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OHSU Nurses Week<br />

Innovation.<br />

Compassion.<br />

Excellence.<br />

May 6 – 12, 2013<br />

Celebrating<br />

OHSU’s<br />

Nurses<br />

<strong>of</strong> <strong>the</strong> <strong>Year</strong><br />

2013


Jennifer L. Jacoby,<br />

MSN, RN, NEA-BC<br />

Vice President/Chief Nursing<br />

Officer, OHSU Healthcare<br />

“Innovation, compassion, and excellence” is <strong>the</strong> <strong>the</strong>me for OHSU Nurses Week. These qualities are <strong>the</strong> very<br />

essence <strong>of</strong> what attracts nurses into <strong>the</strong> pr<strong>of</strong>ession – and what makes <strong>the</strong>m special in <strong>the</strong> eyes <strong>of</strong> patients. The<br />

ability to see many paths around an obstacle to care, to see <strong>the</strong> truth <strong>of</strong> suffering as a plea for caring, and to<br />

seek <strong>the</strong> sacred in <strong>the</strong>rapeutic relationships are <strong>the</strong>se qualities in action.<br />

Each year we seek exemplars from our nursing staff that represent <strong>the</strong>ir contribution to our pr<strong>of</strong>ession, our<br />

community and our patients and families. Every story was a special one and deserving <strong>of</strong> respect. We engaged a<br />

wide variety <strong>of</strong> opinions from our shared governance groups to help us select <strong>the</strong> 11 winners.<br />

I am in awe <strong>of</strong> <strong>the</strong> breadth and depth <strong>of</strong> talent in OHSU nurses that is displayed in <strong>the</strong> stories <strong>of</strong> each <strong>of</strong> our<br />

awardees. They live and brea<strong>the</strong> pr<strong>of</strong>essional practice in <strong>the</strong> way it is envisioned in our model. I hope you’ll<br />

enjoy reading <strong>the</strong>ir stories. You’ll hear many innovative efforts to improve outcomes and bring greater health<br />

to our communities, from work with congestive heart disease patients to efforts to improve pediatric pain<br />

management. You’ll read about a C.N.A. who stays after her shift to hold <strong>the</strong> hand <strong>of</strong> a dying patient, and a<br />

nurse who brings solace to many through animal-assisted <strong>the</strong>rapy. Each <strong>of</strong> <strong>the</strong>se stories is connected by a<br />

bright passion for nursing excellence.<br />

As I near <strong>the</strong> close <strong>of</strong> my 46 year nursing career, I am proud to share <strong>the</strong> title <strong>of</strong> “RN” with each <strong>of</strong> <strong>the</strong>se nurses,<br />

and excited for nursing’s future.<br />

Congratulations to <strong>the</strong> awardees and nominees!<br />

Thank you to all those who made OHSU Nurses Week 2013 possible:<br />

2013 Nurses Week Planning Committee<br />

Chair: Manda Buttitta<br />

Members: Sally Bowman, Cathy Cromett, Deborah Eldredge, Marian Hart, Julie Johnson, Debbie Lamberger,<br />

Denise Langley, Julia McDonald, Laura Riddell, Mary Stock, Bekki Witt, Miranda Yohn<br />

7th Annual Nursing Research Showcase & Poster Display<br />

Nursing Research Council<br />

Accolade Book Photography<br />

Daniel McClintick<br />

With great appreciation for all <strong>of</strong> OHSU’s dedicated nurses –<br />

bringing innovation, compassion, and excellence to patient care every day.<br />

OHSU Nurses Week 2013<br />

Innovation. Compassion. Excellence. http://o2.ohsu.edu/nursing-portal/news-events/nurses-week/


Jayne Mitchell, ANP-BC<br />

Nurse Practitioner, Congestive Heart Failure<br />

Manager: Judi Workman<br />

Jayne’s extraordinary efforts have led to improved patient<br />

outcomes that have afforded OHSU recognition on both<br />

local and national levels. Her approach, which focuses on<br />

identification <strong>of</strong> high risk patients, standardized education<br />

across all settings, reliance on community partners and<br />

utilization <strong>of</strong> available resources has led to decreased<br />

readmission rates in this most vulnerable <strong>of</strong> patient<br />

populations.<br />

For <strong>the</strong> most acutely ill congestive heart failure (CHF)<br />

patients in our community, Jayne established a relationship<br />

I am honored and feel humbled to receive this award.<br />

I have been at OHSU for 2 ½ years and each day I am<br />

impressed by <strong>the</strong> energy level and excitement I see<br />

for continued learning and innovation. I am in awe<br />

<strong>of</strong> <strong>the</strong> intelligence, innovation, and compassion that<br />

is demonstrated everyday throughout <strong>the</strong> hospital<br />

and clinics at all levels.<br />

What a great place to keep learning! Every change<br />

implemented for our heart failure patients is <strong>the</strong><br />

result <strong>of</strong> someone asking if we “could” and “should” do something different. I have never once heard “that is <strong>the</strong> way we<br />

do it here”. For example, when we realized our patients didn’t understand basic concepts <strong>of</strong> heart failure selfmanagement,<br />

it was <strong>the</strong> nurses that led <strong>the</strong> way- fine tuning what <strong>the</strong> education should be. The nurses were <strong>the</strong> ones<br />

who came up with <strong>the</strong> concept <strong>of</strong> daily teaching and teach back. I am and always will be <strong>the</strong>ir cheerleader.<br />

Every positive change in this program is <strong>the</strong> result <strong>of</strong> hard work from many people, not one person. The providers,<br />

nurses, and staff who care for <strong>the</strong> patients are constantly asking <strong>the</strong>mselves “What can we do to make this patient<br />

succeed at home?” We also have excellent community partners (<strong>the</strong> Area <strong>of</strong> Aging and Care Oregon), as well as <strong>the</strong> hard<br />

work and support from our outpatient clinics (Cardiology, Family Practice and Internal Medicine).<br />

I feel that it is a privilege to work at OHSU. I am truly fortunate to be surrounded by such a great force.<br />

Jayne Mitchell<br />

The Advanced Practice category is described as<br />

“a role-based advanced practice nurse (CNS, NP, Midwife or RN Anes<strong>the</strong>tist) who exhibits excellence in providing care.<br />

This nurse is a leader and guides practice in <strong>the</strong> advanced practice role.“


with Care Oregon that facilitated <strong>the</strong> development <strong>of</strong><br />

"hot spot teams", an interdisciplinary group <strong>of</strong> health<br />

care pr<strong>of</strong>essionals that support <strong>the</strong>se patients with<br />

frequent contacts, regular follow-up and home<br />

visits. Recognizing that Oregon's case mix index for this<br />

group <strong>of</strong> patients exceeds that <strong>of</strong> o<strong>the</strong>r states<br />

significantly, she has also focused her efforts on creating<br />

a support system for our lesser acute patients who still<br />

possess multiple risk factors and complex needs.<br />

Prior to discharge, Jayne insures that all patients are<br />

provided a personal scale for use at home and that <strong>the</strong>y<br />

understand <strong>the</strong> importance <strong>of</strong> trending <strong>the</strong>ir daily<br />

weight. This important addition to <strong>the</strong> discharge process<br />

was recently featured in an Associated Press news release<br />

that described her new plan for her patients as “Learning<br />

by Doing”. She has made available to non-English<br />

speaking patients discharge instructions in <strong>the</strong>ir native<br />

language, and she continues to work tirelessly on<br />

improvements to <strong>the</strong> After Visit Summary. Through her<br />

efforts with nursing staff, she has standardized teaching<br />

instructions and documentation, and established a clearly<br />

understood standard <strong>of</strong> care that all <strong>of</strong> OHSU’s CHF<br />

patients now receive.<br />

In addition to <strong>the</strong>se efforts Jayne also recently procured<br />

ten "Health Buddies", telemedicine type devices that<br />

prompt patients to enter daily information about <strong>the</strong>ir<br />

health while also challenging <strong>the</strong>m to a trivia game.<br />

When abnormal parameters are detected by <strong>the</strong>se<br />

devices, a call is immediately generated to Jayne, so that<br />

she can follow-up immediately with <strong>the</strong> patient and<br />

perhaps reverse a trend that might be moving in <strong>the</strong><br />

wrong direction. She is currently providing <strong>the</strong>se to 10<br />

discharged CHF patients per month to discover <strong>the</strong>ir<br />

impact on improved outcomes and possible decreased readmission<br />

rates.<br />

Most recently, this work was featured at <strong>the</strong> Robert<br />

Woods Johnson event "Care About Your Care“ in<br />

Washington DC. Meeting with health care leaders from<br />

across <strong>the</strong> country, Jayne and <strong>the</strong> Oregon contingency<br />

received accolades and repeatedly heard <strong>the</strong> phrase that<br />

"things were more progressive and different in<br />

Oregon". Different yes - our current all-cause readmission<br />

rate for CHF patients is averaging about 17%<br />

when rates from similar institutions nationally average<br />

nearly 22%. This is a testimony to <strong>the</strong> health care<br />

transformation that Jayne is leading for our CHF patient<br />

population - and also to her exemplary level <strong>of</strong> dedication<br />

and pr<strong>of</strong>essional practice that establish her as a leader<br />

within her field.<br />

“Jayne is one <strong>of</strong> <strong>the</strong> most ‘get it done’ and positive<br />

colleagues I have had <strong>the</strong> pleasure <strong>of</strong> working with. Her<br />

caring for patients and quest to improve quality is deep and<br />

inspiring. She is an outstanding APN in all components <strong>of</strong><br />

<strong>the</strong> pr<strong>of</strong>essional nursing role.”<br />

Ann Maylie, RN, Division Director


“Mrs. J was a patient that was being admitted at least monthly for almost a year. Jayne got involved,<br />

made home visits, arranged for home health nurse to see <strong>the</strong> patient weekly, worked with <strong>the</strong><br />

Richmond Clinic and <strong>the</strong> nurses <strong>the</strong>re, and worked with Care Oregon and <strong>the</strong> 'hot spot team'. Over<br />

months Jayne and her team was able to build trust with <strong>the</strong> patient and her family, identify triggers for<br />

readmissions and create a plan in response to those triggers. Over <strong>the</strong> course <strong>of</strong> months Mrs. J's<br />

readmissions were fewer and far<strong>the</strong>r apart, her quality <strong>of</strong> life and her relationships with her children<br />

greatly improved. Jayne was able to change <strong>the</strong> trajectory <strong>of</strong> disease for this individual though her<br />

constant presence, sense <strong>of</strong> humor and belief in her ability to be successful.<br />

Jayne has taken what she has learned from working with individual patients and has created a system<br />

response to helping manage <strong>the</strong>se patients. She has initiated a team <strong>of</strong> providers who meet monthly<br />

to create ways to increase <strong>the</strong> quality <strong>of</strong> care patients with end stage heart failure experience.<br />

Through her leadership, <strong>the</strong> readmission rate for heart failure patients has significantly decreased,<br />

<strong>the</strong>y are being seen by <strong>the</strong>ir PCP within a week <strong>of</strong> discharge, and she has initiated an at-home<br />

telemedicine program where she monitors <strong>the</strong>se very fragile patients daily for a month. Through her<br />

research, she discovered that <strong>the</strong> impact <strong>of</strong> home telemedicine decreases after a month.<br />

Jayne has worked with nurses throughout <strong>the</strong> organization to improve <strong>the</strong> education that patients with<br />

heart failure receive, a standardized approach is now utilized including documentation, provision <strong>of</strong><br />

equipment patient's need to monitor <strong>the</strong>ir own response to <strong>the</strong>rapies. Through her efforts with <strong>the</strong><br />

nursing staff throughout <strong>the</strong> hospital <strong>the</strong>re is decreased variation in practice from unit to unit and<br />

increased quality <strong>of</strong> care provided,<br />

Jayne exemplifies <strong>the</strong> advance practice role, clinician, leader, change agent, and transferor <strong>of</strong><br />

knowledge every day in her practice. She is a role model for advance practice nursing.”<br />

Mary Denise Smith, RN, Palliative Medicine and Comfort Care


Jessica Jordan, BSN, RN, CPN<br />

RN, DCH 9S Pediatrics Acute Care Surgical Unit<br />

Manager: Janie Johnson<br />

Jessica is a nursing pr<strong>of</strong>ession role model who continually<br />

contributes to <strong>the</strong> advancement <strong>of</strong> nursing on 9S and<br />

throughout OHSU.<br />

Jessica has been an active participant on <strong>the</strong> unit for 8 years,<br />

beginning as a hospital unit coordinator while she obtained<br />

her nursing degree at OHSU School <strong>of</strong> Nursing. In her six<br />

years as a nurse, she has distinguished herself in numerous<br />

roles: as an effective and efficient charge nurse, chair <strong>of</strong> 9S’s<br />

unit-based nursing practice committee (UBNPC), magnet<br />

champion, and as a member <strong>of</strong> <strong>the</strong> Pain Resource Nurse<br />

(PRN) team.<br />

As a PRN team member, Jessica’s leadership and scientific<br />

inquiry resulted in improved PCA assessment and<br />

documentation, increased utilization <strong>of</strong> nonpharmacological<br />

methods for treating pain, and consistent use <strong>of</strong><br />

developmentally appropriate pain assessment scales. She<br />

effectively brings this evidence-based practice on pain<br />

control to 9S staff. She utilizes her increased knowledge <strong>of</strong><br />

pain management in her own practice, and is a mentor and<br />

advocate for all unit nurses and patients. Her leadership has<br />

transformed <strong>the</strong> culture <strong>of</strong> post-operative pain management<br />

on 9S and throughout <strong>the</strong> hospital.<br />

Jessica was a driving force in <strong>the</strong> unit’s development <strong>of</strong> <strong>the</strong>ir<br />

patient experience signature moment, “Family Wise”, to<br />

recognize families as <strong>the</strong> expert on <strong>the</strong> child, and worked on a<br />

campaign to increase patient and families’ ability to<br />

communicate with staff through dry erase white boards in each<br />

room.<br />

Jessica’s infectious energy and incredible follow-through make<br />

her a “go-to” nurse to precept new nurses and students. She<br />

has recently become an adjunct pr<strong>of</strong>essor at Linfield College,<br />

transferring her passion for nursing to <strong>the</strong> next generation.<br />

“Jessica is a role model for <strong>the</strong> students she precepts and <strong>the</strong><br />

nurses she works alongside. Her commitment to excellent<br />

patient and family centered care, and genuine caring shows in<br />

her everyday work. I aspire to emulate <strong>the</strong> qualities that she<br />

demonstrates both in her bedside care and as a change agent<br />

advocating for excellence in nursing. Jessica is one <strong>of</strong> my<br />

favorite nurses to partner with on PACS. She is pr<strong>of</strong>essional,<br />

team-oriented, quality-minded, visionary, caring, and fun.”<br />

Kelly Klos, RN Peer<br />

The Advancing & Leading <strong>the</strong> Pr<strong>of</strong>ession category is described as “a nurse who leads and advances or<br />

streng<strong>the</strong>ns nursing, ei<strong>the</strong>r as a pr<strong>of</strong>ession or in <strong>the</strong> delivery <strong>of</strong> patient care within and beyond OHSU. In rolebased<br />

practice, this nurse is a scientist who monitors and evaluates standards, measures expertise and practice<br />

excellence, and links pr<strong>of</strong>essional role with outcomes."


“I have always been a critical thinker with a bent for compassion.<br />

My first jobs out <strong>of</strong> college were community service based, but in<br />

my heart I knew something was missing. I had a moment <strong>of</strong><br />

clarity when I felt like God called me to return to school to<br />

become a nurse. Honestly, I knew very little about <strong>the</strong> scope <strong>of</strong><br />

<strong>the</strong> pr<strong>of</strong>ession until a few weeks into <strong>the</strong> program at OHSU. I<br />

recall <strong>the</strong> moment where I gratefully realized that in <strong>the</strong> nursing<br />

pr<strong>of</strong>ession I had found my perfect match. This future lying before<br />

me was <strong>the</strong> ideal combination <strong>of</strong> science and caring, <strong>of</strong> problem<br />

solving and compassion, and <strong>of</strong> creativity and healing.<br />

Like most new nurses, my first couple <strong>of</strong> years helped me gain<br />

confidence in my skills and nursing basics. It was my participation<br />

in <strong>the</strong> PRN program that lit <strong>the</strong> fire in me to realize that, even as a<br />

young nurse, armed with a little evidence and a lot <strong>of</strong> creativity<br />

and hard work, I could impact lasting change that would reach<br />

beyond just <strong>the</strong> patients I personally cared for. I saw that<br />

decisions driven by <strong>the</strong> PRN team directly improved pain<br />

management for every single patient on my unit. By participating<br />

in shared governance, my goal has been to incorporate <strong>the</strong> best<br />

that every 9S nurse brings from his or her individual practice into<br />

a team vision to drive <strong>the</strong> standard <strong>of</strong> nursing care on PACS. It<br />

has been an honor to see this amazing staff come toge<strong>the</strong>r to<br />

ensure that every patient and family cared for on PACS receives<br />

exemplary care augmented by our staff’s commitment to <strong>the</strong> very<br />

best <strong>of</strong> knowledge, healing, caring, and service.<br />

There are days when we see amazing result <strong>of</strong> our team’s efforts.<br />

There are days when things don’t go as planned or when <strong>the</strong>re<br />

are frustratingly few resources. In those times, I’m unspeakably<br />

thankful for my family and friends, namely my mom, <strong>the</strong> world’s<br />

best husband Matt, and my two perfect boys Tyler (5) and Gavin<br />

(2) who, even though it’s hard, willingly share <strong>the</strong>ir mommy<br />

‘because she takes care <strong>of</strong> kids who are sick.’ Most importantly,<br />

to <strong>the</strong> One who led me here in <strong>the</strong> first place: ‘Now to HIM who<br />

is able to do far more abundantly than all that we ask or think,<br />

according to <strong>the</strong> power at work within us, to HIM be glory.’<br />

Ephesians 3:20.”<br />

Jessica Jordan<br />

“Jessica is a take charge person who is able to<br />

present imaginative ideas to <strong>the</strong> staff with a<br />

focus on patient care. She role models<br />

providing compassionate care to our patients &<br />

families and is frequently recognized by<br />

patients and families as a nurse who <strong>the</strong>y felt<br />

provided excellent care.<br />

She is able to creatively solve problems, is<br />

honest in her communication, and uses sound<br />

judgment when making decisions. When faced<br />

with dire circumstances, Jessica is able to<br />

confidently lead <strong>the</strong> team and carry <strong>the</strong>m along<br />

at every point. She also takes ownership and<br />

responsibility when things do not go as<br />

planned. She is a morale booster for <strong>the</strong> staff<br />

when we have a busy day or when faced with<br />

limited resources. She has demonstrated her<br />

dedication to PACS and takes pride in her<br />

leadership role. “<br />

Janie Johnson, Nurse Manager<br />

Jessica and her family


Maki Kato, C.N.A.<br />

C.N.A. II and Hospital Unit Coordinator, 7A Trauma ICU<br />

Manager: Tracy Neidetcher<br />

Maki Kato works ceaselessly within her scope <strong>of</strong> practice to make<br />

sure that <strong>the</strong> unit functions optimally. Her positive attitude and<br />

compassion, energy, efficiency, and follow-through are cited by<br />

many. She has a an excellent bedside manner, and is skilled in<br />

developing rapport with even <strong>the</strong> most difficult patients.<br />

Maki is currently a nursing student, and we look forward to<br />

watching as her nursing career develops.<br />

“Maki is <strong>the</strong> hardest working<br />

C.N.A. that I have<br />

witnessed…She has<br />

excellent bedside manner<br />

and develops rapport with<br />

even <strong>the</strong> most difficult<br />

trauma patients. Maki has<br />

helped me in my bedside<br />

education <strong>of</strong> medications on<br />

several occasions due to her<br />

ability to connect with her<br />

patients and gain <strong>the</strong>ir trust.”<br />

Greg Roberti, Pharmacist<br />

“We only recently have had <strong>the</strong> luxury <strong>of</strong> having Maki join our team. She is definitely a<br />

blessing to our unit and has made an impression on all very quickly. Not only is she<br />

supportive to <strong>the</strong> staff, but she is so supportive to our patients and families.<br />

On Thursday night, we had a patient who had been estranged from his family and was<br />

dying. Maki stayed over after her shift to hold his hand so he would not be alone when<br />

he died.<br />

When we had <strong>the</strong> large bus accident, Maki was one <strong>of</strong> those who really helped to ease<br />

<strong>the</strong> families that we encountered. Most <strong>of</strong> <strong>the</strong> families admitted to TICU were Korean and<br />

although Maki is not Korean, she understood <strong>the</strong>ir culture well enough to help us greatly.<br />

She immediately bowed to all <strong>of</strong> <strong>the</strong> family members as <strong>the</strong>y entered our unit, helped<br />

comfort <strong>the</strong>m with <strong>the</strong> translators and just provided an added sense <strong>of</strong> security with her<br />

actions.<br />

Maki is <strong>the</strong> ultimate multi-tasker and can seem to make a million things happen at once.<br />

She is currently in nursing school and I will do anything in my power to keep her in our<br />

unit as a nurse after her graduation. It would be a huge loss to OHSU if she ever decides<br />

to leave.” Tracy Neidetcher, Nurse Manager<br />

The Ancillary Staff category is described as “a CNA, CMA, LPN, EMT, technician (surgical, telemetry, mental health, or o<strong>the</strong>r<br />

specialty technician) or hospital unit coordinator who supports nursing with excellence in patient care."


“When Maki was on <strong>the</strong> floor, I<br />

knew I would have a great day.<br />

When I worked with her, we<br />

discussed <strong>the</strong> care <strong>of</strong> patients and<br />

plan for <strong>the</strong> day in <strong>the</strong> morning. In<br />

addition, throughout <strong>the</strong> day she<br />

was great about following up with<br />

tasks she had completed and how<br />

<strong>the</strong> patient has tolerated <strong>the</strong> task.<br />

In one particular instance, for<br />

several weeks <strong>the</strong> unit was caring<br />

for a teenage boy with very<br />

complex psychological and social<br />

needs. I had been caring for <strong>the</strong><br />

patient for approximately two<br />

weeks and due to his psychological<br />

needs, he required a PSA. Maki<br />

was <strong>the</strong> PSA and she went above<br />

and beyond her PSA duties. She<br />

was able to connect with this<br />

patient in a way no one else could.<br />

He went on a hunger strike and she<br />

convinced him to start eating.<br />

When he went on a personal<br />

hygiene strike, she was able to help<br />

him into <strong>the</strong> shower. She was able<br />

to engage him in conversation and<br />

get him to participate in his daily<br />

care.”<br />

Angie Casillas, RN<br />

former co-worker on 13A<br />

“Although I have always been fascinated with medicine and human<br />

physiology, my story is not that <strong>of</strong> someone who always wanted to be a<br />

nurse. My Initial training was in exercise and sports science and I worked<br />

as <strong>the</strong> fitness director <strong>of</strong> a physical <strong>the</strong>rapy clinic and found <strong>the</strong> work fun<br />

and rewarding. I enjoyed working with clients and being part <strong>of</strong> <strong>the</strong>ir<br />

recovery, and it was very gratifying to see <strong>the</strong>m getting to return to <strong>the</strong><br />

activities <strong>the</strong>y once enjoyed. When I lost my job at <strong>the</strong> beginning <strong>of</strong> <strong>the</strong><br />

recession in 2009, it gave me an opportunity to reflect on <strong>the</strong> things I<br />

wanted to do in my life. I knew I wanted to continue to help people with<br />

<strong>the</strong> challenging process <strong>of</strong> recovery from illness and injury and to be a part<br />

<strong>of</strong> <strong>the</strong>ir rehabilitation process, but, at <strong>the</strong> same time, I wanted some<br />

change in my life. That’s when I decided to obtain a CNA certification to<br />

see if nursing is something I would enjoy as much as physical <strong>the</strong>rapy.<br />

Being a CNA may not be <strong>the</strong> most glamorous job in <strong>the</strong> eyes <strong>of</strong> <strong>the</strong> world<br />

or health care community, and it sure is not on many days, but I could not<br />

ask for a more rewarding job. When <strong>the</strong> patients say that I made <strong>the</strong>ir day<br />

or I helped <strong>the</strong>m to feel human again, it gives me a feeling that my work is<br />

meaningful and important. Working as a CNA on 13A (Trauma and<br />

Emergency General Surgery) taught me a great deal about teamwork and<br />

achieving a common goal: <strong>the</strong> compassionate care for each individual. I<br />

am extremely honored to receive this award, however, I couldn’t have<br />

achieved this without <strong>the</strong> support <strong>of</strong> all <strong>the</strong> o<strong>the</strong>r members <strong>of</strong> <strong>the</strong> patient<br />

care team. I think that’s ano<strong>the</strong>r reason I enjoy my job - nursing is a team<br />

sport. One person cannot effectively care for people in need, but with<br />

everyone working toge<strong>the</strong>r, I have witnessed incredible care and<br />

subsequently amazing recovery in very ill patients.<br />

I recently joined <strong>the</strong> TICU team on 7A. The TICU team is made up <strong>of</strong><br />

incredible nurses who truly care for <strong>the</strong>ir patients. They are my role<br />

models for how I want to be once I obtain my RN license. I appreciate <strong>the</strong><br />

co-workers and friends who have nominated me for this award and been<br />

supportive during my time at OHSU. All my co-workers’ daily commitment<br />

and passion for patient care inspires me and allows me to learn more<br />

about how to care better for people in need every day.”<br />

Maki Kato


Lisa Bloker, BSN, RN<br />

RN/Care Coordinator, Digestive Health Center<br />

Manager: Meagan Schuette<br />

Lisa Bloker is described as “<strong>the</strong> connector, <strong>the</strong> glue” that<br />

holds <strong>the</strong> esophageal team toge<strong>the</strong>r. Her extraordinary<br />

knowledge <strong>of</strong> her patients means that she is <strong>of</strong>ten looked<br />

upon as a resource for residents, surgeons, and ancillary<br />

staff members to answer questions about patient<br />

histories, insurance status, and any social issues that need<br />

to be considered before, during, or after <strong>the</strong> patients'<br />

surgeries. As care coordinator for eight years, she is<br />

confident with <strong>the</strong> expertise <strong>of</strong> a seasoned veteran.<br />

As care coordinator, Lisa assists patients and families as<br />

<strong>the</strong>y navigate through <strong>the</strong> OHSU health care system, and<br />

<strong>the</strong>n coordinates discharge planning back to <strong>the</strong> patients’<br />

referring providers and community.<br />

Lisa is instrumental to coordinating <strong>the</strong> service’s bi-weekly<br />

multidisciplinary care conference for esophageal<br />

malignancies. She develops educational material for <strong>the</strong><br />

patients, teaches <strong>the</strong>m preoperative care, and provides<br />

love, compassion, and understanding to each interaction.<br />

Lisa is involved in role development and process<br />

improvement, both with <strong>the</strong> Patient Care Team Model in<br />

<strong>the</strong> Digestive Health Center (which includes <strong>the</strong> phone<br />

operators, schedulers, medical assistants and nurse), as<br />

well as development <strong>of</strong> <strong>the</strong> new care coordination role for<br />

<strong>the</strong> ambulatory pr<strong>of</strong>essional nurse. Lisa works closely<br />

with <strong>the</strong> ambulatory pr<strong>of</strong>essional practice leader and<br />

o<strong>the</strong>r care coordinators within ambulatory care to ensure<br />

that nursing is involved with <strong>the</strong> planning phases <strong>of</strong> this<br />

important role.<br />

Lisa contributes to OHSU’s discovery mission through<br />

involvement in GERD research. She accompanies <strong>the</strong><br />

patients to <strong>the</strong> OR when required to assist with<br />

interrogation <strong>of</strong> gastric stimulators, and follows patients in<br />

<strong>the</strong> ambulatory setting to determine success or failure <strong>of</strong><br />

<strong>the</strong> procedure.<br />

Lisa helped to lead many attending physicians, residents,<br />

and fellows through <strong>the</strong> transition to Epic and OpTime<br />

electronic health records, with great willingness to teach<br />

how to use <strong>the</strong> system to its fullest.<br />

Lisa uses <strong>the</strong> pr<strong>of</strong>essional nursing model to impact patient<br />

outcomes and is lauded for her abilities to work side by<br />

side with <strong>the</strong> medical model.<br />

The Clinical Care category is described as “a nurse who demonstrates excellence as a practitioner <strong>of</strong> direct care delivery in<br />

any clinical setting. This practitioner directs and manages care in a <strong>the</strong>rapeutic manner to inspire o<strong>the</strong>rs to transform,<br />

and to transform practice."


“My esophagectomy patients (I could name<br />

50 <strong>of</strong> <strong>the</strong>m) come to OHSU with one <strong>of</strong> <strong>the</strong><br />

worst diagnoses in medicine, esophageal<br />

cancer, referred for one <strong>of</strong> <strong>the</strong> most morbid<br />

operations in medicine, esophagectomy.<br />

Needless to say, <strong>the</strong>y are PETRIFIED when<br />

<strong>the</strong>y walk into clinic with <strong>the</strong>ir families.<br />

Thanks to Lisa, and <strong>the</strong> whole DHC and<br />

Knight Cancer Center team, <strong>the</strong>se patients<br />

leave <strong>the</strong> hospital 12 weeks later with a new<br />

life in front <strong>of</strong> <strong>the</strong>m, most <strong>of</strong> <strong>the</strong> time. During<br />

<strong>the</strong>se 12 weeks, and for 3-6 months beyond<br />

<strong>the</strong> 12 weeks <strong>of</strong> active <strong>the</strong>rapy, <strong>the</strong>y have a<br />

million needs and questions. Lisa –<br />

tirelessly – takes care <strong>of</strong> each one <strong>of</strong> <strong>the</strong>m<br />

as if <strong>the</strong>y were <strong>the</strong> only person in <strong>the</strong> world<br />

she has to worry about. When I see <strong>the</strong>m in<br />

clinic, <strong>the</strong>re is little for me to do, as Lisa has<br />

taken care <strong>of</strong> <strong>the</strong>m so well. BRAVO!”<br />

John Hunter, MD<br />

Chair, Department <strong>of</strong> Surgery<br />

“Over <strong>the</strong> past 2 years, we have had a<br />

dinner, which precedes our annual<br />

Esophageal Cancer Research Retreat.<br />

Each time, multiple patients have come up<br />

to me and overtly commented on how<br />

grateful to Lisa <strong>the</strong>y are, both before, during,<br />

after <strong>the</strong>ir immediate care by <strong>the</strong><br />

multidisciplinary esophageal cancer<br />

team…Lisa Bloker is a gem to work with.<br />

She believes in <strong>the</strong> missions <strong>of</strong> OHSU and<br />

lives <strong>the</strong>m every single day.”<br />

Charles R. Thomas, MD<br />

“She makes esophageal cancer treatment at<br />

OHSU work, and, amazingly, she makes it<br />

look easy.” Ken Gatter, MD<br />

“When I was a student I only envisioned my nursing career in one light - acute care<br />

nursing. I loved <strong>the</strong> feel <strong>of</strong> <strong>the</strong> hospital, <strong>the</strong> constantly changing environment, <strong>the</strong><br />

never ending list <strong>of</strong> technical tasks and procedures, and <strong>the</strong> diverse patient<br />

population. I was young, energetic, and idealistic. For about 4 years I lived my dream<br />

until I suffered an on <strong>the</strong> job injury. After a lengthy recuperation, I was advised that it<br />

would be in my best interest medically to ei<strong>the</strong>r leave nursing or find a position that<br />

didn't require lifting. I struggled with <strong>the</strong> decision but eventually accepted my current<br />

position within <strong>the</strong> Digestive Health Center. When I advised my peers <strong>of</strong> my decision,<br />

<strong>the</strong> reaction was one not <strong>of</strong> support and congratulations but one <strong>of</strong> disdain.<br />

Comments such as "So you're not going to be a real nurse any longer?" and "Why are<br />

you giving up nursing?" occurred so frequently that I actually started to believe <strong>the</strong>m.<br />

How little did I know! My role as a Patient Care Coordinator has been more<br />

challenging and more rewarding than anything I ever could have imagined and over<br />

<strong>the</strong> last 8 years, I feel I've truly learned what it means to be a Nurse!<br />

I've been blessed to work with an amazing team <strong>of</strong> physicians and staff who have<br />

encouraged me to develop and define my nursing practice. Part <strong>of</strong> my role includes<br />

working with a multidisciplinary team that focuses on <strong>the</strong> care <strong>of</strong> patients with<br />

esophageal cancer. This is a patient population that I never thought I'd work closely<br />

with but I've found that I love it and can't imagine working anywhere else.<br />

Every day I am amazed at <strong>the</strong> strength and perseverance <strong>of</strong> our patients. Working<br />

with <strong>the</strong>m is both awe-inspiring and heartbreaking and I can't help but feel honored<br />

to be a part <strong>of</strong> my patient's lives during this difficult time. To listen to <strong>the</strong>ir stories,<br />

<strong>the</strong>ir fears, <strong>the</strong>ir joys, to laugh with <strong>the</strong>m and sometimes cry with <strong>the</strong>m is a gift from<br />

God. They have taught me so much about life and living and I know I will ever be able<br />

to return what <strong>the</strong>y've given to me. It is my hope that if I can ease some <strong>of</strong> <strong>the</strong>ir fear<br />

or make life a little easier by <strong>of</strong>fering a word <strong>of</strong> reassurance, assistance with<br />

navigating a test or procedure, answering a few questions, or simply sharing a smile I<br />

might be giving some <strong>of</strong> what I've learned back to <strong>the</strong>m.<br />

Working in Patient Care Coordination and ambulatory medicine may have never been<br />

my "dream job" but it is one I will be forever grateful for. I feel humbled and deeply<br />

honored to have been nominated and selected for this award. Thank you!”<br />

Lisa Bloker<br />

The Clinical Care category is described as “a nurse who demonstrates excellence as a practitioner <strong>of</strong> direct care delivery in<br />

any clinical setting. This practitioner directs and manages care in a <strong>the</strong>rapeutic manner to inspire o<strong>the</strong>rs to transform,<br />

and to transform practice."


Linda Louise Tschida, BS, RN<br />

RN, 5C Family Medicine<br />

Manager: Megan Boyle<br />

Linda’s commitment to community service is remarkable. In<br />

<strong>the</strong> past years nurses have been recognized for <strong>the</strong> work<br />

<strong>the</strong>y have done on medical missions and outside <strong>of</strong> our<br />

immediate community. Linda is a nurse who serves in her<br />

own backyard. She thinks globally and acts locally. When<br />

you think about <strong>the</strong> stories you are about to read, keep in<br />

mind that Linda works full-time as a bedside nurse on 5C.<br />

She does <strong>the</strong>se remarkable tasks in addition to her regular<br />

work schedule.<br />

As I volunteer in a variety <strong>of</strong> settings, my desire is to be<br />

available for people in ways that are meaningful to <strong>the</strong>m.<br />

I have not always known exactly where <strong>the</strong> adventure will<br />

lead me, whom I will meet, or what <strong>the</strong> outcome will be,<br />

but it has never failed to enrich my life.<br />

Linda Tschida<br />

Linda does not usually perform her community service<br />

activities alone, but accompanied by one <strong>of</strong> her four-legged<br />

helpers. Linda and her labradoodles, Laci and Becca, make<br />

appearances at hospitals, schools, jails, nursing homes, and<br />

homeless shelters. Laci and Becca are certified as Animal<br />

Assisted Therapy (AAT) dogs that undergo rigorous training<br />

and maintain bi-annual competencies. Linda describes how she and her dogs impact those in need:<br />

During <strong>the</strong> months <strong>of</strong> December to March each year, our church combines efforts with o<strong>the</strong>r churches to coordinate and maintain an evening<br />

shelter for up to 40 homeless people each night to provide volunteers, dinner, and a place to sleep with breakfast in <strong>the</strong> morning. Once a week<br />

during this time, I take one <strong>of</strong> my dogs (Laci or Becca) and we go as a <strong>the</strong>rapy team just to visit, play games, talk, and hang out with <strong>the</strong> people<br />

staying <strong>the</strong>re for <strong>the</strong> night and with <strong>the</strong> staff. Many people spend more time with my dog than with me (and I understand that – I think my<br />

dogs are special too!) Recently when we entered <strong>the</strong> shelter, Becca paused and turned to <strong>the</strong> right, not <strong>the</strong> left as usual. I could tell she was on<br />

a mission so I let her lead me. Without hesitation she went to two gentlemen on a couch. She looked at both men, gently got up on <strong>the</strong> couch<br />

between <strong>the</strong>m, and carefully leaned on <strong>the</strong> man sitting on our left. As she leaned into him, he leaned into her, and without saying a word he put<br />

his arms around her and hugged her. He was silent and for <strong>the</strong> next 20 minutes nei<strong>the</strong>r he nor Becca moved. Tears started to fall from his face.<br />

O<strong>the</strong>r people from <strong>the</strong> shelter walked by and said that <strong>the</strong>y were glad Becca was <strong>the</strong>re because "John really was depressed". After 20 minutes,<br />

John began talking to me about his family, his dogs, his past occupations, his fears about where he would go after <strong>the</strong> shelter closed, and ideas<br />

The Community Service category is described as "A nurse who makes significant pr<strong>of</strong>essional or voluntary contributions to<br />

<strong>the</strong> community. Through community service, <strong>the</strong> nurse transfers knowledge in a manner that promotes dialogue, open<br />

communication and interdisciplinary relationships within <strong>the</strong> community setting."


he had about getting back on his feet. Becca sensed an<br />

individual's need, went to <strong>the</strong> person and was available to meet<br />

<strong>the</strong> need. I was fortunate enough to be on <strong>the</strong> o<strong>the</strong>r end <strong>of</strong> <strong>the</strong><br />

leash.<br />

Because Linda and her dogs are active with AAT<br />

certification, <strong>the</strong>y are also allowed <strong>the</strong> privilege to be<br />

involved with <strong>the</strong> Canine Crisis Response groups. Linda<br />

describes her community service activities as <strong>the</strong>y relate<br />

to <strong>the</strong> Crisis Response Group:<br />

• Through this group, I am involved in <strong>the</strong> Washington<br />

County Sheriff Department Chaplain program. We<br />

coordinate with <strong>the</strong> Chaplain's program to provide weekly<br />

AAT visits for inmates at <strong>the</strong> jail. These visits provide a time<br />

for <strong>the</strong> inmates to connect with <strong>the</strong> dogs and with us.<br />

Having <strong>the</strong> dogs present helps people become more relaxed<br />

and <strong>the</strong>y are able to be someone o<strong>the</strong>r than an inmate.<br />

They may talk about <strong>the</strong>ir frustrations, <strong>the</strong>ir favorite dog,<br />

family, or what <strong>the</strong>y want to do in <strong>the</strong> future. The Sheriff's<br />

department has also utilized this Crisis Response group<br />

when <strong>the</strong>re have been suicides in <strong>the</strong> jail or in <strong>the</strong><br />

community.<br />

• Through <strong>the</strong> Cascade Crisis Response Group we worked<br />

with Providence Healthcare at Camp Erin. This is a summer<br />

camp for young people who have experienced <strong>the</strong> loss <strong>of</strong> a<br />

loved one. As a Crisis Response group we are available for<br />

campers and staff. During one experience, I was working<br />

with a camper who did not feel comfortable sharing her<br />

feelings with <strong>the</strong> group. I noticed she spent time playing<br />

and talking with my dog Laci. Laci loved fetching sticks,<br />

wading in <strong>the</strong> water with <strong>the</strong> girl, and playing on <strong>the</strong> creek<br />

bank. I realized that all <strong>the</strong> while, <strong>the</strong> girl was telling Laci<br />

about her loss and about her feelings. I felt very contented<br />

that Laci and I were <strong>the</strong>re and that Laci was able to provide<br />

something for this girl that no human had been able to do<br />

during <strong>the</strong> trip.<br />

Linda donated two <strong>of</strong> her Labradoodle puppies, Hope<br />

and Heidi, to be trained by <strong>the</strong> Autism Service Dogs <strong>of</strong><br />

America to become service dogs for autistic children:<br />

After donating Hope and Heidi, I had <strong>the</strong> privilege <strong>of</strong><br />

volunteering time to participate in <strong>the</strong>ir training. Hope and<br />

Heidi have recently been placed in families with Autistic<br />

children. Heidi lives on <strong>the</strong> college campus at Irvine, California<br />

with her boy and his family. Hope is living in Dallas, Texas<br />

with her boy named Gray. Hope's family has established a<br />

website called "Hope for Gray" to help raise awareness about<br />

Service Dogs for autistic children and raise funds for families<br />

wanting to obtain a Service Dog for <strong>the</strong>ir autistic child.<br />

Through her work with <strong>the</strong> autism training, Linda found a<br />

new skill which she <strong>the</strong>n transferred to training o<strong>the</strong>r<br />

service dogs.<br />

I know a couple, Paulie and Chuck. Chuck as early Alzheimer's<br />

disease and his physician thought a Service Dog could be<br />

beneficial. They adopted an adult Cocker Spaniel named Dakota<br />

from a shelter. However, <strong>the</strong>y did not know much about <strong>the</strong><br />

dog's background and asked if I could help <strong>the</strong>m work with <strong>the</strong><br />

I have been working with Linda for <strong>the</strong> past 2 years. Recently we have worked closely toge<strong>the</strong>r on <strong>the</strong> Nurses Improving<br />

Care for Healthsystem Elders (NICHE) leadership training program. During this program I had <strong>the</strong> privilege experiencing<br />

Linda’s compassion for <strong>the</strong> elderly community. During <strong>the</strong> NICHE application process, Linda stated “it is also important to<br />

be aware <strong>of</strong> factors that influence <strong>the</strong> patient and <strong>the</strong>ir health such as family dynamics, support systems, previous living<br />

situations and possible changes that may require changes in living situations - ei<strong>the</strong>r temporarily or permanently.” This<br />

statement demonstrates Linda’s ability to care holistically for her patients both inside and outside <strong>the</strong> hospital. Linda takes<br />

this view with her when she works within <strong>the</strong> community. It is individuals like Linda who make such an everlasting impact<br />

on those she becomes in contact with. Her contributions to <strong>the</strong> community have impacted many lives, and it is time for<br />

Linda to receive <strong>the</strong> recognition she deserves. Sarah Strom, Pr<strong>of</strong>essional Practice Leader


Linda and her dogs do great and important work<br />

for <strong>the</strong> community, but <strong>the</strong> impact <strong>of</strong> Linda’s<br />

volunteerism does not stop with <strong>the</strong><br />

community. Linda brings all her experiences<br />

with her every time she comes to work on 5c,<br />

giving her a unique perspective and ability to<br />

care for <strong>the</strong> patient population that 5C serves. I<br />

can’t think <strong>of</strong> a RN who is more deserving <strong>of</strong> <strong>the</strong><br />

Community Service Nurse <strong>of</strong> <strong>the</strong> <strong>Year</strong> award<br />

than Linda Tschida.<br />

Megan Boyle, interim Nurse Manager<br />

dog to train it to be Chuck's Service Dog. One <strong>of</strong> <strong>the</strong>ir<br />

short-term goals was to be able to fly out <strong>of</strong> state to visit<br />

family with Dakota staying in <strong>the</strong> cabin <strong>of</strong> <strong>the</strong> plane and<br />

behaving in a calm, appropriate manner. I spent time<br />

evaluating <strong>the</strong> dog's temperament, her responses in<br />

different situations and environments, and her owner's<br />

skills and knowledge. We spent time doing such things as<br />

walking in neighborhoods with traffic and dogs barking.<br />

We helped Dakota develop her obedience skills and boost<br />

her confidence and connection with her owners. Because<br />

Dakota <strong>of</strong>ten reacted to o<strong>the</strong>r dogs, I involved Becca in<br />

Dakota's training because Becca is a very non-reactive and<br />

non-threatening dog. We even got permission to go<br />

behind <strong>the</strong> scenes at <strong>the</strong> Hillsboro Airport so that Dakota<br />

could experience some <strong>of</strong> <strong>the</strong> noises, vibrations, and wind<br />

gusts associated with airplanes and helicopters. Dakota is<br />

still growing in her role as a Service Dog but she did go on<br />

<strong>the</strong> airplane in <strong>the</strong> cabin with her owners to visit family.<br />

That was a wonderful accomplishment for both Dakota<br />

and Chuck and Paulie.<br />

Linda has also volunteered with <strong>the</strong> Oregon Zoo for 13<br />

years with special events, animal husbandry, animal<br />

observations, educational activities and Zoo Lights.<br />

Beyond <strong>the</strong> animal community, Linda volunteers at a foot<br />

clinic providing free foot care such as nail trimming, foot<br />

soaks, and foot massages. Because <strong>of</strong> her expertise as a<br />

nurse she <strong>of</strong>ten provides o<strong>the</strong>r services such as blood<br />

pressure checks. She describes <strong>the</strong> clinic:<br />

This foot clinic has a special place in my heart. This is a time that<br />

I can do something very tangible for o<strong>the</strong>rs that <strong>the</strong>y cannot do<br />

for <strong>the</strong>mselves. The way this clinic is physically arranged it<br />

provides a wonderful time <strong>of</strong> interaction, laughter, and sharing<br />

among those receiving foot care and those giving <strong>the</strong> foot care.<br />

Many <strong>of</strong> <strong>the</strong> participants have known each o<strong>the</strong>r for many years<br />

and this becomes a time <strong>of</strong> catching up, checking in, and<br />

reaffirming <strong>of</strong> one ano<strong>the</strong>r's worth. It is also great to see family<br />

members enjoying this time toge<strong>the</strong>r, whe<strong>the</strong>r it is couples or<br />

adult children with <strong>the</strong>ir parent(s).<br />

Linda is an exceptional nurse who selflessly gives from<br />

her heart.<br />

Above: Linda and Becca. Becca is a certified<br />

Animal Assisted Therapy dog and crisis<br />

response work certified. Right: Linda saying<br />

goodbye to Heidi, <strong>the</strong> service dog she trained<br />

for an autistic boy in California.


Kathryn Conway, BSN, RN<br />

RN, 7A Trauma ICU<br />

Manager: Tracy Neidetcher<br />

Kathy is a passionate, expert critical care nurse with over 20<br />

years <strong>of</strong> experience in OHSU’s Trauma ICU. She has an<br />

incredible knowledge base in critical care and is always willing<br />

to go above and beyond to help out a patient or a fellow RN.<br />

The unit’s Critical Response Nurse (CRN) program has<br />

benefitted from Kathy’s expertise. She was one <strong>of</strong> <strong>the</strong> first<br />

nurses involved in <strong>the</strong> program, and she continues to work<br />

towards making it strong and pr<strong>of</strong>icient. She has helped to<br />

create a new CRN job description, orientation process and<br />

helped plan an education day, recognizing that we must create<br />

a program that develops strong nurses if OHSU is to maintain<br />

credibility within <strong>the</strong> state trauma system.<br />

Kathy is involved with unit quality improvement and process<br />

improvement projects to improve patient safety. She actively<br />

performs audits <strong>of</strong> <strong>the</strong> CRN charts, and has brought to light<br />

needed documentation improvements. She is always willing to<br />

be present to ensure <strong>the</strong> process changes run smoothly. One<br />

recent example was a change in Massive Transfusion Protocol<br />

and how blood bank blood is accessed during a major trauma<br />

protocol. Kathy came in to do mock trials on her day <strong>of</strong>f to<br />

ensure that everyone on <strong>the</strong> unit knew <strong>the</strong> process and potential barriers.<br />

“As a Critical Response<br />

Nurse at OHSU I am<br />

proud to be part <strong>of</strong> a<br />

team <strong>of</strong> nurses, doctors,<br />

paramedics and o<strong>the</strong>r staff who share a common goal<br />

to provide Oregonians with world-class trauma care.<br />

Much <strong>of</strong> <strong>the</strong> success <strong>of</strong> this team is due to <strong>the</strong><br />

excellent and compassionate care that our nurses<br />

give to <strong>the</strong> injured patients. The CRN role takes me<br />

to many locations in <strong>the</strong> hospital where I am inspired<br />

by our well-educated and engaged nurses throughout<br />

<strong>the</strong> continuum <strong>of</strong> care. From <strong>the</strong> Emergency<br />

Department to <strong>the</strong> Trauma ICU to <strong>the</strong> Trauma ward<br />

on 13A - nurses do make <strong>the</strong> difference!<br />

I truly appreciate being awarded this honor. I equally<br />

appreciate <strong>the</strong> opportunity <strong>of</strong> working in a caring,<br />

supportive environment where nurses’ participation<br />

is encouraged and valued.”<br />

Kathryn Conway<br />

Kathy has been a nurse for a long time, but is not “burned out”. She has <strong>the</strong> same passion that new nurses have. She<br />

embraces change and loves what she does. She plays an integral role in <strong>the</strong> Trauma ICU, educating new nurses, assisting<br />

with Releasing Time to Care performance improvement efforts, and serving as <strong>the</strong> unit’s Magnet Champion.<br />

The Distinguished Nurse category is described as "An expert role-based nurse who has been in practice more than 15 years.<br />

This nurse has taken <strong>the</strong> lead through innovative leadership, fostering involvement in <strong>the</strong> pr<strong>of</strong>ession, or forming and<br />

engaging partnerships within <strong>the</strong> community."


Jennifer Fox, MSHCM, RN, CPN<br />

Nurse Manager, 9N Pediatric Acute Care Medical<br />

Manager: Ruby Jason<br />

Jenn began at OHSU as a new nursing graduate. A natural<br />

leader, she has transitioned through <strong>the</strong> roles <strong>of</strong> charge<br />

nurse, nursing practice education coordinator, and now<br />

serves 9N as nurse manager.<br />

The recent fire event in Doernbecher, which garnered<br />

“As a person who has grown up at OHSU (staff nurse,<br />

national attention, was a prime example <strong>of</strong> Jenn’s leadership educator, NPEC, manager) being a manager has been<br />

and capability. She was <strong>the</strong>re on a Saturday to make sure an <strong>the</strong> most challenging experience <strong>of</strong> my career so<br />

employee received <strong>the</strong>ir evaluation. Because she was <strong>the</strong>re, far. Though it is a roller coaster, <strong>the</strong> highs are so<br />

she was one <strong>of</strong> <strong>the</strong> responders, bringing <strong>the</strong> patient to <strong>the</strong> rewarding. During <strong>the</strong> lows, it is truly <strong>the</strong> team I work<br />

floor, rolling out <strong>the</strong> flames and getting <strong>the</strong> patient <strong>the</strong> help with every day that keeps me going. I am so proud to<br />

she needed. She <strong>the</strong>n saw to <strong>the</strong> safety <strong>of</strong> her staff and <strong>the</strong> say I am a part <strong>of</strong> <strong>the</strong> PACM team. As a manager, my<br />

emotional toll this had on everyone <strong>the</strong>re. She talked to<br />

role is to help move <strong>the</strong> team forward. I don’t pick<br />

parents, called <strong>the</strong> appropriate hospital administrator staff, <strong>the</strong> direction; I guide <strong>the</strong> team along <strong>the</strong> path, so we<br />

provided counseling and comfort opportunities and did not never get stuck.” Jennifer Fox<br />

leave until she was sure that every staff member was ok. In<br />

<strong>the</strong> ensuing days with <strong>the</strong> media attention, <strong>the</strong> fire marshal’s inspections, and <strong>the</strong> CMS survey Jenn’s openness and<br />

leadership were cited over and over as being a major source <strong>of</strong> evidence that <strong>the</strong> staff did all <strong>the</strong>y could to prevent this<br />

injury from becoming worse. She never lost her confidence in her staff, in <strong>the</strong>ir abilities, and in <strong>the</strong>ir intent to care for this<br />

patient and all <strong>the</strong> o<strong>the</strong>r patients on 9N.<br />

But one incident does not make a leader: Jenn continually shows her leadership and managerial expertise. O<strong>the</strong>r<br />

departments in <strong>the</strong> hospital seek her out to be a member <strong>of</strong> <strong>the</strong>ir committees due to her balanced approach, her clinical<br />

expertise and in her expertise in Epic documentation issues. Her passion for <strong>the</strong> patients, her passion for <strong>the</strong> staff and<br />

The Management category is described as “a nurse who demonstrates exceptional management <strong>of</strong> nursing or patient care<br />

services in any setting. This nurse manages <strong>the</strong> role and application to ensure that practice standards are upheld and that<br />

<strong>the</strong> environment is designed to support <strong>the</strong> nursing pr<strong>of</strong>essional role and nursing practice."


her management <strong>of</strong> where <strong>the</strong> two integrate have<br />

demonstrated that Jenn is a manager and a leader, a<br />

combination that not all managers possess. The<br />

organization can make you a manager, but only your<br />

staff can make you a leader. Jenn has earned <strong>the</strong><br />

respect <strong>of</strong> her staff. She is <strong>of</strong> a different generation<br />

than <strong>the</strong> majority <strong>of</strong> her staff but <strong>the</strong> widely publicized<br />

“generation gap” in nursing does not exist in her<br />

relationship with any <strong>of</strong> her staff members.<br />

Jenn is committed to patient experience. Several times<br />

a week, she rounds with families to learn about any<br />

concerns or complaints. She <strong>the</strong>n tackles systems and<br />

“I appreciate that when I go to Jenn with concerns or complaints<br />

about some issue I've come across, she finds <strong>the</strong> right balance <strong>of</strong><br />

giving me a moment to just vent followed by engaging me in<br />

discussion and problem-solving. If it's a systems issue, <strong>the</strong>n I can<br />

count on Jenn ei<strong>the</strong>r passing my thoughts on to <strong>the</strong> appropriate<br />

work group or brainstorming with me about what steps I can take<br />

to start tackling <strong>the</strong> problem myself. I love that my boss doesn't try<br />

to solve all <strong>of</strong> my problems for me but challenges me to get<br />

engaged in solutions.”<br />

Melanie, 9N RN<br />

communication issues to ensure that her staff have<br />

what <strong>the</strong>y need to provide excellent care.<br />

Communication is important to her, and she is skilled<br />

at inviting discussion on important topics and<br />

encouraging staff engagement in problem solving. Jenn<br />

welcomes change, and 9N has taken <strong>the</strong> role <strong>of</strong> pilot<br />

unit for multiple performance and quality<br />

improvement initiatives. On a daily basis, she is aware<br />

<strong>of</strong> <strong>the</strong> unit “pulse”, and is efficient, decisive, and<br />

thoughtful in her decision making.<br />

Jenn exemplifies <strong>the</strong> Nurse Manager needed in today’s<br />

healthcare environment.<br />

“When I look at Jenn, I see<br />

a future CNO”<br />

Jennifer Jacoby<br />

VP/Chief Nursing Officer<br />

“We are given <strong>the</strong> environment to grow and challenge ourselves intellectually and develop our own ways<br />

to improve <strong>the</strong> nursing pr<strong>of</strong>ession… I love how Jenn lets her employees be a part <strong>of</strong> <strong>the</strong> solution and <strong>the</strong><br />

development <strong>of</strong> 9N. Change is seen as a positive and potentially a groundbreaking instance, ra<strong>the</strong>r than<br />

as ano<strong>the</strong>r thing on <strong>the</strong> already long list to do.”<br />

Jess, 9N RN


John Elliott, BSN, RN, CPN<br />

RN/Staff Educator, Nursing Resource Management (Pediatric Float Pool)<br />

Manager: Peggy Woolf<br />

John Elliott epitomizes <strong>the</strong> pr<strong>of</strong>essional nurse. Whe<strong>the</strong>r he<br />

is working with patients directly, leading organizational<br />

projects, as a scientist looking at evidence-based practice,<br />

or transferring knowledge to his peers, patients, or<br />

leadership team, John does it in <strong>the</strong> finest way. John’s<br />

good heart and desire for patient-centered care, staff<br />

appreciation and organizational success makes him a<br />

highly engaged leader in Nursing Resource Management.<br />

As chair <strong>of</strong> <strong>the</strong> NRM’s unit-based nursing practice council<br />

(UBNPC) John has improved UBNPC efficiency, with timed<br />

meeting agendas, rethinking <strong>of</strong> retreat dates to allow for<br />

better planning, and helping to organize NRM’s<br />

Pr<strong>of</strong>essional Practice Day.<br />

John is committed to patient safety and quality<br />

improvement and part <strong>of</strong> a group dedicated to fall<br />

reduction. He keeps dialogue on fall prevention alive, and<br />

communicates fall trending and creative prevention<br />

approaches to float pool members.<br />

As staff educator for <strong>the</strong> Pediatric Float Pool, John<br />

collaborates on orientation for new hires, mentors and<br />

advocates for <strong>the</strong>m, and assures that Pediatric Float Pool<br />

RNs are up to date on competencies. He also enjoys<br />

precepting nursing students, and seeks <strong>the</strong> opportunity<br />

whenever he can.<br />

John has been key in developing and monitoring <strong>the</strong><br />

group’s signature moment patient experience project,<br />

“Face Time”, and spearheaded last year’s “Hit <strong>the</strong><br />

Breaks” project to ensure that float pool nurses receive<br />

breaks. He consistently encourages ongoing<br />

pr<strong>of</strong>essional certification and continuing education<br />

with his peers and provides <strong>the</strong>m with <strong>the</strong> tools to<br />

accomplish it.<br />

John’s influences reaches beyond OHSU: he was<br />

instrumental in forming a local chapter <strong>of</strong> <strong>the</strong> Society<br />

<strong>of</strong> Pediatric Nursing.<br />

John wrote <strong>the</strong> lyrics to OHSU Nursing’s Magnet video<br />

“The Dream is Alive in Portland”,<br />

which spo<strong>of</strong>ed <strong>the</strong> infamous Portlandia video.<br />

View <strong>the</strong> video on <strong>the</strong> Magnet web page<br />

(search 02 for “Magnet”).<br />

The Mentoring category is described as “a nurse who provides positive pr<strong>of</strong>essional influence, guidance, and support <strong>of</strong><br />

o<strong>the</strong>r nurses in any setting. This nurse inspires o<strong>the</strong>rs to transform service and care.”


I am humbled to receive this honor. I don’t know if it is<br />

that mentoring is something that comes naturally or if I<br />

just like to talk a lot. I think it’s more <strong>of</strong>ten <strong>the</strong> latter.<br />

Hopefully, though, when I talk I share thoughts, ideas,<br />

and useful information that benefits <strong>the</strong> hearer.<br />

There have been many individuals placed in my path over<br />

<strong>the</strong> course <strong>of</strong> my education and career who have served<br />

and (continue to serve me) by sharing what <strong>the</strong>y know<br />

and by motivating me to grow, develop, learn, and to<br />

share myself. One <strong>of</strong> <strong>the</strong> first phrases I remember<br />

hearing in nursing school was from my clinical instructor<br />

who constantly repeated, “See one, do one, <strong>the</strong>n teach<br />

one.” I sincerely believe that we are held accountable to<br />

<strong>the</strong> knowledge that we are blessed with and we are all<br />

indebted. We pay back that debt by sharing what we<br />

have learned to those whom we recognize can best<br />

utilize <strong>the</strong> information and benefit <strong>the</strong>mselves and<br />

o<strong>the</strong>rs by it.<br />

It’s more than transfer <strong>of</strong> knowledge though. My<br />

philosophy is that we also need to encourage one<br />

ano<strong>the</strong>r. We put up with a great many details and<br />

“John can be counted on 1000% to<br />

get <strong>the</strong> job done.”<br />

Peggy Woolf, Nurse Manager<br />

inconveniences in our workplaces. But we are here for a<br />

nobler purpose. And we are individually inadequate to<br />

<strong>the</strong> task. We are not a rock or an island.<br />

I recently returned from a conference and one <strong>of</strong> <strong>the</strong><br />

speakers said something I didn’t expect to hear. Most<br />

nurses, when prompted, will mechanically respond that<br />

(<strong>of</strong> course) <strong>the</strong> patient is <strong>the</strong> most important person in<br />

healthcare. It’s been drilled into us over and over again.<br />

But this speaker said, “The most important person in<br />

healthcare is YOU. Because if YOU are not <strong>the</strong>re, where<br />

IS healthcare? Who will provide it? What happens to<br />

<strong>the</strong> patient?” In order to be <strong>the</strong>re to meet <strong>the</strong> needs we<br />

must encourage, prod, remind, and lead each o<strong>the</strong>r<br />

toward <strong>the</strong> place where all <strong>the</strong> elements <strong>of</strong> great<br />

healthcare intersect.<br />

So, one more thing: if you have not already done so I<br />

encourage you to make your own statement <strong>of</strong><br />

commitment to excellence and get certified in your<br />

specialty.<br />

John Elliott<br />

“He is an encouragement to me in my role<br />

and I have learned from him in <strong>the</strong> way that<br />

he conducts himself in his RN role. In<br />

essence he is a mentor to all he encounters.”<br />

Kathy Buhler,<br />

Pr<strong>of</strong>essional Practice Leader


Jessica Jones, BSN, RN<br />

RN, South OR<br />

Manager: Rayna Tuski<br />

Jessica (<strong>of</strong>ten called “Jessy”) began her nursing<br />

career in OHSU’s South OR, where she had previously<br />

served as a surgical technician. She’s a department<br />

star, described as kind and a genuine team player.<br />

Jessy led <strong>the</strong> nursing care and coordination <strong>of</strong> <strong>the</strong><br />

newly established Thoracic Robotic program. She<br />

traveled to o<strong>the</strong>r states for additional training, came<br />

in on days <strong>of</strong>f to assist with robot-assisted cases, and<br />

has ensured that operating rooms are ready with <strong>the</strong><br />

appropriate equipment and that staff is kept up-todate<br />

on case flow. She helped to create a thoracic<br />

surgery cart with <strong>the</strong> most common equipment and<br />

supplies that are needed for <strong>the</strong>se cases. Circulating<br />

nurses who are not familiar with <strong>the</strong> procedures,<br />

equipment, or supplies now have one central place<br />

to access what is needed for <strong>the</strong> cases. This has<br />

decreased confusion and increased efficiency.<br />

Jessy is a competent clinical preceptor who guides,<br />

direct, encourage, and supports perioperative interns<br />

and orientees. She is greatly appreciated by those<br />

she precepts for her patience, kindness and<br />

individualized attention.<br />

“She demonstrates a level <strong>of</strong><br />

competence and confidence that is<br />

many years beyond her current level<br />

<strong>of</strong> experience.”<br />

Dan Werle, NP<br />

“She is extremely knowledgeable about <strong>the</strong> new<br />

techniques and dependable. We know that if Jessy<br />

is in our operating room we won't have to worry<br />

about delays.”<br />

Laura Shula, PA-C<br />

The Nightingale category is described as “a role-based nurse who has been in practice less than 18 months. This nurse<br />

exemplifies outstanding and caring leadership and pr<strong>of</strong>essionalism as a beginning practitioner.”


“I always knew I wanted to have a career in <strong>the</strong><br />

healthcare field but wasn’t sure where I’d end up.<br />

After high school I went to college and become a<br />

certified surgical tech. I instantly fell in love with<br />

surgery and knew this is where I wanted to be.<br />

However after several years as a tech I decided to go<br />

back to school and fur<strong>the</strong>r my education.<br />

In 2011, I received my bachelor degree from Linfield<br />

College in nursing. During school I visited several<br />

different areas <strong>of</strong> nursing but ultimately came back<br />

to <strong>the</strong> operating room. I was nervous and excited to<br />

return and make <strong>the</strong> transition from a tech to a<br />

nurse. Everyone was so helpful and willing to help<br />

me learn this new role I was in. In all areas <strong>of</strong> nursing<br />

you work as a team, which is one thing I love <strong>the</strong><br />

most about this field as well as <strong>the</strong> variety you have<br />

in it. Every day I come to work and it’s new and<br />

different.<br />

One <strong>of</strong> <strong>the</strong> reasons I went into nursing is to have<br />

more interaction with patients and <strong>the</strong>ir family.<br />

Having had several loved ones that have had surgery<br />

I know how hard it can be on <strong>the</strong> o<strong>the</strong>r end. I never<br />

want families to feel like <strong>the</strong>ir loved one isn’t being<br />

well taken care <strong>of</strong> or not get updated throughout<br />

surgery. Talking to patients and <strong>the</strong>ir families,<br />

knowing that I’m doing my best every day while<br />

taking care <strong>of</strong> <strong>the</strong>ir loved ones, is extremely<br />

rewarding and keeps me motivated.”<br />

Jessica Jones<br />

“Jessica Jones stands out amongst her<br />

peers as a leader in our<br />

department. She is enthusiastic about<br />

her work and highly interested in<br />

learning and expanding her knowledge<br />

and skill sets. She continues to be<br />

eager to get involved in acquiring new<br />

information about thoracic surgery and<br />

is highly valuable as <strong>the</strong> primary point<br />

person for this service.”<br />

Rayna Tuski,<br />

Nurse Manager


Rhea Geelan, RN<br />

RN, Center for Hematologic Malignancies – Bone Marrow Transplant<br />

Manager: Jorge Gitler<br />

The Center for Hematologic Malignancies (CHM) infusion clinic is a<br />

community. Clinic nurses see <strong>the</strong>se patients multiple times each week.<br />

They get to know patients and <strong>the</strong>ir families, and listen to <strong>the</strong>ir fears,<br />

hopes and dreams. Some patients do well, receive many treatments,<br />

get <strong>the</strong>ir disease into remission and move on with <strong>the</strong>ir lives. O<strong>the</strong>rs<br />

persevere through treatment after treatment, battling until <strong>the</strong>re are<br />

no o<strong>the</strong>r options but hospice or palliative care.<br />

Rhea leads and coordinates this difficult process. Frequently patients<br />

call <strong>the</strong> clinic’s triage line seeking advice for potentially life-threatening<br />

conditions. Rhea speaks with <strong>the</strong>m empa<strong>the</strong>tically, giving <strong>the</strong>m her<br />

fullest attention and <strong>the</strong> assurance that <strong>the</strong>y need to advocate for<br />

<strong>the</strong>mselves. Her advice is clinically accurate and compassionate. She<br />

has dedicated time and effort to increase her and her co-workers<br />

knowledge and confidence in working with patients and families who<br />

are in <strong>the</strong> midst <strong>of</strong> transitioning through various levels <strong>of</strong> cancer care.<br />

Rhea works hard to ensure that <strong>the</strong> patient and <strong>the</strong>ir family are<br />

comfortable. She is kind and gentle and knows exactly what to say,<br />

when words are hard to come by. Rhea goes out <strong>of</strong> her way to<br />

accommodate patients:<br />

• While Rhea was working as <strong>the</strong> triage nurse, she tried to call a<br />

patient who lived alone at <strong>the</strong> coast . Unable to contact him, Rhea<br />

called <strong>the</strong> police to do a home safety check. He was not doing well<br />

and was transported to OHSU and admitted. While he was in <strong>the</strong><br />

hospital he was told <strong>the</strong>re was not much more that could be done<br />

about his disease and he was placed on “comfort care”. The only<br />

thing he cared about during all <strong>of</strong> this was his dog, Geronimo, and<br />

he desperately wanted to see him. Rhea made it possible for <strong>the</strong><br />

patient to spend time with his “best friend”, Geronimo, before his<br />

passing.<br />

• Rhea recently helped facilitate a much needed palliative care<br />

discussion with a patient whose disease had progressed. The<br />

patient was in denial about her situation and would miss<br />

appointments and <strong>the</strong>n call <strong>the</strong> triage line with a list <strong>of</strong><br />

complaints. The patient’s significant o<strong>the</strong>r/caregiver was very<br />

overwhelmed and could not handle <strong>the</strong> stress <strong>of</strong> all that was<br />

going on. He alluded to <strong>the</strong> fact that he was suicidal one day.<br />

Rhea called <strong>the</strong> social worker to help deal with <strong>the</strong> situation so<br />

she could deal with <strong>the</strong> patient’s issues. She made sure that<br />

<strong>the</strong> patient had a ride set up so she could get to clinic to receive<br />

<strong>the</strong> care she needed. Throughout <strong>the</strong> whole process, Rhea was<br />

<strong>the</strong>re to help, with encouragement, a comforting heart and a<br />

warm smile.<br />

• Rhea worked with a patient that had gone through multiple<br />

cycles <strong>of</strong> chemo<strong>the</strong>rapy, only to relapse a few months after<br />

finishing her last chemo<strong>the</strong>rapy regimen. The patient was a<br />

feisty lady. She was not ready to give up and was given <strong>the</strong><br />

option <strong>of</strong> palliative care so she could continue to receive blood<br />

transfusions. Rhea worked hard to make this happen so <strong>the</strong><br />

patient’s life could be prolonged. Before her passing, <strong>the</strong><br />

patient was able to share in <strong>the</strong> celebration <strong>of</strong> her new<br />

granddaughter’s birth.<br />

Anyone that comes into contact with Rhea knows that she is “one<br />

<strong>of</strong> a kind”. She goes <strong>the</strong> extra mile to make sure that all <strong>the</strong><br />

patients’ needs are fulfilled. She celebrates life with a special zest.<br />

The Virginia I. Sznewajs award was created by <strong>the</strong> Sznewajs family to recognize an OHSU nurse who consistently demonstrates<br />

excellence in supporting patients and <strong>the</strong>ir families through a life-threatening disease and death <strong>of</strong> a patient. The award is to<br />

recognize pr<strong>of</strong>essional excellence and to support <strong>the</strong> staff member's continued pr<strong>of</strong>essional development in <strong>the</strong> area <strong>of</strong> palliative<br />

nursing. Recipients receive a $1500 scholarship to fur<strong>the</strong>r his/her palliative care education.


“Rhea is consistently<br />

gentle and kind to<br />

patients. She seeks out<br />

patients in need <strong>of</strong><br />

palliative care so that<br />

she’s become <strong>the</strong> ‘go-to’<br />

person in her unit.”<br />

Erik Fromme, MD<br />

“Rhea constantly amazes<br />

me with <strong>the</strong> way she will<br />

step out <strong>of</strong> <strong>the</strong> box in<br />

supporting our patients<br />

that are in <strong>the</strong> process <strong>of</strong><br />

passing away.<br />

Unfortunately, in our field<br />

this is something that all <strong>of</strong><br />

us are touched by, losing<br />

patients we have come to<br />

know and care about<br />

deeply. There is nothing<br />

worse than <strong>the</strong> feeling that<br />

you cannot help someone<br />

any longer, but Rhea<br />

teaches us constantly that<br />

care doesn’t stop just<br />

because we can’t fix<br />

things anymore as we are<br />

taught to do as<br />

providers. ”<br />

Carol Jacoby, ACNP<br />

“I was 35 years old and a stay at home mom caring for 3 young boys and never even<br />

considered a career in nursing. I was content being a mom. My life changed when I was able<br />

to care for my grandfa<strong>the</strong>r during his last days <strong>of</strong> life while on hospice.<br />

My grandfa<strong>the</strong>r was 90 years old, tired and felt his quality <strong>of</strong> life had changed because he could<br />

no longer do <strong>the</strong> things that he loved doing, such as woodworking. He was spending most <strong>of</strong> his<br />

days sitting in his easy chair with a clear mind but a body that would not work any longer. He<br />

got pneumonia and made <strong>the</strong> decision that he did not want to take antibiotics to treat it. He<br />

made <strong>the</strong> decision that this would be <strong>the</strong> end <strong>of</strong> his life. He orchestrated what he wanted at <strong>the</strong><br />

end <strong>of</strong> his life. He was on hospice at home surrounded by his family, friends, music and<br />

laughter.<br />

Little did I know that as I was going thru this process at his side, I realized my passion. The<br />

moment he took his last breath, I knew I wanted to go to school to be a nurse. To care for<br />

families and patients who are going thru this process. Understanding <strong>the</strong> peace that <strong>the</strong> patient<br />

and family has when you know <strong>the</strong> patient is doing it <strong>the</strong> way <strong>the</strong>y want. He gave me this gift.<br />

I started working on <strong>the</strong> bone marrow transplant team 15 years ago and now work in triage in<br />

<strong>the</strong> Center for Hematologic Malignancies Clinic. I am called "mo<strong>the</strong>r" Rhea in <strong>the</strong> clinic because<br />

I treat all patients and <strong>the</strong>ir families like <strong>the</strong>y are my own. I watch over <strong>the</strong>m and try to help<br />

<strong>the</strong>m while <strong>the</strong>y are going thru <strong>the</strong>ir courageous battle <strong>of</strong> bone marrow transplant.<br />

Over <strong>the</strong> past 15 years I have witnessed many patients, whose treatments were no longer<br />

working, die in <strong>the</strong> hospital, or worse, at home without support or hospice/palliative care. Our<br />

patients have special needs with low blood counts and receive platelet and blood transfusion<br />

regularly. They fear stopping <strong>the</strong> transfusions at <strong>the</strong> end <strong>of</strong> life because <strong>of</strong> comfort and<br />

<strong>the</strong> possibility <strong>of</strong> bleeding to death.<br />

I have a dream and vision for OHSU regarding caring for our patients at <strong>the</strong> end <strong>of</strong> <strong>the</strong>ir lives. I<br />

want to build a relationship with home palliative and hospice teams, possibly having a contract<br />

between OHSU and home palliative care/hospice (hospice will not pay for blood<br />

transfusions) that would enable our patients to get <strong>the</strong> blood products at <strong>the</strong> end <strong>of</strong> <strong>the</strong>ir life<br />

and yet get a hospice/palliative care team in <strong>the</strong>ir homes earlier to help <strong>the</strong>m find <strong>the</strong>ir way to<br />

peace and grace. We have palliative care at OHSU that is great, but we need to have a team in<br />

<strong>the</strong> home with eyes and ears looking for problems, so that we can avoid crisis at <strong>the</strong> end <strong>of</strong> life.<br />

Bottom line, if we were able to get data looking at how much money we spend at <strong>the</strong> end <strong>of</strong> life<br />

with hospital stays, tests etc…we would consider thinking outside <strong>the</strong> box. We would probably<br />

save money for everyone and meet our patients’ needs better at end <strong>of</strong> life. It is a win-win.”<br />

Rhea Geelan


I feel so honored to<br />

receive this award. I<br />

think many <strong>of</strong> us go<br />

into nursing to help o<strong>the</strong>rs and make a difference in<br />

<strong>the</strong>ir lives. However, learning how to be a nurse is<br />

not that easy. It can be demanding, stressful,<br />

intimidating, and overwhelming… all in <strong>the</strong> same<br />

hour. I distinctly remember being brand new to <strong>the</strong><br />

pr<strong>of</strong>ession and seriously questioning if I had what it<br />

takes to endure. Thanks to my preceptors and o<strong>the</strong>r<br />

nurses, <strong>the</strong>ir support and guidance helped me to<br />

gain confidence; focus on what was most important;<br />

and remember why I was pursuing this career.<br />

Today, that is what I try to do for o<strong>the</strong>rs entering<br />

into nursing. I always say, ‘If you are really here to<br />

serve this population, and want <strong>the</strong> best for every<br />

single patient, we can work <strong>the</strong> rest out.’ I love to<br />

learn toge<strong>the</strong>r with students and nurses, knowing<br />

we share a common mission and goals.<br />

April Thompson<br />

April Thompson, RN<br />

RN, 14K Bone Marrow Transplant unit<br />

Manager: Debra Harris<br />

One <strong>of</strong> April’s co-workers states:<br />

“I think that fostering <strong>the</strong> seeds that you see in someone, and<br />

having faith in <strong>the</strong>ir ability lies at <strong>the</strong> very core <strong>of</strong> teaching. That<br />

is exactly what this award category is all about. April was my<br />

preceptor during my final term <strong>of</strong> nursing school, and every day<br />

I learned more than I ever thought possible, and every day I had<br />

fun. Cancer is serious, difficult stuff, but April finds a way <strong>of</strong><br />

connecting with her patients and co-workers in a way that<br />

relieves some <strong>of</strong> that tension. She sets an example <strong>of</strong> lightness<br />

without levity, and compassion based in knowledge.<br />

All term long, she pushed me. When I had questions she didn’t<br />

know <strong>the</strong> answer to, she said “I don’t know, let’s look it up!”<br />

and we did. When I was questioning <strong>the</strong> timing <strong>of</strong> a medication<br />

(a diuretic at bedtime) she had me go talk to pharmacy<br />

personally and get <strong>the</strong> dosing changed to morning. It might be a<br />

small example, but she was making me become a patient<br />

advocate right from <strong>the</strong> start. She taught me that a nurse has<br />

just as much, if not more, say in a patient’s care than any<br />

doctor or pharmacist.<br />

Being a new nurse and a human being, I made many a mistake<br />

that April was witness to. She let me err, but she never let me<br />

fall on my face. And each time, we’d go back over what had<br />

happened and discuss all <strong>the</strong> possibilities. April never once<br />

made me feel stupid or embarrassed. One time I approached a<br />

patient’s central line without gloves on. Luckily April stopped<br />

me before I got <strong>the</strong>re, but she did it in such a way that <strong>the</strong><br />

patient still trusted me. She knew I was dying inside, she knew<br />

how terrible I felt, and she did what she could to alleviate those<br />

The Teaching category is described as “a nurse who contributes significantly to <strong>the</strong> education, pr<strong>of</strong>essional development or<br />

long-term learning <strong>of</strong> o<strong>the</strong>r nursing pr<strong>of</strong>essionals. This nurse is a teacher who helps o<strong>the</strong>rs to learn practice.”


(continued) feelings while also setting <strong>the</strong> standard.<br />

Patient safety came first, but <strong>the</strong> mental health <strong>of</strong> her<br />

pupil came second. April understands that people don’t<br />

learn, that people can’t learn when <strong>the</strong>y feel attacked or<br />

under duress. April gives her students <strong>the</strong> same<br />

compassion and fostering care that she does her patients,<br />

and that is what makes her such an effective and exciting<br />

teacher. Even though I am no longer her student, I<br />

continue to aim for her bar.”<br />

In addition to her continuing joy in precepting, April is an<br />

integral part in 14K’s communication and knowledge transfer.<br />

April heads a branch <strong>of</strong> <strong>the</strong> unit’s communication tree, and<br />

<strong>of</strong>ten personally reviews UBNPC news with her peers one-onone.<br />

April is an active member <strong>of</strong> 14K’s UBNPC. She has served as<br />

interim UBNPC co-chair and as a Skin Champion. She is 14K’s<br />

Magnet Champion, and prior to <strong>the</strong> Magnet survey, played a<br />

key role in preparing staff. Through creative education and<br />

one-on-one meetings, April ensured that staff understood <strong>the</strong><br />

survey and how <strong>the</strong>ir work exemplified Magnet readiness.<br />

“April Thompson was my nurse preceptor during my<br />

last semester <strong>of</strong> nursing school. What I appreciated<br />

<strong>the</strong> most about April was her ability to stay calm,<br />

focused and create a relaxed teaching environment<br />

for me regardless <strong>of</strong> how complex or hectic our<br />

shifts toge<strong>the</strong>r were. She took <strong>the</strong> time to seek out<br />

teaching moments, encouraged me to research <strong>the</strong><br />

disease processes we were encountering and <strong>the</strong>n<br />

discussed that research and found ways to apply it<br />

in our nursing interventions. This was very influential<br />

to me as a new nurse because I found it easy to<br />

revert back to <strong>the</strong> "tasks" <strong>of</strong> <strong>the</strong> day, medication<br />

passes, dressing changes, etc. I remind myself <strong>of</strong><br />

her practice on a daily basis, to slow down, think<br />

about <strong>the</strong> patient, <strong>the</strong> disease process and plan my<br />

nursing interventions based on this larger picture.”<br />

Co-worker<br />

“April’s energy, enthusiasm and positive attitude are<br />

contagious and she is a positive force. We are<br />

fortunate to have April on <strong>the</strong> 14K Team!”<br />

Lori Ellingson, Division Director<br />

“I <strong>of</strong>ten put students and new employees with April for <strong>the</strong>ir experiences on 14K. Just this week, I am having a new<br />

float pool RN orient with April. I feel that April is an excellent teacher <strong>of</strong> new students and nurses because she is<br />

patient with <strong>the</strong>m, but also because she is a big picture thinker and that is so important to demonstrate to new nursing<br />

learners. She also has a true joy <strong>of</strong> nursing and connects so well to patients (she is a frequent patient favorite) which is<br />

a great thing for new staff to see. In <strong>the</strong> past, we have had some students who have struggled, and April’s response<br />

has always been, ‘Give <strong>the</strong>m to me! I love a challenge!’ .<br />

Ano<strong>the</strong>r way in which April promotes learning is through her interactions with our interdisciplinary team. She frequently<br />

asks questions in our weekly rounds to enhance her own learning and <strong>the</strong> learning <strong>of</strong> o<strong>the</strong>rs, even if <strong>the</strong> question or<br />

answer is not critical to performing her daily work. I <strong>of</strong>ten overhear conversations she has with <strong>the</strong> pharmacy or our<br />

NPs and PAs to learn more about <strong>the</strong> condition she is treating. “ Debra Harris, Nurse Manager


THE AWARD PROCESS<br />

Any OHSU employee may submit a<br />

nomination. Nominations are<br />

judged on <strong>the</strong> following criteria:<br />

exemplifies award characteristics,<br />

influenced outcomes, nomination is<br />

compelling, and exemplifies OHSU’s<br />

pr<strong>of</strong>essional practice model. The<br />

following groups review<br />

nominations and designate awards:<br />

Advanced Practice Nurse Council:<br />

Advanced Practice Nurse<br />

Pr<strong>of</strong>essional Development Council:<br />

Mentoring, Teaching<br />

Magnet Champions:<br />

Ancillary Staff, Community Service<br />

Research Council:<br />

Advancing and Leading <strong>the</strong><br />

Pr<strong>of</strong>ession<br />

Palliative Care Department:<br />

Virginia I. Sznewajs Award for<br />

Palliative Care<br />

Patient Care Executives:<br />

Management<br />

Practice Council:<br />

Clinical Care<br />

Quality and Safety Council /<br />

Quality Assembly:<br />

Distinguished Nurse, Nightingale<br />

ADVANCED PRACTICE NURSE:<br />

Wendy Domreis, MS, RN, CPNP<br />

Karen Ellmers, RN, CNS<br />

Christine Ernst, DNP, FNP-BC<br />

Erica Jones, ACNP<br />

Jayne Mitchell, ANP<br />

ADVANCING AND LEADING<br />

THE PROFESSION:<br />

Laura Bax, BSN, RN, CCRN<br />

Serena Elder, BSN, RN, CMSRN<br />

Erica Jones, ACNP<br />

Jessica Jordan, BSN, RN, CPN<br />

Miranda Yohn, RN<br />

ANCILLARY STAFF<br />

(WITHIN NURSING SERVICES):<br />

Andrew Asagra<br />

Ebony Correa, C.M.A.<br />

Seth Dominguez<br />

Jessamae Felisario, C.N.A.<br />

Ashley Heslop, C.M.A.<br />

Maki Kato, C.N.A.<br />

Alisha Mack, C.M.A.<br />

COMMUNITY SERVICE:<br />

Konnette E<strong>the</strong>redge, MSN, RN<br />

Jennica Harris, BSN, RN, CCRN<br />

Lori Moss, BSN, RN<br />

Linda Louise Tschida, BS, RN<br />

CLINICAL CARE:<br />

Lara Adams, BSN, RN, CMSRN<br />

Lorri Aldridge, RN<br />

Alissa Augustus, RN<br />

Lisa Bloker, BSN, RN<br />

Scott Campbell, BSN, RN<br />

Tami Chauncey, BSN, RN<br />

Kayley Cook, BSN, RN, CPON<br />

Holly Cooper, BSN, RN<br />

Toni Debois, BSN, RN, OCN<br />

Leontine Eskola, BSN, RN, CCRN<br />

Becky Flores, RN<br />

Karmen Galman, MN, PMHNP<br />

Colleen Howard, BSN, RN<br />

Shawna Hruby, BSN, RN<br />

Ellen Kline, BSN, RN, CCRN<br />

Julien Laborde, RN<br />

Maeve Long, RN<br />

Lisa Martin, BSN, RN<br />

Joanna Mielczareck, CPN, RN<br />

Wendy Montgomery, RN<br />

Samantha Paramore, BSN, RN, CCRN<br />

Andy Paulson, RN, PCCN<br />

Erika Peterson, RN<br />

Rachael Postman, BSN, RN<br />

Mateleine Ranes, BSN, RN, CCRN<br />

Kirsten Ribanszky-Rogers, RN<br />

Freedom Richardson, BS, RN<br />

Suzanne Scott, RN<br />

Patricia Shoun, BSN, RN, CCRN<br />

Kenzin Sp<strong>of</strong>fard, BSN, RN<br />

Valancy Stricklin, RN<br />

Diane Truong, BSN, RN<br />

Jennifer Zeigler, MSN, RN


DISTINGUISHED NURSE:<br />

Kathryn Conway, BSN, RN, CCRN<br />

Ca<strong>the</strong>rine Cromett, MSN, RN<br />

Sue Pastor, RN<br />

Patricia Shoun, BSN, RN, CCRN<br />

Joan Wallace, RN<br />

MANAGEMENT:<br />

Jennifer Fox, MSHCM, RN, CPN<br />

Lisa Ledsworth, BS, RN, CCRN, CNRN<br />

Tracy Neidetcher, MBA, MSN, RN<br />

Sandra Randall, MSN, RN<br />

Tammy Sebers, RN<br />

Janet Whalen, BSN, RN<br />

Peggy Woolf, MSN, MBA, RN, NE-BC<br />

MENTORING:<br />

Scott Campbell, BSN, RN<br />

Monica Chapman, BSN, RN<br />

John Elliott, BSN, RN, CPN<br />

Dianne Haaland, RN, BSN, CNOR<br />

Shay Lykins-Brown, RN, MSN, CWOCN<br />

Brian Marshall, RN, BSN, CCRN<br />

Laura Oetzel, RN, BSN, TNCC, CEN<br />

Chelsea Rasmussen, RN, BSN<br />

Jessa Sweany, RN, BSN, OCN<br />

NIGHTINGALE:<br />

Yelena Bulek, BSN, RN<br />

Jennifer Goodman, BSN, RN<br />

Jessica Jones, BSN, RN<br />

OHSU Nurses Week 2013<br />

Innovation. Compassion. Excellence.<br />

TEACHING<br />

Stacy January, RN<br />

Melanie Sanders, BSN, RN, CPN<br />

April Thompson, RN<br />

VIRGINIA I. SZNEWAJS AWARD FOR PALLATIVE CARE<br />

Jamie Arruda, BSN, RN, CCRN<br />

Alyssa Augustus, RN<br />

Rhea Geelan, RN<br />

Ellen Kline, BSN, RN, CCRN<br />

Stephanie Milstein, RN<br />

Allison Neuschwander, RN<br />

Kathleen Orrick, RN

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