A Passion for Excellence

A Passion for Excellence
Patient-and Family-Centered. Excellence Driven.
2013 Nursing Annual Report
Congratulations to our nursing staff at University of Louisville Hospital and the
Message from the
Chief Nursing Officer
James Graham Brown Cancer Center for their many accomplishments that have
enhanced nursing practice and improved outcomes. We have a strong nursing
foundation and a culture that has always embraced reaching for the highest standards.
Your Passion for Excellence is evident in everything we do.
Health care as we know it is changing more rapidly than at any other time in
history, and we are prepared to face those changes through our new partnership
in KentuckyOne Health. This partnership is providing us an opportunity to share
our knowledge and expertise well beyond our local community, potentially allowing
us to positively influence patient care and nursing practice across the Commonwealth
and across the country.
Innovation is key to improving the health of our community. Today, we are identifying
ways to enhance evidence-based practice standards and provide care in ways that
will extend throughout our ever-changing practice environment. Continuity of care,
communication, and partnering with well-informed patients are the guideposts of our
innovations. We have positioned ourselves well to embrace whatever challenges lie
ahead and to improve the health of our patients and communities.
This annual report provides a glimpse of some of the accomplishments of this past
year. Thank you for your contribution to excellence in patient care, innovation,
leadership and education. I am proud to serve with such a remarkable group of
exceptionally talented, dedicated and caring nurses.
Sincerely,
Mary Jane Adams, RN, MSN
Chief Nursing Officer and Senior Vice President
Designation Excellence
Nursing Vision
Philosophy
Our Vision of Nursing at the University of Louisville Hospital
As members of an interdisciplinary health care team,
and the James Graham Brown Cancer Center includes:
we welcome the challenge of providing exceptional
• Providing exceptional Patient- and Family-Centered Care
nursing care to patients and families in a dynamic,
• Promoting an environment of scholarly inquiry
complex and culturally-diverse environment.
• Fostering the education and development of
health professionals
Values
Nursing Mission Statement
• Excellence
Our nursing mission at the University of Louisville
• Evidence-Based Knowledge
Hospital and the James Graham Brown Cancer Center
• Integrity
is to provide patients and families exceptional care by
• Compassion
• Professionalism
integrating evidence-based knowledge, integrity
and compassion.
2013 Nursing Annual Report
The Components of
Excellence
This year’s annual report highlights our nursing staff’s great work using the Model for
Magnet. The Five Components contained in the Magnet Model provide the framework
for nursing practice and research. Embedded in the Model are the Fourteen Forces
of Magnetism which define how to support exceptional patient care and the nursing
profession. As you read through this publication, you will see samples of the many
ways in which the University of Louisville Hospital and the James Graham Brown
Cancer Center embodies the components of excellence.
The Magnet Model
Nursing & Health
l Issues in
Care
Globa
Structural
Empowerment
Transformational
Leadership
Empirical
Outcomes
New Knowledge,
Innovations &
Improvements
American Nurses Credentialing Center
Magnet Recognition Program®
Exemplary
Professional
Practice
A Star Communicator
Deidra Gottbrath, RN, BSN, CCRN is the 2013 University of
Louisville Hospital | James Graham Brown Cancer Center
Nurse Excellence award winner. Currently, Deidra is co-chair
of the Department of Nursing Practice and Quality Council.
Deidra is Chair of the Unit Based Council on ULH’s nationally
certified comprehensive stroke unit. She regularly assists
her peers in their quest for certification and was instrumental
in the unit’s successful application for a Beacon Award.
Currently, serving as a Research Champion, Deidra assists
nurse residents with research and presentations related
to stroke. Deidra is widely recognized as an excellent
teacher and communicator with students,
new nurses, patients and families.
Even – or especially – when interacting
in emotionally charged situations,
Deidra’s calming presence fosters an
excellent foundation for communication.
Deidra Gottbrath
2013 Annual Nurse Excellence Winner
5
Transformational
Leadership
Transformational Leadership is focused on how leadership establishes a vision
(including values, beliefs and behaviors) that will sustain the organization well into
the future. This component includes transformational thinking, communication
and a focus on dynamic innovation to meet the needs of an ever-changing health
care environment. With this component, you will find the Forces of Magnetism:
Quality of Nursing Leadership and Management Style. An important aspect of
transformational leadership for our organization is the belief that leadership is an
essential role for every member of the health care team.
Rising Stars Program Identifies and Nurtures Nurse Leaders
Continual support and development of
achieve that leadership position not by
leadership, communication, CNO forum,
nurse leaders is an integral part of the
demonstrating exceptional leadership
engagement, generational diversity,
University of Louisville Hospital | James
skills but exhibiting excellent clinical
persuasive conversations and delegation.
Graham Brown Cancer Center journey
skills. Recognizing that clinical excellence
towards nursing excellence and Magnet
does not necessarily equate to leadership
The two Rising Star classes in 2013
designation. The Rising Star Nursing
excellence, the Rising Star program was
graduated more than 20 nurses with the
Leadership Program for exceptional
developed by Mary Sebastian, RN, BSN,
help of 14 nurse mentors. The graduates’
charge nurses was developed to support
MHA, CNML; Cindy Lucchese, RN, BSN,
units were beneficiaries of the program as
these efforts.
MBA and Cynthia Logsdon, PhD, WHNP-
well – benefitting from program require-
BC, FAAN.
ment that each participant complete a
The program was born from a concern
project that positively impacts their unit.
among nursing directors about the
The four-month program includes didactic,
preparedness and selection criteria for
role play and mentor interaction to cover
charge nurses. Historically, charge nurses
content that includes transformational
Leads by Example
KentuckyOne Health
Welcomes New System CNO
Haily Sherman, RN, BSN, CCRN is a reliefcharge nurse on the University of Louisville
Hospital burn unit. She is certified in Critical
Care and Advanced Burn Life Support and has
been trained to use the Suitability Assessment
Velinda J. Block, DNP, RN, NEA-BC, joined KentuckyOne Health as chief
of Materials tool. Haily chairs the Burn Unit
nursing officer in November 2013, assuming overall responsibility for
Practice Council, and in that role has led
nursing and nursing practice across the system.
several quality initiatives such as reducing
CLABSI rates, reducing supply expenses and
A leader with more than 31 years of experience, Velinda was most recently
improving patient satisfaction scores through
chief nursing officer and senior assistant vice president at the University of
discharge planning and other initiatives.
Alabama at Birmingham (UAB) Hospital, a Magnet designated, 1157-bed
She regularly represents the hospital
academic facility. Concurrently, she served as assistant dean for clinical
and her unit in the community at service
affairs with the UAB School of Nursing. Earlier in her career, she was vice
and educational events, and is a favorite
president of patient care services for St. Louis Children’s Hospital and
among her patients and peers.
held various roles at Vanderbilt University Medical Center.
She received a Doctorate of Nursing Practice from UAB School of Nursing,
Master of Science degree in nursing administration from Vanderbilt
University School of Nursing and Bachelor of Science in nursing degree
from the Medical College of Georgia.
Velinda is a long-time active member of the American Organization of
Nurse Executives and is a frequent speaker in the areas of improving
Haily Sherman
3rd Quarter Nurse Excellence Winner
ULH Nurses Assume
National Leadership Roles
workplace culture, shared governance and patient safety,
“The focus of nursing at KentuckyOne Health is to create a strong
professional practice culture that enables us to deliver the highest quality
of care in a patient- and family-centered environment,” Velinda said.
“I am proud of and inspired by the professional practice culture at
University Hospital and the James Graham Brown Cancer Center, where
Melissa Burchett, RN, BSN, CCM Clinical Manager of unit 5 South, and
Cathy Velasquez, RN, BSN, MSN, DNP, CPHM, Professional Development
Coordinator for Nursing Education & Research, have been selected by the
American Nurses Association to serve as Advisory Committee members for
the ANA’s Nursing Professional Issues Panel.
nurses take such pride in their role and contributions to the health care
The Advisory Committee members work with the ANA’s Professional Issues
team. Mary Jane Adam’s leadership ensured that nursing was never
steering committee to share expertise, provide information, feedback
satisfied with the status quo – always insisting on raising the bar. and advice related to the topics of interest to the Nursing profession.
She left a true legacy for our patients.”
The ANA received more than 360 applications from across the country
for this prestigious panel.
7
Structural
Empowerment
Structural Empowerment identifies how the organization’s structure and relationships
support innovation, professional practice and the embodiment of its mission,
vision and values. Contained in this component are the Forces of Magnetism:
Organizational Structure, Personnel Policies and Programs, Community and the
Healthcare Organization, Image of Nursing and Professional Development.
These structures link the organizational strategic goals to the department and
units and provide support and development to accomplish the goals.
SANE Program Aids Efforts to Curb Rape in the Military
In July and August 2013 Melissa Edlin,
percent of these 26,000 victims did not
This presentation provided Guardsmen
RN, BSN, CFN, SANE-A (above left) and
make an official report. In comparison,
with information on strategies to prevent
Amanda Corzine, RN, BSN, CFN, SANE-A
54 percent of civilian sexual assaults are
sexual assaults as well as steps to take if
(above right) of the Sexual Assault Nurse
not reported to law enforcement. Due to
one becomes a victim of sexual assault.
Examiner (SANE) Program spoke to
additional barriers to reporting and fear
nearly 1,200 Air National Guardsmen
of retaliation by commanders and fellow
The presentation by Melissa and
during a Sexual Assault Prevention
servicemen, most military victims do not
Amanda, SANE program coordinator and
Training. The Air National Guard’s
come forward to report their assault.
assistant coordinator respectively, was
well received and attendees commented
Sexual Assault Prevention and Response
(SAPR) Team organized this training in
In order to better inform and educate
on the helpful and practical information.
response to recent reports regarding rape
their Guardsmen, the local 123rd Airlift
The SANE program at ULH | JGBCC is
in the military.
Wing went above and beyond the stan-
highly committed to the provision of
dard rape prevention presentation and
services to victims of sexual assault and
In 2012, more than 26,000 incidents of
incorporated both the Louisville SANE
intimate partner violence. Educating the
sexual assault and other sexual crimes
Program and the Louisville Metro Police
community at-large remains a vital
occurred in the military. More than 90
Sex Crimes Division into their training.
component of ending sexual violence.
ULH | JGBCC Nurse Job Satisfaction Reaches New Heights
For the last five years, University Hospital and the James Graham Brown Cancer
RN Survey with Practice Environment Scales (PES)
Center have utilized the National Database for Nursing Quality Indicators (NDNQI)
RN Satisfaction Survey as a key indicator of nursing satisfaction. Eighty-eight
Average of All Units at ULH/BCC
percent of our nursing workforce responded to the 2013 RN Job Satisfaction Survey,
2.94
2.98
3.13
3.05
2.81
2.77
2.97
3
2.95
professional practice environment for nurses:
2.86
The NDNQI RN Satisfaction Survey measures five essential components of the
2.82
RN Survey with Practice Environment Scales (PES)
3.08
4
3.16
which revealed several record highs in measurements of nursing excellence.
Average of All Comparison Units in
Academic Medical Centers
1) Nursing participation in hospital affairs
2) Nursing foundation for quality of care
3) Nurse Manager ability, leadership, and support of nurses
2
4) Staffing and resource adequacy
5) Collegial nurse-physician relations
1
The ULH | JGBCC Practice Environment Score (PES) mean was 2.98 which exceeded
the national mean score of 2.93 for academic medical centers. A high PES score has
been correlated with Magnet characteristics.
Nurses at ULH | JGBCC rated all of the following practice environment measures
higher than the mean academic medical centers (AMCs) score:
• Overall mean Practice Environment Score (PES)
• Nursing foundation for quality of care
0
Nurse
Participation
in Hospital
Affairs
Nurse
Foundations
for Quality
of Care
Nurse Manager
Ability,
Leadership,
and
Support
of Nurses
Staffing
and
Resource
Adequacy
Collegial
NursePhysician
Relations
Mean
PES
Score
• Nurse Manager ability, leadership, and support of nurses
• Staffing and resource adequacy
• Collegial nurse-physician relations
The Job Enjoyment section of the survey asked nurses to rate whether their
co-workers are enthusiastic, satisfied, and intend to stay. Modified T scores are used
to reflect standardized scores in which 50 represents the midpoint, scores below
40 represent low satisfaction, and scores above 60 represent high satisfaction.
The 2013 job enjoyment T-scale score at
ULH | JGBCC was 59.36, which was higher
than the mean AMC’s score of 56.81.
Since receiving the results, they have been reviewed and discussed at the unit level
and organizationally, with the continual focus on improvement of the practice
environment, reduction in nursing turnover and vacancy rate, increase in nursing
career advancement opportunities, and support of front-line leadership.
9
Structural Empowerment
Specialty Nursing Certification:
Clinical Nurses with BSN
A Commitment to Excellence
80
70
ULH/BCC
Goal
Each year in March, University Hospital and the James Graham Brown Cancer Center
60
take time to recognize and thank certified nurses for their contributions to nursing
50
professionalism, higher standards and better outcomes in patient care. Advancing the
40
personal and professional growth of nurses is a major emphasis of the Magnet Recognition
Program©. Magnet recognized organizations support nursing professional development in
30
many ways, including the promotion and support of specialty certification.
20
According to the American Board of Nursing Specialties Position Statements,
10
0
ULH/BCC
Goal
certification is the formal process by which a certifying body validates a nurse’s
2010
55
47
2011
60
48
2012
66
61
2013
71
67
knowledge, skills and abilities in a defined role and clinical area of practice, measured
by predetermined standards. Studies report that certified nurses are more confident in
their clinical abilities, collaborate better with physicians, and report higher levels of
empowerment than noncertified nurses. In short, certification enhances the quality of
patient care and nurse professionalism.
Percentage of Clinical Nurses with Certification
The Magnet program requires an organization to set and meet goals for improvement in
professional certification. Each year, one of our goals is to steadily increase the number of
25
direct care certified nurses. In 2008, 13 percent of our direct care nurses were certified.
In 2013, 23 percent of our direct care nurses are certified, including 100 percent of the
20
ULH/BCC
Goal
direct care nurses on the ULH nationally accredited stroke unit.
15
As an important component of the ULH | JGBCC Nursing Professional Development
Program, the Nursing Education and Research Department has sponsored many prep
10
courses to increase and support specialty certification and the Department of Nursing
has established a Certification Policy to support and promote certification. Certified
5
0
ULH/BCC
Goal
nurses proudly display their certification by wearing special identification badges.
2010
18
15
2011
20
19
2012
21
21
2013
23
22
National Nursing Certifications
ACHPN Advance Certified Hospice
and Palliative Nurse
Emily King, RN
ACNP-BC Acute Care Nurse
Practitioner-Board Certified
Kimberly Meyer, RN
Karina Pentecost, RN
ANP-BC Adult Nurse PractitionerBoard Certified
Carol Sue McGowan, RN
Catherine Roberson, RN
ANP-C Advanced Nurse PractitionerCertified
Michelle Frisbie, RN
Jodi Wojcik, RN
AOCNP Advanced Oncology Certified
Nurse Practitioner
Shanda Riley, RN
BCEN Board Certified Emergency Nurse
Jamie Allen, RN
Tim Cunningham, RN
Sarah Keene, RN
John Hope, RN
Michelle Lowe, RN
Karin Martin, RN
Carol McMahon, RN
Ashley Thoene, RN
CAPA Certified Ambulatory
Perianesthesia
Cindy Foote, RN
Suzanne Luzama, RN
CCM Certified Case Manager
Melissa Burchett, RN
Sharon Susral, RN
CCRN Critical Care Registered Nurse
Amy Augustine, RN
Linda Barnard, RN
Charity Batman, RN
Kimberly Bradford, RN
Erin Cowell, RN
Rhonda Cunningham, RN
Sara DeBauch, RN
Amy Jo DeVault, RN
Michelle Fitzsimmons, RN
Stephanie Ford, RN
Jennifer Fox, RN
Deidra Gottbrath, RN
Dariusz Gromko, RN
Tom Hagan, RN
Tracy Hayden, RN
Ben Hughes, CCRN
Ashley Humphrey, RN
Tracy Kephart, RN
Jill Lascoe, RN
Katherine Lynch, RN
Kimberly Mahaffey, RN
Bina Mani, RN
Jessica Massouda, RN
Jennifer May, RN
Kelly McCormick, RN
Janice McMahan, RN
Cassandra Millary, RN
Anita Newton, RN
Samantha Newton, RN
Susan Powell, RN
Neika Powers, RN
Sarah Puckett, RN
Angela Reynolds, RN
Chris Reynolds, RN
Rachel Reynolds, RN
Katie Robacynski, RN
Tarah Robison, RN
Jennifer Schmitz, RN
LaShawn Scott, RN
Haily Sherman, RN
Cathy Smith, RN
Lori Sipes, RN
Portia Steele, RN
Kelly Thomas, RN
Shirley Tobe, RN
Dexter Turner, RN
Kandace Vanhoozer, RN
Mandi Walker, RN
Tina Walsh, RN
Ashley Wheeler, RN
Kim Wilson, RN
CEN Certified Emergency Nurse
Melissa Aguilar, RN
Kimberly Barrett, RN
Sherry Brennaman, RN
Betty Cochrane, RN
Sarah Cullen, RN
Jennifer Fife, RN
Beth Fisher, RN
Caitlin Glaser, RN
Erin Ingram, RN
Lee Jones, RN
Tara Ketterer, RN
Jessica McFadden, RN
Chris Metcalf, RN
Angela Peevey, RN
Tanya Pike, RN
Allison Powell, RN
Candice Probus, RN
Bianca Sangalli, RN
Alissa Shelton, RN
Mark Spivak, RN
Cathy Wigley, RN
Jessica Williams, RN
Christopher Wilson, RN
Raymond Woods, RN
CBPN-C Certified Breast Patient
Navigator in Cancer
Shobha Pereira, RN
CCNS Acute Care Clinical Nurse
Specialist
Sarah Bishop, RN
CDE Certified Diabetes Educator
Tammy Grider, RN
C-EFM Certified Electronic Fetal
Monitoring
Lisa Bunnell, RN
Libby Smith, RN
Roselyn Tomasulo, RN
Lisa Wright, RN
CIC Certified Infection Control
Crystal Heishman, RN
LNCC Legal Nurse Consultant Certified
Barbara Buren, RN
CLC Certified Lactation Counselor
Amy Pacyga, RN
NE-BC Nurse Executive Board Certified
Joann Mattingly, RN
CMSRN Certified Medical Surgical
Registered Nurse
Amy Dunn, RN
Chelsea Entrican, RN
Loretta Napier, RN
Dawn Jill Miller, RN
OCN Oncology Certified Nurse
Leslie Akers, RN
Roberta Boon, RN
Nancy Bowles, RN
Sabrina Byron, RN
Leslie Calderon, RN
Cassie Carney, RN
Mary Cooper, RN
Katherine Culbertson, RN
LeAnn DeHart, RN
Joseph DiCicco, RN
Ha Dinh, RN
Max Gainey, RN
Ellen Galbraith, RN
Terry Hasselwander, RN
Katherine Hatke, RN
Michele Henderson, RN
William Horlander, RN
Barbara Kruse, RN
Amanda Laslie, RN
Leslie Lauterwasser, RN
Dana Lee, RN
Tara Lee, RN
Sandy Lloyd, RN
Deserree Martin, RN
Sally McNutt, RN
Tracy Milburn, RN
Vallejo Miller, RN
Melissa Monbouquett, RN
Anna Murphy, RN
Christie Pennington, RN
Michelle Perry, RN
Ramona Petto, RN
Melissa Pritchett, RN
Traci Pirtle, RN
Jackie Ray, RN
Kimberly Rhodes, RN
Jennifer Riggs, RN
Shanda Riley, RN
Kimberly Rolen, RN
Anita Roush, RN
Maria Schmidt, RN
Ernest Schnell, RN
Jana Shehan, RN
Anne Small, RN
Veronica Speed, RN
Gina Stevenson, RN
Melissa Stiff, RN
Audra Tarkington, RN
Frances Taylor, RN
Christy Thomas, RN
Mary Thompson, RN
Sheryl Van Dame, RN
Becky Vincent, RN
Rosemary Wafford, RN
Laura Whitfill, RN
Marcella Willis, RN
Elizabeth Wilson, RN
Karen Wilson, RN
CNML Certified Nurse Manager Leader
Robin Fisher, RN
Diane Eckert, RN
Mary Sebastian, RN
CNOR Certified Nurse Operating Room
Paula Baker, RN
Marty Brewer, RN
Rebecca Crowder, RN
Pamela Elzy, RN
Derick Greenwell, RN
Lisa Jackson, RN
Deborah Judd, RN
Denise Logan, RN
Amy Moore, RN
Lynn Morrison, RN
Doris Presler, RN
Lisa Schaffner, RN
Chris Thompson, RN
CNRN Certified Neuroscience
Registered Nurse
Stephanie Ramser, RN
CPHM Certified Professional Healthcare
Management
Cathy Velasquez, RN
CRNI Certified Registered Nurse Infusion
Alice Atcher, RN
Leigh Ann Bowe-Geddes, RN
Nancy Bowles, RN
Louise Coughlan, RN
Brian Gackenbach, RN
Michael Marks, RN
Roxanne Perucca, RN
Catherine Rainwater, RN
CUNP Certified Urologic Nurse
Practitioner
Eillen Grigutis, RN
FNP-BC Family Nurse Practitioner
Michelle Bailey, RN
Kimberly Broughton-Miller, RN
Janet MacPhee, RN
Brenda McFadden, RN
Emily Peake, RN
IBCLC International Board Certified
Lactation Consultant
Krista Janes, RN
Jill Leonhardt, RN
Mary Moore, RN
Christy Ramos, RN
Therese Spurling, RN
PCCN Progressive Care Certified Nurse
Beena Abraham, RN
Christen Dowell, RN
Glen Griffis, RN
Meghan King, RN
Deborah Kuntz, RN
Nea Manning, RN
Amanda Monroe, RN
Brenda Mosley, RN
Bridget Nuxoll, RN
Gary Spalding, RN
Jessica Trowbridge, RN
RN-BC Nursing Informatics
Edward Bronner, RN
Karen Gividen, RN
Tabatha Wright, RN
RNC–MNN Maternal Newborn Nurse
Terry Jones, RN
RN-BC Certified Medical-Surgical
Kristen Eiland, RN
Jennifer Ramsey, RN
RN-BC Infection Control
Pamela Nolting, RN
RN-BC Neonatal Intensive Care Nursing
Melinda Dolack,RN
Pauline Hayes, RN
Carlotta Keltner, RN
Mary Poole, RN
Reetta Stikes, RN
Phyllis Stribling, RN
RN-BC Obstetrics
Kim Bagby, RN
RN-BC Pain
Elizabeth Bryant, RN
Kim Williams, RN
RN-BC Psychiatric Mental Health Nurse
Bonnie Hawks, RN
Linda McAdams, RN
Mary Nevitt, RN
Joyce Wilson, RN
SANE-A Sexual Assault Nurse
Examiner – Adult
Jennifer Bonner, RN
Crystal Bristoe, RN
Amanda Corzine, RN
Jonetta Crusott, RN
Melissa Edlin, RN
Frances Franklin, RN
Jami Hancock, RN
Melanie Keefe, RN
Alisha Moore, RN
Chinyere Omenyinma, RN
WHNP-BC Women’s Health Care
Nurse Practitioner
M. Cynthia Logsdon, RN, FAAN
WOCN Wound Ostomy Certified Nurse
Patricia Brown, RN
Katherine Constable, RN
11
Structural Empowerment
Nursing Residency Program:
Our Commitment to New Graduate Nurse Excellence
In 2010, the Institute of Medicine’s report on the future of nursing recommended
formalization of support for nurses during the critical first year of professional nursing
practice to offset new RN turnover and ultimately to decrease the anticipated nursing
shortage. The Magnet Model component of Structural Empowerment encompasses both
the effective transition of new graduate nurses into the professional work environment
and a commitment to ongoing professional development of direct care clinical nurses.
The ULH Nurse Residency Program is an evidence-based program of learning and
professional development that includes work experiences and didactic content to
support new RN graduates as they transition into their first professional positions.
Created in 2009 as a collaborative effort with the University of Louisville School of
Nursing, the University of Louisville Hospital Nurse Residency Program (NRP) is a formal
Residency Certification
The ULH Nurse Residency Program submitted
an application for certification of our Residency
Program to the Commission on Collegiate
Nursing Education (CCNE) in 2013, resulting
in the maximum five-year accreditation term.
As one of only twelve BSN Nurse Residency
Programs in the nation to achieve this coveted
designation of excellence, this certification
underscores our commitment to supporting
new graduate nurses during their entry
to clinical practice, and supports the
ULH | JGBCC Nursing Vision of being a leader
in patient care, education and research.
evidenced-based curriculum that meets national residency standards for excellence.
The ULH NRP is provided as an adjunct to the education and training that new graduates
receive as part of their orientation to the facility and to their new clinical position as
Registered Nurses.
The program is comprised of two basic components: clinical observations and professional
development workshops. During the residency year, participants complete a clinically
specific evidenced-based practice group project with significance to the patient
care-specific goals of the new RN’s clinical unit. The Nurse Residency Program is an
integral part of helping new RN graduates develop effective decision-making skills related
to clinical judgment and performance, and a global understanding of patient- and
family-centered care in an acute trauma care facility, and a deeper commitment to
the utilization of evidence-based practice at the bedside.
Connecting with the Community
Melissa Pritchett
4th Quarter Nurse Excellence Winner
LEGACY OF LIFE
ULH | JGBCC Nurses participate in the
5th Annual Legacy of Life Walk, an event
that raises funds and awareness for
organ donation.
Tireless Advocate
Melissa Pritchett, RN, BSN, OCN cares for patients on the
Bone Marrow Transplant/Intensive Care Unit. While she is an
excellent nurse researcher, teacher, mentor and leader, she
is best known for her efforts on behalf of her patients beyond
medical care. In addition to organizing the first ULH | JGBCC
bone marrow drive and several service dinners at Gilda’s Club
Louisville, Melissa organized a wedding for a dying patient,
procured “last wish” tickets for another, connects patients
to family milestone events via Skype, and helps community
members and business find new and creative ways to support
cancer patients and their families.
13
Mentor to Many
Cathy Velasquez, RN, BSN, MSN, DNP, CPHM, (below) leads both the nationally
certified Nurse Residency Program and the Dedicated Education Unit
collaborative programs with the University of Louisville School of Nursing.
A strong advocate for nursing professional development, Cathy is highly
Exemplary
Professional Practice
involved in the RN transition to practice and serves as a mentor to new
graduates, nurses returning to school and in need of a preceptor, and first-time
nursing students. Cathy has presented at a national conference and has been
published in state and national journals.
Exemplary Professional Practice encompasses the creation of a vision and systems
to support professional nursing practice. It also promotes the use of knowledge and
evidence to generate the best outcomes for patients, families, communities and the
Cathy Velasquez
health care team. This component incorporates many Forces of Magnetism including:
1st Quarter Nurse Excellence Winner
Professional Models of Care, Consultation and Resources, Autonomy, Nurses as
Teachers, and Interdisciplinary Relationships. Our councils and care models at the
departmental and unit level, as well as our many expert resources that support
exceptional patient care, are indicators of our commitment to exemplary
professional practice.
Radiation Oncology Nurses
Complete Certification
One hundred percent of the James Graham Brown Cancer Center radiation oncology nurses
completed the Oncology Nursing Society (ONS) Radiation Oncology Certificate Program,
meeting the goal set at the beginning of 2013. This certificate of added qualification
indicates that the nurse possesses knowledge in the subspecialty of radiation oncology.
Additionally, all JGBCC oncology nurses are required to obtain their oncology certification
within the first two years of employment. All the nurses that are eligible for certification in
Radiation Oncology have completed that process, and the entire oncology group will be
certified by the end of 2014.
Dedicated Education Units Celebrate Milestones and Success
The collaborative partnership between the University
providing the highest quality nursing student clinical
“This program gives students a better picture of how
of Louisville Hospital and the University of Louisville
education in the academic medical center practice
care is provided at ULH so they have a greater under-
School of Nursing celebrated the first anniversary of
setting, Pam reviewed several methods designed to meet
standing of how an academic health care environment
Kentucky’s first Dedicated Education Units (DEU) model
this objective. Her efforts have resulted in providing this
functions,” said Mary Jane Adams, MSN, RN, ULH
for providing nursing student clinical instruction in
unique DEU model to nursing students, staff RN Clinical
senior vice president and Chief Nursing Officer.
Spring 2013. Additionally, the DEU was nominated for
Adjuncts, and to the School of Nursing at UofL.
“This Model offers students a quality clinical experience,
the 2013 Medistar A.O. Sullivan Award for Excellence
in Education. The nomination recognizes regional
The nomination of the Excellence in Education award
and promotes our academic/practice partnership with
excellence in the business of health care education.
underscores Pam’s commitment to excellence in clinical
ULH. It is an innovative approach to education that is
nursing education. Pam provided that “the DEU
preparing our graduates to best meet the growing health
These units pair University of Louisville School of
collaborative model provides a unique opportunity for
care needs of patients in the Commonwealth and the
Nursing students’ clinical experiences with practicing
both nursing students who are learning their craft and
nation,” said Diane Chlebowy, PhD, RN, Director, UofL
bachelor’s degree prepared registered nurses. Hospital
nursing staff who are experts in the patient care arena
School of Nursing BSN programs.
RNs identified as patient care leaders receive additional
to develop professionally. The student can participate in
education to function in the role of RN clinical adjunct
a real-time, personalized learning experience while the
Moses is in her last semester of nursing academic
faculty. They provide instruction to students while
RN staff can grow and develop professionally as teachers
preparation and is completing her required patient care
maintaining their patient care responsibilities. UofL
and mentors for the students. Additionally, the Nursing
hours on 5 South at ULH. Her Clinical Manager Melissa
School of Nursing faculty members provide continual
Clinical Faculty can assist both groups in the learning
Burchett has seen advanced clinical preparedness in
oversight of the experiences.
process. It is definitely a win-win-win situation.”
Moses’ abilities with surgical oncology patients and
notes that Shelby is “better prepared for the RN role
UofL nursing student Shelby Moses and ULH nurse
“The ULH model supports the School of Nursing’s adult
expectations for providing quality care to patients and
Jenny Jones were paired in the hospital’s first DEU on 5
health course, while applying concepts learned into
families as part of a collaborative team.”
South, a progressive care unit. “This was my first clinical
professional practice, alongside highly educated and
rotation in a hospital – which can be daunting,” Moses
experienced staff RNs at ULH,” said Cathy Velasquez,
Shelby hopes to pursue additional education and
said. “It was incredible to work closely with a nurse and
RN, BSN, DNP, CPHM, ULH | JGBCC Professional
eventually become an administrator where she can help
see how they manage day-to-day tasks and interact with
Development Coordinator.
implement programs like the DEU model. “I definitely
see the need for this, and believe nursing students in
patients; the experience helped me understand what I’ll
be up against in the future.”
This collaborative model for Dedicated Education Units
other parts of Kentucky could really benefit,” she said.
provides more one-to-one interaction than the traditional
“These students are appreciative of having someone
clinical rotations, and can increase a student’s satisfac-
Identified by the Kentucky Board of Nursing in 2012
show them the ropes – they’ve been able to help with
tion with their clinical education experience. Unique to
as a best practice strategy for providing nursing student
dressing changes, administer medication and observe
this model is the incorporation of the IOM (2010)
clinical instruction, the ULH Model currently supports a
patient assessments,” Jones said.
recommendations for inter-professional collaboration,
total of 20 nursing students per semester. Plans are to
with physician groups providing additional education
expand the opportunity to additional patient care areas
Pamela Smith Elzy is the Director of Nursing
opportunities and support for these nursing students,
throughout the hospital, in support of the University
Education, Research and Clinical Informatics
in the academic medical center-focused Model.
of Louisville School of Nursing student’s continuing
Departments at ULH | JGBCC. Reflecting her goals for
academic and clinical educational experiences.
15
New Knowledge, Innovations
& Improvements
New Knowledge, Innovations, and Improvements is based on the Forces of Magnetism:
Quality Improvement. This component targets the importance of nurses in the
development, implementation, and sharing of new knowledge and best practices.
Whether it is quality improvement or developing an innovative care process, nurses
have the opportunity and responsibility to advance the practice of health care.
ULH Nurse Tackles Health Literacy Leadership
The Patient Protection and Affordable
Academy (MCH NLA) is an 18-month
literacy standards, assessed the literacy
Care Act of 2010, defines health literacy
intensive leadership development
levels and preferred learning styles of
as the degree to which an individual has
program designed to prepare, position
the new mothers they serve, assessed
the capacity to obtain, communicate,
and strengthen the abilities of nurses to
the suitability of the current patient
process and understand basic health
influence practice and patient outcomes
education materials, created a
information and services to make
in maternal-child health. Reetta Stikes,
continuing education program for staff,
appropriate health decisions. Every day,
MSN, RNC-NIC, CLC used her MCH-NLA
and developed an infrastructure for
people confront situations that involve
fellowship as an opportunity to guide a
development and evaluation of suitable
life-changing decisions about their
team in the University of Louisville
patient education materials.
health. According to the CDC, 9 out of
Hospital Center for Women and Infants
10 people experience “Limited health
in adopting national health literacy
Following the adoption of the new
literacy,” which occurs when people
standards to improve communication
standards, HCAHPS scores related
can’t find, understand or use the health
with the patients they serve.
to patient satisfaction with nurse
communication and discharge
information and services they need.
Pictured above (left to right):
M. Cynthia Logsdon, PhD, WHNP-BC,
FAAN; Gary Spalding, RN, BSN, PCCN;
and Reetta Stikes, MSN, RNC-NIC, CLC.
Working with her mentor, M. Cynthia
The Sigma Theta Tau International,
Logsdon, PhD, WHNP-BC, FAAN, Reetta
Maternal-Child Health Nurse Leadership
and the team reviewed current health
information improved significantly.
Pain Conference Helps Change
Pain Culture
ULH | JGBCC Research
Day Underscores EvidenceBased Practice
ULH Nursing-Led
Improvements Highlighted in
OR Manager
According to various studies,
more than 80 percent of
patients seeking health care
do so due to pain. More than
40 percent of acute care
Each May, the Nursing Department at University
The June 2013 edition of OR Manager, the leading
Hospital and the James Graham Brown Cancer
provider of operating room management information
Center host Research Day, a time to celebrate research,
and support, featured an interview with Lisa Jackson,
evidence-based practice, and quality improvement
BSN, MHA, CNOR, director of perioperative services
Initiatives.
at University Hospital. The interview, titled “Efficiency
Soars in the Wake of Strategic OR Cultural Changes,”
Research Day 2013 began with an excellent presenta-
appeared in the Performance Improvement section of
tion by Lynn Gallagher-Ford, PhD, RN, NAPDPF, NE-BC
the publication.
on Creating and Sustaining an Evidence-Based Practice
(EBP) Culture. Dr. Gallagher-Ford spoke enthusiastically
The focus of the interview was the dramatic change in
on leveraging EBP to both achieve and sustain positive
first-case on-time starts in the main operating room at
patient outcomes, exemplary professional practice, and
ULH. Only 35 percent of first cases started on time at
organizational excellence.
the beginning of the project. Today, nearly 85 percent
of first cases begin on time, signifying an incredible
Twenty-three research posters were a part of this
achievement in a matter of weeks.
extraordinary celebration of nursing excellence,
including several from the ULH | JGBCC Research
The literature identifies first case delays as a significant
Champions regarding projects they had completed
factor in surgical cancellations, increased cost per case,
during the Research Champion Program.
and increased dissatisfaction and frustration from
patients and families, surgeons and staff.
The program, developed by Gary Spalding, RN, BSN,
PCCN and Susan Rothbauer, RN, BSN and presented
Lisa identified several areas for adjustment that led to
at the International Biennial Conference of Sigma
improved efficiency. Key changes in workflow included
Theta Tau, seeks to develop the research skills of nurses
identifying an OR system support specialist, a consistent
to better prepare them to evaluate and implement
CRNA to help run the OR schedule, and a perioperative
evidence-based practice. The yearlong program includes
governance committee.
interactive skill building sessions on research knowledge
patients nationwide report
poor pain control.
Understanding that pain
control affects all areas of
the patient experience – satisfaction, treatment success,
likelihood to comply with follow-up, and patient outcomes
– University of Louisville Hospital nurse leaders Kim
Williams, RN, BSN, RN-BC (above) and Cindy Foote, RN,
BSN, CAPA organized the first ULH Pain Conference in
2011. Since then, the annual fall event has drawn
nurses from facilities across Kentucky as well as
chaplains, physicians, pharmacists and other health care
professionals. In fact, attendance at the conference is
now a requirement of the ULH nurse residency program.
“We hope to change the pain management culture,” Kim
explained. “A well-educated nurse is a better advocate
for patients.” Kim and her UofL research mentor, Fawwaz
Alaloul, PhD, MPH, RN have also conducted a study on
how script-based communication intervention related to
pain management effects patient satisfaction.
The 2013 conference welcomed featured speaker
Melanie H. Simpson, PhD, RN-BC, OCN, CHPN,
coordinator of the Pain Management Resource Team at
the University of Kansas Hospital, which is a top-ten
and change strategies, as well as opportunities to
The team is proud of its accomplishments and
hospital nationally for patient satisfaction for pain
practice skills needed to integrate evidence-based
is currently seeking more opportunities to
management. Dr. Simpson was also named one of five
practice into the professional nursing culture.
improve efficiency.
National Magnet Nurses of the Year by the American
Nurses Credentialing Center.
17
Our 2013 Nursing
Accomplishments
2013 was a year of incredible success and progress for the Department of Nursing at
the University of Louisville Hospital and the James Graham Brown Cancer Center.
Publications
I.n many cases, Department of Nursing staff partnered with other authors, listed here
as el al. Their contributions are greatly appreciated.
Sarah Bishop, MSN, RN, CCNS, Mandi Walker, MSN, RN, CCRN, RN-BC, Mark
Spivak, BSN, RN, CEN – “Family Presence in the Adult ICU during Dressing
Changes,” Critical Care Nurse, 2013: 33(1), 14-24
Crystal Heishman, MSN, BSN, ONC, CIC – National Association of Orthopaedic
Nursing, Position Paper author, “Preventing Infection in the Inpatient Orthopaedic
Patient,” July 2013
M. Cynthia Logsdon, PhD, APRN, WHNP-BC, FAAN, Diane Eckert, BSN, RN, and
Roselyn Tomasulo, MSN, RN-C – “Self Efficacy and PostPartum Depression Teaching: A Replication Study,” The Journal of Perinatal Education, 2013: 22(3), 166-170
Brenda McFadden, APRN, FNP – “Is There a Safe Coital Position after a Total Hip
Arthroplasty?” Orthopedic Nursing Journal, 2013: 32(4), 223-226
Kimberly Meyer, ARNP, ACNP-BS, CNRN, et al – Care of Service Members with TBI.
In: Arciniegas DB, Zasler ND, Vanderploeg RD, and Jaffee MS, eds. Management of
Adults with Traumatic Brain Injury, 2013
In Remembrance
Barb Fowler Buren, RN
Cindy Rowland, RN
Reetta Stikes, MSN, RNC-NIC, CLC, Pauline Hayes, BSN, RN, and M. Cynthia
Logsdon, PhD, APRN, WHNP-BC, FAAN, et al – Updated Neonatal Skin Risk
Assessment Scale (NSRAS), Kentucky Nurse, 2013: 61
Jodi Wojcik, APRN-C, CCRN, Kimberly Broughton-Miller, APRN-C, FNP-C, Michelle
Frisbie, APRN-C, Karina Pentecost, APRN, FNP-C, and et al – “Traumatic Injury May
Be a Predisposing Factor for Cerebrovascular Accident,” Journal of Trauma Nursing,
2013: 20(3), 131-168
Published Interview:
Elizabeth Jackson, MHA, BSN, CNOR – “Efficiency Soars in the Wake of Strategic OR
Cultural Changes,” OR Manager, June 2013: 28(6)
Editors and Reviewers
Pamela Smith Elzy, MHA, BSN, RN, CNOR, RN –
Editor, Designation: Nursing Excellence
Eileen Grigutis, APRN, FNP, RN, CUNP – Peer
Reviewer for Society of Urologic Nurses and
Associates: Core Curriculum in Urologic Nursing,
1st Edition; publication date early 2014
Eileen Grigutis, APRN, FNP, RN, CUNP – Manuscript
Reviewer, Urologic Nursing
Roxanne Perucca, MS, BSN, RN, CRNI – Editorial
Review Board, Journal of Infusion Nursing
Presentations
International, National, State, Regional & Local
Melissa Edlin, BSN, CFN, SANE-A, and Amanda
Corzine, BSN, CFN, SANE-A – Air National Guard’s
Sexual Assault Prevention Training, “Efforts to Curb
Rape in the Military,” Louisville, Kentucky, July and
August 2013
Crystal Heishman, MSN, BSN, ONC, CIC – National
Association of Orthopaedic Nursing, National
Conference, “Joint Adventures: Eliminating Surgical
Site Infections,” San Antonio, Texas, May 2013
Crystal Heishman, MSN, BSN, ONC, CIC – National
Association of Orthopaedic Nursing, National
Conference: Education Panel, San Antonio, TX:
“Preparing for Whatever,” May 2013 Crystal Heishman, MSN, BSN, ONC, CIC – Baptist
Healthcare, “No Bones About It: Eliminating
Orthopaedic Surgical Site Infections,” Louisville,
Kentucky, September 2013
Crystal Heishman, MSN, BSN, ONC, CIC – University
of Louisville Healthcare, “Ventilator-associated
Pneumonia, Conditions, and Other Complications:
Prevention & Surveillance,” Louisville, Kentucky,
August 2013
Crystal Heishman, MSN, BSN, ONC, CIC –
Association for Professionals in Infection Control and
Epidemiology, Webinar: “Out with the Old, In With the
New: A Comparison of Criteria in VAP Surveillance,”
February 2013
M. Cynthia Logsdon, PhD, ARN, WHNP,-BC, FAAN,
Gary Spalding, BSN, RN, PCCN, Reetta Stikes, MSN,
RNC-NIC, CLC, Susan Rothbauer, BSN, RN, and
Regina Doan, BSN, RN – Sigma Theta Tau International Conference, “Research Champions: An Initiative
to Improve Use of Research Evidence in Nursing
Practice,” Indianapolis, Indiana, November 2013
Karina Pentecost, APRN, MSN, FNP-C, Jodi Wojcik
APRN, MSN, FNP-C, Kimberly Broughton-Miller
APRN, MSN, FNP-C, and Michelle Frisbie APRN,
MSN, FNP-C – University of Louisville Hospital Trauma
Institute, Trauma Nursing Education Lecture Series,
“Basic Trauma Nursing Assessment,” University of
Louisville Hospital, November 2013
Catherine Roberson, APRN, RN, and Amy Robinson,
RN, BSN, PCCN – Research! Louisville, “Reducing
Heart Failure Readmissions at University of Louisville
Hospital,” Louisville, Kentucky, October 2013
Mary Sebastian, MHA, BSN, RN, CNML – Teach the
Teacher Conference, “Rising Stars* Charge Nurse Skill
Building,” Indianapolis, Indiana, August 2013
Reetta Stikes, MSN, RNC-NIC, CLC, and Cathy
Velasquez, DNP, MSN, BSN, RN, CPHM – “Nurse
Residents: A Structured Approach for Creating Change
Agents in the Use of Evidence Based Practice,“ Sigma Theta Tau International Conference,
Indianapolis, Indiana, November 2013
Cathy Velasquez, DNP, MSN, BSN, RN, CPHM, and
Pamela Smith Elzy, MHA, BSN, RN, CNOR – “Giving
Back to Move Forward: Implementing a Dedicated
Education Units Model for Clinical Nursing Education,” Sigma Theta Tau International Conference,
Indianapolis, Indiana, November 2013
Mandi Walker, MSN, RN-BC, CCRN, and Gina
Stevenson, BSN, RN, OCN – “Utilizing Simulation
and Learning Theory for Skill Acquisition in Continuing
Nursing Education,” Teach the Teacher Conference,
Indianapolis, Indiana, August 2013
Poster Presentations
Melissa Burchett, MSN, RN, CCM, and Mark Spivak,
MSN, RN, BCEN – Nursing Management Congress,
“Nurse Peer Review,” Chicago, Illinois, September
2013
Melissa Burchett, MSN, RN, CCM, Katlyn Hapner,
BSN, RN, and Heather Williams, BSN, RN – Nursing
Management Congress, “Discharge Interdisciplinary
Care and Beyond,” Chicago, Illinois, September 2013
Melissa Burchett, MSN, RN, CCM, and Mark Spivak,
MSN, RN, BCEN – Research! Louisville, “Nurse Peer
Review: Quality Care and Professional Growth,”
Louisville, Kentucky, October 2013
Melissa Burchett, MSN, RN, CCM, Katlyn Hapner,
BSN, RN, and Heather Williams, BSN, RN –
Research! Louisville, “Discharge Interdisciplinary
Care and Beyond,” Louisville, KY, October 2013
M. Cynthia Logsdon, PhD, WHNP-BC, FAAN,
Roselyn Tomasulo, MSN, RNC, and Diane Eckert,
BSN, RN – Sigma Theta Tau International
Conference, “Use of Research Evidence by Hospital
Perinatal Nurses to Provide Care for Postpartum
Depression,” Indianapolis, Indiana, November 2013
Janet MacPhee, APRN, ONP-C and Barbara Synder
RN, BSN – National Association of Orthopedic Nurses
“Orthropaedic Competency: Is Nursing Able to Initiate
the Mobility of the Orthopedic Patient?” San Antonio,
Texas, May 2013
Janet MacPhee, APRN, ONP-C, Brenda McFadden,
APRN, RN-BC, Marsha Reynolds, BSN, RN, Erica
Best, BSN, RN, Barbara Synder RN, BSN, Sherra
Desurne, BSN, RN and Sandra Sanguiliano, CA –
Research! Louisville, “Orthropedic Competency: Is
Nursing Able to Initiate the Mobility of the Orthopedic
Patient?” Louisville, Kentucky, October 2013
Karina Pentecost, APRN, MSN, FNP-C, Jodi Wojcik
APRN, MSN, FNP-C, Kimberly Broughton-Miller,
APRN, MSN, FNP-C, and Michelle Frisbie, APRN,
MSN, FNP-C, et al – Eastern Association of Surgical
Trauma National Scientific Assembly, “The Incidence
and Impact of Prescription Control Substance use
Among Injured patients at a Level One Trauma
Center,” Phoenix, Arizona, 2013
19
Catherine Roberson, APRN, RN, Amy Robinson, BSN,
RN, PCCN, Michael Stratton, BSN, RN, Sharon
Susral, MSN, RN, CCM, and Cathy Velasquez, DNP,
MSN, BSN, RN, CPHM, et al – Research! Louisville,
“Reducing Heart Failure Readmissions at University of
Louisville Hospital” Louisville, Kentucky, October 2013
Susan Rothbauer, BSN, RN – Research! Louisville,
“Use of a Comfort Cart to Decrease Patient Distress,”
Louisville, Kentucky, October 2013
Reetta Stikes, MSN, RNC-NIC, CLC and M. Cynthia
Logsdon, PhD, WHNP,-BC, FAAN – Sigma Theta Tau
International Conference, “Improving Health Literacy
in an Academic Medical Center,” Indianapolis,
Indiana, November 2013
Cathy Velasquez, DNP, MSN, BSN, RN, CPHM, and
Pamela Smith Elzy, BSN, MHA, CNOR – Sigma Theta
Tau International Conference, Giving Back to Move
Forward: Supporting New Graduate Nurse-Led Change
Innovations in an Academic Medical Center Setting,”
Indianapolis, Indiana, November 2013
Mandi Walker, MSN, RN-BC, CCRN, and Gina
Stevenson, BSN, RN, OCN – Research! Louisville,
“Utilizing Simulation and Learning Theory for Skill
Acquisition in Continuing Nursing Education,”
Louisville, Kentucky, October 2013
Nurse Residents
Evidence Based and Quality
Improvement Projects
January 2013 Cohort
Neonatal Intensive Care Unit
Skin-to-Skin Care in the Operating Room Following
Cesarean Delivery
Jaki Patterson, BSN, RN
Tabitha Bowling, BSN, RN
Jamie Corwin, BSN, RN
Noelle Lang, BSN, RN
5-South Surgical Oncology
Improving Discharge Before Admission
Amanda Sebastian, BSN, RN
20
6-South Oncology
Peppermint Oil Aromatherapy and Its Effects on
Post-Operative Nausea and Vomiting
Kellie Manier, BSN, RN
Jennifer Parry, BSN, RN
7-South Progressive Care
Modified Early Warning Systems and the
Prevention of Catastrophic Deterioration in
Progressive Care Patients
Rochelle Baron, BSN, RN
Xavia Chapmand, BSN, RN
Ralph Caculba, BSN, RN
7-East Medical Surgical Mixed Acuity
The Effect of Hourly Rounding on Patient
Satisfaction Scores
Ashley Bummer, BSN, RN
8-South Progressive Care
Improving the Implementation of
Nurse-Physician Rounding
Steven Harting, BSN, RN
8-East Medical Surgical
The Effects of Hourly Rounding on Patient
Satisfaction as Measured by Call Light Usage
Erin Brumleve, BSN, RN
Jeri Crenshaw, BSN, RN
Cassandra Perkins, BSN, RN
Bailey Robinson, BSN, RN
Rebecca Szybist, BSN, RN
9-South Progressive Care
Reducing Catheter-Associated Urinary Tract
Infections Through Implementation of a Checklist
Sara Stich, BSN, RN
Hannah King, BSN, RN
Kaitlyn Lemay, BSN, RN
5-West NeuroScience Intensive Care Unit
Creating and Implementing an Effective Tool
to Improve Bedside Shift Report
Rachel Hughes, BSN, RN
Rachel Whipple, BSN, RN
Lacey Jones, BSN, RN
Miranda Pierce, BSN, RN
Kelby Carey, BSN, RN
Sarah Curry, BSN, RN
5-Core Burn Unit
Peer Support and the Burn Survivor
Sara Main, BSN, RN
6-West Medical Intensive Care Unit
The Impact of a Nurse Driven Foley Removal Protocol
Kim Bradford, BSN, RN
Meredith Mader, BSN, RN
Adam Pike, BSN, RN
6-East Bone Marrow Transplant Unit
The Effect of a Centralized Resource Website on
Caregivers of Oncology Patients
Jennifer Burton, BSN, RN
Michelle Lafollette, BSN, RN
Jennifer Roeser, BSN, RN
7-West Coronary Care Intensive Care Unit
How Does Hypothermia Post ROSC Affect Survivability
and Quality of Life
Jason Fackler, BSN, RN
Kristal Beach, BSN, RN
8-West Surgical Intensive Care Unit
Implementation of a Post-Insertion Central
Line Checklist
Jaleen Dingledine, BSN, RN
Kaitlyn Tretter, BSN, RN
9-West Surgical Intensive Care Unit
Quiet Time and Patient Satisfaction in the Surgical
Intensive Care Unit
Thomas Calvert, BSN, RN
Lisa Kenney, BSN, RN
Jill Schellenberger, BSN, RN
Whitney Cook, BSN, RN
Jessica Williams, BSN, RN
June 2013 Cohort
Emergency Department
Decreasing Blood Culture Contamination Rates
in the ED
Jordyn Bosmer, BSN, RN
Arnetha Cobbs, BSN, RN
Scottie Franklin, BSN, RN
Erin Hahn, BSN, RN
Ashley Jansen, BSN, RN
Jessica Johnson, BSN, RN
Jennifer Largen, BSN, RN
Amanda Mathis, BSN, RN
Tina Tetarenko, BSN, RN
3-South Mother-Baby Unit
Pain and Postpartum Depression
Ysneibys De Armas, BSN, RN
Alexis Garcia, BSN, RN
Jessica Sowders, BSN, RN
9-East Orthopedic Mixed Acuity
Bedside Shift Report
Jessica Finerty, BSN, RN
Labor and Delivery
Improving HCAHPS Scores with Patient Satisfaction
by Using Follow-up Discharge Phone Calls
Edie Carson, BSN, RN
Danielle Clifford, BSN, RN
5-West NeuroScience ICU
Does Environment/Surroundings Help the Emotional
and Physical Well-being in Intensive Care Units
Jessica Gimbel, BSN, RN
Jessica Harnish, BSN, RN
Brett Starbuck, BSN, RN
Mara Work, BSN, RN
5-South Surgical Oncology
Using a Multidisciplinary Approach to Medication
Administration on a Mixed Acuity Unit
Jennifer Hartzler, BSN, RN
Shelby Moses, BSN, RN
5-Core: Burn ICU
A Look into the Relationship between CLA-BSI and
Wound Infections in Burn Patients
Miranda McLemore, BSN, RN
Cynthia Shaw, BSN, RN
6-South Oncology
CLA-BSI Prevention Through Education: Stopping
Infection One Hub at a Time
Kelly Campbell, BSN, RN
6-West Medical ICU
Culturing Central Lines from Outlying Hospitals
Sean Nolan, BSN, RN
7-South Mixed Acuity
Using a Checklist to Improve Bedside Shift Reporting:
A Quality Improvement Project
Elizabeth Parson, BSN, RN
8-South Mixed Acuity
Patient Satisfaction with Newly Prescribed
Medications
Kathryn Manning, BSN, RN
9-South Mixed Acuity
Increasing Patient Satisfaction and Improving
HCAHPS Scores with Team Nursing
Kristen Katz, BSN, RN
Manpreet Kaur, BSN, RN
Taylor Shewmaker, BSN, RN
7-East Mixed Acuity
Don’t Drop the Ball: Prevent Patient Falls
Kenneth Barron, BSN, RN
Mallory Carter, BSN, RN
Joel Payne, BSN, RN
8-East Medical Surgical
Discharge Phone Calls Decrease Top Box Discharge
HCAHPS Scores in Medical-Surgical Patients
Sarah Grubbs, BSN, RN
Catherine Liikala, BSN, RN
John Lockwood, BSN, RN
Vicky Ton, BSN, RN
6-East Bone Marrow Transplant Unit
Caregiver Celebration: A Nursing Staff-Initiative to
Decrease Caregiver Distress of BMT Patients
Amanda Bockweg, BSN, RN
7-West Coronary Care Unit
The Impact of Discharge Phone Calls on
Patient Satisfaction
Tara O’Brien, BSN, RN
Janelle Smith, BSN, RN
8-West Surgical ICU
Improving CAUTI Quality Indicators in the
Surgical ICU
Michael Brown, BSN, RN
Laura Bueter, BSN, RN
Lauren Cox, BSN, RN
Ashley Garcia, BSN, RN
Erin Beatty, BSN, RN
9-West Surgical ICU
Falls Preventions
Julie Fischer, BSN, RN
Jelena Jozic, BSN, RN
Martin Stephen, BSN, RN
Shawn Stockland, BSN, RN
ULH/JGBCC Annual
Research Day, May 2013
Melissa Burchett, MSN, RN, CCM, and Mark Spivak,
MSN, RN, BCEN – Nurse Peer Review
Melissa Burchett, MSN, RN, CCM, Katlyn Hapner,
BSN, RN, and Heather Williams, BSN, RN – Discharge
Planning and Beyond
Barbara Dimercurio, MSN, MBA, RN, Betty Cochrane
RN, Sherry Brennaman, RN, Mark Spivak, MSN, RN,
BCEN, and Susan Piercy, BSN, RN – ED Certifications
Jill Ford, BSN, RN and Dana Portman, BSN, RN –
To Inject or Not to Inject
Kimberly Meyer, ARNP, ACNP-BS, CNRN, Michelle
Bailey, APRN, and et al – Use of Bethanechol
or Tamsulosin Following Urethral Urinary Catheter
Removal to Prevent Reinsertion of Indwelling Urinary
Catheter in Neurosurgery Patients
Janet MacPhee, APRN, ONP-C, Brenda McFadden,
APRN, RN-BC, Marsha Reynolds, BSN, RN, Erica
Best, BSN, RN, Barbara Synder, RN, BSN, Sherra
Desurne, BSN, RN, and Sandra Sanguiliano, CA –
Is Nursing Able to Initiate the Mobility of the
Orthopedic Patient?
Jessica Massouda, BSN, RN, CCRN, and Jiying Ling,
PhD-C, BSN – Empowerment of Charge Nurses: A Key
Factor for Achieving Nursing Excellence and ANCC
Magnet® Designation
Michelle Perry, BSN, RN, OCN, Catherine Heringer,
BSN, RN, Ashley Flynn, BSN, RN, and Melissa
Pritchett, BSN, RN – An Initiative to Decrease Central
Line Bloodstream Infections among Neutropenic
Oncology Patients
Whitney Potter, BSN, RN – Improving Retention of
Post-Op Instructions in the Sedated Patient
Amy Robinson, BSN, RN, PCCN – Reducing Heart
Failure Admissions at University of Louisville Hospital
Susan Rothbauer, BSN, RN – Use of a Comfort Cart to
Decrease Patient Distress
LaShawn Scott, MSN, RN, CCRN, and Amy Dwyer, MD
– Clotted Access, Have you Checked your T-wave?
21
Martin Stephens, BSN student, and Sarah Bishop,
MSN, RN, CCNS – Perceived Benefits of Advanced
Training
American Nurses Association – Cathy Velasquez, DNP,
MSN, BSN, RN, CPHM, Advisory Committee, Nursing
Professional Issues
Clinical Managers Committee
Lisa Wright, BSN, RN, C-EFM
Diane Eckert, BSN, RN, CNML
Reetta Stikes, MSN, RNC-NIC, CLC, and Cathy
Velasquez, DNP, MSN, BSN, RN, CPHM – Nurse
Residents: A Structured Approach for Creating Change
Agents in the Use of Evidence-Based Practice
State, Regional and Local
Magnet Steering Team
Mary Jane Adams, MSN, BSN, RN, Chair
Roxanne Perucca, MS, BSN, RN, CRNI, Co-Chair
Cathy Velasquez, DNP, MSN, BSN, RN, CPHM, and
Pamela Smith Elzy, BSN, MHA, CNOR – Giving Back
to Move Forward: Implementing a Dedicated Education Unit Model for Clinical Nursing Education
Infusion Nurses Society, Kentuckiana Chapter – Alice
Atcher, BSN, RN, CRNI, Program Chair
Jianxia Wang, BSN, RN, Rhonda April, Laura Lyninger,
David McFadden, Mattie Smith, Darlene Brown, RN,
and Kimberly Denzik, BSN, RN – Meaningful Hourly
Rounding and Bedside Shift Report with Patient
Perceived Staff Response and Falls Risk
Tiffany Wingate, BSN, RN, Chassidy Bibb, MSN, RN,
and Linda Ritter, MHA, BSN, RN – Falls
Professional Organizations
National
American Academy of Nursing – M. Cynthia Logsdon,
PhD, WHNP-BC, FAAN, Co-chair, Child/Adolescent/
Family Nurse Expert Panel
American Nurses Association – Melissa Burchett,
MSN, RN, CCM, Advisory Committee, Nursing
Professional Issues
American Association of Neuroscience Nurses –
Kimberly Meyer, ACNP-BS, CNRN, Nominating
Committee
Midwest Nursing Research Society – M. Cynthia
Logsdon, PhD, WHNP-BC, FAAN, Research Grants
Committee
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Bridgehaven – Kathy Cox, MSN, RN, Board of
Directors, Secretary, Executive Committee, member
Infusion Nurses Society, Kentuckiana Chapter – Louise
Coughlan, BSN, RN, CRNI, President
Kentucky Hospital Association – Mary Jane Adams,
MSN, BSN, RN, CNO/Dean Committee
Metro Health Department, Healthy Start Advocate
Committee – M. Cynthia Logsdon, PhD, WHNP-BC,
FAAN, Co-Chair
Research! Louisville – Reetta Stikes, MSN, RNC-NIC,
CLC, Nursing Research Symposium Planning
Committee
Sigma Theta Tau, Iota Zeta Chapter – Cathy Velasquez,
DNP, MSN, BSN, RN, CPHM, Executive Committee, Chair
University of Louisville, School of Nursing – Mary Jane
Adams, MSN, BSN, RN, Advisory Committee
University of Louisville, School of Nursing – Mary Jane
Adams, MSN, BSN, RN, Adjunct Faculty
University of Louisville, School of Nursing – Cathy
Velasquez, DNP, MSN, BSN, RN, CPHM, BSN
Program Committee
University of Louisville, School of Nursing – Mandi
Walker, MSN, RN, RN-BC, CCRN, Alumni Council
Councils and Committees
Neurocritical Care Society – Kimberly Meyer, ACNPBS, CNRN, DVT Prophylaxis Guideline Committee
Advanced Practice Nurses Council
Kimberly Broughton-Miller, APRN, FNP-C, Chair
Postpartum Support International – M. Cynthia
Logsdon, PhD, WHNP-BC, FAAN, President’s Advisory
Council
Care Advisory Team
Linda Ritter, MHA, BSN, RN, Chair
Nursing Interdisciplinary Research and
Evidence Based Practice Council
Reetta Stikes, MSN, RN, RNC-NIC, CLC, Chair
Pauline Hayes, BSN, RN, Co-Chair
Nursing Affinity Meeting
Libby Smith, MSN, BSN, RN, C-EFM
Cindy Bryant, RN
Nursing Policy and Procedures Committee
Pamela Smith Elzy, BSN, MHA, CNOR, Chair
Pain Champions
Kim Williams, BSN, RN, RN-BC, Chair
Practice and Quality Council
Suzanne Luzama, BSN, RN, CAPA, Co-Chair
Rachel Sparks, BSN, RN, Co-Chair
Catherine Olson, BSN, RN, Chair Elect
Nursing Professional Development Council
Pamela Smith Elzy, BSN, MHA, CNOR, Chair
Research Champions
M. Cynthia Logsdon, PhD, WHNP-BC, FAAN,
Co-facilitator
Reetta Stikes, MSN, RN, RNC-NIC, CLC, Co- facilitator
Pain Champions
Kevin Bechtloff, BSN, RN
Melissa Burchet, MSN, BSN, RN, CCM
Anna Burns, BSN, RN
Anita Carner, ADN, RN
Tasha Casey, BSN, RN
Cindy Foote, BSN, RN
Michele Fitzsimmons, BSN, RN, CCRN
Donna Gray, BSN, RN
Jennifer Hartzler, BSN, RN
Suzann Hendrickson, BSN, RN
Kate Holton, BSN, RN
Deborah Johnson, BSN, RN
John Hope, ADN, RN, CEN
Vickie McCullough, ADN, RN
Cambridge Mudd, BSN, RN
Chi Chi Omenynima, BSN, RN
Seretha Patterson, ADN, RN
Kourtney Priest, BSN, RN
Katie Reynolds, BSN, RN
Kimberly Rhodes, BSN, RN, OCN
Jennifer Roeser, BSN, RN
Laura Rudolph, BSN, RN
Abbey Smith, BSN, RN
Barbie Synder, BSN, RN
Rebecca Szybist, BSN, RN
Laura Whitfill, BSN, RN, OCN
Ashley Weichelt, BSN, RN
Nursing Practice and
Quality Council
Hermys Yanes Boza, BSN, RN
Vicki Brier, BSN, RN
Anna Burns, BSN, RN
Cassie Carney, ADN, RN, OCN
Bridget Dooley, BSN, RN
Jason Fackler, BSN, RN
Deidra Gottbrath, BSN, RN, CCRN
Laurie McLaughlin, BSN, RN
Delinda Kayrouz, ADN, RN
Jenny Jones, BSN, RN
Sarah Keene, BSN, RN
Lindsey Likens, BSN, RN
Loretta Napier, BSN, RN, CMSRN
Samantha Newton, BSN, RN
Katie Peace, BSN, RN
Miranda Pierce, BSN, RN
Lauren Pitcock, BSN, RN
Amy Pooler, BSN, RN
Melissa Pritchett, BSN, RN, OCN
Haily Sherman, BSN, RN, CCRN
Christy Smith, ADN, RN
Alicia Snardon, ADN, RN
Rachel Walters, BSN, RN
Rachel Warren, BSN, RN
Ashley Weichelt, BSN, RN
Stephanie Williams, ADN, RN
Julie Wischer, BSN, RN
Nursing Professional
Development Participants
Amy Augustine, BSN, RN, CEN
Sarah Cullen, BSN, RN, CEN
Suzanne Luzama, BSN, RN, CAPA
Emily Rench, BSN, RN, CEN, SANE
Kimberly Rhodes, RN, BSN, CCRN
LaShawn Scott, MSN, RN, CCRN
Haily Sherman, BSN, RN, CCRN
Gary Spalding, BSN, RN, PCCN
Research Champions
Lauren Bearden, BSN, RN
Kimberly Bradford, BSN, RN
Amanda Corzine, BSN, RN, SANE
Adam Denney, BSN, RN
Deidra Gottbrath, BSN, RN, CCRN
Jennifer Gromko, BSN, RN
Jimmie Hannaman, BSN, RN
Carlotta Keltner, RN, RN-C
Tracy Kephart, BSN, RN, CCRN
Catherine Liikala, BSN, RN
Meridith Mader, BSN, RN
Adam Pike, BSN, RN
Whitney Potter, BSN, RN
Susan Rothbauer, BSN, RN
Laura Serke, RD
Lori Sipes BSN, RN, CCRN
Gary Spalding, BSN, RN, PCCN
Rosemary Wafford, BSN, RN, OCN
Rising Star Graduates
Chelsea Alder, RN, BSN
Sherra Desurne, RN, BSN
Chandler Hegg, RN, BSN
Amy Levy, RN, BSN
Alexandria Saucier, RN, BSN
Jennifer Schmitz, RN, BSN
Kelly Stickles, RN, BSN
Crystal Taul, RN, BSN
Amanda Wade, RN, BSN
Rising Star Mentors
Kim Denzik, BSN, RN
Emily King, APRN, ACHPN
Leslie Lauterwasser, BSN, RN, OCN
Cindy Lucchese, MBA, BSN, RN
Michelle Perry, BSN, RN, OCN
Barbara Senior, MBA, BSN, RN, CCRN
Community Health and
Outreach Service
The Department of Nursing staff provides many
hours of community service. The following is a
representative sampling of groups that have benefitted
from the staff’s commitment to community service.
American Heart Association Kentucky Heart Walk
American Heart Association Regional Faculty
American Red Cross
Big Brothers Big Sisters of Kentuckiana
Bone Marrow Drive
Bridgehaven
Center for Women and Families
Crohn’s Disease Walk
Gilda House
Harambee Center
Healthy Start
Hispanic/Latino Health Fair
Horses and Hope
Kentucky State Fair
Jan Neuwirth Golf Scramble
Junior League of Louisville
Legacy of Life
Leukemia and Lymphoma Society
Louisville Fire Drill
Make a Wish Foundation
March of Dimes
National Association Mentally Ill Walk
Park DuValle Community Health Fair
Presbyterian Community Center Health/Wellness Fair
Relay for Life of Jefferson County
Shine a Light on Lung Cancer Vigil
St. Joseph Picnic, First Aid Booth
Stroke Awareness
University of Louisville Campus Fire Safety Week
Wayne Oates Institute
WHAS Healthfair
YMCA health screening
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KentuckyOneHealth.org
Professional Recognition
Katie Hapner, BSN, RN, and Heather Williams, BSN, RN – 2013 Nurses as
Teachers Award
EDITORIAL DIRECTORS
Roxanne Perucca, RN, MS, CRNI
Director of Magnet/Nursing Excellence &
Vascular Access Specialist Team
M. Cynthia Logsdon, PhD, WHNP-BC, FAAN – Maternal Child Health Leadership
Mentor, Sigma Theta Tau International/Johnson & Johnson
Kathy Keadle
Nursing Excellence Quarterly Awards
CREATIVE DIRECTOR
Robin Thompson
Cathy Velasquez, DNP, MSN, BSN, RN, CPHM
Nursing Education and Development
PHOTOGRAPHY
Deidra Gottbrath, BSN, RN, CCRN
Stroke Unit
Marvin Young
Many special thanks go to the
nurses who have a passion to provide
patient-and family-centered care
driven by excellence here at
ULH & JGBCC every single day.
Haily Sherman, BSN, RN, CCRN
Burn Unit
Melissa Pritchett, BSN, RN, OCN
Bone Marrow Transplant Unit
2013 Annual Nurse Excellence Award Winner
Deidra Gottbrath, BSN, RN, CCRN
Stroke Unit