08.05.2013 Views

of the Year

of the Year

of the Year

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

OHSU Nurses Week<br />

Innovation.<br />

Compassion.<br />

Excellence.<br />

May 6 – 12, 2013<br />

Celebrating<br />

OHSU’s<br />

Nurses<br />

<strong>of</strong> <strong>the</strong> <strong>Year</strong><br />

2013


Jennifer L. Jacoby,<br />

MSN, RN, NEA-BC<br />

Vice President/Chief Nursing<br />

Officer, OHSU Healthcare<br />

“Innovation, compassion, and excellence” is <strong>the</strong> <strong>the</strong>me for OHSU Nurses Week. These qualities are <strong>the</strong> very<br />

essence <strong>of</strong> what attracts nurses into <strong>the</strong> pr<strong>of</strong>ession – and what makes <strong>the</strong>m special in <strong>the</strong> eyes <strong>of</strong> patients. The<br />

ability to see many paths around an obstacle to care, to see <strong>the</strong> truth <strong>of</strong> suffering as a plea for caring, and to<br />

seek <strong>the</strong> sacred in <strong>the</strong>rapeutic relationships are <strong>the</strong>se qualities in action.<br />

Each year we seek exemplars from our nursing staff that represent <strong>the</strong>ir contribution to our pr<strong>of</strong>ession, our<br />

community and our patients and families. Every story was a special one and deserving <strong>of</strong> respect. We engaged a<br />

wide variety <strong>of</strong> opinions from our shared governance groups to help us select <strong>the</strong> 11 winners.<br />

I am in awe <strong>of</strong> <strong>the</strong> breadth and depth <strong>of</strong> talent in OHSU nurses that is displayed in <strong>the</strong> stories <strong>of</strong> each <strong>of</strong> our<br />

awardees. They live and brea<strong>the</strong> pr<strong>of</strong>essional practice in <strong>the</strong> way it is envisioned in our model. I hope you’ll<br />

enjoy reading <strong>the</strong>ir stories. You’ll hear many innovative efforts to improve outcomes and bring greater health<br />

to our communities, from work with congestive heart disease patients to efforts to improve pediatric pain<br />

management. You’ll read about a C.N.A. who stays after her shift to hold <strong>the</strong> hand <strong>of</strong> a dying patient, and a<br />

nurse who brings solace to many through animal-assisted <strong>the</strong>rapy. Each <strong>of</strong> <strong>the</strong>se stories is connected by a<br />

bright passion for nursing excellence.<br />

As I near <strong>the</strong> close <strong>of</strong> my 46 year nursing career, I am proud to share <strong>the</strong> title <strong>of</strong> “RN” with each <strong>of</strong> <strong>the</strong>se nurses,<br />

and excited for nursing’s future.<br />

Congratulations to <strong>the</strong> awardees and nominees!<br />

Thank you to all those who made OHSU Nurses Week 2013 possible:<br />

2013 Nurses Week Planning Committee<br />

Chair: Manda Buttitta<br />

Members: Sally Bowman, Cathy Cromett, Deborah Eldredge, Marian Hart, Julie Johnson, Debbie Lamberger,<br />

Denise Langley, Julia McDonald, Laura Riddell, Mary Stock, Bekki Witt, Miranda Yohn<br />

7th Annual Nursing Research Showcase & Poster Display<br />

Nursing Research Council<br />

Accolade Book Photography<br />

Daniel McClintick<br />

With great appreciation for all <strong>of</strong> OHSU’s dedicated nurses –<br />

bringing innovation, compassion, and excellence to patient care every day.<br />

OHSU Nurses Week 2013<br />

Innovation. Compassion. Excellence. http://o2.ohsu.edu/nursing-portal/news-events/nurses-week/


Jayne Mitchell, ANP-BC<br />

Nurse Practitioner, Congestive Heart Failure<br />

Manager: Judi Workman<br />

Jayne’s extraordinary efforts have led to improved patient<br />

outcomes that have afforded OHSU recognition on both<br />

local and national levels. Her approach, which focuses on<br />

identification <strong>of</strong> high risk patients, standardized education<br />

across all settings, reliance on community partners and<br />

utilization <strong>of</strong> available resources has led to decreased<br />

readmission rates in this most vulnerable <strong>of</strong> patient<br />

populations.<br />

For <strong>the</strong> most acutely ill congestive heart failure (CHF)<br />

patients in our community, Jayne established a relationship<br />

I am honored and feel humbled to receive this award.<br />

I have been at OHSU for 2 ½ years and each day I am<br />

impressed by <strong>the</strong> energy level and excitement I see<br />

for continued learning and innovation. I am in awe<br />

<strong>of</strong> <strong>the</strong> intelligence, innovation, and compassion that<br />

is demonstrated everyday throughout <strong>the</strong> hospital<br />

and clinics at all levels.<br />

What a great place to keep learning! Every change<br />

implemented for our heart failure patients is <strong>the</strong><br />

result <strong>of</strong> someone asking if we “could” and “should” do something different. I have never once heard “that is <strong>the</strong> way we<br />

do it here”. For example, when we realized our patients didn’t understand basic concepts <strong>of</strong> heart failure selfmanagement,<br />

it was <strong>the</strong> nurses that led <strong>the</strong> way- fine tuning what <strong>the</strong> education should be. The nurses were <strong>the</strong> ones<br />

who came up with <strong>the</strong> concept <strong>of</strong> daily teaching and teach back. I am and always will be <strong>the</strong>ir cheerleader.<br />

Every positive change in this program is <strong>the</strong> result <strong>of</strong> hard work from many people, not one person. The providers,<br />

nurses, and staff who care for <strong>the</strong> patients are constantly asking <strong>the</strong>mselves “What can we do to make this patient<br />

succeed at home?” We also have excellent community partners (<strong>the</strong> Area <strong>of</strong> Aging and Care Oregon), as well as <strong>the</strong> hard<br />

work and support from our outpatient clinics (Cardiology, Family Practice and Internal Medicine).<br />

I feel that it is a privilege to work at OHSU. I am truly fortunate to be surrounded by such a great force.<br />

Jayne Mitchell<br />

The Advanced Practice category is described as<br />

“a role-based advanced practice nurse (CNS, NP, Midwife or RN Anes<strong>the</strong>tist) who exhibits excellence in providing care.<br />

This nurse is a leader and guides practice in <strong>the</strong> advanced practice role.“


with Care Oregon that facilitated <strong>the</strong> development <strong>of</strong><br />

"hot spot teams", an interdisciplinary group <strong>of</strong> health<br />

care pr<strong>of</strong>essionals that support <strong>the</strong>se patients with<br />

frequent contacts, regular follow-up and home<br />

visits. Recognizing that Oregon's case mix index for this<br />

group <strong>of</strong> patients exceeds that <strong>of</strong> o<strong>the</strong>r states<br />

significantly, she has also focused her efforts on creating<br />

a support system for our lesser acute patients who still<br />

possess multiple risk factors and complex needs.<br />

Prior to discharge, Jayne insures that all patients are<br />

provided a personal scale for use at home and that <strong>the</strong>y<br />

understand <strong>the</strong> importance <strong>of</strong> trending <strong>the</strong>ir daily<br />

weight. This important addition to <strong>the</strong> discharge process<br />

was recently featured in an Associated Press news release<br />

that described her new plan for her patients as “Learning<br />

by Doing”. She has made available to non-English<br />

speaking patients discharge instructions in <strong>the</strong>ir native<br />

language, and she continues to work tirelessly on<br />

improvements to <strong>the</strong> After Visit Summary. Through her<br />

efforts with nursing staff, she has standardized teaching<br />

instructions and documentation, and established a clearly<br />

understood standard <strong>of</strong> care that all <strong>of</strong> OHSU’s CHF<br />

patients now receive.<br />

In addition to <strong>the</strong>se efforts Jayne also recently procured<br />

ten "Health Buddies", telemedicine type devices that<br />

prompt patients to enter daily information about <strong>the</strong>ir<br />

health while also challenging <strong>the</strong>m to a trivia game.<br />

When abnormal parameters are detected by <strong>the</strong>se<br />

devices, a call is immediately generated to Jayne, so that<br />

she can follow-up immediately with <strong>the</strong> patient and<br />

perhaps reverse a trend that might be moving in <strong>the</strong><br />

wrong direction. She is currently providing <strong>the</strong>se to 10<br />

discharged CHF patients per month to discover <strong>the</strong>ir<br />

impact on improved outcomes and possible decreased readmission<br />

rates.<br />

Most recently, this work was featured at <strong>the</strong> Robert<br />

Woods Johnson event "Care About Your Care“ in<br />

Washington DC. Meeting with health care leaders from<br />

across <strong>the</strong> country, Jayne and <strong>the</strong> Oregon contingency<br />

received accolades and repeatedly heard <strong>the</strong> phrase that<br />

"things were more progressive and different in<br />

Oregon". Different yes - our current all-cause readmission<br />

rate for CHF patients is averaging about 17%<br />

when rates from similar institutions nationally average<br />

nearly 22%. This is a testimony to <strong>the</strong> health care<br />

transformation that Jayne is leading for our CHF patient<br />

population - and also to her exemplary level <strong>of</strong> dedication<br />

and pr<strong>of</strong>essional practice that establish her as a leader<br />

within her field.<br />

“Jayne is one <strong>of</strong> <strong>the</strong> most ‘get it done’ and positive<br />

colleagues I have had <strong>the</strong> pleasure <strong>of</strong> working with. Her<br />

caring for patients and quest to improve quality is deep and<br />

inspiring. She is an outstanding APN in all components <strong>of</strong><br />

<strong>the</strong> pr<strong>of</strong>essional nursing role.”<br />

Ann Maylie, RN, Division Director


“Mrs. J was a patient that was being admitted at least monthly for almost a year. Jayne got involved,<br />

made home visits, arranged for home health nurse to see <strong>the</strong> patient weekly, worked with <strong>the</strong><br />

Richmond Clinic and <strong>the</strong> nurses <strong>the</strong>re, and worked with Care Oregon and <strong>the</strong> 'hot spot team'. Over<br />

months Jayne and her team was able to build trust with <strong>the</strong> patient and her family, identify triggers for<br />

readmissions and create a plan in response to those triggers. Over <strong>the</strong> course <strong>of</strong> months Mrs. J's<br />

readmissions were fewer and far<strong>the</strong>r apart, her quality <strong>of</strong> life and her relationships with her children<br />

greatly improved. Jayne was able to change <strong>the</strong> trajectory <strong>of</strong> disease for this individual though her<br />

constant presence, sense <strong>of</strong> humor and belief in her ability to be successful.<br />

Jayne has taken what she has learned from working with individual patients and has created a system<br />

response to helping manage <strong>the</strong>se patients. She has initiated a team <strong>of</strong> providers who meet monthly<br />

to create ways to increase <strong>the</strong> quality <strong>of</strong> care patients with end stage heart failure experience.<br />

Through her leadership, <strong>the</strong> readmission rate for heart failure patients has significantly decreased,<br />

<strong>the</strong>y are being seen by <strong>the</strong>ir PCP within a week <strong>of</strong> discharge, and she has initiated an at-home<br />

telemedicine program where she monitors <strong>the</strong>se very fragile patients daily for a month. Through her<br />

research, she discovered that <strong>the</strong> impact <strong>of</strong> home telemedicine decreases after a month.<br />

Jayne has worked with nurses throughout <strong>the</strong> organization to improve <strong>the</strong> education that patients with<br />

heart failure receive, a standardized approach is now utilized including documentation, provision <strong>of</strong><br />

equipment patient's need to monitor <strong>the</strong>ir own response to <strong>the</strong>rapies. Through her efforts with <strong>the</strong><br />

nursing staff throughout <strong>the</strong> hospital <strong>the</strong>re is decreased variation in practice from unit to unit and<br />

increased quality <strong>of</strong> care provided,<br />

Jayne exemplifies <strong>the</strong> advance practice role, clinician, leader, change agent, and transferor <strong>of</strong><br />

knowledge every day in her practice. She is a role model for advance practice nursing.”<br />

Mary Denise Smith, RN, Palliative Medicine and Comfort Care


Jessica Jordan, BSN, RN, CPN<br />

RN, DCH 9S Pediatrics Acute Care Surgical Unit<br />

Manager: Janie Johnson<br />

Jessica is a nursing pr<strong>of</strong>ession role model who continually<br />

contributes to <strong>the</strong> advancement <strong>of</strong> nursing on 9S and<br />

throughout OHSU.<br />

Jessica has been an active participant on <strong>the</strong> unit for 8 years,<br />

beginning as a hospital unit coordinator while she obtained<br />

her nursing degree at OHSU School <strong>of</strong> Nursing. In her six<br />

years as a nurse, she has distinguished herself in numerous<br />

roles: as an effective and efficient charge nurse, chair <strong>of</strong> 9S’s<br />

unit-based nursing practice committee (UBNPC), magnet<br />

champion, and as a member <strong>of</strong> <strong>the</strong> Pain Resource Nurse<br />

(PRN) team.<br />

As a PRN team member, Jessica’s leadership and scientific<br />

inquiry resulted in improved PCA assessment and<br />

documentation, increased utilization <strong>of</strong> nonpharmacological<br />

methods for treating pain, and consistent use <strong>of</strong><br />

developmentally appropriate pain assessment scales. She<br />

effectively brings this evidence-based practice on pain<br />

control to 9S staff. She utilizes her increased knowledge <strong>of</strong><br />

pain management in her own practice, and is a mentor and<br />

advocate for all unit nurses and patients. Her leadership has<br />

transformed <strong>the</strong> culture <strong>of</strong> post-operative pain management<br />

on 9S and throughout <strong>the</strong> hospital.<br />

Jessica was a driving force in <strong>the</strong> unit’s development <strong>of</strong> <strong>the</strong>ir<br />

patient experience signature moment, “Family Wise”, to<br />

recognize families as <strong>the</strong> expert on <strong>the</strong> child, and worked on a<br />

campaign to increase patient and families’ ability to<br />

communicate with staff through dry erase white boards in each<br />

room.<br />

Jessica’s infectious energy and incredible follow-through make<br />

her a “go-to” nurse to precept new nurses and students. She<br />

has recently become an adjunct pr<strong>of</strong>essor at Linfield College,<br />

transferring her passion for nursing to <strong>the</strong> next generation.<br />

“Jessica is a role model for <strong>the</strong> students she precepts and <strong>the</strong><br />

nurses she works alongside. Her commitment to excellent<br />

patient and family centered care, and genuine caring shows in<br />

her everyday work. I aspire to emulate <strong>the</strong> qualities that she<br />

demonstrates both in her bedside care and as a change agent<br />

advocating for excellence in nursing. Jessica is one <strong>of</strong> my<br />

favorite nurses to partner with on PACS. She is pr<strong>of</strong>essional,<br />

team-oriented, quality-minded, visionary, caring, and fun.”<br />

Kelly Klos, RN Peer<br />

The Advancing & Leading <strong>the</strong> Pr<strong>of</strong>ession category is described as “a nurse who leads and advances or<br />

streng<strong>the</strong>ns nursing, ei<strong>the</strong>r as a pr<strong>of</strong>ession or in <strong>the</strong> delivery <strong>of</strong> patient care within and beyond OHSU. In rolebased<br />

practice, this nurse is a scientist who monitors and evaluates standards, measures expertise and practice<br />

excellence, and links pr<strong>of</strong>essional role with outcomes."


“I have always been a critical thinker with a bent for compassion.<br />

My first jobs out <strong>of</strong> college were community service based, but in<br />

my heart I knew something was missing. I had a moment <strong>of</strong><br />

clarity when I felt like God called me to return to school to<br />

become a nurse. Honestly, I knew very little about <strong>the</strong> scope <strong>of</strong><br />

<strong>the</strong> pr<strong>of</strong>ession until a few weeks into <strong>the</strong> program at OHSU. I<br />

recall <strong>the</strong> moment where I gratefully realized that in <strong>the</strong> nursing<br />

pr<strong>of</strong>ession I had found my perfect match. This future lying before<br />

me was <strong>the</strong> ideal combination <strong>of</strong> science and caring, <strong>of</strong> problem<br />

solving and compassion, and <strong>of</strong> creativity and healing.<br />

Like most new nurses, my first couple <strong>of</strong> years helped me gain<br />

confidence in my skills and nursing basics. It was my participation<br />

in <strong>the</strong> PRN program that lit <strong>the</strong> fire in me to realize that, even as a<br />

young nurse, armed with a little evidence and a lot <strong>of</strong> creativity<br />

and hard work, I could impact lasting change that would reach<br />

beyond just <strong>the</strong> patients I personally cared for. I saw that<br />

decisions driven by <strong>the</strong> PRN team directly improved pain<br />

management for every single patient on my unit. By participating<br />

in shared governance, my goal has been to incorporate <strong>the</strong> best<br />

that every 9S nurse brings from his or her individual practice into<br />

a team vision to drive <strong>the</strong> standard <strong>of</strong> nursing care on PACS. It<br />

has been an honor to see this amazing staff come toge<strong>the</strong>r to<br />

ensure that every patient and family cared for on PACS receives<br />

exemplary care augmented by our staff’s commitment to <strong>the</strong> very<br />

best <strong>of</strong> knowledge, healing, caring, and service.<br />

There are days when we see amazing result <strong>of</strong> our team’s efforts.<br />

There are days when things don’t go as planned or when <strong>the</strong>re<br />

are frustratingly few resources. In those times, I’m unspeakably<br />

thankful for my family and friends, namely my mom, <strong>the</strong> world’s<br />

best husband Matt, and my two perfect boys Tyler (5) and Gavin<br />

(2) who, even though it’s hard, willingly share <strong>the</strong>ir mommy<br />

‘because she takes care <strong>of</strong> kids who are sick.’ Most importantly,<br />

to <strong>the</strong> One who led me here in <strong>the</strong> first place: ‘Now to HIM who<br />

is able to do far more abundantly than all that we ask or think,<br />

according to <strong>the</strong> power at work within us, to HIM be glory.’<br />

Ephesians 3:20.”<br />

Jessica Jordan<br />

“Jessica is a take charge person who is able to<br />

present imaginative ideas to <strong>the</strong> staff with a<br />

focus on patient care. She role models<br />

providing compassionate care to our patients &<br />

families and is frequently recognized by<br />

patients and families as a nurse who <strong>the</strong>y felt<br />

provided excellent care.<br />

She is able to creatively solve problems, is<br />

honest in her communication, and uses sound<br />

judgment when making decisions. When faced<br />

with dire circumstances, Jessica is able to<br />

confidently lead <strong>the</strong> team and carry <strong>the</strong>m along<br />

at every point. She also takes ownership and<br />

responsibility when things do not go as<br />

planned. She is a morale booster for <strong>the</strong> staff<br />

when we have a busy day or when faced with<br />

limited resources. She has demonstrated her<br />

dedication to PACS and takes pride in her<br />

leadership role. “<br />

Janie Johnson, Nurse Manager<br />

Jessica and her family


Maki Kato, C.N.A.<br />

C.N.A. II and Hospital Unit Coordinator, 7A Trauma ICU<br />

Manager: Tracy Neidetcher<br />

Maki Kato works ceaselessly within her scope <strong>of</strong> practice to make<br />

sure that <strong>the</strong> unit functions optimally. Her positive attitude and<br />

compassion, energy, efficiency, and follow-through are cited by<br />

many. She has a an excellent bedside manner, and is skilled in<br />

developing rapport with even <strong>the</strong> most difficult patients.<br />

Maki is currently a nursing student, and we look forward to<br />

watching as her nursing career develops.<br />

“Maki is <strong>the</strong> hardest working<br />

C.N.A. that I have<br />

witnessed…She has<br />

excellent bedside manner<br />

and develops rapport with<br />

even <strong>the</strong> most difficult<br />

trauma patients. Maki has<br />

helped me in my bedside<br />

education <strong>of</strong> medications on<br />

several occasions due to her<br />

ability to connect with her<br />

patients and gain <strong>the</strong>ir trust.”<br />

Greg Roberti, Pharmacist<br />

“We only recently have had <strong>the</strong> luxury <strong>of</strong> having Maki join our team. She is definitely a<br />

blessing to our unit and has made an impression on all very quickly. Not only is she<br />

supportive to <strong>the</strong> staff, but she is so supportive to our patients and families.<br />

On Thursday night, we had a patient who had been estranged from his family and was<br />

dying. Maki stayed over after her shift to hold his hand so he would not be alone when<br />

he died.<br />

When we had <strong>the</strong> large bus accident, Maki was one <strong>of</strong> those who really helped to ease<br />

<strong>the</strong> families that we encountered. Most <strong>of</strong> <strong>the</strong> families admitted to TICU were Korean and<br />

although Maki is not Korean, she understood <strong>the</strong>ir culture well enough to help us greatly.<br />

She immediately bowed to all <strong>of</strong> <strong>the</strong> family members as <strong>the</strong>y entered our unit, helped<br />

comfort <strong>the</strong>m with <strong>the</strong> translators and just provided an added sense <strong>of</strong> security with her<br />

actions.<br />

Maki is <strong>the</strong> ultimate multi-tasker and can seem to make a million things happen at once.<br />

She is currently in nursing school and I will do anything in my power to keep her in our<br />

unit as a nurse after her graduation. It would be a huge loss to OHSU if she ever decides<br />

to leave.” Tracy Neidetcher, Nurse Manager<br />

The Ancillary Staff category is described as “a CNA, CMA, LPN, EMT, technician (surgical, telemetry, mental health, or o<strong>the</strong>r<br />

specialty technician) or hospital unit coordinator who supports nursing with excellence in patient care."


“When Maki was on <strong>the</strong> floor, I<br />

knew I would have a great day.<br />

When I worked with her, we<br />

discussed <strong>the</strong> care <strong>of</strong> patients and<br />

plan for <strong>the</strong> day in <strong>the</strong> morning. In<br />

addition, throughout <strong>the</strong> day she<br />

was great about following up with<br />

tasks she had completed and how<br />

<strong>the</strong> patient has tolerated <strong>the</strong> task.<br />

In one particular instance, for<br />

several weeks <strong>the</strong> unit was caring<br />

for a teenage boy with very<br />

complex psychological and social<br />

needs. I had been caring for <strong>the</strong><br />

patient for approximately two<br />

weeks and due to his psychological<br />

needs, he required a PSA. Maki<br />

was <strong>the</strong> PSA and she went above<br />

and beyond her PSA duties. She<br />

was able to connect with this<br />

patient in a way no one else could.<br />

He went on a hunger strike and she<br />

convinced him to start eating.<br />

When he went on a personal<br />

hygiene strike, she was able to help<br />

him into <strong>the</strong> shower. She was able<br />

to engage him in conversation and<br />

get him to participate in his daily<br />

care.”<br />

Angie Casillas, RN<br />

former co-worker on 13A<br />

“Although I have always been fascinated with medicine and human<br />

physiology, my story is not that <strong>of</strong> someone who always wanted to be a<br />

nurse. My Initial training was in exercise and sports science and I worked<br />

as <strong>the</strong> fitness director <strong>of</strong> a physical <strong>the</strong>rapy clinic and found <strong>the</strong> work fun<br />

and rewarding. I enjoyed working with clients and being part <strong>of</strong> <strong>the</strong>ir<br />

recovery, and it was very gratifying to see <strong>the</strong>m getting to return to <strong>the</strong><br />

activities <strong>the</strong>y once enjoyed. When I lost my job at <strong>the</strong> beginning <strong>of</strong> <strong>the</strong><br />

recession in 2009, it gave me an opportunity to reflect on <strong>the</strong> things I<br />

wanted to do in my life. I knew I wanted to continue to help people with<br />

<strong>the</strong> challenging process <strong>of</strong> recovery from illness and injury and to be a part<br />

<strong>of</strong> <strong>the</strong>ir rehabilitation process, but, at <strong>the</strong> same time, I wanted some<br />

change in my life. That’s when I decided to obtain a CNA certification to<br />

see if nursing is something I would enjoy as much as physical <strong>the</strong>rapy.<br />

Being a CNA may not be <strong>the</strong> most glamorous job in <strong>the</strong> eyes <strong>of</strong> <strong>the</strong> world<br />

or health care community, and it sure is not on many days, but I could not<br />

ask for a more rewarding job. When <strong>the</strong> patients say that I made <strong>the</strong>ir day<br />

or I helped <strong>the</strong>m to feel human again, it gives me a feeling that my work is<br />

meaningful and important. Working as a CNA on 13A (Trauma and<br />

Emergency General Surgery) taught me a great deal about teamwork and<br />

achieving a common goal: <strong>the</strong> compassionate care for each individual. I<br />

am extremely honored to receive this award, however, I couldn’t have<br />

achieved this without <strong>the</strong> support <strong>of</strong> all <strong>the</strong> o<strong>the</strong>r members <strong>of</strong> <strong>the</strong> patient<br />

care team. I think that’s ano<strong>the</strong>r reason I enjoy my job - nursing is a team<br />

sport. One person cannot effectively care for people in need, but with<br />

everyone working toge<strong>the</strong>r, I have witnessed incredible care and<br />

subsequently amazing recovery in very ill patients.<br />

I recently joined <strong>the</strong> TICU team on 7A. The TICU team is made up <strong>of</strong><br />

incredible nurses who truly care for <strong>the</strong>ir patients. They are my role<br />

models for how I want to be once I obtain my RN license. I appreciate <strong>the</strong><br />

co-workers and friends who have nominated me for this award and been<br />

supportive during my time at OHSU. All my co-workers’ daily commitment<br />

and passion for patient care inspires me and allows me to learn more<br />

about how to care better for people in need every day.”<br />

Maki Kato


Lisa Bloker, BSN, RN<br />

RN/Care Coordinator, Digestive Health Center<br />

Manager: Meagan Schuette<br />

Lisa Bloker is described as “<strong>the</strong> connector, <strong>the</strong> glue” that<br />

holds <strong>the</strong> esophageal team toge<strong>the</strong>r. Her extraordinary<br />

knowledge <strong>of</strong> her patients means that she is <strong>of</strong>ten looked<br />

upon as a resource for residents, surgeons, and ancillary<br />

staff members to answer questions about patient<br />

histories, insurance status, and any social issues that need<br />

to be considered before, during, or after <strong>the</strong> patients'<br />

surgeries. As care coordinator for eight years, she is<br />

confident with <strong>the</strong> expertise <strong>of</strong> a seasoned veteran.<br />

As care coordinator, Lisa assists patients and families as<br />

<strong>the</strong>y navigate through <strong>the</strong> OHSU health care system, and<br />

<strong>the</strong>n coordinates discharge planning back to <strong>the</strong> patients’<br />

referring providers and community.<br />

Lisa is instrumental to coordinating <strong>the</strong> service’s bi-weekly<br />

multidisciplinary care conference for esophageal<br />

malignancies. She develops educational material for <strong>the</strong><br />

patients, teaches <strong>the</strong>m preoperative care, and provides<br />

love, compassion, and understanding to each interaction.<br />

Lisa is involved in role development and process<br />

improvement, both with <strong>the</strong> Patient Care Team Model in<br />

<strong>the</strong> Digestive Health Center (which includes <strong>the</strong> phone<br />

operators, schedulers, medical assistants and nurse), as<br />

well as development <strong>of</strong> <strong>the</strong> new care coordination role for<br />

<strong>the</strong> ambulatory pr<strong>of</strong>essional nurse. Lisa works closely<br />

with <strong>the</strong> ambulatory pr<strong>of</strong>essional practice leader and<br />

o<strong>the</strong>r care coordinators within ambulatory care to ensure<br />

that nursing is involved with <strong>the</strong> planning phases <strong>of</strong> this<br />

important role.<br />

Lisa contributes to OHSU’s discovery mission through<br />

involvement in GERD research. She accompanies <strong>the</strong><br />

patients to <strong>the</strong> OR when required to assist with<br />

interrogation <strong>of</strong> gastric stimulators, and follows patients in<br />

<strong>the</strong> ambulatory setting to determine success or failure <strong>of</strong><br />

<strong>the</strong> procedure.<br />

Lisa helped to lead many attending physicians, residents,<br />

and fellows through <strong>the</strong> transition to Epic and OpTime<br />

electronic health records, with great willingness to teach<br />

how to use <strong>the</strong> system to its fullest.<br />

Lisa uses <strong>the</strong> pr<strong>of</strong>essional nursing model to impact patient<br />

outcomes and is lauded for her abilities to work side by<br />

side with <strong>the</strong> medical model.<br />

The Clinical Care category is described as “a nurse who demonstrates excellence as a practitioner <strong>of</strong> direct care delivery in<br />

any clinical setting. This practitioner directs and manages care in a <strong>the</strong>rapeutic manner to inspire o<strong>the</strong>rs to transform,<br />

and to transform practice."


“My esophagectomy patients (I could name<br />

50 <strong>of</strong> <strong>the</strong>m) come to OHSU with one <strong>of</strong> <strong>the</strong><br />

worst diagnoses in medicine, esophageal<br />

cancer, referred for one <strong>of</strong> <strong>the</strong> most morbid<br />

operations in medicine, esophagectomy.<br />

Needless to say, <strong>the</strong>y are PETRIFIED when<br />

<strong>the</strong>y walk into clinic with <strong>the</strong>ir families.<br />

Thanks to Lisa, and <strong>the</strong> whole DHC and<br />

Knight Cancer Center team, <strong>the</strong>se patients<br />

leave <strong>the</strong> hospital 12 weeks later with a new<br />

life in front <strong>of</strong> <strong>the</strong>m, most <strong>of</strong> <strong>the</strong> time. During<br />

<strong>the</strong>se 12 weeks, and for 3-6 months beyond<br />

<strong>the</strong> 12 weeks <strong>of</strong> active <strong>the</strong>rapy, <strong>the</strong>y have a<br />

million needs and questions. Lisa –<br />

tirelessly – takes care <strong>of</strong> each one <strong>of</strong> <strong>the</strong>m<br />

as if <strong>the</strong>y were <strong>the</strong> only person in <strong>the</strong> world<br />

she has to worry about. When I see <strong>the</strong>m in<br />

clinic, <strong>the</strong>re is little for me to do, as Lisa has<br />

taken care <strong>of</strong> <strong>the</strong>m so well. BRAVO!”<br />

John Hunter, MD<br />

Chair, Department <strong>of</strong> Surgery<br />

“Over <strong>the</strong> past 2 years, we have had a<br />

dinner, which precedes our annual<br />

Esophageal Cancer Research Retreat.<br />

Each time, multiple patients have come up<br />

to me and overtly commented on how<br />

grateful to Lisa <strong>the</strong>y are, both before, during,<br />

after <strong>the</strong>ir immediate care by <strong>the</strong><br />

multidisciplinary esophageal cancer<br />

team…Lisa Bloker is a gem to work with.<br />

She believes in <strong>the</strong> missions <strong>of</strong> OHSU and<br />

lives <strong>the</strong>m every single day.”<br />

Charles R. Thomas, MD<br />

“She makes esophageal cancer treatment at<br />

OHSU work, and, amazingly, she makes it<br />

look easy.” Ken Gatter, MD<br />

“When I was a student I only envisioned my nursing career in one light - acute care<br />

nursing. I loved <strong>the</strong> feel <strong>of</strong> <strong>the</strong> hospital, <strong>the</strong> constantly changing environment, <strong>the</strong><br />

never ending list <strong>of</strong> technical tasks and procedures, and <strong>the</strong> diverse patient<br />

population. I was young, energetic, and idealistic. For about 4 years I lived my dream<br />

until I suffered an on <strong>the</strong> job injury. After a lengthy recuperation, I was advised that it<br />

would be in my best interest medically to ei<strong>the</strong>r leave nursing or find a position that<br />

didn't require lifting. I struggled with <strong>the</strong> decision but eventually accepted my current<br />

position within <strong>the</strong> Digestive Health Center. When I advised my peers <strong>of</strong> my decision,<br />

<strong>the</strong> reaction was one not <strong>of</strong> support and congratulations but one <strong>of</strong> disdain.<br />

Comments such as "So you're not going to be a real nurse any longer?" and "Why are<br />

you giving up nursing?" occurred so frequently that I actually started to believe <strong>the</strong>m.<br />

How little did I know! My role as a Patient Care Coordinator has been more<br />

challenging and more rewarding than anything I ever could have imagined and over<br />

<strong>the</strong> last 8 years, I feel I've truly learned what it means to be a Nurse!<br />

I've been blessed to work with an amazing team <strong>of</strong> physicians and staff who have<br />

encouraged me to develop and define my nursing practice. Part <strong>of</strong> my role includes<br />

working with a multidisciplinary team that focuses on <strong>the</strong> care <strong>of</strong> patients with<br />

esophageal cancer. This is a patient population that I never thought I'd work closely<br />

with but I've found that I love it and can't imagine working anywhere else.<br />

Every day I am amazed at <strong>the</strong> strength and perseverance <strong>of</strong> our patients. Working<br />

with <strong>the</strong>m is both awe-inspiring and heartbreaking and I can't help but feel honored<br />

to be a part <strong>of</strong> my patient's lives during this difficult time. To listen to <strong>the</strong>ir stories,<br />

<strong>the</strong>ir fears, <strong>the</strong>ir joys, to laugh with <strong>the</strong>m and sometimes cry with <strong>the</strong>m is a gift from<br />

God. They have taught me so much about life and living and I know I will ever be able<br />

to return what <strong>the</strong>y've given to me. It is my hope that if I can ease some <strong>of</strong> <strong>the</strong>ir fear<br />

or make life a little easier by <strong>of</strong>fering a word <strong>of</strong> reassurance, assistance with<br />

navigating a test or procedure, answering a few questions, or simply sharing a smile I<br />

might be giving some <strong>of</strong> what I've learned back to <strong>the</strong>m.<br />

Working in Patient Care Coordination and ambulatory medicine may have never been<br />

my "dream job" but it is one I will be forever grateful for. I feel humbled and deeply<br />

honored to have been nominated and selected for this award. Thank you!”<br />

Lisa Bloker<br />

The Clinical Care category is described as “a nurse who demonstrates excellence as a practitioner <strong>of</strong> direct care delivery in<br />

any clinical setting. This practitioner directs and manages care in a <strong>the</strong>rapeutic manner to inspire o<strong>the</strong>rs to transform,<br />

and to transform practice."


Linda Louise Tschida, BS, RN<br />

RN, 5C Family Medicine<br />

Manager: Megan Boyle<br />

Linda’s commitment to community service is remarkable. In<br />

<strong>the</strong> past years nurses have been recognized for <strong>the</strong> work<br />

<strong>the</strong>y have done on medical missions and outside <strong>of</strong> our<br />

immediate community. Linda is a nurse who serves in her<br />

own backyard. She thinks globally and acts locally. When<br />

you think about <strong>the</strong> stories you are about to read, keep in<br />

mind that Linda works full-time as a bedside nurse on 5C.<br />

She does <strong>the</strong>se remarkable tasks in addition to her regular<br />

work schedule.<br />

As I volunteer in a variety <strong>of</strong> settings, my desire is to be<br />

available for people in ways that are meaningful to <strong>the</strong>m.<br />

I have not always known exactly where <strong>the</strong> adventure will<br />

lead me, whom I will meet, or what <strong>the</strong> outcome will be,<br />

but it has never failed to enrich my life.<br />

Linda Tschida<br />

Linda does not usually perform her community service<br />

activities alone, but accompanied by one <strong>of</strong> her four-legged<br />

helpers. Linda and her labradoodles, Laci and Becca, make<br />

appearances at hospitals, schools, jails, nursing homes, and<br />

homeless shelters. Laci and Becca are certified as Animal<br />

Assisted Therapy (AAT) dogs that undergo rigorous training<br />

and maintain bi-annual competencies. Linda describes how she and her dogs impact those in need:<br />

During <strong>the</strong> months <strong>of</strong> December to March each year, our church combines efforts with o<strong>the</strong>r churches to coordinate and maintain an evening<br />

shelter for up to 40 homeless people each night to provide volunteers, dinner, and a place to sleep with breakfast in <strong>the</strong> morning. Once a week<br />

during this time, I take one <strong>of</strong> my dogs (Laci or Becca) and we go as a <strong>the</strong>rapy team just to visit, play games, talk, and hang out with <strong>the</strong> people<br />

staying <strong>the</strong>re for <strong>the</strong> night and with <strong>the</strong> staff. Many people spend more time with my dog than with me (and I understand that – I think my<br />

dogs are special too!) Recently when we entered <strong>the</strong> shelter, Becca paused and turned to <strong>the</strong> right, not <strong>the</strong> left as usual. I could tell she was on<br />

a mission so I let her lead me. Without hesitation she went to two gentlemen on a couch. She looked at both men, gently got up on <strong>the</strong> couch<br />

between <strong>the</strong>m, and carefully leaned on <strong>the</strong> man sitting on our left. As she leaned into him, he leaned into her, and without saying a word he put<br />

his arms around her and hugged her. He was silent and for <strong>the</strong> next 20 minutes nei<strong>the</strong>r he nor Becca moved. Tears started to fall from his face.<br />

O<strong>the</strong>r people from <strong>the</strong> shelter walked by and said that <strong>the</strong>y were glad Becca was <strong>the</strong>re because "John really was depressed". After 20 minutes,<br />

John began talking to me about his family, his dogs, his past occupations, his fears about where he would go after <strong>the</strong> shelter closed, and ideas<br />

The Community Service category is described as "A nurse who makes significant pr<strong>of</strong>essional or voluntary contributions to<br />

<strong>the</strong> community. Through community service, <strong>the</strong> nurse transfers knowledge in a manner that promotes dialogue, open<br />

communication and interdisciplinary relationships within <strong>the</strong> community setting."


he had about getting back on his feet. Becca sensed an<br />

individual's need, went to <strong>the</strong> person and was available to meet<br />

<strong>the</strong> need. I was fortunate enough to be on <strong>the</strong> o<strong>the</strong>r end <strong>of</strong> <strong>the</strong><br />

leash.<br />

Because Linda and her dogs are active with AAT<br />

certification, <strong>the</strong>y are also allowed <strong>the</strong> privilege to be<br />

involved with <strong>the</strong> Canine Crisis Response groups. Linda<br />

describes her community service activities as <strong>the</strong>y relate<br />

to <strong>the</strong> Crisis Response Group:<br />

• Through this group, I am involved in <strong>the</strong> Washington<br />

County Sheriff Department Chaplain program. We<br />

coordinate with <strong>the</strong> Chaplain's program to provide weekly<br />

AAT visits for inmates at <strong>the</strong> jail. These visits provide a time<br />

for <strong>the</strong> inmates to connect with <strong>the</strong> dogs and with us.<br />

Having <strong>the</strong> dogs present helps people become more relaxed<br />

and <strong>the</strong>y are able to be someone o<strong>the</strong>r than an inmate.<br />

They may talk about <strong>the</strong>ir frustrations, <strong>the</strong>ir favorite dog,<br />

family, or what <strong>the</strong>y want to do in <strong>the</strong> future. The Sheriff's<br />

department has also utilized this Crisis Response group<br />

when <strong>the</strong>re have been suicides in <strong>the</strong> jail or in <strong>the</strong><br />

community.<br />

• Through <strong>the</strong> Cascade Crisis Response Group we worked<br />

with Providence Healthcare at Camp Erin. This is a summer<br />

camp for young people who have experienced <strong>the</strong> loss <strong>of</strong> a<br />

loved one. As a Crisis Response group we are available for<br />

campers and staff. During one experience, I was working<br />

with a camper who did not feel comfortable sharing her<br />

feelings with <strong>the</strong> group. I noticed she spent time playing<br />

and talking with my dog Laci. Laci loved fetching sticks,<br />

wading in <strong>the</strong> water with <strong>the</strong> girl, and playing on <strong>the</strong> creek<br />

bank. I realized that all <strong>the</strong> while, <strong>the</strong> girl was telling Laci<br />

about her loss and about her feelings. I felt very contented<br />

that Laci and I were <strong>the</strong>re and that Laci was able to provide<br />

something for this girl that no human had been able to do<br />

during <strong>the</strong> trip.<br />

Linda donated two <strong>of</strong> her Labradoodle puppies, Hope<br />

and Heidi, to be trained by <strong>the</strong> Autism Service Dogs <strong>of</strong><br />

America to become service dogs for autistic children:<br />

After donating Hope and Heidi, I had <strong>the</strong> privilege <strong>of</strong><br />

volunteering time to participate in <strong>the</strong>ir training. Hope and<br />

Heidi have recently been placed in families with Autistic<br />

children. Heidi lives on <strong>the</strong> college campus at Irvine, California<br />

with her boy and his family. Hope is living in Dallas, Texas<br />

with her boy named Gray. Hope's family has established a<br />

website called "Hope for Gray" to help raise awareness about<br />

Service Dogs for autistic children and raise funds for families<br />

wanting to obtain a Service Dog for <strong>the</strong>ir autistic child.<br />

Through her work with <strong>the</strong> autism training, Linda found a<br />

new skill which she <strong>the</strong>n transferred to training o<strong>the</strong>r<br />

service dogs.<br />

I know a couple, Paulie and Chuck. Chuck as early Alzheimer's<br />

disease and his physician thought a Service Dog could be<br />

beneficial. They adopted an adult Cocker Spaniel named Dakota<br />

from a shelter. However, <strong>the</strong>y did not know much about <strong>the</strong><br />

dog's background and asked if I could help <strong>the</strong>m work with <strong>the</strong><br />

I have been working with Linda for <strong>the</strong> past 2 years. Recently we have worked closely toge<strong>the</strong>r on <strong>the</strong> Nurses Improving<br />

Care for Healthsystem Elders (NICHE) leadership training program. During this program I had <strong>the</strong> privilege experiencing<br />

Linda’s compassion for <strong>the</strong> elderly community. During <strong>the</strong> NICHE application process, Linda stated “it is also important to<br />

be aware <strong>of</strong> factors that influence <strong>the</strong> patient and <strong>the</strong>ir health such as family dynamics, support systems, previous living<br />

situations and possible changes that may require changes in living situations - ei<strong>the</strong>r temporarily or permanently.” This<br />

statement demonstrates Linda’s ability to care holistically for her patients both inside and outside <strong>the</strong> hospital. Linda takes<br />

this view with her when she works within <strong>the</strong> community. It is individuals like Linda who make such an everlasting impact<br />

on those she becomes in contact with. Her contributions to <strong>the</strong> community have impacted many lives, and it is time for<br />

Linda to receive <strong>the</strong> recognition she deserves. Sarah Strom, Pr<strong>of</strong>essional Practice Leader


Linda and her dogs do great and important work<br />

for <strong>the</strong> community, but <strong>the</strong> impact <strong>of</strong> Linda’s<br />

volunteerism does not stop with <strong>the</strong><br />

community. Linda brings all her experiences<br />

with her every time she comes to work on 5c,<br />

giving her a unique perspective and ability to<br />

care for <strong>the</strong> patient population that 5C serves. I<br />

can’t think <strong>of</strong> a RN who is more deserving <strong>of</strong> <strong>the</strong><br />

Community Service Nurse <strong>of</strong> <strong>the</strong> <strong>Year</strong> award<br />

than Linda Tschida.<br />

Megan Boyle, interim Nurse Manager<br />

dog to train it to be Chuck's Service Dog. One <strong>of</strong> <strong>the</strong>ir<br />

short-term goals was to be able to fly out <strong>of</strong> state to visit<br />

family with Dakota staying in <strong>the</strong> cabin <strong>of</strong> <strong>the</strong> plane and<br />

behaving in a calm, appropriate manner. I spent time<br />

evaluating <strong>the</strong> dog's temperament, her responses in<br />

different situations and environments, and her owner's<br />

skills and knowledge. We spent time doing such things as<br />

walking in neighborhoods with traffic and dogs barking.<br />

We helped Dakota develop her obedience skills and boost<br />

her confidence and connection with her owners. Because<br />

Dakota <strong>of</strong>ten reacted to o<strong>the</strong>r dogs, I involved Becca in<br />

Dakota's training because Becca is a very non-reactive and<br />

non-threatening dog. We even got permission to go<br />

behind <strong>the</strong> scenes at <strong>the</strong> Hillsboro Airport so that Dakota<br />

could experience some <strong>of</strong> <strong>the</strong> noises, vibrations, and wind<br />

gusts associated with airplanes and helicopters. Dakota is<br />

still growing in her role as a Service Dog but she did go on<br />

<strong>the</strong> airplane in <strong>the</strong> cabin with her owners to visit family.<br />

That was a wonderful accomplishment for both Dakota<br />

and Chuck and Paulie.<br />

Linda has also volunteered with <strong>the</strong> Oregon Zoo for 13<br />

years with special events, animal husbandry, animal<br />

observations, educational activities and Zoo Lights.<br />

Beyond <strong>the</strong> animal community, Linda volunteers at a foot<br />

clinic providing free foot care such as nail trimming, foot<br />

soaks, and foot massages. Because <strong>of</strong> her expertise as a<br />

nurse she <strong>of</strong>ten provides o<strong>the</strong>r services such as blood<br />

pressure checks. She describes <strong>the</strong> clinic:<br />

This foot clinic has a special place in my heart. This is a time that<br />

I can do something very tangible for o<strong>the</strong>rs that <strong>the</strong>y cannot do<br />

for <strong>the</strong>mselves. The way this clinic is physically arranged it<br />

provides a wonderful time <strong>of</strong> interaction, laughter, and sharing<br />

among those receiving foot care and those giving <strong>the</strong> foot care.<br />

Many <strong>of</strong> <strong>the</strong> participants have known each o<strong>the</strong>r for many years<br />

and this becomes a time <strong>of</strong> catching up, checking in, and<br />

reaffirming <strong>of</strong> one ano<strong>the</strong>r's worth. It is also great to see family<br />

members enjoying this time toge<strong>the</strong>r, whe<strong>the</strong>r it is couples or<br />

adult children with <strong>the</strong>ir parent(s).<br />

Linda is an exceptional nurse who selflessly gives from<br />

her heart.<br />

Above: Linda and Becca. Becca is a certified<br />

Animal Assisted Therapy dog and crisis<br />

response work certified. Right: Linda saying<br />

goodbye to Heidi, <strong>the</strong> service dog she trained<br />

for an autistic boy in California.


Kathryn Conway, BSN, RN<br />

RN, 7A Trauma ICU<br />

Manager: Tracy Neidetcher<br />

Kathy is a passionate, expert critical care nurse with over 20<br />

years <strong>of</strong> experience in OHSU’s Trauma ICU. She has an<br />

incredible knowledge base in critical care and is always willing<br />

to go above and beyond to help out a patient or a fellow RN.<br />

The unit’s Critical Response Nurse (CRN) program has<br />

benefitted from Kathy’s expertise. She was one <strong>of</strong> <strong>the</strong> first<br />

nurses involved in <strong>the</strong> program, and she continues to work<br />

towards making it strong and pr<strong>of</strong>icient. She has helped to<br />

create a new CRN job description, orientation process and<br />

helped plan an education day, recognizing that we must create<br />

a program that develops strong nurses if OHSU is to maintain<br />

credibility within <strong>the</strong> state trauma system.<br />

Kathy is involved with unit quality improvement and process<br />

improvement projects to improve patient safety. She actively<br />

performs audits <strong>of</strong> <strong>the</strong> CRN charts, and has brought to light<br />

needed documentation improvements. She is always willing to<br />

be present to ensure <strong>the</strong> process changes run smoothly. One<br />

recent example was a change in Massive Transfusion Protocol<br />

and how blood bank blood is accessed during a major trauma<br />

protocol. Kathy came in to do mock trials on her day <strong>of</strong>f to<br />

ensure that everyone on <strong>the</strong> unit knew <strong>the</strong> process and potential barriers.<br />

“As a Critical Response<br />

Nurse at OHSU I am<br />

proud to be part <strong>of</strong> a<br />

team <strong>of</strong> nurses, doctors,<br />

paramedics and o<strong>the</strong>r staff who share a common goal<br />

to provide Oregonians with world-class trauma care.<br />

Much <strong>of</strong> <strong>the</strong> success <strong>of</strong> this team is due to <strong>the</strong><br />

excellent and compassionate care that our nurses<br />

give to <strong>the</strong> injured patients. The CRN role takes me<br />

to many locations in <strong>the</strong> hospital where I am inspired<br />

by our well-educated and engaged nurses throughout<br />

<strong>the</strong> continuum <strong>of</strong> care. From <strong>the</strong> Emergency<br />

Department to <strong>the</strong> Trauma ICU to <strong>the</strong> Trauma ward<br />

on 13A - nurses do make <strong>the</strong> difference!<br />

I truly appreciate being awarded this honor. I equally<br />

appreciate <strong>the</strong> opportunity <strong>of</strong> working in a caring,<br />

supportive environment where nurses’ participation<br />

is encouraged and valued.”<br />

Kathryn Conway<br />

Kathy has been a nurse for a long time, but is not “burned out”. She has <strong>the</strong> same passion that new nurses have. She<br />

embraces change and loves what she does. She plays an integral role in <strong>the</strong> Trauma ICU, educating new nurses, assisting<br />

with Releasing Time to Care performance improvement efforts, and serving as <strong>the</strong> unit’s Magnet Champion.<br />

The Distinguished Nurse category is described as "An expert role-based nurse who has been in practice more than 15 years.<br />

This nurse has taken <strong>the</strong> lead through innovative leadership, fostering involvement in <strong>the</strong> pr<strong>of</strong>ession, or forming and<br />

engaging partnerships within <strong>the</strong> community."


Jennifer Fox, MSHCM, RN, CPN<br />

Nurse Manager, 9N Pediatric Acute Care Medical<br />

Manager: Ruby Jason<br />

Jenn began at OHSU as a new nursing graduate. A natural<br />

leader, she has transitioned through <strong>the</strong> roles <strong>of</strong> charge<br />

nurse, nursing practice education coordinator, and now<br />

serves 9N as nurse manager.<br />

The recent fire event in Doernbecher, which garnered<br />

“As a person who has grown up at OHSU (staff nurse,<br />

national attention, was a prime example <strong>of</strong> Jenn’s leadership educator, NPEC, manager) being a manager has been<br />

and capability. She was <strong>the</strong>re on a Saturday to make sure an <strong>the</strong> most challenging experience <strong>of</strong> my career so<br />

employee received <strong>the</strong>ir evaluation. Because she was <strong>the</strong>re, far. Though it is a roller coaster, <strong>the</strong> highs are so<br />

she was one <strong>of</strong> <strong>the</strong> responders, bringing <strong>the</strong> patient to <strong>the</strong> rewarding. During <strong>the</strong> lows, it is truly <strong>the</strong> team I work<br />

floor, rolling out <strong>the</strong> flames and getting <strong>the</strong> patient <strong>the</strong> help with every day that keeps me going. I am so proud to<br />

she needed. She <strong>the</strong>n saw to <strong>the</strong> safety <strong>of</strong> her staff and <strong>the</strong> say I am a part <strong>of</strong> <strong>the</strong> PACM team. As a manager, my<br />

emotional toll this had on everyone <strong>the</strong>re. She talked to<br />

role is to help move <strong>the</strong> team forward. I don’t pick<br />

parents, called <strong>the</strong> appropriate hospital administrator staff, <strong>the</strong> direction; I guide <strong>the</strong> team along <strong>the</strong> path, so we<br />

provided counseling and comfort opportunities and did not never get stuck.” Jennifer Fox<br />

leave until she was sure that every staff member was ok. In<br />

<strong>the</strong> ensuing days with <strong>the</strong> media attention, <strong>the</strong> fire marshal’s inspections, and <strong>the</strong> CMS survey Jenn’s openness and<br />

leadership were cited over and over as being a major source <strong>of</strong> evidence that <strong>the</strong> staff did all <strong>the</strong>y could to prevent this<br />

injury from becoming worse. She never lost her confidence in her staff, in <strong>the</strong>ir abilities, and in <strong>the</strong>ir intent to care for this<br />

patient and all <strong>the</strong> o<strong>the</strong>r patients on 9N.<br />

But one incident does not make a leader: Jenn continually shows her leadership and managerial expertise. O<strong>the</strong>r<br />

departments in <strong>the</strong> hospital seek her out to be a member <strong>of</strong> <strong>the</strong>ir committees due to her balanced approach, her clinical<br />

expertise and in her expertise in Epic documentation issues. Her passion for <strong>the</strong> patients, her passion for <strong>the</strong> staff and<br />

The Management category is described as “a nurse who demonstrates exceptional management <strong>of</strong> nursing or patient care<br />

services in any setting. This nurse manages <strong>the</strong> role and application to ensure that practice standards are upheld and that<br />

<strong>the</strong> environment is designed to support <strong>the</strong> nursing pr<strong>of</strong>essional role and nursing practice."


her management <strong>of</strong> where <strong>the</strong> two integrate have<br />

demonstrated that Jenn is a manager and a leader, a<br />

combination that not all managers possess. The<br />

organization can make you a manager, but only your<br />

staff can make you a leader. Jenn has earned <strong>the</strong><br />

respect <strong>of</strong> her staff. She is <strong>of</strong> a different generation<br />

than <strong>the</strong> majority <strong>of</strong> her staff but <strong>the</strong> widely publicized<br />

“generation gap” in nursing does not exist in her<br />

relationship with any <strong>of</strong> her staff members.<br />

Jenn is committed to patient experience. Several times<br />

a week, she rounds with families to learn about any<br />

concerns or complaints. She <strong>the</strong>n tackles systems and<br />

“I appreciate that when I go to Jenn with concerns or complaints<br />

about some issue I've come across, she finds <strong>the</strong> right balance <strong>of</strong><br />

giving me a moment to just vent followed by engaging me in<br />

discussion and problem-solving. If it's a systems issue, <strong>the</strong>n I can<br />

count on Jenn ei<strong>the</strong>r passing my thoughts on to <strong>the</strong> appropriate<br />

work group or brainstorming with me about what steps I can take<br />

to start tackling <strong>the</strong> problem myself. I love that my boss doesn't try<br />

to solve all <strong>of</strong> my problems for me but challenges me to get<br />

engaged in solutions.”<br />

Melanie, 9N RN<br />

communication issues to ensure that her staff have<br />

what <strong>the</strong>y need to provide excellent care.<br />

Communication is important to her, and she is skilled<br />

at inviting discussion on important topics and<br />

encouraging staff engagement in problem solving. Jenn<br />

welcomes change, and 9N has taken <strong>the</strong> role <strong>of</strong> pilot<br />

unit for multiple performance and quality<br />

improvement initiatives. On a daily basis, she is aware<br />

<strong>of</strong> <strong>the</strong> unit “pulse”, and is efficient, decisive, and<br />

thoughtful in her decision making.<br />

Jenn exemplifies <strong>the</strong> Nurse Manager needed in today’s<br />

healthcare environment.<br />

“When I look at Jenn, I see<br />

a future CNO”<br />

Jennifer Jacoby<br />

VP/Chief Nursing Officer<br />

“We are given <strong>the</strong> environment to grow and challenge ourselves intellectually and develop our own ways<br />

to improve <strong>the</strong> nursing pr<strong>of</strong>ession… I love how Jenn lets her employees be a part <strong>of</strong> <strong>the</strong> solution and <strong>the</strong><br />

development <strong>of</strong> 9N. Change is seen as a positive and potentially a groundbreaking instance, ra<strong>the</strong>r than<br />

as ano<strong>the</strong>r thing on <strong>the</strong> already long list to do.”<br />

Jess, 9N RN


John Elliott, BSN, RN, CPN<br />

RN/Staff Educator, Nursing Resource Management (Pediatric Float Pool)<br />

Manager: Peggy Woolf<br />

John Elliott epitomizes <strong>the</strong> pr<strong>of</strong>essional nurse. Whe<strong>the</strong>r he<br />

is working with patients directly, leading organizational<br />

projects, as a scientist looking at evidence-based practice,<br />

or transferring knowledge to his peers, patients, or<br />

leadership team, John does it in <strong>the</strong> finest way. John’s<br />

good heart and desire for patient-centered care, staff<br />

appreciation and organizational success makes him a<br />

highly engaged leader in Nursing Resource Management.<br />

As chair <strong>of</strong> <strong>the</strong> NRM’s unit-based nursing practice council<br />

(UBNPC) John has improved UBNPC efficiency, with timed<br />

meeting agendas, rethinking <strong>of</strong> retreat dates to allow for<br />

better planning, and helping to organize NRM’s<br />

Pr<strong>of</strong>essional Practice Day.<br />

John is committed to patient safety and quality<br />

improvement and part <strong>of</strong> a group dedicated to fall<br />

reduction. He keeps dialogue on fall prevention alive, and<br />

communicates fall trending and creative prevention<br />

approaches to float pool members.<br />

As staff educator for <strong>the</strong> Pediatric Float Pool, John<br />

collaborates on orientation for new hires, mentors and<br />

advocates for <strong>the</strong>m, and assures that Pediatric Float Pool<br />

RNs are up to date on competencies. He also enjoys<br />

precepting nursing students, and seeks <strong>the</strong> opportunity<br />

whenever he can.<br />

John has been key in developing and monitoring <strong>the</strong><br />

group’s signature moment patient experience project,<br />

“Face Time”, and spearheaded last year’s “Hit <strong>the</strong><br />

Breaks” project to ensure that float pool nurses receive<br />

breaks. He consistently encourages ongoing<br />

pr<strong>of</strong>essional certification and continuing education<br />

with his peers and provides <strong>the</strong>m with <strong>the</strong> tools to<br />

accomplish it.<br />

John’s influences reaches beyond OHSU: he was<br />

instrumental in forming a local chapter <strong>of</strong> <strong>the</strong> Society<br />

<strong>of</strong> Pediatric Nursing.<br />

John wrote <strong>the</strong> lyrics to OHSU Nursing’s Magnet video<br />

“The Dream is Alive in Portland”,<br />

which spo<strong>of</strong>ed <strong>the</strong> infamous Portlandia video.<br />

View <strong>the</strong> video on <strong>the</strong> Magnet web page<br />

(search 02 for “Magnet”).<br />

The Mentoring category is described as “a nurse who provides positive pr<strong>of</strong>essional influence, guidance, and support <strong>of</strong><br />

o<strong>the</strong>r nurses in any setting. This nurse inspires o<strong>the</strong>rs to transform service and care.”


I am humbled to receive this honor. I don’t know if it is<br />

that mentoring is something that comes naturally or if I<br />

just like to talk a lot. I think it’s more <strong>of</strong>ten <strong>the</strong> latter.<br />

Hopefully, though, when I talk I share thoughts, ideas,<br />

and useful information that benefits <strong>the</strong> hearer.<br />

There have been many individuals placed in my path over<br />

<strong>the</strong> course <strong>of</strong> my education and career who have served<br />

and (continue to serve me) by sharing what <strong>the</strong>y know<br />

and by motivating me to grow, develop, learn, and to<br />

share myself. One <strong>of</strong> <strong>the</strong> first phrases I remember<br />

hearing in nursing school was from my clinical instructor<br />

who constantly repeated, “See one, do one, <strong>the</strong>n teach<br />

one.” I sincerely believe that we are held accountable to<br />

<strong>the</strong> knowledge that we are blessed with and we are all<br />

indebted. We pay back that debt by sharing what we<br />

have learned to those whom we recognize can best<br />

utilize <strong>the</strong> information and benefit <strong>the</strong>mselves and<br />

o<strong>the</strong>rs by it.<br />

It’s more than transfer <strong>of</strong> knowledge though. My<br />

philosophy is that we also need to encourage one<br />

ano<strong>the</strong>r. We put up with a great many details and<br />

“John can be counted on 1000% to<br />

get <strong>the</strong> job done.”<br />

Peggy Woolf, Nurse Manager<br />

inconveniences in our workplaces. But we are here for a<br />

nobler purpose. And we are individually inadequate to<br />

<strong>the</strong> task. We are not a rock or an island.<br />

I recently returned from a conference and one <strong>of</strong> <strong>the</strong><br />

speakers said something I didn’t expect to hear. Most<br />

nurses, when prompted, will mechanically respond that<br />

(<strong>of</strong> course) <strong>the</strong> patient is <strong>the</strong> most important person in<br />

healthcare. It’s been drilled into us over and over again.<br />

But this speaker said, “The most important person in<br />

healthcare is YOU. Because if YOU are not <strong>the</strong>re, where<br />

IS healthcare? Who will provide it? What happens to<br />

<strong>the</strong> patient?” In order to be <strong>the</strong>re to meet <strong>the</strong> needs we<br />

must encourage, prod, remind, and lead each o<strong>the</strong>r<br />

toward <strong>the</strong> place where all <strong>the</strong> elements <strong>of</strong> great<br />

healthcare intersect.<br />

So, one more thing: if you have not already done so I<br />

encourage you to make your own statement <strong>of</strong><br />

commitment to excellence and get certified in your<br />

specialty.<br />

John Elliott<br />

“He is an encouragement to me in my role<br />

and I have learned from him in <strong>the</strong> way that<br />

he conducts himself in his RN role. In<br />

essence he is a mentor to all he encounters.”<br />

Kathy Buhler,<br />

Pr<strong>of</strong>essional Practice Leader


Jessica Jones, BSN, RN<br />

RN, South OR<br />

Manager: Rayna Tuski<br />

Jessica (<strong>of</strong>ten called “Jessy”) began her nursing<br />

career in OHSU’s South OR, where she had previously<br />

served as a surgical technician. She’s a department<br />

star, described as kind and a genuine team player.<br />

Jessy led <strong>the</strong> nursing care and coordination <strong>of</strong> <strong>the</strong><br />

newly established Thoracic Robotic program. She<br />

traveled to o<strong>the</strong>r states for additional training, came<br />

in on days <strong>of</strong>f to assist with robot-assisted cases, and<br />

has ensured that operating rooms are ready with <strong>the</strong><br />

appropriate equipment and that staff is kept up-todate<br />

on case flow. She helped to create a thoracic<br />

surgery cart with <strong>the</strong> most common equipment and<br />

supplies that are needed for <strong>the</strong>se cases. Circulating<br />

nurses who are not familiar with <strong>the</strong> procedures,<br />

equipment, or supplies now have one central place<br />

to access what is needed for <strong>the</strong> cases. This has<br />

decreased confusion and increased efficiency.<br />

Jessy is a competent clinical preceptor who guides,<br />

direct, encourage, and supports perioperative interns<br />

and orientees. She is greatly appreciated by those<br />

she precepts for her patience, kindness and<br />

individualized attention.<br />

“She demonstrates a level <strong>of</strong><br />

competence and confidence that is<br />

many years beyond her current level<br />

<strong>of</strong> experience.”<br />

Dan Werle, NP<br />

“She is extremely knowledgeable about <strong>the</strong> new<br />

techniques and dependable. We know that if Jessy<br />

is in our operating room we won't have to worry<br />

about delays.”<br />

Laura Shula, PA-C<br />

The Nightingale category is described as “a role-based nurse who has been in practice less than 18 months. This nurse<br />

exemplifies outstanding and caring leadership and pr<strong>of</strong>essionalism as a beginning practitioner.”


“I always knew I wanted to have a career in <strong>the</strong><br />

healthcare field but wasn’t sure where I’d end up.<br />

After high school I went to college and become a<br />

certified surgical tech. I instantly fell in love with<br />

surgery and knew this is where I wanted to be.<br />

However after several years as a tech I decided to go<br />

back to school and fur<strong>the</strong>r my education.<br />

In 2011, I received my bachelor degree from Linfield<br />

College in nursing. During school I visited several<br />

different areas <strong>of</strong> nursing but ultimately came back<br />

to <strong>the</strong> operating room. I was nervous and excited to<br />

return and make <strong>the</strong> transition from a tech to a<br />

nurse. Everyone was so helpful and willing to help<br />

me learn this new role I was in. In all areas <strong>of</strong> nursing<br />

you work as a team, which is one thing I love <strong>the</strong><br />

most about this field as well as <strong>the</strong> variety you have<br />

in it. Every day I come to work and it’s new and<br />

different.<br />

One <strong>of</strong> <strong>the</strong> reasons I went into nursing is to have<br />

more interaction with patients and <strong>the</strong>ir family.<br />

Having had several loved ones that have had surgery<br />

I know how hard it can be on <strong>the</strong> o<strong>the</strong>r end. I never<br />

want families to feel like <strong>the</strong>ir loved one isn’t being<br />

well taken care <strong>of</strong> or not get updated throughout<br />

surgery. Talking to patients and <strong>the</strong>ir families,<br />

knowing that I’m doing my best every day while<br />

taking care <strong>of</strong> <strong>the</strong>ir loved ones, is extremely<br />

rewarding and keeps me motivated.”<br />

Jessica Jones<br />

“Jessica Jones stands out amongst her<br />

peers as a leader in our<br />

department. She is enthusiastic about<br />

her work and highly interested in<br />

learning and expanding her knowledge<br />

and skill sets. She continues to be<br />

eager to get involved in acquiring new<br />

information about thoracic surgery and<br />

is highly valuable as <strong>the</strong> primary point<br />

person for this service.”<br />

Rayna Tuski,<br />

Nurse Manager


Rhea Geelan, RN<br />

RN, Center for Hematologic Malignancies – Bone Marrow Transplant<br />

Manager: Jorge Gitler<br />

The Center for Hematologic Malignancies (CHM) infusion clinic is a<br />

community. Clinic nurses see <strong>the</strong>se patients multiple times each week.<br />

They get to know patients and <strong>the</strong>ir families, and listen to <strong>the</strong>ir fears,<br />

hopes and dreams. Some patients do well, receive many treatments,<br />

get <strong>the</strong>ir disease into remission and move on with <strong>the</strong>ir lives. O<strong>the</strong>rs<br />

persevere through treatment after treatment, battling until <strong>the</strong>re are<br />

no o<strong>the</strong>r options but hospice or palliative care.<br />

Rhea leads and coordinates this difficult process. Frequently patients<br />

call <strong>the</strong> clinic’s triage line seeking advice for potentially life-threatening<br />

conditions. Rhea speaks with <strong>the</strong>m empa<strong>the</strong>tically, giving <strong>the</strong>m her<br />

fullest attention and <strong>the</strong> assurance that <strong>the</strong>y need to advocate for<br />

<strong>the</strong>mselves. Her advice is clinically accurate and compassionate. She<br />

has dedicated time and effort to increase her and her co-workers<br />

knowledge and confidence in working with patients and families who<br />

are in <strong>the</strong> midst <strong>of</strong> transitioning through various levels <strong>of</strong> cancer care.<br />

Rhea works hard to ensure that <strong>the</strong> patient and <strong>the</strong>ir family are<br />

comfortable. She is kind and gentle and knows exactly what to say,<br />

when words are hard to come by. Rhea goes out <strong>of</strong> her way to<br />

accommodate patients:<br />

• While Rhea was working as <strong>the</strong> triage nurse, she tried to call a<br />

patient who lived alone at <strong>the</strong> coast . Unable to contact him, Rhea<br />

called <strong>the</strong> police to do a home safety check. He was not doing well<br />

and was transported to OHSU and admitted. While he was in <strong>the</strong><br />

hospital he was told <strong>the</strong>re was not much more that could be done<br />

about his disease and he was placed on “comfort care”. The only<br />

thing he cared about during all <strong>of</strong> this was his dog, Geronimo, and<br />

he desperately wanted to see him. Rhea made it possible for <strong>the</strong><br />

patient to spend time with his “best friend”, Geronimo, before his<br />

passing.<br />

• Rhea recently helped facilitate a much needed palliative care<br />

discussion with a patient whose disease had progressed. The<br />

patient was in denial about her situation and would miss<br />

appointments and <strong>the</strong>n call <strong>the</strong> triage line with a list <strong>of</strong><br />

complaints. The patient’s significant o<strong>the</strong>r/caregiver was very<br />

overwhelmed and could not handle <strong>the</strong> stress <strong>of</strong> all that was<br />

going on. He alluded to <strong>the</strong> fact that he was suicidal one day.<br />

Rhea called <strong>the</strong> social worker to help deal with <strong>the</strong> situation so<br />

she could deal with <strong>the</strong> patient’s issues. She made sure that<br />

<strong>the</strong> patient had a ride set up so she could get to clinic to receive<br />

<strong>the</strong> care she needed. Throughout <strong>the</strong> whole process, Rhea was<br />

<strong>the</strong>re to help, with encouragement, a comforting heart and a<br />

warm smile.<br />

• Rhea worked with a patient that had gone through multiple<br />

cycles <strong>of</strong> chemo<strong>the</strong>rapy, only to relapse a few months after<br />

finishing her last chemo<strong>the</strong>rapy regimen. The patient was a<br />

feisty lady. She was not ready to give up and was given <strong>the</strong><br />

option <strong>of</strong> palliative care so she could continue to receive blood<br />

transfusions. Rhea worked hard to make this happen so <strong>the</strong><br />

patient’s life could be prolonged. Before her passing, <strong>the</strong><br />

patient was able to share in <strong>the</strong> celebration <strong>of</strong> her new<br />

granddaughter’s birth.<br />

Anyone that comes into contact with Rhea knows that she is “one<br />

<strong>of</strong> a kind”. She goes <strong>the</strong> extra mile to make sure that all <strong>the</strong><br />

patients’ needs are fulfilled. She celebrates life with a special zest.<br />

The Virginia I. Sznewajs award was created by <strong>the</strong> Sznewajs family to recognize an OHSU nurse who consistently demonstrates<br />

excellence in supporting patients and <strong>the</strong>ir families through a life-threatening disease and death <strong>of</strong> a patient. The award is to<br />

recognize pr<strong>of</strong>essional excellence and to support <strong>the</strong> staff member's continued pr<strong>of</strong>essional development in <strong>the</strong> area <strong>of</strong> palliative<br />

nursing. Recipients receive a $1500 scholarship to fur<strong>the</strong>r his/her palliative care education.


“Rhea is consistently<br />

gentle and kind to<br />

patients. She seeks out<br />

patients in need <strong>of</strong><br />

palliative care so that<br />

she’s become <strong>the</strong> ‘go-to’<br />

person in her unit.”<br />

Erik Fromme, MD<br />

“Rhea constantly amazes<br />

me with <strong>the</strong> way she will<br />

step out <strong>of</strong> <strong>the</strong> box in<br />

supporting our patients<br />

that are in <strong>the</strong> process <strong>of</strong><br />

passing away.<br />

Unfortunately, in our field<br />

this is something that all <strong>of</strong><br />

us are touched by, losing<br />

patients we have come to<br />

know and care about<br />

deeply. There is nothing<br />

worse than <strong>the</strong> feeling that<br />

you cannot help someone<br />

any longer, but Rhea<br />

teaches us constantly that<br />

care doesn’t stop just<br />

because we can’t fix<br />

things anymore as we are<br />

taught to do as<br />

providers. ”<br />

Carol Jacoby, ACNP<br />

“I was 35 years old and a stay at home mom caring for 3 young boys and never even<br />

considered a career in nursing. I was content being a mom. My life changed when I was able<br />

to care for my grandfa<strong>the</strong>r during his last days <strong>of</strong> life while on hospice.<br />

My grandfa<strong>the</strong>r was 90 years old, tired and felt his quality <strong>of</strong> life had changed because he could<br />

no longer do <strong>the</strong> things that he loved doing, such as woodworking. He was spending most <strong>of</strong> his<br />

days sitting in his easy chair with a clear mind but a body that would not work any longer. He<br />

got pneumonia and made <strong>the</strong> decision that he did not want to take antibiotics to treat it. He<br />

made <strong>the</strong> decision that this would be <strong>the</strong> end <strong>of</strong> his life. He orchestrated what he wanted at <strong>the</strong><br />

end <strong>of</strong> his life. He was on hospice at home surrounded by his family, friends, music and<br />

laughter.<br />

Little did I know that as I was going thru this process at his side, I realized my passion. The<br />

moment he took his last breath, I knew I wanted to go to school to be a nurse. To care for<br />

families and patients who are going thru this process. Understanding <strong>the</strong> peace that <strong>the</strong> patient<br />

and family has when you know <strong>the</strong> patient is doing it <strong>the</strong> way <strong>the</strong>y want. He gave me this gift.<br />

I started working on <strong>the</strong> bone marrow transplant team 15 years ago and now work in triage in<br />

<strong>the</strong> Center for Hematologic Malignancies Clinic. I am called "mo<strong>the</strong>r" Rhea in <strong>the</strong> clinic because<br />

I treat all patients and <strong>the</strong>ir families like <strong>the</strong>y are my own. I watch over <strong>the</strong>m and try to help<br />

<strong>the</strong>m while <strong>the</strong>y are going thru <strong>the</strong>ir courageous battle <strong>of</strong> bone marrow transplant.<br />

Over <strong>the</strong> past 15 years I have witnessed many patients, whose treatments were no longer<br />

working, die in <strong>the</strong> hospital, or worse, at home without support or hospice/palliative care. Our<br />

patients have special needs with low blood counts and receive platelet and blood transfusion<br />

regularly. They fear stopping <strong>the</strong> transfusions at <strong>the</strong> end <strong>of</strong> life because <strong>of</strong> comfort and<br />

<strong>the</strong> possibility <strong>of</strong> bleeding to death.<br />

I have a dream and vision for OHSU regarding caring for our patients at <strong>the</strong> end <strong>of</strong> <strong>the</strong>ir lives. I<br />

want to build a relationship with home palliative and hospice teams, possibly having a contract<br />

between OHSU and home palliative care/hospice (hospice will not pay for blood<br />

transfusions) that would enable our patients to get <strong>the</strong> blood products at <strong>the</strong> end <strong>of</strong> <strong>the</strong>ir life<br />

and yet get a hospice/palliative care team in <strong>the</strong>ir homes earlier to help <strong>the</strong>m find <strong>the</strong>ir way to<br />

peace and grace. We have palliative care at OHSU that is great, but we need to have a team in<br />

<strong>the</strong> home with eyes and ears looking for problems, so that we can avoid crisis at <strong>the</strong> end <strong>of</strong> life.<br />

Bottom line, if we were able to get data looking at how much money we spend at <strong>the</strong> end <strong>of</strong> life<br />

with hospital stays, tests etc…we would consider thinking outside <strong>the</strong> box. We would probably<br />

save money for everyone and meet our patients’ needs better at end <strong>of</strong> life. It is a win-win.”<br />

Rhea Geelan


I feel so honored to<br />

receive this award. I<br />

think many <strong>of</strong> us go<br />

into nursing to help o<strong>the</strong>rs and make a difference in<br />

<strong>the</strong>ir lives. However, learning how to be a nurse is<br />

not that easy. It can be demanding, stressful,<br />

intimidating, and overwhelming… all in <strong>the</strong> same<br />

hour. I distinctly remember being brand new to <strong>the</strong><br />

pr<strong>of</strong>ession and seriously questioning if I had what it<br />

takes to endure. Thanks to my preceptors and o<strong>the</strong>r<br />

nurses, <strong>the</strong>ir support and guidance helped me to<br />

gain confidence; focus on what was most important;<br />

and remember why I was pursuing this career.<br />

Today, that is what I try to do for o<strong>the</strong>rs entering<br />

into nursing. I always say, ‘If you are really here to<br />

serve this population, and want <strong>the</strong> best for every<br />

single patient, we can work <strong>the</strong> rest out.’ I love to<br />

learn toge<strong>the</strong>r with students and nurses, knowing<br />

we share a common mission and goals.<br />

April Thompson<br />

April Thompson, RN<br />

RN, 14K Bone Marrow Transplant unit<br />

Manager: Debra Harris<br />

One <strong>of</strong> April’s co-workers states:<br />

“I think that fostering <strong>the</strong> seeds that you see in someone, and<br />

having faith in <strong>the</strong>ir ability lies at <strong>the</strong> very core <strong>of</strong> teaching. That<br />

is exactly what this award category is all about. April was my<br />

preceptor during my final term <strong>of</strong> nursing school, and every day<br />

I learned more than I ever thought possible, and every day I had<br />

fun. Cancer is serious, difficult stuff, but April finds a way <strong>of</strong><br />

connecting with her patients and co-workers in a way that<br />

relieves some <strong>of</strong> that tension. She sets an example <strong>of</strong> lightness<br />

without levity, and compassion based in knowledge.<br />

All term long, she pushed me. When I had questions she didn’t<br />

know <strong>the</strong> answer to, she said “I don’t know, let’s look it up!”<br />

and we did. When I was questioning <strong>the</strong> timing <strong>of</strong> a medication<br />

(a diuretic at bedtime) she had me go talk to pharmacy<br />

personally and get <strong>the</strong> dosing changed to morning. It might be a<br />

small example, but she was making me become a patient<br />

advocate right from <strong>the</strong> start. She taught me that a nurse has<br />

just as much, if not more, say in a patient’s care than any<br />

doctor or pharmacist.<br />

Being a new nurse and a human being, I made many a mistake<br />

that April was witness to. She let me err, but she never let me<br />

fall on my face. And each time, we’d go back over what had<br />

happened and discuss all <strong>the</strong> possibilities. April never once<br />

made me feel stupid or embarrassed. One time I approached a<br />

patient’s central line without gloves on. Luckily April stopped<br />

me before I got <strong>the</strong>re, but she did it in such a way that <strong>the</strong><br />

patient still trusted me. She knew I was dying inside, she knew<br />

how terrible I felt, and she did what she could to alleviate those<br />

The Teaching category is described as “a nurse who contributes significantly to <strong>the</strong> education, pr<strong>of</strong>essional development or<br />

long-term learning <strong>of</strong> o<strong>the</strong>r nursing pr<strong>of</strong>essionals. This nurse is a teacher who helps o<strong>the</strong>rs to learn practice.”


(continued) feelings while also setting <strong>the</strong> standard.<br />

Patient safety came first, but <strong>the</strong> mental health <strong>of</strong> her<br />

pupil came second. April understands that people don’t<br />

learn, that people can’t learn when <strong>the</strong>y feel attacked or<br />

under duress. April gives her students <strong>the</strong> same<br />

compassion and fostering care that she does her patients,<br />

and that is what makes her such an effective and exciting<br />

teacher. Even though I am no longer her student, I<br />

continue to aim for her bar.”<br />

In addition to her continuing joy in precepting, April is an<br />

integral part in 14K’s communication and knowledge transfer.<br />

April heads a branch <strong>of</strong> <strong>the</strong> unit’s communication tree, and<br />

<strong>of</strong>ten personally reviews UBNPC news with her peers one-onone.<br />

April is an active member <strong>of</strong> 14K’s UBNPC. She has served as<br />

interim UBNPC co-chair and as a Skin Champion. She is 14K’s<br />

Magnet Champion, and prior to <strong>the</strong> Magnet survey, played a<br />

key role in preparing staff. Through creative education and<br />

one-on-one meetings, April ensured that staff understood <strong>the</strong><br />

survey and how <strong>the</strong>ir work exemplified Magnet readiness.<br />

“April Thompson was my nurse preceptor during my<br />

last semester <strong>of</strong> nursing school. What I appreciated<br />

<strong>the</strong> most about April was her ability to stay calm,<br />

focused and create a relaxed teaching environment<br />

for me regardless <strong>of</strong> how complex or hectic our<br />

shifts toge<strong>the</strong>r were. She took <strong>the</strong> time to seek out<br />

teaching moments, encouraged me to research <strong>the</strong><br />

disease processes we were encountering and <strong>the</strong>n<br />

discussed that research and found ways to apply it<br />

in our nursing interventions. This was very influential<br />

to me as a new nurse because I found it easy to<br />

revert back to <strong>the</strong> "tasks" <strong>of</strong> <strong>the</strong> day, medication<br />

passes, dressing changes, etc. I remind myself <strong>of</strong><br />

her practice on a daily basis, to slow down, think<br />

about <strong>the</strong> patient, <strong>the</strong> disease process and plan my<br />

nursing interventions based on this larger picture.”<br />

Co-worker<br />

“April’s energy, enthusiasm and positive attitude are<br />

contagious and she is a positive force. We are<br />

fortunate to have April on <strong>the</strong> 14K Team!”<br />

Lori Ellingson, Division Director<br />

“I <strong>of</strong>ten put students and new employees with April for <strong>the</strong>ir experiences on 14K. Just this week, I am having a new<br />

float pool RN orient with April. I feel that April is an excellent teacher <strong>of</strong> new students and nurses because she is<br />

patient with <strong>the</strong>m, but also because she is a big picture thinker and that is so important to demonstrate to new nursing<br />

learners. She also has a true joy <strong>of</strong> nursing and connects so well to patients (she is a frequent patient favorite) which is<br />

a great thing for new staff to see. In <strong>the</strong> past, we have had some students who have struggled, and April’s response<br />

has always been, ‘Give <strong>the</strong>m to me! I love a challenge!’ .<br />

Ano<strong>the</strong>r way in which April promotes learning is through her interactions with our interdisciplinary team. She frequently<br />

asks questions in our weekly rounds to enhance her own learning and <strong>the</strong> learning <strong>of</strong> o<strong>the</strong>rs, even if <strong>the</strong> question or<br />

answer is not critical to performing her daily work. I <strong>of</strong>ten overhear conversations she has with <strong>the</strong> pharmacy or our<br />

NPs and PAs to learn more about <strong>the</strong> condition she is treating. “ Debra Harris, Nurse Manager


THE AWARD PROCESS<br />

Any OHSU employee may submit a<br />

nomination. Nominations are<br />

judged on <strong>the</strong> following criteria:<br />

exemplifies award characteristics,<br />

influenced outcomes, nomination is<br />

compelling, and exemplifies OHSU’s<br />

pr<strong>of</strong>essional practice model. The<br />

following groups review<br />

nominations and designate awards:<br />

Advanced Practice Nurse Council:<br />

Advanced Practice Nurse<br />

Pr<strong>of</strong>essional Development Council:<br />

Mentoring, Teaching<br />

Magnet Champions:<br />

Ancillary Staff, Community Service<br />

Research Council:<br />

Advancing and Leading <strong>the</strong><br />

Pr<strong>of</strong>ession<br />

Palliative Care Department:<br />

Virginia I. Sznewajs Award for<br />

Palliative Care<br />

Patient Care Executives:<br />

Management<br />

Practice Council:<br />

Clinical Care<br />

Quality and Safety Council /<br />

Quality Assembly:<br />

Distinguished Nurse, Nightingale<br />

ADVANCED PRACTICE NURSE:<br />

Wendy Domreis, MS, RN, CPNP<br />

Karen Ellmers, RN, CNS<br />

Christine Ernst, DNP, FNP-BC<br />

Erica Jones, ACNP<br />

Jayne Mitchell, ANP<br />

ADVANCING AND LEADING<br />

THE PROFESSION:<br />

Laura Bax, BSN, RN, CCRN<br />

Serena Elder, BSN, RN, CMSRN<br />

Erica Jones, ACNP<br />

Jessica Jordan, BSN, RN, CPN<br />

Miranda Yohn, RN<br />

ANCILLARY STAFF<br />

(WITHIN NURSING SERVICES):<br />

Andrew Asagra<br />

Ebony Correa, C.M.A.<br />

Seth Dominguez<br />

Jessamae Felisario, C.N.A.<br />

Ashley Heslop, C.M.A.<br />

Maki Kato, C.N.A.<br />

Alisha Mack, C.M.A.<br />

COMMUNITY SERVICE:<br />

Konnette E<strong>the</strong>redge, MSN, RN<br />

Jennica Harris, BSN, RN, CCRN<br />

Lori Moss, BSN, RN<br />

Linda Louise Tschida, BS, RN<br />

CLINICAL CARE:<br />

Lara Adams, BSN, RN, CMSRN<br />

Lorri Aldridge, RN<br />

Alissa Augustus, RN<br />

Lisa Bloker, BSN, RN<br />

Scott Campbell, BSN, RN<br />

Tami Chauncey, BSN, RN<br />

Kayley Cook, BSN, RN, CPON<br />

Holly Cooper, BSN, RN<br />

Toni Debois, BSN, RN, OCN<br />

Leontine Eskola, BSN, RN, CCRN<br />

Becky Flores, RN<br />

Karmen Galman, MN, PMHNP<br />

Colleen Howard, BSN, RN<br />

Shawna Hruby, BSN, RN<br />

Ellen Kline, BSN, RN, CCRN<br />

Julien Laborde, RN<br />

Maeve Long, RN<br />

Lisa Martin, BSN, RN<br />

Joanna Mielczareck, CPN, RN<br />

Wendy Montgomery, RN<br />

Samantha Paramore, BSN, RN, CCRN<br />

Andy Paulson, RN, PCCN<br />

Erika Peterson, RN<br />

Rachael Postman, BSN, RN<br />

Mateleine Ranes, BSN, RN, CCRN<br />

Kirsten Ribanszky-Rogers, RN<br />

Freedom Richardson, BS, RN<br />

Suzanne Scott, RN<br />

Patricia Shoun, BSN, RN, CCRN<br />

Kenzin Sp<strong>of</strong>fard, BSN, RN<br />

Valancy Stricklin, RN<br />

Diane Truong, BSN, RN<br />

Jennifer Zeigler, MSN, RN


DISTINGUISHED NURSE:<br />

Kathryn Conway, BSN, RN, CCRN<br />

Ca<strong>the</strong>rine Cromett, MSN, RN<br />

Sue Pastor, RN<br />

Patricia Shoun, BSN, RN, CCRN<br />

Joan Wallace, RN<br />

MANAGEMENT:<br />

Jennifer Fox, MSHCM, RN, CPN<br />

Lisa Ledsworth, BS, RN, CCRN, CNRN<br />

Tracy Neidetcher, MBA, MSN, RN<br />

Sandra Randall, MSN, RN<br />

Tammy Sebers, RN<br />

Janet Whalen, BSN, RN<br />

Peggy Woolf, MSN, MBA, RN, NE-BC<br />

MENTORING:<br />

Scott Campbell, BSN, RN<br />

Monica Chapman, BSN, RN<br />

John Elliott, BSN, RN, CPN<br />

Dianne Haaland, RN, BSN, CNOR<br />

Shay Lykins-Brown, RN, MSN, CWOCN<br />

Brian Marshall, RN, BSN, CCRN<br />

Laura Oetzel, RN, BSN, TNCC, CEN<br />

Chelsea Rasmussen, RN, BSN<br />

Jessa Sweany, RN, BSN, OCN<br />

NIGHTINGALE:<br />

Yelena Bulek, BSN, RN<br />

Jennifer Goodman, BSN, RN<br />

Jessica Jones, BSN, RN<br />

OHSU Nurses Week 2013<br />

Innovation. Compassion. Excellence.<br />

TEACHING<br />

Stacy January, RN<br />

Melanie Sanders, BSN, RN, CPN<br />

April Thompson, RN<br />

VIRGINIA I. SZNEWAJS AWARD FOR PALLATIVE CARE<br />

Jamie Arruda, BSN, RN, CCRN<br />

Alyssa Augustus, RN<br />

Rhea Geelan, RN<br />

Ellen Kline, BSN, RN, CCRN<br />

Stephanie Milstein, RN<br />

Allison Neuschwander, RN<br />

Kathleen Orrick, RN

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!