Sutter Roseville Medical Center

Sutter Roseville Moves Up Opening of ER-ICU Expansion to Prepare for COVID-19 Patient Surge

Posted on Apr 27, 2020 in Expanding Access, Innovation, Quality, Safety, Scroll Images, Sutter Roseville Medical Center, Transformation

Sutter Roseville Medical Center expansion
Sutter Roseville Medical Center is opening its expansion a month early to prepare for a potential surge in COVID-19 patients.

ROSEVILLE, Calif. – Sutter Roseville Medical Center on Tuesday, April 28, is opening its expansion of emergency and critical care services a month early as part of its preparations for a potential surge of COVID-19 patients. Originally slated to open May 27, the 98,400-square-foot expansion doubles the Emergency Department and nearly doubles the number of critical-care beds, adding 58 more private rooms that can safely care for patients during a possible surge.

Sutter Roseville began the $178 million construction project in 2017 to meet the growing community’s demand for emergency services, critical-care rooms and interventional cardiac and neuro procedures. It is connected seamlessly to the existing Emergency Department on the first floor and surgical and critical care services on the second.

“When our team met in late February to discuss surge preparations for COVID-19, it was apparent that we needed to move up the opening of this expansion to ensure we had the highest level of care available for the expanding needs of our community and region,” said Sutter Roseville CEO Brian Alexander. “Our staff, construction partners, and state and local agencies all banded together and worked diligently to open this expansion 30 days early, but to the same high safety and quality standards.”

As a Level II trauma center serving a seven-county region, Sutter Roseville provides a higher level of care in emergency situations and is regularly preparing for public health crises. The expansion was designed with elements that will assist in those emergencies, including two emerging infectious disease isolation rooms and options to convert the Emergency Department’s expansive lobby into a treatment area in case of a large-scale disaster or patient surge.

Expanded emergency department looby

“When our care teams helped design this expansion, they took into account numerous possible health-crisis scenarios,” Alexander said. “Because of their foresight and planning, Sutter Roseville is prepared to care for patients during this pandemic and other public-health emergencies.”

The new expansion helps Sutter Roseville stay on the forefront of exceptional, innovative care. Its features include:

  • 34 additional emergency beds in private treatment rooms, increasing the total number of emergency beds to 68;
  • Seven emergency triage areas that are equipped to provide treatment to patients;
  • 24 additional ICU rooms, each equipped with the latest eICU telemonitoring capabilities that allow specialized physicians to assist in the care of the patients from a remote hub. Added to the 32 existing critical-care beds in the hospital, there will be 56 ICU rooms available for the sickest patients if a surge were to occur;
  • Two interventional labs providing the latest technology for cardiac catheterization procedures. A third interventional lab is currently being built with additional capabilities for neuro and radiological procedures.
New intensive care unit room

“California is being challenged in new ways during the COVID-19 public health crisis, and we are rising to that challenge in ways large and small across the state,” said California State Sen. Jim Nielsen, R-Tehama. “Here in Northern California, one of the organizations stepping up to meet the challenge is the Sutter Health network, providing new levels of emergency and critical care at Sutter Roseville Medical Center that are so urgently needed across the region.”

The expansion provides a critical need in the community beyond the current global pandemic crisis. The Sutter Roseville Emergency Department expanded in 2005 to treat up to 60,000 patients a year, but last year saw more than 84,000 patients. The additional ICU rooms and interventional labs are also necessary additions as South Placer County is seeing more elderly patients requiring a higher-level of care.

Emergency department isolation room

“Strong infrastructure is one of the hallmarks of a strong community, and our capacity for protecting and promoting public health is central to that,” said State Assemblyman Kevin Kiley, R-Rocklin. “Sutter Roseville Medical Center’s continued investment in our public health infrastructure helps drive our ability to prevent disease, heal after injury or illness, and respond to both chronic health challenges and acute ones like COVID-19. My thanks to Sutter Health for stepping up to help when and where they are needed.”

This is the latest in a series of expansions Sutter Roseville Medical Center has experienced in the past two decades, transforming it from a community hospital into a regional, tertiary medical campus. The other expansions include:

  • A newly constructed Patient Care Tower with 90 new beds.
  • Expansion of the Family Birth Center to accommodate a community need as young families moved into South Placer County.
  • The addition of a Level III NICU with 16 licensed beds to provide advanced life-saving care to critically ill newborns.
  • The construction and expansion of Sutter Rehabilitation Institute, the region’s only facility dedicated exclusively to acute rehabilitation services.
  • The Sutter Cancer Center, Roseville, a facility dedicated to and designed by those with cancer.
  • Three medical office buildings that house Sutter Roseville physicians, along with two parking garages for staff and patients.

“As a healthcare provider, as an employer and as a supporter of this community, Sutter Roseville Medical Center has already been a strong force for good here and across Placer County and the region,” said Roseville Mayor John Allard. “Expanding its top-notch emergency service and critical care – especially now – builds on a decades-long commitment to serving the people of Roseville and beyond.”

Helping Mind the Gap on Cardiovascular Diseases

Posted on Feb 7, 2020 in Alta Bates Summit Medical Center, California Pacific Medical Center, Cardiac, Expanding Access, Innovation, Quality, Research, Scroll Images, Sutter Medical Center of Santa Rosa, Sutter Medical Center, Sacramento, Sutter Medical Foundation, Sutter Roseville Medical Center

Heart valve imaging
Heart valve imaging

Lifesavers appear in big sizes and small. For patient Adam Livingstone, rescue was a dime-sized clip that restored his heart’s normal rhythm and size. For months, Livingstone had been experiencing shortness of breath, chest pain and fatigue. Diagnosed with mitral valve regurgitation, a minimally invasive procedure to repair the valve was performed at Sutter Medical Center, Sacramento—one of Sutter’s sites where researchers evaluate new devices for treating damaged or diseased heart valves.

The Heart’s Finely Orchestrated Blood Flow

Heart valves
Heart valves

Like a musical conductor, the heart oversees rhythm and flow, circulating blood to each of its chambers in a coordinated, unidirectional symphony.

THE MITRAL VALVE

Mitral regurgitation, the most common type of heart valve disorder, occurs when blood leaks backward through the mitral valve when the left ventricle closes.

Some patients undergo non-surgical heart valve repair with transcatheter mitral valve repair (TMVR) with MitraClip®.2 During the procedure, doctors thread a catheter into a large leg vein reaching the heart. Then a dime-sized clip clamps the improperly working valve, allowing it to close more tightly with less backward blood flow.

“Some research participants recover faster and resume normal activities within a week of the procedure, and may not require lifelong anticoagulant medications, repeat surgeries, or re-hospitalization,” says David Roberts, M.D., FACC, FSCAI, medical director of cardiovascular services at Sutter in the Valley Area.

A new clinical trial at Sutter called PASCAL CLASP IID/IIF will test the safety and effectiveness of TMVR with the PASCAL Transcatheter Valve Repair System® compared with MitraClip® in patients with mitral regurgitation.3

For patients with severe mitral regurgitation, Sutter’s CPMC seeks to enroll patients in a clinical trial called SM3, which assesses the safety and efficacy of the SAPIEN M3 System™.4

“In this study, we are evaluating a new type of mitral valve that may provide a minimally invasive alternative to surgery for high-risk patients with severe mitral valve disease,” says David Daniels, M.D., co-director of Sutter’s Structural Heart Program in the Bay Area, and principal investigator of the SM3 clinical trial at Sutter.

Some patients develop mitral valve disease when calcium deposits accumulate on the fibrous ring attached to the mitral valve leaflets. For these patients with mitral annular calcification (MAC), Sutter will begin offering enrollment in the Summit clinical trial, which will test the safety and effectiveness of the Tendyne™ transcatheter mitral valve.5

“Previous approaches to treat patients with MAC have mainly involved the off-label use of transcatheter aortic valves,” says Dr. Roberts. “But this strategy may lead to residual mitral regurgitation and the need for open-heart surgery. Sutter’s participation in Summit may lead to novel ways to care for this hard-to-treat subset of patients.”

THE TRICUSPID AND AORTIC VALVES

Although a skilled conductor, sometimes the heart needs help to maintain proper blood flow for musical perfection. To the rescue: Sutter researchers test interventional devices designed to treat patients with diseased or damaged tricuspid and aortic valves.

In one new clinical trial, Sutter researchers will collect information about treatment for severe aortic regurgitation, a condition typically treated with aortic valve replacement surgery.

This study will examine the use of TAVR (Transcatheter Aortic Valve Replacement), a minimally invasive procedure designed to replace the aortic valve inside the heart. In this study, TAVR will be performed using the JenaValve™ Pericardial TAVR System, designed to help treat patients with severe aortic regurgitation or severe aortic stenosis.6

“Until now, all commercially available TAVR valves have focused on aortic stenosis, or a restricted valve,” says Dr. Daniels, co-principal investigator of the TAVR with JenaValve™ clinical trial at Sutter. “The JenaValve™ may allow researchers to treat patients with a leaky valve in the absence of any calcium. Currently these patients are only candidates for open-heart surgery.”

Additionally, Sutter researchers at CPMC and Sutter Medical Center are seeking to enroll patients who have tricuspid regurgitation in a clinical trial called TRILUMINATE.

The TRILUMINATE study will evaluate the safety and effectiveness of the Tricuspid Valve Repair System™ (TVRS) for treating moderate or severe tricuspid regurgitation in patients currently on medical management and who are deemed appropriate for percutaneous transcatheter intervention.7

  • Learn more about Sutter cardiovascular diseases research and clinical trials.
  • If you are suffering from mitral or tricuspid valve regurgitation, aortic valve stenosis or other heart valve disorder, talk to your cardiologist to see if research participation and/or valve replacement or repair is right for you.

References:

  1. American Heart Association.
  2. MitraClip™ is manufactured by Abbott Medical Devices.
  3. The PASCAL clinical trial is sponsored by Edwards Life Sciences, makers of the Transcatheter Valve Repair System®.
  4. The S3 clinical trial is sponsored by Edwards Life Sciences, makers of the SAPIEN M3 System™.
  5. The Summit clinical trial is sponsored by Abbott Medical Devices, makers of the Tendyne System™.
  6. The JenaValve™ clinical trial is sponsored by JenaValve Technology, Inc., makers of the Pericardial Transcatheter Aortic Valve Replacement (TAVR) System.
  7. The TRILUMINATE clinical trial is sponsored by Abbott Medical Devices, makers of the Tricuspid Valve Repair System™.

Expectant Mom Suffers Massive Stroke: How a Health Network Saved Her and Her Baby

Posted on Oct 25, 2019 in Affiliates, Carousel, Expanding Access, Innovation, Neuroscience, Pediatric Care, People, Quality, Scroll Images, Sutter Davis Hospital, Sutter Medical Center of Santa Rosa, Sutter Roseville Medical Center, Women's Services

Just two days from delivering her third child, Vivian Dos Santos suffered an intracerebral hemorrhage – a life-threatening stroke. Watch her amazing story, with details on how an integrated health network saves and blesses lives, by viewing the following video. You may want some tissues handy just in case …

For more on her story, and to view an infographic on Sutter’s integrated system, go to www.sutterhealth.org/newsroom/can-expect-integrated-network.

What You Can Expect from an Integrated Network

Posted on Sep 30, 2019 in Scroll Images, Sutter Davis Hospital, Sutter Medical Center, Sacramento, Sutter Roseville Medical Center

SACRAMENTO, Calif. — Vivian Dos Santos lost consciousness at her home in Davis, Calif., just days away from delivering her third child, Stella. She woke up at Sutter Medical Center, Sacramento – more than 15 miles away – with bandages on her head and no longer pregnant. She was unaware that care teams at two Sutter network facilities had come together to save her life and care for her baby after she suffered a sudden and severe stroke. Ultimately, Vivian’s care would include three Sutter network facilities coordinating an emergency caesarean section, lifesaving neurosurgery and extensive rehabilitation.

Vivian Dos Santos and her family say thanks to some of her caregivers at Sutter Medical Center, Sacramento.

The coordinated care that Sutter provided to the Dos Santos family is a testament to our integrated healthcare network and the coordination that occurs between multiple medical facilities, practitioners, and services to ensure that patients receive timely, high quality care when they need it most. (To view an infographic on Sutter’s integrated network and Vivian’s journey, click here.)

Vivian’s first sign of trouble came on Dec. 31, 2018. As she prepared to ring in the New Year with her husband and their two young sons, she began experiencing an excruciating headache. Shortly after she suddenly lost consciousness, an ambulance rushed Vivian to Sutter Davis Hospital’s Emergency Department.

There, doctors determined that Vivian was suffering from an intracerebral hemorrhage – a life-threatening brain bleed. Vivian’s obstetrician and physician at Sutter Davis consulted with a neurosurgeon at Sutter Medical Center, Sacramento (SMCS) and ultimately decided an immediate emergency C-section was the safest treatment approach for Vivian and her baby. The Sutter Davis care team stabilized Vivian while delivering baby Stella, and then airlifted Vivian to SMCS for immediate neurosurgery.

During surgery, stroke experts at SMCS successfully stopped the bleeding. After Vivian recovered from surgery, she was transferred to the Sutter Rehabilitation Institution in Roseville where she received advanced rehabilitation care. Meanwhile, Sutter Davis’ labor and delivery team helped Vivian’s husband care for the couple’s healthy newborn daughter, Stella.

Our team’s ability to develop and implement a treatment plan spanning multiple facilities — which remained in constant communication and included comprehensive access to Vivian’s medical records — proved critical to saving Vivian and Stella’s lives.

“When you have a single network, it really improves the communication,” said Dr. Rudolph Schrot, Vivian’s neurosurgeon. “You have a very rapid transfer from one facility to another, from Sutter Davis to Sutter Medical Center, Sacramento, to the Sutter Rehab Institute. There’s a constant thread that goes through this patient’s experience, where there’s immediate access to medical records, communication between providers, and also a very rapid response.”

Sutter’s integrated system helps provide patients like Vivian and Stella with qualified, highly-trained medical staff throughout a life-threatening medical emergency. The system allows for smoother transitions between inpatient and outpatient services, multi-specialty teams that can address patient care holistically while reducing complications and, in turn, lower hospital readmission rates and total cost of care for patients. The coordinated care model also allows teams to share ideas, improve communication and spread best practices across locations – ultimately contributing to improved care, a more user-friendly experience, and better patient outcomes.

“Coordinating our efforts across facilities, doctors, teams and locations is crucial to providing patient-centered care throughout a patient’s journey,” said Steve Lockhart, M.D., Sutter Health’s Chief Medical Officer. “Our integrated network enables us to be attuned to a patient’s needs and provide personalized care from inpatient to outpatient, preventive to rehabilitative, hospice to home healthcare.”

Lockhart continues, “At Sutter, we believe ready access to multiple types of patient-centered care from well-informed and highly coordinated providers sets integrated care networks apart. This connectivity allows Sutter to provide innovative, quality care to more than 3 million Californians. Our integrated system ultimately helps improve patient outcomes, resulting in happier, healthier families and communities.”

Blankets Warm Bodies and Hearts at Sutter Roseville Infusion Center

Posted on Jul 10, 2019 in People, Quality, Scroll Images, Sutter Roseville Medical Center

Thirteen-year-old leukemia survivor Emma Geiselman delivered blankets to grateful patients at Sutter Roseville’s infusion center.

ROSEVILLE, Calif. — Cancer patients who receive infusion services often get quite cold while receiving treatments, which can last for hours, says Sutter Roseville Medical Center Infusion Services Manager Lynnette Messex. Blankets are needed to keep them comfortable while receiving their life-saving care.

Subaru of America, Inc., partnered with the Leukemia & Lymphoma Society to send hope, love and warmth to patients fighting cancer. On Tuesday, July 9, 80 blankets donated by Roseville Subaru were delivered to Sutter Roseville Medical Center Infusion Services inside the Sutter Cancer Center. In addition, they delivered 30 arts & crafts kits for children who are accompanying a loved one for treatment.

Leukemia survivor Emma Geiselman, 13, a Leukemia & Lymphoma Society “Honored Hero” passed out blankets to patients, and The Sacramento Bee was there to see the gratefulness of these patients battling life-threatening diseases. You can check out The Bee’s story and video here.

During Subaru’s Loves to Care month in June, messages of hope for cancer patients were written by visitors, and those messages will also be delivered. Those who wrote a message of hope at a Subaru retailer also received a reusable tote bag to help spread awareness of LLS and the automaker’s goal to provide hope and care, one gesture at a time.

Sutter Roseville Receives 2019 Emergency Nurses Association Lantern Award

Posted on Jul 10, 2019 in Affiliates, Expanding Access, People, Quality, Scroll Images, Sutter Roseville Medical Center, We're Awesome

Sutter Roseville Medical Center recognized with annual award for exceptional and innovative nursing performance


 
ROSEVILLE, Calif. – Sutter Roseville Medical Center’s Emergency Department has been selected as a recipient of the Emergency Nurses Association’s 2019 Lantern Award for demonstrating exceptional and innovative performance in leadership, practice, education, advocacy and research. It is the top award an Emergency Department’s nursing staff can receive, and Sutter Roseville is one of just 28 hospitals nationwide and the only one in Northern California to be honored this year.

The Lantern Award showcases the Sutter Roseville Emergency Department’s accomplishments in incorporating evidence-based practice and innovation into emergency care. EDs are encouraged to share stories that highlight a commitment to care of patients, as well as the well-being of nursing staff. The award serves as a visible symbol of the hospital’s commitment to quality, safety and a healthy work environment.

“We are tremendously proud to receive national recognition of the care we provide to our community, and are grateful for the skilled team that provides that care,” said Gary Gates, R.N., administrative director of Emergency Services, Trauma ICU, and ICU.

Sutter Roseville’s Emergency Department strives to provide an excellent environment for both patients and employees. Highlights of their achievements include a staff-driven redesign of the Stroke Alert; the design and implementation of Code Critical, an overhead activation similar to Trauma and Stroke Alerts for other critically ill patients; a robust Emergency Preparedness program that works closely with local and federal agencies, which included the “Black Hawk Down” preparedness event in June; and incentives for nursing certification that have resulted in a record number of registered nurses obtaining a BCEN (Board of Certification for Emergency Nursing) advanced emergency nursing certification.

Sutter Roseville Medical Center is the premier Level II Trauma Center for the seven-county region, meaning that it features the highly specialized skills and equipment necessary to handle more complicated, critically ill and injured emergency cases. In total, the Sutter Roseville Emergency Department cares for more than 83,000 emergency and trauma patients each year. Because of the community need, Sutter Roseville is currently in the midst of an expansion project that will double the size of the current Emergency Department. This expansion is expected to be completed in April 2020.

“Sutter Roseville Medical Center delivers complex and advanced medical care in an environment that promotes healthier outcomes, and we do it in an area that’s growing and changing very quickly,” said Sutter Roseville CEO Brian Alexander. “That’s a commitment that calls for highly trained physicians, nurses and care teams, modern facilities, advanced technology, and dedication to patient- and family-centered care — all of which were huge drivers behind this expansion.”

Sutter Roseville Medical Center’s Lantern Award will be on display in the Emergency Department. As a recipient, Sutter Roseville Medical Center will be recognized in upcoming ENA publications, on the ENA website and at Emergency Nursing 2019, the association’s annual conference, in Austin, Texas.

The Emergency Nurses Association (ENA) is the premier professional nursing association dedicated to defining the future of emergency nursing through advocacy, education, research, innovation, and leadership. Founded in 1970, ENA has proven to be an indispensable resource to the global emergency nursing community. With more than 44,000 members worldwide, ENA advocates for patient safety, develops industry-leading practice standards and guidelines, and guides emergency health care public policy. ENA members have expertise in triage, patient care, disaster preparedness, and all aspects of emergency care. Additional information is available at www.ena.org.