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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