Nursing Annual Report - 2015

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Chemotherapy Safety

 About Us  2015 MWHC Nursing Annual Report  Articles  Chemothera…

Chemotherapy Safety

Rosemary Monsell BSN RN ONC - MWH 4 North
Chemotherapy safety is a great concern not only for patients but for the
nurses that
administer these lifesaving medications. Starting a Chemotherapy
Safety Initiative
Project was the focus of my ACE III project. This is
an ongoing task force
collaborating with Dr. Mauer's office, Infusion
center, Pharmacy, Laboratory, and our
EVS departments.

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Chemotherapy Safety | Virginia Healthcare System

GOALS

Our goals were:

Increase the safety of administration of chemotherapy.
Increase CNA education re: handling body fluids of chemotherapy patients.
Identify patients who are currently receiving or have received chemotherapy
in
the past 48 hours by using a blue cart on the patient's door.

We first determined that all 4 North nurses would complete the ONS Chemotherapy
Biotherapy Certificate
Course to ensure that only Chemotherapy Certificate
nurses administer chemotherapy. We also
determined that we should follow
the ONS recommendations of using proper personal protective
equipment
or PPE to include chemotherapy approved gloves and gowns. Our task force
determined that
we were not using proper PPE by not wearing chemotherapy
approved gowns while administrating
chemotherapy.
OUTCOMES
All 4 North nurses are now currently working towards completing the ONS
Chemotherapy Certificate
Course. Hopefully all will be completed by the
end of 2016. We now include chemotherapy approved
gowns in our PPE for
chemotherapy administration and all 4 North nurses have had education
on proper
use of the PPE. We now have blue carts that are placed on a
patient's door to identify them as
chemotherapy patients. Ongoing
education continues for staff on proper handling of body fluids.

FUTURE GOALS

We are currently working with Pharmacy, Lab, and EVS on how to manage
chemotherapy spills. We are
also working with Dr. Maurer's office,
Pharmacy and our IT department on implementing chemotherapy
orders via
COPE. We also work with our Education department to provide ongoing education.

2015 MWHC Nursing

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Chemotherapy Safety | Virginia Healthcare System

Annual Report

Welcome Letter

Articles

Magnet Redesignation

Advancing Clinical Excellence

Stafford Hospital PACU Length of Stay

Discharge Follow Up Appointments

MWH NICU Golden Hour

Neonatal Hypoglycemia PI Project

Chemotherapy Safety

Stafford Hospital Endoscopy – Initial and Ongoing
Competency Validation

Compliance with Rapid Response Follow Up at
Stafford Hospital

University of Mary Washington and Mary

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Chemotherapy Safety | Virginia Healthcare System 

Washington Healthcare Collaboration
PICC / Midline Project
Nursing At MWHC
Accomplishments
Overview
Nursing Councils

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Chemotherapy Safety | Virginia Healthcare System

General Inquiries:
540.741.1404
Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital
2300 Fall Hill Avenue
1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

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Initial and Ongoing Competency

Validation

 About Us  2015 MWHC Nursing Annual Report  Articles  Stafford Hos…

Stafford Hospital Endoscopy
– Initial and Ongoing
Competency Validation

Angel Patterson BSN RN - SH Endoscopy
As the Stafford Hospital (SH) Lead Endoscopy RN, my manager approached
me to
look over the SH Endoscopy Competency Based Orientation Tools (CBOTs)
in

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Stafford Hospital Endoscopy – Initial and Ongoing Competency Validation | Mary Washington Healthcare

preparation for Joint Commission. I recognized the need for the implementation
of a
uniform SH Endoscopy CBOT and Annual Competency compliance by Joint
Commission standards. My ACE project focused on preparing SH Endoscopy
CBOTs for Joint Commission and initiating Annual Competencies. I am also
the
designated SH Endoscopy Policy Reviewer by management since 2013.
As a result of the project study, 3 Endoscopy RNs and 6 Techs were identified
with
incomplete/inconsistent CBOTs. No Annual Competencies had been completed
for
3+ years. I have taken ownership of the SH Endoscopy CBOTs. It is
a priority to
have 100% compliance.

I sent out emails to each RN and Tech to meet with me to complete their
CBOTs.
We are required to be 100% compliant when Joint Commission visits
SH. I created
an Endoscopy Annual Competency check off sheet. I emailed
Endoscopy Reps for
training and In-Services.
A literature search was performed using CINAHL and consistent data found
initial
competency should be attained and annual competence should be
maintained.

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Stafford Hospital Endoscopy – Initial and Ongoing Competency Validation | Mary Washington Healthcare

I plan to continue to review SH Endoscopy CBOTs annually. I will ensure
that RNs
and Techs complete Endoscopy Annual Competencies. I will foster
a good working
relationship with the Perioperative Nurse Educator to continue
Joint Commission
compliance.


Project Updates:
SH Endoscopy CBOTs were completed October 31, 2015.
Endoscopy Annual Competency Form is used in real time, checking off skills
as it is performed during a procedure.

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles

Magnet Redesignation

Advancing Clinical Excellence

Stafford Hospital PACU Length of Stay

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Stafford Hospital Endoscopy – Initial and Ongoing Competency Validation | Mary Washington Healthcare

Discharge Follow Up Appointments

MWH NICU Golden Hour

Neonatal Hypoglycemia PI Project

Chemotherapy Safety

Stafford Hospital Endoscopy – Initial and Ongoing
Competency Validation

Compliance with Rapid Response Follow Up at
Stafford Hospital

University of Mary Washington and Mary
Washington Healthcare Collaboration

PICC / Midline Project

Nursing At MWHC

Accomplishments 

Overview

Nursing Councils

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Stafford Hospital Endoscopy – Initial and Ongoing Competency Validation | Mary Washington Healthcare

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General Inquiries:
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Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital
2300 Fall Hill Avenue
1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital

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Stafford Hospital Endoscopy – Initial and Ongoing Competency Validation | Mary Washington Healthcare

101 Hospital Center Blvd

Stafford, VA 22554

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Compliance with Rapid Response

Follow Up at Stafford Hospital

 About Us  2015 MWHC Nursing Annual Report  Articles  Compliance …

Compliance with Rapid
Response Follow Up at
Stafford Hospital

Bibiana Cloonan BSN RN CCRN - SH Intensive Care Unit
The Stafford Medical Surgical Emergency Response RNs fill a unique role
wherein
they serve not only as ICU caregiver, charge nurse but also as
a member of the

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Compliance with Rapid Response Follow Up at Stafford Hospital | Virginia Healthcare System

MSET team. Being able to do two follow ups at 4 and 8
hours post call at Stafford
Hospital was proving to be difficult (MWH
MSET RNs out of staffing and complete
two follow ups post MSET call).
After researching more about patient deterioration
following MSET in cases
when the patient wasn’t transferred to an ICU, I discovered
that
the more appropriate window to follow up is within within 6 hours.

In collaboration with Debra Marinara and David Squeglia, we adapted the
SH
MSET/Rapid Response Policy to fit our hospital needs. After policy
change, I wanted
to be able to see if this new policy was being complied
with specifically the 6 hour
window and no longer than 8 hours.

After educating the ICU nurses at our monthly staff meeting, I developed
a
performance improvement tool to collect data in March-August of 2013.
It was noted
that there was poor compliance with appropriate documented
follow up. It was noted
that our MSET RNs had a wide range in their ICU
experience levels some being just
at 6 months in the ICU. Therefore I
was going to need to relook at education of ICU
the staff. I adapted an
existing MSET CBL for new hires to focus on Stafford and
included a post-test
to monitor understanding. In addition I developed a CBOT for
MSET RNs
at Stafford.

Over the next 6 months, there was a sustained improvement in follow up
and
documentation of the follow up visit. I also developed an evaluation
form for the ICU
RNs to be able to voice problems they encountered during
their MSET calls, i.e., no
one present in patient room, no current vital
signs. Likewise, I also developed an
evaluation form for the floor nurses
to communicate their issues with MSET visits.
This information was discussed
at the SH MSET/Resuscitation meetings and helped
guide our plans for better
communications between the ICU staff and the inpatient
floor RNS.

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Compliance with Rapid Response Follow Up at Stafford Hospital | Virginia Healthcare System

The next steps in this project will be to look at patient outcomes post
MSET and
resuscitation at my facility. We have already demonstrated a
reduction in patient
code blues per patient days from 0.37% in 2013 to
0.16% in 2015. We will look at
overall patient outcomes at time of discharge
and whether patients were readmitted
within 30 days. MSET calls within
6 hours of ER admission are currently referred to
the emergency department
manager for further review.

2015 MWHC Nursing
Annual Report

Welcome Letter
Articles
Magnet Redesignation
Advancing Clinical Excellence
Stafford Hospital PACU Length of Stay
Discharge Follow Up Appointments

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Compliance with Rapid Response Follow Up at Stafford Hospital | Virginia Healthcare System

MWH NICU Golden Hour

Neonatal Hypoglycemia PI Project

Chemotherapy Safety

Stafford Hospital Endoscopy – Initial and Ongoing
Competency Validation

Compliance with Rapid Response Follow Up at
Stafford Hospital

University of Mary Washington and Mary
Washington Healthcare Collaboration

PICC / Midline Project

Nursing At MWHC

Accomplishments 

Overview

Nursing Councils

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General Inquiries:
540.741.1404
Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital
2300 Fall Hill Avenue
1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

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University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

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Mary Washington Healthcare

Collaboration

 About Us  2015 MWHC Nursing Annual Report  Articles  University of …

University of Mary Washington
and Mary Washington
Healthcare Collaboration

Dr. Mary Jane Bowles DNP RN CCRN CNS-BC - MWH Critical Care Services
In the Institute of Medicine future of nursing report (2010) nurse leaders
were
admonished to work together to increase the proportion of nurses
with a

http://www.marywashingtonhealthcare.com/...C-Nursing-Annual-Report/Articles/University-of-Mary-Washington-and-Mary-Washingto.aspx[1/18/2017 7:16:47 PM]

University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

baccalaureate degree from 50 to 80 percent by 2020. These leaders
should partner
with education accrediting bodies, private and public funders,
and employers to
ensure funding, monitor progress, and increase the diversity
of students to create a
workforce prepared to meet the demands of diverse
populations across the lifespan.
Based on this recommendation, a Strategic
Workforce committee was convened at
Mary Washington Healthcare (MWHC).
From this committee, conversations
convened between University of Mary
Washington (UMW), Germanna Community
College (GCC) and MWHC to develop
a RN to BSN program at UMW. MWHC
Foundation donated $25,000 to UMW to
hire a nursing consultant to assist in
creating the program proposal.

In April 2013, the UMW Rector and Board of Visitors approved the proposal
for the BSN completion
program. After submitting and being granted approval
by the State Council of Higher Education the BSN
Completion Program was
initiated fall of 2014. MWHC Foundation committed tuition reimbursement
for the
registered nurses attending RN to BSN completion studies. As well
as supporting flexible scheduling for
associates to attend classes, MWHC
supports Dr. Lisa Lucas (Director, Clinical Informatics) and Dr. Mary
Jane Bowles (Clinical Nurse Specialist, Critical Care Services) to serve
as adjunct faculty for UMW.


May 7, 2016, UMW conferred the first graduating class of RN to BSN graduates.
The nurses from MWHC
include:

Jamie Brantley: MWH, L&D
Lydia Harshbarger: MWH, 3N
Chris Lowe: MWH, SICU
Mary Loyd: SH, Cancer Center Radiation
Katelyn Lumpkin: MWH, 5N
Ashley McGee: MWH, 3N
Kathryn Nesmith MWH, 2S
Allie Nicklow: MWH, SICU
Crystal Sampson: MWH, SICU

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University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

Marlo Warren: MWH, 2N
DeAnna Will: Snowden of Fredericksburg
Kelly Wright: SH, ED

The collaboration between UMW, GCC and MWHC is helping to achieve the
goal of 80% by 2020. MWHC
is proud of its’ UMW graduates and all
the nurses that have obtained their BSN helping to improve the
understanding
of healthcare across the lifespan.

The Future of Nursing: Leading Change, Advancing Health. (2010). Committee
on the Robert Wood
Johnson Foundation Initiative on the Future of Nursing,
at the Institute of Medicine, Institute of Medicine;
DOI: 10.17226/12956

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles

Magnet Redesignation

Advancing Clinical Excellence

Stafford Hospital PACU Length of Stay

Discharge Follow Up Appointments

http://www.marywashingtonhealthcare.com/...C-Nursing-Annual-Report/Articles/University-of-Mary-Washington-and-Mary-Washingto.aspx[1/18/2017 7:16:47 PM]

University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

MWH NICU Golden Hour

Neonatal Hypoglycemia PI Project

Chemotherapy Safety

Stafford Hospital Endoscopy – Initial and Ongoing
Competency Validation

Compliance with Rapid Response Follow Up at
Stafford Hospital

University of Mary Washington and Mary
Washington Healthcare Collaboration

PICC / Midline Project

Nursing At MWHC

Accomplishments 

Overview

Nursing Councils

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University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

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General Inquiries:
540.741.1404
Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital
2300 Fall Hill Avenue
1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

http://www.marywashingtonhealthcare.com/...C-Nursing-Annual-Report/Articles/University-of-Mary-Washington-and-Mary-Washingto.aspx[1/18/2017 7:16:47 PM]

University of Mary Washington and Mary Washington Healthcare Collaboration - Mary Washington Healthcare

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PICC / Midline Project | Mary Washington Healthcare

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PICC / Midline Project

 About Us  2015 MWHC Nursing Annual Report  Articles  PICC / Midlin…

PICC / Midline Project

PICC Line Reduction Team: A Multidisciplinary Approach

Stephanie Hagmaier MSN CRNA & Lisa Mathison DNAP CRNA - MWH Anesthesia
Services
The purpose of the project was to evaluate MWHC’s approach to the
use of
peripherally inserted central catheters (PICC) lines and develop
a process to reduce
their use. Mary Washington Hospital placed 3.5 times
more PICC lines (2014 HMC

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PICC / Midline Project | Mary Washington Healthcare

benchmark data) than hospitals in our benchmark group

Background information:PICC lines are invasive, placed in the central compartment and are associated
with higher risks than peripheral vascular access devices. CLABSI (central
line associated blood stream
infections) are reportable quality metrics
which can impact reimbursements & increase length of stay.
Treatments
are often delayed during off-hours when patients are waiting for line
placement. All Stafford
patients had to be transported to MWH during off-hours/weekends
by ambulance for line placement as
they did not have the coverage for
this service during off hours. Transporting patients round trip from
Stafford
Hospital to MWH for vascular access costs $730.20 for Advanced Life Support
transport and
$280.77 for Basic Life Support transport.


Four main areas drove the project – Patient Safety, Access, Quality,
and Cost. From a patient safety
perspective there was a desire to reduce
the number of central line associated blood stream infections
(CLABSIs)
and deep vein thrombosis (DVT) events in the upper extremities of patients
receiving PICC
lines. Placement of the lines was limited to the time Interventional
Radiology was open as well as
scheduling opportunities for inpatients.
There was a concern that the placement of PICCs and central lines
was
excessive and at times inappropriate based on the patient’s clinical
need for the line. Finally, the costs
associated with the existing process
for placement of PICC lines – device costs, patient length of stay,
and
actual delays in patient care associated with the delay in line placement
– needed to be reduced.


Based on this, a multidisciplinary team including representation from
Anesthesia (CRNAs), Interventional
Radiology, Hospital Administration,
Vendors, Nurse educators, Medical Staff, Finance & Coding, Nursing
Informatics, Endoscopy, IV Therapy, and Central Supply convened to develop
a project plan. The
Performance Improvement Project was designed to determine
if there was an indication for Midline
catheters at Mary Washington Healthcare
as well as to determine whether CRNAs could support
Interventional Radiology
by placing the midlines during off-hours. The advantages to a successful
Midline
Catheter project included:

Patient Care: Timely line placement and elimination of ambulance transports
from Stafford
Hospital on nights and weekends

Patient Outcome: Utilization of a less-invasive alternative to central and
PICC lines,
meaning less adverse complications and potentially shorter
hospitalizations
and readmissions

Patient Satisfaction: Can be performed in the patient’s room. Eliminates the
need to
replace a peripheral IV catheter every 3 days – less needle sticks.
Patient can go home with the midline

Reduced Costs: Midline catheter cost is $210.28 less than a PICC line.
CRNAs are already
in-house during off-hours to provide back-up support to

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PICC / Midline Project | Mary Washington Healthcare

Interventional Radiology

Components of the planning phase of the project included:

Explored the benefits of introducing a midline catheter into the health system
Explored options by networking with “best practice” hospitals
for practice
algorithms and devices which was vetted with IR and ICU colleagues
Evaluated midline benefits and options to include dwell times, utilization
&
expense metrics
A vascular access algorithm needed to be developed for use when consulting
all patients for PICC line access
A device needed to be chosen and piloted using the algorithm for decision-
making
and extensive nursing education would be required
Ongoing Assessment of value and pitfalls, making adjustments to insertion
techniques, supplies, care and maintenance.

The team established measureable goals for the project: selection, trial
and successful implementation of a
new process for midline catheter placements
by February 2015 and utilization of in-house CRNA to place
midline catheters
off-hours and weekends when IR is closed by August 2015. Metrics identified
to measure
the success of the project included:

Plan analysis for cost-effectiveness and efficiency;
Increased utilization of midline orders/volumes;
Financial savings identified through the use of midline catheters;
Reduction in number of patient transports from Stafford to MWH on weekends
for line placements; and
Increased ability to initiate treatment modalities faster.

Midline catheterization is an important intermediary option for peripheral
intravenous

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PICC / Midline Project | Mary Washington Healthcare

access. The tip of midline catheter terminates below the axilla
compared to a PICC
line’s tip which terminates above the right atrium.
This use of this catheter covers the
infusion window gap. Peripheral IVs
remain in place for 1-3 days. Midline catheters
may remain in place for
up to 28 days. Peripherally inserted central lines may
remain in place
for anywhere for time frames greater than 28 days. While less
invasive
than PICC, midline catheterization remains an advanced practice skill
that
requires placement under ultrasound guidance.
Termination of Catheter Tip

The project team consisted of 4 main phases. Phase I consisted of multidisciplinary
team meetings and development of a work plan that included the creation
of
vascular access practice algorithm (MWHC PICC / Midline Screening Tool
–
attached below); the trial new midline product in Interventional
Radiology; creation of
procedural note and billing forms; development
of nursing education, revision of
policies and ordersets; and formally
defining the CRNA support hours at both Mary
Washington Hospital and Stafford Hospital.

Phase II consisted of the development of the equipment kits for floor
midline placement and the evaluation
of equipment options. Factors included
in the evaluation of the equipment included: ease of use (time for
placement/insertion),
error rates, product interchangeability and cost. Additional actions in
this phase
included staff training on computerized order entry, CRNA education
related to the use of ultrasound and

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PICC / Midline Project | Mary Washington Healthcare

devices, formal expansion of the
CRNA scope of practice, identify and correcting billing opportunities,
and
expansion of in house CRNA coverage at Stafford Hospital. The administrative
components of
operationalizing this new model included the revision of
existing policies and ordersets, creation and
definition of billing and
CPT codes for Interventional Radiology and the CRNAs, and the creation
of an
algorithm for the PICC line reduction team. Finally logistical elements
were addressed prior to the project
go live. These included the completion
of an assessment of the current equipment used in Interventional
Radiology,
obtaining mobile ultrasound equipment for line placements outside of IR,
development of
standardized midline carts for line placement at the bedside,
collaboration with Supply Chain for
establishment of equipment PAR levels
on nursing units, in IR and on the midline carts; investigation of
procedural
device alternatives with the device vendors, outreach communication of
process redesign to
include community physicians, hospital medical staff,
case management and nursing, orderset build into
the electronic system.


The CRNA group was impacted the most with training. Several methodologies
were used in the training
approach classroom, one to one teaching, observation,
and skill validation. Both group and 1:1 training
approaches to education
were used. Content included:

Midline catheter device training using reference power points, development
of
a YouTube video-based demonstration, procedural placement checklist
Observated midline catheter placement in IR (NPs, Radiologists and
Technologists)
Ultrasound techniques and hands-on training

All 50 CRNAs attended an 8-hour ultrasound course
All 1:1 CRNA training facilitated by Mrs. Hagmaier for system-wide
consistency
in practice
CPOE Order Entry training

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PICC / Midline Project | Mary Washington Healthcare

Project Evaluation:

The two phased project timeline of Interventional Radiology implementation
of new
product go live February 2015 and CRNA model go live August were
successfully
achieved.

Initial Volume Data (as of 8/10/15):

Data for line placements from February 2015 through August 10, 2015 revealed
1143 (69%) PICC line placements and 521 (31%) Midline placements. Based
on the
defined placement algorithm the rate of conversion from initial
orders for PICC lines
to midlines was at 20.9%.

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PICC / Midline Project | Mary Washington Healthcare

Initial Financial Data:
Cost Comparison
A cost savings of $210.28 per midline placement was demonstrated yielding
a total
cost savings February 2015 – August 10, 2015 of $109,555.88.

The incidence of CLABSI was noted to have been positively impacted by
this
project.

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PICC / Midline Project | Mary Washington Healthcare

Overall, an increase in midline catheter placements has been noted with
CRNA
successfully placing over 30 lines during off hours in the 6 months
period after go
live. Both physician and nurse satisfaction has been noted
with the ability to perform
the midline placement at the bedside. Financial
savings were seen. Additionally, a
reduction in patient transfers from
Stafford Hospital to Mary Washington Hospital
solely for vascular access
occurred. Unexpected benefits of the project included the
additional option
of midline catheters placement at the bedside for unstable patients
that
would otherwise receive a more invasive line (central line) due to their
inability
to travel to IR and the availability of CRNAs to support IR
overflow thereby reducing
patient wait time for vascular access allowing
for faster initiation of ordered therapies
and collaboration and enhanced
teamwork between IR and the CRNA group.

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PICC / Midline Project | Mary Washington Healthcare

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles

Magnet Redesignation

Advancing Clinical Excellence

Stafford Hospital PACU Length of Stay

Discharge Follow Up Appointments

MWH NICU Golden Hour

Neonatal Hypoglycemia PI Project

Chemotherapy Safety

Stafford Hospital Endoscopy – Initial and Ongoing
Competency Validation

Compliance with Rapid Response Follow Up at
Stafford Hospital

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University of Mary Washington and Mary
Washington Healthcare Collaboration
PICC / Midline Project
Nursing At MWHC
Accomplishments
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General Inquiries:
540.741.1404
Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital
2300 Fall Hill Avenue
1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

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 About Us  2015 MWHC Nursing Annual Report  Nursing At MWHC

Nursing At MWHC

As the region's leader in healthcare, MWHC employs over 5,000 people
at two
hospitals and 28 healthcare facilities and wellness services.

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Mary Washington Hospital
MWH is a not-for-profit, 437-bed tertiary acute care medical center that
provides a
comprehensive range of health services to the residents of
Fredericksburg and
surrounding communities in central Virginia. The services
provided include:

Medical-Surgical services
Emergency services at two locations: the main Emergency Department
(ED)
on the MWH campus and the Emergency and Outpatient Center
at Lee's Hill

Heart and Vascular Center, including open heart surgery and minimally
invasive surgery
Level II Trauma Center
Neurosurgery
Neurodiagnostic Center
Sleep Disorders Center
Primary Stroke Center
Women’s Health Institute, including perinatology services, Labor
and Delivery,
Antepartum Services, Mother/Baby, Level III Neonatal Intensive
Care, and

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Nursing At MWHC | Virginia Healthcare System

board-certified pediatric hospitalist program staffed by practitioners
from
Children’s National Medical Center
Outpatient care programs, including Infusion Therapy, Physical Medicine
and
Rehabilitation
Imaging Services
Endoscopy Services
Orthopedics
Plastic and Cosmetic Surgery
Robotics Surgery Program

Stafford Hospital

Stafford Hospital is a not-for-profit, 100-bed community hospital conveniently
located
just off of I-95 at the intersection of Route 1 and Courthouse
Road. Accommodations
and services offered at Stafford Hospital lead the
region’s largest healthcare system
in comfort and the latest technology,
featuring:

All private rooms
State-of-the-art operating rooms
Dedicated 10-bed post-surgical unit with nurses experienced in post-surgical
care
Reference laboratory partnership with Mayo Clinic
Intermediate level nursery staffed by Children’s National Medical
Center
pediatric hospitalists
Breast Care Program, offering oncoplastic breast surgery
Outpatient Infusion Center
Cardiac and Interventional Radiology lab
1.5T Vantage Titan Ultra-short, open bore MRI

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Nursing At MWHC | Virginia Healthcare System

64-slice CT scanner with 3D images
High-definition laparoscopic video equipment
Fredericksburg Ambulatory Surgical Center
FASC offers the same sophisticated technology found at Mary Washington
Hospital.
Experienced surgeons and anesthesiologists are specially trained
in outpatient
procedures and most also practice at Mary Washington Hospital.
They are
supported by a highly skilled nursing and clinical staff. Our
surgery center is
accredited by the Accreditation Association of Ambulatory
Healthcare.




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Nursing At MWHC | Virginia Healthcare System

Mary Washington Hospice
Hospice is a very special kind of care and support service for anyone dealing
with a
life-limiting illness. We have learned that the earlier hospice
care begins the more
meaningful and beneficial the support is for patients
and their caregivers. Mary
Washington Hospice is about helping people
live comfortably with dignity, allowing
the patient and family to have
more meaningful days. Not all hospice programs are
the same. Mary Washington
Hospice offers:

Nursing services available on call 24 hours a day, 7 days per week
Effective pain management, with 98 percent of patients reaching an
acceptable
pain level within 48 hours of admission
Dedicated teams of compassionate professionals trained in end-of-life care
Complementary alternative therapy services such as art, massage and music
therapies
High patient and family satisfaction
A well-established
volunteer program

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Nursing At MWHC | Virginia Healthcare System

Relationships with area nursing homes and assisted living facilities

Mary Washington Home Health


Mary Washington Hospital Home Health has been providing quality home health
services to this region for over 30 years. As a part of Mary Washington
Healthcare,
we are held to the highest standards of quality care.


Mary Washington Home Health offers the following in-home care, all managed
by
your physician:


Skilled nurses who work with your doctor to provide comprehensive care
Rehabilitation services provided by physical, speech, and occupational
therapists
Registered dietitian to assist with any special dietary needs
Social workers who can assist with evaluations and identifying community
resources
Dedicated 24 hour phone line for patient and family support
Home health aides to assist with personal care needs

Regional Cancer Center

The Mary Washington Regional Cancer Center is committed to providing excellence
in cancer care close to home. We offer a full scope of multidisciplinary
services
required to screen, diagnose, treat, rehabilitate, educate and
support cancer patients
and their families. The Regional Cancer Center’s
offerings include free Cancer
Navigator services, stereotactic radiosurgery,
a gynecologic oncologist, and
radiation therapy with a RapidArc® linear
accelerator. Patients have convenient
access to care at multiple locations
in Fredericksburg and Stafford.

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Nursing At MWHC | Virginia Healthcare System

Snowden at Fredericksburg
Snowden at Fredericksburg provides inpatient services for all ages in our
recently
expanded, 40-bed community mental health hospital. We also offer
outpatient
programs for adolescents and adults. In addition, we treat
substance abuse through
an adult intensive outpatient treatment plan.
Heart & Lung Center
The Heart & Lung Center is an innovative concept that combines all
elements of
heart and vascular healthcare in one place for a better patient
experience.
Experienced physicians and clinicians work as a team to deliver
coordinated, high
quality care to patients from the first appointment
through recovery.
Wound Healing Center


The Wound Healing Centers at Mary Washington Healthcare are outpatient
programs dedicated solely to healing patients with difficult wounds. These
may be
wounds caused by diabetes, vascular problems, chronic infections,
pressure, minor
burns, spider bites or other traumas. The Wound Healing
Centers of Fredericksburg
and Woodbridge are among the few places in the
region to offer hyperbaric oxygen
therapy.

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Nursing At MWHC | Virginia Healthcare System

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles 

Nursing At MWHC

Accomplishments 

Overview

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Nursing Councils

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You Find?

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Latest Upcoming Read Video Patient
News Events Our Blog Center Forms

鷺

General Inquiries:
540.741.1404
Mary Washington Hospital:
540.741.1100

Stafford Hospital:
540.741.9000

LOCATIONS

Mary Washington Healthcare Mary Washington Hospital

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Nursing At MWHC | Virginia Healthcare System 1001 Sam Perry Blvd

Fredericksburg, VA 22401
2300 Fall Hill Avenue

Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

Mary Washington Health Alliance
For Associates

For Medical Professionals
Vendors

En Español
Admin Login

Site Map
HIPAA Notice of Privacy Practices
Notice of Non-Discrimination Practices

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Awards | Virginia Healthcare System

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Awards

 About Us  2015 MWHC Nursing Annual Report  Accomplishments  A…

Awards

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Awards | Virginia Healthcare System

2015 Spirit of Nursing Award Winner Katrina Smith RN – Staff Nurse, MWH
Surgical Intermediate Unit

2015 Nursing Teamwork Award Winner Shemia Hill LPN – Office Nurse, Mary
Washington Neurology

Gail Grimes RN – Staff Nurse,
Snowden at Fredericksburg

2015 Rookie of the Year Award Winner Lindsay Adams RN – Staff Nurse, SH 3
West

Home, Community, and Ambulatory Donna Hebb BSN RN – Case
Care Award Winner Manager, MWH Home Health

Community Service Award Winner Rebekah Strausbaugh RN – Staff
Nurse, MWH Cardiac Cath Lab

Excellence in Mentoring Award Winner Kathryn Nesmith BSN RN – Staff
Nurse, MWH Surgical Intermediate Unit

Patti McLeod BSN RN CAPA –
Perioperative Nurse Manager,
Fredericksburg
Ambulatory Surgery
Center

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Awards | Virginia Healthcare System Betty Ann Brooks MSN RN AACN –
Staff Nurse, MWH Cardiopulmonary
Exemplary Clinical Practice Award Health
& Fitness
Winner
Brittany Spicer MHA BSN RN CMSRN
Nursing Leadership Award Winner – Nurse Manager, SH 2 West/3 West

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles 

Nursing At MWHC

 Accomplishments

Awards

Daisy Award for Extraordinary Nurses

Certifications

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