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<strong>PinnacleHealth</strong> 2007 | Nursing Annual Report<br />

<strong>2006</strong> <strong>nur</strong>sing annual report.<br />

www.pinnaclehealth.org<br />

Proven <strong>nur</strong>sing.<br />

PH_NursingAR07_RWe.indd 28-1<br />

10/2/08 2:10:43 PM


Greetings,<br />

Our Mission<br />

<strong>PinnacleHealth</strong> Department of Nursing<br />

Services is committed to the provision of<br />

excellent <strong>nur</strong>sing care, professionalism<br />

and pride in our practice.<br />

It is with great joy and pride that we present the 2007 Nursing Annual<br />

Report. Once again, this report is just a glimpse of the best of <strong>PinnacleHealth</strong><br />

<strong>nur</strong>sing. And while it is so hard to capture all that we do<br />

between the pages of this report, I know you will be proud as you read about<br />

the many accomplishments of your <strong>nur</strong>sing colleagues.<br />

This report is organized around the Forces of Magnetism as a way of showcasing<br />

our <strong>nur</strong>sing excellence as a Magnet organization.<br />

The Forces of Magnetism, serve as a perfect framework to tell your stories.<br />

These are stories of heroism, stories of fortitude, stories of compassion, and<br />

stories of inspiration. These are narratives that tell of the rich talent and deep<br />

dedication of the <strong>nur</strong>ses at <strong>PinnacleHealth</strong> … Accolades for professional accomplishments<br />

and for advancing education … Acknowledgment for saving<br />

lives and for improving the safety and quality of our <strong>nur</strong>sing care. These are<br />

stories of celebration, stories of motivation, and stories of healing … in many<br />

cases in your own words. Pearls of wisdom passed down from our seasoned<br />

<strong>nur</strong>ses are scattered throughout the report to inspire and challenge our<br />

newer <strong>nur</strong>ses. For the first time, our annual report is honoring those <strong>nur</strong>ses<br />

with more than 30 years of service to <strong>PinnacleHealth</strong>. I hope the words and<br />

the photographs will leave you with the same feeling that I had when I first<br />

reflected upon the content. I am proud to be a <strong>PinnacleHealth</strong> <strong>nur</strong>se and I am<br />

proud to call you my colleagues.<br />

All the best,<br />

Roger Longenderfer, MD<br />

President & CEO<br />

Kim Fenstermacher, MS, CRNP<br />

Editor<br />

The <strong>PinnacleHealth</strong> Nursing Annual Report is published by<br />

the Marketing Department. Please direct your comments<br />

and requests for additional copies to 717-231-8100.<br />

Sheri Matter, MS, RN, CNAA-BC FABC<br />

Chief Nursing Officer<br />

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force 1<br />

Kim Fenstermacher<br />

Looking back on a<br />

“Magnetic” 2007 …<br />

We began 2007 with celebrations held in March to commemorate<br />

our Magnet designation, received December 20, <strong>2006</strong>. Local<br />

radio stations also interviewed three <strong>PinnacleHealth</strong> <strong>nur</strong>ses<br />

about the meaning of Magnet recognition as a way to educate our community<br />

about this important designation. Thank you to Lisa Swenson, Lori Adams, and<br />

Karen Marencic, who were interviewed by WNNK, WRBT, WROZ and WHYL. In<br />

October, 34 <strong>PinnacleHealth</strong> <strong>nur</strong>ses boarded a bus bound for the airport to travel<br />

to Atlanta to attend the 11th Annual Magnet Conference. With great pride, we<br />

cheered as <strong>PinnacleHealth</strong> was announced as a new Magnet facility during the<br />

opening session to an audience of 5,000 <strong>nur</strong>ses from around the world. It was<br />

truly a memorable moment! In December 2007, we submitted our very first<br />

Magnet Interim Report, a yearly requirement to show that our quality, safety,<br />

patient satisfaction and RN satisfaction results are in compliance with the very<br />

high standards of the ANCC’s Magnet Recognition Program.<br />

As a Magnet organization, the 14 Forces of Magnetism provide a framework<br />

and a guide for planning, implementing and evaluating clinical practice and<br />

professional advancement. The Forces of Magnetism are transformational and<br />

embedded throughout our organization. We think of our accomplishments as<br />

“Magnet Moments”. This report is full of examples of exceptional leadership,<br />

superb clinical practice, community outreach and professional development …<br />

a tribute to the <strong>nur</strong>ses who not only make our Magnet designation possible, but<br />

who continually strive to raise the bar.<br />

Kim Fenstermacher, MS, CRNP<br />

Magnet Project Coordinator<br />

Quality of Nursing Leadership<br />

<strong>PinnacleHealth</strong> <strong>nur</strong>ses are<br />

leaders both in and outside of our<br />

organization. Their affiliation with<br />

professional organizations, serves<br />

to strengthen clinical knowledge<br />

and professionalism, and ultimately<br />

benefits our patients and our work<br />

environment.<br />

Professional<br />

Organization<br />

Leadership<br />

Trish Bennett, CNS-Board member<br />

SVAACN; planning committee member<br />

for “Challenges in Critical Care,” cosponsored<br />

by SVAACN and the Society<br />

for Critical Care Medicine. Medical<br />

Education Day Planning Committee,<br />

2007 poster judge<br />

Kim Fenstermacher, Magnet project<br />

coordinator-Penn State Nursing<br />

Alumni Board Member<br />

Kelly Soule, Heart Failure Centerregional<br />

coordinator for the American<br />

Association of Heart Failure Nurses<br />

Rob Shipp, <strong>nur</strong>se manager, CCU-<br />

Advisory Board Member Emergency<br />

Health Services Federation; chair of<br />

Technology Council for South Central<br />

Organization of Nurse Leaders<br />

Eileen Wydra, Community OR-AORN<br />

of Central PA Nominating Committee<br />

Tina Wallish, Community OR, AORN<br />

of Central PA Nominating Committee<br />

Joanne Konick-McMahan, MSN, RN,<br />

PCU/Toxicology-Editorial Board for<br />

Trends in Critical Care Journal<br />

Kim Dodson, RN-Harrisburg OR,<br />

member of the AORN Council<br />

Michalena Levenduski, CNS, NICUpresident<br />

of Susquehanna Valley<br />

Association of Neonatal Nurses<br />

(SVANN); Joey Hocker, RN-NICU<br />

secretary of SVANN.<br />

Nancy Ciarrocca, RN-Learning<br />

Institute; Grace Hoover, RN-Learning<br />

Institute; Jackie Smith; Lisa Casey,<br />

<strong>nur</strong>se manager-Main 5; Michele<br />

Mellott, clinical manager-Float Pool;<br />

Lillian Stiglitz, SDI-Main 5-Officers<br />

and committee chairs of Capitol Area<br />

Chapter of the American Medical<br />

Surgical Nurses (AMSN)<br />

Cynthia Howe, RN-CPAN,<br />

Perianesthesia Department,<br />

Harrisburg president of the South<br />

Central Pennsylvania Association of<br />

Perianesthesia Nurses (SCPAPAN) and<br />

a member of ASPAN’s Clinical Practice<br />

Committee<br />

Karen Zimmerman, RN-CAPA, SDI<br />

Perianesthesia Department, Harrisburg<br />

Treasurer of SCPAPAN<br />

Lenny Baumbaugh, RN-Perianesthesia<br />

Department, Harrisburg treasurer<br />

of Susquehanna Valley Critical Care<br />

Nurses (SVAACN)<br />

Lynn DeMartyn, RN, WOCNpresident<br />

of South Central PA WOCN<br />

affiliate and a board member of the<br />

Northeast Region WOCN<br />

Melissa Stolley, RN, WOCN-PA<br />

legislative representative for WOCN<br />

Northeast Region<br />

Nancy Michaelian, RN-SDI<br />

Perianesthesia, Community vice<br />

president SCPAPAN<br />

The Perianesthesia Department at<br />

Harrisburg Campus reports that more<br />

than half of the professional <strong>nur</strong>sing<br />

staff belongs to a national, state or<br />

local organization for their specialty:<br />

American Society of Perianesthesia<br />

Nurses, Pennsylvania Association<br />

of Perianesthesia Nurses, South<br />

Central Pennsylvania Association of<br />

Perianesthesia Nurses (SCPAPAN).<br />

Vicki L.<br />

Duffin, B.S.,<br />

R.N.,C.M.S.R.N.;<br />

Nurse Manager,<br />

Post Surgical<br />

Care Unit<br />

Harrisburg<br />

Hospital (1977)<br />

“Not being a bedside <strong>nur</strong>se<br />

after doing that type of<br />

<strong>nur</strong>sing for 10 years was a<br />

big concern to me when I<br />

was lead (by my Nursing<br />

Director 20+ years ago)<br />

down the management<br />

track. After a lot of soul<br />

searching, it became very<br />

obvious that we needed good<br />

<strong>nur</strong>se managers who would<br />

take care of the <strong>nur</strong>ses and<br />

ancillary staff that, in turn,<br />

take care of the patients. I<br />

never regretted that move.<br />

Having a happy and satisfied<br />

staff is critical to me, thus<br />

maintaining excellent<br />

customer satisfaction.”<br />

Pearl of<br />

Wisdom:<br />

Never lose sight of the<br />

patient. You always should<br />

care for your patient as if they<br />

were a member of your family.<br />

Not only when taking care of<br />

them, but also when taking a<br />

patient from another department<br />

such as PACU and the<br />

ED. Taking a patient in a<br />

timely manner gets them into<br />

a more optimal environment<br />

for their well being.<br />

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Bonnie<br />

Peffer, RN;<br />

Perianesthesia,<br />

CGH (1972)<br />

“The most satisfying<br />

aspect of <strong>nur</strong>sing is the<br />

diverse nature of the<br />

job, the challenges, the<br />

problem solving and the<br />

rewarding opportunity<br />

to make a difference in<br />

someone’s life.”<br />

Pearl of<br />

Wisdom:<br />

Never stop learning, never<br />

stop asking questions and<br />

never stop caring!<br />

Nursing Strategic Plan<br />

2007-2008<br />

Each year, the Leadership<br />

Council reviews and updates<br />

the Nursing Strategic Plan to<br />

keep us “on task” and moving<br />

forward in our quest for raising<br />

the bar for excellence. For a<br />

complete view of the Strategic<br />

Plan, please visit the Nursing<br />

Services website.<br />

Strategy 1: Be the Recognized<br />

Employer of Choice for Nurses<br />

Strategy 2: Develop Strong, Risktaking<br />

Behaviors in Nursing Leadership<br />

Strategy 3: Optimize the Quality and<br />

Safety of Nursing Care<br />

Strategy 4: Advance an Environment<br />

of Professional Development<br />

Strategy 5: Enhance Resource<br />

Utilization and Fiscal Responsibility<br />

force 2 and 3<br />

Organizational Structure<br />

and Management Style<br />

Effective, visionary and<br />

supportive leadership<br />

is essential to our success.<br />

Our shared decision-making<br />

councils provide the framework<br />

and opportunity for <strong>nur</strong>ses to<br />

participate in decisions that<br />

affect clinical practice and<br />

professional development. Many<br />

unit-based committees exist to<br />

enhance decision-making at the<br />

unit level.<br />

The Pediatric Unit formed a unit-based<br />

Pediatric Nurse Practice Committee<br />

and penned a mission statement for<br />

their unit: “We are a family-centered<br />

unit striving to provide quality care,<br />

support and education to enhance<br />

the health and lives of our diverse<br />

population.” Patty Logan, RN,<br />

Pediatrics, knows about that support<br />

and education first hand. Patty joined<br />

the Pediatric Unit after being out of<br />

the <strong>nur</strong>sing workforce for 14 years to<br />

raise her family. As she prepared to<br />

re-enter the workforce, she found that<br />

<strong>PinnacleHealth</strong> was the only hospital<br />

willing to give her the chance and the<br />

education to re-enter <strong>nur</strong>sing. She has<br />

been a positive addition to the <strong>nur</strong>sing<br />

staff.<br />

CCU <strong>nur</strong>ses established a new<br />

Interview Committee and a new<br />

Practice/Education Committee. The<br />

Interview Committee assures that all<br />

new hires will be a good fit for their<br />

unit. Many <strong>nur</strong>sing units across the system<br />

have similar committees to enable<br />

staff to have a part in choosing new<br />

staff.<br />

There are many<br />

opportunities for<br />

advancement throughout our<br />

<strong>nur</strong>sing units. Congratulations<br />

to the following <strong>nur</strong>ses for their<br />

transition to a new role in 2007.<br />

Promotions:<br />

w Deborah Miles transitioned from<br />

clinical manager to a dual clinical<br />

manager/staff development instructor<br />

for CCU<br />

w Laura Sheads transitioned to clinical<br />

manager role on CTPO in April<br />

w Nicole Fletcher transitioned to staff<br />

development instructor role on CTPO<br />

w Sue Tyson transitioned to staff<br />

development instructor in ICU at<br />

Community<br />

w Karen Ilgenfritz transitioned to staff<br />

development instructor for Labor and<br />

Delivery<br />

w Lynn Rebuck, SDI took on the clinical<br />

manager role in addition to her SDI<br />

duties for Main 11<br />

w Becky Zook transitioned to West<br />

Shore team leader in HomeCare<br />

w Kim Tokonitz transitioned to Berks<br />

County team leader (Pottsville) in<br />

HomeCare<br />

w Tina Frank transitioned to <strong>nur</strong>se<br />

manager, OR Harrisburg<br />

w Erica Leber-Burnham transitioned to<br />

SDI in CTICU<br />

w Tiffany Boyd was hired as the new<br />

staff development instructor for CINT<br />

w Kimberly Hohenshelt transferred<br />

from the Float Pool to the clinical<br />

manager for Main 10<br />

Laura Sheads<br />

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Dotty Engle, RN;<br />

Perianesthesia,<br />

CGH (1973)<br />

“The most satisfying part of<br />

my job is direct patient care.<br />

I still feel a sense of pride<br />

when a patient says, ‘You<br />

girls were so nice and took<br />

such good care of me,’ or<br />

just a simple ‘Thank you, I<br />

feel better.’”<br />

Pearl of<br />

Wisdom:<br />

A pearl for the new GN is<br />

“you never know it all.”<br />

Medicine always is changing<br />

and that is what makes our<br />

job so interesting.<br />

Shared Decision-Making<br />

Council Reports for 2007<br />

Leadership Council<br />

2007 Chair: Michele Mellot, RN,<br />

clinical manager, Float Pool<br />

2007 Chair-elect: Tina Willier,<br />

RN, <strong>nur</strong>se manager, NICU<br />

Secretarial duties by Laurie<br />

Radabaugh, executive assistant,<br />

Nursing Administration<br />

w Nursing Leadership Retreat held in<br />

December to develop a mentoring<br />

and competency plan for incoming<br />

council members<br />

w Review and monitoring of Nursing<br />

Strategic Plan<br />

w Final approval of all <strong>nur</strong>sing policies<br />

and procedures<br />

w Review of council membership and<br />

council attendance<br />

Professional Development<br />

Council<br />

Coordinating Council<br />

2007 Chair: Elizabeth Dye, RN,<br />

<strong>nur</strong>se manager, Main 10<br />

2007 Secretary: Trish Bennett,<br />

CNS, CTICU<br />

2007 Chair-elect: Chris Miller,<br />

RN, NICU<br />

w Approved 25 applications for council<br />

positions<br />

w Letter addressing attendance<br />

approved for use with all councils<br />

w Addressed 11 staff <strong>nur</strong>se questions<br />

via referral system<br />

w Reviewed and revised Nursing<br />

Charter and By-Laws<br />

w Sent Monthly Council Clips to<br />

Nursing Leadership to communicate<br />

council activities<br />

Leadership<br />

Focus on budget,<br />

strategic planning,<br />

mentor <strong>nur</strong>se leaders.<br />

Professional<br />

Development<br />

Focus on overseeing<br />

education, competency,<br />

Career Development<br />

Pathway and peer review.<br />

Pride<br />

Responsible for recruitment<br />

and retention, recognition<br />

and celebration activities,<br />

<strong>nur</strong>sing grand rounds.<br />

Coordinating<br />

Oversee Charter bylaws<br />

document, provide<br />

guidance and support to<br />

councils, oversee the shared<br />

decision-making process.<br />

Quality Improvement<br />

Evaluate outcomes of<br />

patient care, oversee<br />

Nursing Quality<br />

Improvement Plan.<br />

Practice<br />

Oversee clinical practice,<br />

review job descriptions,<br />

incorporate research and<br />

evidence-based practice.<br />

Research<br />

Promotes the integration<br />

of <strong>nur</strong>sing research into<br />

clinical practice.<br />

Research Council<br />

2007: Deb Schafer, MSN, RNC,<br />

clinical <strong>nur</strong>se specialist<br />

2007 Secretary: Pat Baxter,<br />

RN, PCU/Toxicology<br />

2007 Chair-elect: Erica<br />

Leber-Burnham, RN, MSN, CCRN<br />

w Planned and hosted 16th Annual<br />

Nursing Research Conference with<br />

Diana Mason, PhD, editor in chief<br />

for AJN as the keynote speaker; 250<br />

participants in April 2007<br />

w Developed and implemented evidence-based<br />

practice fact sheets<br />

for the following topics: lighting in<br />

the NICU, neonatal IV infiltrates and<br />

ammonia inhalants<br />

w Research Roundtable with seven<br />

groups to develop recommendations<br />

for practice change and improvement<br />

in the following areas:<br />

y Impact of epidural anesthesia on<br />

breastfeeding<br />

y Use of analgesia for IV insertion<br />

y Palliative care for chronic heart failure<br />

patients<br />

y Nurse/physician collaboration on<br />

patient outcomes in the ICU<br />

y Quality of life in elderly patients<br />

after open heart surgery<br />

y Strategies to improve <strong>nur</strong>se’s confidence<br />

in caring for elderly patients<br />

with depression while in acute care<br />

y Teaching strategies to improve<br />

patient knowledge acquisition in<br />

hypertensive patients<br />

w Research Road Show to educate staff<br />

about the link to research, evidencebased<br />

practice and quality<br />

w “Ask the Expert” is a service for <strong>nur</strong>ses<br />

to ask a clinical question directed<br />

to a <strong>nur</strong>se expert.<br />

w PowerPoint educational program<br />

developed on research and evidence-based<br />

practice with contact<br />

hours included.<br />

w Iowa Evidence-Based Practice Model<br />

formally adopted<br />

w Melnyk/Overholt Level of Evidence<br />

formally adopted<br />

w Developed criteria for evidencebased<br />

fact sheet<br />

w Rhonda Maneval, PhD hired as parttime<br />

research consultant<br />

w Clinical Inquiry Award category<br />

developed and added to Nurses’<br />

Week awards<br />

w Approved two <strong>nur</strong>sing research projects:<br />

Thermoregulation in the NICU;<br />

Postpartum experience of patients on<br />

long-term bed rest<br />

w Approved two Nursing Research<br />

Fellowships: Tina Daniels, RN, NICU<br />

and Lisa Fox, RN, Learning Institute<br />

Professional<br />

Development Council<br />

2007 Chair: Jacqueline Matter,<br />

RN, Harrisburg ED (assumed chair<br />

role after former chair resigned)<br />

2007 Secretary: Heather<br />

Moyer, RN, <strong>nur</strong>sing supervisor<br />

Harrisburg<br />

2007 Chair-elect: Jacqueline<br />

Matter, RN, Harrisburg ED<br />

w “Pearls to Your Success” Workshops<br />

offered<br />

y Fall 2007 topic was “Specialty<br />

Organizations and Professional<br />

Organizations.” A Fair was held to<br />

highlight importance of specialty<br />

certification<br />

y Spring 2007 topics included<br />

“Synergizing Your Work<br />

Environment”, “Mentoring,”<br />

“Precepting” and “Starting a<br />

Portfolio”<br />

w PDC Portfolio developed to showcase<br />

and journal the accomplishments<br />

of the council<br />

w Leadership Training Program developed<br />

for Council chairs and co-chairs<br />

Tina Daniels<br />

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Linda Blough,<br />

RN N9/N8 (1971)<br />

“I always have enjoyed<br />

helping people get through<br />

their surgical experience<br />

and back to their normal<br />

lives. I especially enjoy<br />

taking care of antepartum<br />

patients that are having<br />

problems with their<br />

pregnancy. It always is a<br />

real joy to see each patient<br />

(outcomes) with their<br />

babies, especially if they<br />

have been trying so hard<br />

just to have a child.”<br />

Pearl of<br />

Wisdom:<br />

It always is hard starting a<br />

career, particularly in <strong>nur</strong>sing;<br />

but if you love what you<br />

do and have compassion<br />

for people in their weakness<br />

moments/times, you’ll receive<br />

the most satisfaction that<br />

a job can offer—especially<br />

carrying that special miracle<br />

baby home.<br />

Pride Council<br />

2007 Chair: Jen Zechman, <strong>nur</strong>se<br />

manager, Community ED<br />

2007 Secretary: Arletta<br />

Molnar, RN, PCU/Toxicology<br />

2007 Chair-elect: Megan<br />

Strohecker, clinical manager,<br />

Maternity<br />

w Extreme Nurse Experience held four<br />

times with highest attendance to<br />

date. This program provides an overview<br />

of hospital <strong>nur</strong>sing careers in a<br />

variety of specialties for middle and<br />

high school students.<br />

w Nursing Newsletter coordinated and<br />

edited by Jennifer Shuey. Robin<br />

Albert and Deb Miles are the 2008<br />

newsletter coordinators.<br />

w Nursing Grand Rounds schedule set<br />

until 2011.<br />

w Student Parent Career Night held as<br />

a recruitment tool.<br />

w Nurses’ Week activities planned to<br />

include a fabulous Nursing Gala<br />

event and Nursing Awards.<br />

w Surveyed all job roles in <strong>nur</strong>sing during<br />

Nurses’ Week Expo regarding<br />

recruitment and retention efforts to<br />

identify ways to improve the work<br />

environment.<br />

Quality Council<br />

2007 Chair: Becky Pontius, RN,<br />

Harrisburg ICU<br />

2007 Secretary: Karen<br />

Nesmith, RN, CCU<br />

2007 Chair-elect: Cheryl<br />

Hammonds, RN, PSCU/Main 6<br />

w Welcomed Carol Colussi as new<br />

leader facilitator<br />

w NDNQI Skin Assessment certification<br />

by all members<br />

w Education for familiarization with<br />

Quality Terminology for all council<br />

members and staff<br />

w Continually strengthening the communication<br />

link between council<br />

members and staff<br />

force 4<br />

Personnel Policies and Programs<br />

Recruitment and retention<br />

of the best and the brightest<br />

<strong>nur</strong>ses are important core values in<br />

our Nursing Charter. <strong>PinnacleHealth</strong><br />

proudly boasts an impressive<br />

new <strong>nur</strong>se retention rate that is<br />

consistently above 90 percent. Karen<br />

Whitmer, RN, professional <strong>nur</strong>se<br />

development coordinator, plays<br />

an important role in the guidance<br />

and transition of new grads. Our<br />

exceptional Nurse Extern Program<br />

has been a successful recruiting<br />

program whereby <strong>nur</strong>sing students<br />

can work on a clinical unit while<br />

attending <strong>nur</strong>sing school in order to<br />

better understand the <strong>nur</strong>sing role.<br />

The many talented <strong>nur</strong>se preceptors<br />

and dedicated staff <strong>nur</strong>ses who<br />

mentor our new grads are to be<br />

commended for going the extra mile<br />

to welcome and support all of our<br />

new <strong>nur</strong>ses.<br />

Welcome<br />

New Grads!<br />

Elizabeth Swith, CCU<br />

Jennifer Philson, CCU<br />

Erin Billbrough, CCU<br />

Sarah McAllister, Peds<br />

Julie Ritter, Peds<br />

Tabitha Walker, CTPO<br />

Lindsay Imes, CTPO<br />

Amanda Kemmerer, ICU, Community<br />

Angie Lenker, ICU, Community<br />

Gina Recce, ICU, Community<br />

Rebecca Fisher, N10/PCU/Toxicology<br />

Amber Hartman, N10/PCU/Toxicology<br />

Courtney Hock, N10/PCU/Toxicology<br />

Natoshia Sheaffer, N10/PCU/<br />

Toxicology<br />

Jennifer Marieta, N10/PCU/Toxicology<br />

Dorothy Jones, N10/PCU/Toxicology<br />

Stacey Brehm, OR, Harrisburg<br />

Daniel Rohrer, CTICU<br />

Bethany Marble, CTICU<br />

Santina Sperling, CINT<br />

Lorena Garcia, CINT<br />

Bobbie Lefevre, Main 10<br />

Melissa Riley, Main 10<br />

Steven Gardecki, Main 10<br />

Jennifer Lenosky, Main 10<br />

Kristin Lukens, Main 10<br />

Retention of seasoned, experienced<br />

clinical <strong>nur</strong>ses is a high priority at<br />

<strong>PinnacleHealth</strong>. We are fortunate to<br />

have many expert <strong>nur</strong>ses who have<br />

chosen to practice <strong>nur</strong>sing at Pinnacle<br />

Health for more than 30 years. Their<br />

clinical expertise and devotion to<br />

excellence is admired and appreciated.<br />

Cindy Deitrich,<br />

RNC; L&D (1976)<br />

“The keys to survival are<br />

always to have an open<br />

mind, a caring heart, thick<br />

skin and a good sense of<br />

humor. These will help<br />

to get you through<br />

any situation.”<br />

Quality Council<br />

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force 5 & 6<br />

Professional Models of<br />

Care Quality of Care<br />

force 7<br />

Research Council<br />

Quality of care<br />

encompasses so many<br />

facets of <strong>nur</strong>sing at<br />

<strong>PinnacleHealth</strong>. The Synergy<br />

Model guides our practice and<br />

our decision-making as we strive<br />

to match the patient and family<br />

needs to the characteristics of<br />

the <strong>nur</strong>se. Our goal always is safe<br />

passage for the patient and the<br />

family, whether that means a healthy<br />

discharge, a smooth transition to an<br />

extended care facility, or sometimes<br />

even seeing someone through a<br />

comfortable death. We care for our<br />

patients “heart, mind, body, and<br />

soul.” This principle is what makes<br />

us passionate about quality.<br />

We all remember pivotal moments in<br />

our <strong>nur</strong>sing career … moments when<br />

we were changed forever because<br />

of a kind word, a thank you or even<br />

a tear shed on behalf of a patient or<br />

family. Many of these transformational<br />

moments come from experiences<br />

of caring for patients and families at<br />

end of life. For <strong>nur</strong>ses in Labor and<br />

Delivery, the transformational moments<br />

often come in caring for a family who<br />

has experienced the loss of an infant.<br />

Even in the toughest of times, our<br />

<strong>nur</strong>ses know that delivering quality<br />

care means offering compassion, time<br />

and understanding.<br />

Karen Ilgenfritz, RN received a beautiful<br />

letter of gratitude from a couple<br />

who lost a baby at 35 weeks gestation<br />

to stillbirth. A brief excerpt of the letter<br />

illustrates the depth of Karen’s caring<br />

heart and the power of <strong>nur</strong>sing to provide<br />

comfort in a time of great sorrow.<br />

“From the moment that we checked<br />

into the hospital, Karen was there with<br />

us and supported us. We were griefstricken,<br />

and I was very, very scared<br />

of what the day would bring. Karen<br />

calmed our fears and honestly talked<br />

with us about what to expect. Karen<br />

offered to pray with us. This meant so<br />

much to us. She gave us as much time<br />

as we needed. These all seem like<br />

small gestures, but we treasure these<br />

things so much and we are glad that<br />

she was there to help us make as many<br />

memories of our baby as we could during<br />

the brief time that we had to say<br />

hello and goodbye to him.”<br />

Cultural Diversity<br />

<strong>PinnacleHealth</strong> <strong>nur</strong>ses are responsive<br />

to the diversity of our patients and<br />

their families. For instance, on CINT,<br />

the <strong>nur</strong>ses added cardiac educational<br />

DVD’s in Spanish to accommodate the<br />

growing Hispanic population on the<br />

unit.<br />

Evidence-Based<br />

Practice<br />

Evidence-based practice (EPB)<br />

has become very meaningful to<br />

<strong>PinnacleHealth</strong> <strong>nur</strong>ses, in large part<br />

due to the efforts of the Research<br />

Council. This year, the Research<br />

Council participated in the decision to<br />

hire Rhonda Maneval, PhD as a part<br />

time research consultant. Upon recommendation<br />

of the Magnet appraisers,<br />

we chose a specific Evidence-Based<br />

Practice model. The Research Council<br />

investigated several EBP models and<br />

chose the Iowa Model for Evidence-<br />

Based Practice and the Melnyk-<br />

Overholt Level of Evidence Model<br />

as preferred models to guide EBP at<br />

<strong>PinnacleHealth</strong>.<br />

Quality of Nursing Leadership<br />

Examples of improving<br />

quality abound throughout<br />

our Nursing units. Nurse-led<br />

performance improvement<br />

teams are effecting change to<br />

deliver safe, quality care. Here<br />

are just a few examples of the<br />

accomplishments, some big,<br />

some small, but all very meaningful<br />

to the meeting our goal.<br />

Appropriate staffing is critical to the<br />

goal of delivering quality care. The<br />

Float Pool scheduling process has<br />

been a Six Sigma Project targeted at<br />

decreasing expenses. Revisions to the<br />

process were made so that <strong>nur</strong>se managers<br />

enter their staffing needs and the<br />

Float Pool staff fills the open shifts to<br />

accommodate the need.<br />

As part of the SCIP (Surgical Care<br />

Improvement Project) the OR at<br />

Community Campus eliminated the<br />

use of razors in the OR to reduce infection<br />

and now only use clippers. Pre-op<br />

antibiotics are given and documented<br />

within one hour of surgery.<br />

CCU reports a three year period of<br />

zero central line infections.<br />

The Perianesthesia Unit at Community<br />

keeps staff informed about quality by<br />

emailing every staff person with a synopsis<br />

of the Quality Council activities<br />

and results.<br />

Nurses on CTICU met their goal of all<br />

RNs completing the Stroke Scale certification.<br />

CINT <strong>nur</strong>ses celebrated with a breakfast,<br />

lunch and dinner meal provided<br />

to the unit to acknowledge their Press<br />

Ganey patient satisfaction scores.<br />

For a certain type of heart attack, the time from arriving at the hospital to<br />

when the artery is opened is called “door-to-balloon” time. At <strong>PinnacleHealth</strong>,<br />

this time averages 63 minutes. That’s speedy when you consider that only 50<br />

percent of hospitals beat the American Heart Association’s recommendation<br />

of a door-to-balloon time of 90 minutes or less. Not to mention our in-hospital<br />

survival rate is 100 percent for these patients. When you’re having a heart<br />

attack, time matters.<br />

Deb Kepner, RN;<br />

L&D (1976)<br />

“The patients are the most<br />

gratifying aspect of <strong>nur</strong>sing.<br />

I have worked in Labor<br />

and Delivery most of my<br />

<strong>nur</strong>sing career, and there<br />

are still times that I get<br />

teary eyed after a delivery.<br />

It is a privilege to be able to<br />

help families through one<br />

of their biggest life events.<br />

The technology has changed<br />

immensely during the course<br />

of my career. I still get my<br />

greatest personal satisfaction<br />

from the personal contact<br />

with the patients and their<br />

families.”<br />

Pearl of<br />

Wisdom:<br />

Make sure you are good<br />

to yourself. Nursing can be<br />

tough-physically and emotionally.<br />

You have to make<br />

sure to find the joy in your<br />

personal life. You need<br />

that balance!<br />

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force 8<br />

Consultation and Resources<br />

force 9<br />

Autonomy<br />

Joey Hocker,<br />

RN, NICU (1971)<br />

“There are many<br />

satisfactions from being a<br />

<strong>nur</strong>se. The general idea that<br />

I am in a very honorable<br />

profession and <strong>nur</strong>ses<br />

are generally held up as<br />

good and honest people<br />

is satisfying. Nursing is<br />

both science and art. This<br />

makes it both challenging<br />

and satisfying. But for<br />

me personally, I am both<br />

honored and humbled<br />

to have a positive impact<br />

on families during a<br />

stressful time of their lives.<br />

Nursing has given me the<br />

opportunity to help families<br />

grow in the face of crisis,<br />

even if sometimes the<br />

outcome is not what was<br />

hoped or planned.”<br />

Pearl of<br />

Wisdom:<br />

Continue to learn and grow—<br />

not only as a <strong>nur</strong>se, but as<br />

a human being. Always be<br />

amazed at the strength and<br />

goodness of the human spirit.<br />

Clinical <strong>nur</strong>se specialists<br />

(CNS) provide valuable<br />

consultation to staff<br />

<strong>nur</strong>ses to enhance evidencebased<br />

practice and promote<br />

clinical excellence. Nurse experts<br />

throughout the system provide<br />

leadership and guidance in the<br />

areas of <strong>nur</strong>sing informatics,<br />

performance improvement,<br />

outcomes management, infection<br />

control and wound care. Advanced<br />

practice <strong>nur</strong>ses make a tremendous<br />

contribution to assuring safe,<br />

quality outcomes for our patients as<br />

well as advancing the professional<br />

development of <strong>nur</strong>ses at<br />

<strong>PinnacleHealth</strong>.<br />

Deb Schafer, CNS, Labor and Delivery,<br />

provided in-services to the North<br />

9 Women’s Inpatient Unit to present<br />

the new AWHONN (Association<br />

of Women’s Health, Obstetric, and<br />

Neonatal Nurses) guidelines and terminology<br />

for reading electronic fetal<br />

monitoring strips. Practice was revised<br />

according to the new guidelines and<br />

competency testing was provided to<br />

all staff <strong>nur</strong>ses who are responsible for<br />

performing this skill.<br />

Trish Bennett, CNS, CTICU has led<br />

the evidence-based practice changes<br />

to update antibiotic use guidelines for<br />

surgery and glycemic control for CABG<br />

patients. Trish also worked with the<br />

<strong>nur</strong>ses and residents to improve the<br />

process of running a code by holding<br />

“mock” code drills.<br />

Sarah Harne-Britner, CNS, Kim<br />

Fowler, CNS, and Trish Bennett,<br />

CNS are project leaders for the Beta<br />

Site Project involving ZYNX, Siemens<br />

and <strong>PinnacleHealth</strong> in “Plan of Care”<br />

development. This project incorporates<br />

innovative electronic capabilities with<br />

evidence-based care planning.<br />

Sarah Harne-Britner, CNS started a<br />

study group on CINT to help prepare<br />

<strong>nur</strong>ses to take the cardio vascular certification<br />

exam.<br />

Kim Fowler, CNS has been the mentor<br />

for the Nurse Practice Council and also<br />

for the Nurse Fellowship recipient, Lisa<br />

Fox. Kim is a facilitator for the Research<br />

Roundtable and also helps to mentor<br />

unit based Practice Committees on<br />

Main 1 and West 1.<br />

As wound, ostomy, continence <strong>nur</strong>ses,<br />

Lynn DeMartyn, Melissa Stolley and<br />

Marge Matthews provide expert<br />

consultation for wound and ostomy<br />

care, education to <strong>nur</strong>ses and physicians,<br />

and disseminate best practice as<br />

speakers, writers and poster presenters<br />

at conferences across the country. They<br />

provided in-services to train 100 <strong>nur</strong>ses<br />

to use the Wound VAC and become<br />

resource <strong>nur</strong>ses on their respective<br />

units. In addition, Lynn served as a preceptor<br />

to train two WOCN <strong>nur</strong>ses from<br />

other hospitals in the role of WOCN<br />

<strong>nur</strong>se.<br />

Peer Review is an<br />

important part of<br />

<strong>nur</strong>sing autonomy at<br />

<strong>PinnacleHealth</strong>.<br />

The <strong>nur</strong>ses in CTICU took the initiative<br />

to attend a conference on communication<br />

and to purchase two books to help<br />

them learn more about implementing<br />

effective, meaningful peer review.<br />

Nurses are empowered to identify<br />

issues for change and innovation to<br />

improve the work environment and<br />

patient care. For example, <strong>nur</strong>ses on<br />

CINT’s Practice group had concerns<br />

about the blood glucose levels of<br />

patients on their unit. This concern<br />

fueled a new diabetes initiative that<br />

resulted in tighter glucose control for<br />

patients. The work environment on<br />

Main 10 has been enhanced through<br />

the efforts of a unit-based Work Life<br />

Committee who organized celebrations<br />

for Neuro Nurses and Orthopedic<br />

Nurses Days, as well as community<br />

outreach activities such as Adopta-Family.<br />

These kinds of activities<br />

strengthen the team as a whole and<br />

help staff to participate in meaningful<br />

recognition.<br />

Nurse Heroes<br />

Among Us<br />

November 11, 2007 was the 35th running<br />

of the Harrisburg Marathon. It<br />

also was the day that <strong>PinnacleHealth</strong><br />

ICU <strong>nur</strong>ses saved a man’s life. When<br />

Karen Zeplin, RN agreed to coordinate<br />

the medical support team for the<br />

marathon, she expected to treat dehydration,<br />

minor scrapes, and electrolyte<br />

imbalance—not a heart attack. When<br />

Karen and fellow ICU <strong>nur</strong>se Michelle<br />

Gouhin, RN, heard the urgent call,<br />

“Runner down!” they rushed to start<br />

CPR on a 42-year-old runner. After five<br />

cycles of CPR, an automated external<br />

defibrillator shock and another round<br />

of CPR, the man was revived and taken<br />

to Harrisburg Hospital. A few days after<br />

surgery, he walked out of the hospital,<br />

grateful for the excellent care he<br />

received from the staff in the Cath Lab,<br />

the OR, CCU and CINT.<br />

Humbled and grateful for everyone’s<br />

help, Karen says, “I feel very fortunate<br />

to have been at the right place at the<br />

right time. Because we were there,<br />

this man is still alive. Nothing is more<br />

rewarding than that.”<br />

In addition to Karen and Michelle, the<br />

other <strong>nur</strong>se volunteers included: Penny<br />

Frownfelter, Sue Langan, Cathy<br />

Druckenmiller, Kim Sutherland, Ann<br />

Wolf and Brenda Black.<br />

<strong>PinnacleHealth</strong><br />

Marathon Volunteers<br />

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force 10<br />

Community and<br />

Healthcare Organization<br />

force 11<br />

Phil Leer, RN, Main 1<br />

with Camp Dragonfly<br />

Campers<br />

Rob Shipp, CINT/CCU presented a<br />

lecture on heart health during heart<br />

month to the “Women of the Moose.”<br />

Dottie Wormser, RN, North 9, facilitates<br />

a monthly suicide support group<br />

for those who have experienced a loss.<br />

Kathie Grimes, RN, North 9, is active<br />

in fundraising events for the American<br />

Cancer Society.<br />

<strong>PinnacleHealth</strong> Med-Surg <strong>nur</strong>ses in the<br />

local Capital Area Chapter of AMSN<br />

won the Community Service Award<br />

from the National AMSN organization<br />

for their outreach projects. Here is an<br />

overview of their accomplishments:<br />

w March of Dimes Walk and Diabetes<br />

Walk<br />

w Contributions of layette items to the<br />

PnnacleHealth OB Clinic for distribution<br />

at parenting classes<br />

w Turkeys and nonperishables to<br />

Bethesda Mission and Food Bank<br />

w Adopted a family from the Infant<br />

Development Program for Christmas<br />

Dawn Moyer, RN leads a Multiple<br />

Sclerosis Support group once a<br />

month and volunteers at the Central<br />

Pennsylvania chapter of the National<br />

MS Society. She also coordinated a<br />

team from <strong>PinnacleHealth</strong> for the annual<br />

MS Walk in April 2007.<br />

Bonnie Peffer, RN, Perianesthesia,<br />

Community, volunteers with Lend-A-<br />

Hand Katrina Relief in Mississippi.<br />

The Perianesthesia Department at<br />

Harrisburg Campus donated over 1500<br />

hours of community service in 2007.<br />

Activities range from camp <strong>nur</strong>se to<br />

working in a food pantry and from<br />

organizing blood drives to parish<br />

<strong>nur</strong>sing.<br />

The Heart Failure Center developed<br />

the first community Heart Failure<br />

Support Group which meets monthly<br />

with an excellent community response.<br />

In addition, the Heart Failure Center<br />

<strong>nur</strong>ses offered a “Lunch and Learn”<br />

for 60 participants at the GIANT Super<br />

Center in Camp Hill, July 2007.<br />

The Extreme Nurse Experience is sponsored<br />

by the Pride Council as a way to<br />

introduce local Girl Scout troops and<br />

high school students to the career of<br />

<strong>nur</strong>sing. Four times a year, 60 students<br />

spend a Saturday visiting several different<br />

clinical areas of the hospital as staff<br />

<strong>nur</strong>se volunteers explain the role of<br />

the <strong>nur</strong>se in specialties such as cardiovascular<br />

OR, med-surg, toxicology and<br />

ED. Nurses who have volunteered to<br />

participate report that the experience<br />

is as meaningful to them as it is to the<br />

students.<br />

Faculty<br />

Kelli Buzzard, RN, Float Pool, substitute<br />

instructor at HACC, Nursing<br />

Kimberly Martin, BSN, Pediatrics,<br />

adjunct faculty at HACC, Nursing<br />

Donald Buchanan, CRNP, Pediatrics,<br />

adjunct faculty at HACC, Gettysburg<br />

Campus LPN program<br />

Kathy Alvanitakis, RN, North 9,<br />

adjunct faculty at HACC, Nursing<br />

Stacy Lutter, RN, Per Diem CTPO,<br />

professor of Nursing at York College of<br />

Pennsylvania<br />

Trish Bennett, CNS, CTICU, clinical<br />

instructor at Messiah College for critical<br />

care<br />

Kim Fowler, CNS, West 1, Main 1<br />

Nurses as Teachers<br />

Community, clinical<br />

instructor at Messiah<br />

College and a CNS preceptor<br />

for Master’s students from York<br />

College of Pennsylvania<br />

M’liss Halsey, MSN, L&D, clinical faculty<br />

at Messiah College<br />

Kelly Soule, Heart Failure Center,<br />

guest professor for the Case Manager<br />

MSN tract at Millersville University<br />

Chris Miller, MS, NICU, instructor<br />

in Nursing at York College of<br />

Pennsylvania<br />

Dawn Hauck, RN CTICU, instructor at<br />

HACC, Nursing<br />

Sandi Myers, RN CTICU, instructor at<br />

HACC, Nursing<br />

Beth Fourlas, RN CTICU, instructor at<br />

HACC, Nursing<br />

Sarah Harne-Britner, CNS, CINT/<br />

CTPO, clinical instructor at Messiah<br />

College<br />

The Heart Failure Center <strong>nur</strong>ses<br />

partnered with Hershey Medical<br />

Center to offer a Heart Failure Patient<br />

Symposium in May 2007 with a total of<br />

150 participants.<br />

Lynn DeMartyn, RN, WOCN provides<br />

the clinical experience for junior <strong>nur</strong>sing<br />

students from Messiah College to<br />

learn wound care techniques and to<br />

learn the role of a wound, ostomy and<br />

continence care <strong>nur</strong>se.<br />

Sharon Kelly, RN, Learning Institute<br />

partnered with the Gaudenzia organization<br />

to provide a two-day conference<br />

on working with women with drug and<br />

alcohol addictions who are pregnant or<br />

parenting.<br />

The Float Pool also started its own<br />

website as a means to share important<br />

information to staff.<br />

Faye Koons,<br />

RNC, NICU<br />

(1969)<br />

“The greatest satisfaction is<br />

when you have an epiphany<br />

that you truly have impacted<br />

an individual’s entire life<br />

in a positive way. In our<br />

area, with our clientele, that<br />

satisfaction may take years<br />

to be realized, which only<br />

makes the satisfaction that<br />

much more meaningful.”<br />

Pearl of<br />

Wisdom:<br />

“Find your niche in <strong>nur</strong>singthat<br />

one area of the<br />

profession in which you<br />

feel you excel, and from<br />

which you derive the most<br />

personal gratification”<br />

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force 12<br />

Image of Nursing<br />

Dawn Moyer<br />

Babbette Kellogg<br />

Recognition for<br />

excellence is a core<br />

value that is articulated in<br />

our <strong>PinnacleHealth</strong> Nursing<br />

Charter. We are proud of our<br />

<strong>nur</strong>ses for their outstanding<br />

accomplishments and numerous<br />

peer and community recognitions.<br />

Sandra Boswell, BSN, RN, CAPA -<br />

one of several winners nationwide of<br />

the Magnet Essay Contest held by the<br />

American Nurses Credentialing Center<br />

Erin Billbrough, CCU - awarded the<br />

Nursing Faculty Award for Clinical<br />

Excellence Award from HACC<br />

Sandra Stilp, RN; Outcomes<br />

Management - won the <strong>PinnacleHealth</strong><br />

Excellence in Customer Service Award<br />

The following NICU <strong>nur</strong>ses were<br />

inducted into the Sigma Theta Tau<br />

Honor Society for Nursing: Susan<br />

Brackbill, RN; Tina Daniels, RN; and<br />

Mary Lou Mortimer, RN, SDI<br />

Dawn Moyer, RN, MSCN,<br />

CNRN, multiple sclerosis <strong>nur</strong>se for<br />

<strong>PinnacleHealth</strong> Neurology Associates<br />

- received the John Dystel Nursing<br />

Fellowship (National fellowship awarded<br />

by the National MS Society) for<br />

<strong>nur</strong>ses caring for people with multiple<br />

sclerosis<br />

Lorena Garcia, RN, CINT - awarded<br />

the Spirit of Nursing Award from HACC<br />

Stacey Brehm, RN, OR Harrisburg<br />

Campus - won the PSNA District 15<br />

Award from HACC<br />

Shelley Riser - honored by the Student<br />

Nurses Association of Pennsylvania<br />

(SNAP) with an Honorary Member<br />

Award for her long-standing commitment<br />

to the association<br />

Nursing<br />

Excellence Awards<br />

Every year, we honor <strong>nur</strong>ses through<br />

our peer-nominated Nursing<br />

Excellence Awards. The winners are<br />

announced at the annual Nursing Gala<br />

held during Nurses Week each May.<br />

Congratulations to both the nominees<br />

and the winners in each category.<br />

Novice Nurse<br />

Winner: Amanda Zimmerman,<br />

North 10<br />

Nominees:<br />

Tom Abruzzo, CTICU<br />

Liya Arustamyan, Community ED<br />

Julia Bentz, 2N/S<br />

Andrea Bria, NICU<br />

Erin Bucher, PSCU<br />

Liam Copus, Main 5<br />

Jennifer Eby, Pediatrics<br />

Megan Fritz, CINT<br />

Stacey Harrison, CTU<br />

Amber Kroboth, Main 9<br />

Kerry Long, 2 N/S<br />

Sarah O’Dean, CCU<br />

Emmalee O’Connor, Harrisburg ED<br />

Vicki Patchen, CTU<br />

Allison Russaw, Main 10<br />

Sue Stutzman, Pottsville Hospice<br />

Patricia Watson, Main 1<br />

Stacy White, PSCU<br />

Teamwork<br />

Winner: Babette Kellogg,<br />

Outcomes Management<br />

Nominees:<br />

Candace Adam, Rehab<br />

Susan Berkely, Outcomes Management<br />

Brynn Billett, Main 10<br />

Carol Bixler, Community ICU<br />

Katie Dietz, 2 N/S<br />

Aileen Douches, Main 10<br />

Colleen Gonder, Harrisburg ED<br />

Anne Kurutz, Float Pool<br />

Pat Mitchell, CINT<br />

Joyce Mountz, Harrisburg PACU<br />

Regina Nooraga, Harrisburg ED<br />

Heather Riddle, CTU<br />

Georgia Lee Sorrow, Float Pool<br />

Pam Zeigler, 2 N/S<br />

Leadership in<br />

Nursing<br />

Winner: Kim Orfanelli, Rehab<br />

Nurse Manager<br />

Nominees:<br />

Cheri Bechtel, CTPO<br />

Elizabeth Dye, Main 10<br />

Brenda Mull, Harrisburg ED<br />

Wendy Johnson, Main 5<br />

Heather Laudenslager, MTU<br />

Patricia Williams-Forgenie, CTU<br />

Dawn Zeigler, CTU<br />

Pride in<br />

<strong>PinnacleHealth</strong><br />

Nursing<br />

Winner: Kim Shappell, Main 10<br />

Nominees:<br />

Crystallein Egresits, Pediatrics<br />

Joye Gingrich, CTU<br />

Kimberly Hohenshelt, Float Pool<br />

Tara Kohn, 2 N/S<br />

Andrea Potteiger, Float Pool<br />

Melanie Sherman, CINT<br />

Lindsay Snyder, Harrisburg ED<br />

Patient Advocate<br />

Winner: Laura Sheads, CTPO<br />

Nominees:<br />

Tammy Bricker, IV Team<br />

La Ray Croutharmel, Harrisburg ED<br />

Tina Deitman, CTU<br />

Katie Dietz, 2 N/S<br />

Cherril Durand, CTU<br />

Debbie Getch, CCU<br />

Annamarie Gromotski, C-ICU<br />

Anne Kurutz, Float Pool<br />

Melinda Metzger, PSCU<br />

Esther (Cookie) Shultz, Rehab<br />

Facilitator of<br />

Learning<br />

Winner: Norine Bilharz, IV Team<br />

Nominees:<br />

Sandy Chapman, Main 9<br />

Melanie Duffy, Harrisburg ICU<br />

Cherril Durand, CTU<br />

Lisa Dziabo, 2 N/S<br />

Susanne English, MTU<br />

Kate Everly, Main 1<br />

Lois Gaul, Main 9<br />

Cheryl Hammonds, PSCU<br />

Joy Malunda, CTU<br />

Heidi Matter, Main 9<br />

Kimberly McCaughey, CCU<br />

Nancy Michaelian, Community SPPU<br />

Donna Roller, Pediatrics<br />

Abigail Wertz, Harrisburg ED<br />

Kim Shappell<br />

page 18 page 19<br />

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10/2/08 2:11:11 PM


force 13<br />

Interdisciplinary Relationships<br />

force 14<br />

Professional Development<br />

The Emergency<br />

Department 2009-2010<br />

expansion plan includes<br />

both Express Admission Unit<br />

<strong>nur</strong>ses and ED <strong>nur</strong>ses to provide<br />

input into the design of a<br />

new 15 bed unit. Staff <strong>nur</strong>ses<br />

designed the rooms and gave<br />

extensive recommendations for<br />

equipment.<br />

The OR at Community Campus<br />

reports that the use of Pathfinder<br />

(Computerized Patient Tracking<br />

System) has improved patient, family<br />

and physician satisfaction through a<br />

new family message board, automated<br />

paging system to alert orderlies to OR<br />

rooms and the availability of Pathfinder<br />

in the physician’s offices to track<br />

patient progress.<br />

CCU reports working with Safa Farzin,<br />

MD, Pulmonary and Critical Care, to<br />

create a central line insertion kit to be<br />

used throughout the system as a best<br />

practice example.<br />

The Annual Nursing<br />

Research Conference provides<br />

an opportunity for <strong>nur</strong>ses<br />

from all levels of practice to present<br />

posters on <strong>nur</strong>sing research, evidence-based<br />

practice, collaboration<br />

and clinical outcomes. Posters are<br />

judged by a review panel and <strong>nur</strong>ses<br />

receive contact hours for the poster<br />

sessions. The 2007 poster winner<br />

was: “Collaboration for Excellence<br />

in Cardiac Surgery.”<br />

2007 Nursing<br />

Research<br />

Conference<br />

Posters<br />

Nursing’s Impact on Quality<br />

Improvement — Becky Pontius, RN,<br />

Quality Council<br />

Pain Reassessment: Quality<br />

Improvement Initiative — Cheryl<br />

Hammonds, RN<br />

Making a Difference in Discharge<br />

Education for Cardiac Surgery Patients:<br />

A Collaborative Approach — Jen<br />

Schleig, RN<br />

International Nursing — Susan<br />

Brackbill, RN<br />

NICU Sound Levels and Sources<br />

— Mary Lou Mortimer, RNC, and<br />

Michalena Levenduski, MSN, RNC,<br />

CNS<br />

Introduction to Evidence-Based<br />

Practice: Research Council — Erica<br />

Leber-Burnham, RN, Jeff Stroup, RN,<br />

Liz Burdick, RN and Marianne Allen,<br />

MSN, RN, CNS<br />

Nurse/Physician Relationships on the<br />

PSCU/Main 6: A Survey — Mary Ann<br />

Clement, MSN, RN, CNS, Bonnie<br />

Gasbarre, RN, Joan George, RN,<br />

Bonnie Moyer, RN and Agnes<br />

McCarty, RN<br />

In-House Stroke Alert and the Post Op<br />

Orthopedic Patient — JoAnn Fisher,<br />

RN<br />

Extreme Nursing Experience — Kim<br />

Shappell, RN; Andrea Potteiger, RN,<br />

Jennifer Shuey, RN, and Mary Ann<br />

Clement, MSN, RN, CNS<br />

Joint Replacement Pilot Program —<br />

Margaret Brady, RN, Karen Fake,<br />

RN, and Barry Boyer, RN<br />

A Toxicology Nurses’ Perspective —<br />

Ginger K. Cassatt, RNC, Carmel<br />

Fuentes, RN, BSN, CMSRN, Marilou<br />

Magnaye, RN, BSN, MSN, CMSRN<br />

and Sandra O’Donnell, RN, BBA,CSPI<br />

Given in Love: A Hospital-Based<br />

Program of Support and Education for<br />

Birth Parents and Adoptive Parents —<br />

Marianne Allen, RNC, MN, Deborah<br />

Schafer, RNC, MSN, Michalena<br />

Levenduski, RNC, MSN, Megan<br />

Strohecker; RNC, Tina Willier, RNC,<br />

Stacy Chubb, RN, Sandra Chapman,<br />

RNC, BSN, Sharon Kelly, RN, BSN,<br />

Amy Zook, MSW and Tanya Runnels,<br />

LSW<br />

Treatment Of Hyperbilirubinemia In<br />

Infants On The Pediatric Unit: An<br />

Evidence-Based Practice Change —<br />

Mary Beth Heller, BSN, RNC and<br />

Donna Roller, RN, CPN<br />

Safely Meeting the Needs of the<br />

Bariatric Surgical Population at<br />

Community General — Teresa Biagio,<br />

BSN, MBA, ONC, RN, Babette<br />

Kellogg, BSN, RN and Ellinor Winters,<br />

CMSRN, RN<br />

Challenges in Acute Pain Management<br />

in Opioid Tolerant Patients — Megan<br />

MacDonald BSN, RN, CMSRN<br />

Collaboration for Excellence in Cardiac<br />

Surgery — Cheri Bechtel, BSN, RN,<br />

Corve Ransom, RN, Liz Burdick, RN,<br />

Lynn Mcluckie, Lori Spence RN, MS,<br />

Trish Bennett, RN, MSN and Cyndy<br />

Wilson, RN, BSN, MS<br />

Diana Mason, Phd,<br />

RN, Editor-in-Cheif<br />

AJN, Marge Samsel,<br />

MSN, RN, SDI,<br />

Hospice, Key Note<br />

Speaker, 2007 Nursing<br />

Research Conference<br />

Nursing Research Day<br />

page 20 page 21<br />

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10/2/08 2:11:20 PM


Professional Development<br />

Sarah Harne-Britner<br />

Heart Failure Champions on a Medical<br />

Telemetry Unit — Jennifer DiBiasi,<br />

RN, and Kim Fowler, MSN, RN<br />

Electroconvulsive Therapy — ECT<br />

Let’s Rock the Blues Away — Susan<br />

Deringer, BA, BSN, and Kyleen Little-<br />

Fazio BS, CMSRN<br />

The Quicker Picker Upper: A<br />

Multidisciplinary Approach in the Care<br />

of a Patient with Heart Failure and<br />

Cellulitis/Leg Ulcers — Melissa Stolley<br />

RN, BSN, CWOCN and Mary Beth<br />

Mangol, RN<br />

Publications<br />

Marianne Allen, Mary Ann Clement,<br />

Kim Fowler, Sarah Harne-Britner<br />

(2007) — “Improving hand hygiene<br />

adherence among healthcare providers.”<br />

Clinical Nurse Specialist: The<br />

Journal of Advanced Nursing Practice<br />

21(2): 101-102<br />

Kelly Soule, Madeline Sica, Patty<br />

Novak (Spring, 2007) — “Shared-care<br />

approach to evidence-based medicine<br />

improves clinical outcomes for<br />

the heart failure patient,” Progress in<br />

Cardiovascular Nursing<br />

Melissa Stolley and Mary Beth<br />

Mangol (2007). Abstract: “The quicker<br />

picker upper: A multidisciplinary<br />

approach to a patient with CHF and<br />

cellulitis,” Journal of Wound, Ostomy<br />

and Continence Nursing. 34(3S)<br />

Cathy Druckenmiller, Shelley<br />

Heinbaugh, Yovanka Hoover,<br />

Christine Miller and Mary Lou<br />

Mortimer (June 18, 2007) — “Career<br />

development pathway recognizes and<br />

rewards <strong>nur</strong>ses for excellent bedside<br />

practice,” Advance for Nurses 9(14): 25<br />

Presentations<br />

Penny Frownfelter, MSN, RN,<br />

CNAA-BC; Vicki Duffin, BS, RN; Jane<br />

Brindle, BSN, RN; Rita Overcash, MS,<br />

RNC; Andrea Potteiger, BSN, RN,<br />

CNAA-BC; Rosemary Walmer, RN:<br />

Implementation of a Nurse Manager<br />

Peer Review Process, Poster; The 11th<br />

National Magnet Conference, October<br />

3-5, 2007, Atlanta, GA<br />

Sarah Harne-Britner, MS, CNS:<br />

Scaling New Heights to Promote a<br />

Culture of Evidence-based Practice and<br />

Research, Poster; The 11th National<br />

Magnet Conference, October 3-5,<br />

2007, Atlanta, GA<br />

Marianne Allen, RN-C, MN: When<br />

the Beginning of Life is the End of Life:<br />

Establishing Perinatal Bereavement<br />

Services after Hospital Merger, Poster;<br />

The 11th National Magnet Conference,<br />

October 3-5, 2007, Atlanta, GA<br />

Marianne Allen, CNS; Mary Ann<br />

Clement, CNS; Kim Fowler, CNS; and<br />

Sarah Harne-Britner, CNS: Improving<br />

Hand Hygiene Adherence Among<br />

Healthcare Providers, Poster; 2007<br />

Medical Education Day<br />

Kim Fowler, CNS; Sarah Harne-<br />

Britner, CNS: Improving Hand<br />

Hygiene Adherence Among Healthcare<br />

Providers; National Association of<br />

Clinical Nurse Specialists Annual<br />

Conference, Podium; March 2007,<br />

Phoenix, AZ<br />

Kim Fowler, CNS: Heart Failure<br />

Champion Role on a Medical Telemetry<br />

Unit, Poster; PHS Nursing Research<br />

Conference and Medical Education<br />

Day, April 2007<br />

Kim Fenstermacher, MS, CRNP;<br />

Pam Neubaum, CAP: Time Saving<br />

Strategies for Writing and Organizing<br />

Your Magnet Document, Podium; The<br />

11th National Magnet Conference,<br />

October 3-5, 2007, Atlanta, GA<br />

Brenda Cox, RN: Code Stemi;<br />

Presentation; Regional Manager<br />

Seminar held April 20, 2007 at Felicita.<br />

Trish Bennett, CNS; Melanie Duffy,<br />

CNS: CNS Involvement with the<br />

Development of a Rapid Response<br />

Team, Poster; National CNS<br />

Conference<br />

Sarah Harne-Britner, CNS; Kim<br />

Fowler, CNS; Trish Bennett, CNS:<br />

Promoting EBP: The Role of Software<br />

Support, Podium; 12th Annual<br />

Challenges in Critical Care, Hershey,<br />

PA, August, 2007<br />

Arletta Molnar, BSN, RN: Evidencebased<br />

Guidelines for Care of the<br />

Poisoned Patient, Podium; Trends in<br />

Critical Care Nursing Conference, Fall<br />

2007<br />

Joanne Konick-McMahan, MSN, RN:<br />

Evidence-based Guidelines for Drug<br />

Overdose Management, Podium;<br />

Review Sessions for AACN Certification<br />

Exam (Hematology/Immunology, Renal,<br />

Endocrine), Trends in Critical Care<br />

Nursing, Fall 2007<br />

Sue Tyson, ICU Community:<br />

“Climbing Mountains or Hanging<br />

from the Edge: Adventures in Staff<br />

Development,” Poster; Quest<br />

Conference, Ohio<br />

Babette Kellogg, RN, BSN, CCM:<br />

Safely Meeting the Needs of the<br />

Bariatric Population, Poster; National<br />

Association of Bariatric Nurses Annual<br />

Conference<br />

Jean McDonald RN, BSN, CCM:<br />

Proactive Case Management Improves<br />

AMI Core Measures, Poster; Case<br />

Management Society of America<br />

Annual Conference<br />

Vicki Marth RN, MS, CCM,<br />

Manager, Outcomes Management<br />

and Terri Bakowicz, RN, BSN,<br />

Clinical Documentation Specialist:<br />

Improving Physician Documentation:<br />

A Collaborative Approach, Poster;<br />

Case Management Society of America<br />

Annual Conference<br />

Tammy DiScuillio RN, BSN: A<br />

Comparison in Open Heart Patient<br />

Outcomes Based on Preoperative<br />

Preparation Intervention, Poster;<br />

Medical Education Day<br />

Vicki Marth RN, MS, CCM, Terri<br />

Bakowicz RN, MS, Jackie Coyle RN,<br />

Jill Dressler RN, BSN, Kathy Wagner<br />

RN, BSN and Lori DiAgostino<br />

RN, BSN: Clinical Documentation<br />

Specialists: An Interdisciplinary<br />

Approach to a Successful Clinical<br />

Documentation Improvement Program,<br />

Poster; American Health Information<br />

Management Association Annual<br />

Conference<br />

Kathryn Scofield RN, MPA, CCM:<br />

“Practical Strategies for the Non-<br />

Compliant Patient,” September 27,<br />

2007 System Grand Rounds<br />

Cynthia Howe, RN, CPAN:<br />

“Malignant Hyperthermia,” SCPAPAN<br />

Conference, Fall 2007<br />

Karen Zimmerman, SDI, Diane Geise,<br />

CRNA, Susan Comp, Director and<br />

Sheree Carter, RN: presented a half<br />

day session on implementing shared<br />

governance in the OR setting for <strong>nur</strong>ses<br />

at Reading Hospital<br />

Karen Zimmerman, SDI,<br />

Perianesthesia, Harrisburg Campus:<br />

“Evidence-Based Practice: Post<br />

Operative Nausea and Vomiting,”<br />

Podium; 2007 PHS Nursing Research<br />

Conference<br />

Kelly Soule MSN, Madeline Sica, BS,<br />

RN and Patty Novak, RN: “Sharedcare<br />

Approach to Heart Failure<br />

Management,” Podium; American<br />

Association of Heart Failure Nurses,<br />

June 2007, San Diego, CA<br />

Mary Beth Mangol, RN and Melissa<br />

Stolley, WOCN: Poster at the WOCN<br />

Society Annual Conference, June 2007,<br />

Salt Lake City, Utah<br />

Susan Comp, Diane<br />

Geise, and Karen<br />

Zimmerman<br />

page 22 page 23<br />

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10/2/08 2:11:23 PM


Cathi Green, RN<br />

(1977)<br />

What I love about <strong>nur</strong>sing is<br />

that I always tried to make<br />

my patients laugh. That<br />

made my day when I could<br />

see the tension leaving<br />

their eyes. The eyes are the<br />

window to the soul and told<br />

the whole story.<br />

Pearl of<br />

Wisdom:<br />

“Go with your gut. If it<br />

doesn’t feel right, then<br />

it isn’t.” I have been so<br />

relieved in so many different<br />

aspects of <strong>nur</strong>sing that I<br />

went with my gut. The book<br />

learning is all well and good<br />

but you have to know your<br />

patient and evaluate the<br />

entire package and not just<br />

the disease.<br />

Professional Development<br />

Congratulations<br />

to the following<br />

<strong>nur</strong>ses for<br />

advancing their<br />

education.<br />

Degrees<br />

Conferred<br />

Kristina Amerman: BSN, Misericordia<br />

Erin Billbrough: ADN, HACC<br />

Thomas Blazi: ADN, HACC<br />

Stacey Brehm: ADN, HACC<br />

Julie Brown: ADN, HACC<br />

Karen Burrell: BSN, Eastern University<br />

Jamie Chapman: ADN, HACC<br />

Lindsey Cummings: BSN, York College<br />

of Pennsylvania<br />

Nicole Fleisher: BSN, Eastern<br />

University<br />

Lorena Garcia: ADN, HACC<br />

Mary Beth Heller: MS in Nursing,<br />

Walden University<br />

Lindsay Imes: ADN, HACC<br />

Amanda Kemmerer: ADN, HACC<br />

Luis Lara: BSN, Eastern University<br />

Kara Lego: ADN, HACC<br />

Angie Lenker: Diploma, Reading<br />

Hospital School of Nursing<br />

Michele Mellot: BSN, Eastern<br />

University<br />

Arletta Molnar: BSN, University of<br />

Phoenix<br />

Laura O’Connell: ADN, HACC<br />

Jennifer Philson: ADN, HACC<br />

Gina Recce: ADN, HACC<br />

Kim Shappell, BS in Nursing, Penn<br />

State<br />

Nancy Spangenberg: ADN, HACC<br />

Santina Sperling: BSN, Misericordia<br />

Elizabeth Swift: ADN, HACC<br />

Tabitha Walker: ADN, HACC<br />

Laurie Whitmyer: BSN, York College<br />

of Pennsylvania<br />

Becky Zook: MS in Workforce<br />

Education, Penn State<br />

New Certifications<br />

Medical Surgical<br />

Certification<br />

Pamela Betz<br />

Kelli Buzzard<br />

David Cambarijan<br />

Beth Ann Coleman<br />

Mayeen David<br />

Jerome David<br />

Kathryn Dietz<br />

Ruth Flynn<br />

Jocelyn Hershock<br />

Tara Kohn<br />

Clarissa Leoncio<br />

Melinda Metzger<br />

Angela Saunders<br />

Jennifer Shuey<br />

Judilyn Silot<br />

Perioperative<br />

Nursing (CNOR)<br />

Michael Carroll<br />

Erine Clapper<br />

Matthew Cox<br />

Christine Foreman<br />

Brian Lockette<br />

Jenny McAneny<br />

Sherry Mauch<br />

Certified Ambulatory<br />

Perianesthesia<br />

Nursing (CAPA)<br />

Sylvia Beard<br />

Laura Beth Cameron<br />

Susan Kostelac<br />

Cathy Wertz<br />

Barbara Yarosh<br />

CPAN<br />

SueAnne Shaver-Knowlton<br />

CCRN<br />

Erica Leber-Burnham<br />

Critical Care-Adult<br />

(CCRN1)<br />

Catherine Phelan<br />

Cardio/Vascular<br />

Certification<br />

Cheri Bechtel<br />

Jennifer Mackey<br />

Mary Beth Mangol<br />

Patricia Mitchell<br />

Patty Novak<br />

Madeline Sica<br />

Progressive Care<br />

Certified Nurse<br />

Tiffany Boyd<br />

Arletta Molnar<br />

Case Management<br />

Certification<br />

Babette Kellogg<br />

Mary Manduchi<br />

Vicki Marth<br />

Jean McDonald<br />

Katie Scofield<br />

Orthopedic Nursing<br />

Certification<br />

Karen Fake<br />

Certified<br />

Neuroscience<br />

Registered Nurse<br />

(CNRN)<br />

Dawn Moyer<br />

In-Patient Obstetrics<br />

Karen Ilgenfritz<br />

Jennifer Littman<br />

Oncology Nursing<br />

Roxann Conrad<br />

Carol Custer<br />

Susan Sands<br />

Certified Parish<br />

Nursing<br />

Theresa Sellers<br />

Wound, Ostomy,<br />

Continence Nursing<br />

(WOCN)<br />

Marge Matthews<br />

Maternal Newborn<br />

Nursing (RNC)<br />

Jacqueline Hall<br />

Hospice/Palliative<br />

Care (CHPN)<br />

Gwendolyn Snead<br />

K. Beth Bianchi,<br />

RN; M 10 (1977)<br />

“The most satisfying aspect<br />

of my <strong>nur</strong>sing career has<br />

been seeing a patient come<br />

into the hospital acutely<br />

ill and be discharged, well<br />

on the way to recovery.<br />

Knowing that I have in some<br />

way helped in this process<br />

is satisfying and rewarding.<br />

I definitely chose the right<br />

profession and can’t think of<br />

anything else I would rather<br />

have done.”<br />

Pearl of<br />

Wisdom:<br />

Be committed and<br />

love what you do.<br />

page 24 page 25<br />

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10/2/08 2:11:25 PM


Deborah Rodkey,<br />

RN, ED CGH<br />

(1974)<br />

The most satisfying part of<br />

my career is working with<br />

people. I love the patient<br />

care aspect and that is why<br />

I have remained a staff<br />

<strong>nur</strong>se for all of these years.<br />

Pearl of<br />

Wisdom:<br />

“Nurses should never be<br />

afraid to ask a question. It’s<br />

always better to ask.”<br />

Career Development Pathway<br />

The Career<br />

Development Pathway<br />

at <strong>PinnacleHealth</strong><br />

provides a means for<br />

bedside <strong>nur</strong>ses to<br />

advance professionally<br />

as they demonstrate clinical<br />

excellence and a commitment<br />

to professional development.<br />

Nurses on the CDP must renew<br />

their status every three years.<br />

Congratulations to the newest<br />

members on the CDP and to all<br />

who have successfully renewed<br />

their CDP status.<br />

2003<br />

Patrice Cook HBG OR 3<br />

Tina Daniels NICU 3 to 4<br />

Deb Heisey CVOR 3 to 4<br />

Becky Hernandez L&D 3<br />

Christine Miller NICU 3 to 4<br />

Karen Szukalski CVOR 4<br />

Sharon Truitt CTICU 3<br />

2004<br />

Cathy Druckenmiller MSICU 4<br />

Yvonka Hoover L&D 3 to 4<br />

Becky Pontius MSICU 3<br />

2005<br />

Nicole Barca M6 3<br />

Ginger Cassatt N10 3<br />

Ellen Eby MSICU 3<br />

Priscilla Evans NICU 3<br />

Bonnie Gasbarre M6 3<br />

Shelly Heinbaugh CGOH ER 3 to 4<br />

Sue Silberman CTPO 3<br />

Jean Zimmerman CTPO 3<br />

<strong>2006</strong><br />

Sandy Boswell 3<br />

Barb Hammar CTICU 3<br />

Linda Hockenberry CINT 3<br />

Glenn Laverty CGOH ER 3<br />

Jackie Matter CGOH ER 3<br />

Cindy Zimmerman Float Pool 3<br />

2007<br />

Tina Digrugilliers Main 5, Main 10 3<br />

Barb Knaub CTICU 4<br />

Ann Wolf MSICU 3<br />

Cynthia Rumpf-Dooley CGOH PACU 3<br />

Kara Witmer CTICU 3<br />

Margaret McCall CGOH ER 3<br />

Amy Lesher MSICU 3<br />

Crystal Miller MSICU 3<br />

Nurses With 30 Years of<br />

Service or More<br />

Bonnie Strahl<br />

Joan Mary Motter<br />

Karen Haag<br />

Joyce Mckelvey<br />

Sally Ann Schell<br />

Louise Gossage<br />

Genevieve Oravic<br />

Shirley Kreamer<br />

Linda Blosser<br />

Joan George<br />

Beverly Lynch<br />

Dianne Louise Daily<br />

Faye Koons<br />

Denise May Shuler<br />

Lenny Jo Baumbaugh<br />

Mary Ellen Martindale<br />

Sandra Gray<br />

Susan Bannon<br />

Linda Haldeman<br />

Lois Campbell<br />

Vickie Mcbride<br />

Donna Bender Roller<br />

Kathleen Boyer<br />

Pauline Pechart<br />

Anna Bitner<br />

Christine Miller<br />

Karen Yousefian<br />

Sylvia Blazina<br />

Linda Blough<br />

Joyce Hocker<br />

Margaret Sheets<br />

Bonnie Peffer<br />

Sandra Dinger<br />

Martha Fisher<br />

Jane Wentz<br />

Cynthia Hossman<br />

Patricia Lego<br />

Dorothy Engle<br />

Colleen Hoover<br />

Brenda Cox<br />

Patricia Ann Kauffman<br />

Cynthia Kimmel<br />

Frances Heishman<br />

Nancy Swingler<br />

Sue Anne Shaver-<br />

Knowlton<br />

Debora Black<br />

Judy Bostdorf<br />

Barbara Parsons<br />

Sarah Bensinger<br />

Deborah Rodkey<br />

Ruth Ann Musser<br />

Joan Webb<br />

Rethea Deveney<br />

Margaret Barbagello<br />

Shelley Lebo<br />

Susan Langan<br />

Diana Berkstresser<br />

Linda Houseal<br />

Diane Geise<br />

Constance Marencic<br />

Nancy Baker<br />

Margaret Hartwell<br />

Mary Anne Fasick<br />

Susan Saylor<br />

Diane Kotewicz Ceja<br />

Shirley Klinger<br />

Elizabeth Ann Baum<br />

Nancy Ciarrocca<br />

Patricia Koons<br />

Yvonne Henninger<br />

Sheree Weaver<br />

Kerry Blasenak<br />

Cynthia Deitrich<br />

Rayna Craig<br />

Donna Blessing<br />

Linda Gibbins<br />

Sharon Camasi<br />

J Kaye Linde<br />

Debra Kepner<br />

Janet March<br />

Sharon Smith<br />

Lynn Cassel<br />

Heidi Matter<br />

Cathi Jo Green<br />

Roxanne Renee<br />

Rickenbach<br />

Patricia Lowery<br />

Gayle Gummo<br />

Dawn Artz<br />

Vicki Duffin<br />

Phyllis Chisolm<br />

Theodora Maxwell<br />

Mary Knackstedt<br />

K Beth Bianchi<br />

Sandra Marx<br />

Linda Rae Reichenbach<br />

Annamarie Gromotskie<br />

Suzanne Lyter<br />

Gina Nell<br />

Susan Smith<br />

Janet Louise Utter<br />

Janis Berkheiser<br />

Debra Buffington<br />

Carol Yingst<br />

Beverly Jane Flowers<br />

Nancy Baker,<br />

RN, 2N/S CGH<br />

(1975)<br />

Pearl of<br />

Wisdom:<br />

“No matter how bad your<br />

day has been, it is all worth<br />

it at the end when you hear<br />

‘thank you for taking care of<br />

me’ from the patient.”<br />

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