Nursing 2014 Annual Report - Nchmd

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Nursing 2014ANNUAL REPORTN URSES C ARE H ERE

NCH Nurses Care Here .Dear Colleagues,“Excellence is not a destination: it is a continuous journeythat never ends.” Brian TracyThe above quote is reflective of the Department of Nursing atNCH. In 2014, NCH nurses welcomed their first official yearas an ANCC Designated Pathway to Excellence organization;achieved through continued prioritization of professionaldevelopment and career advancement. Our commitment to ourpatients and the delivery of the highest, professional qualityof care remained our steadfast focus. As a result, outcomesin the areas of Central Line Blood Stream Infections, HospitalAcquired Pressure Ulcers, Falls and C-difficile rates excelled.In addition, NCH nurses took the time to review the Shared Governance model and worked to redesign the model to be more inclusive of all nurses and ensure that participation in our structure becamea core component of our professional accountabilities. NCH nurses took a bold step in introducing theconcept of representing the big “N” or “Nursing” as a profession and not nursing from a unit viewwithin our Shared Decision Making model. We aligned job descriptions for RNs to ensure all nurseshad a voice in their practice and developed opportunities for nurses to bring their suggestions andideas forward through open comment periods and Shared Decision Making change request processes.NCH nurses continued their pursuit of exceeding the patient experience through the implementationof bedside shift report. While we continue to strengthen this process throughout the organization,our nurses are committed to its’ ongoing success.NCH is so proud of all the achievements and excellent outcomes of our nursing department. Wethank you for your commitment and dedication to our community and the patients we have theprivilege to serve.MicheleMichele Thoman, MBA, BSN, RNNCH Healthcare System, Chief Nursing Officer2

NCH Nurses Care Here .Dear Friends and Colleagues,It has often been said that “Nurses are the heart of healthcare.”Nowhere was that more true than here at NCH over the pastyear, as our 1,060 extraordinary nurses stood at the center ofmany of our most significant accomplishments. In 2014, our system accounted for 37,284 admissions, 87,100ED visits, 3,033 births, 416 open heart surgeries, and 11,282surgical procedures. For the fifth consecutive year, NCH was the only system insouthwest Florida to be recognized for excellence by U. S.News and World Report. Leapfrog, an independent evaluator, has granted both NCH campuses an “A” for safety for thepast two years, the only system in southwest Florida to have an “A” grade. We are one of 175 systems in the nation to be recognized as HIMSS Analytic Level 7 and all buta few of the others are academic institutions. We were recognized as “Most Wired” for the fifth year in a row. The Society of Thoracic Surgeons includes us in the top 10% of the nation for bypass surgery. Truven Healthcare Analytics designates us as a “Top 50” hospital for cardiac care. The Joint Commission named NCH a Primary Stroke Care Center The Society of Cardiovascular Patient Care deemed NCH an accredited chest pain center withpercutaneous intervention. Bedside Report, a new model for Shared Decision Making, has been implemented. NCH had outstanding representation at the Institute for Healthcare Improvement. We raised awareness for sepsis eradication, which saves scores of lives.Little wonder that NCH and its nurses are achieved the Pathway to Excellence Designation status,awarded to the best healthcare institutions demonstrating nursing excellence and innovation inprofessional nursing practice.I know that nurses are averse to boasting about their own achievements, so allow me to do so. All ofus at NCH could not be prouder of our dedicated nurses, who play such a pivotal role in making ourcommunity better by helping everyone live longer, happier, and healthier lives.Stated simply, at NCH, our nurses are the heart of our healthcare.Sincere thanks and congratulations,Allen S. Weiss, MD, MBA, FACP, FACRPresident and CEO3

Ta b l e o f C o n t e n t sNCH Nurses Care Here. . .Letter from Michele Thoman MBA, BSN, RN (Chief Nursing Officer). . . . . . . . . . . . 2Letter from Dr. Allen Weiss (President and CEO) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3ANCC Pathway to Excellence Designation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5NURSES: Excellence in Profession and PracticeEngaging in Academic Excellence: Advanced Degrees . . . . . . . . . . . . . . . . . . . . . . . . . . 6Practicing Clinical Proficiency: Professional Certifications . . . . . . . . . . . . . . . . . . . . . 7Advancing Professionalism- ASPIRE Clinical Ladder . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10Nursing Award Winners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Nursing Shared Decision Making Schematic and Accomplishments . . . . . . . . . . . . . 12-13IT Innovations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14CARE: Excellence by the NumbersNursing Sensitive Quality Metrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Bedside report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Breast Feeding Initial Latch & Golden Baby Shoe Award . . . . . . . . . . . . . . . . . . . . . . . 17Save a Brain Stroke Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Surviving Sepsis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19New Onset Diabetic Education and Discharge Plan for the Pediatric Patient . . . . . . 20HERE: Excellence in Our Work EnvironmentNursing Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21DAISY Award for Extraordinary Nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Publications and Presentations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-25Caring for our Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Donors and Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Annual Report Team: Millie Sattler, Edurne Hoppenstedt, Teresa Golden, Ilia Echevarria, Alicia Ciraco, Elizabeth Foster,Michele Thoman, Dora Krauss4

Nurses:Excellence in Profession and PracticeNCH ANCC Pathway toExcellence DesignationWe are continuing our achievement of Pathway to Excellence Designation, where we together continueto strive for ways to improve our culture, create an environment where NCH nurses excel in practice,stay motivated and drive quality care and results. We are committed to our profession, our patients andto our community!The nurses at NCH have created a healthy work environment that engages and inspires NCH nursesto have a direct influence on the quality of care delivery and enhanced patient, employee, andorganizational outcomes. All of the nurses at NCH take pride in collaboration, communication, research,education, certification, and evidence-based practices.In 2014, NCH was recognized on the American Nurse Credentialing Center’s (ANCC) Pathway toExcellence website as an organization that has demonstrated cultural transformation. This would nothave been possible without our engaged, innovative, and caring nurses.5

Nurses:Excellence in Profession and PracticeEngaging in Academic Excellence:Advanced DegreesEarned Nursing Degrees in 2014NCH nurses embrace a culture of life-long learning and academic progression. Congratulationsto all of the nurses who earned academic degrees in 2014!6

Nurses:Excellence in Profession and PracticePracticing Clinical Proficiency:Professional CertificationsThe overall professional certification rate at NCH continues to grow each year. Nurses at NCH recognizethe value of professional certification.CONGRATULATIONS to those nurses who go above and beyond their professional obligations byobtaining and maintaining a national certifications in their specialty areas.Three Reasons Why To Get Certified. . .1. Expertise: Demonstrate competencyin your specialty area.2. Professional Advancement: Show your leadershipskills in the delivery of quality care.3. Personal Achievement: Validate your knowledge.7

Nurses:Excellence in Profession and PracticeAdvancing Professionalism:ASPIRE Clinical Ladder2014 marked the fourth year that NCH nursing has provided opportunities and professional developmentfor nursing clinical excellence at the bedside. The ASPIRE program is a clinical ladder that promotesprofessional growth through increased knowledge, skills, and research thereby increasing nursing andpatient engagement. This program also recruits and retains nurses who are committed to delivering highquality patient care. At NCH, we celebrate the achievements of clinical competence and professionalism.8

Nurses:Excellence in Profession and PracticeAdvancing Professionalism:ASPIRE Clinical LadderPROFESSIONAL NURSE IIPROFESSIONAL NURSE IAlcide, SherlyBrookdaleBitting, MelodyNICUCain, Ana CeciliaNNH 4th FloorCrown, TerryPACUDalto, AliciaNNH 4th FloorDavison, NancyBrookdaleFlorin, JenniferPediatricsFuentes, JessicaL& DGargano, Anna MariaBrookdaleGoetten, Alexandria4 SouthGreening, Kelli5 NorthHahn, Wendy5 SouthJakubiec, Magdalena3 SouthBritto, TracyNNH 3rd FloorJozwiak, JenniferCVORFonseca, Jennifer5 NorthMcLaughlin, HelenNNH ORLaRiche, ValerieNNH 5th FloorMillich, NicoleBrookdaleMoran, SusanNICUNewberry, Michele5 SouthOrtiz-Rodriguez, JazmarieL&DPatterson, Jay5 SouthPeterson, JeriNNH RehabReseigh, LauraDNH ERRyan, BarbaraMIUCSigman, AshleyBrookdaleStanis, Esther5 SouthSwitzer, JenniferPediatricsTruong, CynthiaMother/BabyTurner, KevinBrookdaleVelez, CaridadL&DVisconti, Kaela3 South9

Nurses:Excellence in Profession and PracticeAdvancing Professionalism:ASPIRE Clinical LadderPROFESSIONAL NURSE IIIAlexander, PamelaAndrews-DapperArguelles, SabrinaBeaver, ChristineBossert, KimberlyBoyles, LoriCefaratti, ShelleyChadwick, TaraCoons, Ana LizaCraig, DebbieCrosby, AnitaCure, LauraDektas, JudiDevaney, AngelaDeVito, StephanieDiaz, KimberlyDummeyer, MicheleElduayen, SusanneFehr, LoriFoglesong, JanFoster-Schemanski, ElizabethGeiger, KellyGermain, StacieGibertoni, CarolinaGinther, LisaGodwin, CarylGreiner, SusanHaines, PattyHeath, DacylHughes, HeidiHutchison-Finucan, DawnJordan, KathyKeazer, DonnaKieffer, MelissaKralik, LindaLamanilao, EllenLand, TinaLoescher, AmyLowry, JacalynMalone, AnnMarconi, MaryMihalik, AmberMiranda, SeanNguyen, LisaPalmer, JaneyPumkao-Jones, OrrachaQuindlen, MarcyCVORNNH 3rd opSICUNNH 4th FloorPediatrics6NNNH RehabDNH ORPACUPre-Admit3 SouthL &DDNH ER5 NorthL&DPACUOPIS5 SouthDNH ERPACUDNH ORVenous AccessVenous Access4 SouthPediatricsNNH 4th FloorNNH ICUMother/babyDNH OR3 North3 NorthNNH ICUCVOR5 NorthDNH ICUOPISSICURaiser, CheriRandall, JennaReed, DianaReynolds, MelissaRhodes, VictoriaRichmond, GayleRobbins, AmandaRoberts, John T.Sargent, CourtneyStoner, JulieTaylor, DebraTobey, DeborahValle, AnaVillarraga, ChrisWhite, KarenZollar, JillSICUPediatricsL&DDNH ORL&DNICUPediatricsNNH SWAT ResourceNICUNNH ER6 NorthNICUNICUNNH 5th FloorPre-AdmitNNH ERPROFESSIONAL NURSE IVBell, CherylBordonaro, JoBurt, MeredithCamejo, KaciGodfrey, DeniseGonsil, MilvaGuerrero, EmilyHeatwole, MarilynKooyers, KimLaney, ChristinaMiller, JenniferPrestigiacomo, KaraSabin, PamelaTerwilliger, ImeldaVillapando, GizellaWilson, ElenaYates, Amy3 NorthNNH SWAT5 NorthPediatricsAngioplastyAngioplasty4 SouthPediatricsICU3 North5 SouthPediatricsNNH 4th FloorNNH PACUICUL&D4 NorthPROFESSIONAL NURSE VBaldia, JonathanGoodwin, HopeMellema, AnnSousa-Van Veen, Deborah10NNH ERDNH ERCVRUOPIS

Nurses:Excellence in Profession and PracticeDOWNTOWN HOSPITALNurse of the YearRising Star2014 Nursing AwardsIt is with great pleasure that the NCH HealthcareAmy Yates, BSN, RN,CVRN-BC4 NorthNatalie Bigica, RN6 NorthSystem announces the 2014 Nursing Awardwinners. Over 1900 nurses and support staffSupport Super StarsClinical TechUnit Secretaryworking in the acute care areas of Downtownand North Naples Hospitals, NCH PhysicianGroup offices and clinics, Marco IslandHealthcare Center, Collier County Schools,Wound Healing Centers and the CommunityJoan Fulton5 NorthMichelle Warnock3 NorthBlood Center are eligible for these awards inoutstanding excellence and professionalism.NORTH NAPLES HOSPITALNurse of the YearRising StarPlease congratulate them on their commitmentand dedication to providing the utmost incompassionate care becauseNCH Nurses Care Here!Sandy O’Donnell, RN,CVRN-BC4th FloorGenesis Galarza, RN3 WestDowntown Hospital North Naples HospitalThelma Hodges Mentors of the YearSupport Super StarsClinical TechUnit SecretarySuzanne EsparzaED TechAmber SallsBrookdaleAubrey Fulton, BSN, RN5 NorthNancy Davison, RNBrookdaleNational Nurses Week May 5 –9 , 201411

Nurses:Excellence in Profession and PracticeRevolutionizing NursingShared Decision MakingThe original NCH Nursing shared governance model was created in 2010 and made great strides andmet the needs of nurses for the first four years of implementation. However, the nurses at NCH identifiedimprovements were needed such as: increasing participation, energizing the agenda items, streamlining the processes, and collaborative decision-making. NCH nurses were instrumental in crafting anew Shared Decision Making (SDM) model to meet these needs.* Shared Decision Making (SDM) is an innovative process that empowers nurses at all levels tocontribute collaboratively to nursing practice, standards, and quality of care.* The new collaborative model depicts the system, service line, and unit level councils thatengages all members of the nursing department.Redesign of SharedGovernance Processes* It is founded on the cornerstone principles of equity, teamwork, accountability, and autonomy.All nurses have the professional obligation to participate in developing the future of NCHnursing.Nurse engagement in the Shared Decision Making process continues to improve compared to theprevious model.“The new model energized nurses to create innovative processes which empower nurses at alllevels to contribute collaboratively to ownership of practice, standards and quality of care,Marie Hageman, RN MSN, CVRN-BC.”12

Nurses:Excellence in Profession and PracticeRevolutionizing NursingShared Decision MakingWhat does this mean to nurses?“All Department of Nursing Staff have a voice and have theopportunity be able to participate at a certain level,”Marie Hageman, RN MSN CVRN- BC, Shared Decision Making Chair.System CouncilsService Line CouncilsSDM CommitteesProfessional Practice Council (PPC)Medical/Surgical RehabDaisy CommitteeCritical Care andEmergencyASPIRE Nursing ClinicalLadder CommitteePatient Education Council (PEC)Unit Level TaskUnit- based team leads in eachdepartmentCardiacQuality and Safety Council (QSC)BirthplaceSurgical ServicesResearch and Evidence-BasedPractice Council (REC)ProceduralOutpatientNCH PGMEMBERS OFREDESIGN TEAM* Emily Guerrero* Marie Hageman* Bernie Hinton* Ann Mellema* Betsy Novakovich* Pam Sabin* Kevin Smith* Tricia Sutton* Marcia Swasey* Amy Yates* Laurie Zone Smith* Pam Alexander* Heather Dill13* Elizabeth Foster

Excellence in Profession and PracticeNurses:Information Technology InnovationsNursing information systems are important tools for daily practice and serve to help nurses duringassessment, planning, and care delivery. In the nursing process, records that are rooted ininformation systems make the provisions of care safe, continuous, and progressive by facilitatingnursing activities through information exchange, time management, increased productive, andpromotion of communication processes.Below, we celebrate our innovative accomplishments driven by nursing:iView & Meaningful UsePower PlansCPOEBest Practice AlertsTubes, Drains, & ADLsSWAT and Sepsis AlertSuper-usersAlert LinkVS, Heart RhythmComfort CareUnit-specific FoldersSmart PhonesAssessment Changes/AdditionsCritical Care and CVRUBlood Product OrdersCerner UpgradesPain EvaluationIV Drug TherapyDischarge InstructionsEMAR Testing and ImplementationEMAR Notification forDrug TherapyFree Water OrderMedication ReconciliationCare PlanningTEAM MEMBERS INCLUDE:Laurie Zone-SmithJon KlingGerald McGinnisCaroline WuKim AndrewDiane GelterChris Villarraga14

Excellence by the NumbersCare:Nursing SensitiveQuality MetricsCaring about our patients is as importantas caring for our patients.Though key initiatives at NCH, the nurses are embedded in culture of organizational structure,shared decision making, communication, and outcome measures. Through evidenced basedprojects brought forward by the nurses at NCH, our Central Line Associated Blood Stream Infections(CLABSI), Falls, Clostridium Difficele (C-Diff), and Hospital Acquired Pressure Ulcer (HAPU) scoresare below national standards.15

Excellence by the NumbersCare:Bedside Shift ReportBedside shift report is when an incoming and outgoing nurse meet at the patient’s bedside toexchange nursing knowledge and patient information, perform safety checks, address issues, andallow the patient to have an active role in his or her care.In 2014, NCH formed a Bedside Report Committee who designed, developed, and implementeda bedside shift report plan that focuses on a personalized approach that increases patient’sengagement allowing the patient to take part in the hand- off of their care.“The nurses really focus on physicalsafety, actual hand-off, and assessment,Angela Devaney, BSN, RN, CVRN-BC”BEDSIDE REPORT COMMITTEETEAM MEMBERS“Traditionally, the nurses have their hand-offsat the nurse station. With bedside report, thepatients are involved and it allows both nursesto visualize the patients when discussing howthey are doing. We also help patients set goalsfor the day,Marie Hageman, RN, BSN, CVRN-BC.”Tina ApplegateMaureen BaldiaMeredith BurtMeg EvansMarie HagemanKristen MillerTheresa MorrisonJen RinglePam SabinKevin SmithMarcia SwaseyErica SzczepkowskiDiana TrupianoAmy YatesLaurie Zone-Smith16

Excellence by the NumbersCare:“Our continued aim is to achieve the bestfor our smallest patients and families throughongoing staff and patient education,Initial Breast Latch withinthe First Hour of Life”Research shows that the “Golden Hour” canDyan Fleishman RN, Staff Nurse L & D.maximize the bonding experience betweenmother and infant. That uninterrupted contactgbetween the mother and baby during the firsthour of life is critical to the child’s growth anddevelopment and successful breastfeeding. TheL & D nurses at NCH aim for 95% of breastfeedingbabies to latch within one hour of life.Under the exemplary leadership of Bernie Hinton,MSN RN, Director of Women’s and Children’sand the excellent quality improvement team inLabor and Delivery, including Karen Andiorio RN,Dyan Fleishman RN, and Dianna Reed RN, NCHGolden Baby ShoeAwards 2014nurses are leading the way with an 81% increaseof initial Latch compliance.The Golden Baby Shoe Award isgiven each year to recognize andcelebrate the special efforts ofhealthcarecommunitymembersand friends who make it theirmission to assure every preciousbaby gets a healthy start in life.This year, we congratulate DyanFleishman RN, and Dot Horn, RN,IBCLC, RLC in receiving the GoldenBaby Award for their outstandingdedication and commitment to thepregnant women they serve!17

Excellence by the NumbersCare:Save a Brain Process:Achieving Best Practices to Improve Door to TPA TimeThe nurses at NCH adopted evidence based practices published by the AHA/ ASA known toimprove stroke care. “The project was identified as an opportunity for NCH’s StrokeProgram to provide high quality care based on the comparison to national benchmarks,”Omar Villarreal, ARNP-BC.The aim of the project included: lab turn around 45 minutes (order to results) and door totissue plasminogen activator (tPA) 60 minutes by 12/2014. NCH staff was educated on theimportance of early recognition. As a result, lab turnaround time decreased from 62.25 minutesto 41 minutes. The 45 minute project goal has been sustained for the year of 2014. IV tPAgiven under 60 minutes has also improved by 61% in 2014.18

Excellence by the NumbersCare:Surviving Sepsis: Early Recognition Saves Lives!The burden of sepsis is on the rise and the excellent nurses at NCH are on the cutting edge ofsepsis eradication. A diagnosis of sepsis has a high mortality rate that is migrated by timelytreatment. The outstanding nurses at NCH created an inter-professional team and developed anearly sepsis recognition tool that alerts health care providers coupled with sepsis bundle care setthat reduces mortality.Three tests of change implemented:Leading to a:72% reduction ofmortality(surpassing projectgoal of 10%)SEPSIS TEAM MEMBERSBetsy Novakovich, MSN RN CENMaureen Powers, MSN, RN-BC, CNMLChristopher Raphael, BSN, RN, CCRNJen Ringle,BSN,RN, CCRN, CNMLSepsisTeamMembersBarb Desrosiers, BSN, RNDiane Brooklier, MSN, RNHope Goodwin, BSN, RN, CENNaomi Delatorre, BSN, RNJulie Stoner, RN, CENAnn Mellema, BSN, RN, CCRN, CVRNEileen Haeley, RN, CCRNKim Kooyers, BSN, RN, CCRNJill Zollar, BS, RN, CENStacie Germain, BSN, RN, CENCheri Raiser, BSN, RNs TeamJeffMembersSander, BSN, RN, BHAJonathan Kling, RN MBA, CCRNDr. Harrington, Critical CareDr. Panozzo, Emergency MedicineDr. DeLaRiva HerreraSepsis Mortality 2012 - ember12 / 378 / 2616 / 356 / 265 / 205 / 1710 / 262 / 193 / 165 / 219 / 274 / 1985 / %21%2012 Average: 29%6%13%JunJulNum/Den12 / 7117 / 7016 / 9511 / 6611 / 682 / 156 / 757 / 514 / 548 / 684 / 5111 / 819%Aug201317%24%17%17%16%13%8%14%7%12%8%14%2013 Average: 14%2 - 20SeptOctNum/Den16 / 10415 / 928 / 10615 / 997 / 855 / 9014 / 1048 / 90Nov20142014 YTD Avg: 11%Recognized 72%reductionRecognized72%of Sepsis mortalityOutcome: 321 saved lives!19Dec15%15%8%15%8%6%13%9%

Excellence by the NumbersCare:New Onset Diabetic Education and DischargePlan for the Pediatric PatientPediatricsNCH Healthcare SystemNCH pediatric nurses provide knowledge and consistent education to the pediatric staff for teachingand preparing for new onset diabetic patients. The team of nurses: Marolyn Heatwole, BSN, RNBC, Kaci Camejo, BSN, RN-BC, Kara Prestigiacomo, BSN, RN-BC, Amanda Robbins, BSN, RNand Catherine Ravelo, MSN, RN, CML increased staff competency related to the care of thepediatric diabetic patient. This was accomplished through education and discharge preparation,leading to a decrease in the length of their hospital stay.The results were amazing!“As an interdisciplinary team, we feel withthe proper education, we can decrease length ofstay and readmission,Marolyn Heatwole, BSN, RN-BC”20

Here:Excellence in Our Work EnvironmentNursingDemographicsJanDepartment of NursingDemographicsRNLPNTechniciansUnit SecretariesAdmin/ManagersAPRNTotal21# ofEmployees10605819312339251498

Here:Excellence in Our Work EnvironmentJanuaryStephanie Chandler3 SouthFebruaryAnnie CraigEmergencyMarchAlex Goetten4 SouthAprilJo’el WassonICUMayFay West5 NorthJuneJesus Lopez4 NorthJulyErin Salvi4 NorthAugustKatalin KovySICUSeptemberCourtney SargentNICUOctoberDarla EghlingerL&DNovemberSue BeckerSchool NurseDecemberRolin BastienNNH 4 NorthTHE DAISY (Diseases Attacking the Immune System)program started in June of 2011 to recognize nursesfor extra-ordinary delivery of compassionate care topatients and their families. The program honors thememory of Patrick Barnes who died at the age of 33from complications of ITP (Idiopathic ThrombocytopeniaPurpura). During Pat’s 8 week long illness his familywas amazed by the compassionate care that hisnurses provided.Nominations are submitted and the DAISY nurseselection committee blindly reviews nominations frompatients, family members, physicians and employeesthat are heartfelt.Each month the winner receives a leather boundcovered certificate, a DAISY award lapel pin, cinnamonrolls for the unit, a unit banner and a hand carvedstone sculpture entitled, “The Healer’s Touch”. To seeall the pictures of all of the NCH DAISY winners, visitthe NCH Nursing Website or the international DIASYwebsite at: www.Daisyfoundation.org.22

Here:Excellence in Our Work EnvironmentPublications and PresentationsBurt, Meredith, MSN, RN-BC & Gibertoni, Carolina, BSN, RN, Presentation of Nursing CEU, “Continuous Bladder Irrigation”, NCH Unit Sponsored LuncheonDavison, Nancy, RN & Gargano, Annamaria, RN, Presentation of Nursing CEU, “Journey to Recovery – The Patient’s Path from Hospitalization toHome” NCH Unit Sponsored LuncheonDevaney, Angela, RN, CVRN & Hageman, Marie, MSN, RN, CVRN, Presentation of Nursing CEU, “Bedside Rounding”, NCH Unit Sponsored LuncheonFoster-Schemanski, Elizabeth, RN & Ricardo, Leonardo, BSN, RN, Presentation of Nursing CEU, “Alcohol Withdrawal Syndrome – Caring for theAddicted”, NCH Unit Sponsored LuncheonGalarza, Genesis, RN &Sanchez, Veronika, RN, Presentation of Nursing CEU, “Ectopic Pregnancy: A Life Altering Gynecological Emergency”, NCHUnit Sponsored LuncheonGraziano, Suzanne, MSN, RN, ONC, NE-BC, CNAT, Presentation of Nursing CEU, “The Facts about Cholesterol: Healthful Ways to Manage”, “Oh MyAching Joints!”, and “What Nutrients are Essential for Pulmonary Health?”, NCH Approved PresentationsGuerrero, Emily, RN, OCN & Kieffer Melissa, RN, OCN, Presentation of Nursing CEU, “Hematology Oncology”, NCH Unit Sponsored LuncheonGuggino, Dana, RN & Terwilliger, Imelda, RN, Presentation of Nursing CEU, “Understanding the Process of a Surgical Patient”, NCH Unit Sponsored LuncheonHall, Rafaela, RN, Presentation of Nursing CEU, “Undercover Med Surg Nurse”NCH Unit Sponsored LuncheonHorn, Dorothy Ann, RN, Presentation of Nursing CEU, “Best Feeding – Why Breastfeed?” NCH Unit Sponsored LuncheonHorner, Sarah, RN, Presentation of Nursing CEU, “Left Stroke, Right Stroke, Where’s the Stroke?”, NCH Unit Sponsored LuncheonKruedelbach, Georgine, MSN, RN, CIC, Podium:, “NCH Healthcare System’s C. Difficile Reduction Collaborative”, FHA-HRET Quality and Patient SafetySummit; Podium: “Utilizing Design Partnerships: Leveraging the Electronic Health Record to Improve Population Surveillance, Reduce Risk and FacilitateRegulatory Compliance”, APIC 41st Annual Educational Conference &International Meeting; and Poster: Investigation and Management of a MycobacteriumPacemaker Surgical Site Outbreak in the Electrophysiology Lab”, APIC 41st Annual Educational Conference &International MeetingLaney, Christina, RN & Marconi, Mary, RN, Presentation of Nursing CEU, “Statins: Everything You Wanted to Know”, NCH Unit Sponsored LuncheonMcElligott, Mary, MSN, RN, CDE; Harper, Debra, MPH, RN, CDE & Botteon, Debbie, RN, CDE, Presentation of Nursing CEU, “Insulin 411”, NCHUnit Sponsored LuncheonMellema, Ann, MSN RN, CCRN, CMC, CSC, CVRN, Presentation of Nursing CEU, Basal Bolus Insulin Glycemic Management in the Hospital Setting”,NCH Unit Sponsored LuncheonMorrison, Theresa, PhD, CNS-BC &Kear M., Four Part Series: Workforce Advocacy Q & A. Florida NursePatterson, Jay, RN & Matthews, Katherine, RN, Presentation of Nursing CEU, “Post-Op Pain Management in the Orthopedic Patient”, NCH UnitSponsored LuncheonPopken-Lubel, Jeneen, RN-BC &Boyd, Kandra, BSN, RN, Presentation of Nursing CEU, “Everything You Always Wanted to Know about MilieuTherapy on 4SE, but Were Afraid to Ask”, NCH Unit Sponsored LuncheonRingle, Jennifer, MSN, MSA, RN, CNML, CCRN, Podium:, “Hospitals Sharing Best Practices - Sepsis”, FHA-HRET Quality and Patient Safety SummitRandazzo-Palumbo, Jessica, MSN, RN & Jordan, Kristine, RN, Presentation of Nursing CEU, “Inpatient Stroke Rapid Response”, NCH Unit Sponsored LuncheonRosemer, Christine, RN, Anna Reynolds, RN & Taylor, Debra, BSN, RN, Presentation of Nursing CEU, “Abnormal Rhythms: Recognition,Hemodyamics and Treatment”, NCH Unit Sponsored LuncheonSmith, Marcine, RN & Braun, Stephanie, RN, Presentation of Nursing CEU, “How do You Mend a Broken Heart?”, NCH Unit Sponsored LuncheonStoner, Julie, RN & Zollar, Jill, RN, Presentation of Nursing CEU, “Surviving Sepsis 101 – What You Need to Know”, NCH Unit Sponsored LuncheonThoman, Michele, MBA, RN presentation of Enhancing Care Delivery with Technology, August 2014, Cerner Patient Care Executive Council;presentation of “Taming the Alarm Problem- from Confusion to Information to Wisdom”, Strategies for Complete Team Communication and AlarmManagement and Reporting Strategy for Coordinated Care Team Communication, November 2014 Cerner Healthcare ConferenceVillaraga, Christopher & Dunham-Mihm, Niki, RN, Presentation of Nursing CEU, “The Many Faces of Delirium”, NCH Unit Sponsored LuncheonYates, Amy, BSN, RN, CVRN-BC & Miller, Jennifer, BSN, RN, Presentation of Nursing CEU, “All You Wanted to Know about Anti-Coagulants” NCHUnit Sponsored PracticeConferenceFrancine undson, Julia, RN, Poster: Will Implementation of Daily Chlorhexidine Gluconate Baths and Showers Result in Decreased Central LineBloodstream Infections in Neutropenic Patients?Devaney, Angela, RN, CVRN, Poster: Quality Improvement Through Bedside Shift ReportHarper, Debra, MPH, RN, CDE, Podium: Implementation of Evidenced Based Practice for Glycemic Control: Did it Make a Difference at our Hospital?Lee, Donna, BSN

The nurses at NCH have created a healthy work environment that engages and inspires NCH nurses to have a direct inluence on the quality of care delivery and enhanced patient, employee, and organizational outcomes. All of the nurses at NCH take pride in collaboration, communication, research, education, certiication, and evidence-based practices.

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