hen Karen Pischke, R.N., quit smoking 14 years ago, hypnotherapyplayed a key role in her success. After numerous failed attempts usingother smoking cessation methods, it took the addition of hypnotherapyto her treatment plan to finally put an end to her 22-year-long, pack-a-day habit. Now a clinical hypnotherapist herself and a certified

tobacco treatment specialist, Pischke is putting her experience to work in a newresearch study at NSMC to determine how hypnotherapy can increase one’smotivation to quit smoking and lessen the urge to start again.

“Hypnotherapy brings the mind to a state of total relaxation using breathing andvisualization techniques,” says Pischke. “In this state, the mind becomes more opento suggestion and new ideas about the benefits of quitting can be introduced. The old

Toss it TuesdayImproving Patient Safety One Form at a Time

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Members of the HYPQUIT research study team (L–R): Ellen Bennett, C.R.T., T.T.S., Smoking CessationCounselor; Faysal Hasan, M.D., Medical Director of the NSMC Smoking Cessation Program; and KarenPischke, R.N., clinical hypnotherapist and tobacco treatment specialist.

nsmcNow!THE NEWS OF NORTH SHORE MEDICAL CENTER

NOVEMBER 2011

WTHE POWER OF SUGGESTIONNEW RESEARCH STUDY EXAMINES HYPNOTHERAPYAS AID IN SMOKING CESSATION

Susan Raviv cannot stress enough howimportant it is to keep all clinical forms usedto document patient care up-to-date. “These forms—and there are literallyhundreds of different ones currently incirculation representing different specialtiesand procedures—become part of a patient'spermanent medical record, so it’s both asafety and legal concern if people are usingforms that don’t meet current standards,”says Raviv, Director of Health InformationManagement and co-chair of the FormsCommittee. “Not only does NSMCmaintain a set of standards, so does the JointCommission. It’s everybody’s responsibilityto make sure that we are compliant.” To help in this effort, Raviv and othermembers of the Forms Committee will visitclinical areas throughout the Medical Centeron November 29 as part of their twice-yearlyToss it Tuesday event. The goal is to make sure

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Your forms are her business. Susan Raviv, Director ofHealth Information Management and Co-Chair of theForms Committee.

Using breathing and visualization techniques, Karen Pischke, R.N., a clinical hypnotherapist and certified tobaccotreatment specialist, helps smokers increase their motivation to quit and lessen the urge to start again.

Organized and identified. That’s how Roger Bailey, R.N., Nurse Manager in the UnionHospital Emergency Department, now describes

the medical supplies found in each of the 12 patient rooms on his unit thanks to a new inventory management program rolledout this past September.

“Everything in the cabinets and drawers is properly labeledand in its own individual bin, right at the nurses’ fingertips whenneeded,” he says. “We can easily identify if we are out ofsomething and restock as needed. Staff no longer has to leave thebedside in order to run off looking for supplies.” More time at thebedside, he adds, leads to higher patient and staff satisfaction andall-around better care.

“Common medical supplies have always been kept in the EDpatient care rooms at Union Hospital—as they are in patient carerooms throughout NSMC—but never with this high degree oforganization and monitoring,” says Jim Helps, Materials Managerat Union Hospital. It was Helps, along with a processimprovement team consisting of clinical staff from the Union EDand representatives from his department, who introduced the new

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patterns of thinking are disrupted withnewer, more positive thoughts. For me itmade all the difference.”

She is not alone. Long used as tool toassist people with various forms ofbehavioral modification, hypnotherapy has helped countless smokers to curb theirtobacco cravings over the years and iscommonly included in many smokingcessation programs. Due to a lack of clinicalresearch verifying its merit, however,hypnotherapy is not one of the cessationmethods currently recommended by thetobacco treatment industry.

This could change thanks to researchbeing conducted by a team at NSMC led by Pischke and pulmonologist FaysalHasan, M.D., Medical Director of theNSMC smoking cessation program, on theuse of hypnotherapy as an alternative tonicotine replacement therapy (NRT).

HYPQUIT continued from page 1

ED inventory control program after observing how muchvaluable time and resources were being devoted to the dailyhunt for mouth swabs, wash basins, bandages and othercommon items.

“In analyzing the situation, we found that staff memberswere making more than 600 trips per week to retrieve suppliesfrom the main ED medical supply room,” says Helps. “Thistotaled about 21 hours of time per week spent away from the bedside.”

MORE TIME FOR PATIENTSUnion ED Saves Time and Money with New Inventory Program

Bringing order to common bedside supplies in the Union ED are (L–R) RogerBailey, R.N., Nurse Manager in the Union Hospital Emergency Department, andJim Helps, Materials Manager at Union Hospital.

Toss It Tuesday continued from page 1

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that staff are using approved forms todocument patient care (weeding out anyold forms they come across in the process)and provide real-time education on how tofind and order forms through the NSMCintranet. “We understand that people are busyand that the last thing they want to worryabout is whether they’re using the correctform,” says Ralph McHatton, NSMCPharmacy Director and co-chair of theForms Committee. “That’s why we cameup with Toss it Tuesdays, to try andeducate staff members right in their ownunit. This way, we can see what forms theyare using, how they’re being organized andaccessed and provide tips on how to keeppatients safe using up-to-date forms.” In past years, Toss it Tuesdays haveturned up a variety of ‘rogue’ forms, saysMcHatton. “Usually it’s something basic,but we’ve also found homegrown forms thathaven’t gone through the proper channels ofapproval or that don’t meet current JointCommission standards. These are definitelya safety concern.” In addition to running the Toss itTuesday events, the Forms Committee alsomeets monthly to evaluate any new clinicalforms that have been proposed, overseerevisions to existing forms and manage allonline resources related to the ordering andusage of forms. For more information, please visit:nsmcconnect.partners.org/subwebs/FormsCommittee

Building on a successful smokingcessation study conducted between 2006and 2010 on the impact of hypnotherapyon patients hospitalized with a cardio-pulmonary illness, Dr. Hasan and Pischkeare now turning their sights to an

outpatient population. This past May, theirteam started a new study entitled“Hypnotherapy for Smoking Cessation:Factors for Improving Self-Motivation andEfficacy for Smoking Cessation” (orHYPQUIT for short) designed for smokersin the community willing to commit to aone-year program comprised of up to threehypnosis treatments, counseling andregular follow-up by phone. Funded by theNorman H. Read Charitable Trust, thestudy is offered free to all participants.

“In our first study, even though we hada relatively small sample size, one wouldhave expected the traditional NRTtreatment to do far better than hypno-therapy and it did not,” says Dr. Hasan.“The question we are asking in this newstudy is how will hypnotherapy, whenoffered at strategic intervals over the courseof a year, impact a smoker’s motivation toquit and enhance their prolonged success?”

Currently, 40 people are participating inthe study and the goal is to enroll a total of 120.

“I’ve seen the positive results thathypnotherapy can have both personallyand with my patients,” says Pischke.

“The empirical data may not be there tosupport it yet, but the evidence is growing.For us, it’s enough to know that somepeople have benefited from hypnotherapyto realize that this study is important.”

Would you like to participate in the HYPQUIT study? More volunteersare needed. e study includes freehypnosis treatment for smoking cessation,up to five on-site visits with a tobaccotreatment specialist and follow-up phonecalls. To find out if you are eligible toparticipate, or to learn more aboutHYPQUIT, call 978-745-4391 ext. 247.

“The question we are asking in this newstudy is how will hypnotherapy, whenoffered at strategic intervals over the courseof a year, impact a smoker’s motivation toquit and enhance their prolonged success?”[

Coming soon to a clinical area near you, membersof the Toss it Tuesday team (L–R): Ralph McHatton,Holly Foglietta, Dolores Benevento, LorraineKlimarchuk and Susan Raviv.

nsmcNow!THE NEWS OF NORTH SHORE MEDICAL CENTER

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Do you have news or ideas to share? Let us know. Contact editor Bill Ewing at 978-354-2161 or wewing@partners.org. NSMC Now! is produced by NSMC’s Department of Communications and Public Affairs.

Jackie Pariseau, L.P.N., Adult Inpatient Mental Health UnitIt’s not often that a person has a retirement party before they actuallyretire, but such was the case for Jackie Pariseau, L.P.N., this pastSeptember. Having worked at Salem Hospital for close to 50 years, herforever pending retirement has become something of a running joke withher family. Her daughter, Maryellen Doucette, R.N., NSMC Manager ofCase Management, who has been listening to her mother ruminate onthe next phase of her life for many years, thought it would be fun tothrow a surprise “I Am Going to Retire Soon” party and invite workfriends both past and present. Upwards of 70 people attended.

“It’s kind of embarrassing to have a retirement party while I’m stillworking, but I’ve been waiting for the right time,” says Pariseau, who

currently works the 11 p.m. to 7 a.m. shift in the AdultInpatient Mental Health Unit four nights per week. “Asthe people I work with say, you go when you’re ready togo and not before. I just haven’t been ready to go yet.” Pariseau has been working in the Adult InpatientMental Health Unit for the past 15 years and has alsoworked in the intensive care unit, maternity and in non-clinical positions over the decades, including severalyears in Food Services while in high school. “I’ll miss thepatients most of all and the people I work with,” she says of retirement. “I’ve made lots of friends andhad lots of laughs over the years. Salem Hospital has been a great place to work.” A longtime resident of Danvers, Pariseau grew up in Salem and attended the Beverly HospitalSchool of Practical Nursing before joining the staff at Salem Hospital. When she does finally retire, shehopes to travel and spent more time pursing her interest in antiques. “One of these days, I’m just goingto ask that I no longer be put on the schedule and that will be it. I’m not sure when that will be, but itwill happen some day.”

“I’ve made lots of friendsand had lots of laughsover the years. SalemHospital has been agreat place to work.”[

nsmcPeople

United Way Employee CampaignThe NSMC 2011 United Way employee campaign is currently under way and will run until November 18. All donations provide crucial funding and operational support to nonprofit agenciesacross the North Shore—this year with a special focus on the City of Lynn. Among the Lynn agenciesthat receive United Way support are: Girls Inc., Thrive in 5, Housing First and the Financial StabilityCenter. These organizations directly assist children in need, promote healthy families and respond toemergencies. All who donate this year will be entered in a raffle to win a prime parking spot for onemonth on the Union or Salem campuses. For more information, please contact Meg Wright at 978-825-6232.

Coleen Reid, M.D., Honored with Internal Medicine AwardColeen Reid, M.D., Chief of Hospice and Palliative Medicine, was honored thispast October as the sixth recipient of the annual NSMC Excellence in InternalMedicine Award. Dr. Reid was recognized for consistently providingcompassionate, evidence-based care to her patients and their families and forserving as a vital resource to the entire Medical Staff. This award is given by theMedical Center each year to a physician who has made a major contribution topatient care within the Department of Medicine.

Employee Assistance ProgramThe Employee Assistance Program (EAP) is aworkplace-based consultation, short-termcounseling, information and referral program foremployees and their families. The EAP offersassistance with all types of personal, family orwork-related concerns. For more informationcall 866-724-4327 or visit eap.partners.org.

Has Someone Made Your Day?“Made Someone’s Day?” is a simple and easyemployee recognition program to acknowledgeand celebrate service excellence at NSMC.Honor your colleagues: call 781-581-4567, e-mail NSMCRecognition@partners.org orsubmit an online recognition form found on the NSMCConnect homepage.

To rectify the problem, Helps and histeam implemented a formal system formonitoring, ordering, labeling anddisplaying the 70 common items found ineach patient room. The stock is now closelymonitored by the nursing staff andappropriate quantities of each item are kepton hand, no more or less than is needed.

“Materials Management is responsiblefor stocking the main ED supply room, butthe floor staff is responsible for stocking thepatient rooms,” says Helps. “This waspreviously done as time permitted, but nowthere’s a formal process in place and thestock in each room is monitored daily.”

To date, the new system has reduced theamount of time spent looking for suppliesdown to seven hours per week and Helpsthinks that number will continue to decreaseas the process is refined. Plans are underwayto bring the new system to the SalemHospital ED and other inpatient units.

The Union Hospital InventoryManagement Team was comprised of:Pauline Agnew, R.N.; Roger Bailey, R.N.;Joe Comora, Materials Management; BillConnors, Materials Management; AndreaDupuis, R.N.; and Jim Helps, MaterialsManagement.

Inventory continued from page 2

AchievementsTerry Newell, R.N., C.R.N.I., of the Union Hospital IV Team, has successfully passed the Infusion NursesSociety exam and is now a certified registered nurse in infusion therapy.