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The Voice of Nursing - St. Mary's Medical Center

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<strong>The</strong> <strong>Voice</strong><br />

<strong>of</strong><br />

<strong>Nursing</strong><br />

Winter/Spring 2013<br />

A Newsletter for <strong>Nursing</strong> at <strong>St</strong>. Mary’s <strong>Medical</strong> <strong>Center</strong><br />

In This Issue…<br />

<strong>St</strong>. Mary’s Dedicated Education Unit -<br />

A New Teaching Model!....................... 1<br />

Our Journey to Electronic Health Record<br />

...........................................................................2<br />

PDQ: Delirium...............................................2, 5<br />

Spirituality in the Workplace.............................. 3<br />

New Year, New Opportunities.......................... 3<br />

<strong>Medical</strong> Services Bedside Shift Report<br />

American Idol Contest....................................4<br />

<strong>Nursing</strong> Clinical Ladder Committee Hosts<br />

“Heart to Heart” Help Sessions..................4<br />

<strong>St</strong>. Mary’s Congratulates Lillybeth Cassel,<br />

DAISY Award Winner....................................5<br />

2012 RN Satisfaction Results..............................6<br />

6 East Transfuses Love.........................................6<br />

Pr<strong>of</strong>essional Development and Education<br />

..............................................................................7-8<br />

<strong>St</strong>. Mary’s Congratulates Larissa Mendieta,<br />

DAISY Award Winner....................................9<br />

United Kingdom <strong>Nursing</strong> <strong>St</strong>udents Visit<br />

<strong>St</strong>. Mary’s <strong>Medical</strong> <strong>Center</strong><br />

..................................................................................9<br />

Pr<strong>of</strong>essional Achievements...............................10<br />

<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong><br />

Advisory Board<br />

Darcy Ellison, MSN, RN, NEA-BC<br />

Sheila Hauck, DNP, RN, NEA-BC<br />

Dawn Worman, MSN, RN-BC, NE-BC<br />

Terry Brinker, BS<br />

Jackie Lannan, BSN, RN<br />

<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> is a wonderful<br />

way to communicate with your<br />

colleagues. Get involved and make<br />

your voice count!<br />

Submit questions and articles to:<br />

<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Advisory Board<br />

Attn: Dawn Worman, M SN,<br />

RN-BC, NE-BC Cardiopulmonary<br />

Rehabilitation or email:<br />

dmworman@stmarys.org<br />

A New Teaching Model!<br />

<strong>St</strong>. Mary’s Dedicated Education Unit –<br />

<strong>St</strong>. Mary’s is pleased to announce<br />

A New<br />

the<br />

Teaching<br />

creation <strong>of</strong> our<br />

Model!<br />

Dedicated Education Unit<br />

(DEU) <strong>St</strong>. on Mary’s 6West is pleased Renal to announce Diabetes the Unit. creation Created <strong>of</strong> our Dedicated in collaboration Education Unit with (DEU) the on University<br />

6West<br />

<strong>of</strong> Southern Renal Diabetes Indiana, Unit. the Created DEU in collaboration is dedicated with to the providing University <strong>of</strong> clinical Southern education Indiana, the DEU for is nursing<br />

students.<br />

dedicated<br />

On the<br />

to providing<br />

DEU, direct<br />

clinical education<br />

care nurses<br />

for nursing<br />

serve<br />

students.<br />

as Clinical<br />

On the<br />

Teaching<br />

DEU, direct care<br />

Partners<br />

nurses<br />

(CTPs)<br />

serve as Clinical Teaching Partners (CTPs) for student nurses while continuing to deliver optimal<br />

for student care to nurses patients on while the unit. continuing <strong>St</strong>. Mary’s is to on deliver the leading optimal edge <strong>of</strong> care this innovative to patients way <strong>of</strong> on training the unit.<br />

<strong>St</strong>. Mary’s student is nurses. on the <strong>The</strong> leading DEU on 6West edge Renal <strong>of</strong> this Diabetes innovative Unit is the way first <strong>of</strong> <strong>of</strong> its training kind the and region! educating<br />

student nurses. <strong>The</strong> DEU on 6West Renal Diabetes Unit is the first <strong>of</strong> its kind in the<br />

Through creating the Dedicated Education Unit, our vision is to improve patient outcomes, nurse<br />

region!<br />

recruitment and nurse retention by fostering a positive environment for student learning and<br />

pr<strong>of</strong>essional development through collaboration between nurse leaders, staff, students and<br />

Through faculty. creating the Dedicated Education Unit, our vision is to improve patient<br />

outcomes,<br />

As <strong>of</strong> January<br />

nurse<br />

14,<br />

recruitment<br />

6West Renal<br />

and<br />

Diabetes<br />

nurse<br />

Unit<br />

retention<br />

will serve as<br />

by<br />

the<br />

fostering<br />

DEU for junior<br />

a<br />

year<br />

positive<br />

nursing<br />

environment<br />

for students learning from USI. and To become pr<strong>of</strong>essional a CTP, <strong>St</strong>. Mary’s development 6West nurses through must have collaboration a BSN or be actively between nurse<br />

leaders, enrolled staff, in students a BSN program, and have faculty. at least two years <strong>of</strong> medical‐surgical experience and be<br />

recommended by the unit director.<br />

As <strong>of</strong> <strong>St</strong>. January Mary’s CTPs 14, have 6West received Renal special Diabetes training from Unit USI will to prepare serve them as the for their DEU new for role junior in year<br />

nursing working students with nursing from students. USI. To <strong>Nursing</strong> become students a CTP, on the <strong>St</strong>. DEU Mary’s will also 6West work with nurses a Patient must Care have a<br />

Tech during their clinical rotation so they receive a well‐rounded experience <strong>of</strong> patient care.<br />

BSN or be actively enrolled in a BSN program, have at least two years <strong>of</strong> medicalsurgical<br />

experience and be recommended by the unit director.<br />

Each CTP is assigned two junior year students for training. <strong>The</strong>se students are required to<br />

complete 60 clinical hours within a four week period. By being paired with a dedicated CTP,<br />

students are placed in a more consistent learning environment, and student to teacher ratios<br />

<strong>St</strong>. Mary’s CTPs have received special education and training from USI to prepare<br />

improve from up to 10 students per one clinical instructor to two students per one CTP.<br />

them for their new role in working with nursing students. <strong>Nursing</strong> students on the<br />

DEU will <strong>The</strong> staff also <strong>of</strong> 6West work Renal with Diabetes a Patient Unit Care is excited Tech to take during on this their new role clinical within <strong>St</strong>. rotation Mary’s by so they<br />

<strong>of</strong>fering our next generation <strong>of</strong> nurses real‐world, hands‐on experience in providing high‐quality<br />

receive a well-rounded experience <strong>of</strong> patient care.<br />

patient care and the <strong>St</strong>. Mary’s Experience!<br />

Title<br />

Each CTP is assigned two junior year students. <strong>The</strong>se students are required to<br />

complete 60 clinical hours within a four week period. By being paired with a dedicated<br />

CTP, students are placed in a more consistent learning environment, and student<br />

to teacher ratios improve from up to 10 students per one clinical instructor to two<br />

students per one CTP.<br />

<strong>The</strong> staff <strong>of</strong> 6West Renal Diabetes Unit is excited to take on this new role within<br />

<strong>St</strong>. Mary’s by <strong>of</strong>fering our next generation <strong>of</strong> nurses real-world, hands-on experience<br />

in providing high-quality patient care and the <strong>St</strong>. Mary’s Experience!


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

As you all know, <strong>St</strong>. Mary’s is on a journey to an Electronic<br />

Health Record (EHR) through the QUEST program. By<br />

implementing an EHR at <strong>St</strong>. Mary’s <strong>Medical</strong> <strong>Center</strong>, we are<br />

building upon and enhancing the high-quality care you provide<br />

to our patients each day. By deploying QUEST we are able to<br />

integrate more closely with <strong>St</strong>. Vincent Health and draw upon<br />

their experience and expertise with the program.<br />

This journey involves significant effort and transformation for<br />

all clinicians at <strong>St</strong>. Mary’s. <strong>The</strong> new QUEST functionality<br />

involves rethinking workflow and existing ways <strong>of</strong> caring for<br />

our patients. We are currently reviewing the workflow changes<br />

that are necessary as we adapt to the new system, and we need<br />

your help and input! As you review workflow in your workout<br />

teams, please <strong>of</strong>fer feedback to your Manager/Director.<br />

We want to hear from you on how we can approach this in a<br />

manner that will work for our clinicians.<br />

Also, please know that we understand the amount <strong>of</strong> time and<br />

focus that QUEST training will require <strong>of</strong> our Associates. It<br />

is with that in mind that we have engaged AMN Healthcare<br />

to provide us with travel nurses during the training period and<br />

go-live. We want to ensure you are able to focus on becoming<br />

comfortable in this new system and bringing that value back to<br />

your patients, physicians and colleagues.<br />

Implementing an EHR is no small task, and I would like to<br />

call special attention to Jeanne Braun, Executive Director<br />

<strong>of</strong> Clinical Informatics, and also our Clinical Informaticists,<br />

Melanie Daisey, Kristie French, Tricia Johnson and Ginger<br />

Kreyling for the vital role they each play in leading and<br />

preparing us for our successful implementation <strong>of</strong> QUEST. I<br />

want to thank them for their dedication to this project and for<br />

all their time, energy and efforts. In addition, I would like<br />

to recognize Tracy MacGregor, Patsy Kietzman, Carol<br />

Dobbins and our Clinical Nurse Specialists for the valuable<br />

support they continue to provide to our Clinical Informaticists.<br />

This is an exciting time for us at <strong>St</strong>. Mary’s, and I want to<br />

thank all <strong>of</strong> you for your time and commitment<br />

in working through this new system in a spirit <strong>of</strong><br />

teamwork and innovation.<br />

2<br />

Our Journey to Electronic<br />

Health Record<br />

Darcy Ellison, MSN, RN, NEA-BC,<br />

Chief <strong>Nursing</strong> Officer<br />

PDQ: Delirium<br />

Joanna Emmons, MSN, RN, ACNS-BC, CCNS, CCRN<br />

<strong>The</strong> Adult Critical Care Units have adopted the<br />

Confusion Assessment Method for the ICU (CAM-ICU)<br />

tool to begin screening for delirium in all critically ill<br />

patients. Delirium is very prevalent in the critical care<br />

setting, with 50-80 percent <strong>of</strong> mechanically ventilated<br />

patients experiencing delirium. Additionally, it is<br />

documented that 20-50 percent <strong>of</strong> lower severity ICU<br />

patients will also develop delirium.<br />

Delirium leads to increased mortality, longer hospital<br />

stay, poorer recovery, higher healthcare costs and<br />

long-term neurocognitive problems. <strong>The</strong> literature<br />

demonstrates each day a patient spends delirious leads to<br />

a 10 percent increase risk <strong>of</strong> death.<br />

Dr. Anthony Uvieghara, Pulmonologist and Critical<br />

Care Medicine physician, has taken the lead on a<br />

Physician Driven Quality (PDQ) initiative to focus on<br />

assessment, prevention and management <strong>of</strong> delirium in<br />

the hospitalized setting.<br />

<strong>The</strong> PDQ Team has made several changes in the critical<br />

care setting to facilitate delirium prevention strategies.<br />

All critically ill patients will be screened for delirium at<br />

least once per shift. A bundled strategy has been adopted<br />

to help prevent and/or break the cycle <strong>of</strong> delirium.<br />

<strong>The</strong> ABCDE Bundle is an evidence-based, organizational<br />

approach to the management <strong>of</strong> acutely ill patients and<br />

includes the following components:<br />

ABC – Awakening and Breathing Trial Coordination<br />

D – Delirium Assessment and Management<br />

E – Early Exercise and Progressive Mobility<br />

Each piece <strong>of</strong> the ABCDE Bundle is supported by<br />

independent study and evidence-based practice. <strong>The</strong> goal<br />

<strong>of</strong> the bundle approach is to promote collaboration among<br />

members <strong>of</strong> a multidisciplinary team. This collaboration<br />

encourages ongoing communication, helps implement<br />

standardized care processes and breaks the cycle <strong>of</strong><br />

suboptimal sedation practices. Each component <strong>of</strong> the<br />

bundle includes assessments and interventions designed<br />

to prevent or minimize the unintended consequences <strong>of</strong><br />

our patient care.<br />

(Continued on Page 5)


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

Spirituality in the Workplace<br />

Sister Jane McConnell, OSF<br />

As a Catholic faith-based organization, <strong>St</strong>. Mary’s Health<br />

is privileged to incorporate Spirituality in the Workplace as<br />

part <strong>of</strong> our Caring and Healing Environment. We see our<br />

work not just as a job, but as a ministry <strong>of</strong> care and healing<br />

for persons who are ill, injured and seeking to maintain<br />

good health. Our nurses and patient care techs are essential<br />

persons who live and share our ministry and spirituality with<br />

those we serve every day.<br />

As we incorporate Spirituality in the Workplace, inherited<br />

from our Founders the Daughters <strong>of</strong> Charity, we seek<br />

to sustain the culture and practices which support the<br />

spiritual, physical, emotional and mental well-being <strong>of</strong> our<br />

associates, physicians and volunteers, as well as our patients<br />

and visitors. We live and express our own individual<br />

spiritualities while embracing the corporate spirituality <strong>of</strong><br />

<strong>St</strong>. Mary’s Health.<br />

We respect and honor the faith traditions <strong>of</strong> all persons we<br />

serve and serve among. We begin all meetings and large<br />

group gatherings with prayer and reflection, asking God’s<br />

guidance and direction as we seek to serve with excellence<br />

and compassion. A brief Daily Reflection and Prayer, a<br />

Monthly Gathering Prayer with Reflection Questions and<br />

resources celebrating our history and heritage are sent by<br />

e-mail to all associates for use during staff meetings or for<br />

personal prayer as they desire. We provide for the spiritual<br />

and emotional needs <strong>of</strong> persons <strong>of</strong> all faith traditions, as<br />

well as those who may not be involved with any particular<br />

faith community as we serve them.<br />

We believe that Spirituality in the Workplace includes<br />

honoring and respecting the presence <strong>of</strong> God within<br />

oneself, all those we serve and each <strong>of</strong> our co-workers. <strong>The</strong><br />

customs, practices and resources mentioned here are just<br />

a few <strong>of</strong> the ways we incorporate and promote Spirituality<br />

in the Workplace in order to integrate a spirit <strong>of</strong> reverence<br />

and respect for all persons in our Caring and Healing<br />

Environment. I give thanks to all our nurses, patient care<br />

techs and all who share this spirit <strong>of</strong> reverence, respect and<br />

personal caring as you touch the ill and injured whom we<br />

serve each day. Thank you!<br />

<strong>St</strong>. Mary’s Hosts New Year,<br />

New Opportunities Event for<br />

Graduating <strong>Nursing</strong> <strong>St</strong>udents<br />

Jackie Lannan, BSN, RN<br />

On Thursday, January 30,<br />

<strong>St</strong>. Mary’s <strong>Nursing</strong><br />

hosted a New Year, New<br />

Opportunities Recruitment<br />

Event at <strong>St</strong>. Mary’s Manor<br />

Auditorium for local<br />

graduating nursing students.<br />

Over 50 nursing students<br />

braved the wintry weather to<br />

attend. Attendees were from a variety <strong>of</strong> schools, including<br />

Henderson Community College, Ivy Tech Community<br />

College, the University <strong>of</strong> Evansville and the University <strong>of</strong><br />

Southern Indiana.<br />

<strong>The</strong> event provided students<br />

with the chance to speak<br />

with <strong>St</strong>. Mary’s Nurses<br />

about career opportunities at<br />

the hospital in an informal<br />

setting. An amazing dinner<br />

was provided by <strong>St</strong>. Mary’s<br />

Food Services & Catering<br />

staff for all in attendance.<br />

<strong>St</strong>aff Nurses, Charge Nurses, Directors, Executive Directors<br />

and our Chief <strong>Nursing</strong> Officer, Darcy Ellison, were all<br />

available to answer questions, as were members from our<br />

Human Resources & Development <strong>Nursing</strong> Recruitment<br />

Team. Fabulous door prizes were awarded to students,<br />

including a Wii console, an Amazon Kindle Fire, a Keurig<br />

C<strong>of</strong>feemaker, Apple iPods and a flat screen TV! Each<br />

student received a <strong>St</strong>. Mary’s long-sleeved t-shirt and many<br />

won <strong>St</strong>. Mary’s hooded sweatshirts in the drawings.<br />

Special thanks to all<br />

the <strong>St</strong>. Mary’s staff<br />

members who were<br />

in attendance. It was<br />

because <strong>of</strong> each <strong>of</strong> you<br />

that the evening was<br />

such a great success!<br />

3


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

<strong>Medical</strong> Services Bedside Shift Report American Idol Contest<br />

Billie Silkwood, RN<br />

In October, there was a discussion among the 6South/2West staff <strong>of</strong> ways to<br />

improve Bedside Shift Report. Most felt an education class was not appropriate<br />

as they were all taught the same way and knew how to give the report. However,<br />

emphasis did need to be placed on certain aspects <strong>of</strong> the report, including updating<br />

the white board, including the patient in the report, asking if the patient has any<br />

questions, avoiding reporting “normals,” reporting core measure needs and being<br />

concise and organized. To address these areas, Billie Silkwood, RN, came up<br />

with an American Idol Contest idea in November. She devised a score sheet that<br />

included all <strong>of</strong> the areas <strong>of</strong> Bedside Shift Report with a point system for each.<br />

Beginning late November, all <strong>of</strong> the 6 South/2 West RNs were given the Bedside<br />

Shift Report Competency Form to review and practice. In addition to Billie,<br />

three other judges, made up <strong>of</strong> staff nurses, were chosen. For a two-week period<br />

beginning early December, the four judges observed and scored each <strong>of</strong> the RN<br />

contestants.<br />

From left to right: Bill Carter, Director,<br />

pictured with winners: Angie Gores, RN; Billie<br />

Silkwood, RN; Chardae Chambers, RN; Shane<br />

Hayes, RN (Not pictured - Kim Hughes, RN).<br />

On December 19, the winners were announced. Our first place winner, Angie Gores, RN, received a gift certificate for a<br />

smoked ham. Second place winner, Chardae Chambers, RN, BSN, received a gift certificate for barbequed ribs. Our third<br />

place winner, Kim Hughes, RN, and fourth place winner, Shane Hayes, RN, each received a pen light.<br />

We would like to thank all <strong>of</strong> the nurses on 6 South/2 West for participating in this activity. We immediately saw an<br />

improvement in our bedside shift reports! This was an activity initiated, judged and carried out by our RNs on 6 South/<br />

2 West. This is a wonderful example <strong>of</strong> our nurses working together to improve an important aspect <strong>of</strong> their role.<br />

<strong>Nursing</strong> Clinical Ladder Committee Hosts<br />

“Heart to Heart” Help Sessions<br />

Jackie Lannan, BSN, RN<br />

<strong>The</strong> <strong>Nursing</strong> Clinical Ladder Committee spent Valentine’s Day spreading<br />

love and knowledge about <strong>St</strong>. Mary’s <strong>Nursing</strong> Clinical Ladder (NCL). <strong>The</strong><br />

NCL “Heart to Heart” Help Sessions were held in the GIFT Conference<br />

on February 14, 2013. <strong>Nursing</strong> Clinical Ladder Committee members<br />

answered questions, provided ideas and gave support to nurses interested<br />

in participating in the NCL Program. <strong>The</strong> <strong>Nursing</strong> Clinical Ladder,<br />

formerly known as CAP: Career Advancement Program, provides flexibility<br />

and formal recognition for Registered Nurses interested in developing<br />

their pr<strong>of</strong>essional nursing practice by <strong>of</strong>fering three levels <strong>of</strong> monetary<br />

recognition. This program provides a formal process that promotes the<br />

pr<strong>of</strong>essional development <strong>of</strong> registered nurses through evidence-based<br />

nursing care.<br />

Thank you to our <strong>Nursing</strong> Clinical Ladder Committee members for making the day such a success! NCL Committee<br />

Members include: Nancy McCleary, RN; Mary Wildeman, RN; Elizabeth Logan, RN; Mary McAdams, RN; Amanda<br />

Mason; Tara Neth; Kristie French, RN; Martha Umbach, RN; Leanne Sprinkle, RN; Julie Westmoland,<br />

RN; Cathy Murphy, RN; Carol Kahre, RN; Bonita Budde, RN; Lynn Herr, RN; Jenny Davis, RN; Pat<br />

4<br />

Miller, RN; Jackie Lannan, RN.


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

<strong>St</strong>. Mary’s Congratulates Lillybeth Cassel,<br />

DAISY Award Winner!<br />

Nurses’ passion, dedication and skills are vital to the patients and families<br />

that spend any length <strong>of</strong> time at <strong>St</strong>. Mary’s. This is why we are committed<br />

to recognizing those who inspire this commitment. <strong>The</strong> Recruitment,<br />

Retention and Recognition Council is continuously searching for additional<br />

ways to recognize exceptional <strong>St</strong>. Mary’s Nurses. In this search, the council<br />

discovered the DAISY Award.<br />

<strong>The</strong> DAISY Award was established by the DAISY Foundation in<br />

memory <strong>of</strong> J. Patrick Barnes who died at the age <strong>of</strong> 33 <strong>of</strong> idiopathic<br />

thrombocytopenia, an auto-immune disease. <strong>The</strong> Barnes Family was<br />

awestruck by the clinical skills, caring and compassion <strong>of</strong> the nurses who<br />

cared for Patrick, and created this national award to say thank you to nurses<br />

everywhere. DAISY stands for Diseases Attacking the Immune SYstem.<br />

<strong>St</strong>. Mary’s is proud to recognize this quarter’s DAISY Award recipient, Lillybeth Cassel, BSN, RN. Lillybeth is a nurse on<br />

6 West: Renal/Diabetes. Lilly was nominated by numerous fellow associates. Her nominators stated,<br />

“Lilly is a great example <strong>of</strong> a nurse who collaborates with other team members and provides quality care to her<br />

patients. I have never worked on the same floor as Lilly but have seen her compassion and dedication first hand. She<br />

not only strives for great patient care, she also genuinely cares for her co-workers and other associates within the<br />

hospital. She always has a smile on her face and is always positive. One example is after a particularly hard day on<br />

my unit, Lilly stopped by after her shift (on another unit) to tell me she appreciates us and all we do. She works for<br />

the better good <strong>of</strong> the Hospital. Lilly is the ultimate example <strong>of</strong> a role model, advocate and outstanding employee.”<br />

“Lilly is the epitome <strong>of</strong> what every <strong>St</strong>. Mary’s Nurse should strive to be. I have seen her go the extra three miles to<br />

get the patient the care they need. I have seen her use her bilingual talents to calm a patient when they didn’t trust<br />

the blue phone translator’s voice. I have so much respect for her. She brings love, caring and the ability to carry out<br />

all nursing duties with respect for the patients and staff she works with.”<br />

Congratulations, Lilly!<br />

PDQ: Delirium<br />

(Continued from Page 2)<br />

We were fortunate to have Dr. Timothy Girard, Assistant Pr<strong>of</strong>essor <strong>of</strong> Medicine in the Division <strong>of</strong> Allergy, Pulmonary and<br />

Critical Care Medicine at the <strong>Center</strong> for Health Services Research at Vanderbilt University School <strong>of</strong> Medicine, present at<br />

our most recent Grand Rounds. His presentation was video taped and can be viewed on distance education.<br />

More information can be found on www.icudelirium.org. Please feel free to contact any members <strong>of</strong> the PDQ Team if you<br />

are interested or have any suggestions for this initiative.<br />

5


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

2012 RN Satisfaction Results<br />

Jackie Lannan BSN, RN<br />

<strong>St</strong>. Mary’s <strong>Nursing</strong> is continually looking for ways to retain and recognize our nurses. One method that we use to gauge<br />

associate satisfaction is the RN Satisfaction Survey. This September, over 82 percent <strong>of</strong> <strong>St</strong>. Mary’s nurses took an online<br />

survey that focused primarily on their Practice Environment. Based on the results <strong>of</strong> the survey, members <strong>of</strong> <strong>Nursing</strong><br />

Leadership work with bedside nurses to create action plans to improve the RN experience. Each year, <strong>Nursing</strong> Excellence<br />

recognizes the departments with the best and most improved scores. Please congratulate the following departments on their<br />

achievements:<br />

Outpatient Cardiovascular Labs: Overall Highest RN Satisfaction<br />

ICU <strong>St</strong>ep Down/4 West: Highest Inpatient RN Satisfaction/Overall Most Improved<br />

Cardiac Telemetry/5 Central: Most Improved, Runner-Up<br />

Outpatient Cardiovascular Labs<br />

Cardiac Telemetry/5 Central<br />

ICU <strong>St</strong>ep Down/4 West<br />

6 East Transfuses Love<br />

Anita West, BSN, RN, CMSRN, OCN<br />

<strong>The</strong> “6 East Transfuses Love” board at the 6 East nurses station was created by our weekend-option <strong>St</strong>udent Nurse/Unit<br />

Assistant, Bethany Kramer. She changes the board for every season and/or holiday. At Christmas, the board was a snow<br />

man made out <strong>of</strong> cotton balls that said, “<strong>The</strong>re’s snow place like 6 East.” She is very creative and comes up with some great<br />

ideas. She also had a fall-themed board. Her theme for February (Valentine’s Day) is perfect because <strong>of</strong> the love we impart<br />

to our patients and families as many <strong>of</strong> our patients receive transfusions.<br />

Bethany also coordinated the Christmas family donations for 6 East Oncology this year. Bethany collected money from staff<br />

which we were able to use to get every family member several gifts from local department and grocery stores. She gathered<br />

and wrapped a lot <strong>of</strong> gifts - at least 50 boxes! After wrapping, Bethany packaged all the gifts and got them ready to be<br />

shipped. She truly exercised Relationship-Based Care by taking on this task for this family.<br />

Bethany is creative, thoughtful and always thinks <strong>of</strong> others. Because <strong>of</strong> her creativity, she keeps staff motivated and smiling.<br />

<strong>St</strong>aff, patients and visitors constantly comment on her “6 East Transfuses Love” board. She also keeps crayons and coloring<br />

paper at the nurses’ station for anyone to color “love-themed” pictures to post. Bethany is an outstanding STAR!!!<br />

6


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

Pr<strong>of</strong>essional Development and Education<br />

12 Lead EKG<br />

MOB Learning <strong>Center</strong><br />

0800-1200<br />

Diane Parrish, BSN, RN, CCRN, ext 4836<br />

Recommended for RNs/Paramedics who are expected to<br />

recognize acute changes on a 12 Lead EKG that requires<br />

urgent intervention<br />

May 6<br />

July 18<br />

Advanced Cardiac Life Support (ACLS) – Provider<br />

MOB Learning <strong>Center</strong><br />

0800 – 1630<br />

Diane Parrish, BSN, RN, CCRN, ext 4836<br />

Please present current BLS card on the 1st day <strong>of</strong> class<br />

along with required pre-course assessment. Textbook/<br />

Packet can be checked out 2 weeks prior to class from the<br />

hospital library 24 hrs per day. Basic arrhythmia course<br />

strongly recommended prior to course. ACLS study course<br />

available.<br />

June 19, 20<br />

Advanced Cardiac Life Support (ACLS) - Renewal<br />

MOB Learning <strong>Center</strong><br />

0800 – 1630<br />

Can no longer attend day 2 <strong>of</strong> Provider Class<br />

Diane Parrish, BSN, RN, CCRN, ext 4836<br />

Please present current BLS and ACLS provider cards<br />

on the 1st day <strong>of</strong> class along with required pre-course<br />

assessment sheet. Textbook and packet can be checked<br />

out 2 weeks prior to class from the hospital library 24 hrs<br />

per day. ACLS Basic Provider 2-day course is required if<br />

ACLS card expired.<br />

May 2<br />

July 11<br />

Basic Arrhythmia<br />

MOB Lg Conf Room (unless noted)<br />

0730 – 1130<br />

Diane Parrish, BSN, RN, CCRN, ext 4836<br />

For Nurses and other Health Care Pr<strong>of</strong>essionals who<br />

care for patients on cardiac monitors and for Patient Care<br />

Techs who serve as Monitor Techs. <strong>The</strong>re will be weekly<br />

homework assignments. EKG calipers and calculator are<br />

recommended (may be purchased from DME store).<br />

June 18, 25, Jul 2, 9, 16<br />

Basic Pacing<br />

MR 3 (unless noted)<br />

0800 – 1200<br />

Jessica Moore, BSN, RN, PCCN, ext. 7170<br />

July 23 (MR 2)<br />

Clinical Rounds<br />

Amphitheatre (unless noted)<br />

1130 – 1230<br />

Diane Parrish, BSN, RN, CCRN, ext 4836 Contact hours<br />

available when attending 90% <strong>of</strong> the presentation.<br />

June 26 (MR 2)<br />

July 10 (MR 2)<br />

July 24 (MR 2)<br />

Code Blue<br />

MOB Lg Conf Room & SIM Lab<br />

0800 – 1100 (unless noted)<br />

Beverly Farmer, MSN, RN-BC, ext 7163<br />

Recommended for all RNs, including those with current<br />

ACLS and/or PALs Provider Cards.<br />

May 1<br />

June 11 (08:00)<br />

June 11 (12:00)<br />

June 21 (08:00)<br />

June 21 (12:00)<br />

July 29<br />

Continuous Renal Replacement <strong>The</strong>rapy (CRRT)<br />

MR 3 (unless noted)<br />

0800 – 1430<br />

Joanna Emmons, MSN, RN, ACNS-BC, CCRN,<br />

ext 4754<br />

Heather Hedrick, BSN, RN, CCRN, ext 4831<br />

July 23 (MR 7)<br />

CPI: Dealing with Disruptive Behavior Non-Violent<br />

Crisis Intervention<br />

Meeting Room 4 (unless noted)<br />

0800 – 1600<br />

Julie Westmoland, RN-BC, ext 5003<br />

June 18 (Marillac)<br />

July 16<br />

End <strong>of</strong> Life <strong>Nursing</strong> Education Course (ELNEC)<br />

<strong>The</strong> Gift (unless noted)<br />

0800-1630<br />

Sheila Hauck, DNP, RN, NEA-BC, ext 5722<br />

Registration through AHU. Contact hours available.<br />

July 18, 19<br />

IV <strong>The</strong>rapy Class<br />

MR 6<br />

1445 - 1630<br />

Suzanne Buchanan, BSN, RN-BC, CGRN, ext 4302<br />

July 15<br />

(Continued on Page 8)<br />

7


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

Pr<strong>of</strong>essional Development and Education<br />

(Continued from page 7)<br />

Lift Champion<br />

Rehab bldg – 2nd floor Gym<br />

0730-1130 (unless noted)<br />

Marinetta DeMoss, MSN, RN-BC, ext. 7315<br />

May 22<br />

June 6<br />

June 7<br />

June 10<br />

June 19<br />

July 10<br />

NRP MegaCode Skills<br />

Women & Children’s SIM Lab<br />

0730-0930 LifeFlight and Emergency;<br />

All others 1030-1230, 1330-1530, 1630-1830<br />

Ashly Fisher, BSN, RN, ext 4380<br />

Must successfully complete AHU Modules prior to<br />

attending. Required for new and renewing participants.<br />

Textbooks can be checked out the month <strong>of</strong> NRP AHU<br />

module assignment from the Library which is open 24/7<br />

for employees. Please return book prior to the end <strong>of</strong> the<br />

month.<br />

May 29<br />

June 26<br />

July 31<br />

Pediatric Advanced Life Support (PALS) – Provider<br />

MOB Learning <strong>Center</strong><br />

0745 – 1630<br />

Lynn Herr, BSN, RN, CCRN, CPN, CNPT, ext 4543<br />

Please present current BLS card on Day 1. Pre-course<br />

assessment required. Textbook and packet can be checked<br />

out from the hospital library 24 hrs per day. Basic<br />

arrhythmia course recommended prior to this course.<br />

May 8, 9<br />

June 12, 13<br />

RNO: <strong>The</strong> Journey to Pr<strong>of</strong>essionalism<br />

Amphitheater<br />

0800 – 1630<br />

Suzanne Buchanan, BSN, RN-BC, CGRN, ext 4302<br />

Required for the new graduate around 6 months <strong>of</strong><br />

employment. Contact hours available.<br />

June 20<br />

July 9<br />

8<br />

STABLE – PROVIDER MR 3 (unless noted)<br />

0800 – 1630<br />

Mary L. Naas, BSN, RNC-NIC, CNPT<br />

<strong>The</strong> STABLE program provides general guidelines for<br />

the assessment and stabilization <strong>of</strong> sick infants in the<br />

post-resuscitation / pre-transport stabilization period.<br />

Recommended pre-requisite is a current NRP certification.<br />

June 20<br />

STABLE - RENEWAL<br />

MR 2 (unless noted)<br />

0800 – 1200 (unless noted)<br />

Mary L. Naas, BSN, RNC-NIC, CNPT<br />

<strong>The</strong> STABLE program provides general guidelines for the<br />

assessment and stabilization <strong>of</strong> sick infants in the postresuscitation<br />

/ pre-transport stabilization period.<br />

June 20<br />

Tuberculosis Class (TB)<br />

MR 7 (unless noted)<br />

1200-1530 (unless noted)<br />

Marinetta DeMoss, MSN, RN-BC, ext 7315<br />

Anne Topper, BSN, RN, CMSRN, ext 4832<br />

This is an American Lung Association Course intended for<br />

nurses who administer and/or read the TB skin test and<br />

who care for TB patients.<br />

May 1<br />

June 11 (0800)<br />

June 11 (1200)<br />

June 21 (0800)<br />

June 21 (1200)<br />

July 29<br />

Classes with less than four participants are subject to<br />

cancellation.<br />

In-services are not listed in this document. Please view the<br />

“In-Services by Month List” for details.<br />

A monthly class calendar is also available for viewing.<br />

Hospital Associates can check out books in the library<br />

24 hrs a day no more than two weeks prior to class.<br />

<strong>The</strong>se books must be returned at the end <strong>of</strong> class to your<br />

instructor or to <strong>Nursing</strong> Pr<strong>of</strong>essional Development <strong>of</strong>fice.<br />

Do not return to the <strong>Medical</strong> Library.<br />

Course books are available for purchase for Associates<br />

and non-Associates <strong>of</strong> SMMC. Contact <strong>Nursing</strong><br />

Pr<strong>of</strong>essional Development for details.<br />

Hospital Dress Code required for all classes.


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

<strong>St</strong>. Mary’s Congratulates DAISY Award Recipient,<br />

Larissa Mendieta<br />

Nurses’ passion, dedication and skills are vital to the patients and families that spend<br />

any length <strong>of</strong> time at <strong>St</strong>. Mary’s. This is why we are committed to recognizing those<br />

who inspire this commitment. <strong>The</strong> Recruitment, Retention and Recognition Council is<br />

continuously searching for additional ways to recognize exceptional <strong>St</strong>. Mary’s nurses.<br />

In this search, the council discovered the DAISY Award.<br />

<strong>The</strong> DAISY Award was established by the DAISY Foundation in memory <strong>of</strong> J. Patrick<br />

Barnes who died at the age <strong>of</strong> 33 <strong>of</strong> idiopathic thrombocytopenia, an auto-immune<br />

disease. <strong>The</strong> Barnes Family was awestruck by the clinical skills, caring and compassion <strong>of</strong> the nurses who cared for Patrick,<br />

and created this national award to say thank you to nurses everywhere. DAISY stands for Diseases Attacking the Immune<br />

SYstem. <strong>St</strong>. Mary’s is proud to recognize this quarter’s DAISY Award recipient, Larissa Mendieta, BSN, RN. Larissa is a<br />

nurse in the Emergency Department. Larissa was nominated by a peer. Her nominator stated:<br />

“Larissa has a mothering heart for her patients and her coworkers. Speaking <strong>of</strong> one specific occasion when Larissa<br />

was really shining, she had a group <strong>of</strong> children as her patients. She called other departments to find clothing for them,<br />

and colored and played with them. Larissa even took the young girl and gave her a bath and washed her hair all<br />

while waiting for the foster parents to be ready for the children. She held the little girl and cared for them as her own,<br />

providing them with food and even giving them some <strong>of</strong> her own to care for them at this extremely difficult time in<br />

their young lives. By the time it was time for them to leave, the children didn’t want to leave, especially the youngest<br />

that had become quite attached to Larissa after three hours with her. After carrying the child to the car, strapping her<br />

in and telling them both goodbye, she returned and sat at the nurse’s station tearful at the situation the children were<br />

dealing with. It was very sensitive for her. She treats all her patients with this kindness.”<br />

Thank you for all you do, Larissa. Congratulations!<br />

United Kingdom <strong>Nursing</strong> <strong>St</strong>udents Visit <strong>St</strong>. Mary’s <strong>Medical</strong> <strong>Center</strong><br />

Jackie Lannan, BSN, RN<br />

On March 19, four nursing students from Queen Centre Hospital in Nottingham,<br />

England spent the day at <strong>St</strong>. Mary’s to learn about nursing care delivery at our facility.<br />

<strong>The</strong> students are participating in a month-long visit to the University <strong>of</strong> Evansville’s<br />

<strong>Nursing</strong> Program. During the program, these third year students will observe clinical<br />

rotations, tour local facilities as well as attend nursing classes and conferences.<br />

<strong>The</strong> students’ day at <strong>St</strong>. Mary’s began with a Welcome and Invocation by Darcy<br />

Ellison, MSN, RN, NEA-BC, Chief <strong>Nursing</strong> Officer/Senior Vice President <strong>of</strong> Clinical<br />

Operations. Sheila Hauck, DNP, RN, NEA-BC, Executive Director <strong>of</strong> Pr<strong>of</strong>essional<br />

Practice & Oncology, gave the group an Introduction to <strong>Nursing</strong> Excellence, Magnet<br />

Designation and Relationship-Based Care. <strong>The</strong> students were then led on a guided tour <strong>of</strong> Women & Children’s Services by<br />

Ashly Fisher, BSN, RN, CLS. Ashly is the Women & Children’s <strong>Nursing</strong> Pr<strong>of</strong>essional Development Specialist. During<br />

lunch, the nursing students participated in discussions with an expert panel that included nurses from Pr<strong>of</strong>essional Practice,<br />

<strong>Medical</strong>/Surgical Services, Cardiovascular Services and Critical Care. In addition, the students took part in a tour <strong>of</strong><br />

<strong>St</strong>. Mary’s campus, complete with a performance by Cyndi Bickel on the harp and our wonderful Zither ensemble. This<br />

was all part <strong>of</strong> an introduction to our Planetree Services, courtesy <strong>of</strong> our Director <strong>of</strong> Planetree Services, Vickie<br />

Detroy, MSN, RN. Special thanks to the nursing panel participants: Jinnyi Clements, BSN, RN, CCRN; Peggy<br />

Hollis, MSN, RN, ACNS-BC, CWOCN; Senta Thompson, MS, BSN, RN, CCRN; Joanna Emmons, MSN,<br />

RN, ACNS-BC, CCNS, CCRN and Rebecca Winsett, PhD, RN.<br />

9


<strong>The</strong> <strong>Voice</strong> <strong>of</strong> <strong>Nursing</strong> Winter/Spring 2013<br />

Pr<strong>of</strong>essional Achievements<br />

Congratulations to the following nurses who obtained<br />

a specialty certification!<br />

Jaimmie Davis, RN, RCIS-Cardiovascular Invasive<br />

Specialist<br />

Pam Miser, RN, CCRN- Critical Care <strong>Nursing</strong><br />

Deb Norris, RN, CCRN- Critical Care <strong>Nursing</strong><br />

Georgia Schumeier, RN, CCRN- Critical Care <strong>Nursing</strong><br />

Kevin Whetstine, RN, CCRN-Critical Care <strong>Nursing</strong><br />

Chris Holeman, RN, CCRN- Critical Care <strong>Nursing</strong><br />

Jayme Farley, BSN, RN, CMSRN-<strong>Medical</strong>/Surgical<br />

<strong>Nursing</strong><br />

Karen Arendell, RN, CCDS- Clinical Documentation<br />

Specialist<br />

Cindy Wittinghill, BSN, RN, MHA, CCM- Certified<br />

Case Management<br />

Vicki White, BSN, RN, CCM- Certified Case<br />

Management<br />

Shari Warren, RN, CCM- Certified Case Management<br />

Carol Cloud, MHA, BSN, RN-BC, CCM, GCN-<br />

Guided Care <strong>Nursing</strong><br />

<strong>St</strong>eve Weber, BSN, RN, CFRN- Flight <strong>Nursing</strong><br />

<strong>St</strong>even Galbreath, RN, CEN- Emergency <strong>Nursing</strong><br />

Martha Lang, BSN, RN, CEN, CPEN- Pediatric<br />

Emergency <strong>Nursing</strong><br />

Congratulations to the following nurses who<br />

re-certified in their specialty!<br />

Nikki Broady, BSN, RN, RCIS- Cardiovascular<br />

Invasive Specialist<br />

Christi Jobe, RN, CMSRN- <strong>Medical</strong>/Surgical <strong>Nursing</strong><br />

Katie Gerlach, RN, CMSRN- <strong>Medical</strong>/Surgical<br />

<strong>Nursing</strong><br />

Jessica Waninger, BSN, RN, CMSRN- <strong>Medical</strong>/<br />

Surgical <strong>Nursing</strong><br />

Leigh Ann Holder, BSN, RN, EMT, CFRN- Flight<br />

<strong>Nursing</strong><br />

Erica Forsee, BSN, RN-BC-Cardiac Vascular <strong>Nursing</strong><br />

Sherry Aliotta, BSN, RN, BC, CCM, GCN- Certified<br />

Case Management<br />

Congratulations to the following nurses and student<br />

nurses who obtained a degree!<br />

Associate Degree<br />

Lorrin Butze, ASN, RN<br />

Gena Simpson, ASN, RN<br />

Lori Herman, ASN, RN<br />

Bachelor’s Degree<br />

Pamela Balczo, BSN, RN, PCCN<br />

Greg Fleck, BSN, RN, CCRN<br />

Kayla Burch, BSN, RN<br />

Jessica Waninger, BSN, RN, CMSRN<br />

Jennifer McDivitt, BSN, RN<br />

Erica Forsee, BSN, RN-BC<br />

Master’s Degree<br />

Kirsten Emmons, MSN, RN<br />

Carlene Oliver, MSN, RN<br />

Congratulations to the following nurses who passed<br />

their Acute Care Nurse Practitioner Boards!<br />

Lynne Melchior, MSN, RN, CDE, ACNP-BC<br />

Diana Emmick, MSN, RN, CDE, ACNP-BC<br />

Congratulations to the following new graduates who<br />

passed their NCLEX!<br />

Erin Cheaney, ASN, RN<br />

Jayme Gillette, ASN, RN<br />

Congratulations to the following nurses who were<br />

published!<br />

Sherry Aliotta, BSN, RN, BC, CCM, GCN-Co-Author<br />

<strong>of</strong> “Case Management Adherence Guidelines 2012” ©<br />

CMSA, Little Rock, AR (A book on the case manager’s<br />

role in improving patient adherence)<br />

Congratulations to the following nurses who<br />

completed the <strong>St</strong>roke Intensive Series!<br />

Dana Lanham, BSN, RN<br />

Ashlee Bromm, ASN, BS<br />

Senta Thompson, BSN, RN<br />

10

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