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Nurses at their BEST! Nursing Annual Report 2014 “She felt like you listened, and when you did that, she knew she wasn’t just another number in healthcare.” —Kevin Jones, RN PERSON-CENTERED CARE WELCOME ME RESPECT ME INCLUDE ME CONNECT ME PROTECT ME ENGAGE ME COMFORT ME “She took the extra time to listen to the patient and let her vent her thoughts and feelings.” — Bridget Zimmer, RN Contents Greetings from Our Vice President of Nursing 2 Lourdes Nursing Professional Practice Model 3 Structural Empowerment 4 2014 Lourdes Honored Nurses . . . . . . . . . . . . . . . . . . . . . . . . . Value Inspired Person (VIP) Award . . . . . . . . . . . . . . . . . . . . . . . Ozanam Award . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Golden Stethoscope Award . . . . . . . . . . . . . . . . . . . . . . . . . . 2014 Nursing Essay Award . . . . . . . . . . . . . . . . . . . . . . . . . . . Lourdes Bright Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nursing Committee Accomplishments . . . . . . . . . . . . . . . . . . . . Advancing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Professional Nurse Advancement & Recognition Program . . . . . . . . . Additional Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 7 7 7 7 9 13 16 17 21 22 Exemplary Professional Practice23 Unit-based Practice Council (UPC) Accomplishments . . . . . . . . . . . . 23 Transformational Leadership28 Roles in the Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . Leadership Roles in Professional Organizations . . . . . . . . . . . . . . . Participation on Ascension Health Committees . . . . . . . . . . . . . . . 28 31 32 Empirical Outcomes33 Nursing Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Nursing Sensitive Quality Indicators . . . . . . . . . . . . . . . . . . . . . 34 Patient Satisfaction: Net Loyalty Scores . . . . . . . . . . . . . . . . . . . 34 New Knowledge, Innovations & Improvements35 Ongoing Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Completed Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nursing Research Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Posters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 35 35 36 43 Greetings from Our CNO45 GREETINGS FROM OUR VICE PRESIDENT OF NURSING It is an honor to salute all Lourdes nurses for your creativity, compassion, and dedication to your patients, their families, and our community. Our journey on the road to nursing excellence continues to accelerate as we look forward to attaining our 3rd Magnet designation. Magnet nurses work tirelessly to ensure that exemplary patient care is provided. At Lourdes we recognize that direct care nurses are responsible for achieving quality patient outcomes such as reducing falls with injury, hospital acquired pressure ulcers, and central line blood stream infections, in addition to reducing or eliminating catheter associated urinary tract infections. Our work toward Magnet re-designation is a commitment to advancing the nursing profession at Lourdes. Each year we recognize nurses who have been nominated by their peers throughout the organization for their distinguished service and accomplishments related to leadership, research, clinical practice, and education. Four nursing peer committees are organized annually to review the nominations in each category and select the Lourdes Honored Nurses. The Honored Nurses are rewarded with fully paid attendance at the ANCC National Magnet Conference® held in October each year. We celebrate these and other nurses at the annual Professional Nurse Advancement and Recognition Program dinner. All Lourdes nurses influence inter-professional collaboration, innovative nursing practice, and exemplary patient outcomes. Because of you, we can provide care to patients and their families that we can be proud of everyday, as we endeavor to keep our patients safe and free from harm. Warmest wishes, Debbie 2 Nursing Annual Report 2014 “Around them are all the people from Lourdes and our community working tirelessly to find them a new home, together.” — Cherie Wooden, RN Lourdes Nursing Professional Practice Model “What does professional nursing practice at Lourdes look like?” In September 2013, 40 direct care nurses gathered at the Double Tree by Hilton in downtown Binghamton to review and evaluate our Professional Practice Model (PPM). All nurses agreed that the concepts remained pertinent, with the addition of communication, but the current model schematic was too complex and wordy. Six small groups brainstormed and three new schematics evolved. The group met again in October at Lourdes, reviewed the existing schematic and the three new ones, then by majority vote selected one of the new schematics. This choice was presented at the November 7, 2013 Nursing Professional Practice Council (NPPC) meeting and was approved by the clinical nurses who attended. The new schematic was sent to a graphic designer who provided two options with two color schemes each. These options were presented at the February 2014 NPPC meeting and the following schematic was selected by majority vote of the clinical nurses who attended that meeting. The core of our PPM schematic reflects our reason for being: patients, families and our community, based on our faith as designated by the cross embedded in the Lourdes logo. Key concepts in the schematic include the main elements of professional nursing practice: Clinical Practice, Education, Research, and Leadership. Four additional concepts reflect our core values and relationship-based care: Spirituality, Compassion, Service, and Communication. 3 Structural Empowerment S hared decision making is both a privilege and a responsibility. Lourdes nurses have a voice through taking advantage of opportunities to share their ideas and concerns in a variety of forums. They are empowered through formal recognition for their distinguished service and accomplishments; participation on nursing, hospital-wide and Ascension Health inter-professional committees; advancing their education; and achieving certification. Recognition of Nurses for Distinguished Service or Accomplishments 2014 Lourdes Honored Nurses This year, five registered nurses were recognized in the categories of Clinical Practice, Leadership, Education, and Research. CLINICAL PRACTICE 4 Nursing Annual Report 2014 The Clinical Practice category recognizes a registered nurse who demonstrates outstanding performance in direct patient care. The 2014 Honored Nurse for Clinical Practice is Theresa Goodenough, RN, CWOCN®. Theresa is not only clinically exceptional, but also possesses the compassion and understanding to totally engage the patient and family in the management of their complex care. She is certified and is called upon on multiple occasions by providers and nursing staff to serve as a resource. She engages staff to achieve exemplary outcomes and mentors SUNY Broome and Binghamton University nursing students. Active in her community, Theresa is valued Theresa Goodenough, as a speaker and volunteer. RN, CWOCN® Leadership The Leadership category recognizes a registered nurse who advocates strongly for nursing. This year, two nurses were honored as leaders. The 2014 Direct Care Honored Nurse for Leadership is Christen Waddell, MS, RN. Christen has quietly managed to remind the nurses of their voice. Based on input from colleagues, Christen Waddell, MS, RN she worked tirelessly to develop and implement an electronic schedule that is flexible enough to accommodate school schedules, family responsibilities, and nurses’ requests to work 12 hour or 8 hour shifts. She is always willing to help and the nurses respect her for her leadership and dedication to nursing. Christen’s manner is gentle and kind, giving new nurses the confidence they need to begin a lifetime career of caring for others. 2014 Nurse Leader Honored Nurse for Leadership is Sue Spink, RN-BC. Sue is an outstanding nurse whose vision, accountability, breadth and depth of understanding of systems and processes, and optimism enable associates to reach out to her regardless of the issue. She leads by example and has been instrumental in the successful implementation Sue Spink, RN-BC of projects that cut across multiple settings and disciplines. In addition, she has earned Lean Six Sigma green and black belts. Sue lives the mission and values of Lourdes because she is deeply grounded in her faith; is passionate about nursing; genuinely cares for patients and their families; and deeply cares for those with whom she works. develops educational programs and presents them based on learners’ needs, including one-on-one instruction as necessary. Jamie creates, reviews, and revises educational tools then uses a variety of media to disseminate this information throughout Lourdes for nurses and other associates. Always smiling, she humbly carries out the mission and vision of Lourdes. The Research/Evidence-based Practice category recognizes a registered nurse who has demonstrated commitment to nursing research and evidence-based practice. The 2014 Honored Nurse for Research/Evidence-based Practice is Elisabeth Evans, MSN, RN, ONC®. Elisabeth embraces lifelong learning and completed a research project based on review of the literature and an idea that has important implications for nursing, osteoporosis risk factors and prevention behaviors. After completing her study, she presented her findings regionally and internally. Committed to improving health in the community, Elisabeth embraces evidence-based nursing practice as she engages patients and their families. The Education category recognizes a registered nurse who has made significant contributions to professional nursing education/continuing education or staff development. The 2014 Honored Nurse for Education is Jaymilee Mash, RN. Jamie possesses a unique ability to identify associates’ concerns through active listening and then helps them address and overcome obstacles. She Elisabeth Evans, MSN, RN, ONC® Education Jaymilee Mash, RN Structural Empowerment 5 2014 Lourdes Honored Nurse Nominees Clinical Practice Tayyebeh-nahid Borogerdi, MS, FNP-BC Susan Crawford, RN, OCN® Colleen Gelatt, RN Caylynn Gilbert, RN Lisa Gorman, RN Danielle Harbst, RN Julianne Lowrie, RN, CAPA® Mary Mancini, RN Paula McIntyre, RN Jan Townsend, RN, CEN® Ann Weber, RN-BC Leadership Sara “Beth” Hickey, RN Julianne Lowrie, RN, CAPA® Deborah Mican, MHA, BSN, RN, CNOR® Rebecca Sherman-Quick, RN, CHPN®, OCN® 6 Nursing Annual Report 2014 Value Inspired Person (VIP) Award The VIP award recognizes associates who exemplify the mission and values of Lourdes: Service of the Poor, Reverence, Integrity, Wisdom, Creativity and Dedication. Nominated by her peers, Ruth Pulse, RN, was recognized in January 2014 as a Value Inspired Person. Education Ruth Pulse, RN Ozanam Award Melody Best, MS, RN, WHNP-BC Amie Wales, RN The Frederic Ozanam Annual Mission Award is presented to one associate who reflects the values of Blessed Frederic Ozanam and lives the mission and values of Lourdes every day. To be eligible for this award, an associate first must have received a Value Inspired Person (VIP) award. The 2014 recipient of the Ozanam Award is Susan Backo, RN. Susan Backo, RN Golden Stethoscope Award Research/ Evidencebased Practice Colleen Cameron, MS, RN Certified members of the Allied Health Staff in good standing who exemplify quality service, professionalism, and teamwork may be nominated for the Allied Health Staff Golden Stethoscope Award. The 2014 recipient is Jonathan Briggs, MS, FNP-BC. Jonathan Briggs, MS, FNP-BC 2014 Nursing Essay Award Linda Stark, MSN, RN, ONC® Cherie Wooden, RN Annually, all nurses are invited to submit an essay that describes how their own professional practice, or the professional practice of a nurse colleague, resulted in a positive outcome for a patient or the patient’s Kevin Jones, BS, RN family. The essay is selected by a subcommittee of the Nursing Professional Practice Council. Kevin Jones, BS, RN, received the 2014 Nursing Essay Award. Structural Empowerment 7 Stopping the Revolving Door I n this day and age of technology, we as nurses are inundated with new processes and equipment every day. Many times within this setting, it is a given that training is provided and our patients are safe. But the story I experienced brought a unique prospective to the technology utilized throughout homecare, and other healthcare facilities. The ability to provide continuity of care and education to patients within the homecare system suffering from multiple co-morbidities has become ever more pertinent with increases in acute care re-hospitalizations and poor patient outcomes. Within Lourdes At Home, after experiencing such events, a Telehealth program was initiated. This provided a unique way to monitor patients who otherwise wouldn’t have immediate follow-up in this rural community. Initially it was met by most patients with confusion, concern, and in some cases anger. Some reasoning, as evidenced by patient statements, revolved around a fear of something new or a concept of someone watching their every move. Most didn’t want to have someone looking over their shoulder. Over time, the program grew and more patients started experiencing positive outcomes. One patient in particular stands out. This patient had spent the last 5 years in a revolving door of Congestive Heart Failure exacerbations and rehospitalizations. Having been with homecare for over 2 of those years it was recommended she become part of this program. She hated it in the beginning. The disdain for the monitoring was 8 Nursing Annual Report 2014 Kevin Jones evident from the first time it was brought to her physician. She was motivated to make changes, involve her family, and up in discussion to the very day it was was open to other services such as social installed in her home. As a nurse for work and financial counseling to help her over 5 years, I had learned to work and her family. She was able to remain with a variety of emotions and navigate out of the hospital for almost 1 year, of through to find a common ground. For which her hospitalization was not related the first month, I monitored her vital to her Congestive Heart Failure. Her only signs through the use of this monitoring complaint when she was in the hospital service. Every time I called her, she would answer with “What did I do wrong for her stay was she couldn’t have the communication with this monitor. The now?” After 30 days of this, I asked her what she I will take the time to listen, for when I do, thought my job was. She I will not only help others, but learn more about answered myself in the process. back in very monitor she hated in the beginning a sharp way, “to babysit me, are you was now a tool that made her feel happy?” Even though multiple nurses empowered. Empowered to control her had instructed her in the purpose of own health outcomes. the program, she was going to fight it. I asked her if I could meet her, so she She eventually lost the battle with her could put a ‘so called’ face with the voice Congestive Heart Failure. But when I was she was hearing over the phone. She in her home removing the very monitor agreed begrudgingly. When I met her she despised, her spouse relayed to me in person, it was an experience for us his wife valued what I had done for her. I both. It showed me within seconds of asked what that was. He responded, “She my arrival there, my Telehealth system felt like you listened, and when you did was the least of her worries. But it also that, she knew she wasn’t just another showed her, that despite everything number in healthcare.” The husband she was doing to push me away; there touched my heart that day. I have not I was in her living room. We started to forgotten about that patient because she talk, and over the next 45 minutes our taught me more about nursing than I professional relationship had begun. gave her credit for. It is always about that She saw I wasn’t babysitting her, but was one moment, that one patient, that one actually on her side working with her to decision. I chose to meet her in person keep her healthy and break this chain and not run the other way, but she chose of events which kept her returning to to take a chance on me, and trust me. I the hospital. Once the relationship was will take the time to listen, for when I forged, I was able to get through with do, I will not only help others, but learn education; but also be a voice for her more about myself in the process. Lourdes Bright Lights The “Lourdes Bright Lights” program encourages visitors, patients and associates to recognize staff members, medical staff, and volunteers for their outstanding customer service displayed in “simple acts of kindness” that make someone’s day brighter, easier or better. The following nurses are among the Lourdes associates who were recognized by co-workers, visitors or patients because of their willingness to go above and beyond their daily routine to help someone. They are listed by name and the department for which they were nominated. Lydia Adams, RN Erin Bell, RN Barb Anderson, RN NSS Deborah Annunziata, RN Christopher Berg, RN Joan Antol, RN Barbara Bilbrey, RN ED OR Care Management Gail Arcangeli, RN Care Management Rebecca Bacon, RN ED Afua Baidoo-Davis, RN 3 Medical Mary Beth Baird, RN WCS Kayla Baird, RN WCS Shahzaad Bamasi, RN ED Rhonda Barden, RN ED Rebecca Barrows, LPN Whitney Point Mary Bartholomay, RN PAT Sarah Batschelet, RN ICU Rita Bechtel, RN Care Management Alexandra Bechy, RN Seton 3 3 Medical Seton 2 Maria Berry, RN UFS WCS Ann Binkiewicz, RN Riverside Surgical April Bobik, RN OR Nahid Borogerdi, RN WCS Avery Bourdeau, RN ICU Tiffany Brady, RNGI Lab Grace Breckenridge, RN WCS Jonathan Briggs, RN PCA-Endicott Lisa Bronson, RN Endocrinology Michele Bronson, RN ICU Heather Brown, RN Seton 1 Telemetry Christopher Bubny, RN ED Jamie Bullins, RN Cyndi Tedeschi LPN, Nancy McGowan RN and Kelly O’Brien LPN Elizabeth Burger, RN Glenn Collier, RN Haley Burns, RN Pamela Cooper, RN Karlie Burns, RN Theresa Cornwell, RN Mary Buskirk, LPN Cindy Davis, RN Nicole Caram, RN Mark Davis, RN Adrienne Caramore, RN Susie Decker, RN Tiffanie Champang, RN Mary Deraco, RN Patricia Chretien-Grant, RN Lori Derrick, RN Marj Cinti, RN Cheryl Dessell, RN Jim Clarke, RN Rachel Devine, RN Jude Clarke, RN Lois Diffendale, RN Laura Cleveland, RN Christy Doing, RN 1 Medical 1 Medical ICU LAH/Hospice 3 Medical Hospice ICU 2 Ross OR ED ED ED Seton 1 Telemetry UFS WCS LAH LAH PCA-Robinson Ambulatory Infusion GI Lab GI Lab PCA-Southside 3 Medical Hospice ED Structural Empowerment 9 Maureen Donahue, RN Michael Garlough, RN Aryn Doyle, RN Mary Ellen Gaudet, RN Erin Duff, RN May Geiger, RN Julie Dupee, RN Colleen Gelatt, RN Nicole Dziedzic, RN Rebecca Getchell, RN Andria Edwards-Smey, LPN Caylynn Gilbert, RN Rochelle Eggleton, RN Chelsey Gill, RN Shirley Elliott, RN Patricia Grant, RN Lorrie Elmy, RN Pauline Greenblott, RN Vicki Emmett, LPN Alyson Griffiths, RN Ana Esclusa-Lopez, RN Danielle Gulick, RN Deborah Eschenburg, RN Carol Hastings, RN Dan Esposito, RN Sandra Hayes, RN Elisabeth Evans, RN Tamara Hawley, RN 1 Medical 3 Medical JC Family Practice ED 1 Medical PCA-Endicott LAH Ambulatory Infusion Seton 2 Riverside Surgical OR 2 Ross PACU Seton 2 Jeanne Firpo, RN ED Mary Fitzgerald, RN 3 Medical Dan Fitzpatrick, RN Seton 2 Megan Fontaine, RN ED Susan Fuchs, RN ICU Nora Gaige, RN ICU Yelena Galkin, RN Seton 3 Danielle Gallo, RN ICU Clinical Learning Services 3 Medical LAH Owego RSM GI Lab ICU 2 Ross WCS ED CDU PACU Whitney Point OR Sarah Herrick, RN ED Barbara Hogan, RN RSM Lisa Howell, RN ASU Sue Huffcut, RN LAH Amber Infantino, RN OR Kevin Jones, RN OR Hebert Joseph, RN Seton 1 Telemetry Lisa Kane, RN Clinical Learning Services 10 Nursing Annual Report 2014 Melody Best, MSN, RN, WHNP-BC and Nicholas Best Diane Kashou, RN Linda Lake, RN Rachel Kimani, RN Shawn Lassila, RN Heather Kirchheimer, RN Rachel Laufersweiler, RN Trichelle Kirchner, RN Jan Lee, RN Natalie Kisby, RN Alisha Lent, RN Judy Kitchin, RN Sue Lewis, RN Laura Kraemer, RN Diana Lukasiewicz, RN Patricia Kuruc, RN Ingrid Little, RN LAH ED 2 Ross UFS Seton 1 Telemetry Clinical Learning Services 2 Ross Seton 2 Seton 1 Telemetry Seton 2 Seton 1 Telemetry Lourdes Pediatrics 3 Medical ICU 3 Medical Clin. Doc. Kristine Loomis, RN Glenn Miga, RN Becky Quick, RN Karen Roeske, RN Sarah Lopilato, RN Megan Mohr, RN Shari Reed, LPN Roxanne Roma, RN Katie Loveland, RN Barbara Morrissey, RN Craig Reese, RN Lisa Rossi, RN Julie Lowery, RN Alycia Mullins, RN Leslie Regan, RN Leo Rowan, LPN Samantha Magistro, RN Meaghan Murphy, RN Martha Reid, RN Rudy Rozboril, RN Jason Mahler, RN Penny Murrer, LPN Alice Reilly, RN Colleen Ruddy, RN Danielle Mahoney-Brown, RN Kelly Murtha, RN Kathy Rinde, RN Kimberly Schmitkons, RN Sergii Maistruk, RN Sister Hermenegilde Naluyima, RN Kersten Robbins, RN Nicole Schneider, RN Laura Robbins, RN Lois Shaffer, RN Patricia Robins, RN Rebecca Sherman-Quick, RN Marissa Roe, RN Jackie Shipose, RN Ambulatory Infusion OR ED ASU ICU ED ASU Seton 3 ICU Seton 1 Telemetry Ambulatory Infusion 3 Medical Seton 1 Telemetry UFS Riverside Surgical Irina Makosiy, RN Palliative Care Mary Mancini, RN Seton 3 Sharon Marku-Shaw, RN Seton 3 Melissa Martin, RN WCS Heather Massey, LPN Ambulatory Infusion Christopher Matthews, RN Hospice Lisa Maus, RN ED Patricia McCabe, RN PAT Judy McCartney, RN OR Cynthia McDonald, RN Seton 2 Mary McGovern, RN 3 Medical Paula McIntyre, RN OR Christina McMurray, LPN Seton 1 Telemetry Juan Mendoza, RN WCS 3 Medical Oncology 3 Medical PAT PCA-Endicott ED OR Ambulatory Infusion Ambulatory Infusion Seton 3 Clinical Learning Services 3 Medical Owego 3 Medical Nelya Nevtukh, RN Tracy Niles, RN Jessica Palmer, RN OR Whitney Point CDU ED ED RSM GI Lab OR Seton 2 PCA-Robinson Seton 2 WCS 2 Ross Wound Care ED OR ED PCA-Endicott Ambulatory Infusion Care Management Ambulatory Infusion ASU Wendy Paoletti, RN Luann Parkhurst, LPN Sharon Pearce, RN Sue Pearce, RN Joann Peterson, RN Cheryl Petitte, RN Stefanie Phillips, RN Karen Policare, RN Thomas Poluka, RN Brianna Pompey, RN Sara “Beth” Hickey, RN, BSN and Cherie Wooden, RN Structural Empowerment 11 Christen Waddell, RN Seton 1 Telemetry Jeanne Wager, RN Hospice Catherine Walburger, RN PACU Heather Waugh, RN Lourdes Honored Nurses with Linda Miller, Cheryl Orzel-Teris and Debbie Mican. Gretchen Shortsleeve, RN Sandra Stoeckel, RN Amanda Tomlinson, RN Amy Shumsky, RN Jo Straneva, RN Aisling Toolan, RN Kyle Slavetskas, RN Tiffany Strohl, RN Lori Travers, RN Laura Smith, RN Heidi Sura, RN Linda Tuyn, RN Patricia Smith, RN Kelly Swartz, RN Carmen VanDunk, RN Brad Sobon, RN Kathleen Talbot, RN Daisy Vembenil, RN Careef Solomon, RN Kristen Tarbox, RN Lynn Verduin, RN Danielle Spalik, RN Leann Terpstra, RN Christina Versace, RN Margie Stackhouse, RN Amy Thomas, RN Elizabeth Viafore, RN Linda Stark, RN Michelle Thornton, RN April Vining, RN Louisa Starley, RN Lisa Tierno, RN Michele Vivyan, RN WCS ICU OR Endocrinology PAT ED OR ICU Care Management DI OR ASU Breast Care Center WCS OR ED 1 Medical ED 1 Medical WCS Care Management Breast Care Center 12 Nursing Annual Report 2014 ED ED Care Management Breast Care Center 1 Medical Seton 1 Telemetry Richford Seton 3 Seton 1 Telemetry ASU Seton 1 Telemetry WCS Emily Way, RN 3 Medical William Weber, RN ED Corazon Webster, RN 3 Medical Clorissa Weidow, RN LAH Betsy Welch, RN ICU Courtney Wendelewski, RN 3 Medical Carla Williams-Drake, RN Seton 1 Telemetry Cherie Wooden, RN Hospice Jennifer Wright, RN WCS Ying Fang Zhao, RN Seton 1 Telemetry Nursing Committee Accomplishments Nurse Executive Committee Chair – Linda Miller, DNP, RN, NEA-BC • Established and monitored the 2014 Nursing Goals. • Monitored Evidence-based Practice/Research activities. • Reviewed/revised/approved policies and topics related to nursing professional practice. • Approved Lourdes participation in the ANCC Success Pays™ certification program which eliminates the need for nurses to pay “up front” to take ANCC certification exams. The hospital pays the fee. • Approved required continuing education for clinical nurses. • Approved the initiative and education regarding changing the color of patient alert bands to standardized colors used throughout the United States. Nursing Professional Practice Council Chair – Carol Hastings, RN, CPAN®; Co-chair – Nicole Dziedzic, RN • Approved a protocol for nurses to obtain appropriate stool specimens and send to the Lab for C. difficile toxin analysis without having to obtain an order from the provider. • Approved the recommendation for mandatory Zosyn education. • Approved four recommendations/changes to the Shared Leadership/Nursing Committee Process. • Provided the final vote for the new Nursing Professional Practice Model schematic. • Selected the topic for the annual on-site Advisory Board Company presentation (Enhancing the Patient Experience). • Approved the proposal to change the color of patient alert bands to standardized colors used throughout the United States. Advanced Practice Nurse Council Co-chair – Cathy Slocum, FNP-BC, WCC®; Co-chair – Marita Florini, DNP, FNP-BC • Implemented a Graduate Nurse Practitioner (NP) Fellowship Program to facilitate the transition of NPs into the work environment. • Welcomed John Welch, DO, Medical Director of the NP Fellowship Program and collaborating physician for ‘float’ NPs. • At the November 2013 APN Council meeting, hosted Joyce Ferrario, PhD, RN, Dean, and Nicole Rouhana, PhD, CNM, FNP-BC, Director of the Graduate Nursing Program, Decker School of Nursing, Binghamton University who discussed Acute Care NP Programs. • At the quarterly meetings, Doreen Aleccia, FNP-BC, provided updates from the Credentials Committee. Clinical Standards and Documentation Committee Chair – Michael Butts, RN; Co-chair – Shauna Weingartner, RN • Reviewed and approved several policies and procedures in addition to the committee’s section of the Nursing Bylaws. • Established organizational criteria for conducting and documenting discharge assessments. • Created a link from computer devices to MedLine Plus.Gov to facilitate access to evidenced-based information. • Revised configurations in PowerChart to reduce data loading time. Diabetes Resource Nurse Committee Chair – Mary Berube, RN, CDE • Provided educational opportunities to Lourdes nursing associates on topics including hypoglycemia, glucagon administration, Bydureon administration, the V-Go insulin delivery device, insulin pen administration, diabetic foot care, and the newly developed “RN alert” tool – designed to assist with communication of inpatient diabetes self-management education (DSME) and appropriate documentation of DSME. • Disseminated information to Lourdes nursing associates on a variety of topics including current American Diabetes Association Clinical Practice Recommendations, glycemic management policy revisions, electronic charting updates (PCPC, Patient Education by Date, POC high BG alert), new Lourdes patient education handouts (gestational diabetes, diabetic ketoacidosis), GlucoStabilizer review and troubleshooting, medication updates, and educational resources and opportunities for patients and associates. • Participated in the annual Lourdes Diabetes Center Current Trends in Diabetes Management symposium at which 45 Lourdes nursing associates, medical staff members and Structural Empowerment 13 nursing students received free ANCC-approved Continuing Education hours. Magnet Committee Chair – Rebecca Sherman-Quick, RN, CHPN®, OCN®; Co-Chair – Laura Cleveland, RN, CEN® • Celebrated newly designated and re-designated Magnet hospitals each month. • Implemented an action plan to increase participation in the October 2013 RN Satisfaction Survey, including distribution of a Frequently Asked Questions sheet. • Reviewed the overall 2013 NDNQI RN Satisfaction electronic and paper survey results. • Developed a plan to educate nurses about the new Nursing Professional Practice Model schematic. • Initiated the “Pay it Forward Tray” to recognize departments for their contributions to the Magnet culture. Rebecca Sherman-Quick, CHPN®, OCN® purchased a wooden tray, and the Soaring to Excellence logo was engraved in the wood. Medication Management Committee Chair – Sharon Landon, RN • Reviewed/revised and approved policies related to medication management. • Recommended policy and procedure revisions related to the Central Venous Access Device Flush Protocol. • Approved the recommendation for staff to use special stickers to list the expiration date on Advantage IV bags. • Approved adding the ISMP Consumer Med Safety webpage link to the Medication Safety Guide of the Patient Guide section on the Lourdes intranet. • Monitored monthly updates on barcode medication administration and the LEAN/Six Sigma project related to Communication about Medications/Side Effects. Nursing Education Committee Chair – Michelle Symons, RN-BC; Co-Chair – Susan Lent, CRN • Recommended and received approval for the following: Changing annual nursing reorientation requirement from month of hire to birth month, CPR/BLS requirement from annual to bi-annual, and required ANCC continuing education hours from 3 to 5. 14 Nursing Annual Report 2014 • Revised the Nursing Staff Annual Competencies to meet Joint Commission recommendations and standards. • Surveyed nursing leadership regarding their expectations of the Unit-based Educators and incorporated significant findings into the Nursing Bylaws for the Nursing Education Committee. • Strongly supported recruitment of nurses for the ANCC Success Pays™ program for board certification, achieving the commitment of 26 nurses and exceeding the total number needed for Lourdes to contract with ANCC. • Recommended/implemented Lourdes-wide nursing staff educational offerings. Nursing Quality Committee Chair – Melissa Martin, RN • Approved removing Standing Business agenda items that are discussed at other meetings to facilitate more productive and efficient meetings. • Reviewed Value-Based Purchasing reports (e.g., Clinical Process of Care Domain Measures, Patient Experience [HCAHPS], and Excellus Measures). • Reinforced the importance of providers authenticating verbal or telephone orders within 48 hours. • Monitored blood transfusion documentation compliance each month. • Reviewed quarterly nursing documentation reports. • Used the Nursing Peer Review Case Rating Form as a guide to conduct nursing quality peer reviews and document committee decisions (clinical nurse vote) regarding concurrence with the review. Nursing Research Committee Chair – Ann Weber, RN-BC; Co-chair – Julann Ashman, RN, OCN® • Sponsored a successful 8th Annual Lourdes Nursing Research Day which included a poster session, 8 sessions with experts, and a Learning Lunch presentation. • Maintained continuing education presentations at meetings. • Incorporated into monthly meetings evidence-based presentations of topics suggested by committee members. • Added “Fun Research Facts” educational presentations to committee meetings. Poster Session, Binghamton University Nursing Students: Joanna Cipot, Nicole Walter and Kirstie Kendall. Patient Care Services Policy and Procedure Committee Professional Nurse Advancement and Recognition Program (PNARP) Committee Chair – Amy Allen, RN, CEN®; Co-chair – Ingrid Little, RN Chair – Laura Smith, RN, BC-ADM, CDE; Co-Chair – Gail Arcangeli, RN-BC • Facilitated creation of a link on the Nursing Intranet page, Quick Reference: Recent Changes to Patient Care Policies and Procedures, to notify nursing staff of pertinent changes. • Included inter-professional staff on the committee. • Retired redundant policies and reviewed/revised/approved numerous Patient Care Services policies. • Recognized nurses who earned board certification throughout the year. • Sponsored the annual Professional Nurse Advancement and Recognition Program Dinner at Traditions at the Glen: • 103 nurses successfully submitted PNARP portfolios; • 43 nurses earned baccalaureate and advanced degrees; • 25 nurses were nominated as honored nurses; • 5 Nurses were selected as 2014 Lourdes Honored Nurses. • Developed and implemented a PowerPoint self-study module and learner checklist to facilitate education about submitting a PNARP portfolio. • Revised sections of the PNARP packet to reflect changes in the performance evaluation process. • Facilitated highlighting different nursing committees in the Nursing Shadow Box on the Ground Floor to promote awareness of committee accomplishments. • Participated in nursing recruitment and retention activities (e.g. Annual Graduate Nurse Recruitment Dinner). Patient Excellence Team Chair – Patricia Kuruc, RN; Co-chair – Nicole Dziedzic, RN • Improved communication through committee members sharing their RN Satisfaction Action Plans. • Initiated having a Wound Care/Ostomy nurse attend each meeting to provide skin assessment/pressure ulcer prevention tips. • Added a representative from Food & Nutrition Services to the committee so any concerns from UPC chairs could be quickly addressed. • Exchanged ideas about how to invigorate unit practice councils and communicate information at monthly meetings. Structural Empowerment 15 Advancing Education Master of Science in Nursing, Master of Science, Nursing, American Sentinel University Keuka College Lourdes associates are strongly encouraged and supported to advance their education to complete baccalaureate, masters and doctoral degrees. The following completed degree requirements in fiscal year 2014. • Kara Hines, MSN, RN • Karen Roeske, MSN, RNC-OB • Sarah Creery, MS, RN • Cindy Felice-Glowacki, MS, RN • Julie Richards, MS, RN, CCM Bachelor of Science, Nursing, Binghamton University • Erin Paul, BS, RN • Leslie Regan, BS, RN • Nelya Yevtukh, BS, RN Bachelor of Science, SUNY Empire State College • Jo Ann Moore, BS, Community and Human Services • Careef Solomon, BSN, RN-BC Bachelor of Science, Master of Science, Nursing, Binghamton University Master of Science in Nursing, • • • • • • • • • • • • • • Mansfield University Olga Alentyev, MS, RN Sergey Alentyev, MS, RN Melissa Bak, MS, RN Alexandra Bechy, MS, RN-BC Heather Brown, MS, RN Colleen Cameron, MS, RN Diana Carney, MS, RN Janine Ii, MS, RN Rachel Kimani, MS, RN Rachel Laufersweiler, MS, RN Kelly J. Swartz, MS, RN, CEN Jodi Villanti, MS, RN Christen Waddell, MS, RN Courtney Wendelewski, MS, RN • Elisabeth Evans, MSN, RN, ONC® • Linda Stark, MSN, RN, ONC® Master of Science, Management, Spring Arbor University • Toni Lehr, MS, RN, COHN-S, CCM Doctor of Nursing Practice, Binghamton University • Marita Florini, DNP, FNP-BC Doctor of Philosophy, Walden University • Diane Brooks, PhD Nursing, Keuka College • • • • • • • • • • • • • • • Betty Boarman, BS, RN April Bobik, BS, RN, CNOR® Tiffany Brady, BS, RN Heidi Dieck, BS, RN, CCRN® Megan Fontaine, BS, RN Barbara Hogan, BS, RN Stacey Hooper, BS, RN, CHPC Susan Lent, BS, RN, CRN Melissa Martin, BS, RN Brianna Pompey, BS, RNC-OB Stacie Schoch, BS, RN Gretchen Shortsleeve, BS, RN Louisa Starley, BS, RN, CNOR® Charlene Vandermark, BS, RN-BC Heather Waugh, BS, RN Bachelor of Science, Nursing, Roberts Wesleyan College • Jill Hardy-Hettig, BS, RN-BC Kristen Marsh, RN & Mary Jo Skiba, RN, CIC® 16 Nursing Annual Report 2014 Certification Certification signifies achievement of a standard of excellence. Certified nurses are committed to lifelong learning, meet rigorous national standards, and are role models for professional accountability. For Fiscal Year 2014, 42.1% of all eligible nurses were board certified and 41.5% of eligible clinical nurses were board certified. AACNCC: Critical Care Nurse (CCRN®) • • • • • • • • • Meredith Aaron Heidi Dieck Nora Gaige Susan Lewis Jason Mahler Evette Schulte Alison Small Dawn Stockberger Catherine Walburger AACNCC: Progressive Care Certified Nurse (PCCN®) • • • • • • • • Denise Cedeno Rodney Frost Marilyn Jordan Linda Lake Audrey Lawton Sung Min (Sophia) Park Michael Rano Carol Zander AANPCP: Family Nurse Practitioner (NP-C) • Maria Berry; also BENA: Certified Emergency Nurse (CEN®) • Tayyebeh-nahid Borogerdi • Erin Duff; also NCC: Inpatient Obstetric Nursing • Dalia Gearhart • Arnice Jackson • Trichelle Kirchner • Erica Mash Brittany Waldron, MOA, Rachel Devine, RN, Jared Pado, RN and Davida Sulzynski, LPN • • • • • Carly McKillop Jengi Reilly Kara Roberts Cherie Rossman Kimberly Schmitkons ABCGNA: Gastroenterology Nurse ABPNC: Certified Peri-Anesthesia Nurse (CPAN®) • • • • Carol Hastings Carol Heikkila Sarah Shepard Leah Roberson (CGRN®) ABTC: Certified Procurement • Kathleen Rinde • Bridget Zimmer Transplant Coordinator (CPTC) ABOHN: Certified Occupational Health AHNCB: Advanced Holistic Nurse Nurse Specialist (COHN-S) (AHN-BC) • Lois Jura • Toni Lehr, also CCMC: Certified Case Manager • Cathleen Taylen ABPNC: Certified Ambulatory • • • • • • • • • • Peri-Anesthesia Nurse (CAPA®) • • • • • • • Mary Ellen Epe Debra Garges Julianne Lowrie Danielle Mahoney-Brown Francine Naro Lise Soltis Patricia Wager • Michael Garlough ANCC: Ambulatory Care Nursing (RN-BC) Kathaline Anthony Carmen Francavilla Jill Hardy-Hettig Susan Kopcik Janet Krcha Robin Mosher Jacqueline Pelicci Kelly Quick Sue Spink Elizabeth Tompkins Structural Empowerment 17 • Charlene Vandermark • Ann Weber ANCC: Cardiac Vascular Nurse (RN-BC) • Lynn Ahsmann • Sarah Batschelet • Michelle Symons ANCC: Gerontological Nurse (RN-BC) • Rita Bergevin; WOCNCB: Also Wound, Ostomy Continence Nurse • Pam Conrad • Lois Diffendale • Mary Fitzgerald • Linda Thomas, also ANCC: MedicalSurgical Nurse ANCC: Medical-Surgical Registered Nurse (RN-BC) • Diane Adams, also ANCC: Ambulatory Care Nurse • Gail Arcangeli • Alexandra Bechy • Cheryl Griffith • Susan Huffcut, also ANCC: Gerontological Nurse • Svetlana Ilchishin • Sheila Jennings • Karen Lerwick • Diana Lukasiewicz • Christy McGraw • Tracy Niles • Sue Pearce • Careef Solomon • Carol Sopinski • Tiffany Talbut • April Vining-McDonald ANCC: Nurse Executive (NE-BC) • Carol Curran • Caryl Ann Mannino; also ONCC: Oncology Certified Nurse ANCC: Nurse Executive, Advanced (NEA-BC) • Linda Miller • Cheryl Orzel-Teris 18 Nursing Annual Report 2014 Colleen Gelatt, RN, BS ANCC: Nurse Practitioner Adult (ANP-BC) • Sister Hermenegilde Naluyima • Kathleen Olbrys • Mary Shaller, also NBCHN: Certified Hospice & Palliative Care Nurse • Jo Straneva ANCC: Nurse Practitioner Family (FNP-BC) • • • • • • • • Doreen Aleccia Teresa Antalek Brandy Benjamin Jonathan Briggs Erica Burkert Karen Cerinetti Eleanor Conroy Brett Dietzman • • • • • • • • • • • • • • Marita Florini Jeannette Hadwin Kay Hooper Doris Hughes, also ANCC: Nurse Practitioner Advanced Diabetes Management Linda Jowett Marjorie Langevin Samantha Lewis Lynne Miller Michelle Nulton Elizabeth Romeo Catherine Slocum; also NCCA: Wound Care Certified Kelly Storrs Michele Talerico Linda Tuyn • Lynn Verduin, also School Nurse • Karen Whelan • Marlene Whitbeck ANCC: Nurse Practitioner Gerontological • Maria Panlilio-Ortiz ASHRM: Certified Professional CCI: Certified Nurse Operating Room (CNOR ) ® • • • • • • in Healthcare Risk Management (CPHRM) • Celia Kane BENA: Certified Emergency Nurse (CEN®) • Lydia Adams, also BCEN/PNCB: Certified Pediatric Emergency Nurse • Amy Allen • Joan Antol • Daniel Babcock • Shahzaad Bamasi • Rita Bechtel • Laura Cleveland • Theresa Fleming • Alyson Griffiths, also BCEN/PNCB: Certified Pediatric Emergency Nurse • Bryon Hertzog, also RNCB: Certified Radiology Nurse • Rachel Kimani • Joseph Malenda • W.E. Charlene Ng • Sharon Pearce • Regina Pufky, also ANCC: MedicalSurgical Nurse • Martha Reid, also BCEN/PNCB: Certified Pediatric Emergency Nurse • Sandra Stoeckel • Kelly Swartz • Mary Beth Tierney-Simmons • Jan Townsend • Rosanne West CBICE, Inc.: Certified in Infection • • • • • • • • • • Ann Binkiewicz April Bobik Paula Doheny Jena Guthrie Renee Hausser Barbara Hocking, also AONE: Certified in Executive Nursing Practice; HQCB: Certified Professional in Healthcare Quality; ACHE: Certified Healthcare Executive Judy Kitchin Deborah Mican Kelly Murtha Jena Muserallo Joann Peterson Becky Quick R. Scott Ross Anna Ruegner Louisa Starley Heidi Sura CCMC: Certified Case Manager (CCM®) • • • • • • • Deborah Blakeney Ann Dalton Julie Richards Lois Shaffer Margaret Stackhouse Maryellen Surace Lori Travers HQCB: Certified Professional in Health Care Quality (CPHQ) • • • • Mary Guilfoyle Stacey Hooper Emily Post Rebecca Sherman-Quick, also ONCC: Oncology Nurse Certified • Susan Weingartner • Alana Whitney NCBDE: Certified Diabetes Educator (CDE) • Mary Berube • Laura Smith, also ANCC: Advanced Diabetes Manager NCC: Inpatient Obstetric Nursing (RNC-OB) • • • • • • • • • • Barbara Bilbrey Stephanie Evans Dacia Freer Pauline Greenblott Cindy Osborne Suzanne Parsons Brianna Pompey Karen Roeske Tiffany Strohl Jennifer Wright NCC: Maternal Newborn Nursing (RNC-MNN) • Tracy Miller; also AANPC: Family Nurse Practitioner • Joyce Rhodes-Keefe • Miriam Stoeckel • Lisa Vroman • Jill Patak; also CBIC: Infection Control (CIC®) • Mary Roney NCC: Women’s Health Care Nurse IBLCE: International Board Certified OASIS Certificate and Competency Lactation Consultant (IBCLC) Board, Inc. (COS-C) • Laura Walker, also NCC : Low Risk Newborn • • • • Control (CIC®) NBCHPN: Certified Hospice and • Mary Jo Skiba Palliative Nurse (CHPN®) Practitioner (WHNP-BC) • Melody Best Rebecca Dorwart Nancy Eichler Deborah Palmer Susan Singer • Maureen Donahue Structural Empowerment 19 ONCB: Orthopedic Nurse Certified ONCC: Certified Breast Care Nurse Certificates (ONC ) (CBCN ) • • • • • • • • • Edwina Baxter • Wendy Brennan • Jo Ann Ernst; also ANCC: Nurse Practitioner Family • Susan Nystrom-Wilcox • Julann Ashman – Certificate of Added Qualification – Radiation Therapy Nursing • Lisa Darpino – Life Guard • Cindy Davis – Anticoagulation • Emily DeBrita – Electronic Fetal Monitoring • Carmen Francavilla – Anticoagulation • Kim Garey – Certified Nurse Executive • Pauline Greenblott – Electronic Fetal Monitoring • Stacie Hansen – Anticoagulation • Sara “Beth” Hickey – Six Sigma Black Belt • Susan Kopcik – Anticoagulation • Mary Mancini – Patient Navigation • Erica Mash – Forensic Nurse • Kathleen Olbrys – Colposcopist • Cindy Osborne – Electronic Fetal Monitoring • Jill Patak – Six Sigma Black Belt • Becky Quick – Six Sigma Black Belt • Kelly Quick – MiniMed Paradigm® REAL-Time Revel Insulin Pump • Kimberly Slavetskas – Anticoagulation • Alison Small – Electronic Fetal Monitoring • Sue Spink – Six Sigma Black Belt • Doris Tigue – Childbirth Educator • Elizabeth Tompkins – Anticoagulation • Irina Yurkova – Anticoagulation ® Patricia Bloodgood Lorrie Elmy Elisabeth Evans Tina Jayne Rudolph Rozboril Cynthia Sargent Karis Linda Stark Florence Wilson ONCC: Oncology Certified Nurse (OCN®) • Julann Ashman • Susan Crawford • Alice Irons; also NBCHPN®: Hospice & Palliative Care Nurse • Joy Irons • Christina Knezevich • Patricia McElroy • Elizabeth Norris • Kathleen Talbot, also NBCHPN: Certified Hospice and Palliative Nurse ® PNCB: Certified Pediatric Nurse (CPN®) • • • • Deborah Eschenburg Heather Kirchheimer Laura Kraemer Susan Wilber RNCB: Certified Radiology Nurse (CRN) • Sarah Dougherty • Coralee Keefe • Susan Lent WOCNCB: Certified Wound, Ostomy, Continence Nurse (CWOCN®) • Karen Browne, also WOCNCB: Certified Foot Care Nurse • Theresa Goodenough Courtney Wendelewski, MS, RN, Susan Crawford, BSN, OCN®, and Paula McIntyre, RN 20 Nursing Annual Report 2014 Professional Nurse Advancement & Recognition Program The Professional Nurse Advancement and Recognition Program celebrates professional nurses’ distinguished service and accomplishments above and beyond their job expectations in one of four categories: Proficient, Experienced, Accomplished or Expert. RNs who submit their portfolios must have direct patient care responsibilities for 50% or greater of their scheduled shift/day. Proficient Experienced • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Dan Babcock Christopher Bubny Laura Cleveland Maureen Donahue Lorrie Elmy Mary Ellen Epe JoAnn Ernst Cindy Felice-Glowacki Debra Garges Pauline Greenblott Jill Hardy-Hettig Carol Hastings Carol Heikkila Laura Kraemer Audrey Lawton Fran Naro Michael Rano Leah Roberson Margaret Stackhouse Heidi Sura Maryellen Surace Michelle Symons Kathleen Talbot Lori Travers April Vining Ann Weber Karen Whalen Alana Whitney Florence Wilson Lydia Adams Amy Allen Kathaline Anthony Julann Ashman Rebecca Bacon Rita Bechtel Alexandra Bechy April Bobik Nahid Borogerdi Daniella Borrelli Erica Burkert Colleen Cameron Denise Cedeno Erin Duff Nora Gaige Yelena Galkin Caylynn Gilbert Jeanette Hadwin Renee Hausser Sara “Beth” Hickey Kara Roberts Kay Hooper Svetlana Ilchishin Joy Irons Coralee Keefe Sarah Lacey Marjorie Langevin Susan Lent Karen Lerwick Samantha Lewis Julie Lowrie Jesslinette Pagan, MOA and Amy Sisson, LPN • • • • • • • • • • • • • • • • • • • • • • • Sergii Maistruk Stephanie Malchak Rachel Malmberg Melissa Martin Erica Mash Christy McGraw Jena Muserallo Christopher Newell W.E. Charlene Ng Jacqueline Pelicci Kelly Quick Kathleen Rinde Kim Schmitkons Stacie Schoch Rebecca Sherman-Quick Gretchen Shortsleeve Amy Shumsky Careef Solomon Carol Sopinski Miriam Stoeckel Tiffany Talbut Linda Thomas Elizabeth Tompkins • • • • • • • • • • Aisling Toolan Charlene Vandermark Jodi Villanti Catherine Walburger Amie Wales Laura Walker Heather Waugh Susan Wilber Cherie Wooden Bridget Zimmer Accomplished • • • • • • Elisabeth Evans Cheryl Griffiths Aubrey Guiton Susan Lewis Elizabeth Norris Lisa Vroman Expert • • • • Kathleen Olbrys Sueann Pearce Becky Quick Laura Smith Structural Empowerment 21 Additional Recognition distinguished service / accomplishments Wayne Mitteer, MS, RN Deborah Blakeney, MS, BSN, RN, CCM Rochelle Eggleton, MBA, BS, RN Kathleen Flanders, RN Cheryl Orzel-Teris, MS, RN, NEA-BC, FABC Karen Roeske, MSN, RNC-OB Susan Spink, RN-BC • Deborah Blakeney, MS, BSN, RN, CCM – 2014 Broome Leadership Institute Graduate • Kathleen Flanders, RN, – 2014 Award for 17 years of dedicated leadership, the Annual John Burns Teaching Day • Rochelle Eggleton, MBA, BS, RN – 2014 Certificate of Achievement for IS 800 Training in FEMA Emergency Preparedness • Marita Florini, DNP, FNP-BC – Binghamton University Faculty Award for Excellence as a Doctor of Nursing Practice Student • Margaret Hust (not pictured) – UHS Spirit of Caring Award; nominated by SUNY Broome nursing faculty; 5/21/14. 22 Nursing Annual Report 2014 Marita Florini, DNP, FNP-BC • Wayne Mitteer, MS, RN – 2013 Advocate Award from the Mothers & Babies Perinatal Network • Cheryl Orzel-Teris, MS, RN, NEA-BC, FABC – 2013 Fellow, The Advisory Board Company • Karen Roeske, MSN, RNC-OB – International Institute for the Advancement of Medicine, Support of Donor Family Award; 6/24/14 • Susan Spink, RN-BC; 2014 Professional Nurse Association of South Central New York Honored Nurse for Leadership E Exemplary Professional Practice xemplary professional practice is achieved through interprofessional collaboration, quality monitoring and improvement, ensuring a culture of safety, integration of care delivery systems within the Professional Practice Model, autonomous nursing practice and workplace advocacy. At all levels, nurses analyze data and benchmark outcomes. Decisions that affect patient care, improve the work environment, and improve efficiency often are made by the Unit-based Practice Councils. Unit-based Practice Council (UPC) Accomplishments 2 West/Nursery Chair – Theresa Cornwell, RN 1 Medical Chair – Nicole Dziedzic, RN • Made tee shirts to promote staff unity. Staff really enjoyed the shirts and we have been asked to make sweatshirts. • Created a task list to make sure that each part of our unit is being inspected and that we are not duplicating requests to the maintenance department. • Reduced patient falls. A patient care technician makes “fall bags” which include ruby red slippers, a fall bracelet and signs for the wall. When a patient is at risk to fall, a nurse can grab the bag to save time rather than hunting and gathering all supplies needed. • Proposed implementing Family Centered Recovery Care (recovering newborn with mother in the Recovery Room after uncomplicated C-section). • Proposed 12 hour shifts during holidays to decrease total number of nurses needed. • Requested cordless phone at the nurses station for ease of communication with physicians when nurses are working on center island lap tops. 3 Medical Chair – Jessica Scarfone, RN • Created “Getting to Know You” sheets to be used with forgetful or dementia patients. • Designated a communication spot in break rooms for posting the Committee Corner and information from UPC meetings. • Implemented Green Folders to be given to patients at the start of a shift with medication sheets and side effects of exemplary professional practice 23 medications on one side and a blank sheet on the other side to keep track of questions for the physician. • Developed a list for dietary aids to communicate what they are expected to do. • Recognized staff members with a Certificate of Appreciation; staff member is chosen by the UPC. Breast Care Center Chair – Jo Straneva, DNS, ANP-BC Through interdisciplinary teamwork and support: • Successfully completed the National Accreditation Program for Breast Centers. • Implemented the electronic health record. • Expanded the scope of advanced nursing practice within our unit by welcoming a master’s prepared Nurse Practitioner specializing in women’s health. • To improve patient care, restructured our clinical staffing model of care to free nurses from performing non-nursing activities, changed the skill mix in the clinical arena, streamlined service delivery processes, and allowed greater opportunities for professional nurse development. • Achieved 100% certification of nurses as Breast Care Specialists. • Re-instituted patient satisfaction surveys. • Gave patients following recovery from breast cancer surgery hand-crafted ceramic cups created by “The Heart of NY Porcelain Artists Club” as a memento. Cardiac Rehabilitation Chair – Lynn Ahsmann, RN-BC • Developed, revised, and implemented a new patient treatment plan. • Submitted documentation for American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recertification. • Developed AACVPR core competencies and initiated implementation. • Received approval for Medicare coverage of CHF patient rehabilitation services. Care Management/Continuum of Care Chair – Mary Lou Pellerin, LPN • Implemented a communication board in the office. • Changed the process for admission verification to eliminate paper orders. • Initiated process to eliminate redundant paperwork. 24 Nursing Annual Report 2014 Julianne Lowrie, RN, CAPA® and Lisa Gorman, RN Diagnostic Imaging Chair – Sarah Dougherty, CRN • Participated in compiling a medication information book for Special Procedures. • Initiated the “Buddy System” for Special Procedures staffing as an outcome of a Lean Six Sigma project. Emergency Department Chair – Martha Reid, RN, CEN, CPEN • Spear-headed the initiative to change the color of patient alert bands to standardized colors used throughout the United States. • Created a credentialing checklist and competency for triage RNs. • Worked to promote the patient experience. • Collaborated with Diagnostic Imaging and Information Technology to facilitate and improve communication from the ED about patients’ isolation status. GI Lab Chair – Kathleen Rinde, CGRN • Changed the pool policy to provide for late coverage to improve nurse satisfaction. • Improved patient safety by monitoring patients longer in recovery and using gait belts during patient ambulation to reduce falls. Hospice & LTHHCP Chair – Mary Guilfoyle, RN, CHPCN • Arranged inservice by physical therapy staff from Lourdes At Home for all Hospice disciplines to focus on safe transfers, lifting and body mechanics. • Provided two afternoon teaching sessions for Hospice RNs including admissions, nursing home care and care planning. • Initiated cross training with Lourdes At Home staff to provide assistance with patient care visits. ICU Chair – Caroline Fasanelli, RN • Hosted forums during the year concerning “hot topics” which affect client and clinician satisfaction. During these forums all staff is invited to brainstorm possible solutions and help put interventions in place. Operating Room Chair – Renee Hausser, RN, CNOR® • Implemented a new weekend call process trial. • Developed a plan to relieve staff members from their rooms to attend Learning Lunches on a rotating basis. • Offered assistance to each nurse for developing their PNARP portfolio. • Created a Welcome Package (clipboards, pens, pen lights, snacks, highlighters, etc.) for new graduate nurses to help them feel welcome and prepared for orientation to our unit. • Implemented ICU/PCU cross-training of nurses to increase clinical skills and knowledge in addition to providing coverage when staffing issues arise. • Implemented an associate of the month award to reward those on our unit who go above and beyond the call of duty. • Created a nursing communication board in the break room. • Initiated collaboration with the Vice President of Medical Affairs/CMO and hospitalists to improve communication among nurses, hospitalists, and intensivists. Pre-Admission Testing Lourdes At Home deMarillac Chair – Melissa Martin, RN • Based on Lean Six Sigma recommendations, collaborated with the ASU Nurse Manager to implement Nurse Driven Protocols when orders are not received from physicians’ offices. • Improved patient flow by having testing performed in a separate room. • Developed a quick reference guide with screen shots for pool staff. Primary Care Network Chair – Gene Werner, RN/Sharon Lewis, RN Chair – Clorissa Weidow, RN • Streamlined the process for giving report via secure message rather than in several different venues which was confusing and redundant, enabling all clinicians to have access to the report. • Initiated a safety tip and buzzword board, to help make clients safer in their homes, which all clinicians can read while entering and exiting the building. This information is relayed via e-mail as reinforcement. • Re-activated the ABCD Award (private parking space close to the office) in which one associate is elected by his/her peers for going above and beyond the call of duty for their clients. • Started “Awesome Associates” for which there are several postings to acknowledge the great things that clinicians are doing for their clients and each other including bright light awards, positive customer comments and positive associate comments about their peers. • Collaborated to change the pre-assessment schedule based on changes implemented by providers. • Studied whether the clinic should change its location by holding a clinic day in the proposed new location. • Devised a process to facilitate completion of disability forms and insurance authorizations. dePaul Pediatrics Chair – Jeanette Hadwin, FNP-BC • Completed set-up for on site rapid flu testing this fall. • Rearranged our office to provide 4 new exam rooms to accommodate our new nurse practitioner. • Set up a system to track time from check-in to provider entering exam room to enhance patient flow and satisfaction. exemplary professional practice 25 Dermatology PCA – Endicott Chair – Lisa Hayes, RN Chair – Elizabeth Broderick, RN • Implemented use of a white board to designate assignments on a daily basis to aid in communication. • Implemented an ordering process to alleviate overflow of supplies while ensuring supplies are not depleted. • Created a flexible scheduling grid to help ensure proper coverage in the office and reduce staff overtime. • Developed an education/communication board in the break room to ensure proper dissemination of information. • Implemented a green initiative-TerraCycle; established collection bins for dairy tubs, writing instruments, toner and ink cartridges and snack bags. • Sent out interoffice calendar monthly to recognize associate birthdays, meetings, holidays and special events. • Created a communication board and book. Endocrinology • Achieved cost savings by implementing Local Medical Review Policy (LMRP) procedures. • Implemented instant messaging communication, resulting in decreased overhead paging, fewer inter-office phone calls, and improved communication among other offices, staff and the Call Center. • Changed fax machines which enabled monitoring of confirmation of faxed material to save time and reduce the need for re-faxing. Chair – Aaron Smith, LPN • Created two nursing teams to improve patient flow and provider satisfaction. The nursing staff within each team is responsible for managing patient flow within the team. • Implemented Express Patient Checkout for patients who do not need diagnostic imaging or other services. • Implemented an Electronic Medical Record. Hancock Chair – Ann Weber, RN-BC • Developed a “tag” system to flag charts of patients whose “Transitional Care Management” calls have been completed. This allows for providers to see at a glance which patients have gone through the process of Care Calls. • Initiated daily huddles for all associates to touch base in the morning to coordinate specific duties. • Due to patient volume, moved the medication room to another area of the clinic, thus allowing creation of a 6th examination room. • Coordinated Community Health Month which included a 5K race for Fighting Melanoma “One Mile at a Time.” • Participated in a Community Health Fair to promote wellness. • Participated in Bowling and Golf Tournaments to promote fitness in the community. NTC-Richford Chair – Peggy Petersen, LPN • Implemented a daily 5 minute huddle to discuss any concerns or outstanding issues. • Improved office communication. 26 Nursing Annual Report 2014 PCA – Robinson Street Chair – Susie Decker, RN Upper Front Street Chair – Laura Tiffany, LPN • Implemented informing patients about turn-around time for paperwork when it is dropped off at the office. • Implemented a new procedure to ensure that specimens are labeled. Vestal Primary Care – Family Medicine Chair – Melissa Joyce, RN • Implemented a process to ensure that physical therapy and ultrasound electronic orders are scheduled and not missed. • Implemented a process for the Call Center to notify nursing when a nurse visit is requested so that the nurse can obtain necessary orders prior to patients coming in, and assigned one nurse to scan the scheduled list of nurse visits for the next day to be sure all orders are in place. • Changed lunch assignment to provide for nurse coverage at all times. Vestal Primary Care – Internal Medicine Chair – Rachel Devine, RN • Developed a plan to facilitate knowing with whom we can share information when a family member calls about a patient. • Implemented Local Medical Review Policy (LMRP) procedures to ensure that patients with Medicare have a smooth experience and there are no delays. This has also been very successful in decreasing calls regarding failing codes. • Planned and hosted an event to educate patients about the services of the Lourdes Coumadin Clinic. We offered refreshments, tours of the clinic at our site and gave out educational material. • Based on a patient’s suggestion, implemented dressing assistance by providing shoehorns in the men’s changing rooms. • Adopted “Bonnie Box’s” to provide a gift to our cancer patients. The Box includes small gifts of chemotherapy hats, soft socks, doodle pads, snacks, and a stuffed animal for emotional and psychosocial support. Whitney Point • • • • Seton 1 Telemetry Chair – Megan Bilek, RN/Christen Waddell, RN Chair – Sandra Hayes, RN • Continued team building by promoting Lourdes/Lourdes Whitney Point while engaging in community functions. • Continued to foster communication by encouraging staff to ask for help when needed. Radiation Oncology Chair – Julann Ashman, RN, OCN® • Implemented nurse medical record review for all new patients the day before they come in for consultation to ensure that the most current pathology report, physician’s note and referral information are present. Restarted UPC and engaged more staff in unit affairs. Incorporated 12 hour shifts per staff request. Created welcome gifts for new staff. Started monthly staff get-togethers outside of work. Seton 2 Chair – Patricia Kuruc, RN • Developed and implemented a Technician Retraining program. • Implemented “RN/Technician light usage.” When a patient activates the call bell system, the person answering the call can activate a light to indicate whether an RN or Technician is needed. The RN light is green and the Technician light is orange. A staff member must physically go into the room to shut off the light. If the light has not been shut off, the call bell rings again in 5 minutes. Seton 3 Chair – Cynthia McDonald, RN • Created a system to document the use of cardiac monitors, including when a patient is placed on a monitor and when the monitor is removed, to avoid loss. • Developed and administered a questionnaire for patients to learn what could be done better to improve the patient experience. • Created a laminated patient education tool regarding medication side effects which is placed on patients’ over-bed tables by Environmental Services when the room is cleaned. Volunteers help to ensure that each room has a tool. Cecelia Hardy, RN and Connie Vail LPN exemplary professional practice 27 Transformational Leadership T ransformational leadership means leading individuals where they need to be. Nurses at all levels advocate for patients, families, and staff. Lourdes nurses are engaged in a variety of roles in the community and at local, district, state and national organizations. Their services are widely acknowledged. Service to the community is a high priority. Leadership Activities Roles in the Community • Eve Allan – Church School Vice President • Barbara Anderson – Parish Nurse • Fran Anderson – SUNY Broome Advisory Board; BOCES Health Occupations Advisory Board • Beth Atkinson – PTA Volunteer • Daniel Babcock – Firefighter/Paramedic • Rebecca Bacon – Crime Victims Assistance Center Victim Advocate • Barbara Balaci – Southern Tier Breast Feeding Coalition • Edwina Baxter – Vestal High School Marching Band Medical Chaperone; Volunteer for CPR/AED care during church activities • Rita Bechtel – Parish Nurse; Danielle House Volunteer • Cady Beckwith – Paramedic • Julie Bennett – Blue Ridge Parent Counsel Member 28 Nursing Annual Report 2014 • Rita Bergevin – Eucharistic Minister • Maria Berry – REMAC; Susquehanna Regional Committee; SAFE Committee; Family Violence and Prevention Council; SART Team; Broome Country Child Advocacy Administration Committee; Binghamton University System Review Team; Mental Health/Community Response; Child Abuse Case Review Team • Barbara Bilbrey – New York State Certified Field Hockey Official • Deborah Blakeney – Broome County Aging Futures Partnership • Megan Boeltz – Volunteer EMT • Andrea Bonnell – Cub Scout Leader • Tiffany Brady – Hillcrest Fire Department Volunteer • Jonathan Briggs – Decker School of Nursing, Binghamton University, Dean’s Advisory Council; Samaritan Counseling Kim Oakley, LPN, Melissa Joyce, RN and Beth Atkinson, LPN • • • • • • • • • • • • • • • • Center, Endicott, New York, Board Member; University Human Subjects Research Review Committee, Binghamton University; University Task Force on Teaching, Binghamton University Ellen Burns – Broome County Health Dept. Mission Meltaway Facilitator; Parish Nurse; Binghamton University EAP Board, Danielle House Volunteer Stacie Buzzetti-Angrove – SANE Committee Member Michael Butts – 4-H Volunteer/Leader Carol Cantor – Meals on Wheels Volunteer Stephanie Casimir – Royal Rangers Troop 315 Den Leader Kasey Chobot – Boy Scouts of America Adult Partner Marjorie Cinti – Vestal School District Volunteer James Clarke – American Red Cross Instructor Maureen Crook – Blood pressure screening Volunteer at VFW and American Legion Helene Croucher – Girl Scout Troop #47 Leader Carol Curran – Greek Peak Adaptive Ski Program Volunteer Ann Dalton – Church School Teacher Lisa Darpino – Boy Scout Leader Mary Deraco – Local grade school Volunteer Lori Derrick – Greek Peak Adaptive Ski Program Volunteer Rochelle Eggleton – Home Care Association of NYS LongTerm Home Health Care Program Co-chair; Home Care Association of NYS Home Care Workgroup Revision in the Episodic Pricing Methodology • Mary Lynn Deus – Eucharistic Minister • Shirley Elliott – Blood pressure screening Volunteer at Whitney Point Community Center • Mary Ellen Epe – Parish Nurse; Eucharistic Minister • Elisabeth Evans – Parish Nurse • Katherine Foster – New Life Ministries Volunteer • Mary Ellen Gaudet – Parish Nurse • Mary Giblin – Health Department Free Clinic Volunteer • Terry Gillen – Nursing Home Volunteer; Team Nurse for son’s baseball team • Theresa Goodenough – Bible Camp Volunteer • Jody Gould – Sunday School Teacher • Pauline Greenblott – Central New York March of Dimes Volunteer; Vestal Youth Lacrosse Volunteer • Jeannette Hadwin – Family Enrichment Advisory Committee • Stacie Hansen – Red Cross Volunteer • Karen Hart – Greek Peak Adaptive Sports Program Volunteer • Carol Heikkila – Parish Nurse • Sara “Beth” Hickey – Greek Peak Skiing for the Disabled Volunteer • Deborah Hicks – Hospice Alliance Board of Directors; Southern Tier End of Life Coalition; Lourdes At Home Professional Advisory Board • Kay Hooper – Southern Tier Independence Center Mental Health Task Force, Special Interest Group—APNs; Broome County Child Advocacy Center Medical Team • Stacey Hooper – Twin Orchards Baptist Church Vacation Bible School Nurse • Margaret Hust – Southern Tier Alternative Therapies Volunteer • Janine II – Crime Victims Assistance Center Volunteer • Melissa Joyce – Traci’s Hope booth at Senators hockey game Cancer Awareness Night Volunteer • Heather Kirchheimer – New York State Optometric Association, Children’s Vision Coalition Board • Janet Krcha – SUNY Broome MOA Program Advisory Board • Doris Kuenzli – Vestal Senior Center Volunteer • Nancy Lainhart – Faith in Action Volunteer • Linda Lake – American Heart Association Volunteer; Right to Life Volunteer; St. Mary’s Church Volunteer • Laurie Lane – Humane Society Volunteer transformational leadership 29 • Marjorie Langevin – Broome Head Start Nutrition Advisory Committee • Toni Lehr – Broome Leadership Institute Alumni Board • Samantha Lewis – Broome County Child Advocacy Center Medical Team; Associate Minister, Salvation Temple Church • Sharon Lewis – Now I Lay Me Down to Sleep (NILMDTS) Program Participant • Susan Lewis – Therapeutic Riding Instructor for the Handicapped • Katherine Loveland – NYSAEMT; West Corners Fire Department Volunteer Firefighter • Julianne Lowrie – Parish Nurse • Lisa Mack – Parish Nurse • Stephanie Malchak – Paramedic; ACLS/AMLS/PEPP/ GEMS/PALS Instructor • Joseph Malenda – Parish Nurse; Volunteer Firefighter • Caryl Ann Mannino – National Leukemia & Lymphoma Society Volunteer • Melissa Martin – Cub scout chairman • Heather Massey – Arrowhead Bible Camp Volunteer • Judy McCartney – Vestal Fire Department Auxiliary Volunteer • Scott McClain – Maine-Endwell Little League Assistant Coach • Nancy McGowan – STAP Board of Directors • Jaymilee Mash – Community CPR and Defibrillation Instructor • Katherine Medovich – Rescue Mission – Lourdes Advisory Board; ACT Meal Advisory Board; Mobilizing for Action through Planning and Partnership (MAPP) Advisory Council of Tioga County Health Department • Scott McClain – Assistant Coach Maine-Endwell Little League • Linda Miller – Decker School of Nursing Advisory Council • Wayne Mitteer – New York State Rural Health Council; New York State Perinatal Association Board Member • Barbara Ann Morrissey – Lung Cancer Awareness Group Founding Member • Penny Murrer – Harpursville Methodist Church Volunteer • Kelly Murtha – Parish Nurse; Girl Scout Leader • Francine Naro – Church Volunteer • Deborah Nitto – Mercy House Volunteer • Michelle Nulton – Pack 87 Boy Scout Den Leader • Kim Oakley – Church Volunteer 30 Nursing Annual Report 2014 • Deborah O’Brien – Parish Nurse; Eucharistic Minister • Kathleen Olbrys – Healthy Living Partnership, Broome County Breast and Cervical Grant Program Member • Jeannie Orzel – Local fire company Volunteer • Deborah Palmer – Catholic School Board Member • Jill Patak – APIC Chapter 118 Board of Directors • Sister Marilyn Perkins – Southern Tier End of Life Coalition Chair; National Supportive Care Board Member; Catholic Charities Board Member • Theresa Perna – Parish Nurse • Margaret Petersen – Cholesterol Checks, September 2013 Potato Fest • Emily Post – Local high school track & field meet Volunteer • Regina Pufky – Parish Nurse • Becky Quick – Soup Kitchen Volunteer • Kara Roberts – EMT-B, Susquehanna Fire Department • Patricia Robins – Parish Nurse • Marissa Roe – Volunteer Firefighter; Volunteer EMT-Critical Care Tech • Susan Roessner – Parish Nurse; Broome County Catholic Charities Board Member • Lisa Rossi – Church Volunteer • Leo Rowan – Rescue Mission Volunteer Denise Wakula, RN and Cynthia French, MOA • Laurie Saeman – Parents Against Drug Dealers Volunteer • Carlos Sanchez – Army Reserves Nurse • Nicole Shaffer – Broome County Fair Blood Pressure Check Volunteer • Jacqueline Shipose – Boy Scout Troop 89 Adult Leader; Cub Scout Pack #90 Adult Leader • Kyle Slatevskas – Owego Fire Department Volunteer Firefighter • Vicki Slavetskas – Hospice Advisory Board • Catherine Slocum – Good Shepherd Communities Pharmacy Committee • Aaron Smith – Firefighter/Assistant Chief • Laura Smith – American Diabetes Association Volunteer • Lise Soltis – St. Mary’s Kirkwood Teen Leader • Susan Spink – Faith in Action Volunteer • Helen May Spohn – Parish Nurse • Kathleen Stephenson – Southern Tier Earth Day Board Chair • Dawn Stockberger – RN Volunteer at church • Sandra Stoeckel – Chenango Fire Company Firefighter • Kelly Storrs – Girl Scout Leader • Jo Straneva – Southern Tier Cancer Services Program Consultant • Josephine Sullivan – St. John School Cafeteria Volunteer • Carol Swartz – Church Emergency Response Team • Kelly Swartz – SAFE Examiner • Michelle Thornton – Chenango Valley School District Volunteer • Linda Tuyn – Breast Care Center Cancer Support Group Facilitator • Cindi Vankuren – Union Center Fire Department Auxiliary Volunteer • Lynn Verduin – Northern Tioga Neighbors Network, Vice President; Newark Valley CSD Drug Advisory Committee; Networking Group for Neighbors Helping Neighbors • Jodi Villanti – Danielle House Volunteer • Lisa Vroman – Volunteer Medic Staff, Boy Scout National Jamboree, West Virginia, 7/13 • Danielle Wagstaff – End of Life Coalition • Jamie Walker – EMT Volunteer • Laura Walker – Southern Tier Breastfeeding Coalition member; Eucharistic Minister • Ann Weber – 2014 Hancock Central School Staff Development Day Volunteer • William Weber – First aid trainer for Schenevus Cub / Boy Scouts • Corazon Webster – St. Vincent’s Blessed Sacrament Church Food Pantry Volunteer • Rosanne West – President and Assistant Commander - Silver Lake Volunteer Fire and Ambulance • Amy Widdall – Girl Scout Troop Leader • Karen Worden – Tioga County Emergency Preparedness Coalition Leadership Roles in Professional Organizations Participation in a professional nursing organization includes getting involved as an officer, serving on a board, actively working on a committee, or consistently attending meetings. The following nurses serve in leadership roles in their professional nursing organizations. Association for Professionals in Infection Control and Epidemiology (APIC) • Jill Patak – Treasurer Association of PeriOperative Registered Nurses (AORN) • Judy Kitchin – Committee Member Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) • Pauline Greenblott – Committee Chair Case Management Group of Upstate New York and Northeast Pennsylvania • Deborah Blakeney – Steering Committee Member Emergency Nurses Association • Amy Allen – President • Martha Reid – Past President • Rosanne West – Board Member Finger Lakes Association of Occupational Health Nurses • Lois Jura – Committee Chair Professional Nurses Association of South Central New York • • • • • • Marjorie Cinti – Committee Chair Caryl Ann Mannino – Committee Chair Wayne Mitteer – Past President Debbie Mican – Vice President Cheryl Orzel-Teris – President Vickie Slavetskas – Board Member transformational leadership 31 • • • • • • • • • Kim Cook; Home Care Affinity Group Lisa Darpino; Patient Safety Advisory Council Rochelle Eggleton; Home Care Affinity Group Theresa Goodenough; Interdisciplinary Clinical Collaborative Debra Hicks; Home Care Affinity Group Caryl Ann Mannino; Cerner Clinical Program Advisory Council; Interdisciplinary Clinical Collaborative; Clinical Leadership Informatics Council Kathryn Medovich; Home Care Affinity Group Karen Roeske; Perinatal Safety Steering Committee Kelly Storrs; Population Health Subcommittee of the Clinical Integration Committee Ascension Health Hospital Engagement Network – Partnership for Patients Jennifer Johnson, MSN Ed, RN, Bryon Hertzog, RN, CEN, CRN, Linda Stark, MSN, RN, ONC®, and Susan Lent, BSN, RN, CRN International Lactation Consultant Association • Laura Walker – Committee Member NYS Nurse Practitioner Association Susquehanna Chapter • Kathleen Olbrys – Past President NYS PeriAnesthesia Nurses Association District 9 • Carol Hastings – Vice President NYS Southern Tier Chapter Oncology Nursing Society • Caryl Ann Mannino – Committee Chair Sigma Theta Tau, International, Zeta Iota Chapter • Carol Curran – Treasurer • Judy Kitchin – Committee Member • Kathleen Olbrys –Committee Member Participation on Ascension Health Committees As part of Ascension Health, the largest Catholic healthcare system in the United States, Lourdes nurses at all levels are dedicated to the Call to Action: “Healthcare that works; healthcare that is safe; and healthcare that leaves no one behind,” for life. Ascension Health Committees • Melody Best; Lourdes/Borgess CareNet Team • Catherine Comeno; Cerner Clinical Program Advisory Council; Clinical Leadership Informatics Council; Lourdes/ Borgess CareNet Team 32 Nursing Annual Report 2014 The Partnership for Patients is funded by the Centers for Medicare and Medicaid Services (CMS) Innovation Center. The purpose of this project is to “…help identify solutions already working to reduce healthcare acquired conditions, and … to spread the solutions to other hospitals and healthcare providers.” (http://partnershipforpatients.cms.gov/about-thepartnership/aboutthepartnershipforpatients.html) The following Lourdes nurses are engaged in the Ascension Health Partnership for Patients initiative: • • • • • • • • • • • • • • • Mary Jane Allen-Boss – Preventing Readmissions Champion Debbie Blakeney – Preventing Readmissions Champion April Bobik – Surgical Site Infection Champion Marjorie Cinti – Surgical Site Infection Champion Susan Fuchs – Injuries from Falls & Immobility Champion Nora Gaige – CLABSI Champion Mary Ellen Gaudet – VTE Champion Stacy Gehm – Surgical Site Infection Content Expert Linda Lake – CAUTI Champion Debbie Mican – Hospital Engagement Network Leader Cheryl Orzel-Teris – Pressure Ulcers Champion Jill Patak – CLABSI Content Expert; VAP Content Expert Karen Roeske – OB Adverse Events Champion Cathy Slocum – Pressure Ulcers Content Expert Sue Spink – Preventing Readmission Champion Empirical Outcomes E mpirical Outcomes provide objective data that answer the questions, “Did we make a difference?” or “Have we improved?” Outcomes demonstrate areas of achievement and opportunities for improvement. Nursing Goals Figure 1. Baccalaureate or Higher Nursing Degree Lourdes nurses consistently outperformed the 2014 goal for achievement of a baccalaureate degree or higher in nursing. Figure 2. Board Certification Lourdes nurses outperformed the 2014 goal for certification of all nurses. BSN OR HIGHER 70 60 57.5 58.0 58.0 59.0 59.4 58.8 58.6 59.4 CERTIFICATION 61.0 42.5 42.4 40 42.4 42.3 30 PERCENT PERCENT 50 20 10 0 42.3 42.2 42.1 42.1 42.1 42.0 OCT 13 DEC 13 ALL RNs FEB 14 APR 14 JUN 14 41.9 GOAL 41.8 MAR 14 APR 14 ALL RNs MAY 14 JUN 14 GOAL empirical outcomes 33 For Fiscal Year 2014, nursing sensitive quality indicators were measured and monitored for all inpatient units. Inpatient units outperformed the national database mean for central line associated bloodstream infections three out of four quarters and hospital acquired pressure ulcers stage 2 and above for all four quarters. Figure 3. Falls with Injury Figure 5. Central Line Associated Bloodstream Infections Lourdes outperformed the national database mean for falls with injury two out of four quarters for which data were available from the national database. (CLABSI) Nursing Sensitive Quality Indicators CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS 0.35 0.35 0.30 0.25 RATE FALLS WITH INJURY 0.40 0.20 0.15 0.10 0.35 0.40 0.05 0.39 0.00 0.30 RATE 0.25 0.17 0.11 2Q 2013 0.03 3Q 2013 LOURDES 4Q 2013 1Q 2014 DATABASE MEAN 0.20 0.15 Figure 6. Hospital-acquired Pressure Ulcers (HAPU) 0.10 Stages 2 and Above 0.05 HOSPITAL ACQUIRED PRESSURE ULCERS 0 0 4Q 2013 1Q 2014 0.4 DATABASE MEAN 0.3 0.5 0.00 2Q 2013 3Q 2013 LOURDES 0.44 0.43 0.42 0.41 2Q 2013 3Q 2013 4Q 2013 1Q 2014 0.2 0.1 Figure 4. Catheter Associated Urinary Tract Infections 0.0 (CAUTIs) Inpatient units outperformed the national database mean for all four quarters. CATHETER ASSOCIATED URINARY TRACT INFECTIONS 0.6 0.5 0.53 0.56 0.53 DATABASE MEAN Figure 7. Patient Satisfaction The Net Loyalty Score (NLS) indicates patients’ overall satisfaction with Lourdes and is based on their answer to the question, “Would you recommend this hospital to your friends and family?” PATIENT SAFISFACTION: NET LOYALTY SCORE 0.3 0.33 100 RATE RATE 0.4 LOURDES 0.2 80 60 74.5 73.8 74.6 74.5 1Q 2014 2Q 2014 3Q 2014 4Q 2014 40 0.1 20 0.0 0 2Q 2013 LOURDES 3Q 2013 4Q 2013 1Q 2014 DATABASE MEAN 34 Nursing Annual Report 2014 LOURDES New Knowledge, Innovations & Improvements I f an idea is important to a nurse, it is worth pursuing and nurturing. Evidence-based practice and research are integrated into clinical and operational processes throughout Lourdes. Involvement in research by nurses is an important element of professional practice and includes research utilization, in addition to designing and implementing nursing research studies. Two nurses, Sister Marilyn Perkins, MSN, RN and Fran Anderson, PhD, RN, serve on the Lourdes Institutional Review Board (IRB). Ongoing Research • Julann Ashman, BS, RN, OCN®; Cancer Survivors’ Perceptions of Post Cancer Care. • Susan Backo, RN; Heartburn Study. • Nahid Borogerdi, MS, FNP-BC; Experience of Antenatal Hospitalization on Women and Their Families: A Phenomenological Approach. • Geraldine Britton, PhD, FNP-BC, RN; A Reliable and Valid Survey for the Assessment of Prenatal Smoking Status: Phase 2. Completed Research • JoAnn Ernst, DNP; Improving Outpatient Management of Diabetes: A Proof of Concept Study. • Elisabeth Evans, MSN, RN, ONC®; Osteoporosis Risk Factors and Prevention Behaviors. • Marita Florini, DNP, FNP-BC; Comparing Primary Care Providers’ (PCP) Perception of Care Coordination Needs and Strategies in Adult Primary Care. • Rachel Kimani, RN; Healthcare Workers’ Perceptions of Workplace Breastfeeding Support. • Karen Lerwick, RN-BC; The Relationship Between Use of a Skin Prep Kit by Patients Who are Scheduled for Surgical Implants and Screen Positive for MRSA or Staphylococcus Aureaus and the Incidence of Post-Operative Infections. • Kathleen Olbrys, EdD, ANP-BC; Principal Investigator; High Risk Sexual Behavior Post Colposcopy Counseling. • Linda Stark, MSN, RN, ONC®; Correlation of Blood Pressure Measurements and Prone Versus Supine Positioning. • Daisy Vembenil, MS, FNP; Increasing Health Care Provider Awareness of Respite Care and the Geographic Availability of Resources for Caregivers above 60 Years of Age. Nursing Research Day The 8th Annual Lourdes Nursing Research Day was held on April 29, 2014. It was our most successful Research Day to date. The conference included an all-day poster session, 8 half-hour Sessions with the Experts (Lourdes nurses who presented their research or evidence-based projects), and a Learning Lunch new knowledge, innovations & improvements 35 speaker, Kay Hooper, FNP-BC, who discussed “The Many Faces of Anxiety: What Can Be Done to Help?” Figure 8. Session with an Expert Attendance SESSIONS WITH EXPERT ATTENDANCE (2014 AVERAGE = 90 PER SESSION) TOTAL ATTENDANCE 800 700 716 600 500 • Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Terri Goodenough & Careef Solomon; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Ellen Burns • Eating Disorders; 8th Annual Nursing Research Day; Lourdes; 4/29/14. 400 Denise Cedeno 300 • Urinary Tract Infections; LFP – Owego; 6/4/14. 200 100 0 204 153 135 2011 BASELINE 2012 2013 Sarah Creery 2014 Figure 9. Learning Lunch Attendance • How to Prepare Your Patient for Diagnostic Imaging; Lourdes; 9/13. 120 116 100 80 40 61 57 Nancy Eichler • Financial Exploitation of the Elderly; 8th Annual Nursing Research Day; Lourdes; 4/29/14. 20 0 Lois Diffendale • 3 Medical; Recruitment Dinner; Lourdes; 2/25/14. 80 60 • Family Presence During CPR; Master’s students; Onondaga Community College; Syracuse, NY; 3/26/14. • Family Presence During CPR; Keuka College; Penn Yan, NY; 4/9/14. Rebekah Dickman ANNUAL NURSING RESEARCH DAY LEARNING LUNCH ATTENDANCE TOTAL ATTENDANCE Karen Browne 2011 BASELINE 2012 2013 2014 Presentations Lourdes nurses are sought for their knowledge, research and clinical expertise on local, regional, and national levels. They have strong organizational and nursing support to disseminate research findings and best practices through poster or podium presentations and publication. Posters Elisabeth Evans • Osteoporosis Risk Factors and Prevention Behaviors; Orthopedic Poster Days; Lourdes; 8/14–25/2013. • Osteoporosis Risk Factors and Prevention Behaviors; Mansfield University, Mansfield, PA; 8/23/2013. • Seton 2; Recruitment Dinner; Lourdes; 2/25/14. • Osteoporosis Risk Factors and Prevention Behaviors; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Cindy Felice-Glowacki • Pediatric Center; Recruitment Dinner; Lourdes; 2/25/14. Mary Berube Michael Gaasch • Nursing Education on Foot Care for People with Diabetes; Diabetes Center Education Fair; Lourdes; 3/19/14. • Seton 3; Recruitment Dinner; Lourdes; 2/25/14. Tiffany Brady • Eating Disorders; 8th Annual Nursing Research Day; Lourdes; 4/29/14. • Epidemiology of Malaria; Keuka College; Binghamton, NY; 11/21/13. 36 Nursing Annual Report 2014 Ellen Gardiner CNO Shared Governance Linda M. Miller, DNP, RN, NEA-BC E-mail: [email protected] Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY 2013 National Magnet Conference® October 2-4, 2013 PROCESS OUTCOMES CNOAC Responsibilities Accomplishments Facilitate interdisciplinary practice and teamwork within all care environments; Examine major system issues; Align nursing process with Clinical Excellence goals and system scorecard measures; Cultivate model for shared decisionmaking; Align CNOs on key strategic imperatives. Collaboration across diverse clinical sites Nursing leadership network Pressure ulcer (PU) initiative - $60 million for new beds/surfaces & 43.4% PU reduction system-wide Inpatient falls with serious injury – 0.09/1000 patient days Standardized IV smart pumps Standardized evidence-based saline flush procedure Identification of readmission reduction best practices Dissemination of hand hygiene best practices Creation of CNO competency profile, job description, & interview guide STRUCTURE Ascension Health Large, nationwide hospital system 70 acute care hospitals (34 health ministries) 12 member CNO Advisory Council Regional work teams of CNOs – “Pods” Pod (4-6 health ministries) – each led by CNO Advisory Council member Call to Action “Health care that works; Healthcare that is safe; Healthcare that leaves no one behind,“ for life. CNO Shared Governance Model CNO Advisory Council (CNOAC) 11 CNOs & System Office nurse leader chair Strategic direction & thought leadership Quality Safety Staffing & operational performance Nursing leadership Product evaluation/acquisition Patient care delivery Communication Monthly CNOAC teleconferences/ webinars Annual CNOAC in-person meeting Initiatives led by individual Council members; Results shared with entire Council Standardized communication from CNOAC to Pods Pod Points Online surveys Rapid data gathering Benchmarking Consensus building REFERENCE Hendrich, A., Batcheller, J., Ellison, D. Janik, A., Jeffords, N., Miller, L., Perlich, G., Staffilino, G., Strom, M., & Williams, C. (2012). The Ascension Health experience: Maximizing the chief nursing officer role in a large, multihospital system to advance patient care quality and safety. Nursing Administration Quarterly, 36(4), 277-288. 2013 Magnet National Conference Poster by Linda Miller. Terri Goodenough Jamie Kittle • Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Karen Browne & Careef Solomon; 8th Annual Nursing Research Day; Lourdes; 4/29/14. • Atrial Fibrillation; Vestal Internal Medicine; 5/14. Sue Lewis • CDU; Recruitment Dinner; Lourdes; 2/25/14. Danielle Mahoney-Brown Jill Hardy-Hettig • Riverside Medical; Recruitment Dinner; Lourdes; 2/25/14. • ASU; Recruitment Dinner; Lourdes; 2/25/14. Christina McMurray Joy Irons • “Know Where to Throw” Proper Waste Disposal; LFP – Owego; 5/14 – 6/14. • 1 Medical; Recruitment Dinner; Lourdes; 2/25/14. Marilyn Jordan Cheryl Orzel-Teris • Zoll Defibrillator Vest; Lourdes; 6/14. • Pressure Ulcers: Becoming a High Reliability Organization; The Advisory Board; Washington, DC; 11/19/13. Rachel Kimani • Health Care Workers’ Perception of Breastfeeding Support; 8th Annual Nursing Research Day; Lourdes; 4/29/14. new knowledge, innovations & improvements 37 Goodenough; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Roshni Parik • Polycystic Ovary Syndrome (PCOS); PCA – Eastside; 2014. Jill Patak Linda Stark • Infection Prevention; Volunteers, Lourdes; twice monthly. • Infection Prevention; RN, PCA, US Reorientation; Lourdes; monthly. • Infection Prevention; New Associates; Lourdes; monthly. • Infection Prevention; Nursing Orientation; Lourdes; monthly. • Correlation of Blood Pressures and Prone vs. Supine Positioning; Mansfield University; Mansfield, PA; 8/23/13. Miriam Stoeckel • Women’s & Children’s Services; Recruitment Dinner; Lourdes; 2/25/14. Ann Weber Careef Solomon • Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Karen Browne & Terri • Ticks – They’re onto you!; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Focused Education: Reduced Cervical Cancer Risk? Kathleen M. Olbrys, EdD, APRN-BC Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY 2013 National Magnet Conference® October 2-4, 2013 RESEARCH QUESTIONS BACKGROUND • • • • High no show rates post colposcopy Follow-up treatment critical Few studies of education on HPV prevention Women unaware HPV can cause cervical cancer • • PAP SMEARS • • • ASCUS most common abnormal Pap ASCUS can be evaluated for high risk HPV strain ASCCP & ACOG guidelines used to decide biopsy PURPOSE METHODS • • • • • • • • Develop scripted Patient Educational material on HPV & Pap smears for patients needing colposcopy Compare no show rate between treatment & control groups What HPV & Pap smear information is appropriate & beneficial to patients? What is the effect of a patient-centered encounter that includes verbal discussions with printed material on patient compliance with follow-up care post-colposcopy? • • Group Interrupted Time Series Design Retrospective chart review Convenience sample Exclusion – Prior colposcopy history Control Group – standard instruction Experimental Group – focused education Standard care: appointments, reminder via phone, no-show & post procedure follow-up per policy Intervention: focused education, HPV Fact Sheet & abnormal Pap handout DATA ANALYSIS • • Age Distribution % SPSS t-test for independent groups % 4 % 2 % 2 % % % = RESULTS % % % • • • • Groups similar in age, ethnicity, marital status, & insurance Groups similar in histopathology Return rate statistically significant for experimental group (p=0.0072) Return rate statistically significant in 19-20 year olds for experimental group (p=0.0153) 9-29 - 9 4 -49 - 9 - 2 Histopathology % % 4 % = % x e me ) a 2 % % % e V e 2 a e IMPLICATIONS FOR PRACTICE Patient Characteristics 90 0% 80 0% 70 0% Black, not Hispanic 60 0% White, not Hispanic 50 0% Married 40 0% Widowed White, Hispanic • Other Divorced/Separated Single 30 0% • Medicaid Medicare 20 0% 0 0% P ivate Ins Uninsured Cont ol (n 30) Poster accepted for 2013 Magnet National Conference by Kathleen Olbrys. ) x e me a = ) % 10 0% 38 Nursing Annual Report 2014 4 Experimental (n 30) • Patient education regarding HPV is needed to affect high risk sexual behavior. HPV education by Nurse Practitioners is an essential component of women’s health. HPV education for women may reduce their risk for cervical cancer. = ) Courtney Wendelewski • Understanding of the Clinical Nurse Specialist Advanced Practice Nursing Role; National Association of Clinical Nurse Specialists Conference; Orlando, FL; 3/14. Cherie Wooden • Getting Published; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Oral Presentations Julann Ashman • Loneliness in Cancer Survivorship; Living Well Cancer Survivorship Series; Lourdes; 9/25/13. • Lourdes Living Well Series; WBNG TV Docs on Call; 12/12/13. • Lourdes Living Well Series; WBNG TV Docs on Call; 2/19/14 & 2/20/14. • June 3rd Celebration of Life; WBNG TV Docs on Call; 5/26/14. • Cancer Basics & Oncology Nurse Role; LPN class; BOCES; 5/30/14. • Healing Garden; Education Committee; Lourdes; 6/26/14. Mary Berube • Diabetes Care at Lourdes; Nursing Orientation; monthly. • Diabetes Order Sets and Disease Management; Medical Staff Orientation; Monthly. • Glucagon Administration for Severe Hypoglycemia; Diabetes Resource Nurses; Lourdes; 8/28/13. • Hypoglycemic Crisis; Event Reporting Safety Meeting; Lourdes; 9/6/13. • Inpatient Diabetes Management Updates and Consideration; Hospitalists; Lourdes; 9/25/13. • Insulin delivery: GlucoStabilizer; Current Trends in Diabetes; Lourdes; 11/12/13. • Diabetes Medications; Current Trends in Diabetes; Lourdes; 11/12/13. • Resources for Living Well with Diabetes; Diabetes Parent Support Group; Lourdes; 5/29/14. Melody Best • Systematic Literature Reviews; Binghamton University; 9/24/13. • Ethnography in Qualitative Nursing; Binghamton University; 9/24/13. Jill Knight, MOA, Carly McKillop, FNP and Kathaline Anthony, RN • Diffusion of Innovation Theory; Binghamton University; 12/3/13. • Ethnography; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Barbara Bilbrey • The Meaning of Memorial Day; Owego-Apalachin 5th grade students; annually. Jonathan Briggs • Guest Lecturer; Graduate Nursing Students; Binghamton University. Karen Browne • Ostomy Care Basics; Lourdes At Home/Hospice; 5/14. Mary Cavanaugh • Nursing Orientation and the GROW Program; Recruitment Dinner; Lourdes; 2/25/14. Colleen Cameron • A Comprehensive Program for Heart Failure; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Sarah Creery • Family Presence During CPR; Master’s students; Onondaga Community College; Syracuse, NY; 3/26/14. new knowledge, innovations & improvements 39 Carol Curran • Interviewing Skills; Senior Nursing Students; Binghamton University; 1/27/14. • Connect the Dots to Position Management; Lourdes; 4/17/14. Laci Daniels • My Graduate Experience in ICU; Recruitment Dinner; Lourdes; 2/25/14. Susan Decker • Medical Records Information that Can Be Released; PCA – Robinson Street staff; 3/17/14. Rochelle Eggleton • Home Care; Panelist; Health Care Policy Symposium, Binghamton University; 4/4/14. • Emergency Preparedness; Panelist; Home Care Association of NYS Regional Meeting; 4/9/14. Nancy Eichler • Financial Exploitation of the Elderly; Nursing Research Committee; 7/24/13. Elisabeth Evans • Osteoporosis Risk Factors and Prevention Behaviors; Nursing Research Committee; Lourdes; 10/23/13. Kelly Murtha, BSN, RN, CNOR and Rebecca Getchell, BSN, RN • Medical Orders for Life Sustaining Treatment; with Mary Alice Westerlund; Lourdes; 6/12/14. • With Newborn Loss Comes Hope; with Karen Roeske; AWHONN; Orlando, FL; 6/24/14. Caylynn w • Negative Effects of Isolation on Patients; Nursing Research Committee; Lourdes; 6/25/14. • Antibiotic Prophylaxis: When It Is Needed; GI Lab, Lourdes; 12/29/13. • SGNA Guidelines on Documentation; GI Lab, Lourdes; 12/30/13. Michael Garlough Theresa Goodenough • Newborn Loss and Hope; Schwartz Center Rounds®; with Brianna Pompey, RN, Brenda Simonik, & Father Krzysztof Boretto; Lourdes; 11/14/13. • Neonatal Donation, A Different Type of Organ Donation; International Institute for Advancement of Medicine (IIAM) and National Association Transplant Care Organization (NATCO); Las Vegas, NV; 12/9/13. • Neonatal Donation Case Study; CDT Education Symposium; Saratoga Springs, NY; 4/14. • Hope; 8th Annual Nursing Research Day; Lourdes; 4/29/14. • The Cooperation between Organ Procurement, The Eye Bank and The Donor Hospital; Lyons Eye Bank Board of Directors Annual Meeting; Albany, NY; 5/14. • Nursing; Mountain View High School, PA; 11/7/13. • Advances in Wound Care; Nursing Research Committee; Lourdes; 2/26/14. Katherine Foster 40 Nursing Annual Report 2014 Danielle Gulick • Thoracic Outlet Syndrome; Emergency Department; Lourdes; 6/1/14. Carol Heikkila • Clinical LPN Instructor at BOCES. Beth Hickey • Lourdes Tele-Health Program; Tioga County Senior Health Fair; 8/15/13. Kay Hooper • The Many Faces of Anxiety: What Can Be Done to Help?; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Doris Hughes • Annual Cancer Survivor Health Fair; Broome County YMCA; 5/16/14. • Cancer, Nurse Navigation; WBNG TV Docs on Call; 5/29/14. • Diabetes Management: Nurse Practitioner Fellowship, Lourdes; 11/7/13. • Diabetes and Pregnancy; Current Trends in Diabetes Management Teaching Day; Lourdes; 11/12/13. Caryl-Ann Mannino Celia Kane Jaymilee Mash • Non-violent Crisis Intervention; Lourdes; monthly. • Mash Camp; 2013. • CPR; New Visions; 2013. • Pain Management; SUNY Upstate Medical University, Surgery Clerkship; 7/2/13, 9/9/13 & 1/6/14. • Pain Management; Podiatry Residents, Lourdes; 7/30/13. Janet Krcha • FNP Residency Program; Excelsior College; 12/13. Mary McGovern Toni Lehr • Occupational Health and Safety; New Associate Orientation, Lourdes; monthly. • Occupational Health and Safety; Lourdes Volunteers; monthly. • Lourdes Safety Coaches/Safety Officers; monthly presentation. Sue Lent • EKOS Catheter-directed Thrombolysis; ICU & Diagnostic Imaging; Lourdes; 12/19/2013 & 12/20/2013. • Hand Hygiene/Isolation Practices; SUNY Broome Technology Students; 3/31/14 & 4/7/14. • How to Do a Poster Presentation; 8th Annual Nursing Research Day; Lourdes; 4/29/14. • GROW Program; Clinical Coaches; Lourdes; 5/2/14. Kathy Medovich • Relaxation & Meditation; Autumn Renewal Days Break-out Session; Sky Lake; 10/13. Deborah Mican • RN Satisfaction: Ten Year Trend; Nursing Staff Forum; Lourdes; 9/13/13. Samantha Lewis • Issues affecting Teens: Youth Seminar; female & male teens; Scranton, PA; 12/7/13. Sharon Lewis • Now I Lay Me Down To Sleep (NILMDTS); Spiritual Care Committee; Lourdes; 5/14/14. Julie Lowrie • Insulin Delivery Alternatives; with Laura Smith; Current Trends in Diabetes; Lourdes; 11/12/13. Mary Mancini • Cancer Education; Spirit of Women Event; Traditions at the Glen; 10/13. • Nurse Navigation Role & Coping with Love, Knowledge and Hope; Tabernacle Methodist Church; 5/7/14. Mary McGovern, BS, RN new knowledge, innovations & improvements 41 Linda Miller Karen Roeske • Nursing Shared Governance Structure; Nursing Staff Forum; Lourdes; 9/13/13. • With Newborn Loss Comes Hope; with Michael Garlough; AWHONN; Orlando, FL; 6/24/14. Mary Murphy Geralyn Sears • ACLS Instructor; Lourdes; 7/11/13, 10/7/13 & 10/8/13. • Clinical Nursing Skills Lab Instructor; SUNY Broome; ongoing. Michelle Nulton • Routine Health Maintenance; Rotary Club; Hancock; 9/26/13. • Lyme Disease and Tick Bites; Children’s Center parents; Hancock, NY; 5/10/14. Jared Pado • Hypertension: The Silent Killer; Vestal Internal Medicine; 2014. Jill Patak • Infection Control Course; SUNY Broome. • Infection Prevention; Volunteers; Lourdes; twice monthly. • Infection Prevention; RN, PCA & Unit Secretary Reorientation; Lourdes; monthly. • Infection Prevention; New Associates; Lourdes; monthly. • Infection Prevention; Nursing Orientation; Lourdes; monthly. • Carbapenem Resistant Enterobacteriacea (CRE); 8th Annual Nursing Research Day; Lourdes; 4/29/14. Chelsea Pixley • My Graduate Nurse Experience on 3 Medical; Recruitment Dinner; Lourdes; 2/25/14. Brianna Pompey • Newborn Loss and Hope; Schwartz Center Rounds®; with Michael Garlough, RN, Brenda Simonik, & Father Krzysztof Boretto; Lourdes; 11/14/13. Regina Pufky • ACLS Coordinator and Instructor; Lourdes; monthly. • Chest Tubes; Nursing Reorientation; Lourdes; monthly. Martha Reid • ACLS Instructor; Lourdes. • PALS Instructor; Lourdes. • Patient Alert Band Colors; Nursing Professional Practice Council; Lourdes; 3/6/14. • Patient Alert Band Colors; Nurse Executive Committee; Lourdes; 3/27/14. 42 Nursing Annual Report 2014 Vicki Slavetskas • APA Format & Introduction to Simulation; Decker School of Nursing, Binghamton University; 9/19/13. • Safe Staffing & Mandatory Overtime; Senior & BAT nursing students; Decker School of Nursing, Binghamton University; 2/10/14. • Patient Abandonment; Senior & BAT nursing students; Decker School of Nursing, Binghamton University; 3/3/14. • Leadership Principles; RN-BS students; Decker School of Nursing, Binghamton University; 1/30/14. • Management Principles; RN-BS students; Decker School of Nursing, Binghamton University; 2/6/14. • Evidence Based Research & Practice: Strategies for Nursing Leaders; RN-BS students; Decker School of Nursing, Binghamton University; 2/13/14. • Power, Conflict & Professional Challenges; RN-BS students; Decker School of Nursing, Binghamton University; 2/20/14. • Managing Time & Stress; RN-BS students; Decker School of Nursing, Binghamton University; 2/27/14. • Legal & Ethical Issues; RN-BS students; Decker School of Nursing, Binghamton University; 3/6/14. • Staff Recruitment & Retention; RN-BS students; Decker School of Nursing, Binghamton University; 3/13/14. • Professional Practice Models & Organizational Structure; RN-BS students; Decker School of Nursing, Binghamton University; 3/20/14. • Data Management & Informatics; RN-BS students; Decker School of Nursing, Binghamton University; 3/27/14. • All Hazards Disaster Preparedness; RN-BS students; Decker School of Nursing, Binghamton University; 4/10/14. Laura Smith • Disposable Insulin Delivery: V-GO; Lourdes; 10/23/13. • Insulin Delivery ... A Hands on Approach; Current Trends in Diabetes; Lourdes; 11/12/13. Heather Waugh • A Solution to ED Overcrowding at Lourdes Hospital; Nursing Quality Committee; Lourdes; 4/9/14. Ann Weber • Sunscreen – Are you protected?; Nursing Research Committee; Lourdes; 7/24/13. • The Common Communion Cup: Is it a Source of Infection? Nursing Research Committee; Lourdes; 2/26/14. • Cat Scratch Disease; Nursing Research Committee; Lourdes; 3/26/14. • Smoking Cessation; Hancock Central School Staff Development Day; 3/14. Cherie Wooden • Teach-Back; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Colleen Cameron, MS, RN and Linda Stark MSN, RN, ONC® Publications Linda Stark • Correlation of Blood Pressures and Prone vs. Supine Positioning; Nursing Research Committee; 11/27/13. • Correlation of Blood Pressure Measurements; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Maryellen Surace • Falling into Place: A Success Story; Schwartz Center Rounds®; with Kathleen Talbot, RN, OCN®, CHPN, Lourdes, & Heather Minor-Natale, Crown Point Nursing Home; Lourdes; 7/11/13. Newsletters Cancer Survivorship Newsletter • Julann Ashman. (Editor). • Julann Ashman. (Spring 2014). What Are the Phases of Survivorship? • Elizabeth Norris. (Spring 2014). I’m a Survivor too! Committee Central • Brooke Abramson-Singh. (Editor). Diversity Newsletter • Sister Marilyn Perkins. (Editor). • Kathy Medovich. (Winter 2013). Texting: A Social Media Addiction. Kathleen Talbot • Falling into Place: A Success Story; Schwartz Center Rounds®; with Maryellen Surace, RN, CCM, Lourdes, & Heather Minor-Natale, Crown Point Nursing Home; Lourdes; 7/11/13. ICU News • Professionalism in Nursing; 2 Ross/Peds, Lourdes; 6/16/14. • Danielle Spalik. (Editor). • Danielle Spalik & Amy Shumsky. (December 2013). Substance Abuse Take-Aways. Mary Beth Tierney-Simmons Inside Lourdes Daphnie Thompson • Evaluating Lourdes Professional Practice Model; Nursing Staff Forum; Lourdes; 9/13/13. • Sister Marilyn Perkins. (July 2013). Administration Connection. Lisa Vroman The Mustard Seed (Lourdes Parish Nurse Newsletter) • Screening for Childhood Obesity; with Frances Munroe; 8th Annual Nursing Research Day; Lourdes; 4/29/14. • Kathy Medovich. (Editor). new knowledge, innovations & improvements 43 Sarah Dougherty, RN, CRN, Coralee Keefe, BSN, RN, CRN, and Elizabeth Burger, RN Peer-Reviewed Publications Fran Anderson. (Editor). • Rita Bergevin. (2014). More than a dressing change. Journal of Christian Nursing, 31(1), 62. • Rita Bergevin. (in press). Palliative wound care. Nursing 2014. • Kondrup, J. D., Fran Anderson, & Becky Quick. (2013). Use of the ENSEAL® G2 tissue sealer in gynecologic surgery. Surgical Technology International, 23, 191–195. Fran Anderson. (Fall 2013). Updating Your RN/LPN Profile. Other Publication Activities • Kathy Medovich. (September/October 2013; May/June 2014). Coordinator’s Corner. • Kathy Medovich. (July/August 2013). Therapeutic Gardening. Nursing News • • • • • • Sue Fuchs. (Winter 2014). Bring “Tea for the Soul” to Your Department! • Kathy Medovich. (Summer 2013). Healing Gardens. • Kathy Medovich. (Summer 2013). Alzheimer’s Disease: Our Personal Journey. • Kathy Medovich. (Fall 2013). The Movement of Spirituality in the Workplace. • Kathy Medovich. (Winter 2014). Autumn Renewal Days. • Kathy Medovich. (Winter 2014). Spirituality and Stress Relief: Making the Connection. • Kathy Medovich. (Winter 2014). Rescue Mission Meal Ministry. • Kathy Medovich. (Spring 2014). Spring Renewal Days. • Kathy Medovich. (Spring 2014). A Labyrinth Experience. • Kathy Medovich. (Summer 2014). Spring Renewal Days. • Kathy Medovich. (Summer 2014). Communication. • Sister Marilyn Perkins. (Editor). Kathaline Anthony. (Fall 2013). Patient Pain Booklet. Mary Berube. (Fall 2013). Luke. Denise Cedeno, Stacie Hansen, Julie Reynolds, & Kersten Robbins. (Fall 2013). Go Green with Side Effects of Medications. • Jill Patak. (Fall 2013). How to Protect Yourself and Others from the Common Cold. Spirituality in the Workplace • Rita Bergevin. (Spring 2014). The Person in the Mirror. • Cindy Davis. (Summer 2013). Spring Renewal Days: Healing from the Inside Out – Two Personal stories. • Cindy Davis. (Winter 2014). Yippy-Skippy – An Attitude of Gratitude. • Rodney Frost. (Spring 2014). A Thought for Your Day. 44 Nursing Annual Report 2014 • Fran Anderson. (ongoing). Manuscript reviewer; American Journal of Nursing. • Fran Anderson. (ongoing). Manuscript reviewer; Online Journal of Rural Nursing and Health Care. • Kathleen Rinde. (ongoing). Manuscript reviewer; Gastroenterology Nursing. • Cherie Wooden. (ongoing). Manuscript reviewer; Qualitative Social Work. • Cherie Wooden. (ongoing). Manuscript reviewer; Child & Family Social Work. GREETINGS FROM OUR CNO Congratulations for all of your contributions to Lourdes and the community this past year! Many of you have or will be participating in an Engagement Mapping Session that focuses on the changing healthcare landscape and how this will affect Lourdes. This is another opportunity for your voice to be heard. Lourdes Hospital is positioned well to meet the challenges because of its relationship with Ascension Health, the largest, not-for-profit Catholic Healthcare System in the United States. Together we will navigate through all of the challenges and changes to transform healthcare within our community. Lourdes nurses are key leaders of our efforts to implement Person-Centered Care. “Person-Centered Care is our sacred promise to support individuals’ lifelong health and well-being through holistic, coordinated care models and resources based on trusted, committed, person-to-person relationships.” This call to action aligns perfectly with our new Nursing Professional Practice Model. Together we will commit to welcome, respect, include, connect, protect, engage and comfort all persons in a new and meaningful way. We will reevaluate how we deliver care, and explore different ways to provide services. We will make an extra effort to engage all members of the care team in this very important endeavor. Our pursuit of excellence through PersonCentered Care will inspire and motivate all of us as we engage in our work ahead. Thank you, Linda “The scene that unfolded before my eyes was truly a team united to save this man’s life.” — Lisa Howell, RN Nursing Philosophy N ursing at Lourdes is faith-based and spiritually centered. We believe that life is a precious gift and approach all persons with reverence. We are committed to meeting the holistic needs of our patients, families, and community. We respect basic human rights, dignity, and differences. We believe in providing the highest level of patient care regardless of religion, race, gender, age, or socio-economic status, based on the core values of Lourdes: Service of the Poor, Reverence, Integrity, Wisdom, Creativity, and Dedication. We believe that working with all members of the health care team is important to promote the highest quality patient care. We accept our duty to be actively involved in the development of standards of care. We believe that continuing education and nursing research improve clinical skills, contribute to personal and professional growth and move the nursing profession forward. We are committed to creating an environment that promotes lifelong learning. We believe in the nursing profession. We are accountable as individuals, as well as a profession, for the services we provide. Lourdes Hospital • 169 Riverside DRive, Binghamton, ny 13905 • 607-798-5111 • lourdes.com