What's New for Nurses

January 2013

Demonstrate your active lifestyle to patients and staff! Starting January 1st, 2013, staff will log their activity level. The Image of Nursing Council will then collect the activity log at the end of the month, and units will be recognized for the most participants and the most hours of activity.

Nursing Journal
Fall 2013 Edition

What's New at UC San Diego Medical Center : 2011

First Total Artificial Heart Implanted on the West Coast at UC San Diego Medical Center

Thornton Hospital

On Jan. 7, 2011 the first Total Artificial Heart Transplant on the West Coast was performed at Thornton Hospital.

The preparation for this surgery required that 30 RN’s from the Thornton ICU and 25 RN’s from 2 West be adequately trained in handling the Total Artificial Heart. The training for Thornton ICU was organized by Cassia Chevillion RN Nurse Educator with SynCardia the maker of the artificial heart. Cassia said that the biggest obstacles to this surgery facing nurses were “fear “and the 450 pound machine that is hooked up to the heart, this machine put a premium on space in the room. This type of heart is used when the patient has end-stage total bi-ventricular failure.

Angelo Sanciano RN at UC San Diego for 4 years was one of the ICU Nurses who was involved in this groundbreaking experience; Angelo who is also a Charge Nurse on the ICU is identified as a Super-user who works closely with Dr. Jack Copeland Director of Cardiac Transplantation and Mechanical Circulatory Support who performed the operation. Angelo also talked about the fear he had about handling a patient with this device, “The Artificial Heart has no electronic pathways, no EKG, no monitoring”.

Angelo stated that the surgery took about 5 hours and that it took less than 1 hour for the heart to be delivered so the patient could be artificially transplanted. The patient is now recovering after undergoing heart transplant surgery.

3 other types of Mechanical circulatory support devices that are available are:
  • HeartMate II that is a Left Ventricular Assist System.
  • Tandem Heart System that can be used in either Right or Left Ventricular Failure.
  • Abiomed provides temporary support for one or both sides of the natural heart in circumstances where the heart has failed.

 
New Information from Adrian Ferreira:
I wanted to inform everyone that within the next 2-4 months (Specific date TBD), we will be converting our Pulse Oximetry equipment to Masimo. Along with the equipment change we will have to switch out our current sensors. Below I have listed all the sensors that would be affected upon this change.

UC San Diego Item# Description Manufacture Catalog#
715116 SENSOR OXIMETER DIGITAL ADULT NELLCOR MAX-A
716281 SENSOR OXIMETER INFANT NELLCOR MAX-I
716282 SENSOR OXIMETER FOOT NEONATAL NELLCOR MAX-N
715117 SENSOR OXIMTER DIGITAL PEDS NELLCOR MAX-PR
716283 SENSOR OXIMETER NASAL ADULT NELLCOR MAX-R
716284 SENSOR FOREHEAD NELLCOR MAXFAST

Could everyone please make sure to check any “extra stash” that may be carried or stored in areas away from your carts or par locations. We want to make sure that upon conversion we have depleted as much inventory as possible.

New UC San Diego Item numbers will be created for the Masimo sensors, since CVC will be the first to go live. We will be running both types of sensors for a while, until both Hillcrest and Thornton are converted.

When a specific date is determined, I will be providing notice once again as a reminder and a plan of action.

Thanks,
Adrian Ferreira - Buyer
UC San Diego Medical Center Purchasing
7197 Convoy Court #10
San Diego, CA 92111
Direct: 619-543-2597
Main: 619-543-6050
Fax: 619-543-3969
Email: aferreira@ucsd.edu  

June 2009

7/31/08 - Safe Patient Handling Program Update

The Safe Patient Handling Program benefits patients and staff through injury prevention, early ambulation, avoidance of falls, and improved clinical outcomes.

6/18/2008 - New pump cover policy in place


Nurses with Bags on Pumps

5IMU Staff Stars take new policy to heart.

Any pump device, upon completion of use, will be wiped down by nursing, then covered with the brown plastic bag as shown, and transported to Central for processing.

This policy was enacted for our safety and to help provide a way to show what pumps are used, and which are clean.

No pumps will come up from 2nd floor with a bag over them, and none should be returned without a bag covering them.

Thank you for your attention and enactment of this new policy...effective immediately.