NURSING - deaconess.com · Cover Picture: Robyn, BSN, RN 2018 Nursing Annual Report | 3...

NURSING ANNUAL REPORT 2019

LETTER FROM THE CNE ........................................................................................................... 4

YEAR OF THE NURSE ............................................................................................................... 5

TRANSFORMATIONAL LEADERSHIP ................................................................................... 6

LEADERSHIP CHART ............................................................................................................... 12

STRUCTURAL EMPOWERMENT ............................................................................................14

EXEMPLARY PROFESSIONAL PRACTICE .........................................................................34

NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS .........................................42

249 Licensed beds at Deaconess Midtown Hospital

246 Licensed beds at Deaconess Gateway Hospital

58 Licensed beds at Deaconess Cross Pointe

Table of Contents

Deaconess Hospital, Inc. by the numbers

Cover Picture: Robyn, BSN, RN

2018 Nursing Annual Report | 3

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Hand hygiene compliance tripled in many areas, and 100 percent compliance was frequently accomplished across units. Many examples related to these results are included in this annual report.

And in conclusion, 2020 has been declared the “Year of the Nurse” by the American Nurses Association. For Deaconess nurses, creating best-practice work environments is a priority. The desired state is to have a nursing workforce that delivers best practices, oversees continuity and coordination of patient care, and allows nurses to practice at the highest level of their licensure. To reach this desired state, it’s essential to ensure access to meaningful continuing education and appropriate training on new technology and practices for each specialty. As a nursing leadership team, we welcome input from clinical nurses on what else we can do to support you in ways that stimulate your ongoing professional development as a Deaconess nurse.

I want to recognize all of you as a nursing team and say “great job!” I also want to recognize your unit leadership, including the nurse managers, team leaders and unit-based nurse clinicians, for their leadership in helping all of us reach for these higher levels of performance. It’s apparent we love what we do. Our work makes a difference to patients and families, and that is what motivates all of us to higher levels of performance. Deaconess nurses make a difference each and every day for patients and families.

Enjoy reading this annual report. The contributions of Deaconess nurses are amazing!

Respectfully,

Cherona

The 2019 fiscal year was another amazing year for Deaconess! As shared in the October edition of Nursing News, Deaconess received many recognitions and rewards, including Healthgrades recognition for clinical quality and patient experience; America’s 100 Best Hospitals for stroke care,

critical care, neurosciences, pulmonary care, and vascular surgery; the Platinum Performance Award for care of AMI patients; Get with the Guidelines Stroke Gold Plus for Midtown and Silver Plus for Gateway; and the Quality Achievement Award for Primary Stroke Center. In addition, we were recognized in US News and World Report as the second-ranked hospital in Indiana for the second year in a row and by Leap Frog for patient safety performance. It’s been another extraordinary year that directly reflects on the significant contribution of Deaconess nurses toward these results.

The 2019 Nursing Annual Report shares many stories about the contributions of Deaconess nurses in these significant accomplishments and in their overall strong clinical performance. Deaconess nurses, in partnership with their interdisciplinary colleagues, delivered best practices in daily patient care for stroke, renal, cardiac, trauma, orthopedic, surgical and neuro patients, resulting in excellent clinical outcomes as demonstrated by these awards.

Strong relationships with our unit-based case managers and social workers benefited care coordination, throughput and discharge readiness. Unit-based nurse clinicians influenced unit performance with clinical measures meeting targets, especially related to CLABSI, CAUTI, C-diff, falls and HAPU.

DEAR DEACONESS NURSES,

4 | Deaconess Health System

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This Deaconess Nursing Annual Report emphasizes the important role nurses play in patient experience and evidence-based nursing care. The World Health Assembly, the governing body of the World Health Organization, has declared 2020 the International Year of the Nurse in honor of the 200th anniversary of Florence Nightingale’s birth. Deaconess also wishes to acknowledge the Deaconess nurses whose excellence and leadership has led to the growth of Deaconess.

“As the largest group of health care professionals in the US and the most trusted profession, nurses are with patients 24/7 and from the beginning of life to the end. Nurses practice in all health care settings and are filling new roles to meet the ever-growing demand for health and health care services.”

— ANA President Ernest J. Grant, PhD, RN, FAAN


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TransformationalLeadershipA transformational leader is someone who goes above and beyond to guide their team to achieve their goals. They have the keen ability to influence change through mentorship, guidance and development of self-awareness. They are motivators of change and strive to make change happen. The traits of a transformational leader are vital today and in the future, given the increase in demands within health care to provide higher quality of care with more cost-effective means of delivery. Exceptional examples of transformational leadership within Deaconess have been portrayed at all levels of nursing over the last year.

Dustin, RN, and Leann, RN


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Transformational Leadership

ASSISTANT DIRECTOR OF CAMPUS OPERATIONS (ADCO) ROLE ADCOs at both campuses round on all departments, overseeing patient care to more effectively support daily operations. The ADCOs are instrumental in driving discharges and decreased LOS and also have a focus on emergency preparedness. The expertise of ADCOs is crucial to the coordination of hospital operations, ensuring regulatory, quality and safety priorities are identified and standards of care and practice requirements are met.

Cross-training all ADCOs to work both campuses contributes to the organizational goal of standardization of practice between campuses. Other duties within the ADCO role include collaboration with patient placement RN and central staffing office; morgue management; Honor Walks coordination; massive transfusion protocol coordination; and debriefing with fall, code blue and rapid response teams. The ADCOs report to one director (Jill Buttry), with a unified ADCO team working across campuses to promote continuity, consistency and standardization of practice. The ADCO role requires a BSN and attainment of a national certification within one year.

Jill Buttry, MSN, RN, CNS

Cathy Murphy, MSN, MHA, RN, CCRN

Deaconess ADCOs

Jill Buttry, MSN, RN, CNS, and Cathy Murphy, MSN, RN, MHA, CCRN, identified the need in 2019 for 24/7 on-site clinical leadership support. To address this need, Jill and Cathy along with Chief Nurse Executive (CNE) Cherona Hajewski, DNP, RN, NEA-BC, determined that an administrator designee in charge of hospital operations would positively affect patient care. The CNE advocated this change from the previous Assistant Director of Nursing (ADON) role to the new Assistant Director of Campus Operations (ADCO) role to coordinate patient care activities between all departments and campuses through direct communication with staff and leadership.


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Margaret Hendricks, BSN, RN, CCRN, started on NMICU (3900) in 1999, working various roles, including designated charge nurse. This leadership role led her to the ADON office, working there for two years. During this time, she credits Director of Patient Care Services at Midtown Jill Buttry, MSN, RN, CNS, with encouraging her to grow as a leader. Margaret

then transferred to CVICU (2900), where she worked as a preceptor and dedicated charge nurse and was mentored by the nurse manager of STICU, April Winkleman, BSN, RN. After seven years on CVICU (2900) as an informal leader, she returned to the ADON role for another three years. Along the way, Margaret knew she was ready for a formal leadership position in management.

Margaret started this management path by working toward her BSN, graduating from WGU in 2016. In July 2018, the opportunity for clinical operations supervisor (COS) opened on the Midtown Observation Unit, and she viewed this as a stepping-stone for a management position. During her short tenure on Midtown OBS, Margaret worked to improve the productivity index and quality initiatives around length of stay and workflow functionality while also mentoring and teaching staff accountability and the importance of working together to reach strategic goals. She also worked diligently with hospitalists toward multi-disciplinary rounding to help drive throughput and shorten length of stay. In January 2019, Margaret returned to her original “home” as the new manager for NMICU (3900).

Margaret credits her work in the ADON role and as COS on OBS as preparation for this formal leadership role. Her successful transition into this role was enhanced through an effective orientation from the former NMICU manager and through the mentorship of April Winkleman.

Ashley Robb, BSN, RN, CMSRN, started her career in nursing at Deaconess in 2008 as a graduate technician on the Neuro Transitional Care Area/Neuro Care Center (NTCA/NCC). As a dedicated charge nurse, her leadership potential was noted by Dara Dilger, MSN, RN, CNRN, NE-BC, (nurse manager of SMCC/NTCA/NCC) and Jill Buttry, MSN,

RN, CNS, (director of Patient Services Midtown). Ashley was encouraged to transition into the clinician role when the position was developed in 2016. Ashley played an active role in the transition of the NTCA/NCC unit into an observation unit, collaborating with other units regarding the care of stroke patients, neuro patients and neuro trauma patients.

The opportunity then arose to move to Gateway in 2017, and Ashley assisted with the opening of the Gateway Observation Unit as a clinical operations supervisor under the management and guidance of Patty Laird, DNP, RN, NE-BC, (nurse manager of Case Management and OBS units). With the attainment of her BSN in 2018, Ashley was promoted to department manager and soon opened the B500 Medical Unit, which has transitioned to the current 32 beds utilized for observation services. She credits great advice from Sara Goedde, MSN, RN, NE-BC, who served as a sounding board early in her COS and manager roles to ensure she was considering all aspects of her personal career decisions. Ashley also credits Cathy Murphy, MSN, RN, MHA, CCRN, (director of Patient Care Services Gateway) in encouraging and nurturing her throughout her advancement at the Gateway campus.

Ashley has been an integral part of the success of Observation Services, promoting teamwork and cohesiveness among the Observation staff, teaching them how to embrace change in a growing organization. She provided innovative ideas, such as the Flex RN Model, to promote high-quality, timely care of observation patients. She also introduced the simple/complex observation model, which has allowed B500 to accommodate all observation patients with very few exclusions. Ashley instituted standardized observation huddle at 0900 to increase throughput and decrease OBS length of stay (LOS). Ashley expanded knowledge and awareness to other service lines and disciplines promoting collaboration with Observation Services to achieve LOS metrics. She takes great pride in interviewing and hiring every employee, including RNs, PCTs and CAs, who will be part of her team.

LEADERSHIP GROWTH THROUGH CLINICAL OPERATIONS ROLE: SPOTLIGHT ON SUCCESSIONThe clinical operations role was implemented on Observation (OBS) to grow leaders with management potential. As a result, several leaders in that role have successfully transitioned to nursing department manager roles.


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CHANGE OF FOCUS FOR INTERDISCIPLINARY PATIENT CARE COUNCIL

Prompted by Chief Nursing Executive Cherona Hajewski, DNP, RN, NEA-BC, to have more actionable items that demonstrate improved outcomes, the focus for the Interdisciplinary Patient Care Council changed in 2019. Under the leadership of Marlene Waller, MSN, RN, CEN, (director of Emergency Services and Security) and Justin Greubel, PharmD, MHA, BCPS, the

Interdisciplinary Patient Care Council changed from traditional report-outs to those of process improvement.

Keron Dave, MS, MBA, Lean Six Sigma Black Belt, has helped advance this goal by using Lean Tool A3 problem solving. Keron helps the team identify short-term process issues and engages key stakeholders in the monthly interdisciplinary council meeting. In addition to encouraging innovation and collaboration, this approach establishes joint ownership of the agreed-upon solution among multiple departments. This helps ensure hard-wiring and long-term sustainability of the solution.

As an outcome of the renewed focus, the newly structured team, along with a behavioral health group led by Scott Branam, MA, MBA, are operationalizing an inpatient psych consult protocol. The protocol aims to help close gaps in care and optimize the patient experience and outcomes. Additionally, the team has identified projects that need an interdisciplinary, collaborative problem-solving approach and will start working on these projects on a priority basis.

ADDRESSING SUICIDE AND LIGATURE RISK With new CMS requirements centered on reducing ligature risk in acute-care settings, HFAP also changed their standards of care for this patient population. Jillian Swearer, MSN, RN, TCRN, CCRN-K, NE-BC, worked with Nursing Administration, CAO Scott Branam, MA, MBA, and Care Team, Informatics, clinicians, nurse managers and bedside staff, as well as other task force representatives from the ED, Cross Pointe, inpatient and outpatient areas (Infusion, Pain Management, Dialysis), patient safety, and regulatory, to determine the best options for training to ensure patient safety. The task force also ensured that nursing support services (EVS, Dietary and Lab) were aware of their impact on patient safety to reduce ligature risk. The accomplishments of the group provided a nurse-driven screening tool to identify patients at risk for suicide to develop a plan for providing a safe care environment. The group developed education to include in interprofessional onboarding, nursing-specific orientation and annual education. Training of all involved staff was accomplished through online web-based education and scenario train-the-trainer educational offerings.

NURSES AT ALL LEVELS CREATING THE ROADMAP AS THE VOICE OF NURSING STRATEGIC PLANNING APRIL/MAY AND AUG 2019In May 2019, 36 nurse leaders and 64 nurses in staff, clinician and education roles participated in tabletop activities for developing the 2019–2022 Nursing Strategic Plan that would align with the core components of quality from the patient’s perspective (see diagram above) and the 2019–2022 organizational strategic plan. As chief nurse executive and vice president of Patient Care Services, Cherona Hajewski, DNP, RN, NEA-BC, provided insights on the intentions of our organizational strategic goals after an overview by Shawn McCoy, CEO of Deaconess Health System. Lindsey Robbins, BA; Deb Dykema, BS, CSSBB, PMP; and Cathy Seuell, MSN, RN, CRRN, from the Quality Improvement Department presented ongoing Deaconess nursing and strategic initiatives aligned with the core components of quality from the patient perspective for safe, timely, effective, efficient and equitable patient-centered care.

The tabletop activities grouped nurses at all levels and from varied units/departments to discuss what initiatives we were well grounded in, what we could do more effectively, what our gaps were, and what we needed to do to keep moving forward. Based on the collective feedback from the table groupings, nurses at all levels met again in August 2019 to determine the key nursing goals and initiatives that should be the focus of nursing’s work for the next three years. The 2019–2022 Nursing Strategic Plan was finalized and approved at the Nursing Leadership Council meeting in September 2019.


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In August 2019, a call to action was set in motion to increase safety in procedural areas via pre-procedural briefings and time-outs. Three subgroups—Assessment (co-led by Jill Buttry, MSN, RN, CNS, and Carolyn Wood, MSN, RN), Staffing (co-led by Brandi Hauser, BSN, RN, and Rachel Greene, MSN, RN, CAPA), and Education (co-led by Ellen Wathen, PhD, MSN, NPD-BC, and Linda Litts, BSN, RN, CCRN, RCIS)—were formed with specific objectives to be achieved within an aggressive mid-September timeline. Procedural areas included in this work: Bronchoscopy, Surgery, Cath Lab, Endoscopy, PACU, SDCC, Pain Centers, and Radiology.

Initial summary of key findings (August–September 2019) from the three subgroups included: defining the circulator role and responsibilities from pre- to post-procedure based on AORN recommendations, EBP literature, and DHS policies; outlining staffing recommendations based on procedural area specialties; standardizing handoff and timeout processes; and developing orientation and ongoing education content for new and current circulators.

Cherona charged the Education subgroup to meet as an Education Council to determine immediate needs, monitoring/oversight, standardization requirements and best practices, and identification of support needs to drive the plan over the next 90 days (October–December). The Education Council, co-led

by Ellen Wathen, PhD, MSN, NPD-BC, (IDNQ), and Linda Litts, BSN, RN, CCRN, RCIS, (Cardiovascular Cath Lab), met with interprofessional representatives Chris Stoelting, BS, RRT, and Phillip Craig, BS, RRT, RRT-NPS, RRT-ACCS, C-NPT, (Respiratory), Maggie Tharp, BSN, RN, CNOR, (Surgery), Laura Benkert, RN, BSN, CAPA, (Endoscopy, PACU, SDCC, Pain Centers), Angela Hollingsworth, B.S., R.T.(R), (Radiology), and Kristina Brown, MSN, RN, AGCNS, (ED) two to three times a month.

From October to December 2019, the Education Council identified for each procedural area: professional organizational standards for evidence-based practices; role charged with the annual review of standards to discuss with other team members; and the initial and ongoing education rollout plan for current and new circulators. Education Council members also identified gaps and potential solutions related to whiteboard and time-out standardization and support needs for preceptor/super-trainers to successfully implement circulator role education.

The council outlined a timeline of January–April 2020 for education development via webinservice and face-to-face sessions, along with competency checkoff documentation forms. The Education Council will become an Interdisciplinary Education Council to collaborate on other education needs in 2020.

CIRCULATING NURSE WORKGROUP: THREE SUBGROUPS BRANCHING OFF WITH NURSE LEADERS AT DIFFERENT LEVELS AFFECTING SAFE PATIENT CARE


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Maisha, BSN, RN, CMSRN


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CVSS, Cath Lab and IR Nursing Liaison

(DMH/DGH)

Lead ED, Intensivist and Palliative Care

APNs

Shirlee WalkerBSN, RN, CCRNTelemetry Stepdown Department Manager (DGH)

Shirlee WalkerBSN, RN, CCRNOrtho Medical Department Manager (DGH)

Amber SchenkBSN, RN, CMSRNMedical Telemetry and Dialysis Department Manager (DGH)

Shelly DugginsBSN, RN, CCRNNeuromedical Department Manager (DGH)

Shelly DugginsBSN, RN, CCRNNICU Department Manager (DGH)

Carolyn WoodMSN, RNSurgical Services Product Line Director (DMH/DGH)

Marlene WallerMSN, RN, CENEmergency Services Director (DMH/DGH)

Susan MatthewsBSN, RN, CCRN, TCRNTrauma Service Line Department Manager (DMH/DGH)

Dara BilderBSN, RN, CMSRNRenal/Vascular Service Line Department Manager (DMH/DGH)

Clint ShefferBSN, RNEmergency Department Manager (DGH)

Stephanie DruinMHA, BSN, RN-BCCVSS, Non-Invasive, Cath Lab Department Manager (DMH/DGH)

Dara DilgerMSN, RN, CNRN, NE-BCPain Management Department Manager (DMH/DGH)

Dawn KlenkBSN, RN, CENEmergency Department Manager (DMH)

Kara BriggsBSN, RN, CMSRNOrthosurgical Department Manager (DGH)

Alicia Alley LevensonBSN, RN, OCN, CNMLSurgery Oncology Department Manager (DGH)

Cassandra VanMeterMSN, RN, CMSRN, SCRNNeurosurgical Department Manager (DGH)

Ashley RobbBSN, RN, CMSRNObservation Department Manager (DGH)

Cara WongngamnitBSN, RNPeds/PICU and Resource Team Department Manager (DMH/DGH)

Cara WongngamnitBSN, RNMSICU Department Manager (DGH)

Roberta FulkersonBSN, RN, CCRNHeart Unit Department Manager (DGH)

SHADED BOXES = LEADERSHIP AT BOTH CAMPUSES

Leadership Chart as of 2019

Libby KetchemMSM, BSN, RN, CWS, NE-BCInpatient/Outpatient Wound Services Manager

Lisa OwensBSN, RN, CNORClinical Operations Supervisor (DMH)

Brandi HouserBSN, RNProcedure Center and Endoscopy Services Department Manager (DMH/DGH)

Tim CarterBSN, RN, CNORClinic Operations Supervisor (DGH)

Rachel GreeneMSN, RN, CAPAPretesting, SDCC and PACU Department Manager (DMH/DGH)

Lisa HirschBSN, RNGI Service Line Department Manager (DMH/DGH)

Amy KrugerBSN, RN, CCRNCall Center and Patient Placement Services Department Manager (DMH/DGH)

Cherona HajewskiDNP, RN, NEA-BC

Patient Care Services Vice President, CNE

Cathy MurphyMSN, RN, MHA, CCRNPatient Care Services CNO (DGH)

Jillian SwearerMSN, RN, TCRN, CCRN-K, NE-BCPatient Care Services Director, Nursing Quality and Safety, Trauma Services and Renal/Vasuclar Services (DMH/DGH)

Erin HeimMSN, RN–BCAcute Inpatient Adult Psych, Adult Services, Child/Adolescent Department Manager (DCP)

12 | Deaconess Health System12 | Deaconess Health System12 | Deaconess Health System12 | Deaconess Health System

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Infusion Center (DMH/DGH)

Chancellor Center Nurse Navigators

Jill ButtryMSN, RN, CNSPatient Care Services CNO–Midtown, Magnet Program Director (DMH/DGH/DCP)

Ellen WathenPhD, MSN, RN-BCMagnet Recognition Program Coordinator, Evidence-Based Practice and Nursing Research Coordinator (DMH/DGH/DCP)

Dawn RowleyMSN, RN, AGCNS-BC, CCRN-KInterprofessional Development, Clinical Technology and Nursing Practice Department Manager (DMH/DGH)

Patty LairdDNP, RN, NE-BCCase Management and Social Services Department Manager (DMH/DGH)

Sara HolmanMSN, RN, CMSRNOrthopedic, Neuroscience, Stroke Services Director (DMH/DGH)

Angie BlackMSN, RN, CCRN-K, SCRN, NE-BCStroke Service Line Department Manager (DMH/DGH)

Heather RogersBSN, RN, CMSRNSurgical Medical Care Center Department Manager (DMH)

Kourtney RadcliffMSN, RN, CMSRN, NE-BCOrtho Neuro Trauma Care Center Department Manager (DMH)

Jennifer WhitmoreMSN, RN, CMSRNOncology Pulmonary Care Center Department Manager (DMH)

Jennifer WhitmoreMSN, RN, CMSRNObservation Department Manager (DMH)

April WinklemanBSN, RNSurgical Trauma Cardiovascular and Peds Trauma ICU Department Manager (DMH)

Kintina ChapmanMSN, RN, CCRN, NE-BCCardiovascular ICU Department Manager (DMH)

Margaret HendricksBSN, RN, CCRNNeuro Medical ICU Department Manager (DMH)

Krista MorganMSN, RN-BCCardiovascular Care Center Department Manager (DMH)

Darus BosekerBSN, RNMedical Renal Care Center Department Manager (DMH)

Advanced Practice CNS (DMH/DGH)

ADCOs (DMH/DGH)

Vascular Access Team

(DMH/DGH)

Diabetes Center

(DMH/DGH)

Angela StroudMSN, RN, CMSRN, NE-BCOncology Service Line Department ManagerDMH/DGH)


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Structural EmpowermentStructural empowerment gives nurses the support and recognition to develop into professional nurses—from staff nurse through administrative levels. It's imperative that nurses at all levels are involved in decision making. This continues to occur within the expanding unit-based councils, with nursing at all levels being involved in nursing shared governance and within organization-wide committees. Deaconess has continued to support nurses' professional growth through various avenues within the organization, at professional conferences, or through activities in the community.

Jake, BSN, RN


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Nursing Evidence-Based Practice and Research Council

CHAIR Taylor Shanks, BSN, RN, CMSRN—Medical/Telemetry CHAIR-ELECT Megan Scheller, BSN, RN, CWOCN—Wound Care Center LIAISON Lois Welden, DNP, RN, CNS—Interprofessional Development FACILITATORS Linda Cason, DNP, RN, CNS, NPD-BC, NE-BC, CNRN—Interprofessional Development

Ellen Wathen, PhD, MSN, NPD-BC—Interprofessional Development CLERICAL SUPPORT Melissa Kothe—Nursing Administration MAGNET SUPPORT Cherona Hajewski, DNP, RN, NEA-BC—Chief Nursing Executive, Vice President of Patient Care Services Jill Buttry, MSN, RN, CNS—Director Patient Care Services & CNO Midtown Campus, Magnet Program Director Ellen Wathen, PhD, MSN, NPD-BC—Magnet Program Coordinator, NPD Practitioner

The Nursing Evidence-Based (EBP) and Research Council provides guidance, education and consultation on EBP and nursing research studies related to nursing practice as conducted by nurses at Deaconess or to affiliated schools of nursing requesting to conduct projects within the health system.

� Advanced EBP and research to improve care:

» Council member from MSICU completed the Advanced Practice Institute in Iowa

» Set up workgroups to discuss project and/or study ideas, mentored in the development of projects and/or study ideas, and disseminated findings

» Revamped the council website under Nursing Excellence to help staff learn EBP principles and the process of implementing an EBP project

� Supported innovations and changes in nursing practice, resulting in nurse and patient outcomes:

» Developed a customized EBP model called the DEAC EBP Model to help staff use EBP at the bedside or within the nursing practice environment and to learn the process of implementing an EBP project

» Encouraged new members to further their education and established an open forum to help staff and students with project development


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� Educated Council members on a variety of subjects as it related to EBP and research (e.g., PICOT formation, literature search, levels of evidence, critically appraisal and synthesize of the evidence, developing an EBP project implementation and evaluation of outcomes, etc.).

� Disseminated research and EBP project findings and QI outcomes to internal and external audiences:

» Achieved new knowledge through research studies (e.g., Aromatherapy to Relieve Abdominal-Surgical Pain, Resilience in Practicing Nurses and Nursing Students)

» Use of electronic EBP posters (e-posters) to obtain CEUs

» Presented studies at local, state and national nursing conferences

» Submitted two manuscripts and one in progress

Lacey, RN

2019 EBP & RESEARCH COUNCIL PRESENTATION CALENDAR

Date Project Presenter(s)

January PDP Karen Fox Mary Wildeman

February IPE Simulation Edith Hoehn

March Night Shift Council - Lab Project Jennifer Hall Ellen Wathen

April Does Aromatherapy Relieve Pain in Post-Op Abdominal Patients?

Pam Leatherland Mary Beth Schitter Lois Welden Andee Givens

May Nurse Clinician Jason May

June DEAC Video and DEAC PC Crystal Funke Lois Welden

July CVCC Step-Down Transition Krista Morgan

August Ligature Risk Jillian Swearer

September Comparing Profiles of Low-Acuity Emergency Department Visits

Vicki Evans (DNP Project)

October Driving Patient Blood Management Throughout a Health Care System

Lois Welden Dawn Rowley

November Clinical Keys Donna Kincheloe

December COPD Navigator LeeAnn Kissel


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Nursing Practice Council CHAIR Jennifer Carroll, BSN, RN—CVCC

CHAIR ELECT Katie Marvell, BSN, RN—Medical Telemetry

LIAISON Edith Hoehn, MSN, RN, CVRN—Interprofessional Development

FACILITATOR April Winkleman, BSN, RN—STCICU

CLERICAL SUPPORT Sandy Moody

MAGNET SUPPORT Cherona Hajewski, DNP, RN, NEA-BC—Chief Nursing Executive, Vice President of Patient Care Services Jill Buttry, MSN, RN, CNS—Director Patient Care Services & CNO Midtown Campus, Magnet Program Director Ellen Wathen, PhD, MSN, NPD-BC—Magnet Program Coordinator, NPD Practitioner

Practice Council members were influential in decision making about several organizational projects this year:

� Collaboration with patient safety coordinators and ambassadors to improve patient safety through standardization of colors used as identifiers for patient populations. These standardizations include:

» New Patient Armbands

» Standardization of door signs

» Addition of badges to door signs

� Collaboration with Dr. David Ryon to identify items to improve nurse-physician communication

� Collaboration with pharmacy to change insulin pump policy to include continuous glucose monitoring

� Improvements to local anesthetic systemic toxicity (LAST) protocol

� Improvements to address ligature and suicide risk

� Assistance with scripting for the patient safety and engagement video

� Collaboration with security to address safety concerns

� Collaboration with Lab regarding communication between departments and education (e.g., order for draw)

� Representation on Clinical Support to have nursing input regarding products used for patient care (utensils and cups for stroke patients)

� PCT Council provided education specific to PCTs regarding fall prevention, telemonitor safety, ortho patient safety and urine collection; they also worked with other departments to improve patient safety and quality of patient care


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Night Shift Nursing Council CHAIR Jennifer Hall, MSN, RN, CMSRN—MRCC

CHAIR ELECT Danielle Norman, BSN, RN—MSICU

LIAISON Ellen Wathen, PhD, MSN, NPD-BC—Interprofessional Development

CLERICAL SUPPORT Carrie Shaw—Nursing Administration MAGNET SUPPORT Cherona Hajewski, DNP, RN, NEA-BC—Chief Nursing Executive, Vice President of Patient Care Services Jill Buttry, MSN, RN, CNS—Director Patient Care Services & CNO Midtown Campus, Magnet Program Director Ellen Wathen, PhD, MSN, NPD-BC—Magnet Program Coordinator, NPD Practitioner

In 2019, Night Shift Council members were dedicated to addressing the safety and quality of care provided to patients—in addition to the well-being of the night shift workers.

� Provided a route for night shift employees to report safety concerns, including concerns related to lab orders that were missed or delayed. After this information was presented to lab leadership, an interdisciplinary team was formed. The interdisciplinary team is collaborating with the NSG Practice Council regarding ongoing improvement strategies.

� Were involved in the community through a collection for a sleep-themed basket for the Dream Center Gala, which helps children in the Jacobsville area.

� Identified a gap in clinical staff taking their breaks. A survey was completed by nursing staff on all shifts regarding how and when breaks were taken, barriers to breaks, and how staff wanted breaks to happen. This information will be used to develop strategies to support staff in taking breaks.

� Created a second “Move Your Body” video in collaboration with the Wellness Department that will be available on D-Web in 2020. This video focuses on stretches and chair yoga, requires no special equipment or clothing, and makes a great way to recharge mid-shift.

� Update evidence-based initiatives annually to improve the wellness of night-shift workers. These strategies are included on a “Savvy Solutions” tip sheet that is distributed to all new nursing department employees.

Dustin, RN, VA-BC, and Kaylie, BSN, RN


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CJ, BSN, RN


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Nursing Professional Development Council CHAIR Mary Wildeman, BSN, RN, SCRN—Resource Team CHAIR-ELECT Andee Givens, RN, CMSRN—SMCC LIAISON Heather Rogers, BSN, CMSRN, NE-BC—SMCC CLERICAL SUPPORT Kaitlyn Johnson MAGNET SUPPORT Cherona Hajewski, DNP, RN, NEA-BC—Chief Nursing Executive, Vice President of Patient Care Services Jill Buttry, MSN, RN, CNS—Director Patient Care Services & CNO Midtown Campus, Magnet Program Director Ellen Wathen, PhD, MSN, NPD-BC—Magnet Program Coordinator, NPD Practitioner

� Provided certified RN badge backers

� Promoted Professional Development Program through updates and feedback

� Organized and facilitated an education fair

The members of the Nursing Professional Development Council worked diligently this year to support, inspire and guide the professional development and community involvement of Deaconess nurses while upholding all of the healthy work environment principles particularly focused on meaningful recognition.

� Promoted a healthy work environment through:» Articles for Nursing Newsletter» Support for Nurse of the Year ceremony » Support for DAISY Award Recognition» Community outreach and engagement by

supporting the Dream Center Gala, Homeless Donation Drive, and Borrowed Hearts Donation Drive


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BRONZEAmanda Blanton, MSN, RN, AGCNS-BC, CWOCN— Wound Services, MT/GWAmanda Summers, BSN, RN—ONTCC, MidtownAmy Ewing, RN, CCRN—Med/Surg ICU, GatewayAndrea Frankenberger, BSN, RN, CCRN—CVICU, MidtownAndrea Phan, BSN, RN, CMSRN—Procedure Center, MT/GW Bayley Burton, RN, CMSRN—Surg/Onc, Gateway Briana Gogel, RN, CMSRN—ONTCC, Midtown Bryon Rademacher, BSN, RN, CMSRN—Observation, MidtownCarissa Lloyd, BSN, RN, CCRN—CVICU, MidtownCathy Reynolds, BSN, RN, PCCN, CMSRN— Tele/Stepdown, GatewayChristina Childers, BSN, RN—IDNQ, MidtownClaudia Hulsey, BSN, RN, CCRN—Med/Surg ICU, GatewayCourtney Merkel, BSN, RN, CMSRN, PCCN— Tele/Stepdown, GatewayCrystal Funke, BSN, RN, CCRN—Med/Surg ICU, GatewayDavid Maldonado, BSN, RN—STCICU, MidtownHannah Redd, BSN, RN—SMCC, MidtownJamia Jones, RN, CMSRN, PCCN—Tele/Stepdown, GatewayJamie Jacobs, MSN, FNP-C, CCRN, RN—STCICU, MidtownJasmine VanWinkle, BSN, RN, CCRN—Med/Surg ICU, GatewayJodi Wilber, BSN, RN—Pain, GatewayJudy Robinson, MSN, FNP-C, CMSRN—MRCC, MidtownJustin Blinn, BSN, RN, CCRN—STCICU, MidtownKatie Lawler, BSN, RN, CMSRN—ONTCC, MidtownMaisha Khan, BSN, RN—Ortho/Medical, GatewayMallory Wathen, BSN, RN, CCRN, COCN—Wound Services, MT/GWMartha Phillips, BSN, RN, CNRN—Neuro ICU, GatewayMisty Hendrickson, BSN, RN, CMSRN—Surg/Onc, GatewayOlivia Gooden, BSN, RN—Med/Surg/Ortho, GatewayRachel McDonald, BSN, RN—STCICU, MidtownRobin Perkins, RN, CMSRN—Surg/Onc, GatewaySara Scheu, BSN, RN, CCRN—STCICU, MidtownSarah McQuay, RN, BSN, CCRN—NMICU, MidtownShauna Dilger, BSN, RN, BC-CVN—Heart, GatewayStephanie Dowker, BSN, RN, PCCN—Tele/Stepdown, GatewaySusan Skie, MSN, RN, CMSRN—ONTCC, Midtown

SILVERAlison Canaan, BSN, RN, CMSRN—Med/Tele, GatewayAmanda Faucet, BSN, RN, CMSRN—Surg/Onc, GatewayAmanda Shepherd, BSN, RN, CCRN—NMICU, MidtownAndrea Schoenherr, BSN, RN, CCRN—CVICU, MidtownAshley Windell, BSN, RN, CMSRN, CWOCN— Wound Services, MT/GWGenevieve Schaller-Griffin, BSN, RN, CCRN—Heart, GatewayJessica Treutler, MSN, RN, CCRN—STCICU, MidtownKatie Hosack, BSN, RN, CMSRN—Surg/Onc, GatewayKrista Dolne, BSN, RN, CMSRN—IDNQ, MidtownKristin Jackson, BSN, RN, CMSRN—Surg/Onc, GatewayKristy Adams, RN, CMSRN—SMCC, Midtown

SILVER (cont.)Lauren French, BSN, RN—CVICU, MidtownLauren Inman, BSN, RN, CMSRN—SMCC, MidtownMegan Scheller, BSN, RN, CWOCN—Wound Services, MT/GWMelissa Pace, BSN, RN, CCRN—NMICU, MidtownMolly Elpers, BSN, RN—NICU, GatewayMyra Taber, BSN, RN—Observation, GatewaySarah Price, BSN, RN—Heart, GatewaySarah Willett, BSN, RN, CMSRN—Surg/Onc, Gateway

GOLDAndee Givens, BSN, RN, CMSRN—SMCC, MidtownAndrea Finley, BSN, RN, CCRN—Heart, GatewayAngela Sawyer, MSN, RN, CCRN—STCICU, MidtownBrittney Phipps, BSN, RN-BC, CCRN—Heart, GatewayCarlie Van Vroost, BSN, RN, CMSRN—Surg/Onc, GatewayCourtney Johnston, BSN, RN, CCRN—STCICU, MidtownCrystal McCarty, BSN, RN, CPAN—PACU, MidtownDavid North, BSN, RN, CCRN, ST—NMICU, MidtownDonna Kincheloe, DNP, RN, CMSRN—Heart, MidtownElizabeth Ivy, MSN, RN, OCN, CITPN—OPCC, MidtownJamie Corbett, BSN, RN, CCRN—CVICU, MidtownJamie Tretter, BSN, RN, CCRN, TNS—SCTICU, MidtownJennifer Ziliak, BSN, RN, CMSRN—A600, GatewayJeran Marshall, BSN, RN, CCRN, CSC, CMC—Heart, GatewayJohnna Noel, BSN, RN, CCRN—CVICU, MidtownKaren Goldie, MSN, RN, FNP-BC, CDE, CHC—Observation, GatewayKayla Hall, BSN, RN, CMSRN—A600, GatewayKayla Sturgeon, BSN, RN, CWOCN— CMSRN, Wound Services, SharedKelly Pruden, MSN, RN, CCRN, SCRN—IDNQ, MidtownKelsey Sammet, BSN, RN, CCRN—CVICU, MidtownKristin Joiner, BSN, RN, CCRN—CVICU, MidtownLaura Pauckner, NP-C—Pain, GatewayLisa Carwile, BSN, RN, CMSRN—ONTCC, MidtownMaryBeth Schitter, BSN, RN, CMSRN—SMCC, MidtownMeagan McKain, BSN, RN, CCRN—NMICU, MidtownMegan Vencel, BSN, RN, CCRN—STCICU, MidtownNancy Bradley, BSN, RN-BC—Pain, GatewayPam Leatherland, BSN, RN, CMSRN—SMCC, MidtownSally Russell, BSN, RN, CCRN—CVICU, MidtownSamantha Byers, BSN, RN, CCRN—SCTICU, MidtownTara Moore, BSN, RN, CPAN—PACU, GatewayTeri Nolan, BSN, RN, CPAN—PACU, Midtown

PLATINUMAmy Jo Smith, MSN, RN, AGCNS-BC—PACU, Gateway

Katelyn Russell, NEO, RN, CCRN—PACU, Gateway

Lisa Hensley, MSN, RN, CCRN, CVRN—PACU, Midtown

Roxie Bringman, MSN, RN, CEN—ED, Midtown


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RecognizingNURSING

EXCELLENCE

Deaconess


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2019 Nurses of the Year

SARAH MEEHAN BSN, RN, CMSRN

Emergency Department—Deaconess Midtown

Hospital

JOHNNA NOEL BSN, RN, CCRNCardiovascular ICU—Deaconess Midtown

Hospital

CARLIE VAN VOORST BSN, RN, CMSRNSurgery Oncology—Deaconess Gateway

Hospital

RANDA SCHROADER BSN, RN, SCRN

Surgical Trauma Cardiovascular ICU—

Deaconess Midtown Hospital

JESSICA CANNON MSN, RN, CEN, SANE

Neuro Surgical— Deaconess Gateway Hospital

MEAGAN MCKAIN BSN, RN, CCRN Neuro Medical ICU—Deaconess Midtown

Hospital

DONNA KINCHELOE DNP, RN, CMSRN

General Medicine Telemetry—Deaconess

Gateway Hospital

Community Service

Advancement of the Profession

Excellence in Clinical Practice

Florence Nightingale Award: Deaconess Midtown Hospital

Leadership

Florence Nightingale Award: Deaconess Gateway Hospital

Mentorship

Through the efforts of the Nursing Recognition Committee, Nursing Leadership and the Nursing Professional Development Council, nursing excellence is recognized in a variety of ways. Nurses and techs are recognized both formally and informally by their patients and their patients’ families. We are proud to recognize these exceptional members of the nursing team.


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CONGRATULATIONS, 2019 NURSE OF THE YEAR NOMINEES! Chelsea Adams, RN NMICUAshley Bateman, BSN, RN, CCRN CVICUAriel Blinn, BSN, RN, CCRN STCICUJill Boles, RN Telemetry StepdownJimmy Boop, RN Telemetry StepdownLaura Boop, BSN, RN, CCRN MSICURoxie Bringman, MSN, RN, CEN Emergency DepartmentSamantha Byers, BSN, RN, CCRN STCICUJessica Cannon, MSN, RN, CEN, SANE Emergency DepartmentDawn Claise, RN Emergency DepartmentMary Correll, RN, CMSRN NMICURebecca Cox, RN ONTCCMyra Dame, RN, CCRN STCICUDana Erny, BSN, RN SurgeryLauren French, RN CVICUBrianna Gogel, RN, CMSRN ONTCCTammy Gorman, RN Emergency DepartmentShay Gould, BSN, RN NMICULaura Hager, BSN, RN MSICUKaitlyn Hargis, RN CVICU

Christy Harris, RN SMCCShelly Hawkins, BSN, RN, CCRN STCICUClaudia Hulsey, BSN, RN, CCRN MSICUMelanie Hutchison, RN, CMSRN MSICUJamie Jacobs, BSN, RN, CCRN STCICUKristin Joiner, BSN, RN, CCRN CVICUCourtney Johnston, BSN, RN, CCRN STCICUDonna Kincheloe, DNP, RN, CMSRN General Medicine TelemetryChristy Kleinschmidt, RN NMICUKatie Lawler, RN, CMSRN ONTCCPamela Leatherland, BSN, RN, CMSRN SMCCTracie Loehr, BSN, RN, CCRN CVICUMichael Luckett, BSN, RN SurgeryJenny Mattox, BSN, RN, CCRN NMICUJulie McClarney, BSN, RN MRCCMeagan McKain, BSN, RN, CCRN NMICUSarah McQuay, BSN, RN, CCRN NMICUSarah Meehan, BSN, RN, CMSRN Emergency DepartmentCourtney Merkel, BSN, RN, CMSRN, PCCN Telemetry StepdownTrampus Moore, RN, CCRN CVICU

Johnna Noel, BSN, RN, CCRN CVICUMelissa Pace, BSN, RN, CCRN NMICURobin Perkins, RN Surgery OncologyVictoria Phelps, BSN, RN NMICUKellie Powell, RN, SCRN NMICUKelly Pruden, BSN, RN, CCRN, SCRN NMICUSally Russell, BSN, RN, CCRN CVICUKelsey Sammet, BSN, RN, CCRN CVICUAnnie Sanders, BSN, RN, CCRN MSICURanda Schroader, BSN, RN, SCRN Neuro SurgicalTrisha Seidensticker, BSN, RN, CCRN NMICUDerek Skaggs, BSN, RN Emergency DepartmentKrystal Soto, RN Emergency DepartmentKrista Spalding, BSN, RN, CCRN CVICUTaylor Tunny, BSN, RN, CCRN STCICUCarlie Van Voorst, BSN, RN, CMSRN Surgery OncologyMegan Vencel, BSN, RN, CCRN STCICUGlenda Welch, RN CVCCAlexandria Williams, BSN, RN, PCCN Telemetry StepdownJennifer Ziliak, BSN, RN, CMSRN Surgery Oncology


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REBECCA “BJ” DEIG, BSN, RN, OCN, WINS JULY DAISY AWARD

OTHER DAISY NOMINEES IN JULYTwenty-four qualified RNs received nominations for the DAISY Award. Deaconess would like to acknowledge those nurses and the units in which they provide extraordinary care that inspired patients and/or families who wanted to say “thank you.”

The July 2019 DAISY Award proudly honored Rebecca “BJ” Deig, BSN, RN, OCN—Deaconess Gateway Hospital, Surgery Oncology Unit. BJ was nominated by one of her patient’s family who wanted to say thank you in a special way.

Matt Motycka, BSN, RN, PCCN, CVNTelemetry Stepdown – Deaconess Gateway HospitalMei Yang, BSN, RNTelemetry Stepdown – Deaconess Gateway HospitalMichelle Luebbehusen, BSN, RN, PCCNTelemetry Stepdown – Deaconess Gateway HospitalHeather Murrell, RNCVICU Medical – Deaconess Midtown HospitalJoanne Relleke, RNTelemetry Stepdown – Deaconess Gateway HospitalMarissa Rakestraw, BSN, RN, CCRNNMICU – Deaconess Midtown HospitalTara Hunsinger, BSN, RN, CCRNMSICU – Deaconess Midtown HospitalJordyn Brackett, RNNeuro Med Surg ICU – Deaconess Midtown HospitalHanna Bender, RNPediatrics – Deaconess Gateway HospitalKim Priest, RN, CPNPediatrics – Deaconess Gateway HospitalStephanie Morehead, RNPediatrics – Deaconess Gateway Hospital

“BJ carried the burdens of our family and had the most difficult conversations any nurse would have with family, wrapped in compassion and spending every moment with us. BJ cried with us, prayed with us, stayed with us. She worked past her shift end, making sure we were “okay.” Day after day, BJ remained strong, gentle and focused on what was

best for our Rachel, never shying away from our questions and sometimes pleas for divine healing. BJ went above and beyond standard nursing care, as she knew we wanted Rachel to look and feel her very best with the next transition. We will never be able to thank her enough for walking beside us through the most difficult days of our lives.”

Cheryl Smith, BSN, RNSMCC - Deaconess Midtown HospitalWilliam F. Wright, RNCardiology - Deaconess Gateway HospitalGigi Kozinski, RNCVICU Medical - Deaconess Midtown HospitalMeghan Scales, BSN, RN, CCRNNeuro ICU – Deaconess Gateway HospitalDarian Paige Baumann, BSN, RNOrtho Surgical – Deaconess Gateway HospitalLauren Seng, BSN, RN, CEN, SANEEmergency Department – Deaconess Midtown HospitalCathy Reynolds, BSN, RN, PCCN, CMSRNTelemetry Stepdown – Deaconess Gateway HospitalErika Curry, BSN, RNOrtho Surgical – Deaconess Gateway HospitalRachel Allen, BSN, RNOrtho Surgical – Deaconess Gateway HospitalVicki Martin, BSN, RN, CDEDiabetes InpatientKatie Schnuck, BSN, RN, CCRNMed Surg ICU – Deaconess Gateway HospitalMelanie Hutchinson, RN, CMSRNMed Surg ICU – Deaconess Gateway Hospital


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ROBERT “BOB” BLACKBURN, BSN, RN, WINS DECEMBER DAISY AWARD The December 2019 DAISY Award proudly honored Robert “Bob” Blackburn, BSN, RN – Deaconess Gateway Hospital, Neuro Intensive Care Unit. Bob was nominated by one of his patient’s family who wanted to say thank you in a special way.

“The first night was a whirlwind of activity, but Bob never made us feel unwelcome in the room while they stabilized Tim. Bob really became our friend. He went out of his way to make [us] comfortable by sharing personal stories as well as humorous stories to lighten the mood. Bob worked incredibly hard without a break to keep Tim alive during one particular night. The next day things took a turn for the worse. That evening, Bob pointed out that he would work just as hard that night to make sure that Tim could be a hero as he donated his organs. He was a sound board, a source of advice,

a vessel of humor when needed, but continued to stay real the whole time while letting me cry, complain and vent as I needed. On the morning of the organ [recovery], Bob was everything we needed. Moments before the transport to the OR, Bob offered to let me lie with Tim one last time, arranging tubes and equipment, giving me one last chance to say goodbye. He will never know how much that meant…He drove over an hour to support us at the celebration of Tim’s life. Bob is what every nurse strives to be—competent, caring, personable, dedicated and irreplaceable.”

OTHER DAISY NOMINEES IN DECEMBERFourteen qualified registered nurses received nominations for The DAISY Award. Deaconess would like to acknowledge those nurses and the units in which they provide extraordinary care that inspired patients and/or families who wanted to say “thank you.”Kinzie Caudill, BSN, RN, CMSRNMed/Tele – Deaconess Gateway HospitalCourtney Blake, BSN, RN, CCRNSTCICU – Deaconess Midtown HospitalCathy Reynolds, BSN, RN, CMSRN, PCCNTele/Stepdown – Deaconess Gateway HospitalChristina Smith, RN, CPNPEDS – Deaconess Gateway HospitalCourtney Johnston, BSN, RN, CCRNSTCICU – Deaconess Midtown HospitalSarah Roth, BSN, RN, CCRNSTCICU – Deaconess Midtown HospitalMaegan Anderson, BSN, RNNMICU – Deaconess Midtown HospitalShay Gould, BSN, RNNMICU – Deaconess Midtown HospitalChristy Kleinschmidt, RNNMICU – Deaconess Midtown HospitalJessica Cox, BSN, RN, CCRNNMICU – Deaconess Midtown Hospital

Molly Brown, RNNMICU – Deaconess Midtown HospitalJustin Blinn, BSN, RN, CCRNSTCICU – Deaconess Midtown HospitalLora Buckman, ADN, RNHeart – Deaconess Gateway Hospital

The Daisy (Diseases Attacking the Immune SYstem) Award is an international recognition program that honors and celebrates the skillful, compassionate care nurses provide every day. The DAISY Foundation was established by the family of J. Patrick Barnes after he died from complications of the auto-immune disease ITP in 1999. During his hospitalization, they deeply appreciated the care and compassion shown to Patrick and his family. When he died, they felt compelled to say “thank you” to nurses in a very public way. Deaconess is proud to be a DAISY Award partner, recognizing two DAISY Award winners each year (July and December).


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Midtown Tech of the Year: Dion Knight

Gateway/Cross Pointe Tech of the Year: Barbara Dunn—Endoscopy (3rd from left)

TECHS OF THE YEAR CHOSEN AT GATEWAY AND MIDTOWNTwo patient care techs were chosen for Tech of the Year Award. Techs were nominated by their peers, and applications were reviewed and sent for voting by the Nursing Recognition Committee.

OTHER TECHS TO RECEIVE NOMINATION FOR THE TECH OF THE YEAR AWARD WERE:

MIDTOWNMegan DawsonMiranda HarteSarianne Williams

Dawn DownsKendyl AhrensMackenzie WallaceKellie Latham

GATEWAYKristy KahleRob PembertonAmanda Webb

Vanessa DavisTamika Smith


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SUPPORT FOR LIFELONG LEARNING

2019 Nursing Conferences AttendedConference Specialty Location RN Attendees

Advanced Practice Institute Research Iowa City, IA 2

American Association of Neuroscience Nurses Neurology Denver, CO 6

Society of Trauma Nurses Trauma Lexington, KY 64

Observation Care Observation Nashville, TN 1

Oncology Nursing Society Oncology Anaheim, CA 2

Observation Summit Observation Chicago, IL 4

American Nephrology Nurses Association Nephrology/Renal Dallas, TX 6

Society of Pediatric Nursing Pediatrics Washington, DC 2

American Nursing Association Nursing Quality and Innovation Emergency Orlando, FL 2

IHA Administrative Professionals Support Services Indianapolis, IN 2

National Association of Orthopaedic Nurses Orthopedic Atlanta, GA 4

National Teaching Institute and Critical Care Critical Care Orlando, FL 13

American Assoc. of Neuroscience Nurses Advances in Stroke Care Neurology Austin, TX 2

Post-Anesthesia Care Unit Summit PACU & OR New Orleans, LA 4

Operating Room Summit Operating Room New Orleans, LA 4

Academy of Medical-Surgical Nurses Med/Surg Chicago, IL 4

Emergency Nurses Association Emergency Austin, TX 2

Vascular Access Vascular Las Vegas, NV 2

ANCC Magnet Conference Magnet Orlando, FL 8

2019 Deaconess Sponsored Conferences for Direct Care Nurses Conference Date RN Attendees

Medical Surgical and Neurological Nursing Conference March 2019 55

Thomas P. Krueger Neuroscience Symposium April 2019 72

Deaconess Palliative Care Presents: What Matters Most for Patients and Families?

May 2019 4

Primary Care Provider: Straight from the Specialist's Mouth June 2019 2

Emergency Medicine Symposium September 2019 4

Professional Ethics Seminar November 2019 8

Deaconess Trauma Conference November 2019 42

Deaconess supports nurses’ access to professional development through attendance at continuing nursing education offerings, and tuition reimbursement for education courses and certifications/re-certifications.

SUPPORT FOR CONTINUING EDUCATION AND CONFERENCESDeaconess is a provider of continuing education through the Ohio Nurses Association which is an accredited approver by the American Nurses’ Credentialing Center’s Commission on Accreditation. A total of 294.06 continuing education hours were awarded through 8 conferences and 70 different classes.

Deaconess supported nurses at all levels to attend conferences in 2019 for a total of $112,978.


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BSNIn July 2019, Deaconess Hospital, Inc.’s BSN or higher degree in nursing rate was at 56% for nurses at all levels. The Nursing Leadership Council set a target goal of 57% to be achieved by 2021. Deaconess is committed to hiring ASN nurses with a plan in place to support their continuing education toward achieving their BSN. Continuing education for nurses at all levels is supported by Deaconess through the Employee Educational Assistance Program. Nurses at all levels include nurse directors, nurse managers, clinical nurses, CNS, NP, case managers, informatics specialists, and nursing professional development practitioners.

TUITION REIMBURSEMENT Employees who wish to advance their education were supported in 2019 with a total of $795,000 in tuition reimbursement. This is due in part to an increase in the amount allowed per semester which went into effect in 2019.

SUPPORT FOR CERTIFICATION Deaconess also supports nurses at all levels who wish to advance their knowledge in a nursing specialty. In 2019, $21,426 was provided to nurses for initial certification reimbursement.

In July 2019, Deaconess Hospital, Inc.’s professional certification rate was at 35%. At the Nursing Leadership Council, Deaconess set a target goal of 37% for nurses at all levels to reach for professional nursing certifications (counting only one certification per RN) in 2021. Nurses at all levels include nurse directors, nurse managers, clinical nurses, CNS, NP, case managers, informatics specialists, and nursing professional development practitioners. Nursing professional certification fees (initial and re-certification) are supported by Deaconess through the Employee Educational Assistance Program.


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NEW GRADUATE TECHSAs of December 2019, Deaconess hired 169 new graduate techs from the following schools:

� University of Southern Indiana

� University of Evansville

� Ivy Tech Community College (Evansville, Sellersburg, Bloomington)

� Henderson Community College

� Western Kentucky University

� Murray State University

� Purdue University

� Indiana University

� Wabash Valley College

� Frontier Community College

� Olney Central College

� Madisonville Community College

� Vincennes University

� Vincennes University Jasper Campus

� Marian University

� Indiana State University

� University of Louisville

� Lipscomb University

� Indiana Wesleyan University

� Lake Land College

� Howard Community College

� Owensboro Community and Technical College

� Western Kentucky Community and Technical College

Student Nurse Academy

In 2019, Deaconess had 180 nursing students in the academy, and this number is expected to grow. Thirty-four percent of the nurses hired at Deaconess who graduated in May 2019 participated in the Student Nurse Academy. Forty-six percent of the nurses hired at Deaconess who graduated in December 2019 participated in the Student Nurse Academy.

“The academy is a great transitional opportunity from being a nursing student to becoming a professional nurse. It eased my anxiety over numerous tasks and responsibilities that were studied in school, and having a one-on-one preceptor gave me valuable feedback on my process in patient care. This program provides another layer of learning that brings a student one step closer to becoming a skilled nurse. I highly recommend it.” —Student Nurse Academy participant.


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Troy, RN, TNS, and Haley, BSN, RN


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NURSES PROVIDING CULTURALLY SENSITIVE CARE IN A GLOBAL OUTREACH TO DOMINICAN REPUBLIC The 2019 trip to the Dominican Republic included two nurses and other staff from the Heart Unit at Gateway. Dr. Lee Wagmeister led the team from Deaconess with another cardiovascular surgeon from Rochester, New York, and his team. The team from Deaconess came well prepared with anesthesiologist Dr. Ryan Neal and surgical team members Kyla Knies, PA; Rebecca Wonning, CST; Kelly Talbott, RN, Surgery RN team leader; lead perfusionist Jessica Edwards; and two clinical nurses: Jeran Marshall, BSN, RN, CCRN-CSC-CMC, and Mary “Elsie” Reed, RN-CCRN.

Patients in the Dominican Republic can’t have major surgery, such as open-heart, unless they have the ability to pay. With the availability of the teams from

Deaconess and Rochester, nine patients had surgical procedures performed (Deaconess team – five surgeries; Rochester team – four surgeries). Initially, twelve patients were scheduled for surgery, but after the physicians reviewed their cases, three were ruled out, as they could be treated medically.

Jeran described several stories of patients with rheumatic heart disease leading to critical valve stenosis, which would have caused death within five years. As a result of the teams from the US, these patients can now go on to live healthy, productive lives. Without Deaconess to support the mission, these surgeries would not have taken place. Thanks to this team!

Jeran, Kyla, Elsie, and Jessica on the

way to the hospital.

Hospital Metropolitano de Santiago in Dominican Republic

Jeran and Else recover

a patient while orienting

a nurse from Dominican

Republic to their procedures.


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THE TEAMFront Row LtoR

Kyla Knies, PA • Jessica Edwards, Perfusion Rebecca Wonning, CST

Back Row LtoR Kelly Talbott, Team Lead Surgery • Dr. Lee Wagmeister Dr. Ryan Neal • Jeran Marshall, Team Lead Heart Unit

Elsie Reed, RN, Heart Unit


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Exemplary Professional PracticeExemplary Professional Practice utilizes the key components of Transformational Leadership, Structural Empowerment, and New Knowledge and Innovation to engage and empower nurses to transform care at the bedside. As we prepare for the future of nursing and the evolution of health care, one thing remains constant: patients are at the center of our care. Exemplary Professional Practice has grown tremendously at Deaconess, and our practices will continue to evolve as nursing and health care evolves. Over the last year, Deaconess nurses either experienced these changes or were involved in transforming the care we provide for our patients.

Megan, Nurse Practitioner, and Christin, BSN, RN


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Transforming Care at the Bedside

NURSES AFFECT EXCELLENCE AND QUALITY IN PATIENT CARE TO MEET ORGANIZATIONAL GOALS #2 HOSPITAL IN INDIANA—AGAIN! BY U.S. NEWS & WORLD REPORTDeaconess was once again named the #2 hospital in Indiana by U.S. News & World Report. We were also the only ranked hospital in the region. In addition, Deaconess was rated High Performing in one adult specialty, urology, and in five adult procedures/conditions: abdominal aortic aneurysm repair, COPD, colon cancer surgery, heart failure and knee replacement.

LEAPFROG *A* RATINGS FOR BOTH MIDTOWN AND GATEWAY HOSPITALSLeapfrog uses 28 evidence-based measures of patient safety, using metrics from CMS, CDC and other organizations. These ratings are released twice a year, and for the first time, both Midtown and Gateway hospitals received an A rating in the same evaluation and were two out of only 11 Indiana hospitals awarded an A.


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PRIMARY STROKE CENTER RECERTIFICATIONPrimary Stroke Center (Midtown) Get With The Guidelines Gold Plus from AHA

Margaret, BSN, RN, CCRN; Craig, BSN, RN, CCRN, SCRN; Seth, RN; Melissa, BSN, RN, CCRN; Michele, BSN, RN


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MIPS (MERIT-BASED INCENTIVE PAYMENT)This incentive program is related to our Medicare reimbursement pay-for-performance/value-based payment.

A score of 70 or higher indicates that the organization is an exceptional performer.

� Deaconess Hospital: 98.23 = 1.6% increase

� Deaconess Heart Group: 97.54 = 1.57% increase

� Deaconess Clinic: 95.92 = 1.49% increase

OTHER AWARDS AND RECOGNITIONS� RQI Partners Resuscitation Excellence

� Most Wired from CHIME Eight Years In A Row

� Level II Trauma Center— Pediatric and Adult Illinois Deptartment of Health

� Deaconess Illinois EMS Illinois Senate Award of Recognition Outstanding Community Service

Megan, RT, and Melinda, RN


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Mary Harrington, CA, and Brooke Dunk, RN


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WORKING TO DECREASE LENGTH OF STAY (LOS)

CVICU AND GATEWAY STEPDOWN ATTAIN BEACON GOLD

The importance of decreasing LOS in the ICU is well known. While attending multi-disciplinary rounds (MDR) on NMICU, leadership noted that there was a delay in getting approval for long-term acute-care hospital (LTACH) placement, mainly due to a delay in notifying the LTACHs so insurance precertification could take place. Margaret Hendricks, BSN, RN, CCRN, nurse manager on NMICU, discovered that if a patient was in the ICU for three days, the patient qualified for a “quick” screen and much quicker admission to the LTACH. Working with Select Specialty Hospital and Social Services, Margaret developed a nurse-driven

Timeframe Average LOS at Deaconess of Patients Admitted to LTACH

Q2, Q3 2019 16.0 days

Sept – Dec (2019) Pilot Study

9.2 days

protocol for determining placement during MDR, which decreased LOS for these patients from 16.0 to 9.2 days during the pilot period! Plans are now underway to initiate this protocol on other units in 2020.

The AACN Beacon Award for Excellence sets the standard for exemplary professional practice in patient care environments by collecting and using evidence-based information and specialty standards to improve outcomes and patient/staff satisfaction. The first step is an application review based on the score assigned to each section of the document. Then based on the points received, the final award level (gold, silver or bronze) is determined. There are 544 Beacon units in the US, and only 120 are at the Gold level.

CVICU achieved the Beacon Gold level of excellence for the second time! Congratulations to Kintina Chapman, MSN, RN, CCRN, NE-BC, and her staff on this second award.

Gateway Stepdown also achieved Beacon Gold level of excellence for the first time, demonstrating high standards in patient care. Congratulations to Amber Powell, MSN, RN, CCRN, NE-BC, and the staff on Gateway Stepdown!

Beacon Gold Award Winners

CVICU Deaconess Midtown Hospital

Beacon Gold Award Winners

Stepdown Unit Deaconess Gateway Hospital


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Nursing Performance DataNurse Sensitive Indicators (4Q17-3Q19)

Total Number of Units exceeding (below) the national benchmark mean

Injury Falls 11 of 19 inpatient units

HAPI Stage 2 or greater

16 of 16 inpatient units

CLABSI 13 of 16 inpatient units

CAUTI 14 of 16 inpatient units

NRC & HCAHPS Mix Patient Satisfaction with Nursing (4Q17-3Q19) - Inpatient

Total Number of Units exceeding (above) the national benchmark mean

Patient Education 10 of 19 inpatient units

Courtesy & Respect 11 of 19 inpatient units

Careful Listening 10 of 19 inpatient units

Responsiveness 8 of 19 inpatient units

NRC Patient Satisfaction with Nursing (4Q17-3Q19) - Ambulatory

Total Number of Units exceeding (above) the national benchmark mean

Patient Education 8 of 19 inpatient units

Courtesy & Respect 8 of 19 inpatient units

Careful Listening 7 of 19 inpatient units

Responsiveness 8 of 19 inpatient units

NURSE SENSITIVE INDICATORS (NSI)Deaconess Hospital Inc. units are compared to the NDNQI national benchmark. For the most recent eight quarters (4Q17-3Q19), Deaconess Hospital Inc. has exceeded the national benchmark for: Injury Falls (11 of 19 units below the mean); HAPI Stage 2 or greater (16 of 16 units below the mean); CAUTI (14 of 16 units below the mean); and CLABSI (13 or 16 units below the mean).

PATIENT SATISFACTION WITH NURSING (INPATIENT)Deaconess Hospital Inc. inpatient units are compared to a mix of NRC and HCAHPS national benchmarks. For the most recent eight quarters (4Q17-3Q19), Deaconess Hospital Inc. has exceeded (above the mean) in three of four categories: Patient Education (10 of 19 units); Courtesy and Respect (11 of 19 units); Careful Listening (10 of 19 units); and Responsiveness (8 of 19 units).

PATIENT SATISFACTION WITH NURSING (AMBULATORY)Deaconess Hospital Inc. ambulatory areas are compared to the NRC national benchmark. For the most recent eight quarters (4Q17-3Q19), Deaconess Hospital Inc. has not exceeded (above the mean) on the 4 categories: Patient Education (8 of 19 units); Courtesy and Respect (8 of 19 units); Careful Listening (7 of 19 units); and Responsiveness (8 of 19 units).

JoAnn, BSN, RN


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2019 NDNQI RN SATISFACTION SURVEYDeaconess Hospital, Inc.’s overall performance declined since 2018. For all 11 indicators, Deaconess exceeded (above the mean) on only 2 of the 11 (RN-RN Interactions and Nursing Management). For the four Magnet indicators, Deaconess exceeded on only 1 of the 4 (RN-RN Interactions). Direct-care nurses are providing feedback on priority items to be addressed at sessions with the chief nurse executive, director and manager. Action plans are being developed to address rapid cycle changes affecting patient care units and obtaining more frontline nursing staff input prior to practice changes.


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New Knowledge, Innovations and ImprovementDeaconess continued to experience significant growth this year, and the use of technology continues to expand to help nurses deliver excellent patient care. From new projects founded in evidence-based practice to innovations in technology that are recognized as an improvement in nursing care, Deaconess continues to excel.

Kristy, RN, CMSRN


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A Year of Innovations and Progress

Working with the Patient Blood Management Committee, a new role for Michelle Shane, BSN, RN, CMSRN, as transfusion safety officer has led Deaconess to implement several blood management best practices. As a former clinical informatics nurse, Michelle has a passion for safe blood administration and was instrumental in the success of BPAM. As transfusion safety officer, Michelle collaborates with Missy Reising, MT (ASCP), Blood Bank team lead. Michelle is charged with ensuring that transfusion-related activities are safe and cost-effective, in compliance with regulatory requirements, and in alignment with strategic organizational goals. She provides transfusion metric data to the Patient Blood Management Committee, Deaconess leadership and providers.

In 2019, Michelle collaborated with colleagues to implement the following EBP changes:

� Administration of platelet transfusions via infusion pumps

» Updated Blood Administration Policy to include Blood Product Reference Grid

» Updated annual blood administration compliance education

» Updated NNO presentation to include patient blood management strategies, blood product stewardship and waste reduction education.

� Creation of an education video with Dr. Gina Huhnke for DHS providers. The video included evidence-based patient blood management strategies, transfusion safety and cost related to transfusions. Required education for all new advanced practice providers and locum providers.

� Facilitation of an inservice for Deaconess providers in which a Sysmex representative discussed advances in CBC parameters and testing available within the Comprehensive Retic Panel (which went live in May 2019)

� Reviewed and updated Deaconess evidence-based blood product guidelines; also ensured guidelines were easier to access via Patient Blood Management D-Web page

� Audited for compliance of BPAM documentation and blood product tube compliance reporting via STAT-IT. Added a transfusion alert to Epic on the physician dashboard; now displays high-performing specialties and Deaconess’ overall monthly transfusion metrics.

Michelle is now working on a white belt project in Lab to meet future goals that will improve the quality and safety of blood administration at Deaconess.

IMPROVEMENT OF BLOOD MANAGEMENT THROUGH TRANSFUSION SAFETY OFFICER ROLE

Michelle, BSN, RN, CMSRN, and Missy, MT (ASCP)


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CLINICAL NURSES, USE OF TECHNOLOGY DRIVES PURCHASE OF TECHNOLOGYImplemented in late 2018, Stratus Interpreter Service is an example of technology that was vetted, adopted and utilized by clinical nurses to improve patient care. As a result, the number of devices has increased steadily throughout the year from an initial purchase of one each for Heart, Gateway/Cross Pointe and Midtown to a total of 41 at the end of 2019. Video usage has increased, as has audio-only usage, as clinical nurses provide a customer satisfier and increase patient safety through the use of this technology.

Stratus Video

Interpreter

OPI Audio Interpreter

Uyenvy, BSN, RN, CMSRN


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PEDS STAFF REDESIGN WORK ENVIRONMENT ON PEDSStaff on the Gateway Pediatric Unit are proud to be a part of a health organization that truly embraces a therapeutic interior design/décor that’s patient-centered and affects the well-being and satisfaction of their patients and staff. In consideration of psychosocial, cognitive and developmental characteristics and needs, pediatric clinical nurses took it upon themselves to conduct a literature search to gather supportive evidence of a holistic, healing, therapeutic and child-friendly environment as an integral part of the hospital’s décor for the pediatric unit.

� Pro-child hospital environments align with positive hospital experiences when social and diverse activities and spaces promote entertainment, play and learning.1

� Qualitative evidence shows child-friendly environments meet the psychosocial needs of pediatric patients.2

� Designing pro-child environments requires seeing through the eyes of a child to realize the importance of an interactive, engaging and visually pleasing environment.2-5

� The influence of bright colors and multi-dimensional artwork of nature elicits feelings of warmness and comfort.2-5

� Otherwise, in the absence of a pro-child friendly environment, there is a risk of fear, distress and anxiety that can adversely affect their health.6

The autonomy, hard work and dedication of Nicolle Hurt, BSN, CPN, RNC-NIC; Kimberly Pixley, RN, CPN; and Lisa Lantaff, child life assistant, along with the participative support of their manager, Cara Wongngamnit, BSN, RN, have made a difference in the pediatric work environment redesign.

1. Lambert V, Coad J, Hicks P, Glacken M. Social spaces for young children in hospital. Child: care, health, and development. 2013;40(2);195-204. Doi:10.1111/cch.2016

2. Lambert V, Coad J, Hicks P, Glacken M. Young children’s perspective of ideal physical design features for hospital-built environment. J Child Health Care. 2014;18(1):57-71 doi: 10.1177/1367493512473852

3. Bishop, K. Neonatal. Through the eyes of children and young people: the components of a supportive hospital environment. Paediatric and Child Health Nursing. 2010;13(2):17-25

4. Woo, Jc, Lin, YL. Kids’ perceptions toward children’s ward healing environments: A case study of Taiwan University Children’s Hospital. J Healthc Eng 2016: doi: 10.1155/2016/8184653

Julie, BSN, RN, CPN, and Brittany, BSN, RN

Kimberly, RN, CPN

Christina, RN; Morgan, BSN, RN; Julie BSN, RN; Brittany, BSN, RN; Kimberly, RN, CPN; Cara, BSN, RN; Nicolle, BSN, RN, CPN


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NURSING QUALITY RESTRUCTUREAs the nurse clinician role has developed and matured, wide variations in practice were found between units and clinicians with loosely defined standards and lack of coordination. Clinicians reported to their nurse managers and, as a result, were challenged with competing priorities and barriers to address nursing quality issues of strategic importance to the organization. The clinicians were not yet a team, only coming together monthly to do report-outs, where they would find similar projects had been started in separate areas. A work group was formed to weigh pros and cons of a unit-based vs. centralized model for the nurse clinicians. Nursing leadership wanted to move to a more united approach to nursing quality,

with one leader who would serve to unite clinicians and drive the work. As a result, clinicians moved in 2019 to a centralized, “pod” based model to pair clinicians and promote effective coverage of units based on similar patient populations, acuity, bed numbers and proximity. Jason May transitioned to the nurse clinician coordinator role with Jillian Swearer as director.

Since the transition of the nurse clinicians to a centralized model, they have grown together as a cohesive team with the universal goal of driving hospital-wide, positive patient outcomes.

Jillian Swearer, MSN, RN, TCRN, CCRN-K, NE-BC

Director of Nursing Quality

Jason May, BSN, RN, CCRN Nurse Clinician Coordinator

Christina Childers, BSN, RN B400/D400 Neuro

Dana Lanham, BSN, RN, PCCN MSICU/B500

Chenoa Splittorff, BSN, RN B600 Ortho/D500

Krista Dolne, BSN, RN, CMSRN 45/46 ONTCC

Nikki Nixon, RN, WCC 55/56 MRCC

Amy Stockton, RN, CMSRN OPCC/Obs

Molly Elpers, BSN, RN Neuro ICU

Johnna Noel, BSN, RN, CCRN 2900 CVICU

Jamie Tretter, BSN, RN, CCRN, TNS 4800 STCICU

Andrea Finley, BSN, RN, CCRN THH

Kelly Pruden, MSN, RN, CCRN, SCRN 3900 NMICU

Jennifer Ziliak, BSN, RN, CMSRN A600

Abigail Guessfeld, BSN, RN 25/26 CVCC

Taylor Shanks, BSN, RN, CMSRN A500

Amy Jones, RN, CMSRN, PCCN B600 SD/B500

Briea Shelton, RN, CMSRN 35/36 SMCC

NURSE CLINICIANS—MIDTOWN NURSE CLINICIANS—GATEWAY


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DEACONESS CROSS POINTE INCREASES QUALITY FOR PATIENTS AND STAFFDeaconess Cross Pointe (DCP) has worked diligently with staff to take measures to improve the orientation process for new nurses. New orientation manuals and forms were developed for use in this specialized health care setting based on templates from a house-wide Orientation Taskforce. After attending the preceptor course, Stephanie Hirons, RN-BC, MS, LMHC, team leader, also used strategies with preceptors to prevent new employees from becoming overwhelmed.

DCP implemented the use of a restraint chair based on evidence that shows this is a safer alternative to the previously used restraint methods in psychiatric settings. Nurses in “supertrainer” roles educated all staff in the appropriate use of this restraint method.

Amanda, RN, BSN; Ethan, Unit Clerk; Amy, RN-BC, BSN; Kendra, MHT; Jessica, RN

Pam, RN-BC

and Aundrea, MHT

Stephanie, RN-BC, MS, LMHC and Jessica, RN

Whitney RN, BSN

and Kris, MHT


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THE DEAC EVIDENCED-BASED PRACTICE (EBP) MODELThe DEAC EBP model features the use of EBP from two different aspects or pathways: DEAC It and DEAC a PC (Practice Change). Yet both merge into the four basic steps of the DEAC (D = Discussion, E = Evidence, A = Application, and C = Conclusion). Using four different clinical questions, eight volunteers from the council tested the steps of the model. One nurse raised a question that involved the practice of gastric residual volume (GRV). Using the DEAC process, clinical nurses discovered our current nursing policy was not up to date.

Going forward, the NERC will work on disseminating the DEAC EBP model. Be watching for the DEAC EBP video, flyers and other forms of education that are coming to your department.

During 2019, the Nursing Evidence-Based Practice and Research Council (NERC) developed and tested a customized simple four-step EBP model and named it the DEAC EBP Model. After evaluating Nursing’s EBP model, which was adopted in 2004, council members admitted they did not know the model. In addition, they felt their peers didn’t know the EBP principles nor how to apply them at the bedside.

Subsequently, this concern led NERC members to evaluate and grade literature-based models for clarity and ease of remembrance. After seeing the complexity of the models, nurses discussed the need to develop their own model—one that would be simple and easy to understand the principles of EBP, yet also easy to remember. Later, a logo for the model was developed and a copyright applied to it.

PRESENTATIONS AND PUBLICATIONS (See Table on Page 49)

Results of abstract submissions are monitored through a digital tracking system demonstrating invitations from local, national and international conferences for accepted poster and podium presentations. Tables 1 and 2 display the number of submissions and acceptances and the number of conference presentations over an eighteen-month period in 2018 and 2019. Of nine conferences in 2018, 17 of 34 (50%) abstracts were accepted for poster (n=10) and podium (n=7) presentations. Of seven conferences to date in 2019, 10 of 13 (77%) abstracts were accepted for poster (n=4) and podium (n=6) presentations. Twenty (20) abstracts were submitted to a large international nursing conference during 2018 (2 of 17 accepted) and 2019 (1 of 3 accepted). Excluding this large international nursing conference, the overall percentage of abstract acceptance was 88% for 2018 and 90% for 2019.


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Presentations and Publications 2019Presentation Title Presenters Conference Category

Driving Patient Blood Management throughout a Health Care System

"Dawn Rowley, MSN, AGCNS-BC, CCRN-K; Lois Stallings Welden, DNP, RN, CNS"

National Association of Clinical Nurse Specialist Conference

Podium

Utilization of the Electronic Medical Record to Optimize Outcomes in the Treatment of Febrile Neutropenia

Anna Gibson, PharmD; Claire Sutherby, MSN, RN, AGCNS-BC, CMSRN

NCCN Conference Poster

Does Aromatherapy Relieve Pain in Abdominal Surgical Patients? A Randomized Controlled Study

Lois Stallings Welden, DNP, RN, CNS; Mary Beth Schitter, BSN, RN, CMSRN; Pamela Leatherland, BSN, RN, CMSRN; Andee Givens, RN

USI Research, Evidence-Based, & PI Conference

Podium

Comparing Profiles of Low Acuity Emergency Department Visits

Vicki McNeill, DNP, RN, FNP-BC, CEN USI Research, Evidence-Based, & PI Conference

Podium

Post Acute Re-Admissions? Nurse Practitioners Drive Outcomes!

Shelly Evans; Kathy Clodfelter, MSN, RN, MBA, NE-BC AONE Podium

Effectiveness of Aromatherapy for Pain Relief in Abdominal Surgical Patients

Lois Stallings Welden, DNP, RN, CNS; Mary Beth Schitter, BSN, RN, CMSRN; Pamela Leatherland, BSN, RN, CMSRN; Andee Givens, RN

AMSN Conference Poster

Using Interprofessional Simulation to Improve Onboarding

Edith Hoehn, MSN, RN, CVRN ANCC Magnet Conference Poster

A Multi-Center Collaborative Intervention Study to Reduce Missed Nursing Care

Lois Stallings Welden, DNP, RN, CNS; Ellen Wathen, PhD, MSN, RN-BC

Sigma Theta Tau International Biennial Convention

Podium

Measuring the Prevalence of Delirium in Hospitalized Patients

Linda Cason, DNP, CNS, RN-BC, NE-BC, CNRN Sigma Theta Tau International Biennial Convention

Podium

Effectiveness of Aromatherapy for Pain Relief in Abdominal Surgical Patients

Lois Stallings Welden, DNP, RN, CNS; Heather Rogers, BSN, CMSRN, NE-BC

Indiana Center for Nursing Summit

Poster

Using an Abstract Review Committee to Mentor Nurses in Writing for Nursing Excellence

Lois Stallings Welden, DNP, RN, CNS; Ellen Wathen, PhD, MSN, RN-BC; Linda Cason, DNP, CNS, RN-BC, NE-BC, CNRN

Indiana Center for Nursing Summit

Poster

Journal Article Submissions/Awaiting Decision for Publication 2019Publication Titles Authors Journal

A Prevalence Study for Delirium in Acute Care Hospitalized Patients

Lois Stallings Welden, DNP, RN, CNS; Linda Cason, DNP, CNS, RN-BC, NE-BC, CNRN

Journal of Clinical Nursing

Patients Randomized to Aromatherapy Demonstrate Improved Pain

Lois Stallings Welden, DNP, RN, CNS; Pam Leatherland, BSN, Rn, CMSRN; Mary Beth Schitter, BSN, RN, CMSRN; Andee Givens, RN, CMSR; Jonathan D.Stallings, PhD

Med-Surg Nursing Journal

Establishing an Internal Abstract Review Committee to Mentor Nurses in Writing for Nursing Excellence

Lois Stallings Welden, DNP, RN, CNS; Ellen Wathen, PhD, MSN, RN-BC; Linda Cason, DNP, CNS, RN-BC, NE-BC, CNRN

Journal of Nursing Management

Publications 2019Publication Titles Authors Journal Published

Why My Facility Chose HFAP Advanced Wound Care Certification

Libby Ketchem, MSM, BSN, RN, CWS, NE-BC Today's Wound Clinic "August 2019"

The publication, "The Use of Aromatherapy in Postoperative Nausea and Vomiting: A Systematic Review", included five articles harvested from the literature. The research study conducted in SDCC and PACU at DMT was published in JOPAN in April 2018 as "A Comparison of Aromatherapy to Standard Care for Relief of PONV and PDNV in Ambulatory Surgical Patients" was 1 of 5 articles included in the systematic review, which the highest level of evidence: Level I.

"Authors that published the study were: Lois Stallings Welden, DNP, RN, CNS, Mary Doerner, MSN, RN, CPAN,CAPA, Elizabeth (Libby) Ketchem, MSM, BSN, RN, CWS, NE_BC; Laura Benkert, BSN, RN, CAPA; Susan Alka, RN, Jonathan D. Stallings, PhD"

Journal of Perianesthesia Nursing "June 2019"

"Top Scoring Abstracts from the 2019 Annual Conference, ""A Catalyst of Practice Change: The CNS"" The abstract, Driving Patient Blood Management Throughout a Health Care System, was the 4th highest -scoring abstract out of 290 abstracts."

Dawn Rowley, MSN, RN, AGCNS-BC, Lois Stallings Welden, DNP, RN, CNS

National Association of Clinical Nurse Specialist

February 2019


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QI PROVIDES TECHNOLOGY TO MAINTAIN HIGH QUALITY BLS SKILLSThe American Heart Association recognizes that health care providers often do not meet the guidelines for compression fraction (time off the chest), compression rate, and depth for both adult and child BLS. As a result, they recommend that providers maintain BLS proficiency by practicing skills quarterly. BLS skills are mastered during traditional classes, but skills decay very quickly in the first few months after classroom-based courses.

RQI provides the technology to master and maintain skills as well as the ease of completing skills during a scheduled shift instead of being out of staffing to attend a traditional class. With low-dose, high-frequency training, staff feel more comfortable performing the skills and are more proficient in the delivery of BLS. This innovative product has been widely adopted at Deaconess after the initial rollout in 2017. Departments have been added into RQI every year, with Deaconess Family Pharmacy added in 2019 and plans to add Chancellor Center, Gateway Infusion Center, Gateay Pain Management and Deaconess Breast Center in 2020.


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The interprofessional team-based approach present at Deaconess, led by nurse leaders at all levels, uses structures that empower excellence in nursing practice. Deaconess nurses make changes based on new knowledge obtained through evidence-based practice to achieve exemplary outcomes and patient experiences. This annual report celebrates Deaconess nursing, a celebration that continues through 2020, The Year of the Nurse!

A night-shift nurse checks equipment

Whitney, BSN, RN and Renee, PCT

Nicole, BSN, RN

Jon, RN; Melissa, RN; Cathy, CRNA; Jess, RN

Johna, BSN, RN, CCRN

DEACONESS CROSS POINTE7200 E. Indiana Street, Evansville, IN

812-476-7200

DEACONESS ORTHOPEDIC AND NEUROSCIENCE HOSPITAL

4015 Gateway Blvd, Newburgh, IN

DEACONESS MIDTOWN HOSPITAL

600 Mary Street, Evansville, IN812-450-5000

DEACONESS GATEWAY HOSPITAL

4011 Gateway Boulevard, Newburgh, IN812-842-2000

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