Nursing Professional Development FY'17

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N u r s i ng

Professional Development F Y ’1 7 A n n u a l R e p o r t


Kathleen G. Burke, PhD, RN, CENP, FAAN Corporate Director, Nursing Professional Development and Innovation Co Director, Continuing Interprofessional Education

This nursing report offers a glimpse of the many different programs and unique learning experiences from the past fiscal year for our Penn Medicine nursing staff. You will see examples of innovative learning experiences, including interprofessional education, use of simulation in the classroom and in the clinical setting and the use of standardized patients, and hear from the nurses that have benefited. Through the innovative educational programs and advanced learning tools at the Penn Medicine Center for Innovation and Learning, nurses are given the opportunity to learn, discover and create to advance excellence in patient care! Enjoy!


Table of Contents Nursi n g at P enn M edici ne . . . . . . . . . . . . 2

Ro le Deve l o pment . . . . . . . . . . . . . . . . . . . 22

Nursing Leadership

Nursing Excellence Awards

Nursing Professional Development Leadership

Nurse Residency at Penn Medicine

Nursing Professional Development Executive Advisory Council and Educator Committee

Distinguished Nurse Clinician Academy

Nursing Professional Development (NPD) Practice Model

C o l l a b o r at i ve Pa rtner sh i p s . . . . . . . . . 32

Welco me La n cast er Gene ral Health . . 7

Interprofessional Education

Academic Partnerships

Ori entatio n/Onboardi ng . . . . . . . . . . . . 8

Re se a r ch/ E v i den c e- b a se d P r a c t i ce / Q u a l i t y Impr o vement . . . . . . . . . . . . . . . . 36

Nursing Orientation at Penn Medicine

Learning Needs Assessment: Implementation

Nursing Leadership Development Education Series

Course Summary Data

Certification Review Courses

New eLearning Courses

C ompe ten cy Ma n agemen t . . . . . . . . . . . 12

Certification Incentive Programs

Domains of Nursing Practice

Educatio n . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Penn Medicine Continuing Nursing Education Offerings Electronic Medical Record Ambassador Support Penn Chart Select New Courses

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report 

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Nursing Leadership a t P enn M edicine

Jim Ballinghoff MSN, MBA, RN, NEA-BC Chief Nursing Officer, Associate Executive Director Penn Presbyterian Medical Center

Assistant Dean of

Clinical Practice University of Pennsylvania School of Nursing

Angela R. Coladonato, DNP, RN, NEA-BC Senior Vice President, Nursing and Chief Nursing Officer Chester County Hospital

Assistant Dean of Clinical Practice University of Pennsylvania School of Nursing

Mary Del Guidice, MSN, BS, RN, CENP Chief Nursing Officer Pennsylvania Hospital

Assistant Dean for Clinical Practice Senior Fellow of the Center for Health Outcomes and Policy Research University of Pennsylvania School of Nursing

Sandra G. Jost, PhD, RN Chief Nursing Officer and Associate Executive Director

Lanyce Roldan, MSN, RN Senior Vice President and Chief Nurse Executive

Jean Romano, MSN, RN, NE-BC Chief Nursing Officer

Lancaster General Health

Regina Cunningham, PhD, RN, NEA-BC, FAAN Chief Executive Officer Hospital of the University of Pennsylvania

Assistant Dean for Clinical Practice, Adjunct Professor of Nursing University of Pennsylvania School of Nursing

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N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

Barbara Prior, MSN, RN, NE-BC Associate Executive Director CPUP Clinical Operations Clinical Practices of the University of Pennsylvania

Penn Home Care and Hospice Services

Good Shepherd Penn Partners


Nursing Professional Development L e a d e r s h i p a t P enn M edicine Kathleen G. Burke, PhD, RN, CENP, FAAN Corporate Director, Nursing Professional Development and Innovation Co Director, Continuing Interprofessional Education

Beverly Drake MSA, BSN, RN-BC Director of Nursing Education

Penn Medicine

Chester County Hospital

Sara Holland DNP, RN Director of Nursing Education and Research Penn Presbyterian Medical Center

Penn Medicine Institute

Ann Marie Pettit MSN, RN Nursing Professional Development Specialist The Specialty Hospital at Rittenhouse

of Rehabilitation Medicine

Good Sheppard Penn Partners

Penn Home Care

Kelly Gallagher MSN, RN Director, Nurse Residency Program

Cynthia Richardson MSN, RN-BC Director, Nursing Program Development

and Hospice Services

Penn Medicine

Tanya Carmichael, MSN, RN, RNC-OB Director, Nursing Education Pennsylvania Hospital

Mary Denno, MSN, RN, NE-BC Director, Professional Practice and Professional Development

Chelsea Flick MSN, RN, PCCN Nursing Professional Development Specialist

Shirley Heisey, MBA, MSN, RN, NE-BC Director Lancaster General Health

Penn Medicine

Beth Smith MSN, RN-BC Director, Nursing Education, Innovation and Professional Development Hospital of the University of Pennsylvania

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CHAIR:

Professional Development

Kathleen G. Burke, PhD, RN, CENP, FAAN Corporate Director, Nursing Professional Development and Innovation Co Director, Continuing Interprofessional Education

E x ec u ti v e Ad v i s o r y C o u ncil ( P D E A C )

Meets monthly to align best practices and resources in nursing professional development and education across Penn Medicine to support the strategic mission and initiatives of UPHS. N ame

Cr edenti al s

T itle

E ntity

Frances Amorim

MSN, RN, CCE

Coordinator, Clinical Education

Villanova University

Kathleen Burke

PhD, RN, CENP, FAAN

Corporate Director, Nursing Professional Development and Innovation

Penn Medicine

Tanya Carmichael

MSN, RN, RNC-OB

Director, Nursing Education

Pennsylvania Hospital

Mary Denno

MSN, RN, NE-BC

Director, Professional Practice and Professional Development

Penn Home Care and Hospice Services

Beverly Drake

MSA, BSN, RN-BC

Director of Nursing Education

Chester County Hospital

Jon Esposito

MSN, RN, CCRN, CCT

Director of Clinical and Community Relations

Widener University School of Nursing

Kelly Gallagher

MSN, RN

Director, Nurse Residency Program

Penn Medicine

Shirley Heisey

MBA,RN-BC

Director

Lancaster General Health

Sara Holland

DNP, RN

Director of Nursing Education and Research

Penn Presbyterian Medical Center

Gretchen Kolb

MS

Director, Learning Innovation

Penn Medicine Academy

Susan Kristiniak

DHA, MSN, RN, AHN-BC, NEA-BC

Associate Director for UPHS Palliative Care

Penn Medicine

Annemarie Pettit

MSN, RN

Nursing Professional Development Specialist

Good Shepherd Penn Partners

Cynthia Richardson

MSN, RN-BC

Director, Nursing Program Development

Penn Medicine

Beth Smith

MSN, RN-BC

Director, Nursing Education, Innovation and Professional Development

Hospital of the University of Pennsylvania

Annemarie Walsh-Brennan

PhD, RN

Rhonda Zaleski

MS, RN, CHPN, SPHR

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Practice Professor of Nursing, Department of Biobehavioral and Health Sciences Corporate Director, Clinical Talent Acquisition and Workforce Planning

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

University of Pennsylvania School of Nursing Penn Medicine


P enn M edicine N u r s in g

Professional Development/Clinical Nurse Ed u c a t i o n Sp e c i a l i s t

Over 50 Penn Medicine Nursing Professional Development Specialists, Nurse Educators and Clinical Nurse Education Specialists meet quarterly to align best practices, plan and evaluate education strategies.

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Nursing Professional Development at Penn Medicine is based on an evidence-based practice model from the Association for Nursing Professional Development.

July 2016

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N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report


W e lcome

Lancaster General Health

Par ticipated In: | Clinical Nursing Excellence Awards | N ursing Shared Governance Leadership Series | N ursing Professional Development Meetings | Certification Review Courses

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report 

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O r i en tat i o n / On b o a r d i n g Nursing Orientation at Penn Medicine Nursing Leadership Development Education Series

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Nursing Orientation

a t P enn M edicin E

Number of Attendees for Nursing Orientation* 880 875

welcomed a total of

870

to the downtown campus in FY’17

865

855

852

850 845 840

is by far the best program

Represents a

860

FY’17

Nurses

Great energy overall, this

FY’16

877

Number of Attendees

Penn Medicine

877

2.9%

I’ve been through.

increase in number

—Penn Medicine Nurse,

of attendees from FY’16 to FY’17

Fiscal Year

* Excludes data from Chester County Hospital and Lancaster General Health

O r ient a ti o n J u ne 2 0 1 7

Nursing Orientation at Penn Medicine aligns with Penn Medicine Blue Print for Quality & Patient Safety.

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N u r s in g L e a de r s hip D e v el o pment

Ed u c a t i o n S e r i e s This program attended by Nursing Shared Governance Leaders was designed for clinical nurse leaders at the bedside to participate in an advanced leadership education program.

Program Titles: 

I mpact through Influence: Improving Communication To Advance Leadership

T he Teamwork and Disruptive Behavior Imperatives

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A total of

36

pa r t i c i pa n t s represented each entity.


W hen a s ked :

“How have you, or how do you plan to, use what you learned from this program beyond your role on a shared governance council?”

Through the exercises and content provided in this program I have looked closer at areas where our council is not functioning as well as it should. From this, changes were made, including restructuring our council to focus on our goals, as well as new projects that impact Lots! Managing disruptive

patient care. — N ursing Leadership Development Education Series Participant

employees; bargaining; managing meetings; understanding healthcare dynamics and current financial predictions. In general it has helped give me the background to feel that I can continue to be a part of a larger team and can be a resource for others. — Nursing Shared Governance Leadership Council Chair

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C o mpe t en c y M a n a g emen t Cer tification Incentive Programs Domains of Nursing Practice

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P enn M edicine N u r s in g

Sp e c i a l t y C e r t i f i c a t i o n P r o g r a m s Penn Medicine offers 9 different

240 nurses attended the review courses: 

nursing certification review courses.

ost Anesthesia Care P – CPAN/CAPA

C ritical Care – CCRN

N eonatal Intensive Care

I npatient Obstetrics

O perating Room – CNOR

E mergency Nursing – CEN

Medical Surgical

P rogressive Care – PCCN

in attendees from FY’16 (176)

prior! I feel this program will

O ncology – OCN

to FY’17 (240).

definitely prepare me for the CPAN.

Represents a

36

% increase

Excellent review not only on content but how to approach exam & study

—Penn Medicine Nurse,

NOVEMBER 2016

Wonderful course and presenter. Very knowledgeable and made the course very interesting. Great books that broke down the info. —Penn Medicine Nurse,

Ap r il 2 0 1 7

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Penn Medicine Nursing continues to partner with the American Nurses Credentialing Center (ANCC) and the Oncology Nursing Certification Corporation (ONCC) to help nurses achieve specialty certification by reducing test-taking anxiety and eliminating financial barriers!

SUCC ESS PAYS ™ : an ANCC Program In FY’17, 53 nurses obtained certification with this program.

The Success Pays Program helped me to achieve my specialty certification, which allowed me to demonstrate expertise in my role as a Nursing Professional Development Specialist. —Penn Medicine Nursing Professional Development Specialist

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N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

O NCC FREETAKE Launched May, 2017


Domains of Nursing Practice Following extensive work and research, the UPHS Council for the Advancement for Professional Practice (CAPP), developed 8 new evidence-based practice domains focusing on patient safety and quality improvement.

8 New Evidence-Based Professional Practice Competencies

Continuous Quality Improvement

Evidence-Based Practice & Research

Leadership

Person & Family Centered Care

Professionalism

Safety

Teamwork

Technology/ Informatics

Burke, K., Johnson, T., Sites, C., & Barnsteiner, J. (2017) “Creating an Evidenced-Based Progression for Clinical Advancement Programs.” American Journal of Nursing. 117,(5) 22-36. N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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E d u c at i o n Penn Medicine Continuing Nursing Education Offerings Electronic Medical Record (EMR) Ambassador Suppor t for PennChar t New Courses/For mat

Select New eLear ning Courses

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P enn M edicine

C o n t i n u i n g N u r s i n g Ed u c a t i o n O f f e r i n g s

Number of PSNA CNE Offerings per Entity 450 394

Number of PSNA CNE Offerings

400 350

Represents a

300

26.6%

increase in CNE offerings

250

from FY’16 to FY’17.

200 150 83

100 50

66

28

0

CCH

HUP

PAH

PPMC

Penn Medicine Nursing: A Pennsylvania State Nurses

FY’16

FY’17

Total Number of

Total Number of

CNE Offerings =

CNE Offerings =

451 571

Association (PSNA), Approved Provider Unit For Continuing Nursing Education (CNE)

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EMR N u r s i n g A m b a s s a d o r S u pp o r t

f o r P enn C h a r t

Electronic Medical Records (EMR) Ambassadors are nurses who teach alongside Information Services (IS) Training Specialists to provide nurses education in both the functionality of the EMR system and nursing workflow.

EMR Nursing Ambassadors of Learning (clinical nurses) have educated over 750 new nurses to the health system using a unique interprofessional co-teaching model.

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The EMR Nursing Ambassadors Supported

851 hours

for Penn Chart Education.


EMR N u r s i n g A m b a s s a d o r S u pp o r t

f o r P enn C h a r t

31 EMR Nursing Ambassadors have been added to the program to support growing EMR nursing education needs. This represents a 500% increase in the number of EMR Nursing Ambassadors.

The EMR Nursing Ambassador program now supports all EMR Education: Inpatient, Women’s Health, Peri-op, Emergency Department, and the CNA/PCT/OB Tech group.

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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Fe a t u r ed N ew C o u r s e …

Ac u t e C a r e i n O n c o l o g y 12 9

Mean confidence scores

3

J

Offered 3 times

6

increased by

34

Number of participants = 40

J

points from pretest to post-test

The radiation oncology

Pretest vs Post-test Mean Scores

5 0

POST-test

10

15.12

Pretest

15

presentation was so

18

20 Test Scores

Mean Scores

Represents a

25%

increase in knowledge.

informative, important in everyday teaching for almost all of my patient population. —Penn Medicine Nurse,

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N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

M ay 2 0 1 7


Select New eLearning Courses Elearning is learning through digital or electronic methods allowing learners to develop new skills. The learning maybe in the form of a course or a section of a blended curriculum. This type of learning is learner driven and self-paced, allowing the learner to effectively fit learning into their lifestyle.

Cours e

Date

# of Attendee s

Ventilator Liberation Protocol

July 2016

1554

Utilization of the Aspiration Risk Tool (Art)

August 2016

1440

Morse Fall Scale for PennChart Users

January 2017

3557

Safe Use of High Alcohol Based Prep Solutions

January 2017

417

Suicide Assessment and Prevention

March 2017

508

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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ROL E De v e l o pmen t Nursing Excellence Awards Nurse Residency at Penn Medicine Distinguished Nurse Clinician Academy

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2 017 Se v enteenth Ann u a l

N u r s i n g C l i n i c a l E x c e l l e n c e Aw a r d s

Smilow Center for Translational Research M o n day, May 1 , 2 0 1 7

Each year, Penn Medicine nursing leadership celebrates clinical nurses throughout the Health System and Lillian Brunner Award

Rosalyn J. Watts Award

f o r E x empl a r y P r a ctice

f o r C o mm u nity / P a tient / F a mily Rel a ti o n s hip s

Dianne Lanham Award f o r L e a de r s hip

Helen McClelland Award

presents those who go above and beyond with UPHS Nursing Clinical

Victoria L. Rich Award f o r T r a n s f o r m a ti o n a l L e a de r s hip

Excellence Awards.

f o r Re s e a r ch & I nn o v a ti o n

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report 

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C o n g r a t u l a ti o n s , N u r s in g E x cellence Aw a r d W inne r s

2017 Nursing Excellence

Aw a r dee s

Lillian Brunner Award

C he ste r C o unty H o spita l

Clinica l P r actices o f the

f o r E x empl a r y P r a ctice

f o r L e a de r s hip

Melanie Dyzel, BSN, RN, RNC Clinical Nurse III, Neonatal Intensive Care Unit

Nancy Mirarchi, MSN, RN, CNOR Clinical Nurse III, Operating Room

Chester County Hospital

Chester County Hospital

Meg Garrett, BSN, RN, OCN, CSSGB Clinical Nurse III, Radiation Oncology

Meghan Herwig, BSN, RN, OCN Clinical Nurse III, Abramson Cancer Clinic, Infusion

Clinical Practices of the University of Pennsylvania

Clinical Practices of the University of Pennsylvania

Ann Morace, MSN, RN, CRRN, CBIS Clinical Nurse III, Rittenhouse 4

Jessy Koshy, BSN, RN, CRRN Clinical Nurse III, Rittenhouse 3

Good Shepherd Penn Partners

Good Shepherd Penn Partners

Cara Brindley, BSN, RN-BC Clinical Nurse III, Silverstein 7

Stephanie Beatty, BSN, RN Clinical Nurse III, Silverstein 7

Hospital of the University of Pennsylvania

Hospital of the University of Pennsylvania

Stephanie Kloepfer, BSN, RN-BC Clinical Nurse IV, 3 West, Vascular Surgery Inpatient Unit

Bristeena Peter, MSN, RN-BC Clinical Nurse III, 8 North, General Medical Surgical Unit

Lancaster General Health

Lancaster General Health

Rita Kuritz, BSN, RN Clinical Nurse III, Penn Home Infusion Therapy

Kathleen Zulli, BSN, RN Clinical Nurse III, Penn Care at Home

Penn Home Care & Hospice Services

Penn Home Care & Hospice Services

Katie Stonelake, BSN, RN, CCRN Clinical Nurse III, Medical Intensive Care Unit

Brendalyn Tanio, BSN, RN, PCCN Clinical Nurse II, CUPP 3 East

Penn Presbyterian Medical Center

Penn Presbyterian Medical Center

Elissa Crum, BSN, RN Clinical Nurse III, Emergency Department

Robert McCarthy, BSN, RN Clinical Nurse III, Emergency Department

Pennsylvania Hospital

Pennsylvania Hospital

Univ e r sity o f Penns ylva nia

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Dianne Lanham Award

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report


2017 Nursing Excellence

Aw a r dee s Rosalyn J. Watts Award

Helen McClelland Award f o r Re s e a r ch & I nn o va ti o n Jill Doyle, BSN, RN, CEN Clinical Nurse IV, Interventional Radiology

f o r C o mm u nity / P a tient / F a mily Rel a ti o n s hip s Rebecca Boehnke, BSN, RNC-NIC Clinical Nurse III, Neonatal Intensive Care Unit

Chester County Hospital

Chester County Hospital

Vanessa Zimmerman, MSN, RN, MSCN Clinical MS Nurse, Neurology Clinical Practices of the University of Pennsylvania

Kelly Almasy, BA, RN, CRC Clinical Nurse, Neurology Clinical Practices of the University of Pennsylvania

Deneen Stokes, MSN, RN, PCCN Clinical Nurse III, Rittenhouse 5

Heather Cialella, BSN, RN Clinical Nurse II, Rittenhouse 5

Good Shepherd Penn Partners

Good Shepherd Penn Partners

Penn P re sbyterian Medica l C ente r

Tammi C. Britt, DNP, RN Clinical Nurse II, Post Anesthesia Care Unit

Holly Sharpe, BSN, RN Clinical Nurse III, PCAM Endoscopy

Hospital of the University of Pennsylvania

Hospital of the University of Pennsylvania

Tina Hedgepeth, BSN, RN, CRNI, VA-BC Clinical Nurse IV, Infusion and Vascular Therapy Team Lancaster General Health

Beth Cassel, MSN, RN Clinical Nurse IV, Nurse Family Partnership Program Lancaster General Health

Leslie Jacobs, BSN, RN Clinical Nurse III, Penn Wissahickon Hospice Penn Home Care & Hospice Services

Yvonne Lewis, BSN, RN Clinical Nurse II, Penn Care at Home Penn Home Care & Hospice Services

Danielle Klepper, BSN, RN, CCRN Clinical Nurse II, Medical Intensive Care Unit Penn Presbyterian Medical Center

Diane Maccarone, MSN, RN, CEN Clinical Nurse IV, Emergency Department Penn Presbyterian Medical Center

Ann Coughlan, BSN, RN, CMSRN Clinical Nurse II, 5 Cathcart Pennsylvania Hospital

P ennsylva nia H o spital

Wanda Rogers, RN, ASN Clinical Nurse III, 7 Cathcart Pennsylvania Hospital

C o n g r a t u l a ti o n s , N u r s in g E x cellence Aw a r d W inne r s N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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C o n g r a t u l a ti o n s , N u r s in g E x cellence Aw a r d W inne r s

2017 Nursing Excellence

Aw a r dee s

Victoria L. Rich Award f o r T r a n s f o r m a ti o n a l L e a de r s hip Betty Brennan, EdD, MSN, RN, CEN Director of Emergency Service and Radiology Nursing Emergency Department, Chester County Hospital Erin Davis, MSN, CRNP, AOCNP Lead Nurse Practitioner, Radiation Oncology Clinical Practices of the University of Pennsylvania

Anissa V. Magwood, MJ, BSN, BS, RN-BC Director of Nursing and Administrator Specialty Hospital at Rittenhouse Good Shepherd Penn Partners

Penn Ho me C a re & H o spice Se rv ices

Beth A. Smith, MSN, RN-BC Director, HUP Department of Nursing Education, Innovation and Professional Development

La nc as ter Gene ra l Health

Hospital of the University of Pennsylvania

Katrina Fetter, MSN, RN, AOCNS Clinical Nurse Specialist, Oncology Service Line Oncology Inpatient Unit and Ann B. Barshinger Cancer Institute Lancaster General Health

Katherine Major, MSN, RN Director of Caring Way; Penn’s Palliative Home Care Program Penn Home Care & Hospice Services

Patty Baroni, MSN, RN, NE-BC Clinical Director of Heart and Vascular Nursing Penn Presbyterian Medical Center

Go o d SH ephe rd Pe N n Pa rtner s

Courtney Maloney, MSN, RN Director, Nursing Professional Practice, Magnet and Patient and Guest Relations Pennsylvania Hospital

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Hos pital of the Univ ers ity of P enn sylva nia


Nurse Residency

a t P enn M edicine Program designed to assist new graduate nurses as they transition into their first professional role becoming leaders at the bedside. F Y’17 Retention Rate (%) 100 93.3

95

94.7

22 29

300

259

200

FY’17

Number of Participants

FY’17 Course Participants

100 0

Fiscal Year

80 75 70 65 60

195

55

CCH

GSPP

HUP

PAH

PPMC

75

Vizient

4 9

85

National

Number of Participants

Number of Participants per Entity

Penn Medicine

90

50

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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Nurse Residency

a t P enn M edicine

Nurse Residents at Penn Medicine present poster entitled: “Walking the Line: Early Mobility with Femoral Access Catheters in the ICU” at the Annual Vizient/AACN Nurse Residency Program™ Conference. Former nurse residents: Julianne Bannon, BSN, RN; Caylee Harrington, BSN, RN; Rachel Rhazali, BSN, RN; Ariana Simantiras, BSN, RN

Podium presentation by Nurse Residency Program Leadership Team: Kelly Gallagher, MSN, RN, Diane Murphy, MSN, RN-BC, PCCN, Margaret Stein, MSN, RN, and Karen Ulmer, MSN, RN, RNC, RN-BC, at the Vizient/AACN Nurse Residency Program™ Conference entitled “Sit or Sim: Innovative Strategies to Engage Nurse Residents”.

9.3/10.0 Q u a lit a ti v e f eedb a ck incl u ded :

evaluation from conference participants

AMAZING! Lots of ideas for ice breakers and simulation with the nurse residents. Great session!

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N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

—Vizient 2016 participants


Nurse Residency

a t P enn M edicine

What our nurse r e s ident s a r e s a yin g …

I am able to feel comfortable and confident when working on the floor because of the nurse residency program. — J anuary 2017 Program Graduate

The Nurse Residency Program has been a great experience. The program has helped me to gradually break into the Penn culture. — M ay 2017 Program Graduate

I thought it was great and very helpful in easing our way in the transition from student to professional nurse. — J anuary 2017 Program Graduate

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

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P enn M edicine D i s tin g u i s hed N u r s e C linici a n Ac a demy

Celebrates its Second Year! The Penn Medicine Distinguished Nurse Clinician Academy recognizes clinical nurses in all settings who exemplify practice excellence. This recognition is for clinical nurses who have demonstrated master y in clinical practice and represent the gold standard in collegiality within the interprofessional team while keeping the patient and family at the center of care.

Distinguished Nurse Clinician Academy

Penn Medicine Inducts

9 New

Distinguished Nurse Clinicians into the Academy!

Laura Connell, BSN, RN, NIC* Clinical Nurse IV, Neonatal ICU

Lynne Johnson, BSN, RN, CEN* Clinical Nurse IV, ED/Trauma

Amy McGovern, BSN, RN-BC, CCRN, CSC* Clinical Nurse III, CCU

Jennifer Perno, BSN, RN, CMSRN Clinical Nurse IV, Founders 14

Diana Santangelo, BSN, RN, CMSRN, WCC* Clinical Nurse III, Silverstein 11

Lancaster General Health

Penn Presbyterian

Pennsylvania Hospital

Hospital of the University

Hospital of the University

of Pennsylvania

of Pennsylvania

Mary Frances Quinn, BSN, RN, CCRN Clinical Nurse IV, Heart & Vascular ICU

Denise Sees, BSN, RN, CCRN Clinical Nurse IV, Day Stay Unit

Hospital of the University

Pennsylvania Hospital

Medical Center

Clara Hilton, BSN, RN* Clinical Nurse, Radiation Oncology

Michele Otto, BSN, RN, PCCN* Clinical Nurse IV, Rhoads 1

Clinical Practices

Sharon Kirkby, MSN, RNC-NIC Clinical Nurse IV, Neonatal ICU

of the University of

Chester County Hospital

of Pennsylvania

Kathleen Hubbard, MSN, RN, CPAN* Clinical Nurse, PACU

Diane Lawson, MSN, RN, CEN Clinical Nurse IV, Emergency Department

Wendy Palma, BSN, RN, CCRN* Clinical Nurse IV, MICU

Chester County Hospital

Hospital of the University

of Pennsylvania

Hospital of the University

Pennsylvania

of Pennsylvania

Hospital of the University

of Pennsylvania

Amber Roseman, MSN, RN-BC* Clinical Nurse II, Founders 12 Hospital of the University

Socorro C. Smigo, BSN, RN, CCRN V, Silverstein 10 Hospital of the University of Pennsylvania

of Pennsylvania

30

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

*New Distinguished Nurse Clinicians


P hy s ici a n - N u r s e W ellne s s C o ll a b o r a ti v e

J o i n t V e n t u r e w i t h t h e Ac a d e m y of Master Clinicians The Physician-Nurse Wellness Collaborative is an exciting opportunity for representatives of two critical and influential groups to work together to create initiatives which will advance the Penn Medicine goals of wellness in a substantive, impactful, and positive way.

Kathleen G. Burke, PhD, RN, CENP, FAAN Corporate Director, Nursing Professional Development and Innovation Co Director, Continuing Interprofessional Education Co-Chair Distinguished Nurse Clinician Academy

Julianne Jablonski, DNP, RN, CCRN, CCNS Critical Care RN Systems Strategist Co-Chair Distinguished Nurse Clinician Academy

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report 

31


C o l l aborativ e Partne r shi ps Inter professional Continuing Education (IPCE) Teaching with Simulation Academic Par tnerships

N u r s in g P r o f e s s i o n a l D e v el o pment Ann u a l Rep o r t 32  N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report


P enn M edicine

I n t e r p r o f e s s i o n a l C o n t i n u i n g Ed u c a t i o n ( I P C E ) r e c e i v e s J o i n t Acc r e d i t a t i o n This national accreditation is governed by bodies of the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC). As the result of this accreditation, we would like to communicate some of the more important changes and benefits. This accomplishment was achieved through the collaborative efforts of the Perelman School of Medicine, Continuing Medical

Number of IPCE Offerings

Education and Penn Medicine Nursing Education.

200

Strategic oversight for this accreditation will be provided by an

180

MD and Regina Cunningham, PhD, RN, NEA-BC, FAAN. The

160

program will be co-directed by Mila Kostic, CHCP, FACEHP

140

 

179

120

Represents a %

22.6

100

increase in FY’17

80 60

Performance Improvement in Action

40

enn Medicine Cardiology P Clinical Management Conference

20

ersuasive Leadership, Collaboration P and Communication

145

0

FY’17

Sample Programs:

179

FY’16

and Kathleen Burke, PhD, RN, CENP, FAAN.

Number of Offferings

Interprofessional Advisory Council co-chaired by P. J. Brennan,

Fiscal Year

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

33


Selected I P C E Acti v ity f o r Re v iew

Teaching With Simulation: A S i mu l ation Facilitator’s Workshop

I thought this course was exceptional and very organized. The instructors were very knowledgeable and truly passionate about simulation. I have been a nurse for 19 years, and this was the best conference that I have ever attended. Great job! —Simulation Course Attendee,

M ay 2 0 1 7

I enjoyed the multidisciplinary aspect and networking. —Simulation Course Attendee,

34

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

M ay 2 0 1 7


Ac a d e m i c P a r t n e r s h i p s Penn Medicine Annual Faculty Update Penn Medicine is highly committed to the education mission of the organization.

Nursing Student Affiliation

Number of Students

1200 1000

Top Schools Rotating to Entity Chester County Hospital (CCH)

1038 911

Good Shepherd Penn Partners (GSPP)

800 584

600

Hospital of the University of Pennsylvania (HUP)

400 200

Drexel University Immaculata University Villanova University

Pennsylvania Hospital (PAH)

85

0

Delaware County Community College

HUP

24 PAH

24

40 3

PPMC

GSPP

Undergraduate

Graduate

110

10

CCH

Penn Presbyterian Medical Center

University of Pennsylvania West Chester University Widener University

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

35


Re s e a r c h E v i d en c e - B a s e d P r a c t i c e Q u a l i t y Imp r o v emen t

Lear ning Needs Assessment: Implementation

Course Summar y Data

N u r s in g P r o f e s s i o n a l D e v el o pment Ann u a l Rep o r t 36  N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report


2016 Learning Needs Assessment:

I mplement a ti o n

9

2016

out of

10

J

eveloped a D standardized template for each entity to report gap analysis and develop an action plan with smart goals.

J

Offered 9 of the top ten nursing specialty certification review courses.

6 0% of respondents stated they learned better with instructor led training. Offered 250 instructor led offerings.

J

J

eveloped and D implemented Penn Medicine Nursing Learning Needs Assessment using the new evidence-based domains of practice.

2 8% of respondents requested education on End of Life Care (ELNEC). Offered 2 ELNEC courses.

J

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report 

37


F Y’17 Course Comparison (Instructor Led)

F Y’17 Course Attendance

260

7000

214

210 200

the number of instructor led courses

Fiscal Year

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

4254

Represents

4000

2000 1000 0

44

Fiscal Year%

a

3000

FY’17

220

FY’17

increase in

5000

FY’16

17

%

230

6140

6000 Number of Attendees

240

190

38

250

250

FY’16

Number of Instructor Led Courses

FY ’ 1 7 C o u r s e S u m m a r y D a t a

Fiscal Year

increase in attendance


Course Summary Data Per Entity # of Attendees N ame o f C o u r s e /Ev ent

H UP

PA H

PPMC

CPU P

Acute Care in Oncology

28

Acute Care Nursing Role in Suicide Prevention

20

Advanced Safe Patient Handling Course Schedule

29

10

7

Advisory Board Nursing Leadership: Teamwork and Disruptive Behavior

6

6

8

AWHONN Fetal Monitoring – UPHS

11

2

Baby Friendly Session I

21

32

Baby Friendly Session II

29

21

Baby Friendly Session III

25

18

Bariatric Education Day

16

Basic Dysrhythmia

263

13

Basic Fetal Monitoring

4

3

Cardiac Critical Care Day

5

CCRN Certification Review

19

7

5

CEN Review Course

25

7

6

1

Clinical Emergencies for Experienced RNs

26

22

9

1

CNA/PCT/PCA Orientation at Penn Medicine

68

43

45

CNOR Certification Review Course

14

7

9

Competent Communications

26

8

CPAN/CAPA Certification Review Course

8

5

3

Critical Care Course

159

22

21

Critical Care OB

12

Drexel Co-Op Orientation

35

5

11

EMR Ambassador Program

15

7

7

End-of-Life Issues and Care (ELNEC Core Curriculum)

8

3

End-of-Life Issues and Care (ELNEC for Critical Care RNs)

11

1

Gateway to Critical Care

84

8

Gateway to NeuroScience

25

Gateway to the OR

13

Gateway to Periop

6

GSPP

CCA

CCH

H C HS

LG H

Other

T o ta l 28 20 46

5

2

27 1

5

14 58 50 43

17

1

1

31

1

22

35 4

334 7 5 31

19

58 58

12

5

173 30

4

38 1

17 202 12 51

6 3

3

1

30

5

22 18

9

101

21

46 13

7

5

18

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

39


Course Summary Data Per Entity Continued... # of Attendees N ame o f C o u r s e /Ev ent

H UP

PA H

PPMC

CPU P

GSPP

Inpatient EMR Nurse Training

125

47

61

3

113

Inpatient Obstetric Certification Review Course

3

3

Management of Aggressive Behavior Training (MOAB)

38

3

37

6

Medical Assistant Orientation at Penn Medicine

3

1

71

Neonatal Intensive Care Certification Review

12

1

Neonatal Resuscitation Provider – HUP/PAH

119

99

Nurse Extern Orientation

26

Nurse Residency at Penn Medicine: Seminar 1

195

29

22

9

4

259

Nurse Residency at Penn Medicine: Seminar 2

194

28

22

9

4

257

Nurse Residency at Penn Medicine: Seminar 3

193

28

22

9

4

256

Nurse Residency at Penn Medicine: Seminar 4

166

33

20

8

4

231

Nurse Residency at Penn Medicine: Seminar 5

190

27

20

8

4

249

Nurse Residency at Penn Medicine: Seminar 6

172

30

38

7

8

255

Nurse Residency at Penn Medicine: Seminar 7

171

31

35

1

9

247

Nurse Residency at Penn Medicine: Seminar 8

181

25

37

Nursing Orientation at Penn Medicine

385

124

106

OB Gateway Orientation

26

16

Oncology Certifications Review Course

18

4

PCCN Certification Review

3

Penn Medicine’s Nursing Shared Governance Leadership Retreat

26

27

23

4

Preceptor Day – UPHS

66

72

11

4

Respiratory Critical Care Day – UPHS

5

5

Suicide Prevention Nurse Education Think Tank

12

12

Teach Back: Helping Your Patient Understand – UPHS

31

Teaching with Simulation

7

Tele Transport – HUP

7

Tele-Transporter Review

3

Transplant Nursing Education Day

41

40

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

CCA

CCH

H C HS

LG H

Other

T o ta l

2

157

1

1

510

2

8 4

53

2 1

2

90

2

132

6 6

20 6

3

132

45

29

1

86

4

334

1

80

4

877

6 2

48

1

6

13

3

31

17

230

44 6

9

3

9

6 16

95 2

171

10

101 16

23 7 3

5

46


FY ’ 1 7 C e r t i f i c a t i o n R e v i e w

240 Nurses Pa r t i c i pat e d In The Courses

Courses

Course

D ate

# o f Attendees

Inpatient Obstetrics

August 4–5, 2016

8

Progressive Care/PCCN

September 7–8, 2016

6

Critical Care/CCRN

September 7–9, 2016

31

*Neonatal Intensive Care

September 27–28, 2016

20

Perianesthesia /CPAN/CAPA

November 5–6, 2016

17

Operating Room/CNOR

January 14 –15, 2017

30

Emergency Nursing/CEN

February 7–8, 2017

58

Medical Surgical Certification Review

April 25–26, 2017

26

Oncology Nursing Certification/OCN

April 24–25, 2017

44

*First Time Offering

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

41


FY ’ 1 7 N e w e L e a r n i n g

Courses

28

N ew e Le a r n i n g Courses

Ventilator Liberation Protocol

J

The Pre-Transplant Period – An Overview for the Clinical Nurse

J

are of the Transplant Patient – C An Overview for the Clinical Nurse

J

Patient Centered Nurse Report – CCH

J

I mproving Heart Failure Education Across the Care Continuum

PUP Journal Club #1– C Ambulatory Nurse Sensitive Indicators

J

J

J

Suicide Prevention

J

Alaris INTRO

J

Penn Care at Home Handoffs and Transitions in Critical Care

J

Alaris Pump Module

J

J

Utilization of the Aspiration Risk Tool

J

Smart Site Needle Free Valve

J

J

Pandora Analytics – Inventory Reporting

J

Texium Closed Male Luer

J

Pandora Analytics – Managing Users

J

Best Practice Use of Alaris Pumps – HUP RN’s

J

Pandora Analytics – Reports

J

Morse Fall Scale for KBC Users

J

Morse Fall Scale for PennChart Users

J

Safe Use of Alcohol Prep Solutions

J

Patient Centered Nurse Report – PPMC

Pandora Analytics – Setting Up Surveillance Reports

J

Reading Pandora Surveillance Reports – Anomalous Usage Report Workflow

J

42

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

C PUP Journal Club #2 – Self-Healing and Self-Care for Nurses

J

Virtual Gallery of Scholarly Excellence

J

Hill–Rom Progressa Bed System

J

PUP Journal Club #3 – C Enhancing Patient Safety Through Rapid Response


F Y ’1 7 A n n u a l R e p o r t

Nursing Professional Development

N u r s in g P r o f e s s i o n a l D e v el o pment FY’17 Annual Report

43


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