View report - The University of Kansas Hospital
Transcription
View report - The University of Kansas Hospital
Excellence without l imits 2 0 0 9 N U R S I N G A N N U A L R E P O R T Excellence On the cover: (front row, left) Akiko Kubo, RN, Rozina Rajab-Ali, RN, Sidonie Walker-Reid, RN, (middle row, left) Noreen Thompson, RN, Shelly Gilliland, RN, Leigh Collins, RN, (back row, left) John Carothers, RN, John Hennrich, RN. Above: More than 14,700 surgeries were performed at our hospital last year. Pictured are (front row, left) Crystal Eaton, RN, Mystique Gant, RN, (back row, left) Pat Gallagher, RN, Roy Hamilton, RN, Astra De Vera, RN. They are among the 163 nurses in Perioperative Services who care for these patients. without l i mits Contents 2 4 6 10 16 20 24 28 A letter from Tammy and Chris Introduction: The components of excellence Excellence in leadership: Transformational leadership Models of excellence: Structural empowerment Excellence in practice: Exemplary professional practice Excellence through innovation: New knowledge, innovations and improvements Excellent outcomes: Empirical quality results 2009 Nursing achievements Tammy Chris A letter from 2 and What an amazing year this has been. During fiscal year 2009, through our personal commitment, teamwork and dedication to our patients, we continued to establish ourselves as a national leader. We finished the fiscal year with the highest levels of patient satisfaction ever achieved by our hospital. During that same period, our annual mortality index (actual mortality/expected mortality) indicated an estimated 250 patients were discharged from our hospital whose diagnoses and other health-related risk factors indicated a low likelihood of survival. All of this took place while we were caring for more patients than we’ve ever seen in our hospital—patients who were also more acutely ill than those previously treated. We invested in new units, services and technology. A final point of pride is our nursing retention rate, which continued to improve over previous years. The Nursing Annual Report helps tell the story of staff from the Department of Nursing who have made these outstanding results possible. It tells of the individuals who use quality and performance-improvement principles to advance patient care. It documents teams of individuals who came together to improve our systems and processes in support of exceptional patient care and service. And it captures the heart and passion of all of you who join together every day as one of the best health care teams in the country. As we prepare to submit our application to be redesignated as a Magnet Hospital, this annual report tells a story that should make all of us very proud. Thank you for all you have done to help write this story and for all you will do to ensure we lead the nation in caring, healing, teaching and learning. Tammy Peterman, RN, MS, NEA-BC Executive Vice President, Chief Operating Officer and Chief Nursing Officer Chris Ruder, RN, MS, NEA-BC Vice President, Patient Care Services 3 The components of Excellence You will notice something different about this year’s Nursing Annual Report. This report highlights our nursing staff’s great work, using the revised model for Magnet, which was introduced this year. For those of you who are familiar with the criteria for the Magnet Recognition Program, this new model introduces Five Components, which provide a framework for nursing practice and research. The Fourteen Forces of Magnetism are still there, embedded in the components, which define more clearly how the forces work together to support exceptional patient care and the profession of nursing. More than ever before, the Magnet Model reflects the global issues facing nursing and health care. The first component, Transformational Leadership, is focused on how leadership establishes a vision (including values, beliefs and behaviors) that will sustain the organization well into the future. This component includes transformational thinking, communication and a focus on dynamic innovation to meet the needs of the ever-changing health care environment. Within this component, you will find Forces No. 1 (Quality of Nursing Leadership) and No. 3 (Management Style). An important aspect of transformational leadership for our organization is the belief that leadership is an essential role of every member of the team. Structural Empowerment, the second component, examines how the organization’s structure and relationships support innovation, professional practice and the embodiment of its mission, vision and values. Linking the organization’s strategic goals to those of the department and units, we provide development and support to further the accomplishment of these goals. Contained in this component are Forces No. 2 (Organizational Structure), No. 4 (Personnel Policies and Programs), No. 10 (Community and the Healthcare Organization), No. 12 (Image of Nursing) and No. 14 (Professional Development). 4 The third component is Exemplary Professional Practice. This component encompasses the creation of a vision and sys- tems that support professional practice within nursing. It also promotes the use of knowledge and evidence to generate the best possible outcomes for patients, families, communities and the team. This component incorporates a number of forces, including No. 5 (Professional Models of Care), No. 8 (Consultation and Resources), No. 9 (Autonomy), No. 11 (Nurses as Teachers) and No. 13 (Interdisciplinary Relationships). Our councils and models, at a department and unit level, as well as the many resources in place to support the nurse at the bedside, are indicative of our commitment to exemplary professional practice. Fourth is New Knowledge, Innovations and Improvements. Based on Force No. 7 (Quality Improvement), this com- ponent targets the importance of nurses in the development, implementation and sharing of new knowledge and best practices. Whether it is through improving an existing process or developing an innovative one, nurses have the opportunity and responsibility to advance the practice of health care. Component Five is Empirical Quality Results. This component is integrated into the other four components. Force No. 6 (Quality of Care) serves as a foundation for this component. It helps direct the organization’s focus on how care is provided and the resulting outcomes. Leadership, structure, professional practice and an improvement mindset are all targeted to produce ever-improving outcomes. This component takes ideas and initiatives from theory to results and keeps the organization focused on the factors most critical to long-term success. As you read through this publication, you will see just a sampling of the many ways in which The University of Kansas Hospital embodies the forces and components of the Magnet criteria. These and many more stories illustrate what makes our hospital a Magnet facility. 5 Excellence in leadership 6 Transformational leadership In the past year, calls to the Acute Stroke Response Team have doubled. Jason Gray couldn’t be happier. Gray, RN, Neuroscience ICU, and the team have worked hard to make the phone ring—because the more calls they receive, the more patients they can treat. Over the past three years, the ASRT saved numerous lives as they quickly responded to the needs of patients who suffered strokes. But it wasn’t enough for Gray. He knew that if the stroke team members were quickly called for every patient who exhibited signs of stroke, they could potentially reduce stroke morbidity and mortality for more people. The goal was simple: Bring in more calls. Gray’s solution was inspired. As his Frontline Leadership Academy project, he included stroke education in his Advanced Cardiac Life Support classes, teaching fellow nurses to recognize the signs and symptoms of stroke. As a result, nurses responded more promptly to refer stroke victims to the ASRT team, and more patients received treatment faster. (See graph on page 9.) Now every critical care nurse receives stroke education. Thanks to the success of the team’s efforts, The University of Kansas Hospital received the “Get With The Guidelines” Gold Performance Achievement Award from the American Heart Association and the American Stroke Association in 2009. The award recognizes the hospital for providing a higher standard of care for stroke patients. Gray’s dedication to save more lives by expanding stroke education is just one example of how our nurses transform care at our hospital. They focus on what’s right for the patient; they continually ask how they can make the hospital better; and they take action. Other nurse-led initiatives recently implemented: • Expanded Surviving Sepsis programs, which train clinicians across Kansas to recognize the signs of sepsis • A discharge communications pilot, helping significantly reduce the hours the hospital is on diversion • Falls prevention program, which reduced falls 12 percent compared to last year In seeking new ways to enhance care, our nurses’ leadership ensures our patients receive not just good care, but great care. Left: More than 160 nurses make up the five department nursing councils. Members of the Professionalism Council include (from left) Maria Pena, RN, Karen Wray, RN, Bob Dary, RN, Lori Hollingshead, RN, and Kris Brees, RN. Above: Jason Gray, RN, and the other members of the Acute Stroke Response Team responded to as many as 60 calls a month last year. Excellence in leadership Transforming neuroscience care Nurses on Units 61 and 62 understand patient care extends well beyond the bedside. Stacy Smith, RN, and Thu Janes, RN, nurse managers of Units 61 and 62, respectively, and their staff helped design the new Neuroscience units. Their input resulted in bringing needed supplies right to the bedside and improving patient rooms and waiting areas. Additionally, the units’ Practice Councils continually focus on making the new units even better. For example, Unit 61 implemented and is evaluating a coma scoring tool used at Mayo Clinic, which they turned into a quick reference for staff. Unit 62 instituted a falls initiative, which reduced fall rates to below national benchmarks. It’s this kind of leadership that helps make our hospital a destination for neuroscience care. Councils lead department initiatives Recently the Practice, Quality and Research Councils teamed with Pathology and Laboratory Medicine to look for new ways to reduce contamination of blood samples sent to the lab. When samples become contaminated, more blood must be drawn, which creates a delay in testing. Based on their findings, they made changes in sampling procedures, ultimately improving the quality of care our patients receive. More than 160 nurses make up six nursing councils: Clinical Practice, Coordinating, Management, Professionalism, Quality and Research. These professionals help set nursing priorities, identify issues, and most important, develop solutions. Top: Marthe Wolff, RN, shares Unit 61’s visitor brochure with patients’ families and friends to acquaint them with the unit’s unique features and procedures. This is only one of the improvements implemented by the unit’s Practice Council during the past year. Bottom: Council members include (from left) Jennifer Lewis, RN, Michelle Taylor and Kaitlyn Balough, RN. 8 Transformational leadership Frontline leadership spurs new ideas Communication is the key to excellent care. That’s why Liz Miquelon, RN, developed From Your RN, a monthly electronic newsletter for physicians. The newsletter began as her project for the Frontline Leadership Academy. Participants attend seminars designed to help them strengthen leadership skills and bring about change in their units. Miquelon, Float Pool educator, crafted the newsletter to bring timely, effective communication to our physicians about changes to clinical practice in each division or unit. An educational extension and reference tool, the newsletter keeps physicians informed of changes before they happen. And that translates into better, more efficient and effective care. Acute Stroke Response Team activations Number of calls 70 60 50 40 30 20 10 0 Apr 2009 Mar 2009 Feb 2009 Jan 2009 Dec 2008 Nov 2008 Oct 2008 Sep 2008 Aug 2008 Jul 2008 Jun 2008 May 2008 Total ASRT activations ASRT activations by Critical Care Division ASRT activations by Acute Care Division ASRT activations by ED Liz Miquelon, RN 9 Models of 10 Excellence Structural empowerment Unit 51 was looking for a way to increase patient satisfaction scores. That got the attention of unit nurses Bri Hotchkiss, RN, Gi Manaying, RN, Kristen Phillips, RN, and Teresa Self, RN. As part of their Nurse Residency project, they closely examined patient surveys to discover opportunities to increase patient satisfaction. They tracked themes in patient comments and scores, and approached change with a combination of care, compassion and education. Their findings? Patients perceived a gap in care when they transferred from the Surgical ICU to the nursing unit. The team realized patients may need a little more education about what to expect when they moved out of the ICU. Now, the Unit 51 nurse who will be caring for a specific patient visits that patient while still in Surgical ICU. The patient and family get a personal introduction to their nurse and Unit 51. Since beginning this education, the unit’s patient satisfaction scores have significantly increased. These nurses were among the 106 involved in our BSN Nurse Residency Program this past year. One of the first of its kind in the nation, our post-baccalaureate program just celebrated its sixth anniversary. Since its inception, 594 first-year nurses have participated in the comprehensive development program, which culminates in projects designed to improve patient care in their units. That equates to hundreds of performance improvement ideas, policies, procedures or product recommendations that have improved care at our hospital. Programs like Nurse Residency help raise the standard of professionalism of our nurses and ensure excellent care for our patients. Opportunities abound for professional development When Leah Dickter, RN, unit educator, learned nurses in Unit 66 were eager to gain certification in progressive care, she put the opportunity in their hands. Dickter gathered study guides and DVDs for the staff, formed a study group and mentored co-workers as they studied for the exam. (Continued next page.) Left: Laura Mikkelson, RN, and Mike Wagner, RN, are among the 64 Emergency Department nurses who treated 44,366 patients last year. Above: Bri Hotchkiss, RN, educates ICU patients on what to expect when they move to Unit 51 for care. This simple act helped increase the unit’s patient satisfaction scores significantly. 11 Models of Excellence Nurses interested in certification also got a boost from attending the second Certified Nurses Day reception in March, sponsored by the Professionalism Council. Certified nurses answered questions about the certification process and offered an insider’s tour of steps to obtaining certification. The hospital also helps nurses develop professionally through tuition reimbursement, the certification bonus program, mentoring programs and support of nurse-led initiatives. It’s through professional development that our nurses hone their skills and expand their knowledge. A commitment to our community Collecting soda can pull tabs. Fitting bike helmets. Trekking along city streets. These seemingly everyday efforts have something in common: They greatly affected the health and well-being of our communities this year. And our nurses were at the heart of each one. The Float Pool collected 80 pounds of pull tabs and raised money for the Ronald McDonald House. Trauma and Burn Services combined efforts with the Headstrong for Jake Foundation in making bicycle outings safer for hundreds of children. Nurses throughout the hospital walked the walk for the American Heart Association, Susan G. Komen Breast Cancer Foundation and American Cancer Society. And our nurses helped vaccinate 3,600 people who drove through our campus for free flu shots. This is just a sample of our nurses’ dedication beyond the walls of the hospital. Individual nurses quietly make their mark on improving the health of our communities every day. Their commitment and impact have no bounds. Top: Thu Janes, RN, was among the volunteers who sized bike helmets at bike rodeos last year. Our nurses donated hundreds of hours of service to our community in 2009. Bottom: For six years, high school students have experienced nursing first-hand, thanks to nurses like Stephanie Winright, RN, who volunteered their time during Nurse Academy. This is just one way our nurses further the image of nursing. 12 Structural empowerment Units 63 and 64 are seeing RED The day they’re going home, liver transplant patients on Units 63 and 64 don’t spend time in discharge limbo. By 1 p.m., they have their instructions, a month’s worth of medication and all their questions answered. They see timeliness and care focused on their needs. What they don’t see is the safe, standardized process behind the scenes. That’s where Mona Moran, RN, comes in. When Moran joined the Organ Transplant department as its liver transplant case manager, she jumped at the opportunity to streamline the discharge process. She partnered with Pharmacy to create the RED (Reduction in Errors upon Discharge) process. With the help of nurses from Units 63 and 64 and nurse manager Rachel Pepper, RN, Moran ensures the RED process is applied to every patient’s discharge experience. At the core of the process is a multidisciplinary computer safety huddle at 9 a.m. The patient’s case manager, surgery resident physician and transplant pharmacist meet to input discharge orders. Just two-and-a-half hours later, those orders are completed and the nurse case manager walks the patient through medicine and home care instructions. The tight timeline and informed teaching plan is designed to decrease length of stay and readmission rates, increase throughput, and most important, create a safe discharge experience for patients. BSN Nurse Residency Program success 594 Our first-year nursing retention rate: 95% (National average: 27-53%) Nurse Residency Program participants (2003-2009): Participants moving into leadership positions: Right: Munira Sarfani, RN, is among the 106 BSN Nurse Residency Program participants who completed projects last year, designed to improve quality in their units. 4 managers, 6 unit educators,13 unit coordinators 13 Models of Excellence Nurses help drive down diversion hours Whenever our hospital cannot receive new patients because beds are unavailable, we have lost an opportunity to provide our excellent care to people who need us most. Thanks to a remarkable effort by teams across the hospital, diversion hours are now at their lowest level in four years. The hospital reported just 3.41 diversion hours in June 2009, down from 231 hours in March 2008. The Emergency Department often faces challenges to accommodating more patients, so ED nurses implemented a number of throughput initiatives. The Emergency Department: • Implemented a “fast track” program to treat patients more quickly • Created nursing protocols for treating patients with the most common complaints • Implemented a second triage nurse to help manage the waiting-room population • Created a lab-draw station in the waiting room to start treatment earlier • Switched to a five-tier triage system – the Emergency Nurses Association’s gold standard for triage • Implemented a nurse-led system to balance staffing and improve customer service • Added eight exam rooms and 20 nurses Our efforts to reduce diversion hours have resulted in an increase in patient volume and patient acuity throughout the hospital. Jeremy Waun, RN, examines Emergency Department patients to determine whether they can be treated quickly through the “fast track” program and released. Programs like this have helped significantly reduce diversion hours over the past year. 14 15 3.41 2.5 27.64 3.04 26.06 4.21 28.15 Apr 2009 Jun 2009 Mar 2009 Jan 2009 75.00 Mar 2008 Apr 2008 May 2008 Jun 2008 Jul 2008 Aug 2008 Sep 2008 Oct 2008 Dec 2008 Feb 2009 May 2009 0 Nov 2008 40.97 84.02 99.49 66.06 127.3 158.18 148.11 150.00 Total hours 231 Structural empowerment Total diversion hours 300.00 225.00 Month 15 Excellence in practice 16 Exemplary professional practice Nursing Peer Review Committees continually look for ways to make patient care even safer at The University of Kansas Hospital. The more than 20 nurses who make up the committees are a rich resource. They use their experience and expertise to identify issues and develop patient-focused solutions. For example, the committees realized safety checks differed from unit to unit. Their recommendation: new, consistent safety-check procedures across the hospital. Helping nurses achieve the new standards with education and mentoring, the committees established an even stronger foundation for patient care. The Nursing Peer Review Committees are just one example of Magnet’s Exemplary Professional Practice Component at work. Our Clinical Excellence Nurses and the Pain Management Team are also examples of nurses providing their expertise in support of high-quality patient care. Our nurses are also excellent teachers. This past spring, more than 90 nurses served as Go-Tos during the launch of physician documentation in O2. Trained in the “PhysDoc” functionality, they provided at-the-elbow assistance as physicians navigated the new applications. As a result of this professional collaboration, the go-live went exceptionally well. Patient satisfaction remained at the 99th percentile during and immediately following the launch. And physician calls to the help desk were minimal. In fact, the O2 command center was able to close down a week before expected. Practices like this ensure we produce the best outcomes possible. For this nurse, it’s game on Akiko Kubo, RN, is keen on playing games. As the nurse educator on the Medical ICU, Kubo’s games helped reduce supply costs, improve treatment of sepsis and increase the number of critical care registered nurses. Her creative approach to education has a longlasting effect for nurses and their patients. (Continued next page.) Left: Doyle Coons, RN, (right) assists Jiten Patel, MD, with the new physician documentation application in O2. More than 90 nurses served as Go-Tos during the launch. Right: Mike Hastings, RN, and Tara Bradford, RN, serve on our Nursing Peer Review Committees, whose charters are to identify issues and develop solutions. 17 Excellence in practice Taking a cue from “The Price is Right,” Kubo used a game show format to quiz nurses on the cost of typical MICU supplies from a syringe to an arterial line catheter set. Week after week, by taking cost into consideration, they learned to choose supplies based on patient needs while being good stewards of resources. Increased knowledge and staff focus reduced supplies left in patient rooms, which must be thrown away after discharge. In another competition, MICU staff participated in the “Surviving Sepsis League.” After 11 weeks, 46 MICU teams nearly doubled their compliance in meeting all 11 sepsis interventions. Another game, designed to prepare nurses for certification exams, pitted MICU and Unit 63 nurses against the MICU’s certified critical care nurses. When the contest began, only five of the units’ 50 nurses were CCRNs, prompting Kubo to call the game “Are You Smarter than Five CCRNs?” After six weeks of answering sample test questions through the game, 18 nurses garnered CCRN credentials. Help for families dealing with death When a loved one dies, the last thing a family wants to deal with is mounds of paperwork. The new Bridge Builders Program guides families through that paperwork and provides them compassionate, caring support. Bridge Builders are nurses specially trained in end-of-life care. They answer questions and provide resources to families dealing with the death of a loved one. Established by the hospital’s Donor Advisory Council, Bridge Builders also serve as a resource to bedside nurses as they provide patients end-of-life care. Teamwork makes for flawless pump installation Nurses helped propel the December rollout of more than 1,700 infusion pump modules and control units. A team of 25 nurses and support staff from throughout the hospital developed education plans, protocols and safety parameters. More than 1,200 nurses were trained on the new infusion pumps. Nearly 200 nurses also were educated as super users. On hand during implementation, these super users have remained vital resources for their units. The pumps, which were the overwhelming choice of our nursing, pharmacy and anesthesia staffs, are equipped with 1,500 different medication entries across various profiles. The pumps represent one of the most important medication safety technologies for the hospital. With this technology, the hospital is further able to increase compliance with national safety standards. Above: Bridge Builder Marla Stubbs, RN, (right) lends support to Jaimie Heldstab, RN, as she provides end-of-life care. Right: Nurses are the glue between the multiple specialties in the Marc A. Asher, MD, Comprehensive Spine Center. Kim Dixon, RN, (from left) Teresa Baumli, RN, and Jo Prieto, RN, coordinate a patient’s care with Talal Khan, MD. The spine center’s patient volume is up more than 30 percent from its opening in November. 18 Exemplary professional practice Practice leads to enhanced communication and care Patients are often frustrated when they’re referred from one physician’s office to another for treatment. But not at the new Marc A. Asher, MD, Comprehensive Spine Center. The center’s nurses are the glue between the multiple specialties housed in the center. They coordinate patient care and even stay with individual patients as they move from one treatment area to the next. This helps nurses be better informed so they can answer patients’ questions. Most important, the collaboration ensured consistent, accurate and efficient treatment for the 11,250 patients who came through the spine center’s doors during the past eight months. As a result of this new approach to spine care, 95 percent of spine center patients indicate they would recommend us to their friends. Spine center patient volumes 2000 1500 1000 500 0 Nov 2008 Dec 2008 Jan 2009 Feb 2009 Mar 2009 Apr 2009 May 2009 Jun 2009 Patient volume New patients Established Procedures 1,206 1,251 1,344 1,320 1,444 1,671 1,405 1,611 298 254 314 317 360 448 349 398 663 715 784 790 885 925 819 946 225 268 227 213 198 298 237 267 19 Excellence through innovation 20 New knowledge, innovations and improvements In the few minutes it takes to move premature babies from Labor and Delivery to the Neonatal ICU, their body temperatures can drop to hypothermic levels and lead to cranial bleeding. For a preemie, what happens in those first moments can literally mean the difference between life and death. Hypothermia is far less likely in our Neonatal ICU today because of Janet Wisner, RN, and her research regarding preemie body temperatures. As her Frontline Leadership Academy project, she tested a new protocol of placing a premature baby in a specially designed plastic bag immediately after delivery. Using the bag, she discovered our preemies’ average body temperature rose three percent, avoiding hypothermia. Wisner’s project is an example of how our nurses continually look for ways to innovate and improve patient care. Testing evidencebased research is an everyday occurrence. The Department of Nursing encourages these efforts, weaving research into nurses’ daily work. Through the Frontline Leadership Academy and Residency Program, nurses research best practices and apply them in their work. Those eager to delve into research can participate in the new Nursing Research Internship Program. In addition, the department’s research professor helps nurses write grants and conduct research projects. Our nurses’ quest for knowledge and innovation helps us provide cutting-edge, compassionate care. New BMT space enhances patient care When patients come to the new Blood and Marrow Transplant unit on the Westwood Campus, they enter a world filled with natural light and views of nature. This healing environment is the result of BMT staff teamwork. Staff participated in the new area’s design, creating an efficient environment that conveys a sense of hope. Best of all, patients receive even better care. The layout of the new space allows us to offer the option of outpatient transplant for some patients. Even if patients are admitted to the hospital, they go home sooner now because they receive treatments in the BMT unit previously available only as an inpatient. The new space allows us to treat up to 50 patients a day. Left: Thanks to Janet Wisner, RN, (center, looking on) our premature babies are now placed in specially designed plastic bags immediately after delivery to prevent their body temperatures from dropping to hypothermic levels. Tanesha Hurt, RN, intubates a 23-week baby minutes after delivery. Above: Mary Burkhart, RN, and the other BMT nurses can now provide more treatment to transplant patients as outpatients because of the newly expanded BMT unit. 21 Excellence through innovation Symposium showcases the best RRT saves lives This year, our nurses will share their research outside the hospital and gain knowledge from others at the first citywide symposium. Previously, the Department of Nursing’s internal Nursing Science Symposium showcased nursing research abstracts from across the organization. This year, the exchange of knowledge and ideas will be expanded to include nurses from other Kansas City metro hospitals. In 2008, our Rapid Response Team responded to 1,013 activations. And because of team members’ expertise, the number of code blues outside the ICU dropped 76 percent over the past four years. Much of this success is due to our RRT training program, known as the RRT Boot Camp. Recognized as a national model, the boot camp is coordinated by Mike Blomquist, RN, and Doyle Coons, RN, both in Medical ICU. Due to the success of our overall RRT program, the Institute of Healthcare Improvement identified us as a mentor on the design and use of RRTs for hospitals across the country. Our Rapid Response Teams, including Megan Leiker, RT, Mike Blomquist, RN, (center) and Jared Lysaught, RN, responded to 1,013 activations last year. 22 New knowledge, innovations and improvements RRT reduces codes outside of ICU 5.00 Rate per 1,000 discharges annually 4.60 3.57 3.75 3.03 2.50 1.59 1.25 0 2005 2006 2007 2008 Stacy Fulkerson, RN, is among the BMT staff that treat up to 50 transplant patients each day. 23 Excellent outcomes 24 Empirical quality results When four-year-old Emily ran to her dad as he lay wrapped in bandages in the Burnett Burn Center, the first thing she noticed was his funny pajamas. She wasn’t afraid of his appearance, even though he suffered from fourth-degree burns and had lost an arm and a leg. She knew what to expect, thanks to Kayla Northrop, RN, unit educator, Unit 52, and the burn center’s child visitation program. Before Emily’s first visit, Northrop had taken her on an ageappropriate virtual tour of the burn center. Emily saw digital pictures of her dad, the staff, equipment and interventions used in his care. This desensitization process helped decrease Emily’s fear. It’s this kind of care that earned the burn center an American Burn Association and American College of Surgeons’ National Verification Designation. To qualify, the burn center met rigorous standards, concentrating on clinical outcomes, professional development, community outreach, research and patient resources. Only one other burn center in Kansas and none in Missouri received this prestigious designation. Just 55 of 140 burn units/centers in the United States hold this distinction. A patient’s widow was so grateful for the nursing care her husband received that she requested memorials be made to the burn center. Those donations now fund the Thomas McCool/KCP&L Award for Excellence in Burn Nursing. Quality reflected in all we do The burn center is just one of the many areas to produce awardwinning outcomes. Other achievements include: • Get With The Guidelines Performance Achievement Awards from the American Heart Association and American Stroke Association for stroke, coronary artery disease and heart failure care • Kansas Hospital Education and Research Foundation’s Thomas R. Sipe Award for our “Reducing Mortality from Sepsis” program • Accreditation of our BMT program from the Foundation for the Accreditation of Cellular Therapy These achievements reflect our great patient outcomes as evidenced by the mortality chart on the next page. Left: Linda Lopez, RN, (from left) Eric Westervelt, RN, Jessica Hargrave, RN, and Cooper Walker, HCT, perform wound care in the hydrotherapy room in the burn center. Our burn center is the only one in the metro to receive the American Burn Association and American College of Surgeons’ National Verification Designation. Above: Lindsay Leiker, RN, is one of Unit 61’s nursing staff who achieved patient satisfaction scores at the 99th percentile last year. 25 Excellent outcomes Risk-adjusted mortality index Mortality index 0.8 0.7 0.67 0.76 0.73 0.77 100 0.65 0.6 0.68 0.56 0.64 0.57 0.65 0.59 0.64 0.54 80 70 60 0.5 50 0.4 40 32 29 0.3 30 20 0.2 2 6 10 0 FY 2009 YTD Much work has been done across the hospital to reduce the risk of infection at the time patients are most vulnerable. The table at right shows the hospital’s success in controlling ventilator-associated pneumonia. 3 May 2009 Winning the fight against infection Mortality Index 8 Apr 2009 Thanks to the work of all our staff, the hospital’s risk-adjusted mortality index is one of the lowest in the nation. 3 Mar 2009 The lower the mortality number, the better. Hospitals strive to reach a mortality index of 1.0 or lower. A score of 1.0 means a hospital’s survival rate is what would be expected given the severity of its patients’ illnesses or injuries. The further below 1.0 the number, the better job a hospital has done to save lives and provide safe, quality care. 6 Feb 2009 Mortality rate at record low Dec 2008 Sep 2008 Aug 2008 Jul 2008 Jun 2008 3 20 Jan 2009 0 6 Nov 2008 8 11 Oct 2008 0.1 26 90 Percentile Ventilator-associated pneumonia (VAP) initiatives results Unit Performance Cardiac ICU 15 consecutive quarters with no VAPs Trauma ICU 15 consecutive months with no VAPs Burn ICU 18 consecutive quarters with no VAPs Cardiothoracic Surgery ICU 8 of 10 consecutive quarters with no VAPs Medical ICU 14 of 16 consecutive quarters with no VAPs Percentile rating 0.9 Empirical quality results Patient satisfaction guaranteed A woman with a tracheostomy became frustrated keeping track of the paper she was using to communicate with staff since she couldn’t speak. So Monique Hegwood, RN, Cardiovascular Progressive Care, bought her a pack of spiral notebooks. For Hegwood, it cost less than $5. For the patient, it meant regaining control over her life. In fact, when she was discharged, she told Hegwood with a smile, “It’s hard to be depressed with you as my nurse.” Patients routinely compliment the nurses in the Center for Advanced Heart Care. Outstanding customer service is standard procedure at the center, with patient satisfaction scores, as measured by the national Press Ganey survey, at the 99th percentile for fiscal year 2009. Our nurses achieve such high standards by consistently asking how they can make things even better. Such was the case with Units 42 and 64. Through hard work, Unit 42 raised its overall score to the 98th percentile, up from the 78th. And Unit 64 raised its score from the 76th percentile to 98th. Efforts like these helped the hospital achieve an overall patient satisfaction score in the 90th percentile for the year. Our commitment to high-quality care and service is taking us one step closer to becoming the best hospital in the nation. Patient satisfaction by the numbers 100% 78 88 93 84 97 95 96 98 98 98 71 74 75% 50% 25% 0% Jun 2009 May 2009 Apr 2009 Mar 2009 Feb 2009 Jan 2009 Dec 2008 Nov 2008 Oct 2008 Sep 2008 Aug 2008 Jul 2008 Monique Hegwood, RN 27 2009 Nursing achievements National nursing certifications ACHPN – Advance Certified Hospice and Palliative Nurse Marge Barnett, RN Marilyn Parker, RN ACNP-BC – Acute Care Nurse Practitioner - Board Certified Kristen Tierney, RN Erin Tuttle, RN ACNS-BC – Adult Clinical Nurse Specialist - Board Certified Nikki Harvey, RN Marilyn Parker, RN Jennifer Surprise, RN ACRN – Aids Certified Registered Nurse Amy Stewart, RN ANP-BC – Adult Nurse Practitioner Board Certified Mary Burkhart, RN Sharon Lewis, RN Lisa Parsons, RN Matthew Pierce, RN Lori Ranallo, RN Abby Raynolds, RN Rosie Thompson, RN AOCN – Advanced Oncology Certified Nurse Rhonda Evans, RN Marta Lawson, RN Jan Lewis, RN Lynn Marzinski, RN Kristin Moshier, RN Amy Strauss-Tranin, RN AOCNP – Advanced Oncology Certified Nurse Practitioner Mary Burkhart, RN Rowena Henderson, RN Julie Wilhauk, RN CBE – Certified Breast Feeding Educator Mary Dettmer, RN Mary Pinkelman, RN CBN – Certified Bariatric Nurse Lucia Moreno, RN CCM – Certified Case Manager Colleen Booz, LMSW Carla Eskridge, RN Jill Hagel, RN 28 Mona Moran, RN Jane Myer, LMSW Johanna Ricci, RN Van Rickard, LMSW Janice Sandt, RN Jennifer Thibault, RN Jenny West, RN CCRN – Critical Care Registered Nurse Alyson Algrim, RN Tami Alloway, RN Mary Aragon, RN Ellen Banerjea, RN Joel Bangen, RN Lorraine Barham, RN Adriane Barrett, RN Chris Blanchard, RN Kristy Blomquist, RN Michael Blomquist, RN Michelle Bolen, RN Jessica Broom, RN Cathy Callicoat, RN Liz Carlton, RN Brett Cikanek, RN Sarah Coffey, RN Greg Crawford, RN Heather DaSilva, RN Lynn Davis, RN Kristy Delaney, RN Ashley Dinkel, RN Kristen Duckworth, RN Patrick Duncan, RN Aaron Ellis, RN Gerre Fiore, RN Emma Florentino, RN Amanda Gartner, RN Caryl Goodyear-Bruch, RN, PhD Amy Heidenreich, RN Christine Henderson, RN Kristi Henderson, RN Lori Hollingshead, RN Christin Howard, RN Kelly Howe, RN Shannon Hutchens, RN Amy Isabell, RN Tammy Jackson, RN Alexis Johnson, RN Michelle Jones, RN Lindsay Jordan, RN Kaylee Kincaid, RN Amanda King, RN Akiko Kubo, RN Caroline Lance, RN Delois Laverentz, RN Laura Lillich, RN Jared Lysaught, RN Janet Marts, RN Katie Mason, RN Kate McElderry, RN Jennifer Miller, RN Shelli Murry, RN Lauren Nugent, RN Steve Palmer, RN Malorie Picardi, RN Lynelle Pierce, RN Donna Pittaway, RN Jami Quijano, RN Rose Rader, RN Rachael Raugewitz, RN Janell Reichuber, RN Tracy Rogers, RN Munira Sarfani, RN Cat Schunke, RN Stephen Scott, RN Phillip Shepard, RN Emily Smiley, RN Stacy Smith, RN Laura Stallbaumer, RN Jill Taylor, RN Melanie Tisdale, RN Erin Tuttle, RN Brooke Updegrove, RN Bridget Van-Gotten, RN Jennifer Vehige, RN Dee Waldrup, RN Renee Walters, RN Whitney Watson, RN Alex Westerman, RN Eric Westervelt, RN Leah Wilson, RN Lara Wood, RN Elizabeth Wright, RN Chad Yeager, RN CCTC – Certified Clinical Transplant Coordinator Rebecca Baird, RN Judy Greathouse, RN Peggy Higby, RN J. Tham Hoffman, RN Felicia Long, RN Elaine Russell, RN CDE – Certified Diabetes Educator Bonnie Cutler, RN Cindy Gilbert, RN CDN – Certified Dialysis Nurse Wanda Smith, RN CEN – Certified Emergency Nurse Rick Blevins, RN Marni Bolella, RN Mike Carroll, RN Leisa Eaks, RN Mike Hastings, RN Kelly Hewins, RN Kelly Howe, RN Karen Jones, RN Valerie Jones, RN Elizabeth Love, RN Katie Mann, RN Jeanine McCullough, RN Crystal Muller, RN Alison Pontious, RN Leigh Powers, RN Mindy Ritter, RN Brian Selig, RN Shannon Wimsett, RN CFRN – Certified Flight Registered Nurse Marni Bolella, RN Dawn Coleman, RN CGRN – Certified Gastrointestinal Registered Nurse Judy Hershberger, RN Melissa Oropeza-Vail, RN Brad Peck, RN CHPN – Certified Hospice and Palliative Nurse Melanie Simpson, RN, PhD CHRN – Certified Hyperbaric Registered Nurse Linda Appleton, RN CHTC – Certified Hematopoietic Transplant Coordinator Elizabeth Harvey, RN CIC – Certified Infection Control Kathleen Hall-Meyer, RN Carol Roberts, RN Nina Shik, RN Janet Wehrle, RN 2009 Nursing achievements National nursing certifications CMSRN – Certified Medical-Surgical Registered Nurse Katherine Alexander, RN Callie Ballenger, RN Summer Bryant, RN Cheryl Calhoun, RN John Carothers, RN Eric Conyers, RN Laura Crow, RN Sara Geyer, RN Desideria Guela, RN Clarine Holtz, RN Gayle Humphrey, RN Jagir Kaur, RN Naomi King, RN Chi Li, RN Leslie Masters, RN Mary May, RN Lucia Moreno, RN Greg Naines, RN Kathryn Nunnally, RN Cara Nuss, RN Rhonda Pardew, RN Oliver Perocho, RN Lara Petrie, RN Helen Regondola, RN Renda Restrepo, RN Linda Thacker, RN Andrea Vanderfeltz, RN Larry Washam, RN Leah Wilson, RN June Yi, RN CNM – Certified Nurse-Midwife Kathryn Barnds, RN Suzanne Bentley, RN Julie Smith, RN CNN – Certified Nephrology Nurse Jane Cline, RN Wendy Cundiff, RN Lynn Kinsman, RN Denise Loftiss, RN CNOR – Certified Nurse, Operating Room Patrick Berry, RN Meagan Bieker, RN Deloris Blanks, RN Carol Brunin, RN Cheryl Chapman, RN Jenny Chiddix, RN Phyllis Dexter, RN Lisa Elm, RN Andrew Engelhart, RN Chad Fisher, RN Richard Freed, RN Patricia Gallagher, RN Becky Gearhart, RN Jennifer Hertig, RN Hayley Hon, RN Kathleen Howell, RN Dasha Jaros, RN Sheri Killer, RN Mary Landis, RN James Noble, RN Lynette Patocka, RN Patrick Perry, RN Shirley Verbenec, RN Macalie Vesper, RN Marina Volarevich, RN CNRN – Certified Neuroscience Registered Nurse Anne Barnhart, RN Kay Brown, RN Carrie Fountain, RN Karen Lawrence, RN Jennifer Moran, RN Laura Nestell, RN Craig Shipley, RN Stacy Smith, RN CNSN – Certified Nutrition Support Nurse Peggy McLoughlin, RN COCN – Certified Ostomy Care Nurse Rebecca Collis, RN Virginia Freeman, RN Meredith Hill, RN CPAN – Certified Post Anesthesia Nurse Marijen Aga, RN Nancy Martin, RN CPN – Certified Pediatric Nurse Pamela Burt, RN Regan Jacobson, RN Sandy Moorman, RN Roger Scoggan, RN CPON – Certified Pediatric Oncology Nurse Kristy Reynolds, RN CPNP-PC – Primary Care Certified Pediatric Nurse Practitioner Teresa Kilkenny, RN CPSN – Certified Plastic Surgery Nurse Hayley Hon, RN James Noble, RN CPTC – Certified Procurement Transplant Coordinator J. Tham Hoffman, RN Craig Sherman, RN CRN – Certified Radiology Nurse Diane Clevenger, RN Sindy English, RN CRNI – Certified Registered Nurse Infusion Carol Gilmore, RN Jeanette King, RN Cathy Quinn-Haynes, RN Kay Schwartz, RN Lisa Winebrenner, RN Patricia Yesenosky, RN CRRN – Certified Rehabilitation Registered Nurse Anne Briginshaw, RN Shirley Curtis-Klein, RN Laura Farris, RN Nancy Hoglund, RN Katherine Kloczkowski, RN Joan McMahon, RN Bea Murdock, RN, PhD Jennifer Thibault, RN CVRN-Level 1 – Board Certified Cardiovascular Nurse Shirley Verbenec, RN CWCN – Certified Wound Care Nurse Rebecca Collis, RN Virginia Freeman, RN Meredith Hill, RN Suzanne Mitchell, RN FNP-BC – Family Nurse Practitioner Nancy Arends, RN Rebecca Huser, RN Mary Ann Kavalir, RN Craig Kazmaier, RN Bonnie Labelle, RN Jan Lewis, RN Suzanne Mitchell, RN Gomathi Ramakrishnan, RN Suzanne Robinson, RN Laurie Truog, RN Julie Wilhauk, RN IBCLC – International Board Certified Lactation Consultant Suzanne Bentley, RN Mary Dettmer, RN Deborah Salkov, RN Jenny Walters, RN LNCC – Legal Nurse Consultant Certified Jennifer Thibault, RN NE-BC – Certified Nurse Administration Cathy Glennon, RN Thu Janes, RN Stacy Morast, RN Brian Selig, RN NEA-BC – Certified Nurse Administration - Advanced Mary Bianchi, RN Carol Cleek, RN Tammy Peterman, RN, MS Tracy Rogers, RN Chris Ruder, RN, MS NNP-BC – Neonatal Nurse Practitioner Sherri Brown, RN Sara Dubin, RN Kim Hunter, RN Gail Schuetz, RN OCN – Oncology Certified Nurse Joann Adams, RN Kizzy Allen, RN Marcia Bailey, RN Teri Banman, RN Denise Bollier, RN Carol Bomberger, RN Doug Burnett, RN Kerry Campbell, RN Kimberley Clark, RN Laura Davidson, RN Lisa DeWolfe, RN Mary Dinges, RN Janet Forge, RN Kirsten Fredrick, RN Marilyn Ganns, RN Jacque Gentile, RN Laura George, RN Cathy Glennon, RN Diann Godbey, RN Jennifer Gray, RN Jody Griffin, RN George Guilbeaux, RN Suzanne Hagemann, RN Anne Hagerman, RN Beth Haines, RN 29 2009 Nursing achievements National nursing certifications Deborah Hall, RN Cammie Hines, RN Kim Hoffman, RN Rebecca Huser, RN Marcia Jacobson, RN Cindy Kankh, RN Keely LaNoue, RN Beth Leopold, RN Victoria Liston, RN Shari Mott, RN Peggy Murphy, RN Ruth Oben, RN Karen Palmer, RN Mary Perrin, RN Lori Pudenz, RN Kristy Reynolds, RN Rose Robertson, RN Stephanie Roling, RN Madelyn Rudd, RN Angela Rueter, RN Ruth Salge, RN Kristi Seemann, RN Melanie Simpson, RN, PhD Maura Suggs, RN Margo Sweany, RN Darlene Timmerman, RN Lori Torrillo, RN Robin Tropansky, RN Apinya Vorasaph, RN Stacey Wagers, RN Yvonne Ward, RN ONC – Orthopedic Nurse Certified Rebecca Cizmar, RN Linda Fisher, RN Lorelei Huelskamp, RN Cindy Kulphongpatana, RN PCCN – Progressive Care Certified Nurse Susan Baldwin, RN Diane Farrell, RN Shannon Ortman, RN Alicia Ramsey, RN Melanie Tisdale, RN PMHCNS-BC – Psychiatric & Mental Health Clinical Nurse Specialist Noreen Thompson, RN 30 Nursing certification distribution RN-BC – Case Management Diane Gee, RN RN-BC – Certified Medical-Surgical Registered Nurse Wendy Lyles, RN Jennifer Ragan Spence, RN RN-BC – Gerontology Beverly King, RN RN-BC – Informatics Nurse Anne Lane, RN Becky Waitkoss, RN RN-BC – Nursing Professional Development Janet Forge, RN Robyn Setter, RN Marci Walker, RN Karen Wray, RN RN-BC – Pain Management Nurse Melanie Simpson, RN, PhD RN-BC – Psychiatric Mental Health Nurse Kathleen Crenshaw, RN Carrie Gallagher, RN Colleen Janner, RN Christine Mensch, RN Diane Moore, RN Lisa Ninci, RN RNC-NIC – Neonatal Intensive Care Nursing Carrie Berhorst, RN Leasa Clemons, RN Joann Fabac, RN Cynthia Franke, RN Missy Golubski, RN Laurie Hay, RN Rhonda Truschinger, RN Janet Wisner, RN RNC-OB – Inpatient Obstetric Nursing Julie Smith, RN Michelle Zook, RN PNP-BC – Pediatric Nurse Practitioner Teri Huddleston Lavenbarg, RN SANE-A – Sexual Assault Nurse Examiner - Adult Jennifer Thibault, RN QTTP – Qualified Therapeutic Touch Practitioner Theresa Isabell, RN WCC – Wound Care Certified Nancy Grable, RN Julia Pena, RN * includes CMSRN and RN-BC – Certified Medical-Surgical Registered Nurse Editors and reviewers Sindy English, RN, editorial board, Journal of Radiology Nursing Nell Hull, RN, co-editor, Practice Pointers Jennifer Gray, RN, editor, ONS Breast SIG Newsletter Lila Martin, RN, editor, Heartbeat, the Missouri-Kansas PeriAnesthesia Nurses Association’s newsletter Joan McMahon, RN, editor, The University of Kansas Hospital Nursing Research Council Literature Review Lynelle Pierce, RN, editor, AACN Advanced Critical Care, Pulmonary Symposium edition, 2008 Missy Randolph, RN, editor, MAANS local chapter newsletter Suzanne Shaffer, RN, co-editor, Practice Pointers Noreen Thompson, RN, reviewer, Perspectives in Psychiatric Care Yvonne Ward, RN, peer reviewer, Oncology Nursing Forum 2009 Nursing achievements Publications The following people have contributed to The University of Kansas Hospital Nursing Research Council Literature Review: Abstracts Relevant to Nursing Practice. Sue Baldwin, RN Callie Ballenger, RN Angela Hale, RN Christine Henderson, RN Lisa Huynh, RN Theresa Isabell, RN David Koerner, RN Sandy Moorman, RN Laura Nestell, RN Rachel Pepper, RN Malorie Picardi, RN Melissa Randolph, RN Stephanie Rolling, RN Janice Sandt, RN Nikki Sauceda-Weathers, RN Shirley Verbenec, RN Janet Wehrle, RN Eric Westervelt, RN Jeannie Whipple, RN In many cases, Department of Nursing staff partnered with other authors, listed here as et al. Their contributions are greatly appreciated. Marge Barnett, RN, Lynne Connelly, RN, PhD, et al – “A Study of Staff Nurse Administration Patterns and Attitudes Regarding the Titration of Opioids of the Dying Patient in the Acute Care Setting,” Oncology Nursing Forum, 2008: 35(3), 495-96 (Abstract) Michelle Bolen, RN, Akiko Kubo, RN, Caryl Goodyear-Bruch, RN, PhD, Lynne Connelly, RN, PhD, et al – “Psychometric Testing of the KU Delirium Assessment Tool (KU DAT) for Intubated Patients,” [Abstract] AJCC, 2008: 17, 278 Liz Carlton, RN, et al –“Implementation and Enforcement of Ventilator Associated Pneumonia Prevention Strategies in Trauma Patients,” Surgical Infections, April 2009, 10(2): 255-258 Kathleen Marzluf, RN, Mike Hastings, RN, Carol Cleek, RN, et al – “Lactate Levels Predict In-Hospital Mortality in Transferred Patients with Severe Sepsis or Septic Shock,” Annals of Emergency Medicine, October 2008 Lynne Connelly, RN, PhD – “Research Roundtable: Mixed Methods Studies,” MEDSURG Nursing, 2009: 18(1), 31-2 Caryl Goodyear-Bruch, RN, PhD – “Dear Editor,” AACN News, May 2009: 26(5), 2 Caryl Goodyear-Bruch, RN, PhD – “Telling Your Confident Story,” AACN News, April 2009: 26(4), 2 Caryl Goodyear-Bruch, RN, PhD – “When Success Trumps Failure,” AACN News, March 2009: 26(3), 2 Lynne Connelly, RN, PhD – “Research Roundtable: Retrospective Chart Reviews, MEDSURG Nursing, 2008: 17(5), 322-3 Caryl Goodyear-Bruch, RN, PhD – “‘Beacon-ize’ Your Team,” AACN News, February 2009: 26(2), 2. Lynne Connelly, RN, PhD – “Research Roundtable: Survey Methods, MEDSURG Nursing, 2009: 18(2), 114-5 Caryl Goodyear-Bruch, RN, PhD – “Why Does Failure Trump Success?” AACN News, January 2009: 26(1), 2 Lynne Connelly, RN, PhD – “Research Roundtable: Pilot Studies.” MEDSURG Nursing, 2008: 17(6), 411-2 Caryl Goodyear-Bruch, RN, PhD – “Have You Read Your Cookie Box?” AACN News, December 2008: 25(12), 2 Lynne Connelly, RN, PhD – “Research Roundtable: Measuring Constructs,” MEDSURG Nursing, 2008: 17(4), 254, 269 Lynne Connelly, RN, PhD – “Research Roundtable: Bland-Altman Plots,” MEDSURG Nursing, 2008: 17(3), 175-6 Lynne Connelly, RN, PhD – “Research Roundtable: Accuracy and Precision,” MEDSURG Nursing, 2008: 17(2), 99-100 Lynne Connelly, RN, PhD – “Research Roundtable: Power Analysis and Effect Size,” MEDSURG Nursing, 2008: 17(1), 41-2 Cathy Glennon, RN, et al – “Relaxation Technique to Ease Dyspnea: a Tool for Oncology Nurses,” Clinical Journal of Oncology Nursing, October 2008, 12(1), 369-371 Caryl Goodyear-Bruch, RN, PhD, et al – “Apoptotic-related Protein Expression in the Diaphragm and the Effect of Dopamine During Inspiratory Resistance Loading,” Biological Research for Nursing, 2008: 9, 293-300 Caryl Goodyear-Bruch, RN, PhD – “Gratitude. Hope. Confidence. And, yes, Acorns.” AACN News, November 2008: 25(11), 2 Kathleen Meyer, RN, et al – “A Report of Hospitalized Patients with H1N1 Novel Influenza Virus,” Morbidity and Mortality Weekly Review, July 2, 2009 Marilyn Parker, RN, et al – Chapter 26, “Alternative Access (Subcutaneous Infusion),” Infusion Nursing: An Evidenced Based Approach, 2nd Edition; Infusion Nurses Society, 2009 Lynell Pierce, RN, et al – “Ventilatory Assistance,” Introduction to Critical Care Nursing, 5th edition; Elsevier Saunders, 2009 Robyn Setter, RN, et al – “Pediatric Chronic Illness (Cancer, Cystic Fibrosis) Effects on Well Siblings: Parents’ Voices,” Issues in Comprehensive Pediatric Nursing, 32: 94-113, 2009 Noreen Thompson, RN, et al – “Models of Care: The Roles of Nurses and Social Workers in the Diagnosis and Management of Psychogenic Non-epileptic Seizures,” Non-epileptic Seizures, Cambridge University Press, 2009 Caryl Goodyear-Bruch, RN, PhD – “Am I Alpha?” AACN News, October 2008: 25(10), 2 Caryl Goodyear-Bruch, RN, PhD – “It Has a Name,” AACN News, September 2008: 25(9), 2 Caryl Goodyear-Bruch, RN, PhD – “Garbage In? Positive Out!” AACN News, August 2008: 25(8), 2 Caryl Goodyear-Bruch, RN, PhD – “With Confidence,” AACN News, July 2008: 25(7), 2 Caryl Goodyear-Bruch, RN, PhD, et al – “Dopamine Alleviation of Diaphragm Contractile Dysfunction and Reduction of Deoxyribonucleic Acid Damage in Rats,” Heart & Lung, 2008: 37, 132-143 Theresa Isabell, RN – “Universal Energy,” The University of Kansas Hospital, Department of Nursing, Practice Pointers, 6(6); December 2007 31 2009 Nursing achievements Professional organizations INTERNATIONAL International Society of Nurses in Cancer Care: Cathy Glennon, RN, member, board of directors; finance committee; policy and procedures committee; scientific program committee; program committee for 2010 ISNCC Atlanta meeting; abstract reviewer for program committee for 2010 ISNCC Atlanta meeting International Society of PsychiatricMental Health Nurses: Noreen Thompson, RN, member, board of directors NATIONAL Academy of Medical-Surgical Nurses: Callie Ballenger, RN, member, position statement task force American Association of Critical Care Nurses: Caryl Goodyear-Bruch, RN, PhD, president, July 2008-June 2009 American Association of Spinal Cord Injury Nurses: Joan McMahon, RN, chair, 2009 conference American Board for Transplant Certification: Elaine Russell, RN, member, CCTC examination committee American Burn Association: Kayla Northrop, RN, ABLS national instructor American Nurses Credentialing Center: Cathy Glennon, RN, vice chair; nursing chair, administration content expert panel; chair, appeals committee; Noreen Thompson, RN, member, ARNP Consensus Group American Organization of Nurse Executives: Brian Selig, RN, member, political action committee American Society of Blood and Marrow Transplant: Julie Wilhauk, RN, member, 2009 radiation injury preparedness committee (mid-level practitioners); member, 2009 clinical guidelines committee (mid-level practitioners) 32 American Trauma Society: Liz Carlton, RN, chair, trauma education committee Association of Opthalmic Registered Nurses: Clara Meneses, RN, member, board of directors Association of periOperative Registered Nurses: Sherri Killer, RN, delegate, 2009 AORN Congress Association of Rehabilitation Nurses: Joan McMahon, RN, member, CEAU review committee; abstract reviewer Mother & Child Health Coalition: Mary Bianchi, RN, member, board of directors National Foundation for Trauma Care: Brian Selig, RN, member, advocacy committee Oncology Nursing Society: Yvonne Ward, RN, member, 2009/2001 ONS Congress planning team; ONCC certification advocate; ONS diversity advocate Association of Occupational Health Professionals in Healthcare, Heart of America - Kansas City Chapter: Jan Wesselmann, RN, past president Kansas Hospital Association: Tammy Peterman, RN, MS, member, council on health delivery; Brian Selig, RN, member, education committee Association of periOperative Registered Nurses, Greater Kansas City Chapter: Lisa Elm, RN, immediate past president; Jennifer Hertig, RN, secretary; Kate Howell, RN, treasurer; Bucky Will, RN, member, board of directors; chair, program committee Kansas Organization of Nurse Leaders: Rachel Pepper, RN, chair, advocacy commission, board member Association of Professionals in Infection Control and Epidemiology, Greater Kansas City Chapter: Sylvia Ford, RN, member, board of directors; representative, Sunshine Fund; Kathleen Meyer, RN, president; Janet Wehrle, RN, program committee and chapter librarian Association of Rehabilitation Nurses, Greater Kansas City Chapter: Joan McMahon, RN, education chair Society of Critical Care Medicine: Carol Cleek, RN, member, emergency preparedness committee Community Blood Center: Tammy Peterman, RN, MS, member, board of directors REGIONAL/LOCAL Hadassah Nurse Council, Kansas City Chapter: Charyl Rubin, RN, coalition co-coordinator Academy of Medical-Surgical Nurses, Heart of America Chapter: Callie Ballenger, RN, secretary; Nell Hull, RN, immediate past president American Association of Neuroscience Nurses, Kansas City Chapter: Karen Lawrence, RN, member, board of directors; Thu Janes, RN, member, board of directors American Society of Plastic Surgery Nurses, Kansas City Chapter: J.D. Noble, RN, treasurer; Haley Hon, RN, co-treasurer Association of Diabetes Educators, Kansas City Regional Chapter: Bonnie Cutler, RN, member, board of directors; legislative chair Association of Occupational Health Professionals in Healthcare, Region 2: Jan Wesselmann, RN, regional director Health Ministries Association – Kansas City Chapter: Kathy Robinson, RN, member, board of directors Kansas City Cancer Coalition: Liz Marzinski, RN, chair Kansas City Medical-Surgical Nurses Consortium: Marta Lawson, RN, member, steering committee Kansas Emergency Nurses Association: Kelly Hewins, RN, education liaison, EN 411 contact to Representative Dennis Moore’s office; David Samuelson, RN, EN 411 program contact, 2nd Congressional District; Brian Selig, RN, member, government affairs committee and by-laws committee Kansas Healthcare Collaborative: Tammy Peterman, RN, MS, member, steering committee Midwest Association of Administrative Nursing Supervisors: Missy Randolph, RN, vice president; executive board member; Beth Vandenberg, RN, immediate past president; executive board member National Nurses Staff Development Organization, Heart of America Affiliate: Bob Dary, RN, treasurer 2008; Robyn Setter, RN, chair NNSDO affiliate advisory committee; Marci Walker, RN, treasurer 2009 Northeast Kansas Trauma Council: Liz Carlton, RN, secretary Northeast Kansas Regional Trauma Executive Committee: Liz Carlton, RN, prevention /education committee co-chair; performance improvement committee co-chair Oncology Nursing Society, Greater Kansas City Chapter: Dorothy Austin, RN, chair, archives committee; Jennifer Gray, RN, co-chair, membership committee; Lori Ranallo, RN, co-chair, nominating committee; Yvonne Ward, RN, co-chair, membership committee Phillipine Nurses Association of Greater Kansas City: Luz Conde, RN, board member; Joy Doolin, RN, board member; Emma Florentino, RN, board member Sigma Theta Tau, Delta Chapter: Robyn Setter, RN, leadership succession chair Society of Pediatric Nurses, Greater Kansas City Chapter: Jennifer Lombardi, RN, president Sunflower Foundation Healthcare for Kansans, Chris Ruder, RN, MS, secretary, board of trustees 2009 Nursing achievements Unit practice council chairs * Chair ** Chair-elect *** Co-chair Unit 56 – Mother/Baby – FTN Mary Dettmer, RN* Amber Clark, RN** CTS PCU Amber Burke, RN* Lynn Murphy, RN** Unit 15A/B/C – Short Stay and Med/Surg Jamie Klamm, RN* Devon Somers, RN** Unit 61 – Neurosurgery ICU Kaitlyn Balough, RN*** Jason Gray, RN*** CV PCU Melanie Rose, RN* Gracielle Alba, RN** Unit 62 – Neuroscience/Neurosurgery Jennifer Fuentes, RN* CVOR/CV Pre-Post Steve Forsythe, RN* Unit 63 – Medicine Transplant ICU Adriane Barrett, RN* Alyson Algrim, RN** Emergency Department Mark Puno, RN* Laura Mikkelson, RN** Unit 64 Hannah Magner, RN* Darcy Webb, RN** EP Lab Zann Roach, RN* Mark Reichuber, RN** Unit 65 – MICU Becky Wagner, RN*** Chad Yeager, RN*** Jenn Miller, RN** Float Pool Marsha Herndon-Landry, RN* Allis Selmon, RN** Unit 26/28 – SICU Micki DaSilva, RN*** Terra Haselhorst, RN*** Unit 2OP/3OP/PLS Malcolm Teschan, RN* Unit 3F – Rehabilitation Nancy Hoglund, RN* Shirley Curtis-Klein, RN** Unit 41/42/BMT Janet Walsh, RN* Victoria Butler, RN** Unit 43 Cara Nuss, RN* Unit 44A – PICU Kaleena Bauck, RN* Brett Haynes, RN** Unit 44C – Inpatient Dialysis Debbie West, RN* Unit 46 John Carothers, RN* Unit 51 Abby Roddy, RN* Jennifer Craft, RN** Unit 52 – Trauma/Burn Jennifer Ellis, RN* Unit 53 “Under Construction” Unit 54 – Labor and Delivery Felicia Green, RN* Unit 55 – Pediatrics Lauren Shackles, RN* Elizabeth Swartz, RN** Unit 66 Sarah Pfannenstiel, RN* Allison Smith, RN** Pre-anesthesia Treatment/ Infusion Clinic Robbin Craddock, RN* Paul Owen, RN* David Jeffery, RN** Cancer Center Yvonne Ward, RN* Peggy Murphy, RN** Case Management Cynthia Orschlen, RN*** Gail Saunders, RN*** Cardiac ICU Melinda Loy, RN* Jenn Broberg, RN** GI/Endoscopy Susie Collins, RN* Infection Control Janet Wehrle, RN* Interventional Radiology Jill Williams, RN* Darcy Doege, RN** NICU Amanda Terrill, RN* Leasa Clemons, RN** OR Jenny Chiddix, RN** PACU/SDS Catherin DeLeon, RN* Renal Dialysis – Outpatient Elizabeth Courtney, RN* Cardiac Treatment & Recovery Cheryle Hanson, RN* Cath Lab Zann Roach, RN*** Lynn Smith, RN*** CTS ICU Kaylee Kincaid, RN* Tami Alloway, RN** Our staff, including Craig Shipley, RN, have earned 396 professional nursing certifications in 62 specialties. 33 2009 Nursing achievements Councils and committees COORDINATING COUNCIL Chris Ruder, RN, MS, chair Mary Bianchi, RN Liz Carlton, RN Carol Cleek, RN Cheryl Daugherty, RN Kim Dixon, RN Sindy English, RN Amanda Gartner, RN Cath Glennon, RN Jill Hagel, RN Angela Interiano, RN Kaylee Kincaid, RN Jennifer Lombardi, RN Lila Martin, RN Janet Marts, RN Lynn Marzinski, RN Elizabeth Miquelon, RN Cynthia Orscheln, RN Jill Peltzer, RN Tammy Peterman, RN, MS Doug Peterson, RN Suzanne Shaffer, RN Nina Shik, RN Melanie Simpson, RN Kathy Robinson, RN Dawn Walters, RN Karen Wray, RN CLINICAL PRACTICE COUNCIL Janet Marts, RN, chair Kaylee Kincaid, RN, chair-elect Carol Cleek, RN, director-liason Nina Shik, RN, director-liaison Gracielle Alba, RN Alyson Algrim, RN Tammi Alloway, RN Kaitlyn Balough, RN Kaleena Bauck, RN Adriane Barrett, RN Jen Broberg, RN Amber Burke, RN Jenny Chiddix, RN Amber Clark, RN Leasa Clemons, RN Susie Collins, RN Elizabeth Courtney, RN Robbin Craddock, RN Jennifer Craft, RN Shirley Curtis-Klein, RN 34 Bonnie Cutler, RN Micki DaSliva, RN Cheryl Daugherty, RN Catherin DeLeon, RN Mary Dettmer, RN Leah Dickter, RN Darcy Doege, RN Jennifer Ellis, RN Sara Fohn, RN Steve Forsythe, RN Jennifer Fuentes, RN Amanda Gartner, RN Jason Gray, RN Felicia Green, RN Cheryle Hanson, RN Nikki Harvey, RN Terra Haselhorst, RN Brett Haynes, RN Marsha Herndon-Landry, RN Nancy Hoglund, RN Angela Interiano, RN Debby Jackson, BSN, JD David Jeffery, RN Jeanette King, RN Jamie Klamm, RN Sharon Kumm, RN Joann Lacy, RPh Melinda Loy, RN Hannah Magner, RN Nancy Martin, RN Jenn Miller, RN Lisa Mills, RN Elizabeth Miquelon, RN Lynn Murphy, RN Peggy Murphy, RN Cara Nuss, RN Cynthia Orschlen, RN Paul Owen, RN Susan Parker, RN Sarah Pfannenstiel, RN Mark Puno, RN Mark Reichuber, RN Loren Reviere, RN Zann Roach, RN Abby Roddy, RN Rozina Rajab-Ali, RN Melanie Rose, RN Gail Saunders, RN Alli Selmon, RN Lauren Shackles, RN Suzanne Shaffer, RN Allison Smith, RN Lynn Smith, RN Jennifer Surprise, RN Elizabeth Swartz, RN Malcolm Teschan, RN Amanda Terrill, RN Pat Twenter, RN Amber Vigil Becky Wagner, RN Becky Waitkoss, RN Trynn Walden, RN Janet Walsh, RN Yvonne Ward, RN Darcy Webb, RN Janet Wehrle, RN Debbie West, RN Jill Williams, RN Peggy Woodward, RN Chad Yeager, RN MAGNET STEERING COUNCIL Tammy Peterman, RN, MS, chair Suzanne Shaffer, RN, chair Liz Carlton, RN, director-liaison Mary Bianchi, RN Carol Cleek, RN Kim Dixon, RN Cath Glennon, RN Jill Hagel, RN Marta Lawson, RN Lila Martin, RN Noella McCray, RN Kathy Robinson, RN Chris Ruder, RN, MS Robyn Setter, RN Nina Shik, RN Stacy Smith, RN Jennifer Thibault, RN Lisa Voorhies Becky Waitkoss, RN Dawn Walters, RN Karen Wray, RN MANAGEMENT COUNCIL Jennifer Lombardi, RN, chair Cheryl Daugherty, RN, chairelect Jill Hagel, RN, director-liaison Marci Bailey, RN Kevin Bills, RN Kris Brees, RN Patrick Duncan, RN Alisa Ford Patty Howerton, RN Robyn Lindsey, RN Virginia Taylor, RN Marci Walker, RN Eric Westervelt, RN Brigid Weyhofen, RN PROFESSIONALISM COUNCIL Suzanne Shaffer, RN Nina Shik, RN Amber Styles, RN Marcie Teel, RN Luke Thepthepha Jennifer Thibault, RN Robin Thompson, RN Marci Walker, RN Janet Walsh, RN Shirley Weber, MT Joanna Wolfe, RN Mary Bianchi, RN, facilitator Karen Wray, RN, facilitator RESEARCH COUNCIL Callie Ballenger, RN Heidi Boehm, RN Kris Brees, RN Bob Dary, RN Toni Dickinson, RN Sara Fohn, RN Amanda Gartner, RN Nelda Godfrey, RN Lori Hollingshead, RN Kira Marlow Amanda Meats, RN Maria Pena, RN Leigh Powers, RN Ronda Westerheid, RN Stephanie Winright, RN Lynn Marzinski, RN, chair Sindy English, RN, chair-elect Cath Glennon, RN, directorliaison Heidi Boehm, RN Lynne Connelly, RN, PhD Theresa Isabell, RN Cathi Johnson, RN Jessica McDonald, RN Joan McMahon, RN Jill Peltzer, RN Suzanne Shaffer, RN Bob Spaniol, RN, PhD Noreen Thompson, RN Kristin Whitehair QUALITY COUNCIL Angela Interiano, RN, chair Amanda Gartner, RN, immediate past-chair Liz Carlton, RN, director-liaison Bonnie Cutler, RN Ashley Dinkel, RN Sindy English, RN Gerre Fiorre, RN Sarah Fohn, RN Sylvia Ford, RN Mary Ellen Gaul, RN Krystal Hardman, RN Mike Hastings, RN Debby Jackson, BSN, JD Sabrina Korentager, RN Jared Lysaught, RN Lila Martin, RN Tammy Peterman, RN, MS Megan Riffel, RN Chris Ruder, RN, MS Leigh Ann Scott, RPh Robyn Setter, RN STANDARDS OF PRACTICE and PROCEDURES Nina Shik, RN, chair Nikki Harvey, RN, immediate past-chair Rick Blevins, RN Diane Clevenger, RN Janet Forge, RN Michelle Jones, RN Kaylee Kincaid, RN Janet Marts, RN Kate McElderry, RN Elizabeth Miquelon, RN Bernadette Mitchell, RN Kayla Northrop, RN Rozina Rajab-Ali, RN Jason Smith, RN Linda Thacker, RN 2009 Nursing achievements Research Presentations Liz Carlton, RN (PI), Lynne Connelly, RN, PhD (Co-PI), Tammy Peterman, RN, MS, Suzanne Shaffer, RN, and Jennifer Thibault, RN – Improving Patient Outcomes using Clinical Scene Investigators (CSIs), (Health Care Foundation of Greater Kansas City, REACH Healthcare Foundation in conjunction with the BiState Nursing Workforce Innovation Center grant) NATIONAL Liz Carlton, RN (PI), Lynne Connelly, RN, PhD (Co-PI), Tammy Peterman, RN, MS, Suzanne Shaffer, RN, and Jennifer Thibault, RN – Work Environment Assessments (WEA), (Health Care Foundation of Greater Kansas City, REACH Healthcare Foundation in conjunction with the Bi-State Nursing Workforce Innovation Center grant) Lynne Connelly, RN, PhD (PI), Stacy Morast, RN (Co-PI), Heidi Boehm, RN, and Andi Vanderfeltz, RN – Study of Short Preoperative Education Program for Joint Replacement Patients Cathy Glennon, RN (PI), Lynne Connelly, RN, PhD (Co-PI), Jenny Arthur, RN, and Marcia Jacobson, RN – Can the Use of Virtual Reality Goggles Decrease Anxiety in Patients Having a Bone Marrow Aspiration and Biopsy? Lynn Marzinski, RN (PI), Lynne Connelly, RN, PhD (Co-PI) and Kathy Huey, RN – Distress in Cancer Patients Noreen Thompson, RN, et al – Congestive Heart Failure: Improving Outcomes 2006-2009 (NIH/NIR grant) Noreen Thompson, RN (PI), Lynne Connelly, RN, PhD, Mary Ann Kavalir, RN, Jill Peltzer, RN, et al – Psychogenic Seizures: Support and Education at the Time of Diagnostic Disclosure (Cerner/ANF grant) Research internships Epicardial Pacing Wires and Showering – Anna Werner, RN, and Alan Reschke, RN (interns), Cardiothoracic Surgery Progressive Care Unit Risk Factors for Deep Vein Thrombosis in Patients with Acute Neurological Dysfunction – Jennifer Lewis, RN, (intern), Neurosurgical ICU Central Venous Catheters and Stopping Vasopressors for Blood Draws – Kavita Desai, RN, Neurosurgical ICU, and Munira Sarfani, RN, Medicine ICU (interns) Marge Barnett, RN – 10th Annual Hospice and Palliative Care Team Conference, “Administration of Opioids at End of Life: Nurse Knowledge, Attitudes and Practice Patterns,” March 2009 Marge Barnett, RN, and Lynne Connelly, RN, PhD – 2009 Annual Conference of the Midwest Nursing Research Annual Conference, “Nurse Titration of Opioids at End of Life in Acute Care Settings: An Analysis of Practice Patterns, Knowledge and Attitudes,” March 2009 Mike Blomquist, RN, and Doyle Coons, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “The Bone Drill: Intraosseous Access in the Adult Patient,” May 2009 Heidi Boehm, RN, and Summer Bryant, RN – 12th Annual Magnet Conference, “Nurses Taking Action to Transform Care at the Bedside,” October 2008 Michelle Bolen, RN, Lynne Connelly, RN, PhD, Caryl Goodyear-Bruch, RN, PhD, Akiko Kubo, RN, et al – Midwest Nursing Research Annual Conference, “Psychometric Testing of a Delirium Assessment Tool for Intubated Patients,” March 2009 Michelle Bolen, RN, and Akiko Kubo, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Surviving Sepsis League! Tackling the Sepsis Bundle on the MICU Gridiron,” May 2009 (Poster) Liz Carlton, RN – American Trauma Society, “Trauma Program Manager’s Course,” November 2008 Liz Carlton, RN, et al – Southwest Surgical Congress, “A Protocol for Prophylactic Anticoagulation in Patients with Traumatic Brain Injuries,” March 2009 (Poster) Liz Carlton, RN, et al – Southwest Surgical Congress, “Aggressive Evidence-based Management of Catastrophic Brain Injury: Effects on Mortality, Hospital Discharge and Organ Donation,” March 2009 (Poster) Liz Carlton, RN, et al – Society of Critical Care Medicine, “Implementation and Enforcement of Ventilator Associated Pneumonia Prevention Strategies in Trauma Patients,” May 2009 (Poster) Carol Cleek, RN, Mike Hastings, RN, et al – Society of Critical Care Medicine Conference, “Improving Outcomes in Severe Sepsis and Septic Shock: Results of a Prospective Multi-center Collaborative,” February 2009 (Poster) Lynne Connelly, RN, PhD, et al – 35th Annual National Conference on Professional Nursing Education & Development, Creating Jazz: Transforming Exchanges in Education & Practice, “Reframing Course Evaluations as Professional Responsibility,” October 2008 Lynne Connelly, RN, PhD, et al – Academy of MedicalSurgical Nurses Conference, “Patients’ Concerns about Hospital Safety,” October 2008 (Poster) Lynne Connelly, RN, PhD, and Noreen Thompson, RN – 12th Annual Magnet Conference, “Mentoring Partnerships to Encourage Evidence-based Practice and Nursing Research,” October 2008 Lynne Connelly, RN, PhD, and Noreen Thompson, RN – Kansas Nursing Research Exchange, “Mentoring Partnerships to Encourage Evidence-based Practice and Nursing Research,” November 2008 Lynne Connelly, RN, PhD, and Jill Peltzer, RN – 2009 Annual Conference of the Midwest Nurses Research Society, “A Phenomenological Study of Nurses’ Grief for a Dying Patient,” March 2009 (Poster) Patrick Duncan, RN, Sylvia Ford, RN, Alexis Johnson, RN, Nina Shik, RN, and Janet Wehrle, RN – 2009 APIC Conference, “Impact of Improved Environmental Cleaning and Hand Hygiene Compliance on Clostridium difficile Rates in a Surgical Intensive Care Unit,” May 2009 (Poster) Jennifer Ellis, RN, Kayla Northrop, RN, and Maria Pena, RN – 2009 American Burn Association National Conference, “Installing Smoke Alarms in Urban Communities: A Burn Prevention Project,” November 2008 Caryl Goodyear-Bruch, RN, PhD – Christiana Care Conference, “Alpha Dog Wisdom for Nurses,” September 2008 Caryl Goodyear-Bruch, RN, PhD – NDNQI Conference, “Healthy Work Environments Using the AACN Standards,” January 2009 35 2009 Nursing achievements Presentations Caryl Goodyear-Bruch, RN, PhD – SCCM Congress IV: Translating Science into Patient Care: Promises and Pitfalls, “Effecting Change and Making It Part of the ICU Culture,” February 2009 Caryl Goodyear-Bruch, RN, PhD – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, Presidential speech: “Passionate, Purposeful, Positive,” May 2009 Akiko Kubo, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Creating a Culture of Certification: Best Practices Roundtable,” May 2009 Akiko Kubo, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Are You Smarter Than 5 CCRNs? Journey to Certification,” May 2009 (Poster) Akiko Kubo, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Progressive Upright Mobility in the ICU: The HowTo-Guide,” May 2009 Akiko Kubo, RN, and Doug Peterson, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Worst to First: One Unit’s Journey to the Beacon Award,” May 2009 36 Elizabeth Miquelon, RN – 35th Annual National Conference on Professional Nursing Education & Development, Creating Jazz: Transforming Exchanges in Education & Practice, “Unit Specific Orientation Sheets: Transforming Insecurity into Excellent Practice,” October 2008 Kathy Robinson, RN – 35th Annual National Conference on Professional Nursing Education & Development, Creating Jazz: Transforming Exchanges in Education & Practice, “Jazzy Approach for Fast-moving Nurses – Preparing for Magnet,” Kansas City, MO, October 2008 Kayla Northrop, RN, and Maria Pena, RN – 2009 American Burn Association National Conference, “Response to Stress is Magnified Among Burn Center Staff: A Pilot Study,” November 2008 Chris Ruder, RN, MS – HRSA Organ Donation and Transplantation Breakthrough Collaborative, “Transplant Center’s Peer Assist Process,” October 2008 Tammy Peterman, RN, MS, and Chris Ruder, RN, MS – 12th Annual Magnet Conference, “An Iterative Approach to Effective Staff Engagement,” October 2008 Tammy Peterman, RN, MS, and Bob Page – Physician Strategy Summit, “Using Medical Director Partnerships to Achieve Organizational Objectives,” April 2009 Lynelle Pierce, RN – Las Vegas 35th Annual Critical Care Update. National Professional Education Institute, “Airway Pressure Release Ventilation; and Sedation and Delirium Management in the ICU,” April 2009 Lynelle Pierce, RN – American Association of Critical-Care Nurses National Teaching Institute and Critical Care Exposition, “Pulmonary Therapies to Improve Oxygenation,” May 2009 Eric Westervelt, RN – 2009 American Burn Association National Conference, “Fluid Creep,” November 2008 REGIONAL/LOCAL Marge Barnett, RN – Midwest Regional Conference on End of Life Care, “Administration of Opioids at the End of Life: Nurse Practice Patterns and Attitudes,” November 2008 Heidi Boehm, RN, and Summer Bryant, RN – 11th Annual Kansas Nursing Research Exchange, “Quiet Time on Unit 43: Family Medicine & Orthopedics,” Nov. 7, 2008 (Poster) Heidi Boehm, RN, Summer Bryant, RN, and Stacy Morast, RN – Collaborating for Exceptional Care, “Quiet Time on Unit 43, April 22, 2009 (Poster) Liz Carlton, RN – Southeast Kansas Regional Trauma Council, “Development of a PIPS Program,” September 2008 Liz Carlton, RN – Kansas Trauma Summit, “Hypothermia; Trauma: The Good, The Bad & The Ugly,” September 2008 Liz Carlton, RN – Southwest Kansas Regional Trauma Council, “Development of a Trauma QI Program,” January 2009 Akiko Kubo, RN – Greater Kansas City American Association of Critical-Care Nurses 2009 Visions Symposium, “CRRT: Past, Present, and Future,” March 2009 Liz Carlton, RN – Spring Trauma Seminar, “Burn Resuscitation; New Methods in Hemorrhagic Shock Resuscitation; and Traumatic Brain Injury,” March 2009 Kathleen Meyer, RN – The University of Kansas Southeast AHEC, “The Impact of MRSA Infections in the Community,” March and April 2009 Liz Carlton, RN – Region VII Trauma Program Managers Winter Workshop, “The Trauma Education Consortium” (Poster) Stacy Morast, RN – Collaborating for Exceptional Care, “Performance Improvement,” Kansas City, Kan., April 2009 (Poster) Lynne Connelly, RN, PhD, Jill Peltzer, RN, et al – Kansas Nurses’ Research Exchange, “A Phenomenological Study of Nurses’ Grief Experience for the Dying Patient,” November 2008 Heidi Nelson, RN, Cara Nuss, RN, and Gina Smothers, RN – Collaborating for Exceptional Care, “Unit 43 Practice Council,” April 2009 (Poster) Joyce Funk, RN – Kansas City Regional Association of Diabetes Educators, “Cystic Fibrosis – A Multi-System Disease,” May 2009 Lynelle Pierce, RN – Kansas City Southwest Clinical Society, “Sedation and Delirium – A Protocol Approach,” May 2009 Catherine Glennon, RN – Community Cancer Care Foundation, “Staffing Challenges While Meeting Patient Symptom Needs,” July 2008 Kathy Robinson, RN – Annual Health and Spirituality Regional Workshop, “Emerging Research and Approaches to Coherence: Connections of Body, Mind & Spirit,” November 2008 Catherine Glennon, RN – Kansas City Cardiovascular Nursing Chapter, “Nursing Shortage Strategies,” August 2008 Julie Wilhauk, RN – Oncology Nursing Society – Topeka Chapter, “Hypomethalation Agents-Novel Therapies,” 2008 Cathy Glennon, RN, and Tammy Peterman, RN, MS – Kansas City Cardiovascular Organization, “Effective Strategies for Addressing the Nursing Shortage,” September 2008 The following are Poster Presentations from the 3rd Annual Nursing Science Symposium: Caring about Communication, The University of Kansas Hospital Department of Nursing, Sept. 25, 2008. Catherine Glennon, RN – Schools of Nursing (multiple sites), “Nursing Shortage,” February-April 2009 Anne Arthur, RN, Heidi Boehm, RN, Lynne Connelly, RN, PhD, and Rozina Rajab-Ali, RN – “The Use of Constant Observation” 2009 Nursing achievements Presentations Anne Arthur, RN, Lynne Connelly, RN, PhD, and Leah Dickter, RN – “Comparison of Three Thermometers: A Quality Improvement Study” Lynne Connelly, RN, PhD, Jill Peltzer, RN, et al – “A Phenomenological Study of Nurses’ Grief Experience for the Dying Patient” Melanie Simpson, RN, PhD – “Prevalence of Sexual Dysfunction in Chronic Back Pain Patients on Long-term Opioid Therapy” Elizabeth Allred, RN, Kim Marsh-West, RN, Shandi McCray, RN, and Casey Watson, RN – Best Practice Education for Trach Care Ashley Carpenter, RN, Kaitlyn Balough, RN, and Divya Gandotra, RN – Nurses’ Opinions on Group Report and Patient Assignments Marge Barnett, RN, Lynne Connelly, RN, PhD, Pat Dalrymple, RN, and Carol Mulvenon, RN – “Nurse Titration of Opioids at End of Life in the Acute Care Setting: An Analysis of Practice Patterns, Knowledge and Attitudes” Lynne Connelly, RN, PhD, Joan McMahon, RN, and Kelli Swayden, RN – “Effect of Sitting Versus Standing on Perception of Provider Time at the Bedside” The following are Poster Presentations from the 2008 BSN Nurse Residency Program, The University of Kansas Hospital, The Department of Nursing, Dec. 4, 2008. Jasmine Balino, RN, Cara Bachman, RN, and Linsie Sanger, RN – Paper Version of I&O Sabrina Carter, RN, Mindy Cooper, RN, Diane Gehring, RN, Laurel Herzog, RN, and Jessie Krieling, RN – Outpatient Admissions…Does the Entry Point Need to be the ED? Bob Dary, RN, Nell Hull, RN, and Cindy Tuggle, RN – “Jazzed on Patient Safety: Transforming Nursing Orientation” Ashley Abound, RN, Erin Colburn, RN, and Ashley Goff, RN – DVT Prophylaxis Heidi Boehm, RN, Rebecca Gearhart, RN, and Sherry Killer, RN – “Exploring the World of Nursing” Carol Cleek, RN, Mike Hastings, RN, et al – “Improved Sepsis Recognition and Survival Following Initiation of a Multidisciplinary Sepsis Team” Carol Cleek, RN, Mike Hastings, RN, et al – “Increased Mortality Among Transferred Septic Patients” Carol Cleek, RN, Mike Hastings, RN, et al – “Outcomes in Septic Patients Excluded from the Surviving Sepsis Database” Lynne Connelly, RN, PhD, Rebecca Horvat, PhD, Amanda Gartner, RN, Jill Morton, BS, Elizabeth Miquelon, RN, Jill Peltzer, RN, et al – “Interdisciplinary Evidence-based Practice Project to Reduce Blood Culture Contamination” Lynne Connelly, RN, PhD, Kaylee Kincaid, RN, and Nina Shik, RN – “Isolation Transport Pilot Study” Kelly Hewins, RN, and Laura Lillich, RN – “Tadpoles at Teaching: A Planned Metamorphosis Growing Educators from the Bedside” Akiko Kubo, RN – “Are You Smarter than 5 CCRN’s? The Journey to Certification” Lila Martin, RN – “Providing Meaningful Quality Data to Frontline Staff” Lynn Marzinski, RN – “Use of the National Comprehensive Cancer Network’s Distress Scale: A Pilot Project” Elizabeth Miquelon, RN – “Transforming Insecurity into Excellent Practice Through Unit-specific Orientation Sheets for Reassigned Nursing Staff” Bea Murdock, RN, PhD – “Rehabilitation Unit Falls Program” Robyn Setter, RN, and Karen Wray, RN – “Helping Graduates Tread Water: Results of a Three-Year NCLEX Support Study” Josiah Chumba, RN, and Jeff Van Horn, RN – PICC Line Flush Documentation Brett Cikanek, RN, and Dustin Pierce, RN – Intraosseous Access (EX-IO) Kavita Desai, RN, Munira Sarfani, RN, and Rebecca Velasquez, RN – CVCs and Blood Draws Carie Hagen, RN, and Stacy Keller, RN – Improving Report: Anesthesia to PACU RN Report Nikki Moody, RN, and Megan Riffel, RN – “Do Not Stick” Pink Armband Awareness The following are Poster Presentations from the 2009 BSN Nurse Residency Program, The University of Kansas Hospital, The Department of Nursing, May 28, 2009. Bethany Aberg, RN, Mindy Marker, RN, and Erika Midfelt, RN – Sedation Vacation Andie Alexander, RN, Heather Bryant, RN, and Meredith Uthoff, RN – Paper Version of Patient Profile Sue Barelli, RN, Mariela Lebron, RN, and Shelly TierneyCharpentier, RN – Care of Perioperative Patients with MDROs Emily Barnett, RN, Nicole Hofmann, RN, and Monica Pfeiffer, RN – Palliative Care: The Nurse’s Role Addressing Patient and Family Needs Hailey Beebe, RN, Marlon Brown, RN, and Krystal Morris, RN – Core Checklists: Addition of Organ Donor Criteria Amanda Bonfield, RN, and Christa Gonser, RN – Skin Care in NICU Amanda Bonfield, RN, and Christa Gonser, RN, – Skin Care in NICU Laiecha Bowles, RN, Alyssa Cahoj, RN, Allison Megli, RN, and Kate Scaletty, RN – The Importance of Neonatal Dosing Sheets in the NICU Erica Brand, RN, Kailey Mesler, RN, Sean Smith, RN, and Alexis Zecy, RN – Profile Tool Ashley Cameron, RN, Lindsay Gutierrez, RN, Megan Jensen, RN, Kristen Marshel, RN, and Allison Waggoner, RN – Improving Patient Satisfaction for Patients in Semi-Private Rooms Jamie Cochran, RN, Jaimie Heldstab, RN, Elizabeth Erickson, RN, and Bryn Spellmeier, RN – Methods to Decrease CVCrelated Infections Courtney Cruz, RN, Charis Grosdidier, RN, Christina Mayer, RN, and Troy Sides, RN – Implementing an Electrolyte Replacement Protocol in the Cardiac ICU Megan Daulton, RN, Maegan Kinklear, RN, and Leaanne Swigart, RN – Telepacks: How Clean is “Clean”? Katelyn Dunleavy, RN, Melissa Higgins, RN, Lisa Jewell, RN, and Katie Roberson, RN – Effect of Post Discharge Telephone Calls on Patient Satisfaction and Readmission Rates Sam Evans, RN, Alyson Frink, RN, and Lisa Huynh, RN – Unit 66 Intake and Output Renovation Katie Gerant, RN, Amanda Ryan, RN, Jessica Schroeder, RN, and Meghan Sullivan, RN – NPO Status of Patients Andrea Glatz, RN, Casey Pickering, RN, and Lisa Richards, RN – Flolan Competencies: A Checklist for the Three Levels 37 2009 Nursing achievements Presentations Frontline Leadership Academy projects Mitch Gotschall, RN, Brooke McIntosh, RN, and Kate Newman, RN – Blood Transfusions on CTS patients: Helping or Hurting Them? Summer Bryant, RN – Coach Anny Anderson, RN – Nurse Picture Project: Improving Patient Identification of Primary RN Morgan Cook, RN – Improving Compliance with Central Line Dressing Change Compliance Lauren Imel, RN – Implementation of an HCA Team Leader Breah Gould, RN, Kara Purdum, RN, and Lauren Madrigal, RN – Chart Audit Sheets Tiffany Halverson, RN, Debbie Shinkle, RN, and Jay Spiegal, RN – Decreasing Falls in Neuroscience Patients Shauna Hillman, RN, and Jenna Turnbaugh, RN – White Boards and Communication with Patients Bri Hotchkiss, RN, Gi Manaying, RN, Kristen Phillips, RN, and Teresa Self, RN – Transitioning the Patient from SICU to Unit 51 Erika Humbarger, RN, Jennifer McNeil, RN, and Hannah Petrak, RN – Blood Cultures from Central Lines Cara Knipp, RN, and Alison Lindsay, RN – The Buddy System: A Quality Improvement Project Regarding Nursing Staff Satisfaction Jaclyn Loftus, RN, Nikki O’Hare, RN, and Stephanie Oxandale, RN – The Heart Hugger Sternal Support Harness as a Treatment and Prevention of Sternotomy Pain Jill Mease, RN, Nickie Pullen, RN, and Caitlin Schulte, RN – Rectal Temperatures for Infants Barno Mirsagatova, RN, Anthony Mwangi, RN, and Alina Vaysfligel, RN – Orienting Patients with an Informational Handout 38 Group project: Anny Anderson, RN, Morgan Cook, RN, and Lauren Imel, RN – Improving O2 Order Entry Carol Cleek, RN, and Liz Carlton, RN – Coaches Lynn Marzinski, RN – Patient Education Documentation Elizabeth Miquelon, RN – From Your RN Newsletter Mike Hastings, RN – Medication Reconciliation Group Projects: Mike Hastings, RN, Elizabeth Miquelon, RN, and Jennifer Thibault, RN – From Your RN Newsletter Janet Forge, RN, and Lynn Marzinski, RN – Patient Education Task Force: Process for Identifying Educational Materials for Cancer Patients Danel Cupps, RN – Coach Tara Bradford, RN – Patient Education for Transfer from SICU to Unit 51 Marcia Jacobson, RN – Cancer Center Patient Education Booklet Victoria Rudolph, RN – Cancer Center VRE Surveillance Trynn Walden, RN – Education Room Clean-up Group Projects: Marcia Jacobson, RN, and Victoria Rudolph, RN – Cancer Center Attendance Policy Tara Bradford, RN, and Trynn Walden, RN – Acute Care HCA Leadership Training Patrick Duncan, RN – Coach Group Projects: Heather DaSilva, RN, Bridgette Marzluf, RN, and SuAnn Murry, RN – Process Improvement to the 24-Hour Chart Check Process with Associated Education Karla Oberle, RN, Kayla Northrop, RN, and Ashley Taubert-Dupey, RN – Improvements to Discharge Education for Burn Patients and Family Becky Gearhart, RN – Coach Brad Barber, RN – PACU Informational Packet for New Residents Leanne Doerner, RN – Improving Patient Throughput Specific to SDS and PACU Brenda Harrington, RN – Robotic Procedure Setup Education Steve Kellar, RN – Documentation Education in the Main OR Tim Kistner, RN – Mayfield Headrest Instructions Macalei Vesper, RN – Process for Timely PTO Sign-off for Main OR Staff Howard Willyard, RN – Report Process Development for PACU to SDS Group Project: Brad Barber, RN, Leanne Doerner, RN, Brenda Harrington, RN, Steve Kellar, RN, Tim Kistner, RN, Macalei Vesper, RN, and Howard Willyard, RN – Safe Patient Handoffs: Handoff Communication Between Patient Care Team Members Thu Janes, RN, and Stacy Smith, RN – Coaches Jason Gray, RN – Stroke Team Education Implementation in ACLS Courses to Improve Awareness Karen Lawrence, RN – Continuing Education Class Development: Cerebral Vascular Anatomy, Physiology & Disease Process Jennifer Moran, RN – Educational Nursing Rounds in Neuro ICU Thuy Tran, RN – Staff Satisfaction on Profile Completion Process Based on Patient Admission Time Matt Wedel, RN – Explore Patient Assignment Process to Address: Patient Needs, Floor Layout and Nursing Competency Group Project: Jason Gray, RN, Karen Lawrence, RN, Jennifer Moran, RN, Thuy Tran, RN, and Matt Wedel, RN – Understanding the Supply Liaison Workflow: Neuroscience Med-Surg Supply Project Amanda Meats, RN – Coach April Davis, RN – Smoking Cessation and Referral Rates Heather O’Conner, RN – Standardizing Process to Assure Type and Screen Drawn Every 72 Hours Michelle Schulz, RN – Increasing Nurse Satisfaction by Focusing on Improvement of Thirty-Minute Uninterrupted Lunch Breaks Janet Wisner, RN – Temperature Importance in the Neonatal Period Group Project: April Davis, RN, Heather O’Conner, RN, Michelle Schulz, RN, and Janet Wisner, RN – Throughput for Mother/Baby Unit Bea Murdock, RN, PhD – Coach Callie Ballenger, RN – Call Light Response Times Heidi Boehm, RN – Tool Development: Assignment Making Shirley Curtis-Kline, RN – Safety: Tranfers Jamie Klamm, RN – Bedside Safety Checks Group Project: Callie Ballenger, RN, Heidi Boehm, RN, Shirley Curtis-Kline, RN, and Jamie Klamm, RN – Mock Falls Adam Olberding, RN – Coach Kristy Blomquist, RN – Unit Recognition Kristen Duckworth, RN – Supplies and Cost Lori Hollingshead, RN – Multidisciplinary Rounding Jennifer Vehige, RN – Increasing Unit Attendance Dee Waldrup, RN – Mach Codes Group Projects: Kristy Blomquist, RN, Lori Hollingshead, RN, and Dee Waldrup, RN – The Sepsis Team Kristen Duckworth, RN, and Jenn Vehige, RN – Spontaneous Breathing Trials Brian Selig, RN – Coach Rick Blevins, RN – Supply Cost Education in the ED John Hennrich, RN – Improving the Efficiency of Scheduling Add-on Procedures in the GI Lab 2009 Nursing achievements Frontline Leadership Academy projects Jennifer Hertig, RN – Orientation Checklist Development for Supply Techs in the CVOR Denise Loftiss, RN – Education and Orientation Plan for Rotating Residents in the Inpatient Dialysis Unit Kate McElderry, RN – Development of a Journal for CTSICU Patients to Help Them Remember Their Visits and Improve Patient Satisfaction Group Project: Rick Blevins, RN, John Hennrich, RN, Jennifer Hertig, RN, Denise Loftiss, RN, and Kate McElderry, RN – Dress Code Policy Compliance: Expectation or Enforcement by Exception? Renee Walters, RN – Coach Fran Blackledge, RN – Specimen Labeling Compliance Melinda Loy, RN – Bedside Safety Compliance Stacia Peters, RN – HCT/RN Communication Mark Reichuber, RN – Reprocessing Supplies Melanie Renteria, RN – Teamwork Through Tech-to-Tech-to-Nurse Communication Zann Roach, RN – Vancomycin Administration Compliance Group Project: Fran Blackledge, RN, Melinda Loy, RN, Stacia Peters, RN, Mark Reichuber, RN, Zann Roach, RN, and Melanie Rose, RN – CV Lab & CVP Communications Brigid Weyhofen, RN – Coach Denise Bollier, RN – Creating Doctor Specific Areas within the Cancer Center Treatment Area: Patient Placement Plan and Identifying RN Staffing Needs Based on Patient Acuity in the Outpatient Cancer Center Victoria Butler, RN – Audit Tool for Compliance of the Bedside Safety Check for Unit 41/42 Janet Forge, RN – Patient Education Manual for Cancer Center Kim Owens, RN – Audit Tool for Pain Reassessment for Unit 41/42 Group Project: Victoria Butler, RN, and Kim Owen, RN – Communication Tree for Units 41/42 2009 Nursing awards Excellence in Cardiovascular and Cardiothoracic Surgical Nursing Gracielle Alba, RN Anna Werner, RN Excellence in Hematology/ Oncology Nursing Kerry Campbell, RN Kim Clark, RN Jodie C. Hatzenbihler Clinical Excellence Education Award Jasmine Balino, RN Riss Family Award for Excellence in Neuroscience Nursing Mary Ann Kavalir, RN, ARNP Kelly Swayden, RN Sutherland Family Nursing Award for Excellence in the Surgical ICU Susan Cahill, RN Elizabeth Wisdom Award for Excellence in Medical ICU Betsy Wagner, RN 2009 Nursing support staff excellence awards Outstanding Health Care Assistant Adekanmi Ilori Unit 43 Outstanding Health Care Technician Hoang Le PACU Outstanding Unit Secretary Lisa Skwarlo ED Lauren Imel, RN, and 54 other nurses participated in the Frontline Leadership Academy last year. 39 2009 Excellence in Nursing awards Patient / Family Educator Nurse Mentor Suzanne Bentley, RN Leah Dickter, RN Nursing Clinical Excellence Unit 66 Expert Clinical Nurse, Nontraditional Expert Nurse Leader Gina Harrell, RN Unit 65 Akiko Kubo, RN Float Pool 40 Patient / Family Advocate Expert Clinical Nurse Outstanding New Graduate Nurse Nurse Preceptor Mona Moran, RN Susan O’Neil, RN Megan Riffel, RN Bridget Van-Gotten, RN Organ Transplant Unit 64 Unit 51 CICU In memoriam During the past year, The University of Kansas Hospital lost three members of its nursing family. They are greatly missed by their co-workers and friends at the hospital. Geraldine Enneking, RN, Float Pool, died Aug. 31, 2008 Tasha Bradford, HCA, Float Pool, died Dec. 21, 2008 David Woods, Office Supervisor – Nursing Central, died March 6, 2009