Volume 20, Issue No. 5 - January 24, 2011

A Weekly Publication for the People of Queen’s | Volume 20 | Number 5 | January 24, 2011
Fair Updates Staff on Technique and Technology
1.
2.
There was no lack of a pulse at Queen’s
Resuscitation Fair 2011, held last week
over a period of three full days. Organizers and participants of the wellattended event kept the information
flowing from 8:00 am to 4:00 pm on
Tuesday, Wednesday, and Thursday for
probably the longest health care-related fair of any kind at Queen’s in recent
memory. It was organized and presented by the Code Blue Committee. “The
fair was done to help staff update their
knowledge on new procedures and technologies,” explained Code Blue Committee chair Danny Rausch, RRT, “and to
provide a venue for a comparison of two
new models of defibrillators.”
Upon entering the Resuscitation
Fair tent at the old ER turnaround,
two long tables represented each of the
two defibrillator/AEDs (automatic external defibrillator): the Zoll R-Series
and the Philips HeartStart MRx. One
of the two models will become the new
defibrillators used at Queen’s. Staff
who attended the fair were offered
evaluation forms to rate the models,
thereby contributing to the selection.
Aside from advanced technologies like
patient monitoring parameters, feedback on the effectiveness of compression, and voice commands for AED
mode, the defibrillator/AEDs were rated mostly for ease of use, simplicity,
and intuitive controls at all levels—
certainly critical when seconds count.
(Continued on page 3 .)
3.
1. Kevin Matsumoto, RN, and Danny
Rausch, RRT, at the entrance to the Resuscitation Fair. Lucy Spoozak, RN, and
volunteer Pete Sajona are at the registration table behind them. 2. Zoll clinical
educator Lisa Ferland demonstrates her
company’s defibrillators. 3. OR RNs Leilani Gabriel, Elise Muoio, and Jenny Empaynado try out the Philips defibrillator
as Philips rep Michael Pesek watches.
Stacy Terashita Recognized for P&P Project
Stacy Terashita, MSW, of the Pain &
Palliative Care Department received an
Award of Merit for her Advocating for
Clinical Excellence (ACE) Project, “Striving for Wholeness and Transdisciplinary
Teamwork at QMC’s Pain & Palliative
Care Department.” The ACE Project is
a five-year National Cancer Institutefunded innovative psycho-oncology educational initiative to improve the deliv-
New in the Harkness
Dining Room
Submitted by Food & Nutrition Services
Beginning this month, you will notice some changes in the Harkness Dining Room. A new menu is being implemented with an emphasis on healthy
and fresh options. Check out new salad
bar choices and fresh vegetable selections each day. Grab & Go selections
have also been expanded for those in a
hurry. If you have a favorite item that is
currently offered, please let Food & Nutrition Services know by emailing pmacchlerie@queens.org or via the customer
comment cards in the dining room.
An effort is also being made to reduce
trash production. Currently, wet food
waste and cooking oil is recycled. Every item counts for the remainder the
trash, as it either ends up in the “sanitary landfill” or is burned and converted
to electrical power. H-Power processes
more than 2,000 tons of trash each day.
Queen’s trash ends up there after it is
picked up. Large hammers break it up,
and then it goes onto a conveyor belt.
Metal is removed by large magnets, and
then the remainder is burned. The heat
creates steam, which then goes into a
turbine and runs a generator that makes
electrical power. That’s the good news.
However, H-Power estimates it processes 500 tons of Styrofoam material
alone each day! Here at Queen’s, we use
an average 6,500 “to go” containers each
week, and trash is charged by the pound.
Alternatives for the Styrofoam “to go”
containers were looked at to reduce trash
volume, including ones made of com2
ery of palliative care by psychologists,
social workers, and spiritual care professionals through an intensive advocacy
and leadership training program.
The program is conducted by the City
of Hope, an independent medical and
Loliana Shelter
Says Thanks
The following letter was sent from Loliana
Family Shelter to thank those who gave
during the holiday season.
On behalf of the families who live at
Loliana, and our Staff, I would like to
extend a mahalo for your generosity in
postable materials like sugar cane. However, Queen’s doesn’t yet have the ability
to compost waste on campus. Sugar cane
must be burned, which actually results in
more pollution than Styrofoam. As a result, it was decided to serve food on plates
that produce a smaller trash volume. (An
additional $0.29 will be charged for “to
go” containers at the register.) Plastic
wrap and foil will continue to be provided for those who need to transport food
from the dining area. These measures
are expected to dramatically reduce trash
volume, which ultimately saves money
for the medical center.
research institution recognized worldwide for its compassionate patient care,
innovative science and translational research, and promising new therapies. One
of approximately 300 competitively selected participants from throughout
the U.S., Stacy received more than 30
hours of transdisciplinary education to
improve end-of-life knowledge, team
skills, leadership, and strategies toward
becoming a more effective role model
and advocate for enhanced palliative,
end-of-life, and bereavement care.
After the intense training session,
participants returned to their respective organizations to implement their
knowledge. “Part of the ACE Project
expectation was to identify a change
project,” Stacy explained. Those projects were then presented at a reunion
conference, and the best of them, including Stacy’s, were recognized with
Awards of Merit or Advocacy Honors.
Stacy’s project helped her department
partner up to do more collaborative
work with Hospital Ministry. A chaplain is now included in department
rounds and leads a centering activity
for the staff before rounds commence.
This is a flexible platform which may
include prayer, readings, and/or meditation. The Ceremony of Remembrance,
now held annually to honor those who
have died, also falls under the umbrella
of work included in Stacy’s project.
sharing Christmas gifts with our families this holiday season.
Loliana is a shelter for homeless families with children; all the families have
very low income. This has been an especially difficult time for them financially. Some parents have lost their jobs
and others have had their work hours
decreased. Many are struggling each
month to pay the rent, buy food and
purchase clothing for their children.
They would never imagine spending
their money on items we may think are
necessary to our lives. That is why your
gifts of rice cookers and pots and pans
were such a blessing to all the families.
One single parent mother of three
young children said, “I’m so excited to
get a rice cooker! I’ve been cooking my
(Continued on page 3 .)
Lon Le, RN, and Michael Dang, MD.
Resuscitation Fair
MICU RNs Ryan Uyechi, Erica Silva, and Michelle Souza explain the CPR flow sheet.
(Continued from page 1.)
Featured at the event was a standout new technology now being used at
Queen’s—the ResQPod, a simple looking
device that attaches to a patient’s face
mask where air is pumped during cardiac arrest. The device improves cardiac
output (blood circulation) during CPR
from 30% to 80-100% by preventing
over-inflation of the lungs. The increased
blood circulation provides more oxygen
to the brain and other vital organs, improving patient outcomes. Fair goers also learned about the new drug tray in
code carts, which includes premixed dopamine (blood pressure medication) bags
that simply need to be hung and used,
as opposed to having to mix the medication during a crisis. Also featured were
the changes to BLS (Basic Life Support)
and ACLS (Advanced Cardiovascular Life
Support) procedures, which stress circulation and lead to less damage to the
heart and brain for better outcomes.
One of the highlights was the skills
station, where fair goers could practice
their intubation and chest compression
rice on the stove. I’ve never had a brand
new set of pats and pans.” The look in
her eyes and the smile on her face expressed the joy and happiness that your
gifts gave to her and her children.
Once more, to The Queen’s Medical
Center ‘ohana, I would like to thank you
for your generosity and loving support.
You have truly made this a very special
Christmas for everyone at Loliana.
God bless you and your families,
Mahalo nui loa and aloha ke akua,
Pearl M. Yamashiro, Program Manager
1.
skills. Another table featured D2B (Door
to Balloon), the initiative that aims to get
cardiac arrest patients from the doors of
the ER to balloon angioplasty in 90 minutes or less. D2B is now being emphasized for patients already at Queen’s who
have a cardiac arrest. Andrea Stamp, RN,
of QET 6, detailed the importance of preventing CLABSI (central line-associated
bloodstream infection), which is a patient safety initiative. Andrea noted that
Consumer Reports is now reporting on
hospital infection rates across the country. Eventually, Queen’s will be listed,
but the medical center has already implemented best practice for CLABSI, with
QET 6 leading the way with zero infections since January 2010. The Neuroscience Institute featured its best, including a new and simpler stroke awareness
acronym: FAST. Instead of the old list of
stroke symptoms that should prompt
a 911 call, all you have to remember
is: Face (one side droops—ask the person to smile); Arms (one arm numb
or weak—ask the person to raise both
arms); Speech (slurred—ask the person
to repeat a simple sentence); Time (if any
of these symptoms are present, call 911
and get to the hospital immediately).
Other displays included CPR flow
sheet, cardiac resuscitation, code status
2.
3.
1. Clockwise from front left: Brian Sheldon, ER tech, Carmen Olarti, unit secretary, Wes Ige, RN, Steve Hobbs, PhD, RN,
BC, Nikki Lewis, RN, and Kathy Anzelon,
RN, CNS (patient) demonstrate trauma
resuscitation. 2. UH School of Nursing
graduate student Yojana Tsui checks out
a skull model at the Neuroscience table
as Kawehi Kauhola, RN, looks on. 3. Clinical Ops manager Stephen Kaya demonstrates the ResQPod.
update, medical resuscitation, the Rapid
Response Team and others. It was a lot
to take in, but well worth the effort—
and staff had three full days to do it,
thanks to the dedication of the Code
Blue Committee, those who prepared
displays, and worked at their tables.
3
Nominations are now being accepted for the 2011 Ke Kauka Po‘okela
Awards. Ballots are available on the
Queen’s Intranet, in Harkness Dining
Room, from Harkness 303 & 307 (The
Queen’s Referral Line), and a copy has
been sent to all departments. For more
information, call Merary at 537-7172.
. . . . . . . . . . . . . . . . . . . .
Jill Kurasaki, RN, has joined the
Pain and Palliative Care Department.
Jill has been a staff nurse on Iolani 2
and QET 9E for the last 18 years and
brings a strong med/surg background
and leadership skills to the team.
. . . . . . . . . . . . . . . . . . . .
The CARE•Link Ambulatory Project
is now on the Queen’s Intranet, under
“What’s New.” Current coverage includes:
overview of the project, EPIC ambulatory
site visit schedule, forms, contact information, and other relevant information.
. . . . . . . . . . . . . . . . . . . .
A free hula class for employees taught
by kumu hula Kawai Fujimoto returns to
the Women’s Health Center on Fridays
from 12:00 to 1:00 pm. No experience is
Rent:
Kam Hts: Lg 3/1, cvd pkg. lg, nice, clean,
quiet, vw, convenient, cntrl location, on
bus line, nr airport, hosp. No pets. $1,700.
Lv msg @595-7250.
Salt Lake: Room for rent, fully furn w/pkg
& much more. $700. Call 221-6932.
Makiki: 2/2/1 remodeled condo @ 1400
Pensacola St., walk to QMC, 950sf, 11th
flr corner unit, very cool, cross breeze,
sec bldg, pool, new appl, w/d in unit, encl
lanai. Call Greg at 258-2436 to see.
Moiliili: 1/1/1 BR, part furn, sec condo,
570sf, top flr w/elev, w/d. $1,500 incl
water, sewer, gas. 808-377-0077.
4
necessary. Call 537-7117 to register.
. . . . . . . . . . . . . . . . . . . .
A City & County storm drainage improvement project will begin on Monday, January 24, affecting Punchbowl
(mauka of Vineyard Boulevard) and Lusitana Streets. The duration of the project is approximately 8 weeks, Mondays
through Fridays, 8:30 am to 3:30 pm.
During construction, you may need to
take alternate routes and encounter traffic delays. Any questions or concerns
should be directed to project manager
Glenn Hokama, Insituform Technologies, Inc., at 682-4750 or Vincent Chan,
City & County of Honolulu, Department
of Design & Construction, at 768-8425.
. . . . . . . . . . . . . . . . . . . .
The American Board of Obstetrics
& Gynecology Maintenance of Certification January 2011 reading list is
now available online on HML’s Digital
Library at www.hml.org. Look for the
Physicians Portal, then click on the
“Specialties” tab to access the list.
. . . . . . . . . . . . . . . . . . . .
Nicole Lucero, RN, QET 10 Post Partum, received recognition from the Honolulu Fire Department as one of several
“bystanders turned rescuers.” Nicole was
dining with friends, including an off-duty fire fighter, when the restaurant staff
called out for a doctor or nurse. A prominent Hawaiian musician had just gotten
off the stage and collapsed, complaining of chest pain. He was already unresponsive when Nicole and her friend approached. They both administered CPR
until emergency responders arrived.
. . . . . . . . . . . . . . . . . . . .
Freedom from Smoking will be held
February 2 to March 23 in the Kame-
Misc:
Fundraiser: Zumbathon to support Kailua
Intermediate School. Sat, 1/29, 4:30-6:30
(doors open @4pm for reg/sign in). $10 at
the door. Free classic car show & movie.
Call 728-6653 for more information.
Placing an ad: Queen’s employees only. Include
name, phone and Employee ID number. Mail
to Creative Services—Print Connection, fax to
547-4002 or e-mail to jkimura@queens.org by
Wednesday. The Print Connection reserves the
right to edit or refuse any ad. The Print Connection
does not make any warranty about the fitness of
any product or service listed in Q-Mart.
hameha Auditorium. The $120 fee may
be covered by insurance. The eight-class
American Lung Association program uses positive behavior changes. Call 5474823 for information or to register.
. . . . . . . . . . . . . . . . . . . .
If you haven’t noticed yet, the online Queen’s Print Connection is now being posted with full color photos as of
the beginning of 2011. Check it out at
www.queens.org, or on the Queen’s Intranet at eww.queens.org.
. . . . . . . . . . . . . . . . . . . .
The Queen’s Medical Center, by Jason Y. Kimura (hardcover, 175 pages,
$39.95) will be available at Barnes &
Noble, Borders Books &
Music, Amazon.com, the
Queen’s Gift
Shop, Women’s Health
Center, and
other retail
outlets. An institution that
has become a
part of the fabric of Hawai‘i over 150
years, the story of Queen’s is intertwined with Hawaiian history, life in
Hawai‘i in times past, the introduction
and development of Western medicine,
and more. The book features many historical photos, illustrations, and medical equipment of the past and present.
Weekly
The Queen’s Print Connection is published
by Creative Services. If you have news or
wish to opine, call us at 537-7532 or e-mail
jkimura@queens.org. News deadline is the
Monday prior to publication.
QHS/QMC President. . . . . Art Ushijima
Publisher. . . . . . . . . . . . . . . . Roy Cameron
Editor/Writer. . . . . . . . . . . . Jason Kimura
Assist. Ed./Writer. . . . . . Glee Stormont
www.queens.org
The Queen’s Medical Center is a 501(c)(3) nonprofit corporation.
Please recycle