Regional Spotlight on Nursing: Northern California

May 02, 2019

Beginning May 2019, each edition of Best in the West will highlight the accomplishments of PSJH nurses in one region or service area within our organization. Continue reading to learn more about recent nursing achievements in Northern California.

Regional highlights for Northern California:

  • Region wide launch of Cultural Compass:  Cultural Transformation work
  • All caregivers trained January-February 2019
  • Standard daily huddles initiated March 4-leader led

St Joseph Eureka/Redwood Memorial Hospital (Humboldt County)

Clinical Education:

  • Added a mid-fidelity manikin to the Simulation Lab courtesy of the Foundation
  • Validated all competencies through simulation/return demonstration
  • Expanded Clinical Academy to include Pediatrics; trained 5 additional pediatric nurses


  • Incorporated Teletracker for enhancing throughput communication and reducing LOS

Queen of the Valley Medical Center

House wide:

  • Successful malignant hyperthermia codes in OR, OSPC, PACU, ED using high fidelity simulation
  • New grads evidenced-based projects
  • 100% completion of annual competency assessment through the Wright Model for Competency assessment
  • Queen’s Excellence Council (House wide professional governance council expanding on Shared Governance Nurse philosophy)
  • Implementation of RQI with 95% completion for 1st quarter
  • Exceeding Outstanding target for ED and IP Patient Experience Scores 2019
  • Expanded the Oncology Service Line Nursing team to include positions for three disease-specific nurse navigators with the addition of a recently hired new Breast RN Coordinator.

3 South/ 2 South Med/Surg Successes:

  • “Zero Harm Hero” award for no CAUTIs or central line infections April 2017-Present
  • Zero Hospital Acquired C. Diff infections March, April, May 2019
  • Every eligible staff member gets the Flu shot

ARC Successes:

  • Patients are dressed in their own clothing
  • NIH Scale used consistently
  • Patient’s need for chair alarm assessed daily
  • Daily dining group at lunch
  • Clean and decluttered halls
  • Consistent case management


  • Developed an Outpatient Laboratory Services Plan for Newborns.
  • PICC Program for the NICU
  • Comprehensive Infant Security Plan


  • IV pumps and Channels in every room at 07 & 19
  • Urine POC done within 30 minute of order
  • Increased and better security measures in ED:
    • Moving ED security desk and ED Registration Desk for higher visibility and safer egress in emergencies
    • Fixing ambulance bay doors to close securely
    • Replacing Intercom at EMS doors so the camera and doorbell function work
    • 3 new security cameras installed inside the ED
    • Visitor Badging
    • New panic buttons installed- ED Registration, ED Lead Desk, ED Triage desk
    • 24/7 Security Guard stationed in the ED
  • ED Tech Comfort Rounding
  • Room set up standardized for Patient, MD and RN ease of workflow
  • Outdate Process- everything in every cabinet, cart or drawer in the ED gets checked monthly for anything that will expire

Santa Rosa Memorial Hospital/Petaluma Valley Hospital – Sonoma County

  • Relaunch of Shared Governance Model
  • March first month without:  CLABSI, CAUTI, Cdiff-SRMH
  • Launched structural heart program with TAVR and Impella implementation
  • Trauma Level II Designation recertification (SRMH)
  • Achieved Designated Blue Distinction Center for Spine, Knee and Hip Replacement
  • Advanced Primary Stroke Center Redesignation
  • Created new lactation room to support nursing moms
  • Traveler reduction >45%
  • Opened Sotoyome campus beds (15) to increase capacity – 2 surveys with no nursing deficiencies
  • Created clinical ladder committee as a collaboration between nurses and leadership to support professionalism and non-management pathway to promotion
  • Med to bed program – local pharmacy partnering with nursing to get our patients their discharge meds delivered to their hospital bed
  • Three Clinical academy cohorts supporting new nurse development—including the following specialties:  NICU, L&D, Critical Care, ED, Perioperative, EP
  • Focus on throughput-supporting initiatives:
    • Med to bed program – local pharmacy partnering with nursing to get our patients their discharge meds delivered to their hospital bed
    • Early ambulation pilot to get our patients up and moving
  • Creation of behavioral health structured huddles to identify and create interdisciplinary plan to optimize patient care and protect caregiver safety