Nursing Excellence - Life. Where You Love It.

Transcription

Nursing Excellence
2014
NursingYearbook_2014.indd 1
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Table of contents | Letter from the Chief nursing officer
Table of Contents
Magnet® Journey
4
Transformational Leadership
8
Structural Empowerment
16
Exemplary Professional Practice
35
New Knowledge, Innovations
and Improvements
45
NURSING EXCELLENCE
COMMITTEE
Jennifer Bower
(Education/CHS)
Ellen Fenger
(Surgical and Trauma/SBCH)
Dodi Gauthier
(Education/CHS)
Herb Geary
(Chief Nursing Officer)
Carol Henderson Nelson
(Education/CHS)
Shawn Hodges
(Materials Management)
Jan Ingram
(Parish Nursing)
Linda Reimer
(Patient Care Services)
Tokie Shynk
(Critical Care/SBCH)
Dear Nursing Colleagues,
Welcome to the latest edition of
Nursing Excellence, summarizing
the year 2014 – as we celebrate
National Nurses Week! I’d like to
thank the editorial team for another
amazing achievement in commemorating last year and to all of you
who submitted accomplishments to the Nursing Excellence Team.
The Magnet Journey is alive and well!! We continue to meet all
the Magnet Standards with the work of the 4 Magnet Component
Committees and many community projects. Our Professional
Practice Model (PPM) got a “refresh” after seeking your feedback
on our original model. We have received many accolades for the
newly designed PPM. In addition to many awards and recognitions
in 2014 – among the most significant was receiving “Modern
Healthcare’s Top 100 Best Places to Work Award” as voted by you,
who were randomly surveyed. I was able to participate in the award
ceremony in Chicago and it was truly an honor to be among the
other recipients of the award.
Additionally, it was a very proud moment for nurses at Cottage
Health System when we opened the Gary Hock Family Simulation
Training Center on 2 East at SBCH last November. Through Mr.
Hock’s incredibly generous gift to Nursing, we were able to fund
the redesign of 3 former Operating Rooms to create the simulation
center and also to partially fund the staffing for the next 5 years.
We also were able to purchase 4 new “state of the art” mannequin
simulators. We expect over 1,500 participants in 2015 to experience
the art of Simulation Training. Many thanks to Jennifer Granger
Brown, Simulation Coordinator and Gordon Arkell our Simulation
Technician for their hard work in designing, programming and
sharing their expertise in the art of Simulation Training.
I would like to thank all of you for your dedication to our patients,
for your expertise in your specialty, for seeking further certification
and advanced degrees, and your commitment to Cottage Health
System. You are the best!! Happy Nurses Week…
Dan Thomas (CRH)
Kathryn Von Dollen (PACU/SBCH)
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Cover photo by
Glenn Dubock (Media Services)
Herb Geary, MBA, BSN, RN, FACHE
Vice President, Patient Care Services and Chief Nursing Officer
Cottage Health System
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Transformation Leadership (TL):
Herb Geary’s Quarterly Newsletter: The committee discusses important trends in
nursing and provides recommendations on topics for the newsletter. His themes focused
on professionalism, change, national/CHS perspective, CHS projects, Simulation, and
the nurse’s role in the Ebola challenge. Each of the letters has provided insight on
things to come.
Created a Working List of Nursing Committees: The TL committee was able to put
together a list of committees with nursing involvement; the list is based on information
from the Nursing Professional Portfolios. The list identifies the committee chair/
co-chairs, mission statement, and meeting dates/times and can be found on the Portal,
Education and Training website under the Magnet tab.
Structural Empowerment (SE):
Nursing Back to School Day: The SE committee supports and encourages nurses as
lifelong learners. In May, this event allows staff the opportunity to explore their option: to
become a nurse or to further their nursing education.
Recognition of Certified Nurses: The committee sends a personalized letter to the home
of individuals who achieve initial and recertification. During the week of Certified Nurses
day on March 19th, the committee along with Herb Geary sends a recognition email to
those who hold specialty nursing certification. The committee also distributes green “I am
a specialty certified nurse” ribbon for nurses to wear during the week. A celebratory ad
was also placed in the Santa Barbara News-Press and Independent honoring the certified
nurses.
Exemplary Professional Practice (EP):
Nursing Professional Practice Model Revision: We asked, you answered, we listened…
The Professional Practice Model (PPM) is an important reflection of the nursing care
provided at CHS. Based on a series of surveys and the determination of the EP committee
to represent the voice of nursing, our original PPM image was changed. The wording
associated with the PPM remains consistent as nurses agreed that the words accurately
reflect our values.
Peer Evaluation for 2015: The EP committee embraced the challenge to lead CHS nurses
toward the best practice of Nursing Peer Evaluation. With staff input via surveys and
focus groups, the process will be implemented in 2015.
New Knowledge, Innovations, and Improvements (NK):
Communication Enhancing Access to Conducting Research at CHS: The NK committee
has been working on spreading the news about CHS New Knowledge, Innovations, and
Improvements. NK collaborates with the Research Department to distribute the Research
newsletter quarterly. Each member of the NK team takes turns contributing to the
newsletter that features information about research, quality improvement (QI), process
improvement (PI), and Evidence Based Practice (EBP).
Attend the Research Advisory Committee (RAC) meeting: Members from the NK
committee rotate attendance at the RAC meeting. Here the NK committee members
learn about the process of nursing research as well as new and exciting ideas nurses have
for research.
Magnet Quality celebration
August brought our 2nd annual Magnet Quality celebration, another successful showing
of quality outcomes driven by nursing see the full story on page 7.
CHS Stock Photos
We have all seen and possibly used
those generic pictures of nurses on
flyers, PowerPoints and posters.
With such talented staff of our
own, we determined it was time
to create a stash of stock photos
highlighting CHS nurses. With
the assistance of Glenn Dubock,
photographer extraordinaire, we
now have nursing photographs
that give a glimpse into the “day
in the life” of CHS nurses at all
campuses. The pictures focus on
collaboration, teaching moments,
role-to-role interactions, team
meetings, simulation, and HIPAA
compliant patient interactions.
Special thank-you to those who
were photographed and represent
the spirit of nursing at CHS
and exemplify our core values
of Excellence, Integrity, and
Compassion.
If you have questions about the
Magnet journey, I am here to
assist!
Letter from the nursing magnet program coordinator
What an impressive year! 2014 has brought many exciting changes in health
care as well as in Nursing at Cottage. The Magnet journey continues to thrive
with the four component committees continuing to meet monthly along with
the Magnet steering committee. Each of the component committees can
proudly reflect on their work this year; work that continues to gain momentum.
The accomplishments are many and the highlights include:
Sincerely,
Jennifer Bower, MSN, RN
Nursing Magnet Program
Coordinator
[email protected]
805-448-5941 (cell), x54641
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nursing magnet program LEADERSHIP
Recognizing Magnet Journey Leaders:
Transformational Leadership:
Visionary, Courageous, Strategic Planner, Influential,
Empowering
Exemplary Professional Practice:
Passions for the Professional Practice Model,
Nurse/patient Satisfaction, Nurse-Sensitive
Indicators, Interdisciplinary Influence
Co-Chairs: Linda Bacon, Herb Geary
Members: Amy VandenHeuvel, Amy Vanderputten, Caroline
Rosen, Denise McDonald, Edmund Wroblewski, Jim Ouellette,
Kim Morales, Nick Urton, Sabine Keller
Co- Chairs: Darcy Keep, Liz Lundquist, Sherrie Grimes
Members: Karin DeWitte, Christine Pimentel, Daniela
Maaia, Danilyn McLaughlin, Jennifer Dunn, Jennifer
Ferrick, Jennifer Granger, Jennifer Wobig, Karen Rose,
Lauren Sutherlin, LeAnn De Luna, Lindsay Picotte, Mary
Gensler, Sandra Ibrahim, Stella Riddell, Susan E. White,
Tammy McDevitt, Tegan Hannah, Colleen Wheeler.
Structural Empowerment:
Life-Long Learner/Teacher, Commitment to
Community, Professionally Engaged, Nurse Role
Model
New Knowledge, Innovations, and
Improvements: Innovator, Adventuresome,
Tolerant of Uncertainty, Confident, Risk Taker,
Forward Thinking, Tech Savvy
Co-Chairs: Mary Meola, Carol H. Nelson
Members: Tia Caldwell, Diane Barkas, Dodi Gauthier, Ellen
Fenger, Gary Milgram, Gina Randall, Jan Ingram, Judy Corliss,
Kim Velasquez, Rhonda Bernstein, Roya Nassirpour, Shawn
Hodges, Shelley Algeo
Co: Chairs: Tokie Shynk, Dan Thomas
Members: Emily Rorden, Jacki Cutroni, Laura Canfield,
Lindy Chavez, Lorie Loomis, Patti Wicklund, Vicki Lekas,
Marsha Baselice
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• Critical Care: Compassion Doesn’t End When
•
•
the Heart Stops: Perceptions of Honoring
Ceremony at End-of-Life
MICU: The Upside Down World of ARDS: Care
of the MICU Patient on a RotoProne Bed
1RT: Day/Night Shift Rotation: Staffing
Guidelines for Neurology/Urology Nurses
• 4S: Oncology Nursing Symposia: Innovative
•
•
•
•
Learning Events Created by Nurses, for Nurses
4S: Welcome to your new knee: using a staff
created video to educate patients
SE: Professional Development: Defining
Structure and Process to Recognize and
Promote CHS Certified Nurses
• CNSs: Advanced Practice Registered Nursing
APRN
• NK: Advancing Nursing Research With Tools
You Can Use
• EP: We Asked, You Answered, We Listened:
Our New Professional Practice Model
• Dialysis: Got Water?
• GVCH Leadership: Huddle for High Reliability:
Transforming Care at the bedside: Target Core
Measures
• GVCH Sub Acute: Infection Reduction; SubAcute unit from 10.9 to 2.0
• 3WC: Implementing Change in the Care
Delivery System: An RPCT Pilot Program
SE: Beyond Florence: The Image of Nursing:
Creating a Legacy
• CRH: Validation study of a Fall Risk Assessment
SICU: Promoting Employee Satisfaction
and Retention Through Unit Based Shared
Governance
• NICU: Home Bound: Addressing Neonatal
Tool Specific to the Acute
Length of Stay
• NPs: The role of the Neuroscience Nurse
• SBCH ED: Creating a Culture of Safety –
• GVCH ICU: Do we really hear our patients?
• Education: Stayin’ Alive!
• Educaton: Tools for Teacher
• Education: A Site with Vision: Enhancing the
Practitioner through the continuum of the
patient’s hospitalization.
Active Listening for Patient Engagement
• MIC/BC: CordStat: Testing for Drug Exposure
in-utero
Nursing Posters
Quality Improvement efforts focusing on
medication use and administration
Education & Training Website
• TL: What is Transformational Leadership (TL)? • SYVCH ED: Cross Training Staff Between ED’s
• QI: Implementing a formal dysphagia screening
• 3RT: An Approach to Team Nursing
protocol for acute stroke patients.
• 1WC: Get Back to Teaching with Teach back
QI: Reducing Hospital Acquired Venous
• 1WC: Critical Incident Stress Debriefing Team • Thromboembolism (DVT & PE) Utilizing
Electronic Screening Tool/Order Set
• Endo: Comparison of Conventional Bowel
Preparation to a Low Volume Split-Dose Prep in
• Care Management: Project S.I.T.D.O.W.N
the Inpatient Population
Trauma: 2014 Distracted Driving Awareness
• Parish Nurses: Parish Nursing Program’s Mental • Campaign
Health Outreach: PathPoints-Behavioral Health
Trauma: 2013 Distracted Driving Awareness
• Peds/PICU: Sleeping Safely: Implementation of •
a Pediatric Sedation Nurse
Campaign
• Peds/PICU: The Pediatric Re-Charging Station:
Caring for the Caregivers in the Pediatric and
Pediatric Intensive Units.
KEY:
Red: Transformation Leadership |
•
•Green: Structural Empowerment
• Purple: Exemplary Professional Practice | •Blue: New Knowledge, Innovations, & Improvements
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Most Creative:
Peds/PICU: The Pediatric re-charging station: Caring for the
caregivers in the pediatric and pediatric intensive care units
Most Informative:
Critical Care: Compassion doesn’t end when the heart stops:
perceptions of honoring ceremony at end-of-life
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Magnet Quality Celebration
2nd Annual Magnet Quality Celebration:
A boot scootin’ success
The 2nd Annual Magnet Quality Celebration held August
21st was a great success! The event celebrated 38 professional
Nursing posters displaying quality outcomes, research and
information. The western themed event kicked off at 0700
and was well attended into the night, concluding at 0100. This
year’s posters exemplified nursing’s commitment to enhancing
outcomes and striving for excellence. The event celebrated
nursing successes and sought to share the efforts from the
past year. Attendees once again were invited to vote for their
favorite posters. The winners were awarded a trophy by Herb
Geary and presented their posters at the Shared Governance
C3 event that October.
The winning posters included:
Most Informative:
Critical Care: Compassion doesn’t end when the heart stops:
perceptions of honoring ceremony at end-of-life
Most Creative:
Peds/PICU: The Pediatric re-charging station: Caring for the
caregivers in the pediatric and pediatric intensive care units
I Never Knew “Wow”:
MICU: The upside down world of ARDS: Care of the MICU
patient on a RotoProne bed
Honorable mentions go to:
MIC/BC: CordStat: Testing for drug exposure in-utero
Nurse Practitioners: The role of the neuroscience nurse
practitioner though the continuum of the patient’s
hospitalization.
Structural Empowerment Magnet Component Committee:
Beyond Florence: The image of nursing: Creating a legacy
Peds/PICU: Sleeping safely: Implementation of a pediatric
sedation nurse
Endoscopy: Comparison of conventional bowel preparation to
a low volume split-dose prep in the inpatient population
Care Management: Project S.I.T.D.O.W.N
I Never Knew “Wow”:
MICU: The upside down world of ARDS: Care of the MICU patient on a
RotoProne bed
For those who missed the event or would like to review
the posters at their leisure, an electronic version of the
posters is available on the Employee Portal>Education
& Training>Magnet tab>Magnet Quality Celebration.
The posters are listed by unit/department.
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leadership
Transformational
“Identifies and
communicates
mission, vision
and values,
and asks for the
involvement of
the work group
to achieve the
vision.”
L-R: The three team leaders are Mia Sanders, Debra Lee,
and Judy Corliss
Endoscopy Department leadership
The team leader role was implemented in early
2014 to help staff adapt to the new department
footprint and streamline work flow. The team
leader is responsible for assignments, facilitating,
prioritizing, adding on cases, and troubleshooting. As a result the team experienced
improved throughput and staff/patient satisfaction.
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The Advisory Board Nurse Executive Center
Herb and the Nursing Directors attended the Advisory
Board’s Nurse Executive Conference, “Energizing the Nursing
Workforce.” Based on the information presented, an on-site
presentation was selected by the leadership team centered
on cultural diversity. The presenter, Katherine Virkstis of the
Advisory Board spoke to more than 60 CHS Clinical Managers,
Clinical Nurse Coordinators and Educators on “Equipping Staff
to Care for Diverse Patient Populations.”
L-R : Linda Bacon, Denise McDonald, Carol Henderson Nelson, Dan
Thomas, Herb Geary, Sherrie Grimes, Tokie Shynk.
Ebola Preparedness at Cottage
Health System
In October a Dallas Presbyterian Hospital RN
was diagnosed with the Ebola virus. As this news
spread across the world, Nurses, Physicians and
the Leadership at Cottage sprang in to action.
Lead by Infection Control Practitioner Leslie
Stanfield and Dr. David Fisk, a plan was developed
that engaged a multidisciplinary team at CHS.
Infection Prevention and Control focused first
on training employees and physicians most
likely to be involved in direct care of a potential
Ebola patient, assuring all CDC guidelines and
safe practices were in place. Based on this plan,
over 222 Health Care Providers volunteered
to participate in training sessions. Specialized
personal protective equipment was purchased and
a secured isolation unit was established, dubbed
the Highly Infectious Care Unit (HICU) located
on 3 Centennial at SBCH. Leadership provided
frequent updates to employees regarding the work
that was being done to protect staff and patients
while caring for the needs of our community.
L-R: Susie Thielmann, Leslie Stanfield with a team
training to care for a suspected Ebola patient.
The ED Lantern Project
The Emergency Department at SBCH formed a
committee to apply for the Lantern Award through
Emergency Nurses Association (ENA); the team
identified how their department exemplifies
exceptional and innovative performance as it
relates to leadership, practice, education, advocacy
and research. Although they did not achieve this
recognition, the ED was able to identify areas of
strength and weaknesses and learned valuable
lessons throughout the process.
L-R: Jacki Cutroni, Cathy Cleek, Donna Featherstone
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Transformational leadership
Emergency Department: Improving the Nurse’s Expertise
as a Preceptor
The ED identified that increased nurse involvement would improve the
training and positively influence patient care outcomes. The focus was
to have a team, rather than a single individual, work with the preceptee
to better meet their goals. Preceptor class attendance was required to
improve their knowledge.
Practice improvements included:
• Midpoint meetings with the team and preceptee
Welcome Laura Canfield,
MSN, RN, ACNS-BC, CNRN,
SCRN, CCRN to Nursing
Administration
In October, Laura Canfield, joined
Nursing Administration as the
Director of Acute Care Services.
Previously, Laura served 3.5 years
as the Clinical Nurse Specialist for
Neuroscience at SBCH and is board
certified in 4 clinical specialties with
19 years of nursing experience. Prior
to joining CHS, she was the Director
of Critical Care Services in Orange
County, CA.
• Frequent updates and communication with the team, educators and
preceptee
• Increased input from nurses regarding the preceptor process
• Individualization of program
L-R: Front: Lindsey Dudley, Judy Umansky, Jolee Farias, Jenael Rose, Jamie Considine
Back: Lauren Sutherland, Tammy Mcdevitt, Blake Henderson, Christy Philip
EPIC choice...as CHS’s
Electronic Health Record
(EHR)
Why EHR? Under the 2009
economic stimulus package, health
care providers who demonstrate
meaningful use of certified electronic
health record systems can qualify for
Medicare and Medicaid incentive
programs.
IT identified strong Medical Staff
and Nursing Leadership as a key to
success. Herb Geary is a member of
the IT Governance Structure.
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Out of 32 participants Herb Geary,
Laura Davidson and Caroline Rosen
were the nursing representatives
for the EHR selection team, which
included site visits. All nursing
departments were invited to the
onsite EPIC demonstrations to help
with the decision.
Isla Vista Tragedy
The tragic events of May 23rd
resulting in the death and injury
of many in Isla Vista strongly
impacted our local communities.
Cottage Health System met the
challenge. A remarkable group of
caring and dedicated professionals
responded to the calls for
emergency assistance in the field
and throughout CHS. News of the
extraordinary work of so many who
were there in our community’s time
of need was shared in the aftermath
and exemplified the core values of
Cottage Health System.
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Flu Vaccine Protecting each other and our patients
Flu outbreaks in hospitals have been attributed to low vaccination rates
among healthcare providers. Hospitals with 100% employee vaccine compliance
reduce the risk of patients dying from influenza acquired in
the hospital by 40%.
Employee Health and Safety (EH&S), led by Angeli Mancuso’s leadership,
successfully vaccinated 3,424 employees for a 97% compliance. This was achieved
utilizing 35 RNs and multiple approaches:
• 25 general clinics across the health system
• 15 unit based nursing departments giving vaccinations
• NRU RNs providing 10 evening roaming vaccination services
• 15 clinics located at the MICU/SICU Greeter desk
• EH&S who attended 3 EVS and 2 Volunteer Services meetings
Herb’s Quarterly
Newsletter
To enhance communication with
Nurses in Cottage Health System,
Herb Geary, VP of Patient Care
Services and CNO, committed to
providing a quarterly newsletter
that updates everyone on the state
of nursing at Cottage. It highlights
major events in Nursing including
the annual Nursing Quality
Celebration and prepared us for
changes like Knowledge Based
Medication Administration
(KBMA). Herb represents CHS
at leadership committees and
ensures Nursing has a voice in
decision making. The Magnet
Transformational Leadership
Committee, co-chaired by
Herb, plays an important role
in providing ideas as well as
feedback for the newsletter.
We thank you Herb for your
transformational leadership!
The newsletter is emailed to all
nurses quarterly and can be found
on the portal>education and
training>home page>news
compliance
Division 12-11-14EmployeesLOA*Vaccinated
%Declined Compliance %
Cottage Health
System
178
0
176
99%
2
100%
Goleta Valley
Cottage Hospital
355
5
337
96%
13
100%
Pacific
Diagnostic Lab
259 5 24697% 8
100%
Santa Barbara
Cottage Hospital
2,718
48
2,581
97%
89
100%
Santa Ynez Valley
Cottage Hospital
88
2
84
98%
2
100%
TOTAL
3,598 60 3,42497% 114
100%
General Flu Clinics by Facility
Facility
Clinics
Hollister Business Services Building
2
Goleta Valley Cottage Hospital
8
PDL Core Lab
2
PDL PSCs
2
Santa Barbara Cottage Hospital
8
Santa Ynez Valley Cottage Hospital
3
TOTAL 25
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Shawn Hodges QVAT Project Manager
Shawn has had a variety of roles at CHS (Clinical Nurse, CRN,
CNC, Clinical Manager, Project Manager, RN for Transition
Planning), in her newest role as Quality Value Analysis Project
Manager, she coordinates the planning, implementation, and
monitoring of the Quality Value Analysis program.
Utilizing a team approach, four distinct groups
(Invasive Surgical, Non-Clinical, Pharmacy,
Physician Preference and Universal Clinical)
focus on action items including savings
initiatives, product standardization and
utilization, and savings strategies for CHS.
Initiative approval focuses on Quality, Safety,
Patient and Staff Satisfaction and Clinical
Program Growth/Development in addition to budgetary
impact.
Serving as clinical liaison for the health system’s supply chain,
Shawn facilitates the sharing of clinical information and
feedback which supports our Patient First culture.
L-R: Nicole Huff, Gayle Mercado and Bruce Read,
Pharmacy Clinical Coordinator.
$1,800,000
1,600,000
$
$1,400,000
$1,200,000
$1,000,000
$800,000
$600,000
$400,000
$200,000
$0
SYVCH finding their NICHE
NET Savings
Santa Ynez Valley Cottage Hospital
received the national designation Nurses
Improving Care for Health System Elders
(NICHE), indicating its commitment to
elder care excellence.
QVAT
Universal Clinical
Physician Preference
Pharmacy
Non-Clinical
Invasive Specialty
YTD New Item Savings
YTC Unbudgeted Cost Increase
Nicole Huff, Gayle Mercado and Bruce
Read comprised the team that completed
the NICHE Leadership Training Program
and put together the implementation plan
for the hospital.
Through participation in the NICHE
program, NICHE provides us with:
• State-of-the-art training tools and
resources
Jennifer Granger MSN, RN (formerly Med
Surg Clinical Educator) transitioned to
Simulation Center Coordinator. The new
Gary M. Hock Patient Care Simulation
Center opened the last quarter of 2014.
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• Evidence-based protocols that lead to
improved clinical outcomes
• Positive fiscal results
• Enhanced nursing competencies for the
care of elderly patients.
• Staff receives educational opportunities
(including preparing nurses for
certification in geriatric nursing) and
recognition for their work.
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Gary M. Hock Family Patient Care
Simulation Center
CHS received a generous donation from
Gary Hock, a member of our Santa Barbara
community, specifically allocated to build and
support a state of the art simulation center.
Ron Werft, CEO and Lyn Hock
L-R: Dodi Gauthier, Jennifer Granger and guest Allison Sharpe
Simulation offers staff the opportunity to learn
new skills and fine tune existing skills away from
the bedside where it is safe to make mistakes.
Debriefing with video allows staff to reflect on
their practice, providing them with an excellent
learning opportunity.
CHS trains staff on the critical skills necessary
to care for our patients that are high risk, low
volume, i.e.: rapid response and code blue team
training. With our new simulation center, high
fidelity mannequins, and state of the art audio
visual equipment, we are able to expand on
this foundation. Jennifer Granger, Simulation
Coordinator and Gordon Arkell, Simulation
Technology Specialist, work with interprofessional teams in many areas of the hospital
to provide specialized training.
After making his legacy gift, Mr. Hock died
shortly before the center named in his honor was
opened. The new Gary M. Hock Family Patient
Care Simulation Center dedication and open
house was celebrated with his wife, Lyn, and
other family members.
ANCC Magnet Conference
Dallas Texas
L-R: Lindsey Picotte, Dodi
Gauthier, Linda Bacon,
Gordon Arkell,
Tokie Shynk and Lyn Hock
Representatives from each of the Magnet
component committees attended the Magnet
conference in Dallas. The team joined more than
7000 nurses to share evidence-based practices
and innovations in nursing. Upon return, the
team shared highlights of the conference which
assisted the Magnet committees to set goals for
the year.
L-R: Jacki Cutroni, Lauren Sutherlin, Jennifer Bower,
Kim Velasquez, Amy VandenHeuvel
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CSUCI Leadership Students mentoring the future of nursing
CHS Nurse Leaders mentored 27 BSN leadership students from California State University Channel Islands covering
a breadth of projects and improvement initiatives (see list below).
Leader
StudentProject
Kim Morales
Jason ChangResearch and Improve the Endoscopic Retrograde
Cholangiopancreatogaphy Procedure
Dan Thomas/
Jacquelynn DiNardoDeveloped a 3 year Educational Plan for CARF Educational
Maggie Wordell Accreditation Standards
Dan Thomas/ Diane Grill, RNEnhancing Education through Technology
Maggie Wordell
Dan Thomas/ Maria MaganaFormalize Nurse Competencies for the Employee Portal
Maggie Wordell
Colleen Wheeler Megan BrainerdDeveloped a Protocol and Policy for Unintended Retained Foreign
Bodies (in settings and for procedures other than Surgery
Colleen Wheeler Aurelie FiglioDefining Staff Roles to Prevent Hospital Acquired Pressure Ulcers;
Revised HAPU Protocol
Donna JanegaDanielle HinesImproving Compliance with Core Measures in the SICU
Diane BarkasMorena LoomisImplementing 2% Chlorohexidine Gluconate single use wipes for bathing
to decrease colonoization and HAIs via contaminated bath basins in
Critical Care
Diane BarkasAngela KregoDeveloped the Prone Patient Protocol and the Use of the RotoProne Bed
Caroline Rosen Olivia MarieaImproving the Patient Discharge Process
Elizabeth Taylor Linzey Cristina PerezImplementing the Fall Stop Fall Prevention Program for the elderly
Tim Kadrie /Stephanie DonagheIdentification & Implementation of 12 LEAN Efficiency Stragies
Liz Lundquist
for the Pediatric Outpatient Multispecialty Clinics
Tim Kadrie /Stephanie LepasIdentification of 4 LEAN Efficiency Strategies including centralized
Liz Lundquist
referral system which would utliize RN time for nursing related activities.
Caroline RosenOlivia MarieaImproving the Patient Discharge Process
Caroline RosenStephanie DonagheIdentification & implementation of 12 LEAN efficiency strategies for
the Pediatric Outpatient Multispecialty Clinics
Caroline RosenStephanie LepasIdentification of 4 LEAN efficiency strategies including centralized referral
system which would utilize RN time for nursing related activities
Laurie BiscaroAshley Ronaldson-MayProject SIT DOWN (Studied the retention of discharge planning education
when RN is standing and when RN is sitting) Patient’s perception of
time spent increased by 50%
Darcy KeepMelissa HurtadoConducted a staff training on the relationship between Bariatric Surgery
and Substance Abuse
Darcy KeepDallas FisherResearched and developed recommendations for discharge follow up
phone calls to prevent readmissions to 5 East
Cherie Mignone
Jamie KohlEvaluate staff’s care standards in the sub-acute setting
Cherie Mignone
Jordin AnastasiaContinuous Quality Improvement in infection rates and environmental
practices in the sub-acute care setting
Leslie Stanfield
Kaitlin Brennen-EsquerPPE Compliance: Conducted audit & Created a PPE 101 Module then
placed on HealthStream
Leslie StanfieldSofia Segerstrom
“Wet-to-Dry” Contact times; Created “Wet-to-Dry” cards and increased
training to all staff (EVS; Staff meetings)
Leslie StanfieldNicole Lemke, RNIncreasing PPE Compliance rates in SICU/MICU via auditing
Lindsay PicotteBrian WongDevelop a standardized Competency Reference Tool
Jennifer GrangerCindy MathesSim Lab Protocols and Instructions
14
Donna YacobianAutumn MoonEstablish Policy and Procedure data base & tracking method
4/24/15 4:54 PM
L-R: Laura Biscaro and Ashley Ronaldson
May, CSUCI BSN student
Raising Satisfaction by Sitting
Down
The Case Management team along
with Ashley Ronaldson May conducted
a study on the patient perception of
sitting vs. standing at the bedside
during patient interactions. When the
Case Manager sat down for patient
conversations, the patient reported
an increased understanding of what
they could expect during their hospital
stay, a more positive interaction,
and participated more fully in their
discharge planning. Sitting down says,
“You have my undivided attention.”
Results from research study:
Actual Standing Time:
5.43 minutes
Actual Sitting Time:
5.95 minutes
Perceived Standing Time:
8.34 minutes
Perceived Sitting Time:
15.89 minutes
Nursing Back to School Day
CHS held the second Nursing Back to School Day. The event featured seven
schools, including on-site and online degree programs. Members of Human
Resources were also available to answer questions and discuss the education
benefits offered to employees. The event was attended by over 8o people, mostly
nurses interested in attaining their BSN.
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4/24/15 4:54 PM
On-Site Classes
Structural
EMPOWERMENT
CHS nurses are committed to professional development as demonstrated by
exceptional participation in on-site classes. We collaborate to enhance the patient care
experience while elevating our knowledge and confidence.
“The conditions under
which care is provided,
including material
resources, human
resources and organizational characteristics,
that allows nurses the
capacity to mobilize
people and resources to
get things done.”
Top: L-R: Ginny De Garza Sanders, Marna
Kaupas, Gail Figueroa, Alison McCeney and
Valerie Maloney.
Bottom: Participants practicing
Hands on Practice
The SWOT department held an Ostomy
Hands on Workshop in May, giving
attendees a chance to explore the world of
SWOT while providing opportunities to
practice with the many materials used for
ostomy and wound care.
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4/24/15 4:54 PM
An Evening of Inspiration
Gina Bifano with the help of the Education
Department, arranged for author Hollye Jacobs
to speak about her bestselling book, “The Silver
Lining” that offers a supportive and insightful
guide to breast cancer. The event brought together
CHS staff and community members for an
inspirational evening.
L-R: Hollye Jacobs, speaker/author, and Gina Bifano
Preparing for Clinical Practice
The CHS ACLS instructor team is an integral
part of introducing new MD residents to CHS.
This course certifies them in ACLS and trains on
equipment used on all CHS campuses. The ACLS
instructor team ensures successful completion by
all residents and helps prepare them for a smooth
transition to their clinical experience.
Front, L-R: Barbara Fantone, Janet O’Connor
Back, L-R: Christy Block, Cheryl Mingee, Ryan Castorino,
Rose Bray, Susan Mozako
Care of the Trauma Patient with
a Tracheostomy: NP bridges
knowledge gap
The clinical nurses identified a low frequency/
high risk patient population knowledge gap
regarding the use of tracheostomy in the trauma
patient. To bridge this gap, Eileen Kelleher
developed an in-service highlighting general
concepts of tracheostomy care and progression
toward decannulation in order to increases nurses’
familiarity with this patient population.
Eileen Kelleher
Juliette Fish
Caring for Patients with Alcohol Withdrawal
The care and treatment required for patients experiencing
Alcohol Withdrawal is complex. Juliette Fish’s presentation
included the physiologic reasons for the occurrence of alcohol
withdrawal as well as the evidence-based approach for the
care of these patients. The presentation was attended by
Clinical Nurses, Social Workers, Student Nurses and Drug
and Alcohol counselors.
Academy of Medical Surgical Nurses
(AMSN) Certification Review Course
Thirty seven CHS nurses from CRH, Subacute,
Telemetry, Neurology, Oncology, Pulmonary Renal
Infectious Disease and Surgical Trauma attended
the AMSN Certification Review Course was held
on site. The program is free to our
nurses in promotion of Med-Surg
certification. The CMSRN credential
recognizes that the highest standards
of medical-surgical nursing practice
have been achieved (AMSN, 2014).
Caroline Ashman, course instructor
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4/24/15 4:54 PM
Structural empowerment
Nurse specialty certification
Commemoration
March 19th commemorates the birthday
of Dr. Margretta “Gretta” Styles, a nurse
who advocated for nursing certifications
and developed the first research study
to validate the importance of nurse
credentialing. Certification empowers
nurses by validating nursing specialty
knowledge and helps enhance the
knowledge base of a growing career.
In 2014 CHS honored and supported
nurse specialty certification in a variety of
ways such as:
• Nurses (after 6 months of employment)
are eligible to receive a certificate
bonus. CHS will provide up to $1,000
for each nationally-recognized initial
certification you receive and $500 for
re-certification. The complete list of
eligible certifications can be found
under the Certification Bonus policy
in the Human Resources Policies and
Procedures.
• A celebratory advertisement was placed
in the Santa Barbara News-Press and
Independent.
• Each certified nurse received a Thank
You email and printable card from Herb
Geary.
• The Magnet Structural Empowerment
Committee sent hand written thank you
cards to new and re certified nurses.
• Green “I am a specialty certified nurse”
ribbons were
distributed and
worn by nurses
during the week
of March 19th.
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4/24/15 4:54 PM
Acknowledging
Excellence
Accepting the award on behalf of SBCH, Caroline Rosen and Kathy Pelham from presenter
Dr. James Merlino (Chief Patient Experience Officer of the Cleveland Clinic). Not pictured:
Scott Shum (Service Excellence Consultant).
Cleveland Clinic’s Best Practice of the Year Award: Teach Back
Cardiac Telemetry received the Best Practice of the Year Award at the
Cleveland Clinic’s Patient Experience: Empathy & Innovation Summit. The
award was for developing and implementing a successful program for patient
education regarding medications using the Teach Back method. This program
demonstrated success through improved patient satisfaction scores on Hospital
Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys
and was shared with the med-surg units and system wide.
The Association of
Women’s Health, Obstetric
and Neonatal Nurses
(AWHONN) provides a
Distinguished Professional
Service Award each year
at national convention to a
member who demonstrates
unparalleled dedication,
commitment, leadership,
diligence, excellence and
outstanding expertise to
the both nursing and the
organization. The recipient of
the award, Dodi Gauthier, was
given this distinction at the
2014 National conference in
Orlando, FL.
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4/24/15 4:54 PM
COMMUNITY EVENTS
and HEALTH FAIRS
CHS nurses extend their expertise and passion for
helping others, out into the community. Aligning
with our Professional Practice Model nurses are
committed to wellness and prevention in the
community. CHS nurses help to organize, promote
and staff free local health fairs that fill health and
health education needs in our community to make
a lasting impact on community wellness.
Endoscopy is blue for National
Colorectal Cancer Awareness
Month
Staff nurses from CHS Endoscopy volunteered
for colon cancer screening in March. Together
with Gastroenterologists, Sansum Ednoscopy
and the Colon Cancer Center, this team was
able to offer cancer screenings and help to
facilitate colonoscopies. In support of the
event the team wore blue!
Mental Health Fair
As a collaborative project with the Shared
Governance Council on Psychiatric Services
and many community agencies, the 9th annual
Mental Health Fair, was held in May. More
than 20 agencies that provide services to those
who are living with mental illness participated
in the event.
L-R: Melanie Jackson, Darcy Keep, Leesbeth
Lagendyk, Sabine Keller, Tim Stahl
Skin Cancer Screening
CHS and the Cancer Center of Santa Barbara
sponsored the free Annual Skin Cancer
Screening Event. Nancy Garcia volunteered
for this event and appeared on a T.V. news
segment of Univision promoting Skin Cancer
awareness to the Spanish speaking community
of Santa Barbara.
Nancy Garcia (Far Right)
Fall Stop Community Outreach Program
As part of trauma services commitment to the community programs such as Fall Stop create opportunities for
members of the community to come and learn how to maintain health. Nurses from the ED supported the fall
Stop campaign by assisting with blood pressure, vision, hearing, and medications screenings.
20
Pic: Tammy McDevitt, Amanda Montgomery, David Linzey
4/24/15 4:54 PM
Inattentional Blindness
The Distracted Driving Campaign sponsored
by the Trauma Department, is a collaborative
effort comprised of RNs from several units, BSN
students from CSUCI, CHP officers and SBUSD
high schools. The campaign focused on the
phenomenon of “inattentional blindness” or failure
to recognize an unexpected stimulus that is in
plain sight.
L-R: Debbie Aitken, Jenn Wobig, Liz Taylor-Linzey
First Aid Leadership – Viva la Fiesta.
During the 3 day Fiesta celebration in August, at
Our Lady Of Guadalupe Church, Parish Nurse
Elly Walters Bible facilitated the SB County EMS
program coordination. She trained volunteers
in first aid, disaster safety, and created a first aid
station that provides service for several hundred
community members ensuring a safe celebration.
Extending our reach
The Parish Nursing program expanded their
community outreach program by adding 3 new
venues in 2014. New additions included: Casa
Serena, a recovery program for women and two
new low income senior living facilities, Presido
Springs, and Shifco. These additional programs
directly serve our at risk community members.
Parish Nursing Team
Blood Drive
Parish Nurse Elly Walters Bible organized a Blood
Drive with United Blood Services at St Joseph’s
Parish in Carpinteria. She recruited participants
resulting in 35 units of donated blood.
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4/24/15 4:54 PM
Vaccinate for a Healthier
Community
Students, volunteers, and in the red Elly Walters-Bible
Another successful year of providing
free or low cost flu vaccines to our
community! More than 1300 vaccines
were given by Parish Nursing and
other CHS nurses. Clinics were held at
venues including:
• Santa Barbara and Goleta farmers
markets
• Avocado Festival in Carpinteria
• YMCA
• Catholic Charities
• 7 local churches
• Isla Vista and Carpinteria Food
Banks
• Homeless outreach at Pershing and
Alameda parks,
• 4 homeless shelters
• 4 senior housing units
• Senior Expo
Community Update
The Santa Barbara Chapter of the
Mended Hearts Association hosted
Rose Bray and Arie Dejong who
presented on the new Goleta Valley
Cottage Hospital and plans for
extended services to the community.
Rose Bray and Arie Dejong VP GVCH (far
right) along with members of the Mended
Hearts Association
Expanding Community
Services
Through a generous private grant
the Parish Nursing Program was
able to purchase a new Cholestech
LDX system that allows the team to
offer off-site cholesterol screening to
qualifying community clients.
Jessica Huey (Lab), Vanessa Gonzales,
Jan Ingram, Cori Beveridge, sitting
Cathy Mollkoy
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4/24/15 4:54 PM
Trauma Community Support
Liz Taylor-Linzey took a leadership role
in coordinating multiple community
educational opportunities to promote
wellness and reduce trauma in the
community.
fallSTOP
The FallSTOP program was envisioned
and developed by RNs from SBCH’s
Trauma services. This program provides
education, evaluations and support to a
broad spectrum of Santa Barbara County
seniors while partnering with local
nursing students. FallSTOP also features
periodic formal screening events. The
goal of FallSTOP is to empower active
seniors with education that encourages
fitness and safety.
Pediatric Trauma Prevention
As a Level II pediatric trauma center,
nurses provide education about
backover/frontover vehicular injuries,
heatstroke from kids left in cars, child
passenger safety, distracted driving
and helmet use for bikes, skateboards
and scooters. Hundreds of community
members were reached through:
ParentClick Family Fair, Santa Barbara
Health Fair and Family Day, SYVCH
Health Fair, Santa Barbara Open Streets,
and the Lompoc Senior Health Fair.
Along with education, free helmets were
given to our community members.
Santa Barbara Senior Expo
FallSTOP participated for the third
year at the hugely popular Senior Expo
and once again conducted fall risk
assessments for community dwelling
seniors; this assessment is recommended
by the CDC. Approximately 200 seniors
were evaluated by the 30 + nursing and
non-nursing volunteers. The newly
rebranded fallSTOP program was
highlighted by a popular local news
personality.
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4/24/15 4:55 PM
Arthritis Walk
4 South Orthopedic staff
supported the Arthritis
Foundation and its work to
support patients suffering
from the debilitating effects of
arthritis.
Back row: Angelica Benavides,
Kelly Williams, Billy Norton,
Fabiola Zamora, Mary Herzberg,
David Silva, Jasmin Borrmann,
Danielle Beck, Ontario Johnson,
Kari Hebert, Emily Wissink,
Lindy Chavez. Front Row: Marley
Herring, Nancy Barbosa, Tegan
Hannah, Lisa Kiefer, Diana
McClintock, Dana Sayet
Walking for a Cause
The Santa Barbara Cancer
Center held its annual Cancer
Center Walk/Run in October
and the 5 South Oncology
RNs were there to lend their
support.
Community clinics
CHS nurses volunteer throughout the year at community clinics
providing free medical care for the most vulnerable members of Santa
Barbara County—the medically underserved, homeless, or uninsured
populations. Partnering with community medical personnel, social
workers and resources (Companion Care, SB Neighborhood Clinics
and Sansum Clinic) our nurses are integral in helping individuals
navigate the resources available in our community and decrease
the impact on our emergency medical system. As role models, they
mentor the next generation of healthcare workers.
24
Alameda Park Doctors Without Walls (DWW) clinics.
L-R: Jan Ingram, Angeli Mancuso, and Cathy Mollkoy
not pictured: Maggie Cote, Jan Fadden, Summer Galey
4/24/15 4:55 PM
EDUCATION
A Collaborative Planning Session
Cottage Critical Care Education Council met for their
annual retreat to facilitate planning of critical care
education and competencies for the upcoming year. With
an update by Tokie Shynk, on the Magnet Journey and
inspired by “A promise of Caring” video presentation,
the council embarked on a day of communication
exercises, reviewing the current gap analysis and building
leadership accountability. The 2015 Education and annual
Competency plan was established as an outcome of this
exciting and productive day.
L-R: Sarah Gray, Kelli Jackson, Lesley Gardia, Rose Bray, Diane
Barkas, Vivian Elbert, Dariah Pace-Martinez, Sharon Morley,
Patti Wicklund, Paula Gallucci, Christine Block, Janet O’Connor, ,
Vanaja Selvaraj, Donna Janega (not pictured Tokie Shynk)
Celebrating Citizenship
Brooke Bulaclac was part of the recruitment effort in
hiring nurses from the Philippines in 2005/2006. She was
one of the first 5 international nurses that began their
training at Cottage in January 2006. She is a full time
Clinical Resource Nurse in the MICU and in August
achieved her United States Citizenship.
Education Planning – A Team Approach
At an offsite gathering, representatives from Education,
Clinical Nurse Specialists, Emergency Department,
Women’s Services, and Children’s Services collaborate to
envision education needs for the upcoming year. Final
outcome: an effective education calendar that supports
our shared goals to empower staff with learning.
Jackie Werner, BSN, RN-BC, ONC comes to Cottage from
Oakland, CA where she was the Clinical Educator and
Informatics support for Medical-Surgical and Medical Telemetry
at Kaiser Permanente Oakland Medical Center. She is a Caritas
Coach, is certified in Nursing Professional Development,
Nonviolent Crisis Intervention and is an ELNEC trainer.
Natalie Kunes, BSN, RN, CMSRN (formerly 1WC/Tele)
transitioned to Full time Med Surg Clinical Educator. She now
provides leadership for New Graduate RNs
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4/24/15 4:55 PM
2014 New Graduate Nurses
The New Graduate Nurse Training Program assists new nurses with their transition to practice. The foundation
of the program consists of clinical preceptorship, simulation and task training with reflection and debriefing.
In alignment with our commitment to nursing excellence, the New Graduate Nurse Training Program provides
the structure and process that supports role development of the new nurse. Cottage Health System is excited to
welcome New Graduate Nurses into their new roles! Welcome nurses!
front row from left to right: nicole Moore (peds), Karineh yekiazarian (Gv- ed), Cristina perez (peds), Jamie Kohl (sb- ed),
Kaitlin esquer (sb-ed). Middle row from left to right: eugenia pickett (1wC), erin Claros- lewis (5s), ashley Rutledge (1RT),
sofia segerstrom (CRh), danielle hines (1RT), Conef bardinas (3wC), olivia Mariea (sICU), diane Grill (sICU), Jordan hamilton
(3wC), Tessa woodey (1wC), shannon Joyce (1RT). back row from left to right: Christina Rodriguez (3RT), vanessa Cameronotto (oR), abigail velazquez (3wC), Cristina luna (3RT), Celina hunt (CRh), Melissa hurtado (CRh), Megan brainerd (CRh), Jane
sonberg (3wC), brian wong (sb-ed), Thi-anh Tran (3RT), dianna hosley (Gv- Ms), brian hale (1RT), leticia aguayo (1RT) lauren
Thomas (1wC).
Fall 2014 New Graduate Nurses
These new graduates have shown success in their ability to quickly adapt and be flexible to change whether it be
conference room changes, using a new simulation center, finding a new path of travel through the closed hallways
during construction or changing their plan of care to meet the needs of their patients. Their dedication to excellence,
integrity and compassion has been recognized throughout this program by peers, managers and CHS staff.
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4/24/15 4:55 PM
front row left to right: Cari voth (3RT), natalie Mock (3wC), vanessa Gonzalez (sb-ed), Julie anne de santi (1RT), Carisa epley
(CRh), aaron stilwell (1wC). back Row left to right: sarah stolz (1RT), alexis (lee) zaragoza (1RT), emily lloyd (CRh), nina
fuentes (1wC), bien palma (1RT), alejandra Granados (3wC), sarah post (3wC), seneca James (sb-ed), erin de bono (3wC).
Spring 2014 New Graduate Nurse
This new grad group has proven their determination and commitment to both the CHS organization and the
nursing profession while facing challenges with the Board of Registered Nursing licensure process. Many of these
new grads have worked at CHS in varying departments and roles including Employee Health, Security Services
and Patient Care Techs and have now transitioned to Registered Nurse! These new graduate nurses have been
complimented for their enthusiasm, compassion and engagement in the learning process.
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4/24/15 4:55 PM
New Certifications, Degrees and Promotions
Nursing, like health care in general, has become increasingly complex. The knowledge-intensive requirements of modern
nursing require extensive education, as well as a strong personal commitment to excellence. Board certification of nursing
plays an increasingly important role in the assurance of high standards of patient care.
NEW DeGREES
PROGRESSIVE CARE CERTIFIED
NURSES [PCCN]
Bachelors of Science in
Nursing [BSN]
Bryant Doan [1 WC]
Kathleen Pelham [1 WC]
Liza Sanchez [1 WC]
Mark Garcia [MICU]
Ryan Cox [1 WC]
Colleen Wheeler – Quality
Sarah Gomez – 3 RT
Sharilyn Vasquez – 3 RT
Heidi Rigoli – 5 East
LeAnn De Luna – CRH
Kirsten Springer – SICU
Nina Catellanos – Eye Center
Gennine D’Ambra – GVCH
Med Surg
MasTeR of sCIenCe In
nURsInG [Msn]
Amy VandenHeuvel – CRH
Annamarie Mendoza – SICU
Jennifer Granger – Education
Other Degrees (non-nursing)
(Masters in psychology with
emphasis in somatics)
Heather Walker – SYVCH
Med Surg
NEW certifications
CERTIFIED MEDICAL SURGICAL
REGISTERED NURSE [CMSRN]
Jasminda Estrada [1 RT]
Maria Figueroa [1 WC]
Esperanza Perez [1 WC]
Jet Irabon [3 RT]
Marissa Hernandez [3 WC]
Bevra Kreyger [3 WC]
Maria Cooper [Post-Surgical Care]
Tamara Arnold [SYVCH Med Surg]
Georgia Rutherford [Subacute]
Wen Xiong [Subacute]
David Holt [Subacute]
Tami Perez [NRU]
Ella Murray [3 RT]
Heather Lengson [3 WC]
Ryan Cox [1 WC]
Sara Kida [NRU]
Kimberly Brondum [NRU]
CERTIFIED PEDIATRIC NURSING [CPN]
Sharon Partee [Pediatrics]
28
NEONATAL INTENSIVE CARE
NURSERY [NICN]
Kathleen Dudley [NICU]
BOARD OF CERTIFICATION FOR
EMERGENCY NURSING [BCEN]
Lindsay Dudley [ED]
Jolee Farias [ED]
CERTIFIED PEDIATRIC EMERGENCY
NURSE [CPEN]
Carolyn Palmer [ED]
ANCC GERONTOLOGY NURSING
[RN-BC]
Hangama Abassi [Transfusion
Suite]
maternal newborn nursing
[RNc-mnn]
CERTIFIED EMERGENCY NURSE [CEN]
Jenael Rose [ED]
Carolyn Palmer [ED]
Dawn Heimendinger [ED]
AMERICAN ASSOCIATION OF
CRITICAL-CARE NURSES [AACN]
Lacey Wyand [MICU]
Gretchen Jones [MICU]
Maria Rivera [MICU]
Jessica Freeman [MICU]
Juanita Hepburn [MICU]
Brooke Colligan [MICU]
Lori Tatick [MICU]
Melissa Roan [SICU]
Rebecca Johnson [SICU]
Taylor Mendenhall [MICU]
Erin Morrissey [SICU]
Danielle Hartman [MICU]
John Kratochvil [SICU]
Teresa Lurie [SICU]
Jessica Conway [MICU]
WOUND CARE CERTIFICATION [WCC]
Karen Garcia [MIU]
Sarah Sheppard [Wound Care]
PSYCHIATRIC-MENTAL HEALTH
NURSING [RN-BC]
CERTIFIED WOUND CARE NURSE
[CWCN]
Franklin Horton [5E]
Timothy Stahl [5E]
Heidi Rigoli [5E]
CLINICAL NURSE COORDINATOR [CNC]
Jackie Cutroni [ED]
Victoria Brown [ED]
Stephanie Remick [MICU]
Ryan Eller [3WC]
Denise Caldwell [Surgery]
Judy Corliss [Endoscopy]
Sheila Fink [Cardiac Cath Lab]
Selveda Ertas [CRH
Krista Roney [Wound Care]
CERTIFIED NEUROSCIENCE
REGISTERED NURSE [CNRN]
Alma Patino [1 RT]
INPATIENT OBSTETRIC NURSING
[RNC-OB]
Ramona Pursel [Birth Center]
PERIANESTHESIA NURSING [CPAN]
Chalan Kochis [PACU]
Margaret Kluzak [PACU]
ORTHOPEDIC NURSE CERTIFICATION
[ONC]
Naomi Wilson [4S]
Sheri Sosko [4S]
NATIONAL ACADEMY OF CERTIFIED
CARE MANAGEMENT [NACCM]
Misty Fetko [Care Management]
Jennifer Granger, RN and
Simulation Lab Coordinator
attained her MSN in Nursing
Education from WGU this year!
4/24/15 4:55 PM
PROMOTIONS
Clinical Resource Nurse [CRN]
Billy Norton [4 S]
Laura Mimms [Surgery]
Kristy Sharp [3 OP]
Erika Herrera [3 OP]
Angela Myers [CRH]
Carly Roberts [NRU]
Stephanie Lang [3 WC]
Velislava Nikolov [CRH]
Emma Lindawan [CRH]
Gerardo Romo [CRH]
Richardo Gonzales [CRH]
Karen Cosio [Subacute]
Monica Booth [MICU]
Lori Tatick [MICU]
Keri Djupstrom [MICU]
Kirsten Springer [SICU]
Karen Garcia [MIC]
Laura Danhauer [NICU]
Laura Gibson [SICU]
Erin Morrissey [SICU]
Shauna Schoolland [ED]
Jamie Considine [ED]
Blake Henderson [ED]
Karen Schoenbachler [SICU]
Candice Leary [NICU]
Ann Bradbury [1 RT]
Morgan Noe [1 RT]
Crystal Ledbetter [1 RT]
Kristine Gastellum [1 RT]
Chelsea Brooks [1 RT]
Kyndra Alspaugh [1 RT]
Heather Lengson [3 WC]
Julie Dalton [1 RT]
Sara Howell [Surgery]
Jared Cordtz [Surgery]
Mia Sanders [Endoscopy]
Kirsten springer, Rn in the
sICU at sbCh, achieved her
bsn and stroke Certification.
nina Catellanos, Rn for the
Cottage eye Center, succeeded
in obtaining her bsn from wGU
this year.
Misty fetko, a Utilization Review
Rn at sbCh, received certification
in Case Management this year.
Maria o’byrne, GvCh subacute
Rn, received certification in
diabetic wound Care.
sheri sosko, an Rn for 4 south at
sbCh, completed her orthopedic
nurse Certification furthering
her expertise and providing her
patients the utmost care in the
field of orthopedic nursing.
Karen Garcia began her nursing
career as a student at San Marcos
Health Academy 2001-2002
where she became a CNA. This
was her first step into the ADN
program at SBCC. Karen became
a new grad with her colleague,
Rachel Goodwin in 2006. She
was hired to the Mother Infant
Unit in 2007 while Rachel went
to the NICU.
In 2014, Karen received her
NCC certification in MaternalNewborn Nursing and was
promoted to a Clinical Resource
Nurse. She continues to blossom
as she now is working on her
certification as a lactation
consultant.
laine swartz, an Rn with GvCh
ICU, achieved certification as a
Critical Care nurse.
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4/24/15 4:55 PM
Jill D, RN, CWN
for Wound Management at
GVCH, Specialty Certification:
Certified Wound Care Nurse,
CWCN\
Endoscopy achieved a major goal set by staff. 50% of the nursing staff has a
certification in a professional nursing organization!
Linda Akutagawa, RN, OCN – oncology nursing certification
Kim Morales, RN, MAOM, CGRN – SGNA certification
Debra Lee, RN CGRN – SGNA Certification
Judy Corliss, RN, MSN, CGRN – SGNA Certification
Sally Jordan, RN, BSN, CGRN - SGNA Certification
Kim Lemon, RN, CGRN – SGNA Certification
Annamarie Mendoza
Krista Rooney, RN for the Wound
Care Management Center at
GVCH received her certification
for Wound Care Nurse.
Amy VandenHeuvel received
her Masters in Nursing from
Chamberlain University
Gennine D’Ambra, RN, received
her BSN in August and attended
the American Society of Pain
Management conference in San
Diego in October. The conference
helped Gennine bring back new
ideas for pain management for
the obese patient.
I started my nursing career in 2008 at Cottage Hospital where I worked
on the Surgical Trauma Unit (5south/3Ridley tree) for 6 years and loved
it. I continued my education with a BSN program through
Channel Islands. I had a great preceptor, Tina Collins, in
the education department. Through my leadership project
I developed a nursing tool for the floors that pertained to
our patient education videos, this tool was implemented
throughout Cottage. I received my Certified Med-Surg
Certification along the way. Seven months ago I transferred
to our SICU, where my education continues. I completed my MSN in
nursing education this past August. I look forward to helping out in the
education department where ever I am needed. I am grateful for the
extensive opportunities Cottage has provided me.
Annamarie Mendoza, BSN, RNC for the SICU at SBCH attained her
MSN in nursing education.
Validating Knowledge
Maria Johnson accepted the challenge of preparing the Endoscopy
technicians for certification. This certification
is offered through the SGNA (Society of
Gastrointestinal Nurses and Associates)
professional organization.
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4/24/15 4:55 PM
team building
National Nurses Week
L-R: Nick Urton, Paula Gallucci and Brooke Bulaclac celebrate National
Nurses Week by making grilled cheese sandwiches for staff.
This Emergency Dept.’s Education Day brought
about interfacility collaboration to improve the
quality of patient care across CHS campuses.
In October, Emergency Department Nurses were recognized during
Emergency Nurses Week.
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Conferences
CHS nurses engage in
professional development in
a variety of ways including
attending local, national, and
international conferences. The
knowledge acquired during
these events is then brought
back to CHS and translated
into practice.
L-R: Teresa Bannon, Debbie Dawson, Kathryn Boschke
Mother Infant nurses attended the National Mother Baby Conference in New
Orleans to gain new knowledge in prenatal, intrapartum & postpartum care
of the mother-infant dyad both in the hospital and through transition home.
Topics included: fetal alcohol syndrome, postpartum hemorrhage, simulation
drills, intergenerational nursing, palliative care and caring for postpartum
depression. They presented their new knowledge to their peers.
Danilyn McLaughlin and Jennifer
Bower
ANCC Magnet Update
Jennifer Bower and Danilyn
McLaughlin attended a
workshop exploring the
updated Magnet model and
revised sources of evidence.
These changes incorporate
the latest evidence-based
best practice and were
shared with each of the
Magnet Component
Committees. Moving
forward the committees’
efforts will continue to
reflect the latest in nursing
research.
32
Cottage at NTI in Denver
Of the 7,000 National Teaching Institute (NTI) participants , 29 were from
Cottage. RNs from Critical Care, Acute Care, Peds, Quality and Subacute
attended the 4+ day conference bringing back a wealth of information to their
colleagues.
4/24/15 4:55 PM
Mary Fulcher and Mary Iler
L-R: Vanaja Selvaraj, Donna Janega, Stephanie Glynn, Lorraine Fernando, Nancy Pepper,
Karen Schoenbachler, Chris Schulman, Jared Grode, Anita Hine, Janet O’Connor, Susan
Mozako, Maggie Caspary
That’s Traumatic
Chris Schulman (Trauma Symposium Speaker) provided staff with an
informative preview of the CHS Trauma symposium to staff that were
unable to attend the popular offsite symposium. Topics included end point
of resuscitation, special consideration of geriatric trauma patients, sedation,
delirium, progressive mobility in critically ill patients and creating an
environment of clinical expertise.
“Trauma by the Sea”
Emergency Department nurses attended
an annual conference in Monterey that
presented timely information on the care
of trauma patients. Themes included
innovations in new equipment and
emergency care.
American Society of PeriAnesthesia Nurses (ASPAN) Las Vegas
Members from the PACU team had an opportunity to explore specialty topics
ranging from general surgery innovations to best practices when caring for
patients with autism, PTSD, cardiac stents and emergence delirium.
L-R: Marie Butcher, Kathryn Von Dollen, Kelly Park, Maria Peterson
Judy Corliss (middle row, far right) with other
Nurse Fellows at Texas Christian University
Benefiting from Collaboration
Judy Corliss attended the Society of
Gastroenterology Nurses retreat for Nurse
Fellows. The retreat included workshop
sessions focused on professional writing
and trends affecting the practice of
gastroenterology nursing.
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service abroad
CHS nurses give back to our community through volunteering both locally and globally. Offering their time, their
knowledge and getting to know our local and global communities speaks to the core values of CHS excellence, integrity and
compassion. Commitment to community is also recognized as an essential component of Magnet standards.
SyriA
An active international volunteer for the
last ten years, Juliette Fish has worked
in a variety of countries including
Haiti, Bolivia, Honduras, Nicaragua,
Tanzania and Guatemala. In this capacity
she provided direct primary care and
health education to underserved and
marginalized populations. After returning
from Lebanon, while working in a Syrian
refugee camp, Juliette was honored for her
humanitarian efforts with the Presidents
Volunteer Service Award (PVSA).
The PVSA’s “goal is to encourage more
individuals to embody the spirit of
volunteerism that makes this country
so great. Through PVSA, Americans
of all ages – from youth to seniors
– are invited to participate and be
recognized by our nation’s president
for being active citizens.” http://www.
presidentialserviceawards.gov/about
Mexico
Over the past 12 years Elizabeth Link
has participated in 24 Cataract clinics
in Ensenada, Mexico in association
with Surgical Eye Expeditions (SEE)
International.
This year Elizabeth gave talks at One
Legacy ambassador meetings on Cornea
Transplants and attended the Annual
Transplant Symposium in Pomona, CA.
Elizabeth was in Pasadena, CA to place a
rose on the One Legacy Rose Parade float
honoring the donors and recipients of
corneal transplants at SBCH.
34
Panama
Volunteering with Floating Doctors
for 2 weeks, Angeli Mancuso
was a part of 10 clinics located
on 8 different remote islands in
Panama providing free acute and
preventative care to the local
residents, many of whom had never
had access to medical care. Their
mission is to reduce the burden of
disease in the developing world and
to promote improvements in health
care delivery worldwide.
4/24/15 4:55 PM
practice
“Nurses functioning
in the highest
capacity of
accountability,
competence
and autonomy.”
Diabetes liaison members committed
to our patients
The mission of the Diabetes Liaison Team is to advocate for standards of
excellence for patients with hyperglycemia. We commit to the goal of blood sugar
control, diabetes education for patients and staff with the goal of improved health.
Exemplary Professional
L-R: Stacey Bailey, Evelyn Leyson, Tracey Lord, Jessica
Huey, Gail Figueroa, Esperanza Perez, Sharon Smith,
Sharon Lewis, Jeannee Diaz, Sabine Keller, Top Right :
Kristen Jennings, Christine Ebner.
Absent: Ann Bradbury, Kim Brondum, Tina Dabby, Bobbi
Evans, John Ferritto, Angela Garner, Brittany Haliani,
Christy Lau, Michelle Libbey, Jeni McClure, Carol H.
Nelson, Maria O’Byrne, Edrie Ohl, Nicole Pardini, Alma
Patino, Michelle Renner, Sheri Sosko, Katie Sothcott,
Sparky Sparkman, Carolyn Strahler, Carrie Szablowski,
Susan Weingartner, Angie Wielgosh
The diabetes liaison members have participated in many activities.
Examples include:
• Review of diabetes policies and procedures (insulin pen)
• Insulin pen training and rollout
• POC quality control audit for expired test strips
• Diabetes education coverage during CDE’s absence
• Communication to staff members the information learned at diabetes liaison
meetings
• Checking contents of diabetes tool kits for expired items
• Reinforcing hypoglycemia protocol
• Encouraging use of diabetes education videos
• Sharing information with nurses on units regarding the CPOE diabetes
education flow sheet
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Exemplary Professiosnal practice
Sharing Knowledge at
National Conferences
Maggie Wordell and Amber
Gonzalez P.T. presented a paper
at the National conference of
the Association of Rehabilitation
Nurses (ARN) outlining how CRH
developed and implemented a plan
to demonstrate organizational
conformance to the CARF
Brain Injury Specialty Program
standards.
Maggie also presented a poster on
how a web-based data base was
developed that improved clinician
access to Evidence-Based Practice
research and provided team
education related to accessing and
applying Evidence Based Practice
materials.
Amber Gonzalez P.T., and Maggie
Wordell
CRH nurses attended the Association of Rehabilitation Nurses Annual
Education Conference in Anaheim. Two posters were presented: one
on Fall Risk Assessment by Dan Thomas and Evidence Based Practice
by Maggie Wordell. CRH attendees shared the information with their
Nursing Team focusing on Journey Mapping, Team Work and Cultural
Competency.
L-R: LeAnn De Luna, Dan Thomas, Julie Hardin, Maggie Wordell
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We asked, you answered, we listened
The Professional Practice Model (PPM) is an important reflection of the nursing care provided at CHS.
The PPM was created for nurses by nurses at CHS in 2010, and evaluation of the model was essential in
maintaining relevancy and currency of the model. The Magnet Exemplary
Professional Practice (EP) team listened to your feedback regarding
the Professional Practice Model (PPM). Based on a series
of surveys and the determination of the EP committee
to represent the voice of nursing, the PPM image was
changed. The wording associated with the PPM remains
consistent as nurses agreed that the words continue to
accurately reflect CHS nursing values.
CHS PPM Timeline
February 2009: A Professional Practice Model Strategic
Planning Committee was formed with nursing
leadership from across the system. It was determined
that the model should be a compellation of input from
ALL NURSES within the organization, as these were the
people who could best articulate the role of nursing at CHS.
August 2010: An all-day retreat was organized to develop a survey for ALL NURSES in the system to
provide input into the model
Survey sent to ALL NURSES in the system
A facilitator was recruited to review the survey data and assist in creating a model at the
Professional Model retreat
Retreat with a consultant to bring the data together in a visual representation (research and staff values)
November 2010: Models were developed and the best model was selected from the top three
Input from focus groups provided the final touches
December 2010: Model rolled out December 2010
Exemplary Professional Practice (EP) Magnet Component Committee following the magnet standards
determined it was time to evaluate the PPM
Survey developed to gather feedback from ALL NURSES about the current PPM
June 2013 Survey sent to ALL NURSES in the system
EP committee collated data from the survey and worked with a consultant to revise the PPM image based
on CHS nurses feedback.
April 2014 New PPM images narrowed to 2 choices. ALL NURSES in the system were re-surveyed and
asked for input regarding the 2 options.
We asked, you answered, we listened… new PPM image chosen
37
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Karla Blancarte and Jeni McClure
back row: M. perez, C.n.a. M.vermillion, RCp; C. brown, Rn;
J.simpson; Rd; T. Chea, Msw; C. Mignone, Rn; C. ferrari, Rn;
J. anastasia, sn. front row: M. syers, Cna; ana pelcastre, Cna;
M. Courter, resident, C. lona, resident
The subacute team
The Subacute Team had three patients transfer to their
unit with chronic non-healing stage four pressure ulcers.
Over time, with infinite care, patience, and wound
expertise, we healed all three. Many nurses (and patients)
might give up in the face of a stage IV baseball-sized
sacral ulcer; however our experience demonstrates that
healing is possible. It took an interdisciplinary team
of expert wound nurses, PCT’s, an MD, a Dietician,
Respiratory care support and cooperative patients to
achieve this extraordinary outcome.
SGNA Champion
Laurie Thurber applied for and
was accepted as a SGNA (Society
of Gastroenterology Nurses and
Associates) Infection Champion.
Elements of the role include
carrying out the mission and
vision of the Infection Prevention
Champions program. Priorities
include education on infection prevention, maintaining
high quality control within the endoscopy arena and
addressing performance improvement needs. She has
a responsibility to be familiar with and communicate
practice guidelines and industry practice changes with
her peers.
Congratulations Laurie!
38
Nursing & Pain Grand Rounds
This year three Pain Grand Rounds were presented
and six Nursing Grand Rounds with a variety of
topics.
The Acute Care Nurse Practitioners of the
Neuroendovascular Service presented,
“Endovascular Repair of Intracranial A-V
Malformations and Aneurysms,” in April and
discussed the prevalence, incident and treatment
strategies for these two conditions.
In May, as part of the celebration of Nurses Week,
two stories of caring were presented: one story by
the nurses of 3 Ridley-Tree and another from a nurse
at CRH. The first, an emotional story entitled, “A
Special Viewing,” was related to a trauma incident
and assuring that a sister could see her younger
brother who perished in an accident. The other
inspirational story discussed “Walking Tall” and
what rehabilitation nursing meant to one particular
individual.
June brought a group of Palliative Care staff members together to present how palliative care can be a
factor in moral distress for the nursing staff and how
the palliative care team can support health care team
members as well as family members and the patient.
In July, the grand rounds focused on Surviving Sepsis
and the goal to decrease mortality from this disorder.
Using case studies, the presenters demonstrated how
CHS is managing the complex patient diagnosed
with sepsis. In July, “A Multi-Disciplinary Approach
to a Child’s Challenging Journey with Cancer,” was
the topic presented by many of the Pediatric Unit’s
staff members. The story line was that of an adolescent diagnosed with acute lymphoblastic leukemia.
In February, August, and November, Nursing Grand
Rounds focused on Pain Management and was led by
Susan White.
4/24/15 4:55 PM
L-R: Eva Dulnik, Gennine D’ambra, Lynne Jessop, Susan E. White, Ann Bradbury,
Patti Stetson
L-R: Susan E. White, Sue Jervik, (President of
the SoCal Chapter of the American Society
for Pain Management Nursing
City of Hope Pain Resource
Nurse Training
Susan E. White attended the City of
Hope Pain Resource Nurse (PRN)
Training Course in Pasadena. She copresented a workshop titled Planning
and Sustaining Your PRN Program.
Susan developed the annual 2-day PRN
course at SBCH in 2009. Since then
over 150 Cottage nurses have attended.
A PRN functions both as a resource
and a change agent in disseminating
information, interfacing with nurses,
physicians, other healthcare providers,
patients and families to facilitate quality
pain management.
Pain Resource Nurse Role: Description
and Responsibilities www.cityofhope.
org/prc
American Society for Pain Management Nursing (ASPMN)
CHS nurses attended the ASPMN 24th Annual National Conference in
San Diego to learn the latest challenges and trends in pain management
nursing. Susan E. White (Palliative Care) and Kim Brondum (NRU)
prepared a podium presentation “Point of Care Pain Management”,
describing the Cottage Sedation Nurse role development and
implementation. Unfortunately, Kim was delayed in Cabo San Lucas
by hurricane Odile and unable to present. Susan presented and Lynne
Jessop assisted during the Q&A session.
The CHS nurses at the conference enjoyed sessions on chronic pain
conditions, pain management in the obese patient, and end-tidal CO2
monitoring bringing back valuable information to their peers.
Senior Fall Prevention Program Presentation
Liz Taylor-Linzey presented the journey of CHS’s fallSTOP program
from concept to roll out at the National Injury Prevention Alliance of
Los Angeles County annual symposium.
The audience included Injury Prevention
officers from government agencies, nonprofits and other health systems.
39
4/24/15 4:55 PM
Janael Rose and David Linzey
ENA Poster Presentation
Jenael Rose and David Linzey presented their poster “Operation Zero
Fury” at the Emergency Nurses Association (ENA) annual conference.
The focus was to address the increasing number of assaults in EDs against
nurses, and lateral hostility. Their objectives are to increase staff safety,
teamwork and reduce burn out.
National Society of
Gastroenterology
Conference
Pediatric Trauma Podium Presentation
Jennifer Wobig presented “Non-Accidental Trauma in Children with
Traumatic Brain Injury” at the Pediatric Trauma Society Annual Meeting
in Chicago. Jenn delivered the results of a research project looking at the
implementation of a screening policy and its effect on test utilization and
identification of abuse. She was one of fifty podium presenters at this
year’s first meeting.
Judy Corliss presented a
poster at the National Society
of Gastroenterology Nurse
and Associates (SGNA)
conference in Nashville
Tennessee. The poster
was a culmination of an
inpatient research project,
with Jonathon Grotts, CHS
research analyst assisting,
entitled “Comparison
of Conventional Bowel
Preparation to a Low Volume
Solution in the Inpatient
Population”.
40
4/24/15 4:55 PM
L-R: Maria Rivera, Becky Love, Taylor Mendenhall, Marilyn Lang, Stephanie Jones & Lisa
Nicassio
2014 Critical Care Tiara Ball
Nurses from the Critical Care team celebrate at the Tiara Ball where a former
MICU Septic patient case was presented along with other extraordinary patient
care stories. The event highlights for the community the positive outcome of
Cottage’s Slay Sepsis campaign while focusing on the remarkable patient care
experience of a few of our most memorable patients.
A Champion for Children
The Pacific Coast Business Times named Liz Lundquist, Director of Children’s
Services at Cottage Children’s Hospital, the 2014 Champion Nurse. Liz was
noted for her career-long passion for the care of children as well as for her
advocacy for neonatal and pediatric patients at Cottage. Liz has been a driving
force that ensures Children’s Services has
the benefit of dedicated pediatric clinicians
including Clinical Nurse and Child Life
Specialists, physical therapy and pharmacy.
Top: David Linzey and Liz Taylor-Linzey
Bottom: Debbie and Emma Aitken
13th Annual Trauma/
Critical Care Symposium
“I loved it all! Great variety
and cultural components,
excellent nursing contributions,
engaging, funny speakers” said
one CHS nurse after attending
the symposium. 80 CHS nurses
and 161 others from across the
country attended the conference,
and two trauma nurse specialists
were among the speakers,
including Jenn Wobig. All
presentations, panel discussions,
Q&As, and debates explored
current best practices in trauma
and critical care to achieve better
patient outcomes.
41
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HCAHPS: Consistent Care for Improved Patient Experience
The intent of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) initiative
is to establish a standardized survey and data collection methodology to assist healthcare facilities to gather
information and improve the patient experience. CHS utilizes the HCAHPS survey to complement the data
collected from the traditional Press Ganey survey. Based on the results of these data collection tools, organization
and unit level goals are created, along with initiatives to improve the patient care experience.
42
4/24/15 4:55 PM
retirements
Many thanks to our valued retirees for their dedicated service to Cottage. They will be greatly missed around the halls of CHS and we
wish them the very best!
Carole Shapiro
Christy Lau
Carole Shapiro (27 years)
retired from SBCH. She was
raised in Wisconsin and
received a BA in Speech
Correction and Audiology from
the University of Wisconsin
at Madison in 1966. Carole
received her AA degree in
nursing from Santa Barbara
City College in 1986. While at
CHS, she worked in Med-Surg,
Postpartum Nursery, Labor and
Delivery, NICU, Goleta Valley
Cottage Hospital Birth Center
and Mother Infant Care.
Carole is looking forward to
spending more time with her
granddaughters, scrapbooking
and traveling.
Christy Lau (holding the cake)
(35 years) retired from the Eye
Center that she helped open
in 1991. Her dedication as a
nurse, mentor, and friend will
be missed. She always led
by example and exemplified
an excellent work ethic.
Christy now begins her next
adventure as a grandmother
extraordinaire.
Fern Gebert
Fern Gebert (far left) (33
years) retired from the
Operating Room. She worked
in a doctor’s office before
joining SBCH. Fern became
a circulating OR RN in the
Urology Cysto Room. Her
legacy included creation of a
mobile Cysto cart to respond
to emergent needs outside
of the operating room. Fern
will be spending her time
with her family and watching
her grandchildren’s sporting
events.
Marilyn Thomas (35 years)
retired from the Eye Center.
Marilyn says, “My 35 years
of nursing at Cottage were
the best years of my life
and taking care of patients
was my reward and calling.”
She graduated from Saint
Scholastic in Duluth,
Minnesota and has returned
there to retire. She is filling
her time volunteering with the
area blood pressure clinics.
Gail McMullen (30 years)
retired from Mother Infant
Care after being a part of the
team for 15 years. Her nursing
career included 4 North
Telemetry, Nursery, NICU, and
Labor and Delivery. Gail has
always had a passion to care
for our patients with multiple
births, since she has twin boys.
Gail will enjoy time with her
husband and cheering on their
boys at hockey games.
Coleen Vannostrand
35 years
NRU
Mary Nelson Perry
31 years
SICU
sherri grimes
Marilyn Thomas
Gail McMullen
Sherrie Grimes (13 Years)
After 13 years as the Director
of Acute Care Services at
SBCH, Sherrie Grimes decided
to leave her 40+ year career
and join her husband in
retirement. Sherrie left a
legacy of numerous projects,
accomplishments, and policies
for which Cottage is forever
grateful. Sherrie was known
as “The Project Queen” and
could be counted on for
juggling multiple projects
simultaneously. She now
enjoys spending time with her
family and relaxes between
her homes in Illinois, Simi
Valley, and their boat in
Ventura Harbor. We wish her
all the best – she deserves
every minute of it!!
Debbie Walter
Debbie Walter (32 years)
retired from the Eye Center
after working in MICU.
Debbie, a dedicated RN had an
interesting and varied work
history prior to Cottage . She
will now have time to pursue
her love of travel, spend time
with her family and her puppy.
Linda Coe
30 years
OPS
Larry Ariew
24 years
Oncology
Lamberto Pipit
11 years
PPSU
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4/24/15 4:55 PM
patients first
Building on the CHS core values of Excellence, Integrity and Compassion: We strive to be leaders in patient satisfaction by
empowering every employee to make a positive impact on the patient experience.
The Patients First steering committee recognizes the effect each individual has
on the patient experience Quarterly, the committee formally acknowledges the
departments and services that have met the set goals for overall patient satisfaction
results, most improved overall patient satisfaction ranking, and service with overall
quality ranking 90% or above. This award is presented to the department with the
understanding that it is a team effort and the honor is shared amongst the team.
Congratulations to this year’s winners.
2014 quarterly awards
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Content includes the schedule
of events with descriptions,
speaker’s presentations, vendor
lists and attendees. Real time
updates allow speakers to make
last minute changes to their
presentations, which can be
rapidly uploaded.
Early adoption of new
technology is supported by
Nursing at Cottage Health
System as we continue on our
Magnet journey!
“Blending research,
evidence-based
practice and
innovation, to
Improvements
The 2014 Trauma & Critical
Care, Nursing Oncology and
Saving the Brain Symposiums
used the Content Management
System “Guidebook” to facilitate
the attendee experience while
saving the meeting organizers
valuable resources. Guidebook
allows mobile access to an event
via web browser or mobile apps
for smartphones and tablets.
New Knowledge, Innovations and
Guidebook App for
Cottage Symposium
improve
outcomes.”
45
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New Knowledge, Innovations and Improvements
2014 Nursing Projects
Nurses at CHS participate and lead a variety of projects including evidence-based practice (EBP), quality improvement
(QI), and research (R).
EBP: Using evidence to solve a clinical practice problem (change practice)
QI: To improve current problems/processes (improve patient care)
Research (R): A systematic investigation to fill a gap in knowledge (generate new knowledge)
Student/School project (S): Project undertaken as part of a student course/school project.
New Nursing Projects in 2014
RBacon, LindaUse of Doulas and Patient Outcomes in the Community Hospital Setting
QIBiscaro, LaurieCommunity Case Management: High-Risk Patient Case Management Program and the
Post-Acute Treatment Help (PATH) Program
QIBiscaro, LaurieProject SIT DOWN
QICorliss, JudyPotential for Improved Success and Safety of ERCP by Using General Anesthesia
SEllison, TinaEmergency Room Overcrowding
SGoozee, DenysComprehensive Advanced Nursing Field Experience for Western Governors University
SMcLaughlin, DanilynAre Med-Surg Nurses Experiencing Burnout
SMoesker, KateDo Resource Nurses Make a Difference: Comparing Patient Satisfaction Scores
Before and After Implementation
QIPelham, KathyTeachBack
QIUrton, NicholasCHG Bath Wipe Change Investigation
Ongoing Nursing Projects in 2014
QIBarkas, DianeEvaluation of Prone Therapy in Patients with Acute Respiratory Distress Syndrome
QIBarkas, DianePre-hospital to Discharge: A CNS Led Multidisciplinary Team for Improving Clinical Outcomes
for Out of Hospital Cardiac Arrest Patients
QIBarkas, Diane
Quality Improvement Registry for Acute Respiratory Distress Syndrome
RCollins, TinaThe Effect of a Nurse Intern Program on Transition to Professional Nursing Practice
RGranger, JenniferNurse Engagement in the Competency Process
QIHarper, KarenCollective Impact Model: Study of Patients who Died with a Cancer Diagnosis using NQF
(National Quality Forum) Measures
SLord, TraceyOutpatient Diabetes Data Management
RRodgers, DebraNursing Care at the Time of Death
QITaylor-Linzey, ElizabethDistracted Driving Campaign
QITaylor-Linzey, ElizabethFallSTOP: Confidence, Strength, Stability
RThomas, DanFall Risk Assessment Specific to the Acute Physical Medicine Rehabilitation Hospital Setting:
A Validation Study
R
Wobig, JenniferThe Impact on Outcome of the Implementation of Tranexamic Acid (TXA) in a Massive
Transfusion Protocol in a Community Hospital
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4/24/15 4:55 PM
L-R back row: Carol Henderson Nelson, Gordon Arkell,
LVN, Frances McKinney, Administrative Assistant,
Jennifer Granger, Maggie Wordell, Jennifer Bower, Susan
Garrett, Sr. Department Assistant
From Educators to Webmasters
The education department unveiled their new,
user-friendly, visually pleasing, education and
training website. The site, accessed through the
portal, was officially launched in January. Through
hard work, collaboration, and teamwork the
site showcases up-to-date resources utilizing
technology to meet the needs of the end-users.
The website process improvement project was
presented at C3 and was well received. Project
outcomes were measured by reviewing the number
of “hits” the site receives monthly. As the graph
displays, the site has a lot of traffic.
Cottage Author: Expands Nursing
Knowledge
The Society of Obstetrical Anesthesia (SOAP)
published a consensus statement regarding life
support modifications for the pregnant women in
Anesthesia and Analgesia. Two of the authors are
perinatal nurses; one of them is Cottage Hospital’s
Perinatal Educator, Dodi Gauthier.
Using Technology to Enhance the
Patient Care Experience: Endorectal/
endoanal ultrasound
Laura Rodriguez led the project which uses the
technology to stage endorectal cancers, sphincter
evaluations, and evaluation of anorectal fistulas.
The advantage of this procedure is that rectal
cancers can be located and staged which impacts
the mode of treatment for patients.
L-R: Stephanie Remick Moore and Janet Shepherd
The benefits of professional
organization involvement
In August, the SB County AACN Chapter hosted
a Journal club on Derived Hemodynamics. The
focus was on the physiology behind hemodynamic
monitoring and fluid optimization. Participants
left with a better understanding and in-depth
knowledge on how to use derived hemodynamics
to treat patients with sepsis and other lifethreatening illnesses. This knowledge directly
improves our bedside expertise in caring for
critically ill patients of our community.
There are many benefits of joining your local
professional organization chapter, are you an
active participant in a professional organization?
Reach out, get involved!
47
4/24/15 4:55 PM
New Knowledge, Innovations and Improvements
Compassion doesn’t end when the heaRt
stops: Sharing CHS Best Practice Research
In May, critical care’s research poster “Compassion
Doesn’t End When the Heart Stops” was presented at
the National Teaching Institute (NTI) for Critical Care
in Denver, Colorado. The Poster highlights the Bathing
and Honoring Practice done at the end of life with
our patients’ families and staff. This qualitative study
interviewed 12 nurses’ perceptions of this practice
in the MICU and SICU. Hospitals from across the
country were interested in starting this practice at
their institutions, from small rural hospitals and
hospices in Kansas to larger institutions such as
Stanford, Mayo Clinic, and Johns Hopkins.
L-R: Diane Barkas, Tokie Shynk and Lisa Nicassio
CRH Research Project: Calling for a
change in practice A study, initiated by Dan Thomas, was completed
at CRH to validate a Fall Risk Assessment tool
specific to the inpatient acute Rehabilitation and
comparing the Morse Fall Risk Assessment with an
alternative tool. 931 patient records were included in
the study. The findings were conclusive in validating
the efficacy, specificity and predictive value of the
alternative scale. The research was presented at two
national Rehabilitation Conferences and accepted for
publication in the Rehabilitation Nursing Journal.
The team is in the process of changing practice at
CRH where the newly validated Casa Colina Fall Risk
Assessment Scale (CCFRAS) will be used to assess the
CRH patient population for fall risk.
L-R: Dan Thomas, Andrea Pavic OT, Erin Bisaccia PT, Jonathan
Grotts Research Analyst
Fecal Microbial Transplant
48
A new evidence based practice treatment has begun
in Endoscopy. The team started a fecal microbial
transplant program aimed at treating refractory
C-Diff. Specimens from donors who have been
screened are “transplanted” into the recipient via
colonoscopy, increasing the amount of “good”
bacteria back in to the colon. Kim Lemon (pictured
at right) coordinates this program in the Endoscopy
Department.
4/24/15 4:56 PM
Nursing excellence Quality information
At Cottage Health System we are committed to refining
and improving the processes of quality care and to
understanding how we compare to national and state
quality benchmarks. Clinical measures are used to track
and assess the quality, outcomes, and satisfaction of care.
We monitor several conditions and areas of clinical care,
including the following:
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4/24/15 4:56 PM
healing arts
“Nursing is an art: and if
it is to be made an art,
it requires an exclusive
devotion, as hard a
preparation as any
painter’s or sculptor’s
work; for what is the
having to do with dead
canvas or dead marble,
compared with having to
do with the living body,
the temple of God’s spirit?
It is one of the Fine Arts:
I had almost said the
finest of Fine Arts.”
– Florence Nightingale
50
4/24/15 4:56 PM
51
4/24/15 4:56 PM
Post Office Box 689, Santa Barbara, California 93102 | www.CottageHealthSystem.org
4/24/15 4:56 PM

Nursing Excellence - Life. Where You Love It.

Transcription

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