2008 Where the Seeds of
We Are Now Doing Sleep Studies
leep deprivation can affect all excessive snoring, sleepwalker, night
areas of your life – attitude, terrors or bed-wetting.
work performance, relationships •Insomnia – may be caused by
and most importantly, your health. If stress, depression, hunger, physician
you did not get a good night’s sleep last discomfort or other problem.
night you are joining the majority of •Shift work sleep disorder – if you
people. work at night or do rotating shift work.
“There are 24 hours in a day,” says •Narcolepsy – uncontrollably falling
Dr. Hatem A. Asad of Pulmonary asleep at any time and any place.
Associates, LLC & Sleep Disorders •Other conditions such as periodic
Center. “We should sleep one third of limb movement disorder – continuous
the day and be awake two thirds, but or wild movements of the feet, arms or
these days that is not the norm for most legs during sleep.
people.” Sleep studies can also determine
People suffering from sleep deprivation whether or not you have a problem with
may need to undergo a sleep study, stages of sleep:
which could find the underlying reason 1. Non-rapid eye movement
for loss of sleep. If your doctor feels a (NREM)
sleep study is needed, you can have the 2. 2. Rapid eye movement Dr. Hatem Asad
study done locally at Peach Regional (REM).
Medical Center in the Sleep Lab, located Normally, NREM and REM alternate time when you normally awake.
in the Specialty Center. Dr. Asad is the four to five times a night’s sleep and a And if you have shift work sleep
medical director for the Sleep lab and change in this cycle may make it hard disorder or another problem with your
interprets the study. Maxine Morris- for you to sleep soundly. body’s internal clock, you may be given
Lowe, certified in sleep studies, is the The most common sleep studies are: a test called actigraphy where you wear
clinical coordinator for the lab and •Polysomnogram which records a device on your wrist that looks like
oversees the study. “This is a quality several body functions during sleep, a watch. The device measures your
service,” stated Nancy Peed, Peach including brain activity, eye movement, movement during sleep and when you
Regional Medical Center, CEO, “and I oxygen and carbon dioxide blood are awake giving your doctor insight
am so excited to be able to offer this at levels, heart rate and rhythm, breathing into what times during the day you are
Peach Regional Medical Center.” rate and rhythm, the flow of air through active and what times you are sleeping.
Sleep studies are tests that watch what your mouth and nose, snoring, body Dr. Asad says when diseases such as
happens to your body during sleep to muscle movements and chest and belly diabetes and high blood pressure do not
find out what causes the sleep problems. movement. significantly improve; the reason could
While Dr. Asad says 64% of sleep issues •Multiple sleep latency test, which be sleep deprivation. Loss of sleep also
can be attributed to sleep apnea (when a measures how long it takes you to fall contributes to obesity. “Addressing
person stops breathing during sleep for asleep. A video camera is used to record sleep factors may help control these
10 seconds or longer) there are other movements during sleep. issues,” Dr. Asad said. “Taking care of
sleep problems. These can include: •Multiple wake test, which measures the sleep issue has been associated with
•Problems with nighttime behaviors – whether you can stay awake during a Continued on Page 11
NOV./DEC. 2008 PRMC - The Peach Seed PAGE TWO
Overview Of “Employees & Patient Security” Policy
An overview of the policy on
“Employees and Patient Security”
Policy # SEC -9 EOC Manual
EOC Tips & Trends - by Colleen Dresslar
periodically. the safety of other personnel, visitors
Please follow the guidelines listed or patients, a “Code Yellow” should
below to help maintain a secure - All employees should wear be paged along with the location.
environment at Peach Regional their picture I.D.
Medical Center. - A “Code Yellow” indicates
- Visitors who appear to be lost the need for all male employees,
- All departments, closets, and or wandering should be confronted, the Nursing Supervisor and other
non-patient rooms should be kept and then asked “May I help you find available administrative personnel
locked when not in use. a certain area?”; then, take them to to respond and assess the situation
that area. and talk to the offending persons. If
- When visiting hours are immediate help is needed, the staff
over all external doors, except the - Enforce visiting regulations. involved should direct someone to
main emergency room door, should call 9-1-1.
be locked (by 8:30 p.m.) by the - Watch for loiterers. If you
Night Supervisor. Additionally, the observe people loitering, notify the Please note; document all security
corridor door near Emergency Room Nursing Supervisor/CEO. incidents on the General Occurrence
Waiting Room should be locked. found in the EOC Manual.
It has a coded lock that is changed - If any person poses a threat to
CEO Nancy Peed,
Khoury, left, and
of Staff Dr.
with a plague
of their service.
on the Hospital
12 years and
is no longer
on the County
was the 2008 Chief
Of Staff. Both are
NOV./DEC. 2008 PRMC - The Peach Seed PAGE THREE
The winning team for the coke sale fund raiser was treated to a
pizza party by CEO Nancy Peed. At left she gives them a big hand.
Not all team members are pictured from Environmental Services,
Maintenance and Material Management ( Standing from left are
Bernard Poole, Tom Serensky, Brian McLarty, Shon Collins. Seated
from left are Valerie Hill, Julia Hill , Johnnie Harris and Jackie
Gibson. The team called themselves the Outcasts and sold 78 cases
collectively. Bernard Poole sold the most as an individual with 43
cases followed by Cookie Bailey with 34 cases and Angela Hart
with 25 cases. ER and Respiratory (Reaper Slayers) sold 70 cases.
All in all about $3500 was raised from the sale. Thanks to all who
LESSON IN CUSTOMER SERVICE
Honor the uniquene ss of e ach of your customers. Take
the time to understand their needs, issue s and concerns.
NOV./DEC. 2008 PRMC - The Peach Seed PAGE FOUR
2009 Critical Access Hospital
National Patient Safety Goals
The purpose of the National Patient Safety Goals is to improve patient safety. The Goals focus on problems in
health care safety and how to solve them.
Identify patients correctly Use proven guidelines to prevent infections that
Use at least two ways to identify patients. For exam- are difficult to treat.
ple, use the patient’s name and date of birth. This is Use proven guidelines to prevent infection of the
done to make sure that each patient gets the medi- blood.
cine and treatment meant for them.
Use safe practices to treat the part of the body
Make sure that the correct patient gets the correct where surgery was done.
blood type when they get a blood transfusion.
Check patient medicines
Improve staff communication Find out what medicines each patient is taking. Make
Read back spoken or phone orders to the person who sure that it is OK for the patient to take any new medi-
gave the order. cines with their current medicines.
Create a list of abbreviations and symbols that are not Give a list of the patient’s medicines to their next
to be used. caregiver. Give the list to the patient’s regular doc-
Quickly get important test results to the right staff per- tor before the patient goes home.
son. Give a list of the patient’s medicines to the patient
Create steps for staff to follow when sending patients and their family before they go home. Explain the
to the next caregiver. The steps should help staff tell list.
about the patient’s care. Make sure there is time to Some patients may get medicine in small amounts
ask and answer questions. or for a short time. Make sure that it is OK for
those patients to take those medicines with their
Use medicines safely current medicines.
Create a list of medicines with names that look alike
or sound alike. Update the list every year. Prevent patients from falling
Label all medicines that are not already labeled. For Find out which patients are most likely to fall. For
example, medicines in syringes, cups and basins. example, is the patient taking any medicines that
might make them weak, dizzy or sleepy? Take action
Take extra care with patients who take medicines to to prevent falls for these patients.
thin their blood.
Help patients to be involved in their
Prevent infection care
Use the hand cleaning guidelines from the World Tell each patient and their family how to report their
Health Organization or Centers for Disease Control complaints about safety.
Watch patients closely for changes in
Report death or injury to patients from infections that
their health and respond quickly if they
happen in hospitals.
Create ways to get help from specially trained staff
when a patient’s health appears to get worse.
Prevent errors in surgery
Create steps for staff to follow so that all documents
needed for surgery are on hand before surgery starts.
Mark the part of the body where the surgery will be
done. Involve the patient in doing this.
This is an easy-to-read document. It has been created for the public. The exact language of the Goals can
NOV./DEC. 2008 PRMC - The Peach Seed PAGE FIVE
Help Encourage The Team
I can’t believe the year 2008 has team that you care about them, as
ended and a new year has begun… people and as employees.
Where does time go? As we begin • Recognize that you need
a new year, let’s evaluate our your employees to care about you
positions and see if we have areas as well.
that need improvement…If you say, • Caring requires energy. It’s
I do not have anything that needs a conscious decision you need to
improvement; you must look in the make and carry out each day.
mirror. We ALL have weaknesses. Why can love make such a
Are you giving the best customer significant difference in how we
service and going beyond what lead our teams and motivate our
it takes to make a patient, visitor, teammates? Simply put, “love in this
or employee feel appreciated and context means that you’re concerned
respected? Do you have goals you about your fellow employees and
want to accomplish this New Year? their success, you feel glad when
What can you do to encourage your they succeed, and you help them
teammates to care about each other? when they need help.
There are five tips for encouraging a Together we can make PRMC a
loving team: place where everyone will feel a sense John Tibbets
• Practice the Golden Rule. of accomplishment, a sense of pride,
• Don’t hold a grudge against and a place where we will wake up is progress; working together is
an employee. Forgive and help every morning and be glad to come success.” Did you know employees
them learn from mistakes. This to work. Henry Ford once gave a working together are generally more
sets a good example for others on statement on working together as a successful at solving problems?
your team. team. He said, “Coming together How? Teams give employees a sense
• Show the members of your is a beginning, keeping together of belonging and security. They can
better work together to improve
processes and reduce waste and costs,
and being a member of a team helps
Tisha Jefferson, left, people feel energized.
Seantrica Chapman, Let’s get energized and create and
right and Keosha Postell, nourish team spirit and pride here
kneeling. at Peach Regional Medical Center as
we launch into what we can make a
happy and prosperous new year.
As you already know, PRMC is
placing high priority on customer
service. We began customer service
classes with our managers first so
they will know what is expected when
evaluating their employees. The
Emergency Room and registration
have also attended because they are on
the front line where customers come
through the doors daily. Next, we
will be scheduling other departments
to attend until all employees have
completed the customer service class.
May everyone have a blessed New
PAGE SIX PRMC - The Peach Seed NOV./DEC. 2008
Billy Helton and
From left, Danielle Rayburn, Tarshea
Fudge and Barbara Walker.
Give the customer you’re serving
100% of your attention. Do other
From left Kathy Daniels, Dudria job duties on your time not theirs.
Ross and .Tammy Dykes
Our Employees Are
Making A Difference
OCTOBER - Margie Cox
Tim Putman Tommie Lee
Dr. Jordan Kitchens
Brittney Lawhorn Bernard Poole
Becky Rikard Clarence Moore
New Employees Susan Payne
Michael Coleman - LPN Sharnon Phillips - Brenda Arrington Shirley Stubbs
Lashonda Dean - Dietary Dawn Norvell John Tibbets
Cook DanYelle Rayburn- Registrar
Brian McLarty James Cameron
Rosemary Duprey 12 - ER Jonice Walls - Staff Shon Collins Joey Ivey
Marva Lowery Chanter Simmons - Registrar EmployEE achiEvEmEnt
- Patient Account Rep Linda Wilson -RN rEcEiving award
outstanding BEcky rikard
NOV./DEC. 2008 PRMC - The Peach Seed PAGE SEVEN
Seated in front are PRMC employees Sandy Bartlett and Susan Hall. Standing in back from left are Chance
McGough, Sondra Twilley, Tom Serensky, all PRMC employees and Matt Raines from Georgia Tech.
Hospital Working On Getting “LEAN”
each Regional Medical Center is hospitals,” said Frank Mewborn, director long-term through better processes and
participating in a new initiative of the Health Care Performance Group buy-in from those who are on the front
designed to help increase its in Georgia Tech’s Enterprise Innovation lines of providing patient care.”
capacity to serve patients, improve the Institute. “Rural hospitals typically Beyond direct process improvements,
quality of services and reduce costs. don’t have the resources to hire outside the initiative will also provide long-term
The benefits will come from adopting consultants to help with performance benefits through senior leadership and
performance improvement techniques that improvement issues. hospital staff who have been trained in
are already widely used in manufacturing Georgia Tech project leaders will work the lean techniques and who will share
industry. with health care professionals at the them with other departments and facilities.
The initiative is part of a two-year participating hospitals to conduct lean Success will be measured by improvements
demonstration project, to be led by the assessments, teach basic lean concepts, made during the process, and by the ability
Georgia Institute of Technology, that will develop value stream maps to analyze the of each hospital to continue the process
help train staff at seven Georgia rural flow of materials and information, and improvement efforts after the initiative’s
hospitals in “lean” techniques that identify implement rapid process improvement conclusion.
waste in processes and find ways to techniques. Because the techniques rely Hospitals that have agreed to participate
eliminate it. on input from those closest to the processes in the program include Upson Regional
Georgia Tech has successfully used being improved, each hospital will dedicate Medical Center in Thomaston, Peach
the approach with hospitals in Atlanta, staff members to work with Georgia Tech. Regional Medical Center in Fort Valley,
Columbus, Newnan and Vidalia. Its “This is a substantial investment on Monroe County Hospital in Forsyth,
“lean health care” training programs have the part of the hospitals because they Morgan Memorial Hospital in Madison,
been licensed for use nationwide by the must pull front-line staff from their Banks-Jackson-Commerce Hospital in
American Hospital Association. normal responsibilities during the process Commerce, West Georgia Medical Center
“We want to take the techniques that improvement activities,” Mewborn in LaGrange, and Hutcheson Medical
have proven to be so successful in large noted. “Involvement of these key people Center in Fort Oglethorpe. The projects are
hospitals and use them in small, rural is essential to the process, and it pays off expected to be completed by June 2010.
NOV./DEC. 2008 PRMC - The Peach Seed PAGE EIGHT
This refresher course for
nurses is taken periodically.
Pictured from left is
Francis Peed, Chris Hobbs
and Bart Bowden.
In right photo from left, Pamela
Harris, Francis Peed, Ed Fowler,
Tim Putman, Chris Hobbs and
Work at developing a relationship
BEFORE you address the
NOV./DEC, 2008 PRMC - The Peach Seed PAGE NINE
PICC Lines A Reality At PRMC
n an effort to better serve local
patients and family physicians
while keeping more business at
Our patients and our physicians love the PICCs.
home, Peach Regional has recently The patients appreciate not having to be stuck so
expanded it’s Outpatient Services much and the physicians enjoy the convenience and
to offer Nursing based PICC Line
insertions and maintenance as well
safety of the device.” -- Reggie Smith, RN
as long and short term IV therapy in
the Outpatient setting. Enter the PICC line. PICC line medications.
PICC Lines or Peripherally Inserted placement can be ordered by the The procedure usually takes
Central Catheters have been in wide patient’s family doctor even if he/ 45-90 minutes in the Outpatient
use in medical communities for 15-20 she is on staff at another hospital. Department. A dressing covers the
years but are usually more available After receiving physician orders, the site and if properly maintained, the
in larger metropolitan hospitals than PICC is placed by a nurse in a large PICC can be used for up to one year
in smaller places like Peach Regional. vein above the bend of the elbow in for medications and blood draws
When a patient is admitted to any the patient’s upper arm effectively as the patient’s physician orders.
hospital, IV therapy is started with getting it out of the way of “moving This eliminates “using up” other
a peripheral (arm) catheter which parts” causing much less frustration vessels in the arm and significantly
usually lasts from 16-48 hours. If for the patient. decreases the patient’s pain by not
the patient requires longer term In building this program, Peach having to be stuck so often.
IV therapy, infection control rules Regional has partnered with the Bard Reggie Smith, RN, Nurse Manager
require that their IV be replaced and Corporation and recently purchased OR at Peach Regional, Tim Putman,
moved around until all veins sites a special ultra-sound machine RN, Chance McGough, RN, Chris
are exhausted. Then if IV therapy is developed by Bard especially for Hobbs, RN, and Francis Peed, RN
still warranted, a surgically placed PICC line placement. Specially have recently completed PICC
central line catheter is considered trained nurses use this ultra-sound training with BARD and the team
by the attending physician which machine to locate and identify the has already placed a number of
guarantees a good IV site but targeted vessel in the upper arm. lines in the inpatient and outpatient
raises the chance of life-threatening The nurse then marks the site of setting at the local hospital. Smith
complications and systemic (full the vein on the patient’s skin with said, “Our patients and our
body) infections. the specific depth of the vein being physicians love the PICCs. The
By the same token, if a patient measured by the machine. A needle patients appreciate not having to be
is ordered to have outpatient guide is then placed on the ultra- stuck so much and the physicians
IV therapy infusions for several sound probe guaranteeing the exact enjoy the convenience and safety of
consecutive days or weeks with angle to introduce the needle. the device.”
antibiotics or other medications, the Under fully sterile conditions, the “The technology is a welcome
patient is under the same infection skin is then anesthetized at the entry addition and we hope will provide
control rules for changing IV sites... site and the needle is introduced and a much needed service to our local
which is painful and inconvenient threaded into the vein with pinpoint communities,” stated Nancy Peed,
for all involved. Also, different accuracy...allowing the nurse to CEO. “This is just the first of many
medications have different ph capture and photograph the entire new services we are initiating to
values which sometimes don’t procedure on the ultra-sound screen improve patient and physician
match the ph of the body. This can and in nearly all cases, only one stick satisfaction here. In the long run,
have a caustic effect on veins when is necessary. The PICC catheter is programs like this will help to
these medications are repeatedly then introduced and threaded up rebuild our local medical community
given daily and weekly...which can the arm and into the central vessels into the vibrant, bustling business
cause serious complications like of the chest cavity exactly like a it needs to be in the future,” she
phlebitis and other problems over surgically placed line...allowing stated.
the long term. safer administration of “caustic”
. NOV./DEC 2008 PRMC - The Peach Seed PAGE TEN
Own A Piece Of History
Sealed Bids Being Accepted On
2008 Being Olympics Collectible
Coca-Cola Bottles now through
3 p.m. February 13, 2009
Left: Peace On
Rare & Limited Edition Collectibles
Submit SEALED BIDS to:
PRMC Coke Fundraiser Building Fund,
P. O. Box 1799, Fort Valley, Georgia 31030.
Include your name, address, phone number and name of the bottle(s) you are
bidding on. Bids start at $20. You can view the bottles at Peach Regional Medical
Center, front lobby. Bids accepted until 3 p.m., Friday, February 13, 2009. Winner
announced at 5 p.m. All proceeds benefit PRMC Building Fund.
NOV./DEC. 2008 PRMC - The Peach Seed PAGE ELEVEN
Time for the
annual Relay For
Continued From Page 1
reduction in blood pressure by
Children can suffer from sleep
deprivation as well and loss
of sleep could contribute to
Attention Deficit Disorder, social
life disorders, as well as affect
school performance and anxiety
If you think you may have a
sleep disorder, talk with your
doctor about sleep studies and
if it is a possibility for you, have
them refer you to Dr. Asad so
you can do the study close to
home. A Friday night study is
available for those people who
can’t undergo the study during
the week. Recognizing how stephanie goodyear presented peach regional medical center chief Executive
sleep deprivation affects your Officer Nancy Peed with a flag which had proudly been flown over the skies of
overall health, most insurance Iraq and Afghanistan for the hospital. The flag was flown aboard E-8C Joint
companies now pay for sleep
Surveillance Target Attack Radar System (JSTARS) aircraft by the 379th Air
Fixing your sleep issue
Expeditionary Wing during separate Operation Iraqi Freedom (OIF) and
will improve your lifestyle, Operation Enduring Freedom (OEF) combat missions providing Command
could reduce intake of some and control, intelligence, surveillance and reconnaissance to coalition air
medications and will definitely and Ground Forces March 14-16, 2008. The flag flew out of Robins Air Force
improve your mood. Base and was brought back by Tech Sgt. Perry Jackson.
The Peech Seed is edited by Victoria Simmons and Brenda Arrington and published every
two months as possible. Items must be submitted by the 25th of the publication month.
NOV./DEC. 2008 PRMC - The Peach Seed PAGE TWELVE
NOV./DEC 2008 PRMC - The Peach Seed PAGE THIRTEEN
NOV./DEC 2008 PRMC - The Peach Seed PAGE FOURTEEN