NURSING CAROLINA 2014 FISCAL YEAR NURSING ANNUAL REPORT
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2014 FISCAL YEAR NURSING ANNUAL REPORT
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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
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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.
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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
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“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
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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.”
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STRUCTURAL EMPOWERMENT
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EXEMPLARY PROFESSIONAL PRACTICE
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“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
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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.”
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NEW KNOWLEDGE, INNOVATIONS, & IMPROVEMENTS
2014 FISCAL YEAR NURSING ANNUAL REPORT
Magnet Stories
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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
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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.
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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.”
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NURSING STAFF PROFILE
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NURSING STAFF PROFILE
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“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
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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.”
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2014 FISCAL YEAR NURSING ANNUAL REPORT
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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
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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
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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
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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
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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
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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