NURSING ANNUAL REPORT

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1 2013 NURSING ANNUAL REPORT

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3 A LETTER FROM OUR CHIEF NURSING OFFICER Dear Friends and Colleagues, Welcome to our first Nursing Annual Report. I am pleased to present this overview of our Nursing Department, chock full of accomplishments and spotlighting many activities and successes our team of exemplary professionals have worked hard to achieve. Last year, we started our Magnet Journey, laying the groundwork toward the premier honor in nursing. We ve worked hard to enhance our patients experiences with a focus on quality of care, safety and communication. We ve put new processes in place that make delivering care better for the patients and their caregivers. Most importantly, we ve empowered our nursing team, encouraging them to go above and beyond to deliver extraordinary care each day. We have received numerous recognitions and awards, which we are excited to share. In 2013, Healthgrades named Orange Regional Medical Center among the top 5 percent in the nation for patient safety. National Research Corporation honored Orange Regional with their 2013 Path to Excellence Award for improving the patient experience, and US News & World Report has named us among the Best Regional Hospitals in the Hudson Valley. These honors are bestowed upon the entire organization and nursing is proud to have worked side by side with all members of the organization to help achieve them. I m also happy to spotlight other recognitions within the report. Today s healthcare environment is challenging in many ways, continually presenting changes and surprises, but opportunities as well. Our Nursing Department has risen to these challenges and is approaching the future with new knowledge, innovation and improvement all the while staying focused on achieving exquisite clinical outcomes. The future demands that we continue to promote and develop strong partnerships with community organizations. I am certain that our nurses and leaders will work together with all of our colleagues to consistently achieve our mission to improve the health of our community by delivering exceptional healthcare. I am proud of our nursing team and congratulate them on an outstanding year. As we work toward achieving Magnet Recognition, I m excited by the dedication, energy and enthusiasm of our team and look forward to many more successes in the coming year. Joanne Ritter-Teitel, PhD, RN, CEA-BC Vice President, Chief Nursing Officer Pictured on cover: Emily Rappa, BSN, RN, CMSRN Pictured on opposite page: Christine O Connor, RN

4 REIKI PROGRAM EXPANDS Orange Regional Medical Center is proud to offer a Reiki Program to assist patients with calming and healing. This program was developed here at Orange Regional by nurses in the Oncology Unit and the Outpatient Infusion Center. When the clinical nurses brought this idea forward, nursing leadership thought it was a great idea. With support from both nursing leadership and clinical nurses, this program has become a huge success and in 2013 expanded to all areas of Orange Regional. Because of the dedication of the current Reiki nurses and the expansion of the program, nursing leadership is supporting another round of training to increase the number of clinical nurse providers. Many of the currently trained nurses have become more experienced and promoted to Level 2 Reiki SHOWCASING OUR providers. This means they will be able to help mentor the new Level 1 Reiki providers that will be going through the program. This is a great opportunity for nurses to be able to assist the patients in a way they have never been able to before. Looking to the future, the goal is to increase the number of holistic offerings within Orange Regional. The next programs to be added are Aromatherapy, Constructive Rest, and Guided Imagery. The clinical nursing staffs on the Oncology Unit and the Outpatient Infusion Center are looking forward to expanding the holistic services at Orange Regional over the next year. Written by: Monica DelRosso, BSN, RN, OCN Oncology Nurse Pictured below: Ellen Mahoney, MSN, RN 2

5 NURSING PRACTICES NICHE DESIGNATION ACHIEVED Following months of preparation, planning and training, Orange Regional Medical Center has earned designation as a NICHE (Nurses Improving Care for Healthsystem Elders) center. This designation recognizes Orange Regionals dedication to serving the community by providing exceptional healthcare and improving quality care for older adults. Orange Regional is the only NICHEdesignated hospital in Orange County and is now part of the NICHE 500-member milestone. NICHE is the largest nurse-driven program designed to improve patient outcomes by providing the latest evidence-based practice and research to address the needs of the older adult. NICHE provides training resources and education for the nursing staff to ensure we provide exceptional care for our geriatric patients. With age comes many changes. NICHE training goes through these changes step by step to allow the nurse to fully understand what is happening to the body as it ages. The program allows for autonomy in practice, not by prescribing the route in which their tools and resources are implemented, but by supporting and encouraging nursing staff to become change agents within the climate of their own culture. The NICHE program at Orange Regional provides nurses and support staff with geriatric specific education. Through implementation of the Geriatric Resource Nurse (GRN) and Geriatric Patient Care Associate (GPCA) Core Curriculum, care at the bedside is transformed. Orange Regional has identified two medical-surgical units, 5 North and 4 North, to provide care to the geriatric patient population. These units are undergoing transformation into NICHE designated units. Over time, Orange Regional will continue to integrate NICHE within other units that serve high geriatric patient populations and will work diligently to improve relationships with local sub-acute nursing facilities. Holly Zieger, BSN, RN, RN-BC, CMSRN Nurse Educator Jennifer Selby, BSN, RN NICHE Nurse Pictured below: Rosemary Shaughnessy, RN Mirna Schuetzler, Nursing Assistant Written by: 3

6 ENHANCING PEDIATRIC CARE, ONE CHILD AT A TIME The year 2013 was one where Orange Regional Medical Center focused on enhancing the care of children. The focus was placed on ensuring exceptional patient care and outcomes for this population, which was accomplished by creation of a collaborative team and providing child friendly structural improvements.through these changes, a new focus has been placed on pediatric nursing. The collaborative inter-professional pediatric care team has been enhanced with the addition of some exciting new members, including Pediatric Hospitalists who provide 24-hour in-hospital pediatrician coverage. Pediatric Specialists have been added in the areas of Pediatric Anesthesiology and Pediatric Endocrinology. Another addition to the team is the Child Life Specialist, who partners with the staff to decrease the anxiety of both the children and their parents. The availability of these resources to nursing has allowed for a more collaborative and coordinated experience. A huge addition to the hospital was the new Children s Emergency Department (CED). Orange Regional has completed construction of a new six-bed CED where each room was designed with the goal of alleviating the children s fears of visiting an Emergency Department (ED). Local artists embraced a nature theme which captures your attention upon arrival in the lobby and throughout each exam room. Nurses in this new area explain that they enjoy working in this new environment and feel that it is very child-friendly. With the new focus on caring for the pediatric patient, nursing has ensured that their care is enhanced as well. Most of the nurses have completed their Pediatric Advanced Life Support (PALS) training. Additionally, through the Emergency Nurses Association, the nurses have completed their Emergency Nurse Pediatric Course (ENPC) training and Emergency Severity Index (ESI) triage training. Before working in the CED, all nurses received a 12-week orientation. In just more than a month, the Children s ED has treated almost 1,300 children. As the program continues to expand, nursing will continue to provide support and ensure we are providing the most up-to-date evidence-based collaborative practice available. Written by: Karin M. Kuhens, BSN, RN Nursing Unit Director, Pediatric and Children s Emergency Department Pictured below: Shannon Keesler, RN, CMSRN, CPN Jill Hunt, PA-C 4

7 LEVEL II TRAUMA CENTER IN DEVELOPMENT Orange Regional Medical Center is proud to be actively developing its Trauma Program. The creation of an inter-professional team-based response to all code traumas has created exemplary patient outcomes. This system has allowed us to bring a higher level of care to the Hudson Valley. Having responded to well over 450 code traumas in 2013, Orange Regional has positioned itself to achieve designation as an American College of Surgeons (ACS) Level II Trauma Center as early as the first quarter of The nursing staff in the Emergency Department (ED) has been training and preparing to receive this new patient population. All trauma nurses have successfully completed the Trauma Nurse Core Course (TNCC) and attended multiple in-services to enhance their knowledge base. By providing our nursing staff with continuing education, we have raised the standard of care at Orange Regional and improved the services offered within the community. Each year during Nursing Annual Education, there is a component on Trauma care to ensure everyone continues to grow and keeps their trauma skills sharp. John Duffy, a Trauma nurse at Orange Regional, said, I have learned a lot from both TNCC and the Trauma Surgeons who are always willing to educate us. This collegial relationship has allowed the program to succeed. To help support nursing, the Trauma Narrator program was added. This cutting-edge technology is the documentation tool that is used by the ED staff during care of their Trauma patients. Many of the ED nurses were strategically involved in the revision of the Trauma Narrator to ensure the documentation was compliant with the ACS and TNCC standards and all nursing staff underwent training to use the program. Once the trauma patient is stabilized, they need to be cared for on inpatient units. To help inpatient nursing staff increase their knowledge base, the Trauma Care After Resuscitation (TCAR) course, sponsored by Orange Regional, was held right here at our facility. Although this conference has been offered in more than 25 states, Orange Regional was the first to host in New York State. In fact, Orange Regional sponsored this course twice in 2014, with nursing staff from ICU, Peri-Operative Services, Orthopedics, Rehabilitation, and Med/Surg in attendance. In all, more than 100 Orange Regional professional staff attended the events. As the Trauma Program continues to grow, so will the knowledge and expertise of ED clinical nurses. With nursing taking a seat at the planning table, this will remain a collaborative interprofessional team which will ensure the success of the program. Written by: Gregg Geisler, BSN, RN Trauma Program Nursing Director Pictured above: Colleen Minnock, MSN, RNP-BC David Cornell, MD, Trauma Surgeon Lydia Hopkinson, Technician Azucena Leblanc, BSN, RN 5

8 DAVINCI ROBOTICS CELEBRATES A MILESTONE The DaVinci Robotics Program is approaching its 5th anniversary at Orange Regional Medical Center. The program has steadily grown from a two-procedure program encompassing Hysterectomy and Prostatectomy to a multi-disciplinary program spanning GYN, Urology, Bariatric and General Surgery procedures. With the addition of new physicians and new technology, nursing has adapted and developed our program to accommodate these new minimally invasive robotic procedures. It has provided challenges in the areas of training and competency, as well as environment of care and patient safety. To provide quality nursing care for our robotic surgery patients, we keep our teams to a core group of dedicated professionals. There are inpatient services for these individuals, which include on-line training programs and hands-on practice sessions focusing on: instrumentation, driving and docking procedures, patient positioning, room configuration and troubleshooting of mechanical problems. Nursing Leadership supports clinical nurses in maintaining competency by rotating staff through each specialty. Nurses must ensure the room configuration allows for the equipment to move freely through the space, while accommodating for the many cables and equipment and enabling clinical staff to move safely through the area. Nurses ensuring appropriate patient positioning is key in the program. The bed and equipment must not be moved once the robot is docked to the patient and assurances must be made that the patient is adequately protected from the robotic arms. Other nursing considerations include ensuring IV access remains intact, that anesthesia has access to the patient s airway, and that proper body alignment is maintained throughout the procedure. As our program continues to move forward and expand, we will strive to maintain our nursing competency through further staff inpatient services and procedural experience. Looking to the future, Orange Regional hopes to welcome new single-site technology, a vessel sealer and robotic staplers. The DaVinci Robotics Program is continuing to grow, and nursing will continue to grow with it, while offering the latest technology available to our patients in a safe and professional environment. Written by: Jeanine Koehnken, RN, CNOR DaVinci Robotic Coordinator Pictured below: Jeanine Koehnken, RN, CNOR Ralph Anderson, MD 6

9 DIAGNOSTIC IMAGING DEPARTMENT ENHANCING PEDIATRIC CARE Orange Regional Medical Center s Diagnostic Imaging (DI) department, in partnership with the Department of Anesthesiology, established a Pediatric MRI sedation service in This makes Orange Regional one of only two hospitals between Albany and Westchester that performs this service allowing children in our community to obtain excellent care without having to travel far. To provide exceptional care, a multidisciplinary team is assembled that includes Diagnostic Imaging Registered Nurses, MRI technicians and the anesthesiologist. By using a collaborative approach to care, safe delivery of sedation to children is ensured. This is a highly specialized procedure that enables the delivery of high-quality MRI images. This valuable service includes careful pre-sedation evaluation for underlying medical conditions that may place the patient at higher risk from sedation medically supervised delivery of sedation, and focused airway management. Pediatric MRI sedation also decreases patients stress and anxiety as the parent accompanies their child throughout the procedure, so that the child sleeps and awakens in the parent s presence. Nurses do not place the IV lines until after the anesthetic gas is delivered by the anesthesiologists, which helps ensure a pain and fear free experience for the child. To ensure nurses are ready to care for these patients, they have obtained certification in Pediatric Advanced Life Support (PALS), deep sedation and conscious sedation. Additionally, all nurses have completed in-servicing from Orange Regional s Child Life Specialist, which helps nurses to better understand this patient population and to provide exceptional care to both the patient and their family. The clinical nurse accompanies the patient and parent throughout the process which helps ensure excellent patient care is delivered and positive outcomes are achieved. The collaboration between physician, nurse and technician each working within their expertise ensures high diagnostic imaging is obtained for accurate and timely diagnosis and treatment. The result is high-quality postsedation recovery by highly trained clinical DI nurses and a safe discharge home. Written by: Soraya Sulaiman, MSN, RN Director of Nursing Outpatient Services Pictured below: Annette Burke, RN 7

10 NURSING CONGRESS: AN INNOVATIVE NURSING SHARED GOVERNANCE SYSTEM Orange Regional Medical Center always had a Nursing Shared Governance System in place, but there was a need for a more formalized structure. So, for the Nursing Congressional year, the Nursing Shared Governance System was re-energized. All the work sessions for Nursing Congress were moved so they were all held on the first Tuesday of each month. Another feature was the creation of the Nursing Senate, which is the coordinating committee for all of Nursing Congress. With these improvements, a more formalized structure was put into place. The staff was able to attend the work sessions because everyone knew when and where they were supposed to be and nursing leadership supported the process by ensuring the staff was not working on their unit that day. This, combined with the enhanced communication of the coordinating committee, allowed clinical nurses to share ideas and innovations. The results were amazing and Nursing Congress became a more solidified and successful program. The typical Nursing Congress Day begins with the council meetings from 8 am to noon, when clinical nurses work on issues that are relevant to their areas and are able to tailor initiatives in a way that will work for their individual areas. From 12:30 to 2:30 pm, the membership moves to Committees, where a clinical nurse from each of the councils join to provide input into Nursing Policies, Nursing Education, Patient Education, Nursing Recognition, Nursing Resources, Electronic Documentation, Nursing Quality, and Nursing Research and Evidence Based Practice. At the end of the day, all the Chairs and Vice Chairs of the Councils and Committees come together to share information and ideas. For the year, there were approximately 100 nurses involved a large number of clinical nurses to have working in a coordinated fashion. The good news is it works! Through a system of innovation and freedom within structure the Service Line Councils, first we were able to work on four toolkits adapted from the Advisory Board: Inter-shift Handoff, Hourly Rounding, Peer to Peer Communication, and Empathic Care. At the end of the year, significant improvement was seen in Patient Satisfaction, Nursing Sensitive Quality Indicators, and Nursing Staff satisfaction with Nursing Congress. We live in a time when people think of Congress and government as inefficient. It is great to know that when you add a nurse to the process, the outcome is much different. Written by: Jean Pozza, BSN, RN, CMSRN Magnet Program Director Pictured below: Vickie Monti, RN, CMSRN, CPN 8

11 TRANSFORMATIONAL LEADERSHIP HIGHER EDUCATION 2013 GRADUATES BSN: Sandra Binkowski, BSN Sonia Allison Conley, BSN Krystal Scheuermann Dolson, BSN Lynn Gaillie, BSN Michelle Galligan, BSN Karen Huslinger, BSN Chris Johnson, BSN Sean Jordan, BSN Heidi Benedict Lewis, BSN Christine MacKay, BSN Maureen McInerney, BSN Erin Miller, BSN Mary Miraglia, BSN Pretika Patel, BSN Michelle Pierre, BSN Nicole Sewell, BSN Latoya Stukes, BSN Donna Waaland, BSN Kaitlin Wickes, BSN MSN: Justine Geisler, MSN, RN In 2013, 93 nurses were enrolled in BSN or MSN programs and three in doctorate programs: Michele Aeberli, Lisa Summers-Gibson and Soraya Sulaiman. LEADERSHIP ANNOUNCEMENTS Join us in congratulating our newest appointments! Holly Zieger, BSN, RN was appointed to the position of Medical/Surgical Nursing Educator Jean Pozza, BSN, RN, CMSRN was designated Magnet Program Director Joy Metellus was appointed Nursing Director of 5 North Nancy Famby, RN was appointed Nursing Unit Director of the Inpatient Behavioral Health Unit Kelly Roth, RN, OCN was promoted to Manager of Regulatory & Patient Safety Debra Beakes, MSN, RN, CEN, was promoted to Administrator of Nursing Clinical Operations Mary Kate Revella was appointed Centralized Telemetry Lead Supervisor Karin Kuhens, BSN, RN will oversee our new Pediatric Emergency Department in ddition to her current role as Nursing Unit Director of 5 West, the Inpatient Pediatric Unit Charlene Charlie Wade, PhD, RN was appointed as a Clinical Nurse Specialist and is responsible for Perioperative Services Suzanne Jones, RN, BSN, CEN was promoted to Emergency Department Clinical Supervisor Roselle Lutwak MSN, RN, RNC-OB was appointed as a Clinical Nurse Specialist and is responsible for the Maternal Child Services Lisa Summers-Gibson MSN/Ed, RN, CDE was appointed as Medical/Surgical Nursing Educator Ann DiAgostino MSN, RN, CMSRN, CPN was promoted to the position of Nursing Service Administrator for the Medical Surgical Services 9

12 PATIENT SATISFACTION Magnet Stoplight Report Discharge Dates From Jan 1, 2012 to Dec 31, 2013 EMPIRICAL Overall Using any number from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible, what number would you use to rate this hospital during your stay? HCAPS Dimensions Benchmarks NRC 50 th NRC 75 th Percentile * Percentile 70.3% 76.3% During this hospital stay, how often did nurses treat you with courtesy and respect? During this hospital stay, how often did nurses listen carefully to you? During this hospital stay, how often did nurses explain things in a way you could understand? During this hospital stay, how often was your pain well controlled? Communication with Nurses 85.2% 88.8% Communication with Nurses 75.0% 79.8% Communication with Nurses 74.2% 78.7% Pain Management 62.3% 67.9% During this hospital stay, how often did the hospital staff do everything they could to help Pain Management 78.1% 83.3% you with your pain? Would you recommend this hospital to your friends or family? Would recommend Hospital 73.3% 79.7% NURSING QUALITY INDICATOR 2013 Orange Regional HAPU Rates # HAPU stg 2/100 pts assessed Q113 Q213 Q313 Q413 HAPU stg 2 NDNQI B/M

13 OUTCOMES Orange Regional Medical Center Qtr Qtr Qtr Qtr Qtr Qtr Qtr Qtr % 68.2% 68.9% 66.7% 66.8% 66.5% % 85.9% 81.5% 84.6% 84.3% 81.8% 75.2% 75.8% 78.4% 71.7% 69.1% 71.7% 70.9% 68.2% 73.5% 76.8% 78.2% 72.8% 71.2% 73.4% 69.5% 68.0% 66.3% 60.8% 63.0% 61.6% 58.2% 56.5% 58.3% 60.9% 79.2% 78.9% 80.5% 77.7% 73.0% 71.6% 74.2% 70.5% 75.8% 75.1% 76.1% 73.5% 73.7% 69.3% 73.8% 70.1% 11

14 STRUCTURAL NURSING ENGAGEMENT 2013 Gallup Q12 Survey Data Percentage Improvement % 5% 3% 2% 0% Nursing Division Orange Regional Medical Center Facility Q00 Q02 Q03 Q09 Q12 This graph compares the improvement made by the Nursing Division as compared with the entire ORMC facility from 2012 to 2013 on the staff engagement survey. The questions represented are: Q00: Overall Satisfaction Q02: I have the materials and equipment I need to do my work right. Q03: At work, I have the opportunity to do what I do best every day. Q09: My associates or fellow employees are committed to doing quality work. Q12: This last year, I have had opportunities at work to learn and grow. STAFFING EFFECTIVENESS Quarterly Staffing Effectivness Target Q1 Q2 Q3 Q4 Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care. Orange Regional nurses are involved in staffing and scheduling based on the ANA s Principles for Nurse Staffing to ensure that RN assignments meet the needs of the patient population. Through their collective bargaining agreement (CBA), our nurses play an integral part in the development of the nurse staffing plan. Unit baseline staffing levels are outlined in the CBA. There is some flexibility to tailor nurse staffing to the specific needs of patients based on factors including: patient acuity, volume/census, experience and training of the nursing staff, available technology, and support services. Nursing leadership uses trended data in the budgeting process, with staff nurse input, to redistribute existing nursing resources or obtain additional nursing resources. The issue of staffing is complex and requires dynamic solutions that are adaptable to the ever-changing nature of health care. The Administrator of Nursing Operations tracks all staffing concerns and creates a Staffing Effectiveness quarterly report. In the event that a unit/department falls below the performance target for Staffing Effectiveness, the Administrator of Nursing Operations collaborates with the Nursing PI Leader and they will conduct an analysis of and relationship among occurrences, clinical outcomes, sick time and staffing effectiveness. In addition, a root cause analysis will be conducted with the units/departments that fall below the threshold. References: ANA. (2013). Principles for Nurse Staffing. Second Edition. Silver Spring, Maryland. 12

15 EMPOWERMENT AWARDS AND RECOGNITION Nurse of Distinction Congratulations to the following nurses for being selected by Orange Regional s Nurse of Distinction Committee, as a nominee in the following categories: Novice Tanya Lynch - Emergency Medicine Alexandra Monell - Oncology Matthew Adams - Medical/Surgical Kate Dumain - Inpatient Rehabilitation Preceptor Erin Reekie - Bone & Joint Monica Del Rosso - Oncology Katherine Lucchese - Mother/Baby Nurse Leader Eva Edwards - Oncology Deb Snyder - Progressive Care Unit Nurse of Distinction Tracie Newkirk - Bone & Joint Chris Canzoneri - Surgical Services Rosalinda Yap - Oncology Congratulations to our semi-finalists! Novice Matthew Adams, RN Preceptor Erin Reekie, RN Nurse Leader Eva Edwards, RN Nurse of Distinction Tracie Newkirk, RN Nurses were nominated by their peers and leadership in recognition of their dedication and skills to their profession, patients, co-workers and the organization. From the list of nominees, semi-finalists in each category were selected. Semifinalists across New York State will be interviewed by the New York City nursing committees and will compete against other New York institutions for the top honor in each category. American Cancer Society Advocate Jessica Matuszewski, RN, has been selected by the American Cancer Society to be a legislative advocate for cancer awareness and research studies. She will travel to Albany to lobby for various issues surrounding the cancer patients in our community. Orange County Rising Stars Justine Geisler, Nursing Director, and Miguel Rodrigues, Director of Safety, Security and Emergency Management, were recently honored as two of Orange County s Rising Stars. Academic Scholarship Oncology Nurse Tanya Camacho received an academic scholarship to Excelsior College to pursue her bachelor s degree in Nursing. Hudson Valley Nurse Excellence Awards Katherine Lucchese, RN; Angela Marchionni, RN; and Nicole Sewell, RN, were among the Top 20 nurse semi-finalists (of the 66 nominees in the Hudson Valley) to be selected for the Annual Excellence in Nursing Awards, sponsored by Hudson Valley Magazine. Shining Star Awards Amir Islam, RN; Emily Klucinec, Nursing Float; Debra Sibilia, RN; Minnie Stevens, RN were all designated Shining Stars. Shooting Star Award Jeanne Price, Wound Ostomy Continence Registered Nurse, was chosen as a Shooting Star for going the extra mile in providing quality care and for challenging her team to stay motivated and compassionate. Grateful Patient Awards Cynthia Bidad, RN; Linda Gildea, RN; Brenda Hart, RN; Mary Marley, RN; Carolyn Woods, RN were honored with Grateful Patient Awards. 13

16 BOARD CERTIFIED NURSES Maria Abbate Michele Aeberli Gladdie Agulto Stefanie Alexander Karen Anderson Melissa Anderson Alice Bach Bast Dawn Bast Heather Bavolar Debra Beakes Jennifer Behrent Martha Belzie Heidi Benedict-Lewis Enid Berg Kathy Bermo Kelly Beverson Sandra Binkowski Debbie Biondi Angela Bird Kereen Blackwood-Hiller Tracy Blum Veronica Bollati Stephanie Bonanno Zoe Boniface Stacy Bonner Marjorie Borkenhagen Elizabeth Bouquot Steven Bowley Cynthia Brennan Debra Brock Eileen Bromm Marjorie Brown-Conklin Laura Bukowski Deirdre Burns Tanya Camacho Romilda Canale Lisa Candy Christine Canzoneri Kyra Carr Kathryn Cavalluzzi Cynthia Chapman Donna Charitable Cynthia Chesser Linda Chudow Laura Cilla Laura Cintron Jessica Citriniti Kathryn Clark Mary Anne Clay Lauretta Colgan Lisa Comerford Gloria Contreras Mary Cossentino Chris Costello Mary Ellen Crittenden Coleen Kate Culwell Mary Catherine Cutilli Kimberly Darrigo Susan Decker Monica Delrosso Karen Deroziere Valentina Desmedt-Wells Colleen Devitt Melissa Di Bari Ann DiAgostino M Lissa Dick Linda Dickman Jennifer Dimascio Linda Doerrer Christine Dolan Karen Donaldson Kevin Donoghue Lilia Donoghue Karen Driskill Barbara Dubois Nicole Dugan Theresa Eckert Gordon Emigh Lisa Enright Peggy Ensslin Jean R Erickson Josephine Ewanciw Regina Falasca-Smith Theresa Fay Conte Jamie Ferguson Kathleen Flessa Dalia Fong Kristen Ford Sharon Ford Catriona Fraser Melissa Funcheon Nora Gage Lynn Gailie Michelle Galligan Justine Geisler Jane Giganti EXEMPLARY Linda Gildea Loretta Grahn Deb Grasso Bonnie-Jo Graziano Virginia Grieb Jennifer Hadden Donna Hannigan Michele Harfield Evelyn Hehir Deborah Heins Adrienne Heinz Patricia Henault Rosemary Herrmann Debra Hewitt Lisa Hodges Michele Hoffmann Linda Holyk Kathleen Horvath Joan Howe Dennis Husejnovic Karen Huslinger Kimberly Jablonski Suzanne Jones SueAnn Kalin Jean Kania Veerpal Kaur Kathleen Keeley Shannon Keesler Karen Keppler Laura King Deborah Kippel Elizabeth Klimczak Joseph Klotz Jeanine Koehnken Belinda Kowal Lisa Kozma Jodi Kresse Molly Kuhn Melissa Kuhn Jane Kvochak Alice Kwiecinski Angella Laing-Rodgers Joanne Lalanne Rosemarie Lamboy Nancy Lane Linda Lanfear Catherine Langlitz Dawn Lauchaire 14

17 PROFESSIONAL PRACTICE Maureen Lavino Jean Lazio Rose Lindsay Robert Lotz Katherine Lucchese Vanessa Lupo Roselle Lutwak Jennie Lyons Christine Mackay Barbara Mader Jennifer Malinchak Angela Manco Judith Mangin June Maniaci Laura Mansfield Donna Martin Elizabeth McDonald Hugh McKenzie Jill Mclaughlin Kathleen McMahon Sonya McMillan Dianne Merenyi Regina Merrigan Erin Miller Mary Mineau Mary Miraglia Christine Mitchell Nancy Moeller Paula Mohansingh Irene Moloney Vickie Monti Kerin Mora Michelle Morgiewicz Kerryann Morris-Blake Heidi Mosher Dianne Murphy Susan Murphy Lisa Murray Marianne Murray Erika Nadramia Theresa Neale Doris Nehrkorn Maureen Neidnig Tracie Newkirk Maranique Nichols Holly Ohern Karly Olivero Jayne Omalley Kathie Oswald Kristina Pagan Pauline Patane Arienne Patzelt Herminia Paulovici Liza Peereboom Stephanie Perrot Christine Perry Jennifer Pfeister Jezzreel Phillips Laurie Porcaro Jean Pozza Jeanne Price Pamela Pugliese Anita Radzinsky Emily Rappa Nileysi Rath Ann Reilly Robin Remaley Monica Reyes Rena Rios-Martin Karen Rittberg Joanne Ritter-Teitel Lisa Rivera Yvonne Robertson Sharon Robinson Theresa Roche Sara Rodriguez Rachel Roeber Kelly Roth Charmaine Rufh Cathy Ryan Sara Sargente Gail Schall Laura Scheck Kristal Scheuermann Dolson Jennifer Scheurer Robin Sells Leone Semerano Lisa Semmeles Nicole Sewell Mary Shormis Cindy Shufelt-Boyce Christine Siciliano Katherine Siebold Elizabeth Slaughter Patricia Soriano Melina St. Tulias Stefanie Stefanic Karen Stewart Greta Still Sue Sturtz Sheri Succi Soraya Sulaiman Lisa Summers-Gibson Maria Sutz Jenny Swartz Margaret Swyka Deborah Szulewski Yoriko Tange-Campbell Roberta Tenorio Nancy Tetro Susan Thirkland Sarah Tice Jaimie Tropin Rosa Valentin Polly Ann Victor-Anthon Tara Vitale Colleen Vitale Donna Waaland Charlene Wade Allison Wagner Mary Walsh Ann Wanderling Donna Watch Stephanie Way Laurel Weber Lauren Werner Stephanie Wheeler Linda Wickes Patrick Wilcox Hsiao-fa Williams Carolyn Woods Kate Woods Michele Worden Alison Wright Karen Wurtz Rosalinda Yap Caroline Yarton Susan Zanetti Holly Zieger Melissa Zuber 15

18 NEW KNOWLEDGE, INNOVATION & IMPROVEMENTS PRESENTATIONS & PUBLICATIONS Anita Adler, MSN, RN-BC, CNM, Director of Nursing Informatics and Decision Support, has been selected as an item writer, or test question writer, for the American Nurses Credentialing Center s (ANCC) Informatics Nursing exam. The Advisory Board chose Joanne Ritter-Teitel, PhD, RN, CEA-BC; Anita Adler, MSN, RN-BC, CNM; and Laura Mansfield, MSN, RN, NEA-BC, to present on Staff-Driven Initiatives to Standardize Hourly Rounding and Bedside Hand-Offs. NURSING RESEARCH STUDIES APPROVED BY INTERNAL REVIEW BOARD The Effect of Music Therapy to Promote Sleep in Progressive Care Unit (PCU) Patients by Dr. Dianne Murphy and Laura King At The Care Innovation and Transformation Conference in Chicago, Chris Costello BSN, RN, CBN; Jean Kania, RN, CMSRN; and Donna Waaland BSN, RN, CBN, CMSRN, did a poster presentation titled Teaching Tool for Post-Operative Bariatric. Patients. Congratulations to Jessica Gerlach, Clinical Research Coordinator; Stephanie Bonanno, RN; and Kathy Siebold, RN, who in conjunction with the Colon Cancer Alliance, rang the NASDAQ closing bell on Monday, March 4, in New York City. Perceptual Differences between Emergency Department Nurses and Inpatient Nurses Concerning Causes for Delays in Moving Admitted ED Patients to Inpatient Beds by Dorothy Valese Reiki Therapy to Reduce Pain in Post-Operative Bone and Joint Patients by Jamie Tropin At the Safe Patient Handling Conference at Mercy College, Melissa Kuhn RN, CMSRN, and Melissa Anderson BSN, RN, CMSRN, were part of a discussion panel on the Safe Patient Handling Legislation and the effects in everyday nursing practice. Ann Y. DiAgostino RN, MSN, CMSRN, CPN; Tracie Newkirk RN, BSN, CMSRN, ONC; and Erin M. Reekie RN, BSN, presented Care Innovation and Transformation of a Medical/Surgical Unit at the 17th Annual Sigma Theta Tau Mu Epsilon Chapter Research Conference on April 16, The Advisory Board asked Monica DelRosso BSN, RN, OCN, CMSRN, and Tanya Camacho RN, OCN, from our Oncology Council as part of our Nursing Congress to consult with a hospital regarding our Nursing Congress Structure and the use of the Advisory Board Toolkits. The Caring Science Model to Enhance The Care of Oncology Patients by Dr. Laura Marks Implementing Pre-Warming in Surgical Patients to Decrease LOS: Elective Pre-Warming Project by Romilda Canale Would Specialty Certification Improve Patient s Satisfaction? by Joyce Hill AONE: Voice of Nursing Leadership Magazine published an article titled Care Innovation and Transformation: Giving Voice to the 4 West Team at Orange Regional Medical Center. This article was authored by Tracie Newkirk, BSN, RN, CMSRN, ONC, and Erin Reekie, BSN, RN. 16

19 ORANGE REGIONAL MEDICAL CENTER... WHERE OUR NURSES MAKE ABOVE AND BEYOND POSSIBLE. Nursing Strategic Plan MISSION We are caring nursing professionals driven by standards of excellence who go above and beyond to provide an exceptional patient care experience. HOW DO PATIENTS DESCRIBE OUR LEVEL OF CARE? GOALS Design an exemplary nursing professional practice model that fosters teamwork and stellar communication to create a coordinated and phenomenal patient experience. Build an empowered nursing workforce that focuses on advancing education and new knowledge of: evidence-based practice; state of the art technology; and innovation, to achieve outstanding clinical outcomes. WHY BECOME A NURSE? Create a vibrant shared decision-making model that nurtures professional autonomy and values an engaged and transformational nursing team. Promote actively involved and fiscally responsible nursing care and practice that supports ORMC s financial health. VISION To be a nationally recognized nursing organization that improves the health of our community. WHAT IS IMPORTANT TO BOTH NURSES AND PATIENTS? WHAT ARE WE WORKING ON TO ENHANCE OUR ENGAGEMENT? VALUES Patients and families first Honesty, integrity & transparency in action Operational excellence, teamwork, collaboration & communication Accountability An impeccable healing environment 17

20 707 East Main Street Middletown, New York A member of the Greater Hudson Valley Health System

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