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5Star NURSING EXCELLENCE 2012 NURSING ANNUAL REPORT S E R V I C E Q U A L I T Y P E O P L E C O S T G R O W T H During fiscal year 2012, signs of growth were everywhere, including the hospital’s main entrance and lobby. This year was also the busiest in hospital history. on the cover: These nurses personify our five areas of focus: Service, Quality, People, Cost and Growth. From left: Trisha Maisch, RN; Dan Hudson, RN; Elora Thorpe, RN; Diana Reyes, RN, and Amy Velasquez, RN, represent the more than 2,000 nurses at The University of Kansas Hospital. contents 201 2 N U R S I N G A N N UA L R E P O RT a message from our leaders 2 e x c e l l e n c e i n p e r fo r m a n c e 4 excellence in service 6 excellence in quality 10 e xcellence of our people 16 e x c e l l e n c e i n c o st 20 excellence in growth 24 2012 nursing achievements 28 in memoriam 45 201 2 N U R S I N G A N N UA L R E P O RT From left: Lila Martin, Tammy Peterman and Chris Ruder. 2 A MESSAGE FROM OUR leaders The University of Kansas Hospital, thanks to your work and the work of thousands of staff members across the organization, continues to move toward our vision to lead the nation in caring, healing, teaching and learning. During the past year, we have cared for more patients than ever before, seen continued upgrades across our facility, and hired more staff than at any time in the history of the hospital. This growth and expansion has happened because of a commitment we made nearly 14 years ago when the hospital became a Public Authority. At that time, we made the promise to focus on exceptional patient care and service provided by engaged, competent and committed staff. We believed such a focus would lead to strong financial performance and growth. This patient-centered focus has served us well. The successes profiled in this year’s annual report are exceptional. They have been achieved through the dedication and hard work of a team of professionals. A team who puts patients and families first and foremost in everything they do. A team who understands their important role in the caring and healing of patients who have come to our hospital from next door or halfway around the world. A team who always works to be the best. Staying true to our mission, vision and WE CARE values has been instrumental in our success. As you know, our vision is “to lead the nation in caring, healing, teaching and learning.” As we continue to grow, our focus remains on ensuring patients who come from the largest cities and the smallest towns receive care that is second to none. Every day, we take advantage of all the benefits of being “large” provides us. Yet, from the perspective of our patients we work to make ourselves feel “small” and as close to home as possible. We hope you can identify with the stories in the following pages. These stories speak of excellence in achieving our areas of focus in service, quality, people, cost and growth. They profile individuals and teams who have consistently strived to help us provide outstanding care and service. They describe collaboration and leadership by staff who have been with us for months and those who have been leaders in our organization for many years. Most of all, they highlight our amazing team of nurses who come together each and every day with only one purpose – to lead the way, merging science with compassion in delivering exceptional patient care. Tammy Peterman, RN, MS, NEA-BC Executive Vice President, Chief Operating Officer and Chief Nursing Officer Chris Ruder, RN, MS, NEA-BC Vice President, Patient Care Services Lila Martin, RN, MSN Vice President, Perioperative Services 3 performance EXCELLENCE IN Nurses at The University of Kansas Hospital are an integral part of a great team that provides exceptional care to patients. This year, the University HealthSystem Consortium (UHC) ranked our hospital second in the nation for quality outcomes in its annual Quality and Accountability Survey for 2011. This is the result of the great care provided by our team of nurses and other healthcare providers. UHC analyzed data from 101 institutions, focusing on six domains of care – mortality, effectiveness, safety, equity, patient centeredness and efficiency. Among the other honors received during fiscal year 2012, which was one of the busiest in the hospital’s history, include: ✩ The hospital was redesignated as a Magnet facility, receiving eight exemplars for outstanding quality and patient care, which is considered exceptional by the American Nurses Credentialing Center. ✩ U.S. News & World Report named 10 of our hospital’s specialties to its renowned “Best Hospitals” rankings: Cancer; Cardiology and Heart Surgery; Diabetes and Endocrinology; Ear, Nose and Throat; Gastroenterology; Geriatrics; Nephrology; Neurology and Neurosurgery; Pulmonology and Urology. The magazine also ranked us the top adult hospital in the Kansas City metro and in Kansas. ✩ Becker’s Hospital Review named us to its “100 Great Hospitals” list. ✩ Thomson Reuters ranked our heart program in the top 50 nationally and among the top 15 teaching hospitals. ✩ American College of Surgeons again awarded accreditation with commendation to our cancer program. ✩ National Association of Epilepsy Centers gave our Comprehensive Epilepsy Center Level 4 designation, the highest level possible. ✩ American Heart Association recognized our stroke and heart failure programs with a Gold Plus Award through Get With the Guidelines®. ✩ Society of Thoracic Surgeons awarded our cardiac surgery program three stars, the highest ranking possible. ✩ Emergency Nurses Association recognized our Emergency Department with the Lantern Award. ✩ Society of Chest Pain Centers reaccredited our Chest Pain Center, recognizing great teamwork and coordination of care. ✩ American Heart Association and Society of Chest Pain Centers granted us Mission: Lifeline® accreditation as a STEMI Receiving Center. These accomplishments are due to the commitment and dedication by nursing staff in achieving 5 Star Nursing Excellence every day. The following pages highlight the many ways nurses helped achieve the hospital’s Five Star Performance Goals this past year. 4 201 2 N U R S I N G A N N UA L R E P O RT Our quality outcomes have drawn more people to us for their care, supporting the addition of four floors to the Center for Advanced Heart Care. Residents of Level 9 include (from left) Stacy Smith, RN; Michael Johnson, RN; Michelle Taylor, and Crystal Chevalier, RN, all in Neurosciences and ENT Intensive Care. 5 201 2 N U R S I N G A N N UA L R E P O RT Because of the patient-centered care provided by Cherie Adair, RN, and her colleagues in the spine center, their patient care consistently earns “very good” ratings. 6 service EXCELLENCE IN “This has to be the best collection of caring and uplifting nursing staff!” That’s just one of the many compliments patients wrote about their care at the Marc A. Asher, MD, Comprehensive Spine Center. The service provided by the spine center staff is consistently rated “very good.” In fact, as many as 75 percent of patients give the team this highest rating each month. Nursing Director Kim Dixon, RN, attributes this success to the center’s culture. “The teams continually monitor their patient satisfaction scores, and everyone takes responsibility for making sure patients receive only the very best care and service.” If patient satisfaction scores begin to slip, the staff drills down into each question until they identify the issue. One such problem was lengthy wait times. Applying a little creativity, the staff took action to make patients’ waits more comfortable. The staff now play music in the exam rooms and provide magazines and snacks. Such simple things can mean a lot to our patients. The spine center is just one of many top-performing nursing areas at the hospital. Other patient care areas scoring above the 90th percentile in patient satisfaction consistently during fiscal year 2012 are: ✩ ✩ ✩ ✩ ✩ ✩ ✩ ✩ ✩ ✩ ✩ Neonatal Intensive Care Cardiothoracic Surgery Intensive Care Neuroscience Intensive Care Cardiovascular Treatment and Recovery Cardiothoracic Surgery Progressive Care Cardiovascular Progressive Care Cardiac Intensive Care North Pre/Post Care Hematology/Oncology Renal and Organ Transplant Surgical Intensive Care 99th 99th 99th 99th 99th 99th 98th 98th 94th 93rd 91st 7 EXCELLENCE IN service Outstanding service at The University of Kansas Hospital means consistently meeting and exceeding patients’ expectations. Our nurses are committed to achieving this high standard every day. OUTSTANDING CARE BREAKS THROUGH SILENCE The day Kim Hurt came to Unit 53, she was disoriented. Terrified. Anxious. Functionally deaf and blind, she was transferred from a regional medical center. The move to our hospital – a new, unfamiliar environment – was jarring. She sat in her bed with the covers pulled over her head. Hurt communicates through sign language by holding on to another signer’s hands. So the staff had no way to talk with her except when the sign language interpreter visited. Hurt resisted the special baths and treatments her condition required. It was a stressful situation – for everyone. Then Unit Educator Stephanie Winright, RN, began spending as much time as possible with Hurt. Nurses and aides taught themselves basic sign language and soon started interacting with her. They held fundraisers. They purchased Hurt clothes. And since she can see basic shapes and colors on bright screens, the nurses bought her a portable DVD player. After three months in Unit 53, Hurt was ready for release. Social workers at our hospital worked hard to secure a spot for her at a deaf and blind community in Oregon, where she lives today. This experience was profound for Hurt, and equally as profound for our nurses. This level of care is moving us closer to fulfilling our vision of leading the nation in caring, healing, teaching and learning. Services like our Comfort Cart (opposite page, top) help patients’ loved ones during a most difficult time. 8 CART OFFERS COMFORT DURING END OF LIFE Sitting vigil at her dad’s bed, Mary listens to soothing music as she jots down her memories in a journal. The music and journal are a few of the offerings available on the Comfort Cart, a program launched this year. The team recognized family members of dying patients need support, too. With input from staff, they assembled a cart full of items to ease the hours visitors sit vigil by a loved one’s bed. The carts contain a CD player and CDs, journal and pens, snacks and coffee, and more. These little comforts help families during a very difficult time. PALLIATIVE CARE PROVIDES NEW LEVEL OF SUPPORT When Sam received the news he had advanced lung cancer, his oncologist referred him to the outpatient palliative care team for extra support. Started at the Westwood Campus cancer center and Kansas City Cancer Center – North facilities early this year, the outpatient program provides patients additional support by introducing palliative care early in the treatment process. Our hospital is one of the first in the nation to provide this type of care for outpatients. Through the program, our nurses help patients manage their symptoms and a vast array of challenges, from pain and nausea to emotional and financial stress. They guide patients through creating a care plan that reflects their values and treatment preferences. The team is helping patients live as best they can during their fight against cancer. This program is only one example of the great patient-centered care our nurses are known for. Sue Ellen Breese, ANP, provides extra support through our new outpatient palliative care program at our cancer centers. 9 quality EXCELLENCE IN Dan Saxton will tell you the only reason he can walk today is because of care he received from the physicians and nurses at The University of Kansas Hospital. When he nearly cut off his foot in a farming accident a year ago, our nationally accredited Trauma Team met Dan in the Emergency Department and rushed him into surgery. The immediate care from this team helped save Dan’s foot, and he now walks without assistance. Responding to over 1,600 traumas per year, the Trauma Team is one of the hospital’s response teams. The great outcomes of the Trauma and Rapid Response Team led us to apply this model to other specialized needs across the hospital. Today, eight response teams provide quick, efficient care: ✩ ✩ ✩ ✩ ✩ ✩ ✩ ✩ Behavior Response Team Burn Team Code Blue Code Neo Rapid Response Team STEMI Response Team Stroke Response Team Trauma Team These teams are producing excellent outcomes for our patients. In fact, our risk-adjusted mortality index continues to outperform other academic hospitals. 10 201 2 N U R S I N G A N N UA L R E P O RT Trauma Team members (from left) Alexsis Johnson, RN; Travis Pollema, MD; Tammy Murray, RN; and Jeanette Addington, RN, are among the staff who respond to more than 1,600 traumas annually. 11 EXCELLENCE IN quality Our focus on quality outcomes has been one of the major components of our success for nearly 14 years. PROGRAM EMPOWERS TEAM TO FIND SOLUTIONS Ask Nurse Manager Brigid Weyhofen, RN, how Unit 46 went more than 60 days without a single fall, and she’ll tell you it’s because of the staff focus in concert with the Care Innovation and Transformation initiative (CIT). The unit launched the AONE initiative last year, and the staff embraced it. The initiative empowers nurses to look for solutions to problems. So when they see a problem, they know they have the autonomy – and the responsibility – to fix it. Nurses rounding with physicians is one of the changes to come out of the initiative. This practice allows the nurse to update the doctor on the patient’s condition, and the nurse hears the treatment plan firsthand. This team approach enhances communication between the physician, nurse and patient. Through CIT, the team has learned to hold each other accountable. Using positive peer pressure, staff members remind co-workers of proper procedures and practices. They know it’s their individual responsibility to see their patients receive the highest quality care. Nursing residents (opposite page, from left) Tuyen Ta, RN; Paige Hooker, RN; Anna Mathew, RN; and Erika Carter-Logan, RN, developed a new practice that’s improving outcomes and increasing patient satisfaction. 12 NURSE RESIDENTS REDUCE THE NEED FOR ISOLATION ON THE CUSP REDUCES BLOODSTREAM INFECTIONS What started as a simple question from nursing residents turned into a new practice, improving outcomes and increasing patient satisfaction. They asked: “Does this patient really need to be placed in contact isolation?” The hospital’s practice has been to isolate patients if they have a history of infection such as MRSA. RNs Erika Carter-Logan, Brittany Case, Paige Hooker, Anna Mathew and Tuyen Ta, Cardiovascular Progressive Care, examined this practice as their Nurse Residency research project. Thisgroupoffirst-yearnursesinterviewed isolation patients and their care teams, and quickly found they believed isolation made providing patient care more cumbersome, which was backed by their research review. The nurse residents set out to determine when isolation was no longer needed. They began automatically testing potentially infectious patients by swabbing their noses. Since beginning the practice in CV PCU, 60 percent of tested patients did not need isolation. Patients, their families and staff are happier. During the past year, central line-associated bloodstream infections have been a focus in our Blood and Marrow Transplant inpatient area. Through a national initiative called On the CUSP: Stop BSI, nurses in Units 41 and 42 reduced the number of central line-associated infections by 50 percent in 2011 compared to 2010. The initiative involves implementing a cultural change model known as the Comprehensive Unitbased Safety Program (CUSP). This model calls for: ✩ ✩ ✩ ✩ Monitoring infection data continuously Identifyinganydeficits Meeting monthly to discuss data Creating solutions and implementing them The program also involves educating staff about new interventions for inserting central lines. Nurse Manager Cyndy Steen, RN, said CUSP has inspired her staff. “They now see how they can prevent infections even more, and they’re producing excellent outcomes. Our nurses are the driving force behind our unit’s culture of safety.” 13 QUALITY JUST GETS BETTER Keeping our patients safe is one of the hospital’s cornerstones of care. That’s why the Nursing Department set aggressive 2012 goals around falls, venous thromboembolism and infection. NEW VENTILATION PROCEDURE REDUCES MORTALITY VTE RATES DROP 18 PERCENT With renewed commitment, nurses across the hospital have made preventing venous Ensuring optimal outcomes for mechanically ventilated patients is a passion of Lynelle Pierce, RN, thromboembolism a top priority. It’s paying off. We’ve reduced VTE cases 18 percent this year Critical Care clinical nurse specialist. It prompted her to champion a new care approach for this patient comparedtofiscalyear2011. A multidisciplinary committee launched an population. educational campaign in 2011 to raise awareness Reviewingtheliterature,sheidentifiedincreasing and implement activities promoting VTE prevention. evidence about a process called Spontaneous Asaresult,ournursesarebetterequippedto Awakening Trial that reduces ventilator days and provide evidence-based strategies that promote mortality. patient safety. The initiative calls for nurses to screen patients daily. When patients meet the criteria, the nurse performs a SAT. SAT is the interruption of sedation, allowing the patient to awaken. INFECTION NUMBERS Led by a multidisciplinary team from all adult BELOW NATIONAL ICUs, SAT is producing excellent results. ICU patient AVERAGE length of stay decreased, which has profound effect on patient morale. Best of all, survival rates of Thanks to staff diligence, we hit record levels of hand ventilated patients improved on the risk-adjusted hygienecomplianceinfiscalyear2012.Thecancer mortality index this year. center, Neonatal ICU and Pediatrics ICU set the bar “Bedside nurses report patients can participate high by consistently achieving above 90 percent in their care more, and in many cases, are more compliance during the year. cooperative,” Pierce said. In addition, we performed better than other Neversatisfiedwiththestatusquo,ournurses hospitals reporting to the Centers for Disease Control continually look for ways like SAT to enhance our and Prevention in preventing central line-associated patients’ care. bloodstream infections. Our Intensive Care Units had 27 fewer cases than expected between July 2011 and March 2012. This translates to an estimated cost savings of $602,000. We reduced length of stay by 443 days. And we saved three more lives. Nurses in Unit 46 hit a record by reducing falls in their area by 56 percent in the past 12 months. This achievement earned them cookies for going more than 60 days without a fall. 14 FALL NUMBERS ARE FALLING Falls at our hospital are becoming fewer and fewer, thanks to the hard work of our nurses. One of our top performers is Unit 46, which reduced falls by 56 percent in fiscal year 2012 as compared to fiscal year 2011. Additional units with great results in 2012 include: ✩ Rehab – 39 percent ✩ Unit 43 – 30 percent ✩ Unit 53 – 16 percent One of the key contributors to this success is the Friday Falls Roundtable. This interdisciplinary group meets weekly to discuss every fall and determine trends. They analyze each situation to determine if the fall was preventable. Eliminating preventable falls is a top priority of each Unit Practice Council. “This emphasis and new processes have helped create a culture of fall prevention,” said Karen Wray, RN, director, Acute Care. “While falls are never OK, we may not be able to prevent every fall. But working together, we are reducing our falls rate and keeping our patients safe.” NATIONAL LEAGUE FOR NURSING HONORS HOSPITAL Nurses at The University of Kansas Hospital not only excel at providing care, they excel at supporting nursing education and academic progression, according to a new designation from the National League for Nursing. The hospital was one of three in the nation to be recognized in a new NLN Center of Excellence category – Creating Workplace Environments That Promote Academic Progression of Nurses. It’s the first time the NLN has opened its Centers of Excellence beyond nursing schools. The new four-year designation honors healthcare facilities that excel at supporting nurses’ efforts to continue their academic preparation. This recognition is an external validation of the importance of lifelong learning for all nurses. 15 201 2 N U R S I N G A N N UA L R E P O RT Nurse Administrative Coordinators Beth Vandenberg, RN, (standing) and Missy Randolph, RN, (far right) hold nightly Mentoring Moments with unit coordinators, like Ty Fuller, RN, and Emnet Lemma, RN. 16 people EXCELLENCE OF OUR At The University of Kansas Hospital, every nurse is a leader. This value led the Nursing Administrative Coordinators to hold “Mentoring Moments” to further develop the night-shift frontline leadership. The result: nursing knowledge and job satisfaction are on the rise. NACs Beth Vandenberg, RN, and Missy Randolph, RN, started the nightly meetings with the Acute Care Division unit coordinators two years ago to discuss staffing needs. But it didn’t take them long to realize the meetings could achieve much more. Since then, they’ve expanded the concept to all nursing divisions. Now Mentoring Moments include discussions about clinical cases, staff management, literature review, professional development and operational issues. An additional benefit is the strong relationships developed between unit coordinators. There is more collaboration, and they feel comfortable turning to each other as resources. In a recent survey, 92 percent of the unit coordinators said they benefit significantly from the information shared at Mentoring Moments. Best practices like this make The University of Kansas Hospital an employer of choice for nurses in Kansas City. 17 EXCELLENCE OF OUR people Our excellent people are what make The University of Kansas Hospital one of the top hospitals in the nation. OUR NURSES ARE LIFE-LONG LEARNERS To provide the very best patient care, you need the very best nurses. That’s what we have at The University of Kansas Hospital. More than 65 percent of our staff have a BSN. More than 200 nurses are actively enrolled in master’s programs. And three have doctorate degrees, with another four enrolled in doctorate programs. Our nurses with doctorate degrees are Susan Klaus, PhD; Rachel Pepper, DNP; and Melanie Simpson, PhD. Pepper, who recently achieved a Doctor of Nursing Practice degree, said, “It’s so exciting to apply advanced nursing skills and see great things happen in patient care.” We have more nurses with BSNs than the national average, and over 130 of our RNs are currently working toward a bachelor’s degree. Our nurses have earned and maintained 643 professional certifications, and the number keeps rising. Ten of our nurses are sharing their knowledge and expertise with the next generation of nurses as affiliate faculty at the University of Kansas School of Nursing. One day each week, these nurse experts teach juniors and seniors in a variety of clinical settings. Faculty include: ✩ ✩ ✩ ✩ ✩ Carrie Armstrong Heidi Boehm Cher Brownback Joanna Dolezal Diane Farrell ✩ ✩ ✩ ✩ ✩ Theresa Isabell Alan Reschke Allison Sourk Deirdre Waldrup Stacey Wattier Rachel Pepper Nelda Godfrey, RN, PhD, associate dean of Undergraduate Programs, said the affiliate faculty is making a huge difference in the education of KU nursing students. “Our students get real-world experience in a world-class hospital, and it’s making them better nurses.” Opposite page, top: This year’s first-ever 5 Star Symposium was a huge success, thanks to the 50 nurses involved in planning the day-long event. Members of the core team include (from left) Stephanie Winwright, RN; Marta Lawson, RN; Tham Hoffman, RN; and Gigi Siers, RN. 18 SYMPOSIUM SHOWCASES OUR EXPERTISE With experts right in our own backyard, why go outside the hospital? This was the idea behind the first 5 Star Symposium, held during National Nurses Week this year. A team of 50 nurses worked for 10 months to create a conference equal to any national conference. Participants earned more than 700 contact hours by attending 21 educational sessions. Our nurses also benefitted from poster displays and a vendor exhibit. The symposium offered plenary and breakout sessions, and celebrated the nursing profession. PROFESSIONALISM AT THE CORE OF NURSING What does it mean to be a nurse at The University of Kansas Hospital? This is the question the Professionalism Council answered this year. After much research, reflection and input from nurses across the hospital, the council created the Professional Identity Statement for Nurses: At The University of Kansas Hospital, we strive to create a dynamic culture of professional behavior that requires personal and team accountability, self-reflection, integrity and respect. A nurse at The University of Kansas Hospital has a professional obligation to provide the highest quality of care that is reflective of the culture and to adhere to organizational policies and best practices. This culture is actualized through image, attitudes and behavior. “This reinforces what being a nurse at our hospital is all about. It sets the standard for our nurses to hold themselves and their peers accountable to consistently provide outstanding care for our patients,” said Sara Fohn, RN, Professionalism Council chair. “The statement reminds all of us nursing is a profession, not just a job.” Authors of the new Professional Identity Statement for Nurses are (from left) Krystal Hardman, RN; Nelda Godfrey, RN, PhD; Kim Dixon, RN; and Sara Fohn, RN. 19 201 2 N U R S I N G A N N UA L R E P O RT Sylvia Ford, RN, was among the team members who researched and selected a new isolation gown for the hospital, which resulted in a $220,000 savings annually. Also pictured is Melissa Bennink, RN. 20 cost EXCELLENCE IN The hospital continually invests in our people, technology and facilities to ensure the very best patient care. Every dollar saved means more we can reinvest in helping our patients. To pinpoint potential savings, an interdisciplinary team launched the Clinical Product and Resource Management Program in February. Since then, the program has reduced waste, increased efficiencies and improved quality of care. Now each new product request goes to the CPRM committee for evaluation. With representatives from Nursing and other departments across the hospital, the group also looks at existing products for savings opportunities. They also ensure products meet and exceed quality expectations. The new isolation gown is a great example of what CPRM can do. The team studied the level of barrier protection needed for gowns at our hospital and researched gown usage and purchasing at nine other UHC facilities. They also gathered input from staff and held focus groups in which clinicians tried on a variety of gowns. As a result, the team selected an over-the-head gown. It provides the same level of protection as the previous style, but it saves us more than $220,000 a year. Savings through programs like CPRM allow the hospital to invest in the latest advancements and state-of-the-art facilities. This allows us to care for even more patients with the most serious illnesses. 21 EXCELLENCE IN cost As good stewards of resources, our nurses are helping the hospital reinvest in our people, technology and facilities to ensure the very best patient care. BLOOD REINFUSION MEANS BETTER OUTCOMES AND SAVINGS Since launching the Strategic Blood Management Program two years ago, we’ve saved more lives and millions of dollars. Blood reinfusion, the infusion of blood previously withdrawn from the same patient, is another practice from the program that is producing great outcomes. The Blood Management team was looking for a way to curtail blood loss in patients to help prevent anemia and unnecessary transfusions. Initially exploring blood reinfusions, they identified a highly rated blood conservation system for $145,000. But before committing to that expense, they decided to do some research of their own. The nurses in the Burnett Burn Center and Surgical ICU began performing blood reinfusions as a pilot, using a simple syringe that cost 10 cents. Outcomes were very positive, so the procedure was rolled out to all ICUs in April. They avoided an expensive purchase. Best of all, reinfusion helps them significantly decrease patients’ risk of infection and anemia. And we went from wasting 41 mls of blood per patient per day to zero. Above: Brooke Dougan, RN, performs a reinfusion in Transplant ICU. It’s practices like this that are producing better patient outcomes and saving dollars. Opposite, right: With just a few changes, RNs Tami Alloway (left) and Rowena Goodman have helped cut supply costs in Cardiothoracic Surgery Intensive Care. 22 EVERY DOLLAR SAVED COUNTS That’s what nurses across the hospital have found as they launch creative, cost-saving initiatives in their departments. Neuroscience Progressive Care staff discovered using regular plastic wrap to cover IVs is just as effective as a clinical product. The plastic wrap only costs 1 cent per sheet, while the vendor’s product costs 90 cents. This change saves the department more than $48,000 annually. A simple shift change saved dollars in Cardiovascular Treatment and Recovery. The day shift starts at 6 a.m., which allows them to expedite prep for procedures. And the night shift can go home on time. That 60-minute time difference saved the department nearly $17,000 for the year. Cardiothoracic Surgery Intensive Care staff have cut costs by restocking bedside carts a new way. As her Frontline Leadership project, Tami Alloway, RN, surveyed product use on the unit’s bedside carts. She found each patient used different products, and some were never used. She established par levels for department supplies. Now with predetermined quantities, staff stock to specific levels and avoid overstocking. Rowena Goodman, RN, also from CTS ICU, tackled supply costs as her Frontline Leadership project, too. She set up a process where staff return unused products to Materials Management, and the department receives credit. Since implementing these practices, the CTS ICU department has been under budget for supplies for six of the past seven months. 23 growth EXCELLENCE IN What do you do when more and more people want to come here for their care? You expand. To make way for a double-digit increase in surgeries last year – the main hospital opened six new operating rooms, a 19-bed pre/post care area and remodeled waiting areas and locker rooms this year. The expansion increases our surgical capacity 20 percent. This brings our total number of operating rooms to 38 at the main hospital. In addition to the new facilities at the main campus, we gained even more capacity by adding the surgical hospital facility at I-435 and Nall Avenue. It previously housed the Heartland Surgical Specialty Hospital. The 42,000-square-foot facility has seven operating rooms and 19 inpatient beds. The 130-plus employees working at the facility joined the hospital team in June. It’s a good thing, because the number of patients keeps rising. Data from fiscal year 2012 include: ✩ ✩ ✩ ✩ Pre-Anesthesia Testing Clinic patients: 10,058 OR surgeries: 18,867 Pre-Op patients: 19,078 Post-Anesthesia Care Unit patients: 17,234 To care for patients during a typical day in the OR requires the coordinated efforts of over 300 people. 24 201 2 N U R S I N G A N N UA L R E P O RT Lindsey McKay, RN, and John Moyer, RN, are among the 300 surgical staff who keep the 38 operating rooms busy at the main campus. 25 EXCELLENCE IN growth With more people coming to The University of Kansas Hospital for their care, our average daily midnight census during fiscal year 2012 increased to 447. HEART CENTER EXTENSION ADDS NEW BEDS GROWTH MEANS MORE OPTIONS FOR CANCER PATIENTS The University of Kansas Hospital is the largest single hospital in the Kansas City metro. In fiscal year 2012, we had an average daily midnight census of 447. We increased discharges 9.3 percent over the prior year. Our nurses cared for 28,331 inpatients from all Kansas and most Missouri counties. We have treated patients from all 50 states. With this amount of growth in patient volume, there was only one way to go – up. This summer marked the opening of three new units in the Center for Advanced Heart Care. These units provide much needed space to handle the growth of several specialties. Now there are 84 new beds available to our patients, allowing continued renovation of other nursing units within the hospital. In just one morning, 40 employees from Nursing, Respiratory Therapy and Transport moved every patient from Units 61 and 62 to Floors 9 and 8, respectively. At the same time, they moved ENT patients from across the hospital to the new floors. In July, Level 7 became the new home to Cardiac and Family Medicine Progressive Care. June 20, 2011, was a momentous day for our cancer program. Kansas City Cancer Centers and The University of Kansas Cancer Center became one, creating the area’s premier outpatient cancer care organization. The partnership increased the hospital’s outpatient locations to 12 and added more than 350 employees, the majority nurses. Now the hospital can provide thousands of additional cancer patients with more convenient locations across the metro. Additionally, these patients receive the benefit of an academic medical center, giving them access to greater numbers of Phase I clinical research trials and more treatment options. Our cancer center nurses are committed to treating the whole person, not just the disease. Their dedication means patients receive compassionate, patient-centered care every time. Opposite page, top: Blood and Marrow Transplant staff, including Stephanie Hammontree, RN (left), and Susan Thompson, RN, cared for a record number of patients during the past year. 26 BMT STAFF TREAT RECORD NUMBER OF PATIENTS “It’s been a rewarding year,” said Marcia Jacobson, RN, Blood and Marrow Transplant nurse manager. Last year, BMT staff cared for a record number of patients – 215 transplants in all. This is a 20 percent increase over 2010. The number of photopheresis treatments jumped 41 percent to 1,508. While treating more patients, BMT staff continued to provide excellent care and service. Jacobson credits BMT’s success to the outstanding nurses and physicians who care for our patients every day. “Working together, our staff save more lives every day.” BURN CENTER EXPANDS TO SERVE MORE PATIENTS Nurses in the Burnett Burn Center know how hard it is for family members who visit loved ones day after day. That’s why their input into the unit’s remodel design was so important. The comfy lounges, designed to feel more like home, opened in February. Our nurses suggested making cooking facilities available to families, and the designers did. The new lounge offers a kitchenette and a computer café. Thefivenewintensivecarepatientrooms opened in May, which brings the center’s total to 16. They are bigger and allow more room to enhance the staff’s already excellent care. With the additional rooms, the unit’s capacity increases more than 30 percent. Currently, the center admits more than 300 patients each year. The burn center received its three-year reverificationfromtheAmericanBurnAssociation andAmericanCollegeofSurgeonsearlierthis year. It remains the only accredited burn center in the metro. Nurses in the Burnett Burn Center, like Jaime Milnes, RN, can now care for more patients withtheadditionoffivenewpatientrooms. 27 achievements 2012 NURSING 28 national certifications ACHPN – Advanced Certified Hospice and Palliative Nurse Carol Mulvenon, RN Marilyn Parker, RN ACM – Accredited Case Manager Cynthia Orscheln, RN ACNS-BC – Adult Clinical Nurse Specialist Marilyn Parker, RN Jennifer Surprise, RN Rosemarie Thompson, RN ACRN – AIDS Certified Registered Nurse Amy Stewart, RN CBE – Certified Breast Feeding Educator Jill Blevins, RN Melissa Donovan, RN Cynthia Franke, RN Summer Hill Jennifer Jewell, RN Anne Klein, RN Bridget MacNevin-Pfeiffer Susan McDonald, RN Mary Pinkelman, RN Kim Riffel, RN CBN – Certified Bariatric Nurse Lucia Moreno, RN CCE – Certified Childbirth Educator Glenda Goodman Summer Hill ANP-BC – Adult Nurse Practitioner Teresa Baumli, RN CCM – Certified Case Manager Sue Breese, RN Terri Brandley, RN Kerry Campbell, RN Colleen Booz-Dittrich, LMSW Erin Carroll, RN Anne Marie Dalton, RN Kavita Desai, RN Carla Eskridge, RN Sharon Lewis, RN Jill Hagel, RN Lisa Parsons, RN Eugenia Johnson, RN Lori Ranallo, RN Johanna Ricci, RN Abby Raynolds, RN Christina Roberts, RN Tashra Thomas, RN Charyl Rubin, RN Marina Volarevich-Pittman, RN Janice Sandt, RN AOCN – Advanced Oncology Certified Nurse Patty Gerken, RN Marta Lawson, RN Jan Lewis, RN Sharon Lewis, RN Lynn Marzinski, RN Kristin Moshier, RN Jeanine Showalter, RN Nancy Washburn, RN Beverly Wilson, RN AOCNP – Advanced Oncology Certified Nurse Practitioner Carrie Englert, RN Ro Henderson, RN Abigail Raynolds, RN Liza Rodriguez, RN Nancy Washburn, RN CAPA – Certified Ambulatory Perianesthesia Nurse Jessica Lane, RN CBCN – Certified Breast Care Nurse Lori Ranallo, RN Yvonne Ward, RN CCRN – Critical Care Registered Nurse Tami Alloway, RN Mary Aragon, RN Mamadou Bah, RN Jenny Bailey, RN Kaitlyn Balough, RN Joel Bangen, RN Claudia Barbagiovanni, RN Lorraine Barham, RN Emily Barnett, RN Adriane Barrett, RN Nicole Bebermeyer, RN Jordan Bedford, RN Hailey Beebe, RN Garrett Bendure, RN Michael Bewley, RN Michaela Bird, RN Kristina Blomquist, RN Michael Blomquist, RN Michelle Bolen, RN Jennifer Brown, RN Karen Brown, RN Cherylynn Brownback, RN Carrie Buckley, RN Christopher Buckley, RN Jan Caldwell, RN Cathy Callicoat, RN Elizabeth Carlton, RN Ashley Carpenter, RN Sarah Carter, RN Breah Chambers, RN She-Wen Cheng, RN Linsie Clements, RN Sam Clements,RN Luz Conde, RN Caroline Cowan, RN Kami Craigg, RN Gracielle Cromwell, RN Lynn Davis, RN Sarah Davis, RN Kristina Delaney, RN Kristen Duckworth, RN Terra Dudenhoeffer, RN Autumn Duncan, RN Anne Eads, RN Aaron Ellis, RN Elizabeth Fenton, RN Ryan Ferrell, RN Gerre Fiore, RN Molly Flavin, RN Patricia Fletcher, RN Emma Florentino, RN Rose Fontana, RN Maria Fox, RN Amanda Gartner, RN Molly Girten, RN Nicole Glass, RN Ashley Goff, RN Brooke Harris, RN Jenna Harrison, RN Rebecca Heidrick, RN Kerri Helm, RN Carissa Helvey, RN Christine Henderson, RN Judee Herring, RN Nicole Hofmann, RN Lori Hollingshead, RN Elizabeth Howard, RN Kelly Howe, RN Erika Humbargar, RN Shannon Hutchens, RN Erumu Iboaya, RN Alexandrea Johnson, RN Michelle Jones, RN Valerie Jones, RN Debra Jordan, RN Meagan Kinkelaar, RN Meg LaFerriere, RN Ashley Leonard, RN Melinda Loy, RN Jared Lysaught, RN Lisa Mahoney, RN Kiya Marchi, RN Kimberly Marsh-West, RN Janet Marts, RN Christina Mayer, RN Kathryn Mayer, RN Shandi McCray, RN Jason McDonald, RN Jennifer McNiel, RN Sarah Mills, RN Sandy Moorman, RN Krystal Morris, RN Su Ann Murry, RN Sarah Myers, RN Stephanie Myers, RN Jennifer Nelson, RN Brooke Nower, RN Lauren Nugent, RN Adam Olberding, RN Shannon Ortman, RN Michaela Parsel, RN Deena Peters, RN Sarah Pfannenstiel, RN Monica Pfeiffer, RN Lynelle Pierce, RN Brian Piere, RN Donna Pittaway, RN Jacqueline Pyle, RN Jami Quijano, RN Rose Rader, RN Margaret Reavis, RN Janell Reichuber, RN Katie Roberson, RN Brianna Robertson, RN Tracy Rogers, RN Benjamin Russell, RN Jessica Salah, RN Grace Sandri, RN Shawna Schafer, RN Leah Schepmann, RN Amy Schmidt, RN Fletcher Schubert, RN Sarah Sierks, RN Emily Smiley, RN Stacy Smith, RN Cherie St. Jean, RN Julie Stein, RN Jill Taylor, RN Julia Theis, RN Melanie Tisdale, RN Meredith Uthoff, RN Bridget Van-Gotten, RN Jennifer Vehige, RN Sounithta Vilayvanh, RN Cara Vogl, RN Betsy Wagner, RN Zachary Waldron, RN Dierdre Waldrup, RN Renee Walters, RN Whitney Watson, RN Eric Westervelt, RN Sally Wise, RN Lara Wood, RN David Wright, RN Elizabeth Wright, RN Krista Zahner, RN Alexis Zecy, RN CCRN-CMC – Critical Care RN with Cardiac Medicine Subspecialty Patricia Fletcher, RN Amanda Gartner, RN Melinda Loy, RN Jennifer Nelson, RN Deena Peters, RN Jill Taylor, RN CCRN-CSC – Critical Care RN with Cardiac Surgery Subspecialty Tami Alloway, RN Kami Craigg, RN Sarah Davis, RN Gerre Fiore, RN 29 national certifications (continued) CCRC – Certified Clinical Research Coordinator Eryn Bilynsky, RN Melinda Caldwell, RN Suzanne Deichler, RN Valerie Francis, RN Diana Waddell, RN CCTC – Certified Clinical Transplant Coordinator Janet Drelicharz, RN Peggy Higby, RN Tham Hoffman, RN Sharon McCarthy, RN Elaine Russell, RN Diane Todd, RN CCTN – Certified Clinical Transplant Nurse Nicole Hofmann, RN Whitney Watson, RN CDE – Certified Diabetes Educator Bonnie Cutler, RN Cynthia Gibson, RN CDN – Certified Dialysis Nurse Wanda Smith, RN CEN – Certified Emergency Nurse Marni Anderson, RN Debora Andrews, RN Rick Blevins, RN Gretchen Brown, RN Angela Buisch, RN Michael Carroll, RN Leisa Eaks, RN Diane Gehring, RN Wilma Guilbeau, RN Michael Hastings, RN Kelly Hewins, RN Joan Horton, RN Kelly Howe, RN Valerie Jones, RN Lucia Jones-Herrera, RN Laura Knippa, RN Katherine Lysaught, RN Julie McIntosh, RN Laura Mikkelson, RN Cherie Morey, RN Crystal Muller, RN Tamara Murray, RN Alison Pontious, RN Leigh Powers, RN Mark Puno, RN Lisa Rice, RN Mindy Ritter, RN Erik Unruh, RN Huhnna White, RN Shannon Wimsett, RN CFN – Certified Forensic Nurse Joan Horton, RN 30 CFRN – Certified Flight Registered Nurse Marni Anderson, RN Daniel Hudson, RN Julie McIntosh, RN CGRN – Certified Gastrointestinal Registered Nurse Judy Hershberger, RN Melissa Oropeza-Vail, RN Bradley Peck, RN CHFN – Certified Heart Failure Nurse Audra Rankin, RN CHPN – Certified Hospice and Palliative Care Nurse Sarah Fohn, RN Melanie Simpson, RN, PhD Sarah Walters, RN CHTC – Certified Hematopoietic Transplant Coordinator Elizabeth Harvey, RN CIC – Certified Infection Control Silvera Ford, RN Carol Roberts, RN Nina Shik, RN Janet Wehrle, RN CMSRN – Certified MedicalSurgical Registered Nurse Chesha Bizan, RN Karen Bonilauri, RN Tara Bradford, RN Summer Bryant, RN Cheryl Calhoun, RN John Carothers, RN Candice Chestnut, RN Eric Conyers, RN Pamela Dock, RN Andrea Dohlman, RN Cara Farrow, RN Heidi Fielder, RN Liza Galindo, RN Katherine Gerant, RN Desideria Guela, RN Lindsay Gutierrez, RN Lea Hogan, RN Lisa Jewell, RN Katelin Karlin, RN Jagir Kaur, RN Huyen-Chi Le, RN Tiffany Lemanski, RN Hannah Magner, RN Jessica Molstad, RN Meghan Moppin, RN Lucia Moreno, RN Heidi Nelson, RN Cara Nuss, RN Rhonda Pardew, RN Oliver Jack Perocho, RN Margaret Peterson, RN Lara Petrie, RN Jennifer Reck, RN Helen Regondola, RN Renda Restrepo, RN Mark Schroeder, RN Teresa Self, RN Tianna Spencer, RN Jennifer Sutherlin, RN Linda Thacker, RN Suzanne Turrentine, RN Jeffery Van Horn, RN Jennifer VanLeeuwen, RN Jim Waterman, RN Heidi Webber, RN Kathleen Welch, RN Katelyn Winkler, RN Stephanie Winright, RN CNN – Certified Nephrology Nurse Jennifer Branch, RN Jean Fahrenking, RN Denise Loftiss, RN Deborah West, RN CNM – Certified Nurse-Midwife Kathryn Barnds, RN Suzanne Bentley, RN Julie Smith, RN CNOR – Certified Nurse, Operating Room Patrick Berry, RN Meagan Bieker, RN Carol Brunin, RN Louis Burris, RN Jenny Chiddix, RN Lisa Elm, RN Andrew Engelhart, RN Holly Faber, RN Chad Fisher, RN Adrianne Frazier, RN Richard Freed, RN Patricia Gallagher, RN Becky Gearhart, RN Jennifer Hertig, RN Hayley Hon, RN Erica Irvin, RN Julia Jackson, RN Angela Kerns, RN Sheri Killer, RN Tim Kistner, RN Mary Landis, RN Leah McKee, RN Shelly Moore, RN James Noble, RN Nancy Page, RN Lara Petrie, RN Tamara Steel, RN Lynette Swanson, RN Sandra Turner, RN Macalei Vesper, RN Marina Volarevich-Pittman, RN Carol Wagner, RN Kate Weber, RN CNRN – Certified Neuroscience Registered Nurse Carrie Fountain, RN Jennifer Moran, RN Craig Shipley, RN Stacy Smith, RN CNSN – Certified Nutrition Support Nurse Peggy McLoughlin, RN COCN – Certified Ostomy Care Nurse Meredith Hill, RN CPAN – Certified Post Anesthesia Nurse Christine Hartigan, RN Nancy Martin, RN CPEN – Certified Pediatric Emergency Nurse Rick Blevins, RN Joan Horton, RN Valerie Jones, RN CPHM – Certified Professional in Healthcare Management Carol Ann Matthias, RN CPHQ – Certified Professional in Healthcare Quality Kelly Hewins, RN CPN – Certified Pediatric Nurse Kellie Hartman, RN Brett Haynes, RN Lauren Lee, RN Allison Malicoat, RN Amanda McKinley, RN Sandy Moorman, RN Adrienne Platt, RN My Rieper, RN Roger Scoggan, RN Anne Stanton, RN Elizabeth White, RN CPON – Certified Pediatric Oncology Nurse Chris Klotz, RN Anne Stanton, RN CPSN – Certified Plastic Surgical Nurse Hayley Hon, RN James Noble, RN CPTC – Certified Procurement Transplant Coordinator Tham Hoffman, RN Joanne Oxman, RN Craig Sherman, RN Gigi Siers, RN CRN – Certified Radiology Nurse Diane Clevenger, RN Sindy English, RN CRNI – Certified Registered Nurse Infusion Carol Gilmore, RN Jeanette King, RN Vanessa Oyler, RN Catherine Quinn-Haynes, RN Patricia Yesenosky, RN CRRN – Certified Rehabilitation Registered Nurse Shirley Curtis-Klein, RN Laura Farris, RN Nancy Hoglund, RN Linda Kurtz, RN Barbara Legler, RN Joan McMahon, RN CWCN – Certified Wound Care Nurse Nancy Grable, RN Alicia Heim, RN Meredith Hill, RN Julia Pena, RN FNP-BC – Family Nurse Practitioner Terry Broadbent, RN Michael Carroll, RN Laura Davidson, RN Denise Hankin, RN Teresa Hoffmann, RN Tarih Johnson, RN Craig Kazmaier, RN Stephanie LaFaver, RN Keely LaNoue, RN Jan Lewis, RN Mary Luder, RN Shannon Parker, RN Kimberly Richardson, RN Liza Rodriguez, RN Jeanine Showalter, RN Laurie Truog, RN Renee Walters, RN IBCLC – International Board Certified Lactation Consultant Suzanne Bentley, RN Jill Blevins, RN Mary Dettmer, RN Anne Klein, RN Susan McDonald, RN Caryl Lynn Ryan, RN Tiffany Speck, RN Ellen Stumphaus, RN Jenny Walters LNCC – Legal Nurse Consultant Certified Shea Friedel, RN Felicia Green, RN Mark Stallbaumer, RN NE-BC – Certified Nurse Administrator Cathy Glennon, RN Thu Janes, RN Marta Lawson, RN Jennifer Lombardi, RN Amanda Meats, RN Stacy Morast, RN NEA-BC – Certified Nurse Administrator-Advanced Carol Cleek, RN Kim Dixon, RN Maria Pena, RN Rachel Pepper, RN, DNP Tammy Peterman, RN Tracy Rogers, RN Chris Ruder, RN Nina Shik, RN Karen Wray, RN NNP-BC – Neonatal Nurse Practitioner Kristen Belko, RN Kimberly Burrier, RN Sara Dubin, RN Tanesha Hurt, RN Debra Melnyk, RN Gail Schuetz, RN Amie Slaughter, RN NP-C – Adult Nurse Practitioner Alicia Ramsey, RN OCN – Oncology Certified Nurse Joann Adams, RN Jody Akins, RN Kizzy Allen, RN Marcia Bailey, RN Teri Banman, RN Shannon Bellamy, RN Jennifer Bingham, RN Geana Black, RN Anne Bledsoe, RN Denise Bollier, RN Carol Bomberger, RN Margaret Brockhaus, RN Regina Brownlee, RN Teresa Bryson, RN Douglas Burnett, RN Melinda Caldwell, RN Leslee Carneal, RN Erin Carroll, RN Nina Chute, RN Kimberley Clark, RN Rebecca Clark-Snow, RN Lori Denney, RN Lisa DeWolfe, RN Mary Dinges, RN Lynda Eckerman, RN Janet Forge, RN Valerie Fortel, RN Lisa Fritz, RN Laura George, RN Kimberly Gibson, RN Cathy Glennon, RN Myra Godsy, RN Jennifer Gray, RN George Guilbeaux, RN Elizabeth Haines, RN Sandra Hale, RN Deborah Hall, RN Halie Hall, RN Barbara Hedgpeth, RN Judy Hershberger, RN Queenann Higgins, RN Cammie Hines, RN Mary Hitzelberger, RN Kathey Huey, RN Marcia Jacobson, RN Rebecca Kahler, RN Margaret Kalaitzidis, RN Cynthia Kellar, RN Leslie King, RN Stephanie LaFaver, RN Keely LaNoue, RN Beth Leopold, RN Victoria Liston, RN Joan Madden, RN Margaret McGrew, RN Karen Mesehede, RN Anne-Marie Miller, RN Kerrie Miller, RN Trisha Mock, RN Jacqueline Molinaro, RN Kirsten Morgan, RN Shari Mott, RN JoyLyn Mustapich, RN Joleen Nachbar, RN Karen Nietzke, RN Ruth Oben, RN Cynthia O’Hara, RN Karen Palmer, RN Valerie Palmer, RN Rhonda Pardew, RN Michelle Pedersen, RN Debra Peterson, RN Jenny Quinn, RN Rose Reicherts, RN Maria Rieck, RN Rose Robertson, RN Madelyn Rudd, RN Angela Rueter, RN Ruth Salge, RN Jerilyn Saluri, RN Kristi Seemann, RN Kim Sherman, RN Melanie Simpson, RN, PhD Nancy Sorensen, RN Kay Suppes, RN Margo Sweany, RN Karla Tartaglia, RN Vickie Thomas, RN Wendy Thomas, RN Darlene Timmerman, RN Robin Tropansky, RN Amy Velasquez, RN Mary Voelker, RN Diana Waddell, RN Stacey Wagers, RN Mary Walker, RN Yvonne Ward, RN Natalie Wellington, RN Pauline Willison, RN Mark Winkler, RN ONC – Orthopedic Nurse Certified Rebecca Cizmar, RN Linda Fisher, RN Lorelei Huelskamp, RN Lauren Imel, RN Cindy Kulphongpatana, RN PCCN – Progressive Care Certified Nurse Hannah Anderson, RN Sarah Anderson, RN Frances Blackledge, RN Emily Bolinger, RN Amber Burke, RN Virginia Donohue, RN Samantha Evans, RN Diane Farrell, RN Betsey Gant, RN Kylie Gaustad, RN Andrea Glatz, RN Anne Hager, RN Justin Halberstadt, RN Alison Hall, RN Cheri Kliewer, RN Kirsten Larson, RN Kelleigh Lowe, RN Alyson Luckenbach, RN Brian Martens, RN Lynn Murphy, RN Joyce Ndungu, RN Nicole O’Hare, RN Stephanie Oxandale, RN Jacqueline Pettersch, RN Alicia Ramsey, RN Rhea Scott, RN Sofia Stoll, RN Allison Thomson, RN Melanie Tisdale, RN Jenna Turnbaugh, RN Stacey Wattier, RN Heidi Webber, RN Anna Werner, RN PMHCNS-BC – Psychiatric and Mental Health Clinical Nurse Specialist Noreen Thompson, RN PNP-BC – Pediatric Nurse Practitioner Teresa Kilkenny, RN QTTP – Qualified Therapeutic Touch Practitioner Theresa Isabell, RN RCIS – Registered Cardiovascular Invasive Specialist Joel Bangen, RN Jennifer Cowan, RN RN-BC – Case Management Nurse Diane Gee, RN 31 national certifications (continued) RN-BC – Gerontological Nurse Beverly King, RN RN-BC – Nursing Professional Development Heidi Boehm, RN Nell Hull, RN Robyn Setter, RN Marci Walker, RN Karen Wray, RN RN-BC – Gerontological Nurse Practitioner Sarah Walters, RN RN-BC – Informatics Nurse Kathryn Barnds, RN Anne Lane, RN RN-BC – Pain Management Cheryl Adair, RN Angela Interiano, RN Cheryl Pound, RN Melanie Simpson, RN, PhD Jennifer Surprise, RN Shari Thomasson, RN Ahvy Whiteside, RN RN-BC – Medical Surgical Registered Nurse Naomi King, RN Carol McTarsney, RN RN-BC – Pediatric Nurse Robert Fenton, RN RNC-NIC – Neonatal Intensive Care Nursing Allison Adewunmi, RN LindsayBittfield,RN Sherri Brown, RN Leasa Clemons, RN Therese Dansby, RN Joann Fabac, RN Cynthia Franke, RN Melissa Golubski, RN Laurie Hay, RN Victoria Roberts, RN Amanda Terrill, RN Rhonda Truschinger, RN Janet Wisner, RN RNC-OB – Inpatient Obstetric Nursing Rebecca Brunner, RN Leigh Collins, RN Felicia Green, RN Julie Smith, RN Elisa Van Daalen, RN Jill Whitney, RN Michele Zook, RN VABC – Vascular Access BoardCertified Christin Dillon, RN Vanessa Oyler, RN Linda Troutman, RN Anthony Wiedel, RN RN-BC – Psychiatric & Mental Health Nurse Carolyn Gallagher, RN Anna Mensch, RN Lisa Ninci, RN national certification Distribution 15 .3 % Thedistributionchartshowcasesourtopnationalcertificationsbynumber.Weareproudofallournurses whohavechosentopursuecertificationintheirchosenspecialty. N R OC N C C % .2 2 2 N R MS % 7.2 C CNOR 5.1% PC CN C 2 R S E O T H A L L 32 N 4. 6 % .8 2 C 0% -B 2. P N IC F -N C % N 1.7 R BC PAN 1.7% N CP 1.5% CCM % CBE 1.5 9 .3 % E % 5.1% Mohamed Bah, RN, and Sally Gillam, RN, are among the Surgical Intensive Care nurses who participated in a pilot to perform blood reinfusions. Reinfusion helps significantly decrease patients’ risk of infection and anemia. The procedure rolled out to all Intensive Care areas in April. 33 Councils and Committees COORDINATING COUNCIL Chris Ruder, RN, chair Tami Alloway, RN Melissa Bennink, RN Jessie Brooks, RN Elizabeth Carlton, RN Carol Cleek, RN Kim Dixon, RN Patrick Duncan, RN Gerre Fiore, RN Sara Fohn, RN Maria Fox, RN Becky Gearhart, RN Cathy Glennon, RN Jill Hagel, RN Lori Hollingshead, RN Angela Interiano, RN Susan Klaus, RN, PhD Lila Martin, RN Janet Marts, RN Lynn Marzinski, RN Amanda Meats, RN Stacy Morast, RN Kayla Northrop, RN Jennifer Parks, RN Tammy Peterman, RN Nina Shik, RN Gigi Siers, RN Amber Styles Trynn Waldon, RN Dawn Walters, RN Jim Waterman, RN Stephanie Winright, RN Karen Wray, RN DEPARTMENT PRACTICE COUNCIL Tami Alloway, RN, chair Melissa Bennick, RN, chair-elect Jessie Brooks, RN, past chair Nina Shik, RN, director-liaison Jody Akins, RN Nancy Barr, RN Pat Barrett, RN Suzanne Bentley, RN Chesha Bizan, RN Amber Burke, RN Carol Cleek, RN Bonnie Cutler, RN Cheryl Daugherty, RN Lynn Davis, RN Kim Dixon, RN Angie Edstrom, RN Sam Evans, RN Heidi Fielder, RN Sara Fohn, RN Janet Forge, RN Becky Gearhart, RN 34 Cathy Glennon, RN Anne Hager, RN Elaine Haley, RN Nell Hull, RN Gayle Humphrey, RN Debby Jackson, BSN, JD Susan Klaus, RN, PhD Lauren Lee, RN Brittany Maynard, RN Carol McTarsney, RN Joann Moore, PharmD Vanessa Oyler, RN Dustin Pierce, RN Lynelle Pierce, RN Rozina Rajab-Ali, RN Gail Saunders, LSW Gayle Schuetz, RN Megan Soeken, RN Jennifer Surprise, RN Mary Swingle, RN Janet Wehrle, RN Karen Wray, RN CLINICAL INFORMATICS GUIDANCE DOCUMENT AGENTS OVERSIGHT COMMITTEE Ambulatory Teresa Baumli, RN Nina Shik, RN, chair Melissa Whitener, RN Amber Styles, co-chair Acute Care Greg Anderson, RN Heather Anderson, RN Lisa Boyer, RN Susan Burton, RN Ashley Cameron, RN Sam Evans, RN Traci Eversoll, RN Shelly Gochenour, RN Anne Gramkow, RN Alison Hall, RN Lisa Huynh, RN Angela Kilmer, RN Kathy Klosterman, RN Carol McTarsney, RN John Morrison, RN Jennifer Reck, RN INFORMATICS COUNCIL Kendall Reese, RN TJ Schreiner, RN Trynn Waldon, RN, chair Viandra Scruggs, RN Kayla Northrop, RN, Jamie Wolf, RN chair-elect Dawn Walters, RN, DON Critical Care liaison Ashley Carpenter, RN Jennifer Daniels, RN Jim Bellamy Gerre Fiore, RN Lauren Bond, RN Elizabeth Gaffney, RN Laura Burch, RN Gina Harrell, RN Rebecca Cizmar, RN MyLe Huynh, RN Lynn Davis, RN Lindsay Leiker, RN Gerre Fiore, RN Ashley Leonard, RN Cathy Glennon, RN Jared Lysaught, RN Jen Goens, RN Sidonie Moses, RN Lauren Gray, RN Leslie Price, RN Kellie Hartman, RN Abi Sutton, RN Staci Hermann, PharmD Bridget Van-Gotten, RN Julie Hodges Joan Horton, RN Maternal/Child/Psych Katie Mann, RN Lori Finn, RN LaVerne Manos, RN Sandy Moorman, RN Elizabeth Miquelon, RN Marilyn Talmadge, RN Cherie Rourke, RN Amanda Terrill, RN Victoria Rudolph, RN Deb Volts, RN Christina Valentine, RN Ellen Wendorff, RN Elisa Van Daalen, RN Kim Ziglinski, RN Betsy Wagner, RN Becky Waitkoss, RN Peri-op/Procedural Judy Warren, RN, PhD Robbin Craddock, RN Janet Wisner, RN Ellen Durrenberger, RN Melissa Fisher, RN Adrienne Frazier, RN Max Hardenbrook, RN Lisa (Hali) Harris, RN Tammy Jackson, RN Melissa Jaeger, RN Amy Kelley, RN Robin Peterson, RN Allison Raven, RN Victoria Rudolph, RN Marilyn Talmadge, RN Beverly Young, RN Kimberly Ziglinski, RN Carol Cleek, RN Dan Conyers Kim Dixon, RN Theresa Jackson Jennifer Lombardi, RN Monica Lubeck Paula Miller Britnee Moore Joann Moore, PharmD Lee Norman, MD Cyndy Steen, RN Dawn Walters, RN Lisa Ward MAGNET STEERING COMMITTEE Tammy Peterman, RN, chair Liz Carlton, RN, director-liaison Carol Cleek, RN Dan Conyers, RRT Kim Dixon, RN Kimm Fromm-Foster Becky Gearhart, RN Cathy Glennon, RN Jill Hagel, RN Susan Klaus, RN, PhD Marta Lawson, RN Lila Martin, RN Noella McCray, RN Chris Ruder, RN Terry Rusconi Robyn Setter, RN Nina Shik, RN Gigi Siers, RN Stacy Smith, RN Becky Waitkoss, RN Dawn Walters, RN Karen Wray, RN Becky Gearhart, RN Marta Lawson, RN Barbara Legler, RN Melinda Loy, RN Allison Malicoat, RN Shelly Moore, RN Maria Pena, RN Elisa Van Daalen, RN Beth Vandenberg, RN Lisa Ward NURSING POLICY AND PROCEDURE COMMITTEE Kayla Northrop, RN, chair Nina Shik, RN director-liaison Tami Alloway, RN Rick Blevins, RN Jessie Brooks, RN Diane Clevenger, RN Leanne Doerner, RN Janet Forge, RN Lauren Gray, RN Kellie Hartman, RN Hayley Hon, RN Jennifer Lombardi, RN Elizabeth Miquelon, RN Lynn Murphy, RN Rozina Rajab-Ali, RN Linda Thacker, RN Elisa Van Daalan, RN Marci Walker, RN Krista Zahner, RN PROFESSIONALISM COUNCIL Sara Fohn, RN, chair Lori Hollingshead, RN, chair-elect Karen Wray, RN, director-liaison Kim Dixon, RN Nelda Godfrey, RN, PhD Krystal Hardman, RN Christine Hartigan, RN MANAGEMENT Kira Holm COUNCIL Tes Kirby, RN Stephanie LaFaver, RN Amanda Meats, RN, chair Shannon Ortman, RN Stacy Morast, RN, Maria Pena, RN chair-elect Robyn Setter, RN Patrick Duncan, RN, Gigi Siers, RN past chair Megan Soeken, RN Meghan Sullivan, RN Marci Bailey, RN Kathleen Welch, RN Carol Cleek, RN Anna Werner, RN Alisa Ford Ahvy Whiteside, RN Ty Fuller, RN Stephanie Winright, RN Nursing Research QUALITY COUNCIL Jennifer Parks, RN, chair Janet Marts, RN, chair-elect Angela Interiano, RN, past chair Liz Carlton, RN, director-liaison Emily Barnett, RN Patrick Duncan, RN Sindy English, RN Steven Forsythe, RN Kim Gibson, RN Cathy Glennon, RN Lauren Gray, RN Laurie Hay, RN Bri Hotchkiss, RN Angela Interiano, RN Debby Jackson, BSN, JD Joann Moore, PharmD Tammy Peterman, RN Melissa Randolph, RN Brianna Robertson, RN Chris Ruder, RN Kristine Shipley, RN Amber Styles Marci Walker, RN Elinor Westphal, RN QUALITY AND SAFETY INVESTIGATORS Ambulatory Kim Gibson, RN Vicki Goetz, RN Jeanette King, RN Kim Ziglinski, RN Critical Care Wesley Casey, RN Courtney Cruz, RN Cassie Garza, RN Cecilia Hanson, RN Lucia Jones Herrera, RN Brianna Robertson, RN Amanda Robinson, RN Shawna Schafer, RN Sounithta Vilayvanh, RN Maternal/Child Health Theresa Bachman, RN Missy Golubski, RN Tara Kincaid, RN Missy Randolph, RN Kimberly Riffel, RN Kristine Shipley, RN Perioperative Services Julia Jackson, RN Rick Meyer, RN Suzanne Turrentine, RN Procedural Areas Jennifer Cowan, RN Lavita Davis, RN Joanna Dolezal, RN Laura Friederich, RN Celeste Keener, RN Bill Mauer, RN Allison Smith, RN Elinor Westphal, RN Tony Wiedel, RN Progressive Care Sarah Harrington, RN Alison Lindsay, RN Janet Marts, RN Renee Molloy, RN Lynn Murphy, RN Amanda Roush, RN Amanda Williams, RN RESEARCH COUNCIL Maria Fox, RN, chair Jim Waterman, RN, chair-elect Cathy Glennon, RN, director-liaison Megan Boyko, RN Heather Collins Pam Dock, RN Nancy Dunton, RN, PhD Sara Dubin, RN Sindy English, RN Jill Hagel, RN Susan Klaus, RN, PhD Lynn Marzinski, RN Joan McMahon, RN Joyce Ndungu, RN Melanie Simpson, RN, PhD Cassandra Taylor, RN Noreen Thompson, RN Laurie Badzek, RN; Cathy Glennon, RN; Marta Lawson, RN – Expanding the Scope of Practice: Nursing Workforce Survey of Genomic Knowledge Attitudes and Practice Amanda Gartner, RN; Diane Boyle, RN, PhD; Amanda Gartner, RN; Susan Klaus, RN, PhD; Lauren Nugent, RN; Brianna Robertson, RN – A Survey Investigating the Knowledge Base of Healthcare Staff Related to Sepsis Definitions and Early Goal Directed Therapy at an Academic Medical Center Liz Carlton, RN; Amanda Gartner, RN; Melissa Parkhurst, MD; Steve Simpson, MD – Improving Inter-hospital Hand Off Communication Through the Use of a Standardized Physician Report Tool Cathy Glennon, RN; Susan Klaus, RN, PhD; Susan Teasley, RN – The Development and Implementation of a Manager Workload Perception Scale Susan Klaus, RN, PhD – Career Expectations of Bedside Nurses Seeking Graduate Degrees Susan Klaus, RN, PhD; Christina Phillips, DNP – Disruptive Behaviors and Unit RN Job Satisfaction Jennifer Parks, RN; Susan Klaus, RN, PhD; Jennifer Parks, RN; Vincent Staggs, PhD; Maria Pena, RN – Outcomes of Nasal Bridling for Enteral Tube Securement in Burn Patients Mary Klugman, PhD; Robyn Setter, RN; Marci Walker, RN – Baccalaureate Nurse Residency Program Demonstration Project Evaluation Study-ongoing Research Internships Factors Associated with a Delayed or Missed Rapid Response Team Deployment – Christina Waggoner, RN, Inpatient Renal Dialysis; Amanda Gartner, RN, mentor Supportive Touch Training for Oncology Nurses – Heather Rischar, RN, Unit 42; Noreen Thompson, RN, mentor The Effect of Progressive Upright Mobility on Patients Receiving Continuous Renal Replacement Therapy (CRRT) in the Intensive Care Unit – Cher Brownback, RN, Medical ICU and Tricia Fletcher, RN, Cardiac ICU; Susan Klaus, RN, PhD, mentor The Impact of Care Journals on Patient Discharge Readiness and Family Satisfaction in Neuroscience Care Units – Elli Trinh, RN, Unit 62, Susan Klaus, RN, PhD, mentor Medical/Surgical Specialty Heidi Fielder, RN Maggie Foss, RN Anna Langer, RN Deidre Mitchell, RN Lindsey Warren, RN Janette Wright, RN 35 Professional Organizations INTERNATIONAL American Heart Association Emergency Cardiovascular Care: Kelly Hewins, RN, regional faculty, member, QI committee Kansas Organization of Nurse Leaders: Rachel Pepper, RN, DNP, member, board of directors, chair, advocacy commission Kansas State Nurses Association, Local District 2: Melissa Jaeger, RN, treasurer; Nina Shik, RN, member, board of directors NATIONAL Association of Perioperative Registered Nurses, Greater Kansas City Chapter: Kate Howell, RN, member, board of directors; Julia Jackson, RN, standing committee chair; Bucky Will, RN, president American Nurses Credentialing Center: Cathy Glennon, RN, vice president, Commission on Certification; Jennifer Lombardi, RN, member, content expert registry Greater Kansas City Chapter of the American Association of Critical Care Nurses: Heather Nelson, RN, member, board of directors; Stacy Smith, RN, standing committee chair International Society of Nurses in Cancer Care: Cathy Glennon, RN, member, conference management committee, abstract reviewer for 2012 meeting American Organization of Nurse Executives: Greater Kansas City Chapter of the Karen Wray, RN, member, education Association of Rehabilitation Nurses: Joan committee McMahon, RN, standing committee chair American Society of Pain Management Nurses: Melanie Simpson, RN, PhD, member, board of directors Greater Kansas City Chapter of the Spinal Cord Injury Association: Joan McMahon, RN, member, board of directors American Trauma Society: Elizabeth Carlton, RN, trauma program faculty Headstrong for Jake: Liz Carlton, RN, member, board of directors Association of Rehabilitation Nursing: Joan McMahon, RN, member, budget and finance committee International Transplant Nurses Society, Kansas City Chapter, Heart of America: Melissa Bennink, RN, standing committee chair; Peggy Higby, RN, president-elect; Tham Hoffmann, RN, standing committee chair; Adam Olberding, RN, past president; Jennifer Smothers, RN, standing committee chair; Whitney Watson, RN, president; Brandy Weaver, RN, secretary Association of Spinal Cord Injury Professionals: Joan McMahon, RN, chairman, national conference Emergency Nurses Association: Michael Hastings, RN, member, Institute of Quality, Safety and Injury Prevention Advisory Council National Nursing Staff Development Organization: Heidi Boehm, RN, standing committee chair; Marci Walker, RN, member, finance committee University Healthcare Consortium: Tammy Peterman, RN, member CNO council REGIONAL/LOCAL Kansas City Area Nurse Executives: Tammy Peterman, RN, president Kansas City Black Nurses Association: Marva Smith, RN, standing committee chair Kansas City Chapter of the American Association of Diabetic Educators: Cynthia Gilbert, RN, standing committee chair Kansas City Mission Lifeline/MARCER Region: Kelly Hewins, RN, co-chair, steering committee American Academy of Nurse Practitioners, Kansas Emergency Nurses Association: local chapter: Liza Rodriguiz, RN, secretary Michael Hastings, RN, president; Kelly Hewins, RN, standing committee chair American Association of Neuroscience Nurses, Kansas City Chapter/Mo-Kan Kansas Healthcare Collaborative: Blues: Carrie Fountain, RN, standing Tammy Peterman, RN, member, committee chair; Thu Janes, RN, treasurer; steering committee Jennifer Moran, RN; standing committee chair, Stacy Smith, RN; standing Kansas Mission Lifeline Region V: Kelly committee chair Hewins, RN, facilitator, member, steering committee American Heart Association: Kelly Hewins, RN, member, regional task force 36 Mid-American Chapter of the MS Society: Joan McMahon, RN, member, clinical advisory committee Midwest Association of Administrative Nursing Supervisors: Missy Randolph, RN, newsletter editor; Beth Vandenberg, RN, president Missouri-Kansas PeriAnesthesia Nurses Association: Nancy Martin, RN, secretary MO-Kan Vascular Access Nurses: Vanessa Oyler, RN, treasurer National Nurses Staff Development Organization, Heart of America Affiliate: Robyn Setter, RN, vice-president; Marci Walker, RN, treasurer Northeast Kansas Regional Trauma Council: Liz Carlton, RN, secretary Oncology Nurses Society, Greater Kansas City Chapter: Cathy Glennon, RN, treasurer; Jennifer Gray, RN, standing committee chair; Kathey Huey, RN, president-elect; Lynn Marzinski, RN, standing committee chair; Noella McCray, RN, standing committee chair; Julie Wilhauk, RN, DNP, standing committee chair Philippine Nurses Association of Greater Kansas City: Mary Aragon, RN, member, board of directors; Lourdes Batocabe RN, public relations officer; Luz Conde, RN, secretary; Joy Doolin, RN, treasurer; Emma Florentino, RN, member, board of directors Sigma Theta Tau, Delta Chapter: Kelly Hewins, RN, treasurer; Naomi King, RN, standing committee chair; Gigi Siers, RN, standing committee chair; Marta Lawson, RN, standing committee chair Society of Pediatric Nurses, Greater Kansas Chapter: Jennifer Lombardi, RN, president Sunflower Foundation, Healthcare for Kansans: Chris Ruder, RN, chairman, board of trustees University of Kansas Nurses Alumni Association: Chris Ruder, RN, vice-president Practice Council Chairs DIVISION PRACTICE COUNCIL CHAIRS CV Management Kelsi Shorthouse, Monitor Tech PACU Elaine Haley, RN, chair Ambulatory Kim Dixon, RN, chair CVOR Bill Matthews, RN, chair Cancer Center Gayle Humphrey, RN chair Jody Akins, RN, chair-elect CV PCU Justin Halberstadt, RN, chair Cara Smith, RN, chair-elect PAT Clinic Kimberly “Zann” Roach, RN, chair Heather Posch, RN, chair-elect Critical Care Dustin Pierce, RN, chair Sarah Goldsmith, RN, chair-elect CVPP Monty Bishop, RN, chair Progressive Care Amber Burke, RN, chair Anne Hager, RN, chair-elect Maternal/Child Mary Swingle, RN, chair Brittany Maynard, RN, chair-elect ED Joan Horton, RN, chair Huhnna White, RN, chair-elect EP Lab Misty Jaeger, RN, chair Float Pool Carol McTarsney, RN, chair Jennifer Reck, RN, chair-elect SDS Cathy Katzer, RN, chair Sally Doss, RN, chair-elect Unit 61 Amy Herman, RN, chair Zack Waldron, RN, chair-elect Unit 62 Christy Bartlett, RN, chair Unit 66 Kylie Gaustad, RN, chair GI Lab Sara Moore, RN, chair Elinor Westphal, RN, chair-elect Perioperative Elaine Haley, RN, chair Inpatient Dialysis/Apheresis Tracy Presler, RN, co-chair Christina Waggoner, RN co-chair SICU Shandi McCray, RN, chair Nicole Bebemeyer, RN, co-chair-elect Kimberly Norton, RN, co-chair-elect Inpatient Rehab Archie Thomas, RN, chair Lindsay Jost, RN, chair-elect Spine Center Cheryl Pound, RN, chair Beth Haines, RN, chair-elect Adult Psych/PLS Kim Ziglinski, RN, chair Burn Center Abbey Harding RN, chair Michelle Czerw, RN, co-chair-elect Jacob Hunt, RN, co-chair-elect Case Management Erin Medina, RN, chair Cath Lab Jessica Krueger, RN, chair CICU Heidi Quilty, RN, chair CTR Heather Field, RN, chair Lakeitia Bunn, RN, chair-elect CTS ICU Brooke Harris, RN, chair Jeff Pitts, RN, chair-elect CTS PCU Amber Burke, RN, chair Sarah Hamilton, RN, chair-elect Unit 43 Lauren Imel, RN, chair Monica Tranckino, RN, chair-elect Pediatrics Unit 46 Elizabeth White, RN, chair Mandy McKinley, RN, chair-elect Diana Reyes, RN, chair Carrie Armstrong, RN, chair-elect PICU Mary Swingle, RN, chair Unit 51 Stacy Hackler, RN, Brynn Harrison, RN, co-chair co-chair-elect Kevin Bills, RN, co-chair Brittany Maynard, RN, co-chair-elect Unit 53 Becky Culbertson, RN, co-chair Radiology Nursing Dayna Campbell, RN, co-chair Brandon Fry, RN, chair Med/Surg Chesha Bizan, RN, co-chair Heidi Fielder, RN, co- chair UNIT PRACTICE COUNCIL CHAIRS Unit 41/42/BMT Mollie Krantz, RN, co-chair Liza Murray, RN, co-chair Unit 64 Melissa Beal, RN, chair Karen Bonilauri, RN, chair-elect IV Therapy/Infusion Therapy Cathy Quinn-Haynes, RN, chair Labor/Delivery Alissa Poitras, RN, chair MICU Sarah Goldsmith, RN, chair Elizabeth Wright, RN, chair-elect Mother/Baby Deb Volts, RN, chair Marilyn Talmadge, RN, chair-elect MTICU Katie Mayer, RN, chair NICU Leasa Clemons, RN, co-chair Shannon Fryer, RN, co-chair Michelle Remmich, RN, co-chair-elect Kaitlin Henry, RN, co-chair-elect OR Holly Faber, RN, chair Megan Bieker Spierer, RN, chair-elect Jacob Hunt, RN, is a part of a team who offer compassionate care in the Burnett Burn Center as patients recover and reclaim their lives. 37 Medical Director/Hospital Director Partnerships Unit-Based Partnerships Department-Based Partnerships Program-Based Partnerships BURN UNIT Maria Pena, RN ANESTHESIA/OR MANAGEMENT – PERIOPERATIVE SERVICES Lisa Elm, RN Tim Kistner, RN Lila Martin, RN Sandy Turner, RN CARDIAC CRITICAL CARE Cheryl Daugherty, RN CARDIOLOGY Renee Walters, RN ANEMIA MANAGEMENT Elora Thorpe, RN BEHAVIOR RESPONSE TEAM Noreen Thompson, RN CTS ICU Staci Guidicessi, RN ANESTHESIA/PAIN MANAGEMENT Melanie Simpson, RN, PhD BLOOD AND MARROW TRANSPLANT Cathy Glennon, RN Marcia Jacobson, RN Cyndy Steen, RN CTS SURGERY Becky Gearhart, RN CARDIAC CATH Nikki Harvey, RN CHEST PAIN CENTER Kelly Hewins, RN FULL TERM NURSERY Laurie Hay, RN CARDIOTHORACIC PROGRESSIVE CARE Anna Werner, RN CLINICAL PRODUCTS Pat Barrett, RN Brian Dolan, RN ELECTROPHYSIOLOGY Becky Gearhart, RN Nikki Harvey, RN DIABETIC AND ENDOCRINE Cindy Gilbert, RN INPATIENT DIALYSIS Jason Smith, RN INPATIENT REHABILITATION Barbara Legler, RN MICU Doug Peterson, RN MTICU Adam Olberding, RN NEUROLOGY Thu Janes, RN NICU Laurie Hay, RN Amanda Meats, RN PEDIATRICS Allison Malicoat, RN GASTROENTEROLOGY/ ENDOSCOPY Greg Crawford, RN NEURO INTER-OPERATIVE MONITORING Lila Martin, RN OR MANAGEMENT/ PERIOPERATIVE Lila Martin, RN PRE-OP AND POST-OP Lanette Kelly, RN EPILEPSY Thu Janes, RN Stacy Smith, RN HEPATOLOGY Christine Young, RN HOSPITALIST PROGRAM Karen Wray, RN INFECTION CONTROL Nina Shik, RN INFUSION ROOM Deb Jordan, RN PSYCHIATRIC SERVICES Laura Burch, RN LIVER TRANSPLANT Tracy Giacoma, RN Adam Olberding, RN Rachel Pepper, RN SURGICAL ICU Cris Pritchard, RN MOVEMENT DISORDER Stacy Smith, RN UNIT 46 & COMMUNITY ACQUIRED PNEUMONIA Brigid Weyhofen, RN NEURO ICU Carol Cleek, RN Stacy Smith, RN UNIT 66 – TELEMETRY Craig Shipley, RN ORTHO TRAUMA Tracy Rogers, RN PAIN MANAGEMENT Kim Dixon, RN Melanie Simpson, RN, PhD PALLIATIVE CARE (NON-ONCOLOGY) Marilyn Parker, RN RAPID RESPONSE TEAMS/ CODE BLUE Carol Cleek, RN Doug Peterson, RN 38 SPINE CENTER INTERVENTIONAL PAIN Kim Dixon, RN SPINE REHABILITATION Kim Dixon, RN SPINE SERVICES Thu Janes, RN Joan McMahon, RN Stacy Smtih, RN STROKE Janice Sandt, RN Stacy Smith, RN THORACIC SURGERY Becky Gearhart, RN TRAUMA/CONCUSSION Summer Bryant, RN Tracy Rogers, RN UNIT 43 – ORTHOPEDICS Stacy Morast, RN UNIT 63 – SOLID ORGAN TRANSPLANT Tracy Giacoma, RN QSI Quality Improvement Projects Theresa Bachman, RN, Pediatrics – “Cow-Tipping” Handoffs Courtney Cruz, RN, Cardiac ICU – Reducing Venothrombo Embolism in Procedural Cardiac Patients Jen Cowan, RN, Cath Lab – Handoff Documentation Ellen Durrenburger, RN, and Lavita Davis, RN, IP Dialysis – Hepatitis B Detection and Dialysis Machine Disinfection and Diabetic Management of Patients on Hemodialysis Cecilia Hanson, RN, Cardiothoracic ICU – Enhancing Nurses’ Knowledge to Reduce Venothrombo Embolism Amanda Huber, RN, Unit 46 – Creating a Culture of Fall Prevention Lucia Jones, RN, Emergency Department – Reducing Falls and Improving Hand Hygiene Tara Kincaid, RN, L&D – Communication and Handoff Reporting in the Labor and Delivery Unit Bill Mauer, RN, and Joanna Doezal, RN, CTR – Hemostasis Management System Bill Mauer, RN, EP Lab – High Alert Medication Check Deidre Mitchell, RN, Unit 15A/B – Handoffs & Transferring Patients During Shift Change Renee Molloy, RN, and Sarah Harrington, RN, Unit 62 – Wash for the Win! Improving Hand Hygiene Lynn Murphy, RN, CTP – Vicki Goetz, RN, Spine Center – Fall Reduction Heidi Fielder, RN, Unit 51 – Improving Communication Preventing VTE with Early Through Patient Handoffs Melissa Randolph, RN, NAC – Ambulation for Surgery Patients Float Pool – Resource Nurse & Hardwiring Bedside Safety Jeanette King, RN, Handoff Communication Checks Cancer Center – Handoff Communication Kimberly Riffel, RN, Maggie Foss, RN, Unit 55 – Mother/Baby – Delivery and Encouraging Meal Breaks Anna Langer, RN, Rehab – Post-Delivery Communication through Structured Handoffs, Fall Reduction through Fall Reduction & Nurse/PCA Structured Interdisciplinary Brianna Robertson, RN, Communication Handoffs Medical Transplant ICU – Progressive Upright Mobility Cassandra Garza, RN, Alison Lindsay, RN, Unit 66 – and Reducing Unit Acquired Surgical ICU – Improving Bundle VTE Reduction Using a Flush Pressure Ulcers Compliance to Reduce Ventilator Order Set Associated Pneumonia Amanda Robinson, RN, Janet Marts, RN, CVP – Neuroscience ICU – Improving Missy Golubski, RN, NICU – Patient Education: Most Venothrombo Embolism Reduction of Retinopathy of Common Side Effects of Prevention Awareness Prematurity Prescription Medications Amanda Rousch, RN, Unit 64 – Fall Reduction Shawna Schaffer, RN, Medical ICU – Spontaneous Awakening/ Breathing Trial and Sedation Usage Kristine Shipley, RN, PICU – Airway Management Cart Reconfiguration Sounithta Vilayvanh, RN, and Wesley Casey, RN, Burnett Burn Center – Reducing Medication Errors Lindsey Warren, RN, Unit 41/42 – Improving Handoff Communication: RN to RN, RN to PCA, and Outpatient/ Inpatient; Chemotherapy Administration Safety Elinor Westphal, RN, GI – Handoff Consistency Tony Wiedel, RN, IV Therapy – Reducing PICC Related VTE Kim Ziglinsky, RN, Psych – Boosting Unit Morale by Strengthening Practice Council Julia Bradbury, RN, is a staff member of Transplant Intensive Care, which holds the hospital record for the highest percentage of certified nurses. 39 Presentations and Posters INTERNATIONAL/NATIONAL Carrie Armstrong, RN; Diana Reyes, RN; Trynn Waldon, RN; Brigid Weyhofen, RN – American Organization of Nurse Executives Center for Care Innovation and Transformation, “Patient Satisfaction Improvement Project,” April 2012 (poster) Carrie Armstrong, RN; Diana Reyes, RN; Trynn Waldon, RN; Brigid Weyhofen, RN – American Organization of Nurse Executives Center for Care Innovation and Transformation, “Unit 46: Changing the Culture,” April 2012 Lynn Davis, RN – EPIC Users Group Meeting, “Hear Ye, Hear Ye, Developing a Nursing Informatics Council,” September 2011 Sara Dubin, RN – National Association of Neonatal Nurses Annual Educational Conference, “Heliox in the NICU,” September 2011 Tracy Giacoma, RN – 7th Annual Workshop for Financial Coordinators, “The Impact of Hospital Cost and Statistical Reporting,” September 2011 Lauren Gray, RN – EPIC Nursing Advisory Liz Carlton, RN – Council, “Rapid Order Set American Association of Medical Development for CPOE,” Colleges Integrating Quality: August 2011 Collaborating for Care Meeting, “Gathering the Tribes – Lauren Gray, RN – EPIC Users A Multi-Disciplinary/InterGroup Meeting, “Rapid Order Disciplinary Patient Safety Set Development for CPOE,” Conference,” June 2012 September 2011 Liz Carlton, RN – Direct Call Leadership Conference, “Developing a Comprehensive Transfer Management Strategy,” March 2012 Liz Carlton, RN; Doug Peterson, RN – National Magnet Conference, “HERO’s Beyond the Bedside,” October 2011 (poster) Liz Carlton, RN; Chris Ruder, RN; Noreen Thompson, RN – The University HealthSystem Consortium 2011 Annual Conference, “In the Line of Fire: One Hospital’s Journey to a Safer Environment,” September 2011 (poster) Melissa Golubski, RN – NANN 27th Annual Education Conference, “The Quality and Safety Investigator in the Neonatal Intensive Care Unit,” September 2011 (poster) Lindsay Gutierrez, RN; Monica Odgers, RN; Trynn Waldon, RN; Bridgid Weyhofen, RN – American Organization of Nurse Executives Center for Care Innovation and Transformation, “Nurse-Aide Communication Improvement Initiative,” October 2011 (poster) Laurie Hay, RN; Janet Wisner, RN – NICU Leadership Forum Best Practice Forum, “Clinical Coaching in the NICU: Branching Out to Enhance Staff Education,” April 2012 Joan McMahon, RN – 2011 ASCIP Conference, “Developing a Comprehensive SCI Clinic,” September 2011 Lynelle Pierce, RN; Whitney Watson, RN – American Association of Critical Care Nurses National Teaching Institute, MARS and the Failing Liver…Sending Help From the Planet Earth,” May 2012 Chris Ruder, RN; Tammy Peterman, RN – National Magnet Conference, “Growing Great Leaders,” October 2011 Cyndy Steen, RN; Robin Thompson, RN – BMT Tandam Meetings, “Reduction of Central Line Associated Bloodstream Infections in the BMT Population,” February 2012 (poster) Betsy Wagner, RN – National Nursing Staff Development Organization National Conference, “Entertain Me, So I Can Learn! The Changing Winds (and Minds) of Today’s Learner,” July 2011 Marci Walker, RN – National Nursing Staff Development Organization National Conference, “Clinical Competency Fitness Michael Hastings, RN – Emergency Nurses Association’s Makeover; The Marathon Training Program,” July 2011 Leadership Conference, “Building Future Leaders,” February 2012 Laurie Hay, RN – NANN National Conference, “Clinical Coaching in the NICU: Branching Out to Enhance Staff Education,” September 2011 (poster) REGIONAL/LOCAL Teri Banman, RN – Kansas City Area Tumor Registrars Association, “Navigation Program: Identification of Barriers to Care,” November 2011 Kaitlin Begg, RN; Janet Marts, RN; Jacqueline Pyle, RN, – The University of Kansas Hospital 6th Annual Nursing Research Symposium, “Call Light Race” September 2011 Liz Carlton, RN – 2012 Annual Northeast Kansas Regional Trauma Conference, “Developing Regional Performance Improvement Infrastructure,” April 2012 Liz Carlton, RN – 2012 Annual Northeast Kansas Regional Trauma, Level IV Workshop – “What is Trauma Performance Improvement?” April 2012 Liz Carlton, RN – 5-Star Symposium, “Remembering Jake,” May 2012 Liz Carlton, RN – Kansas Hospital Engagement Network Program, “Clinical Focus on Hospital Acquired Conditions: VTE,” June 2012 Liz Carlton, RN – Magnetizing KC, “Data Presentation that Drives Results – Empirical Outcomes,” February 2012 Sean Cash, RN – Nebraska Medical Center, “Psychosocial Issues for Transplant Donors in Relation to the Transplant Process,” August 2011 Bob Dary, RN; Beth Vandenberg, RN – Delta Chapter of Sigma Theta Tau, “Magnetizing the Night Shift,” March 2012 Bob Dary, RN; Beth Vandenberg, RN – Midwest Association of Administrative Nursing Supervisors, “Engaging the Night Shift,” June 2012 Sara Dubin, RN – MissouriKansas Association of Neonatal Nurses, “Heliox in the NICU,” November 2011 40 Sara Fohn, RN – The University of Kansas Hospital Palliative Care Grand Rounds, “Palliative Nursing Across the Spectrum of Care,” December 2011 Maria Fox, RN – Fall Trauma Update, St. John’s Mercy Hospital, “Pain Management Strategies,” September 2011 Amanda Gartner, RN – Greater Kansas City Chapter of American Association of Critical Care Nurses, “Hemodynamic Monitoring,” November 2011 Amanda Gartner, RN – Patient Care Assistant University, “Focus on Quality and Safety,” December 2011 Amanda Gartner, RN – The University of Kansas Hospital Critical Care Update: “Focus on Quality,” February 2012 Amanda Gartner, RN – The University of Kansas Hospital Nurse Residency Program, “Quality Improvement,” January 2012 Cindy Gilbert, RN – Area Health Education Center, “Management of Diabetes and Glycemic Alteration,” April 2012 Cindy Gilbert, RN – Area Health Education Center, “Update on Medications for Managing Diabetes,” June 2012 Cindy Gilbert, RN – KC Chapter of American Association of Diabetic Educators, “New Diabetic Medications,” November 2011 Catherine Glennon, RN – Tumor Registrars Regional Conference, “Metastatic Breast Cancer: The Bridge Survey,” October 2011 Krystal Hardman, RN – Area Health Education Center, “Dreaming PURPLE,” March 2012 Laurie Hay, RN – The University of Kansas Hospital 6th Annual Nursing Research Symposium – “Clinical Coaching in the NICU: Branching Out to Enhance Staff Education,” September 2011 (poster) Laurie Hay, RN – Magnetizing KC Conference, “Clinical Coaching in the NICU: Branching Out to Enhance Staff Education,” February 2012 (poster) Dan Hudson, RN – 11th Annual Kansas Trauma Summit, “A Boy from the Bronx – The Story of a Snake Wrangler,” August 2011 Carol Ann Matthias, RN – KU Cancer Center Nursing Grand Rounds, “When Getting a “C” Does Not Mean You’re Average – My Patient Experience,” October 2011 Tracy McDonald, RN – Region 7 Trauma Program Managers Workshop, “Trauma Finance 101,” December 2011 Gigi Siers, RN – Magnetizing KC Conference, “Comfort Carts: A Tangible Expression of the Nursing Care Model at End of Life,” February 2012 (poster) Joan McMahon, RN – Johnson County Community College, “SCI – From Where We Began to Where We Hope to Be,” October 2011 Gigi Siers, RN – The University of Kansas Hospital 6th Annual Nursing Research Symposium, “Leading Teams in Action,” September 2011 Carol Mulvenon, RN – Greater Kansas City Chapter Oncology Nursing Society, “Look Inside My Cancer Pain Toolbox,” September 2011 Melanie Simpson, RN, PhD – Guest Lecturer, Physical Therapy at The University of Kansas Hospital, “Managing Pain and Physical Therapy,” March 2012 Dan Hudson, RN – 9th Annual Life Star of Kansas Emergency Care Symposium, “Essential Airway and Ventilatory Kayla Northrop, RN – Management Principles,” The University of Kansas School October 2011 of Nursing, “Burn Care 101,” November 2011 Dan Hudson, RN – Children’s Mercy Hospital, “Difficult Airway Kayla Northrop, RN – Johnson and Management Principles,” County Community College April 2012 Paramedics, “The First 24,” March 2012 Susan Klaus, RN, PhD – University of Kansas School of Lynelle Pierce, RN – Greater Nursing BSN Research Class, Kansas City Chapter of AACN, “Hospital-Based Research: “Mechanical Ventilation: Basics The Real Deal,” October 2011 and Beyond,” January 2012 Akiko Kubo, RN – Liberty Hospital Education Resource Group Meeting – “Entertain Me, So I Can Learn! The Changing Winds (and Minds) of Today’s Learner,” March 2012 Akiko Kubo, RN – Heart of America NNSDO Chapter – “Entertain Me, So I Can Learn! The Changing Winds (and Minds) of Today’s Learner,” January 2012 Nina Shik, RN – Kansas Nurses Association Annual Convention, “Evidenced-Based Practice: Benefits and Pitfalls,” October 2011 Lynelle Pierce, RN – Critical Care Orientation at The University of Kansas Hospital, “Care of the Respiratory Patient,” October 2011 and April 2012 Melanie Simpson, RN, PhD – Continuing Education for Nurses at St. Francis Hospital, “Making Pain Management More Positive,” March 2012 Jennifer Surprise, RN – The University of Kansas Hospital Pain Resource Nurse Program, “Monitoring Patients on Opioid Therapy, Avoiding Pitfalls,” and “Assessment, Reassessment and Documentation of Pain,” August 2011 Diedre Waldrup, RN; Whitney Watson, RN – Greater Kansas City American Association of Critical Care Nurses Visions Symposium, “The Nuts and B-OLTS of Liver Audra Rankin, RN – Area Health Transplantation,” March 2012 Education Center, “Heart Failure Update,” December 2011 Nancy Washburn, RN – Young Survival Coalition at Chris Ruder, RN; Cancer Action, “Obesity and Tammy Peterman, RN – Exercise and its Importance,” 5-Star Day, “The Power of January 2012 Professionalism,” May 2012 Janice Sandt, RN – 14th Annual Stroke Symposium, “Drip and Ship Model of Care,” October 2011 Janice Sandt, RN – Ft. Scott Mercy Health Center, “Impeding Stroke,” February 2012 Robyn Setter, RN – The University of Kansas Hospital, “Mentoring 101,” January 2012 41 awards 2012 NURSING Excellence in Nursing Awards Expert Clinical Nurse Melissa Oropeza-Vail, RN Nurse Innovator Howard Willyard, RN Nurse Preceptor Sarah Carter, RN Patient/Family Advocate Stephanie Winwright, RN Expert Nurse Leader Adam Olberding, RN Nurse Mentor Kayla Northrop, RN Outstanding New Graduate Taylor Frese, RN Patient/Family Educator Anna Langer, RN The University of Kansas Hospital Magnet Nurse of the Year Melanie Simpson, RN, PhD Donor-Sponsored Awards Andrea Allen, RN Teri Banman, RN Erika Carter-Logan, RN Wesley Casey, RN Terra Dudenhoeffer, RN Debra Jordan, RN Anna Langer, RN Mary Madden, RN Rhonda Martin, RN Jennifer Medellin, RN Dustin Pierce, RN Kris Seemann, RN Michele Zook, RN Christy Gibson Ethan Kent Support Staff Excellence Diane Anderson 42 Valerie Brian Nursing Excellence Award winners were honored at a dinner in June. Seated, from left: Melissa Oropeza-Vail, RN; Anna Langer, RN; Taylor Frese, RN; Kayla Northrop, RN. Standing, from left: Howard Willyard, RN; Sarah Carter, RN; Melanie Simpson, RN, PhD; Stephanie Winwright, RN; and Adam Olberding, RN. Donor-sponsored Award winners were also honored: Seated, from left: Erika Carter-Logan, RN; Rhonda Martin, RN; Andrea Allen, RN; Teri Banman, RN; Debra Jordan, RN. Standing, from left: Jennifer Medellin, RN; Mary Madden, RN; Anna Langer, RN; Terra Dudenhoeffer, RN; Wesley Casey, RN; Michele Zook, RN; Kris Seemann, RN; and Dustin Pierce, RN. Support Staff Excellence Award winners are, from left, Christy Gibson, Ethan Kent, Valerie Brian and Diane Anderson. 43 Publications The following people have contributed to The University of Kansas Hospital Research Council Literature Review: Abstracts Relevant to Nursing Practice: In many cases, Department of Nursing staff partnered with other authors, listed here as et al. Their contributions are greatly appreciated. Allison Adewunmi, RN Suzanne Bentley, RN Rebecca Brunner, RN Robert Dary, RN Tiffany Diehl, RN Joanna Dolezal, RN Sara Dubin, RN Sindy English, RN Maria Fox, RN Amanda Gartner, RN Wendy Garza, RN Cathy Glennon, RN Lisa Hahn, RN Michael Hastings, RN Erika Humbargar, RN Lauren Imel, RN Julia Jackson, RN Lisa Jewell, RN Alexsis Johnson, RN Cathi Johnson, RN Linda Kurtz, RN Janet Marts, RN Bill Mauer, RN Lynn Marzinski, RN Joan McMahon, RN Jennifer Moran, RN Jennifer Parks, RN Melissa Randolph, RN Robyn Setter, RN Kristine Shipley, RN Amy Velesquez, RN Stacey Wattier, RN Patty Winkler, RN Hasan Al-Omari, RN, PhD, et al – “Psychological Outcomes of Intimate Partner Violence Experienced by Jordanian Working Women,” Healthcare for Women International, 33, 217-227 Michael Hastings, RN; Susan Klaus, RN, PhD; et al – “Effect of Weather on Medical Patient Volume at Kansas Speedway Mass Gatherings,” Journal of Emergency Nursing: in press Susan Klaus, RN, PhD, et al – “Job Satisfaction in Birth Cohorts of Nurses,” The Journal of Nursing Management: in press Elyse Biethman, RN – “Mandatory Gardasil Vaccination in Adolescents,” Sigma Theta Tau International Delta Chapter Journal of Undergraduate Nursing Writing, 5th Ed, August 2011 Lynn Marzinski, RN – “Oncology Nursing – Changing Straw Into Gold,” Central Focus, Newsletter of the Greater Kansas City Chapter Oncology Nursing Society, Vol 47(2), page 1 Michael Blomquist, RN; Doyle Coons, RN – “Rapid Response Teams: What’s Your Role,” Mosby’s Nursing Consult, October 2011 Carol Mulvenon, RN, et al – “Sadly Caught up in the Moment: An Exploration of Horizontal Violence,” Nursing Economics, 30, 6-13 Heidi Boehm, RN, et al – “Improving Feedback to Students Online, Teaching Tips From Experienced Faculty,” The Journal of Continuing Education in Nursing, 42(11), 503-509 Heather Nelson, RN – “Pediatric Advanced Directives: A Voice for the Voiceless,” Sigma Theta Tau International Journal, August 2011 Elizabeth Carlton, RN; Lauren Gray, RN; et al – “Reduction of Venous Thromboembolism in Hospitalized Patients: A multidisciplinary, interprofessional approach aligning education with quality improvement,” AAMC R4R Member Innovation, https://www.aamc.org/ icollaborative/r4r/264250/resource174.html Jill Peltzer, RN, et al – “The Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Study,” Leadership in Health Services, 25(1), 52-61 Linus Silvey, RN – “Patient Autonomy and End-of-Life Care: Cross-Cultural Considerations,” The Journal of Undergraduate Nursing Writing, Vol 5, Issue 1, August 2011 Cathy Glennon, RN, et al – “Patient Perceptions of an Art-making Experience in an Outpatient Blood and Marrow Transplant Melanie Simpson, RN, PhD – “Pain,” in M Hickey & S Newton (Eds), Telephone Triage Clinic,” European Journal of Cancer Care: for Oncology Nurses, (2nd Ed. pp 199-201). in press Pittsburgh, PA: Oncology Nursing Society Shari Thomasson, RN – “When the Negative Becomes Positive,” Central Focus, Newsletter of the Greater Kansas City Chapter Oncology Nursing Society, Vol 48 (2), page 9 Stephanie Winright, RN, et al – “Prostate Cancer: Nursing’s Role,” Med-Surg Matters: in press Clearlis Starr, RN, Mother/Baby Unit Coordinator is among a team who provide family-centered care to our new moms and babies as they start their new journey in life. 44 in memoriam During the past year, The University of Kansas Hospital lost four members of its nursing family. They are greatly missed by their co-workers and friends at the hospital. Michael Wajcman, RN PACU Ray Vienna Emergency Department Jenny West, RN Clinical Excellence Dean Crist Perioperative Services 45