2012-2013 Hospital for Joint Diseases Nursing Report
“We are what we repeatedly do. Excellence, then, is not an act, but a habit.” —Aristotle
Table of Contents Journey to Excellence ............................................................. 2 Transformational Leadership .................................................. 8 Structural Empowerment ...................................................... 14 Exemplary Professional Practice .......................................... 19 New Knowledge and Innovation .......................................... 23 Outcomes ............................................................................... 26
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Dear Colleagues, I am extremely proud to present the 2012–2013 Report of the Department of Nursing at the Hospital for Joint Diseases (HJD). The past two years have been momentous for our institution, a time when we turned challenges into great accomplishments. Most notably, after many months of intensive preparation, the Hospital for Joint Diseases achieved Magnet Recognition® in August 2012. When I think of what our nurses and hospital staff achieved during this Journey to Excellence, the word that comes to mind is “amazing.” Our staff displayed remarkable passion and energy in preparation for the Magnet site visit—not just in the months but the years leading up to it. That work was critical to achieving Magnet recognition and, even more important, resulted in significant enhancements to patient care, growth of nursing professionalism, and increased interdisciplinary collaboration. It was also a time of unexpected challenges, particularly in October 2012 when Superstorm Sandy barreled through the Northeast, triggering significant damage to NYU Langone Medical Center’s main campus. HJD’s nursing staff rose to the occasion, working around the clock during the storm and five-day power outage that followed. We not only tended to our own patients, but those admitted from Tisch Hospital, continuing to deliver compassionate, world-class patient care—even by generator light. Just one month after Sandy, we successfully launched Epic, NYU Langone’s enterprise-wide electronic medical record system, for HJD inpatients. That effort proceeded on schedule, based on pre-storm go-live date. In 2013, our Nursing Department was also heavily involved in the accelerated relocation of Rusk Rehabilitation’s inpatient adult and inpatient/ outpatient pediatric services to HJD. This move was completed in June 2013, and the new Rusk facilities are now fully operational and integrated into the HJD culture and community. This represented a supremely collaborative effort, requiring the support of every nurse and staff member. I’m grateful and honored to have been part of that team. The Journey to Excellence outlined in this report illustrates our team’s passion, commitment, and tireless pursuit of world-class, patient-centered care. In the following pages, you’ll see how our nurses and hospital staff are working diligently to improve patient care through research, evidencebased practice, and quality and patient outcomes. I’m proud to share our stories with you.
Ann Vanderberg, MA, MBA, RN, NEA-BC Vice President of Nursing and Patient Services Hospital for Joint Diseases
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Journey to Excellence
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On the afternoon of August 14, 2012, the air in Loeb Auditorium at the Hospital for Joint Diseases (HJD) was heavy with anticipation. A representative from the American Nurses Credentialing Center (ANCC)—the international accrediting body of the American Nurses Association—was due to call at 1:30 sharp with a very important announcement. The phone rang on schedule, and the Magnet representative was put on speakerphone so that everyone in the packed auditorium could hear the news: HJD had achieved Magnet Recognition®, placing it in the top seven percent of medical institutions nationwide. In New York State, HJD is only the twentieth hospital to achieve this designation. The room erupted in cheers as the Magnet Commission representative went on to reveal that the appraisers’ report had found no deficiencies or areas in need of improvement, affirming HJD Nursing’s outstanding level of performance. The announcement capped a collective effort that began ten years ago, when the Nursing Department began laying the groundwork for our Magnet application by utilizing best practices from scientific literature to “reignite” HJD’s professional practice model.
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HJD’s Journey
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2003
2004
“Relationship-Based Care” is identified as the professional practice model
Shared Decision-Making model is implemented in two pilot units Leading an Empowered Organization (LEO) training is instituted Professional Practice principles are developed
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First nurse satisfaction survey is administered “Leadership at the Point of Care” education program is developed in collaboration with Labor Management Institute – 1199
2005
2006
2007
Shared Decision-Making model is rolled out to remaining units
Bachelor of Science in Nursing (BSN) established as a requirement for entry to practice at HJD
Goals for certification are established and first nurse certification fair is held
Peer Review process begins with nurses involved in the interviewing of new staff
“Primary Nursing” care delivery model is refined
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to Excellence
2008
2009
2010
2011
Team Self-Scheduling is implemented
Professional Development Program is developed as a clinical ladder
Professional Practice Model undergoes staffled refinement
HJD Writing Workshop is implemented in collaboration with the Hunter-Bellevue College of Nursing
Magnet site visit takes place on June 18 - 20
Magnet “kick-off” event is held
47 HJD staff members attend the 2012 ANCC Magnet Conference in Los Angeles from October 10–12 to celebrate the designation
Team Self-Scheduling training is implemented using guidelines developed with Labor Management Institute – 1199 Magnet Project Director is hired Shared Decision-Making Model expands with implementation of department councils
Magnet Champions are identified Decision is made to submit an “Intent to Apply for Magnet Designation” letter to the ANCC Magnet Commission Nurse Researcher is hired
Magnet video is developed by a nursing staff task force Magnet documentation is submitted to ANCC Magnet Commission
2012 Magnet designation is received on August 14
2013 Podium presentation at 2013 ANCC Magnet Conference in Orlando, Florida, highlighting HJD Nursing’s innovative web-based application and staff Magnet video
Evidence-Based Practice and Nursing Research Council are established EBP Academy is created in collaboration with the NYU College of Nursing
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The Kickoff Early in 2011, HJD launched its Magnet initiative with a hospital-wide kickoff. The event included activities to educate staff about the Magnet model as well as poster presentations from HJD nursing units and other disciplines such as physical therapy, occupational therapy and social work. Magnet Champions from each unit were also introduced. Margaret McClure, EdD, RN, FAAN, former chief nursing officer and chief operating officer at NYU Langone Medical Center and co-author of the seminal report that led to the Magnet Nursing Recognition program, gave the keynote address. Preparing and Submitting the Evidence After submitting HJD’s letter of intent to the ANCC, it took nine months to complete the application package. Each nursing unit developed its own portfolio of outcomes, including clinical research projects, continuing education and certification efforts, and illustrations of exemplary practice. The Nursing Department also instituted “Magnet Moments,” a regular internal e-newsletter showcasing the skills, innovation and professionalism of the HJD nursing staff, while nursing leadership created dashboards that each unit used to record its outcomes. We became one of the first hospitals to submit the entire Magnet application in a web-based format. This online submission was cited by the Magnet appraisers as one of the most organized and easy-to-follow applications they had ever reviewed. The effort was coordinated by our then–Magnet Project Director Patricia Lavin, MS, BSN, RN, and was spotlighted as a podium presentation at the 2013 ANCC National Magnet Conference. The following spring, HJD was notified that three Magnet appraisers would be making a site visit!
SALUTING MAGNET CHAMPIONS Nitasha Ali 8 North – Pediatrics
Ofelia Dolor 9 North – Neuro-Rehabilitation
Melissa Hannah 8 North – Pediatrics
Keisha Ballentine 9 North – Neuro-Rehabilitation
Tatiana Doudnik 9 South – Rehabilitation Medicine
Marissa Hurlburt 9 North – Neuro-Rehabilitation
Krystine Barbagiovanni 12th Floor – Ortho/Spine
Susan Elliott 8 North – Pediatrics
Vergie Javier C1 – Post-Anesthesia Care Unit
Gina Brutus 11th Floor – Orthopaedics
Diala Epstein 8 North – Pediatrics
Winsome Johnson-Berry Operating Room
Kelly Burke 11th Floor – Orthopaedics
Christina Espiritu Special Care Unit
Karen Laveaux 11th Floor – Orthopaedics
Margery Byfield Diabetic Foot and Ankle Center, Nurse Manager
Marcelina Evans-Smith Ambulatory Care Services
Jane Lee 11th Floor – Orthopaedics
Jennifer Ferrara Operating Room
Alexis Levens 12th Floor – Ortho/Spine
Vladimir Gelman Pre-Admission Testing
Regina Livshits 8 North – Pediatrics
Jania Greenwood 11th Floor – Orthopaedics
Stacey Manigo Step-Down Unit
Heidi Calabia 12th Floor – Ortho/Spine Alexandra Caliendo C2 – Post-Anesthesia Care Unit Osnat Dermenzhi Special Care Unit
To all our Magnet Champions, 6
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The Site Visit The three-day site visit in June 2012 was both intense and exhilarating. Our nursing team was well prepared, thanks to the superb leadership of HJD’s Magnet Champions. The Champions (wearing purple jackets) escorted the appraisers to their units, where nurses offered their unique perspectives. The visit also involved rigorous staff interviews. Although the visit went exceedingly well (the appraisers described the night shift, for example, as one of the most engaged and energized they had ever seen), it would take several more months for a decision to arrive. When it did, it touched off a wave of jubilation among the entire nursing team. HJD was officially on the map. The 2012 National Magnet Conference Following our Magnet designation, we felt it important to have a strong presence at the 2012 ANCC National Magnet Conference. With the help of additional funding from our Department of Orthopaedic Surgery, we were able to send nearly 50 nurses and other staff members to the Los Angeles meeting. There, we held a forty-foot banner aloft as the 8,000 conference attendees applauded our achievement. Our members also immersed themselves in conference presentations and networked with colleagues from across the nation.
Iris Mare Step-Down Unit
Merlita Raz 9 South – Neuro-Rehabilitation
Angela Yeung 10 North – Acute Orthopaedics
Bernadette Mayers C1 – Post-Anesthesia Care Unit
Ana Marie Sevilla 11th Floor – Orthopaedics
Rhesa Zarate Radiology
Nakita McCoy C1 – Operating Room
Annie Sowu 11th Floor – Orthopaedics
Anna Zhaliazniak 8 North – Pediatrics
Geraldine Medalla 8 North – Pediatrics
Francesca Tedesco 12th Floor – Ortho/Spine
Diana Zhovna 9 South – Neuro-Rehabilitation
Christina Messick Step-Down Unit
Jolly Thankachan Special Care Unit
Svetlana Naftulina Pre-Admission Testing
Anh Tran 10 North – Acute Orthopaedics
NIGHT FACILITATORS Fran Guy Nurse Administrator
Rosele Nicolas 11th Floor – Orthopaedics
Marilou Valdez Special Care Unit
Eslene Jeanty-Mayers Nurse Manager, 11th Floor – Orthopaedics
Ifeyinwa Oduwegwu 10 North – Acute Orthopaedics
Juanita Vergara Center for Children
Virginia Pedrena 8 North – Pediatrics
Marcia Wiltshire 9 North – Neuro-Rehabilitation
Murielle Nose Assistant Nurse Manager, 10 North – Acute Orthopaedics
Lizeth Raciti 10 North – Acute Orthopaedics
Yiping Xu Immediate Care
MAGNET PROJECT DIRECTOR Patricia Lavin Director of Nursing Quality and Outcomes
we say, “Thank you!” NYU Langone Medical Center
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Transformational Leadership
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Nursing leadership at HJD has a clear vision of the demands of the future in healthcare and holds education and professional development in the highest regard, helping shape staff and the institution into the best they can be. Enhancing Patient Care through Ongoing Education Clinical research has shown that a rigorous program of nursing education translates into better patient outcomes. This finding led the Institute of Medicine (IOM) in its 2010 report, The Future of Nursing, to recommend increasing the national proportion of nurses with baccalaureate degrees to 80 percent by 2020. We’re proud to report that HJD has already exceeded the IOM goal. Currently, 89 percent of our nurses and 90 percent of our combined nursing and leadership staff hold a Bachelor of Science in Nursing (BSN) degree or higher. This compares to 54 percent as the average for all U.S. Magnet nursing hospitals. A large part of our achievement can be traced to the HJD Nursing Executive Council’s decision in 2005 to recruit only new graduates with BSN degrees and to encourage nurses on staff without the degree to actively pursue it.
BSN Rates 90%
HJD
NURSING by the
NUMBERS
89%
Percentage of HJD Nurses and Leadership Staff with BSN degrees
54.1%
Percentage of HJD Staff Nurses with BSN degrees
Percentage of HJD Nurses with a BSN 53% 2005
59% 2006
63%
2007
70%
72%
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Average percentage of nurses with BSN degrees at all U.S. Magnet Nursing hospitals
83%
86%
89%
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A Second Home for Tisch Hospital In the wake of Superstorm Sandy, HJD opened its doors to not just a torrent of patients from NYU Langone’s Tisch Hospital, but hundreds of its nurses, physicians and support staff. HJD’s nursing leadership and staff went out of their way to welcome their colleagues, familiarizing them with their new environment while organizing and coordinating the activities of all caregivers. “There was a true blending of the two campuses,” recalls Kandy Kraemer, RN, nurse manager of HJD’s C1/C2 operating rooms. “It was a great chance to see how staff from each site approached various tasks, and to compare best practices.” Relocated groups included Tisch’s entire Anesthesia Department, perfusionists, central supply team, and the nurses who staff ORs, the PACU and holding areas. “With double the size staff, things got a little noisy at times, but it all went remarkably well,” adds Kandy, who received HJD’s 2012 Manager of the Year award for her instrumental role in securing operating room slots at HJD for Tisch surgical cases in the weeks following the late–October 2012 storm. “The entire HJD and Tisch nursing staffs deserve recognition for their tireless work keeping the hospital running and patients feeling safe and welcome.”
VOICES I’ve been a nurse at the Hospital for Joint Diseases since 1985. Working in a small hospital, you get to know everyone. My co-workers and I work together as a team. We look out for each other, and our leadership looks out for us. I have many friends here, some of whom have been here longer than me. They are like sisters to me—and HJD is my family! —Ligaya Lagman, RN – 10 North Acute Orthopaedics
Annual Nursing Staff Turnover Rate
HJD
HJD’s nursing leadership believes strongly in nurturing a supportive work structure. These efforts are reflected in the low staff turnover rates for 2013.
NURSING by the
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6.7% HJD
10.1%
10.5%
U.S. Magnet Nursing hospitals
New York State hospitals
Paving the Way for Advanced Degrees: Incentives and Scholarships The Executive Nursing Council helped design the following programs for staff focused on advancing their knowledge: • The HJD Auxiliary Nursing Scholarship Award for Non-Nurses. Since 2010, this program has provided annual funding for an employee who is not a licensed RN but pursuing a BSN. In 2013, this scholarship was awarded to Talema Brown, who works in the orthopaedic surgery billing section. • The RN to BSN Scholarship Program. Established in 2011, this HJD Department of Nursing scholarship funds the education of an RN who is pursuing a BSN. In 2013, Alet Michel, RN, and Diala Epstein, RN, received the award.
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• The LPN to BSN Scholarship Program. Launched in 2011, this HJD Department of Nursing program supports the education of a licensed practical nurse who is pursuing a BSN degree. Because there was no recipient of this scholarship in 2013, an additional RN to BSN scholarship was awarded. Welcoming Summer Externs In an effort to attract the best and brightest graduating RNs, HJD’s Division of Nursing Education and Professional Development runs a ten-week summer externship program. Open to exceptional nursing students who have completed one clinical semester toward a BSN, the program is designed to advance students’ clinical knowledge and ease their transition into professional practice. More than 90 percent of the participants in the summer extern program joined the HJD nursing staff following their graduation in the spring of 2013.
VOICES I feel like I’ve learned more about nursing through my externship than through my past semesters of nursing school. Thank you for making me feel like a part of the HJD family over the summer. —Carson Lee, NYU College of Nursing—now a nurse on 9 North Neuro-Rehabilitation at HJD
I want to thank you for an incredible summer. The staff gave me the confidence to be a great nurse going forward.
—Erin Stein, Hunter College—now a nurse on 12th Floor Orthopaedics at HJD
My summer as a student nurse extern at HJD was amazing. It was such a great learning experience. Thank you for having me.
—Magdalene Mall, SUNY Stony Brook—now a C2 PACU nurse at HJD
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Male nurses at HJD in 2013 20% Increase in male nurses at HJD, 2011 to 2013
13.4%
9.6%
HJD nursing staff that is male
All registered nurses in the U.S. who are male
The Growth of Men in Nursing Since 1970, the proportion of men in nursing has more than tripled. With the nation’s aging population soaring, male nurses provide a valuable perspective that resonates strongly with HJD’s principles of excellence and diversity. We are proud that our Nursing Department has seen a steady, year-to-year increase in male nurses at every level—including nursing administration, directcare nursing and advanced practitioners.
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VOICES I’ve been a nurse at HJD for almost 30 years. This is a very nurturing place to work, with great opportunities to learn and a lot of positive reinforcement. I’ve gained many new skills and met a lot of good people. There’s a real team attitude here. —Andre A. Villaluna, RN, BSN, CCRN, CPAN, Clinical Care Nurse, Clinical Nurse III, and Unit Practice Leader
HJD Welcomes Rusk Rehabilitation As part of NYU Langone’s campus transformation, Rusk Rehabilitation relocated its inpatient and outpatient services from its long-time headquarters on 34th Street to multiple new, stateof-the-art facilities throughout the NYU Langone campus. While Rusk already had a presence at HJD, a 16-bed wing of the hospital is now devoted to Rusk’s CARF-accredited inpatient brain injury rehabilitation program and a new 22-bed stroke and general rehabilitation unit (also CARFaccredited) has been added for adults. In addition, HJD now houses Rusk’s 16-bed, CARFaccredited pediatric inpatient program as well as outpatient pediatric rehabilitation. “A lot of preparation went into this relocation, beginning with a series of town hall meetings and staff retreats,” explains Mary Ann Loftus, MS, RN, CRRN, NEA-BC, clinical director of nursing for rehabilitation and ambulatory services, who oversaw the transition. Thanks to extensive collaboration of nursing leadership from both groups, she adds, all issues were resolved and a total of 23 nurses, 30 patient care technicians and three clerks from Rusk made the move to 17th Street by late spring 2013.
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Structural Empowerment
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One of HJD’s priority goals, as a Magnet institution, is to create structures that encourage our nurses’ readiness to lead and passion to innovate and that assist them in expanding their expertise—including advancing their skills in providing patient-centered care, furthering their professional development, and forging strong relationships with the community. Professional Development Program on a Roll In order to promote a culture of clinical inquiry and innovation and enhance recruitment of BSN-level nursing school graduates, the Executive Nursing Council created a Professional Development Program (PDP). It consists of a clinical ladder with multiple rungs for professional advancement, including the positions of Clinical RN Level 2 and Clinical RN Level 3. Clinical RN Level 2 is an experienced clinician with leadership potential who employs an interdisciplinary approach to patient care. A Clinical RN Level 3 is an experienced and certified clinician already recognized as a leader with aggregate responsibility at the service level for nursing care.
HJD NURSING by the
NUMBERS
51
Number of HJD nursing staff now at Clinical RN Level 2 or Clinical RN Level 3
VOICES Our direct-care nurses were already enhancing the care environment and advancing the professionalism of nursing. This program formalized the recognition of those acts. —Althea Mighten, EdD, DNP, APRN, BC, Director of Nursing, Professional Development and Recruitment
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Professional Certification: The Gift that Keeps Giving Certification by the American Board of Nursing Specialties (ABNS) is a benchmark for professional excellence and clinical knowledge. HJD Nursing has set a goal of increasing the number of ABNS certifications by two percent a year, bringing us to a level above the U.S. average for Magnet Nursing institutions. To that end, recognition programs have been created and certification included as one of the requirements for appointment to our Professional Development Program. The staff has also conducted educational fairs, certification drives, and a targeted promotional campaign highlighting the “gift of certification” to both nurses and their patients. The results have been significant: In 2013, 58 percent of our staff was certified by a national specialty board. Moreover, HJD has seen the growth of a “culture of certification,” where professional excellence has become the standard for all our nurses.
VOICES Promoting certification energized the nursing staff. RNs with prior certifications enthusiastically cheered on their colleagues and endorsed the benefits of nursing certification. We have even observed the development of “certification champions” on the unit, who help their co-workers attain professional certification.
—Christopher Coruna, BSN, MS, MHA, NP-BC, Nurse Manager of the Special Care Unit and Radiology
HJD
Professional Certification 58%
43%
33%
27%
Certified by a national specialty board
Eligible nurses who are certified
Certified nurses have multiple certifications
Increase in certifications, 2011 to 2013
NURSING by the
NUMBERS
Expanding Our Role via Professional Organizations
HJD NURSING by the
82%
Fully 82 percent of HJD nurses belonged to one or more professional nursing organizations in 2012, including: National Association of Orthopaedic Nurses (NAON) Association of Rehabilitation Nurses (ARN)
NUMBERS
Association of Operating Room Nurses (AORN) American Nurses Association (ANA) Sigma Theta Tau Honor Society New York Organization of Nurse Executives (NYONE)
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OR Preparation: HJD’s Perioperative Nurse Residency Program A consistent problem at HJD has been finding experienced perioperative nurses to work in our high-volume operating rooms. The solution? Leverage our strength as a center of clinical and training excellence by growing our own perioperative expertise in-house. The result was the HJD Perioperative Nurse Residency, an intensive, six-month program that trains HJD nurses in the skills needed to care for patients undergoing surgery. Based on the core curriculum of the Association of Perioperative Registered Nurses, it includes more than 200 classroom hours, 60 hours of online modules, and clinical practice under the supervision of a dozen different preceptors. Since its launch, the program has had a 100 percent completion rate, with more than 80 percent of participants going on to practice at HJD. “It’s been a win-win,” says Edward Creasey, MSN, RN-BC, CNOR, nurse educator for perioperative services. “Besides developing outstanding perioperative nurses, the program provides a great opportunity for our staff to move into new positions.”
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Connecting with the Community Participating in community outreach and local events is also a key part of HJD Nursing’s mission. Our community involvement in 2012-13 included: The Rose Dabbs Health Fair—June 3, 2012/June 2, 2013, at Third Avenue and 17th Street. This annual event, now part of the Third Avenue Street Fair, was named for an outstanding HJD Auxilian. Our Nursing Department offers free health screenings for blood pressure and bone density. The Arthritis Walk®—June 23, 2012/May 19, 2013, at Battery Park City. The Arthritis Foundation’s signature event, The Arthritis Walk® raises funds and awareness every year to fight the nation’s leading cause of disability. Nursing staff from HJD as well as other NYU Langone sites walk each year to support these efforts and to honor friends, family, and patients who have the disease. Collaboration with the Arthritis Foundation. Eileen Lydon, ANP-BC, is developing with the Arthritis Foundation a “Nurse’s Toolkit for Rheumatoid Arthritis.” This aid will include evidence-based resources to help nurses support RA patients and enhance the care of ambulatory clinic patients. Nurse Residency Program: Transitioning the New Graduate Nurse BSN graduates have a new way to learn the ropes of practical nursing at HJD. It’s the University HealthSystem Consortium Nurse Residency Program, launched in October 2013. The program teaches new nurses important organizational and leadership skills that aren’t typically part of the clinical training they receive in nursing school. More specifically, it offers five full-day seminars during the year that combine classroom sessions with several hours of targeted clinical work in areas of the nurse’s choosing, allowing participants to gain clinical experience in units other than their own. “The goal is to create an environment in which everyone is treated with respect,” explains nurse educator Michelle Matthews, RN-BC, MSN, NE-BC, PhD(c), who coordinates the Nurse Residency Program. Participants are required to design and present a project to improve the quality of either patient care or the workplace environment.
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Exemplary Professional Practice
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As front-line caregivers in one of the nation’s busiest orthopaedic hospitals, the HJD Nursing Department prides itself on employing the most advanced evidencebased approaches to patient care. In recent years, the staff has implemented an array of new practices, ranging from the introduction of paddle pagers to let family members know immediately when they can visit their family members after surgery to an in-depth surgical team-building initiative, designed to improve communication and collaboration in the operating room. Supporting Patients and Their Families: Surgical Liaison Program Surgical procedures are inherently stressful events for patients and their families. In an effort to reduce this anxiety and improve communication with patients and families, we established in 2012 the position of Surgical Nurse Liaison. These RNs are vital links between the patient’s family and the hospital’s interdisciplinary team before, during, and after surgery. They meet with family members in the preoperative area, support the family as the patient is taken to the OR, accompany them to the waiting area and explain what to expect thereafter, and give updates during the surgery. Nurse Liaisons also arrange the postoperative consult with the surgeon and escort the family to the Post-Anesthesia Care Unit (PACU) following surgery. Early feedback on the Surgical Liaison Program has been extremely positive.“ Research shows that reducing the stress of family members depends heavily on educating them effectively on postoperative care,” explains Michael Tagadaya, BSN, MS, RN, who led the initiative. He notes the program also reduces the potential for miscommunication and improves productivity in the PACU by freeing up other nurses to concentrate on patient care.
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A Colorful Spotlight on Patient Safety SAFETY
Knowing whether a patient has an allergy or is at risk of falling can be essential to ensuring their safety and well-being. With that in mind, HJD piloted in early 2012 a Colors of Safety program featuring a patient wristband with four color-coded plastic alert symbols: yellow for patients at high risk of falling; red for an allergy of any type; pink to signal a “limb alert,“ meaning that one arm or leg cannot be used for medical procedures such as blood draws and IV infusions; and purple to indicate a “do not resuscitate” order. Alerts can only be placed by a registered nurse, and any patient can opt out if they wish. To ensure that all personnel understood the color-coding plan, an educational program was developed.
Keeping Rheumatology Patients Informed: The Arthritis Lecture Series Several years ago, four nurses in HJD’s Rheumatology Clinic (Blanca Marichal-Williams, Joyce Lemon, RN, Eileen Blum, RN, and Maria Bracero, RN) recognized the need to help patients with rheumatoid arthritis (RA) and lupus (systemic lupus erythematosus) better manage their complex inflammatory conditions. So, they collaborated with Eileen Lydon, ARPN, nurse practitioner for the Rheumatology Department, to create a monthly lecture series. (Evangeline “Gigi” Perez, RN, and Marcelina Evans-Smith, RN, have since taken over for Blum and Bracero, who have retired.) “We developed a calendar of topics, based on our patients’ interests,” explains Blanca, “and each month experts from HJD are invited to address these issues.” In 2012–13, topics included medication management, pain reduction, nutrition, exercise therapy, and advice on maintaining intimacy with RA. Last year, the program reached a milestone: Under the guidance of nurse researcher Ellen Rich, RN, PhD, the nurses who founded the program drafted an academic paper, “Rheumatoid Arthritis Educational Series: A Nurse-Led Project,” which was published in Orthopaedic Nursing, JulyAugust 2012. This marked the first time direct-care nurses at HJD were published in a major professional journal. New Protocol Erases UTIs in Brain Injury Patients Aware that brain-injured patients are at high risk of bladder dysfunction and catheter-related urinary tract infections (UTIs), three nurses in Rusk’s inpatient Neuro-Rehabilitation/Brain Injury Unit developed a new protocol for monitoring bladder function. Under their approach, a urinalysis and urine culture are obtained within 24 hours of admission and bladder scans are performed at six-hour intervals, ensuring that catheterization is done only as needed. Thanks to the enhanced protocol, the unit’s incidence of UTIs dropped to zero in 2012. The nurses who developed the protocol—Diana Kmita, RN, BSN, Ofelia Dolor, RN, BSN, and Marlene Clarke, RN—presented their findings at NYU Langone’s 2013 Quality and Safety Day.
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Accelerated Rehab Speeds Recovery for Knee Replacement Patients The HJD nursing staff has long observed that when knee replacement patients begin rehabilitation immediately after surgery, they generally go home sooner and resume normal activities more quickly. During 2011 and 2012, the HJD Nursing Department decided to test that observation. Its study found that patients who began physical therapy the same day as their knee replacement surgery were indeed discharged a half-day earlier, on average, than a control group that started therapy the day after surgery. An accelerated rehabilitation protocol is now standard for all eligible joint replacement patients at HJD. Music to the Ears of Postoperative Patients If headsets are now in vogue among patients in our Post-Anesthesia Care Unit (PACU), you can thank advance practice nurse Deana Bynum, APN, MSN, RN. In a project she implemented in conjunction with the PACU nursing staff, Deana discovered that for the 140 joint replacement patients who listened to two hours of preselected music while in the PACU, perceived pain and anxiety levels were cut in half compared to patients who didn’t listen to music. The study led to a pilot program that was so successful it’s being evaluated for use in other HJD units. What’s more, the project was the subject of poster presentations at the annual meetings of the American Society of PeriAnesthesia Nurses (ASPAN) and the Eastern Nursing Research Society (ENRS). For her work as principal investigator on the project, Deana received HJD Nursing’s 2012 Professional Practice Award for Innovation. Getting Patients on Their Feet Has a Big Payback Encouraging patients to sit, stand and walk as soon as possible after surgery has been closely tied to improved outcomes, including the prevention of deep vein thrombosis and pulmonary embolisms. It also promotes recovery of normal gastrointestinal, genitourinary, and pulmonary function and decreases length of hospital stay. In spring 2013, an interdisciplinary HJD team of physical therapists, nurse educators, nursing managers, nursing staff and the Quality Nursing Department held a series of meetings to map out an early mobilization program. Shortly afterwards, the HJD Acute Care nursing staff on the 10th, 11th and 12th floors received movement strategy training from HJD’s physical therapy team. As a result, the nursing staff is now able to mobilize patients before their first session with a physical therapist. “A key part of the program is identifying ‘early mobilization champions’ from each acute care unit, who receive in-depth training,” explains Giselle Guzman, BSN, RN, who originated the initiative. “These nurses then help train and support other nurses in their unit.”
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New Knowledge and Innovation
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In addition to providing exceptional patient care, the HJD nursing staff is continually looking for innovative ways to deliver care. This includes developing new roles for nursing staff as clinical resources and researchers. Glycemic Resource Nurses Spread the Word on Effectively Controlling Diabetes To enhance care for patients with diabetes, HJD Nursing instituted a new Glycemic Resource Nurse program in which two nurses from each acute and rehab unit receive advanced clinical training in diabetes care, enabling them to advise other nurses in their unit. “At HJD, we’re very focused on achieving good glycemic control for surgical patients, since this optimizes wound healing, reduces infection risk, and improves hydration,” explains Annie Lu, ANP, a diabetes management nurse practitioner. “Because we can’t give specialized training in glycemic control to all of our nurses, we developed the idea of training certain nurses in each unit to be a resource for their colleagues.” This training takes place in monthly sessions chaired by Annie. The Glycemic Resource Nurse program has also led to plans for enhanced inpatient education, including a video patients will receive upon discharge. A related research project will measure how these educational efforts impact glucose control and patient satisfaction. Nurses Step Up as Clinical Investigators Increasingly, HJD nurses are developing and implementing their own clinical research projects— an approach strongly endorsed by the Magnet Recognition program. With the support of nursing leadership and the Nursing Strategic Plan, our staff undertook a number of research projects in 2012-2013. One involved testing a “cocktail” of Senokot mixed with prune juice and lemon juice to see if it improved post-surgical bowel function compared to Senokot (the first-line standard) alone. “The study is still recruiting patients,” says Marilu Obdin, MSN, RN, one of the nurses involved in the project, “but so far we’re getting positive results.” The second study, involving 70 spine surgery patients, was designed to determine if gum chewing shortens the time to the first postoperative bowel movement. Led by Mary Reid, APRN, as principal investigator, it found gum-chewing patients took six hours less, on average, to have their first postoperative bowel movement.
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Podium and Poster Presentations
HJD
NURSING by the
NUMBERS
25
Total number of podium and poster presentations at national, regional, and local professional conferences by HJD nurses in 2012-2013 See appendix for full listing
The Transition to Epic Following extensive staff training and usability testing, Epic, the hospital’s new electronic medical records system, went “live” at HJD on December 2, 2012. “There was a learning curve at the start, but within three months the entire nursing staff was very comfortable with the new system,” notes Olga Husbands, manager of nursing operations and systems at HJD. To ease the transition, seven HJD nurses served as Epic Champions, assisting in training and providing feedback to NYU Langone’s Interdisciplinary Documentation Advisory Council. The new system has clearly improved patient care, reports Olga. “If the patient walks 100 feet with the help of a physical therapist, our nurses immediately see that in the electronic record,” she explains. Epic has virtually eliminated medication errors (before a medication is given, the nurse double-checks the drug and dosage by scanning bar codes on the patient’s wristband and the medication container) and has increased the time spent with patients, Olga adds. “Before, we were always heading back to the nursing station to update our records,” she says. “Now we can do that with a few keystrokes, right at the patient’s bedside.” For her leadership in the Epic implementation, Olga received the Regional 2013 GEM Award for Patient and Staff Management from Nurse.com.
HJD NURSING’S EPIC CHAMPIONS Claire Bristol, 9 North Bathsheba Filler-Modi, special care unit Flordelita Guillermo, immediate care Luz Manas, pre-admission testing Shirley Miller, 10th Floor Marilou Mondroy, C-2 operating room Vincent Yuen, perioperative nurse, C1 holding area
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Outcomes
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It’s the difference our nurses make day after day that makes us a Magnet organization. Safety in Numbers Our nurses’ focus on ensuring a culture of safety, quality improvement and evidence-based practice is reflected in HJD’s exemplary patient outcomes, as depicted below:
HJD NURSING by the
50%*
Falls Resulting in Injury
71%*
Catheter-Related Urinary Tract Infections
33%*
Central Line–Associated Blood Stream Infections
3 percent of falls resulted in injury in 2013
5 total catheter-related UTIs in 2013
NUMBERS
2 total CLABSIs in 2013 *from 2011-2013
98% HJD NURSING by the
Surgical Care Improvement Project Core Measure Set NYU Langone’s Surgical Care Improvement Project (SCIP) resulted in a 98 percent compliance for all SCIP measures in 2013
0
Ventilator-Associated Pneumonias
0
Restraint Prevalence
NUMBERS
No reported cases of ventilator-associated pneumonia among HJD patients in 2012 or 2013
No restraints reported during quarterly prevalence survey in 2012 & 2013
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HJD Department of Nursing Research Projects—2013 Completed “The Impact of the Use of Paddle Pagers on Family Member Anxiety During the Intraoperative Period.” Co-Investigators: Michael Tagadaya, MSN, RN; Ellen Rich, PhD, RN, FNP, FAANP; Rosanna Macapobre, BSN, RN “Effects of Gum Chewing on Bowel Motility in Patients Undergoing Anterior/Posterior Lumbar Surgery.” Co-Investigator: Mary Reid, ANP, MSN “The Effect of a Rapid Rehabilitation Program on the Episode of Care and Functional Recovery for Patients Undergoing a Unilateral Total Knee Replacement.” Co-Investigators: Frantzces Alabre, ANP, MSN, RN; Mauricia Alo, ANP, MSN, RN; Nancy Berger, MS, RN; Deanna Bynum, ANP, MSN, RN; Marietta Gonzalez, BSN, RN; Brenda Harris, BSN, RN; Patricia Lavin, MS, RN; Luz Manas, BSN, RN; Sonal Thakker, ANP, MSN, RN; Michael Tagadaya, MSN, RN “Cultural Variation in Initial Home Treatment of Acute Musculoskeletal Injury of the Upper and Lower Extremities.” CoInvestigators: Ellen Rich, PhD, RN, FAANP; Yiping Xu, BSN, RN; Brunilda Pagan, BSN, RN; Flordelita Guillermo, BSN, RN; Maureen Swartz, BSN, RN; Narina Atienza, BSN, RN; Linda Mendez, BSN, RN; Fe Gamalier, BSN, RN; Ophelia Ibalio, BSN, RN “Effective Post-Surgical Pain Control during Transition from Epidural to Oral Analgesia: Patient and Treatment Related Factors.” Co-Investigators: Frantzces Alabre, MS, RN, FNP-BC; Ellen Rich, PhD, RN, FNP, FAANP “Evaluation of a Nursing Leadership Peer Review Program.” Co-Investigators: Ellen Rich, PhD, RN, FAANP, Patricia Lavin, MS, RN “The Patient Care Technician (PCT) Nursing Attendant (NA) Work Environment Survey.” Dr. Wendin Budin; Site Coordinator, Patricia Lavin, MS, RN
In Progress “Effectiveness of a Mixture of Senokot, Prune and Lemon Juices as Compared to Senokot Alone on Post Operative Constipation in Adult Orthopaedic Rehabilitation Patients.” Co-Investigators: Marilu Obdin, MSN, RN; Marie Joy Pesquira, BSN, RN; Merlita Raz, BSN, RN; Ella Blot, MSN, RN; Dolly Chan, BSN, RN; Liliya Bilenko, BSN, RN; Murielle Nose, BSN, RN “Bullying in the Nurse’s Workplace.” Principal Investigators: Ronald Keller, BSN, MPA, RN, CCRN, NE-BC, and Wendy C. Budin, PhD, RN-BC, FAAN; Site Coordinator: Patricia M. Lavin, MS, BSN, RN
Published Papers 1.
Blanca Marichal-Williams, Joyce Lemon, Ellen Rich: “Rheumatoid Arthritis Educational Series: A Nurse-Led Project.” Orthopaedic Nursing, July-August 2012.
2.
Patricia M. Lavin: “Boots on the Ground—The Role of the Magnet Project Director.” Journal of Nursing Management, February 2013.
3.
Michael Tagadaya, Rosanna Macapobre, Ellen Rich: “The Impact of the Use of Paddle Pagers on Family Member Anxiety During the Intraoperative Period.” Journal of PeriAnesthesia Nursing (Official Journal of the American Society of PeriAnesthesia Nurses), December 2013.
4.
Patricia Lavin, Ellen Rich: “Establishing an EBP Alliance: Come Together Right Now.” Teaching Evidence-Based Practice in Nursing, Second Edition. Rona Levin, PhD, RN (Editor), Harriet R. Feldman, PhD, RN, FAAN (Editor). November 2012.
5.
Eileen Lydon, HM Belmont: “Long-Term Natural History of Asymptomatic Avascular Necrosis in a Cohort of Patients with Systemic Lupus Erythematosus Treated with Corticosteroids.” Arthritis and Rheumatism, 2013; 65(10):S1071.
6.
Eileen Lydon, HM Belmont: “When Rectal Bleeding Is Serious: Anal Squamous Cell Carcinoma in Two Intravenous Cyclophosphamide Treated Systemic Lupus Erythematosus Patients with Human Papilloma Virus Infection.” Lupus, 2013; 22(11):1182-4.
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Poster and Podium Presentations The 2013 ANCC Magnet Conference: The Magic of Magnet Podium Presentations • Build It and They Will Come—The Development of a Magnet Web-Based Submission: Ann Vanderberg, MA, MBA, RN; Patricia M. Lavin, MS, BSN, RN; and Cristina Messick, BSN, RN • Boots on the Ground—The Role of the Magnet Project Director in Designation and Redesignation: Patricia M. Lavin, MS, BSN, RN
2012 National Organization of Orthopaedic Nurses (NAON) 32nd Annual Congress Poster Presentations • Innovations in Practice—Reducing Falls on an Orthopedic Unit: Keisha Ballentine, BSN, RN • Improving Orthopedic Patient Outcomes through Rounding: Dolly Chang, BSN, RN, and Christina Messick, BSN, RN • Hospital-Wide Program for Noise Reduction: Patricia Lavin, MS, BSN, RN • Standardization of a Report Tool for Nursing Assistants: Marcy Evans, BSN, RN Podium Presentation • Bridging the Divide—Establishing an EBP Academy: Patricia M Lavin, MS, BSN, RN
2013 National Organization of Orthopaedic Nurses (NAON) 33rd Annual Congress Poster Presentation • Decreasing the Length of Stay in the PACU—Establishing a Discharge Voiding Algorithm: Andrew Wuthrich, BSN, RN
Association of Operating Room Nurses (AORN) Poster Presentation • Nurses Driving Resource Allocation in the Operating Room: Heather Fischer, RN; Kandy Kraemer, RN
2012 Nursing Economic Summit in Washington, DC Poster Presentation • Discharge Voiding Algorithm: Virginia Brosnan, BSN, RN
Eastern Nurses Research Society (ENRS) Poster Presentations • The Effects of Music on the Surgical Patient for Postoperative Pain Management: Deana C. Bynum, DNP, MSN, RN • Bridging the Gap -- Postsurgical Pain Control During Transition from Epidural to Oral Analgesia: Frantzces M. Alabre, DNP, MSN, RN
Association of Perianesthesia Nursing Conference Poster Presentation • The Effects of Music on the Surgical Patient for Postoperative Pain Management: Deana C. Bynum, DNP, MSN, RN
2012 VNSNY Management Forum Podium Presentation • HJD Journey to Magnet—Staff Nurses as Transformational Leaders: Francesca Tedesco, BSN, RN
2013 NYU Langone Quality and Safety Day Poster Presentations Reducing Call Bells on Surgical Unit
Gael Donchance
Enhancing Up-Down Communications: Establishing a Nursing Intranet Site
Laurie Madigan
Early Mobilization
Lauren Raichle
OR Inventory Supply
Nikita McCoy
Reducing the Length of Stay in the Pre-Admission Unit
Brenda Harris
Rapid Rehabilitation
Frantzces Alabre
Discharge Voiding Algorithm*
Andrew Wuthrich/Virginia Brosnon/C1 PACU
PI Specimen
Juanita Vergara
MEDS Program: Improving the Communication About Medication
Anastasiya Zhaliazniak
OR Instrumentation
Norma Vintayen, Brenda Campbell
Establishing a Bladder Protocol in a Neuro-Rehabilitation Unit
Diana Kmita, Ofelia Dolor
* Received 2013 Quality and Safety Day Award. 2012 award went to “Establishing a Bladder Protocol in a Neuro-Rehabilitation Unit,” Diana Kmita and Ofelia Dolor
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Certifications * Newly certified in 2012 ** Newly certified in 2013
AACN CERTIFICATION CORPORATION: ADULT CRITICAL-CARE NURSING (CCRN) Natividad Barrera Carla Bernich** Ella Blot Analissa Chavez Christopher Coruna Osnat Dermenzhi Christina Espiritu Nell Ferguson** Dominika Mackiewicz-Wronsk Virginia Maglanque Christina Messick Annabelle Moscoso Maria Navalta Imelda Principe Sonia Sanluis Thelma Soberano Sylvia Surowiec Jolly Thankachan Andres Villaluna
AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION, INC.: CERTIFIED AMBULATORY PERIANESTHESIA NURSE (CAPA) Pauline Buchanan Amelita Fabello Emerid Inductivo-Macasae Amalia Potian Lillibeth Suico
AACN CERTIFICATION CORPORATION: ADULT PROGRESSIVE CARE NURSING (PCCN) Larissa Marchenko** Jolly Thankachan Meghan Ward Jennifer Withall
ANCC: ACUTE CARE NURSE PRACTITIONER (ACNP-BC) Nancy Arbuah Mary Reid
AACN CERTIFICATION CORPORATION: PEDIATRIC CRITICAL-CARE NURSING (CCRN) Karen Watkins AMERICAN ACADEMY OF NURSE PRACTITIONERS: FAMILY NURSE PRACTITIONER (FNP-BC) Toufeeq Abbasi Frantzces Alabre Lizeth Anderson-Raciti Cellandia Bart Deana Bynum Daisy Cardoso Daniella Casimir Marie Colvert Eduardo del Rosario Debra Marie Jacobs Kedna Joseph-Leonard** Sonal Thakker Jacqueline Varela Berlinda Zagar
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AMERICAN BOARD OF PERIANESTHESIA NURSING CERTIFICATION, INC.: CERTIFIED POST ANESTHESIA NURSE (CPAN) Analissa Chavez* Amelita Fabello Brenda Harris Amalia Potian Imelda Principe Maria Valencia** Andres Villaluna
ANCC: ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Marissa Hurlburt** ANCC: ADULT NURSE PRACTITIONER (ANP-BC) Mauricia Alo Agnieszka Cucovic Hyeryong Green** Annie Lu Eileen Lydon Michelle Meneses Sabine Nord Patricia Taverna Meghan Ward ANCC: CLINICAL NURSE SPECIALIST IN ADULT HEALTH (ACNS-BC) Jennifer Withall ANCC: CLINICAL NURSE SPECIALIST IN ADULT PSY/MENT (ANCC-APMHN) Althea Mighten
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ANCC: FAMILY NURSE PRACTITIONER (FNP-BC) Christopher Coruna ANCC: GERONTOLOGICAL NURSING (RN-BC) Lizeth Anderson-Raciti* Fung-Ying Cheung Roman Kopinets ANCC: MEDICAL-SURGICAL NURSE (RN-BC) Sharon Brathwaite Marilyn Cacanindin* Genelene Dajay-Trinidad Micheline Dupont* Marcelina Evans-Smith* Marietta Gonzales Stacey Manigo** Iris Mare Michelle Matthews* Althea Mighten Maria Navalta Merlita Raz* Kathryna Santos Mila Tan Veronica Thomas* Chestine Ual Rex Underwood* Marilou Valdez Juanita Vergara Yiping Xu ANCC: NURSING ADMINISTRATION (ANCC-NA) Mauricia Alo Louise Comeau Linede Kraemer Mary Anne Loftus Michelle Matthews* Margery Moncrieffe-Byfield Ann Vanderberg ANCC: NURSING PROFESSIONAL DEVELOPMENT (RN-BC) Edward Creasy Althea Mighten ANCC: PAIN MANAGEMENT NURSE (RN-BC) Frantzces Alabre Dolly Chan*
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Certifications * Newly certified in 2012 ** Newly certified in 2013
CBEN: CERTIFIED EMERGENCY NURSE (CEN) Marie Colvert Richard Dorritie** CBEN: CERTIFICATION BOARD FOR EMERGENCY NURSING (CBEN) Lolita Compas Bathsheba Filler-Modi COMPETENCY & CREDENTIALING INSTITUTE: PERIOPERATIVE NURSING PRACTICE (CNOR) Mely-Rose Albano Gloria Andrade Margaret Benenati Edward Creasy J Kiernan Curley Raymond Dabak Flerinda Dalmacio Gladys Delvalle Prima Diong Hyeryong Green Winsome Johnson-Berry Linede Kraemer Marva Maffett Maria Magsalay Daniel Mall* Grace Maple Marilou Mondroy Vincent Salomson** Kyunghee Shon Tomoe Tasaka Norma Vintayen Jennifer Wagner** Erica Walsh NATIONAL BOARD FOR CASE MANAGEMENT: ACCREDITED CASE MANAGER (ACM) Lewis Freeman ORTHOPAEDIC NURSES CERTIFICATION BOARD: ORTHOPAEDIC NURSE CERTIFIED (ONC) Loradelle Abbott** Lizeth Anderson-Raciti Gloria Andrade Narina Atienza Noralyn Balanay** Keisha Ballentine* Liliya Bilenko
Veronica Thomas Mimi Ting-Yuen* Anh Tran* Rex Underwood Anwar Usman Marilou Valdez* Maryann Vargas Rosette Versailles Maria Villon-Pinon Veronica Wilson Andrew Wuthrich* Angela Yeung** Diana Zhovna
Ella Blot Veronica Bretana Marva Bruce Heidi Calabia Jing Chen Roseanne Collins Louise Comeau Samantha Dawson Cecilia Delos Reyes Ofelia Dolor Jonathan Eaton* Hopemary Egbuonu Diala Epstein Marcelina Evans-Smith Rosaria Ferranti** Fe Gamalier* Vladimir Gelman Veronica Goddard Lidia Guglielmo Flordelita Guillermo** Olga Husbands Vergie Javier* Eslene Jeanty-Mayers Winsome Johnson-Berry Ligaya Lagman Jane Lee Michael Leggs Joyce Lemon Lotoya Lewin** Regina Livshits Marva Maffett Daniel Mall Luzvisa Manas* Leonardo Marconetto Iris Mare Blanca Marichal-Williams Blanca Marichal-Williams Shirley Miller Svetlana Naftulina Maria Navalta Marilu Obdin* Ifeyinwa Oduwegwu Martha Okorouga Jin Hee Park Sunita Pathania Evangeline Perez* Merlita Raz** Julieta Reynoso* Meghan Rockey** Patricia Roesch Kyunghee Park Shon Francesca Tedesco Joy Thomas
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PEDIATRIC NURSING CERTIFICATION BOARD: CERTIFIED PEDIATRIC NURSE (CPN) Jessica Crooks Diala Epstein** Margaret Solazzo REHABILITATION NURSING CERTIFICATION BOARD: CERTIFIED REHABILITATION REGISTERED NURSE (CRRN) Dorothy Alston Keisha Ballentine Sharon Brathwaite Bishop Lilibeth De Claro Sheila Ditching Ofelia Dolor Diala Epstein Judy Ho Diana Kmita Ligaya Lagman Mary Anne Loftus Cynthia Lota Shirley Miller Rachelle Newton Marilu Obdin Ifeyinwa Oduwegwu Merlita Raz* Angelita Resurreccion Nina Sitnikova Lyudmila Soroka-Smalley Cleofe Conce Tiquia Chestine Ual* Jocelyn Velazquez-Rosado** Maria Villon-Pinon Marcia Wiltshire Diana Zhovna
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Professional Development Program CLINICAL NURSE II Keisha Ballentine Liliya Bilenko Cecilia De Los Reyes Prima June Diong Diala Epstein Marcelina Evans-Smith Amelita Fabello Heather Fisher Hyeryong Cho Green Lidia Guglielmo Melissa Hannah Vergie F. Javier Florence Jones Diana Kmita Ligaya Lagman
CLINICAL NURSE III Jane Lee Regina Livshits Marva Maffett Ofelia Magluyan-Dolor Daniel Mall Blanca Marichal-Williams Marilou Mondroy Marilu R. Obdin Bernardo Principe Francesca Tedesco Joy Thomas Rex Underwood Andrew Wuthrich Anastasiya Zhaliazniak Diana Zhovna
Gloria F. Andrade Dolly Chan Analissa Chavez Samantha Dawson Osnat Dermenzhi Divina Doctor Christina Espiritu Marietta Gonzalez Winsome Johnson-Berry Rhonda Josephs Joyce Lemon Luzvisa Manas Christina Messick Svetlana Naftulina
Virginia Pedrena Merlita Raz Veronica Thomas Anh Phuong Tran Juanita Vergara Andres Villaluna Rhesa Zarate
2013 Nurses Week Awards COMMUNITY PROFESSIONAL PRACTICE AWARD Rosaria Ferranti, BSN, RN—Unit 11th Floor EVIDENCE-BASED PROFESSIONAL PRACTICE AWARD – THE PROFESSIONAL IMAGE OF NURSING Osnat Dermenzhi, BSN, RN—SCU Christina Messick, BSN, RN—SCU EXCELLENCE IN NURSING AWARD Annie Lu, MS, ANP-BC 2013—Diabetic Foot and Ankle Center (DFAC) FRIEND OF NURSING AWARD Paul Gusmorino, MD LIFE-TIME ACHIEVEMENT AWARD Florence Jones, BSN, RN
NURSE RESEARCH AWARD Frantzces Alabre, RN,MS, FNP-BC, DNP—Pain Management Deana Bynum, RN, MS, FNP-BC, DNP—C2 PACU Rachele Burriesci, DPT Geraldine Pagnotta, DPT Ellen Rich, PhD, RN, FNP, FAANP Nursing Staff of Pre-Admission Testing (PAT) NURSING INNOVATION IN PROFESSIONAL PRACTICE AWARD COLOR OF SAFETY Osnat Dermenzhi, BSN, RN—SCU Larissa Marchenko, BSN, RN—SCU PATIENT SATISFACTION AWARD Lidia Guglielmo, BSN, RN—Unit 12th Floor Karen Clarke, NA—Unit 11th Floor
1199 Nurse of Distinction Awards NURSE OF DISTINCTION NOMINEE Keisha Ballentine, BSN, RN—Unit 9 North
PRECEPTOR AWARD NOMINEE Regina Livshits, BSN, RN—Unit 8 North
NURSE LEADER AWARD NOMINEE Eslene Jeanty-Mayers, NM, RN, BSN, ONC—Unit 11th Floor
NOVICE NURSE AWARD NOMINEE Lashanta Hollon, BSN, RN—Unit C1 OR
Quality and Safety Day Awards 2012 WINNERS Streamlining Operations Achieving Optimal Pain Management: Frantzces Alabre, Louise Comeau, Toufeeq Abbasi, Sonal Thaker, Dr. Stephanie Ho, Dr. Paul Gusmarino, Imelda Principe, Lolita Compas, and Patricia Lavin
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2013 WINNERS Operational Excellence Award Winner Voiding Criteria for Ambulatory Orthopaedic Surgical Patients: An Algorithm to Reduce Length of Stay in the PACU: Andrew Wuthrich, RN; Virginia Brosnan, RN; Imelda Principe, RN; Nancy Berger, RN; Michael Tagadaya, RN; Patricia Lavin, RN; David Albert, MD; Judith Haber, MD Regional 2013 GEM Award for Patient and Staff Management — Nurse.com Olga Husbands, MS, RN, ONC
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Nursing Leadership NYU LANGONE MEDICAL CENTER Kimberly Glassman, PhD, RN, NEA-BC Senior Vice President of Patient Care Services and Chief Nursing Officer HOSPITAL FOR JOINT DISEASES Ann Vanderberg, MA, MBA, RN, NEA-BC Vice President of Nursing and Patient Services
NURSING AND PATIENT SERVICES Executive Nursing Leadership Team Althea Mighten, EdD, DNP, APRN, BC Director of Nursing, Professional Development and Recruitment Patricia Lavin, MS, BSN, RN Director of Nursing, Quality and Outcomes Mary Anne Loftus, MS, RN, CRRN, NEA-BC Director of Nursing, Rehabilitation and Ambulatory Services Louise Comeau, DNP, MBA, RN, NEA-BC, ONC Director of Nursing, Acute Services CONTRIBUTORS TO THE ANNUAL REPORT Tristan Chery—PACU Jennifer Withall—Nursing Leadership Michelle Matthews—Nurse Educator Andrew Wuthrich—Nursing Leadership Patricia Lavin—Nursing Leadership Haidee Dirilo—Administration Ann Vanderberg—Nursing Leadership
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Hospital for Joint Diseases Department of Nursing 301 East 17th Street New York, NY 10003 nyulmc.org/hjd 212.598.6529 34
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