Sunday, November 30, 2014

CNA, success, congratulations and the will to succeed


California Nurses Association                                                                             November 30, 2014

National Nurses Organizing Committee (HQ)

2000 Franklin Street

Oakland, CA 94612

T. 510-273-2200

F. 510-433-2790

 

Re: Success, congratulations, and the will to succeed

To whom it may concern,

 As an advocate for the Prevention of Healthcare Associated Infections (HAI) in our Veteran’s Hospitals I would like to thank the California Nurses Association(CNA) for the key role your staff and membership played in the successful organization of labor at the Veterans San Diego Healthcare System, our Veteran’s here in San Diego will certainly benefit from a unified voice in my humble opinion.

Thank you  CNA for taking a leadership role in the increased readiness and interest  concerning potential Ebola outbreaks here in the USA and the response from the Great State of California  


 As a non-medical advocate, the powerful commitment to workplace and patient safety demonstrated by the CNA gives me confidence of a bright future in healthcare in the USA. As an advocate for the prevention of Healthcare Associated in our Veteran’s Hospitals, the only option as an advocate for the prevention of a preventable set of diseases is to support those who help others and the CNA being the logical choice.

 As demonstrated in the Ebola outbreak, leadership in USA healthcare is not what it could be, the Affordable Care Act is a good start concerning healthcare quality but at some point healthcare quality has to become a priority, the cure will not be eradicated by money, technology or legislation, HAI is not a “potential” threat, it kills and maims tens of thousands here in California annually let alone the unnecessary waste of tens of millions of tax dollars, concerning workplace safety, those catastrophic numbers are well known to your membership as well as the US Department of Labor.

 The technology(best practices) are already available, HAI is not an unknown threat and is preventable “today” should CNA commit itself and its membership, something I leaned in the US Marines, “a unit is only as strong as its weakest link”, the CNA is obviously not a “weak link”, the educational level of the average RN would place them as “officers”, “leaders”, and nothing I have observed lately both nationally or at our community hospital would challenge the leadership abilities of your membership.

 How does this help our Veteran’s, it already has, thank you CNA, I really appreciate it!        

Sincerely,

Michael H. Slavinski

 

Cc: The Honorable United stated Senator Dianne Feinstein   

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”


 

Monday, October 20, 2014

Infection Prevention, an open letter to the President of the United States


 

 

 

 

 

 

 

Honorable United States President Barack Obama                                           October 18, 2014                                                                              

The White House                           

Washington, D.C. 20500

 

Re: Infection prevention, Leadership and return on investment.

 

Honorable President Barack Obama,

 

Please allow me to thank you for your interest in patient safety for all of us in the United States, I really appreciate it. Injecting leadership into the current Ebola crisis is commendable but the situation has, in my humble opinion, exposed the void of leadership in the U.S. Healthcare Industry concerning Healthcare Associated Infection(HAI) exacerbated by lack of investment in Infection Prevention(IP) nationwide.

  Average Healthcare CEO tenure in the US healthcare industry is not far over three years, the impulse for these same CEOs to invest in capital improvements and staff reductions for short-term profit is understandable but needlessly dangerous to staff and patients.

 The mentioned business cycle of choice has had catastrophic consequences nation-wide, quality initiatives are barely mentioned in most board rooms, organized labor is viewed with distain and are usually “firewalled” from any recognizable participation in the decision making process and our national health institutions seem to lack the will or the leadership to influence change as demonstrated in the Ebola event, very bad decisions with very severe consequences. 

 Two healthcare staff contracted Ebola, thousands will lose life or limb here in the State of California this year due to HAI, a preventable set of diseases.

 Involving the Department of Labor to monitor workplace safety concerning HAI was a good start but I would recommend changing the tax codes to stimulate healthcare training and staffing, the correlation between understaffing and HAI and the development of “best practices for the prevention of HAI”, a systemic outcast, both alarming realities.

 Inaction would encourage CEOs to continue to cut staffing levels to dangerous levels and expose our citizens to increasingly vigorous HAIs,  a concept lost on those who wish us harm, a common weapon of choice in the dark ages, our vulnerability is frightening.      

 “Women are not good at multi-tasking” a comment from a PHD level clinician here at our community hospital, the fact that the clinician is a woman gives me hope that things are changing but much too slowly and these incremental gains conflict with the notion that organized labor is the “root cause” of HAI, they actually are the solution as demonstrated by National Nurses United standing up to the accusations of wrong-doing in the Ebola crises, the only healthcare leaders to do so, and I commend them for doing so.     

 

Respectfully,

 

Michael H. Slavinski

 

 

 

Page 2                 Infection prevention, Leadership and return on investment.

 

Cc:                                                                                                             

      

 The Honorable United States Senator Barbara Boxer

 

The Honorable United States Senator Dianne Feinstein

 

The Honorable Untied States Congressman Darrell Issa

 

The Honorable Governor Edmond G. Brown

The Great State of California

 

 

Mr. Charles Idelson,

Communications Director,

National Nurses United(California Nurses Association)

 

Mr. Sean Wherley

SEIU-UHW United Healthcare Workers West

 

Ms. Katie Phelan

National Organizer,

National Nurses United(California Nurses Association)

 

Ms. Teri Lynn Kiss

President, American Association of Critical Care Nurses

 

Dr. Mark Chassin

President, Joint Commission

 

Ms. Pam Kehaly

President, Anthem Blue Cross, Western Region

 

Mr. Austin Beutner

Publisher and Chief Executive Officer, Los Angeles Times

 

 

 

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars."

Sunday, October 5, 2014

California Nurses Association and Tri-city Healthcare District, a meeting for change?


Mr. Steven Mathews                               October 2, 2014

California Nurses Association

Tri-city Healthcare District

4002 Vista Way

Oceanside, CA 92056

 

 

Regarding: September 25, 2014 Board of Directors Meeting, TCHD

 

 

 

Dear Mr. Mathews,

 

 Please allow me to thank you and your membership for your input on issues vital to our community and Tri-city Healthcare District(TCHD), I really appreciate it as a pro-bono advocate for the prevention of healthcare associated infections in our Veteran's hospitals.

 In the eighteen minutes of testimony presented by California Nurses Association(CNA) members I learned more about TCHD than I have in the past year or so of attending Honorable Board meetings.

 Little do I know about the healthcare industry but finding solutions in chaos is not unique to the healthcare industry in my humble opinion.

 Profound knowledge gained for my advocacy is the passion expressed by  CNA members for the well-being of the patient regardless of circumstance.

 Opportunity for improvements, it was stated by one of your members that the current effort to standardize nurse-patient interactions was unappreciated, much like our industry, the very things which make us successful as machinists tend to work against us in society. Lets say you have 300 staff members, at the end of every patient engagement everyone agrees we will call the patient "worthless", (process standardization and repeatability), verify for conformance and check for results. The predictable results are a call for improvement, revise the final comment to "Mr. or Ms. worthless" and check for improvement. 300 staff members going in 300 directions in a highly chaotic environment have produced measurable results at TCHD, when G.M. visited Japan in the 80's, they did not find robots or massive tax incentives, they found a better way of doing things.

 Hopefully we will be seeing more of the CNA at the Board meetings at TCHD in he future, the new Efficiency and Effectiveness Initiative will require your collective input and the results should provide a clear path for future investment by TCHD Board members via the support of the CNA.

 Once again, thank you for your valuable time and input.

 

Sincerely,

 

Michael H. Slavinski                                    continued on page 2

 

 

 

 

 

                                                                           Page 2

 

cc:

 

 Honorable Board of Directors

 Tri-city Healthcare District

 

Ms. Katie Phelan

National Nurses Organizing Committee

 

Ms. Sharon Schultz, RN

Chief Nursing Officer, Chief Clinical Director, TCHD

 

San Diego office,

California Nurses Association

 

Jorge Palacios

Healthcare Associated Infections Program

Center for Quality Care

California Department of Public Health

 

Kristy Aylett

Communications Specialist

American Association of Critical-Care Nurses












ps Here is the actual meeting on September 25, 2014, part one and part 2, you will see the California Nurses Association members advocating in part 2. You will see me advocating for the proposed Initiative for quality and efficiencies, I was a little surprised the Honorable Board seemed to know nothing about it or why there was not a broad base of support for it, but hey, they do have public support!  


 



part 2
 





Saturday, September 27, 2014

California Nurses Association, Tri-city Medical District and a bright future!


Honorable Board of Directors,                                      September 26, 2014

Tri-city Healthcare District

4002 Vista Way, Oceanside, CA

 

 

Dear Honorable Board,

 

 Thank you for all that you do for others, I really appreciate it. The Board meeting on September 25, 2014 was unique in my humble opinion, the participation of the California Nurses Association hopefully will expedite the process of transforming Tri-city Healthcare District(TCHD) into one of the top healthcare facilities in the country.

 As challenging as it was, it is hopefully the beginning of organized labor becoming a vested partner in the common goals of all who support TCHD.

 Soon the Board will be receiving real-time analysis of the frequency and cost associated with Healthcare Associated Infections, re-admissions, medical errors and Patient Satisfaction and from the information presented to the Board, the numbers are substantial.

 As you as a Board attempt to respond to these losses(waste), as many other facilities have discovered, your efforts will be futile without organized labor as a partner.

 As uncomfortable as it may seem many of the listed sources of waste are associated with understaffing which may explain why your volume is going up but your profit is flat.

 At the stated meeting I saw far more common interest than contention and I do believe both sides witnessed the impedance to constructive conversation by both ambush politics and an ivory tower approach to leadership.

 The California Nurses Association is very unique as organized labor, their membership are highly educated, highly paid and highly motivated to accomplish a compassionate mission in addition to being able to articulate their needs as demonstrated at the meeting and due to all of the turmoil in both Leadership and the C-suite in the recent past may well explain their absence.

 To see the beginning of this engagement gives me hope of a bright future at TCHD, when the US Treasury sent its taskforce into G.M. a few years ago, they were stunned to find a highly motivated workforce committed to all of the modern process improvement techniques, they are still there today as both owners and partners in a common goal in a highly successful company.

 Soon TCHD will be driven by numbers, honest numbers that are the foundation of the Affordable Care Act and we need to stop talking about penalties and start talking about waste.

 Once again, thank you for your valuable time and all that you do for others. The California Nurses Association is a start, hopefully SEIU-UHW-west will follow.

 

Respectfully,

 

Michael H. Slavinski                                        continued on page 2






     cc                                                                              Page 2

 

Ms. Katie Phelan,

National Nurses Organizing Committee

 

Ms. Sharon Schultz RN

 Chief Nursing Officer, Chief Clinical Officer, TCHD

 

San Diego office

California Nurses Association

 

California Nurses Association, local TCHD

 

Jorge Palacios

Healthcare Associated Infections Program

Center for Quality Care

California Department of Public Health

 

Kristy Aylett

Communications Specialist

American Association of Critical-Care Nurses












ps  My advocacy for the Prevention of Healthcare Associated Infections in our Veteran's Hospitals, due to my lack medical knowledge, rarely places me in a position to use clichés, well this is my bog and therefore my rules,   "The proper tool for the proper job":






https://www.youtube.com/watch?v=xH27S1kTPkQ


The following, for those of you who live in North San Diego County, is some local footage.




https://www.youtube.com/watch?v=0NS5sbmqL9Q


 The following is a is part of my day job, play the CMUR video, it a less uninteresting than the first video, we make all of the hardware, we do not make weapons, think of it more of the biggest X box your tax dollar can buy! Apparently, the training is all about "scanning",  we make mounts for "lipstick" cameras, you will look through a  mounted to the site and the camera is mounted perpendicular to the prism so the trainer can view where the operator is "scanning". Technically, we are not making weapons but we might be giving your kid get the  jump on the bad guys! These products run on the same machines we make our ventilator components on.


http://www.tacticalmicro.com/


   

 

 

Efficiency and Effectiveness Initiative


To: The Board of Directors                                                   September 24, 2014

        Tri-City Healthcare District-Administration

        4002 Vista Way

        Oceanside CA 92056                       

 

Re: Support for the  Efficiency and Effectiveness Initiative

 

Dear Honorable Board of Directors,

 

Please allow me to express my humble support for the Efficiency and Effectiveness Initiative, all aspects of this proposal will have a profound impact on patient safety, throughput, satisfactions and staff morale. The return on investment concerning quality initiatives such as your proposal are well documented.

 As an advocate for the Prevention of Healthcare Associated Infections(HAI) in our Veteran’s Hospitals, a HAI free facility will become just that much closer to reality by having facilities such as Tri-city Healthcare District to highlight as a path to success and I would encourage you as a Board to learn from this investment and commit yourselves to better patient outcomes and system wide efficiency.

 This investment should also build confidence in your staff, at all levels, of your commitment to quality patient care and inspire them to take Tri-city Healthcare District to the next level, one of the top healthcare facilities in our country concerning patient safety, workplace safety, patient satisfaction and healthcare efficiencies.  

 How does your commitment to quality help our Veteran’s, it already has, I direct attention to your achievements  here at TCHD on a regular basis and I am very excited about the commitment to quality expressed and proven by not only the Honorable Board but also the entire staff which I would consider very capable to be one of the top healthcare facilities in the country in the near future.

 

 

Respectfully,

 

Michael H. Slavinski

Sunday, August 10, 2014

"Transparency in our Veteran's Healthcare System"


California Nurses Association                                                                             August 10, 2014

National Nurses Organizing Committee (HQ)

2000 Franklin Street

Oakland, CA 94612

T. 510-273-2200

F. 510-433-2790

 

Re: V.A. San Diego, California Nurses Association

To whom it may concern,

 As an advocate for the Prevention of Healthcare Associated Infections (HAI) in our Veteran’s Hospitals I would like to not only thank but also support the efforts of the California Nurses Association to form a Union at the Veteran’s San Diego Healthcare System(VSDHS).

 My interest as an advocate are simple, the “transparency” originally included in the U.S. House bill supporting our Veteran’s medical care has been removed in committee.  As a veteran and a San Diego resident the media convinced me as an individual that the VSDHS was virtually without issue concerning the recent systematic problems at the VSDHS only to find the efforts of the CNA to highlight to plight and support the staff void of any collective voice.

 In return for my unbiased support for the efforts of the CNA to form a collective voice at the VSDHS I would request that the CNA begin a focused campaign within your membership to emphasize the need for every healthcare staff member to assume a leadership role, up, down, 360 degrees around for the Prevention of Healthcare Associated Infection in our hospitals for increased patient safety, efficiencies and workplace safety, this leads us directly to the term “patient as a customer”, a top priority of the Affordable Care Act and now virtually the “bottom line’ for any healthcare facility in the California in my humble opinion.

 Perhaps the first place to start your efforts is to include a link the outstanding work of the California Department of Public Health’s ‘Database of Best Practices for the Prevention of Healthcare Associated Infections’, it is free to all to use and challenge  due the freedom of information act:  


and my first stop will more than likely be Honorable United States Senator Feinstein’s office to ensure the vote has no impendence denying the staff at the VSDHS to form a collective voice.

 How does this help our Veterans, perhaps the question should be how does this not help our Veterans?

Sincerely,

Michael H. Slavinski

Cc:

The Honorable United stated Senator Dianne Feinstein    

 

 

"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars”

Saturday, June 28, 2014

"Veteran's Access to Care through Choice, Accountability, and Transparency Act of 2014" Honorable Senator Bernie Sanders(I-VT) and John McCain(R-AZ)


U.S. Congressman Darrell Issa                           June 28, 2014

1800 Thibodo Road

Vista, CA 92081

 

 

re: Support for our Veterans - "Veteran's Access to Care through Choice, Accountability, and Transparency Act of   2014" Honorable Senator Bernie Sanders(I-VT) and John McCain(R-AZ)

 

 

Dear Congressman Issa,

 

 Please allow me to thank you and your entire staff for all that you do for the country we live in, I really appreciate it. Unfortunately at this time, those that gave to our country are now in need of your support.

 As a pro-bono advocate for the Prevention of Healthcare Associated Infections(HAI), a preventable set of diseases according to the U.S. Department of Health and Human Services,  in our Veteran's Hospitals over the past few years has been a challenge.

 As an advocate I look for solutions and unfortunately the only solution on the table today is:


 "Veteran's Access to Care through Choice, Accountability, and Transparency Act of   2014" Honorable Senator Bernie Sanders(I-VT) and John McCain(R-AZ)

 

 The details are described in a letter of support from the Honorable Senator Feinstein is enclosed for your convenience. 

 Please support the above listed bill, any line item will help and all would be better, HAI would fall under the more recent accused "cheating on quality reporting", HAI rates not only represent the loss of life and limb but are also an enormous source of fiscal waste, wait times have taken the lives of many Veteran's, HAI has taken exponentially more.

 As a concerned Veteran and taxpayer I would ask you and your office to do all possible to help our Veteran's Hospitals improve safety and efficiencies and as a humble advocate I will thank you for your efforts.

 

Respectfully,

 

Michael H. Slavinski








continued on page 2










page 2


 


Cc:


 


The Honorable President of the United States Barack Obama                                                                                                            


      


 The Honorable United States Senator Barbara Boxer


 


The Honorable United States Senator Dianne Feinstein


 


The Honorable Untied States Congressman Kevin McCarthy


 


The Honorable Untied States Congresswoman Lois Capps


 


The Honorable California Governor Edmond G. Brown


 


The Honorable California Senator Mark Wyland


 


The Honorable California Senator Ed Hernandez


 


The Honorable California Senator William W. Monning


 


The Honorable California Assembly member Rocky Chavez


 


The Hohorable California Assembly member Katcho Achadjian 


 


Mr. Eddy W. Hartenstrin


Publisher and Chief Executive Officer, Los Angeles Times


President and Chief Executive Officer, Tribune Company


 


 


 
"If we can improve the quality of care, that will translate into lower cost," Anthem President Pam Kehaly said. "These are real dollars."
 

Wednesday, June 25, 2014

The Honorable Senator Feinstein and the U.S. Senate!


 
Dear Mr. Slavinski:
 
Thank you for sharing with me your concerns regarding the quality of care veterans receive at the Veterans Affairs (VA) health facilities.  Your correspondence is important to me, and I welcome the opportunity to respond. 
 
I share your outrage regarding the long appointment wait times for veterans at VA health facilities and what seems to be a culture of covering up these wait times and waitlists by VA employees.  I strongly believe that Congress and the federal government must do more to honor the sacrifices of veterans and their families, including ensuring that every veteran has access to the health care services they need. 
 
I am deeply concerned that an audit released by the VA on June 9, 2014 indicates that more than 20,000 veterans in California are waiting over 30 days for a medical appointment.  Additionally, the audit shows that nearly 7,000 California veterans are on waiting lists to schedule their medical appointment.  It is unacceptable that veterans are forced to wait months for medical appointments, and I strongly believe Congress must act quickly and decisively to pass legislation to address this situation. 
 
You may be interested to know that on April 30, 2014, I wrote a letter to the VA Acting Inspector General Richard Griffin calling for an expansion of the investigation into the Phoenix VA Health Care System to determine if similar problems were prevalent at other VA health care facilities.  Additionally, I sent a letter to VA Acting Secretary Sloan Gibson expressing my concerns about medical appointment wait times at California VA facilities, and urging him to take immediate action to ensure California's veterans can access the medical care they require and deserve. 
 
I am pleased to have supported the "Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014," which passed the Senate on June 11, 2014 by a vote of 93 to 3.  This bill, introduced by Senators Bernie Sanders (I-VT) and John McCain (R-AZ), would improve veterans' access to VA medical services and is currently awaiting consideration by the House of Representatives.
 
The "Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014" would reform VA health care access by:
 
· Allowing for the immediate removal of Senior Executive Service officials due to poor job performance. 
 
· Allowing the VA to quickly hire new physicians, nurses, and clinical staff.
 
· Requiring the Department of Health and Human Services to evaluate and rate VA hospitals on health care quality.
 
· Providing the VA with resources to lease 26 major medical facilities.  The proposal includes leases for four California facilities in Chico, Chula Vista, Redding, and San Diego.
 
· Allowing veterans to access care through non-VA providers if the VA cannot give a timely appointment or if a veteran lives more than 40 miles from the closest VA medical facility. 
 
· Establishing Commissions on Access to Care and Capital Planning to explore long-term solutions to provide veterans with high quality and readily accessible medical care. 
 
I commend my colleagues in the Senate for working together to get this bill passed.  I believe it is a big step toward fixing the systemic problems within the VA and provides the resources to have real accountability within the VA, from top to bottom. 
 
Please know that I have carefully noted your concerns, and I will keep them in mind as I continue to review the Inspector General's on-going investigation of the VA health care system and as Congress works to find solutions to help improve health care access to our nation's veterans. 
 
Once again, thank you for taking the time to write me.  I hope you will continue to keep in touch with me on issues of importance to you.  If you have any further questions or comments, please do not hesitate to contact my Washington, D.C. office at (202) 224-3841.  Best regards.


Sincerely yours,


  Dianne Feinstein
         United States Senator

Further information about my position on issues of concern to California and the nation are available at my website, feinstein.senate.gov.  And please visit my YouTube, Facebook and Twitter for more ways to communicate with me.

Sunday, June 22, 2014

Orginizing for the prevention of Healthcare Associated Infections!


California Nurses Association                                                                             June 22, 2014

National Nurses Organizing Committee (HQ)

2000 Franklin Street

Oakland, CA 94612

T. 510-273-2200

F. 510-433-2790

 

Re: Organizing for the Prevention of Healthcare Associated Infections!

To whom it may concern,

 Thank you very much for all that you and your membership do for the wellbeing of the residents of California, I really appreciate it. The battle to prevent the needless loss of life and limb and the tremendous fiscal waste in the state of California associated with Healthcare Associated Infections(HAI), a set of preventable diseases according to the US Department of Health and Human Services, lies in the hands of each and every healthcare staff member.

 HAI will not be prevented on a large scale in California without the efforts and leadership contributed by organized labor.

 Our kid recently completed a tour in the US Peace Corps in Sirigu, Ghana, Africa, her mission was to “organize” and “educate” concerning resource management and sustainable agriculture as part of the Masters international program for environmental policy at Bard College, one of the top environmental policy schools in our nation.

 Ok, no clue, trust me, grandma just said “liberals”. The focus is the indigenous  sheabutter industry , employing exclusively women in a nearly impossibly conditions, the rainy season the first year was three months late, misquote nets had not been available to the locals in years with predictable consequences.

 Why would a top notch environmental school be interested in a project like this? First of all, here is what the industry in Sirigu looks like:


What was accomplished? From all that I know and not in my words, “poverty is the greatest threat to the environment”. Next, get outside of the box, what you are looking at is “sustainable agriculture”, when you buy sheabutter products, you know where it comes from and as you can see, it all starts with “organizing”. Healthcare workers are “organized”, the women In the video were trained in the value of quality, should California Nurse Association   choose to educate their members in quality and safety in the workplace here is where to start:

 


 Did our kid accomplish anything, guess so, her thesis won an award along with cash and her work will be included in the curriculum at Bard and her professor will be in Ghana shortly for investigation.

 Obviously, the environmental movement is not waiting for the technological revolution or some other form of grand invention, why should healthcare be? The ACA has opened a lot of doors and exposed our healthcare system for what it is, needlessly dangerous and expensive.

 Ok, the revolution in the sheabutter industry has had a little help, S.A.P. did set up a pro-bono pricing network so the local groups did not have to rely upon local buyers for market conditions. The “magic beans” for the prevention of HAI exist, they work at our community hospital, their goal is not to “reduce” HAI, it is to “prevent” HAI, that simple but I do n=have to admit the new work getting healthcare in the "cloud" is pretty promising.

As an advocate for the prevention of HAI  in our Veteran’s Hospitals, your efforts will help our Vet’s but then again how can a 21 year old kid give a community hope?

 Once again, thank you and the entire membership of the California Nurses Association for your efforts to help others.

Best regards,

 

Michael H. Slavinski                                              http://h-a-i-5.blogspot.com

 


 

AB2616

 

Sunday, June 15, 2014

Preventing Healthcare Associated Infections in the workplace!


California Nurses Association                                                                             June 15, 2014

National Nurses Organizing Committee (HQ)

2000 Franklin Street

Oakland, CA 94612

T. 510-273-2200

F. 510-433-2790

 

Re: Preventing Healthcare Associated Infections in the workplace!

 

To whom it may concern,

 Thank you very much for all that you and your membership do for the wellbeing of the residents of California, I really appreciate it. The battle to prevent the needless loss of life and limb and the tremendous fiscal waste in the state of California associated with Healthcare Associated Infections(HAI), a set of preventable diseases according to the US Department of Health and Human Services, lies in the hands of each and every healthcare staff member.

 A study published in the May, 2014 American Journal of Critical Care published by the American Association of Critical Care Nurses:

 Adherence to Institutional- Specific Ventilator- Associated Pneumonia Prevention Guidelines(one of the HAI)

Conclusion

The most consistent facilitator of adherence to guidelines for prevention of ventilator-associated pneumonia was nurses’ positive attitude toward the guidelines. (American Journal of Critical Care, 2014:23:201-215)

 The deal cut to stop lobbying for the cap of Healthcare CEO compensation did not bode well for us not in healthcare but forced to pay for it, AB 2616 (SKINNER) may be a chance for redemption should the California  Nurses Association chose to start  education your member concerning their role in the prevention of HAI state wide. Provided wee all work together, the bill should cost nothing, MERSA should not exist today in the workplace.

As an advocate for the prevention of HAI in our Veteran’s Hospitals, your efforts will help our Vet’s, I will have something to point at much as I do with the American Association of Critical Care Nurses.

 Once again, thank you and the entire membership of the California Nurses Association for your efforts to help others.

Best regards,

 

Michael H. Slavinski                                              http://h-a-i-5.blogspot.com

 


 

 

Ps Our family adopted country, Ghana, Africa via the US Peace Corps and now via Anthem Blue Cross “GeoBlue” will be playing the USA in the World Cup Soccer match tomorrow night 6/14/2014. Here is a chance to meet the boys, the drums are actually playing a “double beat” very difficult to play, very complex, the team are the “Black Stars”, from their flag. Our kid is now a contractor in the shea industry, north West Ghana, the good part, fist task, find out where the Boko Haram are not operatingL

 These people smile no matter what, we could all learn from them and please do not tell the Vets I am looking Black stars all the way, and yes, Ghana is the birthplace of our modern music.