<strong>Nursing</strong> Annual Report <strong>2010</strong>Exemplary 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. <strong>PinnacleHealth</strong> nurses are leading theway to promote interdisciplinary collaboration and ensure acontinuum of care.Chest Pain Center AccreditationRob Shipp, CINT Nurse Manager, led the efforts for<strong>PinnacleHealth</strong> to receive Chest Pain Center Accreditation inMarch <strong>2010</strong> 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 <strong>PinnacleHealth</strong>. <strong>Nursing</strong>representatives 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 <strong>Nursing</strong> 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 Accreditation<strong>PinnacleHealth</strong> became the first hospital in Pennsylvania to receiveJoint Commission's Certificate of Distinction for InpatientDiabetes Care in <strong>2010</strong>. 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
Diversity CertificationThe PHS Diversity Certification Program was developed by theClinical Practice and Education Sub-Committee of the DiversitySteering Committee and was implemented in January <strong>2010</strong>.Cheryl Key, Vice President of Professional Development, andMarianne Allen, Maternity Center Clinical Nurse Specialist, wereinstrumental in the development of this program. It provides aninnovative approach to offer all <strong>PinnacleHealth</strong> employees theopportunity to pursue the journey towards competence indiversity as Diversity Champions and Diversity Leaders.Congratulations to the following nurses who have completed therequirements for Diversity Champions:• Hilda Rivera, CDE, Diabetes Educator, Learning Institute• Donna Roller, Pediatric Unit• Debbie Rowe-Black, <strong>Nursing</strong> Supervisor, HH• Theresa Sellers, Nurse Manager, CTO• Joan Silver, VP Organizational Quality• Lisa Ulsh, Site Coordinator for Childhood LeadPoisoning Prevention Program• Sharon Weidler, <strong>Nursing</strong> Supervisor, CGH• Cathy Zubrickie, Maternity Unit• Tiffany Boyd, SDI, CINT• Lori Harkaway, <strong>Nursing</strong> Supervisor, CGH and HH• Cathy Kulick, Maternity Unit• Gayle Marchi, SPPU• Sandra Phillip, Maternity Unit• Sheree Weaver, Pediatricspresented “The Growing Impact of Patient Satisfaction onHealthcare Organizations.” Carol Colussi, DON and Director of<strong>Nursing</strong> Quality, shared “Cooking Up Quality” recipes featuring avariety of quality terms. Four quality projects were shared byChristen Lukens, M10; Connie Lauffer, N10; Ashley Krawczyk,M5; and Joye Gingrich, CTU. Seventeen poster presentations fromacross the system were also on display. The following awards werepresented for excellence in quality:• Quality Icon Award: Tina Lau, CTPO• Quality Initiative Award: Amanda Creswell,Toxicology Clinical Coordinator• Quality Unit Award: CTO• Best Quality Poster: Erika Yagel, CTICUFallsThe Quality, Practice and Research Councils partnered to form aFalls Prevention Task Force to develop a new Falls Preventionprogram. The program’s theme, “All Hands on Deck” symbolizesthe concept that falls prevention is everyone’s responsibility. Thenew program was piloted on Main 5, Rehab and Oncology Unitswith positive results. The program is scheduled to be implementedhouse wide in early 2011.FALLS PER 1,000 PATIENT DAYSQuality InitiativesQuality of care encompasses many facets of nursing at<strong>PinnacleHealth</strong>. Under the leadership of Cindy Hallman, RN (FloatPool), Chair and Carol Colussi, DON, advisor, the Quality Councilhas promoted safe passage for patients and improved outcomes.Quality ConferenceThe Quality Council hosted its 2nd Annual Quality Conference inOctober that was attended by more than 130 nurses. The conference’stheme, “The Joy of Quality” featured a keynote presentation on“The Quest for Healthcare Quality” by Mary K. Blank, MPH, CIC,CPHQ, Manager of Hospital Performance Management atHighmark. Stephanie Okum, Director of Customer Relations21