{"id":1760,"date":"2025-02-21T14:52:03","date_gmt":"2025-02-21T22:52:03","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?page_id=1760"},"modified":"2025-03-13T14:43:34","modified_gmt":"2025-03-13T21:43:34","slug":"san-rafael","status":"publish","type":"page","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/2024-report\/medical-centers\/san-rafael\/","title":{"rendered":"San Rafael Medical Center"},"content":{"rendered":"
[vc_row css_animation=”fadeIn” full_width=”stretch_row_content” remove_bottom_col_margin=”true” wpex_bg_image_source=”featured” el_id=”image-large-1″ el_class=”page-intro bg-dark”][vc_column css_animation=”fadeIn”][vc_row_inner content_placement=”middle” columns_right=”yes” el_class=”details”][vc_column_inner width=”3\/5″][vc_raw_html css=””]JTNDZGl2JTIwY2xhc3MlM0QlMjJyZXNwb25zaXZlLWlmcmFtZS1jb250YWluZXIlMjIlM0UlMEElM0NpZnJhbWUlMjBmcmFtZWJvcmRlciUzRCUyMjAlMjIlMjB0aXRsZSUzRCUyMnZpZGVvJTIyJTIwc3JjJTNEJTIyJTBBaHR0cHMlM0ElMkYlMkZrcC5xdW11Y2xvdWQuY29tJTJGdmlldyUyRjFXMWdoSU9JZHl0Zjk4TTd5eFRLNGolMEElM0ZhdXRvUGxheSUzRGZhbHNlJTI2ZW1iZWQlM0R0cnVlJTI2aG9zdCUzRHdpZGdldHMlMjZhdXRvc2NhbGUlM0R0cnVlJTI2QXBwUHJvcGVydGllcy5QbGF5ZXJTaG93RW1iZWRCdXR0b24lM0R0cnVlJTIyJTIwYWxsb3dmdWxsc2NyZWVuJTNFJTNDJTJGaWZyYW1lJTNFJTBBJTNDJTJGZGl2JTNF[\/vc_raw_html][\/vc_column_inner][vc_column_inner width=”2\/5″]

San Rafael Medical Center<\/span><\/h1><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=”stretch_row_content” remove_bottom_col_margin=”true” el_class=”page-nav-outer”][vc_column]
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Organizational Overview<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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Transformational Leadership<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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Structural Empowerment<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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Exemplary Professional Practice<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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New Knowledge, Innovation & Improvements<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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Empirical Quality Outcomes<\/a><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”circle-photo” el_id=”leadership-message”][vc_column width=”1\/6″][vc_row_inner][vc_column_inner][vc_single_image image=”2831″ img_size=”staff_entry” alignment=”right” css=””][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=”2\/3″][vc_column_text css=””]\n

A message from Itamar Bikszer, MSN, RN<\/strong>
\nAssociate Chief Administrative Officer
\nDirector of Nursing and Clinical Practice<\/h2>\n
\n

As we close another year and look ahead to new challenges and opportunities, I want to take a moment to reaffirm our collective commitment to the safety and quality of the care we provide our patients. As part of our Magnet journey, we are dedicated to creating an environment where nursing excellence thrives, and we should all be proud of the hard work that we have done and the many accomplishments that we have achieved to support that environment.<\/p>\n

As part of our important Magnet journey work, we have worked to support professional growth, foster a collaborative culture, and continually improve patient outcomes through evidence-based practices. This work highlights our commitment to Magnet principles and is reflected in our shared vision of providing exceptional care and achieving the highest standards in nursing. By prioritizing professional development, evidence-based care, and interdisciplinary, collaborative teamwork, we, as a San Rafael team, reaffirm our pledge to deliver the highest standards of care.<\/p>\n

I want to personally thank each one of you and the amazing work you do each day to not only provide the highest level of care quality to our patients, but to also continually strive to work together with our hospital partners to achieve the important goals set out in the onset of our Magnet journey.<\/p>\n

Thank you for your unwavering dedication to our patients, our communities, and to one another, and for embodying the values that make San Rafael a leader in safe and compassion care. Together, we will continue to set the standard for excellence.[\/vc_column_text][\/vc_column][vc_column width=”1\/6″][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_id=”testimonial” el_class=”bg-dark”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=””]\u201cAll of the nurses are great. They are authentic, caring, and just so great!”<\/strong>
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About<\/span> San Rafael Medical Center<\/span><\/h2><\/div>

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.<\/p>\n<\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_id=”accolades”][vc_column][vc_row_inner content_placement=”middle” el_class=”hospital-awards”][vc_column_inner][vc_single_image image=”2039″ css=””][vc_single_image image=”2045″ css=””][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row css_animation=”fadeIn” full_width=”stretch_row” equal_height=”yes” remove_bottom_col_margin=”true” el_id=”fast-facts” el_class=”bg-pale-blue”][vc_column][vc_row_inner][vc_column_inner][vc_column_text css=””]\n

2024 By the Numbers<\/h3>\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”bottom” remove_bottom_col_margin=”true” el_class=”statsblock by-the-numbers”][vc_column_inner width=”1\/3″][vc_single_image image=”1448″ css=”” el_class=”icons” visibility=”hidden”][vc_column_text css=””][\/vc_column_text][vc_column_text css=””]\n

429<\/h4>\n

Registered nurses<\/p>\n

41<\/h4>\n

Nurses hired<\/p>\n

18<\/h4>\n

Nurse residents hired<\/p>\n

8.8%<\/h4>\n

Average turnover[\/vc_column_text][vc_single_image image=”1358″ img_size=”” css=”” el_class=”nurses”][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1360″ css=”” el_class=”cap”][vc_column_text css=””]\n

15%<\/strong><\/h4>\n

Board certified nurses<\/p>\n

23%<\/strong><\/h4>\n

Associate’s degree in nursing<\/p>\n

63%<\/strong><\/h4>\n

Bachelor’s degree in nursing<\/p>\n

13%<\/strong><\/h4>\n

Master’s degree in nursing<\/p>\n

1%<\/strong><\/h4>\n

Doctorate degree in nursing
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4<\/h4>\n

Conference posters & presentations<\/p>\n

5<\/h4>\n

New Caritas Coaches<\/p>\n

4<\/h4>\n

Evidence-Based Practice graduates[\/vc_column_text][vc_single_image image=”1361″ img_size=”” css=”” el_class=”nurses”][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” content_placement=”middle” el_id=”leadership” el_class=”mc-section-header”][vc_column][vc_column_text css=””]\n

Transformational Leadership<\/h2>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”carousel-stories”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=”” el_class=”block-intro”]Fostering a culture of innovation and adaptability to evolve the way we provide care.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner]
\"Achievement<\/a><\/div>

Celebrating our San Rafael nurses<\/a><\/h3 >

Through our awards programs, we recognize nurses and care partners who exemplify excellence and provide high-quality, compassionate care to our members and patients.<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"\"<\/a><\/div>

Perioperative journal club\u00a0fuels continuous learning<\/a><\/h3 >

Perioperative Services first Journal Club commenced in November of 2024.\u00a0 The journal club serves as a critical platform for continuous learning and professional development in healthcare.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"3<\/a><\/div>

We C.A.R.E. peer support program for well-being\u00a0<\/a><\/h3 >

We C.A.R.E. is a caritas nurse peer support program offers emotional first aid to peers within the medical center.\u00a0 Ten caritas nurses participated in additional training using Dr. Jean Watson\u2019s Human Caring Theory and Dr. Susan Scott\u2019s Three-Tiered Interventional Model. <\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Nurses<\/a><\/div>

San Rafael nurses attend ANCC Magnet Conference<\/a><\/h3 >

Seventeen San Rafael nurses attended the 2024 annual conference in New Orleans, joining several hundred Kaiser Permanente Northern California nurse colleagues.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” content_placement=”middle” el_id=”empowerment” el_class=”mc-section-header”][vc_column][vc_column_text css=””]\n

Structural Empowerment<\/h2>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”carousel-stories”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=””]\n

Empowering nurses to actively contribute their ideas and suggestions to help achieve organizational goals and enhance health outcomes effectively.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner]

\"\"<\/a><\/div>

Rapid improvement event for emergency department to inpatient units<\/a><\/h3 >

An interdisciplinary team worked together to evaluate current workflows for patients from the emergency department that need admission to an inpatient unit.<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Large<\/a><\/div>

Mobility is medicine\u00a0<\/a><\/h3 >

An interdisciplinary team of clinical nurses, patient care technicians, nurse leaders, HBS, PT, and quality partnered to improve mobility across inpatient units at the San Rafael Medical Center.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Innovation<\/a><\/div>

Sidewalk CPR\u00a0event trains community members to assist in an emergency<\/a><\/h3 >

San Rafael emergency department staff volunteered during the Sidewalk CPR event in August.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"\"<\/a><\/div>

Nurses join Marin-Sonoma Alzheimer’s Walk\u00a0<\/a><\/h3 >

Nurse leaders and physician partners were out to educate the community on the age friendly care and Senior Surgical Care Program in San Rafael. \u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
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Interventional services care experience<\/a><\/h3 >

The Interventional Services unit council identified an opportunity to collect the voice of the patient to gain insight into patient\u2019s satisfaction with the care provided while in interventional services.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"\"<\/a><\/div>

San Rafael hosts inaugural Magnet Fair<\/a><\/h3 >

The fun, educational event was held during Nurses Week to engage nurses in a variety of topics. <\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” content_placement=”middle” el_id=”practice” el_class=”mc-section-header”][vc_column][vc_column_text css=””]\n

Exemplary Professional Practice<\/h2>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”carousel-stories”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=””]\n

Utilizing evidence to deliver care that aligns with Kaiser Permanente\u2019s mission and vision, and our nursing Professional Practice Model.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner]

\"2<\/a><\/div>

Ticket to ride: Fast-tracking surgery readiness with a scan<\/a><\/h3 >

Patients from emergency and inpatient units were transferred to the preoperative holding area with missing elements needed for surgery such as signed consents, required lab tests, full medical histories, and NPO status, thus causing surgical delays.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"3<\/a><\/div>

Red meat allergy in the OR\u00a0<\/a><\/h3 >

The San Rafael perioperative nursing professional development specialist partnered with the perioperative team to ensure a safe surgical environment for a patient with an anaphylactic allergy to red meat.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Nurses<\/a><\/div>

CALM Initiative\u00a0aims to minimize delirium risk<\/a><\/h3 >

A project by the NICHE committee, CALM is a bundle of interventions to minimize delirium risk in patients 70 and older on the 4th floor.<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” content_placement=”middle” el_id=”innovation” el_class=”mc-section-header”][vc_column][vc_column_text css=””]\n

New Knowledge, Innovation & Improvements<\/h2>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”carousel-stories”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=””]\n

Continually evolving to advance patient care rooted in evidenced-based practice, research, and innovation.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner]

\"\"<\/a><\/div>

KP Cares 2.0\u00a0<\/a><\/h3 >

Kimberly Shankel, MSN, RN, CNL, Co-PI and Chief Nurse Executive Denise Laws, DNP, RN, NE-BC, Caritas Coach and Faculty led San Rafael\u2019s KP Cares 2.0 research study.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"CaringScience<\/a><\/div>

Nurses participate in Caring Science Series\u00a0<\/a><\/h3 >

Two cohorts of San Rafael clinical nurses and healthcare professionals participated in the Caring Science Series. <\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>

Championing pediatric safety: Uncovering the hidden clannges of emergency department triage<\/a><\/h3 >

In a pivotal study, San Rafael Emergency Department (ED) leaders Tina J. Vitale McDowell, MSN, RN, CPEN, PECC, and Dana Sax, MD, have brought to light critical insights into the…<\/p><\/div>

\"\"<\/a><\/div>

(Re) Brilliancy Study\u00a0helps with compassion fatigue, burnout and trauma<\/a><\/h3 >

The daily work of bedside nursing care is stressful, and stressors have increased dramatically since the pandemic. Well documented literature points to compassion fatigue, burnout and secondary trauma causing many nurses to leave the profession.<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Ribbon<\/a><\/div>

New robotics program comes to San Rafael<\/a><\/h3 >

After attending a robotics workshop in September, the perioperative team began preparing for the launch of the new robotics program in San Rafael.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Nurses<\/a><\/div>

Nurses present at Research and Innovation Academy Conference<\/a><\/h3 >

San Rafael Medical Center nurses had three poster presentations on topics such from our NICHE committee, mindfulness, and HAPI prevention at the 2024 conference.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” content_placement=”middle” el_id=”quality” el_class=”mc-section-header”][vc_column][vc_column_text css=””]\n

Empirical Quality Outcomes<\/h2>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” el_class=”carousel-stories”][vc_column][vc_row_inner el_class=”call-out”][vc_column_inner][vc_column_text css=””]\n

Demonstrating the impact Kaiser Permanente nurses are making in the lives of our members, patients, and communities we serve.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner]

\"Group<\/a><\/div>

Team works to reduce falls with Injury\u00a0<\/a><\/h3 >

Falls with Injury observed\/expected ratio peaked in October 2023 at 1.92. The falls committee, made up of interdisciplinary team members, participated in a gap analysis to identify gaps in adherence to the fall prevention bundle.\u00a0<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div>
\"Nurses<\/a><\/div>

Reduction in surgical site infections, perioperative services<\/a><\/h3 >

In May 2024, the new perioperative leader team partnered with quality and created an interprofessional team to review surgical site infections and opportunities for improvement.<\/p><\/div>

Read more →<\/span><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

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.<\/p>\n","protected":false},"author":1,"featured_media":1640,"parent":1161,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"annual-report","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"ncal_area":[],"site_only":[106],"report_year":[58],"class_list":["post-1760","page","type-page","status-publish","has-post-thumbnail","hentry","site_only-mc","report_year-58","entry","has-media"],"yoast_head":"\nSan Rafael Medical Center - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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