My name is Melanie Savage. I also go by Mel. Either one is fine. I live in Coffeyville, KS. It’s right on the Oklahoma border, about 60 miles from the Missouri state line. I became an LPN in 1997, and then an RN in 2009.
I’ve worked in a few different areas in nursing over the years: Elective surgery clinic nurse with front and back office duties, Family practice clinic nurse in Kansas City, and Pediatric home health relief nurse. My current and main nursing experience is in LTC. I currently work as the IP / Risk Management nurse for a 143-bed LTC SNF. I also work part-time as the wellness monitoring nurse for HCBS FE and PD waivere clients in all of the counties in the southeast section of the state, from Wichita area as the western border to the southern and eastern state lines. I really enjoy working with geriatric population.
Research is a major component to my daily work. As the IP nurse, I’m responsible for employee and patient health and vaccination programs, I help write policy and procedure that must be evidence-based practice focused. These need regular review and revision to remain current with what the research recommends. I assist with employee orientation, as well as staff education for both the NH and the At-Home employees. I’m the leader in our antibiotic stewardship program, I track and report to the NHSN as well as to KU for the sepsis reduction initiative in which our facility is participating with them. I’m on our QAPI committee, our Falls reduction committee, and I work on the PIP (Process Improvement Program) committee for one of our largest communities at the NH. Root cause analysis and improving patient outcomes part of my daily work. I also do surveillance, staff observation and feedback, and do tracking and trending analysis for multiple quality measure areas.
All of my work flows back to “What does the research say?” and “How is what we’re doing affecting patient outcomes? What do we need to do to improve this?”
Hi Mel,
You do use research daily in your specialty area. You have experience in the PICO format already. I look forward to learning from everyone’s experiences this semester!
Catherine,
Why, I guess I do have experience in it and didn’t even know it! At least I didn’t know the technical term for it.
I’m really looking forward to learning from everyone here and their experiences.
Hi Mel! I see now you live in Coffeyville….SJMC Tulsa gets a lot of patients from there! I’m actually a Bartlesville native which isn’t far from you. Welcome to the course, glad to have you.
I was born and raised in Bartlesville, OK and used to work in the ED there at Jane Philips! Small world! My Dad who has worked at ConocoPhilips for 40 years and brother still live there. My family actually lived in Coffeyville, KS when my younger brother was born. I graduated high school in Broken Arrow, OK after moving there my senior year.
I graduated from Union! My dad also worked at the research center for Phillips (before they joined with Conoco).
That is so interesting! Union was a big rival of the Broken Arrow Tigers, but I still consider myself a Bruin because as I mentioned, I moved my senior year and wasn’t particularity happy about it, as you can imagine. I don’t meet many people from home anymore, its nice to have something in common!
We get patients from SJMC, so it’s a nice exchange.
My sister used to work at Jane Phillips in the ED department several years ago, maybe 9 or 10 years ago? You may have worked with her, Christan.
This is the first class I’ve had where so many people have ties to my area. I already feel like I’m surrounded by neighbors.
So nice to meet you all.
I may have worked with her! I was there in 2009 in the ED and ICU working nights before leaving to move to my husbands home town, Salina.
I bet you did, then.
Becca Drysdale? Does that ring a bell? Red hair, freckles.
YES!! I think I remember her! She married a Scottish or Irish guy? I think that’s her anyway, yes? I loved working with her!
Another one fluent in research! Great! I think I probably do more research than I think I do, just in different ways, maybe not all evidence-based. Glad to meet you!
I’m glad to meet you, too.
I think, much like providing education to patients and family members, performing research is something we do as a natural part of the nursing process and don’t take nearly as much credit for it as we should.
Nice to meet you Mel! In my current job, our committee for the Chest Pain Program (Chest Pain Peer Review Committee) is an “arm” of our facility’s risk management. We review cases and recommend standard of care ratings. I do love doing that kind of work although, unfortunately, it doesn’t make you a popular person sometimes even if the outcome/action isn’t punitive.
Hi, Christan,
I have to agree there. Risk and IP make me sometimes feel as though I’m the “nursing nanny” when I have to talk about the lessons learned from our case studies, or when I do observations and give feedback regarding deviations from standards.
I really enjoy doing case studies, though, because it shows us areas where we can learn and do better, as well as help us find process failures that we can refine and help prevent re-occurrence.
Nice to meet you, too!
I enjoyed the fact that you mentioned, “How is what we’re doing (research) affecting patient outcomes? What do we need to do to improve this?”
At the end of the day, we conduct research and obtain new knowledge in order to better care for our patients and must always reflect on this topic.