EMC_AnnualReport_r2.indd 1 6/8/16 7:30 PM

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EMC_AnnualReport_r2.indd 1
6/8/16 7:30 PM
Welcome to Einstein’s Nursing Annual Report for 2015-16
Ric Cuming, EdD, MSN, RN, CNOR, NEA-BC,
Vice President & Chief Nurse Executive
For the past two years, I’ve enjoyed the great honor of working with the exceptional nurses at Einstein Medical Center
Philadelphia and Einstein Medical Center Elkins Park. I’m so
proud of your dedication, performance and the progress we’ve
made. You are the heart of our organization.
As we review the past year, which included our network’s
noteworthy 150th anniversary, you have achieved some
remarkable feats. Some that come to mind include successful
redesignation as a Watson Caring Science Institute Affiliate
for the 5th year in a row, decreasing post-op infection rates,
reducing falls, increasing patient satisfaction, and fully
implementing a safe patient handling program.
You’ve taken the initiative to participate in shared governance
to ensure the voice of Nursing is heard on issues that matter to
you as professionals in the workplace. Through your work on
interdisciplinary teams, you provide valuable input into your
patients’ care plans. In addition, more and more nurses here
at Einstein have increased their knowledge and skill level by
attaining additional certifications and degrees.
Together, as important members of the inter-professional care
team, we deliver high-quality healthcare, provide outstanding
customer service and create a wonderful workplace
environment.
I encourage you to read this annual report as a celebration
of your achievements.
Thank you for all that you do to support our network and for
your dedication to professional nursing excellence. Let’s
continue to make Einstein an even greater place to work.
Flo Gunn Gallagher, BSN, RN, CRRN,
Chair of Network Council & Clinical Nurse:
1 West - MossRehab Elkins Park
I have been an Einstein nurse for over five years and could
not be more proud. As an organization, specifically Nursing,
we continually strive to improve quality, patient care, and RN
engagement. One of the ways in which we positively influence patient outcomes and strengthen our inter-professional
relationships is through our shared governance structure.
This structure is founded on the cornerstone principles of
partnership, equity, accountability, and ownership.
It enables frontline Nursing staff to utilize their professional
autonomous voice and inform the delivery of nursing care
within a healthcare system.
Looking back on the most recent year, our involvement
in everything from selecting the products we use to
promoting evidence-based practices has helped Einstein
Healthcare Network meet our goals. A few examples of how
our shared governance structure has impacted Nursing across
the network are the involvement of interdisciplinary teams
with CUSP and SUSP committees, reaching the designation
phase for being Baby Friendly, and multiple community
outreach projects at all levels.
When our Nursing Shared Governance leaders gathered
at a Nursing retreat on Jan. 5, 2016, nurses from every level
were in attendance to give presentations on accomplishments
toward Nursing strategic plan goals and objectives.
From evidence-based practices and research projects to
interdisciplinary teamwork to nurse education and
professional development, and caring science projects,
we’ve had quite a year!
I encourage all nurses to continue to make sure our voice is
heard by actively participating in shared governance.
As Chairperson of Network Nursing Council, thank you to
all my fellow nurses for an outstanding year.
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WELCOME
EMC_AnnualReport_r2.indd 2-3
WELCOME
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TABLE OF CON TEN TS
Einstein Healthcare Network
150 Years
Einstein’s History & Mission
Locations
Transformational Leadership
Nursing Mission, Vision, and Values
Nursing Strategic Plan
Nursing Philosophy
Leadership Accessibility
Internal Nursing Float Pool
UHS Equipment Assessment
ANCC Magnet Application
Internal Customer Service and Satisfaction
Structural Empowerment
Shared Governance
Teaching and Role Development
Community Outreach
Nursing Recognition & Awards
Professional Development
Certified Nurses
BSN and Certification Trends
Exemplary Professional Practice
Professional Practice Model
Watson Re-Designation
Preventing HAPU
Safe Patient Handling Program
Nursing Recruitment
Improving Patient Satisfaction
New Knowledge, Innovations & Improvements
Research and EBP Council
Research Day
Curos Caps
Informatics Council
Snoogle Dolls
Levy 7 Redesign
Empirical Outcomes
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TABLE OF CONTENTS
Temporal Thermometers
Journey to Baby-Friendly Designation
Falls Project MossRehab
LGBT Healthcare Equality
Colostrum Project Research Study
Reduction in SSI
Disability Etiquette Project
TABLE OF CONTENTS
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Einstein Healthcare Network
is a not-for-profit healthcare system,
serving patients in the Greater Philadelphia region through our hospitals, physician practices and outpatient
facilities. We have a proud history of
clinical excellence and providing the kind
of personalized, innovative care that
goes far beyond just white coats and
stethoscopes. At Einstein Healthcare
Network, our Mission is to provide
compassionate, high-quality healthcare
to as many as we can reach. For 150
years, that idea has served as the basis
for everything we do and can be traced
to how we got our start back in 1866.
While the hospital has grown from our
original 22-bed facility into one of the
largest, most comprehensive healthcare
providers in the Philadelphia region, our
Mission remains as important today as it
was in the late 1800s. Over the years, it
has defined us and helped us to
redefine ourselves. Today, we are a
leader in finding innovative ways
to serve increasingly diverse communities and deliver new technologies and
breakthroughs in breast health, organ
transplantation and other areas. Here are
some quick facts about Einstein:
Locations
See page 8-9
Employees
About 8,500
Physicians
Approximately 1,200 staff and
voluntary physicians
Licensed Beds
1,000
EI NSTEI N HEALTHCARE NETW O R K
Our History & Mission
The mission and founding principle of the
Jewish Hospital was to provide relief to the
sick and wounded, without regard to creed,
color or nationality, or ability to pay. This
was a revolutionary concept in 1866.
The hospital opened in a 22-bed farmhouse
in West Philadelphia.
The hospital quickly became a refuge for
soldiers returning from the Civil War, freed
slaves and immigrants. Our original mission
and core principle to care for all in need
continues to guide Einstein Healthcare
Network today.
In 1952, the Jewish Hospital merged with
Mount Sinai Hospital in South Philadelphia
and Northern Liberties Hospital under the
new name of Albert Einstein Medical Center
- with the approval of the great scientist.
The new entity was “devoted to medical
teaching, medical research, and community
health activity.” Today, Einstein Healthcare
Network is a 1,000-bed regional network
with approximately 8,500 employees serving the communities of Philadelphia and
Montgomery County, Pa.
Included in the organization are nationally
ranked MossRehab, the Willowcrest skilled
nursing center, outpatient care centers, and
a network of more than 1,000 primary care
physicians and specialists throughout the
region.
Residents and Fellows
410
Medical Education Programs
32
Patient Volume
Hospital Admissions: 43,000 Annually
Emergency Room Visits: 158,000
Outpatient/Physician Visits: 1.4 million annually
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EINSTEIN HEALTHCARE NETWORK
EINSTEIN HEALTHCARE NETWORK
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LO CA TIO N S
To
Collegeville
To
Allentown,
PA
A
To
Upper Gwynedd
North Wales
T
To
Doylestown, PA
To
Colmar
To
Doylestown, PA
BU C K S
C O U NTY
East
Norriton
559 West Germantown Pike
East Norriton, PA 19403
Full service, tertiary care medical center
in central Montgomery County, offering
advanced cardiac services, cancer care,
orthopedic services, minimally invasive
and robotic surgery, and family-centered
maternity care.
Blue Bell
Plymouth
Meeting
King of
Prussia
Specialty Care
PIKE
URN
PA T
Norristown
Conshohocken
MO NTGO ME RY
C O U NTY
MossRehab
Clubhouse Programs
Jenkintown
Far Northeast
Lafayette
Hill
RIDG
E PIK
E
GE
AN
TO
Wadsworth
W
N
PI
KE
Cedarbrook
SC
HU
Bryn Mawr
YL
KIL
World-renowned physical medicine and
rehabilitation, research and technology.
Burholme
Lawndale
Mayfair
Olney
LR
IVE
R
Bala
Cynwyd
MossRehab
P HIL ADE L P HIA
1
A
AMBULATORY CARE CENTERS
TACONY PALMYRA
BRIDGE
30
BETSY ROSS
BRIDGE
Acute-care medical center specializing
in minimally invasive surgery.
Both at 60 Township Line Road
Elkins Park, PA 19027
The Nicholas and Athena Karabots Medical Building
Minerva D. Braemer Medical Arts Building
(Einstein Medical Center Montgomery campus)
Center City
ARE
ELAW
R
RIVE
633 W. Germantown Pike (Plymouth Meeting)
D
Women's Health & Wellness Center (East Norriton)
University
City
5501 Old York Road, Philadelphia, PA 19141
Flagship location for Einstein Healthcare
Network.Largest independent academic
medical center in the region.
Einstein Center One (Philadelphia)
Einstein at Germantown
Einstein Medical Center Elkins Park
Einstein Medical Center Philadelphia
MossRehab
Outpatient Centers
Pennypack
Logan
Germantown
MossRehab
Driving Program
MossRehab
Inpatient Locations
Elkins Park
RM
To Paoli
Einstein Healthcare
Network Main
Locations
Primary Care
Abington
Einstein Medical Center
Montgomery
KEY
To
Langhorne, PA
Einstein Healthcare Network Holmesburg
Old City
Einstein Healthcare Network Collegeville
BENJAMIN FRANKLIN
BRIDGE
To Marlton, NJ
Primary and Specialty Care
Einstein offers quality primary and specialty services, including
internal medicine, family practice, obstetrics/gynecology, pediatrics,
cardiology, gastroenterology, nephrology, orthopedics and others.
To
Wilmington, DE
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LOCATIONS
To
Rehoboth
Beach, DE
South
Philadelphia
WALT WHITMAN
BRIDGE
To
Woodbury, NJ
Surgical Care
Advanced outpatient and inpatient surgical care, using traditional
as well as minimally invasive techniques in cardiology, orthopedics,
bariatrics, liver/kidney/pancreas transplantation, neurosurgery and
other specialties.
LOCATIONS
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TR AN S F ORMATIO N A L LEA D ER SHI P
Transformational leaders develop a strong vision
and clear philosophy that ensures Nursing’s mission,
vision, values and strategic plan are aligned with the
organization.
Einstein Nursing’s Mission, Vision, and Values
Our Vision:
Advancing the art and science of
Nursing.
Through that vision, we aspire to bring
to our patients and community Einstein
Brilliance and Compassion in All We
Touch, which is the vision for Einstein
Healthcare Network.
Our Mission:
The mission of Nursing is a commitment
to creating caring, healing environments
with authenticity and intentionality for
all we reach and touch through practice
excellence, innovation, scholarship, and
expressions of caring practices.
With humanity, humility and honor,
to heal by providing exceptionally
intelligent and responsive healthcare
and education for as many as we can
reach is the mission of Einstein
Healthcare Network. The mission is
grounded in the Jewish concept of
repairing and healing the world. In doing
so, we respect the opportunity to be
involved in our community and in
people’s lives.
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TRANSFORMATIONAL LEADERSHIP
We Value:
• Each other as our greatest resource
in achieving our mission.
• Professionalism in our discipline.
• Diversity for enriching our
communities.
• A culture of safety that protects our patients and ourselves.
• Teamwork which supports and strengthens interdisciplinary
collaborative practices.
• Our patients and their families as
active participants in their care.
• Creating a superior experience for our patients, families, and communities.
•
Caring science, innovative models of care delivery, and integration of
research and evidence-based
practices.
• Peer review as necessary for
professional growth and development.
• Education and lifelong learning.
• Change and the opportunities it
creates.
Nursing Strategic Plan
Nursing Philosophy
Our Core Purpose Statement:
To provide exceptional nursing care that
honors the humanity and dignity of each
person while advancing nursing as a
profession.
At Einstein Healthcare Network, we
believe Nursing is both a discipline and
a practice profession. As a discipline, we
have a domain of knowledge, which has
been developed over time by nursing
theorists, leaders, scholars, and
professional organizations. As a
practice profession, we use the theoretical
structures of this knowledge to inform
education, practice, and research.
Envisioned Future Goal:
The Nursing Service Organization will
drive the recognition of Einstein as the
premiere network by being a leader in
nursing innovation, caring science,
scholarship, and community integration.
Vivid Descriptions:
• Einstein Nursing will be recognized as an influential determinant for choice
of care within the community.
•
The Nursing Service Organization will be a major contributor to clinical
excellence and the financial goals of Einstein Healthcare Network.
•
Continuing to use evidence-based
practices and caring science, Einstein nurses will be trusted leaders in the
optimal delivery of patient-centered care.
•
Our Nursing Service Organization will attract and retain nurses committed to
exemplary professional practice and the cultivation of the next generation of
nurse leaders.
Watson’s Theory of Human Caring is the
overarching nursing theory that informs
the mission, vision, philosophy, and
professional practice model for the
Nursing Service Organization. The
conceptualization of our philosophy is
based on Caritas Process™ 4 Developing
and Sustaining a Helping Trusting Caring
Relationship. Relationship includes
relationship to self, relationship with
colleagues, relationship with patients,
and relationship with community.
To allow for caring moments, we need to
have an authentic presence, seek genuine
human connection, listen to hear the story
of another, and be present for another.
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Leadership Accessibility
You spoke. Leadership Listened.
Improving Internal Customer Service and Satisfaction
There are several ways in which Einstein
ensures our nurses have access to nurse
leadership. Each month, invitations
are extended to 24 nurses to join Vice
President and Chief Nurse Executive Ric
Cuming at either a breakfast or luncheon
discussion group held on the Einstein
Medical Center Philadelphia or Einstein
Medical Center Elkins Park campuses.
Internal Nursing Float Pool
In direct response to needs identified by
our nurses working at Einstein, a
Central Staffing Clinical Manager position
was approved. Pearl Megafu, BSN, RN,
Clinical Manager of Central Staffing,
was hired and is currently working on
an initiative to recruit more nurses and
patient care associates into the float
pool. Float pool nurses will cover a
variety of units, including Surgical,
Medical, Critical Care, and more.
Internal customer service and satisfaction
are essential to productivity and the
delivery of consistently excellent service
to the patients and personnel of the
healthcare organization. In January 2014,
Internal Customer Satisfaction (ICS)
survey scores for Einstein Medical Center
Philadelphia averaged 71.7%. Leadership
challenged itself to obtain an Internal
Customer Satisfaction Score of 76.3% or
above for the hospital.
Nursing leaders, including Ric, regularly
round on the Nursing units and hear
from staff and patients how needs can
be better met. Ric, Nursing directors
and managers participate with staff in
a variety of forums such as the Shared
Governance Unit Practice Committee,
cluster and council meetings, Research
and Evidence-based Practice Council,
and Comprehensive Unit-based Safety
Program (CUSP) to name a few.
Nurse Leaders: Always Within Reach
You can regularly see or hear from
Ric Cuming and Nursing leadership in
a number of different venues:
• Leader Rounding
• Shared Governance Meetings
• Nursing Newsletters
• Nursing Matters Emails
• Town Halls
• Breakfast Discussion Groups
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UHS Assessment of Equipment
In October 2015, when problems with
IV pumps were identified, we brought in
Universal Health System (UHS) to do
an assessment and ultimately hired them
to manage a large portion of our
equipment, including pumps, in spring
2016. UHS brought in extra pumps and
distributed them to all Nursing units.
Going forward, UHS will make sure
pumps are where we need them to be.
Nursing Submits Official
Application to ANCC to Begin
Magnet® Designation Journey
On December 23, 2015, Vice President
and Chief Nurse Executive Ric Cuming
submitted Einstein’s official inaugural
application to the American Nurses
Credentialing Center (ANCC) to begin
our Magnet® Designation Journey.
The application includes Nursing units
at Einstein Medical Center Philadelphia,
Einstein Medical Center Elkins Park,
MossRehab, Einstein Center One, and
Willowcrest. Magnet® recognition from
ANCC is widely regarded as the highest
mark of excellence a hospital can
receive for Nursing. Bill Hudson, BSN, RN,
CNML, joined the organization to oversee
and guide the Magnet®
Designation process.
Beginning in May 2014, Vice President
and Chief Nurse Executive Ric Cuming
and Pat Modaferi, VP Healthcare Services
implemented several initiatives that
focused on improving ICS:
• Formed a committee to suggest and develop strategies that will serve to improve ICS.
• Developed an ICS Dashboard. The electronic dashboard provides support area and Nursing leaders with ICS
survey data, interactive viewing
capabilities, and resources needed
to be successful in partnering to
improve ICS.
•
Encouraged participation in the ICS survey, and emphasized the need to provide honest feedback when completing it.
•
Introduced and enforced ICS rounding to the network. Service area leaders must use standardized tools to guide rounding activities and document discussion, successes, and areas for improvement. They also must develop
an action plan and document goal
attainment.
By September 2014, the ICS survey
scores rose to 80.2%, surpassing the
goal. By September 2015, the ICS survey
scores increased even more to 86.5%.
Internal Customer Satisfaction
Survey Scores
100%
90%
80%
70%
80.2%
85.4%
88.1%
84.0%
86.5%
71.7%
60%
50%
40%
30%
20%
10%
0%
Jan Sep Dec Apr Jun Sep
‘14 ‘14 ‘14 ‘15 ‘15 ‘15
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STRU C T URA L EM P O W ER M E N T
Structural Empowerment ensures that nurses can take
part in Shared Governance and decision-making structures
and processes. At Einstein Medical Center Philadelphia, our
nurses actively support organizational goals, contribute
to improved community healthcare, and embrace
opportunities for professional development.
Our Commitment to
Shared Governance
Shared Governance has been central to
Einstein Nursing for more than 23 years.
The success of Shared Governance and of
the clinical nurses on the units, clusters,
and Network Council relies on the guidance, coaching and full support of Nursing
management. Just as important, Nursing
management is successful when clinical
nurses have a voice and autonomy. This
leads to improved empirical outcomes
for our patients and a strong practice
environment for our nurses.
Our Shared Governance is a professional
structural model, founded on the principles
of partnership, equity, accountability
and ownership. These principles enable
sustainable and accountability-based
decisions to support an interdisciplinary
design for excellent patient care.
Nursing Shared Governance leaders
gathered at a Nursing retreat on Jan. 5,
2016. During the retreat, members formed
workgroups to focus on the strategic plan,
care delivery model and peer review.
They explored how the professional
practice model is evident in the practice
of nursing.
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STRUCTURAL EMPOWERMENT
Each Specialty Cluster Chairperson or
Cluster Representative gave a presentation
on their accomplishments toward Nursing
strategic plan goals and objectives, which
included the following:
• RNs from SICU and SSU authored a featured
article in the Nov/Dec 2015 issue of Clinical
Nurse Specialist.
• NICU presented on the “Benefits of Oral
Swabbing of Colostrum” at a national
conference in Florida.
• RNs from MossRehab presented at conferences of the Association of Rehabilitation Nurses and
International Association of Human Caring.
• Eight Einstein nurses attended the Dynamic Shared Governance Conference in North Carolina
in September. Three attendees from Network
Nursing Council presented key information
learned from national nursing experts on Shared Governance to Einstein Nursing Leadership on
October 22, 2015.
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Teaching and Role Development
Heart Failure Education/Teach Back
Success Story
Heart Failure (HF) is a chronic condition,
which has been associated with high
30-day hospital readmission rates across
health institutions in the United States.
Many HF patients have grappled with
managing their condition. Published
literature supports the importance of
education in preventing readmissions.
has its share of challenges with high
readmissions rates among HF patients.
Thus, the institution sought to develop
measures to effectively educate our
hospitalized patients with HF about
self-care in order to curtail preventable
readmissions.
the creation of a HF Education Packet
(HFEP). The group decided to apply the
“teach-back” methodology to the HC
patient education project to increase its
effectiveness.
Einstein Nursing’s Professional Practice
Model and Care Delivery System provides
the framework for improving nurses’
expertise in teaching the patient and
family. In this instance, there was an
opportunity for Einstein’s nurses to
analyze the role patient education played
in managing chronic conditions.
The nurses found the HFEP in
conjunction with the TB techniques to
be excellent patient education tools.
The consensus was that it improved
teaching. The patients really liked the
layout, and found it easy to understand.
Similarly, the educational opportunity
provided by the institution through the
TB methodology was well received and
found to be crucial in equipping the
nurses with the necessary skills and
knowledge to address the complex
needs of HF patients. The overall
feedback from the Nursing staff and
patients was very positive. The project
is ongoing, and data is still being
collected. The continued dedication of
the organization in supporting the staff
and patients we serve with these quality
programs makes sustainable
improvements very likely.
Nursing decided we needed to find a
more effective way to teach patients.
This led to the implementation of
“teach-back” (TB), an evidence-based
form of teaching that has been found to
help patients retain more information.
Einstein launched an initiative to train
the Nursing staff on the TB techniques
to be used to improve patient education.
Meanwhile, the Heart Cluster (HC), the
members of Shared Governance for the
Institute for Heart and Vascular Health,
were concurrently developing an
Evidence-Based Project on standardizing
education for HF patients, which led to
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The HFEP were placed strategically
on each unit for nurses to distribute to
HF patients. Staff began using TB with
the HFEP packets, to more effectively
educate patients on understanding their
condition, and learning how to manage
it. The documentation section allowed
nurses to see what the patients already
had learned, and focused on the
information the patient needed.
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Community Outreach
Community benefit programs are critical to the health and well-being of Einstein
patients and neighbors. We’re proud of our nurses’ dedication to these programs.
Nursing is fully involved with the Gutman Diabetes Institute and state-funded Centering
Pregnancy Program. On Stroke Alert Day, nurses provided stroke awareness information
to the commuting public.
Additionally, hundreds of Nursing staff members participated in the netwok’s
community events. In total, we provided health screenings and health information
at 43 community events, touching over 3,700 residents in all our service areas.
School District Flu Shots
In an attempt to promote health and wellness, Einstein Medical Center Elkins Park
and MossRehab asked Cheltenham School
District if it would be interested in having
Einstein administer flu vaccinations. The
District has an annual flu shot campaign,
in which it offers flu shots to its employees, so it was thrilled to have a hospital
within its community offering assistance.
Einstein provided nurses who volunteer to
screen school staff and administer the flu
shot. Screenings are held in October and
schools are assigned times.
Einstein provides the needed items for
administration including the forms,
vaccine and needles. The RNs
volunteering their time meet with each
Cheltenham District employee to review
a flu shot questionnaire and answer any
questions. The nurse then administers the
flu shot and provides the employee with
a copy of the flu shot questionnaire and
acknowledgment form.
Carol Daley, BSN, RN, Mary Lou Arocena
BSN, RN, Jean Albany MSN, RN, Sue
McLaverty and Bernadette Anderson,
BSN, RN, were all participants in the flu
shot campaign. Kate Hesson, BA, Senior
Physician Liaison, assists with the
arrangements between the District
and Einstein.
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Since the program has begun, the
Einstein staff administered
approximately 200 to 250 flu shots
annually to the Cheltenham School
District staff. The District continues to call
yearly to set up its flu shot schedules.
Home Cook Heroes
Members of the MossRehab Cluster
participated in the Home Cook Heroes
program on February 17, 2016, at Gift of
Life Family House. This program ensures
a home-cooked meal for our guests at the
Family House, which makes a difference
in the lives of transplant patients and
their families.
Einstein Medical Center Philadelphia, Einstein
Medical Center Elkins Park, MossRehab, and
Willowcrest Nursing Staff members donated new
school supplies, gloves, hats, scarves, snacks,
story books, coloring books, stuffed animals,
stickers, games, and many other items to fill large
treasure chests – enough for 28 classrooms plus
the Principal’s office at the Potter Thomas Promise Academy in North Philadelphia.
Maryann Donnelly, BSN, RN, SICU spearheaded
a holiday collection of items desired by U.S.
troops. Staff members and employees dropped
their donated items into the designated carton
on the unit. Donnelly and her husband personally
covered all shipping costs for the filled and heavy
cartons that they sent to our service men and
women deployed overseas.
In addition to the Angel Tree Project (program of
the Salvation Army) that Carolyn Jacobson, MSN,
RN, CCRN, SICU coordinates annually, she also
partnered with an organization called The Joy
Of Sox and collected 20 packages of heavy-duty
socks, which are then given to men, women, and
children who are homeless. Although there are
many needs, socks are one of the cherished items
that the homeless rarely receive.
Levy 4 Unit Practice Committee collected
TastyKakes, cookies, candy and other treats
along with cards, books, and games, which were
packed up and shipped out to surprise a unit staff
member’s son and his fellow soldiers stationed in
Afghanistan.
Levy 7 Unit Practice Committee members and
their unit staff created holiday gift bags. Staff
purchased and/or donated items such as socks,
shampoo, deodorant, books, inspiration angels,
and other items and filled each bag. Between
Christmas Eve and Christmas Day, each patient
on their unit was personally given one of the gift
bags by staff members.
1 North MossRehab staff adopted a family that
was in need and referred by an employee. Unit
employees collected donated items and the gifts
were delivered to the family for Christmas. It was
an uplifting experience for both patients and staff
members.
Maryann Feldstein, BSN, RN, Neonatal ICU
and Amanda Conley, BSN, RN, Medical ICU
coordinated efforts in which each of their units
adopted a (2nd and 4th grade) class at a local
school. Staff members donated and wrapped gifts
so each child had a gift with his or her name on it.
Lifter 3 & 4 staff members have been caring
and supportive to a very ill colleague with visits,
calls, notes and cards, offering and bringing
her comfort and caring. Keeping babies warm
is a project coordinated by Carla Lecoin, BSN,
who purchased four baby snowsuits for moms
in need. Staff collected $525 as a gift for a staff
member caring for a seriously ill family member.
Randi Boucher, BSN, RN, CBC, Terri Jasner, BS,
RN, CBC, and Carla Lecoin, BSN, coordinated an
event with proceeds going to the staff member to
help care for her family member.
The Neuroscience, Surgical Stepdown, and
Medical Progressive Units adopted a family
with two children through the Breathing Room.
Nursing staff members and employees donated
funds for this holiday activity. Rachel Lehman,
BSN, RN, Dawn Delaney, BSN, RN, Tammy
Wicher, BSN, RN, and Kristina Tregnan, Health
Unit Coordinator, did the shopping, wrapping
and delivering of all the gifts to a surprised
and appreciative family.
Medical Progressive Care Unit staff donated
funds for a poinsettia plant for each patient on
their unit.
Tower 4 staff adopted a family for the holiday
and then on Christmas Eve, a colleague’s house
had a major fire. On Christmas morning, Andee
Tompkins, RN, had already initiated a collection
to provide some support to their co-worker.
Lisa Pinder, BSN, CRRN, Nurse Manager, along
with six nurses and a neuro-psychologist from
the Brain Injury Unit at MossRehab at Elkins Park,
prepared a Cinco de Mayo-themed dinner for
the residents (patients and families) at the Gift
of Life House in Center City Philadelphia. The
group shopped for and purchased the food, then
prepared and served the meal, which was enjoyed
by all.
MossRehab at Sacred Heart team created a
giving tree. This year the staff decorated their
holiday tree with an abundance of assorted
school supplies. All of the items will be donated
to a deserving 1st grade class in their Lehigh
Valley Community.
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2015 Nurses Week Caring Spirit Awards
MossRehab Cluster
Ghazala Khan, BSN, RN, 4th Fl
Heart Institute
Denise McLaughlin-Smith, RN, CCU
Medical Surgical Cluster
Tyra Minnay, PCA, Levy 7
Danielle Scarpitti, RN, CRRN, 4th Fl
Cynthia Visco-Ludwig, RN, CCU
Angelika McCaffrey, BSN, RN, Bucks
Nicole Carter, BSN, RN, T5
Susan Gulla, MSN, RN, CMSRN,
Tower 4
Nicole Zeoli, BSN, RN, 1 West
Romana Ouana, Tech, T5
Lillian Arrington, HUC
Nolan Bowers, NA, Doylestown
Teena Branham Wilson, HUC, T5
Team Award - Diabetes Resource Team
Yvonne McKinstry, NA, 1 North
Women and Children’s Cluster
Beverly Carroll, RN, L&D
Willowcrest
Merrill Baby, BSN, RN
Tyona Washington, C.N.A.
Sue Rubin, RN, NICU
Stacey Redley-Peak, BSN, RN, NICU
Team Award- NICU Community
Outreach Group
Surgical Services
Evelyn Gonzalez, BSN, RN, CNOR, EMCP
Danielle Bilsland, BSN, RN, EMC EP
Stephanie Repitsky, ARRT, Center 1
Critical Care Cluster
Catherine Vanore, BSN, RN, CCRN,
SICU
Gwynne Booth, BSN, RN, CCRN,
SICU
The RN Excellence Awards were
presented at a special celebration held
at Einstein Medical Center Philadelphia.
Lindsay Dietz, BSN, RN, CRRN, from
MossRehab at Doylestown, was presented
with the Vanessa Hawkins-Sellers RN Excellence Inspiration Award, given to
honor a nurse who is shown to be
inspirational to others trying to achieve
RN Excellence. This award honors the
memory of Vanessa Hawkins-Sellers, BSN,
RN, a former Einstein nurse who passed
away in 2009. RN Excellence pins were
distributed to 127 RNs who had RN
Excellence portfolios approved in the
areas of Clinical Practice, Leadership,
and Education.
20
Molly Fitzpatrick, BSN, RN, PCU
Kristen Gerard, BSN, RN, CCRN,
MICU
Shared Governance Leadership Award
Crystal Long, BSN, RN, T8
Nursing PRISM Award
Catherine Reynolds, RN, BSN, ML, JL
Team Award - Neuroscience Unit
Practice Committee for the
Christmas Project
Marianne Smith Catanzaro Caring Spirit
Award
Marlene Case, RN, EMCP ED
Emergency Cluster
Raelynne Bamberger, BSN, RN,
CEN, EMCP
Tommy Campbell Caring Spirit Award
Kevin Ho, BSN, RN, MICU
Gene Spoerl, RN, EMCP
Kathleen F. Kelly, BSN, RN, EMCP
Pat Adams, RN, Gutman Diabetes Institute
Becky Storbrauck, RN, Gutman Diabetes
Insitute
Jackie Dwyer, Gutman Diabetes Institute
Noreen Aswad-Castelli, Food & Nutrition
Lisa Tafflin, Food & Nutrition
Christine Garrity,EMCP, Tower 5
Nicole Carter, RN, EMCP, Tower 5
Marilynn Gregory, RN, EMCP, PCU
Tonya Austin, RN, EMCP, Tower 6
Andrea Young, RN, EMCP, Tower 8
Vini Joby, RN, EMCP, Tower 8
Naomi Higgins, RN, EMCP, Levy 9
Patricia Lundlin,RN, EMCP, Levy 9
Shinzy Mathew, RN, EMCP, Levy 9
Sarah Palacios, RN,EMCP, NSU
Mini Saji, RN, EMCP, Levy 7
Dominque Sime-Joseph, EMCP, MICU
Elizabeth Thomas, MSN, RN, ACNS-BC, NEPD
Mary Lou Arocena, RN, EMC Elkins Park, PCU
Angelo Arocena, RN, MossRehab, 3 Main
Lailitha Mathew, RN, MossRehab, 2 Sley
Advance Team Award
Advance
Team Award
The Women’s and Infant’s Cluster Council
was named the winner of Advance for
Nurses
Best and
Nursing
Team
Award in the
The
Women’s
Infants’
Cluster
Community
Outreach
Category.
Council
was named
the winner
of They will
be featured
in the Best
May Issue
of Advance.
Advance
for Nurses
Nursing
Team Award in the Community
Outreach Category. They were
featured in the May 2016 Issue.
21
6/8/16 7:30 PM
DAISY Award Honorees January 2015 – April 2016
April 2016
Michele Braga
5 Main
October 2015
Michael Carpenter
1 West, Post-Stroke Unit
MossRehab
Lauren Grabowski
Department of Urology
Physician Practices
Mary Moleski
Tower 8
March 2016
Aurore Suong
Tabor Acute
MossRehab
Terry McShane
Neonatal ICU
February 2016
Benita McCann
Surgical ICU
Eileen Irlich
1 North
MossRehab
January 2016
Maria Kelmansky
Tower 5 Telemetry
Timi Florkowski
Tabor Inpatient Acute
MossRehab
December 2015
Jim Rosnick
Emergency Department
Daphne Dennis
Medical ICU
Matt Petruzzi
Brain Injury Unit
MossRehab
November 2015
Adrienne Flint
Short Procedure Unit
Lori Roadcap
MossRehab Unit at Doylestown
22
May 2015
Dinu Mathew, BSN, RN
Reba Azoff Nursing
Scholarship Program
September 2015
Robin Stotesbury, RN
Short Procedure Unit
Megan Kempf, BSN, RN, CBC
Labor & Delivery Unit
Carol Daley, BSN, RN
Progressive Care Unit
April 2015
Nida Quirong Jones, RN, CNN
Home Dialysis
During the 2014 Nurses Week celebration,
we announced the creation of the Reba Azoff
Nursing Education Scholarship program.
Created by a bequest of the Reba Azoff estate,
the scholarship program will award up to 10
individual scholarships annually. These
scholarships are one-year awards. The
scholarships are intended to support
Einstein nurses in their quest to advance
their professional nursing education and
are in addition to our existing tuition
reimbursement program. During Nurses Week
2015, the scholarship winners were announced
and have been pursuing their educational
endeavors.
Lindsay Dietz, RN, BSN, CRRN
August 2015
Karen Shipman, RN, CEN
Ghazala Khan, MSN, RN, CRRN
Brain Injury Unit
MossRehab
Sandy Puthran, BSN, RN, CRRN
3 Main/West
MossRehab
March 2015
Barbara Davis, RN, CEN
Velma Ross, RN
Willowcrest
July 2015
Mary Kate Brady, BSN, RN, CCRN
Surgical IICU
Patrice Stone, RN, CRRN
Sley 2
MossRehab
Tara Davis, BSN, RN
Omega Tarnoviski, MSN, CRNP
Cardiology
Physician Practices
June 2015
Lalitha Mathew, RN
Tabor Inpatient Acute
MossRehab
Holly Simon, BSN, RN
Critical Care Unit
Patrick Molloy, BSN, RN, CCRN
Surgical ICU
Natalie Jordan, BSN, RN
Cardiac Critical Care Unit
February 2015
Colleen Dikon, BSN, RN, CCRN
Surgical ICU
2015 Scholarships
BSN
Mary Wright – ED, EMC EP
Joanne Brown – ED,EMC EP
Kathleen Kelly – ED, EMCP
Francesca Abrams - 3 Main, MossRehab
Tyanna Brown - 1 North, MossRehab
Lisa Magee - 1 West/1 North, MossRehab
MSN
Denise Griffin-Stevenson - NEPD
Simone Nicholson – OR, EMCP
Edythe Durning, RN, CRRN
1 North
MossRehab
Anthony Saint-Preux – SICU, EMCP
Susan Ackiewcz – Levy 5E, EMCP
January 2015
Andee Tompkins, RN
Tower 4
Evelyn Cline, BSN, RN, CRRN
Spinal Cord Injury Unit
MossRehab
23
6/8/16 7:30 PM
Recognition & Awards
Cathy Markey, MSN, RN, CCRN, CEN, Trauma Education
and Outreach Coordinator, was selected as a finalist in
the category of Educator – Staff Development in the 2015
Nightingale Awards of Pennsylvania.
Nida Imperial, BSN, RN, Tower 5 clinical nurse, was
recognized by the National Organization of the Philippine
Nurses Association of America for her leadership and
dedication demonstrated by the increase in chapter
membership and fund-raising.
Lindsay Dietz, BSN, RN, CRRN, MossRehab Doylestown
Unit, received the Vanessa Hawkins Sellers Inspiration
Award on November 13, 2015 at the annual RN Excellence
Program recognition event. The award is given in
memory of a former Einstein nurse who inspired and
guided her peers in developing their own portfolios of
evidence supporting their professional growth and
nursing achievements.
The Women’s and Infants’ Cluster was selected by
Advance for Nurses publication for the region’s 2016 Best
Team Award for Community Outreach for their ongoing
work supporting the women and children in a local
domestic violence shelter. This collaborative team
includes the following nurses from Labor and Delivery,
NICU, and Mother Baby Units: Ayesha Allen, BSN, RN
CBC, Randi Bouccher, BSN, RN CBC, Sarah Brown, BSN,
RN CBC, Diana Cameron, BSN, RN CBC, Elizabeth
Capella, BSN, RN, Debbie Elliot, BSN, RN CBC, Maryann
Feldstein, RNC-NIC, CBC, Sonia Gonzalez, BSN, RN CBC,
Karen Horner, BSN, MHA, RNC-OB, Sherrie Joseph, ADN,
RNC-OB, Megan Kempf, BSN, RN CBC, Laren Keller, BSN,
RN CBC, Erin Kocotis, BSN, RN CBC, Sonali Patel, BSN,
RN, Antoinette Phillips, RN, and Alicia Valentin, BSN
RNC-OB.
Elaine Flynn, MSN, RN, CRRN, CIC Infection Preventionist,
MossRehab, was awarded the 2015 ARN President Award
at the ARN Education Conference in New Orleans. The
recipient of the President’s Award has demonstrated
special service to ARN as a leader in both national and
chapter capacity and exemplified the organization’s
philosophy and goals.
Bertha Jackson, MSN, RNC, CRNP, in the
Immunodeficiency Clinic has been selected by the
Community Advisory Board of the Penn Center for AIDS
Research to receive a prestigious Red Ribbon Award for
Community Leadership. The ceremony took place in
Philadelphia’s City Hall on December 1, 2014.
Poster Presentations
Elaine Flynn, MSN, RN, CRRN, CIC, Beth Jacobs, RN,
and Arlene Sirmarco presented a poster entitled
“Challenge Accepted: Creation of a Clinical Competent
Comprehensive Pressure Ulcer Prevention Program” at the
American Medical Rehabilitation Providers Association
meeting in Nashville, on October 14, 2015.
Nida Quirong-Jones, RN, Home Dialysis, had two abstract
submissions accepted for poster presentations as follows:
“Peritoneal Dialysis in Elderly Patients” accepted for the
36th Annual Dialysis Conference in Seattle, Washington,
from February 27 to March 1, 2016.
24
“Successful Peritoneal Dialysis in Elderly Patients”
accepted for poster presentation at the 47th National
Symposium of the American Nephrology Nurses
Association in Louisville, Ky. from May 1 to 4, 2016.
Elizabeth Thomas, MSN, RN, ACNS-BC, Nursing
Education and Professional Development and Stacey
Doering, BSN, RN, Tower 6 presented a poster: “Wiping
Away Blood Stream Infections: Chlorhexidine Baths in the
Medical Surgical Population” at the Academy of Medical
Surgical Nurses National Convention in Las Vegas, from
September 24 to 27, 2015.
Maryann Malloy, MSN, RNC-NIC, Nurse Manager
presented her poster “Integration of the language of
caring into the documentation through the development
of the electronic interdisciplinary plan of care” at the
SouthEastern Pennsylvania Organization of Nurse Leaders
Conference, on November 7, 2014 in Malvern, PA.
The following posters were presented at the 2015 Einstein
Nurses Week Research, Evidence-based Practice and
Caritas Day.
Nicole Pecoraro, BSN, RN, CMSRN, and Elizabeth Thomas, MSN, RN, ACNS-BC, presented “Preventing Readmissions: Empowering Patients To Drive the Discharge
Process.”
Center’s annual Magnet Conference in Dallas.
Joan Weymouth, BSN, RN, CEN, presented her poster
“Mindfulness and Chronic Pain – a literature review.”
Neonatal Intensive Care CUSP Team members presented
“Learning from Defects- Neonatal CUSP Initiative in the
safety of Blood product administration.”
Sharon Sauer, BSN, RNC-NIC, Heather Coughenour, RN,
Jenny DiCondina, RN, Philomena Hagerty, BSN, RNC,
from NICU presented “Effectiveness of Oral
Administration of Colostrum.”
Crystal Lentz, BSN, RN, Maureen McGinnis, BSN, RNC,
Amy Miller, BSN, RN, Sonali Patel, BSN, RN, Jane Lodise,
MSN, RNC, and Anneliesse Gualtieri, RN, presented
“Journey to Baby Friendly: Education is the Ticket.”
Nida Quirong-Jones, RN, CNN; Renee Johnson, RN, CNN,
presented “Peritoneal Dialysis Course 101 for Inpatient
Nursing Staff.”
Maryann Malloy, MSN, RNC-NIC, had a poster, “Infusing
the Theory of Human Caring into the Role of the Nurse
Leader in Conjunction with our Studer Initiative, at the
Association of Neonatal Nursing” in September 2015.
Podium Presentations
Dolores Morrison, MSN, RN, ACNS-BC and Charlene
Griffin, MSN, RN, ACNS-BC, presented “Venous Access
Preservation Program: Using Ultrasound Guidance” and
“The Role of the Clinical Nurse Specialist in Developing a
Vascular Access Preservation Program with Ultrasound
for Medical Surgical and Step Down Clinical Nurses.”
Shari Goodman, MSN, RN, CRRN, presented “Taking Credit Where Credit is Due: Translating Care Into Nursing
Documentation.” on October 2, 2015 at the 41st Annual
Educational Conference for the Association of
Rehabilitation Nurses in New Orleans.
Lisa Pinder, BSN, RN, CRRN, Megan Wood, BSN, RN,
CRRN and Robyn Silverman, BA, presented “The Magic
of a Safe Patient Handling Program: Keeping Patients
and Healthcare Providers Safe.”
Lisa Pinder, RN, BSN, CRRN, presented “One Team’s
Approach to a Brain on Fire” at the UPMC 6th Annual
Current Concepts in Brain Injury Rehabilitation in
Pittsburgh on November 7, 2015.
Pamela Kain, MSN, RN, ACNS-BC, presented “Educating
RNs on Extracorporeal Liver Assist Device (ELAD).”
Theresa DiFranco, BSN, RN, PCCN, SCRN, Stepdown Unit
presented on the topic Hemorrhagic Strokes at the stroke
conference held at Einstein Medical Center Philadelphia.
Elaine Flynn, MSN, RN, CRRN, CIC; Beth W. Jacobs, RN,
CCM, CRRN; Susan McCulley, MSN, RN, NE-BC, presented
“Empowering the Team to Prevent Hospital Acquired
Pressure Ulcers.”
Sharon Sauer, BSN, RNC-NIC, Heather Coughenour, Amy
Miller, BSN, RN, Sonali Patel, Colleen Masterson, Moira
McDevitt, Priscilla Nunez shared “Caring Language in the
Neonatal Care Plans.”
Maryann Malloy, MSN, RNC-NIC, and Sharon Sauer, BSN,
RNC-NIC, presented “Integrating the Language of Caring
into the Interdisciplinary Plans of Care.”
Elaine Flynn, MSN, RN, CRRN, CIC, Mary Hunter, BSN,
RN, CNN,Nicole Pecoraro, BSN, RN, CMSRN, and Peggy
Seminara, MHA, RN, NE-BC, NHA, presented “We’re not
in ICU Anymore: Long-term Care and Dialysis Units
Collaborate on Process Improvement to Reduce Central
Line-associated Bloodstream Infections.”
Dayana Durocher, MSN, RN, Laila Derrick-Neal, BSN, RN,
Turena Reeves, BSN, RN, Kisha Wilkinson, BSN, RN, and
Jill Stunkard, MSN, RN, presented their CUSP team work
“Learning From Defects Decreases MICU CLABSI Rates.”
Denise Griffin Stevenson, BSN, RN, NEPD, presented
“Touch Therapy: What a Great Complement.”
Lisa Sincavage, BSN, RN & Elaine Flynn, MSN, RN,
presented “Decision-Making Through Shared Governance”
at the Association of Rehabilitation Nurses 40th
Education Conference in Anaheim, Calif. in October 2014.
Elaine Flynn, MSN, RN, “If You Dream It You Can Do It:
Bundled Approach to Prevention of Hospital
Associated Infections” Paper at the Association of
Rehabilitation Nurses 40th Education Conference in
Anaheim, Calif. in October 2014.
Concurrent session “A Journey into Caring Caritas
Consciousness - Imagine the Possibilities” at the
Association of Rehabilitation Nurses 40th Education
Conference in Anaheim, Calif, in October 2014.
Caritas Coaches Maryann Malloy, MSN, RNC-NIC,
Neonatal Intensive Care Unit, EMCP, and Sharon
Sauer, BSN, RNC-NIC, NICU Clinical Nurse, presented
their work integrating caring language into the
documentation through the development of the electronic
interdisciplinary plan of care at the Caritas Consortium in
October 2014 in Dearborn, Michigan.
Maryann Malloy, MSN, RNC-NIC, gave a podium
presentation on “Infusing the Theory of Human Caring
into the Role of the Nurse Leader in Conjunction with our
Studer Initiative” at the Caritas Consortium in October
2015.
Speaking Engagements
Cathy Markey, MSN, RN, CCRN, CEN, Trauma Education
& Outreach Coordinator and Director of Think First, along
with Donna L. Long, M.Ed., CTRS, Manager of MossRehab
Clubhouse, conducted an injury prevention program to
two groups of high school students at Jenkintown High
School in February.
Desiree Soto, RN, Cardiac Catheterization Lab Clinical
Nurse, presented the five-year history of the ICD Support
Group at their anniversary celebration in September 2015.
The Electrophysiology staff participated in this endeavor.
Publications
Amanda Conley, BSN, RN, CCRN, authored the short story
“Jane Doe” published July 2015 in Chicken Soup for the
Soul: Inspiration for Nurses, 101 Stories of Appreciation
and Wisdom.
Ric Cuming, MSN, RN, EdD, CNOR, NEA-BC, co-authored
the chapter “Workforce Engagement and Collective
Action” in the 6th edition of Patricia S. Yoder-Wise’s Leading and Managing in Nursing.
Beth Hurwitz, BSN, RN, CEN, and Joanne Brown, RN,
Einstein Medical Center Elkins Park Emergency
Department, and Gerry Altmiller, EdD, APRN, ACNS-BC,
Faculty Consultant, authored “Improving Pediatric
Temperature Measurement in the ED” published in the
American Journal of Nursing, September 2015,
Volume 115 - Issue 9.
Andrea McGlinsey, MSN, RN, Surgical ICU, Patricia Rudd,
BSN, RN, Levy 4 and Alanna Bergman, MSN, CRNP, CCRN,
along with two colleagues, authored a manuscript,
“Restraint reduction, restraint elimination, and best
practice: Role of the clinical nurse specialist in patient
safety” which was published in Clinical Nurse Specialist
Journal in the November to December 2015 issue.
Elaine Flynn, MSN, RN, CRRN, CIC, presented “CMS IRF
Infection Control Quality Indicators“ on October 2, 2015 at
the 2015 ARN Education Conference in New Orleans.
Elizabeth Thomas, MSN, ACNS-BC, and a colleague had a
journal article, “Diabetes Guidelines: Who is in the Drivers’
Seat?” published in the January/February 2014 Med-Surg
Matters.
Ric Cuming, RN, MSN, EdD, NEA-BC, CNOR, VP and
Chief Nurse Executive, along with three colleagues from
the RJW Executive Nurse Fellows Program, presented
“Culture of Civility and Respect: A Nurse Leader’s Role”
in October 2014 at the American Nurses Credentialing
Dolores Morrison, MSN, RN, ACNS-BC, Justine Sgrillo,
BSN, RN, BA, and Lauren H. Daniels, MSN, RN, ACNSBC, authored a continuing education article, “Managing
Alcoholic Liver Disease” published in the November issue
of Nursing 2014.
25
6/8/16 7:30 PM
Professional Organizations
Nida Imperial, BSN, RN, Tower 5 Clinical Nurse, was
elected President of the Pennsylvania Chapter of the
Philippine Nurses Association of America.
Bill Hudson, BSN, RN, CNML, Director, Magnet Program
was appointed to the 2016 American Organization of Nurse
Executives Abstract Review Task Force, 2015 Steering
Committee for Nursing Leadership for Maryland Action
Coalition, and Chair of Work Task Force of the Philadelphia
Area Magnet Consortium.
Chuck Belmont, BSN, RN, CHEP, Nurse Manager,
Emergency Department is PA State Board Director of
Emergency Nurses Association.
Ric Cuming, EdD, MSN, RN, CNOR, NEA-BC, VP & Chief
Nurse Executive, is an Editorial Board Member of AORN
Journal.
Nancy Pokorny, MSN, MHA, RN, Director of Nursing, is on
the Nominations Committee for SouthEastern Pennsylvania
Organization of Nurse Leaders.
Elaine Flynn, MSN, RN, CRRN, CIC, Infection Control
Practitioner, is Board Director, Education Committee and
Government Affairs Committee of the Greater Philadelphia
chapter of Association of Rehabilitation Nurses.
Susan McCulley, MSN, RN, NE-BC, Clinical Director,
MossRehab and Einstein Medical Center Elkins Park Acute
Inpatient is Board Director and Leadership Committee of
Greater Philadelphia chapter of Association of Rehabilitation
Nurses.
Julie Hensler–Cullen, MSN, RN, CRRN, Director, Quality and
Education, MossRehab, is Surveyor for Commission of
Accreditation for Rehab Facilities.
Alanna Bergman, MSN, RN, CRNP, Nurse Practitioner,
Immunodeficiency Center, is a Board member on the
Association of Nurses in AIDS Care.
Community/Civic Organizations
Ric Cuming, MSN, RN, EdD, CNOR, NEA-BC, VP and Chief
Nurse Executive, was recently appointed to the
Nursing Leadership Committee of the Philadelphia
Convention and Visitor’s Bureau.
Cathy Markey, RN, MSN, CCRN, CEN, Trauma Education &
Outreach Coordinator, is Chapter Director at ThinkFirst.
Flo Gunn Gallagher, BSN, RN, CRRN, Clinical Nurse, Chair
Network Council, 1 West, is a Board member on Philly Cure
HD (Huntington’s Disease).
Julie Hensler–Cullen, MSN, RN, CRRN, Director, Quality and
Education, MossRehab, is Commission member of the Phiia.
Mayor’s Commission on People with Disabilities.
Einstein Supports Nurse
Professional Development
From tuition reimbursement for
attainment of nursing degrees, bonuses
for certification, and sponsorship to attend
conferences, Einstein is committed to the
professional growth and development of
our nurses.
Last year the organization paid for
nurses to attend the Magnet® conference,
Trends, NTI, Neonatal Nursing Conference,
AORN, Emergency conference, PONL,
SEPONL, Shared Governance
Leadership, Association of Rehab
Nurses, International Caritas
Consortium, and International Human
Caring Conference, among many others.
Additionally, Einstein invited multiple
nationally recognized nurses to speak
onsite on a variety of topics.
Each year, a staff nurse can participate in
the RN Excellence Program that promotes
and rewards the ongoing professional
growth and development of frontline RN
staff through documented evidence of
accomplishments through portfolio
development. Nurses with approved
portfolios are awarded $4,000, $6,000, or
$8,000. At the last RN Excellence update,
Jill Stunkard, MSN, RN, Associate Chief
Nurse Executive, shared that 167 portfolios
had been approved by the RN Excellence
Committee for 127 RNs.
Professional Development:
By the Numbers
• $25,000: Annual Reba Azoff Nursing
Education awarded 10 scholarships totaling $25,000 per year in 2015 and 2016
• $6,000: Tuition reimbursement per year for
graduate studies leading to nursing degree
Opportunities for RN Engagement
RN Excellence Award Program
3 Categories:
• Clinical Practice
• Education and Professional
Development
Reba Azoff Scholarships Awards
RNs seeking funds for BSN completion,
or for the MSN or Doctorate can submit
applications with a brief essay to NEPD.
Graduate and Doctoral degrees must be
in Nursing leadership or education.
Applications are reviewed and selected
by committee.
• Leadership/Citizenship
Shared Governance
Nursing staff participates in decision
making about nursing practice, education,
quality, and safety through the Shared
Governance Guiding Principles Charter in
Unit Practice Committee → Cluster →
Network Nursing Council
Committee Membership Opportunities
• Research & Evidence-Based
DAISY Award for Extraordinary Nurses
• Personal & Public Recognition personal and professional pride
• Financial - Chamberlain College
tuition discount
• ANCC - DAISY Award winners pay
only $100 for certification/
recertification exam
• Award recipients archived on DAISY
Foundation website
• CLABSI and CAUTI
• Policy & Procedure
• Diabetes
• Falls
• Skin
• Caritas Circle
• Unit CUSP Teams
• Nurse Excellence Champions
• and many more committees
Tuition Reimbursement
for all levels
• Onsite, online, at school campus
• Discounts at participating colleges
Einstein Society
Funds available to conduct
Nursing-related Study –
e.g., unit-based research
Certification Reimbursement
of $1000 annually
CE Direct
Online continuing education modules
available for all RNs
Caritas Coach
Training with Jean Watson, PhD, RN,
FAAN; Caritas Circle integrates theory
into practice
Professional Conferences
Requests for attendance may be
submitted to NEPD review committee
for funding approval.
• $4,000: Tuition reimbursement per year for
undergraduate studies towards a BSN
completion
26
• $1,000: Certification bonus payable each year
to an RN at any level who holds certification in a nursing specialty
27
6/8/16 7:30 PM
Einstein Certified Nurses
NAME
CERT
NAME
CERT
NAME
CERT
NAME
CERT
NAME
CERT
Griffin, Charlene A.
ACNS-BC
Cannon, Patty
CCRN
Vanore, Catherine
CCRN
Alex, Soumya
CMSRN
Uzdevenes, Terri L.
CMSRN
Morrison, Dolores
ACNS-BC
Capili, Glenn
CCRN
Weber, Mary Ellen
CCRN
Armstrong, Nancy
CMSRN
Valentine-Charles, Reynalease
CMSRN
Thomas, Elizabeth
ACNS-BC , M/S
Collins, Kevin
CCRN
Webster, Stacie
CCRN
Braga, Michelle
CMSRN
Zane, Ellen
CMSRN
Kwak-Ko, Grace
Cardiac Vascular Nursing
Conley, Amanda
CCRN
Wechter, Kim Marie
CCRN
Brennen-Jacoby, Roseann
CMSRN
Zanine-Gauss, Denise
CMSRN
McBrien, Dorothy
Cunningham, Patrick
CCRN
Weymouth, Joan
CCRN
Carlson, Colleen
CMSRN
Zeserman, Mary Ann
CMSRN
Meldrum, Bryan
Curley, Stacy
CCRN
Williams, Nisha
CCRN
Conners, Alison
CMSRN
Cattolico, Debra
CMSRN
Ross, Jana
Derrick-Neal, Laila
CCRN
Bartoletti, MaryLynn
CCRN
Conwell, Tania
CMSRN
Flint, Adrienne
CMSRN
Acevedo, Angel R.
CBC
Dikon, Colleen
CCRN
Adams. Patricia
CDE
Daley, Stepheney
CMSRN
Jah, Ma-Jenneh H.
CMSRN
Allen, Ayesha
CBC
Egan, Brendan
CCRN
Storbrauck, Rebecca
CDE
Daniel, Gina
CMSRN
Julius, Tisa M.
CMSRN
Bianchi, Liza
CBC
Eldow, Aleyamma
CCRN
Beard, Karen
CEN
CMSRN
Talarowski, Laura
CMSRN
Bishop, Audrey
CBC
Gerard, Kristen
CCRN
Blackwell, Rhunette
CEN
D’Antonio, Colleen S.
(Martin)
Quirong-Jones, Nida
CNN
Elefante, Glenda
CMSRN
Semet Patrice
CNN
Enzmann, Megan E.
CMSRN
Alessandroni, Stephen
CNOR
Hollerbach, Priscilla
CMSRN
Byer, Carol
CNOR
Imperial, Jennifer
CMSRN
Cooke, Susan
CNOR
John, Princes
CMSRN
Dyer, Marie
CNOR
Johnson, Elizabeth
CMSRN
Eliff, Mina-Kathleen
CNOR
Joo, Min Jung
CMSRN
Gonzalez, Evelyn L.
CNOR
Joyce, Kelly A.
CMSRN
Heck, Eunice
CNOR
Kelly, Donna
CMSRN
Izzard, Adrienne
CNOR
Lee, Anastasia
CMSRN
Lash, Rebecca
CNOR
Leva, Anita
CMSRN
Phelts, Stella Louise
CNOR
Longmore, Kristen
CMSRN
Sabat, Ernest
CNOR
Lou, Miaoping
CMSRN
Samuel, Sheejamol
CNOR
Lukose, Beena
CMSRN
Schwartz, Karen A.
CNOR
Luu, Chau
CMSRN
Sebastian, Sherly
CNOR
Mangoni, Evelyn
CMSRN
Shepherd, Barbara
CNOR
Mathew, Sherine
CMSRN
Stefano, Jo-Ann
CNOR
Matthews, Catherine
CMSRN
Yerkes, Annette
CNOR
McCloskey, Kelly Ann
CMSRN
Holzerman, Kathleen
CNOR
McDonnell, Loretta
CMSRN
Baker, Theresa
CNOR CRNFA
Menzano, John M
CMSRN
McGrath, Nancy S.
CPAN
Miller, Veronica
CMSRN
Newns, Diane
CPAN
Mulinga, Koki
CMSRN
Wells, Elizabeth
CPHQ
Pace, Sophia
CMSRN
Gaynor, Crystal
CPN
Paul, Omana
CMSRN
Gillard, Colleen
CPN
Payne, Bethany
CMSRN
Arocena, Angelo
CRRN
Pecoraro, Nicole M.
CMSRN
Atkinson, Cynthia
CRRN
Randolph, Chevelle
CMSRN
Bongrat, Nicole Y
CRRN
Saji, Mini
CMSRN
Carpenter, Michael
CRRN
Salazar, Eunice
CMSRN
Cline, Evelyn
CRRN
Santos, Ruby
CMSRN
Creighton, Joanne (Lynch)
CRRN
Smith, June
CMSRN
Danko, Janina
CRRN
Tankersly, Chanda (Jones)
CMSRN
Day, Dorothy
CRRN
Taylor, Kelly Ann
CMSRN
Dietz, Lindsay H
CRRN
Thomas, Simi S.
CMSRN
Durning, Edythe
CRRN
Bongart, Jacqueline
CBC
Gewirtz, Justin
CCRN
Caraballo, Linette
CEN
Brown, Sarah
CBC
Grant, Kathryn
CCRN
Davis, Barbara
CEN
Elliott, Deborah
Gonzalez, Mariel
CBC - Certified Breastfeeding Counselor
CDE - (Certified Diabetes
Educator)
CCRN
Kensecki, Amanda
SCRN - (Stroke Certified
Registered Nurse)
WCC - (Wound Care
Certified)
28
King, Jacquline
CEN
CEN
CEN
CBC
Janse Van Rensburg, Febe
CCRN
Lee, Diana
CBC
Jointer, Carlondra
CCRN
Markey, Mary Catherine
CBC
Kain, Pamela
CCRN
Michener, Barbara
CEN
CEN
CEN
Taylor, Latisha
CBC
Kelly, Kathleen
CCRN
Misuro, Sarah
Tucker, Christine
CBC
Koba, Patricia
CCRN
Moody, Erin
Vizza, Denise
CBC
Kull, Carol
CCRN
Peterson, Victoria
CEN
CEN
CEN
Wallace, Glenna
CBC
LaHart, Daniel
CCRN
Ryan, Jill
Zimmer, Emma
CBC
Markey, Mary Catherine
CCRN
Shipman, Karen
Camacho, Johanna
CBC
Massa, Christopher Q.
CCRN
Smith-Pejka, Margaret
CEN
CEN
CEN
Cameron, Diana
CBC
Mastrogiorgio, Samantha
CCRN
Spoerl, Gene
Colon, Melinda ( McCoy)
CBC
McCall, Janice
CCRN
Swierczynski, Kerry
Mattioli, Maria
CBC
CBC
CCRN
Trajano, James
CEN
Miller, Teresa M
CCRN
Welch, Daniel
CEN
Mills, Chelsea
CCRN
Wible, Marylynn
CEN
McGlinsey, Andrea
Molloy, Patricia
CCRN
Wright, Mary
CEN
CEN
CEN
Padgeon, Jacqueline
CBC
Molloy, Patrick
CCRN
Bamberger, Raelynne
Shelly, Randi
CBC
Pasos, Jennifer
CCRN
Crowe, Erin
Tallon, Ashley
CBC
Poindijour, Myriam
CCRN
Fitzgerald, Stephanie
CEN
CEN
CEN
Webb, Mary
CBC
Powroznik, Marie
CCRN
Healey, Marilyn
Watt-Cyrus, Charissa
CBC, MNN
Rahemtulla, Nikia T.
CCRN
Kelly, Kathleen
McGrath, Nancy S.
CBN
Siddhika, Bibi
CCRN
Kelly, Kristy
CEN
Ajuz, Yvonne
CCRN
Simoncini, Susan
CCRN
McDonald, Krista
CEN
Albertson, Diane
CCRN
Sliwinski, Aidan
CCRN
Rossmair, Mark
CEN
Benjamin-Mlynar, Susan
CCRN
Soto, Desiree
CCRN
Trojecki, Theresa
CEN
Booth, Gwynne
CCRN
Stone, Lisa
CCRN
Wagner, Tiffany (Peterson)
CEN
Brady, Mary Kate
CCRN
Stone, Manuela
CCRN
Gervasoni, Pamela (Mariotti)
CLC
Brennan, Beatrice
Campbell, Patrick
CCRN
Kempf, Megan
CBC
OCN - (Oncology
Certified Nurse)
Jacobson, Carolyn
Maher, Kimberly
CBC
NICN - (Neonatal
Intensive Care Nurse)
CEN
CCRN
Kocotis, Erin
NE-BC (Nurse Executive)
CEN
Hulme, Timothy
Gibson, Patricia
NEA-BC - (Nurse
Executive, Advanced)
CEN
Hopkins-Pepe, Loraine
CNN - (Certified
Nephrology Nurse)
MNN - (Maternal
Newborn Nurse)
Jones, Madilynn
CBC
CBC
CEN
CCRN
CBC
Dougherty, Jane
CWCN - (Certified
Wound Care Nurse)
Hurwitz, Beth
Jasner, Terri
CLC - (Certified Lactation
Consultant)
CPHQ - (Professional In
Healthcare Quality)
Haney, Eileen
CCRN
Gonzalez, Sonia
Som, Jenny
ACNS-BC - Adult Health
CNS
CBC
Gray, Marcia
Katz, Gun-Britt I.
Keller, Lauren
Abbreviations
CBC
CCRN
CCRN
Thomas, Frances
Tran, Jerry
CCRN
CCRN
Dougherty, Jane
Abraham, Mercy
CLC
CMSRN
29
6/8/16 7:30 PM
Einstein Certified Nurses
30
NAME
CERT
NAME
CERT
NAME
CERT
NAME
CERT
Ekobeni, Alice Marcelle
CRRN
Scott, Pamela
CRRN
Barone, Lisa
PCCN
CRRN
Shatoff, Meredith
CRRN
Medical-Surgical Nursing
RN-BC (MSNCB)
Javardian, Maria
Fegan, Nina
Jindal, Priyanka
PCCN
Florkowski, Timothea
CRRN
Sincavage, Lisa
CRRN
Kates, Matthew
PCCN
Flynn, Elaine
CRRN
Sklarow, Linda
CRRN
Koshy, Maneejo
PCCN
Foley, Kathryn
CRRN
Stone, Patrice
CRRN
Lombardi Snyder, Catherine
PCCN
Forrest, Michelle
CRRN
Suong, Aurore
CRRN
Malloy, Jennifer
PCCN
Gallagher, Florence (Gunn)
CRRN
Taylor, Carol
CRRN
Miller, Amanda
PCCN
George, Thankamma
CRRN
Wible, Elaine
CRRN
Payne, Marnee
PCCN
Gogna, Parvesh
CRRN
Wichert, Lori
CRRN
Richardson, Clifton
PCCN
Goodman, Shari
CRRN
Wissman, Mary
CRRN
Sayen, Catelin
PCCN
Gorman, Erin
CRRN
Wood, Megan
CRRN
Thomas, Stacy-Ann
PCCN
Griffin, Denise
CRRN
Rudolph, Shane
CWCN
Jackson, Theresa
NE-BC
Williamson, Muibat
PCCN
Gutierrez, Maria (Lamadrid)
CRRN
Hayes, Patricia Anne
CWCN
McCulley, Susan L.
NE-BC
Wittman, Marianne
PCCN, NE-BC
Ha, Jeong
CRRN
MacLennan, Alicia (Hudson)
Gerontological Nursing RN-BC
Seminara, Margaret
NE-BC
Fallows, Patricia
Perinatal Nursing
Hartigan, Joanne
CRRN
Borton, Dorothy
IC
Zarra, Thomas
NE-BC
Gage, Beth
PMHCNS-BC
Hicks, Lorraine
CRRN
Brill, Theresa
Inpatient Obstetric Nurse
Ball, Elaine
NICN
Cantwell, Angela
Irlich, Eileen
CRRN
Byrd-Jerry, Kimberly
Allen, Silvia
NICN
Psychiatric & Mental Health
Nursing RN-BC
Jackson, Adamma
CRRN
Eklu, Augustina
Castillo, Carla
NICN
Haney, Robert
Jacob, Teny
CRRN
Gilliam, Annitia
Psychiatric-Mental Health
Nursing RN-BC
Cody, Lisa
NICN
Jandrisevits, Jaclyn
CRRN
Horner, Karen
Power, Mwasonoh
Donahue, Eileen
NICN
Nursing RN-BC
Jimenez, Xiomara
CRRN
Jones, Merle Angela
Feldstein, Maryann M.
NICN
Stupka, Carolyn
Kinee, Andrea ( Troy)
CRRN
Joseph, Sherrie
Finn-Hagerty, Philomena
NICN
Nursing RN-BC
Kling, Karyn
CRRN
Juliani, Patrice M.
Hartley, Christine
NICN
Williams, Angelia Patricia
Kuriakose, Rinju
CRRN
Nursing RN-BC
Lark, Cheryl
Malloy Maryanne
NICN
MaGee, Lisa
CRRN
Hushen, Patricia Ann
SCRN
Mather, Patsy
McCabe-Menefee, Jerri
NICN
Malgapo, Gertrude
CRRN
Magat, Percival
WCC
Muhammad, Hajar
McGinnis, Maureen T.
NICN
Mathew, Laitha
CRRN
Kosmidis, Parease
WOCNCB
Neff, Cheryl
Roos, Amy
NICN
McKenna, Patrick
CRRN
Rice, Joyce
Sauer, Sharon
NICN
Montford, Frances
CRRN
Robin, Smitha
Cherry, Ruth
OCN
Njoku, Julie
CRRN
Trautz, Bridget
Hunt, Karen
OCN
Norton, Robert
CRRN
Valentin, Alicia
Reeves, Turena
OCN
Oates, Kenyatta
CRRN
Philip, Renu
Alexis, Wileen
PCCN
O’Connell, Doreen
CRRN
Sandford, Matthew
Medical-Surgical Nursing (MSNCB)
Alexis, Wileen
PCCN
Odom, Tiffany
CRRN
Griffin, Charlene A.
Medical-Surgical Nursing RN-BC (ANCC)
PCCN
Gill, Anita
Medical-Surgical Nursing
RN-BC (MSNCB)
Joseph, Philomina
MNN
Lodise, Jane
MNN
Cuming, Ric
NEA-BC
Faust, Judith
NEA-BC
Pollock, Marilyn
NEA-BC
Rodzen, Lisa
NEA-BC
Tomlinson, Lisa
NEA-BC, Cardiac Vascular
Nursing
Palmer, Michele
CRRN
Cuevas, Yamile
Alias, Mini
(Koorankarottuveettil)
Pedicone, Marianne
CRRN
Dolan, Christine
Arocena, Mary Lou
PCCN
PCCN
Pina, Jillian
CRRN
Eluwa, Susan
Benny, Raji
Pinder, Lisa
CRRN
Farber, Cheryl
Bish, Catherine
PCCN
Powell, Theresa
CRRN
Gulla, Susan
Dennis, Athena
PCCN
Purathoottuu, Noby
CRRN
Johnson, Shelley
DiFranco, Theresa
PCCN
Puthran, Sandhya
CRRN
Kwasnjuk, Jeanne
Donahue, Theresa
PCCN
Rigous, Rachelle
CRRN
Lawlor, Kathy ( Fritsch-Butler)
Ehnow, Christine
PCCN
Rivera, Maria
CRRN
Longyard, Janis
Fairchild, Deborah
PCCN
Roeder Roadcamp, Lori A. (Erb)
CRRN
Mouzon, Naja Renee
Famawa, Thomas
PCCN
Rotz, Kathleen
CRRN
Nyce, Phyllis
Flynn, Mollie
PCCN
Scarpitti, Danielle
CRRN
Young, Deborah
Gereaghty, Patricia
PCCN
Iezzatti, Katie
PCCN
BSN and Certification
Training Trends
80%
70%
75%
71%
67%
60%
50%
40%
38%
30%
31%
33%
28%
31%
26%
20%
10%
0%
FY'16 Q2 FY'15 Q2 FY'14 Q2
% BSN
& Higher
% Certified of
Eligible Clinical RNs
% Certified
Clinical RNs
31
6/8/16 7:30 PM
EXEMPLARY PROFESSI ONA L PR ACTICE
Exemplary Professional Practice is demonstrated through
effective and efficient care services, inter-professional
collaboration and excellent patient outcomes. Using national
benchmarks, we monitor our performance and excel through
an ongoing dedication to quality improvement.
Professional Practice Model
At Einstein, our Nursing Professional Practice Model reflects how we communicate,
practice, collaborate, and develop, while integrating mission, vision, values, philosophy,
and nursing theory with our practice.
•
Caring - Watson’s Theory of Human Caring
serves as the foundation of our Nursing
practice, education, and research encircling
and infusing all we do. The Caritas Processes™
give a voice and language to specific practices
as we connect with patient, self, family,
colleague, or community.
•
Knowledge, Ethics, Advocacy and
Accountability are core concepts that we bring
to our practice, how we practice, and that
practice is ongoing/continual.
•
Quality, Safety, Relationships and Collaboration
represent both the focus and the outcomes
of our professional practice. Relationships and
Collaboration intersect the circle as our
practice touches all those we reach - within our
community, and out to the broader regional
and global communities.
•
Person represents patient, self, family,
colleague, and community. Person is the heart,
the center, the humanity, the reason for our
connection. Seeing the patient as a person
beyond diagnosis/illness is a core concept of
Watson’s Theory.
The development of this model arose from the thoughts, ideas, artistry, and work of over
150 nursing staff members from the Magnet® Champions, Caritas Circle, and Network
Nursing Council.
32
EXEMPLARY PROFESSIONAL PRACTICE
33
6/8/16 7:30 PM
Einstein Healthcare Network Re-Designated Watson Caring
Science Institute Affiliate
At Einstein, nursing practice is grounded
in caring science, specifically Watson’s
Theory of Human Caring and our
professional practice model. In 2015,
Einstein Healthcare Network was
re-designated as a Watson Caring
Science Institute (WCSI) Affiliate. Einstein
Healthcare Network was the first, and
remains the only healthcare organization
in Pennsylvania and the Delaware Valley
region so designated. There are now 10
affiliates worldwide. This unique affiliate
status recognizes Einstein’s tremendous
leadership in demonstrating a Caring
Science model for staff and patients,
families, and community.
Jean Watson, PhD, RN, AHN-BC, FAAN,
world-renowned nursing theorist, visited
Einstein Medical Center Philadelphia on
December 4, 2015, as part of the
Watson Caring Science Institute’s (WCSI)
Affiliation designation process.
Dr. Watson, along with her colleague
Sara Horton-Deutsch, PhD, RN PMHCNS,
FAAN, ANEF, Endowed Chair of Watson
Caring Science Institute, listened to the
caring stories, evidence-based practices,
and research activities of Einstein nurses.
More than 100 nurses attended the
morning session to listen and share their
firsthand accounts of caring in action,
and to learn from the reflections of Dr.
Watson.
•
Maryann Malloy, MSN, RN-NIC, spoke about the work on the electronic
Caritas processes now being used with the Interdisciplinary Plans of Care (IPOC) for all patients.
•
Sharon Sauer, BSN, RN-NIC, shared her quality work turned research project on the use of colostrum to decrease
infection and empower parents in the care of their tiny infants in the
Neonatal Intensive Care Unit.
•
Amanda Conley, BSN, RN spoke about nurses’ overwhelming support for student and teacher needs at a Philadelphia school with donations of new hats, gloves, socks, games, books, puzzles, snacks, stickers, stuffed toys, and school supplies, filling 29 treasure chests.
Affiliate status is an important honor in
terms of our professional model of care,
our continual integration of the Theory
into clinical and administrative decision
making, and the ongoing caring science
research and evidence-based practice.
Einstein nurses presented sources of
evidence for ways they have integrated
caring theory into various aspects of
practice:
•
34
Heather Coughenour, RN, and Amy Miller, BSN, RN, presented their work on the Snoogle Doll that utilizes infant and mother scents to stimulate and increase breastfeeding.
35
6/8/16 7:30 PM
Reducing/preventing the occurrence of
hospital-acquired pressure ulcers (HAPU)
is an element identified in Einstein’s
Nursing strategic plan. HAPU not only
cause pain and risk for patients, they are
also costly to treat and increase patient
length of stay in the hospital.
In February 2016, a pilot began in MICU
(Medical Intensive Care Unit) and Levy
6, to examine the effectiveness of using
wedges and Mepilex® Border Sacrum
dressings on patients at high risk for
developing pressure ulcers.
Ric Cuming, EdD, MSN, RN, CNOR,
NEA-BC, Vice President and Chief Nurse
Executive gave his approval for wedges
to be purchased for all departments for
which this positional device would be
useful. Wedges are currently available
in the MICU and Levy 6 for patient use.
Jill Stunkard, MSN, RN, has provided
assistance to the Nursing directors and
managers to make sure the wedges get
rolled out to the other Nursing units.
Wound Care Specialists Trish Hayes, MSN,
RN, CWSN, and Parese Fasciocco, BSN,
CWON, have developed a pressure ulcer
prevention bundle that will start when
the Mepilex® Border Sacrum dressing
pilot begins. Data will be collected on the
effectiveness of Mepilex® in preventing
HAPUs.
Embracing a Culture of Safety:
Safe Patient Handling (SPH)
Program
Einstein launched our Safe Patient
Handling (SPH) program in September
2013 to improve the culture of safety
and have a positive impact on the practice
environment. Training consisted of
identifying coaches from within the
Nursing Division (including Registered
Nurses and Patient Care Associates)
to attend comprehensive training on the
program and the new equipment so that
the house-wide education rollout was
peer to peer.
Nurses throughout our organization
have embraced the SPH program and,
in doing so, have decreased the amount
and severity of injuries caused by lifting
and moving patients.
Einstein Steps Up Nursing
Recruitment Activities
The Recruitment & Placement Center
held an Open House at Einstein Medical
Center Philadelphia in 2015, which
was attended by more than 70 RNs.
Attendees had the opportunity to
network with our Nurse Managers,
Human Resource Specialists, and
Recruitment Specialists. A number of
attendees have already been recruited
as a result of the event!
Improving Patient Satisfaction
Improving the patient experience
is an important goal of our
organization. In January 2015,
we selected three areas of focus
for improvement: Nursing
responsiveness, communication,
and perception of pain
management.
Two important actions/behaviors
that support this patient
experience work are intentional
rounding (about every hour)
and consistent use of the
communication boards in each
patient’s room. This is an
evidence-based approach and
how we organize and deliver
patient care.
Our work has resulted in feedback
from our patients indicating that
their experience is improving.
Patient Experience Scores: ECMP
100.0
95.0
Percentile Rank
90.0
Improvement
Percentile Rank
85.0
Patient Satisfaction
Scores
Preventing HAPU with Wedges and
Mepilex®
80.0
75.0
70.0
Improvement
Percentile Rank
Improvement
+9
+ 18
+8
65.0
60.0
55.0
50.0
FY14
FY16
36
Responsiveness of Hospital
Staff
Pain Management
Communication with Nurses
60.0
62.4
64.7
69.0
74.9
76.8
37
6/8/16 7:30 PM
NEW K NOWLED G E, IN N O VAT IO NS & I MPROVEMENTS
New Knowledge is a cornerstone of providing
outstanding care. Through research, evidence-based
practice and innovation, we achieve high-quality,
effective and efficient care for our patients.
Research and Evidence-Based Practice (EBP)
Research and EBP Council Hosts
Nurses Week
The Research and Evidence-Based
Practice Council along with the Caritas
Circle members celebrated Nurses
Week 2015. Focusing on the theme
of Ethical Practices and Quality Care,
they held a session for nursing posters,
projects, publications to be viewed,
and experiential stations for self-care
modalities during the week of May 6 to
12, 2015.
On May 7, 2015, Nursing held a Shared
Governance Leadership Summit at
which Vice President and Chief Nurse
Executive Ric Cuming, EdD, MSN, RN,
NEA-BC, CNOR, presented the keynote
address on “Cultures of Civility and
Respect: Empowering Nurse Leaders
to Identify, Intervene, and Prevent
Workplace Bullying.”
Shared Governance leaders provided
an annual update on the activities
focused on practice, education,
leadership, research and
evidence-based practice projects,
along with efforts to continue
integrating caring theory into practice.
38
NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS
Nursing presented Caring Spirit
Awards that honor nurses and
members of the healthcare team at
annual Nursing Recognition receptions
at the Einstein Medical Center
Philadelphia and Einstein Medical
Center Elkins Park campuses.
Research Day
During Nurses Week 2015, the Nursing
Research and EBP Council coordinated
a half-day poster presentation session.
Einstein nurses shared their posters
on EBP projects and research activities
with their colleagues, as well as copies
of their published manuscripts.
Attendees reviewed posters and
commented on the poster session
form about each poster, which
becomes an entry into a raffle for a
chance to win gift certificates. The
Caritas Circle members and Caritas
coaches offered stations of caring
modalities such as chair yoga, aroma
therapy, hand massage, and other
relaxation techniques that introduced
nurses and all employees to
stress-reducing activities. The session
was open to nurses, physicians, and
all employees as a wonderful learning
opportunity about the scholarly work
being done by Einstein nurses.
Improving Patient Outcomes:
Curos Caps
Across the United States, health
institutions have struggled with the
very real danger of Central Line Associated
Bloodstream Infections (CLABSI).
Einstein Medical Center Philadelphia’s
CLABSI Committee aimed to reduce the
hospital’s rate of CLABSIs.
Committee members conducted a
literature search, which revealed that the
use of alcohol impregnated caps achieved
significant improvements in outcomes.
They identified Curos Caps as an
intervention that could be implemented
as a prevention measure to minimize the
risk of infection to central line catheters.
In July 2014, a two-week trial of the
Curos caps was launched in Willowcrest,
the Medical Intensive Care Unit (MICU),
Surgical Step-down Unit (SSU), and
Dialysis Unit. Audits were performed
to monitor compliance and product
evaluation. The feedback was very positive
from staff, and compliance was high.
As a result of this change in Nursing
practice, our patients have benefited
tremendously, as evidenced by a consistent
improvement in CLABSI rates. Moreover,
the improvements have translated into
shortened lengths of stay and decreased
complications secondary to CLABSIs.
The implementation of the Curos Caps
initiative is just one example of our
nurses’ commitment to providing the best
care by evaluating their practice,
and evidence-based practice application
to improve patient outcomes.
39
6/8/16 7:30 PM
Nursing Informatics Council
Snoogle Dolls
Levy 7 Redesign
The Nursing Informatics Council assists
with design and decisions affecting
clinical practice, provides clinical direction and guidance, and acts as the voice
of the nurse.
When a baby is admitted into the NICU,
a breastfeeding mother may experience
an insufficient breast milk supply due to
the infant’s inability to latch because of
prematurity, maternal-infant separation,
and/or a decrease in breast stimulation.
Heather Cougheour, RN, and Amy Miller,
BSN, RN, developed an initiative that
utilizes infant and mother scents to
stimulate and increase breastfeeding.
Einstein Healthcare Network’s Center
for Advanced Liver Disease and
Transplantation is one of the first of
its kind in Philadelphia and has seen
significant growth over the last few
years. Patients with advanced liver
disease awaiting transplantation are
frequently hospitalized and often
require very individualized care.
The Informatics Council’s purpose is
to maintain one standard and decrease
variation; prevent silos and competing
requests; support adoption by
prioritizing issues, focusing on
solutions, and developing
implementation strategies globally;
and determine the end user behaviors
necessary to effect change.
During Nurses Week 2015, the council
reported that it had completed the
following initiatives:
• Repeatable group documentation for Wounds/Incisions/Skin
abnormalities/Pressure Ulcers
• Simplified pressure ulcer/specialty
bed documentation
• SBAR MPage customization for
streamlined patient handoff
• Heart Failure education added to
general education form
• Modified critical care tasks times to
improve nursing care delivery
• Modified documentation of ADL
section for CLABSI prevention
• Modified the PRN Reason code set
to include options for pain, anxiety, and nausea
A Snoogle Doll is a cotton ball covered
by a piece of fabric that a mother will
place in her bra to help increase her milk
supply. The purpose of the Snoogle Doll
is to allow an infant to smell the mother’s scent, while allowing the mother
to smell the infant’s scent through the
Snoogle Doll.
As part of this initiative, the mother
receives an instruction card and two
Snoogle Dolls. The mother is to place
one Snoogle Doll in her bra and wear
it for 2-3 days, and then place the doll
next to her baby. She places the second
doll in her bra and repeats the cycle.
The hope is that using the Snoogle
Doll will help the breastfeeding mother
increase her milk production.
In May 2015, renovations began
on Levy 7 West, the inpatient unit
designated for patients with
advanced liver disease. Throughout
the renovation process, several
nurse leaders were integral to the
operational decisions and the chain
of communication for clinical nurses.
The project was discussed at the unit
level during the Levy 7 monthly
meeting of their Comprehensive
Unit-based Safety Program (CUSP).
Most of the rooms on Levy 7 West
were converted from semi-private
rooms to private rooms. The nurses’
station was remodeled to support
optimal workflow. While the West
side was being renovated, beds were
opened on Levy 7 East to support
patient care needs.
In November 2015, construction on
Levy 7 West was completed and the
Liver Care Center at Einstein Medical
Center Philadelphia was opened to
meet the specialized needs of this
complicated patient population.
The smooth transition of this planned
change for Levy 7 ensured that
patients of the Center for Advanced
Liver Disease and Transplantation
received the consistent level of care
they continue to count on.
40
41
6/8/16 7:30 PM
EMP I RI C AL O U T C O M E S
Empirical measurement of quality outcomes related to
Nursing is important, as the work nurses do every day
directly contributes to the health of the patient, workforce and hospital.
Temporal Thermometers
In September 2012, the Emergency
Services cluster was concerned with
patient satisfaction, nurse satisfaction,
and slow triage processes. The cluster
soon identified the consistent practice of
obtaining rectal thermometer readings
in pediatric patients under the age of
five years as a source of patient and
family member dissatisfaction and a
practice that may contribute to a slower
triage process.
Using the Iowa model of Evidence-Based
Practice, the committee worked
together with nurse consultant, Gerry
Altmiller, EdD, APRN, ACNS-BC, to
clearly identify the practice problem.
Using PICOT format, the Emergency
Services cluster prepared the following
clinical question: For pediatric patients
younger than five years of age (P),
who require temperature measurement
(I), what is the safest method of
measurement (C) to achieve
consistently reliable temperature
measurement (O) in the triage
process (T).
With the support of Nursing administration, cluster members met each month
to create goals for the project, complete
a literature search, distribute relevant
articles, and discuss and level the
evidence. Based on the evidence found,
the cluster decided on practice change
recommendations:
42
EMPIRICAL OUTCOMES
•
All children older than 90 days who present without potential infectious complaints – that is, reported fever – will be screened with temporal artery thermometry measurement.
•
A rectal temperature can be measured in a child of any age at the request of a physician or at the nurse’s discretion.
•
A rectal temperature measurement
will be obtained for children five years
or younger with febrile or infectious
symptoms.
The practice change was implemented
and results of the initiative were positive:
•
Increase in Nursing satisfaction and triage speed: Six months after the initiative began, 87% of nurses agreed or strongly agreed that the speed of
triage was increased by using the
temporal artery thermometer.
•
Increase in patient satisfaction:
After the implementation of this
practice change, patient satisfaction
scores increased by 3.9% on the
Picker Catalyst Survey.
The project was presented as a poster
and the manuscript was published
in The American Journal of Nursing in
September 2015.
Journey to Baby-Friendly
Designation
Einstein Medical Center Philadelphia is
proud to be seeking certification as a
“baby-friendly” hospital by Baby-Friendly
USA, Inc., which is the accrediting body
for the Baby-Friendly Hospital initiative.
This initiative encourages and recognizes
hospitals that offer an optimal level of
care for infant feeding and mother/baby
bonding. Becoming a Baby-Friendly facility
is a comprehensive, detailed and thorough
journey toward excellence in providing
evidence-based maternity care. It compels
facilities to examine, challenge and modify
longstanding policies and procedures to
improve outcomes in this area.
EMPIRICAL OUTCOMES
43
6/8/16 7:30 PM
Falls Project MossRehab
Einstein Again Recognized as a “Leader in LGBT Healthcare Equality”
MossRehab used the CUSP initiative to
launch a program to decrease patient
falls on the stroke unit.
CUSP was designed to improve the
safety culture of a unit and to learn from
mistakes by integrating safety practices
into the daily work of a specific unit. The
focus of the program comes from a unit
safety assessment done by staff working
on the unit.
The MossRehab CUSP team began by
ensuring that all staff members
participated in a science of safety
assessment training session. Over 60%
of those who took part in the sessions
agreed that a fall was the greatest risk
to their patient.
The CUSP team held monthly meetings
to review the past six months of falls and
to note trends and possible suggestions.
One trend that was noted was the
amount of falls that occurred with
patients being left in the bathroom
unattended. The team decided to
implement the practice of never leaving
a patient unattended in the bathroom
under any circumstance. This education
needed to reach three levels that
included staff, one-to-one agency, and
family/patient. Staff developed education
and scripting about the need for safety
and why the staff would remain in
the bathroom with the patient. This
education was then rolled out to all
unit staff.
Based on the efforts of the MossRehab
CUSP team, patient falls on the unit
sharply decreased, resulting in a 26%
improvement.
MossRehab Comprehensive Unit Based
Safety Program - CUSP
35
26%
30
# Patient Falls
1 West
25
Improvement
20
15
10
5
0
# Patient Falls
on 1 West
44
4thQ
2013
29
EMPIRICAL OUTCOMES
1stQ 2ndQ 3rdQ 4thQ
2014 2014 2014 2014
12
13
15
9
1stQ 2ndQ 3rdQ
2015 2015 2015
20
10
12
Shortly after his appointment to the role
of Chief Nurse Executive in May 2014,
Ric Cuming identified an opportunity to
further demonstrate the organization’s
mission, “With humanity, humility and honor,
to heal by providing exceptionally intelligent
and responsive healthcare and education for
as many as we can reach.”
Healthcare Equality Index for the past
two years. This partnership provides
the resources necessary to assist our
physicians and staff in providing
equitable and respectful treatment
to the diverse patient populations
whom we serve.
Ric had previous experience with the
Human Rights Campaign (HRC) Foundation,
which is the educational division of
the largest lesbian, gay, bisexual and
transgender (LGBT) civil rights organization
in the United States. He was aware of a
program which was congruent with
Einstein’s mission and values and that
communicated a welcoming and safe
healthcare environment to LGBT patients
and their families. Ric encouraged senior
leadership to learn more about it, as he felt
confident they would want to participate.
Ric quickly observed that Einstein was
missing an opportunity to be designated a
Leader in LGBT Healthcare Equality via the
Healthcare Equality Index (HEI). The HEI
is an annual survey designed to enable
healthcare organizations to complete a
self-assessment of policies and practices
surrounding lesbian, gay, bisexual and
transgender (LGBT) patient-centered care.
At a Healthcare Services/Physician Services
Operations Group meeting in early June
2014, Ric presented information about the
HEI. The senior leadership group made the
decision to complete the HEI assessment
process. For a number of the members, this
also included the expectation to complete
LGBT health education, which further
demonstrated their commitment to the
program.
Today, Einstein been recognized as a
“Leader in LGBT Equality” in the Human
Rights Campaign Foundation’s annual
Colostrum Project Research Study
A research study entitled “The
Effectiveness of Oral Administration of
Colostrum to Safely Provide Immunity”
began as an evidence-based practice
project. Critically ill neonates are prone
to nosocomial infections because of
their immature immune system. Based
on the results of the colostrum project,
it is recommended that oral colostrum
be administered to critically ill neonates
to help prevent nosocomial infections.
Sharon Sauer, BSN, RNC, the principal
investigator for the research study,
worked with several of her colleagues
in the NICU on data collection for the
evidence-based practice project, and
delivered a poster presentation on
the study.
EMPIRICAL OUTCOMES
45
6/8/16 7:30 PM
Disability Etiquette Project
Einstein’s MossRehab is renowned
globally for its innovation, leadership
and care of persons with physical
disabilities, but was only known locally
for its expertise in disability etiquette
and sensitivity education. An innovative
grant awarded by the Albert Einstein
Society in 2013 allowed the MossRehab
team to fill that void by creating “It’s
Just Respect”. The Disability Etiquette
Program “It’s Just Respect” included
the creation of a series of “Disability
Etiquette Gone Wrong” videos. These
videos depicting real-life stories shared
by MossRehab patients have been
loaded onto YouTube and to date have
received over 10,000 hits.
Work of Surgical Unit Safety Program Team Leads to Significant
Reduction in Surgical Site Infections
The multidisciplinary Surgical Unit Safety
Program Team at Einstein worked in
conjunction with the surgical site
infections (SSI) group to help prevent
SSI in patients that have had orthopedic
total joint surgeries.
One intervention that was implemented
is the use of a travel tag, which follows the
patient from the physician’s office, to
preadmission testing, to the Pre-Op,
Intra-Op, PACU and Med Surg Unit. This
travel tag creates awareness by alerting
the staff to the key points of the
evidence-based bundle that need to be
completed while the patient is in their care.
When discussions at team meetings were
opened to encourage any team member
to share where they felt we needed to
focus some effort to reduce infection,
Housekeeping staff expressed that there
could be better standardization in OR room
cleaning for cases that ran late in the day.
46
EMPIRICAL OUTCOMES
The goal of this project was to improve
the lives of people with disabilities
by educating people in workplaces,
schools, places of worship, etc. about
the lived experiences of persons with
different types of disabilities. For many
years, a MossRehab and Einstein leader,
Julie Hensler-Cullen, RN, MSN, had
visited local schools, universities, and
other public institutions to share tips
about communicating with and about
persons with disabilities. Now, with the
development of the “It’s Just Respect”
program along with the training of
additional rehabilitation staff and
volunteers, MossRehab has extended
the reach to include presentations at
places such as Cigna Healthcare,
Capital Grille Restaurant, law firms,
and the U.S. Mint. Most recently in 2015,
Julie has presented to the docents and
volunteers at The Barnes Foundation.
Leaders on the team and in the
Environmental Services Department
supported the importance of that work.
The support staff took the lead in
updating a room-cleaning checklist and
took the initiative to lead in-services
with Housekeeping staff to promote
standardization and perform observations
for compliance.
As a result of this team’s efforts and
interventions, there has been a significant
reduction in SSIs related to hip and knee
arthroplasty. When the initiative began in
2014, the SSI rate was 2.85%; in June 2015,
the rate was down to 1.12%.
The team’s success has led them to
explore SSI reduction for other types
of surgery utilizing the same format,
such as colon surgery, as part of the
comprehensive Infection Control and
Patient Safety Program.
EMPIRICAL OUTCOMES
47
6/8/16 7:30 PM
EMC_AnnualReport_r2.indd 48
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EMC_AnnualReport_r2.indd 1 6/8/16 7:30 PM

Transcription

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