Tracy L. Bonney-Corson RN, MSN, MBA-H Chief Nursing Officer Sebasticook Valley Hospital

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1 Tracy L. Bonney-Corson RN, MSN, MBA-H Chief Nursing Officer Sebasticook Valley Hospital

2 Sebasticook Valley Hospital Pittsfield, ME SVH has served as a community hospital since the 1960 s Serves the rural communities that surround I-95 Newport/Pittsfield exits Agriculture has driven the economy in the area for years More recently growth in construction Cianbro Corp. Cianbro partnered with SVH in construction & renovation of the hospital completed in 2013.

3 SVH - Service Area Somerset and Kennebec Counties Clinton to Carmel along the I-95 Widely diverse populations served in terms of age, culture and socioeconomic status. Maine Central Institute/Nokomis HS

4 Rural Nursing - Barriers Access to Nursing Programs - (non traditional students) Recruitment Retention Maintaining competencies Jack of all Trades limited specialization Frequent retraining & simulation (low volume=high risk) Caring for friends, neighbors and family Community Resources for patients

5 Pet Peeves Band-Aid Station Couldn t get a job in a real hospital Will loose skills and knowledge How good can their quality really be?

6 Rewards Teamwork Integration in the community Community health Ongoing clinical development/competency training Time to be the nurse I want to be

7 Rural Nursing the future Geriatrics Maine Core Competencies Community Care Teams Care Management Benefits from Hospital and System Collaborations IS facilitated and Web based Education Mutual respect for individual choices within the nursing profession across urban and rural settings.

8 Quotes from Rural Nurses working in a rural hospital I think about access to a other needed services such as pharmacy for some of our patients it is an additional 50 mile drive one way (Lorna RN). I would say a rewarding aspect of working in a rural area is that you are working with and caring for people in your own community. One where you most likely know many of the people you care for which can at times be difficult but once you are able to work past that and focus on the care you are providing to your patients, can be gratifying (Kathryn RN).

9 Quotes from Rural Nurses I love working in my community, I love the challenges I face working in our small ER. It is important to keep up on education and competency and this can be challenging due to the infrequency we see some conditions but you need to be prepared for when it does appear at the ER door (Sandy RN) There are times I feel I need to justify my choice to work in a small rural hospital to other nurse friends and family who think this is somehow less than working in a large tertiary care hospital. It is too bad we are unable to more fully respect the knowledge, versatility and expertise required to work in a small hospital (Sara, RN)

10 Nurses Impact +Outcomes Commitment to ongoing education to ensure clinical competence & professional development Evidence based care Advocacy Leadership QA/PI

11 Staff Empowerment

12 Staff actions make a Candlelight anniversary dinners Confiscated a Christmas Tree for family having last Christmas together Shifts dog sitting for a patient (rabbit sitting, barn chores) Playing music/singing when off duty Good natured fun clowns, practical jokes and pets (dogs, cats, goats and a chicken!) Use of personal computer to Skype a patient in to the funeral parlor in MA for his mother s funeral difference!

13 Parting Words to Maine Nurses Embrace our commonalities Respect our differences Share our expertise Continue with life-long education Consider being a mentor or preceptor RN staff entering the workforce Join professional organizations Volunteer in your community Most of all be kind to one another!

14 Thank you! Tracy L. Bonney-Corson RN, MSN, MBA-H Chief Nursing Officer Sebasticook Valley Hospital Pittsfield, ME.

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