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NURSING CAROLINA 2014 FISCAL YEAR NURSING ANNUAL REPORT TABLE OF CONTENTS 2 2014 FISCAL YEAR NURSING ANNUAL REPORT 4 8 16 20 26 30 LETTER FROM DR. TONGES MAGNET STORIES EPIC IMPLEMENTATION STAFF PROFILES AWARDS ACCOMPLISHMENTS Dear Colleagues and Friends, This is the 12th year I’ve been privileged to serve as Chief Nursing Officer for the University of North Carolina Hospitals (UNCH), and I’m very pleased to again have the opportunity to share Nursing highlights for the year. We are strongly committed to advancing the art and science of nursing and very fortunate to work in an environment that supports both the delivery of excellent nursing care and the workplace well-being of the nursing staff who provide this care. The founder of modern nursing, Florence Nightingale, said, “For we who nurse, our nursing is something which, unless we are making progress every year, every month, every week, we are going back. No system shall endure which does not march.” UNCH Nursing definitely continues to march, and the high points of our progress in Fiscal Year 2014 can be summarized as follows: People The 2010 Institute of Medicine report on the future of nursing recommended that the percentage of nurses with a Baccalaureate degree be increased to 80% by the year 2020 because evidence points to a positive relationship between higher levels of nursing education and better patient outcomes. To assist UNCH RN employees in continuing their education and earning a BSN, our on-site RN to BSN program with Winston-Salem State began on May 22, 2013. I am extremely pleased to report that 17 UNCH RNs graduated in May, 2014 and congratulate each of them. Our plan is to continue to provide this opportunity for employee students, and a new cohort of 16 more RNs has begun the program. Many thanks to the Professional Development Council for their help with exceeding our goal of increasing the number of UNCH RNs who are Baccalaureate prepared from 63.3% to 66.7% against a target of achieving 64% this year. As we continue to open 4 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT new units and become even larger, the denominator of this calculation continues to grow which means that we have to work hard to continue to increase the numerator to make progress toward the 80% goal. Based on the findings of an integrated literature review by our shared governance Research Council, the prevalence of fatigue is higher among clinical nurses in acute care settings than the general US workforce. The Practice Council has developed a Fatigue Management Plan which is being piloted this summer. We’re measuring fatigue pre-implementation and post-implementation to determine if using the evidence-based best practices identified in the literature reduces fatigue. If so, we will expand the program across the units. Service We’ve continued to provide a very positive experience for our patients and families. For Fiscal Year 2014 to date (July 1, 2013 forward), our Press Ganey score for overall satisfaction is in the 79th percentile as compared to other hospitals of 600 beds or more. In general, it’s more challenging for larger, academic medical centers (AMCs) to have high patient satisfaction scores than smaller, community hospitals. Remember that UNCH is now an 830 bed AMC, and we have a high ranking compared to large hospitals of all types in the Press Ganey data base. Moreover, our HCAHPS scores continue to be the best in the Triangle. Our Diversity Council is focusing on poverty as a dimension of diversity this year. They are increasing their knowledge about poverty and developing culturally competent interventions for this patient population. This will be the topic of their annual conference which is scheduled for October 9th. Quality On the NDNQI quality measures, 81% of our units met or outperformed the national benchmark for the top 25th percentile for skin care, and 83% did so for alternatives to restraint. More than 50% of units outperformed the NDNQI national average benchmark for falls prevention. We are contributing heavily to success in meeting or exceeding organizational quality goals. Specifically, nursing care is very important in reducing DVTs/PEs per 1,000 cases from 11.7 last year to 8 against a goal of 11.1. Many thanks to the Quality Council. Finance As the largest division in an enterprise in which at least 50+ percent of costs are salaries, Nursing’s financial performance is critical to hospital success. The following outcomes reflect careful stewardship of the resources for which the Nursing Division is responsible: • Budget Index: Percent of budgeted expense dollars spent = 98.8% (1.2% under budget) • Productivity Index: Relationship between labor and budgeted volumes = 102.9% (2.9% better than target). Our goal is quality with economy, and we are achieving it. Growth We continued to grow in Fiscal Year 2014: • In November, 2013 our first inpatient unit away from the Chapel Hill campus, a 16-bed Psychiatry unit, opened at Wakebrook in Raleigh. • We are designing a new 24-bed MPCU on 3 Bed Tower and a 24-bed Bone Marrow Transplant unit on First Floor, Neuroscience Hospital. • We will begin serving patients at the new Hillsborough Hospital in July, 2015. Innovation Our successful implementation of the Epic electronic health record on April 4 is the most innovative thing we did this year, and Nursing was central to this very significant accomplishment. It was clear to all how well-prepared nursing staff were for Go-Live 1. We also had a great opportunity to assist our colleagues at Rex Healthcare by sending a large number of RN Super Users to help with Go-Live 2 in June. 6 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Last but not least, we’ve continued to expand Carolina Care™ Partners in Practice. We implemented this care delivery model on 6 West, our first Medicine Unit, in December, 2013, and it is proving to be as successful there as it has been in Surgery I am prouder of the UNCH nursing staff with every passing year. Their contributions play a significant role in enriching and advancing our profession locally, regionally, and nationally, and most importantly, in meeting the needs of patients and families, the people of North Carolina we are committed to serve. UNCH never stops moving forward, and nurses lead so much positive change, which is why we believe so strongly in the Power of Nursing and are extremely proud to be CAROLINA NURSING. Sincerely, TRANSFORMATIONAL LEADERSHIP 8 “I stepped back and watched as it became self-sustaining.” 2014 FISCAL YEAR NURSING ANNUAL REPORT TRANSFORMATIONAL POSITIVITY – AN EMPOWERMENT TOOL One can easily lose sight of expressing appreciation for another’s positive contributions when working in a fast-paced clinical environment such as 3 Anderson North, the Cardiac Intermediate Care Unit. Paige Roberts, a Clinical Nurse IV, created the opportunity to help her colleagues notice the good around them and express gratitude for it through a unit-led project. This initiative ultimately empowered staff to sustain positivity and improve their patients’ experience as measured by Press Ganey. Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments INFECTION PREVENTION THROUGH HAND WASHING As one of its 2014 FY organizational goals, UNC Hospitals aspired to greater than 90% hand-hygiene compliance. The Quality Council partnered with both UNCH Hospital Epidemiology and Infection Prevention and Control and developed a house-wide initiative empowering every staff member to either acknowledge one another’s performance or educate one another about effective hand hygiene. Quality Council Chair, Char-Norie Poteat, RN, describes how the 90% goal was surpassed and this level of compliance is sustained. "Our [Clean In, Clean Out] video … is now a standard for new employee orientation.” 10 STRUCTURAL EMPOWERMENT 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments EXEMPLARY PROFESSIONAL PRACTICE 12 “We made sure it included a patient-engaged report at the bedside.” SAFE AND EFFECTIVE PATIENT HANDOFF Will Whitaker, a CN III on 3 Anderson North, joined forces with nurses from other units to create a comprehensive communication tool to facilitate consistent, safe patient handoffs. The most significant feature of the tool and process is that the patients and their families are included during report, facilitating their understanding of the plan of care and better preparing them for discharge. This model has been implemented house wide for shift-to-shift report. 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments EARLY MOBILITY IMPROVES OUTCOMES Helping patients to move as soon as possible after surgery can help prevent complications such as post-operative deep vein thrombosis (DVT) , ventilator associated pneumonia (VAP) and pressure ulcers (PU). Heidi Prestemon, a Clinical Nurse III on 4 Anderson North, and three colleagues teamed up to pilot an early mobility protocol on their acute care unit. Six months later the data showed a decrease in rates of DVT, VAP and PUs which are being sustained because of the culture change. “We educated staff, patients and patients' families... then we put it into action.” 14 NEW KNOWLEDGE, INNOVATIONS, & IMPROVEMENTS 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments he guiding principle and stated goal of Epic@ UNC is “one patient ID, one problem list, one medication list, and one bill” for each patient across UNC Health Care. Epic@UNC facilitates sharing information about patients’ care and processes across the healthcare system which saves time for patients and providers. It also provides more and better data for researchers. The aggressive implementation schedule of Epic@UNC included the onboarding of 205 core team members in January 2013 and the identification of a much larger number of subject matter experts (SMEs). With these team members in place, an intensive, collaborative design and decision making process was initiated to create an electronic medical record that supports our vision to be the nation’s leading public, academic health care system. End-user training began in January of 2014 for Go Live #1 and included the Medical Center, Chatham Hospital, UNC Faculty Physicians, and UNC Physicians Network West. Training for Go Live #2 including Rex Healthcare, Rex LLC, and UNC Physicians Network East followed in April 2014. With more than 10,000 staff trained, Epic@UNC went live for three hospitals and 250 clinics on April 4, 2014. T Epic Implementation 16 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Support was a key factor in making the Epic@UNC implementation a success for the organization as a whole and nursing specifically. The framework for support had four tiers beginning with Super Users at the front line, Credentialed Trainers, Zone Captains, and a highly functional Command Center. Sporting yellow Epic@UNC vests, more than 2,000 staff served as internal Super Users for Go Live #1 with augmentation from contracted At-The-Elbow (ATE) support persons. Physician support persons donned green vests while Credentialed Trainers were in orange to help identify and target specific sources of help. Red-vested nurse managers, directors, educators, and other administrators served as Zone Captains responsible for troubleshooting concerns of the Super Users and ATE support persons and/or communicating issues to the appropriate team in the command center. All members of the executive team provided further support through 24/7 rounding. Core team members were stationed around the clock in the command center. For three weeks, Super Users, ATE support, and Zone Captains maintained a constant presence across the organization to answer questions, coach new users, escalate issues, and assist in relieving the stress associated with a change of this magnitude. Nurse Managers in all areas gave staff on-unit support by providing hands-on education and assistance, refreshments and opportunities to use respite areas. They were also the nexus of bidirectional information flow to ensure that end users received the frequent updates sent through News for Employees and News for Managers emails and that concerns were communicated to the command center teams. Nurse leaders and executives participated in a number of daily meetings to address safety, quality, and operational issues. 18 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT having a greater understanding of the new system. Because of this feedback and after working with Epic@UNC for 10 weeks, more than 70 nursing staff from the Medical Center traveled to Rex Healthcare in Raleigh to serve as Super Users for Go Live #2. Provision of this internal support was a resounding success and was well received and appreciated by end-users at Rex. The journey continues with the next phases of the Epic@UNC road map. Go Live #1 and #2 entities will begin work on optimization to enhance the Epic@UNC system. Our colleagues at other entities within UNC Health Care will be working toward their own implementation plans, further connecting patients and providers system-wide. As a result, the overarching goal will be achieved --“one patient ID, one problem list, one medication list, and one bill” for each patient in the UNC Health Care System. Reports from front-line staff during Go Live #1 indicated that internal Super User staff members were among the most valuable sources of support because these individuals understood organizational policies and procedures in addition to Mauri Williams MBA, MHA, RN, NE-BC, CSSBB Associate Vice President and Chief Nursing Informatics Officer NA TO CST TO RN – ONE NURSE’S JOURNEY As a young girl who grew up riding and caring for horses, Victoria Holloway dreamed of becoming a veterinarian. Her dream evolved to caring for people instead, and she set her sights on becoming a nurse. Come what may, she was determined to achieve her goals – earning honors in nursing school, securing a full-time position in the Cardiothoracic Intensive Care Unit at UNC Hospitals, and all while caring and providing for her little boy. “Everything that seemed impossible, I had finally accomplished and it was a really good feeling.” 20 NURSING STAFF PROFILE 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments NURSING STAFF PROFILE 22 “I have just experienced a beautiful, caring relationship with this anxious mother.” A BEAUTIFUL THING Through UNCH Nursing’s conceptual framework based on Swanson’s Caring Theory and Relationship-Based Care delivery system nurse Holly Wei of Children's Intermediate Cardiac Care explores the circular relationships between and among nursing theory, practice, and research. Her mission is to examine patients’ families’ responses to the care they receive, with the goal of improving those experiences, one patient at a time. 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments A SECOND PAIR OF HANDS An anesthesia technician must be very knowledgeable, thorough, and prepared to assist the anesthesia provider at a moment’s notice, and that’s exactly what Jack Jackson is known and recognized for in Perioperative Services. With 30+ years’ experience, Jack also precepts many new technicians, introducing them to this fast-paced and demanding role. His dedication to be the best he can be, together with pride in his work, resulted in his proudest accomplishment yet — being chosen Anesthesia Technician of the Year for 2013 by the graduating residents of the anesthesia program at UNC Hospitals. “We try to make sure the patient is feeling very comfortable.” 24 NURSING STAFF PROFILE 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Assistive Personnel of the Year Hamid Dawson Cardiology Technician Center for Heart and Vascular Care Kiya Hunter Medical Support Assistant I Surgical Services Matthew Cox Health Unit Coordintaor Children’s Services Timothy Fitts Nursing Assistant II Emergency Services Jerrid Rogers Clinical Support Technician II Medicine Services Kristy Leitch Clinical Support Technician Oncology Services Gabriele Smith Clinical Support Technician Psychiatry Services Tammy Mitchell Stock Clerk Surgery Services Rosamond Bankole Clinical Support Technician Women’s Services Decia Sanders Nursing Assistant II Rehabilitation Center 26 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Nurse of the Year Rachel Pasaporte Calva BSN, RN-BC Center for Heart and Vascular Care Doreen Fombin-Mua RN, Emergency Services Erin Fisher BSN, RN Center for Transplant Care Ashley Nooe RN, PCCN Medicine Services Debra Close RN, OCN Oncology Services Ana S. Gil Del Villar BSN, RN Psychiatry Services Jules Hoffman BSN, RN, CNOR Surgical Services Colleen O'Brien RN Women’s Services Amanda Price BSN, RN Radiology Nursing Cheryl Smith-Miller PhD, M.Ed., RN-BC Nursing Quality and Research Collaborative Colleague Nurse Manager of the Year Linda Drogos BSN, RN-C Center for Heart and Vascular Care Marianne Jackson MD, MPH Performance Improvement Zeynep Tulu MS, MEMP, SSBB Center for Transplant Care Nurse of the Year Agnes Royal BSN, RN-BC Surgery Services Cheri Young BSN, RN, CPN Children’s Services 28 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Faculty of the Year S.A.G.E. Nurse of the Year Friend of Nursing Martha Bausch MSN, NP-C Center for Transplant Care Linda Harlos BSN, RN ONC Surgery Services Hyman Muss MD, UNC Lineberger Comprehensive Cancer Center and University of North Carolina School of Medicine Beth Lamanna WHNP, MPH, RN University of North Carolina at Chapel Hill School of Nursing Academic Achievements Associate Degree in Nursing Daniel W. Brown, ADN, RN Heather C. Curtin, ADN, RN Krystal A. Mckever, ADN, RN Carrie R. Ouellette, ADN, RN Elizabeth M. Pruitt, ADN, RN Bachelor of Arts in Health Care Administration Kisa L. Wilson, BA Bachelor of Science Daniel E. Miles, BS, NREMT-P Bachelor of Science in Nursing Rebecca A. Akhama, BSN, RN Jaymar C. Browne, BSN, RN Mark O. Buchanan, BSN, RN Angela R. Bukowski, BSN, RN, CPN Audrey J. Clark, BSN, RN, CPN Abigail L. DesJardins, BSN, RN Mary D. Dominado, BSN Aniesha Dukkipati, BSN, RN Yokasta Feliz, BSN, RN Robert H. Ferguson IV, BSN, RN Caroline E. Frantz, BSN, RN Erin Gordon, BSN, RN Jules C. Hoffman, BSN, RN, CNOR Victoria M. Holloway, BSN, RN Jessica L. Hulse, BSN, RN Taylor M. Ivester, BSN, RN Lauren J. Lopez, BSN, RN Danielle T. Mclean, BSN, RN Saul O. Opukah, BSN, RN Leanne N. Ormsby, BSN, RN Kaitlen J. Poe, BSN, RN Brandi M. Robinson, BSN, RN, CMSRN Jessica A. Rudolph, BSN, RN Adwoa B. Safo, BSN Jacelyn Schmid, BSN, RN Amber E. Stroupe, BSN, RN Gina T. Thompson, BSN, RN Priscila M. Tomlin, BSN, RN Brooke K. Tucker, BSN, RN April L. Turner, BSN, RN Steven J. Villano, BSN, RN, OCN Ashley R. Worrow, BSN, RN Rebecca N. Yeargan, BSN, RN Sarah L. York, BSN, RN, PCCN Bachelor of Science in Public Health Vanna S. Cunningham, BS Master of Science in Health Services Management Michael Scharville, MS 30 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Master of Science in Nursing Jeana L. Lynall, MSN, RN, CNOR Ila D. Mapp, MSN, RN Katherine J. Price, MSN, RN Dana A. Riebman, MSN, RN, PCCN Lauren E. Russell, MSN, RN Masters in Health Administration Tasha M. Lea, MHA, RN, RNC-MNN Doctor of Philosophy Sheila S. Roszell, PhD, RN Appointments Tracy J. Carroll, BSN, RN Patient Services Manager III Surgery Services Nurse Manager Representative, Press Ganey Nurse Manager Subcommittee, Press Ganey Institute for Innovation 2013 Scott D. Goodsite, RN Clinical Nurse II Surgery Services Member, Nursing Fatigue Steering Committee, American Nurses Association 2013-2014 Appointments continued... Constance F. Lanier, BSN, RN, CEN Clinical Resource Nurse Emergency Services Delegate, North Carolina Emergency Nurses Association, Emergency Nurses Association 2013 Megan K. Seston, BSN, RN Clinical Nurse II Center for Heart and Vascular Care Chair, Early Career Professionals Task Force Subgroup, American Organization of Nurse Executives 2013 Ann M. Smith, MSN, RN, CAPA Patient Services Manager III Perioperative Services • Member, Board of Directors, American Board of PeriAnesthesia Nursing Certification 2013-2014 • Member, Board of Directors, North Carolina Association of PeriAnesthesia Nurses 2013 Bonnie L. Streeter, MSN, RN, CGRN Clinical Nurse IV Perioperative Services Member, National Conference Program Committee, Society of Gastroenterology Nurses and Associates 2013 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer • Member, American Hospital Association’s Performance Improvement Committee 2014 • Member, American Organization of Nurse Executives Foundation Board 2014 • Member, Press Ganey Chief Nursing Officer Advisory Council 2014 Certification Aneesah F. Ahmed, BSN, RN, CPN Shane D. Anderson, BSN, RN, CEN Corinne M. Arundell, BSN, RN, PCCN Emily Brooks, RN, CCRN Angela R. Bukowski, BSN, RN, CPN Alexis N. Cooper, NREMT-B 32 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Sue Copeland Upchurch, BSN, RN, CMC Catherine M. Crawford, BS, RN, RNC-OB Brooke E. Curro, MHA, RN, CNML Sarah A. Daniels, BSN, RN, RN-BC Cara E. Dlugosz, BSN, RN, PCCN Felicia W. Eagle, BSN, RN, CNOR Mary E. Fomum, BSN, CMSRN Rowena G. Galang, BSN, RN, RN-BC Sandra A. Gililland, MSN, RN, RN-BC Claire M. Gillett, BSN, RN, OCN Jessica M. Glazier, BSN, RN, CMSRN Chelsea L. Hasenfus, BSN, RN, RN-BC Kristin M. Head, BSN, RN, PCCN Monica Hicks, RN, OCN Joyce C. Kern, BSN, RN, RN-BC Jeana L. Lynall, MSN, RN, CNOR Jennifer L. MacDonald, BS, RN, CMC Libbi E. Mathews, RN, VA-BC Jennifer B. Mauldin, BSN, RN, RN-BC Sarah J. Maupin, BSN, RN, RN-BC Rebecca J. Michael, BSN, RN, CCRN Maureen E. Miller, BSN, RN, PCCN Jessica I. Mollmark, BSN, RN, RN-BC Laura K. Murphy-McMillan, BSN, RN, RN-BC Jennifer G. Myers, BSN, RN, CCRN Elise T. Payne, BS, RN, PCCN Brandy M. Pittard, RN, SANE-A Kathleen S. Prichard, BSN, RN, RN-BC Cicily S. Pulpara, RN, CCRN Brandi M. Robinson, BSN, RN, CMSRN Carina Q. Salzmann, BS, RN, PCCN Certifications continued... Amber L. Sonday, BSN, RN, CPN Esther W. Speight, RN, RN-BC Natalie H. Spruill, BS, RN, CMSRN Kathleen E. Villareal, BSN, RN, CPN Nicholas L. Villarreal, BSN, RN, CCRN-CMC Kelly R. Watson, BSN, RN, RN-BC Colleen L. Wehner, RN, PCCN Catherine M. Wintermeier, BSN, RN, OCN Patricia L. Yee, MSN, RN, CPN Elections Shane D. Anderson, BSN, RN, CEN Clinical Nurse II Emergency Services Chair-elect, Nursing Alumni Council, Duke University School of Nursing 2013-2014 Kathleen Balliu, RN Patient Services Manager II Perioperative Services President, Society of Otorhinolaryngology Head-Neck Nurses 2013 Jane F. Burrill, MSN, RN, RN-BC Clinical Nurse Education Specialist Nursing Practice and Professional Development Program Coordinator, North Carolina Nurses Association Triangle Region 2013-2014 Turkeisha S. Brown, BSN, RN, RN-BC Patient Services Manager III Medicine Services Vice President, Triangle Nurse Appreciation Council 2013-2014 Ivy Carter, NA Nursing Assistant I Center for Heart and Vascular Care Chapter Secretary, National Student Nurses’ Association 2013-2014 Constance F. Lanier, BSN, RN, CEN Clinical Resource Nurse Emergency Services Secretary, Southeastern Seaboard Emergency Nurses Symposium 2014 34 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Chris P. McGrath, RN, CFRN, EMT Flight Nurse Emergency Services State Council President, North Carolina Emergency Nurses Association 2014 Bonnie L. Streeter, MSN, RN, CGRN Clinical Nurse IV Perioperative Services President, Eastern North Carolina Society of Gastroenterology Nurses and Associates 2012-2013 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer Member, Board of American Organization of Nurse Executives representing Region 3 2014 Podium Presentations Angela R. Bukowski, BSN, RN, CPN Clinical Nurse II Children’s Hospital ”Lessons from Dorothy” A case study of a pediatric patient with IBD. 8th Annual Cutting Edge of Pediatrics Conference, Chapel Hill, NC, October, 2013 Claire H. Curran, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Smartphones at the bedside and beyond: Technology for evidence-based practice. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Hypothermia and post cardiac arrest care. 11th Annual The Beat Goes On Conference: Partnerships in Heart & Vascular Care, Chapel Hill, NC February, 2014 Ernest J. Grant, MSN, RN, FAAN Nursing Education Clinician - Burn Outreach Surgery Services • Initial burn stabilization in non-trauma centers. Southeast Area Health Education Center Trauma Conference, Wilmington, NC, February, 2014 • The intentional burn injury. Southeast Area Health Education Center Trauma Conference, Wilmington, NC, February, 2014 Maureen A. Heck, BSN, RN, CCRN Patient Services Manager III Surgery Services Got GOT (Goals of Treatment)? Ethical issues in the trauma population. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Christine Hedges, PhD, RN Director Nursing Quality and Research A creative infrastructure for building nurse empowerment and engagement. ANCC National Magnet Conference, Orlando, FL, October, 2013 36 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Sheena B. Hilton, BSN, RN Registered Nurse Center for Heart and Vascular Care Sudden cardiac death in young athletes. 11th Annual The Beat Goes On Conference, Chapel Hill, NC, February, 2014 Amelia G. Jackson, BSN, RN, CCRN Clinical Nurse II Surgery Servicess Got GOT (Goals of Treatment)? Ethical issues in the trauma population. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Jeff R. Lynch, BSN, RN Patient Services Manager III Center for Heart and Vascular Care Let’s get pumping. A beginner’s guide to intra-aortic balloon pump therapy. National Teaching Institute and Critical Care Exposition 2014, Denver, CO, May, 2014 Podium Presentations continued... Melanie M. Manalo, BSN, RN Clinical Nurse III GI Surgery Let’s move it! Early mobility protocol implementation in SICU and an acute care setting. American Association of Critical- Care Nurses Clinical Scene Investigator Academy Innovation Conference, Chapel Hill, NC, February, 2014 Ila D. Mapp, MSN, RN Patient Services Manager III Center for Heart and Vascular Care Victorious. 2014 Nursing Graduation, University of North Carolina at Greensboro, Greensboro, NC, May, 2014 Chris P. McGrath, RN Flight Nurse Emergency Services • Adolescent perceptions of risky and emotional behavior following a mock crash. Cardinal Chapter Emergency Nurses Association Conference, Cary, NC, September, 2013 • Concussions: More than getting your bell rung. Southeastern Seaboard Symposium, Charleston, SC, April, 2014 Kelly L. Revels, MSN, RN Clinical Nurse Education Specialist Emergency Services Taking care of one of our own: A patient’s story. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Paige J. Roberts, MBA, RN, PCCN Clinical Nurse IV Center for Heart and Vascular Care Positivity: Your power tool for creating a strong work environment. American Association of Critical-Care Nurses National Teaching Institute, Denver, CO, May, 2014 38 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Services Burn Center Retreat 2013. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Ann M. Smith, MSN, RN, CAPA Patient Services Manager III Perioperative Services Value of certification. North Carolina Association of PeriAnesthesia Nurses State Conference, Charlotte, NC, September, 2013 Podium Presentations continued... Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research • Gender differences in Type 2 diabetes self-management among Spanish-speaking Mexican Immigrants. Sigma Theta Tau International’s 24th International Nursing Research Congress, Prague, Czech Republic, July, 2013 • Type 2 Diabetes Self-Management Among Spanish-speaking Hispanics: Health literacy, gender, and familia. North Carolina Community Health Center Association 26th East Coat Migrant Stream Forum, San Juan, Puerto Rico, October, 2013 Tonya R. Stafford, BSN, RN Clinical Nurse II Children’s Hospital The Heimlich valve. 8th Annual Cutting Edge of Pediatrics Conference, Chapel Hill, NC, October, 2013 Cheryl J. Stewart, BSN, RN Patient Services Manager III Surgery Services Creating a culture of exploration and innovation at the unit level. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Kaitlin R. Strauss, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Positivity: Your power tool for creating a strong work environment. American Association of Critical-Care Nurses National Teaching Institute, Denver, CO, May, 2014 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer From caring theory to practice. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 40 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Poster Presentations Lisa Alarcon, RN Nursing Care Coordinator Children’s Hospital Tracking flu vaccines in pediatric asthma patients. North Carolina Asthma Summit, Raleigh, NC, May, 2014 Nicole M. Burnett, BSN, RN, CCRN, CNRN Nursing Care Coordinator Surgery Service • Are you ready for the challenge? Teamwork to improve stroke dysphagia protocol compliance. American Association of Neuroscience Nurses Annual Meeting, Charlotte, NC, March, 2013 • Evolution of a comprehensive stroke center utilizing systems thinking and collaborative strategies. American Heart Association/American Stroke Association’s International Stroke Conference, Honolulu, HI, February, 2013 Poster Presentations continued... Nicoleta Constantin, PhD, RN, CPN Clinical Nurse III Children’s Hospital Peripheral versus central line tobramycin levels in children with cystic fibrosis admitted to pediatric floors. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Sue Copeland Upchurch, BSN, RN, CMC Clinical Nurse III Center for Heart and Vascular Care Compassion fatigue: Do caregivers at UNC Hospitals heart and vascular units experience it? Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Putting class IIb recommendations to the test - The influence of unwitnessed and non-VT/VF arrests on resource consumption and outcomes in therapeutic hypothermia. Changing Bedside Nursing Practice: One Research Idea at a Time, Raleigh, NC, September, 2013 Trish A. Dodson, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development University of North Carolina Hospital’s unique approach to the RN Residency Program. 9th Nurse Executive Leadership Conference, Chapel Hill, NC, September, 2013 Ana S. Gil Del Villar, BSN, RN, RN-BC Clinical Nurse IV Psychiatry Design and implementation of positive nursing milieu interventions to reduce seclusion and restraints. American Psychiatric Nurses Association 27th Annual Conference, San Antonio, TX, October, 2014 42 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Rayna M. Gorisek, BSN, RN, CCRN Clinical Nurse IV Surgery Service The creation of burn wound care videos for nursing education. Southern Regional Burn Conference, Tampa, FL, November, 2013 Vivian B. Green, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development E.N.G.A.G.E- New nurse program: Essential Nursing Guidance and Growth Experience. Academy of Medical-Surgical Nurses 22nd Annual Convention, Nashville, TN, September, 2013 Jami Howell, MBA, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Implementing the “Future of Nursing” through an innovative care model: Carolina Care™ Partners in Practice. South Eastern Nursing Staff Education Symposium Conference, Wilmington, NC, November, 2013 Poster Presentations continued... Loree A. Kimball, BSN, RN Clinical Nurse IV Surgery Service Nurse scheduling in a busy burn center: Lessons learned. Southern Regional Burn Symposium, Tampa, FL, November, 2013 Mollie Maggied, BSN, RN, CAT, CPN Clinical Nurse III Children’s Hospital From stats to sticks: A multi-disciplinary approach to preventing exposures and improving outcomes. North Carolina Nursing Association Fall Conference, Greensboro, NC, October, 2013 Jennifer G. Myers, BSN, RN, CCRN Clinical Nurse II NC Jaycee Burn Center Nurse scheduling in a busy burn center: Lessons learned. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Service Hand hygiene and control of multi drug resistant organism outbreaks. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research Building research capacity: Strategies to facilitate clinical nurses’ research skills. Academy of Medical-Surgical Nurses Convention, Nashville, TN, September, 2013 Ashley W. Tate, BSN, RN, CPN Clinical Nurse IV Children’s Hospital UNCH Nursing Practice Council - Nurse driven protocols. UNC Hospitals Nurse Executive Leadership Conference, Chapel Hill, NC, September, 2013 44 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Publications Tracy J. Carroll, BSN, RN Patient Services Manager III Surgery Services Toledo, A., Carroll, T., Arnold, E., Tulu, Z., Caffey, T., Kearns, L., Gerber D. (2013). Reducing liver transplant length of stay: A Lean - Six Sigma approach, Progress in Transplantation, 23(4), 350-364. Claire H. Curran, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Curran, C. (2014). Smartphone Applications: Potential tools for use in preparing for CCRN certification examinations, Critical Care Nurse, 34(3), 62-65. Publications continued... Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Buntaine, A. , Dangerfield, C., Pulikottil, T., Laurence, K., Cook, A., Reed, B., Katz, J. (2014). Putting class IIb recommendations to the test: The influence of unwitnessed and non-VT/VF arrests on resource consumption and outcomes in therapeutic hypothermia and targeted temperature management, Critical Pathways in Cardiology, 13(2), 78-81. Ernest J. Grant, MSN, RN, FAAN Nursing Education Clinician - Burn Outreach Surgery Services Grant, E. (2013). Preventing burns in the elderly: A guide for home healthcare professionals, Journal of Home Healthcare, 31, 561-573. Christine Hedges, PhD, RN Director Nursing Quality and Research Hedges, C., Williams, B. (2014). Anatomy of Research for Nurses. Indianapolis, IN: Sigma Theta Tau International. Carla M. Jones, MSN, RN Clinical Nurse IV Surgery Services Jones, C.M., Stewart, C., Roszell, S.S. (2014). Beyond best practice: Implementing a unit-based CLABSI project, Journal of Nursing Care Quality. (Epub ahead of print.) Ila D. Mapp, MSN, RN Patient Services Manager III Center for Heart and Vascular Care Mapp, I., Davis, L. (2013). Prevention of unplanned intensive care unit admissions and hospital mortality by early warning systems, Dimensions of Critical Care Nursing, 32, 300-309. Meghan F. McCann, MSN, RN Director Oncology Services Tonges, M., McCann, M., Strickler, J. (2014). Translating caring theory across the continuum from inpatient to ambulatory care, Journal of Nursing Administration, 44, 326-332. 46 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Jeff D. Phillips, MSN, RN, CEN Clinical Nurse IV Nursing Employment Phillips, J., Stinson, K. (2014). Avoiding eruptions: De-escalating agitated patients, Nursing 2014, 44, 60-63. Sheila S. Roszell, PhD, RN Clinical Nurse III Surgery Services Roszell S. (2014). Chaos in the clinic, Nursing Management, 45, 30-47. Roger P. Saunders, MS, RN Patient Services Manager III Children’s Hospital Seigel, J., Whalen, L., Burgess, E., Joyner, B., Purdy, A., Saunders, R., Munn, L., Yip, T., Willis, T. (2014). Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU, Joint Commission Journal on Quality and Patient Safety, 40(2), 83-90. Publications continued... Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Services Kearns, R.D., Myers, B., Cairns, C.B., Rich, P.B., Hultman, C.S., Charles, A.G., Jones, S.W., Schmits, G.L., Skarote, M.B., Holmes, J.H 4th, Cairns, B.A. (2014). Hospital Bioterrorism planning and burn surge, Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 12(1). Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research Smith-Miller, C., & Thompson, C. (2013). Transformative learning: Fostering appreciation of the complexities of diabetes self-management, Journal of Nursing Staff Development, 29, 325-332. Cheryl J. Stewart, BSN, RN Patient Services Manager III Surgery Services Jones, C.M., Stewart, C., Roszell, S.S. (2014). Beyond best practice: Implementing a unit-based CLABSI project, Journal of Nursing Care Quality. (Epub ahead of print.) Mary Tonges, PhD, RN Senior Vice President and Chief Nursing Officer • Tonges M. (2013). AONE position paper: Nursing practice and payment in ACOs, Nurse Leader, 11(6), 25-27. • Tonges, M., McCann, M., Strickler, J. (2014). Translating caring theory across the continuum from inpatient to ambulatory care, Journal of Nursing Administration, 44, 326-332. 48 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments UNC Health Care nurses are leaders in quality care, knowledge experts in diverse specialty fields and innovators of cutting edge solutions to the many challenges professional nurses face today. This leadership and expertise are evident in the numerous accomplishments that have been achieved by members of the nursing staff at local, regional, and national levels. Congratulations to each of you. Your dedication to the continued pursuit of nursing excellence is recognized and deeply appreciated. U www.unchealthcare.org/site/Nursing Produced by the Division of Nursing at UNC Hospitals September 2014 Producer: Peggy Mattingly, RN, UNC Hospitals Design: Nxtbook Media Photography: Jim Colman Photography Video Production: Horizon Productions
Object Description
Description
Title | Division of Nursing : annual report |
Other Title | Carolina nursing; Nursing annual report |
Date | 2014-09 |
Description | 2014 |
Digital Characteristics-A | 11.9 MB; 50 p. |
Digital Format |
application/pdf |
Pres File Name-M | pubs_serial_uncnursingannualreport2014.pdf |
Full Text | NURSING CAROLINA 2014 FISCAL YEAR NURSING ANNUAL REPORT TABLE OF CONTENTS 2 2014 FISCAL YEAR NURSING ANNUAL REPORT 4 8 16 20 26 30 LETTER FROM DR. TONGES MAGNET STORIES EPIC IMPLEMENTATION STAFF PROFILES AWARDS ACCOMPLISHMENTS Dear Colleagues and Friends, This is the 12th year I’ve been privileged to serve as Chief Nursing Officer for the University of North Carolina Hospitals (UNCH), and I’m very pleased to again have the opportunity to share Nursing highlights for the year. We are strongly committed to advancing the art and science of nursing and very fortunate to work in an environment that supports both the delivery of excellent nursing care and the workplace well-being of the nursing staff who provide this care. The founder of modern nursing, Florence Nightingale, said, “For we who nurse, our nursing is something which, unless we are making progress every year, every month, every week, we are going back. No system shall endure which does not march.” UNCH Nursing definitely continues to march, and the high points of our progress in Fiscal Year 2014 can be summarized as follows: People The 2010 Institute of Medicine report on the future of nursing recommended that the percentage of nurses with a Baccalaureate degree be increased to 80% by the year 2020 because evidence points to a positive relationship between higher levels of nursing education and better patient outcomes. To assist UNCH RN employees in continuing their education and earning a BSN, our on-site RN to BSN program with Winston-Salem State began on May 22, 2013. I am extremely pleased to report that 17 UNCH RNs graduated in May, 2014 and congratulate each of them. Our plan is to continue to provide this opportunity for employee students, and a new cohort of 16 more RNs has begun the program. Many thanks to the Professional Development Council for their help with exceeding our goal of increasing the number of UNCH RNs who are Baccalaureate prepared from 63.3% to 66.7% against a target of achieving 64% this year. As we continue to open 4 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT new units and become even larger, the denominator of this calculation continues to grow which means that we have to work hard to continue to increase the numerator to make progress toward the 80% goal. Based on the findings of an integrated literature review by our shared governance Research Council, the prevalence of fatigue is higher among clinical nurses in acute care settings than the general US workforce. The Practice Council has developed a Fatigue Management Plan which is being piloted this summer. We’re measuring fatigue pre-implementation and post-implementation to determine if using the evidence-based best practices identified in the literature reduces fatigue. If so, we will expand the program across the units. Service We’ve continued to provide a very positive experience for our patients and families. For Fiscal Year 2014 to date (July 1, 2013 forward), our Press Ganey score for overall satisfaction is in the 79th percentile as compared to other hospitals of 600 beds or more. In general, it’s more challenging for larger, academic medical centers (AMCs) to have high patient satisfaction scores than smaller, community hospitals. Remember that UNCH is now an 830 bed AMC, and we have a high ranking compared to large hospitals of all types in the Press Ganey data base. Moreover, our HCAHPS scores continue to be the best in the Triangle. Our Diversity Council is focusing on poverty as a dimension of diversity this year. They are increasing their knowledge about poverty and developing culturally competent interventions for this patient population. This will be the topic of their annual conference which is scheduled for October 9th. Quality On the NDNQI quality measures, 81% of our units met or outperformed the national benchmark for the top 25th percentile for skin care, and 83% did so for alternatives to restraint. More than 50% of units outperformed the NDNQI national average benchmark for falls prevention. We are contributing heavily to success in meeting or exceeding organizational quality goals. Specifically, nursing care is very important in reducing DVTs/PEs per 1,000 cases from 11.7 last year to 8 against a goal of 11.1. Many thanks to the Quality Council. Finance As the largest division in an enterprise in which at least 50+ percent of costs are salaries, Nursing’s financial performance is critical to hospital success. The following outcomes reflect careful stewardship of the resources for which the Nursing Division is responsible: • Budget Index: Percent of budgeted expense dollars spent = 98.8% (1.2% under budget) • Productivity Index: Relationship between labor and budgeted volumes = 102.9% (2.9% better than target). Our goal is quality with economy, and we are achieving it. Growth We continued to grow in Fiscal Year 2014: • In November, 2013 our first inpatient unit away from the Chapel Hill campus, a 16-bed Psychiatry unit, opened at Wakebrook in Raleigh. • We are designing a new 24-bed MPCU on 3 Bed Tower and a 24-bed Bone Marrow Transplant unit on First Floor, Neuroscience Hospital. • We will begin serving patients at the new Hillsborough Hospital in July, 2015. Innovation Our successful implementation of the Epic electronic health record on April 4 is the most innovative thing we did this year, and Nursing was central to this very significant accomplishment. It was clear to all how well-prepared nursing staff were for Go-Live 1. We also had a great opportunity to assist our colleagues at Rex Healthcare by sending a large number of RN Super Users to help with Go-Live 2 in June. 6 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Last but not least, we’ve continued to expand Carolina Care™ Partners in Practice. We implemented this care delivery model on 6 West, our first Medicine Unit, in December, 2013, and it is proving to be as successful there as it has been in Surgery I am prouder of the UNCH nursing staff with every passing year. Their contributions play a significant role in enriching and advancing our profession locally, regionally, and nationally, and most importantly, in meeting the needs of patients and families, the people of North Carolina we are committed to serve. UNCH never stops moving forward, and nurses lead so much positive change, which is why we believe so strongly in the Power of Nursing and are extremely proud to be CAROLINA NURSING. Sincerely, TRANSFORMATIONAL LEADERSHIP 8 “I stepped back and watched as it became self-sustaining.” 2014 FISCAL YEAR NURSING ANNUAL REPORT TRANSFORMATIONAL POSITIVITY – AN EMPOWERMENT TOOL One can easily lose sight of expressing appreciation for another’s positive contributions when working in a fast-paced clinical environment such as 3 Anderson North, the Cardiac Intermediate Care Unit. Paige Roberts, a Clinical Nurse IV, created the opportunity to help her colleagues notice the good around them and express gratitude for it through a unit-led project. This initiative ultimately empowered staff to sustain positivity and improve their patients’ experience as measured by Press Ganey. Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments INFECTION PREVENTION THROUGH HAND WASHING As one of its 2014 FY organizational goals, UNC Hospitals aspired to greater than 90% hand-hygiene compliance. The Quality Council partnered with both UNCH Hospital Epidemiology and Infection Prevention and Control and developed a house-wide initiative empowering every staff member to either acknowledge one another’s performance or educate one another about effective hand hygiene. Quality Council Chair, Char-Norie Poteat, RN, describes how the 90% goal was surpassed and this level of compliance is sustained. "Our [Clean In, Clean Out] video … is now a standard for new employee orientation.” 10 STRUCTURAL EMPOWERMENT 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments EXEMPLARY PROFESSIONAL PRACTICE 12 “We made sure it included a patient-engaged report at the bedside.” SAFE AND EFFECTIVE PATIENT HANDOFF Will Whitaker, a CN III on 3 Anderson North, joined forces with nurses from other units to create a comprehensive communication tool to facilitate consistent, safe patient handoffs. The most significant feature of the tool and process is that the patients and their families are included during report, facilitating their understanding of the plan of care and better preparing them for discharge. This model has been implemented house wide for shift-to-shift report. 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments EARLY MOBILITY IMPROVES OUTCOMES Helping patients to move as soon as possible after surgery can help prevent complications such as post-operative deep vein thrombosis (DVT) , ventilator associated pneumonia (VAP) and pressure ulcers (PU). Heidi Prestemon, a Clinical Nurse III on 4 Anderson North, and three colleagues teamed up to pilot an early mobility protocol on their acute care unit. Six months later the data showed a decrease in rates of DVT, VAP and PUs which are being sustained because of the culture change. “We educated staff, patients and patients' families... then we put it into action.” 14 NEW KNOWLEDGE, INNOVATIONS, & IMPROVEMENTS 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments he guiding principle and stated goal of Epic@ UNC is “one patient ID, one problem list, one medication list, and one bill” for each patient across UNC Health Care. Epic@UNC facilitates sharing information about patients’ care and processes across the healthcare system which saves time for patients and providers. It also provides more and better data for researchers. The aggressive implementation schedule of Epic@UNC included the onboarding of 205 core team members in January 2013 and the identification of a much larger number of subject matter experts (SMEs). With these team members in place, an intensive, collaborative design and decision making process was initiated to create an electronic medical record that supports our vision to be the nation’s leading public, academic health care system. End-user training began in January of 2014 for Go Live #1 and included the Medical Center, Chatham Hospital, UNC Faculty Physicians, and UNC Physicians Network West. Training for Go Live #2 including Rex Healthcare, Rex LLC, and UNC Physicians Network East followed in April 2014. With more than 10,000 staff trained, Epic@UNC went live for three hospitals and 250 clinics on April 4, 2014. T Epic Implementation 16 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Support was a key factor in making the Epic@UNC implementation a success for the organization as a whole and nursing specifically. The framework for support had four tiers beginning with Super Users at the front line, Credentialed Trainers, Zone Captains, and a highly functional Command Center. Sporting yellow Epic@UNC vests, more than 2,000 staff served as internal Super Users for Go Live #1 with augmentation from contracted At-The-Elbow (ATE) support persons. Physician support persons donned green vests while Credentialed Trainers were in orange to help identify and target specific sources of help. Red-vested nurse managers, directors, educators, and other administrators served as Zone Captains responsible for troubleshooting concerns of the Super Users and ATE support persons and/or communicating issues to the appropriate team in the command center. All members of the executive team provided further support through 24/7 rounding. Core team members were stationed around the clock in the command center. For three weeks, Super Users, ATE support, and Zone Captains maintained a constant presence across the organization to answer questions, coach new users, escalate issues, and assist in relieving the stress associated with a change of this magnitude. Nurse Managers in all areas gave staff on-unit support by providing hands-on education and assistance, refreshments and opportunities to use respite areas. They were also the nexus of bidirectional information flow to ensure that end users received the frequent updates sent through News for Employees and News for Managers emails and that concerns were communicated to the command center teams. Nurse leaders and executives participated in a number of daily meetings to address safety, quality, and operational issues. 18 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT having a greater understanding of the new system. Because of this feedback and after working with Epic@UNC for 10 weeks, more than 70 nursing staff from the Medical Center traveled to Rex Healthcare in Raleigh to serve as Super Users for Go Live #2. Provision of this internal support was a resounding success and was well received and appreciated by end-users at Rex. The journey continues with the next phases of the Epic@UNC road map. Go Live #1 and #2 entities will begin work on optimization to enhance the Epic@UNC system. Our colleagues at other entities within UNC Health Care will be working toward their own implementation plans, further connecting patients and providers system-wide. As a result, the overarching goal will be achieved --“one patient ID, one problem list, one medication list, and one bill” for each patient in the UNC Health Care System. Reports from front-line staff during Go Live #1 indicated that internal Super User staff members were among the most valuable sources of support because these individuals understood organizational policies and procedures in addition to Mauri Williams MBA, MHA, RN, NE-BC, CSSBB Associate Vice President and Chief Nursing Informatics Officer NA TO CST TO RN – ONE NURSE’S JOURNEY As a young girl who grew up riding and caring for horses, Victoria Holloway dreamed of becoming a veterinarian. Her dream evolved to caring for people instead, and she set her sights on becoming a nurse. Come what may, she was determined to achieve her goals – earning honors in nursing school, securing a full-time position in the Cardiothoracic Intensive Care Unit at UNC Hospitals, and all while caring and providing for her little boy. “Everything that seemed impossible, I had finally accomplished and it was a really good feeling.” 20 NURSING STAFF PROFILE 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments NURSING STAFF PROFILE 22 “I have just experienced a beautiful, caring relationship with this anxious mother.” A BEAUTIFUL THING Through UNCH Nursing’s conceptual framework based on Swanson’s Caring Theory and Relationship-Based Care delivery system nurse Holly Wei of Children's Intermediate Cardiac Care explores the circular relationships between and among nursing theory, practice, and research. Her mission is to examine patients’ families’ responses to the care they receive, with the goal of improving those experiences, one patient at a time. 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments A SECOND PAIR OF HANDS An anesthesia technician must be very knowledgeable, thorough, and prepared to assist the anesthesia provider at a moment’s notice, and that’s exactly what Jack Jackson is known and recognized for in Perioperative Services. With 30+ years’ experience, Jack also precepts many new technicians, introducing them to this fast-paced and demanding role. His dedication to be the best he can be, together with pride in his work, resulted in his proudest accomplishment yet — being chosen Anesthesia Technician of the Year for 2013 by the graduating residents of the anesthesia program at UNC Hospitals. “We try to make sure the patient is feeling very comfortable.” 24 NURSING STAFF PROFILE 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Assistive Personnel of the Year Hamid Dawson Cardiology Technician Center for Heart and Vascular Care Kiya Hunter Medical Support Assistant I Surgical Services Matthew Cox Health Unit Coordintaor Children’s Services Timothy Fitts Nursing Assistant II Emergency Services Jerrid Rogers Clinical Support Technician II Medicine Services Kristy Leitch Clinical Support Technician Oncology Services Gabriele Smith Clinical Support Technician Psychiatry Services Tammy Mitchell Stock Clerk Surgery Services Rosamond Bankole Clinical Support Technician Women’s Services Decia Sanders Nursing Assistant II Rehabilitation Center 26 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Nurse of the Year Rachel Pasaporte Calva BSN, RN-BC Center for Heart and Vascular Care Doreen Fombin-Mua RN, Emergency Services Erin Fisher BSN, RN Center for Transplant Care Ashley Nooe RN, PCCN Medicine Services Debra Close RN, OCN Oncology Services Ana S. Gil Del Villar BSN, RN Psychiatry Services Jules Hoffman BSN, RN, CNOR Surgical Services Colleen O'Brien RN Women’s Services Amanda Price BSN, RN Radiology Nursing Cheryl Smith-Miller PhD, M.Ed., RN-BC Nursing Quality and Research Collaborative Colleague Nurse Manager of the Year Linda Drogos BSN, RN-C Center for Heart and Vascular Care Marianne Jackson MD, MPH Performance Improvement Zeynep Tulu MS, MEMP, SSBB Center for Transplant Care Nurse of the Year Agnes Royal BSN, RN-BC Surgery Services Cheri Young BSN, RN, CPN Children’s Services 28 Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments 2014 FISCAL YEAR NURSING ANNUAL REPORT Faculty of the Year S.A.G.E. Nurse of the Year Friend of Nursing Martha Bausch MSN, NP-C Center for Transplant Care Linda Harlos BSN, RN ONC Surgery Services Hyman Muss MD, UNC Lineberger Comprehensive Cancer Center and University of North Carolina School of Medicine Beth Lamanna WHNP, MPH, RN University of North Carolina at Chapel Hill School of Nursing Academic Achievements Associate Degree in Nursing Daniel W. Brown, ADN, RN Heather C. Curtin, ADN, RN Krystal A. Mckever, ADN, RN Carrie R. Ouellette, ADN, RN Elizabeth M. Pruitt, ADN, RN Bachelor of Arts in Health Care Administration Kisa L. Wilson, BA Bachelor of Science Daniel E. Miles, BS, NREMT-P Bachelor of Science in Nursing Rebecca A. Akhama, BSN, RN Jaymar C. Browne, BSN, RN Mark O. Buchanan, BSN, RN Angela R. Bukowski, BSN, RN, CPN Audrey J. Clark, BSN, RN, CPN Abigail L. DesJardins, BSN, RN Mary D. Dominado, BSN Aniesha Dukkipati, BSN, RN Yokasta Feliz, BSN, RN Robert H. Ferguson IV, BSN, RN Caroline E. Frantz, BSN, RN Erin Gordon, BSN, RN Jules C. Hoffman, BSN, RN, CNOR Victoria M. Holloway, BSN, RN Jessica L. Hulse, BSN, RN Taylor M. Ivester, BSN, RN Lauren J. Lopez, BSN, RN Danielle T. Mclean, BSN, RN Saul O. Opukah, BSN, RN Leanne N. Ormsby, BSN, RN Kaitlen J. Poe, BSN, RN Brandi M. Robinson, BSN, RN, CMSRN Jessica A. Rudolph, BSN, RN Adwoa B. Safo, BSN Jacelyn Schmid, BSN, RN Amber E. Stroupe, BSN, RN Gina T. Thompson, BSN, RN Priscila M. Tomlin, BSN, RN Brooke K. Tucker, BSN, RN April L. Turner, BSN, RN Steven J. Villano, BSN, RN, OCN Ashley R. Worrow, BSN, RN Rebecca N. Yeargan, BSN, RN Sarah L. York, BSN, RN, PCCN Bachelor of Science in Public Health Vanna S. Cunningham, BS Master of Science in Health Services Management Michael Scharville, MS 30 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Master of Science in Nursing Jeana L. Lynall, MSN, RN, CNOR Ila D. Mapp, MSN, RN Katherine J. Price, MSN, RN Dana A. Riebman, MSN, RN, PCCN Lauren E. Russell, MSN, RN Masters in Health Administration Tasha M. Lea, MHA, RN, RNC-MNN Doctor of Philosophy Sheila S. Roszell, PhD, RN Appointments Tracy J. Carroll, BSN, RN Patient Services Manager III Surgery Services Nurse Manager Representative, Press Ganey Nurse Manager Subcommittee, Press Ganey Institute for Innovation 2013 Scott D. Goodsite, RN Clinical Nurse II Surgery Services Member, Nursing Fatigue Steering Committee, American Nurses Association 2013-2014 Appointments continued... Constance F. Lanier, BSN, RN, CEN Clinical Resource Nurse Emergency Services Delegate, North Carolina Emergency Nurses Association, Emergency Nurses Association 2013 Megan K. Seston, BSN, RN Clinical Nurse II Center for Heart and Vascular Care Chair, Early Career Professionals Task Force Subgroup, American Organization of Nurse Executives 2013 Ann M. Smith, MSN, RN, CAPA Patient Services Manager III Perioperative Services • Member, Board of Directors, American Board of PeriAnesthesia Nursing Certification 2013-2014 • Member, Board of Directors, North Carolina Association of PeriAnesthesia Nurses 2013 Bonnie L. Streeter, MSN, RN, CGRN Clinical Nurse IV Perioperative Services Member, National Conference Program Committee, Society of Gastroenterology Nurses and Associates 2013 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer • Member, American Hospital Association’s Performance Improvement Committee 2014 • Member, American Organization of Nurse Executives Foundation Board 2014 • Member, Press Ganey Chief Nursing Officer Advisory Council 2014 Certification Aneesah F. Ahmed, BSN, RN, CPN Shane D. Anderson, BSN, RN, CEN Corinne M. Arundell, BSN, RN, PCCN Emily Brooks, RN, CCRN Angela R. Bukowski, BSN, RN, CPN Alexis N. Cooper, NREMT-B 32 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Sue Copeland Upchurch, BSN, RN, CMC Catherine M. Crawford, BS, RN, RNC-OB Brooke E. Curro, MHA, RN, CNML Sarah A. Daniels, BSN, RN, RN-BC Cara E. Dlugosz, BSN, RN, PCCN Felicia W. Eagle, BSN, RN, CNOR Mary E. Fomum, BSN, CMSRN Rowena G. Galang, BSN, RN, RN-BC Sandra A. Gililland, MSN, RN, RN-BC Claire M. Gillett, BSN, RN, OCN Jessica M. Glazier, BSN, RN, CMSRN Chelsea L. Hasenfus, BSN, RN, RN-BC Kristin M. Head, BSN, RN, PCCN Monica Hicks, RN, OCN Joyce C. Kern, BSN, RN, RN-BC Jeana L. Lynall, MSN, RN, CNOR Jennifer L. MacDonald, BS, RN, CMC Libbi E. Mathews, RN, VA-BC Jennifer B. Mauldin, BSN, RN, RN-BC Sarah J. Maupin, BSN, RN, RN-BC Rebecca J. Michael, BSN, RN, CCRN Maureen E. Miller, BSN, RN, PCCN Jessica I. Mollmark, BSN, RN, RN-BC Laura K. Murphy-McMillan, BSN, RN, RN-BC Jennifer G. Myers, BSN, RN, CCRN Elise T. Payne, BS, RN, PCCN Brandy M. Pittard, RN, SANE-A Kathleen S. Prichard, BSN, RN, RN-BC Cicily S. Pulpara, RN, CCRN Brandi M. Robinson, BSN, RN, CMSRN Carina Q. Salzmann, BS, RN, PCCN Certifications continued... Amber L. Sonday, BSN, RN, CPN Esther W. Speight, RN, RN-BC Natalie H. Spruill, BS, RN, CMSRN Kathleen E. Villareal, BSN, RN, CPN Nicholas L. Villarreal, BSN, RN, CCRN-CMC Kelly R. Watson, BSN, RN, RN-BC Colleen L. Wehner, RN, PCCN Catherine M. Wintermeier, BSN, RN, OCN Patricia L. Yee, MSN, RN, CPN Elections Shane D. Anderson, BSN, RN, CEN Clinical Nurse II Emergency Services Chair-elect, Nursing Alumni Council, Duke University School of Nursing 2013-2014 Kathleen Balliu, RN Patient Services Manager II Perioperative Services President, Society of Otorhinolaryngology Head-Neck Nurses 2013 Jane F. Burrill, MSN, RN, RN-BC Clinical Nurse Education Specialist Nursing Practice and Professional Development Program Coordinator, North Carolina Nurses Association Triangle Region 2013-2014 Turkeisha S. Brown, BSN, RN, RN-BC Patient Services Manager III Medicine Services Vice President, Triangle Nurse Appreciation Council 2013-2014 Ivy Carter, NA Nursing Assistant I Center for Heart and Vascular Care Chapter Secretary, National Student Nurses’ Association 2013-2014 Constance F. Lanier, BSN, RN, CEN Clinical Resource Nurse Emergency Services Secretary, Southeastern Seaboard Emergency Nurses Symposium 2014 34 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Chris P. McGrath, RN, CFRN, EMT Flight Nurse Emergency Services State Council President, North Carolina Emergency Nurses Association 2014 Bonnie L. Streeter, MSN, RN, CGRN Clinical Nurse IV Perioperative Services President, Eastern North Carolina Society of Gastroenterology Nurses and Associates 2012-2013 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer Member, Board of American Organization of Nurse Executives representing Region 3 2014 Podium Presentations Angela R. Bukowski, BSN, RN, CPN Clinical Nurse II Children’s Hospital ”Lessons from Dorothy” A case study of a pediatric patient with IBD. 8th Annual Cutting Edge of Pediatrics Conference, Chapel Hill, NC, October, 2013 Claire H. Curran, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Smartphones at the bedside and beyond: Technology for evidence-based practice. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Hypothermia and post cardiac arrest care. 11th Annual The Beat Goes On Conference: Partnerships in Heart & Vascular Care, Chapel Hill, NC February, 2014 Ernest J. Grant, MSN, RN, FAAN Nursing Education Clinician - Burn Outreach Surgery Services • Initial burn stabilization in non-trauma centers. Southeast Area Health Education Center Trauma Conference, Wilmington, NC, February, 2014 • The intentional burn injury. Southeast Area Health Education Center Trauma Conference, Wilmington, NC, February, 2014 Maureen A. Heck, BSN, RN, CCRN Patient Services Manager III Surgery Services Got GOT (Goals of Treatment)? Ethical issues in the trauma population. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Christine Hedges, PhD, RN Director Nursing Quality and Research A creative infrastructure for building nurse empowerment and engagement. ANCC National Magnet Conference, Orlando, FL, October, 2013 36 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Sheena B. Hilton, BSN, RN Registered Nurse Center for Heart and Vascular Care Sudden cardiac death in young athletes. 11th Annual The Beat Goes On Conference, Chapel Hill, NC, February, 2014 Amelia G. Jackson, BSN, RN, CCRN Clinical Nurse II Surgery Servicess Got GOT (Goals of Treatment)? Ethical issues in the trauma population. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Jeff R. Lynch, BSN, RN Patient Services Manager III Center for Heart and Vascular Care Let’s get pumping. A beginner’s guide to intra-aortic balloon pump therapy. National Teaching Institute and Critical Care Exposition 2014, Denver, CO, May, 2014 Podium Presentations continued... Melanie M. Manalo, BSN, RN Clinical Nurse III GI Surgery Let’s move it! Early mobility protocol implementation in SICU and an acute care setting. American Association of Critical- Care Nurses Clinical Scene Investigator Academy Innovation Conference, Chapel Hill, NC, February, 2014 Ila D. Mapp, MSN, RN Patient Services Manager III Center for Heart and Vascular Care Victorious. 2014 Nursing Graduation, University of North Carolina at Greensboro, Greensboro, NC, May, 2014 Chris P. McGrath, RN Flight Nurse Emergency Services • Adolescent perceptions of risky and emotional behavior following a mock crash. Cardinal Chapter Emergency Nurses Association Conference, Cary, NC, September, 2013 • Concussions: More than getting your bell rung. Southeastern Seaboard Symposium, Charleston, SC, April, 2014 Kelly L. Revels, MSN, RN Clinical Nurse Education Specialist Emergency Services Taking care of one of our own: A patient’s story. 25th Annual May Day Trauma Conference, Chapel Hill, NC, May, 2014 Paige J. Roberts, MBA, RN, PCCN Clinical Nurse IV Center for Heart and Vascular Care Positivity: Your power tool for creating a strong work environment. American Association of Critical-Care Nurses National Teaching Institute, Denver, CO, May, 2014 38 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Services Burn Center Retreat 2013. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Ann M. Smith, MSN, RN, CAPA Patient Services Manager III Perioperative Services Value of certification. North Carolina Association of PeriAnesthesia Nurses State Conference, Charlotte, NC, September, 2013 Podium Presentations continued... Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research • Gender differences in Type 2 diabetes self-management among Spanish-speaking Mexican Immigrants. Sigma Theta Tau International’s 24th International Nursing Research Congress, Prague, Czech Republic, July, 2013 • Type 2 Diabetes Self-Management Among Spanish-speaking Hispanics: Health literacy, gender, and familia. North Carolina Community Health Center Association 26th East Coat Migrant Stream Forum, San Juan, Puerto Rico, October, 2013 Tonya R. Stafford, BSN, RN Clinical Nurse II Children’s Hospital The Heimlich valve. 8th Annual Cutting Edge of Pediatrics Conference, Chapel Hill, NC, October, 2013 Cheryl J. Stewart, BSN, RN Patient Services Manager III Surgery Services Creating a culture of exploration and innovation at the unit level. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Kaitlin R. Strauss, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Positivity: Your power tool for creating a strong work environment. American Association of Critical-Care Nurses National Teaching Institute, Denver, CO, May, 2014 Mary C. Tonges, PhD, RN, NEA-BC, FAAN Senior Vice President and Chief Nursing Officer From caring theory to practice. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 40 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Poster Presentations Lisa Alarcon, RN Nursing Care Coordinator Children’s Hospital Tracking flu vaccines in pediatric asthma patients. North Carolina Asthma Summit, Raleigh, NC, May, 2014 Nicole M. Burnett, BSN, RN, CCRN, CNRN Nursing Care Coordinator Surgery Service • Are you ready for the challenge? Teamwork to improve stroke dysphagia protocol compliance. American Association of Neuroscience Nurses Annual Meeting, Charlotte, NC, March, 2013 • Evolution of a comprehensive stroke center utilizing systems thinking and collaborative strategies. American Heart Association/American Stroke Association’s International Stroke Conference, Honolulu, HI, February, 2013 Poster Presentations continued... Nicoleta Constantin, PhD, RN, CPN Clinical Nurse III Children’s Hospital Peripheral versus central line tobramycin levels in children with cystic fibrosis admitted to pediatric floors. Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Sue Copeland Upchurch, BSN, RN, CMC Clinical Nurse III Center for Heart and Vascular Care Compassion fatigue: Do caregivers at UNC Hospitals heart and vascular units experience it? Changing Bedside Nursing Practice: One Research Idea at a Time, Inaugural Rex-UNC Medical Center Nursing Research Conference, Raleigh, NC, September, 2013 Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Putting class IIb recommendations to the test - The influence of unwitnessed and non-VT/VF arrests on resource consumption and outcomes in therapeutic hypothermia. Changing Bedside Nursing Practice: One Research Idea at a Time, Raleigh, NC, September, 2013 Trish A. Dodson, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development University of North Carolina Hospital’s unique approach to the RN Residency Program. 9th Nurse Executive Leadership Conference, Chapel Hill, NC, September, 2013 Ana S. Gil Del Villar, BSN, RN, RN-BC Clinical Nurse IV Psychiatry Design and implementation of positive nursing milieu interventions to reduce seclusion and restraints. American Psychiatric Nurses Association 27th Annual Conference, San Antonio, TX, October, 2014 42 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Rayna M. Gorisek, BSN, RN, CCRN Clinical Nurse IV Surgery Service The creation of burn wound care videos for nursing education. Southern Regional Burn Conference, Tampa, FL, November, 2013 Vivian B. Green, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development E.N.G.A.G.E- New nurse program: Essential Nursing Guidance and Growth Experience. Academy of Medical-Surgical Nurses 22nd Annual Convention, Nashville, TN, September, 2013 Jami Howell, MBA, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Implementing the “Future of Nursing” through an innovative care model: Carolina Care™ Partners in Practice. South Eastern Nursing Staff Education Symposium Conference, Wilmington, NC, November, 2013 Poster Presentations continued... Loree A. Kimball, BSN, RN Clinical Nurse IV Surgery Service Nurse scheduling in a busy burn center: Lessons learned. Southern Regional Burn Symposium, Tampa, FL, November, 2013 Mollie Maggied, BSN, RN, CAT, CPN Clinical Nurse III Children’s Hospital From stats to sticks: A multi-disciplinary approach to preventing exposures and improving outcomes. North Carolina Nursing Association Fall Conference, Greensboro, NC, October, 2013 Jennifer G. Myers, BSN, RN, CCRN Clinical Nurse II NC Jaycee Burn Center Nurse scheduling in a busy burn center: Lessons learned. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Service Hand hygiene and control of multi drug resistant organism outbreaks. Southern Medical Association 26th Annual Southern Region Burn Conference, Tampa, FL, November, 2013 Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research Building research capacity: Strategies to facilitate clinical nurses’ research skills. Academy of Medical-Surgical Nurses Convention, Nashville, TN, September, 2013 Ashley W. Tate, BSN, RN, CPN Clinical Nurse IV Children’s Hospital UNCH Nursing Practice Council - Nurse driven protocols. UNC Hospitals Nurse Executive Leadership Conference, Chapel Hill, NC, September, 2013 44 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Publications Tracy J. Carroll, BSN, RN Patient Services Manager III Surgery Services Toledo, A., Carroll, T., Arnold, E., Tulu, Z., Caffey, T., Kearns, L., Gerber D. (2013). Reducing liver transplant length of stay: A Lean - Six Sigma approach, Progress in Transplantation, 23(4), 350-364. Claire H. Curran, MSN, RN Clinical Nurse Education Specialist Nursing Practice and Professional Development Curran, C. (2014). Smartphone Applications: Potential tools for use in preparing for CCRN certification examinations, Critical Care Nurse, 34(3), 62-65. Publications continued... Cristie L. Dangerfield, BSN, RN Clinical Nurse IV Center for Heart and Vascular Care Buntaine, A. , Dangerfield, C., Pulikottil, T., Laurence, K., Cook, A., Reed, B., Katz, J. (2014). Putting class IIb recommendations to the test: The influence of unwitnessed and non-VT/VF arrests on resource consumption and outcomes in therapeutic hypothermia and targeted temperature management, Critical Pathways in Cardiology, 13(2), 78-81. Ernest J. Grant, MSN, RN, FAAN Nursing Education Clinician - Burn Outreach Surgery Services Grant, E. (2013). Preventing burns in the elderly: A guide for home healthcare professionals, Journal of Home Healthcare, 31, 561-573. Christine Hedges, PhD, RN Director Nursing Quality and Research Hedges, C., Williams, B. (2014). Anatomy of Research for Nurses. Indianapolis, IN: Sigma Theta Tau International. Carla M. Jones, MSN, RN Clinical Nurse IV Surgery Services Jones, C.M., Stewart, C., Roszell, S.S. (2014). Beyond best practice: Implementing a unit-based CLABSI project, Journal of Nursing Care Quality. (Epub ahead of print.) Ila D. Mapp, MSN, RN Patient Services Manager III Center for Heart and Vascular Care Mapp, I., Davis, L. (2013). Prevention of unplanned intensive care unit admissions and hospital mortality by early warning systems, Dimensions of Critical Care Nursing, 32, 300-309. Meghan F. McCann, MSN, RN Director Oncology Services Tonges, M., McCann, M., Strickler, J. (2014). Translating caring theory across the continuum from inpatient to ambulatory care, Journal of Nursing Administration, 44, 326-332. 46 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments Jeff D. Phillips, MSN, RN, CEN Clinical Nurse IV Nursing Employment Phillips, J., Stinson, K. (2014). Avoiding eruptions: De-escalating agitated patients, Nursing 2014, 44, 60-63. Sheila S. Roszell, PhD, RN Clinical Nurse III Surgery Services Roszell S. (2014). Chaos in the clinic, Nursing Management, 45, 30-47. Roger P. Saunders, MS, RN Patient Services Manager III Children’s Hospital Seigel, J., Whalen, L., Burgess, E., Joyner, B., Purdy, A., Saunders, R., Munn, L., Yip, T., Willis, T. (2014). Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU, Joint Commission Journal on Quality and Patient Safety, 40(2), 83-90. Publications continued... Grace Schmits, BSN, RN, CNML Patient Services Manager III Surgery Services Kearns, R.D., Myers, B., Cairns, C.B., Rich, P.B., Hultman, C.S., Charles, A.G., Jones, S.W., Schmits, G.L., Skarote, M.B., Holmes, J.H 4th, Cairns, B.A. (2014). Hospital Bioterrorism planning and burn surge, Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 12(1). Cheryl A. Smith-Miller, PhD, RN Nurse Researcher Nursing Quality and Research Smith-Miller, C., & Thompson, C. (2013). Transformative learning: Fostering appreciation of the complexities of diabetes self-management, Journal of Nursing Staff Development, 29, 325-332. Cheryl J. Stewart, BSN, RN Patient Services Manager III Surgery Services Jones, C.M., Stewart, C., Roszell, S.S. (2014). Beyond best practice: Implementing a unit-based CLABSI project, Journal of Nursing Care Quality. (Epub ahead of print.) Mary Tonges, PhD, RN Senior Vice President and Chief Nursing Officer • Tonges M. (2013). AONE position paper: Nursing practice and payment in ACOs, Nurse Leader, 11(6), 25-27. • Tonges, M., McCann, M., Strickler, J. (2014). Translating caring theory across the continuum from inpatient to ambulatory care, Journal of Nursing Administration, 44, 326-332. 48 2014 FISCAL YEAR NURSING ANNUAL REPORT Magnet Stories Epic Implementation Staff Profiles Awards Accomplishments UNC Health Care nurses are leaders in quality care, knowledge experts in diverse specialty fields and innovators of cutting edge solutions to the many challenges professional nurses face today. This leadership and expertise are evident in the numerous accomplishments that have been achieved by members of the nursing staff at local, regional, and national levels. Congratulations to each of you. Your dedication to the continued pursuit of nursing excellence is recognized and deeply appreciated. U www.unchealthcare.org/site/Nursing Produced by the Division of Nursing at UNC Hospitals September 2014 Producer: Peggy Mattingly, RN, UNC Hospitals Design: Nxtbook Media Photography: Jim Colman Photography Video Production: Horizon Productions |
OCLC number | 842423855 |