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WakeMed Gains Two New Board MembersJoining the WakeMed Board of Directors this summer are Dick Baker, former corporate marketing and sales executive for IBM, and Lloyd Yates, current president and CEO for Progress Energy Carolinas. Baker fills the seat of Jack Clayton who completed his maximum 10-year term on the Board this year, and Yates will replace Paul Coble.

Along with 32 years of sales, marketing, business unit and management experience at IBM, at local, national and international levels, Baker possesses extensive board governance and committee experience. In fact, he has served on the WakeMed Foundation Board of Directors since August 2001 and will continue to main-tain this membership even with his new appointment to the WakeMed Board. During his time with the Founda-tion Board, Baker has held several leadership positions

and helped reorganize the Foundation after its first eight years in operation. This includes his work on the Foundation’s Capital Campaign to raise funds for major hospital initiatives.

With more than 27 years experience in the energy business, including nuclear and fossil generation and energy delivery, Yates has served as the president and CEO of Progress Energy Carolinas since 2007. Prior to this role, he held numer-ous other leadership positions for the electric utility that serves 1.5 million cus-tomers in the Carolinas. Additionally, Yates’ extensive professional background includes membership on several community-based boards as well as on the North Carolina Economic Development Board, the North Carolina Community College Foundation Board, the N.C. Chamber of Commerce Board and the Executive Leadership Council.

“No two community leaders are better suited to join our Board of Directors than Dick Baker and Lloyd Yates. They each bring to our organization corporate leadership experience and the knowl-edge and skills to help us further accom-plish our goals,” said Dr. Bill Atkinson, WakeMed president & CEO. “On behalf of the entire WakeMed family, we welcome Dick and Lloyd with great enthusiasm and look forward to working with them as we continue to focus on meeting the diverse health care needs of this growing community.”

his June, WakeMed participated in three mass casualty drills designed to help leadership and staff prepare for any unexpected local disaster or emergency that might result in patient evacuations or patient surge management. Organized by the WakeMed Emergency Services Institute (ESI), mass casualty drills are conducted annually. WakeMed also experienced a real mass casualty event in May.

Two local “explosion” scenarios set the stage for the Raleigh Campus drill on June 18. Approximately 125 physicians, leaders and employees staffed the Drill Game Board and Incident Command Center in Conference Dining to test and tweak their response skills by processing 300 simulated patients. The possibility of widespread anthrax exposure and a bomb that unexpectedly arrived at the Emergency Department were also compo-nents of the disaster scenario.

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Preparing for the Unexpected

Top Photo: During the Raleigh Campus drill, Incident Command is in full swing in Confer-ence Dining. Mary Ann Wilcox, RNC, senior vice president of Raleigh Campus Operations and chief nursing officer, acted as incident commander for the exercise.

Above: Nicole Jung, RN, (Women’s Pavilion & Birthplace - Cary) reviews patient admis-sion information with David Coulter, senior vice president and administrator of Cary Hos-pital, during the Cary Hospital drill. Coulter acted as incident commander for the Cary Hospital exercise.

WakeMed Wins PRC Leading Light AwardProfessional Research Consultants (PRC) recently honored WakeMed with the 2010 Leading Light Award, honoring the efforts of all WakeMed managers and staff who keep service excellence and patient satisfaction at the forefront. The PRC Leading Light Award annually goes to only one hospital for which PRC measures patient satisfaction data. This year, more than 275 hospitals were eligible.

WakeMed engaged PRC in 2006 to survey our patients after their stay and determine their feelings on the overall quality of care they received while at WakeMed. After scoring the responses,

Led by NC Prevention Partners (NCPP), the Healthy Food Environments Initiative is a statewide project to help all North Carolina hospitals make

healthy foods more available, visible and affordable for employees and visitors. After working for more than a year to meet specific require-ments and criteria, Cary Hospital’s Food & Nutrition Services team received the initiative’s Red Apple award at the NCPP annual meeting this June. The Raleigh Campus Food & Nutrition Services team received their Red Apple in 2009.

“We were thrilled to accept the Red Apple on Cary Hospital’s behalf. Our team worked very hard for this accomplishment,” said Gail Douglas, director of Food & Nutrition Services at Cary Hospital. “As a health care organization, our mission has always been to ensure that healthy, great tasting food is readily available to all Cary Hospital patrons.”

To achieve NCPP’s Red Apple status, Cary Hospital’s Food & Nutrition Services team made several nutrition-based changes in the hospital cafeteria, Points West Café (PWC). As a result, PWC now offers a

greater variety of healthy food items, such as foods made with whole grains, low-calorie snacks, sugar-free desserts, lean turkey burgers and veggie burgers. PWC also promotes WakeMed’s Campaign TLC (Teaching Lifestyle Choices), a program that helps people identify foods that fit into a healthy lifestyle, including those that are lower in sodium, fat and sugar.

The PWC salad bar has also been expanded to incorporate more nutritious salad toppings such as kidney beans and chickpeas, both high in protein, and an increased variety of fat-free salad dressings. And PWC now designates one day per week a Healthy Gourmet Day, for which a featured meal is guaranteed to be a good fit for a healthy diet. Vending at Cary Hospital has also added additional healthy snack options. All of these changes support good health and make healthy eating an easier choice throughout Cary Hospital.

For more information about NCPP’s Healthy Food Environments Initiative, visit www.ncpreventionpartners.org.

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3 West Medical/Surgical - Cary hospital is one of the top-scoring nursing units at WakeMed for

PRC-measured patient satisfaction.

Cary Hospital Earns Red Apple Recognition

Ethel McLeod (Food & Nutrition Services - Cary Hospital) works in Points West Café serving patrons healthy entrées.

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Exuberant Pediatrics staff race a patient bed up the ramp toward the new WakeMed Children’s Hospital, which officially opened for patient care on Thursday, July 8. The 34,000 square-foot facility on the Raleigh Campus is the first and only dedicated children’s hospital in Wake County and was funded entirely through community support.

A new Cardiovascular Intensive Care Unit (2E CVICU) and Cardiovascular Intermediate Care Unit (3E CVIC) also opened in late June for patient care in the same building.

Yippee! IT’s Open!

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Working to Reduce Antibiotic ResistanceOver the past few years, hospitals and other health care facilities have seen an increase in bacterial resistance to a broad range of anti-biotics. As a result, the Infectious Diseases Society of America/Society for Healthcare Epidemiology of America published their Guidelines for Antimicrobial Stewardship in 2007, including the recommendation for anti-microbial stewardship programs, or programs that attempt to reduce resistance to antibiot-ics, usually under the guidance of infectious diseases-trained physicians and pharmacists.

Last year, the Raleigh Campus Pharmacy formed its own Antimicrobial Stewardship Program (ASP). Program goals are to ensure the optimal usage of antibiotics throughout the Raleigh Campus; decrease the opportunity for antimicrobial resistance and avoid the loss of current antimicrobial drug classes; and educate health care providers on the most current evidence-based antimicrobial treat-ment regimens.

“Through the ASP, we want to fight infections by using the resources we have to the best of our ability. This includes helping reduce resis-tance to antibiotics among our patients,” said Caroline Girardeau, PharmD, BCPS, (Phar-macy). “If there is an opportunity for improve-ment, we simply want to serve as stewards by making recommendations to optimize anti-microbial therapy.”

On a daily basis, two Raleigh Campus pharma-cists, rotating from a team of seven, review the medication profiles of all patients who are actively taking antibiotics, including approxi-mately 30 critical care patients and 240 non-critical care patients. The pharmacists look at the indication for the antibiotic and the

amount of time the patient has been on the antibiotic, in addition to available lab and microbiological data. If the pharma-cists have questions, concerns or recom-mendations, they consult with infectious disease specialist Chris Ingram, MD, (Raleigh Infectious Diseases). Based on the pharmacists’ findings, which are pre-sented twice a week to Dr. Ingram, a final decision is made regarding whether or not a formal recommendation should be left in the patient chart.

“As pharmacists, we know that there are several good choices of antibiotics for each patient,” added Ryan Tabis, PharmD, BCPS, (Pharmacy). “However, some choices are better than others when considering side effects and the likelihood of inducing resistance. For the benefit of enhanced patient care, this is the insight the ASP hopes to provide.”

Overseeing the ASP is the WakeMed Anti-microbial Subcommittee, which reports to the Pharmacy & Therapeutics Committee. This group meets once per month and includes Microbiology, Infection Preven-tion & Control and representatives from the WakeMed Faculty Physicians - Hospi-talists team as well as representatives from the Raleigh Campus and Cary Hospi-tal Pharmacies. The Pharmacy at Cary Hospital is hoping to start an ASP at its facility in the near future.

Welcome to the WakeMed family, all new brides, grooms and babies!

Lakisha Crooms (WakeMed Faculty Physicians - Urology) and husband David celebrated the birth of son Bryce Jamieson on April 21.

Ashley O’Neal, RN, (Heart Center Observation Area) and husband Lionel welcomed daughter Janelle Loree on April 28.

Carole Balatbat (Pathology Labs - Lab Information Management) married Alfie Lontoc on May 8.

Laronda Smith, RN, (Imaging Services) welcomed daughter London Christina on May 9.

Rebecca Coble (CV Testing - Cary Hospital) and husband Jason celebrated the birth of son Logan Brooks on May 21.

Tia utley (Respiratory Care Services) and husband Steve celebrated the birth of son Everett Michael on May 29.

Tammy Orlando, RN, (5C Medicine) married Rob Thompson, RN, (3A Cardiovascular Intermediate Care) on June 15.

Christie Bergbigler, RN, (Heart Center Observation Area) married Jeff Szura on June 16.

Lee hudson, PharmD, (Pharmacy) and wife Kenisha welcomed son Lee Devon on June 16.

Tammy Currin, RN, (3A Cardiovascular Intermediate Care) and husband Senter welcomed daughter Cassie Lynn on July 6.

Leslie Bumgarner, RN, (NICU) and husband Brad welcomed daughter Emma Faith through the gift of adoption.

New Additions and Attachments

PRC posts overall and departmental results online daily for managers to view and share with staff.

The PRC Leading Light Award is annu-ally given to the hospital that stands out nationwide in embracing the concept of service excellence as a way to enhance patient loyalty. The hospital must be focused on creating an excellent experi-ence for all patients so that they are more likely to return to the hospital for care or recommend it to family and friends. The award also honors hospi-tals for keeping staff motivated, edu-cated and updated on current patient loyalty scores. This includes translating the scores into meaningful data that can help frontline staff make a difference.

“Within many organizations, the con-cern is about the numbers,” said A.J. Walts, project manager with PRC. “However, at WakeMed, you look beyond the numbers and focus on what really matters – the relationships and interactions with your patients.”

To ensure that every patient we encoun-ter feels as though they are receiving outstanding, quality care any time they interact with our organization, a special

Service ExcellenceAbove: Elizabeth Leach, RN, offers a friendly smile to her patient at the Zebulon-Wendell Outpatient & Skilled Nursing Facility.

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David herrin (Clinical Engineering) traveled to New Orleans this June with a group sponsored by the Presbyterian Disaster Assistance program to help rebuild homes and other structures destroyed by Hurricane Katrina five years ago.

Debbi hillman (Wake AHEC) received a scholarship from the WakeMed Foundation to attend CME: The Basics Institute in Chicago, offered through the Alliance for Continuing Medical Education.

Toyin Tofade (Wake AHEC) was appointed to the Accreditation Council for Pharmacy Education Continuing Professional Development Task Force and will serve a two-year term.

yvette Turner, RN, (Staffing Resources) received her Progressive Care Nursing Certification (PCCN).

karla Will, RN, (6A CICU) passed her Progressive Care Nursing Certification (PCCN) exam.

Rehab hospital Dramatically Reduces Falls RateRecent efforts to reduce the falls rate within Rehab have been very successful. A friendly competition among staff on 2C Rehab, 2D Rehab and 6B Orthopaedics & Oncology has contributed to a vast improvement.

Since November 2009, the units have been setting goals concerning the falls rate of their patients. First, they wanted to reduce falls to four in one month per unit, then three in one month, then two in one month. Upon reaching each goal, the units received a celebration such as a pizza party, an ice cream social and a donut party for all shifts.

Staff on each unit have also been keeping a special falls calendar. Each day without a fall gets an “X.”

Above: With donuts and punch, staff from 2D Rehab celebrate reaching the goal of only two patient falls on their unit this June. Rehab raised money for the party with a basket raffle.

Dianna knight, RN, (6A CICU & Chest Pain Unit); Jonnie Simmons, RN, (Heart Center Operations); and karla Will, RN, (6A CICU) each graduated from East Carolina University with a master’s of science in Nursing (MSN) degree, specifically in Nursing Leadership - Acute Care Health Systems. All three have been on an educational journey together since 2006, supporting each other as they each completed WakeMed’s on-site BSN program through Winston-Salem State University before earning their MSN.

Anna Andrews, RN, (4E Pediatrics) and Becky Wells, RN, (PICU) each obtained their Certified Pediatric Nurse (CPEN) credential.

The following Children’s Emergency Department nurses received their Certified Pediatric Emergency Nurse (CPEN) certification: Claudia Rivera, RN; Charnell Trembeczki, RN; heather Brooks, RN; Leslie Duren, RN; Barry Swanner, RN; and Elaine hagwood, RN.

Tracey Diggs (Wake AHEC) received her bachelor’s degree in Business Administration, with honors, from Strayer University.

Pam yates (Staffing Resources) received her master’s degree in Psychology from the University of Phoenix.

Laveshia Johnson, RN, (CICU) received her master’s degree in Nursing Education from the University of Phoenix.

Jack Alfman, RN, (STICU) earned his bachelor’s degree in Nursing (BSN) this June.

Megan Barley, RN, (Staffing Resources) graduated from nursing school and passed her boards. She has also been accepted to UNC-Chapel Hill’s online RN-BSN program and will start this fall.

kayla Brock (2E Cardiovascular Intensive Care Unit) passed her boards and begins a fellowship on CVICU.

Martha Johnson, PharmD, (Pharmacy - Cary Hospital) was appointed to the Board of Trustees for the North Carolina State Health Plan.

kelli McLamb, RN, (3A Cardiovascular Intermediate Care) received her Cardiac Vascular Certification.

What an Employee !

team is in place to support managers and staff in their quest for service excellence. This team includes Chuck Lamothe, RN, manager, (Patient Relations - Organizational Process Improvement), Brent Anthony, senior analyst, (Corporate Planning) and Amy Horger, executive assistant, (Corporate Planning). Together, they help managers and staff understand, interpret and translate our PRC scores into meaningful information they can learn from and use while they work. In response, managers and staff throughout the system continue to work hard on exceeding the expecta-tions of all patients and families.

Efforts to enhance service excellence at WakeMed have included the 2008 re-launch of The Wake Way, when it was re-named The Wake Way of Today (WWoT), to remind staff of the unspoken agreement that guides our behaviors and attitudes; a WWoT intranet resource site and toolkit for managers to coach staff; customer service and service recovery training; service excellence seminars; and meetings/trainings with depart-ments and units. Also, since 2009, job performance evaluations have been tied to PRC results.

Way to go, WakeMed, for being PRC’s 2010 Leading Light hospital!

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Enhancing Carefor Spinal Cord Injury PatientsTrauma and Rehab Services recently embarked on a Performance Improvement (PI) initiative to enhance care and improve clinical outcomes for patients with trau-matic Spinal Cord Injuries (SCIs). The team wanted to use best practice to serve this unique population with special needs – high acuity, high risk for instability and complica-tions, and the emotions that accompany possible paralysis.

“Last fall, we identified opportunities for improvement concerning the care deliv-ery and clinical outcomes for SCI patients, in areas such as length of stay, com-plication rates and cost of care,” said Elaine Rohlik, executive director, (Rehab Services) and member of the SCI PI Steering Committee. “We devised a strategy to track these variables and provide intervention to help prevent complications.”

Because of their injuries, SCI patients spend a long time in the hospital and are at a greater risk for infections, skin breakdown, depression and frequent re-admissions after discharge. They and their families struggle with quality of life issues as well, wondering if they will ever walk or use their arms again, work and support their families, have children or do other things that can be taken for granted.

Along with Rohlik, the Steering Committee includes Osi Udekwu, MD, executive director, (Trauma Program); Patrick O’Brien, MD, medical director, (Rehab); Sylvia Scholl, RN, director, (Trauma Program); Tina Dennis, APRN, Neuro-sciences clinical nurse specialist; Rhonda Vincent, APRN, Pulmonary clinical nurse specialist; Kathy Thompson, manager, (Rehab) and director of the WakeMed Rehab SCI Program; and Debra Petrarca, registrar supervisor, (Trauma Program). After meetings, a focus group and research on best practice methods, the committee and their team finalized an action plan that addressed the need to enhance coordinated care and ensure a seamless transition between

Instead of splashing around in the pool or hanging out at home this summer, six students from the Wake Early College High School (WECHS) partici-pated in WakeMed’s High School Summer Internship Program – designed to help rising WECHS seniors make informed decisions about their future careers in health care.

and the Regional Disaster Prepared-ness program. For 20 hours per week, the interns worked alongside health care professionals and were mentored by our staff to become more familiar with health care procedures, the health care culture and our organiza-tional structure. They each completed weekly journal entries and a presenta-tion on the final day of their intern-ship, taking with them a work-based learning experience that will prove invaluable in the future, either for work or additional college education.

Thank you to all employees who help make this experience possible for WECHS students each summer. For more information about WECHS, visit www.healthscienceec.wcpss.net.

Left: WECHS student Hussein Ahmad interned with CV Testing this summer.

Summer Learning at WakeMed

Wake County’s first and only early college high school, WECHS gives students the opportunity to earn a high school diploma and an associate’s degree in five years. WECHS is the result of a partnership among the Wake County Public School System, Wake Tech Community College and WakeMed.

Hosting the non-paid interns for six weeks were staff from Infection Pre-vention & Control, Children’s Diabetes & Endocrinology, Cardiovascular Test-ing, the Emergency Services Institute

COMINGS GOINGSCOMINGS GOINGS

The Cardiovascular (CV) Midlevel Program welcomes keri Richardson, PA-C, who will be working with the CV Surgical Midlevels, and Lindsey Walls, PA-C, and Renee Wade, FNP-C, who will be working with the Cardiology Midlevels.

North Healthplex welcomes Bill Britt, RN, as the SCA Administrator for Surgical Services. He will oversee all services related to Day Surgery including pre/post op, operating rooms, sterile processing and endoscopy. Britt was previously the Operating Room manager at Cary Hospital.

The Raleigh Campus Inpatient PACU welcomes Candy Peters, RN, as she transitions from the Adult Emergency Department, and Tim Wilson, RN, as he transitions from the PACU - Cary Hospital.

Volunteer Services welcomes kimberley Elliott as a Volunteer Services representative.

Comings & Goings

The Children’s Emergency Department welcomes Cindy McLamb, nursing assistant, and Sandi Fernald, LPN.

Pathology Labs - Lab Information Management welcomes Victoria Clark.

Food & Nutrition Services welcomes Jennifer LeGrande, new chef in Café 3000; food service assistants Carla Jones, Shell Nichols, Chris Baker, John McQuilla Jr., Emma Alston and kortni Johnson; and nutrition care assistant Michelle Ramos.

CV Testing - Cary Hospital welcomes Cheyenne Coffey as a cardiac sonographer.

Megan Barley, RN, transitions to the Chest Pain Unit from Staffing Resources.

Pharmacy welcomes clinical staff pharmacists Jennifer Massey, PharmD, and Shannon holt, PharmD; pharmacy practice residents Xuan Seepolmaung, PharmD, and Patrick Gregory, PharmD; and third-shift supervisor Erica Lindsay, PharmD.

The 2E Cardiovascular Intensive Care Unit welcomes Juanita Murray, RN, clinical educator/supervisor; Caroline Shore; Cheryl Buckner, RN; Carol Lyons; Connie Martin; Cynthia Glass, RN; Ellen Ezell, RN; Emily haupt, RN; Elizabeth Magale, RN; Felisha McDaniel, RN; Elaine Vitek, RN; Glori henderson; Jaxon Anderson, RN; Juliana Galioto, RN; Jennifer Whaley, RN; kayla Brock, RN; Leah Earman, RN; Lini Jojo, RN; Lynetta Shoop, RN; Lisa Tuck, RN; Leatina Vernooij, RN; Melanie Pellow, RN; Marwin Sagulili, RN; Pamela Wood, RN; Jason Childers, RN; Rene Flatten; Rachel Sneddon, RN; Scott Fulford, RN; Samantha Raeburn, RN; Tracey Fillingame, RN; Tonya Gulley; Tracy Michael, RN; Tanya Rowe, RN; una Oandasan RN, and Vicki Schonauer, RN.

Home Health welcomes physical therapist Scott Campbell; Candace Brinkman, RN; and Tammy Berg, RN.

The Children’s Emergency Department welcomes Sandi Fernald, LPN.

3A Cardiovascular Intermediate Care welcomes nurse technicians Rita Sass, Annette Dorris and Melanie Fowler, as well as Jessica henderson, RN, and Diana Joyner, RN.

Wake AHEC welcomes Sherrod Basnight in the area of Pharmacy Continuing Education.

the Acute Care and Rehab units. Among the top priorities were inter-disciplinary involvement in care planning and decision making; shared medical/surgical manage-ment by Trauma and Rehab; an SCI Team Consult to organize patient care; and more staff education on all disciplines of care. Staff education also included coaching on the emotional response to SCI patients and better communication with patients and families.

“We have moral and ethical obligations to deliver best practice for these patients here at home, where they can also tap into existing support structures,” said Dr. Udekwu.

The PI team set out to ensure patients were getting mobilized more quickly, safely and effectively, and that better methods were being used to prevent skin breakdown, prevent respiratory infections and enhance medical stability. The action plan showed care teams how to better facilitate recovery, improve indepen-dence while in the hospital, and improve psychosocial outcomes through patient/family education, routine meetings with the patient, family and care team, better tech-nologies, therapeutic recreation and counseling, etc. A new SCI Pathway defined a set of goals for SCI patients as well.

“These patients and families require an extraordinary amount of nursing care as well as frequent interven-tions, intense rehabilitation therapy, medical monitoring and psycho-social support from all team mem-bers,” added Dennis. “We will continue to work together to enhance care and clinical outcomes for this unique patient population.”

A fictional explosion at the birthing center of another local hospital initiated Cary Hospital’s drill on June 22. Approxi-mately 32 WakeMed leaders and staff mobilized Incident Command in the Conference Center, where the incident commander informed them they would probably be receiving newborns, and patients who were pregnant or had just given birth. Volunteers acted as patients, and the WakeMed Center for Innovative Learning’s birth simulator, Noelle, deliv-ered her “baby” during the drill.

A drill also took place at North Health-plex on June 8 when a fictional tornado hit a local school, and the facility’s Emer-gency Department received injured patients. The drill involved about 40 staff and tested the team’s ability to manage a large volume of pediatric patients.

Instead of a drill, Apex Healthplex experienced a real-life influx of patients on May 30 when a shooting occurred at a local retail store. People were rapidly evacuated from the store, and several experienced minor injuries.

Making each drill a campus-wide effort, staff of many different departments were required to report their work avail-ability to managers, to support ongoing staffing needs. After the evaluation of all drills, many strengths were recognized. WakeMed’s Emergency Management Program Committee will monitor progress on identified opportunities for improvement.

Above Top: Betsy Casanave, RN, (Mobile Critical Care Services), Amar Patel (Center for Innovative Learning) and harriet Stephenson, RN, (Nursing Education) confer with Barb Bisset, PhD, (Emergency Services Institute) during the Raleigh Campus drill. Dr. Bisset and her team lead and direct WakeMed’s disaster drills each year.

Center: Jill hill (Emergency Services Institute) makes a call during the Raleigh Campus drill.

Bottom: Courtney Braswell, RN, (Women’s Pavilion & Birthplace - Cary) cares for Noelle, a patient simulator who gave birth during the Cary Hospital drill, and her baby Halito.

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The News & Observer, June 7 - Mark Piehl, MD, (WakeMed Faculty Physicians - Pedi-atrics) discussed pain management techniques for children.

WRAL-TV, June 11 - In a story about a patient with a fox bite, Gay Benevides, MD, (Wake Emergency Physicians, PA) discussed the dangers of rabies.

Triangle Business Journal, June 11 - John Rusher, MD, (Raleigh Pediatric Associates) discussed how a changing purchasing model at the state level could impact the cost of childhood vaccines for pediatric practices.

WRAL-TV, June 11 - Kathy Underhill (Birth & Parent Education) discussed the benefits of a new class designed for parents expect-ing multiples.

WNCN-TV, June 14 - Mike Utecht, MD, (Wake Emergency Physicians, PA) provided tips on surviving the extreme heat.

WRAL-TV, June 18 - The Neonatal Intensive Care Unit welcomed a film crew to inter-view a family about a very special Father’s Day.

WRAL-TV, June 23 - Dr. Bill Atkinson (Administration) was interviewed for a story about students of the Wake Early College of Health and Sciences interning at WakeMed over the summer. Interns from the Emer-gency Services Institute and the Raleigh Campus Cardiovascular Testing department were featured.

Triangle Business Journal and The News & Observer, June 24 - Stan Taylor (Corporate Planning) was quoted in stories announcing WakeMed’s acquisition of land in Brier Creek for a future healthplex.

The Cary News, June 27 - The newspaper ran an in-depth story about Cary Hospital’s disaster drill, including details on Noelle, the Center for Innovative Learning’s birth simulator. Amar Patel (Center for Innova-tive Learning) was quoted.

Carolina Parent, July 1 - Darlene Esper, MD, (WakeMed Faculty Physicians - OB/GYN) was interviewed for a story about postpartum depression.

Wake Living Magazine, July 1 - Mark Piehl, MD, (WakeMed Faculty Physicians - Pediat-rics), Carolyn Knaup, RN, (Administra-tion); Robin Carver, RN, (Infection Prevention & Control); Gail Sturtevant, RN, (Nursing Administration - Cary Hospital); Susan Weaver, MD, (WakeMed Physician Practices), and Betsy Gaskins-McClaine, RN, (Heart & Vascular Services) were featured in the annual hospital issue.

News 14, July 1 - Amy Griffin, MD, (Wake Emergency Physicians, PA) educated view-ers on the dangers of fireworks.

WRAL-TV, July 8 - Ben German, MD, (Wake Emergency Physician, PA) educated viewers on poisonous snakes in North Carolina, including how to protect yourself and what to do if you are bitten.

WNCN-TV, July 9 - Chantal Howard, RN, (Emergency Department) discussed the implications of outdoor exercise and exertion during extreme heat.

The News & Observer, July 10 - Stan Taylor (Corporate Planning) discussed the impli-cations of the 102 beds in the 2011 State Medical Facilities Plan.

The News & Observer, July 14 - Nutritionist Diana Koenning (Healthworks) provided tips on being frugal while eating healthy.

WRAL-TV, July 21 - Eduardo Piqueras, MD, (Wake Emergency Physicians, PA) was interviewed about determining if a patient is a candidate for rabies treatment.

WakeMed In The News urgical Trauma Intensive Care Unit (STICU) and 6C Surgery & Trauma team members celebrated the kickoff of their Smooth Move initiative by sipping on smoothies at a staff social in early June.

Smooth Move is a service excellence program designed to make patient transfers between STICU and 6C as “smooth” and seamless as possible, for both the patient and the care team. Because the STICU transfers the major-ity of its patients to 6C, there was a need to enhance the transfer process and eliminate any hiccups along the way.

“Last April, we identified the need to polish the patient transfer process between these two units to create an

enhanced patient experience,” said Chuck Lamothe, RN, (left, preparing smoothies) manager, (Patient Relations - Organizational Pro-cess Improvement). “I worked with unit leaders and nurses, discussing opportu-nities for improve-

ment as well as methods to build solid, trusting relationships among staff.”

Naming their initiative Smooth Move, the workgroup focused on several areas – improving relationships and respect between the units, setting expectations and minimizing surprises, and sharing education. To address these areas, they developed a transfer checklist, transfer guidelines, a patient welcome letter, and multiple methods for recognizing staff and rewarding each other’s units for a job well done. They also implemented morning huddles for charge nurses to ensure everyone was updated daily on the status of all patient transfers, and unit socials for staff to get to know each other better.

Unit leadership also began building relationships with one another by rounding on each other’s units. Additionally, staff continue to parti- cipate in shared educational program-ming, while the Smooth Move workgroup continues to refine the orientation program for new hires on both units. For example, new employees now familiarize themselves with the other unit by parti-cipating in a shadowing experience, thereby developing their knowledge of how care is delivered in both areas.

Since Smooth Move began in June, 6C patient satisfaction scores are on the rise, and staff on both units are reporting increased satisfaction in the way patient transfers are handled. The Smooth Move workgroup will continue to help staff enhance the patient transfer process while monitoring future progress.

Shown above enjoying smoothies at the Smooth Move kickoff are: (l to r) Michelle kiser, MD, (WFP - Surgery & Trauma); Carolyn Facemire, RN, (6C Surgery & Trauma); Joel Goodwin, MD, (WFP - Surgery & Trauma); April Wilder, RN, (6C Surgery & Trauma); Jeff Abrams, MD, (WFP - Surgery & Trauma); and Emily Burt, RN, (6C Surgery & Trauma).

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Rehab Clinical Secretaries RecognizedRehab Hospital’s administration and nursing management teams recently recognized the Rehab clinical secretaries with a cupcake social for the critical role they play on the patient care team. The clinical secretaries were also given VIT (Very Important Team Member) buttons. Not only do the clinical secretaries juggle multiple tasks, but they also help meet service excellence goals and demonstrate Wake Way behaviors. They play a key role in patient safety as well, especially when labeling medications on patients’ admission orders.

Pictured at the social are several Rehab clinical secretaries with members of the Rehab Hospital leadership team.

Microscope Earns National RecognitionMicroscope was awarded a Gold Aster Award in the category of Internal Newsletter - Series for a Health Care System during the 2009 calendar year. The Aster Awards is a medical marketing awards program allowing health care organizations and advertising agencies to compete against similarly-sized organizations across the nation and world. This elite national program recognizes outstanding health care professionals for excellence in their advertising/marketing efforts. Winning entries are judged by a panel of industry experts. The 2010 Aster Awards consisted of approximately 3,000 entries from across the United States as well as from Canada and South America. Judging criteria included creativity, layout and design, functionality, message effectiveness, production quality and overall appeal. For more information, visit www.asterawards.com.

Dear WakeMed,

My mother, Margaretann Bocchinfuso, was admitted to WakeMed on February 2, 2010, after being diagnosed with acute myeloid leukemia (AML). There were so many people who helped make her time at WakeMed special and memorable. I appreciate all the personal care that she received. She initially spent time in the MICU, then spent most of her time on 6B Orthopaedics & Oncology. Her last days were spent in the CICU. She also frequented the Health Park’s gym and would visit the Gift Shop or Café 3000 on the way back to her room. Everywhere she turned there was a comforting smile, voice or touch from a nurse, tech, dietary aide or housekeeper.

Unfortunately, my mom lost her fight with leukemia and passed away on June 10, 2010. I can honestly say that this was the worst experience of my life. However, thank you to all who made the worst experience a good experience, all things considered. As a WakeMed employee, I am so proud of my coworkers and the care and services we provide.

Thank you,

Margaret House, FNPHeart Center Administration

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Management News

Dorothy (Dot) Eldreth, RN, MSN, NE-BC, was named the director of the Women’s Pavilion & Birthplace - Cary in June.

She joined WakeMed from Main Line Health: Bryn Mawr Hospital in Bryn Mawr, Pa., where she worked for nine years as a nurse manager in the Level III Obstetrical Depart-ment. Prior to her experience at Bryn Mawr, Eldreth was a patient care coordinator at Christiana Hospital in Delaware.

Eldreth received her bachelor’s degree in Nursing and master’s degree in Nursing Administra-tion from Wilmington College in Delaware, and her post- master’s certificate in Nursing Administration from Villanova University.

She is a member of numerous professional nursing organiza-tions, including the Association for Women’s Health, Obstetrics and Neonatal Nurses (AWHONN) and Sigma Theta Tau.

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WakeMed Center for Patient Safety

Patient Identification: A Safety Fundamental

In health care training, we were taught all kinds of things – about the human body, how it works and how it can fail; about using certain medications and treatments; about the technical aspects of a proce-dure, like inserting an IV, drawing blood, or depending on the specialty, performing a cardiac catheterization or removing a diseased gall bladder.

But all of this teaching left out one very important step. It assumed that we knew who the patient was. We would simply walk in, say, “Hello, Mrs. Smith? I’m Dr. Kelley and I am here to…” and as long as the patient didn’t say, “Whoa – wait a minute…I am not Mrs. Smith,” we proceeded.

Years later, with much attention being paid to patient safety, we

have come to learn that once in awhile, this doesn’t work; sometimes, which is too many times, we have the wrong patient in front of us, and we find that we have given medications intended for someone else, drawn blood with another person’s label, performed the wrong procedure, or performed the right procedure on the wrong body part. Sometimes patients can be distracted and they may not realize that we called them by the wrong name, they may not correct us, or there are two “Mrs. Smiths” in the same area.

What does this mean for us and for our patients? We MUST confirm the patient’s identification, including name and medical record (MR) number, each and every time, before we do anything to them. We must compare that name and MR number with a source such as the consent form, medication list, transport infor-mation, procedure order or other key document. We must do this even though most of the time we get it right, and we think we know the patient. And even if we were just in their room an hour ago.

As health care becomes more advanced, technology is helping us. For example, with medication admin-istration checking, we use a barcode scanner to check the patient’s arm-band against the medication. How-ever, as hospitals have learned, technology is not error proof. We must rely on the fundamentals. At WakeMed, we take this so seriously that we are creating a “Red Rule” related to patient ID. Patients must be wearing an armband prior to our doing anything to them, and the ID on the armband must be compared with the source related to what we are about to do. We should also engage our patients in the process as much as possible, because the more they know, the more they can help ensure their care is provided safely.

As with most rules, there may be exceptions, such as in an emergency situation when someone is choking. These situations are fortunately infrequent. But as a routine, on a daily basis, we will make patient ID a habit. One we expect from ourselves and our colleagues…because our patients deserve nothing less.

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Thanks to support from the community, physicians and employees, the WakeMed Foundation successfully raised the first $8.5 million needed to open the new WakeMed Children’s Hospital in July. Now that the new Children’s Hospital is open, the Foundation has launched the next phase of its $20 million Just For Kids Kampaign. The remaining $11.5 million will be dedicated to a much-needed expansion of the Neonatal Intensive Care Unit (NICU), as well as numerous other critical pediatric service enhancements.

“We are extremely grateful to the community for their outpouring of financial support to help us expand much-needed pediatric services here in Wake County, but our work here is not done,” commented Jack Radford, executive director of the WakeMed Foundation. “There is a great need to continue to fund enhancements in pediatric services, particularly our Neonatal Intensive Care Unit, and we are dedi-cated to raising an additional $11.5 million to continue to expand services for the children of our community.”

In September 2009, WakeMed received Certificate of Need (CON) approval to expand the NICU by 12 beds, giving it a total of 48 beds. However, as with the Children’s Hospital, community support to facilitate a capital expansion of the NICU is imperative. The Foundation must raise 100 percent of the funds before the NICU expansion and any other enhancements can occur. WakeMed’s Raleigh Campus is home to the only Level IV NICU in Wake County, offering the highest level of neonatal intensive care. The expansion would allow WakeMed to begin converting neonatal beds to private rooms, so parents could sleep near and care for their hospitalized infants.

As one of the largest providers of pediatric care in the state, WakeMed has taken the lead on this project because more parents and providers seek our pediatric specialization and expertise than any other hospital in North Carolina. Last year, WakeMed provided care to 148,000 pediatric patients including over 60,000 in our Children’s Emergency Department.

“As we answer the call to meet a community need, we hope we can count on the community’s continued financial support,” Radford added.

The Foundation still needs your help. Visit childrencantwait.org to learn more about the Just For Kids Kampaign, and join the community members and WakeMed employees who have already gotten involved. For example, Respiratory Care Services donated the proceeds from their annual Ventilator Conference – $1,445 – to the campaign, their third annual gift. Over the past three years, they have donated close to $4,000. Additionally, the Heritage community in Wake Forest raised close to $1,000 by holding a scavenger hunt.

was named the Department of Surgery - Clinical Faculty Teacher of the Year. Dr. Abrams also serves as an assistant professor at The University of North Carolina (UNC) at Chapel Hill, where he earned his medical degree in 1995. A published author and accomplished presenter, he is a candidate fellow in the American College of Surgeons, a fellow in the N.C. Chapter of the American College of Surgeons, and a member of the American Trauma Society as well as the Nathan Womack Surgical Society.

The Harry E. Dascomb, MD, Award for Excellence in Clinical Teaching and Care was created in honor of

WakeMed Foundation Launches Next Phase of the

Above: Stephen Leinenweber, MD, (WakeMed Faculty Physicians - Pediatrics) and Brenda LeConey, RN, care for a young patient in the new

WakeMed Children’s Hospital.

Many community members came together this June for a good cause at the WakeMed Foundation’s first annual McConnell Golf Challenge benefitting the WakeMed Children’s Hospital. The event helped raise more than $65,000 for the Just For Kids Kampaign. A special thank you goes to team sponsors McConnell Golf, CAPTRUST, First Citizens Bank, Wyrick Robbins, BlueCross BlueShield of North Carolina, the Szulik Family and Poblocki Sign Company. Teams were organized around players’ favorite colleges and universities. For event coverage, visit childrencantwait.org.

This summer, Jeff Abrams, MD, (WakeMed Faculty Physicians - General Surgery & Trauma) received the prestigious Harry E. Dascomb, MD, Award. Annually, this award is presented to a physician who demonstrates excellence in teaching and patient care; has three or more years of clinical experience; and exhibits leadership in establishing, maintaining and supporting clinical teaching programs at WakeMed. The Dascomb Award is WakeMed’s highest teaching honor.

Nominated by his peers, Dr. Abrams was selected by the Dascomb Award committee, comprised of doctors from WakeMed Faculty Physicians (WFP) and community physicians. Serving as a trauma and general surgeon as well as a critical care intensivist for WFP since July 2001, Dr. Abrams has received several Teacher of the Year honors during his time at WakeMed. In 2002 and 2003, he was named the Department of Emergency Medicine - Clinical Faculty Teacher of the Year, and in 2003, 2004 and 2008 he

Harry Dascomb, MD, who served as an infectious disease physician at WakeMed. He epitomized the consummate teacher and clinician. Known for his ability to provide compassionate patient care and for his bedside clinical skills, Dr. Dascomb joined the faculty at UNC-Chapel Hill in 1988 as a clinical professor of medicine after a distinguished 41-year career in infectious disease.

Above: Jeff Abrams, MD, (WFP - General Surgery & Trauma) (left) receives the Dascomb Award from John Perry, MD, director, (WFP - Internal Medicine), executive director, (Wake AHEC) and president of the Raleigh Campus Medical Staff.

Dr. Abrams Honored with 2010 Dascomb Award

McConnell Golf Challenge

Tournament winners: the “Virginia Tech/Anybody But Carolina” team

CALENDAR

Microscope is a monthly newsletter written by and

for the employees of WakeMed. Our goal is to provide

employees and friends of WakeMed with the most

up-to-date news on all of the hospital system’s activi-

ties. The Public Relations department thanks all of the

employees who contributed to this publication.

We welcome comments and suggestions on this

publication and its content. Call (919) 350-8120, e-mail

microscope@wakemed.org, or write Microscope,

Wake Med Public Relations Department, 3000 New

Bern Avenue, Raleigh, NC 27610.

Coleen Smith, Moira Dutton, Editors

Leslie Keefe, Design

WakeMed Employees, Photos

©WakeMed Public Relations, August 2010

ADDRESS SERVICE REQUESTED

WakeMed Health & Hospitals

3000 New Bern AvenueRaleigh, North Carolina 27610

To help you plan ahead, this calendar lists upcoming system-wide events, training classes and community events. For complete details and fee information, visit the WakeMedWeb. Please send calendar submissions to the Public Relations department or e-mail microscope@wakemed.org.

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O F E V E N T S

GRANTS & SkiLLS SChOLARShiP PROGRAMSNext Deadline September 1 – WakeMed Foundation’s Grants & Skills Scholarship Programs – Visit the WakeMedWeb for details or to apply by clicking Departments, then WakeMed Foundation. The Grants program helps WakeMed departments develop, launch or expand patient or community service pro-grams, while Skills Scholarships are designed to help employees (with three or more years of service) enhance job skills to expand our exist-ing services and better serve the community.

BLOOD DRiVE Raleigh Campus & Corporate Center – Wednes-day, September 1, from 7 am to 4 pm in the Andrews Center, and from 10 am to 2:30 pm in the Blood Mobile bus at the Corporate Center. Sponsored by The Volunteers at WakeMed Raleigh Campus and the American Red Cross. Visit the WakeMedWeb or see your depart-ment’s recruiter to schedule an appointment.

TASTE OF hOME COOkiNG SChOOLWednesday, September 8, at the Expo Center, N.C. State Fairgrounds – Presented by WakeMed Heart & Vascular. Doors open for exhibits at 4 pm, show starts at 7 pm. During this interactive two-hour event, culinary expert Cheryl Cohen will demonstrate 10 new recipes you can easily make at home.

Tickets are $12 – purchase at the door, online at www.wralfm.com or by mail: WRAL-FM, Attn: Taste of Home Cooking School, 3100 High-woods Blvd. - Suite 140, Raleigh, NC, 27604.

WAkEMED NiGhT AT ThE RAiLhAWkSCarolina Railhawks vs. Portland Timbers – Saturday, September 11, 7 pm at the WakeMed Soccer Park in Cary. Enjoy RailHawks soccer and fun, family entertainment at an affordable price. The RailHawks are offering WakeMed employees deeply discounted tickets for the 2010 season. Visit www.carolinarailhawks.com/wakemed.

EMPLOyEES WiTh DiABETES Free Class – Thursday, September 16, from 8:30 am to 4:30 pm in the North Healthplex Third Floor Conference Room. This class will cover the facts on diabetes, managing your diet, proper nutrition, meal plans, medication, exer-cise and stress management. Pre-registration and a physician referral are required. Contact Rosie O’Hara at ext. 07408 or Ellen Daley at ext. 07404 with questions or to register. Class size is limited to 20 participants.

ShOCk ABSORBERSDefibrillator Support Group – Sunday, Septem-ber 19, from 1 to 3 pm in the Cary Hospital Con-ference Center. A quarterly support group for people with an implantable cardiac defibrillator (ICD). Family members and support people are welcome. Guest speakers provide current infor-mation and resources. Call 919-350-2108, or ext. 02108.

SAS ChAMPiONShiPPresented by BusinessWeek – September 20-26 at Prestonwood Country Club in Cary. The tenth annual SAS Championship features nota-ble PGA professionals on the Champions Tour. WakeMed is proud to host WakeMed Health Day on Friday, September 24, from 9 am to 2 pm, giving ticket holders access to free health screenings and health information. Tournament tickets are available online at www.saschampi-onship.com or call (919) 531-GOLF (4653).

AhA TRiANGLE hEART WALk 2010 Start! heart Walk – Sunday, September 26, from 2 to 5 pm at the RBC Center in Raleigh. Help the American Heart Association (AHA) raise funds to fight heart disease. To join Team WakeMed, contact team captain coordinator Patricia Jones at pljones@wakemed.org. For information on WakeMed’s involvement with this event, visit www.wakemed.org.

12Th ANNuAL ChARiTy GOLF OuTiNGMonday, October 25, starting at 11 am at MacGregor Downs Country Club in Cary – Sponsored by The Volunteers at WakeMed Cary Hospital and benefitting Cary Hospital’s pro-grams and services as well as the WakeMed Children’s Hospital. For more details, visit www.wakemed.org and click Charitable Giving.

To register, call 350-7423 (ext. 07423) or 350-4596 (ext. 04596) or e-mail foundation@wakemed.org. To purchase raffle tickets, call 350-4596 (ext. 04596).

VOLuNTEER ORiENTATiONRaleigh Campus – Wednesday, August 18, from 9:30 am to 12:30 pm and Monday, September 13, from 5:30 to 8:30 pm. Both sessions held in Conference Dining.

Cary hospital – Tuesday, August 24, from 8:30 am to noon and Thursday, September 2, from 5:30 to 9 pm. Both sessions held in the Conference Center.

NuRSiNG EDuCATiONCPR Blitz – Thursday, August 12. “Check-off only” is any time between 8:30 am and 8 pm. Classes held from 9:30 am to 12:30 pm; 1:30 to 4:30 pm; and 7:30 to 10:30 pm. See Learning Link (NEAHA20 & NEAHA24).

Pediatric Core – Day 1 - Monday, August 2, from 8:30 am to 4:30 pm. Learning Link (LL) code NE014-1073; Day 2 - Friday, August 13, from 8:30 am to 3:45 pm. LL code NE014-1074; Day 3 - Friday, August 20, from 8:30 am to 12:15 pm. LL code NE014-1075.

WAkE AhEC CONTiNuiNG EDuCATiONEducational credit available for all programs. For details/fees call ext. 08547 or visit www.wakeahec.org and click Program Listings.

human Trafficking: Stopping Modern-Day Slavery – Wednesday, August 11, 8:30 am at The Edwin W. Monroe AHEC Conference Center, Greenville, NC

RCiS Exam Review: Preparation for the Cardiovascular Credential Exam to Become a Registered Cardiovascular invasive Specialist – Saturday, August 14 & Sunday August 15, 8 am each day at the Andrews Conference Center

Spanish/English interpreter Training: Advanced Medical Terminology – Tuesday, August 17, 8:30 am at Cary Hospital

Dental Management of Medical Conditions: Diabetes and Pregnancy – Tuesday, August 17, 5:45 pm at the Andrews Conference Center

hiV update for Mental health and Substance Abuse Professionals 2010 – Friday, August 27, 9 am at the McKimmon Center, Raleigh

Demystifying Management of Voice Disor-ders – Friday, August 27, 8 am at the UNC Center for School Leadership Development, Chapel Hill

The impact of healthcare Reform on Reha-bilitation Professionals – Tuesday, Septem-ber 7, 1 pm at the Andrews Conference Center

Fundamental Critical Care Support – Friday, September 10, 7:30 am at the Hilton North Raleigh

Neuroplasticity: Translating Theory into Effective Treatment of Aphasia – Saturday, September 11, 8:30 am at the Andrews Conference Center

STAFF DEVELOPMENT & TRAiNiNGEnroll in any of the listed classes via Learning Link or ask your manager/supervisor to e-mail SDRegistration@wakemed.org with your name and employee number, and course name, date(s) and time(s). For information, visit the WakeMedWeb or call ext. 08306. Please note: Some classes require an introductory course or satisfactory completion of an assessment test.

Computer Training

PowerPoint 2007 Fundamentals (Code=CTPPF) – Tuesday, August 3 & Thursday, August 5, 8:30 am to 12:30 pm, Raleigh Campus MOB, SD&T Classroom #4

Management Development

Critical Thinking: Through Situational Aware-ness (Code=MDSAih) – Thursday, August 12, 8:30 am to 12:30 pm, Raleigh Campus MOB, SD&T Classroom #3

Effective Supervision at WakeMed (Code=MDEFSS) – Wednesday, September 1, 8:30 am to 12:30 pm, Raleigh Campus MOB, SD&T Classroom #3

Facilitating the Development of Others (Code=MDFDO) – Thursday, September 9, 8:30 am to 12:30 pm, & Thursday, September 23, 8:30 to 10:30 am, Raleigh Campus MOB, SD&T Classroom #3

Thursday, August 197 pm to sundownKoka Booth Amphitheatre, CaryFight back against bumps, bruises and bacteria at a FREE safety event just for kids! Join WakeMed’s Injury Prevention Team and Safe Kids Wake County before the last movie of this summer’s Koka Booth Movies by Moonlight series, Monsters vs. Aliens. Kids will participate in fun activities such as the seatbelt fit test while learning about fire safety, bike safety, calling 911, combating germs at school and much more. They’ll even meet Twinkle, the WakeMed Children’s mascot, Sparky the Fire Dog and other safety good guys.

Tickets are $3 for adults. 12 and under are free. A portion of ticket sales goes to pediatric safety programs at WakeMed.

New Behavioral Health Holding Area on the Raleigh Campus

Several beds located within Observation Unit 1 on the Raleigh Campus are now serving as a holding area for behavioral health patients (adults only) who are waiting for transfer to a behavioral health facility. Patients in this new holding area must be medically cleared.

Behavioral Health Nurses and Nurse Technicians WantedTo staff the Behavioral Health Holding Area, management is currently recruiting nurses and nurse technicians, both within WakeMed and outside of the organiza-tion, who have experience caring for behavioral health patients.

If you are interested, please contact Laurie Cook, RN, interim manager of Observation Units 1 & 2, at ext. 08772 or lcook@wakemed.org. The open positions have also been posted at www.wakemed.org.

P R E S E N T E D B y

Injury Prevention