
Monday, March 12, 2012
Flat Maggie takes a vacation!

Tuesday, July 5, 2011
Flat Maggie's Favorite Spring Memories
Congratulations to the 2011 Nurse Week award winners!
ROY FAMILY AWARD
Bryan Johnson, E.D.
Vera Trone, BHS
John Worker,MICU
Diane “Missy” Fisher, Mother Baby Unit
Quynh Nguyen General Surgery
NANCY BERARDINO CLINICAL NURSING EXCELLENCE AWARD
Suzanne Torres, Cardiac Renal
NURSE YEARLING EXCELLENCE AWARD
Jessica Laster MBU
NURSING LEADERSHIP EXCELLENCE AWARD
Julie Zhe, Endoscopy
Cathy Leong, Medical Pulmonary
NURSING ASSISTANT EXCELLENCE AWARD
Leticia Gudino, L&D
Susana Melendez, Cardiac Renal
FRIEND OF NURSING
Cathy Semar (Marketing), Chaplains: Kraig Beardemphl, Deborah Brancheau, Susan DeLongis, Maureen Harris, David Hodgson, Oliver Lee, Marilyn Mearns, Marie Polhamus, Fr. Elly Tavarro, Fr. Basil Royston, Sharon Luker
M.D. FRIEND OF NURSING
Reza Mina-Araghi, MD, Pulmonary Disease & Internal Medicine
Kasra Morshedizadeh, MD,Hospitalist / Internal Medicine
Lawrence Santora, MD, Cardiology / Internal Medicine
Wednesday, January 19, 2011
St. Joseph Hospital Nurses & Staff Publish Two New Articles!

Pamela Matten, RN, BSN, OCN; Victoria Morrison, RN, MSN, FNP; Dana Rutledge, RN, PhD; Timothy Chen, PharmD; Eunice Chung, PharmD; Siu-Fun Wong, PharmD, FASHP, FCSHP; Jane Johnson, RN, BSN, CWOCN; Darcie Peterson, RN, BSN, CWOCN; Betty Campbell, RN, BSN, CWOCN; Regina Richardson, RN, BSN.
See the details of their two publications below. Articles are available in full text online to all SJH & CHOC employees. Please visit the Burlew Medical Library website for more information.
Evaluation of Tobacco Cessation Classes Aimed at Hospital Staff Nurses.
Oncology Nursing Forum
Volume 38(1), January 2011
Pages 67-73
Pamela Matten, RN, BNS, OCN, Victoria Morrison, RN, MSN, FNP, Dana N. Rutledge, RN, PhD, Timothy Chen, PharmD, Eunice Chung, PharmD, Siu-Fun Wong, PharmD, FASHP, FCSHP
Abstract
To evaluate a three-hour smoking cessation program and its effect on nurse knowledge, counseling behaviors, and confidence in counseling behaviors.
Hospital-Acquired Pressure Ulcer Prevalence-Evaluating Low-Air-Loss Beds.
Journal of Wound, Ostomy & Continence Nursing
38(1), January/February 2011
Pages 55-60
Johnson, Jane; Peterson, Darcie; Campbell, Betty; Richardson, Regina; Rutledge, Dana
Abstract
Higher-category pressure redistribution mattresses are considered a critical component of a pressure ulcer prevention program, but few studies have quantified the impact of specific preventive measures on the incidence or prevalence of hospital-acquired pressure ulcers (HAPUs). Therefore, this study was undertaken to determine the impact of low-air-loss beds on HAPU prevalence. METHODS: This prospective, comparative cohort study monitored the prevalence of HAPU at our hospital and compared rates of matched medical-surgical units with and without low-air-loss beds. Units without low-air-loss beds used a variety of alternative pressure redistribution devices for patients deemed at risk for pressure ulceration. The prevalence of HAPU was operationally defined as the number of patients with HAPUs divided by numbers of patients observed. RESULTS: The prevalence of HAPU over 3 quarters in 2008 ranged from 1.0% to 3.3% (overall rate 2.4%). Eighty-three percent of patients with HAPUs were cared for on low-air-loss beds. Of 12 patients with 16 HAPUs during this time, 75% were aged 70 years or older and 25% were managed in critical care units. Over half of patients who developed HAPUs had been hospitalized for 20 days or more. Half of the patients with HAPUs were scored as no-low risk on the Braden Scale. On the paired medical-surgical units, no statistically significant differences were found when patients with low-air-loss beds were compared to standard hospital mattresses supplemented by a variety of pressure redistribution devices. Seven of 11 HAPUs (63%) occurred in patients placed on low-air-loss beds. CONCLUSIONS: The prevalence of HAPU in patients placed on low-air-loss beds was no different from patients placed on standard hospital mattresses supplemented by a variety of pressure redistribution devices. Further research is needed to determine the impact of specific strategies on prevention of HAPU.
Tuesday, December 14, 2010
Maggie Learns about Watson's Theory of Caring on the Units!
St. Joseph Hospital has adopted Jean Watson's Theory of Human Caring to guide our caregivers in building and recognizing transpersonal caring moments with our patients. The Theory's 10 Caritas Processes such as Loving Kindness, Authentic Presence, & Healing Environment allow patients and caregivers to truly connect, building patient and nurse satisfaction levels! Magnet Maggie recently visited St. Joseph's Med-Tele unit to learn how our caregivers are adapting Watson's Theory into practice.Stay tuned for more of Maggie's travels on the units in 2011!
Friday, October 1, 2010
The Nurse Angels of St. Joseph Hospital

Friday, September 3, 2010
New article published by Bogert, Ferrell, & Rutledge: St. Joseph Hospital, Orange

Congratulations to St. Joseph Hospital authors Soudi Bogert, Carmen Ferrell & Dana Rutledge for their new article published in the July/August 2010 edition of MEDSURG Nursing!
Experience with Family Activation of Rapid Response Teams
Soudi Bogert, Carmen Ferrell, and Dana N. Rutledge
MEDSURG Nursing: The Journal of Adult Health, 2010 July/August; 19 (4): 215-22.
Condition H allows family activation of a rapid response team in a hospital setting. Systematic implementation of Condition H at a 500-bed Magnet® community hospital led to varied types of calls, all of which met the policy criteria. Many communication issues were discovered through this process.
This article is so new it is yet to hit the pages of PubMed or CINAHL, but staff at St. Joseph Hospital, Orange & CHOC may access the full text of this article by making a request through the Burlew Medical Library.
Tuesday, August 24, 2010
Working together: nurses & librarians

The Evolving Role of the Librarian-Nurse Collaboration: Before, During, and Beyond Magnet Designation
Susan Keller, MLS, Medical Library; Wayne Neal, MAT, RN-BC, BSN; Eileen Engh, MSN, RN- BC, CPN; Deborah Gilbert, MLS
The authors present their experiences working together to support their organization’s magnet program, professional nursing practice, and evidence based nursing.
Here are a few more recent examples from the literature on collaboration between nurses and librarians:
1. Merging silos: collaborating for information literacy. Miller LC; Jones BB; Graves RS; Sievert MC; Journal of Continuing Education in Nursing, 2010 Jun; 41 (6): 267-72 CINAHL AN: 2010692418
2. A unique collaborative nursing evidence-based practice initiative using the Iowa model: a clinical nurse specialist, a health science librarian, and a staff nurse's success story. Krom ZR; Batten J; Bautista C; Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 2010 Mar-Apr; 24 (2): 54-9 CINAHL AN: 2010583113
3. Partnering with your library to strengthen nursing research. Hallyburton A; St John B; Journal of Nursing Education, 2010 Mar; 49 (3): 164-7 CINAHL AN: 2010602293
4. The road not taken: consumer information in nursing training for magnet re-certification. Muallem M; Journal of Hospital Librarianship, 2010 Jan-Mar; 10 (1): 64-71 CINAHL AN: 2010549526
5. Solo librarian and outreach to hospital staff using Web 2.0 technologies. Landau R; Medical Reference Services Quarterly, 2010 Jan-Mar; 29 (1): 75-84 CINAHL AN: 2010571386
6. The Magnet journey: opportunities for librarians to partner with nurses. Allen MP; Allison MM; Bandy MM; KenneDy JC; Sherwill-Navarro P; Journal of the Medical Library Association, 2009 Oct; 97 (4): 302-7 CINAHL AN: 2010448138
7. An information technology infrastructure to enable evidence-based nursing practice. Pochciol JM; Warren JI; Nursing Administration Quarterly, 2009 Oct-Dec; 33 (4): 317-24 CINAHL AN: 2010435221
8. Networking with clinical nurses: fusing Magnet and organizational missions. Wickline M; National Network, 2009 Jul; 34 (1): 8-9 CINAHL AN: 2010580315
9. In an emergency--call the clinical librarian!. Coats TJ; Sutton S; Vorwerk C; Cooke MW; Emergency Medicine Journal, 2009 May; 26 (5): 321-3 CINAHL AN: 2010358158
10. Promoting research in clinical practice: strategies for implementing research initiatives [corrected] [published erratum appears in J TRAUMA NURS 2009 Jul-Sep;16(3):168]. Kleinpell RM; Journal of Trauma Nursing, 2009 Apr-Jun; 16 (2): 114-9 CINAHL AN: 2010325840
11. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Brown CE; Wickline MA; Ecoff L; Glaser D; Journal of Advanced Nursing, 2009 Feb; 65 (2): 371-81 CINAHL AN: 2010177698
12. Knowledge-based information to improve the quality of patient care. Garcia JL; Wells KK; Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Jan-Feb; 31 (1): 30-5 CINAHL AN: 2010201141
13. Nurses working with librarians. Hallyburton A; St. John B; Billings DM; Kowalski K; Journal of Continuing Education in Nursing, 2009 Jan; 40 (1): 16-7 CINAHL AN: 2010172054
14. Magnet again! Librarian's role in research collaboration to maintain magnet status. Schwartz LM; Iobst BJ; Journal of Hospital Librarianship, 2008; 8 (1): 72-81 CINAHL AN: 2009936018
15. Swimming with nurses: the hospital librarian Magnet perspective. Rourke D; National Network, 2008 Jan; 32 (3): 11 CINAHL AN: 2010060322
Monday, August 2, 2010
SJO nurses present "virtual posters" at the ANCC 2010 Magnet Conference
We are proud to announce St. Joseph Hospital of Orange nurses presenting two of the 25 "virtual posters" accepted at the 2010 ANCC Magnet Conference.
Those who follow this blog know how much Flat Maggie loves to travel, but even she has difficulty getting away from the office. Fortunately, their posters are now available for viewing at the ANCC 2010 National Magnet Conference Virtual Poster Session via Virtual World and will remain on view until the end of the October conference.
To access Virtual World please follow the steps below (note, the software required for entry into the Virtual World is not compatible with Mac).
- View this training video with step by step instructions (Windows Media Player 9 or later & speakers/headphones are required), or view the written instructions.
- Register and DOWNLOAD the Virtual World software which must be installed on your computer.
- You may need to work with your Information Systems department in order to be able to download the software at your desktop computer (if accessing Virtual World from work).
- Technical support for actual technical difficulties is available, call 1-800-679-3646 from 9 a.m. to 5 p.m. Eastern Time and ask for “virtual technical support.” You may also email virtual technical support at support@virtualbeginnings.com. Please, carefully review the instructions above before asking for technical support.
Tuesday, July 20, 2010
New Leadership for Flat Maggie Blog and welcome to the new Library Manager
An enormous thank you to our entire blog team for their dedication to the continued improvement in the quality of our blog is in order. Nursing Research: Show me the Evidence! is truly a team effort . I will miss our entire team and wish everyone in the wider world of nursing research the best of everything. I will be retiring on August 6 after 31 years in my position as Library Manager of Burlew Medical Library, St. Joseph Hospital in Orange, California. My husband and I will be pursuing our twin loves of travel and all things "ballroom dancing". We, of course, also relish the thought of spending more time with our families, our garden, our cameras and our BOOKS!! We will also serve as volunteer couriers for the National Bone Marrow Association and I hope to involve myself in literacy training.
Please allow me to introduce Danielle Linden, MLS, AHIP as both our new Library Manager and the new administrator for our nursing research blog. Danielle received her BA in Anthropology from UCLA and her Master of Library and Information Science Degree from San Jose State University. Professionally certified by the Medical Library Association’s Academy of Health Information Professionals (AHIP) at the senior member level, Danielle has been actively involved in both the Medical Library Group of Southern California and Arizona as well as the Medical Library Association. Danielle’s experience includes working as a medical librarian in both academic and hospital environments. She is an experienced searcher and instructor in a wide variety of databases. She has a special interest in library services and resources for nurses and notably has presented a poster entitled “Incorporating Library Resources into an Undergraduate Nursing Program Wiki.” Danielle runs marathons for fun and has an outgoing, engaging personality.
Wednesday, July 7, 2010
Wednesday, June 30, 2010
Magnet Maggie featured in Advance for Nurses
A June 2010 issue of Advance for Nurses features a great article on Magnet Maggie and her adventures at St. Joseph Hospital in Orange, California. Not only can you follow Magnet Maggie as she tours throughout the hospital but you can also see how much fun she has had accompanying nurses to conferences and even graduations. Thank you to feature writer Candy Goulette!!
Wednesday, June 16, 2010
SlideWorld: a portal of health sciences and medical PowerPoints
| SlideWorld is a powerful resource for PowerPoint Slide Presentations. It is a web resource designed to facilitate the educational process of medical professionals. As you know, slide presentations have become one of the key ways of facilitating education and a way of communicating new scientific developments. Academic faculties and clinicians in practice from worldwide have contributed to the web portal. | |
Thursday, June 3, 2010
A Fond Farewell to the CEO

* U.S.News & World Report named St. Joseph Hospital one of America’s top 50 hospitals for orthopedic care;
* St. Joseph Hospital was named one of 14 sites in the country by the National Cancer Institute to participate in the NCI Cancer Centers Program (NCCCP). St. Joseph Hospital was the only hospital on the West Coast selected;
*St. Joseph Hospital earned Magnet designation, the highest honor for nursing excellence;
* St. Joseph Hospital opened a 250,000-square-foot Patient Care Center and 85,000-square-foot Center for Cancer Prevention and Treatment at St. Joseph Hospital.
* Mr. Ainsworth provided ongoing leadership in obtaining health coverage for 45,000 children by initiating Orange County’s first California Kids program in collaboration with CHOC Children’s, Hoag, St. Jude Medical Center, Mission Hospital Regional Medical Center and St. Joseph Health System Foundation;
* Mr. Ainsworth helped increased medical access to Orange County’s medically underserved by acquiring and licensing four fully equipped mobile health clinics. These clinics provide primary care, dental and vision services at schools, churches, and community centers in central Orange County.
* Mr. Ainsworth helped enrolled 900 children per year in the Healthy Families and MediCal programs through La Amistad Clinic, Puente a la Salud’s mobile health van and the Orange Unified School District.
Congratulations, Mr. Ainsworth, on your many achievements, and best wishes on your retirement!
Wednesday, May 26, 2010
New article published by St. Joseph Hospital Nurses: Jeannine Loucks, Dana Rutledge, Beverly Hatch and Victoria Morrison
Rapid Response Team for Behavioral Emergencies
St. Joseph Hospital, Orange, CA, USA, California State University Fullerton, Fullerton, CA, USA
St. Joseph Hospital, Orange, CA, USA
St. Joseph Hospital, Orange, CA, USA
Behaviors of patients with psychiatric illness who are hospitalized on nonbehavioral health units can be difficult to address by staff members. Instituting a rapid response team to proactively de-escalate potential volatile situations on nonpsychiatric units in a hospital allows earlier treatment of behavioral issues with these patients. The behavioral emergency response team (BERT) consists of staff members (registered nurses, social workers) from behavioral health services who have experience in caring for patients with acute psychiatric disorders as well as competence in management of assaultive behavior. BERT services were trialed on a medical pulmonary unit; gradual housewide implementation occurred over 2 years. Tools developed for BERT include an activation algorithm, educational cue cards for staff, and a staff survey. Results of a performance improvement survey reveal that staff nurses have had positive experiences with BERT but that many nurses are still not comfortable caring for psychiatric patients on their units.
Key Words: rapid response team • psychiatric emergencies • behavioral health • psychiatric nursing • de-escalation • Iowa Model of Evidence-Based Practice
Friday, May 7, 2010
Blessing of the Hands

What a Blessing of the Hands on May 6 as St. Joseph Hospital kicked off its 2010 Nurses Week. I loved the blessing offered:
Creator God, Giver and Sustainer of Life, bless the noble work to which these many hands have been dedicated. Enable us all to be truly wise in our clinical judgments, courageous in our dedication to doing good and avoiding harm; compassionate in responding to the human need for healing. Guide our minds and hands. Inspire us with words of comfort that we may be a supportive presence to others. Endow us with the gifts that will enable us to provide the sick and suffering with the care and attention each human life deserves.
Strengthen us in times of trial and discouragement. Keep our hearts from becoming indifferent when faced with our own limitations in curing human ills. Grace our perceptions that we may behold the wonders of your healing power working through our hands. May we not lose sight of the divine truth: That is is Your consoling love that brings forth peace where there is anxiety; healing where there is injury; and new life when our journey on earth is complete. In your love, bless all our hands this day, and everyday. Amen
Friday, April 23, 2010
Labor & Delivery, Baby!
Touring the Labor & Delivery Unit was so exciting! And to think - 5,000 babies are born at St. Joseph Hospital every year! The staff are understandably proud to be designated a "Baby Friendly Hospital," which assures that new moms will have the information, confidence and skills to successfully breastfeed their babies, providing them with the best possible start.Friday, April 2, 2010
March Magnet Madness!
Team leaders on the Magnet Redesignation journey, from left: Kathy Penzes, Executive Director of Women's Services; Carmen Ferrell, Executive Director, Critical Care and Telemetry Services; Alex Wiggins, Executive Director of Medical/Surgical Services; Patti Aube, Magnet Program Director and Executive Director of Nursing Professional Development & Research; Renee Mazeroll, Executive Director of Cardiac and Vascular Services; Magnet Maggie; Pat Brydges, Executive Director of Case Management/Social Services/Admitting Services/DSS/Beds; John Senteno, Executive Director of the Emergency Department and Chest Pain Center; and Soudi Bogert, Magnet Project Coordinator. In the coming months, these team leaders will be busily collecting and documenting evidence of Nursing Excellence at St. Joseph Hospital. Taking advantage of having so much Nursing brain power in one place, they asked the nurses to be thinking of and report on personal examples of best practices on the units, professional engagement and community involvement. Monday, March 22, 2010
Maggie visits the National Library of Medicine
"The National Library of Medicine (NLM), in Bethesda, Maryland, is a part of the National Institutes of Health, US Department of Health and Human Services (HHS). Since its founding in 1836, NLM has played a pivotal role in translating biomedical research into practice. It is the world's largest biomedical library and the developer of electronic information services that deliver trillions of bytes of data to millions of users every day. Scientists, health professionals, and the public in the US and around the globe search the Library's online information resources more than one billion times each year.
The Library is open to all and has many services and resources--for scientists, health professionals, historians, and the general public. NLM has nearly 12 million books, journals, manuscripts, audiovisuals, and other forms of medical information on its shelves, making it the largest health-science library in the world." (NLM website quote)
Friday, March 19, 2010
Critical Care: Maggie was there!
What an amazing crew in ICU! Staff in the Medical Intensive Care Unit (MICU) and the Surgical Intensive Care Unit (SICU) warmly welcomed me to their area. Among those I hung out with were, at top left, Cardiothoracic Nurse Practitioner Megan Liego, RN, MSN, ACNP, and a patient; above right, Critical Care Nurse Manager Gemma Seidl, RN, MSN, PHN, MPH, and Critical Care Outcomes /Magnet Project Coordinator Soudi Bogert, RN, BSN. I also had the chance to make rounds with the team!Friday, March 12, 2010
Observing in Outpatient Surgery

Outpatient Surgery rocks! Even though the crew here performs more surgeries than any other hospital in Orange County and the third most in all of California, they're making time to volunteer their surgical expertise. On April 17 surgeons and staff will welcome indigent patients who will receive free procedures that they need, through the AccessOC Super Surgery Saturday program.







