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ScIMAGESRadiology Department NewsletterMarch 2012“Images” is the Radiologydepartment monthlynewsletter. It focuses ondepartmental events,professional development,messages from thechairman, director andoperations manager, patientsafety tips, qualityimprovement and employeespotlights. Please enjoy thispublication and use it as aforum to promote the greatwork happening in ourdepartment!IN THIS ISSUEMESSAGES FROM THE CHAIRMAN,DIRECTO R & O PERATIO NS MANAGEREPICPATIENT SAFETYEMPLO YEE O F THE MO NTHSCHOO L O F RADIO LOG Y TECHNO LOG YRADIANTDEPARTMENTAL EVENTSHospital SpotlightSteve Knight, RPA/RAInterventional RadiologyMr. Steve Knight studied Exercise Physiology/Cardiovascular Rehabilitation at Louisiana StateUniversity in the early 1980’s. Following his studies, Mr. Knight joined the military and served 15 yearsin the Infantry as an Army Sniper and Radiologic Technologist. During this time, he also served as thePlatoon Sergeant for a Mobile Army Surgical Hospital (MASH) unit and was deployed to Iraq, Panama,Somalia and the Sinai desert.Mr. Knight became a Radiologic Technologist in 1991 and has worked in CT, Interventional Radiologyand assumed the role of Director of Radiology at Lane Memorial Hospital. In 2001, he returned toschool to study Advanced Radiology Studies at Weber State University in Ogden, Utah. Aftergraduating in February 2004 with a degree in Advanced Radiology Studies, Mr. Knight was employedby Shands Jacksonville in March 2004. Since joining Shands, he has completed the ARRT Registryand become a Radiologic Assistant.Mr. Knight currently works in Interventional Radiology where he plays a vital role in treating patients,maintaining a continuity of care with our difficult venous access cases and assisting in the education ofthe residents. His performance of and knowledge of the vast array of intricate minimally invasiveprocedures taking place in IR is vital to the training of our residents as well as of great benefit to thepatients. A key component to the team approach we take in IR, Mr. Knight lends his talents to keepingthe workflow moving forward as well as allowing for Fellow to take part in the more intricate proceduresIR is presented with each day. While the accent may throw you off a little, Mr. Knight’s straight forward,well informed approach to each case is of great benefit to our department.

CHAIRMAN’S CORNERBarry McCook, MDMatch Day is coming soon. In just afew weeks we will be finding out aboutour incoming class of residents for July 2013. It wasa very busy interview season and I want to thankeveryone for all of their hard work and dedication.Just to let you know how competitive it is to match ina radiology residency, we received 481 applications,we interviewed 92 medical students and we are onlyallowed to match 5. As I stated before many times itis a team effort to carry out the interviews fromOctober through January. Many of the faculty andresidents are involved in the interview process andequally important are the faculty and residents thatcover the interview teams in the reading rooms. Iespecially wish to thank Greg Wynn, Kristy Taylorand Marion Gaines for their dedication throughout theentire process. Job well done and I'm sure that yourefforts will be realized on match day!UF AdministratorHeidi M. WeschlerWewelcometoRadiologyAdministration Lisa Kinsman who isour new GME Program Assistant forall of our medical educationprograms as of 2/27/2012. Lisa comes to us from thedepartment of Women & Infant Services at Shands andalso has an extensive background in management. Lisawill be cross training with Marian for the next month inorder to make a smooth transition for the GME programsprior to Marian’s departure. I want to personally thankMarian for her dedication to the GME programs and thisdepartment in the past year. She has done aphenomenal job not only with the residents, fellows, andmedical students but also supporting the programdirectors and representing the department of Radiology.Marian at some point will be joining her husband out inOregon where he has recently accepted a job, until thatpoint she will be in a new role as administrative assistantin support of Lisa with the GME programs and also someof our new faculty.Please welcome Lisa when you see her, and give bestwishes to Marian in her new life endeavors.CUDA’S CORNERKevin Cuda, MHA, FACHEEach of you recently received theJoint Commission on Accreditation ofHealthcare Organizationsreadiness Our Mission at ShandsJacksonville is to heal, comfort, andeducate. We dedicate our work to improving life throughinnovations in health care. Our commitment is to provideconstant attention to the needs of our patients, communityand each other.Our Vision:Our Vision is to be Jacksonville’s most valued community asseteliminating health care needs as a concern of the population,delivering patient-centered care that exceeds expectations ofpatient and families, providing unrivalled medical educationand research, and developing partnerships that join our work tothe well being of the community.Our Core Values: Excellence in each and every customer experienceRespect for the critical nature of our workCompassion for the humanity and for one anotherStewardship of the trust and privilege to serveIf each of us were to follow Our Mission, Our Vision and OurCore Values we would always be at the top of our game nomatter what agency came to visit our organization.Please join me in following the hospital’s Mission, Vision andValues every day.A Message from theOperations ManagerJanet Graves RT(R)The Feel of ExcellenceNot often do I have to experience the customerservice of our institution from a patientprospective. Recently, one of my family memberswas admitted for out-patient surgery. I tend tohold my breath, and hope we can provideexcellent service. If we fail, I have to hear thenegative feedback on “my hospital” (and yes, I dotake ownership). I’m happy to say not a negativeword was spoken. In fact the visit to Admissions,PAT and Recovery was what I would callexcellent. I received feedback on how clean theareas looked and how friendly and attentive thestaff was during this adventure. Remembercustomers are looking at our facility with eyeswide open and ears on high volume. Let’sremember to keep our conversations professionaland focused on the customer and maintainprofessional attire.

CASE OF THE MONTH: Diffuse Lymph Node and Organ MetastasisSubmitted By: Lesley Frye, CNMT, RT (N) (CT)This patient has a history oflymphomaandwasgivenchemotherapy and radiation.The PET/CT shows widespreadhypermetabolic lymphadenopathyinvolving multiple lymphatic areas.Specifically there was found to beFDG uptake in the neck,supraclavicular region, bilateralaxilla, mediastinum, left hilum,liver, abdomen and bilateral groinlymph nodes.PET ImagePET/CT FusionEpicRadiantOver a month has passed since our successfulEpic go-live. Our department has resolved amajority of the issues that has come through theRadiology Command Center and tickets thathave been placed throughout the past fewweeks.Radiant, the Epic Radiology application, is underdevelopment. Tight timelines have been establishedto meet our Fall/Winter 2012 go-live.Please continue to call ITS at x7828 if you haveany problems with Epic. Once a ticket has beenplaced, please continue to forward your ticketnumber and issue to Kevin Cuda, Janet Gravesand Leslie Pegram. Daily updates are given toadministration and problems we are seeingacross the department need to be prioritized.Thank you for your continued efforts to improvethe continuum of care in our department.Thank you to everyone that has been asked to be apart of this exciting project within our department. Inthe coming months, you may be requested toprovide additional information or feedback, attendinformational session or be involved in workflowdiscussions. Radiant is an exciting opportunity forour department to combine scheduling, registration,patient care and billing into one application. Withthe implementation of Radiant, McKesson Star willbe removed from our department.Look for more to come on this exciting project!“Introduction to Interventional Radiology”CEU Presentation on HealthStreamThis presentation by Dr. James Cunningham is now available in HealthStream andapproved for 1 CEU by FL DOH for Radiologic Technologists. This is a recordedpresentation of Dr. Cunningham’s live lectures in June 2010 and February 2011. Toreceive the CEU, you must view the lecture, pass a test and complete the evaluation.

HAND HYGIENEPATIENT SAFETY 101: Inspecting Your AreaIt is important to conduct frequent inspections throughout the department and your section to ensure: All areas are neat and clean.Exit doors and hallways are not obstructed.Medication carts are locked.Needles and syringes are secured at all times.Equipment is clean and has an updated inspection tag.MarchEmployee of the MonthBeth Ratliff, RT (R)(M) (MR) (ARRT)MRI TechnologistNominated by uld like to nominate BethRatliff for the Employee ofthe Month. Beth does anexcellent job as the MRISafety Officer and haspresented a PowerPointpresentation on MRI Safety to the Nursing LeadershipTeam. Beth also helped spearhead the MRI safetyweek activities and was instrumental in working to getthe Mobile and Phillips scanners re-accredited lastyear. In the past, Sandy McDonald requested Beth tospeak at the Nursing Quality meeting. Beth did anexcellent job in presenting the MRI data sheets andgraphs as well as explaining how important this is toour workflow and patient care. Beth is, and always hasbeen, an outstanding MRI educator. She is a truechampion for our department.” All red bag trash is covered.No outdated supplies or medicationsare in the area.Clean and dirty linen is covered.Crash carts are secure.NEW MRI SCANNERBy: Theresa Clark, Supervisor CT/MRI (Clinical Center)A brand new 1.5 MRI scanner with state oftechnology is currently being installed at theCenter. This new scanner will allow for muchscan times and extremely high quality imagingpatients. Construction began in late Januaryprojected to be completed on May 7th.the artClinicalquickerfor ourand isDuring the construction downtime, the outside mobilescanner at the Clinical Center will be in operation 24/7and staffed with two MRI Technologists. For moreinformation on this new addition to our department,please contact Theresa Clark, CT/MRI Supervisor.

NicoleHAPPY BIRTHDAY!!UPCOMING DEPARTMENT EVENTSPlease participate and enjoy the events that are planned throughout Marchsponsored by Administration.March 2Dr. Seuss DayPlease bring in new or gently used books to be donated to the PICU.March 5-9Nunzio MagicLook for Nunzio in your area performing magic tricks in honor of Houdiniday.March 16St. Patrick’s Day ActivityWear green in honor of St. Patrick’s Day.March 30Doctor’s DaySurprises are planned for our Radiologists. More information to bedistributed throughout the month.PRC ScoresFebruary 2012IP: 87.7%ExcellentED: 98.2%ExcellentMarchS a ra H e l t o n (3 / 3 )Je n H a rp e r (3 / 6 )K e vi n F . C u d a (3 / 6 )G ra h a m C o l e (3 / 8 )D r. I n b a l C o h e n (3 / 1 0 )Ma ri a A rb e l o (3 / 1 4 )N a t a sh a W i l l i a m s (3 / 1 5 )A n d re a Jo n e s (3 / 1 6 )D r. L a w re n ce H o l d e r (3 / 2 5 )D r. D a n i e l S i ra g u sa (3 / 2 5 )S i e n a G a r ci a (3 / 2 7 )C i n d y S l a t e (3 / 2 8 )N e d ra B o w e s (3 / 3 0 )FEBRUARYKEY AWARD WINNERSAmy JenningsZulma LugoAmy WingateMary DevaughnRyan GarrettTaQuilya CrossDeborah FeltonTheresa SurrencyMillie MeshbergerLisette RiveraLysa HofmannJanel FreemanAmy WingateLLDecember BirthdaysCongratulations to Amy Wingate (US) and LaTonya Harris(BHC) on receiving the Quarterly Customer Service is KeyAwards. They received a cake and punch party, balloons, anda 75 gift card from VP Greg Miller!Hospital Policies to ReviewRefer to Policies on the Infonet; these summaries do not include all necessary information. HR-02-013: Social Media- To establish guidelines and ensure compliance that applies to newertechnologies for communication and ensure the security of Shands information.HR-02-015: Unauthorized Visitors, Phone Calls, Cell Phones and Other Electronic Devices- Toestablish clear guidelines to prevent unauthorized interruptions to employees at work.

Patient Perception of Care: Patient-Centered Care!!FY12 Results (As of 02/23/12)th* SJMC’s Overall Quality of Care goal for FY12 is the 75 percentile.Numbers below are based on percent excellent rankings, as compared to the PRC norm. SJMC Inpatient Overall Quality of Care: 58.9% SJMC Outpatient Surgery Overall Quality of Care: 31.8% SJMC ED Overall Quality of Care: 32.0% SJMC Radiology Inpatient Overall Quality of Care: 64.4% SJMC Radiology ED Overall Quality of Care: 75.6%Patient-Centered Care What is SJMC’s Model of Care?o Patient-Centered Care What is Patient-Centered Care?o In 2001, the Institute of Medicine defined patient-centered care (PCC) as: “Healthcare that establishes a partnershipamong practitioners, patients, and their families (when appropriate) to ensure that decisions respect patients’ wants, needs,and preferences and that patients have the education and support they need to make decisions and participate in theirown care.” What are the 8 Dimensions of Patient-Centered Care?o Respect for patient’s values, preferences, and expressed needso Coordination and integration of careo Information and educationo Physical Comforto Emotional support & alleviation of fear and anxietyo Involvement of family and friendso Continuity and transitiono Access to care What can we do to support Patient-Centered Care?o Respect, support, empathize, communicate, partner, listen, educate, and comfort our patients and their familieso Work as a collaborative team to deliver high quality healthcare to our patientso Put our patients at the center of everything we doo Treat our patients and their families as we would want to be treatedTo learn more about SJMC’s Patient Perception of Care initiatives, please contact Kiel Gross at kiel.gross@jax.ufl.edu or 244-8461.F E B R U A R Y D E PA R T M E N TA L E V E N T SSponsored by: Diagnostic RadiologyFebruary 17th: During thedoughnut sale, 125 Dozen ofdoughnuts were sold, makinga profit of 175 for theChildren Miracle Network.February 29th: Ice CreamFloats with either RootBeer or Coke wereprepared for the staff.THANK YOU!

Hospital Staff Visit Tallahassee in Opposition of Medicaid ReductionsIn January, hospital representative traveled to Tallahassee to discuss with state representatives the devastating impact ifproposed Medicaid reductions were imposed and the effects to our health care system, patients and staff. Medicaid provideshospital care to our most vulnerable neighbors with eight out of ten people who receive care through this program beingchildren, elderly or disabled. In recent years, the poor economy has led to an increase in the number of people who must getcare through the Medicaid health program. It is a vital service that has already been cut dramatically in previous legislativesessions. Since 2005, the Medicaid program has been cut 966 million, including 500 million just last spring.To learn more about Medicaid and the proposed cuts, please visit: http://www.healflhealthcare.com.Staff SpotlightEmployee Involvement CommitteeSubmitted by: Shanna Scott, EIC Co-ChairThe Employee Involvement Committee (EIC)successfully raised a total of 1500 for Children’sMiracle Network, Child Life and the CommunityGiving Campaign in 2011.Congratulations toKimberly Haines, B.S., RT (R), (CT), (MRI), (M)Supervisor at the Emerson Imaging Center on completingher Bachelors of Science in Radiologic Sciences inDecember 2011.Congratulations to Beatriz Robaina for passing herabdominal boards and becoming a Registered DiagnosticMedical Sonographer with the ARDMS.Congratulations to Nedra Bowes, Kimberly Haines,Susan Lealamanua, Zulma Lugo and Leslie Pegram forcompleting the Health Information Technology (HIT)Program through Santa Fe College.Throughout the year, the EIC organized andstaffed the following fundraisers and Radiologyevents. Chick Fil-A FundraiserKrispy Kreme SalesHelped with Radiology Services WeekEmployee Picnic at Jax Beach50/50 RaffleCommunity Giving Campaign BasketThank you to Shanna Scott, Supervisor of thePavilion/Annex and Eric Jones, Supervisor ofInterventional Radiology for co-chairing thiscommittee. Thank you also to all the employeesthat helped make the EIC and its initiatives asuccess!

Patient Safety Tip of the Month: Hand-off communication from one care providerto another (including support services) is essential to provide accurateinformation about a patient’s care, treatment or service when a patient’s careresponsibilities are “handed-off.”For more information on Hand-off Communication please refer to policy CP 2.61g located on the Infonet.What’s Your Promise?Radiology and Computed Tomography ProgramsBy: Anthony Hofmann, Clinical Instructor“My promise is to continue toprovide excellent service to allcustomers, family, staff andcoworkers.”Lisa CornerNuclear Medicine Technologist“I promise to give excellentpatient care, be a team playerand with a positive attitude.”Adriene JohnsonScheduling LeadScheduling Department"I promise to be friendly,courteous and helpful; to provideexcellent service to patients,customers, and colleagues."The Junior class is approaching their third month of training. Todate, the Junior students have received instruction in 9 differentradiologic procedures. The Juniors are very busy with proficienciesand competencies. The CT students are settling into their fourthweek of training. The Senior class attended the Atlanta Society ofRadiologic Technologists annual conference in Atlanta, Georgiafrom 2/24/12-2/29/12. This conference contains numerous reviewclasses for the Seniors to attend. These classes give the students adifferent perspective on the material they learned during theirtraining at Shands. They also had the opportunity to take a mockregistry exam and participate in a Student Bee! Mr. Stiles and Iwould like to take a moment to thank all of the Radiologists,Radiology Residents, Staff Technologists, and all of the supportstaff for their role in training our students in Radiography andComputed Tomography Programs. We understand the degree ofcommitment and preparation required to properly training thestudents and we applaud your efforts. Thank you for all of yourhelp!Interesting Image of the Month: Sigmoid VolvulusSubmitted by Dr. Sara FernandezCynthia ButlerFinancial RepresentativeNuclear Medicine3T MRI Receives ACRAccreditationSubmitted By: Shanna ScottThe 3T MRI magnet located atthe Annex was awarded ACRaccreditationforbreastimaging. I would like to thankHoney Atkins and Dr. MarthaWasserman for all their helpduring this process.Before InterventionPost InterventionNewsletter SubmissionsIf you would like to submit something to the April issue, please email Lynn CadwellGordon your topic by March 6 Article submission must be completed by March 22 tobe included in the April issue. All topics and articles are reviewed for publication byDr. McCook, Kevin Cuda and Janet Graves prior to distribution.

This presentation by Dr. James Cunningham is now available in HealthStream and approved for 1 CEU by FL DOH for Radiologic Technologists. This is a recorded presentation of Dr. Cunningham’s live lectures in June 2010 and February 2011. To receive the CEU, you must v

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