Nursing Annual Report 2011 - 2012 Right Care. Right Now. Right Here.

Nursing Annual Report 2011 - 2012



Right Care. Right Now. Right Here.

It’s my pleasure to be able to share with you our first nursing annual report. This report shines a light on the essential work of our nurses at The Children’s Medical Center of Dayton. This report highlights the depth – and breadth – of the professional practice of nursing exemplified each and every day for our region’s children.

C. Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President for Patient Care Services and Chief Nurse Executive

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Transformational Leadership Strategic planning, advocacy and influence, visibility, accessibility and communication

Our nurses at Dayton Children’s reflect the organization’s commitment to be the first choice for children’s health by providing high-quality care for the children and families we serve. In this annual report, you’ll learn that professional nursing care at Dayton Children’s is driven by our mission to improve the health status of all children. You will witness how professional nursing at Dayton Children’s is practiced. Our professional practice model is built on Synergy, which matches nurse competencies and patient needs. Our nursing philosophy is designed to provide familycentered care that aligns with our SPIRIT standards and our culture of safety to produce the best patient outcomes. You will also see how we use evidence-based practice and collaborate with other children’s hospitals to improve safety and advance the quality of care. This past year, we continued our journey toward Magnet designation. Awarded by the American Nurses Credentialing Center (ANCC), Magnet designation is given to those organizations that demonstrate high-quality patient care, nursing excellence and innovation. It’s the gold standard for nursing practice! We plan to submit our documentation to ANCC in February 2013. Our documents will showcase our strong interdisciplinary relationships and excellence in nursing care. Should we be successful in having our documents accepted, we will have a site visit in the fall of 2013.

Inside Nursing Services Vision and Mission

3

Transformational Leadership

4

Structural Empowerment

7

Exemplary Professional Practice

13

New Knowledge, Innovation and Improvements

17

Moving forward, nursing at Dayton Children’s will be guided by our first-ever nursing services strategic plan. This plan outlines our strategies for assuring excellence in nursing care and alignment with Dayton Children’s strategic plan. I am proud to work side by side with our nursing staff each day to provide the right care, right now, right here at Dayton Children’s.

Transformational Leadership

On the cover: Ottelee Waite, MSN, RN, CRNA, nurse anesthetist, surgical services

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Nursing services vision Dayton Children’s is the first choice for pediatric health care for patients, families, practitioners and professional nurses.

Nursing services mission To advocate for the health and well-being of children through excellent, highly reliable, evidence-based nursing care that places the family at the center and is strengthened through service, education and research.

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Linda Hollen, MS, RN, FNP-BC, provides the right care, right now, right here in the surgical services department at Dayton Children’s.

Nursing initiates a strategic plan Last year, Nursing Leadership began the process of developing its first strategic plan, setting the course for nursing at Dayton Children’s. Four strategies were identified that align with the strategic focus of the hospital’s 2015 strategic plan.

“As nurses at Dayton Children’s, our mission is to advocate for the health and well-

Strategic Plan 2015

being of children. The new strategic plan

Strategic Focus

Dayton Children’s

Nursing Services

requires us to serve as

Assertiveness

Take a more assertive market stance

Serve as nurse leaders in pediatric health care

deliver cost-effective

Adapt to changing payer mix and reimbursement

Deliver cost effective care for the children we serve

resources at the right time,

Access

Drive revenue growth through improved patient access to specialty care

Ensure the right resources are available to deliver the right care

Quality/Safety

Become a “high-reliability” organization

Become a “high-reliability” organization

Cost Effectiveness

pediatric leaders,

care and have the right

in a safe environment.” Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President for Patient Care Services and Chief Nurse Executive

Transformational Leadership 4

Sandy Bartosik, MS, RN, CCRC, 2012 Nursing Excellence award winner, educating a pulmonary patient and his mother on keeping accurate records.

The Joint Commission In 2012, Dayton Children’s successfully completed an unannounced survey by The Joint Commission. Surveyors identified the daily safety briefing as a very strong asset to the care of our patients. The patient callback system in the emergency department was also identified as a “best practice,” and the surveyors encouraged us to share it with others. Success with The Joint Commission survey is always a testament to quality care and a collaborative environment among all disciplines.

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Trauma nurse leader program: Equipping nurses to be leaders Dayton Children’s began its trauma nurse leader program in 2011. This program is designed to develop nurse leaders who direct the care of critically-ill children. A number of emergency staff nurses have completed the oneyear trauma nurse leader internship, providing them with the opportunity to develop leadership skills. Over the course of their internship, they not only assume a leadership role in the trauma room, but assume responsibility for evaluating process improvements, making recommendations for change and evaluating the results of these changes in practice. This group has become a respected and valuable asset at Dayton Children’s.

The Soin Pediatric Emergency and Trauma Center had a record-high parent satisfaction with 91.5!

Pictured left to right, front row: Brandon Carr, RN; Cesar “JR” Panganiban, BSN, RN; Janet Ellis, RN. Back row: Steven Lewis, RN; Karen McConnell, RN, CPEN; Michele Nadolsky, BSN, RN, CPEN. Trauma nurse leaders in training and not pictured include Daniel Lantis, RN; Lindsey Terrace, BSN, RN, and Brittany Pritchard, RN.

Transformational Leadership 6

Jennifer Ayers, BSN, RN, 2012 Nursing Excellence award winner and Daisy Award winner, treats the sickest neonates in Dayton Children’s Regional Level IIIB Newborn Intensive Care Unit.

Recognizing nurses Dayton Children’s has numerous awards and recognition programs to honor nurses for their vital contributions to patient care.

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Structural Empowerment Professional development, teaching, community involvement, nursing recognition

2012 Nursing Excellence award winners The excellence award categories are based on the Synergy Professional Practice Model.

The Daisy Award The DAISY Award recognizes nurses for their extraordinary acts of compassion with patients and families.

August 2011 Nancy Callaham, BSN, RN Developmental Pediatrics Advocacy/Moral Agency Amanda Hofmann, RN Emergency Department

Caring Practices Elizabeth Lee, RN Three West

Clinical Judgment Alice Rivera, RN Surgical Services

November 2011 Cynthia Dixon, MSN, RN, CPN Almost Home Unit February 2012 Erica Yanney, BSN, RN Almost Home Unit June 2012 Jennifer Ayers, BSN, RN Newborn Intensive Care Unit

Clinical Inquiry Sandy Bartosik, MS, RN, CCRC Pulmonary Clinic

Collaboration Molly Depoorter, RN Surgical Services

Facilitator of Learning Cheryl Coffey, BSN, RN Hematology/Oncology Clinic

Outstanding New Employee Jennifer Ayers, BSN, RN Newborn Intensive Care Unit

Outstanding New Graduate Kristen Morey, BSN, RN Intermediate Care Unit/ Pediatric Intensive Care Unit

Response to Diversity Amy Kosanovich, BSN, RN Three East

August 2012 Kari Roberts, BSN, RN Hematology/Oncology Unit

Systems Thinking Alysia Brazel, BSN, RN Emergency Department

Structural Empowerment 8

IMPACTS program recipients fall 2011 class The IMPACTS (Improving My Professional Advancement Career Through Synergy) program is Dayton Children’s clinical advancement ladder. Nurses complete certain requirements in order to advance. This recognition program is for successful contributions as direct care providers.

Level III Glenda Davis, BSN, RNC Intermediate Care Unit JoAnn Davis, MS, RN, CPNP-AC, CCRN Pediatric Intensive Care Unit

Mari Jo Rosenbauer, MS, RNC, CPNP-PC, IBCLC, nurse and lactation consultant in the NICU.

Cameos of Caring winner

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Level II Sylvia Cain, BSN, RN, SANE-P Emergency Department April Denlinger, BSN, RN, CPEN, SANE-P Emergency Department Sarah Farley, BSN, RN Intermediate Care Unit Rebecca Hendricks, BSN, RN Intermediate Care Unit Heather Holfinger, BSN, RN Medical Imaging Lisa Kinsman, MS, RN, CPNP-PC House Float Carol Murray, MS, RN, CPN, CPNP-AC Intermediate Care Unit Lindsay Tucholski, BSN, RN Intermediate Care Unit Karen Turner, RNC-NIC Newborn Intensive Care Unit

Cameos of Caring is a special awards program sponsored by the Wright State University’s College of Nursing and Health. All local hospitals participate. This award is a prestigious honor for recipients. Mari Jo Rosenbauer, MS, RNC, CPNP-PC, IBCLC Newborn Intensive Care Unit Mari Jo Rosenbauer, pictured above, has been with Dayton Children’s for 26 years. For more than a decade, she has served as a lactation consultant. Her position is critical to ensuring premature and critically-ill neonates receive the benefits of breast milk from their mother or our milk donor program.

Nursing partners with Wright-Patterson Air Force Base Dayton Children’s nursing division is proud to assist Wright-Patterson Air Force Base with its combat readiness program. This program provides the opportunity for WrightPatterson nurses who are preparing for deployment to gain valuable experience in the care of critically-injured children. In 2012, Dayton Children’s developed the Partners in Practice program with Wright-Patterson to enable its nurses to refresh their pediatric clinical skills. Working together with our community partners helps strengthen the skills of the professional nursing staff of both organizations.

Preparing the next generation for tomorrow’s patients Each year, Dayton Children’s hosts approximately 900 nursing students from undergraduate to doctoral students. Students come from across the state, gaining valuable clinical experience in pediatrics. Students are placed in inpatient units, ambulatory clinics, surgery and the emergency department. Students come from the following Ohio universities and colleges:

Renae Phillips, MSN, RN, NEA-BC, FACHE, discusses the future of nursing to a group of potential caregivers during Nurse Camp.

4 Akron University 4 Cedarville University 4 Clark State University 4 Edison College 4 Kettering College of Medical Arts 4 Miami University 4 Ohio Northern University 4 The Ohio State University 4 Sinclair Community College 4 The University of Cincinnati 4 Wright State University

Structural Empowerment 10

Vital Statistics*

13% Master’s Degree 50% BSN/Bachelor’s Degree

37% Diploma/Associate Degree

633

Total nurses: APNs, RNs and LPNs (63% of nurses have a bachelor’s degree or higher)

125

Nurses certified in their specialty

75

NRP certified (Neonatal resuscitation program)

117

TNCC certified (Trauma nurse core course)

345

PALS certified (Pediatric Advanced Life Support)

“Every nurse has the

2012 Nursing Satisfaction**