Nurses

How do you celebrate your calling during National Nurses Week?

Published in Nurse.com by Jennifer Mensik, PhD, RN, FAAN

Make a Nurses Week resolution to recognize each other every day.

One of my favorite sayings about nursing is our ordinary is actually extraordinary. We provide an amazing service to the public, whether in hospitals, clinics, long-term care or in the community.

Being a nurse is not something we turn off completely at any time. It doesn’t stop at the end of our shift like many other professions.

We are there to help at a moment’s notice because we care. That perspective of caring is always with us and we believe we are doing what any other person might do in the same situation — that it was our job.

We have become so accustomed to the caring we do and the miracles we assist with daily, that what we and our colleagues do “daily feels” as if it is our job. As nurses, we also don’t like to take credit as we should for the healing that we assist with. Absent our caring, people would not heal and get well, and that is special.

Enter Nurse’s Day and Nurses Week. Celebrated since 1965, the original intent was to raise awareness of the important role of nursing, which mark our contributions to society. Nurses Week was first unofficially observed in October 1954, the 100th anniversary of Florence Nightingale’s mission to Crimea.

It was later changed to May 6 and officially recognized by President Ronald Reagan in 1982. The American Nurses Association expanded the holiday into National Nurses Week, celebrated from May 6 to May 12, in 1990. Over time, this week became the one time of year we as nurses truly expect we should receive external recognition for our contributions.

Organizations may do a variety of things to recognize nurses, ranging from giveaways to receptions. But does this serve the original intent of this week?

Have we all moved away from recognizing the important role in nursing that the outcome of our caring results in one week of food or tchotchkes a year? I am speaking here for administration and all nurses alike.

Let’s make a Nurses Week resolution to recognize each other more than once a year

What if each week throughout the year, you, your unit, department or organization decided to recognize yourselves? What if we recognized each other and ourselves daily? How do we give our gratitude to other nurses? How do we show our caring to others? How might this type of recognition look?

I asked many of my nursing friends how they should celebrate themselves and each other and here are some ideas:

Nursing retreats designed just for nurses by nurses. My colleagues and friends at the Arizona Nurses Association have organized this retreat for four years straight!

The DAISY recognition program is a formal program healthcare organizations can participate in to recognize the work of nurses. This program exists in all 50 states and 18 countries!

In our daily manager and administrative huddles at Oregon Health and Science University we discuss staff who deserve recognition. Clinical and non-clinical staff and managers know to escalate stories so individuals are recognized. There always are several staff members mentioned daily during these huddles.

Celebrate little victories, such as when a patient finds solace in music or speaks for the first time after visiting with a therapy dog. This might be just part of your routine day, but it is yours to celebrate. Take a moment to reflect on how your caring was part of this patient’s victory.

Write a letter to the editor in a non-nursing-related newspaper or magazine that reflects positively on the nursing profession.

Have a nursing school reunion.

Attend your state nursing association conference.

When we do not stop to recognize ourselves and others, we are not supporting ourselves or each other. When we don’t support each other, individually we can burn out and experience compassion fatigue, which makes it harder to provide a healing environment for those in our care.

Patients and families can tell when we don’t or can’t care any longer. Worse yet is we start to exhibit bullying behavior to others, instead of compassion and caring our colleagues and fellow nurses need just as much.

Nurses Week shouldn’t and can’t be just the only time we recognize, celebrate and demonstrate the importance of nursing. Each of us need to commit to a Nurses Week resolution to celebrate our profession, ourselves and each other each day!

Jennifer Mensik, PhD, RN, NEA-BC, FAAN, is division director of care management at Oregon Health and Science University and instructor for Arizona State University College of Nursing and Health Innovation DNP program. She also is treasurer for the American Nurses Association. Formerly, Mensik was vice president of CE programming for Nurse.com published by OnCourse Learning. A second-edition book she authored, “The Nurse Manager’s Guide to Innovative Staffing,” won third place in the leadership category for the American Journal of Nursing Book of the Year Awards 2017.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Home Health and Hospice Admissions, Utilization Trending Up

Author: Amy Baxter, Home Health Care News

Home health care and hospice admissions and utilization are both on the rise, according to the latest data report from Excel Health.

Hospice admissions grew 4.6% from the third quarter of 2016 to the third quarter of 2017, rising to 313,500, according to the report, which is based on 100% of the most recent Medicare Part A and B claims data. Excel Health offers on-demand, cloud-based data solutions and has robust medical databases.

Over the same year-to-year time period, hospice utilization grew, with 48.8% in the third quarter of 2017 being the highest utilization to date, and 1.7 percentage points greater than in the third quarter of 2016. Utilization is measured as the number of decedents that had hospice care over the number of total decedents.

Hospice admissions grew year over year in all states except five—Maine, North Carolina, New Jersey, New York and Iowa. Wyoming experienced the highest admissions growth, rising 19.2% year over year.

Nearly all states also had higher utilization rates, with only two states—North Carolina and Arkansas—seeing a slight drop in utilization year over year.

Home health care admissions grew 0.7% in the second quarter of 2017 from the same three months in 2016, reversing a negative trend seen over the previous few quarters. Fourteen states saw a decline in admissions year over year. Wyoming had the highest growth in admissions—13.2% year over year.

Utilization remained near its constant rate, around 1.6% for all Medicare beneficiaries in the second quarter 2017, according to the report. All states saw higher utilization of home health care services, with both Massachusetts and Mississippi growing 2.4% year over year.

As more baby boomers age into Medicare eligibility, the proportionate demand for home health care has dropped, as the average age of Medicare beneficiaries declines. Demand will likely rise again as a proportion of the Medicare population as baby boomers age.

The growth of home health care and hospice services is not totally surprising, as 10,000 baby boomers turn 65 every day.

From the third quarter of 2016 to the same period in 2017, the total number of Medicare beneficiaries rose 2.3%, from 56.1 million to 57.5 million, according to the report. And the growth of beneficiaries also means spending will rise. By 2027, the rate of Medicare spending as a percentage of total federal spending is expected to rise to 17.5%.

 

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Preventing the Flu: Good Health Habits Can Help Stop Germs

From the CDC and nurse.com

The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu. There also are flu antiviral drugs that can be used to treat and prevent flu.

  1. Avoid close contact.

Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too.

  1. Stay home when you are sick.

If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others.

  1. Cover your mouth and nose.

Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick.

  1. Clean your hands.

Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol-based hand rub.

  1. Avoid touching your eyes, nose or mouth.

Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth.

  1. Practice other good health habits.

Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food.

A nurse.com article by Sallie Jimenez focused on item #4 and shared a study concluding that hand washing decreases chances for the illness to result in deaths. Jimenez writes that “In the midst of what may be one of the worst flu outbreaks in a decade, new research reinforces the importance of proper hand hygiene protocol.”

Her article references the following: A study published in the February issue of the American Journal for Infection Control found hand washing saves lives — not just in hospitals — but all healthcare facilities, including nursing homes. Researchers looked at 26 French nursing homes from April 1, 2014, to April 1, 2015, discovering consistent measures encouraging staff and visitors to wash their hands reduces mortality and antibiotic prescription rates, according to a news release from the Association for Professionals in Infection Control and Epidemiology highlighting the results.

During the course of the study, which included 13 nursing homes randomly assigned to an intervention group and 13 assigned to a control group, a program was implemented targeting nursing home staff, visitors and outside care providers, the news release said.

As part of the program, hand sanitizer became more readily available in both pocket-sized containers and dispensers and the idea of proper hand hygiene was promoted through posters, events, work groups and education.

“The measures resulted in a lower mortality rate of 2.10 deaths per 100 residents, versus 2.65 in the control group, with a notable 30% decrease in the mortality rate during France’s major influenza outbreak in early 2015, according to the news release.”

Although the CDC stresses the single best way to prevent the flu is to get vaccinated, proper hand washing and cleansing — either with soap and water or an alcohol-based hand sanitizer if soap and water are not available — also is recommended.

 

 

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Houston Hospice Nurses Receive Prestigious Award

Good Samaritan Excellence in Nursing Award

Houston Hospice nurses Hope Cook, Svanhaniel Crim and Darelle Robbins received the Bronze Excellence in Nursing Award from the Good Samaritan Foundation at a luncheon ceremony on September 8, 2016 at Houston’s Royal Sonesta Hotel. The event was chaired by Kathryn M. Tart EdD, MSN, RN, founding Dean and Professor of the University of Houston School of Nursing. This year 249 nurses were nominated by their peers from hospitals, clinics, colleges and universities throughout Houston.

Hope_Cook_Recieved_Excellence_In_Nursing_AwardHope Cook

Hope Cook BSN, RN, CHPN has been a practicing Registered Nurse since graduating from Texas Woman’s University, Houston 41 years ago. This year she tackled a new role as Educator for Houston Hospice. Hope has created several educational programs and works diligently toward positive outcomes in patient care through education. Hope’s colleagues note that she tenaciously seeks the latest information to stay abreast of changes in the hospice specialty. Her educational programs have enriched and supported the Houston Hospice nursing team.

Svanhaniel_Crim_Received_The_Excellence_In_Nursing_Award

Svanhaniel Crim

Svanhaniel (pronounced Swan-Nell) Crim BSN, RN embarked on her nursing career 40 years ago, after graduating from the University of Texas System School of Nursing. She has served as a leading member of her Houston Hospice care team for over six years. Because of Svanhaniel’s diverse experience and penchant for learning, she is a go-to person for nurses and physicians. Svanhaniel is eager to help her colleagues succeed and she is often called upon to act as a mentor and educator for new employees, nursing students and medical residents from nearby programs. Svanhaniel is also well-known for her exceptional bedside manner. Patients and families frequently express gratitude for the care she provides.

darelle_robbins_received_the_excellence_in_nursing_awardDarelle Robbins

Darelle Robbins MN, RN has been an RN since graduating from Odessa Junior College. She earned a BSN in 1979 from the University of Texas in Austin and completed her Masters in Nursing in Staff Development, Clinical Nurse Specialist degree in 1990 from LSU in New Orleans. Darelle’s Houston Hospice care team says she has been an inspiration to them with her positive attitude and can-do spirit. Darelle steps in when nursing needs arise, even traveling from Houston to El Campo to Humble in one day to see patients. At their weekly care team meetings, Darelle shares her wealth of knowledge making valuable contributions toward patient care planning. Beyond her medical expertise, families express appreciation for the calming and reassuring presence Darelle provides.

Thank you Hope, Svanhaniel and Darelle for your expert medical care and for providing comfort, dignity and reassurance for patients and families. You truly care and it shows.

Work with the best of the best. Houston Hospice employment opportunities.

 

—Karla Goolsby, Houston Hospice Communication Specialist

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Tags : ,

Hospice Nurses Receive Excellence in Nursing Award

Houston Hospice nurses Reagan Denmon and Karen Hoover received the Bronze Excellence in Nursing Award, and Paige Prokop received the Silver Excellence in Nursing award from the Good Samaritan Foundation at a luncheon ceremony on September 1, 2015 at Houston’s Royal Sonesta Hotel. The event was chaired by Craig Cordola, President of the Central/West Region for Memorial Hermann Health System.

ReaganDenmon-HighResColorReagan Denmon began her medical career as a Nuclear Medicine Technologist (NMTCB) and certified PET tech (Positron Emission Tomography). Her work with oncology patients created a desire to serve in palliative care. Reagan pursued a BSN at UT School of Nursing, finishing Summa Cum Laude and gained clinical experience at St. Luke’s in the Texas Medical Center as a renal telemetry nurse before joining Houston Hospice as an RN Case Manager in 2013. Since then she earned the Certified Hospice and Palliative Nurse credential (CHPN) in 2015. Reagan was nominated by Clinical Services Patient Care Manager, Jeff Boynton, who praised her saying, “Reagan is a true hospice case manager, and she is able to be proactive in her patients’ care, anticipating their needs and the needs of their families. She always gets high praise from her patients and families and has a can-do attitude.”

KarenHoover-HighResColorKaren Hoover was nominated by Houston Hospice Education Coordinator, Hope Cook, who wrote about Karen’s leadership and commitment to excellence saying, “Karen has been a strong leader on her team. She has promoted a culture of cooperation and concern among the nurses. She works to provide excellent care and this is contagious. She has served as a mentor for many staff members and nursing students. Her positive attitude and hard work to ensure all patients get the care that they need is exceptional.”

 

Paige Prokop-HighResColorPaige Prokop was nominated by her Clinical Services Patient Care Manager, Dianne Gilbert, who wrote, “Paige is a wonderful nurse and human being. She is always thinking outside the box and looking for ways to help others – patients, families and colleagues. Paige is constantly thanked by patients’ families for her kindness and caring. She helps her colleagues by sharing her ideas and thoughts on the challenges we all face as hospice nurses. She is a mentor for our new nurses, and their patients and families benefit from this guidance. Paige is always trying to learn more and encourages others to learn. She enjoys sharing her knowledge with others. Houston Hospice is very lucky to have Paige Prokop as one of their outstanding nurses.”

Read more: Hospice Nurses to receive Excellence in Nursing Award – Your Houston News: Living

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

A Bucket List Fishing Tale

FishOne day late last summer, the Houston Hospice Intake Team was answering calls as usual on a Wednesday morning when my colleague, Marcy Antiuk, received an unexpected call, and an unusual request. A doctor phoned to tell us that her patient wanted to be admitted to our inpatient hospice care center, but he had one last desire before discontinuing treatments and surrendering to his disease. You see, this man’s disease had progressed to the point that ceasing treatment would decrease his life expectancy to a matter of days. He needed to be transitioned to hospice services that day due to symptom management issues, but first, he wanted to go on one last fishing trip. In fact, . Working in the hospice field, we’re accustomed to satisfying end-of-life requests, and we often grant day passes out of our facility for this purpose. These are typically outings to visit other family members or to have a meal out. Journeying to the edge of our coverage area for several hours was not an issue. However, this man had a severe and painful wound at the base of his spine that made moving him difficult — transportation would be the key to successfully executing this bucket list wish. The family had already inquired about private-pay ambulance transport, but the quote they received was overwhelming — several hundred dollars, maybe even a thousand. Gathering a team of individuals (Larissa Williams, Dr. Elizabeth Strauch, Jayne O’Brien and me), we discussed the patient’s condition and possible complications. We determined that the request was reasonable as long as the patient was safe, and stable enough to make the trip. An evaluation by our Admitting Nurse, Debbie Breaux, confirmed that the patient’s symptoms were manageable, however it also revealed that pain management was a concern. Because of the expensive private ambulance quote, the man’s family had decided to transport him to the fishing pier in a family vehicle. He desperately wanted this last fishing trip, but we feared the car ride would cause excruciating pain. The only safe option was transportation via ambulance, so we started calling our contracted ambulance companies asking if they would consider a full or partial charity transport. Orion EMS came to the rescue. After gathering only a small amount of information, they immediately agreed to cover all transportation expenses in order to fulfill this last request! Arrangements were made to pick up the patient the very next day. Houston Hospice provided a wheelchair and oxygen for the patient to use during the trip. Hollie Sims and I assisted while Orion EMS transported the patient to his fishing pier. The water, the pier, the landscape—everything was perfect. The late summer sunlight shimmering from the water was matched only by the twinkle in our patient’s eyes. After he finished fishing, Orion EMS provided a safe and comfortable ride to the inpatient unit. This was a great collaborative effort by many people with a triumphant blessing as an end result—just another reason why we love this work so very much.

Thomas Moore, Houston Hospice Patient Care Manager

 

 

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Experiencing The Other Side Of Hospice Care: A Hospice Nurse And Her NFL Husband

I graduated from nursing school relatively late in life, at age 42, with the intention of working for Houston Hospice. My father had been on service in 2010 and, like so many with whom I work; I was inspired by this painful, albeit beautiful experience, and felt called to be a hospice nurse. I volunteered for Houston Hospice prior to graduation, hoping to become familiar with hospice services. After working a year on med surge at our local hospital, I was able to get on the Houston Hospice El Campo Team as an Admissions Nurse.

At this point, I must disclose that three months after graduating from nursing school, in September 2012, my dear husband and best friend, Bryan, was diagnosed with Hodgkin’s Lymphoma.

Bryan is phenomenal — a professional football player in the NFL, rancher and surfer; this man embodies strength. The morning before his diagnosis at the ER, he mowed the yard with a collapsed lung! Bryan fought through chemo for six months and when told that his cancer was unresponsive to treatment, he continued fighting on his own terms; holistically and spiritually. When I was hired by Lisa Machen, RN, PCM in July of 2013, she was well aware of Bryan’s condition, however she knew that my heart was in hospice and she believed, rightly so, that when his disease progression began causing issues, she and the El Campo Team would be here for Bryan and me both. In December of 2013, Bryan’s cancer was progressing to the point that hospice care was needed and both Dr. Barker and Lisa Machen came to our home to assess and admit him onto service.

It is difficult to describe the blurred lines that can occur in these kinds of situations. Bryan’s Case Manager, Jackie Hooper, RN, is my friend, my mentor, my co-worker, and….my husband’s hospice nurse. Bryan is her patient but he is my life. I am able to be a calm patient advocate for all of our patients — but not for my husband. The phone calls, the hugs, the voice of reason given by Jackie through this process thus far are beyond words. In addition to feeling like I’ve been emotional for our team, Bryan is what we would all describe as a “difficult patient”! He may sleep 18 hours a day and then get up and decide to chop down a tree… or disappear to go fishing for hours without his phone. Trying to keep him safe and manage his symptoms, while encouraging his autonomy has been an arduous effort. Jackie has been wonderful at developing a rapport with him, educating Bryan and supporting his efforts to ‘be a man’ to his fullest. As a case manager, Jackie is a wonderful example of patient advocacy. She is proactive and yet equanimous at her core.

And then there is me, with a husband who’s a patient on hospice, still learning and finding my footing in my chosen field. Jackie, Lisa, and the rest of our team, have exemplified patience and support for me. Sharing hugs, a kind ear, and special notes and cards, they have managed to help me feel grounded and protected throughout this painful process. Pat Matthes, not a nurse but a wonderful social worker, has been such a pillar of support and reassurance. Victoria and Karen in our office, have been blessings as well, always available to share a hug or laugh with me. And then there’s Dr. Barker, what a true angel.

Knowing the ‘end result’ of Bryan’s illness does not lessen the journey that we are on. I truly cannot fathom walking this road without the Houston Hospice El Campo Team. The gratitude and love I feel for Jackie and Lisa, and the whole team is humbling and inspiring. These nurses are walking beside me, pulling ahead, and pushing behind when needed. I am inspired by them professionally and personally, and I am so very grateful.

Krista Caldwell, RN, Admission Nurse Houston Hospice El Campo

Krista and Bryan

Krista and Bryan

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Tags : , ,