nursing annual 2011
TRANSCRIPT
nursing annual 2011
40459.indd 1 8/10/12 7:18 AM
Dear Colleagues,
The Division of Nursing at OSF Saint Anthony Medical Center continues the
journey to excellence in nursing care as we move toward our third designation
as a Magnet® hospital. Magnet recognition means that our organization has met
the very stringent, detailed standards of clinical excellence, quality patient care and
exemplary nursing practice. The bar is set high, and the challenges seem endless.
Core to our success is the compassion and innovation of our nurses who never lose
sight of the ultimate goal of providing the very best patient- and family-centered
care to all who enter our doors.
In this issue we share some ways in which our nurses enhance care while furthering
their profession. We include stories on our patient safety coach program, local
and international community involvement, process improvement activities and
recognitions for exemplary professional practice.
I am honored and fortunate to work with our amazing OSF nurses.
With deep respect and appreciation,
Paula Carynski, MS, RN, NEA-BC, FACHE
Vice President Patient Care Services, Chief Nursing Officer
TransformaTional leadership
sTrucTural empowermenT
exemplary professional pracTice
new Knowledge, innovaTions & improvemenTs
empirical QualiTy ouTcomes
On the Cover:Surgical nurse Nathan Riggins compassionately hands off
a patient to neuro-intensive care nurse Marci Williams.
Editors:Colleen Klein, PhD, RN, and Therese Michels,
marketing and communications manager
40459.indd 2 8/10/12 7:18 AM
On a regular basis I hear from patients and families that
they are very pleased with the culture and leadership
that has been created at OSF Saint Anthony Medical
Center. The cornerstone of that achievement is
our Magnet framework and dedicated staff nurses
committed to excellence. It reminds us to focus on
key elements of patient care every hour of every day.
Magnet recognition is the gold standard for hospitals
and medical centers all across the country. As we
approach our third term as a Magnet hospital, I can
look back on the fundamental change that has occurred
at OSF Saint Anthony over the last decade. There is
much greater understanding of how all the different
systems of health care intertwine and work together
to produce perfect outcomes. Most importantly, it
allows everyone to contribute individually and as a
team to the success of our organization in its pursuit of
our Mission. It is always great to recognize the efforts
of our staff. This year has been another one of great
achievement, and I thank you all for your contribution.
David A. Schertz, FACHE
President, Chief Executive Officer
40459.indd 3 8/10/12 7:18 AM
Mary Marshall, RN
“I think nursing is a series of little
things that happen every day,”
says Mary Marshall, charge nurse
in Cardio-Pulmonary Care. “The
smile, the hand squeeze, the words
of gratitude, the improved clinical
status when you’ve done your job
well.” And she feels especially proud when she learns that
she and the other nurses on 2 South have made an impact on
someone’s life. One example she recalls is when she worked
with a younger patient, with whom she did a lot of teaching. “He
came back to our unit six weeks after discharge and brought
us flowers,” she says. “He was proud to state that he had quit
smoking, was eating carefully and losing weight. He really
made a lifestyle change, thanks to us.”
Although Mary thinks she should have entered the nursing
field sooner, she, holding a bachelor’s in exercise science, first
worked as a fitness director. She then earned an MS in exercise
physiology and worked in outpatient cardiac rehab. She then
went back to school, earned her ADRN and somewhat hit the
ground running when she arrived on her current unit.
“Now that I work as a nurse, I love it,” Mary says. “I love the
clinical aspect and understanding how things work, so we can
give the right treatment and help the patients get better.”
Transformational leadership is an expected commonality among re-designated Magnet hospitals, but the characteristics and processes for weaving transformational leadership into the culture are anything but common in each hospital. Authentic leadership from Paula Carynski, chief nursing officer, helped to bring a transparent culture of safety to the forefront in 2011. Within a new program of Patient Safety Coaches, all disciplines are encouraged to serve as active partners. Shared governance is the vehicle for shared decision making and provides the structure for effective communication processes. In keeping with the theme of transformational leadership, the schematic for shared governance needed a makeover to more accurately reflect the roots, strength and extension of the shared leadership at OSF Saint Anthony into the community. The addition of the Advanced Practice Nurse Council provides a formalized forum to bring forward practice and advocacy issues. Continued development of charge nurses as members of the interdisciplinary team and unit leaders is helping to advance quality initiatives and accountability. The exemplars shared in this section represent how nurses remain focused on moving the organization forward to enhance the patient experience with an emphasis on safety, quality and exemplary outcomes.
Patient Safety Coach Program
Patient safety and quality health care are a priority at OSF Saint Anthony Medical Center. Every organization seeks to reduce the frequency of medical errors and unsafe practices. Paula Carynski engaged the Risk Management Department and the Performance Improvement and Research Council to develop a Patient Safety Coach Program. Carynski worked collaboratively with another chief nursing officer from a Magnet hospital in Cincinnati, Ohio, who had shared their patient safety work at the 2010 Magnet Conference. In January 2011, the Patient Safety Coach Program was launched at OSF Saint Anthony. One physician and 39 staff members from different disciplines and departments completed the first class with Carynski. Training sessions are offered quarterly, with 89 coaches to date. The program offers staff an opportunity to impact patient safety and to change the safety culture of the organization. Each month coaches perform 15 safety observations. Peers are reviewed for practices like appropriate hand washing. Non-punitive coaching is provided at the time of observation with the intention of improving clinical practice. Good catches are shared on the OSF Saint Anthony portal to increase awareness. Goals of the program include improving team performance, developing effective peer coaching, recognizing good behaviors, empowering staff to promote safe practices and increasing awareness of and understanding of patient safety concepts.
TransformaTional leadershipplanning, advocacy and influence, visibiliTy, accessibiliTy and communicaTion
“i think nursing is a series of little things that happen every day.”
40459.indd 4 8/10/12 7:18 AM
Theresa Fritz, RN
A picture of Sister Linus in
the local newspaper lured
Theresa Fritz into the field
of nursing. Theresa had just
moved to Rockford after
attending community college
and could not find a job. The
picture of Sister handing out work scholarships prompted
her to immediately pick up the phone and call for more
information. Now 30 years later, Theresa begins her 28th
year, almost all of which has been in the Mother/Baby unit.
“In my career, I am involved in miracles every day,” Theresa
says, and she has many stories to tell. One that she finds
especially heartwarming is that of walking into a patient
room followed by a group of students. She immediately
knew by the sound of the patient’s breathing that she
was involuntarily pushing. After assessing the patient, she
began to explain what needed to happen next. She realized
she was looking into the face of a childhood acquaintance.
Within minutes, she delivered a healthy baby girl and has
had the fortune of being able to watch her grow into a
young woman.
Theresa is thoroughly involved in many nursing projects
put in place to raise the bar in nursing practice. Among
many other tasks, she has chaired the Pain Resource Sub-
council and the Unit Practice Council.
New Shared Governance Model
Within health care, the evidence-based, value-driven movement has created conditions and need for redesign. At OSF, the new electronic medical record and adoption of clinical practice guidelines have helped guide the transition to an interdisciplinary shared governance structure. At the conclusion of the 2009 Magnet site visit, the Magnet appraisers noted that the current schematic for shared governance did not capture the robust nature of how the councils are integrated and work together. They suggested a three-dimensional model that would be more dynamic and would depict the communication among councils. The Magnet Core Committee was charged with the development of a new schematic to meet the recommendation.
40459.indd 5 8/10/12 7:18 AM
In July 2011, work began and drafts of a new artistic model were shared at a Nursing Leadership Workshop in the fall for additional input by attendees. The new model shows the connectivity of the shared governance work within OSF Healthcare System, the hospital and the community at large. Working from the perspective of Rockford’s nickname, the Forest City, the committee developed the model using the concept of a forest and trees. The roots of shared governance are the Unit Practice Councils, which are charged with filling open positions on councils and sub-councils through an open applications process. The trunk of the tree embodies the major councils and the smaller branches, the sub-councils. The bright green leaves represent the living and dynamic nature of the shared governance. The small forest accounts for the councils and task forces that are in place. The rays emanating from the OSF logo represent the other hospitals within the integrated OSF system. The inclusion of the Rockford skyline and identifiable Rockford symbols characterize the community connection.
Advanced Practice Nurse Council
The Advanced Practice Nurse Council was developed to provide a forum for dialogue for the increasing number of advanced practice nurses at OSF Saint Anthony. The council membership includes APNs practicing in acute and ambulatory settings within the northern region of OSF Healthcare System. There is representation from clinical nurse specialists, certified registered nurse anesthetists and nurse practitioners. The council developed goals to address the needs of the APNs that were identified through a survey taken by the APN membership. The goals include addressing availability of continuing education, APN orientation and the credentialing and privileging of APNs. The council has provided continuing education on such topics as social media, pain management and the Consensus Model on APN regulation. Task forces have been formed to address orientation, credentialing and privileging.
Charge Nurse Development
Several years ago, OSF Saint Anthony revised the role of the inpatient charge nurse. The change came after a Frontline Leadership Project was performed by a staff
nurse, who envisioned the charge nurse playing a more proactive role in patient and staff outcomes. The project led to the development of new expectations and responsibilities, and a new job description was created.
In 2010, two-hour Charge Nurse Sessions were created to enhance, strengthen and develop all inpatient and outpatient charge nurses into frontline leaders. The goals are to improve continuity of care and improve patient and staff outcomes, along with increased nurse satisfaction. Topics covered in training include conflict management, staffing issues and ethical dilemmas. Currently, new curriculum is being developed to create a “charge nurse college” type program providing mandatory courses.
TransformaTional leadership ConTinued
Advanced practice nurses: Julie Carlson, Gayle Kruse, Carin Richter, Darla Bradle, Christine Anderson, Karen Sikorski, Kathy Van Veldhuisen. Not pictured: Michelle Nice and Lynette Gisel.
40459.indd 6 8/10/12 7:19 AM
Partnerships provide many opportunities to make a difference in ways that would not be possible without the collaboration and sharing of resources. With this in mind, multiple examples of shared partnerships and their impact in Rockford, the surrounding communities and even internationally, are described in this section. OSF Saint Anthony is proud of the willingness of all staff to work together to support and advance the health of others. Community outreach efforts extend the Mission of the Sisters of the Third Order of Saint Francis and help interdisciplinary professionals to feel empowered to bring a strong sense of caring and innovation to others. As health care reform looms on the horizon, OSF Saint Anthony knows that nurses must be prepared to meet future health care needs. Strategies for advancing formal education were explored and developed by nursing leadership at OSF Saint Anthony prior to Magnet’s announcement of a new source of evidence in October of 2011.
Fostering Formal Education
BSN Strategy
Nursing is unique among the health care professions in the United States in that it has multiple educational pathways leading to entry-level licenses to practice. For the past four decades, nursing students have been able to pursue three different educational pathways to become registered nurses: the Bachelor of Science in nursing, the associate degree in nursing and the diploma in nursing. While this multiplicity of pathways has provided numerous opportunities for individuals to access nursing careers, it has contributed to varying degrees of core competencies and skill sets of those entering into practice.
In the past year, nursing leadership at OSF Saint Anthony strategized ways to best prepare its work force to optimize patient outcomes and prepare for the upcoming changes in health care reform and from the Institute of Medicine’s Future of Nursing Report (2010). One strategy is to transition registered nurse hiring practices to BSN level. OSF leadership believes that BSN prepared nurses will be better equipped with the knowledge and skills to meet the expected aims of improving patient safety and quality of care. Additionally, it is believed that the education of nurses is an important part of the efforts in maintaining the highly coveted Magnet status, a benchmark of nursing excellence. Provisions to assist nurses in the pursuit of formal education will continue. Nursing leadership and the Magnet Core Committee reviewed previous goals and worked collaboratively with the Human Resources Department to develop strategies for meeting the new goals for formal education set forth by the IOM and the Magnet Recognition Program.
sTruCTural empowermenTprofessional engagemenT, commiTmenT To professional developmenT,
commiTmenT To communiTy involvemenT, recogniTion of nursing
Mike Maggio, RN
Mike Maggio says the only things
that have remained the same in
the 25 years he’s been a nurse
are passion for the profession and
compassion for the patient. And
the changes in technology have
fascinated him. He recalls being
amazed the first time he saw a CT scanner making it possible
to see sectional views of the inside of a head in a mere 20
minutes. Today it is even quicker.
A change he is personally thrilled with is the increased diversity
in the nursing field. “My letter of acceptance from the college
of nursing where I went to school said the proper dress code
was a white dress or pant suit,” Mike recalls. “Thankfully, the
nursing cap was optional. Two years later when I walked across
the stage to receive my diploma, I was announced as “Michelle.”
Before nursing, Mike spent time working as an EMT and as a
paramedic, working full time and studying for his nursing degree
full time. Upon moving back to the Rockford area, he knew there
was only one hospital at which he wanted to work – OSF Saint
Anthony. “I work here because of the Mission of the Sisters,”
Mike says. “Our work is not about us; it’s about the patients.”
“i work here because of the mission of the sisters.”
40459.indd 7 8/10/12 7:19 AM
Reach Out to Africa
The Nursing Practice Council once again partnered with the Rockford Rotary Club International to participate in a Reach Out to Africa mission trip. In September, the council held a fair to collect medical supplies, soccer balls, art supplies, clothing and hygiene products for the mission volunteers to take to St. Gerard’s Hospital in Kaunda, Nigeria. Elise Cadigan, the organizer from Rockford Rotary, was available at the fair to answer questions and share past experiences. The council offered a Nigerian sampler menu for employees, and it was a great way to show support of the humanitarian effort. Six large suitcases were filled with donated items. In October, a group, including OSF Wound Healing Center nurse Craig Gazouski, left for Africa. “It was an eye-opening experience,” says Craig. “They do so much with so little. It was like stepping back in time 60 years.” Craig is looking forward to participating in a future mission trip and encourages others to participate too.
sTruCTural empowermenT ConTinued
Craig Gazouski, LPN, center, poses with health care workers at St. Gerard’s Hospital in Nigeria.
A Nigerian village
40459.indd 8 8/10/12 7:19 AM
Karmela Londo, RN
Having always been very
nurturing and compassionate
with people, Karmela Londo
did not find it difficult to
choose nursing as her career.
And becoming a nurse at a
young age, she is quick to
remember the many mentors
she learned from over the past 16 years working at
OSF Saint Joseph in Belvidere and more recently OSF
Saint Anthony. She credits many for providing “great
experiences, challenges, training and supervision.”
Karmela, an Emergency Department supervisor, truly
enjoys seeing the difference she can make in a patient’s
day or life and is proud to have been involved in so many
different patient experiences. She recalls a major learning
moment from her early career, when a woman in her 30s
presented with chest pain but insisted there was nothing
wrong with her heart because a cardiologist had told
her so. As Karmela was putting her on a heart monitor
– against the patient’s wishes – the patient became
unresponsive and stopped breathing. Resuscitation
efforts were successful, and the patient recovered, but
the event left a lasting impression on Karmela. “I will never
forget the lesson I learned from that patient,” she says.
“One never knows what is going to happen, and we must
always evaluate the patient complaint.”
“Also, I have learned to never take any day for granted. In
our profession, we see many lives changed in the blink of
an eye. Every day is a gift.”
Honduras Trip
In July, Julie Carlson had the incredible opportunity to travel to Tegucigalpa, Honduras, for the Oncology Nursing Program through Health Volunteers Overseas and the American Society of Clinical Oncology. Lisa Kennedy Sheldon, an oncology nurse practitioner from the Boston area, accompanied Julie as a co-educator and clinical expert. They were the first nurses to ever travel to Honduras to participate in the program. The first three days were spent exploring public hospitals in Tegucigalpa – San Felipe and Hospital
Escuela. As advanced practice nurses, Julie and Lisa were able to spend time with nurses in outpatient and inpatient units, observe chemotherapy administration and interact with patients to hear remarkable stories of courage and strength. At the end of the week, Julie and Lisa presented 12 different topics to more than 100 nurses for the inaugural nursing conference in Honduras. Julie is serving as the program director for all future interested nurses.
Julie Carlson, center, takes a break with health care workers and volunteers. Tegucigalpa, Honduras, is in the background.
40459.indd 9 8/10/12 7:19 AM
sTruCTural empowermenT ConTinued
Pink Glove Contest
OSF Saint Anthony participated in the Pink Glove Dance Contest sponsored by Medline Industries to raise awareness about breast cancer and in an attempt to win $10,000 for the American Cancer Society’s Making Strides Against Breast Cancer in Rockford. Staff throughout the medical center participated in the production of a unique video that included various dances performed to the pop hit “Firework” by Katy Perry. Physicians, nurses, clinical and non-clinical staff and even the Sisters played a part. The video was posted on Facebook and YouTube, and viewers were encouraged to vote on their favorite. Beth Hayden, director of Oncology Services, used the promotion to educate the Rockford community about breast cancer, early detection and treatment. In addition to much local media coverage, the video received 3,274 votes on Facebook and 8,000 hits on YouTube. The OSF video placed approximately 30th out of 140 entries.
Graduate Poster Fair
In May, the Nurse Practice Council partnered with Saint Anthony College of Nursing to recognize nurses’ contributions to nursing practice during National Nurses Week and the Nurse Practice Council day of the OSF Saint Anthony Nurses’ Week Celebration. The council offered to host the Graduate Student Poster session, enabling students to discuss their evidence-based practice projects and research with those attending a cake reception. The Nurse Practice Council also highlighted their completed study of Nurse Perceptions of the Work Environment. Stephanie Feltes, former chair of the council, shared the findings earlier in the year at the national NDNQI Conference in Florida and regionally at the 7th annual Research Symposium of Christ Advocate Hospital in Oak Lawn, Ill. The shared celebration was considered a success, and plans are underway to make it an annual event.
Leadership Rockford Program
In fiscal year 2011, OSF Saint Anthony selected two emerging leaders to participate in the Rockford Chamber of Commerce Leadership Rockford Program. Lisa Johnson, director of Trauma, Emergency Services and Regional Development, and Serrita Woods, Financial Aide and Alumni Resources officer at the Saint Anthony College of Nursing, completed the program.
The mission of the program is to enhance awareness of business, government and civic issues in the Rockford community. Through interactive processes, opportunities
are identified and participants are motivated to get directly involved in business and community leadership.
Course participants represent a wide range of backgrounds. The diversity of the class forms a dynamic cross section of varying personal and professional viewpoints and perspectives.
The eight-month program gives participants access to key leaders and decision makers in the Rockford area through exclusive introductions to the people and places that make up the very core of the community. The curriculum includes dynamic and significant interaction with emerging leaders and with leaders who are firmly established and have influence.
The curriculum is reviewed annually by a committee of program alumni and staff to ensure that each aspect of the program is relevant, valuable and inspirational. Lisa was chosen by her peers in the program as a mentor and facilitator for the 2012 class.
Visit pinkglovedance.com for more breast cancer news all year round. ©2011 Medline Industries, Inc.
Let’s keep the dance going by promotingbreast cancer awareness all year.
Thank YouOSF Saint Anthony Medical Centerfor your involvement in the Pink Glove Dance Competition!
The American Cancer Society presented OSF Saint Anthony with a poster in recognition of the hard work put into the Pink Glove Contest video. Shots taken from the video are on the poster.
40459.indd 10 8/10/12 7:19 AM
Exemplary Professional Practice is all about the ways in which OSF Saint Anthony staff strive to deliver outstanding patient care, while at the same time, provide nurses with the tools, experts and resources they need. In 2009, the process of providing an enhanced electronic medical record was started, and within six months or less it was a welcome addition to clinical practice. Technological advances soon required an upgrade to the new system in late 2011. Staff members are appreciative of the electronic resources and recognize that knowledge combined with technology is the means to improving quality of care. Nurses in the shared governance councils work to develop and plan educational conferences to further the expertise of nursing in the area of geriatrics and pain, both of which are represented in the majority of the inpatient population. The complex nature of heart failure as a disease entity is well known, and through participation in a Magnet research study and a system-wide initiative, the ability to meet the needs of these patients has been strengthened. The exemplary actions of the OSF Saint Anthony nurses, along with the supportive and celebratory events, are described in more detail in the pages that follow.
Electronic Medical Record Upgrade
In order to comply with new regulatory and fiscal requirements, EPIC, the electronic medical record used at OSF, was upgraded in December. Also, in June, the Clinical Practice Guidelines from CRM Resource Center were updated as an integrative component to the EMR. Staff now have access to the latest evidence-based information for patient care plans, documentation flow sheets and patient education.
Preparation for the EPIC upgrade began almost a year earlier. Interdisciplinary teams assisted in coordinating details for the implementation, such as the creation of an issues escalation process and determining the downtime processes that would be needed for the conversion. Credentialed trainer involvement included rewriting curriculum, system testing and educating staff. Credentialed trainers, super-users and
other supportive staff throughout the facility were instrumental in providing support to end users during go live.
The final results are a more robust electronic medical record with enhancements that help decrease nursing documentation time, giving staff more time for patient care.
exemplary professional praCTiCeprofessional models of care, nurses as Teachers, consulTaTion and resources,
inTerdisciplinary relaTionships, QualiTy care moniToring and improvemenT
Rajbir Dhillon, MD, and Bryan Tully, MD, get electronic medical record training from Bryan West and Amy Hill.
40459.indd 11 8/10/12 7:19 AM
Hospital to Home
OSF Saint Anthony, OSF Medical Group and OSF Home Health have partnered in a corporate-wide initiative which began in 2010. The goal of the initiative is to decrease the 30-day readmission rate for heart failure patients. The patients who are diagnosed with heart failure are cared for on 4 East, which is the designated unit. Four East nurse manager Brenda Meintz served as the process owner on a Six Sigma project that was used to effect change. The initial steps involved the need to provide heart failure education for the staff RNs. Extensive education, including a video focused on education and documentation using the teach-back method, was provided.
The role of the cardiac rehabilitation nurses was extended as part of the initiative. These nurses are instrumental in providing in-house individualized education to heart failure patients. They also contact all patients within 48 hours after discharge to inquire about their needs and concerns. The nurses use scripted questions regarding medications with emphasis on daily weights and symptom control. Every heart failure patient is offered and encouraged to receive home health care visits. Each patient is discharged with a follow-up appointment scheduled within five days. The newly developed and formalized process has helped to reduce readmission rate to 21.2 percent, which is less than the national benchmark of 25 percent.
Nursing Ethics Conference
The Nursing Ethics Sub-council sponsored the Fall Ethics Conference “Consciously Nurturing the Heart of Healing” held in September. Tom Zuba, inspirational speaker, author and grief counselor, served as the keynote speaker. He discussed the need for all health care professionals to consider adding one new change in their lives, which may have a ripple effect on patients and co-workers. Reflecting on the Mission of the Sisters of the Third Order of Saint Francis and that of Dr. Jean Watson, Tom discussed the importance of first nurturing and taking care of oneself before one can “serve with the greatest care and love.”
A panel discussion titled “Consciously Creating Balance” followed Tom’s presentation. Health care experts representing different disciplines shared examples of practical ways to create a balanced life on a day-to-day basis. The panel also discussed how government reforms will impact health care professionals in the future. OSF staff members serving on the panel included Trent Barnhart, MD, medical director for Hospice and Palliative Care, Michele Smith, critical care nurse, Lisa Bruno, cancer nurse navigator, Teresa Cook, social services and Chuck Brackett, laboratory services.
Pain Consortium Conference
The Northern Illinois Pain Resource Nurse Consortium is dedicated to improving pain management throughout the region. The consortium provides education for nurses, who then serve as resources in pain management to their peers. The OSF Saint Anthony Pain Resource Nurse Sub-council hosted the 2011 Northern Illinois Pain Resource Nurse Consortium’s 10th Annual Education/Celebration Day in October. The topic “ACUTE PAIN – Anticipate-Assess-Alleviate” coincided with the International Association for the Study of Pain’s Decade of Pain 2011 focus on management of acute pain.
Chris Pasero, internationally known pain management author, educator and clinical consultant and co-founder of the American Society for Pain Management Nursing, shared her expertise, knowledge and humor with 150 nurses and pharmacists from several states. Participants were able to learn about new products, technology and services through vendor displays. Information regarding pain management nursing certification and professional associations was also available. Greetings were delivered by Karen Sikorski, past president of ASPMN. Karen Daub-Larson, flight nurse and chairwoman of the OSF Pain Resource Sub-council, was recognized for excellence in pain management as the OSF Pain Resource Nurse of the Year.
Geriatric Conference
The Nurses Improving Care to Healthy System Elders (NICHE) Sub-council annually hosts a regional conference highlighting numerous interdisciplinary experts in the care of older adults. In June, the seventh annual NICHE Conference “Renal Disease in the Older Adult” featured presentations in chronic kidney disease, dialysis, kidney transplantation and donation, renal nutrition and acute kidney injury. During the luncheon nominees and winners of Geriatric Nurse and CNA of the Year were recognized. Christie Gesin, RN, from the Neuro Intensive Care Unit, and Robert Aleshire, CNA, from Supplemental Staff, were recognized.
exemplary professional praCTiCe ConTinued
Robert Aleshire and Christie Gesin use special tools to educate a geriatric patient.
40459.indd 12 8/10/12 7:19 AM
Gayle Kruse, RN, APN
As a gerontological and
palliative care clinical nurse
specialist, Gayle Kruse
interacts with patients and
families at very vulnerable
times in their lives. “I have
learned so much from our
patients, but the one thing
that always touches me is when I see anyone, but
especially an elderly patient, face death with incredible
courage, peace and dignity,” Gayle says.
When she graduated from high school in 1971, Gayle
didn’t feel that women had the same career options they
have today. However, she is happy that nursing was one
of those options because she honestly wanted to work
in a profession that made a difference in the lives of
others. She spent most of her career in Chicago but
came to OSF Saint Anthony in 1995 as an advanced
practice nurse. She left to try academia for a couple of
years but quickly came back to the hospital setting. “I
can truly say these last 10 years have been the most
rewarding and challenging of my career,” Gayle says.
Very involved in national professional organizations,
Gayle assists with research and evidence-based practice
initiatives. In 2003 she advocated for bringing Nurses
Improving Care to Health System Elders program to
OSF Saint Anthony. The program helps nurses develop
geriatric competencies. During the last four years, Gayle
has helped develop and establish the hospital’s inpatient
palliative care program.
40459.indd 13 8/10/12 7:19 AM
Azra Ali, MD, Heidi Olson, PharmD, and Norman Rosario, RN, round together to improve communication.
40459.indd 14 8/10/12 7:19 AM
Carolyn Gray-Redmond, RN
“Hearing patients say I calmed
their fears and helped them get
through a procedure is better than
a paycheck,” says Carolyn Gray-
Redmond. “And that’s what I love
about OSF Saint Anthony – it’s
OK for me to pray with patients.”
Carolyn, who has been a nurse since 1975, says God has given
her a gift to help people, and she couldn’t be happier. “Just
recently I had a patient who was terribly afraid, and I asked if she
would mind if I prayed with her,” Carolyn recalls. “She said, ‘yes,
I’d like that.’” After the procedure, the patient said it truly helped.
Working as an interventional radiology nurse for the past five
years, she tries to stay with patients as long as she can to try
to alleviate fear. She also offers simple advice, drawing from the
knowledge and experience gained working in medical/surgical
and oncology.
It’s no wonder Carolyn chose nursing as her profession. She
recalls that during her childhood she loved to care for family
members when they were sick. She followed that passion and
became the first in her family to graduate from college and the
first to enter the medical field.
She has never regretted that choice. “It’s great to know I really
make a difference in someone’s life.”
“it’s great to know i really make a difference in someone’s life.”
new Knowledge, innovaTions & improvemenTs
QualiTy of care, research and evidence-based pracTice,
QualiTy improvemenTs
Nurses at OSF Saint Anthony focus on seeking the latest research findings and the evidence to support practice changes. In the past year, direct care nurses have also had the opportunity to participate in two national multi-site research studies. Through this experience, nurses have seen firsthand the impact of research on the changes in patient satisfaction and the overall quality of care. Those participating directly in the data collection processes have come away with an appreciation of, not only how complicated clinical research is, but also how valuable it is to the nursing profession and patients. Sharing this knowledge and experience with others will have a broader impact on the nursing community at large. In this section, the continued evolution of approaches and processes to deliver patient-centered care is shared.
Hospitalist Rounding
The role of the hospitalist has existed at OSF Saint Anthony for the past six years, but for many patients it is a new experience to have someone other than their primary care physicians manage their needs. To improve physician and patient relationships and understanding of the hospitalist role, 4 East was chosen to be the test unit for patient/nurse/hospitalist rounding. The goal of the initiative is to improve the physician and nursing Consumer Assessment of Healthcare Providers and Systems scores regarding communication.
The daily huddle takes place every morning. Key ancillary staff members meet to discuss outcomes for the day, including discharge needs and the plan of care. The hospitalist then assigns a two-hour timeframe during which rounding will be done for each patient. The charge nurse alerts the staff nurses of the expected time. The hospitalist calls the assigned nurse when he or she is ready to round. During the round, the plan of care is discussed. Daily goals and the anticipated discharge date are written on the room whiteboard. All questions are answered prior to leaving the patient room. Finalizing the discussion typically takes place outside the patient room, where orders are entered and paperwork is completed. Scores have improved and the rounding process has been implemented throughout the hospital.
40459.indd 15 8/10/12 7:19 AM
new Knowledge, innovaTions & improvemenTs ConTinued
OSF Northern Illinois Emergency Medical System Mobile Simulation Lab
OSF Northern Illinois Emergency Medical System launched the first emergency medical simulation unit in the northern Illinois region. The lab is set up in a realistic ambulance setting and offers interactive training using SimMan and SimBaby. Both simulation units are life sized and equipped with realistic functionality that allows learners to practice skills in a realistic ambulance situation. The mobile simulation unit is used across multiple disciplines, including EMTs, paramedics, nurses and physicians.
The mobile simulation unit can target rural emergency care providers as well as local EMS agencies, hospitals and schools of nursing. This educational tool is an essential part of getting those in the profession a hands-on training in the ever-evolving field of emergency care. One great benefit of the mobile unit is that it allows OSF to provide training for agencies and facilities that lack resources to educate staff using the most up-to-date technology.
Teams and individuals are trained in the simulation unit. Because of the realistic patient scenarios, participants are engaged to make appropriate decisions, complete timely interventions and are taught to deal with unexpected patient care scenarios. The simulation unit allows and promotes patient safety and quality emergency response. The training is designed to bridge the gap between didactic training methods and hands-on patient experience.
EMT-Basic students Melina Montesino and Jacob Doll learn from instructor Greg Snow in the mobile simulation lab.
40459.indd 16 8/10/12 7:19 AM
Celebrating Magnet
For the past several years, the American Nurses’ Credentialing Center has invited Magnet hospitals to submit artwork, quilts, photos or other creative artistic expressions. The Magnet Champions, commonly referred to as the “Magnet Rays,” chose to submit entries in 2010 and 2011. Each artistic project seeks to capture passion for nursing excellence, the culture of caring at OSF and the principles of Magnet in an inventive and unique style. The latest project, an ingenious unfinished weave of photos, cloth and thread, indicates that the work remains in progress. Using some of the ideas from the Magnet Ray Nurses’ Week display in 2011, the first photo represented acknowledgment of the Sisters’ rich heritage and the trust of the five Sisters who traveled to Rockford to open Saint Anthony Hospital more than 130 years ago. The next two photos feature Sister Josephine, one of the Sisters of the Third Order of Saint Francis, who currently works tirelessly at OSF Saint Anthony each day. The final photo demonstrates the supportive work environment and captures a novice nurse and her mentors in a sophisticated futuristic acute care environment. The unfinished weave, titled “Acknowledging Our Past, Living the Present & Weaving Our Future,” was created by Magnet Rays Sheri West, Mary Murray and Jessica McCartney. Melissa Chahin, also a Magnet Ray, submitted and presented the artwork at the Magnet National Conference in Baltimore.
Cathy Hudson, RN
“I thank OSF for allowing me to
do what I love – care for people,”
Cathy Hudson says. And after 38
years in the field of nursing, she
knows that she not only helps the
patients, but they help her. When
she worked as an RN case manager
for OSF Homecare, she cared for a very special woman with
end-stage heart disease for seven years. “She, like many of
my patients, taught me about life, how to live with more than
one chronic disease and still love life – and how to die,” Cathy
says. When the patient learned that dialysis was not working,
she accepted the fact that she was going home to die. But
showing her determination to live her last minutes to the fullest,
she announced that she was first stopping at Kentucky Fried
Chicken. She died three days later, with her family and Cathy
by her side.
This same patient was a great support to Cathy when she
learned she needed heart surgery for a congenital defect. She
faced her illness with more courage because of the lessons she
had learned.
Cathy now works as an employee health nurse and is a very
active Magnet Ray, working with other nurses to continually raise
the bar.
OSF Saint Anthony Art Gallery project submission for the 2011 National Magnet Conference. One of the pictures included in the submission is that of Sister Josephine brightening the hospital atrium.
“my patients taught me about life, how to live with more than one chronic disease and still love life...”
40459.indd 17 8/10/12 7:19 AM
empiriCal QualiTy ouTComesBenchmarking is a familiar term to nurses at OSF Saint Anthony. Prior to the changes in the Magnet Sources of Evidence in 2008, benchmarking practices were common phenomena. Over time, OSF has become even more astute with the actions taken by nurses to enact best practices that will ultimately drive superior performance. The quality initiatives that are described in this section involve direct care nurses in the planning, implementation and evaluation of their effectiveness for improving the quality of care. Engagement and support is critical to outperforming the national benchmarks for many nurse-sensitive indicators. It is proudly noted that quality unit leaders have stepped forward to assume greater responsibility. Under the guidance of clinical nurse specialists, a clinical nurse leader intern and the Six Sigma black belts, teams are able to accomplish so much more than one or two individuals. The OSF Community of Caregivers can take pride in the quality outcomes that are reported internally and externally.
Improving Heart Failure Outcomes Study
In July 2010, the nurses at OSF Saint Anthony learned they had been selected to participate in the first Magnet multi-site research study. The study, involving 41 Magnet hospitals, sought to evaluate the effect of standardized education on heart failure patient care and identify hospital and nursing characteristics that are associated with improvements in heart failure patient care. The patients with heart failure are cared for on the Cardiovascular Care Unit, 4 East. The cardiac rehabilitation nurses willingly
stepped forward to serve as the primary educators for the heart failure patients. This change would allow patients to receive individualized education and time to learn more about their chronic conditions. The nurses on 4 East share the responsibility for educating patients by reinforcing what is taught and by serving as a ready resource 24/7. Nurses were invited to participate in two surveys in April and May of 2011. The survey response rate for OSF Saint Anthony was significantly higher than nurses from other participating Magnet hospitals. Christine Anderson, cardiovascular clinical nurse specialist, and Brenda Meintz, nursing care manager, assumed responsibility for enrollment of patients and coordination of the study with an OSF Healthcare System initiative that was also focused on heart failure and reducing readmissions.
Mobility Project
Research shows that early initiated stroke rehabilitation facilitates the best possible patient outcomes. The focus of the 3 East mobility project was to prevent patient de-conditioning by providing early and frequent patient mobilization through nurse-driven initiatives utilizing safe patient handling principles. Through the synergistic collaboration between the roles of manager, CNS and CNL, evidence-based practice was brought to the bedside. Health care professionals gained a greater awareness of immobilization-related stroke complications and the many benefits of increased patient mobility. The project was implemented over 18 weeks in three phases: education, intervention implementation and evaluation and sustainability. Unit nurses and nurse assistants
The paws painted on the wall help Analisa Gomez’ patient count her progress as she works on her mobility.
40459.indd 18 8/10/12 7:19 AM
were invited to participate in the change process during each phase. A sampling of the interventions includes a new bedside handoff protocol and tool, improvement of nurse aid work flow and the utilization of the dry-erase board for communication. After ten weeks of implementation, dry-erase board audits revealed that 94 percent of all unit patients had at least one measurable mobility goal on the whiteboard. Electronic medical record audits reveal increased mobility activities provided for stroke patients. Six months later, random audits done by the clinical nurse leader show that 74 percent of the patients have at least one mobility goal.
CAUTI Initiative
For each day a urinary catheter remains in place, there is a three to seven percent increase risk of infection. With this risk for poor patient outcomes, The Joint Commission has named catheter associated urinary tract infection (CAUTI) reduction
a National Patient Safety Goal. Directly associated with the length of time a catheter is in place, the major strategy at OSF Saint Anthony is to decrease the number of initial insertions, and when urinary catheters must be inserted, to remove them as soon as possible. In July there was a CAUTion CAUTI Kickoff with a presentation by Kavitha Subramanian, MD, infectious disease physician, and numerous poster presentations. The multi-faceted approach includes education and awareness, physician and nurse champions, defined protocols for insertion, maintenance and discontinuation and daily surveillance of patients with catheters. If a patient develops a CAUTI, Dr. Subramanian and the Infection Control Department partner with nursing to look at trends and opportunities to improve care. CAUTI is a nurse-sensitive indicator that OSF Saint Anthony is determined to improve.
Foley Catheter Utilization Days: All Units - Monthly
Goal: Decrease Foley Utilization Days
CLA
-BSA
Rat
e
2000
1900
177017121709
1440
1958
1573
14491478
1527
1324
1380
1380
Oct
10
Nov
10
Dec
10
Jan
11
Feb
11
Mar
11
Apr
11
May
11
Jun
11
Jul 1
1
Aug
11
Sep
11
1800
1700
1600
1200
1300
1400
1500
40459.indd 19 8/10/12 7:19 AM
CLABSI Initiative
The Centers for Disease Control and Prevention estimate that 92,000 Central Line Associated Blood Stream Infections (CLABSIs) occur each year. High cost, high volume indicators such as CLABSIs negatively impact reimbursement through hospital-acquired infection payment reductions, increased cost per case and negative perceptions of a hospital’s quality of care. In providing the greatest care to its patients, OSF Saint Anthony launched a Six Sigma project in 2010 to reduce the number of CLABSIs. An interdisciplinary team delivered its evidence-based best practices to process owners in 2010. One of the goals focused on decreasing the number of CLABSIs to 1.35 or less per 1,000 CL days. The associated graph shows that OSF Saint Anthony outperformed the benchmark in eight of 12 months.
Some of the initiatives launched in fiscal year 2011 were: • Evidence-based revision of all policies associated with central lines• Charge nurse daily auditing of central line care compliance and line necessity• House-wide education to RNs, ancillary departments and physicians on central line care and CLABSI prevention• Standardize central line check-lists and insertion cards to ensure best practices• Pharmacy consult on all Peripherally Inserted Central Catheter lines • Central line insertion order sets• Chlorhexidine baths on all ICU patients• Development of infection prevention champions
empiriCal QualiTy ouTComes ConTinued
CommiTmenT To professional developmenT
Each year OSF Saint Anthony Medical Center
chooses to recognize the accomplishments of
its nurses and their commitment to professional
development. The number of professional
presentations at the regional and national levels
is significant for a hospital the size of OSF Saint
Anthony. Mentoring and support is provided
by advanced practice nurses, nurse leaders and
Colleen Klein, director of professional practice
and research.
This past year, new recognition programs were
introduced.
2.5
2.0
2.24
1.08 1.11
1.50
0.00 0.00 0.00 0.00 0.00 0.00
2.17 2.18
Oct
10
Nov
10
Dec
10
Jan
11
Feb
11
Mar
11
Apr
11
May
11
Jun
11
Jul 1
1
Aug
11
Sep
111.5
1.0
.5
0
Target Goal =1.3 or less
2.5
2.0
2.24
1.08 1.11
1.50
0.00 0.00 0.00 0.00 0.00 0.00
2.17 2.18
Oct
10
Nov
10
Dec
10
Jan
11
Feb
11
Mar
11
Apr
11
May
11
Jun
11
Jul 1
1
Aug
11
Sep
11
1.5
1.0
.5
0
Target Goal =1.3 or less
Central Line Associated- Blood Stream Infections (CLA- BSIs): All Units Rate = # CL- BSIs/1000 Central Line Days
National Benchmarks: 10th %ile=0.0 50th %ile=1.3
CLA
-BSA
Rat
e
40459.indd 20 8/10/12 7:19 AM
PublicationsDanica Ford, BSN, RN (2011). Compassionate Care Connection, Etc. - Letter to the Editor. Journal of Christian Nursing, 28 (2), p. 68.
Paula A. Carynski, MS, RN, NEA-BC, FACHE (Contributing author). (2011). Nursing Peer Case Review, Appendix H. In B. Haag-Heitman & V. George (Eds.), Peer review in nursing: Principles for successful practice (pp. 223-238). MA: Jones & Bartlett Publishers.
Carrie Lenburg, EdD, RN, FAAN, Veronica Abdur-Rahman, PhD, RN, Tammy Spencer, MS, RN, Susan Boyer, MS, RN, & Colleen Klein, PhD, RN, FNP-BC (2011). Implementing the COPA Model in Nursing Education and Practice Settings: Promoting Competence, Quality Care, and Patient Safety. Nursing Education Perspectives: September 2011, Vol. 32, No. 5.
Carin Richter, MS, RN, APN-BC, IBLC, CCBE & Paula Hart, BA, RN, IBLC (2010). Making New Beginnings Great Beginnings: A Nurse-Run, Hospital-Based Clinic Promotes and Supports Breastfeeding: Journal of Obstetric, Gynecologic & Neonatal Nursing, 2010 Sep; 39: Supplement 1: S11.
national Podium PresentationsBeverly Ethridge, RN, PCCNGuess Who’s Coming to Dinner: How to Organize a Chapter Community EventNational Teaching Institute & Critical Care ExpositionApril 30th – May 5th, 2011, Chicago, IL
Paula Carynski, MS, RN, NEA-BC, FACHE, & Christine Anderson, MS, RN, APN, CNS-BCIncorporating Clinical Practice Guidelines into the Nursing Peer Review ProcessCPM Resource Center 19th International Conference: Bridges to Sustainable Healthcare TransformationJanuary 2011; San Francisco, California.
Paula Carynski, MS, RN, NEA-BC, FACHETransformational Leadership: Reigniting the Spirit of Caring Podium Presentation Illinois Nurses Association 3rd District Spring Annual Meeting April 2011; Rockford, Illinois.
Kelly Simmons, PharmDCPOE Autoverification Pitfalls – Bytes of Informatics46th American Society of Health System Pharmacists Midyear Clinical Meeting and ExhibitionDecember 2011; New Orleans, LA
James Jansen, MS, RPhTake some ASA in the AM – Labeling Syringes Used in Anesthesia 46th American Society of Health System Pharmacists Midyear Clinical Meeting and ExhibitionDecember 2011; New Orleans, LA
Physician Choice Award nominees: Julie Carlson, Mary Sue Bergeson and Sue Burrows.
In late 2010, the Physician Choice Awards program was created in memory of the late Joyce Nicklas, who served as chief quality officer for OSF Saint Anthony. Joyce’s commitment to quality lives on through her
effect on everyone at OSF, but especially through her nursing colleagues. This award honors her legacy by acknowledging nurses who embody Joyce’s unique passion for excellence in patient care.
Physician Choice Awards
For the past 20 years OSF Saint Anthony nurses have recognized their peers for excellence in clinical practice. A literature search and Magnet query revealed a paucity of information regarding interdisciplinary recognition. A taskforce was formed to completely redesign the recognition program, which required a paradigm shift for nurses. Representatives from ten disciplines participated in the creation of the Interdisciplinary Excellence (ICE) Awards. Six new awards encompassing the Magnet Model criteria were developed. In May 2011, a successful inaugural celebration was held.
The following professionals were honored:Andrew Schultheis, RN Rookie of the YearKatie Loehr, PharmD Above and BeyondAngel Gambino, RN Performance ImprovementPeggy Lauer, BSW Interdisciplinary RelationshipsPam Solverson, RN Professional PracticeSheila Anderson, RN Community Involvement
Andrew Schultheis, Katie Loehr, Angel Gambino, Peggy Lauer, Pam Solverson, Sheila Anderson
Interdisciplinary Clinical Excellence Awards
Physician Choice Award Winner: Judy Field
40459.indd 21 8/10/12 7:19 AM
national Poster PresentationsLisa Johnson, MS, RN, RRT, NEA-BC, FACHEEmergency Department Operational Improvement through the Development of High Performing Work Teams2010 National American Nurses Credentialing Center Magnet ConferenceOctober 2010, Phoenix, Arizona
Patricia Hamilton, BSN, RN, CMSRNDecreasing Patient Handling Injuries: Development of a Safe Movement & Repositioning Team (S.M.A.R.T)2010 National American Nurses Credentialing Center Magnet ConferenceOctober 2010, Phoenix, Arizona
Margaret E. Swanson, MS, RN-BC Stephanie M. Feltes, BSN, RN Nurse Perceptions of Their Work Environment: Perspectives from the ICU through Ambulatory Care5th Annual ANA National Database of Nursing Quality Indicators ConferenceJanuary 2011, Miami, Florida
Anne Hammes, MS, RN, & Sarah Wilkinson, BSN, RNCharge, Change and Accountability5th Annual ANA National Database of Nursing Quality Indicators ConferenceJanuary 2011, Miami, Florida
Colleen Klein, PhD, RN, FNP-BC & Carin Richter, MS, RN, APN-BCShaping the Context of Care: Engaging Caregivers to Apply Models within ModelsProfessional Practice Models – Real World SolutionsFebruary 2011, Baylor Health Care System, Dallas, TX
Joani Browning, RN, CWOCN; Gayle Kruse, RN, GCNS, ACHPN; Betty Villiers, RN, CWOCN Decade of Progress: Strategies to Reduce the Number of Hospital Acquired Pressure UlcersNPAUP 12th National Biennial Conference- Emerging Healthcare Issues February 2011, Las Vegas, NV
Linda Matheson, PhD, RN & Mary Stephenson, BSN, RNReducing Pain associated with Radial Arterial Punctures18th Annual National Evidence-based Practice Conference,April 2011, University of Iowa Hospitals & Clinics, Iowa City, IA
Donna Miller-Hyacinthe, RN, BSN; Julia Norem, RN, MS; & Gayle Kruse, RN, GCNS, ACHPNEvidence Based Practice Delirium Project18th Annual National Evidence-based Practice Conference,April 2011, University of Iowa Hospitals & Clinics, Iowa City, IA
Brenda Milne, MS, RT, (R ), (CT), CRAFishing for Patient SatisfactionAHRA the Association for Medical Imaging Management 2011 Annual Meeting and ExpositionAugust 2011, Dallas, Texas
regional Podium PresentationsKaren Sikorski, MS, RN Pain – Pot PourriNurses Expo 30th Annual ConferenceMarch 2011, Rockford, IL
Christine Carter, BSN, RN, SANE-A, TNSForensic Nursing: A SANE PerspectiveNurses Expo 30th Annual ConferenceMarch 2011, Rockford, IL
Colleen Klein, PhD, RN, FNP-BC & Anne Hammes, MS, RN, NEA-BCThe Nurses Speech – Finding & Speaking Your VoiceShared Governance All Council DayWatertown Regional Medical Center, March 2011, Watertown, WI
regional Poster PresentationsColleen Klein, PhD, RN, FNP-BC & Carin Richter, MS, RN, APN-BCShaping the Context of Care: Engaging Caregivers to Apply Models within Models7th Annual Research Symposium: Exemplary Professional Practice in Action: Research and EducationApril 2011, Advocate Christ Medical Center, Oak Lawn, IL
Stephanie M. Feltes, BSN, RN & Margaret E. Swanson, MS, RN-BCNurse Perceptions of Their Work Environment: Perspectives from the ICU through Ambulatory Care7th Annual Research Symposium: Exemplary Professional Practice in Action: Research and EducationApril 2011, Advocate Christ Medical Center, Oak Lawn, IL
Anne M. Hammes, MS, RN, NEA-BC & Sarah L. Wilkinson, BSN, RNCharge, Change and AccountabilityNurse Expo 2011, Rockford, IL, March 27, 2011
Lisa Johnson, MS, RN, RRT, NEA-BC, FACHEEmergency Department Operational Improvement through the Development of High Performing Work TeamsNurse Expo 2011, Rockford, IL, March 27, 2011
Paula Carynski, MS, RN, NEA-BC, FACHE100 Eyes Keeping Our Patients Safe: the development of an effective patient safety Coach Program - Best Poster AwardNurse Expo 2011, Rockford, IL, March 27, 2011
Elizabeth M. Carson, EdD, RN, CNE & Susan J. Black, MSN, RNHow Much and Where: Assessment of Knowledge Level of the Application of Cricoid PressureNurse Expo 2011, Rockford, IL, March 27, 2011
Dauphne Sims, MS, RN, APN, CNS, Doctoral CandidatePostpartum Fatigue in Low-income Urban Women with Depression SymptomsNurse Expo 2011, Rockford, IL, March 27, 2011
Teresa A. Allen, MSN, RN, Brianna Sehr, Allison Gilbert, Chelsea Derrington, Tabitha Gardner, Danielle Parisot, Lori Heuser, Lindsay Mockmore-Bennett, Nursing StudentsWhat Do You Want From Me?- Bridging the Gap Between Faculty and Student ExpectationsNurse Expo 2011, Rockford, IL, March 27, 2011
Deanna Berg, MSN, RN-BCBenefits of an Evidence-Based New Graduate Nurse Residency ProgramNurse Expo 2011, Rockford, IL, March 27, 2011
research studies: Colleen Klein PhD , RN-FNP-BC; Christine Anderson, MS, RN, APN; Brenda Meintz, MS, RN; Julie Bredlau, BSN; Ester Hellman, PhD, RN; Amy Kumlien, BSN; Bridget Penwell, MS, RNImproving Heart Failure Outcomes – Magnet Multi-site National Research Study
Colleen Klein PhD, RN-FNP-BC; Patty Hamilton, BSN, RN, CMSRN, Christine Anderson, MS, RN, APN; & Gayle Kruse MS, RN, GCNS, ACHPNOral care interventions in the acute care setting: Frequency, Delegation, & Knowledge of Evidence-Based Practice for Oral Hygiene
Linda Matheson, PhD, RN; Mary Stephenson, BSN, RN & Howard Weiss, MDReducing Pain Associated with Arterial Punctures for Blood Gas Analysis
Amanda Salcinski, PhD & Donna Plonczynski, PhD, RN – Northern Illinois UniversityColleen Klein, PhD, RN, FNP-BC, PhD Sponsor The Effects of Exercise on Quality of Life and Fatigue
Colleen Klein PhD, RN-FNP-BC; Karen Sikorski, MS, RN, & Theresa Fritz, RNDissemination and Implementation of Evidence-Based Methods to Measure and Improve Pain Outcomes – Multi-site National Study in conjunction with University of Utah, College of Nursing; & Kansas University Medical Center
Susan Campbell, MS, RN, NEA;, Colleen Klein PhD, RN-FNP-BC – PhD SponsorAnalyzing Group Power within a System Interdisciplinary Shared Governance Structure
Theresa Thompson, MS, RN & Shannon Lizer, PhD, RN, FNP-BCSynergistic Effect of Nursing Students in ACLS Mega Code
evidence-based Practice ProjectsSteve Loudon, MS, RN, TNSTourniquets in Pre-Hospital
Gayle Kruse, MS, RN, CGNS, ACHPN; Larry Brown, SM (ASCP) CIC; Jason Harris,; Dr. Kavitha Subramanian; the NICHE Subcouncil & the Quality Unit Leaders The CA-UTI Initiative
Jennifer Baker, MSC; Jeanine Zuba, BSN, RN; Jane Zielinski-Carter, DNP, RN, CCRN, CNRN, TNS; Julie Carlson, MSN, RN, APN, AOCNS; Larry Brown, SM (ASCP) CIC, & Dr. Kavitha SubramanianCentral Line Associated Blood Stream Infections (CLABSI) Six Sigma Project
Kelly Cone, PhD, RN, CNEOSF System-wide Evidence-Based Practice Model Knowledge & Usage Inquiry
Dana Dermody, RN, MS, CNL; Patricia Hamilton, RN, BSN, CMSN; Gayle Kruse, RN, GCNS-BC, ACPHN & Shannon Lizer, PhD, FNP-BCThe Evolution of a Nurse-Driven Mobility Initiative on a Certified Stroke Unit: Pioneering the Clinical Nurse Leader Role in a Magnet Designated Medical Center
awardsKathy Stucker, RNPatient Safety OfficerIllinois Nurses Association Third DistrictDistinguished Nursing Advocate Award30th Annual Nurses Expo, Rockford, IL
Kathryn Carlovsky, MS, RN, ACNP, CCRNIllinois Nurses Association Third DistrictExcellence in Nursing Award30th Annual Nurses Expo, Rockford, IL Karen Daub-Larson, RNPain Resource Nurse (PRN) of the YearNorthern Illinois Pain Resource Consortium Christie Gesin, RN, BSN, CNRNGeriatric Resource Nurse of the YearNICHE Subcouncil
Robert Aleshire, CNA, BS-BA, AA, AS Geriatric Certified Nursing Assistant of the YearSupplemental StaffNICHE Subcouncil
Kathleen Harms, BSN, RN, PCCNSkin Champion Nurse of the YearSkin & Wound Subcouncil
Theresa Voss, RNDickies American Worker of the Year 2010
Elizabeth Torres, BSN, RN, OCNSpirit of Service 1st Quarter management AwardOSF Saint Anthony Medical Center
Karmela Londo, RN, TNSEmergency Department EMS AwardOSF Saint Anthony Medical Center Trauma Services
Patricia Uldahl, RNSpirit of Service 3rd Quarter 2010OSF Saint Anthony Medical Center
Beverly Ethridge, RN, PCCNCommunity Involvement AwardMonroe Clinic & Hospitals
Julie Schneider, RNSpirit of Service Award for Compassion ___ QuarterOSF Saint Anthony Medical Center
40459.indd 22 8/10/12 7:19 AM
Constance A. Abene-Roberson, BSN, RN, CPHMCara M. Adams, ADN, RN, CNRN Renee Adams, RN, CMSRN Christine A. Anderson, MS, RN, APN, CNS-BC Denise Anderson, RN, CMSRN
Sheila Y. Anderson, MSN, RN, CGRN Mary Kay Andrews, BSN, RN, CCRN
Lois M. Andrews, ADN, RN, PCCNPardis Alee-Hagdost, BSN, RN, CCRNPriscilla M. Babler, BA, RN, LDN, CDE Jean Baker, RN, CMSRN Jessica Bakey, ADN, RN, PCCN Susan L. Baylor, MS, RN, NCSN, CNE
Cindi A.Bennett, ADN, RN, CNRNSteven V. Benton, ADN, RN, ONC Deanna Berg, MS, RN-BC Ginny Beyette, RN, CMSRN
Mary S. Bergeson, RN, CCRNDarlene Bielski, RN, CCCNKaren M. Blatter, BSN, RN, OCNKathryn A. Blomberg, RN, CCRN Ellen A. Bonner, MS, RN, APN, C-NPP, CNS, CCRN
Penny S. Bounphithack, BSN, RN, CGRNDenise F. Boxleitner, MSN, RN, OCN Darla Bradle, MSN, RN, CCRN, CSC Sue Brannick, RN, CMSRN
Julie Bredlau, BSN, RN, PCCNLisa A. Brening, ADN, RN, WCCJoani S. Browning, BSN, RN, CWOCN Lisa Bruno, BSN, RN, OCN Nicole Buhler, RN, CMSRN
Cheryl A. Bush, ADN, RN, CCMKaren Burton, BS, RN, CRNI, OCN Heather Cady, BSN, RN, CCRN
Kim T. Calabro, BSN, RN, OCNLynell M. Campbell, RNC, IBCLC Julie R. Carlson, MSN, RN, APN, AOCNS Kathryn Carlovsky, MSN, ACNP, CCRN, RN
Lynn A. Carlson, BSN, RN, ONC Melissa Carey, RN, BSN, CNOR
Katherine S. Carmichael, BSN, RN, OCN Elizabeth M. Carson, EdD, RN, CNE
Chris M. Carter, BSN, RN, SANE-AColette, M. Carter, BSN, RN, ONC
Judith K. Carter, RN, ADN, OCN Paula Carynski, MS, RN, NEA-BC, FACHE -CNO
Jacqueline A. Casser, RN, ACM, CPHM, CPURWendy Cassidy, ADN, RN, CENMadelyn G. Chapman, MSN, RN, OCNAmy Clendening, BSN, RN, OCNLenore Conboy, RN, CDE Dawn D. Cook, RN, CPAN
Kelley Corl, RN, BSN, Barbara Coss, MHCA, BSN, RN, CCRN, CEN Amy Couch, RN, CMSRN
Julia Crawford, ADN, RN, CDEMargaret A. Dahlgren, RN, ACM Gordana Dermody, MSN, RN, CNL
Julie A. DeRoush, RN, CDEJulie L Dieterman, RN, CNORVictoria L. Dose, ADN, RN, RNCDeborah J. Downs, ADN, RN, CMSRN Andrea Ehrhardt, RN, CMSRN
Laurie J. Ellis, RN, CCMBeverly Etheridge, RN, PCCN Marla Farone, RN, CMC, CCRN, CSCJudith M. Field, ADN, RN, CNORRita D. Findley, RN, CCMRoxanne D. Fornander, BSN, RN, SANE-A Pam Forsling, RN, CMSRN Mary Jo Frichtl, MS, RN, CNE Dawn M. Fritz, BSN, RN, CCRN
Theresa J. Fritz, RN, C-EFM, RNCGail Garrepy, RN, CNOR Christie J. Gesin, BSN, RN, CNRN
Nicolette Girardi, RN, CCM Lynette M. Gisel, MSN, RN, GNP-BC
Mary Habbley, RN, CAPAMaxine K. Hachmeister, ADN, RN, OCN Patty Hamilton, BSN, RN, CMSRN Anne Hammes, MS, RN, NEA-BC
Barbara D. Hansen, RN, CGRNChelsea E. Hardacre, BSN, RN, OCNRenita J. Harden, ADN, RN, CCRNKathleen Harms, BSN, RN, PCCNSarah Harper, RN, BSN,PCCNPaula R. Hart, BA, RN, IBCLC Elizabeth Hayden, RN, BSN, MBA, OCN
Tina M. Hedberg, BSN, RN, CNORJennifer Hendrickson, BSN, RN, OCNAmy K. Hill, MSN, BSN, RN, PCCNSusan Horstmeier, BSN, RN, CAPA Kara J. Huehn, BSN, RN, OCN
Teresa Hunt, MSN, RN, CNOR Mindy Idell, RN, MS, NE-BC
Amy S. Inskeep, BSN, RN, OCN Angela D. Johnson, BSN, RN, ONC Bonnie Johnson, MS, RN, ONC Gayl Johnson, BSN, RN, CCRN Lisa M. Johnson, MS, RN, RRT, NEA-BC, FACHE
Dawn N. Kelter, BSN, RN, ONC Colleen Klein, PhD, RN, FNP-BC
Linda King, BSN, RN, CMSRN, RN-BCAmy L. Kroos, BSN, RN, CHPN Elizabeth Krueger, ADN, RN, CCRN Gayle Kruse, MSN, RN, GNCS-BC
Victoria E. Kulavic, BSN, RN, CNRN, CCRN Diane LaMarca, BSN, RN, CMSRN
Amy E. Lawerence, BSN, RN, CCRNMichelle Leitzinger, BSN, RN, CCRNSusan P. Lincoln, BSN, RN, CNRN Shannon K. Lizer, PhD, RN, FNP-BC, COHN-S Karmella Londo, ADN, RN, CEN Bev Lundeen, ADN, RN, CCRN
Stephanie Lynch, ADN, RN, CEN Kristoffer Mallari, BSN, RN, PCCN
Jaya Mahlingham, BSN, RN, PCCNMary L. Marshall, ADN, RN, PCCN Victoria Z. McCoy, BSN, RN, ONC Cassandra McCullough, BSN, RN, PCCN
Dawnell E. McIntosh, ADN, RN, PCCN Ashlee Meighan, BSN, RN, PCCN Brenda Meintz, BS, RN, PCCN Melissa Melau, ADN, ECRN
Suzanne M. Minakes, RN, TNS, ECRNPatricia Moneysmith, ADN, RN, ONCPenny M. Moore, BSN, RN, OCN Mary Murray, RN, CMSRN Shanen Myer, RN, CEN Elizabeth A. Myers, MSN, RN, APRN, BC Janet Myers, RN, WCC Lurese M. Muchala, BSN, MSN, RN, CPAN
Angela Nelson, RN, CMSRNNicole K. Nelson, BSN, RN, CCRN Michelle Nice, MSN, RN, FNP-BC
Laura M. Nie, RN, ACMJo C. Nolan, BSN, RN, CNORMaelisa O’Donnell-Hayes, RN, NE-BC Mary O’Grady, BSN, RN, CFCP
Jessica L. Oslund, BSN, RN, OCN Twyla Ottowitz, BSN, MS, CMSRN Laura Padron, BSN, RN, CSC, CCRN
Carol P. Paffenroth, ADN, RN, PCCNJuliann Palmer, BSN, RN, CNOR Evelyn Parker, BSN, RN, WOCN Beth Pearson, RN, BSN, ONC
Virginia A. Pehowski, BS, ADN, RN, COHN-S Debra Persaud, MS, RN, CNOR Jennifer Piotrowski, BSN, RN, CCRN Vicki Pooley, BSN, RN-GC Susan K. Potter, MSN, MBA-HCM, RN, CGRN
Myra Porthouse, ADN, RN, CCRNBonnie Susan Pulkowski, MSN, APRN, RN, COHN-S, FNP-BC Cindy N. Quinley, ADN, RN, PCCNAnna M. Quinton, BSN, RN, OCNHanna J. Rakowski, BSN, RN, CNORKimberly Randles, BSN, RN, CGRN Natasha Rapo, RN, CMSRN
Martha J. Regnier, RN, CNORBeth E. Rieches, MSN, APRN, CPAN Carin Richter, MSN, RN, RNC, IBCLC, CBE
Joellen J. Ring, ADN, RN, CPHM, ACMJoAnn Rivera, RN, CNORTeresa Robers, RN, OCNPeggy Rogers, BSN, RN, OCNLinda Rohlman, RN, CCRNDeborah K. Ross, BSN, RN, CCRN Kelene S. Rousey, ADN, RN, OCN
Cindy S. Rudy, BSN, RN, CCRNJudy E. Sandoval, ADN, RN, CGRN Diana Sandusky, RNC-OB, MSN, MHA
Deborah Sauka, ADN, RN, OCNKelly A. Schram, BSN, RN, CNORJudith A. Schwartz, RN, COHN Susan Scott, RN-GC
Nancy S. Seddon, BSN, RN, COHN-SCynthia M, Shadle, BSN, RN, COHN Karen Sikorski, MS, RN, APN, CNS-BC Deborah R. Silva, BSN, RN, OCN Dauphane A. Sims, MS, RN, APN, CNS-BC Jan A. Sladek, ADN, RN, PCCN
Angela A. Smith, BSN, RN, CNORMichele M. Smith, RN, CCRN, CNRNSilvia Smoode, RN, PCCNPamela Solverson, MSN, RN, CGRN Nicole Sparks, BSN, RN, PCCN Kathy Staples, RN, CMSRN
Dianne Stroup, ADN, RN, OCN Winona Swagger, RN, CMSRN
Heather Systma, BSN, RN, CCRNJudy M.Taber, ADN, RN, CNOR Shirley Tanuyan, BSN, RN, CCRN Lynn Thurman, RN, CMSRN
Julie M. Twardowski, RN, CPMH, CPUR, ACM Kathleen Van Veldhuisen, MSN, APN-BC, CHPN Darlynn Venne, BSN, RN, OCN
Betty L. Villiers, MS, RN, OCN, CWOCN Danielle Wagner, BSN, RN, CCRN
Sarah M. Walder, BSHA, MSHSA, RN, CNORJennifer A. Ward, BSN, RN, PCCN Jacqueline D. Welch, BSN, RN, SANE-E Tammy Wennmaker, RN, PCCN
Sheri L. West, BSN, RN, CHPNJanice Westbrook, ADN, RN, CCRN Cindy L.Wilken, BSN, RN, CAPA
Chad Williams, ADN, RN,ONCDawn M. Vernon, MSN, APRN, ANP-BCMegan Zimmerlee, BSN, RN, OCNBarbara M. Zeller, ADN, RN, ONC Jane Zielinski-Carter, DNP, MSN, RN, CCRN, CNRN Jeannine Zuba, BSN, RN, CNRN
designations CNSs or APNs Directors or Managers 2010-2012 Certified CON Faculty
osf samC nurses wiTh CerTifiCaTionsnurses, managers, apns, direcTors & con faculTy 2010-2012
40459.indd 23 8/10/12 7:19 AM
www.osfsaintanthony.org www.osfsaintanthony.org5666 e. state streetrockford, illinois 61108-2472
Nurse managers enjoy a nice day on the OSF Saint Anthony lawn. Beth Pearson, Deb Silva, Mindy Idell, Darlynn Venne, Theresa Hollinger, Twyla Ottawitz, Jane Zielinski-Carter, Brenda Meintz, Diana Sandusky, Katie Kenter, Liz Levi, Melissa Sams-Carey and Lurese Muchala.
40459.indd 24 8/10/12 7:20 AM