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Strategies for Nurse Managers
 
Strategies for Nurse Managers is a 12-page monthly how-to newsletter that was created exclusively to help you save time performing your job successfully. Each monthly issue provides nurse leaders like you with field-tested ideas, tips, and how-to's on managing effectively, gaining the respect of your peers and employees, recruiting and retaining the best staff, making the best of employee relations, and avoiding the number one pitfall of nurse managers: burnout.

To view the entire newsletter issue, click the “View Entire Issue” link below

January 2008   (Volume 8, Issue 1)
 
Strategies for Nurse Managers, January 2008
 
What information should I incorporate into my position control document?

What information should I incorporate into my position control document?

 
Avoid reimbursement, accreditation concerns by preventing catheter-associated infections

Preventing C-BSIs has become more than just a patient safety issue; it is now associated with reimbursement and, potentially, accreditation decisions as well.

Starting in October, under new Medicare regulations, hospitals will no longer receive higher payments for the additional costs associated with treating patients for preventable C-BSIs. Implementing best practices to prevent these infections is included among The Joint Commission’s (formerly JCAHO) list of potential 2009 National Patient Safety Goals, currently under review.

 
CE Article: Perfecting stroke care through certification*

The recipe for creating a successful stroke care program at your facility may include many items. Teamwork, leadership, and commitment are just a few examples. And while not necessary for success, The Joint Commission’s 10 indicators may be the most important—and most helpful—ingredient.

 
Orientation is often a stressful time for new graduates. Is there anything I can do to ease them into it?
The transition into practice can be a difficult, but you can help your new graduates overcome the stressors and grow in critical thinking more easily when the orientation process recognizes and deals with these stresses. Consider the following strategies to incorporate into your orientation program.
 
Nursing shortage strains emergency physicians
The nursing shortage is weighing in on healthcare facilities across the country. As a nurse, this weight may come in the form of a heavier workload, in the amount of exhaustion you experience from picking up too many extra shifts, or in the time you are given to ease into your first job. Whichever the case, as a recent study reports, physicians are feeling the strain as well.
 
Universal MRSA screening: One approach does not fit all
Is universal screening the answer to reducing MRSA infections at your facility? Two new studies have offered very different conclusions on the subject.
 
Tending to geriatric care with NICHE
Kathy Long, BSN, Acute Care for the Elderly (ACE) and palliative care manager at North Carolina Baptist Hospital (NCBH) in Winston-Salem, NC, and Jane Smeaton, RN, MSOLQ, manager of the medical floor at Waukesha Memorial Hospital in Milwaukee, WI, report their facilities are happy with the NICHE (Nurses Improving Care for Health-system Elders) results.
 
Heparin recall brings attention to policies
Anticoagulation drugs have been in the spotlight already in the past year, primarily due to National Patient Safety Goal #3E, which targets the safe use of these drugs. However, a new problem has emerged: Heparin bottles contaminated with oversulfated chondroitin were found at multiple facilities worldwide, from different suppliers.
 
How to set up an effective rapid response system
Small hospitals struggling to implement a rapid response system may want to take a cue from East Texas Medical Center in Athens, a 28-bed facility that saw its calls for code blues—as well as its mortality rates—drop after it instituted an emergency team.
 
The changing face of recruitment and retention
Nurse managers spend a lot of time predicting and planning for the future, but when it comes to hiring and retaining employees, there are a lot more future problems than possible solutions. In order to retain nurses, the hospitals they work at must be places that people are "dying to work at." But it is hard defining what those hospitals will look like.
 
Creating a culture of evidence-based practice
For nurses to value and recognize the relevance and importance of evidence-based practice, they need ongoing support from the chief nurse executive and the nursing leadership team.The leadership team must encourage nurses’ efforts to question existing practice, have access to library resources and research experts, and provide time for nurses to work on evidence-based projects. Most importantly, the team must value clinical inquiry, scholarship, and questioning of the status quo.
 
The state of nurse-physician collaboration

Our fourth quarterly benchmarking report takes a look at the state of nurse-physician collaboration. HCPro, Inc., recently conducted a survey among 67 nursing professionals in the healthcare industry about the issue of nurse-physician collaboration within facilities of various sizes and settings nationwide. The data provides nurses' views about the state nurse-physician collaboration and how if is affecting their facilities. The survey included questions about nurse-physician collaboration barriers, the influence poor nurse-physician collaboration has on stress, whether facilities are taking steps to improve nurse-physician collaboration, and if so, what their strategies were.  

 
How can I assess whether horizontal hostility is a problem on my unit?

The following are effective methods you can use to evaluate your staff and to assess the problem of horizontal hostility. If after assessing these areas you feel that your team is in good shape, continue to monitor the environment:

 
Hospital’s homemade recruitment campaign reels in nearly 80 nurses in 80 days
Healthcare facilities invest large amounts of money on external recruitment agencies to bring nurses through their doors. But for some facilities, the most effective recruitment strategies begin right at home.
 
Do you have any advice to help engage my multigenerational workforce in meetings?

All managers need to hold meetings with their staff, but the meeting topics, timing, and frequency will determine the interest of each generation. Keep the information brief, as everyone suffers from information overload. The manager should triage information so that nurses only have to read information that is truly relevant to their practice.

 
Group norms assessment tool
Use this assessment tool to identify group norms that affect staff happiness, productivity, and effectiveness.
 
Labor budget guide
The following steps describe how to create the labor portion of a budget.
 
Strategies to make time for the next wave of leaders

Almost all nurse managers want to spend more time with their staff, but they have so many responsibilities that they have trouble finding the time to do so. This situation leaves the nurses on the floor with the perception that managers are too busy pushing papers in their offices to spend time with them, not seeing what they have to do deal with.

 
Put on your best performance review
A performance review gives a nurse manager and an employee a chance to take a step back and assess how the employee’s performance is measuring up to the requirements of his or her position. It is a time to communicate, a time to set goals, and a time to strengthen the manager-employee relationship. But they are often challenging for both parties.
 
Crisis management starts at home but doesn’t end there

The Joint Commission’s surveyors may be tough, but they’re nothing compared with a natural disaster.

So learned Ochsner Medical Center in New Orleans. When Joint Commission surveyors reviewed Ochsner’s emergency plan in July 2005, they found it lacking and gave the facility a requirement for improvement (RFI). One month later, in August 2005, Hurricane Katrina hit, and that same plan was tested.

 
Identifying learner characteristics

Many nurses are not aware of their learning styles, therefore can’t acquire information to their fullest potential. Because accelerated learning is most effective under conditions that are conducive to the learner’s knowledge acquisition, it is important to help your staff identify their learning preferences. Use this sample template to help your orientees (and other learners) understand what actions and activities best help them learn.

 
Inside life coaching: Care for yourself, care for others
Nurses are amazing individuals. Their nature is to be present and available to others. They enjoy a sense of personal and professional satisfaction from working with people, when those people are most vulnerable. This is a quality that should be honored and nurtured, but is all too often disrespected, leaving nurses feeling confused and drained.
 
Supervisor notification memo
Use a memo like the following sample to notify your supervisor of a competency issue on your unit. When writing your memo, be specific by identifying the competency issue and your correction plan.
 
New Patient Safety Goals focus on infection prevention
Revised elements of performance (EP) for medication reconciliation and the Universal Protocol™ (UP) worry some in the field, but the addition of new requirements for reducing healthcare-associated infections (HAI) has so far not stirred up a lot of angst. Some safety advocates even say The Joint Commission’s new expectations for managing HAIs may lead to wider use of the same type of medical checklist that produced dramatic results in Michigan, where hospitals reduced catheter infections to zero and saved more than 1,500 lives and nearly $200 million.
 
Fall assessment guidelines

To avert patient falls, hospitals should assess every patient for fall risk upon admission. And every time a fall occurs, that patient should be assessed again. Use this figure that examines elements that must be addressed during these assessments to prevent patient falls at your facility.

 
Any tips to help my nurses when administering medication to a pediatric patient?
Not all medications come in dosage forms that are suited to pediatric administration. When altering medications for use in pediatric patients (e.g.,) compounding liquid preparations, cutting or crushing tablets, or making powder dilutions), the following should be considered:
 
CE Article: Stay vigilant: Pandemic influenza is more likely than ever*

Three years ago, pandemic influenza was a hot topic. Many facilities were focused on preparing for a potential pandemic. However, interest now appears to be waning, despite the fact that top scientists believe that the risk of pandemic influenza is on the rise.

 

Other recently-published articles from Strategies for Nurse Managers:




HCPro, Inc.



*MAGNET™, MAGNET RECOGNITION PROGRAM®, and ANCC MAGNET RECOGNITION® are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro, Inc. and The Greeley Company are neither sponsored nor endorsed by the ANCC