Author Archives: Trena Williamson

Joint Commission Preparation: Tip of the Week

TJC Quick Tip for Medical Equipment Involved in an Incident

Medical equipment is equipment utilized for patient Diagnostic, Monitoring, or Therapeutic purposes.

Medical equipment failures are reportable incidents.

  1. When a medical equipment failure occurs Clinical staff sequesters the equipment and all disposables used with it for the said incident.
  2. Clinical staff contacts the Biomedical Engineering Department to report the details of the incident and location of the medical equipment.
  3. Clinical staff enters an incident/event report in the incident/event reporting system (RL).
  4. The Biomedical Engineering Department picks up the equipment and tests it to determine causes or potential causes of failure.
  5. The Biomedical Engineering Department enters their findings in the corresponding incident/event reporting system (RL).

Reference EC-77 for complete policy and procedure.

HR News You Can Use: Retirements, Annual Education Update & Employee Health Annual Requirements

UMMS U Assistance Sessions

For those of you who have team members that may need help navigating UMMS U for Annual Education, we are holding 3 sessions next week.

Wednesday, June 13 –  8:00am – 12:00pm (2nd floor Classroom 3)

Thursday, June 14  – 8:00am – 12:00pm (3rd floor Classroom C)

Friday, June 15 – 3:00pm – 6:00pm (Computer Room)

Employee Health Annual Requirements

The following departments are required to complete their Employee Health requirements:

Month of June:

  • Cambridge – 2-East & ICU
  • Chestertown – Acute Care & ICU
  • Easton – 2East, 3East, Joint Center, Neuro, Telemetry & ICU

Per Diem staff were due in May!

The requirements include: Respiratory mask fit, TB questionnaire & TDAP updating. Contact Employee Health at x5549 for guidance.

If not completed during the allotted month, you will be taken off of the schedule at the end of the month until the requirements have been satisfied.

Employee Health Drop In Hours

 Tuesday  Monday, Wednesday, Friday  Thursday
 7:30am – Noon  7:30am – Noon  7:30am  – Noon
 1 pm – 3:30pm  1 pm – 3:30pm  1 pm – 3:30pm

Joint Commission Preparation: Tip of the Week

University of Maryland Shore Regional Health’s Infection Control Plan

The risk of development of a healthcare-associated infection (HAI) is minimized through a hospital-wide infection control program. The purpose of the infection control program at University of Maryland Shore Regional Health (UM SRH) is to influence, support and improve the quality of healthcare through the practice and management of infection prevention/control and the application of epidemiology in health settings. The mission of the UM SRH infection control program is to improve health and patient safety by reducing risks of infection and other adverse outcomes.

The primary goal of the organization-wide infection control program is to identify, prevent, and reduce risks of endemic and epidemic healthcare-associated infection in patients, employees, physicians and other licensed independent practitioners, contract service workers, volunteers, students and visitors and to ensure optimal operation of the health care facility by:

  • Preventing Infections
  • Identifying organisms of epidemiological importance coming into the hospital
  • Intervening directly to interrupt the transmission of infectious diseases; and
  • Educating and training healthcare workers and providers.

A Risk Assessment is conducted annually by the Infection Prevention & Control Committee and priorities identified. New risks or priorities are identified through surveillance monitoring and review of performance improvement indicators. Current prevention priorities include reduction of C. diff and urinary catheter associated UTI (CAUTI) rates

Key prevention strategies for C. diff include:

  • Increase hand hygiene performance
  • Optimize environmental cleaning using a Oxycide in all isolation rooms
  • Test only patients with unexplained new onset diarrhea ( 3 or more stools in 24 hours)
  • Do not test patients unless they have one of the following symptoms: abdominal pain, fever or leukocytosis
  • Prompt initiation and adherence to Contact Precautions
  • Appropriate use of antimicrobials (UM SRH has an active antimicrobial stewardship program led by Tawes Harper, PharmD, BCPS, BCCCP

Key prevention strategies for CAUTI:

  • Avoid unnecessary catheter use: insert for appropriate reasons
  • Consider alternatives to an indwelling catheter: intermittent or external catheters
  • Assess the need for a catheter daily and remove as soon as possible
  • Insertion performed by trained RNs or Techs
  • Never collect a urine culture specimen from the catheter bag
  • Perform optimum routine catheter management:
    • Maintain a closed system without kinks or loops; replace if there are breaks in the closed system
    • Use securement device
    • Perform daily perineal care

Questions? Reach out to your Infection Prevention Team: Julie Bryan, 410-463-085; Amy Stafford, 410-310-5513; Donna Saunders, 410-810-5672

Joint Commission Preparation: Tip of the Week

Emergency Preparedness: What you need to know

  • The health system annually reviews our Hazard Vulnerability Analysis. This tool helps us determine the highest threat risk to certain types of events and our ability to limit the impact to hospital/health system operations.
    • Natural Events – severe weather, epidemics
    • Technological events – Utilities failures, supply shortages, transportation events
    • Human Events – Mass casualty, Armed Assailant, Bomb threat
    • Hazardous Materials/Terrorism Events – Radiation Exposures, Chemical Spills/Exposures
  • From here, policies & procedures are developed or revised to outline the hospital’s/health system’s response to Emergencies and prioritize our activities, like drills. Our Policies and Plans can be found on the UM SRH intranet page in PolicyManager.
  • The health system has developed an Emergency Operations Plan. This plan outlines how the hospital/health system will organize itself to manage emergencies and how we manage major functions in emergencies.
  • An Incident Command Center may be set up and is the central place where information is gathered and instructions sent out to manage the event. Generally, the Administrator on Call will decide if incident command needs to be set up.
    • Easton Command Center – Behavioral Health Conference Room, 1st floor
    • Chestertown Command Center – Boardroom, by Administration Offices
    • Dorchester Command Center – Boardroom, By Administration Offices
  • The Incident Command and command staff will set objectives to manage the event and will consider:
    • Communications – information sharing and notifications
    • Resources & Assets – People, Places, Supplies & Equipment
    • Staff Response Activities
    • Safety & Security – of buildings and people
    • Clinical Activities – surge/bed management, continued outpatient activities
    • Utilities Management
    • Volunteer management

Know Your Role:

  • Review Plans/Policies/Procedures to know how to respond to events.
  • Take advantage of Education/Training opportunities and participate in Emergency drills to become familiar with emergency response activities.
  • Be prepared personally. Plan. Be Informed.

For additional information please contact:

Beth Copp
Regional Manager, Emergency Preparedness

Michelle Kirk
Director of Facilities
410-822-1000, x5464

MD 331 Overnight Closures Announced

The Maryland State Highway Administration will be closing MD 331 during the overnight hours between  June 3 and June 8 to complete paving on the new Choptank River bridge (“Dover Bridge”). The road will be completely closed in both directions between 8 p.m. to 6 a.m. each night that week. Ideally the work will be complete by Friday morning.

The State Highway Administration will accommodate emergency vehicles through the work zone but passenger cars will be prohibited.

If you are a clinical person who takes emergency call during this time and uses this route, please contact Trena Williamson or 410-822-1000, ext. 5507.

2018 Federal Tax Rates and Changes to Your Paycheck

This just in from Bruce Berkey, director of Payroll for UMMS … The new tax law enacted in the Federal Tax Cuts and Jobs Act will be effective with your January 26th paycheck. We wanted to make you aware of changes you can expect in your upcoming paycheck as a result.

  • The new rates reflect an increase in the standard deduction, a repeal of personal exemptions and multiple changes in the tax rates/brackets, which were designed to work with existing W-4s that employees have on file.
  • No action is required on your part. We will implement the new tax tables automatically.
  • Employees will see the new calculations of their federal taxes starting with Pay Date of 1/26/2018.
  • Due to the changes in the Federal Tax Cuts and Jobs Act, the Internal Revenue Service (IRS) is expected to update Form W-4, the Employee’s Withholding Allowance Certificate. As of this date, no new W-4 Form has been released to employers by the IRS. We will notify you when a new W-4 form is available and will post it to HR Connections.

If you have questions about how the Federal Tax Cuts and Jobs Act will impact your income taxes, you should consult your tax advisor. Should you have any questions regarding your pay, please submit a case through HR Connections.


UM Shore Medical Pavilion at Denton

Construction is underway on the 50,000 square foot University of Maryland Shore Medical Pavilion at Denton!

Situated on 6 acres at the intersection of Route 404 and Deep Shore road, the medical pavilion will be the hub of Shore Regional Health’s outpatient services in Caroline County, containing family medicine, laboratory testing, diagnostic and imaging, rehabilitation services and a community education suite. In addition, is expected to house a mental health bridge program, home health care office, and a shared suite for rotating medical specialties.

Construction is scheduled to be completed at the end of 2018 with official opening in early 2019.