1

After 23 years of unparalleled service to the University

of Colorado Hospital, Mary Krugman PhD, RN, NEA-

BC, FAAN, will retire in June of 2015. Mary’s career at

the University of Colorado Hospital began in 1992 when

she assumed her role as Director of Professional

Resources, a position she held for 20 years. As Director

of Professional Resources, Mary’s responsibilities

included oversight for Nursing and Allied Health

Research, the UEXCEL Professional Nursing Practice

Program, and the AACN/UHC National Post-

Baccalaureate Residency Program. The department’s

mission under Mary’s direction was to “create a work

environment that supports evidence and best practices

for the clinical nurse to deliver safe, highly professional,

excellent patient care.”

In 2012, Mary moved into her current position as

Director of Nursing Innovations and Outcomes. In this

role, Mary has been responsible for managing special

projects for the Carolyn Sanders, VP and Chief Nurse

Executive, while also mentoring clinical nurses and

leadership on projects and publications.

Throughout her professional nursing career Mary has

truly established herself as a legend in the world of

Nursing Research and Evidence-Based Practice. She has

served as primary investigator or site coordinator for 18

protocols and provided expert mentorship and oversight

to countless others. Mary has published greater than 50

manuscripts with more than half of those either

reporting on or pertaining to research and evidence-

based practice. Her resume documents a mere sampling

of her national presentations to include more than 50

invited presentations during the course of her UCH

professional career!

Mary has held professional membership in numerous

organizations including such prestigious organizations as

the American Academy of Nursing of which Mary has

been a Fellow since 2002. She has also received

countless awards and recognitions including receipt of

Special points of

interest:

New chapters for long-

time UCH nurses;

CNS Impact;

MICU QI Project

In this issue:

JoAnn’s Journal 1

Regina Fink’s

Retirement

2

Deb Davis’

Retirement &

CNS on the

Move

3

Good-bye; Hello

& Lisa’s Library

Learnings

4

Colleen Goode

R&EBP

Foundation

Award

5

Trivia! 6

Magnet

Moments & RNS

Classes

7

MICU QI

Project

9

Research and

EBP Symposium

11

College of

Nursing &

DAISY

Foundation

Award Winner

12

Council Chatter 13

Motivational

Interviewing

14

Choosing Wisely

& ED Pulse for

EBP

15

Kudos 16

SPRING/SUMMER 2015

T H E E X A M I N E R

the esteemed 2011 Nightingale

Award for Nursing Excellence

from the Colorado Nurses

Foundation and the 2013

Belinda E. Puetz Award for

Outstanding Achievement from

the Association of Nursing

Professional Development.

Despite many honors,

recognitions, publications, and presentations, what

seems to have been most important to Mary

throughout her career has been developing other

nursing professionals. She mentors, role models, and

advocates for them in all she does. Mary’s caring for

the profession means she shares her expertise and

materials with others to support their initiatives and

promote their success. In a recent “Ask an Expert”

column, published in the Journal for Nursing Professional

Development, when asked for advice she would give to

nursing professionals, Mary was quoted as saying “step

up to the action and be the change you wish for! [The

power to make change] does not have to be written

into a job description, it can come from assuming

accountability for important initiatives in your

organization and successfully producing the

deliverables.” In reading this column it occurred to me

that in her career Mary has been “the change she wished

for!” She assumed accountability for important

initiatives such as a successful professional practice

model and a nationally recognized nurse residency

program (to name only a few!) and she certainly

produced the deliverables!

If you see Mary in the halls of UCH during her

remaining weeks, take a moment to thank her for the

amazing foundation of extraordinary evidence-based

nursing she has helped build for all of us! Though she

will soon move on to the next chapter of her life, her

impact will resonate throughout UCH indefinitely!

Thank you Mary!

VOLUME 10, ISSUE 1

JoAnn’s Journal: Farewell to a Research and EBP Legend

JoAnn DelMonte, RN-BC, MSN

Senior Director, Professional Development – University of Colorado Health

2

After 25+ years of a wonderful and exciting

career at UCH, I am retiring on June 30, 2015. I

have thoroughly enjoyed my tenure here and am

grateful for the many and diverse opportunities

employment at UCH has afforded me. From

being hired into the position of oncology clinical

nurse specialist/educator in 1990 to working

with the Department of Anesthesiology as their

acute pain clinical nurse specialist, and finally to

be offered the first research nurse scientist

position in 1998, I have truly been given a

fabulous opportunity. I feel invigorated by our

wonderful nursing team and have been privileged

to work with so many other disciplines

(physicians, pharmacists, respiratory therapists,

CNAs, social workers, rehab therapists,

librarians, administrative support services, etc.).

I have some incredible upcoming family

occasions in which I wish to partake. In the next

years, I plan to finish my American Cancer

Society funded palliative care grant (to be

completed in June 2016), maybe write some

more grants, and teach two Master’s level

palliative care courses at the University of

Colorado College of Nursing. So you may still

see me around.

I foresee many exciting plans for the future of

the research and evidence-based practice

enterprise at UCH and University of Colorado

Health. My heart and soul are with you and am

supportive of all your future work. In FY 2016, I

am planning to underwrite a $750 grant through

the Colleen Goode Foundation for an EBP

project related to oncology symptom

management, pain, or palliative care. Plan to

apply for the grant. The call will come out in the

Fall newsletter.

I cannot begin to express the gratitude I have for

the unbelievable career that I have had in

nursing; many thanks for the support and

mentoring I have received from you, my

colleagues. I will miss you all very much.

Best—Regina

It is with a plethora of emotions, including sadness, joy, and great admiration,

that we bid Regina Fink, RN, PhD, AOCN, FAAN the very best wishes,

happiness, and success in her retirement and future endeavors! Regina has

been a pillar in establishing Research and Evidence-Based Practice (EBP) at

UCH and throughout University of Colorado Health. As the first Research

Nurse Scientist, hired into her role in 1998, she rejuvenated and expanded the

Research and EBP symposium. This interprofessional and robust conference is

now in its 28th year and brings together organizations across the region.

Regina’s limitless support and skilled mentoring has deepened UCH nurses’

understanding and application of research and EBP. Her dedication to research

was paramount in the development of the journal club at UCH as a collegial

mechanism for discussing evidence to guide practice. Regina is well-known to

the oncology, pain, and palliative care services for her clinical expertise and

engagement with these interprofessional teams. Regina has contributed an

enormous body of work to the field of nursing including over 61 journal

articles; 23 book chapters, 5 books as an editor as well as 8 international, 43

national and over 250 local/regional presentations; she has received over 15

awards and honors for her stellar work. One of the greatest contributions by

Regina and her longtime colleague, Kathy Oman, RN, PhD, FAEN, FAAN, was

the creation of the University of Colorado Practice Outcomes Research and EBP

Manual, now in its 3rd edition & used by countless people locally and nationally.

Regina’s positive spirit and kind demeanor have made her a magnet for

individuals seeking her mentorship and wisdom. Regina is a welcoming

individual, always happy and eager to share her enthusiasm for the field of

nursing research. She is a strong mentor to the field of EBP to nurses, both

young and seasoned. Her breadth of knowledge and energy will be missed at

UCH. Regina will continue to share her knowledge and enthusiasm for

research and evidence based practice through teaching palliative care courses

at the University of Colorado College of Nursing and engaging in active grant

work with the University of Colorado Health System.

Regina will be sorely missed by her colleagues, and future generations of UCH

staff will not have the great opportunity to know and work with Regina. The

RNS team will have a large void without our valuable team member, Regina.

Words cannot express how much she has meant to each of us professionally

and personally and impacted our careers and lives profoundly and permanently.

We wish you nothing but the very best, Regina.

Farewell, my dearest sister, fare thee well:

The elements be kind to thee, and make

Thy spirits all of comfort! Fare thee well.

William Shakespeare

Good-bye Friend

The Research Nurse Scientist Team:

Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, FAAN; Kathy Oman, RN,

PhD, FAEN, FAAN; Melanie Sandoval RN, PhD & Mary P. Mancuso, MA

Retirement Awaits

Regina Fink, PhD, RN, AOCN, FAAN

Research Nurse Scientist

3

Deborah Davis, MS, CNS,

RNC-OB, C-EFM, Clinical

Nurse Specialist and

Educator, OB

Deborah (Debbie) Davis, a

long time clinical nurse

specialist and educator for

women’s services retired in

June after 37 years of amazing service. Debbie

was instrumental to the development of a robust

women’s services to ensure safe delivery of

infants and care of the mother during her tenure

at UCH. During her years at UCH she oversaw

and taught nurses essential knowledge and skill

for fetal monitoring. Successfully lead an

interprofessional quality improvement process to

reduce maternal blood loss during emergent

obstetric procedures and facilitated orientations

for hundreds of nurses and assistive care

providers. This project focused on translating

current practice recommendations into practice

using simulation to improve obstetric patient

outcomes during a crisis event.

Debby’s passion was fetal monitoring. She was

one of five members of the original AWHONN

fetal heart monitoring committee in 1990, and

has continued to contribute and review course

content for the Intermediate Fetal Monitoring

course. Debby was recently the recipient of the

AWHONN Fetal Heart Monitoring Program

Instructor Recognition Award for her

exceptional efforts and dedication to advancing

practice and patient safety through fetal

monitoring technology

Debbie’s kind spirit, positive approach to

working with people and smile will be missed!

However, we wish her well in her retirement!

Warning to all the fish out there…. “Beware….

Debbie Davis, an avid angler is looking forward

to days of fishing and

we’re guessing some

pretty good ‘fishing stories’

UCH Clinical Nurse Specialists (CNSs) ‘On the Move’….

Robin Scott, RN, ND, MS, CEN, Emergency Department CNS

Shannon Johnson-Bortolotto, MS, RN, APN, CCNS, Critical Care CNS

Barbara Wenger, MS, RN, AOCNS, CRNI, Oncology/BMT and Gyn/Onc CNS

Another Retirement: Deb Davis

Sepsis Practice:

Sepsis care has received increasing

focus since 1991 and continued to

evolve with the Surviving Sepsis

Campaign’s inception in 2002.

UCH instituted bundled sepsis

care in 2010 and has monitored

length of stay and mortality data

since that time. After multiple

clinical and educational initiatives in the Intensive Care Unit (ICU) and Emer-

gency Department (ED), CNSs Shannon Johnson-Bortolotto and Robin Scott

took a ‘deep dive’ into sepsis outcomes from a clinical perspective. The pro-

ject focused on implementing the “Big 4” interventions in the severe sepsis

care bundle: fluid resuscitation of 30mL/kg, drawing blood cultures prior to

administering antibiotics, drawing serial lactate levels, and administering broad

spectrum antibiotics with 1-3 hours of sepsis identification. The sepsis patient

population included in the study were those who were admitted to the ICUs

with a diagnosis of sepsis, septicemia, severe sepsis and septic shock; 77% of

this patient population presented through the ED. Outcomes revealed compli-

ance in hanging antibiotics with 1-3 hours climbed from 70% to 90% in the five

month review period. Drawing serial lactate levels decreased from 90% to

85% and drawing blood cultures prior to administering antibiotics averaged

75.6% compliance. One additional important clinical step the CNSs made was

to examine instances in which fluid resuscitation did not follow sepsis bundle

parameters to determine if fluid administration was clinically appropriate

based on patient presentation and clinical data. Findings revealed that if the

30mL/kg guideline was not followed, it was mostly appropriate based on more

nuanced clinical assessment of patient volume status. Shannon Johnson

Bortolotto and Robin Scott presented these practice data nationally at the

National Association of Clinical Nurse Specialist (NACNS) conference in

March of 2015 in a presentation titled, Best Practices in Sepsis: An ED and Criti-

cal Care Collaborative. This CNS lead sepsis project is now connected to a larg-

er UCHealth system wide sepsis quality improvement initiative as intact sepsis

recovery continues to be the goal.

Formation of a UCHealth CNS Council:

Managing practice issues from a system perspective has been an opportunity

with the newly formed UCHealth. UCHealth CNSs, representing various clini-

cal areas at all hospital sites, did not skip a beat in the cultivation of system

level CNS connections. In an environment of change and transformation in

(See CNS, Page 5)

4

Countless hours of self-

exploration have led to a decision

to modify my career trajectory.

After 20+ amazing years at UCH,

I’ve made, what was for me, a

very difficult decision to leave this

wonderful organization and

pursue a career in research and

academia. Yet I am truly grateful

for all the wonderful friendships

and collegial experiences that I have been blessed with

during my tenure here.

When I look back, the time went very quickly! Many of

you know I started at UCH in the Burn Trauma and SICU

as a bedside nurse back in 1994. Shortly after joining the

team, I moved into the Clinical Nurse Specialist (CNS)

and Educator role for those units. After having my second

child, I moved to the Transplant Unit as the CNS/

educator and started teaching at the College of Nursing.

In 2004, I came back to the critical care department as the

CNS/Educator for Burn Trauma and Neuro ICUs. In

2008, I was thrilled to have the opportunity to move into

a part-time Research Nurse Scientist position for Critical

Care.

Over the years I have met numerous remarkable

individuals and had the pleasure of working with and being

mentored by so many wonderful people. To all of you,

Thank you! The people and experiences here have shaped

my professional life into a tapestry of fantastic experiences

and memories.

I’ll be leaving UCH at the end of July and moving over to

the CU College of Nursing in August. It is my hope that I

will continue to be engaged with the interprofessional

team at UCH through research and other practice

advancement opportunities as the future unfolds!

With sincere gratitude I bid goodbye, but I also say

“Hello”!

All the Best~

Mary Beth

Lisa’s Library Learnings

Lisa K. Traditi, MLS, AHIP

Head of Education and Reference, Health Sciences Library

and Associate Professor, University of Colorado Anschutz

Medical Campus

“It's time to say goodbye,

but I'd much rather say hello.”

~Ernie Harwell

Mary Beth Flynn Makic RN PhD CNS CCNS FAAN FNAP

You’ll be seeing a new face around the hospital and at

the Patient Services Research and EBP (R&EBP) Council Meetings. I’m

happy to introduce Kristen DeSanto, MSLS, MS, RD, AHIP, as the

new Clinical Librarian for the University of Colorado Health Sciences

Library. Kristen’s job will be to take up the challenge of integrating

library resources and services more deeply and meaningfully into the

campus’ clinical enterprise.

Kristen started at the CU Anschutz Library

on May 15, but we’ve known her in the Col-

orado medical library community for several

years. Kristen was most recently the Manag-

er of the Children’s Hospital Colorado Clini-

cal and Research Library, where she worked

closely with all clinical staff, particularly nurs-

es. She was a member of the Nursing Re-

search Council and the Nursing Quality and

Preventable Harm Committee, and taught

classes to nurses on searching the literature. Before coming to Auro-

ra and the CHC, Kristen was the Medical Librarian at Children’s Med-

ical Center Dallas. Prior to her career in librarianship, Kristen was a

clinical dietician, in Houston and Dallas, specializing in nutrition sup-

port for ICU patients. Kristen is active in the Medical Library Associ-

ation (MLA), the Midcontinental Chapter of MLA, and the Colorado

Council of Medical Librarians.

In her free time, Kristen volunteers at the

Buddy Center, caring for small mammals –

who knew rats were so smart and cud-

dly? She also enjoys hiking, 4-wheeling,

and wilderness camping with her husband,

Tony, throughout Colorado, Utah, and

New Mexico. Kristen will be working with

the R&EBP Council, the champions, the

nurse educators, and others to

learn how she can help all of you

with your clinical information

needs. You can reach Kristen by

email or phone: Kris-

ten.desanto@ucdenver.edu or

303-724-2121.

5

(CNS, continued

from Page 3)

healthcare, the

establishment

of hospital

systems has

many central

aims including

development of care that is safe, standardized and cost

effective. Transformational change throughout a hospital

system requires both a commitment to evidence based

structure and interdisciplinary support. We viewed the role

of the CNS as uniquely prepared to effectively lead process

changes that support clinically invested stakeholders and

innovators in healthcare to adjust hospital based structures

to system based ones; connected to established practice

evidence, care quality and patient safety standards. The

newly formed CNS council objective was to coalesce

inpatient CNSs to align evidence based standards and define

practice expectation in a hospital system; comprised of three

formerly independent hospitals. Targeted for efficiency and

standardization are major aspects of nursing care: electronic

documentation, medication administration, communication,

general practice and management of equipment/supplies.

The CNS System Council was formalized in December,

2013. Within the first six months of establishment the group

originated a Council Charter, identified system level

integration for promotion of clinical change, and begun

networking within a system level Clinical Practice

Governance Group (CPGG) to compose updated system

level policies. When establishing new policy and procedure

standards, the CNS Council reviews various sources of

clinical evidence and conveys recommendations based on

mutually agreed upon best practices and standards.

Efficiency and defined practice expectations remain pivotal in

Council endorsements. Currently, the Council has built

system level practice change for the following policies:

Independent Double Check of Medications, Pain

Management, Delirium Assessment and Management and

Standards in Vascular Access. The Council has also

partnered with our Informatics team for various electronic

documentation change recommendations to best reflect

policy, efficiency, quality and practice guideline expectations.

(See CNS, Page 6)

Dr. Colleen Goode served as our vice president of patient services

at the University of Colorado Hospital between 1997 and 2009.

She is a leader in Evidence-Based Practice (EBP) and Research

nationally and is a Professor at the University of Colorado Denver,

College of Nursing. She developed The Colleen Goode Nursing

Research and EBP Grant Fund. It is fitting in her honor to support

nurses in the clinical application of their own inquisitiveness to

benefit patient care.

Funding nursing research and evidence-based practice projects

links our desire to improve patient care at UCH with our passion

for the compassionate work nurses and other health care

professionals provide.

This program provides support for nurses to:

Continually evaluate their practice

Seek answers to clinical questions in an effort to improve their

practice

Change their practice based on evidence and evaluation of that

change

The 2015 grant awardee is Anne Hageman RN, BSN, MSTC, Level

IV RN in the Infectious Disease clinic.

The purpose

of Anne’s EBP

Project is to

determine if

modifying the

initial visit for

new HIV

positive

patients in the

Infectious Disease Group Practice results in better appointment

adherence. Not staying in care is the biggest barrier to better

patient health. When patients stay in care they get the services

that they need. When patients are retained in care they’re more

likely to be medication adherent, have undetectable viral load, less

opportunistic infections, and fewer HIV transmissions. The ID

clinic participates in the national In+Care campaign and Anne’s

project is one aspect of the campaign.

Colleen Goode Foundation Research & EBP

Grant Award

Kathy Oman, RN, PhD, FAEN, FAAN

Research Nurse Scientist

6

(CNS, continued from Page 5)

Many future state practice and policy recommendations are

in process. Shannon Johnson Bortolotto and Melanie Roberts

presented this exciting CNS Council work nationally at

NACNS Conference in March of 2015 in a presentation

titled, Formation Of A CNS System Council: Transitioning To

Coordinated Care Standards Across A Healthcare System.

Promoting Early Mobility of Medical Surgical Patients:

The ICUs have been improving mobility of their patient

population through focused assessment and actions to

progressively mobilize patients safely. The medical/surgical

(M/S) units did not have a focused program to encourage

assessment and appropriate mobilization tools. A recent

survey of ~300 of our M/S nurses found several challenges to

safe mobility in that population. Common barriers included:

fall risk concerns for patient, lack of knowledge and

availability of patient mobility equipment, and time. In Fall

2014, an interprofessional QI project commenced to

improve mobilization of M/S patients and prevent employee

injury. The team conducted an evidence-based literature

review and identified the Banner Mobility Assessment Tool

(BMAT) as a potential good fit for UCH practice. The BMAT,

a valid and reliable mobility assessment tool, guides patient

mobility and suggests which equipment should be used by the

healthcare worker to prevent patient/staff harm (Boynton et

al., 2014). Permission was obtained to use the BMAT which is

currently being trialed on two M/S units (Oncology/BMT and

Medicine Specialties). Gradual implementation of the BMAT

will occur over the next several months. One benefit of the

BMAT is that the direct assessment provides us information

about which mobility devices are recommended to safely

move the patient. Staff is receiving education on mobility

tools, Sara Steady™, gait belts, walkers, and lifts, all with the

goal of improving safe mobility of the patient and healthcare

worker body mechanics. Additionally, the patient mobility

assessment is documented on the white board in the patient room

to encourage safe patient movement. Outcomes being assessed

include documentation of mobility progression of patients, length

of stay, fall rates, HAPU, appropriate timing of PT/OT consults,

patient disposition (home vs rehab), and health provider reported

injuries. While this EBP informed QI project is in its early phases

the feedback thus far from the trial units have reported the BMAT

tool is easy to use, provides guidance for nursing staff on how to

mobilize a patient safely, and encourages proper mobility

equipment use.

Team: B.Wenger, M. Paul, M. Gallagher, T. Gschwend, S.Cox, K.

Stockman, H. Newman, J.Nordhagen, K.Tadken, M. Makic,

J.Zwink, E. Erickson

Reference:

Boynton, T, Kelly L, Perez, A, et al. (2014). Banner mobility assessment tool for

nurses: Instrument validation. Am JSPHM. 4(3): 86-92

Trivia Question

Last edition’s question:

In a qualitative research

study, data collection is

considered finished when

categories of data are full

and no new data are being

discovered. What is this

term called?

Answer: Saturation

Theresa Heyborne was

the contest winner!

New question:

What guidelines are used to report meta-analyses of randomized

controlled trials?

The person with the first correct answer emailed to

kathy.oman@uchealth.org will receive a coffee gift card.

7

Magnet Conference

If you have ever wondered what professional

nursing conference you should attend…we

have the conference just for you! Join us at

the ANCC International Magnet conference,

October 7-9 in Atlanta. UCH will be

recognized for achieving a 4th designation and

we will be celebrating! Everyone is highly

encouraged to attend!

Need more convincing? Check out the short

video clip on the conference website to be

inspired: http://www.nursecredentialing.org/

MagnetConference

Contact Leanna Leder for group discount

registration details

leanna.leder@uchealth.org.

We are very proud to report 24 abstracts

from UCH were submitted for consideration

to the Magnet Conference. Of these

impressive abstracts, five were accepted --

from a total of 1,700 submissions.

Congratulations to those who were

accepted, and to all those who submitted

abstracts, as you exemplify the Magnet

culture that we live and promote in this

organization!

Podium Presentations

Bringing the Power Back To Staff:

Jump Starting Unit-Based Councils –

Millissa Morin, Kaycee Shiskowsky

(Pulmonary)

Cost Effective Strategies to Sustain a

Magnet Culture – Danielle Schloffman,

Terry Rendler, Megan Hansford, Krista Held

(Magnet Program)

Poster Presentations

Elimination of Triage in the Emergency Department – April Koehler,

Stephanie Prevost, Brandi Schimpf (Emergency Department)

POSSE: Peers of Stroke Survivors Empowering - Meeting the Needs of

Stroke Survivors/Families – Mary Holden, Shelly Limon, Jennifer Wolff

(Neuroscience)

Intersecting Expertise for Excellence:

A Cross-training Partnership –

Christy Math, Melissa Moore, Beth

Gabrielski, Dorothy Mathieson (Colorado

Institute for Maternal and Fetal Health)

(See Magnet Moments, Page 8)

Magnet Moments

Danielle Schloffman, RN, MSN,

NE-BC

Magnet Program Director

Upcoming 2015 Research and Evidence-Based Practice

Class Schedule

ULEARN Modules available to

take at your convenience:

NEW: Anatomy of a Journal

Club will be released soon!

Creating a Poster

Creating a Survey

How to Display Data

How to Write an Abstract

Live classes:

Clinical Research: Getting

Started: 10/22, 7:30-4 PM, LB 612

EBP Boot Camp: 9/16/15, 730-4 PM, Health Sciences Library

JC Research Mentor Training: 1/11/15 (LB 612), 9-11 AM

Statistics for the Clinician: 6/17/15 (LB 613) and 12/3/15 (LB 620), 8-11 AM

New Searching for the Evidence resources:

Recorded presentation of Lisa K. Traditi, MLS, AHIP,

Head of Education and Reference, Health Sciences Library:

http://hslstream.ucdenver.edu/videos/Nursing_Evidence_3-11-15.mp4

Resources available on the Inerprofessional Research Resources website:

https://www.uchealth.org/professionals/Pages/Research/Interprofessional-

8

(Magnet Moments, continued from Page 7)

2015 Magnet Nurse of the Year Awards

A total of 44 stellar nominations were received for the 2015

Magnet Nurse of the Year Awards. Eight winners were selected

by the Magnet Advisory Council and announced during Nurses

Week in May. All nominees were given a certificate of

recognition and a copy of their nomination letter.

Congratulations to the nominees who represent the high

caliber of professional nursing at UCH! And thank you to all

those who nominated a peer and honored the work done to

improve patient outcomes, nursing practice and the work

environment. The 2015 winners are:

Clinical Nurses:

Michael Metcalf

(Rehabilitation) –

Transformational

Leadership

David Ricke (Neuro ICU)

– Structural Empowerment

Stephanie Nelson

(Orthopaedics) –

Exemplary Professional

Practice

Vicki Slat-Vasquez

(Cancer Center Infusion)

– New Knowledge,

Innovations &

Improvements

Non-Traditional Practice Nurses:

Jamie Nordhagen

(Oncology/BMT) –

Transformational

Leadership

Kathy Foss (Professional

Resources) –

Structural Empowerment

Staci Aden

(Pulmonary) –

Exemplary Professional

Practice

Michelle Ballou (AIP

PACU/PreOp) -–

New Knowledge,

Innovations &

Improvements

9

Critical illness is not just a medical issue. Acute and chronic sequelae span body systems and functional domains.3-8 Mechanically

ventilated patients specifically are at risk for developing ICU-acquired weakness including critical illness myopathy (CIM),

polyneuropathy (CIP), or both (CINM).8,21 Significant limitations in activity, decreased health related quality of life, and disability

may be observed for up to 5 years.3-8 Patients exhibit neurocognitive impairments including anxiety, post-traumatic stress, and

depressive symptoms/depression.5-6 Family members and care givers can struggle with stress, anxiety, and complicated grief. Early

mobility and physical therapy is safe and feasible in critical ill patients including those requiring mechanical ventilation. Preliminary

studies indicated improved short term functional status, increased strength, and decreased ICU/hospital length of stay.9-15,20

Post-intensive care unit syndrome (PICS) classifies possible, and common, post-critical care limitations.16

Needham DM, Davidson J, Cohen H et al. Improving Long Term Outcomes after discharge from intensive care: Report from a

stakeholders conference. Crit Care med 2012:40;2. p 502-9.

Patient’s overwhelmingly tell us is that they like the early physical medicine and rehabilitation, they like being awake. They certainly like

getting out of bed and moving. It shows them that there is hope; it shows them there is a life beyond the intensive care unit. And, it shows

them there is a life for them to get back to. It gives them goals for improvement; it shows them that they can get better.

– Dale Needham, MD, PhD, Medical Director of Johns Hopkins MICU Physical Medicine & Rehab Program

Although safe and feasible, ability to deliver such care in routine practice was limited not only by ICU

PT staffing, but variance in PT consults and lack of routine MICU PT presence. At UCH, physical

therapy for patients requiring > 7 days mechanical ventilation is independently associated with

improved discharge status. (PT yes: 37% home, PT no: 13% home).1 In 2007, a physical therapy

consultation was less likely in the MICU relative to other ICUs for patients requiring MV > 7 days

(MICU 57%, Neuro ICU 67%, SICU 87%).1 Retrospective analysis indicated a consult rate of 40-60%

of patients in the MICU, with only half of those patients receiving therapy on any given day. A 2 week survey of bedside RNs and

PTs found that approximately 75-80% of MICU patients were appropriate for some form of therapy assessment and intervention.

(See PT ICU, Page 10)

Medical ICU Physical Therapy Quality Improvement Project Kyle Ridgeway, PT, DPT

Senior Physical Therapist

Coordinator, MICU Physical Therapy Quality Improvement Project

10

(PT ICU, continued from Page 9)

Director of Rehabilitation Timothy Wimbish, SLP utilized a financial model constructed at Johns Hopkin’s to draft a business

proposal for a MICU physical therapy quality improvement (QI) project.15 Subsequently, a 9 month QI project was approved and

included interdisciplinary meetings, education, and training including respiratory therapists, RNs, and therapists. Staffing was

Increased (3 PTs, 6 days a week) to address the goals of:

Decreasing time from MICU admit to physical therapy treatment

Increased total number and percentage of patients participating in PT within MICU

Increased frequency, duration, and relative intensity of physical therapy

We must stop making excuses about why a patient can’t do rehabilitation today—he has a CT scan or she’s getting dialysis. We need to

highly prioritize rehabilitation, which we now see as just as—if not more—important than many other tests and treatments we offer our

patients in intensive care. – Dale Needhman, MD, PhD

The program will involve response dependent, individualized progression and assessment to safely maximize the function, activity,

and ability of each patient.

The number of patients receiving physical therapy as well as timing, frequency,

and duration will be assessed as will ICU and overall hospital length of stay. In

addition, specific strength and functional measures will be utilized within the

project. Rehab leadership anticipate utilization a similar QI process for other

units, including non-ICUs, to more robustly model, assess, and implement the

most efficient and effective approaches to patient management and delivery of

therapy.

Team Members:

Project Coordinator: Kyle Ridgeway, PT, DPT

Rebecca Downey, PT, DPT

Lauren Harper, PT, DPT

Becca Medina, PT, DPT

Special Thanks to the following individuals for their support, input, and training:

Jerome Piccoli, RRT, CPFT

Candice Ymetz, RRT

Pol Sennecal, MSN NP CNS ACNP CCNS

Mark Yoder, RN, MICU RN Manager

Amy Hassel, RN, CCRN, MICU MICU RN associate manager

Mandy Thompson, RN, CCRN

Ellen Burnham, MD, MS, Medical Director MICU

Marc Moss, MD, Section Head Critical Care Medicine

Matthew Gallagher, PT, DPT in-patient rehab supervisor

Danielle Sockolosky, PT, DPT, OCS in-patient PT supervisor

Entire MICU staff including all the fantastic RN's, RT’s, and MD’s

The bottom line is having a patient, who for at least a part of the day, can be awake from drug affect, and interact with the

environment in a purposeful way is the key foundation to the idea. – John P. Kress, MD

(See References PT ICU, Page 23 )

11

The 27th Annual Research and EBP Symposium held April 9-10th,

2015 at the Hyatt Regency Denver Tech Center was a huge

success. We had over 250 participants, 32 podium presentations,

and 58 posters. Many of the podium and poster presentations

were authored and presented by University of Colorado Health

healthcare professionals! The symposium provided a wonderful

avenue for networking with colleagues as well as learning new

innovative strategies for improving practice and patient care

outcomes. Our Thursday’s keynote speaker was Dr. Lynn

Gallagher Ford, Director of the Center for Transdisciplinary EBP

and Associate Professor at the Ohio State University. Dr.

Gallagher shared how understanding and integrating EBP into the

foundation of clinical decision-making can drive best practice,

achieve quality and safety goals, and deliver excellent patient

outcomes.

We had five very successful 3 hour workshops on such topics as Demonstrating the Value of EBP, QI: Improving Care One

Process at a Time, Anatomy of a Journal Club, Caring for the Caregiver, and Professional Writing for Clinical Science Projects.

Dr. Ned Calonge, President and CEO of The Colorado Trust was Friday’s dynamic keynote speaker presenting on Improving

Population Health. We also had a fabulous and interactive lunchtime panel presentation that focused on Differentiating Shade of

Gray: Distinguishing Research from EBP, QI, and Program Evaluation. Interdisciplinary speakers included: Warren Capell, MD,

Past Director COMIRB, University of Colorado Denver, Associate Professor of Medicine, Division of Endocrinology, Metabolism,

and Diabetes, University of Colorado School of Medicine; Jeffrey J. Glasheen, MD, Associate Dean for Clinical Affairs-Quality and

Safety Education; Director, Hospital Medicine Program, Professor of Medicine, University of Colorado School of Medicine; Mary

Sue McAslan, PharmD, Clinical Pharmacist and Program Manager for Quality Improvement, Department of Pharmacy Services, VA

Eastern Colorado Healthcare System; Cynthia A. Oster, PhD, MBA, APRN, CNS-BC, ANP, Nurse Scientist, CNS Critical Care

and Cardiovascular Services, Porter Adventist Hospital; and Candy Tefertiller, PT, DPT, NCS, Director Physical Therapy, Craig

Hospital.

Poster presentation award winners were honored:

1. People’s Choice Award – Best Research Poster: Caregiver Perceptions of Decision Making Around Destination

Therapy Left Ventricular Assist Devices; Colleen K. McLlvennan, DNP, ANP, University of Colorado, School of Medicine

2. People’s Choice Award – Best EBP Poster: Lavender Aromatherapy: Can You Smell It? An Evidence-Based Project to

Help Decrease Anxiety and Promote Relaxation; Angela Miskolci, BSN, RN, CCTN, University of Colorado Hospital,

University of Colorado Health Central

3. Juried - Best Research Poster: I’ve Fallen and I Can’t Get Up!: Factors Associated with Inpatient Falls on Two Adult

Psychiatric Units; April D. Romero, BSN, RN, Porter Adventist Hospital, Centura Health

4. Juried - Best EBP Poster: Pharmacy Fill Histories Provide Insight into Patient Medication Compliance; Nicole D.

McCormick, BSN, RN, MBA, CCTC, University of Colorado Hospital, University of Colorado Health Central

It was truly a wonderful event. We look forward to next year’s symposium. So Save the Date and plan to submit an abstract.

28th Annual Symposium: Thursday, April 14 & Friday, April 15, 2016. Watch for the Call for Abstracts out in July!

27th Annual Rocky Mountain Interprofessional Research and EBP Symposium:

The Impact of Research and EBP on Evolving Healthcare Environments

Regina Fink, PhD, RN, AOCN, FAAN

Research Nurse Scientist and Symposium Chair

12

The objective of the Colorado Collaborative for Nursing

Research (CCNR) is to (a) extract nursing-specific data from

various electronic health records (EHR), (b) import/

harmonize/analyze those data, and (c) return high-quality

nursing-centered analytics to acute care facilities in near-real-

time to inform the decision-making and practice of nurse

leaders and nurse clinicians.

This stated objective is not meant to imply that nurses do

not already employ EHR. We do. But again, nurse leaders do

not have access yet to nursing-targeted EHR data analytics to

drive day-to-day decision-making. Nurse clinicians do not

have access to nursing-targeted EHR data to determine best

practices. In short, the nursing profession can exploit the

volume and richness of EHR data in much more sophisticated

ways. To accomplish this, nursing must take charge of its

own future.

Therefore, formal discussions are underway between the

CCNR and UCHealth (Central, North, and South) to

establish a federated data-sharing system.

A “federated” data-sharing network allows each participating

institution to keep total control of its own data and choose

whether or not to release data when project proposals arise.

The system currently being negotiated with UCHealth will

establish the CCNR as a data hub that (a) processes and

harmonizes incoming data, (b) returns raw data to the

original owners, and (c) distributes to all participants

information/analyses derived from the raw data. This will

allow for nurse leaders and nurse clinicians to make

decisions based on the best, freshest data.

Similar discussions with Centura Porter Adventist

Hospital and VA Eastern Colorado Healthcare

System have moved beyond the initial stages; in fact,

CCNR Director Karen Sousa and CCNR Statistician

Oliwier Dziadkowiec will be given uncompensated

employee status at the VA in order to work more

closely with their IT people on incorporating the VA into the

data-sharing federation.

This would be the first multi-system nursing-centered

data-sharing federation anywhere in the world.

In our BMT population, we utilize a fever protocol that requires

initiating treatment if a patient has a temperature of 38 degrees

Celsius. Over the last few years, we have had many conversations

with our providers regarding the accuracy of the temporal artery

thermometer (TAT) used with these patients. Many providers ask

for an oral temperature in addition to the TAT. Because of this

perceived discrepancy, we decided to look into the literature.

The evidence consistently

showed that TAT is very

accurate in afebrile

states, but there was

inconsistency in the

reported accuracy of the

TAT in febrile states.

Since the febrile state is

our concern with the

TAT, we decided to pursue a research study to look at the

accuracy of TAT and oral temperatures in comparison to core

temperature. Most TAT: core comparisons were done in

pediatrics and/or ICUs where invasive core temperature

measurements were necessary. We stumbled upon a core

temperature monitoring “pill” that wirelessly connects to a

continuous temperature monitoring device and is passed through

the GI tract normally. We also identified a patient population with

very predictable febrile patterns in our patients receiving IL-2

therapy.

We are very excited to have submitted this research proposal and

received funding from the DAISY Foundation. Thanks to Regina

Fink, Mary Mancuso, and Barb Wenger for mentoring me through

the process and also to Miki Law, an oncology RN, and Krista

Treichel, a coordinator in the melanoma clinic, for contributing

clinical assistance with this endeavor!

DAISY Foundation Funded Study: TAT, Oral,

and Core Temperature in Cancer Patients

Mandy Johnson, RN, MNHP, CCRN, OCN

Associate Nurse Manager

Oncology and Bone Marrow Transplant

College of Nursing Update

Karen H. Sousa, RN, PhD, FAAN

Professor, Associate Dean for Research & Scholarship

13

After receiving input from both the Council and Champions, the Research and Evidence-

Based Practice (EBP) Council and EBP Champions have merged to form one group. This

change was effective January 2015. Our Patient Services Research and Evidence-Based Practice Council includes both council

members and EBP champions (interprofessional representatives from many of the inpatient and ambulatory care areas with an

interest in EBP). The council meets the 3rd Tuesday of the month from 12-1 PM. Our charter has been updated; the council

includes four key functions that are delineated below. The council is always looking for new members and subcommittee

representatives. Please let co-chair Kathy.oman@uchealth.org know if you are interested in participating with us!

1. Mentorship:

Provide a formal process to develop and oversee research and EBP initiatives

Assist with grant applications and reviews

Consult on abstract writing

Assist with the development of poster and podium presentations

Provide support for writing for publication

Develop and assist EBP champions in their role as unit based liaisons

Review abstracts for the Research and EBP Symposium

Members: Kirtley Ceballos, NICU; Larry Golightly, Pharmacy

Co-chairs: Kathy Oman and Robin Scott

2. Protocol Review:

Provide a Protocol Review Team (ad hoc) to review all expedited and full review research proposals involving UCH nurses

and other health care professionals (e.g., respiratory therapy, social work, rehabilitation services) prior to COMIRB

submission

Review University of Colorado College of Nursing (CON) faculty research projects conducted at UCH

Review all SBAR and Research/QI/EBP/PE projects prior to approval and signature by Professional Resources Department

director

Review Colleen Goode Grant applications and oversee their dissemination.

Members: Lee Rucker, Respiratory; Claire Rutherford, EP Lab

Co-chair: Melanie Sandoval

3. Dissemination:

Disseminate on-going research and EBP projects through the twice yearly EBP Newsletter

Disseminate Research and EBP resources (e.g., Practice Outcomes Manual, RN Annual

Competency, EBP toolkit)

Develop Intranet Research and EBP resources; assists in updating and streamlining website

Distribute calls for abstracts and grant opportunities

Promote and foster unit-based and virtual journal club activity; encourage the critical analysis of research articles; support

various Champions’ teams in this activity; develops calendar of journal clubs and disseminates on intranet

Reviews new and revised Translating Research Into Practice (TRIP) sheets as needed.

Present Research and EBP structure and process at Nursing Orientation

Members: Megan Hellrung, AIP OR; Monica Brock, PACU; Isabel De Silver, Birth Center

Co-chairs: Regina Fink and Mary Mancuso

(See Council, Page 14)

Council Chatter

Regina Fink, PhD, RN, AOCN, FAAN

Research Nurse Scientist and Council Co-Chair

14

Have you heard the term “Motivational

Interviewing” and wondered about this

sensation that’s sweeping the nation? Why has

it become such a phenomenon? Put simply, it

works.

Motivational Interviewing (MI) is an evidence-

based interpersonal style used with individuals who would benefit from

changes in their behaviors. This technique has been applied in a variety of

healthcare settings, but its origins are the field of Psychology. Motivational

Interviewing was initially used with individuals struggling with substance use

who were “resistant” to behavior change.1 The principles involved in MI come

from social psychology and include: the concepts of social influence and

persuasion, the realization that people will resist efforts to change them, and

the importance of remaining person-centered throughout this approach.

Motivational Interviewing is exceptional because this process recognizes that

individuals who are contemplating behavior change will feel ambivalent. People

continue to engage in behaviors (some of them unhealthy) because they

receive some benefit (e.g., reduction in anxiety from substance use), but there

are also negative outcomes resulting from their behaviors. Motivational

Interviewing acknowledges this ambivalence involved in change and helps

people explore and resolve the ambivalence. The spirit of MI is one of

respecting the individual’s autonomy, remaining empathetic while interacting

with the individual, and serving as a guide for the individual rather than making

decisions or suggesting solutions for the individual.2

A growing body of research supports the effectiveness of MI including meta-

analyses that have demonstrated the effectiveness of MI for behavior change in

substance use, diet, exercise, and adherence to treatment.3-4 There are a

smaller number of studies showing the effectiveness of MI for smoking

behaviors, but the findings are consistent.5 Evidence is growing examining the

effectiveness of MI for behaviors such as safe sex,

HIV medication adherence, and eating disorders.

The four main principles of MI include:

Rolling with resistance:

Listening and understanding the individual

but not offering solutions and avoiding arguing about behavior change

Developing discrepancy:

The individual comes up with his/her own arguments for change

Expressing empathy:

Being reflective, accepting, &

collaborative

Supporting self-efficacy:

Individuals are the experts of their own

lives and will decide when it is time to

change

Importance place on individual’s

perspective while facilitating hope for

change

If you would like to learn more about the

techniques used in MI, the College of Nursing

has an online module, Motivational Interviewing for

Healthcare Professionals and includes three

courses: Motivational Interviewing for Primary Care,

Motivational Interviewing Techniques in Practice, and

Using Motivational Interviewing with Difficult

Patients. You can learn about and register for the

course at: http://www.ucdenver.edu/academics/

colleges/nursing/programs-admissions/CE-PD/

Pages/Motivational-Interviewing-for-Healthcare-

Professionals.aspx. There is also a live advanced

class taught at the College of Nursing by Dr.

Paul Cook and Laurra M. Aagaard.

(See References MI, Page 22)

Motivational Interviewing for Healthcare Professionals:

What’s the Buzz? Mary P. Mancuso, MA

Professional Research Assistant and Patient Education Development Assistant

(Council, continued from Page 13)

4. Education:

Volunteers for and/for and/or attends the annual

Rocky Mountain Inter-professional Research and

EBP Symposium

Participate in coordinating and sponsoring yearly

Research and EBP Nursing Grand Rounds

(annual competency)

Provide education and enrichment to the Patient

Services R&EBP Council

Assists the research nurse scientist team in the

development and provision of multiple classes

and workshops in EBP and clinical research.

Reviews and revises ULearn educational modules

on research and EBP, as needed.

Members: Marty Turner, BTICU; Stephanie Elston,

Transplant; Dori Buese, Orthopedics; Kelsey McIn-

tosh

Co-chairs: Mary Beth Makic

15

It is estimated that as much as 30% of

care delivered in U.S. is duplicative or

unnecessary and may not improve

people’s health

(www.ChoosingWisely.org). It is urgent that health care providers and patients work

together and have conversations about wise treatment decisions and choosing care

that is supported by evidence.

An initiative of the American Board of Internal Medicine (ABIM), Choosing Wisely,

aims to promote conversations between clinicians and patients by helping patients

choose care that is:

Supported by evidence

Not duplicative of other tests or procedures already received

Free from harm

Truly necessary

In response to this challenge, national organizations representing healthcare

specialists asked their providers to “choose wisely” by identifying tests or procedures

commonly used in their field whose necessity should be questioned and discussed.

To help patients engage their health care provider in these conversations and

empower them to ask questions about what tests and procedures are right for them,

Consumer Reports has developed patient-friendly materials based on the specialty

societies’ lists of recommendations.

70 Health Care Provider organizations have released lists of practices that should be

questioned. The American Academy of Nursing has identified the following 5*

practices that should not occur:

1. Don’t automatically initiate continuous electronic fetal heart rate (FHR)

monitoring during labor for women without risk factors: consider intermittent

auscultation (IA) first.

2. Don’t let older adults lie in bed or only get up to a chair during their hospital

stay.

3. Don’t use physical restraints with an older hospitalized patient.

4. Don’t wake the patient for routine care unless the patient’s condition or care

specifically requires it.

5. Don’t place or maintain a urinary catheter in a patient unless there is a specific

indication to do so.

*There are 5 additional practices specific to patients with cancer that are also listed.

You can find out what medical practices have been listed in specialty practice areas at

www.ChoosingWisely.org

The Emergency Department (ED) is

conducting several research projects in

2015. One current project examining the

reliability and validity of the Minnesota

Detoxification Scale (MINDS); the MINDS

scale is an alternative alcohol withdrawal

scale to the Clinical Institute Withdrawal

Assessment (CIWA) score. In addition, a

new ED alcohol withdrawal protocol,

which incorporates the use of higher

initial doses of benzodiazepines to control

withdrawal

symptoms, has

been

implemented. This

project will assess

if this new approach to controlling

withdrawal symptoms is effective at

decreasing overall admissions, ICU

admissions, and length of stay.

Another project, happening concurrently

in the ED, is an interdisciplinary project,

aligning medical, nursing, and pharmacy

services. This project aims to develop a

nurse driven sedation protocol, allowing

nurses to adjust intubated patient’s

sedation levels based on patient sedation

scores and a physician approved protocol.

The primary endpoint of this study is to

ensure appropriate sedation post

intubation, defined nationally as a RASS

score of 0 to -3.

A third study will examine the effects of

de-escalation training on security usage.

This study, slated for Fall 2015, will train

all clinical staff in the ED in verbal de-

escalation techniques and then assess staff

confidence in these strategies as well as

determining if events requiring security

assistance decrease in response to staff

training.

Checking ED Pulse for EBP

Robin Scott, RN, ND, MS, CEN

Interim Trauma Program Manager

Choosing Wisely Campaign

Kathy Oman RN, PhD, FAEN, FAAN

Research Nurse Scientist

16

Safety Auditing as a Nursing Accountability Measure for Hospital

Fall Prevention

Nicole (Nicky) Huntley, BSN RN, presented at the National Association of Clinical Nurse

Specialists (NACNS) Conference in San Diego, CA, earlier this spring. Her poster

presentation was titled “ Safety Auditing as a Nursing Accountability Measure for Hospital Fall Prevention”. Nicky was part of

the essential leadership in this UCH-Central endeavor to reduce falls through evaluation of consistent safety practice

interventions. The fall leadership team engaged the fall champions in performing quarterly audits completed by unit champions to

assess both fall risk assessment charting and that required interventions are in place at the bedside. Unit champions quickly

review the Electronic Health Record for Fall Risk Level and required charting, they then enter each patient room to audit

interventions in place. If needed fall prevention interventions were not in place, the unit champions used direct bedside

opportunity to educate staff involved (both RN and support staff). Upon completion of the audits, the forms are returned for

compilation and review. Compiled audits are then returned to the unit champion, unit Nurse Manager and Associate Nurse

Manager for review and sharing with staff. If there are issues with intervention compliance, the unit champion is asked to

provide an action plan to correct the issue in the next three months before the following audit. Audit results, specifically bed

alarm compliance, are shared in the Fall Champions Meeting, Falls Steering Committee Meeting, and Shared Leadership Meetings

so that the audits are seen as truly value-added in the overall efforts to reduce patient falls. Within the first three months of

Safety Audit initiation falls decreased from 3.41 to 3.05 falls/1000 patient days. Two years after audit implementation, UCH had

its lowest rate ever at 1.59 falls/1000 patient days.

Nicky shared the project, outcomes, and her leadership in this project

at the NACNS conference. Nicky commented that “Sharing the poster

at my National Organization's Annual Conference was a great honor. I

had the great opportunity to connect and network with other Clinical

Nurse Specialist Students and Practicing APRNS.” Additionally, the

poster was awarded 2nd place, for the CNS student posters. This was

an even high honor, as there were some truly amazing projects and

posters. Nicky has received numerous emails asking for more

information on the project, her leadership, and overall strategies to

engage staff in reducing falls through preventative actions. She continues

to have an active role on the EBP Fall Champion team and leads the quarterly fall prevention audit tracking process.

AWARDS AND CERTIFICATIONS:

Colorado AHEC 2015 Nightingale Luminary Awardee: Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, FAAN, FNAP

Mary Hanna Memorial Journalism Award, April 2015, The Journal of Perianesthesia Nursing, Research Category,

3rd Place

Oman, K. S, Fink R. M., Kleiner. C., Makic M. B. F., Wenger, B., Hoffecker, L., Mancuso, M., Schmiege, S., & Cook. P. (2014).

Intradermal Lidocaine or Bacteriostatic Normal Saline to Decrease Pain Before Intravenous Catheter Insertion: A Meta-

Analysis. Journal of Perianesthesia Nursing, 29(5), 367-376.

$200 – Submitted to the Colleen Goode Foundation

Master Certified Health Education Specialist: Monique McCollum, RN, MPH, CPHQ, MCHES

Monique earned this certificate from the National Commission for Health Education Credentialing, Inc. She is one of only

900 people in the world to have this certification. Congratulations Monique!

17

NURSING

PUBLICATIONS:

Barton, A. J. & Makic, M. B. F. (2015). Technology and patient safety. Crit Nurse Specialist, 29(3), 129-130.

Makic, M. B. F. (2015). Rethinking mobility and intensive care patients. JoPAN, 30(2), 151-152.

Fink, R. M., Makic, M. B. F., Poteet, A. & Oman, K. S. (In press, September 2015). The ventilated patient’s experience. Dimensions

of Critical Care Nursing.

Makic, M. B. F., Rauen, C., & Jones K. et al. (2015). Continuing to challenge practice to be evidence-based. Critical Care Nurse, 35

(2), 39-50.

McCallum, C. A., Oman, K. S., & Makic, M. B. (2015). Improving the assessment and treatment of pelvic inflammatory disease

among adolescents in an urban children’s hospital emergency department. Journal of Emergency Nursing, 40(6), 579-585.

Mramor, W., Hagman, J., Ford, D. & Oman, K. S., & Cumbler, E. (2015). Purposeful visits for hospitalized elderly patients. Journal

of Gerontological Nursing, 41(3), 42-48.

Pell, J. M., Mancuso, M., Limon, S., Oman K. S, & Lin, C. T. (2015). Patient Access to Electronic Health Records During

Hospitalization. JAMA Internal Medicine, Mar 9. doi: 10.1001/jamainternmed.2015.121.

PODIUM PRESENTATIONS:

Asakura, Y. (2014, July). DNP Education and the Effect on Health Care System in the US. Podium presented at Hiroshima Bunka

Gakuen University, Hiroshima, Japan.

Asakura, Y. (2014, July). Pain Management and Evidence Based Practice. Podium presented at the 8th Annual Meeting of Japanese

Society for Chronic Illness and Condition Nursing, Fukuoka, Japan.

Asakura, Y. (2014, July). Advanced Practice Nursing and Evidence Based Practice. Podium presented at the 8th Annual Meeting of

Japanese Society for Chronic Illness and Condition Nursing, Fukuoka, Japan.

Kudos Kolumn*

Staff at UCH have been busy presenting the good work that is

being done here. We would like to recognize and congratulate

the following health care professionals who have published or

presented podium and poster presentations or have received

awards.

Acknowledgement: Thank you Monica Brock, MS, RN,

CPAN, Clinical Nurse Educator, Pre-op & PACU for her help

in compiling these many accomplishments!

*We strive to include all achievements. Inform us if you have additional kudos

to include in the next publication.

18

PODIUM PRESENTATIONS (continued):

Asakura, Y. (2014, July). Expanding Possibility of Carrier up in Nursing. Podium presented at

Okinawa Nursing Education Center, Okinawa, Japan.

Asakura, Y. & Wenger, B. (2014, November). Difficult Communication in Oncology Nursing.

Podium presented at the Metro Denver Oncology Nursing Society monthly meeting,

Denver, CO.

Brock, M. (2015, April). Anatomy of a Journal Club. Podium presented at the 27th Annual

Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Crock, J. & Huntley, N. (2015, April). Safety Auditing as a Nursing Accountability Measure for

Hospital Fall Prevention. Podium presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium,

Denver, CO.

Knippa, S., (2015, April). Beyond Skills Checklists: Orientation that Captures the Essence of Nursing! Podium presented at the

Association for Nurses in Professional Development, Orlando, FL.

Makic, M. B. F. & Rauen C., (2015). Improving practice through EBP. Moving sacred cows out to pasture. Podium presented at the

American Association of Critical Care Nurses, National Teaching Institute, San Diego, CA.

Neff, I. & Leonardi-Warren, K. (2015, April). Exploring Cancer Patient's Sexual Health Information Needs. Podium presented at the

27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Oman, K. S., & Lowe, N., (April 2015). Professional writing for clinical science projects. Workshop, 27th Annual Rocky Mountain

Interprofessional Research and Evidence-Based Practice Symposium. Denver, Colorado.

Oman, K. S., Yoder, M., Sauer, B., & Nordenholz, K. (December, 2014). Family presence at resuscitation or invasive procedures:

update and review. University of Colorado Ethics Grand Rounds, University of Colorado Hospital, Aurora, CO.

Oman, K. S. & Glover J., (October 27, 2014). What is futile care? How does it affect patient care and transitions? 9th Annual Palliative

Care Conference, University of Colorado Hospital, Aurora, CO.

Sousa, K., Oman, K. S., Oster, C., Reeder, B., Welton, J. (April 2015). Colorado Collaborative for nursing research: Nurses, pioneers,

trailblazers. Podium presented at the Western Institute of Nursing Conference, Albuquerque, NM.

Stewart, D., Pearson, J., Wong, M., & Makic. M. B. F. ((2015, April). An Interprofessional Medication Teaching System to Improve

Medication Teaching Processes with Patients: A Quality Improvement Project. Podium presented at the 27th Annual Rocky Mountain

Interprofessional Research and EBP Symposium, Denver, CO.

Weimer, S., Bell, C., & Makic, M. B. F. (April, 2015). Sedation management during burn wound care, a descriptive study. 27th Annual

Rocky Mountain Research and Evidence-Based Practice Symposium, Denver, CO.

Wenger, B. & Brackett. H. (2015, April). Compassionate Extubation in a Non ICU Setting. Podium presented at the 27th Annual

Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

19

POSTER PRESENTATIONS:

Bishop, M. (2015, April). Let's get digital: An online call sign up system. Poster presented at the

27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Brackett, H., Wenger, B., Johnson-Bortolotto, S., Baiamonte, V., Petrie, J., Marso, J., Sande,

M., & Youngwerth, J. (2014, October). Compassionate Extubation in a Non ICU Setting. Poster

presented at the Palliative Care Conference, Aurora, CO.

Cowan, K. (2015, April). Shift Huddles: Shifting Across the Void. Poster presented at the 27th Annual Rocky Mountain

Interprofessional Research and EBP Symposium, Denver, CO.

Davis, A. (2015, April). Patient Education for Better Pain Management. Poster presented at the 27th Annual Rocky Mountain

Interprofessional Research and EBP Symposium, Denver, CO and the Oncology Nursing Society 40th Congress, Orlando, FL.

Davis, A. (2015, April). Patient Education for Better Pain Management. Poster presented at the 27th Annual Rocky Mountain

Interprofessional Research and EBP Symposium, Denver, CO and the Oncology Nursing Society 40th Congress, Orlando, FL.

Fink, R., Silvermann, M., Sung-Joon, M., Mancuso, M. P., & Brant, J. (2015, February). Results of a palliative care needs assessment in

Middle Eastern Countries. Poster presented at the Annual Assembly of the American Academy of Hospice and Palliative Medicine

and the Hospice and Palliative Nurses Association, Philadelphia, PA.

Heinke, P. (2015, April). Development of Certified Nursing Assistant /Advanced Care Partner Council on the Oncology/ BMT unit. Poster

presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Hodkins, S. (2015, February). An Innovative Approach to Interdisciplinary Case Review. Poster presented at the American Nurses

Association, Orlando, FL.

Knippa. S. (2015, April). Sleep Promotion in the Cardiac ICU: A Quality Improvement Project. Poster presented at the 27th Annual

Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Maher, S., Donovan, K., & Barron, A. (2015, April). Management of Chemotherapy-Induced Nausea and Vomiting. Poster presented

at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Neff, I. (2015, April). Right Patient, Right Unit, Right Time: Reducing Unplanned Level-of-Care Transfers in the Peri-Admission Period.

Poster presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Nicholson, R. (2015, April). A Voiding algorithm to reduce post operative urinary retention in outpatients. Poster presented at the 27th

Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Rogers, J. (2015, April). CAM-ICU & Inappropriate UTA ratings in Intubated Patients in the Cardiac ICU. Poster presented at the 27th

Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.

Romero, R. (2014, October and 2015, March). PACU Checklist: An Electronic Reminder for Documentation Compliance. Poster

presented at the Association of periOperative Registered Nurses, Denver, CO and the Magnet National Conference, Dallas, TX.

**Received 2nd place in EBP Category at AORN Conference

20

PODIUM PRESENTATIONS (continued):

Wenger, B., Neff, I., Leonardi-Warren, K., Mancuso, M.,

Galbraith, M., & Fink, R. (2015, April). Sexual Health: The

Avoided Assessment. Poster presented at the Oncology

Nursing Society 40th Congress, Orlando, FL.

INPATIENT REHAB THERAPY SERVICES

PODIUM PRESENTATIONS:

Pearson, J. (2015, April). An Interprofessional Medication Teaching System to Improve Medication Teaching Processes with Patients: A

Quality Improvement Project. Podium presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP

Symposium, Denver, CO.

Sockolosky, D. (2014, October). Airway Clearance Prescription in Difficult Clinical Situations: Monitored exercise during acute pulmonary

exacerbations: results of a single center QI initiative. Podium presented at the North American Cystic Fibrosis Conference, Atlanda,

GA.

POSTER PRESENTATIONS:

Malone, D., Ridgeway, K., Nordon-Craft, A., Moss, P., Schenkman, M., & Moss, M. (2015, May). Physical Therapists Perceptions of

Rehabilitation Practices in The Intensive Care Unit: Results Of A National Survey. Poster presented at the American Thoracic Society

Annual Conference, San Diego, CO.

Malone, D., Ridgeway, K., Nordon-Craft, A., Moss, P., Schenkman, M., & Moss, M. (2015, May). Staffing Patterns, Training Methods,

And Barriers To Providing Physical Therapy in the ICU: Results Of A National Survey. Poster presented at the American Thoracic

Society Annual Conference, San Diego, CO.

PHARMACY:

Aquilante CL, Page RL 2nd, Vu A, Roscoe N, Wolfel EE, Lindenfeld JA. Comparison of office, home, and ambulatory blood

pressure in heart transplant recipients. J Card Fail. 2014;20:602-10.

Babilonia KM, Golightly LK, Gutman JA, Hassell KL, Kaiser JN, Kiser TH, Klem PM, Trujillo TC. Antithrombotic

therapy in patients with thrombocytopenic cancer: Outcomes associated with reduced-dose low-molecular-weight heparin

during hospitalization. Clin Appl Thromb Hemost. 2014;20:799-806.

Barber GR, Safdar A. Unique antibacterials. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases.

8th ed. Philadelphia, PA: Elsevier; 2014:440-6.

Foster CL, Mould K, Reynolds P, Simonian PL, Erlandson KM. Clinical problem-solving: Sick as a dog. N Engl J Med.

2015;372:1845-50.

Golightly LK, Simendinger BA, Barber GR, Stolpman NM. Compliance with hospital medication management standards

for safety and efficacy information. J Pharm Pract. 2015;28:135-6.

21

JOURNAL PUBLICATIONS (continued):

Hafermann MJ, Kiser TH, Lyda C, Fish DN, Barber GR, Wempe MF,

Cleveland JC Jr. Weight-based versus set dosing of vancomycin for coronary artery

bypass grafting or aortic valve surgery. J Thorac Cardiovasc Surg. 2014;147:1925-30.

Jansen JJ, Oldland AR, Kiser TH. Evaluation of phenylephrine stability in polyvinyl

chloride bags. Hosp Pharm. 2014;49:455-7.

Kanji S, Hayes M, Ling A, Shamseer L, Chant C, Edwards DJ, Edwards S, Ensom MH, Foster DR, Hardy B, Kiser TH, la Porte C,

Roberts JA, Shulman R, Walker S, Zelenitsky S, Moher D. Reporting guidelines for clinical pharmacokinetic studies: The ClinPK

Statement. Clin Pharmacokinet. 2015 Jan 31 [℮pub ahead of print]. doi 10.1007/s40262-015-0236-8

Kiser TH. Cerebral vasospasm in critically ill patients with aneurysmal subarachnoid hemorrhage: Does the evidence support

the ever-growing list of potential pharmacotherapy interventions? Hosp Pharm. 2014;49:923-41.

Kiser TH, Allen RR, Valuck RJ, Moss M, Vandivier RW. Outcomes associated with corticosteroid dosage in critically ill patients

with acute exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014;189:1052-64.

Kiser TH, Fish DN, Aquilante CL, Rower JE, Wempe MF, MacLaren R, Teitelbaum I. Evaluation of sulfobutylether-β-

cyclodextrin (SBECD) accumulation and voriconazole pharmacokinetics in critically ill patients undergoing continuous renal

replacement therapy. Crit Care. 2015;19:32. doi: 10.1186/s13054-015-0753-8

Kiser TH, Vandivier RW. Severe acute exacerbations of chronic obstructive pulmonary disease: Does the dosage of

corticosteroids and type of antibiotic matter? Curr Opin Pulm Med. 2015;21:142-8

Lewis WR, Piccini JP, Turakhia MP, Curtis AB, Fang M, Suter RE, Page RL 2nd, Fonarow GC. Get With The Guidelines AFIB:

Novel quality improvement registry for hospitalized patients with atrial fibrillation. Circ Cardiovasc Qual Outcomes. 2014;7:770-7.

Lind SE, Boyle ME, Fisher S, Ishimoto J, Trujillo TC, Kiser TH. Comparison of the aPTT with alternative tests for monitoring

direct thrombin inhibitors in patient samples. Am J Clin Pathol. 2014;141:665-74.

MacLaren R, Kassel LE, Kiser TH, Fish DN. Proton pump inhibitors and histamine-2 receptor antagonists in the intensive

care setting: Focus on therapeutic and adverse events. Expert Opin Drug Saf. 2015;14:269-80.

MacLaren R, Preslaski CR, Mueller SW, Kiser TH, Fish DN, Lavelle JC, Malkoski SP. A randomized, double-blind pilot study

of dexmedetomidine versus midazolam for intensive care unit sedation: Patient recall of their experiences and short-term

psychological outcomes. J Intensive Care Med. 2015;30:167-75.

MacLaren R, Reynolds PM, Allen RR. Histamine-2 receptor antagonists vs proton pump inhibitors on gastrointestinal tract

hemorrhage and infectious complications in the intensive care unit. JAMA Intern Med. 2014;174:564-74.

McIlvennan CK, Page RL 2nd, Ambardekar AV, Brieke A, Lindenfeld J. Activated partial thromboplastin time overestimates anti

-coagulation in left ventricular assist device patients. J Heart Lung Transplant. 2014;33:1312-4.

Mueller SW, Preslaski CR, Kiser TH, Fish DN, Lavelle JC, Malkoski SP, MacLaren R. A randomized, double-blind, placebo-

controlled dose range study of dexmedetomidine as adjunctive therapy for alcohol withdrawal. Crit Care Med. 2014;42:1131-9.

22

JOURNAL PUBLICATIONS (continued):

Oldland AR, Golightly LK, May SK, Barber GR, Stolpman NM. Electronic inventory systems

and bar-code technology: Impact on pharmacy technical accuracy and error liability. Hosp Pharm.

2015;50:34-41.

Page RL 2nd, Ghushchyan V, Gifford B, Read RA, Raut M, Bookhart BK, Naim AB, Damaraju CV,

Nair KV. Hidden costs associated with venous thromboembolism: Impact of lost productivity on employers and employees. J

Occup Environ Med. 2014;56:979-85.

Preslaski CR, Mueller SW, Kiser TH, Fish DN, MacLaren R. A survey of prescriber perceptions about the prevention of

stress-related mucosal bleeding in the intensive care unit. J Clin Pharm Ther. 2014;39:658-62.

Reynolds PM, MacLaren R, Mueller SW, Fish DN, Kiser TH. Management of extravasation injuries: A focused evaluation

of noncytotoxic medications. Pharmacotherapy. 2014;34:617-32.

Reynolds PM, Mueller SW, MacLaren R. A comparison of dexmedetomidine and placebo on the plasma concentrations of

NGF, BDNF, GDNF, and epinephrine during severe alcohol withdrawal. Alcohol. 2015;49:15-9.

Schoeppler KE, Aquilante CL, Kiser TH, Fish DN, Zamora MR. The impact of genetic polymorphisms, diltiazem, and

demographic variables on everolimus trough concentrations in lung transplant recipients. Clin Transplant. 2014;28:590-7.

Schoeppler KE, Zamora MR, Northcutt NM, Barber GR, O'Malley-Schroeder G, Lyu DM. Invasive Microascus trigonosporus

species complex pulmonary infection in a lung transplant recipient. Case Rep Transplant. 2015;2015:745638. doi:

10.1155/2015/745638

Shakowski C, Page RL 2nd, Fish DN, Stolpman N. The Aurora theater shooting: Lessons learned in a department of

pharmacy. Am J Health Syst Pharm. 2014;71:780, 782.

VanderWeide LA, Foster CJ, MacLaren R, Kiser TH, Fish DN, Mueller SW. Evaluation of early dexmedetomidine addition

to the standard of care for severe alcohol withdrawal in the ICU: A retrospective controlled cohort study. J Intensive Care Med.

2014 Oct 16 [℮ pub ahead of print}. doi: 10.1177/0885066614554908

Washam JB, Herzog CA, Beitelshees AL, Cohen MG, Henry TD, Kapur NK, Mega JL, Menon V, Page RL 2nd, Newby LK.

Pharmacotherapy in chronic kidney disease patients presenting with acute coronary syndrome: A scientific statement from the

American Heart Association. Circulation. 2015;131:1123-49.

(References MI, continued from Page 14)

References:

1. Miller, W. R. and Rollnick, S. (1991) Motivational interviewing: Preparing people to change addictive behavior. New York, NY: Guilford Press.

2. Rollnick S., & Miller, W.R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334.

3. Burke, B. L., Arkowitz., H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of

Consulting and Clinical Psychology, 71, 843-861.

4. Rubak, S., Sandboek, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: A systematic review and meta-analysis. British Journal of General

Practice, 55, 305-312.

5. Heckman, C. J., Egleston, B. L., & Hofmann, M. T., (2010). Efficacy of motivational interviewing for smoking cessation: A systematic review and meta-

analysis. Tobacco Control, 19, 410-416.

23

(References PT ICU, continued from Page 10)

Resources & References:

1. Benson AB, Nordon-Craft A, Schenkman M, Wegzyn D, Moss M. Inpatient Physical Therapy for Mechanically Ventilated Patients Is Independently

Associated with Improved Discharge Status. Am J Respir Crit Care Med 179;2009:A5473. http://www.atsjournals.org/doi/abs/10.1164/ajrccm-

conference.2009.179.1_MeetingAbstracts.A5473

2. Benson AB, Ridgeway K, Macht M, Clark BJ, Smart A, Schenkman M, Nordon-Craft A, Moss M. Patient And Proxy Perceptions Of Intensive Vs.

Standard Physical Therapy In Critically Ill Patients. Am J Respir Crit Care Med 185;2012:A3078.

http://www.atsjournals.org/doi/abs/10.1164/ajrccm-conference.2012.185.1_MeetingAbstracts.A3078

3. Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr

A, Cook D, Slutsky AS; Canadian Critical Care Trials Group. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J

Med. 2003 Feb 20;348(8):683-93.

4. Fan E, Dowdy DW, Colantuoni E, Mendez-Tellez PA, Sevransky JE, Shanholtz C, Himmelfarb CR, Desai SV, Ciesla N, Herridge MS, Pronovost PJ,

Needham DM. Physical complications in acute lung injury survivors: a two-year longitudinal prospective study. Crit Care Med. 2014 Apr;42(4):849-

59.

5. Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D,

Slutsky AS, Cheung AM; Canadian Critical Care Trials Group. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med.

2011 Apr 7;364(14):1293-304. doi: 10.1056/NEJMoa1011802.

6. Adhikari NK, Tansey CM, McAndrews MP, Matté A, Pinto R, Cheung AM, Diaz-Granados N, Herridge MS. Self-reported depressive symptoms and

memory complaints in survivors five years after ARDS. Chest. 2011 Dec;140(6):1484-93. doi: 10.1378/chest.11-1667. Epub 2011 Oct 13.

7. Herridge MS. Legacy of intensive care unit-acquired weakness. Crit Care Med. 2009 Oct;37(10 Suppl):S457-61

8. Batt J, dos Santos CC, Cameron JI, Herridge MS. Intensive care unit-acquired weakness: clinical phenotypes and molecular mechanisms. Am J Respir

Crit Care Med. 2013 Feb 1;187(3):238-46.

9. Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, Spears L, Miller M, Franczyk M, Deprizio D, Schmidt GA, Bowman

A, Barr R, McCallister KE, Hall JB, Kress JP. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised

controlled trial. Lancet. 2009 May 30;373(9678):1874-82.

10. Pohlman MC, Schweickert WD, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, Spears L, Miller M, Franczyk M, Deprizio D, Schmidt GA, Bowman

A, Barr R, McCallister K, Hall JB, Kress JP. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit

Care Med. 2010 Nov;38(11):2089-94.

11. Sricharoenchai T, Parker AM, Zanni JM, Nelliot A, Dinglas VD, Needham DM. Safety of physical therapy interventions in critically ill patients: a

single-center prospective evaluation of 1110 intensive care unit admissions. J Crit Care. 2014 Jun;29(3):395-400.

12. Morris PE, Goad A, Thompson C, Taylor K, Harry B, Passmore L, Ross A, Anderson L, Baker S, Sanchez M, Penley L, Howard A, Dixon L, Leach S,

Small R, Hite RD, Haponik E. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med. 2008 Aug;36

(8):2238-43.

13. Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J. 2012 Mar;23(1):5-13

14. Kayambu G, Boots R, Paratz J. Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis. Crit Care Med. 2013 Jun;41

(6):1543-54.

15. Lord RK, Mayhew CR, Korupolu R, Mantheiy EC, Friedman MA, Palmer JB, Needham DM. ICU early physical rehabilitation programs: financial

modeling of cost savings. Crit Care Med. 2013 Mar;41(3):717-24

16. Needham DM, Davidson J, Cohen H et al. Improving Long Term Outcomes after discharge from intensive care: Reports from a stakeholders

conference. Crit Car Med 2012:40;2. p. 502-9.

17. Engel HJ, Tatebe S, Alonzo PB, Mustille RL, Rivera MJ. Physical therapist-established intensive care unit early mobilization program: quality

improvement project for critical care at the University of California San Francisco Medical Center. Phys Ther. 2013 Jul;93(7):975-85. doi: 10.2522/

ptj.20110420. Epub 2013 Apr 4.

18. Engel HJ1, Needham DM, Morris PE, Gropper MA. ICU early mobilization: from recommendation to implementation at three medical centers. Crit

Care Med. 2013 Sep;41(9 Suppl 1):S69-80. doi: 10.1097/CCM.0b013e3182a240d5.

19. Amy Nordon-Craft, PT, DSc, Margaret Schenkman, PT, PhD, FAPTA, Kyle Ridgeway, DPT, Alexander Benson, MD, Marc Moss, MD. Physical

Therapy Management and Patient Outcomes following ICU-Acquired Weakness: A Case Series. J Neurol Phys Ther. 2011 Sep; 35(3): 133–140. doi:

10.1097/NPT.0b013e3182275905.

20. Alexander B. Benson, MD , Kyle Ridgeway, DPT , Madison Macht, MD, BSc , Brendan J. Clark, MD , Alexandra Smart, MD , Margaret Schenkman,

Ph.D. , Amy Nordon-Craft, MSPT, Marc Moss, MD. Patient And Proxy Perceptions Of Intensive Vs. Standard Physical Therapy In Critically Ill

Patients.

21. Nordon-Craft A, Moss M, Quan D, Schenkman M. Intensive care unit-acquired weakness: implications for physical therapist management. Phys

Ther. 2012 Dec;92(12):1494-506. Epub 2012 Jan 26.

24

Professional Resources

Mail Stop 901

12401 E. 17th Avenue

Aurora, CO 80045

www.uchealth.org

University of Colorado Hospital

Edited by the Research Nurse Scientists:

Regina Fink, PhD, RN, AOCN, FAAN

Mary Beth Flynn Makic, PhD, RN, CNS, CCNS, FAAN

Kathy Oman, PhD, RN, FAEN, FAAN

Melanie Sandoval, PhD, RN

And Professional Research Assistant:

Mary P. Mancuso, MA

Newsletter design and layout by:

Mary P. Mancuso, MA