Attachment OO3b, 2012 Shore Health System Nursing Annual Report
2012 NURSING ANNUAL REPORT
A L E G AC Y O F I NNO VAT I ON
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
contents 10
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2 About Shore Health
18 Reducing Readmissions
4 Leadership Messages
20 A Legacy of Distinction
6 A Legacy of Giving
22 Literature and Medicine
8 Length of Stay
24 Nursing Certifications
10 Operation Power Purse 12 Beyond the Hospital
26 Nursing Recognition 30 Nursing Research
14 A Tradition of Leadership 16 Innovation at the Bedside
32 About MAGNET® BC Contact Us
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
ABOUT SHORE HEALTH
Nursing Annual Report 2012
About Shore Health With 2,000 employees, a 200-member medical staff and hundreds of volunteers, Shore Health meets the healthcare needs of the more than 100,000 people who live in Maryland’s Mid-Shore region. Our partnerships with the University of Maryland Medical System and the University of Maryland School of Medicine make it possible to offer sophisticated medical services uncommon for a rural community health system.
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Memorial Hospital, Easton • 116-bed acute care hospital for children and adults • 32-bed emergency department providing 24-hour emergency care • 20-bed CARF-accredited Requard Center for Acute Rehabilitation • A full menu of general and specialized surgical services, including minimally invasive and robotic assisted procedures • Infusion therapy and short stay procedures • University of Maryland Center for Diabetes and Endocrinology • University of Maryland Medical Center clinics for kidney transplant, dialysis vascular access, liver, pediatric surgery and thoracic surgery • Renal dialysis • Shore Regional Breast Center • Cardio-Pulmonary Fitness and Wellness Center • Regional Sleep Disorders Center • Joint Replacement Center • Shore Comprehensive Pain Care • Wound Healing
Dorchester General Hospital, Cambridge • 36-bed acute care hospital for adults • 16-bed emergency department providing 24-hour emergency care • 16-bed adult behavioral health inpatient unit • A full menu of general surgical services • Endoscopy services • Renal dialysis • Center for Cardio-Pulmonary Fitness and Wellness Center • Regional Sleep Disorders Center • Outpatient Chemotherapy Suite • Palliative Care Suites
Queen Anne’s Emergency Center, Queenstown • 14-bed emergency center providing 24-hour care • Diagnostic imaging including x-ray and CT scan • Full-service clinical testing laboratory
Shore Medical Pavilion, Queenstown • Medical office building consisting of 60,000 square feet on three floors • Maryland Primary Care Physicians and specialists in urology, cardiology, neurology, otolaryngology (ENT) and general surgery • Shore Rehabilitation Services for physical and speech therapy • Diagnostic and Imaging Services, including x-ray, MRI, digital mammograms, bone density scan, diagnostic ultrasound, electrocardiograms, phlebotomy • 4-bed Regional Sleep Disorders Center Outpatient network with facilities in Cambridge, Centreville, Denton and Easton • Primary care physician practices • Specialty care physician practices in gynecology, pediatrics, urology, otolaryngology, neurology, cardiology, neurosurgery, breast surgery, general surgery, vascular surgery, endocrinology, psychiatry, rehabilitation medicine, wound care • Diagnostic imaging, cardiovascular and laboratory testing • Physical, occupational and speech therapy, including the Eastern Shore’s only Balance Center • Shore Regional Cancer Program accredited by the Commission on Cancer of the American College of Surgeons • Shore Health System Surgery Center in Easton • Digestive Health Center in Easton • Shore Home Care and Hospice
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Nurse Executive Committee
Nursing Management The Memorial Hospital
Dorchester General Hospital
Christopher Parker, MSN, RN, NEA-BC, CHCQM, Senior Vice President of Patient Care Services and Chief Nursing Officer
Cynthia Beemer, MSN, RN, CCRN, ICU/Telemetry
Jane Flowers, MSN, RN, CNOR, Surgical/ Ambulatory Services
Barbara Bilconish, MSN, RN, NEA-BC, Director of Professional Nursing Practice and Magnet® Program
Dona Benford, MSN, RN, CMSRN, Joint Replacement Center and Neuroscience Unit
Ryan Foster, MS, RN, CNML, NEA-BC, Multi-Specialty Care Unit and Critical Care
Rita Holley, MS, BSN, RN, Director of Shore Home Care and Hospice
Martha Clark, BS, RN, Surgical Unit
Cathy Weber, BSN, RN, CEN, Emergency Services
Ruth Ann Jones, EdD, MSN, RN, NEA-BC, Director of Acute Care Christopher Mitchell, MSN, RN, NEA-BC, Director of Emergency and Outpatient Services Penny Aaron Pink, MS, RN, NEA-BC, CNOR, Director of Surgical and Ambulatory Services
Sherry Dolby, RN-BC, Requard Center for Acute Rehabilitation
Jaclyn Weston, BSN, RN-BC, Behavioral Health Services
Grace Gonzalez, BSN, RN, Emergency Services Queen Anne’s Emergency Center Marcia Groton, MSN, RN, Digestive Health Center
Mary Alice Vanhoy, MSN, RN, CEN, CPEN, NREMT-P
Eileen Patricia MacDougall, MSN, RN, Women’s and Children’s Health Shore Home Care and Hospice
Diane Walbridge, MSN, RN, NEA-BC, Director of Clinical/Financial Nursing Resources
Sidney Milligan, BSN, RN Same Day Surgery/Short Stay/PACU
Deborah Reeder, RN, COS-C, Home Care Patricia Starkey, BSN, RN, COS-C, Quality Trish Focht, RN, Hospice
Jacqueline Mowbray, MHA, BSN, RN, Shore Comprehensive Pain Care, Shore Health Surgery Center, the University of Maryland Center for Diabetes and Endocrinology Gail Shorter, MS, CEN-BC, Critical Care Graduate University Lauren Wade, BSN, RN, CIC, OR Materials and Sterile Processing Susan Walbridge, MSN, RN, CAPA, NEA-BC, Operating Room
www.shorehealth.org
Jo Anne Thomson, MN, RN-BC, Director of Informatics and Practice Innovation
Jennifer Miles, BSN, RN, Multi-Specialty Care Unit and Renal Unit
Sharon Stagg, DNP, MPH, RN, FNP-BC, COHN-S, Director of Shore Wellness Partners
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
MESSAGE FROM THE CHIEF NURSING OFFICER I am pleased to present to you the 2012 Nursing Annual Report for Shore Health. In the pages of this annual report, we showcase a small sampling of accomplishments achieved by our dedicated nurses. On each page, you will find examples of the innovations, leadership and team work that continue to solidify Shore Health’s longstanding tradition of excellence in community health care. You will read about several nursing-led initiatives that have positioned Shore Health well in the present, as well as into the future and learn more about the unsung heroes who work tirelessly to maintain Shore Health’s mission of “Exceptional Care, Every Day.” I hope you enjoy stories of our tradition of providing quality care to our friends and neighbors and take comfort in the fact that Shore Health has one of the nation’s truly great teams of dedicated nursing professionals. Looking forward, I see many challenges that will shape the future of health care. Nursing at Shore Health is poised to contribute to our success in navigating those challenges in the days and years ahead. As the bar continues to rise for healthcare quality, we are fortunate to have a nursing team who continually rises to the challenges set before them. Our nursing staff is never satisfied with the status quo. Innovation and transformation are always in the forefront of our thoughts as nursing practice continues to evolve throughout the country and right here in our own system. The accomplishments of our nursing staff are diverse and are reflected at all levels of the organization. Please join me in offering a big thank you to our nursing team as we celebrate our accomplishments from the past year and look ahead to the challenges and innovations that lie ahead.
Nursing Annual Report 2012
Sincerely,
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Christopher J. Parker, MSN, RN, NEA-BC, CHCQM Senior Vice President of Patient Care Services and Chief Nursing Officer
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
MESSAGE FROM THE CHIEF EXECUTIVE OFFICER Here at Shore Health, I have been impressed with the dedication of our remarkable nursing team. At all levels of the organization, these stellar professionals have created a tradition of excellence that spans generations of nurses in our close-knit community. Mothers and daughters, fathers and sons, neighbors and friends work side by side, all united with an unwavering commitment to provide exceptional care, every day. They epitomize what it means to be the best at what they do. The tradition of caring for one’s friends, family and neighbors is combined with a perpetual drive to find new innovations and ways for caring for those near and dear to us. That commitment to caring directly affects our patient’s clinical outcomes and thanks to our nursing team, we consistently achieve high patient satisfaction scores. Our nurses are known for their continuous quest for education and for raising the bar of what it means to provide world class care in our community health system. On behalf of the Shore Health senior leadership team, I extend sincere gratitude to our nursing team for their service and ongoing dedication to our patients and their families as well as heartfelt congratulations for their continued success.
www.shorehealth.org
Kenneth Kozel, MBA, FACHE President and CEO
Sincerely,
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
A LEGACY OF GIVING Every year, generous contributions from our hospital auxiliaries and foundations, raised in conjunction with the support of our local communities, provide Shore Health nursing staff with vital technologies, education and supportive services, enabling them to provide our patients with Exceptional Care, Every Day.
Above: Cutting the ribbon at the dedication of the Rufus M. and Loraine H. Todd Palliative Care Suites at Dorchester General Hospital are from left Loraine H. Todd; Christopher Parker, MSN, RN, Senior Vice President of Patient Care Services and Chief Nursing Officer, Shore Health; Lakshmi Vaidyanathan, MD, board-certified Diplomate in Hospice and Palliative Medicine and Medical Director, Shore Home Care and Hospice; Eugene Newmier, DO; Rufus M. Todd; Ida Jane Baker, President, Dorchester General Hospital Foundation; Brendan Paltoo, MD; Kenneth Kozel, MBA, FACHE, President and CEO; Michael Moran, MD; and Ryan Foster, MS, RN, Manager, MultiSpecialty Care and Critical Care, Dorchester General Hospital.
Providing Comfort and Privacy in Palliative Nursing Care
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Nursing Annual Report 2012
Suites include amenities such as flat n 2012, the generous contributions screen televisions, calming artwork of several members of the Dorchester and a separate family lounge for each County community were responsible patient room, allowing families to have for increased accessibility of palliative care privacy in a comfortable environment services at Dorchester General Hospital during a trying time. The family lounge through the dedication of the Rufus M. has a television, microwave, refrigerator, and Loraine H. Todd Palliative Care Suites. rocker/recliner and a sofa that converts Named for two of the project’s major to a double bed for families who wish benefactors, these suites were designed to spend the night with their loved one. with numerous amenities to provide patients and their families with a higher quality of life in a more private and In addition to the contribution from comfortable acute care environment Mr. and Mrs. Todd, which they made 6 when in need of palliative services. in honor of three members of the
Dorchester General Hospital medical staff, Michael Moran, MD, Eugene Newmier, DO and Brendon Paltoo, MD, funding for the project was also raised as a result of the Dorchester General Hospital Foundation‘s Luau fundraiser, hosted the previous year at the home of Dr. and Mrs. Moran. Additional financial support for the palliative care suites came from the Neall Family Charitable Foundation. “This much anticipated unit provides a caring environment for our patients and their families,” says Ida Jane Baker, 8
Attachment OO3b, 2012 Shore Health System Nursing Annual Report
“This bed was invaluable as we cared for a premature 23 day old infant who was not breathing,” continues Vanhoy. “With the skill of the staff and the Panda® technology, we were able to stabilize the baby and provide continuous care, with the family at the bed side, until we could arrange for transfer to a Neonatal Intensive Care Unit.” Granting Educational Opportunities to Our Nursing Staff
Above: Funds were raised to purchase a Panda® warmer, used to warm and provide oxygen to newborns and infants. Pictured from left are Stephanie Brock, BSN, RN; Mary Shepherd, RN; Carolyn Sutch, BSN, RN; Mary Alice Vanhoy, MSN, RN, Manager, Queen Anne’s Emergency Center and Pat O’Shea, Director of Development, Shore Health.
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he Queen Anne’s Emergency Center Event Committee, with the generous support of the local community, made it possible for the Queen Anne’s Emergency Center to purchase the GE Panda® Warmer, a state-of-the-art piece of equipment used for warming, weighing, oxygenating and monitoring newborn and infant patients. The Queen Anne’s Emergency Center was the beneficiary of this gift, raised through donations at the “Our Roots are Planted for a ‘Shore’ Future” fundraiser, planned by the Event Committee with the assistance of the Memorial Hospital Foundation staff.
“A GE Panda® is a neonate resuscitation bed. This highly specialized bed provides the Queen Anne’s Emergency Center with the ability to meet the unique needs of the smallest of patients,” says Mary Alice Vanhoy, MSN, RN, CEN, CPEN, NREMT-P, Manager for the Queen Anne’s Emergency Center. “From its radiant
Above: Graham Lee, Vice President of Philanthropy for Shore Health, right, takes a moment to thank Diane Bisaner of the Memorial Hospital Auxiliary for the Auxiliary’s support of first time nursing certifications.
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hroughout the year, the Memorial Hospital Foundation supports the educational endeavors of Shore Health professional nursing staff through the disbursement of endowed funds that have been allocated for nursing education. Scholarships provided by the Memorial Hospital Foundation assist nurses in funding tuition and associated fees, CEUs and first time certifications, which are often granted in conjunction with financial support from the Memorial Hospital Auxiliary.
In 2012, Foundation scholarships totaling $22,851 were awarded to 12 nurses for tuition and fees associated with their goals to obtain a higher level of education such as BSN, MSN or CRNP degrees. In addition, 27 nurses were granted financial assistance totaling $9,430 for obtaining CEUs and 11 nurses were granted financial assistance totaling $3,810 for obtaining first time certifications.
“The Memorial Hospital Foundation has supported Shore Health Nursing for decades by giving scholarships for educational endeavors such as higher degrees, CEUs, certifications and much more,” says Graham Lee, Vice President of Philanthropy. “The Foundation, through its donors, is proud to help shape the future of nursing practice and education at Shore Health with these scholarships. This is just another way charitable giving makes a difference for our community.” DGH Auxiliary Continues Legacy of Nursing Support
Above: Members of the DGH Auxiliary Nursing Grant Committee pictured from left are Suzanne Press, Jean Baker, Bonnie Rempo and Pat Wood. The Committee awarded their 2012 $1,000 Nursing Grant Scholarship to Jennifer Miles.
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ince 1978, the Auxiliary of Dorchester General Hospital has awarded scholarships to students who have been accepted into the nursing section of a registered nursing program and who meet established criteria. The financial aid covers the cost of tuition, books and other educational expenses. Last year’s Nursing Grant scholarship was fully funded by Auxiliary member donations.
Consider a gift to help purchase much needed equipment and supplies for your community health system. See back cover for where to send your gift.
www.shorehealth.org
Funding Life-Saving Equipment for Newborns and Infants
warming light and warming pad to the air blending system, we can keep the newly born or small infant warm while meeting their breathing needs.”
President of the Dorchester General Hospital Foundation. “During a time of trauma and fear of the unknown, families can be close by their loved ones. As President of the DGH Foundation, I cannot say enough about community support of our efforts, our very generous benefactors, plus the excitement of nursing staff. These rooms only confirm our dedication to providing exceptional care close to home.”
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
LENGTH OF STAY
Nursing Annual Report 2012
Improving Efficiencies in Emergency Care
Members of the Emergency Department Length of Stay Committee have been working since last year to identify tools for creating a more efficient process for patients who come to the emergency departments at Shore Health. Pictured, front row from left are Michael Tooke, MD, Chief Medical Officer; Ruth Ann Jones, EdD, MSN, RN, Director of Acute Care; and Christopher Mitchell, MSN, RN, Director of Emergency and Outpatient Services. Back row from left are Dennis DeShields, MD, Hospitalist and Chief of Medicine; Gary Bigelow, BSRT, R, Director of Imaging Services; Michael D. D’Arcangelo, MT (ASCP), DLM, Director of Shore Health Laboratories; Diane Walbridge, MSN, RN, Director of Clinical/Financial Nursing Resources; and Salvatore Verteramo, MD, Chief of Emergency Medicine.
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ne of the overwhelming problems in the healthcare industry is moving patients through the Emergency Department (ED) in a timely fashion while giving them a quality experience. Shore Health is dedicated to reducing the ED length of stay times and identifying tools and process changes needed to be more efficient. In March 2012, the ED Length of Stay (ED LOS) Committee was established, creating a multidisciplinary team, working collaboratively to reduce the length of stay in the EDs at Memorial Hospital, Dorchester General Hospital and the Queen Anne’s Emergency Center. Christopher Mitchell, MSN, RN, NEA-BC, Director of Emergency and Outpatient Services, chairs the Committee. Members of this interdisciplinary committee are the Director of Acute Care, Director of Clinical/Financial Nursing Resources, Director of Lab, Director of Radiology, Director of Case Management, a Hospitalist from each of the two hospitalist groups, an ED physician, and the Chief Medical Officer (CMO). Six subcommittees have been created to address the individual sections of the overall length of stay for a patient in the ED: Door to Room, Room to ED Provider, ED Provider to MD Consult for admission, MD Consult for admission to Admissions Order, Admissions Orders to Floor, and Inpatient Discharges. These subcommittees consist of collaborative teams of physicians, nursing, lab/radiology, and case management.
“There are many factors that can impact a patient’s length of stay in the ED,” says Mitchell. “We have included many stakeholders and asked how we could streamline the ED process, and each discipline has come back with ideas to be discussed. Some have already been implemented, and their effectiveness is being evaluated.” 8 10
Attachment OO3b, 2012 Shore Health System Nursing Annual Report
The goal of the ED LOS project is to reduce time in the ED to four hours from the time someone walks in the door to the time the patient is placed into a bed on an inpatient unit. Each subcommittee has an individual target. For example, the door to room length of stay target is 15 minutes — from the time a patient enters the ED to the time taken to an ED room or treatment area. This measurement has consistently come under the target at all three facilities (MHE, DGH, QAEC) for the last six months. Other targets are harder to reach. For example, admission order to inpatient unit has a selected starting point target of 45 minutes. Currently, the average is just over three hours. Recently the ED LOS Committee reviewed state data on admission orders to unit, and the median across the state was 60 minutes. “Based on this new data from the state, the ED LOS Committee will be reevaluating our targets,” says Ruth Ann Jones, EdD, MSN, RN, NEA-BC, Director of Acute Care. However, as a result of the ED LOS initiative, she points out that the time for admission orders to patient care unit has decreased by approximately 30 minutes. “Much of the work of the Admissions Orders to Floor subcommittee has been around communication and collaboration,” Jones says. She and Diane Walbridge, MSN, RN, NEA-BC, Director of Clinical/Financial Nursing Resources, co-chair this subcommittee that has identified several initiatives to improve communication and collaboration.“For example, the subcommittee held a leadership summit to brainstorm issues that needed clarification and to set expectations,” she adds. “Based on this summit, a one-hour education session was developed for all RNs to address this need.” To show a united front around these issues, all three nursing directors serving on the ED LOS Committee presented this education on various dates and times. These six subcommittees meet monthly to report on data and to brainstorm ideas for reducing LOS. Often ideas mean adding process changes, and other times it means the addition of new tools, such as i-STAT. Using i-STAT, ED nurses can obtain labquality results within minutes in the ED, rather than waiting for results to arrive from the lab.
“We’ve put things in place to improve the flow and speed of services,” says Cathy Weber, BSN, RN, CEN, Manager of Emergency Services at Dorchester General. For example, Posting Orders, approved by the Medical Executive Committee, reserve
the patient a bed before the Admitting Physician sees the patient. This process has decreased door to floor time by 20 to 30 minutes. “With Posting Orders we can go ahead and make a room reservation in the patient care unit that best suits the patient’s needs,” said Weber. “This lessens wait time for a bed after Admission Orders are received since we are working behind the scenes to get the patient to a bed while the patient is in the ED.” Pull to Full is another achievement. “When a patient arrives for emergency services, we attempt to directly get the patient in an ED treatment area,” Weber says. “We bypass the triage process and registration at that point; they handle this all at the patient’s bedside.”
“Whenever we are given a challenge, we keep at it until we reach the goal. There are a lot of dedicated people who care about the quality of care of our patients.” ~ Christopher Mitchell, MSN, RN, NEA-BC Director of Emergency and Outpatient Services
Part of the ED LOS process improvement efforts relies heavily on data reports from a data management tool developed by the Quality Department. This tool is user-friendly, so ED Leadership does not need to rely on reports from other departments. ED Leadership can create and develop hundreds of reports based on what they want to review, and they have many options on how to display this data. Each ED can access “real-time” data that they can review on a daily, weekly, monthly or yearly basis. These reports help members of the various ED LOS committees analyze trends in the ED. Then committees can develop process improvements to make changes. “These data charts really give us the high level view. Then once we see a trend or anomaly that we want to study further, the tool gives us the ability to drill down into the details to identify how we can make improvements,” says Mitchell. “Having this data is really imperative to making changes.” Ongoing data collection combined with the collaborative efforts of the ED LOS Committee and subcommittees are producing results. “I have no doubt we will achieve our targets and goals. Whenever we are given a challenge, we keep at it until we reach the goal,” says Mitchell. “There are a lot of dedicated people who care about the quality of care of our patients.”
www.shorehealth.org
Shore Health nurses have assumed leadership roles in this interdisciplinary collaboration under the direction of Christopher Parker, MSN, RN, NEA-BC, CHCQM, Senior Vice President of Patient Care Services and Chief Nursing Officer for Shore Health. Nurses who chair committees know how to include the right stakeholders and how to measure the success of an initiative. “Nurses involved in the ED LOS project feel they can have the greatest impact on improving ED LOS because they have some control over how quickly patients are moved within the system,” says Parker. “Committees feel that the patient would be more comfortable in an inpatient room or discharged to home rather than lying on a stretcher in the ED.”
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Operation power purse Preserves Dignity for Sexual Assault Victims
“We hope that by giving them back a bit of their dignity, we can give these women a healthy and safe new start after such a terrible event.”
Nursing Annual Report 2012
~ Jessica Fluharty, RN, FNE-A
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Initiated by Jessica Fluharty, RN, FNE-A, the Operation Power Purse is just one way that the nursing staff is working to make a difference in their patients’ lives. “Going through the experience of a sexual assault and the subsequent forensic exam is a traumatizing experience for these victims,” says Fluharty. “We hope that by giving them back a bit of their dignity, we can give these women a healthy and safe new start after such a terrible event.” Donations of gently worn clothing, new packs of undergarments and socks, as well as toiletries such as shampoo, deodorant and toothpaste, are received from the community and used to create the “Power Purses.” Operation Power Purse is an initiative of the Shore Health Sexual Assault Forensic Examiner (SAFE) program. The SAFE program meets the needs of sexual assault victims by providing immediate, compassionate, culturally sensitive and comprehensive forensic evaluation and treatment by a trained nurse expert. In place since the early 1990s, the SAFE
A forensic nurse is a nurse who has completed specialized training in forensic evidence collection. SAFE nurses are also trained to obtain a preliminary patient history and to conduct a physical examination to collect appropriate evidence. “The SAFE nurse has a crucial role during the initial interactions with patients reporting sexual abuse or assault, since it is likely that the victims have been subjected to psychological and physical trauma,” says Karen Jackson, RN, FNE A/P, Coordinator for Shore Health’s SAFE program. “We hope that Operation Power Purse can make a major difference in how victims of assault feel about their experience in a hospital.”
For more information about the Operation Power Purse program, contact 410-822-1000, ext. 7976. Monetary as well as clothing donations are always accepted for the Operation Power a Purse program. Do you want to help make a difference in the lives of sexual assault victims? Consider a donation to the Operation Power Purse program to help these victims on the road to recovery. Donations can be sent to the Memorial Hospital Foundation, Operation Power Purse, 219 S. Washington Street, Easton, Maryland 21601.
Opposite: Jessica Fluharty, RN, FNE-A, prepares some of the toiletries needed to create a “Power Purse” for victims of sexual assault. Above: Jessica Fluharty, RN, FNE-A, left and Karen Jackson, RN, FNE A/P, Coordinator for Shore Health’s SAFE program, review the contents of the purse and discuss needs for the ongoing success of the program. Below: ACM Chesapeake supported the Operation Power Purse drive by publicizing the program throughout their print publications and with a $500 donation. Pictured accepting the donation, from left are Diane Walbridge, MSN, RN, Director of Clinical/Financial Nursing Resources; David Fike, Regional Vice-President/Publisher for Chesapeake Publishing; Barbara Sauers, former Executive Editor for Chesapeake Publishing; Jessica Fluharty, RN, FNE-A; and Janet Wilson, BSN, RN, Chair of the Nursing Shared Leadership Global Council for Shore Health.
www.shorehealth.org
After a sexual assault, victims may come to Dorchester General Hospital or Memorial Hospital at Easton for a forensic exam. Since their clothing is often a key piece of evidence for law enforcement, the women often do not have any clothes to wear home other than paper scrubs given to them in the emergency department.
program provides first-response care 24 hours a day to adults and children who have been the victims of sexual assault.
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urses at Shore Health are known for going above and beyond the call of duty for their patients. The drive to preserve the dignity of victims of sexual assault led to a new program that has taken off throughout Shore Health – Operation Power Purse.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
beyond the hospital Nurses Bring Target Zero Efforts Into Community
Nursing Annual Report 2012
Members of the Vascular Access Team review ideas for improving results in the Target Zero initiative. Pictured from left are Julie Bryan, BS, RN, Infection Prevention and Control Coordinator; Teresa Coleman, RN; Sallie North, RN; and Mary Panyon, BSN, RN.
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ne of the key components in establishing and maintaining a Magnet® culture is having a professional nursing staff that assertively takes the lead in proposing and executing various initiatives that improve upon the overall quality of patient care. That is the very goal of Target Zero: to achieve zero infection rates through the implementation of evidence-based practices in infection prevention, including the use of products designed to reduce infections, thus improving upon the overall quality of patient care, safety and satisfaction.
In an effort to reduce the number of central line associated blood stream infections (CLA-BSI) in 2010, the Vascular Access Team made a recommendation to the Central Line Task Force, which is overseen by the Target Zero Committee, that the Biopatch® Protective Disk with chlorohexidine (CHG) be used for patients with central lines, having extensively researched the product and its rates of success. Biopatch® is a small foam patch impregnated with CHG, an antiseptic that prevents infection by fighting bacteria. Designed to release CHG over the span of seven days, Biopatch® provides antimicrobial protection to skin surrounding a central line insertion site, Wthus reducing local infections and CLA-BSI.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Since the product was adopted universally throughout Shore Health, the number of CLA-BSI in hospital patients has decreased dramatically. In 2010, prior to the universal implementation of this product, between both hospitals, there were eight CLA-BSI. In 2011, with the use of Biopatch® system-wide, that number dropped to three total CLA-BSI and in 2012, there were only two cases. “The Biopatch® has helped us to dramatically reduce our central line bloodstream infections to zero in both of our ICUs,” says Julie Bryan, BS, RN, Infection Prevention and Control Coordinator. “It is another great tool that enables our nurses to provide exceptional care, every day.” Because of the success in reducing the number of CLA-BSI throughout the system, members of the Vascular Access Team, which includes Sallie North, RN, Teresa Coleman, RN, and Mary Panyon, BSN, RN spearheaded an initiative to implement the use of Biopatch® outside of the confines of hospital walls in the hopes of reducing the number of such infections among patients out in our local communities. The team was seeing an increased number of patients, previously discharged from the hospital to the community with central lines, being re-admitted with line infections. It was felt that such infections were a result of the use of a different dressing
protocol than that which was followed in the hospital, which includes the use of Biopatch®. To further promote community wellness by decreasing the number of communitybased CLA-BSI and to help reduce the number of hospital readmissions due to such infections, North began a crusade of community education and advocacy which has involved reaching out to area skilled nursing facilities, home health agencies and physicians to provide education about the importance of following proper dressing protocols when caring for patients with central lines. In addition, she partnered with a representative from Walgreens Infusion Service, a company that now, because of this initiative, supplies Biopatch® and other hospital-recommended dressing supplies to all of their community infusion patients. Patient advocacy and education has also played a key role in the initiative to standardize the use of Biopatch® and other products which have proven to be a best practice in the reduction of infection. Hospital patients are provided with information explaining their need for a central line and the most effective way to care for them so that they can better advocate for themselves when discussing product options with their outside healthcare providers. Regarding the success of this product at Shore Health and the community advocacy she and her peers initiated, North adds, “I am truly proud of the entire IV team at Shore Health. We take the health and wellbeing of our patients and the wellness of our community very personally. It is our endeavor to educate the community about best practices in reducing the number of line-associated infections, thus reducing the number of readmissions to the hospital as a result of them.”
Sallie North, RN, applies the Biopatch® following the insertion of a central line on a patient. Biopatch® is a small foam patch impregnated with chlorohexidine (CHG), an antiseptic that prevents infection by fighting bacteria.
Learn more about Shore Health’s efforts to reach Target Zero and read more stories about the successes of our nurses to reach the goal of zero healthcare associated infections by visiting www.shorehealth.org/target-zero.
www.shorehealth.org
Realizing the potential of this product to achieve a zero infection rate in CLABSI, the Central Line Task Force decided to trial Biopatch® in the Intensive Care Units (ICU) at both Memorial Hospital at Easton and Dorchester General Hospital. This goal was realized and there have been no CLA-BSI in either ICU since 2010, their rate remaining at zero. Because of the success seen among ICU patients, the use of Biopatch® among all patients with central lines was rolled out in 2011 and now use of this product is universal in the dressing of all such lines.
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A tradition of leadership
Nursing Annual Report 2012
Nurses Make a Difference Through Global Council
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Three representatives of the 22-member Nursing Shared Leadership Global Council include, from left, Shannon Seek, RN, OCN; Deedra Abner, BSN, RN, Chair; and Bernadette Wood, BSN, RN, Chair-Elect.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
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hen Deedra Abner, BSN, RN, BC, a staff nurse at Shore Health, became chairperson of the Nursing Shared Leadership Global Council (Global Council) this year, she realized that she would play an important leadership role among her peers as they worked together to improve patient care practices at Shore Health. What Abner did not realize, however, was the impact some of the Global Council’s ideas would have on improving practices system-wide.
Christopher Mitchell, MSN, RN, NEA-BC, Director of Outpatient and Emergency Services, who is serving as Abner’s mentor in her new leadership position, adds, “One of the activities which really re-energized our Global Council was having our unit-based council representatives present a “State-of-theUnit” address to the Nurse Executive Council. This annual reporting of a unit’s progress has helped energize the units and has given members pride in their accomplishments.”
The Global Council was established in 2005 with nursing representatives from each nursing unit empowered to work with their unit manager and staff to develop unit-based councils. This new governance structure enabled nurses to address issues on their units and then share their ideas with the Global Council, which represents all areas of nursing.
Abner is building on the Global Council’s new energy by implementing many new ideas. These include offering a journal club every other month where nurses choose a journal article and discuss it, unit visits where nurses visit one another’s units to learn new ideas and practices, as well as volunteer community projects.
Abner comments, “I realized during my two years as a unit-based council representative that there were thoughtprovoking discussions at these meetings. By bringing issues from the units to the Global Council meetings, we were really able to make an impact on overall patient care in the organization.”
~ Deedra Abner, BSN, RN, BC
Abner adds, “We are working hard to get to know our communities through volunteering our time and services. Whether it is helping on a Habitat for Humanity project or offering blood pressure screenings, we want to provide outreach and education to the community so that we can improve the health and welfare of our neighbors.” Mitchell adds, “Nursing’s Strategic Plan is aligned with the goals of Shore Health’s Strategic Plan, promoting prevention education to keep people out of the hospital whenever possible.” Abner, who started out in nursing as a licensed practical nurse in the Delaware Army National Guard, and now is working on her master’s degree in nursing, comments, “I have always wanted to learn more as I progressed in my nursing career. With a membership of 22 nurses, the Global Council brings many different voices and viewpoints to the table and the opportunity to learn from one another. We have representatives from acute care, surgical, emergency and outpatient services who are sharing ideas that are making a change in the organization. Our voices are being heard and we are making a difference.” www.shorehealth.org
An example of a new idea recently born out of the Global Council is the new “Badge Buddy,” which will soon be worn by RNs throughout Shore Health. By adding a tag below nurses’ identification badges, clearly delineating in large print the letters “RN,” patients in all Shore Health facilities will know when a nurse is caring for them. Abner says that the idea has implications for being instituted throughout Shore Health.
“Whether it is helping on a Habitat for Humanity project or offering blood pressure screenings, we want to provide outreach and education to the community so that we can improve the health and welfare of our neighbors.”
Members of Nursing Shared Leadership Global Council discuss ideas for improving nursing practice throughout the system. Pictured from left are Carolyn Sutch, BSN, RN; Bernadette Wood, BSN, RN; Erica Disharoon, MSN, RN, Infection Prevention; Deedra Abner, BSN, RN, Chair; and Shannon Seek, RN, OCN.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
INNOVATION AT THE BEDSIDE Informatics Improves Patient Care
Jo Anne Thomson, MN, RN-BC, Director of Nursing Informatics and Practice Innovation, works with nurses throughout Shore Health to identify tools that will improve the quality of care.
Nursing Annual Report 2012
E
very day is a little different than the one before, but for Jo Anne Thomson, MN, RN-BC, every day at Shore Health has one thing in common, a focus on making the lives of her fellow nurses - and the patients they care for - a little better. As Director of Nursing Informatics and Practice Innovation, the focus of Thomson’s role is to use information technology to drive transformation of care at the bedside. Nursing informatics is a high-level specialty that integrates the science of nursing with computer science and information technology (IT) to support professional nursing practice and improve patient safety and quality of care.
Services and Chief Nursing Officer, “Jo Anne’s extensive experience in patient care, education, management and informatics, means she has the leadership skills necessary to guide the nursing department through the implementation of Information Technology (IT) initiatives. These initiatives benefit the clinical areas and ultimately improve quality outcomes for patients.”
Certified in nursing informatics, Thomson has over 30 years of nursing experience. Before coming to Shore Health, Thomson was a Professor of Nursing at Dalhousie University, Canada and also was a critical care nurse. In her role as Director of Nursing Informatics and Practice Innovation, Thomson uses her knowledge of information technology, education, management and clinical “This is an exciting time to be at the cutting edge of delivering practice and draws from her past experience to help Shore Health’s informatics to improve patient care and we are delighted to have nursing team use information technology to support and advance someone of Jo Anne’s caliber on board,” says Christopher Parker, 16 professional nursing practice. MSN, RN, NEA-BC, CHCQM, Senior Vice President of Patient Care 18
Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Interdisciplinary teams are created with membership from various disciplines. Teams include staff nurses, IT analysts and other disciplines as needed.“We work together as an interdisciplinary team to think creatively about how we can improve processes for staff and for our patients,” says Thomson. In addition to implementation of new initiatives, Thomson collaborates with the nursing department and other departments within Shore Health to strategize how to electronically capture data needed to meet regulatory requirements. This may require redesign of current processes or implementation of new technology. “The clinical practice of nursing and patient care is directly related to how information is managed and how care is coordinated via information technology,” adds Parker. “Healthcare reform requires public data reporting and reimbursement is based on quality that is documented in the records we report.” One example of a recent implementation of an innovative technology was an interdisciplinary task force led by Thomson to address Joint Commission standards for patient pain assessment and reassessment. The task force reviewed Shore Health’s current process of pain management, reviewed evidence based literature around pain management, and then implemented an IT process that would improve documentation of pain reassessment in Meditech. Information about pain management is available within the patient’s electronic medical record and can be used by clinicians to make decisions about patient care. “Meditech generates a pain reassessment reminder for nurses following the documentation of the administration of the medication. The reminder notice displays for the nurse and provides a place for nursing to document the required elements for reassessment,” says Thomson. “Effective pain management is an important aspect in the care of our patients. This new flag is an effective tool to help staff remember to reassess for pain and to document the effectiveness of the medication”.
An example of the real world innovations Thomson and the nursing team are making took place with Shore Health’s IV team. Mary Panyon, BSN, RN, relayed to Thomson the difficulty she experienced determining a patient’s type of infusaport. Panyon described a process which involved a lengthy chart review for each patient at every visit. “It is important for all nurses accessing a patient’s implanted port to be certain of the type of port as this dictates the type of needle to use,” Thomson explains. “The nurse needs to identify the kind of port that patient has before they can administer their medications.” To address the problem, Thomson recommended the creation of a Port Database. “The IV team provided input as to what to build into the database; they framed what they needed. I was then able to work with IT to design a unique Port Database within Shore Health’s Meditech System that would be accessible for clinical staff,” adds Thomson. Since its development, this database has significantly streamlined care for patients who have permanent or long-term IV access ports. New initiatives involve a lot of teamwork, process redesign, testing and follow up. “It takes time to do it right, but when our staff sees an idea for improvement come to fruition as a new process improvement, they realize the benefit of the new innovations. They get to see what has been improved and how it has made a difference in the lives of their patients,” says Thomson. While innovations and improvements may take time, the end re worth it for both Thomson and her fellow nurses and the patients they care for each day. “Healthcare today is rapidly changing. New trends and challenges face us each day,” says Thomson. “As we move forward, we need to leverage technology to help meet these challenges and advance nursing practice. I am excited to be in a role where I can use my knowledge and experience to transform the way we work and to make a difference for nursing and for our patients.”
Community donations play a major role in our ability to bring important innovations to the bedside. Your donation to Shore Health can play a major role in assuring that our nurses have access to the latest technology available in patient care. Please consider a gift to support these upgrades and services. Shore Health offers a number of ways that you can lend your support. Please see the back cover for ways you can help.
www.shorehealth.org
Because patient care is documented electronically, an important part of Thomson’s role is providing leadership through the evaluation of applications and new IT initiatives needed to support the work of nursing. “When new information technology initiatives are needed, I lead the project from inception through implementation,” adds Thomson. “This includes analysis of workflow and process redesign, designing documentation screens, obtaining valuable feedback from users, ensuring education is provided and support given during each go-live.”
Innovations often revolve around patient safety and the online documentation of care through Meditech. The online medical record allows caregivers to document and track a patient’s history and/or monitor ongoing treatment of health issues. The goal for innovation at Shore Health is to improve health outcomes of patients, reduce costs and improve efficiency and effectiveness of care. “Nurses on the frontline always have ideas about how to improve processes and deliver better care and my goal is to help make those ideas a reality for them. We work together to use information technology to make a difference, improve patient safety and outcomes and improve the work of the staff nurse,” says Thomson.
Jo Anne Thomson, MN RN-BC, Director of Nursing Informatics and Practice Innovation, left, reviews a newly added process for documentation of pain reassessment in the electronic medical record with Bernadette Golt, BSN, RN. This new process created an online reminder for nurses that improves documentation of pain reassessment.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
reducing readmissions
Nursing Annual Report 2012
Clinic Provides Proactive Approach
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hore Health’s hospital readmission rates have been going down since 2008, when the average for the year was 12 percent. By late 2012, only eight percent of Dorchester General patients were readmitted within 30 days, and ten percent of Memorial patients. This progress is due in large part to Shore Health’s enhanced care transitions, which have resulted from a proactive approach to improving patient care and outcomes while also reducing hospital readmissions.
Potentially preventable readmissions are defined as return hospitalizations that may have resulted from deficiencies in the process of treatment. For example, readmission for a surgical wound infection, readmission due to medication errors, or readmission as a result of insufficient support and monitoring in the home environment.
because many of their patients are readmitted within 30 days after discharge. Among Maryland hospitals, the average rate of readmissions for Medicare patients has been 18 percent, slightly lower than the national average of 20 percent, and the readmission rate for the overall patient population average is estimated just below ten percent.
More than 2,000 hospitals nationwide now are being penalized by Medicare
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Opposite: Shown in the Shore Health Discharge Clinic from left are Stephanie Hart, PT, MPT, Physical Therapist, Memorial Hospital; Christopher Mitchell, MSN, RN, NEA-BC, Director of Emergency and Outpatient Services; Sharon Stagg, DNP, MPH, RN, Director of Shore Wellness Partners; Carolyn Auman, CCNT, Nursing Tech, Emergency Department, Memorial Hospital; Joanne Brown, RN, BSN, Admissions Nurse, Memorial Hospital; Holly Patronik, RD, LDN, Clinical Nutrition Manager, Memorial Hospital; Paul Monte, MD; Trish Rosenberry, RN, BSN, Manager of Outpatient Services; and Theresa Plog, PharmD, Staff Pharmacist, Memorial Hospital.
A key member of the TIC Steering Committee is Sharon Stagg, DNP, MPH, RN, FNP-BC, COHN-S, Director of Shore Health’s community case management program, Shore Wellness Partners. Stagg leads a team of nurses with advanced training and a social worker who work closely with their colleagues and physicians in both hospitals, and in Shore Home Care and Hospice. Their mission is to identify and assist community residents and hospital patients needing assistance with understanding their disease and medications, and with accessing appropriate community services. “Prior to the creation of TIC, we spent a lot of time looking at our data and researching the literature for best practices relative to care transitions,” Stagg explains. “There are so many different aspects involved in a patient discharge, for example – where does the patient go from the hospital, how many chronic conditions do they have, what kind of followup do they need and actually receive, how many medications
A major outcome of this effort was the creation of a new Discharge Follow-Up Clinic, now held every Monday at Memorial Hospital. This clinic provides a free, one-time visit for patients discharged from either Memorial or Dorchester General Hospital who meet three or more of the 20 highrisk criteria. At the clinic, patients have access to a physician, physician’s assistant or nurse practitioner, nurse, medical social worker, registered dietitian, and physical, occupational and speech therapists. In addition to Parker, Stagg and Christopher Mitchell, MSN, RN, NEA-BC, Director of Emergency and Outpatient services, several staff, including six RNs, worked as a sub-group to design and establish the clinic. “The approach at the Discharge Clinic, and in all of the outreach efforts by the nurses and other staff members of Shore Home Care and Hospice and Shore Wellness Partners, is coaching and assisting patients, rather than directing them,” says Stagg. “We try to meet patients where they are, in terms of their understanding of their condition and treatment, and coach them to self-manage their disease, leading to improved health and functioning.” Although a relatively new initiative, the Discharge Clinic is proving to be an excellent complement to Shore Health’s REACH program. REACH engages community physicians in targeted specialties such as pulmonology, cardiology and nephrology to ensure prompt visits and follow-up for high-risk patients after their hospital discharge.
“We are very pleased with the progress our hospitals have made in improving patients’ post-discharge success in regaining and maintaining their best possible overall wellness,” Parker comments. “I am confident that we will see even better outcomes as time goes by. For me personally, it is very gratifying to see Shore Health nurses taking such a strong lead in developing and monitoring our Transitions in Care initiatives.”
www.shorehealth.org
In November 2011, under Parker’s leadership, the Transitions In Care (TIC) Steering Committee was established as an interdisciplinary committee comprised of 25 members, including nine nursing staff from such areas as Shore Wellness Partners, Care Coordination, Joint Replacement, Palliative Care, Home Care & Hospice, Rehabilitation, and Pharmacy, four physicians, and several director-level staff from social work, clinical information management, reimbursement management, and information technology. Meeting every month, the committee focuses on managing and optimizing communications as patients transition from one care setting to another, both within Shore Health and the community at large. Care transitions include many staff, including a Readmission Care Coordinator, and others from REACH (Regional Efforts to Achieve Community Health) Program, Shore Home Care and Shore Wellness Partners.
are prescribed, how well do they understand their discharge instructions, and what is the involvement of their primary care provider, if they have one? There are 20 factors that contribute to high risk for readmission, so we focus on how we can improve the discharge process and post-discharge follow-up for patients with those factors.”
“Because of changes in reimbursement, minimizing readmission rates is a key element to the financial health of any hospital,” notes Christopher Parker, MSN, RN, NEA-BC, CHQM, Senior Vice President of Patient Care Services and Chief Nursing Officer. “Equally important, it’s a key element of quality medical and nursing care – keeping patients out of acute care and in their home or community settings is a win-win for patients and providers.”
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
a legacy of distinction
Nursing Annual Report 2012
Shore Continues Primary Stroke Center Designation
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Teresa Manship, RN, CNRN cares for a patient in Memorial Hospital’s Primary Stroke Center.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
I
Memorial Hospital’s PSC redesignation team included physicians and nurses from the emergency department, the intensive care unit and the neuroscience unit, along with staff from the laboratory, radiology, surgical services, rehabilitation, clinical information management, and quality departments. According to Dona Benford, MSN, RN, CMSRN, Manager, Joint Replacement Center and Neuroscience Unit, the PSC reapplication required documenting Shore Health’s continued comprehensive approach to providing state-of-the-art stroke care. For team members from the key departments, this meant monthly meetings to review data regarding patient progress, and developing strategies for improved care and outcomes. It also meant that every nurse involved in the care of stroke patients completed at least four hours of stroke-specific continuing education each year. As Benford explains, “Our patients are guaranteed that if they are placed in the ICU or neuroscience unit following a stroke, each one of their primary nurses has had special training and certification that enables them to provide the best-possible neurological care.” Another factor that contributed to Memorial’s PSC redesignation was ongoing education for Shore Health staff and the community at large. Programs such as free blood pressure screenings every week, frequent annual cholesterol testing events, peripheral vascular disease screenings, a highly utilized cardiac rehabilitation program, and free education programs are among the efforts by Memorial Hospital nursing, cardiovascular, laboratory and physician team members to address local health concerns. The Stroke Survivor Support Group, initiated in the first year of Memorial’s PSC designation, is celebrating its fifth anniversary this spring.
According to Ruth Ann Jones, EdD, MSN, RN, NEA-BC, Director of Acute Care, factors included in the PSC redesignation process were: a review of the Center’s electronically submitted application, a site survey, a report and recommendations from the MIEMSS site review team, information relative to patient outcomes that had been obtained during the previous five years, the hospital’s ability to meet the needs of its regional service area and its ability to comply with regulations governing the Maryland Trauma and Specialty Referral Care System. The MIEMSS site survey visit to Memorial occurred in late April 2012, and focused on collecting evidence to support the written application that already had been submitted. “The MIEMSS surveyors were very thorough,” recalls Jessica Fluharty, RN, Shore Health’s Neuroscience Specialist. “They reviewed patient records, reports and data, and they talked to all the nurses, asking open-ended questions such as, ‘What would you do if this happened?’ and ‘What is the procedure for this scenario?’ and ‘How did this improve patient outcomes?’”
On May 7, 2012, just six months after the Stroke Center won the American Heart Association’s Gold Plus Award for 24 consecutive months of meeting the highest standards of stroke care, MIEMSS notified Shore Health CEO Ken Kozel of Memorial Hospital’s full redesignation as a Primary Stroke Center. In January 2013, The American Heart Association and American Stroke Association recognized the Stroke Center with the renewal of its “Gold Plus” award for achieving 85% or higher adherence to all “Get With The Guidelines” Stroke Achievement indicators for two or more consecutive 12 month intervals and at least 12 consecutive months of 75% or higher compliance with five or more of its measures to improve quality of patient care and outcomes.
www.shorehealth.org
Since its inception, Shore Health’s PSC has been under the direction of neurologist Terry Detrich, MD. A key component of the PSC is its specially-trained Brain Attack Team (BAT), comprised of an Emergency Room nurse and physician, a neurologist and a neuroscience nurse. On a round-the-clock basis, the BAT initiates immediate assessment and treatment of stroke patients.
Memorial Hospital’s Primary Stroke Center Team seated from left are Pam Carroll, RN; Jessica Fluharty, RN, FNE-A; Terry Detrich, MD, Medical Director; and Dona Benford MSN, RN. Standing from left are Marianne Newman, CNA; Anna-Marie Howard, RN; Nicole Leonard, RN; Teresa Manship, RN, CNRN; and Tunisha Akins, CNA. Not shown are Lydia Burns, RN; Thelma Aldridge, CNA; Barbara Allen, Unit Secretary; Dianne Baxter, RN; Liz Botkin, CNA; Beverly Buckle, RN; Mary Cahill, RN; Annette Crew, BA, RN; Joy Day, CNA; Terrylyn Demby, CNA; Kathleen Elzey, CNA; Judy Farrington, CNA; Kim Minifri, CNA; Pat Schuyler, CNA; and Kelly Stacey, RN.
n 2007, Memorial Hospital at Easton was among the first 15 Maryland hospitals to receive Primary Stroke Center (PSC) designation from the Maryland Institute for Emergency Medical Services Systems (MIEMSS), and one of the hospital’s highlights of 2012 was the successful completion of the PSC redesignation application, which renewed Memorial Hospital’s status as one of only two hospitals on Maryland’s Eastern Shore recognized by MIEMSS as Primary Stroke Centers.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Literature and medicine
Nursing Annual Report 2012
Literature Study Sheds Light for Appreciation of Health Care Roles, Demands
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Participants in the Literature and Medicine series sponsored by Shore Health included, front row from left, Deedra Abner, BSN, RN; Jennifer Miles, BSN, RN, Nurse Manager for 2 East Multi-Specialty Care Unit, Memorial Hospital; Sharon Stagg, DNP, MPH, RN, Director, Shore Wellness Partners; and Barbara Bilconish, MSN, RN, Director of Professional Nursing Practice and Magnet® Program. Back row from left are Gail Shorter, MS, CEN-BC, Critical Care, Graduate University; Brian Childs, PhD, Director of Ethics and Spiritual Health; and Diane Walbridge, MSN, RN, Director of Clinical/Financial Nursing Resources.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Much of the reading completed by the group came from Imagine What It’s Like: A Literature and Medicine Anthology produced by the Maine Humanities Council with funding support from the NEH, companies and foundations, and the Hawaii Council for the Humanities. The book contains 83 selections, including essays, short stories, excerpts and poems drawn from what the editor, Ruth Nadelhaft, calls “a necessary but still imagined intersection of medicine and the humanities.” Authors include Dylan Thomas, Walt Whitman, Louisa May Alcott, Conrad Aiken, Edward Albee, Flannery O’Connor, and W.H. Auden – along with lesser known and even anonymous writers. Once a month for seven months, the group met to discuss their readings with the help of two local facilitators, John Miller and John Ford. “They did a fantastic job,” says Childs, who participated in the program. “With their help, we were able to look at some of the more difficult aspects of health care, even at what I would call the darker undersides that are hard to face and talk about, like anger and frustration with patients, and our own biases in dealing with them. For example, we read a piece by William
Several readings offered insights into the patients’ points of view, and others touched on such issues as death and dying, research ethics, and perspectives and experiences of nurses, doctors and caregivers. “There was great variety – from vignettes about emergency room ‘frequent fliers,’ to the nonfiction book, The Immortal Life of Henrietta Lacks, to Regeneration, a novel about a World War I army lieutenant who is placed in a psychiatric hospital,” says Childs. Now offered by hospitals in 25 states, Literature and Medicine has reached hundreds of providers, staff members, administrators and policy makers in health care facilities across the country, affecting the care of thousands of patients. Post-program evaluations have indicated tremendous benefits, with the majority reporting “great or medium” increases or improvements in their empathy for patients, their interpersonal relations and communication skills, their cultural awareness, and their job satisfaction. Says Gail Shorter, MS, CEN-BC, Manager, Critical Care University, one of the nurses who participated in the program, “For me, and for others as well, I think, the most valuable part of the program was hearing the various viewpoints of other participants from disciplines other than nursing – we all read and interpreted differently. I also appreciated getting to know some of my colleagues on a different playing field. I think for many of us it deepened our understanding of each other.” “Literature and Medicine is really a wonderful program, and I know that for the Shore Health participants, it proved a great way to reconnect with the reasons they went into health care, and to reenergize their commitment to their work and their sensitivity to patients and their families,” comments Parker. “I look forward to offering the program again so that more of our clinical, administrative and support staff can experience these benefits.”
Now offered by hospitals in 25 states, Literature and Medicine has reached hundreds of providers, staff members, administrators and policy makers in health care facilities across the country, affecting the care of thousands of patients. ~ Brian Childs, Ph.D., Director of Ethics and Spiritual Health
www.shorehealth.org
These employees participated in “Literature and Medicine: Humanities at the Heart of Health Care®,” a hospital-based reading and discussion program that was originally developed by the Maine Humanities Council in 1997. Funded by a grant from the Maryland Council for the Humanities, the Shore Health program was organized by Childs at the request of Christopher Parker, MSN, RN, NEA-BC, CHQM, Senior Vice President of Patient Care Services and Chief Nursing Officer.
Carlos Williams, who was a physician serving a mostly poor population, in which he referred to an uncooperative sixyear old with suspected diphtheria as a ‘little monster who needed to be protected against herself.’ Some of our clinical participants could relate to his anger in terms of their own challenges with patients and were relieved to be able to discuss that openly.”
“M
ost people in health care these days say they don’t read literature,” observes Dr. Brian Childs, Director of Ethics and Spiritual Health. “They don’t have time – they work long hours and in many cases, spend their ‘free’ time trying to keep up with research and advances in their area of health care by reading professional journals.” But in 2012, for Shore Health employees from a variety of nursing, medical, technical and administrative departments, reading literature had a profound impact on their feelings about their work, their interactions with patients and colleagues both within and outside Shore Health, and their perceptions of their own roles in health care and the industry at large.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
nursing certifications Professional certification is granted by specialty nursing organizations to nurses who demonstrate excellence in a clinical or professional area of practice. At Shore Health, 188 certified nurses represent the following specialties: Advanced Practice Ambulatory Care
Holistics Home Care Coding
Nurse Practitioner – OB/GYN Oasis Specialist – Clinical
Ambulatory Women’s Health Care Breast Care
Hospice & Palliative Care Infection Control
Occupational Health Oncology
Case Management Childbirth Educator Clinical Research Coordinator
Infusion Inpatient Obstetrics IRB Management
Orthopedics Pain Management Pediatrics
Critical Care Diabetes Educator
Lactation Consultant Medical-Surgical
Perianesthesia Perinatal
Emergency Emergency Medical Technician – Paramedic Emergency Pediatrics First Assist Flight Forensic Nurse Examiner Adult/Peds Gastroenterology Gerontology Health Care Quality Management
Midwife Nephrology Neuroscience Nurse Executive Nurse Executive, Advanced Nurse Manager & Leader Nurse Practitioner – Acute Nurse Practitioner – Adult Nurse Practitioner – Family
Perioperative Nursing Practice Post-Anesthesia Professional Development Progressive Care Psychiatry & Mental Health Risk Management Utilization Review Wound, Ostomy & Continence
This page: Certified nurses at Shore Regional Cancer Center, top, and Dorchester General Hospital, bottom, take a moment to celebrate.
Nursing Annual Report 2012
Opposite page: Certified nurses at Memorial Hospital at Easton, top, and the Queen Anne’s Emergency Center, gather for a photo.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Our nurses are certified by the following governing organizations: American Registry of Radiologic Technologists American Society for Metabolic and Bariatric Surgery American Society for Quality Association for Healthcare Accreditation Professionals Association of Clinical Research Professionals Baromedical Nurses Association Board of Certification for Emergency Nursing Board of Certification for Emergency Nursing/Pediatric Nursing Board of Medical Specialty Coding Certfication Board of Perioperative Nursing Certification Board of Infection Control and Epidemiology Certification Council for Medical Audit Specialists Certification Program of American Correctional Association Certifying Board of Gastroenterology Nurses and Associates, Inc. Commission on Accreditation for Dietetics Education Commission on Nurse Certification Competency & Credentialing Institute Compliance Certification Board Council on Certification of Nurse Anesthetists Dermatology Nursing Certification Board Developmental Disabilities Nurses Association Forensic Nurse Certification Board
Genetic Nursing Credentialing Commission HR Certification Institute Infusion Nurses Certification Corporation International Board of Lactation Consultant Examiners International Childbirth Education Association International Nurses Society on Addictions Maryland Board of Nursing McKesson Healthcare Medical Surgical Nursing Certification Board Nurses’ Association of the American College of Obstetricians and Gynecologists National Association of Pediatric Nurse Practitioners National Board for Certification of Hospice and Palliative Nurses National Board of Certification of School Nurses National Board of Diving and Hyperbaric Medical Technology National Board of Nutrition Support Certification National Certification Board for Diabetes Educators National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties National Certification Corporation National Certifying Board for Ophthalmic Registered Nurses National Certifying Board of Otorhinolaryngology and Head-Neck Nursing National Commission for Certifying Agencies National Consortium of Breast Centers National League for Nursing Nephrology Nursing Certification Commission OASIS Certificate and Competency Board Ohio State University & OHIC Oncology Nursing Certfication Corporation Orthopaedic Nurses Certification Board Pediatric Nursing Certification Board, Inc. Plastic Surgical Nursing Certification Board, Inc. Prepared Childbirth Educators Radiologic Nursing Certification Board, Inc. Rehabilitation Nursing Certification Board Society of Trauma Nurses The American Academy of Nurse Practitioners Certification Program The National Association of Alcoholism and Drug Abuse Counselors Certification Commission The National Board for Certified Counselors The Pediatric Nursing Certification Board, Inc. Transcultural Nursing Certification Commission Vascular Access Certification Corporation Wound, Ostomy and Continence Nursing Certification Board
www.shorehealth.org
Addictions Nursing Certification Board American Academy of Wound Specialists American Association of Critical Care Nurses Certification Corporation American Association of Neuroscience Nursing American Association of Nurse Practitioners American Board for Certification of Gastroenterology Nurses American Board for Occupational Health Nurses, Inc. American Board for Transplant Certification American Board of Cardiovascular Perfusion American Board of Managed Care Nursing American Board of Perianesthesia Nursing Certification, Inc. American Board of Quality Assurance and Utilization Review Physicians, Inc. American Board of Wound Management American College of Forensic Examiners Institute American College of Health Care Administrators American College of Sports Medicine American Council on Exercise American Holistic Certification Corporation American Legal Nurse Consultant Certification Board American Midwifery Certification Board American Nurses Credentialing Center American Organization of Nurse Executives in partnership with AACN
Interested in a career in nursing? Visit Shore Health’s Nursing Careers page at www.shorehealth.org.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
nursing recognition Employees of the Month Thirteen members of the Nursing Department were recognized as Employees of the Month in 2012. They are: Gina Anciano, BSN, RN, Surgical Unit, Memorial Hospital
Dawn Hubbard, RN, Shore Behavioral Health
Rachael Belanger, RN, Surgical and Ambulatory Services, Dorchester General Hospital
Karen Jackson, RN, FNE-A/P, Coordinator, Sexual Assault Forensics Examiner Program
Brandi Covey, RN, Operating Room, Memorial Hospital
Sarah Kennedy, RN, PACU, Dorchester General Hospital
Nancy Dail, RN, Surgical and Ambulatory Services, Dorchester General Hospital
Jackie Milledge, RN, Surgical Services, Memorial Hospital
Jessica Fluharty, RN, Emergency Department, Memorial Hospital Caren Grant, RN, Shore Home Care and Hospice
Jan Smith, MSN, RN, Clinical Coordinator, Women’s and Children’s Services Amy Stafford, MSN, RN, Critical Care University Faculty Pamela Turner, RN, Joint Replacement Center
Spies Nursing Research Award
Nursing Annual Report 2012
Marcia Groton, MSN, RN, was the 2012 recipient of the Karen Spies Nursing Excellence Award. The Spies Award was established through a gift made to the Memorial Hospital Foundation to honor Karen Spies, RN, for her caring and professional service. Spies, who was a nurse in the Emergency Department at Memorial Hospital and now works for a private physician practice, presented the award to Groton. The Karen Spies Nursing Excellence Award is presented annually to recognize a nurse for extraordinary nursing research accomplishments. Groton received the award for her study A Prospective Randomized Single-Blind Study Evaluating the Tolerability and Effectiveness of Colonoscopy Bowel Preparations. The study, which started in 2009, aims to identify the best colonoscopy preparation products available. Presenting Groton with her award from left are Graham Lee, Vice President of Philanthropy, Shore Health; Karen Spies, RN, for whom the award is named; and Pat O’Shea, Director of Development, Shore Health.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Everyday Heroes The nursing staff at the Requard Center for Acute Rehabilitation were honored as Everyday Heroes by a grateful patient. The patient made a donation to the Memorial Hospital Foundation in appreciation of the care he received while receiving physical therapy at the Requard Center at Memorial Hospital.
Pictured receiving their Everyday Hero honors are from left Jess Denny, PT, DPT; Stacie Pietras, BSN, RNC; Sara Pender, OTR/L; Maryanne Williams, Rehab Tech; Margaret Wood, MS, PT; Sherry Dolby RN, Nurse Manager for the Requard Center for Acute Rehabilitation; and Donna Carroll, LPN. Second row from left are Abby Timmerman, SLP; Andrew McCarthy, MD, Medical Director, Shore Rehabilitation Services; Charly Hunteman COTA/L; Patty Phillips RN, Donna Martin, RN; Debbie Medford RNC; Lee Hubbard, Nursing Tech; and Brenda Smith, RN.
www.shorehealth.org
A grateful patient made a donation to Shore Health to recognize the care she received from Angela Fleetwood, RN, hospice nurse for Shore Home Care and Hospice. In a note sent with her donation, the patient wrote, “Angela is my angel.” Celebrating Angela Fleetwood’s Everyday Hero recognition from left are Pat O’Shea, Director of Development, Shore Health; Trish Focht, RN, Manager, Hospice; Angela Fleetwood, RN, hospice nurse; and Rita Holley, MS, BSN, Director of Shore Home Care and Hospice.
The Everyday Hero Program gives patients and their families an opportunity to thank a Shore Health physician, employee or volunteer by making a financial donation in their name. For more information, call Shelley Bell, 410-822-1000, ext. 5763.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
nursing recognition DGH Nurses Named Best Nursing Unit for the Mid-Atlantic Members of the Surgical and Ambulatory Services Team at Dorchester General Hospital were recently named ADVANCE for Nurses 2012 Best Nursing team for the Mid-Atlantic and Lower Great Lakes Region. The team was nominated for this recognition due to their efforts to get Dorchester General Hospital back up and running in the aftermath of Hurricane Irene. That team effort, which extended throughout Shore Health, was recognized by the editors at ADVANCE for Nurses magazine. The Surgical and Ambulatory Services nursing staff at Dorchester General Hospital smile with their ADVANCE for Nurses 2012 National Best Nursing Team award during a photo shoot.
QAEC Receives Public Servant Award The Queen Anne’s Emergency Center team, led by Mary Alice Vanhoy, MSN, RN, Manager, QAEC, was honored by the Queen Anne’s County Chamber of Commerce. The Chamber’s Public Servant awards were presented to both Vanhoy as an individual and to the entire team of the QAEC during an awards ceremony held in conjunction with the Chamber’s annual Business to Business Expo. Vanhoy also serves as a volunteer paramedic with United Communities Volunteer Fire Department. Pictured accepting the 2012 Public Servant award from Chamber of Commerce chairman Dave Thompson (right) from left are Anne George, RN; Christine Peters, RN; Mary Shepherd, RN; Jane Wang, MD, Medical Director, QAEC and Mary Alice Vanhoy, MSN, RN, Manager, QAEC.
Nursing Annual Report 2012
ICU Units Recognized by State
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Miles Named Manager of the Year
Left: Shore Health’s ICU units at Memorial Hospital and Dorchester General Hospital were honored by the Maryland Hospital Association (MHA) for their Target Zero efforts as part of a state and national collaborative to reduce healthcare associated infections.The ICU units were two of 78 units in 44 Maryland hospitals participating in the collaborative. Maryland’s “On the CUSP: Stop BSI” effort had one of the nation’s highest hospital participation rates, 90 percent, compared to the average hospital participation rate of 24 percent in states across the country. Ryan Foster, MS, RN, Manager, MultiSpecialty Care and Critical Care, Dorchester General, left, and Cindy Beemer, MSN, RN, Manager, ICU/ Telemetry, Memorial Hospital, celebrate their units’ success in the Maryland Hospital Association’s “On the CUSP: Stop BSI” collaborative.
Above Left: Jennifer Miles, BSN, RN, Manager, 2 East Multi Specialty, Renal and Palliative Care, Memorial Hospital, was selected as Shore Health’s 2012 Manager of the Year. Miles, who lives in Easton, began her career at Memorial Hospital’s Surgical Unit in 1988. She received her nursing degree from the Macqueen Gibbs Willis School of Nursing in 1992. She worked as a staff nurse in the Surgical Unit and Same Day/Short Stay/PACU for 11 years before taking a role as clinical coordinator for the Multi-Specialty Care Unit. She was named Nurse Manager for the unit in 2005. Miles earned a bachelor of science in nursing from Wilmington College in 2003. She is certified in Chemotherapy/Biotherapy Administration and is a CPR instructor.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
Nursing Excellence Awards Honor Inaugural Recipients Shore Health honored the recipients of its first Nursing Excellence Awards during a ceremony held during Nurses Week celebrations. This program came from the vision of Hope Padilla, BSN, RN Level IV, PCCN. A nurse in the Critical Care Unit at Dorchester General Hospital, Padilla was a finalist in the Clinical Care category at last year’s Nursing Spectrum Nursing Excellence Awards. When Padilla returned from the Nursing Spectrum conference, she brought that feeling back and immediately suggested her idea to nursing leadership. Since then, a planning committee has worked diligently to put together a program that would bring the same feelings of appreciation and accomplishment to many nurses and nursing unit team members at Shore Health.
Above: Queen Anne’s Emergency Center received the Nursing Excellence Award for Unit Excellence. Pictured front row from left are John Durcho, MSN, RN; Mary Alice Vanhoy, MSN, RN, Manager, QAEC; Mary Shepherd, RN; and Ann George, RN. Back row from left are Christopher J. Parker, MSN, RN, Senior Vice President of Patient Care Services and Chief Nursing Officer; Carolyn Sutch, BSN, RN; and Lisa Lyle, RN.
Each winner received a crystal obelisk engraved with their name and the award category for which they were recognized.
www.shorehealth.org
Top: Michele Williams, MSN, RN, Pain and Palliative Care Specialist, receives her Commitment to Others Nursing Excellence Award from Ken Kozel, MBA, FACHE, President and CEO, Shore Health.
Commitment to Others Award: Michele Williams, MSN, BC, OCN, CHPN, Multi-Specialty Care Unit/Pain and Palliative Care Specialist, Memorial Hospital Mentorship/Advocacy Award: Rhiannon Cummings, BSN, FNE-A/P, Intensive Care Unit, Memorial Hospital Leadership Award: Barbara Marshall, RN, Telemetry Unit, Memorial Hospital Professional Nursing Award: Christina Ball, BSN, RN, CNRN, Neuroscience Specialist, Memorial Hospital Unit Excellence Award: Queen Anne’s Emergency Center
The 2012 Nursing Excellence Award winners:
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nursing reSEARCH PRESENTATIONS PODIUM: Groton, M. Prospective, Randomized, Single-Blind Study Evaluating the Effectiveness, Tolerability and Cost of Colonoscopy Bowel Preparations. Maryland Nurses Association District 4 General Membership Meeting, November 14, 2012, Easton, MD. Jones, R.A. Empowering the Bedside Nurse to Conduct Nursing Research. Maryland Nurses Association District 4 General Membership Meeting, November 14, 2012, Easton, MD. Ganter-Ritz, V. A Randomized Double Blind Study Comparing Intradermal Anesthetic Tolerability, Efficacy, and Cost-Effectiveness of Lidocaine, Buffered Lidocaine and Bacteriostatic Normal Saline for Peripheral Intravenous Insertion. Presented at: • Association for Radiologic and Imaging Nursing (ARIN) 2012 Convention. March 25-28, 2012, San Francisco, California. • Maryland Nurses Association District 4 General Membership Meeting, November 14, 2012, Easton, MD.
Nursing Annual Report 2012
Stagg, S. Evaluation of a Workplace Bullying Cognitive Rehearsal Program in a Hospital Setting. Flinders University Adelaide, Australia Consultation with Johns Hopkins University, School of Nursing, 20 October 2012, Baltimore, Maryland.
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Speroni, K.G., Effect of Nurses Living Fit™ Exercise and Nutrition Intervention on Body Mass Index in Nurses. • Shenandoah University Conference, February 10, 2012, Winchester, Virginia. • 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, April 21, 2012, Northern Virginia Campus of the University of Phoenix, Reston, Virginia. • ANA Healthy Nurses Conference, June 14, 2012, Washington, DC. • Sigma Theta Tau International’s 23rd International Nursing Research Congress, July 30 – August 3, 2012, Brisbane, Australia. Stagg, S. Survey Research Evaluation of a Workplace Bullying Program. 2012 Capital Area Scholarship Symposium, Methods and Challenges: Working Towards Strategies for Excellence, April 21, 2012, Northern Virginia Campus of the University of Phoenix, Reston, Virginia. Stagg, S. “Role Playing of Responses to Common Bullying Behaviors.” Presented at: • Inova Fair Oaks Hospital, Fairfax Virginia. January 4, 2012. • Creating a Positive Work Environment. Partners in Nursing, Peninsula Regional Medical Center, May 30, 2012. Posters/Abstracts: Groton, M., Fisher, M., Stranahan, K., Higley, M., Speroni, K.G., & Daniel, M. Prospective, Randomized, Single-Blind Study Evaluating the Effectiveness, Tolerability and Cost of Colonoscopy Bowel Preparations. Society of Gastroenterology Nurses and Associates (SGNA) 40th Annual Course, Austin, Texas, May 17-22, 2012.
Westerfield, H.V., Stafford A.B., Speroni, K.G., & Daniel, M.G. Survey Research of Patients’ Perceptions of Patient Care Providers with Tattoos and/or Body Piercings. Presented at: • The University of Maryland School of Nursing and the Veterans Affairs Maryland Health Care System Nursing Evidence Based Practice (EBP) Conference, Baltimore, MD, April 13, 2012. • AMSN 2012 Academy of Medical Surgical Nurses 21st Annual Convention, Salt Lake City, UT, October 4-7, 2012. Ganter-Ritz, V., Speroni, K.G., & Atherton, M. A Randomized Double Blind Study Comparing Intradermal Anesthetic Tolerability, Efficacy, and Cost-Effectiveness of Lidocaine, Buffered Lidocaine and Bacteriostatic Normal Saline for Peripheral Intravenous Insertion. Presented at: • Association for Radiologic and Imaging Nursing (ARIN) 2012 Convention. San Francisco, CA, March 25-28, 2012. • Center for the Advancement of Patient Safety at the University of Maryland: Designing safer patient care through innovative research and education, Baltimore, MD, June 1, 2012. Stagg, S., Sheridan, D., Jones, R.A., & Speroni, K.G. Survey Research Evaluation of the Effectiveness of a Workplace Bullying Program. National Conference for Workplace Violence Prevention & Management in Healthcare Settings, Cincinnati, OH, May 11-13, 2012.
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Publications: Weston, J., Ellis, T., Speroni, K.G., & Daniel, M. The Effect of Menstruation on Psychiatric Hospitalization. 2012, Journal of Psychosocial Nursing and Mental Health Services. 50(7): 39-43. Stafford, A.B., & Brower, J.C. Risk Management. Let’s Get Comfortable: Preventing Pressure Ulcers. 2012, Nursing Management, 43(9), 10-12. Trinkley, D., Bryan, S., Speroni, K.G., Jones, R.A., & Allen, H. Evaluation of Domestic Violence Screening and Positive Screen Rates in Rural Hospital Emergency Departments. 2012, Online Journal of Rural Nursing and Health Care; 12(1):78-82. http://rnojournal. binghamton.edu/index.php/RNO Speroni, K.G., Earley, C., Seibert, D., Kassem, M., Shorter, G., Ware, C., Kosak, E. & Atherton, M. Effect of Nurses Living Fit™ Exercise and Nutrition Intervention on Body Mass Index in Nurses. 2012, Journal of Nursing Administration; 42(4):231-238.
Studies begun in 2012:
Research Studies Ongoing in 2012:
Survey Research Comparison of Nurse Satisfaction Differences between Annual Review Processes: Performance Appraisal versus Criteria Based Performance Management.
A Prospective Randomized Single-Blind Study Evaluating the Tolerability and Effectiveness of Colonoscopy Bowel Preparations
Principal Investigator: John Durcho, MSN, RN, Staff Nurse, QAEC Evaluation of Medication History Differences by Anxiety Level for Emergency Department Patients Principal Investigator: Marcia Shapiro, MSN, RN, Staff Nurse, Memorial Hospital, Emergency Department
Principal Investigator: Marcia Groton, MSN, RN, Manager, Digestive Health Evaluating the Perceptual Differences between Direct Care Nurses and Nurse Managers regarding Direct Care Nurse Participation in Unit Shared Governance Activities Principal Investigator: Janet Wilson, BSN, RN, Admissions Nurse
Differences in Detection Rates for Newborn Critical Congenital Heart Defects by Pulse Oximetry Screenings at 24 Hours and at Discharge (28-48 hours of age) Principal Investigator: Lynn Crouch MSN, RN, Staff Nurse and Clinical Educator, Birthing Center
Ganter-Ritz, V., Speroni, K.G., & Atherton, M. A Randomized Double Blind Study Comparing Intradermal Anesthetic Tolerability, Efficacy, and Cost-Effectiveness of Lidocaine, Buffered Lidocaine and Bacteriostatic Normal Saline for Peripheral Intravenous Insertion. 2012, Journal of Infusion Nursing; 35(2): 93-99. Stagg, S., Sheridan, D., Jones, R.A., & Speroni, K.G., Survey Research Evaluation of a Workplace Bullying Program. Submitted Workplace Health & Safety, August 2012.
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Westerfield, H.V., Stafford A.B., Speroni, K.G., & Daniel, M.G. Survey Research of Patients’ Perceptions of Patient Care Providers with Tattoos and/or Body Piercings. 2012, Journal of Nursing Administration; 42(3): 160-164.
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about magnet® The Magnet® Recognition Program Model of Nursing Practice
©2008 American Nurses Credentialing Center. All rights reserved. Reproduced with the permission of the American Nurses Credentialing Center.
Nursing Annual Report 2012
The American Nurses Credentialing Center developed a model that guides hospitals and health systems as they apply for and maintain Magnet® designation. As a Magnet® designated health system, Shore Health refers to the five components of the model as a guide for delivering quality patient care, for initiating process improvement initiatives and for conducting research that shapes the future of nursing practice.
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Attachment OO3b, 2012 Shore Health System Nursing Annual Report
contact us Chief Nursing Officer Shore Health 219 S. Washington Street Easton, MD 21601 410-822-1000, ext. 5241
Gifts to Support Nursing Memorial Hospital Foundation P.O. Box 1846 Easton, MD 21601 410-822-1000, ext. 5915
Nursing Administration Shore Health 219 S. Washington Street Easton, MD 21601 410-822-1000, ext. 5451 or 5231
Dorchester General Hospital Foundation Attn: Ida Jane Baker P.O. Box 439 Cambridge, MD 21613 410-228-5511, ext. 8401
Nursing Career Opportunities Shore Health Human Resources 219 S. Washington Street Easton, MD 21601
[email protected] 410-822-1000, ext. 8444
www.shorehealth.org
Gifts to Support Nursing Whether you have a friend, neighbor or family member who is involved in nursing, there is no doubt your life has been affected by a nurse. Your gift to support nursing – whether it be for nursing education, equipment or programs to support nursing and the care they give – is greatly appreciated. To make a donation, please contact the designated division at the location of your choosing.
219 South Washington Street, Easton, Maryland 21601
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