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.