Ochsner Nursing Connection 2018-2019 Nursing Annual Report
2 Ochsner Nursing 2018-2019 Annual Report
notefrom from AAnote Tracey MHA, Moffatt, Tracey Moffatt, BSN, RN,
Ochsner’s System Chief Nursing Officer System Chief Nursing Officer and VP Quality
As this document went to publication, we were in the throes of a massive Coronavirus pandemic. Louisiana, particularly New Orleans, was hit very hard by the pandemic. While I’ve always known nurses are heroes, now the whole world knows. To nurses everywhere, you rose up to fight for the safety of your patients, your peers and colleagues. You gave of your kind hearts, fierce minds and brave spirits. Many of you, your friends or relatives suffered from this disease. Some of you lost loved ones. But still you came, you gave, you cared. How prophetic that 2020 was named The Year of the Nurse. I could not be more proud. Thank You!!!
Contents Ochsner Nursing...................................................................................................3 About Ochsner Nursing – Passion to Purpose A Message from the CNO
Nursing Quality, Patient Safety and Patient Experience...............................7
Editorial Team Maria Nix, MSN, BSN, RN Clinical Educator, Editor Tracey Moffatt, MHA, BSN, RN, System Chief Nursing Officer and VP Quality
Patient and Employee Safety Nursing Initiatives The Collaborative Staffing Resource Center Nursing and Information Services Partnership Saving More Lives with Telehealth Programs
Advancing Care and the Nursing Profession.................................................27 Education and Professional Development - Nurturing Our Nursing Workforce
Ann Lockhart, MN, RN-BC, AVP Nursing Practice
Celebrating Student Nurses
Ochsner Creative Media Services
Promoting Nursing Research
Simulation Training
Recognizing and Celebrating Ochsner Nurses............................................. 43 Internal and External Awards Ochsner Medical Center – New Orleans Achieves 4th Magnet Designation Celebrating Licensed Practical Nurses A Patient’s Story
Supporting OHS Nursing and Looking to the Future...................................53 Ochsner Celebrates the World Health Organization Year of the Nurse and Midwife in 2020 Remembering Cheryl Woods
Watch Our Nursing Videos and Messages on Page 57 2 Ochsner Nursing 2018-2019 Annual Report
Ochsner Nursing OCHSNER NURSING MISSION is to guide efforts to advance the profession, to ensure a culture of safety, improve clinical outcomes, promote organizational growth and further national prominence. OUR 2020 VISION is nursing excellence through Relationship Based Care.
Ochsner Nursing By the Numbers
7,009
Number of Ochsner Health System Nurses (5,916 RNs +1,093 LPNs)
45 1,403 2,171 401 319 884 4
“I try and be the nurse that I would want taking care of my family member or myself.” – Fallyn Chuter, RN, Supervisor, RN Operations Coordinator, Clinical Staff Med Surg unit, Ochsner Medical Center – West Bank Campus.
At Ochsner, we connect our passion to our purpose. WATCH THE VIDEO ON PAGE 57 Ochsner Nursing 2018-2019 Annual Report 3
A Message from Ochsner Health System Chief Nursing Officer – Tracey Moffatt Dear Ochsner Nurses, I couldn’t be more proud of our incredible team. With over 6,000 nurses across the system, our elite nursing staff provided outstanding patient care to more than 870k patients in 2019. Our nurses are vital to ensuring the highest quality of care and empowering an engaged nursing workforce. We not only provide exceptional patient care, but we were also recognized across the nation for excellence in 2019. Ochsner is the only Louisiana hospital recognized by U.S. News & World Report as a “Best Hospital” across two specialty categories caring for patients from all 50 states and more than 70 countries worldwide each year. This has been another extraordinary year for Ochsner Nursing and I’m excited to share an overview of the amazing work our teams have accomplished in the 2018-2019 Ochsner Health System Nursing Annual Report. Ochsner nurses bring our Core Values to life through our dedication to patients and each other. One of the ways we are fulfilling Ochsner’s mission is through an unwavering focus on excellence in education. In this report you will see multiple examples of how Ochsner nurses are leading the way in supporting every stage of a nurse’s career. From the new and seasoned practicing nurses of today to building our future nursing pipeline to meet the healthcare needs of tomorrow, we continue to help nurses throughout their journey. I’m excited to share stories with you, including how we are using simulation training within Ochsner and with nursing students at Chamberlain University College of Nursing at Ochsner Health System. Additionally, we’re advancing evidence-based practice and sharing our successes through scholarly presentations, speaking engagements, and publications locally at Ochsner’s 11th Annual Evidence-Based Practice/ Research conference and nationally. Our continued investment in the professional development of our nurses far exceeds our competitors. We have redesigned our nurse technician training program to include operating room experience and exposure. We recently launched a brand-new curriculum for nursing directors and we’re partnering with Chamberlain to create a specialized chief nursing officer succession planning curriculum. As an industry leader, Ochsner takes responsibility for growing the professional nursing workforce across our region and we’re doing this through innovative partnerships. For example, Ochsner nurses are filling the need for nursing faculty by serving in shared roles as clinical adjunct faculty members at Delgado Community College, allowing us to train more nurses than ever. Ochsner hosts Chamberlain students during “Transition to Care” ceremonies, which mark the time when nursing students begin clinical experiences. Through our academic alliance with Chamberlain and collaboration on undergraduate curriculum design, we are creating a bridge from academic nursing education to nursing practice and we’re shaping the nurse of the future to empower the most capable nurses to meet future demands. Through your strengths, leadership, and dedication, we are changing the culture in nursing one day-at-a-time. We are improving nurse well-being and engagement and achieving better outcomes for those we serve. We are fortunate to have an outstanding nursing team of clinicians, educators, researchers, scholars, innovators, and leaders in every unique nursing specialty. I hope you will take some time to reflect on the impact you are making and feel a sense of pride, as I do every day. Sincerely,
Tracey Moffatt, MHA, BSN, RN, System CNO & VP of Quality, Ochsner Health System 4 Ochsner Nursing 2018-2019 Annual Report
WATCH THE VIDEO ON PAGE 57
Nursing Quality, Patient Safety and Patient Experience
Advancing Care in the Nursing Profession
Recognizing and Celebrating Ochsner Nurses
OCHSNER NURSING
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 5
Discover how we are shaping the future Discover how we are shaping of healthcare. the future of healthcare
We are so proud of our nurses! • 23 Ochsner and Ochsner affiliate RNs named Great 100 Nurses of Louisiana in 2019 • Ochsner Nurses influence the nursing profession statewide on boards. • In 2019, Ochsner’s CNO Tracey Moffatt recognized by the New Orleans District Nurses Association with the Legacy Award. • Ochsner Nurses serve as teachers for our future nursing workforce. In 2018, the The Best and the Brightest volume of nursing students completing Work clinical at Ochsner! rotations at Ochsner was 1373 undergraduate nurses and 381 advanced practice provider students. • 32 Ochsner and Ochsner affiliate RNs • • • • • •
named Great 100 Nurses ofhad Louisiana in • In 2019 Ochsner 40 academic 2017 partnership agreements from nursing Ochsner’s CNO Tracey Moffatt 2017 City Business New Orleans Nursing LPN, Healthcare programs including RN, BSN, MSN, PhD, Hero and DNP. ANCC Magnet designated organizationOMC-Jefferson Highway designated organization• ANCC Magnet ANCC certified Nurse Residency Program OMC-New Specialty certificationOrleans. bonus offered Nursing Education Grant Fund supports • Specialty continuing nursing certification education and bonus offered. professional development • Nursing Education Grant Fund supports Clinical Ladder Program provides continuing nursing and compensation for strong clinicaleducation and professional skills professional development.
• Clinical Ladder Program provides compensation for strong clinical and professional skills.
OMC – New Orleans
OUR MISSION
SERVE, HEAL, LEAD, EDUCATE & INNOVATE. OUR VISION Ochsner will be a global medical and academic leader who will save and change lives. We will shape the future of healthcare through our integrated health system, fueled by the passion and strength of our diversified team of physicians and employees.
IMPACTING LIVES ACROSS LOUISIANA, THE NATION & THE WORLD Ochsner serves patients from across
LOUISIANA, EVERY STATE in the nation, and more than 70 COUNTRIES. Ochsner is
LOUISIANA’S LARGEST not-for-profit health system and one of the largest independent academic health systems in the United States.
2
OCHSNER BY THE NUMBERS
75+
Ochsner was founded more than 75 years ago by Dr. Edgar Burns, Dr. Guy Caldwell, Dr. Francis E. LeJeune, Sr., Dr. Alton Ochsner and Dr. Curtis Tyrone.
120+
Health Centers & Urgent Care Centers
U.S. News & World Report “Best Hospital” Specialty Category Rankings
40+ $3.8B
TOTAL OPERATING REVENUE (2019)
Owned, Managed, & Affiliated Specialty Hospitals
2.5M Clinic Visits in 2019
876,000+ PATIENTS SERVED IN 2019 9
$116.4M Raised in Philanthropy
8K K Patients enrolled in digital medicine in 2019
90
4,500+
MEDICAL SPECIALTIES & SUBSPECIALTIES
Nearly 26 6,000+ Employees
Employed & Affiliated Physicians
750+
clinical research studies
Ochsner.org
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Nursing Quality, Patient Safety and Patient Experience
Nursing Quality, Patient Safety and Patient Experience
Advancing Care in the Nursing Profession
Recognizing and Celebrating Ochsner Nurses
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 7
Ochsner Health System Nursing Strategic Priorities 2019 - 2021 Ochsner nurse leaders identified strategic priorities that focus on the challenges facing nursing and the many solutions that exist.
The Ochsner Nursing Relationship-Based Care Professional Practice Model guides how we practice nursing at Ochsner by identifying key concepts that can be found in all that we do as nurses. Relationship-Based Care focuses on three important relationships: nurse to patient and family, nurse to team and nurse to self.
Priority 1 - Improve Quality, Safety and Patient Experience Strategic objective: Recognize appropriate triggers and process measures that are known to affect quality, safety and patient/family perception of care. Act on measures swiftly and consistently, driving a culture of patient-centered excellence to ensure Ochsner Health System is the provider of choice.
Priority 2 - Stabilize Staffing Strategic objective: Strategically partner across divisions with human resources business partners, compensation and benefits, talent acquisition, talent management, nursing research, and with our academic partners to ensure Ochsner is the employer of choice while continuing to build a pipeline for our future workforce.
Priority 3 - Manage Patient Care Expense Strategy objective: Strategically partner with finance, human resources, information services and other leaders to implement and adopt systems, processes and models resulting in exceptional stewardship of our most valuable resource.
8 Ochsner Nursing 2018-2019 Annual Report
Ochsner nurses work together to strengthen our adoption of improvements in care delivery to ensure exceptional outcomes.
17% reduction in patient falls 29% reduction in catheter-associated urinary tract 20% reduction in pressure ulcer rate 11% reduction in Methicillin-Resistant Staphylococcus
Aureus (MRSA) blood infection events
56% reduction in C. difficile infection events 16% reduction in expected complications rate index
2.24
1.85
1 0
2018
2019
NUMBER OF CAUTIS 35 30 25 20
31
15
22
10 5
2018
2019
NUMBER OF PRESSURE ULCERS 3 2 1
2.42
2.01
0
2018
2019 Ochsner Nursing 2018-2019 Annual Report 9
Supporting OHS Nursing and Looking to the Future
3% reduction in risk adjusted mortality index
2
Recognizing and Celebrating Ochsner Nurses
infection rate (CAUTI)
3
Advancing Care in the Nursing Profession
Through the hands of our nurses and the interdisciplinary care team, we deliver exceptional outcomes in national quality indicators. In 2019, we saw:
NUMBER OF PATIENT FALLS
Nursing Quality, Patient Safety and Patient Experience
Nursing Quality, Patient Safety and Patient Experience
Collaborative Staffing Resource Center Comes to Life Ochsner nurses are always ready to meet the ever-changing demands we encounter as a healthcare organization. Through our Collaborative Staffing Resource Center (CSRC), our highly skilled and adaptable nurses are filling open shifts throughout the organization to decrease reliance on external agencies and reduce overall costs. The CSRC launched in 2019 and quickly grew into a team of over 230 team members, including 170+ registered nurses and licensed practical nurses. The center also includes additional clinical team members, such as patient care technicians and patient safety attendants, as well as non-clinical support team members. The goal of the CSRC team is to enable consistent and reliable patient care staffing throughout Ochsner Health System. Additionally, Ochsner created the CSRC to meet this goal by building a team of flexible clinicians that are skilled and willing to work in multiple locations as they are needed. Through this program, we offer a new and unique opportunity for experienced nurses to have a highly flexible schedule while working in various Ochsner locations.
In its inaugural year, the CSRC: • Hired over 125 registered nurses • Projected to fill over 9,500 shifts • Avoided over 357 weeks of agency contracts • Worked in over 111 departments across the system • Filled over 700 agency contracts for allied health and nursing
While we continue to grow our staff to serve patients in our medical/surgical, telemetry, stepdown, critical care and emergency departments, we are expanding into mother/baby, labor and delivery, and the neonatal intensive care unit (NICU). Beginning in 2020, we will also be offering our team members to fill-in at our clinics when they have both scheduled and unplanned absences. We are excited about the success we saw in our first year, and we have only just begun! Please reach out to CSRC@ochsner.org with any questions.
10 Ochsner Nursing 2018-2019 Annual Report
“Working in the Collaborative Staffing Resource Center is an opportunity to be a ‘travel nurse’ while living at home, using one electronic medical record, and having consistent leadership. CRSC nurses experience new opportunities and different challenges in every shift working in a variety of units throughout Ochsner, which is appealing to candidates and has enabled rapid career growth.” – Bruce S. Weinberg AVP, nursing workforce management Ochsner Health System
Ochsner’s Patient Flow Center (PFC) launched in 2018. The redesign of patient flow makes patient care safer and more efficient across the system. Incorporating centralized bed placement into our regional transfer center improved timeliness and comfort for patients needing new levels of care.
Advancing Care in the Nursing Profession
“The PFC has provided a streamlined flow of patient transfers between facilities in the Ochsner system,” said Christian Harris, RN, administrative coordinator, Ochsner Baptist. “The PFC enables our teams to place patients in the most appropriate facilities across our network of hospitals.”
Nursing Quality, Patient Safety and Patient Experience
Ochsner Patient Flow Center Expands Services to Strengthen the Coordination of Care Throughout the System
In 2019, the center continued to grow, expanding the scope of services and incorporating a blended staffing model. The transfer center completed 1,000 transfers in August 2019 and each month since.
The PFC incorporated case management services adding a dedicated case management resource to assist with utilization review for patient transfers. The addition of a pediatric transfer specialist resulted in 20% growth for neonatal and pediatric transfers.
Recognizing and Celebrating Ochsner Nurses
In addition, level I and II patient flow center coordinators have been added to the staffing model throughout the year. Nurse coordinators in the PFC worked closely with staffing coordinators from the Collaborative Staffing Resource Center (CSRC) to increase partnership of staffing resources across the system. CSRC staffing coordinators and Ochsner’s emergent transport dispatch partners, Acadian Ambulance, were stationed in the PFC strengthening collaboration.
“Having a dedicated transfer specialist has been a game changer,” said Thomas Harris, vice president of Pediatrics. “This gives our referring facilities the ability to interact with a consistent resource who is well-versed in our pediatric process and who can expedite getting patients to the most appropriate unit and facility for care.”
“We were scared at first to give up this control, but now over a year in, we recognize their efficiencies and appreciate the time back we have to be at the bedside with the patients!” - LaTwunya Randall, RN, director of emergency department, Ochsner Medical Center – West Bank Campus.
Ochsner Nursing 2018-2019 Annual Report 11
Supporting OHS Nursing and Looking to the Future
The PFC’s centralized psychiatric placement team placed over 600 patients per month in 2019. Through a collaboration with the grand central Epic team, the PFC team transitioned from using a paper workflow to the electronic module in Epic, decreasing emergency department length of stay for psychiatric patients by 45 minutes.
The OMC - North Shore Safety Advisory Committee
“No Falls Y’all!” Keeping Patients Safer at Ochsner Medical Center – Northshore In 2018, Ochsner Medical Center – Northshore (OMC - Northshore) recognized the need to strengthen efforts to prevent patient falls. The Center for Disease Control and Prevention estimates that by 2020, the cost of fall related injuries will reach $54.9 billion. Although the OMC – Northshore team initiated multiple interventions to assist in lowering the fall rate for patients in the hospital setting in 2018, the year ended with a fall rate of 2.19, which was higher than the benchmark of </= 1.97. In 2019, the Safety Advisory Committee, a team-led committee empowered by senior leadership to address safety concerns identified by team members, was tasked with addressing the continued issue of inpatient falls. The team launched an initiative that successfully decreased the falls rate to below benchmark. 12 Ochsner Nursing 2018-2019 Annual Report
In January 2019, “falls champions”, most of whom also serve on the Safety Advisory Committee, were identified from each of the units and collaborated to develop the “No Falls Y’all” initiative. This group dubbed themselves as the Fall Busters Task Force, responsible for providing a peer review of all fall incidences. The peer review is a non-punitive, collaborative and constructive way to problem solve when a fall occurs. Additionally, the taskforce recognizes any unit who achieves 30 days without a fall.
One key component of the “No Falls Y’all” Initiative is employee education, which included:
• The Fall Busters Task Force offered education to nursing team members on fall prevention during general nursing staff meetings and worked with vendors to conduct in-services for Stryker beds with a feature called Chaperone Exit System and iBed Awareness, both options are designed to assist in alerting nurses when an at-risk patient attempts to get up without assistance.
• The team also incorporated an overview of all fall prevention efforts into our OMC – Northshore campus new nurse orientation.
Ochsner Nursing 2018-2019 Annual Report 13
Supporting OHS Nursing and Looking to the Future
Since starting the “No Falls Y’all” Initiative, OMC – Northshore experienced fewer patient falls. In 2019, the fall rate decreased from 2.40 in the first quarter to 2.18 in the second quarter, and to 1.40 in the third quarter. This decline overall indicates that efforts of the OMC – Northshore team will keep our patients safer.
Recognizing and Celebrating Ochsner Nurses
• During Patient Safety Week, the Safety Advisory Committee developed a training aimed at raising awareness of the most common causes of patient falls. The committee set up a “Room of Horrors,” a timed exercise in which team members were challenged to identify all the fall risks present in the room. Those who identified the most fall risks during the allocated time were entered into a prize drawing.
“Since the inception of the “No Falls Y’all” initiative and the development of the Fall Busters Task Force, staff engagement in maintaining a safe environment for our patients has soared. Nursing units have embraced a competitive spirit in being the unit to have the longest number of days since the last patient fall. As a result of the efforts of our entire team, OMC – Northshore is experiencing lower fall rates,” said Yvette Bertaut, MSN, RN, NEA-BC, chief nursing officer, OMC – Northshore.
Advancing Care in the Nursing Profession
• OMC– Northshore’s Fall Busters Task Force members provided education to team members through huddles and staff meetings and distributed informational packets on the No Falls Y’all initiatives.
Nursing Quality, Patient Safety and Patient Experience
The “No Falls Y’all” Initiative
New Tools Enable Every Member of the Care Team to Promote Preventative Healthcare for Our Patients Proactive Ochsner Encounters is an innovative program that places responsibility for our patients’ preventative healthcare on the entire care team, rather than just the primary care team. Before Proactive Ochsner Encounters, the primary care team ensured that our patients completed preventative health screenings and immunizations. By hardwiring a new operation into the existing EPIC workflow, the program now establishes a simple process that allows each member of the specialty clinic care team to also engage with patients about their overdue health screenings and immunizations during every touchpoint of the specialty clinic visit.
How it works Team members follow multiple check points to ensure patients are reminded of overdue screenings and other tests designed for early detection. Patients are then able to review a list of overdue preventative care options in the waiting room and are given the opportunity to discuss in more detail in the exam room.
Proactive Ochsner Encounters benefits our patients and care team in multiple ways • Involving patients in preventative health and increasing compliance for overdue screenings. EPIC prompts help ensure patient engagement in their overall health maintenance. • Empowering our care team in new ways. Every team member plays an important role in ensuring that patients are getting the care that they need. Together, team members from multiple departments are coming together for a common goal. This program promotes teamwork across the clinic in a new way and encourages team members to take more responsibility in patient care regardless of their role. • Decreasing healthcare disparities. Since reminders are generated through the electronic medical record, healthcare disparities are minimized and we ensure that all patients are receiving equal and appropriate care at every clinic visit.
As a result of Proactive Ochsner Encounters • Nearly 3,000 patients screened for diabetic or cancer detection • Nearly 3,000 immunizations administered • 9 patients found out they had breast cancer • 2 patients found out they had early colorectal cancer • 16 patients found out they had early retinopathy
“The Proactive Ochsner Encounters program also involves subspecialties in a population health initiative, which has been a real win for our patients,” said Janie Gilberti, vice president of primary care service line integrated programs, Ochsner Medical Center – New Orleans
“I have been to quite a few appointments at Ochsner and of all of those appointments, Marcy was the only one who took her time to ask ‘Can I go ahead and schedule your mammogram?’ This was March 12. My mastectomy is scheduled April 29 with a low chance of chemo. And low chance of radiation. In my book, she saved my life. There is no history in my family and this was my first mammogram.” – An Ochsner patient who found out she had breast cancer as a result of a reminder to schedule her mammogram from her care team at the Ochsner Back and Spine Center, located at Ochsner Baptist, while visiting for low back pain. 14 Ochsner Nursing 2018-2019 Annual Report
Ochsner strives for a true partnership with every patient. In 2019, our highly engaged team members led activities around the system that support positive patient experiences and improving our interactions with each other.
Our nurses apply evidence-based practice not only to their clinical work, but to the patient’s clinical experience. Examples include using empathetic communication, using a warm tone of voice, acknowledging frustrations, being present, listening, validating feelings and being flexible.
– Alison Soileau, MA, FACHE, CPXP, vice president of patient experience and service excellence Ochsner Health System
OMC – Hancock had a 38-point increase.
✦
OMC – Kenner had 23-point increase.
✦
Ochsner Baptist had a 19-point increase.
✦
OMC – New Orleans and St. Bernard Parish Hospital had a 12-point increase.
• Ochsner clinics have been an area of focus with team-based training: ✦ ✦
Women’s OB/GYN saw a 13-point increase across the system. OMC – New Orleans, with our largest volume, is hitting target with a 2-point increase over last year.
• OMC – Kenner and OMC – New Orleans made improvements in HCAHPS scores: ✦
OMC – Kenner had a 14-point increase.
✦
OMC – New Orleans had an 8-point increase.
• An electronic rounding platform makes identifying trends easier – 63,000 rounds with patients completed across our system. • Ochsner received 14,500 reviews on social media, and 93% were positive reviews. • Ochsner received 115,000 positive comments from patients through Press Ganey surveys. “Compassion makes the unbearable, bearable.” –Kenneth B. Schwartz
Ochsner Nursing 2018-2019 Annual Report 15
Supporting OHS Nursing and Looking to the Future
“Ochsner nurses and the interdisciplinary team practice empathy and compassion every day with patients when they come to Ochsner for care, and it makes all the difference.”
✦
Recognizing and Celebrating Ochsner Nurses
Patient experience councils, unit practice councils, integration councils and leadership groups regularly bring the voice of the patient into their work. We hear from patients through survey responses, social media posts, and especially while they are in our care and use feedback to improve our service. Ochsner’s patient experience professional coaching team partners with leaders across the system to drive improvements at the local level. Their expertise provides an “outside perspective” to help support the nurse leader’s daily work.
• Emergency departments across the system saw the most improvement in patient experience scores with a 13-point improvement systemwide and four regions achieving doubledigit increases:
Advancing Care in the Nursing Profession
Ochsner nurse leaders round daily to support the success of our nurses as they interact with patients. Nurse leaders help break down barriers so our nurses can do what they do best, care for those in need of their expertise. Bedside handoff continues to be a “wow” for Ochsner patients. Time and again, patients and families comment on how empowering it is to be such a significant part of their own care team.
Through these efforts to provide an exceptional patient experience in 2019, we improved our national rank in comparison to other healthcare systems across the United States:
Nursing Quality, Patient Safety and Patient Experience
Improving Our Patient Experience
Ochsner’s Nursing Informatics Team Collaborates Across the System to Enhance the Use of Technology for Nurses “As new technologies are introduced to improve patient care, Ochsner’s nursing informaticists play a key role in successful integration of new technologies within the healthcare environment,” said Ann Lockhart, MN, RN-BC assistant vice president of nursing practice, system nursing professional development and nursing informatics, Ochsner. This past year, nursing informaticists worked with the multidisciplinary team to support the integration of new technologies that enhance nursing practice and improve patient care.
Leveraging Technologies that Improve Lab Specimen Identification (LSID) Laboratory tests provide essential diagnostic information that guides patient care and treatment while receiving care during hospitalization. This past year, Ochsner’s Nursing Informatics team worked together with bedside nurses, laboratory personnel, providers and multiple teams within Information Services to create solutions to ensure proper specimen collections at the patients’ bedside and positive patient identification. One key solution was implementing barcode scanning technology for blood specimen collections in the emergency room and inpatient setting. Barcode scanning automates patient and lab identification, reducing errors caused by entering information manually and eliminating the need to re-label blood specimens in the lab. The nursing informatics team worked with the electronic medical record team to create workflows that allow nurses to print lab specimen labels from new specimen label printers installed in nursing units throughout the system.
Improving Safety of Medication Administration and Efficiency of Documentation Using Pyxis Link
In 2019, Ochsner Pharmacy rolled out the Pyxis ES Link, a web-based application that acts as an interface between the electronic medical record and the Pyxis ES Medstation. The new technology allows for connectivity of information across 16 Ochsner Nursing 2018-2019 Annual Report
systems and devices and is designed to increase the efficiency of medication administration for nurses. Pyxis Link enables nurses to queue medications from the patient’s bedside, which provides multiple benefits that result in more timely medication administration. By remotely cueing medications up to two hours before administration time, nurses can provide patient education in advance when viewing the medication administration record. In addition, nurses can identify which Pyxis Medstation on the unit the medications are loaded in, decreasing the need to access multiple Medstations to search for all of a patient’s medications. Nurses can also document and witness all waste activities from any personal computer, without having to return to the Medstation. The Nursing Informatics team collaborated with Pharmacy and System Nursing Professional Development to train nursing staff on the new product to ensure a successful launch of the new tool. Nearly 70 nurse superusers from across the system attended the BD Pyxis Link Pharmacy Training and served as Pyxis Link experts for their units.
Nursing Quality, Patient Safety and Patient Experience
success. Each member of the nursing team participated in crafting workflow design and physical layout of the departments. Nurses at The Grove also helped initiate a robust advanced practice registered nurse-led pre-admission testing process that promotes patient safety and a positive patient experience. The Grove care team is more engaged than ever, which is creating a positive impact on our patients’ experience. Physician engagement has also been very positive, our employees remain actively engaged and ambulatory surgery patient experience scores are best in class. Since opening, the dynamic care team at The Grove exceeded expectations in reaching patients across the Baton Rouge region:
Ochsner Medical Center - Baton Rouge Opened a New State-of-the-Art Surgical Hospital Bringing New Services to Patients in the Baton Rouge Region
The Grove features four operating rooms, two endoscopy suites, two pain management procedure rooms, 24 pre/post-op beds and 10 inpatient med/surg beds. All inpatient rooms are equipped with Ochsner’s optimal hospital technology, including patient tablet computers allowing patients to view their health data, schedule and learn about their care; quiet hours to minimize patient disruption; and copper-infused linens to reduce the risk of infection.
WATCH THE VIDEO ON PAGE 57
• The endoscopy team continues to show growth with new providers expecting to be credentialed at the hospital in late 2019/early 2020. With anticipated growth of same-day surgeries, an additional focus is attracting both community and employed surgeons to perform overnight stay surgeries at The Grove. Increasing surgical volume will free operating room time at OMC – Baton Rouge for both higher acuity cases and addition of new services. The additional inpatient beds at The Grove also increases the capacity to care for more patients in the region.
“Nursing input, planning, and practice have been key to the successful launch of this new and innovative venue of care. From the pre-admission testing process through discharge, excellent nursing care supports and drives the ultimate patient experience in Baton Rouge,” says Dianne Teal, MSN, RN, NEA-BC, FACHE, chief nursing officer, Ochsner Medical Center – Baton Rouge. Ochsner Nursing 2018-2019 Annual Report 17
Supporting OHS Nursing and Looking to the Future
From the initial planning phase, OMC – Baton Rouge nurses were excited to participate in the design and implementation of hospital operations from the ground up and are proud to have played an integral role in its
• Pain management procedure volume, which relocated from OMC – Baton Rouge, exceeded the expected volume each month since opening.
Recognizing and Celebrating Ochsner Nurses
Ochsner Health System is committed to bringing new services to patients in our community. In 2019, Ochsner was pleased to open Ochsner Medical Complex – The Grove. The Grove is a short stay surgical hospital that provides state-of-the-art equipment and easier access for patients.
• Just four months after opening, surgical volumes at The Grove met and exceeded budget.
Advancing Care in the Nursing Profession
Thirty members of the surgical hospital at Ochsner Medical Complex – The Grove celebrate opening their doors to the first patient on June 3, 2019.
Using Accountable Care Units at St. Tammany Parish Hospital to Improve Team Collaboration and Patient Safety In 2019, the nursing team at St. Tammany Parish Hospital began its journey toward high reliability through an effort to transform care at the bedside. The overarching goal was to empower and engage our workforce to deliver the best possible care. The challenge was to eliminate barriers and deliver on the promise that each patient deserves the very best we can provide. Nurse leaders implemented the Accountable Care Unit (ACU) model, a team-based approach to patient care, to support transformational change and sustainability.
St. Tammany Parish Hospital team members who have supported the “go live” of the ACU on 3 North, including nursing staff, hospitalists, care managers, social workers and pharmacists.
The ACU model involves all members of the care team, patients and families in structured interdisciplinary bedside rounds (SIBR). During interdisciplinary rounds, issues like medication changes, home medications, family dynamics and home environment for post-discharge care are addressed in real time with team input. Once the care team completes their roles, the patient and family members have an opportunity to add information and ask questions. Each patient round is completed in three to five minutes. One family member shared, “I have never seen anything like this before in any other hospital. I just feel so informed about my mother’s care and the communication happening with the entire team.”
The Impact of ACUs and benefits • Shared leadership - ACUs incorporate a nurse-physician leadership dyad, shift-to-shift unit-based team huddles, and an executive team safety huddle. The nurse/physician leadership dyad are equally accountable for the unit metrics and performance. • Recognizing team members - The process incorporates a “good catch” program to recognize nurses for catching and fixing potential issues and promoting patient safety. • Fostering professional development of millennial nurses - Millennials have rapidly become one of St. Tammany’s largest population of newly hired nurses. SIBR is an opportunity to support and empower young nurses, to use critical thinking skills at the bedside every day and be recognized as an expert in patient care. This year St. Tammany Parish Hospital has successfully launched three ACUs and they expect the number to grow with an additional four units planned for next year. 18 Ochsner Nursing 2018-2019 Annual Report
“The ACU model has decreased our overall length of stay, helped our team prepare better for patient discharges and improved communication among disciplines. The transformation that is happening within nursing is remarkable. The bedside nurses have become strong partners aligned with the other care team members and patients are getting the best possible care and that remains our primary goal,” said Kerry K. Milton, RN, MSHA, senior vice president and chief nursing officer, St. Tammany Parish Hospital
In the 2019 nursing strategic planning process, Ochsner nurse leaders identified ease of practice as a high strategic priority. This past year, system nursing leadership teamed up with Ochsner’s Information Services (IS) on several projects to simplify documentation, streamline and enhance Epic’s nursing workflows and integrate innovative technologies that allow our nurses to spend more time with patients.
Nursing Quality, Patient Safety and Patient Experience
Ochsner Nursing Leaders Work with Information Services to Create Solutions to Ease Nursing Practice
“The Nursing - IS partnership is essential to the promotion of quality and safety initiatives across the system as new technologies are introduced,” said Ann Lockhart, MN, RN-BC, assistant vice president, nursing practice, nursing informatics and system nursing professional development. “Through our strong collaboration on IS initiatives, we are enhancing healthcare technologies to ensure integration with nursing practice.”
• Reducing interruptions for clinicians while documenting - The Clinical Decision Support Committee, representing nurses and physicians across the system, reviewed existing best practice alerts and removed over 12 million alerts in 2019. • Faster access to patient information - In October, the IS team launched OneTap, a new technology feature that allows clinicians instant badge access to Epic with one tap of their employee badge. OneTap is designed to make it easier and faster to access the patient’s chart during a visit.
Advancing Care in the Nursing Profession
Ease of practice initiatives included:
• Overhauling care planning - Nurses can now complete care planning faster with a new workflow for documenting on goals and interventions and then pull completed documentation into an end-of-shift note with one click. Recognizing and Celebrating Ochsner Nurses
“In 2019, we decreased unnecessary change in nursing documentation by ensuring our flowsheets were backed by best practice evidence and Ochsner remained in the top quartile of all international Epic customers, spending 51 minutes in every 12-hour shift in flowsheets,” said Amy Trainor, MHA, BSN, RN, vice president, clinical systems. Ochsner’s IS team is dedicated to partnering with nurses and other clinicians to make their work a little easier so that they can keep providing the best patient care possible.
• Epic’s Voice Assistant, which will allow clinicians to create documentation or view information in Epic using voice commands. • The Nursing Assignment Wizard with Kronos integration, which will allow nursing assignments directly in Epic.
Ann Lockhart, MN, RN-BC, AVP of nursing practice, system nursing professional development and nursing informatics
Amy Trainor, MHA, BSN, RN, vice president, clinical systems
Ochsner Nursing 2018-2019 Annual Report 19
Supporting OHS Nursing and Looking to the Future
Looking ahead to 2020, nursing, the IS team, pharmacy and the Epic team will work together on an IV pump integration project that will allow Epic to send IV orders directly to the IV infusion pumps, eliminating manual steps for nurses and ensuring safer patient care. Other enhancements we plan to implement in 2020 include:
Saving More Lives with Telehealth Programs at Slidell Memorial Hospital Through a joint operating agreement, Slidell Memorial Hospital (SMH) and Ochsner committed to do more for Northshore patients by collaborating to bring innovation and service growth to the community. Through our partnership, SMH advanced technological capabilities, introducing critical telehealth services and connecting patients to their care network through Epic.
This collaboration included: • Ochsner CareConnect 360 TeleStroke Program: When it comes to strokes, minutes equal brain function. The faster a stroke victim can be evaluated by a specialist and treated with tissue plasminogen activator (t-PA), the less chance of disability and death. The three-hour window of time needed to administer t-PA begins when stroke symptoms appear, which can be missed if a neurologist is not on-site. • To reduce the devastating effects of a stroke for patients visiting the emergency department, SMH implemented the Ochsner CareConnect 360 TeleStroke Program in 2016. Through the use of this Telehealth technology, patients are able to be evaluated by neurologists as they arrive at the hospital and can be treated with t-PA treatment sooner. Since its implementation at SMH, approximately 100 patients received critical intervention, with 75% of those patients able to remain at SMH for treatment. The average treatment time for t-PA improved by nearly 40%. • TelePsych: SMH and Ochsner also recently added TelePsych to the Northshore campuses. TelePsych allows staff physicians to collaborate with providers with specialized psychiatric training in diagnosing and developing the best treatment and disposition plan for patients presenting with acute psychiatric conditions. Of approximately 250 patients who have been evaluated at SMH since its implementation in April 2019, 71 patients were able to be discharged home, preventing unnecessary admission to a psychiatric facility.
“Thanks to telehealth programs, we are able to connect specialized care to the patients in our community, quickly, efficiently, and consistently.” - Theresa Williams, MSN/MBA, RNCOB, chief nursing officer, Slidell Memorial Hospital
• In addition to these services, SMH and Ochsner expanded telehealth programs to include TeleICU at SMH as well as Avasys e-Sitter to prevent inpatient falls at Ochsner Medical Center - Northshore and SMH. The partnership between SMH and Ochsner has allowed these hospitals to bring lifesaving expertise through telecommunications services to patients on the Northshore.
Implementing Epic Hospital-Wide at SMH The partnership with Ochsner also brought the Epic electronic health record (EHR) to SMH. While the SMH clinics began using Epic in 2017, SMH rolled it out to all hospital patients in 2019, fully connecting healthcare between SMH, Ochsner and related outpatient facilities. Through the Epic MyChart patient portal, patients can connect to their health records, book appointments and communicate directly with providers—anytime, anywhere. 20 Ochsner Nursing 2018-2019 Annual Report
A culture of psychological safety means every member of the care team works in a climate in which people are comfortable speaking up regarding patient quality and safety. The outcomes of psychological safety in the workplace are increased learning, decreased errors, heightened innovation, and higher job satisfaction. Over the past year, the Ochsner Medical Center – West Bank leadership team worked hard to improve the environment where everyone feels safe speaking up.
In addition to expanding the daily safety huddle, the OMC – West Bank team implemented the following tactics across the hospital to empower nurses and the interdisciplinary team:
• Promoted an environment that commended “good catches” and discussion of improvement ideas.
“Since implementing psychological safety in the operating room, I find that team members feel more empowered to voice their concerns related to patient care. This change in culture will result in better outcomes for our patients.” – Anya Dixon, BSN, RN, operations coordinator surgery, Ochsner Medical Center – West Bank Campus
• Focused on effective feedback and communication in senior leader and weekend rounding. • Incorporated tools like “Cup of Coffee” for physicians and staff that promotes collaboration and mutual respect and “PROMPT,” a tool that empowers effective escalation of concerns and disclosure to patient and family when appropriate.
Ochsner Nursing 2018-2019 Annual Report 21
Supporting OHS Nursing and Looking to the Future
“I’m so proud of the work accomplished this year to establish a framework for improving the psychological safety of our team. It’s imperative that every team member feels comfortable speaking up for quality outcomes and advocating for patient safety. We are dedicated to improving our culture. The safety huddles, education, and surgical debriefing tool were important steps towards improving psychological safety, leading to increased patient safety, staff engagement and retention,” says Melissa Adams, MHCA, BS, BSN, RN, chief nursing officer, Ochsner Medical Center – West Bank Campus
Recognizing and Celebrating Ochsner Nurses
• Provided education to staff members on the importance of psychological safety in patient care in “To Err is Human” sessions.
As part of efforts across the hospital to improve psychological safety, the OMC – West Bank perioperative services team piloted a surgical debriefing tool for 30 days with the OR staff. The pilot project involved three surgeons who solicited feedback at the end of each OR case by asking the team what could have gone better during the case. A survey of team members revealed that the majority stated that they were not afraid to ask questions or speak up if they saw something that would negatively impact the patient, but roughly 25% of respondents did not feel free to question the decisions or actions of those with more authority. The two biggest areas of opportunity were communication and process issues. Based on an overwhelming amount of support for the surgical debriefing tool from the direct care staff in the OR, the team plans to continue the debriefing process in the OR and expand voluntarily to physicians in other service areas.
Advancing Care in the Nursing Profession
In October 2018, the OMC – West Bank interdisciplinary leadership team in the operating room (OR) initiated an afternoon safety huddle to promote an environment in which staff members felt comfortable sharing what could have been better in each patient case to improve patient safety and teamwork across every discipline. The debriefing process provided a forum to share insight and learnings from the experience of patients and staff as reported by staff members directly involved in the patient’s care.
Piloting a surgical debriefing tool in the OR
Nursing Quality, Patient Safety and Patient Experience
Ochsner Medical Center – West Bank Focuses on Psychological Safety
Advancing Care for Behavioral Health Patients The culture of St. Charles Parish Hospital (SCPH) comes from an amazing group of caregivers. Our culture is truly what makes us so special. It is our people, how they treat our patients and families, and equally if not more importantly, the way our team treats one another. Culture is also a major part of SCPH being named the only Top General Hospital in Louisiana by Leap Frog in 2018. Recognizing the need for behavioral health resources across the state, SCPH, in partnership with Ochsner, invested in advancing behavioral health services. Over the past couple of years, we have seen tremendous improvements in our behavioral health unit in quality, culture and employee engagement. To support the growth of behavioral health services, our team engaged in evaluating and redesigning processes of care for this unique population. The team underwent comprehensive training on new processes such as restraint and seclusion, de-escalation, empathy, and trauma-informed care. Patients who suffer from mental illness also have corresponding medical needs. This combination of conditions requires care in a unit that provides comprehensive needs for both medical and behavioral support. In late 2018, the team of physicians, nurses and leaders began to plan how to address this opportunity to improve care and what was created was truly remarkable. The team converted 12 of the medical beds located on the medical surgical unit into a 10-bed expansion to our 20-bed unit to support care for patients suffering from both medical and psychiatric illness. This expansion was complete with in-depth video surveillance, an outdoor space and an appropriate space to support the group sessions that are so important in the healing process. The project kicked off in the middle of August 2019 with the newly refinished space to be completed in 2020.
“We are very excited for the opportunity to serve more patients and we are certain that with our amazing team, we will be positioned to navigate the new challenges of serving the behavioral health population in a different and better way. I could not imagine taking this amazing journey with a better team.” – Terrell Neal, MBA, BSN, RN, chief nursing officer, St. Charles Parish Hospital
22 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Creating Access to Special Services in Monroe, Louisiana Since joining the Ochsner family in 2018, Ochsner LSU Health Shreveport – Monroe has been able to advance the use of telemedicine allowing patients to remain in Monroe, closer to their home and family. Since going live with Tele-ICU in March 2019, there have been over 200 Tele-ICU consults.
“It’s a beautiful sight to behold when each discipline is empowered and steps up as one voice, although some are 90 miles apart, in advocating for the patient,” said Traci Jordon, MSN, RN, assistant vice president of nursing, Ochsner LSU Health Shreveport – Monroe Medical Center.
“Tele-ICU services not only provide exceptional critical care specialty services to our most acute patients; they also add great value to our academic medical team and nursing staff.” – Traci Jordan, MSN, RN, chief nursing officer, Ochsner LSU Health Shreveport – Monroe Medical Center.
Ochsner Nursing 2018-2019 Annual Report 23
Supporting OHS Nursing and Looking to the Future
The added quality and safety in care provision in our ICU created the desire to spread the technology throughout other areas in order to optimize patient care. We are so excited as we plan to implement TeleStork by early 2020 and also develop a TeleNICU and TelePeds/PICU program.
From left to right: Ochsner LSU Health Shreveport – Monroe Medical Center intensive care unit nurses Seth Murray, RN; Doug Breaux, RN; Amanda Coker, RN, ICU Manager; Patrick Lowery, RN; and Jeff Treat, RN.
Recognizing and Celebrating Ochsner Nurses
Integrating the Tele-ICU program resulted in collaboration and teamwork that benefits our staff and patients.
Advancing Care in the Nursing Profession
Through the collaboration with telemedicine in South Louisiana, the team developed a training program for providers and nurses. Additionally, the development of new programs to support the educational needs of the entire team is underway. Because of this, providers, residents and nurses are empowered to use telemedicine services, including rounding and communicating with the Ochsner LSU Health-Shreveport critical care intensivists. The multidisciplinary team of providers, residents, nurses, students, therapists, pharmacists, case managers and dieticians communicate through telemedicine to ensure safe, high-quality care.
Implementing New Standards to Ensure Employee Safety Related to Hazardous Medications In 2018, Ochsner nursing leaders collaborated with a multidisciplinary workgroup to create a multifaceted, interdisciplinary action plan to ensure compliance with a new federal regulation that strengthens protection of healthcare workers from exposure to hazardous medications. The United States Pharmacopeia chapter 800 (USP 800) provides standards for personal protective equipment (PPE) for employees handling hazardous medications. Because nurses are repeatedly exposed to medications, they have a higher risk than patients receiving short term treatment. By December 2019, healthcare organizations were required to comply with the pharmacy regulation.
The workgroup consisted of representatives from nursing, pharmacy, nursing education, information services, the electronic medical record (EMR) team, nursing informatics, nursing pursuit of value, project management, respiratory therapy, environmental services, human resources and emergency management. USP 800 action plans included: • Creating a symbol to make it easy for employees to identify hazardous medication for patients in ambulatory, hospital and ancillary settings. • Developing standard operating procedures for handling hazardous medications. • Creating a PPE guide offering a streamlined precaution approach designed to minimize variety in PPE requirements and ensure protection from medication exposure. • Developing an employee education plan to provide general awareness training for the USP 800 regulation, risks of exposure to hazardous medications, standards for medication administration, guidance on personal protective equipment, and cleaning and spills management.
The plan to evaluate the program includes employee education compliance, environmental surveillance of hazardous medication residue on counter tops and surfaces, and medical surveillance measuring employee exposure to toxic chemicals. The anticipated analysis of results will be ongoing. The next step will be to continue to develop service-line-specific procedures for operational implementation.
24 Ochsner Nursing 2018-2019 Annual Report
“We know that USP 800 impacts many aspects of nursing practice, such as medication preparation, administration and cleaning spills for over 100 medications,” said Nattie Leger, MSN RN LSSBB, supply chain vice president of value and clinical performance. “Together with the interdisciplinary workgroup, we’ve created a plan to ensure employees understand and comply with the changes to reduce exposure to hazardous medications.”
Nursing Quality, Patient Safety and Patient Experience
Building on a Great Team at Ochsner LSU Health Shreveport At Ochsner LSU Health Shreveport, 2019 was the year for cultural transformation. During this time, we evaluated leadership structure and reorganized our amazing leadership team to accomplish even more in 2020.
Our emergency department (ED) serves our region as a Level 1 Trauma Center, a Level 2 Pediatric Trauma Program, and a thrombectomy-capable stroke center. The ED strives to deliver exceptional, quality care in a timely manner. Throughout 2019, the ED leadership team focused on three key areas: employee engagement, patient experience and the “left without being seen” rate.
Additionally, as part of our continuous process improvement, we reorganized our rapid response teams to provide greater emphasis on nurse collaboration in response to patients’ changing needs.
“As the CNO of Ochsner LSU Health Shreveport, it is an honor and a privilege to be part of such amazing revitalization and teamwork among the entire patient care team. Together we are stronger, and we are improving the quality of care for the patients and the community in North Louisiana.” – Sheree Stephens, MSN, RN, CPHQ, chief nursing officer and vice president of quality, Ochsner LSU Health Shreveport
Ochsner Nursing 2018-2019 Annual Report 25
Supporting OHS Nursing and Looking to the Future
New processes of care ensured that our patients are seen in a timely manner and programs, such as expedited care and spilt flow models, are reducing “left without begin seen” rates. The ED now sees more patients, improving access to care in North Louisiana while ensuring patient safety, patient experience and employee engagement.
Ochsner LSU Health Shreveport Emergency Department Recognizing and Celebrating Ochsner Nurses
Our operations coordinators implemented several new initiatives, such as Tuesday morning huddles to improve communication from shift to shift. Starting the day with huddles resulted in excellent outcomes in both employee engagement and patient experience. As a result, we continued to see our patient experience scores improve.
Advancing Care in the Nursing Profession
Improving Access in the Emergency Department
Striving for Excellence in Quality & Nurse Development at Ochsner Medical Center – Kenner Ochsner Medical Center – Kenner is on a journey to create a culture of excellence. The Institute for Healthcare Improvement explored high performing organizations and shared that great results are linked to specific leadership actions that improve culture (Healthcare Executive, 2012). At Ochsner, our founders recognized the value of excellence and set the vision for a culture of excellence. We developed commitments that identify behaviors we should live by daily. This past year, the OMC – Kenner team demonstrated these commitments in many ways: Embracing change and continuously looking for ways to improve – Implementation of best practices directed at improving quality indicators like fall prevention, catheter associated urinary catheter infections, C-Difficile events, MSRA events, and hospital acquired pressure injuries has yielded great results year-over-year. Additionally, the OMCKenner team was recognized with Joint Commission Certification as a Primary Stroke Center in 2018. In addition, the American Heart Association awarded the OMC – Kenner team the “Get with the Guidelines’ – Stroke Gold Plus with Honor Role” for applying the most up-to-date, evidence-based treatment guidelines to improve care and outcomes. OMC – Kenner had zero complications or deaths for stroke patients in 2018 and achieved a 43% increase in emergency department Code Strokes, promoting early recognition and intervention. OMC – Kenner also achieved baby friendly designation and the Leapfrog Group, a non-profit organization that serves as a voice for healthcare safety, rated OMC – Kenner an “A” in Fall 2018 as well as in Fall and Spring 2019. Actively supporting, teaching and coaching others and a commitment to lifelong learning – One key aspect of our journey to excellence is ensuring that our team remains competent; obtains new knowledge, skills and best practices; and networks with colleagues across the system and nationally at professional conferences. Highlights in 2018 and 2019 included: • Nurse preceptors committed time to onboard new staff members and participated in forums to improve teaching skills. • The professional development council and nurse educators developed content to support new nurses joining our team in the ROCK and WINGs orientation programs. • Leader Rounding became a key practice in our journey and in serving as coaches daily, improving safety and the patient experience. • Through the Virtual Innovative Patient project, virtual nurses support the bedside team to improve patient care. • Nurses participated in programs like Ochsner’s Nurse Residency Program, Emerging Nurse Leader Program, Charge Nurse Academy, Mentor Academy, and skills fairs. Also, several nurses attended regional and national conferences using the Nursing Education Grant Fund.
“While the journey to excellence is never complete, our nurses are leading the way in improving care and the patient experience. The culture change we are witnessing could not be possible without the great nursing team of staff and leaders.” Sylvia Hartmann, MN, RN, NEA-BC, chief nursing officer, Ochsner Medical Center – Kenner
• The percentage of certified nurses increased by 20% in 2018. • 87 nurses participated in the Clinical Ladder program including a 15% increase in LEVEL III nurses. Promoting an environment where the well-being of self and colleagues is a priority – The Care for the Caregiver initiative kept the OMC – Kenner team focused on taking care of ourselves. Unit champions promoted and offered activities to staff encouraging self-care. In fact, several nurses attend Nurse Refresh Days, which launched in 2019, to provide an opportunity for personal renewal for nurses. Reference: Institute of Healthcare Improvement. Creating a Culture of Excellence, It is not as difficult as you might think. Healthcare Executive, July/August 2012, 68-71. 26 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Advancing Care in the Nursing Profession
Recognizing and Celebrating Ochsner Nurses
Advancing Care in the Nursing Profession
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 27
Nurturing and Inspiring Our Nursing Workforce Through Innovative Professional Development Programming Ochsner Health System’s commitment to education and professional development of our nursing workforce ensures that nurses have the most current knowledge to deliver high-quality, compassionate patient care today and that we are prepared for the future healthcare demands of tomorrow. In 2019, Ochsner launched innovative programs to support the career growth of both student and staff nurses. “Ochsner is proud to offer an OR summer nurse technician program where student nurses can learn about and experience perioperative nursing. This program teaches nurses how to prepare for and scrub in on cases, as well as circulate with a preceptor. It’s a unique experience that currently isn’t a part of the undergraduate nursing curriculum. This program is an excellent pipeline for future OR and procedural nurses.” said Melissa Adams, MHCA, BS, BSN, RN, chief nursing officer, OMC – West Bank Campus and executive sponsor of Ochsner’s Surgery Integration Council.
The Nurse TechnicianSummer SummerProgram Program participants The OROR Nurse Technician participantswith withfaculty members at new orientation. faculty members at nurse new nurse orientation.
28 Ochsner Nursing 2018-2019 Annual Report
At Ochsner, we have a longtime tradition of hosting nursing students to gain on-the-job experience and to work alongside Ochsner nurses. On June 3, 2019, the Ochsner nursing team welcomed 79 nursing students from schools of nursing in the greater New Orleans area to begin the 2019 Nurse Technician Honors Program. Additionally, in response to the shortage of operating room (OR) nurses across the nation, Ochsner expanded the program to include an OR Nurse Technician experience, welcoming 11 of the 79 nursing students to participate in a specialized training program designed to introduce nursing students to the OR specialty.
Nursing Quality, Patient Safety and Patient Experience
Ochsner Expands Nurse Technician Honors Program To Include An Operating Room Experience
Nurse Leaders Hone Leadership Skills In The Advanced Nurse Leader Academy (ANLA) Advancing Care in the Nursing Profession
On August 22, 2019, the Nurse Executive Council, System Nursing Professional Development (SNPD) and the Ochsner Leadership Institute (OLI) launched the Advanced Nurse Leader Academy (ANLA) welcoming 20 nurse participants from across Ochsner. The ANLA program is designed to deepen nurse leaders’ understanding of the management of healthcare organizations and offers nurses the opportunity to hone leadership skills. During the five-month long program, participants learn from Ochsner’s chief nursing officers (CNO) and faculty members who bring a wealth of expertise, insight and executive leadership experience. Topics covered include leader self-awareness, motivation of others, emotional intelligence, leading teams, decision making techniques, business planning and mastery of management competencies.
Recognizing and Celebrating Ochsner Nurses
“Ochsner Health System is committed to providing education at every stage of a nurses career to ensure the nurse of today can become leader of tomorrow,” said Tracey Moffatt, MHA, BSN, RN, system chief nursing officer and vice president of Quality, Ochsner Health System. “I am thrilled to see this program come to life!”
OCHSNER IS DEDICATED TO PREPARING NOT ONLY OUR STUDENT NURSES, NURSING STAFF AND LEADERS, BUT ALSO OUR FUTURE EXECUTIVE NURSING LEADERS
Ochsner remains committed to fostering the education and growth of our outstanding nursing staff. Ochsner Nursing 2018-2019 Annual Report 29
Supporting OHS Nursing and Looking to the Future
Ochsner nursing executives, in partnership with Chamberlain University College of Nursing at Ochsner Health System, are creating a training program designed to support nurse leaders to assume roles as CNOs across our system. In 2019, a joint advisory committee began laying the groundwork for the program that will prepare high potential unit leaders. Although the program plan is still in development, the leadership development program will include didactic learning, self-assessment, mentorship, career advisement and experiential learning with an Ochsner CNO. The program is planned to launch in 2020.
New InPlace Software Solution Makes It Easier to Manage Clinical Placements for Nursing Students Ochsner Health System nurses are leading the way in academic partnerships to prepare our future nursing workforce through clinical placements for students. In 2019, one focus for the system education council was planning to implement a new solution for managing the clinical placement of health professional students within Ochsner. Ochsner hosts hundreds of students each year to complete clinical training. Today, managing clinical placements is a manual process with multiple steps that can be time-intensive. Nurse educators collaborated with a multi-campus, interdisciplinary team to develop a streamlined process for welcoming students to complete training at Ochsner and managing their clinical placements. In order to make the process easier, Ochsner chose to implement InPlace Network software, a web-based student placement system. InPlace will improve the student clinical placement process by streamlining communication with our academic affiliates and providing real-time snapshots of Ochsner’s student capacity and placements. With a real-time view of students who are scheduled for clinical placements, unit directors and nurses can prepare to welcome them and facilitate rich educational experiences. InPlace has been pilot-tested with Chamberlain University College of Nursing at Ochsner and the software is anticipated to go live for broader use in summer 2020. The web-based student placement system will eventually be used for nursing, medical and allied health occupations throughout the system. Through Strong Academic Partnerships, Ochsner Offers Clinical Placements for Nursing Students In 2018, the volume of nursing students completing clinical rotations at Ochsner was
1,373 undergraduate nurses and 381 advanced practice provider students. In 2019, Ochsner had 40 academic partnership agreements from nursing programs including LPN, RN, BSN, MSN, PhD and DNP. Nursing students from these schools complete clinical training with Ochsner nurses.
30 Ochsner Nursing 2018-2019 Annual Report
Ochsner Nurses Help Prepare the Future Nursing Workforce and Integrate New Technologies into the Healthcare Environment “Each year, our System Nursing Professional Development Department hosts Ochsner’s strategic partner breakfast welcoming academic partners and deans from local schools of nursing to share highlights from the year and discuss clinical placement needs. Our emerging nurse leaders at Ochsner come from nursing schools across the region and it’s important that we continue to foster these relationships and build strong academic partnerships. We are so excited to play a role in preparing nursing students for their future careers,” says Ann Lockhart, MN, RN-BC, AVP of nursing practice, system nursing professional development and nursing informatics, Ochsner Health System
Ochsner Nursing 2018-2019 Annual Report 31
Supporting OHS Nursing and Looking to the Future
Today, the training center has over 900 instructors from all over the United States and manages 36 training sites that teach AHA courses. Additionally, they were the first training center to issue AHA cards in Russia and have had instructors teaching in South America. It is also the first domestic AHA training center to manage an international training site, RNZ Hospital in Nigeria.
Recognizing and Celebrating Ochsner Nurses
In 2019, Ochsner’s Community Training Center marked 20 years as an official American Heart Association (AHA) Training Center. The center started in October 1998 with a mission to teach quality CPR courses to healthcare team members, caregivers and community members. Over the past 20 years, the center coordinated and trained both Ochsner team members and community individuals in basic life support, advanced cardiac life support, pediatric advanced life support, and HeartSaver CPR and AED courses. The center is one of the largest training centers in Louisiana and continues to grow and train individuals in AHA courses.
Advancing Care in the Nursing Profession
Ochsner’s Community Training Center Celebrates 20th Year of Service
Nursing Quality, Patient Safety and Patient Experience
“We are extremely proud of the work that we do both within Ochsner Health System and within the community training individuals on life saving techniques,” said Kay Eddleman, supervisor, Ochsner Community Training Center, Ochsner Health System. “The community training center would like to thank all current AHA instructors and past AHA instructors who have contributed to training over 350,000 individuals in life saving techniques. Because of their dedication to teaching and their support of the Ochsner Community Training Center and AHA, many lives have been saved!”
Celebrating Student Nurses During Transition to Care Ceremonies
The September 2019 Chamberlain University College of Nursing at Ochsner Health System Transition to Care Ceremony was hosted at The Phyllis M. and Patrick F. Taylor Auditorium at Ochsner Baptist Medical Center. The newly opened Phyllis M. and Patrick F. Taylor Auditorium features theater-style seating for up to 272 people, audiovisual capabilities and is equipped for people of varying abilities. The original auditorium opened in the 1980s and served as a meeting space for physicians, hospital employees and community organizations. The auditorium reopened in 2019 and is available for events such as medical education, celebrations and community outreach.
In 2018, Ochsner Health System and Chamberlain University created an alliance to help prepare our future nursing workforce and create a bridge from student learning to nursing professional development. Through the alliance, nursing leaders from both organizations collaborated to create opportunities for students within the practice environment and enhance student learning experiences. Since the inaugural class began in April 2018, nearly 180 students started their academic journey with Chamberlain University College of Nursing at Ochsner Health System and many entered into clinical training at campuses throughout Ochsner. 32 Ochsner Nursing 2018-2019 Annual Report
“Our Transition to Care Ceremony is a special time for a Chamberlain student that marks the milestone when the student begins clinical training to care for patients working alongside Ochsner nurses,” said Jennifer Couvillon, PhD, RN-BC, CNE, president, Chamberlain University College of Nursing at Ochsner Health System. During the ceremony, family, friends, faculty members and nursing leaders celebrated the nursing student they support. The ceremony is also the time to award scholarships to students who excel in the program.
Nursing Quality, Patient Safety and Patient Experience
In 2019, 67 students in Chamberlain’s Bachelor of Science in Nursing degree program celebrated an important milestone during their Transition to Care Ceremony.
“Thank you to Donna Martin, MSN-HCSM, RN, chief nursing officer, Ochsner Baptist, who personally welcomed our fall ceremony attendees. The gift of the Transition to Care Ceremony is that it is a wonderful opportunity for Ochsner nurse leaders to welcome students to the profession to ensure a positive transition,” said Tracey Moffatt, MHA, BSN, RN, system chief nursing officer and vice president of quality, Ochsner Health System. Advancing Care in the Nursing Profession Recognizing and Celebrating Ochsner Nurses
Left to right: Michelle Theriot, Chamberlain University College of Nursing at Ochsner Health System student, Ochsner employee, Leonard J. Chabert Medical Center, Emergency Department and 2019 recipient of the Patty Hanson Scholarship; Christine Ferry, RN, Ochsner Baptist Medical Center and Chamberlain visiting clinical professor; Joan Jarreau, RN clinical educator, Ochsner Baptist; Jennifer Couvillon, PhD, RN-BC, CNE, president, Chamberlain University College of Nursing at Ochsner Health System
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 33
Ochsner Baptist Nurses Created an Escape Room Game for Simulation Training Maintaining competencies for infrequent emergencies, such as an obstetric hemorrhage, can be challenging. However, strong teamwork in everyday practice is evident on the mother baby unit (MBU) at Ochsner Baptist. This year, nurses developed a simulation training designed like an escape room game to help them improve teamwork and better prepare for infrequent emergencies. During the training, team members identified opportunities to advance communication during emergencies as well as elevate teamwork elements, such as closed-loop communication, role responsibility and the ability to work within roles. Escape rooms are team-based games that require participants to collaboratively solve puzzles and clues cooperatively to advance to each task during an allotted timeframe. Gamification can maximize enjoyment and engagement of nurses during education sessions by capturing their interest and inspiring them to continue learning. One nurse shared, “I feel that this training has given me the knowledge I need to perform my role in a calm way during an emergency and to work together with my team as one.” This initiative was led by mother baby unit leaders, Michelle Stieffel, MSN, RN, unit director; Jenifer Ducoing, RNC-OB, RN, clinical educator; Ashley Monteleone, BSN, RN, OC; Leslie Chirinos, BSN, RNC, OC; Haleigh Held, BSN, RNC, OC; and Kaylee Babin, BSN, RNC, OC. In addition, participants anticipated a simulation training, but not the escape room game, creating an element of surprise to emulate the level of anxiety experienced during a real emergency. Ninety-nine percent of mother baby unit nurses participated in the sessions and the escape room training, which proved to be beneficial across the board. Following the education activity, three actual obstetric emergency debriefings revealed the presence of teamwork in all events including closed-loop communication, role clarity, situational awareness and decision making. 34 Ochsner Nursing 2018-2019 Annual Report
“Our nurses developed the escape room game to make learning engaging, exciting, and impactful. This creative activity was not only fun, but it also improved nurses’ confidence, role clarity, and teamwork during emergency events, which strengthens our ability to manage the most difficult post-partum emergencies,” says Donna Martin, MSNHCSM, RN, chief nursing officer, Ochsner Baptist.
The Escape Room Simulation Training Toolkit The 60-minute training activity included: An introduction to the exercise. A timed escape room game format with simulation. The escape room started with a crossword puzzle utilizing medical terminology related to obstetrical hemorrhage. The nurses used clues and medical intervention outcomes to unlock boxes that led them through the scenario. All steps of an emergency had to be followed, including code documentation, for the nurses to receive all clues, save the patient and escape. Nurses realized quickly they needed to stay calm, communicate effectively and not panic to succeed. Team and observer debriefing. Ochsner Baptist mother baby unit nurses presented “Don’t Panic! Escape an Emergency with Teamwork: Using an Escape Room Game Format for Simulation Training” at the 2019 Nursing Management Congress and the poster was awarded first place.
Advancing Care in the Nursing Profession
In 2019, nurses from the medical surgical, telemetry and emergency departments at St. Bernard Parish Hospital (SBPH) participated in simulation trainings at Ochsner Health System’s Simulation and Patient Safety Center to apply theory to practice. Ochsner’s Simulation Center is located in the Center of Academic Excellence across from Ochsner Medical Center - New Orleans and is designed so that the actual patient experience can be simulated during each clinical stage.
“The use of simulation training offers the opportunity for nurses to practice clinical skills in a safe and comfortable environment. The training at Ochsner’s Simulation Center enabled St. Bernard Parish Hospital nurses from the medical surgical, telemetry and emergency departments to enhance teamwork skills, communication and critical thinking, while treating a rapidly declining patient in a controlled setting,” said Kim Keene, MBA, RN, chief executive officer, St. Bernard Parish Hospital
Nursing Quality, Patient Safety and Patient Experience
St. Bernard Parish Hospital Nurses Use Ochsner’s Clinical Simulation and Patient Safety Center to Improve Patient Care
Recognizing and Celebrating Ochsner Nurses
During the training, medical surgical nurses had the opportunity to respond to simulated rapid response and code blue clinical scenarios. The nurses were split up into small groups, which allowed each nurse the opportunity to assess the patient before the scenario began. Each team then practiced when it is appropriate to call a rapid response versus a code blue. New graduate nurses also had the opportunity to practice skills, such as a head-to-toe physical assessment on a life-like mannequin that exhibited pupil reactions, heart and lung sounds, and more. In addition, emergency department (ED) nurses responded to simulated obstetric clinical scenarios including precipitous delivery and neonatal resuscitation, preeclampsia and eclampsia, and postpartum hemorrhage. The training gave ED nurses, who infrequently provide care for pregnant patients, the opportunity to practice how to assess and treat patients experiencing obstetric emergencies.
Ochsner Nursing 2018-2019 Annual Report 35
Supporting OHS Nursing and Looking to the Future
After the clinical scenario, the groups participated in a debriefing session and had the chance to watch a recording of the events. The debriefing session allowed participants the opportunity to identify weaknesses and strengths, to ask questions, and to receive constructive feedback.
We are ONE Team, with ONE mission and ONE vision. We are Ochsner Flight Care.
We are Rescue ONE.
Ochsner Flight Care is dedicated to the safe and expeditious treatment and transport of critically ill or injured patients of all ages. Our team works diligently to ensure and deliver the highest quality out-of-hospital critical care. The Ochsner Flight Care team was established in 1984 and is a 24/7 emergency/critical care transport service. For the last 35 years, our Flight Care team has continuously serviced the needs of our patients, both medical and trauma of all ages. 36 Ochsner Nursing 2018-2019 Annual Report
Growing Ochsner’s Flight Care team Ochsner’s Flight Care program recently experienced many positive changes. In December 2018, the team hired a new department director and, in January 2019, two new chief flight nurses/operations coordinators. Additionally, the Flight Care adult team moved back to its home base in New Orleans from Magee, Mississippi and both the adult team and neonatal/pediatric team were combined to create ONE Team: Ochsner Flight Care-Rescue ONE.
About the Ochsner Flight Care – Rescue ONE Team Flight Care – Rescue ONE has both an adult and neonatal/pediatric team based out of the New Orleans Lakefront Airport. The adult team is comprised of two registered nurses who are dual-certified as paramedics or emergency medical technicians (EMT). While they generally transport patients 13 years of age and older, they can also transport patients as young as two years old as well as newborns with the assistance of a neonatal nurse from Ochsner Baptist neonatal intensive care unit. The adult team also facilitates critical 911 scene response within the community. The neonatal/pediatric team is comprised of one registered nurse and one respiratory therapist. They traditionally transport patients from newborn to 12 years old.
WATCH THE VIDEO ON PAGE 57
Partnerships and Access to Lifesaving Equipment Strengthen Our Impact In 2019, Ochsner Flight Care launched a new partnership with Acadian AirMed and Metro Aviation to further the success of the program. These partnerships enabled the Flight Care team to relocate to a larger, newer facility at the Lakefront Airport. Ochsner’s Flight Care has become an industry leader with access to state-of-the-art equipment to transport the most critical patients. At the end of the day, our goal is to change and save lives as a proud part of our health system.
Ochsner Nursing 2018-2019 Annual Report 37
Supporting OHS Nursing and Looking to the Future
“Having our own transport equipment is an advantage to sending facilities, as they do not have to send their lifesaving equipment with the patient to the receiving facility. Flight Care safely transports Ochsner’s sickest patients to the appropriate facility to receive the care they require.” – Patrick Boullion, BSN, RN, CFRN, CEN, NRP, director, Ochsner Flight Care, “
Recognizing and Celebrating Ochsner Nurses
One thing that distinguishes Ochsner’s Flight Care team from other providers in the area is that they are specialty trained in balloon pumps, Impellas and ventricular assist devices. The Flight Care team also has its own transport balloon pump and transport Impella. Ochsner Flight Care is the only team in Louisiana that has this specialized training and transport equipment.
Advancing Care in the Nursing Profession
With greater alignment within Ochsner, the Rescue ONE team can now take advantage of all the assets available throughout the system. For example, Flight Care conducts quarterly simulation labs in conjunction with the Ochsner Simulation Center. The simulations are designed to be as real as possible to hone skills and, at times, the team uses the helicopter for this purpose.
Nursing Quality, Patient Safety and Patient Experience
Ochsner Flight Care: A Long-Standing Legacy of Emergency and Critical Care Medicine
Empowering Nursing Professional Development with Ochsner’s Clinical Ladder Program in the Bayou Region Organizational support for nurses continuing professional development not only builds expertise, but also improves job satisfaction. Ochsner’s clinical ladder program is stirring the hearts and minds of registered nurses to affect positive change in the nursing profession. We are so lucky to have a great group of nurses to support the clinical ladder process. The Bayou Region professional development committee (PDC) serves as a platform to engage bedside nurses in self-governance of their profession, to drive evidence-based practice, introduce and share ideas, advocate and facilitate a safe and quality work environment, and break down the barriers to efficiently and effectively get the job done.
Bayou region PDC: Chabert PDC Members - (Left to right) Michelle Dupre, RN (ED); Co-chairperson Jessica Ledford, RN (4West); Megan Fondren, RN (ICU); Jeanie Songe, RN (house supervisor); Anna Page, RN (chemo/ infusion); Melinda Griffin, RN (OPS); Flora Cabrera, RN (5East); Chairperson Stephanie Turner, RN (operating room); Terah Domingue, RN (PACU) Not Pictured: Derrin Martin, RN (endoscopy); Lisa Fulmer, LPN (Clinics); Rebecca Marcel, RN (Clinics)
38 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Successful nurse practice councils require a deep commitment to collaboration. Membership in the PDC includes frontline nurses from every nursing service line and department in the Bayou Region. Each member is the voice of his or her campus specialty area and an advocate of the efforts of the PDC.
Advancing Care in the Nursing Profession
Monthly meetings resulted in heightened awareness of pressing issues like opportunities for Epic improvements for blood transfusion, wandering admitted patients, fall prevention, barcoding safety, patient call-backs, Alaris medication guardrails, the quality and content of the after visit summary for admitted patients, and the need for additional Epic training for newly hired team members.
The Bayou Region PDC approved clinical ladder awards to 35 registered nurses. This is an outstanding level of participation and the energy being generated is infectious.
Ochsner St. Anne Hospital PDC Members- (Left to right) Roxanne Chiasson, RN (ICU); Nancy Yzaguirre, RN (house supervisor); Emily Cheramie, RN (L&D); Ann Savoie, RN (infusion); Co-chairperson Courtney Clements, RN (ED) Not Pictured: Rochelle Landry, RN (MedSurg/Tele)
“It has been exciting to watch the momentum and growth of this program in the Bayou Region. The energy and enthusiasm are contagious and there is an unmistakable difference in our region as a result of the Clinical Ladder Program.” – Jana Semere, MSHA, BSN, RN, chief nursing officer, Bayou Region: Leonard J. Chabert Medical Center and Ochsner St. Anne Hospital “So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself.” – Florence Nightingale
Ochsner Nursing 2018-2019 Annual Report 39
Supporting OHS Nursing and Looking to the Future
There are three levels of participation and awards within clinical ladder. All levels require the nurse to be a member of a professional nursing organization. Each level requires a prescribed number of credits that are earned through various means, such as precepting, mentoring, teaching, initiating improvements, participating in evidence-based practice initiatives, volunteerism and more. The highest award level, level 3, requires the nurse to be certified in his or her specialty area.
Recognizing and Celebrating Ochsner Nurses
The Bayou Region PDC created nurse and nurse leader education that is used across Ochsner to support the success of clinical ladder applicants. The PDC is charged with managing the Bayou Region clinical ladder.
Ochsner’s Center for Evidence-Based Practice and Nursing Research Promotes Nursing Research and Improves Patient Care Ochsner’s nurses are advancing nursing science and our ability to improve the well-being of not only our patients, but also our caregivers. Supported by the Center for Evidence-Based Practice and Nursing Research, the following projects provide examples of the work Ochsner nurses are doing to advance nursing practice and patient care through nursing research: Nurse well-being – Deidra Dudley, DNS, MN, MS, RN-BC, NEA-BC, assistant vice president, Ochsner Medical Center -West Bank conducted a study that focuses on measuring nurses’ perceptions of the quality of their working life. Her work supports Ochsner’s Care for the Caregiver initiative that encourages the well-being of our nurses and employees. Using a validated tool, Dr. Dudley surveyed nurses from across the system in 2017 and 2019. The data provided a pulse check on nurses’ self-reported well-being, work-home interface, job and career satisfaction, control at work, working conditions, and stress at work. To learn more about Ochsner’s Care for the Caregiver initiative, read the American Nurses Association (ANA), Healthy Nurse Healthy Nation article.
(READ THE ARTICLE ON PAGE 57) Nurse and patient safety - In her role as nursing strategy manager at Ochsner Health System, Jlynn Westley, MSN, RN, is working to protect nurses from the risks associated with nursing fatigue. Taking advantage of the data sets collected through Ochsner’s administrative databases and the electronic medical record, she was able to explore the relationship between nurses’ work hours and patient safety. She is further exploring organizational strategies for combatting fatigue in the workforce. 40 Ochsner Nursing 2018-2019 Annual Report
Patient well-being – Fiona Winterbottom, DNP, conducted an evaluation of the addition of 24/7 proactive expert nurse rounding to an existing rapid response system. In the redesigned rapid response system at Ochsner Medical Center – New Orleans, a critical care nurse rounded on high-risk patients, answered nurse calls and responded to patient emergencies. Through her work, she demonstrates that dedicated rapid response resources save patients lives. With these additional resources, fewer cardiopulmonary arrests occur outside the ICU. This year we welcomed our North Louisiana partners at Ochsner Shreveport and are pleased to also support them in initiating nursing research. “Nurses are ideally positioned at the front line of patient care to identify and address questions that impact the quality of care. Through our evidence-based practice and research efforts, nurses from across the system are making a difference in the lives of patients and nurses.” – Jessica Peterson, PhD, RN, senior RN researcher, Center for Evidence-Based Practice and Nursing Research, Ochsner Health System Ochsner encourages you to embrace the opportunity to access the many services we provide to engage nurses in evidence-based practices and research opportunities. Visit https://research.ochsner.org/nursing-research to access online resources through Ochsner’s Center for Evidence-Based Practice and Nursing Research.
Publications 2018 Albert, N., Bena, J. F., Ciudad, C., Keleekai-Brapoh, N., Morrison, S. L., Rice, K., Slifack, E., and Runner, J. C. (2018). Contamination of reusable electroencephalography electrodes: A multicenter study. American Journal of Infection Control, 46 (12), 1360-1364. Nix, M. and Caldwell, D. (August, 2018). Natural Disasters: A Louisiana Gulf perspective of Maintaining Patient Care. Clinical Journal of Oncology Nursing, 22, 460-463.
and
Publications
Presentations
Bernier, G., Langlois, C., Garguiolo, D., Winebar, R. (July, 2018). The Late Preterm Infant: When Timing is Everything. Association of Women’s Health, Obstetrics and Neonatal Nurses, Tampa, FL.
Castex, J. and Rice, K. (March, 2018). BITE Pain Therapy. American Nurses Association Quality and Innovation Conference, Orlando, FL.
Ford, M.K., Ducoing, J., Lookingbill, K., Wood, T., Winebar, R. (May, 2018, July, 2018). Telestork: Delivering Telemedicine to Labor and Delivery Units. American Telemedicine Association Annual Conference and Expo Conference, Chicago, IL and Association of Women’s Health, Obstetrics and Neonatal Nurses, Tampa, FL. Harrell, J. (October 2018). Certification Central: Increasing Critical Care Registered Nurse Certification Within the Pediatric Intensive Care Unit. 10th Annual EBP/ Nursing Research Conference, New Orleans, LA.
Laudun, S. Parrino, E. (October, 2018). Using a multidisciplinary approach for the reduction of ventilator hours in coronary artery bypass graft (CABG). 10th Annual EBP/Nursing Research Conference, New Orleans, LA. Melton, J., Emmons, M., Pitre, S., Hayden, K. (July, 2018). Not Ya Mama’s Sim Drills: A multiple method approach to hardwiring the obstetric hemorrhage bundle for community hospital nurses. Association of Women’s Health, Obstetrics and Neonatal Nurses, Tampa, FL. Nix, M. and Couvillon, J. (September, 2018). Envisioning a Secure Nursing Workforce through Leadership in Academic Partnership. National League for Nursing, Washington, DC. Nix, M. Dooley, L. (July, 2018). Using a Mentor Academy to Support Nursing Retention and Engagement. Association for Nursing Professional Development, Orlando, FL.
Ochsner Nursing 2018-2019 Annual Report 41
Supporting OHS Nursing and Looking to the Future
Gomez, J. (May, 2018). Endoscopic Ultrasound (EUS) - Guided Core Liver Biopsy: A Promising Approach to Patient Care. Society of Gastroenterology Nurses and Associates, Orlando, FL
Dudley, D. and Nix, M. (October, 2018). Assessment of the Quality of Working Life of Nurses. Care for the Caregiver Supportive Strategies. 10th Annual EBP/Nursing Research Conference, New Orleans, LA.
Laudun, S. (April, 2018). Five Year Review of Post Left Ventricular Assist Device Outcomes in Relation to Body Mass Index. Sigma Theta Tau International, Epsilon Nu Chapter, New Orleans, LA.
Recognizing and Celebrating Ochsner Nurses
Black, W. (May, 2018). Air Transport of Neonates. Ochsner’s Research Day, New Orleans, LA.
Ducoing, J. (July, 2018; September, 2018). I don’t know nothin’ ‘bout birthin’ babies: Educating Freestanding ER Nurses on Caring for the Obstetric Patient. Association of Women’s Health, Obstetrics and Neonatal Nurses, Tampa, FL and 21st National Mother Baby Nurses Conference, New Orleans, LA.
Advancing Care in the Nursing Profession
Albert, N., Bena, J. F., Ciudad, C., Keleekai-Brapoh, N., Morrison, S. L., Rice, K., Slifack, E., and Runner, J.C. (June, 2018). Contamination of Reusable Electroencephalography Electrodes, A Multicenter Study. Association for Professionals in Infection Control and Epidemiology, Minneapolis, MN.
Nursing Quality, Patient Safety and Patient Experience
Presentations
Presentations Nix, M., Hamilton, J., Couvillon, J. & Moffatt, T. (May, 2018). Using a Career Ladder Model to Support Nursing Engagement. American Nurse Credentialing Center Conference, West Palm Beach, FL. Nix, M. and Moffatt, T. (September, 2018). Championing a Cultural Shift that Promotes Nurse Well-being: Care for the Caregiver. Sigma Theta Tau, Mobile, AL. Noel, L. (October, 2018). Improving Communications and Perceptions of Mutual Support to Expedite a Major Prenatal Practice Change. 10th Annual EBP/Nursing Research Conference, New Orleans, LA. Pirrone, A. and Mahoney, C. (October, 2018). Getting to Zero: Eliminating Unplanned Extubations in the Pediatric Intensive Care Unit. 10th Annual EBP/Nursing Research Conference, New Orleans, LA. Toups, B., Cobbs, A., Koehler, J., Thomas, D. and Preceptors: Barker, R. and Neill, J. (November, 2018). Reducing Anxiety and Depression in NICU Parents Using a Guided Support Program. Xi Zeta (Sigma) Intercollegiate Research Symposium, Thibodaux, LA. (Ochsner nurse residency State of the science poster)
42 Ochsner Nursing 2018-2019 Annual Report
and
Publications
West, S. (October, 2018). Using Critical Incident Stress Debriefing to Impact Perception of Support During Crisis in Adult Inpatient Nurses. 10th Annual EBP/Nursing Research Conference, New Orleans, LA.
Boudreaux, A., Conaway, K., Hawkins, D., and Noland, M. Preceptors: Baye, K. and Bradley, K. (October, 2018). Fall Prevention 2.0: Reinvigorating Best Practices.
Winterbottom, F. (October 2018). Evaluation of an innovative rapid response system (RRS) model. 10th Annual EBP/Nursing Research Conference, New Orleans, LA.
Altmyer, C., James, S., Kostolitz, S., Loudermilk, T., and Ward, K. Preceptors: Arceneaux, L., Laudun, S., and Mancini, R. (October, 2018). Manage Pain for Better Gain: Benefits of Preoperative Opioid Education.
Winterbottom, F. and Dillard, K. (October, 2018). Rapid Response System Staff Knowledge and Satisfaction Survey. 10th Annual EBP/Nursing Research Conference, New Orleans, LA.
Ochsner’s 2018 Nurse Residency State of the Science Presentations Presented at the 10th Annual EBP/Nursing Research Conference, New Orleans, LA. Ali, A., Corley, J., and Clements, C. Preceptors: Brumfield, T., Johnston, M., and Young, K. (October, 2018). Give Me a Break! Implementing Uninterrupted Breaks in the ED. Bissel, J., Cormier, K., Hurlston, A., and Leabo, K.L. Preceptors: Alonzo, M. and Martin, L. (October, 2018). Implementing Patient Hand Hygiene Protocol to Reduce Hospital Acquired C. Diff.
Brand, K., Daly, K., Freemyer, K., and Johnson, A. Preceptors: Goodlett, D. and Hennen, N. (October, 2018). Are Twelve Hour Shifts Causing Nurses to Unplug? Cobbs, A., Koehler, J., Thomas, D. and Toups, B. Preceptors: Barker, R. and Neill, J. (October, 2018; November, 2018). Reducing Anxiety and Depression in NICU Parents Using a Guided Support Program. Coulange, A., Dejean, D., Grishman, C., Guillot, A., Pocorello, C., and Luther, M. Preceptors: Thibodeaux, A. and Meyer, T. Family Presence During Cardiopulmonary Resuscitation (CPR).
Nursing Quality, Patient Safety and Patient Experience
Advancing Care in the Nursing Profession
Recognizing and Celebrating Ochsner Nurses
Recognizing and Celebrating Ochsner Nurses
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 43
Celebrating Our Outstanding Nurses
Nursing Integration Councils
Ochsner nurses are dedicated to the patients, the community we serve and to each other. In 2018 and 2019, Ochsner nurses were recognized here at Ochsner as well as in local and statewide award programs for commitment to our values: patients first, compassion, excellence, integrity and teamwork. These awards and celebrations recognize individual nurses who routinely go above and beyond in their service to the community and in their contribution to the nursing profession.
Ochsner’s 22 integration councils bring together nursing leaders in every clinical specialty around shared service. We are proud of the work accomplished by these councils. Ambulatory Critical Care Emergency Pediatrics Education Respiratory
In addition to celebrating our nurses through formal awards programs, Ochsner nurses enjoyed Care for the Caregiver activities throughout the system in 2019 that promote care of self and each other.
Surgery Informatics Behavioral Health Wound Care Women’s Services Medical-surgical Professional Development Endoscopy Infusion Spiritual Care System Drug Administration for Nursing Rehabilitation Nursing Research
Nurses Week Mini Nurse Refresh Day at Ochsner Medical Center – Kenner
Dialysis Intravascular Access Infection Control
44 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Congratulations to Ochsner’s 2018 Spirit of Leadership Winners Nurse of the Year: Catherine Smith, RN, Flight Care, Emergency Medical Transportation, OMC – New Orleans
Advancing Care in the Nursing Profession
New Leader of the Year: Jlynn Westley, manager, Nursing Strategy, Ochsner Health System Advanced Practice Provider: Michelle Lindsey, NP, Ambulatory, Ochsner St. Anne Family Doctor Clinic – Mathews Supervisor of the Year: Corina Juarez, Supervisor, RN, operations coordinator-specialty, OMC – Kenner
In addition to the many nurses recognized through Ochsner’s internal recognition programs, such as Spirit of Leadership, Spirit on the Spot, Values on the Spot and Power of One awards, the following nurses received recognition through external award programs. Faces of Healing: In 2019, The Louisiana Nurses Foundation created the Faces of Healing: Celebrating Louisiana’s Nurses campaign as a way to elevate careers in nursing as well as an opportunity to celebrate individual nurses who exemplify exceptional performance in professional practice, innovation, leadership and advocacy. This award recognizes innovators, leaders and those who continually go above and beyond the call of duty. (Louisiana Nurses Foundation, 2019). • Kenesha Bradley • Jessica Soudelier Sigma Theta Tau Excellence Awards recognize nurses for consistently practicing excellence in nursing. Dawn Bernard, BSN, RN-BC, director of nursing professional development and education for Ochsner’s Bayou Region, received the 2019 Excellence Award for Nurse Leader through Sigma Theta Tau International Honor Society of Nursing, Xi Zeta Chapter at Nicholls State University. Ochsner Nursing 2018-2019 Annual Report 45
Supporting OHS Nursing and Looking to the Future
• Ahnyel Burkes
Recognizing and Celebrating Ochsner Nurses
The 2018 Spirit of Leadership Nurse of the Year award went to Catherine Smith RN, Flight Care, Emergency Medical Transportation, OMC – New Orleans.
2019 New Orleans District Nurses Association Excellence Awards On May 11, 2019, the New Orleans District Nurses Association (NODNA), the local chapter of the American Nurses Association and the Louisiana State Nurses Association celebrated local nurses at the inaugural NODNA Nursing Excellence Brunch held at the Audubon Tea Room with nearly 200 attendees. Nurses were nominated, selected by out-of-state judges and recognized with awards in categories including direct patient care for registered nurses and advanced practice nurses, beyond the bedside, and legacy recognition. Our very own, Tracey Moffatt, MHA, BSN, RN, Ochsner Health System CNO and VP of Quality was recognized with the 2019 Legacy Award.
“It was a tremendous honor to be recognized by NODNA with the 2019 Nurse Legacy Award. Throughout my career, I have been devoted to advancing the practice of nursing and, just as importantly, the environment of practice. This award acknowledges my passion for patient care and my vision for the future of nursing. I am humbled by the recognition and proud to be a nurse leader!” said Tracey Moffatt
To learn more about NODNA and to view the winners for each award category, please visit: www.nolanurses.org.
The Ochsner team celebrates local nurses at the NODNA Nursing Excellence Brunch.
46 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Ochsner Nurses Recognized at the 18th Annual Nightingale Awards Gala
• Beverly Rainey, RN, SICU, Ochsner Medical Center (OMC) – New Orleans, recognized as LSNA Registered Nurse Mentor of the Year. • Fiona Winterbottom, APRN, Critical Care Medicine, OMC – New Orleans, recognized for Outstanding Contribution to Quality. • Dominique Yancey, RN, interim unit director, IMTA, OMC – New Orleans, recognized as Clinical Practice Registered Nurse of the Year.
New Orleans City Business Honors Ochsner and Partners in Healthcare Heroes Recognition • Je’na` Wells Matthews, Ochsner Health System • Barbara Tarjan, St. Tammany Parish Hospital • Kim Keene, St. Bernard Parish Hospital
Ochsner Nursing 2018-2019 Annual Report 47
Supporting OHS Nursing and Looking to the Future
• Jennifer Couvillon, PhD, MSN, RN-BC, president, Chamberlain University College of Nursing at Ochsner Health System, recognized as the LSNA School of Nursing Administrator of the Year.
Ochsner Nurses and Nightingale Nominees celebrate at the 2019 Nightingale Awards Gala
Recognizing and Celebrating Ochsner Nurses
• Janice Kishner, MSN, MBA, RN, FACHE, retired, St. Bernard Parish Hospital, inducted into the 2019 Hall of Fame.
Advancing Care in the Nursing Profession
On March 16, 2019, 33 Ochsner nurses, Ochsner affiliated nurses, and Ochsner facilities were honored as nominees during the 18th Annual Nightingale Awards Gala held at the Hilton Capitol Center Hotel in Baton Rouge, Louisiana. Hosted by the Louisiana State Nurses Association (LSNA) and the Louisiana Nurses Foundation, the Nightingale awards recognize achievements of nurses throughout Louisiana. Attendees enjoyed the opportunity to celebrate the nursing profession and recognize the excellence of nurses in a variety of specialties.
48 Ochsner Nursing 2018-2019 Annual Report
Honorees from Ochsner and its affiliated hospitals include:
Twenty-three registered nurses with Ochsner and its affiliated hospitals were recognized in the 2019 “Great Nurses of Louisiana” list compiled annually by The Great 100 Nurses Foundation.
Business Office – Benson Tower • Jennifer Phillips, RN
Ochsner’s nursing staff has a history of acknowledgments by the Great 100 Nurses of Louisiana Foundation for their commitment to patient care. Approximately 570 Ochsner nurses have been recognized since the program launched more than 30 years ago.
Nursing Practice – Dickory • Rosalie Barker, RN Leonard J. Chabert Medical Center • Renee Bertinot, RN • Traci Boudreaux, RN • Tiffany Chiasson, RN • Shanna Ledet, RN Ochsner Baptist a Campus of Ochsner Medical Center • Kimberly Dunn, RN • Theresa Reynolds, RN
Advancing Care in the Nursing Profession
The Great 100 Nurses Foundation was founded in New Orleans in 1986 and since then has honored thousands of nurses across Louisiana, North Carolina, Texas and Oklahoma. The Great 100 Nurses of Louisiana list recognizes outstanding nursing accomplishments and successes. The annual honorees are selected by their peers and patients, based on their achievements in four areas: administration, clinical/community, education and research.
Nursing Practice – Benson Tower • Stuart Redfearn, RN
Nursing Quality, Patient Safety and Patient Experience
23 Ochsner Nurses Honored Among the Great 100 Nurses of Louisiana
Ochsner St. Anne • Lisa Labat, RN
Ochsner Medical Center – Baton Rouge • Abigail Kimbel, RN • Anna Polachova, RN
Ochsner Hospital for Orthopedics & Sports Medicine • Cristina Berthelot, BSN, RN • Lori Southerland, RN Ochsner Nursing 2018-2019 Annual Report 49
Supporting OHS Nursing and Looking to the Future
From left to right: Ochsner nurse leaders Ahnyel Jones-Burkes, DNP, RN-BC, Maria Nix, MSN, BSN, RN and Jessica Peterson, PhD, RN support nurses across the system in capturing stories that illustrate nursing excellence and work together to ensure that Ochsner nurses are represented and celebrated in nursing award programs.
Ochsner Medical Center – New Orleans • Sarah Bordelon, RN • Mary Bouchon, RN • Jeri Casley, RN • Jennifer Garnand, RN • Denise Hancock, RN • Wendy Perera, RN • Jessica Peterson, RN • Pamela Travis, RN
Recognizing and Celebrating Ochsner Nurses
Ochsner Medical Center – Northshore • Doraine Woods, RN
Ochsner Medical Center – New Orleans Achieves 4th Magnet Designation Through our shared governance committees, we’ve been able to change a lot for nurses and patients. This includes:: • Ensures nursing input is valued and included in decision-making processes. • The creation of the Unit Practice Council (UPC) to focus on processes in the professional work environment that impact quality and patient safety, finances, and team member engagement. The UPS is comprised of a chairperson, co-chair and members. Members contribute through practice evaluation, need identification and improvements implementation.
OMC – New Orleans shared governance council leaders gathered in the Brent House atrium during the first annual shared governance council swearing-in ceremony
In 2019, the Ochsner Medical Center – New Orleans team celebrated the achievement of the fourth consecutive Magnet® designation, a program that recognizes hospitals that foster nursing excellence. Fewer than 10% of hospitals in the United States have Magnet® status, and fewer than 1% have been recognized with Magnet® designation four consecutive times. The beauty of Magnet® is the structure it creates in nursing. Ochsner Medical Center - New Orleans is committed to shared governance, which means that clinical nurses and leaders are actively involved in organizational decision making through the participation in councils at the unit, division and facility level.
• Ongoing review of the nursing professional practice model to ensure rigor of the model’s use to drive excellence in nursing practice, reduce nursing turnover rate through bedside handoffs, and decrease hospital-acquired infections and falls with injury to drive safe, quality care. This drives many examples of professional development opportunities and implementation of evidence-based practices to improve outcomes. In 2018, OMC – New Orleans nurses hosted the first annual shared governance council chair swearing-in ceremony. During the ceremony, UPC leaders received a pin to honor the work they do. “The ceremony offered an opportunity to recognize our unit practice council leaders as they pledge to serve our team members and our patients,” said Deborah Ford, chief nursing officer, OMC-New Orleans. UPC leaders also received a plant symbolizing that leadership of a shared governance group is like gardening, requiring careful tending and nurturing to survive and thrive.
“Through designations like Magnet®, Ochsner nurses are truly changing healthcare for the better. On the journey to achieve our fourth consecutive Magnet® designation, we’ve created a structure that empowers nurses at all levels to help shape the healthcare environment.” – Deborah Ford, MSN, RN, chief nursing officer, Ochsner Medical Center – New Orleans 50 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Celebrating Licensed Practical Nurses: Candace Melancon Licensed Practical Nurses (LPNs) work with all populations of patients, and the care ranges from wellness and prevention methods to illness and support of terminal patients. With more emphasis placed on reducing readmission and disease prevention, patients are increasingly seeking outpatient services.
Advancing Care in the Nursing Profession
LPNs are a valuable resource to the healthcare team and provide care in multiple settings, especially in ambulatory clinics. Patients with higher acuity levels require knowledgeable and qualified LPNs to maintain workflows, provide quality care and service, and ensure patient safety. At Ochsner Health System, LPNs serve in a unique role as frontline leaders and providers of direct patient care.
Through their participation in inpatient and ambulatory practice settings, our LPNs provide a level of care that improves outcomes for our patients. “In our inpatient setting, we rely on LPNs as vital members of the inpatient care team. They are prepared and engaged to provide excellent care to all of our patients,” said Dianne Teal, MSN, RN, NEA-BC, FACHE, chief nursing officer, Ochsner Medical Center – Baton Rouge We thank Candace and all of our great LPNs for their part in delivering on our promise to our patients! Ochsner Nursing 2018-2019 Annual Report 51
Supporting OHS Nursing and Looking to the Future
“I have been blessed to work for Ochsner for the last 25 years. The core values of Ochsner align with my personal values, and that is not always easy to find. The training offered by Ochsner has helped me to reach my professional goals. I could not see myself working for any other organization and I look forward to continuing my career at Ochsner until my retirement,” said Candace.
Recognizing and Celebrating Ochsner Nurses
One of our many exceptional LPNs, Candace M. Melancon, LPN is a clinic operations manager at Ochsner Medical Center – Baton Rouge. Candace displays all of Ochsner’s Core Values, especially Excellence. Candace has thirty years of nursing experience and initially joined the Ochsner Baton Rouge Gastroenterology team in 1991 as a staff nurse. After serving in various clinical, coordination and educational roles, the Baton Rouge management team recognized that her organization and leadership skills would be an asset in the quality department. She joined the quality department as a performance improvement coordinator and held dual leadership positions as the ambulatory nursing supervisor for the Baton Rouge Region and employee health supervisor. Pursuing a leadership career track, she assumed the role of a clinical services supervisor, medical specialties, and is currently serving in the role of a clinical operations manager for Rheumatology, Pain Management and Physical Medicine. Candace’s strong leadership skills earned her the nomination as a finalist for the 2019 Spirit of Leadership Award.
A Patient’s Story: Shelby Shoemake Ochsner Medical Center – Hancock, Emergency Department Shelby Shoemake and her boyfriend traveled to Bay St. Louis, Mississippi to celebrate her 18th birthday at the beach. Shortly after their arrival, Shelby began complaining of a headache and generally not feeling well. Not wanting to hamper the trip, she took some Tylenol and attempted to enjoy the day. After a few hours on the beach, Shelby’s headache continued to worsen and both her and her boyfriend decided to return home to Biloxi. However, on the way, Shelby became unresponsive. Her boyfriend brought her directly to the nearest hospital, Ochsner Medical Center – Hancock. Upon arrival to the emergency department (ED), the ED staff quickly realized Shelby was in a grave situation. The staff moved Shelby immediately into the radiology suite where a CT of her head confirmed that she was suffering from an arterial venous (AV) malformation that ruptured, causing a bleed in her brain. As the nursing staff stabilized Shelby, the ED physician initiated an emergent transfer to Ochsner Medical Center – New Orleans through Ochsner’s Regional Referral Center. Ochsner’s flight care team facilitated the transfer and transported Shelby to the awaiting neurosurgical team lead by Dr. Bui, chairman of neurosurgery. Shelby underwent an emergent craniotomy and Dr. Bui was able to evacuate the hematoma and repair the AV malformation. Shelby convalesced over the following weeks where she completed extensive physical therapy and occupational therapy.
Shelby celebrates her 19th birthday with her nurses and treatment team
Shelby made a full recovery with no deficits. She returned to Ochsner Medical Center – Hancock on April 3, 2019 to celebrate her 19th birthday and the one-year anniversary of the event. She was once again met by the same staff members, the flight care team and family members where they arranged a surprise party. “Taking care of Shelby was part of everyday life in the ED,” said Heidi Wilkinson, RN, Emergency Department, Ochsner Medical Center – Hancock. “However, the most remarkable thing in my heart and mind, was that this was the first time I had the pleasure of seeing my patient return exactly one year later with no residual effects. Shelby is an outstanding person meant for great things. I am so proud to have had a chance to play a part in her care.” . To watch a video about Shelby’s experience, visit: https://www.youtube. com/watch?v=aUXZBUPZp4E&feature=youtu.be.
“Our entire patient care team was touched by Shelby’s remarkable recovery and the gratitude of both Shelby and her family. We celebrated Shelby’s birthday and recovery with friends, family, and Ochsner care team members. I am thankful Ochsner Health and the interdisciplinary care team was there for Shelby and here for our loved ones and those we serve every day.” Kimberly Varnado, MSN, RN, NE-BC, chief nursing officer, Ochsner Medical Center – Hancock 52 Ochsner Nursing 2018-2019 Annual Report
Nursing Quality, Patient Safety and Patient Experience
Advancing Care in the Nursing Profession
Recognizing and Celebrating Ochsner Nurses
Supporting OHS Nursing and Looking to the Future
Supporting OHS Nursing and Looking to the Future
Ochsner Nursing 2018-2019 Annual Report 53
Celebrating Nurses in Partnership With Philanthropy In celebration of National Nurses Week in May, the Spring 2019 edition of the Ochsner Magazine, a publication through Ochsner’s philanthropy department, featured the stories of nurses from across Ochsner Health System. The Spring edition highlights: • Pediatric Oncology Nursing in the article “Giving the Care you Wish to Receive.” • Ochsner Neonatal Intensive Care Unit nurses and patients in “The Heart of the Hospital”. • Ochsner Gastroenterology nurses in “Nursing the Body, Mind, and Spirit”. • The Care for the Caregiver Serenity Room at Ochsner Baptist a campus of Ochsner Medical Center in “Taking Care of Our Own”. • The Patty Hanson Nursing Excellence Scholarship fund and inaugural scholarship recipients at Chamberlain University College of Nursing at Ochsner Health System in “Ochsner’s Angel”. There are multiple nursing education funds available across our system. Ochsner nurses are fortunate to have such great partners in philanthropy who help to ensure special funds continue to grow related and development. 54 Ochsner Nursing 2018-2019 Annual Report
Ochsner Celebrates the World Health Organization Year of the Nurse and Midwife in 2020 The World Health Organization (WHO) designated 2020 the “Year of the Nurse and Midwife.” This deserved designation is in honor of the 200th birth anniversary of Florence Nightingale, considered to be the founder of modern nursing. This global celebration recognizes the indispensable role of nurses and midwives and to advance nurses’ vital position in transforming healthcare around the world. Through this recognition, it is the intent to grow, enhance and celebrate these professions in order to encourage and educate our future nurses and midwives. Ochsner is excited to celebrate this initiative throughout 2020. In 2019, a committee of nurse representatives from across the system came together to plan celebrations and activities throughout the year in honor of the WHO designation. Some activities include a nurse and midwife celebration day, community outreach events, campus leadership panels, and lunch and learn events. Ochsner plans to recognize, celebrate, educate and inspire our nurses and midwives all year long! Keep an eye out for more information about Ochsner resources and activities that celebrate our nurses and midwives! If you have any questions, please reach out to Bianca Cook at bianca.cook@ochsner. org.To learn more about the designation, visit www.who.int/campaigns/ year-of-the-nurse-and-the-midwife-2020. “WHO is proud to nominate 2020 as the Year of the Nurse and the Midwife. These two health professions are invaluable to the health of people everywhere.” said Dr. Tedros Ghebreyesus, director general of the WHO. ‘While WHO recognizes their crucial role on a daily basis, 2020 will be dedicated to highlighting the enormous sacrifices and contributions of nurses and midwives, and to ensuring that we address the shortage of these vital professions” (Patton 2019). Reference: Patton, F. (2019) WHO Confirms 2020 as International Year of Nurse and Midwife, Nurseslabs. Retrieved from https://nurseslabs.com/2020-as-year-of-the-nurse-and-midwife-to-go-ahead-globally/
Nursing Quality, Patient Safety and Patient Experience
Through Cheryl’s servant leadership style, she encouraged and supported her team to continually advance their education and professionalism. Many nursing leaders and staff advanced their degrees or earned certifications under her leadership. Cheryl’s bright and dynamic personality, passion and enthusiasm were gifts to everyone she met. She leaves a legacy of excellence and is a role model for nurses.
“Cheryl’s enthusiasm, passion and drive in everything she did will leave a lasting impression on us all. She is truly missed.” - Tracey Moffatt, MHA, BSN, RN, system chief nursing officer and vice president of quality Ochsner Nursing 2018-2019 Annual Report 55
Supporting OHS Nursing and Looking to the Future
As a nurse executive leader of Ochsner, Cheryl made countless contributions to improve the quality of patient care and nursing practice. Through Cheryl’s leadership, Ochsner Medical Center – Northshore became the first facility in a five-state region to become HIMSS 7 certified. She led OMC - Northshore to become the first in the system to go live on the Epic platform. She also led the efforts to initiate just culture throughout Ochsner Health System as part of her doctoral dissertation project.
Recognizing and Celebrating Ochsner Nurses
Cheryl embodied leadership and made it look easy. She was a resource and a mentor to many staff members and leaders throughout Ochsner Health System. Cheryl was committed to her family, had a strong faith and was a friend to everyone she met. Cheryl’s enthusiasm, skill, dedication and warmth are greatly missed.
Cheryl earned her master’s degree in nursing administration from Southeastern Louisiana University. Over the course of her career, Cheryl was recognized for her enthusiasm and excellence in nursing as Nurse of the Year of HealthSouth Rehabilitation Hospital in Tallahassee, FL. She was named one of the Great 100 Nurses of Louisiana and was recognized as Distinguished Alumni of Southeastern Louisiana University where she was inducted into the Sigma Theta Tau honor society and earned a Doctor of Nursing Practice degree.
Advancing Care in the Nursing Profession
Cheryl Woods, DNP, MSN, RN, chief nursing officer, Ochsner Medical Center – Northshore, passed away on May 21, 2019.
56 Ochsner Nursing 2018-2019 Annual Report
Watch the Video: Connecting Our Passion to Our Purpose
Nursing Quality, Patient Safety and Patient Experience
Nursing Videos, Messages, and Links
Advancing Care in the Nursing Profession
Watch the CNO Video Message
Recognizing and Celebrating Ochsner Nurses
Watch the Video: Ochsner Medical Complex: The Grove
Watch the Video: Ochsner Flight Care
Ochsner Nursing 2018-2019 Annual Report 57
Supporting OHS Nursing and Looking to the Future
Read the ANA Article about Ochsner’s Care for the Caregiver Initiative
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