Monday, April 27, 2015

The Time has Arrived

Today was the first day of early voting.  Early voting continues through May 5 and election day is May 9.  I certainly hope to be elected but, even if I am not, I have gained so much from campaigning.  The opportunity to talk to my neighbors and fellow community members has been wonderful.  We have great people living in our town.  I have been overwhelmed by your kindness and your willingness to listen and share your thoughts, as well. I have worked really hard because I believe in BRMC and I want to see the facility become a beacon for great service and the best patient experiences.  
I also want to praise our physicians, as I have heard so many compliments on your professionalism and service.  We are blessed in this community to have five doctors.  I want the hospital to be the best place for our practitioners to admit their patients.  
Believe me when I say that our local hospital can provide safe, effective quality care.  Measures can be put in place to produce continuity of service and consistency in great customer care. Please help me to spread this vision to the other board members and employees of BRMC.  Join me in this passion.  Go out and support me at the polls.  Thank you in advance.

Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC

Friday, April 17, 2015

Quality Assurance

I am running for the board of directors for BRMC with the intention of being a voice for quality assurance related to patient care.  It is very much the responsibility of the governing board of any health care facility to reduce patient harm, or the potential thereof, and to improve quality care.  The finances of an institution are directly related to the quality care and prevention of adverse events.  Medicare reimbursements for care are reduced and often eliminated when certain events occur, including adverse drug events, catheter-associated urinary tract infections, central line-associated blood stream infections, injuries from falls, obstetrical adverse events, early elective deliveries, pressure ulcers, surgical site infections, venous thromboembolisms and ventilator-associated pneumonias.
In short, quality care is essential, not only for the patients but also for the health of the facility.  It matters, greatly, and it is the board of directors' responsibility!
But to reinforce what I am communicating, I have included below some quotes from respected healthcare experts.  Thank you for reading.

"Hospital boards have long had the duty of overseeing the delivery of patient care in their organizations, and are ultimately responsible for the quality and safety of that care.  The traditional reluctance of boards, particularly the outside directors, to fully exercise their authority for supervision is breaking down in the face of growing awareness that the success of quality-improvement and patient safety activities involves more than medical decision making.  As quality issues become more tightly intertwined with the financial health of hospitals, board members may find it easier to take a more active leadership role on the hospital's quality agenda and firmly establish quality improvement as a top priority for the organization.  The adoption of national quality-reporting and quality improvement programs and the development of evidence-based best practices for the board, are raising the quality bar for both hospitals and their governing boards.  Not only do these initiatives reveal what can be accomplished, they are beginning to demonstrate how.  Boards have the authority, responsibility and skill to insist on the implementation of effective and accountable quality-improvement and patient safety systems and processes.  It is hoped that advances in the field, and that a transparent sharing of relevant and necessary information, will give them the tools and confidence to do so."
Youngberg, Barbara. Principles of Risk Management and Patient Safety. Jones & Bartlett Publishers, 2010.


"When examining the success of high performing hospitals and health systems, a common thread often found among such organizations are Trustees who are highly educated on the importance of quality, actively engaged in setting performance goals and committed to advancing quality and safety within the organization."
""Improving patient safety and eliminating patient harm is job number one for Trustees."– Rich Umbdenstock, President & CEO, American Hospital Association"
"Boards must ensure that their hospital/health system has a clearly defined culture that centers on the patient and emphasizes transparency, reward and recognition. Boards must oversee the process of assessing their organizations’ values, policies and leadership actions against its desired culture and then implement changes as needed. Boards must understand that a “safety culture” involves training, education, resources, trust, respect and a clear set of expected values and behaviors – and it is the Board’s role to ensure that the desired culture is achieved."
Eliminating Harm, Improving Patient Care: A Trustee Guide. American Hospital Association, Health Research & Educational Trust, Center for Healthcare Governance and Trustee Magazine as part of the Partnership for Patients’ Hospital Engagement Network initiative.

Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC


Thursday, April 16, 2015

First Printing

My advertisement appeared in the paper!  It came out really well, I think.  There is one thing that is incorrect, however in this first printing:  I am not running for an At-Large position, I am running for the Unexpired Term.  My name will appear at the bottom of the ballot.  I am running against the incumbent, Sylvia Dingus, (who is a very kind lady.)  I also want to mention the potential for confusion with the ballot. The At-Large seats will be the first item on the ballot.  There are five individuals running for two seats.  Each of these individuals appear twice on the ballot.  The voter is allowed two votes in this top section.  You may vote for the same candidate twice, vote for two individuals or not vote at all for the at-large seats.  I will appear below that section and Ms. Dingus' and my name appear only once.  You may vote for either Ms. Dingus, me or neither if you are only voting for the at-large chairs, which are longer terms.  I would greatly appreciate your vote!  I welcome any comments or questions.

Sunday, April 12, 2015

Clearing the Air

The election is getting closer; less than a month away.  Early voting is closer than that.  I am really grateful for those of you that support me.  I have learned a great deal talking to members of the community in my door-to-door campaigning.  I appreciate the good questions and the insights you have provided.
There has been some adversity to running, however.  The CEO of the hospital said some unkind things, (to be very diplomatic), about me in a hospital-wide meeting.  Many thinly veiled accusations were tossed about regarding me.  That is not very nice and I will refrain from any trumped up retaliatory comment regarding that.
Also, my signs have been systematically disappearing from yards.  It is a mystery in the truest sense.  (If you are reading this and you have been taking them please return them.  Technically, taking something that doesn't belong to you is theft.)  These signs cost money.  Any information regarding the whereabouts would be appreciated.  One last thing, if someone has taken my signs I would like to know who, of course, but more importantly I would like to know why.
That brings me to this point.  Why is the hospital administration so upset about me running?  (Not associating the sign theft with the administration.) Trust me, I am not a disgruntled ex-employee with a vendetta, as I was accused of being.
Image result for v for vendetta maskBelieve me, I am not this cool. And this election is in May, not the fifth of November. (For those of you familiar with this reference.)
So, let me clarify; I am passionate about Brownfield Regional Medical Center.  I went to nursing school to work there.  What happened to me as a nurse in the facility after the nursing administration change was unjust.  Although I am no longer physically there working my heart remains.  I know that our local hospital can be a wonderful place for our patients but there need to be changes!  My son was a patient there for four days just last week.  I experienced some wonderful service from some of the nurses, nurse aides and ancillary staff but I also experienced sub-par care from others.  There is no sugar coating that.  Orders were missed, (only caught by myself because I am a nurse.)  There are real issues, my friends and neighbors in this great community.  I want to make it better.  I know the right questions to ask.  Let me help make this the best patient care facility it can be. This is not a vendetta, this is a passion!
So, thank you to those of you that are my supporters and a special thank you to those of you that would steal signs or slander me, as well.  Both are great motivators.


Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC

Sunday, March 29, 2015

Some Basic Information

Just to clarify, early voting is April 27- May 5 and election day is May 9.  You can vote by mail.  I have some applications for a mail ballot.  If you need one let me know or you can pick one up at the courthouse annex.  Voting will be at the courthouse annex.  I also have a sample ballot if you want to see what it will look like ahead of time.  Thank you all for your support.

Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC

Wednesday, March 25, 2015

Listening to You

I started my door to door campaigning last week.  I want to say that, more than anything else, I have gained an increased sense of pride in this community.  We have some great people living in this county and I am proud to be a Brownfield resident.
Also, I am glad to listen to different neighbors stories and concerns.  I hope, if I am elected, to address these issues.  I have many ideas for improvement.  I firmly believe that Brownfield Regional Medical Center has the potential to provide the highest level of patient care.  I want for my fellow citizens to choose BRMC because they know they will receive the best service available.  Let's face it; quality healthcare is a short drive away and I have met many of my neighbors who voiced they prefer to go to Lubbock for care.  Several reasons were given, and it all boils down to customer service and patient safety.
Thank you for sharing your concerns and stories with me.  I am gaining so much insight, have been taking notes and hope to promote positive change.  Thank you again.
Sharina Rodriguez, RN



Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC


Wednesday, March 11, 2015

Some Specifics

I would like to begin today's post by saying that, although I mentioned the physicians and some of the nurses at BRMC in my last update, I was remiss in neglecting to mention the other departments that work hard every day to provide good care to their patients.  I can't say enough good things about many of the staff from the laboratory, radiology and environmental services departments.  As a Terry County resident, I appreciate all you do.
I have stated that I support positive changes at an administrative level.  Please allow me to elaborate with some specifics.
First, I believe any real change will need to come from the top down and must be collaborative.  As a nurse, my focus is on patient advocacy.  There are three areas that I will specifically discuss at this time.
1. Medication Safety
I feel there needs to be a focus on prevention of medication errors and a change in the handling of errors, once they have occurred.  There are differing levels of errors and some are data entry errors.  Not all medication errors reach the patient and I am not intending to use scare tactics by mentioning this topic.  Be that as it may, there are better practices, and I want to help bring attention to this in order to promote positive change.
2. Reporting Errors
During my time working for the hospital I noted a cultural shift regarding reporting errors coinciding with the change to the current nursing administration.  I have personal experience, when, as a charge nurse, I reported errors that carried the potential to cause serious harm to patients.  Upon my reporting these errors, I feel I was threatened by the current chief nursing officer when I was told by her, "well, I suppose you better make sure your shift is perfect."  I also reported the same errors to the chief executive officer at that time.  I feel there were no changes instituted, as the same sentiment regarding error reporting was echoed some time later by the house supervisor, as I was informed by him that, "these write-ups have to stop," referring to a write-up of an error submitted by another nurse.  This culture of discouraging nurses from reporting errors needs to change in order to ensure the safest environment for patients.
3. Integrity of Documentation
As I mentioned in a response to a question in an earlier post, there was a policy instituted by nursing administration requiring all nurses to enter physician orders as telephone orders, regardless of the actual method of acquisition.  I am not certain whether this policy is still in place but it speaks to the integrity of practice the current nursing administration promotes.  I hope to be a voice for integrity and positive change.
These are a few specifics that need to be improved upon.  Let me be your voice for change.



Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC

Monday, March 9, 2015

My Motivation

I am running for the Terry County Memorial Hospital Board of Directors because I am, first, a patient advocate.  I am a practicing registered nurse. I worked at Brownfield Regional Medical Center from February 2012 until the end of June 2014, most of that time as a charge nurse.  I left the hospital due to a strong ethical disagreement with policies instituted by nursing administration.  I feel there needs to be a change at the administrative level to ensure the best patient outcomes.
We are blessed to have great physicians in Terry County and there are some local nurses who provide excellent care at BRMC.  I want to assist in improving patient care. As a registered nurse, I am unique to any other candidate, in that I provide bedside nursing for a living and am in the proverbial "trenches" of healthcare.  I worked at BRMC and am aware of policies and procedures in the facility regarding patient care.  I would like an opportunity to be a voice for positive change.
Now is an important time for change.  The hospital has requested over forty million of your tax dollars and is asking you to trust the administration to be good stewards of these funds.  I feel there needs to be a change at the administrative level to ensure the best stewardship of such a large sum of tax payer money.
Let me be your voice for change.

Vote Sharina Rodriguez for Hospital Board

* Patient Advocate

* Support Positive Changes at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC

Getting Started

This blog has been created as an information giving and sharing site.  My name is Sharina Rodriguez and I am running for Terry County Memorial Hospital Board of Directors, unexpired term.  I would greatly appreciate your vote on May 9, 2015.  I will be touring my local neighborhoods to meet and share my vision with as many of you as I can.  Thank you for visiting this blog.  Please feel free to comment with any views or questions you may have.  I will respond as quickly as I can.

Elect Sharina Rodriguez, RN for Hospital Board

* Patient Advocate

* Support Positive Change at an Administrative Level

* A Vote for me is a Vote for the Patients of BRMC