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Fremont Medical Center

Juana Gonzalez

A message from Juana Gonzalez, MSN, RN
Interim Chief Administrative Officer


This was an extraordinary year for nursing at the Kaiser Permanente Fremont Medical Center. It was a year marked by significant progress in our Magnet journey, underscoring our steadfast commitment to nursing excellence and the enhancement of patient care.

Our dedicated teams at the Fremont Medical Center have exemplified transformational leadership, mentoring and guiding their colleagues while fostering partnerships that strengthened both ambulatory and hospital care. These efforts have been instrumental in aligning our shared vision of excellence and ensuring cohesive, high-quality care delivery.

One of the standout achievements in 2024 was the implementation of a structured handoff process for stroke patients following tissue plasminogen activator (TNK) administration. This ensured seamless transitions between the Emergency Department (ED) and ICU, with the ED nurse assessing and documenting the patient’s neurological status using the National Institutes of Health Stroke Scale (NIHSS) and providing a detailed handoff tool to the ICU team. Before transfer, an abbreviated NIHSS assessment is performed jointly by ED and ICU nurses, followed by a bedside report that involves the patient and family. This approach enhances patient satisfaction through transparency and supports optimal clinical outcomes with precise communication and monitoring. The coordinated efforts between the ED and ICU teams exemplify our commitment to excellence in care delivery.

Our medical center’s dedication to diversity, equity and inclusion was demonstrated through culturally sensitive care practices. These initiatives have highlighted the importance of understanding and meeting the needs of our diverse patient population, ensuring that all care provided is respectful and personalized.

Community health has remained a fundamental priority. Our nurses have championed outreach efforts that extend beyond the medical center’s walls. Through health screenings, educational events and partnerships with local organizations, the positive impact of our teams has resonated throughout the community, building trust and enhancing access to care.

The progress made in 2024 has elevated nursing practice and established a solid foundation for future innovation and continuous improvement. As we look ahead, I am proud to stand with our exceptional team at Fremont Medical Center, whose dedication and passion embody the true spirit of nursing excellence.

Together, we will continue to lead, inspire and transform care.

“I had the misfortune of being hospitalized. At Kaiser Fremont, I can say during my stay I received outstanding care. The doctors explained my condition clearly along with the steps towards my improvement. The nurses were equally outstanding and made my stay very pleasant.”

—Ken

Fremont Medical Center

About Fremont Medical Center

We are recognized as a top hospital in our community and honored for quality, patient safety and advanced medical care by industry and media organizations.

Get With The Guidelines® Heart Failure Gold Plus Award with Target: Type 2 Diabetes Honor Roll
U.S. News and World Report High Performing Hospital
U.S. News and World Report High Performing Hospital

2024 By the Numbers

555

Registered nurses

89

Nurses hired

9

Nurse residents hired

4.6%

Average turnover

nurses
crown

79

Board certified nurses

15%

Associate’s degree/diploma in nursing

71%

Bachelor’s degree in nursing

12%

Master’s degree in nursing

2%

Doctoral degree in nursing

1

Conference posters & presentations

2

New Caritas Coaches

2

Evidence-Based Practice graduates

clinical staff

Transformational Leadership

Structural Empowerment

Exemplary Professional Practice

New Knowledge, Innovation & Improvements

Empirical Quality Outcomes

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