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December 2009

In This Issue:

Best Practices: Listening to the Evidence: CKHS Updates Glycemic Control Protocol for Critical Care Patients

Critically ill patients are prone to develop hyperglycemia due to the stress response associated with illness. These patients develop insulin resistance, whether or not they were diabetic previously. Research has shown that hyperglycemia decreases the ability of white blood cells to fight infection, leaving the critically ill patient with decreased immunity and heightened vulnerability. Numerous studies have shown that improving glycemic control results in better outcomes for critically ill patients, including fewer blood transfusions, less renal failure, fewer days on ventilator and shorter stays. Read how the multidisciplinary teams in the critical care units of Crozer-Chester Medical Center, Delaware County Memorial Hospital and Taylor Hospital helped to successfully improve the glycemic control results for their ICU patients. More>

Center for Diabetes: Nurses Lead Successful Patient Education Efforts

In the United States today, 23.6 million people – nearly 8 percent of the population – have diabetes, but 5.7 million of these individuals have not been diagnosed, according to the American Diabetes Association (ADA). An additional 57 million people have pre-diabetes, a condition marked by elevated blood sugar that is not yet in the diabetic range; among these are 2 million adolescents. Key to reversing this trend is education, and that is exactly the goal of Crozer-Keystone’s Center for Diabetes under the leadership of endocrinologist Ruth Ann Fitzpatrick, M.D. More> 

Executive Endings

by Jane Hanahan, RN, BSN, MHA, Director, Home Care/Hospice, CKHS

Crozer-Keystone Home Care plays a very important role in the care of diabetic patients. As a member of the CKHS readmission task force committee, we recognize that diabetes is one of the key diagnoses seen in those who are readmitted to the hospital. In fact, diabetes is so pervasive in the community that even if the disease isn’t the patient’s primary diagnosis, it is often a secondary diagnosis that influences all other aspects of the person’s health. In Home Care, our goal is to teach diabetic patients to manage their disease process to prevent complications and ultimately prevent re-hospitalization. More>

Magnet Moment: CKHS Nurses Demonstrate Exemplary Professional Practice

Crozer-Keystone nurses illustrate exemplary professional practice day in and day out. Countless untold stories exist of nurses who regularly go above and beyond to provide exceptional patient care. Their dedicated efforts help to improve patient outcomes as well as meet the system’s goals for patient safety and quality improvement. Evidence-based practice, a hallmark of Magnet™ designation, is the norm for CKHS nurses. More>

Nursing Spotlight: Center for Diabetes Nurses

Mary Jane McDevitt, RN, BSN, CDE, Kathleen Plecenik, RN, BSN, CDE, and Mary Weldon, RN, CDE are profiled in this article about the tireless efforts and dedication of the nurses of the Center for Diabetes. You will be touched by their stories - the paths their lives have taken that have brought them to help so many people with this disease. More>

Springfield Hospital Welcomes Noreen Caldwell, RNC, BSN, MSHA

Noreen Caldwell, RNC, BSN, MSHA, has always welcomed big challenges. A risk-taker by nature, her nursing adventures have ranged from a two-year stint at a hospital in Abu Dhabi, United Arab Emirates, to starting up the Intensive Care Nursery at Crozer-Chester Medical Center. Now she is taking on different challenges as Springfield Hospital’s new administrative director of Nursing and Clinical Support Services. More>