Patient Care Servies Annual Report 2005 - Mghpcs.org

Healing Leadership Global Actionmassachusettsgeneral hospitalPatient Care ServicesAnnual Report 2005

Patient Care Services2005DISCIPLINESChaplaincyMedical Interpreter ServicesNursingOccupational TherapyOrthotics and ProstheticsPhysical TherapyReading DisabilitiesRespiratory TherapySocial ServicesSpeech, Language & Swallowing DisordersVolunteer ServicesPROGRAMSCancer Resource RoomCaring HeadlinesChild Protection Consultation TeamDiversityHAVEN Program — Helping Abuse and Violence End NowInformation SystemsInformational AmbassadorsInternational ProgramThe Knight Nursing Center for Clinical & Professional DevelopmentLadies Visiting Committee Retail ShopsPatient and Family LodgingManagement SystemsMaxwell & Eleanor Blum Patient and Family Learning CenterMGH Quit Smoking ServiceOffice of Patient AdvocacyOffice of Quality and SafetySystems ImprovementYvonne L. Munn Center for Nursing Researchannual reportCover photo: Two miles off the coast of Banda Aceh, Indonesia, aboard the USNS Mercy, MGH staff nurseRenee Cloutier, RN, provides care and comfort to a young girl and her mother following the devastating tsunami.

Dear Friends and Colleagues:2005 proved an exciting year for Massachusetts General Hospital (MGH) and Patient Care Services(PCS). Time and time again — both at the bedside and beyond our walls — we reaffirmed thepromise of our MGH founders: “When in distress, every man becomes our neighbor.” We witnessedextraordinary acts of what internationally recognized nurse historian and author Louise C. Selandersdescribes as “Healing, Leadership and Global Action.”Where we could ease pain and suffering we stepped forward, both individually and in teams. Whenan acutely ill father was in our care on his daughter’s wedding day, we helped him get into his tuxedofor a family photo — a powerful healing moment. When natural disasters devastated coastal regions— not once, but on two separate occasions — the MGH community came together to provide relief.Members of Patient Care Services led the way.PCS also witnessed many significant events: We celebrated the 100th anniversary of the founding ofmedical Social Services, which began right here at the MGH. We read with pride as The Boston Globe’sfour-part series focusing on our New Graduate Critical Care Nursing Program appeared on the paper’sfront page for four consecutive days. We mourned the death of our widely admired friend, colleagueand trailblazer, Jean Nardini, RN, a leader in the MGH community for more than 30 years.Behind the scenes, we advanced our practice through a variety of innovations: giving thousands offamilies and friends of patients peace of mind by helping them keep in touch with one another via anew Web-based patient information service, introducing an online electronic dashboard to ensure thatMGH meets or exceeds the needs of patients while keeping them as safe as possible, and being amongthe first in the nation to post our nursing staffing data publicly on the Internet.We have plenty to be proud of — more than we can recount — and to all of my colleagues in PatientCare Services, I say “thank you” for all you do to make MGH the world-class institution that it istoday. I hope you enjoy a quick glimpse of the year that was … 2005.With gratitude,Jeanette Ives Erickson, RN, MSSenior Vice President for Patient CareChief Nurse

Healing · Leadership · Global ActionPatient Care Services represents 11 clinical disciplines, 18 programs,and 4,600 professional and support staff. We are many in number.But what truly defines Patient Care Services is our unity of purpose— providing the best care possible for the patients and families whoselives we touch. This is our common vision, one we can achieve dayin and day out because we are blessed with the most valuable ofresources — one another.

Healing Patient Care Services · Annual Report 2005

2005 highlightsHealing · Leadership · Global ActionA record 46 percent — 1,322 clinicians — completed the Staff Perceptions ofthe Professional Practice Environment Survey, with 90 percent “satisfied” or“very satisfied” with the MGH practice environment.African American Pinning Ceremony“Uniquely African American” provided the theme forthis year’s annual Pinning event, focusing on the issueof maintaining self-identity in a world that does notlook like you. Massachusetts State Representative ByronRushing gave an engaging keynote speech onBlack history, racism in America and theevolution of Black History Month.As always, MGH honorees received atraditional Black Heritage pin and anAfrican shawl.Project HOPE honored at the White HouseAt a formal ceremony on the South Lawn of the WhiteHouse, President George W. Bush honored the ProjectHOPE disaster relief team, which included nearly 100MGH clinical volunteers — all of whomassisted in post-tsunami relief efforts.Nursing Spectrum honoredEileen Flaherty, RN,nurse manager, Bigelow 11Medicine Unit, with its annualNursing Excellence Awardfor “Leadership.”MGH Quit Smoking Service joins PCSFor some people, a hospital stay offers a golden opportunityto quit smoking. This year, the MGH formally moved itsQuit Smoking Service into Patient Care Services to betterposition smoking counselors and frontline providers towork more closely together. By the end of the year,patient referrals to smoking counselorsmore than doubled.COLLABORATIVE GOVERNANCE: TheNursing Practice Committee madenew practice recommendations,reviewed and approved new products,and articulated practice changesthroughout PCS, including the approvalof new transfusion procedures and aUniversal Protocol Checklist.PCS introduces CarePagesCarePages allows patients and families tostay in touch 24 hours a day, seven days a week viathe Internet. Through a private, customized patient Webpage, those in the circle of friends and family can post upto-dateinformation, well wishes and even photos. Familiescan update one another in 30 seconds versus 30 phone calls.Learning onlineIn collaboration with Northeastern University and St.Joseph’s College of Maine, the MGH Department ofNursing introduced on-site, online baccalaureate programsfor MGH nurses interested in returning to school.Colleague helping colleagueAs MGH physical therapist Alison Squadrito plannedher upcoming wedding, she became focused on how toinvolve her grandmother, who had developed advancedAlzheimer’s disease. She had always pictured hergrandmother taking part in the celebration, and it was hardto imagine anythingless. Squadrito’sprofessional trainingallowed her insightsinto many issues— particularly thephysical challengesof her grandmother’sstrength, endurance,her ability to get inor out of a car andclimb stairs, andthe handicappedaccessibility ofher home andthe church — but there was also the need for expertadvice regarding the management of the emotional andcognitive issues associated with Alzheimer’s disease.Squadrito turned to colleague Barbara Guire, RN,a psychiatric clinical nurse specialist within the hospital’sNetworking to Improve the Care of Health SystemElders (NICHE) initiative, a multidisciplinary team ofproviders focused on issues facing older adults. Together,they were able to map out a plan that both ensured hergrandmother’s safety and comfort, and allowed her to sharein the joy of Squadrito’s big day.Alison Squadrito and her grandmother Patient Care Services · Annual Report 2005

COLLABORATIVE GOVERNANCE: The Ethics and PatientEducation committees helped heighten awareness andunderstanding among MGH clinicians regarding keyethical topics and issues. This year, they cosponsoredan Advance Directives Booth in which nearly 1,000packets of information were distributed throughoutthe MGH community.Respiratory therapistsRespiratory therapists worked with a multidisciplinaryteam in the Medical Intensive Care Unit (MICU) todevelop highly successful ventilator discontinuationprotocols, implemented by respiratory therapists andnurses. These have proven to safely decrease the amountof time patients need to remain on a ventilator andin the ICU itself. MGH is now collaborating withacademic medical centers throughout the country toestablish these as universally accepted, best-practiceprotocols for all mechanically ventilated patients.Recruiting the next generationThe National Youth Leadership Forum on Nursingprogram is designed to provide high school studentswith a formal introduction to nursing. This year, 210staff nurses — from nearly every nursing specialty— volunteered to share their knowledge and experiencewith more than 200 visiting students.High school students involved in the National YouthLeadership ForumMGH bids farewell to“Nurse of Distinction”Jean M. Nardini, RN, nursemanager of the HemodialysisUnit and member of the MGHcommunity for more than 30 years,died in May following a longillness. Nardini is remembered bycolleagues throughout the hospitaland throughout the country as aJean M. Nardini, RNstrong and caring leader, committedpatient advocate, compassionate caregiver, teacher, rolemodel and friend. Shortly before Nardini’s death, MGHchief nurse Jeanette Ives Erickson, RN, presented herfriend and colleague with the first Jean M. Nardini, RN,Nurse of Distinction Award. The hospital also approveda recommendation to rename Nardini’s patient careunit the Jean M. Nardini, RN, Hemodialysis Unit atMassachusetts General Hospital. Both are well-deservedhonors — ensuring that Nardini’s legacy endures.For times of troubleDuring times of crisis, we often come together toreflect — to find strength and comfort amid confusion.Through the generosity of the MGH Ladies VisitingCommittee, the MGH Chaplaincy created a bookletentitled Prayers, Songs, Poems and Readings for Times ofTrouble. The collection represents a variety of religioustraditions and secular resources and is distributed tothe MGH community during times of crisis.One fish, two fish …This year, the food chain joined the communicationchain in the Same Day Surgical Unit (SDSU). A newlyintroduced school of “beeper fish” allows families to movethroughout the hospital while their child is in surgery,receive regular progress reports and stay immediatelyavailable. The design is a perfect complement to theunderwater motif featured throughout Pediatric services.COLLABORATIVE GOVERNANCE: The ResearchCommittee helped translate evidence-based practiceinto reality through its Nursing Research Day scientificpresentations, the Yvonne L. Munn annual lectureand nursing research awards, its “Did You Know?”research utilization posters, and its Journal Club.MGH Physical TherapyMGH Physical Therapy (PT) celebrated PT Monthwith the theme “Your health, our hands.” Festivitiesincluded a series of both on- and off-site presentations,demonstrations, educational forums and the 23rdannual Marjorie K. Ionta PT Lecture. Along with theircolleagues in Occupational Therapy, the departmentled a charge to raise funds for the MGH SocialServices Discretionary Fund and relief efforts forHurricane Katrina.

Leadership Patient Care Services · Annual Report 2005

MGH Social Services has remained true to its founding principlesof providing patient-centered care, identifying and interpretingthe psychosocial aspects of illness, placing the patient within thecontext of his family and life, and teamwork.Innovation at 1001942 Cocoanut Grove fireOne hundred years ago, MGH established the first hospital-based Social Services departmentin the country. Healthcare social workers throughout the US regard this as the beginning ofthis social work specialty.To mark the historic occasion, the MGH Department of Social Services organized a two-daysymposium and gala dinner at Boston’s Hynes Convention Center. Colleagues from throughoutthe Partners HealthCare System and across New England who attended “Innovation at 100”enjoyed an opportunity to learn about advances in social services and celebrate the milestone.Keynote speeches, presentations, breakout sessions and a dedicated poster session highlighteda variety of innovative tools, techniques and programs relevant to the profession. The eventplanning was led by retiring Social Services director Evelyn Bonander.A gala dinner provided just the right setting to celebrate this important century mark. Amidthe festivities, Ann Daniels, PhD, executive director of MGH Social Services, reminded thoseassembled that her department has held true to its founding principles of providing patientcenteredcare, identifying and interpreting the psychosocial aspects of illness, placing thepatient within the context of his family and life, and teamwork.Boston’s West End, circa 1916MGH Social Services appears well positioned to meet the challenges of the next hundred years.Social Work students at MGH in 1918

2005 highlightsHealing · Leadership · Global ActionThroughout 2005, MGH volunteers contributed 182,483 hours —the equivalent of a $3,291,993 gift to the hospital.The Department ofHomeland Securityhonored the Boston-basedInternational MedicalSurgical Response Team(IMSuRT) with its UnderSecretary Award foroutstanding work inemergency management.The prior year the teamwas deployed to Bam, Iran, to assistearthquake victims with medical relief.The team — which included many MGHand PCS clinicians — represented the firstofficial US delegation to set foot in Iranin nearly 25 years.The Office of Patient AdvocacyThe Office of Patient Advocacy hosted a statewidePatient Advocacy Conference — “Chicken Soup forthe Patient Advocate’s Soul” — designed to share bestpractices among colleagues.“Promise of Nursing” for MassachusettsThis year’s bi-annual Johnson & Johnson “Campaignfor Nursing’s Future” fundraising event proved to bethe country’s single largest such effort, raising more than$710,000 for student scholarships, faculty fellowships,and nursing school grants. The evening provided anopportunity for nurses throughout the state to cometogether to celebrate their passion for nursing andits future.Pictured (left to right)Marianne Ditomassi,RN, MSN, MBA,executive director,PCS Operations andevent coordinator;Curt Selquist, companygroup chairmanfor J&J; Jeanette IvesErickson, RN, MS, senior vice president, PatientCare and chief nurse, and event chairPCS Management SystemsWith the launch of an online electronic dashboard, thePCS Management Systems team did its part to ensurethat MGH meets or exceeds the needs of its patientswhile keeping them safe. At the touch of a button, nursemanagers throughout the department can access unitspecificdata and compare key quality measures withbenchmark scores and target ranges. The informationprovides a powerful tool for maintaining qualityperformance and identifying best practice on anongoing basis.PCS Information SystemsMGH cares for some of the most acutely ill patients fromthroughout the region and the world. Matching the rightlevel of care with the often rapidly changing health statusof patients is critical. In recognition of its leadership rolein this area, in 2005 MGH was presented the Richard C.Jelinek Vision Award. This honor recognizes hospitals fortheir innovative and creative use of QuadraMed PatientFocused Solutions (PFS) — an automated productivitymeasurement system — to manage daily and ongoingoperations more efficiently and effectively, and toimprove, protect and promote the highest-qualitypatient care delivery.COLLABORATIVE GOVERNANCE:The Diversity Committee helpsto enhance the awareness andunderstanding of the variousaspects of diversity (i.e., culture,ethnicity, religion, gender, sexualpreference, age) that can ofteninfluence the delivery of care. Tobetter assist those with languagebarriers, this year, the group launched a “May IHelp You” ID badge initiative in 19 different languages. Patient Care Services · Annual Report 2005

Joey Buizon became the hospital’s first summer intern to be sponsored by the MGHCouncil on Disabilities Awareness (CDA) and the Massachusetts Commission for theBlind. Buizon, who is visually impaired, earned his bachelor of science degree insocial work with a minor in psychology from Bridgewater State College. Buizon isnow a fixture at MGH, working as speech-language pathology associate.COLLABORATIVE GOVERNANCE: The PatientEducation Committee conducted a comprehensivepractice survey designed to measure learning needsregarding assessment, resource knowledge and use,teaching methodologies, and documentation of patienteducation, in order to chart the group’s future work.Knight Visiting Professor ProgramNorman Knight is a dearfriend and supporter ofMGH Nursing. Thanks tohis continued generosity,this year Betty Ferrell,PhD, FAAN, researchscientist at the City ofHope National MedicalCenter in California,became the department’s Norman Knightfirst Knight VisitingProfessor. The annual program will support MGHNursing’s commitment to achieving clinical excellenceand providing an environment with opportunity forprofessional growth by bringing nationally recognizednurse scientists/scholars to MGH to present and discusstheir programs of research.A special day for Mr. J. and his familyIn Annette Kavanagh’s narrative about her 50-somethingyear-oldpatient, Mr. J., we learned he had suffered astroke, leaving him with left-sided paralysis and at riskfor another stroke if he left the hospital without beinganticoagulated. On one particular morning Kavanaghrecognized the sadness and disappointment in his eyesand in his flat, one-word responses. It was his daughter’swedding day, and she would be visiting that afternoonwith a photographer — at change of shift. Mr. J. wantedto wear a tuxedo for this special photo opportunity, andKavanagh pledged to do whatever it took. She attendedto his clinical needs, scheduled an MGH stylist for ashave and haircut, and later worked with colleagues toget Mr. J. into his tux. The team transferred him toa cardiac chair, moved him to the more aestheticallypleasing solarium, and connected 30-foot IV tubing toensure that no medical equipment would appear in thefamily photo. Staff scheduled to go off duty put theirplans on hold and stayed to enjoy the celebration withMr. J. When his family arrived, the emotions flowed.The family’s surprise and joy at seeing Mr. J. in thehospital in his tux will likely be a treasured memory forall involved.Interpreter Servicesadded American SignLanguage to its repertoire.MGH Nursing in the newsThroughout the year, a Boston Globe reporter andphotographer were in and out of MGH working on along-term project about nursing. They spent their timein the Surgical ICU shadowing two nurses, Michelle“MJ” Pender, RN, and Julia Zelixon, RN. The two wereparticipating in the MGH New Graduate Critical CareNursing Program — Pender as a preceptor, and Zelixonas her new graduate preceptee. As Pender mentoredZelixon throughout the six-month program, the Globestaffers were able to observe, listen and learn abouttheir practice firsthand and unfiltered. The result was afour-part, front-page series entitled “Critical Care: Themaking of an ICU nurse” — unprecedented coverage forthis vital profession.

Global ActionTSUNAMI RELIEF EFFORTEach day, Black Hawk helicopters transportedpatients to the ship to receive care and broughtclinicians to the mainland — eight at a time — toareas where their help was desperately needed.10 Patient Care Services · Annual Report 2005

Humanitarian ReliefAftermath of the Gulf Coast hurricanes2005 began in dramatic fashion just after a devastating tsunami hit the coast of Indonesia. Tens ofthousands of people perished, and countless more were left injured and suffering in the wake of thetragedy. The US pledged its help to these victims, and more than 75 MGH clinicians answered thecall — both overseas and back at home. As staff stepped forward to travel to the disaster-torn region,their colleagues at home provided a solid foundation for the initiative. Throughout the hospital,countless staff teamed up to provide whatever coverage was needed for the duration of the relief effort.Shortly after the new year began, the first wave of MGHers stepped aboard the recommissionedUS Naval Ship Mercy as part of a relief effort organized by Project HOPE. For many weeks theship was their home and base of work, anchored two miles off the coast of Banda Aceh. Each day,Black Hawk helicopters transported patients to the ship to receive care and brought clinicians tothe mainland — eight at a time — to areas where their help was desperately needed. This was thefirst time in history that the US government had allowed civilian healthcare providers to workalongside their military colleagues. The pilot program proved a huge success and, just months later,was replicated closer to home.It seemed inconceivable when in the fall — for the second time in less than a year — a catastrophicnatural disaster struck an entire coastal region, causing widespread devastation and an outpouringof relief efforts. Hurricanes Katrina and Rita left more than a million people along the US GulfCoast homeless and/or displaced. Again, the MGH community answered a call from ProjectHOPE to provide aid to area victims. Many other MGH staff went to the Gulf Coast with theUS Public Health Service and the Massachusetts Disaster Medical Assistance Team. Dozens anddozens of MGH volunteers stepped forward to help, and countless clinicians lined up to providethe coverage needed during their colleagues’ absence. Karen Holland, RN, a staff nurse in theEmergency Department and prior volunteer on the USNS Mercy, served as chief nursing officeraboard the USNS Comfort, where she oversaw all Project HOPE nursing volunteers aboard the ship.

2005 highlightsHealing · Leadership · Global ActionA new name for the Department of Speech, Language &Swallowing Disorders was designated to better reflect practice.Brenda Miller, RN, nurse manager of the MGH Pediatric IntensiveCare Unit and Pediatric Ambulatory Care, and other volunteersprovided humanitarian aid to more than 300 patients in schoolsand villages in underserved areas of the Dominican Republic.Basrah Children’s HospitalChildren under the age of five account for 56percent of Iraq’s cancer patients. This year, the USmade a commitment to help improve that country’shealthcare system, and one of the largest initiativescenters focuses on constructing and opening BasrahChildren’s Hospital (BCH) in southern Iraq.In partnership with Project HOPE, MGH has takena lead role in educating the BCH’s new nursing staffand in mentoring the chief nurse. This fall the hospital’sfirst chief nurse spent several weeks at MGH, where shewas able to observe staff and leadership in a variety ofdisciplines, identify best practices, and meet those whowill serve as role models and resources as she looks to thefuture. MGH chief nurse Jeanette Ives Erickson, RN,continues to support her new Iraqi colleague and thetraining program for the hospital’s 300 new nurses.Healing environmentsKelly Perfetti, RN, a staff nurse in the Medical IntensiveCare Unit (MICU), set out more than a year ago to helpcreate a soothing and healing environment for MICUpatients and their family members. An ad she placed inthe Museum of Fine Arts newsletter touched artist CalebNeelon and four of his friends. Together,they created an array of colorful ceilingtiles, each in their own distinct andrecognizable style. The tiles are now ondisplay over MICU patients’ beds, givingthem something uplifting to focus onwhile in the hospital.Sukaina Matter, RN, chiefnurse at Basrah Children’sHospitalCOLLABORATIVE GOVERNANCE:The Quality Committee evaluatesthe MGH’s various programs,systems, policies and proceduresthrough a quality and safety lens toidentify opportunities to enhancepatient care and ensure that caredelivery remains as safe as possible.Among its more significantcontributions to this cause in 2005, the group organizeda full-day conference entitled “The Different Faces ofPerformance Improvement: Creating an Environmentof Quality and Safety.”PCS strategic planning retreatSenior leadership in Patient Care Services dedicatedconsiderable time and effort to its strategic planninginitiatives, culminating in a two-day planning retreat.The session offered a springboard for new ideas, newprograms and new ways of thinking about the work ofPatient Care Services. Overall, the strategic planningefforts marked the beginning of a process of sortingout priorities and establishing a long-range plan for the12 Patient Care Services · Annual Report 2005Colorful ceiling tiles appear over patient beds in the Medical ICU.

“A registered nurse will be responsible for your nursing care at all times.”Pledge appearing on the MGH Nursing Quality and Safety Web siteCOLLABORATIVE GOVERNANCE: The Staff NurseAdvisory Committee remained a key forum to addressissues impacting practice and quality of work-lifeat MGH. Issues impacting nursing throughout 2005included examining nurses’ work hours, creating aculture of safety, and following and supporting thePatients First legislation, the first statewide postingPictured at the Reading Gala (left to right): EileenFaggiano, event chair; Karen Lincoln, visual coordinatorfor Long’s Jewelers; Bob Rottenberg, CEO, Long’sJewelers; Liz Brunner, WCVB-TV, Channel 5 co-anchor;and Phyllis Meisel, director of MGH Reading Disabilities,at the 2005 Reading Disabilities Gala.future. The work continues in bimonthly PCS ExecutiveCommittee meetings and smaller workgroups focusingon quality and safety, improved communications, andenhancing the PCS diversity program, to name only afew priority areas.Reading GalaThis year marked the first “Opening Doors to Literacy”gala event and benefit auction for the PCS ReadingDisabilities program. Held at Long’s Jewelers in Boston,the event helped to promote awareness about dyslexiaand supported the theme “Help Us Bring Reading toChildren.” The monies raised by the enthusiastic planningteam helped MGH reach out to scores of children whootherwise could not have afforded these important services.of nursing safety data.Quality and SafetyThe MGH Department of Nursing became the firsthospital in the state to begin to make key nursing qualityindicators publicly available via the Internet. In 2005,the department launched a user-friendly Quality andPatient Safety Web site.The site contains general information about MGHnursing, professional achievements, links to relevantarticles in the news and a number of safety pledges.The site is regularly updated and can be viewed atwww.massgeneral.org/nursing_qualityAnn Daniels, PhD, LICSW,was named executivedirector for Social Servicesand Chaplaincy.MGH occupational therapist Joanna Akladiss, OTR/L,brought critically needed care to underserved populationsin Honduras, specifically for patients with upper extremityinjuries. She provided wound care, fabricated splints andassisted in establishing the therapeutic plan of care andfunctional treatment ideas with resident OTs and physicians.Patients lined up outside a local clinic in hopes of receivingcare — some after walking for an entire day.PCS officially launched itsefforts targeting healthdisparities with theNurse RecognitionWeek presentation,“Health disparities:Nursing’s voicein practice.”PCS Director of DiversityDeborah Washington, RN, MS

2005 developmentHealing · Leadership · Global ActionEach year, countless donors provide ongoing support for the various programswithin Patient Care Services at MGH, and 2005 was no exception. Withoutthis support, many of our more innovative and rewarding patient care programsmight not exist. Although there are too many acts of generosity to list, thefollowing provides a glimpse of what has been made possible through the ongoingcommitment of the extended MGH community … thank you.Founded in 1869, the LVC is one of the oldest hospitalauxiliaries in the United States. Its volunteer membersoversee the LVC retail shops, which include the MGHGeneral Store and Flower Shop, the MGH General HairCare Center, the Images Boutique, and the GeneralStore at the hospital’s Yawkey Center.Post-hurricane New OrleansThe Ladies Visiting CommitteeSince the earliest days of the MGH, the sick and theneedy have found care and comfort within our walls.Even so, patients with limited means often have smallor even temporary needs that stand in the way of truehealing. The MGH Ladies Visiting Committee (LVC)consistently steps in to fill these gaps that life sometimescan leave.Proceeds from their enterprises support a variety ofmuch-needed programs and services — too many tomention. But when MGH began organizing a teamof providers to travel to the Gulf Coast followinghurricanes Katrina and Rita, the LVC stepped in tocover some related costs. They supported MGH’sefforts to create a more comfortable environment forpatients and their visitors. Their generosity helped thehospital purchase new furniture for the hospital’s manyvisitor lounges. The LVC consistently supports theSocial Services Ancillary Fund, which provides financialassistance to needy patients. Needs range from the verysmall and simple — buying a hearing aid battery forpatient — to helping a patient who no longer can affordthe rent because he or she is out of work due to illness.The LVC’s support continues to make a noticeable andreal difference in the lives of patients and their providersevery day.14 Patient Care Services · Annual Report 2005

Oncology NursingFellowshipCarol Ghiloni, RN, MSN,Carol Ghiloni, RNOCN, served the MGHcommunity as a nurse, mentor and leader in the fieldof oncology nursing for more than four decades. Hercommitment to explore the limits and potential for cancercare resulted in the establishment and growth of theoncology specialty practice within the MGH Departmentof Nursing and the hospital’s Cancer Center.The Johnson & Johnson “Campaign for Nursing’sFuture” has for several years provided ongoing supportof the Carol A. Ghiloni Oncology Nursing FellowshipFund at MGH. The fellowship provides a preceptedclinical experience designed for nursing students andbaccalaureate nursing faculty, with the goal of enhancingtheir knowledge of oncology practices, various nursingroles and specialty content. On a larger scale, thefellowship supports MGH in its efforts to recruit thenurses of tomorrow into cancer care while providingfaculty with a valuable opportunity to enhance theirclinical skills.Johnson & Johnson has honored a nursing visionarywith a fitting tribute, while advancing oncology nursingpractice for generations to come.Honoring an extraordinary patientBrian McEachern was a quiet hero who went out ofhis way to help others. He grew up in Charlestown,MA, and served on the Boston Fire Department for 31years. His colleagues describe him as an ordinary manwho performed extraordinary deeds. McEachern neverexpected any accolades. When he was diagnosed withlung cancer, he sought treatment at MGH. Throughouthis long illness, McEachern’s family recalls that he metan array of caregivers and employees, many of whomwere remarkable for their expertise, caring and concern.Despite the compassionate care he received, ultimatelyMcEachern lost his arduous battle with this disease.Today, his indomitable spirit, compassion and givingnature live on through the Brian M. McEachernExtraordinary Care Award.Sisters Geraldine McEachern and Diane Leasonestablished The Brian M. McEachern ExtraordinaryCare Award to honor their beloved brother. Each yearthe McEachern Award recognizes clinicians whosepractice is characterized by extraordinary acts ofcompassion, advocacy and empowerment.Today — thanks to the family and friends of Bostonfirefighter Brian McEachern — his name will forever beassociated with everyday acts of the extraordinary.2005 McEachern Award recipient, Christine McCarthy, RN(directly behind plaque), with members of the McEachernfamily, members of the award selection committee, friendsand former colleagues, and senior vice president for PatientCare, Jeanette Ives Erickson, RN (second from left). Awardrecipient, Tessa Goldsmith, CCC-SLP, was unable to attend.Her husband, Clifford (back left), accepted on her behalf.To support the work of MGH Patient CareServices please contact:MGH Development Office165 Cambridge Street, Suite 600Boston, MA 02114617.726.2200www.massgeneral.org/donate/draft.asp

The year in review MGH Patient Care Services 2005MGH Facts and FiguresInpatient beds 899Admissions 45,359Surgical procedures 34,952Average length of stayTotal Staff in Patient CareServicesNursing 4,179Chaplaincy 235.88 daysAdmits to observe 5,994Occupancy 81.31%Outpatient visits 1,395,890MGPO visits (approx.) 544,318Clinic visits, hospital 462,413and some groupTotal health center visits 312,994ED visits 76,165Increasing patient volume and acuity along with high marks in patient, staff and satisfaction remained the theme throughout 2005.Clearly, the demand for clinical and support staff and their expertise has never been greater. After a decade of steady increases, patientacuity remained relatively stable at 1.84, as compared to 1.85 for 2004, while length of stay rose slightly to 5.88 days.At the same time, Patient Care Services staff satisfaction with the practice environment remains very strong. We conduct surveysof our clinicians every 18 months to assess a variety of organizational characteristics that are important to professional practice:autonomy and control of a practice, strong clinician-physician relationships, communication and teamwork, conflict-managementskills, and motivation and cultural sensitivity. Feedback from these surveys helps to inform and shape the strategic plan for clinicaland professional development for the coming years. The most recent survey had a response rate of 46 percent among PCS clinicians.Fully 90 percent of respondents reported that they are either satisfied or very satisfied with their professional practice environment.PCS staff feel supported in their practice within this dynamic, academic medical setting, and, because of the supportive professionalpractice environment, 746 clinicians and support staff joined the Patient Care Services team in 2005. The PCS vacancy and turnoverrates remain significantly lower than national rates for nurses and therapists.Average Length of Stay / Patient Acuity Trend*Occupational Therapy 33Orthotics and Prosthetics 8Physical Therapy 152Reading Disabilities 25Respiratory Care 95Social Services 117Speech, Language & 27Swallowing DisordersAverage Length of Stay8.257.757.256.756.255.751.851.751.651.551.45AcuityCombined Total 4,6595.251.35Total Hired in 2005 74619951996199719981999200020012002200320042005Average Length of StayAcuity*Excludes Obstetrical Units16 Patient Care Services · Annual Report 2005

Percentage of Professional Staff by DepartmentOrganizational Characteristics: Patient Care ServicesPercentage Professional1009080706050Score: Range 1–4***3.53.43.33.23.14030201003.02.92.82.7Year | Number Responded2002 | 8492003 | 9152004–05 | 1,322Speech, Language &Swallowing DisordersSocial ServicesRespiratory CareReading DisabilitiesPhysical TherapyOrthotics andProstheticsOccupationalTherapyChaplaincyNursing****Direct CareAutonomyClinician/MDRelationshipControl overPracticeCommunicationTeamworkConflictManagementMotivationCultural Sensitivity***High scores indicatea high amount ofcharacteristicSatisfaction with Professional Practice EnvironmentPatient Care Services Turnover Statistics Calendar Year 2005Number of Responses1,05090075060045030015079%89%87%90%Percentage2418161284021%11%13%10%00%2001200220032004–05Very Satisfied / SatisfiedDissatisfied / Very DissatisfiedSpeech, Language &Swallowing DisordersSocial ServicesRespiratory CareReading DisabilitiesPhysical TherapyOrthotics andProstheticsOccupational TherapyChaplaincyNursing

professional achievements · awardsPatient Care ServicesImmacula Benjamin, RN, PediatricsAfrican American Pinning HonoreeVirginia Capasso, APRN, PhD, BC, CNS,The Knight Nursing Center for Clinical& Professional DevelopmentMary Larkin, RN, BSN, CDE,Diabetes CenterThe Yvonne Munn Nursing Research AwardMandi Coakley, RN, PhD,Department of NursingYvonne L. Munn PostdoctoralFellowship in NursingMichael Diluigi, Emergency RoomAdmitting Assistant, Emergency DepartmentEulawn Heron, Operations Associate,Vascular SurgeryThe Anthony Kirvilaitis, Jr., Partnershipin Caring AwardAmanda Dimatteo, RN, BSN, Infusion UnitMarie C. Petrilli Oncology Nursing AwardJudy Foster, RN, MSN, Oncology/BoneMarrow TransplantJackie Mulgrew, PT, CCS, Physical TherapyVirginia Sigel, MSW, LICSW, Social ServicesAnn C. Sullivan Eastman, RN, BSN,Vascular SurgeryStephanie M. Macaluso, RN, Excellencein Clinical Practice AwardWhitney Foster, RN, BAAnastasia Michaelidis, RNAlyona Runyans, RN, MADiane L. Carroll, RN, PhD, FAHA(continued)Marion Phipps, RN, MS, CCRNJennifer O’Neill, RN, BSNThe Yvonne Munn Nursing Research AwardTessa Goldsmith, SLP, Speech-LanguagePathologyBrian M. McEachern Extraordinary Care AwardRonald Greene, RN, BSN, Case ManagementAfrican American Pinning HonoreeNicola Gribbin, RN, BSN, Cancer CenterInfusion CenterNorman Knight Preceptor of Distinction AwardShanna Heffernan, RN, Neonatal IntensiveCare Unit (NICU)The Ben Corrao Clanon Memorial ScholarshipJackie Lynch, PCS, Human ResourcesGeneralistAfrican American Pinning HonoreeChristine McCarthy, RN, Staff Nurse,Medical Intensive Care UnitBrian M. McEachern Extraordinary Care AwardPatricia McGrail, RN, BSN, GynecologyMarie C. Petrilli Oncology Nursing AwardThe Pediatric Family Centered Care AwardMGHDiane L. Carroll, RN, PhD, FAHASally H. Rankin, RN, PhD, FAANGlenys A. Hamilton, RN, DNSc“Peer Advisors Improve Physical HealthOutcomes in Elders”Poster of DistinctionMGH Scientific Advisory Committee(SAC) MeetingDanielle Doucette, RRT, BS,Respiratory TherapyThe Orren Carrere Fox Award forNICU CaregiversRaj Patel, VolunteerJanet Ballantine Oncology Volunteer AwardYi Lin “Hope” Kuo, RN, Staff Nurse,Phillips 21The Paul W. Cronin and Ellen S. RaphaelAward for Patient AdvocacyCharles McCarthy, VolunteerThe Jessie Harding Award forOutstanding VolunteersOperating Room Nurse LiaisonsPost-Anesthesia Care UnitTrustees Award for Outstanding Supportof the Volunteer ProgramConstance Roche, RN, NPEdward Kielty, TechnicianSusan and Arthur Durante Award for ExemplaryCare and Service with Cancer Patients, MGHCancer CenterState and RegionalVirginia A. Capasso, APRN, PhD, BC, CNS,The Knight Nursing Center for Clinical& Professional DevelopmentDevelopment and MGH Wound Care Center2005 Clinical Excellence AwardMassachusetts Association of RegisteredNurses (MARN)Sheila Davis, ANP, Infectious DiseaseBoston Neighborhood Fellows AwardCity of BostonJennifer Dubose, LPN, BloodTransfusion ServicesExcellence in Nursing AwardThe New England Regional Black NursesAssociationEileen Flaherty, RN, MBA, MPH, Bigelow 11,General MedicineNursing Excellence Award in the LeadershipCategoryNursing Spectrum MagazineJeanette Ives Erickson, RN, MS,Senior Vice President, Chief NurseElaine Sherwood AwardMassachusetts Organization of Nurse Executives(MONE)Jeanette Ives Erickson, RN, MS,Senior Vice President, Chief NurseAnnabel Edwards, APRN, BC2005 Champions in Health CareBoston Business JournalAdele Keeley, RN, BSN, MA, MedicalIntensive CareAward for contributions to thefield of Dispute ResolutionUniversity of Massachusetts Boston,Master of Arts ProgramAlecia Laing-Dell, RN, BSN, CaseManagementExcellence in Nursing AwardThe New England Regional BlackNurses Association18 Patient Care Services · Annual Report 2005

The MGH Gray Family Waiting AreaOR Scheduler ProgramPresident’s Award for OutstandingProgram DevelopmentNew England Association DirectorsHealthcare Volunteer ServicesLaura Mylott, RN, PhD, The KnightNursing Center for Clinical &Professional DevelopmentEarly Career Teaching Award for 2005Massachusetts Association of Colleges ofNursing (MACN)Ivonny M. Niles, RN, AD, Orthopaedics2005 YMCA Black Achiever AwardIvonny M. Niles, RN, AD, OrthopaedicsExcellence in Nursing AwardThe New England Regional BlackNurses AssociationJoan B. Fitzmaurice, RN, PhD,Quality and Patient SafetyAlumni Achievement Award for HealthBoston College Alumni AssociationNationalKathryn Brush, RN, MS, CCRN, FCCM,Surgical Intensive CarePresidential CitationSociety of Critical Care MedicineAnn A. Daniels, MSW, PhD, LICSW,Social ServicesHyman J. Weiner AwardSociety for Social Work Leadership inHealth CareChristina M. Graf, RN, PhDSally Millar, RN, MBACharlene Feilteau, RN, BSNPaul Lindquist, BAJanet Madigan, RN, MSNancy McCarthy, RN, MSNRichard C. Jelinek Vision AwardQuadraMed Users GroupThe International Medical SurgicalResponse Team (IMSuRT):Jennifer Albert, RNSusan Briggs, MDKathryn Brush, RNSheila Burke, RNLin-Ti Chang, RNAnthony Forgione, LPNRon Gaudette, RPhEdward George, MDAnnekathryn Goodman, MDRobert Goulet, RRTPamela Griffin, RNPatrick Kadilak, RNDavid Lawlor, MDMarie LeBlanc, RNJesslyn Lenox, RRTTom MacGillivary, MDBarbara McGee, RNLeandra McLean, RNPatricia Owens, RN, BSNJoseph Roche, MDMaryalyce Romano, RNJay Schnitzer, MDJoan Tafe, RNBarbara Walsh, RNBrenda Whelan, RNDepartment of Homeland SecurityUnder Secretary AwardUnited States GovernmentBarbara J. Levin, RN, BSN, ONC, LNCC,MGH Orthopaedic and Neuroscience ServiceNational Leadership AwardAmerican Association of Legal NurseConsultants (AALNC)Susan Loomis, RN, MSN, CS, PartnersOccupational HealthBrian French, RN, MS, BC, The KnightNursing Center for Clinical &Professional DevelopmentSharps Injury Prevention AwardInternational Sharps Injury Prevention Societyand Managing Infection Control MagazinePeter Moran, RN, C, BSN, MS, CCM,Case Manager, Emergency DepartmentCase Manager of the Year AwardCase Manager Society of America (CMSA)Pat Rowell, Director, MGH Volunteer Services2005 Award for ExcellenceAmerican Society of Directors of VolunteerServices (ASDVS)Emily Smith, PT, Physical TherapyClinical Educator of the Year AwardClinical Education Symposium, University ofMassachusetts – LowellJackie Somerville, RN, MS, CMAC, NursingArthur L. Davis Publishing Agency ScholarshipMassachusetts Association of Registered Nurses(MARN)Alison Squadrito, PT, DPT, GCS,Physical TherapyEmerging Leader AwardAmerican Physical Therapy Association –Section on GeriatricsLaura Sumner, RN, MEd., MBA, MSN,APRN, BC, ONCGail Alexander, RN, BSN, CCRNMary McAdams, RN, BSN, BCSecond Prize: Poster Presentation Evaluationof the Drug Dosage Calculation Guide on theRegistered Nurses’ Multi-Step Calculation Scoreson an Orientation Medication AssessmentNational Nursing Staff DevelopmentOrganization (NNSDO), New Orleans, LARev. Angelika Zollfrank, BCC, MGHChaplaincy DepartmentLen Cedarleaf AwardAssociation for Clinical PastoralEducation (ACPE)Healing · Leadership · Global Action

professional achievements · presentationsState and RegionalBarbara Brien, RN, BSNColleen Dunbar, RN, BSNLiz Goodwin, RN, BSNNursing Strategies to Change End-of-LifeCare in the Intensive Care UnitHospice & Palliative Care Federation ofMassachusetts, Marlborough, MAKathryn Brush, RN, MS, CCRN, FCCMAdvanced Bedside Procedures: Impacton NursingNew England Regional Trauma Conference,Burlington, MAVirginia Capasso, APRN, PhD, BCLeg UlcersMGH Vascular Center, Waltham, MAConstance Dahlin, APRN, BC, PCMQuality and Outcomes in Palliative Care,Communication, and APN Rolein Palliative CareArt & Science of Palliative Care NursingConference, Newton, MAConstance Dahlin, APRN, BC, PCMOral Complications in End-of-Life CareHospice and Palliative Care Federation of MAConference, Marlborough, MAConstance Dahlin, APRN, BC, PCMAdvanced Practice Nursing in Palliative CarePractical Aspects of Palliative Medicine,Boston, MAConstance Dahlin, APRN, BC, PCMNational Initiatives to Promote Endof-LifeCareMassachusetts Hospital Association,Waltham, MAMarie Egan, RNRadiofrequency Identification in the ORof the Future: More Than Just a PromiseTIPS-Technology, Innovation and Patient Safety:Myths and Truths About Medication Safety,Plymouth, MALinda Gelda, MSW, LICSWTreating Eating DisordersNortheast Counseling Group, PlimouthPlantation, MAChristina M. Graf, RN, PhDHealth Care Finance 101Massachusetts Organization of Nurse Executives,Waltham, MAMary Guanci, RN, MS, CNRNStunned Heart: Implications in the Care of theNeuroscience PatientAnnual Ann Levielle Seminar, Providence, RINatascha Gundersen, LICSWKaron Konner, LICSWSocial Work’s Role in Disaster MedicalResponseMassachusetts Chapter of The National Associationof Social Work’s quarterly meeting of theDisaster Response Committee, Waltham, MAJane Harker, RN, MS, BSN, CGRNEndoscopic Ultrasound: The Basicsand BeyondCape Cod Healthcare “Spring into Endoscopy,”Hyannis, MAJeanette Ives Erickson, RN, MSNursing Now and in the FutureIntroduction to Business and Management inHealth Care, Harvard Medical School,Boston, MAJeanette Ives Erickson, RN, MSPatient Care Partnerships ... Healthcare inthe BalanceMassachusetts College of Pharmacy, Newton, MAJeanette Ives Erickson, RN, MSDoctor-Patient IIIHealth Policy and Economics, Harvard MedicalSchool Boston, MAAnn Jampel, PT, MSInnovative Approaches to Clinical EducationFostering Clinical Instructor DevelopmentThrough Use of a Small Group CaseAnalysis FormatNew England Academic Center CoordinatorsClinical Faculty Institute, University ofMassachusetts-Lowell, Lowell, MAEileen Joyce, LICSWLorena LowenthalThe Unique Challenges of Working withLung Cancer PatientsNational Association of Oncology Social Workersannual conferenceEileen Joyce, LICSWGeriatric Oncology Consortium’s AdvancingCancer Care in the Elderly conferencePsychosocial Aspects of the Geriatric OncologyAssessmentAdele Keeley, RN, BSN, MAJ. Andrew Billings, MDPalliative Care in the ICU SettingHarvard Department of Continuing Educationcourse, Practical Aspects of Palliative Medicine,Boston, MAPatricia Kent, RN, MSN, CPNPKathie Pazola, RN, MSN, CPONKate Stakes, RN, MSNA Palette of Professional PracticeBoston Chapter, Association of PediatricOncology Nurses (APON), Boston, MA20 Patient Care Services · Annual Report 2005

Susan L.W. Krupnick, APRN, MSN,BC, CARNWorkplace Violence: Building Respectfuland Safe OrganizationsWestern Massachusetts Occupational Health andSafety Association Conference on Violence in theWorkplace, Springfield, MASusan L.W. Krupnick, APRN, MSN,BC, CARNWhat Does Nursing Need? TheCommonwealth’s ResponseBecker College Nursing Symposium,Worcester, MASuy-Sinh Law, PT, OCS, M-ACPhysical Therapy ProfessionAmerican Physical Therapy Association ofMassachusetts, Boston, MABarbara J. Levin, RN, BSN, ONC, LNCCAvoiding Legal PitfallsAdvance Magazine Job Fair, Nashua, NHBarbara J. Levin, RN, BSN, ONC, LNCCFractured FoundationsMassachusetts Nurses Association, Canton, MAKelly Macauley, PT, DPT, GCSAPTA: Working for YouNorth Shore Community College, Danvers, MAMary McKenna Guanci, RN, MS, CNRNConsiderations in the Care of theSubarachnoid Hemorrhage Patient withStunned HeartLehigh Valley Hospital, Lehigh, PAMary McKenna Guanci, RN, MS, CNRNBrain Freeze: Managing Temperature in theIntensive CareNational Training Institute, AmericanAssociation Critical Care Nurses/Medivance,New Orleans, LAPatricia Mian, RN, MS, APN-BCSusan Warchal, RNThe Impact of a Multi-Faceted Intervention onNurse and Physician Attitudes and BehaviorsToward Family Presence During ResuscitationYvonne Munn Nursing Research Lecture,Boston, MASally Millar, RN, MBAHepatitis C: The Patient’s PerspectiveNew England Society of Gastroenterology Nursesand Associates, Boston, MALogan Monahan, OTR/LRole of the Occupational TherapistRespiratory Care Conference, Boston, MASusan Morash, RN, BSN, MABringing It All Back Home: Creating a“Conflict Wise” WorkplaceNew England Chapter Annual Meeting,Tyngsboro, MAKathleen M. Myers, RN, MSNClaribell Amaya, RN, BSIvonny M. Niles, RN, ADClinical and Mentoring Support for theForeign Born Nurse: 2003 and BeyondMGH PCS Diversity Steering Committee,Nursing Career Ladder Initiative (NCLI)Boston Private Industry CouncilDonna Perry, RN, PhD(c)Building Bridges of Human Dignitywith Cuba through NursingNurse Recognition Week at the SpauldingRehabilitation Hospital, Boston, MAAngelleen Peters-Lewis, RN, PhDRacial Health Disparities in Colon CancerScreening and GI TreatmentSociety of Gastrointestinal Nurses and AssociatesRegional Conference, Hyannis, MAMarita Prater, RN, MSFocusing on Nursing … One Manager’s JourneyMassachusetts Organization of Nurse Executives,Waltham, MAMarita Prater, RN, MSTransforming the Work Environment –Best PracticesMassachusetts Hospital Association meeting,Waltham, MAEdgar Savidge, PT, DPTSmall Group Case Analysis FormatNew England Academic Center CoordinatorsClinical Faculty Institute, University ofMassachusetts-Lowell, Lowell, MAAmee Seitz, PT, MS, OCSShoulder Evaluation and TreatmentTufts University, Boston, MARosalie Tyrrell, RN, MSUnderstanding and Leading a MultigenerationalWorkforceMassachusetts Organization for Nurse Executives(MONE) Leadership Workshop, Waltham, MANationalVirginia Capasso, APRN, PhD, BC, CNSJoanne, Empoliti, APRN, MSN, BCJoan Gallagher, RNC, EdD, BC, AOCNAnn Martin, APRN, MSN, BCWound Care: All You Need to KnowNational Primary Care Conference (NPACE),Boston, MADiane L. Carroll, RN, PhD, FAHAPeer Advisors Improve Physical HealthOutcomes in EldersEastern Nursing Research Society 17th AnnualScientific Sessions, New York, NYKathy Clair-Hayes, LICSWCarla Cucinatti, LICSWNancy Leventhal, LCSWRebecca Murphy, LICSW“Kids Express”: First Aid for FamiliesWhen Trauma StrikesAmerican Trauma Society Conference, SocialWorkers Seminar in Arlington, VAAmanda Coakley, RN, PhDDiane Stanley, LPN, MBAPet TherapyNational Youth Leadership Forum on Nursing,Cambridge, MAConstance Dahlin, APRN, BC, PCMThe Impact of the Clinical Guidelines inPalliative Care for Gerontological NursingNational Association of Gerontological NursingConference, Myrtle Beach, SCHealing · Leadership · Global Action

professional achievements · presentationsNational (continued)Constance Dahlin, APRN, BC, PCMPalliative Care Guidelines – Report from theNational Consensus Project with Judi LundPerson and Perry FineClinic Meeting of the National Hospice andPalliative Care Organization, Atlanta, GAConstance Dahlin, APRN, BC, PCMThe Future of the National Consensus ProjectGuidelines for Quality Palliative Care withDiane Meier, Betty Ferrell, Deb Shermanand Judi Lund PersonAnnual Assembly of HPNA and AAHPM,New Orleans, LARegina Doherty, MS, OTR/LEthics for OT Managers and Educators:Practical Application of Evidence-BasedApproaches and ResourcesAmerican Occupational Therapy AssociationNational Conference, Long Beach, CAAnnabel D. Edwards, APRN, BCOpioid Induced HyperalgesiaAnnual Meeting of the American Society for PainManagement Nursing, Albuquerque, NMMarie Egan, RNTATRC Research Planning Meeting on PatientSafety in the Perioperative EnvironmentUS Army Telemedicine & Advanced TechnologyResearch Center, MarylandBrian M. French, RN, MS, BCBeth Nagle, RN, MSN, BCHigh Fidelity Simulation: Enhancing PatientSafety and OutcomesNational Nursing Staff Development OrganizationAnnual Convention, New Orleans, LAJane Harker, RN, MS, CGRNChristopher Robbins, RN, CGRNThe Dave ProjectSociety of Gastrointestinal Nurses and Associates(SGNA) Annual Conference, Minneapolis, MNJane Harker, RN, MS, CGRNBasic Endoscopic Ultrasound: Anatomyand ImagingSociety of Gastroenterology Nurses and Associates(SGNA) Annual Conference, Minneapolis, MNErin Hart, RN, MS, CPNP, RNFARecognition and Treatment of CommonNeonatal Orthopaedic ProblemsA Day in the Pediatric Orthopaedic Clinic:Common Diagnoses and ClinicalManagementNational Association of Orthopaedic Nurses(NAON) Annual Congress, Phoenix, AZJeanette Ives Erickson, RN, MSDisclosuresThe Joint Commission’s 19th Annual Conferenceon Quality and Safety, Chicago, ILAnn Jampel, PT, MSEducation Strategic Planning Groupfor Year 2020American Physical Therapy Association –Department of Education, Washington, DCElizabeth Johnson, RN, MSN, AOCNOncologyNational Youth Leadership Forum on Nursing,Cambridge, MAAdele Keeley, RN, BSN, MAMerging Palliative Care in the CriticalCare UnitAmerican Association of Critical Care NursesNational Teaching Institute, New Orleans, LAMary Lou Kelleher, RN, MSCreating a Pediatric Center of Excellencewithin a Large Adult Medical CenterNational Initiative for Children’s HealthcareQuality (NICHQ), San Diego, CAMary Lou Kelleher, RN, MSPediatricsNational Youth Leadership Forum on Nursing,Cambridge, MAMary Lou Kelleher, RN, MSKeynote Speaker, Advancing the Journey:Leadership for Family Centered ChangeThe 13th Annual Phillips M. Payson Conference“Safe Patient-and-Family-Centered Care”Portland, MEAimee Klein, PT, DPT, MS, OCSDiagnostic Imaging: Applied Information forthe Physical TherapistColumbia University, New York, NYMary Larkin, RN, BSN, CDEObesity and Type 2 Diabetes fromthe Family PerspectiveAmerican Diabetes Association, San Diego, CAMary Lavieri, RN, MS, CCRNCare of the Critically Ill Patient on CVVHCritical Care Symposium, National TeachingInstitute, New Orleans, LABarbara J. Levin, RN, BSN, ONC, LNCCStandards of Care in Nursing Practice: Ethical,Legal and Moral IssuesNational Association of Orthopaedic Nurses(NAON) Annual Congress, Phoenix, AZBarbara J. Levin, RN, BSN, ONC, LNCCFractured FoundationsAmerican Association of Legal Nurse Consultants(AALNC) Conference, San Diego, CABarbara J. Levin, RN, BSN, ONC, LNCCLeadership ForumAmerican Association of Legal Nurse Consultants(AALNC) National Conference, Anaheim, CABarbara J. Levin, RN, BSN, ONC, LNCCBroken Bones, Shattered LivesAmerican Association of Legal Nurse Consultants(AALNC) National Conference, Anaheim, CABarbara J. Levin, RN, BSN, ONC, LNCCKeynote Speaker, More Than Bare Bones CareMissouri State Nursing Conference,St. Louis, MOMary Lussier-Cushing, RN, MS, CSPsychiatric NursingNational Youth Leadership Forum on Nursing,Cambridge, MAMary Lou Lyons, RN, MSNMaking Computerized DocumentationWork for YouAssociation of Women’s Health, Obstetric andNeonatal Nurses (AWHONN) NationalConvention, Salt Lake City, UT22 Patient Care Services · Annual Report 2005

Ann T. Martin, MSN, APRN, BC-ANPErin Cox, MS, RN, CCRN, CSKathryn Brush, MS, RN, CCRN, FCCMThe CNS and Evidence-Based Practice:Implementing a Beta-Blocker Therapy ProgramNational Association of Clinical NurseSpecialists, Orlando, FLTheresa Michel, PT, DPT, MS, DSc, CCSDiabetes Update: How Physical TherapyFits InAmerican Physical Therapy Association AnnualConference, Boston, MASally Millar, RN, MBAInformation Systems: Planning, Purchasing,ImplementingDevelopment of a Patient Advocacy ProgramAmerican Association of Critical-Care NursesNational Teaching Institute, New Orleans, LASally Millar, RN, MBARichard C. Jelinek Vision AwardQuadraMed Annual Conference,San Antonio, TXLauro Munoz, MOT, OTRNDT and Adult HemiplegiaTexas Occupational Therapy Association,Corpus Christi, TXLauro Munoz, MOT, OTRIntroduction to NDTTexas Occupational Therapy Association AnnualConference, San Antonio, TexasPaige Nalipinski, MA, CCC-SLPAudrey Cohen, MS, CCC-SLPSpeech-Language Pathologists in Acute Care:Maintaining the Breadth of Our Practice2005 American Speech, Language and HearingAssociation (ASHA) Convention, San Diego, CADanny Nunn, MS, CCC-SLPOral Pharyngeal Laryngeal Motor Exercises forSwallow: Controversial Subject2005 American Speech, Language and HearingAssociation (ASHA) Convention, San Diego, CALynn B. Oertel, ANP, MS, CACPAnticoagulation in Primary CareNational Conference for Nurse Practitioners,Orlando, FLGeorgia W. PeirceCreating Cultures of Safety — TheLeadership ImperativeNational Patient Safety Audio Conference,Washington, DCAngelleen Peters-Lewis, RN, PhDExcellence in Endoscopy Nursing:The Magnet JourneySociety of Gastrointestinal Nurses and AssociatesAnnual Conference, Minneapolis, MNAngelleen Peters-Lewis, RN, PhDThe Use of an Education Video with AmbulatoryPh Probe Patients: A Nursing InterventionSociety of Gastrointestinal Nurses and AssociatesAnnual Conference, Minneapolis, MNMarita Prater, RN, MSNursing: Not Your Mother’s CareerNational Youth Leadership Forum on Nursing,Cambridge, MAChristopher Robbins, RN, CGRNAdvanced Endoscopic Ultrasound:Pancreatic Cyst DrainageSociety of Gastroenterology Nurses and Associates(SGNA) Annual Meeting in Minneapolis, MNAmee Seitz, PT, MS, OCSRehabilitation of Partial Scapulectomy inRecreational AthleteAmerican Physical Therapy AssociationCombined Sections Meeting – Sports PhysicalTherapy Section, New Orleans, LADawn Tenney, RN, MSNMGH OR of the FutureAORN Executive Nursing Surgical Summit,Phoenix, AZInternationalPaula Downes-Vogel, PT, MSHow to Set Up an Outpatient PulmonaryRehabilitation ProgramKing Edward VII Memorial Hospital, BermudaJoan Fitzmaurice, RN, PhDGeorge ReardonCy Hopkins, MDCarrie MazoffCarol Markus, RN, MSLinda DevauxBuilding a High Reliability OrganizationThrough a Multi-Method Approach toMonitoring the Practice EnvironmentInternational Conference on Healthcare SystemsErgonomics and Patient Safety, Florence, ItalyAlice Gervasini, RN, PhDNursing Assessment by System: A QuickTriageKing Edward VII Memorial Hospital, BermudaMary Lavieri, RN, MS, CCRNThe Nurse’s Role in the Management ofSepsis: Integrating Lab Results and ClinicalAssessmentKing Edward VII Memorial Hospital, BermudaTalli McCormick GNP, MSNPatricia E. Sullivan, PT, DPT, PhDAn Update on Fall Prevention and ExerciseOxford Round Table on Successful Aging,Oxford, EnglandDanny Nunn, MS, CCC-SLPDysphagia Research/Practice/Multi andInterdisciplinary ApproachWorking with Swallowing: Oral MotorExercises Approach vs. Dysphagia TherapyApproach, Similarities and Differences4 Congresso da Fundacao Otorrinolaringologia(4th Conference of OtorhinolaryngologyFoundation), a National Brazilian Foundationof ENTs, Curitiba, Parana-BrasilLynda Tyer-Viola, RNC, PhDPromoting Nursing: How to DemonstrateYour Value as a Team MemberKing Edward VII Memorial Hospital, BermudaLynda Tyer-Viola, RNC, PhDObstetrical Nurses Attitudes and CareIntentions Regarding HIV-PositivePregnant Women: Podium Presentation,Research AbstractSigma Theta Tau: Honor Society for NursingInternational Conference, Kona, HawaiiHealing · Leadership · Global Action

professional achievements · poster presentationsState and RegionalEllen Abele, LICSWShannon Bennet, MABrett Litz, PhDShira Maguen, PhDTami May, LICSWBarbara Sarnoff Lee, LICSWFredda Zuckerman, LICSWThe Perinatal Loss Project and the BostonPerinatal Loss Initiative: A Multi-Center Studyto Understand the Psychological and SocialConsequences of Pregnancy LossInnovation at 100, Boston, MAElizabeth Alterman, BSKatie Binda, LICSWBarbara Cashavelly, RN, MSN, ACONMeeting the Needs of Support Staff at a Patient-and Family-Centered Oncology CenterInnovation at 100, Boston, MAKatie Binda, LICSWMarilyn Brier, LICSWDiane Doyle, MS, APRN, BCRegina Holdstock, RPhEvelyn Malkin, LICSWStacey Paiva, MBALiving with Cancer, Moving Forward AfterTreatment: A Multidisciplinary CollaborationInnovation at 100, Boston, MAEvelyn Bonander, MSWCatherine Carlo, LICSWKitty Craig-Comin, LICSWSusan Fisher, LICSWLeigh Horne-Mebel, LICSWLisa Mortimer, LICSWBarbara Olson, LICSWPioneering a Profession: A History of SocialWork Innovation at the MGH 1905-2005Innovation at 100, Boston, MAMarilyn Brier, LICSWDeveloping a Prostate Cancer Support GroupInnovation at 100, Boston, MAKathy Clair-Hayes, LICSWElyse Levin-Russman, LICSWTake Good Care Packs: Promoting Communicationand Comfort for Children with CancerInnovation at 100, Boston, MAMary Connolly, RNSusan Fisher, RNJoan Monahan, RNPaula Murphy, LICSWBarbara Olson, LICSWAlice Rotfort, LICSWCommunity Care Programs: The Social Worker/NurseTeams Bring Care into the HomeInnovation at 100, Boston, MAMarisol Coreas, Haven AdvocateNiza Troncoso, Haven AdvocateCarolyn Vega, Haven Advocate“De Mujer a Mujer” – Woman to WomanInnovation at 100, Boston, MASheryn Dungan, LICSWEileen Joyce, LICSWMichele Lucas, LICSWWhen Does Care End: Providing BereavementCare in Cancer CentersInnovation at 100, Boston, MADebbie Essig, LICSWCan This Marriage Work? Weaving a ClinicalPerspective into an Oncology Web SiteInnovation at 100, Boston, MAMarie Elena Gioiella, LICSWMarilyn Wise, LICSWNarratives in Social Work: IllustratingOur Clinical PracticeInnovation at 100, Boston, MAKathleen Grinke, RN, MSNCatherine Griffith, RN, MSN, BCKathleen Walsh, RN, PhD (c)Mary Larkin, RN, BSN, CDEVirginia Capasso, APRN, PhD, BC(continued)Promoting Research Utilization – The MGHNursing CommitteeAmerican Nurses Credentialing Center Institutefor Credentialing Innovation, Boston, MAMichelle Hazelwood, LICSWEileen Joyce, LICSWIt Takes a VillageInnovation at 100, Boston, MABeth Holleran, LICSWSusan Lipton, LICSWAlice Newton, MDAndrea Vandeven, MDMark Sapp, MDChild Protection Team: Working Toward aSafer Future for Children and Their FamiliesInnovation at 100, Boston, MALeigh Horne-Mebel, LICSWFredda Zuckerman, LICSWEvery Mother, Every Baby, Every Family …Compassionate Care for AllInnovation at 100, Boston, MAMichele Lucas, LICSWThe Unique Needs of the Primary BrainTumor Patient PopulationInnovation at 100, Boston, MAMembers of the MGH Social WorkDiversity CouncilThe Experience of a Diversity CouncilInnovation at 100, Boston, MARebecca Murphy, MSW, LICSWMarilyn Wise, LICSWGetting to Know Patients Who CannotSpeak on Their Own Behalf: Commitmentto an Ethic of CareInnovation at 100, Boston, MA24 Patient Care Services · Annual Report 2005

Christine S. Wolf Dresp, LICSWDreamwork in Clinical PracticeInnovation at 100, Boston, MAMary Zwirner, LICSWA Case Study: Interdisciplinary Care of thePatient with Brain Injury of UnknownEtiology Experiencing Sympathetic StormingInnovation at 100, Boston, MANationalClaribell F. Amaya, RN, BSNIvonny M. Niles, RN, ADKathleen M. Myers, RN, MSN, APRN, BCMegan Cellitti Brown, MBAAddressing The Nursing Shortage and HealthDisparity: Clinical and Mentoring Supportfor the Foreign Born Nurse: 2003 and BeyondNational Association of Orthopaedic NursesCongress, Phoenix, AZRachel Bolton, RN, CPONCatherine Mannix, RN, BSN, OCNPatricia McManus, RN, BABeam Me Up: Proton vs. Photon RadiationAssociation of Pediatric Oncology Nurses,Portland, ORJoan Braccio, RNRuth J. Bryan, RN, MSN, CAPABessie Manley, RN, MPA/HAWe Are PAINED!American Society of Post-Anesthesia Nursing,(ASPAN) National Conference, Chicago, ILDebra Burke, RN, MSN, MBAAnand Dighe, MD, PhDArjun C. Rao, MBBS, MBAEnhancing Patient Identification UsingBar-Coded Wristbands: A MGH ClinicalPerformance Management InitiativeInstitute for Healthcare Improvement,Orlando, FLDiane L. Carroll, RN, PhD, FAHAGlenys A. Hamilton, RN, DNScBarbara K. Kenney, RN, BSNChanges in Fears and Concerns in Recipientsof the Implanted Cardioverter DefibrillatorAmerican Heart Association Scientific Sessions,Dallas, TXKathy Clair-Hayes, LICSWElyse Levin-Russman, LICSWTake Good Care Packs: PromotingCommunication and Comfort for Childrenwith Cancer, Siblings and ParentsAssociation of Pediatric Oncology Social Work(APOSW), Norfolk, VAAmanda B. Coakley, RN, PhDJacqueline Somerville, RN, MSMaureen WardSharon Bouvier, RN, MSEileen Flaherty, RN, MBA, MPHMarie LeBlanc, RN, MHJoan Stack, RN, MSHeather McDonald, RN, BSNJoan Tafe, RNMaureen Bonanno, RNMaria Romanoff, RN, BSN(continued)The Response of a Pet Therapy Encounter onPatients, Volunteers and Nurses Across ThreeDifferent Clinical SitesEastern Nursing Research Society, New York, NYAmanda B. Coakley, RN, PhDAnne Marie Barron, RN, PhD, CSExperiences of Nurses Providing Therapeutic-Touch in an Inpatient Oncology SettingEastern Nursing Research Society,New York, NYJanet M. Dorrwachter, RN, BSKathleen M. Myers, RN, MSN, APRN, BCJill Taylor Pedro, RN, MSN, ONCHarry E. Rubash, MDAndrew A. Freiberg, MDMinimally Invasive (MIS) Two Incision TotalHip Replacement: Pre-Operative Educationand Post-operative CareNational Association of Orthopaedic NursesCongress, Phoenix, AZAnn M. Fiore, RN, MSN, APRN, BCKathleen M. Myers, RN, MSN, APRN, BCInterdisciplinary Roadmap to Quality in theCare of the Orthopaedic Oncology PatientNational Association of Orthopaedic NursesCongress, Phoenix, AZJane Flanagan, APRN-BC, PhDDorothy Jones, RNC, EdD, FAANGinger Capasso, APRN-BC, PhDNursing Theory: Linking the CNS Role andInnovations in PracticeNational Association of Clinical Nurse Specialists(NACNS), Orlando, FLGrace Good, ACNP, MSN, BCImplementing the Acute Care NursePractitioner Role within a Hospitalist Servicein an Academic Medical CenterAmerican College of Nurse Practitioners 2005National Clinical Conference, Palm Springs, CASioban Haldeman, RN, MSN, APRN, BCColleen Gonzalez, RN, MSNJudy Silva, RN, MSNJob-Sharing in the CNS Role:Who Does What?National Association of Clinical NurseSpecialists (NACNS), Orlando, FLSioban Haldeman, RN, MSN, APRN, BCColleen Gonzalez, RN, MSNChelby Cierpial, RN, MSNErin Cox, RN, MSNDiane Carroll, RN, PhDJudy Silva, RN, MSNWho Develops Clinical Staff?National Association of Clinical NurseSpecialists (NACNS), Orlando, FLMarian Jeffries, RN, MSN, FNP-CCNS Development of a Patient Teaching Planfor Tracheostomy PatientsNational Association of Clinical NurseSpecialists (NACNS), Orlando, FLMarian Jeffries, RN, MSN, FNP-CSusan Gavaghan, RN, MSN, CCRN, BCCNS Intervention to Improve Care of theRespiratory Compromised PatientNational Association of Clinical NurseSpecialists (NACNS), Orlando, FLHealing · Leadership · Global Action

professional achievements · poster presentationsNational (continued)Linda A. Lauretano, RN, BSNPaul Craigie, RN, BSNCarol Card, RN, BSNJanet D. Quigley, RN, MSNRuth J, Bryan, RN, MSN, CAPADavid Berger, MDSuzanne Sokal, MSPHMichelle Kerwin, RN, CNORDiane McGrath, RNKathy Bowse, RNElizabeth Kelley, RNAutoquay Peters, STCarmen Atkinson, STPytoise Despagne, STImproving Surgical Efficiency Makes anImpact on Patient and Nurse Satisfaction!Association of periOperative Registered Nurses(AORN) Congress, New Orleans, LAAmy D. Levine, RNJanet D. Quigley, RN, MSNRuth J. Bryan, RN, MSN, CAPAJane WardrobeA New and Improved Approach to ourTurnover TeamAssociation of periOperative Registered Nurses(AORN) Congress, New Orleans, LAMary McAdams, RN, BSN, BCNancy C. DeCoste, BSThomas P. Drake, BABrian M. French, RN, MS, BCDesigning and Implementing a Hospital-BasedTraining Program for High School Students asa Healthcare Career Promotional Strategy(continued)National Nursing Staff DevelopmentOrganization (NNSDO), New Orleans, LAWalter Moulaison, Jr., RN, MSN, MBACynthia LaSala, RN, MSDeborah Zapolski, RN, BSN, BSBuilding an Effective Nursing Team: The Linkto Quality Patient Care Outcomes, WorkplaceSatisfaction, and Knowledge Development inLicensed and Unlicensed Nursing StaffAmerican Organization of Nurse ExecutivesAnnual Meeting, Chicago, ILJennifer Repper-DeLisi, RN, CSMonique Mitchell, RN, CSMichael Bierer, MDGregory Friscchione, MDBarbara Guire, RN, CSMary Lussier-Cushing, RN, CSRobin Lipkis-Orlando, RN, CSAndrew Karson, MDRhodes BerubeMartha Kane, PhDJoan QuinlanFirdosh Pathan, RPhTheodore Stern, MDThe Successful Implementation and Outcomeof an Alcohol Withdrawal PathwayThe Association of Psychiatry and Medicine,New Orleans, LAKristen M. Samatis, BS, CHESState of the Art Computer and Web SiteTechnology in a Consumer HealthLibrary SettingHealth Care Education Association,St. Louis, MODonna M. Slicis, APRN, MS, BCJennifer Neves, APRN, MSN, BCRuth J. Bryan, RN, MSN, CAPABessie Manley, RN, MPA/HAExploration of Nurse-NursePractice PartnershipsAssociation of periOperative Registered Nurses(AORN) Congress, New Orleans, LAErin SullivanAlan Goostray, RNThe Anatomy of a Construction ProjectAssociation of periOperative Registered NursesAnnual Congress, New Orleans, LALaura Sumner, RN, M.Ed., MBA, MSN,APRN, BC, ONCGail Alexander, RN, BSN, CCRNMary McAdams, RN, BSN, BCEvaluation of the Drug Dosage CalculationGuide on the Registered Nurses’ Multi-StepCalculation Scores on an OrientationMedication AssessmentNational Nursing Staff DevelopmentOrganization (NNSDO), New Orleans, LANancy Terres, RN, PhD, BCJean Ashland, PhD, CCC-SLPTracking Patterns of Children’s FeedingProblems in a Hospital Based Feeding TeamSociety of Pediatric Nursing, Philadelphia, PALynda A. Tyer-Viola, RN, PhDDevelopment and Psychometric Evaluationof the Pregnant Women with HIV ScaleHIV Nursing Research Summit: ANAC,Palm Springs, CAPam Wrigley, RN, MSJanet D. Quigley, RN, MSNRuth J, Bryan, RN, MSN, CAPAMaintaining Communication with Parentsof Children in the Perioperative SettingAmerican Society of Post Anesthesia Nursing,(ASPAN), National Conference, Chicago, ILInternationalDiane L. Carroll, RN, PhD, FAHAImplementation of Efficacy EnhancementInterventions with Unpartnered EldersCanadian Gerontological Nursing AssociationNational Conference, Halifax, CanadaDiane L. Carroll, RN, PhD, FAHAGlenys A. Hamilton, RN, DNScBarbara K. Kenney, RN, BSNLong-term Effects of the ImplantedCardioverter Defibrillator on Quality of LifeEuropean Congress of Cardiology,Stockholm, SwedenElizabeth Whitney, PT, PhD, MSCerebellar Basket and Stellate Cells in AutismInternational Meeting for Autism Research,Boston, MA26 Patient Care Services · Annual Report 2005

professional achievements · officersMGHMimi Bartholomay, RN, MSN, AOCNMember, Board of Directors,The Kenneth B. Schwartz CenterMember, Programming Committee,The Kenneth B. Schwartz CenterMember, Co-Chair, Host Committee,Celebration of Women in Health Care,The Kenneth B. Schwartz CenterMember, Advisory Council, HAVENDomestic Violence Program,Massachusetts General HospitalState and RegionalDiane L. Carroll, RN, PhD, FAHAMember, Awards Committee, Eastern NursingResearch SocietyConstance Dahlin, APRN, BC, PCMPast President, Hospice and PalliativeNurses AssociationBoard Member, Hospice and Palliative CareFederation of MassachusettsExternal Advisory Committee, AetnaCompassionate Care ProgramSheila N. Kaiser, CRNA, MSVice Chair, Massachusetts Board ofRegistration in NursingMember, National Council of State Boardsof Nursing Advance Practice Advisory PanelSusan L. Krupnick, MSN, APRN,BC, CARNPresident, Massachusetts Association ofRegistered Nurses (MARN)Mary Larkin, RN, BSN, CDEMember, Clinical Expertise Advisory Panelin Nursing Research, Massachusetts Board ofRegistration in NursingCynthia A. Lasala, RNMember, Board of Directors, MassachusettsAssociation of Registered Nurses (MARN)Amy D. Levine RN, BSNChairperson, Northeastern University NursingAlumni Society (NUNAS)Chairperson, Nominating Committee ofAORN Mass., Chapter OneJanet M. Madigan, RN, MS, CNAAPresident, Massachusetts Organization ofNurse Executives (MONE)Mary McKenna Guanci, RN, MSN, CNRNPresident, Greater Boston Chapter, NationalAssociation of Neuroscience NursesTheresa Michel, PT, DPT, MS, DSc, CCSChair of the Faculty, MGH Institute of HealthProfessionsJohn Murphy, RN, MSTreasurer, Greater Boston Chapter, NationalAssociation of Neuroscience NursesGayle Peterson, RN, CMember, Legislative Issues and Access to CareCouncil, Massachusetts Pain Initiative CouncilMember, Advisory Board, Massachusetts PainInitiative CouncilSecretary, American Society for Pain ManagementNursing, Massachusetts ChapterMember, Health Policy Committee of MassachusettsAssociation of Registered Nurses(MARN)Appointed, American Nurses AssociationNurse Political Action Leader for the 7thCongressional DistrictAppointed President-Elect, American Societyof Pain Management Nurses – MassachusettsChapter (ASPMN)Gayle Peterson, RNRegina Holdstock, RPhEllen Robinson, RN, PhDAppointed, Harvard Ethics Leadership CouncilJacqueline Somerville, RN, MSAppointed, Associate Clinical Scientist,The Phyllis F. Cantor Center, Dana-FarberCancer InstituteMelanie Struzzi, PT, DPT, MHSMember, Northern Metropolitan DistrictAssembly Representative, MassachusettsChapter of American Physical TherapyAssociationJill Taylor Pedro, RN, MSN, ONCSecretary, NAON of Massachusetts, NationalOrganization of Orthopaedic NursesNationalKathryn Brush, RN, MS, CCRN, FCCM,CNSNamed to the University Health ConsortiumSteering Committee on Central VenousCatheter Line-Related BacteremiasAppointed, Disaster Planning and ResearchTask Force, Society of Critical Care MedicineAppointed, Disaster Committee, Society ofCritical Care MedicineDebra Coglianese, PT, DPT, OCS, ATCItem Writer, Specialty Academy of ContentExperts (SACE), American Physical TherapyAssociation, Orthopaedic SectionErin Cox, RN, MS, CCRN, CSMember, Society of Vascular Nursing CarotidGuidelines TaskforceConstance Dahlin, APRN, BC, PCMSteering Committee Member NationalConsensus Project for Quality Palliative CareConstance Dahlin, APRN, BC, PCMAndrew Billings, MDMembers, National Steering Committee,Clinical Practice Guidelines for QualityPalliative CareAnnabel Edwards, APRN, BCPresident-Elect, American Society for PainManagement Nursing (ASPMN)Karen Hopcia, MS, APRN-BC, COHN-SPresident-Elect, Theta-at-Large Chapter ofSigma Theta Tau International NursingHonor SocietyJeanette Ives Erickson, RN, MSMember, Editorial Advisory Board,Nursing 2005Member, Review Board, Online Journal ofIssues in NursingAnn Jampel, PT, MSAdvisory Panel on Education, APTA Summit,American Physical Therapy AssociationSusan L. Krupnick, MSN, APRN,BC, CARNAdvisory Committee: Partnership Plan,American Nurses AssociationSuy-Sinh Law, PT, OCS, M-ACMember, Public Affairs Committee, AmericanPhysical Therapy AssociationCatherine M. Mannix RN, BSN, OCNInducted, Sigma Theta Tau International,Honor Society of NursingHealing · Leadership · Global Action

Sally Millar, RN, MBAMember, Education Committee, AmericanOrganization of Nurse ExecutivesVictoria Morrison, RN, BSN, MPA,PhD, CICMember, Nominating and Awards CommitteeAssociation for Professionals in InfectionControl and Epidemiology (APIC)Lauro Munoz, MOT, OTRMember, Editorial Review Board, AmericanJournal of Occupational TherapyLynn B. Oertel, RN, MSN, ANP, CACPMember, National Certification Board forAnticoagulation ProvidersMember, Editorial Review Board, Journal ofThrombosis and ThrombolysisRev. Felix C. OjimbaPresident, Uli DevelopmentGeorgia W. PeirceMember, Health Research & Educational Trust(HRET) Fellowship’s Board of AdvisorsThomas Quinn, RN, MSN, AOCNNominating Committee, American Society forPain Management NursingAmee Seitz, PT, MS, OCSMember at Large, American Shoulder andElbow SocietyInternationalDiane L. Carroll, RN, PhD, FAHANurse Fellow, European Society ofCardiology (NFESC)Jeanette Ives Erickson, RN, MSMember, Review Board,Worldviews on Evidence-Based NursingSusan L. Krupnick, MSN, APRN, BC,CARNMember, Nominations Committee,International Society of Psychiatric-MentalHealth NursesMember, Conference Planning Committee,International Nurses Society on AddictionsClinical Recognition ProgramThe MGH Clinical Recognition Program serves as a formal way to recognizeexcellence in practice, encourage professional development and build a diversecommunity of reflective practitioners within Patient Care Services.Applicants work with their managers or directors to analyze their practice relativeto clinician-patient relationship, clinical knowledge and decision making, teamworkand collaboration, and movement for Occupational Therapy and Physical Therapyprofessionals. Criteria within these themes define four levels of clinical practice:Entry-Level Clinician, Clinician, Advanced Clinician and Clinical Scholar.Recognized in 2005:Advanced ClinicianKristin Appel, RNRachel Bolton, RNClorinda Buenafe, RRTGary Collymore, RRTHeahter Coombs, RNElizabeth Crawford, SLPSusan Curley, OTR/LLori Darragh, RNDenise Dreher, RNErika Ehnstrom-Carr, RNCheryl Gomes, RNEileen Joyce, LICSWHeather Kuberski, RNDonna Lawson, RNJesslyn Lenox, RRTSara Mahoney, RNChristine Mattera, RNDenise Montalto, PTMargaret Munson, RNDeborah Nelson, RNJudy Pagliarulo, RNMeredith Pitzi, RNMelissa Roddie, RNKathleen Ryan, RNDeborah Scannell, RNLinda Shuman, RNEmily Smith, PTAngela Sorge, RNTimothy Sowicz, RNKimberly Stewart, SLPJoan Tafe, RNAnne Turner, RNInes Williams, RNMary Louisa Zwirner,LICSWClinical ScholarDana Allison, RNDarleen Crisielo, RNErica Edwards, RNKelley Grealish, RNDebra Guthrie, RNJanet Kimbrough, RNJanet Kleimola, RNBarbara Levin, RNMarianne Pastore, RNKathryn Pazola, RNEdna Riley, RNVirginia Sigel, LICSWMaureen Tully, RNMarilyn Wise, LICSWPamela Wrigley, RNFredda Zuckerman,LICSW28 Patient Care Services · Annual Report 2005

professional achievements · publicationsAuthorship of Books andChapters in booksRae Allain, MDSharon Brackett, RN, BS, CCRNWilliam E. Hurford, MD, FCCMChapter “Ethical and End-of-Life Issues,” inthe Critical Care Handbook of the MassachusettsGeneral Hospital4th EditionLippincott Williams & WilkinsKathryn Brush, RN, MS, CCRN, FCCMUlrich Schmidt, MD, PhDChapter “Prophylaxis,” in the Critical CareHandbook of the Massachusetts General Hospital4th EditionLippincott, Williams and WilkinsDebra Coglianese, PT, DPT, OCS, ATCBook review of Low Back and Neck Pain:Comprehensive Diagnosis and Management3rd EditionW. B. Saunders CompanyRegina Doherty, MS, OTR/LChapter “The Impact of Advances in MedicalTechnology on Rehabilitative Care” in Educatingfor Moral Action: A Source book in Healthand Rehabilitation EthicsF.A. Davis CompanyLisa S. Krivickas, MDVanina Dal Bello-Haas, MEd, PhDSuzanne E. Danforth, MS, CCC-SLPGregory T. Carter, MDChapter “Rehabilitation” inAmyotrophic Lateral SclerosisMarcel DekkerBarbara J. Levin, RN, BSN, ONC, LNCCPatricia Iyer, RN, MSN, LNCCMary Ann Shea, RN, JD, BSMedical Legal Aspects of Medical RecordsLawyers & Judges Publishing Company, Inc.Barbara McGee, RN, MSNChapter “Environmental Terrorism and DisasterNursing” in Forensic NursingElsevierTheresa Michel, PT, DPT, DSc, CCSChapter “Physical Therapy” in MassachusettsGeneral Hospital Handbook of Pain Management3rd EditionLippincott Williams & WilkinsTheresa Michel, PT, DPT, DSc, CCSDavid Nathan, MDLinda Delahanty, RDChapter “Activity and Exercise: Move, Move,Move” in Beating DiabetesNational Institute of HealthArticlesKarsten Bolse, MSc, RNTGlenys A. Hamilton, RN, DNScJane Flanagan, RNCS, PhDDiane L. Carroll, RN, PhD, FAHABengt Fridlund, PhD, RNTWays of Experiencing the Life SituationAmong United States Patients with anImplantable Cardioverter Defibrillator:A Qualitative StudyProgress in Cardiovascular NursingDebra Burke, RN, MSN, MBAArjun C. Rao, MBBS, MBAAnand S. Dighe, MD, PhDImplementation of Bar Coded Wristbands ina Large Academic Medical Center: Impact onPoint of Care Error RatesPoint of Care: The Journal of Near-PatientTesting & TechnologyDiane L. Carroll, RN, PhD, FAHACapacity for Direct Attention in Patients UndergoingPercutaneous Coronary Intervention:The Effects of Psychological DistressProgress in Cardiovascular NursingDiane Carroll, RN, PhD, FAHAGlenys A. Hamilton, RN, DNScQuality of Life in Implanted CardioverterDefibrillator Recipients: The Impact ofDevice ShockHeart & LungPatricia M. Connors, RNC, MS, WHNPMonica M. Ulles, RN, CNS, PNPThe Physical, Psychological and SocialImplications of Caring for the PregnantPatient and Newborn with Cystic FibrosisJournal of Perinatal and Neonatal NursingMichelle A. Finkel, MD, FACEPPatricia Mian, RN, MS, CSJoyce McIntyre, RN, BSN, MEdMonique I. Sellas-Ferrer, MDBarbara McGee, RN, MSNNancy Balch, PharmD, RPhAn Original, Standardized, EmergencyDepartment Sexual Assault MedicationOrder SheetJournal of Emergency NursingPamela Grace, APRN, PhDMoriah McLaughlin, RN, BSNWhen Consent Isn’t Informed Enough:What’s the Nurse’s Role when a PatientHas Given Consent but Doesn’t FullyUnderstand the Risks?American Journal of NursingGlenys A. Hamilton, RN, DNScDiane L. Carroll, RN, PhD, FAHAResponse to P. Draper (2005) Commentaryon Hamilton, G., et al. (2004)Journal of Clinical NursingCarolyn Hayes, RN, PhDPatricia Reid Ponte, RN, DNSc, FAANAmanda Coakley, RN, PhDEscel Stanghellini, RN, MSAnne Gross, RN, MS, CNAASharon Perryman, RN, BSN, MHADiane Hanley, RN, MS, BCNancy Hickey, RN, MSJacqueline Somerville, RN, MSRetaining Oncology Nurses: Strategies forToday’s Nurse LeadersOncology Nursing ForumElizabeth Hiltunen, RN, CSPatricia Winder, RN, MSNMichelle Raitt, MAElizabeth Buselli, PhD, RNDiane L. Carroll, RN, PhD, FAHASally Rankin, RN, PhD, FAANImplementation of Efficacy EnhancementNursing Interventions with Cardiac EldersRehabilitation NursingHealing · Leadership · Global Action

professional achievements · publicationsArticles (continued)Maryfran Hughes, RN, MSNIris Frank, RN, MSNRecognizing Excellence in Nursing Service:a First-Hand Report from an ED Managerat a Magnet Hospital in BostonJournal of Emergency NursingJeanette Ives Erickson, RN, MSLetter to the EditorClinical Nurse Specialist: The Journal forAdvanced Practice NursingJeanette Ives Erickson, RN, MSMarianne Ditomassi, RN, MSN, MBAGuest Editorial: The Clinical Nurse Leader:New in Name OnlyJournal of Nursing EducationJeanette Ives Erickson, RN, MSLauren Holm, RN, MSNLee ChelminiakMarianne Ditomassi, RN, MSN, MBAWhy Not Nursing?Nursing 2005Jeanette Ives Erickson, RN, MSSally Millar, RN, MBACaring for Patients While Respecting TheirPrivacy: Renewing Our CommitmentOnline Journal of Issues in NursingEmily Karwacki Sheff, RN, BS, APRN, BCHospital Nursing: Solving the Mystery ofOsteomyelitisNursing 2005Mary Lou Kelleher, RN, MSKatherine DiMare, RN, BSNTom Quinn, RN, MSN, AOCNElena Cliff, RN, BSNGoing After PainOn CallMary Lavieri, RN, MS, CCRNBarbara Brien, RN, BSMaking a Change: Implementation ofEvidence-Based Practices in Critical CareAdvance for NursesBarbara J. Levin, RN, BSN, ONC, LNCCHoward Yeon, MDOpen vs. Closed FracturesCommuniqueMichele R. Lucas, LICSWHyper-vigilance: A Contributory Factor inCancer FatigueCoping with CancerJanet Madigan, RN, MS, CNAAKaren Moore, RN, MS, FACHEMARN Supports the Patients First InitiativeMassachusetts Report on NursingLaura Mylott, RN, PhDThe Ethical Dimension of the Nurse’s Rolein PracticeJournal of Hospice and Palliative CarePatricia J. Owens, RN, BSN, CNORAnthony Forgione Jr., LPNSusan Briggs, MD, MPHChallenges of International Disaster Relief –Use of a Deployable Rapid Assembly Shelter/Surgical Hospital (DRASH)Journal of Emergency NursingKathie Pazola, RN, MSN, CPONSpecial Kind of MagicOncology TimesGeorgia W. PeirceBuilding the Foundation for aCulture of SafetyFocus on Patient Safety, NationalPatient Safety FoundationDonna Perry, RN, PhD(c)Transcendent Pluralism and the Influenceof Nursing Testimony on EnvironmentalJustice LegislationPolicy, Politics & Nursing PracticeTaryn J. Pittman, RN, MSNKristen Jagodynski Samatis, BS, CHESConsumer Health Within an AcademicMedical Center: State-of-the Art Servicesand TechnologyJournal of Hospital Librarianship 2005Marita Prater, RN, MSTalin Getzoyan, RN, MSNLessons Learned: Safe Scheduling Practicesfor Nursing StaffVoice of Nursing LeadershipSally H. Rankin, RN, PhD, FAANAlice Butzlaff, RN-C, MS, FNPDiane L. Carroll, RN, PhDImelda Reedy, RN, MSFAMISHED for Support: RecoveringElders After Cardiac EventsClinical Nurse SpecialistCathy Y. Read, RN, PhDDonna Perry, RN, PhD (c)Mary E. Duffy, PhD, FAANDesign and Psychometric Evaluation ofthe Psychological Adaptation to GeneticInformation ScaleJournal of Nursing ScholarshipPatricia Reid Ponte, RN, DNScCarolyn Hayes, RN, PhDAmanda Coakley, RN, PhDEscel Stanghellini, RN, MSAnne Gross, RN, MS, CNAASharon Perryman, RN, BSN, MHADiane Hanley, RN, MSNancy Hickey, RN, MS, RNJacqueline Somerville, RN, MSPartnering with Schools of Nursing:An Effective Recruitment StrategyOncology Nursing ForumPatricia Reid Ponte, RN, DNSc, FAANKaren Moore, RN, MSNConnie Crowley Ganser, RN, MSNJanet Madigan, RN, MS, CNAASharon Gale, RN, MSNA Journey Towards Influencing PracticeEnvironments in Massachusetts Hospitals —Patients First: Continuing the Commitmentto Safe CareNurse Leader30 Patient Care Services · Annual Report 2005

Jennifer Repper-DeLisi, RN, CSSusan Kilroy, RN, MSWe Need to MeetJournal of Clinical EthicsEllen Robinson, RN, PhDMarguerite Hamel-Nardozzi, MSW, LICSWStories of the Silent: Advocating for a DisabledWoman at End of LifeTopics in Stroke RehabilitationLynda A. Tyer-Viola, RN, PhDKaren Guiliano, RN, PhDRuth Palan Lopez, RN, PhDUnity of Knowledge in the Advancementof Nursing KnowledgeNursing Science QuarterlyMara Wernick-Robinson, PT, MS, NCSFluoxetine for Vestibular Dysfunction andAnxiety: A Prospective Pilot StudyPsychosomaticsElizabeth Whitney, PT, PhD, MSCerebellar Purkinje Cells in Autism: AQuantitative Immunocytochemical Studyof Calcium-binding Protein ExpressionActa NeuropatholElizabeth Whitney, PT, PhD, MSDensity of Cerebellar Basket and Stellate Cellsin Autism: Evidence for a Late DevelopmentalLoss of Purkinje CellsDevelopmental Brain ResearchRev. Angelika Zollfrank, BCCThe Work of Care – A Theological Theory, APsychological Theory, An Educational TheoryJournal for Supervision and Training in MinistryPCS Vision and ValuesAs nurses, health professionals andPatient Care Services support staff, ourevery action is guided by knowledge,enabled by skill and motivated bycompassion. Patients are our primaryfocus, and the way we deliver carereflects that focus every day.We believe in creating a practiceenvironment that has no barriers, isbuilt on a spirit of inquiry and reflectsa culturally competent workforce,supportive of the patient-centeredvalues of this institution.It is through our professional practicemodel that we make our vision ademonstrable truth every day by lettingour thoughts, decisions and actions beguided by our values. As clinicians, weensure that our practice is caring, innovative,scientific and empowering, andis based on a foundation of leadershipand entrepreneurial teamwork.Guiding Principles — The following values guide our work:· We are ever alert for opportunities to improve patient care; we providecare based on the latest research findings.· We recognize the importance of encouraging patients and families toparticipate in the decisions affecting their care.· We are most effective as a team; we continually strengthen our relationshipswith each other and actively promote diversity within our staff.· We enhance patient care and the systems supporting that care as we workwith others; we eagerly enter new partnerships with people inside andoutside of the Massachusetts General Hospital.· We never lose sight of the needs and expectations of our patients andtheir families as we make clinical decisions based on the most effectiveuse of internal and external resources.· We view learning as a lifelong process, essential to the growth anddevelopment of clinicians striving to deliver quality patient care.· We acknowledge that maintaining the highest standards of patient caredelivery is a never-ending process that involves the patient, family, nurse,all healthcare providers and the community at large.Strategic Goals· We lead the industry in providing patient- and family-centered care.· We partner with the community to better understand the healthcareneeds of the diverse population of patients we serve, and to establish a shared vision of care and services.· We are the healthcare industry leader for quality and safety.· We develop and advance systems, technology and programs to promoteindividualized patient care and support those who provide care.· We are the “employer of choice” for all professions and support staff, andwe value diversity in our workforce.· We work to promote and support the institution in realizing soundfinancial growth.· We position nurses, therapists, social workers, medical interpreters,chaplains and support staff within the hospital to have a strong voice inissues impacting patient care.· We continuously create throughput systems and processes that drivedelivery of safe, efficient, timely and patient-centered care.· We provide excellent leadership, and we foster leadershipgrowth opportunities.

nurse managersNurse ManagersCarolyn Anderson, RNCardiac Surgical Critical Care and Step DownCristina Bethune, RNElectrophysiology LabSharon Bouvier, RN, MSNVascular SurgerySusan A. Caffrey, RN, MSNLabor and DeliveryTheresa Capodilupo, RN, MSNSurgery/TraumaBarbara J. Cashavelley, RN, MSN, AOCNCancer CenterLori Clark Carson, RN, MSNObstetricsColeen Caster, RN, C, MN, FNPGynecologyKathy Cullen, RN, MSN, CPANPost-Anesthesia CareSusan Cronin-Jenkins, RN, CCRNCenter for lnterventional Cardiovascular TherapyKim Deltano, RN, CNM, MSMidwiferyTony DiGiovine, RNTransplant, Burn, Plastic andReconstructive SurgeryEllen Fitzgerald, RN, MSOncology/Bone Marrow TransplantEileen DeGraan Flaherty, RN, MBA, MPHGeneral MedicineMarion Freehan, RN, MPA/HA, CNORMain Operating RoomsAlice Gervasini, RN, PhDTrauma ProgramBonnell Glass, RN, MNClinical ResearchSusan Gordon, RN, MSGeneral MedicineMaryfran Hughes, RN, MSNEmergency ServicesDonna Jenkins, RN, MS, CSThoracic and General SurgerySheila Kaiser, RN, MS, CRNAAnesthesiaAdele Keeley, RN, BSN, MSMedical Intensive Care and CardiacIntensive CareLinda Kelly, RNOutpatient GynecologyAnn Kennedy, RN, MSNeuroscienceJoanne LaFrancesca, RN, MN, AOCNOncology InfusionMildred Leblanc, RNRadiologyRobin Lipkis-Orlando, RN, MS, CSPsychiatryBridget (Bessie) Manley, RN, MPA/HAPre-Admission Testing AreaCatherine Mannix, RN, OCNRadiation OncologyMary McDonough, RN, MSNUrologyBrenda Miller, RN, MSNPediatric Intensive Care and PediatricAmbulatorySusan K. Morash, RN, BSN, MAGeneral MedicineWalter Moulaison Jr., RN, MSN, MBAGeneral Medicine and AnticoagulationManagement ServicesJanet Mulligan, RN, MSIV TherapyJohn Murphy, RN, MSNeuroscience Critical CareKathleen M. Myers, APRN, MSN,OCN, BC, CNAOrthopaedics, Urology and Oral MaxillofacialHiyam NadeI, RNOutpatient ObstetricsJudy Newell, RNGynecology and PediatricsAngelleen Peters-Lewis, RN, MS,CFNP, PhDGI EndoscopyKeith Perleberg, RN, MDivGeneral MedicineMarita Prater, RN, MSGeneral MedicineLori J Pugsley, RN, BSN, MEdObstetricsJanet D. Dauphinee Quigley, RN, MSNSame Day SurgeryMaureen Schnider, RN, MS, CTHQCentral Resource Team, Clinical SupervisorsPeggy Doyle Settle, RNC, MSPerinatal/Neonatal Intensive CareJudy Silva, RN, MSNCardiac Medicine, AccessColleen Snydeman, RN, MSNCoronary Care and Acute Respiratory CareAmanda Stefancyk, RN, MSN, MBAGeneral MedicineAileen Tubridy, RN, MSNCardiac Medicine Step Down ArrhythmiaSusan Tully, RNSurgical Intensive Care32 Patient Care Services · Annual Report 2005

executive teamExecutive TeamJeanette Ives Erickson, RN, MSSenior Vice President for Patient Careand Chief NurseDebbie Burke, RN, MSN, MBAAssociate Chief NurseLeila Carbunari, RN, MEdDirector, International ProgramEdward Coakley, RN, MEd, MA, MSNDirector EmeritusDeborah ColtonVice President of External Affairs MGPO/PCSAnn Daniels, PhD, LICSWExecutive Director, Social Services,and ChaplaincyMarianne Ditomassi, RN, MSN, MBAExecutive Director, PCS OperationsJoan Fitzmaurice, RN, PhDDirector, Office of Quality and SafetyTheresa Gallivan, RN, MSAssociate Chief NurseTrish Gibbons, RN, DNScAssociate Chief Nurse, The Knight NursingCenter for Clinical and Professional DevelopmentChris Graf, RN, PhDDirector, Patient Care ServicesManagement SystemsRobert Kacmarek, RRT, PhDDirector, Respiratory Care ServicesPhyllis MeiselDirector, Reading DisabilitiesSally Millar, RN, MBADirector, Office of Patient Advocacy and PatientCare Information SystemsGeorgia W. PeirceDirector, Promotional Communicationand PublicityGeorge Reardon, MBADirector, Orthotics and Systems ImprovementsJackie Somerville, RN, MS, CMACAssociate Chief NurseMichael Sullivan, PT, DPT, MBADirector, Physical Therapy andOccupational TherapyDawn Tenney, RN, MSNAssociate Chief NurseCarmen Vega-Barachowitz, MS, CCC-SLPDirector, Speech, Language &Swallowing DisordersPat RowellDeborah Washington, RN, MSNDirector, Volunteer, Medical Interpreter,Director, Patient Care Services Diversity ProgramInformation and General Store ServicesSusan SabiaManaging Editor/Writer, Caring Headlines2005

2005annual reportMGH Patient Care ServicesBulfinch 23055 Fruit StreetBoston, MA 02114-2696FIRST-CLASSUS PostagePAIDPermit No. 57416Boston, MAwww.mghpcs.orgwww.massgeneral.orgThe State’s First Magnet HospitalAwarded for Excellence in Nursing