Compassion and Healing F Y 2 0 1 4
N U R S I N G
A N N U A L
R E P O R T
Stefanie Pagel, MSN, APN-BC
Hinsdale Hospital Keeping you well
The Veritas of Caritas Adventist Hinsdale Hospital Professional Practice Model Comments from patient letters: “What I witnessed at Adventist Hinsdale Hospital was extraordinary – I was inspired by the spiritual atmosphere of caring, the professional, tender attentive care.”
“From the first time I entered the lobby with my husband, I felt a holiness and calmness that can’t be explained to its fullest, but heartfelt as near as can be to God.”
“Amy came in for half an hour, held my hand and let me talk. It was the holding of the hand that made a huge difference. She was more than a nurse; she was my friend.”
“I felt like a person first, and a patient second. I felt like people were caring for me not just physically, but emotionally and spiritually.”
Dear Nursing Colleagues and Friends Each year, our annual report captures the accomplishments of our unit based and hospital-wide councils. In 2014, we were entrenched in the magnet writing process — an inspiring journey that captures volumes of outstanding performance examples. Combined together, these examples demonstrate unprecedented excellence in nursing.
As our largest focus area in 2014, this report highlights accomplishments aligned with the Magnet model
During this process, the exceptional efforts of our nursing colleagues came to the
domains of
forefront as we worked to document and demonstrate our profound and significant
Transformational
successes in nursing practice. I want to use this report to promote and acknowledge
Leadership;
the great work and dedication of our nursing team. This is an incredible group of
Structural
nurses, and I am honored to have served as your Chief Nursing Officer for the past
Empowerment;
five years.
Exemplary Practice; and New
This has been an unparalleled journey for me. In almost 40 years as a nurse, I have not felt this level of commitment on any other team. Time and again, I am struck by the caring and the compassion of our team. Each of you embodies our mission of Extending the Healing Ministry of Christ, and I consider myself blessed to work with such a talented, dedicated group. You truly exemplify the best of nursing. This report covers just a small sample of the great work our nurses are doing. I wish we could have shared every contribution. On behalf of our executive team, I applaud your contributions to our community and thank you for building upon Adventist Hinsdale Hospital's legacy of care.
Warmly, with love and peace,
Shawn Tyrrell, RN, MSN, MBA, NEA-BC Chief Nursing Officer
Knowledge and Innovation
Transformational Leadership Increasing Patient Satisfaction The 3 Surgical Unit struggled with achieving excellence in customer service, evidenced by low patient satisfaction scores. Using education, coaching moments and data, the team worked to understand how they were being perceived by patients. Experience told them what the patient needed, but nurses were not taking time to listen to what they “wanted.� The team focused on nurse leader rounding, collaborating with other disciplines to communicate patient needs and also had clinical nurse leaders review pain control. The patient experience improved and patient satisfaction scores increased. The results have increased so significantly that this effort was recognized nationally.
Cardiac Testing In an effort to identify possible cardiovascular conditions,
Student ECG results were read and given to parents at an
as well as increase awareness that heart disease is the
event, while the results of the faculty screenings were
leading cause of death for men and women in the
mailed to all participants. A staggering 34.5 percent of
United States, nurses collaborated with Hinsdale
participants had abnormal results from their screenings.
Township High School District 86 to provide a four-point
Cardiac testing nurses conducted follow-up phone calls
cardiovascular screening for 120 faculty members and an
to confirm results were received, and medical follow-up
ECG screening for nearly 100 student athletes.
was completed as recommended.
Preventing Falls Falls are the leading cause of death from unintentional injuries among U.S. adults age
Decreasing Length of Stay for Orthopedic Patients
65 and older. In 2014, Adventist Hinsdale Hospital was the leader for fall rates within
The Ortho Forum is central to
Adventist Health System nationwide. Nurses
decreasing Length of Stay (LOS)
implemented a falls program, which includes
for Orthopedic Hip and Knee
building safety protocols, checklists, leading
Replacement patients. A
fall-focused huddles and patient education.
multidisciplinary group whose membership consists of representatives from the continuum of orthopedic care, including nurses from Perioperative areas, 3 Surgical, Care Management, Home Health, Clinical Variation and Therapy meet monthly to improve outcomes. In 2014 several initiatives improved LOS: • Clinical variation teams, led by nurses, favorably impacted LOS for Joint Replacement patients by decreasing the use of autologous blood transfusions, decreasing transfusions for patients with a Hgb > 8, and decreasing insertions of urinary indwelling catheter in the operating room. • Curriculum changes in The Joint Success Class, developed by our Orthopedic Nurse Navigator Pam Falotico, MS, RN, CAPA, and team education helped align the message the patient receives from the time they meet with their surgeons to discharge. Patients are taught that their expected LOS for hip replacements is up to two days and knee replacements is up to three days. • Care Progression Rounds were implemented on 3 Surgical. Nurses and doctors lead these daily multidisciplinary rounds which focus on barriers to a timely discharge and coordinate a team effort to reach discharge goals.
Nurses constantly brainstormed ways to identify high fall risk patients upon admission. For example, after an evidence based search was done by Susan Tamosaitis, RN, MSN, CCRN, CNRN, CNL, it was found that nurses needed a tool to assess patients for injury and found the ABCS evidence based criteria. This allows nurses to assess every patient regardless of diagnosis, and decide if they are at risk for a serious injury if they fall – and also take action with focused intervention strategies. Nurses on PCU and 2 Medical led studies and pilot programs related to adding chair alarms and enclosure beds when necessary, and focused patient engagement to mitigate the risks of injury. The organization has met or been below the Magnet median for seven of eight quarters because of this nurse-led prevention effort. Neila Marianila, Riz Bangayan, Olga Jumic, Jane Mitchell
Structural Empowerment New Graduate Nurse Residency Program To support the changing needs of millennial new graduate nurses and to meet our obligation to the public we serve, the organization adopted the Quality and Safety Education for Nurses (QSEN) six competencies as its theoretical framework: patient centered care, teamwork and collaboration, informatics, safety, evidence based practice and quality improvement. From CaseyFink surveys, it was noted the new graduate nurses needed additional support in order to increase their confidence and increase support as they transitioned from student to professional nurse. With the curriculum change, additional focus was placed on increasing self-confidence, effective communication with physicians and increasing comfort with delegation.
A variety of active learning strategies were incorporated, including case studies, games, role play and simulation in order to provide a supportive learning environment. With these curriculum changes and new learning strategies, new graduate nurses are more comfortable with physician communication, delegating tasks to nursing assistants, are less overwhelmed by their patient workload and responsibilities, and are more satisfied with their chosen nursing career.
Caritas Adventist Hinsdale Hospital adopted the caring theory of Dr. Jean Watson, which empowers nurses to define what we do. Providing loving-kindness, treating each other with equanimity and mindful interactions elevate the caring demonstrated by our staff. To continue the development of self-care, nurses developed restorative spaces on several units, allowing staff to step away from a stressful situation or shift and collect themselves with a few minutes of respite. Other modalities utilized to express a more holistic approach to human caring include massage therapy, guided imagery and an art cart for artistic expression. On ICU/PCU, a Caritas bulletin board — developed by Caritas Coach and Level III nurse Jolene Volkmer, BSN, RN, CCRN — exhibits Dr. Watson’s Caritas Processes in word and art to help facilitate knowledge and benefits. To illuminate Florence Nightingale's goal, nurses at Adventist Hinsdale Hospital wish to be lamps in the darkness for those in need.
Growth in the Pediatric Unit In August, the hospital announced an affiliation with Ann and Robert H. Lurie Children’s Hospital of Chicago, the largest pediatric provider in the region. This affiliation was guided by nurse leaders to improve pediatric care. The affiliation brought 24-hour pediatric hospitalist coverage, including inpatient pediatric care, emergency room consults and
Still Missed The Still Missed Perinatal Loss Support Program,
support for obstetrics, and patient volumes began to grow significantly.
led by nurses, helps families cope with the grief associated with losing their baby during pregnancy or the newborn period. To support healing of the entire family at such a devastating life changing event is challenging, but crucial. In 2014, Still Missed cared for close to 500 families. Rosie Roose, RNC, MSN (pictured above), who founded the Still Missed program, made a poster presentation at the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), and also had an article published about disposition options, which were supported at the state legislative level for miscarried babies.
The pediatrics team implemented a
Clinical Coordinator Mary Buoy, RN, BSN, CPN, (pictured) and Nurse Manager Jan Barnum, RN, MSN, NEBC, were instrumental in guiding pediatric growth.
number of measures that increased volumes and the continued viability of the unit: • All care of children is grouped on the inpatient unit, including pediatric patients undergoing day surgery procedures, patients undergoing outpatient testing requiring moderate sedation, and patients admitted as an observation or inpatient status. • The nursing team created a dedicated hotline for surrounding hospitals to call the Lurie pediatric hospitalists for ease of communication and transfer of pediatric patients. Unit leadership met with the emergency departments in the region to clarify the process and the expected speed of transfer.
Perinatal Care guidelines and internal program evaluations have guided the development and implementation of an intergenerational support program. It includes support groups, peer-parent support, written resources and memorial events, with outcomes demonstrating that healing can occur as a result of the Still Missed Program.
• Pediatric subspecialists are available, limiting the need to transfer pediatric patients to tertiary care centers. • About 40 percent of the nursing team has achieved pediatric certification and all core pediatric nurses are trained in Pediatric Life Support.
Exemplary Practice Code BRT A team of nurses from Behavioral Health recognized the behaviors of patients with psychiatric illnesses hospitalized on non-behavioral health units presented a safety concern. The team implemented Code Behavioral Response Team (BRT), a less physical approach, allowing patients to maintain their dignity. The patient is encouraged to discuss their concerns with a behavioral health professional, who responds as part of the team. A pilot project launched in 2012, and data showed a decrease in the number of Code Grays and an increase in Code BRTs. However, the number of nurse injuries did not decrease, which led to implementation of the "Black Box." The Black Box is a locked container with antipsychotic and antianxiety medications that is brought along to the code. The resident attends the code and is able to prescribe appropriate medication for the escalating patient. A debriefing form is completed at the end of the code which includes interventions and patient response.
Rapid Response Team
Sepsis
It was identified there was hesitation with
A screening tool was developed for
nurses calling the Rapid Response Team to
use on the inpatient medical units to
the bedside to assist with deteriorating
improve sepsis recognition and
patients. Nurses wanted to handle a
treatment. Patients are screened every
patient escalation on their own and may not have recognized the degree
shift by their nurse using the most
of impending difficulty. Without a focused, collaborative debriefing post
recent vital signs and labs. If nurses
response, the organization was losing the opportunity for improvement
find their patient to screen positive,
of these events.
the sepsis team is called
An interdisciplinary mock code program was created and implemented to the bedside. by Stephanie Teets, MSN, RN, CNL, and Ken Searcy, RN (pictured After evaluation above), and nurses gained confidence by practicing communication by the resident, prompt treatment is handoffs to and from physicians, intense treatment needs and initiated. The nurses on these units debriefing at the bedside. A Rapid Response Team protocol was have hardwired this process and have implemented and nurses were encouraged to call a code if a patient learned the important signs and met the criteria. Transfers to a higher level of care were decreased and symptoms of sepsis. Patient lives have survival outcomes of coded patients increased. The codes in non-ICU been saved as a result. areas also significantly decreased.
CLABSI The Neonatal Intensive Care Unit Safety Committee reviewed CLABSI prevalence in the NICU. The committee recommended the Peripherally Inserted Central Catheter (PICC) team review and implement a Central Line
Toni Cesarz, Kelly Bolland-Nail, Jean Byrne, Lisa Maloney
Bundle that can be used with the neonatal population to decrease the occurrence of CLABSI. The PICC team developed a central line competency procedure and checklist, and also developed a computer-based learning module required for NICU nurses. A peer to peer review of the central line bundle was required. Since February 2013, the NICU has been CLABSI free, and nurses across the region are now receiving this specialized training.
ER Weights Accurate
Prevention of Catheter Associated UTI
weights are
The use of indwelling catheters can
extremely
lead to a higher incidence of Catheter
important when
Associated Urinary Tract Infections
a patient is seen
(CAUTI), which could increase a
in the hospital —
p
"
patient's length of stay. A team of
especially for accurate measurement of medication. When
nurses studied appropriate Foley uses,
analyzed, it was discovered that, on a corporate level, Adventist
and attached educational flyers to
Hinsdale Hospital had one of the highest rates of using estimated
each Foley kit in the ED and Labor
weights — 49 percent. This prompted a look into all of the barriers in
and Delivery for real-time decision
the ED and nursing units. Barriers included the lack of bed scales in
making assistance.
the ED, lack of locatable equipment, deficit in knowledge about why Foley utilization actual weight is important, and the triage nurse not taking an actual in the ED was weight as a way to facilitate rapid throughput. reduced by 50 Nurses then set out to eliminate these barriers. The ED ordered a
percent in the first
new scale — centrally located for triage and unit nurses to easily
two months, a reduction of more
access — that allows for both standing, sitting and wheelchairs.
than 20 patients per month. The
Rounding and huddle discussions helped change the culture and
reduction continues to be sustained.
demonstrated the importance of actual weight. With the hard work
In Labor and Delivery, the focus was
from ED and the nursing departments, after a five month period,
on awareness of patient’s condition,
estimated weight usage was decreased to 9 percent.
labor progression and timing.
New Knowledge and Innovation
Emily De Ano, BettySue Netzel, Kim Carmignani, Shawn Tyrrell
Breastfeeding and The Nurturing Nook The Birck Birth Center at Adventist Hinsdale Hospital, a Level III designated institution, welcomed over 2,400 babies in 2014. Evidence based research shows that breastfeeding within the first hour of life has many benefits including bonding between infant and mother and improved ability to breastfeed. Our Birth Center increased the quality of the first hour of life by increasing breastfeeding rates during this special time. In 2014, the hospital opened The Nurturing Nook, funded by a generous grant through the faith-based wellness program – CREATION Health. Nurse leaders developed the grant proposal based on a recognized need in the Chicago area. The Nurturing Nook’s mission is to compassionately promote and protect the initiation and duration of breastfeeding through support and education of our mothers, fellow professionals and community.
Water Births A collaborative effort between clinical nurses, led by Judith (Scotty) Campbell, RNC-OB, BSN, certified nurse midwives and obstetricians began in 2013 to serve patients seeking hydrotherapy and water birth as an approach to labor, pain relief and birth. By January 2014, there had been 79 water births. This year, the program is enrolled in a national study to assess the risks and benefits of hydrotherapy/water birth as a safe and effective option for women.
White Noise Sleep deprivation for patients in intensive care has both physiologic and psychological consequences that can lead to poor outcomes and poor patient satisfaction. Noise levels prevent patients from entering into sleep patterns necessary for restorative healing. Kathy Lenke, RN, BSN, CCRN, led a study to examine the use of white noise at the bedside of ICU patients to minimize awakening due to disruptive noises in the ICU environment. With fewer awakenings, patients reported improved sleep quality and improved satisfaction.
Trish Brown, Kathy Lenke
CAM: ICU
Immediate Use Steam Sterilization (IUSS)
The CAM-ICU is the “Confusion Assessment
Perioperative nurse leaders recognized the Surgical Site Infection
Method” practiced in the Intensive Care Unit
(SSI) Class I Infection rate was greater than the desired outcome.
for recognition of delirium. It takes
With an average of 600 surgical procedures a month, Rose
approximately two minutes to administer to
Ziffra, MSN, CPAN, CAPA, identified 178 IUSS cycles had
a patient and will give the ICU team a vital
occurred, representing 28 percent of the total cases. With the
sign reflecting patient's brain function. That
goal of decreasing the use of IUSS sterilization to 5 percent
vital sign will be either CAM-ICU positive or
within 9 months of implementation, a targeted effort was put
CAM-ICU negative. Thanks to Michelle
in place through a collaboration with the staff of SPD and the
Jordan, RN, BSN, CCRN, CRRN, AHH was
OR.
the first hospital within our system to trial
After reviewing flash logs, nurse leaders presented to OR staff on
the use of CAM-ICU to reduce delirium in
appropriate IUSS use, best practice rates for IUSS and suggested
ICU patients.
interventions for decreasing IUSS in the OR setting. A second
Research in the past decade has consistently
presentation focused on addressing appropriate use for IUSS, the
shown that delirium is a significant problem in
current OR policy and a
the Intensive Care Unit. It is often invisible and
QSEN-based competency.
goes unnoticed. Providing a standard
IUSS rates are currently
assessment tool such as CAM-ICU will help
being tracked daily. We
guide nurses in the recognition of delirium,
have already reached
and provide a sensitive reference to detect
10 percent use — so we
subtle changes in patients’ mental status.
are making progress.
The periopertive team works with the steam sterilizer in surgery.
Recognition & Achievement New Graduate Nurse Residency Program Graduates Marjorie Arcaya, RN
Meg Gildersleeve, RN, BSN
Chelsea Krause, RN, BSN
Katie Robinson, RN
Deanna Aubry, MSN
Suzy Gulliksen, RN, BSN
Patricia Larkin, RN, BSN
Jenny Tollefsrud, RN, BSN
Aiste Barkauskaite, RN, BSN
Alyssa Havlir, RN. BSM
Evelina Markevicius, RN
Brittany Trethewey, RN, BSN
Kristen Boone, RN, BSN
Susan Hernandez, RN
Kathleen Martin, RN
Jena Wagner, RN, BSN
Calla De Luca, RN
Lindsey Holcomb, RN, BSN
Amanda Masek, RN, BSN
Stephanie Wagner, RN
Odily DeSouza, RN
Angela Jakobsze, RN, BSN
Rachel McGraw, RN, BSN
Susan Wilson, RN
Kelly Dressel, RN, BSN
Ashley Jamrozy, RN, BSN
Nicole Michael, RN, BSN
Robin Winters, MSN, CEN
Marisa Dressler, RN, BSN
Amber Kick, RN, BSN
Alison Monkemeyer, RN, BSN
Desiree Wyant, RN
Fhyne Dulnuan, RN, BSN
Catherine Kiley, RN, BSN
Savon Parkon, RN, BSN
Hyunjoo Yu, RN, BSN
Emily Fudacz, RN, BSN
Meghan Knox, RN
Karly Pattison, RN, BSN
Kristina Zajeski, RN, BSN
Value Awards The following nurses were given Value Awards at Magnetology on May 27: Rachel Dewey, RN, CPNP — Caring Character and Christian Service Vicki Vojtech, RN – Clinical Excellence, Quality and Safety at the Bedside and/or Outpatient Setting Mary Bragagnolo, RN - Clinical Excellence, Quality and Safety at the
Daisy Award
Bedside and/or Outpatient Setting
Antonette Cesarz, RN, BSN, MSN, RNC-NIC
Sue Bettenhausen, APN – Diabetic Nurse Educator, Clinical Excellence,
Hyeon Choi, RN
Quality and Safety at the Bedside and/or Outpatient Setting
Cindy Prokop, RN Rani Ranju, MSN, ONC, CMSRN, CLNC
Sue Cascino, RN – Transforming Leadership, Collaboration to all Physicians, Providers and Others
Maureen Valentor, RN-BC, BSN Ruth Ogden, RN, CNOR – New Ideas, Innovations and Improvements
Special Awards Robin Alvarado, BSN, RN, received the Press Ganey Nurse of the Year Award. Lisa Pittman, MSN, MHA, RN, OCN, NEA-C was awarded the Adventist Hinsdale Hospital Distinguished Leader award in June. Ellyn Schreiner, MPH, RN-BC, CHPN was named President-elect of the American Society for Pain Management Nursing and the
David L. Crane, Shawn Tyrrell, Robin Alvarado, Michael J.
President for the Chicago Chapter of Hospice and Palliative Nurses.
Goebel, Lynn Wagner
Degrees
Poster Presentations & Publications
Kyla Adams, RN, BSN
Stephanie Teets, MSN, RN
Yorleni Ambrosio, CNS in Pediatrics
and Katie Weibel, MBA,
Jennifer Benters, MSN, PNP
BSN, RN-BC presented
Noella Acosta-Brewer, MSN, RN, CPAN, CNL
“Incorporating QSEN into
Kim Carmignani, MSN, RN-NIC,
the Hospital Setting” at the
Deborah Ellsworth, MSN
4th Annual QSEN Workshop
Amanda Erman, MSN, CNS – Neonatal
presented by Blessing Hospital and Blessing-Rieman College
Concepcion Hernandez, BSN
of Nursing.
Kristina Kubkowski, RN-BC, BSN
Rosemarie Roose, RN, MSN presented “Parents Supporting
Lisa Maloney, RN, BSN, MSN, RNC-NIC, CNL,
Parents: Exploring a Peer Parent Program for Perinatal Loss” at the
Veronica Martinez, BSN
AWHONN Convention June 13 – 16. She also published
Allison Monkemeyer, RN
“Combining Regional Expertise to Form a Bereavement Support
Bryan Mullaney, BSN
Alliance.” MCN. May/June 2014: 39(3): 198-204
Gina Pecoraro, RN, BSN Colleen Pospishil, MSN, RNC, MNN, CCE Jane Shannon, MSN, BSN, RN, REC-NIC Kimberly Spohn – GI Certification
Rose Ziffra, RN, MSN, CPAN, CAPA, presented “Reducing Immediate Use Steam Sterilization: Part of an Initiative to Decrease Surgical Site Infection” at the OR Manager Conference in Long Beach, California on Sept. 18.
Nicole Steffan, NNP Sue Tamosaitis, MSN, CCRN, CNRN Barbara West, MSN, CNS RN – ANCC CNS Exam Rose Ziffra, RN, MSN, CPAN, CAPA
Residency Awards The following nurses were recognized by our Family Medicine Residents:
For a full list of noteworthy accomplishments by our terrific nursing team, go to keepingyouwell.com/ahh/careers
Oleaha Mason, BSN, RN, OCN – Medical Nurse of the Year Shirley Mesina, RN – Obstetrics Nurse of the Year Margaret O’Shea, RN – Pediatric Nurse of the Year Rosemary Wagner, RN – Critical Care Nurse of the Year
Performance Improvement Showcase Award Outstanding Projects Decreasing Code Blue Events in Non-ICU Areas Core Team: Ken Searcy, RN, BSN, Maureen Gagen, RN, MSN, Stephanie Teets, MSN, RN, and Peg Horeni, RN, BSN Patient Throughput: Decision to Departure (IP) Core Team: Tara Yurinich RN, BS, CEN, TNS; Martha McAloon MBA, BSN, CSPI; Lynn Wagner, RN, MS, NEA-BC; Maria Suvacarov MSN, RN, CCRN, CEN,
Magnetology
Sajani Patel
On May 27, Adventist Hinsdale hosted Magnetology – a oneday conference designed to demonstrate how nurses can apply the Adventist Hinsdale Hospital Professional Nursing Evidence Based Practice Model to patient-centered, outcome focused care. Nurses presented and discussed more than 25
Magnet Awards Pam Falotico, MS, RN, CAPA Michelle Jordan, BSN, RN, CCRN, CRRN Delilah Morris, RN, BSN, PCCN Rani Raju, MSN, RN, ONC, CMSRN, CLNC
theories and topics.
Lynn Wagner, RN, MSN, NEA-BC
Nursing Clinical Excellence Program – Clinical III The following nurses completed their
Hyeon Choi, RN
Delilah Morris, RN, BSN, PCCN
requirements for Clinical III Status:
Elizabeth Davis, RN, MSN, RNC-MNN
Katie Norris, RN, BSN
Noella Acosta-Brewer, BSN, MSN, RN,
Eliza Feniza, RN, BSN, CMSRN
Debra Palmer, RN, BSN, RNBC
CPAN, CNL
Heather Green, RN, BSN, RN-C
Sherry Poulos, RN, BSN, RNC-NIC
Ana Ahlenius, BSN, RN, CCRN, CNRN
Jenna Healy, RN, BSN, CCRN
Christine Pyburn, RN, BSN, CPAN
Rohini Attavane, RN
Eileen Henning, RN, BSN, CCRN
Patricia Quast, BSN, RN, OCN
Susan Baetzel, RN, OCN
Shannon Houda, RN, MSN, RNC,
Rani Raju, MSN, ONC, CMSRN, CLNC
Diane Baratta, RN, BSN, RNC
APRNBCNP
Jeanette San Pedro, RN, BSN, RN-BC
Larry Barrientos, RN, BSN
Amanda Keiser, RN
Majinder Sandhu, RN, PCCN
Terry Booble, RN, MSN, CAPA
Kristina Kubkowski, RN, BS, CMSRN
Cynthia Sokolies, RN, BSN, RNC-OB
Lynn Brandom, RN
Kathleen Lenke, RN, BSN, CCRN
Angela Topolewski, RN, BSN, CEN, NIHSS,
Alice Brown, RN, MSN, CCRN
Loida Manuel, BSN, RN, CMSRN
ECRN, TNS
Mary Buoy RN, BSN, CPN
Chris Martin, RN, BSN, RNC-OB, MHA
Maureen Valentor, RN, BSN, CCRN, RNBC
Judith Grace Campbell, RN, BSN, MSN,
MaryAnn Muth, RN, BSN, CAPA
Jolene Volkmer, RN, BSN, CCRN
RNC-OB
Oleaha Mason, RN, BSN, OCN
Karen Weatherford-Zaluzek, RN, MSN,
Antoinette Cesarz, RN, BSN, MSN,
Patricia McDonald, RN, RNC-NIC
WHNP-BC, RNC-OB
RNC-NIC
Kristin McNair, RN, BSN, RNC-OB
Laura Wilson, RN, RNC-OB
Certifications
More than 180 of our nurses are certified in a specialty area. Nurses received more than $140,000 for certification assistance.
Noella Acosta-Brewer, RN, PANC Shannon Aguayo, RN, BEKG, CRRN Ana Ahlenius, RN, CCRN, CNRN Mehreen Ali-Shamsuddin, RN, CEN Diane Anast, RN, CNOR Irene Anderson, RN, CNOR Carol Arroyo, RN, CRRN Elizabeth Asher, RN, CEN, Rohini Attavane, RN, CBP Charlotte Babitzke, RN-BC Rosemary Baer, RN, RNBC Susan Baetzel, RN, OCN Diane Baratta, RN, RNC Bridget Barnum, RN, RNBC Larry Barrientos, RN, CEN Laurie Berg, RN, CEN Christine Berger, RN-BC Kelly Bielawa, RN, CEN Terry Booble, RN, CAPA Elizabeth Boone, RN, CEN Danguole Brazinskaite, RN, CPAN Natalie Breheny, RN, RCIS Jean Brendel, RN, CEN, CPEN Alice Brown, RN, CCRN Kristen Budiselich, RN, CMSRN Mary Buoy, RN, CPN Jean Byrne, RN, ACM, RNC Judith Campbell, RN, RNC-OB Stephanie Carstensen, RN, RNC Antonette Cesarz RN, RNC-NIC Bonnie Christerson, RN, CFA, RNC-OB Jennifer Clark, RN, CRRN Elizabeth Davis, RN, RNC Mary Dawson, RN, RNC-OB Illene Grace, RN, CCRN Shelly Delano, RN, CMSRN Rachel Dewey, RN, CPNP Annmarie Doherty, RN, RNC-NIC Claudia Dumitrescu, RN, CCRN Deborah Dybinski, RN, RNC-MNN Jennifer Engbers, RN, BEKG, Joan Engel, RN, OCN Melissa Ericson, RN, IBCLC, RNC Maria Eliza, RN, CMSRN Christina Fernandez, RN, CNOR Ann Fields, RN, RNC-MNN Emily Fudacz, RN, EMTB Jane Fuertes, RN, CCRN Peter Gahol, RN, CCRN Amelita Garcia, RN, CNRN Roberta Geotis, RN, OCN Kathleen Goldsmith, RN, CPN Grezelro Gonzales, RN, CMSRN Heather Green, RN, CMSRN Kimberly Greg, RN, CCRN Tracy Grzenia, RN, RNC, RNC-OB Kristine Guldberg, RN, CNOR Diane Hayes, RN, CRN Jenna Healy, RN, CCRN Eileen Henning, RN, CCRN Jocelyn Hermon, RN-NIC Leslie Hetzel, RN, CEN Gemalie Hicaro, RN, RNC Rena Hodges-Thompson, RN, RNC Shannon Houda, RN, APRNBCNP, CFA, RNC Mattie Howard-Bey, RN-BC Christopher Hubacek, RN-BC Julie Hughes, RN, APRNBCNP Kimberly Iraci, RN, CCRN Kinsey Jackson-Ford, RN, RNC-OB Mary Janicek, RN, RNC-OB Jane Jankowski, RN, AACCN Teresa Johnson, RN, CPAN Meghan Jones, RN, NPC, RNC-NIC Michelle Jordan, RN, CCRN, CRRN Olga Jumic, RN, CCRN Stefanie Kamberos, RN, CMSRN, OCN Tressy Kandakudy, RN, PCCN Insook Kang, RN, CPAN Julia Kang, RN, BEKG Minhee Kang, RN, CGRN Erika Kendal, RN, CCRN Sarah Kilgallon, RN, CAPA Sung Kim, RN, RNC-NIC Jean Kingery, RN, RNC-OB Mary Kloster, RN, CCRN Mark Komperda, RN, CEN Lourdes Koukoulas, RN, OCN Kristina Kubkowski, RN, CMSRN, OCN Jessica Lamberson, RN,RNC-OB Janet Leadley, RN, CC, OCN Kathleen Lenke, RN, CCRN Flordeluz Leonida, RN, BEKG Gina Lopez, RN, CEN Mary Lyons, RN, APRN, BCNP, RNC-OB Lorraine Macha, RN, RNC-OB Nicole Major, RN, CMSRN Visir Manuel, RN, CMSRN Angelique Maples, RN, CRRN Barbara March, RN, RNC Donna Mare, RN-BC Christine Martin, RN, RNC-OB Stephanie Masella, RN, CNOR Oleaha Mason, RN, OCN Danute Mataitis, RN, CAPA Priya Mathew, RN, CCRN Katherine McCabe, RN, CGRN Luivina McCash, RN, CNOR Patricia McDonald, RN, RNC-NIC Kristin McNair, RN, RNC-OB Ray Monsalud, RN, CCRN Maryann Muth, RN, CAPA Kathleen Nash, RN, CNRN Cheryl Newman, RN, RNC-MNN Valerie Nicolay, RN, CADC Ruth Ogden, RN, CNOR Merlinda Oliveros, RN, CPAN Vini Oliyapurathu, RN, CMSRN Debra Palmer, RN, RNBC Susan Pauly, RN, CCRN Joanne Payne, RN, RNC-OB Gina Pecoraro, RN, CMSRN Kathleen Peterson, RN, CCRN Jennifer Piper, RN-BC Danielle Pittman, RN, Beena Plakkal, RN, RNBC Joan Pollak-Jenkins, RN, CCRN Jennifer Portincaso, RN, CCRN Sherry Poulos, RN, RNC-NIC Christine Pyburn, RN, CPAN Rani Raju, RN, CCIM, CMSRN, ONC Vida Reid, RN, CCRN Andrea Revethis, RN, CMSRN Janet Rickert, RN, RNC-MNN Antoinette Ruskjer, RN, CRRN Stacy Salek, RN, CCRN Kathi Salyer, RN, CPN Mark Samora, RN, CEN Jeanette San Pedro, RN-BC Majinder Sandhu, RN, PCCN Elizabeth Scatena, RN, CCRN Latonya Scott, RN, RNC-MNN Svitlana Sekkat, RN, IV Jane Shannon, RN, RNC-NIC Tracy Sharp, RN, OCN Lauren Shaughnessy, RN, OCN Tina Simpson, RN, RN-BC Jolanta Skalski, RN, IBCLC Jacqueline Smart, RN, CEN Marchelle Smola, RN, CHPN Hanna Smuda, RN, BEKG Jeanna Snyder, RN, PCCN Anne Socha, RN, CMSRN Cynthia Sokolies, RN, RNC-OB Kimberly Spohn, RN, CGRN Leanne Stakenas, RN, RNC-MNN Sherry Stoeber, RN, CEN Nina Styrczula, RN, OCN Lindy Szydlowski, RN, RNC Christie Taba, RN, RNC-NIC Olanrewaju Talabi, RN, PCCN Susan Tamosaitis, RN, ARNP, CCRN, CNRN Tressa Thomas, RN, CCRN Angela Topolewski, RN, CEN Michelle Udziela, RN, RNC-NIC Maureen Valentor, RN, CCRN, RNBC Marilyn Vesely, RN, CGRN Joyce Vitagliano, RN, CRRN Jolene Volkmer, RN, CCRN Rosemary Wagner, RN, CCRN Catherine Watkins, RN, RNC Karen Weatherford-Zaluzec, RN, RNC-OB, WHNP-BC Ann Weber-Smith, RN, RNC Barbara West, RN, APRNBCCNS Laury Westbury, RN, CNOR Maureen Whalen, RN, OCN Laura Wilson, RN, RNC-OB Cathy Wishba, RN, RNC-NIC Annette Woldman, RN, CNRN Gina Wong, RN, CGRN Laura Wossow, RN, RNC-MNN Jacqueline Wozniak, RN, RNC-NIC
Nurses of the Month January – Danguole Brazinskaite,
October – Peter Gahol, RN, CCRN
RN, BSN, CPAN
November – Amelita Garcia, RN, CNRN
February – Bianca Giraldo, RN, BSN,
December – Shirley Mesina, RN, BSN
March – Jessica Buldak, BSN, RN April – Lynn Brandom, RN May – Rosanna Dumagan, RN, BSN June – Terry Booble, RN, MSN, CAPA July – Kathleen Mizwicki, RN, BSN, CPN August – Jennifer Mojica, RN September – Karolina Valaitis, RN, BSN
Kelly Damianides, RN, BSN