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Left to right, seated; Elizabeth Radsliff, Betty Clark, Deborah Buchanan,Shirley DaRosa, Steve Robinson, Alice Zeboski, Christine EdwardsLeft to right, middle row; Nicola Smith, Pam Mooney, Christine Williams,Joan Mallum, Maile Mauer, Linda Cooke, Cathy Adamson, Cindy Vasquez,Elvie Balinsat, Jared QuintonLeft to right, back row; Denette Valencia, Joleen Lonigan, Jackie Stocking,Jerry Bambao, Miguel Medina, Marilea Higdon, Debbie Glaeser, Alicia Loftin,Karen KouretasMarilea Higdon, RN, CCRN, Quality and Safety Champion, MICUMarci Hoze, RN, BSN, MPA, Pulmonary Lab, Apheresis, PICC, and AIM Nurse ManagerCharles Johnston, RN, BSN, Quality and Safety Champion, Burn UnitHolly Kirkland Walsh, RN, FNPc, GNPc , Wound Care NPKaren Kouretas, RN, MSN, Davis 11 Nurse ManagerRose Lamberth, RN-C, BSN, T4Alicia Loftin, RN, D11Joleen Lonigan, RN, MSN, NE-BC, Patient Care Resources Nurse ManagerJoan Mallum, RN, MICUMaile Mauer, RN, BSN, Quality and Safety Champion, CICUChristopher McKinnly, RN, BSN, Quality and Safety Champion, D8, D11, D14, E5, E8, and T4Karen Mondino, RN, MSN, CTICU and SICU Nurse ManagerEric Moore, RN, BSN, MBA, NEA-BC, E8 Nurse ManagerPam Mooney, RN, MSN, CNS PediatricsJamie Myers, RN, MSN, Quality and Safety Champion, EDMarsha Nelson, RN, Manager CQICheryl Patzer, RN, MSN, T8Christine Pineda, RN, MSN, T8 Nurse ManagerElizabeth Radsliff, RN, MSN, PNP-BC, Center for Professional Practice of NursingBonnie Raingruber, RN, PhD., Center for Nursing ResearchSherri Reese, RN, BSN, CIC, Infection PreventionBeverly Smiley, RN, BSN, CPHQ, Clinical Quality Improvement and Patient SafetyNicola Smith, RN, BSN, Patient Care ServicesPam Soares, RN, Same Day Surgery CenterOleg Teleten, RN, BSN, WCC, Patient Care ResourcesEmily Torres, RN, BSN, Quality and Safety Champion, NSICUCynthia Vasquez, RN, E4Denette Valencia, RN, MPA, CCRN, CICU Nurse ManagerHolly Vierra, RN, BSN, COS, Home Health ServicesChristine Williams, RN, MS, Emergency Department CQICheryl Wraa, RN, MSN, Manager Trauma ProgramAlice Zeboski, RN, HIMAd Hoc Members: Jared Quinton, Program Director, Lean Six SigmaLinda Moore, RN, MSN, PCS AnalystPat Brown, RT, Manager Respiratory CareTheresa Arciniega, LCSW, Social ServicesResearch CouncilBarbara Rickabaugh, RN, MSN, NE-BC, Center for Nursing Research (chair)Amy Zausch, RN, MSN, Emergency Department (co-chair)Eunice Carlson, RN, BSN, E6 and D6 Nurse ManagerHelen Chester, RN, BSN, Patient Care ResourcesKelly Colburn, RN, BSN, E6Gail Easter, RN, MSN, Director, Hospital and Clinics, PCSChristine Fonseca, RN, BSN, OCN, Adult InfusionRevena Gantuangco, RN, MSN, MICUKathleen Guiney, RN, MN, Nurse EducatorJeanette Hess, RN, BSN, Pulmonary Services LabJennifer Malana, RN, BSN, Women’s PavillionSanaz Martin, RN, MS, E6Monica Miller, RN, BSN, CCRN, MICUEric Moore, RN, BSN, MBA, NEA-BC, E8 Nurse ManagerPatti Palmer, RN, MS, AONCNSCarolyn Parrish, RN, MSN, Perioperative ServicesSherri Reese, RN, BSN, CIC, Infection PreventionAnn Siever, RN, MA, CORLN, CNSLen Sterling, RN, BSN, MBA, Burn Unit Nurse Manager4Professional GovernanceLeft to right, front row; Len Sterling, Sanaz Martin, Kelly Colburn, Patricia Palmer,Jennifer Malana, Revena GantuangcoLeft to right, second row; Eric Moore, Helen Chester, Monica Miller Jeanette Hess,Barbara Rickabaugh, Amy Zausch, Gail EasterLeft to right, back row; Christine Fonseca, Sherri Reese

Empower our communityKnights LandingCommunity EngagementProject (KLCEP)Community PreventionChristy Adams, RN, BSN, MPH / Trauma Prevention CoordinatorMotor vehicle collisions are a leading cause of injury and fatalities among adolescents.Teen drivers also account for three times as many fatal crashes as all other drivers.In an effort to reduce the number of young driver fatalities that occur every year, theGovernor’s Highway Safety Association (GHSA) is developing a new publication thattakes a case study approach to teen driving. Intended to serve as a “best practice”manual, the publication will guide states in the development of successful teen drivingsafety programs. This project will utilize the expertise of traffic safety, law enforcement,and public health and health care professionals from states that have shown promisingadvances in teen driving safety initiatives.In 2011, the GHSA Teen Safe Driving project invited Christy Adams, RN, BSN, MPH,Trauma Prevention Coordinator, to join the 12 member expert panel formed to overseethe development of the publication. The panel convened via teleconference for the firsttime in September of 2011 and is expected to contribute an additional 15-20 hours tothe project during 2012. As the only registered nurse and health care professional onthe panel, Christy is able to provide expertise on motor vehicle collision trauma andadolescent development. Additionally, her master’s degree in public health has allowedher to contribute a public health perspective on prevention to the project.Christy believes she was invited to participate because of her health care backgroundcombined with her recent work in traffic safety in the State of California. TraumaPrevention Programs at UC Davis Medical Center have partnered closely with theCalifornia Office of Traffic Safety (OTS) over the last decade and we have received over 4 million in grant funding for traffic safety projects during that time. The most recentgrants, for which Christy was project manager, were the Adolescent Screening and BriefIntervention study (2008-10) and the Building Community Based Injury PreventionPrograms initiative (2009-10). Christy has also coordinated and participated in anumber of teen driving specific initiatives including the Every 15 Minutes programs,Impact Teen Drivers, the California Teen Safe Driving Coalition, and the StrategicHighway Safety Plan, challenge area 6 (Reduce Youth Driver Fatalities).The Knights Landing Community EngagementProject (KLCEP) represents the combinedinterests of a University of California, Davis(UC Davis) Assistant Professor of ChicanoStudies, UC Davis medical students, andUC Davis undergraduate students to use acommunity-centered approach to serve asadvocates of the underserved farm workingcommunity within Knights Landing,California. The rural community of KnightsLanding has suffered a significant loss ofresources in the recent years that adverselyaffected its health in multiple ways.In response, a group of predominantlymonolingual, Spanish-speaking, farm workerhousewives and mothers in Knights Landingsurfaced as leaders, urgently expressingthe need for accessible health care in theircommunity. In an attempt to addressthe women’s voiced priority, the KLCEPpartnered with the Rural-Program in MedicalEducation (Rural-PRIME) of the UC DavisSchool of Medicine, the Yolo Family ResourceCenter (Yolo FRC), and the CaliforniaRural Legal Assistance Foundation (CRLAFoundation). Together they successfullypersuaded Clínica Tepati, a UC Davis Schoolof Medicine non-profit, student-run clinic,to allow the KLCEP to plan and establisha student-run clinic, Clínica Tepati’s firstsatellite clinic, in Knights Landing.UC Davis nurses Tina Dipierro, RN, MSN,NE-BC and Marci Hoze RN, BSN, MPA,joined efforts to see how nurse volunteerscould also assist the Knight’s LandingCommunity. Initial strategies for nursingwill be to perform triage, phlebotomy andeducation. In planning, it was essentialto remember that the clinic is influencedby the community and was establishedbecause of the advocacy of the self-formedKnights Landing women’s group. The clinicserves the community based on their needsrather than perception of needs. Sundayswere chosen as the day to operate theclinic by the women’s group because of themen’s field work hours being MondaySaturday. The clinic will open its door inthe beginning of 2012 and offer local healthcare to this underserved community.Empower our Com munit y5

Trauma Outreach andPrevention ProgramThe Trauma Outreach and Prevention Program is dedicated toreducing trauma related death and injuries in the greater Sacramentoarea. Most unintentional injuries and deaths, such as those thatresult from reckless driving or improper use of a child safety seat,are preventable. The goal of this program is to facilitate evidencebased environmental and behavioral changes that promote safetyand reduce the risk of injury in both pediatric and adult populations.Trauma Outreach and Prevention Program staff partner withschools, community centers, private organizations and governmentagencies to create community based injury prevention projectsthat are relevant to the local residents. In 2011, the traumaprevention program reached over 18,500 parents and children inthe Sacramento region through safety education and distributionof resources. With a program staff of one registered nurse, a childpassenger safety instructor and a health educator this level ofcommunity outreach would not be possible without the support ofthe hospital nurses who volunteered their time to join in outreachactivities. The program provides a wide variety of outreachopportunities for UC Davis Health System nurses, ranging from theEvery 15 Minutes program to child safety seat inspection events.Much of the work supporting the outreach efforts is provided bythe community itself through essential partnerships with numerousFamily Resource Centers in the area such as Birth & Beyond, andThe Effort clinics.Although preventing injuries from occurring is a priority, themission of the trauma prevention program extends beyond theimmediate safety needs of residents in the greater Sacramento area.Centered on a public health framework for prevention, the outreachprogram incorporates injury prevention awareness and educationfor both current and future health care professionals. The2011 Child Passenger Safety Outreach through December 31OutreachHealth System Car Seat ClassesListed below is a 2011 summary of Trauma Outreach andPrevention Program events.2011 Helmet Safety Outreach through December 31OutreachClassroom presentationsNumber 65198,7000Number 50961844616,7224,863Health and safety fairs18186189OutreachHelmet Fitting Events200Bicycle rodeo2Helmet training for educators81,117Car seat safety 36 hr certification course2115(121 seats inspected)115(170 seats inspected)37Car seat safety class for UCD RNs2290Car seat safety skills lab for UCD L&D RNs11050Car seat overview for pediatric residents13001321,7341,693Community Car Seat Inspection EventsEmpower our Com munit yElizabeth Dacpano, RN, NICU, Geraldine Pickett, RN, NICU, ShirleyShingara, RN-C, BSN D7, Angie Luper, RN, BSN, D7, Cindy Steele, RN-BC,BSN, D7, Kriston Reneau, RN,BSN, D7, Kimberly Wilcox, RN, D7, MelissaBradford, RN,BSN, D7, Stacy McCarthy, RN, ED, Marni Far, RN, ED, YvonneHansen, RN, ED, Andrea Szontagh, RN, BSN, ED, Maggie Johnston, RN,ED, Connie Zasa RN, Action team, Maria Romero, RN, Trauma NP, BonnieMcCracken, RN,MSN, NP-C, NEA-BC,PA Trauma, Michelle Linenberger, RN,PICU/PCICUCar SeatsDistributedHospital Car Seat Inspection Station6Nurses who generously donated their time back to our community:PeopleImpacted108TotalThe success of these programs in reducing injuries is contingent onmore than safety education focusing on behavioral changes. Manyfamilies experience financial barriers to obtain much needed safetyequipment such as child safety seats and bicycle helmets. Throughgenerous donations from Kohl’s Cares , the program has been ableto provide a significant number of no-cost car seats, helmets and lifejackets to low-income families through the Kohl’s Buckle Up to GrowUp Program. More than just an equipment distribution program,Kohl’s Buckle Up to Grow Up focuses on providing one-on-one safetyeducation and fitting with each car seat or bicycle helmet distributed.Number ofEventsHospital Car Seat DistributionCommunity Car Seat Classesprevention program partners with the California State University,Sacramento (CSUS) nursing program to provide community healthclinical rotation hours which include comprehensive didactic onthe public health issues surrounding trauma related injury anddeath. Last year the Trauma Outreach and Prevention Programestablished a partnership with the UC Davis School of Medicine toprovide community health focused injury prevention education tofirst year pediatric residents through the school’s Community &Health Professionals Together (CHPT) program.1,2070Helmet fitting stations establishedTotal31579702011 Life Jacket Safety Outreach through December 31Number ofEventsPeopleImpactedJacketsDistributedLife Jacket Trade In event1200-300810Life Jacket fitting stations established12020Total2300830Outreach

Extraordinary Compassion,Courage, Integrity in every situationThe gentleman was not a stranger. EverySunday I would see him come into 24Hour Fitness in Carmichael using awalker and being assisted by a woman andanother gentleman, it was obvious thathe had some physical limitations. Despitethese limitations he faithfully exercised onthe stationary bike. It’s funny, as a nurseyou are always observant and watchfulof people in different situations that mayneed your assistance.My Patientby Lori Bergemann, RNThis Sunday was no different, he cameinto the gym with his walker, and wasassisted onto the bike. I was on an ellipticalmachine exercising with my friend MollyNelson, who is also an RN at UC DavisMedical Center. Shortly after getting onthe bike, Molly noticed that the gentlemanwas slumped over the handlebars. As shewas saying “I hope everything is OK”,another gym member who was near theman, moved him quickly from the bike tothe floor. Simultaneously Molly said “Lorithey need a nurse over there” I jumpedoff my machine and ran to help, the 24hour fitness staff grabbed the AutomatedExternal Defibrillator (AED) and emergencyequipment and brought it to us. I am notsure who actually called 911 but as everyonearound inquired I heard someone say “yes911 has been called”. As it turns out thisgentleman was very fortunate as the othergym member was a physician and he startedchest compressions as I started rescuebreathing. As soon as the 24 hour fitnessstaff brought the AED to us, we quicklyplaced it on him.Upon reflection, I never thought twiceabout where I was but rather that thisgentleman needed help and I am trainedto provide it, as I am a nurse. I rememberfeeling a rush of adrenaline kick in at therealization that this man wasn’t breathingand was in full cardiac arrest.I am still not sure how much time wespent performing CPR and using theAED, in reality it was probably 12 to 15minutes but it seemed like an hour tome. Once we calmed down and assessedthe patient and the situation my feelingschanged from that adrenaline rushto calm and clinical. Immediately myclinical skills took over, it was surreal,almost like I was reviewing the CPRvideo that I have watched for years. Ihad never met the gentleman who wasdoing chest compressions but therewas a sense of teamwork between thetwo of us. We had an immediate bondand immediate trust in one another.As a team, he trusted me with properairway management and assessmentof the gentleman and me trusting him,that he was delivering adequate chestcompressions. It was at this point thatthis gentleman became my patient.I have been at UC Davis Medical Center for23 years and a nurse for 31 years. CurrentlyI am a Clinical Documentation Specialist,but at that moment I felt as if I had neverleft bedside nursing. I felt comfortable withmy clinical assessment skills and necessaryteamwork to care for this gentleman in thisuncontrolled situation. In retrospect, I havethought of all the things that could havegone wrong such as: being alone to do CPR,unable to find or use the AED properly,unable to control the actions of by-standersduring resuscitation and how different theoutcome may have been if we were both notreadily available. I cannot think of anythingthat I would have done differently.My response was automatic because of allthose years of CPR and ACLS training. Ispent many years working as an ICU nurseand because of my years of training andeducation I knew exactly what to do. I canremember my first words were “I am a nurse,I know CPR”. How many times have we saidthat during CPR training? As we continuedExtraordinary Compassion, Courage, Integrity in every situation7

performing CPR, the AED fired a total ofthree times. After each shock I would reassess the patient for a pulse and breathing,and each time announced no pulse and norespirations. I felt all eyes on me as I felt fora carotid pulse and re-positioned the airway.Each time we re-initiated CPR.When the Fire Department and paramedicsarrived we had performed CPR for about12-15 minutes and delivered three shocksper the AED. I felt happy and relievedto see them. One of the paramedicsimmediately took over chest compressionsand another connected our patient to acardiac monitoring system and defibrillator.I remember asking the third paramedic “Doyou want me to move”, he directed me tostay and continue airway management whilehe prepared to intubate the gentleman.When I was relieved of my nursing dutiesand had a moment to reflect on what hadjust happened, I found myself shiveringand shaking with a feeling of disbelief atwhat had just taken place. I couldn’t stopthinking about my patient. I felt comfortin knowing that a heartbeat had beenestablished prior to being transportedto a local hospital. I also felt comfort inknowing that other gym members actedwith kindness in transporting the woman(who is his sister) to the hospital.Every day I think about my patient andwonder how he is doing. When I go tothe gym I often ask if there havebeen any updates about hiscondition. I don’t knowmy patients name norhis sisters’ name butthey will always havea special place in myheart. I hope someSunday I will seethat gentleman, mypatient, return tothe gym.8Pediatric and Young Adult HIV ServicesBy Lisa M. Ashley, RN, MSN, PNPI have been a Pediatric Nurse Practitioner with the Pediatric HIV/ AIDS clinic for16 years and so I have witnessed firsthand the tremendous change in the diseaseand the treatment modalities. Sixteen years ago our patients went from havingno medications available and succumbing to frequent deaths to currently havingmultiple medications available and rare occurrences of deaths. In fact, I have onlyseen two deaths in the past 16 years and both were a result of young adults whodecided their fate by choosing to be non-compliant with their treatment.Due to the great support in our community for people living with HIV/AIDS, theclinic has also been involved with the Ryan White Program, which is a federallyfunded program to provide additional services to our patients. Our grant was justrenewed for another three years and our patients and their families will continueto be provided with medical case management services, a pharmacist to assist withmedication adherence, and transportation to medical appointments if needed. In thepast year we have also been involved with fund raising events such as the AIDS walkand Bingo Night. Last year we raised over 9,000! These funds go directly to ourpatients and families to help provide food, clothing, school supplies and gas to helpget to appointments.That being said, I am proud and delighted with several HIV/AIDS patients that havebeen able to graduate from our pediatric service. We have found that the transitionto adult services can be difficult for our patients and their families. Two years agoI was instrumental in helping to create HIV Young Adult Clinic that assists youngpeople, ages 18 – 24 years, in not only transitioning to an adult medical service, butto encourage and support them with their life challenges (college, work, moving outto apartment etc).There is one young lady whom I have known since she was 6 years old. Her mothercontracted the disease through her partner and Jane (not her real name) was bornwith HIV. At that time we only had single therapy AZT available and it was a miracleshe survived infancy. By the time she was six years old, we entered the world of tripletherapy (three different drugs to attack the virus) and she became a thriving beautifullittle girl. Throughout the years she continued to thrive and develop and had a veryspecial bond with her mother. She came regularly to clinic and was always cheerfuland smiling. The staff including myself just admired and loved them both dearly.She is now 22 years old and unfortunately her mother passed away several yearsago, but Jane continues to fight the disease and continues to thrive; graduatingfrom high school and now attending college and plays drums in her church choir.She is our first graduate of the young adult clinic, and has transferred completelyto adult services for her medical care. Not only did Jane graduate to adult servicesbut she also moved into her first apartment! I had a very sp

2011 ANNUAL REPORT ONTENTSC 1 Letter from the Chief Patient Care Services Officer 2 Professional Governance Governance Council Clinical Practice Council Professional Development Council Quality and Safety Council Research Council 5 Empower Our Community Community Prevention Knights Landing Community Engagement Project (KLCEP) Trauma Outreach and Prevention Program