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Empirical Outcomes
StructuralEmpowermentTeam NewKnowled ge ,I nnova t i o n s & Imp rovementsTeam E xempl ar y P r of e s s i o na l Prac tice Team
Practice Councils Education Development & Advancement Professional Council Nurse Council P ract i c e C o u nc i ls Nursing Assembly Nursing Assembly Nursing Value Council P ract i c e C o u n c i ls
NursingProfessional GovernanceStructure Off-Shift Council Advanced
Technology & Practice Innovation Registered Council Nurses Council Research and Quality
Evidence-Based and Safety Practice Council Council Nursing Executive Council Administrative Council Workforce Connection Council
Practice CouncilsTransformational LeadershipTeam
Transformational Leadership
Driven by purpose, ChristianaCare’s transformational nursing leaders have the vision, influence, clinical knowledge and expertise to create, lead and nurture a nursing culture and practice for the future .
Council highlights
Advanced Practice Registered Nurse Council
Chair: Alyssa Hancock MSN, APRN, FNP-C
• Designed and hosted quarterly advanced practice clinicians (APC)-specific orientation to introduce new-to-ChristianaCare APCs to the health system and ground them in APCfocused programs and procedures, governance structure and more . • Launched a six-month APC Primary Care onboarding orientation for primary care APCs to slowly ramp up their responsibilities and patient panels as new APCs become familiar with practicing in a primary care setting . For APCs with more than two years’ experience in primary care, the orientation is 12 weeks. • Created an APC mentoring program .
Education, Development and Advancement Council
Chair: Ellen Alvarez, MEd, BSN, RN, CCRN, WTA-C
• Finalized the RN III Reinstatement Guidelines. • Revised nursing’s certification policy . • Awarded the Preceptor Excellence Awards and Dot Fowler Award at the Excellence in
Nursing Awards ceremonies .
Professional Nurse Council
Chair: Michelle Metcalf, BSN, RN-BC
• Continued to recognize monthly DAISY honorees with DAISY Awards for our nurses and
ROSE awards for nurse partners, including patient care technicians, medical assistants, unit clerks and others . • Performed several Nurse Honor Guard ceremonies on the request of families when one of our nurse caregivers passes away . • Celebrated Nurses Month with excellence awards, a virtual 5K, roving snack carts and
Excellence in Nursing recognition events across the campuses .
Quality and Safety Council
Chair: Elizabeth Shearon, MSN, RN-BC
• Provided feedback and decision making to increase data transparency and improve nursing practice and clinical outcomes for numerous quality and safety initiatives. • Implemented design changes to NEWS Alerts and the NEWS note template . • Provided recommendations on nursing practice end-of-life care . • Partnered in the development of the perfect care process for monitoring ventilator-associated pneumonia . • Collaborated with Medication Safety and provided feedback regarding administration of IV heparin infusions .
Technology and Innovation Council
Chair: Sebastian Molina-Flores, RN
• Supported the implementation of Moxi cobots to assist nurses with time-consuming tasks that don’t require training (see page 23 for more on Moxi). • Continued a capstone project that partners clinical nurse specialists and Nursing
Informatics to rework bedside workflow. • Developed numerous approaches to reduce duplicate tasks or tasks that nurses chart as incomplete .
Systemwide promotions to nurse leadership
Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, vice president, Nursing Excellence and Magnet Designation
Kristie Cudmore, MSN, RN, CEN, nurse manager of Progressive Care Unit, Intensive Care Unit and Hemodialysis, Cecil County Campus
Jessica Dickerson, MSN, RN-BC, CNL, nurse manager of the Clinical Decision Unit, Interventional Radiology, Vascular Access Nursing and WOC Nursing, Cecil County Campus
Ritanne Elentrio, MSN, RN, clinical director for Community Health, ChristianaCare HomeHealth
Kristen Foulk, MSN, MS, RN, PCCN-K, NE-BC, vice president of Patient Care Services, Neurosciences, Surgical Services, Trauma Program, Hemodialysis and Vascular Access/Infusion Services, Newark Campus
Amy Kohl, MSN, RN, CCRN, NEA-BC, director of clinical operations, Perioperative Services
Lauri Littleton, DNP, RN-BC, NE-BC, vice president of Patient Care Services for Women’s & Children’s Services
Melissa MacMurray, BSN, RN, BS, PCCN, nurse manager of Perioperative Service’s Endoscopy Department
Susan Mascioli, MS, BSN, RN, NEA-BC, CPHQ, LSSBB, vice president, Nursing Quality and Safety Doreen Nord, MSN, RN, CEN, NPD-BC, nurse manager, Wilmington Hospital Emergency Department
Michelle Olkkola, MSN, RN, nurse manager, Postpartum Unit, Center for Women’s & Children’s Health
Joan Pirrung, MSN, APRN, ACNS-BC, HMA Fellow, chief nursing officer, Cecil County Campus
Emily Riddick, MSN, RN-BC, CPXP, nurse manager, 3B Medical Unit Allen D. Smith, MSN, MSM, RN, CCNS-BC joined ChristianaCare as vice president Patient Care Services, Heart & Vascular Services
Amanda Williams, MSN, RN-BC, nurse manager, 5B Medical Unit
Structural Empowerment
ChristianaCare environments are grounded in the health system’s mission, vision and values . The foundational elements encourage partnership — within the health system and with the communities we serve — as well as innovative and unique strategies, structures, systems, policies and programs that improve patient outcomes and community health .
Nursing scholarships and residencies
Nursing Advancement Scholarships
ChristianaCare’s scholarships support the career growth of nurses and provide an opportunity for nurses interested in roles that require advanced degrees. Currently, 26 nurses are enrolled in the program, including the FY 22 scholarship recipients:
Clinical Nurse Specialists, Direct Care Cayla Brooks, BSN, RN, SCRN Master of Science in Nursing, Nurse Educator Shelley McVey, BSN, RN-BC Ashley Jackson, BSN, RN Nurse Practitioner Scholarships Jaime McLaughlin, BSN, RN, PCCN, CCRN Julien Oreste, BSN, RN Ashley Perez, BSN, RN
Nursing Scholars Program
This scholarship is for full-time BSN students at Delaware State University (DSU), one of the nation’s premier historically Black colleges and universities . Scholarship recipients are awarded a student nurse extern position after one semester of clinical training and accepted into our Nurse Residency Program after finishing DSU’s program. Since starting in 2019, the Nursing Scholars Program has awarded scholarships to 11 students, among them our FY 22 scholarships recipients:
Jalen Chandler Jada Jenkins Michelle Markland Cierra Wright
Nurse Residency Program
FY 22 saw the most significant enhancement of the Nurse Residency Program since achieving our first ANCC Practice Transition Program accreditation for the Critical Care Nurse Residency in 2017. Over summer 2021, nurse residents in all workplace settings across all three campuses participated in the Nurse Residency Program as a group — 153 in total — instead of individual campus-oriented cohorts . We provide this experience to all newly graduated registered nurses who have fewer than 12 months of prior acute care experience.
Cecil County Campus bolsters nursing
FY 22 saw the implementation of numerous new campus partnerships with Cecil College that introduce soon-to-be-caregivers to the nursing field, support their education or onboard them to working in the health system . These include a Perioperative Internship, ChristianaCare-Cecil College Nursing Scholarship and a Senior Certified Nursing Assistant Residency .
Advanced Practice Clinician Fellowships
ChristianaCare offers numerous fellowships for advanced practice clinicians (APCs), including our nine-month Primary Care APC Fellowship for newly graduated nurse practitioners and physician assistants (PAs). Four fellows completed the program in FY 22. Two APCs are currently enrolled in the Acute Neurosciences Fellowship program, a six-month program for new APCs or those with fewer than two years of experience in Neurosciences and/or ICU specific experience.
HomeHealth Nurse Fellowship
HomeHealth’s Nurse Fellowship is a six-month didactic and clinical program for experienced RNs to receive professional development in home health care . Five nurses graduated from the program in 2022. HomeHealth’s residency equips new HomeHealth RNs — those who are newly graduated or have less than one year’s experience — with the knowledge and tools to become successful in this specialty area. Two RN residents participated in the program in 2022.
High School Nursing Collaborative
ChristianaCare’s new High School Nursing Collaborative introduces young people to nursing careers and aims to build a more diverse and health-equity-minded workforce. Ten high school juniors and seniors from William Penn and Freire Charter participated in the program in FY 22. They attended 16 hours of classes, broadening their exposure to nursing. Barbara Feeny, MSN, RN-BC, HN-BC, nursing professional development and education manager, was part of a three-person team to develop the program .
Doctoral degrees
Sheavone Boyd, DNP, RN
Wilmington Emergency Department University of Delaware
Ramanpreet Kaur, DNP, RN, CMSRN
6A Ace Group University of Delaware
Lauren Marie Lenoir, DNP, RN CEN
Christiana Emergency Department University of Delaware
Jessica Renee Nolden, DNP, FNP, CEN
Radiology Care Unit & MRI University of Delaware
Jessica Marie Tansey, DNP, FNP, RN-BC
5D Medical University of Delaware
Climbing the Clinical Ladder
ChristianaCare offers a four-tiered Clinical Ladder that recognizes and rewards experience, knowledge and clinical expertise . It allows clinical nurses to improve their skills and practice at the top of their nursing licenses . The first of its kind in Delaware, our model includes nurses in primary care practices, specialty care practices and ChristianaCare HomeHealth . Congratulations to the following nurses who advanced on the ladder this year:
RN IV
Kathryn Shady, MSN, RN, OCN, CCLS
RN III
Jennifer Carr, BSN, RN, PCCN Darlene Deel, MSN, RN-BC, CLC Danielle Feely, BSN, RNC-MNN Betelhem (Betty) Fitru, MSN-VA-BC Christine Flanagan, BSN, RN-BC Natalie Galinskie, MSN, RN, CED Kristin Garber, MSN, RN-BC, CLC Lyrae Graham, BSN, RN-BC Allison Hall, BSN, RN Emily Held, MBA, MSN, RN-BC, CADC, CCDP Nicole Keeports, BSN, RN-BC Kathleen Luckner, BSN, RN, CCRN Anna R. Massimiano, BSN, RN-BC Cheri Morrow, BSN, RN, CCRN Kaitlin O’Connor, BSN, RN, CCRN Ena Nickens, BSN, RN-BC Jennifer Papi, MSN, RN, CCRN Elizabeth Renna, BSN, RN, PMH-BC Claire Rieger, BSN, RN-BC Hillary Robinson, BSN, RN Jenna Tigue, BSN, SCRN, PCCN Jacqueline Trickey, BSN, SCRN, PCCN Zachary Vogl, BSN, RN, VA-BC
Awards and Recognitions
Magnet every day, in every way
ChristianaCare caregivers celebrate the health system’s third Magnet redesignation for Christiana and Wilmington Hospitals, Ambulatory Services and ChristianaCare HomeHealth at the 2021 ANCC National Magnet Conference® .
ChristianaCare Way Awards
The annual ChristianaCare Way Awards recognize outstanding performance improvement work by nurses and other caregivers. They demonstrate our commitment to being exceptional today and even better tomorrow. This year, 57 teams submitted entries. Awardwinning initiatives with nurse leads, co-leads or team members are listed here.
President’s Award
Streamlining the Structural Heart Team to Enhance Efficiency and Patient Experience
Value Award
No Pressure! A Systemwide Initiative to Reduce HAPI
Health Equity Award
An Initiative to Optimize 2020-21 Influenza Vaccination Rates in People with HIV
Transformation Award
Right Place, Right Patient, Right Time: Managing Mild TBI in a Level 3 Trauma Center
Population Health Award
Control BP: Multi-Component Strategy for Improving Hypertension Control
Optimal Health Quality Award - Gold
Improving Depression Screening During the Pandemic: Maximizing Connections
Optimal Health Quality Award - Bronze
Home Is Heaven: Stopping the Merry-GoRound of Readmissions
Exceptional Experience Award
Expediting Patient Care by Decreasing Lab Result Time
Organizational Vitality Award
Primum Non Nocere: Avoiding Harm Through Clinical Documentation Improvement
Strategic Partnership Award - Gold
De-labeling Penicillin Allergies in Patients Undergoing Spine Surgery
Strategic Partnership Award - Silver
Collaborative Implementation of Outpatient Monoclonal Antibody Therapy for COVID-19
Extraordinary People Award
Call for One and One for Call
Innovative Tools Award - Gold
Standardized Image Retention and Documentation
Innovative Tools Award - Silver
Alexa, Can You Help Me Take Better Care of Myself at Home?
Magnet Structural Empowerment Award
Bending and Blending: An Innovative Approach to Training During a Pandemic
Nasogastric Tube Securement Device Pilot: Back to Basics
Floating the Tube: Taking the Pressure Off of the Nares
Magnet Transformational Leadership Award
Implementing DABIR to Reduce Surgical Related HAPI in the CVOR and CVCCC
Morphine-ng Toward a New Standard in Neonates and Pediatrics
Home and Heart – Virtual Nurse Visits Are Where It Starts
People’s Choice Award
High School Senior Transition: A Collaborative School-Based Health Center Initiative
Good Catch Award
POETS Consultation: Anticoagulation Post-op Management
Delaware Today celebrates nurses
In FY 22, more than 50 ChristianaCare nurses, representing the full spectrum of care areas and all levels of the nursing practice, were recognized in the Delaware Today list of Top Nurses for 2022. Congratulations to all awardees and a special shoutout to the following category winners who were the top “vote getters” in their categories.
