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2006 nur - PinnacleHealth

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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 />

page 14 page 15<br />

PH_NursingAR07_RWe.indd 14-15<br />

10/2/08 2:11:05 PM

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