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advance FOR
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ADVANCE for Nurses • Mid-Atlantic & Lower Great Lakes
1
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Contents
ADVANCE
ADVANCEfor
forNURSES
NURSES• •September
September3,3,2012
2012• •Volume
Volume14
13• •Number
Number14
2
driving under the influence. In
response to a troubling trend,
nurses are speaking out to
bring attention to the problem
of distracted driving.
13
[13] Going Green
8
Cover story:
[8] Mastering Mesothelioma
Resistant to high temperatures
and impervious to cold, acids,
salt water and other corrosives,
the mineral asbestos seemed
like a miracle when it was first
discovered and mined for commercial use in the first half of
the 20th century. Until asbestos
miners began coughing up
blood, and more and more blue
collar workers began reporting health problems 20 and
30 years after initial exposure.
Today, asbestos is recognized as
the primary cause of mesothelioma, a rare but lethal cancer.
The Penn Medicine Mesothelioma and Pleural Program uses
pioneering surgery to improve
survival rates. photo courtesy
Penn Medicine, cover photo by
John Ciuppa
[11] Fatal Distractions
Defined as any activity that
takes a driver’s attention away
from the road, distracted driving includes everything from
talking to passengers, changing
the radio station, reading directions, eating, grooming and
To help hospitals in their quest
to keep their patients — as
well as the planet — healthy,
a group of experts who have
a combined 50 years in various
healthcare settings, created
GoGreenHealthcare.org, a
virtual portal to all things green
in healthcare. “We take care of
people — and we need to be
able to take care of our planet,
too,” said David M. Sileo, RN,
MS, ACNP, one of the founders
of GoGreenhealthcare.org.
15
Departments
Editorial: Take the Pledge.................................................................. 4
News Mid-Atlantic & Lower Great Lakes......................................... 5
Productivity at Shift Change............................................................. 7
Learning Scope: Consumer-Driven Healthcare.............................. 15
Education Opportunities................................................................. 19
Career Opportunities....................................................................... 21
ADVANCE Healthcare Shop Catalog............................................... 30
Where We Work: Beebe Medical Center........................................ 34
On the Web www.advanceweb.com/Nurses
Visit www.advanceweb.com/Nurses anytime for national and regional news, timely articles, forums, blogs and more.
Laser Neurosurgery
Saving Shooting Victims
Getting to Know You
Head Lice
Miami Children’s
Hospital offers
an MRI-guided,
minimally invasive
procedure for
epilepsy in children that lowers
surgical risk and speeds recovery.
Visit www.advanceweb.com/
Nurses, search keywords “Laser
Neurosurgery.”
Level I trauma staff
immediately began
preparing for a
patient surge after
the shooting at a
Sikh temple in Wisconsin. Read
more about their efforts at www.
advanceweb.com/Nurses, search
keywords “Saving Shooting
Victims.”
Take our reader
survey, which will
take less than 10
minutes and could
result in hours of
informative and entertaining
reading from ADVANCE. Go to
www.advanceweb.com/Nurses
and look for the Contests and
Surveys area.
Although head
lice pose no
public health
threat or
transmission of disease, they are
an expensive nuisance. Find out
if “no-nit” policies are worth the
price at www.advanceweb.com/
Nurses, search keywords “Head
Lice.”
Postmaster: Send address changes to ADVANCE for Nurses, Mid-Atlantic and Lower Great Lakes, Merion Publications Inc,
2900 Horizon Drive, King of Prussia, PA 19406.
ADVANCE reaches RNs with editions of ADVANCE for Nurses in five zones: • Northeast • Mid-Atlantic & Lower Great Lakes
• South • Midwest • West
ADVANCE is a member of the National Association for Health Care Recruitment (NAHCR),
the American Society for Healthcare Human Resources Administration (ASHHRA), the New
Jersey Association of Healthcare Recruiters (NJAHCR), the Philadelphia Area Association of
Healthcare Recruiters (PAAHCR), the New Jersey Organization of Nurse Executives (ONE/NJ),
the Washington Metropolitan Healthcare Recruiters Association (WMHRA), & the Maryland
Association for Health Care Recruiters (MAHCR).
Advertising Policy: All advertisements sent to Merion Matters for publication must comply with all applicable laws and regulations. Recruitment ads that discriminate against applicants based on sex, age, race, religion, marital status
or any other protected class will not be accepted for publication. The appearance of advertisements in ADVANCE Newsmagazines is not an endorsement of the advertiser or its products or services. Merion Matters does not investigate
the claims made by advertisers and is not responsible for their claims.
e This M
cycl
Re
e
azin
ag
ADVANCE for Nurses, Mid-Atlantic and Lower Great Lakes is published 20 times per year on a biweekly basis, except for single
issues in June, July, August, and December by Merion Publications Inc, 2900 Horizon Drive, King of Prussia, PA. ADVANCE for
Nurses, Mid-Atlantic and Lower Great Lakes was established January 1999 and is free to all licensed RNs and senior nursing
students in areas of PA, NJ, DE, MD, DC, WVA, MI, OH, and KY. Contents are not to be reproduced or reprinted without permission
of publisher. ©2012 Merion Publications Inc.
Pleas
e
ADVANCE for Nurses, Mid-Atlantic & Lower Great Lakes
Our company serves the informational and career needs of doctors, nurses and allied healthcare professionals through a
wide range of products and services, including magazines, e-newsletters and websites for health information professionals,
healthcare executives, hearing healthcare professionals, imaging and radiation oncology professionals, laboratory administrators, long-term care managers and professionals, medical laboratory professionals, nurse practitioners and physician
assistants, nurses, occupational therapy practitioners, physical therapy and rehabilitation professionals, respiratory care and
sleep medicine professionals, and speech-language pathologists and audiologists.
®
3
Career Opportunities
Editorial
Job search by facility below, or use the Specialty Key on page 21 to target your
job search by your area of expertise. The highlighted facilities below have job
opportunities in ED/Trauma. Look for their ads in the ADVANCE Extra section.
Facility
web/email address
Abington Memorial Hospital
Active Day
ACTS Retirement
BayCare Health System
Beebe Medical Center
Bon Secours Hampton Roads Health System
www.acts-jobs.org
www.baycarejobs.com
www.beebemed.org
www.bonsecours.com
Broomall Rehabilitation and Nursing Center
[email protected]
Capital Health System
www.capitalhealth.org
CFG Health Systems
Chestnut Hill Hospital
Fox Chase Cancer Center
George Washington University Medical
Faculty Associates
Gloucester County College
Golden Health Services Inc.
Grand View Hospital
Holy Redeemer
Lifebridge Health
Main Line Health System
Medisys Inc.
Nursing Unlimited
Reading Hospital and Medical Center
Pg. #
28, 29
21
28
25
26
28
Back
Cover
21, 22,
24
26
28
24
www.amh.org
www.chhealthsystem.com
www.fccc.edu
28
www.gwdocs.com
21
29
26
27
21
28
21
29
23, 29
www.gccnj.edu
www.lifejobs.org
http://mainlinehealth.org/careers
www.medisysqi.com
www.readinghospital.org
Riverside Health System
Samaritan Healthcare & Hospice
Sentara Healthcare
Shady Grove Adventist Hospital
Sibley Memorial Hospital
Southern Maryland Home Health
St. Joseph Medical Center
Staffing Etc.
Stella Maris Inc.
University of Pennsylvania Health System
Venice Regional Medical Center
Virtua Center for Surgery
Visiting Nurse Association of
Greater Philadelphia
Washington Hospital Center
Westat
World Bank
22
27
22
www.samaritanhealthcarenj.org
www.sentara.com/employment
www.shadygroveadventisthospital.com/
SGAH
25
12
29
23
21
27
9
25
28
www.StJosephJobs.org
www.veniceregional.com
29
www.vnaphilly.org
24
27
21
Take the Pledge
Nurses can help patients access information and
better manage their own healthcare
By Richard Krisher
A
s she prepared the manuscript for this issue’s
Learning Scope continuing education offering,
“Consumer-Driven Healthcare,” author Kay
Bensing, MA, RN, and I had spirited discussions about
the content. Her article focuses on how nurses can help
consumers use data on quality to empower themselves to
navigate the healthcare system.
While we agreed on the need for more reliable and accessible quality information, we diverged when it came to money. She believes
healthcare consumers are interested in the cost of their care and want
to use information about cost and quality to seek out the best options.
I contend the vast majority of those covered by public or private
healthcare plans might shake their heads when they see how much the
third-party payer spent on their care, but aren’t positioned or inclined
to do comparative shopping.
The American Nurses Association is moving the conversation in the
right direction. The rise of information technology in healthcare holds
promise to promote enhanced quality and efficiency. The association
is asking nurses to sign a four-point pledge to access their own health
information to verify its accuracy and completeness, use that information
to “share in the decision-making process for both clinical and financial
decisions about my health,” educate others about how to access their
health information and support the IT movement in healthcare.
The idea is nurses will be better able to help patients take the same
steps and better manage their own healthcare. Getting hands-on exposure to your own healthcare information is a terrific first step to help
patients make their way through the coming changes in our healthcare
system, which are sure to demand greater knowledge and participation
from all involved. n
Products, Services, Education
Sound Off!
The companies listed support nurses by placing advertisements in
ADVANCE for Nurses. Their support keeps this publication coming to you
free of charge. For more information on these advertisers, go to www.
advanceweb.com/nursesdirectory or visit their Web sites.
Do you agree nurses should take the lead in accessing
and analyzing their own health information? Will doing
so eventually help patients share in clinical and financial
decisions regarding their healthcare? Join the discussion
at www.advanceweb.com/NurseBlogs.
Support the Companies That Support Your Profession
ADVERTISER
Phone or web address
ADVANCE Healthcare Shop
www.advanceweb.com/NursesCELive
ADVANCE Job Fairs & Career Events
ADVANCE Online Education Fair
Birchtree Center for HealthCare
Transformation Inc.
CE On Demand
www.advancehealthcareshop.com
4
30
Back Inside
Cover
14
www.advanceweb.com/jobfairs
20
www.advanceweb.com/events
34
Front Inside
Cover
5
20
20
19
34
Dansko
Gwynedd-Mercy College
Neumann University
Thomas Edison State College
UPMC Health System
Venoscope
Pg. #
www.udel.edu/dsp
www.neumann.edu
advance FOR
Serving RNs in areas of the Mid-Atlantic is published by Merion Matters, publishers of leading healthcare magazines since 1985
Publisher Ann Wiest Kielinski • General manager W.M. “Woody” Kielinski • Chief Information Officer Khader Mohammed • REGIONAL STAFF Editorial Director: Linda Jones Editor: Pamela Tarapchak Senior Nurse Consultant: Deanna H. McCarthy, MSN,
RN Senior Regional Editor: Robin Hocevar Senior Graphic Designer: Jennifer McGinithen Web Manager: Jennifer Montone • design
Vice President, Director of Creative Services: Susan Basile Design Director: Walt Saylor Multimedia Director: Todd Gerber Art Director:
Doris Mohr • advertising Director of Marketing Services: Christina Allmer Art Director: Chris Wofford • events Public Relations
Director: Maria Senior Job Fair Manager: Laura Smith Events Product Manager: Mike Connor • administration Vice President,
Director of Human Resources: Jaci Nicely Information & Business Systems Director: Ken Nicely Digital Media Sales Director: Kim
Noble Circulation Manager: Maryann Kurkowski Billing Manager: Christine Marvel Subscriber Services Manager: Vikram Khambatta •
Media & marketing opportunities: DISPLAY Advertising Sales Director: Amy Turnquist Corporate Sales Manager:
Kevin Miller Display Sales: Shannon Ferguson, Ashley Hackett • healthcare facility Advertising Sales Director: Kim Noble
Group Manager: Dan Stuart Senior Regional Account Executive: David Janitor Senior Account Executives: Josie Ahlin, Jaime Ciarlello,
Becky McCafferty, Nancy Silenok, Christine Villone Sales Associates: Kevin Cartwright, Jim Harrigan • education advertising Sales
Manager: Ed Zeto Account Executive: Sarah Rucinski • Custom Promotions Sales Manager: Mike Kerr Senior Account Executives: Noel Lopez, Sue Borjeson-Romano Sales Associates: Kristen Erskine, Danielle Lasorda, Desirae Slaugh, Gina Willett
Compiled by Jolynn Tumolo
News*mid-atlantic & lower great lakes
CONFERENCES EXPANSION PROMOTIONS HONORS LEGISLATION GRANTS APPOINTMENTS CERTIFICATION WORKSHOPS
National Effort Aims to
Boost Breastfeeding Rates
▶ REGIONAL More than two dozen hospitals
from the Mid-Atlantic region are participating
in a national initiative to significantly improve
breastfeeding rates in states where rates are
lowest.
Nationally, 90 hospitals were selected from
235 applicants for the Best Fed Beginnings
program. These hospitals will work together in
a 22-month learning collaborative to transform
their maternity services in pursuit of the “babyfriendly” designation. The designation verifies
a hospital has implemented the American
Academy of Pediatrics-endorsed “Ten Steps to
Successful Breastfeeding.” Best Fed Beginnings
is expected to double the number of hospitals
that have earned the designation.
The following Mid-Atlantic hospitals are
participating in the effort: Christiana Care
Health Services, Newark, DE; the University of Kentucky Chandler Medical Center,
Lexington; Medstar Franklin Square Medical
Center, Baltimore; Howard County General
Hospital, Columbia, MD; Allegiance Health
System, Jackson, MI; Covenant HealthCare,
Saginaw, MI; Henry Ford West Bloomfield
Hospital, West Bloomfield, MI; Providence
Park-Novi, Novi, MI; Providence Hospital:
Southfield, Southfield, MI; Sparrow Hospital, Lansing, MI; Spectrum Health Butterworth Hospital, Grand Rapids, MI; St. John
Macomb Hospital, Warren, MI; St. Joseph
Mercy Oakland, Pontiac, MI; Atrium Medical
Center, Middletown, OH; Doctors Hospital,
Columbus, OH; Riverside Methodist Hospital, Columbus, OH; Summa Health System,
Akron, OH; UC Health/University Hospital,
Cincinnati; University Hospitals MacDonald
Women’s Hospital, Cleveland; The Hospital
of the University of Pennsylvania, Philadelphia; Pennsylvania Hospital, Philadelphia;
Pinnacle Health, Harrisburg, PA; Centra
How to Contact Us: Merion Matters, ADVANCE for Nurses,
Mid-Atlantic & Lower Great Lakes, 2900 Horizon Drive, King of Prussia, PA
19406-0956 On the Web: www.advanceweb.com ▶ E-mail: advance@
advanceweb.com ▶ Editorial: 800-355-5627 ▶ Pamela Tarapchak, Editor,
[email protected], ext. 1360 ▶ Robin Hocevar, Senior Regional
Editor, [email protected] ▶ Linda Jones, Editorial Director,
[email protected], ext. 1229 Article Reprints: 800-355-5627, ext. 1446
▶ Subscriptions: 800-355-1088 ▶ To place an ad, call our Sales Department: 800-355-JOBS (5627)
Virginia Baptist Hospital, Lynchburg, VA;
Inova Alexandria Hospital, Alexandria, VA;
Inova Loudoun Hospital, Leesburg, VA;
the University of Virginia Health System,
Charlottesville; Virginia Commonwealth
University Health System, Richmond; Howard University Hospital, Washington, DC;
and Providence Hospital, Washington, DC.
Drexel Presents
Bayada Awards
▶ PhiladeLphia
Drexel University’s
College of Nursing and Health Professions,
Philadelphia, recently presented the Bayada
Award for Technological Innovation in Nursing
Education and Practice to Valerie Sabol, PhD,
ACNP-BC, GNP-BC, CCNS, CCRN, Robert
Blessing, DNP, ACNP, and Karen Adamson,
WHNP-C. All received a $10,000 award,
sponsored by BAYADA Home Health Care.
Sabol and Blessing, faculty members at Duke
University, developed a competition called
“SimWars: The Ultimate Test of Clinical Management” that challenged students to interact
with a standardized patient and their family. As
symptoms worsened, the standardized patient
was replaced with a high-fidelity simulator to
allow the students to practice more advanced
clinical skills.
Adamson, a women’s health nurse practitioner at the Pueblo City & County Health
Department, Pueblo, CO, and a 2009 graduate of Drexel University’s MSN for women’s
health nurse practitioners, developed a public
health initiative called “Ask Tara.” The initiative
allowed teens to anonymously text and email
questions about contraception and STDs and
Advance Your Career in Nursing
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--- gmcedu
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5
NEWS
Names & Faces
Nurses Named RWJF Executive
Nurse Fellows
▶ REGIONAL Six Mid-Atlantic nurses were among
20 from across the country chosen to participate in
the Robert Wood Johnson Foundation Executive Nurse
Fellows program. The 3-year program aims to
strengthen the leadership capacity of nurses who
aspire to shape healthcare locally and nationally
through coaching, education and other support.
Included in the 2012 cohort are Elizabeth Speakman, EdD, RN, CDE, ANEF, associate professor and
co-director of the Jefferson Center for Interprofessional
Education at Thomas Jefferson University, Philadelphia; Rita Adeniran, DrNP, RN, CMAC, NEA-BC,
director of diversity and inclusion at the Hospital of the
University of Pennsylvania, Philadelphia; Loraine
Frank-Lightfoot, MBA, BSN, RN, NEA-BC, chief
nursing officer at Wooster Community Hospital,
Wooster, OH; Pamela Kulbok, DNSc, RN, PHCNSBC, FAAN, professor of nursing and public health
sciences at the University of Virginia, Charlottesville;
Ellen-Marie Whelan, PhD, NP, FAAN, senior advisor
at the Innovation Center, Centers for Medicare &
Medicaid Services, Baltimore; and Laura Wood,
DNP, RN, MSN, vice president and national director of clinical solutions at Siemens Healthcare,
Malvern, PA.
Jones Wins ‘Nurse
of Year’ Honor
▶ Cherry Hill, NJ T.
Maria Jones, BS, RN,
CWOCN, DAPWCA, FMNLI,
wound care specialist at Kennedy University Hospital
was recently named Wound/ T. Maria Jones,
Ostomy/Continence Nurse of BS, RN, CWOCN,
the Year by the United Ostomy DAPWCA, FMNLI
Associations of America. Jones has worked for the
Kennedy Health System for 5 years.
Brown Appointed Academic
Program Director
▶ Chester, PA Esther
Brown, EdD, MSN, RN,
assistant professor in the
school of nursing at Widener
University, was recently
appointed academic program
director for the RN-to-BSN and
RN-to-MSN programs.
Esther Brown, EdD,
Brown joined the Widener MSN, RN
6
then receive a response from a nurse practitioner within 24 hours.
University School of Nursing faculty in 2009. She currently serves as interim president for district 22 of the
Pennsylvania State Nurses Association.
Fox Chase Recognizes Cuddahy
DAISY WINNER: Terese (Terri) Cuddahy, BSN, RN, OCN
(center), recently received the DAISY Award for Extraordinary Nurses at Fox Chase Cancer Center, Philadelphia.
A nurse colleague who nominated Cuddahy described
her as the best nurse she ever encountered. Cuddahy
joined Fox Chase in 2004. courtesy Fox Chase Cancer
Center
Chestnut Hill Hospital Plans
Expansion Celebration
▶ Philadelphia Chestnut Hill Hospital
will open a new wing featuring a 22-room
emergency department, operating rooms and
ICU next month. Patient care in the approximately 60,000-square-foot expansion will begin
Oct. 22. On Oct. 20 from 10 a.m. to 2 p.m., the
hospital will hold a community celebration
that will include food, rides, face painting, jugglers and tours of the new ED. The $40 million
expansion includes a larger ED waiting room, 14
private ICU rooms and larger ORs for patients
and staff. n
Donley Appointed Assistant
VP of Nursing
▶ Lebanon, PA Patricia Donley, MSN, BS,
RN, was recently appointed assistant vice president
of nursing services at Good Samaritan Hospital.
Donley joined the hospital in 1993 as a perioperative
staff nurse and became clinical coordinator of the
ambulatory surgery center a year later. In 2008, she
became director of nursing and operations
improvement.
Duggan Named Nurse Manager
▶ Reading, PA Michelle Duggan, RN-BC,
was recently appointed nurse manager for the R3
East patient care unit at the Reading Hospital and
Medical Center. Duggan joined the hospital in 2008
as an assistant nurse manager. UMSON Students Win
Jonas Grants
▶ Baltimore Six doctoral students at the Uni-
versity of Maryland School of Nursing were
named Jonas Scholars by the Jonas Center for Nursing
Excellence. PhD students Ana Duarte, MS, RN, and
Mari Griffioen, MS, RN, and DNP students Sonia
Brown, MS, RN, ACNP-BC, and Susy Postal, MS,
RN-BC, were selected to receive grants from the Jonas
Nurse Leaders Scholar Program. PhD student Benjamin
Canha, MSN, RN, and DNP student Kathryn Gift, MSN,
RN, were selected to receive grants from the Jonas
Nursing Scholars Program for Veterans Health. n
SUPPORTING FAMILIES: St. Luke’s University Hospital staff accepted a $5,000 check from the March
of Dimes Pennsylvania Chapter. From left are Mary
Casey, BSN, RN, NICU nurse; Cindy Max, vice president of operations; Tracy Trapp, March of Dimes; Pat
Gubich, RN, CPN, patient care manager; and Jennifer Janco, MD, interim chief of pediatrics. courtesy
St. Luke’s University Health Network
NICU Program Receives
March of Dimes Grant
The March of Dimes Pennsylvania Chapter recently
presented a $5,000 community grant to St.
Luke’s University Hospital, Bethlehem, PA,
for its NICU Family Support Program. The grant
supports NICU parent activities and NICU staff
professional development to expand familycentered care and activities for newborns who
are preterm and critically ill.
Want to Read
More? For more
news from your
area, go to www.
advanceweb.com/
Nurses and read
about more programs in your region.
Regional Feature
Productivity at Shift Change
Beebe Medical Center’s ‘bottom-up’ bedside reporting initiative results in nearly perfect patient
satisfaction scores By Robin Hocevar
T
hough bedside reporting has been a hot
topic at medical conferences, the impetus
to implement at Beebe Medical Center,
Lewes, DE, came not from the CNO but from
a new grad.
“Last October, Joanna Robertson approached
me about changing our hand-off report,” said
Margaret Porter, MSN, RN-BC, manager of the
med/surg unit. “She thought doing the report
at the desk was too long and staff wasn’t getting
the full picture. She’d heard of bedside reporting
at another hospital and wanted to give it a try.”
Scott Derby
Initial Hesitation
The change was difficult, especially for the staff
who had been providing a hand-off report at a
desk for decades.
“For many, it’s a very scary thought to discuss
the whole situation in front of the patient and
[potentially] the family,” Porter acknowledged.
“Many nurses were uncomfortable saying what
they did all day. But once they tried it, they realized it was great.”
The fact that the change wasn’t administration-driven and came from a nurse was extra
motivation. Robertson and Porter picked a
team of eight to pilot the initiative. Robertson
made this the evidence-based practice portion
of her coursework and devoted extensive time
to the project.
What started out as a student’s undertaking
began gaining momentum. Each month, the 65
med/surg nurses joined the bedside reporting
team in groups of eight. Within 3 months, the
entire unit was educated and nursing assistants
were fully compliant.
Initially, eight nurses articulated reports at the
bedside. Others didn’t have to provide a report
but followed a bedside champion and listened
to the system at work. Gradually, the learned the
theory and changed practice for shift change.
Communication Flow
Early in 2012, doctors were already reporting
improvements in the nurse report and one
patient even told Porter she learned more in 5
minutes than she did during a previous 7-day
hospital stay.
But they knew the program was working
when Ann Smith, director of quality at Beebe,
was admitted for a surgical procedure.
“I couldn’t have felt more involved in my
care,” she said. “I participated firsthand in the
report with the CNA, who discussed bathing,
dressing, intake and output. Nurses were clear
about pain management and my general status.
I felt like I had goals for each day and that there
was a plan for me.”
Improved Outcomes
Back on the job after a positive hospital stay,
Smith noted that scores on the patient satisfaction survey question inquiring if nurses keep
patients informed increased from 88.2 to 92.9
percent in a 4-quarter period. When asked if
staff worked together well, 95 percent of patients
answered affirmatively (up from 90.1 percent 1
year ago).
In a recent hospital survey, Porter said 48 percent of nurses said this initiative shortened the
report time and a full 100 percent said patients
were more satisfied.
That got the attention of hospital
administration.
“In this situation, they shepherded in a change
that wasn’t top-down. They got buy-in from
professional peers, patients are happy, quality
outcomes are soaring and the whole picture is
beautiful,” raved Paul Minnick, vice president at
Beebe Medical Center. “It’s absolutely remarkable from a high-acuity 42-bed unit with pediatrics, oncology and other patient populations
that people say are never satisfied.”
According to Ellen Tolbert, director of patient
relations, the literature virtually guarantees
tremendous improvement in medication safety
with improved hand-off and communication
practices. As it’s not uncommon for patients to
divulge a new symptom during these conversations or the oncoming nurse to phrase a question
in a way that generates an unexpected answer,
the potential for mistakes is greatly reduced,
said the team.
Unit Pride
Patients aren’t the only ones happy with the
change. Porter said nurse satisfaction is higher
as well. Though no survey is planned until the
fall, Porter’s statement is anecdotal but the
change in atmosphere is palpable, she said.
“We eliminated the perception that nothing
gets done at change of shift,” she boasted.
Though retention isn’t as critical of a problem as it was a few years ago, the improved
workplace environment is playing a part in
keeping nurses clocking in.
“It’s always hard to retain nurses in med/
surg and this really goes a long way for staff
satisfaction,” she said.
Today, the bedside reporting initiative is
active on all inpatient units at Beebe Medical
Center. But the fact that this successful practice
was rooted in med/surg has been a tremendous
morale booster,” said Porter.
“This didn’t start in the specialty units,” she
said. “There was a lot of pride stimulated when
med/surg nurses realized they could do things
like this themselves. It’s given them the feeling
that they’re leaders in the hospital.” n
Robin Hocevar is senior regional editor at
ADVANCE.
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Create a high-quality work environment by developing mutual respect
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7
Cover Story
Mastering
Mesothelioma
Nurses in Penn Medicine’s
Mesothelioma and Pleural
Program play a key role in a
multidisciplinary team offering
cutting-edge interventions for
patients with a tough disease
By Danielle Wong Moores
R
esistant to high temperatures and impervious to cold, acids, salt water and other
corrosives, the mineral asbestos seemed
like a miracle when it was first discovered and
mined for commercial use in the first half of
the 20th century. Until asbestos miners began
coughing up blood, and more and more blue
collar workers began reporting health problems
20 and 30 years after initial exposure.
Today, asbestos is recognized as the primary
cause of mesothelioma, a rare but lethal cancer
that attacks the lining of the lungs, and in some
cases the abdomen and pericardium. Symptoms
of mesothelioma don’t usually show up until
cancer is advanced, and most patients typically
8
A BETTER CHANCE: Lung-sparing surgery and photodynamic therapy have been found to improve median survival rates of patients with mesothelioma to more than
31 months, compared to 8 months with just lung-sparing
surgery. courtesy Penn Medicine
live only a year or two longer after a diagnosis of
stage IV disease.
What makes mesothelioma so difficult to
treat is the way it spreads, sheetlike, along the
cellophane-like membrane of the lungs. Conventional chemotherapy, surgery and radiation offer
little hope, so more research is being conducted
into novel therapies to boost survival rates and
quality of life for patients with this disease.
The nation’s oldest medical school, the University of Pennsylvania School of Medicine, has
also become a leader in cutting-edge treatments
for mesothelioma. The Mesothelioma and
Pleural Program is helmed by Joseph Friedberg,
MD, who together with his team has become a
pioneer for lung-sparing surgery combined with
photodynamic therapy. The combined treatment
has been found to improve median survival rates
of patients with mesothelioma to more than 31
months, compared to 8 months with lung-sparing
surgery alone.
Nurses play a key role in the program as the
backbone of the multidisciplinary team — and
in providing important support to patients who
often must spend weeks or even months at Penn
during the course of treatment.
A Team Approach
The Mesothelioma and Pleural Program
launched in 2008 with a team of four physicians
and Melissa Culligan, BSN, RN, director of clinical services. Culligan, who has been referred to as
the “leading lady” of the mesothelioma program,
is often the first contact for patients, who travel
from all over the world for treatment.
She also presents each patient’s case during conference, in which medical oncologists, radiation
oncologists, surgeons, pulmonologists, pathologists and clinical trial nurses all participate equally
to discuss each patient’s plan of care. Further
discussion takes place during a multidisciplinary
clinic, where the entire healthcare team meets
with the patient and family to decide on the final
course of treatment.
This type of teamwork is just one of the many
things that makes their program unique. “It just
warms my heart every week to see how we present
these very sad situations and how well we all work
together,” said Culligan. “It’s not a program run
by a surgeon or the medical oncologist, it’s truly a
multidisciplinary group. … This group looks at all
the options and then takes into consideration the
patient’s wishes. That’s really what sets us apart.”
Coordination in the OR
According to Culligan, the program is also continuing to offer a number of advanced clinical
trials for patients with mesothelioma, including
gene therapy and chemotherapy trials. But the
treatment that has garnered the most attention
is lung-sparing surgery combined with photodynamic therapy (PDT).
The procedure can take up to 14 hours, and
involves Friedberg and his team painstakingly
stripping away cancer from the mesothelium, the
lining of the chest cavity. A specialized PDT team
then arrives. Patients have already been injected
with a photosensitizing agent, and the team moves
a fiberoptic laser, like a magic wand, inside the
cavity of the chest, casting a red light that kills
any remaining malignant cells.
As a staff nurse/circulating nurse in the operating room and a member of the thoracic team, Julie
Sarmanian, MBA, BSN, BS, RN, CNOR, moves
about the room ready to anticipate any need of
the surgical team — often before it’s even voiced.
These needs can include anything from blood
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Cover Story
products to instruments to emergency equipment, but, said Sarmanian, “It
can be things like more support for the team itself … keeping up with how
everyone’s feeling … and cheering ourselves on.”
A former hospital administrator who became a nurse later in life, Sarmanian was attracted to the program primarily because of the team, and like
Culligan, finds the team aspect to be one of the high points of the program.
“I consider my role in our team to be extremely collaborative between the
surgeons and anesthesia and nursing, and I love that. I think that’s really
the only way to provide the best patient care.”
Sarmanian also finds herself in the role of patient support prior to the
surgery. She interacts with patients during the patient interview, answering
questions about the procedure, quelling anxiety and providing distraction
during pre-op procedures such as epidural placement.
“It seems simple, but it’s a part of OR nursing that makes a difference for
the patient,” said Culligan. “Any surgery, especially this type of surgery, is
extremely anxiety producing … so we give them some idea of what to expect.”
Nursing Care on the Unit
After surgery, patients may spend several days in the surgical ICU before
transfer to a specialized thoracic intermediate care unit. That’s where nurses
like Katie Grasing, BSN, RN, take over.
Patients come to the unit with three chest tubes, an epidural and a lot of
anxiety due to the nature of their illness. But Grasing enjoys the challenge
of the complex cases and getting to know the patients and families during
the week or so they spend together.
“They do seem to have more anxiety than the normal patient would,” said
Grasing. “They’re in the hospital for so long, they do have this illness that’s
always in the back of their mind and the therapy is still research-based. It’s
important that we connect with them emotionally and be physically able
to control their pain and get what they need.”
Patients often become discouraged when they’re aren’t progressing as they
should. In between walking, chest PT and pain control, Grasing finds her
most important role is often that of positive thinker. “I remind them, ‘You
haven’t taken a step back, you just haven’t made a step forward today.’ I try
to get them in the mindset that tomorrow will be a better day.”
It’s not always easy to stay positive, especially when you become so emotionally attached to patients and family members, but the close working
environment of the unit gives Grasing a support network she can lean on.
“If the last thing a patient said really upset me and he needs a little more
positive energy, I know my co-worker will go in there and give him a little
pep talk.”
Why Mesothelioma
Culligan, Sarmanian and Grasing all came to the mesothelioma program
from different backgrounds, but one similarity binds them — their appreciation of the team they work with every day.
While only about 3,000 new cases of mesothelioma are diagnosed every
year, it’s a tough illness that strikes good people, those whom Culligan
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10
HIGH-TECH: The surgical procedure
of lung-sparing surgery combined
with photodynamic (PDT) therapy
can take up to 14 hours, and involves
Joseph Friedberg, MD, and his team
painstakingly stripping away cancer
from the mesothelium, the lining of the
chest cavity. A specialized PDT team
then arrives. Patients have already been
injected with a photosensitizing agent,
and the team moves a fiberoptic laser,
like a magic wand, inside the cavity of
the chest, casting a red light that kills any
remaining malignant cells. The nursing
team anticipates all the needs of the
surgical staff during this time, forming a
collaborative bond between the surgeons,
anesthesia staff and nursing.
describes as “salt of the earth” — including construction workers, pipefitters,
electricians, plumbers and the military. So it’s not surprising the program
would attract passionate and devoted team players who have one goal: to
provide the best care they can to these patients.
“We’re making a difference in these patients’ lives,” said Sarmanian. “By
the time they come to us, their options are extremely limited, to be generous about it. To make a difference in someone’s life is not a chance many
of us have really. … But I know that all of us do make a difference and do
contribute to the care we offer to the patient.
“It’s a unique opportunity for nurses. Not many nursing professionals get
to be part of a cutting-edge intervention like this.” n
Danielle Wong Moores is a frequent contributor to ADVANCE.
ED/TRAUMA ▶ ADVANCE EXTRA!
Fatal Distractions
In response to a troubling trend, nurses are
speaking out to bring attention to the problem
of distracted driving
By Jolynn Tumolo
F
John Ciuppa
or Shawn Coltharp of Paducah, KY, Sept. 1, 2007, was supposed to be
joyful. It was Labor Day weekend, and Coltharp had gathered with her
family for an informal reunion at a local restaurant, awaiting the arrival
of her 27-year-old daughter, Hillary.
But Hillary never arrived.
While driving on Interstate 24 toward the restaurant, Hillary lost control
of her Volkswagen Cabrio convertible. The car rolled several times. At some
point, Hillary was thrown from her seat and landed in the emergency lane
on the other side of the highway some 80 feet away.
She had been texting.
Although devastated by the news, her mother wasn’t entirely surprised.
“She had the behaviors of a distracted driver all her life — grabbing for CDs,
putting on makeup and texting,” said Coltharp, who was quick to confess to
her own weaknesses. “I, too, was one who was slightly distracted. I certainly
had my own behaviors that needed to be put in check.”
Long Road to Recovery
Hillary was alone in the car, but not at the crash scene.
“She was fortunate beyond belief,” Coltharp said.
A state trooper saw the dust from the crash over the crest of a hill and
radioed for an ambulance even before he arrived on the scene. A nurse and
physician driving in front of Hillary witnessed the crash in the rearview mirror and turned around immediately to help. Hillary also remembers three
angels with her as she lay on the side of the road, telepathically telling her
she would survive.
Amazingly, she did.
“She had a 5 percent chance to live,” remembered her mother. “She had a
lot of broken bones and a terrible head injury to her right temporal lobe. Of
course, when you fly through the air like that and crash on the pavement … ”
Hillary was flown 150 miles to Vanderbilt University Medical Center in
Nashville, TN, where physicians monitored a subdural hematoma and later
performed a craniotomy. Six weeks later, she was transferred to Cardinal
Hill Rehabilitation Hospital in Lexington, KY, where she stayed for another
6 weeks and relearned basics like swallowing and eating.
“She had to grow up all over again, from learning how to breathe, swallow, toilet train, eat … everything,” Coltharp said. “She had to start life over.”
Five years later, Hillary has made significant progress. She lives independently in an apartment attached to her parents’ house and can perform most
activities of daily living without assistance. She receives physical, occupational
and speech therapy almost every day.
She no longer drives.
“She is still very significantly brain-injured, but I’m not sure you would
know it. You would think she’s very innocent and vulnerable, a bit like an
early high schooler,” Coltharp said.
“I think she’s going to carve out a life, but not like the life she would have
had before.”
A Troubling Trend
Coltharp describes distracted driving as this generation’s chronic disease.
Many would agree.
Defined as any activity that takes a driver’s attention away from the road,
distracted driving includes everything from talking to passengers, changing
the radio station, reading directions, eating, grooming and driving under
the influence.
Within the past 5 years or so, smart phones have added another potentially
deadly temptation to drivers prone to distraction: navigating a virtual world
while driving some 4,000 pounds of vehicle through our real one.
The facts are disturbing. According to distraction.gov:
• Driving while using a cell phone cuts your amount of brain activity
associated with driving by more than a third.
• Reading a text while driving takes your eyes off the road an average of
4.6 seconds — at 55 mph, that’s equivalent to driving the length of an entire
football field blind.
• When you use a hand-held device while driving, you are four times more
likely to experience a crash serious enough to injure yourself.
The website also reports that, in 2010, 3,092 people were killed and an
estimated 416,000 were injured in crashes involving distracted drivers.
According to the emergency and trauma nurses who spoke with ADVANCE,
however, the statistics are likely low since many drivers don’t own up to bad
driving habits afterward.
“It’s the iceberg effect,” said Janice Titano, BSN, RN, CEN, CCRN, emergency
department nurse at the Hospital of the University of Pennsylvania, Philadelphia. “You see the statistics, but what lies beneath is what’s really going on.”
Titano and ED colleague Heather Matthew, MSN, RN, CEN, presented
on the subject at this spring’s American Association of Critical-Care Nurses
Southeastern Pennsylvania chapter's Trends conference. Matthew became
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11
ADVANCE EXTRA! ▶ ED/TRAUMA
interested in the subject 2 years ago shortly after the birth of her daughter.
She’d attend playgroups and, afterward, bristled at a phenomenon she noticed
occurring in the parking lot.
“When we would leave, I’d see other moms put their babies in the car. I
started to notice that even before they pulled away, they had their cell phones
in their hands. I thought, that’s a lot of coordination going on there. And with
a 6-month-old in the car, that can’t be safe,” Matthew remembered.
“Then I’d sit out at night at home and watch the cars pass by, and I was
appalled by the number of people I’d see holding their cell phones. I’d look
around me at stoplights, and sometimes I’d look on each side, and each person
would be on their cell phone.”
The observations impacted her practice in the ED.
“I recently started to ask my patients who were in a motor vehicle crash
if they were using their cell phone,” she said. “Problem is, no one’s going to
admit to that. In Pennsylvania, it’s a traffic violation. And people are not so
willing to admit to that.”
Speaking Out
During National Trauma Awareness Month in May, nurses in the trauma
center at Vanderbilt University led a Decide to Drive: Arrive Alive! campaign,
an initiative of the Society of Trauma Nurses.
To raise awareness of the dangers associated with distracted driving, nurses signed pledge cards to drive distraction-free for the month.
Pledge cards were also circulated throughout the hospital to encourage
other drivers to take the pledge and spread the message to family and
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friends. Participants were reminded distracted driving involve distractive behaviors beyond texting, such as talking on the phone, applying
makeup and eating.
At the beginning of the month, 85 or so pledge cards signed by staff hung
on a bulletin board in the break room. On the honor system, participants
who had fallen short of the pledge took down their cards as the days passed.
By the end of May, only about a dozen pledge cards remained.
Despite the number of broken pledges, campaign organizer Sondra Blount,
BSN, RN, considered the program a success.
“I think it was effective to about a handful of staff that take care of these
patients,” she said. “It may not be completely effective in stopping people
from distracted driving, but it heightens their awareness of what exactly they
are doing in their vehicle that may be distracting them from paying close
attention to the roadways. Having just one more careful driver on the road
is better than none.”
Blount was also invited to speak to teenagers at a local school about distracted
driving. Although the behavior is not limited to any specific group, drivers
younger than 20 make up the largest proportion of distracted drivers, according to distraction.gov. In fact, 40 percent of teenagers report having been in
a car when a driver used a cell phone in a way that put passengers in danger.
Getting the word out about the dangers of driving distracted is essential
to save lives, said Matthew, adding that the videos on distraction.org are
especially powerful teaching tools.
“I want nurses to educate their staff. I want them to educate their teenagers. I want them to educate all the people they love,” Matthew said. “Nursing
is a very powerful force. And if we can do something to prevent injury, we
should because that’s our job.”
Kicking the Habit
Despite all her family has been through as a result of Hillary’s crash, Coltharp
admitted to checking a voice-dictated text while driving just months ago.
Looking down to correct a word, she nearly lost control of her car and went
off the road. Habits can be hard to break.
“Humans are not very good at regulating their behavior when someone’s
not watching us. When you’re in your car, you are in your own little world,”
Titano said. “When something’s tempting you and you feel an urge to do
it, the stoplight in your head disappears and you just sort of reach for the
phone. It’s addictive.”
Many drivers need a wake-up call for lasting change, Titano explained.
Some, more than one.
On a rainy day several years ago, Titano pulled something out of her purse
while exiting a parking lot and sideswiped a pole.
“I swear, I looked down for like 3 seconds going 5 mph and I never saw the
pole,” she said. “I remember that. It’s etched in my mind.”
That experience, combined with all she’s learned from researching distracted
driving, has prompted her to turn off her Bluetooth and put her cell phone
in the back seat while driving.
Coltharp said her recent close call changed her habits for good.
“That was it. I realized I was falsely secure with a voice text messaging
phone, and that I’d never do it again,” she said.
“I believe this with all my heart: If you are a distracted driver, whatever
that distraction — grabbing for the CDs, the phone, for music and especially
looking down and texting or checking that email — you will be in a car crash.
I don’t have a doubt in this world.” n
Jolynn Tumolo is a frequent contributor to ADVANCE.
12
Environmental
Going Green
A new website brings green healthcare
initiatives to the forefront
By Beth Puliti
T
Mercy Medical Center, Baltimore MD/ADVANCE
wenty years ago, David M. Sileo, MS, RN, ACNP, had “an awakening.”
The critical care nurse, along with a group of other nurses at the Hospital
of the University of Pennsylvania in Philadelphia, was given the task
to come up with a money-saving idea. The group chose to focus on trash as
their main initiative.
“I started looking at the amount of trash that is generated in a hospital,” he
recalled. “Even the amount of trash in one room in one unit is just amazing.
That’s what really opened my eyes. Hospitals are really quite the toxic trash
generators.”
They were right. Hospitals produce a great deal of garbage — from paper
and food to hazardous chemicals and infectious waste. Another aspect of
their environmental footprint is energy use. Hospitals require an outstanding
amount of energy to operate 24 hours a day, 7 days a week.
In fact, while healthcare facilities use twice as much energy as the average
office building on a per-square-foot basis, hospitals use even more.1 A study
published in 2009 in JAMA calculated hospitals generated about 215 million
metric tons of carbon-dioxide equivalent.2
Why, one might ask, should the medical industry take the time to carefully separate waste or worry about climate change? Because, as the World
Health Organization notes, it "will inevitably affect the basic requirements for
maintaining health: clean air and water, sufficient food and adequate shelter."3
To help hospitals in their quest to keep their patients — as well as the
planet — healthy, a group of experts who have a combined 50 years in various healthcare settings created GoGreenHealthcare.org, a virtual portal to all
things green in healthcare.
“We take care of people — and we need to be able to take care of our planet,
too,” said Sileo, one of the founders of GoGreenhealthcare.org.
The Mission
Sileo noted that the website — which launched this past Earth Day (April 22)
— has a large audience consisting mainly of people interested in the “greenovation” of the healthcare arena: architects, facility engineers, waste management
specialists, healthcare practitioners, students, academics, researchers and more.
“We want to engage everyone,” explained Sileo. “This is a site where the
architect meets the doctor and the facility engineer meets the nurse.”
With a mission to provide content and information on science, practice
and innovations in sustainable initiatives, GoGreenHealthcare.org aspires
to motivate others to reconsider the clinical setting environment in favor of
safer working facilities, reduced use of environmental resources and improved
patient care outcomes. The site is updated by a group of various professionals
and advisors working on a pro bono basis because they believe in the importance of this mission.
Gail Feltham, president of Shore Strategies Health, which is managing the
editorial and media operations at GoGreenHealthcare.org, remarked that a
survey of healthcare professionals revealed they weren’t aware of what they
could be doing to benefit healthcare.
“Whether you’re a nurse, a pharmacist, a technician or an administrative
assistant in the hospital — whoever you are, whatever your role is, if each one
of us steps back and starts to initiate some of these best practices in our daily
lives, I think we’ll start migrating toward a greener environment,” she said.
Feltham added that numerous hospital campuses are initiating a smokefree environment and making it available for hospital employees to ride their
bicycles to work. Some are also providing preferred parking for people who
drive hybrid automobiles.
“Our mission is to educate, raise awareness and really engage with people to
get them to start initiating these best practices in their careers and their daily
home life, even if it means bringing in a reusable lunch bag each day or drinking out of a BPA-free water bottle,” she said. “It's a step in the right direction.”
The Framework
As a source of eco-friendly healthcare information, GoGreenHealthcare.org
offers visitors sustainable healthcare initiatives rooted in five distinct areas:
clinical care, products and pharmaceuticals, architecture and design, healthcare
campus and urban initiatives.
Sileo said the “Clinical Care” section of the website offers information that
both directly and indirectly relates to the patient.
“For example, what goes into the patient, what touches the patient, what
the patient sees, smells, eats,” he listed. “The bottom line is better integrative
patient care.”
Research has steadily demonstrated improved patient outcomes when the
environment of the care setting is taken into consideration.
The next category, “Products and Pharmaceuticals,” discusses green products
— those manufactured, processed and disposed of in a greener way.
“We really feel that our OR and ICU nurses, as well as all levels of practi-
Greening the OR
Organizations are out there to help facilities save cash by going green. Read more at
www.advanceweb.com/Nurses; search
the title “Greening the OR.”
13
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• Chat with admissions personnel
• Sign in and out as many times as you please
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• Enjoy career enhancement sessions
• Enter to win prizes
Environmental
tioners, are really going to find interest in those types of stories. Healthcare
practitioners are on this earth to take care of people, and they will hopefully
begin to choose products that are greener or less toxic,” said Sileo.
The “Architecture and Design” section offers information on a more
environmentally-friendly way of designing healthcare facilities and hospitals.
Leadership in Energy and Environmental Design standards and certification
are discussed in depth here.
Sileo believes architects, lighting technicians, landscape architects and others
will find the information within this section especially helpful.
“Architects who are charged with designing a new wing on a hospital can
come here and find out the science behind light and immunomodulation,
for instance. The translation of science to architecture can be conceptualized
here,” he said.
The “Healthcare Campus” section of the website focuses on bigger systems, such as power plants, water remediation, air conditioning and waste
management. “Patients, families and care providers are exposed to potentially
dangerous settings, albeit the risk is low, we need to continually improve our
engineering controls,” he said.
“Healthcare campus is about mitigating toxic danger to the patient, staff
and family,” said Sileo.
“Urban Initiatives,” the final section, connects medical centers with the
green initiatives of their urban environments. This section of the website offers
content relative to the community around medical centers — green designs,
healthier places, community centers, transportation, etc. The Grass Route
section with Urban Initiatives will feature various green maps, greener routes
and comprehensive guides to multiple transportation systems.
“We want to be able to offer information about the greenest, cleanest routes
of transportation for patients, family and staff,” said Sileo. The five district areas
start with the patient in the Clinical Care section and end with the community
in Urban Initiatives, which in turn circles back to the patient again.
The Future of Healthcare
When asked why it’s important to practice sustainable healthcare initiatives,
Sileo was straightforward.
“As an industry, healthcare contributes considerable to the CO2 footprint.
By starting on a micro level and focusing on the patient, we need to all be more
cognizant of the consequences. We try to heal, we try to make things better,
we try to prevent. We have a chance to be more preventive here. I think it’s
an obligation of healthcare workers to get more involved this way,” said Sileo.
Ultimately, it all comes back to doing no harm to the patient, he said. Clinicians might not be able to help using drugs and therapies that may be toxic
to the patient. What they can do is to strive to mitigate exposure and toxicity,
and encourage future research on decreasing adverse effects.
Feltham recalled a quote by the lead singer of the rock band U2.
“Bono says, ‘I still haven’t found what I’m looking for.’ At the end of the
day, neither have we. There is still so much work to be done — and we’re here
to provide a forum where great ideas of healthcare professionals are heard,
acknowledged and communicated,” she concluded. n
GoGreenhealthcare.org is accepting article contributions. E-mail your submission
to [email protected].
Register now at www.advanceweb.com/events
Questions? Call 800-546-4987 or email [email protected]
14
References for this article can be accessed at www.advanceweb.com/Nurses. Click on Resources,
then References.
Beth Puliti is a frequent contributor to ADVANCE.
CE Offering • 1 Contact Hour ▶ THE LEARNING SCOPE
Consumer-Driven Healthcare
Patient engagement is critical to meeting quality initiatives
By Kay Bensing, MA, RN
The author has completed a disclosure form and
reports no relationships relevant to the content of
this article.
T
he Affordable Care Act (ACA) became
law with the professed goal of providing
Americans the right to access quality
healthcare. What is quality care? Who has the
responsibility to define quality in healthcare?
Who evaluates quality, and how will consumers
know if they are getting the same quality as their
neighbors or friends?
For at least 2 decades, healthcare analysts and
policymakers have debated what quality healthcare is. However, consumers rarely questioned
if the healthcare they were receiving was top
quality. This changed in 1999 when the Institute
of Medicine published its seminal report, “To
Err Is Human: Building a Safe Health System.”
The public was shocked to learn medical errors
were the eighth leading cause of death in the U.S.
This article focuses on how consumers can
receive and interpret quality data, how they can
The Learning Scope
CE Offering • 1 Contact Hour
This offering expires in 2 years:
August 27, 2014
The goal of this continuing education
offering is to provide current and relevant
information about the importance of patient
involvement in healthcare quality for all
consumers. After reading this article, you
will be able to:
1. Compare and contrast how the
American public has viewed healthcare
quality over the past 2 decades.
2. D
iscuss consumer engagement as it
relates to healthcare quality.
3. Identify two reasons why patient
navigator programs are successful.
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share decision-making with their providers, and
learn how to navigate the sometimes-confusing
healthcare system.
Experts Debate
In April 2002, healthcare leaders, experts and
policymakers met in Philadelphia to share their
views about how to keep public attention focused
on quality in healthcare. Their panel discussion
preceded a 2-day conference, “Keeping Health
Care Quality on the Policy Agenda.”
There was lively discourse among the panelists
about why consumers pay so little attention to
the quality of care they receive. For example, the
group agreed there was ample data available for
consumers to access information about quality
from varied resources. However, the panelists
could only speculate the public didn’t know how
to access this information or interpret the quality findings. There was consensus the priority of
consumers is to be able to access care at the time
they need it; quality of care is secondary concern.1
“Many people don’t think there is any problem related to quality in healthcare,” said Trudy
Lieberman, a healthcare consumer journalist
for more than 40 years who at that time was
senior health policy editor at Consumer Reports.
“There is a cultural bias in this country about this
issue. Americans believe more [in healthcare] is
always better; the doctor is always right and we
[Americans] have the best [healthcare] system
in the world.”2
Lieberman reported that when media report
stories related to the poor quality of care, consumers believe the press is transmitting negative
messages. Consumers believe if there is a problem,
the government will take care of it, and consumers
will be protected.
In 2004, Lois Butcher of the Kansas City Business
Journal wrote an article comparing information
given to consumers about stroke programs in local
hospitals. After reading data from various sources
about the programs, the hospitals and the physicians, Butcher concluded this information, meant
to educate the public, seemed flawed.3
The writer reviewed reports from insurers,
government agencies, employer groups and
independent companies. She expected to find
some similarities related to quality indicators.
Instead, it seemed the reports confused instead
of clarified this information for consumers. No
one facility, program or physician involved in
stroke treatment programs received good grades
consistently, or were even noted in the comparative
data, according to Butcher.
Fast Forward to 2011
Enacted into federal law in March 2010, the ACA
“seeks to increase access to high-quality, affordable
healthcare for all Americans.”4 The law calls for the
secretary of the Department of Health and Human
Services (HHS) to establish a “national strategy
for quality improvement in healthcare.”4 In March
2011, the first blueprint for this requirement, the
“National Strategy for Quality Improvement in
Health Care” report, was presented to Congress
by HHS. This report will be published annually.
Included in the 2011 report to Congress are
six priorities related to quality that were initially
implemented. For example, one priority is to
“ensure that each person and family is engaged as
partners in their care.”4 Specific quantifiable goals
and measures for each of these priorities are to
be a joint effort with stakeholders and the HHS.
For each of the six priorities related to healthcare
quality, several research projects, in varied locations in the country, are discussed in the report.
These initiatives should be reviewed by nurses
and all healthcare professionals annually to gain
15
THE LEARNING SCOPE ▶ CE Offering • 1 Contact Hour
an understanding of how these priorities translate
into practice interventions. Collaboration with
patients/families, other professions, healthcare
agencies, providers and payers is critical if the
identified outcomes are to be reached.
The 2012 report to Congress includes discussion regarding the progress in each of the priority
areas listed.5
‘Wakeup Call’
In April 2011, a month after the unveiling of the
“National Strategy for Quality Improvement in
Health Care” report, a poll about how Americans
grade the quality of care was presented at the
annual membership meeting of the American
Hospital Association.6
Commissioned by the Robert Wood Johnson
Foundation (RWJF), the poll was conducted
by researchers at the Harvard School of Public
Health. The poll showed more than half of the
1,034 people surveyed (55 percent) gave the
quality of healthcare in the country as a whole
grades of C or D. Eleven percent answered with
a failing grade of F.6
“This poll is a wakeup call for the healthcare
industry, both of which have been working
steadily to improve the quality of care, but need to
kick their efforts into overdrive to accountability,”
said Risa Lavizzo-Mourey, MD, MBA, president/
CEO of RWJF.6
The researchers noted significant differences
in specific areas. For example, across the board,
those polled ranked the quality of care they receive
as better than what they think other Americans
receive. Only 13 percent gave their own care a
D or an F.6
Fifty-seven percent of those surveyed said
they chose a hospital they have used for years,
as opposed to hospitals in their communities
that have higher quality scores (38 percent).
Also, a response worth noting was that despite
Health Education & Promotion
Each nurse-patient interaction provides
patient education and nurses should take
advantage
of every
opportunity to
teach patients
good health
habits. Learn
successful strategies, and earn 1 contact
hour, by reading “Health Education &
Promotion” at www.advanceweb.com/
NurseCE. Look for CE #368.
16
studies showing racial and ethnic disparities in
healthcare, 60 percent of poll respondents think
blacks and Hispanics receive the same or better
care than whites.6
Using the results of the 2011 RWJF poll as a
springboard to place quality accountability on
consumers, Lavizzo-Mourey urged the public to
step up to the plate. Consumers need to be more
engaged in their healthcare, she emphasized,
which means taking responsibility for learning
about their care, understanding whether it as good
as it could be, and then acting on that knowledge.
At the Table
Long before the ACA became law, there was
consensus among healthcare quality experts that
if patients and their families were educated with
the “right’ information, they could be activated to:
• demand high-quality services from their
providers;
• share decision making with their clinicians;
and
• self-manage their own healthcare.
Consumer engagement encompasses a wide
range of health responsibilities healthcare experts
and government agencies hope patients, with the
help of family or professional advocates and effective tools, will want to improve the quality of care.
Even though there is resistance by some
providers and payers to partner with patients,
noted quality expert and former commissioner
of the Centers for Medicare and Medicaid (CMS),
Donald Berwick, MD, and his colleagues believe
“the guiding principle is if health is on the table,
then the patient and family must be at the table,
every table now.”7
Obstacles Remain
Despite the evidence of the effectiveness of patient
involvement, implementation has been modest for
a number of reasons, according to quality analysts.
For starters, some clinicians are reluctant to share
knowledge and care plans with patients; consumer
advocacy groups have often not been invited to
the table, and many clinicians are not convinced
sharing information about adverse events with the
public can result in positive outcomes.
However, several adverse incidents have
resulted in transparency between the hospital
and patients/families that have led to positive
outcomes.7 In 2008, Michelle Malizzo Ballog, 39,
died in the operating room at the University of Illinois Medical Center in Chicago due to anesthesia
not being properly monitored. The hospital was
forthcoming to Ballog’s family about the incident
and quickly implemented interventions to correct
the error. As a result, the family never sued the
hospital, and 3 years after his daughter’s death,
Michelle’s father became a contributing member
of the hospital’s safety team.8
Studying the Gaps
In 2007, consumer engagement in healthcare was
gaining momentum. Research articles attempted
to address topics such as consumer activation,
decision making (health plan, provider and treatment choices) and how to navigate the healthcare
system. However, there were substantial gaps in
the research.9
To study these research gaps, RWJF partnered
with Academy Health, a Washington, DC-based
professional society of healthy policy analysts and
health service researchers. From this project came
five white papers on various aspects of consumer
engagement. When the experts presented their
papers and discussed the details of the complex
issues, they kept coming back and asking, “Why
are we talking about consumer engagement?”
However, they were able to summarize their
work and beliefs into three statements affirming
consumer engagement is essential the delivery of
cost-effective, quality care. These statements are:
• Consumer engagement holds great potential
to spur health quality improvements, particularly in improving patient safety and treatment
decision-making.
• Consumer engagement must not be viewed as
a silver bullet; consumers have neither the power
nor the skills to transform healthcare systems on
their own.
• Change will require a joint effort on the part
of consumers, providers, payers, insurers and
policymakers.
Promising Strategies
In January 2012, a RWJF issue brief described
four examples to indicate patient engagement is
moving forward. These are:
• Website data comparing the performance of
different providers. Surveys now show the use of
performance data to help patients make informed
decisions about their care is not widespread, but
is increasing. Most patients still choose their
physicians based on previous experience or word
of mouth. Under ACA, HHS will set standards for
collecting and reporting this data to the public.
• Decision-making aids to help patients make
informed choices about healthcare. In one study
of men considering prostate surgery, those who
used decision-making aids scored highest on
a prostate cancer knowledge test and were less
uncertain when comparing clinical options.
CE Offering • 1 Contact Hour ▶ THE LEARNING SCOPE
• Patient-centered medical homes, an alternative healthcare delivery model under ACA, require
primary care physicians to coordinate a patient’s
care. The expectation is there will be shared
decision-making between the physician and the
patient. It is recommended that electronic technology be adopted by the practice to track patients
and help patients to stay involved in their care.
• Care transitioning programs will help patients
move seamlessly from one health setting to
another. The Community-Based Care Transitions
Program, a pilot under the direction of CMS,
will educate Medicare and Medicaid patients to
manage their own health and hopefully decrease
the current trend of frequent readmissions to
hospitals for those with chronic diseases.
Navigating Healthcare
One of the five white papers on consumer engagement sponsored by RWJF and Academy Health is
titled “Navigating Health Care: Why It’s So Hard
and What Can Be Done to Make it Easier for the
Average Consumer.”10
Alison Rein, director of Academy Health and
author of the paper, said, “Patient navigation has
emerged as a way of characterizing the experiences
of consumers in healthcare.”10
The challenges consumers face when trying to
get the care they need in the current healthcare
system, Rein said, is best expressed by Jesse Gruman, PhD, president of the Center for Advancing
Care, whose experiences of treatment for four
cancer diagnoses have promoted her advocacy
for patient engagement since 1992.
“Being a patient in the United States is like being
drop-kicked into a foreign country,” Gruman said.
“You don’t know the language; you don’t have a
map; you can’t tell who’s in charge and all you
want to do is go home.”10
Eliminating Barriers
Patient navigation is defined as a process in which
patients and/or families move through a complex
healthcare continuum to seek healthcare services
that will result in positive outcomes. The core
function of patient navigation is to eliminate
barriers to timely care across for all segments of
the population.
However, if consumers can’t navigate this
maze themselves or find a family member or
professional or layperson to guide them through
this process, they delay or don’t get the care they
need. Often when consumers can’t navigate their
care, they become frustrated and seek care in
overcrowded emergency departments, which
then adds an additional burden to the healthcare
system.
Rein said efforts to improve patient navigation have not challenged the current healthcare
delivery system to come up with solutions that
are workable, and they only seem to create more
barriers.
Structural Innovations
Rein said structural innovations might facilitate
patient navigation. For example, if integrated
delivery systems that provide multiple health
services could be managed by the same organization, it might be easier to coordinate the care.
Rein said this is probably even more feasible for
organizations like Kaiser Permanente and Group
Health of Puget Sound where healthcare coverage
is integrated with delivery of services.11
Another proposal to cut down on the navigation maze, according to Rein, is referred to as
the “focused factory.” This calls for reimbursement and treatment to be provided as one-stop
shopping, for diseases like diabetes and cancer.
However, with both of these examples, they are
not one disease, but rather include multiple conditions or comorbidities. In this type of situation,
the solution defeats it purpose, so to speak.
Professional & Lay Navigators
Since there have been no research-based solutions to date to resolve consumer navigation
problems, the use of professional and lay patient
navigator programs began to emerge within the
past 10 years.
Initially launched as a value-added service for
This CE offering expires August 27, 2014.
You can earn 1 contact hour of continuing education credit in three ways: 1) For immediate results and certificate, go to www.
advanceweb.com/nurseCE. Grade and certificate are available immediately after taking the online test. 2) Send the answer sheet (or
a photocopy) with payment to ADVANCE for Nurses, Learning Scope, 2900 Horizon Dr., King of Prussia, PA 19406.
3) Fax the answer sheet with payment informaton to 610-278-1426. If faxing or mailing, allow 30 days to receive certificate or notice
of failure. A certificate of credit will be awarded to participants who achieve a passing grade of 70 percent or better.
Merion Publications Inc. is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association
(No. 221-3-O-09), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Merion
Publications is also approved as a provider by the California Board of Registered Nursing (No. 13230) and by the Florida Board
of Nursing (No. 3298).
cancer patients, navigation programs are seen in
many different settings. The primary functions of
a patient navigator are to provide access to care
and assist the patient to comply with treatment.
Navigators also provide emotional support
as needed during a specified time period. With
most navigator programs, the role of the navigator
is defined and does not overlap with the role of
other staff. Response from patients, healthcare
providers and insurers has been largely positive.
However, there is minimal research related to
care outcomes, according to Rein.
Nurses Can Lead
Nurses have a responsibility to help patients
engage in their health and their healthcare. Nurses
are still rated by the public as those professionals
they trust the most. As the ACA is implemented
in coming years, nurses also have a responsibility
to educate themselves about the changes they will
help explain to their patients. n
References
1. Keeping health care quality on the policy agenda. (2002).
Retrieved July 7, 2012 from the World Wide Web: http://www.
upenn.edu/ldi/panel.html
2. Bensing, K. (2002). Advocating quality care. Retrieved
July 5, 2012 from the World Wide Web: http://nursing.
advanceweb.com/article/advocating-quality-care-3.aspx
3. Butcher, L. (2004). Differing definitions of ‘quality’ lead
to disparate health rankings. Retrieved July 1, 2012 from the
World Wide Web: http://www.bizjournals.com/kansascity/
stories/2004/11/01/story8.html
4. Report to Congress: National strategy for quality in
improvement in health care. (2011). Retrieved July 2, 2012
from the World Wide Web: http://www.healthcare.gov/law/
resources/reports/nationalqualitystrategy032011.pdf
5. National quality strategy: 2012 annual progress report.
(2012). Retrieved Aug. 13, 2012 from the World Wide Web:
http://www.healthcare.gov/news/factsheets/2012/04/nationalquality-strategy04302012a.html
6. When it comes to quality, new poll shows Americans give
U.S. health care low grades. (2011, April 12). Retrieved July 10,
2012 from the World Wide Web: http://www.hsph.harvard.
edu/news/press-releases/2011-releases/poll-us-health-carequality.html
7. Leape, L., Berwick, D., Clancy, C., et al. (2009). Transforming healthcare: A safety imperative. Quality and Safety in
Health Care, 18(6), 424-428.
8. Shelton, D. (2011). Family of woman who died after a
medical error joins hospital’s safety panel. Retrieved from the
World Wide Web July 26, 2012: http://articles.chicagotribune.
com/2011-10-07/health/ct-met-medical-errors-20111007_1_
medical-errors-safety-panel-patient-advocates
9. Arnold, S. (2007). Improving quality health care: The role
of consumer engagement. Retrieved March 28, 2012 from the
World Wide Web: http://www.academyhealth.org/files/issues/
ConsumerEngagement.pdf
10. Robert Wood Johnson Foundation. (2012). Which
approaches encourage patients to become more engaged in
their own health care? Retrieved July 31, 2012 from the World
Wide Web: http://www.rwjf.org/healthpolicy/quality/product.
jsp?id=73835
11. Rein, A. (2007). Navigating health care: Why it’s so
hard and what can be done to make it easier for the average
consumer. Retrieved July 8, 2011 from the World Wide Web:
http://www.academyhealth.org/files/issues/NavigatingHealthCare.pdf
Kay Bensing is a frequent contributor to ADVANCE.
17
THE LEARNING SCOPE ▶ CE Offering • 1 Contact Hour
1. At the 2002 panel discussion, “Keeping
Health Care Quality on the Policy
Agenda,” the panelists agreed:
a. c onsumers were well-informed about the
quality of care in the U.S.
b. t here was a scarcity of information about
healthcare quality for consumers to access
c. c onsumers believe too much emphasis on
healthcare quality is directed to seniors
d. c onsumers want to know they can access
care at the time they need it; quality is not
a priority
2. At the same 2002 panel discussion,
Trudy Lieberman said the perception of
Americans about healthcare was all of
the following EXCEPT:
a. h ealthcare in the U.S. is the best in the
world
b. u niversal healthcare might be a way to cut
healthcare costs
c. physicians are almost always right
d. m
ore is always better when it comes to
healthcare
3. The poll about healthcare quality in
America released in 2011 by the Robert
Wood Johnson Foundation revealed:
a. M
ost Americans rated healthcare quality
above average.
b. C
onsumers said the quality of care they
received was better than what they think
other Americans received.
c. M
ore and more consumers were selecting
their clinicians from Internet data.
d. C
onsumers believe there are widespread
healthcare disparities among those with
ethnic and racial differences.
4. The primary function of patient
navigators is to:
a. h elp patients eliminate the barriers for
patients in accessing healthcare
b. v alidate the patient’s insurance and assist
with completing admission procedures
c. assist the patient’s assigned case managers
in hospitals/clinics
d. b e available for clinician appointments to
clarify information for all patients
5. Which of the following statements is
accurate about how clinicians view
consumer engagement?
a. M
ost clinicians do not welcome sharing
treatment plans with their patients.
b. C
onsumer advocacy groups are usually
welcome by clinicians.
c. C
linicians are convinced transparency
about adverse events is positive.
d. M
ost clinicians are comfortable sharing
knowledge with patients/families.
6. The Affordable Care Act (ACA):
a. w
as enacted into federal law in March
2010 and will be implemented through
2014
b. w
as struck down as unconstitutional by
the Supreme Court in June 2012
c. d oes not include states that have already
implemented healthcare reform legislation
d. d oes not include Medicare and Medicaid
recipients
7. The proposed outcome of the CMS pilot
program, the Community-Based Care
Transitions Program, under the ACA is to:
a. b etter educate patients with chronic
diseases
b. c ut down on hospital readmissions for
those with chronic diseases
c. r educe the number of patients admitted to
LTCs
d. r educe hospital morbidity and mortality
rates for the elderly
18
8. Most consumers choose their primary
physician/clinician based on:
a. previous experience or word of mouth
b. a hospital’s online referral service
c. comparative quality data
d. c hecking data to make sure the clinician
has never been sued for malpractice
9. In patient-centered medical homes, an ACA
alternative healthcare delivery model:
a. e lectronic technology is expected to
promote consumer engagement
b. t he primary care physician directs the care
and there are no referrals to other physicians
c. p hysicians are required to use
complementary and holistic therapies
d. t he primary care physician will make house
calls
10. The most important role for nurses in
consumer engagement is to:
a. become a patient navigator
b. t each patients how to compare quality data
c. a ssess patients about their self-managed
care and proceed accordingly
d. p rovide educational resources for patients,
according to their disease or condition
Evaluation
1. I can compare and contrast how the
American public has viewed healthcare
quality over the past 2 decades.
a. strongly agree
b. agree
c. neutral
d. disagree
e. strongly disagree
2. I can discuss consumer engagement as it
relates to healthcare quality.
a. strongly agree
b. agree
c. neutral
d. disagree
3. I can identify two reasons why patient
navigator programs are successful.
a. strongly agree
b. agree
c. neutral
d. disagree
4. The objectives relate to the overall goal
of the article.
a. strongly agree
b. agree
c. neutral
d. disagree
5. The article is well-written and logically
organized, and defines terms adequately.
a. strongly agree
b. agree
c. neutral
d. disagree
Consumer-Driven Healthcare
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SEP. 12-13, 2012
NEWARK, DE
Christiana Care Health System will host its 9th Annual
Regional Conference for Health Care Professionals: 21st
Century Visions of Nursing, on September 12-13, 2012 at the
John H. Ammon Medical Education Center on the Christiana
Hospital Campus, Newark, DE. The 21st Century Visions of
Nursing Conference offers a variety of educational topics
relevant to critical care, surgical, medical, and oncological
nursing. Attendees have the option of individualizing this
two-day conference to meet their unique learning needs.
Contact: Carrie Bonnett, 302-733-1073; www.christianacare.org/visionsofnursing for more information.
OCT. 1-2, 2012
CHERRY HILL, NJ
Pre/postnatal Fitness
Instructor Course
Course, designed exclusively for nurses, offers 16 contact
hrs. Topics include A & P of pregnancy, ACOG guidelines for
exercise in pregnancy and postpartum, nutrition, strength
training, yoga, pilates, stability ball, relaxation & breathing,
aquatic exercises, postnatal exercises, mom and baby exercises, plus program design. PCE offers programs to become
infant massage instructors, breastfeeding counselors, labor
doulas & childbirth educators. All of PCE’s certifications are
on the American Nurses Credentialing Center (ANCC) Magnet
recognition list. Contact: Prepared Childbirth Educators, Inc.,
888-344-9972; www.childbirtheducation.org for details.
OCT. 3-4, 2012
OCT. 24-25, 2012
NOV. 14-15, 2012
CHICAGO, IL
SECAUCUS, NJ
BENSALEM, PA
Childbirth Education
Certification Course
All of PCE’s certifications are on the American Nurses
Credentialing Center (ANCC) Magnet recognition list. Course
is evidence-based following nursing standards and offers
16 contact hrs. Topics include pain management theories,
relaxation, breathing patterns, comfort measures, prenatal
exercises, AWHONN guidelines for second stage, support person, teaching strategies, curriculum development, childbirth
education as a business. PCE offers programs to become
infant massage instructors, breastfeeding counselors, labor
doulas & pre/postnatal fitness instructors. Independent study
courses available. Group, PCE member and multiple course
discounts available. Contact: Prepared Childbirth Educators,
Inc., 888-344-9972; www.childbirtheducation.org for details,
dates and locations nationwide.
community support. Independent study available. Programs
also for childbirth educators, infant massage instructors,
labor doulas & prenatal fitness instructors. Group, PCE
member and multiple course discounts available. Contact:
Prepared Childbirth Educators, Inc., 888-344-9972; www.
childbirtheducation.org for information, other dates, locations
nationwide.
OCT. 18-19, 2012
ANNAPOLIS, MD
Maryland Nurses Association
109th Annual Convention
Member and non-member Nurses and Students are invited
to attend the 109th MNA Convention, held in Annapolis, MD
at the Anne Arundel Medical Center Health Sciences Institute
Conference Center on October 18-19, 2012. National and
Local speakers will present timely topics and engaging,
innovative and interactive workshops that enable participants
to effect change and lead in our ever-changing healthcare
environment. Mark your calendars now! Watch your e-mail.
Contact: http://www.marylandrn.org for more information.
NOV. 7, 2012
NOV. 8-9, 2012
SCOTTSVILLE, KY
Kentucky Association of Nursing
Students Annual Convention
Join us at the Center for Courageous Kids November 8-9
for our annual state conference. We will be having breakout sessions on multiple nursing topics, NCLEX reviews,
Red Cross Certification, CEU from Hurst for faculty and
advisors. There will also be exhibitors. We have dropped
the price this year! 2-day convention for students $50,
includes all activities, food and lodging! 1-day convention
for students $25, includes activities and food! Contact:
http://kansnews.wordpress.com/ for registration.
Earn
Your
EDUCATION OPPORTUNITIES
21st Century Visions of Nursing:
Excellence Through Knowledge
CE Anytime
DOVER, DE
10th Annual DE Emergency
Nurses Assoc Symposium
advance
The Delaware Emergency Nurses Association (DENA) will
host its 10th annual symposium Wednesday, November
7, 2012 at Dover Down Hotel and Casino, Dover, DE. The
conference will feature local and national speakers, discussing the care of the trauma patient from prehospital through
rehabilitation and address other health issues that the patient
may have. The focus audience is nurses, paramedics and
EMTs. Information will be presented in lecture and breakout sessions. CEUs have been assigned by an accredited
organization. Cost: ENA members, prehospital personnel and
students - $89; Non-ENA members - $99. Contact: Terry
Thorley, Secretary DENA, [email protected] or
www.de-ena.org
www.advanceweb.com/CE
Two Minutes Could Change Your Life.
Subscribe today: 800-355-1088
or visit www.advanceweb.com
John M. Templeton Jr.
Pediatric Trauma Symposium
Thirteenth Annual
March 1-3, 2013
Marriott Pittsburgh City Center • Pittsburgh, Pennsylvania, USA
This national pediatric trauma conference is an excellence opportunity to share your best practice
initiative or pediatric trauma research project.
OCT. 10-11, 2012
NOV. 8-9, 2012
DEC. 3-4, 2012
ROCKVILLE CENTER, NJ
SECAUCUS, NJ
BENSALEM, PA
Lactation Counselor
Certification Course
All of PCE’s certifications are on the American Nurses
Credentialing Center (ANCC) Magnet recognition list.
Evidence-based course designed for nurses that follows the
baby friendly hospital initiative and offers 16 contact hrs/
cerps. Topics include anatomy of the breast, latch on /suck
assessment, guidelines for the first week, nutritional needs,
identifying, evaluating and managing common problems
and special needs, medications, lactation gadgets, hospital/
Call for Oral and Poster Abstracts
The oral and poster presentations will focus on topics that are of interest and importance to all clinicians
involved in the care of pediatric trauma patients. Deadline: December 1, 2012
Each ¿rst author of an abstract that is accepted for poster or oral presentation will receive
a $50 discount off the course registration fee.
Conference Registration Available
Please visit https://ccehs.upmc.com/liveFormalCourses.jsf
Sponsored by:
University of Pittsburgh School of Medicine Center for Continuing Education in the Health Sciences
19
EDUCATION OPPORTUNITIES
Adult-Gerontology
Primary Care
Nurse Practitioner
Our newest M.S. in Nursing Program
For information, call 610-361-5208
or attend the October 11 information session
from 5:30 to 7 p.m. in the Mirenda Center
As a nurse, you
want to reach the
next level. We have
graduate programs
for you.
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Registration now open:
October 25-28, 2012 Basking Ridge, NJ
September 15-18, 2011 ~Mahwah, NJ
November
20122011 ~ Leyden,
Essex, MA
October1-4,
27-30,
MA
Check our website for 2012 dates
W. CARY EDWARDS
SCHOOL OF NURSING
CALL 1.866.540.9378
EMAIL [email protected]
VISIT www.tesc.edu/nursingdegree
Accredited by the NLNAC, CCNE and NJBON
MULTIPLE OPPORTUNITIES
Career
Opportunities
Want to make a career move, or interested to see what’s out there? Use this
section to check out the latest nursing
career opportunities in the Mid-Atlantic
& Lower Great Lakes regions. Specialties
are listed conveniently under categories
so it’s easy to find the openings that are
right for you.
Multiple Opportunities . . . . . . 21
Acute Care . . . . . . . . . . . . . . . 28
Cardiac, Clinical Specialist, Critical
Care, Dialysis, Emergency Room,
Oncology, Telemetry
Alternative Settings . . . . . . . . . .
Camp, Office, Radiology, Sales/
Marketing,
Staffing Coordinator, Traveling
Nurse
Community Health . . . . . . . . . . .
Occupational Health, Public Health,
School Nurse
Management/Administration . 27
Case Management, Education,
Infection Control, Informatics,
Management, Quality Assurance,
Research
Mental Health. . . . . . . . . . . . . . .
Addictions, Mental Retardation:
Developmental Disabilities,
Psychiatric
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Now hiring Full and Part-Time,
Temp and Perm Positions.
Philadelphia and surrounding areas.
in mind?
Case Management:
• ED CM
• Peds CM w/ UM and Interqual
• Perinatal CM w/ OB
• Inpt or Outpt CM
• Manager of CM
• LTAC CM
• SNF CM
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Utilization Management:
• Hospital
• NICU
• MCO UM
• Hospital Psych
Other Non-Clinical:
• Clinical Trial Outreach Coord
• Precertification
• Clinical Quality Audit Specialist RN
• Social Work, MSW/LSW, hospital
• Care Transition RN w/ ER & psych
• LPNs with Interqual exp
Critical Care RNs
Neuro ICU
Regional Medical Center
Trenton, NJ
Full-Time & Part-Time
All shifts available
You will need a minimum of two years
recent critical care experience.
You will enjoy:
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www.medisysqi.com
888-275-9598
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Post Acute. . . . . . . . . . . . . . . . 29
Assisted Living, Geriatric, Home Care/
Hospice, MDS Coordinator, Registered
Nurse: Assessment Coordinator,
Rehabilitation,
Subacute
Surgical. . . . . . . . . . . . . . . . . . 29
Ambulatory, Certified Registered
Nurse Anesthetist, Operating Room,
Post Anesthesia Care Unit
Women’s & Children’s Health . . .
Gynecology, Labor Delivery/Recovery
Postpartum, Maternal/Child,
Neonatology, Pediatrics
Out of Region Opportunities. . . . .
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Gloucester
County College
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a comprehensive two-year College
is seeking applications for the following:
"
• Assistant Dean, Nursing &
Allied Health
• Nursing Allied Health Clinical
Simulation Coordinator
• Nursing & Allied Health
Laboratory Manager
Registered Nurse
Active Day in Timonium, MD
Make a difference
and join the largest provider
of adult day services.
Our nurses provide health assessment, medication management, and
oversight of the well being of our clients, as part of our team. Active RN
license in Maryland, 3 yrs experience
in a healthcare setting, excellent assessment skills, computer skills, and
the ability to foster relationships with
caregivers and other professionals
while adhering to regulations. History of working with the elderly or persons with disabilities is a plus. Daytime hours, M-F, occasional weekend
and holiday. FT position w/benefits.
Resume to: [email protected]
Washington DC based international organization
is looking to fill a part-time nursing position.
Strong physical assessment skills required. Travel
Medicine knowledge and second language a plus.
Minimum 5-7 years of experience. BSN. DC license.
Fax CV and cover letter to
(202) 522-1746
To apply, visit the Gloucester County College
website at www.gccnj.edu
Positions open until filled. Women and
Minorities encouraged to apply. Affirmative
Action/Equal Opportunity Employer. As a
New Jersey First Act Employer, new employees must establish a primary
residence in New
Jersey within one
year unless an exemption applies.
Freedom to Work
with the Best
NURSING LEADERSHIP Positions
Levindale Hebrew Geriatric Center & Hospital, member of LifeBridge Health,
has exciting opportunities for experienced Nurses in the following areas:
Liaison Nurse - Flexible hours, may require some weekends. Evaluates
patients clinically for placement both nursing and medically to ensure an
appropriate level of care, and a smooth transition from the acute hospital.
Staffing ETC.
RN for Gastro Clinic
RN for FT position at Gastro Clinic at Military Treatment Facility
in Northern VA. GI, ICU, ER & Endoscopy exp a plus. Work hrs:
Mon. thru Fri., competitive pay, solid benefits.
Clinical Leader - Full-time, day position. Long Term Care experience required.
Manager of Admission and Business Development - Directs, coordinates
and plans the admission process to the facility, oversees the introduction of the
family and patients to the interdisciplinary staff, and oversees the marketing of
Levindale's services.
Float Nurse for Prince George’s (MD)
or Fairfax (VA) Schools
RN for Float Nurse services to Fairfax County (VA) or Prince
George’s (MD) schools. Req. min 2 yrs exp as RN. Some Peds and
exp with trach, vent and Gtube care a must. FT with benefits.
RNs for School Health and School Private Duty
in Prince George’s Schools
RNs for FT Private Duty Sch nursg needs Prince George’s Co, MD
and Fairfax CO., VA schs. Trach, gtube, vent exp a plus.
Levindale offers a competitive salary and
benefits package, including free parking and a
403-b retirement plan with employer match.
RNs for FT School Health nursg needs in Prince George’s Co, MD.
EOE/AA
For more info visit: www.staffingetc.net
E-mail: results@staffingetc.net
Call 301-403-8838 • Fax 301-403-8859
WWW.ADVANCEWEB.COM/NURSES
To learn more and apply: www.lifejobs.org
■
SEPTEMBER 3, 2012
■
MID-ATLANTIC & LOWER GREAT LAKES
■
ADVANCE FOR NURSES
21
21
Sentara Norfolk General Hospital
Emergency Department
Registered Nurses
Up to $10,000 Sign-on Bonus
for Qualified Candidates!
Sentara Norfolk General Hospital, the region’s first Magnet hospital is currently
seeking experienced Emergency Department Nurses for their busy, Level I Trauma Center.
Sentara Norfolk General Hospital, a 525-bed tertiary care facility, is home to the area’s
only Level I Trauma Center and burn trauma unit. For 12 straight years, the National
Research Corporation has named Sentara Norfolk General Hospital Hampton Roads
Consumers Choice award winner.
In 2012, Sentara Norfolk General Hospital was ranked for the 13th time in the U.S. News
& World Report’s America’s Best Hospitals edition for its heart program. Sentara remains
the only heart program in the region and only one of two hospitals in Virginia to be ranked
by U.S. News & World Report. In addition to a first rate cardiac program, the hospital is
home to Nightingale Regional Air Ambulance.
Apply online today at
www.sentara.com/employment
Minimum Qualifications
• Graduate of an accredited school of professional nursing. BSN preferred.
• ED experience strongly preferred. Acute care experience required.
• Currently licensed to practice as an RN in the state of Virginia (or eligible).
• Current BLS & ACLS Certification.
Keyword Search, 45236BR.
Questions, please contact Erin at
800-237-4822 x87419
or [email protected]
TNCC & PALS or ENPC required within 1 year of hire.
EOE M/F/D/V • Drug Free/Tobacco Free Workplace
Nursing at Capital Health
Join Our Team of
Minds Advancing Medicine
Capital Health is the region’s leader
in advanced medicine with significant
investments in advanced technologies
and the best physicians.
Our Magnet®-recognized nurses have
received multiple awards of excellence for
keeping our patient care at the forefront
of national best practices.
The area’s only
CyberKnife® Robotic
Surgery System and the
first da Vinci® Surgical
System in Mercer County.
PAVILION OPENS
JAN. 2013
The region’s only
trauma center and statedesignated regional
perinatal center.
When we were ready to build our new Surgical Pavilion, we
invited our O.R. team to join architects, engineers, physicians
and others, designing spaces that would not only be best
for our patients but also for our team members.
Home to the Stroke and
Cerebrovascular Center
of New Jersey.
We even built ‘model rooms’ so our staff could truly envision
the new workspace and make pre-construction changes
that would result in the finest facility in Eastern Virginia.
MERCER COUNTY, NJ: HOPEWELL, HAMILTON AND TRENTON
Apply online: www.capitalhealth.org
Find out how to join our great team by visiting our
Careers site or calling Marsha Genter, (757) 534-5886.
www.riversideonline.com/rrmc
EOE
22
22
ADVANCE FOR NURSES
HEALTHCARE JOB LISTINGS
■
■
SEPTEMBER 3, 2012
■
—
UPDATED DAILY
l WWW . ADVANCEWEB . COM
Enhance your life at
Experienced RNs,
what are your skills worth?
RN Float Pool
Full-time – Part-time
ST. JOSEPH MEDICAL CENTER is a 263-licensed bed acute
care, regional medical center. Here, you’ll enjoy all the advantages of a
close knit community hospital with some of the area’s most advanced
clinical programs including three Centers of Excellence that draw
patients from throughout the mid-Atlantic region. At St. Joseph, you
will be contributing to a locally and nationally recognized institution.
At The Reading Hospital and Medical Center,
experienced RNs will support the Medical, Surgical
and Cardiac/Respiratory Divisions including Accredited
Centers for Chest Pain, Stroke, Heart Failure, Joint
Replacement, COPD and Pneumonia. Our RelationshipBased Care model creates a healing environment for
patients, families, nurses and colleagues alike. RN
licensure and one year of acute care experience as a
registered nurse are required.
We offer competitive compensation and benefits, free parking and
a beautiful suburban location. To learn more about our current
nursing opportunities, visit our website at www.StJosephJobs.org
or contact our nurse recruiter at 410.337.1288.
As a member of TRHMC Àoat pool, your pay rate will
be based on your years of nursing experience, plus an
additional hourly differential for working in our Nursing
Float Pool. Our RNs receive up to $8,000 per year
in educational assistance; on-site certi¿cation prep
courses; up-front certi¿cation exam coverage; and a
¿nancially incentivized career advancement program.
As an RN at St. Joseph, you will begin a
professional journey that encourages opportunities,
values a team atmosphere and makes convenience
and flexibility a priority. We are currently seeking
full/part-time and flex Maryland licensed RNs :
ED t M/S ICU tTelemetry t
RN Informatics Nurse Specialist.
To see all of our current openings, please
visit our website. Look for us at the Advance
Baltimore Job Fair and Career Event on
October 2nd, booth #303.
Contact our recruiter today!
7601 Osler Drive, Towson, MD 21204
Cheryl Zaorski, Nursing Recruiter
610-988-8575 • [email protected]
Or apply online: http://www.readinghospital.org/Jobs
St. Joseph is an inclusive workplace and an equal opportunity/affirmative action plan employer.
.'%7t8FBSFBTNPLFGSFFBOEESVHGSFFDBNQVT
Soda & Stroke
Researchers from Cleveland
Clinic's Wellness Institute
and Harvard University have
found greater consumption
of sugar-sweetened and lowcalorie sodas is associated
with a higher risk of stroke.
Conversely, consumption
of caffeinated or decaffeinated coffee was associated
with a lower risk. The study,
published in the American
Journal of Clinical Nutrition,
is the first to examine soda's
effect on stroke risk. Previous
research linked its consumption with weight gain, diabetes, high blood pressure, etc.
The Reading Hospital and Medical Center
Sixth Avenue and Spruce Street
West Reading, PA 19611
advancecustompromotions.com
1-877-776-6680
EOE
Achieving Excellence in a Patient-First Environment
UPGRADE YOUR WORK
GEAR THIS SEASON!
Find all the latest trends at the
ADVANCE Healthcare Shop.
• From the publishers of ADVANCE Newsmagazines
• Custom gifts, giveaways & promotional products
• Exclusive healthcare designs you won't
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Scrubs | Lab Coats | Shoes | Medical Equipment
• Free design, copy & creative services
• Staff gifts & event giveaways for every budget
advancehealthcareshop.com
■
SEPTEMBER 3, 2012
■
The Silent Killer
CDC Fact: About 1 in 3 U.S.
adults have high blood
pressure. This attributes to
an increases risk for heart
disease and stroke, the two
leading causes of death in the
United States.
■
ADVANCE FOR NURSES
23
23
There’s No One Like You.
And No Place Like Us.
Join the future of nursing
Capital Health is the region’s leader in advanced medicine with significant
investments in advanced technologies and the best physicians. Join our
Magnet® Nursing team!
Regional Medical Center
Trenton, NJ
Hopewell Medical Center
Hopewell, NJ
Emergency Room – Full-
Cardiology Inpatient/
Telemetry – Full-time, nights.
time, night shift for busy Level II
Trauma center. Acute care nursing
experience required; ER experience
highly preferred. Job ID: 171
Trauma Medical ICU – Fulltime, nights. Acute care nursing
experience required. Job ID: 173
Cardiology Inpatient/
Telemetry – Full-time, nights.
Job ID: 165
If you’re looking for a change, choose Fox Chase. We are looking
for experienced nurses to support our adult oncology population
in a variety of acute care settings, including perioperative,
post-operative and per diem staff for several inpatient and
outpatient areas. If you want to combine your clinical expertise
with compassion, consider Fox Chase.
Acute care nursing experience. Job
ID: 178
ICU – Full-time and part-time, days
and nights available. Will consider
RNs with Critical Care, Telemetry or
S/D experience. Job ID: 229
Perioperative – Full-time,
rotating day shift schedule. Minimum
of 1 year acute care nursing
experience required. Job ID: 186
PACU – Full-time, days. Acute
care nursing experience required.
Job ID: 199
As a Fox Chase nurse, you will:
t Provide expert compassionate care
t Utilize your experience in challenging, rewarding cases
t Enjoy a collaborative, team-oriented, friendly environment
t Achieve the work/life balance you deserve
t Enjoy a comprehensive salary and benefit package including free
parking, subsidized child care and tuition assistance
333 Cottman Avenue
Phila. PA 19111
Apply online: www
capitalhealth org
Visit our website for more information
and a complete list of openings.
www.foxchase.org
The New AIDS of
the Americas
EOE
Chagas disease is spread by
bloodsucking insects and is
hard or impossible to cure
according to an editorial
published in PLoS Neglected
Tropical Diseases. The insects
carry a single cell parasite
called trypanosome and can
be transmitted from mother
to child. About a quarter of its
victims can suddenly die from
the development of enlarged
hearts or intestines that can
fail or burst. It infects up to
eight million people, more than
300,000 in the U.S., many of
which are immigrants.
Join us in a key leadership role at Washington Hospital
Center, where advanced medicine meets first-rate, hands-on
patient care. There’s no better place to enhance your talents
than in one of the country’s leading teaching and research
hospitals.
Nursing Director Opportunities:
• Cardiac Cath Lab
• EP Lab
In these roles, you will ensure quality, cost-effective delivery
of culturally competent patient services for specific patient
populations, in one or more units.
Requires: BSN; three or four years of progressively more
responsible job related experience; and RN licensure in the
District of Columbia.
To learn more and
apply, please visit:
LEAVE A LASTING
IMPRESSION
whc.jobs
Tobacco-Free Workplace.
EOE/AA.
24
ADVANCE FOR NURSES
1-877-776-6680
• From the publishers of
ADVANCE Newsmagazines
• Custom gifts, giveaways &
promotional products
• Exclusive healthcare designs you
won't find anywhere else
• Staff gifts & event giveaways for
every budget
[email protected]
Monumental Opportunities. Infinite Possibilities.SM
24
EOE
■
■
SEPTEMBER 3, 2012
■
Join us on the
West Coast of Florida
Your Nursing Career at CareFirst
A healthy future
Venice Regional Medical Center
a 312-bed regional healthcare system has been providing
compassionate healthcare since 1951. Today Venice
Regional Medical Center’s healthcare system focuses on
providing health care that is cost effective, high quality
and convenient for the many patients throughout the region.
Case Manager Open House Events
Oncology, trauma/rehab and complex medical illness
Case Management positions available
Baltimore, MD
Washington, DC
Sept. 18th, 4:00-7:00 pm
1501 S. Clinton Street
Baltimore, MD 21224
Sept. 25th, 4:00-7:00 pm
840 First St., NE
Washington, DC 20065
Now Hiring Full-Time &
Upcoming Seasonal Registered Nurses
Easton, MD
Sept. 27th, 4:00-7:00 pm
301 Bay Street #401
Easton, MD 21601
RN Seasonal Rates for 2012-2013
Please bring a Photo ID and current resume if you are planning to attend one of
these events.
• Day shift $42 per hour
• Night shift $47per hour
• $2,000 end of season bonus
• $3,500 end of season bonus
for OR, CVOR, CVICU and CCU
For more information and to pre-register, visit
www.carefirstrn.com/openhouse.
If you cannot attend our events but would like to apply, please visit www.carefirst.
com and search for job ID #4905 and #4758 for our Baltimore positions, #4894 for
our Easton positions, or #4089 for our DC positions.
18-week contracts beginning on
December 10th or January 14th Venice, Florida
EOE. M/F/D/V
Apply online at www.veniceregional.com
or E-mail Tracy Pelletier
[email protected] • EOE/drug free workplace
CareFirst BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association.
® Registered trademark of the Blue Cross and Blue Shield Association.
® Registered trademark of CareFirst of Maryland, Inc.
Sunny
Destination
Ahead
“Shady Grove Adventist Hospital’s new Patient
Observation Unit offers a quick patient
turnaround and rapid evaluation treatment.”
“You should apply!”
Shady Grove Adventist Hospital, part of Adventist HealthCare, is looking
for Nurses with great assessment skills who enjoy working in high-speed,
multi-task environments. You will work with our dedicated advanced
practitioner and our nationally recognized CVIR team to provide the best
clinical outcomes for our Observation Unit patients. Day and Night shifts are
available.
Charge RNs
Requires 2+ years of Charge exp.
in Med/Surg, ED, ICU or PACU.
Staff RNs
Join BayCare Health System, located in Tampa Bay, Florida - the heart
of the sunshine state! Temperatures here peak at 90 F and never go too
low. But it’s not just the fabulous Florida weather that draws the best
traveling nurses in the business – it is our technologically-advanced,
award-winning facilities and our commitment to compassionate patient
care that inspires nurses to join BayCare’s Mobile Pool team.
New Patient
Observation Unit
Opening
October 1, 2012!
TRAVEL OPPORTUNITIES FOR EXPERIENCED RNs
Now Booking Winter Contracts!
• 14-26 Week Contracts
• Award-Winning Hospitals
• Exciting Housing Options
Requires 2+ years of exp. in Med/Surg;
or 1 year of exp. in ED, ICU or PACU.
All RN positions require a Maryland RN licensure and BLS/ACLS
certifications prior to release from orientation.
• Tailored Benefits
• Shift/Weekend/Holiday Differentials
• Live & Work In A Premier Vacation Destination
Learn more at: SunnyFloridaJobs.com
Or contact [email protected] • 727-519-1403
We offer an excellent salary and benefits package. Please email your
resume to: [email protected] or apply online at:
www.ShadyGroveAdventistHospital.com
Learn more about full-time opportunities at: BayCareJobs.com
EOE/Pre-employment drug screening and
mandatory flu vaccine. We are a tobaccofree campus.
ENJOYING LIFE. LOVING WORK. BEING BAYCARE.
www.ShadyGroveAdventistHospital.com
Morton Plant
Mease Hospitals are
Magnet Facilities
ADVANCE MESSENGER SENDS JOB OPENINGS DIRECTLY TO YOU. SIGN UP AT WWW.ADVANCEWEB.COM
Serving Clearwater, St. Petersburg & Tampa, Florida | Equal Opportunity Employer | Drug-Free/Tobacco-Free Workplaces
■
SEPTEMBER 3, 2012
■
■
ADVANCE FOR NURSES
25
25
JOB FAIR
Tuesday and Wednesday,
September 18th and 19th
RNs
7:30am – 9:30am and 4pm – 6pm
Location: Beebe Medical Center, 424 Savannah Road,
Lewes DE 19958
Cardiovascular Conference Room
(front entrance of the hospital)
Exciting
Opportunities...
minutes from sand and surf.
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For all current RN
openings, please visit
www.beebemed.org
We look forward to meeting you!
Please RSVP by calling 302-645-3336
or Email: [email protected].
If you cannot attend, please email your
resume or apply online at our website:
www.beebemed.org
Equal Oportunity Employer
My View
Learn About
Nursing’s Best Kept
Secret...
...Correctional Nursi
ng.
Let’s Speak.
–Nancy–
I enjoy facing new
challenges every day.
If you’d like to hear about great opportunities
that you may not have thought of, speak to
Nancy. She can tell you about the rewards of
a career in correctional nursing, answer your
questions while you tour a facility, and tell you
about the opportunities for professional growth
and advancement.
REGISTERED NURSES
at Correctional Facilities in these New Jersey counties:
`ìÃiÝÊUÊÃÃiÝÊUÊ7>ÀÀiÊUÊ
>ìÊUÊÌ>ÌV
RN BEHAVIORAL HEALTH DIRECTOR
St. Michael’s Hospital
FULL-TIME DON >ÌÊÃÃiÝÊ
ÕÌÞÊ>
Current NJ license required. Experience in corrections a plus. We offer excellent
compensation. Full-Time employees enjoy a generous benefits package. Call or send resume:
For nearly a century, the Grand View staff
has been focused on helping patients recover faster
and with fewer complications. Our nurses are key contributors in
a multi-disciplinary team of physicians, therapists, pharmacists and
other specialists who provide the highest quality of patient care.
Nancy DeLapo, Director of Staff Development
*iÊnxÈÇÇ{ÇÈ£ÊUÊ i>«JVv}«V°VÊUÊ>ÝÊnxÈÇÇ{Çn
ÜÜÜ°Vv}i>ÌÃÞÃÌiÃ°VÊÊÊÊÊµÕ>Ê"««ÀÌÕÌÞÊ«ÞiÀ
Registered Nurse Opportunities:
Vaccines During
Pregnancy
RN – House
Full-Time, 7p-7:30a or 3p-11:30p
Getting a flu shot during pregnancy provides unanticipated
benefits to the baby, according to the authors of a large
population-based study from
the Ottawa Hospital Research
Institute. It showed H1N1
vaccination during the pandemic was associated with a
reduced risk of stillbirth, preterm birth and extremely small
babies at birth.
No two shifts are ever the same in this unique and important role!
We are looking for a flexible, adaptable individual to circulate
throughout the hospital’s inpatient nursing floors and provide care
to patients ranging from infant to geriatric. Strong critical care
nursing experience is preferred.
The variety of experiences I gain
as a House RN at Grand View
help me continue learning,
growing and sharpening my
nursing skills. That’s my view.
Apply online at www.gvh.org
26
26
ADVANCE FOR NURSES
■
EOE
■
SEPTEMBER 3, 2012
■
1-877-776-6680
• From the publishers of
ADVANCE Newsmagazines
• Custom gifts, giveaways &
promotional products
• Exclusive healthcare designs you
won't find anywhere else
• Staff gifts & event giveaways for every budget
YOUR
MULTIPLE OPPORTUNITIES, MANAGEMENT/ADMIN
future’s
With 30 plus years experience,
Samaritan Healthcare & Hospice is the
preeminent provider of quality palliative
care and hospice services in South Jersey.
CALLING...
Full-time Case Manager RN
opportunities available now.
Answer the call at HOLY REDEEMER
Send resume to Allison Rad, Recruiter
E-mail: [email protected]
Samaritan Healthcare & Hospice
5 Eves Drive, Suite 300 • Marlton, NJ 08053
P: (856) 552-3212 F: (856) 552-1004
Please e-mail resume with salary requirements.
HOLY REDEEMER HOSPITAL
- Meadowbrook, PA
Supervisory/Professional:
/`WLYIHYPJ95:HML[`+PYLJ[VY
(Wound Care Center)
<UP[4HUHNLY69
6UJVSVN`5\YZL5H]PNH[VY
*SPUPJHS<UP[*VVYKPUH[VY3HIVY
& Delivery
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9PZR4HUHNLTLU[*VVYKPUH[VY
6MÄJL*VVYKPUH[VY
6JJ\WH[PVUHS/LHS[O
Visit us at
www.Samaritan
HealthcareNJ.org
6[OLY6WLUPUNZ!
:[HMM95Z-;7;69:\YNPJHS;LSLTL[Y`4LKPJHS;LTWVYHY`6Y[OVWLKPJ
79595Z:Y)LOH]PVYHS/LHS[O6Y[OVWLKPJ;LSLTL[Y`3HIVY
+LSP]LY`*HYKPV]HZJ\SHY*HYKPHJ*H[O3HI0U[LY]LU[PVUHS9HKPVSVN`
375/`WLYIHYPJ;LJOUPJPHU>V\UK*HYL*LU[LY
}} MANAGEMENT/ADMINISTRATION
/63@9,+,,4,9:;16:,7/4(569
In the spirit of Mercy,
the Stella Maris staff provides
competent, compassionate and
comprehensive health and housing services
for the elderly, the sick, the injured and the dying.
Expert care rooted in a
Our many services and programs offer a continuum
tradition of excellence.
of care that provides greater security to our patients and
residents, and a dynamic work environment for our team.
- Meadowbrook, PA
/63@9,+,,4,93(-(@,;;,
7OPSHKLSWOPH7(
/63@9,+,,4,9+»@6<=033,4(569
- Yardley, PA
NURSE MANAGER - LONG TERM CARE UNIT
:OVY[:[H`5\YZL4HUHNLY/VS`9LKLLTLY:[1VZLWO4HUVY
;LHT3LHKLY95HUK375WVZP[PVUZH]HPSHISL-;7;795
Experience/Qualifications
• Maryland RN License; BSN preferred
• Have managed a Long Term Care unit for a minimum
of 3 years OR comparable experience as a DON
• Strong working knowledge of Medicare regulations,
as related to Long Term Care
• Experience in coordination of care
• Liaison with nursing and rehabilitation
HOLY REDEEMER HOMECARE & HOSPICE
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Skills Needed
• Exceptional organizational skills and ability to multitask
• Strong project management skills
• Excellent follow up and follow through
• Ability to work independently and make decisions
For consideration, please forward resumes to: [email protected]
or visit our website at www.stellamarisinc.com
HOLY REDEEMER HOSPICE - Meadowbrook, PA
Westat, demonstrating technical and managerial excellence since 1963, is recognized as one of the
foremost research and statistical survey organizations in the United States. We provide services to
agencies of the U.S. Government, as well as businesses, foundations, and state and local governments.
79595Z0UWH[PLU[/VZWPJL<UP[
/63@9,+,,4,9/64,*(9,(5+HOSPICE
In addition to our capabilities as a leading statistical survey organization, Westat has extensive skills and experience in custom
research, program evaluation studies, and communications campaign development across a broad range of subject areas. Westat
also has the technical expertise in survey and analytical methods, computer systems technology, biomedical science, and clinical
trials to sustain a leadership position in all our research endeavors.
Westat’s staff of more than 2,000 is located at our headquarters in Rockville, Maryland, near Washington, DC. Westat also
maintains research offices near our clients in Bethesda, Maryland; Atlanta, Georgia; Cambridge, Massachusetts; Raleigh/Durham,
North Carolina; Philadelphia, Pennsylvania; and Houston, Texas. Additional staff members are engaged in data collection and
processing at Westat’s survey processing facilities, at our Telephone Research Center facilities, and throughout our nationwide field
interviewing operations.
5L^1LYZL`:OVYL9LNPVU
/VTL*HYL95-;6JLHU*V\U[`
>LLRLUK(KTPZZPVU957;([SHU[PJ*V\U[`
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Apply online:
EOE
^^ÔVS`YLKLLTLYJVT
or call Hope Shafer at 215-214-0682 for positions at Holy Redeemer Hospital;
Alisa Cohen at 215-214-0681 for Holy Redeemer Hospice, St. Joseph Manor,
Lafayette and D’Youville Manor; Lilly Cortez at 856-312-1398 for
Holy Redeemer Home Care & Hospice - So. NJ & Phila; Susan Burns at
609-761-0296 for Holy Redeemer Home Care & Hospice - NJ Shore Region.
Westat currently has an immediate opening for the following position:
Nurse Researcher - Job ID 5342BR
We are seeking a nurse researcher to join a multidisciplinary research group working to support a national network that is aimed at
accelerating interprofessional improvement science in a systems context. Activities will occur across multiple hospital sites related to
health care service delivery, quality, and patient safety improvement. A minimum of 2 years of postgraduate research experience
in clinical quality improvement/evidence-based health care information is essential. A background in one or more of the following
research topics is desirable: health care quality and safety; dissemination and adoption of best practices. Successful candidates
will have strong writing and project management skills and a thorough knowledge and use of various research methods, with
experience in developing and implementing QI tools or programs in health care environments. Requires strong teamwork
collaboration, writing, and interpersonal skills.
Qualifications: An R.N. plus a Ph.D in nursing, social sciences, public health, or health services research is required.
EOE
To apply, go to www.westat.com/jobs and enter the Job ID 5342BR in the space provided.
LOOKING FOR A LOW-COST MAILER?
Equal Opportunity Employer
www.westat.com
CALL 800-355-5627 FOR ADVANCE REPRINTS!
■
SEPTEMBER 3, 2012
■
■
ADVANCE FOR NURSES
27
27
MANAGEMENT/ADMIN, ACUTE CARE
Nurse Assistant
Instructor
Per Diem
ACTS Health Services Institute,
located in Ambler, PA, seeks a PA
licensed RN to teach theory/lab
and clinical classes at our state
approved Nurse Assistant Training
Course. Our ideal candidates have
a PA Train-the-Trainer certification
(TTE) along with exp teaching
nurse assistants in LTC and
demonstrated teaching skills. 2 yrs
LTC exp required.
Enjoy a competitive salary in a
team oriented environment.
Forward resume to
[email protected] or call
215-542-2318 ext. 86715.
Health Services Institute
EOE, M/F/D/V
www.acts-jobs.org
}} ACUTE CARE
Bon Secours Virginia Health System is seeking highly skilled
professionals for our specially designed ground Critical Care Transport
Team. Delivering world class care, our team is specialized in both
adult and pediatric critical care, including cardiac (intra-aortic balloon
pump and LVAD patients), NICU, PICU, and maternal fetal medicine.
Ongoing training is provided including OR intubation rotations along
with scenarios in our state-of-the-art, high definition simulation labs.
If you are an ER or Critical Care RN interested in growing or expanding your career in ground transport, consider joining our team and
deliver good help when it matters most. To learn more about our
opportunities, competitive wages, and benefits packages, apply online at www.bonsecours.com or call (757) 213-7986 to speak
with our recruiter today!
OR, PACU RNs
needed for 4 Room surgical center
in Sewell NJ. F.T./per-diem.
Also need experienced ORT per diem.
Salary negotiable based on experience.
Please fax resume to 856-341-8296
attention Chris Reilly
Baby Boomers &
Hepatitis C
One in 30 baby boomers –
those born from 1945 through
1965 – has been infected with
hepatitis C, and most don’t
know it. The CDC recommends all baby boomers get
a one-time hepatitis C test.
28
ADVANCE FOR NURSES
■
Full-time, flexibility in shift,
and weekend rotation
Chestnut Hill Hospital offers a friendly community setting and a qualityminded atmosphere where patients and employees are always treated
well. Come discover why Chestnut Hill Hospital provides everything
you need to grow a satisfying career.
Abington, PA
Join the Magnet® team at Abington
Memorial Hospital! We are seeking
a Geriatric Clinical Nurse Specialist
to work collaboratively with the
interdisciplinary team and to support
integration of NICHE principles. The
Geriatric CNS will be an essential
member of the healthcare team in
developing and advancing the quality
of nursing practice for older adults and
complex chronic disease populations
through the integration of NICHE
concepts and principles to drive nursing
care to this population.
State-of-the-art ER, ICU and OR
opening in October 2012!
ICU RNs - Full-time, All Shift, Weekend Program
We offer a competitive compensation package including excellent benefits package,
tuition reimbursement, 401K (with company contribution).
Please apply online at
www.chhealthsystem.com
For questions, call 215-242-2501
EOE
CNS certification in gerontology, 3
years nursing experience, MSN and PA
RN license required. Patient education
and staff education experience
preferred.
Nurses are discovering...the caring culture at Chestnut Hill.
Express your interest in 60 seconds:
www.abingtoncareers.com/
jobs/42287
Careers
Equal opportunity employer
GIVE YOUR
CAREER
a fresh perspective!
Well done.
Nurse Practitioner - Cardiology
Experienced
28
Geriatric Clinical
Nurse Specialist
Nurse Manager – Cath Lab
The George Washington University Medical Faculty
Associates (MFA), the largest multi-specialty physician
practice in the Washington, D.C. area, is seeking a fulltime NP for the Division of Cardiology in the Department of Medicine.
Riddle Hospital, located in Media, PA and part of the Main Line Health System,
is a key access point for Cardiovascular Care in the community. Riddle is Chest
Pain and Primary Coronary Intervention CertiÄed by the Society for Chest Pain. We
provide high quality primary and elective interventional cardiology, cardiac rhythm
device implantation as well as peripheral vascular interventional services. Medical
Cardiology services available are comprehensive with state of the art equipment for
diagnostic services. We partner with the tertiary care providers in the Main Line
Health System to complete the full array of services provided to our patients.
The Cardiology NP will be an integral part of our
academic cardiology team. Responsibilities include
managing patients in our heart failure clinic and assisting with outpatient cardiology stress testing.
Overseeing the operations of the nursing unit(s) both clinically and administratively,
the Nurse Manager is accountable for providing leadership to staff in the maintenance
of professional nursing practice, provision of quality patient care and a culture of
safety. The Nurse Manager demonstrates the knowledge and skills necessary to be
accountable for patient care activities and the development of staff, and is a leader
and facilitator in shared decision-making initiatives. The manager will also take a
leadership role in execution of the Riddle Hospital strategic plan for Cardiovascular
Services which has been developed as part of the overall Main Line Health
Cardiovascular strategy to further enhance and grow services to the community.
Qualified candidates will have a current DC license or
eligibility and 1-2 years of general clinical experience
as a NP, with a minimum of 1 year of experience in
Cardiology. Experience in noninvasive stress testing and
heart failure management is preferred. Candidates must
have excellent critical thinking, communication and time
management skills.
MFA offers a competitive salary,
a comprehensive benefits
package and a Monday - Friday
work week.For more information
and to apply, please visit
our website at:
www • GWDOCS • com
Requirements:
• Graduation from an accredited school of professional nursing.
• MSN or other related Masters Degree preferred.
• Current PA RN license.
• ACLS CertiÄcation
• Critical Care and Interventional Catheterization experience
• Strong Leadership Skills
EOE
For consideration, e-mail resumes to:
[email protected]. EOE.
NEED CAREER
ADVICE?
mainlinehealth.org/careers
GO TO WWW.ADVANCEWEB.COM
■
SEPTEMBER 3, 2012
■
SURGICAL, POST ACUTE
}} SURGICAL
Why work for the VNA?
Here’s what our nurses say:
“I value the relationships
I have with patients.”
VNAGP is one of the region’s largest non-profit hospice and home care
providers, serving residents throughout Philadelphia & immediate PA suburbs.
Serving the region for 125 years, VNAGP is proud to be a place where quality
and patient care matters.
Home Health RNs, Medicare Division
An award-winning, state-of-the-art facility and Level II Trauma
Center, The Reading Hospital and Medical Center has outstanding
opportunities for experienced Operating Room RNs and CRNAs.
Learn more at our upcoming:
•Minimum 1 year experience of direct patient care in med/surg
•Computer proficient
Home Health RNs, Managed Care Division
•FT or Per Diem
•3-4 years recent Home Health Case Manager experience
•OASIS proficient
Operating Room Open House
CRNP, Hospice/Palliative Care
•Minimum of 2-3 years hospice and/or palliative care experience as a NP
•MSN with current PA NP status
5th Avenue Lobby
September 20, 2012 – 4-7 p.m.
October 6, 2012 – 8-11 a.m.
Spanish-speaking candidates encouraged to apply!
All RNs must have at least 1 year med/surg experience in a hospital setting.
We offer outstanding compensation and generous benefits including
laptop & cell phone, top mileage reimbursement, tuition reimbursement,
paid access for CE credits and generous paid time off.
On-site tours and interviews will be conducted.
Guest speaker presentation – “Healthcare Provider Perceptions
to Barriers in the Surgical Timeout”
Conducted by:
Krista Bragg, DNP, CRNA
Chief Nurse Anesthetist –
The Reading Hospital and Medical Center
Adjunct Professor,
University of Pittsburgh Graduate School of Nursing
Program submitted for AANA CE
For more information, please contact
Clinical Recruiter at
215-581-2073 or e-mail:
[email protected]
EOE M/F/V/H
Learn more at www.vnaphilly.org
WOCN
CHF/Home Infusion RN
We’re building a new $354-million, 466,000-square-foot clinical
building on our West Reading campus. This facility will feature
hybrid operating rooms supporting both traditional and minimally
invasive procedures that use imaging guidance and the
da Vinci® Surgical System.
Serving Prince George’s County, Charles County,
Anne Arundel County, Calvert County,
& St. Mary’s County.
Currently Hiring in Laurel, Greenbelt,
New Carrollton and Lanham areas.
RN Case Manager
RN Wound Ostomy Nurse
Strong PC skills, resourcefulness and the
ability to work independently are required.
Prior home care experience is preferred.
Experience in critical care also preferred.
E-mail résumés to
To register, please contact Maureen Carroll at 610-988-5440
[email protected]
or fax to (F) 301-856-0218
Come join our team for a REWARDING
and EXCITING career in Home
Healthcare with the opportunity
to travel and meet new people!!!!
HOME CARE RNs
• ATTENTION: Experienced Home Care RNs
• Earn extra income working as an Independent
Contractor for Nursing Unlimited, Inc. (est. 1989).
We need nurses to work in the areas of
TRHMC is an Equal Opportunity Employer, M/F/D/V.
Achieving Excellence in a Patient-First Environment.
Childhood
Obesity
CDC Fact: Approximately 17
percent of children and adolescents aged 2—19 years
are obese.
Downingtown, West Chester
and Delaware County
}} POST ACUTE
Home Care RNs
Territories in Bucks, Montgomery
and Philadelphia
counties
As you bring our nationally
recognized nursing care right into
patients’ homes, you’ll take the many
benefits of being an Abington nurse
with you.
UÊÊÝ«iÀiViÊ>ÕÌÞÊ>`Ê>>}iÊ
patients in a multidisciplinary
approach
UÊÊÌÊi>ÃÌÊÓÊÞi>ÀÃÊvÊÀiViÌÊ>VÕÌiÊ
V>ÀiÊiÝ«iÀiViÊÀiµÕÀi`
Please apply online:
www.amh.org or call
Betty Kane: 215-481-5800,
e-mail: [email protected],
fax: 215-481-5850.
Call Nursing Unlimited, Inc.
at 215-663-8450 or Fax Resume to 215-663-8748
• Dedicated RN Case Managers
needed. One year of Homecare
experience and computer skills
required.
• RNs with trach & vent experience
needed for private duty cases in
the Philadelphia area.
Please call Golden Health Services
@ 215-289-9005 or fax
resume to 215-289-9024.
Full-Time
EOE
Birth Defects
CDC Fact: Every 4.5 minutes,
a baby is born with a birth
defect.
■
SEPTEMBER 3, 2012
■
FAST, LOW-COST, FLEXIBLE
CALL 800-355-5627
FOR ADVANCE REPRINTS
■
ADVANCE FOR NURSES
29
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Have you visited advancehealthcareshop.com lately?
Celebrate ER Nurses Week
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To join Beebe’s team, email a résumé to
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FREE HEALTHCARE
JOB FAIRS & CE
Explore New
Opportunities Near You
SNAP TO REGISTER!
IN-PERSON
Mak a day of it at a FREE in-person job fair. Meet recruiters,
Make
shop for new gear, play games and win prizes. One attendee at
each in-person job fair will win a $500 Visa gift card!
October 2
Baltimore, MD
Martin’s West
FREE SESSIONS
• Changing Your Case Management
Model of Care
• Medical Errors
• Stress Busters for Your Sanity
EXHIBITORS*
ADVANCE Healthcare Shop:
for Gear, Gadgets & Gifts
BAYADA Home Health Care
The George Washington University
Medical Faculty Associates
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31