2014
Nursing Annual Report
SAFETY
C O M PA S S I O N
EN
GA
GEM
ENT
Transformational Leadership
It is my honor to present the 2014 Annual Report for Nursing in celebration of the vital role our nurses play in improving our community’s health. This report celebrates the exemplary outcomes that have been achieved because of their engagement, Joan Simon, CNO compassion and commitment to providing a safe and healing environment for our patients and families. We faced significant challenges as well as new opportunities in 2014, and I am very proud of our professional nursing staff for meeting these challenges with passion, poise and determination. Our Professional Nursing Council (PNC) spent significant time creating a new vision for nursing. Together, they developed our professional bylaws, reinvigorated our commitment to shared governance and refreshed our professional practice model. This work will serve as a guiding force as our professional nursing staff deliver care to our community in collaboration with the other members of our interprofessional team. Through our joint efforts, we have made strides in improving workplace safety, staff engagement, patient experience and quality outcomes. We introduced research champions to support evidence-based practice at the unit level and initiated research studies to create new nursing knowledge. We had the opportunity to further develop nursing roles that will underpin the care our patients receive across the continuum. Our nurses also played a critical role in achieving recognition as a Level III Trauma Center and re-designation as a Baby Friendly organization. As we look ahead to the coming year, we will be preparing our submission documents to re-designate as a Magnet organization. This distinction recognizes our professional nursing staff for all the work that is done for our patients, every day, by every nurse across our organization. It recognizes our shared commitment to transformational leadership, igniting staff empowerment, continuous quality improvement, innovation, and research – all to ensure exemplary outcomes. 2
I would like to personally thank all of our nurses for their unwavering commitment to our patients; our community for entrusting us with their care; and our organization for the support it provides. Together, we are ensuring that we continue to make a difference for our community, one patient at a time.
Joan Simon, MSA, BSN, CENP, NEA-BC, FACHE Chief Nursing Officer
Excellence in Transformational Leadership The Magnet component of transformational leadership challenges every nurse to excel in advocating for our patients and create positive change within the health care system. This requires a culture, as well as structures and processes, to ensure that the voices of nurses throughout the organization are heard.
Daily Check-in Launched As a passionate patient-safety advocate, Joan Simon was instrumental in introducing the concept of a daily evidencebased safety huddle at Kootenai Health. Working with other leaders, she developed the Daily Check-In, or DCI, in September of 2014.
Every day leaders from all departments at Kootenai Health gather to report any patient or employee safety issues that occurred during the past 24 hours. This daily reporting means issues can be addressed quickly and common themes can be easily identified and assigned to owners for in-depth attention. In addition, key safety indicators are tracked throughout the organization to follow progress.
Nurses Help Create a Successful CPOE Launch In 2014, Kootenai Health successfully launched Computerized Provider Order Entry (CPOE) which allowed evidencebased order sets, increased speed for the transmission of orders and decreased transcription errors. The launch team was comprised of a talented and dedicated group of nurses and clinicians. Our clinical analysts, all RNs, worked with groups from every discipline, including the Informatics Physician Advisory Council, to create order sets while building and testing Meditech modules.
To ensure a successful launch, extensive Computerized Provider Order Entry (CPOE) Team, front row (l-r): Jocelyn Drake, Dr. Stephanie Rochelle Wiedenhoff, Megan Merry, Fran Grimshaw. Back row (l-r): Crystal Scott, training was conducted Lahr, Melinda Leonard, Lynette Luce, Gary Breuner, Shelly Bewick and Kim Wells. for providers, nurses and health unit coordinators. One hundred percent of the identified 753 staff members completed training prior to the go live date. In addition, super-users provided robust 24/7 support during the first
four weeks after launch. Outside experts that participated in the project noted that Kootenai’s implementation was one of the best they had seen.
Clinical Analyst Team Shelly Bewick, BSN, RN, CI Manager Jocelyn Drake, BSN, RN, CI Analyst Fran Grimshaw, Clinical Content Coordinator Dr. Stephanie Lahr, Physician Champion
Melinda Leonard, BSN, RN, CI Analyst Lynette Luce, RN, CI Analyst Megan Merry, BSN, RN, CI Analyst Crystal Scott, BSN, RN, CI Analyst
Super-User Team Marissa Armstrong Kara Baron Emily Brown Dershi Bussey Maura Cash Jennifer Charlton Cathy Colby Shelly Corder Mike Davis Cassandra Deabreu Fran deTar Melinda Friedman
Maggie Gardner Alison Hammond Elizabeth Hansen Lynda Heise Della Jenkins Juanita Johnson Heather Jones Deborah Kitselman Tonya Lange Robert Mendenhall Tena Nee Doreen Now
Crystal Oxenrider Fran Pugh Grant Sande Sarah Schooley Dina Shore Sarah Smart Ashley Spencer Erin Taylor Devon Treydte Rochelle Wiedenhoff – Lead Lisa Winget
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Protecting a Most Valuable Asset: Nursing Staff According to the Bureau of Labor Statistics “A health care worker is three times more likely to be the victim of a violent crime in the workplace than any other private sector professional.”
Prior to 2014, assaults on health care workers were typically treated as a misdemeanor in the State of Idaho with no special class protection. Starting in 2013, groups such as the Idaho Medical Association and the Nurses Leaders of Idaho began introducing legislation to make violence against health care workers a felony. Multiple attempts to pass legislation Incidence rates for nonfatal assaults failed until March 28, 2014, and violent acts by industry, 2008 when the Idaho State Governor Julie Hoerner, RN signed into law the legislation making assaults on health Working in health care workers a felony. Multiple care requires nursing nurses, including Julie Hoerner, staff to treat all MA, BSN, RN CEN, director types of patients of Emergency and Trauma Services, were instrumental in all types of in the success of the final bill. situations, creating Julie spent extensive time an environment collecting examples of violence and testifying in front of both the predisposed to conflict. Private Health Social Nursing & Sector Services Personal Services house and senate committee. Overall Overall Care Facilities She is a shining example of transformational leadership.
Structural Empowerment
Excellence in Structural Empowerment Magnet-recognized organizations develop structures and processes to support a culture of lifelong learning that includes a focus on professional collaboration, promotion of academic achievement and role and career development. This environment strengthens the professional practice of nursing and provides numerous opportunities to improve patient care.
Busting Barriers to Completing a BSN In alignment with one of the Institute of Medicine’s 2010 recommendations for improving health care in America, Kootenai Health has adopted a goal to have 80 percent of its registered nurses obtain a BSN degree by 2020. The Professional Development and Continuing Education (PDCE) sub-council recognized that significant barriers existed for reaching this goal. An “RN to BSN” survey was developed and administered and results were presented to the Professional Nursing Council (PNC) and nursing leadership. 4
Kootenai Health was verified a Level III Trauma Center by the American College of Surgeons in 2014 (front row, l-r) Ramona Mobbs, RN, Trent Manyer, CRNA, D’Arcy Luckett, RN, Robyn Maehren, RN, Michael May, MD (back row, l-r) Molly Walker, RN, Valerie Carpenter, RN, and Eric Oscarson, RN.
PDCE worked diligently with nursing leaders and human resources to address the most commonly cited barrier: cost of tuition. To overcome this barrier, tuition reimbursement for RNs seeking a BSN was significantly increased and one-time pre-payment of tuition funds were allowed. Nurses pursuing postgraduate degrees are now also eligible for tuition reimbursement.
Heart Failure Clinic: Care Along the Continuum Many people in northern Idaho suffer from heart failure. When not properly managed, heart failure can greatly diminish a patient’s quality of life. In 2014, The Heart Failure Team, made up of nurses from The Progressive Care Unit, developed a Heart Failure Clinic and took on the challenge of reducing readmission rates for patients with heart failure from the Fall of 2013 to 2014.
In addition, a heart failure nurse navigator role was developed to bridge the care of patients from the hospital to the community. The Heart Failure Clinic and nurse navigators provide prompt responses to changes in a patient’s condition. As signs and symptoms worsen, patients can be rapidly assessed and treated, thus avoiding another admission to the hospital.
Part of their work resulted in an improved teaching tool kit, now being used organizationwide, to educate patients before discharge on signs and symptoms of increasing heart failure.
These navigators also provide community education at the Kroc Center and area long-term care facilities. Working together, the Heart Failure team has met or exceeded readmission rate goals for every quarter of 2014, resulting in an almost 8 percent reduction in projected readmission rates for the year.
% of heart failure patients re-admitted within 30 days
Reducing Heart Failure Re-Admissions at Kootenai Health 25 20 15 10 5
0 2012
2013
Expected %
2014
Actual %
Heart Failure Team Members include (l-r) Bo Schramm, RN, Luke Emerson, RN, Debbie Callins, RN, and Lisa Fredrick, RN.
Baby-Friendly Designation
Level II Nursery
Being Baby-Friendly means Kootenai Health’s Birthing Center has policies and care practices that meet the gold standard for mother/baby care. The Birthing Center was orinigally designated Baby-Friendly in 2002 and was the 33rd facility to be designated as such. We are proud to be re-designated in 2014. Kootenai is currently the only Baby-Friendly hospital in the region.
Kootenai Health’s special care nursery received a Level II nursery designation in 2014. This designation means the nursery has the facilities and nurses to care for babies born as early as 32 weeks gestation (eight weeks premature), and as small as 1,500 grams (3 pounds). Experienced, board-certified neonatologists care for these fragile newborns around the clock. Kootenai’s eight-bed nursery is designed for babies requiring comprehensive care, monitoring and intensive medical attention.
Birthing Center nurses Eileen Bagan, RN, Cassie Oddy, RN and Anne Marie Cehr, RN celebrate Baby-Friendly re-designation.
Brett and Erica Lucas’ daughter Elena was unexpectedly born at 33 weeks and 3 days, weighing 4 pounds 15 ounces.
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Kootenai Launches New Fellowship Program
Jessica West, RN (left) transitioned into critical care with the assistance of clinical nursing expert Chelsea Norlander, RN (right), who developed and delivered educational classes on patient populations specific to critical care.
The Critical Care unit demonstrated innovation by developing a new fellowship program for experienced nursing staff at Kootenai Health. Previously, experienced medical-surgical nurses had no easy path to gain positions in specialty units, despite the need for more staff in these areas. To address this issue, the fellowship program was created. The program is three months in duration and includes classroom instruction as well as extensive hours spent working with an experienced preceptor during patient care. The fellowship program is currently being evaluated for expansion into other specialty areas including the emergency and perioperative departments.
Ebola Preparations During 2014 – Leading the Way in Idaho While public concern was at an all-time high during the African Ebola outbreak in 2014, the infection prevention department calmly prepared a plan for possible patients. While the risk of an actual Ebola case in northern Idaho was unlikely, our team knew that it was essential to be prepared for the possibility. Working collaboratively with the Panhandle Health District, the multidisciplinary Kootenai team developed a plan for
receiving and safely testing Ebola patients. Amy Ward, RN, Infection Prevention Coordinator, spearheaded staff training with CDC-recommended personal protective equipment and conducted drills with a goal of being able to set up an isolation room within 30 minutes. The team was able to complete the task within 19 minutes.
After plan finalization, Kootenai Health became the first Ebola assessment facility in the state of Idaho. At the time of publication, Kootenai remains the only facility designated as such in the state.
Adult Behavioral Health Unit Gets an Upgrade Realizing that an expanded and modernized space could better serve the community, Kootenai’s Behavioral Health leadership was able to successfully budget and complete a remodel for the adult unit in 2014. To create the safest and most nurturing environment possible, the clinical staff worked through several challenges to ensure patients, staff and construction workers remained safe during construction. The remodel added four additional beds, a seclusion room and new technology that provides staff access to panic buttons Pictured (l-r): Claudia Miewald, Director of Behavioral Health, Janette Boal, RN, and Crystal Valestelic, RN, at all times. cut the ribbon during the unveiling of the Adult Behavioral Health remodel.
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Behavioral Health nurses (l-r) Samantha Purcell, CNA, and Crystal Valestelic, RN, discuss floor plans for the remodel with Josh Horvath, Superintendent for Young Construction and Peder Davidson, Facility Services Manager.
Exemplary Professional Practice Professional Practice Effective and efficient care services, inter-professional collaboration and high-quality patient outcomes are hallmarks of Magnet-recognized organizations. Exemplary professional practice is supported by a culture that focuses on safety, quality monitoring and improvement.
Skin Team in Action The Skin Wound Action Team (SWAT) has been working in conjunction with the Wound Care Nurses to improve skin care and reduce the incidence of pressure ulcers. Their work in 2014 included updating the evidence based policies and competencies for all staff involving skin care. The SWAT consists of clinical nurses, nursing assistants, educators and leaders. In addition, Skin Care Champions, selected from each inpatient unit, have been trained as skin experts. In October of 2014, SWAT hosted an all-day Skin Fair to further disseminate information to front line staff. This team meets monthly to maintain and develop further initiatives to better assist staff with skin issues.
Nurse-Initiated Foley Removal Protocol Implemented Recognizing that urinary tract infections are more likely to occur the longer that urinary catheters remain in place, nurses on 2 South worked with Infection Prevention and physicians to develop and trial a Nurse-Initiated Foley Removal Protocol (NIFRP). This protocol allows the nurse to autonomously assess for appropriate timing of catheter removal without calling the physician, resulting in more timely discontinuance. Catheter-associated urinary tract infections (CAUTIs) can be uncomfortable for patients and increase their length of stay in the hospital and cost of care. After beta-testing the NIFRP on 2 South, the protocol went live house-wide in January 2015. This brings Kootenai Health’s practice for CAUTI prevention in line with national best practice.
Update to Professional Practice Model A professional practice model provides a graphic representation of how nurses practice, collaborate, communicate and develop professionally to provide the highest quality care to patients. It includes the key elements of the practice environment and guides decision making for the professional nursing staff. In 2014, the Professional Nursing Council and nursing leadership took on the task of refreshing Kootenai Health’s model during council retreats. Small groups developed numerous possible models and ultimately one model and narrative emerged to represent nursing at Kootenai Health. ◗ Our scenic location inspired the nature theme for our model. Our environment is a magnet for many; we want our superior care and work environment to be a “magnet” for patients and staff alike. ◗ The sun and its rays demonstrate our overarching goal to provide superior outcomes for our patients and families. ◗ The trees represent other key elements that guide ◗ The mountain peaks represent the importance of our nursing practice and are firmly-rooted and fed by other parts of the model. All parts of the model evidence-based practices and shared governance work together to create an excellent practice in our practice. These support a safe and healing environment and move us toward our vision. environment, represented by the most prominent mountain in the model. ◗ The river represents how Kootenai Health Nurses share ◗ Relationship based care is at the “heart” of this resources and practice innovations with the greater environment and is the foundation for our compassion. nursing community. 7
NeST takes flight As the acuity of infants cared for at Kootenai Health increases, nurses in the family birth center and Kathleen Webb, M.D., NICU medical director, identified the need for a Neonatal Resuscitation Team or NeST. By collaborating with respiratory therapy and physician leadership, nurses used evidence-based practice to develop the necessary policies and procedures to acquire new equipment and facilitate staff training.
While this specialized team provides quick and skilled responses for neonatal stabilization primarily in the birth center, it has also been used in the emergency department. During 2014, NeST expanded their reach by sharing their learning and success stories with critical access hospitals in the surrounding rural communities via the Idaho Simulation Network and telehealth.
NeST Team Members (l-r) Cassie Oddy, RN, Rob Skinner, RT, Kathleen Webb, MD and Kristi Hiiva, RN.
Kootenai Health Receives Qualis Award Mislabeled lab specimens are a top safety concern nationwide. Kootenai Health nurses collaborated with laboratory clinicians to markedly reduce lab errors at Kootenai through staff education and daily reporting. Lab errors were reduced by 66 percent which resulted in Kootenai receiving an Idaho Award of Excellence from Qualis. To further reduce errors, the Birthing Center is currently piloting software and bedside printers.
Fall Prevention Bundle Reduces Falls Falls put patients at risk for serious injury, often resulting in an increased length of stay. As part of our ongoing safety initiatives, Kootenai Health created an organization-wide goal of reducing the number of falls in 2014. To meet this goal, nursing developed a house-wide fall prevention bundle that includes: reporting all falls at the Daily Checkin, proactive rounding, a “Within Arm’s Reach” program, and realtime fall case reviews. Additionally, “Days Since Last Fall” boards were developed for display on each unit. By the end John Bartlett, RN on 3 South helps David Zumstein, a hip replacement of 2014, hospital-wide patient, the day he is released from fall rates dropped 10.9 the hospital to go home. 8
Fall Reduction at Kootenai Health
percent. Significantly, two top-performing units, 3 North and 2 North, experienced 46.5 percent and 57 percent fall reduction rates respectively.
Total Joint Program improves patient outcomes
Reducing Length of Stay for Total Joint Patients
From the start of the total joint program, nurses have been involved in implementing evidence-based best practices to improve care for the orthopedic population at Kootenai Health. Nurses are helping evaluate, develop, implement, and fine-tune practices that are affecting better patient outcomes. Nurse-driven interventions include, but are not limited to, early mobilization, implementation of new pain tools and multi-modal pain management as well improved patient educational materials. These measures and more have led to incremental and significant improvements in patient care.
Length of Patient Stay in Days
■ Total Hip 3 2.5 2 1.5
■ Total Knee
2.68 2.58 2.35 2.38 1.6 1.67
1 0.5 0 2012 2013 2014
New Knowledge, Innovations, & Improvements Research and EvidenceBased Practice Champions Implementing evidence-based practice (EBP) and research throughout our organization is critical to achieving superior patient outcomes. To support EBP and research at the point of care, the role of a Research and Evidence-Based Practice Champion was developed and launched. This role will promote a spirit of inquiry and facilitate answers to practice questions. These answers are vital to deliver exemplary care today and in the future.
Research Champions,front row (l-r) Nikole Ahner-Brown, Mary Wagner, Anne Bear, Jeanna Mooney, Elizabeth Paddock. Back row (l-r) Sandra Albritton, Deb Ketselman, Luke Emerson, Robert Mendenhall (not pictured: Amanda McConnell, Chelsea Hall, Teresa Poole, Joan Opyr, Karla Benning and Cindy Perry)
Nursing Practice and Research Supervisor Sandra Albritton, MSN, RN, CCRC Nursing Practice and Research Supervisor Sandra assumed the Nursing Practice and Research Supervisor role in 2014. Her clinical experience includes critical care and certification as a CCRN. With 14 years of experience in medical research, including certification through the Association for Clinical Research Professionals, Sandra has already made significant contributions to evidence-based practice and research at Kootenai Health.
Kootenai Health Orthopedic Surgery Program Chad Bailey, BSN, MN, RN, FNP, NP-C, made a podium presentation in March 2015 at Mayo Clinic’s EvidenceBased Practice Conference. Chad highlighted evidencedbased care advances made since implementation of his role as a nurse navigator. Multi-modal pain control, Total Joint Camp, decreased length of stay, and decreased infection rates were just a few of the areas that Chad covered.
Kootenai Health Adds a New Face in the Magnet Journey Robert Mendenhall, a clinical nurse from 2 North, accepted the position of Magnet Document and Communications Coordinator early this year. He is actively preparing documents for submission for Kootenai Health’s third designation in February 2016. Robert will be collaborating with nurses and others to collect information about all of the amazing work done since our last re-designation. He has a strong background in information technology which will be instrumental in the Magnet submission, as it is all electronic for the first time. Robert’s background in IT, nursing experience and analytical reasoning skills make him a great fit for this position. 9
Kootenai Health nurses authored, co-authored or played key roles in research projects that were completed and/or published in 2014. Title: Engaging Patients in their Care vs. Obscurantism Author/Investigator: Kara Fitzgerald, Dr. H.M. Tzeng Outcome: Published in Nursing Forum
Title: Piloting yoga and assessing outcomes in a residential behavioral health unit Author(s)/Investigator(s): Sheri McIlvain, MA, BSN, RN-BC and Brandee Lawhead, BSN, RNC Research Team Members: Ben Miller, MN, ARNP, FNP, ACNP; Annie Anderson, Admin Assistant; Kyle Martin, CTRS; and Carol Croteau, LCSW Outcome: Published in Journal of Psychiatric and Mental Health Nursing
Title: Measuring outcomes of stress management education on mental health staff Author(s)/Investigator(s): Sheri McIlvain, MA, BSN, RN-BC; Crystal Lederhos, MS; and Josh Burton, RN Resarch Team Members: Gio Santovito-Carducci RN, MPH, CIC; Whitney Fehringer RDLD, CHWC; Josh Burton, RN; and Jason Crouse MS, CHWC Outcome: Poster presentation at Western Institute for Nursing, April 2015
Title: Infection prevention in physician clinics Author(s)/Investigator(s): Gio Santovito-Carducci, BSN, MPH, CIC and Cathy Mitchell, MSN, RN Resarch Team Members: Audra Dawson, BSN, RN and Cathy Mitchell, MSN, RN Outcome: PhD degree awarded Spring 2015 Internal presentation
Title: Depression and pain interference among patients with chronic pain after ED encounters Author(s)/Investigator(s): Marian Wilson, Ph.D. Resarch Team Members: Patty Pritchard, BSN, RN and Bat Masterson, RN Outcome: Published in the Journal of Emergency Nursing
Title: The Effects of Educational Interventions on the Outlooks and Beliefs of Medical-Surgical Nurses Caring for Mentally Ill Patients Author(s)/Investigator(s): Claudia Miewald, MSN, RN, PMHCNS-BC and Sheri McIlvain, MA, BSN, RN-BC Outcome: Abstract submitted for poster presenation, currently under review
Acknowledgements for 2014 Joan Simon, MSA, BSN, RN, CENP, NEA-BC, FACHE, was appointed to the Nursing Advisory Board for both Washington State University and North Idaho College. Julie Hoerner, MA, BSN, RN, CEN, was recognized as the Outstanding Nurse Leader of the Year from the Nurse Leaders of Idaho Claudia Miewald, MSN, RN, PMHCNS-BC, was awarded 2014 Soroptimist of Coeur d’Alene Women of Distinction in Healthcare. Tana Gonser BSN, RN, CEN, received recognition as a “Patriotic Employer” from the Office of the Secretary of Defense, “For Contributing to National Security and Promoting Liberty and Freedom by supporting Employee Participation in America’s National Guard and Reserve Forces”. Chad Bailey, BSN, MN, RN, FNP, NP-C, was appointed to the Idaho State Board of Nursing Advanced Practice Advisory Board Alissa Miller, MA, BSN, RN, was appointed to the Idaho State Board of Nursing Program for Recovering Nurses Advisory Committee Jan Moseley, BSN, MBS, NEA-BC, was elected to Chair of the Program for Recovering Nurses Advisory by the Idaho State Board of Nursing
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Graduates Degree (received in 2014) Department
Scott Berger BSN OR Pam Bertram BSN 3 North Gary Breuner BSN Organizational Development Melissa Bunch BSN Critical Care Emily Clark BSN OR Lori Ellis BSN 3 South Judy Groat BSN Organizational Development Lynda Heise BSN Nursing Resource Team Susan Johnson BSN PACU Summer Jones BSN Kootenai Clinic Endoscopy Ken Mills BSN Nursing Administration Rachel Noriega BSN Kootenai Behavioral Health (Adult) Monica Preciado BS Nutrition OR Brooke Skurupey MSN Kootenai Clinic Cancer Services Krista Tickemyer NP Short Stay Paula Wyatt MA in Leadership 2 North
Graduates
2014 Certifications
Department
Joy Altizer Scott Berger Janeen Berrier Johanna Bruning Melissa Bunch Debbie Callins Emily Clark Sarah Derrig Matt Dingman Shannon Duncan Kara Fitzgerald Liz Godbehere Kalie Grambeau Susan Herbst Lori Jackson Joni Kindwall-Moore Christie Koziol Michael Lambott Heather Mandaro Eric Melone Hailey Morris Donna Page Grant Sande Brooke Skurupey Solana Sullivan Michael Whitmore
Oncology Nursing CNOR CCRN/CSC AOCNP CCRN CHF CNOR CEN CCRN RNC CCRN CCRN CCRN AOCN RN-BC VA-BC Palliative Care Palliative Care Oncology Nursing CEN CPAN Neonatal Nursing CEN FNP-C CEN Palliative Care
1 North OR Heart Center Kootenai Clinic Cancer Services Critical Care Kootenai Clinic Hearts Clinics Northwest OR Emergency Critical Care Birthing Center Critical Care Critical Care Critical Care Kootenai Clinic Cancer Services Kootenai Clinic Hearts Clinics Northwest Vascular Access 1 North 2 South 1 North Emergency PACU Special Care Nursery Emergency Kootenai Clinic Cancer Services Emergency 2 South 11
Daisy Award Winners Lynda Heise, BSN, RN-BC
Nursing Resource Team
Sarah Kohal, BSN, RNC
Birthing Center
Zach Lorenz, BSN, RN
3 South
Linda Stewart, BSN, RN
2 South
Mary Sweeney, RN, ONC
Nursing Resource Team
Adam Wabs, RN
Critical Care
Molly Walker, RN, CCRN
Critical Care
Colleen Zwiers, RN, ONC
1 North
2014 Daisy Award Winners (front row, l-r) Colleen Zwiers, Mary Sweeney, Molly Walker (back row, l-r) Adam Wabs, Lynda Heise, Linda Stewart, and Zach Lorenz (not pictured: Sarah Kohal).
N WE BELIEVE I
Our Patients
It is a privilege to care for our patients, their families and our community. We believe in including patients and families as active participants in care, holistically integrating their unique needs into our plans and treatments.
Our Team
We are committed to fostering a therapeutic healing and work environment that promotes respect, communication and collaboration among all members of the patient/family/health care team.
Our Organization
Our practice supports Kootenai Health’s Mission to “improve health one patient at a time in a friendly and professional culture committed to providing superior safety and quality”.
Our Profession
Integrity and accountability are the foundation of our professional practice. We are committed to building a legacy of nursing excellence based on compassion, lifelong learning, evidence-based practice and research, innovation and professional development.
208.625.4000
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kh.org
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2003 Kootenai Health Way
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Coeur d’Alene, ID 83814