WellStar Nursing - WellStar Health System

Transcription

WellStar Nursing - WellStar Health System
WellStar Nursing
Practicing Professionally, Caring Compassionately
2015
Dear Friends and Colleagues,
The ambulance doors open and within minutes you save the life
of a patient, and with the touch of your hand you bring hope;
You gently place a baby in the arms of a new family and smile,
sharing the joy of life;
After your patient’s hip replacement surgery, you collaborate with
her rehabilitation team to manage her pain so she can participate
in therapy, gain strength, and be active again;
You sit with the family of a patient who has just suffered a stroke and explain in simple terms the
medical care and treatment that he will experience to regain his health and his “self;”
As a nurse navigator, you compassionately guide patients through their cancer journey, relieving
their suffering through coordination of care, explanation of treatments and technology, and
being there to listen, comfort, and alleviate fear;
You preserve the dignity, and seek comfort for a dying patient, while supporting the
family in saying goodbye;
These are just a few examples of the extraordinary care that our team of nurses provide for
patients each and every day. It has been an exciting year with many outstanding achievements.
Your expertise and achievements have been recognized locally, regionally and nationally. I am
proud to share with you the extraordinary highlights of this year’s annual report. The 5-Star
Nursing Professional Practice Model, and the key principles of Caring Compassionately and
Practicing Professionally, is highlighted throughout.
I want to thank you for your commitment to our patients, to our profession, and to one another.
The coming year in healthcare will bring new challenges and opportunities for nursing. I ask for
your continued dedication to improving the care for our patients, and for your partnership in
creating a preferred destination for nurses to find joy and success in their careers.
With my deepest gratitude,
Jill Case-Wirth, MHA, BSN, RN
Senior Vice President and Chief Nurse Executive
WellStar Health System
WellStar Nursing
Practicing Professionally, Caring Compassionately
2015
Contents
Letter.................................................................................................................................5
Hospital Overview.............................................................................................................6
Exemplary Practice and Outcomes...................................................................................9
Resources and Support...................................................................................................12
METRIC: Job Enjoyment................................................................................................ 15
Evidence-Based Practice and Research...........................................................................16
METRIC: Practice Environment....................................................................................... 19
Professional Development..............................................................................................20
METRIC: Catheter-Associated Urinary Tract Infections.................................................. 23
Teamwork and Collaboration..........................................................................................24
Clinical Advancement Program (CAP) Designation.........................................................27
METRIC: Central Line Blood Stream Infections.............................................................. 28
Presentations...................................................................................................................29
Publications.....................................................................................................................37
METRIC: Injury Falls........................................................................................................ 38
Grants..............................................................................................................................39
METRIC: Hospital Acquired Pressure Ulcers.................................................................. 40
Certifications...................................................................................................................41
Awards.............................................................................................................................46
Community Service.........................................................................................................48
Hospital Overview
WellStar Cobb Hospital
WellStar Paulding Hospital
• 382-bed licensed facility
• 56-bed licensed facility
• Level III NICU
• Opened a brand new hospital in April 2014
• Nearly 100,000 Emergency Department
visits in 2014
• Diagnostic Outpatient Imaging and
Treatment Center
• Chest Pain Center and Fast Track
• Specialized Cardiac Rehabilitation Services
• State-of-the-art Burn Center
• Joint and Stroke Center of Excellence
• Long-term skilled, physical therapy and
speech therapy services
• CARF Accredited Rehabilitation Services
• Intensive Care
WellStar Douglas Hospital
• 108-bed licensed facility
• Expanded Emergency Department and
ICU Facilities
WellStar Windy Hill Hospital
• 115-bed licensed facility
• Progressive Care Unit
• Outpatient Diagnostic/Treatment Center
• Minimally Invasive Center for Fibroid Care
• Cardiac Catheterization and PCI Lab
• Pediatric Orthopedic Surgery Center
• Interventional Radiology
• Southeast’s largest sleep center accredited
by American Academy of Sleep Medicine
• Diabetes Education
• Joint Center of Excellence
• Certified Chest Pain Center
• “Grade A” Hospital Safety Score,
The Leapfrog Group
WellStar Kennestone Hospital
• 633-bed licensed facility
• Cutting-edge cardiac and open heart
surgery programs
• Level II Trauma Center
• Level III NICU
• U.S. News and World Report’s top hospitals
in Georgia
• More than 13,000 Emergency Department
visits in 2014
• Comprehensive Stroke Center
• Bariatric Surgery Center of Excellence
• CARF Accredited Rehabilitation Center
6 WellStar Nursing
• Highly specialized surgery center, including
arthroscopic, eye and bladder surgeries
M A R I E T TA
WellStar
Kennestone Hospital
KENNESAW
H
DALLAS
WellStar
Paulding Hospital
AUSTELL
H
WellStar
Cobb Hospital
WellStar
Windy Hill Hospital
H
H
DOUGLASVILLE
WellStar
Douglas Hospital
H
The vision of WellStar is to deliver world-class healthcare. Our not-for-profit health system includes WellStar Kennestone Regional Medical
Center (anchored by WellStar Kennestone Hospital) and WellStar Cobb, Douglas, Paulding and Windy Hill hospitals; WellStar Medical
Group; Urgent Care Centers; Health Parks; Pediatric Center; Health Place; Homecare; Hospice; Atherton Place; Paulding Nursing and
Rehabilitation Center; and the WellStar Foundation. For more information, call 770-956-STAR or visit wellstar.org.
The Nursing Vision
WellStar nurses will be recognized as national leaders in the practice of nursing by promoting:
• Holistic patient-centered care
• Quality and innovation
• Education
• Evidence-based practice
• Nursing research
5-Star Nursing H Professional Practice Model
WellStar Nursing Professional Practice Model
Exemplary Practice and Outcomes
The vision of WellStar nurses is to be recognized
as national leaders in the practice of nursing by
promoting: holistic patient-centered care; quality
and innovation (in providing care); (advancing
nursing) education; (using) evidence-based practice;
and (conducting) nursing research. Providing the
highest standard of nursing care is an expectation of
all nurses as they work in high acuity care settings and
provide care across the continuum. Through a strong
shared governance model and the application of best
practice and evidence, nurses at WellStar are keeping
the promise to meet or exceed patient needs. At
WellStar, nurses are recognized for their contributions
through the Daisy Award Program, and many nurses
have been recognized for exemplary practice and
achievement of extraordinary outcomes at local and
national celebrations.
This year, at WellStar Kennestone Hospital, nurses
on Blue 6 West prepared for the addition of having
surgical patients as well as medical patients to
care for. The unit’s nurse
educator partnered with
nursing and medical experts
to prepare the staff to care
for the thoracic surgical
patient. Education included
ensuring that nurses would
know how to manage patients’
pain following surgery, meet
postoperative and discharge
needs, as well as handle clinical
procedures, including chest tube
management and removal. They
also advanced skills specific to
cardiac telemetry. As part of the
preparation, nurses were able to
shadow colleagues on Blue 7 West,
where patients who underwent thoracic surgery had
previously been cared for prior to coming to Blue 6
West. Education and skill-building congruent with
a change in role responsibilities also was extended
to other members of the healthcare team, such as
the unit’s clinical care partners. Currently, nurses on
this unit are continuing to advance the quality of
evidence-based practice and they are exploring how
to adjust staffing levels based on the new acuity of
the patients on this floor.
Wound care nurses at WellStar Windy Hill Hospital
are improving care by improving practice in
addressing the nutritional needs of patients. Good
nutrition, even when it is addressed through other
sources such as tube feedings, for a patient who
Nurses on Blue 6 West, the Cardio-Thoracic Surgery floor
of WellStar Kennestone Hospital, adapted to the addition
of thoracic patients on the unit, which required additional
instruction led by the nurse educators.
WellStar Nursing 9
cannot eat a normal diet, is key to preventing
adverse events such as pressure ulcers. It also is
vital to enable patients who are still on a ventilator
to advance in the patients’ rehabilitative process.
Ensuring that documentation is accurate and timely
is very important, because patient metrics that
capture the quality and quantity of the patient’s
intake and output, along with his/her daily weight,
informs nurses and other members of the healthcare
team of how well the patient actually is doing.
Also demonstrating excellence in care are WellStar
Cobb Hospital nurses, who are advancing the care of
patients who have suffered a stroke. WellStar Cobb’s
Stroke Center is certified by the American Heart
Association and has grown considerably over the
last two years. Recently, it was recognized in Georgia
for innovation and the quality of care provided by
nurses at WellStar Cobb. Nurses advanced individual
and team knowledge and skill in the care of these
patients by attending what is termed “Stroke School
101 and 102.” Advancing education and knowledge
is regarded by nurses as pivotal to performance and
ongoing professional development and is a core
value held by nursing staff at WellStar Cobb.
10 WellStar Nursing
This year, WellStar Paulding Hospital recognized
and responded to a community need and launched
a new ophthalmology service. There were no
comprehensive ophthalmology services within a
20-mile radius of the hospital. Along with physician
colleagues in ophthalmology, nurses created new
procedures and policies to ensure the highest
standard of care would be given. Nurses on
Paulding’s surgical team learned about the intricate
instruments and technology used by ophthalmology
and they also learned about the medications
including possible side effects used in the treatment
of ophthalmology patients. This has prepared them
to educate surgical ophthalmology patients post
procedure. When patients learn from nurses how
to take their medications and about possible side
effects, they are better able to care for themselves
when they leave the hospital and are able to avoid
unintended outcomes post discharge. WellStar
Paulding has completed 88 procedures since the
new program began just months ago.
The goal of WellStar Health System nurses is to
provide the highest standard of care for patient
populations, and to do this they institute exemplary
practice. While WellStar strategically identifies and
selects talented nurses who come to this System
with outstanding preparation from local or distant
schools, or with significant clinical experiences from
other healthcare settings, there always is more to
learn and additional skills to develop in this dynamic
healthcare setting. The WellStar Development
Center (WDC) and on-boarding staff are a resource
to all team members. Specific to nursing, the WDC
and on-boarding staff use group and individual
learning opportunities in a wide range of venues
to advance the abilities of the nurse. Continuous
learning is a core value of WellStar and is upheld by
nurses and team members in this clinical setting.
Recognizing a high incidence of Acute Kidney Injury (AKI)
Exemplary Pratice
and Outcomes
according to the 2013 Cath PCI Registry, WellStar Douglas
Hospital addressed how much contrast medium was being
used during cardiac cath procedures. Research shows that
Contrast Induced Nephropathy (CIN) contributes to AKI and
providing the recommended amount of contrast medium and
no more can prevent unintended harm to patients. Nurses
in WellStar Douglas’s Cath Lab collaborated with experts in
radiation safety to review protocols and procedures while
also using evidence they retrieved from literature. Using
evidence to inform practice is one of the hallmarks of nursing
excellence, and successful collaboration with other members
of the healthcare team is foundational to achieve best
practice. As a result of this collaboration, WellStar Douglas’s
Cath Lab added additional safety checks during the universal
time-out procedure and periodically throughout the Cath
procedure, to report the amount of contrast the patient
has received in order to stay within nationally recognized
standards. The staff now are taking steps to disseminate their
new protocol to other WellStar hospitals’ Cath Labs.
WellStar Douglas Hospital’s Cath
Lab team added supplementary
safety checks during their universal
time-out procedures and exhibited
exemplary practice to reduce
contrast induced nephropathy.
WellStar Nursing 11
WellStar Nursing Professional Practice Model
Resources and Support
Appropriate nursing staffing is very important
to the delivery of safe, quality care. Safe nurse
staffing has been linked to the most positive
patient care outcomes, decrease in length of
stay and decrease in the occurrence of medical
errors or near misses. Adequate staffing levels
contribute to role satisfaction among nurses and
all members of the healthcare team; however,
there is no single formula for determining staffing
levels, as many factors must be considered to
ensure staffing effectiveness. This year, more
than 100 nurses from WellStar heard from an
internationally known expert on staffing, Sean
Clarke, PhD, RN, FAAN, who presented at the
WellStar Development Center on Nurse Staffing
and Patient Outcomes; A global challenge. Dr.
Clarke’s presentation supported the need for
more research on this topic and he advocated for
leaders and staff to collaborate together at both
the unit and organizational level using one’s own
data to guide staffing decisions.
Greg Blasche RN, Emergency Department; Jenifer
Campbell RN, Med/Surg Department; Julia Rice RN,
Director, Workforce Engineering; Muna Kennedy, Staffing
Analyst, Resource Management Center. Greg and Jenifer
worked the most hours at Paulding from the enterprise RN
team during the WellStar Connect go-live and move to the
new hospital.
At WellStar Windy Hill Hospital, nurses
addressed changes in staffing needs as the
Progressive Care Unit, which originally was
designated as one unit, was re-structured into
WellStar’s nurses are engaged in a strong
four distinct units to signify the unique specialty
shared governance structure, whereby
needs of patients who now are being cared for
they assume responsibility, authority and
in these areas. Nurse leaders and staff worked
accountability for clinical nursing practice. The
with WellStar’s new centralized Resource
5-Star Nursing Professional Practice Model
Management Center (RMC) to develop staffing
guides the Professional Practice Model (PPM)
grids and allocate how the Systemwide tier
and it consists of five domains (Resources and
resource pools would be deployed to these
Support; Evidence-Based Practice and Research;
new clinical areas. Staff are assigned to these
Exemplary Practice and Outcomes; Professional
new designated specialty units based on
Development; Teamwork and Collaboration)
competencies. WellStar’s new scheduling system
displayed in this report. The System’s Nursing
is supported by Smart Square Technology®. This
Strategic Plan is aligned with its mission, vision,
new System, along with nursing knowledge of
values and goals to create a center of excellence
the specialty needs of patients, guides staffing
by creating a high-reliability organization.
plans and daily staffing decisions.
12 WellStar Nursing
Staffing decisions made for one patient care
unit or interventional area can have an effect
on staffing clinical areas in other parts of the
organization. WellStar Cobb’s nursing team
developed an innovative “staffing report” to
make staffing decisions more transparent and
inform frontline staff how these decisions were
made. While not everyone may agree with each
decision made, staff members feel supported
and are happy to be included in
this process so they may
understand better how
staffing effectiveness
decisions are made.
There also is greater
collaboration
between those
who are making
staffing decisions
and those who
actually implement
the staffing plan.
With the use of data
from the staffing report,
WellStar Cobb nursing can
analyze the staffing decisions
made and identify when important
changes need to be made to staffing plans.
At WellStar Douglas Hospital, nursing
shared governance leaders and members
continue to improve the care delivery system,
which includes the evaluation of resource
management (staffing). This year, nurses
on one of the telemetry units took steps to
determine how staff assignments could better
reflect the changes in patient acuity they were
experiencing. Charge nurses and other frontline
nursing staff, along with nurse leaders, are
working together to review staffing policies
and practices. They are taking steps to analyze
staffing data and to review the evidence on the
merits of current patient acuity tools. While this
work is in its early stage, the team is making
progress on the joint effort to incorporate other
important variables that contribute to safe and
effective staffing. These factors include the
varying and increasing complexity of the patient
population; to what extent does the experience
level of the staff play in how staffing plans
should be made; and how does the physical
layout of the patient care units affect
staffing plans. The literature
supports that other factors,
such as the experience
and educational level
of the nursing staff
and whether nurses
are certified in a
specialty, could
be considered
when making
staffing plans
and assignment
decisions.
When WellStar
launched the new Resource
Management Center, WellStar
Nursing revised its Nursing Resource
Manual, which is a tool used to inform and
educate leaders and staff. The manual
touches on important factors, such as the
Nursing Professional Practice Model; excellent
collaborative practice on the part of the entire
healthcare team; and revised staffing and
scheduling process. The new RMC process
serves as the basis for how to achieve quality
patient outcomes along with good resource
management. While an evolving process, nurses
are involved in decisions regarding resource
management and collaborate with nurse
leaders to ensure safe, quality staffing.
WellStar Nursing 13
At WellStar Kennestone Hospital, a nurse
Resources and Support
staffing committee was developed which operates
under the leadership of the Shared Governance
Professional Practice Model Resources and Support
“Star.” Comprised of 51 percent staff and 49 percent
nurse managers, leader representatives from the Resource
Management Center (RMC), Human Resources and Finance serve to
educate and support the collaborative efforts of nurse leaders
and staff in this clinical setting. “As we practice nursing, it is essential
that clinical nurses have the necessary resources to support daily
clinical practice. When nurses have the staffing and resources they
need, providing world-class care will come naturally,” said Comfort
Gbadebo, chair of the Shared Governance Resource and Support Council
and charge nurse for 3 North ICU, Critical Care. This year, the council
underwent four educational sessions modified from a newly launched
American Nurses Association (ANA) educational series on staffing.
Each session concluded with a facilitated focus group discussion using
appreciative inquiry to better synthesize and learn from participants
how this information can be actualized in practice. This has led to the
development of a prioritized needs assessment on how to address
staffing concerns with suggestions for improvement in current staffing
processes. This work is being done in collaboration with multiple internal
and external departments,
including the RMC.
Adam Salsberry, RN, nurse manager;
Kimberly Penn, RN unit-based
educator; and Carla Montecillo,
Talent Acquisition consultant;
at RN recruiting events
Job Enjoyment
>60 = High Satisfaction • 40-60 = Moderate Satisfaction • <40 = Low Satisfaction
100.00
90.00
80.00
70.00
60.00
50.00
40.00
30.00
20.00
10.00
0.00
WellStar Hospital *
Mean, Press Ganey
— All Hospitals
WCH
WDH
WKH
WPH
WWHH
56.10
62.24
55.06
65.77
59.82
57.72
57.72
57.72
57.72
57.72
* WellStar Cobb Hospital (WCH), WellStar Douglas Hospital (WDH), WellStar Kennestone Hospital (WKH),
WellStar Paulding Hospital (WPH), WellStar Windy Hill Hopital (WWHH)
WellStar Nursing Professional Practice Model
Evidence-Based
Practice and Research
Incorporating the latest evidence-based practice
(EBP), in addition to using clinical expertise, nurses
at WellStar are shaping the future of healthcare
in the clinical setting. WellStar has experienced
unprecedented growth with the advancement
of complex technology and the increasing focus
on care across the continuum, thus nurses are
responding by increasing competencies and
responsibilities.
Nurses at WellStar Douglas Hospital meet monthly
at journal club sessions to improve professional
practice. Journal clubs offer nurses the opportunity
to come together to stay current with the literature,
which guides their practice. Through these types of
activities, nurses critique the literature and explore
methods of translating new evidence into practice.
WellStar employs the use of Johns Hopkins
Research Utilization Model both in its on-boarding
nurse residency program and in other programs
that enhances the use of EBP. These areas include
the clinical advancement program, which is an
opportunity for experienced staff to demonstrate
knowledge and skill and improve clinical care and
systems. WellStar Douglas nurses are improving
nursing practice on resuscitation, hypoglycemia
and alarm fatigue.
Another example where nurses at WellStar are
translating evidence into practice is at WellStar
Cobb Hospital, where nurses have connected
the incidence of delirium with the use of
benzodiazepines in mechanically ventilated
patients. When patient outcome indicators
demonstrated this might be the case, critical care
16 WellStar Nursing
WellStar Cobb nurses Tamara Coker, MS, RN,
ANP-BC, ACNS, BC, CCRN, and Katrina Joyce, BSN,
RN, CCRN, used evidence-based practice to create a
new process for sedation in critical care patients.
nurses at WellStar Cobb formed a multidisciplinary
team comprised of a clinical nurse specialist,
pharmacist, respiratory therapist and intensivist to
review current standard of practice and compared
it to the latest clinical evidence on the care of the
mechanically ventilated patients. The literature
informed them of opportunities that could make
patient care even better. Together, they revised the
clinical protocol, which lead to decreasing the use
of benzodiazepines. The revised protocol resulted
in less instances of delirium and also a decrease in
ventilator-associated days for critical care patients.
Using EBP also is top of mind for nurses at
WellStar Paulding Hospital, and in this setting
nurses examined the merits of whiteboard patient
communication. Whiteboards are placed in each
patient’s room as a means to inform the patient
of important contact names, numbers of the
healthcare team members and goals set forth for
the patient’s hospital stay. Upon examination of
its use, nurses noted they were not optimizing this
communication tool to the extent that is supported
by the literature as being effective in the healthcare
setting. They also noted there were some
inconsistencies on how documentation was done
on these boards among the patient care units.
Using a Strengths, Weaknesses, Opportunities,
Threats (SWOT) analysis, nurses formulated an
action plan to improve patient communication
and handoff communication skills between nurses
and with other members of the healthcare team.
Today, patient satisfaction surveys reflect higher
ratings on nurse to patient communication and
responsiveness of staff.
WellStar Kennestone Hospital nurses are
collaborating with their medical colleagues to
address blood loss in patients who have valve
surgery. Initial steps included assembling the
cardiac interdisciplinary team, along with a clinical
nurse leader, to examine specific clinical outcome
data related to transfusion rates, and these were
compared to national statistics. A spirit of inquiry
fosters healthcare team members to ask important
questions such as “Can we do even better?”
These teams then reviewed the literature,
utilized national standards and
sought out best practices
to benchmark current
clinical protocols and
resultant outcomes
to achieve
higher levels of
performance.
When WellStar
Kennestone’s
cardiac nurses
and healthcare
team did this,
they applied the new evidence they learned and
developed new clinical protocols. It was not long
after that the team began to achieve the results.
They continue to evaluate performance targets as
they chart a course toward excellence.
WellStar’s Center for Nursing Excellence (CNE)
offers new and experienced nurses the opportunity
to learn about evidence-based practice. Under the
leadership of an accomplished nurse researcher
prepared at the doctorate level, nurses have the
opportunity to participate in a year-long fellowship
for research/evidence-based practice. While
participating in this program, nurses learn to ask
quality clinical questions; conduct a successful
search of the literature using extensive databases
provided at onsite libraries that also have webbased access; analyze the quality and utility of
evidence; develop a plan of action (either to
conduct a research study or translate evidence
into practice); and the importance of measuring,
thus evaluating outcomes. During nurse residency,
all new graduates who begin their careers at
WellStar, have the opportunity to be educated
by the CNE staff as they design and complete
an evidence-based project. Whether nurses seek
to increase their nursing knowledge or improve
nursing practice through the WellStar Clinical
Advancement Program; are working on an
advanced degree that requires them
to complete a scholarly project; or
are seeking to improve clinical
care or processes, the CNE
enhances their ability to
learn how to use evidence
to accomplish their goals.
WellStar Nursing 17
Evidence-Based
Practice and Research
At WellStar, nurses constantly
are reviewing and researching
nursing practice across the
continuum. WellStar Douglas
Hospital nurses participate in a
journal club to read and discuss
current nursing research and how
it applies within nursing practice.
At WellStar Windy Hill Hospital, nurses
Using WellStar’s new electronic health record
analyzed surgical patient satisfaction surveys,
(EHR) system (WellStar Connect), interventional
which documented that long wait times
nurses now provide consistent education to
in registration and having to take time off
prepare patients for upcoming procedures
from work or home activities to come in for
and discharge requirements. Nurses also are
pre-admission assessments and education
able to obtain the patient’s full history, which
lowered patient satisfaction scores. Nurses
informs them of many factors necessary to
in the Interventional Radiology Department
prepare for a procedure. The EHR’s functional
performed a literature search to determine
capacity also enables nurses to build in
how they could address patients’ feedback.
reminders to send to patients, such as how
They learned that current evidence measured
long to refrain from eating or drinking and
no statistical difference in reducing operative
preparing for transportation home. This new
anxiety among patients who received pre-op
system improved compliance with these
education in person verses by phone. They
requirements and patients are more assured of
then took steps to change the pre-operative
having the best clinical outcomes.
educational program to reduce the need for
many patients to come to the hospital when
After implementing the new phone education
they could be prepared for surgery ahead of
program, nurses in this interventional
time in their own home through the use of
department have seen their patient satisfaction
technology.
scores increase.
18 WellStar Nursing
Practice Environment Scale
The higher the score, the more positive the rating on a scale of 1-4
4.00
3.50
3.00
2.50
2.00
1.50
1.00
WellStar Hospital *
Mean, Press Ganey
— All Hospitals
WCH
WDH
WKH
WPH
WWHH
2.94
3.16
2.97
3.20
3.05
2.97
2.97
2.97
2.97
2.97
* WellStar Cobb Hospital (WCH), WellStar Douglas Hospital (WDH), WellStar Kennestone Hospital (WKH),
WellStar Paulding Hospital (WPH), WellStar Windy Hill Hopital (WWHH)
WellStar Nursing Professional Practice Model
Professional Development
With the magnitude of change in our healthcare
industry, professionals need to become life-long
learners. WellStar nurse leaders recognize the
frontline caregivers who interface with patients
daily are really the experts in designing the
current and future healthcare delivery systems.
Nurses are leading best practice in their clinical
settings and thus are positively improving the
patient experience, decreasing length of stay,
and preventing avoidable admissions.
At WellStar, our Academic-Service Partnerships
are very important and they are enabling nurses to
continue their education; collaborate with expert
nurses in the use of evidence-based practice; adopt
new roles in this clinical setting; and provide for the
career development of everyone. Today, WellStar
is strengthening the role of the nurse as educator,
clinical leader and clinical mentor across all five of
its hospitals.
WellStar has a long standing partnership with
Kennesaw State University (KSU) and together both
institutions are preparing the future healthcare
workforce. KSU’s College of Health and Human
Services offers eight undergraduate and two
graduate degree programs. This includes the
WellStar School of Nursing, which produces the
largest number of annual nursing graduates earning
a BSN in the state of Georgia. Through this strong
academic-service partnership, KSU faculty and
WellStar nursing are educating nursing students
while advancing clinical practice with scholarly
activities and translating evidence into practice.
This past year, WellStar Kennestone Hospital and
KSU’s WellStar School of Nursing completed its
20 WellStar Nursing
inaugural year of hosting Designated Educational
Units (DEUs), whereby practicing nurses at the
bedside serve as clinical educators for student
nurses with the support and coaching of KSU
faculty. DEU clinical educators help future nurses
use evidence when providing care and understand
the incorporation of ethical standards into practice.
This coming year, DEUs will expand at WellStar
Kennestone and other hospitals in the WellStar
system, while other innovative strategies to educate
and advance the nurse at the bedside are being
deliberated and designed through our AcademicService Partnership. This includes planning for
clinical rotations for nursing students across the
care continuum.
In keeping with the call to action generated
from the Institute of Medicine’s (IOM’s) Report
which dealt with the future of nursing and
healthcare, WellStar Windy Hill Hospital nurses
created a specific nurse residency to prepare
nurses transitioning from the student role to the
professional nurse by caring for the needs of
patients in this specialty hospital. In addition to
advancing their knowledge and skill to care for
patients on the WellStar Windy Hill Progressive
Care Unit, nurses are given the additional
opportunity during their residency to learn how
to analyze evidence procured from doing a
literature search and when/how to incorporate
this evidence into practice standards. This
education is provided by doctorate prepared
nurses from WellStar’s Center for Nursing
Excellence. New nurses and nursing students
in this clinical setting are engaging in studies
aimed at improving their practice and to achieve
exemplary patient care outcomes.
WellStar Cobb Hospital partnered with the newly
formed Professional Development Unit (PDU) to
onboard their new graduates and experienced
nurses. The PDU uses designated clinical units
at several WellStar hospitals, whereby new
nurses are given the clinical orientation under
the supervision of the PDU and using their team
of nurse educators. At WellStar Cobb, there are
two PDUs, which were chosen because of their
nurturing environment and nursing staff, who were
interested in developing their future workforce.
These nurses help new staff members to think
critically and to assimilate classroom knowledge
into the provision of patient care. These nursing
units, in conjunction with the PDU, are doing an
excellent job in onboarding team members and
have been given much praise by those who have
benefited from this experience.
Similarly, RN clinical educators at WellStar Douglas
Hospital are preparing their current and future
nursing workforce in this setting. Clinical educators
welcome all new nursing team members, and,
in collaboration with the unit-based preceptors,
introduce them to the 5-Star Nursing Professional
Practice Model. WellStar’s commitment to the
professional development of the nurse and her/
his ability to be a continuous learner speaks
volumes to its value and respect of what the nurse
brings to the delivery of healthcare today. Nurses
are provided many opportunities to hear from
local and national experts on and off campus and
they are supported to advance their education
at a wide range of academic programs. WellStar
Douglas’ RN clinical educators are champions
for all of these opportunities and assist nurses in
garnering support to advance their knowledge
and skills.
At WellStar Windy Hill Hospital, nurses on the Progressive Care Unit (PCU) work with a multidisciplinary team to
host nurse residents within the unit. (L-R): Chris Rice, respiratory therapy, Betty Erb, M.D., WellStar Medical Group
Cardiovascular Medicine, Belinda Opara, RN, PCU, Donnette Johnson, RN, PCU
WellStar Nursing 21
Professional Development
WellStar Paulding Hospital and WellStar Health System are at the
forefront in collaboration with the University of West Georgia in
the promotion and development of professional nursing’s newest
advance practice role, termed the clinical nurse leader (CNL). CNLs at
WellStar Paulding and other WellStar hospitals are leading the way in the redesign
of healthcare delivery at the point of care. They serve as leaders for the entire
healthcare team, while achieving exemplary outcomes that can be attributed to
their contributions. CNLs are instrumental in the success of interdisciplinary rounds;
improving the patient experience; achievement of core measure metrics; and the
translation of evidence into practice in the clinical settings that they practice in.
Paulding’s CNLs serve as preceptors for student CNLs who undergo their immersion
clinical rotation at their hospital. They guide these future CNLs on
how to do an assessment of the care delivery system and how to prioritize important
improvement opportunities identified from their assessment. CNL students who
have their clinical rotation at WellStar Paulding find the experienced CNLs to be
among the best instructors they could have to learn how to lead clinical teams and
clinical innovations. The magnitude of what the CNL can contribute to patient care
and its delivery at WellStar has only begun, but already these new professionals are
making a measurable positive impact on patient care and service outcomes.
Holly Cates, RN, CNL at Paulding states, “ CNLs contribute to the promotion of
health; the prevention of illness; advocate for their patients; instruct the clinical
team on how to translate evidence into practice and they are advancing the
contributions of the profession of nursing.”
Jim Ingerson, RN, CNL, and Holly Cates,
RN, CNL, serve as preceptors for student
CNLs who undergo their immersion
clinical rotation at the hospital.
Catheter-Associated Urinary Tract
Infections per 1,000 Catheter Days*
FY 2015
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
3Q-2014
4Q-2014
1Q-2015
2Q-2015
Actual Rate, WellStar
Hospital Inpatient Units
2.33
2.9
1.13
0.95
Mean, Press Ganey
— All Hospitals
1.51
1.52
1.02
*Note: 1Q 2015 updated CAUTI definitions and criteria to align with CDC/NHSN.
WellStar Nursing Professional Practice Model
Teamwork and Collaboration
Effective teamwork has been identified as
a critical component for healthcare team
members to achieve high-quality, safe patient
care. Healthcare teams that communicate well
together and practice in a trusting environment
are able to accomplish their goals with less
effort and greater reliability. All of these are
expectations in WellStar Nursing’s Strategic Plan.
At WellStar Paulding Hospital, nurses in the
Emergency Department (ED) are improving the
patient experience by addressing long ED wait
times for diagnosis, which was a leading patient
dissatisfier on returned patient surveys. One of
the reasons this was happening was because of
delays in getting lab test results. Partnering with
Laboratory Services and information specialists,
appropriately credentialed nurses were taught to
run certain laboratory tests using new equipment
termed “iStat.” Nursing staff were
willing to come in and support
their peers during go-live and
today, with more than 600
laboratory tests done
by nurses in WellStar
Paulding’s busy ED, the
error rate remains zero.
Similarly, WellStar
Douglas Hospital’s
birthing center
recognized the need
for additional staff
education for neonatal
codes. Convening an
interdisciplinary team, nurses
with their colleagues underwent
24 WellStar Nursing
classroom education and did significant skill
building using simulation training. To sustain
high level performance, regular mandatory
monthly neonatal drills are performed by the
entire healthcare team and these practice
sessions have enabled staff to reduced time
placing UVCs from 30 to five minutes.
To improve the patient experience at WellStar
Kennestone Hospital, nursing staff on the
Ortho-Spine Unit partnered with a highly
specialized pharmacist, who is an expert in
pain management, to reduce unnecessary
suffering experienced by their patients with
long-standing and acute surgical back pain.
Together, these professionals perform daily
interdisciplinary rounds and identify those
patients who would benefit from more intensive
sessions with them. Often, there is a need to
optimize analgesic regimens while
minimizing opioid-related
adverse events. Together,
the team developed a
“pain board” that is
placed by the white
communication
board at the end
of the patient’s
bed. This board
is used to record
the patient’s pain
level and next time
a pain medication
is due. It also lists the
side effects of the drugs
that patient is taking. The
staff use an additional strategy
to teach patients about medication side
effects which is employing a “teach-back”
methodology. Patients have responded by
giving higher ratings on their satisfaction
surveys, which improved form 63.9 per
cent “always” in January 2014 regarding
staff informing them about their
medication side effects to 72.9 percent
“always” in December that same year.
Nurses on Green 6 South at WellStar Kennestone Hospital
collaborated with pharmacy educators to provide
information on medications to patients.
(L-R): Jasmine Jones, PharmD; Deborah Courtney, RN;
Darlene Moore, RN; and Christopher Hinnant, RN.
Together as a team, nurses and
other members of the healthcare
team at WellStar Windy Hill Hospital
are working together to improve the
capture of important information
in the medical record that serves
to inform all team members about
the patient needs and progress,
while also meeting regulatory and
reimbursement documentation
requirements. Recently, Windy Hill
leaders purchased a new LTRAX
database which is geared toward
the needs of a long-term acute
care hospital and offers
benchmarking opportunities
to improve performance.
Leaders and staff together
are comparing data across
their specialty services and
engaging in performance
improvement activities on
their journey toward delivering
world-class healthcare.
Hospital and nursing leaders join
in a daily safety huddle at WellStar
Douglas Hospital. These leaders use
teamwork to improve patient care.
WellStar Nursing 25
Teamwork and Collaboration
At WellStar Cobb Hospital, leaders and
staff are also focusing on teamwork
with the tandem goal of strengthening
interdisciplinary communication, which they
believe will result in improved patient care
outcomes. Several venues are underway
and includes daily safety huddles, leader
rounding and WellStar Cobb rallies.
Daily Safety Huddles are held Monday
through Friday whereby all nursing leaders,
ancillary department heads, and hospital
leaders gather together to identify safety
issues; share hospital performance metrics
and promote transparency in results to
instill higher levels of accountability by all
for quality safe patient care and improved
outcomes. After experiencing the benefits
of safety huddles, the team expanded the
conduction of these (safety) huddles on
nights and weekends.
Leader rounding occurs on nights and
weekends and entails a WellStar Cobb
leader making unit/department
rounds to engage with staff
and learn about their specific
concerns on these shifts. Staff have
responded positively and welcome
meeting leaders and other members
of the team who are not from their
own department. Reaching out to
staff to listen and bring resolution
to their concerns improves the trust
between leaders and staff, and
departments to each other. Both are
leading to higher levels of satisfaction
by all.
26 WellStar Nursing
Town Hall meetings, which are
conducted quarterly, emphasize the
important connection between all team
members and how, together, they are
achieving WellStar’s mission, vision, values
and goals. These meetings are facilitated by
hospital leaders including the Chief Nursing
Officer (CNO), and staff are encouraged to
ask questions and give feedback on what
is being shared. Alternatively, WellStar
Cobb rallies focus on sharing information to
improve the patient experience. Distributing
patient comments contained in returned
surveys, collecting staff ideas during leader
rounding, and bringing those ideas to the
daily safety huddle and using quality metric
reports have improved care delivery and
patient care outcomes. Collectively these
strategies are also improving teamwork and
collaboration at WellStar Cobb Hospital.
At WellStar Cobb Hospital, nurses on 5 South partnered
with an interdisciplinary team to assess overall catheter
appropriateness for patients, resulting in a decrease in
device days from 132 to 60 across the unit.
Central Line Blood Stream Infections
per 1,000 Patient Days
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
3Q-2014
4Q-2014
1Q-2015
2Q-2015
Actual Rate, WellStar
Hospital Inpatient Units
0.48
0.4
0.59
0.55
Mean, Press Ganey
— All Hospitals
0.56
0.49
0.56
Clinical Advancement Program (CAP)
Designation
CAP was developed to promote, recognize and reward professional nursing practice. The program
promotes professional development and advancement opportunities. This year more than 100
nurses received a CAP designation.
Level II
Melissa Adams, Women’s Unit; Cheryl Allen, L&D; Donna Andrew, Wound Care; Jacinta Anekwe, Green
7 South; Megan Austin, Green 5 South; Amanda Bates, Green 4 North; Beverly Bates, 3 North; Samantha
Bragg, 5 South; Brittany Brannan, Green 3 North; Debbie Brown, L&D; Alexis Campbell, Cardiac Cath Lab;
Laurie Carlyle, Wound Care; Natalie Carwin, Blue 6 West; Allison Christou, ED; Verna Cole, L&D; Jessica
Coloe, CDU; Megan Dawson, CVICU; Bethany Dodson, 5 South; Taundra Dunbar, Blue 6 West; Lynn
Dunn-Mahon, Lactation; Brittany Evans, Mother/Baby; Christine Eymold, L&D; Nancy Fischer, Blue 7 West;
Mischelle Goudreau; Women’s Unit; Janice Hall, PACU; Kate Hand, 2 North; Deltranee Hanson, PACU;
Megan Hartmann, Green 3 North; Janie Hatch, Blue 5 East; Susan Holcomb, ICU; Ju Jiang, Green 5 West;
Rosemary Jimenez, CCU; Colette Johnson, Blue 7 West; Memawa Kemokai, Green 7 West; Ashley Kiblinger,
Acute Rehab; Mary Kouba, Blue Main West; Laure Kraker, Wound Care; Sherry Lewis, OR; Denise Lindhardt,
Wound Care; Paula Maley, Surgical Services; Danielle McCoy, Mother/Baby; Rebecca McIntosh, CVICU;
Raymonde Mirand, 5 South; Kristen Morris, Green 4 North; Amutha Narayanaswamy, Green 4 North; Michael
Paine, Green 7 West; Tashea Ranson, CCU; Kimberly Reed, PATT; Christine Reuscher, Wound Care; Andrea
Ross, L&D; Kristin Salsberry, Blue 7 East; Julie Sanday, Green 4 North; Kaylan Schlich, CVICU; Lisa Sherman,
Wound Care; Winsome Sibley, PACU; Amy Thomas, CDU; Jamie Threatt, ED; Jamie Van Ness, ED; Kristie
Vance, ED; Mandy Wade, Surgical Services; Marlee Walker, Blue 6 East
Level III
Ayotunde Adebowale, Mother/Baby; Jessica Anderson, Mother/Baby; Amy Blasczyk, Green 3 North;
Natalie Brozovic, L&D; Vicky Bryan, Wound Care; Leslie Burns, CDU; Deanna Chambers, 2 North; Coleen
Chang, CDU; Jennifer Connor-Barnett, 3 South; Tiffany Cory, Green 3 North; Deb Daly, Mother/Baby; Taylor
Dellinger, Blue 5 East; Angela Dietz, Green 3 North; Janice Esposito, Mother/Baby; Comfort Gbadebo,
Green 3 North; Holly Harner, Green 3 North; Andrea Hogsten, CVICU; Nancy Hutchison, CVICU; Cathy
Jones, L&D; Mohamed Khan, Blue Main West; Deana Kinder, L&D; Sandra Koontz, Mother/Baby; Melissa
Kraus, Endoscopy; Tami Larson, Mother/Baby; Mary Loor, CDU; Yvette Mier, Wound Care; Jessica Morris,
Blue 5 East; Amy Nichols, 2 North; Mary Ann Norouzi, Green 7 South; Amanda Reece, CDU; Kathryn Reed,
Mother/Baby; Adriana Schults, CCU; Lisa Scott, CCU; Holly Seeley, CCU; Erica Senegal, Blue Main West;
Danielle Shiver, Blue 5 East; Leigh Ann Smith, ICU; Peronica Smith, Blue 6 West
Level IV
Blanche Albin, L&D; Danielle Byrd, Wound Care; Beth Carver, OR; Keisha Franks, PACU; Cindy Fred, OR;
Katrina Joyce, Blue 5 East; Loreen Khan, Blue 5 East; Kimberly Kozar, Mother/Baby; Felicia Lanier, Blue 6
West; Donna McNulty, Rapid Response; Jennifer Massaro, CCU; Laurie Nichol, IR; Marlies Niehuser, Wound
Care; Lauren Norton, Blue 6 West; Jessica Waggoner, 3 North; Tiffany Wells, 3 North; Constance Wilkins,
Green 7 West
28 WellStar Nursing
Presentations
Anderson, I., Moore, D., & Purvis, K. (2015, April). Disease Specific Spine Certification and
Recertification. Podium presentation presented at the National Association of Orthopedic Nurses,
Atlanta Chapter, Atlanta, GA
Anderson, I., Moore, D., & Purvis, K. (2015, May). Disease Specific Spine Certification and
Recertification. Podium presentation presented at the 35th Annual Congress of Orthopedic Nurses,
Nashville, TN
Anderson, I. & Alger, J. (2014, September). Improving Patient Satisfaction in an Affordable Care
Environment. Poster presented at VHA Georgia Leadership Conference, Atlanta, GA
Anderson, I. (2015, May). New Frontiers in Joint Restoration – Same Day Surgery. Podium
presentation presented at the 35th Annual Congress of Orthopedic Nurses, Nashville, TN
Anderson, I., Jones, J., LeBlanc, D., & Franzen, M. (2015, May). Proactive Bowel Management
Decrease Constipation Related Readmissions. Poster presented at 35th Annual Congress of
Orthopedic Nurses, Nashville, TN
Beckler, V. (2014, October). Developing a Community-Based Lung Cancer Screening Program.
Podium presentation at the International Early Lung Cancer Action Project (IELCAP), Beijing, China
Box, M. (2014, September). Surge Protection: Overcoming Throughput Barriers in the Hospital Macro
System. VHA Georgia Regional Leadership Expo, Atlanta, GA
Brandon, J. Brock, S., Walker, M. & Hazelip, J. (2015, February). Preventing Surgical Site Infection: A
Healthy Joint is a Happy Joint. Poster presented at the UHC/AACN Nurse Residency Program Annual
Meeting, Scottsdale, AZ
Britt, R., Walker, R. (2014, September). Core Measure Tracking System. VHA Georgia Regional
Leadership Expo, Atlanta, GA
Brock, S., Walker, M., Brandon, J. & Hazelip, J. (2014, September). Preventing Surgical Site Infection:
A Healthy Joint is a Happy Joint. An Evidence-Based Toolkit presented at Bedside Nurses Research
Conference, Kennesaw State University, Kennesaw, GA
Brown, D., Tucker, A., Nichols, A., Wells, T., Waggoner, J. (2014, September). Protecting Patient
Information using a Password Protected Release of Information Consent Form. An Evidenced Based
Toolkit presented at Bedside Nurses Conference, Kennesaw State University, Kennesaw, GA
WellStar Nursing 29
Buckner, M., (2015, January). Implementing and Maintaining the Donna Wright Competency Model.
Podium presentation at Georgia Association for Nursing Professional Development, Marietta, GA
Caramanica, L., (2014, November). Advancing Nursing Practice to Improve Healthcare Delivery.
AONE Annual Meeting. Phoenix, AZ
Caramanica, L., (2015, February). Employers Perspectives of What is Needed in the Work Force –
Panel Discussion. Master’s Education Conference, American Association of Colleges of Nursing. St.
Petersburg, FL
Caramanica, L., (2015, January). Sustaining the CNL initiative: Shifting the focus from pioneering
innovation to evidence-driven integration into healthcare delivery – WellStar Health System &
University of Western Georgia’s Experience. CNL Summit, American Association of Colleges of
Nursing. Orlando, FL
Coetzee, A., Lovvorn, R., (2014, October). Implementation of a Discharge Time Out Checklist to
Improve Communication with ED patients at Discharge. Kennesaw State University Research Day,
Kennesaw, GA
Densmore, J., Edwards, B., Dyson, L., Law, T. (2014, September). A CNL Performance Improvement
Project: Reducing Lost Revenue Associated with NS Flushes. VHA
Georgia Regional Leadership Expo, Atlanta, GA
Densmore, J., Law, T., Green, B Dyson, L. Waggoner, J.
(2015, January). A CNL Performance Improvement
Project: Reducing Lost Revenue Associated
with NS Flushes. CNL Summit and Research
Symposium, Orlando, FL
Pet Therapy volunteer dog,
Macy Marie, brought smiles to
Kennestone Hospital nurses
during National Nurses’ Week.
Pet Therapy is offered as another
form of healing for inpatients.
30 WellStar Nursing
Disser, R. & Moore, T. (2015, May). Nursing Communication and the Whiteboard. Poster presented at
35th Annual Congress of Orthopedic Nurses, Nashville, TN
Dolly, L., (2014, September). Implementing Bedside Nurse Led Rounds. VHA Leadership Expo,
Atlanta, GA
Dyson, L., Robinson, A. (2015, January). Integration of the Clinical Nurse Leader Role. CNL Summit
and Research Symposium, Orlando, FL
Dyson, L., Robinson, A., Bishop, M. (2014, September). Integration of the Clinical Nurse Leader (CNL)
within the WellStar Health System. VHA Georgia Regional Leadership Expo, Atlanta, GA
Fitzgerald, D.,(2014, September). Implementation of Daily Hospital-Wide Safety Huddles. VHA
Leadership Expo. Atlanta, GA
Forman, G., Fraser, D., Spiva, L., Hallen, C., Kilgore, A., Fortes, M., Chen, J., McMinn, K. (2014,
September). The Effects of an Early Mobility Program in Critically Ill Patients. Poster presented at
Bedside Nurses Research Conference, Kennesaw, GA
Franklin, S. (2014, September). A Team Approach to Reduction in Surgical Site Infections. VHA
Leadership Expo, Atlanta, GA
Fraser, D., Davis, L., Ellis, A., Cooper, J., Lalani, M. (2015, May). Improving the Efficiency of Daily
Rounds in the IMCU. American Association of Critical-Care Nurses National Teaching Institute and
Critical Care Exposition, San Diego, CA
Fraser, D., Forman, W; Fortes, M; Spiva, L; Hallen, C. (2014, May). Early Mobility in the ICU: A
Community Hospitals Experience. Poster Presentation at American Association of Critical Care
Nurses National Teaching Institute (NTI) and Critical Care Exposition, Denver, Colorado.
Hasty, C., Thompson, L., (2015, January). Interdisciplinary Rounds: HCAHPS: Pain Management. CNL
Summit, American Association of Colleges of Nursing, Orlando, FL
Harrison, P., Brooks, A., Brown, A., Fifield, J. (2014, September). Collaborative Care Conference for
Oncology Patients. Bedside Nurses Research Conference, Kennesaw, GA
Herndon, N., (2014, November). Is there a Doctor in the House? Leadership, Transformation and
Hope. Doctoral Symposium, Atlanta, GA
Hickson, L. (2015, November). Continuum Process Improvement for STEMI Activation. CNL Summit,
American Association of Colleges of Nursing, Orlando, FL
WellStar Nursing 31
Hobbs, K., Nehru, L., Hill, L., & Neel, A. (2105, May). It’s a Joint Effort: Improving Perioperative
Communication for Patients Undergoing Total Joint Replacement. Poster presented at 35th Annual
Congress of Orthopedic Nurses, Nashville, TN
Hobbs, K. Anderson, I., Mount, A., Franzen, M, Petefish, J. (2014, September). Improving Patient
Readiness of Discharge through Post-Operative Education Classes. Poster presented at VHA Georgia
Leadership Conference, Atlanta, GA
Hogue, V. (2014, October). The Journey to Paulding and Beyond. Podium Presentation presented for
the Pebble Colloquium, Atlanta, GA
Hogue, V. (2014, October). Making the Most of Your Resources: Designing a Hospital that Promotes
Safety and Quality. Podium Presentation presented for the VHA CNO Council, Dallas, GA
Hunter, D. (2014, September). Improving Nutritional Status of Patients through Appropriate
Screening. Evidence-Based Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
Johnson, Z. (2014, September). Portable CT Scanner Effect on ICP in Patients with Hemorrhagic
Stroke. Evidence-Based Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
Joyce, K., Ballard, N. (2014, September). Power of Conversation: Precipitating Dealing and Alleviating
Grief. Evidence-Based Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
Khan, L., Bryant, K. (2014, September). The Clock is Ticking: Rapid Transfer of Stroke Patients from ER
to ICU. VHA Leadership Expo, Atlanta, GA
Lang-Coleman, K. (2014, September). Improving Patient Disposition with Multidisciplinary Rounds.
Evidence-Based Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
Latten, B., Bowling, S., Fisher, J. & Spiva, L. (2015, February). Reducing Falls by Decreasing High Risk
Medications and Activating Alarms. Poster presentation at 2015 ANA Quality Conference, Lake Buena Vista, FL
Latten, B., Bowling, S., Fisher, J. & Spiva, L. (2014, September). Reducing Falls by Decreasing High
Risk Medications and Activating Alarms. Poster presentation at 2014 Evidence-Based Practice Toolkit
Conference, Kennesaw, GA
Law, T., Green, B., Dyson, L., Densmore, J., Gamble, R., Box, M., Waggoner, J., Jones, C. (2015,
January). Daily CNL Microsystem Assessment to Improve Acute Care Throughput (ACT) Project. CNL
Summit and Research Symposium, Orlando, FL
32 WellStar Nursing
Nurses at WellStar Paulding Hospital wear
green to celebrate being “in the green”
for patient satisfaction scores.
Law, T., Butterfield, C., Gamble, R., Densmore, J., Dyson, L., Green, B., Waggoner, J. (2015, January).
CLEAR Lungs in the Postoperative Patient: A CNL Initiative. CNL Summit and Research Symposium,
Orlando, FL
Leicht-Hill, A. (2014, September). Help, My Patients Keep Falling (and They Won’t Stop). EvidenceBased Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
Lewis, M. (2014, September). Stabilization of the Sick Newborn. VHA Georgia Regional Leadership
Expo, Atlanta, GA
Martin, S., Sicard, K., Gaddis, A., Nielsen, G. (2014, July). The COPD Journey: Care Management
Across the Continuum. VHA Empire Teleconference, New York, NY
Mayer, M., Lambert, L. (2014, September). Medication Education: Implementing Education
throughout Hospital Stay. Evidence-Based Practice Toolkit for Bedside Nurses Research Conference,
Kennesaw, GA
McGee, A., Ricks, N., Pursner, S., Martin, S. (2014, September). Structured Interdisciplinary Bedside
Rounding: Improving Communication and Collaboration between the Patient and Healthcare Team.
Sigma Theta Tau International Conference, Indianapolis, IN
Mendoza, I. (2015, October). Dedicated Education Program. Speed Poster Presentation at the
Professional Nursing Education Group (PNEG conference) in Indianapolis, IN
WellStar Nursing 33
Miller, R., Bechtle, C. & Spiva, L. (2015, February). Preventing Hospital Acquired Infections An
Interdisciplinary Team Approach. Poster presentation at 2015 ANA Quality Conference, Lake Buena
Vista, FL
Miller, R., Bechtle, C. & Spiva, L. (2015, February). Preventing Hospital Acquired Infections An
Interdisciplinary Team Approach. Poster presentation at 2014 Evidence-Based Practice Toolkit
Conference, Kennesaw, GA
Miller, R. (2014, September). Employee Health Program. Podium presentation at Infection Control
and Prevention at the ASC Conference, Marietta, GA
Millinor, P. (2015, March). Wellstar Paulding Pediatric Emergency Services. Podium Presentation
presented as the spotlight agency at the Paulding Children’s Cabinet meeting, Dallas, GA
Millinor, P., Buckle, R. & McGee, S. (2015, April). Allergic Reactions. Podium Presentation presented
to Paulding County School Nurses. Dallas, GA
WellStar Cobb nurses
work together to
provide safe and quality
care. The 5 South
nursing team focused
on decreasing CAUTIs
within their patient
population.
34 WellStar Nursing
Millinor, P & Robinson, C. (2015, April). Healing for the Body and Soul. Presentation presented at
Community Event: Noah’s Ark. Hiram, GA
Moore, D., Courtney, D., Hinnant, C., & Jones, J. (2015, May). Managing Acute And Chronic Pain in PostSurgical Spine Patients. Presented at the 35th Annual Congress of Orthopedic Nurses, Nashville, TN
Moore, D., & Buitrago, P. (2015, April). Ortho/Spine –Chronic and Acute post-op Pain Management
A unit Based Approach. Podium presentation presented at the 5th Annual VHA Pacific Northwest
Variability Conference, Seattle, WA
Peters, E. (2014, September). Benefits of Pet Therapy for the Stroke Patient. VHA Leadership Expo,
Atlanta, GA
Pratt, C. (2014, October). The Impact of an Educational Program of Informal Caregivers of Patients with
Congestive Heart Failure. Seventh National Doctors of Nursing Practice Conference, Nashville, TN
Reece, C. & Spiva, L. (2014, September). Prevention of Venous Thromboembolism Surgical Care
Improvement Project. Poster presentation at 2014 Evidence-Based Practice Toolkit Conference,
Kennesaw, GA
Robinson, A., Hollis, E., McGaffey, R. (2015, January). Implementation of Collaborative Bedside
Rounding. CNL Summit, American Association of Colleges of Nursing Conference, Orlando, FL
Robinson, A., Hollis, E., McGaffey, R. (2015, January). Interdisciplinary Team Mobility Protocol.
CNL Summit, American Association of Colleges of Nursing Conference, Orlando, FL
Spiva, L, Hart, P., Pruner, L., Johnson, D., Mendoza, S., Martin, K., Brakovich, B. & McVay, F.
(2014, February). Hearing the Voices of Newly Licensed Registered Nurses Transition to Practice
Experiences. Podium presentation at 2014 ANA National Quality Conference, Phoenix, AZ
Spiva, L, Hart, P., Pruner, L., Johnson, D., Mendoza, S., Martin, K., Brakovich, B. & McVay, F.
(2014, February). Hearing the Voices of Newly Licensed Registered Nurses Transition to Practice
Experiences. Podium Presentation at 28th Annual Southern Nursing Research Society Conference,
San Antonio, TX
Spiva, L., Robertson, B. (2015 February). Role of the Nurse Educator. 2015 Annual Georgia Association
for Nursing Education, Buford, GA
Threatt, J., Christou, A. (2014, September). Implementing Bedside Shift Report in the Emergency
Department. Evidence-Based Practice Toolkit for Bedside Nurses Research Conference, Kennesaw, GA
WellStar Nursing 35
At WellStar Douglas
Hospital, nurses
celebrated National
Nurses’ Week by
wearing all white.
Threatt, J., Spiva, L., Hart, P., Gallagher, E., McVay, F., Waggoner, J., Jarrell, N. (2014, September).
Psychometric Testing of the Clinical Nurse Leader Staff Satisfaction Instrument. An Evidenced Based
Toolkit for Bedside Nurses, Kennesaw State University, Kennesaw, GA
Thurman, S. (2014, October). The Journey to Paulding: Clinical Considerations. Podium Presentation
presented for the Pebble Organization. Atlanta, GA
Thurman, S. (2014, October). Nursing Journey. Podium Presentation presented for VHA CNO Council.
Dallas, GA
Waggoner, J., Butterfield, C., Wright, S., Schumacher, A., Rossman, L., Russman-Chambers, P. (2014,
September). Improving Quality of Care for Stroke Patients with the Implementation of a Standardized
Stroke Alert Process in the Emergency Department. An Evidenced Based Toolkit for Bedside Nurses
Conference, Kennesaw State University, Kennesaw, GA
Wilson, B. (2014, May). Comprehensive Risk Assessment for Chemotherapy-Induced Neutropenia:
Nurses Taking Action. National Oncology Nursing Society Congress, Anaheim, CA
Wilson, B. (2015, April). Evidence-Based Prevention of Infection. 41st Annual Oncology Nursing
Society Congress, Orlando, FL
36 WellStar Nursing
Publications
Ballard, N., (2015, April). Evaluation of Elements of Nurse Work Life Model Using Unit Level Data.
Western Journal of Nursing Research.
Caramanica, L., Guest Editor, Nurse Leader (2015, August). : Interview with Sylvain Trepanier. Leader
to Watch.
Caramanica, L., Rivera, R. (2015, September) Interview with Cy Wakeman on Accountability, Voice of
Nursing Leadership.
Caramanica, L., Harman, C. (2015). Working Together: Collaborative Care Units at WellStar Regional
Medical Center. Voice of nursing leadership, 1, 10-12.
Desaulniers, G. (2014, September). Contributing Author, Chapter 20 Sleep-Wake Disturbances in
Putting Evidence into Practice: A Pocket Guide to Cancer Symptom Management.
Garlow, L., Day, A., Payne, C., (2015, April). Transitioning the Complex Trauma Patient from the ICU:
Acute Care Nurses’ Perceptions of Readiness. Journal of Trauma Nursing.
Hart, P., Spiva, L., Baio, P., Huff, B., Whitfield, D., Law, T., Wells, T., & Mendoza, S. (2014). MedicalSurgical Nurses’ Knowledge, Perceived Self-Confidence, and Leadership Ability as First Responders
in Acute Deterioration Events. Journal of Clinical Nursing, 23(19-20), 2769-2778.
Hart, P., Spiva, L., & Mareno, N. (2014). Psychometric Properties of the Clinical Decision-Making SelfConfidence Scale. Journal of Nursing Measurement, 22(2), 312-322.
Kimes, A., Davis, L., Medlock, A., Bishop, M. (2015, April). I’m Not Calling Him!: Disruptive Physician
Behavior in the Acute Care Setting. MEDSURG Nursing Journal.
Spiva, L., Hand, M., VanBrackle, L., McVay, F. (April 2014). Using a Validated Predictive Algorithm to
Identify Patients at High Risk for Readmission. Journal of Healthcare Quality.
Spiva, L., Hart, P., Wesley, M., Gallagher, E., McVay, F., Waggoner, J., Jarrell, N., & Threatt, J. (2014).
Psychometric Testing of the Clinical Nurse Leader Staff Satisfaction Instrument. (2014). Journal of
Nursing Measurement, 22(2), 312-322.
Spiva, L., Jarrell, N. & Baio, P. (November 2014). The Power of Nursing Peer Review. The Journal of
Nursing Administration, 44(11), 586-590.
Spiva, L., Robertson, B., Delk, M., Patrick, S., Kimrey, M., Green, B., & Gallagher, E. (2014). The
Effectiveness of Team Training on Fall Prevention. (2014) Journal of Nursing Care Quality, 29(2), 164-173.
Wilson, B. (2014, September). Contributing Author, Chapter 17 Prevention of Infection in Putting
Evidence into Practice: A Pocket Guide to Cancer Symptom Management.
Wilson, B. (2014). Contributing Author, Chapter 9 Side Effects of Cancer Therapy. Oncology Nursing
Society Chemotherapy and Biotherapy Guidelines and Recommendations for Practice, 4th Edition.
WellStar Nursing 37
Injury Falls per 1,000 Patient Days
FY 2015
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0.0
3Q-2014
4Q-2014
1Q-2015
2Q-2015
Actual Rate, WellStar
Hospital Inpatient Units
0.69
0.73
0.54
0.67
Mean, Press Ganey
— All Hospitals
0.68
0.67
0.71
Grants
Active Grant: Effectiveness of an Evidence-Based Practice Fellowship on Clinical Nurses’ Perception
of Nursing Leadership and Organizational Support related to EBP. Spiva, L & Caramanica L. Council
on Graduate Education for Administration in Nursing Advancing Leadership Education and Research
for Nurses Expert Career Award Grant (July 1, 2015, to June 30, 2017)
Collaborations to connect local and global partners in the examination of issues related to nurse
staffing and patient outcomes in order to improve patient care – in collaboration with Drs. Hooks,
Nelms and C. Emmerson, underway with partial funding by an international grant award through
Kennesaw State University, 2015.
Nurses at WellStar Kennestone
Hospital graduate from the clinical
nurse leader (CNL) program at
University of West Georgia. (L-R):
Mary Bishop, Ph.D., University of
West Georgia; Sarah Tebbe, CNL;
Andrea Hogsten, CNL; Karen
McGee, CNL; Diane Giles, CNL;
Laura Caramanica, CNO
New graduate nurse residents from across the country are affecting practice change and sharing their
knowledge across WellStar Health System.
WellStar Nursing 39
Hospital-Acquired Pressure Ulcers
Stage II and Above*
FY 2015
3.5%
3.0%
2.5%
2.0%
1.5%
1.0%
0.5%
0.0%
3Q-2014
4Q-2014
1Q-2015
2Q-2015
Actual Rate, WellStar
Hospital Inpatient Units
0.27%
0.0248
0.007
0.0254
Mean, Press Ganey
— All Hospitals
1.2%
0.0131
0.0146
*Note: Rate shown is a percentage of patients surveyed.
Since opening in May 2013, WellStar Cobb’s Burn Unit has grown tremendously. We now have an eight-bed Burn ICU
and seven designated overflow rooms which has allowed us to admit more than 1,000 patients since opening.
Certifications
Abernathy, Jamie
Abolarin, Kehinde Olu
Adams, Melissa
Agyekum, Bettie
Aikhuele, Nkechi
CCRN
CCRN/ Chemo
RNC, NCC, MNN
RNC, MNN, NCC
Carrell, Sharon
CNOR
Carroll, Amy
CCRN
Carver, Elizabeth
CNOR
CCRN
CNL
Bishop, Jessica
RNC-OB
CNL
Bivens, Derry
Alford, Natalya
CCRN
Alley, Kara
Carper, Nancy
Birtwistle, Janet
RNC-OB
Allen, Cheryl
Birckhead, Maureen
CNOR
RNC, Med/Surg
Albin, Blanche Allen, Alicia
Bigilin, Kathy
Black, Marie
Blake, Claudette ONC/Biotherapy
RNC-NIC
CCRN
CEN
Blasczyk, Amy
CCRN, AACN
RNC-OB
Blosser, Susan
CCRN, CAPA, CPAN, AMC
Casteel, Janice
RNC-OB
Casteel-Phillips, Lydia
Cates, Holly
CCRN
RN-BC, CWON, CWS, CNL
Causey, Carol CRNO
CNOR
Chaidez, Ariana
CCRN
Chambers, Deanne
Bobb, Sandy
CNOR
Med/Surg
Bobo, Danita
Chemo
CMSRN, Med\Surg
Boia, Aranka
CRRN
Cheng, Annie
Anderson, Ann
NICU
Bossie, Julia
CEN
Clarke, Sharon
Anderson, Ida
ONC
Bowden, Joyce Kanhema
CNOR- CCI
Claxton, Tanya
CMSRN
Clemens, Liza
CWOCN
Amandolia, Brandy
Ammazi,Hannah
Anderson, Jessica
Andrew, Donna
RNC-MNN
CWOCN
Boyd, Chris
Bracken, Stephanie
EMHP
CEN
Charles, Velande
CCRN
Med/Surg, CMSRN
CRNI
CWOCN
Cochran, Beverly
RNC, MNN, NCC
Andrews, Beth
CEN
Bradshaw, Emily
CCRN
Coggin, Terrie NICU
Armas, Clemencia
ONC
Brakovich, Betsy
NEA-BC
Coker, Tamara
ANP-BC, ACNS-BC, CCRN
Armstrong, Stephanie RNC-OB, RNC-MNN
Brandt, Juliene C
Augutin, Hernande
Breeding, Susan
Ayotunde, Adebowale
Bailey, Tina
Baldizon, Dondi Bale, Frederike
Barge, Dana
Barnard, Pamela
CNL
RNC-MNN
Chemo
RN-C
RNC-OB
Forensic NSG
CCRN
Brewer, Sandy Bristol, Janice
Brock, Pat
Brodrick, Kaylaa
Brooks, Joy
CCRN
CPAN/ASPAN
CAPA
Colburn, Suzanne
Cole, Annette
RNC-NIC
WHNP, RNC-OB
Cole, Sandra
RNC-OB
RNC, MNN, NCC
Cole, Verna
RNC-OB
ONC
Collier, Lisa
PCCN
CCRN
CIC
Collins, Joanna
Collins, Oretha CCRN, AACN
RNC-OB
Brose, Diane
NICU
Combs, Emily
Brown, Alan
OCN
Cook, Julia
RNC-OB
RN-BC
Cook, Lisa RNC-OB, IBCLC
Chemo
Barnes, Kristen
CNL
Barnhill, Lorna
CAPA
Brown, Anita Lynn Barrett, Cindy
NICU
Brown, Debbie
Barron, Paulette H.
CRNI
Brown, Debra
CCRN
CMSRN
Brown, Heath
CWOCN
Cory, Tiffany
CCRN, AACN
CNOR
Brozovic, Natalie
RNC-OB
Couch, Lara
CNOR
CCRN
Bryant, Anita
Bates, Beverly Baumann, Regina
Baxter, Cherie
Bayley, Emily
Beal, Robin
Cox, Bill
Buckley, Lucille
IBCLC
Craig, Jan
Buitrago, Paola
CNML
Creighton, Raquel
Beckman, Erica
CRRN
Burt, Amie
Beckwith, Pam
Med/Surg, ANCC
Busa, Candida
Bedell, Sherri
RNC, MNN, NCC
Butler, Robbin Bengali, Nisrin
Corazzini, Crystal
NICU
Burdett, Pam
Benford, Andrea
Chemo
Cooper, Julie
RNC-OB
Beason, Akela Cerftified Diabetic Educator
Bence, Tiffany
RNC-OB
RNC-OB
CCRN
Butler, Susan
Cameron, Renee
RNC-NIC
CCRN
Med/Surg, ANCC
CCRN
Croft, Lyndy
Crouse, Vicki
Crowder, Dawn L.
Cuesta, Analvis
CCRN
CCRN
CEN
NICU
CNOR
CEN
CCRN
CNOR, CAPA
Chemo
RNC-NIC
Daigle, Kim
CCRN
CNOR
Daly, Debra
RNC, MNN, NCC
Daniely, Lisa
GRN
Camp, Marilyn
CPN
Bennett, Deborah CRNO
Cannon, Karla
CPEN
Daughtry, Joyce
Bessolo, Samantha
CNOR
Caramanica, Laura
CENP
Davis, Amberly
ONS
Bielawski, Sandra RNC-OB
CWOCN
Davis, Eleanora
CCRN
Carlyle, Laurie NICU
CNOR
WellStar Nursing 41
Davis, Krysti
CMSRN
Davis, Linsey
CCRN-AACN
Davis, Lynn
CNOR
Davis, Sharon
Med/Surg
Dawes-Rust, Faith Angela
Day, Angela
DelaCruz, Allan
Dethose, Jemini
Devereaux, Deanna
CCRN & CPAN
Eymold, Christine
RNC-OB
Eze, Virginia E.
CRRN
Fain, Tara
CCRN, CEN
Fekede, Tegist
CCRN
Gordon, Lynell
AMSN
RNC, MNN, NCC
CMSRN
Ferris, Trisha
CEN
Fieblekorn, Deannah
Med/Surg
Finnell, Deneen CCRN
Franks, Keisha
CPAN/ASPAN
Douglas, Winston
CCRN, AACN
Franzen, Medina
CMSRN
Dunagan, Angie
CNOR
Dunaway, Paula CAPA
Duncan, Karen CMSRN
CCRN
CEN, CNL
Fraser, Danielle
CEN
Frederick, Delores
Med/Surg
Fulton-Jones, Aisha
Case Manager
Futral, Terry
Gaffney, Robyn
Eberhart, Stacy
NICU
Gambrel, Charlene Eberhart, Steve CCRN
Garcia, Melida
ONC
Garner, Gary TCAR-ENA
CNOR
Fredeman, Annaleise
CAPA
Edouzain, Cherley
GCNS-BC
Fred, Cindy
Earley, Rebecca Edell, Dora
ONC
VA-BC
RNC-NIC
CMSRN
CCRN
CMSRN
CCRN, AACN
CEN
Gosset, Michelle
Gray, Jacquelyn
Fischer, Nancy
RNC-OB
Goss, Jessica
Gray, Ann
CCRN
EFM
Gosling, Ginger
CGRN
CCRN, AACN
Dyson, Lillian RN-CIC
CCRN, AACN
Dorn, Jennifer
Dunn, Anne CMSRN
Goraczewski, Lori
Gordon, Erika
Fenimore, Kelly CCRN
Godwin-Offor, Ojinika Chineze
PCCN
CNL
Chemo
Glaze, Jordan
Feiner, Therese
Diaz, Meredith
Dowdy, Ann Githua, Caroline
CCRN
ENPC & TNCC
Densmore, Jennifer Esuzor, Gideon
CCRN
CPAN/ASPAN
CCRN, TNCC, ENPC
Green, Allisa RN-C
Green, Beverly CNL
Green, Deborah RNC-OB
Greenidge, Rosemary
CRRN
Greenoe, Pam RNC-OB
Gretz, Judy
RNC-NIC
Grooms, Jo Ann
RNC, LRN, NCC
Groth, Judy B
WOCN
Gunning, Sheila RNC-NIC
Guntharp, Rebecca
Chemo
Hahn, Chad
CPEN
Hale, Darlene
Gause, Jasmine
CCRN
Hall, Janice Hall, Julia
Med/Surg, ANCC
RN-BC
Ehrlich, Cherri
CNOR
Gay, Elaine
NE-BC
Eison, Jennifer
RNC-MNN
Gay, Janet
RNC-NIC
Hamilton, Mallory
CNL
RNC, MNN, NCC
Hanesworth, Amy
CCRN
Elliot, Mary
CCRN
Emereje, Ejiro
RNC-OB
Gay, Jessica
Gbadebo, Comfort
CCRN, AACN
Esposito, Janice RNC-OB, RNC-EFM, NCC
Generao, Maria Theresa Estes, Matt
Giles, Margaret
CNOR
CRNI
PCCN, CCRN
RNC, Med/Surg, NCC
Haney, Bernadette
CCRN, NE-BC
Hardman, Donna
CEN
Hardy, Kristin
RNC, NCC, MNN
Harman, Carole
WellStar Nurses Education by Degree
CENP
Harner, Holly
CCRN, AACN
Harrison, Patricia
OCN
Hasty, Cynthia
CNL
Hatlevig, Timothy
CNOR
Haynes-Church, Valerie RNC-OB, RNC-WH
Heflin, Tehrae
CNL
Henry, Connie
RNC, RNC-NIC
Herndon, Nicole
NNP-BC, NEA-BC, CPPS
Hess, Katy
Hickson, Laterria M
Hill, Amada
42 WellStar Nursing
Associates
Bachelors
Masters
NICU
CNL
Med/Surg
Hill, Kimberly
CNOR
Hill, Shannon FNP-C
Hobbs, Gerald
Diploma
CRNI
Hedges, Ruth
ACNS-BC
Hobbs, Kathleen
ONC
Hobbs, Sheryl
GRN
Hogue, Vicky
Holcomb, Deena
CCRN
Low Risk Neonatal
Holcombe, Steve CCRN
Hollingsworth, Sandra
RNC-MNN
Kirk, Tammy
Knotts, Kimberly
CCRN
NEA-BC
Martinez, Simone
CCRN
Martin-Forrest, Novia Adrienne CNOR- CCI
Koch, Darla
CNOR
Martin-Post, Jodi
Koene, Jacoba H
CCRN
Mathew, Philomina J.
Holloway, Lillian
CCRN
Koontz, Sandra
RNC-MNN
Howard, George
CCRN
Kozar, Kimberly
RNC, MNN, NCC
Howard, Lauren
RNC-NIC
Mathis, Kendra
CCRN
CNL, Chemo
Matthews, Regina
CNOR
CCRN
Kraftzenk, Julie
CCRN
Mayo, Moise
Huey, Randall
CEN
Kraftzenk, Julie
CCRN
Mays, Suzanne
CNRN
Huff, Barbara
CNL
Kraker, Laure
CWOCN
McBride, Darla
RNC-OB
McConnell, Myra
RNC-OB
Huffman, Natalie
RNC-OB
Krause, Melissa
CGRN
Med/Surg, CNRN
Hughes, Sharon
RNC, NCC, MNN
Hunnicutt, Mary
RNC-OB
Kwak, Edna
CNOR
McCoy, Jennifer
SCRN
Hunter, DonnaMed/Surg, CNS-BC, ANP-BC
Kwon, Lucy
RNC-OB
McElroy, Colleen
CCRN, AACN
Hutchison, Nancy
Lambert, Cheryl CCRN
Ibekwe-Onwueme, Princess
Yellow Belt
Ingerson, Jim
CNL
Ingerson, Jim
CCRN
Ingle, Nilima
Kurtz, Sherron
Lancaster, Jennifer
CEN
SCRN
McCorkle, Christopher
Chemo
McIntosh, Rebecca
CCRN
McKenna, Sara
CCRN
CNL, CPAN
McKenzie, Camille
CCRN
Lang, Kristen
CNL
McKenzie, Sharle RNC-OB
CNOR
Lanier, Felicia
PCCN
McKown, Beverly RNC-OB
James, Helen
CCRN
Laughman, Grace
James, Laura
RNC-OB
Jervey, Jo Ellen
RNC-MNN
Lang, Jeanette
CNOR, NEA-BC
Lavelle, Maureen
CCRN, AACN
ONC
McManamay, Anna
VA-BC
McNulty, Donna
CCRN
Law, Tammy CNL
McTyre, Maria
EFM
Meyer, Christian
VA-BC
IBCLC
EFM, AORN
Jiminez, Rosmery
CCRN
Ledbetter, Jessica
Johnson, Judy
CCRN
Lee, Jennifer
RNC-OB
Meyer, Melanie
Johnson, Kimberly
CHFN
Lee, Rhonda
CWOCN
Michabata, Gwen
RNC-OB
Legant, Terri
RNC-OB
Michno, Heather
RNC-NIC
Mier, Yvette
CWOCN
Johnson, Sharon
Johnson-Crum, Selia
Jones, Cathy
CNOR
RNC, EFM
Jones, Chanique
CEN
Jones, Chenille CNL
Jones, Darcia
Legeckaite, Inga
Lewis, Sherry OCN
CRNO
Mieszala, Clare
Llorente, Beverly
Med/Surg
Miller, Bonnie Llorente, Ramon
CCRN
RNC-MNN
NICU
IBCLC
Miller, Renee
CPHRM, CIC
RN-BC
Long, Kim
Chemo
Millinor, Peggy
CPEN
Jones, Delores
CRRN
Loor, Mary
Med/Surg
Mincey, Kristen
RNC-OB
Jones, Jennifer
CNOR
Lovett, Andrea
CNOR
Mirand, Raymonde
Med/Surg
Jones, Melissa
RNC-OB
Lucas, Marci
CCRN
Mitchell, Ashley
Med/Surg
Jones, Rachel
RNC-OB
Lyman, Karen
CWOCN
Mitchell, Janet
Med/Surg
RN-BC
Lyons, Christi CRRN
Mitchell, Kellie
RNC
Jones, Senora Joseph, Andrea Lurlena
CNOR- CCI
Macalincag, Marie
RNC-NIC
Mixon, Rene
High Risk OB
Junnier, Tammy
RNC-NIC
Mack, Donna
CCRN, CNRN
Kadner, Marsha
CCRN
Madden, Kim
CNRN
Montefusco, Belinda
Magdangal, Diane
CCRN
Moroz, Denise
Kamau, Mary
Keeney, Nancy Chemo
OCN
Moncion, Annette NP-C
RNC-OB
CCRN
Makin, Sonal
CNL
Morrato, Chris CEN
Keiger, Nancy
CNOR
Malcolm, Alexis
CEN
Mount, April
RNC
Kelley, Brandy
FNP, ANCC
Mallari, Bernard
CMSRN, Med\Surg
Kelly, Cori
CPHIMS
Malley, Karen
CCRN
Kent, Michelle
Med/Surg
Marklin, Kellie
Chemo
Kibet, Jepkosgei
Med/Surg
Martin, Catherine Kim, Alice
Kinder, Deana
Kiper, Shelia
Med/Surg, CMSRN
RNC-OB
CNOR
Mullings, Dorothy
Murphy, Donna
Murray, Julie
Med/Surg
CLNC
CWN
CCRN
Musser, Martha
CNOR
Martin, Cindy
Med/Surg, CSRN
Myers, Colleen
RNC, NCC, MNN
Martin, Holly
RNC, EFM, NCC
Nack, Jennifer
CNL
Martin, Jennifer
CPEN
Nakai, Susanna
RNC, Med/Surg
WellStar Nursing 43
Nalls, Mia
RNC-OB
Nau, Roseline
Med/Surg
Nichol, Laurie
CRN, CCRN
Nichols, Amanda
TNCC
Nichols, Amy CMSRN
Nichols, Lisa RNC
Niehuser, Marlies
Med/Surg
Norouzi, Mary Ann
Med/Surg
Nwagbara, Gloria
CMSRN
O’Toole, Tari CMSRN
Oakes, Patti W
GRN
Ohanaja, Pristella Ogechi
Oshikoya, Tolani
Owens, Donna
Padgett, Liz
Paine, Michael
Parham, Michele
Parker, Jennifer
Parkman, Patrick
RN BC
OCN, RNC
AMSN
Med/Surg, CMSRN
NICU
CWON, CWS
Maternal/Newborn
GRN
RNC-OB
CNOR- CCI
CCRN, AACN
Patel, Kinnari
CNOR
Patterson, Jimmy
CCRN
Payne, Betsy
Payne, Melissa
Pazda, Laurie
Pearson, Jessica
83%
OCN / ONCC
O’Brien, Joseph
Onokalah, Beatrice
National
Certifications
NICU
Nkaambi, Mary
Okoye, Christabel
17%
CWOCN
Nix, Letha
Okawachi, Kazue
WellStar Nursing Certifications
BC
RNC, EFM, NCC
CCRN
CNL
Pederson, Tiffani
RNC, MNN, NCC
Perkins, Dorothy
RNC-MNN
Petefish, Jayne
Pierce, Hollie
Pierce, Tammy
ACNS-BC, CCRN
Chemo
RNC, MNN, NCC
Quick, Elizabeth
Raeber, Helen
Ragsdale, Patricia
Rainey, Sylvia
Raiser, Courtney
Pike, Adonica
NICU
Ramey, Gene
Pique, Carmen
NICU
Ramos, Aranita
Pollock, Lisa
NICU
CCRN
Med/Surg, Chemo
LNCC
PS, RN, CNOR
CCRN
Chemo
CCRN, AACN
Randall, Janet
Chemo
Powell,TammieMed/Surg
Ranger, Janice
CWOCN
Powers, Tamara Reames, Angela
Pratt, Lydia
RNC-OB, LCCE
RNC-OB
Reece, Cathy
Presswood, Margaret
CRRN
Reuscher, Christine
Purvis, Pat
NICU
Rice, Vikki
Ricks, Nichole
RNC, MNN, NCC
CNOR
CWOCN
CWCA
CNL
Ridley, Jacquelin
CCRN,
Rigby, Joni CRNO
Riordan, Patricia
RN,C
Roberts, Angela
Med/Surg
Roberts, Merry Ann
ONC
Robinson, Angeleta
Med/Surg, CMSRN
Rodgers, Lenore
CCRN
Rogers, Laura
CPAN
Rogers, Melinda
CNOR
Rosario, Iisha
Rosinski, Barb
Perinatal Nursing
CFRN, CEN, CPEN
Ross, Kerry
CRNI
Sale, Pam
CNOR
Samples, Christina
SCRN
Sanders, Candice
RNC-OB
Sanders, Kimberly
CNRN
Santucci, Bonnie
ONC
Sawyer, Theresa
CURN, CRRN
Toholsky, Karen
Tolbert, Karen
CAPA
CPAN/ASPAN
Watson, Starr
CNL
Wattie, Lashea
RNC, C-EFM
Scarborough, Andy
CCRN
Torres, Margaret
Scott, Jacqueline
CCRN
Trung, An
Scott, Melissa
CCRN
Turner, Debbie
CCRN
Weidinger, Marsha
Turner, Marie
VA-BC
Wells, Amenika
Chemo
Turner, Shannon
CNOR
Wells, Tiffany RN-BC
Tweedy, Karen
CCRN
Whalen, Anita
RNC, MNN, NCC
Set, Kaung
Settle, Amanda
Shadrix, Debbie CNL
RNC-MNN
OCN
OCN
OB-RNC, AWHONN
Weaver, Tundra
CCRN
Weeks, Stacy
RNC-OB
NICU
Shandor, Maureen
RNC-NIC
Tyson, Terry
RNC-OB
Wharton, Joy
Shears, Janice
RNC-NIC
Uding, Carmen
RNC-OB
Wheeler, Tiffany
Med/Surg, ANCC
Sherman, Lisa
CWOCN
Vaidya, Arnaz
CEN
Whitaker, Mary CCRN
Shewchuck, Bonnie
RNC-OB
Vallorie, Butler
RNC-NIC
Med/Surg
Whitehead, Donna
CNL
Shiluli, Phyllis
CCRN
Vander Smitte, Angela
Shults, Adriana
CCRN
Vanderburg, Rachel
Sikes, Devan
CCRN
Vann, Karen
NICU
Williams, Jamie
RNC-OB
Simon, Kathy
Chemo
Vante, Veronica
CCRN
Williams, Kathy
Chemo
CPHQ
Varjasi, Andrea
CCRN
Williams, Sandra
CPAN
Verrecchia, Nancy
CNOR
Wilson, Jennifer
RNC-OB
Viduya, Malou
CCRN
Wilson, Patricia
CNOR
Wiser, Rosemary
VA-BC
Wood, Jennifer Ann
PCCN
Smiler, Deborah
Smith, Angie
CEN
Smith, Jeanne
CPAN/ASPAN
Smith, Kimberly
WOCN
Smith, Leigh Ann
CCRN
Smith, Novlette
CCRN
Smith, Shelley PCCN
Spivey, Rachel
HAZMAT
Stang, Lisa
Stauffer, Eunice
Stevens, Catherine
Stewart, Karen
Stoops, Lynn
Stuber, Jerald
Subero, Juanda
Sullivan, Alexandra
Sullivan, Elaine
NEABC
CNOR
CPAN/ASPAN
RNC-NIC
CNOR
RNC, MNN, NCC
TNCC
RNC-OB
Summerlin, Beth
CNOR
Sumpter, Angela
CCRN
Tatum, Angela
Taulbee, Terri
Tavakoli, Mahshid
CCRN, PCCN, FCN
Chemo
CCRN
RNC-OB
Vines, Linda
Med/Surg
Med/Surg
Waggoner, Jessica CCRN
Waitimu, Catherine
Chemo
Woody, Janette
CPN
Waldrop, Lindsay CMSRN
Wynter, Michelle
CNL, TNCC
Waldrop, Shannon RNC-OB
Thula, Musa
CCRN
Walford, Winnifred
ONC
Tipton, Amy
CCRN
Ward, Brooke
CCM
Tebbe, Sarah
Thomas, Nikki
Thompson, Latesha
Med/Surg
RNC-MNN
PCCN
Tarver, Angela Lawrence
Wilkins, Constance
CNRN
CCRN
Summa, Lisa Tamika Jones
CEN
Whiteway, Geraldine
Chemo
Smith, Brandy
St. George, Tad
CNRN
CNL
RNC-OB, NRP
Med/Surg
Yohannan, Sosamma
Zyry, Regina
PCCN
RNC-MNN
WellStar Nursing 45
Awards and Recognition
llence Award
AJC Nursing Exce
Ida Anderson
Kimberly Swann
GHA Hospital Hero Award
Karen Castle
Shining Star Award Winners
Jeff Batcher
James Bradshaw
Allison Brown
Marcia Evans
Annessa Fosuhene
Debbie Green
Sheny Hill
Marilyn Jones
Ebony Larry
Kathleen Lawrence
Camille McKenzie
Kim Primm
Laurie Beth Robinson
Carla Tramel
Team Awards:
Sue Bowling
Sonja Horton
Russel Miller
Jennifer Porter
Alfredia Sims
(Rehabilitation and Pastoral Care)
WellStar Foundation
World-Class Care Givers
Ava Cabal
Caitlyn Cook
Ejiro Emereje
Djuna Jackson
Bernard Mallari
46 WellStar Nursing
Suzanne Mays
Yvette Mier
Hannah Muchiri
Laveth Reese
Rachel Strickland
Chasity Wells
Maxine Wilson
Stefanie Howard
Kennestone Green 7 North
Collaborative Care Team
Kennestone Green 3 North ICU
WellStar Safety First Award
Laytrina Clemons-Brown
Verna Cole
Deana Kinder
WellStar Nursing
Excellence Awards
Administrative Leadership
& Management
Hellen
Adebowale, RN
Jeff Batcher, RN
Lydia Casteel, RN Patti Harrison, RN
Sency Mendoza, RN
Clinical Excellence
Yaa Acheampong, RN
Kathy Bigilin, RN
Janet Birtwistle, RN
Kayla Brodrick, RN
Danielle Brown, RN
Candi Busa, RN
Bridget Caffery, RN
Allison Christou, RN
Angela Dietz, RN
Debra Eberhart, RN
Hollie Guinn, RN
Lillian Holloway, RN
Colleen Harris, RN
Ellen Jatta, RN
Kimberly Kozar, RN
Jesse Kung, RN
Izelle Morales, RN
Beatriz Mras, RN
Lauren Norton, RN
Carolyn Percell, RN
Tammy Powers, RN
Julie Sanday, RN
Reena Smith, RN
Mary Ann Thompson, RN
Jody Vasina, RN
Winnie Walford, RN
Tiffany Wells, RN
Joy Wilson, RN
Latesha Woodson, RN
Leadership Excellence
Laure Djoume, RN
Antoinette Ellis, RN
Aridia Ennever, RN
Cindy Ewing, RN
Elia Fulton, RN
Comfort Gbadebo, RN
Peggy Gnatiuk, RN
Janice Hall, RN
Amanda Heath, RN
Amanda Hill, RN
Colette Johnson, RN
Yocky Lelonek, RN
Ashley Neal, RN
Belinda Opara, RN
Pauline Parker, RN
Julie Sanfillipo, RN
Bonnie Santucci, RN
Holly Seeley, RN
Julie Taylor, RN
Jamie Threatt, RN
Shannon Turner, RN
Kristie Vance, RN
Others
Joyce Bowden, Experienced Team Member of the Year
Lifetime Achievement
Sara Atha, RN
March of Dimes, 39+ Weeks Recognition, Kennestone
Women’s and Newborns Services
Vicky Bryan, Southeast Region WOCN of the Year
Susan Franklin, Josh Nahum Special Achievement
Award for Infection Prevention and Control
Vicky Hogue, YMCA Northwest Georgia’s Women of
Achievement Award
Nursing Research
Kathleen Hobbs, RN
March of Dimes Award for Excellence
Laurie Fugitt, RN
Sarah Holt, RN
LeeAnna Spiva,
MSN, Ph.D.
WellStar Kennestone
Hospital was presented
with the March of Dimes,
39+ Weeks Recognition
banner, sponsored by
the Georgia Department
of Public Health in
partnership with the March
of Dimes Georgia Chapter
and Georgia Hospital
Association, for reduction in
early elective deliveries.
WellStar Nursing 47
Daisy Award Winners
Roxanna
Barzegar-Darvish
WellStar
Kennestone
Dana Blanton
WellStar Douglas
Kendra
Blassingame
WellStar Cobb
Ashley Campbell
Debra Brown
WellStar Paulding WellStar
Kennestone
Debra Eberhart
WellStar Paulding
Ejiro Emerje
WellStar
Kennestone
Ebonee Gordon
WellStar
Kennestone
Stefanie Howard
WellStar Douglas
Bernadette Jones Cee Jones
WellStar
WellStar
Windy Hill
Kennestone
Erica Kilpatrick
WellStar RMC
Claire Meiszala
WellStar Cobb
Mikaela Mills
WellStar
Kennestone
Andrew Nystrand
WellStar Douglas
Markeisha
Randolph
WellStar
Kennestone
Marzanna Siekierski Kimberly Swann
WellStar
WellStar
Kennestone
Windy Hill
Nakia Titus
WellStar
Kennestone
Denina Willard
Tekeia Ward
WellStar Paulding WellStar
Kennestone
Laytrina
Clemons-Brown
WellStar Cobb
Amanda Salois
WellStar Paulding
Rikki Williams
WellStar Paulding
TEAM AWARD: WellStar Kennestone Hospital Labor & Delivery
Kelsey Worrell
WellStar
Kennestone
48 WellStar Nursing
Standing L-R: Maria McTyre, Danielle McGinn, Jami Macurak,
Emily Bayley, Joy Ashworth, Courtney Ward, Erin Rakestraw;
Sitting: Chris Eymold, Debbie Brown
Community Service
Community Service
4-H
American Red Cross
American Heart Association
American Lung Association
Angel House of Georgia
Big Brother
Boy Scouts of America
Breast Cancer Survivor’s Day
Cancer Survivor’s Day
CarFit for Mature Drivers
CASA Paulding County
Chattanooga Food Bank
Clean Air Campaign
Donate Life
Helping Hands
Luke’s Place Christian Recovery
March of Dimes
MUST Ministries
myTEAM Triumph
Paulding Children’s Cabinet (DFACS)
Relay for Life
Safe Kids Cobb County
Share House for Battered Women
Special Olympics
United Way Shoebox Project
WellStar Spirit Girls’ Night Out
WellStar Women in Health Fair
Women’s Wellness Community Screenings
Youth Works
YMCA
“WellStar nurses are committed to community
outreach. Not only do the nursing staff come
together to determine collaboratively what project
they will focus on, but many have personal charities
that they support as well.”
Kimberly Knotts, MSN, RN, NEA-BC
WellStar Paulding Hospital
WellStar Paulding Hospital shows their
appreciation for nurses during National
Nurses Week.
50 WellStar Nursing
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