MUSC Catalyst 5-8-2015 by Cindy Abole

Meet Cawbble head

May 8, 2015

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 33, No. 36

2015 nurses of the year take center stage Inside resOundinG suCCess

Heart patient rings transplant bell to thank MUSC’s ECLS donor. Center wins fourth ELSO Award.

photos by Sarah Pack, Public Relations

Winners of the 2015 Nurse of the Year Excellence Awards are Kim Ohlund, from left (Integrity); Catherine Reeves (Innovation); Allison Broomall (Expertise); Diana Grant (Accountability); Eileen Sandlin (Advocacy); Ann Laber (Leadership) and Heather Adams (Collaboration). Bottom photo: Each winner was presented with an award bearing the emblem of a wrought-iron gate, symbolic of the nursing professional practice model.

By J. Ryne Danielson Public Relations

and their families for going the extra mile to meet their needs.” Pockrus spoke of the importance of ethics in nursing, laying out four fundamental principles: respect for autonomy, beneficence, non-maleficence and justice. “Respect for autonomy means respecting a patient’s independence to choose their own destiny,” Pockrus explained. “An example is a patient that decides to undergo a high-risk procedure or one that refuses treatment altogether. Like refusing a heparin shot. I wouldn’t want one either. I’m told that they feel like ants are crawling under your skin. So, you have to bargain sometimes. If you can get the patient to get up and walk five times a day, maybe they really don’t need the shot. “Beneficence implies mercy, kindness, love and humanity. It is the core principle of patient advocacy. Beneficence is contacting a physician for pain medication on behalf of a patient or fulfilling a patient’s last wish to go to the beach. “Non-maleficence means to do no harm. It is refusing an X-ray for academic purposes on a patient in palliative care who is actively

See Nurse on page 4

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Global Health MUSC pilot grants remembers iconic awarded to six civil rights leader. faculty recipients.

Campus News 2 2Applause Meet James 8 5Magnet Classifieds 1011Wellness Column

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Applause Program The following MUSC employees received recognition through the Applause Program for going the extra mile: Medical Center

Olga Stwalley, 6W; Amanda Blevins, Venipuncture; Cynthia Hull, Prenatal Well; Lisa Pinckney,Revenue Cycle; Elizabeth Williams, Venipuncture; Regina Heyward, Registr Admin; Cameron Oswald, Infection Dis; Doris Simmons, RT Child Reg; Phyllis LaBoard, RT Int Med; Robin Ackerman, RT Children’s Spec; Charles Smith, RT Phara; Jennifer Pate, RT OutptPharma; Tricia Crocker, RT Outpt Pharma; Melissa Mcfee, Children’s Services; Deborah Williams, Venipuncture; Shannon Brown, RT Transplant; Lakisha Cochran, Reg Admin; Mona Baylock, RT InternalMed; Sharon Dupree-Capers, Revenue Cycle; Tanchella Perry, Revenu Cycle; Tiombre Plair, Clinical Effectiveness; Michael Norris, ED; Andrea Rentz, PICU; Kathryn Medlin, 7E; Evenlyn Polite, ART/ Surgery; Julie Leal, Pharma; Nancy Waterhouse, Registration; Monterris Junes, Revenue Cycle; Gus Katsanevakis, ART Pharma; Brook Nitterhouse, Pediatric Child Abuse; Alysa Langan, Ped Subsp; Megan Summers; Laurie Moultrie, Meduflex Team; Tammie Williams, Revenue Cycle; Lauren Schwarz, Child Life Peds; Heather Bellamy, ART 5W; Danielle Lingard, ART 5W; Justin Ravenel, ART Concierge; John Parlor, Concierge; Brandy Olsen, Concierge; Shinika Phillips, Concierge; Carrie Moore, ART 5W; Bernice Collin, Psychiatry; Cheryl Dilligard, ART 5; Anire Manigault, Medical Records; Phyllis Randolph, DDCART 6E; Nicole Havran, DDC-ART 6E;

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723

Editor: Cindy Abole

catalyst@musc.edu Catalyst staff: Mikie Hayes, hayesmi@musc.edu Dawn Brazell, brazell@musc.edu J. Ryne Danielson, daniejer@musc.edu Helen Adams, adamshel@musc.edu Sarah Pack, packsa@musc.edu Jeff Watkins, watkinsj@musc.edu

Mautisha Jenkins, DDC-ART 6E; Priscilla Miller, Parkshore; Cynthia Brown, DDC-ART 6E; and CeCe Gillians, DDCART 6E

WalkinG FOr a Cause

University Colleen Bryant, Dental Medicine-Pediatric Dentistry; Stephanie Dors, Dental Medicine/Dental Faculty Practice; Valentina Espinoso, Dental Medicine/ Oral Rehabilitation; Lisa Fowler, Dental Medicine/Dental Faculty Practice; Wyman Gray, Engineering & FacilitiesEnergy Management; Kathleen Hood, Dental Medicine-Oral Rehabilitation; Myrtis Hooson, SCTR Institute-CTSA; Carlton Jenkins, Parking Management; Terrence Jennings, Engineering & Facilities/Maintenance; *Angie Kaufman, Dental Medicine-AEGD; Anthony Mennito, Dental Medicine-Oral Rehabilitation; Marilyn Starks, Dental MedicineDental Faculty Practice; and Alvinia Wilson, Dental Medicine/Dental Faculty Practice. *Received two nominations.

photo provided

Employees of MUSC’s Adult Respiratory Care Department raised more than $600 to support this year’s Great Strides 5K Walk for Cystic Fibrosis Awareness on May 2. The local event, which took place at James Island County Park, raised approximately $90,499. Great Strikes is the foundation’s largest fundraising event with more than 125,000 people participating nationwide. The fundraiser supports continued research and drug therapy with a goal to help patients improve their quality of life. This was the most money raised by this department in support a charity. The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.

New resource to share research successes Attention all research faculty, students and staff: Do you have exciting research news or findings that you would like to see shared with the MUSC community, other scientific institutions and/or the general public? To help increase awareness about the research successes found here at MUSC, we have created a dedicated email address through which that information can be collected and appropriately disseminated.

Send an email to research-comm@ musc.edu with some basic information about what you would like to have shared, and you will be contacted by a communications expert who will help deliver your message to the appropriate audience(s). Share this address with everyone in your research cohort and encourage its use whenever appropriate. Help spread the word out about the amazing work being done here at MUSC.

The CaTalysT, May 8, 2015 3

OT, dental students win through collaboration By PeTeR Bowman, oTD OT Division, College of Health Professions “Do dentists use the principles of ergonomics to make sure they keep good posture?” asked Karla Knuth, an Occupational Therapy student in the College of Health Professions, during a session of the interprofessional course, Transforming Health Care for the Future. Dental faculty member, Stephen Malley, DDS, associate professor of Oral Rehabilitation in the James B. Edwards College of Dental Medicine, suggested that students discuss the issue. The OT students highlighted the fact that using poor body mechanics and positioning and lack of appropriate stretching and exercising over a long period of time can cause major medical problems for dentists. At the end of the discussion, Knuth mentioned my OT elective course in ergonomics.

Many dentists in the past have needed to retire prematurely due to pain and musculoskeletal related issues. Dr. Peter Bowman As a result of this interprofessional experience, Malley and I met to discuss what interprofessional activity could be created to address ergonomic issues in both a general and preventative way in dentistry. Many dentists in the past have needed to retire prematurely due to pain and musculoskeletal related issues. Initially a simple ergonomics assessment was created to evaluate the quality of positioning by the fourth–year dental students as they cared for patients in the dental clinic. The OT students discovered that some dental students were using very poor body mechanics, especially in relationship to the forward

photo provided

Dental Medicine’s Dr. Joe Vuthiganon, assistant professor, Department of Oral Rehabilitation, demonstrates the evaluation process used between occupational therapy and dental students. head thrust, lateral tilting and rotation of the neck. Using the principles of ergonomics, the OT students identified the issues and offered suggestions for the dental students to improve their work biomechanics. Following the initial assessment, collaborators with the College of Dental Medicine asked me to provide a lecture to the first–year dental students about dental ergonomics and problems that may occur if sound ergonomics were not used. Later I added ergonomics education to the dental medicine curriculum in the simulation lab so dental students could have hands-on instruction as they began working on teeth, prior to working on patients. More recently, the course was further expanded to incorporate Rapid Upper Limb Evaluation as a component of the evaluation. Dental students now participate in pre– and post–tests on ergonomics, before the lecture class and after lab activities. A research project for the OT students uses high definition filming of dental students working on patients to enable multiple OT students

to review the ergonomics of dental students working on patients.

May is Estate Planning Awareness Month The Office of Gift Planning at MUSC has designated the month of May as Estate Planning Awareness Month on campus. Throughout May, we’ll send out a Broadcast Message with a different topic to help you learn about planning and updating your estate plan. The group can provide employees with a Will and Trust Planning Guide to help protect your estate and family. Call 792-0002 or send us an email with “Wills Kit” in the subject line. A Wills Kit will be sent to you. For an overview of wills and estate planning, view the “Wills Guide” video at: http://bit.ly/1jiKZ6P Get a head start on your planning now by visiting the Online Wills Planner by visiting the website www. muscgiving.org/willsplanner

4 The CaTalysT, May 8, 2015

nuRse

Continued from Page One

he Medical University held the Nursing Excellence Awards ceremony May 6 in Saint Luke’s Chapel to recognize its 2015 nurses of the year. The annual event kicks off Nurses Week at MUSC, which culminates May 12, in honor of Florence Nightingale, born on that day in 1820. “This week we show our gratitude for the nurses of MUSC,” said Marilyn Schaffner, Ph.D., R.N., MUSC chief nursing officer. “This week offers an opportunity to raise awareness of the value of nursing and to educate the public about the indispensable role our nurses provide.” Brandy Pockrus was the guest speaker for the ceremony. Pockrus, a 15-year employee of MUSC, started as a patient tech on 8 East, before becoming a nurse. Pockrus currently chairs the ICU emergency preparedness committee and was one of the first nurses at MUSC to become trained in the care of Ebola patients. “Brandy is known for her expert skills, critical thinking and great teamwork,” Schaffner said. “She is regularly recognized by patients and their families for going the extra mile to meet their needs.” Pockrus spoke of the importance of ethics in nursing, laying out four fundamental principles: respect for autonomy, beneficence, non-maleficence and justice. “Respect for autonomy means respecting a patient’s independence to choose their own destiny,” Pockrus explained. “An example is a patient that decides to undergo a high-risk procedure or one that refuses treatment altogether. Like refusing a heparin shot. I wouldn’t want one either. I’m told that they feel like ants are crawling under your skin. So, you have to bargain sometimes. If you can get the patient to get up and walk five times a day, maybe they really don’t need the shot. “Beneficence implies mercy, kindness, love and humanity. It is the core principle of patient advocacy. Beneficence is contacting a physician for pain medication on behalf of a patient or fulfilling a patient’s last wish to go to the beach. “Non-maleficence means to do no harm. It is refusing an x-ray for academic purposes on a patient in palliative care

photo by Sarah Pack, Public Relations

Nurses recite the Florence Nightingale pledge, a modified Hippocratic Oath, at the beginning of the 2015 Nursing Excellence Awards ceremony held at St. Luke’s Chapel. who is actively dying. It’s questioning the need for blood cultures from a patient we plan to withdraw care from the next day. “Finally, justice is the fair and equal distribution of resources, as well as the right to be treated equally. Justice is removing a stable patient from a dialysis machine to give dialysis to a critically ill patient who may die in a few hours’ time. Justice is also abstaining dying. It’s questioning the need for blood cultures from a patient we plan to withdraw care from the next day. “Finally, justice is the fair and equal distribution of resources, as well as the right to be treated equally. Justice is removing a stable patient from a dialysis machine to give dialysis to a critically ill patient who may die in a few hours’ time. Justice is also abstaining from ascertaining why your patient is incarcerated because you know the answer may alter your perception and, therefore, the care you provide. “There is a reason 80 percent of Americans rate nursing as the most ethical and trustworthy profession,” Pockrus said in conclusion. “Because we are.” 2015 nurses OF The year The Nurses Week committee selected one nurse to represent each of the seven core values of the professional practice model: accountability, advocacy, collaboration, expertise, innovation,

integrity and leadership. Each winner was nominated by his or her peers. q Diana Grant (Accountability) “Diana does an amazing job with many things,” said Heather Sodee, R.N., co-chair of the Nurses Week committee, who announced the awards. “Quality improvement, Epic, policy changes and helping the team comply with standards of care. She is willing to step up and be accountable for change. She recognizes diversity and brings diversity to the team. Her respect for others and her desire to set things right are all clear to her team. “Diana is willing to be accountable for ensuring the quality outcomes of her practice and her team. She never asks ‘should I?’ She sees something that needs to be done and does it. She will always advocate for others and push through until things change.” q Eileen Sandlin (Advocacy) “Eileen is always looking for ways to improve the exceptional care given at MUSC,” Sodee said. “Eileen serves on many committees, unit-based and hospital-wide. She is an active participant in our unit journal club, a co-founder of our Mentorship Program, chair of our ambulation committee and chair of our hand washing committee. She is our hand washing champion and her commitment and enthusiasm have aided our team in successfully increasing our hand hygiene compliance rates from below 80 percent to consistently above

95 percent. Her dedication has an immense impact on patient outcomes. Eileen’s scope of influence is farreaching. She has been a tremendous asset to our unit and to the entire organization.” q Heather Adams (Collaboration) “Heather exhibits the qualities and spirit of collaboration in her daily interactions with her patients, families, coworkers, and interdisciplinary team members. Some of the criteria for nominating a nurse in the category of collaboration include: expert communication skills, working to enhance the team’s functioning to benefit care and contributing to interdisciplinary success. She approaches every interaction with the genuine belief that everyone involved in the patient’s care has the best intentions. This positive attitude creates the environment conducive to collaboration from all care givers. Heather embodies all of these standards every single day she walks in the doors of MUSC,” Sodee said. q Allison Broomall (Expertise) “As the stabilization coordinator, Allison has collaborated with Labor and Delivery to improve the workflow and communications between teams,” Sodee said. “She is also a steadfast patient advocate. She encourages her families to attend rounds and participate in care planning for the baby. She patiently answers their questions and allays their fears. She comforts them when there are bad days and celebrates with them when there are milestones. As a preceptor she consistently teaches and coaches her charges as they grow into seasoned NICU nurses. She offers them the opportunity to accompany her to deliveries and learn to care for these babies from minute one forward. She introduces them to other team members whose patients offer additional learning opportunities. She is a recognized resource, mentor and leader.” q Catherine Reeves (Innovation) “Catherine had only been a nurse for a little over two years when she started as a new graduate in the PCICU. When Catherine is given a task, she excels and goes the extra mile,” Sodee said. “One of our intensivists asked for her help on a project to improve family education and the understanding of a complex population. This physician works with patients between their first surgery for single ventricle cardiac defects and their second surgery. This period

The CaTalysT, May 8, 2015 5

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Transplant bell has a mighty good ring By mikie hayes Public Relations It was 3 p.m. and the crowd of nearly 30 people was gathering quietly on 4 East in Ashley River Tower. Medical staff, transplant representatives, guests and visitors from other patient rooms, curious to know what was happening, patiently awaited the arrival of the guest of honor, Antonette Peoples. Peoples, seated in a wheelchair, peeked from around a corner. Closely flanked by family members, the procession made its way down the hall and stopped at the nurses’ station where the transplant bell, beckoning to be rung, hung on the wall as a symbol of triumph. Tears welling up in her eyes, Peoples carefully surveyed the crowd, holding a bright red heart pillow tightly to her chest that had been signed by those who supported her through her journey. You make a lot of friends in two and a half months, especially when you’re as warm and outgoing as she is. Peoples had been at MUSC since February 13, praying for a new heart — one that would allow her to live again. In that time, she made a lot of friends. Between family members who numbered so many they barely fit in her hospital room, and the

Dr. Meredith Brisco and Ms. Peoples hug after a long day.

MUSC staff who had become like family, she had an awful lot of support through an incredibly trying time. On this day she would need every bit of that support to get through what would be a particularly emotional event – ringing the transplant bell. Seventeen days out from her heart transplant, physically she was feeling great, but emotion had the best of this strong woman who for 27 years served her country both in Desert Storm and later for two years in Afghanistan. It has become a tradition at MUSC for new transplant recipients to ring the transplant bell once they are doing well. Patients do this to celebrate the gift of life they have received, but also to honor the soul of their donor. This tribute symbolizes the start of their new life. Her doctor, Meredith Brisco, M.D., assistant professor in the Division of Cardiology, welcomed guests to Peoples’ bell–ringing ceremony. Her affection for her patient was unmistakable. Together they had been through a long ordeal and were now on the other side. Brisco reached down to hug Peoples, who clutched her back — as if for dear life. There was hardly a dry eye on the entire hallway, and the program had not even begun. “I thought I was going to be fine until that,” said Brisco, as she dried her eyes. “Our transplant program has been through a lot, particularly since I arrived and joined this wonderful group of people. Everyone here has really worked hard to make our program the best possible transplant program, and in our efforts and plans to reopen, I really cannot think of a better first recipient than Ms. Peoples.” “This woman is someone to be admired,” she continued. “She first came to me in January, having had a very fruitful life and providing very significant service to our country both here and abroad. Then, she went from playing basketball to really not even being able to walk — she battled and deteriorated quickly, but it was the care of all the people that have come here to support her, as well as the love and support

photos by Sarah Pack, Public Relations

While family looks on, Antonette Peoples rings the transplant bell in celebration of life and in honor of her donor. Antonette Peoples hugs her “heart–to– heart” pillow and cherishes all the signatures on it.

of her family, that really made this transplant possible.” Referring to the transplant or “ship’s bell” that Peoples would soon ring, Brisco explained that the bell had been donated by Janice Crosby and her family to honor their family member, Woody Crosby, who was given a second chance at life because of his organ donor, Nichole Carroll. Reciting the favorite Bible verse of the Crosby family has become an integral part of the bell ringing ceremony, and Brisco, five sisters and a sister-in-law spoke Philippians 4:13 in unison: “I can do all things through Christ who strengthens me.” Brisco read from the plaque that sits above the bell. “Sailors feel that a bell is the soul of the ship. The bell is rung

onboard ships to signal accomplishment, honor or momentous events. You are ringing the bell for another soul: that of the person whose decision to donate has allowed you a new start and has given you the gift of life. Please cherish this memory and use it to remind you to honor your donation by living life to the fullest and taking care of yourself and your transplant — as I know you will. Help those who are still on the waiting list by spreading the word about transplantation and organ donation, volunteering and setting an example that organ donation is ‘the Gift of Life.’” Peoples took a moment to get to her feet. She took hold of the bell pull with all her might. She heartily rang the bell four times to applause and tears. “I want

See Transplant on page 9

The CaTalysT, May 8, 2015 7

Civil rights icon remembered for her grit, determination By mikie hayes Public Relations

ary Moultrie, one of Charleston’s most prolific civil rights voices, died April 28, and on that day, Charleston lost a champion for equality and justice. For a new generation of students, Ms. Moultrie may be a name from a bygone era, but for those who knew her or her legacy, her message is alive and well. MUSC President, David Cole, M.D., FACS, feels strongly that her contributions continue to lead to positive changes at the very place to which she once brought national attention. “Mary Moultrie stood courageously more than 40 years ago to see that a change would take place — a change that would ensure fair treatment and respect for all health care workers. As we look across the tremendous activities and impacts coming from MUSC's commitment to diversity and inclusion, we can certainly take a moment to say thank you to Ms. Moultrie whose work lives on through the legacy of change that she started.” Ms. Moultrie may be best remembered for her role as a lead organizer of the 1969 hospital strike. She led nearly 400 workers off their jobs at what was then called the Medical College Hospital as well as neighboring Charleston Memorial Hospital. The issues at hand were better working conditions and higher pay for minority employees. The group of strikers was comprised of mostly black women. Medical Center CEO Patrick Cawley, M,.D., knew Ms. Moultrie personally and recalls her commitment and tenacity with great respect.“This past week, the Charleston and MUSC communities lost one of their great iconic ladies, Mary Moultrie. When I first came to Charleston about 12 years ago, I became familiar with the hospital strike of 1969. If you are not acquainted with this event, it is easy to find information through an internet search, but I encourage you to read Mary's interview directly in the Southern Oral History Program Collection at the University of North Carolina–Chapel Hill.” Cawley believes that her interview tangibly demonstrates the depth of her true character. He took a moment to describe a few of the many positive traits he saw in her. “I had the chance to meet Mary several times over the past 12 years,” he said, “and none of those qualities had dissipated. She continued to be passionate about civil rights and workers everywhere. The qualities that struck me most about her were her courage and persistence, and her leadership and patient advocate skills.” He also pointed out that in addition to her phenomenal presence as a leader and organizer, she was one of MUSC's first advocates of high reliability and patient safety. “If you read Mary's interview, you see that she was moved not only by civil rights issues, but she was horrified that one of the nurses refused to do a patient handoff — when one health care professional

photo provided

Mary Moultrie, second from left, is joined by Coretta Scott King and others as they march arm in arm during the 1969 strike.

photo by Anne Thompson, Digital Imaging

Mary Moultrie at the 2013 ceremony to unveil a marker commemorating the 1969 hospital workers strike in Charleston. provides pertinent information about a patient to another provider — to her because she was black. She spoke up and said it wasn't right. Today at MUSC, we advocate the principles of patient safety culture and high reliability. One of those principles is speaking up and reporting patient safety events, but it takes a Just Culture to ensure this happens.” A Just Culture creates a fair and safe environment where all employees feel at ease to report problems, including errors and mistakes, because it strikes a balance between the extremes of a punitive culture of blame and a blame–free culture. Cawley believes this is a principle Ms. Moultrie would have championed. Mary Moultrie made an indelible impact on Cawley and the way he sees the future. “Mary spoke up at a time before we had this deeply ingrained culture, and her courage should be celebrated. In fact, we will do just that in 2016, when we officially recognize our annual MUSC Patient Safety Day as Mary Moultrie Patient Safety Day at MUSC.” MUSC Advisory Council for Diversity and Inclusion member, Kaye Lingle Koonce, first met Mary Moultrie in 1982 when she was writing her senior thesis about the hospital strike for law school. She fondly recalled learning so much from her. “Ms. Moultrie was generous with her time and she provided me with unvarnished insights about her own critical role as well as the personal dynamics of many folks involved in the strike. I was struck by her courage and determination in the face of such harsh circumstances and consequences, primarily due to the racism and sexism that she, and so

many others, endured.” A time of great strife in the civil rights era, Ms. Moultrie and 11 others had been fired after they contacted a health care union in New York to discuss the possibility of unionizing. Those firings became the impetus for the strike that began on April 25, 1969 and lasted 113 days. Thousands of protesters came to the Charleston peninsula to support the strikers, none perhaps more famous than then recently–widowed Coretta Scott King, wife of the Rev. Martin Luther King Jr. College of Medicine Dean Emeritus and Distinguished University Professor Layton McCurdy, M.D., worked at what was then known as the Medical College during the strike and developed a friendship with Ms. Moultrie. To honor her memory and a relationship he recalls fondly, he provided a bird’s eye view of the events as they took place in 1969 and how they played out. “I met Mary at the end of the MUSC Hospital strike of March 1969. I was chairman of Psychiatry when it was located on the 10th floor of the University Hospital. During that time, there weren’t any strikers from the 10th floor. Strikers were from other areas around the hospital,” he explained. “Our challenge was to keep the hospital running — providing patient care.” McCurdy described how then–MUSC President Dr. William McCord, who served from 1964 to 1975, had promised non–striking employees that MUSC would never hire back the strikers. This, however, was not to be the case. In fact, it was South Carolina Gov. Robert McNair who came to Charleston and met with then–Academic Vice President Dr. James Colbert and negotiated the settlement which ended with MUSC hiring back the strikers. “Mary was known as one of the leaders and most visible persons connected with the hospital strike,” McCurdy said. “It was debated which area of the hospital would best support and be the safest for Mary as she returned to work.”

See Icon on page 12

8 The CaTalysT, May 8, 2015

Nurses training hard for Magnet designation By J. Ryne Danielson Public Relations

pring training: a time to fill holes in the roster and make sure the best players are in the best positions. It conjures up the scent of fresh-cut grass in the outfield, a warm breeze and the crack of bats as teams prepare for another season and the long road to the World Series. For baseball teams, it means a fresh start, the chance to try out novel strategies and test players anew, probing their weaknesses and pushing their strengths to the limit. But a different kind of spring training is currently underway at MUSC. In August 2014, the Medical University submitted an application to the American Nurses Credentialing Center’s Magnet Recognition Program. Today, nurses across the enterprise are preparing for the final step in the designation process — a site visit scheduled for July 20 to July 23. “It is a really big deal,” said Andrea Coyle, R.N., Magnet Program manager. “Once we are designated a Magnet Hpospital, we’ll be one of 410 hospitals in the entire world that have this prestigious designation.” A subsidiary of the American Nurses Association, the ANCC promotes excellence in nursing and health care through internationally recognized credentialing

photo provided

Nurses Elizabeth Boyle, left and Joy Ross follow best practices in PCICU — a cornerstone of shared governance. programs. The Magnet Recognition Program is the ANCC’s most prestigious distinction, awarded to health care organizations that strive for quality patient outcomes while providing safe and positive work environments for employees across the entire institution. One of the keys to a positive work environment, Coyle said, is a shared governance structure. “We have to outperform in quality measures — nurse engagement and satisfaction and patient satisfaction.

But, shared governance, founded on the cornerstone principles of partnership, equity, accountability and ownership, is truly the foundation of a Magnet Hospital. It’s a way of giving everyone a voice in how decisions are made,” said Coyle. For example, she said, nurses are responsible for reviewing and analyzing the latest research in their respective fields, identifying best practices and then putting those practices into use, ensuring consistency throughout the organization. Coyle had a fun idea to get hospital staff excited about the opportunity to achieve the Magnet designation. “We’ve decided to go with a baseball theme,” she said. “Monday, April 27 was opening day, and there are 12 weeks until what we’re calling the World Series, July 20-23, which is when the surveyors get here. We’ll have three weeks of spring training, which is going on right now. We’re warming up the teams, talking about the language, talking about the plays, identifying our all-stars and getting our team’s lineup. “Then we’ll have nine innings leading up to the site visit. We’re going to make it really fun and have a 7th inning stretch with hotdogs, root beer, popcorn and cracker jacks to prepare us for the final push in the last two innings.”

See Magnet on page 11

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The CaTalysT, May 8, 2015 9

to thank everybody,” she said, wiping the tears from her face. “I love everybody. You saved my life. MUSC saved my life. It took me 19 years to save my life, so I want to thank everybody. God is great. Dr. Brisco means everything to me. She took me off the street and brought me from where I was playing basketball and told me I’d play again. I want to thank everyone from the bottom of my heart.” “Your new one,” cardiologist Michael Craig, M.D., added. “Yes, my new one,” she replied to laughter from her audience. “You just don’t know how grateful I am. It took the last 45 days to get it together in that room to know how much life means to me. I appreciate that I get to go home tomorrow.” Peoples was the first patient to undergo a heart transplant since the adult transplant program closed for nine months last May to review its processes, procedures and outcomes — actions that, according to Darcy Kalles R.N., administrator of the Heart and Vascular Service Line, many centers around the U.S. are conducting. Following a rigorous inspection of its policies and protocol, the program is again in full swing. During her 76 days at MUSC, Peoples had touched many people on her medical team who were pulling for success. They were thrilled with her progress, but her departure the next day would be bittersweet. She had made an impact on their hearts. Brisco said, “We are so ecstatic for Ms. Peoples. She is an extraordinary woman. She was very sick when I met her in January, and we determined very quickly that she would need a heart transplant. And here she is today, ringing the bell and going home tomorrow.” Speaking highly of Peoples and her resilient spirit, Hwajoo Haynes, heart transplant coordinator, agreed with Brisco. “Ms. Peoples is a disciplined individual and will be compliant with post–transplant follow–up regimen. Also, she has strong will toward a successful outlook.” John Ikonomidis, M.D., Ph.D., the Horace G. Smithy Professor and chief of the Division of Cardiothoracic Surgery, performed Peoples’ transplant surgery. He too was touched by her will and upbeat attitude and is pleased with how

well she is progressing. "Ms. Peoples possesses great optimism and a positive spirit regarding her heart disease. She is a wonderful patient to take of, and I believe that she will do very well." There had been moments of doubt. It’s not uncommon for transplant patients to go through a range of emotions before and after surgery. They can often feel overwhelmed, depressed, or worried about complications. Peoples recalled a moment when that was the case. There was a day not that long ago when she wasn’t sure she could go on. “The truth is,” she confided, “the day of my surgery, I gave up. I was tired, I gave up that morning.” That type of frustration is not unusual, according to Adrian Van Bakel, M.D., medical director of the Van Bakel MUSC Heart Transplant Program. Waiting for a transplant can be a very emotional journey for a patient, “There is a great deal of anxiety — are they a good candidate for a transplant, will they receive a heart in time, will they survive the procedure?” But her sisters weren’t about to let her stay down. They all chimed in, explaining how they motivate her to keep up the fight. Linda Mack said, “We’d pray and tell her she has to fight.” The other sisters nodded in agreement. “Then Dr. Van Bakel came in,” Peoples explained, “and said we have a heart for you.” Her eldest sister, Yvonne Washington, added, “We were all screaming and thanking the Lord.” “My family was there for me,” Peoples said, “I was OK, I got a second chance. We were blessed.” Ringing the bell is a very meaningful symbol of triumph for transplant patients at the end of a very long road and that was true for Antonette Peoples. This was a special occasion she will never forget. “To ring that bell? I start over. It’s a new beginning. I’ll play basketball in January. That’s OK, I can wait until January.”

2015 humaniTas reveal

photo by Anne Thompson, Digital Imaging

College of Medicine student David Williams poses by his winning photography piece, “Pelican Sunrise” as part of other photo features and writings prepared for the 2015 Humanitas Reveal celebration on April 23. The event was hosted by the Humanitas editorial staff and faculty advisors. Humanitas, the university’s literature and arts journal, celebrates and honors the artistic accomplishments of MUSC students, staff and faculty. For more information about Humanitas, visit http:// academicdepartments.musc.edu/humanities/humantias. htm.

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10 The CaTalysT, May 8, 2015

Hey MUSC: May is a month to get out and get active The Office of Health Promotion invites you to spring into action this month. Shake off the winter blahs and enjoy these programs and offerings designed to promote a physically active lifestyle. q Adventure Out – now in its third year, this opportunity to take outdoor fitness classes in city parks taught by MUSC Wellness Center instructors for the price of a $10 t-shirt has been expanded to a year-long program. www.musc.edu/adventureout q Fit Family Challenge — a free lifestyle program offering South Carolina families classes, expert advice and nutrition tips. Enter daily activities and healthy habits to earn points and win prizes. Register today at www.myfitfamilychallenge.com. q Run Forrest Run — “Lead by Example” and join MUSC for our first group run at the Run Forrest Run 5k race! The course begins in front of “The Joe” and finishes at home plate where runners will be greeted by RiverDogs players and Charlie T. RiverDogs himself. Enjoy the pre-game awards ceremony during the postrace dinner on Doby’s Deck. Kids 3 and under are free. For all others registration includes a race packet, T-Shirt (while supplies last), dinner, awards ceremony and a ticket to the RiverDogs baseball game vs. the Greenville Drive. Free MUSC T–shirt, water bottle, pedometer and race discount for MUSC Team runners. Email musc-empwell@musc.edu

Health at work Susan Johnson

Matt Poole 843-830-0027

for more information on registration and to sign up for the MUSC team. q MUSC Fitness Park — permanent fitness equipment located behind the Bioengineering Building available anytime. Directions for use and instructions on the Greenway Garden Circuit are posted. It’s perfect for those who want to fit in a workout during a break. q Flight for Fitness — take the stairs instead you’ll add years to your life and life to your years. Add this component to a walk around the MUSC Medical Mile for an extra

cardio boost. q MUSC Urban Farm —Weekly sessions provide both seasoned and novice Farm friends the opportunity to engage in hand-on learning about nutrition, sustainable urban agriculture at this living classroom on the MUSC campus. www.musc.edu/urbanfarm.

Employee Wellness

q May Monthly Mindful Challenge — Take a wellness break outdoors: walk around campus, find meditation spots, etc. To begin, take the challenge’s first survey at http://tinyurl.com/kahlnro. A link to the final survey

will be sent at month’s end to those who take the first survey. q Worksite Screening — Friday, May 22, University hospital, 2 West classroom. Screening is valued at $350 to employees with the State Health Plan. Employees and spouses without this insurance can participate for $46. For information, visit musc.edu/employeewelnnes s/2015WorksiteScreening. Click on the link provided. q Chair massages — Free massages are offered to employees midday on Wednesdays. Check broadcast messages for locations and times. q Farmers Markets — Fresh fruits and vegetables are available from local farmers on Fridays from 7 a.m. to 3:30 p.m. at the Horseshoe.

MUSC Wellness Center

q Congratulations to all participants who recently completed the Healthy Charleston Challenge. They lost a combined total of 1,479.6 lbs. since January, which makes the grand total of pounds lost through HCC 33,145.9 lbs. We are so proud of their hard work and commitment to living a healthy lifestyle. There will be a special five–week Healthy Charleston Challenge Mini Camp this summer from May 21 to June 25. For information about either opportunity, stop by the Membership Desk or visit www.musc.edu/hsc or call 792-5757 for fee information for all programs.

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magneT

Continued from Page Eight

While the focus is on nurses, Coyle stressed, the designation is awarded to the entire organization. “It takes nurses, physicians, environmental services, dietary, the people in parking, volunteers, everyone to function as a team and make this organization worthy of the designation,” she said. “This designation says MUSC as an organization has a healthy work environment and provides quality, patient–centered care with great outcomes.” Coyle is excited for the arrival of the “visiting team” in 12 weeks. “Right now we’re meeting with leaders across the organization and setting priorities. In inning one, we’re going to do mock surveys, asking questions like, ‘How do we, as a team at MUSC, keep our patients safe?’ ‘What processes do we have in place to keep our staff safe?’ There’s been a lot of work to get us to this site visit.” A Magnet hospital designation is important, Coyle explained, “because our patients will have better outcomes; our nurses will be more satisfied; it will help recruit and retain the best health care partners; and it gains market share in the community because consumers

are familiar with and seek out Magnet hospitals for their health care. It really boosts the bottom line.” Coyle said that MUSC President David Cole, M.D., FACS, and Medical Center CEO Patrick Cawley, M.D., have been proponents of pursuing the Magnet designation. Cawley “Dr. Cole and Dr. Cawley have advocated for the Magnet designation to the MUSC board of trustees, and it is a part of the strategic plan. They are both physicians and understand the trusted relationship between nurses, physicians and everybody on the health care team,” she said. “Health care is so complex, in order to maintain market share and remain competitive at the state and national level, we have to be a Magnet-designated hospital. We should be excited as an organization and welcome the surveyors when they come because it’s really a huge deal.”

12 The CaTalysT, May 8, 2015

iCon

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As a nurse’s aide, she was place on the 10th floor of the hospital in the psychiatry unit. According to McCurdy, other notable people supported her during the strike, including Andrew Young and the Rev. Henry Branch. They escorted her on a tour to check out the 10th floor unit prior to Ms. Mary’s return to work. “She did a great job working with us and worked well with patients,” McCurdy recalled. “She also continued to let it be known that MUSC had to make things more equal for minority employees. She was never satisfied with just standard outcomes, which was one of her strengths, I thought. She kept pushing for improvements.” In 1974, Colbert and psychiatry floor head nurse Martha Jean Sloan were killed in a plane crash in Charlotte. McCurdy described how Ms. Moultrie wasn’t sure if she wanted to continue working at MUSC, as she missed her friend and colleague, who also served as a support system. She left her job and began working for the City of Charleston. McCurdy said, “We kept up with our friendship, and later she told me that MUSC often discriminated against African–American employees, and we did.” Their friendship continued. “In 1980, I had moved and worked in Philadelphia and returned to Charleston in 1990 as MUSC dean of the College of Medicine. Mary called me occasionally for help as she was getting her health care at MUSC. She’d talk to me about issues she’d experienced, and I’d help assist her. In turn, she'd invite me to visit her, as she worked with community centers on the east side of downtown Charleston.” On Oct. 1, 2013, the Preservation

Society of Charleston unveiled its final modern Civil Rights era historic marker on MUSC’s campus near the Waring Library, honoring and memorializing the struggle of the strikers and employees who felt marginalized during that time. Ms. Moultrie was on hand to speak at the event. “At the 2013 hospital strike marker unveiling on campus,” McCurdy recalled, “I greeted her and asked her about her thoughts on how MUSC was doing with their diversity and inclusion efforts. She said MUSC was doing better, but needed to continue making progress. I saw her periodically until her final days. Mary was a bright light who stood for better equality for all African–Americans. She never quit that, to this society's benefit.” “Mary and I would have occasional conversations about everyday things. We talked about progress but she never gave up her opinion about the need for unions as an outside force to keep things moving. I didn't agree with her about that. I often reminded her about the progress MUSC has made in in recruiting more African-American students in the College of Medicine. She said it was good but again emphasized how the institution needs to keep moving forward. She never belittled MUSC's progress in diversity work, but she believed that the institution could get more work done.” McCurdy agrees with Cole and Cawley that diversity and inclusion are important priorities. “I'm proud of the university's progress with diversity especially among African–American students, employees and staff. We need to continue working hard on this because it’s the right thing to do, and at the same time, it honors the memory of Mary Moultrie and those who fought to move things in the right direction.” Mary Moultrie joins Dr. Layton McCurdy at the 2013 historical marker unveiling. Today, MUSC’s College of Medicine ranks ninth in graduating the most African-American MDs in the U.S.

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