2014 Nursing Annual Report | Beaumont Hospital, Royal Oak

The Beaumont

2014 Annual Repor t - Royal Oak

Welcome ..................................................................................................................... 3Hospital Highlights | Executive Leadership Team | Nurse Executive Leadership Council | Professional Nurse Council | Magnet Conference | Shared Governance

Transformational Leadership ................................................................................11Nursing Leadership| Nursing Leadership in Action | Strategic Planning

Structural Empowerment ....................................................................................... 14Commitment to Continuing Education | Commitment to Community Involvement

Exemplary Professional Practice ..........................................................................19Karmanos Natural Birthing Center | Consortium Participation

New Knowledge, Innovation & Improvements ....................................................228S Neuro Relaxation and Hydration Room | 3rd Annual Corporate Nursing Research Day | Transplant Symposium | Nursing Education Implements New Technology | Outpatient Nutrition Clinic Raises the Bar

Empirical Outcomes ................................................................................................25Nursing research is alive and well at Royal Oak in 2014

Recognition of Nursing ........................................................................................... 27Nurses Week | Visible in Practice | Noteworthy Achievements | Certifi cations

2 2014

Welcome to the 2014 Beaumont Hospital Royal Oak, Nursing Annual Report. I am proud to share the highlights of another year of nursing excellence. As always, the nurses at Royal Oak personify the attributes of the Beaumont Nurse with their Caring, Vision, Innovation and Professional Practice. Please enjoy this tribute to the many fi ne accomplishments of the extraordinary nurses at Royal Oak, in 2014.

Maureen Bowman, R.N.Vice President & Chief Nursing Offi cer

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2014 Beaumont Hospital, Royal Oak

Beaumont Hospital Royal Oak is a 1,070-bed hospital and is a major academic, research and referral center with Level I trauma designation. It was named Michigan’s fi rst Magnet-designated hospital for nursing excellence and is a member of the Children’s Hospital Association. The hospital ranks among the top hospitals in the United States for inpatient admissions and for surgical volume. Beaumont, Royal Oak has been named the “most preferred hospital” in a fi ve-county area for 18 consecutive years in a consumer survey by National Research Corporation. Beaumont, Royal Oak is the No. 1 hospital in Michigan with 10 national medical specialty

rankings on the 2014-15 U.S. News & World Report” America’s Best Hospitals” lists. It is also recognized as a Quality Leader by the University HealthSystem Consortium. Beaumont is the exclusive clinical teaching site for the Oakland University William Beaumont School of Medicine.

Beaumont Hospital, Royal Oak is fully accredited by The Joint Commission and has earned the following Specialty Certifi cations:

Comprehensive Stroke Center

Total Knee / Hip Gold Seal of Approval

Spine Gold Seal Approval

Palliative Care

Accrreeditaationns:2014 RRooyal Oaak SStatisttics:Admissions: 56,745

Employees: 8,478aa

Physicians: 2,096

Nurses: 2,300

Volunteers: 706

Births: 5,186

Surgeries: 49,064

Emergency visits: 120,900

Outpatient visits: 1,257,517

On June 23, 2014 the boards of Beaumont, Botsford and Oakwood approved the signing of a defi nitive agreement to combine operations into a new $3.8 billion health care organization.

Early fall, on September 3, 2014 the affi liation agreement was completed, thereby launching the new entity, Beaumont Health. This new, not-for-profi t Michigan health system will include eight hospitals with 3,337 beds, 153 outpatient sites, 5,000 physicians, 33,093 employees and 3,500 volunteers.

Affl iaattion Agreeemenntt:

Beaumonntt Hospital, RRoyall Oak:

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University HealthSystem Consortium is an alliance of the nation’s leading nonprofi t academic medical centers, has selected Beaumont Hospital, Royal Oak as fourth among 12 winners of its 2014 UHC Quality Leadership Award.

The UHC Quality Leadership Award is given to UHC members that have demonstrated superior performance in delivering high-quality, safe, effi cient, patient-centered and equitable care.

In addition, the hospital was also one of six medical centers to earn the UHC Supply Chain Performance Excellence Award.

Beaumont Hospital, Royal Oak was named the No. 1 hospital in Michigan and Metro Detroit. This is the 20th consecutive year Beaumont, Royal Oak has been nationally ranked by U.S. News. Just 3 percent of the nearly 5,000 hospitals analyzed for Best Hospitals 2014-15 earned a national ranking.

Beaumont Hospital, Royal Oak is fully accredited by The Joint Commission and has earned the following Specialty Certifi cations:

Comprehensive Stroke Center

Total Knee / Hip Gold Seal of Approval

Spine Gold Seal Approval

Palliative Care

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U.S. NNeews && WWorrld RReeportt

The JJoinnt CoommmissioonU.H.C..

NICHE (Nurses Improving Care for Healthsystem Elders) is the leading nurse driven program designed to help hospitals improve the care of older adults. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient centered care for older adults.

Royal Oak has achieved the Exemplar status which only 56 hospitals in the United States have achieved.

NICHHHE DDessiggnaattion

The National Research Corporations (NRC) Consumer Choice Award identifi es the top hospitals that healthcare consumers have chosen as having the highest quality and image in markets throughout the U.S. Winners are determined by consumer perceptions on multiple quality and image ratings collected in the company’s Market Insights survey.

Beaumont Royal Oak has received this award for 19 straight years.

N.R.C.. People’ss CChoiccee Awaarrd

The Nurse Executive Leadership Council (NELC) at Beaumont Hospital, Royal Oak exists to oversee and support an environment that empowers nurses to grow in their profession and their dedication to providing quality patient care. The council is comprised of senior leadership team members and key personnel from all areas of nursing who focus on issues that impact the nursing profession at all levels of health care practice. The council focuses on process improvement, continuing education and evidence-based protocols for the delivery

of quality patient care. The NELC supports leadership throughout the hospital to coordinate nursing services, execute strategic plans and exchange information to support growth opportunities for the nursing staff.

The NELC facilitates the growth and development of professional nursing practice and determines a direction/vision that nursing should pursue to be recognized nationally and in the community for nursing excellence.

Kay Winokur

B.S.N., M.S.A., R.N., CPHQ, ASQ Six Sigma Black Belt

Vice President of Quality, Safety, Accreditation

Maureen Bowman

B.S.N., M.A., R.N., NEA-BC

CNO & Vice President

Nursing executive leadership at Beaumont Hospital, Royal Oak provides direction for nursing practice and patient care. These nurse executives lead nurses and support staff in the provision of quality patient

care utilizing clinical expertise, research, collaboration, education and a spirit of support and respect.

K Wi kM B

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The Professional Nurse Council (PNC) is comprised of RNs from all areas throughout the hospital, selected by their peers to represent their department or unit. Professional Nurse Council (PNC) members serve in an advisory and decision making capacity to provide leadership for Nursing Practice, Professional Development, Outcomes and Research. PNC activities align to the model components set forth in the Magnet Recognition Program: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge, Innovations & Improvements, and Empirical Outcomes.

The Professional Nurse Council is a visible leadership group that supports, involves and recognizes professional nurses by serving as a resource for professional practice

issues. The PNC ensures a consistency in standards of practice, excellence in patient care across the continuum, and a high level of satisfaction with the nursing role practice. As Beaumont nurses, we continually strive for nursing excellence. We are empowered through a shared governance model which promotes leadership at all levels of nursing.

Tim Murphy Pegeen RustJulie JordanJulie HuberMarilyn KoskiAllison FonteraLisa FarisDaniella BravoSharn FischerDana PoseyLindsey DeckerMarina KaneBetsy MonetteJoAnne ButlerTrudy JenkinsRobyn KinneyHolly Schachermeyer

Nancy NiemiJoana DuquetteJaclyn TashJoAnn MunroSue HallmanAli DaherKym DeanVicki CreciunLinda RaffertyMarissa SchmudLaurie TousignantKristen MakiKathy ArmstrongGabrielle JaworowskiJennifer BowlusRebecca WidemanJulie Scott

Melinda MorseLisa MumaMary Beth StrandSandy PardingtonAngela OtulakowskiAdel WilloughbyTeresa ZawackiDenise BournedienePatricia DuraAngela WarnsbyCarolyn Beauchamp-SerourBeth BrimmKathy DjuravcevicEmily Kosch

Administrative Members:Maureen Bowman, CNO Anne Ronk, DONStacey Hegerberg , AMJulie Topacio, AMSandra Liogas, AM

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2014 PNC Membership

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Royal Oak Earns Third Magnet Designation!Royal Oak nursing embraces the fi ve components of the ANCC Magnet Model; Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge, Innovations, and Improvments, and Emprial Outcomes.

Beaumont, Royal Oak has achieved four-year, unanimous redesignation as a Magnet hospital by the American Nurses Credentialing Center. The news came in a Jan. 16 conference call with Brian Selig, a member of the Magnet Commission executive committee. He announced it to nursing leaders, members of the Professional Nurse Council and the Magnet representatives for the hospital.

“This is a great honor for all of us who work at Beaumont, Royal Oak, particularly the nurses who are directly caring for our patients,” says Maureen Bowman, RN, chief nursing offi cer. “Magnet designation is not easy to get with their new focus on outcomes. This redesignation and acknowledgement from the ANCC Magnet Offi ce just reinforces what we’ve known all along: Beaumont ‘Caring’ nurses are truly the best. I’m proud to call myself a Beaumont nurse and I’m especially proud of all of you. Thanks to everyone for their hard work and commitment to high-quality and compassionate care for our patients and their loved ones.” Royal Oak was the fi rst hospital to earn Magnet designation in Michigan in 2004 and was redesignated in 2008.

The Magnet standards get tougher over time, with a growing focus on outcomes. So this latest redesignation is a special honor that came as a result of tremendous effort by Maureen, Nursing and Magnet Program Director Randy Whitney and our nursing leaders, Professional Nurse Council, Magnet Council members and frontline nursing staff. The redesignation assures our spot as one of only 14 Magnet hospitals in Michigan (Beaumont, Troy is also a Magnet hospital) and one of 397 Magnet designated hospitals in the world.

Many of our nursing staff were present as the third redesignation was revealed via conference call with Magnet representatives.

Our Magnet Committee and Magnet Workgroup work tirelessly, providing education to support our development of a Magnet culture at Beaumont, Royal Oak. Each year, a delegation of these nurses attend the national Magnet conference to network with nursing staff from other recognized organizations and to learn new methods to support and implement nursing excellence initiatives in our hospital. Our members brought back information, inspiration and enthusiasm for what we do every day, great patient care! It looks like they had a little fun too!!

2014 Magnet Conference

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2014 Magnet Committee Representatives

Alexandra DavisAlison RyanAmanda BanksAmanda SprinkleAnnemarie LederAshley KnightAshley MellingerBrenda HollerCarol DewittCarol KowalewskiCarrie PowersChelsea FinkChristina CieslukChristina KiwakChristina MaierDanielle CandelaEdita FriedmanEileen Ward-Gibson

Heather MontieHeidi CallanJay GrimskeJen SylukJennifer MarheineJenny KrysiakJessica DarraghJoan Wallace-MoatsJudy WellsKaitlin TrentacostKaren KazyakKathy HemryKayla TeasdaleKristen MakiKristin ByrdakLinda LorfelLindsay MurphyLois Webb

Lori CullenLori JohnsonMadonna LadoucerMaria BondsMaryBeth KerryMichelle MandersMichelle McKiernanMirasola OnnMisty AlfonsiMonique BrockNancy SidawayPaula GoldsteinRachelle ZieglerRandy WhitneyRegina WierzbickiRenee ZyndaRosalie RidgeRuth Kniveton

Sarah JohriSarah RingleSharon WaronekStacey RybinskiSudha SinghSusan TadlockTina WalnyWesley Joy Magnet Application Workgroup:Anne ProutyCaroline MedcoffAmy DoughertyMary RoyseCheryl BargerMagnet Program Coordinator:Randy Whitney

Magnet Committee members who attended the 2014 Magnet Conference: Brenda Holler, Sarah Johri, Randy Whitney, Maureen Bowman, Karen Kazyak, Sudha Singh, Nancy Sidaway, Heidi Callan, Rosalie Ridge, Maria Bonds, Kim Kennedy, Jen Syluk and Cheryl Barger

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Throughout 2014, the PNC Redesign Team committed to advancing our PNC to a more effective Shared Governance model, with an emphasis on providing greater staff nurse input in nursing decision making.

The PNC Redesign Team, composed of, 15 nurse representatives (staff nurses from the PNC, managers, Clinical Nurse Specialists, and an administrator) met regularly to explore changes needed to truly facilitate the mission and vision of Beaumont with and for nurses.

Through the hard work and dedication of this group, the Royal Oak Nursing Shared Governance Bylaws were updated, in preparation for implementation in 2015. As written in the preamble, “These bylaws provide a framework for the shared governance model of professional nursing at Beaumont Health System Royal Oak, including organization of the professional nursing staff and provision of a means for the professional nursing staff to exercise a certain level of self-governance while still remaining accountable to the Executive Team and Nurse Leaders. The overarching goal of this structure and process is to maintain a system of de-centralized decision-making and shared leadership that facilitates the planning, coordination, and direction of exemplary quality, competent patient care in a culture of excellence within the professional practice environment.”

The new shared governance model retains the original unit based councils and the hospital wide PNC. It also incorporates 7 new councils and the former Magnet Committee. The councils comprising the new shared governance model are:

1. Advocacy/Service/Community Council

2. Education & Research Council

3. Hospital Wide Professional Nurse Council

4. Magnet Council

5. Nursing Clinical Integration Council

6. Nursing Executive Leadership Council

7. Nursing Quality & Patient Safety Council

8. Professional Practice Council

9. Operations/Financial/Leadership*

10. Unit Based Councils

Shared Governance Committee s

In preparation for implementation in 2015, members for each of the councils, including 55 staff nurse, were selected and participated in a day of celebration and orientation on December 5th.

As with the philosophy of a true shared governance model, direct care nurses will be partnered with nursing administration to share in leadership responsibilities. With the exception of three councils (Nursing Clinical Integration, Nursing Executive Leadership and Operations/Finance/Leadership) each one of the councils will be chaired by a staff nurse and all of the councils will have staff nurse representation from every unit/clinical practice area.

n preparation for implementation in 2015 members for

The mission and vision of Beaumont Hospital, Royal Oak’s nursing body directly refl ects and supports the strategic plan of the hospital. Our vision is to rank among the nation’s leading institutions in the provision of health care services, patient safety, medical education, research and fi nancial performance.

We are strongly committed to the provision of the highest quality health care services to all of our patients.

Maureen Bowman MA, BSN, RN is the CNO and Vice President at Beaumont Hospital, Royal Oak. In this capacity Maureen oversees Nursing, Emergency Center, Access Center, Mid-Level Providers, Social Work, Care Management, Respiratory Care, Nursing Resource Team, Rapid Response Team, Berkley & Hazel Park Dialysis, Clinical Informatics, and the Clinics. Throughout her career at Beaumont, Maureen has either worked in or managed almost every department related to nursing at the hospital. Maureen started her tenure here as a staff nurse and ascended the professional ladder as an Assistant Nurse Manager, Administrative Manager, Director of Nursing, Administrative Director of Accreditation, Quality, Patient Access and Clinical Informatics.

Maureen obtained her BSN at St. Mary’s Notre Dame and her MA in Healthcare Leadership from Central Michigan University and Siena Heights.

Throughout 2014, CNO, Maureen Bowman continued to demonstrate her dedication and commitment to representing the voice of the nurses at Beaumont Royal Oak. In addition to her active role in the NELC and the Board of Directors, Maureen represents nursing on numerous other committees and boards throughout the hospital and the organization.

Maureen initiated the Professional Nurse Council Redesign Team and provided necessary support, allowing this work group to create the infrastructure and processes needed to empower nurses with an effective decision making Shared Governance model.

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2014 Chief Nursing Offi cer


Nursing Leadership

CNO, Maureen Bowman, leads the nursing body at Beaumont Hospital, Royal Oak, with her unique compliment of clinical, as well as management skills, vision for a brighter future, and passion for the profession of nursing.

Maureen is an active member on a variety of organizational committees, where she serves as the voice of the nursing staff. In this capacity, Maureen, promotes the advancements that impact clinical outcomes and enrich professionalism.

Maureen’s approachable manner creates an environment in which nurses enjoy the ability to bring their ideas and concerns to her via multiple means. Maureen has the trust and respect of the nurses as a result of her ability to achieve a delicate balance between listening to her constituents and taking appropriate action to advance patient care, practice, policy, and professionalism to the next level.

Furthermore, Maureen possesses a rare repertoire of talents needed to provide encouragement, guidance, and foresight, while promoting calm even amidst the most trying times. She has the capacity to keep her sights on the goals and objectives required to promote necessary growth and advancements, while demonstrating sensitivity to internal and external issues. Maureen is well suited and well equipped to lead the nurses at Beaumont Hospital, Royal Oak, to face the emerging challenges that await us and to achieve the most success possible.

Nursing leadership is moving toward a focus on ensuring clinical staff have what they need to provide excellent patient care. Our nursing leaders facilitate these needs through participation on many interdisciplinary committees within the Beaumont Health System, including:

Board of Directors Nursing Representative

Board of Directors Patient Care & Quality Committee

Corporate and RO Patient Care & Quality Committee

Corporate Management Committee

Corporate Nursing Clinical Integration Team

Corporate Chief Nursing Offi cer Cabinet

Corporate & Hospital Nurse Executive Leadership

Corporate and RO Transition of Care Committee

Corporate EHR Optimization Committee

Hospital Clinical Operations Committee

Centers of Excellence & Clinical Integration Teams

Epic oneChart Team

Medical Value Analysis Committee

Mid-Level Provider Council

Mid-Level Provider Credentialing Committee

Utilization Management/Complex Care Committee

Patient Flow Work Team

Service Excellence Council

...and many more!

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How AAre Beauumont Nurseess Repressennted??

Nursing Leadership in Action

Strategic PlanningThe 2014 Nursing Strategic Plan parallels the Hospital’s Strategic Plan. Key projects are carefully coordinated to support and fulfi ll the hospital’s overall goals which coincide with one or more of our Pillars of Focus; People, Quality and Safety, Service, Growth Financial Performance or Teaching and Research.

Maureen openly encourages all staff to exercise leadership and empowers each nurse to share their concerns and ideas to promote positive change at Beaumont Hospital, Royal Oak. Some of the tools and activities she uses to reach out to fellow nurses include:

Nursing Leadership Blog

Executive Meet & Greet Events

Central Nursing Orientation Guest Speaker

Nursing Awards Master of Ceremonies

Monthly PNC Presenter

Unit Rounding

...and many more!

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Workking TToggethher....

Maureen Bowman shown with Shane Cerone, hospital President and Dr. Rocher Physician in Chief

Beaumont Hospital, Royal Oak offers registered nurses numerous educational opportunities to expand their nursing knowledge and advance their professional development. Courses are offered both electronically and in traditional classroom settings.

Nurses have 24/7 access to the Nursing Reference Center (NRC), an online source providing hundreds of ANCC approved Continuing Education (CE) courses. The NRC is available to all RNs free of charge and offers courses on a wide variety of topics, covering an exhaustive list of nursing specialties. This user friendly program has proven to be a valuable resource to our nurses.

Nurses also have the option to attend an extensive range of conventional instructor taught programs, approved for CE credit through the Ohio Nurses Association (ONA). The ONA is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. These programs are developed and taught by Beaumont nurses, reviewed and approved by the Continuing Education Committee, and supported by the department of Nursing Education and Research.

The Continuing Education committee meets regularly to review all applications for CE courses. The committee, consisting of fi ve Clinical Nurse Specialists from the inpatient nursing education team reviews submitted applications to verify accuracy and to assure compliance with the guidelines set forth by the ONA.

Beaumont Hospital, Royal Oak continues to support nurses in the pursuit of continuing education. This commitment to the professional development of our nursing staff is evident in the online and classroom opportunities provided.

Blackman Case StudyPediatric Hematology/Oncology Nursing Education SymposiumPediatric TraumaPerioperative Diabetes ManagementPost Op Care of the Ileostomy PatientPreventing CAUTIRapid Response Team ConferenceRN Preceptor WorkshopSAFE Class-Staff Crisis Intervention TrainingSupportive Care and Oncologic Emergencies in Pediatric OncologyTeaching Outside the PowerPointTriage Class

Alzheimer’s Disease17th Annual Contemporary Issues In Trauma Nursing Conference3rd Annual Research DayASPAN’s 33rd National Conference: Clinical Practice UpdatesCare of the Perioperative PatientClinical Reasoning WorkshopConcerns for Respiratory Depression with the use of OpiodsConfl ict 101:What Every Nurse Needs to KnowCongenital Heart DiseaseCOPD/Research Stud on Proper Dose Inhaler TechniqueDomestic Violence and Legal IssuesElder Speak: Improving Communication with Dementia Patients2014 EMS Innovations ConferenceEssentials of Neurology Part IEssentials of Neurology Part II

Gaining Knowledge about Losing with Bariatric Surgery2014 Kidney Transplant SeminarKuntz/Callender/Drew Transplant Team SymposiumMagnet Model Components and Sources of Evidence Part IManaging Pain Managing Pain in the Demented Non-Verbal PatientMichigan Green Healthcare Annual ConferenceNICHE: Geriatric Patient Care AssociateNICHE: Geriatric Resource NurseNursing Certifi cation; Advancing Your PracticeOrthopedic Nursing Review Pt IOrthopedic Nursing Review Pt IIOvercoming Lateral Violence in NursingPatient Safety Town Hall; The Lewis

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20144 Couursse Offeerings


Commitment to Continuing Education

Education & Certifi cation GoalsEducation & Certifi cation Goals

Royal Oak responds aggressively to Ebola ThreatIn the fall of 2014 the world was shaken with the threat of the deadly Ebola virus spreading to possible a global level. When the fi rst patient succumbed to this frightening disease on US soil in September, Beaumont embarked on an intense campaign to educate staff and prepare for the worst. While hospital administrators and epidemiology developed action plans, protocols, and procured equipment, Nursing Education tackled the daunting responsibility of staff training. In just 4 short weeks, over 2500 direct care employees, mostly nursing staff, were trained in the critical skills of donning and doffi ng the essential personal protective equipment.

Training sessions were held around the clock. Each session included a short overview of the current issues, protocols, and a demonstration of how to properly put on, “don” and take off, “doff” the personal protective equipment. Each employee then practiced the donning and doffi ng process with the educator coaching.

Graduates: Lindsay Decker, Kristen Maki, Missy Knudsen, Tonyie Andrews-Johnson, Trish Lurie, Joy Sandy, Kathy Blair, Janelle Daniel, Tara Baldridge, Erica Forman, Margee Green, Sara Lebovic, Kathy Smith, Ariana Spiewak, Kelly Streng, Dana Velzy, Pam Yaldo, Anica Bellestri, Kelly Briley, Celeste Clark, Carol Jacobsen, Michelle Jewel, Lauren Lilly, Kris Mackson, Nicole Maffeo, Carol McDonald, Melissa Paul, Chris Petri, Mary Tiseo

Nurses Trained in Holistic CareWith a portion of the funds donated by the naming family of the new of the Karmanos Center for Natural Birth, came additional training opportunities for staff. In October, twenty-nine nurses graduated from the Integrative Healing Arts Academy program, through the Birch Tree Center for Healthcare Transformation. The holistic health training program was inspiring, energetic, and refl ective.

During the 96 hour (three week) training program, nurses were immersed into a lively learning experience that provided a focus on health and wellness, renewal of the patient and healthcare provider relationship and the shift from hierarchal management models to transformational leadership models. This fresh perspective allowed for

rejuvenation and commitment to taking good care of self and others. Nurses who attended learned about caring for the whole person (mind, body and spirit), community, and planet. In addition to the best practices of holistic care, the nurses gained familiarity with complementary and integrative therapies. Aromatherapy, refl exology and music were among the alternative therapies included. These nurses are now spreading the holistic philosophy throughout Beaumont while preparing to become certifi ed in holistic nursing.

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Commitment to Continuing Education...

Education & Certifi cation GoalsBeaumont strives to uphold the highest standards in patient safety and quality and continually to be a leader in healthcare. Research supports that an organization with more BSN or higher prepared nurses and nurses with certifi cations have increased safety scores, higher quality of care, and better patient outcomes.

Because of this best practice, the Department of Nursing has established a goal to increase the number of BSN prepared nurses and Certifi ed RN’s to 80% and 28% respectively, by 2020.

RNs Attend Intense Emergency Management TrainingIn September a contingent of thirty-three Beaumont Team Members, including eight nurses from Royal Oak, attended a week long emergency preparedness training program known as ICE or Integrated Capstone Event. Held in Anniston, Alabama, the program is funded through the Federal Emergency Management Agency (FEMA) and the Centers for Domestic Preparedness to promote an interdisciplinary response to mass casualty events. The training site for this program is a decommissioned military base, complete with a hospital. The simulated exercises utilize a wide array of situations such as patient surge, bomb threat, amber alert, hazardous materials exposure, and power outages. Those attending describe the drills to be amazingly realistic with the environment, use of lifelike simulation mannequins, theatre quality make-up and professional actors. Each day was fi lled with non stop activities from classes, to simulations and debriefi ng sessions. All of the volunteers who took part describe the experience as extremely worthwhile and emphasize the strongest take away message to practice, Practice, PRACTICE!

Nursing Education and Research The Nursing Education & Research department at Beaumont Hospital, Royal Oak includes a team of Clinical Nurse Specialists and Education Specialists that work with the nursing staff to improve knowledge, skills, and competency through clinical practice, education, consultation, and research. The team developed the central orientation program for all levels of nursing staff, the Critical Care orientation program for critical care nursing staff, the Medical/Surgical Graduate program, oneChart education and implementation, and numerous staff development classes, to name a few.

This group of educators focuses on professional development and assists with nursing specialty certifi cation, evidence-based practice projects, Magnet initiatives, and nursing continuing education contact hour programs. Improving patient outcomes and safety is a major focus of the group. From preventing patient falls and pressure ulcers to safe medication administration, our practice is ever changing, based on emerging research fi ndings. Ultimately, Nursing Education & Research supports and enables the nursing staff at Beaumont Hospital, Royal Oak, to maintain the highest quality of patient care.

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Commitment to Continuing Education...

RNs in photo: John Hulswit, Karen Whitefoot, Gail Juleff, Angie Raczkiesicz, Trish Lurie, Gaby Nubert, Mary Gunn, Debbie DeNapoli

Mental Health FairMental Health Awareness Month is recognized annually in the month of May. To help break down the stereotypes, the nursing staff from 9 Central Inpatient Psychiatry and the Partial Hospital Program (an outpatient treatment program on 9CN) held a Mental Health

Fair on May 28th. The theme for 2014, Break the Silence – Break the Stigma, was supported by our own psychiatric nurses, psychiatrists and a variety of agencies and providers supporting mental health. Besides working to dispel many of the misconceptions about mental illness, the fair highlighted treatment and supportive services available to assist anyone suffering from mental illness. Visitors were able to help themselves to printed materials, pamphlets, etc. and received a green ribbon to represent National Mental Health Awareness.

RNs provide EpiPens training to local schoolsChanges in legislation now require every public school to have EpiPens available to treat severe allergic reactions.

On Aug. 19 three Beaumont nurses taught staff from local schools how to administer life saving epinephrine, via a prefi lled, single use device know as the EpiPen.

According to Donna Ratcliff, RN, Nursing Scholarship, bee stings and unknown food allergies are the most common causes of a severe reaction. Two staff members

from each school must be trained to properly use EpiPens. Donna, Kimberly Wesley, RN, and Jennifer Feeney, RN, conducted the training. In the event of a life-threatening allergic reaction, the schools will now have the available means at their disposal to potentially save a student’s life.

Affl iated School of NursingAs one of the original members of the Alliance for Clinical Experience (ACE) program instituted by the Michigan Health Council, Beaumont and other local hospitals and universities worked to improve placing students’ for clinical experiences. This allows for hospitals and universities to streamline the process for fi nding and preparing the students for the experience.

Beaumont Health System supports nursing schools through their numerous affi liation agreements that allow for undergraduate, RN to BSN, and graduate students to obtain clinical and leadership experiences in the hospital setting. In 2014, Royal Oak placed 1300 undergraduate students for clinical rotations on its nursing units and the emergency department; and paired 13 graduate level students with Advanced Practice Nurses. Nurse Practitioner students are also matched with Clinical Nurse Specialist or other Nurse practitioners to obtain clinical experiences.

RNs Volunteer at BrightmoorRoyal Oak nurses volunteer to help residents of one of Detroit’s poorest and most medically underserved neighborhoods as a part of the Brightmoor Health Outreach Collaborative. The health fairs, held in August and November, offered free medical, dental and legal services to Brightmoor residents.

Brightmoor is a four-square mile area in northwest Detroit. Over decades, it has been transformed from a thriving working-class neighborhood to one of abandoned homes and businesses.

Participants screened at the events were referred to local clinics for follow-up care, including the Covenant Community Care Clinics in Detroit and Royal Oak, the Newton Healthcare Clinic in Detroit and the Outpatient Clinic at Beaumont

17

Commitment to Community Involvement

Annette, far right, went to Los Angeles for a photo shoot with the other Go Red for Women spokespeople.

Camp RN DayCamp RN Day is a one day program created in conjunction with Oakland University to bring local youths, aged 10-14, into the Royal Oak campus to explore some of the realities involved in daily hospital operations. This year, 43 students were selected by Oakland University for the program and were divided into 3 teams. The teams were headed by Education Specialists from Nursing Education and Research who provided the youngsters a variety of experiences, including a visit to the nursery, the pediatric playroom, tour of the Telemetry Monitoring Unit and ICU. On the Mother Baby Unit, the administrative manager, Ellen Sneider, took time out to show the eager campers newborn babies, and explained some key issues with infants that were hours to days old. The experience of visiting the pediatric unit and observing the enhanced playroom was exciting for the young campers. It was explained to the students how important this playroom is to promote healing in sick children. On the telemetry unit, the staff took time to explain heart disease and why monitors are used for certain patients. The students were fascinated when they were shown different rhythms on the screen and how alarms are activated to notify staff of any problems with patients.

In the classroom, the youngsters had opportunities to practice a few hands-on skills such as the use of mechanical lifts, vital signs machines, how and why to use an AED, and how to make an occupied patient bed. Educators also demonstrated the emergency care of choking adults, children and infants. Infant safe sleep was also discussed and mannequin were used to demonstrate correct positioning of babies for sleep.

For the grand fi nale, security introduced two K-9 members of the security team, Nitro and Zena. Every camper received a gift bag with Beaumont mementos! A fi ne time was had by all!

Annette Scibberas 2014 Go Red for Women AHA SpokespersonBeing an advocate for women’s heart health has become part of Annette Sciberras’s passion and destiny. Born with a cardiac defect requiring open heart surgery at age 5, Annette had always felt heart health was important. In fact, she has spent her entire career in the cardiology service line as a nurse and now, the administrative manager of the cardiac progressive care unit at Royal Oak. In recent years, with the passing of her best friend and mother, Annette was diagnosed with Takotsubo Cardiomyopathy or Broken Heart Syndrome.

Annette’s journey as a women’s heart health advocate expanded to the national level when she was selected as one of eleven women to represent the American Heart Association’s (AHA) 2014 Go Red For Women campaign. Go Red For Women encourages awareness of the issue of women and heart disease, and also action to save more lives. The movement harnesses the energy, passion and power women have to band together and collectively wipe out

heart disease. As a spokesperson for the AHA Go Red For Women, Annette was involved in local and national events throughout the year.

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Commitment to Community Involvement...

Click HERE to View a Virtual Tour.

With a very generous gift from Danialle and Peter Karmanos Jr., Beaumont Hospital, Royal Oak created a one-of-a-kind birthing center, combining the comforts of home with safety net of a high-tech hospital. The Karmanos

Center for Natural Birth opened on November 3, 2014.

The positive experiences the Karmonos couple enjoyed with the nurses and physicians they encountered, when two of their sons were born at Royal Oak, undoubtedly inspired them to donate $6 million dollars to create this outstanding birthing center and provide holistic training for the nursing staff.

“There’s nothing more important than having a healthy child,” says Danialle Karmanos, whose four sons were born naturally. “Our vision in partnering with Beaumont was to create a fi rst-class facility with the best doctors and nurses, and the tools, resources and environment to support a natural birth experience, for families that

choose that path.”

This state of the art facility boasts six private birthing suites equipped with large hydrotherapy tubs, massaging shower heads and other special amenities for natural labor and delivery. There is also an indoor walking path and two beautiful outdoor rooftop gardens – one designed for viewing, the other designed as a walking garden for fresh air and movement during labor.

The Karmanos Center for Natural Birth patient care team includes obstetricians, midwives, lactation consultants and nurses. Nurses who work in the center are trained in holistic nursing practice by the BirchTree Center Integrative Healing Arts Academy to manage comfort during natural labor using position-changing tools, hydrotherapy, aromatherapy, therapeutic touch, refl exology, guided imagery and music therapy. (see related story on page 15) This exceptional new program is a good representation of clinical advancements to be expected at Royal Oak!

Twaptla

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Karmanos Natural Birth ing Center

QANNQuality Assurance Nursing Network (QANN) is a not-for-profi t group of accreditation and quality nursing specialists from Southeast Michigan hospitals. Membership includes representation from more than 25 hospitals located throughout Wayne, Oakland, Macomb, and Washtenaw counties. The group meets every other month to disseminate information, network, discuss accreditation trends and issues, and to review problem quality areas within nursing such as transitions of care, restraint use and reduction strategies, and electronic medical records.

NICHE

Nurses Improving Care for Healthsystem Elders Nurses (NICHE) is a group of 620 hospitals internationally who participate in practice improvements relating to the care of the geriatric population and meeting their unique health care needs.

RPNLRegional Pediatric Nurse Leaders (RPNL) includes pediatric inpatient nursing leaders from Southern Lower Michigan hospitals. This group focuses on evidence based practice initiatives related to the pediatric population. In the fall of 2014, this group hosted a pediatric conference with local and nationally recognizes speakers.

MBSCThe Michigan Bariatric Surgery Collaborative (MBSC) is a statewide consortium of hospitals which maintains an externally audited prospective clinical registry. The MBSC meets quarterly to discuss clinical issues related to bariatric interventions.

Consor tium ParticipationBeaumont Hospital, Royal Oak participates is several consortiums, working together with other hospitals, to improve clinical outcomes using evidence based practice. The consortiums include:

Pressure Ulcer Prevention Initiative “Save the Booty”In health care, pressure ulcers are like a superhero’s nemesis. No matter what effort is made to stop them, they can pose an ominous threat to patients and health systems. They’re a constant challenge to hospitals around the country.

Fortunately, two Clinical Nurse Specialists, Hannah Musgrove MSN, RN, RN-BC, Critical Care CNS and Lisa Leighton MSN, RN, CCRN, CMSRN, NE-BC, Critical Care CNS, have teamed up with their units to protect their patients. “Prevention is the key!” says Hannah.

Hospitalized patients are at an increased risk for developing pressure ulcers because of immobility, poor nutrition and complicated medical conditions. Lisa emphasizes, “Early identifi cation leads to early prevention and treatment.”

To improve patient care, Hannah, Lisa and the nursing staff on their units are trialing a new quality initiative with the goal of improving nursing documentation and early initiation of preventive treatments. They created a tool to improve accurate identifi cation and documentation of pressure ulcers and wounds. “We needed to fi nd a way to help the staff speak the same language,” says Lisa. To do that, Lisa and Hannah created a tool with a diagram of the human body that includes anatomical landmarks. It also serves as a reminder to the staff of pertinent areas of documentation that should be addressed with every patient.

So far, the staff members have welcomed the use of the new tool. “We have heard positive feedback from the nursing staff. They feel like this tool has improved their workfl ow and has allowed them to provide better patient care,” says Lisa.

The program, aptly titled “Save the Booty,” focuses on early identifi cation and treatment of wounds and pressure ulcers. “Everyone expects their loved ones to be cared for,” says Hannah. “Our main goal is always making sure patients get proper care. The patient is the center of all we do.”

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NICHE Designation Elevated in 2014!Beaumont Royal Oak achieved the highest NICHE designation, EXEMPLAR, in the fall of 2014! This outstanding accomplishment is shared with only 56 other hospitals across the country.

NICHE Exemplar Hospitals demonstrate organizational commitment to the quality care of older adults. Progressing through Early Implementation, Progressive, and Senior Friendly levels to achieve Exemplar designation recognizes a hospital’s ongoing, high level dedication to geriatric medical care and preeminence in the implementation and quality of system wide interventions and initiatives.

The Exemplar status is achieved following a rigorous self evaluation by NICHE acute care hospitals of the current state and future goals of their NICHE programs. The requirements include implementation of the NICHE Geriatric Resource Nurse (GRN) model and evidence based protocols on all applicable units, including specialty units; implementation of systemic aging sensitive policies; inclusion of the input of patient, families, and community based providers in planning and implementation of NICHE initiatives; and assuming regional and national leadership roles.

NICHE designation demonstrates a hospital’s organizational commitment and continued progress in improving quality care to older adult patients who have specialized needs, enhancing the patient and family experience and supporting the hospital and other healthcare organization’s efforts to serve its communities.

NICHE is the leading nurse driven program designed to help hospitals and healthcare organizations improve the care of older adults. NICHE, based at New York University College of Nursing, consists of over 550 hospitals/healthcare organizations located throughout North America. The vision of NICHE is for all patients 65 years and older to be given age sensitive and exemplary care. Beaumont’s NICHE mission, developed by our NICHE Steering Committee and approved by our board of directors, is to provide patient-centered care that is safe, effective and compassionate and tailored to the unique needs of the elder population.

Why a Nurse Driven Program? Nurses are in a unique position to work with families as partners to provide quality care to older adult patients. It is also important to have informed, involved patients who understand and participate in their care. Therefore, emphasizing patient directed care is critical to improving safety, effi ciency, and quality. Geriatric Resource Nurses (GRNs) are specially trained nurses who incorporate the use of evidence based geriatric care at the bedside to foster better patient outcomes and raise patient satisfaction levels.

Joan Munchiando and Bernadette Carroll serve as the Royal Oak NICHE coordinators.

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Instead of individual gifts at Christmas, nurse managers Lorna Post-Powell, RN, Michelle Boiani, RN, and Elizabeth Martin, RN, decided to get the 8 South Neuroscience team the gift that keeps on giving—a relaxation and hydration room.

“We have an exceptional staff who are always going above and beyond to meet or exceed the patients experience. That was our inspiration for giving this gift to them. Additionally, we wanted to incorporate the hydration area to build relationships with the physicians and interdisciplinary team members,” explains Lorna, the nurse manager of the unit. “We kept it top secret and presented it to the staff at our Christmas party.”

A fresh coat of paint, low light, wall decals and homey decor created the calming atmosphere of the relaxation and hydration room. Photos of the staff, neck and foot massagers and the soft sounds of a babbling brook further contribute to the soothing ambiance.

“Sometimes we can’t get off the fl oor for a break or get back to the break room for some coffee,” explains Michelle, associate nurse manager. “Having this room available gives everyone a little something to help them through the day. Staff can now leave their drinks in the room so they can

duck in for a minute without having to walk to the other side of the unit.”

Elizabeth, associate nurse manager, has received positive feedback from the team. “People have said, ‘You do care!’ and we do!!”

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8S Neuro Relaxation and Hydration Room

* Winner of Poster Competition

Beaumont’s 3rd Annual Corporate Nursing Research Day, Demystifying Research and Evidence Based Practice, was held May 2, 2014 at Royal Oak. Once again, Royal Oak nurses were instrumental in this successful event. The day of activities featured lectures, poster presentatons and invaluable networking opportunities!

Several nurse researchers spoke on a variety related topics, including keynote speaker, Carman Turkelson, DNP, RN, CCRN, CHSE, who addressed on Nursing Research and Evidence Based Practice: Embracing the Opportunities.

Presentations provided by Royal Oak Nurses included:

Promoting Cultural Competency in Acute Care: Focus on the Combined Palliative Care/Hospice Unit

Ann Bhat, DNP (c), MSN, ACNP-BC, ACHPN

Development of a Nursing Research Committee in the ED

Karesa King, BSN, RN and Shadi Shami, RN

Nursing Research: Why and HowJulia Paul, PhD, RN, ACNS-BC, CCRN, CWS

Posters by Royal Oak Nurses included:

The Dynamic Effect of Work Relations on Nurses’ Well Being and Patient Safety

Bernadette Carroll BSN, RN, MS, NEA-BC

Is There an Association Between Lower Urinary Tract Symptoms, Chronic Pain and History of Exposure to Bullying and Abuse?

Michael Ehlert, MD, Marlene Seltzer, MD, Emily Dove-Medows, MSN, RN, CNM, Donna J. Carrico, MS, RN, WHNP, Larry T. Sirls, MD, Jason Gilleran, MD, Jamie Bartley, DO and Kenneth M. Peters, MD

A Qualitative Study to Identify Antecedents to Falls in an Acure Care Setting*Kay W. Klymko, PhD, FNP-BC; LuAnn Etcher PhD, RN; Joan Munchiando BSN, RN-BC,NE-BC, CRRN, CMSRN & Mary Royse MSN, RN, CMSRN, CDP

Reducing Stroke Risk Through Physical Activity and Diet: An Integrative Literature Review

Kelly Miller, MSN, RN; Sherry Bumpus, PhD, RN, FNP-BC; Marty Raymond III, PhD

The FACEBOOK Project: Exploring the use of Social Media for Staff Nurse EducationHannah M. Musgrove, MSN, RN-BC

Evaluation of a Perioperative Intravenous Insulin Infusion Algorithm*Tammy Dukatz, MSN, CRNA; Emma Hurst, MSN, CRNA; Mary Golinski, PhD CRNA and James Van Loon, MS

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3rd Annual Cor por ate Nursing Research Day

Transplant SymposiumThe Minority Organ and Tissue Transplantation Education Program (MOTTEP) and Beaumont Hospital, Royal Oak, co-sponsored a symposium titled Transplantation Disparities: the Impact in the Healthcare Reform Era on March 31, 2014 in the Administration Building at Royal Oak.

Along with local and national speakers, Beaumont presenters included Patricia Sills, M.S.N., RN, CCRN, ACNP-BC, Nurse Practitioner, Multi-Organ Transplantation, Royal Oak; Leslie Rocher, M.D., Senior Vice President & Physician-in-Chief, Royal Oak; Lauren Hill, B.A., Director, Diversity & Staff Development, Beaumont Health Systems; Alan Koffron, M.D., Director, Multi-Organ Transplantation, Royal Oak and Interim Chair, Department of Surgery Oakland University William Beaumont School of Medicine; and Lynn Parker, Medical Technologist, Clinical Pathology, Troy. Beaumont planning committee members included Paula Bigger, RN; Patricia Sills, RN and Caroline Medcoff, RN, all from Royal Oak.

Nursing Education Implements Use of New Technology; QualtricsFor every continuing education program offered by the Nursing Education & Research (NER) Department at Royal Oak, staff was spending hours preparing the materials for presenters and attendees including sign in sheets, presentation evaluations, and certifi cates of completion. A signifi cant cost was associated with the printing of these forms, and the computer program and scanner used in the processing of the evaluations.

Qualtrics was being used by the William Beaumont Oakland University School of Medicine and a conversation between Brook Taylor, Director of Continuing Medical Education, Beaumont Health System and Assistant Dean for Continuing Medical Education, OUWB School of Medicine and Cheryl Barger RN, MS Manager of NER, soon turned into a collaborative effort of updating the system being used to offer CEs to Beaumont nurses.

By incorporating the new system, nurses sign in giving their email address, and receive the link to the evaluation within two days of the presentation. After completing the evaluation, they obtain their electronic CE which could be printed and/or saved to their computer. The combined savings associated with the costs of printing and clerical hours when calculated by using the average of 50 participants per continuing education presentation and multiplied by the 131 continuing education presentations that were offered in 2013, using Qualtrics would be $5,650.50.

Outpatient Nutrition Clinic Raises the BarThanks to the hard work and dedication of nurse the Beaumont Cancer Institute received the 2014 Association of Community Cancer Centers Innovator Award. This award recognizes and honors pioneering strategies for the effective delivery of cancer care. Jan Parslow MS, RN, ONC, CCRP Nurse Navigator, Head and Neck Multidisciplinary Cancer Clinic was instrumental in the implementation of a new program, Closing the Gap: An Outpatient Nutrition Clinic.

Based on data from the Multidisciplinary Head and Neck Cancer Clinic at Royal Oak, far too many patients undergoing concomitant chemo-radiation or radiation therapy alone, were suffering from dehydration and malnutrition necessitating EC visit, rehospitalizations and treatment breaks. An outpatient Nutrition Clinic was started with the goal of optimizing nutrition status and hydration before, during and after treatment.

Weekly appointments assess calorie intake (oral and/or PEG tube feedings) and provide ongoing education and reinforcement about the importance of nutrition to the patients and their caregivers. The program involves thirty one multidisciplinary staff. The program was presented at the Association of Community Cancer Centers 31st National Oncology Conference held in San Diego, California from Oct. 8 to 10, 2014.

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2014 Beaumont Hospital - Royal Oak 2014 Beaumont Hospital - Royal Oak

Nursing research is committed to improving healthcare through a culture of best practice and clinical inquiry. Evidence-based practice is an approach to care that includes the best evidence, clinical expertise, and patient preference into the clinical decision making process. It is care based on science and sound rationale. All care delivery should be based on current scientifi c literature, clinical experience and patient values. The Beaumont Nurse Professional Practice Model links evidence based practice to the nursing process, education and mentoring.

As always, nurses at RO are ambitious when it comes to research. 2014 boasts an active Nursing Research Committee and 33 ongoing nursing research projects!

Current Research ProjectsA Qualitative Study to Identify Antecedents to Falls in an Acute Care Setting

Joan Munchiando BSN, RN, CMSRN, CRRN, NE-BC

Mary Royse MSN, RN, CMSRN

NDNQI RN Satisfaction Survey 2011/2012/2013/2014

Whitney, Randy BSN, MSA, RN, NE-BC

Adult Venous Assessment Tool

Lindsay Decker MSN, RN, WHNP-BC

A Phase II Randomized Trial Using Hyland’s Calendula Offi cinalis Spray Compared with Standard of Care for Prevention of Acute Radiation Dermatitis in Patients Receiving Breast Conserving Therapy with Whole Breast Irradiation

Alicia DeCaria BSN, RN, NE-BC

Stroke Readmission Rates When Cared for by Stroke Unit Nurses vs. Non-Stroke Unit Nurses

Jennifer Feeney BSN, RN

Implementation of a Risk Stratifi cation Tool for Patients Receiving ICDs with and without Biventricular Pacing to Determine Early Discharge

Sandra Oliver-McNeil DNP, ACNP-BC, AACC

The Relationship between Excessive Breastfed Newborn Weight Loss, Newborn Output and Maternal Fluids During Labor

Martha White BSN, RN, IBCLC

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Nursing research going strong in 2014!

Current Research Projects Continued...Home-Based Symptom Management via Refl exology for Breast Cancer Patients

Jennifer Roye BSN, RN

Promoting Cultural Competency in Acute Care: Focus on the Combined Palliative Care/Hospice Unit

Ann Bhat DNP, ACNP-BC, ACHPN

Pressure Ulcer Prevention in Intensive Care Units

Jennifer Parrish BSN, RN

Acute Deep Vein Thrombosis and Intermittent Pneumatic Compression: A Clinical Decision

Cheryl Jensen RN, CCRN

Effi cacy, Safety and Compliance of Perioperative Intravenous Insulin Infusion Guidelines

Tamra Dukatz CRNA, MSN

The Effi cacy of Gamma Knife Radiosurgery on Trigeminal Neuralgia Pain and the Effect on QOL

Michelle Manders BSN, RN

Decreasing Hemolysis Rates: a comparative study using a luer lock access devise (vacutainer) vs a syringe for lab specimen collection

Denise Campbell MSN, RN, ACNS-BC

The Dynamic Effect of Work Relations- Nurses’ Wellbeing and Patient Safety

Bernadette Carroll MS, BSN, RN, NE-BC

Identifi cation of Sepsis guidelines among patients admitted to the Medical Intensive Care Unit

Tracey Laporte BSN, RN

A Continuous Quality Improvement Project to Implement Music Therapy as an Adjunct to Pharmacologic Agents for Pain Management

Chante Stanley BSN, RN

Preoperative Depression Screening of Patients Undergoing CABG Surgery for the Likelihood of Postoperative Depression Development

Russchel Jackson BSN, RN

Nurse Ultrasound Guided IV Training in the EC: a look at nursing satisfaction

Denise Campbell MSN, RN, ACNS-BC

Targeted Nursing Interventions to Reduce Time to Extubation in Short-term Mechanically Ventilated ICU Patients

Lindsay Murphy BSN, RN, CEN, CCRN

Cognitive Aide Design & Implementation: A Critical Factor in Improving Patient Safety for Low Frequency High-Risk Patient Events

Carman Turkelson DNP, RN, CCRN, CHSE

Using C.O.P.E. (Creating Opportunities for Personal Empowerment) Program to Improve Mental Health Outcomes in Children Experiencing a Life Threatening Health Condition

Karen MacDonald MSN, RN

Clinical Teaching Behaviors: a comparison of CRNA and SRNA Opinions

Anne Hranchook DNP, CCRN

An assessment of peri-operative factors contributing to outcomes of care following colo-rectal surgery

Mary Golinski PhD, CRNA

Improving Nursing Admission Assessment Documentation of PU and Wounds

Hannah Musgrove MSN, RN-BC

EBP use by CRNA’s (HIC 2014-102)


Respiratory outcomes following administration of intravenous neuromuscular blockade for patients undergoing kidney transplantation


Early Assessment to Reduce Malnutrition in Lung Cancer: The EARLy Trial

Michelle Wallace BSN, RN, OCN, CCRP

Mobile Computerized Tablets (iPad) to Introduce Educational Modules to Hospitalized Patients: Improves Self-Effi cacy and Patient Satisfaction

Kelly Miller MSN, RN, ACNS-BC

Understanding Nurses Compliance with Bar Code Med Administration System

Margaret Harris PhD, RN

Assessment of variables to determine risk for developing decubitus ulcers

Molly McClelland RN, PhD, CMSRN

Autologous Muscle Derived Cells (AMDC) for Female Stress Incontinence: A single center follow up study.

Deborah Hasenau MS, BSN, RN, CCRP

Evaluating Inpatient Nursing Knowledge and Performance Using a Metered Dose Inhaler (MDI)

Lorna Gallogly MSN, RN, ANP, C

Laura Reaume MSN, RN, ACNS-BC

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Nurses Week May 5-9th!The week of May 5th, honored our fi ne nurses. CNO, Maureen Bowman was highly visible and participated in daily events such as Meet and Greets, the Blessing of the Hands. 49 posters were entered in the annual Poster Contest by nurses from all practice areas and units! The Magnet Committee hosted a table all week, highlighting Magnet activities and giving nurses a chance to win free certifi cation exams.

The PNC Committee also staffed a table all week, featuring the activities of the Shared Governance Redesign Team. Free CE presentations were offered daily and unit/department based celebrations were held. Radio station 96.3 FM broadcast from our concourse area and provided a delightful air of excitement to our festivities! Our week also commemorated winners of a variety of distinguished nursing awards, such as the Maggie Allesee Scholarships, Nightingales, Rosemarie Kado, and the annual poster winners.

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The Maggie Allesee Nursing Scholarship Award2014 Winners Jennifer Hillake, RN, Emergency Center; Michelle Wallace, RN, Radiation Oncology; Jennifer Krysiak, RN, Children’s Center for Surgery

Maggie Allesee is known as one of Southeast Michigan’s most generous philanthropists. She serves on the School of Nursing Board of Visitors at Oakland University and on its Nightingale Awards Committee.

Rose Marie Kado AwardAnn Hasson, is the 2014 recipient of the Rosemarie Kado award. Ann is a staff nurse on 8N/CPCU.

This peer-recognized award is given to a nurse who exemplifi es the characteristics of a past cardiac nurse Rose Marie Kado, who was tragically killed in a domestic violence incident. The award was established in memory of Rose Marie by William O’Neil, M.D. at Beaumont Hospital, Royal Oak.

Len and Roz Kolins Nursing Excellence AwardMeagan Ankley, R.N. and Deborah Roberts, R.N., are the 2014 recipients of the Len and Roz Kolins Nursing Excellence Award. Meagan is a staff nurse on 5 Center Nephrology and Deborah is a nurse on 5 North.

The award is presented annually to a Beaumont Hospital, Royal Oak nurse who demonstrates a focus on being at the bedside for day-to-day care of vulnerable patients.

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Nurses Wee k Awards

Annual Nurses Week Poster Competition The Commission on Nursing Research at Royal Oak held the 10th annual Nurse’s Week Poster Competition from May 5-9, 2014. Nurses were asked to submit posters under one of the four components of the Beaumont Nurse Professional Practice Model: Caring, Vision, Innovation and Professional Practice and describe how their project depicted that component. 49 posters were judged, with the top poster in each category receiving an award funded by Medical Administration. In addition, a “People’s Choice” award was chosen. Those recognized were (photos shown in same order as the list below):

Vision Category Transition or Extreme Makeover? Opening an ACE Unit (9N) Joan Munchiando, BSN, RN-BC, CRRN, CMSRN, NE-BCLois Webb, BSN, RN-BC, CMSRN Maureen Raab, BSN, RN-BC

Professional Practice CategoryOptimizing Patient Flow while Providing Quality care (7N) Anne Prouty, MSN, MSA, RN, ONC, CMSRNMaya Vulaj, BSN, RNMaye Daher, BSN, RNAnn Bambach, BSN, RN Elise Fournier, BSN, RN

Innovation Category Evidence Based Practice of a Nutrition Support Team Linda Hale, RN, CNSC; Stacey MacDonell, RN; Bill Stockdale, RN, CNSC

Caring Category Improving Patient Satisfaction Scores in the PICU Kristin Dickens, BSN. RN, CPNStacey Sexsmith, BSN, RNKendra Atherholt, BSN, RN, CPNJen Syluk, BSN, RN, CPN

People’s Choice Award Horses Heal hearts (9C) Karen Whitefoot, RNSudha Singh, BSN, RN-BCHeather Gutpell, BSN, RN Laura Reaume, MSN, RN, ACNS-BC

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Gail Juleff MSN, RN, HACP, CHEP, Quality and Safety Management presented at the 13th Annual Business of Patient Flow and Safety Summit on June 25, 2014 “Case Study: Prepare for a Mass Pandemic” in Chicago, and presented ‘Emergency Preparedness’ for Oakland University course “Radiological Terrorism & Public Health” on Nov. 24, 2014.

Donna Carrico WHNP, MS, clinical director of Beaumont Women’s Urology Center, presented the C. Paul Perry Memorial Keynote Lecture at the 2014 Annual Meeting of the International Pelvic Pain Society.

Carman Turkelson, DNP, MSN, CCRN, CHSE, has had a poster accepted for the 14th International Meeting on Simulation in Healthcare to be held January 25-29, 2014 in San Francisco, California. The title of the poster is Improving Nursing Communication Skills in an Intensive Care Unit Using Simulation and Nursing Crew Resource Management (NCRM) Strategies.

Joan Munchiando, BSN, RN-BC, CRRN, CMSRN, NE-BC; Lois Webb, BSN, RN-BC, CMSRN and Maureen Raab, BSN, RN-BC had a poster accepted at the April 6-8, 2014 NICHE conference in San Diego, California. The title of their poster was Opening an Acute Care for Elders (ACE) Unit –Transition or Extreme Makeover?

Michelle Wallace, BSN, RN, OCN, CCRP was acknowledged by the Michigan Center for nursing newsletter for her contributions to cancer research and was a speaker at the Leadership Conference of the Oncology Nursing Society.

Kelly Miller, MSN, RN, received the second place award for the student poster competition at the Midwest. Nursing Research Society’s 38th Annual Research Conference held March 27-30 in St. Louis, Missouri. Her poster was titled Reducing Stroke Risk through Physical Activity and Diet: An Integrative Literature Review. Kelly is a clinical nurse specialist in Critical Care at Royal Oak.

Sharing our Expertise

Michael Heuninckx, RN, Emergency Center, released his 1st book, “Code Blue! Now What?”

Hannah Musgrove, MSN, RN-BC had a poster accepted for presentation at the National Association of

Clinical Nurse Specialist Conference held March 6-8 in Orlando, Florida. Her poster was The Facebook

Project: Exploring the Use of Social Media for Staff Nurse Education. Hannah is a clinical nurse specialist in Critical Care at Royal Oak

Mary Royse, MSN, RN, CMSRN and Joan Munchiando, BSN, RN-BC, CRRN, CMSRN, NE-BC, presented their poster entitled A Qualitative Study to Identify Antecedents to Falls in an Acute Care Setting at the Wayne State College of Nursing Research Day on April 2, 2014.

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Continued...

Cathy Arnold, BSN, RN, CRRN, Associate Nurse Manager, Rehab Unit, Royal Oak, has had a poster accepted for presentation at the 40th Annual Association of Rehabilitation Nurses Educational Conference to be held in Anaheim, California, October 29 - November 1, 2014. The title of the poster is Simplifying CMS Appeals.

Michelle Manders had posters presented at the International Leksell Gamma Knife Society Meeting, the American Society of Therapeutic Radiation Oncology, and the Metro Detroit Oncology Nursing Society Annual Conference.

Gayle Groshko RN, BSN, OCN, is the 2014 President of the Metro Detroit Chapter of the Oncology Nursing Society and was a podium presenter at the annual conference.

Joan Wallace-Moats, BSN., RN-BC and Stephanie Mineer, RN-BC, 9 North/Medical, Royal Oak, had a poster abstract accepted for the April 6-8, 2014 NICHE conference in San Diego, California. The title is The Katz M.E.O.W. Making Every Outcome Worthwhile.

Emily Ducharme was a podium presenter at the International Leskell Gamma Knife Society Meeting.

Kelly M. Hendrix BSN, RN, CNN, a transplant nurse coordinator with the Post Kidney Transplant Clinic was published in the November-December edition of the Nephrology Nursing Journal. Her article, BK Virus in Recipients of Kidney Transplants includes a 1.4 CE.

Bernadette Carroll, MS, BSN, RN, NE-BC, Director of Nursing, Medical and Emergency Center, Royal Oak, has been selected to participate by University of Michigan in the Rising Stars In Nursing poster program at Sigma Theta Tau International’s Leadership Connection 2014 program. Her nominated poster presentation is The Dynamic Effect of Work Relations on Nurses’ Well Being and Patient Safety.

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Gail Juleff, Quality and Safety Management was elected chairperson of the Region 2 North Healthcare Coalition Hospital Subcommittee.

Michelle Wallace, RN, BSN, OCN, CCRP, was appointed to the American Society of Radiation Therapy Annual Meeting Education Committee.

Heather Lowry, RN, received the 2014 Outstanding Advanced Practice Oncology Nurse Award from the Metro Detroit Oncology Nursing Society and is the president elect for MDON.

Beryl Guevara, BSN, RN, Medical Surgical 6 ST Gyn/Med, was featured in the Michigan Center for Nursing newsletter.

Maureen Raab, RN-BC, Administrative Manager, 9 North/Medical, Royal Oak has received a certifi cation in Gerontological Nursing.

Anne Ronk, MSN, RN, NEA-BC, Director for Women’s & Children Services, Royal Oak, has been selected as 2014 Treasurer for the Michigan Organization of Nurse Executives.

Beaumont, Royal Oak won an award in the category of Most Innovative Use for Physical Security for implementation and use of the Ekahau personal alarm system utilized by inpatient and EC nursing staff. Carleen Penoza, BSN, MSA, RN, Director of Informatics, accepted the award at the second annual RFID in Healthcare Consortium/Intelligent Hospital award ceremony recently held at the Healthcare Information and Management Systems Society (HIMSS) conference in February in Orlando. Special thanks to Joan Munchiando, BSN, RN-BC, CCRN, CMSRN, NE-BC; Anne Ronk, MSN, RN, NEA-BC, Director of Nursing; Whitney Guerber, Security and Steve Gammon, Information Services, for making this possible.

The Regional Pediatric Nurse Leaders are a group of nursing leaders representing hospitals in our community that care for children and their families. Established in 1984 our goals are to provide support and networking among Pediatric Nurse as well as to disseminate current evidence based clinical practices. We support the development of regional care guidelines to ensure that every child and family receives excellent care.

We offer conferences every two years that have covered a variety of topics and included speakers from around the country as well as here in Southeast Michigan. We have 13 hospitals in our group and we meet 5 times each year to look at the needs in our community. We have offered two review conferences that were well attended as nurses look to become certifi ed in Pediatric Nursing.

Ellen Sneider, Administrative Manager of Pediatrics has presided as the President of the group for over 20 years. Ellen comments, “I am proud of our accomplishments and team we have become. The economic challenges we are experiencing today are going to change the face of Pediatric care in this community. We want to be at the forefront of supporting the process and ensuring we have excellent care for all the children and their families.”

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Visible in Practice

2014 Nightingale WinnerStaff Nurse Practice Anne Page, B.S.N., R.N., CPAN, CAPA 3NT PACU

Anne was nominated for her excellence and advocacy in the care of special patient populations. She chooses to fl oat to all areas of the pre-op PACU, feeling it makes her a better nurse. She is dedicated to the needs of the non-typical perianesthesia patient such as ECT patients for whom she chose to enhance her knowledge base and comfort and then pass this on to her colleagues. She also works closely with the Radiation Oncology department with brachytherapy patients - to enhance their care pre-operative through recovery.

Anne promotes professionalism by serving as a mentor and teacher e.g. preceptor, teaches skills validation, education of residents, CRNA’s and high school students. She uses teachable moments with caregivers at all levels and shares articles and posters. She is a member

Nightingale Award Nominees

Staff Nurse PracticeMelanie Hengesbaugh, 2E/SICUAutumn Liberty-Corbin, 2E/SICUJean Moroski, PACUNancy Niemi, 9C/PsychMichaeleen Oates, PICULaura Orton, NICUJennifer Vincent, Pediatrics

Advanced Nurse PracticeHeather Lowry, Breast Care Center

Long Term Care/RehabilitationRacel Adams, Rehab

Distinguished AlumniBernadette Carroll, Director of Nursing

AdministrationMaureen Bowman, Chief Nursing Offi cerMarie Doherty, Director Care ManagementBernadette Carroll, Director of NursingHolly Weissman, Neuroscience

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Nightingale Winners and Nominee s

APIC 2014 Film Festival Viewer’s Choice

Beaumont, Royal Oak, won the APIC 2014 Film Festivals Viewer’s Choice Award for their fi lm on hand washing and personal protective equipment sponsored by the Association

of Professionals in Infection Control and Epidemiology.

The award was presented at the annual conference held June 7-9, 2014 in Anaheim, California. Those participating included nursing staff from 7 North, Epidemiology and Public Relations.

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Click Here to View the video.

Jennie Lynn, RN, shows off one of her favorite murals that she painted on the PICU at

Beaumont, Royal Oak.

Kaitlin Trentacost on Cover of Balanced Living

The fall issue of Balanced Living (a HAP Publication) featured a full length story on Kaitlin Trentacost a staff nurse from 8N CPCU. Kaitlin graced the cover and three pages with several photos spotlighting her “sunny disposition”.

Kaitlin makes it her business to brighten the lives of her patients. She says, “I know not everyone has their health or family, or a support system to fall back on, but a lot of people can be persuaded to be positive. It’s about the attitude you bring into it.” She says, “I focus on their

lives outside the hospital, their kids, their pets, good restaurants in their neighborhood. I just poke around with conversation until I fi nd things that are important to them. It’s really pretty easy to bring out the positivity in people.” She recognizes how a nurse’s positive attitude can improve the disposition of his/her patients. Kaitlin attributes her positive outlook on life to attitude, family, productivity and a healthy lifestyle.

PICU staff received Caring Spirit Awards for exceptional care Award!

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Notewor th y Achievements

The Board of Directors of the American Association of Critical Care Nurses Certifi cation Corporation has recognized Linda Sturm, RN, CCRN, for achieving and maintaining the CCRN credential for 35 years. Linda is a staff nurse in the Cardiac Intensive Care Unit at Royal Oak.

Alicia Voorhees, BSN., RN, CPAN, CAPA, staff nurse, 2NT/ Peri-anesthesia, Royal Oak, received the Patricia Hansen Memorial Award at the 2014 American Society of PeriAnesthesia Nurses 23rd National Conference held April 27 to May 1, 2014 in Las Vegas.

Molly Ruhl, RN, Beaumont, Royal Oak, saved the life of a 12 year-old child while volunteering at SCAMP, a 5-week summer program that seeks to provide an exciting and therapeutic summer program for individuals with disabilities ages 3-26 in the Metro Detroit area. Molly took action to help this child who had a full cardiac arrest at camp from unrecognized prolonged QT syndrome. Molly resuscitated the child with effective CPR and defi brillation using an AED.

Marie Doherty, MSA, BSN., RN-BC, NE-BC, Director of Care Management, was appointed to a two-year term as secretary for the American Case Management Association, Great Lakes Chapter.

Alicia DeCaria, BSN, RN, NE-BC, is the 2014 recipient of Metro Detroit Oncology Nursing Society’s Outstanding Oncology Nurse Award. Alicia is the administrative manager for Radiation Oncology.

Ann Bhat, DNP, ACNP-BC, ACHPN, recently graduated with a doctor of nursing practice degree from the University of Michigan-Flint. Ann is a Nurse Practitioner, Internal Medicine/ Palliative Care.

Daisy Quarterly Winners1st QuarterLaura Keyser StevensECKraig Oliver5 NorthTina Polega2N PreopChristina Porter 2E/SICUBrandon SchellNRT-ICUTina Walny 5E/SICU

3rd QuarterPatty Henry 2N/PACU Alexandra Davis 4C Shirley McTear5N Bill BraaschSurgical Service Sarah Ransom6N Soodad Rabban7N

2nd QuarterCheryl DeWittNRT-Surg Pod Diane Scafi di6C/HospiceGenevieve FreemanGYN/Med Lana Satkiewicz2N/PACUMaria Donavan6NMegan Gray8N/CPCU

4th QuarterMichelle Johnson8NElizabeth Walsh5ESoniya Cherian 2ETierney McCue 2EMartha PhillipsPACU

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Notewor th y Achievements

Certifi cationsPCCN Gina Layog4 Center/MPCUMargaret Clark5E/MICU

CCRNLisa LeightonCritical Care

CMSRNAmanda Sprinkle5 northAngela Otulakowski7 north

Executive Certifi cationAlicia DeCaria5 north

Professional Ladder

Professional Level IIIAngela Alnajjar MICUKendra Atherholt PICUShalimar Blanton 9NLauren Caldwell CPCUDanielle Candela 3E/SICUCheryl Caruss 6CRoberta Gonzales MBCSarah Johri PACURuth Kniveton RehabGina Layog MPCUKelly Levine MPCUAngela Otulakowski 7NStacey Sexsmith PICUMahdi Sharafi ECKathleen Skender MICUAmanda Sprinkle 5NJennifer Syluk PICUMaria Tantengco PACUMegan Thieman-Poliquin 5SLaurie Tousignant AntepartumPatricia Young CPCULois Webb 9NNancy Whitt NICUAndrea Zinke FBCCharles Zielinski CPCU

Professional Level IV:Marie Bosco Breastfeeding SupportTrudy Jenkins PedsMichaeleen Oates PICUVickie Bell PICUDenise Boumediene 8NSandra Pardington CCUKim Weller FBCHeidi Callan NICUJennifer Jones PICUFrances Makarski 5E/SICUKristen Maki FBC Marianne Snopkowski PICUAlicia Voorhees 2N/Perianesthesia

Suzanne Carter 8SHeidi D’Anna 3E/SICUCheryl DeWitt NRTDonna Gunning ECGenci Shkembi ECChanta Stanleyn4C/MPCUErin Wilson3E/SICUCrystalyn Alcala 6CSarah Bahlman4E/MICUJoAnn Butler 3N/Peri-anesthsiaClaudia Dragan 8CEmily Ducharme Rad OncWilma Grace Gomez 5E/SICUGayle Groshko Rad OncChristina Hahn NRTMargaret Hanes 9S/OrthoLynn Jassy 9NTimothy Joseph 5E/SICUMichelle Manders Rad OncLaura Orton NICUSandra O’Shaughnessy 8S OncTina Polega2NT/Peri-anesthsiaBeverly Robertson Rad OncJoan Wallace-Moats 9N Regina Wierzbicki EC

Jennifer Bowlus 5NFlorencio Camitan 9NKristin Dickens PICUDarleen Ditrapani FBCJillian Haezebrouck 5E/SICUCheryl Jensen 6E/CICU Michele Kendrick NRTTheresa Kowalski 8S/OncCandace Loomis PICUJean Moroski 2N/PACU Kimberly Popp ECCarolyn Powers 4E/MICUTanya Regmont EC Jennifer Syluk PICUKaitlin TrentacostCPCUEden Truya-deRamos Surgical ServicesIrene Uy 5CJennifer Vincent Peds

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Documents

2014 Nursing Annual Report | Beaumont Hospital, Royal Oak