TEXAS HEALTH
2016
NURSE
Making Plans for Reliable Care Helping Those with Nowhere to Go
Our Tiniest Superheroes
FINAL SALUTE: Respect for Veterans
Research shows success of APRN-led program
NICU nurses create inspiring costumes
Meaningful ceremony to honor those who served
LETTER FROM THE
EDITOR
As I walked through the pristine hallways of hospitals in Israel,
We have pushed ourselves to improve the care we provide
I was drawn to talk with the front-line nurses. What is it like to
through research studies, process improvement projects and
care for patients in a health care system ranked fourth in the
shared governance. We have provided compassionate care that
world for its efficiency? What is it like to work in a country with
addresses the emotional needs of our patients through Easter
half the number of registered nurses per 100,000 patients than
egg hunts for young visitors, late night conversations, superhero
we have in the United States?
capes for NICU babies and strong shoulders to lean on.
As president of the American Organization of Nurse Executives
I have no greater satisfaction than walking the halls of Texas
(AONE), I led a delegation of nurse leaders from the United
Health hospitals and talking with our front-line nurses about
States to Israel in September. In talking with both front-line
the amazing ways they are making a difference for our patients.
nurses and nurse leaders, I was continuously struck by how
Join me throughout this report in celebrating the part we play
universal the calling of Nursing is: to advocate for our patients.
in the universal calling of Nursing.
Halfway around the world in Texas, we are just as committed as
Regards,
our colleagues in Israel to that calling. It is with great pride that I share the great work Texas Health nurses have done in advocating for our patients this year. We have worked to design Reliable Care Blueprinting modules that support providing the best evidencebased care for our patients. We have honored the dignity of our patients through our expanded Sexual Assault Nurse Examiner program and the FINAL SALUTE observance for veterans.
02 TEXAS HEALTH NURSE ANNUAL REPORT
Joan Clark D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN senior vice president and chief nurse executive Texas Health Resources
IN THIS
ISSUE
PROFESSIONAL DEVELOPMENT
SHARED DECISION-MAKING
06 Lending a HELPing Hand Helping patients help themselves
18 Blueprints for Providing Reliable Care
09 Versant Residency
Nurses serve on design teams
The numbers keep growing
21 Informatics
05
10 Nursing Career Advancement Program
Informaticists support decision-making
Who We Are
Making a difference through NCAP
21 Nursing Congress Taking steps forward in 2016
26
11 Research
Spotlight on Texas Health Fort Worth
Nurse scientists guide projects 11 Nursing Excellence Fund
27
Fund grows to over $4 million
DFW Great 100 Nurses
28
18
Individual Accomplishments, Achievements, Research
TEAMWORK 22 FINAL SALUTE
06
Ceremony for veterans 24 Clinical Nurse Leaders Impacting outcomes
QUALITY-CARING MODEL 12 Our Tiniest Superheroes NICU nurses create capes, masks for newborns on unit 15 Faith Community Nursing Integrating spiritual care, nursing
25 Magnet® Designation Texas Health Dallas, Texas Health Southwest 25 Acuity Staffing New model supports equitable staffing 25 Central Staffing Office CSO, Patient Logistics consider big picture
16 Sexual Assault Nurse Examiner Program SANE program expands systemwide 16 Giving Back to the Community Nurses serve outside hospital walls 17 Quality-Caring Model Artwork Bringing the model to life
22
ON THE COVER Rachel McDowell, M.S.N., R.N., CNL, PCCN; Rene Vasquez, B.S.N., R.N., CNOR; and Judy Nduati, M.S.N., R.N., all of Texas Health Dallas, served on Reliable Care Blueprinting teams.
03 TEXAS HEALTH NURSE ANNUAL REPORT
EDITORIAL STAFF &
CONTRIBUTORS
EDITOR IN CHIEF
MANAGING EDITOR
Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN
Barbara Zepeda, senior strategist, clinical engagement
senior vice president and chief nurse executive Texas Health Resources
Texas Health Resources
NURSING EXECUTIVE TEAM Elizabeth Asturi, M.S.N., R.N., NE-BC, chief nursing officer, Texas Health Allen Rosemarie Aznavorian, M.S.N., R.N., CENP, CCWP, CCRN-K, vice president, chief nursing officer, Texas Health Central Staffing Office Vicki Brockman, D.N.P., R.N., NE-BC, chief nursing officer, Texas Health Cleburne Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president, Texas Health chief nurse executive Denise Claussen, M.S.N., B.S.N., R.N., chief nursing officer, Texas Health Kaufman Kristie Clinard, M.B.A., B.S.N., R.N., CNOR, chief nursing officer, Texas Health Center for Diagnostics and Surgery, Plano Tammy Collier, B.S.N., R.N., M.S.B., NEA-BC, FACHE, vice president, Patient Care Services, Texas Health Huguley Lori Donovan, M.S.N., R.N., CNOR, NEA-BC, chief nursing officer, Texas Health Arlington Memorial Pam Duffey, M.S.N., R.N., NEA-BC, president/chief nursing officer, Texas Health Specialty Hospital Cole Edmonson, D.N.P., R.N., FACHE, NEA-BC, FAAN, chief nursing officer, Texas Health Dallas Sherri Emerson, M.S.N., M.B.A., R.N., vice president, chief operating officer, Texas Health Heart & Vascular Hospital Debra Ennis, R.N., chief nursing officer, Texas Health Southlake Christy Escandon, M.B.A., R.N., CENP, chief nursing officer, Texas Health Plano
Valarie Gilbert, M.S.N./Ed., B.S.N., R.N., chief nursing officer, Texas Health Azle Debbie Hay, B.S.N., R.N., CASC, HACPRN, senior vice president, chief clinical officer, Texas Health Partners Tami Hlus-Hawkins, R.N., M.S.N., NEA-BC, chief nursing officer, Texas Health Rockwall Raymond Kelly, M.S.N., R.N., chief nursing officer, Texas Health HEB Cindy McCarthy, D.N.P., M.B.A., M.H.A., B.S.N., CEN, chief nursing officer, Texas Health Stephenville Mary Beth Mitchell, M.S.N., R.N., BC, CPHIMS, chief nursing information officer, Texas Health Resources Tanya Mitchell, director, Nursing Finance, Texas Health Resources Elaine Nelson, M.S.N., R.N., CCRN, NEA-BC, chief nursing officer, Texas Health Fort Worth Mary Robinson, Ph.D., RN-BC, chief nursing officer, Texas Health Southwest Kendra Slatton, D.N.P., R.N., M.S.N., CDE, chief nursing officer, Texas Health Alliance Paula Spears, D.N.SC., R.N., NEA-BC, vice president, Professional Practice, Research, and Magnet® Program, Texas Health Resources Shelley Tobey, R.N., M.S., CENP, chief nursing officer, Texas Health Flower Mound Melissa Winans, M.B.A.-H.C.M., M.S.N., R.N., NEA-BC, chief nursing officer, Texas Health Denton
NURSING EDITORIAL BOARD Andrea Ansley, B.S.N., R.N., CCRN, Texas Health Plano Wendy Bodiford, M.S.N., R.N., OCN, Texas Health Arlington Memorial Sarah Choate, R.N., CMSRN, Texas Health Specialty Hospital Kathy Edwards, RNC-MNN, Texas Health Alliance Tammy Garrett, B.S.N., R.N., IBCLC, Texas Health Kaufman Juanita Hernandez, M.S.N., R.N., NE-BC, CMSRN, Texas Health Southwest Ilda Martinez, R.N.-BC, NE-BC, Texas Health Stephenville
04 TEXAS HEALTH NURSE ANNUAL REPORT
Amy McCarthy, B.S.N., RNC-MNN, Texas Health Dallas Jayne McNally, M.S.N., R.N., CCRN-K, Texas Health HEB Gayla Miles, R.N., Texas Health Fort Worth Amy Norton, B.S.N., R.N., Texas Health Azle Karen Robbins, R.N., Texas Health Cleburne Stacey Shepherd, M.S.N., R.N., ACNS, BC, CCNS, CCRN, Texas Health Denton Amber Slaughter, R.N., Texas Health Allen
WHO WE
ARE
TEXAS HEALTH NURSING BY THE NUMBERS LET’S BREAK IT DOWN
21,676
EMPLOYEES
NUMBER OF NURSES=
as of Oct. 31, 2016
7,383
Female nurses = 6,609
Male nurses = 774
.6%
25.4%
“The wonderful people SILENT GENERATION (1920s–1940s)
BABY BOOMER (1946–1964)
I work with are like my second family. There are times when our
Percentage of nurses by generation (birth years)
30% MILLENNIAL (1980s–2000s)
work is stressful, but we rely on each other to help get us through those challenges.”
GENERATION X (1960s–1980s)
44%
Linda Vo, B.S.N., R.N., Texas Health Arlington Memorial
Texas Health Resources Texas Health is one of the largest faith-based, nonprofit health care systems in the United States and the largest in North Texas in terms of patients served. The system’s primary service area consists of 16 counties in north central Texas, home to more than 7 million people. Texas Health has 29 hospital locations that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 20,500 employees of fully-owned/operated facilities plus 2,100 employees of consolidated joint ventures, and counts more than 5,500 physicians with active staff privileges at its hospitals.
05 TEXAS HEALTH NURSE ANNUAL REPORT
PROFESSIONAL
DEVELOPMENT
LENDING A HELPING HAND
Healthy Education and Lifestyles Program helps patients help themselves.
Azle resident Leslie Lawson found himself
But now Leslie hasn’t been to the Emergency
in the Emergency Department at Texas
Department in three months, thanks to Texas
Health Azle on a number of occasions as he
Health Azle’s Healthy Education and Lifestyles
tried to cope with high blood pressure, high
Program (HELP).
cholesterol and several other conditions. “We didn’t have anywhere else to go,” he said.
And he’s not the only one whose life has been positively impacted.
Deborah Teuteberg, FNP-BC, family nurse practitioner at Texas Health Azle’s HELP clinic, has helped patients such as Leslie Lawson avoid trips to the Emergency Department.
PROFESSIONAL
DEVELOPMENT
“We have had great success in improving patients’ health and helping them avoid visits to the Emergency Department,” said Deborah Teuteberg, FNP-BC, family nurse practitioner at the HELP clinic. “I knew we could help Leslie become empowered to take care of himself.” Results from Deborah’s research, “Nurse Practitioners Prevent Readmissions among Uninsured Chronically Ill Patients,” showed that HELP patients who followed the program experienced significant decreases in blood pressure and cholesterol levels, and had fewer Emergency Department visits. Patients at the HELP clinic initially undergo a basic physical and then attend
monthly lifestyle education classes. Deborah monitors their progress by checking their bloodwork every three months.
“We have the time at HELP to talk with patients, to support them in setting goals and then to hold them accountable,” said Deborah.
Leslie learned about the importance of diet and exercise in controlling high blood pressure and cholesterol.
Leslie puts it more bluntly.
Targeting chronically ill, uninsured patients who tend to seek care in the Emergency Department, HELP provides disease management and health promotion for four specific conditions: • Diabetes • Hypertension • Heart failure • Hyperlipidemia Deborah’s retrospective chart review of 67 patients over a two-year period showed significant improvements in the health of HELP patients. In addition, the Emergency Department costs for each patient decreased by approximately $40,000 annually, and the inpatient costs for each patient decreased by $14,000 annually.
Deborah Teuteberg, FNP-BC, family nurse practitioner at the HELP clinic, educates patients on how to make healthy lifestyle changes.
TCU Evidence-Based Practice Fellows
Beyond data, Deborah sees the difference the HELP can make in individual lives. “Our patients feel so empowered when they make progress, even if they just reach small goals,” she said. “They are thrilled, and we are thrilled.”
The following nurses were TCU Evidence-Based Practice Fellows in 2016:
• Flor de Maria Katia Diaz Texas Health Fort Worth
• Tracy Hollingsworth Texas Health Huguley
• Ta’Tanisha Eldridge Texas Health Alliance
• Christina Johnson Texas Health Cleburne
• Tiffany Garcia Texas Health Southwest
• Erin Leone Texas Health Fort Worth
• Lily Ghazizadeh Texas Health Dallas
• Gavin Page Texas Health Denton
• Katrina Greenshield Texas Health Southwest
• Monica Roberts Texas Health Huguley
08 TEXAS HEALTH NURSE ANNUAL REPORT
“I do what she says, or she’ll kick me in the rear,” he said with a laugh.
• Fouzia Syed Texas Health Arlington Memorial • Shannon Walker Texas Health Heart & Vascular Hospital • Amy Wilson Texas Health Denton
Versant Residency This evidence-based program transitions new graduate RNs into competent nursing practitioners.
25
50
75
100 125
150 175
366
Versant Nurse Residents since the program began at Texas Health in 2009
Versant Nurse Residents in 2016
200 225 250 300
Continuing Nurse Education
Texas Health Resources University coordinated evidence-based programs including:
CNE activities presented 171 times for
1,761 NURSES
70
new educational activities in 2016 *January - September
P2P
My Nursing Journey
The power of peer review gained strength in 2016
Texas Health supports nurses in advancing career goals
Designed to help nurses continually advance their skills and knowledge, Texas Health launched a Peer2Peer (P2P) Feedback process in 2015.
Texas Health nurses select career tracks during their annual review through the My Nursing Journey program. The program has four designated professional development tracks (clinical, education, leadership and informatics), which give nurses another tool for achieving their professional goals.
In 2016:
75%
of staff nurses said they receive valuable feedback from their peers through Texas Health’s P2P Feedback process. The process also was rolled out to managers.
In 2016, participation in high reliability organization planning and Reliable Care Blueprinting were added as activities on the clinical track.
AONE American Organization of Nurse Executives’ (AONE) Care Innovation and Transformation program
at Texas Health Southwest (Mother/Baby Unit, Telemedicine 4) and Texas Health Specialty Hospital.
09 TEXAS HEALTH NURSE ANNUAL REPORT
PROFESSIONAL
DEVELOPMENT
Nursing Career Advancement Program
Number of nurses in the program:
Nurses advance their careers through NCAP Texas Health’s Nursing Career Advancement Program (NCAP) recognizes and financially rewards nurses for their dedication to their hospital, profession and education.
NCAP DIRECT CARE RNs 2016
2015
10
6
2010
592 597
351 358
More than 1,000 nurses participated in the program through July 2016. Nurses advance levels in the program through a variety of professional development activities.
181
114
RN III
54
RN IV
45
RN V
2
1
RN VI
NCAP Level 5 nurse making a difference on her unit Inspired to get more involved on her unit, Jennifer Meckley, B.S.N., RNC-NIC, NICU at Texas Health HEB, joined the Nursing Career Advancement Program (NCAP) in 2009 as a Level 3 nurse. Over the next six years, she became increasingly involved on her unit, eventually advancing to Level 5. “I have been given more responsibility as I have advanced, and I feel so fortunate to be a part of this program,” Jennifer said. “As a Level 5 nurse, I’ve worked on special projects that involve research and education, and the results of these projects are making a difference in our unit.” For example, based on her research, Jennifer made a presentation to her unit on evidence-based feeding techniques centered on infants’ cues. Jennifer has shared her enthusiasm for the NCAP by mentoring others in the program.
“I really enjoy helping others work towards their NCAP goals and seeing them succeed.”
Jennifer Meckley, B.S.N., RNC-NIC, NICU at Texas Health HEB
10 NURSE ANNUAL REPORT
Research
Nurses focus on improving outcomes through research
Texas Health’s
helped nurses throughout the system conduct more than in 2016. Many of the research teams were multidisciplinary,
featuring nurses, dietitians, pharmacists, physical therapists and other health care professionals.
Nursing Excellence Fund* Nurses benefit from donations for scholarships, other education initiatives
Alex Nava, M.S.N., B.A.Sc., R.N., CNL, PCCN, CMSRN, Texas Health Plano
$4.1 million
in donations received for the fund/endowments (2010 – August 2016)
$1.8 million
in grants made for the fund (2010 – August 2016)
$2.8 million
= Fund endowment value (as of Aug. 31, 2016)
*The fund provides educational scholarships for nurses in the University of Texas at Arlington (UTA) Academic Partnership BSN program and the Clinical Nurse Leader program, and also supports other nursing education initiatives.
“The Nursing Excellence Fund allowed me to successfully focus on my graduate studies while balancing my work schedule and family commitments. I would not have been able to complete my graduate degree without the assistance of Texas Health’s Nursing Excellence Fund.”
Professional Practice Model Systemwide model serves as firm foundation for Nursing practice Nurses across Texas Health showcased their creative talents during Nurses Week and the system’s celebration of the Nursing Professional Practice Model (PPM) in May. Twelve Texas Health entities submitted artistic entries interpreting the organization’s PPM. First place was presented to Texas Health Southwest for its tree sculpture; second place went to Texas Health Allen for the hospital’s hand-painted canvas; and third place went to Texas Health Arlington Memorial for its string and nail art.
11 TEXAS HEALTH NURSE ANNUAL REPORT
QUALITY-CARING
MODEL
Leanna Davis, R.T., and Kimber Alexander, R.N., Texas Health Fort Worth, share a smile with a NICU baby dressed as Batman.
Our Tiniest Superheroes Strong. Brave. Heroic. This is how Kimber Alexander, R.N., a nurse in the neonatal intensive care unit (NICU) at Texas Health Fort Worth describes each of the tiniest, most medically fragile patients she cares for. “These babies are fighters,” she said. “In their short lives, they’ve already been through so much. They truly inspire me and my colleagues every day.” As is customary among the NICU nursing staff, Kimber was looking for special ways to celebrate the milestones and holidays these premature infants reach. Then
she online that she knew was the perfect gift.
saw an idea
QUALITY-CARING
MODEL
Fabric of Our Culture “I knew we had a number of people that could crochet, so I asked to see who might be interested in taking on this project,” she said. “A couple of us bought patterns, and we got to work!” Kimber organized an interdisciplinary team of NICU nurses, respiratory therapists and neonatal nurse practitioners to create more than 65 superhero-themed capes and eye masks for the babies. The team purchased their own supplies, and crocheted, embroidered, and sewed during their personal time.
Nurses Advance Their Careers Through NCAP Mercedes Baker, R.T.; Connie Serra, R.N.; Kimber Alexander, R.N. (front row) and Leanna Davis, R.T.; Mary Ann Ross, R.N.; Janet Dillon, R.N.; and Liz Wentz, R.N. (back row) helped knit more than 65 superherothemed capes and eye masks for their tiniest patients in the NICU at Texas Health Fort Worth.
Texas Health’s Nursing Career Advancement Program (NCAP) recognizes and financially rewards nurses for their dedication to their hospital, profession and education. More than 1,000 nurses participated in the program through July 2016. Nurses advance levels in the program through a variety of professional development activities. Number of nurses in the program:
“We did this out of love for some of the most amazing superheroes we know,” said Mary Ann Ross, R.N., who crocheted several costumes. “We strive to make a personal connection with our parents and families every day,” said Lindsey Cannon, M.S.N., R.N., RNC-NIC, NEA-BC, NICU manager. “I think this helps the families feel a little sense of normalcy when, in some cases, their babies should have been home for a certain holiday, and in others, their babies were born too early. Throughout the year we make different keepsakes for families.” The team’s thoughtfulness did not go unnoticed. Stefanie and Brandon Gann, whose daughter Brynlee was born at 23 gestational weeks weighing 1 pound, 2 ounces, were blown away by the creativity.
14 TEXAS HEALTH NURSE ANNUAL REPORT
“Everyone has been so wonderful to us,” Stefanie said. “We love all of the personal touches the staff members create. Seeing Brynlee as Wonder Woman reminded us that each milestone she reaches is significant as she makes progress toward coming home. That means the world to us.”
HCAHPS
(Hospital Consumer Assessment of Healthcare Providers and Systems)
Survey Results
Faith Community Nursing Mission: The intentional integration of spiritual care with the practice of Nursing Almost 100 trained Faith Community Nurses maintained
January – August 2016
Inpatient scores at wholly owned hospitals, systemwide results
CONGREGATIONAL COVENANTS representing
NURSING SCORES percent of patients who answered “always”
123,000 individuals in 2016
Faith Community Nurse saves parishioner’s life
EXPLAINED IN A WAY I COULD UNDERSTAND
TREATED ME WITH COURTESY AND RESPECT
87% 76%
When Fort Worth resident Linda Elliott attended the church service at St. Philip Presbyterian last winter, she had no idea her life was in jeopardy. Linda regularly attended a health clinic at the church led by Bonnie Skodak, B.S.N., R.N., Texas Health HEB, and Grace Bosworth, a retired R.N. On this Sunday, Linda’s blood pressure was very low. Bonnie took Linda to the Emergency Department at Texas Health HEB where test results showed she had bradycardia, or too low of a heart rate. Linda was admitted to the cardiac unit and had a pacemaker implanted in her chest within 48 hours. “Without a doubt, Bonnie saved my life,” she said. “I was sick and didn’t know it. I had no symptoms. If not for her, I wouldn’t be getting ready to celebrate my 75th birthday.”
OVERALL COMMUNICATION
LISTENED CAREFULLY TO ME
80%
76%
Faith Community Nurse Bonnie Skodak, B.S.N., R.N., trauma nurse coordinator at Texas Health HEB, and Vipul Patel, M.D., a hospitalist on the medical staff, flank patient Linda Elliott, who was rushed to the hospital following a visit to her church’s health clinic.
15 TEXAS HEALTH NURSE ANNUAL REPORT
QUALITY-CARING
MODEL
Sexual Assault Nurse Examiner (SANE) Program Nurses provide support, forensic exams for victims
35
Certified SANEs
A community health outreach specialist and forensic nurse examiner were hired, and progress continued toward the goal of providing a coordinated response at all wholly owned Texas Health entities.
SANE Trainees
Texas Health Nurses Give Back to the Community Improving the health of the people in the communities we serve Nurses throughout Texas Health shared their passion and skills outside the hospital walls, volunteering at numerous events in the community.
Alicia Reyes, R.N., Texas Health Plano, checks blood pressure at the Madinah Mosque Health Fair.
Texas Health Dallas NICU nurses Dede Scholl, B.S.N., RNC-NIC; Lisa Ayala, B.S.N., RNC-NIC; Shari Nathanson, B.S.N., RNC-NIC; and Stephanie Ashford, B.S.N., RNC-NIC, take a break at the Dallas March for Babies where they walked to raise money to support the March of Dimes.
Led by Michelle Hopper, B.S.N., R.N., Texas Health Azle, staff at the hospital held a rummage sale and raised $1,200 to send eight children with financial needs to Camp Aurora, a day camp for children with diabetes.
16 TEXAS HEALTH NURSE ANNUAL REPORT
Nurse, Tech Plan Spontaneous Easter Egg Hunt for Patient’s Granddaughter While traveling back home with her daughter and granddaughter, a woman fell ill and needed to be admitted to Texas Health Stephenville for care. “It broke my heart to think of the little girl missing out on Easter festivities at home,” said Muranda Wysong, R.N., a supervisor on the Med-Surg unit at Texas Health Stephenville who helped devise a plan to surprise the patient’s 6-year-old granddaughter with an Easter egg hunt at the hospital. Telemetry tech Jamie Fehrer went to the store and purchased plastic eggs and candy. “After we hid the eggs, we escorted the little girl through the waiting room, and her face lit up when she saw the eggs hiding,” said Muranda. “This experience was a great reminder that our patients are more than a disease process; they are someone’s family member.”
“We care for patients who face difficult situations during their pregnancies. We have the most passionate and dedicated team who work together with patients and families in making sure they have
Quality-Caring Model Inspires Artwork Nursing theory at heart of art, science of Nursing With paintbrushes in hand, nurses at Texas Health Allen brought Texas Health’s care delivery model, Quality-Caring, to life. Members of the Shared Governance Committee created more than 20 paintings based on the group’s discussion and motivated by their thoughts and feelings about the Quality-Caring Model.
the best resources and care available during such times.” Ellen Gaban, RNC-OB, M.B.A., Texas Health Plano
17 TEXAS HEALTH NURSE ANNUAL REPORT
SHARED
DECISION-MAKING
Blueprints for Providing Reliable Care Frontline nurses help create evidence-based plans to improve patient safety “Take your hat off at the door, and let’s start at square one.” It was a simple directive at the beginning of a complex process to provide more reliable care for patients. More than 100 caregivers from throughout Texas Health diligently served on Reliable Care Blueprinting teams in 2016, researching and designing modules to standardize care.
Little did they know how far their journey would take them.
Judy Nduati, M.S.N., R.N.; Rachel McDowell, M.S.N., R.N., CNL, PCCN; and Rene Vasquez, B.S.N., R.N., CNOR, Texas Health Dallas, served on Reliable Care Blueprinting teams to help design modules in support of providing reliable care.
SHARED
DECISION-MAKING
“Reliable Care Blueprinting is important because it supports patient safety and promotes consistency in the care we provide our patients,” said Judy Nduati, M.S.N., R.N., Texas Health Dallas, who served on the general acute care design team. Jenny Ellis, APRN, M.S., AOCN, Texas Health Fort Worth, adds, “Providing reliable care means fully embracing and expecting the ‘every patient, every time’ philosophy of care.” More than 16 modules, ranging from falls to obstructive sleep apnea, were created and launched at all Texas Health wholly owned hospitals in 2016. These modules provide an evidence-based plan related to specific conditions or processes. Creating the modules required an intense study of research by the multidisciplinary teams.
“I loved meeting other professionals with a passion for caring for patients with heart failure, and it was amazing the enormity of information 15 to 20 people could process during each fourhour session,” said Rachel McDowell, M.S.N., R.N., CNL, PCCN, Texas Health Dallas, who served on the heart failure design team. The team met twice a month for five months to create the evidence-based module. For front-line nurses, the process gave them a chance to impact the practice of nursing throughout Texas Health. “It was great to be a part of something bigger than just myself as a nurse or my department,” said Rene Vasquez, B.S.N., R.N., CNOR, Texas Health Dallas, who served on the surgical count procedural safety checklist team. “The whole team was committed to positive change, which improves patient safety.” Throughout the year, all nurses were able to provide feedback on the modules, and modules were adjusted and redesigned as appropriate. “We will always continue to learn how to improve patient care and outcomes,” said Carol Erickson, R.N., Texas Health Southwest. “By working together to give consistent care, wherever we work, we can achieve the highest quality outcomes and improve the health of the communities that we serve.”
Triad Model of Leadership Three key leaders serve hospitals as a team Texas Health’s wholly owned hospitals have a unique triad model of leadership, which places the hospital chief nursing officer as an equal peer with the hospital’s president and chief medical officer. Each member of the triad has defined areas of responsibility and accountability. Former chief nursing officers serve as presidents at several Texas Health hospitals.
20 TEXAS HEALTH NURSE ANNUAL REPORT
hospital president
chief medical officer chief nursing officer
Nursing Informatics Informaticists support caregivers in decision-making Nursing informatics is a specialty that integrates nursing science, computer science and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. In 2016, Texas Health’s nursing informaticists: • Chaired numerous clinical workgroups for CareConnect (electronic medical record) optimization and advancement • Worked closely with the Reliable Care Blueprinting design teams • Led the Alaris IV integration project • Developed and validated a predictive tool in CareConnect to evaluate patients at risk for readmissions • Led acuity staffing implementation
Nursing Congress Representatives from all entities share feedback, best practices Led by Chair Jaime Ball, B.S.N., R.N., Texas Health Azle, and Vice Chair Todd Hobbs, B.S.N., R.N., CNOR, CSRN, Texas Health Alliance, Nursing Congress worked to become more of an active vetting body and less of an informational venue in 2016. Nurses were taught the benefits of Texas Health’s shared governance structure and were encouraged to increase their participation in shared governance. In 2016, delegates began meeting prior to each congress session to share ideas from each entity’s shared governance council. Nursing Congress developed a quarterly newsletter, which members shared with their entity’s shared governance council. In addition, Nursing Congress increased communication with Nursing leadership by adding a question and answer session with a panel of chief nursing officers at each meeting.
“I work to be a team player and help communication among doctors, patients and my co-workers. I stay active on my Unit Based Council to help make my unit better and to improve patient care.” Christina Gammer, B.S.N., R.N., CCRN, Texas Health Fort Worth
Systemwide Nursing Town Hall Meetings Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, chief nurse executive, Texas Health senior vice president, hosted six meetings via videoconference in 2016.
21 TEXAS HEALTH NURSE ANNUAL REPORT
WORK
TEAM
Volunteers, nurses, other employees and physicians on the medical staff work together to provide a FINAL SALUTE for veterans who have passed away at Texas Health Arlington Memorial. The multidisciplinary team includes Betty Knight, volunteer; Judith Garrison, Security; Mary Teague, B.S.N., R.N., CHPN, Nursing; Rick Gomez, Security; Jim Dorsey, chaplain; Kerri Fragoso, R.N., USMC; Mary Liddle, volunteer; April Williams Volunteer Services; Ronnie Sullivan, B.S.N., R.N., OCN, CCAP, Nursing; and Julie Holland, M.S.N., R.N., Nursing.
FINAL SALUTE Honor Escort
The call goes out on the overhead page alerting Texas Health Arlington Memorial employees, physicians on the medical staff and volunteers that a veteran has passed away. A flag is carefully draped over the veteran’s body, and together with the family, they are solemnly escorted through the hallway by nurses, trained honor guards, two security guards and the chaplain.
As the procession slowly moves into the hospital’s main atrium, one of the security guards announces the veteran’s name, rank and branch of service.
Employees, physicians and volunteers, many with a hand over their heart, line the walls to show respect and give the veteran one final salute.
WORK
TEAM
“All races, creeds, religions, prejudices and conflict are laid aside in that moment as our entire focus is on the sacrifice of service and the loss of the family,” said Mary Teague, B.S.N., R.N., CHPN, Texas Health Arlington Memorial. “I am reminded every time of the sacrifice made by others for my freedom and democracy.”
Hospital Chaplain Jim Dorsey had dreamed of creating a FINAL SALUTE ceremony for many years. “It’s always been a part of my thinking and a part of my desire to do something for military veterans, especially as they moved toward the end of their life,” he said. “Over the years, I spoke to scores of people who thought it was a good idea, even great, but never committing themselves to make it happen.” Finally, in early 2015, Jim began meeting with a multidisciplinary team at the hospital to develop the program. The team had representatives from Security, Pastoral Care, Volunteer Services and Nursing, all passionate about honoring veterans. The team researched guidelines on how to honor veterans and educated area funeral homes on the ceremony. Training for employees and volunteers was developed and led by Security. Flags for the program are funded by private donations and donations from the Texas Health Arlington Memorial Auxiliary. The program was up and running in only six months. “It is a very emotional ceremony,” said Kevin Gerken, Security, chair of the FINAL SALUTE Committee and retired military, having served 33 years in the Army. “It really is the beginning of the grieving process for the family. We want to provide a ceremony that is respectful and honorable to both the veteran and the family, because the family has sacrificed and served, too.” The response from families has been overwhelmingly positive. “Families are so appreciative,” said Ronnie Sullivan, B.S.N., R.N., OCN, Texas Health Arlington Memorial. “So many times veterans are not given recognition, so the FINAL SALUTE is quite moving.” Mary adds, “The family impact is profound and will be part of their memory of their loved one for the remainder of their lives.”
Veteran Kerri Fragoso, R.N., USMC, gives a final salute.
Clinical Nurse Leaders
Texas Health Arlington Memorial has shared all that it has learned, and Texas Health Southwest and Texas Health Denton have begun a similar program. Other Texas Health hospitals are also planning observances. Search “Texas Health Arlington Memorial FINAL SALUTE” on YouTube.com to view a video of the ceremony.
128 CNLs, patient care facilitators (CNL students) serve at Texas Health hospitals
The CNL team helps manage the clinical care for a microsystem of 12 to 16 patients. CNLs foster interdisciplinary collaboration, mentor nurses, provide continuity of care and implement process improvement strategies. The CNL team has implemented physician huddles in 2016, which has been shown to decrease patient length of stay and readmissions and increase nurse and physician communication scores. CNLs continue to lead daily care briefings and implement PDSA (Plan, Do, Study, Act) and Lean Six Sigma projects to improve processes.
24 TEXAS HEALTH NURSE ANNUAL REPORT
PHYSICIAN HUDDLES IN 2016
resulted in a decrease in
PATIENT LENGTH
Magnet® Designation Texas Health Dallas achieves third Magnet® designation; Texas Health Southwest achieves designation for first time The American Nurses Credentialing Center (ANCC) has recognized Texas Health Dallas for the third time as a Magnet® hospital — the most prestigious designation honoring nursing services. Texas Health Dallas joins the elite ranks of only 2 percent of hospitals nationwide, and 165 hospitals in the world, to have achieved the coveted Magnet® designation status three times. Texas Health Southwest achieved Magnet® recognition for the first time in 2016. Texas Health Arlington Memorial, Texas Health Fort Worth and Texas Health Plano are also Magnet® recognized hospitals.
Sheree Henson, M.S.N., RN-BC, NEA-BC, and Mary Robinson, Ph.D., RN-BC, begin the celebration at Texas Health Southwest upon hearing that the hospital has been recognized as a Magnet® hospital.
Texas Health Dallas was recognized as a Magnet® hospital for the third time in 2016.
Acuity Staffing
Central Staffing Office
New model supports outcomes analysis
CSO, Patient Logistics consider the big picture
Texas Health launched a new staffing model, which is more reflective of actual workload, at all of the organization’s wholly owned hospitals in 2016. The acuity staffing system: • Serves as a productivity tool for charge nurses to use in measuring the amount of care a patient needs based on their acuity. The charge nurse can then use this data to determine equitable staffing for both RNs and PCTs on the unit.
The Texas Health Central Staffing Office (CSO) and Patient Logistics continued to streamline activities to develop a 360-degree view of staffing, patient acuity, patient placement and transfer activities.
staffing
patient acuity
• Provides data to examine if the acuity level of the patient correlates with outcomes, such as readmissions. • Highlights whether a patient’s acuity is going up or down, alerting nurses to delve deeper into the cause of the changes.
transfer activities
360°
patient placement
25 TEXAS HEALTH NURSE ANNUAL REPORT
TEXAS HEALTH
FORT WORTH
Texas Health Fort Worth Nurses at Heart of Quality Recognitions Nurses at Texas Health Fort Worth play a key role in providing nationally recognized quality care to patients. They worked with interdisciplinary teams to support the hospital in achieving and maintaining more than 25 prestigious accreditations and recognitions in 2016, including: • Ranked 12th best hospital in Texas in U.S. News & World Report’s 2016-2017 Best Hospitals ranking list
• Joint Commission Gold Seal of Approval for Brain Tumor Certification
• Trauma ICU Gold Beacon Award recipient
• Comprehensive Stroke Center
• Three-time Magnet designated hospital
• Neurosurgical Program certified by The Joint Commission for Spine Program
®
• Lung Cancer Screening Center designation • Level II Trauma Center designation
CERTIFICATIONS: • Joint Commission certified in both Heart Failure and Chest Pain
• Orthopedic Program certified by The Joint Commission for hip and knee replacement • Joint Commission certified in advanced palliative care—serving adults and neonates
NICU Nurses Conduct Award-winning Study for Infant Heat Loss Texas Health Fort Worth NICU nurses turned up the heat with an award-winning quality improvement project to increase the NICU admission temperatures of very low birth weight (VLBW) infants. Premature infants with admission temperatures below 96.8 degrees are at higher risk of mortality and some morbidities. Lindsey Cannon, M.S.N., R.N., RNC-NIC, NEA-BC, NICU manager, and Stephanie Eidson, B.S.N., RNC-NIC, clinical educator, identified four key evidence-based interventions associated with improved admission temperatures in high-risk NICU patients. “It was critical to find ways to improve the admission temperatures of our most medically fragile patients to help give them a better chance from the start,” Lindsey said. Lindsey and Stephanie assembled an interdisciplinary team to work on the “Hypothermia Eradication from Admission Temperatures H.E.A.T.” study. In addition to using preheated radiant warmers, thermal mattresses, polypropylene bags and plastic shower caps to prevent infant heat loss upon birth, the team increased the ambient temperature of the delivery room from 74 to 76 degrees, using cooling vests to keep staff comfortable. Over two years, the percentage of hypothermic infants on NICU admission decreased from 20 to 10 percent, and the percentage of infants with normal temperatures increased from 50 to 70 percent. The American Excess Insurance Exchange (AEIX) awarded the hospital $12,000, which was used to purchase a VLBW infant simulator to further educate staff.
26 NURSE ANNUAL REPORT
An interdisciplinary team defined critical interventions to help prevent the heat loss of very low birth weight infants upon admission to the NICU at Texas Health Fort Worth. Team members include: (front row) Lindsey Canon, M.S.N., R.N., RNC-NIC, NEA-BC; Ron Prestige, CRNA; Stephanie Eidson, B.S.N., RNC-NIC; (second row) Laurie Jones, M.S., R.N., RNC-OB, C-EFM; Fran Lynch, M.D.; April Bleich, M.D.; Ashley Tullous, B.S.N., R.N., RNC-NIC; Vicki Hilburn, B.S.N., R.N., RNC-NIC; Molly Taylor, R.T.; (back row) Ken Mathers; Chad Barber, M.D.; April Peterson, RNCOB; and Erica Murphy, C.S.T
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
DFW Great 100 Nurses Texas Health dominates list of outstanding nurses In 2016, the DFW Great 100 Nurses list included 27 nurses from Texas Health hospitals. This was the highest total for any hospital or health system in North Texas. The DFW Great 100 Nurses Inc. annually sponsors the DFW Great 100 Nurses to recognize registered nurses in the area who exemplify excellence in the art and science of nursing.
JAIME BALL, B.S.N., R.N., CCRN, Texas Health Azle
SEAN FAULKNER, B.S.N., R.N., B.A., SCRN, CA-SANE,
LEANN PHELPS, M.S.N., Texas Health Denton
Texas Health Dallas
ELLEN BARGER, B.S.N., M.A.,
MARGARET GALVEZ, M.P.H., B.S.N., R.N.,
Texas Health Denton
Texas Health Fort Worth
DENISE BOSTICK, B.S.N., RNC-OB, C-EFM,
JACLYN GOMEZ, B.S.N., R.N., OCN,
ANITA RIGUES, B.S.N., R.N. – CVRN,
Texas Health Fort Worth
Texas Health Fort Worth
ANNA BOWERS, B.S.N., R.N., OCN,
SPENCER HEATH, B.S.N., R.N., CCRN, LP,
TRACY STERLING, B.S.N., R.N., CMSRN,
Texas Health Fort Worth
Texas Health Fort Worth
Texas Health Fort Worth
LESLIE BOYKIN, B.S.N., RNC-OB,
JUANITA HERNANDEZ, M.S.N., R.N., NE-BC, CMSRN,
TINA TAYLOR, R.N.,
Texas Health Fort Worth
Texas Health Fort Worth
LISA RADO, B.S., R.N., CRRN, PMHN B-C, Texas Health Dallas
Texas Health Denton
Texas Health Southwest
MIKE BRATTON, B.S.N., R.N., CMSRN,
MARIA MENDOZA, R.N., FCCS,
JOSHUA TIPPY, B.S.N., R.N., NE-BC,
Texas Health Fort Worth
Texas Health Fort Worth
Texas Health Dallas
HAYLEY BROWN, A.P.R.N., ACNP-BC,
LISA MURPHY, A.D.N.,
ANGELA TROMPLER, B.S.N., R.N.,
Texas Health Fort Worth
Texas Health Denton
Texas Health Huguley
DANIEL DONEGAN, B.S.N.,
BARBARA PATTERSON, M.S.N., R.N.,
FLAME UYTICO, M.S.N., R.N., C.N.L., CEN, SCRN,
Texas Health Cleburne
Texas Health Dallas
RUBY ESCALANTE, B.S.N., R.N., RN-BC,
ANGI PERREAULT, R.N.,
BARBARA WILLIS, M.S.N., R.N.,
Texas Health Fort Worth
Texas Health HEB
Texas Health Huguley
Texas Health Denton
27 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
RESEARCH Adaptable-Acuity Care Delivery Model – Gilbert, V.; Newcomb, P.; Potter, R.; Sosebee, T.; Texas Health Azle
Beyond the Pilot: Infant Safe Sleep – Texas Health Arlington Memorial, Texas Health Southwest, Texas Health Cleburne, Texas Health Denton
Diabetes: Impact of Inpatient Diabetes Class on Patient Self-Management Skills – Kennedy, D.; Charaniya, M.; Texas Health Denton
Does Implementing Music as a Complementary Therapy in the PACU Help to Decrease Anxiety and Discomfort in Postoperative Abdominal Patients? – Johnson, C., Texas Health Cleburne
Does Including Hospitalized Patients in Morning and Evening Nursing Bedside Report Decrease Their Anxiety and Improve Their Perceptions of Their Patient Experience during Hospitalization? – Baldwin, K.; Black, D.; Adams, K.; Texas Health Cleburne
Effects of a Walking and Breathing Exercise Program for Individuals With Heart Failure – Lin, S.; Texas Woman’s University; Berk, M.; Marshall, J.; Texas Health Dallas
Exploring Labor Experiences and Delivery Outcomes of First-Time Mothers at Term – Gentry, C.; Texas Health Dallas; McAlister, B.; Texas Woman’s University; Wilson, M.; Daratha, K.; Washington State University; Caldwell, J.; Cole, C.; Hernandez, M.; Malone, A.; Scheibenhoffer, K.; Wilkes, L.; Texas Health Dallas
Falls Among Inpatients in Short-Term, Acute Care Environments – Munsterman, E.; Hodo, A.; Newcomb, P.; Texas Health Fort Worth
Genetic and Genomic Competencies of Nurses in Acute Care Practice – Baldwin, K.; Behan, D.; Newcomb, P.; Sleutel, M.; Walsh, J.; Wells, J.; Texas Health Resources
Getting Clinical Information for Practice: Oncology Nurses’ Competence in Library Searches – Sleutel, M., Texas Health Resources
Humpty Dumpty Sat on the Wall: Identifying Why our Low Risk Patients Fall – Walsh, J.; Domingue, S.; Russe, C.; Jones, A.; Nava, A.; John, J.; Newcomb, P.; Texas Health Plano
An Impact Assessment of Recent Texas Laws to Strengthen Investigation and Prosecution of Sexual Assault Cases – Sleutel, M.; Newcomb, P.; Texas Health Resources
Impact of Caring Clinic on Patient Outcomes – Charaniya, M.; Srokoz, K.; Texas Health Denton
Improving Discharge Education Outcomes for MaternalNewborn Populations – Gettel, V., Texas Health Allen Increasing Mobility in Texas Health Arlington Memorial Oncology Patients – Sullivan, R.; Gilliam, E.; Dachroden, L.; Sleutel, M.; Texas Health Arlington Memorial
Infant Safe Sleep Initiative for Healthy Newborns in a Well Mother-Baby Unit –Texas Health Arlington Memorial, Texas Health Cleburne, Texas Health Denton, Texas Health Southwest
Learn It 2 Live It – Charaniya, M.; Kennedy, D.; Texas Health Denton
Maternal Knowledge and Attitudes Regarding State Storage of Newborn Bloodspots for Research Purposes – Haywood, B.; Jones, L.; Gist, C.; Texas Health Alliance; Baldwin, K.; Martinez, R.; Newcomb, P.; Pehl, S.; Walsh, J.; Wells, J.; Texas Health Resources
Nurse Practitioners Prevent Readmissions Among Uninsured Chronically Ill Patients – Teuteberg, D., Texas Health Azle
Positioning for Health: Effects of Eating in the Conventional Upright Position at Table on Outcomes of Older Adult Patients in Acute Care Hospitals – Munsterman, E.; Newcomb, P.; Texas Health Fort Worth; Penrod, A.; Sosebee, T.; Texas Health Azle
Tools of the Trade: Improving Nurses’ Ability to Access, Evaluate Research – Sullivan, R.; Bullion, J.; Helms, P.; Sleutel, M.; Texas Health Arlington Memorial
Using Vaginal Delivery Safety Checklist – Texas Health Allen, Texas Health Alliance, Texas Health Arlington Memorial, Texas Health Azle, Texas Health Cleburne, Texas Health Dallas, Texas Health Denton, Texas Health Fort Worth, Texas Health HEB, Texas Health Kaufman, Texas Health Plano, Texas Health Southwest, Texas Health Stephenville Validation of a One-Year Timeframe in Order to Safely Remove Isolation Precautions for MRSA in a Community Hospital – Graham, R.; Behan, D.; Texas Health HEB
28 TEXAS HEALTH NURSE ANNUAL REPORT
AWARDS AND RECOGNITION Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, Texas Health Resources; one of 60 Gator Nurse Greats for leadership, University of Florida College of Nursing; Healthcare Hero 2016, Fort Worth Business Cole Edmonson, D.N.P., R.N., FACHE, NEA-BC, FAAN, Texas Health Dallas; selected as Fellow in the American Academy of Nursing Sandy Elings, M.S.N., R.N., Texas Health HEB; Employer Support Freedom Award, Secretary of Defense for employer support of the Guard and Reserve
Paula Miller, M.S.N., R.N., Texas Health Resources; American Muslim Women Physicians Association 2016 Community Service Award
Christine Russe, M.S.N., R.N., CEN, CPEN, TCRN, FAEN, Texas Health Plano; selected as Fellow in the Academy of Emergency Nursing Jo Nell Wells, Ph.D., R.N., OCN, Texas Health Alliance; Mentor of the Year, Texas Christian University Evidence-Based Practice Fellowship D MAGAZINE EXCELLENCE IN NURSING AWARDS TEXAS HEALTH ALLEN: • Vicki Gettel, B.S.N., R.N., IBCLC, Women’s Health • Doug Johnson, B.S.N., R.N., Medical/Surgical • Michelle Pecenka, B.S.N., R.N., Leadership
• Elizabeth Morse, B.S.N., R.N., CPAN, Education Perioperative • Christi Nguyen, M.S.N., M.H.A., R.N., NEA-BC, FACHE, Medical/Surgical • Deborah Rhoton, R.N., CCRN, Critical Care
TEXAS HEALTH ARLINGTON MEMORIAL: • Barbara True, M.N., CNS, RNC-OB, C-EFM, Women’s Health
TEXAS HEALTH DENTON: • Rick Coffman, B.S.N., R.N., M.B.A., CNOR, Surgery
TEXAS HEALTH AZLE: • Jaime Ball, B.S.N., R.N., CCRN, Critical Care TEXAS HEALTH DALLAS: • Kerri Allahverdi, B.S.N., R.N., PMH-BC (NCAP IV), Psychiatric • Meera Ananthaswamy, Ph.D., M.H.A., M.B.A., RN-BC, FACHE, Professional Practice • Stella Apari, M.S.N., R.N., PMH-BC, FNP-C (NCAP IV), Psychiatric • DeVonn Dillard, B.S.N., R.N., SANE-A, CA-SANE, CFN, Sexual Assault Nurse Examiner • Alex Klacman, M.S.N., Ed., RN-BC, CCRN, Education Critical Care • Michael Mandapat, B.S.N., R.N., CCRN, Surgical ICU
TEXAS HEALTH FLOWER MOUND: • Laura Rome, A.D.N., CPAN, Post Anesthesia Care Unit TEXAS HEALTH FORT WORTH: • Linda Martin, M.S., B.S.N., R.N., Surgery TEXAS HEALTH HUGULEY: • Tammy Collier, R.N., M.S.B., NEA-BC, FACHE, Nursing Executive • Renita Crowdis, M.S., B.S.N., R.N., Medical/Surgical • Rhonda Fuselier, M.S.N., R.N., Women’s Health • Sharon Washburn, M.S.N., R.N., B.S., M.B.A., Safety/Quality • Barbara Willis, M.S.N., R.N., Cardiovascular TEXAS HEALTH SOUTHWEST: • Gretchen Hunt, M.S.N., R.N., ACNS-BC, Administration
Nurses Visit Israel Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive, led a delegation of nurses from the American Organization of Nurse Executives (AONE) on a trip in September to visit their nurse leader counterparts in Israel. Joan began serving a 1 1/2-year term as president of AONE in July.
29 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
LEADERSHIP Elizabeth Asturi, M.S.N., R.N., NE-BC, Texas Health Allen;
Dawn Donovan-Kinder, M.H.A./E.D., B.S.N., R.N., OCN,
president-elect, North Texas Organization for Nurse Executives
Texas Health Fort Worth; leader, Oncology Nursing Society for Advocacy and Legislation on Capitol Hill
Candace Bruton, M.S.N., RNC-NIC, Texas Health HEB; board member, Texas Team Nurses, North Texas Cohort
Kirsten Drake, D.N.P., R.N., OCN, NEA-BC, Texas Health
Sally Carmen, D.N.P., R.N., CNL, Texas Health Fort Worth; board member, Texas Organization for Nurse Executives Mary Carrizalez, B.S.N., R.N., M.B.A., RNC-NIC, CCRN,
Fort Worth; editorial board member, Nursing Management Journal
Cory Franks, M.S.N., R.N., CNL, Texas Health Alliance; board member, Clinical Nurse Leader Association
Texas Health Arlington Memorial; board member, Perinatal Nursing Symposium, Academy of Neonatal Nurses
Ellen Gaban, M.B.A., RNC-OB, Texas Health Plano, and Betty Haywood, B.S.N., RNC-OB, C-EFM, Texas Health
Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN,
Alliance; Host Committee members, Association of Women’s Health, Obstetrics, and Neonatal Nurses’ annual convention
Texas Health Resources; • Commissioner, Accreditation Committee Member, The Joint Commission • Advisory board member, Texas Tech University • President, Bylaws Committee chair, Tri Council chair, Strategic Planning Committee chair, American Organization of Nurse Executives • Advisory committee member, Versant Residency Program • CNL Advisory Committee member, University of Iowa • Co-chair, American Academy of Nursing Fellow Selection Committee
Margaret Galvez, M.P.H., R.N., Texas Health Fort Worth; Steering Committee member, American Heart Association Fort Worth; Vestido Rojo Planning Committee, Hispanic Wellness Coalition; Healthy Tarrant County Collaboration, Senior Synergy Health Expo Michelle Hampton, Ph.D., R.N., CCRN, Texas Health Fort Worth; delegate to the Texas Nurses Association House of Delegates Judy Horton, R.N., M.S.N., Texas Health Fort Worth; chairperson, EMS Advisory Board for Tarrant County College
Lynne Kelley, M.S., R.N., Texas Health HEB; president, Texas
Nurse Scientists Host Research Symposium Texas Health’s nurse scientists hosted the 3rd Annual Texas Health Resources Research Symposium on Oct. 28 at Texas Health Dallas.
Emergency Nurses Association
Lori Krogman, M.S.N., R.N., Texas Health HEB; director at large, North Central Organization for Nurse Executives; board member, Oncology Nursing Society, Fort Worth Chapter
Larry Lookingbill, R.N., Texas Health Willow Park; Texas state representative, Emergency Nurses Association National Conference Monique Lounethon, R.N., Texas Health HEB; board member, Oncology Nursing Society, Fort Worth Regional Chapter June Marshall, D.N.P., R.N., NEA-BC, Texas Health Dallas; board member, Scholarship Committee co-chair, DFW Great 100 Nurses, Inc.; Policy Council expert advisor, Texas Nurses Association
Brenda McDonnell, B.S.N., R.N., CCAP, PCCN-K, Texas Health Fort Worth; board member, Community Outreach for the Preventive Cardiovascular Nurses Association
30 TEXAS HEALTH NURSE ANNUAL REPORT
Devonna McNeill, M.S.N., RN-BC, RNC-OB, Texas Health Fort Worth; Continuing Nursing Education Committee member, Texas Nurses Association Gayla Miles, M.S.N., R.N., Texas Health Fort Worth; editorial board member, Journal of Emergency Nursing; education chair, Dallas County Emergency Nurses Association
Karla Myers, R.N., Texas Health Allen; Nominating Committee member, Association of Perioperative Registered Nurses, Dallas Chapter
Brunella Neely, M.S.N., R.N., CMSRN, CNL, Texas Health Fort Worth; secretary, Clinical Nurse Leader Association, North Texas Chapter Becky O’Shea, APRN, OCN, AOCNS, CBCN, CNS, Texas Health Denton; vice president, board of directors, Oncology Nursing Certification Corporation (ONCC), ONCC Discipline Committee chair, ONCC Chemo Appeals Committee member, liaison at Oncology Nursing Society Congress to interest groups and committees
Joni Padden, D.N.P., APRN, BC, CPHIMS, Texas Health Resources; Committee on Sepsis member, Dallas-Fort Worth Hospital Council Sherry Parkhurst, M.S., R.N., RN-BC, Texas Health Resources; Recognition Committee member, Association for Nursing Professional Development
Michelle Pecenka, B.S.N., R.N., Texas Health Allen; advisory board member, North Texas Organization for Nurse Executives
Debbie Phillips, M.S., R.N., FNP-BC, Texas Health Fort Worth; delegate to the Texas Nurses Association House of Delegates Theresa Posani, M.S., R.N., ACNS-BC, CCRN, CNE, Texas Health Fort Worth; expert advisor, Texas Nurses Association Policy Council and APRN Committee Ashley Reese, R.N., Texas Health Fort Worth; treasurer, Oncology Nursing Society, Fort Worth Chapter
Elizabeth Samuelson, B.S.N., R.N., RN-BC, Texas Health Dallas; secretary, American Association of Neuroscience Nurses, Dallas Chapter Martha Sleutel, Ph.D., R.N., CNS, Texas Health Resources; board member, Texas Team Nurses, North Texas Cohort
“Texas Health has allowed me to grow professionally and find my career niche. The family-first atmosphere has helped me maintain a balance between my personal and professional lives.” Suzanne Goldstein, B.S.N., R.N., MHSM, nurse auditor, Texas Health Organization for Physicians
Barbara True, M.N., CNS, RNC-OB, C-EFM, Texas Health Arlington Memorial; author/reviewer, Perinatal Education and Orientation Program, representative on American Academy of Family Physicians Advanced Life Support in Obstetrics advisory board, instructor for intermediate and advanced fetal monitoring practices and principles program, Association of Women’s Health, Obstetric and Neonatal Nurses; advisory board member, author of Advanced Life Support in Obstetrics Program, advisory faculty of Advanced Life Support in Obstetrics Program, American Academy of Family Physicians
Julie Summers, R.N., Texas Health Fort Worth; president, Oncology Nursing Society, Fort Worth Chapter
31 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
PODIUM PRESENTATIONS Angeley, M., Texas Health HEB. What Came First: The Chicken or the Egg? Focusing on Patient Satisfaction vs. Staff Satisfaction. Emergency Nurses Association Conference, Los Angeles, September 2016.
Banks, D., Texas Health Resources. Establishing a Foundation for a Successful CNL Program. Clinical Nurse Leader Association Fall Conference, Charlotte, North Carolina, September 2016.
Carmen, S., Texas Health Fort Worth. Displaying Clinical Excellence on Hospital Units: Transparency Drives Interdisciplinary Approaches to Improving Patient Care Outcomes. American Nurses Association Quality Conference, Orlando, March 2016.
Clark, J., Texas Health Resources. Implementation of the CNL across a multihospital system, Press Ganey Nursing Pre-Conference, November 2016. Succession Planning Panel Member, International Nursing Administration Research Conference, November 2016. Ignite, Lighting the Embers and Fanning the Flames: Top Ten Lessons for CNEs. Georgia Organization of Nurse Leaders Annual Meeting, Savannah, Ga., August 2016. Co-presenter, The Nursing Profession: What you Need to Know and Why it Matters. The Nursing Community and Senate Nursing Caucus, Washington, D.C., March 2016.
Rounding Builds Relationships Nurses on the Medical and Neuro Telemetry Unit at Texas Health Arlington Memorial meet with Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president, Texas Health chief nurse executive. Texas Health Nursing leaders regularly round with their team members.
Cornish, C., Texas Health Dallas. Streamlining Time to Diagnosis and Treatment of Gestational Diabetes. Nurse Practitioners in Women’s Health Conference, New Orleans, September 2016.
Crauswell, C., Texas Health Fort Worth. The Effect of Active Listening on the Patient Perception of Emotional Care. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016.
Diaz, F., Texas Health Fort Worth. Move It! An Early Mobility Program in the MSICU. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016. Drake, K., Texas Health Fort Worth. Push — Pull…It’s About Patient Throughput. Nursing Management Congress, Las Vegas, October 2016. Dye, R., Texas Health Fort Worth. Maintaining a QAPI Program Through OTTR 7 Utilization. OTTR OUI Conference, Omaha, Nebraska, September 2016. Edmonson, C.; Klacman, A.; Marshall, J.; Texas Health Dallas. AHA Resuscitation Quality Improvement (RQI™) Program: Improving Provider Competency and Patient Survival. American Organization of Nurse Executives Annual Conference, Fort Worth, Texas, April 2016. Eldridge, T., Texas Health Alliance. Developing an EvidenceBased Protocol: Obstructive Sleep Apnea Continuity of Care. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Franks, C., Texas Health Alliance. Bringing Wound Care Back: How a CNL Team Changed Wound Care from an Outsourced Service to an In-House Competency Through Staff Development, Policy Design and Multidisciplinary Leadership. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016.
Franks, C.; Mundackal, G.; Texas Health Alliance. Clinical Nurse Leaders Positively Impact C-Diff Reduction, Care Coordination and Cost Avoidance. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016. Garcia, T., Texas Health Southwest. Decreasing Hospital Acquired Aspiration Pneumonia by Implementing an Oral Care Protocol. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016. Harris, E., Texas Health HEB. Developing the Competencies of the Bedside Nurse through Standardization of Preceptor Competency Validations and Documentation. Versant Client Conference, Las Vegas, November 2016.
32 TEXAS HEALTH NURSE ANNUAL REPORT
Hopper, P.; Warren, K.; Texas Health Denton. Reducing Readmissions in the Chronic Obstructive Pulmonary Disease Population through Early Intervention and Patient Involvement. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016.
Johnson, C.; Karbach, A.; Clark, J.; Lee, S.; Robinson,V.; Texas Health Southwest. Improving Bedside Report. American Organization of Nurse Executives Care Innovation and Transformation Program, San Diego, September 2016.
Klacman, A.; Marshall, J.; Texas Health Dallas. Leading Disruptive Innovations to Improve Resuscitation Outcomes, Texas Organization of Nurse Executives Conference, Dallas, February 2016.
Leach, J., Texas Health Fort Worth. The Cactus and Hammock: Assessing Aphasia in the National Institute of Health Stroke Scale. Canadian Stroke Congress, Quebec, Canada, September 2016.
LePori, C., Texas Health Fort Worth. Innovation in Infusion Centers to Impact Revenue and the Patient Experience. Oncology Nursing Society 41st Annual Congress, San Antonio, Texas, April 2016.
Mathew, A.; Melton, T.; Philip, G.; Uytico, F.; Texas Health
Central Staffing Office Nurse Saves Drowning Victim When Talecia Hawkins, B.S.N., R.N., left Texas Health Denton to spend a holiday weekend with family and friends at an East Texas lake, she was not expecting to put her nursing skills to use. But duty called. “I heard a commotion, and it turned out a young man had drowned,” said Talecia, who works for the Texas Health Central Staffing Office (CSO). “He was not breathing and did not have a heartbeat.” Without hesitation, Talecia sprang into action. “I began chest compressions, and all I could think was ‘Talecia, keep doing compressions, even if he doesn’t breathe.’ I did not want the kids and family of the young man to see us give up,” she said. “I kept praying to God to save him. After about 10 to 15 minutes of rescue, he took a breath, and we were all so relieved.” The young man survived the incident and is doing well — thanks to Talecia’s quick thinking and actions.
Dallas. Clinical Nurse Leader Led Daily Care Briefing Work to Reduce Length of Stay, Hospital-Acquired Infections and 30-Day Readmissions. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016.
Mathews, C.; Lupo, C.; Texas Health Fort Worth. CNL Committee Significance: Structure Strengthens Process and Outcomes. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016. McDonnell, B., Texas Health Fort Worth. Effects of Essential Oils on Sleep Among Cardiac Rehabilitation Patients. 8th Annual Oschner EBP & Research Conference, New Orleans, September 2016.
Neely, B.; Decker, M.; Texas Health Fort Worth. Clinical Nurse Leader-Nurse Manager Partnerships are Associated with Staff Perceptions of Resource Availability. American Nurses Credentialing Center Magnet Conference®, Orlando, Florida, October 2016.
Odicio, N.; Erickson, C.; Weber, L.; Texas Health Southwest. Our CIT Journey: Going for the Gold Two Years Later. American Organization of Nurse Executives Care Innovation and Transformation Program, San Diego, September 2016.
33 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
Padden, J., Texas Health Resources:
Srokosz, K.; Texas Health Denton. Readmissions Prevention
• Sepsis Collaborative Effort. DFW American Nursing Informatics Association Conference, Irving, Texas, September 2016.
through Patient Navigation. Texas Medical Foundation North Texas Coalition Meeting, Denton, Texas, August 2016. Navigation Strategies for Patients Beyond Care Coordination Yields Improved Outcomes. William P. Clements Jr. University Hospital’s Navigating the Maze — Closing Gaps in Care Coordination Symposium, Dallas, September 2016.
• Beating the Odds of Sepsis. Dallas-Fort Worth Hospital Council presentation, Arlington, Texas, October 2016. • Impacting C Diff. Sepsis Pearls. Epic Nursing Collaborative–Hand Off Communication Planning, Care Plan and Education Planning. Epic XGM, Madison, Wisconsin, March 2016. • Making Healthcare Reliable with Technology Support for Hardwiring. Epic UGM, Madison, Wisconsin, September 2016
Stengem, D.; Banks, D.; Texas Health Resources. Let’s Get Moving —From the Microsystem to the Macrosystem: Systemwide Implementation of a Mobility Program into 62 Microsystems. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016. Thomas, D., Texas Health Specialty Hospital. Caring at the
Presley, C.; Johnson, S.; Texas Health Southwest. Up Times Three Improves Functional Mobility in the Elderly. International Nurses Improving Care for Healthsystem Elders Conference, Chicago, April 2016.
Rust, L., Texas Health Resources. An Enterprise Approach to Device Integration. Epic Expert User Group, Madison, Wisconsin, April 2016. An Enterprise Approach to Device Integration, IV Infusion Pump Integration with Electronic Medical Record. DFW American Nursing Informatics Association Conference, Irving, Texas, September 2016.
Richie, L.; Perrault, A.; Texas Health HEB. Stemi Assist Team: Time is of the Essence. Emergency Nurses Association Conference, Los Angeles, September 2016.
Bedside: A Comparison of Patient and Nurse Perceptions of Caring. American Organization of Nurse Executives Research Roundtable, Fort Worth, Texas, March/April 2016.
True, B.; Sleutel, M.; Gustus, H.; Texas Health Arlington Memorial. Transforming Infant Safety Through Nursing Innovation: Implementing an Infant Safe Sleep Bundle. 8th Annual Oschner EBP & Research Conference, New Orleans, September 2016. Umejei, G., Texas Health Dallas. Bladder Training: A Behavioral Approach to Managing Incontinence. International Nurses Improving Care for Healthsystem Elders Conference, Chicago, April 2016.
Varughese, B.; Hubbard, A.; Mather, S.; Motakef, D.; Sims, S., Texas Health Dallas. More than Skin Deep: Assessing the Dermatological Toxicities of Epidermal Growth Factor Receptor Inhibitors. Oncology Nursing Society Congress, San Antonio, Texas, April 2016.
Making a difference in D.C.
Texas Health Plano. Sustaining Reliable Care Blueprinting on Indwelling Urinary Catheters in a Stroke/Telemetry Area. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016.
Several Texas Health nurses participated in the AONE Nurse Manager Fellowship trip to Washington, D.C. Adam Jobe, B.S.N., R.N., Texas Health Cleburne; Juanita Hernandez, M.S.N., R.N., NE-BC, CMSRN, Texas Health Southwest; Courtney Asbill, aide to Sen. Ted Cruz; and Kelle McGough, R.N., Texas Health Dallas, met to discuss positions important to Cruz and how nurse leaders can support them to help achieve common goals. The group also met with Rep. Kay Granger.
34 TEXAS HEALTH NURSE ANNUAL REPORT
Walker, S., Texas Health Heart & Vascular Hospital.
Carey, S.; Mickle, A.; Texas Health Fort Worth. Back to
An Evidence-Based Practice Project to Improve Electrocardiography Recordings and Reduce Nuisance Alarms in Adult Cardiac Monitored Patients. TCU EvidenceBased Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Basics: The Benefits of Implementing a Standardized Spine Surgery Program. Discharge Disasters: A Call to Streamline the Discharge Process for Elective Spine Surgery Patients. Move: The Benefits of an Early Mobilization Protocol in Elective Spine Surgery Patients. National Association of Orthopedic Nurses National Conference, Orlando, Florida, May 2016.
Walsh, J.; Ahmed, A.; Pilgrim, K.; Texas Health Plano. STOP: I am Giving Medications! Re-examination of Interruptions and Distractions during Medication Preparation and Administration. North Texas Chapter of the Academy of Medical-Surgical Nurses Association Meeting, Dallas, February 2016. Wandji, S.; Texas Health Arlington Memorial. Optimization of Telemetry Cardiac Monitoring Resources and Processes. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016.
Carey, S.; Mueller, E.; Texas Health Fort Worth. Discharge Disasters: A Call to Streamline the Discharge Process for Elective Spine Surgery Patients. American Association of Neuroscience Nurses National Conference, New Orleans, April 2016. Cartwright, K.; Goodett, O.; Texas Health Southwest. Improving Medication Communication. Academy of MedicalSurgical Nurses Conference, Washington, D.C., September 2016. Colvin, A., Texas Health Alliance. Fun in the Sun Safety Fair,
Weber, M., Texas Health Denton. Helping Babies Breathe.
Fort Worth, Texas, May 2016.
Essential Care for Every Baby. New Abirem Hospital, Ghana, May 2016.
Cornish, C., Texas Health Dallas. Streamlining Time to
Williams, K.; Law, B.; Texas Health Fort Worth. Skin to Skin
Diagnosis and Treatment of Gestational Diabetes. North Texas Nurse Practitioner Conference, Dallas, April 2016.
Care Decreases Procedural Care for Newborns. International Lactation Consultant Association Conference, Chicago, July 2016.
POSTER PRESENTATIONS Bodiford, W.; Brown, W.; Texas Health Arlington Memorial. Avoiding Catastrophe: Treating Tumor Lysis Syndrome: Case Studies and More. Oncology National Nursing Symposium, Fort Worth, Texas, March 2016.
Bowers, A., Texas Health Fort Worth. Distress in Patients with Cancer. 6th Annual Cowtown Oncology Nursing Symposium, Fort Worth, Texas, March 2016.
Bruton, C., Texas Health HEB. Music Does Soothe the Soul. Fetus and Newborn Conference, Contemporary Forums 2016, New Orleans, September 2016.
Canon, L.; Eidson, S.; Texas Health Fort Worth. H.E.A.T. NICU Leadership Forum, Ponte Vedra, Florida, April 2016. Carey, S., Texas Health Fort Worth. Back to Basics: The Benefits of Implementing a Standardized Spine Surgery Program. American Association of Neuroscience Nurses National Conference, New Orleans, April 2016.
Dalton, B.; Eidson, S.; Texas Health Fort Worth. Bundling the Ventilator Associated Pneumonia Guidelines for our Tiniest Bundles of Joy. Association for Professionals in Infection Control Annual Conference, Charlotte, North Carolina, June 2016. National Association of Neonatal Nurses Conference, Palm Springs, Florida, October 2016.
Dutton, M., Texas Health Fort Worth. Communication of Tachycardia at Discharge. Emergency Nurses Association National Conference, Los Angeles, September 2016.
Eidson, S., Texas Health Fort Worth. Orange You Happy? The Gravens Conference, Clearwater Beach, Florida, February 2016.
Franks, C.; Mundackal, G.; Texas Health Alliance. • Proper Care and Feeding of Your Hospitalist: How the Development of Daily Multidisciplinary Grand Rounds Helped Improve Care Coordination, Grow Care Team Relationships, and Change the Culture on a Med-Surg Unit. American Association of Colleges of Nursing CNL Summit, Long Beach, California, January 2016. American Nurses Credentialing Center Pathways to Excellence Conference, Philadelphia, April 2016. • Clinical Nurse Leaders Positively Impact C-Diff Reduction, Care Coordination, and Cost Avoidance. American Nurses Credentialing Center Pathways to Excellence Conference, Philadelphia, April 2016. • A CNL Initiative: Developing a Culture of Teamwork and Quality with an Inter-Professional Rounding Model. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016.
35 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
Nurse Researchers Share Findings on Infant Safe Sleep at National Conference Three nurse researchers from Texas Health Arlington Memorial presented their research on “Implementing an Infant Safe Sleep Bundle” at the 8th Annual Evidence-based Practice and Research Conference sponsored by Louisiana State University and Ochsner’s. Heidi Gustus, B.S.N., R.N.; Barbara True, M.N., CNS, RNC-OB, C-EFM; and Martha Sleutel, R.N., CNS, Ph.D., shared their findings at the conference held in New Orleans in September.
Texas Health Nurses Make Impact Throughout the Country Texas Health nurses have shared their research and knowledge through podium and poster presentations throughout the United States, and even in Canada.
CITIES: • Los Angeles, CA • Long Beach, CA • San Diego, CA • Las Vegas, NV • Chandler, AZ • Omaha, NE • Milwaukee, WI • Madison, WI • Chicago, IL • Fort Worth, TX • Irving, TX • Arlington, TX
• Grapevine, TX • Dallas, TX • San Antonio, TX • New Orleans, LA • Philadelphia, PA • Washington, D.C. • Charlotte, NC • Orlando, FL • Ponte Vedra, FL • Palm Springs, FL • Clearwater, FL • Quebec City, Canada
Gettel, V., Texas Health Allen. Caring Compassionately for Hospitalized Patients: Can Nurse-Delivered Massage Address Compassion Fatigue? North Texas Blood Cancer Conference, Dallas, September 2016.
Hampton, M.; Drake, K.; Texas Health Fort Worth. Development of an Innovative Tool to Support Nursing Leadership in Maintaining Unit Level Optimal Staffing Patterns. Nurse Management Conference, Las Vegas, November 2016.
Ghazizadeh, L., Texas Health Dallas. Right Cuff, Right Way? Blood Pressure Assessment in Obese Pregnant Women. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Hollingsworth, T., Texas Health Huguley. The Use of Nurse Driven Protocol for Delirium in High-Risk Patients. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Greenshield, K., Texas Health Southwest. Bare Below the Elbow: Examining Bacterial Load and Items Worn Below the Elbow. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Inman, M., Texas Health Stephenville. SIM: Saving Infants Masterfully. Texas Hospital Association Conference, Dallas, January 2016. Association of Women’s Health, Obstetric and Neonatal Nurses Conference, Grapevine, Texas, June 2016.
36 TEXAS HEALTH NURSE ANNUAL REPORT
Johnson, C., Texas Health Cleburne. Music Therapy in the PACU. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016. Johnson, C.; Karbach, A.; Clark, J.; Lee, S.; Robinson, V.; Texas Health Southwest. Improving Bedside Report. American Organization of Nurse Executives Care Innovation and Transformation Program, San Diego, September 2016.
Johnson, M.; Pinto, F.; Texas Health Arlington Memorial. CAUTI Stewardship: Empowering Nurses to Transform Care Reducing Rates 85%. American Nurses Credentialing Center Magnet ConferenceÂŽ, Orlando, Florida, October 2016.
Leone, E., Texas Health Fort Worth. Early Ambulation to Improve Outcomes. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016. Mart, C.; Bozarth, C.; Texas Health Fort Worth. Community Collaboration to Reduce Health Disparities. 2016 Health Ministry Association Annual Conference, Chandler, Arizona, September 2016. Mather, S., Texas Health Plano. Increasing Turning and Positioning Rates Through Implementing A Turning and Positioning Clock for the Prevention of Hospital Acquired Pressure Ulcers. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016. Mather, S.; Varughese, B.; Texas Health Plano. High Five Project: Utilizing a Checklist to Improve Patient Satisfaction Scores. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016.
Parker, L.; Clark, Q.; Bender, B.; Texas Health Cleburne. Infection Prevention as the Driving Force for Antimicrobial Stewardship. 43rd Association for Professionals in Infection Control Annual Conference, Charlotte, North Carolina, June 2016. Department of State Health Services, San Antonio, Texas, August 2016.
Posani, T., Texas Health Fort Worth. Proven Tactics to Promote Better Patient Outcomes for the Septic Population. 8th Annual Oschner EBP & Research Conference, New Orleans, September 2016.
Lanyard Use Leads to Improved Documentation in Research Study Recognizing a consistent problem with lack of end time documentation associated with blood product transfusion, a team at Texas Health Denton created a research project to address the issue. They created lanyards with pouches containing checklists attached to use as a visual cue to remind nurses to document the end time of blood product transfusions. Heather Macdonald, B.S.N., R.N., CMSRN, (pictured) participated in the pilot program and presented the research findings at the Nursing Congress meeting in August. Results of the pilot program showed a decrease in blood documentation errors.
McDonnell, B., Texas Health Fort Worth. Effects of Essential Oils on Sleep Among Cardiac Rehabilitation Patients. 31st American Association of Cardiovascular and Pulmonary Rehabilitation Annual Meeting, New Orleans, September 2016.
Nava, A., Texas Health Plano. A Service that Saves: An Interdisciplinary Program to Reduce Readmissions and Increase Patient Satisfaction. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016.
Neely, B.; Hardman, B.; Hafley, J.; Texas Health Fort Worth. Building a Culture: Orientation, Training and Implementation. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016.
Page, G., Texas Health Denton. Music as an Intervention. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Rainer, J., Texas Health Dallas. Moral Distress: An Integrative Review. Midwest Nursing Research Conference, Milwaukee, March 2016.
Rhodes, K., Texas Health Southwest. Can Use of a Fluorescent Gel Monitoring Program Improve Compliance with Cleaning of Clinical Equipment? 43rd Association for Professionals in Infection Control Annual Conference, Charlotte, North Carolina, June 2016.
Roberts, M., Texas Health Huguley. Using the Rapid Dysphagia Screening Tool to Prevent Complications from Dysphagia. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Sims, S., Texas Health Dallas. More than Skin Deep: Assessing the Dermatological Toxicities of Epidermal Growth Factor Receptor Inhibitors. Oncology Nursing Society Congress, San Antonio, Texas, April 2016.
37 TEXAS HEALTH NURSE ANNUAL REPORT
INDIVIDUAL ACCOMPLISHMENTS
ACHIEVEMENTS AND RESEARCH
Spears, M., Texas Health Cleburne. Boots on the Ground.
Clark, J., Texas Health Resources. President’s Column
Academy of Medical-Surgical Nurses Conference, Washington, D.C., September 2016.
for the American Organization of Nurse Executives Voice publication, September and November 2016.
Spears, M.; Buron, B.; Texas Health Cleburne. Falls—A
Drake, K., Texas Health Fort Worth. Leadership Q&A: Does Your OT Rate Need a Trim? Nursing Management: The Journal of Excellence in Nursing Leadership, March 2016. Leadership Q&A: Get in the Game! Nursing Management: The Journal of Excellence in Nursing Leadership, June 2016. Leadership Q&A: Decision Making and EBP. Nursing Management: The Journal of Excellence in Nursing Leadership, September 2016.
Method to the Madness. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016.
Spears, M.; Stroup, C.; Texas Health Cleburne. Allow Me to Listen. Clinical Nurse Leader Association Regional Conference, Charlotte, North Carolina, September 2016. Syed, F., Texas Health Arlington Memorial. Emergency Department Team Leads: Leading on the Wait. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016.
Edmonson, C.; Klacman, A.; Tippy, J.; Texas Health Dallas. Nurse Leaders as Disruptive Innovators in Cardiopulmonary Resuscitation Competency. Nurse Leader, June 2016. Edmonson, C.; Sumagaysay, D.; Cuman, M.; Chappell, S.;
Uytico, F., Texas Health Dallas. A Collaborative Approach to Patient-Centered Care: Empowering Nurses to Innovate Change within Their Own Unit. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016.
Walsh, J.; Nava, A.; Russe, C.; Jones, A.; Newcomb, P.;
Texas Health Dallas. Crisis Management: The Nurse Leader’s Role. Nurse Leader, June 2016.
Evensen, A.; True, B.; Shields, S.; Texas Health Arlington Memorial. Intrapartum Fetal Surveillance and Labor Dystocia Workshop. Advanced life support in obstetrics provider syllabus, April 2016.
Texas Health Plano. Humpty Dumpty Sat on the Wall: Identifying Why our Low-Risk Patients Fall. 2016 North Texas Blood Conference, Dallas, September 2016.
Wandji, S., Texas Health Arlington Memorial. Optimization of Telemetry Cardiac Monitoring Resources and Processes. American Association of Colleges of Nursing 2016 CNL Summit, Long Beach, California, January 2016. Wilson, A., Texas Health Denton. It’s MAGIC: Decreasing PICC Utilization by Establishing Appropriate Placement Criteria. TCU Evidence-Based Practice Fellowship Graduation, Fort Worth, Texas, September 2016. Zimmerman, M., Texas Health Fort Worth. Tic Tock We Don’t Stop — 24/7 Stroke Nurse Clinician Response Improves Care in the Stroke Patient. International Stroke Conference, Los Angeles, February 2016.
PUBLICATIONS Baldwin, K.; Black, D.; Bonds, P.; Normand, L.; Texas Health Cleburne. Integrating Retired Registered Nurses into a New Graduate Orientation Program. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, September/ October 2016.
Canon, L.; Eidson, S.; Texas Health Fort Worth. H.E.A.T.: Hypothermia Eradication from Admission Temperature. National Association of Neonatal Nurses E-News, January 2016.
38 TEXAS HEALTH NURSE ANNUAL REPORT
Celebrating Nurses Week Nurses on Cardiac Telemetry 3 at Texas Health Fort Worth dressed in vintage nursing uniforms to celebrate Nurses Week in May. The throwback nurses include: Veronica Lopez, R.N.; Sarah Beamer, R.N.; Gretchen Allison, R.N.; Debbie Strandin, R.N.; Jennifer Dalton, R.N.; Deborah Roberts, R.N.; Megan Higgins, R.N., PCF; and Holly Hinsey, R.N.
LePori, C., Texas Health Fort Worth. Improving Patient Wait Time in Blood Transfusions. Oncology Nursing Forum, March 2016.
Mart, C., Texas Health Fort Worth. Faith-Based Resources and Suicide Prevention. Health Affairs, October 2016. Sleutel, M.; Brown, W.; Wells, J.; Texas Health Resources. Tumor Lysis Syndrome: Two Cases with Unexpected Outcomes. Clinical Journal of Oncology Nursing, April 2016.
Sleutel, M.; Larrimore, J.; Qureshi, M.; Texas Health Denton. Learning from the Field: How a Professional Practice Model with a Spirit of Inquiry Led to a Practice Change. Professional Practiced Models in Nursing: Successful Health System Integration, January 2016. Spatz, D.; Law, R.; Texas Health Fort Worth. What You Didn’t Know About Donor Milk. The Association of Women’s Health, Obstetric & Neonatal Nurses’ Connections, June 2016.
Teague, M.; Manns, D.; Sleutel, M.; Texas Health Arlington Memorial. Learning from the Field: How our Professional Practice Model Became a Magnet® Exemplar. Professional Practice Models in Nursing: Leading Successful Health Systems Integration, January 2016.
“I work to treat everyone with respect —patients, family and co-workers — and I give each patient the best I have in knowledge and skills.” Kevin Lane, R.N., Texas Health Neighborhood Care & Wellness Burleson
True, B.; Bailey, R.E.; Texas Health Arlington Memorial. Chapter E Intrapartum Fetal Surveillance. Advanced life support in obstetrics provider syllabus, February 2016.
True, B.; Cochrane, C.; Sleutel, M.; Newcomb, P.; Tuller, P.; Sammons, J.; Texas Health Resources. Developing and Testing a Vaginal Delivery Safety Checklist. Journal of Obstetrics, Gynecologic & Neonatal Nursing, March 2016.
Wilson, M.; Walsh, J.; Esquenazi, S.; Texas Health Plano. Gettel, V.; Texas Health Allen. Caring Compassionately for Hospitalized Patients: Can Nurse-Delivered Massage Address Compassion Fatigue? International Journal for Human Caring, volume 20, issue 3.
WEBINAR PRESENTATIONS Padden, J.; Texas Health Resources. CMS Sepsis Follow Up
Umejei, G.; Texas Health Dallas. When Laughing is No
Webinar. September 2016. Epic Order Modes and Scope of Practice Considerations. November 2016.
Longer Funny: Managing Transient Urinary Incontinence in Hospitalized Elderly Women. International Nurses Improving Care for Healthsystem Elders, June 2016.
39 TEXAS HEALTH NURSE ANNUAL REPORT
Texas Health Nurse Extends Care Across the Globe By night, Stacey Rowland, B.S.N., R.N. (NCAP IV), CMSRN, cares for patients in the Med-Surg unit at Texas Health Allen. By day, she is making a difference for patients in need several continents away. Stacey has regularly volunteered for the past four years with Mission Regan, a local nonprofit that collects supplies, medication and medical equipment for those in desperate need locally and globally. Stacey helps organize and sort donated medical supplies and medications at the Mission Regan warehouse in McKinney. “Giving back to the community is important to me because I believe God has called us to help those who are in need, whether that is here or in a small clinic in Africa,� she said.
AW 1112 2/17 Q12,000 EP