Setting Our Course for Excellence . . . . . . . . . . . . . . . . . . . . . . Nursing

Transcription

Setting Our Course
for Excellence
......................
Nursing Annual Report
2011
Table of Contents
Message from the Chief Nursing Officer..............................................................................................1
Transformational Leadership......................................................................................................................2
Structural Empowerment............................................................................................................................6
Exemplary Professional Practice.............................................................................................................12
New Knowledge, Innovations and Improvements........................................................................19
Publications, Posters and Presentations.............................................................................................22
Whether I am listening to you or to patients, I hear about the special
way you connect with each other at life’s critical moments. Thank
you for sharing your unique gifts with the MVH Nursing team.
Bobbie Gerhart, RN
President and Chief Executive Officer
Your advocacy and nursing judgment are essential to the best
outcomes for patients. The medical staff views you as important
partners in the delivery of safe, high quality patient care.
Gary Collier, MD
Vice President, Medical Affairs/Chief Medical Officer
You have such a lasting impact on the lives of patients and their
families served by Miami Valley Hospital. Every day you contribute
to the reputation of our hospital throughout the region.
Anita Moore
Chair, Miami Valley Hospital Board of Trustees
I am delighted to share our 2011 Miami Valley Hospital Nursing Annual Report.
This is a very challenging and exciting time in health care and in our profession. We
have been guided by our commitment to excellence and our values. It has been an
extraordinary year, marked by many outstanding achievements in quality, safety and
professional development. Today, thanks to the many achievements of 2011, we are
well grounded and have a clearer view of our path ahead.
In many ways, our work has been guided by the Institute of Medicine report, The
Future of Nursing: Leading Change, Advancing Health, which described the pivotal role
nurses play in managing patient care. The report stressed that nurses should practice
to the full extent of their education and training and become partners in the health care team, alongside physicians and
other health care professionals, in redesigning how care is provided. In fact, because nurses are the providers with whom
patients spend the greatest amount of time, we are uniquely positioned to be full partners in providing care.
Unquestionably in 2011, our nursing staff responded to this important call to action. More than 7,000 RNs participated
in Center of Nursing Excellence programs. More than 550 Clinical Nurses were recognized for professional practice
in the ACE Clinical Ladder Program, and nearly 500 nurses were certified in their area of specialty (a 17 percent
increase from 2010). We provided on-site certification courses and implemented a new curriculum for unit leaders
to help build the competencies required for distinct nursing leadership roles. We implemented a future nursing
leaders forum to provide networking and career guidance. Nurses responded to these efforts, giving high marks for
satisfaction, with demonstrated improvement on seven of nine job satisfaction indicators.
We’ve done a remarkable job recruiting, retaining, and recognizing a diverse and highly skilled nursing workforce.
In 2011, we achieved our goal of increasing diversity in nursing leadership with some wonderful help from our
Miami Valley Hospital Foundation to fund our Minority Fellowship. In addition, we ended the year with a 54 percent
BSN workforce while experiencing one of the lowest vacancy rates for nurses in our history.
Our patients have given us high marks in their perception of care. While we still have opportunity in this area, our
rate of improvement trended with some of the top performing institutions in the nation. We have also accelerated
our improvement in many of our patient safety measures. For example, we reduced falls and pressure ulcers by more
than 10 percent, and achieved all Magnet® quality requirements, which included exceeding national benchmarks
on nurse sensitive indicators in more than 50 percent of units for eight consecutive quarters. Likewise, we continue
to set our sights on improving our culture of patient safety with our focus on “Target Zero,” achieving perfection in
patient safety.
The evidence is clear: The more educated nurses are, the better the care provided. A key directive for our future is to
ensure nurses engage in lifelong learning that will enable them to lead changes to advance health care.
I am so proud of all of our nursing accomplishments in 2011 and the pivotal role nurses are playing at Miami Valley
Hospital (MVH). Thanks to them, we are well positioned on our path to Magnet re-designation in 2012. Our course
is a path of excellence that health care demands, our organization supports, and our community expects. Thanks to
each of our nurses as we reach for even greater heights and live our mission of making a difference in the lives of our
patients and families through professional, expert, and compassionate care.
Deb Mals, MS, RN, NEA-BC
Vice President, Hospital Operations and Chief Nursing Officer
page 1
Transformational Leadership
— is leadership that identifies and communicates vision and values and asks for
the involvement of the work group to achieve the vision.
Future Nursing Leaders Group Forms
Learning about Nursing leadership and development
opportunities at MVH got a whole lot easier this year
thanks to the Future Nursing Leaders group.
Created by Kellye Jackson, BSN, RN, and Shalynne Wilbert,
BSN, RN, the group focuses on educating, mentoring, and
developing future nursing leaders.
The focus group has been busy holding informational
sessions to highlight professional development as well as
to discuss various avenues to leadership and management
at MVH. During each session, nursing leaders share their
current roles and responsibilities and provide training on
key components of leadership skills, traits, and responsibilities.
Kellye and Shalynne developed the group as part of their participation in the Minority Nursing
Fellowship Program, which is funded by the Miami Valley Hospital Foundation.
Shared Governance: A Hallmark of Magnet®
Every nurse, every day, on every unit works as a leader. That’s what happens when nurses
share in decisions that increase the quality of care and patient satisfaction at all levels and
across all settings. Throughout the year, nurses at MVH are actively involved at the bedside
and beyond, working together as a team through collaboration, coordination and a shared
decision-making process.
During National Nurses Week, the Triforce Council reinforced our dedication to nurse leaders in
a Commitment to Practice Statement, which emphasized the nurse’s role in patient advocacy,
patient safety, and the ANA Code of Ethics as well as underscored the MVH Nursing Vision,
“To make a difference in the unique lives we touch.”
Commitment to MVH Nursing Practice
MVH will be recognized as the best place to practice nursing. MVH
Nursing will LEAD the REGION as the CHOICE for innovative professional
nursing based on compassion and best practices. We will be nationally
recognized for creating a healing/healthy environment for patients,
families, and staff.
page 2
Enhanced Care with
Electronic Care Planning
When nurses identified the need to include
electronic care planning in their workflow,
Nursing leadership listened.
With input from direct caregivers across
the disciplines, leaders from each Premier
Health Partners (PHP) facility embarked
collaboratively on a major initiative to create
a new electronic care plan that enhances
access to patient education, disease-specific
benchmarks, and overall care planning.
The new system has improved staff
satisfaction, reduced variation in care,
and enhanced the quality of care by using
evidence-based care plans. Because the
electronic care plan is now fully integrated
with electronic medical records, nurses
and interdisciplinary team members enjoy
more seamless documentation of patient
information and care plans.
Dialoguing with Deb
Patient Satisfaction
Charts Strong Gains
Patients’ ratings of their care at MVH
showed significant improvement in
2011. HCAHPS scores increased for
all five nursing-related domains with
score movement matching that of
top-performing organizations.
Above 75th Percentile
Discharge – at 90th percentile
Above 50th Percentile
Nursing – up 4 percentile points
Pain – up 3 percentile points
At 50th Percentile
Medication – up 4 percentile points
Responsiveness – up 5 percentile points
Nursing units at or above the 75th
percentile included Inpatient
Rehabilitation, Inpatient Behavioral
(nursing), Neonatal Intensive Care,
and Blood and Marrow Transplant.
The benefits of learning from each other are a big reason the “Dialogue
with Deb” series is so popular. At various times throughout the year, Chief
Nursing Officer Deb Mals talks with nurses throughout the hospital, hearing
what’s happening with patient care directly on the units and discussing
current issues and strategic initiatives.
Each Dialogue focuses on a topic, and Q&A sessions, which are recorded
and shared via email, provide a lively forum for discussion.
2011 Dialogue with Deb Topics
• Nursing outcome data related to falls, pressure ulcers, blood stream
infections, and catheter-associated urinary tract infections.
• The MVH strategic plan and integration with the PHP system strategic plan.
• Measurements of Value-Based Performance and its relationship to
organizational SCIP Performance, Core Measure Performance, and
HCAHPS (patient satisfaction results).
• The relationship of Value-Based Performance with the Nursing goal to
be in the top decile of positive performance.
• The Institute of Medicine’s proposed national initiatives, including full
utilization of advanced practice nurses based on their scope of practice,
and the recommendation of an 80 percent BSN rate by 2020.
page 3
“My Schedule” Saves Time,
Money and Paper
Nurses said good riddance to the headaches
and messiness of keeping track of schedules
on the paper trail. In 2011, paperless scheduling
became a reality on all inpatient nursing units.
My Schedule, an online scheduling system,
allows nurses to trade shifts, make schedule
requests, put in for time off, and easily access
their schedules, even from a home computer.
“The idea was to give employees better access
to their schedule and diminish the amount of paper we use,” said Linda Strickland, BSN, RN,
nurse manager, Staff Resources.
“Sometimes something comes up and you need a day off,” said Terri Blenton, RN, Renal
Patient Care. “When you’re at home, you can see your schedule and everybody else’s schedule.
You ask for time off or switch with someone, and you get the response a lot faster now.”
The new system not only makes nurses’ lives easier, but it also saves money in terms of labor
hours and cuts down on the use of paper.
Champions of Relationship-Based Care
The Relationship-Based Care (RBC) Patient Satisfaction Collaborative helps to ensure that RBC
continues to be an integral part of regular patient experience initiatives and positive work
environment action plans.
The collaborative met monthly during the Triforce Council day to develop and implement
plans for improving patient handoff and service recovery. A patient experience story was
also shared to help communicate the
importance of RBC and its impact on
caregivers and patients.
The collaborative, which is chaired by
Jessica Hallum, BSN, RN, nurse manager,
and Kelly Braun, RN, includes Unit Practice
Council representatives from each patient
care unit and nurse managers.
page 4
APRN Council Provides
Education, Leadership
Communicating More
Effectively with Vocera®
Through shared leadership, the APRN Council
promotes an awareness of the important
role of advanced practice nurses throughout
Miami Valley Hospital and PHP. Led by
Deb Matosky, MS, RN, FNP, and Erin Kelly,
MSN, APRN, FNP, CWS, the council supports
improvement activities for Value-Based
Performance measures and helps to enhance
the patient experience by establishing a peerto-peer accountability framework.
Members of the patient care team received
a new communication device with the
launch of the Vocera® Communication
System. The new system connects clinicians,
via a wearable device, to multiple alarm and
alert systems in the patient environment
and allows for communication integration.
2011 APRN Council Initiatives
• Implemented a revised credentialing
process in collaboration with the
Credentialing Committee of MVH.
• Implemented a quarterly education
plan to enhance on-site specific
education for APRNs.
• Provided current information on
specific topics of clinical practice and
pharmacology for APRNs and other
healthcare professionals.
• Planned and Implemented an annual
regional conference for APRNs.
In addition to streamlining communication
and operational workflow, the system helps
reduce the noise and distraction caused by
the overhead paging system.
Tests on the integration of Vocera in the
Heart and Vascular, Orthopedic and Spine
Centers found an increase in patient/family
satisfaction related to the responsiveness
to calls, decreases in noise level, and an
increased awareness of patient status and
condition changes.
Unit leaders and super-users were involved
in the development of the unit’s functional
design, and unit staff teamed with them
to help enhance use of the system. These
teams continued after go-live for ongoing
improvements.
Physician Satisfaction
Percentile Rank
(500+ bed hospitals)
Timeliness of
follow-through on orders
91st
Quality of the nursing staff
68th
Overall rating of
physician-nurse collaboration
87th
Staff's reliability in recognizing
and reporting changes in
patients' conditions
88th
Staff's knowledge of
patients' conditions and
courses of treatment
78th
Access to patient information
(e.g., availability of nurse assigned
to patient, chart, test results)
92nd
50
Score
60
2009
70
2010
80
90
Positive Trend
in Physician
Satisfaction
Nursing-related measures of the
2011 Physician Partnership Survey
showed a continued positive
trend. Areas scoring the greatest
improvement included nurses’
reliability in recognizing and
reporting changes in patients’
conditions, and staff’s knowledge
of patients’ conditions and course
of treatment.
2011
page 5
Structural Empowerment
— demands that solid structures and processes developed by influential leaders
provide an innovative environment where strong professional practice flourishes
and where the mission, vision and values come to life to achieve important
outcomes. In an empowering environment, staff have access to information,
resources and support.
Staffing Collaborative Demonstrates Shared
Governance in Action
One of the many examples of shared governance is the Staffing
Collaborative, which discusses issues that impact nurse staffing such
as My Schedule; continuity of care; and self-containment, a policy
implemented in 2010 to reduce floating and promote consistency of
patients’ caregivers.
The composition of the group, which meets monthly, consists of 80 percent
bedside nurses as well as nursing leaders.
One of the issues the collaborative addressed in 2011 was staffing needs
for critical care patients as Miami Valley Hospital expanded capacity in its
Heart and Vascular ICU, created a new Neuro ICU and divided the adult
ICU into separate Medical and Surgical ICUs.
The Staffing Collaborative reviewed detailed data including vacancy rates
and orientation plans by cluster before supporting two proposals presented
by the critical care nurse managers and endorsed by the critical care bedside
nurses. One proposal suspended self-containment within the individual ICUs
and spread the critical care competency across all five critical care areas. The
other allocated all critical-care competent RNs from Staffing Resources to the
ICUs from 7 p.m. to 7 a.m. to assist with staffing as the capacity expanded.
SCIP Integration
Compliance with Surgical Care Improvement
Project (SCIP) measures increased 7 percentage points 2011, the direct result of continued
focus by interdisciplinary staff at all levels.
Multifaceted physician and nursing
education reinforced the indicators that
drive the compliance score. One change
was to apply the SCIP indicators with every
surgical patient, every time. This approach
eliminated potential confusion about which
patients qualified and which did not.
In the fall of 2011, a deep dive review
process was initiated. This includes a review
of each fall-out by the nurse manager of
the unit that owns the fall-out measure.
The manager then reports any factors
contributing to the fall-out at the SCIP
Committee meeting. The committee may
recommend process changes based on
identified trends. One example is a revision
of the nursing documentation flow sheet.
Continued efforts around SCIP measures will
address ongoing updates from CMS.
page 6
Continued Momentum with Certified Nurses
Professional certification is an integral component of nursing practice at Miami Valley Hospital
and demonstrates core knowledge in nurses’ area of expertise.
The hospital encourages nurses to seek certification by the Center of Nursing Excellence
offering on-site certification courses in medical surgical, critical care, geriatrics, cardiovascular,
emergency and neuroscience nursing; sponsoring access to the online PearlsReview; and
prepaying the registration fee for certification examinations.
In 2011 the total number of nurses with
certifications increased to 490. Thirty-seven
percent of all direct care nurses are
now certified, well above the average for
Magnet® hospitals with 700+ beds.
We are proud to recognize Miami Valley
Hospital nurses with advanced certification
in the supplement to this report.
Direct Caregiver Certification Rate
50%
37%
40%
30%
29%
24%
20%
10%
0%
MVH 2010
MVH 2011
Magnet Avg >700 beds
Everyone Benefits from Private Room Conversion
Among Nursing’s accomplishments in 2011 was a successful bed “redistricting” and private
room conversion at Miami Valley Hospital’s main campus.
The project began with the opening of 178 private rooms in the hospital’s new Heart and
Orthopedic Centers. When completed exactly eight months later, the hospital’s goal of 95
percent private room had been achieved.
Nursing leaders developed the plan for shifting unit locations to improve patient flow
and adjusting capacities to meet forecasted demand. They collaborated with all support
departments and vendors to create a seamless plan for refreshing or renovating clinical
space, moving patients and rapidly restabilizing unit operations.
After eight carefully orchestrated moves, patients as well as their nurses and physicians
appreciate the enhanced
privacy, more quiet
environment, greater
efficiency and balanced
capacity made possible
through the project.
page 7
Patients, Families Appreciate Hand-off Protocol
A structured patient hand-off protocol used at change of shift has attracted positive
comments from patients and family members.
Developed by nursing staff as part of the hospital’s commitment to relationship-based care,
the protocol includes communication of relevant clinical information as well as both nurses
having a face-to-face conversation with the patient and any family members present.
“Having my night nurse introduce the nurse in the morning made me feel better,” said
one patient. “The hand-off really made a
huge difference in reducing that part of the
stress of ‘losing’ your nurse…because you do
get very attached.”
A father of a teen critically injured in an auto
accident recalled how much he appreciated
his son’s nurses sharing some updates about
the patient and a little about the parents
with the next nurse. “Whatever you nurses
say, we hang on every word,” he recalled.
Nursing Embraces Target Zero Practices
Miami Valley Hospital has launched Target Zero, a safety initiative that ensures all staff are
committed to safety first in all aspects of their work. The goal of this PHP-wide initiative is to
create the safest environment for all patients, visitors and employees with the goal of zero
incidents and zero preventable harm.
Among Target Zero’s strategies are daily check-ins to report any safety-related events in the
past 24 hours, weekly safety rounds conducted by executive staff in all patient care areas, and
safety messages at all formal meetings.
Nursing leaders, caregivers and content experts have developed or adopted best practice
“bundles” supporting Target Zero initiatives using national Magnet® Conference, Magnet List
Serve and VHA network sources. Bundles are presented, along with the evidence, and discussed at
Professional Practice Council for additional feedback and approval. Bundles addressing catheter
associated urinary tract infections (CAUTI), central line associated bloodstream infections (CLABSI),
patient falls, and hospitalacquired pressure ulcers
have been shared with
nurses in various forums.
page 8
109 First-Time Applicants Join “ACE” Ranks
Strong administrative support continues to foster growth in Nursing’s ACE (Advancing Clinical
Excellence) clinical ladder program.
Congratulations to the 557 nurses recognized for the ACE year 2010-2011, a 6 percent increase
over the prior year. First-time applicants comprised nearly 20 percent of those reaching ACE status.
The 2010-2011 ACE nurses included:
• 129 achieving level 2
• 310 achieving level 3, and
• 118 achieving level 4
All level 3 and level 4 nurses helped to impact and shape nursing practice and/or the work
environment at MVH by completing a project or participating in a committee.
All level 4 nurses are certified. Certification represents the applicant’s completion of a
nationally recognized process for verifying expertise, as well as an ongoing commitment
to maintaining that expertise through continuing education activities.
Nurses achieving ACE status for 2010-2011 are listed in the supplement to this report.
Lactation Consultation Team
When evidence showed a need for more lactation consultant resources, nurses delivering
these services took ownership of deploying additional FTEs in the best way. They redesigned
their workflows, created a unique lactation acuity system and implemented self-scheduling
to cover expanded hours. NDNQI (National Database for Nursing Quality Indicators) job
satisfaction measures climbed, even before additional resources were in place, demonstrating
how a participatory leadership style can increase RN satisfaction in multiple areas.
Lactation Consultant Work Context Scales (NDNQI)
120%
100% 100%
100%
100%
100%
75%
80%
60%
40%
75%
46%
29%
20%
0%
0%
Discharged patients were
adquately prepped
2009
2010
Had adequate staff to
admit, discharge, and
move patients
Had enough time to
spend with patients
2011
page 9
Nursing Newsmakers
Claudia Hurd, RN, has made a mark giving outstanding care to her patients in the Surgical ICU
and helping families cope with the shock, disbelief and frustration that often accompany a
traumatic injury.
Her unique brand of compassionate care, displayed over 30 years, was one of the reasons
Hurd was named Miami Valley Hospital’s Cameos of Caring winner for 2011.
Claudia Hurd, RN
“It was just an incredible surprise, it was just so meaningful,” said Hurd, who received her
award Oct. 15, 2011, during ceremonies sponsored by the Wright State-Miami Valley College
of Nursing and Health at Wright State University. “You end up taking home more than what
you give your patients,” she said. “There hasn’t been a day that there wasn’t something new
I’ve learned.”
Fourteen area hospitals and agencies participated in the 2011 Cameos of Caring awards in
the Dayton region.
The Heart and Vascular Intensive Care Team at Miami Valley Hospital is the Dayton area’s first
recipient of the “Beacon Award for Excellence” from the American Association of Critical-Care
Nurses. The award recognizes critical care units that have improved every facet of patient care.
The year-long application process took place at the same time the unit moved to new patient
tower serving heart and vascular patients at Miami Valley Hospital’s main campus.
Robert Bowman, MS, RN
“This staff deserves to be the first in the city to have this award and I’m excited about where
we will take ourselves next in this journey,” said Jeanie Heyd, nurse manager.
Robert Bowman, MS, RN, was promoted to vice president, Hospital Operations, with responsibility
for inpatient and outpatient Behavioral Services, the Educational Resources Center, Environmental
Services, Facilities, and Surgical Services including Anesthesia, Endoscopy, Pre-admission Testing
and Sterile Processing.
Bowman joined Miami
Valley Hospital as a clinical
nurse more than 10 years
ago. He was previously
director of Surgical Services.
Members of the Heart and Vascular Intensive care team with
MVH Chief Operating Officer Barbara Johnson
page 10
Nurse Satisfaction Exceeds National Teaching Hospital Means
MVH nurses continue to provide feedback on satisfaction with their work through the NDNQI.
In 2011:
• The average unit participation rate was 67 percent and 31 percent of units reached the goal
of an 80 percent participation rate.
• Nurses from 64 different units, departments, programs and services participated.
• At Miami Valley Hospital South, nurses had an average unit participation rate of 87 percent
compared to the national average of 72 percent.
Nurses eligible to participate are those who spend at least 50 percent of their time in direct
patient care; are full-time, part-time, or support status; and have worked on their unit for at
least three months.
Satisfaction Indicators above
NDNQI Teaching Hospital Mean
Tasks
RN-RN Interactions
RN-Physician Interactions
Decision Making
Autonomy
Professional Status
Pay
Professional Development
Nursing Management
Nursing Administration
MVH
MVH South
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
In the 2011 survey, scores for nearly all indicators were above the National Teaching Hospital
means. At Miami Valley Hospital South, scores for Decision Making, Autonomy and Professional
Status were in the top quartile among teaching hospitals.
Information from the NDNQI is an important indicator of a positive work environment. Survey
results are shared with the Professional Practice Council and Nursing leadership. Ideas for
improvement are driven at the unit and department level.
page 11
Explemplary Professional Practice
— means that the true essence of a Magnet® organization stems from
exemplary professional practice within nursing. Exemplary Professional Practice
requires a comprehensive understanding of the role of nursing, the application
of that role with patients, families, communities and the interdisciplinary team,
and the application of new knowledge and evidence.
Bath Salts: Increasing Awareness for First Responders
When the emergency department team noticed a sharp increase in patients exhibiting
bizarre behavior after using products called “bath salts,” two nurses began learning all they
could about these synthetic stimulants with hallucinogenic properties.
Angie Fields, MS, RN, SANE, acted as primary researcher while Cindy Jennings, BSN, RN,
worked with local narcotics units to obtain product availability and practice trends.
With the support of the Miami Valley Regional Crime Laboratory and the Dayton Police
Department, Jennings organized presentations reaching over 2,000 law enforcement, EMS
and health care staff on synthetic drug use and nursing interventions. The sessions provided
a framework for national education and publication.
The nurses’ advocacy also led to the creation of a Designer Drug Taskforce and, with the
support of the Greater Dayton Area Hospital Association, a substance library to track new
and emerging substances.
page 12
Driving for High Quality and Safety
Nursing advanced along its path to excellence in 2011,
integrating the Target Zero initiative launched at Miami
Valley Hospital and the Premier Health Partners system.
Learning from our Magnet® colleagues we have implemented
interventions and “practice bundles” with the ultimate goal
of zero hospital acquired conditions.
Performance measures monitored through NDNQI are
reviewed with bedside staff each quarter through the
Professional Practice Council. The council considers
recommendations from the experts in the field to make
practice decisions positively affecting care processes and
outcomes.
In addition, quality performance data is reviewed quarterly
at Nursing Leadership and posted electronically for unit
leadership data sharing.
2011 Quality Highlights
73 percent of nursing units are outperforming the National Teaching Hospital Mean for
Central Line Associated Blood Stream Infections (CLABSI)
• Monthly deep dives of infections to determine cause and correction
• Green Alcohol Cap trial on high central line utilization units
• “Scrub the Hub” initiative continues on non-trial units
• Central line education and competency by the IV Therapy team
6 percent of nursing units with ventilator days are outperforming the National Teaching
8
Hospital Mean for Ventilator Associated Pneumonia (VAP)
• Use of VAP mouth care kits for a 24-hour period and VAP bundle
74 percent of nursing units are outperforming national peer groups for use of Patient Restraints
55 percent of nursing units outperforming National Teaching Hospital Mean for Falls
• Decision by Professional Practice Council to implement a practice standard that patients
with Moving Safely Score >16 will have a bed alarm
• Staff nurse-driven audits for monitoring documentation and policy compliance
• Increase in stock of portable bed and chair alarms
• Heart and Vascular ICU and Pulmonary units continue to increase patient activity while
participating in research study on the benefits of activity
55 percent of nursing units outperforming National Teaching Mean for Hospital Acquired
Pressure Ulcer (HAPU)
• Two-person skin assessment implemented in high risk areas with Epic documentation support
• Initiation of a product to protect vulnerable skin areas
• Skin assessment, wound staging, and skin best practice bundle implemented
page 13
Chronic Pain Prevention Program Earns
Joint Commission Certification
The merger of two powerful frameworks – the Joint Commission’s Disease Certification
Model and Nursing’s Professional Practice Model – provided a wide and deep foundation for
the MVH pain team to develop a nationally recognized chronic pain prevention program.
The initiative was the first of its kind in the U.S. to receive Joint Commission certification on
Feb. 11, 2011.
The program uses an algorithmic approach that begins in the Emergency and Trauma Center
and extends throughout the inpatient continuum of patient care in a Level I trauma center.
Physicians and advanced practice nurses in geriatrics, trauma and orthopedics, anesthesiologists,
physical therapists and registered nurses deliver the evidence-based program.
The program currently targets the hip and
pelvic fracture patient populations. Results to
date include improved patient perceptions of
care, decreased pain scores and complication
rates as well as reduced length of stay.
Joint Commission Certifications
With 10 Joint Commission certifications
awarded or renewed in 2011, Miami Valley
Hospital has one of the largest totals among
Ohio hospitals.
Advanced Certification Programs
• Stroke (Primary Stroke Center)
Certification Programs
• Acute Coronary Syndrome
• Chronic Obstructive Pulmonary Disease
• Coronary Artery Bypass Graft
• Heart Failure
• Intractable Chronic Pain
• Joint Replacement - Hip
• Joint Replacement - Knee
• Multi-System Trauma
• Palliative Care
page 14
Bridge to Practice: A Novice
Nurse Transition Program
Innovative Message Flags
Promote Safe Care
The adjustment of moving from a new
graduate to the reality of the role as
registered nurse remains difficult despite
lengthy orientation, dedicated preceptors,
and mentorship at the unit level.
Visit a patient room in many hospitals
and you may see a variety of notices and
precautions for the care team taped to the
door and wall surfaces.
New nurses experience great shock
during this transition and the literature
demonstrates a significant risk of leaving
the profession within the first 24 months
of practice. Contributing factors for the
flight nationally include reality shock, lateral
violence (also known as bullying and incivility),
moral distress, and imposter syndrome.
Miami Valley Hospital’s Bridge to Practice
Program, now in its fourth year, brings novice
nurses together for four-hour sessions at two
and five months after hire.
Outcomes for the program gleaned
through participants’ reflection, writing
and discussion reveal that novice nurses
have immense anxiety of harming their
patients due to a lack of confidence,
knowledge and/or competency. They lack
the tools and resources needed to respond
to suffering in themselves, their patients,
and others. Our experience shows that
these feelings of inadequacy are relieved by
hearing others share their experiences and
feelings. The most common evaluative
comment received over the past three years
is, “I’m glad to hear I’m not alone.”
Nurses involved in designing Miami Valley
Hospital’s new patient tower were intrigued
by a different solution proposed by the project
architects that used pull-down message
flags built into the patient room sign.
A team of nurses worked to refine the
concept. “We reached consensus on the
same 10 flags to be used on all floors of
the building,” said R.J. Francisco, RN, nurse
clinical educator, Heart and Vascular 7.
A hidden magnetic strip hides the flags out
of view when not in use.
Adaptations of the flag system have now
been installed at more than 700 patient
rooms throughout the hospital’s Dayton
and Centerville campuses. A breast feeding
icon replaces the Line Draw flag at rooms
for obstetrical patients.
Of 600 participants to date, 97.4% found
Bridge to Practice a positive experience.
page 15
Women’s Services Adds Safety Officer Role
With nearly 5,000 births annually and a second maternity center about to open at its
Centerville campus, Miami Valley Hospital is the largest provider of women’s services in
the Dayton region.
A new perinatal safety officer role designed in 2011 outlines responsibilities including
evaluation of clinical service quality and safety through review of patient medical records,
electronic fetal monitor strips, relevant staff interviews, and appropriate documentation.
The perinatal safety officer also provides guidance and education to employees, managers,
supervisors and administration regarding perinatal safety processes and initiatives. One
example is the Berry Human Simulation Lab teaching obstetrical safety protocols to enhance
the interdisciplinary care team’s response to obstetrical emergencies.
Improving Neurologic Outcomes Post-Arrest
Miami Valley Hospital continues to have great success with induced therapeutic hypothermia
as a method for improving neurologic outcomes of patients resuscitated after cardiac arrest.
Using the therapeutic hypothermia guidelines, care teams at MVH cooled 52 patients in 2011
and well over 100 patients in the first two years since the initiative began. Of these patients,
36 percent have been discharged with a positive outcome, well above the national average for
survival of out-of-hospital cardiac arrest.
The treatment regimen entails actively
cooling resuscitated arrest patients to a core
temperature between 89.6 and 93.2 degrees
Fahrenheit, and then keeping them cool
for 24 hours. The research shows that by
cooling patients, the reperfusion injury that
occurs post-arrest is decreased, subsequently
improving patient outcomes.
Using evidence-based practice to guide
this change, we have improved the lives
of patients in our community.
page 16
Jayne Beam, mother of
former nurse Missy Beam,
congratulates Daisy Award
recipient Becky Marcum, RN.
Members of the Beam
family established the Beam
of Light Walk, which helps
sponsor the Daisy Award
at MVH.
Memorial Tribute Supports
Daisy Award Recognition
Sunflower Awards Honor
Care Partners
Proceeds of an annual fundraiser held in
memory of a Miami Valley Hospital nurse
are supporting the continuing recognition of
Nursing’s brightest and best.
The Nurse Recognition Committee launched
a program in mid-2011 honoring Nursing’s
vital care partners. The Sunflower Award
is presented each month to a PCT, HUC
or emergency tech who demonstrates
extraordinary care.
The Beam of Light Walk honoring Missy
Beam, RN, is one of the sponsors of Daisy
Awards presented each month to two nurses.
The Daisy Award is a partnership with The
Daisy Foundation, created in memory of
Patrick J. Barnes, who passed away from an
auto-immune disease. Other area sponsors
include UnitedHealthcare and Miami Valley
Hospital Foundation.
Candidates may be nominated by fellow
PCTs or HUCs, nurses, patients, family
members or physicians.
2011 Daisy Award Honorees
2011 Sunflower Award Honorees
Pearly Apiado, BSN, RN
Kim Holiday, BSN, RN
Rachel Ramey, RN
Melissa Cavallo, HUC
Libby Avery, RN
Ann Linder, RN
Rita Runner, RN
Hyesia Dewer, PCT/HUC
Rachel Boes, RN
Jenna Mackey, RN
Shirley Sizemore, RN
Frank Hayes, PCT
Mindy Bowen, RN
Janet Renee McHone, RN
Tonya Summe, BSN, RN
Mary Beth Hickle, PCT
Anna Carr, BSN, RN
Vicki McSherry, RN
Jessie Stroud, BSN, RN
Ashley Glascock, PCT/HUC
Jonathon Fiora, BSN, RN
Sandy Peacock, RN
Becky Turner, RN
Shawna Thompson, HUC/PCT
Ashley Hall, RN
Theresa Petrosino, RN
Michelle Vonderbrink, RN
Diana Vandergrift, HUC/Tech
Chrystie Hall, RN
Louisa Phillips, RN,
Kim Weber, RN
page 17
Nurse Recognition 2011
Lori Conner
Bariatric Unit
Clinical Practice
Holly Dixon
Trauma Unit
Clinical Practice
Erin Gardner
Neuro
Clinical Practice
Dawn Hodgens
Integrative Care Management
Clinical Practice
Alicia Jobe
Pulmonary Medical
Clinical Practice
Molly Nickell
Shaw Emergency and Trauma
Center
Clinical Practice
Roseva Nutt
Surgical Intensive Care Unit
Clinical Practice
Vickey Place
Rehabilitation
Clinical Practice
Kim Weber
Birth and Family
Education
Clinical Practice
Amy McKenna
Oncology
Education
Monica Mirrow
Gynecologic Oncology Center
Clinical Practice
Tari Walker
Neurology
Education
Mary Lou Anderson
Lifetime Achievement Award, Leadership
William E. Roberts, Jr.
Operating Room
Clinical Practice
Karen Scott
Clinical Practice
Honorable Mention Winners
Michelle Cotterman
Rehabilitation
Leadership
Donetta Leach
Neonatal Intensive Care Unit
Performance Improvement/
Research
Audrey Palmer
Neurology
Leadership
Ralph Westfall
Neuro Intensive Care Unit
Performance Improvement/
Research
Toni Miller
Heart Vascular Intensive
Care Unit
Leadership
Barbara Suddith
Advanced Treatment Area/
Express Admission Unit
Preceptorship
Clinical Practice
VeAna Archer
Tina Arstingal
Christie Astor
Carrie Bellnoski
Lindsey Boyer
Sue Bush
Sean Cochran
Christine Gheen
Rebecca Johnson
Theresa Petrosino
Jennifer Reinholtz
Cass Swank
Vickie Williams
Christina Womack
Medical Intensive Care Unit
Neurology
Neuro Intensive Care Unit
Berry Center for Women’s Health
Trauma Unit
Psychology
Rehabilitation
Labor and Delivery
Advanced Care
Trauma Unit
Education
Hannah Taylor
Leadership
Tara Gifford
Beth Larsen
Shalynne Wilbert
Trauma Unit
Neurology
Performance Improvement
Beth Heyse
Operating Room
Ellen Jordan Neonatal Intensive Care Unit
Gina Kiser
Trauma Unit
Preceptorship
Theresa Kern page 18
New Knowledge, Innovations
and Improvements
— calls for the organization to conscientiously integrate evidence-based practice
and research into clinical and operational processes to advance the practice of
nursing and improve the quality of patient care and outcomes.
Patient Feedback Gratifies Patient Tower Planners
Nurses who guided the design of Miami Valley Hospital’s new Heart and Orthopedic Centers
didn’t have to wait long to find out they’d hit a home run.
Patients moving into the 12-story tower were quick to praise the bright natural light, quiet,
and comfortable private rooms.
More than 300 staff members – including physicians, nurses, therapists and other non-clinical
staff – helped make decisions about the design of the work spaces and the patient rooms.
All 178 patient rooms are identical in design and include a handrail between the bed and
restroom, one of several safety features. To reduce the number of steps required for staff,
each wing of 12 beds is served from three separate care stations. Near the stations are
alcoves that keep vital medicines and supplies at the caregiver’s fingertips.
page 19
New Technology Supports Safe Care on Nursing Units
With a single click on an Epic tool bar, direct caregivers and nursing leaders can quickly run
real time reports showing how long their patients’ urinary catheters and central lines have
been in place.
The newer electronic record functionality called Reporting Workbench facilitates a daily
conversation between nurses and providers about the necessity of these lines. Removing
them as soon as it is safe to do so decreases patients’ risk for developing infections.
Another tool tracks patients’ fall risk and staff compliance with bed alarm practices. The tool
reduces audit time to a few seconds, allowing more time for follow-up and coaching with
caregivers.
Better Care for Babies with in Utero Drug Exposure
An interdisciplinary team of NICU nurses, a neonatologist, social worker and occupational
therapist/infant development specialist came together in the summer of 2010 to improve the
care of babies at risk for neonatal abstinence syndrome (NAS), drug withdrawal reactions that
pose a serious health risk.
Exactly one year later, the team had implemented four evidence-based measures including
uniform application of an NAS screening tool, an order set that standardized treatment for
better outcomes and decreased length of stay, an education packet for staff, and parent
education tools.
Pre- and post-testing demonstrated that
staff’s knowledge of NAS was improved
as a direct result of the efforts of our
committee. In addition, the education
was adopted by all nurses caring for NAS
babies, not just those working in the
NICU.
page 20
Nursing Research Collaborative Explores Diverse Topics
Members of the research arm of the professional practice council explore topics of interest
and concern to nurses caring for patients at Miami Valley Hospital.
From direct clinical skill development to greater understanding of nurses’ psychosocial impact,
their studies in 2011 advanced quality care for patients.
Research topics included:
• Magnet Model
• Therapeutic Presence
• Mission Work in Africa for HIV AIDS - Maria Green, RN Report
• The Evidence Base for Missed Nursing Care
• The Spoken Word: Communicating Endurance to Patients
• Therapeutic Touch in Nursing Care: The Evidence
• Testing for Empathy and Caring
• Emotional Competency in Nursing
• Predictors of Pressure Ulcers in the Critically Ill
• How to Comfort during Nasogastric Tube Insertion: The Evidence
• Planning for the Comfort Book
A Breath of Fresh Air
An interdisciplinary team in the Level 3 NICU implemented an improvement plan designed
to reduce the rate of chronic lung disease (CLD) among infants. The team examined factors
contributing to CLD and zeroed in on resuscitation procedures as the key improvement
opportunity. Tracking showed a 3 percent decrease in CLD rates with implementation of
12 changes in procedures.
page 21
2011 Publications, Posters and Presentations
Publications
O’Malley P. (2011). Just Say No to Shingles! The Zoster Vaccine:
Update for the Clinical Nurse Specialist. Clinical Nurse Specialist.
25(6):281-283.
O’Malley P. (2011). Author’s Response. Clinical Nurse Specialist.
25(6): 275-276.
O’Malley P. (2011). The Worldwide Designer Drug Craze – Bath
Salts Behind the Counter to Get High: Update for the Clinical Nurse
Specialist. Clinical Nurse Specialist. 25(5): 224-225.
O’Malley P. (2011). Reduce Disease Burden and Improve Lung
Function – Rumoflumilast Approved for Moderate to Severe COPD:
Update for the Clinical Nurse Specialist. Clinical Nurse Specialist.
25(4): 176-177.
O’Malley P. (2011). Pharmacogenomics for the Clinical Nurse
Specialist – Genetics, Prescribing and Outcomes. Clinical Nurse
Specialist. 25(3): 110-112.
O’Malley P. (2011). Withdrawal of Propoxyphene from the US Market.
Implications for the Clinical Nurse Specialist. Clinical Nurse Specialist.
25(2): 55-56.
O’Malley P. (2011). Staying Awake and Asleep: The Challenge of
Working Nights and Rotating Shifts. Managing Shift Work Disorder
for the Clinical Nurse Specialist. Clinical Nurse Specialist. 25(1): 15-17.
Walusimbi, Mbaga, MD; Sands, Jean, RN; Domiquez, Kathleen, MD;
McCarthy, Mary, MD; Markert, Ronald, MD. Circulating Cellular and
Humoral Elements of Immune Function Following Splenic Arterial
Embolisation or Splenectomy in Trauma Patients. Injury. 43(2):
180-183. Available online at www.sciencedirect.com/science/article/
pii/S0020138311002257
Journey to Green: Quest for Chemical-Free Products
Sigma Theta Tau International:
Maternal-Child Health Nursing
Leadership Academy Project 2011
Investigators:
• Anne Brower BA, RN Mentee
• Lisa Trefz MSN, RNC Mentor
• Donna Walls BSN, RN Collaborator
Background
Evaluation Methods & Results
Selected References
• Multiple skin care products available for infant skin
care.
• Product evaluation revealed multiple chemicals.
• Chemicals associated with cancer, allergies & hormone
disruption.
Prenatal & postpartum product evaluations
CDC: Center for Disease Control and Prevention (2009). Fourth
national report on human exposure to environmental chemicals.
Available at http://www.cdc.gov/
Steingraber S. (2010). Living downstream: an ecologist’s personal investigation of cancer and the environment. 2nd Ed. DaCapo Press.
Philadelphia, PA.
Harmful Chemicals-Hazard Ratings
0-2: Low Hazard
3-6: Moderate Hazard
Methylparaben
DMDM Hydantoin
Sodium hydroxide
Iodopropynyl butylcarbamate
PEG groups
Phenoxyethanol
Lauryl, laureth groups
EDTA
Cocamidopropyl betaine
Nitrosamines group
Rossi M. (2002). Neonatal exposure to DEHP and Opportunities for
Prevention. August 24, 2009. Available at:
www.turi.org/library/turi_publications/.../chapter_7_dehp.
7-10: High Hazard
8
7
3
4
4-7
4
5-7
4
5
8
American Academy of Pediatrics (2011). Chemical-management
policy: prioritizing children’s health. Council on Environmental
Health. Pediatrics. Available at:
http://pediatrics.aappublications.org/content/early/2011/04/25/peds.
2011-0523.
Leadership Journey
Environmental Working Group- EWG.org
Purposes
• Identify chemical free skin care products for infants.
• Educate nursing staff & families on use of green
products.
• Implement Green Maternity Care.
Project Activities
Established a Maternal-Child Green Team
• 10 Registered Nurses
• Pediatrician
• Medical Director
• Pharmacist
• Patient Care Technician
• Materials Sourcing
• Marketing
• Administration
• Legal Services
• Infection Control
Activities Over 1 Year
• Reviewed evidence-based literature.
• Existing skin care products evaluated against current
evidence.
• New product selection criteria established.
• Chemical free products evaluated (financial & clinical
implications).
• Product selection.
• Nurse, Physician & patient education.
• Implementation of product change.
• Evaluation of outcomes.
mvh.org
Discussion & Results
• Patients & staff want chemical free products for infants
& self.
• The intervention has reduced chemical exposures for
infants, families & staff.
• Early data after program implementation has revealed
that 65% of patients are satisfied with chemical free
products & will continue use after discharge.
• Green Maternity Care has resulted in > $12,000.00/year
savings.
• Change to chemical free products has positioned the
organization as a community leader in setting
standards for chemical free product use.
• Hospital was RECOGNIZED 1st in the Region to GO
GREEN in Maternity Care! Hospital Unveils Campaign
to Use Safer, More Natural Products on Moms and
Babies. Dayton Daily News – Dayton, Ohio
October 7, 2011.
Next Steps
• Use the evidence-based plan to convert personal care
products for Mothers & Nursing Staff to chemical free
personal products.
• Use the evidence-based plan as a framework to convert
the hospital system to chemical free personal products.
• Reduce chemical exposure
• Provide comfort
• Protect the environment
• Reduce health care costs
Mentee Impact- 18 month project
• Learned how to implement evidence-based practice
nursing interventions.
• Through mentoring- obtained confidence and
leadership skills.
• Will be an effective change agent in the future from
this experience.
• Will be able to mentor others as I have been mentored.
• Plan to obtain a Master’s Degree in Nursing with a
focus in environmental health.
Patient Impact
• Improved the nursing care of infants by reducing threat
of chemical exposure.
• Will improve the nursing care of mothers in the same
way in the future.
• Nearly 500 patients and 1000 staff received product
&/or education.
Organizational Impact
• Organization is recognized in the community as the
leader in Going Green Care.
• Reducing chemical exposure for patients & staff is the
right thing to do.
• Green interventions are cost effective.
• Green interventions enhance patient/staff safety &
satisfaction.
Health Network Impact
• Organization is recognized in the community as the
leader in “Green” care.
• Organization recognized in print/media as a leader in
“Green” care.
• The success of this project is the template for the entire
organization converting to “Green” care.
Another example of new knowledge and innovation was the conversion to
green mother and baby care products led by staff in the Berry Women’s Center.
Their poster, Journey to Green, received the top award in the administrative
category at the annual Ohio Organization of Nurse Executives conference in
November 2011.
Journal and External
Peer Reviews
Clinical Nurse Specialist
Elsevier Press
Health Care Innovations Exchange – Agency for
Healthcare Research and Quality
Heart & Lung
Indian Journal of Pharmacology
Lippincott
MacMaster Online Rating of Evidence (MORE) Clinical Relevance
Rating System
Western Journal of Nursing Research
Springer
Patricia O’Malley, PhD, RN, CNS
Posters
WSU Student Research Forum
October 26, 2010 Dayton, Ohio
Brain Death Determination: A Paradigm for Documentation
and Standardization
Jessica A. Zagory, MD, Deborah M. Bentley, MS, ACNS-BC, CHPN,
Elizabeth P. Tran, MD, Jennifer K. Mattachione, BA, RT, Cathryn L.
Chadwick, MD, Anthony Hesketh, MD, and Harry L. Anderson III, MD.
Department of Surgery, Wright State University Boonshoft School of
Medicine, and Miami Valley Hospital
Association of Clinical Documentation Specialists (ADCIS)
April 2011 Orlando, Florida
Creating a Safe Path through the Electronic Labyrinth: Real Time
ClinDoc GPS for the Comprehensive Electronic Medical Record (EMR)
Jean Sands, BSN, RN, CCDS, Karen Newhouser, RN
Quality Congress Academy of Neonatal Nurses Conference
September 2011 Washington, DC
Thermoregulation in the NICU: Safe Passage Performance
Improvement
Donetta Setters Leach, RNC, Jessie Grubb, RNC, Megan Bettag, RNC,
Sarah Anousheh, RN, Pam Miller, RNC, Bridgette Rillo, RNC, Gwen
Jones, RNC, Toni Ashland, RN, Vickie Williams, RN, Tracy Morrison,
RN, Robin Bliss, RNC, Donna Fisher, RNC, Marie Wise, RN, Amy
Clayton, RN, Julie Giffen, RN, Julie Scanlan, RN, Ellen Jordan, RN, Marc
Belcastro, DO, Tammy Samiec, MD, Kirby Heritage, MD, Lisa Lamping,
RN, CCNP, CNS, Suzette Smith, MS, RRT
A Breath of Fresh Air: Building a Quality Collaborative to Improve
Chronic Lung Disease
Richard Arends, PharmD, Marc Belcastro, DO, Penny Blair, RRT, Robin
Bliss, RNC, Bev Blosser – parent, Karyn Catrine, MS, RD, LD, Amy
Clayton, RNC, Donna Fisher, RNC, Deb Gregory, MSN, NNP-BC, Erin
Pryor, MPH, RD, LD, Tracy Morrison, RN, Tammy Samiec, MD, Julie
Scanlan, RN, Suzette Smith, MS, RRT, Julie Wannemacher, RRT, NPS
Ohio Organization of Nurse Executives (OONE)
Nov. 2-4, 2011 Newark, Ohio
The Impact of Hand Massage on Pain and Anxiety in Spinal Fusion Patients
Carole A. Smith, RN, CNS-BC, CCRN, Patty Corfield, MS, RN
Improving Patient Safety through Clinical Alarm Management
Chris Connelly, BSE, Jodi Snyder, BSN, RN
Journey to Green: Quest for Chemical-Free Products – Sigma Theta Tau
International Maternal-Child Health Nursing Leadership Academy
Project 2011 (received first place in the Administrative category)
Anne Brower, BA, RN, Lisa Trefz, MSN, RNC, Donna Walls, BSN, RN
Relationship-Based Care
Mary Pat Thomas, MSN, RN, AHN-BC, CHTP
page 22
Vermont Oxford Network Quality Collaborative
December 2011 Dayton, Ohio
Thermoregulation in the NICU: Safe Passage Performance Improvement
Donetta Setters Leach, RNC, Jessie Grubb, RNC, Megan Bettag, RNC,
Sarah Anousheh, RN, Pam Miller, RNC, Bridgette Rillo, RNC, Gwen
Jones, RNC, Toni Ashland, RN, Vickie Williams, RN, Tracy Morrison,
RN, Robin Bliss, RNC, Donna Fisher, RNC, Marie Wise, RN, Amy
Clayton, RN, Julie Giffen, RN, Julie Scanlan, RN, Ellen Jordan, RN, Marc
Belcastro, DO, Tammy Samiec, MD, Kirby Heritage, MD, Lisa Lamping,
RN, CCNP, CNS, Suzette Smith, MS, RRT
Miami Valley Hospital Clinical Nurses
May 9 & May 12, 2011
AWHONN Intermediate Fetal Heart Monitoring
Holly Mallaney, RN, et al.
A Breath of Fresh Air: Building a Quality Collaborative to Improve
Chronic Lung Disease
Richard Arends, PharmD, Marc Belcastro, DO, Penny Blair, RRT, Robin
Bliss, RNC, Bev Blosser – parent, Karyn Catrine, MS, RD, LD, Amy
Clayton, RNC, Donna Fisher, RNC, Deb Gregory, MSN, NNP-BC, Erin
Pryor, MPH, RD, LD, Tracy Morrison, RN, Tammy Samiec, MD, Julie
Scanlan, RN, Suzette Smith, MS, RRT, Julie Wannemacher, RRT, NPS
Miami Valley Hospital Second Annual Holistic Nursing Conference
May 22, 2011
HeartMath
Presentations
Miami Valley Hospital Nursing Orientation and Nurse Extern Program
Monthly presentation for Relationship-Based Care education
Making the Most of the Moments
American Academy of Pediatrics & American Heart Association
Jan. 5, Feb. 1, May 3, July 14, Nov. 1, 2011 Dayton, OH
Neonatal Resuscitation Program recertification
Sigma Theta Tau SONK Consortium Annual Conference
Feb. 4, 2011 Sharonville, OH
Exploring and Experiencing Healing Touch within the Context of
Rogerian Science
The Art and Science of Aromatherapy in Nursing
Donna Walls, BSN, RN, IBCLC, CCE, CA, Certified Aromatherapist,
Master Herbalist, Environmental and Holistic Care Educator
Mammo Mixer
March 3, June 2, Sept. 1, Dec. 1, 2011 Centerville, OH
After hours appointments for women to receive their mammograms
and enjoy pampering services. Education on self breast exams, breast
cancer awareness and genetic testing were available as were breast
models for the women to practice breast exams.
Jennifer Hussong, BS, RT, CRA, Pam Kraft, RN, Kathy McCarthy, RT (r)(m)
PHP Advancing Clinical Excellence (ACE) Spring Workshop
March 10 & March 16, 2011 Kettering, OH
Self-Care: It All Begins with YOU
Springboro Business Expo
March 19, 2011 Springboro, OH
Breast Cancer
Nancy Thoma, RN
Epic Training Advisory Council
April 14, 2011 Dayton, OH
A Holistic Approach to Epic Training and Support
Bonnie Bakner, BSN, RN, Kathryn Fellows, MS, RN, Robin Coale, MHA
Oncology Nursing Society Annual Meeting and Dinner
May 19, 2011 Kettering, OH
Reclaiming What’s Lost in Nursing: The Evidence Base for Comfort Care
(keynote address)
Dayton Chapter AACN
June 17, 2011 Dayton, OH
Stop the World, I Wanna Get Off: Self-care on the Run
Miami Valley Hospital PCT and Tech Appreciation Day
July 6, 2011
Caring for the Best
Omega Baptist Church Picnic
July 17, 2011 Dayton, OH
Breast Cancer Awareness
Amy McKenna, RN, Nancy Thoma, RN
Kettering Community Health Fair
July 30, 2011 Kettering, OH
Education on self breast exams, breast cancer awareness and genetic
testing was available. A surgeon answered questions regarding different
types of surgical vs. non-surgical options for the high-risk patient.
Pam Kraft, RN, Melissa Roelle, MD
Greene County Fair
Aug. 2, 2011 Xenia, OH
Breast Cancer Awareness
Miami Valley Hospital Annual Faculty Orientation
Aug. 8, 2011
Care Rounding; Patient Satisfaction; Relationship-Based Care
Dupps Corporation Employees
Aug. 11, 2011 Germantown, OH
Prostate Cancer
Elena Mikalauskas, RN, CNS
Fairfield Commons Mall Walkers Program
Aug. 12, Sept. 9, 2011 Beavercreek, OH
Gynecologic Oncology
Beka Abraham, RN, NP, and Lynne Eaton, MD
Prostate Cancer
Elena Mikalauskas, RN, CNS
National Health Unit Coordinator Day
Aug. 23, 2011 Dayton, OH
Finding Inspiration
Meadowdale High School Health Fair
Education on self breast exams, breast cancer awareness and genetic
testing was available as were breast models to practice breast exams.
Pam Kraft, RN
Miami Valley Hospital Clinical Nurses
Aug. 26 & Nov. 14, 2011
AWHONN Basic Electronic Fetal Monitoring class
South Community Employee Health Fair
Breast Cancer
Wright State University-Miami Valley College of Nursing – Nursing 209
Sept. 22, 2011 Fairborn, OH
Nursing Ethics
Fairfield Medical Center Nursing Research Expo
Sept. 23, 2011 Lancaster, OH
Finding Treasure: The Journey of Nursing Research
page 23
2011 Publications, Posters and Presentations, continued
Miami Valley Hospital Relationship-Based Care Patient Satisfaction
Committee
Oct. 11, 2011
Peer to Peer Accountability
Indiana University-Purdue University Indianapolis School of Nursing
– Nursing 520.
Oct. 25, 2011 Indianapolis, IN
Use of Evidence without Experience, Evaluation or Ethics: The Dark Side
of Evidence Based Practice
City of Dayton Health Fair
Oct. 14, 2011 Dayton, OH
Cancer Risks
Pam Kraft, RN, Amy McKenna, RN, Elena Mikalauskas, RN, Julie
Sawyer
Miami Valley Hospital HUC Appreciation Day
Oct. 28, 2011
Self-Care: It All Begins with YOU
Miami Valley Hospital Weekend CNE
Oct. 15, 2011
Healing Touch and Pain Management
Sigma Theta Tau International 41st Biennial Convention
Oct. 29-Nov. 2, 2011 Grapevine, TX
The World-wide Evidence Based Practice Agenda: Power, Prestige and Cash
Pat O’Malley, PhD, RN, CNS
MVH Center of Nursing Excellence and Dayton Regional Chapter of AACN
Nursing Ethics (CCRN/PCCN Certification Review)
Miami University School of Nursing Students
Nov. 30, 2011 Middletown, OH
Healing Touch Application and Research in Clinical Practice
Wright State University-Miami Valley College of Nursing – Nursing 209
Oct. 20, 2011
Nursing Research and Evidence Based Practice
St. Anthony Hospital
Dec. 6-8, 2011 Denver, CO
Reigniting the Spirit of Caring
Mini University Child Care Center and Preschool
Magnet® Community Project: What Is a Nurse?
MVH Magnet champions group
Upper Valley Medical Center
Dec. 19, 2011 Troy, OH
Relationship-Based Care
Mary Pat Thomas, RN, MSN AHN-BC, CHTP
University of Cincinnati College of Nursing – Founder’s Day
Celebration
Oct. 24, 2011 Cincinnati, OH
Use of Evidence without Experience, Evaluation or Ethics: The Dark Side
of Evidence Based Practice
Nurses Impact Profession and Their Communities
Miami Valley Hospital nurses not only provide high quality care to thousands of patients each
year. They are a positive force in professional circles and their communities.
Of the 2,500 nurses employed at Miami Valley Hospital:
• 32 percent are members of professional
nursing organizations
• 32 individuals hold office in local or regional
professional organizations
• 26 percent (843 nurses) volunteer their time
with community organizations
page 24
2011 Nursing Leadership
Deb Mals, MS, RN,
NEA-BC
Vice President, Chief
Nursing Officer
Robert Bowman, MS, RN Bonnie Coalt, MS, RN
Vice President, Hospital Director of Nursing
Operations
Kathy Erbes, MS, RN
Director, Clinical
Operations, Berry
Women’s Center
Jayne Gmeiner, MS, RN,
NEA-BC
Director, Center of
Nursing Excellence
Adria Grillo-Peck, MS,
RN, CMC
Director, Integrative Care
Management
Cathy Hall, MS, RN,
NE-BC
Director, Clinical
Operations, MVHS
Kim Hensley, MS, RN,
NE-BC
Administrative Director,
Hospitalist Program
Beth Heyse, BSN, RN
Director, Surgical
Services
Melissa Merritt, MSN, RN
Director of Nursing
Claire Rodehaver, MS,
RN, OCN, NE-BC
Director of Nursing
Robin Rutledge, MS, RN
Director of Cardiology
Chris Sexton, BSN, RN
Director, MVH South
Women’s Center
Candy Skidmore, BSN,
RN
Director, CareFlight Air
and Mobile
Missy Tallmadge, MSN,
MHA, RN
Director of Nursing
Angela Wale, MSN, RN
Director of Nursing
Mark Weaver, RN
Director, Surgery Center
at MVHS
Mary Johnson, BS, RT,
CRA
Director, Medical
Imaging
Ric McAllister, MSW,
ACSW
Director of Behavioral
Services
page 25
Nurses Achieving ACE Clinical Ladder Recognition
Miami Valley Hospital congratulates the 557 registered nurses who achieved Advancing
Clinical Excellence (ACE) status in 2010-2011. ACE is Premier Health Partners’ clinical ladder
program recognizing nurses who voluntarily demonstrate a higher level of clinical practice.
Level 2
Linu Ajai
Maki Amemiya
Veronica Armstrong
Antoinette Ashland
Rachel Baggett
Emily Baker
Amanda Baranyi
Audrey Bateman
Melissa Bergman
Lynne Blackwell
Terri Blanton
Amanda Bowsman
Gail Brate
Delores Brestelli
Noel Briones
Jana Brusca
Sheila Callicoat
Anna Carr
Emily Cook
Kathleen Cook
Ryan Cox
Jessica Curran
Kimberly Dano
Rachel Darby
Kimberly Dill
Vanessa Dixon
Karen Drerup
Lori Edgington
Deborah Edwards
Rhonda Erbes
Christine Fetzer
Amanda Fines
Glenna Florence
Christine Frisby
Nadia Futoryansky
Lindsay George
Andrea Gildow
Kim Gilley
Debbie Gillum
Kelly Green
Jenna Grigsby
Chrystie Hall
Angela Hanna
Cheree Harding
Emily Harker
Kristina Harrison
Jamie Harrod
Theresa Hepfinger
Melissa Hess
Stephanie Holland
Vanessa Holley
Vickie Hollo
Kellye Jackson
Deborah Jenkins
Lyndsey Johns
Audra Johnson
Heidi Johnston
Dianna Jolly
Lindsey Jones
Sarah Kahlig
Melanie Kautz
Shelly Kersey
Megan Kramer
Angela Lawrence
Rachel Lawrence
Jessica Ledford
Laura Leighninger
Judy Little
Stacy Logan
Melissa Lokai
Brian Louallen
Jenna Luebke
Eva Magnuson
Sara Marker
Deborah Marr
Holly Martin
Therese Martin
Gayl Marvin
Christine Messer
Julia Michel
Tristin Minton
Lauren Miyamasu
Carey Monnin
Holly Moore
Melissa Murphy
Krista Nessler
Cecilia Njie
Dewana O’Diam
Janice Officer
Stefanie Parry
Ginger Phelps
Kimberly Porter
Mary Prichard
Jeanne Puthoff
Janette Radford
Kristine Reynolds
Janet Ricketts
Rachel Risner
Christina Roadruck
Toni Routson
Lisa Saul-Creger
Emily Schmitz
Lisa Scott
Tammy Sharp
Martha Sheldrick
Katie Shoemaker
Angel Shumaker
Kathleen Sizemore
Erin Smith
Barbara Sowders
Mark Strutt
Jacqueline Sun
Allison Tayloe
Dale Tester
Jessica Threnhauser
Sheena Thurmond
Sondra Townsend
Julie Trott
Anna Underwood
Angela Via
Bethany Wagner
Brendan Weigand
Jessica Welch
Leticia Wells
Ashleigh Wheeler
Rebecca Wilder
Trisha Zwick
Level 3
Mary Adams
Esther Akerele
Angela Alderman
Ashley Ampleford
Karen Andersen
Ma Pearly Pie Munoz Apiado
Erin Archer
Libby Avery
Linda Bader
Deborah Bales
Melissa Barnett
page 26
Candace Bauer
Laura Bednarczyk
Dena Bell
Elissa Bell
Christine Bennett
Sara Bertke
Colleen Bevins
Christi Bilinski
Lynne Bingham
Janelle Birdsall
Donna Blackwell
Nina Blair
Lisa Bolton
Kathy Bossong
Lindsey Boyer
Shelley Brant
Melissa Bresher
Sophia Briley
Jaclyn Briones
Colleen Brown
Amy Bulcher
Cynthia Burt
Charlotte Cantrell
Kellie Carabell
Karen Carter
Balinda Cash
Katherine Chipley
Cherie Clark
Debra Clary
Barbara Collins
Carlisa Combs
Amber Conley
Tamela Conley
Kim Conway
Carole Cornwell
Jacquelyn Cox
Linda Cox
Heather Cramblett
Nancy Craycraft
Cheryl Credit
Gina Cullom
Brandon Daum
Beverly Davis
Mary Deis
Brooke Deister
Maria Delgado
Diane Dempsey
Deborah Diehl
Holly Dixon
Ginger Domer
Daisy Dronen
Kristen Duff
Anastasia Dugan
Lisa Dunn
Delinda Eaton
Amy Ehlinger
Frances Ellerbrock
Debora Emmons
Jennifer Evans
Angela Fields
Holly Fiora
Jonathan Fiora
Joe Floyd
Denise Flucas
Amanda Friedlander
Jennifer Friesinger
Teresa Frisch
Cynthia Frontz
Donna Fugate
Lorraine Gardner
Patricia Gay
Mary Gaytko
Heather Geglein
Shiny George
Michelle Gilbert
Donna Gisewite
Amanda Glosette
Nancy Golden
Tina Golden
Lynn Gordon
Janell Green
Connie Griffin
Carol Griffith
Karen Griffith
Carissa Haines
Renee Haines
Barbara Hairston
Amanda Hallahan
Kimberley Halsey
Meghan Halsey
Cheryl Hamilton
Carrie Hamrock
Amy Haney
Linda Harbaugh
Brooke Harris
Dawn Hartman
Vicki Hathaway
Cynthia Hayden
Amy Hayes
Lisa Hayes
Kimberly Hedrick
Nicole Heiny
Casey Henderson
Kim Hentrick
Emily Herkins
Holly Herman
Christian Hess
Roxanne Hiatt
Lindsey Highley
Susan Hoff
Stacy Hoover
Stephen Hough
Alisha Howell
Monica Hudson
Janet Hunt
Aamie Inskeep
Jefferleif Jabola
Kami Jackson
Deborah Jessup
Alicia Jobe
Carol Johnson
Deana Johnson
Denise Johnson
Lisa Johnson
Gwen Jones
Stephanie Jones
Gayle Jordan
Debra Kash
Nicole Kearns
Amy Kerr
Lori Kessler
Emily King
John King
Gina Kiser
Anna Knisley-Houser
Jennifer Kriegbaum
Melissa Kulow
Stella Lanter
Julie Layton
Marnina Leal
Kelly Leopold
Katina Levell
Leah Levier
Paulette Leyrer
Patricia Lindner
Isi Litfin
Jamie Long
Sandee Long
Linda Longo
Mary MacPherson
Michelle Mannix
Jody Manzo
Rebecca Marcum
Sharon Marshall
Patricia Matheney
Mildred Mathews
Roshini Mathews
Leeba Matthew
Cindy Mays
Colleen McCoart
Tammy McCrabb
Valerie McGinnis
Susan McIntosh
Beth McKeever
Lee Ann McLaughlin
Katherine McNicholl
Michelle Meade
Trina Melzoni
Scott Middleton
Susan Mielke
Annette Miller
Theresa Miller
Gloria Mills
Daylene Mize
Allison Moon
Linda Moorman
Tracy Morrison
Valisha Moss
Carol Mousa
Sharon Murray
Emily Neal
Stacey Nisonger
Jessica Oakley
Shannon Oberding
Sheila Oberer
Meghan Olinger
Oluremi Oriowo
Connie Ortiz
Lonnie Osborne
Jane Palazotto-Crisler
Sandra Panstingel
Karen Pearson
Ashley Peczkowski
Tammie Perkins
Stacey Phillips
Wanda Piper
Linda Puckett
Michelle Purdy
Rhonda Qasem
Janet Rafferty
Rachel Ramey
Linda Raterman
Judith Ray
Jon Reichman
Alyse Reineke
Kristie Reis
Elizabeth Reyes
Katherine Rickard
Elizabeth Rike
Sharon Rittinger
Leslie Roberts
Angela Robinson
Beth Rogers
Annette Ruckrigl
Connie Rutherford
Amy Salyer
Gregory Sanchez
Colleen Sanford
Debra Schaeffer
Amy Schommer
Christine Scites
Diana Scott
Angela Sebald
Nancy Shaffer
Marti Shapiro
Angela Sheline
Cheryl Shimovetz
Karen Shoopman
Gregory Short
Gayle Shover
Ruthann Simms
Jacqueline Simpson
Lynn Skowronski
Angela Smith
Erica Smith
Holly Smith
Nicole Snell
Janet Snyder
Kelly South
Kendra Speltz
Jeanette Sprouse
Tiffany Storey
Debra Stull
Karen Stumpf
Barbara Suddith
Danielle Sundermeyer
Kathleen Tabisz
Jonathan Taylor
Tammy Temple
Regina Templonuevo
Jason Thompson
Jennifer Thompson
Virginia Thompson
Jacqueline ThompsonCornett
Rebekah Thurston
Dusti Toman
Stephanie Tortorici
Emily Tracy
Cheryl Trick
Carrie Trimborn
Stephanie Triplett
Mandi Turpin
Connie Tyree
Carol Tyson
Lynn Upp
Donna Valentine
Mary Vandagriff
Nicole Veletean
Amanda Via
page 27
Jane Von Dohre
Rhonda Voskuhl
Rebecca Waggoner
Amber Wagner
Maureen Walker
Elizabeth Wallace
Erika Warner
Michelle Warren
Dana Webb
Shannon Webb
Renee Weller
Sue Werline
Judy Wickline
Jamie Wiley
Nicole Wilhelm
Dawn Williams
Vickie Williams
Erica Willson
Judith Wilson
Kelly Winship
Melissa Winterquist
Julie Wooddell
Holly Woods
Katherine Wright
Rachel Yockey
Yuh-Yun Yu
Lynn Zack
Kellye Zehring
Erika Zimpfer
Level 4
Brenda Allard
Cynthia Anderson
Robin Arthur
Catherine Bailey
Michelle Baldwin
Pamela Bartlett
Lynda Beck
Lorraine Bellan
Carrie Bellnoski
Megan Bettag
Ramona Bittner
Theresa Blake
Robin Bliss
Donna Bova
Mary Ann Brandell
Janette Braun
Sue Bush
Barbara Campbell
Delena Caughenbaugh
Patricia Chambers
Laurie Chowayou
Angela Cochran
Suzanne Collier
Deborah Connett
Karen Crabtree
Rosemary Critchley
Victoria Dean
Suzanne Deis
Pamela Denniston
page 28
Annie Dsouza
Vickie Edmonds
Joan Everson
Pamela Fecher
Diane Feeser
Donna Fisher
Emily Fox
Cheryl Gerber
Janice Gordon
Carolyn Gray
Maria Greene
Anessa Greenwell
Tracy Greenwell
Jessie Grubb
Melissa Gundolf
Paul Gyorgyfi
Sheri Hall
Jan Hankins
Linda Hargrove
Diana Hatton
Martha Heaton
Patricia Howard
Marilyn Huffman
Pamela Hume
Nicole Jefferis
Gail Jeffery
Amanda Jones
Angela Kelly
Nancy Kessinger
Sharen Kirkland
Michelle Knoor
Cara Koesters
Barbara Kohn
Leah Krickenbarger
Bonnie Lambert
Donetta Leach
Deb Lechner
Thelma Lee
Sandra Lunsford
Krissy Macke
Mary Masekar
Robyn McMorrine
Peggy McNamee
Vida McQuiston
Pamela Miller
Monica Mirrow
Cary Mohr
Sheryl Mohr
Neeta Monteiro
Michelle Nissen
Debbie Nordstrom
Elizabeth Obermeyer
Patricia Okolish
Terri O’Leary
Theresa Petrosino
Jennifer Phelps
Melanie Phipps
Edith Porter
Angela Ream
Anne Richardson
Heather Robinson
Margaret Roche
Marcia Roemer
Kristina Rudd
Shannon Schaeder
Patricia Schairbaum
Cynthia Schneider
Jennifer Schueler
Jennifer Spalding
Sandra Stegman
Ellen Strome
Patricia Stumpff
Darla Subler
Bonnie Thacker
Karen Trapani
Eileen Vagedes
Belinda Vallo
Amber Vandenbos
Vikki Wagner
Deborah Warniment
Kim Weber
Kimberly Weisenberger
Angela Westbeld
Carolyn Wheeler
Susan White
Julie Whitis
Marcia Williams
Judith Worley
Elisabeth Zimmerman
Nurses with Advanced Certification
Miami Valley Hospital patients benefit from the 490 registered nurses who hold professional
certification in one or more areas of expertise. This listing includes all nurses who reported
their certification status through July 15, 2012.
Beka Abraham
Jai Abraham
Teresa Accuntius
Linda Adams
Bryan Agee
Michele Alberts
Brenda Allard
Cindy Anderson
Megan Anderson
Sarah Anousheh
Veronica Armstrong
Laura Atkinson
Travis Avery
Summer Babis
Rachel Baggett
Catherine Bailey
Teresa Baker
Michelle Baldwin
Kathleen Ballman-Parks
Cheryl Barker
Melissa Barnett
Pam Bartlett
Diane Batcher
Brian Bates
Bonnie Baumgartner-Zimmer
Elaine Beaver
Lynda Beck
Victoria Bell
Lorraine Bellan
Carrie Bellnoski
Deb Bentley
Sara Bertke
Zingela Besaw
Megan Bettag
Beverly Bias
Lynne Bingham
Ramona Bittner
Pam Black
Theresa Blake
Terri Blanton
Robin Bliss
Brenda Bodenmiller
Lora Bogan
Rhea Botschner
Donna Bova
Steven Bower
Steven Bower
Eric Bowers
Kelly Bradshaw
Cheryl Brainard
MaryAnn Brandell
Lisa Brennan
Anne Brower
Heather Brown
Holly Brown
Kelley Brown
Phyllis Brown
Carol Broyles
Annette Brumberg
Patti Brunett
Barbara Brush
Dawn Burger
Judith Burk
Sally Bussey
Kimberly Butana
Rachel Byelene
Mary Caldwell
Barbara Campbell
Charlotte Cantrell
Melissa Capps
Jamie Carman
Ellen Cato
Marie Chambers
Patricia Chambers
Dawn Chaney
Melissa Cho
Amy Clayton
Jossie Clouse
Angela Cochran
Brandi Cogdill
Marquetta Colbert
Theresa Coldiron
Carlisa Combs
Karen Combs
Clare Common
Nancy Conley
Katherine Conn
Deborah Connett
Becky Coons
Rosemary Coutinho
Jackie Cox
Michelle Crabtree
Cheryl Credit
Ann Crenshaw
Rosemary Critchley
Jill Crouch
Megan Crouse
Amy Crowe
Kathleen Crowe
Gail Crump
Mary Cure
Brenda Gauby Currie
Catherine DaGrossa
Brandon Daum
Gloria Davis
Victoria Dean
Suzanne Deis
Elizabeth Delaney
Sara DeLauro
Andra DeNise
Melissa Dennis
Porothea Dennis
Rebecca DeSerisy-Davis
Danielle Deski
Johnnie Dillinger
Michele Dinkledine
Roxanne DiSalvo
Jane Von Dohre
Ginger Domer
Cathy Donaldson
Gretchen Driscoll
Debbie Duff
Anastasia Dugan
Angela Dunigan
Rebecca Dwenger
Vickie Edmonds
Rhonda Erbes
Barbara Etter
Jane E Evans
Debbie Fagan
Pam Fecher
Jennifer Fecke
Diane Feeser
April Fender
Kathleen Fennig
Christy Fetzer
Alice Fields
Mary Fillios
Donna Fisher
Elizabeth Fitch
Stephanie Fitchpatrick
Sharon Flynn-Nelson
R.J. Francisco
Christine Frisby
Sue Fritz
Nadia Futoryansky
Madalyn Galloway
Sandi Galvan
Tiffany Gamble
Lorraine Gardner
Mary Gaytko
Amber Geiman
Helen George
Natasha Luster George
Cheryl Gerber
Jenifer Gerber
Julie Giffen
Michael Gilles
Amanda Glossette
Jayne Gmeiner
Sandy Goins
Tina Golden
Janice Gordon
Michelle Gragg
Carolyn Gray
Kelly Green
Tara Green
Maria Greene
Tracy Greenwell
Connie Griffin
Adria Grillo-Peck
Janet Grimberg
Theresa Groff
Jessie Grubb
Melissa Gundolf
Tammy Gustin
Paul Gyorgyfi
Donna Haerr
Carissa Haines
Catherine Hall
Chrystie Hall
Sheri Hall
Meghan Halsey
Jan Hankins
Linda Hargrove
Brooke Harris
Nastoshia Hart
Diana Hatton
Amy Hayes
Emily Hayes
Peggie Haywood
Martha Heaton
Kim Hedrick
Brenda Hemphill
Casey Henderson
Kim Hensley
Beth Heyse
April Hickey
Patricia Howard
Marilyn Huffman
Lisa Hughes
Pam Hume
Claudia Hurd
Daniel Hurley
Jefferleif Jabola
Debra Jefferies
Nicole Jefferis
Gail Jeffery
Jaime Jenkins
Cynthia Jennings
Debbie Jessup
Carol Johnson
Deana Johnson
Lisa Johnson
Mandy Johnson
Amanda Jones
Gwen Jones
Lindsey Jones
Amy Kacho
Amel Kaidi
Lisa Katz
Denise Keinow
Melissa Kerns
Amy Kerr
Nancy Kessinger
Lori Kessler
Diane Kimpel
Katie King
Tammy King
Melissa Kinnaird
Sharen Kirkland
Jana Kloecker
Faith Knick
Michelle Knorr
Cara Koesters
Barbara Kohn
page 29
Nurses with Advanced Certification
Rhonda Konicki
Heather Koster
Kara Kreill
Sara Krumlauf
Diana (Dede) Kruse
Cecilia Krusling
Ramona Langston
Elizabeth Larsen
Donetta Leach
Deb Lechner
Thelma Lee
Matthew Leeba
Melissa Lehmann
Sheila Leis
Anna Lelbecke
Anna Lepone
Patricia Ann Lindner
Janet Liston
June Litmer
Henryetta Lloyd
Sandy Lunsford
Krissy Macke
Holly Mallaney
Deborah Mals
Saranda Manning
Holly Martin
Gayle Marvin
Mary Masekar
Deborah Matosky
Alleda Maxwell
Cindy Mays
Susan McCappin
Elizabeth McIntosh
Susan McIntosh
Amy McKenna
Cheryl McKinney
Catherine McLaughlin
Peggy McNamee
Laura Meeker
Jennifer Melton
Susan Mescher
Crystal Meyer
Elena Mikalauskas
Adrian Miller
Carol Miller
Jamie Miller
Pamela Miller
Toni Miller
Monica Mirrow
Cary Mohr
Ralf Mohr
Dina Mokas
Neeta Monteiro
Sheila Moore
Susan Moran
Cherry Morris
Carol Mousa
Michael Moyer
Shahzad Mujeeb
Eddie Mulkey
Melissa Murray
Amanda Musser
Teresa Naas
Michelle Nissen
page 30
Deb Nordstrom
Nicole Norman
Keri Nunn-Ellison
Peggy Nutt
Elizabeth Obermeyer
Brooke O’Brien
Elizabeth Obringer
Shannon Ohl
Danielle Olding
Terri O’Leary
Patricia O’Malley
Sharon Orozco
Cheryl Osler
Kimbra Kahle Paden
Carolyn Palmer
Nisha Panday
Anita Patton
Tracy Payne
Tim Pennington
Rachel Perretta
Karen Persinger
Theresa Petrosino
Martha Petty
Louisa Phillips
Melanie Phipps
Lindsey Poling
Jeanne Ponziani
Edith Porter
Janet Prince
Lori Puca
Janet Rafferty
Yevetta Rainey
Cheri Rawe
Angela Ream
Tamela Rehm
Alyse Reineke
Darinda Reis
Joni Reser
Karin Revers
Anne Richardson
Anita Rike
Angela Robinson
Margaret Roche
Claire Rodehaver
Marcia Roemer
Jackie Roethlisberger
Keith Rooker
Sheryl Ross
Suzanne Rotzell
Kristina Rudd
Victoria Ryan
Greg Sanchez
Jean Sands
April Sappe
DeShay Scandrick
Patricia Schairbaum
Lisa Scherbauer
Marilyn Scheu
Cynthia Schneider
Heidi Schneider
Shannon Schraeder
Jennifer Schueler
Lee Schweiterman
Lori Sears
Angela Sebald
Teresa Seidenschmidt
Jan Semler
Christine Sexton
Margo Seyfang
Pam Shadley
Mary Shaw
Amy Shay
Katie Shoemaker
DeAnne Short
Jacqueline Simpson
Kathleen Sizemore
Andie Slivinski
Angie Smith
Carole Smith
Cheryl Smith
Cindy Smith
Penny Smith
Esther “Kaye” Snow
Kamie Snure
Iris Snyder
Janet Snyder
Laura Sorg
Megan Sortman
Lynn Sowders
Jennifer Spalding
Patricia Sparkman
Julie Spatz
Sandra Speck
Karen Sperry
Sandra Stegman
Denise Stewart
Darin Stoutenborough
Linda Strickland
Ellen Strome
Jesse Stroud
Mark Strutt
Darla Subler
Tonya Summe
Danielle Sundermeyer
Jan Suttmiller
Jaime Swallow
Sandra Swanson
Patti Sweeney
Elizabeth Tabor-Cruea
Allison Tayloe
Ann Taylor
Deloris Taylor
Hannah Taylor
Kimberly Temple
Regina Templonuevo
Sandra Tester
Bonnie Thacker
Nancy Thoma
Mary Thomas
Shelia Thomas
Ann Thompson
J.T. Thompson
Rebekah Thurston
Stephanie Tortorici
Kimberly Tracy
Karen Trapani
Lisa Trefz
Valerie Trick
Melissa Trimm
Stephanie Triplett
Timothy Troxell
Mandi Turpin
Eileen Vagedes
Catherine Vallandingham
Amber VandenBos
Anna Vaughn
Janette Vellicaria
Karen Vigeant
Heather Vocke
Ann Voge
Amber Wagner
Mary Ann Wagner
Vikki Wagner
Helen Wagoner
Cynthia Walker
Maureen Walker
Tari Walker
Elizabeth Wallace
Michelle Wallace
Donna Walls
Deborah Warniment
Kara Warren
Lisa Weaver
Kim Weber
Kimberly Weisenberger
Linda Welin
Ron Weneck
Lori Wenning
Sue Werline
Angie Westbeld
Kara Westerfield
Melissa Whisner
Susan White
Julie Whitis
Wendy Widerhold
Jamie Wiley
Marcia Williams
Robin Williams
Ryan Williams
Susan Wilson
Deborah Wise
Marie Wise
Marietta Wise
Patricia Wisecup
Amanda Wolfe
Chris Womack
Kathy Wood
Valerie Woodley
Holly Woods
Judith Worley
Vicki Wright
Lori Wulf
Rachel Yockey
Becky Young
Jill Young
Ye Zhou
Mallory Zilz
Elisabeth Zimmerman
Erika Zimpfer
Colette Zollars
Miami Valley Hospital...The Region’s Leader
Recognized as a leading health care resource in
the Dayton region, Miami Valley Hospital has
earned a reputation for excellence by offering
high quality services delivered by compassionate,
experienced health care professionals. Not only
does MVH rank in size among the nation’s top
hospitals, we were also named a Magnet®
hospital, a prestigious national recognition for
nursing excellence. Miami Valley Hospital
has a commitment to offer comprehensive,
life-saving care.
Miami Valley Hospital’s unique, regional
services include:
• The area’s only Level I Trauma Center
• CareFlight, the area’s only air
ambulance service
• The Regional Adult Burn Center for west
central Ohio
• Dayton’s first accredited primary
stroke center
• The area’s most experienced high-risk maternity
center and neonatal intensive care unit in the
same facility, serving 17 counties
• The Regional Chronic Kidney Dialysis and
Transplant Center
• The area’s largest center for heart
emergency care, offering life-saving
emergency angioplasty for heart attack
patients
• Dayton’s only Blood and Marrow
Transplant Unit
• The Rehabilitation Institute of Ohio is one
of the country’s largest and most
comprehensive rehabilitation programs
facilities based in a community hospital
Just the Facts — 2011
Staffed Beds ........................................................... 865
Medical Staff . .....................................................1,100
Employees ............................................................6,200
Admissions .......................................................38,519
Births ......................................................................4,812
ER Visits* . ........................................................ 123,980
Surgeries ............................................................21,408
* Includes main campus and Miami Valley
Hospital South
page 31
The Magnet Recognition Program® of the American Nurses Credentialing Center (ANCC)
recognizes health care organizations that demonstrate excellence in nursing practice and
adherence to national standards for the organization and delivery of nursing services.
Research shows that Magnet hospitals consistently outperform other facilities in recruiting
and retaining quality nurses.
M-EXT21438-7/12

Setting Our Course for Excellence . . . . . . . . . . . . . . . . . . . . . . Nursing

Transcription

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