Nursing Annual Report

Aultman 2015
Nursing Annual Report
CELEBRATING OUR 3RD MAGNET DESIGNATION
Aultman nurses celebrated achievement of their third Magnet designation in 2015. Being a Magnet organization is a reflection of
nursing excellence, and is an honor shared by only seven percent of hospitals in the U.S. On March 9, Aultman Chief Nursing Officer
Anne Gunther, DNP, RN, NE-BC accepted a phone call from the Magnet Commission Chair to hear the results of the February site visit
to validate and verify Aultman’s document submission. The call, in which the commission chair announced the decision to designate our
hospital as a Magnet organization for the third time, was broadcast via speaker and met with cheers and applause from the large group
of nurses, executives and allied health personnel who had gathered in Bedford lobby to hear the great news!
LETTER FROM THE CHIEF NURSING OFFICER
Dear Nursing Colleague:
The work of nurses is both sacred art and scientific skill,
engaging components of compassion, core knowledge, skilled
judgment and advocacy. The nurse’s mission to promote health,
protect dignity and alleviate suffering marks our profession
as one of the highest human callings. Caring behaviors are
inherent and visible in nurses’ healing relationships with the
patients they serve, and extend to the families and loved ones
who surround them.
At Aultman Hospital, nurses are held to an elevated level
of expectation for quality, reliability and patient satisfaction
outcomes. As they engage patients on a personal level,
apply principles of safety, practice evidence-based care and
demonstrate disease-specific knowledge and skill, Aultman
nurses create a protective, individualized and therapeutic
environment conducive to optimized health for their patients.
In 2015, our deeply rooted culture of caring and reliability led
to remarkable achievements for our hospital and our patients.
I am honored to present for your review the 2015 Nursing
Annual Report, which highlights the passion, commitment and
professionalism of our nursing workforce.
Below are a few examples of the incredible work of Aultman nurses:
• Successful Site Visit and Redesignation as a Magnet Hospital
(third time designee)
• Community Heart Attack Education on the City Bus Line
• Code Lavender Implementation: Caring for our Own
• NICHE Program Development: Specialized Senior Services
• Building a Better Unit: 4 South
• GTZ Initiatives: Decreased Falls, HAPU and CAUTI
• Successful Pharmacology Symposium - Hosted by APRNs
• Preceptor Recognition Events
It is often said that the difference is in the details. Our nursing
vision reflects our understanding that patient outcomes depend on
carefully focused attention to superior service, scientific inquiry and
prevention of harm. Aultman nurses join forces with allied health
professionals to navigate the complexity and nuances that come
with individualized, compassionate caregiving. It is only through
constant evaluation of ourselves and our practice that nurses can
refine and advance nursing science. This continuous concern for
bettering the human experience of illness, recovery and health
across the lifespan has remained consistent throughout history.
Aultman nurses exemplify all of the proud heritage of our caring
profession, and carry forward the best aspects of the nurse scholar/
practitioner. The landscape of nursing’s future is taking shape under
the watchful eyes and intelligent advocacy of nurses very like our
own; I thank them for their stewardship and willingness to learn -and change.
Anne Gunther, DNP, RN, NE-BC
Chief Nursing Officer
OUR NURSING VISION
Our vision is to Deliver Superior Nursing Service. To accomplish this, we will:
• Exceed customer expectations by providing outstanding nursing care.
• Prevent harm and achieve best patient outcomes through evidence-based
nursing practice.
• Manage costs through continuous process improvement.
• Engage stakeholders across our health care continuum.
OUR NURSING PHILOSOPHY
• We, the nurses of Aultman Hospital, value the exceptional care we provide as
we strive for excellence in our nursing practice and reflect the commitment to
our core values.
• We protect patient rights by respecting privacy, confidentiality and individuality.
• We educate patients, families, students and the community - and we recognize
and encourage the education and development of our peers.
• We are active in maintaining an evidence-based nursing practice through
shared decision-making and participation in nursing research.
• We accept change as our opportunity to promote safe, quality patient care in a
rapidly evolving health care environment.
• We value and respect the cultural diversity of our patients and the communities
we serve.
• We mentor within our profession and are members of a dynamic,
interdisciplinary health care team.
• We advocate for our patients, their families and our community, in both
wellness and illness, from birth to death.
MAGNET CENTER FOR
EXCELLENCE TEAM
Magnet Program Director Mary Beth
O'Connor, MSN, RN, CNORe has the
privilege of guiding Aultman’s ongoing
Magnet journey. The American Nurses
Credentialing Center Magnet Recognition
Program® is the highest and most
prestigious credential a health care
organization can achieve for nursing
excellence and high-quality patient care
and advocacy. Magnet organizations
exhibit five components of “magnetism"all characteristics that attract employees
to the hospital - like a magnet! Mary
Beth and her team of Katie Emler, MSN,
RN-BC and Administrative Assistant
Sommer Warwick are already collecting
and cataloguing stories and data for
our next Magnet document, due in
2019. This evidence validates our level
of excellence and reflects the skill,
commitment and accomplishments that
make us a Magnet organization. Patients
can be assured that they will receive
exceptional and compassionate care from
educated and engaged nurses, applying
the latest evidence-based practice
recommendations.
2015 NURSING INITIATIVES
1.
Strengthen nurse engagement.
• Heighten nurse autonomy through workflow redesign.
• Evaluate nurse-nurse interaction.
• Advance professional development access and
opportunities.
2.
Achieve top performance with nurse-sensitive indicators.
(Patient falls with injury, CAUTI, CLABSI and HAPU stage
2 or greater).
• Focus on shared governance (organizational and
unit levels) as drivers of EBP changes.
• Strengthen clinical nurse awareness.
• Focus on staff accountability and the use of
HRO tools.
3.
Improve patient experience.
• Improve clinical nurse awareness.
• Reinforce HRO tones.
• Expand staff accountability.
4.
Build a high-value care team.
• Streamline nursing documentation.
• Align interprofessional goals and work.
NURSING PROFESSIONAL PRACTICE MODEL
A Nursing Professional Practice Model defines the
delivery of nursing care within an organization. Three
nursing theorists are integrated into Aultman’s model:
Watson, Orem and Benner – together, they outline the
core essentials of caring, compassion and competency.
Our nurses view the patient as the central influence on
care, incorporating standards of practice and our mission,
vision and values within a culture of shared governance.
The model is reviewed annually in the practice council,
giving opportunity for evaluation of current nursing practice,
theorists and principles supporting the framework.
TRANSLATING THEORY TO PRACTICE
Watson’s Theory of Human Caring
Orem’s Self-Care Deficit Theory
Benner’s Novice to Expert Theory
“We demonstrate holistic caring
through the use of guided imagery
videos, the use of earplugs and a face
mask if needed for patients, and open
visiting hours.”— 4 South
“We have a mobility protocol to help
patients maintain/improve mobility
and functional level at the time of
discharge.”— 6 North
“Nurses advance from novice to
expert on our unit through a planned
orientation involving classroom and
1:1 (instruction) with an appropriate
level preceptor.”—CCU
“Collaborating with child life
specialists to assist with pediatric
patients.”— Emergency Department
“We developed a grief cart, which
includes resources for families
including a blanket for their loved one,
a brochure of the dying process and a
sympathy card that will be mailed to
the family.”— MICU
“Effective, personalized caring
promotes health and individual or
family growth.”— Pain Management
“Patients’ needs and desired goals are
incorporated into individualized care
plans to maintain independence.”
— 5 North
“We support patients to return to
their highest level of self-care via early
ambulation, return demonstrations,
disease education and home care
planning.”— Main 5
“We learn from each other with
consideration for the level of (a
nurse’s) experience.”—Aultman North
“Case managers advance from novice
to expert with an ongoing mentoring
process that supports development of
the nurse.”—Case Management
CELEBRATING OUR 3RD MAGNET DESIGNATION
United Way Day of Caring
Cancer Screening Day
Cancer Screening Day
Making Strides Against
Breast Cancer Walk
“Meet the Team with
More Heart” Events
“Meet the Team with
More Heart” Events
Making Strides Against
Breast Cancer Walk
“Meet the Team with
More Heart” Events
“Meet the Team with
More Heart” Events
United Way Day of Caring
Safety First
Safety First
HOF Senior Day
Cancer Survivors’ Celebration
Safety First
Cancer Survivors’ Celebration
HOF Senior Day
Safety First
American Cancer Society
Relay for Life Walk
American Cancer Society
Relay for Life Walk
AULTMAN COLLEGE BSN COMPLETION GRADUATES
In alignment with the Institute of Medicine (IOM) Future of Nursing report recommendation to achieve an 80 percent BSN workforce
by 2020, Aultman nursing leaders collaborated with Human Resources and Aultman College to offer opportunities for nurses to
conveniently advance their nursing degree. Initiatives included flexible scheduling for school, tuition reimbursement, a hybrid, onsite BSN completion program, scholarship opportunities and tuition reduction for specified cohorts of nursing students. All of these
measures demonstrate the transformational nature of our nursing leadership, and a commitment to building structures and services
designed to empower our nurses.
The Aultman College of Nursing and Health Sciences’ inaugural class for the BSN completion program began in fall 2013. The first
cohort of 18 students graduated in May of 2015.
Kellie Boll, BSN, RN
Barbara Brown, BSN, RN
Carol Crawford, BSN, RN
Rachael Deitrick, BSN, RN
Carrie Dimmerling, BSN, RN
Deborah Dysle, BSN, RN
Amy Erb, BSN, RN
James Kelley, BSN, RN
Diane Limbach, BSN, RN
Penny Mobberley, BSN, RN
Michelle Newman, BSN, RN
Angela Quinn, BSN, RN
Loretta Raff, BSN, RN
Robin Rennie, BSN, RN
Christy Richards, BSN, RN
Debra Stimmel, BSN, RN
Ginny Storsin, BSN, RN
Kristy Yochum , BSN, RN
GRADUATIONS
Consistent with a culture of lifelong learning, a large number of Aultman nurses committed to advancing their education in 2015.
Degree completions included the following:
Bachelor’s Degrees
Jen Stevens, BSN, RN
Doctoral Degrees
Sabrina Funk, BSN, RN
Kristen Fisher, BSN, RN
Stephanie Boyd, DNP, RN
Chelsea Flight, BSN, RN
Debbie Wise, BSN, RN
Dianne Gibbs, DNP, RN
Ronda Plaskett, BSN, RN
Hannah Bitticker, BSN, RN
Jared Campbell, BSN, RN
Teresa Neff, BSN, RN
Heather Bracken, BSN, RN
Michaella Constanine, BSN, RN
Lindsey Fernandez, BSN, RN
Martha Grage, BSN, RN
Ted Trzaska, BSN, RN
Jamie Kent, BSN, RN
Deb Domer, BSN, RN
Kimberly Chmielewski, BSN, RN
Kayla Ward, BSN, RN
Jessica McAvinew, BSN, RN
Katlyn Dittmar, BSN, RN-BC
Lee Ann Miller, BSN, RN, OCN
Sue Pachuta, BSN, RN, CPAN
Kristy Russell, BSN, RN
Master’s Degrees
Suzanne LaBuda, BSN, RN
Beth Doslak, MS, BSN, RN
Cindy Strait, BSN, RN
Laura Bitonte, MAEd, BSN, RN
Shannon Kincaid, BSN, RN
Angela Easterday, MSN, RN
Lori Wyler, BSN, RN
Katie Pfalzgraf, MSN, RN, CNP, AGACNP-BC, CCRN
Kristy Winkhart, BSN, RN
Laura Fenn, MSN, RN, CNP, AGACNP-BC, CCRN
Susan Dinarda, BSN, RN, CRRN
Rochelle Fausneaucht, MSN, RN, AG-ACCNS-BC
Cathleen Leedy, BSN, RN
Jerrod Plotts, MSN, RN, CCRN-CSC
Ginelle Breyer, BSN, RN, CCRN
Alan Merry, MSN, RN
Lisa DeRita, BSN, RN
Patty Russell, MSN, RN
NURSING CERTIFICATIONS
Nursing certification represents a strong commitment to elevating professional
knowledge within a nursing specialty to a defined level of excellence. Study, mental
preparation and testing are components of the process. Aultman supports nursing
certification via hosting prep classes on-site, scheduling attendance for approved
outside prep classes, and reimbursement for certification testing and recertification.
The following Aultman nurses successfully completed the rigorous nursing
certification process in 2015:
Melissa Brown, BSN, RN, CCRN
Julie Brown, BSN, RN-BC, CEN
Danielle Adams, RN, CCRN
Emily Carr, BSN, RN-BC
Molly Martino, RN, CNOR
Justin Lonca BSN, RN, CCRN
Paula Merten, BSN, RN-BC
Lynette Herrington, BSN, RN, OCN
Jody Hershberger, BSN, RN, CHPN
Sabrina Funk, BSN, RN, CCRN
Laura Vandervaart, BSN, RNC-NI
Cody Litman, BSN, RN, CCRN
Connie Hammen, RN, ONC, BC
Shanna Roberts, RN, C-EFM
Selena Riordan, MSN, RN-BC, CNP
Kelly Carmany, MSN, RN, CNE
Justin Lonca, BSN, RN, CCRN
Ying Liu, BSN, RN-BC
Leya Kelly, BSN, RN-BC
Angela Ott, MSN, RN, NE-BC, CGRN
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
CAUTI Committee 2015
Quarterly Surveillance Audits
Continued quarterly surveillance audits in conjunction with
skin prevalence study. Auditing small orange label on urinary
catheter bag below vent.
Bladder Scanner Representative Educated Staff on
Bladder Scanner Usage
Provided each unit director with a folder containing
educational materials to be used with competency, along
with the link to the bladder scanner education.
Quick Reference Cards for Bladder Scanners
Formulated and applied laminated quick reference cards to
the BVI 3000 & BVI 9400 bladder scanners.
Foley Catheter Insertion Policy
Revised the policy: Urinary Catheterization of the Adult Male
or Female Patient: Insertion, Care and Removal.
Bladder Scanner Charges & Documentation
Opportunities
Education with screen shots sent to all unit directors on how
to charge and document the bladder scanner.
Elements for Performance for CAUTI from Joint
Commission.
Instructions provided on Cerner documentation and where
to go to print a copy of the FAQ sheet - to be provided to
unit directors.
FAQ Sheet to be Provided to All Patients & Their Families
if Foley is Present
CAUTI Poster
Presented a poster for Spirit of Inquiry. Poster accepted for
2016 ANA conference.
Managing Urinary Elimination after Urinary Catheter
Removal Protocol
Protocol formulation in progress - will address indications for
bladder scanners usage.
CAUTI Data
Number of CAUTIs:
2011 = 92 2012 = 24 2013 = 15 2014 = 7 2015 = 6
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
CLABSI Committee 2015
Tracking & Trending of CLABSI Data
Cerner Documentation Updated
Infections reviewed monthly to identify trends. Unit directors
with a CLABSI on their unit attend the meeting and provide
an overview of their follow-up. Action plans requested from
units with multiple CLABSIs.
Central line maintenance bundle documentation
implemented with Cerner iView go-live.
Monthly Unannounced Maintenance Bundle Audits
IV team audits all central lines for maintenance bundle
compliance each month. Unit directors and/or assigned
nurse are notified immediately for areas out of compliance.
Monthly Curos Cap Audits
IV team audits Curos cap usage on all central lines with
a goal of 85% compliance based off the manufacturer’s
recommended minimum goal. Compliance with goal has
been demonstrated.
Next Generation Curos Jet Caps Implemented
Hospital-wide in-service and implementation of next
generation Curos Jet alcohol protector caps were
implemented in September.
Monthly Live RN-RN Unit Education
Central line dressing change education with “Chester
the Chest” implemented in February. Ongoing “handson”education completed in 11 units.
PICC/CVAD Policy Review
The CLABSI committee reviewed PICC/CVAD policy to
ensure best practice and procedures.
IV Tubing Securement Device
Centurion “IV Tubing Securement Device” identified and
made available to anchor tubing connected to central lines
placed in the jugular vein.
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
Falls Committee 2015
Completion of Bed Alarm Cord Distribution
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Complete bed alarm education for staff.
Bed alarms distributed on all floors.
Reviewed progress, barriers and issues.
Bedford rewiring to enhance bed alarm.
Review Correlation between Polypharmacy and Falls
• Pharmacy reports out to identify trends linked to falls.
Review Correlation between Delirium and Falls
• Dr. Baum joined committee to correlate falls and delirium.
• Trialed CAM and mini-cog assessments to assess increase falls risk.
Engage Committee Involvement with the Community
• S. Nuske (Trauma) joined committee to provide community perspective.
• Multidisciplinary task force formulated.
Falls Awareness Prevention Day
• Tables in lobby of the main hospital, Aultman West, Aultman North,
Aultman Carrollton, Aultman Orrville and Woodlawn providing literature
to the community to heighten falls awareness.
• Self-assessment tool provided for community to assess their risk
of falling.
Community Engagement
• TUG test preformed by volunteers to assess possible fall risk.
Community Outreach
• Interview with WHBC.
• Dr. Baum and Andy Beltz participated in radio interview to increase fall
awareness in the community.
10 Million Steps to Prevent Falls
• Sept. 23, 2015 - Staff participated in walk sponsored by the Institute
on Aging.
Reviewed Falls Policy
• Reviewed falls policy for updates.
Benchmark New Safety Products
• Sara Steady & Sara Steady Plus, Dycem strips, falls risk assessment tool,
bathroom alarms and patient transport tarp.
Joint Commission Preparation
• Readiness for Joint Commission recertification by review of Sentinel
Event Alert.
Ancillary Staff Education on Bed/Chair Alarms
• Education done for porters and transporters.
Cerner Staff Education
• Created education for staff regarding new falls documenting process.
Falls Data
• The fall rate from 2014 to 2015 shows a decrease in inpatient falls.
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
Skin Committee 2015
Reference Notebook & Cerner
Pressure Ulcer Reference Guides
• Reference notebook distributed to units regarding:
o Pressure ulcer prevention protocol.
o Pressure ulcer staging.
o Sacral ulcer prophylaxis dressing protocol and application guide.
o Specialty therapy support surfaces.
o Wound VAC reference guides, VAC & VAC Ulta alarm troubleshooting, basic
application, VAC Via system, Prevena incision management system.
• Wound measuring rulers available on each unit.
• Cerner staging guideline reference.
Prevalence Study Action Plan
• E
valuation and investigation to decrease device-related pressure ulcers regarding
O2 tubing and masks.
• Safety task force (new committee) investigating safe patient transfer practices and
devices.
• Investigating evidence-based practice for decreasing pressure ulcers in critical care
areas for the hemodynamically unstable patient.
• Noted decreasing trend of HAPU with quarterly studies (3rd and 4th quarters).
Advanced Wound Care Value
Analysis Project
• Evaluation of advanced wound care products to improve patient outcomes and
budget management.
Specialty Bed Ordering
(New Committee)
• Improve process of bed ordering and budget.
Data
• 2014 = 9
2015 = 8
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
SSI Prevention Committee Accomplishments 2015
Implementation of OR observations
• Infection Prevention Team performed OR observation of surgical procedures
to examine environmental factors and overall technique.
Isolation Education to OR Staff
• Upon request, the Infection Prevention Team provided isolation and infectious
disease educational in-service to OR staff.
• Infection Prevention Team and OR staff members performed “mock”
isolation surgical patient scenarios to examine current practices and areas of
opportunity or need for additional education.
Dressing Change Patient Instructions
• Dressing change patient instructions were updated for consistency.
SSI Infection Prevention Strategy Bundle
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Patient Communication Avenues
• Review completed to provide alternative means to communicate with
patients to increase compliance with prevention measures. Example: texts
and/or emails to patients as reminder for CHG shower, etc.
• Collaboration with Innovation Team initiated to examine feasible modes of
communication.
• Patient reminder text/email drafts formulated.
• Innovation Team text/email build (electronic pathway) in process to elicit
patient reminders.
• Innovation Team developing patient education video and text/email scripts.
SSI Physician Champion Reporting Structure
• Members of SEC serve as SSI champions for peer review.
SSI Prevention Bundle-Related Electronic
• EMR pre-procedural checklist updated to include wash and nasal antisepticimperative for
oDocumentation
o Monitoring compliance with product use
o Infection follow-up
Documentation Upgrades
Conducted review of best practices and benchmarks.
Collaborated with infectious disease physician specialist.
Formulation of pre-op evidence-based SSI care bundle proposal.
Proposed SSI prevention strategy bundle to surgeon groups.
SSI prevention bundle endorsed by hospital administration, SEC, PAC, PEAC
and MEC.
• Formulation of patient preoperative shower/bathing instructions.
• SSI prevention strategy bundle implementation for cardiothoracic and
neurospine surgeries.
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
VAE/Restraint Committee 2015
NICU VAE Auditing
• NICU leadership added to committee to look at prevalence
and prevention of VAE in the NICU.
• Revised the audit tool for NICU needs.
VAP Audit Tool Reporting
• Auditing and reporting process has become more standard.
Violent Restraints
• Identified violent restraints as an opportunity for
improvement.
• Revised education for staff.
• Begin 2015 with daily/weekly audit of violent restraints.
VAE dashboards
• 2015 – With changes to classification of VAE’s, no change
in incidence.
Oral Care Product Change
• After current vendor discontinued product, A. Hiner, R.
Fleischman, R. Fausneaucht and J. Plotts met with vendor
representatives from several companies and brought the
products to the committee.
• Committee voted to move forward with the Sage product.
• A. Hiner presented at the PAC meeting and the decision
was made to move forward with Sage.
• VAE prevalence decreased.
• Oral care compliance increased.
• A. Hiner & J. Plotts recognized at Spirit of Inquiry for best
poster in clinical practice.
GETTING TO ZERO (GTZ) COMMITTEE ACCOMPLISHMENTS 2015
SHARED GOVERNANCE ACCOMPLISHMENTS
APRN Council
Chair: Crystal Tausch, MSN, APRN
Chair-Elect: Stacy Irwin, MSN, APRN
Facilitators: Anne Gunther, DNP, RN, NE-BC and
Tina Biasella, MSN, RN, NE-BC
Research Council
Chair: Susan Gilbert, OTR/L
Chair-elect: Brandee Reese, BSN, RN
Facilitators: Karen Chirumbolo, MSN, RN, CNS and
Anne Paliswat, MSN, RN, NE-BC
• Sponsored two education sessions:
• Dr. James Schmotzer presented Anemias
• Dr. Margaret Kobe presented Case Studies from Clinical
Practice
• Hosted a successful Pharmacology Symposium.
• Hosted Town Hall Meeting with OAAPN to discuss and
educate on HB 216: The Modernization of Practice for
Advanced Practice Nurses.
• Reviewed bimonthly case presentations.
• Planned Spirit of Inquiry event, which took place Dec. 4,
2015 with 31 practice improvement posters and seven
research posters.
• Revised Scientific Merit Review Form.
• Developed PowerPoint to guide researchers presenting to
council for scientific merit.
• Validated 30 research project presentations for scientific
merit.
• Collaborated with librarians to create library website.
Practice Council
Chair: Christina Smith, BSN, RN
Chair-Elect: Christine Howell, BSN, RN, CEN
Facilitators: Kelly Lilly, MSN, RN, NE-BC and
Marie Hooper, MSN, RN, OCN
SURF
• Chair: Erika Owens, BSN, RN
• Chair-elect: Chris Kestner, BSN, RN
• Facilitators: Kathy Zimmer, MBA, BSN, RN
• Completed member education for all Cerner system
changes.
• Accomplished four projects:
o Housewide iView- June 2015
o EKG Viewer- July 2015
o Immediate Care Go-live - Fall 2015
o ICD-10 - October 2015
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Implemented “Walk in your Shoes” program.
Facilitated “violent patient” education.
Completed pain video/education.
Completed analysis of SBAR process.
Focused efforts on hand hygiene compliance.
Assessed blood transfusion documentation.
Assisted with CPR policy revision.
Contributed to development of Code Lavender.
Created Geriatric Resource Nurse Subcommittee.
SHARED GOVERNANCE ACCOMPLISHMENTS
Recognition Council
Chair: Phyllis Richards, BSN, RN, CNOR
Chair-elect: Michelle Horne
Facilitators: Mia Bausell, MSN, RN, CCRN and
Anne Paliswat, MSN, RN, NE-BC
• Recognized professional disciplines during their national
recognition weeks.
• Awarded the Recognition Pickle Jar to 45 nominated units
throughout the year.
• Raised $2,213.55 to benefit the ARNE and TEAM
Scholarship Funds.
• Planned/hosted Annual Points of Caring Awards dinner.
Patient Service Professional Enhancement Council
Chair: Nick Webb, BBA
Chair-elect: Heidi Seal, RRT
Facilitators: Jim Harris, BA, ATC and Jason Shundry
• Promoted and hosted Action Academy
o 21 participants representing 21 different areas of
Aultman Health Foundation.|
o Average length of service of participants was ten years,
with employees tenured from 33 years to six months.
o LMS discussion thread forum was created for 2016 so
participants could discuss projects and other topics.
• Created an outline/template to track professional
development opportunities.
SHARED GOVERNANCE ACCOMPLISHMENTS
Nursing Professional Enhancement Council
Chair: Kristy Winkhart, BSN, RN, CCRN
Chair-elect: Julie Sisco, MSN, RNC-OB, C-EFM
Facilitators: Anne Paliswat, MSN, RN, NE-BC and
Mindy Carano, MSN, RN, CPN
• Provided materials to honor certified nurses in celebration of
Certified Nurses’ Day 2015.
• Modified Peer Review Form to address non-clinical nurses.
• Developed a recommendation for a nurse mentoring
program.
Nursing Education Council
Chair: Lori Knoch, MSN, RN, CNS
Chair-elect: Bianca Doak, BSN, RN
Facilitators: Pat Miller, MSN, RN, NE-BC and
Tina Biasella, MSN, RN, NE-BC
• Conducted 2016 Nursing Needs Assessment; achieved 75
percent response rate.
• Developed eight versions of the Annual Nursing Education
for Aultman Hospital and other Aultman facilities.
• Reviewed and approved 21 mandatory nursing education
modules.
• Reviewed Nurse, Nurse Aide, Bring Back Day and Critical
Care Orientation programs.
• Provided classes and contact hours on ten requested topics
from 2014 Nursing Needs Assessment.
• Developed guidelines for determining appropriateness of
LMS-delivered nursing education.
Nurse Manager Council
Chair: Nancy Kane, MSN, RN, CNOR
Chair-elect: Mia Bausell, MSN, RN, CCRN
Facilitator: Anne Gunther, DNP, RN, NE-BC
• Participated in multiple community service opportunities.
• With CNO, focused on linking Nursing Strategic Plan
initiatives with unit bedside practice.
• Addressed resolution of issues relative to Monthly Hot
Topics (example: scheduling vacations, holidays, 12-hour
shifts).
Nursing Care Council
Chair: Jen Roth, MSN, RN
Chair-elect: Kelly Keniray, BSN, RN, PCCN
Facilitator: Tina Biasella, MSN, RN, NE-BC
• Integrated Aultman Orrville inpatient staff as council
members.
• Completed Nursing Fatigue Research Study.
• Provided education to nursing staff about Staffing
Concern Portal.
• Completed literature review for RN-RN interaction topic.
NURSES’ WEEK 2015
Aultman nurses celebrated Nurses’ Week 2015 from Monday, May 1 through Friday, May 15. The Nurse Appreciation Committee
planned a week of activities to help celebrate, including a traveling photo booth, a display of nursing uniforms from the past, and
continuing education opportunities. Aultman nurses joined in the fun, creating some memorable photos to highlight the occasion!
NURSES’ WEEK PROFESSIONAL DEVELOPMENT OPPORTUNITY
A special National Nurses’ Week
professional development opportunity
was offered for clinical staff nurses.
A dynamic speaker, Vicki Hess, RN,
MS, CSP was engaged by CNO Anne
Gunther, DNP, RN, NE-BC to provide a
unique and energetic perspective on
transforming the nursing workplace.
This keynote presentation was based
on Vicki’s best-selling book “Shift to
Professional Paradise.” The topic was
one of three presentations that also
included Joseph Feltes, speaking
on HIPAA and social media, and
Cathy Rainieri with a Category A
Nursing Law offering. Nurses from
other Independent Hospital Network
hospitals attended alongside their
Aultman counterparts.
Nurses turn POWs into “WOWs” using Vicki Hess’ tools for creating a Professional Paradise.
Nurses from five area hospitals
attended the session.
Vicki Hess challenges attendees.
POINTS OF CARING
The annual Points of Caring dinner
was held Thursday, Oct. 15 at an
outside event center. In addition to
the presentation of seven Points
of Caring awards to Aultman staff
members, four scholarship recipients
were honored and three guest
speakers shared their stories with
the 280 attendees.
The Points of Caring is Aultman's
honors program for outstanding
nursing and clinical support staff.
The awards spotlight Aultman's best
of the best. Each fall, the Points of
Caring award is presented to one
student from Aultman College, one
individual nurse (LPN, RN, APN,
etc.), one non-nursing staff member
(e.g., lab, respiratory, pharmacy,
etc.), one nurse manager, one health
professional manager and one group.
Each award winner exemplifies the
components of the five "points of
caring." These outstanding qualities
include compassion, customer
service, clinical excellence,
professional commitment and
community involvement.
Congratulations to the 2015 recipients!
• Group award: SANE Nurses,
Emergency Department
• Individual nurse award: Nona Harbert,
RN, Hospice and Palliative Care
• Individual award: Jeff Oaks, RT(R)(CT)
(CV), Imaging Services
• Nursing manager award: Jennie
Bollinger, BSN, RN-BC, CRRN, Director
of Transitional Care
• Manager award: Patrick J. Snyder,
MPT, Carrollton Fitness and Therapy
• Preceptor award: Teri Moore, RN,
Memorial 6 South
• Student award: Christine Gardner,
Aultman College
Congratulations also to the four
scholarship winners:
• Patricia Bowman, RN, Heart Lab
• Cara Rich, BSN, RN, CNOR, Critical
Care Instructor, Education and
Development
• Sheila Fye RT(R), Unit Director,
Imaging Services
• Shelby Phillips, Patient Transport
CODE LAVENDER: CARING FOR OUR OWN
When an Aultman unit or department experiences a
particularly stressful event – such as the unexpected death
of a co-worker, multiple patient deaths or a series of difficult
situations – the Code Lavender team is initiated to help
the staff cope.
The team utilizes a mobile cart to “set up” a
room near the unit/department. The room
offers a calm, supportive environment in
which to relax. “We provide beverages
and healthy snacks, soft music,
lavender aromatherapy, a healing
basket with small giveaways for
staff members and Code Lavender
team members to provide emotional
support,” says Critical Care Liaison
Sally Paumier, RN, MA, LPC. “Other
options range from a visit from a
Happy Tails dog team to neck massages. We can set up for a
time frame ranging from one shift to 48 hours, customizing
the elements of the Code Lavender based on a unit’s needs.”
The Code Lavender concept originated at the
North Hawaii Community Hospital in Waimea,
Hawaii in the 1990s. “The Cleveland Clinic
has had a Code Lavender program in place
since 2009, and we benchmarked that
program before crafting ours,” noted
Barbara Fordyce, Ph.D., a member of
the Aultman Code Lavender team.
“It’s been wonderful to work on this
project because everyone on the
committee is so passionate about
helping employees in need.”
BUILDING A BETTER UNIT: MEMORIAL 4 SOUTH
One of the highlights of 2015 was the completion of a newly renovated unit and the relocation of Memorial 4 East to Memorial 4
South. Suggestions from patients, visitors and nurses were taken into consideration
to create an efficient and comfortable healing
Patient Satisfaction environment. Some of the changes include:
• Addition of medication CAHPS Dimension cabinets
•
outside each patient room.
•
• New furniture in patientDischarge Information rooms:
•
patient friendly Nala chair, easy-to•
move overbed table. Communication with Nurses • Softer décor and colorsCommunication about in room.
•
• Addition of Patient Care Techs.
• Addition of nutrition center for
families.
• Addition of consult rooms.
• Natural art.
• Addition of music in hallways.
Medications Overall Rating of Hospital Percentile Softer
bedside
lighting.
2013 2014 2015 Goal Design of new nurses’ station.
Met Whiteboards.
38 29 72 New assignment board with staff
14 15 36 pictures.
More
seating
9 14 for visitors.
25 40 37 42 The fresh environment positively influenced patient outcomes, specifically quality and patient satisfaction. The graphs below
represent the improved scores from Memorial 4 South.
Patient Satisfaction Source:
Midas Internal Report
Percentile 4 South Patient Falls
CAHPS Dimension 2013 2014 2015 Discharge Information 38 29 72 Goal Met Communication with Nurses 14 15 36 Communication about Medications Overall Rating of Hospital 9 14 40 37 25 42 Source:
Midas Internal Report
4 South Patient Falls
Intervention
Intervention
23
22
12
2013
2014
2015
COMMUNITY HEART ATTACK EDUCATION ON THE CITY BUS LINE
Ron Manes, BSN, CCRN and Eric Paliswat, RN, BSN took a ride with SARTA on
Feb. 24, 2015, representing the Aultman Heart Center. From approximately 9 a.m.
to 5 p.m. that day, they joined passengers on various SARTA lines in North Canton,
Canton and Massillon, educating riders about heart attack awareness. Ron and
Eric were able to review heart attack signs and symptoms, hands-only CPR and
risk profiles with members of the community. They also provided brochures with
additional information. Almost all of the passengers they talked to had been affected
by a heart attack in some way, so the groups were very appreciative of the outreach
and receptive to hearing the information. These dedicated nurses exemplify the
commitment and dedication of Aultman nurses to community involvement and
health promotion.
AULTMAN SPECIALIZED SENIOR SERVICES
Aultman nurses continue to focus
on patient-centered care for older
adult patients. Through participation
in the Nurses Improving Care for
Healthsystem Elders (NICHE)
program — a leading elder care
nursing program — Aultman is able to
offer evidence-based, interdisciplinary
approaches that promote better
outcomes, positive experiences and
improved care for older adults. This
leads to greater satisfaction rates for
patients, their families and staff.
Several senior-focused initiatives
occurred in 2015, including geriatricspecific education programs, delirium
prevention strategies, mobility
initiatives, geriatric-specific research
studies, committee development
and support for geriatric certification.
Successes have been shared at
varying levels including local and
national conferences.
The graph below depicts the steady increase in geriatric certified nurses
(GRNs) at Aultman.
Nurses Certified in Gerontological Nursing
Nurses Certified in Gerontological Nursing
39
30
39
30
22
22
11
11
Initial
Initial
2014
2014
20152015
Jan‐March 2016
Jan‐March 2016
SPECIALIZED SENIOR SERVICES
SPIRIT OF INQUIRY 2015
2015 SPIRIT OF INQUIRY WINNERS INCLUDED:
Best in Research Award: Know FIM, No Fall - Maria Page,
BSN, RN-BC, CRRN and Pamela Wilson, BSN, RN, CRRN
Best in Clinical Practice Award: Oral Care Everywhere Amy Hiner, MSN, RN, ACNS-BC and Jerrod Plotts, MSN,
RN, CCRN-CSC
Global Impact Award: An Educational Strategy to Increase
Nurse Competency - Beth Chenevey, BSN, RN, CCRN
Committee’s Choice Award: The Role of a Clinical Pharmacist
as Part of an Interdisciplinary Hospice Team - Lacey Davis,
PharmD, BCPS, Angela Williams, MBA, BSN, RN, Steve
Grossman, M.D., Laurie Hanne, D.O. and Jeffrey Marsh, M.D.
At Aultman, research and continued practice improvement
are significant to the development of our caregivers and
to our care coordination efforts. The Spirit of Inquiry
provides a single platform for sharing research and
evidence-based practice occurring within specialties
throughout our organization. 2015 marked the twelfth year
for this important event, which was created to encourage
professional development by promoting and highlighting
practice improvement and research projects.
The 2015 event was planned by a committee from the
Research Council, which reviewed and accepted 31
research and practice improvement projects. Posters
were displayed in the Bedford lobby. A lunch and speaker
session, followed by an awards presentation, concluded
the celebration on Dec. 4.
RESEARCH PROJECTS 2015
Study Title
Principal
Investigator
Name(s)
Principal
Investigator
Credentials
Study Location
Will Continuing Education on Rapid Responses and Code
Blues Improve Self-Confidence and Competence in a Med/
Surg Unit in a Rural Hospital?*
Beth Chenevey
BSN, RN, CCRN
Orrville
Mentoring-Changing the Culture of Nursing*
Emily Byers
BSN, RN, CCRN
SICU
The Effects of Early Progressive Mobility on Delirium in
Intensive Care
Amy Hiner
MSN, RN,
ACNS-BC
MICU & SICU
The Effects of Compassion Fatigue in the Emergency
Department*
Jennifer Oliver
RN
ED
How Do Hospitalized Patients in Isolation Perceive Their
Experience?
Angela Hissner
BSN, RN
CVSICU
Undergraduate Nursing Students’ Learning Experiences of
Anatomy and Physiology
Jennifer Hillyer
MSN, RN
Aultman College
Stand up for the Patient! Nurses’ Perceptions of Nurse to
Nurse Bedside Report and its Impact on Patient Safety
Cara Rich
BSN, RN, CNOR
E&D/ 5 South
Incidence of Undiagnosed Obstructive Lung Disease in
Older Adults from a Northeast Ohio Region*
Linda Griggs (RN) &
Tim Larson (RRT)
MSN, RN,
ACNS-BC
Community
Weight-based Vancomycin Dosing in the Emergency
Department
Brittany Petrosky
Pharm D.;
Pharmacy Resident
ED
Exploring Medication Therapy Management (MTM) in an
Inpatient Setting
Katie Chizmadia
Pharm D.;
Pharmacy Resident
Inpatient Units
RESEARCH PROJECTS 2015
Study Title
Principal
Investigator
Name(s)
Principal
Investigator
Credentials
Study Location
Impacting the Nurse's Knowledge Base of Alarm Fatigue
on Post-Anesthesia Patients
Tia Judd
BSN, RN, NE-BC,
CPAN
PACU
Preoperative Nursing Knowledge of Delirium and Its Risk
Factors
Casey Allison
BSN, RN, NE-BC
Same-day Surgery
Diagnositc Accuracy of the Skull Vibration-Induced
Nystagmus Test (SVINT) Performed in Room Light (With
Fixation)*
Andy Beltz
PT
Tusc. Therapy
Knowledge Retention: Audience Response Technology in
Nursing Education
Jo Ann
Donnenwirth
MSN, RN,
ACNS-BC, EdD©
Aultman College
Participation in a Work-based Journal Club to Improve
Evidence-based Practice Self-efficacy: A Quality
Improvement Project*
Amber Gotschall
MA, OTR/L
Carrollton
Have our Mock Code Blue Practice Sessions Improved our
Pulseless Cardiac Event Survival Rates?*
Debbie Shaffer
MSN, RN
Inpatient Units
Patient Knowledge of Prescribed Medication as an
Indicator for Health Literacy*
Stephanie Ascani
LSW
Aultman Physician
Center
Identifying Military Service in the Civilian Care Setting*
Bianca Doak
BSN, RN
CCU
Decreasing Pathogen Transmission in the Neonatal
Intensive Care Unit: A Study on Infection Risk and Mobile
Phones*
Erin Bradley
BSN, RN
NICU
ABCDEF Bundle Improvement Collaborative
Amy Hiner
MSN, RN,
ACNS-BC
MICU & SICU
RESEARCH PROJECTS 2015
Study Title
Principal
Investigator
Name(s)
Principal
Investigator
Credentials
Study Location
The Post Anesthesia Care Unit Will Breathe Easier:
Decreasing SpO2 Alarms in the PACU”
Joyce Hein
BSN, RN, CPAN
PACU
Current Practices in Management of End of Life
Secretions
Tammie Thompson
RN
Hospice
Impact of Service Learning Versus Vicarious Learning
Experiences in Critical Analysis, Argumentation &
Research
Jeffrey Pellegrino
PhD
Aultman College
Caregiver Preceived Barriers to Family Centered Care*
Briana Reardon
BSN, RN
NICU
Do New Graduate Nurses Perceive More Incivilitiy than
Experienced Nurses?*
Beth Hendricks
BSN, RN
CCU
The Impact of Restraining Patients on Mechanical
Ventilation
Kim Dougan
MSN, RN, CCRN
MICU
*Research Academy Project
PRECEPTORS: IMPARTING A NURSING LEGACY
The role of clinical preceptors in nursing education is an extremely significant one because they provide an opportunity for students to
combine classroom knowledge with the development of hands-on skills. Many research studies have demonstrated that experienced
staff nurses are key to optimal learning outcomes for students within the clinical environment. These expert clinicians (preceptors)
lead the students through complex clinical situations which help to advance their assessment and critical thinking skills.
The preceptors provide guidance as role models; assist with the development of professional socialization; facilitate students’
utilization of the skills required for prioritization, organization and delegation; and demonstrate the implementation and importance of
self-reflection.
The following expert registered nurse clinicians and unit directors contributed to the advancement and legacy of the nursing
profession by their willingness to precept nursing students or to arrange preceptorship experiences:
Preceptor
Unit
Unit Director/
Assistant Nurse
Manager
Preceptor
Unit
Unit Director/
Assistant Nurse
Manager
Alisha Abramson
4 North
Tieryn Trissel
Molly Haymaker
6 East
Sara Reich
Kala Triner
4 North
Tieryn Trissel
Nancy Williams
6 East
Sara Reich
Megan Laubacher
4 North
Tieryn Trissel
Brie Riemenschneider 6 North
Amy Colvin
Megan Xiong
4 North
Tieryn Trissel
Deb Blile
6 North
Amy Colvin
Jennifer Ricksecker
4 South
Kristi Cain
Julia Hout
6 North
Amy Colvin
Stacy Eicher
4 South
Kristi Cain
Denise Holben
6 South
Marie Hooper
Rhonda Weikart
4 South
Kristi Cain
Heather Davis
6 South
Marie Hooper
Abby Travis
5 North
Sonja Anderson
Kelsey Streb
6 South
Marie Hooper
Jill Biedenbach
5 North
Sonja Anderson
Matt Hizer
Aultman Specialty Hospital
Terry Regula
Renee Schaffert
5 North
Sonja Anderson
Charlotte Froelich
Birth Center
Nancy Kane
Tammy Dennis
5 North
Sonja Anderson
Jenny Misch
Birth Center
Nancy Kane
Don Hunt
5 South
Tyler Reichman
Jodi Johnson
Birth Center
Nancy Kane
Jillian Dittmer
5 South
Tyler Reichman
Joni Dingey
Birth Center
Nancy Kane
Natalie Ligas
5 South
Tyler Reichman
Mary Snively
Birth Center
Nancy Kane
Emily Carr
6 East
Sara Reich
Megan Gilroy
Birth Center
Nancy Kane
Jaclyn Abrecht
6 East
Sara Reich
Theresa Engle
Birth Center
Nancy Kane
Julie Miller
6 East
Sara Reich
Allen Ayers
CCU
Sandy Bogner
Leya Kelly
6 East
Sara Reich
Brandee Reese
CCU
Sandy Bogner
PRECEPTORS: IMPARTING A NURSING LEGACY
Preceptor
Unit
Unit Director/
Assistant Nurse
Manager
Preceptor
Unit
Unit Director/
Assistant Nurse
Manager
Fran Dean
CCU
Sandy Bogner
Amanda Maurer
NICU
Mindy Carano
Jonathan King
CCU
Sandy Bogner
Amy Jamison
NICU
Mindy Carano
Lisa DeRita
CCU
Sandy Bogner
Gregory Ray
PACU
Casey Allison
Rachel Courtney
CCU
Sandy Bogner
Keri Boswell
Psych
Mick DeWitt
Rose May
CCU
Sandy Bogner
Natasha Ashcraft
Psych
Mick DeWitt
Laura Yoder
Critical Care Resource Team
Jennifer Roth
Anne DeVaul
SICU
Cheryl Wallace
Mandi Testa
Critical Care Resource Team
Jennifer Roth
Emily Byers
SICU
Cheryl Wallace
Amy Hohenberger
Emergency Department
Stacie Howard
Jamie Whitacre
SICU
Cheryl Wallace
Lynn Martin
Emergency Department
Stacie Howard
Cathleen Leedy
Step-Down Resource Team
Jennifer Roth
Ashley Basso
Main OR
Arlene Wingerter
Chris Pfouts
Step-Down Resource Team
Jennifer Roth
Michelle Lane
Main OR
Arlene Wingerter
Judi Abrecht
Step-Down Resource Team
Jennifer Roth
Shirley Tucker
Med/Surg Resource Team
Amy Colvin
Laura Baxter
Step-Down Resource Team
Jennifer Roth
Chelsea Flight
MICU
Kim Dougan
Laura McMorrow
Step-Down Resource Team
Jennifer Roth
Danielle Adams
MICU
Kim Dougan
Tracie Fitch
Step-Down Resource Team
Jennifer Roth
Dawn Barnhart
MICU
Kim Dougan
Sandy Kohler
TCC Hawthorn
Jennifer Bollinger
Deanna Tuggle
MICU
Kim Dougan
Wanda Bagueros
TCC Hawthorn
Jennifer Bollinger
Denise Haidet
MICU
Kim Dougan
Ashley Wallick
TCC Willow
Jennifer Bollinger
Jen Bajornas
MICU
Kim Dougan
Krista Martini
TCC Willow
Jennifer Bollinger
Jim Kelley
MICU
Kim Dougan
Krista Martini
TCC Willow
Jennifer Bollinger
Joanne Foith
MICU
Kim Dougan
Hollie Stefaniak
Woodlawn Rehab
Maria Page
John Glass
MICU
Kim Dougan
Justin Hamilton
MICU
Kim Dougan
Kristen Fano
MICU
Kim Dougan
Lani Lowery
MICU
Kim Dougan
Michelle Allehouse MICU
Kim Dougan
Penny Wise
MICU
Kim Dougan
Sabrina Funk
MICU
Kim Dougan
Tammy Price
MICU
Kim Dougan
PRECEPTOR RECOGNITION EVENTS
Aultman College
Featured Preceptor
Jonathan King, BSN, RN
Spring 2015
Aultman College Featured Preceptor
Laura Baxter, BSN, RN (right)
Fall 2015
Pictured with her sister, Mia Bausell,
MSN, RN, CCRN
Kent State University Barbara
Donaho Award
Nelda Andrews, RN, RNC