2010 Nursing ANNUAL v4d - PinnacleHealth

Nursing Annual Report 2010Exemplary Professional Practicerates for newborns with hyperbilirubinemia. Nurses who haveparticipated on the task force include Patti Maurer, NurseManager, Maternity Center; Megan Strohecker, Clinical ManagerMaternity Center; Tina Willer, Nurse Manager NICU; Mary BethHeller, Nurse Manager, Pediatrics; Kathryn Scofield, OutcomesManagement; and Jean McDonald, Outcomes Management. Thegroup has implemented the following process changes:• Intensive breastfeeding support and assessment for high riskinfants during hospitalization and after discharge. Electronicreferrals for Lactation Consultants are initiated within 24 hoursof birth and follow-up provided after discharge.• Onsite consignment home phototherapy biliblanket equipmentis available to improve continuity of hyperbilirubinemiamanagement after discharge• Hyperbilirubinemia risk assessment screening tool wasimplemented for use by physicians and nurses• Collaboration with local home health agency to developcontinuity of services for the newborns at risk forhyperbilirubinemia.This work has resulted in a 70 percent reduction in newbornreadmissions for hyperbilirubinemia.Interdisciplinary CareCollegial relationships between nurses and the other healthcaredisciplines promote a healthy work environment that supportsoptimal quality outcomes. PinnacleHealth nurses are leading theway to promote interdisciplinary collaboration and ensure acontinuum of care.Chest Pain Center AccreditationRob Shipp, CINT Nurse Manager, led the efforts forPinnacleHealth to receive Chest Pain Center Accreditation inMarch 2010 by the Society of Chest Pain Centers. Thisaccreditation was the result of interdisciplinary efforts to improvecare for acute coronary syndrome patients in the pre-hospital,Emergency Department, inpatient and the community. Thefollowing nurses played an integral role in this accomplishment:Eugene O'Donnell, Throughput Manager of ED; Cathy Timothy,Cardiac Surgery Practice Manager; Eric Toth, NM, CTICU; LyleSarver, Nurse Manager, ED; and Jean Wiest, Vice President,Cardiovascular and Pulmonary Services.Post-Partum Depression ScreeningAn interdisciplinary team comprised of nurses from WomanCareResource Center and the Maternity, Labor and Delivery, and NICUunits have done phenomenal work during the past year toincrease screening and detection of postpartum depression (PPD)in women that deliver their infants at PinnacleHealth. Nursingrepresentatives on the team include: Kelly Lesh, WomanCareResource Center Nurse Educator; Gina Pupo, Nurse ManagerPhysician Practice Manager; Deb Schafer, Perinatal CNS; TinaWillier, NICU Nurse Manager; Marian Lefevre, Corporate andCommunity Marketing Manager; Vicky Shorts, Labor and DeliveryNurse Manager(retired); Patti Maurer, Maternity Center NurseManager; Cheryl Key, VP for Nursing Professional Developmentand Practice; Sharon Kelly, Learning Institute Manager of Patientand Community Education; Michalena Levenduski, NICU CNS;Judy Bostdorf, Nurse Family Partnership Site Coordinator; LauraReynolds, Women’s Outpatient Health Center-Clinic Supervisor;and Carole Brtalik, Perinatal Educator, Learning Institute. SinceJuly, all post-partum mothers on the Maternity Unit are screenedfor PPD before discharge and receive a follow-up phone call byWomanCare Resource Nurse Educators. This process is providingearlier identification of mothers at risk for PPD.Diabetes Clinical Initiative – Achievement of JointCommission AccreditationPinnacleHealth became the first hospital in Pennsylvania to receiveJoint Commission's Certificate of Distinction for InpatientDiabetes Care in 2010. This achievement was the result of manyinpatient initiatives to improve staff and patient education ondiabetes management. The following nurses across the systemprovide leadership in this interdisciplinary committee: AmyHelmuth, Director of Quality; Barb Hammar, SDI; CathyDruckenmiller; Cecily Lamb; Connie Lauffer, Nurse Manager;Erica Leber-Burnham, SDI/CM; Gina Pupo, Nurse ManagerPhysician Practice Management; Kim Fowler, CNS; KimberlyThompson; Lauren Bowser; Liam Copus; Lillian Stiglitz, CM; LisaCasey, NM; Lynne Derr, Diabetic Educator; Marianne Allen, CNS;Mary Ann Drenning, Clinic Supervisor; Mary Beth Heller, NM;Mary Knackstedt; Nancy Snyder, Supervisor; Susan Butch;Tammy Snyder; Tiffany Boyd, SDI; Trish Bennett, CNS; VanessaSnell, Diabetic Educator; and Vicki McBride, SPPU. Average bloodglucose levels for inpatients have decreased to 110 for critical carepatients and 150 for general inpatients.20