2013 Nursing Annual Report


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Read East Tennessee Children's Hospital's 2013 Nursing Annual Report to see how dedicated our nurses are to caring for children.

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2013 Nursing Annual Report

  1. 1. Our nurses in action
  2. 2. Dear nursing colleagues and friends, It’s no secret that in so many ways nurses are the heartbeat of East Tennessee Children’s Hospital. Every day, in every department, our nurses are on the front lines—helping save lives and making important decisions that affect the health of thousands of children. Last year was an incredible one for our nurses—filled with continued growth and opportunities, as well as challenges that our staff met with compassion, knowledge and dedication. I’m proud to share some of the many ways our nearly 450 nurses made a difference in this year’s nursing annual report. Using hospitalwide data, this report highlights some of the accomplishments our nurses achieved from January 2013 to December 2013. As you read the report, you will see that our nurses and their tireless dedication to their profession are making an impact in our hospital and beyond. The family-centered, pediatric-focused care they bring to our patients helps make Children’s Hospital the special place it is. I’m honored to not just serve as a leader for our nursing staff, but to learn from them and witness the compassion they show our young patients every day. Sincerely, Laura Barnes, M.S.N., R.N., N.E.A.-B.C. Vice President for Patient Care Services and Chief Nursing Officer 3
  3. 3. Seeing our nurses in action Though their most important role is serving at the bedside of our young patients and ensuring they receive the best possible care, our nurses are thriving and making an impact at Children’s Hospital in other ways. They’re seeking educational opportunities to help them stay at the forefront of nursing. They’re providing input about the upcoming hospital expansion that will enable us to better care for East Tennessee’s children. If it affects their daily duties and the children they care for, our nurses want to be part of it. In 2013, we launched our professional practice model (PPM). Represented visually by a pinwheel, the PPM signifies how nurses at Children’s Hospital practice, communicate and collaborate to provide the highest-quality care for our patients. At the core of the pinwheel, of course, are our patients and their families, with all components moving in concert around them, supported by our strong philosophy of family-centered care. The PPM represents our nurses in action as we continuously respond to the needs of our patients and the environment. The pinwheel’s petals symbolize the many components that are important to our practice as nurses, including core values, shared decision-making, exemplary practice, professional growth and empowerment to improve. A pinwheel is especially appropriate because it is always moving, much like our strong nursing staff who are always adapting to the needs of the patient and changes in health care. We’re not the only ones noticing our strengths. In 2013, Children’s Hospital received the Tennessee Nurses Association’s Outstanding Employer Award. This is the first time Children’s Hospital has received the award from the association, a professional organization representing nurses throughout the state. This award is especially important because it recognizes our nurses and the passion they bring to work each day. Exemplarypractice growth Professional Em powered to improve Shared decision- making N ursingcore values Family-centeredcare Patient family 4
  4. 4. It also spotlights the hospital’s support of nurses and nursing excellence. The selection process for the award is specific and highlights many of our hospital’s strengths, including encouraging nurse representation on decision-making bodies, having policies and procedures that permit nurses to express their concerns regarding their professional practice environment and having leaders who are dedicated to improving the quality of nursing by contributing to nursing professional development. The work of our nurses and staff was also recognized on a national level in 2013, when The Leapfrog Group included us on its 2013 list of Top Hospitals. Children’s Hospital was one of 13 pediatric hospitals honored for setting the highest standards in safety and quality. Out of all the adult and pediatric hospitals in the U.S. receiving the award in 2013, we were the only hospital in east Tennessee and one of only five in the state. 5
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  6. 6. Empowered to improve I am a Children’s Hospital nurse. I have control of my practice, and I know I can improve quality in patient care. We take pride in patient safety and infection prevention. We measure patient safety in a number of different ways. The following data is a sampling of some of the most common types of potential safety issues associated with a child’s stay at Children’s Hospital. Pediatric Intensive Care Unit (PICU) 0 in 2013 1 in 2012 Neonatal Intensive Care Unit (NICU) 2 in 2013 1 in 2012 Central line-associated blood stream infections (CLABSIs) Because central lines are used for longer periods of time, we have to work hard to make sure they do not become infected, which can be very serious. How we are improving: Using nursing research and literature to identify best practices, we have implemented standard ways to insert and maintain central venous catheters to prevent CLABSIs. Pediatric Intensive Care Unit (PICU) 0 in 2013 0 in 2012 Neonatal Intensive Care Unit (NICU) 0 in 2013 0 in 2012 7 Ventilator-associated pneumonia Because this type of pneumonia results from microorganisms that invade the lower respiratory tract and lungs, care must be taken to prevent infections. How we are improving: We participated in regional efforts and developed standards to eliminate this type of pneumonia, which is the second most common hospital-acquired infection in Pediatric Intensive Care Units.
  7. 7. Solutions for Patient Safety In January 2013, Children’s Hospital became a collaborative partner in Solutions for Patient Safety (SPS). There are 78 children’s hospitals across the country that participate in the collaborative, which was founded in 2008 to create universally safe and healing environments for all children in the care of U.S. pediatric hospitals. Through an interprofessional approach to improving care, the collaborative empowers staff to improve through open discussion, transparency and learning of best practices. Team leaders, who include medical staff, respiratory therapists, clinical nurses, utilization review staff, pharmacists, physical therapists and nutritionists, are working in eight areas of concentration. The goal is zero harm to our patients. Our team leaders include: • Loretta Maples, B.S.N., R.N., Nursing Director of Support Services: Adverse drug events (ADE) • Bill Chesney, B.S.N., R.N., Staff Development Specialist, Pediatric Intensive Care Unit (PICU): Ventilator-associated pneumonia (VAP) • Barb Barr, M.S.N., R.N., Nursing Director, Perioperative Services: Surgical-site infections (SSI) • Ali Gonzalez, B.S.N., R.N., C.P.N.: Falls prevention • Judy Marciel, M.S.N., R.N., Clinical Nurse Specialist: Pressure ulcers prevention • Pam Myers, B.S.N., R.N., C.M.L., Nurse Manager, PICU: Central line-associated blood stream infections (CLABSIs) and catheter-related urinary tract infections (CAUTI) • Laura Barnes, M.S.N., N.E.A.-B.C., Vice President for Patient Care Services and Chief Nursing Officer: Serious safety events (SSE) Through the work of these teams, Children’s Hospital met the goal of reducing harm to children by 20 percent from 2012 to the end of 2013. Catheter-associatedurinary tract infections2 in 2013 4 in 2012 Falls with moderateor greater harm 1 in 2013 4 in 2012 8 Pressure ulcers Stage 3 and above 5 in 2013 11 in 2012
  8. 8. 9 2013 Leadership Summit At Children’s Hospital, we strive to empower our nurses to improve the patient care they provide by seeking new and innovative approaches to their work. Several nurses from Children’s Hospital presented their work for improving care at the 2013 Leadership Summit sponsored by the Tennessee Center for Patient Safety and the Tennessee Hospital Association. Podium presentations from our nurses included: • Carla Saunders, N.N.P., N.N.C.: NAS – Nurse Practitioner Lead Quality Improvement Project • Brandy Payne, B.S.N., R.N., C.P.N., and Lauren Baumgardner, B.S.N., R.N.C.-N.I.C.: Journey to Becoming a Safe Sleep Hospital In addition, poster presentations included: • Tracie Savage, R.N.C.-N.I.C., and Sonya McGill, B.S.N., R.N.C., N.I.C.: Creating a CLABSI-free Culture in the Neonatal Intensive Care Unit • Kary Pickard, R.N., and Kristen Powell, R.N.: Creating a VAP-free Culture in the Neonatal Intensive Care Unit • Sara Matalik, B.S.N., R.N.; Barbara Barr, M.S.N., R.N.; Jennifer Smith, B.S.N., R.N.; and Judy Marciel, M.S.N., P.C.N.S-B.C., C.P.N.P.-B.C., C.W.C.N.: Improving Patient Safety Through the Implementation of the Perioperative Safety Passport • Sherry Edwards, B.S.N., R.N., C.P.N.: Welcome to the Jungle – A Communication Initiative • Betty Gregg, R.N., C.P.N.: Hello, Halo. Fostering Performance through Education and Collaboration • Sarabeth Mayo, B.S.N., R.N.: Performance Excellence in Action – A Perioperative Council Collaboration • Gina Shelley, R.N., C.P.N.: Communicating for a Better, Safer Tomorrow Patient safety is a priority in this organization. Our nurses: 4.55 overall score—out of 5 National average: 4.46 Source: 2013 employee engagement survey
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  10. 10. Exemplary practice I am a Children’s Hospital nurse. I provide care that meets our patients’needs and exceeds standards. Providing palliative care When a child is seriously ill, it affects him and his caregivers in a profound way. Palliative care helps improve quality of life for the entire family by providing relief from the pain and stress of a serious illness and improving communication and coordination of care. In October 2013, in conjunction with Children’s Anesthesiologists, Lorna Keeton, M.S.N., C.P.N.P., joined the Children’s Hospital Palliative Care Program as the Pain/Palliative Care Nurse Practitioner. In the last three months of 2013, Keeton consulted on 46 patient cases, including 11 that required palliative care. In addition to treating patients, Keeton works with nursing staff to educate them about the importance of palliative care. To provide the best care for our seriously ill patients, Keeton and the Palliative Care Committee meet quarterly to work on policies and procedures, the Precious Print Program and a process for just- in-time staff support in response to crises related to emotional needs and debriefing. 11 This organization provideshigh-quality care and services. Our nurses: 4.47 overall score—out of 5 National average: 4.31Source: 2013 employee engagement survey
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  12. 12. 13 Professional growth I am a Children’s Hospital nurse. I have opportunities to develop skills to both better myself and the care I deliver to patients. Recognizing Excellence At Children’s Hospital (REACH) REACH is a program designed to recognize the individual work that our nurses do each day. REACH offers four levels of achievement—each has required skill and educational requirements. • Level I – Entrance Nurse • Level II – Proficient Nurse • Level III – Skilled Nurse • Level IV – Outstanding Nurse Currently, the majority of Children’s Hospital nurses are Level II—unless they are new graduates, and then they must wait a year before participating in REACH. Level III Meaning they must have the following: a nursing specialty certification and/or bachelor’s of science in nursing degree, a minimum of one year of nursing experience and all the required activity points. Lauren Baumgardner, B.S.N., R.N.C.-N.I.C. Karen Beeler, B.S.N., R.N.C.-N.I.C. Bonnie Estes, B.S.N., R.N. Ali Gonzalez, B.S.N., R.N., C.P.N. Dana Hickey, B.S.N., R.N., C.P.N. Carol Hudson, B.S.N., R.N., C.P.N. Becky LeMarbre, B.S.N., R.N., C.C.R.N. Denise Majors, B.S.N., R.N. Amanda Parrott, B.S.N., R.N., C.P.E.N. Brandy Payne, B.S.N., R.N., C.P.N. Charla Purkey, B.S.N., R.N.C.-N.I.C. Joyce Riddle, B.S.N., R.N., C.P.N. Jennifer Schlomer, B.S.N., R.N.C.-N.I.C. Debra Schmid, B.S.N., R.N., C.P.N. Krystle Silva, B.S.N., R.N. Linda Welch, B.S.N., R.N., C.P.N. Level IV Meaning they must have the following: a nursing specialty certification, at least a bachelor’s of science in nursing degree and the required number of activity points. Becca O’Connor, B.S.N., R.N., C.P.E.N. Esther O’Hare, I.B.C.L.C., C.F.N.P. Emily Savage, M.S.N., N.N.P. New degrees Nancy Bunch, B.S.N. Emily Collins, B.S.N. Peggy Grindstaff, B.S.N. Amanda Martin, M.S.N. Emily Oram, M.S.N. LaTosha Phillips, B.S.N. Ron Phillips, B.S.N. Carol Smith, B.S.N. Jennifer Smith, B.S.N. Lori Smith, B.S.N.
  13. 13. 14 Certifications American Nurses Credentialing Center (ANCC) Betty Gregg Critical Care Registered Nurse Susan Miller Laura Tilley Certified Pediatric Emergency Nurse Wayne Baxter Judy Lane Amanda Parrott Sharyn Styles Rebecca Trout Certified Pediatric Hematology Oncology Nurse Emily Denton Lawana Evans Certified Professional in Healthcare Quality Janice Mays Certified Pediatric Nurse Justin Abbot Lacey Beeler Tomica Bellamy Tabatha Burrell Jennifer Campbell Karen Carson Veronica Doane Jennifer Essary-Matthews Lauren Fisher Amy Gilliland Liza Graves Jill Green Kimberly Hill Kelsey Horner Lisa Johnson April Jones Martha Jordan Stephanie King Cady Kington Olivia Lawless Julie Leonard Samantha Lowry Leshia Walker Martin Ashley McNeilly Carrie Millsaps Sara Norton Jody Ohsiek Sandra Partilla Jennifer Quintois Gail Rich Kelly Rivers Brittany Rowe Tierra Salyers Carol Seagroves Deb Sharp Kimberly Shelton Connie Smith Nancy Timm Jennifer Wacks Donna Wallace Barbara Westbrook Certified Pediatric Oncology Nurse Karen Johnson Certification for Neonatal Intensive Care Nurse Lauren Baumgartner Karen Beeler Anna Hawkins Mindy Irick Corie Jones Charla Purkey Casey Reynolds Tuesday Scalf Jennifer Schlomer Kelly White
  14. 14. 6 percent increase in nurses who received a higher degree 9 out of 10 nursingunits had an increasein certifications This organization provides career development opportunities. Our nurses: 3.97 overall score —out of 5 National average: 3.84 Source: 2013 employee engagement survey 15
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  16. 16. Shared decision-making I am a Children’s Hospital nurse. I have autonomy to deliver excellent patient care. Every nurse is a leader with collaboration across disciplines to improve patient care. 17 Council leadership Clinical Informatics Chair: Vicki Collins, B.S.N. Coordinating Chair: Crystal Blake, R.N., C.P.N. Engagement Chair: Nancy Griffin, R.N. Co-chair: Veronica Doane, B.S.N., R.N. Leadership Chair: Laura Barnes, M.S.N., N.E.A.-B.C. Magnet Steering Chair: Karen Burchfield, M.S.N., R.N., C.P.N. Night Shift Chair: Melissa Veach, B.S.N., R.N. Co-chair: Tanya Belcher, R.N. Nursing Practice Improvement Chair: Ali Gonzalez, B.S.N., R.N., C.P.N. Co-chair: Melissa Keasler, R.N. Clinical Practice and Standards Chair: Chris Tolliver, M.S.N., R.N., C.P.N. Professional Development Chair: Donna Wallace, B.S.N., R.N., C.P.N. Co-chair: Christina Curry, R.N. Research Council Chair: Lauren Lisa, B.S.N., R.N., C.P.N. Co-chair: Stephanie Roberts, R.N. The environment at this organization makes employees in my work unit want to go above and beyond what’s expected of them. Our nurses: 4.60 overall score—out of 5 National average: 3.57 Source: 2013 employee engagement survey
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  18. 18. 19 Nursing core values I am a Children’s Hospital nurse. I use my core values, including quality and safety, professionalism, integrity, stewardship, compassion and innovation, as my foundation for providing care. Daisy Award winners Stephanie Brock, R.N. Katelyn Hodge, B.S.N., R.N. Janice Rivers, B.S.N., R.N. Brandy Payne, B.S.N., C.P.N. Jennifer Quintois, B.S.N., R.N. Lauren Wilson, B.S.N., R.N., C.P.N. Chad Tapp, B.S.N., R.N. Joyce Riddle, B.S.N., R.N., C.P.N. Becca Troutt, R.N., C.P.E.N. Janet Williams, R.N. Clinical Excellence Award winners Deena Cantrill, B.S.N., R.N. Maggie Dickson, R.N. Kelly Filyaw, B.S.N., R.N. Betty Gregg, R.N.-B.C. Dana Hickey, S.N., R.N. Megan Jones, R.N. Melissa Marsee, B.S.N., R.N. Lauren Wilson, B.S.N., R.N. I would recommend this organization to family and friends who need care. Our nurses: 4.60 overall score—out of 5 National average: 4.33 Source: 2013 employee engagement survey
  19. 19. www.etch.com