January 2010 Nursing Strategic Goal Focus: Workforce Supply and Performance This month, we are continuing with our plan to highlight one of our nursing strategic goals in each issue of enursingnow. Our goal for this month is Workforce Supply and Performance: We aspire to attract, develop and retain exceptional nurses and provide them with an environment that fosters excellence through continuous learning. Our articles this month focus on several new initiatives designated to foster continuous learning for nurses at Northwestern Memorial. Plan for Advancing Nursing Excellence at Northwestern Memorial Deliver Exceptional Care Nursing Strategic Goal: Innovation 1. We aspire to develop and implement innovations patient and family-centered care that foster quality, safety and effectiveness and serve as a model for nursing care nationally. Advance Science and Knowledge Nursing Strategic Goal: Research and Evidence-Based Practice 2. We aspire to develop a culture of inquiry that encourages and supports nurses in advancing evidence-based practice and building new nursing knowledge. Nursing Strategic Goal: Workforce Supply and Performance 3. We aspire to attract, develop and retain exceptional nurses and provide them with an environment that fosters excellence through continuous learning. Nursing Strategic Goal: Healthy Practice Environment 4. We aspire to provide our nurses with an environment that supports their professional practice, health and well being. Nursing Strategic Goal: Leadership 5. We aspire to develop transformational leaders who can positively impact the nursing profession at NMH as well as locally, nationally and internationally. Nursing Grand Rounds Betsy Finkelmeier RN, MBA, NEA-BC A new educational forum, Nursing Grand Rounds, will be introduced in January 2010 to advance a culture of continuous learning and critical thinking. Nursing Grand Rounds will offer a formal venue for organization-wide sharing of nursing expertise, best practices, and innovations in the evidence-base for nursing practice. An Advisory Group, chaired by Betsy Finkelmeier RN, MBA, NEA-BC, Clinical Excellence Director, is developing the new forum. Topics selected will be those of interest to nurses at the bedside throughout patient care at Northwestern Memorial. Nurses with specialized expertise will present the topics. The first Nursing Grand Rounds is scheduled for January 21, 2010 at 1 pm in Pritzker Auditorium. Advanced Practice Nurses Charlotte Niznik RN, MSN, APN and Valerie Uryga, RN, MSN, FNP will present Morbid Obesity: Implications for Nursing Practice. Margaret Duggan RN, BSN, Staff Nurse, Cardiac Catheterization Lab, and Chair of the Education and Professional Development Committee, has been an active participant on the Nursing Grand Rounds Advisory Group. Margaret views the Nursing Grand Rounds as an exciting new forum to engage Northwestern Memorial nurses and promote a culture of inquiry. She states, Nursing Grand Rounds is
yet another way that Northwestern Memorial demonstrates its commitment to evidence based practice. This new forum offers nurses the opportunity to advance their clinical knowledge and enhance their understanding of ethical and social implications related to nursing practice. Other members of the Nursing Grand Rounds Advisory Group include Pat Brown DNP, APN- PC, CNS, CCRN, NSICU Manager, Carol Burke RNC, MSN, APN, Obstetric Advanced Practice Nurse, Kimberly Carter RN, MSN, CBC, Women s Health Clinical Practice Consultant, Susan Eller RN, BSN, Nursing Graduate Student, Barbara Gobel, RN, MS, AOCN, Oncology Clinical Nurse Specialist, and Pam Pfeifer, RN, MSN, Manager, Clinical Training, NM Academy. If you would like to submit a topic idea for a future Nursing Grand Rounds, please email Betsy Finkelmeier at bfinkelm@nmh.org. Nursing Quality Peer Review Ann Schramm RN, MSN, NEA-BC The Nursing Quality Peer Review (NQPR) Committee was established as a subcommittee of our hospitalwide Nursing Quality and Patient Safety Committee in the fall of 2009. This committee supports our nursing strategic goal of Workforce Supply and Performance through its focus on fostering a culture of continuous learning. The goals of the committee are to enable direct care nurses to evaluate nursing practice and to assist peers in identifying strengths and opportunities for improved patient care. The committee believes that nursing quality peer review should foster continuous learning, patient safety and best practice through a process that is safe, fair, objective confidential, educational, timely in providing feedback, continuous and routine. The NQPR committee has completed an educational session, a practice case and one case review. NQPR members believe the peer review process empowers nursing to impact patient safety and the quality of nursing care at Northwestern Memorial. The co-chairs of the Nursing Quality and Patient Safety Committee, Leslie Klemp, RN, BSN, and Katie Doyle, RNC, BSN, C-EFM, provide leadership for the Nursing Quality Peer Review Committee. Members include: Medicine Neuro/Ortho Oncology Professional Women s Health Psychiatry Radiology Surgical Nursing Brenda Burke, RN, BSN Sara Ohlsson, RN Janet Palamone, RN, MSN, BS-HPA, CNRN, CCRN Kaitlyn Johnson, RN, BSN, OCN Margaret Duggan, RN, BSN Aida Mujagic, RN, BSN, RNC, CBC, C-EFM Richard Ray, RN, MSN, BSN-BC Tacora Love, RN, BSN, CRN, CMSN Laura Plazak-Groenendahl, RN, AD, BS Donna Bozga, RN, BSN, CCRN The Education Coordinator Role Tricia O Sullivan, RN, MSN Manager, 16 East Feinberg In September, the Patient Care Division implemented a new nursing role, the Education Coordinator (EC). This new role is designed to support the ongoing development of our nurses and foster an environment of continuous learning consistent with our strategic goal of Workforce Supply and Performance. 2
The Education Coordinator is responsible for assessing, directing, and coordinating educational needs at both the unit and departmental levels. The ECs work very closely with the NM Academy, the Nursing Education and Professional Development Committee, the Department of Professional Development, and the individual Shared Leadership Committees. The new Education Coordinators meet regularly to learn from each other and work together to support educational roll outs, unit education, and to collaborate on larger projects including annual competencies. For example, the Education Coordinators in SICU, CTICU, MICU, CCU, and NSICU worked together to educate all ICU nurses on the new VAP Bundle, supplies, and equipment in a timely, efficient, and effective manner. The ICU ECs have also supported each ICU unit through the roll out of the iview electronic documentation conversion. In the Emergency Department, Maggie Connors, RN, BSN, TNS, ECRN, ENPC and Stephanie Musolf, RN, BSN, TNCC, ENPC, ECRN have developed an in-depth new graduate nurse orientation program tailored specifically to the. In January, the Education Coordinator role will expand to the Divisions of Women s Health and Surgical. The current Education Coordinators are looking forward to providing their new peers with the support to be successful in their new role. According to Kayla Lampe, RN, MSN, Education Coordinator for NSICU and 10 West Feinberg: The development of the new role has enabled all the Education Coordinators to work as a team to help bring the NMH mission to the bedside. The education coordinators and units they support are listed as follows: Education Coordinators Department Name Units Emergency Inpatient Surgical Labor and Delivery Maggie Connors, RN, BSN, TNS, ECRN, ENPC Carolynne Flint RN, BSN, MHA, ECRN Stephanie Musolf, RN, BSN, TNCC, ENPC, ECRN Val Kohnen, RN, CMSRN Alyssa Breznau, RN, BSN, CCRN, TNCC Rebecca Harap, RN, BSN, CCRN Leslie Klemp, RN, BSN Candy Bourbonnais, RNC, BSN, C-EFM EMS/Trauma SICU/12 East 11 West/CTICU 11 East/12 West L&D Day Shift Medicine Rene Catalano RN, MS CCU, CTMC Sharon Lumpkins, RN, CMSRN Kate O Brien, RN, BSN Margarita Salinas-Watt, RN, MSN, CCRN, CNL Megan Santiago, RN, BSN, CMSRN 13E, 13W, 14E 16E, 16W, CRU MICU, HD 15E, 15W Neuro/Ortho Nicole Achilli, RN, BSN 10SE/14W Oncology Psychiatry Kayla Lampe, RN, MSN Karen Ray, RN, BSN,CCRN, CNRN Michelle Young, RN, BSN, CMSRN Barbara Meijer, RN-BC, A.A.S.N., BA NSICU, 10W 10 West 15/16 Prentice/ Rube Walker 8 East and 8 West Stone 3
New Endowed Wood-Prince Family Chief Nurse Executive Chair Northwestern Memorial Hospital recently received a $5 million gift from the F.H. Prince 1932 Trust. A portion of this gift has been earmarked by the family to establish the Wood- Prince Family Chief Nurse Executive Chair, the hospital s first and only endowed executive seat, which joins the ranks of a limited few of its kind nationally. Our Senior Vice President Michelle Janney, RN, PhD, NEA-BC will be Northwestern Memorial s first chief nursing executive to hold the endowed seat. This gift recognizes the importance of our nurses in contributing to Northwestern Memorial s mission and vision. Very few hospitals have the degree of philanthropic support specifically for nursing that we are fortunate have here at NMH. According to Michelle, A gift of this stature lends additional honor and prestige to our nursing program. The Wood-Prince family s generosity will go a long way in enabling the Division of Nursing at Northwestern Memorial to continue to innovate and advance patient care, patient safety and outstanding quality outcomes for patients Certifications Barbara Woods, RN, CHPN Home Hospice Certification of Hospice & Palliative Nurse Julie Mills, RN, BSN, NE-BC Transplant Nursing Executive Certification Charlotte Gutwein, RN, BSN, CRN Radiology Special Procedures Certified Radiology Nurse Allison Bianchi, RN, BSN, CRN Radiology Prep and Recover Certified Radiology Nurse Marguerite Valentini, RN, CHPN Home Hospice Certification of Hospice & Palliative Nurse Zenaida Martinez, RN, CNRN 10 West Feinberg Certified Neuroscience RN The endowment will support initiatives to advance nursing leadership education and training. 4
December 2009 Poll Question Results What do you find to be the biggest obstacle to implementing isolation precautions in a timely and effective manner? 4% 5% 6% 41% 26% 18% Delayed diagnosis of infectious disease by the physician Delay in acquiring supplies (isolation cart and/or signs) Lack of communication when patients are transferred from one unit to another or sent to other departments for diagnostic testing or procedures Nurses are not sure they have the authority to initiate isolation precautions without MD order or direction Nurses don t know when isolation precautions should be implemented Nurses don t know what type of precautions should be used, such as mask (procedure or N95), gown, eye protection, airborne infectious isolation (negative airflow) room, etc 5