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Dome - Briefcase

Dome May 2014

Briefcase

Date: May 1, 2014

Infection prevention milestone, a new educational chapter, critical care fellowship offers career shift and more reasons to love summer.


Kimberley Lee
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Kimberley Lee

Infection Prevention Milestone

The medical intensive care unit of Johns Hopkins Bayview Medical Center recently celebrated two years without any central-line-associated bloodstream infections (CLABSIs)—an accomplishment critical to patients’ care and safety. In 2010, the medical intensive care unit (MICU) joined the Maryland Hospital Association’s Comprehensive Unit Safety Program to reduce CLABSI. Since then, says MICU Patient Care Manager Susan Kraeuter, “Our staff has learned that CLABSIs truly are preventable, even in the ICU environment.” The MICU team was presented with Patient Safety Star awards by Peter Pronovost, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine, and recognized by Hopkins Bayview’s quality and patient safety council.

A New Educational Chapter

This year, the top five specialty selections for students graduating from The Johns Hopkins University School of Medicine are internal medicine, surgery, pediatrics, anesthesiology and psychiatry. Of the 124 students who recently learned where they would spend their residencies, 42 will train at Johns Hopkins-affiliated hospitals.

Kimberley Lee, the first in her family to attend college, will pursue internal medicine at Johns Hopkins Bayview Medical Center. The Jamaica native plans to be an oncologist. “The impact you can have on an individual or family is overwhelming,” she says. “You put on this white coat and people trust you and listen to your advice.”

Every year, medical students across the country learn which hospital and specialty program has accepted them at a Match Day ceremony held in March. Before that event, students complete paperwork and on-site interviews with hospitals, then provide a ranked list of their top choices. Hospitals submit a similar list indicating openings, preferred students and specialty or generalist preferences. Each applicant is matched via computer algorithm to the hospital residency program highest on the applicant’s list and has offered the applicant a position. Johns Hopkins students are often matched with their first- or second-choice sites.

Critical Care Fellowship Offers Career Shift 

A new critical care fellowship program at All Children’s Hospital is designed to recruit and retain experienced nurses who want to work in the pediatric and/or cardiovascular intensive care units but lack background in such work. Launched in September 2012, the four-month program is intended for a cohort of six to 12 students and led by a multidisciplinary group of care providers who present lectures, case studies and simulation studies. Fellows become employees upon acceptance into the program. So far, 32 nurses have been recruited in this way. Program participants learn bedside skills, hospital policy, equipment and medical record documentation, and how to care for children of different ages and critical needs. They follow a standardized path to competency completion and independent practice and also earn certification in advanced life support.

“We’re monitoring the program’s success according to our mission, vision and quality values of cost, service and outcomes,” says Kristina Burger, advanced nursing education specialist for the pediatric intensive care unit. “Retention rates, employee satisfaction and employee confidence in competence are key program metrics. Leadership from each unit also reviews the feedback and evaluations of each cohort to continuously improve the program elements as necessary.”

More Reasons to Love Summer

The time has come to purchase fresh spring and summer produce at markets and programs throughout Johns Hopkins Medicine. The Johns Hopkins East Baltimore Farmers’ Market, scheduled from 10 a.m. to 2 p.m. Thursdays through Nov. 20, is located on the Jefferson Street pathway adjacent to the cancer research buildings. Now in its sixth year, the market offers fresh produce, cold-pressed vegetable and fruit juices, prepared food, and nuts. A similar market at Johns Hopkins Bayview Medical Center operates 10 a.m. to 2 p.m. Wednesdays into mid-October on the grassy area in front of the Burton Pavilion. Howard County General Hospital’s market runs from 2 p.m. to 6 p.m. Fridays from May 9 through Oct. 31, in the back of Lot C in front of the hospital.

Suburban Hospital staff members can participate in a community-supported agriculture program that runs in three seven-week sessions that begin June 2, July 21 and Sept. 8. Members receive fresh produce delivered to the hospital each Friday from Orchard County Produce. For details, contact Greg and Louise Keckler at 717-486-4653.

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