Our leaders demonstrate a strong vision for nursing and are helping our team meet our strategic objectives for nursing care both inside and outside our organization.
Successful Joint Commission Surveys
Rochester General Campus (September 2013)
Eight surveyors from The Joint Commission arrived at Rochester General Hospital which made for an intense survey process. The five-day survey included visits to numerous off campus sites on the Rochester General Hospital license. Seven nursing leaders led surveyors around our 40 locations and took careful notes on their questions and comments. The nurse escorts kept our Command Center abreast of any emerging concerns, so they could be mitigated as they arose. The Command Center was staffed by nursing leaders with the goal of ensuring a smooth survey.
The surveyors complimented Rochester General Hospital on best practices including:
- Flu Prevention Campaign
- Antibiotic Stewardship Program
- Moderate Sedation Policy and Practice
- Patient-Centered Admission Team
- Transitions of Care Pilot
- Orientation and Competency in the Infusion Area of the Lipson Cancer Institute
- Rochester General Pediatric Group Interdisciplinary Care
They also commented on the positive collaboration of our staff, engagement, collegiality and friendliness. They were impressed with our culture of safety and outstanding care and service. One surveyor said, “By far, one of the best I have seen. I would be proud to work here.”
The nurse surveyor specifically complimented our nurses as “great staff,” noting that they are knowledgeable about their patients and about providing individualized care. He also called out the excellent care provided in Outpatient Dialysis. All of our team members are to be commended for the outstanding care we provide to our community.
Primary Stroke Center – 7800 (January 2014)
The Rochester General Hospital Primary Stroke Center opened its biannual Joint Commission survey with a presentation by our Stroke Coordinator Cheryl Wood, NP. This was immediately followed by open discussion with representatives from all areas of the Center, including: Neurology, Medicine, SICU, Acute Stroke Unit, ED, Radiology, Physical Therapy, Occupational Therapy, Speech Therapy, Laboratory, Quality Improvement, Nursing Education, People Resources, Research and Senior Leadership.
The surveyor spent the day visiting the primary stroke patient care areas, with a strong focus on the Acute Stroke Unit. The Primary Stroke Center received an excellent review with no recommendations for improvement, other than to continue to pursue the criteria to become a Comprehensive Stroke Center. The surveyor specifically highlighted these areas as best practices:
- The Stroke Coalition team’s multidisciplinary approach to quality improvement that is reflected in clinical practice
- Significant improvement in the completion of stroke education by the Acute Stroke Unit (This was also recognized by the Department Of Health, which led to a webinar presentation offered in 2013 across New York State by Patricia Daansen, CNS, and Joan Beauchamp, RN, Nurse Manager of the Acute Stroke Unit)
- Our Stroke Alert Process, which demonstrates an ongoing commitment to efficiency and communication to improve door-to-treatment time
- The Executive Team’s leadership and support of the Stroke Program
Center for Joint Replacement – 6800 (January 2014)
The Rochester General Hospital Center for Joint Replacement opened its biannual Joint Commission survey with a presentation by our Orthopedic Clinical Navigator, Jeff Withall, RN, BSN, ONC, followed by open discussion with representatives from our leadership team.
The surveyor spent the day following the path of care of our total joint replacement patients, including time in the DOSA unit, OR, PACU, The Center for Joint Replacement and the Physical Medicine & Rehabilitation gymnasium. She thoroughly investigated our charts, nurses and patients; and at the end of the day she announced our recertification with no recommendations for improvement. Areas specifically highlighted included:
- Our multidisciplinary approach to quality improvement that is reflected in clinical practice
- Our four Core Measures – increasing attendance at our pre-operative education class, reducing our lengths of stay, reducing our infection rates and better management of pain control
The surveyor also shared several national best practices with us, some of which have since been added into our program.
March of Dimes Annual Nurse of the Year Gala
In September 2014, the fourth Annual Nurse of the Year Awards Gala was held. This fundraiser helps advance our mission of improving the health of babies through the prevention of birth defects, prematurity and infant mortality.
Donors fund future community programs, grants and advocacy efforts, such as nursing grand rounds and events for expectant mothers in New York State. They also fund ground-breaking national research, including studies at our newly established trans-disciplinary Prematurity Research Centers. These projects bring together the brightest minds from many disciplines – geneticists, molecular biologists, epidemiologists, engineers, computer scientists and others – to explore the causes of early births and to ultimately find cures.
2014 March of Dimes Nurse of the Year Winners
Medical/Surgical Nurse Award – Elizabeth Scheda, RN, BSN (2800)
Women’s Health Nurse Award – Nancy Miltsch, RN (3800)
CCRN Nurse Educator Award – Virginia Riggall, DNP, RN, ACCNS-AG
2013 March of Dimes Nurse of the Year Winners
MICU Critical Care Nurse Award – Deb Lester, BSN, RN, CCRN