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					                               Fall 2006-2007
                 Beacon Award For Critical Care Excellence Unit

                        Meet the Intensive Care Unit Team
                      At Morristown Hospital, Morristown NJ


ICU Nurse Manager
ICU Clinical Nurse Specialist
ICU Clinical Coordinators
ICU Unit Educators
Critical Care Nurses
Intensivists
Social Work Services
Care Management Services
Pastoral Care
Respiratory Therapists
Volunteers
Unit Representatives
Nursing Assistants
Dieticians
Therapy Team
Pharmacists
Resident Physicians
Equipment Technician
Housekeepers
Nurse Research Coordinator
Patient Representative
                               ICU Nurse Manager




                    Denise Fochesto, RN, MSN, CCRN, NP-BC

Nurse Managers are nurses with additional experience and education, who are
responsible for the day to day operations of the ICU. In addition to managing the
ICU nursing staff, the nurse manager is responsible for the ICU budget and
practices.

The Nurse Manager is responsible for ensuring that the care in the ICU is safe.
She hires ICU nurses and ensures that all nursing staff members meet the
standards established for their performance. She also ensures that staff have the
appropriate resources, equipment and technology to care for patient's safely to
achieve the best outcomes.
                      CLINICAL NURSE SPECIALIST




          MARY BETH LEATON, RN, MS, CCRN, CNS



Mary Beth is the Clinical Nurse Specialist (CNS) for our ICU with 18 years
experience in critical care nursing. Clinical Nurse Specialists are licensed
registered nurses who have graduate preparation (Master’s or Doctorate) in
nursing as a Clinical Nurse Specialist. They are expert clinicians in a
specialized area of nursing practice. CNS’s assist the ICU nurses in
developing a plan of care for complex patients, assure that patient safety and
quality initiatives are implemented, review nursing practice to ensure that the
“best nursing practices” are being implemented and assist families in
understanding the patient’s plan of care.
                         ICU CLINICAL COORDINATORS




   Brandee Fetherman, RN, BSN, CCRN            Sherry Ninni, RN, BSN, CCRN



The ICU Clinical Coordinators are registered nurses who function as the charge
nurse. In this capacity, they coordinate patient assignments and unit operations.
They act as a resource for the nursing staff and assure that all patients receive
high quality care. They also assist the manager with scheduling, staffing, payroll,
and evaluations. They are a resource for you to address your concerns.




                             ICU NURSE EDUCATORS


The nurse educators are registered nurses. In addition to patient care
responsibilities they are responsible for the professional development of the
nursing staff. They set up in-services and assure that all mandatory
competencies are completed and updated. They provide orientation for new
nurses to the ICU to ensure that nurses practice safely in the ICU.
                              CRITICAL CARE NURSES




Intensive Care Nurses are truly the minute-to-minute critical care providers. They
not only help to provide, but also coordinate, most aspects of care delivery. They
have special training and experience in caring for critically ill and injured patients.
Many ICU nurses have attained advanced certification in critical care and have
earned the title Critical Care Registered Nurse (CCRN). Because care is delivered
around the clock, depending on the patient's length of stay in the ICU, you may
encounter numerous ICU nurses. They communicate with each other and the ICU
physicians regularly and in a coordinated fashion. ICU nurses are experts in
treatment of critical health problems such as shock (severe heart and circulatory
failure), respiratory failure (severe breathing problems), hemorrhage (severe
bleeding problems), cardiopulmonary resuscitation (CPR) and many other
diseases.
                             Critical Care Intensivists




Intensivists are physicians who have special training, skill, and experience in
caring for the critically ill or injured patient. Depending on the severity of the
illness, the care of the patient may be managed by a doctor who is trained in this
specialty. They lead daily multidisciplinary rounds on patients to review the plan
of care with the ICU team.
                                SOCIAL WORKERS




                  Jeannine Lynch, LSW       Beth Galli, LSW


Social work services help patients and their families cope with the impact of
illness and hospitalization, plan for their post-hospital care, and handle physical,
emotional and social problems at home. The social worker offers practical help
and advocacy in locating appropriate resources, equipment, referral sources or
aftercare facilities and helps coordinate hospital and community services for you.
The social worker also provides counseling services to help you and your family
discuss social and emotional concerns and explore solutions related to your
health care
needs.
                                 CARE MANAGER




LISA GOINGS,                                                                RN




The Care Manager is a registered nurse who works closely with your physician
and all members of your healthcare team. She evaluates your post hospital needs
throughout your stay and makes appropriate referrals for homecare, outpatient
services, community resources, equipment and transportation. She promotes the
involvement of the patient and family in discharge planning. She works closely
with the social workers to evaluate patients for acute rehabilitation, subacute,
residential care and long term care. She communicates with the insurance carriers
to provide information to justify continued hospitalization. She obtains
authorization for discharge needs from insurance providers.

Today, patients stay in the hospital for only the most acute phase of their illness.
Patients are often discharged from the hospital much sooner than in the past.
Your Care Manager will assist you and your family in making post hospital care
arrangements if needed, so you may continue your recovery at home or in an
alternative care setting. Discharge planning begins upon admission to the
hospital. Reimbursement for post hospital care services will depend on your
insurance coverage. If not covered by insurance, you have the option to pay
privately for these services.
                                PASTORAL CARE




Morristown Memorial Hospital offers the services of chaplains of several faiths for
patients and visitors. Services provided by chaplains include:

   •   Listening and giving spiritual and emotional support
   •   Comforting those in crisis or grief
   •   Sharing prayers, sacraments, and other religious rituals
   •   Reflecting and consulting on ethical concerns and decisions
   •   Assisting patients and family members in contacting their own clergy, or
       obtaining religious support of other faiths.

To contact a chaplain for a non-urgent request, please call 973-971-5307 (Roman
Catholic) or 973-971-5170 (Protestant, Jewish, or other faiths.) For urgent needs,
please ask your nurse for assistance in contacting the appropriate chaplain.

The Pastoral Care office and the Chapel are located on Simon 1, just off of the
main lobby of the hospital.
                           RESPIRATORY THERAPISTS




Respiratory therapists work with nurses and physicians to treat patients of all
ages with various breathing difficulties. They are responsible for performing
thorough assessments, maintaining a patient’s airway including secretion
clearance, administering medications to decrease shortness of breath, and
operating mechanical ventilators that assist in breathing until a patient can do so
on his own. Along with the respiratory therapists’ clinical and technical skills,
they provide educational information to patients and their family members.
Respiratory therapists are available 24 hours a day, seven days a week and
provide care in all areas of the hospital.

                                   VOLUNTEERS

The volunteers in our critical care unit serve as a liaison between patients,
families, visitors, and hospital personnel. They act as a family advocate and are
here to assist you in a variety of ways. They can provide you with a hot cup of
coffee, a warm blanket, information about local eateries and lodging, as well as a
shoulder to lean on during your most stressful time. They will keep you informed
with up to date information on your loved ones status, if they are off the unit for
any reason.
                             UNIT REPRESENTATIVE




The Unit Representatives that work in the critical care units greet visitors with
respect and promptness. Their many functions include physician order
transcription, computer order entry, prompt response to telephone calls and
maintenance of our patient’s medical records. They will provide the ICU families
with a beeper to assure that contact can be made when necessary.
                             NURSING ASSISTANTS




Nursing Assistants are supportive care givers and assist nurses in meeting their
patient’s needs. They have additional technical skills in obtaining blood sugar
testing, 12 lead EKG’s, vital signs and other specific patient care needs.
                                    DIETICIANS




                       Rajesh Kumari, Registered Dietician


The registered dietician screens patients at nutritional risk, assesses patients’
nutritional status, makes nutrition recommendations and educates patients about
nutritional management.



                                  THERAPY TEAM



A committed group of individuals may be called upon to provide support, care and
instruction in the activities of daily living and strengthening programs to allow the
patient to return to an optimum life style. You may meet physical therapists,
occupational therapists, and speech therapists. If your family member was on a
ventilator, they will have a swallowing evaluation to determine their ability to eat
and drink before being started on a diet.
                                ICU PHARMACISTS




                           Mike Serra, Clinical Pharm D

ICU has a pharmacy located in the hall way. Pharmacists are available 24 hours a
day to assure that all patients have their necessary medications. They are also
available to provide information to the nursing staff.

Mike is the ICU Clinical Pharm D, and he participates in our daily multidisciplinary
rounds. He shares his knowledge regarding the most recent studies involving
efficacy and safety of medications, assists with clinical medication questions and
drug interactions.
                             RESIDENT PHYSICIANS




The resident physicians provide care for ICU patients and are available 24 hours a
day, seven days a week. They work in close collaboration with the attending
physician, the intensivists, the registered nurses and the respiratory therapists.
All intensive care unit patients are followed by a resident physician. The residents
are the physicians that coordinate care on a daily basis with the other specialty
doctors. They are up to date on all lab and test results and they participate in
daily multidisciplinary rounds with the intensivists to review the plan of care with
the ICU team.
                            EQUIPMENT TECHNICIAN




HAROLD


The




equipment technician is responsible for assuring that a sufficient stock of
supplies necessary to care for the patients are ready and available for use. He
also checks to assure that all our equipment is in good working order.
                               HOUSEKEEPERS




                                    Ken and Mary


      Ken and Mary are the ICU housekeepers. They maintain a clean ICU
environment that minimizes the risk of infectious transmission between patients.
                            ICU NURSE RESEARCHER




The ICU Nurse Researcher is a registered nurse who is responsible for monitoring
and tracking our quality improvements. She keeps our statistical information and
assists the nursing staff with working on research and evidence based practice
projects.




                           PATIENT REPRESENTATIVE

Morristown Memorial Hospital has a registered nurse who is the patient
representative. She functions as a patient advocate and can assist families with
any legal questions.

				
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