2014 Nursing Annual Report

Transcription

2014 Nursing Annual Report
Nurses at their
BEST!
Nursing Annual Report 2014
“She felt like you listened, and when you
did that, she knew she wasn’t just another
number in healthcare.” —­Kevin Jones, RN
PERSON-CENTERED CARE
WELCOME ME
RESPECT ME
INCLUDE ME
CONNECT ME
PROTECT ME
ENGAGE ME
COMFORT ME
“She took the extra time to listen
to the patient and let her vent her
thoughts and feelings.”
— Bridget Zimmer, RN
Contents
Greetings from Our Vice President of Nursing 2
Lourdes Nursing Professional Practice Model 3
Structural Empowerment 4
2014 Lourdes Honored Nurses . . . . . . . . . . . . . . . . . . . . . . . . .
Value Inspired Person (VIP) Award . . . . . . . . . . . . . . . . . . . . . . .
Ozanam Award . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Golden Stethoscope Award . . . . . . . . . . . . . . . . . . . . . . . . . .
2014 Nursing Essay Award . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lourdes Bright Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nursing Committee Accomplishments . . . . . . . . . . . . . . . . . . . .
Advancing Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Professional Nurse Advancement & Recognition Program . . . . . . . . .
Additional Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
7
7
7
7
9
13
16
17
21
22
Exemplary Professional Practice23
Unit-based Practice Council (UPC) Accomplishments . . . . . . . . . . . . 23
Transformational Leadership28
Roles in the Community . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leadership Roles in Professional Organizations . . . . . . . . . . . . . . .
Participation on Ascension Health Committees . . . . . . . . . . . . . . .
28
31
32
Empirical Outcomes33
Nursing Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Nursing Sensitive Quality Indicators . . . . . . . . . . . . . . . . . . . . . 34
Patient Satisfaction: Net Loyalty Scores . . . . . . . . . . . . . . . . . . . 34
New Knowledge, Innovations & Improvements35
Ongoing Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Completed Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nursing Research Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Posters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
35
35
36
43
Greetings from Our CNO45
GREETINGS FROM OUR VICE PRESIDENT OF NURSING
It is an honor to salute all Lourdes nurses for your creativity, compassion,
and dedication to your patients, their families, and our community.
Our journey on the road to nursing excellence continues to accelerate
as we look forward to attaining our 3rd Magnet designation. Magnet
nurses work tirelessly to ensure that exemplary patient care is provided.
At Lourdes we recognize that direct care nurses are responsible for
achieving quality patient outcomes such as reducing falls with
injury, hospital acquired pressure ulcers, and central line
blood stream infections, in addition to reducing or eliminating
catheter associated urinary tract infections.
Our work toward Magnet re-designation is a commitment
to advancing the nursing profession at Lourdes. Each year
we recognize nurses who have been nominated by their peers
throughout the organization for their distinguished service and
accomplishments related to leadership, research, clinical practice,
and education. Four nursing peer committees are organized annually
to review the nominations in each category and select the Lourdes
Honored Nurses. The Honored Nurses are rewarded with fully
paid attendance at the ANCC National Magnet Conference® held in
October each year. We celebrate these and other nurses at the annual
Professional Nurse Advancement and Recognition Program dinner.
All Lourdes nurses influence inter-professional collaboration, innovative
nursing practice, and exemplary patient outcomes. Because of you, we
can provide care to patients and their families that we can be proud of
everyday, as we endeavor to keep our patients safe and free from harm.
Warmest wishes,
Debbie
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Nursing Annual Report 2014
“Around them are all the people from
Lourdes and our community working
tirelessly to find them a new home,
together.”
— Cherie Wooden, RN
Lourdes Nursing
Professional Practice Model
“What does professional nursing practice
at Lourdes look like?” In September 2013,
40 direct care nurses gathered at the Double
Tree by Hilton in downtown Binghamton
to review and evaluate our Professional
Practice Model (PPM). All nurses agreed
that the concepts remained pertinent, with
the addition of communication, but the
current model schematic was too complex
and wordy. Six small groups brainstormed
and three new schematics evolved. The group
met again in October at Lourdes, reviewed
the existing schematic and the three new
ones, then by majority vote selected one of the
new schematics. This choice was presented at
the November 7, 2013 Nursing Professional
Practice Council (NPPC) meeting and was
approved by the clinical nurses who attended.
The new schematic was sent to a graphic
designer who provided two options with
two color schemes each. These options were
presented at the February 2014 NPPC meeting
and the following schematic was selected
by majority vote of the clinical nurses who
attended that meeting.
The core of our PPM schematic reflects our
reason for being: patients, families and our
community, based on our faith as designated
by the cross embedded in the Lourdes logo.
Key concepts in the schematic include the
main elements of professional nursing practice:
Clinical Practice, Education, Research, and
Leadership. Four additional concepts reflect
our core values and relationship-based care:
Spirituality, Compassion, Service,
and Communication.
3
Structural Empowerment
S
hared decision making is both a privilege
and a responsibility. Lourdes nurses
have a voice through taking advantage
of opportunities to share their ideas and
concerns in a variety of forums. They
are empowered through formal recognition for
their distinguished service and accomplishments;
participation on nursing, hospital-wide and Ascension
Health inter-professional committees; advancing
their education; and achieving certification.
Recognition of Nurses for Distinguished
Service or Accomplishments
2014 Lourdes Honored Nurses
This year, five registered nurses were recognized
in the categories of Clinical Practice, Leadership,
Education, and Research.
CLINICAL
PRACTICE
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Nursing Annual Report 2014
The Clinical Practice category recognizes a registered nurse
who demonstrates outstanding performance in direct patient
care. The 2014 Honored Nurse for Clinical Practice is Theresa
Goodenough, RN, CWOCN®. Theresa is not only clinically
exceptional, but also possesses the compassion and
understanding to totally engage the patient and
family in the management of their complex
care. She is certified and is called upon on
multiple occasions by providers and nursing
staff to serve as a resource. She engages staff to
achieve exemplary outcomes and mentors SUNY
Broome and Binghamton University nursing
students. Active in her community, Theresa is valued
Theresa Goodenough,
as a speaker and volunteer.
RN, CWOCN®
Leadership
The Leadership category
recognizes a registered nurse
who advocates strongly for
nursing. This year, two nurses
were honored as leaders. The
2014 Direct Care Honored
Nurse for Leadership is
Christen Waddell, MS, RN.
Christen has quietly managed to
remind the nurses of their voice.
Based on input from colleagues,
Christen Waddell, MS, RN
she worked tirelessly to develop
and implement an electronic schedule that is flexible enough
to accommodate school schedules, family responsibilities, and
nurses’ requests to work 12 hour or 8 hour shifts. She is always
willing to help and the nurses respect her for her leadership and
dedication to nursing. Christen’s manner is gentle and kind,
giving new nurses the confidence they need to begin a lifetime
career of caring for others.
2014 Nurse Leader Honored Nurse for
Leadership is Sue Spink, RN-BC. Sue is
an outstanding nurse whose vision,
accountability, breadth and depth
of understanding of systems and
processes, and optimism enable
associates to reach out to her
regardless of the issue. She leads by
example and has been instrumental
in the successful implementation
Sue Spink, RN-BC
of projects that cut across multiple
settings and disciplines. In addition, she has earned Lean Six
Sigma green and black belts. Sue lives the mission and values
of Lourdes because she is deeply grounded in her faith; is
passionate about nursing; genuinely cares for patients and their
families; and deeply cares for those with whom she works.
develops educational programs and presents them based on
learners’ needs, including one-on-one instruction as necessary.
Jamie creates, reviews, and revises educational tools then uses
a variety of media to disseminate this information throughout
Lourdes for nurses and other associates. Always smiling, she
humbly carries out the mission and vision of Lourdes.
The Research/Evidence-based Practice category recognizes a
registered nurse who has demonstrated commitment to nursing
research and evidence-based practice. The 2014 Honored Nurse
for Research/Evidence-based Practice is Elisabeth
Evans, MSN, RN, ONC®. Elisabeth embraces lifelong learning and completed a research project
based on review of the literature and an idea
that has important implications for nursing,
osteoporosis risk factors
and prevention behaviors.
After completing her study, she
presented her findings regionally
and internally. Committed to improving
health in the community, Elisabeth
embraces evidence-based nursing
practice as she engages patients and
their families.
The Education category recognizes a registered
nurse who has made significant contributions
to professional nursing education/continuing
education or staff development. The 2014
Honored Nurse for Education is Jaymilee Mash,
RN. Jamie possesses a unique ability to identify
associates’ concerns through active listening and
then helps them address and overcome obstacles. She
Elisabeth Evans,
MSN, RN, ONC®
Education
Jaymilee Mash, RN
Structural Empowerment
5
2014 Lourdes Honored Nurse Nominees
Clinical
Practice
Tayyebeh-nahid Borogerdi,
MS, FNP-BC
Susan Crawford,
RN, OCN®
Colleen Gelatt, RN
Caylynn Gilbert, RN
Lisa Gorman, RN
Danielle Harbst, RN
Julianne Lowrie,
RN, CAPA®
Mary Mancini, RN
Paula McIntyre, RN
Jan Townsend, RN, CEN®
Ann Weber, RN-BC
Leadership
Sara “Beth” Hickey, RN
Julianne Lowrie,
RN, CAPA®
Deborah Mican,
MHA, BSN, RN, CNOR®
Rebecca Sherman-Quick,
RN, CHPN®, OCN®
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Nursing Annual Report 2014
Value Inspired Person
(VIP) Award
The VIP award recognizes associates
who exemplify the mission and
values of Lourdes: Service of
the Poor, Reverence, Integrity,
Wisdom, Creativity and Dedication.
Nominated by her peers, Ruth
Pulse, RN, was recognized in
January 2014 as a Value Inspired
Person.
Education
Ruth Pulse, RN
Ozanam Award
Melody Best, MS, RN,
WHNP-BC
Amie Wales, RN
The Frederic Ozanam Annual
Mission Award is presented to one
associate who reflects the values of
Blessed Frederic Ozanam and lives
the mission and values of Lourdes
every day. To be eligible for this
award, an associate first must have
received a Value Inspired Person
(VIP) award. The 2014 recipient of the
Ozanam Award is Susan Backo, RN.
Susan Backo, RN
Golden Stethoscope Award
Research/
Evidencebased
Practice
Colleen Cameron,
MS, RN
Certified members of the Allied
Health Staff in good standing
who exemplify quality service,
professionalism, and teamwork may
be nominated for the Allied Health
Staff Golden Stethoscope Award.
The 2014 recipient is Jonathan
Briggs, MS, FNP-BC.
Jonathan Briggs,
MS, FNP-BC
2014 Nursing Essay Award
Linda Stark,
MSN, RN, ONC®
Cherie Wooden, RN
Annually, all nurses are invited to
submit an essay that describes how
their own professional practice, or
the professional practice of a nurse
colleague, resulted in a positive
outcome for a patient or the patient’s
Kevin Jones, BS, RN
family. The essay is selected by
a subcommittee of the Nursing
Professional Practice Council. Kevin Jones,
BS, RN, received the 2014 Nursing Essay Award.
Structural Empowerment
7
Stopping the Revolving Door
I
n this day and age of technology,
we as nurses are inundated with
new processes and equipment
every day. Many times within this
setting, it is a given that training
is provided and our patients are safe.
But the story I experienced brought a
unique prospective to the technology
utilized throughout homecare, and
other healthcare facilities. The ability to
provide continuity of care and education
to patients within the homecare system
suffering from multiple co-morbidities
has become ever more pertinent with
increases in acute care re-hospitalizations
and poor patient outcomes. Within
Lourdes At Home, after experiencing
such events, a Telehealth program was
initiated. This provided a unique way to
monitor patients who otherwise wouldn’t
have immediate follow-up in this rural
community. Initially it was met by most
patients with confusion, concern, and
in some cases anger. Some reasoning, as
evidenced by patient statements, revolved
around a fear of something new or a
concept of someone watching their every
move. Most didn’t want to have someone
looking over their shoulder.
Over time, the program grew and more
patients started experiencing positive
outcomes. One patient in particular
stands out. This patient had spent the last
5 years in a revolving door of Congestive
Heart Failure exacerbations and rehospitalizations. Having been with
homecare for over 2 of those years it was
recommended she become part of this
program. She hated it in the beginning.
The disdain for the monitoring was
8
Nursing Annual Report 2014
Kevin Jones
evident from the first time it was brought to her physician. She was motivated to
make changes, involve her family, and
up in discussion to the very day it was
was open to other services such as social
installed in her home. As a nurse for
work and financial counseling to help her
over 5 years, I had learned to work
and her family. She was able to remain
with a variety of emotions and navigate
out of the hospital for almost 1 year, of
through to find a common ground. For
which her hospitalization was not related
the first month, I monitored her vital
to her Congestive Heart Failure. Her only
signs through the use of this monitoring
complaint when she was in the hospital
service. Every time I called her, she
would answer with “What did I do wrong for her stay was she couldn’t have the
communication with this monitor. The
now?” After 30 days of this, I asked her
what she
I will take the time to listen, for when I do,
thought my
job was. She
I will not only help others, but learn more about
answered
myself in the process.
back in
very monitor she hated in the beginning
a sharp way, “to babysit me, are you
was now a tool that made her feel
happy?” Even though multiple nurses
empowered. Empowered to control her
had instructed her in the purpose of
own health outcomes.
the program, she was going to fight it.
I asked her if I could meet her, so she
She eventually lost the battle with her
could put a ‘so called’ face with the voice
Congestive Heart Failure. But when I was
she was hearing over the phone. She
in her home removing the very monitor
agreed begrudgingly. When I met her
she despised, her spouse relayed to me
in person, it was an experience for us
his wife valued what I had done for her. I
both. It showed me within seconds of
asked what that was. He responded, “She
my arrival there, my Telehealth system
felt like you listened, and when you did
was the least of her worries. But it also
that, she knew she wasn’t just another
showed her, that despite everything
number in healthcare.” The husband
she was doing to push me away; there
touched my heart that day. I have not
I was in her living room. We started to
forgotten about that patient because she
talk, and over the next 45 minutes our
taught me more about nursing than I
professional relationship had begun.
gave her credit for. It is always about that
She saw I wasn’t babysitting her, but was
one moment, that one patient, that one
actually on her side working with her to
decision. I chose to meet her in person
keep her healthy and break this chain
and not run the other way, but she chose
of events which kept her returning to
to take a chance on me, and trust me. I
the hospital. Once the relationship was
will take the time to listen, for when I
forged, I was able to get through with
do, I will not only help others, but learn
education; but also be a voice for her
more about myself in the process.
Lourdes Bright Lights
The “Lourdes Bright Lights” program encourages visitors,
patients and associates to recognize staff members, medical
staff, and volunteers for their outstanding customer service
displayed in “simple acts of kindness” that make someone’s day
brighter, easier or better. The following nurses are among the
Lourdes associates who were recognized by co-workers, visitors
or patients because of their willingness to go above and beyond
their daily routine to help someone. They are listed by name
and the department for which they were nominated.
Lydia Adams, RN
Erin Bell, RN
Barb Anderson, RN
NSS
Deborah Annunziata, RN
Christopher Berg, RN
Joan Antol, RN
Barbara Bilbrey, RN
ED
OR
Care Management
Gail Arcangeli, RN
Care Management
Rebecca Bacon, RN
ED
Afua Baidoo-Davis, RN
3 Medical
Mary Beth Baird, RN
WCS
Kayla Baird, RN
WCS
Shahzaad Bamasi, RN
ED
Rhonda Barden, RN
ED
Rebecca Barrows, LPN
Whitney Point
Mary Bartholomay, RN
PAT
Sarah Batschelet, RN
ICU
Rita Bechtel, RN
Care Management
Alexandra Bechy, RN
Seton 3
3 Medical
Seton 2
Maria Berry, RN
UFS
WCS
Ann Binkiewicz, RN
Riverside Surgical
April Bobik, RN
OR
Nahid Borogerdi, RN
WCS
Avery Bourdeau, RN
ICU
Tiffany Brady, RNGI
Lab
Grace Breckenridge, RN
WCS
Jonathan Briggs, RN
PCA-Endicott
Lisa Bronson, RN
Endocrinology
Michele Bronson, RN
ICU
Heather Brown, RN
Seton 1 Telemetry
Christopher Bubny, RN
ED
Jamie Bullins, RN
Cyndi Tedeschi LPN, Nancy McGowan RN and Kelly O’Brien LPN
Elizabeth Burger, RN
Glenn Collier, RN
Haley Burns, RN
Pamela Cooper, RN
Karlie Burns, RN
Theresa Cornwell, RN
Mary Buskirk, LPN
Cindy Davis, RN
Nicole Caram, RN
Mark Davis, RN
Adrienne Caramore, RN
Susie Decker, RN
Tiffanie Champang, RN
Mary Deraco, RN
Patricia Chretien-Grant, RN
Lori Derrick, RN
Marj Cinti, RN
Cheryl Dessell, RN
Jim Clarke, RN
Rachel Devine, RN
Jude Clarke, RN
Lois Diffendale, RN
Laura Cleveland, RN
Christy Doing, RN
1 Medical
1 Medical
ICU
LAH/Hospice
3 Medical
Hospice
ICU
2 Ross
OR
ED
ED
ED
Seton 1 Telemetry
UFS
WCS
LAH
LAH
PCA-Robinson
Ambulatory Infusion
GI Lab
GI Lab
PCA-Southside
3 Medical
Hospice
ED
Structural Empowerment
9
Maureen Donahue, RN
Michael Garlough, RN
Aryn Doyle, RN
Mary Ellen Gaudet, RN
Erin Duff, RN
May Geiger, RN
Julie Dupee, RN
Colleen Gelatt, RN
Nicole Dziedzic, RN
Rebecca Getchell, RN
Andria Edwards-Smey, LPN
Caylynn Gilbert, RN
Rochelle Eggleton, RN
Chelsey Gill, RN
Shirley Elliott, RN
Patricia Grant, RN
Lorrie Elmy, RN
Pauline Greenblott, RN
Vicki Emmett, LPN
Alyson Griffiths, RN
Ana Esclusa-Lopez, RN
Danielle Gulick, RN
Deborah Eschenburg, RN
Carol Hastings, RN
Dan Esposito, RN
Sandra Hayes, RN
Elisabeth Evans, RN
Tamara Hawley, RN
1 Medical
3 Medical
JC Family Practice
ED
1 Medical
PCA-Endicott
LAH
Ambulatory Infusion
Seton 2
Riverside Surgical
OR
2 Ross
PACU
Seton 2
Jeanne Firpo, RN
ED
Mary Fitzgerald, RN
3 Medical
Dan Fitzpatrick, RN
Seton 2
Megan Fontaine, RN
ED
Susan Fuchs, RN
ICU
Nora Gaige, RN
ICU
Yelena Galkin, RN
Seton 3
Danielle Gallo, RN
ICU
Clinical Learning Services
3 Medical
LAH
Owego
RSM
GI Lab
ICU
2 Ross
WCS
ED
CDU
PACU
Whitney Point
OR
Sarah Herrick, RN
ED
Barbara Hogan, RN
RSM
Lisa Howell, RN
ASU
Sue Huffcut, RN
LAH
Amber Infantino, RN
OR
Kevin Jones, RN
OR
Hebert Joseph, RN
Seton 1 Telemetry
Lisa Kane, RN
Clinical Learning Services
10 Nursing Annual Report 2014
Melody Best, MSN, RN, WHNP-BC and Nicholas Best
Diane Kashou, RN
Linda Lake, RN
Rachel Kimani, RN
Shawn Lassila, RN
Heather Kirchheimer, RN
Rachel Laufersweiler, RN
Trichelle Kirchner, RN
Jan Lee, RN
Natalie Kisby, RN
Alisha Lent, RN
Judy Kitchin, RN
Sue Lewis, RN
Laura Kraemer, RN
Diana Lukasiewicz, RN
Patricia Kuruc, RN
Ingrid Little, RN
LAH
ED
2 Ross
UFS
Seton 1 Telemetry
Clinical Learning Services
2 Ross
Seton 2
Seton 1 Telemetry
Seton 2
Seton 1 Telemetry
Lourdes Pediatrics
3 Medical
ICU
3 Medical
Clin. Doc.
Kristine Loomis, RN
Glenn Miga, RN
Becky Quick, RN
Karen Roeske, RN
Sarah Lopilato, RN
Megan Mohr, RN
Shari Reed, LPN
Roxanne Roma, RN
Katie Loveland, RN
Barbara Morrissey, RN
Craig Reese, RN
Lisa Rossi, RN
Julie Lowery, RN
Alycia Mullins, RN
Leslie Regan, RN
Leo Rowan, LPN
Samantha Magistro, RN
Meaghan Murphy, RN
Martha Reid, RN
Rudy Rozboril, RN
Jason Mahler, RN
Penny Murrer, LPN
Alice Reilly, RN
Colleen Ruddy, RN
Danielle Mahoney-Brown, RN
Kelly Murtha, RN
Kathy Rinde, RN
Kimberly Schmitkons, RN
Sergii Maistruk, RN
Sister Hermenegilde
Naluyima, RN
Kersten Robbins, RN
Nicole Schneider, RN
Laura Robbins, RN
Lois Shaffer, RN
Patricia Robins, RN
Rebecca Sherman-Quick, RN
Marissa Roe, RN
Jackie Shipose, RN
Ambulatory Infusion
OR
ED
ASU
ICU
ED
ASU
Seton 3
ICU
Seton 1 Telemetry
Ambulatory Infusion
3 Medical
Seton 1 Telemetry
UFS
Riverside Surgical
Irina Makosiy, RN
Palliative Care
Mary Mancini, RN
Seton 3
Sharon Marku-Shaw, RN
Seton 3
Melissa Martin, RN
WCS
Heather Massey, LPN
Ambulatory Infusion
Christopher Matthews, RN
Hospice
Lisa Maus, RN
ED
Patricia McCabe, RN
PAT
Judy McCartney, RN
OR
Cynthia McDonald, RN
Seton 2
Mary McGovern, RN
3 Medical
Paula McIntyre, RN
OR
Christina McMurray, LPN
Seton 1 Telemetry
Juan Mendoza, RN
WCS
3 Medical
Oncology
3 Medical
PAT
PCA-Endicott
ED
OR
Ambulatory Infusion
Ambulatory Infusion
Seton 3
Clinical Learning Services
3 Medical
Owego
3 Medical
Nelya Nevtukh, RN
Tracy Niles, RN
Jessica Palmer, RN
OR
Whitney Point
CDU
ED
ED
RSM
GI Lab
OR
Seton 2
PCA-Robinson
Seton 2
WCS
2 Ross
Wound Care
ED
OR
ED
PCA-Endicott
Ambulatory Infusion
Care Management
Ambulatory Infusion
ASU
Wendy Paoletti, RN
Luann Parkhurst, LPN
Sharon Pearce, RN
Sue Pearce, RN
Joann Peterson, RN
Cheryl Petitte, RN
Stefanie Phillips, RN
Karen Policare, RN
Thomas Poluka, RN
Brianna Pompey, RN
Sara “Beth” Hickey, RN, BSN and Cherie Wooden, RN
Structural Empowerment
11
Christen Waddell, RN
Seton 1 Telemetry
Jeanne Wager, RN
Hospice
Catherine Walburger, RN
PACU
Heather Waugh, RN
Lourdes Honored Nurses with Linda Miller, Cheryl Orzel-Teris and Debbie Mican.
Gretchen Shortsleeve, RN
Sandra Stoeckel, RN
Amanda Tomlinson, RN
Amy Shumsky, RN
Jo Straneva, RN
Aisling Toolan, RN
Kyle Slavetskas, RN
Tiffany Strohl, RN
Lori Travers, RN
Laura Smith, RN
Heidi Sura, RN
Linda Tuyn, RN
Patricia Smith, RN
Kelly Swartz, RN
Carmen VanDunk, RN
Brad Sobon, RN
Kathleen Talbot, RN
Daisy Vembenil, RN
Careef Solomon, RN
Kristen Tarbox, RN
Lynn Verduin, RN
Danielle Spalik, RN
Leann Terpstra, RN
Christina Versace, RN
Margie Stackhouse, RN
Amy Thomas, RN
Elizabeth Viafore, RN
Linda Stark, RN
Michelle Thornton, RN
April Vining, RN
Louisa Starley, RN
Lisa Tierno, RN
Michele Vivyan, RN
WCS
ICU
OR
Endocrinology
PAT
ED
OR
ICU
Care Management
DI
OR
ASU
Breast Care Center
WCS
OR
ED
1 Medical
ED
1 Medical
WCS
Care Management
Breast Care Center
12 Nursing Annual Report 2014
ED
ED
Care Management
Breast Care Center
1 Medical
Seton 1 Telemetry
Richford
Seton 3
Seton 1 Telemetry
ASU
Seton 1 Telemetry
WCS
Emily Way, RN
3 Medical
William Weber, RN
ED
Corazon Webster, RN
3 Medical
Clorissa Weidow, RN
LAH
Betsy Welch, RN
ICU
Courtney Wendelewski, RN
3 Medical
Carla Williams-Drake, RN
Seton 1 Telemetry
Cherie Wooden, RN
Hospice
Jennifer Wright, RN
WCS
Ying Fang Zhao, RN
Seton 1 Telemetry
Nursing Committee Accomplishments
Nurse Executive Committee
Chair – Linda Miller, DNP, RN, NEA-BC
• Established and monitored the 2014 Nursing Goals.
• Monitored Evidence-based Practice/Research activities.
• Reviewed/revised/approved policies and topics related to
nursing professional practice.
• Approved Lourdes participation in the ANCC Success Pays™
certification program which eliminates the need for nurses
to pay “up front” to take ANCC certification exams. The
hospital pays the fee.
• Approved required continuing education for clinical nurses.
• Approved the initiative and education regarding changing
the color of patient alert bands to standardized colors used
throughout the United States.
Nursing Professional Practice Council
Chair – Carol Hastings, RN, CPAN®;
Co-chair – Nicole Dziedzic, RN
• Approved a protocol for nurses to obtain appropriate stool
specimens and send to the Lab for C. difficile toxin analysis
without having to obtain an order from the provider.
• Approved the recommendation for mandatory Zosyn
education.
• Approved four recommendations/changes to the Shared
Leadership/Nursing Committee Process.
• Provided the final vote for the new Nursing Professional
Practice Model schematic.
• Selected the topic for the annual on-site Advisory Board
Company presentation (Enhancing the Patient Experience).
• Approved the proposal to change the color of patient alert
bands to standardized colors used throughout the United
States.
Advanced Practice Nurse Council
Co-chair – Cathy Slocum, FNP-BC, WCC®;
Co-chair – Marita Florini, DNP, FNP-BC
• Implemented a Graduate Nurse Practitioner (NP) Fellowship
Program to facilitate the transition of NPs into the work
environment.
• Welcomed John Welch, DO, Medical Director of the NP
Fellowship Program and collaborating physician for ‘float’
NPs.
• At the November 2013 APN Council meeting, hosted Joyce
Ferrario, PhD, RN, Dean, and Nicole Rouhana, PhD, CNM,
FNP-BC, Director of the Graduate Nursing Program, Decker
School of Nursing, Binghamton University who discussed
Acute Care NP Programs.
• At the quarterly meetings, Doreen Aleccia, FNP-BC,
provided updates from the Credentials Committee.
Clinical Standards and Documentation
Committee
Chair – Michael Butts, RN;
Co-chair – Shauna Weingartner, RN
• Reviewed and approved several policies and procedures in
addition to the committee’s section of the Nursing Bylaws.
• Established organizational criteria for conducting and
documenting discharge assessments.
• Created a link from computer devices to MedLine Plus.Gov
to facilitate access to evidenced-based information.
• Revised configurations in PowerChart to reduce data loading
time.
Diabetes Resource Nurse Committee
Chair – Mary Berube, RN, CDE
• Provided educational opportunities to Lourdes nursing
associates on topics including hypoglycemia, glucagon
administration, Bydureon administration, the V-Go insulin
delivery device, insulin pen administration, diabetic foot
care, and the newly developed “RN alert” tool – designed
to assist with communication of inpatient diabetes
self-management education (DSME) and appropriate
documentation of DSME.
• Disseminated information to Lourdes nursing associates
on a variety of topics including current American Diabetes
Association Clinical Practice Recommendations, glycemic
management policy revisions, electronic charting updates
(PCPC, Patient Education by Date, POC high BG alert),
new Lourdes patient education handouts (gestational
diabetes, diabetic ketoacidosis), GlucoStabilizer review
and troubleshooting, medication updates, and educational
resources and opportunities for patients and associates.
• Participated in the annual Lourdes Diabetes Center Current
Trends in Diabetes Management symposium at which 45
Lourdes nursing associates, medical staff members and
Structural Empowerment
13
nursing students received free ANCC-approved Continuing
Education hours.
Magnet Committee
Chair – Rebecca Sherman-Quick, RN, CHPN®, OCN®;
Co-Chair – Laura Cleveland, RN, CEN®
• Celebrated newly designated and re-designated Magnet
hospitals each month.
• Implemented an action plan to increase participation in the
October 2013 RN Satisfaction Survey, including distribution
of a Frequently Asked Questions sheet.
• Reviewed the overall 2013 NDNQI RN Satisfaction
electronic and paper survey results.
• Developed a plan to educate nurses about the new Nursing
Professional Practice Model schematic.
• Initiated the “Pay it Forward Tray” to recognize departments
for their contributions to the Magnet culture. Rebecca
Sherman-Quick, CHPN®, OCN® purchased a wooden tray,
and the Soaring to Excellence logo was engraved in the
wood.
Medication Management Committee
Chair – Sharon Landon, RN
• Reviewed/revised and approved policies related to
medication management.
• Recommended policy and procedure revisions related to the
Central Venous Access Device Flush Protocol.
• Approved the recommendation for staff to use special
stickers to list the expiration date on Advantage IV bags.
• Approved adding the ISMP Consumer Med Safety webpage
link to the Medication Safety Guide of the Patient Guide
section on the Lourdes intranet.
• Monitored monthly updates on barcode medication
administration and the LEAN/Six Sigma project related to
Communication about Medications/Side Effects.
Nursing Education Committee
Chair – Michelle Symons, RN-BC;
Co-Chair – Susan Lent, CRN
• Recommended and received approval for the following:
Changing annual nursing reorientation requirement from
month of hire to birth month, CPR/BLS requirement
from annual to bi-annual, and required ANCC continuing
education hours from 3 to 5.
14 Nursing Annual Report 2014
• Revised the Nursing Staff Annual Competencies to meet
Joint Commission recommendations and standards.
• Surveyed nursing leadership regarding their expectations
of the Unit-based Educators and incorporated significant
findings into the Nursing Bylaws for the Nursing Education
Committee.
• Strongly supported recruitment of nurses for the ANCC
Success Pays™ program for board certification, achieving the
commitment of 26 nurses and exceeding the total number
needed for Lourdes to contract with ANCC.
• Recommended/implemented Lourdes-wide nursing staff
educational offerings.
Nursing Quality Committee
Chair – Melissa Martin, RN
• Approved removing Standing Business agenda items that are
discussed at other meetings to facilitate more productive and
efficient meetings.
• Reviewed Value-Based Purchasing reports (e.g., Clinical
Process of Care Domain Measures, Patient Experience
[HCAHPS], and Excellus Measures).
• Reinforced the importance of providers authenticating
verbal or telephone orders within 48 hours.
• Monitored blood transfusion documentation compliance
each month.
• Reviewed quarterly nursing documentation reports.
• Used the Nursing Peer Review Case Rating Form as a guide
to conduct nursing quality peer reviews and document
committee decisions (clinical nurse vote) regarding
concurrence with the review.
Nursing Research Committee
Chair – Ann Weber, RN-BC;
Co-chair – Julann Ashman, RN, OCN®
• Sponsored a successful 8th Annual Lourdes Nursing
Research Day which included a poster session, 8 sessions
with experts, and a Learning Lunch presentation.
• Maintained continuing education presentations at meetings.
• Incorporated into monthly meetings evidence-based
presentations of topics suggested by committee members.
• Added “Fun Research Facts” educational presentations to
committee meetings.
Poster Session, Binghamton University Nursing Students: Joanna Cipot, Nicole Walter and Kirstie Kendall.
Patient Care Services Policy and Procedure
Committee
Professional Nurse Advancement and
Recognition Program (PNARP) Committee
Chair – Amy Allen, RN, CEN®;
Co-chair – Ingrid Little, RN
Chair – Laura Smith, RN, BC-ADM, CDE;
Co-Chair – Gail Arcangeli, RN-BC
• Facilitated creation of a link on the Nursing Intranet page,
Quick Reference: Recent Changes to Patient Care Policies
and Procedures, to notify nursing staff of pertinent changes.
• Included inter-professional staff on the committee.
• Retired redundant policies and reviewed/revised/approved
numerous Patient Care Services policies.
• Recognized nurses who earned board certification
throughout the year.
• Sponsored the annual Professional Nurse Advancement and
Recognition Program Dinner at Traditions at the Glen:
• 103 nurses successfully submitted PNARP portfolios;
• 43 nurses earned baccalaureate and advanced degrees;
• 25 nurses were nominated as honored nurses;
• 5 Nurses were selected as 2014 Lourdes Honored Nurses.
• Developed and implemented a PowerPoint self-study
module and learner checklist to facilitate education about
submitting a PNARP portfolio.
• Revised sections of the PNARP packet to reflect changes in
the performance evaluation process.
• Facilitated highlighting different nursing committees in
the Nursing Shadow Box on the Ground Floor to promote
awareness of committee accomplishments.
• Participated in nursing recruitment and retention activities
(e.g. Annual Graduate Nurse Recruitment Dinner).
Patient Excellence Team
Chair – Patricia Kuruc, RN;
Co-chair – Nicole Dziedzic, RN
• Improved communication through committee members
sharing their RN Satisfaction Action Plans.
• Initiated having a Wound Care/Ostomy nurse attend
each meeting to provide skin assessment/pressure ulcer
prevention tips.
• Added a representative from Food & Nutrition Services to
the committee so any concerns from UPC chairs could be
quickly addressed.
• Exchanged ideas about how to invigorate unit practice
councils and communicate information at monthly meetings.
Structural Empowerment
15
Advancing Education
Master of Science in Nursing,
Master of Science, Nursing,
American Sentinel University
Keuka College
Lourdes associates are strongly
encouraged and supported to
advance their education to complete
baccalaureate, masters and doctoral
degrees. The following completed degree
requirements in fiscal year 2014.
• Kara Hines, MSN, RN
• Karen Roeske, MSN, RNC-OB
• Sarah Creery, MS, RN
• Cindy Felice-Glowacki, MS, RN
• Julie Richards, MS, RN, CCM
Bachelor of Science, Nursing,
Binghamton University
• Erin Paul, BS, RN
• Leslie Regan, BS, RN
• Nelya Yevtukh, BS, RN
Bachelor of Science,
SUNY Empire State College
• Jo Ann Moore, BS, Community and
Human Services
• Careef Solomon, BSN, RN-BC
Bachelor of Science,
Master of Science, Nursing,
Binghamton University
Master of Science in Nursing,
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Mansfield University
Olga Alentyev, MS, RN
Sergey Alentyev, MS, RN
Melissa Bak, MS, RN
Alexandra Bechy, MS, RN-BC
Heather Brown, MS, RN
Colleen Cameron, MS, RN
Diana Carney, MS, RN
Janine Ii, MS, RN
Rachel Kimani, MS, RN
Rachel Laufersweiler, MS, RN
Kelly J. Swartz, MS, RN, CEN
Jodi Villanti, MS, RN
Christen Waddell, MS, RN
Courtney Wendelewski, MS, RN
• Elisabeth Evans, MSN, RN, ONC®
• Linda Stark, MSN, RN, ONC®
Master of Science, Management,
Spring Arbor University
• Toni Lehr, MS, RN, COHN-S, CCM
Doctor of Nursing Practice,
Binghamton University
• Marita Florini, DNP, FNP-BC
Doctor of Philosophy,
Walden University
• Diane Brooks, PhD
Nursing, Keuka College
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Betty Boarman, BS, RN
April Bobik, BS, RN, CNOR®
Tiffany Brady, BS, RN
Heidi Dieck, BS, RN, CCRN®
Megan Fontaine, BS, RN
Barbara Hogan, BS, RN
Stacey Hooper, BS, RN, CHPC
Susan Lent, BS, RN, CRN
Melissa Martin, BS, RN
Brianna Pompey, BS, RNC-OB
Stacie Schoch, BS, RN
Gretchen Shortsleeve, BS, RN
Louisa Starley, BS, RN, CNOR®
Charlene Vandermark, BS, RN-BC
Heather Waugh, BS, RN
Bachelor of Science, Nursing,
Roberts Wesleyan College
• Jill Hardy-Hettig, BS, RN-BC
Kristen Marsh, RN & Mary Jo Skiba, RN, CIC®
16 Nursing Annual Report 2014
Certification
Certification signifies achievement of a
standard of excellence. Certified nurses
are committed to lifelong learning, meet
rigorous national standards, and are role
models for professional accountability.
For Fiscal Year 2014, 42.1% of all eligible
nurses were board certified and 41.5%
of eligible clinical nurses were board
certified.
AACNCC: Critical Care Nurse (CCRN®)
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Meredith Aaron
Heidi Dieck
Nora Gaige
Susan Lewis
Jason Mahler
Evette Schulte
Alison Small
Dawn Stockberger
Catherine Walburger
AACNCC: Progressive Care Certified
Nurse (PCCN®)
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Denise Cedeno
Rodney Frost
Marilyn Jordan
Linda Lake
Audrey Lawton
Sung Min (Sophia) Park
Michael Rano
Carol Zander
AANPCP: Family Nurse Practitioner
(NP-C)
• Maria Berry; also BENA: Certified
Emergency Nurse (CEN®)
• Tayyebeh-nahid Borogerdi
• Erin Duff; also NCC: Inpatient
Obstetric Nursing
• Dalia Gearhart
• Arnice Jackson
• Trichelle Kirchner
• Erica Mash
Brittany Waldron, MOA, Rachel Devine, RN, Jared Pado, RN and Davida Sulzynski, LPN
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Carly McKillop
Jengi Reilly
Kara Roberts
Cherie Rossman
Kimberly Schmitkons
ABCGNA: Gastroenterology Nurse
ABPNC: Certified Peri-Anesthesia
Nurse (CPAN®)
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Carol Hastings
Carol Heikkila
Sarah Shepard
Leah Roberson
(CGRN®)
ABTC: Certified Procurement
• Kathleen Rinde
• Bridget Zimmer
Transplant Coordinator (CPTC)
ABOHN: Certified Occupational Health
AHNCB: Advanced Holistic Nurse
Nurse Specialist (COHN-S)
(AHN-BC)
• Lois Jura
• Toni Lehr, also CCMC: Certified Case
Manager
• Cathleen Taylen
ABPNC: Certified Ambulatory
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Peri-Anesthesia Nurse (CAPA®)
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Mary Ellen Epe
Debra Garges
Julianne Lowrie
Danielle Mahoney-Brown
Francine Naro
Lise Soltis
Patricia Wager
• Michael Garlough
ANCC: Ambulatory Care Nursing
(RN-BC)
Kathaline Anthony
Carmen Francavilla
Jill Hardy-Hettig
Susan Kopcik
Janet Krcha
Robin Mosher
Jacqueline Pelicci
Kelly Quick
Sue Spink
Elizabeth Tompkins
Structural Empowerment
17
• Charlene Vandermark
• Ann Weber
ANCC: Cardiac Vascular Nurse (RN-BC)
• Lynn Ahsmann
• Sarah Batschelet
• Michelle Symons
ANCC: Gerontological Nurse (RN-BC)
• Rita Bergevin; WOCNCB: Also
Wound, Ostomy Continence Nurse
• Pam Conrad
• Lois Diffendale
• Mary Fitzgerald
• Linda Thomas, also ANCC: MedicalSurgical Nurse
ANCC: Medical-Surgical Registered
Nurse (RN-BC)
• Diane Adams, also ANCC:
Ambulatory Care Nurse
• Gail Arcangeli
• Alexandra Bechy
• Cheryl Griffith
• Susan Huffcut, also ANCC:
Gerontological Nurse
• Svetlana Ilchishin
• Sheila Jennings
• Karen Lerwick
• Diana Lukasiewicz
• Christy McGraw
• Tracy Niles
• Sue Pearce
• Careef Solomon
• Carol Sopinski
• Tiffany Talbut
• April Vining-McDonald
ANCC: Nurse Executive (NE-BC)
• Carol Curran
• Caryl Ann Mannino; also ONCC:
Oncology Certified Nurse
ANCC: Nurse Executive, Advanced
(NEA-BC)
• Linda Miller
• Cheryl Orzel-Teris
18 Nursing Annual Report 2014
Colleen Gelatt, RN, BS
ANCC: Nurse Practitioner Adult
(ANP-BC)
• Sister Hermenegilde Naluyima
• Kathleen Olbrys
• Mary Shaller, also NBCHN: Certified
Hospice & Palliative Care Nurse
• Jo Straneva
ANCC: Nurse Practitioner Family
(FNP-BC)
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Doreen Aleccia
Teresa Antalek
Brandy Benjamin
Jonathan Briggs
Erica Burkert
Karen Cerinetti
Eleanor Conroy
Brett Dietzman
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Marita Florini
Jeannette Hadwin
Kay Hooper
Doris Hughes, also ANCC: Nurse
Practitioner Advanced Diabetes
Management
Linda Jowett
Marjorie Langevin
Samantha Lewis
Lynne Miller
Michelle Nulton
Elizabeth Romeo
Catherine Slocum; also NCCA:
Wound Care Certified
Kelly Storrs
Michele Talerico
Linda Tuyn
• Lynn Verduin, also School Nurse
• Karen Whelan
• Marlene Whitbeck
ANCC: Nurse Practitioner
Gerontological
• Maria Panlilio-Ortiz
ASHRM: Certified Professional
CCI: Certified Nurse Operating Room
(CNOR )
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(CPHRM)
• Celia Kane
BENA: Certified Emergency Nurse
(CEN®)
• Lydia Adams, also BCEN/PNCB:
Certified Pediatric Emergency Nurse
• Amy Allen
• Joan Antol
• Daniel Babcock
• Shahzaad Bamasi
• Rita Bechtel
• Laura Cleveland
• Theresa Fleming
• Alyson Griffiths, also BCEN/PNCB:
Certified Pediatric Emergency Nurse
• Bryon Hertzog, also RNCB: Certified
Radiology Nurse
• Rachel Kimani
• Joseph Malenda
• W.E. Charlene Ng
• Sharon Pearce
• Regina Pufky, also ANCC: MedicalSurgical Nurse
• Martha Reid, also BCEN/PNCB:
Certified Pediatric Emergency Nurse
• Sandra Stoeckel
• Kelly Swartz
• Mary Beth Tierney-Simmons
• Jan Townsend
• Rosanne West
CBICE, Inc.: Certified in Infection
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Ann Binkiewicz
April Bobik
Paula Doheny
Jena Guthrie
Renee Hausser
Barbara Hocking, also AONE:
Certified in Executive Nursing
Practice; HQCB: Certified
Professional in Healthcare Quality;
ACHE: Certified Healthcare Executive
Judy Kitchin
Deborah Mican
Kelly Murtha
Jena Muserallo
Joann Peterson
Becky Quick
R. Scott Ross
Anna Ruegner
Louisa Starley
Heidi Sura
CCMC: Certified Case Manager (CCM®)
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Deborah Blakeney
Ann Dalton
Julie Richards
Lois Shaffer
Margaret Stackhouse
Maryellen Surace
Lori Travers
HQCB: Certified Professional in Health
Care Quality (CPHQ)
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Mary Guilfoyle
Stacey Hooper
Emily Post
Rebecca Sherman-Quick, also ONCC:
Oncology Nurse Certified
• Susan Weingartner
• Alana Whitney
NCBDE: Certified Diabetes Educator
(CDE)
• Mary Berube
• Laura Smith, also ANCC: Advanced
Diabetes Manager
NCC: Inpatient Obstetric Nursing
(RNC-OB)
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Barbara Bilbrey
Stephanie Evans
Dacia Freer
Pauline Greenblott
Cindy Osborne
Suzanne Parsons
Brianna Pompey
Karen Roeske
Tiffany Strohl
Jennifer Wright
NCC: Maternal Newborn Nursing
(RNC-MNN)
• Tracy Miller; also AANPC: Family
Nurse Practitioner
• Joyce Rhodes-Keefe
• Miriam Stoeckel
• Lisa Vroman
• Jill Patak; also CBIC: Infection
Control (CIC®)
• Mary Roney
NCC: Women’s Health Care Nurse
IBLCE: International Board Certified
OASIS Certificate and Competency
Lactation Consultant (IBCLC)
Board, Inc. (COS-C)
• Laura Walker, also NCC : Low Risk
Newborn
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Control (CIC®)
NBCHPN: Certified Hospice and
• Mary Jo Skiba
Palliative Nurse (CHPN®)
Practitioner (WHNP-BC)
• Melody Best
Rebecca Dorwart
Nancy Eichler
Deborah Palmer
Susan Singer
• Maureen Donahue
Structural Empowerment
19
ONCB: Orthopedic Nurse Certified
ONCC: Certified Breast Care Nurse
Certificates
(ONC )
(CBCN )
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• Edwina Baxter
• Wendy Brennan
• Jo Ann Ernst; also ANCC: Nurse
Practitioner Family
• Susan Nystrom-Wilcox
• Julann Ashman – Certificate of Added
Qualification – Radiation Therapy
Nursing
• Lisa Darpino – Life Guard
• Cindy Davis – Anticoagulation
• Emily DeBrita – Electronic Fetal
Monitoring
• Carmen Francavilla – Anticoagulation
• Kim Garey – Certified Nurse
Executive
• Pauline Greenblott – Electronic Fetal
Monitoring
• Stacie Hansen – Anticoagulation
• Sara “Beth” Hickey – Six Sigma Black
Belt
• Susan Kopcik – Anticoagulation
• Mary Mancini – Patient Navigation
• Erica Mash – Forensic Nurse
• Kathleen Olbrys – Colposcopist
• Cindy Osborne – Electronic Fetal
Monitoring
• Jill Patak – Six Sigma Black Belt
• Becky Quick – Six Sigma Black Belt
• Kelly Quick – MiniMed Paradigm®
REAL-Time Revel Insulin Pump
• Kimberly Slavetskas – Anticoagulation
• Alison Small – Electronic Fetal
Monitoring
• Sue Spink – Six Sigma Black Belt
• Doris Tigue – Childbirth Educator
• Elizabeth Tompkins – Anticoagulation
• Irina Yurkova – Anticoagulation
®
Patricia Bloodgood
Lorrie Elmy
Elisabeth Evans
Tina Jayne
Rudolph Rozboril
Cynthia Sargent Karis
Linda Stark
Florence Wilson
ONCC: Oncology Certified Nurse
(OCN®)
• Julann Ashman
• Susan Crawford
• Alice Irons; also NBCHPN®: Hospice
& Palliative Care Nurse
• Joy Irons
• Christina Knezevich
• Patricia McElroy
• Elizabeth Norris
• Kathleen Talbot, also NBCHPN:
Certified Hospice and Palliative Nurse
®
PNCB: Certified Pediatric Nurse (CPN®)
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Deborah Eschenburg
Heather Kirchheimer
Laura Kraemer
Susan Wilber
RNCB: Certified Radiology Nurse
(CRN)
• Sarah Dougherty
• Coralee Keefe
• Susan Lent
WOCNCB: Certified Wound, Ostomy,
Continence Nurse (CWOCN®)
• Karen Browne, also WOCNCB:
Certified Foot Care Nurse
• Theresa Goodenough
Courtney Wendelewski, MS, RN, Susan Crawford, BSN, OCN®, and
Paula McIntyre, RN
20 Nursing Annual Report 2014
Professional Nurse Advancement &
Recognition Program
The Professional Nurse Advancement and Recognition
Program celebrates professional nurses’ distinguished
service and accomplishments above and beyond their job
expectations in one of four categories: Proficient, Experienced,
Accomplished or Expert. RNs who submit their portfolios must
have direct patient care responsibilities for 50% or greater of
their scheduled shift/day. Proficient
Experienced
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Dan Babcock
Christopher Bubny
Laura Cleveland
Maureen Donahue
Lorrie Elmy
Mary Ellen Epe
JoAnn Ernst
Cindy Felice-Glowacki
Debra Garges
Pauline Greenblott
Jill Hardy-Hettig
Carol Hastings
Carol Heikkila
Laura Kraemer
Audrey Lawton
Fran Naro
Michael Rano
Leah Roberson
Margaret Stackhouse
Heidi Sura
Maryellen Surace
Michelle Symons
Kathleen Talbot
Lori Travers
April Vining
Ann Weber
Karen Whalen
Alana Whitney
Florence Wilson
Lydia Adams
Amy Allen
Kathaline Anthony
Julann Ashman
Rebecca Bacon
Rita Bechtel
Alexandra Bechy
April Bobik
Nahid Borogerdi
Daniella Borrelli
Erica Burkert
Colleen Cameron
Denise Cedeno
Erin Duff
Nora Gaige
Yelena Galkin
Caylynn Gilbert
Jeanette Hadwin
Renee Hausser
Sara “Beth” Hickey
Kara Roberts
Kay Hooper
Svetlana Ilchishin
Joy Irons
Coralee Keefe
Sarah Lacey
Marjorie Langevin
Susan Lent
Karen Lerwick
Samantha Lewis
Julie Lowrie
Jesslinette Pagan, MOA and Amy Sisson, LPN
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Sergii Maistruk
Stephanie Malchak
Rachel Malmberg
Melissa Martin
Erica Mash
Christy McGraw
Jena Muserallo
Christopher Newell
W.E. Charlene Ng
Jacqueline Pelicci
Kelly Quick
Kathleen Rinde
Kim Schmitkons
Stacie Schoch
Rebecca Sherman-Quick
Gretchen Shortsleeve
Amy Shumsky
Careef Solomon
Carol Sopinski
Miriam Stoeckel
Tiffany Talbut
Linda Thomas
Elizabeth Tompkins
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Aisling Toolan
Charlene Vandermark
Jodi Villanti
Catherine Walburger
Amie Wales
Laura Walker
Heather Waugh
Susan Wilber
Cherie Wooden
Bridget Zimmer
Accomplished
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Elisabeth Evans
Cheryl Griffiths
Aubrey Guiton
Susan Lewis
Elizabeth Norris
Lisa Vroman
Expert
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Kathleen Olbrys
Sueann Pearce
Becky Quick
Laura Smith
Structural Empowerment
21
Additional Recognition
distinguished
service /
accomplishments
Wayne Mitteer, MS, RN
Deborah Blakeney,
MS, BSN, RN, CCM
Rochelle Eggleton,
MBA, BS, RN
Kathleen Flanders, RN
Cheryl Orzel-Teris, MS, RN,
NEA-BC, FABC
Karen Roeske,
MSN, RNC-OB
Susan Spink, RN-BC
• Deborah Blakeney, MS, BSN, RN, CCM – 2014 Broome
Leadership Institute Graduate
• Kathleen Flanders, RN, – 2014 Award for 17 years of
dedicated leadership, the Annual John Burns Teaching Day
• Rochelle Eggleton, MBA, BS, RN – 2014 Certificate of
Achievement for IS 800 Training in FEMA Emergency
Preparedness
• Marita Florini, DNP, FNP-BC – Binghamton University
Faculty Award for Excellence as a Doctor of Nursing Practice
Student
• Margaret Hust (not pictured) – UHS Spirit of Caring Award;
nominated by SUNY Broome nursing faculty; 5/21/14.
22 Nursing Annual Report 2014
Marita Florini,
DNP, FNP-BC
• Wayne Mitteer, MS, RN – 2013 Advocate Award from the
Mothers & Babies Perinatal Network
• Cheryl Orzel-Teris, MS, RN, NEA-BC, FABC – 2013 Fellow,
The Advisory Board Company
• Karen Roeske, MSN, RNC-OB – International Institute for
the Advancement of Medicine, Support of Donor Family
Award; 6/24/14
• Susan Spink, RN-BC; 2014 Professional Nurse Association of
South Central New York Honored Nurse for Leadership
E
Exemplary
Professional
Practice
xemplary professional
practice is achieved through
interprofessional collaboration,
quality monitoring and
improvement, ensuring a culture
of safety, integration of care delivery systems
within the Professional Practice Model,
autonomous nursing practice and workplace
advocacy. At all levels, nurses analyze data and
benchmark outcomes. Decisions that affect
patient care, improve the work environment,
and improve efficiency often are made by the
Unit-based Practice Councils.
Unit-based Practice Council (UPC)
Accomplishments
2 West/Nursery
Chair – Theresa Cornwell, RN
1 Medical
Chair – Nicole Dziedzic, RN
• Made tee shirts to promote staff unity. Staff really enjoyed
the shirts and we have been asked to make sweatshirts.
• Created a task list to make sure that each part of our unit is
being inspected and that we are not duplicating requests to
the maintenance department.
• Reduced patient falls. A patient care technician makes “fall
bags” which include ruby red slippers, a fall bracelet and
signs for the wall. When a patient is at risk to fall, a nurse
can grab the bag to save time rather than hunting and
gathering all supplies needed.
• Proposed implementing Family Centered Recovery Care
(recovering newborn with mother in the Recovery Room
after uncomplicated C-section).
• Proposed 12 hour shifts during holidays to decrease total
number of nurses needed.
• Requested cordless phone at the nurses station for ease of
communication with physicians when nurses are working
on center island lap tops.
3 Medical
Chair – Jessica Scarfone, RN
• Created “Getting to Know You” sheets to be used with
forgetful or dementia patients.
• Designated a communication spot in break rooms for
posting the Committee Corner and information from UPC
meetings.
• Implemented Green Folders to be given to patients at the
start of a shift with medication sheets and side effects of
exemplary professional practice
23
medications on one side and a blank sheet on the other side
to keep track of questions for the physician.
• Developed a list for dietary aids to communicate what they
are expected to do.
• Recognized staff members with a Certificate of Appreciation;
staff member is chosen by the UPC.
Breast Care Center
Chair – Jo Straneva, DNS, ANP-BC
Through interdisciplinary teamwork and support:
• Successfully completed the National Accreditation Program
for Breast Centers.
• Implemented the electronic health record.
• Expanded the scope of advanced nursing practice within our
unit by welcoming a master’s prepared Nurse Practitioner
specializing in women’s health.
• To improve patient care, restructured our clinical staffing
model of care to free nurses from performing non-nursing
activities, changed the skill mix in the clinical arena,
streamlined service delivery processes, and allowed greater
opportunities for professional nurse development.
• Achieved 100% certification of nurses as Breast Care Specialists.
• Re-instituted patient satisfaction surveys.
• Gave patients following recovery from breast cancer surgery
hand-crafted ceramic cups created by “The Heart of NY
Porcelain Artists Club” as a memento.
Cardiac Rehabilitation
Chair – Lynn Ahsmann, RN-BC
• Developed, revised, and implemented a new patient
treatment plan.
• Submitted documentation for American Association of
Cardiovascular and Pulmonary Rehabilitation (AACVPR)
recertification.
• Developed AACVPR core competencies and initiated
implementation.
• Received approval for Medicare coverage of CHF patient
rehabilitation services.
Care Management/Continuum of Care
Chair – Mary Lou Pellerin, LPN
• Implemented a communication board in the office.
• Changed the process for admission verification to eliminate
paper orders.
• Initiated process to eliminate redundant paperwork.
24 Nursing Annual Report 2014
Julianne Lowrie, RN, CAPA® and Lisa Gorman, RN
Diagnostic Imaging
Chair – Sarah Dougherty, CRN
• Participated in compiling a medication information book for
Special Procedures.
• Initiated the “Buddy System” for Special Procedures staffing
as an outcome of a Lean Six Sigma project.
Emergency Department
Chair – Martha Reid, RN, CEN, CPEN
• Spear-headed the initiative to change the color of patient
alert bands to standardized colors used throughout the
United States.
• Created a credentialing checklist and competency for triage
RNs.
• Worked to promote the patient experience.
• Collaborated with Diagnostic Imaging and Information
Technology to facilitate and improve communication from
the ED about patients’ isolation status.
GI Lab
Chair – Kathleen Rinde, CGRN
• Changed the pool policy to provide for late coverage to
improve nurse satisfaction.
• Improved patient safety by monitoring patients longer in
recovery and using gait belts during patient ambulation to
reduce falls.
Hospice & LTHHCP
Chair – Mary Guilfoyle, RN, CHPCN
• Arranged inservice by physical therapy staff from Lourdes At
Home for all Hospice disciplines to focus on safe transfers,
lifting and body mechanics.
• Provided two afternoon teaching sessions for Hospice RNs
including admissions, nursing home care and care planning.
• Initiated cross training with Lourdes At Home staff to
provide assistance with patient care visits.
ICU
Chair – Caroline Fasanelli, RN
• Hosted forums during the year concerning “hot topics”
which affect client and clinician satisfaction. During these
forums all staff is invited to brainstorm possible solutions
and help put interventions in place.
Operating Room
Chair – Renee Hausser, RN, CNOR®
• Implemented a new weekend call process trial.
• Developed a plan to relieve staff members from their rooms
to attend Learning Lunches on a rotating basis.
• Offered assistance to each nurse for developing their PNARP
portfolio.
• Created a Welcome Package (clipboards, pens, pen lights,
snacks, highlighters, etc.) for new graduate nurses to help
them feel welcome and prepared for orientation to our unit.
• Implemented ICU/PCU cross-training of nurses to increase
clinical skills and knowledge in addition to providing
coverage when staffing issues arise.
• Implemented an associate of the month award to reward
those on our unit who go above and beyond the call of duty.
• Created a nursing communication board in the break room.
• Initiated collaboration with the Vice President of Medical
Affairs/CMO and hospitalists to improve communication
among nurses, hospitalists, and intensivists.
Pre-Admission Testing
Lourdes At Home
deMarillac
Chair – Melissa Martin, RN
• Based on Lean Six Sigma recommendations, collaborated
with the ASU Nurse Manager to implement Nurse Driven
Protocols when orders are not received from physicians’
offices.
• Improved patient flow by having testing performed in a
separate room.
• Developed a quick reference guide with screen shots for
pool staff.
Primary Care Network
Chair – Gene Werner, RN/Sharon Lewis, RN
Chair – Clorissa Weidow, RN
• Streamlined the process for giving report via secure message
rather than in several different venues which was confusing
and redundant, enabling all clinicians to have access to the
report.
• Initiated a safety tip and buzzword board, to help make
clients safer in their homes, which all clinicians can read
while entering and exiting the building. This information is
relayed via e-mail as reinforcement.
• Re-activated the ABCD Award (private parking space close
to the office) in which one associate is elected by his/her
peers for going above and beyond the call of duty for their
clients.
• Started “Awesome Associates” for which there are several
postings to acknowledge the great things that clinicians are
doing for their clients and each other including bright light
awards, positive customer comments and positive associate
comments about their peers.
• Collaborated to change the pre-assessment schedule based
on changes implemented by providers.
• Studied whether the clinic should change its location by
holding a clinic day in the proposed new location.
• Devised a process to facilitate completion of disability forms
and insurance authorizations.
dePaul Pediatrics
Chair – Jeanette Hadwin, FNP-BC
• Completed set-up for on site rapid flu testing this fall.
• Rearranged our office to provide 4 new exam rooms to
accommodate our new nurse practitioner.
• Set up a system to track time from check-in to provider
entering exam room to enhance patient flow and
satisfaction.
exemplary professional practice
25
Dermatology
PCA – Endicott
Chair – Lisa Hayes, RN
Chair – Elizabeth Broderick, RN
• Implemented use of a white board to designate assignments
on a daily basis to aid in communication.
• Implemented an ordering process to alleviate overflow of
supplies while ensuring supplies are not depleted.
• Created a flexible scheduling grid to help ensure proper
coverage in the office and reduce staff overtime.
• Developed an education/communication board in the break
room to ensure proper dissemination of information.
• Implemented a green initiative-TerraCycle; established
collection bins for dairy tubs, writing instruments, toner and
ink cartridges and snack bags.
• Sent out interoffice calendar monthly to recognize associate
birthdays, meetings, holidays and special events.
• Created a communication board and book.
Endocrinology
• Achieved cost savings by implementing Local Medical
Review Policy (LMRP) procedures.
• Implemented instant messaging communication, resulting
in decreased overhead paging, fewer inter-office phone calls,
and improved communication among other offices, staff and
the Call Center.
• Changed fax machines which enabled monitoring of
confirmation of faxed material to save time and reduce the
need for re-faxing.
Chair – Aaron Smith, LPN
• Created two nursing teams to improve patient flow and
provider satisfaction. The nursing staff within each team is
responsible for managing patient flow within the team.
• Implemented Express Patient Checkout for patients who do
not need diagnostic imaging or other services.
• Implemented an Electronic Medical Record.
Hancock
Chair – Ann Weber, RN-BC
• Developed a “tag” system to flag charts of patients whose
“Transitional Care Management” calls have been completed.
This allows for providers to see at a glance which patients
have gone through the process of Care Calls.
• Initiated daily huddles for all associates to touch base in the
morning to coordinate specific duties.
• Due to patient volume, moved the medication room to
another area of the clinic, thus allowing creation of a 6th
examination room.
• Coordinated Community Health Month which included a
5K race for Fighting Melanoma “One Mile at a Time.”
• Participated in a Community Health Fair to promote
wellness.
• Participated in Bowling and Golf Tournaments to promote
fitness in the community.
NTC-Richford
Chair – Peggy Petersen, LPN
• Implemented a daily 5 minute huddle to discuss any
concerns or outstanding issues.
• Improved office communication.
26 Nursing Annual Report 2014
PCA – Robinson Street
Chair – Susie Decker, RN
Upper Front Street
Chair – Laura Tiffany, LPN
• Implemented informing patients about turn-around time for
paperwork when it is dropped off at the office.
• Implemented a new procedure to ensure that specimens are
labeled.
Vestal Primary Care – Family Medicine
Chair – Melissa Joyce, RN
• Implemented a process to ensure that physical therapy and
ultrasound electronic orders are scheduled and not missed.
• Implemented a process for the Call Center to notify nursing
when a nurse visit is requested so that the nurse can obtain
necessary orders prior to patients coming in, and assigned
one nurse to scan the scheduled list of nurse visits for the
next day to be sure all orders are in place.
• Changed lunch assignment to provide for nurse coverage at
all times.
Vestal Primary Care – Internal Medicine
Chair – Rachel Devine, RN
• Developed a plan to facilitate knowing with whom we can
share information when a family member calls about a
patient.
• Implemented Local Medical Review Policy (LMRP)
procedures to ensure that patients with Medicare have a
smooth experience and there are no delays. This has also
been very successful in decreasing calls regarding failing
codes.
• Planned and hosted an event to educate patients about
the services of the Lourdes Coumadin Clinic. We offered
refreshments, tours of the clinic at our site and gave out
educational material.
• Based on a patient’s suggestion, implemented dressing
assistance by providing shoehorns in the men’s changing
rooms.
• Adopted “Bonnie Box’s” to provide a gift to our cancer
patients. The Box includes small gifts of chemotherapy hats,
soft socks, doodle pads, snacks, and a stuffed animal for
emotional and psychosocial support.
Whitney Point
•
•
•
•
Seton 1 Telemetry
Chair – Megan Bilek, RN/Christen Waddell, RN
Chair – Sandra Hayes, RN
• Continued team building by promoting Lourdes/Lourdes
Whitney Point while engaging in community functions.
• Continued to foster communication by encouraging staff to
ask for help when needed.
Radiation Oncology
Chair – Julann Ashman, RN, OCN®
• Implemented nurse medical record review for all new
patients the day before they come in for consultation to
ensure that the most current pathology report, physician’s
note and referral information are present.
Restarted UPC and engaged more staff in unit affairs.
Incorporated 12 hour shifts per staff request.
Created welcome gifts for new staff.
Started monthly staff get-togethers outside of work.
Seton 2
Chair – Patricia Kuruc, RN
• Developed and implemented a Technician Retraining
program.
• Implemented “RN/Technician light usage.” When a patient
activates the call bell system, the person answering the call
can activate a light to indicate whether an RN or Technician
is needed. The RN light is green and the Technician light is
orange. A staff member must physically go into the room to
shut off the light. If the light has not been shut off, the call
bell rings again in 5 minutes.
Seton 3
Chair – Cynthia McDonald, RN
• Created a system to document the use of cardiac monitors,
including when a patient is placed on a monitor and when
the monitor is removed, to avoid loss.
• Developed and administered a questionnaire for patients
to learn what could be done better to improve the patient
experience.
• Created a laminated patient education tool regarding
medication side effects which is placed on patients’ over-bed
tables by Environmental Services when the room is cleaned.
Volunteers help to ensure that each room has a tool.
Cecelia Hardy, RN and Connie Vail LPN
exemplary professional practice
27
Transformational Leadership
T
ransformational leadership means leading
individuals where they need to be. Nurses at
all levels advocate for patients, families, and
staff. Lourdes nurses are engaged in a variety
of roles in the community and at local, district,
state and national organizations. Their services are widely
acknowledged. Service to the community is a high priority.
Leadership Activities
Roles in the Community
• Eve Allan – Church School Vice President
• Barbara Anderson – Parish Nurse
• Fran Anderson – SUNY Broome Advisory Board; BOCES
Health Occupations Advisory Board
• Beth Atkinson – PTA Volunteer
• Daniel Babcock – Firefighter/Paramedic
• Rebecca Bacon – Crime Victims Assistance Center Victim
Advocate
• Barbara Balaci – Southern Tier Breast Feeding Coalition
• Edwina Baxter – Vestal High School Marching Band Medical
Chaperone; Volunteer for CPR/AED care during church
activities
• Rita Bechtel – Parish Nurse; Danielle House Volunteer
• Cady Beckwith – Paramedic
• Julie Bennett – Blue Ridge Parent Counsel Member
28 Nursing Annual Report 2014
• Rita Bergevin – Eucharistic Minister
• Maria Berry – REMAC; Susquehanna Regional Committee;
SAFE Committee; Family Violence and Prevention
Council; SART Team; Broome Country Child Advocacy
Administration Committee; Binghamton University System
Review Team; Mental Health/Community Response; Child
Abuse Case Review Team
• Barbara Bilbrey – New York State Certified Field Hockey
Official
• Deborah Blakeney – Broome County Aging Futures
Partnership
• Megan Boeltz – Volunteer EMT
• Andrea Bonnell – Cub Scout Leader
• Tiffany Brady – Hillcrest Fire Department Volunteer
• Jonathan Briggs – Decker School of Nursing, Binghamton
University, Dean’s Advisory Council; Samaritan Counseling
Kim Oakley, LPN, Melissa Joyce, RN and Beth Atkinson, LPN
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Center, Endicott, New York, Board Member; University
Human Subjects Research Review Committee, Binghamton
University; University Task Force on Teaching, Binghamton
University
Ellen Burns – Broome County Health Dept. Mission
Meltaway Facilitator; Parish Nurse; Binghamton University
EAP Board, Danielle House Volunteer
Stacie Buzzetti-Angrove – SANE Committee Member
Michael Butts – 4-H Volunteer/Leader
Carol Cantor – Meals on Wheels Volunteer
Stephanie Casimir – Royal Rangers Troop 315 Den Leader
Kasey Chobot – Boy Scouts of America Adult Partner
Marjorie Cinti – Vestal School District Volunteer
James Clarke – American Red Cross Instructor
Maureen Crook – Blood pressure screening Volunteer at
VFW and American Legion
Helene Croucher – Girl Scout Troop #47 Leader
Carol Curran – Greek Peak Adaptive Ski Program Volunteer
Ann Dalton – Church School Teacher
Lisa Darpino – Boy Scout Leader
Mary Deraco – Local grade school Volunteer
Lori Derrick – Greek Peak Adaptive Ski Program Volunteer
Rochelle Eggleton – Home Care Association of NYS LongTerm Home Health Care Program Co-chair; Home Care
Association of NYS Home Care Workgroup Revision in the
Episodic Pricing Methodology
• Mary Lynn Deus – Eucharistic Minister
• Shirley Elliott – Blood pressure screening Volunteer at
Whitney Point Community Center
• Mary Ellen Epe – Parish Nurse; Eucharistic Minister
• Elisabeth Evans – Parish Nurse
• Katherine Foster – New Life Ministries Volunteer
• Mary Ellen Gaudet – Parish Nurse
• Mary Giblin – Health Department Free Clinic Volunteer
• Terry Gillen – Nursing Home Volunteer; Team Nurse for
son’s baseball team
• Theresa Goodenough – Bible Camp Volunteer
• Jody Gould – Sunday School Teacher
• Pauline Greenblott – Central New York March of Dimes
Volunteer; Vestal Youth Lacrosse Volunteer
• Jeannette Hadwin – Family Enrichment Advisory
Committee
• Stacie Hansen – Red Cross Volunteer
• Karen Hart – Greek Peak Adaptive Sports Program
Volunteer
• Carol Heikkila – Parish Nurse
• Sara “Beth” Hickey – Greek Peak Skiing for the Disabled
Volunteer
• Deborah Hicks – Hospice Alliance Board of Directors;
Southern Tier End of Life Coalition; Lourdes At Home
Professional Advisory Board
• Kay Hooper – Southern Tier Independence Center Mental
Health Task Force, Special Interest Group—APNs; Broome
County Child Advocacy Center Medical Team
• Stacey Hooper – Twin Orchards Baptist Church Vacation
Bible School Nurse
• Margaret Hust – Southern Tier Alternative Therapies
Volunteer
• Janine II – Crime Victims Assistance Center Volunteer
• Melissa Joyce – Traci’s Hope booth at Senators hockey game
Cancer Awareness Night Volunteer
• Heather Kirchheimer – New York State Optometric
Association, Children’s Vision Coalition Board
• Janet Krcha – SUNY Broome MOA Program Advisory
Board
• Doris Kuenzli – Vestal Senior Center Volunteer
• Nancy Lainhart – Faith in Action Volunteer
• Linda Lake – American Heart Association Volunteer; Right
to Life Volunteer; St. Mary’s Church Volunteer
• Laurie Lane – Humane Society Volunteer
transformational leadership
29
• Marjorie Langevin – Broome Head Start Nutrition Advisory
Committee
• Toni Lehr – Broome Leadership Institute Alumni Board
• Samantha Lewis – Broome County Child Advocacy Center
Medical Team; Associate Minister, Salvation Temple Church
• Sharon Lewis – Now I Lay Me Down to Sleep (NILMDTS)
Program Participant
• Susan Lewis – Therapeutic Riding Instructor for the
Handicapped
• Katherine Loveland – NYSAEMT; West Corners Fire
Department Volunteer Firefighter
• Julianne Lowrie – Parish Nurse
• Lisa Mack – Parish Nurse
• Stephanie Malchak – Paramedic; ACLS/AMLS/PEPP/
GEMS/PALS Instructor
• Joseph Malenda – Parish Nurse; Volunteer Firefighter
• Caryl Ann Mannino – National Leukemia & Lymphoma
Society Volunteer
• Melissa Martin – Cub scout chairman
• Heather Massey – Arrowhead Bible Camp Volunteer
• Judy McCartney – Vestal Fire Department Auxiliary
Volunteer
• Scott McClain – Maine-Endwell Little League Assistant
Coach
• Nancy McGowan – STAP Board of Directors
• Jaymilee Mash – Community CPR and Defibrillation
Instructor
• Katherine Medovich – Rescue Mission – Lourdes Advisory
Board; ACT Meal Advisory Board; Mobilizing for Action
through Planning and Partnership (MAPP) Advisory
Council of Tioga County Health Department
• Scott McClain – Assistant Coach Maine-Endwell Little
League
• Linda Miller – Decker School of Nursing Advisory Council
• Wayne Mitteer – New York State Rural Health Council; New
York State Perinatal Association Board Member
• Barbara Ann Morrissey – Lung Cancer Awareness Group
Founding Member
• Penny Murrer – Harpursville Methodist Church Volunteer
• Kelly Murtha – Parish Nurse; Girl Scout Leader
• Francine Naro – Church Volunteer
• Deborah Nitto – Mercy House Volunteer
• Michelle Nulton – Pack 87 Boy Scout Den Leader
• Kim Oakley – Church Volunteer
30 Nursing Annual Report 2014
• Deborah O’Brien – Parish Nurse; Eucharistic Minister
• Kathleen Olbrys – Healthy Living Partnership, Broome
County Breast and Cervical Grant Program Member
• Jeannie Orzel – Local fire company Volunteer
• Deborah Palmer – Catholic School Board Member
• Jill Patak – APIC Chapter 118 Board of Directors
• Sister Marilyn Perkins – Southern Tier End of Life Coalition
Chair; National Supportive Care Board Member; Catholic
Charities Board Member
• Theresa Perna – Parish Nurse
• Margaret Petersen – Cholesterol Checks, September 2013
Potato Fest
• Emily Post – Local high school track & field meet Volunteer
• Regina Pufky – Parish Nurse
• Becky Quick – Soup Kitchen Volunteer
• Kara Roberts – EMT-B, Susquehanna Fire Department
• Patricia Robins – Parish Nurse
• Marissa Roe – Volunteer Firefighter; Volunteer EMT-Critical
Care Tech
• Susan Roessner – Parish Nurse; Broome County Catholic
Charities Board Member
• Lisa Rossi – Church Volunteer
• Leo Rowan – Rescue Mission Volunteer
Denise Wakula, RN and Cynthia French, MOA
• Laurie Saeman – Parents Against Drug Dealers Volunteer
• Carlos Sanchez – Army Reserves Nurse
• Nicole Shaffer – Broome County Fair Blood Pressure Check
Volunteer
• Jacqueline Shipose – Boy Scout Troop 89 Adult Leader; Cub
Scout Pack #90 Adult Leader
• Kyle Slatevskas – Owego Fire Department Volunteer
Firefighter
• Vicki Slavetskas – Hospice Advisory Board
• Catherine Slocum – Good Shepherd Communities
Pharmacy Committee
• Aaron Smith – Firefighter/Assistant Chief
• Laura Smith – American Diabetes Association Volunteer
• Lise Soltis – St. Mary’s Kirkwood Teen Leader
• Susan Spink – Faith in Action Volunteer
• Helen May Spohn – Parish Nurse
• Kathleen Stephenson – Southern Tier Earth Day Board
Chair
• Dawn Stockberger – RN Volunteer at church
• Sandra Stoeckel – Chenango Fire Company Firefighter
• Kelly Storrs – Girl Scout Leader
• Jo Straneva – Southern Tier Cancer Services Program
Consultant
• Josephine Sullivan – St. John School Cafeteria Volunteer
• Carol Swartz – Church Emergency Response Team
• Kelly Swartz – SAFE Examiner
• Michelle Thornton – Chenango Valley School District
Volunteer
• Linda Tuyn – Breast Care Center Cancer Support Group
Facilitator
• Cindi Vankuren – Union Center Fire Department Auxiliary
Volunteer
• Lynn Verduin – Northern Tioga Neighbors Network, Vice
President; Newark Valley CSD Drug Advisory Committee;
Networking Group for Neighbors Helping Neighbors
• Jodi Villanti – Danielle House Volunteer
• Lisa Vroman – Volunteer Medic Staff, Boy Scout National
Jamboree, West Virginia, 7/13
• Danielle Wagstaff – End of Life Coalition
• Jamie Walker – EMT Volunteer
• Laura Walker – Southern Tier Breastfeeding Coalition
member; Eucharistic Minister
• Ann Weber – 2014 Hancock Central School Staff
Development Day Volunteer
• William Weber – First aid trainer for Schenevus Cub / Boy
Scouts
• Corazon Webster – St. Vincent’s Blessed Sacrament Church
Food Pantry Volunteer
• Rosanne West – President and Assistant Commander - Silver
Lake Volunteer Fire and Ambulance
• Amy Widdall – Girl Scout Troop Leader
• Karen Worden – Tioga County Emergency Preparedness
Coalition
Leadership Roles in Professional Organizations
Participation in a professional nursing organization includes
getting involved as an officer, serving on a board, actively
working on a committee, or consistently attending meetings.
The following nurses serve in leadership roles in their
professional nursing organizations.
Association for Professionals in Infection Control and
Epidemiology (APIC)
• Jill Patak – Treasurer
Association of PeriOperative Registered Nurses (AORN)
• Judy Kitchin – Committee Member
Association of Women’s Health, Obstetric and Neonatal
Nurses (AWHONN)
• Pauline Greenblott – Committee Chair
Case Management Group of Upstate New York and
Northeast Pennsylvania
• Deborah Blakeney – Steering Committee Member
Emergency Nurses Association
• Amy Allen – President
• Martha Reid – Past President
• Rosanne West – Board Member
Finger Lakes Association of Occupational Health Nurses
• Lois Jura – Committee Chair
Professional Nurses Association of South Central New York
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Marjorie Cinti – Committee Chair
Caryl Ann Mannino – Committee Chair
Wayne Mitteer – Past President
Debbie Mican – Vice President
Cheryl Orzel-Teris – President
Vickie Slavetskas – Board Member
transformational leadership
31
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Kim Cook; Home Care Affinity Group
Lisa Darpino; Patient Safety Advisory Council
Rochelle Eggleton; Home Care Affinity Group
Theresa Goodenough; Interdisciplinary Clinical
Collaborative
Debra Hicks; Home Care Affinity Group
Caryl Ann Mannino; Cerner Clinical Program Advisory
Council; Interdisciplinary Clinical Collaborative; Clinical
Leadership Informatics Council
Kathryn Medovich; Home Care Affinity Group
Karen Roeske; Perinatal Safety Steering Committee
Kelly Storrs; Population Health Subcommittee of the Clinical
Integration Committee
Ascension Health Hospital Engagement Network –
Partnership for Patients
Jennifer Johnson, MSN Ed, RN, Bryon Hertzog, RN, CEN, CRN,
Linda Stark, MSN, RN, ONC®, and Susan Lent, BSN, RN, CRN
International Lactation Consultant Association
• Laura Walker – Committee Member
NYS Nurse Practitioner Association Susquehanna Chapter
• Kathleen Olbrys – Past President
NYS PeriAnesthesia Nurses Association District 9
• Carol Hastings – Vice President
NYS Southern Tier Chapter Oncology Nursing Society
• Caryl Ann Mannino – Committee Chair
Sigma Theta Tau, International, Zeta Iota Chapter
• Carol Curran – Treasurer
• Judy Kitchin – Committee Member
• Kathleen Olbrys –Committee Member
Participation on Ascension Health Committees
As part of Ascension Health, the largest Catholic healthcare
system in the United States, Lourdes nurses at all levels are
dedicated to the Call to Action: “Healthcare that works; healthcare
that is safe; and healthcare that leaves no one behind,” for life.
Ascension Health Committees
• Melody Best; Lourdes/Borgess CareNet Team
• Catherine Comeno; Cerner Clinical Program Advisory
Council; Clinical Leadership Informatics Council; Lourdes/
Borgess CareNet Team
32 Nursing Annual Report 2014
The Partnership for Patients is funded by the Centers for
Medicare and Medicaid Services (CMS) Innovation Center.
The purpose of this project is to “…help identify solutions
already working to reduce healthcare acquired conditions, and
… to spread the solutions to other hospitals and healthcare
providers.” (http://partnershipforpatients.cms.gov/about-thepartnership/aboutthepartnershipforpatients.html)
The following Lourdes nurses are engaged in the
Ascension Health Partnership for Patients initiative:
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Mary Jane Allen-Boss – Preventing Readmissions Champion
Debbie Blakeney – Preventing Readmissions Champion
April Bobik – Surgical Site Infection Champion
Marjorie Cinti – Surgical Site Infection Champion
Susan Fuchs – Injuries from Falls & Immobility Champion
Nora Gaige – CLABSI Champion
Mary Ellen Gaudet – VTE Champion
Stacy Gehm – Surgical Site Infection Content Expert
Linda Lake – CAUTI Champion
Debbie Mican – Hospital Engagement Network Leader
Cheryl Orzel-Teris – Pressure Ulcers Champion
Jill Patak – CLABSI Content Expert; VAP Content Expert
Karen Roeske – OB Adverse Events Champion
Cathy Slocum – Pressure Ulcers Content Expert
Sue Spink – Preventing Readmission Champion
Empirical Outcomes
E
mpirical Outcomes provide
objective data that answer
the questions, “Did we make
a difference?” or “Have
we improved?” Outcomes
demonstrate areas of achievement and
opportunities for improvement.
Nursing Goals
Figure 1. Baccalaureate or Higher Nursing Degree
Lourdes nurses consistently outperformed the 2014 goal for
achievement of a baccalaureate degree or higher in nursing.
Figure 2. Board Certification
Lourdes nurses outperformed the 2014 goal for certification of
all nurses.
BSN OR HIGHER
70
60
57.5
58.0
58.0
59.0
59.4
58.8
58.6
59.4
CERTIFICATION
61.0
42.5
42.4
40
42.4
42.3
30
PERCENT
PERCENT
50
20
10
0
42.3
42.2
42.1
42.1
42.1
42.0
OCT 13
DEC 13
ALL RNs
FEB 14
APR 14
JUN 14
41.9
GOAL
41.8
MAR 14
APR 14
ALL RNs
MAY 14
JUN 14
GOAL
empirical outcomes
33
For Fiscal Year 2014, nursing sensitive quality indicators were
measured and monitored for all inpatient units.
Inpatient units outperformed the national database mean for
central line associated bloodstream infections three out of four
quarters and hospital acquired pressure ulcers stage 2 and above
for all four quarters.
Figure 3. Falls with Injury
Figure 5. Central Line Associated Bloodstream Infections
Lourdes outperformed the national database mean for falls with
injury two out of four quarters for which data were available
from the national database.
(CLABSI)
Nursing Sensitive Quality Indicators
CENTRAL LINE ASSOCIATED BLOOD STREAM INFECTIONS
0.35
0.35
0.30
0.25
RATE
FALLS WITH INJURY
0.40
0.20
0.15
0.10
0.35
0.40
0.05
0.39
0.00
0.30
RATE
0.25
0.17
0.11
2Q 2013
0.03
3Q 2013
LOURDES
4Q 2013
1Q 2014
DATABASE MEAN
0.20
0.15
Figure 6. Hospital-acquired Pressure Ulcers (HAPU)
0.10
Stages 2 and Above
0.05
HOSPITAL ACQUIRED PRESSURE ULCERS
0
0
4Q 2013
1Q 2014
0.4
DATABASE MEAN
0.3
0.5
0.00
2Q 2013
3Q 2013
LOURDES
0.44
0.43
0.42
0.41
2Q 2013
3Q 2013
4Q 2013
1Q 2014
0.2
0.1
Figure 4. Catheter Associated Urinary Tract Infections
0.0
(CAUTIs)
Inpatient units outperformed the national database mean for all
four quarters.
CATHETER ASSOCIATED URINARY TRACT INFECTIONS
0.6
0.5
0.53
0.56
0.53
DATABASE MEAN
Figure 7. Patient Satisfaction
The Net Loyalty Score (NLS) indicates patients’ overall
satisfaction with Lourdes and is based on their answer to the
question, “Would you recommend this hospital to your friends
and family?”
PATIENT SAFISFACTION: NET LOYALTY SCORE
0.3
0.33
100
RATE
RATE
0.4
LOURDES
0.2
80
60
74.5
73.8
74.6
74.5
1Q 2014
2Q 2014
3Q 2014
4Q 2014
40
0.1
20
0.0
0
2Q 2013
LOURDES
3Q 2013
4Q 2013
1Q 2014
DATABASE MEAN
34 Nursing Annual Report 2014
LOURDES
New Knowledge, Innovations
& Improvements
I
f an idea is important to a nurse, it is worth
pursuing and nurturing. Evidence-based practice
and research are integrated into clinical and
operational processes throughout Lourdes.
Involvement in research by nurses is an important
element of professional practice and includes research
utilization, in addition to designing and implementing
nursing research studies. Two nurses, Sister Marilyn
Perkins, MSN, RN and Fran Anderson, PhD, RN, serve
on the Lourdes Institutional Review Board (IRB).
Ongoing Research
• Julann Ashman, BS, RN, OCN®; Cancer Survivors’
Perceptions of Post Cancer Care.
• Susan Backo, RN; Heartburn Study.
• Nahid Borogerdi, MS, FNP-BC; Experience of Antenatal
Hospitalization on Women and Their Families: A
Phenomenological Approach.
• Geraldine Britton, PhD, FNP-BC, RN; A Reliable and
Valid Survey for the Assessment of Prenatal Smoking Status:
Phase 2.
Completed Research
• JoAnn Ernst, DNP; Improving Outpatient Management of
Diabetes: A Proof of Concept Study.
• Elisabeth Evans, MSN, RN, ONC®; Osteoporosis Risk
Factors and Prevention Behaviors.
• Marita Florini, DNP, FNP-BC; Comparing Primary Care
Providers’ (PCP) Perception of Care Coordination Needs and
Strategies in Adult Primary Care.
• Rachel Kimani, RN; Healthcare Workers’ Perceptions of
Workplace Breastfeeding Support.
• Karen Lerwick, RN-BC; The Relationship Between Use of
a Skin Prep Kit by Patients Who are Scheduled for Surgical
Implants and Screen Positive for MRSA or Staphylococcus
Aureaus and the Incidence of Post-Operative Infections.
• Kathleen Olbrys, EdD, ANP-BC; Principal Investigator;
High Risk Sexual Behavior Post Colposcopy Counseling.
• Linda Stark, MSN, RN, ONC®; Correlation of Blood Pressure
Measurements and Prone Versus Supine Positioning.
• Daisy Vembenil, MS, FNP; Increasing Health Care Provider
Awareness of Respite Care and the Geographic Availability of
Resources for Caregivers above 60 Years of Age.
Nursing Research Day
The 8th Annual Lourdes Nursing Research Day was held on
April 29, 2014. It was our most successful Research Day to date.
The conference included an all-day poster session, 8 half-hour
Sessions with the Experts (Lourdes nurses who presented their
research or evidence-based projects), and a Learning Lunch
new knowledge, innovations & improvements
35
speaker, Kay Hooper, FNP-BC, who discussed “The Many Faces
of Anxiety: What Can Be Done to Help?”
Figure 8. Session with an Expert Attendance
SESSIONS WITH EXPERT ATTENDANCE
(2014 AVERAGE = 90 PER SESSION)
TOTAL ATTENDANCE
800
700
716
600
500
• Identification, Prevention, and Interventions for Pressure
Ulcers in the Acute Care Setting; with Terri Goodenough
& Careef Solomon; 8th Annual Nursing Research Day;
Lourdes; 4/29/14.
Ellen Burns
• Eating Disorders; 8th Annual Nursing Research Day;
Lourdes; 4/29/14.
400
Denise Cedeno
300
• Urinary Tract Infections; LFP – Owego; 6/4/14.
200
100
0
204
153
135
2011
BASELINE
2012
2013
Sarah Creery
2014
Figure 9. Learning Lunch Attendance
• How to Prepare Your Patient for Diagnostic Imaging;
Lourdes; 9/13.
120
116
100
80
40
61
57
Nancy Eichler
• Financial Exploitation of the Elderly; 8th Annual Nursing
Research Day; Lourdes; 4/29/14.
20
0
Lois Diffendale
• 3 Medical; Recruitment Dinner; Lourdes; 2/25/14.
80
60
• Family Presence During CPR; Master’s students; Onondaga
Community College; Syracuse, NY; 3/26/14.
• Family Presence During CPR; Keuka College; Penn Yan, NY;
4/9/14.
Rebekah Dickman
ANNUAL NURSING RESEARCH DAY
LEARNING LUNCH ATTENDANCE
TOTAL ATTENDANCE
Karen Browne
2011
BASELINE
2012
2013
2014
Presentations
Lourdes nurses are sought for their knowledge, research and
clinical expertise on local, regional, and national levels. They
have strong organizational and nursing support to disseminate
research findings and best practices through poster or podium
presentations and publication.
Posters
Elisabeth Evans
• Osteoporosis Risk Factors and Prevention Behaviors;
Orthopedic Poster Days; Lourdes; 8/14–25/2013.
• Osteoporosis Risk Factors and Prevention Behaviors;
Mansfield University, Mansfield, PA; 8/23/2013.
• Seton 2; Recruitment Dinner; Lourdes; 2/25/14.
• Osteoporosis Risk Factors and Prevention Behaviors; 8th
Annual Nursing Research Day; Lourdes; 4/29/14.
Cindy Felice-Glowacki
• Pediatric Center; Recruitment Dinner; Lourdes; 2/25/14.
Mary Berube
Michael Gaasch
• Nursing Education on Foot Care for People with Diabetes;
Diabetes Center Education Fair; Lourdes; 3/19/14.
• Seton 3; Recruitment Dinner; Lourdes; 2/25/14.
Tiffany Brady
• Eating Disorders; 8th Annual Nursing Research Day;
Lourdes; 4/29/14.
• Epidemiology of Malaria; Keuka College; Binghamton, NY;
11/21/13.
36 Nursing Annual Report 2014
Ellen Gardiner
CNO Shared Governance
Linda M. Miller, DNP, RN, NEA-BC
E-mail: [email protected]
Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY
2013 National Magnet Conference® October 2-4, 2013
PROCESS
OUTCOMES
CNOAC Responsibilities
Accomplishments
 Facilitate interdisciplinary practice and
teamwork within all care environments;
 Examine major system issues;
 Align nursing process with Clinical
Excellence goals and system scorecard
measures;
 Cultivate model for shared decisionmaking;
 Align CNOs on key strategic
imperatives.
 Collaboration across diverse
clinical sites
 Nursing leadership network
 Pressure ulcer (PU) initiative - $60
million for new beds/surfaces &
43.4% PU reduction system-wide
 Inpatient falls with serious injury –
0.09/1000 patient days
 Standardized IV smart pumps
 Standardized evidence-based
saline flush procedure
 Identification of readmission
reduction best practices
 Dissemination of hand hygiene
best practices
 Creation of CNO competency
profile, job description, & interview
guide
STRUCTURE
Ascension Health
 Large, nationwide hospital system
 70 acute care hospitals (34 health
ministries)
 12 member CNO Advisory Council
 Regional work teams of CNOs – “Pods”
 Pod (4-6 health ministries) – each led by
CNO Advisory Council member
Call to Action
“Health care that works; Healthcare that is
safe; Healthcare that leaves no one behind,“
for life.
CNO Shared Governance Model
 CNO Advisory Council (CNOAC)
 11 CNOs & System Office nurse leader
chair
 Strategic direction & thought leadership
 Quality
 Safety
 Staffing & operational performance
 Nursing leadership
 Product evaluation/acquisition
 Patient care delivery
Communication
 Monthly CNOAC teleconferences/
webinars
 Annual CNOAC in-person meeting
 Initiatives led by individual Council
members; Results shared with entire
Council
 Standardized communication from
CNOAC to Pods
 Pod Points
 Online surveys
 Rapid data gathering
 Benchmarking
 Consensus building
REFERENCE
Hendrich, A., Batcheller, J., Ellison, D. Janik, A.,
Jeffords, N., Miller, L., Perlich, G., Staffilino, G.,
Strom, M., & Williams, C. (2012). The Ascension
Health experience: Maximizing the chief nursing
officer role in a large, multihospital system to
advance patient care quality and safety. Nursing
Administration Quarterly, 36(4), 277-288.
2013 Magnet National Conference Poster by Linda Miller.
Terri Goodenough
Jamie Kittle
• Identification, Prevention, and Interventions for Pressure
Ulcers in the Acute Care Setting; with Karen Browne
& Careef Solomon; 8th Annual Nursing Research Day;
Lourdes; 4/29/14.
• Atrial Fibrillation; Vestal Internal Medicine; 5/14.
Sue Lewis
• CDU; Recruitment Dinner; Lourdes; 2/25/14.
Danielle Mahoney-Brown
Jill Hardy-Hettig
• Riverside Medical; Recruitment Dinner; Lourdes; 2/25/14.
• ASU; Recruitment Dinner; Lourdes; 2/25/14.
Christina McMurray
Joy Irons
• “Know Where to Throw” Proper Waste Disposal; LFP –
Owego; 5/14 – 6/14.
• 1 Medical; Recruitment Dinner; Lourdes; 2/25/14.
Marilyn Jordan
Cheryl Orzel-Teris
• Zoll Defibrillator Vest; Lourdes; 6/14.
• Pressure Ulcers: Becoming a High Reliability Organization;
The Advisory Board; Washington, DC; 11/19/13.
Rachel Kimani
• Health Care Workers’ Perception of Breastfeeding Support;
8th Annual Nursing Research Day; Lourdes; 4/29/14.
new knowledge, innovations & improvements
37
Goodenough; 8th Annual Nursing Research Day; Lourdes;
4/29/14.
Roshni Parik
• Polycystic Ovary Syndrome (PCOS); PCA – Eastside; 2014.
Jill Patak
Linda Stark
• Infection Prevention; Volunteers, Lourdes; twice monthly.
• Infection Prevention; RN, PCA, US Reorientation; Lourdes;
monthly.
• Infection Prevention; New Associates; Lourdes; monthly.
• Infection Prevention; Nursing Orientation; Lourdes;
monthly.
• Correlation of Blood Pressures and Prone vs. Supine
Positioning; Mansfield University; Mansfield, PA; 8/23/13.
Miriam Stoeckel
• Women’s & Children’s Services; Recruitment Dinner;
Lourdes; 2/25/14.
Ann Weber
Careef Solomon
• Identification, Prevention, and Interventions for Pressure
Ulcers in the Acute Care Setting; with Karen Browne & Terri
• Ticks – They’re onto you!; 8th Annual Nursing Research
Day; Lourdes; 4/29/14.
Focused Education: Reduced Cervical Cancer Risk?
Kathleen M. Olbrys, EdD, APRN-BC
Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY
2013 National Magnet Conference® October 2-4, 2013
RESEARCH
QUESTIONS
BACKGROUND
•
•
•
•
High no show rates post
colposcopy
Follow-up treatment critical
Few studies of education
on HPV prevention
Women unaware HPV can
cause cervical cancer
•
•
PAP SMEARS
•
•
•
ASCUS most common
abnormal Pap
ASCUS can be evaluated
for high risk HPV strain
ASCCP & ACOG
guidelines used to decide
biopsy
PURPOSE
METHODS
•
•
•
•
•
•
•
•
Develop scripted Patient
Educational material on
HPV & Pap smears for
patients needing
colposcopy
Compare no show rate
between treatment & control
groups
What HPV & Pap smear
information is appropriate
& beneficial to patients?
What is the effect of a
patient-centered encounter
that includes verbal
discussions with printed
material on patient
compliance with follow-up
care post-colposcopy?
•
•
Group Interrupted Time
Series Design
Retrospective chart review
Convenience sample
Exclusion – Prior
colposcopy history
Control Group – standard
instruction
Experimental Group –
focused education
Standard care:
appointments, reminder via
phone, no-show & post
procedure follow-up per
policy
Intervention: focused
education, HPV Fact Sheet
& abnormal Pap handout
DATA ANALYSIS
•
•
Age Distribution
%
SPSS
t-test for independent
groups
%
4
%
2
%
2
%
%
%
=
RESULTS
%
%
%
•
•
•
•
Groups similar in age,
ethnicity, marital status, &
insurance
Groups similar in
histopathology
Return rate statistically
significant for experimental
group (p=0.0072)
Return rate statistically
significant in 19-20 year
olds for experimental
group (p=0.0153)
9-29
- 9
4 -49
- 9
- 2
Histopathology
%
%
4 %
=
%
x e me
)
a
2 %
%
%
e
V
e
2
a
e
IMPLICATIONS FOR
PRACTICE
Patient Characteristics
90 0%
80 0%
70 0%
Black, not Hispanic
60 0%
White, not Hispanic
50 0%
Married
40 0%
Widowed
White, Hispanic
•
Other
Divorced/Separated
Single
30 0%
•
Medicaid
Medicare
20 0%
0 0%
P ivate Ins
Uninsured
Cont ol (n 30)
Poster accepted for 2013 Magnet National Conference by Kathleen Olbrys.
)
x e me a
= )
%
10 0%
38 Nursing Annual Report 2014
4
Experimental (n 30)
•
Patient education
regarding HPV is needed
to affect high risk sexual
behavior.
HPV education by Nurse
Practitioners is an
essential component of
women’s health.
HPV education for women
may reduce their risk for
cervical cancer.
=
)
Courtney Wendelewski
• Understanding of the Clinical Nurse Specialist Advanced
Practice Nursing Role; National Association of Clinical
Nurse Specialists Conference; Orlando, FL; 3/14.
Cherie Wooden
• Getting Published; 8th Annual Nursing Research Day;
Lourdes; 4/29/14.
Oral Presentations
Julann Ashman
• Loneliness in Cancer Survivorship; Living Well Cancer
Survivorship Series; Lourdes; 9/25/13.
• Lourdes Living Well Series; WBNG TV Docs on Call;
12/12/13.
• Lourdes Living Well Series; WBNG TV Docs on Call;
2/19/14 & 2/20/14.
• June 3rd Celebration of Life; WBNG TV Docs on Call;
5/26/14.
• Cancer Basics & Oncology Nurse Role; LPN class; BOCES;
5/30/14.
• Healing Garden; Education Committee; Lourdes; 6/26/14.
Mary Berube
• Diabetes Care at Lourdes; Nursing Orientation; monthly.
• Diabetes Order Sets and Disease Management; Medical Staff
Orientation; Monthly.
• Glucagon Administration for Severe Hypoglycemia;
Diabetes Resource Nurses; Lourdes; 8/28/13.
• Hypoglycemic Crisis; Event Reporting Safety Meeting;
Lourdes; 9/6/13.
• Inpatient Diabetes Management Updates and Consideration;
Hospitalists; Lourdes; 9/25/13.
• Insulin delivery: GlucoStabilizer; Current Trends in
Diabetes; Lourdes; 11/12/13.
• Diabetes Medications; Current Trends in Diabetes; Lourdes;
11/12/13.
• Resources for Living Well with Diabetes; Diabetes Parent
Support Group; Lourdes; 5/29/14.
Melody Best
• Systematic Literature Reviews; Binghamton University;
9/24/13.
• Ethnography in Qualitative Nursing; Binghamton
University; 9/24/13.
Jill Knight, MOA, Carly McKillop, FNP and Kathaline Anthony, RN
• Diffusion of Innovation Theory; Binghamton University;
12/3/13.
• Ethnography; 8th Annual Nursing Research Day; Lourdes;
4/29/14.
Barbara Bilbrey
• The Meaning of Memorial Day; Owego-Apalachin 5th grade
students; annually.
Jonathan Briggs
• Guest Lecturer; Graduate Nursing Students; Binghamton
University.
Karen Browne
• Ostomy Care Basics; Lourdes At Home/Hospice; 5/14.
Mary Cavanaugh
• Nursing Orientation and the GROW Program; Recruitment
Dinner; Lourdes; 2/25/14.
Colleen Cameron
• A Comprehensive Program for Heart Failure; 8th Annual
Nursing Research Day; Lourdes; 4/29/14.
Sarah Creery
• Family Presence During CPR; Master’s students; Onondaga
Community College; Syracuse, NY; 3/26/14.
new knowledge, innovations & improvements
39
Carol Curran
• Interviewing Skills; Senior Nursing Students; Binghamton
University; 1/27/14.
• Connect the Dots to Position Management; Lourdes;
4/17/14.
Laci Daniels
• My Graduate Experience in ICU; Recruitment Dinner;
Lourdes; 2/25/14.
Susan Decker
• Medical Records Information that Can Be Released; PCA –
Robinson Street staff; 3/17/14.
Rochelle Eggleton
• Home Care; Panelist; Health Care Policy Symposium,
Binghamton University; 4/4/14.
• Emergency Preparedness; Panelist; Home Care Association
of NYS Regional Meeting; 4/9/14.
Nancy Eichler
• Financial Exploitation of the Elderly; Nursing Research
Committee; 7/24/13.
Elisabeth Evans
• Osteoporosis Risk Factors and Prevention Behaviors;
Nursing Research Committee; Lourdes; 10/23/13.
Kelly Murtha, BSN, RN, CNOR and Rebecca Getchell, BSN, RN
• Medical Orders for Life Sustaining Treatment; with Mary
Alice Westerlund; Lourdes; 6/12/14.
• With Newborn Loss Comes Hope; with Karen Roeske;
AWHONN; Orlando, FL; 6/24/14.
Caylynn w
• Negative Effects of Isolation on Patients; Nursing Research
Committee; Lourdes; 6/25/14.
• Antibiotic Prophylaxis: When It Is Needed; GI Lab, Lourdes;
12/29/13.
• SGNA Guidelines on Documentation; GI Lab, Lourdes;
12/30/13.
Michael Garlough
Theresa Goodenough
• Newborn Loss and Hope; Schwartz Center Rounds®; with
Brianna Pompey, RN, Brenda Simonik, & Father Krzysztof
Boretto; Lourdes; 11/14/13.
• Neonatal Donation, A Different Type of Organ Donation;
International Institute for Advancement of Medicine (IIAM)
and National Association Transplant Care Organization
(NATCO); Las Vegas, NV; 12/9/13.
• Neonatal Donation Case Study; CDT Education Symposium;
Saratoga Springs, NY; 4/14.
• Hope; 8th Annual Nursing Research Day; Lourdes; 4/29/14.
• The Cooperation between Organ Procurement, The Eye
Bank and The Donor Hospital; Lyons Eye Bank Board of
Directors Annual Meeting; Albany, NY; 5/14.
• Nursing; Mountain View High School, PA; 11/7/13.
• Advances in Wound Care; Nursing Research Committee;
Lourdes; 2/26/14.
Katherine Foster
40 Nursing Annual Report 2014
Danielle Gulick
• Thoracic Outlet Syndrome; Emergency Department;
Lourdes; 6/1/14.
Carol Heikkila
• Clinical LPN Instructor at BOCES.
Beth Hickey
• Lourdes Tele-Health Program; Tioga County Senior Health
Fair; 8/15/13.
Kay Hooper
• The Many Faces of Anxiety: What Can Be Done to Help?;
8th Annual Nursing Research Day; Lourdes; 4/29/14.
Doris Hughes
• Annual Cancer Survivor Health Fair; Broome County
YMCA; 5/16/14.
• Cancer, Nurse Navigation; WBNG TV Docs on Call;
5/29/14.
• Diabetes Management: Nurse Practitioner Fellowship,
Lourdes; 11/7/13.
• Diabetes and Pregnancy; Current Trends in Diabetes
Management Teaching Day; Lourdes; 11/12/13.
Caryl-Ann Mannino
Celia Kane
Jaymilee Mash
• Non-violent Crisis Intervention; Lourdes; monthly.
• Mash Camp; 2013.
• CPR; New Visions; 2013.
• Pain Management; SUNY Upstate Medical University,
Surgery Clerkship; 7/2/13, 9/9/13 & 1/6/14.
• Pain Management; Podiatry Residents, Lourdes; 7/30/13.
Janet Krcha
• FNP Residency Program; Excelsior College; 12/13.
Mary McGovern
Toni Lehr
• Occupational Health and Safety; New Associate Orientation,
Lourdes; monthly.
• Occupational Health and Safety; Lourdes Volunteers;
monthly.
• Lourdes Safety Coaches/Safety Officers; monthly
presentation.
Sue Lent
• EKOS Catheter-directed Thrombolysis; ICU & Diagnostic
Imaging; Lourdes; 12/19/2013 & 12/20/2013.
• Hand Hygiene/Isolation Practices; SUNY Broome
Technology Students; 3/31/14 & 4/7/14.
• How to Do a Poster Presentation; 8th Annual Nursing
Research Day; Lourdes; 4/29/14.
• GROW Program; Clinical Coaches; Lourdes; 5/2/14.
Kathy Medovich
• Relaxation & Meditation; Autumn Renewal Days Break-out
Session; Sky Lake; 10/13.
Deborah Mican
• RN Satisfaction: Ten Year Trend; Nursing Staff Forum;
Lourdes; 9/13/13.
Samantha Lewis
• Issues affecting Teens: Youth Seminar; female & male teens;
Scranton, PA; 12/7/13.
Sharon Lewis
• Now I Lay Me Down To Sleep (NILMDTS); Spiritual Care
Committee; Lourdes; 5/14/14.
Julie Lowrie
• Insulin Delivery Alternatives; with Laura Smith; Current
Trends in Diabetes; Lourdes; 11/12/13.
Mary Mancini
• Cancer Education; Spirit of Women Event; Traditions at the
Glen; 10/13.
• Nurse Navigation Role & Coping with Love, Knowledge and
Hope; Tabernacle Methodist Church; 5/7/14.
Mary McGovern, BS, RN
new knowledge, innovations & improvements
41
Linda Miller
Karen Roeske
• Nursing Shared Governance Structure; Nursing Staff Forum;
Lourdes; 9/13/13.
• With Newborn Loss Comes Hope; with Michael Garlough;
AWHONN; Orlando, FL; 6/24/14.
Mary Murphy
Geralyn Sears
• ACLS Instructor; Lourdes; 7/11/13, 10/7/13 & 10/8/13.
• Clinical Nursing Skills Lab Instructor; SUNY Broome;
ongoing.
Michelle Nulton
• Routine Health Maintenance; Rotary Club; Hancock;
9/26/13.
• Lyme Disease and Tick Bites; Children’s Center parents;
Hancock, NY; 5/10/14.
Jared Pado
• Hypertension: The Silent Killer; Vestal Internal Medicine;
2014.
Jill Patak
• Infection Control Course; SUNY Broome.
• Infection Prevention; Volunteers; Lourdes; twice monthly.
• Infection Prevention; RN, PCA & Unit Secretary
Reorientation; Lourdes; monthly.
• Infection Prevention; New Associates; Lourdes; monthly.
• Infection Prevention; Nursing Orientation; Lourdes;
monthly.
• Carbapenem Resistant Enterobacteriacea (CRE); 8th Annual
Nursing Research Day; Lourdes; 4/29/14.
Chelsea Pixley
• My Graduate Nurse Experience on 3 Medical; Recruitment
Dinner; Lourdes; 2/25/14.
Brianna Pompey
• Newborn Loss and Hope; Schwartz Center Rounds®; with
Michael Garlough, RN, Brenda Simonik, & Father Krzysztof
Boretto; Lourdes; 11/14/13.
Regina Pufky
• ACLS Coordinator and Instructor; Lourdes; monthly.
• Chest Tubes; Nursing Reorientation; Lourdes; monthly.
Martha Reid
• ACLS Instructor; Lourdes.
• PALS Instructor; Lourdes.
• Patient Alert Band Colors; Nursing Professional Practice
Council; Lourdes; 3/6/14.
• Patient Alert Band Colors; Nurse Executive Committee;
Lourdes; 3/27/14.
42 Nursing Annual Report 2014
Vicki Slavetskas
• APA Format & Introduction to Simulation; Decker School of
Nursing, Binghamton University; 9/19/13.
• Safe Staffing & Mandatory Overtime; Senior & BAT nursing
students; Decker School of Nursing, Binghamton University;
2/10/14.
• Patient Abandonment; Senior & BAT nursing students;
Decker School of Nursing, Binghamton University; 3/3/14.
• Leadership Principles; RN-BS students; Decker School of
Nursing, Binghamton University; 1/30/14.
• Management Principles; RN-BS students; Decker School of
Nursing, Binghamton University; 2/6/14.
• Evidence Based Research & Practice: Strategies for Nursing
Leaders; RN-BS students; Decker School of Nursing,
Binghamton University; 2/13/14.
• Power, Conflict & Professional Challenges; RN-BS students;
Decker School of Nursing, Binghamton University; 2/20/14.
• Managing Time & Stress; RN-BS students; Decker School of
Nursing, Binghamton University; 2/27/14.
• Legal & Ethical Issues; RN-BS students; Decker School of
Nursing, Binghamton University; 3/6/14.
• Staff Recruitment & Retention; RN-BS students; Decker
School of Nursing, Binghamton University; 3/13/14.
• Professional Practice Models & Organizational Structure;
RN-BS students; Decker School of Nursing, Binghamton
University; 3/20/14.
• Data Management & Informatics; RN-BS students; Decker
School of Nursing, Binghamton University; 3/27/14.
• All Hazards Disaster Preparedness; RN-BS students; Decker
School of Nursing, Binghamton University; 4/10/14.
Laura Smith
• Disposable Insulin Delivery: V-GO; Lourdes; 10/23/13.
• Insulin Delivery ... A Hands on Approach; Current Trends in
Diabetes; Lourdes; 11/12/13.
Heather Waugh
• A Solution to ED Overcrowding at Lourdes Hospital;
Nursing Quality Committee; Lourdes; 4/9/14.
Ann Weber
• Sunscreen – Are you protected?; Nursing Research
Committee; Lourdes; 7/24/13.
• The Common Communion Cup: Is it a Source of Infection?
Nursing Research Committee; Lourdes; 2/26/14.
• Cat Scratch Disease; Nursing Research Committee; Lourdes;
3/26/14.
• Smoking Cessation; Hancock Central School Staff
Development Day; 3/14.
Cherie Wooden
• Teach-Back; 8th Annual Nursing Research Day; Lourdes;
4/29/14.
Colleen Cameron, MS, RN and Linda Stark MSN, RN, ONC®
Publications
Linda Stark
• Correlation of Blood Pressures and Prone vs. Supine
Positioning; Nursing Research Committee; 11/27/13.
• Correlation of Blood Pressure Measurements; 8th Annual
Nursing Research Day; Lourdes; 4/29/14.
Maryellen Surace
• Falling into Place: A Success Story; Schwartz Center
Rounds®; with Kathleen Talbot, RN, OCN®, CHPN, Lourdes,
& Heather Minor-Natale, Crown Point Nursing Home;
Lourdes; 7/11/13.
Newsletters
Cancer Survivorship Newsletter
• Julann Ashman. (Editor).
• Julann Ashman. (Spring 2014). What Are the Phases of
Survivorship?
• Elizabeth Norris. (Spring 2014). I’m a Survivor too!
Committee Central
• Brooke Abramson-Singh. (Editor).
Diversity Newsletter
• Sister Marilyn Perkins. (Editor).
• Kathy Medovich. (Winter 2013). Texting: A Social Media
Addiction.
Kathleen Talbot
• Falling into Place: A Success Story; Schwartz Center
Rounds®; with Maryellen Surace, RN, CCM, Lourdes,
& Heather Minor-Natale, Crown Point Nursing Home;
Lourdes; 7/11/13.
ICU News
• Professionalism in Nursing; 2 Ross/Peds, Lourdes; 6/16/14.
• Danielle Spalik. (Editor).
• Danielle Spalik & Amy Shumsky. (December 2013).
Substance Abuse Take-Aways.
Mary Beth Tierney-Simmons
Inside Lourdes
Daphnie Thompson
• Evaluating Lourdes Professional Practice Model; Nursing
Staff Forum; Lourdes; 9/13/13.
• Sister Marilyn Perkins. (July 2013). Administration
Connection.
Lisa Vroman
The Mustard Seed (Lourdes Parish Nurse Newsletter)
• Screening for Childhood Obesity; with Frances Munroe; 8th
Annual Nursing Research Day; Lourdes; 4/29/14.
• Kathy Medovich. (Editor).
new knowledge, innovations & improvements
43
Sarah Dougherty, RN, CRN, Coralee Keefe, BSN, RN, CRN, and
Elizabeth Burger, RN
Peer-Reviewed Publications
Fran Anderson. (Editor).
• Rita Bergevin. (2014). More than a dressing change. Journal
of Christian Nursing, 31(1), 62.
• Rita Bergevin. (in press). Palliative wound care. Nursing
2014.
• Kondrup, J. D., Fran Anderson, & Becky Quick. (2013).
Use of the ENSEAL® G2 tissue sealer in gynecologic surgery.
Surgical Technology International, 23, 191–195.
Fran Anderson. (Fall 2013). Updating Your RN/LPN Profile.
Other Publication Activities
• Kathy Medovich. (September/October 2013; May/June
2014). Coordinator’s Corner.
• Kathy Medovich. (July/August 2013). Therapeutic
Gardening.
Nursing News
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•
•
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• Sue Fuchs. (Winter 2014). Bring “Tea for the Soul” to Your
Department!
• Kathy Medovich. (Summer 2013). Healing Gardens.
• Kathy Medovich. (Summer 2013). Alzheimer’s Disease: Our
Personal Journey.
• Kathy Medovich. (Fall 2013). The Movement of Spirituality
in the Workplace.
• Kathy Medovich. (Winter 2014). Autumn Renewal Days.
• Kathy Medovich. (Winter 2014). Spirituality and Stress
Relief: Making the Connection.
• Kathy Medovich. (Winter 2014). Rescue Mission Meal
Ministry.
• Kathy Medovich. (Spring 2014). Spring Renewal Days.
• Kathy Medovich. (Spring 2014). A Labyrinth Experience.
• Kathy Medovich. (Summer 2014). Spring Renewal Days.
• Kathy Medovich. (Summer 2014). Communication.
• Sister Marilyn Perkins. (Editor).
Kathaline Anthony. (Fall 2013). Patient Pain Booklet.
Mary Berube. (Fall 2013). Luke.
Denise Cedeno, Stacie Hansen, Julie Reynolds, &
Kersten Robbins. (Fall 2013). Go Green with Side Effects of
Medications.
• Jill Patak. (Fall 2013). How to Protect Yourself and Others
from the Common Cold.
Spirituality in the Workplace
• Rita Bergevin. (Spring 2014). The Person in the Mirror.
• Cindy Davis. (Summer 2013). Spring Renewal Days: Healing
from the Inside Out – Two Personal stories.
• Cindy Davis. (Winter 2014). Yippy-Skippy – An Attitude of
Gratitude.
• Rodney Frost. (Spring 2014). A Thought for Your Day.
44 Nursing Annual Report 2014
• Fran Anderson. (ongoing). Manuscript reviewer; American
Journal of Nursing.
• Fran Anderson. (ongoing). Manuscript reviewer; Online
Journal of Rural Nursing and Health Care.
• Kathleen Rinde. (ongoing). Manuscript reviewer;
Gastroenterology Nursing.
• Cherie Wooden. (ongoing). Manuscript reviewer;
Qualitative Social Work.
• Cherie Wooden. (ongoing). Manuscript reviewer; Child &
Family Social Work.
GREETINGS FROM OUR CNO
Congratulations for all of your contributions to Lourdes and the
community this past year!
Many of you have or will be participating in an Engagement Mapping
Session that focuses on the changing healthcare landscape and how
this will affect Lourdes. This is another opportunity for your voice to
be heard. Lourdes Hospital is positioned well to meet the challenges
because of its relationship with Ascension Health, the largest,
not-for-profit Catholic Healthcare System in the United States.
Together we will navigate through all of the challenges and
changes to transform healthcare within our community.
Lourdes nurses are key leaders of our efforts to
implement Person-Centered Care. “Person-Centered Care
is our sacred promise to support individuals’ lifelong health
and well-being through holistic, coordinated care models
and resources based on trusted, committed, person-to-person
relationships.” This call to action aligns perfectly with our new
Nursing Professional Practice Model. Together we will commit to
welcome, respect, include, connect, protect, engage and comfort all
persons in a new and meaningful way. We will reevaluate how we
deliver care, and explore different ways to provide services. We will
make an extra effort to engage all members of the care team in this
very important endeavor. Our pursuit of excellence through PersonCentered Care will inspire and motivate all of us as we engage in
our work ahead.
Thank you,
Linda
“The scene that unfolded before my eyes
was truly a team united to save this man’s life.”
— Lisa Howell, RN
Nursing Philosophy
N
ursing at Lourdes is faith-based and spiritually
centered. We believe that life is a precious gift
and approach all persons with reverence. We are
committed to meeting the holistic needs of our
patients, families, and community. We respect basic
human rights, dignity, and differences. We believe in providing the
highest level of patient care regardless of religion, race, gender, age, or
socio-economic status, based on the core values of Lourdes: Service of
the Poor, Reverence, Integrity, Wisdom, Creativity, and Dedication.
We believe that working with all members of the health care team is
important to promote the highest quality patient care. We accept our
duty to be actively involved in the development of standards of care.
We believe that continuing education and nursing research improve
clinical skills, contribute to personal and professional growth and move
the nursing profession forward. We are committed to creating an
environment that promotes lifelong learning.
We believe in the nursing profession. We are accountable as individuals,
as well as a profession, for the services we provide.
Lourdes Hospital • 169 Riverside DRive, Binghamton, ny 13905 • 607-798-5111 • lourdes.com