Download 2013 Nursing Annual Report

grow
heal
change
and
advance
Seton Nursing 2013
DEAR FELLOW NURSES:
Nursing is always challenging work. During the past year, at hospitals across the nation, sweeping changes at
the federal and state levels created a “new normal” for health care that is focused on delivering better patient
outcomes at a lower cost. Consumers and payers alike are demanding not only high-quality health care, but
also value for their money.
In response, Seton nurses experienced growth, change, advancement and healing—the four themes of this year’s
Nursing Annual Report.
Growth has been a defining feature for Seton for the past decade. In 2013 we opened a new wing and began
offering new services at Dell Children’s Medical Center; opened new clinics with our ambulatory partners;
and increased the number of approaches designed to improve care for fragile, chronically ill patients. Seton
nurses are members of interdisciplinary teams engaged in clinical integration efforts like the new Pre-operative
Optimization Assessment Clinic at Seton Medical Center Austin.
Change is being implemented at the unit level through the exciting Clinical Scene Investigators program. Other
changes are being implemented through Nursing Congress, Seton’s shared governance model. Using evidencebased best practices, nurses are helping to improve patient outcomes and satisfaction, while reducing hospital
readmissions—a key performance measure used to evaluate hospitals in the new health care environment.
Advancement is a hallmark of Seton nursing. Our nurses continue to take advantage of tuition reimbursement
and flexible scheduling to return to school, advance their know-how and advance practice. Many of our nurses
benefit from the generosity of fellow nurses and other community donors who support the popular Seton Nurse
Scholarship Endowment. Seton nurses are also making strides as scholars, conducting groundbreaking research,
publishing in prestigious nursing journals and speaking at national conferences.
Healing is the heart of nursing and something that we can look forward to doing together in the coming year.
This year’s annual report focuses on the power of holistic care and the importance of taking time to understand
what our patients—and we ourselves—need to heal. The important role that nurses play as healers cannot be
overstated. Whether it be a nurse navigator providing emotional support to a young cancer survivor or a direct
care nurse calming an anxious patient before a procedure, we touch lives in ways unlike any other profession.
As Seton’s Senior Vice President of Nursing, I am committed to engaging you and your colleagues in decisions
that make practicing your profession at Seton Healthcare Family as gratifying as possible. You have stepped up
to recent challenges and have continued to provide exceptional care to every patient, every day. For that and
everything else you do for our community, I thank you.
As we look to the future I am optimistic. Because of you and your dedication to your patients and profession,
I believe that WE CAN do great things.
Sincerely,
Yvonne VanDyke, MSN, RN
RWJF Executive Nurse Fellow
Senior Vice President, Nursing and Clinical Education Center
we can
Seton Nursing 2013
(from left): Diane Krause, MSN, RN, Senior Director of Nursing, Seton Medical Center Hays; Debra Hernandez, MHA, BSN, RN, FACHE, CENP, Chief Nursing Officer, Seton Medical Center Austin and University
Medical Center Brackenridge; Christine Laflamme, MSN, MBA-HCM, RN, Senior Director of Nursing, Seton Smithville Regional Hospital and Towers Nursing Home; Susan Grice, DNSc, MSN, RN, NEA-BC,
Chief Nursing Officer, Seton Shoal Creek Hospital; Magdalena Belury, MSN, RN, NE-BC, Senior Director of Nursing, Seton Southwest Hospital; Margaret Butler, MBA, BSN, RN, NEA-BC, CNOR, Senior Director
of Nursing, Seton Northwest Hospital; Deb Brown, MHA, BSN, RN, Vice President, Patient Care Services, and Chief Operating Officer, Dell Children’s Medical Center; Melanie Fox, MSN, RN, NEA-BC, Chief
Nursing Officer, Seton Medical Center Williamson; Yvonne VanDyke, MSN, RN, Senior Vice President of Nursing and Clinical Education Center, Seton Healthcare Family (insets): Karen Litterer, MSN, RN, NEA-BC,
Senior Director of Nursing, Seton Highland Lakes Hospital; Robbie Rabe, MSN, BSN, RN, Senior Director of Nursing, Seton Edgar B. Davis Hospital
nship-Based C
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Relationship-Based Care is a professional practice model with
six dimensions for transforming care delivery in ways that honor
relationships with patients, families and colleagues.
Quality
Outcomes
Teamwork
PATIENT
&
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Stewardship
MISSION
VALUES
Transformational
Leadership
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grow1
heal5
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advance13
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award18
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“Everyone wants to live on top
of the mountain, but all the
happiness and growth occurs
while you’re climbing it.”
Andy Rooney
1
grow
grow
Zachery and his parents Mary Beth and Ronnie
Seton is growing in terms of both its impact on the community’s health and in its ability
to better serve the region’s booming population. In 2013 Seton celebrated the opening
of a new bed tower at Dell Children’s Medical Center with new services, including an
expanded Epilepsy Monitoring Unit. Seton also continued to introduce innovative services
like the Pre-operative Optimization Assessment Clinic at Seton Medical Center Austin,
which is led by an interdisciplinary team of nurses, physicians and other professionals.
DELL CHILDREN’S MEDICAL CENTER’S EXPANDED
EPILEPSY MONITORING UNIT: EXPERT CARING
AROUND THE CLOCK
Dell Children’s Medical Center opened its new bed tower in
April 2013, adding 72 patient beds, the first inpatient pediatric
rehabilitation center in Central Texas and an expanded Epilepsy
Monitoring Unit (EMU) that can serve the growing number of
patients seeking care in Austin. “It’s great to have more beds,”
said Kyla Carlson, RN, who works in the unit and has played an
important role in training the EMU nursing staff. “It was always a
struggle to make sure we could accommodate all of our patients—
now we can.”
The EMU rooms are equipped with video cameras connected
to a state-of-the-art monitoring room where (EEG) technicians
monitor patients around the clock. The new unit also has a sensory
playroom that patients can visit if their wires can be removed. The
playroom was specially designed with a padded floor, interactive
lights and other sensory experiences that children can enjoy in a
calming environment.
Teresa Ontiveros, MSN, RN, started working at the Dell
Children’s Medical Center EMU in 2010. “The new EMU is
amazing,” she said. “Our program is nationally recognized and
we have patients from all over the country.” Teresa especially
enjoys the close-knit culture in the EMU and the opportunity to
build trust with the families she serves.
She recalls fondly a young teen named Zachery who suddenly
developed seizures after a serious case of H1N1 and was
admitted to the EMU for observation. During one of her
shifts, Zachery had a seizure and the team sprang into action,
following established protocols. “When I was charting after
the event, the mom came over to me crying,” Teresa recalled.
“She thanked me for being such a calming force in the room
during her son’s seizure and for performing such an outstanding
assessment. That made me feel great.”
Teresa developed a special kinship with Zachery and was happy
to learn that he was a candidate for a brain grid and eventually
resection surgery that successfully controlled his seizure activity.
“The surgery helped him go back to the life that he had before the
illness,” Teresa explained.
2
Optimization clinic patients are going home
half a day sooner on average than their
counterparts who did not visit the clinic
(2.47 days compared to 2.91 days).
Kathy Kaut, MSN, RN, ANP-BC
SETON OPTIMIZATION CLINIC: GIVING ORTHOPEDIC
SURGERY PATIENTS A LEG UP
Rehabilitation is a standard in most post-operative care, but
what can be done to give patients the best possible results
before they even step foot into an operating room? It’s called
“pre-hab” and is being offered at Seton’s new Pre-operative
Optimization Assessment Clinic (POAC) at Seton Medical Center
Austin. The clinic, which was created by Drs. Shelby Carter,
Randall Schultz and Carol Wratten, along with Josie Moszynski,
MHA, BSN, RN, acute care director, employs an interdisciplinary
team of nurses, social, rehab and case workers.
“A multilayer clinic offers multilayer benefits,” Josie
said. “Patients who are better prepared for surgery
are less anxious, at lower risk for complications,
mobilize earlier and return to work and sports faster.”
3
During a three-hour preoperative visit, Kathy Kaut, MSN, RN,
ANP-BC, meets with patients to assess their risks for surgery.
During the preoperative visit patients also:
• meet with the anesthesiologist, case manager and physical
therapist,
• conduct blood work and other labs, and
• attend a one-hour class, led by a nurse on what to expect
and how to prepare before, during and after surgery.
Within 72 hours of hospital discharge, Seton’s nurse navigators
follow up with their patients to inquire about their wounds,
ability to eat, access to drinks and medications and pain
level. At this point nurses have an opportunity to intervene,
if needed, and manage the readmission process—potentially
avoiding an ER visit.
Currently five orthopedic surgeons are referring their total
knee replacement patients to the clinic, which has already
seen more than 200 patients. One of those patients was
(continued)
SCHOOL NURSES:
EXTENDING BEYOND THE
WALLS OF THE SCHOOL
Kristen Pokky, RN
Patricia, who had a total left knee replacement with Dr. Shelby
Carter in October. Before the procedure he referred her to
the POAC. “I was impressed with the clinic staff,” Patricia said.
“Kathy, the nurse practitioner, was professional, personable
and thorough. She obviously had a lot of experience with
patient care and what is involved with surgery. She was very
helpful and knowledgeable.”
After surgery Patricia spent two nights at Seton Medical
Center Austin. She had rehab during her stay, which was
part of her POAC treatment, and found the experience “very
beneficial.” She added, “It is important to get up and get
moving. The rehab during my hospital stay helped me with my
balance, mobility and my confidence.”
The Seton Healthcare Family
provides school nurses across
the Austin Independent School
District (AISD), delivering
compassionate care and support
that help local youth grow into
healthy, self-sufficient adults.
Kristen Pokky, RN, works at an
AISD high school where one
of the students is a paraplegic.
Because his home did not have
a ramp, he had to rely on family
members to carry him in and out.
When his mother was deported
and other family members
moved out, the student became
a prisoner in his own home.
Kristen worked tirelessly to
locate a resource to build a ramp
for this student. She connected
with the Austin Fire Department
and together they made a plan,
which resulted in a ramp being
built for the student so that he
could become more independent.
“This is only one example of how
Kristen has touched the lives of
the students on her campus,”
explained Laura Cotton, BSN, RN,
NCSN, a clinical manager with
Children’s/AISD Student Health
Services. “She views her job as a
privilege and an honor to help
these young people.”
At several months post-surgery, Patricia is doing well. She
has regained nearly all of her range of motion and has been
discharged from outpatient physical therapy. More important,
she is pain-free and staying active—biking, walking the dogs
and volunteering at her church.
When asked if she would recommend the POAC, Patricia
responded with a resounding yes. “I would recommend the
optimization clinic because of the team’s thoroughness in
preparing a person for surgery.”
Overall, Patricia’s stay at Seton Medical Center Austin was a
positive experience. “I was very pleased with the nursing care
that I had at Seton. They were there whenever I needed them
and acted like they really cared about how I was doing.”
4
“Healing yourself is connected
with healing others.”
Yoko Ono
5
heal
heal
Maria Marek, MTS, BA, RN, and Charlotte, a patient
A love for healing and connecting with others is the reason why Seton nurses get up and
go to work each day, despite the challenges that may confront them. In line with Seton
nursing’s professional practice model of Relationship-Based Care, Seton nurses provide
holistic care—attending to physical, spiritual and emotional needs. Whether the patient
is a young cancer survivor or a mentally challenged adult, Seton nurses are on hand to
motivate, calm and reassure.
ONCOLOGY NURSE NAVIGATORS: EMPOWERING AND
INSPIRING CANCER SURVIVORS
Clinical nurse navigator Maria Marek, MTS, BA, RN, works with
adolescent and young adult cancer survivors who have completed
treatment and are in surveillance or follow-up care. Her job
involves helping young survivors understand their cancer diagnoses
(including the possible late effects of their cancer treatment) and
develop survivorship plans.
“One of the first patients I met was introduced to me by the
chaplain at the Shivers Cancer Center as she waited for her
appointment with the oncologist,” Maria said. “Her name was
Charlotte and I could still very clearly see the scar on her head from
surgery for a brain tumor.” In the waiting room, Charlotte opened
up to Maria about her physical symptoms—fatigue, tingling and
numbness—and also her emotional state of mind. The young
woman was lonely and depressed and felt terribly isolated because
she did not know any other young adults like herself.
“I asked how I could help her most,” Maria recalled. “She told me
that more than anything she just wanted to meet someone like
herself with the same diagnosis.”
When Charlotte mentioned hearing about a cancer summit for
young adults, Maria quickly sprang into action and found an
upcoming conference of young adult cancer survivors in Las
Vegas. She even secured a donation of frequent flier miles to help
Charlotte with some of the travel costs. To raise the rest of the
money for the trip, Charlotte sold chocolate-covered strawberries
for Valentine’s Day using social media to get the word out.
At the conference Charlotte met many young adults with her same
cancer diagnosis, including conference organizer Matt Zachary.
“Going to this event has pushed me to get busy living my ‘new
normal’ life,” Charlotte said in a thank you letter to the frequent
flier miles donor. “I would have never made it to that conference
if Maria had not pushed me and offered her help,” Charlotte said.
“That event changed my outlook on life.”
Today Charlotte is an active member of Seton’s steering group
for the Young & Strong Fight Club, a Facebook group that helps
survivors meet. “Charlotte’s courage and energy for life has
inspired me and many others,” Maria said. “She has helped shape
what I do and how I listen as a nurse navigator.”
6
HOLISTIC CARE PILOT PROGRAM: PROVIDING PEACE
TO PATIENTS AND THEIR CAREGIVERS
To learn more about how holistic care could be formally
integrated with direct care nursing, long-time Seton associate
and energy healer Aluvia Astrid developed the Holistic Care
Nursing Pilot Project.
Over the course of 11 weeks, 53 nurses from seven different
nursing units received extensive training in six holistic mindbody-spirit healing modalities: Healing Presence, Mindful
Listening, Guided Imagery, Massage, Energy-based Touch,
Breathwork and Suggestion Therapy. The basic question
guiding the pilot project was: “If nurses were formally trained
in holistic intervention techniques, would they use them and,
if so, which ones?” Nurses were asked to track their usage
of the various modalities and share their stories about how
holistic interventions helped their patients cope with pain,
distress, anxiety and other challenges.
One of those nurses was Juanita Martinez, BSN, RN, who
works at University Medical Center Brackenridge on the ninth
floor. Juanita recalls a patient who was extremely anxious
about her plan of care. Even though the patient’s pain was
well-controlled with medications and her primary physician
had just been in to see her, she continued asking for her
doctors and wanted to know what was happening next.
“Moments earlier, the patient mentioned to me that she
missed her garden,” Juanita recalled. “I then practiced
breathwork and guided imagery with her. I asked her to
imagine that she was in her garden, wearing a large sun hat
“We heal ourselves first
and then offer our healing
presence to others.”
Aluvia Astrid
7
Aluvia Astrid, long-time Seton
associate and energy healer, along
with Juanita Martinez, BSN, RN
and that she was seeing new buds sprout from her newly
planted flowers. We went through the exercise for only a few
minutes, but the benefit was profound.”
The holistic intervention had an amazing impact on the
patient, putting her at ease and allowing her to process
information clearly from that point forward.
“Not only was practicing breathwork and guided imagery a
benefit to my patient, but it was also of great benefit to me as
her primary nurse,” Juanita added. “It was very rewarding to
connect with her and be of help to her in a time of need.”
Juanita has helped lead an effort to provide holistic care
training to University Medical Center Brackenridge clinical
assistants. “Our goal is to change the mindset of clinical
assistants and empower them,” she explained. “We want
clinical assistants to feel comfortable trying holistic care
techniques like guided imagery and breathwork with patients
who may benefit from these proven interventions.”
Holistic care is an evidence-based therapeutic
approach that works with traditional medicine to
foster healing. Central to holistic care are respect and
attention to a person’s physical, mental, emotional
and spiritual needs. Holistic care is an important
component of Seton’s professional practice model,
Relationship-Based Care, and nursing philosophy.
QUICK THINKING CALMS AGITATED PATIENT
Gaddiel Vilela is a Seton Premier Staffing nurse who floats
regularly to Seton Medical Center Austin Endoscopy. One
day Gaddiel was assigned a mentally challenged 29-year-old
patient who was extremely anxious and refused to be taken
downstairs for a procedure. The patient clung tightly to her
stuffed animal, curled up in the bed and defiantly exclaimed
“No!” as the direct care nurse tried coaxing and pleading for
her to move to the stretcher.
Noting that the patient had a large picture of Justin Bieber
beside her bed, Gaddiel pulled out his phone, punched a
few keys and started playing a Justin Bieber song. Within
seconds, the patient looked up, started smiling and agreed
without hesitation to get onto the stretcher. With the music
still playing on his phone, Gaddiel easily transported her to
Endoscopy where she cooperated with her caregivers.
Gaddiel’s creative quick thinking and intervention demonstrates
holistic, Relationship-Based Care. By placing the patient at the
center of care, Gaddiel and his fellow caregivers were able to
build trust and promote healing.
Gaddiel Vilela, RN
8
”Coming together is a
beginning; keeping together
is progress; working
together is success.”
Henry Ford
9
change
Laura Kane, BSN, CPN, Chair, and
John Villasana, BSN, CCRN, Vice-Chair
John: Awareness of shared governance is nearly universal, but
engagement is much smaller. Since every unit has its own idiosyncrasies,
it is essential to find innovative ways for engagement. Nurses must
come together and talk about their professional practice for their voices
and clinical expertise to be heard about patient care and the work
environment. Every single person has an opportunity to be involved.
Question: Why does Nursing Congress exist?
Laura: Nurses are professionals who must use independent thought and
judgment in providing care. Nursing Congress relies on a democratic
component to empower nurses to have input and vote on issues as a
group. Their vote affects the care provided through policies, procedures,
orders and other practices. Nurses need to establish who they are, what
they do and the effect they have on patient outcomes and the work
environment. Policy changes are not mandated. Every single person has an
opportunity to be involved. Every nurse is encouraged to provide written
feedback, evidence and opinions through the Seton intranet.
change
The U.S. health care system is changing—and
so is Seton. One of the guiding forces of change
at Seton is Nursing Congress, a key element of
the network’s shared-governance structure that
empowers direct care nurses and gives them a voice
in guiding the change occurring at both the network
and unit level. Other forces of change at Seton are
the Clinical Scene Investigator (CSI) teams who
use evidence-based practice to promote positive
changes in their units at six hospitals.
NURSING CONGRESS:
GIVING DIRECT CARE NURSES A VOICE
Interview with Laura Kane, BSN, RN, CPN, Chair, and
John Villasana, BSN, RN, CCRN, Vice-Chair
Question: What do you think staff nurses know about Nursing Congress?
Laura: I think nurses don’t fully understand the importance of Nursing
Congress unless they participate. As part of the residency program, new
RN residents attend a Nursing Congress meeting. They are always just
wide-eyed and amazed at the opportunity for participation by frontline
nurses in our practice. The more we can expose direct care nurses to a
meeting, the more nurses will understand that they can participate and
have choices and input into guiding their nursing practice. Nurses can be
involved from wherever they are.
John: We have great leaders, but nurses are the ones who are at the
bedside of the patient. To provide the best care, our input needs to be
recognized and valued; I think shared governance does that. For instance,
patient care policies should be evidence-based, which means using the
top existing scientific evidence, the clinician’s knowledge and taking into
consideration the patient’s wishes, preferences and values. Who better
than the frontline nurse to drive and decide on the patient care policies?
It is an opportunity to continually improve how we do things. Congress
exists so that experts at the bedside can provide, at the very least, a filter
to make sure policies make sense.
Question: What do you hope to achieve?
Laura: Shared governance has been recognized by Magnet® and
Pathway to Excellence® as an essential ingredient for an excellent work
environment and improving patient outcomes. Seton is well known
nationally for our shared governance structure and often receives groups
from across the country to learn more. Nursing Congress goals this year
are to: 1) increase interaction and discussion, 2) increase attendance, 3)
remove participation barriers and 4) utilize innovative approaches to
patient care using evidence and best practices.
John: As vice-chair, my primary role is to support Laura. I am concerned
about the future of shared governance. I know that we have major fiscal
challenges, but I want to make sure that nursing is part of the solution. I
would like to see Nursing Congress take on some sort of stewardship role.
For example, while I was chair of the acute care council, we worked with
materials management about linen usage. Through this project, the acute
care council was able to put processes into place that saved more than
$1 million by reducing linen usage. If shared governance routinely did a
stewardship project every year, then we can pay for ourselves. That would
ensure that Nursing Congress could always survive. That’s my big dream.
We will need the support of the organization to make that happen.
Laura and John: We are thankful to Dr. Joyce Batcheller for her vision. She
founded shared governance and left the legacy with us to continue to
change and evolve so that professional nurses can do what they do best—
take care of patients by blending the best of art and science.
“Nurses are professionals. We are the ones who are
at the bedside of the patient and in order to provide
the best care, our input needs to be recognized and
valued. I think shared governance does that.”
Laura Kane, BSN, RN, CPN
10
CSI profiles
Clinical Scene Investigator Program: Implementing Change on the Front Lines of Nursing
Nursing practice plays an essential role in health care quality and managing overall health care costs. Six innovative teams of Seton ICU/
IMC nurses applied for and received $50,000 in grant funding from the American Academy of Critical Care Nursing’s (AACN) Clinical Scene
Investigators (CSI) program to be divided among the teams. This 16-month training program arms staff nurses with the knowledge and
support necessary to become leaders who guide their peers in creating unit-based change that is easily scaled hospitalwide.
Dell Children’s Medical Center
Project Coach: Vickie Simpson, MSN, BA, RN, CCRN, CPN, CPHQ
Team Members: Roxy Cantu, RN; Jennifer Knox, BSN, RN, CCRN; Shannon Head, BSN, RN;
Gavin Longway, BSN, RN
Project: Got Skin? Decreasing Incidence of Device-Related Pressure Ulcers in the Pediatric
ICU at DCMC.
Synopsis: The Dell Children’s Medical Center’s CSI team’s primary goal is to decrease
the incidence of device-related pressure ulcers in the Pediatric ICU with a focus on early
prevention. Additionally, the team anticipates improved patient satisfaction, reduced
patient length of stay and decreased supply costs. The team’s catchy tagline “Got Skin?:
#Take the Pressure Off” is displayed on t-shirts, tote bags, pens and other items that were
distributed at a lively kickoff event. The team gathered baseline data through surveys of
clinical staff and families and developed tools such as a skin caddy and handouts for families
to encourage them to be integral members of the team to prevent device-related pressure
ulcers. The team also introduced Wednesday Skin Day and plans to educate all new hires
about the “Got Skin” initiative during orientation and competencies.
(from left): Jennifer Knox, BSN, RN, CCRN; Vickie Simpson, MSN, BA
RN, CCRN, CPN, CPHQ; Gavin Longway, BSN, RN; Shannon Head,
BSN, RN; Roxy Cantu, RN
University Medical Center Brackenridge
Project Coach and Lead: Jonathan Hecht, MSN, RN, ACNS-BC; Taya Murray, MSN, RN
Team Members: Caroline Burger, MSN, RN; Arianne Pichon, BSN, RN, CCRN; Luisa Silva, BS,
RN; Monica Wilson, BSN, RN, CCRN
Project: Reducing Central Line-Associated Bloodstream Infections in the IMC/ICU.
Synopsis: The University Medical Center Brackenridge CSI team’s primary focus is preventing
central line-associated blood stream infections, or CLASBSIs, in the ICU with evidence-based
interventions directed toward central line maintenance. It is essential that central line
insertion techniques are in line with best-practice recommendations in both the ICU and
emergency department (ED) setting, not only because of patient safety, but also because
the Centers for Disease Control and Prevention estimates that the average cost of a central
line-associated bloodstream infection is $16,550. The CSI team created “The Scrub Club,”
an infection prevention marketing and education campaign to achieve its goals in the
critical care and EDs. The team used evidence-based practice to develop a game plan and
promoted the interdisciplinary effort with a special logo, t-shirts, traveling display boards
and widespread use of posters, stickers and other tools.
(from left): Monica Wilson, BSN, RN, CCRN; Arianne Pichon, BSN,
RN, CCRN; Caroline Burger, MSN, RN; Luisa Silva, BS, RN
Seton Medical Center Austin
Project Coach and Lead: Phyllis Barron, MSN, MSHP, RN, FNPC, CCRN; Frances Simpson, MSN,
RN, ACNS
Team Members: Casey Clapp BSN, RN, CHPN, CCRN; Beth Cotten BSN, RN, CCRN; Lyn Jay
MSN, RN, ACNP, CCRN; Travis VanDinh, BSN, RN
Project: Bridging the Gap: Improving Care Through Understanding, Improving PatientFamily Communication, Satisfaction and Pain Management.
Synopsis: The Seton Medical Center Austin CSI team’s goal is to partner with the Palliative
Care Team to implement the best practices set out by the Centers for Advance Palliative
Care and the National Institutes of Health called “Improving Palliative Care in the ICU”
(IPAI-ICU). For some critically ill patients, ICU treatment is more burdensome than beneficial
or is inconsistent with the patient’s and family’s values, goals and preferences. It is also
difficult for some patients and family members to participate in the plan of care. The CSI
team anticipates the implementation of the IPAI-ICU bundle will: 1) improve symptom
management, 2) improve patient/family satisfaction, 3) decrease ICU length of stay and
4) decrease the use of non-beneficial treatments without increasing ICU mortality. The Seton
Medical Center Austin team is utilizing the CSI grant to pilot three aspects of the IPAI-ICU
Care and Communication Bundle: 1) identifying surrogate decision-makers, 2) presenting
a family brochure and 3) facilitating an interdisciplinary family meeting. Marketing and
education activities included an ice cream social, t-shirts with the “Bridge the Gap” logo,
trifold poster, handouts and extensive training sessions led by palliative care medical staff.
11
(from left): Phyllis Barron, MSN, MSHP, RN, FNPC, CCRN; Casey Clapp,
BSN, RN, CHPN, CCRN; Lyn Jay, MSN, RN, ACNP, CCRN; Beth Cotten,
BSN, RN, CCRN; Travis VanDinh, BSN, RN; Frances Simpson, MSN,
RN, ACNS
Through the CSI program, Seton nurses will have free access to a wide range of real-world grant project plans, interventions, tools, outcomes
and resources that provide answers to common clinical challenges and inspirational ideas for nurses and other leaders across the hospital.
Work kicked off in January 2013, with the teams examining issues on their units and formulating plans to make measurable improvements
with education and awareness campaigns. Seton CSI teams meet regularly with a CSI coach from the AACN to collaborate on research,
evidence-based practice, quality and marketing and education techniques to further their initiatives. All of the teams will present their work
to a national audience at the June 2014 AACN Innovation Conference.
Seton Northwest Hospital
Project Coach and Lead: Nancy Hunter, MSN, RN; Suzanne Hindelang, MSN, RN
Team Members: Lisa Brown, BSN, RN; Melissa Emmons, BSN, RN; Caroline Johnson, MSN,
RN, CCRN; Jennifer Keily, RN
Project: Communication Matters: Improving Hand-Off Communication Between the ER and
Critical Care Units at SNW.
Synopsis: The Joint Commission Sentinel Event Database shows that 65 percent of sentinel
events are related to communication breakdown between the health care team and/or
patient and family. The Seton Northwest Hospital CSI team’s goals are to improve hand-off
communication between the ED and critical care units to: 1) reduce patient safety events,
2) improve patient and health care team communication satisfaction scores, 3) improve
nurse satisfaction/communication during care transitions and 4) increase collaboration
between units. The CSI team at Seton Northwest Hospital has already made headway in
improving hand-off/care transition communication. Nurses in both units collaborated to
develop a new hand-off reporting tool and have displayed posters called “Communication
Matters” in both the ER and critical care unit.
(from left): Nancy Hunter, MSN, RN; Jennifer Keily, RN;
Caroline Johnson, MSN, RN, CCRN; Melissa Emmons, BSN, RN;
Lisa Brown, BSN, RN; Suzanne Hindelang, MSN, RN
Seton Medical Center Hays
Project Coach and Lead: Francesca Damiano Hammond, MSN, RN
Team Members: Jamie Beffort, BSN, RN; Tiffany Borromeo, BSN, RN; Christine McIver, BSN,
RN; Lindsay Young, BSN, RN
Project: I “Mustache” a Question about Medication Education: Educate before You
Medicate, a Campaign to Improve Medication-Related Communication HCAHPs Scores.
Synopsis: The goal of the Seton Medical Center Hays CSI team was to improve
communication with patients regarding medication. The team sought to improve patient
communication scores and to reduce readmissions by preparing patients with helpful
medication information upon discharge. They included clerks, techs, nurses and clinical
assistants in distributing patient discharge folders containing medication handouts,
business cards for patient provider team members and scratch paper for note-taking.
During Nurses Week the team successfully generated staff, patient and family interest
in the project by wearing ”Mustache You a Question” t-shirts and posting the project’s
mustache logo around the unit. Weight-based drip information badge tags were provided
to staff, who were encouraged to utilize them as reference tools.
(from left): Lindsay Young, BSN, RN; Christine McIver, BSN, RN;
Jamie Beffort, BSN, RN; Francesca Damiano Hammond, MSN, RN
Seton Medical Center Williamson
Project Coach and Lead: Lisa Votti, BSN, RN-BC
Team Members: Marcia Baricuatro, BSN, RN, CCRN; Soumaly Rattanasvanh, BSN, RN, CCRN;
Lisa Thackerson, RN, CNRN; Maricelle Thornton, BSN, RN
Project: The Noise Pollution Solution: a Campaign to Increase Hospital Environment, Patient
Loyalty and Decrease Length of Stay by Reducing Noise Levels in the ICU at Seton Medical
Center Williamson.
Synopsis: The Seton Medical Center Williamson CSI team is working to increase patient
satisfaction and decrease length of stay by improving sleep among its patients. The team
measured the sound levels of common hospital equipment and patient-care devices on the
unit. They also educated staff at meetings via handouts and a trifold poster board. Using
AACN grant funds, the CSI team purchased eye masks, ear plugs, fans, sound machines and
CD/radios for use by patients as a noise pollution (control) solution.
(from left): Maricelle Thornton, BSN, RN; Marcia Baricuatro, BSN,
RN, CCRN; Soumaly Rattanasvanh, BSN, RN, CCRN;
Lisa Thackerson, RN, CNRN; Lisa Votti, BSN, RN-BC
12
“If your actions inspire others
to dream more, learn more,
do more and become more,
you are a leader.”
John Quincy Adams
advance
13
Seton nurses continue to advance the professional
practice of nursing through both their educational
endeavors and their groundbreaking research. A
growing number of Seton nurses are returning to
school to earn a higher degree and advance their
skills and scientific knowledge, some with the help
of the Seton Nurse Scholarship Endowment. At
the same time, Seton nurses, including advanced
practice nurses, continue to lead teams conducting
innovative research to improve patient care.
advance
THE SETON NURSE SCHOLARSHIP
ENDOWMENT: GOING THE EXTRA MILE
To encourage and inspire nurses to further their formal
education, the Seton Foundation established the Seton
Nurse Scholarship Endowment in 2005. Because of
the generosity of Seton associates (who have donated
more than $600,000 to the scholarship endowment
through the Seton Cares campaign) and individual
donors, the Seton Nurse Scholarship Endowment has
provided more than 165 scholarships totaling more
than $375,000.
In Fall 2013 the Seton Foundation announced the
names of the 24 Seton nurses who each earned a
$3,000 scholarship from the Seton Nurse Scholarship
Endowment. Hand-selected by a committee of nurses,
past scholarship winners and Seton Nurse Scholarship
Endowment donors, the 24 recipients all stand out for
their commitment to Seton’s mission and willingness to
go the extra mile for their patients and community.
Erika Alexander, University Medical Center Brackenridge
Jeffery Bothof, Seton Medical Center Austin
Todd Brady, University Medical Center Brackenridge
Jennifer Burrough, Seton Medical Center Hays
Susan Cepeda, Seton Northwest Hospital
Vanessa Cuellar, Seton Medical Center Hays
Katie Jo Dixon, University Medical Center Brackenridge
Staci Eaton, Seton Network Oncology Services/Shivers
Teresa Evan, Seton Highland Lakes Hospital
Denise George, Seton Edgar B. Davis Hospital
Michelle Gillespie, Seton Medical Center Hays
Robert Green, University Medical Center Brackenridge
Angelique Ibarra, Seton Medical Center Hays
Akira Jerome, Seton Highland Lakes Hospital
Mary Kalapach, Seton Medical Center Austin
Alicia Kellogg, Dell Children’s Medical Center
Rosemary Klein-Robbins, Seton Shoal Creek Hospital
Madeline Lopez, Dell Children’s Medical Center
Trina Mays, Seton Medical Center Austin
Julie Miller, Seton Smithville Regional Hospital
Amy Mitchhart, University Medical Center Brackenridge
Jeannette Rivera, University Medical Center Brackenridge
Luc Vezina, Dell Children’s Medical Center
Lisa Votti, Seton Medical Center Williamson
In keeping with the recommendation from the
Institute of Medicine Future of Nursing report,
Seton has established the goal for 80 percent
of its nurses to have a Bachelor of Science
in Nursing by 2020. With the rising cost
of education, the Seton Nurse Scholarship
Endowment continues to play an important
role in helping nurses pay tuition.
14
Karen Hollis, BSN, RN, CWON; Sharon Demel, MSN, RNC-NIC, CNS;
Marcie Moynihan, MSN, RN, CNS; Debbie Vance, MSN, RNC-NIC, RN V
NURSING RESEARCH: BREAKING NEW GROUND
Debbie Vance is an RN V who works in the NICU at Seton
Medical Center Austin. A member of the Seton Healthcare
Family since 1999, Debbie returned to school for her Master
of Science in Nursing at the urging of her director and is glad
she did. “I appreciate the opportunity to use the skills and
knowledge I learned earning my master’s degree to improve the
care of our smallest patients.”
Today Debbie leads a team of nurses (Karen Hollis, BSN, RN,
CWON, clinical manager, Wound, Ostomy and Continence
Department/Seton Healthcare Family; Sharon Demel, MSN, RN,
RNC-NIC, clinical nurse specialist, Neonatal Intensive Care Unit/
Dell Children’s Medical Center; and Marcie Moynihan, MSN,
RN, clinical nurse specialist, Neonatal Intensive Care Unit/Seton
Medical Center Austin), pioneering research on ways to reduce
skin breakdown of infants, especially those born prematurely.
Although evidence-based skin assessment tools currently exist
for adults and children, until now there has been no valid and
reliable assessment tool for infants that could help providers
15
like Debbie decide when to take extra prevention measures to
protect a newborn’s fragile skin. So she and her team used an
online survey tool and two rounds of Delphi technique with
interprofessional providers who routinely care for neonates to
gather information.
Round one participants were asked, “What do you perceive as
risk factors for skin breakdown in neonates?” Responses were
categorized into broad themes. In round two, respondents
were asked to rank the importance of these themes using a
five-point Likert scale. These data resulted in the creation of the
Seton Infant Skin Risk Assessment Tool, currently being further
validated through retrospective chart review and the Neonatal
PReSKIN Risk Intervention Resource Tool.
Debbie recently received approval from the Seton Institutional
Review Board for the retrospective chart review testing tool. She
has also submitted an article to National Association of Neonatal
Nurses that will be published in the nursing journal, Advances
in Neonatal Care.“Not only is nursing research essential to
improving patient care, but it is also part of being a Magnet®
hospital,” Debbie explained. “We need to support nurses in
their endeavors to do nursing research.”
Seton nurses are advancing the professional practice of nursing and improving
outcomes by implementing evidence-based practice and conducting nursing
research. Listed below are projects led by RN V nurses in 2013.
• Evaluation of a Hospital Tracheotomy Education
Program to Improve Clinical Effectiveness for Patient
and Families. Jan Alexander, DNP, MSN, M. Div, RN V,
Dell Children’s Medical Center
• Peritoneal Dialysis Competencies: Assessing Systems and
Providers and Building Capacity on a Complex Pediatric
Short Stay Unit. Anna Rivera, MSN, RN V, Dell Children’s
Medical Center
• Operational Strategies to Build Skills and Outcomes in a
New Complex Pediatric Care Unit: Assessing respiratory
unit services and nursing skills. Julie Castro, MSN, RN V
Dell Children’s Medical Center
• Patient Call Back: Analytics for Patient Cost Accounting
and Satisfaction Outcomes, Opportunities for
Dissemination and Use. Katy Starnes, MSN, RN V,
University Medical Center Brackenridge
• Healthcare Team Performance: Selected System
Development to Standardize Acute Care Nursing Tools
for Quality Care in a Post-Reform Environment. Elaina
Diaz, MSN, RN V, University Medical Center Brackenridge
• Delphi Survey of Risk Factors for Neonatal Skin
Breakdown: Toward Validating a Tool to Engage Best
Practices for Interventions and Outcomes. Debbie Vance,
MSN, RNC-NIC, RN V, Seton Medical Center Austin,
University Medical Center Brackenridge
• Obesity Program Effectiveness Improvement:
Ambulatory Clinical Systems Strategies. Sandra Lopez,
MSN, RN V, Dell Children’s Medical Center
• Exploration of the Impact of Psychiatric Education on
Quality of Care Issues in the Emergency Department.
Elizabeth Wilson, MSN, RN V, Seton Shoal Creek Hospital
• Overcrowding in ED: Implementation Impact of UMCBED/DSRIP System. Curk McFall, MSN, RN V, University
Medical Center Brackenridge
“Nurses are at the front lines of the big changes taking place in
health care today. In an environment that grows more complex and
specialized every day, increasing the educational requirements of our
nurses is a necessity, not an option. The Seton Nurse Scholarship
Endowment plays a vital role in helping Seton nurses advance their
formal education and ultimately improve the quality of care they
provide to our patients.”
Yvonne VanDyke, MSN, RN
16
Saluting Joyce Batcheller, DNP, RN, NEA-BC, FAAN
Robert Wood Johnson Executive Nurse Fellow Alumna
Seton Senior Vice President/System Chief Nursing Officer,
1994 to 2013
The 1990s were a time of extreme turbulence. Managed
care had saturated the local market and Hospital
Corporation of America/Columbia was coming to the area.
Seton needed to build and expand locations to compete
and thrive.
o succeed, Seton would need a strong leader for nursing.
T
Joyce Batcheller, who had years of high-level operations
experience, was recruited from a Magnet® hospital in
Fairfax, Virginia.
In 1995 Seton leased the public Brackenridge Hospital, as it
was named then. Batcheller knew she had to unify the two
nursing cultures that were each a century-old, strong, proud
and distinct. Her vision was for the new, larger system
to function as one hospital, one where nursing care was
standardized using the best, evidence-based practices from
both hospitals.
Batcheller said:
When I first started at Seton, the decision-making seemed
to be very top-down, and I knew that things had to change.
We needed to engage front-line nurses and build a critical
mass of empowered leaders.
o learn more about shared governance, I sent a few people
T
to my former hospital in Fairfax to talk to staff and leaders
and attend an actual Nursing Congress meeting. Those
individuals came back excited and helped to create Seton’s
Nursing Congress and specialty councils. We did not have all
of the answers when we started; we had to make it up as
we went along.
here was always a lot of intentional focus to make sure
T
we could spread best practices, learn to use evidence-based
practice and improve patient outcomes. Several important
investments were made over the years and we worked to
show the difference those investments were making.
uring the long process, we developed a lot of nursing talent
D
and improved patient outcomes in ways I never could have
dreamed of when we first started. So many people today—
nurse educators, managers, directors and site CNOs—started
as staff nurses and grew up within Seton.
S tronger professional relationships among nursing and
other disciplines developed, which contributed greatly to
improved patient outcomes. These accomplishments have
been shared through local and national presentations,
publications and many site visits.
17
y 1996 the foundation for Batcheller’s democracy for
B
nursing, called shared governance, was laid. It allowed and
motivated nurses at all levels of the organization and from
across all campuses to unite as a profession. Rather than
digging in heels to maintain the status quo, nurses rolled
up their sleeves and worked together to improve clinical
outcomes by enhancing patient care. A top-down nursing
structure had been toppled.
F ront-line nurses brainstormed to find ways to improve
care on unit practice councils. Specialty councils (acute care,
behavioral health, critical care, etc.) and a Nursing Congress
met to standardize best practices, based on research. Nurse
leadership and management support staff participated
in shared governance with flexible scheduling. A Clinical
Ladder was formed that recognized participation in shared
governance and professional development.
he teams began to create one innovation after another,
T
e.g., perinatal safety, rapid response teams, patient care
boards. The world noticed. The Institute for Healthcare
Improvement and the Robert Wood Johnson Foundation
collaborated with Seton Nursing for major projects such
as Transforming Care at the Bedside and the Time and
Motion nurse efficiency study. Seton nurses have published
and presented their innovations across the country and
internationally. A record number of Seton nurses are
certified in their specialties.
Batcheller’s transformational leadership by modeling
behaviors and expectations for front-line staff was
instrumental in developing Seton Nursing’s culture of
excellence. All of this is evidenced by Seton’s four Magnet®
and five Pathway to Excellence® designations.
Seton nurses are extremely committed to the mission
“
and values of the organization, and they truly care about
people,” Batcheller said. “They have a lot of pride in the
care they provide their patients. Staff nurses have been able
to interact with top executives. They are pushed to think
differently and speak up and challenge the status quo. It’s
all about being a professional.”
The nurses at Seton Healthcare Family salute
Joyce for her many years of dedicated service,
which has positioned us well to meet the future.
awards and recognitions
Joyce Batcheller, DNP, RN, NEA-BC, FAAN, was selected to serve on the advisory board of the
Anita Thigpen Perry School of Nursing at Texas Tech.
Vicki Batson, PhD, MSN, RN, CNOR, NEA-BC, was awarded the Surgical Services Nurse of the
Year by the Austin Area chapter of AORN, the Association of Perioperative Registered Nurses.
Sylvia Danko, BSN, RN, OCN, CBCN, was chosen by the Texas Nurses Association-District 5 as
among its “Fabulous 5.” Danko was honored at the TNA annual banquet in May.
Lisa Dugger, MSN, ACNS-BC, CDE, received the 2013 Rising Star Alumni Award by The
University of Texas at Austin School of Nursing.
Seth Gregory, MSN, RN, was selected as a clinical reviewer for the American College of
Surgeons National Surgical Quality Improvement Program—Pediatric.
Sheila Hale, RN, CRNI, VA-BC, was selected for membership to the Association for Vascular
Access Global Strategy Committee.
Rita Kluny, BSN, RN, MTh, BC-HN, CHTP (I), HTCP (I), was invited to participate in the 57th
United Nations Commission on the Status of Women in March at U.N. headquarters in New
York City, which focused on eliminating violence against women and girls.
Cindy Manning, RN, CBCN, was chosen by the Texas Nurses Association-District 5 as among its
“Fabulous 5.” Manning was honored at the TNA annual banquet in May.
Peggy O’Neil, RN, OCN, CBEC, CBCN, was named the Central Texas Oncology Nurse of the Year.
Susan Russo, BSN, RN, was elected as a “Favorite Oncology Professional” by Cure Search for
Children’s Cancer, a national non-profit foundation.
Linda Sifuentes, RN, was recognized by the Area Agency on Aging of the Capital Area for
her volunteer service and advocacy for A Matter of Balance, an award-winning, eightsession, evidence-based program for adults older than 60 who have experienced falls, fear
falls or who are at risk of falling.
Yvonne VanDyke, MSN, RN, was named one of 20 Robert Wood Johnson Foundation
Executive Nurse Fellows for 2013.
Yvonne VanDyke, MSN, RN, was honored with the Health Initiative Award for education at
the 75th anniversary gala of the Beta Psi Omega chapter of Alpha Kappa Alpha sorority, a
community service organization.
Joni Watson, MSN, RN, MBA, OCN, was selected to serve on the National Oncology Nursing
Society’s quality campaign team.
Laura Winslett, MSN, RN, CNS-BC, CNRN, CNOR, was given the Austin Advanced Practice
Nurses Organization’s APN Excellence Award.
Nurses in the Media
Toni Inglis, MSN, RN, CNS, FAAN, retired neonatal intensive care staff nurse and editor of
Seton NursingNews, writes a monthly opinion column for the editorial page of the Austin
American-Statesman.
The Smithville Times ran a feature story on February 19 about Seton’s house-call program for
the elderly and chronically ill to avoid hospital visits. The story featured Cherrie Pullium, MSN,
RN, ACNS-BC, who now provides daily medical services to residents at Towers Nursing Home,
a department of Seton Smithville Regional Hospital.
Charlie Fox-Simpson, MSN, RN, ACNP-BC, AACC, was profiled in the winter 2013 issue of
Texas Tech University Health Science Center’s Pulse.
DAISY Award Winners
DELL CHILDREN'S MEDICAL CENTER
Jen Birkenheiser, BSN, RN
Darla Dodge, RN, CCRN
Vanessa Hernandez, BSN, RNC-NIC
Kindsay Leite, BA, RN
Erin Moore, BSN, RN
Laura Presley, BSN, RN, CPN
Paul Simmons, BN, RN
Carissa Stephens, BA, RN, CPN, CCRN
Anne Wood, MSN, RN
SETON EDGAR B. DAVIS HOSPITAL
Cristita Adams Racelis, BSN, RN
Denise George, RN
SHIVERS CANCER CENTER
Cassie Gossett, BSN, RN
SETON MEDICAL CENTER AUSTIN
Iris Barrera, RN
Sharon Burba, BSN, RN
Alison Faulconer, RN
Chuck Furlong, RN
Marcus Gasaway, RN
Jennifer Gravett, BSN, RN
June Hallidy, BSN, RN
Ina Holmes, RN
Julie Howell, RN
Mim Luetje, BSN, RN-BC, CVRN
Susan Muela, RN
Kristen Smith, BSN, RN
SETON MEDICAL CENTER HAYS
Tiffany Borromeo, RN
Jessica Fitch, BSN, RN
Jacque Goodman, BSN, RN
Angelique Ibarra, RN
Jennifer Martinez, RN
Melissa Minton, RN, CEN
Stephanie Riding, RNC-OB
Julie Schmiedeke, RN
Melissa Vermeulen, RN
SETON NORTHWEST HOSPITAL
Jay Owens, RN, CCRN, SNW IMC
SETON MEDICAL CENTER WILLIAMSON
Christy Canion, RN
Ajisha Sankar, RN
Kathryn Sonoda, BSN, RN
UNIVERSITY MEDICAL CENTER
BRACKENRIDGE
Todd Brady, RN
Allison Floyd, RN, CCRN
Sandra Hoover, BSN, RN
Rachael Love, BSN, RN
Laura Milburn, RN-BC
Linda Miller, RN
Bobby Robinson, BA, RN
Katie Scott, RN
18
nursing scholarly works
Podium Presentations
Gwenn Scott, DNP, RN, FNP-BC, presented “Health literacy in the U.S.” at the 2013
John W. Stormont Conference on South Texas in Victoria, Texas, in February.
Joyce Batcheller, DNP, RN, NEA-BC, FAAN, presented “Texas Team: Advancing
health through nursing” to an operations meeting of executives of Texas
universities and research institutes at the Texas Tech University Health Sciences
Center in Lubbock in February.
Buffy Allen, MSN, RN, and Yvonne VanDyke, MSN, RN, presented “Simulation: The
centerpiece of clinical education at the Seton Healthcare Family” at the third annual
Southwestern Academy of Teachers Educational Symposium in Dallas in April.
Sheila Hale, RN, CRNI, VA-BC, presented “Equipped for excellence: a theory based
orientation plan for vascular access clinicians” at the Infusion Nurses Society
National Meeting in Charlotte, NC, in May.
Alyssa Monacelli, MSN, RN, and Valerie Vesich, RHIT, CTR, presented “Tumor
conference make-over: high technology and multidisciplinary” at the 39th annual
educational conference of the National Cancer Registrars Association in San
Francisco in June.
Alanna Scott, RN, CNOR, presented “Engaging future perioperative nurses: taking
the show on the road” at the 60th AORN Congress in San Diego in March.
Curk McFall, MSN, RN, presented “Quality of life experienced by military burn
survivors” at the 45th annual meeting of the American Burn Association in Palm
Springs in April.
Karen McCarthy, MSN, RN, ANP, ACHPN, presented “Don’t tell my mother she has
cancer” at the annual American Academy of Nurse Practitioners conference in Las
Vegas in June.
Seth Gregory, MSN, RN, presented “Strengthening NSQIP-P data through multilayered review and subspecialty champions’ involvement” at the American College
of Surgeons National Surgical Quality Improvement Program National Conference
in San Diego in July.
Karen Hamlett, BSN, RN, presented “Implementing safe sleep practices at Dell
Children’s Medical Center” at the Children’s Hospital Association of Texas Pediatric
Nursing Conference in Dallas in October.
Maria Tappan, MSN, RN-BC, and Elaina Díaz, MSN, RN, CMSRN, presented
“Multidisciplinary rounds: engagement through education” at the Association for
Nursing Professional Development Annual Convention in Dallas in July.
Publications
Marianne Mowry, MSN, RN-BC, presented “Using immersion simulation
methodology with standardized patients in behavioral health” at the Association
for Nursing Professional Development Annual Convention in Dallas in July.
Sally Freeman, MSN, RN, NCSN, NEA-BC; Barri Rosenbluth, LCSW; and Laura
Cotten, BSN, RN, NCSN, authored “Teen dating abuse: recognition and
interventions” in the January issue of NASN School Nurse, Vol. 28, No. 1.
Elaina Díaz, MSN, RN, CMSRN, and Maria Tappan, MSN, RN BC, presented
“Multidisciplinary rounds: engagement through education” at the Association for
Nursing Professional Development Annual Convention in Dallas in July.
Deanna Eichler, BA, MSN, RN, authored “Patient screening and callback prevent
readmissions: a process improvement project” in the January/February issue of
Professional Case Management, Vol. 18, No. 1, pp. 25-31.
Jennifer Tiller, MSN, RN, CPNP, CPHON, presented “Acute chest syndrome in sickle
cell disease: collaborative initiatives to improve care” and “Hemophilia 101 for the
advanced practice nurse: it’s easier than you think” at the Association of Pediatric
Hematology/Oncology Nurses 37th Annual Conference and Exhibit in Louisville in
September.
Joni Watson, MBA, MSN, RN, OCN, authored “Colorectal cancer screening methods
at a glance” in the April, May, June issue of Texas Nursing Voice, Vol. 7, No. 2, p. 9.
Marilyn Shook, BS, RN, CLNC; Kenna Hamm, LMSW; Sara Gordon, RNC-OB;
Becky Roberson, BSN, RNC-NIC; and Rev. Andrea Northcut, MAMFC, MARE, BCC,
presented “A Magnet-driven approach to taking the guesswork out of complex
perinatal cases” at the 2013 National Magnet Conference in Orlando in October.
Saul Benítez Jr., MSN, RN, ACNS-BC, and Ernest Haeusslein, MD, FACC, ABIM,
presented “Management of complex CHF in the outpatient setting” at the Seton
Heart Institute’s 2013 Cardiology Update for Primary Care in Austin in October.
Elaina Díaz, MSN, RN, CMSRN; Buffy Allen, MSN, RN; Maria Tappan, MSN, RN-BC;
Marianne Mowry, MSN RN-BC; Judy Kitchens, MHA; Carolyn Jackson, RT; Cleo Hill,
CA; and Candie Clark, CA, performed a live, 30-minute simulation for the opening
session of the Simulation User Network Conference in San Antonio in October.
Vicki Batson, PhD, MSN, RN, CNOR, NEA-BC, presented “Coaching by first line
managers and outcomes of professional work satisfaction, job satisfaction and
intent to stay” at the Sigma Theta Tau International 42nd Biennial Convention in
Indianapolis in November.
Susan Shineldecker, BSN, RN, NCSN, presented “Infection Control in the School
Setting” at the annual conference of the Texas School Nurses Organization in Dallas
in November.
Poster Presentations
Joni Watson, MBA, MSN, RN, OCN, presented “Eliminating personal and
organizational distress when planning and implementing routine psychosocial
distress screening” at the Association of Cancer Executives annual meeting in San
Antonio in January.
Vicki Batson, PhD, MSN, RN, CNOR, NEA-BC, presented “Staff nurse perceptions
of first line managers’ coaching behaviors” at the 60th annual Congress of the
Association of PeriOperative Registered Nurses in San Diego in March.
Patty Cervenka, BSN, RN, CPN, and Dory Collette, RN, CCRN, presented “Improving
infection control precautions on a general medicine unit” at the March 2013
Creating Connections Conference in Anaheim, CA.
19
Vickie Simpson, MSN, RN, CCRN, CPN, CPHQ, and Jennifer Ard, BSN, RN, presented
“Surgical positioning: preventing pressure ulcers in the operating room” at the
March 2013 Creating Connections Conference in Anaheim, CA.
Marianne Mowry, MSN, RN-BC, and Mark D. Crump, BSN, RN-BC, authored
“Immersion scenarios bridge the education-practice gap for new graduate
registered nurses” in the July issue of the Journal of Continuing Education in
Nursing, Vol. 44, No. 7, pp. 319-325.
Vickie Simpson, MSN, RN, BA, CCRN, CPN, CPHQ; Ann Bailey, MBA, BSN, RNC,
CIC; Renee Higgerson, MD; and LeeAnn Christie, MSN, RN, CCRN, authored
“Ventilator-associated tracheobronchitis in a mixed medical/surgical pediatric
ICU” in the July issue of Chest Journal, Vol. 144, No. 1, pp. 32-38.
Patty Adams, BSN, ARM, RN, NCSN, and Susan Shineldecker, BSN, RN, NCSN,
authored “Unaccompanied youth: school nurses caring for adolescent minors
living without a parent or guardian” in the August issue of NASN School Nurse.
Pam Combs, PhD, RN, authored “The Vanishing Caregiver” in the September
issue of ISHLT Links, newsletter of the International Society for Heart and Lung
Transplantation.
Anne Raines, MSN, RN, authored “Nursing implications for patients with
hepatoblastoma,” published Oct. 11 in Oncopedia.
James Davis, MAHCM, MSN, RN; Joyce Batcheller, DNP, RN, NEA-BC, FAAN; and
Patricia Yoder-Wise, EdD, RN, NEA-BC, ANEF, FAAN, authored “Hope for the
future: intensifying spirituality in the workplace,” in the October/December issue
of Nursing Administration Quarterly, Vol. 37, No. 4, pp. 309-316.
Joyce Batcheller, DNP, RN, NEA-BC, FAAN; Ann Hendrich, PhD, RN, FAAN; and
Angela Janik, MBA, MSN, RN, authored “The Ascension Health experience:
maximizing the chief nursing officer role in a large, multihospital system to
advance patient care quality and safety” in the October/December issue of
Nursing Administration Quarterly, Vol. 37, No. 4, pp. 277-288.
Karen Burkman, MSN, RN, NEA-BC; Diana Sellers, MSN, RN, CPHQ; Cheryl Rowder,
PhD, RN, CCRC; and Joyce Batcheller, DNP, RN, NEA-BC, FAAN, authored “An
integrated system’s nursing shared-governance model: a system chief nursing
officer’s synergistic vehicle for leading a complex health care system” in the October/
December issue of Nursing Administration Quarterly, Vol. 37, No. 4, pp. 353-361.
In Memoriam
Mark D. Crump, BSN, RN-BC, Seton Shoal Creek Hospital
we can
SITES
Dell Children’s Medical Center of Central Texas
4900 Mueller Boulevard
Austin, TX 78723
(512) 324-0000
Seton Northwest Hospital
11113 Research Boulevard
Austin, TX 78759
(512) 324-6000
Seton Edgar B. Davis Hospital
130 Hays Street
Luling, TX 78648
(830) 875-7000
Seton Shoal Creek Hospital
3501 Mills Avenue
Austin, TX 78731
(512) 324-2000
Seton Highland Lakes Hospital
3201 South Water Street
Burnet, TX 78611
(512) 715-3000
Seton Smithville Regional Hospital
800 East Highway 71
Smithville, TX 78957
(512) 237-3214
Seton Medical Center Austin
1201 West 38th Street
Austin, TX 78705
(512) 324-1000
Seton Southwest Hospital
7900 FM-1826
Austin, TX 78737
(512) 324-9000
Seton Medical Center Hays
6001 Kyle Parkway
Kyle, TX 78640
(512) 504-5000
University Medical Center Brackenridge
601 East 15th Street
Austin, TX 78701
(512) 324-7000
Seton Medical Center Williamson
201 Seton Parkway
Round Rock, TX 78665
(512) 324-4000
Denotes Magnet Designation
Denotes Pathway to Excellence Designation
S E T O N . N E T / N U R S I N G
We appreciate the team (Jill Pendleton, Linda Vochatzer, Nancy Mastronardi, Amy Spiro,
and Marc Swendner) for their dedication to the production of the Nursing Annual Report.