2012 Nursing Biennial Report - Englewood Hospital and Medical ...

“From the momentwe entered thebuilding, wewere treated withtotal respect,as though we weresome sort ofvisiting king andqueen from aforeign country.”– Family MemberHealthGradesTop 5% in Nation• Neurosurgery ExcellenceAwardTop 10% in Nation• Cardiac SurgeryExcellence Award• Maternity CareExcellence Award• NeurosciencesExcellence Award5 Star• Coronary Bypass Surgery• Maternity Care• Pancreatitis Treatment• Pneumonia Treatment• Sepsis and PulmonaryEmbolism Treatment• Stroke Care, Neurosciences &Neurosurgery 2 0 12CareChex AwardsTop 100 in the Nation forMedical Excellence & Top 10%in the Nation for MedicalExcellence• Heart Attack Treatment• Interventional Carotid CareTop 10% in the Nation forMedical Excellence• Cardiac Care• General SurgeryTop 10% in the Nation forPatient Safety• GI Care; GI Hemorrhage• Heart Attack Treatment; HeartFailure Treatment• Hip Fracture Repair• Neurological Care; Stroke Care• Overall Medical CareSelected MilestonesThe Leapfrog Group• Top Grade for PatientSafety, “A.” (Rated amongmore than 2,600 hospitalsnationwide.)The Joint Commission• Advanced Certification asPrimary Stroke Center (Amongjust 150 US hospitals recognizedfor significantlyimproved outcomes.)• Disease-Specific Certificationfor Hips, Knees & Spine• Top Performer on Key QualityMeasures - 2011National Accreditation Programfor Breast Centers• Recognized for Excellence inthe Care of Breast PatientsFront: Shaija GeorgeBack: Regina Gynegrowski, Mary Lloyd,Valerie Skettini, Anne Marie AyalaLarge Photo: Ellen Johnston, Marlene VeselskyInset: Mark Tuazon6J O U R N E Y to Excellence7

The Spirit of ExcellenceThe results of the December 2012 Nurse Engagement Survey exceeded the nationalbenchmark mean, with a level of engagement of 36.1% as compared tothe national mean of 28.5%. Our nurses scored 73.3% in the category “I amproud to be a nurse,” in sharp contrast to the national figure of 13.5%.The Advisory Board Company’s definition of engagement is that an engagednurse is inspired by his or her hospital, willing to invest discretionary effort,likely to recommend the employer and planning to remain with the hospital forthe foreseeable future.Level of Engagement40%35%30%25%20%15%10%36.1 EHMC28.5 Benchmark(2012 National Mean)Snapshots in Patient SatisfactionWe know the road to excellence is never-ending. Our commitment to exceedingour goals and individual accountability is where our compass is pointed. Ourtravels in 2013 and beyond will be guided by an abiding commitment to growpatient satisfaction. Our nursing vision sets the course.• A multidisciplinary team, including administrators, unit and departmentmanagers, staff and physicians, ascertained and prioritized opportunities forimprovement and focus. The fundamentals of AIDET and rounding, as well asthe ability to connect the dots from staff and physician level behaviors topatient perceptions, were determined to be the most immediate needs of theorganization. As a result of these findings, tools, education and training werecreated and conducted throughout the Medical Center.• Previously, inpatient HCAHPS scores fluctuated as much as 25 points ona monthly basis. However, the volatility in scores since March 2012 hasaveraged less than two points and continues to improve.Above: Nancy Wienberg, Karen Randall, Margaret Nolan5%0%I Am Proud to Be a Nurse80%70%60%50%40%30%20%10%Engaged EHMC Response Rate 61.2%73.3 EHMC13.5 Benchmark(2012 National Mean)0% Proud to be a NurseEHMC Response Rate 61.2%10J O U R N E Y to Excellence 11

A Journey Shared“Thank you very muchfor having nurses who puttheir patients first.”– Patient –Medical/SurgicalChairs: (2011) Jill Cox, Susan DeGennaro, Rosemarie BuseChairs: (2012) Rosemarie Buse, Susan DeGennaro, Janet MantelMembers: Jenifer Browne, Phyllis Capiaghi, Elizabeth Cattani, Sophie Choi,Nicole Chvasta, Jill Cox, Lauren Dotson, Ann Ellenson, Erline Everett,Aurora Garcia, Devon Gordon-Lyles, Chevon Gray, Barbara Grygotis,Pat Lanzellotti, Kimberly Lion, Kari Loverde, Norbeta Maine, Christine Massey,Dana Mayer, Stacie Morvay, Jessica Pages, Maria Poznanska, Anthony Russo,Jung Sang, Jennifer Shepp and Jillian Valdez.Standards:• Completed evidence-based review, update and revision of all outcomestandards (interdisciplinary plans of care) and discharge instructions.• Participated in evidence-based review and revision of all nursing protocols.• Revised all MED/SURG protocols based on evidence.PI:• Participated in International Pressure Ulcer Prevalence Day. Nursingstudents assisted in data collection process.• Collected quarterly NDNQI data for restraints and pressure ulcers.Completed related mandatory education.• The division maintained an annual acquired pressure ulcerprevalence rate of 1.25% and 0.6%, respectively.• Completed monthly audits of Falls Protocol.• Assisted in the incorporation of evidence-based changesto Falls Protocol.EBP/Research:• Distributed Information Overload Project survey toassist with completion.Education:• Participated in McKesson training with many membersassuming the role of Super User.• Contributed to numerous operational decisionsinvolving computerization.• Assisted in review of current electronic charting system.• Incorporated changes to the MED/SURG nursingdocumentation into the EMR based on the feedbackof council members.• Featured information at a council retreat on AIDET trainingand patient satisfaction in addition to an analysis of fallsin the MED/SURG division.• Incorporated visual (yellow slippers and lap blankets) and auditory(bed and chair alarms) indicators into the revised Falls Protocol, aswell as the use of non-restrictive devices and diversional devices (activityblankets) for the cognitively impaired based on available evidence.CouncilHighlights2011-2012Left: Jill Cox, Erline Everett, Sung Yeon Choi, Nicole Chvasta, Norberta Maine Right Top:Gabrielle Valentino Right Bottom: May Fran Reinfried, Diana Torres, Digna Guillermo12J O U R N E Y to Excellence 13

EBP/Research:• Conducted staff led NICU research study: “Use of the RAM Cannula for theprevention of Nasal Septal Erosion,” May 2012.• Project: What is the drying time of umbilical cord stumps kept clean anddry versus stumps treated with alcohol?Education:• Conducted a divisional competency fair offering staff hands-on training forannual competencies.• Offered educational sessions on professional pride and HCAHPS focusedon Maternal Child Health.• Conducted educational programs on breastfeeding support, managementof maternal emergency, postpartum depression management,hypoglycemia and late preterm infant.CouncilHighlights2011-2012Other:• Labor and Delivery staff achieved an outstanding 85% inpatientOB certification rate.• Created Breastfeeding Task Force to support breastfeeding best practicesand to embark on a journey towards baby-friendly status.• Developed discharge teaching tools for SIDS and congenital heartdisease screening.• Implemented couplet care during the night shift on MB.• Tailored EMR to fit the MCH divisional needs.• Implemented a new process for NRP coaching and testing.PerioperativeChairs: D. Katherine Holloway, Rose TrojkovichMembers: Karen Barkley, Valerie Brown, Nena DiTrani, Eleanor Dunn, DianaGaldieri, Pushpa Goel, Cheryl Hernandez, Lori Horton, Denine Long, LindaMaslanka, Margaret Nolan, Phyllis Peterson, Natalie Profis, Shawn Simone,Peggy Smith and Mary Tendler.Standards:• Reviewed and updated perioperative standards and protocols to reflect currentpractice and evidence and the organization’s shift to electronic medical records.• Reviewed, updated and implemented the Surgical Attire Policy according toAORN standards. Education and facility-wide implementation occurred.• Revised, approved and implemented Universal Protocol. Staff and physicianeducation provided across the facility.PI:• Continued to monitor autoclaves on a weekly basis for compliance with flashsterilization standards and testing.• Focused on first-case on time starts, and increased our rate from 35% inJanuary 2012 to 56% in December 2012.• EBP/Research: PICO question developed: Do adult shoulder patients have adecreased need for narcotics with a C-block as compared to a nerve block?Left: Ann Nestman, Lori FordLarge Photo: Sara Wagner, Jackienette Gonzalez Inset: Michelle Lindsay16J O U R N E Y to Excellence17

• Revised numerous cardiac protocols (Administration of Abciximab,Eptifibatide, Intra-aortic Balloon Pump and Therapeutic Hypothermia).• Developed and implemented McKesson EMR in all Outpatient nursing areas.PI:• Reviewed and revised PI calendars for 2011 and 2012.• Continued review of all ADRs in Infusion and use of hypersensitivity orders.• Collected ongoing NDNQI data in Endoscopy and Cardiac Cath Lab.• Monitored compliance to pain assessment.• Reviewed Outpatient fall data to develop process across the Outpatientareas to prevent falls through education.• Created the Information Overload Survey to determine the methodby which Outpatient staff members prefer to receive informationand communication.CouncilHighlights2011-2012EDUCATION:• SSIs and the Surgical Attire Policy (poster presentation for episodes of care).• Post-op care of patients undergoing endometrial ablation procedure withNovasure.• SCIP update.• Accessing VAD ports.• HSM education and systems issues resolution.• Education related to conversion of elastomeric pain pumpsto a different vendor.• Education related to negative pressure wound therapy dressings,pumps, and conversion to a different vendor.• Universal Protocol house-wide.• Blood transport and storage policy.• Surgical safety and Hard Stop languageOutpatientChairs: Margaret Murphy, Elizabeth PietropaoliMembers: Mindy Delaney, Amy Evans, Stephen Goeller, Rulijo Legaspi,Remedios Miguel-Hellman, Nancy Rossi, Erlinda Rubio,Alice Shu and Suzanne Zafran.Standards:• Revised Endoscopy Management Protocol.• Revised Cancer Chemotherapy Protocol.• Revised Methotrexate for Unruptured Ectopic Pregnancy Protocolwith APNs from Oncology and Maternal Child Health.• Developed Interventional Neuroradiology Patient Management Protocol.EBP/Research:• Project: In the Outpatient population does the implementation ofa fall prevention strategy compared to no fall prevention strategyeffect a decrease in falls over a three-month period of time?Education:• Staff developed and presented Cultural Sensitivity Program during“Lunch and Learn.”• Staff development of fall education booklet with Outpatientnurse who returned to complete BSN program.• Continued to work on fall monitoring for the outpatient aswell as an educational brochure.• Identified the Drug-to-Drug Interaction Research Projectwith home medications in the patients receiving chemo/biotherapy in collaboration with the Pharmacy staff.Other:• New Equipment/Supplies: McKesson-Area specific useof applications, hybrid OR, Smart Pumps.• Patient Satisfaction Initiatives: Ongoing NRC Picker survey inEndoscopy. These and the results of house-wide surveys shared withall members. All staff instructed to use AIDET, using ALWAYS when interactingwith patients and their families. Cardiac Cath Lab continued to participatein alliance with 7D.• Radiation Oncology used hospital-developed tool to assess patient satisfaction.Left: Margaret Murphy, Harrietta Venegas, Jessica Pages Right Top: Anne RutkowskiRight Bottom: Englewood Hospital after it was expanded to 32 beds in 190118 J O U R N E Y to Excellence19

CouncilHighlights2011-2012EBP/ResearchChair: Jill CoxMembers: Susan Austin, Alice Barden, Elizabeth Cattani, Barbara Connizzo,Rose Cunha, Susan DeGennaro, Mary DeRitter, Carol Eastman, Rebecca Esquivel,Martina Francisco, Precious Inay, Arlene Keyes, Victoria Kim, Diane Liccardo,Sylvia Lopez, Irina Mandel, Janet Mantel, Brenda Marshall, Christine Massey,Mary Reinfried, Sharon Roche, Ellen Ryan, Lia Sabbagh, Marie Sarubbi,Jennifer Shepp, Diane Steele, Minnie Tanion and Maryelena Vargas.Standards:• Completed revision of nursing protocols, procedures and outcome standardsusing best practice guidelines and evidence hierarchies.EBP/Research:• Completed eight IRB-approved research studies within Nursing. Principalinvestigators included advanced practice nurses, patient care directors,nurse educators and Nursing staff.• Presented research projects at local, regional and national conferences.• Completed a collection for the Information Overload Project within Nursing.Education:• Developed a fact sheet to illustrate the method by which the concepts ofEBP/Research are integrated into the protocol review process.• Designed “The Candy Study,” a simple research study highlighting the basicsof the research process.EducationChairs: Elizabeth Cattani, Karen RaftiMembers: Bettyann Cifu, Erline Everett, Diana Galdieri, Jackienette Gonzalez,Devon Gordon-Lyes, Barbara Grygotis, Anna Hatzikyriakou, Pat Lanzellotti,Mary Lloyd, Louise Malusis, Janet Mantel, Christine Massey, Eva Matos-Botex,Dorothy Meehan, Margaret Murphy, Dawn Pavlu, Dawn Pizzolo, Terttu Sahadi,Leah Scilingo, Ena Scrivani, Suzanne White and Michelle Wu.Standards:• Produced annual educational catalog inclusive of Magnet-related courses.• Used education catalog as a reference for the staff RN CareerDevelopment/Evaluation Tool.• Expanded annual education catalog to include other disciplines.• Designated Unit Champions for the 32 clinical units to help facilitate communicationof ongoing education. Included updating Center for Nursing Practiceeducation bulletin boards, communicating and promoting educational offerings,and acting as a resource to the staff for EHMC Education Intranet links.• Revised 39 clinical procedures based on EBP/Research.PI:• Collaborated with Practice Review by Peers Council to facilitate a Nurses Grand Roundsin an effort to disseminate best practices through a case study related to CAUTI.EBP/Research:• Incorporated evidence-based practice and the IOWA Model into the annualRN needs assessment.Education:• Published Nurse to Nurse newsletter biannually.• Published McKesson newsletter quarterly and placed McKesson link forinformation on the ePortal.• Conducted annual needs assessment survey. Patient care associates,unit secretaries, ED techs, care managers and the nurse managementteam were included.• Developed nursing competencies based on employee needs survey, patientsafety and patient satisfaction.• Created annual Registered Nurse Professional Organization/Certification Day.• Updated scope and standards of practice for unit-specific RN requirements.• Expanded orientation process to include evaluation feedback from thepreceptor along with the orientee.Practice by PeersChairs: Erline Everett, Barbara GrygotisMembers: Doreen Barclay, Maia Bregman, Linda Finocchiaro,Devon Gordon-Lyles, Donna Grotheer, Lori Habersaat, Chikara Iwuagwu,Michelle Lindsay, Diane Lubinski (ad hoc), Michele McLaughlin,Dorothy Meehan (ad hoc) and Stacie Morvay.Standards:• Process recommendations on the revision of the Rapid ResponseTeam (RRT) algorithm.• Process recommendations on the consistency of the PCA worksheet.• Process recommendations on the Chain of Command,RRT policy and Hand Off Communication.Left Top: Cathy Muir-Quinn Left Bottom: Adriana GambinoRight: Christina DeMarco, Rulijo Legaspi, Elizabeth Pietropaoli, Michelle Lindsay20J O U R N E Y to Excellence 21

PI:• Developed Grand Rounds presentation related toNDNQI –nurse sensitive indicators (falls).Education:• Developed, implemented and presented educationin the form of three presentations at hospitalGrand Rounds during February and November 2012.• Education included critical thinking, Chain of Command,activation of the RRT and vital signs trending.• These programs were well attended by Nursing staff andprovided feedback to the team regarding how valuable andpertinent the content was for practice.Nursing Pharmacy CommitteeChairs: Elizabeth Cattani, Stephen Mantel, Jeff NemethStandards:• Implemented Pyxis profile, which displays on medication dispensingmachines each of the patient’s prescribed medications that have beenscreened and verified by a pharmacist, allowing for a safer and moreefficient medication administration process.• Introduced new Baxter IV pumps with individualized drug library specific toarea of clinical practice to provide increased patient safety.CouncilHighlights2011-2012EBP/Research:• Initiated scheduled delivery rounds by Pharmacy to deliver medicationsprior to administration time for a consistent method of medication deliveryand appropriate storage.• Standardized IV medication delivery location with all IVs being placed inthe med room bins.Education:• Created True View, a newsletter, to update staff on recent upgrades andimprovements to medication administration in McKesson.• Increased number of monthly Pharmacy McKesson meetings to discuss andsolve implementation issues related to physician order entry, Pharmacyverification and Nursing medication administration and documentation.Left Top: Maria Ramos, Daisy Macadaeg Left Bottom: Dietrich Robinson, Virginia Ingram,Cecilia Pascual Large Photo: Nena DiTrani, Maria Guarin, Yara Zapata, Viviana Pineyro-TelloInset: Jaime Anne Burgos22J O U R N E Y to Excellence23

The Journey ContinuesThe Primary Stroke Program received Disease-Specific recertification by TheJoint Commission in April 2012. The Stroke Committee continued to monitorperformance measures safeguarding continuing excellence. In seven of tenmeasures, the hospital achieved a compliance score of 95% or better, andexceeded the statewide compliance score in six of ten core measures.Two stroke conferences in 2012 provided education to staff nurses and thosefrom nearby hospitals. Stroke conferences were held for patient care associatesfor the first time. Nurses in the ER, ICUs, Dean 5 and Dean 6 completed annualNIH stroke competency to ensure that their practice stays current and complieswith the highest standards.Opportunity at Every BendThe Outpatient areas continued to represent a wide array of services, in which apatient’s entry can be elective through a scheduled procedure (Infusion Center,Radiation Oncology or Wound Center) or emergent (Cardiac Cath Lab, Endoscopy orInterventional Radiology). For all patients, the goal remained the same: to exceedeach individual’s expectations. The growing Outpatient team, which included newmembers in many areas, ended 2012 excited about the challenges of the future.• The staff continued to participate in quality measures through participation inHCAHPS and core measures. Interventional Radiology was an integral part ofthe recent Stroke Center re-accreditation. Cardiac Services experienced rapidexpansion. To meet this challenge, staff collaborated with physiciansin the renovation of the Cardiac Stress and Cardiac Cath areas.• In a joint Nursing and Pharmacy research project, Infusion Centerstaff studied potential drug-to-drug interactions with homemedications in patients receiving chemo/biotherapy.• All Outpatient units have been involved in various CIS developmentand applications since our “Go Live” in November2011. In all council meetings, there were exchanges ofinformation between staff about the many applicationsin use. No two units use the CIS the same way. It hasbeen tremendous to see the sharing of ideas that weregenerated when diverse staffs have the opportunityto share experiences. Many of these have resultedin changes to streamline the CRV documentation.Roads Old and NewThe Emergency Department, the regional leader inemergency care, embraced opportunity to reach new heightsfor the people it serves. Nurses traveled many roads, both old andnew, on the way to excellence.• The team collaborated with the EMS community and implemented protocols toimprove patient outcomes from the patient’s door through our doors. In thecare of the acute MI patient, door-to-balloon times decreased with the use ofEKGs in the field, which allows for the mobilization of the Cardiac Cath Labteam prior to the arrival of the patient. In addition, staff continued to workvery closely with the interventional cardiologists and the EMS community toensure that we continue to exceed our goals.• The Therapeutic Hypothermia Protocol was expanded to include the EMScommunity. This protocol is now initiated by emergency responders, whobegin cooling post-cardiac arrest patients prior to their arrival. Currentresuscitation research identifies inducing hyperthermia for a short periodof time will improve neurological function of a patient who survives acardiac arrest.• The Stroke Team was expanded by adding new members from the Pharmacy,Lab and Radiology to the multidisciplinary team, enhancing efficiency, qualityand patient outcomes. In addition, the processes to improve patient carewere streamlined.• A Korean volunteer program, a multidisciplinary effort, was launched in the EDlobby, expanding our service to the Korean community.Setting the Pace for Surgical Patients• Transcatheter Aortic Valve Replacement (TAVR), in which a catheter is used toguide an artificial valve to the heart, was introduced for patients with severeaortic stenosis. Physicians and Nursing staff from the OR, Cardiac Cath Lab andCVICU participated in the education.• The hospital celebrated the opening of a hybrid operating room, a surgicaltheater equipped with imaging devices such as fixed fluoroscopy unitsthat enable a surgeon to perform minimally invasive surgery. These imagingdevices provide remarkable visualization of small blood vessels in treating aclogged blood vessel. In one application, circulation can be restored to a limbwithout an open operation.• In 2012, the hospital received Disease-Specific Certification for Joint Replacement(hips and knees) and Spinal Fusion by The Joint Commission. It was thethird time the Joint Replacement Program had been recognized.Left: Mindy Delaney, Donna Hennessy Right: Guia Mirabueno, Marlene Ramos,Celestina Esmejarda, Judith Sibug Inset: Women’s Ward, circa 191328J O U R N E Y to Excellence 29

KNEES — Prophylactic Antibiotc Discontinued Within 24 hrs After Surgery End Time100%98%96%94%92%90%88%Hospital86%Quadramed Peer Group84%Apr 11May 11Jun 11Jul 11Aug 11Sep 11Oct 11Nov 11Dec 11Jan 12Feb 12HIPS — Prophylactic Antibiotc Discontinued Within 24 hrs After Surgery End Time100%99%Mar 12Apr 12May 12Jun 12Jul 12Aug 12Sep 12A Map to ExcellenceTo assist staff in meeting the Surgical Care Improvement Process (SCIP), anurse-led, inter-professional team designed a process flow sheet outlining theresponsibilities of each care provider. As the patient progressed through thesurgical units, the flow sheet was completed. The patient was identified earlyin the hospital stay, and an orange campaign was established. Patients weregiven an orange ID band and set apart by having their names highlighted inorange. The leadership team posted the appropriate antibiotic selections ineach OR suite and ensured that the necessary antibiotics were available tothe surgeons. As the patient progressed through each department, staff alsocompleted the flow sheet, ensuring that each requirement was done on time.The use of sequential compression devices, antibiotic timing and VTE prophylaxiswere included in this measurement process. In the postoperative period,the staff was reminded to discontinue antibiotics within 24 hours of surgery,administer VTE prophylaxis within 24 hours of surgery, and ensure that theFoley catheter was discontinued one to two days following surgery. The SCIPteam reviewed the process at each step to ensure we were exceeding outcomes.Units included in this effort were the OR, PACU, 2 Kaplen and Dean 8.Front Row: Toral Patel Middle Row: Doreen Barclay, Linda Finocchiaro, Mary Ellen WalterBack Row: Claire Rizzo, Kathleen Kaminsky, Lori Habersaat98%97%96%95%94%93%HospitalQuadramed Peer Group92%Apr 11May 11Jun 11Jul 11Aug 11Sep 11Oct 11Nov 11Dec 11Jan 12Feb 12Mar 12Apr 12May 12Jun 12Jul 12Aug 12Sep 12SPINE — Patient Safety Indicator for DRG 460 Spinal Fusion10.80.60.40.2Number of Events0Dec 10Jan 11Feb 11Mar 11Apr 11May 11Jun 11Jul 11Aug 11Sep 11Oct 11Nov 11Dec 11Jan 12Feb 12Mar 12Goal=ZeroHospitalApr 12May 12Jun 12Jul 12Aug 12Sep 12Oct 12Nov 12Dec 1230 J O U R N E Y to Excellence31

Giant Steps in QualityWe surpassed benchmarks for the National Database of Nursing Quality Indicators(NDNQI) on numerous occasions.Average Number of Pain AssessmentsPer Patient Initiated in 24 Hours/PEDS242220181614121086420Pediatric UnitTeaching Facility - PediatricMED/SURG Combined MedianBetween 25 th & 75 th Percentile4Q10 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12Average Number of Pain AssessmentsPer Patient Initiated in 24 Hours/NICU242220181614121086420NICU UnitTeaching Facility - All Reporting UnitsCombined - Acuity Adjusted 3 MedianBetween 25 th & 75 th Percentile4Q10 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12Unit Aquired Pressure Ulcer Rates:Critical Care (CVICU/MSICU)MEAN30252015CVICUMSICUNDNQI**NDNQI Mean:Teaching Facilities105Large Photo: Joanne Moldt, Sharon Roche03Q10 4Q10 1Q11 2Q11 3Q11 4Q121Q122Q12Inset: This mid-20th century Buick, on loan from ahospital supporter, was used by Englewood Hospitalin its service to the community.32J O U R N E Y to Excellence33

Degree by Area of Specialty90%80%70%60%50%Moving Ahead in Education and CertificationNurses developed professionally in countless ways, adding an increased number ofBachelor of Nursing and Master of Nursing degrees and certifications. As part of ourfirst two onsite cohorts, staff and managers completed their Master of Sciencein Nursing degrees at William Paterson University while working at our hospital.They also presented their research studies at local and state conferences.20112012The Crossroads of Caring and SharingApproximately 5,000 people in New Jersey are waiting fororgan transplantation. The hospital has had a long andsuccessful tradition of collaboration with the New JerseySharing Network, the state’s organ and tissue procurementagency. Educational programs for attending and resident physiciansand Critical Care, Emergency Department and OR nursing staff areprovided to assist caregivers in managing donations and supporting families. In2012, the hospital received the “Circle of Life” Award from the Sharing Network.No Distance Too Great“You Make the Difference” is an award reserved for employees who exemplify thehighest standards of excellence. Any hospital staff member, manager, physicianor volunteer may submit a nomination based on a personal experience with thenominee or an outstanding comment made by a patient, family member or visitorto the hospital. The following nurses were honored in 2011 or 2012.40%30%20%10%0%Med/SurgCCPeriopMCHOutpatientFloatsTotalsAshley Fitzpatrick, RNJennifer Guzman, RNNancy Harper, RNRachel Isip, RNMary Lloyd, MSNDiane Lupinski, APN6 Dean6 DeanPEDs6 DeanCNPMedicineCertification by Area of SpecialtyCynthia Mulder, NPLeah Scilingo, RNPain Management4 East60%50%40%30%20%20112012Lynda Venetos, RNMain ORPioneers in Professional ExcellenceA forward-looking group of pioneers, a total of 22 nurses, enrolledin a Master of Science in Nursing, Nurse PractitionerProgram conducted by William Paterson University, our third onsitecohort, as part of an exciting new component of educational andprofessional development available onsite to our nurses. Classes taughtby doctoral-prepared nursing faculty meet at the hospital weekly.10%0%Med/SurgCCPeriopMCHOutpatientFloatsTotalsNurse practitioners are advanced healthcare providers who practicein primary, ambulatory, acute, specialty and long-term care. They areprepared with specialized advanced education and clinical competency toprovide health and medical care for a diverse population in a variety ofsettings. Nurse practitioners are expected to be key in bridging the gap inprojected physician shortages.Top: Nancy HarperBottom: Johannah O’Connell, Annamma Kurian34 J O U R N E Y to Excellence35

Nurse Leadership Team Senior LeadersMadelyn PearsonD. Katherine HollowayKathleen KaminskyKaren RaftiAnn Marie ShearsMaryelena VargasJoAnn WalterAdvanced PracticeNursesFreida Arias-TopalianSusan AustinYaisel BenitezFlorence CampbellSallie CanadaMarie ChengCarol CianciSylvia Colon CabassaJill CoxSusan DeGennaroChristina DeMarcoJosemy Ebreo-FerrerNyhra GoldfingerEileen HarveyDenise Kelly-JonesAnna LangPatricia LoPintoDiane LubinskiJanet MantelPatricia MazzolaKellie McGuire O’SheaBridgette MitchellKim MorrisseyCynthia MulderJennifer MurphyDeborah NeufvilleDawn PavluWen-Chiao PengPhyllis PetersonRobyn PreziosiSharon RocheJoanne RuotoloLisa Salandra-BirnbaumLeah SandhausMarie SarubbiLisa SonzogniRebecca ThurnSharyn TondelKathleen Vander PloegFrances Vela-ContosPatient CareDirectors & AssistantPatient Care DirectorsPatricia BalleriniTheresa BertolottiValerie BrownRosemarie BuseMary Ann BylinskiPhyllis CapiaghiElizabeth CattaniSheri CleavesAnnette D’AngeloAnn EllensonJillian FriedlerShaija GeorgePushpa GoelJackienette GonzalezDevon Gordon-LylesChevon GrayBarbara GrygotisLisa GumbrechtRosemarie HillLori HortonAnnemarie LandriganPatricia LanzellottiConcetta MagloriMargaret MurphyElizabeth PietropaoliNatalie ProfisStephanie RyanJoint PracticeClinicians &Nurse EducatorsDiane AndronacoAlicia AslamiSusan AustinGrace CarcichErline EverettVivian GaitsDragana GeraghtyMary LloydBrenda MarshallChristine MasseyDorothy MeehanGina Miranda-DiazPatricia MunnoDawn PizzoloKaren RaftiJoan RichardsEllen RyanLisa SonzogniRose TrojkovichStephanie WhelanSuzanne WhiteBarbara WiklinskiMichelle WuSuzanne ZafranNursingAdministrativeSupervisorsMagaret CalzarettaZahava CohenDarlene CoxIrma DiazDonna GrotheerPearl John-Stiell(continued)Trailblazers and Standard-Bearers ~ Our Administrative Leadership Team. Rosemarie Buse, Ann Ellenson, Madelyn Pearson,Barbara Grygotis, Ann Marie Shears, Valerie Skettini, D. Katherine Holloway, Elizabeth Cattani, Filmore Flores Middle: ElizabethPietropaoli, Phyllis Capiaghi, Jackienette Gonzalez, Jennifer Shepp, Margaret Murphy, Theresa Bertolotti Front: Shaija GeorgeLarge Photo: Filmore Flores, Phyllis CapiaghiInset: Madelyn Pearson, D. Katherine Holloway, Ann Marie Shears36J O U R N E Y to Excellence37

Nursing Leadership Team, continuedCassandra Martin-WaltersDonald OhiomaBarbara QuirolgicoAnne RutkowskiBarbara SchweigerMarites VillondoRose WelyzckoOther Nursing LeadersConstance AbatePatricia BainResearch Projects Congestive Heart Failure:A descriptive study in MagnetinstitutionsNorthern New Jersey EvidencedBased Practice and ResearchConsortium (NJEBPRC)Magnet Hospital Members:Englewood Hospital and MedicalCenter, Hackensack UniversityMedical Center, Holy Name MedicalCenter, Jersey City Medical Center,St. Joseph’s Healthcare System,and The Valley Hospital; RamapoCollege of New JerseyA Comparison of problembasedlearning versustraditional Instructionalmethods amongst staff nursesin an acute care settingPrincipal Investigators:Grace M. Carcich, MSN, RN CNPKaren Rafti, MSN, RN, BC CNPCo-Investigators:Erline Everett, MSN, RN, BC, ANP (CNP)Dragana Geraghty, BSN, RN (CNP)Mary T. Lloyd, MSN, RN, CNE (CNP)Christine Massey, MSN, RN (CNP)Dorothy Meehan, MS, RN, APN, CCRN (CNP)Michelle Wu, BSN, ONC (CNP)Suzanne Zafran, MSN, RN, BC (CNP)Cheryl Beers, DHA, RN, NE-BC (SaintClare’s Heath System)Doreen BarclayEula Demetra BergadoPatricia BrigleyTheresa ChunCio Dela RivaLinda FinocchiaroFilmore FloresKatherine GarciaDeborah GerminarioMary GiffordAudrey Gutfriend-AdesDifferentiating a Pressure Ulcerfrom Acute Skin Failure in AdultCritical Care PatientsCo-Principal Investigator:Jill Cox, PhD, RN, APN-C, CWOCNCo-Principal Investigator:Barbara Delmore, PhD, RN,CWCN (NYU Medical Center)Critical Care Physicians:Attitudes, Beliefs and Knowledgeabout Pressure UlcersPrincipal Investigator:Sharon Roche, DNSc, RN, APN-C, CCRNCo-Investigators:Jill Cox, PhD, RN, APN-C, CWOCNNisha Gandhi, MDPrevention Above All: A HandHygiene Intervention StudyPrincipal Investigator:Maryelena Vargas, PhD, RNCo-Investigators:Mary Ellen Walter, MPH, RNLinda Finocchiaro, RNStaff Nurse Education byPsychiatric Consultant Nurseliaison – Pilot ProjectPrincipal Investigator:Deborah Germinario, MS, RNLori HabersaatMaureen JaworskiGail LundyCristina Lutas NistorMaria MagallanesJennifer MorganCathy Muir-QuinnMary O’ConnorToral PatelMary PeterkinDiana RaymondClaire RizzoKaris Robinson-FaceyChristine RohanPatricia SchwartzDiana SeymourMaria Lourdes SorianoFelicia VillariMary Ellen WalterChristine WeiselbergCo-Investigator:Brenda Marshall, EdD, RNEvaluation of the Impact ofan Online EBSCO NurseReference CenterPrincipal Investigator:Jackienette Gonzalez, MS, RNWhat personal experiencesmotivated nurses into aspecific specialization?Principal Investigator:Karis Robinson, MS, RNDoes a standardized therapeutichypothermia protocol using theArctic Sun decrease the incidenceof shivering, length of time togoal temperature and outcomefor post cardiac arrest patients?Sharon Roche, DNSc, RN, APN-C, CCRNAbove: Patricia Patti, Andrea HindsPosters Predictors of pressure ulcerdevelopment in adult criticalcare patientsNational Wound, Ostomy and ContinenceNursing Society Conference,New Orleans, LA, June, 2011Jill Cox, PhD, RN, APN-C, CWOCNPredictors of pressure ulcerdevelopment in adult criticalcare patientsNational Teaching Institute andCritical Care Exposition: AmericanAssociation of Critical Care Nurses,Orlando, Fla., May 2012Jill Cox, PhD, RN, APN-C, CWOCNPilot Study: Prevention ofPatient Injury; Use of the RAMCanula for the Prevention ofNasal Septal Erosion12th National Neonatal NursesConference, September 2012Mary De Ritter, MSN, RN, CNLPrevention of Patient Injury:Nasal Sepal Erosion from NCAPPin the NICUNJHA (New Jersey HospitalAssociation), June 15, 2012Mary De Ritter, MSN, RN, CNLThe Use of Low FidelitySimulators: A Cost EffectiveStrategy for Nursing Studentsand Staff Nurses, May 2011Mary Lloyd, RNChristine Massey, MSN, RNJoan Richards, RNEvaluation of a Nursing RoundingProgram: Does an hourly nursingrounding program decreasepatient fall rates?, May 2011Christine Massey, MSN, RNCombining Forces for Best Practice:A Model of Academia and Service,May 2011Christine Massey, MSN, RNKaren Rafti, MSN, RN, BCMary T. Lloyd, MSN, RN, CNEErline Everett, MSN, RN, BC, ANPCritical Care Physicians Knowledge,Attitudes and Beliefs AboutPressure Ulcers, June 2012National Wound, Ostomy andContinence Nursing SocietyConference, Charlotte, NC, June 2012Sharon Roche, DNSc, RN, APN-C, CCRNJill Cox, PhD, RN, APN-C, CWOCNNisha Gandhi, MDOur Care Coordination Team paved the way for quality care after discharge.Front Row: Patricia Schwartz, Felicia Villari, Anne Math, Maria T. Magallanes, Mary GiffordMiddle Row: Marylou Soriano, Deborah Germinario, Judy Kardell Back Row: Christy Koo,Diana Seymour, Cathy Muir-Quinn, Isabell Cutler, Cristina NistorMentors2 West SDSLinda FritzBerrie Pre/PostMary TendlerCNPErline EverettCTICUPat GattoSue JacksonRuth MarcelloCardiac CathAmy EvansCritical Care FloatCarol BoutillierJoan PanDean 5Noemi BalancioSaramma PalamattamPatricia PattiAdele ThomasDean 7Marta PoznanskaMSICUIris CarrosPamela Del ColleMarianne EspejoPat FonderLouise MalusisLolita Munez-CaladioSoledad RiveraNICUSue Maher-DziemianNancy MuldowneyAnn NestmanPACUBecky EsquivelMichele McLaughlinPATTerttu Sahadi38J O U R N E Y to Excellence 39

PRESENTATIONS Nursing Services Awards Scholarships18 th Annual NursingResearch & Evidence-BasedPractice ConferenceEnglewood Hospital andMedical CenterNovember 18, 2011Co-ChairsSusan DeGennaro and Barbara WiklinskiCommittee MembersCarol Boutillier, Diane Casella, Carol Eastman,Ann Ellenson, Erline Everett, Patricia Fonder,Suzanne Jackson, Irina Mandel,Christine Massey, Karen Rafti, Lia Sabbagh,Maryelena VargasKeynote SpeakerMary Ann Christopher, MSN, RN, FAANThe IOM Report: The Evidence andImplications for PracticeGina Miranda Diaz, MSN, MPH, RN, CBPNIBreast Patient Navigation Programto Reduce Health Disparities AmongHispanic/Latina WomenMaryelena Vargas, DNSc, RN, IBCLCHand Hygiene Intervention StudyRosemarie Hill, MSN, RNCarol Eastman, MSN, RNDianne Steele, MSN, RN, CENExemplars of EHMC EBP/Research ProjectsChristine Massey, MSN, RNEvaluation of a Nursing RoundingProgram: Does an Hourly Rounding ProgramDecrease Patient Fall Rates?Endnote SpeakerBobbie Berkowitz, PhD, RN, FAANThe Future of Nursing:Guiding Our Research AgendaCar Seat Safety and Program Development andNeonatal Intensive Car Seat ChallengeSaint Joseph’s Regional Medical Center, Paterson,NJ, Educational Outreach, September 2011Mary DeRitter, MSN, RN, CNLCue Based FeedingONE/NJHA Nurse Executive Conference, June 2011Mary DeRitter, MSN, RN, CNLNursing CareersAnnual Tenafly Middle School Career Fair, Tenafly, NJ, March 2012Erline Everett, MSN, RN, BC, ANPCultural Aspects of Postpartum DepressionNorthern NJ Consortium, November 2011Shaija George, MSN, MBA, RNBC, CPNPPediatric Obesity ManagementNorthern NJ Consortium, Paramus, NJ, May 2012Shaija George, MSN, MBA, RNBC, CPNP, APNPlanning for Sustainability: Developing the ActionPlan Spiraling Upward for Nurse Retention &Quality Care CollaborativePenn State University, State College, PA, March & June 2011Karen Rafti, MSN, RN, BC CNPreparation of a Health Care Organization for theAdoption of New Clinical Information TechnologyTwenty-Ninth Annual International TechnologyConference, Cambridge, MA, June 2011Karen Rafti, MSN, RN, BC CNPPromoting a Culture of SafetyHealth Research and Education Trust of New Jersey/New Jersey Council of Magnet OrganizationsHunterdon Medical Center, Flemington, NJ, June 2012Karen Rafti, MSN, RN, BC CNPMemoryEnglewood Post Stroke and Disabled Support Group at theSoutheast Center for Independent Living, February 12Jo-Ann Venezia, RN, MPAStress Management and WellnessFamily Support Organization of Bergen County forGrandparents Raising Grandchildren, January 2012Jo-Ann Venezia, RN, MPAWhen Stress Isn’t StressInternational Society for Women Educators, September 2012Jo-Ann Venezia, RNFalls Prevention and Safety in the HomeCaregivers Coalition of Bergen County, May 2012Jo-Ann Venezia, RN, MPA • Ilana Dallas, Physical Therapy Supervisor2011Friend of NursingErnie CantosAncillary Staff ExcellenceMargaret BensonCheryl NichollsExcellence in ProfessionalNursing PracticeCollaborative PracticeRose Trojkovich, BSN, RN, CNORCommunity OutreachLinda Maslanka, BSN, RNLeadershipBarbara Connizzo, BSN, RNNursing PracticeYu Wen, RN, ONCPatient Care ManagementNicole Chvasta, BSN, RNRising StarYvonne Matthews, BSN, RNExcellence in Nursing ResearchKaren Rafti, MSN, RN, BCLeadershipPhyllis Peterson, MSN, CNORNursing TeamRapid Response TeamLilian BergsteinBarbara CruzMichelyne GavinJennifer Guzman2012Friend of NursingBettyann Cifu, BS, OTR/L, CPHQAncillary Staff ExcellenceMarva Anderson, CSTExcellence in ProfessionalNursing PracticeCollaborative PracticeJudith Schuster, BSN, RNCCommunity OutreachJoanne Preiss, BSN, RNLeadershipRosemarie Wright, BSN, RNNursing PracticeSusan Doyle, BSN, RNPatient Care ManagementJulieanne Chaffiotte, BSN, RNRising StarAmy Schuit, BSN, RNExcellence in Nursing ResearchChristine Massey, MSN, RNLeadershipMichelle Wu, BSN, RN, ONCNational & Humanitarian CareMae Carlson, BSN, RN, CNORNursing TeamMcKesson Super User TeamDiane LiccardoLucy LiPumaJessica OliveraLeah ScilingoAileen S. WilsonNursing Scholarship2011Michael Wilches2012Diane LiccardoCadmus-VreelandNursing Scholarship2011Teyana V. Goodwin2012Diana PalacioDorothy Meehan StudentNurse ExcellenceScholarship2011Kaitlyn R. FranceseGeorge Elliott Trust Fund2011Katherine ClarkSandra Bright2012Shalva HirschShawn SimoneLaura Phipps StudentNurse Scholarship2011Kristina E. LaoGwen NogoyMabel RomanSurgical Tech Scholarship2011Monika PlazaWomen’s Club ofEnglewood/William Soons,Esq. Nursing Award2011Anna E. OwsianskiJinal ShahWomen’s Club ofEnglewood/Sandra & DavidBishop Nursing Award2011Deborah M. Woozencroft2012Johana VerdiWomen’s Club ofEnglewood Scholarship2012Aurora Garcia40J O U R N E Y to Excellence 41

Preceptors New Degrees2 KaplenLinda BernardJessica BurgioKatherine HauptmanKimberly LionCecilia PascualRoxanne PaulAnthony RussoYu Wen2 WestLinda FritzGenny HurtarteEllen JohnstonDenine LongJoanne PreissLeoneta ZoletaBerrie ORSacha BarracaEun Choon ChangNena DiTraniVictoria KimAnnmarie MartinLinda R. MaslankaMargaret A. SmithBerrie Pre/PostKaren BarkleyVictoria KrizekMary M. TendlerJanet O. WrightCTICURuth MarceloCardiac CathJessica PagesSylvia PamaHarrietta VenegasCardiac RehabDeborah TamburroCardiac Thoracic ICUPatricia GattoSuzanne JacksonAri KarakatsanisJoanne MoldtCritical Care Float TeamCarol BoutillierSukhwinder GhotraTheresa LaSpinaAnna Maria Nava-TorresWinifred PittEmergencyDepartmentJosepha AdvinculaBarbara ConnizzoArsenia C. DimaanoCathi S. GoldfischerPrecious InayArlene KeysDianne SteeleIrmina D. TanionBarbara J. WiezikEndoscopyElizabeth BeddoeLinda A. DiLucciLinda LindsayHemodialysisJasmina M. AminInfusion CenterGael EisenbergRJ LegaspiJudith SibugJodie Jameson SteuthInterventionalRadiologyMelissa KeilJoan PowellNoreen StaceyLabor and DeliveryCarol AffordCinderella AlegriaMaria Gina AmbuloElizabeth CasagrandeEvelyn EvangelistaSuzette GuintoShalva HirschLilian HuiCatrin LeinsElise RadickJeanna N. RamiloDenise ScaglioneSara WagnerMaria YglesiasMSICUAndrew AdecerPamela DelColleChrystal L. DisantPatricia FonderLouise M. MalusisSusana MeloBarbara MilloStacie MorvayLolita Nunez-CaladiaoSuzanne ScheideggerMaryjo SharplesElaine Van Buren-RizzoKerry VolmerMain OREleanor DunnNazi FallahHelen GarduqueSoon Ho Shin-KwakMary Elizabeth BallLynda VenetosMCH Float TeamAlice BardenJane DiMassoStacy HershGeraldine NeiderhoferMed/Surg - Dean 5Jennifer AlexanderNoemi P. BalancioJulieanne ChaffiottteLinda CohenBarbara CruzLauren DotsonLucy GallandElizabeth GiraldoAnna HatzikyriakouIris LinAdorlina P. MaliwanagSaramma PalamattamMarissa PanganibanPatricia PattiAdele ThomasKaren TwomeyChristie WielangaWan YouhMed/Surg - Dean 6Sung Yeon ChoiNicole ChvastaShirley Deguzman-AndujarMaria A. de OcampoLaura DuffyAshley FitzpatrickJennifer GuzmanRachel IsipJoy JohnJung Hwa LeeAnna MarzanVanetta N. MitchellMary MoziaMelanie NiazoffJessica OliverLorna B. PazziuaganVelma PembertonVeronica PomasinSung-Jin SonMarichu SuceroJudith SwanMed/Surg - Dean 7Ana AcostaLucia BerattoJoanne CardonaAileen M CarvajalNita CasimiroMonica ChunKueeun Chung-HanAgnes DavidMartina Barbara FranciscoDiane LiccardoDaisy MacadaegDiana PalacioMarta PoznanskaJudith L. RosenbergEmma O. SamsonJung-Hee SangRosana UrgellesJamie ValdezMed/Surg - Dean 8Nelio AbdonDiane ArdizzoneLynn BaeBarbara BirkevaagRosemarie G. DalmanDigna GuillermoKari LoVerdeBella Luz B. ObelloMary F. ReinfriedJose P. Sison, Jr.Mariamma ThomasMed/Surg Float TeamJohna EmJean M. EngelmannPerla S. FranciscoTeena JohnnyHeesoon KimJamie LeeAmanda NeukumBlessy PathroseErwina S. SinagMarielle TotaroPaula VargasMother/BabyLindie-May AbdonValerie AllenAnne AyalaMichelle CaropoloRowena DelFierroMeredith FriedbergRose GuadagnoBarbara KontosChristina O’SheaElizabeth A. OsterJanice PlattWinifred SanchezJudi SchusterMaryanne SheaLeocadie ToussaintRiah Vallejos-ImuanNICUTheresa CarulloGabrielleDegennaroGloria L. DelfierroMary DeRitterRegina M. GynegrowskiCarol KaufmannSusan Maher-DziemianElizabeth McConnellNancy E. MuldowneyAnn M. NestmanHelen PunoLaura SymonsPatricia ZisaOutpatient ServicesSharon L. MarcellaroPACURebeca EsquivelDiane GaldieriCori GallagherLaura HoganMichele McLaughlinShawn SimonePediatricsJennifer BargmanNancy A. HarperPre-Admission TestingMargaret NolanNancy WienbergPsychiatry - 4 EastEmili CrisologoDaniel DanielEleanor J. GarciaRosita GermosoJudith E. GioiaNorbeta MaineSamantha SavarinoLeah ScilingoEna ScrivaniJoanne SeegerRadiation TherapyMindy DelaneyRenal ServicesLucita LiPumaTop: Anna Lang, Lisa Sonzogni Bottom: Patricia SchwartzErnestina Amoah, MSNUniversity of Medicine andDentistry of New JerseyElizabeth Boateng, BSNRamapo Collegeof New JerseyRosemarie Buse, MSNCollege of St. ElizabethPhyllis Capiaghi, MASFairleigh Dickinson UniversityZahava Cohen, MSNWilliam Paterson UniversityRoseangela DiTaranto, MSNUniversity of Medicine andDentistry of New JerseyCarol Eastman, MSNWilliam Paterson UniversityDeborah Germinario, MSNWilliam Paterson UniversityPushpa Goel, MHASeton Hall UniversityJackienetteGonzalez, MSNWilliam Paterson UniversityRosemarie Hill, MSNWilliam Paterson UniversityD. Katherine Holloway, MSNWilliam Paterson UniversityPatricia Lanzellotti, MSNWilliam Paterson UniversityMary Frances Murphy, BSNSaint Peter’s UniversityVelma Pemberton, MSNFairleigh Dickinson UniversityWinnifred Pitt, MSNUniversity of Medicine andDentistry of New JerseyAnthony Russo, MSNWilliam Paterson UniversityAnnmarie Simon, BSNWilliam Paterson UniversityDianne Steele, MSNWilliam Paterson UniversityYu Wen, BSNSaint Peter’s University42J O U R N E Y to Excellence 43

Certified Nurses Lindie-May AbdonCarol AffordCris AmatoMaria Gina AmbuloEmily AmicoFreida Arias-TopalianDenise ArzoomanianSusan AustinAnne Marie AyalaMylene BaelloMa Virginia BaliguatJoan BanovicCarol CianciZahava CohenSylvia Colon CabassaBarbara ComitoJill CoxDoni CypressJosephine DamalerioSusan DeGennaroMindy DelaneyCio Dela RivaPamela DelColleChristina DeMarcoStephen GoellerNyhra GoldfingerCathi GoldfischerJackienette GonzalezSharyn GrantRenante GumabonRegina GynegrowskiLori HabersaatEileen HarveyAnna HatzikyriakouCheryl HernandezRosemarie HillAnnaliza MarzanMary MathewPatricia MaurerPatricia MazzolaKellie McGuire O’SheaMichele McLaughlinDorothy MeehanSusana MeloBridgette MitchellJoanne MoldtElmer MontalboRaul Montes de OcaKaren RaftiJeanna RamiloJoseph ReissnerCaren RemsaLaurencita ReyesSoledad RiveraSharon RocheCarol Rose-TrzaskaElisheva RosnerRaylene RossNancy RossiGillian RothenbergMarissa TombocSharyn TondelDiana TorresSandra TrainorRose TrojkovichElaine Van Buren-RizzoKathleen Vander PloegFrances Vela-ContosHarrietta VenegasLynda VenetosHilda VeranoSara WagnerJourney to Excellenceis a publication ofthe Department ofNursing in collaborationwith the Departmentof Marketing andCommunications.Hundreds of peoplefrom Nursing andother departmentsparticipated in itsproduction.Doreen BarclayKaren BarkleySacha BarracaLisa BarraleElizabeth BeddoeLiliana BenitezYaisel BenitezTheresa BertolottiBarbara BirkevaagKaren BoutillierPatricia BoylanKarl BrennanPatricia BrigleyMadelyn BromleyThomas ButlerJoan CalantoneBeth CaligdongMargaret CalzarettaFlorence CampbellSallie CanadaBarbara CaparroPhyllis CapiaghiMae CarlsonElizabeth CarnicerElizabeth CasagrandeNita CasimiroElizabeth CattaniJulieanne ChaffiotteMarie ChengMihyang ChoBonnie ChungKate ChungMary DeRitterSusan DevriesRosemarie DiazBetty DickerLinda DiLucciChrystal DisantNena DiTraniLauren DotsonEleanor DunnLinda EastmanJosemy Ebreo-FerrerAnn EllensonFlorian EstiveEvelyn EvangelistaErline EverettLinda FajardoEdmee FerilLinda FinocchiaroPatricia FonderEvelyn ForbesLinda FritzVince FroncekLucy GallandCaryn-Lynn GallionePatricia GattoShaija GeorgeThresiamma GeorgeLinda GeraghtyRosita GermosoSukhwinder GhotraJudith GioiaPushpa GoelShalva HirschLaura HoganD. Katherine HollowayLilian HuiPrecious InaySuzanne JacksonEllen JohnstonKathleen KaminskyDenise Kelly-JonesArlene KeysKyungsook KimVictoria KimVictoria KrizekBirgit Sofia LandersAnna LangKyounghee LeeCatrin LeinsMarva LeslieIris LinErmelinda LlantadaMary LloydDenine LongSylvia LopezPatricia LoPintoDiane LubinskiSusan Maher-DziemianNorberta MaineLouise MalusisTeresa MancusoJanet MantelMaryann MaricicCassandra Martin-WaltersMegan MooreMelinda MoralesJennifer MorganKim MorrisseyCynthia MulderNancy MuldowneyJennifer MurphyMargaret MurphyVirginia MurphyGeraldine NeiderhoferAndrea NeilAnn NestmanDeborah NeufvilleMary O’ConnorMary-Ellen O’SullivanSandra PalinDawn PavluAnita PazcoguinMadelyn PearsonWen-Chiao PengPhyllis PetersonElizabeth PietropaoliWinnie PittNelda PluchinoClaudia PortnoyJoanne PreissRobyn PreziosiJeanne PriceHelen PunoSalomy PuthuvamkunnathBarbara QuirolgicoElise RadickErlinda RubioMarybeth RufoJoanne RuotoloAnthony RussoAnne RutkowskiTerttu SahadiLisa Salandra-BirnbaumLeah SandhausMarie SarubbiSamantha SavarinoDenise ScaglioneSuzanne ScheideggerRichard Schultz Jr.Judith SchusterLeah ScilingoEna ScrivaniJoanne SeegerMarina ShabashkevichMaryjo SharplesMaryanne SheaAnn Marie ShearsSoonho Shin-KwakAlice ShuAmple SmithLisa SonzogniDianne SteeleMaria StratigisHeather TamburroIrmina TanionTimothy ThomanAdele ThomasRebecca ThurnMary Ellen WalterChristine WeiselbergRose WelyczkoYu WenBarbara WiezikDouglas WilliamsonJanet WrightMichelle WuMaria Sandra YglesiasSuzanne ZafranAbove: Jennifer Shepp, Marie SarubbiAll highlighted quotesare from letters bypatients or theirfamily members. Wethank them for theircomments, goodwishes and trust.44J O U R N E Y to Excellence