NuRses at their BEST! NuRsiNg annual RepoRt 2014

Transcription

1 Nurses at their BEST! Nursing Annual Report 2014

2 She felt like you listened, and when you did that, she knew she wasn t just another number in healthcare. Kevin Jones, RN PERSON-CENTER CARE WELCOME ME RESPECT ME INCLUDE ME CONNECT ME PROTECT ME ENGAGE ME COMFORT ME She took the extra time to listen to the patient and let her vent her thoughts and feelings. Bridget Zimmer, RN

3 Contents Greetings from Our Vice President of Nursing 2 Lourdes Nursing Professional Practice Model 3 Structural Empowerment Lourdes Honored Nurses 4 Value Inspired Person (VIP) Award 7 Ozanam Award 7 Golden Stethoscope Award Nursing Essay Award 7 Lourdes Bright Lights 9 Nursing Committee Accomplishments 13 Advancing Education 16 Certification 17 Professional Nurse Advancement & Recognition Program 21 Additional Recognition 22 Exemplary Professional Practice 23 Unit-based Practice Council (UPC) Accomplishments 23 Transformational Leadership 28 Roles in the Community 28 Leadership Roles in Professional Organizations 31 Participation on Ascension Health Committees 32 Empirical Outcomes 33 Nursing Goals 33 Nursing Sensitive Quality Indicators 34 Patient Satisfaction: Net Loyalty Scores 34 New Knowledge, Innovations & Improvements 35 Ongoing Research 35 Completed Research 35 Nursing Research Day 35 Posters 36 Publications 43 Greetings from Our CNO 45

4 GREETINGS FROM OUR VICE PRESIDENT OF NURSING It is an honor to salute all Lourdes nurses for your creativity, compassion, and dedication to your patients, their families, and our community. Our journey on the road to nursing excellence continues to accelerate as we look forward to attaining our 3rd Magnet designation. Magnet nurses work tirelessly to ensure that exemplary patient care is provided. At Lourdes we recognize that direct care nurses are responsible for achieving quality patient outcomes such as reducing falls with injury, hospital acquired pressure ulcers, and central line blood stream infections, in addition to reducing or eliminating catheter associated urinary tract infections. Our work toward Magnet re-designation is a commitment to advancing the nursing profession at Lourdes. Each year we recognize nurses who have been nominated by their peers throughout the organization for their distinguished service and accomplishments related to leadership, research, clinical practice, and education. Four nursing peer committees are organized annually to review the nominations in each category and select the Lourdes Honored Nurses. The Honored Nurses are rewarded with fully paid attendance at the ANCC National Magnet Conference held in October each year. We celebrate these and other nurses at the annual Professional Nurse Advancement and Recognition Program dinner. All Lourdes nurses influence inter-professional collaboration, innovative nursing practice, and exemplary patient outcomes. Because of you, we can provide care to patients and their families that we can be proud of everyday, as we endeavor to keep our patients safe and free from harm. Warmest wishes, Debbie 2 Nursing Annual Report 2014

5 Around them are all the people from Lourdes and our community working tirelessly to find them a new home, together. Cherie Wooden, RN Lourdes Nursing Professional Practice Model What does professional nursing practice at Lourdes look like? In September 2013, 40 direct care nurses gathered at the Double Tree by Hilton in downtown Binghamton to review and evaluate our Professional Practice Model (PPM). All nurses agreed that the concepts remained pertinent, with the addition of communication, but the current model schematic was too complex and wordy. Six small groups brainstormed and three new schematics evolved. The group met again in October at Lourdes, reviewed the existing schematic and the three new ones, then by majority vote selected one of the new schematics. This choice was presented at the November 7, 2013 Nursing Professional Practice Council (NPPC) meeting and was approved by the clinical nurses who attended. The new schematic was sent to a graphic designer who provided two options with two color schemes each. These options were presented at the February 2014 NPPC meeting and the following schematic was selected by majority vote of the clinical nurses who attended that meeting. The core of our PPM schematic reflects our reason for being: patients, families and our community, based on our faith as designated by the cross embedded in the Lourdes logo. Key concepts in the schematic include the main elements of professional nursing practice: Clinical Practice, Education, Research, and Leadership. Four additional concepts reflect our core values and relationship-based care: Spirituality, Compassion, Service, and Communication. 3

6 Structural Empowerment Shared decision making is both a privilege and a responsibility. Lourdes nurses have a voice through taking advantage of opportunities to share their ideas and concerns in a variety of forums. They are empowered through formal recognition for their distinguished service and accomplishments; participation on nursing, hospital-wide and Ascension Health inter-professional committees; advancing their education; and achieving certification. Recognition of Nurses for Distinguished Service or Accomplishments 2014 Lourdes Honored Nurses This year, five registered nurses were recognized in the categories of Clinical Practice, Leadership, Education, and Research. CLINICAL PRACTICE Theresa Goodenough, RN, CWOCN The Clinical Practice category recognizes a registered nurse who demonstrates outstanding performance in direct patient care. The 2014 Honored Nurse for Clinical Practice is Theresa Goodenough, RN, CWOCN. Theresa is not only clinically exceptional, but also possesses the compassion and understanding to totally engage the patient and family in the management of their complex care. She is certified and is called upon on multiple occasions by providers and nursing staff to serve as a resource. She engages staff to achieve exemplary outcomes and mentors SUNY Broome and Binghamton University nursing students. Active in her community, Theresa is valued as a speaker and volunteer. 4 Nursing Annual Report 2014

7 Leadership The Leadership category recognizes a registered nurse who advocates strongly for nursing. This year, two nurses were honored as leaders. The 2014 Direct Care Honored Nurse for Leadership is Christen Waddell, MS, RN. Christen has quietly managed to remind the nurses of their voice. Based on input from colleagues, Christen Waddell, MS, RN she worked tirelessly to develop and implement an electronic schedule that is flexible enough to accommodate school schedules, family responsibilities, and nurses requests to work 12 hour or 8 hour shifts. She is always willing to help and the nurses respect her for her leadership and dedication to nursing. Christen s manner is gentle and kind, giving new nurses the confidence they need to begin a lifetime career of caring for others Nurse Leader Honored Nurse for Leadership is Sue Spink, RN-BC. Sue is an outstanding nurse whose vision, accountability, breadth and depth of understanding of systems and processes, and optimism enable associates to reach out to her regardless of the issue. She leads by example and has been instrumental in the successful implementation Sue Spink, RN-BC of projects that cut across multiple settings and disciplines. In addition, she has earned Lean Six Sigma green and black belts. Sue lives the mission and values of Lourdes because she is deeply grounded in her faith; is passionate about nursing; genuinely cares for patients and their families; and deeply cares for those with whom she works. develops educational programs and presents them based on learners needs, including one-on-one instruction as necessary. Jamie creates, reviews, and revises educational tools then uses a variety of media to disseminate this information throughout Lourdes for nurses and other associates. Always smiling, she humbly carries out the mission and vision of Lourdes. The Research/Evidence-based Practice category recognizes a registered nurse who has demonstrated commitment to nursing research and evidence-based practice. The 2014 Honored Nurse for Research/Evidence-based Practice is Elisabeth Evans, MSN, RN, ONC. Elisabeth embraces lifelong learning and completed a research project based on review of the literature and an idea that has important implications for nursing, osteoporosis risk factors and prevention behaviors. After completing her study, she presented her findings regionally and internally. Committed to improving health in the community, Elisabeth embraces evidence-based nursing practice as she engages patients and their families. Elisabeth Evans, MSN, RN, ONC The Education category recognizes a registered nurse who has made significant contributions to professional nursing education/continuing education or staff development. The 2014 Honored Nurse for Education is Jaymilee Mash, RN. Jamie possesses a unique ability to identify associates concerns through active listening and then helps them address and overcome obstacles. She Jaymilee Mash, RN Education structural Empowerment 5

8 2014 Lourdes Honored Nurse Nominees Clinical Practice Tayyebeh-nahid Borogerdi, MS, FNP-BC Susan Crawford, Colleen Gelatt, RN Caylynn Gilbert, RN RN, OCN Lisa Gorman, RN Danielle Harbst, RN Julianne Lowrie, RN, CAPA Mary Mancini, RN Paula McIntyre, RN Jan Townsend, RN, CEN Ann Weber, RN-BC Leadership Sara Beth Hickey, RN Julianne Lowrie, RN, CAPA Deborah Mican, MHA, BSN, RN, CNOR Rebecca Sherman-Quick, RN, CHPN, OCN 6 Nursing Annual Report 2014

9 Value Inspired Person (VIP) Award The VIP award recognizes associates who exemplify the mission and values of Lourdes: Service of the Poor, Reverence, Integrity, Wisdom, Creativity and Dedication. Nominated by her peers, Ruth Pulse, RN, was recognized in January 2014 as a Value Inspired Person. Education Ruth Pulse, RN Ozanam Award The Frederic Ozanam Annual Mission Award is presented to one associate who reflects the values of Blessed Frederic Ozanam and lives the mission and values of Lourdes every day. To be eligible for this award, an associate first must have received a Value Inspired Person (VIP) award. The 2014 recipient of the Ozanam Award is Susan Backo, RN. Melody Best, MS, RN, WHNP-BC Amie Wales, RN Susan Backo, RN Golden Stethoscope Award Certified members of the Allied Health Staff in good standing who exemplify quality service, professionalism, and teamwork may be nominated for the Allied Health Staff Golden Stethoscope Award. The 2014 recipient is Jonathan Briggs, MS, FNP-BC. Research/ Evidencebased Practice Colleen Cameron, MS, RN Jonathan Briggs, MS, FNP-BC Linda Stark, MSN, RN, ONC Cherie Wooden, RN 2014 Nursing Essay Award Annually, all nurses are invited to submit an essay that describes how their own professional practice, or the professional practice of a nurse colleague, resulted in a positive outcome for a patient or the patient s family. The essay is selected by a subcommittee of the Nursing Professional Practice Council. Kevin Jones, BS, RN, received the 2014 Nursing Essay Award. Kevin Jones, BS, RN structural Empowerment 7

10 Stopping the Revolving Door Kevin Jones In this day and age of technology, we as nurses are inundated with new processes and equipment every day. Many times within this setting, it is a given that training is provided and our patients are safe. But the story I experienced brought a unique prospective to the technology utilized throughout homecare, and other healthcare facilities. The ability to provide continuity of care and education to patients within the homecare system suffering from multiple co-morbidities has become ever more pertinent with increases in acute care re-hospitalizations and poor patient outcomes. Within Lourdes At Home, after experiencing such events, a Telehealth program was initiated. This provided a unique way to monitor patients who otherwise wouldn t have immediate follow-up in this rural community. Initially it was met by most patients with confusion, concern, and in some cases anger. Some reasoning, as evidenced by patient statements, revolved around a fear of something new or a concept of someone watching their every move. Most didn t want to have someone looking over their shoulder. Over time, the program grew and more patients started experiencing positive outcomes. One patient in particular stands out. This patient had spent the last 5 years in a revolving door of Congestive Heart Failure exacerbations and rehospitalizations. Having been with homecare for over 2 of those years it was recommended she become part of this program. She hated it in the beginning. The disdain for the monitoring was evident from the first time it was brought up in discussion to the very day it was installed in her home. As a nurse for over 5 years, I had learned to work with a variety of emotions and navigate through to find a common ground. For the first month, I monitored her vital signs through the use of this monitoring service. Every time I called her, she would answer with What did I do wrong now? After 30 days of this, I asked her what she thought my job was. She answered back in a sharp way, to babysit me, are you happy? Even though multiple nurses had instructed her in the purpose of the program, she was going to fight it. I asked her if I could meet her, so she could put a so called face with the voice she was hearing over the phone. She agreed begrudgingly. When I met her in person, it was an experience for us both. It showed me within seconds of my arrival there, my Telehealth system was the least of her worries. But it also showed her, that despite everything she was doing to push me away; there I was in her living room. We started to talk, and over the next 45 minutes our professional relationship had begun. She saw I wasn t babysitting her, but was actually on her side working with her to keep her healthy and break this chain of events which kept her returning to the hospital. Once the relationship was forged, I was able to get through with education; but also be a voice for her to her physician. She was motivated to make changes, involve her family, and was open to other services such as social work and financial counseling to help her and her family. She was able to remain out of the hospital for almost 1 year, of which her hospitalization was not related to her Congestive Heart Failure. Her only complaint when she was in the hospital for her stay was she couldn t have the communication with this monitor. The I will take the time to listen, for when I do, I will not only help others, but learn more about myself in the process. very monitor she hated in the beginning was now a tool that made her feel empowered. Empowered to control her own health outcomes. She eventually lost the battle with her Congestive Heart Failure. But when I was in her home removing the very monitor she despised, her spouse relayed to me his wife valued what I had done for her. I asked what that was. He responded, She felt like you listened, and when you did that, she knew she wasn t just another number in healthcare. The husband touched my heart that day. I have not forgotten about that patient because she taught me more about nursing than I gave her credit for. It is always about that one moment, that one patient, that one decision. I chose to meet her in person and not run the other way, but she chose to take a chance on me, and trust me. I will take the time to listen, for when I do, I will not only help others, but learn more about myself in the process. 8 Nursing Annual Report 2014

11 Lourdes Bright Lights The Lourdes Bright Lights program encourages visitors, patients and associates to recognize staff members, medical staff, and volunteers for their outstanding customer service displayed in simple acts of kindness that make someone s day brighter, easier or better. The following nurses are among the Lourdes associates who were recognized by co-workers, visitors or patients because of their willingness to go above and beyond their daily routine to help someone. They are listed by name and the department for which they were nominated. Lydia Adams, RN Barb Anderson, RN NSS Deborah Annunziata, RN OR Joan Antol, RN Care Management Gail Arcangeli, RN Care Management Rebecca Bacon, RN Afua Baidoo-Davis, RN 3 Medical Mary Beth Baird, RN WCS Kayla Baird, RN WCS Shahzaad Bamasi, RN Rhonda Barden, RN Rebecca Barrows, LPN Whitney Point Mary Bartholomay, RN PAT Sarah Batschelet, RN ICU Rita Bechtel, RN Care Management Alexandra Bechy, RN Seton 3 Erin Bell, RN 3 Medical Christopher Berg, RN Seton 2 Maria Berry, RN UFS Barbara Bilbrey, RN WCS Ann Binkiewicz, RN Riverside Surgical April Bobik, RN OR Nahid Borogerdi, RN WCS Avery Bourdeau, RN ICU Tiffany Brady, RN GI Lab Grace Breckenridge, RN WCS Jonathan Briggs, RN PCA-Endicott Lisa Bronson, RN Endocrinology Michele Bronson, RN ICU Heather Brown, RN Seton 1 Telemetry Christopher Bubny, RN Jamie Bullins, RN Cyndi Tedeschi LPN, Nancy McGowan RN and Kelly O Brien LPN Elizabeth Burger, RN 1 Medical Haley Burns, RN 1 Medical Karlie Burns, RN ICU Mary Buskirk, LPN LAH/Hospice Nicole Caram, RN 3 Medical Adrienne Caramore, RN Hospice Tiffanie Champang, RN ICU Patricia Chretien-Grant, RN 2 Ross Marj Cinti, RN OR Jim Clarke, RN Jude Clarke, RN Laura Cleveland, RN Glenn Collier, RN Seton 1 Telemetry Pamela Cooper, RN UFS Theresa Cornwell, RN WCS Cindy Davis, RN LAH Mark Davis, RN LAH Susie Decker, RN PCA-Robinson Mary Deraco, RN Ambulatory Infusion Lori Derrick, RN GI Lab Cheryl Dessell, RN GI Lab Rachel Devine, RN PCA-Southside Lois Diffendale, RN 3 Medical Christy Doing, RN Hospice structural Empowerment 9

12 Maureen Donahue, RN 1 Medical Aryn Doyle, RN 3 Medical Erin Duff, RN JC Family Practice Julie Dupee, RN Nicole Dziedzic, RN 1 Medical Andria Edwards-Smey, LPN PCA-Endicott Rochelle Eggleton, RN LAH Shirley Elliott, RN Ambulatory Infusion Lorrie Elmy, RN Seton 2 Vicki Emmett, LPN Riverside Surgical Ana Esclusa-Lopez, RN OR Deborah Eschenburg, RN 2 Ross Dan Esposito, RN PACU Elisabeth Evans, RN Seton 2 Jeanne Firpo, RN Mary Fitzgerald, RN 3 Medical Dan Fitzpatrick, RN Seton 2 Megan Fontaine, RN Susan Fuchs, RN ICU Nora Gaige, RN ICU Yelena Galkin, RN Seton 3 Danielle Gallo, RN ICU Michael Garlough, RN Clinical Learning Services Mary Ellen Gaudet, RN 3 Medical May Geiger, RN LAH Colleen Gelatt, RN Owego Rebecca Getchell, RN RSM Caylynn Gilbert, RN GI Lab Chelsey Gill, RN ICU Patricia Grant, RN 2 Ross Pauline Greenblott, RN WCS Alyson Griffiths, RN Danielle Gulick, RN CDU Carol Hastings, RN PACU Sandra Hayes, RN Whitney Point Tamara Hawley, RN OR Sarah Herrick, RN Barbara Hogan, RN RSM Lisa Howell, RN ASU Sue Huffcut, RN LAH Amber Infantino, RN OR Kevin Jones, RN OR Hebert Joseph, RN Seton 1 Telemetry Lisa Kane, RN Clinical Learning Services Melody Best, MSN, RN, WHNP-BC and Nicholas Best Diane Kashou, RN LAH Rachel Kimani, RN Heather Kirchheimer, RN 2 Ross Trichelle Kirchner, RN UFS Natalie Kisby, RN Seton 1 Telemetry Judy Kitchin, RN Clinical Learning Services Laura Kraemer, RN 2 Ross Patricia Kuruc, RN Seton 2 Linda Lake, RN Seton 1 Telemetry Shawn Lassila, RN Seton 2 Rachel Laufersweiler, RN Seton 1 Telemetry Jan Lee, RN Lourdes Pediatrics Alisha Lent, RN 3 Medical Sue Lewis, RN ICU Diana Lukasiewicz, RN 3 Medical Ingrid Little, RN Clin. Doc. 10 Nursing Annual Report 2014

13 Kristine Loomis, RN Ambulatory Infusion Sarah Lopilato, RN OR Katie Loveland, RN Julie Lowery, RN ASU Samantha Magistro, RN ICU Jason Mahler, RN Danielle Mahoney-Brown, RN ASU Sergii Maistruk, RN Seton 3 Irina Makosiy, RN 3 Medical Mary Mancini, RN Oncology Sharon Marku-Shaw, RN 3 Medical Melissa Martin, RN PAT Heather Massey, LPN PCA-Endicott Christopher Matthews, RN Lisa Maus, RN OR Patricia McCabe, RN Ambulatory Infusion Judy McCartney, RN Ambulatory Infusion Cynthia McDonald, RN Seton 3 Mary McGovern, RN Clinical Learning Services Paula McIntyre, RN 3 Medical Christina McMurray, LPN Owego Juan Mendoza, RN 3 Medical Glenn Miga, RN ICU Megan Mohr, RN Seton 1 Telemetry Barbara Morrissey, RN Ambulatory Infusion Alycia Mullins, RN 3 Medical Meaghan Murphy, RN Seton 1 Telemetry Penny Murrer, LPN UFS Kelly Murtha, RN Riverside Surgical Sister Hermenegilde Naluyima, RN Palliative Care Nelya Nevtukh, RN Seton 3 Tracy Niles, RN Seton 3 Jessica Palmer, RN WCS Wendy Paoletti, RN Ambulatory Infusion Luann Parkhurst, LPN Hospice Sharon Pearce, RN Sue Pearce, RN PAT Joann Peterson, RN OR Cheryl Petitte, RN Seton 2 Stefanie Phillips, RN 3 Medical Karen Policare, RN OR Thomas Poluka, RN Seton 1 Telemetry Brianna Pompey, RN WCS Becky Quick, RN OR Shari Reed, LPN Whitney Point Craig Reese, RN CDU Leslie Regan, RN Martha Reid, RN Alice Reilly, RN RSM Kathy Rinde, RN GI Lab Kersten Robbins, RN OR Laura Robbins, RN Seton 2 Patricia Robins, RN PCA-Robinson Marissa Roe, RN Seton 2 Karen Roeske, RN WCS Roxanne Roma, RN 2 Ross Lisa Rossi, RN Wound Care Leo Rowan, LPN Rudy Rozboril, RN OR Colleen Ruddy, RN Kimberly Schmitkons, RN PCA-Endicott Nicole Schneider, RN Ambulatory Infusion Lois Shaffer, RN Care Management Rebecca Sherman-Quick, RN Ambulatory Infusion Jackie Shipose, RN ASU Sara Beth Hickey, RN, BSN and Cherie Wooden, RN structural Empowerment 11

14 Lourdes Honored Nurses with Linda Miller, Cheryl Orzel-Teris and Debbie Mican. Gretchen Shortsleeve, RN WCS Amy Shumsky, RN ICU Kyle Slavetskas, RN OR Laura Smith, RN Endocrinology Patricia Smith, RN PAT Brad Sobon, RN Careef Solomon, RN OR Danielle Spalik, RN ICU Margie Stackhouse, RN Care Management Linda Stark, RN DI Louisa Starley, RN OR Sandra Stoeckel, RN ASU Jo Straneva, RN Breast Care Center Tiffany Strohl, RN WCS Heidi Sura, RN OR Kelly Swartz, RN Kathleen Talbot, RN 1 Medical Kristen Tarbox, RN Leann Terpstra, RN 1 Medical Amy Thomas, RN WCS Michelle Thornton, RN Care Management Lisa Tierno, RN Breast Care Center Amanda Tomlinson, RN Aisling Toolan, RN Lori Travers, RN Care Management Linda Tuyn, RN Breast Care Center Carmen VanDunk, RN 1 Medical Daisy Vembenil, RN Seton 1 Telemetry Lynn Verduin, RN Richford Christina Versace, RN Seton 3 Elizabeth Viafore, RN Seton 1 Telemetry April Vining, RN ASU Michele Vivyan, RN Seton 1 Telemetry Christen Waddell, RN Seton 1 Telemetry Jeanne Wager, RN Hospice Catherine Walburger, RN PACU Heather Waugh, RN WCS Emily Way, RN 3 Medical William Weber, RN Corazon Webster, RN 3 Medical Clorissa Weidow, RN LAH Betsy Welch, RN ICU Courtney Wendelewski, RN 3 Medical Carla Williams-Drake, RN Seton 1 Telemetry Cherie Wooden, RN Hospice Jennifer Wright, RN WCS Ying Fang Zhao, RN Seton 1 Telemetry 12 Nursing Annual Report 2014

15 Nursing Committee Accomplishments Nurse Executive Committee Chair Linda Miller, DNP, RN, NEA-BC Established and monitored the 2014 Nursing Goals. Monitored Evidence-based Practice/Research activities. Reviewed/revised/approved policies and topics related to nursing professional practice. Approved Lourdes participation in the ANCC Success Pays certification program which eliminates the need for nurses to pay up front to take ANCC certification exams. The hospital pays the fee. Approved required continuing education for clinical nurses. Approved the initiative and education regarding changing the color of patient alert bands to standardized colors used throughout the United States. Nursing Professional Practice Council Chair Carol Hastings, RN, CPAN ; Co-chair Nicole Dziedzic, RN Approved a protocol for nurses to obtain appropriate stool specimens and send to the Lab for C. difficile toxin analysis without having to obtain an order from the provider. Approved the recommendation for mandatory Zosyn education. Approved four recommendations/changes to the Shared Leadership/Nursing Committee Process. Provided the final vote for the new Nursing Professional Practice Model schematic. Selected the topic for the annual on-site Advisory Board Company presentation (Enhancing the Patient Experience). Approved the proposal to change the color of patient alert bands to standardized colors used throughout the United States. Advanced Practice Nurse Council Co-chair Cathy Slocum, FNP-BC, WCC ; Co-chair Marita Florini, DNP, FNP-BC Implemented a Graduate Nurse Practitioner (NP) Fellowship Program to facilitate the transition of NPs into the work environment. Welcomed John Welch, DO, Medical Director of the NP Fellowship Program and collaborating physician for float NPs. At the November 2013 APN Council meeting, hosted Joyce Ferrario, PhD, RN, Dean, and Nicole Rouhana, PhD, CNM, FNP-BC, Director of the Graduate Nursing Program, Decker School of Nursing, Binghamton University who discussed Acute Care NP Programs. At the quarterly meetings, Doreen Aleccia, FNP-BC, provided updates from the Credentials Committee. Clinical Standards and Documentation Committee Chair Michael Butts, RN; Co-chair Shauna Weingartner, RN Reviewed and approved several policies and procedures in addition to the committee s section of the Nursing Bylaws. Established organizational criteria for conducting and documenting discharge assessments. Created a link from computer devices to MedLine Plus.Gov to facilitate access to evidenced-based information. Revised configurations in PowerChart to reduce data loading time. Diabetes Resource Nurse Committee Chair Mary Berube, RN, CDE Provided educational opportunities to Lourdes nursing associates on topics including hypoglycemia, glucagon administration, Bydureon administration, the V-Go insulin delivery device, insulin pen administration, diabetic foot care, and the newly developed RN alert tool designed to assist with communication of inpatient diabetes self-management education (DSME) and appropriate documentation of DSME. Disseminated information to Lourdes nursing associates on a variety of topics including current American Diabetes Association Clinical Practice Recommendations, glycemic management policy revisions, electronic charting updates (PCPC, Patient Education by Date, POC high BG alert), new Lourdes patient education handouts (gestational diabetes, diabetic ketoacidosis), GlucoStabilizer review and troubleshooting, medication updates, and educational resources and opportunities for patients and associates. Participated in the annual Lourdes Diabetes Center Current Trends in Diabetes Management symposium at which 45 Lourdes nursing associates, medical staff members and structural Empowerment 13

16 nursing students received free ANCC-approved Continuing Education hours. Magnet Committee Chair Rebecca Sherman-Quick, RN, CHPN, OCN ; Co-Chair Laura Cleveland, RN, CEN Celebrated newly designated and re-designated Magnet hospitals each month. Implemented an action plan to increase participation in the October 2013 RN Satisfaction Survey, including distribution of a Frequently Asked Questions sheet. Reviewed the overall 2013 NDNQI RN Satisfaction electronic and paper survey results. Developed a plan to educate nurses about the new Nursing Professional Practice Model schematic. Initiated the Pay it Forward Tray to recognize departments for their contributions to the Magnet culture. Rebecca Sherman-Quick, CHPN, OCN purchased a wooden tray, and the Soaring to Excellence logo was engraved in the wood. Medication Management Committee Chair Sharon Landon, RN Reviewed/revised and approved policies related to medication management. Recommended policy and procedure revisions related to the Central Venous Access Device Flush Protocol. Approved the recommendation for staff to use special stickers to list the expiration date on Advantage IV bags. Approved adding the ISMP Consumer Med Safety webpage link to the Medication Safety Guide of the Patient Guide section on the Lourdes intranet. Monitored monthly updates on barcode medication administration and the LEAN/Six Sigma project related to Communication about Medications/Side Effects. Nursing Education Committee Chair Michelle Symons, RN-BC; Co-Chair Susan Lent, CRN Recommended and received approval for the following: Changing annual nursing reorientation requirement from month of hire to birth month, CPR/BLS requirement from annual to bi-annual, and required ANCC continuing education hours from 3 to 5. Revised the Nursing Staff Annual Competencies to meet Joint Commission recommendations and standards. Surveyed nursing leadership regarding their expectations of the Unit-based Educators and incorporated significant findings into the Nursing Bylaws for the Nursing Education Committee. Strongly supported recruitment of nurses for the ANCC Success Pays program for board certification, achieving the commitment of 26 nurses and exceeding the total number needed for Lourdes to contract with ANCC. Recommended/implemented Lourdes-wide nursing staff educational offerings. Nursing Quality Committee Chair Melissa Martin, RN Approved removing Standing Business agenda items that are discussed at other meetings to facilitate more productive and efficient meetings. Reviewed Value-Based Purchasing reports (e.g., Clinical Process of Care Domain Measures, Patient Experience [HCAHPS], and Excellus Measures). Reinforced the importance of providers authenticating verbal or telephone orders within 48 hours. Monitored blood transfusion documentation compliance each month. Reviewed quarterly nursing documentation reports. Used the Nursing Peer Review Case Rating Form as a guide to conduct nursing quality peer reviews and document committee decisions (clinical nurse vote) regarding concurrence with the review. Nursing Research Committee Chair Ann Weber, RN-BC; Co-chair Julann Ashman, RN, OCN Sponsored a successful 8th Annual Lourdes Nursing Research Day which included a poster session, 8 sessions with experts, and a Learning Lunch presentation. Maintained continuing education presentations at meetings. Incorporated into monthly meetings evidence-based presentations of topics suggested by committee members. Added Fun Research Facts educational presentations to committee meetings. 14 Nursing Annual Report 2014

17 Poster Session, Binghamton University Nursing Students: Joanna Cipot, Nicole Walter and Kirstie Kendall. Patient Care Services Policy and Procedure Committee Chair Amy Allen, RN, CEN ; Co-chair Ingrid Little, RN Facilitated creation of a link on the Nursing Intranet page, Quick Reference: Recent Changes to Patient Care Policies and Procedures, to notify nursing staff of pertinent changes. Included inter-professional staff on the committee. Retired redundant policies and reviewed/revised/approved numerous Patient Care Services policies. Patient Excellence Team Chair Patricia Kuruc, RN; Co-chair Nicole Dziedzic, RN Improved communication through committee members sharing their RN Satisfaction Action Plans. Initiated having a Wound Care/Ostomy nurse attend each meeting to provide skin assessment/pressure ulcer prevention tips. Added a representative from Food & Nutrition Services to the committee so any concerns from UPC chairs could be quickly addressed. Exchanged ideas about how to invigorate unit practice councils and communicate information at monthly meetings. Professional Nurse Advancement and Recognition Program (PNARP) Committee Chair Laura Smith, RN, BC-ADM, CDE; Co-Chair Gail Arcangeli, RN-BC Recognized nurses who earned board certification throughout the year. Sponsored the annual Professional Nurse Advancement and Recognition Program Dinner at Traditions at the Glen: 103 nurses successfully submitted PNARP portfolios; 43 nurses earned baccalaureate and advanced degrees; 25 nurses were nominated as honored nurses; 5 Nurses were selected as 2014 Lourdes Honored Nurses. Developed and implemented a PowerPoint self-study module and learner checklist to facilitate education about submitting a PNARP portfolio. Revised sections of the PNARP packet to reflect changes in the performance evaluation process. Facilitated highlighting different nursing committees in the Nursing Shadow Box on the Ground Floor to promote awareness of committee accomplishments. Participated in nursing recruitment and retention activities (e.g. Annual Graduate Nurse Recruitment Dinner). structural Empowerment 15

18 Advancing Education Lourdes associates are strongly encouraged and supported to advance their education to complete baccalaureate, masters and doctoral degrees. The following completed degree requirements in fiscal year Bachelor of Science, Nursing, Binghamton University Erin Paul, BS, RN Leslie Regan, BS, RN Nelya Yevtukh, BS, RN Bachelor of Science, SUNY Empire State College Jo Ann Moore, BS, Community and Human Services Careef Solomon, BSN, RN-BC Bachelor of Science, Nursing, Keuka College Betty Boarman, BS, RN April Bobik, BS, RN, CNOR Tiffany Brady, BS, RN Heidi Dieck, BS, RN, CCRN Megan Fontaine, BS, RN Barbara Hogan, BS, RN Stacey Hooper, BS, RN, CHPC Susan Lent, BS, RN, CRN Melissa Martin, BS, RN Brianna Pompey, BS, RNC-OB Stacie Schoch, BS, RN Gretchen Shortsleeve, BS, RN Louisa Starley, BS, RN, CNOR Charlene Vandermark, BS, RN-BC Heather Waugh, BS, RN Bachelor of Science, Nursing, Roberts Wesleyan College Jill Hardy-Hettig, BS, RN-BC Master of Science in Nursing, American Sentinel University Kara Hines, MSN, RN Karen Roeske, MSN, RNC-OB Master of Science, Nursing, Binghamton University Olga Alentyev, MS, RN Sergey Alentyev, MS, RN Melissa Bak, MS, RN Alexandra Bechy, MS, RN-BC Heather Brown, MS, RN Colleen Cameron, MS, RN Diana Carney, MS, RN Janine Ii, MS, RN Rachel Kimani, MS, RN Rachel Laufersweiler, MS, RN Kelly J. Swartz, MS, RN, CEN Jodi Villanti, MS, RN Christen Waddell, MS, RN Courtney Wendelewski, MS, RN Master of Science, Nursing, Keuka College Sarah Creery, MS, RN Cindy Felice-Glowacki, MS, RN Julie Richards, MS, RN, CCM Master of Science in Nursing, Mansfield University Elisabeth Evans, MSN, RN, ONC Linda Stark, MSN, RN, ONC Master of Science, Management, Spring Arbor University Toni Lehr, MS, RN, COHN-S, CCM Doctor of Nursing Practice, Binghamton University Marita Florini, DNP, FNP-BC Doctor of Philosophy, Walden University Diane Brooks, PhD Kristen Marsh, RN & Mary Jo Skiba, RN, CIC 16 Nursing Annual Report 2014

19 Certification Certification signifies achievement of a standard of excellence. Certified nurses are committed to lifelong learning, meet rigorous national standards, and are role models for professional accountability. For Fiscal Year 2014, 42.1% of all eligible nurses were board certified and 41.5% of eligible clinical nurses were board certified. AACNCC: Critical Care Nurse (CCRN ) Meredith Aaron Heidi Dieck Nora Gaige Susan Lewis Jason Mahler Evette Schulte Alison Small Dawn Stockberger Catherine Walburger AACNCC: Progressive Care Certified Nurse (PCCN ) Denise Cedeno Rodney Frost Marilyn Jordan Linda Lake Audrey Lawton Sung Min (Sophia) Park Michael Rano Carol Zander AANPCP: Family Nurse Practitioner (NP-C) Maria Berry; also BENA: Certified Emergency Nurse (CEN ) Tayyebeh-nahid Borogerdi Erin Duff; also NCC: Inpatient Obstetric Nursing Dalia Gearhart Arnice Jackson Trichelle Kirchner Erica Mash Brittany Waldron, MOA, Rachel Devine, RN, Jared Pado, RN and Davida Sulzynski, LPN Carly McKillop Jengi Reilly Kara Roberts Cherie Rossman Kimberly Schmitkons ABCGNA: Gastroenterology Nurse (CGRN ) Kathleen Rinde Bridget Zimmer ABOHN: Certified Occupational Health Nurse Specialist (COHN-S) Lois Jura Toni Lehr, also CCMC: Certified Case Manager ABPNC: Certified Ambulatory Peri-Anesthesia Nurse (CAPA ) Mary Ellen Epe Debra Garges Julianne Lowrie Danielle Mahoney-Brown Francine Naro Lise Soltis Patricia Wager ABPNC: Certified Peri-Anesthesia Nurse (CPAN ) Carol Hastings Carol Heikkila Sarah Shepard Leah Roberson ABTC: Certified Procurement Transplant Coordinator (CPTC) Michael Garlough AHNCB: Advanced Holistic Nurse (AHN-BC) Cathleen Taylen ANCC: Ambulatory Care Nursing (RN-BC) Kathaline Anthony Carmen Francavilla Jill Hardy-Hettig Susan Kopcik Janet Krcha Robin Mosher Jacqueline Pelicci Kelly Quick Sue Spink Elizabeth Tompkins structural Empowerment 17

20 Charlene Vandermark Ann Weber ANCC: Cardiac Vascular Nurse (RN-BC) Lynn Ahsmann Sarah Batschelet Michelle Symons ANCC: Gerontological Nurse (RN-BC) Rita Bergevin; WOCNCB: Also Wound, Ostomy Continence Nurse Pam Conrad Lois Diffendale Mary Fitzgerald Linda Thomas, also ANCC: Medical- Surgical Nurse ANCC: Medical-Surgical Registered Nurse (RN-BC) Diane Adams, also ANCC: Ambulatory Care Nurse Gail Arcangeli Alexandra Bechy Cheryl Griffith Susan Huffcut, also ANCC: Gerontological Nurse Svetlana Ilchishin Sheila Jennings Karen Lerwick Diana Lukasiewicz Christy McGraw Tracy Niles Sue Pearce Careef Solomon Carol Sopinski Tiffany Talbut April Vining-McDonald ANCC: Nurse Executive (NE-BC) Carol Curran Caryl Ann Mannino; also ONCC: Oncology Certified Nurse ANCC: Nurse Executive, Advanced (NEA-BC) Linda Miller Cheryl Orzel-Teris Colleen Gelatt, RN, BS ANCC: Nurse Practitioner Adult (ANP-BC) Sister Hermenegilde Naluyima Kathleen Olbrys Mary Shaller, also NBCHN: Certified Hospice & Palliative Care Nurse Jo Straneva ANCC: Nurse Practitioner Family (FNP-BC) Doreen Aleccia Teresa Antalek Brandy Benjamin Jonathan Briggs Erica Burkert Karen Cerinetti Eleanor Conroy Brett Dietzman Marita Florini Jeannette Hadwin Kay Hooper Doris Hughes, also ANCC: Nurse Practitioner Advanced Diabetes Management Linda Jowett Marjorie Langevin Samantha Lewis Lynne Miller Michelle Nulton Elizabeth Romeo Catherine Slocum; also NCCA: Wound Care Certified Kelly Storrs Michele Talerico Linda Tuyn 18 Nursing Annual Report 2014

21 Lynn Verduin, also School Nurse Karen Whelan Marlene Whitbeck ANCC: Nurse Practitioner Gerontological Maria Panlilio-Ortiz ASHRM: Certified Professional in Healthcare Risk Management (CPHRM) Celia Kane BENA: Certified Emergency Nurse (CEN ) Lydia Adams, also BCEN/PNCB: Certified Pediatric Emergency Nurse Amy Allen Joan Antol Daniel Babcock Shahzaad Bamasi Rita Bechtel Laura Cleveland Theresa Fleming Alyson Griffiths, also BCEN/PNCB: Certified Pediatric Emergency Nurse Bryon Hertzog, also RNCB: Certified Radiology Nurse Rachel Kimani Joseph Malenda W.E. Charlene Ng Sharon Pearce Regina Pufky, also ANCC: Medical- Surgical Nurse Martha Reid, also BCEN/PNCB: Certified Pediatric Emergency Nurse Sandra Stoeckel Kelly Swartz Mary Beth Tierney-Simmons Jan Townsend Rosanne West CBICE, Inc.: Certified in Infection Control (CIC ) Mary Jo Skiba CCI: Certified Nurse Operating Room (CNOR ) Ann Binkiewicz April Bobik Paula Doheny Jena Guthrie Renee Hausser Barbara Hocking, also AONE: Certified in Executive Nursing Practice; HQCB: Certified Professional in Healthcare Quality; ACHE: Certified Healthcare Executive Judy Kitchin Deborah Mican Kelly Murtha Jena Muserallo Joann Peterson Becky Quick R. Scott Ross Anna Ruegner Louisa Starley Heidi Sura CCMC: Certified Case Manager (CCM ) Deborah Blakeney Ann Dalton Julie Richards Lois Shaffer Margaret Stackhouse Maryellen Surace Lori Travers HQCB: Certified Professional in Health Care Quality (CPHQ) Jill Patak; also CBIC: Infection Control (CIC ) Mary Roney IBLCE: International Board Certified Lactation Consultant (IBCLC) Laura Walker, also NCC : Low Risk Newborn NBCHPN: Certified Hospice and Palliative Nurse (CHPN ) Maureen Donahue Mary Guilfoyle Stacey Hooper Emily Post Rebecca Sherman-Quick, also ONCC: Oncology Nurse Certified Susan Weingartner Alana Whitney NCBDE: Certified Diabetes Educator (CDE) Mary Berube Laura Smith, also ANCC: Advanced Diabetes Manager NCC: Inpatient Obstetric Nursing (RNC-OB) Barbara Bilbrey Stephanie Evans Dacia Freer Pauline Greenblott Cindy Osborne Suzanne Parsons Brianna Pompey Karen Roeske Tiffany Strohl Jennifer Wright NCC: Maternal Newborn Nursing (RNC-MNN) Tracy Miller; also AANPC: Family Nurse Practitioner Joyce Rhodes-Keefe Miriam Stoeckel Lisa Vroman NCC: Women s Health Care Nurse Practitioner (WHNP-BC) Melody Best OASIS Certificate and Competency Board, Inc. (COS-C) Rebecca Dorwart Nancy Eichler Deborah Palmer Susan Singer structural Empowerment 19

22 ONCB: Orthopedic Nurse Certified (ONC ) Patricia Bloodgood Lorrie Elmy Elisabeth Evans Tina Jayne Rudolph Rozboril Cynthia Sargent Karis Linda Stark Florence Wilson ONCC: Oncology Certified Nurse (OCN ) Julann Ashman Susan Crawford Alice Irons; also NBCHPN : Hospice & Palliative Care Nurse Joy Irons Christina Knezevich Patricia McElroy Elizabeth Norris Kathleen Talbot, also NBCHPN: Certified Hospice and Palliative Nurse ONCC: Certified Breast Care Nurse (CBCN ) Edwina Baxter Wendy Brennan Jo Ann Ernst; also ANCC: Nurse Practitioner Family Susan Nystrom-Wilcox PNCB: Certified Pediatric Nurse (CPN ) Deborah Eschenburg Heather Kirchheimer Laura Kraemer Susan Wilber RNCB: Certified Radiology Nurse (CRN) Sarah Dougherty Coralee Keefe Susan Lent WOCNCB: Certified Wound, Ostomy, Continence Nurse (CWOCN ) Karen Browne, also WOCNCB: Certified Foot Care Nurse Theresa Goodenough Certificates Julann Ashman Certificate of Added Qualification Radiation Therapy Nursing Lisa Darpino Life Guard Cindy Davis Anticoagulation Emily DeBrita Electronic Fetal Monitoring Carmen Francavilla Anticoagulation Kim Garey Certified Nurse Executive Pauline Greenblott Electronic Fetal Monitoring Stacie Hansen Anticoagulation Sara Beth Hickey Six Sigma Black Belt Susan Kopcik Anticoagulation Mary Mancini Patient Navigation Erica Mash Forensic Nurse Kathleen Olbrys Colposcopist Cindy Osborne Electronic Fetal Monitoring Jill Patak Six Sigma Black Belt Becky Quick Six Sigma Black Belt Kelly Quick MiniMed Paradigm REAL-Time Revel Insulin Pump Kimberly Slavetskas Anticoagulation Alison Small Electronic Fetal Monitoring Sue Spink Six Sigma Black Belt Doris Tigue Childbirth Educator Elizabeth Tompkins Anticoagulation Irina Yurkova Anticoagulation Courtney Wendelewski, MS, RN, Susan Crawford, BSN, OCN, and Paula McIntyre, RN 20 Nursing Annual Report 2014

23 Professional Nurse Advancement & Recognition Program The Professional Nurse Advancement and Recognition Program celebrates professional nurses distinguished service and accomplishments above and beyond their job expectations in one of four categories: Proficient, Experienced, Accomplished or Expert. RNs who submit their portfolios must have direct patient care responsibilities for 50% or greater of their scheduled shift/day. Proficient Dan Babcock Christopher Bubny Laura Cleveland Maureen Donahue Lorrie Elmy Mary Ellen Epe JoAnn Ernst Cindy Felice-Glowacki Debra Garges Pauline Greenblott Jill Hardy-Hettig Carol Hastings Carol Heikkila Laura Kraemer Audrey Lawton Fran Naro Michael Rano Leah Roberson Margaret Stackhouse Heidi Sura Maryellen Surace Michelle Symons Kathleen Talbot Lori Travers April Vining Ann Weber Karen Whalen Alana Whitney Florence Wilson Experienced Lydia Adams Amy Allen Kathaline Anthony Julann Ashman Rebecca Bacon Rita Bechtel Alexandra Bechy April Bobik Nahid Borogerdi Daniella Borrelli Erica Burkert Colleen Cameron Denise Cedeno Erin Duff Nora Gaige Yelena Galkin Caylynn Gilbert Jeanette Hadwin Renee Hausser Sara Beth Hickey Kara Roberts Kay Hooper Svetlana Ilchishin Joy Irons Coralee Keefe Sarah Lacey Marjorie Langevin Susan Lent Karen Lerwick Samantha Lewis Julie Lowrie Jesslinette Pagan, MOA and Amy Sisson, LPN Sergii Maistruk Stephanie Malchak Rachel Malmberg Melissa Martin Erica Mash Christy McGraw Jena Muserallo Christopher Newell W.E. Charlene Ng Jacqueline Pelicci Kelly Quick Kathleen Rinde Kim Schmitkons Stacie Schoch Rebecca Sherman-Quick Gretchen Shortsleeve Amy Shumsky Careef Solomon Carol Sopinski Miriam Stoeckel Tiffany Talbut Linda Thomas Elizabeth Tompkins Aisling Toolan Charlene Vandermark Jodi Villanti Catherine Walburger Amie Wales Laura Walker Heather Waugh Susan Wilber Cherie Wooden Bridget Zimmer Accomplished Elisabeth Evans Cheryl Griffiths Aubrey Guiton Susan Lewis Elizabeth Norris Lisa Vroman Expert Kathleen Olbrys Sueann Pearce Becky Quick Laura Smith structural Empowerment 21

24 Additional Recognition distinguished service / accomplishments Deborah Blakeney, MS, BSN, RN, CCM Rochelle Eggleton, MBA, BS, RN Kathleen Flanders, RN Marita Florini, DNP, FNP-BC Wayne Mitteer, MS, RN Cheryl Orzel-Teris, MS, RN, NEA-BC, FABC Karen Roeske, MSN, RNC-OB Susan Spink, RN-BC Deborah Blakeney, MS, BSN, RN, CCM 2014 Broome Leadership Institute Graduate Kathleen Flanders, RN, 2014 Award for 17 years of dedicated leadership, the Annual John Burns Teaching Day Rochelle Eggleton, MBA, BS, RN 2014 Certificate of Achievement for IS 800 Training in FEMA Emergency Preparedness Marita Florini, DNP, FNP-BC Binghamton University Faculty Award for Excellence as a Doctor of Nursing Practice Student Margaret Hust (not pictured) UHS Spirit of Caring Award; nominated by SUNY Broome nursing faculty; 5/21/14. Wayne Mitteer, MS, RN 2013 Advocate Award from the Mothers & Babies Perinatal Network Cheryl Orzel-Teris, MS, RN, NEA-BC, FABC 2013 Fellow, The Advisory Board Company Karen Roeske, MSN, RNC-OB International Institute for the Advancement of Medicine, Support of Donor Family Award; 6/24/14 Susan Spink, RN-BC; 2014 Professional Nurse Association of South Central New York Honored Nurse for Leadership 22 Nursing Annual Report 2014

25 Exemplary professional practice is achieved through interprofessional collaboration, quality monitoring and improvement, ensuring a culture of safety, integration of care delivery systems within the Professional Practice Model, autonomous nursing practice and workplace advocacy. At all levels, nurses analyze data and benchmark outcomes. Decisions that affect patient care, improve the work environment, and improve efficiency often are made by the Unit-based Practice Councils. Exemplary Professional Practice Unit-based Practice Council (UPC) Accomplishments 1 Medical Chair Nicole Dziedzic, RN Made tee shirts to promote staff unity. Staff really enjoyed the shirts and we have been asked to make sweatshirts. Created a task list to make sure that each part of our unit is being inspected and that we are not duplicating requests to the maintenance department. Reduced patient falls. A patient care technician makes fall bags which include ruby red slippers, a fall bracelet and signs for the wall. When a patient is at risk to fall, a nurse can grab the bag to save time rather than hunting and gathering all supplies needed. 2 West/Nursery Chair Theresa Cornwell, RN Proposed implementing Family Centered Recovery Care (recovering newborn with mother in the Recovery Room after uncomplicated C-section). Proposed 12 hour shifts during holidays to decrease total number of nurses needed. Requested cordless phone at the nurses station for ease of communication with physicians when nurses are working on center island lap tops. 3 Medical Chair Jessica Scarfone, RN Created Getting to Know You sheets to be used with forgetful or dementia patients. Designated a communication spot in break rooms for posting the Committee Corner and information from UPC meetings. Implemented Green Folders to be given to patients at the start of a shift with medication sheets and side effects of exemplary professional practice 23

26 medications on one side and a blank sheet on the other side to keep track of questions for the physician. Developed a list for dietary aids to communicate what they are expected to do. Recognized staff members with a Certificate of Appreciation; staff member is chosen by the UPC. Breast Care Center Chair Jo Straneva, DNS, ANP-BC Through interdisciplinary teamwork and support: Successfully completed the National Accreditation Program for Breast Centers. Implemented the electronic health record. Expanded the scope of advanced nursing practice within our unit by welcoming a master s prepared Nurse Practitioner specializing in women s health. To improve patient care, restructured our clinical staffing model of care to free nurses from performing non-nursing activities, changed the skill mix in the clinical arena, streamlined service delivery processes, and allowed greater opportunities for professional nurse development. Achieved 100% certification of nurses as Breast Care Specialists. Re-instituted patient satisfaction surveys. Gave patients following recovery from breast cancer surgery hand-crafted ceramic cups created by The Heart of NY Porcelain Artists Club as a memento. Cardiac Rehabilitation Chair Lynn Ahsmann, RN-BC Developed, revised, and implemented a new patient treatment plan. Submitted documentation for American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recertification. Developed AACVPR core competencies and initiated implementation. Received approval for Medicare coverage of CHF patient rehabilitation services. Care Management/Continuum of Care Chair Mary Lou Pellerin, LPN Implemented a communication board in the office. Changed the process for admission verification to eliminate paper orders. Initiated process to eliminate redundant paperwork. Julianne Lowrie, RN, CAPA and Lisa Gorman, RN Diagnostic Imaging Chair Sarah Dougherty, CRN Participated in compiling a medication information book for Special Procedures. Initiated the Buddy System for Special Procedures staffing as an outcome of a Lean Six Sigma project. Emergency Department Chair Martha Reid, RN, CEN, CPEN Spear-headed the initiative to change the color of patient alert bands to standardized colors used throughout the United States. Created a credentialing checklist and competency for triage RNs. Worked to promote the patient experience. Collaborated with Diagnostic Imaging and Information Technology to facilitate and improve communication from the about patients isolation status. GI Lab Chair Kathleen Rinde, CGRN Changed the pool policy to provide for late coverage to improve nurse satisfaction. Improved patient safety by monitoring patients longer in recovery and using gait belts during patient ambulation to reduce falls. 24 Nursing Annual Report 2014

27 Hospice & LTHHCP Chair Mary Guilfoyle, RN, CHPCN Arranged inservice by physical therapy staff from Lourdes At Home for all Hospice disciplines to focus on safe transfers, lifting and body mechanics. Provided two afternoon teaching sessions for Hospice RNs including admissions, nursing home care and care planning. Initiated cross training with Lourdes At Home staff to provide assistance with patient care visits. ICU Chair Caroline Fasanelli, RN Created a Welcome Package (clipboards, pens, pen lights, snacks, highlighters, etc.) for new graduate nurses to help them feel welcome and prepared for orientation to our unit. Implemented ICU/PCU cross-training of nurses to increase clinical skills and knowledge in addition to providing coverage when staffing issues arise. Implemented an associate of the month award to reward those on our unit who go above and beyond the call of duty. Created a nursing communication board in the break room. Initiated collaboration with the Vice President of Medical Affairs/CMO and hospitalists to improve communication among nurses, hospitalists, and intensivists. Lourdes At Home Chair Clorissa Weidow, RN Streamlined the process for giving report via secure message rather than in several different venues which was confusing and redundant, enabling all clinicians to have access to the report. Initiated a safety tip and buzzword board, to help make clients safer in their homes, which all clinicians can read while entering and exiting the building. This information is relayed via as reinforcement. Re-activated the ABCD Award (private parking space close to the office) in which one associate is elected by his/her peers for going above and beyond the call of duty for their clients. Started Awesome Associates for which there are several postings to acknowledge the great things that clinicians are doing for their clients and each other including bright light awards, positive customer comments and positive associate comments about their peers. Hosted forums during the year concerning hot topics which affect client and clinician satisfaction. During these forums all staff is invited to brainstorm possible solutions and help put interventions in place. Operating Room Chair Renee Hausser, RN, CNOR Implemented a new weekend call process trial. Developed a plan to relieve staff members from their rooms to attend Learning Lunches on a rotating basis. Offered assistance to each nurse for developing their PNARP portfolio. Pre-Admission Testing Chair Melissa Martin, RN Based on Lean Six Sigma recommendations, collaborated with the ASU Nurse Manager to implement Nurse Driven Protocols when orders are not received from physicians offices. Improved patient flow by having testing performed in a separate room. Developed a quick reference guide with screen shots for pool staff. Primary Care Network demarillac Chair Gene Werner, RN/Sharon Lewis, RN Collaborated to change the pre-assessment schedule based on changes implemented by providers. Studied whether the clinic should change its location by holding a clinic day in the proposed new location. Devised a process to facilitate completion of disability forms and insurance authorizations. depaul Pediatrics Chair Jeanette Hadwin, FNP-BC Completed set-up for on site rapid flu testing this fall. Rearranged our office to provide 4 new exam rooms to accommodate our new nurse practitioner. Set up a system to track time from check-in to provider entering exam room to enhance patient flow and satisfaction. exemplary professional practice 25

28 Dermatology Chair Lisa Hayes, RN Implemented use of a white board to designate assignments on a daily basis to aid in communication. Implemented an ordering process to alleviate overflow of supplies while ensuring supplies are not depleted. Created a flexible scheduling grid to help ensure proper coverage in the office and reduce staff overtime. Developed an education/communication board in the break room to ensure proper dissemination of information. Endocrinology Chair Aaron Smith, LPN Created two nursing teams to improve patient flow and provider satisfaction. The nursing staff within each team is responsible for managing patient flow within the team. Implemented Express Patient Checkout for patients who do not need diagnostic imaging or other services. Implemented an Electronic Medical Record. Hancock Chair Ann Weber, RN-BC Developed a tag system to flag charts of patients whose Transitional Care Management calls have been completed. This allows for providers to see at a glance which patients have gone through the process of Care Calls. Initiated daily huddles for all associates to touch base in the morning to coordinate specific duties. Due to patient volume, moved the medication room to another area of the clinic, thus allowing creation of a 6th examination room. Coordinated Community Health Month which included a 5K race for Fighting Melanoma One Mile at a Time. Participated in a Community Health Fair to promote wellness. Participated in Bowling and Golf Tournaments to promote fitness in the community. NTC-Richford Chair Peggy Petersen, LPN Implemented a daily 5 minute huddle to discuss any concerns or outstanding issues. Improved office communication. PCA Endicott Chair Elizabeth Broderick, RN Implemented a green initiative-terracycle; established collection bins for dairy tubs, writing instruments, toner and ink cartridges and snack bags. Sent out interoffice calendar monthly to recognize associate birthdays, meetings, holidays and special events. Created a communication board and book. PCA Robinson Street Chair Susie Decker, RN Achieved cost savings by implementing Local Medical Review Policy (LMRP) procedures. Implemented instant messaging communication, resulting in decreased overhead paging, fewer inter-office phone calls, and improved communication among other offices, staff and the Call Center. Changed fax machines which enabled monitoring of confirmation of faxed material to save time and reduce the need for re-faxing. Upper Front Street Chair Laura Tiffany, LPN Implemented informing patients about turn-around time for paperwork when it is dropped off at the office. Implemented a new procedure to ensure that specimens are labeled. Vestal Primary Care Family Medicine Chair Melissa Joyce, RN Implemented a process to ensure that physical therapy and ultrasound electronic orders are scheduled and not missed. Implemented a process for the Call Center to notify nursing when a nurse visit is requested so that the nurse can obtain necessary orders prior to patients coming in, and assigned one nurse to scan the scheduled list of nurse visits for the next day to be sure all orders are in place. Changed lunch assignment to provide for nurse coverage at all times. Vestal Primary Care Internal Medicine Chair Rachel Devine, RN Developed a plan to facilitate knowing with whom we can share information when a family member calls about a patient. 26 Nursing Annual Report 2014

29 Implemented Local Medical Review Policy (LMRP) procedures to ensure that patients with Medicare have a smooth experience and there are no delays. This has also been very successful in decreasing calls regarding failing codes. Planned and hosted an event to educate patients about the services of the Lourdes Coumadin Clinic. We offered refreshments, tours of the clinic at our site and gave out educational material. Whitney Point Chair Sandra Hayes, RN Continued team building by promoting Lourdes/Lourdes Whitney Point while engaging in community functions. Continued to foster communication by encouraging staff to ask for help when needed. Radiation Oncology Chair Julann Ashman, RN, OCN Implemented nurse medical record review for all new patients the day before they come in for consultation to ensure that the most current pathology report, physician s note and referral information are present. Based on a patient s suggestion, implemented dressing assistance by providing shoehorns in the men s changing rooms. Adopted Bonnie Box s to provide a gift to our cancer patients. The Box includes small gifts of chemotherapy hats, soft socks, doodle pads, snacks, and a stuffed animal for emotional and psychosocial support. Seton 1 Telemetry Chair Megan Bilek, RN/Christen Waddell, RN Restarted UPC and engaged more staff in unit affairs. Incorporated 12 hour shifts per staff request. Created welcome gifts for new staff. Started monthly staff get-togethers outside of work. Seton 2 Chair Patricia Kuruc, RN Developed and implemented a Technician Retraining program. Implemented RN/Technician light usage. When a patient activates the call bell system, the person answering the call can activate a light to indicate whether an RN or Technician is needed. The RN light is green and the Technician light is orange. A staff member must physically go into the room to shut off the light. If the light has not been shut off, the call bell rings again in 5 minutes. Seton 3 Chair Cynthia McDonald, RN Created a system to document the use of cardiac monitors, including when a patient is placed on a monitor and when the monitor is removed, to avoid loss. Developed and administered a questionnaire for patients to learn what could be done better to improve the patient experience. Created a laminated patient education tool regarding medication side effects which is placed on patients over-bed tables by Environmental Services when the room is cleaned. Volunteers help to ensure that each room has a tool. Cecelia Hardy, RN and Connie Vail LPN exemplary professional practice 27

30 Transformational Leadership Transformational leadership means leading individuals where they need to be. Nurses at all levels advocate for patients, families, and staff. Lourdes nurses are engaged in a variety of roles in the community and at local, district, state and national organizations. Their services are widely acknowledged. Service to the community is a high priority. Leadership Activities Roles in the Community Eve Allan Church School Vice President Barbara Anderson Parish Nurse Fran Anderson SUNY Broome Advisory Board; BOCES Health Occupations Advisory Board Beth Atkinson PTA Volunteer Daniel Babcock Firefighter/Paramedic Rebecca Bacon Crime Victims Assistance Center Victim Advocate Barbara Balaci Southern Tier Breast Feeding Coalition Edwina Baxter Vestal High School Marching Band Medical Chaperone; Volunteer for CPR/A care during church activities Rita Bechtel Parish Nurse; Danielle House Volunteer Cady Beckwith Paramedic Julie Bennett Blue Ridge Parent Counsel Member Rita Bergevin Eucharistic Minister Maria Berry REMAC; Susquehanna Regional Committee; SAFE Committee; Family Violence and Prevention Council; SART Team; Broome Country Child Advocacy Administration Committee; Binghamton University System Review Team; Mental Health/Community Response; Child Abuse Case Review Team Barbara Bilbrey New York State Certified Field Hockey Official Deborah Blakeney Broome County Aging Futures Partnership Megan Boeltz Volunteer EMT Andrea Bonnell Cub Scout Leader Tiffany Brady Hillcrest Fire Department Volunteer Jonathan Briggs Decker School of Nursing, Binghamton University, Dean s Advisory Council; Samaritan Counseling 28 Nursing Annual Report 2014

31 Kim Oakley, LPN, Melissa Joyce, RN and Beth Atkinson, LPN Center, Endicott, New York, Board Member; University Human Subjects Research Review Committee, Binghamton University; University Task Force on Teaching, Binghamton University Ellen Burns Broome County Health Dept. Mission Meltaway Facilitator; Parish Nurse; Binghamton University EAP Board, Danielle House Volunteer Stacie Buzzetti-Angrove SANE Committee Member Michael Butts 4-H Volunteer/Leader Carol Cantor Meals on Wheels Volunteer Stephanie Casimir Royal Rangers Troop 315 Den Leader Kasey Chobot Boy Scouts of America Adult Partner Marjorie Cinti Vestal School District Volunteer James Clarke American Red Cross Instructor Maureen Crook Blood pressure screening Volunteer at VFW and American Legion Helene Croucher Girl Scout Troop #47 Leader Carol Curran Greek Peak Adaptive Ski Program Volunteer Ann Dalton Church School Teacher Lisa Darpino Boy Scout Leader Mary Deraco Local grade school Volunteer Lori Derrick Greek Peak Adaptive Ski Program Volunteer Rochelle Eggleton Home Care Association of NYS Long- Term Home Health Care Program Co-chair; Home Care Association of NYS Home Care Workgroup Revision in the Episodic Pricing Methodology Mary Lynn Deus Eucharistic Minister Shirley Elliott Blood pressure screening Volunteer at Whitney Point Community Center Mary Ellen Epe Parish Nurse; Eucharistic Minister Elisabeth Evans Parish Nurse Katherine Foster New Life Ministries Volunteer Mary Ellen Gaudet Parish Nurse Mary Giblin Health Department Free Clinic Volunteer Terry Gillen Nursing Home Volunteer; Team Nurse for son s baseball team Theresa Goodenough Bible Camp Volunteer Jody Gould Sunday School Teacher Pauline Greenblott Central New York March of Dimes Volunteer; Vestal Youth Lacrosse Volunteer Jeannette Hadwin Family Enrichment Advisory Committee Stacie Hansen Red Cross Volunteer Karen Hart Greek Peak Adaptive Sports Program Volunteer Carol Heikkila Parish Nurse Sara Beth Hickey Greek Peak Skiing for the Disabled Volunteer Deborah Hicks Hospice Alliance Board of Directors; Southern Tier End of Life Coalition; Lourdes At Home Professional Advisory Board Kay Hooper Southern Tier Independence Center Mental Health Task Force, Special Interest Group APNs; Broome County Child Advocacy Center Medical Team Stacey Hooper Twin Orchards Baptist Church Vacation Bible School Nurse Margaret Hust Southern Tier Alternative Therapies Volunteer Janine II Crime Victims Assistance Center Volunteer Melissa Joyce Traci s Hope booth at Senators hockey game Cancer Awareness Night Volunteer Heather Kirchheimer New York State Optometric Association, Children s Vision Coalition Board Janet Krcha SUNY Broome MOA Program Advisory Board Doris Kuenzli Vestal Senior Center Volunteer Nancy Lainhart Faith in Action Volunteer Linda Lake American Heart Association Volunteer; Right to Life Volunteer; St. Mary s Church Volunteer Laurie Lane Humane Society Volunteer transformational leadership 29

32 Marjorie Langevin Broome Head Start Nutrition Advisory Committee Toni Lehr Broome Leadership Institute Alumni Board Samantha Lewis Broome County Child Advocacy Center Medical Team; Associate Minister, Salvation Temple Church Sharon Lewis Now I Lay Me Down to Sleep (NILMDTS) Program Participant Susan Lewis Therapeutic Riding Instructor for the Handicapped Katherine Loveland NYSAEMT; West Corners Fire Department Volunteer Firefighter Julianne Lowrie Parish Nurse Lisa Mack Parish Nurse Stephanie Malchak Paramedic; ACLS/AMLS/PEPP/ GEMS/PALS Instructor Joseph Malenda Parish Nurse; Volunteer Firefighter Caryl Ann Mannino National Leukemia & Lymphoma Society Volunteer Melissa Martin Cub scout chairman Heather Massey Arrowhead Bible Camp Volunteer Judy McCartney Vestal Fire Department Auxiliary Volunteer Scott McClain Maine-Endwell Little League Assistant Coach Nancy McGowan STAP Board of Directors Jaymilee Mash Community CPR and Defibrillation Instructor Katherine Medovich Rescue Mission Lourdes Advisory Board; ACT Meal Advisory Board; Mobilizing for Action through Planning and Partnership (MAPP) Advisory Council of Tioga County Health Department Scott McClain Assistant Coach Maine-Endwell Little League Linda Miller Decker School of Nursing Advisory Council Wayne Mitteer New York State Rural Health Council; New York State Perinatal Association Board Member Barbara Ann Morrissey Lung Cancer Awareness Group Founding Member Penny Murrer Harpursville Methodist Church Volunteer Kelly Murtha Parish Nurse; Girl Scout Leader Francine Naro Church Volunteer Deborah Nitto Mercy House Volunteer Michelle Nulton Pack 87 Boy Scout Den Leader Kim Oakley Church Volunteer Deborah O Brien Parish Nurse; Eucharistic Minister Kathleen Olbrys Healthy Living Partnership, Broome County Breast and Cervical Grant Program Member Jeannie Orzel Local fire company Volunteer Deborah Palmer Catholic School Board Member Jill Patak APIC Chapter 118 Board of Directors Sister Marilyn Perkins Southern Tier End of Life Coalition Chair; National Supportive Care Board Member; Catholic Charities Board Member Theresa Perna Parish Nurse Margaret Petersen Cholesterol Checks, September 2013 Potato Fest Emily Post Local high school track & field meet Volunteer Regina Pufky Parish Nurse Becky Quick Soup Kitchen Volunteer Kara Roberts EMT-B, Susquehanna Fire Department Patricia Robins Parish Nurse Marissa Roe Volunteer Firefighter; Volunteer EMT-Critical Care Tech Susan Roessner Parish Nurse; Broome County Catholic Charities Board Member Lisa Rossi Church Volunteer Leo Rowan Rescue Mission Volunteer Denise Wakula, RN and Cynthia French, MOA 30 Nursing Annual Report 2014

33 Laurie Saeman Parents Against Drug Dealers Volunteer Carlos Sanchez Army Reserves Nurse Nicole Shaffer Broome County Fair Blood Pressure Check Volunteer Jacqueline Shipose Boy Scout Troop 89 Adult Leader; Cub Scout Pack #90 Adult Leader Kyle Slatevskas Owego Fire Department Volunteer Firefighter Vicki Slavetskas Hospice Advisory Board Catherine Slocum Good Shepherd Communities Pharmacy Committee Aaron Smith Firefighter/Assistant Chief Laura Smith American Diabetes Association Volunteer Lise Soltis St. Mary s Kirkwood Teen Leader Susan Spink Faith in Action Volunteer Helen May Spohn Parish Nurse Kathleen Stephenson Southern Tier Earth Day Board Chair Dawn Stockberger RN Volunteer at church Sandra Stoeckel Chenango Fire Company Firefighter Kelly Storrs Girl Scout Leader Jo Straneva Southern Tier Cancer Services Program Consultant Josephine Sullivan St. John School Cafeteria Volunteer Carol Swartz Church Emergency Response Team Kelly Swartz SAFE Examiner Michelle Thornton Chenango Valley School District Volunteer Linda Tuyn Breast Care Center Cancer Support Group Facilitator Cindi Vankuren Union Center Fire Department Auxiliary Volunteer Lynn Verduin Northern Tioga Neighbors Network, Vice President; Newark Valley CSD Drug Advisory Committee; Networking Group for Neighbors Helping Neighbors Jodi Villanti Danielle House Volunteer Lisa Vroman Volunteer Medic Staff, Boy Scout National Jamboree, West Virginia, 7/13 Danielle Wagstaff End of Life Coalition Jamie Walker EMT Volunteer Laura Walker Southern Tier Breastfeeding Coalition member; Eucharistic Minister Ann Weber 2014 Hancock Central School Staff Development Day Volunteer William Weber First aid trainer for Schenevus Cub / Boy Scouts Corazon Webster St. Vincent s Blessed Sacrament Church Food Pantry Volunteer Rosanne West President and Assistant Commander - Silver Lake Volunteer Fire and Ambulance Amy Widdall Girl Scout Troop Leader Karen Worden Tioga County Emergency Preparedness Coalition Leadership Roles in Professional Organizations Participation in a professional nursing organization includes getting involved as an officer, serving on a board, actively working on a committee, or consistently attending meetings. The following nurses serve in leadership roles in their professional nursing organizations. Association for Professionals in Infection Control and Epidemiology (APIC) Jill Patak Treasurer Association of PeriOperative Registered Nurses (AORN) Judy Kitchin Committee Member Association of Women s Health, Obstetric and Neonatal Nurses (AWHONN) Pauline Greenblott Committee Chair Case Management Group of Upstate New York and Northeast Pennsylvania Deborah Blakeney Steering Committee Member Emergency Nurses Association Amy Allen President Martha Reid Past President Rosanne West Board Member Finger Lakes Association of Occupational Health Nurses Lois Jura Committee Chair Professional Nurses Association of South Central New York Marjorie Cinti Committee Chair Caryl Ann Mannino Committee Chair Wayne Mitteer Past President Debbie Mican Vice President Cheryl Orzel-Teris President Vickie Slavetskas Board Member transformational leadership 31

34 Kim Cook; Home Care Affinity Group Lisa Darpino; Patient Safety Advisory Council Rochelle Eggleton; Home Care Affinity Group Theresa Goodenough; Interdisciplinary Clinical Collaborative Debra Hicks; Home Care Affinity Group Caryl Ann Mannino; Cerner Clinical Program Advisory Council; Interdisciplinary Clinical Collaborative; Clinical Leadership Informatics Council Kathryn Medovich; Home Care Affinity Group Karen Roeske; Perinatal Safety Steering Committee Kelly Storrs; Population Health Subcommittee of the Clinical Integration Committee Jennifer Johnson, MSN Ed, RN, Bryon Hertzog, RN, CEN, CRN, Linda Stark, MSN, RN, ONC, and Susan Lent, BSN, RN, CRN International Lactation Consultant Association Laura Walker Committee Member NYS Nurse Practitioner Association Susquehanna Chapter Kathleen Olbrys Past President NYS PeriAnesthesia Nurses Association District 9 Carol Hastings Vice President NYS Southern Tier Chapter Oncology Nursing Society Caryl Ann Mannino Committee Chair Sigma Theta Tau, International, Zeta Iota Chapter Carol Curran Treasurer Judy Kitchin Committee Member Kathleen Olbrys Committee Member Participation on Ascension Health Committees As part of Ascension Health, the largest Catholic healthcare system in the United States, Lourdes nurses at all levels are dedicated to the Call to Action: Healthcare that works; healthcare that is safe; and healthcare that leaves no one behind, for life. Ascension Health Committees Melody Best; Lourdes/Borgess CareNet Team Catherine Comeno; Cerner Clinical Program Advisory Council; Clinical Leadership Informatics Council; Lourdes/ Borgess CareNet Team Ascension Health Hospital Engagement Network Partnership for Patients The Partnership for Patients is funded by the Centers for Medicare and Medicaid Services (CMS) Innovation Center. The purpose of this project is to help identify solutions already working to reduce healthcare acquired conditions, and to spread the solutions to other hospitals and healthcare providers. ( The following Lourdes nurses are engaged in the Ascension Health Partnership for Patients initiative: Mary Jane Allen-Boss Preventing Readmissions Champion Debbie Blakeney Preventing Readmissions Champion April Bobik Surgical Site Infection Champion Marjorie Cinti Surgical Site Infection Champion Susan Fuchs Injuries from Falls & Immobility Champion Nora Gaige CLABSI Champion Mary Ellen Gaudet VTE Champion Stacy Gehm Surgical Site Infection Content Expert Linda Lake CAUTI Champion Debbie Mican Hospital Engagement Network Leader Cheryl Orzel-Teris Pressure Ulcers Champion Jill Patak CLABSI Content Expert; VAP Content Expert Karen Roeske OB Adverse Events Champion Cathy Slocum Pressure Ulcers Content Expert Sue Spink Preventing Readmission Champion 32 Nursing Annual Report 2014

35 Empirical Outcomes Empirical Outcomes provide objective data that answer the questions, Did we make a difference? or Have we improved? Outcomes demonstrate areas of achievement and opportunities for improvement. Nursing Goals Figure 1. Baccalaureate or Higher Nursing Degree Lourdes nurses consistently outperformed the 2014 goal for achievement of a baccalaureate degree or higher in nursing. 70 BSN OR HIGHER Figure 2. Board Certification Lourdes nurses outperformed the 2014 goal for certification of all nurses CERTIFICATION PERCENT PERCENT OCT 13 DEC 13 FEB 14 APR 14 JUN 14 ALL RNs GOAL MAR 14 APR 14 MAY 14 JUN 14 ALL RNs GOAL empirical outcomes 33

36 Nursing Sensitive Quality Indicators For Fiscal Year 2014, nursing sensitive quality indicators were measured and monitored for all inpatient units. Figure 3. Falls with Injury Lourdes outperformed the national database mean for falls with injury two out of four quarters for which data were available from the national database. RATE FALLS WITH INJURY Inpatient units outperformed the national database mean for central line associated bloodstream infections three out of four quarters and hospital acquired pressure ulcers stage 2 and above for all four quarters. Figure 5. Central Line Associated Bloodstream Infections (CLABSI) CENTRAL LINE ASSOCIAT BLOOD STREAM INFECTIONS Q Q Q Q 2014 RATE LOURDES DATABASE MEAN Figure 6. Hospital-acquired Pressure Ulcers (HAPU) Stages 2 and Above Q Q Q Q 2014 LOURDES DATABASE MEAN HOSPITAL ACQUIR PRESSURE ULCERS Figure 4. Catheter Associated Urinary Tract Infections (CAUTIs) Inpatient units outperformed the national database mean for all four quarters Q Q Q Q 2014 LOURDES DATABASE MEAN CATHETER ASSOCIAT URINARY TRACT INFECTIONS Figure 7. Patient Satisfaction The Net Loyalty Score (NLS) indicates patients overall satisfaction with Lourdes and is based on their answer to the question, Would you recommend this hospital to your friends and family? RATE PATIENT SAFISFACTION: NET LOYALTY SCORE 0.2 RATE Q Q Q Q Q Q Q Q 2014 LOURDES DATABASE MEAN LOURDES 34 Nursing Annual Report 2014

37 New Knowledge, Innovations & Improvements If an idea is important to a nurse, it is worth pursuing and nurturing. Evidence-based practice and research are integrated into clinical and operational processes throughout Lourdes. Involvement in research by nurses is an important element of professional practice and includes research utilization, in addition to designing and implementing nursing research studies. Two nurses, Sister Marilyn Perkins, MSN, RN and Fran Anderson, PhD, RN, serve on the Lourdes Institutional Review Board (IRB). Ongoing Research Julann Ashman, BS, RN, OCN ; Cancer Survivors Perceptions of Post Cancer Care. Susan Backo, RN; Heartburn Study. Nahid Borogerdi, MS, FNP-BC; Experience of Antenatal Hospitalization on Women and Their Families: A Phenomenological Approach. Geraldine Britton, PhD, FNP-BC, RN; A Reliable and Valid Survey for the Assessment of Prenatal Smoking Status: Phase 2. Completed Research JoAnn Ernst, DNP; Improving Outpatient Management of Diabetes: A Proof of Concept Study. Elisabeth Evans, MSN, RN, ONC ; Osteoporosis Risk Factors and Prevention Behaviors. Marita Florini, DNP, FNP-BC; Comparing Primary Care Providers (PCP) Perception of Care Coordination Needs and Strategies in Adult Primary Care. Rachel Kimani, RN; Healthcare Workers Perceptions of Workplace Breastfeeding Support. Karen Lerwick, RN-BC; The Relationship Between Use of a Skin Prep Kit by Patients Who are Scheduled for Surgical Implants and Screen Positive for MRSA or Staphylococcus Aureaus and the Incidence of Post-Operative Infections. Kathleen Olbrys, EdD, ANP-BC; Principal Investigator; High Risk Sexual Behavior Post Colposcopy Counseling. Linda Stark, MSN, RN, ONC ; Correlation of Blood Pressure Measurements and Prone Versus Supine Positioning. Daisy Vembenil, MS, FNP; Increasing Health Care Provider Awareness of Respite Care and the Geographic Availability of Resources for Caregivers above 60 Years of Age. Nursing Research Day The 8th Annual Lourdes Nursing Research Day was held on April 29, It was our most successful Research Day to date. The conference included an all-day poster session, 8 half-hour Sessions with the Experts (Lourdes nurses who presented their research or evidence-based projects), and a Learning Lunch new knowledge, innovations & improvements 35

38 speaker, Kay Hooper, FNP-BC, who discussed The Many Faces of Anxiety: What Can Be Done to Help? Figure 8. Session with an Expert Attendance TOTAL ATTENDANCE Figure 9. Learning Lunch Attendance TOTAL ATTENDANCE SESSIONS WITH EXPERT ATTENDANCE (2014 AVERAGE = 90 PER SESSION) BASELINE ANNUAL NURSING RESEARCH DAY LEARNING LUNCH ATTENDANCE 2011 BASELINE Presentations Lourdes nurses are sought for their knowledge, research and clinical expertise on local, regional, and national levels. They have strong organizational and nursing support to disseminate research findings and best practices through poster or podium presentations and publication. Posters Mary Berube Nursing Education on Foot Care for People with Diabetes; Diabetes Center Education Fair; Lourdes; 3/19/14. Tiffany Brady Epidemiology of Malaria; Keuka College; Binghamton, NY; 11/21/ Karen Browne Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Terri Goodenough & Careef Solomon; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Ellen Burns Eating Disorders; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Denise Cedeno Urinary Tract Infections; LFP Owego; 6/4/14. Sarah Creery Family Presence During CPR; Master s students; Onondaga Community College; Syracuse, NY; 3/26/14. Family Presence During CPR; Keuka College; Penn Yan, NY; 4/9/14. Rebekah Dickman How to Prepare Your Patient for Diagnostic Imaging; Lourdes; 9/13. Lois Diffendale 3 Medical; Recruitment Dinner; Lourdes; 2/25/14. Nancy Eichler Financial Exploitation of the Elderly; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Elisabeth Evans Osteoporosis Risk Factors and Prevention Behaviors; Orthopedic Poster Days; Lourdes; 8/14 25/2013. Osteoporosis Risk Factors and Prevention Behaviors; Mansfield University, Mansfield, PA; 8/23/2013. Seton 2; Recruitment Dinner; Lourdes; 2/25/14. Osteoporosis Risk Factors and Prevention Behaviors; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Cindy Felice-Glowacki Pediatric Center; Recruitment Dinner; Lourdes; 2/25/14. Michael Gaasch Seton 3; Recruitment Dinner; Lourdes; 2/25/14. Ellen Gardiner Eating Disorders; 8th Annual Nursing Research Day; Lourdes; 4/29/ Nursing Annual Report 2014

39 CNO Shared Governance Linda M. Miller, DNP, RN, NEA-BC Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY 2013 National Magnet Conference October 2-4, 2013 STRUCTURE PROCESS OUTCOMES Ascension Health Large, nationwide hospital system 70 acute care hospitals (34 health ministries) 12 member CNO Advisory Council Regional work teams of CNOs Pods Pod (4-6 health ministries) each led by CNO Advisory Council member Call to Action Health care that works; Healthcare that is safe; Healthcare that leaves no one behind, for life. CNO Shared Governance Model CNO Advisory Council (CNOAC) 11 CNOs & System Office nurse leader chair Strategic direction & thought leadership Quality Safety Staffing & operational performance Nursing leadership Product evaluation/acquisition Patient care delivery CNOAC Responsibilities Facilitate interdisciplinary practice and teamwork within all care environments; Examine major system issues; Align nursing process with Clinical Excellence goals and system scorecard measures; Cultivate model for shared decisionmaking; Align CNOs on key strategic imperatives. Communication Monthly CNOAC teleconferences/ webinars Annual CNOAC in-person meeting Initiatives led by individual Council members; Results shared with entire Council Standardized communication from CNOAC to Pods Pod Points Online surveys Rapid data gathering Benchmarking Consensus building Accomplishments Collaboration across diverse clinical sites Nursing leadership network Pressure ulcer (PU) initiative - $60 million for new beds/surfaces & 43.4% PU reduction system-wide Inpatient falls with serious injury 0.09/1000 patient days Standardized IV smart pumps Standardized evidence-based saline flush procedure Identification of readmission reduction best practices Dissemination of hand hygiene best practices Creation of CNO competency profile, job description, & interview guide REFERENCE Hendrich, A., Batcheller, J., Ellison, D. Janik, A., Jeffords, N., Miller, L., Perlich, G., Staffilino, G., Strom, M., & Williams, C. (2012). The Ascension Health experience: Maximizing the chief nursing officer role in a large, multihospital system to advance patient care quality and safety. Nursing Administration Quarterly, 36(4), Magnet National Conference Poster by Linda Miller. Terri Goodenough Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Karen Browne & Careef Solomon; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Jill Hardy-Hettig Riverside Medical; Recruitment Dinner; Lourdes; 2/25/14. Joy Irons 1 Medical; Recruitment Dinner; Lourdes; 2/25/14. Marilyn Jordan Zoll Defibrillator Vest; Lourdes; 6/14. Rachel Kimani Health Care Workers Perception of Breastfeeding Support; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Jamie Kittle Atrial Fibrillation; Vestal Internal Medicine; 5/14. Sue Lewis CDU; Recruitment Dinner; Lourdes; 2/25/14. Danielle Mahoney-Brown ASU; Recruitment Dinner; Lourdes; 2/25/14. Christina McMurray Know Where to Throw Proper Waste Disposal; LFP Owego; 5/14 6/14. Cheryl Orzel-Teris Pressure Ulcers: Becoming a High Reliability Organization; The Advisory Board; Washington, DC; 11/19/13. new knowledge, innovations & improvements 37

40 Roshni Parik Polycystic Ovary Syndrome (PCOS); PCA Eastside; Jill Patak Infection Prevention; Volunteers, Lourdes; twice monthly. Infection Prevention; RN, PCA, US Reorientation; Lourdes; monthly. Infection Prevention; New Associates; Lourdes; monthly. Infection Prevention; Nursing Orientation; Lourdes; monthly. Careef Solomon Identification, Prevention, and Interventions for Pressure Ulcers in the Acute Care Setting; with Karen Browne & Terri Goodenough; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Linda Stark Correlation of Blood Pressures and Prone vs. Supine Positioning; Mansfield University; Mansfield, PA; 8/23/13. Miriam Stoeckel Women s & Children s Services; Recruitment Dinner; Lourdes; 2/25/14. Ann Weber Ticks They re onto you!; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Focused Education: Reduced Cervical Cancer Risk? Kathleen M. Olbrys, EdD, APRN-BC Our Lady of Lourdes Memorial Hospital, Inc., Binghamton, NY 2013 National Magnet Conference October 2-4, 2013 BACKGROUND RESEARCH QUESTIONS DATA ANALYSIS % 4 % Age Distribution High no show rates post colposcopy Follow-up treatment critical Few studies of education on HPV prevention Women unaware HPV can cause cervical cancer PAP SMEARS ASCUS most common abnormal Pap ASCUS can be evaluated for high risk HPV strain ASCCP & ACOG guidelines used to decide biopsy PURPOSE Develop scripted Patient Educational material on HPV & Pap smears for patients needing colposcopy Compare no show rate between treatment & control groups What HPV & Pap smear information is appropriate & beneficial to patients? What is the effect of a patient-centered encounter that includes verbal discussions with printed material on patient compliance with follow-up care post-colposcopy? METHODS Group Interrupted Time Series Design Retrospective chart review Convenience sample Exclusion Prior colposcopy history Control Group standard instruction Experimental Group focused education Standard care: appointments, reminder via phone, no-show & post procedure follow-up per policy Intervention: focused education, HPV Fact Sheet & abnormal Pap handout 90 0% 80 0% 70 0% 60 0% 50 0% 40 0% 30 0% 20 0% 10 0% SPSS t-test for independent groups 0 0% RESULTS Groups similar in age, ethnicity, marital status, & insurance Groups similar in histopathology Return rate statistically significant for experimental group (p=0.0072) Return rate statistically significant in year olds for experimental group (p=0.0153) Patient Characteristics Cont ol (n 30) Experimental (n 30) 4 % % % 2 % 2 % % % % % % % 4 % % 2 % % % Black, not Hispanic White, Hispanic White, not Hispanic Other Married Divorced/Separated Widowed Single Medicaid Medicare P ivate Ins Uninsured Histopathology e V e 2 a e = ) x e me a = ) IMPLICATIONS FOR PRACTICE Patient education regarding HPV is needed to affect high risk sexual behavior. HPV education by Nurse Practitioners is an essential component of women s health. HPV education for women may reduce their risk for cervical cancer. = ) x e me a = ) Poster accepted for 2013 Magnet National Conference by Kathleen Olbrys. 38 Nursing Annual Report 2014

41 Courtney Wendelewski Understanding of the Clinical Nurse Specialist Advanced Practice Nursing Role; National Association of Clinical Nurse Specialists Conference; Orlando, FL; 3/14. Cherie Wooden Getting Published; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Oral Presentations Julann Ashman Loneliness in Cancer Survivorship; Living Well Cancer Survivorship Series; Lourdes; 9/25/13. Lourdes Living Well Series; WBNG TV Docs on Call; 12/12/13. Lourdes Living Well Series; WBNG TV Docs on Call; 2/19/14 & 2/20/14. June 3rd Celebration of Life; WBNG TV Docs on Call; 5/26/14. Cancer Basics & Oncology Nurse Role; LPN class; BOCES; 5/30/14. Healing Garden; Education Committee; Lourdes; 6/26/14. Mary Berube Diabetes Care at Lourdes; Nursing Orientation; monthly. Diabetes Order Sets and Disease Management; Medical Staff Orientation; Monthly. Glucagon Administration for Severe Hypoglycemia; Diabetes Resource Nurses; Lourdes; 8/28/13. Hypoglycemic Crisis; Event Reporting Safety Meeting; Lourdes; 9/6/13. Inpatient Diabetes Management Updates and Consideration; Hospitalists; Lourdes; 9/25/13. Insulin delivery: GlucoStabilizer; Current Trends in Diabetes; Lourdes; 11/12/13. Diabetes Medications; Current Trends in Diabetes; Lourdes; 11/12/13. Resources for Living Well with Diabetes; Diabetes Parent Support Group; Lourdes; 5/29/14. Melody Best Systematic Literature Reviews; Binghamton University; 9/24/13. Ethnography in Qualitative Nursing; Binghamton University; 9/24/13. Jill Knight, MOA, Carly McKillop, FNP and Kathaline Anthony, RN Diffusion of Innovation Theory; Binghamton University; 12/3/13. Ethnography; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Barbara Bilbrey The Meaning of Memorial Day; Owego-Apalachin 5th grade students; annually. Jonathan Briggs Guest Lecturer; Graduate Nursing Students; Binghamton University. Karen Browne Ostomy Care Basics; Lourdes At Home/Hospice; 5/14. Mary Cavanaugh Nursing Orientation and the GROW Program; Recruitment Dinner; Lourdes; 2/25/14. Colleen Cameron A Comprehensive Program for Heart Failure; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Sarah Creery Family Presence During CPR; Master s students; Onondaga Community College; Syracuse, NY; 3/26/14. new knowledge, innovations & improvements 39

42 Carol Curran Interviewing Skills; Senior Nursing Students; Binghamton University; 1/27/14. Connect the Dots to Position Management; Lourdes; 4/17/14. Laci Daniels My Graduate Experience in ICU; Recruitment Dinner; Lourdes; 2/25/14. Susan Decker Medical Records Information that Can Be Released; PCA Robinson Street staff; 3/17/14. Rochelle Eggleton Home Care; Panelist; Health Care Policy Symposium, Binghamton University; 4/4/14. Emergency Preparedness; Panelist; Home Care Association of NYS Regional Meeting; 4/9/14. Nancy Eichler Financial Exploitation of the Elderly; Nursing Research Committee; 7/24/13. Elisabeth Evans Osteoporosis Risk Factors and Prevention Behaviors; Nursing Research Committee; Lourdes; 10/23/13. Katherine Foster Negative Effects of Isolation on Patients; Nursing Research Committee; Lourdes; 6/25/14. Michael Garlough Newborn Loss and Hope; Schwartz Center Rounds ; with Brianna Pompey, RN, Brenda Simonik, & Father Krzysztof Boretto; Lourdes; 11/14/13. Neonatal Donation, A Different Type of Organ Donation; International Institute for Advancement of Medicine (IIAM) and National Association Transplant Care Organization (NATCO); Las Vegas, NV; 12/9/13. Neonatal Donation Case Study; CDT Education Symposium; Saratoga Springs, NY; 4/14. Hope; 8th Annual Nursing Research Day; Lourdes; 4/29/14. The Cooperation between Organ Procurement, The Eye Bank and The Donor Hospital; Lyons Eye Bank Board of Directors Annual Meeting; Albany, NY; 5/14. Kelly Murtha, BSN, RN, CNOR and Rebecca Getchell, BSN, RN Medical Orders for Life Sustaining Treatment; with Mary Alice Westerlund; Lourdes; 6/12/14. With Newborn Loss Comes Hope; with Karen Roeske; AWHONN; Orlando, FL; 6/24/14. Caylynn w Antibiotic Prophylaxis: When It Is Needed; GI Lab, Lourdes; 12/29/13. SGNA Guidelines on Documentation; GI Lab, Lourdes; 12/30/13. Theresa Goodenough Nursing; Mountain View High School, PA; 11/7/13. Advances in Wound Care; Nursing Research Committee; Lourdes; 2/26/14. Danielle Gulick Thoracic Outlet Syndrome; Emergency Department; Lourdes; 6/1/14. Carol Heikkila Clinical LPN Instructor at BOCES. Beth Hickey Lourdes Tele-Health Program; Tioga County Senior Health Fair; 8/15/ Nursing Annual Report 2014

43 Kay Hooper The Many Faces of Anxiety: What Can Be Done to Help?; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Doris Hughes Diabetes Management: Nurse Practitioner Fellowship, Lourdes; 11/7/13. Diabetes and Pregnancy; Current Trends in Diabetes Management Teaching Day; Lourdes; 11/12/13. Celia Kane Non-violent Crisis Intervention; Lourdes; monthly. Janet Krcha FNP Residency Program; Excelsior College; 12/13. Toni Lehr Occupational Health and Safety; New Associate Orientation, Lourdes; monthly. Occupational Health and Safety; Lourdes Volunteers; monthly. Lourdes Safety Coaches/Safety Officers; monthly presentation. Sue Lent EKOS Catheter-directed Thrombolysis; ICU & Diagnostic Imaging; Lourdes; 12/19/2013 & 12/20/2013. Hand Hygiene/Isolation Practices; SUNY Broome Technology Students; 3/31/14 & 4/7/14. Annual Cancer Survivor Health Fair; Broome County YMCA; 5/16/14. Cancer, Nurse Navigation; WBNG TV Docs on Call; 5/29/14. Caryl-Ann Mannino Pain Management; SUNY Upstate Medical University, Surgery Clerkship; 7/2/13, 9/9/13 & 1/6/14. Pain Management; Podiatry Residents, Lourdes; 7/30/13. Jaymilee Mash Mash Camp; CPR; New Visions; Mary McGovern How to Do a Poster Presentation; 8th Annual Nursing Research Day; Lourdes; 4/29/14. GROW Program; Clinical Coaches; Lourdes; 5/2/14. Kathy Medovich Relaxation & Meditation; Autumn Renewal Days Break-out Session; Sky Lake; 10/13. Deborah Mican RN Satisfaction: Ten Year Trend; Nursing Staff Forum; Lourdes; 9/13/13. Samantha Lewis Issues affecting Teens: Youth Seminar; female & male teens; Scranton, PA; 12/7/13. Sharon Lewis Now I Lay Me Down To Sleep (NILMDTS); Spiritual Care Committee; Lourdes; 5/14/14. Julie Lowrie Insulin Delivery Alternatives; with Laura Smith; Current Trends in Diabetes; Lourdes; 11/12/13. Mary Mancini Cancer Education; Spirit of Women Event; Traditions at the Glen; 10/13. Nurse Navigation Role & Coping with Love, Knowledge and Hope; Tabernacle Methodist Church; 5/7/14. Mary McGovern, BS, RN new knowledge, innovations & improvements 41

44 Linda Miller Nursing Shared Governance Structure; Nursing Staff Forum; Lourdes; 9/13/13. Mary Murphy ACLS Instructor; Lourdes; 7/11/13, 10/7/13 & 10/8/13. Michelle Nulton Routine Health Maintenance; Rotary Club; Hancock; 9/26/13. Lyme Disease and Tick Bites; Children s Center parents; Hancock, NY; 5/10/14. Jared Pado Hypertension: The Silent Killer; Vestal Internal Medicine; Jill Patak Infection Control Course; SUNY Broome. Infection Prevention; Volunteers; Lourdes; twice monthly. Infection Prevention; RN, PCA & Unit Secretary Reorientation; Lourdes; monthly. Infection Prevention; New Associates; Lourdes; monthly. Infection Prevention; Nursing Orientation; Lourdes; monthly. Carbapenem Resistant Enterobacteriacea (CRE); 8th Annual Nursing Research Day; Lourdes; 4/29/14. Chelsea Pixley My Graduate Nurse Experience on 3 Medical; Recruitment Dinner; Lourdes; 2/25/14. Brianna Pompey Newborn Loss and Hope; Schwartz Center Rounds ; with Michael Garlough, RN, Brenda Simonik, & Father Krzysztof Boretto; Lourdes; 11/14/13. Regina Pufky ACLS Coordinator and Instructor; Lourdes; monthly. Chest Tubes; Nursing Reorientation; Lourdes; monthly. Martha Reid ACLS Instructor; Lourdes. PALS Instructor; Lourdes. Patient Alert Band Colors; Nursing Professional Practice Council; Lourdes; 3/6/14. Patient Alert Band Colors; Nurse Executive Committee; Lourdes; 3/27/14. Karen Roeske With Newborn Loss Comes Hope; with Michael Garlough; AWHONN; Orlando, FL; 6/24/14. Geralyn Sears Clinical Nursing Skills Lab Instructor; SUNY Broome; ongoing. Vicki Slavetskas APA Format & Introduction to Simulation; Decker School of Nursing, Binghamton University; 9/19/13. Safe Staffing & Mandatory Overtime; Senior & BAT nursing students; Decker School of Nursing, Binghamton University; 2/10/14. Patient Abandonment; Senior & BAT nursing students; Decker School of Nursing, Binghamton University; 3/3/14. Leadership Principles; RN-BS students; Decker School of Nursing, Binghamton University; 1/30/14. Management Principles; RN-BS students; Decker School of Nursing, Binghamton University; 2/6/14. Evidence Based Research & Practice: Strategies for Nursing Leaders; RN-BS students; Decker School of Nursing, Binghamton University; 2/13/14. Power, Conflict & Professional Challenges; RN-BS students; Decker School of Nursing, Binghamton University; 2/20/14. Managing Time & Stress; RN-BS students; Decker School of Nursing, Binghamton University; 2/27/14. Legal & Ethical Issues; RN-BS students; Decker School of Nursing, Binghamton University; 3/6/14. Staff Recruitment & Retention; RN-BS students; Decker School of Nursing, Binghamton University; 3/13/14. Professional Practice Models & Organizational Structure; RN-BS students; Decker School of Nursing, Binghamton University; 3/20/14. Data Management & Informatics; RN-BS students; Decker School of Nursing, Binghamton University; 3/27/14. All Hazards Disaster Preparedness; RN-BS students; Decker School of Nursing, Binghamton University; 4/10/14. Laura Smith Disposable Insulin Delivery: V-GO; Lourdes; 10/23/13. Insulin Delivery... A Hands on Approach; Current Trends in Diabetes; Lourdes; 11/12/ Nursing Annual Report 2014

45 Heather Waugh A Solution to Overcrowding at Lourdes Hospital; Nursing Quality Committee; Lourdes; 4/9/14. Ann Weber Sunscreen Are you protected?; Nursing Research Committee; Lourdes; 7/24/13. The Common Communion Cup: Is it a Source of Infection? Nursing Research Committee; Lourdes; 2/26/14. Cat Scratch Disease; Nursing Research Committee; Lourdes; 3/26/14. Smoking Cessation; Hancock Central School Staff Development Day; 3/14. Cherie Wooden Teach-Back; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Colleen Cameron, MS, RN and Linda Stark MSN, RN, ONC Linda Stark Correlation of Blood Pressures and Prone vs. Supine Positioning; Nursing Research Committee; 11/27/13. Correlation of Blood Pressure Measurements; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Maryellen Surace Falling into Place: A Success Story; Schwartz Center Rounds ; with Kathleen Talbot, RN, OCN, CHPN, Lourdes, & Heather Minor-Natale, Crown Point Nursing Home; Lourdes; 7/11/13. Kathleen Talbot Falling into Place: A Success Story; Schwartz Center Rounds ; with Maryellen Surace, RN, CCM, Lourdes, & Heather Minor-Natale, Crown Point Nursing Home; Lourdes; 7/11/13. Daphnie Thompson Professionalism in Nursing; 2 Ross/Peds, Lourdes; 6/16/14. Mary Beth Tierney-Simmons Evaluating Lourdes Professional Practice Model; Nursing Staff Forum; Lourdes; 9/13/13. Lisa Vroman Screening for Childhood Obesity; with Frances Munroe; 8th Annual Nursing Research Day; Lourdes; 4/29/14. Publications Newsletters Cancer Survivorship Newsletter Julann Ashman. (Editor). Julann Ashman. (Spring 2014). What Are the Phases of Survivorship? Elizabeth Norris. (Spring 2014). I m a Survivor too! Committee Central Brooke Abramson-Singh. (Editor). Diversity Newsletter Sister Marilyn Perkins. (Editor). Kathy Medovich. (Winter 2013). Texting: A Social Media Addiction. ICU News Danielle Spalik. (Editor). Danielle Spalik & Amy Shumsky. (December 2013). Substance Abuse Take-Aways. Inside Lourdes Sister Marilyn Perkins. (July 2013). Administration Connection. The Mustard Seed (Lourdes Parish Nurse Newsletter) Kathy Medovich. (Editor). new knowledge, innovations & improvements 43

46 Sarah Dougherty, RN, CRN, Coralee Keefe, BSN, RN, CRN, and Elizabeth Burger, RN Kathy Medovich. (September/October 2013; May/June 2014). Coordinator s Corner. Kathy Medovich. (July/August 2013). Therapeutic Gardening. Nursing News Fran Anderson. (Editor). Fran Anderson. (Fall 2013). Updating Your RN/LPN Profile. Kathaline Anthony. (Fall 2013). Patient Pain Booklet. Mary Berube. (Fall 2013). Luke. Denise Cedeno, Stacie Hansen, Julie Reynolds, & Kersten Robbins. (Fall 2013). Go Green with Side Effects of Medications. Jill Patak. (Fall 2013). How to Protect Yourself and Others from the Common Cold. Spirituality in the Workplace Rita Bergevin. (Spring 2014). The Person in the Mirror. Cindy Davis. (Summer 2013). Spring Renewal Days: Healing from the Inside Out Two Personal stories. Cindy Davis. (Winter 2014). Yippy-Skippy An Attitude of Gratitude. Rodney Frost. (Spring 2014). A Thought for Your Day. Sue Fuchs. (Winter 2014). Bring Tea for the Soul to Your Department! Kathy Medovich. (Summer 2013). Healing Gardens. Kathy Medovich. (Summer 2013). Alzheimer s Disease: Our Personal Journey. Kathy Medovich. (Fall 2013). The Movement of Spirituality in the Workplace. Kathy Medovich. (Winter 2014). Autumn Renewal Days. Kathy Medovich. (Winter 2014). Spirituality and Stress Relief: Making the Connection. Kathy Medovich. (Winter 2014). Rescue Mission Meal Ministry. Kathy Medovich. (Spring 2014). Spring Renewal Days. Kathy Medovich. (Spring 2014). A Labyrinth Experience. Kathy Medovich. (Summer 2014). Spring Renewal Days. Kathy Medovich. (Summer 2014). Communication. Sister Marilyn Perkins. (Editor). Peer-Reviewed Publications Rita Bergevin. (2014). More than a dressing change. Journal of Christian Nursing, 31(1), 62. Rita Bergevin. (in press). Palliative wound care. Nursing Kondrup, J. D., Fran Anderson, & Becky Quick. (2013). Use of the ENSEAL G2 tissue sealer in gynecologic surgery. Surgical Technology International, 23, Other Publication Activities Fran Anderson. (ongoing). Manuscript reviewer; American Journal of Nursing. Fran Anderson. (ongoing). Manuscript reviewer; Online Journal of Rural Nursing and Health Care. Kathleen Rinde. (ongoing). Manuscript reviewer; Gastroenterology Nursing. Cherie Wooden. (ongoing). Manuscript reviewer; Qualitative Social Work. Cherie Wooden. (ongoing). Manuscript reviewer; Child & Family Social Work. 44 Nursing Annual Report 2014

47 GREETINGS FROM OUR CNO Congratulations for all of your contributions to Lourdes and the community this past year! Many of you have or will be participating in an Engagement Mapping Session that focuses on the changing healthcare landscape and how this will affect Lourdes. This is another opportunity for your voice to be heard. Lourdes Hospital is positioned well to meet the challenges because of its relationship with Ascension Health, the largest, not-for-profit Catholic Healthcare System in the United States. Together we will navigate through all of the challenges and changes to transform healthcare within our community. Lourdes nurses are key leaders of our efforts to implement Person-Centered Care. Person-Centered Care is our sacred promise to support individuals lifelong health and well-being through holistic, coordinated care models and resources based on trusted, committed, person-to-person relationships. This call to action aligns perfectly with our new Nursing Professional Practice Model. Together we will commit to welcome, respect, include, connect, protect, engage and comfort all persons in a new and meaningful way. We will reevaluate how we deliver care, and explore different ways to provide services. We will make an extra effort to engage all members of the care team in this very important endeavor. Our pursuit of excellence through Person- Centered Care will inspire and motivate all of us as we engage in our work ahead. Thank you, Linda

48 The scene that unfolded before my eyes was truly a team united to save this man s life. Lisa Howell, RN Nursing Philosophy Nursing at Lourdes is faith-based and spiritually centered. We believe that life is a precious gift and approach all persons with reverence. We are committed to meeting the holistic needs of our patients, families, and community. We respect basic human rights, dignity, and differences. We believe in providing the highest level of patient care regardless of religion, race, gender, age, or socio-economic status, based on the core values of Lourdes: Service of the Poor, Reverence, Integrity, Wisdom, Creativity, and Dedication. We believe that working with all members of the health care team is important to promote the highest quality patient care. We accept our duty to be actively involved in the development of standards of care. We believe that continuing education and nursing research improve clinical skills, contribute to personal and professional growth and move the nursing profession forward. We are committed to creating an environment that promotes lifelong learning. We believe in the nursing profession. We are accountable as individuals, as well as a profession, for the services we provide. Lourdes Hospital 169 Riverside DRive, Binghamton, ny lourdes.com