THE MOUNT SINAI HOSPITAL. Department of

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1 THE MOUNT SINAI HOSPITAL Department of NURSING report

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5 Carol Porter, DNP, RN, FaaN Edgar M. Cullman, Sr. Chair of the Department of Nursing Chief Nursing Officer/ SVP- Mount Sinai Medical Center Associate Dean of Nursing Research and Education- Mount Sinai School of Medicine I am delighted to share with you the 2011/2012 Report for the Department of Nursing. This report is an abbreviated record of the numerous accomplishments of Mount Sinai nurses in their quest to consistently improve the quality of care we provide to our patients and their families. The Department of Nursing is dedicated to creating an environment of care that supports the nurse-patient relationship, while also fostering evidence based practice and scholarship. Our Nursing Professional Practice Model is based on patient outcomes and safety. It is the overarching conceptual framework for nurses, nursing care, and interdisciplinary patient care. The model depicts how nurses practice, collaborate, communicate and develop professionally to provide the highest quality care for our patients and their families. We encourage critical thinking, strong interdisciplinary collaboration, and support life-long learning and teaching. I am particularly honored to have been conferred as the first Edgar M. Cullman, Sr. Chair of the Department of Nursing. This milestone represents the first Nursing Chair in the history of The Mount Sinai Medical Center and brings the voice of nursing to research and educational endeavors in the Medical School. I proudly share this honor with all Mount Sinai nurses.

6 TraNSFormational LeadershIP Carol Porter with the Cullman Family at the Medical School Convocation Ceremony (Pictured from Left to Right) John Kirby, Susan Cullman, Carol Porter, Louise Cullman, Lucy Cullman-Danziger Carol Porter, DNP, RN with Kenneth L. Davis, MD Convocation Ceremony on September 27th in Stern Auditorium. Carol Porter, DNP, RN Appointed As Mount Sinai s First-Ever Chair of Nursing In 2012 Mount Siani School of medicine established the Edgar m. Cullman Sr. Chair of the Department of Nursing. This is the first endowed Chair of the Department of Nursing in the institution s 160-year history. Carol Porter, DNP, RN, Chief Nursing Officer and Senior Vice Presidents for Nursing was appointed as the inaugural chair holder. Representing the Cullman Family, Susan R. Cullman, a long-time member of the Mount Sinai Boards of Trustees, presented the endowment at the 31st Annual Board of Trustees Awards for Excellence in Nursing Practice, held during Nurses Week. The chair is named in honor of her father, Edgar M. Cullman, Sr., who had a long-standing and deep admiration for nurses and a keen understanding of the dynamics of patient care. The Nursing Chair was also recognized at the annual MSSM Convocation Ceremony in Sept, At this ceremony the endowed professorships conferred by our benefactors are recognized. The faculty and staff renew the school s commitment to excellence in research, education, and clinical care, as well as recognize individual faculty for their outstanding contributions to serving science and society. American Academy of Nursing Announces 2012 Class of Fellows In October of 2012 Carol Porter, DNP, RN, was selected for fellowship in the American Academy of Nursing. Selection for membership in the Academy is a prestigious honor. Selection criteria include evidence of significant contributions to nursing and health care and sponsorship by two current Academy Fellows. Applicants are reviewed by a panel comprised of elected and appointed Fellows and selection is based, in part, on the extent to which the nominees nursing careers influence health policies and the health and well-being of all Academy of Nursing Induction Dinner; Pictured Left to Right; Seated: Frances Wong, Professor, PhD, BSN, RN, Professor, Hong Kong Polytechnical University, Department of Nursing; Sylvia Fung, DHS, MSc, RN, Chief Nurse, Hong Kong Hospital Authority Carol Porter, DNP, RN, FAANStanding; Angela Barron McBride, PhD, RN, FAAN, AAN Living Legend and Professor Emerita Indiana University; Sophia Chan, PhD, MPH, RN, FAAN, Professor and Former Dean, Hong Kong University School of Nursing; Barbara Nichols, DHL, MSN, RN, FAAN, AAN Living Legend, Former CEO CGFNS; Joyce Fitzpatrick, PhD, RN, FAAN, Adjunct Professor, Mount Sinai School of Medicine, Professor of Nursing, Case Western Reserve University; Agnes Tiwari, PhD, RN, FAAN, Head, School of Nursing and Assistant Dean, University of Hong Kong; Beth Oliver, DNP, RN, Vice President, Mount Sinai Heart Maria Vezina, EdD, RN, NEA-BC, Senior Director of Nursing, Mount Sinai; Karen Martin, MSN, RN, FAAN, Consultant and Founder, The Omaha System

7 Christine Seidler (Middle) with Ilan Mandel (left) and Shakira King (Right) The Doll Project Spotlight on GP9C Philippines Welcomes Back Leilani and Imelda Helping Hand to Haiti Nursing Research & Evidence Based Projects Nurses Week 2012 Highlights New York s Friendliest My Overseas Experience in Nursing 12 3 The Mount Sinai Hospital Magnet Newsletter Established in 2012, The Mount Sinai Magnet Newsletter relates stories and articles portraying Magnet Nursing as it is practiced at Mount Sinai. It is compiled through contributions from the Magnet Champions and its editor, Sylvie Jacobs, BSN, RN,CPAN. The letter is distributed via to more than 2,000 nurses. Between reviewing discharge medications and prepping your patient to go to the OR it might be the last thing on your mind to consider agreeing when someone comes up to you and asks, Hey, would you like to let a high school student shadow you around while you work? Now, before you give your answer, please finish this article. Mount Sinai s Center for Excellence in Youth Education (CEYE) led by Dr. Lloyd Sherman, has a very energetic educational coordinator, Eboni Jones, as their scout for finding healthcare professionals in the hospital to serve as mentors for New York City high school students. For over 40 years, CEYE has partnered with area schools to help students who have an interest in healthcare careers get real life experiences in a hospital setting. Students go through an application and interview process and then best attempts are made to place each student in an area of the hospital in which he or she has expressed a specific interest. When I was approached by Ms. Jones, at first I thought to myself, Oh I have several research projects and the Magnet committee, do I have time for this? Then I thought, Will a high school student really be interested in what I do? Despite my initial hesitation, I am so glad that I decided to say yes. Fall 2012 / Volume 1 / Issue 4 The Mount Sinai Hospital Magnet Newsletter This Month s Issue: Taking The Lead Congratulations to Carol Porter Onboarding New Nursing Staff Save the Date/Calling All Nurses Relationship Centered Care in Action Safe Patient Handling Program What I Did On My Summer Vacation Making A Defference Overseas Chatting with Maria Vezina Horizontal Violence Joseph F Cullman Jr Institute for Patient Care & Patient Service Center Taking the Lead Submitted by Christine Seidler BSN, RN-BC Transformational Leadership I realized that taking a student with me through the day offers many opportunities to share what it is we actually do and how different a nurse s role is from one area to another. I found myself helping students translate what was learned in the labs and classrooms into daily patient care. I could enable students to witness firsthand how complex healthcare can be. I enjoyed the challenge of finding new experiences to engage the students. I thought about what I, myself, would have liked to learn about before working in a hospital and I asked the students what it was that they hoped to get from this RESEARCH DAY: experience. Goals and objectives for the DECEMBER 7, 2012 students were planned out. By being a good role model and promoting students Please plan to attend and see the interaction with patients and other members inspirational research done by your of the healthcare team I hoped it might lead colleagues. The Nursing Research students into careers in healthcare. Committee Meetings are held the This mentoring opportunity made me see third Friday of every month, contact that one can be a leader without working in Dr. Emerson Ea to apply. a traditional leadership position. I wanted to see how the students were influenced by their mentors and learn how the nurses felt about their experiences as leaders. As graduation was approaching, I talked with them and I was touched by the responses. Leon, a student in GI, said that he learned about the aspects of being a nurse (cont. on page 3) SAVE THE DATE ANNUAL NURSING (RCC) The Mount Sinai Hospital Magnet Newsletter Welcome Pat Matos, DNP, RN Magnet Program Director Summer 2012 / Volume 1 / Issue 3 The Doll Project Submitted by Sylvie Jacobs, RN, BSN Now Klingenstein Clinical Center 7 South facility. On follow up, he is still carrying and seems to have dolls all over. They re on caring for his doll there. shelves, they re riding in a cart and they re being carried in arms. They are culturally This caught the eye of Dr Davis and Dr and gender diverse, with different facial Porter who visited the unit and encouraged expressions and dress. They are offered research to measure outcomes. 7 South to patients who choose their doll, saying began a log of patient observations. They Patients benefit by the care and connection they feel when holding a doll...members of the health care team can feel a greater sense of satisfaction and purpose. sometimes that they remind them of relatives. also measured the use of prn Haldol Patients who are uncooperative with feeding between patients who had dolls and those seem to relax and eat better if they are also that did not. These results showed that feeding their babies. One gentleman was so patients with pre-existing symptoms of agitated that he required four caregivers just agitation who accepted the doll, used less to get through AM care. He chose a doll and Haldol prns than patients who did not accept became calm and cooperative. He was able the doll. to be discharged back to his long term care (story continues on page 3) This Month s Issue: O ne day in 2007, while rounding on her geriatric psychiatry unit, Clinical Nurse Manager Lorna Green encountered an agitated 89 year old crying for her Mommy and her doll. What do nurses do when confronted with emotional anguish? We stay present and listen. We feel and acknowledge the pain. We formulate a plan and act. Ms Green turned to Lola Bloomfield, Mental Health Associate and asked her to somehow come up with a doll. Ms Bloomfield created a pillowcase doll with arms and legs and dressed her with a red sash around her waist. The patient immediately embraced this pillowcase doll, her face lit up and she calmed down. Curious and determined, Ms Green investigated doll therapy. She found a small amount of information on the internet and noticed most of the doll therapy research was done overseas. She sent one of her nurses, Kathy Clancy to Toys R Us and their first doll purchase was made. The Mount Sinai Hospital Magnet Newsletter WELCOME Spring 2012 Volume 1 Issue 1 This Month s Issue: P. 2 A Look at Leadership P. 3 Spotlight on KP5 P. 4 Mind, Body & Spirit & Global Outreach P. 5 Red Carpet Treatment What is Magnet? by Pat Matos, DNP, RN So, many ask, what is Magnet exactly? To Knowledge, Innovations & Welcome to the first edition of the Magnet explain, it is best to start with a brief Improvements, and Empirical Outcomes) Newsletter. This newsletter is designed to history. In 1983, The American Academy which form the basis for the Magnet share information about the Magnet of Nursing s Task Force on Nursing Model. Currently, there are over 87 program with all nurses the Mount Sinai Practice in Hospitals surveyed 163 sources of evidence under these Medical Center. Mount Sinai was hospitals in the U.S. to ascertain what components. In the written designated as a Magnet hospital for the first factors created an atmosphere that documentation and the survey, each of time in 2004 and re- designated in 2009 attracted and retained nurses. Of the 163 these sources of evidence is evaluated. after meeting the rigorous standards hospitals, 41 demonstrated magnet Welcome outlined by the American Nurses characteristics that attracted and retained The Magnet Recognition Program is a Credentialing Center (ANCC). Pat The process Matos, nurses. These characteristics came to be rigorous and ongoing process of DNP, RN involves the submission of several volumes known as the Forces of Magnetism. The achieving and improving nursing Magnet Program Director of documentation demonstrating evidence 14 forces included quality of care, excellence. Magnet organizations must of standard compliance. This is reviewed by autonomy, and professional development, now demonstrate that quality outcomes the Magnet Commission and if it to name a few. exceed the norm over 50% of the time. It demonstrates sufficient evidence of is no longer enough to have processes in In 2007, in response to changes in compliance, a survey is then scheduled. The place we must show that these healthcare, the ANCC conducted a study re- designation survey in 2009 at Mount processes are effective. Being designated in which a statistical analysis of surveyor Sinai was conducted for three days, and a Magnet hospital means we are scores was done and the result was a while focused on nursing practice, staff of meeting the highest standards we have clustering of the sources of evidence into all disciplines in every area of the hospital in the nursing profession. It is reason to over 30 groups. The 14 Forces of participated. We were notified in March, be proud and reason to continue to Magnetism were grouped into five 2009 that we had been re- designated. This practice at this level in every area of components (Transformational is achieved by only a small number of practice. Leadership, Structural Empowerment; hospitals in the United States. Exemplary Professional Practice; New Did You Know? The Magnet Conference for 2012 will be in Los Angeles this year. The dates are October Register early! The ANA National Nurses week is being celebrated at Mount Sinai April 30 May 7. Traditionally, Nurses Week is celebrated around the May 12 th birthday of Florence Nightingale, the founder of modern nursing. If you want to make suggestions or comments to the newsletter send to Spring 2012 Volume 1 Issue 2 The Mount Sinai Hospital Magnet Newsletter Nurses are celebrated during Nurse s Week which coincides with the birthday of Florence Nightingale. This year Mount Sinai has a full week of scheduled events to honor, recognize and enrich our nurses. Please find a way to attend some of these events. Please take time to honor your colleagues. And, most importantly, please recognize your own valuable and unique contributions. Mount Sinai Awards for Excellence in Nursing Practice Each year during Nurse s week, Mount Sinai recognizes outstanding nurses throughout the institution. This year I am honored to be one of them. How does it feel to be the recipient of a prestigious nursing award? I have got to admit that it feels wonderful to have your efforts applauded. The ego loves the attention and it gets the validation it seeks. But after the initial excitement, I wonder why? Why me? There are so very many other wonderful Mount Sinai nurses, why would I be singled out? There s the longevity piece, the fact that I ve stuck around for 32 years proves my loyalty to the institution. There s the Benner theory of how, after years of training and practice, one becomes not just competent, but expert at nursing. There s the fact that I love to read and so have continued learning throughout all these years. I ve kept abreast of current trends and the forward progression of our profession. I ve volunteered beyond my basic employment requirements to enrich our community. But so has many, many other Mount Sinai nurses. So why? Why me? The only answer that makes sense to me is that there is something about my personal belief system that makes me stand out. I believe that there are many paths to fulfillment and so respect the many ways people seek their answers. I believe that since there is more than enough to go around and so I need to share. I believe that we have to think about what we do and say, so as to not harm, but to help. I believe that we are all interconnected, you are me and I am you. Many people say they share some of my beliefs, but still operate from places of fear. This hinders their ability to truly reach out and give fully. I believe that when we acknowledge our true intention; we can deliver. I am accepting the Mount Sinai Award for Clinical Excellence with the deepest of gratitude for my leaders who guide me, my colleagues who teach me so much and my patients who give me wisdom and purpose. I am accepting this award on behalf of all nurses who are making a better world for us all. Submitted by Sylvie Jacobs, RN, BSN, CPAN W i nte r, S p r i n g, S u m m e r & Fa l l Ed i t i o n s of t h e M agnet N ews l ette r fo r This Month s P. 2 MOUNT SINAI CLI P. 3 RELATIONSHIP BA GUEST SpeaKerS Barbara Nichols, MS, RN, DHL, FAAN Recognized Living Legend of the American Academy of Nursing Nursing Grand Rounds: A History of Nursing, Including the Pivotal Contributions of Mount Sinai Nurses, October, 2012 Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN Adjunct Professor, Mount Sinai School of Medicine Professor of Nursing, Case Western Reserve University Keynote Address, Nurses Week 2012 Relationship Based Care 7

8 ExeMPlary ProfeSSIonal PractICe RelatioNShIP Based Care, RelatioNShIP Centered Care Professional Practice Model Professional Practice Model Mount Sinai Hospital Relationship Centered Care (MSHRCC) Relationship Based Care (RBC) Care of: Patients/Family Self Clinician Colleagues Care Team Members Community (Local Global) Relationship Centered Care The Mount Sinai Hospital Relationship Centered Care (MSHRCC) The Mount Sinai Professional Practice Model is the over arching conceptual framework for nurses, nursing care, and interdisciplinary patient care. The model depicts how nurses practice, collaborate, communicate and develop professionally to provide the highest quality care for our patients and their families. RBC and RCC tenets are extended to all care team members and to the global community. Key Tenets: Care of patients/families Care of self Care of clinical colleagues (physicians, therapists, assistive personnel) Care of care team members (environmental workers, dietary, business colleagues, assistive personnel) Care of community (local and global) 8

9 The Mount Sinai Hospital Department of Nursing Care Delivery Model Modified Primary Nursing ANA Standards TENETS OF MODIFIED PRIMARY NURSING Nurse Patient Relationship Accountability Autonomy Continuity Collaboration STRUCTURE DIMENSIONS Positive Practice Environment Scope of Practice Certification ANA Social Policy Statement ANA Code of Ethics NY State Nurse Practice Act MSH Institutional Policies and Procedures Professional Nursing Practice MSH Nursing Philosophy MSH RELATIONSHIP CENTERED CARE (MSHRCC) PROFESSIONAL PRACTICE MODEL Modified Primary Nursing Professional Nursing Performance PROCESS DIMENSIONS Assessment Diagnosis Outcomes Planning Implementation/Evaluation OUTCOME DIMENSIONS Quality Safety Evidence The Care Delivery Model is integrated within the Professional Practice Model and promotes continuous, consistent, efficient, and accountable delivery of nursing care. The Care Delivery Model is a system that is adapted to regulatory considerations and describes the manner in which care is planned and delivered, skill set required, context of care, and expected outcomes of care. Based on the MSH Professional Practice Model of Relationship Centered Care (MSHRCC) and the tenets of Primary Nursing - nurse patient relationship, accountability, autonomy, continuity and collaboration the Care Delivery Model is a modification of Primary Nursing. This model provides the framework for the planning, assignment and delivery of care on a daily basis. Healthy team relationships create the conditions for caring The Foundation of Patient/Family-Centered Care The value of relationship in patient care must be understood. Sitting at the bedside allows the staff the opportunity to connect with the patient, build a relationship, and demonstrate caring and compassion. Transformational change happens one relationship at a time Physician and Nursing Medicine Team prepares for Multidisciplinary Rounds Nurse and Patient Care Associate discussing plan of care with a patient Interdisciplinary Pain Committee celebrates Excellence in Pain Management with unit staff 9

10 EmpirICal outcomes Mount Sinai Hospital Relationship Centered Care Model (RCC) RCC is practicing from a caring, healing perspective that seeks to preserve the dignity and integrity of the patient and the patient s family. RCC supports the active collaboration between the patient, family and healthcare team in decision-making, patient care, and treatment; and is focused on creating a work environment that engages staff and recognizes their commitment and creativity. RCC Phase I Patient Units have established formal operational teams lead by the Clinical Nurse Manager and their Physician partner. Initiatives include rounding, joining unit meetings, review of data, participating in the development and monitoring of unit based improvement plans, and staff educational programs. Team rewards and recognition have been established for achieving quality, clinical and operational improvements. National Average 2012 MSH Goals nd Quarter 2012 MSH CAHPS Composites Communication about Medicine Communication with Doctors Communication with Nurses Discharge Information Pain Control Rate Hospital Responsiveness of Hospital Staff Hospital Environment Room Kept Clean Room Quiet At Night Would Recommend Hospital Nurse & Patient Sit-Down Interaction Words from a grateful Mount Sinai Patient No one enjoys a hospital stay. However, your staff provided a remarkable level of care to myself and from what I observed all the other patients. They put a human face on my health care. Collectively and individually they are a credit to Mount Sinai Hospital and their profession. They positively impacted my stay and subsequent recovery. Myself and my family are very grateful The Foundation of Patient/Family-Centered Care The essence of caring is in human connection The relationship between patients, families, and the caregiver is at the heart of care delivery 10 Transplant Team spending time with a pre-transplant patient Neonatal Intensive Care Unit Team with a mother and her baby

11 Hurricane Sandy, A Hospital Prepared As Hurricane Sandy made landfall in New York City, The Mount Sinai Medical Center implemented its emergency preparedness plan and took in 107 evacuated patients from area hospitals that had lost power or endured storm damages. When NYU Langone Medical Center and Bellevue Hospital Center lost power, Mount Sinai was ready with beds and staff to accept the evacuated patients, many of whom had serious and complex conditions. Nurses from those hospitals were quickly credentialed and welcomed to Mount Sinai to work side-by-side with our nurses and the patient care teams to ensure continuity of care. Nurses from NYU Langone Medical Center were welcomed to Mount Sinai by, FRONT ROW: Erin DuPree, MD, left; Carol Torchen, MSN, RN, Director of Nursing, Women s and Children s Services, second from left; Carol Porter, DNP, RN, FAAN, fourth from left; Peter W. May, Chairman, Boards of Trustees, The Mount Sinai Medical Center, middle; Kenneth L. Davis, MD, President and Chief Executive Officer, The Mount Sinai Medical Center, fifth from right; BACK ROW: Michael Brodman,MD, Chair, Department of Obstetrics, Gynecology and Reproductive Science; Rachel Barr, MD, Resident; and Susan Hiraldo, RN. (LEFT) William Donovan, born three weeks early with congenital heart disease, looks at his mother Jennie from the safety of his bed in Mount Sinai s Neonatal Intensive Care Unit. He arrived from NYU Langone Medical Center at the height of the storm. (BELOW) Carol Porter and the Directors of Nursing rounded on all patient care units and provided the nursing staff with trays of cookies and heartfelt thanks. With transportation difficult, and in the midst of one of the worst storms to ever hit the Metropolitan New York area, our patients and families were taken care with exceptional expertise and compassion. Patient care units made room, intensive care units were at maximum capacity, and nurses and staff members stayed at the Hospital, sleeping on cots, working long hours, and providing our patients and families with the same high level of care we provide every day. 11

12 New KnowleDGe, INNovations & IMProvements EPIC Between April and July of 2011 Mount Sinai implemented a state-of-the-art electronic clinical information system (EPIC) that provides a comprehensive electronic medical record. The EPIC system is widely acknowledged as best in class and was essential for us to improve the quality and safety of patient care, as well as remain at the forefront of innovation. A group of 17 nurses, a physical therapist, a nutritionist, and 2 ancillary staff comprised the Epic Project Implementation Team (EPIT). The EPIT was created to serve as a liaison between the clinical providers and the Mount Sinai Epic IT project team. The 17 nurses were taken out of their clinical roles, received extensive training, and were dedicated Fte s to the Epic implementation. This group was led by the Senior Director of Nursing Finance and Operations, Amy Albano, MBA, BSN, RN, FAChe. the nursing leadership, the EPITs critically evaluated current clinical practices and documentation and assisted nursing leadership with improving the process. Post-live, the EPITs shadowed clinical and non-clinical staff to observe the workflow throughout a patient s stay from admission to discharge to ensure all processes were running smoothly. They successfully bridged the gap between the clinical users and the IT Project Team which resulted in an almost seamless implementation of Epic s Electronic Health Record. The EPITs collaborated with the staff nurses in all the units, gathered the paper documentation, and proposed changes to the Nursing Informatics (NI) committee for standardization and approval. Together with Epic Project Implementation Team (EPIT) Ruttenberg Treatment Center moves to Hess Center for Science and Medicine There has been significant strategic recruitment and growth within all aspects of the oncology program at Mount Sinai Medical Center. This included moving The Ruttenberg Treatment Center, our ambulatory cancer center, to the Hess Center for Science and Medicine (CSM), Mount Sinai s new research and patient care building, in October of Located on the third and fourth floors of CSM, the new space provides them with double the space they formerly had. The new space increases patient privacy and allows the program to continue to grow as the nursing staff remains focused on improving the quality of care provided. The Ruttenberg Treatment Center Nurses in their new location 12

13 Nursing Research Day Nursing Research Day is celebrated annually to showcase nursing research and scholarship at The Mount Sinai Medical Center. The research day includes a didactic component, in the form of a lecture or series of speakers and a panel discussion, and also a poster session where outcomes and progress of scholarly projects at Mount Sinai and affiliate institutions are displayed and presented. There were a total of 18 poster abstracts presented in 2011 The didactic session included 3 panelists: Dr. Joyce Fitzpatrick (Elizabeth Brooks Professor of Nursing Case Western Reserve University Frances Payne Bolton School of Nursing Cleveland, Ohio), Janet Johnson, MA, ANP-BC (Nurse Practitioner, Mount Sinai Heart Cardiology ADS Service) and Piera Poletti (Director, CereF Centre for Research and Education Advanced Education Padua, Italy). The event was attended by approximately 150 Mount Sinai nurses, nursing students, and colleagues from affiliated institutions. Nursing Research Day 2011, Poster Session, December 2011 (Right) Nursing Leaders at Nursing Research Panel Discussion (Left) Piera Poletti Speakingin The Hatch Auditorium, Nursing Research Day, 2011 There were a total of 30 poster abstracts presented in 2012 The didactic session included 3 panel presenters: Mei Fu, PhD, RN, FAAN, Associate Professor New York University College of Nursing, New York, NY Marisa A. Cortese, PhDc, RN, FNP, BC, Senior Manager, Oncology Education, Quality and Research Mount Sinai Medical Center Keville Frederickson, EdD, FAAN, Professor and Director, Research and Scholarship, Department of Nursing, Lehman College/ Executive Officer, Doctor of Nursing Science Program, The Graduate Center, The City University of New York. More than 200 Mount Sinai nurses, nursing students, and colleagues from affiliated institutions attended. Nurses and Students at the 2012 Nursing Research Day Poster session December 2012 Keville Frederickson, EdD, FAAN Speaking in The Hatch Auditorium, Nursing Research Day, December

14 StrUCtural empowerment CLINICal NURSE excellence AWarDS 2012 Participating in the 31st Annual Awards for Excellence in Nursing Practice were FRONT ROW, FROM LEFT: Krystal Locke, BSN, RN; Stephanie Yabut, BSN, RN; Carol Porter, DNP, RN; Sylvie Jacobs, BSN, RN; Susan R. Cullman, Member, Boards of Trustees; Linda Pagan, MS, RN; Melissa Williams, BSN, RN; Patricia S. Levinson, Member, Board of Trustees; Kathleen Scher, EdD, RN, Vice President of Nursing; Claudine Brown, MSN, RN; Patricia Sterner, MSN, RN, CNS; and Lisa Menotti, BSN, RN; BACK ROW, FROM LEFT: Geraldine Basler, MSN, RN; Marisa Cortese, MS, RN, FNP; Kim Mayo-Smith, BSN, RN; Patrice Burke, MSN, RN; Sofia Fleishmann, BSN, RN; Marie Daniel, BSN, RN; Nicole Wells, BSN, RN; Cathy Lin, BSN, RN; Jefferson Aglipay, BSN, RN; and Emily Kropp, BSN, RN The Mount Sinai Nurse Recognition Committee designs, implements, and evaluates formal programs which acknowledge professional achievements by nurses and other professionals for outstanding contributions to the Hospital. Members of the committee organize celebrations throughout the year including National Nurses Week, Clinical Nurse Excellence Awards, Physician of the Year Awards, and Ellen Fuller Awards for Excellence in Nursing Leadership. National Nurses Week includes daily activities that highlight the profession of nursing by providing educational forums, scholarly presentations and other opportunities for nurses to gather and celebrate. During this week, the Mount Sinai Medical Center Board of Trustees sponsors the Clinical Excellence Awards, established thirty-one years ago, to recognize professional nurses who consistently demonstrate excellence in nursing practice. Mr. Edgar Cullman Sr. The Department of Nursing mourns the passing of Mr. Edgar M. Cullman, Sr. in August of Mr. Cullman was the third generation of his family to serve on the Board of Trustees of Mount Sinai Medical Center. He had also served on the Board of the Mount Sinai Hospital School of Nursing from 1950 until it closed in Nurses Week 2011 Clinical Excellence Award Ceremony. Carol Porter, PhD, RN, Chief Nursing Officer; Edgar M. Cullman, Sr., Medical Center Trustee; Radley Flores, BSN, RN, Clinical Nurse, Emergency Department and Patricia Levinson, Medical Center Trustee. Mr. Cullman s work with the School of Nursing Board inspired in him a lifelong advocacy for nursing and patient care, interests which he passionately championed throughout his life. Mr. Cullman was a regular participant in the Department of Nursing Annual Clinical Excellence Awards and was beloved by Mount Sinai nurses. 14

15 Mount Sinai Hospital Student Nurse Intern Program Fifteen Student Nurse Interns (SNIs) are recruited each June for an 8-week program. Requirements include the completion of a medical/surgical rotation and a GPA of The SNIs receive a competitive salary and a comprehensive orientation. The role of the SNI is reflective of assistive personnel for a few added functions. Every SNI is assigned a Clinical Nurse Mentor to guide, support, and teach them. The Mentors explain everything and are open to questions and discussion. The SNIs develop a close relationship with their Mentor and all of the SNIs and Mentors are uniformly positive about the experience. The internship concludes with a Graduation and celebration with the SNIs, the Mentors and other nurses involved in the program. After graduation from nursing school, many of the SNIs return to Mount Sinai as clinical nurses. StuDENt NuRSE IntERNS 2012 (Pictured Right, Left to Right) Top Row: Leah Riggs Hamilton, Yuri Mickler, Jeremy Lestch 2 nd Row: Kaitlyn Hilton, Alexandra O Brien, Megan McCarthy, Karyl Del Mundo 3 rd Row:Kristen Sampson, Mikaela Kislevitz, Princess Okunola 4 th Row Stephanie Osei-Bonsu, Naresa Baksh, Lauren Schott Bottom Row: Nicole Ramirez, Carmelle Dulaurier StuDENt NuRSE IntERNS 2011 (Pictured Left to Right) Top Row: Jason Bruck, Irvin Hiralall, Jerin Kallickal, Ndidi Adogu, Jaclyn Kalin, Juda Zurndorfer Danny Vanel Bottom Row: Alexa Segna, Alpha Omega Acapulco, Keianna McQueen, Angel Lee, Allison Rapp, Melanie Pineda, Melissa Gardon, Kriselle Farrales The New York Times Tribute to Nurses Janet Johnson, MA, ANP-BC, has been dedicated to the profession of nursing for over 30 years, and has been a member of the Mount Sinai Community of Nurses for 17 years. In 2011 she was the Department of Nursing Clinical Excellence Winner as well as the New York Times 2011 Winner in the Category of Education. The thing that distinguishes Janet is her incredible ability to get things done. Nursing Research Coordinator Sharon Wexler, PhD, RN, Dr. Wexler was one of seven fellows inducted during the 2012 annual convention of The National Gerontological Nursing Association (NGNA) in Baltimore Maryland. Dr. Wexler has been a member of NGNA since 1991, and has been the chairperson of the organization s research committee since She was instrumental in developing a defined research track at the annual meeting as well as developing a poster session and research award for students. The NGNA is dedicated to the clinical care of older adults across diverse care settings, and their core mission is to improve care for older adults. Fellowship in the organization is an honor which is conferred upon members who demonstrate outstanding leadership in gerontological nursing and who have made significant contributions to the profession. She is the driving force of the Mount Sinai Heart Nurse Practitioner Symposium founded five years ago and sponsored by our cardiac NPs for nurses and NPs in the tri-state area and beyond. It was the first conference of its kind in the United States, and is now an annual event with more than 300 participants. In addition, Janet orients new nurses and students, initiates educational meetings, and is an integral part of the cardiac nurse practitioner orientation and training. Janet is always available to anyone who wants to teach or learn. Sylvie Jacobs, BSN, RN, CPAN, Clinical Nurse, Perioperative Services has been a Mount Sinai nurse for more than 34 years. In 2012 she was the Department of Nursing Clinical Excellence Winner as well as the New York Times 2012 Winner in the Category of Leadership. Janet Johnson, MA, ANP-BC 2011 New York Times Tribute to Nurses Winner Sylvie is intelligent, kind, compassionate, creative, and has a never-ending desire to improve the quality of care. She has a vision and a passion about the care she provides to her patients, and she energizes others to do the same. Sylvie has a sound clinical knowledge and mentors less experienced nurses with ease. She is also a leader in the Magnet Champions group and serves as Editor of the Magnet Newsletter. The other Champions look to her for ideas and solutions to problems and she consistently helps the nurses find answers in a professional manner using an evidence-based approach. Sylvie Jacobs, BSN, RN, CPAN 2012 New York Times Tribute to Nurses Winner 15

16 The MoUNt Sinai HoSPItal NurSING RecoGNItion award WINNers 2011 MOUNT SINAI MEDICAL CENTER BOARD OF TRUSTEES 30 th ANNUAL AWARDS FOR EXCELLENCE IN NURSING PRACTICE Janet Ansong-Danquah, BSN, RN, Labor & Delivery Colette Bradford, BSN, RN, Perioperative Services Dianne Cavanaugh, RN, FNP, The Mount Sinai Hospital of Queens Tracy Crippen, BSN, RN, GP 8 West Magalie Elie, MSN, RN, KP 5 Radley Flores, BSN, RN, Emergency Department Lorna Green, MSN, RN, KCC6S, 7S Jennifer Jaromahum, MS, RN-BC, GP 8E Julia Manansala, BSN, RN, GP 11C Angela Melluzzo, BSN, RN, Radiology Nella Pineda-Marcon, BSN, RNC, Madison 6 Laura Schneider, MSN, RN, NICU, Mary Mendes Pediatric Nursing Practice Award Joanne Sultana, BSN, RN, The Mount Sinai Hospital of Queens DEPARTMENTAL WINNER Janet Johnson, MA, ANP-BC, Mount Sinai Heart 2011 ELLEN FULLER AWARDS FOR NURSING LEADERSHIP Caroline Erni, MSN, RN, FNP-BC, Nurse Practitioner, Orthopaedics Jennifer Jaromahum, MS, RN-BC, Clinical Nurse Manager, Guggenheim Pavilion 8 East 2011 PhySICIAN OF THE year AWARDS Lana Zhovtis-Ryerson, MD, Department of Neurology, House Officer Award Jason Prager, MD, Department of Geriatrics, Fellow Award Evan Flatow, MD, Bernard J. Lasker Professor Chair, Department of Orthopaedics, Attending Award David Reich, MD, Horace W. Goldsmith Professor Chair, Department of Anesthesiology, Special Recognition Award 16

17 The MoUNt Sinai HoSPItal NurSING RecoGNItion award WINNers 2012 MOUNT SINAI MEDICAL CENTER BOARD OF TRUSTEES 31 st ANNUAL AWARDS FOR EXCELLENCE IN NURSING PRACTICE Jefferson Aglipay, BSN, RN, CNOR, Perioperative Services Preciosa Basiao, BSN, RN, The Mount Sinai Hospital of Queens Geraldine Basler, MSN, RN, CCNR, Coronary Care Unit Claudine Brown, MSN, RN, The Mount Sinai Hospital of Queens Patrice Burke, MSN, RN, CNSN, Pediatric Nutrition Support, Marisa Cortese, MS, RN, FNP, BC, The Tisch Cancer Institute Marie Daniel, BSN, RN, Klingenstein Clinical Center 2 Sofia Fleischmann, BSN, RN, Pediatric Intensive Care Unit Dechen Lama, RN, The Mount Sinai Hospital of Queens Cathy Lin, BSN, RN, Inpatient Dialysis Krystal Locke, BSN, RN, Madison 6 Kim Mayo-Smith, BSN, RN, Klingenstein Pavilion 8 Lisa Menotti, BSN, RN. Emergency Department Linda Pagan, MS, RN, CARN, Ambulatory Nursing Patricia Sterner, MSN, RN, CNS, IBCLC, Lactation Nicole Wells, BSN, RN, CMSRN, Guggenheim Pavilion 8E Melissa Williams, BSN, RN, Internal Medicine Associates Stephanie Yabut, BSN, RN, Klingenstein Pavilion 5 DEPARTMENTAL WINNER Sylvie Jacobs, BSN, RN, CPAN, Post-Anesthesia Care Unit, Pat Liang PACU Nursing Practice Award 2012 ELLEN FULLER AWARDS FOR NURSING LEADERSHIP Loraine O Neill, MPH, RN, Director of Quality Initiatives, Department of Obstetrics, Gynecology & Reproductive Science Lorisa Richards, MS, FPN, RN, Clinical Nurse Manager, Guggenheim Pavilion 9 East 2012 PhySICIAN OF THE year AWARDS Katharine Maglione, MD, Department of Radiology, House Officer Award Kai Tsao, MD, Division of Hematology and Medical Oncology, Tisch Cancer Institute,Fellow Award Bruce Darrow, MD, PhD, Department of Medicine/Division of Cardiology, Attending Award Patricia A. Bloom, MD, Brookdale Department of Geriatrics and Palliative Medicine, Special Recognition Award 17

18 Global ISSUes IN NurSING & Health Care The interest in Global Nursing activities at Mount Sinai has grown, as evidenced by the number of Mount Sinai nurses who have chosen to participate as volunteers in Global Nursing Missions in underprivileged parts of the world (34) and the number of nurses from other countries who have come to observe nursing at Mount Sinai (64). Mount Sinai Nurses who have completed a Global Nursing Mission in 2011/2012. Four of the nurses have completed more than one nursing mission. Global Nursing Missions, January 2011 to December 2012 Mary Joy Abraham, MSN, rn, anp, Nurse Practitioner, Rehabilitation Medicine, Philippines, May 2012 Lauren Abrams, Cnm, MSN, Clinical Director of Midwifery, Guatemala, January 2011 Janet Ansong-Danquah, rnc, BSN, Infection Control, Liberia, January 2011 and January 2012 Tatiana Arreglado, MSN, rn, Clinical Program Manager, India, November/December 2012 Katie Atkinson, fnp, rn, Pediatrics, Kenya, May 2012 Irene Banares, ma, rn, Cnor, Manager, Perioperative Services, Philippines, February 2011 and February 2012 Ma.Angelina Begonia, MS, rn, Clinical Nurse Manager, GP 9West, Philippines, September 2012 Linda Benoit, BSN, rn, Clinical Nurse, Madison 6, Haiti, August 2012 and December 2012, India October 2012 Stefanie Buissereth, BSN, RN, Clinical Nurse, GP 6 West, Haiti, July 2012 Cora Cajulis, Dnp, rn, anp-bc, Associate Director, Medicine Services, Philippines, January 2012 Donna Lee Cataldo, anp, MSN, Nurse Practitioner, Transplant, Haiti, July 2012 Lynn E. Cochran, BSN, rn, Clinical Nurse, GP 6 West, Haiti, July 2012 Valerie Davis, BSN, rn, Clinical Nurse, Perioperative Services, Dominican Republic, October 2012 Raheeman Frederick, BSN, rn, Clinical Nurse, KP7, Grenada, August 2012 Antoinette Gabriel, BSN, rn, Clinical Nurse, SICU, Haiti, July 2012 Margaret Garrett-Herry, MSN, rn, fnp, Clinical Nurse Manager, Clinical Research Center, Grenada, July 2011 Marianne Gelber, MSN, Gnp, ACHpn, Nurse Practitioner, Palliative Care, India, May 2012 Ireneo Jore rn BSN, Clinical Nurse, Interventional Radiology, Philippines, July 2012 Getl Kasper, rn, Carn-ap, Clinical Nurse, Madison 5, Mexico, February 2012 Heeock Lee, MSN, anp-c, Nurse Practitioner, Russia, September 2011 Natalie Kirton, BSN, rn, Clinical Nurse, SICU, Haiti, July 2012 Virginie Lucus, BSN, rn, Clinical Nurse, GP 8Center, Haiti, July 2012 Kathleen McCollum, MS, rn, Clinical Nurse Manager, CCU, Liberia, December 2012/January 2013 Judy Miranda, MSN, rn, Director of Nursing, Transplant, Hong Kong, May 2012 Illouise Murillo, MS, rn, Manager Performance Improvement, Psychiatry, Mount Sinai Global Mental Health Program, Belize, July 2012 Leilani Pineda, BSN, rn, Clinical Nurse, Perioperative Services, Philippines February 2012 Carol Porter, Dnp, rn, Chief Nursing Officer, Hong Kong 2011 and Saudi Arabia 2012 Diane Reyda, BSN, rn, Clinical Nurse, SICU, Haiti, July 2012 Shalom Simmons, MSN, BBA, rn, Clinical Nurse Manager, GP 6W, Haiti, July 2012 Samantha Smith, BSN, rn, Clinical Nurse, Labor & Delivery, Guatemala, October 2012 Imelda Tuason, BS, rn, Cardiac Catheterization Laboratory, Philippines February 2012 Risa Turetsky, rn, fnp, mph, Adolescent Health, Kenya, May & September 2011 and 2012 Fabienne Ulysse Dnp, anp-bc, Nurse Educator, Ruttenberg Treatment Center, Haiti, July 2012 Shirley Wilson, BSN, rn, Clinical Nurse, Perioperative Services, Haiti, July 2011 Singapore Netherlands Saudi Arabia Lithuania Italy Dominican Republic Philippines India Australia Guatemala Haiti 18

19 Dr. Phil Landrigan, Professor & Chair, Preventive Medicine, Agnes Tiwari, PhD, RN, FAAN, Head, School of Nursing and Assistant Dean, University of Hong Kong; Carol Porter, DNP, RN; Lisa Martin, PhD, RN, Senior Manager, Nursing Practice. (Pictured Above with Judy Miranda )Yeung York Mui, Lee Yuk Mun, Chan Ming Fung, Tsang Hing Ling were four nurses from Hong Kong brought to Mount Sinai through the Visiting Nurse Scholar Program. Global Nursing Visits, January 2011 to December 2012 Chan Ming Fung, BSN, rn, Yeung York Mui, MSN, rn, Lee Yuk Mun, MSN, rn, Tsang Hing Ling, MSN, rn, Nurse Leaders, Hong Kong, November/December 2012 Ma Yi Mon Soe, BSN, rn and Nurshifa Binte Shaik Hussain, BSN, rn, Nurse Clinicians, Singapore, November 2012 Professor Piera Poletti, Director, CEREF, Italy, August 2012 Mally Ehrenfeld, PhD, rn, Dean of Nursing, Tel Aviv University, Israel, July/August 2012 Josephine Hegarty, BSc, PhD, RGN, MSc, rnt, Professor of Nursing and Midwifery, University College, Ireland Professor Trish Dito, Deputy Director of Nursing Operations, Australia, May 2012 Orratai Thanawinitcharen, MSN, rn, Panor Tubtimtong, BSN, rn, Wasanar Chanabholpat, MSN, rn, ThitipornThanomboon, mph, rn, Suphalak Rathasara, MSN, rn, Siriwan Kuawiriyapan, MSN, rn, Piyachat Chumchuen, MSN, rn, Nurse Leaders, Thailand, May/June 2012 Agnes Twari, PhD, rn, faan, Dean, University of Hong Kong School of Nursing, Hong Kong, April 2012 Franz Wagner, MSc, RhP, International Magnet Commissioner, Germany, March 2012 Veronica Casey, rn, rm, B Nursing, MSN, International Magnet Commissioner, Australia, March 2012 Kit Mui Chiu, MSN, rn, Suit Lai or, MSN, rn, Advanced Practice Nurses, Hong Kong, March/April 2012 Mev. R. Immink-Speet, Christiaan Beers, Mevr. M. Wit, Ammy van der Tol-Paap, Marjan de Hoop, Sylvia Oosterveen, Judith de Weerd-Mans, Marja Voskuilen, Frieda Jansen, Anke van de Lageweg, Ina van Ingen Schenau-Veldman, Nurse Practitioner Students, Holland, February 2012 Virginia Pui Fung Chong, MSN, rn, Carmen Ka Man Ho, MSN, rn, Itea Sui-Foon Leung, MSN, rn, Ping Fat Lau, MSN, rn, Nurse Leaders, Hong Kong, January/February 2012 Professor Bridget Johnson, University of Dundee, Scotland, December 2011 Jurate Macijauskienne, MD, PhD, Professor Aurelia Blazeviciene, Lithuanian University, December 2011 Mike Gob, BSN, rn, School of Health Sciences, Nanyang Polytechnic, Singapore, September/October 2011 Susan Clement, Claire Kennedy, Janet Hardwick, Sue Armstrong, Gail O Grady, Sarah Coleman, Senior Nurse Leaders, Australia, October 2011 Chief Executive Nurse and 11 Senior Nurse Managers, Hong Kong, April 2011 Lisette Fijtten, Nurse Practitioner Student, The Netherlands, March 2011 Jenny Cubitt, Nurse Manager, Australia, March 2011 Ineke Baas-Arends, np, rn, Hilly de Haan-Rijpma, np, rn, Lydia Redelaar Diana, np, rn, Thoma-Sloots, np, rn, Cardiac Nurse Practitioners, The Netherlands, January, 2011 Hong Kong Israel Ireland Thailand Germany Scotland Russia Liberia Kenya Mexico Grenada Belize 19

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