Dear Staff, Colleagues and Friends

Contents

Letter from the CEO

Magnet Redesignation 2

Beacon Award 3

Research Symposium 4

FACT Accreditation 6

Nurse Residency 8

IPU 11

ONU 12

CN Academy 13

BSN Growth 15

Publications and Presentations 16

RN Certifications 19

Billings Clinic takes pride in our model of care that is based on a team approach with a multi-disciplinary workforce working together to deliver optimal outcomes for our patients. From senior management to frontline workers, Billings Clinic’s nurses play an integral and irreplaceable role in every aspect of caring for our patients. At every level and in every department, they are at the core of the daily decisions that affect the lives of the people we care for, and those patients couldn’t be in better hands.

Our nurses work at the forefront of evaluating, coordinating and providing best in nation care for our patients in cooperation with every member of the care team. They educate. They assess and manage. They provide both compassion and a commitment to delivering quality, safe and optimal care and outcomes.

In 2016, Laurie Smith was named Chief Nursing Officer (CNO) after more than 20 years in nursing. She brings a strong focus on evidence-based care combined with quality patient care and, with years of experience in both service and management, provides a dynamic and crucial voice from the perspective of our nursing staff.

The care, experience and dedication the nurses at Billings Clinic provide is an invaluable part of our organization and I am honored to work alongside them every day. We are proud of their accomplishments, from national honors across all of Billings Clinic, to daily individual successes, and I look forward to what they will achieve next.

Randall K. Gibb, M.D. Chief Executive Officer Billings Clinic

I am extremely proud to work alongside so many talented nurses. Every day our nurses are making a difference in innumerable ways. Through compassion, experience, and hard work, this team of highly skilled and trained professionals plays a vital role in ensuring the best and safest in patient care. Achieving our third Magnet designation was truly the result of the high quality work that Billings Clinic nurses perform each day.

Billings Clinic nurses have been busy leading the way. Our nurses are driving clinical decisions through shared governance. Billings Clinic nurses provide a strong voice for nursing practice and patient advocacy through their work on many organization and unit wide collaborative teams. They are making positive changes and decisions regarding processes, quality improvement, products, technology, construction of units and best practices, just to name a few.

Nurse led research is at an all-time high in our organization. We are proud to not only implement best practice from our national and international colleagues, but also to set the bar for latest best practices derived from some of our very own research at Billings Clinic.

At the heart of all the extraordinary work of the nurses are our patients. Their needs, their safety, and their wellbeing are a top priority. I am incredibly grateful for the outstanding nursing team that is key to the foundation of excellent care that is provided at Billings Clinic. I am filled with pride as I hear and witness day to day the true life events in which our nursing team continues to shine by providing excellent care with a personal experience. I consider it an absolute privilege to serve as the Chief Nursing Officer for such an esteemed nursing team.

Laurie L. Smith MSN, RN, NEA-BC CNO/VP Hospital Operations Billings Clinic

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In April 2016, in a packed conference room filled with staff nurses, nursing leadership, medical staff, hospital and clinic leadership we learned that we had again achieved Magnet designation for another 4 years. Billings Clinic received initial designation in 2006.

Magnet appraisers arrived at Billings Clinic on March 7, 2016 greeted by over 250 staff members sporting the color purple, one of the signature colors of Billings Clinic. This “sea of purple” was just another indicator of the enthusiasm and energy that Billings Clinic staff are proud of obtaining and maintaining our Magnet Recognition.

This culminates ongoing work led by the Magnet Team over the past three years. Final documentation submission took place October, 2015 with the site visit March 7-9, 2016. Three American Nurses Credentialing Center

(ANCC) appraisers conducted three full days of extensive interviews, unit visits and document reviews.

As we continue on our journey with nursing excellence we are continually inspired and motivated by our nursing peers and colleagues who strive for constant improvement, best practice and safety for our patients and fellow coworkers.

Nursing staff at Billings Clinic serve as care providers, care navigators, care managers, patient safety officers, accreditation leaders, educators, clinicians, scientists, researchers, risk managers, clinical managers, service line directors. Our most important role is to use the influence we have in these roles to be change agents and innovators to facilitate our vision of being the best in the nation for quality, safety and service.

Magnet... Third Time is AMAZING!

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Evidence-based practice (EBP) involves making patient care decisions using 1) the best evidence produced by well-designed clinical research, 2) clinical expertise, and 3) patient preferences and values. Studies suggest that evidence-based practice improves quality of care, reduces medical complications, and decreases health-care costs by as much as 30 percent.

The National Academy of Medicine, formerly known as the Institute of Medicine (IOM) aims that 90 percent of all patient-care decisions be based on evidence by 2020. Nurses are the world’s largest health care workforce and play an instrumental role in providing evidence-based practice at the bedside of patients. Additionally, evidence is lacking in many areas of nursing, and nursing research can provide the gateway to reveal novel solutions to enhance patient and family health care outcomes.

In order to foster EBP and a culture of inquiry at Billings Clinic, the Nursing Research Council (NRC) initiated an annual Evidence-Based Practice and Research Symposium. The first hallmark meeting, held in 2015, featured a keynote by Dr. Bernie Melynk, an expert in EBP. Additional topics focused on EBP models, national hot topics in EBP, and a heart-string lecture by Brad VonBergen, on How Evidence-Based Practice Saved My Life. Over 100 local and regional nurses (through telemedicine) attended the event. The conference was such a success that the NRC immediately began planning the next year’s venue. The 2016 conference focused on Sleep and Wellness, and a housewide delirium assessment and prevention project ensued as a result of the conference. Additional wellness topics rounded out the day including discussion around aromatherapy, music, massage, and therapeutic touch. The 2017 symposium focused on The Professionalism of Nursing: Be the Change You Want to See, and content was geared toward giving nurses the skills they need to speak out about the value of nursing, recognize the contributions of nurses right here in the region, and learn how to disseminate their work through abstracts, posters, podium session, and manuscripts.

Moving forward, the conference aims to continue the annual event, and hopes that more nurses will attend. Several proposed topics are on the board including sexual health, infection control, and nurse-physician relationships to enhance patient outcomes. Most importantly, the NRC hopes that attendees as in years past, will feel energized with new knowledge and renewed motivation to contribute to positive patient outcomes. As one nurse said, “This is the best day of the year! I learn about all of the good things that nurses do to enhance patient care. It makes me so proud to be a nurse, and I can’t wait until next year!” From the NRC’s point of view we ask ourselves, “Wow! How are we going to out do that? Each year has been such a success, and we continue to strive that the consecutive years will be even better!”

Evidence-Based Practice and Research: Past, Present, and Future

ICU Receives Beacon Award for the Third Time!ICU was the recipient of the American Association of Critical Care Nurses Silver Beacon Award in 2016.  This award recognizes units who set the standard for excellence inpatient care environments by collecting and using evidence-based information to improve patient outcomes, patient and staff satisfaction, and credibility with consumers. The Beacon award also signifies a positive and supportive work environment with greater collaboration between colleagues and leaders, higher morale and lower turnover.  

This was the third-time ICU received this recognition from our professional organization. 

Billings Clinic ICU is the only ICU in the state of Montana who has received this award. The last award application was written by a team of ICU nurses who dedicated 50 hours each to complete the application.

The application asks the unit to address and provide evidence in the following areas:

• Profile of the facility and the unit, describing the framework in which the unit functions

• Leadership structures and systems

• Staffing and staff engagement

• Effective communication, knowledge management, learning and development

• Evidence based practice and processes • Outcome measurements

In response to these questions, the ICU was able to discuss the shared governance model, Intensivist Model, the staff development program, team scheduling, relational coordination, research and the quality metrics.

The application is reviewed and scored by AACN members and Senior AACN staff, who evaluate the approach to the various factors in the question, the implementation of the approach and the evaluation as well as learning from the various areas in the application.

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Autologous stem cell transplant is the standard of care for certain types of cancer, in particular multiple myeloma and some lymphomas. This means it has been proven to provide patients with the best outcome for treating their cancer. Stem cell transplant combines the use of high dose chemotherapy with strategies that preserve bone marrow function. Transplant expertise includes the use of mobilized peripheral blood stem cells and bone marrow growth factors to promote recovery from high dose chemotherapy.

Billings Clinic has performed autologous stem cell transplant since 2004. Over recent years, however, some insurance companies have not allowed patients to undergo their transplant procedure at Billings Clinic because we were not accredited by the Foundation for the Accreditation of Cellular Therapies (FACT). FACT accreditation is the gold standard for transplant programs and involves a rigorous application process, as well as extensive preparations to demonstrate compliance with over 1,800 standards.

Oncology nurses from throughout Billings Clinic stepped forward to systematically review the multitude of FACT standards and outline a plan for how program gaps would be addressed and resolved. Key nurses involved with this work included Nurse Clinicians, Staff Nurses, Clinical Coordinators, Patient Care Navigators, Nurse Informaticists, Nursing Leadership, Quality Specialists and Infection Control. Staff from the Cancer Care Center, Infusion Center, Emergency Room, Infection Control, Quality Resources, Laboratory and Intensive Care also participated and supported this important work

This team spent numerous hours developing policies, procedures, and a robust quality management plan for the transplant program. As part of the quality management program, any process deviations experienced during the transplant process were documented, reported, and thoroughly investigated in accordance with the FACT standards. Additionally, a project was conducted to improve the process for ensuring patients did not miss any doses of growth stimulating factors when transitioning between inpatient and outpatient settings. Other endeavors of this team included compiling patient outcome data, developing competencies to document the skills of clinical staff, enhancing patient education materials, and implementing document control strategies for all forms,

order sets, and standard treatment plans utilized as part of the program.

While efforts to pursue FACT accreditation had been underway for several years, the majority of these activities ramped up in early 2016. A mock survey was

Oncology Nurses Partner with Others to Successfully Achieve FACT Accreditation!

coordinated with an external nurse consultant from Boise’s Mountain States Tumor Institute (MSTI). After some revisions to the program based on the consultant recommendations in October 2016, we underwent our first on-site accreditation visit. Surveyors were exceptionally complementary of the high quality demonstrated by our program and the exceptional work that had gone into the visit preparations. Our initial report from FACT contained a handful of minor issues that the nursing team was quickly able to resolve and shortly thereafter we received the congratulatory notice

that our program is now FACT accredited.

This journey was truly a demonstration of oncology nurses from various roles coming together to work toward a common vision that was both patient-centered and community-focused. Additionally, the teamwork demonstrated through close collaboration with the Laboratory was second to none! We are incredibly grateful for the hard work and commitment demonstrated by those who helped make this accreditation a reality!

Caption

FACT accreditation is the gold standard for transplant programs and involves a rigorous application process, as well as extensive preparations to demonstrate compliance with over 1,800 standards.

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The Nurse Residency Program at Billings Clinic was initiated in July 2016 with 11 new graduate nurses who successfully passed their NCLEX and obtained their Montana Professional Nursing license.

Medical Surgical Service line and the CVU were the first inpatient units to participate in this program.  In October, another 5 new graduate nurses joined the program and are successfully transitioning into practice.

The Nurse Residency Program assists with transitioning a new graduate nurse from school to the professional work world.  Curriculum was developed to meet the unique needs of the new graduate nurse by three nurse residency faculty members. The curriculum is presented over a year period of time on a monthly scheduled basis to provide the new nurse with opportunity to sharpen clinical and organizational skills in a protected environment. This is accomplished through classroom content, simulation experiences in the simulation lab, working closely with assigned preceptors, mentoring from faculty, and debriefing sessions. An emphasis on relational coordination is present throughout the year

long curriculum, in the selection of multidisciplinary facilitators, simulation use, and time spent with other disciplines to better understand our interdependent roles in patient care.

The program will grow to add another 11 residents in 2017, upon successfully passing their NCLEX. Women and Children’s Services and the OR will also be joining the residency classes in 2017. 

The nurse residents are in the process of transitioning successfully to their units and look forward to their monthly sessions together as they develop their communication, teamwork skills, and debrief on what has been happening in their transition with other new grads going through the same processes they are. 

The Nurse Residency Program has been researching the impact of this new program at Billings Clinic with the approval of the IRB. Preliminary program feedback data shows improvement in technical skills, job satisfaction, and the difference supportive mentoring involved in the program has made to our residents.

Nurse Residency Program Launches at Billings Clinic

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The new Bob & Penni Nance Inpatient Pediatric Unit (IPU) welcomed its first patients on January 18, 2016. The beautiful state-of-the-art unit provides a dedicated location for this population of patients. The hues of blues and greens offer a peaceful and serene setting while basking in tremendous light from huge bays of windows in each of the patient rooms. Special lighting touches in each of the patient headwalls allow the child to select a “favorite color” to personalize their space. As the State of Montana Cystic Fibrosis (CF) Affiliate, we care for this specialized population of kids for extended periods of time. The dedicated room, made possible by the Elisha Stetson Tripp Family, within IPU, is larger in square footage to accommodate the exercise equipment and extended family space.

Upon entrance to the secured unit, a 90-inch TV screen welcomes all who enter with a variety of calming scenes such as live feeds from the Monterey Bay Aquarium and various live animal feeds from Explore.org. Xbox Kinect allows patients to interact and move about their room to promote activity as appropriate.

The road to complete an Inpatient Pediatric Unit at Billings Clinic was long. Intensive design meetings with Nursing representation, Nursing Leadership, Facility Planning, physicians and architects went on for several months. Site visits across the Western United States provided a vast number of ideas and potential features to include. This process proved to be challenging as Billings Clinic had not had a Pediatric Unit in the past and this created

significant variances in opinion as to “what it might look like.” Our result is nothing less than spectacular!

The Nursing Leadership Team was in place by March 2015; to include, the Director, Nurse Manager and Nurse Clinician/Educator. Staff hiring followed with orientation and education that included both on-site didactic and simulation as well as hands on experience

at Rocky Mountain Hospital for Children (RMHC) in Denver, CO. Despite varied nursing backgrounds, the newly hired IPU staff, RNs and unit clerk/CNAs, came together as one cohesive group to begin their journey in learning or improving skills to care for the pediatric patient.

The IPU staff was instrumental in unit and room set-up, supply ordering and placement. As Opening Day approached the staff and Leadership took an active role in touring and demonstrating special features within the rooms. The Family Centered approach to care in the Bob & Penni Nance IPU includes large open spaces for families (375 square feet), a sofa bed for care givers to spend the night and light dimming capabilities all promoting a welcoming home-like atmosphere.

Without the extreme generosity of Bob & Penni Nance, the Inpatient Pediatric Unit would not have been possible, nor would it house the beautiful art work and “extra touches” that it does. Our community continues to amaze us with gifts and donations for our patients and families as they move down the road to wellness.

Introducing… The Bob & Penni Nancy Inpatient Pediatric Unit

Without the extreme

generosity of Bob & Penni Nance, the Inpatient

Pediatric Unit would not have been possible.

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New Orthopedic and Neurosurgey Unit OpensThe Orthopedic and Neurosurgery unit opened in Billings Clinic in December of 2015 due to the collaboration of a vision between nursing leadership and orthopedic medical staff. An increasing demand from the general population in Billings, Montana and surrounding area for elective Orthopedic surgeries, the leadership at Billings Clinic were tasked with how to accommodate the needs of the community while ensuring that the services of existing patient populations were not compromised. The leadership team looked at existing space within Billings Clinic and at the time brainstormed about where their Rehabilitative patients could be placed, while still providing superb care to that patient population. Space vacated by a transitional care unit was the ideal location that provided an environment that would foster the needs of the Rehabilitative patient and their families while providing excellent nursing care.

The Orthopedic and Neurosurgery unit was developed with hands on planning and development from leadership, nursing and medical staff. The unit thrives on providing evidence based to Orthopedic and Neurosurgery patients in Billings, MT and surrounding areas.  We work in collaboration with an interdisciplinary team made up of physical therapists, occupational therapists, case management, pharmacy, Orthopedic surgeons and Neurosurgery physicians.  Nursing staff received specialized education focused on the needs of Orthopedic and Neurosurgery patients and are striving for Nursing certifications in these specialty areas.

Plans are already underway to expand bed capacity during 2017. Our team on ONU is truly excited for our future.  Our nursing and interdisciplinary teams know that we provide exceptional care to our patients, as if they were our own family.  The strength of our team and compassion for our patients is the best in Montana.

Charge Nurse Academy EstablishedA Charge Nurse (CN) Academy was developed to provide standardized education to charge nurses across the organization. The academy provides charge nurses with leadership knowledge and skills that can impact team satisfaction, unit flow, and patient outcomes.

Clinicians and nurse leaders from 13 departments conducted interviews with nurses and certified nurse’s aides regarding the charge nurse role. Core expectations were identified: models service expectations; leads with a positive attitude; conducts self in a professional/respectful manner; maintains clarity, balance, and poise in difficult situations; holds self and others accountable; supports team, department, and organizational initiatives; communicates effectively and is an active listener; adjusts easily to change; manages time efficiently; possesses knowledge/skills for unit specific populations; proactively identifies opportunities to

improve service, quality, and safety; and mentors other caregivers. Expectations were used to develop the CN Academy, a three part training program consisting of competencies, a Patient Flow Center experience to visualize organizational staffing and patient flow, and nine hours of instruction focused on service, safety, quality and the 10 expectations.

227 Charge Nurses have now completed the requirements and graduated from the academy. Charge nurses report improved communication with team members and patients; more confidence with conflict resolution; being proactive with patient concerns; and improved team dynamics. One leader reports a baby’s life was saved because a charge nurse supported a peer, was assertive, and reassessed a complex medical situation. Skills were attributed to the CN Academy.

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Billings Clinic began its journey to achieve an 80 percent baccalaureate in nursing (BSN/BAN) workforce upon the release of the Institute for Medicine (IOM) recommendations in 2011.

As part of the nursing strategic plan review in 2014, initiatives were enhanced to include an escalated tuition reimbursement program for staff seeking advanced education. In June 2014, all new hires with an ADN (Associate Degree in Nursing) are required to complete their BSN by December 2020. To date, all new hires are enrolled in BSN completion program or ADN to MSN programs.

80% BSN by 2020National Database for Nursing Quality Indicators comparison to other Magnet designated facilities continues to show Billings Clinic upon the mean. 2016 experienced a slight decline in BSN or higher education completed due to turnover and inclusion of outpatient clinic departments in the overall calculation. There are currently 102 RNs enrolled to complete their BSN by 2020.

These new strategies will continue to support an increase in baccalaureate-prepared nurses through recruitment and hiring practices by providing financial support to incumbent staff members and new hires to return to school.

BSN or Higher Education NDNQI Magnet Comparison

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Publications and Presentations2015 PublicationsBrant, J. M. (2015). Bridging the Research-to-Practice Gap: The Role of the Nurse Scientist. Semin Oncol Nurs, 31(4), 298-305. doi:10.1016/j.soncn.2015.08.006

Brant, J. M. (2015). How have you combined a clinical and research nursing role? ONS Connect, 30(1), 31. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25911775

Brant, J.M., Walton, A., Dyk, L. (2015). Comfort. In Itano, Brant, Conde, & Saria (Eds.) Core Curriculum for Oncology Nursing, 5th edition. Elsevier: Philadelphia, PA.

Brant, JM., Stringer, L. (2015). Pain. In C. Brown (Ed) A Guide to Oncology Symptom Management. Pittsburgh: ONS Press, pp 505-530.

Brant, JM, Stringer, L. (2015). Cancer Pain. In CH Yarbro, DW Wujcik, and BH Holmes (Eds) Cancer Nursing, 7th edition. Burlington, MA: Jones and Bartlett.

Brant, J.M. (2015). Palliative care nursing: Looking back, looking forward. J Palliat Care Med, S5:1 http://www.omicsgroup.org/journals/palliative-care-nursing-looking-back-looking-forward-2165-7386-1000S5e001.pdf Supplement link http://www.omicsgroup.org/journals/ArchiveJPCM/specialissue-palliative-care-and-nursing-S5.php

Ciemins, E. L., Brant, J., Kersten, D., Mullette, E., & Dickerson, D. (2015). A qualitative analysis of patient and family perspectives of palliative care. J Palliat Med, 18(3), 282-285. doi:10.1089/jpm.2014.0155

Gradwohl, R., & Brant, J. M. (2015). Hospital-Based Palliative Care: Quality Metrics That Matter. J Adv Pract Oncol, 6(6), 606-610. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27648350

Itano, J., Brant, J.M., Conde, F., Saria, M. (Eds.). (2015). Core Curriculum for Oncology Nursing, 5th edition. Elsevier: Philadelphia, PA.

Sajjadi M, Rassouli M, Abbaszadeh A, Brant J, Majd HA. (2015). Lived Experiences of “Illness Uncertainty” of Iranian Cancer Patients: A Phenomenological Hermeneutic Study. Cancer Nurs.

Silbermann, M., & Brant, J.M. (2015). Palliative Care Nursing Supplement. J Palliat Care Med.

Waitman, K.R. (2015). Alterations in musculoskeletal, integumentary, and neurologic functions. In Itano, Brant, Conde, & Saria (Eds.) Core Curriculum for Oncology Nursing, 5th edition. Elsevier: Philadelphia, PA.

2016 PublicationsBeck, S. L., Brant, J. M., Donohue, R., Smith, E. M., Towsley, G., Berry, P. H., ... Donaldson, G. (2016). Oncology Nursing Certification: Relation to Nurses’ Knowledge and Attitudes About Pain, Patient-Reported Pain Care Quality, and Pain Outcomes. Oncol Nurs Forum, 43(1), 67-76. doi:10.1188/16.ONF.67-76.

Blaseg, K.D., Daugherty, P., Gamblin, K.A. (2016). Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum

Brant, J. M. (2016). Patients with substance use disorders. In C. Dahlin, P. J. Coyne, & B. R. Ferrell (Eds.), Advanced Practice Palliative Nursing (pp. 516-524). New York: Oxford.

Brant, J. M., Blaseg, K., Aders, K., Oliver, D., Gray, E., & Dudley, W. N. (2016). Navigating the Transition From Cancer Care to Primary Care: Assistance of a Survivorship Care Plan. Oncol Nurs Forum, 43(6), 710-719. doi:10.1188/16.ONF.710-719

Brant, J. M., Dudley, W. N., Beck, S., & Miaskowski, C. (2016). Evolution of the Dynamic Symptoms Model. Oncol Nurs Forum, 43(5), 651-654. doi:10.1188/16.ONF.651-654

Hurd, D., Fairbanks, C., Landon, H., Macdonald, A., Luraas, K., Cross, K. (2016). Personal reflections on the triple chronotherapy journey: Suspending hierarchy, liberating innovation. In Putting Systems and Complexity into Practice Conference Proceedings.

Kennedy Sheldon, L., Brant, J. M., Shaughnessy Hankle, K., Bialous, S., & Lubejko, B. (2016). Promoting Cancer Nursing Education , Training, and Research in Countries in Transition. In M. Silbermann (Ed.), Cancer Care in Countries and Societies in Transition (pp. 473-493). Geneva: Springer International

Mallick-Searle, T., Snodgrass, B., & Brant, J. M. (2016). Postherpetic neuralgia: epidemiology, pathophysiology, and pain management pharmacology. J Multidiscip Healthc, 9, 447-454. doi:10.2147/JMDH.S106340

Meunier, M. J., Brant, J. M., Audet, S., Dickerson, D., Gransbery, K., & Ciemins, E. L. (2016). Life after PACE (Program of All-Inclusive Care for the Elderly): A retrospective/prospective, qualitative analysis of the impact of closing a nurse practitioner centered PACE site. J Am Assoc Nurse Pract, 28(11), 596-603. doi:10.1002/2327-6924.12379

2015 Posters and Podiums at National MeetingsAnna Christofinelli, RN, BSN; Leah Scaramuzzo, MSN, RN-BC, AOCN; Jeannine M. Brant PhD, APRN, AOCN, FAANIntegrating Little People into a Big World, ONS Congress Orlando, FLPoster

Diane Hurd, RN-BC, BSN; Andie Macdonald, RN, BSN; Cara Fairbanks, RN, BSN, Heather Landon, RN, BSNInto the Light: Triple Chronotherapy in the Treatment of Acute Depression, Suicidality, and Self-Harm Behaviors in the Adolescent PopulationAmerican Psychological Nurse Association and Mayo Clinic Annual Meeting Orlando, FLPoster Sessions

Kastene Kunze, RN, OCN; Leah Scaramuzzo, MSN, RN-BC, AOCN; Kerry Nichols, BSN, RN, OCN; Jeannine M. Brant, PhD, APRN, AOCN, FAAN Empowering the Bedside Nurse: Development of an End of Life Toolkit, ONS Congress Orlando, FLPoster

Leah Scaramuzzo, MSN, RN-BC, AOCN Creating Comfort Zones by Administering the Right Dose of Patient Education, ONS Congress Orlando, FLPoster

Kathy Wilkinson, RN, BSN, OCN; Tricia Montgomery, RN, BSN, OCN; Jeannine M. Brant, PhD, APRN, AOCN, FAAN Nurse Dyads: Partnering to Increase Clinical Trial Participation and Staff Satisfaction , ONS Congress Orlando, FLPoster

Kellie Phillips, Judy Miller, RN, BSN, OCN, Jeannine M. Brant PhD, APRN, AOCN, FAAN Patient Reported Outcomes Research: Lessons Learned from Launching a Novel Electronic Platform (OnQ), ONS Congress Orlando, FLPoster

Pam Zinnecker RN BAN MSNEd CCRNHow Ambassadors and Chapters Can Promote BeaconAACN National Teaching Institute (NTI), San Diego May 2015 Poduim Panel

Pam Zinnecker RN BAN MSNEd CCRNANA Conference-Quality, Safety and Staffing, Orlando March 2016Decreasing CLABSI by Increasing Central AccessPoster

2016 Posters and Podiums at National MeetingsJeannine Brant, PhD, APRN, AOCN, FAAN; Natalie Gallagher, RN, MPH, OCN®; MS; Lisa Keller, RN, OCN®, Karen McLeod, MSN, RN, OCN®, CNL ; Julie Summers, RN, BSN, OCN®; and Tahitia Timmons, MSN, RN-BC, OCN®, VA-BCBreakthrough Cancer Pain (BTCP): Putting Evidence into Practice, Oncology Nursing Society Annual Congress San Antonio, Texas, 2016Podium

Amy Walton, RN, BSN, OCN, CMSRN; Leah Scaramuzzo MSN-BC, RN, AOCN; Jeannine M. Brant, PhD, APRN, AOCN, FAANYou Can Do It: Contributing to the Literature as a Clinical Staff Nurse, Oncology Nursing Society Annual Congress San Antonio, Texas, 2016Poster

Jeannine Brant, PhD, APRN, AOCN, FAAN; Erin Stevens, MD; Justin-Botsford Miller, MD; Judy Miller, RN, CCRP (Billings); William Dudley, PhD (Piedmont); Sarahlena Panzer, BS (On Q) & Carrie Tompkins Stricker, PhD, RN (On Q); (Billings); Randall Gibb, MD (Billings)Linking patient-reported outcomes to evidence-based supportive care across the cancer continuumOncology Nursing Society Annual Congress San Antonio, Texas, 2016Podium

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Diane Hurd, RN-BC, BSN; Keri Cross, RN-BC, BSN; Heather Landon, RN, BSNFlorence Nightingale Meets the Next Generation of Evidenced-Based Practice: A Tale of Collaborative Inquiry American Psychological Association Hartford, CTPodium

Diane Hurd, RN, BSN and Eric Arzubi, MDA Tale of Collaborative Inquiry: Suspending Hierarchy, Liberating Innovation, Putting Systems and Complexity Science into Practice Billings, MTPodium

Danielle Piseno, RN, BSN, OCN; Leah Scaramuzzo, MSN, RN-BC, AOCN; Jeannine M. Brant, PhD, APRN, AOCN, FAANThe Oral Fireball: Screening, Prevention, and Management of Treatment-Induced Mucositis, Nursing Society Annual Congress San Antonio, Texas, 2016Poster

Leah Scaramuzzo, MSN, RN-BC, AOCN; Jeannine M. Brant, PhD, APRN, AOCN, FAANVisualizing Hazardous Drug Safety: Use of Simulation Learning to Improve Safe Handling, Oncology Nursing Society Annual Congress San Antonio, Texas, 2016Poster

Leah A. Scaramuzzo, MSN, RN-BC, AOCN Jeannine M. Brant, PhD, APRN, AOCN, FAANEnd of Life Initiative: A Nurse Driven Interprofessional Approach, Annual Magnet Meeting, Orlando, Florida, 2016Podium

Miranda Meunier, NP; Erin Oley, NP; Jeannine M. Brant, PhD, APRN, AOCN, FAANDeveloping an APRN Council From the Ground Up, Annual Magnet Meeting, Orlando, Florida, 2016Podium

Pam Zinnecker RN BAN MSNEd CCRNDecreasing CLABSI by Increasing Central AccessANA Conference-Quality, Safety and Staffing, Orlando March 2016 Poster

Nurse Researchers – Approved IRB Studies – CurrentCassandra Jensen, RN, BSN; Carla Mohr, RN, BSNEssential Oil Peppermint and Its Role in Managing Nausea and Vomiting

Cheryl Miller, RN, MSN; Kelsey Hanson, RN, BSN; Nicholas Coombs, MStat; Jeannine M. Brant, PhD, APRN, AOCN, FAAN Transition Into Practice: Outcomes of a Nurse Residency/Coaching Program

Diane Goedde, NP; Astri Zidack, MSW; Diane Arkava, MSW; Betty Mullette, RN, MSN; Nicholas Coombs MStat; Jeannine M. Brant, PhD, APRN, AOCN, FAANOutpatient Management of Perinatal Psychiatric Disorders: An Integrated Model of Care

Jeannine M. Brant, PhD, APRN, AOCN, FAAN; Betty Mullette, RN, MSN; Nicholas Coombs, MStatMeasuring the Impact of a PCA Opioid Protocol for Intractable Pain (POPPy-I)

Nurse Researchers – Approved IRB Studies – Completed in 2015 or 2016Jeannine Brant, PhD, APRN, AOCN, FAAN; Lee Stringer, PharmD ; Sherrie Herbert, RN, MSN, Lisa Peterson, RN, BSN, Christina Buffington RN, BSN; Nicholas Coombs, MStat; Betty Mullette, RN, MSNPredictors of Oversedation in Hospitalized Patients (manuscript in press)

Jeannine Brant, PhD, APRN, AOCN, FAAN; Susan Finn, RN, MN, CNL, CEN; Carla Mohr, RN, BSN; Betty Mullette, RN, MSN; Nicholas Coombs, MStatKnowledge and Attitudes About Pain (manuscript in press)

Dania Block, RN, BSN, CCRN, Bob Merchant, MD; Sandra Gritz, RN, BSN, CCRN, Curt Lindberg DmanRelational Coordination in the ICU: Do Relationships Influence Patient Outcomes?

Pam Zinnecker, RN, MN, CCRN; Jeannine M. Brant, PhD, APRN, AOCN, FAANHealth Care Design: Does a New ICU Influence Patient Outcomes and/or Family and Staff Satisfaction?

Jennifer Tafelmeyer, RN, BSN; Robin Wicks, RN, MSN; Laurie Smith RN, MSN; Jeannine Brant, PhD, APRN, AOCN, FAANHealth Care Design: Does a New Progressive Care Unit Influence Patient Outcomes and/or Family and Staff Satisfaction? (manuscript in press)

Susan Finn, MN, RN, CEN, CCRN; Jeannine M. Brant, PhD, APRN, AOCN, FAANVALIDATE: Testing a Device to Detect Sepsis Early

Jeannine M. Brant, PhD, APRN, AOCN, FAAN; Karyl Blaseg, RN, MSN; Carrie Sticker, PhD, APRN, AOCNS; William Dudley, PhDSupportive Care Planning Across the Cancer Continuum (manuscript in press)

Nurses Certifying Their PracticeAdult Acute Care Nurse Practitioner (ACNPC)Lynette Gordy, MSN, ACNP

Adult-Gerontology Primary Care Nurse Practitioner (A-GNP)Miranda Meunier, MSN, GNPAdvanced Oncology Certified Nurse (AOCN)Jeannine Brant, MSN, RNLeah Scaramuzzo, MSN, RNCertified Ambulatory Peri Anesthesia Nurse (CAPA)Greta Beam, BSN, RNHeidi Brown, RNLisa Gutierrez, BSN, RNKristie Marquess, BSN, RNLynae Schmaltz, BSN, RNCertified Asthma Educator (AE-C)Leesa Sundsted, BSN, RNCertified Clinical Research Professional (CCRP)Kathy Dignen, LPNJudith Miller, BSN, RNCertified Coding Specialist (CCS)Cynthia Martin, BSN, RNCertified Diabetes Educator (CDE)Jan Hollingworth, BSN, RNBarbara Holloway, BSN, RNJoan Jensen, BSN, RNElizabeth Mullette, MSN, RNDian True, BSN, RNCertified Emergency Nurse (CEN)Robert Canan, BSN, RNDonita Clarin, BSN, RN

Susan Finn, BSN, RNRebecca Frye, BSN, RNAmy Goffena, BSN, RNTina Hedin, RNJaime Martian, BSN, RNCynthia Neukam, BSN, RNMark Polakoff, BSN, RNRikki Rumph, BSN, RNBrittany Silvers, BSN, RNTara Smith, RNLisa Stevens, BSN, RNKarri Vesey, BSN, RNCertified Flight Registered Nurse (CFRN)Just Humphrey, BSN, RNGinger Silvers, BSN, RNJulie Surrell, RNAimee Wagner, BSN, RNCertified in Infection Control (CIC)Christine Nightingale, BSN, RNCertified Medical-Surgical Registered Nurse(CMSRN)Rebecca All, RNConnie Anderson, BSN, RNJoanna Anderson, RNSara Anguiano, RNGreta Beam, BSN, RNGarett Boese, BSN, RNScott Brady, BSN, RNAmanda Brownell, BSN, RNShannon Castlio, BSN, RNRoberta Cooley, RNTammy Cozzens, MSN, RNCourtney Dean, BSN, RNMichelle Dess, BSN, RNHeidi Diaz, BSN, RNBrenda Doherty, BSN, RNBobbi Ewalt, RN

Jonathan Eyestone, BSN, RNCurtis Ferrin, BSN, RNDavid Fisher, BSN, RNLisa Fisher, BSN, RNJeremiah Fisher, BSN, RNRachel Gray, RNLisa Gutierrez, BSN, RNBrenda Hallsted, RNEmily Hand, BSN, RNSheila Hart, RNAmanda Hochhalter, BSN, RNDee Hogue, BSN, RNDebra Holm, BSN, RNLanelle Jourdan, RNStephanie Kanning, BSN, RNCaela Kaszuba, BSN, RNRobin Kimble, BSN, RNNichole Krugler, BSN, RNCrystal Lee, RNErryn Lee, BSN, RNTeresa Lehman, BSN, RNSarah Leland, BSN, RNChantenelle Lind, RNAmber Lowry, BSN, RNDylan Malloy, BSN, RNTeresa Mielke, RNKarla Monteith, BSN, RNJeanne Morse, RNMary Orler, RNAmanda Pierce, BSN, RNKate Reed, BSN, RNMelody Reinhart, RNTessa Renova, BSN, RNHolly Riley, BSN, RNTabatha Rivera, RNHeather Safransky, BSN, RNTanya Saunders, RNSusan Schneider, BSN, RNJoan Schneider, BSN, RNSusan Schott, RN

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Low Risk Neonatal Nursing (RNC-LRN)Nadine Gotschall, RNBecky Uhrich, BSN, RNNeonatal Intensive Care Nursing (RNC-NIC)Gwendolyn Felstet, BSN, RNBecky Frogge, BSN, RNKari Harris, BSN, RNDawn Howard, BSN, RNKatie Skelton, MSN, NPBecky Uhrich, BSN, RNNurse Executive, Advanced (NEA-BC)CeCe Castro, MSN, RNBarbara DeLaurier, MSN, RNCeleste Dimon, MSN, RNLaurie Smith, MSN, RNOncology Certified Nurse (OCN)Lisa Alex, BSN, RNLinda Allen, BSN, RNConnie Anderson, BSN, RNPamela Berens, BSN, RNNikkeal Beverley, BSN, RNBrianna Biggins, BSN, RNKaryl Blaseg, MSN, RNAnna Christofanelli, BSN, RNPatti Davis, BSN, RNSusan Dillon, BSN, RNMary Donnelly, BSN, RNShawn Duffy Feller, RNCynthia Frank, BSN, RNDelayne Gall, RNElizabeth Gruba, RN

Kelly Hageman, RNMolley Henneberry, RNMary Lou Iverson, BSN, RNKristin Klebe, BSN, RNHeidi Lombardozzi, BSN, RNPamela Marlenee, BSN, RNTricia Montgomery, BSN, RNKerry Nichols, BSN, RNElizabeth Palmersheim, BSN, RNTerri Polesky, BSN, RNHolly Riley, BSN, RNSusan Schott, RNAngela Simic, BSN, RNSarah Tracy, RNAmy Walton, BSN, RNNicole West, RNKathy Wilkinson, BSN, RNCarole Wilson, RNLora Wingerter, BSN, RNShanel Wirkman Lear, BSN, RNDanielle Wright, BSN, RNOrthopedic Nurse Certified (ONC)Alecia Besel, BSN, RNKathy Dabner, RNMelody Reinhart, RNChristina Schye, BSN, RNTonda Thomas, BSN, RNLaurie Wohler, RNPain Management (RN-BC)Carol Opie, RNPediatric Nurse Practitioner (PNP-BC)Megan Chouinard-Braden, MSN, NP

Ellen Seagraves, BSN, RNKimberly Shroyer, RNKelly Shumway, BSN, RNLaura Sorenson, BSN, RNCory Steiner, BSN, RNJordan Stoudt, BSN, RNAmy Surbrugg, BSN, RNJoel Traywick, RNJodie Vuicich, RNAmy Walton, BSN, RNLindsey Watson, BSN, RNGayle Webster, RNConnie White, BSN, RNThomas White, BSN, RNKarin Williams, BSN, RNNicole Zinda, RNCertified Nurse Manager and Leader(CNML)Dania Block, BSN, RNLinda Bryson, BSN, RN Nicole Conde, BSN, RNKeri Cross, BSN, RNDianne Elliott, BSN, RNSandy Morse, BSN, MMgt, RNLinda Olsen, BSN, RNKimberly Oxner, BSN, RNVeronica Restad, BSN, RNPeggy Wharton, MSN, RNNicole Woods, BSN, RNCertified Nurse Operating Room (CNOR)Connie Becker, BSN, RNCynthia Carlson, BSN, RNMalissa Carr, MSN, RNBuffy Conover, BSN, RNStacy Dean, BSN, RNBeth Degenhart, BSN, RNSara Fenton, BSN, RNCarol Henning, BSN, RNJacqueline Hines, BSN, RNLyndie Jolly, BSN, RNPamela Keierleber, BSN, RNEva Kuykendall, RNBarbara Sakahara, BSN, RNCorina Schwarzinger, BSN, RNSheryl Teini, RNVanessa Tossey, BSN, RNDenise Twichel, BSN, RNCertified Pediatric Emergency Nurse (CPEN)Donita Clarin, BSN, RNDennis Nemitz, RNTara Zoanni, BSN, RN

Certified Pediatric Nurse (CPN)Joanne Duputel-Eaton, RNTammy Johnson, BSN, RNJennifer Miller, BSN, RNNicole Zinda, RNCertified Professional in Healthcare Risk Management (CPHRM)Cheryl Bohnet, BSN, RNCertified Wound, Ostomy, Continence Nurse(CWOCN)Krissy Yerger, BSN, RNShirley Stilles, BSN, RNCritical Care Registered Nurse Certification (CCRN)Libby Brindley, BSN, RNPam Canon, BSN, RNDeanna Evans, RNRosemary Fischer, BSN, RNKathleen Gallogly, RNMelissa Giesick, BSN, RNMary Goldammer, BSN, RNRoxanne Harris, RNKarinthia Harrison, BSN, RNAmber Hellekson, BSN, RNLynn Hilliard, RNJust Humphrey, BSN, RNKatie Kukowski, BSN, RNWendy Magid, BSN, RNMoriah Massey, RNMartha Moran, BSN, RNMelanie Price, RNBrenda Rider, BSN, RNTheodore Shelton, BSN, RNLaurie Sutpin, BSN, RNFamily Nurse Practitioner – AANPCP (NP-C)Tammy Cozzens, MSN, FNPFamily Nurse Practitioner – ANCC (FNP-BC)Kimberly Ackerman, MSN, NPHolly Blehm, MSN, NPSteven Blehm, MSN, NPMarie Rosy Borges, MSN, NPJennifer Curtis, MSN, NPJaniel Derouchey-Quinn, MSN, NPLaNora Dixon, MSN, NPRobin Garland, MSN, NPDiane Goedde, MSN, NPHanah Heser, MSN, NPStormy Jensen, MSN, NPDiane Jones, MSN, NP

Bonnie Karinen, MSN, NPAnita LeBlond, MSN, NPLaci Little, DNP, NPPatricia Loge, MSN, NPHeather Lytle, MSN, NPSheryl Malinowski, MSN, NPKristy Martin, MSN, NPDanielle Martin, MSN, NPRebekah Montgomery, DNP, NPMelody Murter, MSN, NPLeslie Mutchler, MSN, NPErin Oley, MSN, NPAmy Ranes, MSN, NPJessica Scheer, MSN, NPHeather Schroder, MSN, NPDaen Scott, MSN, NPLaureli Scribner, MSN, NPMartin Shaver, MSN, NPAmi Shetler, MSN, NPKatie Skelton, MSN, NPDavid Smith, MSN, NPCara Smith, MSN, NPSarah Sommerfield, MSN, NPKaren Stainton, MSN, NPMaria Stewart, MSN, NPJanelle Sunvold-Palmer, MSN, NPLacy Tangedahl, MSN, NPJoslyn Thompson, MSN, NPDiane Truchot, MSN, NPAbbey Volf, MSN, NPKathryn Waitman, DNP, NPAngela Wong, MSN, NPFamily Psychiatric & Mental Health Nurse Practitioner(PMHNP-BC)Mark Ackerman, MSN, NPMelinda Truesdell, MSN, NPInformatics Nurse (RN-BC)Kathleen Baumgartner, BSN, RNInpatient Obstetric Nursing (RNC-OB)Emily Dailey, BSN, RNNadine Gotschall, RNKatie Ketterling Thornburg, BSN, RNKatie Prom, RNTiffanie Shipman, RNSheila Stockdale, BSN, RNLaurie Wilson, BSN, RNInternational Board Certified Lactation Consultant (IBCLC)Diane Powers

Professional Development (RN-BC)Mary Robertson BSN, RNProgressive Care Nursing (PCCN)Shere Cooney, BSN, RNCrystal Gaines, BSN, RNAngela Giacomini, BSN, RNKristian Halland, BSN, RNRhiannon Inabnit, BSN, RNJessica Johnson, BSN, RNRebecca Jones, BSN, RNKendra Kluth, BSN, RNJennifer Lindgren, BSN, RNMegan Mahlen, BSN, RNAlexis Malnaa, BSN, RNCarla Mohr, BSN, RNAmanda Pillman, BSN, RNShannon Rosenberg, BSN, RNEric Sutphin, BSN, RNAnna Svendsen-Ammons, BSN, RNJennifer Tafelmeyer, BSN, RNMegan Verseman, RNKarista, Walsh, BSN, RNSage Way, RNRobin Wicks, MSN, RNCassie Wolfe, BSN, RNVascular Access-Board Certified (VA-BC)Aileen Rogers, BSN, RNPamela Weber, BSN, RNWomen’s Health Care Nurse Practitioner (WHNP)Julie Morse, MSN, NPWound Care Certification (WCC)Raney Glasgow, LPN

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P.O. Box 37000Billings, Montana 59107-7000(406) 238-2500 or 1-800-332-7156

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