NURSING CHESTER COUNTY HOSPITAL NURSING ANNUAL REPORT 2013
Dear Colleagues, Patients and Community Members, Welcome to the first edition of the Chester County Hospital Nursing Annual Report. This past year was significant as we prepared and submitted our Magnet Document to the American Nurse s Credentialing Center on February 3, 2014. Our journey and quest for Magnet designation is consistent with our vision to provide clinical excellence and exceptional care of those we serve - our patients, our visitors and our community. Reflecting on 2013, I am amazed by all of the achievements made possible through the engaged nursing staff at Chester County Hospital. This report highlights many accomplishments which are aligned with the Magnet model domains of Transformational Leadership, Structural Empowerment, Exemplary Professional Practice; and New Knowledge, Innovations and Improvement. The pursuit for nursing excellence is centered on the hospital s icare values of Innovation, Collaboration, Accountability, Respect and Excellence combined with Kristen Swanson s Caring Theory, which provides the framework of the hospital s Nursing Professional Practice Model. I am so proud of the role our nurses played in leading initiatives to improve the patient experience and outcomes, incorporating evidencebased practice into the care they provide, as well as their focus on their own lifelong learning to expand their knowledge which benefits both themselves as well as the patients they care for. In 2014, we will be looking forward to a Magnet site visit and becoming a Magnet-designated organization. We will continue to strengthen the participation of the front-line nurse in determining best practices for our patients through shared decision-making. Nurses at all levels of the organization strive to build a culture that facilitates and encourages quality health care, process improvement opportunities and enhanced patient safety. It is a privilege and an honor to work with the more than 600 professional and engaged nurses that make Chester County Hospital an exceptional organization. I hope you enjoy reflecting on as well as celebrating the accomplishments of this past year. Sincerely, Angela R. Coladonato MSN, RN, NEA-BC Senior Vice President/ Chief Nursing Officer Chester County Hospital
NURSING ANNUAL REPORT 2013 Transformational Leadership Transformational leaders possess the ability to work synergistically with others to achieve a common goal or vision. Transformational leadership is designed to encourage individuals to want to change through self-motivation, satisfaction of needs and a renewed sense of value and self- worth. Staff at all levels participate in and contribute to the development and achievement of the hospital s values and strategic plan. Additionally, they participate in the collection and analysis of unit-based data and develop action plans to positively impact outcomes. This facilitates a collaborative work environment which allows us to successfully provide care that embodies compassion, innovation and trust. LEADING BY EXAMPLE Angela Coladonato MSN, RN, NEA-BC Senior Vice President/ Chief Nursing Officer Angela Coladonato, MSN, RN, NEA-BC is enrolled in the Doctor of Nursing Practice (DNP) program at the Thomas Jefferson University School of Nursing. This 36-credit post-master s degree program prepares professional nurses for scholarly practice as clinical and health systems experts who will help lead health care improvement and reform. The DNP curriculum focuses on leadership, systems thinking, reflective practice, health policy, implementation science and evidence-based clinical practice. One of the recommendations from the Institute of Medicine report on The Future of Nursing: Leading Change and Advancing Health, is to double the number of nurses with a doctorate by 2020. Coladonato believes that a DNP degree combines education as a nurse scientist and as a clinician and bridges the gap between evidence and implementation. Coladonato believes that lifelong learning is essential to moving nursing and the organization forward. She is leading by example by continuing her formal education and is due to graduate in summer 2015. LEADER OF THE YEAR Tina Maher BSN, RN, NE-BC Tina Maher, Director of Telemetry and Critical Care Support, has had an extremely challenging and also exciting year, where her leadership qualities were exemplified. She models the values of Innovation, Collaboration, Accountability, Respect, and Excellence in everything that she does. She strives for excellence in her role as a Director and treats the staff and patients with courtesy and respect. In addition, she is quick to recognize her staff for a job well done and listens to everyone s opinions and ideas. Tina was a key member of the planning group for the opening of 4 Lasko Tower. She and her nursing team attended the many user group planning meetings to design the unit. Additionally, she had to work closely with her clinical manager, the director of medicalsurgical units, finance and the human resource department to determine the number of needed FTE s to open the unit. The next step was to determine an equitable way to transfer staff from the current telemetry unit 3N and 2W (this unit decreased available beds with a conversion to more private rooms) to the available Lasko Tower positions and still ensure adequate staffing on 3N and 2W. The team under her leadership executed a very successful move of the critical care support staff to a new monitor room location and the opening of a new unit without a hitch. She has been able to incorporate two units into one team. She possesses many of the skills of a transformational leader such as, courage, risk-taking, creativity and strong influencing skills. For these reasons, we proudly recognized Tina Maher as Leader of the Year. 1
H.L. PERRY PEPPER LEADERSHIP AWARD Nichole Coleman BSN, RN, PCCN The annual H.L. Perry Pepper Leadership Award, sponsored by the Women s Auxiliary, was established in 2012 as another way to recognize the outstanding qualities of CCH nurses. Directors and managers submit an essay describing how a direct-care nurse demonstrates the organization s icare values in their area of practice. Essays are reviewed and evaluated by the nursing directors using a consistent evaluation tool, and the top three nominees are forwarded to Elizabeth Drummond, President, Women s Auxiliary; Karen Smith, Secretary, Women s Auxiliary; Angela Coladonato MSN, RN, NEA-BC and Michael Barber, COO, for the selection of the recipient. Based on a nomination by Joanne Callahan, MSN, RN, NE-BC, Clinical Manager, Telemetry Services, the 2013 H.L. Perry Pepper Leadership Award was presented to Nichole Coleman, BSN, RN, PCCN for her leadership and dedication. Coleman has served as a preceptor for charge nurses from other units and has most recently begun to develop a hospital-wide charge nurse council. Her initial outreach related to this council has been strongly welcomed by nursing leadership and other charge nurses. She was recognized at the annual Women s Auxiliary spring luncheon. NURSING.COM NURSING EXCELLENCE GIVING EXCELLENCE MEANING (GEM) AWARD The Nursing Excellence GEM Awards recognize nursing excellence and superior nursing skills. Nurse.com Nursing Spectrum calls on its readers every year to nominate an exceptional nurse colleague for the Nursing Excellence program. The peers of these exceptional nursing professionals send detailed nominations for the Nursing Excellence GEM Awards. Angela Coladonato MSN, RN, NEA-BC CATEGORY: ADVANCING & LEADING THE PROFESSION (FINALIST) Coladonato was recognized as an RN who is well-known and respected as a visionary, innovative leader and change agent, who moves the profession forward through work in patient care administration, education or research, or strengthens it through other professional activities, endeavors or contributions. Coladonato received her award at the Nursing Excellence GEM Awards Banquet in May 2013. She was nominated by Kathy Zopf- Herling, MSN, RN-BC, Director, Nursing Informatics, for her accomplishments in leading CCH Department of Nursing. Being named a finalist is a significant honor, as many nurses are nominated in all the award categories. Shelly Haas BSN, RN, CWOCN CATEGORY: CLINICAL NURSING INPATIENT CATEGORY (FINALIST) Shelly Haas BSN, RN, CWOCN was a finalist for the 2013 Nursing Excellence GEM Award, in the Clinical Nursing Inpatient category. She was recognized as an RN who demonstrates superior clinical nursing knowledge and expert skills, and applies both in ways that measurably impact the quality of care and improve patient care outcomes in any inpatient clinical setting or nursing specialty. Haas was nominated by Beverly Drake, MSA, BSN, RN-BC and received her award at the Nursing Excellence GEM Award Banquet in May 2013. 2
NURSING ANNUAL REPORT 2013 MAIN LINE TODAY HEALTH CARE HERO AWARD Main Line Today is a regional magazine focusing on Philadelphia s historic Main Line and western suburbs. Main Line Today is devoted to the area s communities, traditions and lifestyles, providing insight into its people, history, culture and more. Every year, Main Line Today recognizes Healthcare Heroes, professionals who go above and beyond in community service. Betty Brennan Ed.D, MSN, CEN, CNML Betty Brennan, EdD, MSN, RN, CEN, CNML, Director, Emergency Services, received the 2013 Healthcare Heroes Award in the category of Community Service. Brennan was recognized for establishing a behavioral health program for patients in conjunction with other Chester County health care organizations and behavioral health facilities. Brennan received her award at a luncheon at Neumann University on May 9, 2013. STAR LEADERSHIP ACADEMY In July 2013 four members of the nursing staff applied to the Pennsylvania State Nurses Association (PSNA) Star Leadership Institute. The Star Leadership Institute is a three-day leadership development program designed by the PSNA to assist nurses in contributing to the delivery of high-quality health care while working collaboratively with other leaders in the ongoing reform necessary to redesign health care in the U.S. Approximately 30 candidates across the state of Pennsylvania were selected to attend the Star Leadership Institute Program for 2013. All four nursing staff members from CCH that applied to the Star Leadership Institute were selected by the PSNA for entrance into the 2013 Program, which included: Amber Shealy, RN, PCCN PINU Lindsay Pritchett, BSN, RN, CMSRN West Wing I Melissa Cargan-Bodnar, BSN, RN, CMSRN Surgical Care Unit Nichole Coleman, BSN, RN, PCCN 4 Lasko Tower 3
Structural Empowerment Structural empowerment is the process through which staff have influence over their professional practice. This is organizationally supported through staff participation on committees, councils, research opportunities and continued education. Nurses throughout the organization are involved in selfgovernance and decision-making structures and processes that establish standards of practice and address issues of concern in order to empower patients and positively impact their outcomes SHARED GOVERNANCE The shared governance structures at CCH promote nurses direct involvement in the processes that drive patient care. Governance is based on a councilor model that is centered on the icare values and the patient and family. Angela Coladonato, MSN, RN, NEA-BC hosts a yearly Nursing Retreat. This year the Annual Nursing Retreat was held on September 27 and was an energizing and inspiring day for all that attended. The agenda was very robust and informative. There were 111 participants comprised of frontline and advanced practice nurses as well as managerial and education staff. Based on the goals of the shared decision-making councils and the input and feedback from the participants, the nursing strategic plan for the year has been laid out. Shared Decision Making Councilor Model 4
NURSING ANNUAL REPORT 2013 DAISY AWARD The DAISY Award is a national program that rewards and celebrates the extraordinary clinical skill and compassionate care given by nurses every day. The DAISY Foundation was established in 2000 by the family of J. Patrick Barnes. During his eight-week hospitalization, his family was awed by the care and compassion his nurses provided to Barnes and his entire family. They created the DAISY Foundation to recognize extraordinary nurses everywhere who make an enormous difference in the lives of so many people by the excellent work they do every day. CCH is proud to be a DAISY Award hospital partner by recognizing one of its nurses with this special honor every month. DAISY Award honorees personify CCH s remarkable patient experience. To be considered for a DAISY Award, a nurse must consistently demonstrate excellence through clinical expertise and extraordinary compassionate care, and be recognized as an outstanding role model in CCH s nursing community. The following nurses received DAISY Awards in 2013: Trudy Bellistri, RN 4 Lasko Tower Kathie Magee, RN PACU Patricia Hauck, RN, AOCN Cancer Center Maureen Matsoukas, BSN, RN Surgical Care Unit Jessy Jacob, RN West Wing II Kim Stevens, RN CRNA Anesthesia Department Patricia Beam, RN West Wing II Gail Livingston, BSN, RN, CMSRN West Wing I Patti Wollner, RN, CMSRN 3 North Michelle Collman, BSN, RN West Wing II Paula Axenfeld, BSN, RN Emergency Department 5
Exhibit SE12-10, Good Samaritan Award Presentation Left to Right: Duncan, Abraham, Savini, Coladonato and Bonella GOOD SAMARITAN AWARD Mini Abraham, MSN, CRNP, ACNP, ICU, was recognized for her community service and received the Good Samaritan Award for performing CPR while working out at the Atlantic Coast Athletic Club. When Abraham saw a man collapse as he was lifting weights, she rushed to his side, quickly assessed him and determined that he did not have a pulse. She initiated CPR and called for help, and an off-duty police officer helped her perform CPR and apply an automated external defibrillator (AED) until Emergency Medical Services arrived and safely transported the patient to Chester County Hospital. Abraham s prompt cardiac resuscitation was successful, and the patient was able to return to his normal life. The man who Abraham resuscitated was the brother of State Representative Duane D. Milne, who was so appreciative of Abraham s efforts that he wrote a letter to Michael Duncan, Chester County Hospital President and Chief Executive Officer, commending Abraham for her service to the community. Representative Milne also honored Abraham with the Good Samaritan Award. Milne presented the award to Abraham at a reception at the Atlantic Coast Athletic Club on May 23, 2013. Duncan, Angela Coladonato, MSN, RN, NEA-BC, Senior Vice President/CNO, Susan Savini, MSN, RN, CRNP, Director, Critical Care Nurse Practitioners, and Dawn Bonella, ACNP attended the award ceremony to recognize and support Abraham. Many of her family members and friends also attended the reception. 6
NURSING ANNUAL REPORT 2013 Professional Nursing Organizations Chester County Hospital nurses recognize the value of participation in professional nursing organizations. This is demonstrated by 148 CCH nurses being active members of a professional nursing organization. Suzanne Henrick, MSN, MPH, RN is Treasurer of Sigma Theta Tau Delta Chapter and Mary Louise DeMarco is Treasurer of the Delaware Valley Nursing Computer Network. RN TO BSN/MSN EDUCATION Chester County Hospital empowers nurses at all levels to build on their education base to enhance practice, education, administration and theory development. The hospital supports formal nursing education by providing education assistance, nursing scholarships, PRISM clinical ladder points, college fairs/open houses, flexible scheduling, academic partnerships and encouragement through the performance appraisal process. The Department of Nursing has streamlined a three-year plan to increase the percentage of BSN-prepared RNs by 3% each year. Chester County Hospital has met its goals for increasing the percentage of nurses with a BSN degree or higher. In 2011, the percentage of nurses holding a BSN degree or higher was 45%. This increased to 48% in 2012, and 52% in 2013. SPECIALTY CERTIFICATION Our number of certified nurses continues to increase which is reflective of the commitment of our staff to enhance their knowledge skills and abilities. This initiative is supported through on-site preparatory classes, points on the PRISM clinical ladder and certification reimbursement. Percentage of Nurses with BSN or Higher Degree in Nursing 55% 50% 45% 40% 35% 30% 2011 45% 2012 48% 2013 52% Percentage of Nurses with Specialty Certification 40% 35% 30% 25% 20% 2011 23% 2012 26% 2013 32% Certified Nurse s Day Celebration Tea 2013 7
WAGS NURSING SCHOLARSHIPS The Woman s Auxiliary Gift Shop (WAGS) has continued its support of CCH nurses by offering nursing scholarships annually. WAGS is a group of volunteers at CCH who support many hospital related activities and functions. Nurses at all levels who are currently enrolled in a nursing degree program are encouraged to apply. WAGS contributes six $250.00 awards that are distributed each fall and spring semester in order to help nurses achieve their educational goals. All eligible nursing staff members are required to complete the Nursing Scholarship Application. 2013 WAGS AWARDEES: Marcia Van Tassel, RN - Pediatrics Tamara Smith, RN - IV Team Nancy Maratea, RN - Maternity Monica Decker, BSN, RN, CCRN - ICU Rebecca McElroy, RN - Pediatrics Nicole Brice, RN - PINU Janet Stack, RN, CNOR - SCU Kristen Fogelman - Health Information Management Linda Shepherd, RN - ED Leni Mampallai, RN, CMSRN - West Wing 1 Kayla Cromer - ED ANGEL WINGS AND RELAY FOR LIFE The hospital s Angel Wings Team was the number one fundraiser out of 55 teams at the American Cancer Society s Relay for Life event held at West Chester University on May 4 and 5, 2013. Chester County Hospital sponsors a booth at the Relay for Life, with all financial contributions raised by the team. 15 RNs participated on the team. The Relay for Life is an overnight community gathering that gives everyone the opportunity to fight cancer and help save lives. Participants celebrate survivors, who are honored during the Survivors Lap. A survivor is anyone who has been diagnosed with cancer. The Luminary Ceremony takes place after dark, with participants remembering those who have been lost and honoring those still battling and their caregivers. Luminaries are lit inside personalized bags and line the entire track as a glowing tribute. Candace Williams-Johnson, BSN, RN, West Wing II, organizer of Chester County Hospital Angel Wings Team: While each of us has a reason for being there, our Angel Wings Team wants to make a difference in the fight against cancer. We are determined that those facing cancer will be supported, and that those who have lost their battle will not be forgotten. At Relay for Life, we see many of the special people we have cared for and remembered those not with us. Angel Wings Team; Front: Patty Beam, RN; Candace Williams-Johnson, BSN, RN; Marianne Casale, MSN, RN, CS, CHPN, AOCN; Lynne Reilly, MSN, RN, CRNP, AOCNP; Judy Suska, MBA, FHFMA; Lois Rajcan, MSN, RN, CRNI. Back: Michelle Tedeschi, MD; Diane Marthers, BSN, RN, OCN; Janet Deal, RN, CMSRN; Angie Deal; and Maureen Deal 8
NURSING ANNUAL REPORT 2013 Chester County Hospital March for Babies Team MARCH OF DIMES MARCH FOR BABIES The March of Dimes mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality. Funds raised by the March for Babies support research and programs that help mothers have fullterm pregnancies and babies begin healthy lives. Funds are also used to provide comfort and information to families with a baby in the Neonatal Intensive Care Unit (NICU). For the past four years, Chester County Hospital s NICU has participated in the March for Babies every spring in Chester County. The organization recognized this as a great opportunity to show the community that the hospital does not forget about babies once they go home. In addition to the funds provided by the hospital, OB-GYNs and neonatologists affiliated with Chester County Hospital donate funds every year to print t-shirts and provide a hospital tent for the event. The hospital team doubled in size in 2013 and covered two city blocks. According to Kim Johnson, BSN, RN, NICU: This year was very special. I had the opportunity to introduce a young man who I took care of 25 years ago to a little boy I cared for two years ago. Their stories are very similar. I introduced the moms two years ago and they have been a great support to each other. Seeing the two boys play basketball together was the most rewarding moment of my nursing career. Sean, the 25-year-old, made it a point to email me and thank me for the opportunity to meet the little boy. He added he never really understood all he went through and now he gets it. He promised to march every year from now on. UNITE FOR HER Unite for HER (Helping to Empower and Restore) is an organization that bridges the gap between the medical and wellness communities by educating women diagnosed with breast cancer about complementary therapies and providing a compassionate resource for support, knowledge and healing. The organization empowers girls and women to live a healthy and fulfilled life by providing wellness education, breast cancer awareness and opportunities to contribute to their community and serve others. Cindy Brockway, MSN, RN, CCRP, Director, Research, organizes and participates in a Unite for HER community wellness day event for breast cancer survivors. Participants learn about the benefits of complementary therapies and create a personal plan for incorporating these tools into treatment and recovery. At the end of the day, participants receive vouchers from Unite for HER to cover treatment costs for the therapies that best support their everyday health and wellness. 9
BUCKHANNON, WEST VIRGINIA MISSION Pamela Conner, BSN, RN, CMSRN of 3 Lasko Tower recently received 2013 PRISM points for community service for participating in a seven-day mission trip to Buckhannon, West Virginia sponsored by the Hopewell United Methodist Church. Conner volunteered with the church s Student Ministries from July 20 27, 2013. A group of 20 adult leaders and 40 high school students traveled to Buckhannon to help residents who were still recovering from Hurricane Sandy in October 2012. Conner and her students worked with a disabled couple to repair damages to their home and to build a ramp from the porch to give the wheelchair-bound homeowner easier access. The group repaired damages to the roof and extended it to cover the deck and new ramp. Conner also served as the nurse for the group, being in charge of the medications the students brought with them and performing first aid on injured workers as needed. Chester County Hospital supported Conner s commitment to community service by awarding her 10 points toward PRISM Level III status. Conner s Mission Trip to Buckhannon, West Virginia HONDURAS MISSION Heather Donohue, BSN, RN, CNOR from the Operating Room recently received PRISM community service points for her participation in a medical mission trip to Honduras from May 17 25, 2013. Donohue helped set up brigades that offered medical, dental, optical and pharmaceutical assistance. She partnered with other volunteers, including a dentist, ophthalmologist, nurse practitioner, nurse midwife and four other nurses. All medical services, including glasses and prescriptions, were provided free of charge. The small coral islands of Cayos Cochinos off the coast of La Ceiba, Honduras are home to approximately 200 people. The medical clinic set up by Donohue and her team helped not only these people, but attracted people from surrounding islands who came by boat to receive care. Donohue and her team also set up a mobile clinic in Campo Llano, near San Pedro Sula, where they served approximately 200 people with medical care and clothing for the children. They traveled to El Carmen in San Pedro Sula as well, providing medical care and bringing clothes and shoes for the adults and crafts and toothbrushes for the children. Donohue (right) and her team of Volunteers Donohue and her team treated approximately 700 Hondurans in the clinics they established. Even though these areas are impoverished and crime-ridden, Donohue and her team were never fearful or apprehensive. They were grateful to have worked together to serve the people of Honduras. 10
NURSING ANNUAL REPORT 2013 Exemplary Professional Practice Exemplary Professional Practice is guided by a Professional Practice Model (PPM). Our PPM, based on Kristen Swanson s Caring Values, the concept of relationship-focused care and the hospital s icare values, supports the nurse s control over the delivery of nursing care predicated on evidence-based practice and the environment in which care is delivered. The achievement of exemplary professional practice is grounded by a culture of safety, quality monitoring and quality improvement. Nurses collaborate with other disciplines to ensure that care is comprehensive, coordinated and monitored for effectiveness. SILVER BEACON AWARD ICU The Beacon Award for Excellence The national Beacon Award for Excellence was established in 2003 and is presented by the American Association of Critical-Care Nurses (AACN). The Beacon Award offers a road map to guide exceptional care through improved outcomes and greater patient satisfaction. Nursing units in the U.S. in which patients receive their principal nursing care after hospital admission qualify for this excellence award. Nursing units that receive the Beacon Award meet the criteria in six categories: leadership structures and systems; appropriate staffing and staff engagement; effective communication, knowledge management, learning and development; evidence-based practice and processes; and outcome measurement. CCH Intensive Care Unit (ICU) nurses earned the Silver Beacon Award for Excellence in October 2013. The Silver Beacon Award earned by the ICU nursing staff recognizes continuous learning and effective systems to achieve optimal patient care. The ICU nursing staff earned its silver award by meeting evidence-based criteria related to: Leadership Structures and Systems Appropriate Staffing and Staff Engagement Effective Communication, Knowledge Management, Learning and Development Evidence-Based Practice and Processes Outcome Measurement AACN honored the ICU nursing staff for its achievements with announcements in AACN Bold Voices, the monthly award-winning member magazine distributed to more than 100,000 acute and critical care nurses nationwide. AACN also honored awardees at the National Teaching Institute & Critical Care Exposition, the world s largest educational conference and trade show for nurses who care for acutely and critically ill patients and their families. CARE GIVER OF THE YEAR AWARD The Care Giver of the Year Award was established in 2011 by the FORE Health Golf Invitational, which is a benefit for women s and children s health services. There are four awards: the Charles Henry Benton Award, O Hair Family Award, Willistown Auxiliary Award and Mary Mears Award. Nurses who work in the Neonatal Intensive Care Unit (NICU), Pediatrics, Maternity, and Labor and Delivery (L&D) are eligible. These nurses, who are nominated by their peers, embody the high standards synonymous with CCH icare values. In Pediatrics and the NICU, the nurse receiving the most votes receives the award. In L&D and Maternity, the unit council chooses the honoree. Four nurses were selected to receive an annual Care Giver of the Year Award at the FORE Health Invitational in October 2013: Rebecca Hornberger, RN; Colleen Maloney, BSN, RN; Grace Michael, RN; and Lisa Shallis, RN, RNC-OB, CCRN. They were recognized at the Miracles and Memories Dinner following the golf outing. In addition to the recognition, honorees receive a plaque and $500. 2013 Care Giver of the Year Awards 2013: Hornberger; Maloney; Dr. Melissa Delaney, OB- GYN; Michael Duncan, TCCH President and Chief Executive Officer; Michael; and Shallis 11
GOOD CATCH AWARD Chester County Hospital presents the Good Catch Award, which is chosen every month by a committee made up of members from various hospital departments who review the events reported, analyze the report information for each event, identify good catch events and name a monthly award winner. The winner is determined by scoring in the following areas: Severity of the near-miss event Educational value Impact on organizational patient safety Established practice was followed Timeliness of the report Terri Bugiazet, BSN, RN, CEN, CPEN Emergency Department The award is given to a staff member who is accountable for her or his professional practice and is committed to quality of care. Winners receive a $100 cash prize and a Good Catch fish pin. The lessons learned are displayed on the Team website and in the Pulse. During 2013 five nurses received this special honor. Kelli Dearing, RN 4 Lasko Tower Brooke Edwards, RN Surgical Care Unit PRISM (Professional Recognition of Initiative, Skill and Merit) Clinical Ladder Sue Hahn, BSN, RN, CEN, CPEN Emergency Department Amber Shealy, RN, PCCN 4 Lasko Tower Chester County nurses have ample opportunity for growth and development. Angela Coladonato, MSN, RN, NEA-BC and the Professional Development Council established the PRISM clinical ladder program for nurses in 2010 to promote nursing excellence. The goal of PRISM is to continue the advancement of nursing and support frontline staff. Direct-care nurses undergo a stringent application and interview process that includes professional recommendations, exemplars and the development of a professional portfolio. The PRISM clinical ladder program makes nurses feel valued, and that they recognize their practice is acknowledged by their leaders and peers. This program gives direct-care nurses an opportunity to develop their careers while remaining at the bedside. The organization has seen a significant increase in PRISM participation over the past three years further acknowledging Chester County Hospital nurses exemplary professional practice. PRISM APPLICANTS: 2011 38 2012 62 2013 76 12
NURSING ANNUAL REPORT 2013 NDNQI NURSE SATISFACTION SURVEY The Department of Nursing administers the National Database of Nursing Quality Indicators (NDNQI) survey annually to determine nurse satisfaction. The NDNQI survey helps nurse leaders and direct-care nurses identify needs, improve the work environment and enhance retention and recruitment for the units and the hospital. Staffing issues, unit needs and the work environment are continually being assessed to identify strengths and weakness. The professional, engaged environment and culture of Chester County Hospital remain the driving forces behind successful recruitment and retention strategies. The hospital s mission to attract, retain and educate the best and brightest health care professionals is evident in its low vacancy and turnover rates. Through annual staff satisfaction surveys, the Department of Nursing will continue to address areas needing improvement to maintain the highest standards of quality and promote a rewarding work environment for the nursing staff. Rate 3.60 3.40 3.20 3.00 2.80 2.60 2.40 2.20 1.80 1.60 1.40 Collegial Nurse/ Physician Relations 3.14 3.09 Staffing Resource and Adequacy 3.13 2.76 2013 PES SCORES Manager Ability & Leadership Support 3.06 3.00 Our Practice Environment Scores (PES) outperformed the mean of NDNQI 200-299 bed hospitals in 2013. Chester County Hospital Mean NDNQI 200-299 Beds Foundations for Quality Care 3.17 3.11 Participation in Hospital Affairs 3.07 2.88 NDNQI NURSE SENSITIVE INDICATORS Chester County Hospital submits nurse-sensitive indicator performance data to the National Database of Nursing Quality Indicators (NDNQI) for patient falls, hospital-acquired pressure ulcers (HAPU), ventilator-associated pneumonia (VAP) and restraint prevalence. The data are benchmarked against the mean of hospitals with 200 299 beds to evaluate the quality of nursing care. Patient falls, VAP and restraints shown below are aggregated at the organizational level. Rate 4.50 4.00 3.50 3.00 2.50 2.00 1.50 1.00 0.50 0.00 4Q11 2.09 3.39 1Q12 2.01 4.03 Falls per 1000 Patient Days 2Q12 3.00 3.38 3Q12 1.83 3.25 4Q12 2.00 3.27 1Q13 2.43 3.29 2Q13 2.18 3.21 3Q13 1.78 3.34 Rate 9.0 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Percent of Patients with Physical Restraints 4Q11 0 5.10 1Q12 0 5.78 2Q12 1.23 3.57 3Q12 8.35 6.11 4Q12 0 5.55 1Q13 1.99 5.32 2Q13 4.22 6.38 3Q13 2.17 4.32 Rate 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 4Q11 13.32 1.92 1Q12 6.13 1.86 VAP per 1000 Ventilator Days 2Q12 0 2.87 3Q12 0 1.63 4Q12 3.67 1.17 1Q13 0 0.46 2Q13 0 0.55 3Q13 0 0.53 13
New Knowledge Evidence-based practice and research are conscientiously integrated into clinical and operational processes. Nurses are educated about evidence-based practice and research, enabling them to appropriately explore the safest and best practices for their patients and practice environment, and to generate new knowledge. Nursing Research Projects Perceived differences in clinical performance between Associate Degree nursing graduates and Baccalaureate Degree graduates. Melanie LeRoy, PhD, CRNP and Clinical Managers. Transformational Leadership: Dual Perceptions. Betty Brennan, EdD, MSN, CEN, CNML and Suzanne Henrick MSN, MPH, RN. Blood Aspiration During IM Injection. Christine Thomas, PhD, RN and Lois Rajcan, MSN, RN, CRNI. Poster Presentations Collaboration in Care: Neonatal ICU and 2A Mentoring Program, at Nemour/Alfred I. dupont Hospital for Children in Wilmington, Delaware. Jaime O Donnell, MSN, RN, CCRN, NICU. Standardization of Surfactant Therapy in Neonate, at Drexel University in Philadelphia, Pennsylvania. Jaime O Donnell, MSN, RN, CCRN. Reducing Heart Failure Readmissions at the 9th Annual Association of Heart Failure Nurses in Montreal, Quebec, Canada. Theresa McClure, BA, RN, CHFN. Improving Throughput of Low Risk Chest Pain Patients at the 2013 PONL Leadership Conference in Gettysburg, Pennsylvania. Sharon Delaney, MSN, MBA, RN; Betty Brennan, EdD, MSN, RN, CEN, CNML; Donna Taylor, BSN, RN, CCRN; and Maureen Kennedy, BSN, RN, CEN. Implementing Rapid Daily Multidisciplinary Rounds to Increase Communication and Decrease Average Length of Stay for Inpatient Medical-Surgical and Telemetry Units at Southeastern Pennsylvania Organization of Nurse Leaders. Cathy Weidman, MPA, BSN, CNML, Leigh Holman, BSN, RN, CMSRN and Lindsay Pritchett, BSN, RN, CMSRN. SEPONL Presentation (Left to Right): Pritchett, Holman and Weidman Presentations RE-engineered Discharge (RED) Using Soarian presented by Kathy Zopf-Herling, MSN, RN-BC at Siemen s National Innovations Conference in San Diego, California. Mary Louise DeMarco, MSN, RN-BC participated in a panel discussions at Siemen s National Innovations Conference in San Diego, California. Webinars Using Technology to Re-Engineer Discharge Processes and Enhance Transitions of Care presented by Angela Coladonato, MSN, RN, NEA-BC; Kathy Zopf-Herling, MSN, RN-BC; and Tina Maher, BSN, RN, NE-BC for Siemens Nursing Thought Seminar series. Nursing Symposiums Chester County Hospital disseminates knowledge generated from nursing research internally through the annual Pediatric Symposium and Nursing Symposium. The 2013 Pediatric Symposium was held on May 29, from 8 a.m. to 4:30 p.m. at the Rhoads Auditorium. It fulfilled the mission of the Emergency Department (ED) to improve pediatric care by using the latest evidence-based practice to promote staff comfort with and proficiency in the care of pediatric patients in the ED. Ninety people participated, and 10 CEUs were available to nurses. The symposium consisted of lectures and skills stations, with attendees listening, visualizing and actively participating in the learning process. The Nursing Symposium, Acquiring Knowledge, Advancing Skills, held on October 24 and 25, targeted acute care nurses and allied professionals. It was used to disseminate best practice and research on topics such as cardiac arrest resuscitation care, early mobility, leadership and mentoring and palliative care. 13.5 accredited CEUs were available for participants. Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN, Critical Care Clinical Nurse Specialist, Educator and Consultant, presented The Power of One: Impacting Patient Outcomes by Returning to the Basics Using Evidence. Chester County Hospital Department of Nursing looks forward to the challenges and opportunities that 2014 will bring.