Bon Secours St. Mary's Hospital

Bon Secours St. Mary’s Hospital is one of the four demonstration sites working on the prevention of pressure ulcer project with the Nurse Safety Scholar-in-Residence.

Overview Situated in Richmond, Virginia’s West End, St. Mary’s enjoys a solid reputation as a Richmond tradition by caring for patients for over forty years. The 391-bed acute care hospital campus also features additional medical office buildings, an on-site childcare center and diagnostic services.  Bon Secours St. Mary’s Hospital, part of Bon Secours Health System, has a commitment to quality and safe care for its patients in accordance with the Bon Secours Health System values and mission, “Good Help to Those in Need®.”  The Bon Secours Center for Clinical Excellence brings together clinical leaders across our health system to facilitate and guide the direction of bedside practice to achieve our collective vision of Clinical Transformation. Three institutes for practice and innovation are part of the Center: The Institute for Nursing Practice, Patient Safety and Clinical Informatics. Each entity is working in collaboration with St. Mary’s Hospital, and all Bon Secours facilities, to ensure the highest quality of care is achieved and sustained across all settings. With our currently selected initiatives for Clinical Transformation, the prevention of hospital-acquired pressure ulcers has been identified as a focus for improvements in care delivery to achieve “excellent outcomes for every patient every day.” We are dedicated to improving the safety of our patients by reducing and/or eliminating hospital-acquired pressure ulcers through evidence-based practices and research.  Bon Secours Health System, headquartered in Marriottsville, Maryland, a $2.9 billion not-for-profit Catholic health system, owns, manages, or joint ventures 18 acute-care hospitals, one psychiatric hospital, five nursing care facilities, five assisted living facilities, and several home care and hospice programs. Bon Secours’ more than 21,000 caregivers help people in ten communities in seven states, primarily on the East Coast.

Bon Secours St. Mary's Hospital Barbara Ragland, Clinical Nutrition Manager and Sonja "Sam" Kees, RN, MS, ACM, Clinical Nurse Specialist

• Heart and Vascular Institute – Medical and surgical cardiac services
• Children’s Services– Full-scale children's health services 
• Women’s Health – Full spectrum of obstetrical, gynecological and diagnostic care
• General Surgery – All types of general surgeries including vascular, gastric, laser, reconstructive, plastic, and urological procedures
• Orthopaedic Institute – Prevention, assessment, treatment and rehabilitation of musculoskeletal injuries and diseases
• Stroke – Gold Seal of Approval as a Primary Stroke Center from The Joint Commission  
• Cancer Institute – A multidisciplinary team provides comprehensive treatments and support, including the Trilogy Stereotactic System and The Cullather Brain Tumor Quality of Life Center.
• Bariatric Center – Bariatric Surgery Center of Excellence as rated by the Surgical Review Corporation.  
• Spine Institute- Diagnose and treat acute spinal disorders using the newest techniques and procedures.  
• Neuroscience Institute – Offers 24/7 acute stroke care, neurosurgery, and interventional neuroradiology
• Outpatient Infusion Center – Services include chemotherapy, antibiotic therapy, and administration of blood products

Awards and Recognition – Bon Secours St. Mary’s Hospital 

     • First community hospital in Richmond to receive the American Nurses Credentialing Center Magnet Designation™
     • Gold Seal of Approval for Acute Myocardial Infarction and Heart Failure care programs from The Joint Commission
     • Gold Seal of Approval for Stroke care from The Joint Commission and designation as a Primary Stroke Center
     • Voted “Best Place to Have a Baby” by Style Magazine
     • Top 10% of healthcare facilities nationally for Emergency Care
     • Gold Seal of Approval from The Joint Commission
     • Comprehensive Community Cancer Center approved by the American College of Surgeons Commission on Cancer

Visit Bon Secours St. Mary’s Hospital via its Website:   www.bonsecours.com.
Visit Bon Secours Health System’s Website at www.bshsi.org.

The SMH Pressure Ulcer Prevention team

This team is an interdisciplinary group led by Diane Whitworth, RN, CWOCN, and facilitated by Sonja “Sam” Kees, MS, RN, CNS, working on multiple action items focused on elimination of hospital acquired pressure ulcers. 

Representation on the team includes the following:

Pressure Ulcer Documentation
     • Revised weekly and “handover” reporting tools and communication using SBAR format
     • Shared physician and nursing “Admission Pressure Ulcer Documentation”
Bon Secours and SMH Clinical Transformation for optimal patient quality care & outcomes
     • Focus on Physician and Nursing documentation and education
     • Evaluation of current outpatient assessment including skin assessment, pressure ulcer risk, pain management, patient safety/mobility, nutrition, and potential for abuse/neglect
Hospital acquired pressure ulcer “critical event analysis” tool and process
     • Collaboration of WOCN’s, Physician, Nursing, Quality, Risk Management, Coding, & CDMP
Admission points of entry (including OR & ED) assessment & interventions
     • Education re: present on admission (POA) assessment & interventions
     • Improved documentation
Partnering with Virginia’s Quality Improvement Organization (QIO), Virginia Health Quality Center (VHQC), for CMS 9th Scope of Work (SOW) re: regional workshops and  monthly Cross Setting Meetings with Hospitals & Long-term Care Facilities re:
     • Education re: assessment and plan of care
     • Communication and identified processes
     • Patient transfers/”handovers” (SBAR format)