Journal 7

Journal 7
This week was different from the other weeks. There was always something new to learn. As usual we went through our morning routine. We went to bed control meeting. They had issue to discuss concerning a staff who was running temperature, so that department was going to be short. It seems staffing was not very great in the other departments but that department was really short and needed help. The managers sorted out the issue and finally had to transfer a nurse from PCU to help in CSU. We also had another meeting with Care Fusion Associates with the comittee changing their medication system from Mckesson to Pyxis Advance Automated Medication Management System. The Care fusion had to convince the committee why they have to change to Pyxis medication systems. After that, she had a conference call meeting. This was an American Associates of Nursing Conference reviewing the 2010 pathway to excellence. The meeting comprises three nurses. My preceptor was the leader of that meeting. She opened their individual reviewed documents on the computer and reviewed the document together. They based their argument referring to the State of Texas regulatory, pathway to excellence 2009 and Application Manual 2009-Pathway to excellence. They awarded points to each outline and voted on census, if they had different points awarded one had to explain why the point was awarded. At the end she compiled their census sheet together and promised to send the result to them for a preview before sending it for publication. She extended her gratitude to them for their good job done.
After that we had two students from TCU who read their project to selected Managers. One student together with my preceptor talked about Appreciative Inquire (AI). AI has positive transformation to change. AI is a power and fresh approach of the organization and the vision for change. This approach will help to build and redesign the organisation.The student also said that what they like about the hospital is their value of teamwork and revealed that the use of AI will help the hospital to change to meet their vision. He also talked about some core factors that will help the hospital facility to continue to exist such as value each other, be a family, team work, dynamic leadership, MAGNET status and room nutritional services. The other student also talked about improving HCAHPS scores. She also developed a survey tool based on patient satisfaction area identified on HCAHPS with numbering rating. This survey was done on one of the floors. The main objective for this project was to find dimensional ways for pain management using other pain management resources.
We also had lunch that day with their new interns. They shared their experience and the educators shared their evaluation.