NuRses at their BEST! NuRsiNg annual RepoRt 2014

Nurses at their BEST! Nursing Annual Report 2014

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

Contents Greetings from Our Vice President of Nursing 2 Lourdes Nursing Professional Practice Model 3 Structural Empowerment 4 2014 Lourdes Honored Nurses 4 Value Inspired Person (VIP) Award 7 Ozanam Award 7 Golden Stethoscope Award 7 2014 Nursing Essay Award 7 Lourdes Bright Lights 9 Nursing Committee Accomplishments 13 Advancing Education 16 Certification 17 Professional Nurse Advancement & Recognition Program 21 Additional Recognition 22 Exemplary Professional Practice 23 Unit-based Practice Council (UPC) Accomplishments 23 Transformational Leadership 28 Roles in the Community 28 Leadership Roles in Professional Organizations 31 Participation on Ascension Health Committees 32 Empirical Outcomes 33 Nursing Goals 33 Nursing Sensitive Quality Indicators 34 Patient Satisfaction: Net Loyalty Scores 34 New Knowledge, Innovations & Improvements 35 Ongoing Research 35 Completed Research 35 Nursing Research Day 35 Posters 36 Publications 43 Greetings from Our CNO 45

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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