting adjourned 1330 Respectfully submitted, Vikki Hickmann PNCC Chair |
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| 12/13/2007 |
LETTER TO RN'S FROM PNCC CHAIR |
| Letter to Registered Nurses from the Professional Nursing Care Committee Chair Happy Holiday! I wanted to just write an informational note to clear up a few things. Some of you may already know all this, but some may not. First, it has come to our attention that some may not know where to send the Staffing Incident reports (SIR-Hospital) and the Staffing Request Document Form (SRDF-ONA). The SIR goes to the Staffing Office and the SRDF goes to the PNCC. Inter-dept. mail may be used to send both of these forms. If you forget where to send the SRDF, refer to the notebook (which should be on every unit) and there are instructions. There are also instructions at the bottom of the SRDF and there are instructions about the SIR form in the work instruction and also in the unit notebook. If your unit does not have a notebook, please let your unit rep know this and if you need a notebook made for your unit, please let the PNCC know (by inter-dept mail) and we will make your unit a notebook. I have gone to a few unit rep meetings and have spoken with the unit reps regarding this, but I will speak to them again at a future meeting. There will soon be a specific PNCC email address, so hopefully this will improve communication. Second, we have used enough of the education fund that we will be able to roll over the balance into the next years fund. As you may know, with the new contract we can only roll over 10% of the total budget, any other portion of the fund not used is lost. There are additional monies that were carried over from the last contract. As some may know in the former contracts, the language stated that all educational funds not used would be rolled over to the next year. This was never done. The solution to this, negotiated during the most recent contract negotiations, came up with the solution to roll over the funds not spent from 2004. This totaled $44,572. The decision was made to make 3 annual distributions in the amount of $14,857.33 in addition to the annual fund. This information is in the contract on the last page in a side letter of agreement. If anyone has any ideas of how to utilize this fund, please let us know. Please refer to the criteria of “how to bring an issue to the PNCC” on the web site or email me at vikhic@gmail.com, or speak to any member on the committee. There will be an election for the PNCC in January. We may have up to 12 members, as of now we have 6. It is important that we have fair representation from as many units as possible. Please give it some thought; this is a working committee and we need your help. We are trying to stay current on changes that are happening with some unit restructurings. We have relied on updates from the nurses in those specific units to help us be aware of any concerns related to the practice of nursing, including utilization and staffing of registered nurses. We also would like to remind everyone that their Staffing Committee Rep is a great person to speak to about concerns with the over-all staffing model and if the staffing law is being followed. We are all inter-related and each group supports each other in promoting quality patient care and improving the practice of nursing. Get involved and make a difference in your professional practice. In closing, I would like to thank every nurse for their hard work and caring determination that helps us create a better place for everyone at St Charles. I know what it is like to be at the bedside and I know the issues involved. I hope you and your loved ones have a great Holiday Season, take care, Vikki Hickmann, PNCC Chair |
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| 11/15/2007 |
PNCC NOVEMBER 13.2007 MEETING MINUTES |
| Members present: Anne Coleman ( OR), Karen Stanard (ER), Vikki Hickmann (ER), Tiffany Fredericks (FBC) The discussion regarding the restructuring of the OR and Surgicenter and all other units related to OR (PACU, pre-surg ) included nursing concerns. These concerns were directly related to the suggestion that all nurses involved were to be trained to broaden their duties, such as being able to scrub in on all types of cases. Nurses from the OR stated that they thought this would generalize their practice versus specializing their practice. The fear of this was that they would not be as skilled in some areas and that they were worried this might decrease the skill level in the OR there by possibly compromising competency and quality care levels for their patients. Other concerns related to the Surgical Services (OR, PACU,Surgi-center etc) were identified by OR nurses and brought before the PNCC. One was the documentation of mandatory overtime as outlined in the Staffing Law specifically OAR 333-510-0045, that states, “ each hospital must have a system to document mandatory overtime. The procedure must be clearly written, provided to all new nursing staff, and be posted in a conspicuous place.” There is a work instruction explaining CHS philosophy on mandatory overtime (W22292), but this was not posted in a conspicuous place and the awareness of nurses regarding the documentation was deficient. The solution was that one of the OR nurses has placed this in a notebook with copies of the form and work instruction so as to make it easier for nurses to fill this out when appropriate and to educate themselves regarding this important policy. A second concern for the OR was the overall effects of the restructuring process, specifically regarding potential contractual conflicts. The PNCC has referred all contractual issues when concerning labor management to the negotiating team. The PNCC encouraged the negotiating team involvement where necessary in the restructuring process. Educational standards by department were compiled and summarized by Karen Stanard. She will be sending this information to Keryn Glass as a reference source used in educational reimbursement process for PNCC. Karen Stanard will also be assisting in the PNCC educational fund disbursement process. There will be an addition added to the work instruction for PNCC contractual education funds (W18003). There will be a statement saying when using the inter-dept mail to request funds from PNCC, to send it to: PNCC Education. Many times people are sending it to other members of the PNCC who are not involved in educational fund disbursement. Sending a request to the wrong address can delay reimbursement of funds. Tiffany Fredericks will be working on getting an email address for the PNCC to increase communication between all RN’s and the PNCC. We are also working on some ideas how to best utilize the $44, 500 carry over fund from the previous contract. We want it to be used equitably by all RN’s. Vikki will be contacting all UPC chairs and Karen will be working on a list of ideas that the funds could be used for. There will be criteria for utilization of the funds should we follow through with the plan. We will keep you posted on the final decision. Respectfully Submitted, Vikki Hickmann RN, PNCC Chair |
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| 11/15/2007 |
LETTER TO BEND RN'S FROM THE PNCC CHAIR |
| To all Registered Nurses at St Charles Medical Center in Bend, I am writing to let you all know how the Professional Nursing Care Committee of Bend is doing. I will try to categorize the data into topics and then will give a brief summary of progress. Education: most everyone knows the PNCC as the disburser of educational funds. It is a big part of what we do in the general promotion of “working constructively for the improvement of patient care and nursing practice.” (Article 14 #2 page 45 of the contract) There have been some changes I think you should know about in the process of how these funds are disbursed. We now have an administrative assistant, Keryn Glass, who is assisting with the processing of the monies allocated for education. Tiffany Fredericks (FBC) and more recently, Karen Stanard (ER) are the RN’s who oversee the specific allocation of these monies. The committee also has input on educational allocations that may be more complex and require further consideration. Now that we have approximately 655 RN’s this process is big and can be quite time consuming. To help facilitate this process, when submitting your request please send it in the inter-dept mail to: PNCC EDUCATION. This will get it to the right people and hopefully expedite the fund allocation process. Staffing Incident Reports/ Staffing Request Documentation Forms: Terri Lewis (CCU) is the tabulator of this information. She is trying to set up a spreadsheet and organize all this information. Terri brings monthly reports to the PNCC and if there are specific concerns in areas of patient care we address these as soon as possible. We always want to know about concerns with practice of nursing and patient care and will always try to help find solutions for nursing when possible. Anyone is invited to any of the PNCC meetings. Please contact me, Vikki Hickmann chair, by inter-dept mail (ED), or by email at scmc.org if you would like a specific item on the agenda or just show up to the meetings. We will be setting dates for the 2008 meetings at the December meeting and these will be posted on the stcharlesnursing.org website calendar. Membership: The contract reads the committee shall be “composed of not less than eight RN’s and not more than 12 RN’s employed by the hospital and covered by this agreement.’ (pg 45, Article 14.1) We presently have six members: one from medical, one from CCU, two from ED, one from OR and one from FBC. We are able to have at most six more members and need at least two more. I have spoken with Duke Sells the ONA president of our hospital about the need for an election. This committee is dynamic, committed to promoting quality patient care and the improvement of nursing practice. I believe we are creative and are hard working. It is a forum that has the ear of the administration and lends an opportunity for professional growth. I would encourage any who have ideas they would like to have presented and implemented, this is an avenue where that can happen. Please contact any of the members if you have questions regarding the PNCC. Please read about the PNCC in the contract. In brief summary for the year 2007, the PNCC has had influence in some areas. The education fund process was taken over by 2 RN’s and has continued to meet the needs of the RN”s (even though the numbers of RN’s increased significantly). We did use all the education funds for 2006 (the first time this has happened). The PNCC made presentations during contract negotiations, resulting in an increase of educational funds. The process of tabulating staffing request forms has improved. The PNCC helped organize the election of the Staffing Committee. The PNCC continues to support this process by ongoing communication with the RN chair of the Staffing Committee. The PNCC provided a forum for the discussion and re-creating the process of inter-shift and inter-dept reporting by facilitating change (along with many others) from Optivox to verbal reporting. That is a small amount of information about the PNCC. I would like you all to know how important this committee is to the future of nursing. We have the potential to influence the future of health care. The PNCC can be the vehicle for this, Sincerely, Vikki Hickmann RN, BSN,CEN, PNCC Chair |
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| 6/14/2007 |
P.N.C.C.MEETING MINUTES 6/14/07 |
| P.N.C.C. Meeting June 14,2007 Present: Vikki Hickmann, Terri Lewis, Angie Streeter, Karen Stanard, Anne Coleman, Tiffany Fredericks, Cheryl O’Donnell. Agenda item #1: Open Forum. Report from Linda Coats regarding staffing committee. Linda Coats was not able to attend. Anne Coleman asked for discussion about “mandatory OT”. She explained that there is confusion about the mandatory OT rules, as they apply in O.R. We do not have the written explanation for mandatory OT here today, so discussion was only anecdotal. Linda Coats may be able to clarify this issue. I will also get the official guidelines from ONA and post them on the P.N.C.C. minutes posting site in the near future. Anne also suggested that we develop a method or form, the units could use to track the mandatory OT activity. Vikki suggested we review the P.N.C.C. goals. Now that we are mid-way through 2007 we can assess our progress toward the goals we set for this committee, last fall. This will allow us to measure our progress, and make changes if needed. We should each think about the role of the P.N.C.C. Vikki suggested that one of the role of this committee is to be the liaison between individual nursing issues and the S.C.M.C. administration. This discussion was stopped when our guest, Allison Hamway arrived. Agenda item #2: John Nangle, brought written comments and concerns form nurses throughout SCMC – Bend about the Optivox system. We will read these, and ask for unit RN input via the UPC’s. The system takes between 3-6 min / pt, to record report. That 12 – 24 min for a 4 pt assignment. Then RN’s meet face to face for final pt. reports and questions. In specialty units, pt conditions can change rapidly, making the recorded info obsolete by the time the RN’s meet face to face. This equals wasted time. We ask John to return again next month for further discussion. We were also interested in how much this system cost for software and training / what was the extent of nursing imput in selecting this system. Agenda item # 3: Alison Hamway, ONA rep. for S.C.M.C. – Bend R.N.’s., gave a review of contract issues concerning the P.N.C.C., and the latest in negotiations with the administration. The 3 contract issues R/T PNCC are : - the hosp. would like to offer the an administrative assistant to help with the management of the Education funds, ie receiving request forms, keeping track of each RN’s allotment of funds, keep records of funds, type minutes, etc. - request for increase of PNCC funds, and reimbursement of funds not carried over in past. - Increase # of payed hours for PNCC members. Please access the negotiating team postings for the details. We had discussion on each point. We were also honored to have an impromptu discussion with Lesley Toll, SCMC HR Manager. She was very kind to give us her explanation of some of these issues. Next months agenda ideas : -More discussion of the Optivox system from John Nangle. We will also be checking in with the UPC ‘s to get the nurses point of view. Also, checking to see how many RN’s were asked to give imput prior to purchase of the system. -SRDF - Allison Hamway will talk with to Carol Valasquez about staffing report forms (SRDF / RSIR). -Lynda Coats to explain more details about mandatory OT. Respectfully submitted, Karen Stanard, R.N. FYI : Director of Education = Karen Fitzgerald. Staffing Comm. Administrative lead = Karen Ellis |
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| 5/8/2007 |
P.N.C.C. MEETING MINUTES MAY 8, 2007 |
| PNCC Meeting Minutes: May 8, 2007 Attendance: Vikki Hickman, Kathy Phillips, Cheryl O’Donnell, Angie Streeter, Terri Lewis 1st 30 minutes: Open Forum: Linda Coats cancelled staffing meetings due to Opitvox meeting. Vikki Hickman asked for update of previous meeting (April 19, 2007). Angie Streeter spoke of issues from previous meeting of “not staying on track.” Terri Lewis will work with Keryn Glass to formulate a spreadsheet for SRDF form. Next Unit Rep meeting will be 5/21/07: Objective is to keep ONA books up-to-date. SRDF discussion: Vikki and Kathy set ground rules on meeting (the role in meetings) in creating or managing SIR (hospital version) and SRDF (ONA version) forms. We (PNCC) are “consultive” (can give our opinion) but have no decision making ability. Karen Stanard has complete information on this matter in the 4/26/07 minutes. Carol Velasquez and Karen Ellis have the “final decision.” The next scheduled meeting with Carol is 5/17/07; this is to continue work of SIR form. Our work today: How do we want to present “the nurses” concerns to the above mentioned meeting? Vikki is firm on using two separate forms, as they serve two separate purposes— Staffing issues vs Nursing issues. This stance is understood by Kathy and Angie since the SIR form is an internal hospital document meant to help the hospital understand where and how staffing insufficiencies occurred and CHS refuses to allow copies to be retained by the reporting nurse nor have a copy sent to ONA. Carol V. has stated many times that this is to make sure the document remains undiscoverable in a lawsuit. In Kathy, Angie and Vikki's opinion that leaves a nurse exposed and helps to cover the hospital even if though there were staffing problems that were reported. Therefore, for the time being at least, it is wise for each nurse to continue to fill out both the SIR form (it is our responsibility per terms of our employment) and the SRDF form to cover RNs legally and to allow the ONA to track dangerous trends affecting patient and staff safety. Forms need to be “quick, efficient, and easy to fill out” or they won’t be used, according to Vikki. Vikki feels the SRDF form accomplishes this, as it has a simple check box format, but for now both forms must be filled out. Kathy offered to speak with Karen Ellis to get insight into why the folks in the staffing office and the bedside nurses use the same form (the SIR form). The agenda for the next meeting with Carol: (Vikki will address these issues with Carol) 1) Will ask for Risk Management to attend subsequent sub-committee meetings on SIR form 2) Continued use of two forms 3) Nursing friendly; and the nurse deserves to retain a copy of SIR form. If SIR form issue is not resolved with Carol, the issue can either go through negotiations or to Labor Management committee. PNCC Update: Changes will be presented for negotiations and will be presented at next negotiation meeting on 5/16/07. Fund amount to be increased for educational budget. Increase number of committee members. Debbie Rief and Vikki Hickman will make the presentation to the negotiating team on 5/16/07. Respectfully submitted, Cheryl O’Donnell (substitute secretary), May 18, 2007 These minutes updated and corrected May 25, 2007. |
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| 4/26/2007 |
PNCC - SCMC MTG. |
| P.N.C.C. and S.C.M.C. Meeting Purpose: To discuss the format and Utilization of the Staffing Request Documentation Form. Date: April 26,2007 Time : 10 am Present: Vikki Hickmann, Terri Lewis, Kathy Phillips, Karen Stanard, Carol Velasquez, and Karen Ellis • Agenda item #1: What process will we use to reach agreement? Each person gave her ideas. Vikki - she feels we should work as a partnership, using collaboration to reach a decision. Each person can put in ideas to reach a common goal. Carol- she feels this is truly an internal hospital process. She works from a process model of “Resposibility, Accountability, and Authority”. There are also certain internal requirements that have to be met. The “Risk Management” committee has to review and approve any decisions. They have input, as to what can and cannot. be in a process. Carol would like to work together, but stated that she views the PNCC involvement with the SIR forms as consultative only, and that the final decision will be made by Nancy Moore and Carol. Their decision will then be reviewed by “Risk Management” and “Quality Management” She mentioned 2 other types of agreement: collaborative and consensus. She stated that the Staffing Committee works in the Consensus format. This allows each member to express their own opinion. These opinions are reviewed by the group, which then comes to a consensus. Everyone then honors this decision(even if they don’t agree totally). Carol also feels that the SIR forms come under the scope of the Staffing Committee. The process of the Staffing Committee is defined as: Develop, Monitor, and Revise. She feels the SIR form falls into the monitoring part of the Staffing Comm. Kathy- she would like to have goals written out. She would also like to clarify what the “risk management” limitations are. This would help us be more efficient in forming a workable process. • Agenda item #2: What is our common purpose? Terri- to improve the delivery of safe, quality patient care. These forms allow us to see trends, which ultimately helps us to improve our pt.care. Kathy- to make it easier for staff to fill out an incident report. Make the actual form cleaner. Make the process more efficient. Carol- she agree’s with Kathy’s concerns, but would like to add ; the ability to gather and retrieve data. It should acknowledge the data that will not be seen in the trends (ie: problems in staffing that were resolved before they became problems for pt care. These would include a short staff situation that was fixed before the shift started). Some of that data can be obtained via “One Staff”, but not all. Karen Ellis- she feels it’s all about process improvement. We need fewer errors in getting info from “One Staff”. She is working on ways to pull out problem trends. One the problems is that a person has to look at each form and enter the data it presents. This is time consuming. Currently the flow of a SIR form goes from the “reporter” to the AUM, to Karen Ellis, then to the Unit manager. The unit manager then interviews the staff member(s) involved. There was concerned expressed about the possible problem of having the Unit Manager interviewing the reporting Staff member. The staff member could feel threatened or intimidated into “under-reporting” because of fear of retribution. Or, the Unit Manager could “under report” the final evaluation of the report. Karen E. said the her usual handling of a SIR form is to investigate the incident by interviewing the repoting party, the Staffing office, and the Unit manager. She then looks at all this info and determines what seems to be logical. She then makes it a point to respond and explain her final evaluation of the incident to each party. Carol said she looks at trends, not just what the manger says. Terri asked Karen if info is captured from “one Staff” or the SIR forms. Karen said, only the SIR forms. Vikki- she feels the purpose of the SIR form should be to report what is happening for “a pt./RN that day” The PNCC’s view is concerned about how each RN can deliver care in a safe and legal manner. She would like the PNCC role in perfecting the SIR form to be more equal with SCMC. She would like to have the nurses experience to be looked at equally with that of the SCMC legal needs. She also feels there has been some mis-communication on the issue of SIR forms in the past. She would like us all to work together to avoid more of the same. • Agenda item #3: What are our interests in this issue? Vikki- her interest is creating “Ease of documenting”. This includes the variances of the day in patient care. Also to document missed breaks or lunches. Carol- showed us the SIR – Draft revision. We looked over some of the additions to the form and it’s layout. PNCC members would like time to look at these changes, and discuss them later. All parties present discussed a “Communication agreement” amongst ourselves. We agreeded to contact to contact one another with any concerns or changes in the SIR form(so we all stay on the same page). We will reply to these emails or phone calls within 3 days. Thank you to everyone for make this commitment. Carol V- Ph# - 322-2780…… cvelasquez@scmc.org Karen E. – 322-2750…………kellies@scmc.org. Karen said to call her back if she doesn’t get back to you. Next Meeting : May 17. 8:00 AM. Location to be announced. Agenda: 1) What do we want out of the SIR report(what data do we want to capture and why)? 2) Email each other if we think of other agenda items. Meeting adjourned. Respectfully submitted, Karen Stanard |
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| 3/13/2007 |
P.N.C.C. MEETING MINUTES 3-13-2007 |
| P.N.C.C. Meeting Minutes 3-13-2007 : Time : 0800 - 1030 Present : Angie Streeter, Terri Lewis, Kathy Phillips, Jessica Oddo, Tiffany Fredericks, Anne Coleman, Karen Stanard. Cheryl O’Donnell. Agenda item # 1 - Reports from PNCC members: Jessie Oddo – Vice Chairwoman- Reported on the Clinical Practice Committee Meeting (previously named Leadership Council). This committee currently has a total of 54 members. This large of a group makes it cumbersome to get work done. Several of the topics they are working on are; 1) Adjusting the workload of the Clinical Supervisor to reduce the amount of time spent in meetings and instead free them up to be working in their units, 2) Implementing / training for the PIXIS system, 3) troubleshooting the pneumococcal vaccine administration process, so appropriate pt.’s receive the vaccine prior to discharge, 4) documentation via EMR. Moving the DAR notes onto the form browser. This will make them a more usable part of the charting process, and better for pt. care. Terri Lewis – Reported on the progress of the SRDF forms. We discussed the possibility having R.N.’s fill out only the ONA form and submitting it to the hosp for all problems. This may push the issue a bit, but also test the ONA form to see how it works for SCMC. One member said that the SCMC has been returning any ONA –SRDF forms they get, back to the RN submitting it. We are hoping that the meeting planned with Carol Velasquez in May ( postponed by Carol from March to May) will bring us together. Our goal is to have SCMC and the RN’s using the SRDF forms as a tool to improve pt care and safety at SCMC. Agenda item # 2 – Proposed contract changes to improve the P.N.C.C. and the Education fund. We read the contract relating to the PNCC and would recommend some changes to the contract regarding: Article 14.1 – We would recommend changing the wording to “…composed of not less that 8 , not more that 12 R.N.’s…”; “ …holdover members, and “not more than 2 members from a single clinical area.” We would eliminate the other requirements relating to shifts and part-time status. Article 14.6 - We would change the meeting time to 2.5 hours/month/member. “Additional hours” need to be changed to reflect the time spent doing the work of the P.N.C.C. outside of meeting times. The hours requested are: Managing / dispersing P.N.C.C. Education funds = 24 hours/month Secretary = 2 hours/month Chairman duties = 4 hours/month The above three categories would be monthly requirements. Total = 30 hours/month. Sub-committee work - up to 10 hours / month to be used by any P.N.C.C. member doing extra work for the P.N.C.C. committee. Total payed hours requested includes; meeting time (2.5 hr x # of members, 8-12) =20-30 hr Required monthly jobs (PNCC Ed. Fund, secretary, Chairman) = 30 hrs Sub –committee work- =0-10 hr Article 14.10- PNCC Ed Fund managers must have a permanent designated work space and use of permanent or laptop computer, and file cabinet. This space must allow for a table large enough for 2 persons utilize. Currently there is no permanent space, and they have to locate an area with a computer each time they need to work. Article 13.4.1 Funding - (of PNCC Education Fund)- The current dollar amount is $110,000.00 . This amount was set when SCMC had only 450 RN’s. We currently have 650 RN’s. We are recommending an increase to no less than $325,000/yr. This takes into account the increased RN’s and the increase in tuition/travel expenses/ salary reimbersement. (650 x $500.00 = $ 325,000). Agenda item #3 - Anne Coleman said that the ONA book on their unit(O.R. or F.B.C) was out of the ONA SRDF forms. She did not know where extras were kept. Terri said she would contact John Nagel. He was coordinating the UPC reps to restock the books. She will also contact Sue Davidson to get more forms sent to us for replenishing the unit notebooks. Discussion was had about R.N.’s not getting their breaks and lunches. Oregon labor law states that you shall receive a 15 min. break for every 4 hours worked. Shelly Leander-Lewis says that R.N.’s at SCMC are breaking the law if they are not taking their breaks. The attitude on some units does not encourage taking breaks (ie- we have never taken breaks here, so if you want a break you are looked down on as not being a team player; or you are asked to break each other. This is many time impossible due to the acuity of your pt.s) We read the contract, Article 7.7(pg. # 8) which reads “One 15 min. rest period shall be allowed for each 4 hour period of employment. We would like to have the word “shall” defined. Shelly and the negotiating committee has been working on this and the meal break issue. The attorneys from SCMC and ONA have agreed on a LOA (Letter of Agreement)that addresses this. There will be a vote on this subject. Angie also said that our contract supercedes the Oregon Labor Law. There is a survey on the website about breaks. Please engourage all RN’s to complete this. We discussed the use of our ONA rep, Allison, to come to unit meetings to address these issues. This may divert any attitudes from being focused on the RN advocating for breaks. Kathy Phillips returned from the Staffing Comm. Meeting and showed us the “new SRDF form” that Caro Velasquez brought to them. Kathy is confused about this since we were under the impression that Carol, Vikki, Terri, were going to be working together to create a better working form. Meeting adjourned at 1030. Respectfully submitted by Karen Stanard |
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| 1/9/2007 |
P.N.C.C. MINUTES 1 - 9 - 2007 |
| P.N.C.C. MINUTES 1 / 9 / 2007 Present : Vikki Hickmann, Karen Stanard, Anne Coleman, Kathy Phillips Guest : Lynda Coats Meeting was called to order at 0905. Lynda is here to give this comm. an update on the Staffing Committee’s progress. She is happy to report that all members of the Staffing comm.held a special meeting just prior to the holidays in order to reach a concesus on a staffing plan.The new staffing plan is described in detail in a new work instruction, # W09075. This plan takes into account the numbers that effect core staffing numbers in each unit and at each level of caregiver. One big plus, is that the emphasis of the plan is the “patient’s needs”. This took a huge effort from the entire committee and each of the R.N.’s at St Charles should give them a big THANK YOU! We are very proud of you for working together to through this new and trying process. The next step will be implementation of the “ONE STAFF” acuity system at the unit level. Each RN will be trained to enter the acuity for each of their patients. There will also be a review process called “Inter-rater Reliability” implemented to assure the proper standards are used for acuitizing each pt. Thank you, Lynda. SRDF’s Vikki was hoping to get some information that would have allowed us to survey some of the hospitals in the state of Oregon about their SRDF forms. We were unable to get it so we will work on that project for next month. Terri, Karen, and Anne will develop some survey questions so we each ask the same questions. We will then call approximately 4 hospitals each, then review the results and report back to the PNCC. Kathy Phillips and Terri Lewis have been reviewing the SRDF’s that SCMC RN’s have turned to SCMC and to ONA. Kathy reported on the forms she reviewed ( the ones sent to ONA). She tallied all the forms for 2006, between March 6 th and Oct 6 th. . She has placed the data on an Excel spreadsheet. She noted that one area she liked on the SCMC form was where you add the name of the person(s) contacted to report the incident and the time. We noted that the example SRDF from Sacred Heart host. in Eugene has a form with this on it. The committee would like a break down of the type of incidents / unit . The committee need to gather this data quickly so we can use it to for one SRDF to combine both the SCMC and the ONA forms into one. Treasure’s Report : Debbie did not attend , but Vikki reported that all the PNCC Educational funds were exhausted this year, and left 4 RN’ without reimbursement. Vikki did some research and found that the Educational funds were started via the contract negotiations ant the amount of $85k in 1994. In 1998, it was increased to $110k , when there were only 400 RN’s at SCMC. Now, the amount remains the same ( $110 k), but the number of RN’s has increased to 650. There are also more RN’s with seniority that can request p to $ 600 each. We will get some hard numbers and review it further. Meeting adjourned at 0945 Respectfully submitted, Karen Stanard |
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| 12/12/2006 |
P.N.C.C. MINUTES 12-12-2006 |
| P.N.C.C. MINUTES 12/12/2006 Present : Vikki Hickmann, Debbie Reif, Terri Lewis, Jessie Oddo, Angie Streeter, Ann Coleman, Tiffany Fredricks, Karen Stanard Guest : Robin Kemmer. Robin addressed the P.N.C.C. comm. requesting to use her available education funds for a volunteer medical trip to Ecuador. She has already submitted the request to Karen Fitzgerald in order to get administrative approval to grant some of these hours used to fulfill her continuing ed. requirements. The committee asked several questions of Robin, then asked her to allow the comm. some private discussion. We re-read the contract , and ended the discussion by stating we felt that this idea wuld fall into the requirements set out in the contract. We approved the use of Robins P.N.C.C. funds for this purpose. In the future, we fell it will be imperative for an R.N. to obtain the approval of the administration for continuing ed before the P.N.C.C. would grant use of funds . Debbie Reif will change the work inst. to reflect the above discussion. Report from members : S.R.D.F. reviewers - Terri and Kathy Phillips - Terri and Kathy met to review all the collected SRD forms. After review, they concluded these forms collect data for 2 different staffing problems: 1)staffing ( RN’s /pt as it relates to pt. safety and care) , and 2) staffing occurences (ie - noting when a float R.N. is placed into an assignment or a sick call that is not filled). The “One Staff” program currently can track and document the problems discribed in #2 ex: which allows it to track logistical staffing problems. Terri and Kathy stated their goal is to review the SRD forms monthly so we may note trends that need to be addressed by the PNCC and/or the Nursing Administration. Terri then circulated 3 examples of acknowledgementsto be sent to every R.N. who fills out an SRDF. We all read through them and decided on one choice. These noteswill inform the reporting RN that the PNCC recieved the SRDF and tell them the status of the reported problem. We thanked Terri and Kathy for their good work. Vikki said she got a list of Oregon Hospitals that are currently using only the ONA’s version of the SRDF. They number 29. Two other hospitals use a form that is very similar to the ONA form. St. Charles Bend and Redmond are 2 of the few remaining hospitals, in Oregon, that don’t use the ONA form. We want to check on the total number of hospitals are in Oregon and if there are any hospitals represented by ONA that still use 2 forms ( besides SCMC). We don’t know why SCMC doesn’t want to use one form. We will survey some of the hospitals on the list see if they had conflicts with their administrations prior to going to one form. Terri, Karen, and Ann will do the survey and report at the Jan. 2007 meeting. Angie stated that the objective to enter a “staffing incident” (not a pt.) into EMR. Since this report is about a staffing issue and not a pt. issue that no HIPAA violations will occurr. Therefore there is no reason these completed should not be available to the reporting RN, ONA. Co- Chairman - Jessie Oddo- She will be attending the Pt. Care Leadership Council meetings. She will talk to Lynn Wolfer about the schedule. Treasurer- Debbie and Tiffany - Since this is such a busy time for Debbie with the flood of incoming reimbursement forms, they have not met. They are meeting next week to talk about the transition of the treasurer’s job from Debbie to Tiffany and Cheryl. Debbie said that the PNCC ed fund has payed out $99,000.00 for individual RN education and another $7.600.00 to sponsor various ed. classes. The total payed out for 2006 is $106,954.73. There is still a large stack of reimbursement form waiting for Debbie. Thank you Debbie for your hard work in this busy time. New Business - Compare SRD Forms - Vikki gave us 3 SRDF’s to review and make comments. We looked at the SCMC, ONA and the SRDF from Good Samaritan Med. Center in Eugene. Terri recommended, on ONA form, where it reads ...conditions (check all that apply)- to poss. add a check box for admissions to this category. For the SCMC form, where it reads ...”unit stats”- staffing- actual/ target. Do we want to include this? We will continue to work to consolidate these forms into a more useful, and user-friendly tool for everyone involved. Meeting adjorned at 11:00 am. Respectfully submitted, Karen Stanard |
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| 11/9/2006 |
P.N.C.C. MINUTES |
| P.N.C.C. MINUTES 11-09-2006 Present : Vikki Hickmann, Terri Lewis, Angie Streeter, Jessi Oddo, Kathy Phillips, Tiffany Fredricks, Cheryl O’Donnel, Karen Stanard. Guest : Linda Coats The meeting was called to order at 9 am by Vikki Hickmann, chairwoman. WELCOME to the newly elected P.N.C.C. committee members. It is so good to see the number of participants on the committee. Everyone was introduced to each other. Linda Coats gave a staffing committee update: Bruce Humphreys has invited Jim Diegel to attend the next staffing comm. meeting. He would like Jim to see the process the Staffing committee is using and how it is working. Linda said the majority of the comm. prefers the “One Staff” software as a acuity/staffing software. Not everyone on the committee agrees, however. They will continue to work for the best software solution. But, It is clear that nothing will be in place and staff trained by the Jan. 7,2007 deadline (as specified by HB 2800). Therefore, it looks as though SCMC will need to apply for their 1 st 60 day extension (only 2 extensions are permitted before mediation is required) P.N.C.C. members are invited to attend the staffing meetings as a “listen only” guest. Linda is also the nursing liaison for the “Safe Patient Handling” Committee. Linda Enos, ergonomic expert, is working with Ortho / Neuro floor. They have set up a Pilot Program to evaluate the current methods for pt. transfer/lifting via the “slippery sheet and a hover mat(inflates so pt. can be pulled up in bed more easily). The new rooms constructed in the N. Tower will have “ in the ceiling lifts” in each room Thank you , Linda for the update. Vikki reviewed the P.N.C.C. Charter. The new charter has 10 members on the committee. Vikki asked the members to volunteer for a position on the committee. The following are the new assignments for 2007: Chairman - Vikki Hickmann , co-chair - Jessie Oddo Co treasurers - Tiffany Fredricks and Cheryl O’Donnel ( Debbie Rief will train and advise) Secretary - Karen Stanard and Angie Streeter SRDF (staffing incident review ) manager:_____________. Thanks to all members for becoming involved. Better review of SRDF and communication with the R.N. filling out the report is a goal for 2007. We are not to use the EMR “Event Manager” to report Staffing problems, instead use the paper forms. We are recommending that each complaint be recorded on both the SCMC “Staffing Incident Report” and the ONA SRDF form (found in the ONA binder found on each unit). Debbie Reif (treasurer) has estimated that she spends approx 13 hours / month processing PNCC Ed. Funds requests. Cheryl and Tiffany will meet with Debbie to discuss how best to share this job. They will report back to this comm. in Dec. Karen will try to meet with Terri and Debbie to make some suggestion for dispersment of education funds remaining at years end.. Angie Streeter reported that she attended the seminar for both the SCMC negotiating committee and the SCMC-R.N-ONA. negotiating committee. She said it went very smoothly and was encouraged by the mutual “good feelings “ at the end of the seminar. This type of collaborative, instead of adversarial tone is a huge step forward for both parties. Let’s have more of that. 2007 Meeting schedule: January 9, 2007......8 am - 1030 am Feb. 8, 2007..........1400 - 1630pm March 13, 2007......8am - 1030am April 19, 2007........8 am- 1030am May 8, 2007..........8am - 1030 am June 14, 2007.......8 am - 1030 am July 19, 2007........8 am- 1030 am Aug. 16, 2007.....8 am - 1030 am Sept. 11, 2007....8 am - 1030 am Oct. 9, 2007.........8 am - 1030 am Nov. 13, 2007.....8 am - 1030 am Dec. 13 , 2007.....8 am - 1030 am Vikki led a discussion about the SRDF process. The Staffing Incident Report Form is a internal quality document. Nursing is being asked to use the EMR so we can accumulate data and track possible trends. Currently this process is cumbersome at best. We should try to document any issues with short staffing that cause poor pt safety, poor pt. satisfaction, missed lunch/breaks and float utilization. We will try to promptly document and respond to each person filing a report. We shall review the hospital’s form and the ONA for m. Ask yourself these questions while reviewing ; 1)How does it work? Look at the layout of the document(ways & whys), can you tell what was happening. 2) How does the PNCC get feedback - the reporting RN / not just the AUM. We need to think “outside the box” to be able to evaluate / track/respond/ and initiate change if needed. Be prepared to discuss both the SCMC SRDF and the ONA SRDF at the Dec. PNCC meeting. Meeting was adjourned at 1100 am. Respectfully submitted, Karen Stanard |
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| 10/17/2006 |
P.N.C.C. MINUTES |
| P.N.C.C. meeting minutes - 10/17/2006 Present: Vikki Hickmann, Angie Streeter, Debbie Reif, Karen Stanard Guest: John Nagle RN, Linda Coats Meeting called to order @ 0900. Visitor: John is here to speak to the PNCC about a new committee he is starting at SCMC. “Stewardship committee”. This committee would look at hospital-wide methods to make SCMC more enviromentally conscious. John told the hx of the “Green team” at SCMC in the 2003 by Jane Lindgren and John. They began a recycling program for hosp. waste. Interest and budget wained, but has now returned. He has spoken with Jim Deigel about the Stewardship Comm. and was given encouragement to organize the committee. Then approach the board for possible funding. Current enviromental improvements are: 1.) Organic food offerings in the cafeteria. 2.) Oct. 1,2006 - hospital garbage sterilizer. All trash goes there. Vikki gave John some suggestions about setting up a committee, 1.) form a charter to clarify your intentions, 2.) approach the Patient Care Leadership comm., 3.) seek approval of the Board of Directors. Vikki will email Jim Deigel advocating the Stewardship Comm. idea. Congratulation to the new PNCC members: Kathy Phillips, MSVS, Cheryl O’Donnel, Peds, Jessie Oddo, Pt. Care Support, Ann Coleman, Surgicenter, and Tiffany Farfagin, FBC. Angie will put together a new member list. Thanks Angie ! Staffing Comm.: Linda Coats, RN The committee has accepted their charter, Great !!. Their meetings are always Tuesdays. Next meeting is Nov. 14. The comm. reviewed the One Staff software last week and are recommending the purchase of that program.. It worked best for acuity and staffing as well as working with Kronos. It is also less expensive than the other choices. PNCC charter: Changes made to the charter : 10 members on PNCC. Treasure’s Report: Debbie will bring an estimate of the hours she works to manage the PNCC ed. fund requests. Vikki will talk with the administration avout permanent office space. Wendy Scheckter is the new Administrative Liason for Education funds. Debbie reviewed a request from an RN for PNCC funds to help pay expenses for a volunteer experience to Ecudor. The comm. delined this request because this is not purely educational. Goals for 2007: Vikki 1.) To look at the EMR, r/t it’s legallity/ liability/ security. We will ask Sue Davidson for help on this. Open Forum : Oct 26, 2006. 0730 - 1700 classroom E Encourage RN’s to come. They can learn about the neg. comm./ PNCC comm. Advantages and responsiblilites of being an RN at SCMC - Bend. Karen will meet with Debbie and Terri to makea work inst, of the PNCC request form. Meeting adjorned at 100 am. Respectfully submitted, Karen Stanard |
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| 7/29/2006 |
NURSE STAFFING CLASSES |
| ONA's Professional Services Division will be givng Nurse Staffing education in Bend and Redmond October 25th and 26th. The target groups are the PNCC, Staffing Committee ( direct care RN's and Nurse Mgr). I will keep everyone up to date as specifics are formulated. thanks, Vikki Hickmann RN PNCC Chair |
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| 7/7/2006 |
P.N.C.C. MEETING MINUTES JULY 7,2006 |
| P.N.C.C. Meeting July 7, 2006 Attending : Vikki Hickman, Karen Stanard, Terry Lewis, Debbie Reif Guests: Jane Brewer 9 AM Meeting called to order. Jane Brewer Is here to discuss the desire of the administration to work with our R.N.’s toward achieving “Magnet Hospital Status” at St. Charles Med. Center. A “Magnet” designation “recognizes a hospital’s nursing program and demonstrates it’s importance, and the importance of it’s nurses to the success of the entire organization”. The benifits to SCMC would be: improved nursing recruitment and retention, increased confidence with the public, attract a higher quality of Physicians and specialists, reinforces positive collaborative relationships, improves patient quality outcomes. Jane explained how St. Charles would like to plan to work with nursing to acheive the 14 “Forces of Magnitisim” required for application to Magnet Status. The 14 “Forces of Magnitisim” are: 1.) Quality of Nursing leadership 2.) Organizational structure 3.) Management style 4.) Personnel policies and programs 5.) Professional models of care 6.) Quality of care 7.)Quality improvement 8.) Consultation and resources 9.) Autonomy 10.) Community and the Hospital 11.) Nurses as teachers 12.) Image of nursing 13.) Interdisciplinary relations 14.) Professional development See handout or go to web site http://nursecredentialing.org/magnet/contract.html. Jane has requested and received approval from the Executive Comm. for funding to educate a committee that would oversee the process. She suggested that 1-2 PNCC comm. members be part of a group that does some site visits and attends a national education conference on Magnet Hospitals. P.N.C.C. supports the concept of “Magnet Status” with the understandingthat there will be equal representation and equal empowerment, and that discussions will be acted on. Jane will get back to Vikki with a list of needed committee’s for CHC -Bend. Kikki will tak with several R.N.’s at SCMC who have worked at “magnet “ hpspitals. O.N.A. Unit Notebooks : Vikki has updated these notebooks for the P.E.S. unit, E.R., Sageview, and Peds. Thank you Vikki !! WE would like all other units at SCMC to look at one of these updated books and then update their own units book. FYI : Department managers are now reorting to Carol V. or Jane Brewer, instead of Nancy Moore. Discussion about PNCC education funds remaining at the end of the year. These funds are carried over to the next year, but the committee would like to disperse them instead. A sub-committee of Terry, Karen , and Deb Reif will meet to discuss possible solutions to this problem and bring those back to this committee. Meeting adjourned at 11:00 am. respectfully submitted, Karen Stanard |
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| 4/14/2006 |
PROCESS TO BRING AN ISSUE BEFORE THE PNCC |
| 1) Is the PNCC the appropriate committee to bring your concerns/issue to ? Does it have the authority to grant your wishes? 2) Have the request/issue formulated in a concise, clearly written format. This needs to be presented to the chair at the time of the request to be placed on the agenda. 3) Request to be placed on the agenda at least 2 weeks before the next PNCC monthly meeting. Email- vikhickmann@aol.com The PNCC will hear two 15 minute presentations at the beginning of the monthly meeting. 4) Expect the PNCC to take your presentation into consideration. They will discuss the issues in committee. Any questions the committee may have will be asked within the 15 minute time allotment, or you may be asked to respond back with needed inforamtion at a later date if there is a time constraint. 5) The committee will have other guests at the meeting other than the first 15 minutes by invitation only. 6) The rationale for these stipulations are due to the short time we have to work on the buisness of the Professional Nursing Care Committee and to promote clarity of communication. We feel this will facilitate efficiency in time management for all parties involved |
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| 4/13/2006 |
PNCC MEETING MINUTES |
| PNCC meeting on 4/13/06 Present : Debbie Rief, Angie Streeter, Cynthia Ingman, Vikki Hickmann, Terri Lewis, Karen Stanard ( arrived at 1000 am). PNCC office, as designated by SCMC, currently has 2 file cabinets and a mailbox located downstairs. The desk is gone, so there is no work surface. We will contact Carrie Gatton to aquire more usable space. We will update the situation at next meeting. PNCC EDUCATION - $1000 for speaker for Diabetes assessment class. Upcomming classes that PNCC will be helping to fund include bariatric class and chemotherapy class. The conscious sedation training is mandatory, therefore PNCC felt that SCMC should pay for that training. Pain management class - one hour in the form of grand rounds? Otherwise 6 to 7 hours of pain education offered this fall ( ce units 7.2 = 6 hrs). Pain ed. required by the Stateof Oregon for liscense renewal. OSBN has one hour pain requirement available online. PNCC is backing pain management ed.. It is important to establish ed. for the community and possible future ed. as the need for chronic pain clinics increase. PNCC will need cost requirements for these classes to consider sponsoring these classes. Need to speak to Katie Kimmel for recommendations for cost containment . Need to checl with OSBN for taping of pain classesfor those not able to attend. Funds should be provided for SCMC contract nurses only. PNCC budget is $110,000.00 / yr + rollover. Currently, (not including bariatric conference expenses) we have $39,098.24 used in 2006. The ABLS (Advanced Burn Life Support) conference- PNCC name is not on flyers or banners. As a sponsor, PNCC should have recognition on those items. Poor communication of our requirements as a sponsor were to blame. Vikki spoke to Julie Bostrom (conference lead) about this issue. Julie acknowledged this miscommunication and said that PNCC will receive recognition with online reg. from now on. Julie shared that this conference received Federal reimbursement for registration fees and speaker costs - $5000.00. Cost for PNCC are lodging of 10 staff members $79/night x 5 rooms x 2 nights’ and food for the day of conference. PNCC will provide approx.$3500.00 for airfare, lodging and catering. This PNCC committee agrees that we need to set up some standardized criteria to be followed if PNCC funds are used in a sponsorship role. We also need to set up a checklist of required information that solisitors of PNCC funds will follow prior to meeting with the PNCC committee. Terri Lewis, Karen Stanard, and Debbie Reif will work on a template/work instruction to cover this. They will present it to the next meeting. Debbie pointed out that it is immportant to spend appropriate PNCC funds prior to the next negotiations, as it could affect future PNCC funds. Ruth Ott, RN, OR nurse educator, presented her request for PNCC education money. This would be used for internship programs for 4-5 new OR staff. The “Peri-OP 101” opportunity begins this fall with 81 contact hrs and 9 months of internship (clinical) for each staff. Costs are $500.00 plus books + $750.00 total for each student. Ruth is asking PNCC to allow current OR RN’s to donate their individual portion of “unused” PNCC ed. funds to be used for these costs. She felt that PNCC has the authority to go above and beyond tha allotted money for special needs. The individual criteria for acceptance into the classes are: 1. each is a current hosp. emp.; 2. each would be interviewed by the union rep.; 3. orientation after class; 4. obligation for one year of work at SCMC following internship. Ruth was ased if she would check with other sources of income, ie.- grant $, vendors, foundation. PNCC committee had discussion and concluded that “transfering funds” from each RN’s allottment would be much to difficult to keep track of, and therefore the committee respectfully declined Ruth’s request. Lynda Enos RN,MS , is here to speak about ergonomics in our workplace. She is asking for the PNCC’s endorsement of the implementation of a hospital wide “No Lift” policy and Pt. / worker safety. Lynda has 30 hx in nursing and currently works with ONA , consulting about workplace layout/risk management/ employee health. She ws called by Theresa Kramer, a P.T. at SCMC, to work on improving the ergonomics at SCMC.. They see the PNCC as providing their approval/ energy/ encouragement needed to get by-in by the nurses. The PNCC comm. recommended they talk to Clinical Care management to set up priorities, then approach the administration for funding. the PNCC feels this is a need for SCMC and will be available to help in the future. Interim Staffing plan - All units have completed their acuity criteria. Education will begin with the AUM’s and relief AUM’s on all units. It was suggested to have laminated cards placed on each computer with that criteria on it. This wouls ensure that every one was using the same criteria. This is very important to validate and compare with the previous staffing plan. Demo day for Optibox will be May 10 and 11. Meeting adjorned at 11:30 am. Respectfully submitted by Terri Lewis and Karen Stanard. |
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| 3/9/2006 |
P.N.C.C. MEETING MINUTES MARCH 9,2006 |
| P.N.C.C. Committee meeting 3-9-2006 Present: Vikki Hickmann, Terri Lewis, Debbie Reif, Karen Stanard, Angie Streeter Guests: Linda Coats, Karen Hack, Collene, Sue Davidson Vikki reviewed what has been happening since our last meeting, 2-17-2006.: She met with Carol Valesquez and Nancy Moore on 2-24-2006. They discussed the work on the interum staffing plan. The UPC reps are working with their respective unit managers to form a 4 step interum acuity plan. They shall have them ready for review by March 30. Current business: Lynda Coats is attending to serve as our “staffing expert”. She has worked with several different staffing and acuity systems at SCMC for many years and can claify how the current plan actually works as well as her work on forming the updated 4 stage plan for her unit. Lynda informed us that Mary Demaris (SCMC Patient Care Support) was working to find a way to use Affinity to measure and adjust the units workloads. She was asked to do this by Nancy Moore and Carol Valesquez. Lynda feels tfe Affinity system is too lengthy and cumbersome. This would take too much nursing time on the units. The Staffing comittee is looking for new staffing software. Interium Staffing Plans reviewed: Currently, each units staffing / shift is derived from the Affinity staffing numbers and the AUM’s direct conversation with unit nurses. These 2 aspects are considered for the staffing at the unit level. Once an interium staffing system is decided on, there will need to be some time (possibly 2 weeks ) for education on the units. It may be possible to use some of the R.N. ‘s needing hour to do the education piece. This will be suggested to Nancy and Carol. Approx. 2 weeeks after the education period, there will need to be a review and validation of the interium plan. This validation process is usually done by both the staff nurse and AUM. Thier individual audits must match by 80%-90% in order for the system to be valid. Karen Hack and Angie showed us the Acute In patient Caregiver Matrix (see handout). They have 4 levels. Karen Hack feels that medical floor will be able to teach the new system without special training sessions and could be ready to “go live” by mid April. We will check with the other units for their timelines. Terry will talk with IMCU. Lynda will check with rehab. and Colleen. We will meet again on March 30,2006 to review all the unit interium plans . Meeting Adjourned. Respectfully submitted, Karen Stanard |
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| 2/28/2006 |
STAFFING COMMITTEE, DIRECT CARE RN MEMBERS |
| Date: February 18, 2006 Present: Angie Streeter (Medical), Kathy Menefee (Rehab), Sharon Walden (IMCU), Duke Sells (Medical), John Nangel, Cynthia Ingman (CCU), Lynda Coats (Ortho/Neuro), Debbie Griffith (OR), John Dockendorf (PCS), Karen Stanard (ER), Debbie Rief (Medical), Bruce Humphreys (Cath lab) ONA Staff: Sue Davidson, Kurt Willcox (briefly) Abbreviations: DCRN’s (direct care registered nurses, as described in the law) SC - hospital Staffing Committee\ OAHHS: Oregon Association of Hospitals and Health Systems (aka hospital association) I. Introductions, purpose and general background. (Kurt Willcox, Angie Streeter, Sue Davidson) Kurt recapped the meeting held the previous hour that was held with chairs of UBPCs. The background is that Nancy Moore has charged the UBPCs to develop their unit’s version of a 4 point staffing plan with the PNCC to be a resource to the UBPCs as they work on this. Initially, Nancy said that the UBPCs were to report back to Leader/Managers (LM’s), but communication broke down somewhere (BU is unsure about the level where the breakdown occurred) with some UBPCs doing nothing, others starting something. Meanwhile, the discussions and responses over what the specialties at SCMC will be between PNCC and Carol Valesquez have finally been completed. A decision has also been made to be sure that there will be always be a representative from PNCC at meetings of the SCMC Staffing Committee, once it starts meeting. The main purpose of these unit-based and Staffing Committee efforts is, of course, is to get it a more valid and reliable unit level staffing plan, and to increase the nursing hours per patient day (nppd). Angie wants to make sure that we keep in the spirit for new communication. II. Review A. Sue Davidson provided each attendee a folder which contains the following materials: * A copy of the HB 2800 side by side: far left column, the 2001 law; middle column: the rules related to 2001 law; and far right column, new language in law (2005). * A template for a Staffing Committee charter Source: built from a template on the NWONE web site for a hospital near Salem; Use: by direct care RN’s to ensure that the processes for meeting and deciding by the SCMC Staffing Committee create an equal partnership between DCRN’s and nurse managers *A list of references to nurse staffing on national specialty organization web sites; Source: web sites, date: 2006 Use: For units that have external standards; not required to use, but should be reviewed *A suggested template for making a complaint to the Oregon Health Division *Pamphlet and booklet from American Nurses Association B. Each component of the packet was reviewed and discussed. C. Terminology. Sue brought up the point that terms matter and a term that is frequently used by staff nurses at SCMC is “acuitize”. To those who use the term, it seems that they are referring to calculating how ill/sick the patient is, and from that, determining the nurse’s work load intensity. The most important part of the “acuitizing” is the nurse’s work load intensity. Sue suggested that nurses who will be on the SC be care to use the term they really mean. There are standardized definitions about this and other terms frequently used in nurse staffing and ONA will be preparing a list of accepted definitions for these that are used in the US. Another term that is being used is “hours per patient day”aka “hppd”. What also matters are the “nursing hours per patient day” aka (nhppd). Sue suggested that in the discussion about staffing plans, DCRN’s strive to leave what the actual nhppd is for their unit, and how that differs from hppd (something, non-direct care givers are included in this). III. Supporting DCRN’s who are on the SCMC SC A. ONA will be developing materials that will be sent out in blast e-mails on a 2 -3 weeks basis during this period of time. Some of the materials that are being developed are: *A summary of the agreements reached in meetings between ONA and OAHHS; *A summary of the meeting with the OHD (2/16/06) *Information about Optilink B. A list of the DCRN’s who will be on SCMC’s SC is posted on the ONA/SCMC website. The meeting adjourned at approximately 11:10 a.m. Respectfully submitted, Sue B. Davidson, PhD, RN, CNS Asst. Executive Director, ONA Nursing Practice, Education and Research |
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| 2/26/2006 |
MEETING OF UNIT BASED PRACTICE COMMITTEES |
| Oregon Nurses Association * 18765 SW Boones Ferry Rd., Ste. 200 * Tualatin OR 97062 St. Charles Medical Center PNCC-sponsored Meeting of Unit Based Practice Committees Date: January 17 , 2006 Site: SCMC Topic: Interim Staffing Proposal Present: Angie Streeter/Medical, Debbie Rief, Leanna (Critical Care), Christy (Rehab), Lynda (Ortho), Priscilla, Cynthia, Nancy/Med, Karen Stanard (ER), Melissa (ER); Duke Sells (Medical), Kathy (Rehab); John Dockendorf, John Nagel, Bruce Humphreys (Cath Lab), Sharon (IMCU), Ann Moller (RR). ONA staff: Sue Davidson, Kurt Willcox; I. Introduction: Sue Davidson gave a short description of the two activities that are taking place in the state with the ONA/hospital association meetings, and recently, the first rule making meeting held by the Department of Human Services (known as the health division). II. Unit based staffing plans A. Background: At the January Labor Management meeting, Nancy Moore indicated that administration would work on this, and later it was learned that she intended to ask the various unit based practice committees to begin reworking the 3-level system into a 4-level staffing system based on the proposal made in that meeting by Angie Streeter and Teri Lewis. It is anticipated that the results of the Health Division visit/response will be out by late Feb/early March. B. The goal of this meeting is to determine what progress has been made on various unit based practice councils, and to ensure that there is some similarity across the plans. C. Findings 1. Angie has determined that some UBPC’s have met, others have not and some do not understand what their task is. Given this situation, Angie feels that it is very important for each UBPC to have education related to the goal, and on how to convert what their unit staffing plan is from 3- to a 4 point system. 2. The other problem is no one is entirely certain about who the UBPC chairs are, thus making it more difficult to communicate with that group. 3. It appears that Nancy Moore needs to re-send her request for the units to develop their interim staffing plan to the UBPC chairs. 4. Angie was given a sheet from Optilink which provides some suggestions for a 4-point staffing system, but it is unclear whether this sheet of paper is meaningful since SCMC has not yet reviewed it’s intention to purchase Optilink with either the PNCC or the soon to be formed Staffing Committee. 5. Some UBPCs have taken action, e.g., changed their staffing plan by changing everything to 4 levels but without readjusting the 8 categories of interventions or by clustering interventions with the 4 levels. 6. Nancy Moore wanted to have feedback by January 31st. This date has passed with very little response largely because many of the attendees at this meeting had not even heard that they were supposed to be doing this. D. Discussion 1. Would UBPC’s be best to make the decisions on what goes under the 4 categories on their unit? Answer: Yes, they know the patient populations the best. 2. Is the goal that the UBPCs to decide the categories? No, four categories is what we are working with (low, mid-, mod, and high). 3. What about patients who require RN 1:1 or CNA 1:1? Currently, they are included in the staffing grid, but other places, 1:1's are moved out of the staffing grid for the whole shift. Answer: For this interim plan, move all the RN 1:1's and the CNA 1:1's out of the matrix of level x 8 categories of interventions. 4. What about ER where we don’t do this stuff? Answer: You are using external standards and this does not apply to you unless there is a problem with the staffing plan in your unit. 5. What about differences in the definition of each unit’s “low”, “mid”, “mod” or “high” acuity patient? Answer: This will be dealt with when the unit plans are developed. It is likely that there will be similarities that emerge but this won’t be known until this revision to the interim plan takes place. 6. In the old 5-point system, when you are “acuitizing” your patients, if the acuity fit mostly in the third level but there was one intervention cluster in the next level, the decision rules were that you could bump the patient’s acuity up to that level. Will this hold? Answer: Hope so. 7. How will this revision and creation of an interim staffing plan for each unit work if the reason that the hospital reduced the hppd for various units was the budget crunch? Answer: The answer to this question is complicated but in the end, staff nurses and others were telling the Health Division that the hppd is not sufficient to provide safe nursing care. Essentially, the group needs to set aside is worries about the budget and get busy on developing their interim plans to make staffing on their unit better. 8. What are the rationales for revision of the current 3-point staffing plan? Answers: LOS is longer and thus, nursing care needs extend over a longer period of time; there have been instances where delivery of nursing care has been unsafe and there are sentinel events which are known to have happened. Additionally, the 3-point staffing plan created a situation where it looked as if the patients and work load on various units was really not very high or very intense, not because it is really what is happening but because the 3-point system did not allow for a valid rating of a patient’s nursing care needs. This resulted in increased amounts of call off (the nursing care was not needed). 9 What is meant by “acuitizing” patients? Ans: what you have here is really a method of indicating the nurse’s work load intensity, e.g., how many and for how long are various nursing interventions needed to care for “x” number of patients on “x” unit. By using the term “acuitizing” you are really not accurately describing what is needed which is an accurate estimation of the nurse’s work load. Need to change the term that you are using. III. Action plan: A. Staff nurses in the UBPCs on each unit need to have a template for the “interim staffing plan” for their unit. B. PNCC will assume the role of consultant and mentor to various UBPCs as they develop their unit-based staffing plans. This can be accomplished because members of the PNCC are assigned to cover/liaison with various units at SCMC. C. PNCC needs to set up a communication channel with UBPCs. D. UBPCs need training in how to convert their current 3-level staffing plan to a 4-level staffing plan. For UBPCs which are functioning, PNCC may not be needed much, for those UBPCs which have not met for a long time, PNCC can work with them to create a staffing plan. E. Angie will ask Nancy Moore for the list of UBPC chairs and co-chairs on all of the units. In addition, she will request a copy of old 5-point system. F. A meeting needs to be scheduled for Nancy, Angie and Vikki to meet with the chairs and co-chairs to give them materials to complete this task. Additionally, SCMC needs to support the UBPC members on each unit to meet often enough to get the job done. The meeting adjourned at approximately 10 a.m. Respectfully submitted, Sue Davidson, PhD, RN, CNS Asst. ED, Oregon Nurses Association cc: attendees, Vikki Hickman, Shelly Lewis Leander, Angie Streeter, Kurt Willcox |
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| 2/15/2006 |
JANUARY MEETING MINUTES |
| Minutes 1-20-06 Members Present: Vikki Hickmann, Terry Lewis, Cynthia Ingman, Angela Streeter, Karen Stanard Members Absent: Debbie Rief Guests: Sue Davidson Guests not present: Carol Valesquez The original meeting agenda was set aside in order to focus our time on ideas for an interim staffing plan. These plans will be presented at the meeting to be held on Monday 1-23-06 between the Hospital and the SCMC Bargaining committee. The staffing Committee is currently being created . The Hospital Nursing Units have been brought together to form 8 groups : MSVS/SSC/IVTherapy/Infusion Rm; Ortho/Rehab; FBC/Peds/NICU; CCU/IMCU/Dialysis/Cardiac Rehab; ER; OR/PACU/MDU/SS; Radiology/Cath Lab; Pt Care Support/ On call/ CC floats. We discussed the role of the PNCC in relation to the Staffing Committee. It was felt that the PNCC should take a supportive role. Able to assist with any questions relating to HB 2800 or our contract relating to staffing , nursing care issues. We also felt we should have a PNCC member at each meeting . In addition we feel that the meeting should be open to the Bargaining Unit members as observers only. Suggestions for the Interim Staffing Plan were discussed. Pros and Cons for a # tiered, 4 tiered, or 5 tiered system were weighed. Several other important needs for proper acuitizing of patients and staffing were brought up : 1) revisit what does NOT work with the 3 tiered system, 2) give back the AUM hours (on nights), 3) give extra hours (not just steal them from other pt’s) for behavioral problem patients, $) Acuitizing of pt’s should be done by the “bedside RN” , not the AUM. Terry Lewis and Angela Streeter, and Sue Davidson kindly agreed to meet over the week end to solidify these suggestions into an interim staffing proposal. Many thanks to your extra work! The Oregon Health Divisions investigation at St Charles 1-9 thru 1-13 which discussed the staffing matrix change which occurred as a potential violation of HB 2800 August 2005 , included interviews with many RN’s involved in this issue. The Health Division was also present to listen to the Administration give their interpretation of this occurrence during a few of their many “Forum “ presentations. Many RN’s that took part in the investigation felt it was done in a fair and balanced way. The Meeting Adjourned at 12:00 , respectfully submitted, Karen Stanard R.N. |
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| 12/10/2005 |
DECEMBER 1ST PNCC MEETING MINUTES |
| Members Present: Vikki Hickmann, Karen Standard, Cynthia Ingman, Angela Streeter, Terri Lewis, and Nichole Ryan. Absent: Debbie Rief -PNCC reviewed the surveys completed by RN’s and surveys done by members of the AUM staff at the hospital. A letter to the Oregon Health Division was prepared and reviewed by ONA and PNCC. This letter looked at the differences in the interpretation of HB2800, by both the hospital and the direct care nurses, asking them for a review of these differences. -PNCC will have an educational class pertinent to PNCC development on December 8, 2005 from 2-330PM. Early that day, ONA will sponsor education for the bargaining unit relevant to House Bill 2800 from 9-12 AM in the Sister Ann Rita. -Patricia Fernald our representative will be stepping down from PNCC. Thank you, Patty for all your service and time. We will miss you!! -Nichole Ryan will be taking over the position of secretary. Karen Standard will be filling in during her absence. -Cynthia Ingman will be assisting our current educational reimbursement/ treasurer Debbie Rief. -A sign-up sheet was started for members to sign up for orientation times. This orientation is to educate the new nurses joining our facility. -A tentative meeting schedule was made and this information will be released as soon as meeting rooms have been confirmed by the hospital. Just a reminder to all bargaining unit nurses that the first half an hour of all meetings is open to all bargaining unit members to attend. This will allow you to ask questions regarding reimbursement, nursing practice concerns affecting you in your area, or to come see what we are all about. |
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