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 8/15 WS0089