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2017 CentraState Medical Center Nursing Annual Report
CentraState Nursing:The Mind, Body and Spirit of Caring
for Self and Others
TABL
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6 Message from the Vice President of Patient Services..................................................................................2
CentraState Nursing Mission, Vision, and Philosophy ..................................................................................3
Transformational Leadership .........................................................................................................................4
1. Nursing Strategic Plan ..................................................................................................................4
2. Registered Nurse Credentials: Degrees/Certifications ...............................................................6
Structural Empowerment ............................................................................................................................11
1. Nursing Units and Patient Care Areas.........................................................................................11
2. Nursing Committees..................................................................................................................20
Exemplary Professional Practice.................................................................................................................29
1. Professional Practice Model .......................................................................................................29a. Caring Science......................................................................................................................29
b. Novice to Expert ...................................................................................................................29
c. Patient-Centered Care ..........................................................................................................29
d. Level I: Nursing Governance.................................................................................................30
e. Level II: Nursing Unit/Area Governance................................................................................30
f. Level III: RN Professional Governance..................................................................................30
2. Nursing Awards and Achievements ...........................................................................................31
3. Nursing Excellence Program Members .....................................................................................43
New Knowledge, Innovations, and Improvements .....................................................................................44
1. Nursing Research, Evidence-Based Projects and Innovations....................................................44
Empirical Outcomes ...................................................................................................................................45
1. Nurses with BSN Degree ..........................................................................................................45
2. Nurse Satisfaction......................................................................................................................46
Collage of Nurses’ Week and Other Events................................................................................................47
A MESAAGE FROM
THEVICE PRESIDEN
T OF PATIENT SERVICES
2
Dear Colleagues,
The 2017 Nurses Week theme was “Nursing: The Balance of Mind, Body andSpirit.” CentraState nurses promoted the theme throughout the year. TheHolistic Nursing Committee held an open house during each of the springand fall Nursing and Technical Skills Days. Reiki, sound and vibrational healing,aromatherapy, and chair yoga were demonstrated. Other stations providedhand massage, coloring for relaxation, healthy snacks and descriptions of other holistic modalities for mind, bodyand spirit. These and other self-care techniques help to prevent work-related stress and enable nurses to betterfocus on their patients’ care needs.
The Progressive Care Unit nurses promoted patient wellness by providing Congestive Heart Failure (CHF)education, reminders about medications, and teaching CHF patients to monitor their weight every day. Nursesfrom Behavioral Health Services used group therapy sessions to encourage and educate patients about the needto take medications, to stop smoking, to use alcohol only in moderation, and to learn how to stay safe when theyreturn to the community. Nurses from the Acute Care for Elders (ACE) Unit encouraged patient ambulation tokeep patients mobile to prevent falls and pressure injuries.
Employees in the ambulatory campus focused on wellness topics for the community. The Fitness Centerprovided various exercise modalities and yoga for the community and CentraState employees. The RehabilitationDepartment provided screening and treatment for neuromuscular disorders, and developed a new concussionprogram. Community Wellness and Population Health nurses at the Health Awareness Center provided diabetes,blood pressure, and cancer screenings for employees and the community throughout the year. The screeningsidentified individuals with potential health issues and provided subsequent counseling sessions to boost wellness.The Star & Barry Tobias Women’s Health Center nurses promoted wellness by instituting a new website and e-newsletter. In order to provide more mind, body and spirit support for cancer patients, additional cancer navigatorswere hired. By the end of 2017, there were three nurses and one social worker in the cancer navigator role.
An important initiative in 2017 was to increase staff and patient safety. A Culture of Safety survey was completedby employees in 2017. Responses demonstrated a 5% overall improvement from the previous survey in 2015. Anew safety program was presented and the concept “High Reliability Organization” (HRO) was introduced tohospital administrators. Because the program promotes reducing serious safety events and employee incidentsby 80% by 2020, it was embraced by all departments. HRO educators were trained by the end of the year withthe goal of educating all employees and the medical/dental staff about safety practices and communicationtechniques in 2018. To enculturate the values of HRO, everyone’s support will be needed.
Sincerely,
Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE
Vice President, Patient Services
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NURSING MISSIONOur mission is to support the organizational mission by consistently providing holistic, personalized, qualitynursing care.
NURSING VISIONOur vision is to be recognized by the community as committed to providing the highest quality nursing care in arespectful, caring and healing environment.
NURSING PHILOSOPHYWe believe in . . .
• The caring art and human science that is nursing in our delivery of care across the continuum.
• Fostering a collaborative, interdisciplinary approach.
• Delivering compassionate, culturally sensitive, holistic care.
• The strength of our diversity.
• Achieving excellence in patient outcomes through continuous performance improvement using evidence-based practice.
• Following ethical principles to protect the health, safety and rights of our patients and colleagues.
• Patient and family education to promote an optimum level of health and wellness.
• Fostering open, respectful communication to enhance the patient experience, interpersonal understandingand healing.
• A culture that supports empowerment and accountability.
• Continuing education that fosters professional growth, competence and critical thinking.
• An environment that nurtures and supports accomplishments, self esteem and a love of nursing.
• Us.
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Babies, National Wear Red for Women,Shoreline American Heart Walk, 10thAnnual Cancer Survivors Day, and variouscommunity and business-related healthfairs.
Strategic Imperative 3:Physician Integration & Development
• When a patient is first seen in the ED, the nurse enters a list of thepatient’s home medications into the ED Wellsoft computer system.If the patient is admitted, the Wellsoft program in the ED shouldinterface with the Soarian program in the inpatient settings. But itdoesn’t always work and sometimes the information becomesjumbled and unintelligible. To assist the physicians, the ED HealthUnit Coordinators (HUCs) provide a more user-friendly list of homemedications. The ED HUCs and Rapid Admit Nurses now transcribethe medication information into the correct fields for dose, route,etc. This saves the practitioners’ time when they select themedications for the inpatient stay. Practitioners have verbalizedan improvement in the medication lists.
• The ACE Unit team initiated unit rounds three times a week in theACE Unit Lounge with Zeeshan Khan, MD, gerontologist, andHazen Yu, RN, NM, to discuss patient care needs and reviewmedications ordered for patients that are frail and aged 65 andolder.
• The CDI/MD Rounding Project: The Clinical DocumentationIntegrity (CDI) team identifies and educates clinicians aboutdocumentation issues while they are rounding and seeing theirpatients. This allows clinicians to receive documentation educationunique to their needs, using their own documentation as examples,and doesn’t require any additional time in their day.
• Computerized Physician Order Entry (CPOE) was initiated in theSpecial Care Nursery.
Strategic Imperative 4:Customer Satisfaction: Overall Percentiles 4th Qtr 2017
• Inpatient 51st percentile (NJ Peer Group)(Top Box Rate the Hospital)
• Outpatient 97th percentile (NJ Peer Group)
• Emergency Dept. 92nd percentile (50k+ Peer Group)
• Ambulatory Surgery 73rd percentile (AHA 2 Peer Group)
• A new system was implemented in API in the staffing office tostreamline notification of staff of any open shifts that need to becovered. The prior process sent out notification of open shifts to allstaff on the unit by phone, text and email. The new system sendsa message by phone or text or email at the staff’s preference. Thestaff selected the notification modality in August which wasprogrammed into the API system. When vacant shifts need to befilled, only staff who meet the position criteria will be notified bytheir selected modality. Staff on night shift will not be notified fora day shift position while they are sleeping or when they are onvacation. This will decrease staff interruptions. The system wentlive in September.
Strategic Imperative 1:Growth and Development
• Acute Care for Elders (ACE) Unit began operation in October on 3North for patients 65 years and older. The goal is to help seniorpatients recover from injury or illness while improving their healthand well-being. Patients are assisted to stay strong, mobile, andindependent. Care is provided by the ACE team: Zeeshan Kahn,MD, gerontologist; Hazen Yu, RN, nurse manager (NM); staffnurses; physical and occupational therapists; social workers; carecoordinators; pharmacists; respiratory therapists; dieticians;pastoral care; palliative care; and patient care technicians.
• Orthopedic Bundles: CentraState participated in the Comp-rehensive Joint Replacement Bundled Payment Project with CMS.An interprofessional team worked on quality, cost and length ofstay for total knee and hip replacement patients. Additionalfocuses were the cost of implants, discharging the patient homewith home care, reducing of the length of stay of patients sentfor rehabilitation in skilled nursing facilities, and preventingcomplications and readmissions. Due to the success of the project,the hospital received $118,500 for participation after the first year.
• Pediatrics Unit moved to a temporary location with six beds and alounge/support room on 2 East.
• Observation Unit was renovated and upgraded with 13 beds forobservation patients. Care maps were developed and are in use.A new Philips telemetry monitoring system, called Care Event,displays monitor tracings on phones carried by the nurses. Alertsare provided for arrhythmias so that the nurses can immediatelyrespond.
• Short Stay Unit renovations were completed, providing moreprivacy for patients, improving staff workflow, and increasing bedcapacity. .
Strategic Imperative 2:Community Involvement and Outreach
• Maternal Child staff held the annual Walk to RememberBereavement Walk in October.
• Denise Rodman, RN, OCN, Staff Nurse, 4 East Oncology,volunteered in her annual role as medical director at Camp Quality,New Jersey, a camp for children with cancer.
• Cancer Navigators from the Statesir Cancer Center at CentraStateand the Star & Barry Tobias Women’s Health Center collaboratedwith the 4 East Oncology Unit to help cancer patients withdischarge planning and follow-up care.
• Ellen Ciacciarelli, RN, APN, Stroke Coordinator, received the SturgerAward from the Boy Scouts of America for educating boy scoutsabout stroke.
• Cardiac Services held a community event, “Paint to Your Heart’sContent: Stress Management,” to provide a fun evening whileeducating women about healthier living.
• Nurses and other staff were team leaders and participants in manycommunity health events, such as Making Strides Against BreastCancer, Paulette’s C of Blue Colorectal Walk, Heart Walk team,Walk to Fight Alzheimer’s Disease, March of Dimes March for
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Strategic Imperative 6:Renown
• Cathleen Janzekovich, PhD, RN, AVP, Nursing, and Anne Shelton,MSN, RN, NM, Critical Care, gave a webinar presentation aboutCentraState’s CAUTI processes and results for the AmericanHospital Association. CSMC hospital-wide CAUTIs decreased by60%, from ten in 2015 to four in 2016.
• Linda Geisler, DBA, RN was re-elected to the Board of theOrganization of Nurse Leaders of New Jersey (ONL/NJ) for 2018-2019.
• The CentraState Heart Failure program received the Get with theGuidelines - Heart Failure Bronze Achievement Award from theAmerican Heart Association.
• Anne Shelton, RN, NM, Critical Care, received recognition and aplaque from the New Jersey Hospital Association for herleadership in working with other hospitals to decrease hospital-acquired urinary tract infections.
• The Stroke Program met Joint Commission Standards and wasrecertified for two years.
• Lou Silvestri, BSN, RN-BC, Clinical Leader, Behavioral Health, wasrecognized as a Non-Violent Crisis Intervention MeritoriousInstructor by the Crisis Prevention Institute. To earn this distinction,Lou met five rigorous criteria: organization-wide commitment,meaningful learning opportunities for staff, continuity andreinforcement, instructor development, and established expertise.
• Nurses Linda DeLuca, MSN, RN-BC and Maureen Gianna, RN-BC,published an article in the American Nurse Today journal called“Stroke Alert,” about a fictional, postpartum 30-year-old womanwho experienced a stroke.
• In November, the March of Dimes sponsored an event for “Nurseof the Year” at the Grand Marquis. One-hundred and sixtynominations were submitted. Of the twelve categories for awards,Ellen Ciacciarelli, RN, APN, Stroke Coordinator, won the award forGeneral Adult Acute Care.
• The CentraState Bariatric Service Line was accredited as a Centerof Excellence in Metabolic and Bariatric Surgery (COEMBS) by theSurgical Review Corporation.
• The Cardiac Rehabilitation Program achieved a three-yearrecertification through the American Association for Cardiovascularand Pulmonary Rehabilitation.
Strategic Imperative 4: ContinuedCustomer Satisfaction: Overall Percentiles 4th Qtr 2017
HCAHPS Strategies.
• Communication with Nurses: Bedside shift report, giving andreviewing the daily plan of care with the patient, using teach backto ensure patient understanding, developing a welcome/teachingfolder, and coaching simulations to increase nurse sensitivity withpatient communication. This domain has exceeded the CMSbenchmark.
• Responsiveness/Communication: As nurses and PCTs performhourly rounding, they use “TIPS,” a means of communicating withpatients about fall risks, a study on patient understanding ofeducation, and volunteer rounding.
• Medication Education: Daily medication lists with actions and sideeffects are provided, “M in the box” reminds patients aboutmedications, and medication administration simulations fornurses..
• Discharge Information: Provided in patients transition folders, thedischarge medication reconciliation list, and post discharge phonecalls.
• Cleanliness and Quiet: Quiet is emphasized with overhead callsfor quiet time and administrative rounding. Environmentalimprovements included bathroom renovations for 5 North and 4North, new windows and floors for 4 East and 3 North and newsignage throughout the building.
Strategic Imperative 5:High Performance
• After 3 North began transitioning to an ACE Unit, the length of stayfrom 2016 to 2017 was reduced by 3.45%. There was a reductionin the number of discharged patients going to skilled nursingfacilities.
• The American Cancer Society’s Clinicians’ Portal was introduced toprovide information and resources to our inpatient population.
• The nurses’ station at the 4 East Total Joint/Stroke Center wasrenovated to better utilize space and increase staff productivity.
• The NJ Division of Mental Health and Addiction Services bi-annualsite review resulted in a citation-free redesignation of our short-term care facility.
• STEMI: The median time from door to EKG was seven minutes andthe median time from door to administration of TNKase was 22minutes; median time from door to transfer was 79 minutes.
“Magnet Recognition is not merely an award, or a badge of honor. It issteadfast proof of a hard-earned commitment to excellence in healthcare, with contented nurses at its heart.”
— Magnet Recognition Program
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3 North ACEEdna Aguilar, BSN, RN-BCEmanuela Barthelmy-Henry, BSN, RNJacqueline Blackwood, BSN, RN Lisa Blissenbach, BSN, RN-BCMaria Caleen, RN-BCMichel-Ange Cenatus, BSN, RNChung Choi, BA, RNErin Cilino, BSN, RN-BCMeghan Daley, BSN, RN-BCDebra Duke-Issifu, BSN, RN-BCKaren Fabiny, RN-BCLaura Fritsky, MBA, BSN, BS, RNJane Galus, BSN, RN, CMSRN
Maureen Gianna, RN-BC sCathy Glowzenski, BSN, RN-BCChristina Haddad, RNTiffany Hochstein, BSN, RNBrittany Horan, RNEncarnacion Olavides, BSN, RN, WCCTheresa Pearman, BSN, RNTanya Pickard, BSN, RN-BCSuzanne Reddy, BSN, RN-BC Maria Reyes, BSN, RN, CMSRNLinda Reynolds, BSN, RNKimberly Rothacker, BSN, BA, RNAmy Schwartz, BSN, RNKimberly Semilia, BSN, RN-BCIryna Shpott, RN-BCKarina Takinan, BSN, RNPatricia Theocharous, BA, RN-BCRosemary Vaccaro, BSN, RNDiana Ventimiglia, BSN, RN-BCKarla Vitug, BSN, RNHazen Yu, BSN, RNChristina Zarnowski, BSN, RN
4 East OncologyNaomi Rachel Brown, BSN, BS, RNRose M. Brown, RN-BC, OCN, ONSMonique Cappuzzo, BSN, RNJames Archival Cava, BSN, RNDora Crowley, BSN, BA, RN Elana Joyce, MSN, RN, ANP-BC Jacqueline Lavigne, MSN, RN-BC, AGPCNP-BCMegan Lukens, BSN, RN, OCNLaura Murray-Rivera, RN, OCNOlga Picciotto-Preiser, RN
Denise Rodman, RN, OCN Bridget Russell, BSN, RN
4 East Total JointCenter/Stroke CenterChristina Agzigian, BSN, RNConcepta Akachi, BSN, RNPatricia Barnosky, RN-BCBette Becker, BA, RN-BCLisa Beckerman, BSN, RN-BCJohanna Biddle, BSN, RN-BCMaryann Bonatakis, BSN, RN-BCClaudia Brameyer, RNNorma Concepcion, BSN, RN-BCDonna D’Alessio, BSN, RNMarc Delcy, BSN, RNTabitha Encarnacion, RNRose Julewicz, RN-BCHarpreet Kaur, BSN, BS, RNMelissa Mae Mapa, RN-BCYolanda Melendez, BSN, RNSarah Moon, RNVictoria Moon, RN-BCClaudia Nogueira, RN-BCCaitlin Raiten, MSN, RN-BCDemetra Rotsides, MPH, BSN, BA, RN Meghan Ryan, BSN, RN,
Ama Sika-Iddrisu, BSN, BS, RN sCharina Tallo, BSN, RNAllison Tripple, BSN, RNToni L. Vaccarello, BSN, RNJennifer L. Wiley, MSN, RNDonna Williams, BSN, RN-BC
4 North SurgicalMaeghan Adinolfi, BSN, RNMary Aguilar, BS, BSN, RN-BCJeffrey Anderson, BSN, RNKimberly Balagot, BSN, BA, RN-BCSheila Carcellar, BSN, RN-BCAnett Daan, BSN, RNShital Dass, RN-BCDaniella Davis, BSN, RN Donna Deane, RN-BCElizabeth Durazzo, BS, RNAgnieszka Dzbuiak, BSN, RNChristina Ebel, BSN, RN
Denise Gillman, RNRachel Gordon, BA, RNCaitlin Gorman-Farinella, BSN, RNMaya Jiries, RN-BCJacqueline Keich, BSN, RNLeah Mendoza, RN-BCFranciele Monteiro, RNChristina Moscato, RNJaneth Necesario-Rosete, BSN, RN-BCAna Nozadze, BSN, RNAgnieszka Ogrodnik, BSN, RNLaura O'Reilly, RN-BCAlicia Pagalilauan, BSN, RN-BCJanice Pascua, BSN, RNAndrea Pascual, BSN, RN-BCDonna Roe, RN-BCLynn Rosenzweig, BSN, RN-BCJessica Rubino, BSN, RN
Susan Schneider, RN-BC sKaren Stanisce, BSN, RN-BCKarina Swenticky, BSN, RN-BCMaribel Tablar, BSN, RN-BCJenny Tang, MBA, BA, BSN, RNJennifer Tennaro, BSN, RNStephanie Thomas, RNMichelle Thompson, RN-BCAlicia Vejar, BSN, RNJessica Zizza, RN-BC
Administrative CoordinatorsElizabeth Baker, BSN, RN-BCBarbara Burgio, BSN, BS, RN Beverly Denef, BS, MEd, MBA, RN Charlotte Qualls, MA, RN, NA-BC Joy Rende, MHA, BSN, RNC-MNN, NE-BCDeborah Richardson, MSN, RN-BC, AGPCNPLisa Rivera, BSN, RN, LNCCMary Szuszkowski, BS, RN
Ambulatory Surgery/MAB/Short StayEileen Ammon, BSN, RN, CNORNicole Buccino, MSN, BS, RN, CCRNLori Burrows, BSN, RNLeticia Butay, BSN, RN, CPANSandra Colon, BSN, RN-BCBeverly Dey, BSN, RN, CPAN
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Maria Diaz, RN-BCMaria Lynn Fangon, BSN, RNLucy Furmanec, BSN, RN-BCCharlene Greenwood, RNAlicia Hancock, BSN, RN-BCJune Mansfield, RNTerri Lynn McNamara, RN-BCKaren Mirynowski, BSN, RNCarole Negron, RNMarites Nieveras, BSN, RN-BCJosephine Ramos, BSN, RNAnnabelle Reichert, RNEileen Rice, BA, RN-BCArlene Riggio, BSN, RN, CCRNMaria Schurott, RNLaura I. Snell, RNEden Tanner, BS, RNJoanne Wolfe, RNAngelita Yu, BSN, RNAudrey Zarrow, RN
Behavioral Health UnitKathleen Bremer-Covitz, MSN, RN Jennifer Bruno, BSN, RNGerman Butay, BSN, RN-BCCheryl Anne Craig, BSN, BA, MA, RNLisa Davenport, RN-BCRenie Ebreo, MSN, RN-BC, PMHNP-BC Chelsea Francis, BSN, BA, RNMarina Ginzberg, BSN, RNEdgar Ho, BSN, RNMikhail Karpov, BSN, RNNellie Macato, BSN, RN-BCCarly Minniti, BSN, RN-BCLinda Morton, RNKristen Moskal, BSN, RNCecilia Mullanaphy, BA, RNDivina Quezada-Acosta, BSN, RNJonathan Ralph, BSN, RNFreddie Rodriguez, BSN, RNEmily Rosenberger, BSN, RN-BCLouella Rowe, BSN, RN-BCBetty Schwartz, RNLouis Silvestri, BSN, RN-BCKimberly Thomas, MSN, RN-BC
Behavioral Health –ECT ServicesMelissa Batong, BSN, RNLara Casalbore, BSN, RNAmber Frischer, BSN, RNCrisann Maher, BA, RNVivian Stanger, RN
Cancer Care ServicesJanine Eyd-Adonizio, BSN, RNSharon Lorfing, MSN, RN, CCRN, APNC, APRNKathrine Poznanski, RN
Cardiac Catheterization LabJoel Balanon, BSN, RN, CCRNJessica Bonazinga, BSN, RNKathryn Gazdek, BSN, RNWayne Germinario, RN, RT, CVRN, RCIS, RCSADiana Paone, BSN, RNAmy Quinlan, DNP, MSN, RN-BC, APRN, CVN,CCRN, RCIS, APNJason Reha, RNAlanna Schauer, MSN, RN-BC, CVN, CRN, RCISJessica Teles, BSN, RN
Cardiac ServicesNicole DeNucci, BSN, RNMichelle Mahler, BSN, RN-BCTricia Marceante, MSN, RN, APN-BCKaren Morgan, BSN, RN-BCMary Jane Saada, BSN, RN, CCRPMarcia Schaefer-Noto, MS, MSN, RN-BC, NE-BCMadeline Tricarico, BSN, RN, CCRNGirlie Vea, BSN, RN
Care CoordinationChristine Beyer, BA, RN, CENEllen Clark, BSN, RNC, ACMJill Cohen, BSN, RN-BC, ACMMinerva Duque, BSN, RN, ACMMariereine Guirguis, MSN, RN, CCMRosita Holloway, BSN, RNMarie Jagich, BSN, RN, CCMAlice Johnson, BSN, RN, CCMGloria Kleinknecht, RNJoan Leimbach, BSN, RN, ACMRohini Mahase, BSN, RNLaraine Mercereau, BSN, RN Amparo Murphy, RNLisa Popaca, MSN, RN, RNC-OB, LCCF, ACMDarian Touhey, MSN, RN, APRN-BC, ACM
Critical Care UnitBrie Adamczyk, RNShivaa Arjyal, BSN, RN-BC, CCRNAnnabel Bacani, RN, CCRNMelanie Baccoli, MSN, BS, RN, CCRNTomasita Balisalisa, BSN, RNDevon Bove, BSN, RNNicole Byster, BSN, RNJennifer Casey, RNJenna Clark, RNTheresa Consolloy, BSN, RN, CCRNBianca Covitz, BSN, RNNilda Dacono, BSN, RN, CCRNNicole DelCore, BSN, BS, RNDanielle Falzarano, RN-BCLisa Fishman, BSN, BS, RNFrances Franco, BSN, CCRNEdward Jacoby, RN, CCRNJulia Jo, BS, RN, CCRN
Rodelia Juan, BSN, RN, CCRNArlene Kennedy, BSN, RNMelissa Kifner, RNAmber Killmer, RN-BCAngelina Leung, BSN, RN, CCRNLauren Maskowitz, BSN, RNKelly McLaughlin, BSN, RNKim Miles, BSN, RNChristian Moon, RNAmy N'Doeka, RN, CCRN Liz Niederman, RNElizabeth Olexa, RNJeff Paragas, BSN, RN, CCRNDana Pelliccia, BSN, RNGina Peralta, BSN, RNMaria Elena Rodriguez, MSN, RN, CCRNBridget Russell, RNJennifer Seitz, BSN, RNAnne Shelton, MSN, BSN, BS, RN, CCRNNancy Skrobola, RN, CCRNCynthia Sotomayor-Zerrudo, BSN, RN-BC, CCRN
Heather Suchniak, BSN, BA, RN sDivina Tomada, MSN, RN, CCRNDonna Willis, RN, CCRNJackie Wolfe, BSN, RN
Emergency DepartmentMaria Amoroso, BSN, RNNicole Barone, BSN, RNJennifer Barton, RNDonna Bates, BSN, RNKara Berg, BSN, RNAgnes Bieniek, RN, CENKatherine Buffa, BSN, RNDeborah Burg, MSN, RNJessica Cannata, BSN, RNNicole Cannon, BSN, RN, CENPatricia Cassidy, BSN, RNJeannette Cinco, BSN, RNKristen Connors, MSN, RNSarah Conway, BSN, RNEmily Demarco, BSN, RNAnnmarie Devito, BSN, RNDonna Dolcemascolo, BSN, RNOrhan Donuk, BSN, RNNeena Farzaneh, BSN, RNPamela Flynn, BSN, RNLeah Frangopolous, RNAriel Furlong, RN
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Laurie Gambardella, MSN, RNAlexa Giallombardo, BSN, RNKaren Goglia, RN, CENGina Guerriero, MSN, BS, RN-BCLaura Guerrini, BSN, RN, CENJoahha Kriska Gulapa, BSN, RNRobert Gulbin, MPA, BA, BSN, RNDenise Hamill, BSN, RN, CCRNBridget Hartnett, BS, BSN, RNCourtney Hulley, BSN, RNMonique Ikan, RNLoretta Impastato, BSN, RNVanessa Johnson, BSN, RNMarcella Francesca Jones, BSN, RNBrittany Kerwin, BSN, BS, RN Danielle Kiczales, BSN, RNJodi Kipila, BSN, BA, RNDarice Kluxen, BSN, RNMargaret Kurczeski, BSN, RNKate Lawrence, BSN, RNGlenda Lawson, BSN, RNDeborah Lord, BSN, RN, CSRNDebra Mattson-Zara, RN, CENAlyssa Mauro, BSN, RN, CENMargaret Mayer, BSN, RNAmanda Miccio, BSN, RNJodie Nolte, BS, RNBeth O’Dwyer-Styles, BSN, RN, CENYchelle Patti, BSN. RNKenya Penca, BSN, RN, CMSRNMegan Restua, BSN, RN, CENErik Rosell, RN
Liz Salinas, RN sCarolyn Sellman, BSN, RNElizabeth Seymour, BA, RN, CENShawna Smarro, RNSamantha Smith, BS, RNSamantha Steffey, RNDianne Sweeney, RNJennifer Tallant, BA, RN, CEN Madeline Tilley, RN Jennifer Varick, RNMichelle Verona, RN-BCAnna Wagtowicz, BSN, RN Lauren Weiss-Ninger, BSN, RN, CEN, CPENMeagan Witherell, BSN, RNJill Zakutansky, BA, RN-BC
EndoscopyHelen Bueti, BSN, RN, CGRNYolanda Donahue, RN, CGRNPatricia Falco, BSN, BS, RNLynette Linga, BSN, RN
Family Medicine CenterAnnabelle Arimado, BSN, RNElizabeth Donahue, BSN, RNJennie Flanagan, BSN, RN-BCEvangeline Santos, BSN, RN-BC
Float PoolColleen Anastasio, BSN, RNLeah Banks, BSN, RNJacyln Bergamo, BSN, RNPatricia Boachie, BSN, RNKendie Castillo, MSN, FNP-BCIrene Decelie, MSN, RN-BCEva Germino, BSN, RN-BCDelma Hodan, BSN, RNPricilla Hughes, BSN, RN-BCFernanda Lima de Freitas, BSN, RNEtleva Lleshi, RN Monique Raphael, BSN, RNSusan Salcedo, BSN, RNGrace Santos, BSN, RN-BCChristine Scasney, RNJane Szumowski, BSN, RN-BC
Health Awareness CenterJudy Barros, MSN, RN, PNP-BCJosephine Chilton, MSN, RNMaryellen Dykeman, MSN, RNBella Grevesen, BSN, RNMelanie Lorentz, BS, RN Annie Neuman, BSN, MSEd, RN Kathleen Prybylski, RN, IBCLC
HIM-CDIS NursesChristine Butka, MSN, RN, CCDS, CENRosalie Handoga, RN, CCDSTerre Heck, BSN, RN, CCDSMichael Rispoli, RN, CCDS
Infection ControlJacqueline Breuer, RN, CICKaryn Young-Engelman, RN, CIC
Information SystemsSusan Hager, RNLaurie Huryk, MSN, RNAnna McSorley, MS, BSN, RN
Interventional RadiologySebastiana Benavides, BSN, RN-BCNadine Bowles Brown, BSN, RNEdward Roman, RN Elizabeth Siegel, RN, CENMary Van Der Net, BSN, RN
IV Therapy
Donna Betar, DC, BS, RN, CRNI sCarmen Canton, RNConnie Lam, BSN, RN-BCGlenda Ricker, RN, CRNIBelisha Romeo, BSN, RNEileen Villacillo, BSN, RN, CRNI
Labor, Delivery, Recovery& PostpartumCharlotte Abilheira, RNSheena Ackerman, BSN, RNShadiye Ahearn, RNC
Amanda Aloisi, BSN, RN sDebra Ayres, RN sJennifer Barnes, BSN, RNRaye Buscaino, BSN, BA, RNJena Campanella, BSN, BA, RNCynthia Cannizzaro, BSN, RN, HN-BCDanielle Cappelluti, BSN, BS, RNMarci Clayton, RNMarina Cordova, BSN, RNCDebra Dafick, BSN, RNSarah Dalby, BSN, RNCTheresa Faiella, RNCMary Foster, RNCJaymie Francisco, RN-BCSarah Freylicher, BSN, BA, RN
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Patricia Hader, BSN, RNGabriele Hallbauer, BSN, RNCTiesha Freeman, RNShastity Kamatoy, BSN, RNCDawn Kline, BSN, MHA, RN-BCMarina Kovaleva, BSN, RNNicole Lewis, BSN, RNMychelle Lima, BSN, RNCJennifer Lyons, BA, RNBobby Jo Maganza, BSN, BS, RNKim Martin, RNSarah McKnight, RNCCharlene Meza, BSN, RNAllison Murphy, RNLisa Musante, BSN, RNAstrid Noseal, RNBolanle Odebode, RNSuzanne O'Donnell, RNJessica Orne, BSN, RNMary O’Rourke, BSN, RNMichelle Osetkowski, BSN, RNErin Phelps, BSN, RNTiffany Pomeroy, BSN, RNGeralyn Rivera, BSN, RNC, HNC-BCTerry Rosenberg, BSN, RNCMerry Sanguino, MSN, RNCJennifer Sarapochillo, BSN, RN Diane Savastano, MSN, RNC, C-EFM, IBCLC Karen Shousha, BSN, RNKaitlin Shurgala, BSN, RNMeghan Simonetti, BSN, RNC, C-EFMLydia Sison, BSN, RNCAnna Temchina, BSN, RNCourtney Thomaier, BSN, RNAlison Weyersberg, BSN, RNC
Multiple Sclerosis CenterVirginia Bird, RN, BCMichele Emmons, BSN, RN, MSCNEvangeline Hermsen, BSN, RNOlga Simonovsky, RNGloria Smith, BSN, RNKim Tota, RN
Novo Nordisk Diabetes CenterLeslie Berger, MSN, RN, APN, CDEVirginia Carreira, DNP, RN, APN, CCRN, CDETheresa Duffy, FNP-BC, RN, CDE
Nursing AdministrationSamantha Brinskelle, BSN, RNEllen Ciacciarelli, MS, RN, ACGNP, CCRN, SCRNLinda Geisler, DBA, MNEd, RN, NEA-BC, FACHECathleen Janzekovich, PhD, RN-BC, NEA-BCKim A. Kelly, MS, RN, NEA-BC, FACHEBarbara Yuhas, MSN, RN-BC, NE-BCDanielle Zarantonello, BSN, RN
Observation UnitLita Abrazaldo-Richards, MSN, RN, APRN, FNP-BCAngelika Boissen, RN-BCRaquel Castaneda, RNCrazetti Cusi, BSN, RNAnita Dagadu, BSN, RNJenny Hulse, RNErin E. Malysz, BSN, RNAnna McGill, BSN, BA, RNKaitlin McGowan, RNMarie Nelson, BSN, RNCarol Pacilio, RN Consolacion Pilar, BSN, RNAmanda Rich, BSN, RN-BCMarylen Schnettler, BSN, RN
Claudine Sobejana, BSN, BS, RN sDaniel Spector, BSN, BS, RN
Operating RoomSophia Balsirow, RN, CNORDanielle Blutstein, MSN, RN, CNORJuanna Buergo, BSN, RN, CNORLauri Calderone, RNDiana Carney, RN, CNOR, RNFALori Chavez, RNKara Crass, MSN, RN, CNOR,James Dennis, BSN, RNLisa Floyd, RN, CNORHanna Gerke, BSN, BS, RN, CENMarie Ibarreta, BSN, RN, CNORMichelle Killian, BSN, RNCourtney Levy, BSN, RNHannah Lidberg, BSN, RNKristine Maticka, RN, CNORRadcliff Moral, RN, BSNDolores Mordas, BS, RN, CNORFe Moreo, BSN, RN, CNORRebecca Norton, BSN, BA, RN, CNORPiyusha Parekh, RNAlexandra Pospelova, BSN, RNTatiana Puerta, RNKenneth Saunders, Jr, BSN, RN, CNORDanielle Slipstein, RNGreta Tedesco, BSN, RN, CNORRosemarie Torcato, BSN, RN, CNOR
Post AnesthesiaCare Unit (PACU)Juvihlyn Apora, BSN, RN-BCVirginia Argana, BSN, RNBrigid Bambrick, RN, CCRNJanice Bremer, RN
Randi Eriksson, RN, CPAN sMaureen Fawcett, RN Mary Jane Fornecker, BSN, RN, CPANDonna Forte, RNBeth Gutierrez, BSN, RN, CCRNRecynthia Henderson-Jones, RN, CCRNLaurie Jaffe, BSN, BS, RN, CCRNEllen Kane, BSN, RN, CPANMelissa Kozeniesky, RN-BCMichelle Kutner, MSN, RN-BC, FNP-BCBridget Mautone, RNMonique Meagher, RNAngela Post, BSN, RN, CPANSheri Saker, MSN, RN, CCRNKathleen Spall-Amaty, BSN, RNAllison Steinitz, BA, RN, CPANJennifer Tulod, BSN, RN, CCRNAnesha Wigangt, BSN, RN Denise Zolnowski, BSN, RN, CCRN
PediatricsChristina Biondo, BSN, RNEileen Christie, MSN, RN-BCKathleen Clemente, RN-BCSandra Danias, BSN, RN Kara Kendall, BSN, RNTaryn Mattesky, BSN, RN Claire Meyer, RN, CPNEdilly Peleo, BSN, RNJudith Ralyea, RNCher Saccomagno, RNFlorence Swan, RN, CPN
Population HealthTheresa Brown, BSN, MEd, RN, SANE, CHCAlison Cleary, MSN, RNElaine Dymyd, BSN, RN, CHCDianne Errichetti, MSN, RN, CHCKathrine Poznanski, RN
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Professional DevelopmentDonna Baird, MPH, MSN, RN, NE-BCRuth Bihuniak, BSN, RN, CDEFiesta Clanton, MSN, RN, ACNS-BCSandra DiPisa, MSN, RN, CCRNCarole Eisenman, BSN, RN-BCNancy Engel, MSN, RN, ACNS-BC, APN-CAnnette Keller, MA, BSN, RN, CEN, CNLStephanie Loadholt, BSN, MS, RNCarol Robertiello, MSN, RN, ANP-BC, CCRNJoan Sapienza, MSN, RN, ANP-BC, CCRNPatricia Seaman, MSN, RN-BCKristina Soto-Veintimilla, MSN, BS, RNKathleen Stanley, MSN, RNC, CNLRosanne Wike, BSN, RN-BC
Progressive Care Unit (PCU)Samantha Agosto, BSN, RNAshley Albro, BSN, RNEleanor Balmaceda, BSN, RN, PCCNMatthew Breault, MSN, BS, RN, PCCNAlexandrina Ceausu, BS, RN, PCCNVeronica Cecil, BA, RNMaureen Colandrea, BSN, RN-BCKelly Collazo, BSN, RNJanet Coonis, RNAmanda Cotelo, BSN, RN Lucita Cruz, BSN, RNSusan Devrous, MSN, RN, CPHQ, CNE, PCCNPatricia Doherty, RN-BCCheryl Eitel, RNSherry Ervin, RNGina Grassi, RNJose Guerrero, BSN, RNMichelle Healey, RN-BCMartin Holleran, BSN, RNLee Wen-Mei Hsiung, BSN, RN-BCIsabel Johanson, RN-BCJillian Kiwit, BSN, RNRowie Lanogan, BSN, RN-BC, PCCNTracy Laroc, BSN, RNAngela Lee, MA, BA, BSN, RN-BC
Kathleen Lee, RN, PCCN
Jonathan Mandato, BSN, RN sRenee Morris, RNSigrid Nolan, BSN, BS, RNCVeronica Paragas, BSN, RNKinjal Patel, BSN, RNAcela Rambaud, BSN, RN-BCElizabeth Rego, BSN, RN, PCCNEmily Schauer, BSN, RNErica Stackhouse, BSN, RNKerry Stroud, MSN, RN, PCCNJacqueline Sullivan, BSN, BA, RNDorota Zielinski, RN-BC
Quality and PerformanceImprovementDeb Foley, MSN, RNDonna Keehn, BSN, RNGina Kelly, BSN, RNVictoria Thomas, MSN, RN
Radiation OncologyJennifer Beukers, BSN, RNCarol Hayes, BSN, RN, OCN
Rapid Admit NursesEvelyn Balondo, BSN, BA, RNMichele Boyle, RNDiana Cappiello, RN
ResearchMargaret Faith Conlon, BSN, RN-BCJayne Craig, PhD, RNNayna Patel, RN-BC
Revenue Integrity& Decision SupportLynn Born, BSN, RNKathleen Dempsey, BSN, RN, CEN
SCN – LEVEL II NURSERYWendy Coakley, RNCRowena Dechavez, RNC-NICRebecca Frey, BA, RNMaria Garde, BSN, RNMaria Lara, BSN, RNCSusan Loftus, RNCLisa Morrell, MSN, RNCCarole Reihing, RNC-NIC, IBCLCEsta Ross, BSN, BA, RNMargaret Salamone, BSN, RNCJosefina Tan, BSN, RNDeborah Wallace, MSN, RN
Women’s Health CenterJean Ho, BSN, RN
Wound Treatment CenterIlyasah Byfield, MSN, RN, FNP-BC, CWSDenise LaValle, BSN, RNLauren Leimbach, BSN, RNJanice Perrone, BSN, RN-BCBriana Rainey, BSN, RNDiane Yacono, MSN, RN, ANP-BC, CWS
“Ambulatory care includes those clinical, organizational and professionalactivities engaged in by registered nurses with and for individuals,groups, and populations who seek assistance with improving healthand/or seek care for health-related problems.”
— American Academy of Ambulatory Care Nursing
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• 100% of RNs completed NIHSS certification and the four contacthours of stroke education required annually.
• Patricia Barnosky, RN, Betty Becker, RN, and Vicki Moon, RN,participated in the Heart Walk Team.
• The unit successfully achieved Primary Stroke Recertification.
• The Comprehensive Joint Replacement (CJR) Bundling Initiativebegan on April 1, 2016 and led to a CMS reimbursement of nearly$101k for the first year after comparison with the CMS benchmark.
• Intracycle review for TJC certification was completed andsuccessful.
4 North AccomplishmentsJeffrey Anderson, BSN, RN, Nurse Manager, 4 North
• Daniella Davis completed the RN Resident Program.
• Daniella Davis, RN, entered the Nursing Excellence Program (NEP)clinical ladder; Leah Mendoza, RN, and Donna Deane, RN,continued in the NEP.
• The staff supported CentraState in earning the Center ofExcellence in Metabolic and Bariatric Surgery (COEMBS)accreditation from the Surgical Review Corporation (SRC).
• Kim Balagot, RN, clinical leader, Carole Eisenman, RN, nurseeducator, and Leah Mendoza, RN, staff nurse, presented multipleclasses on peritoneal dialysis.
• The staff participated in the NDNQI Falls Study.
• Daniella Davis, RN, Donna Deane, RN, Leah Mendoza, RN, JanethRosete, RN, and Agnes Ogrodnik, RN, presented six posters aboutbariatric patient care at Nursing and Technical Skills Days.
• The unit exceeded HCAHPS goals in the following domains:Communication with Nurses, Responsiveness of Staff,Communication with Physicians, and Pain Management.
• A communication board was hung in the break room.
• Staff participated in the Walk to Fight Alzheimer’s and in the Marchof Dimes March for Babies.
• Multiple staff participated in the CSMC nursing successionplanning program.
• All patient bathrooms were upgraded to include new tiles, vanities,mirrors, sinks and floor mount toilets with up to 1000 poundcapacity.
• Jennifer Tennaro, RN, spoke at Middlesex County College abouther experiences in the college of nursing program and how theyapplied to her nursing career.
Acute Care for Elders (ACE) UnitAccomplishments Hazen Yu, BSN, RN-BC, Nurse Manager, ACE Unit
• In October, 3 North officially became the Acute Care for Elder (ACE)Unit. The ACE staff team and Zeeshan Khan, MD, geriatricmedicine specialist, work to meet and exceed the needs of ourelderly patients.
4 East Oncology AccomplishmentsElana Joyce, MSN, RN, ANP-BC, Nurse Manager,4E Oncology and Total Joint/Stroke Center
• Elana Joyce, MSN, RN, ANP-BC, was welcomed as the new nursemanager of Oncology and the Total Joint/Stroke Center.
• Three new RNs, one RN resident, one PCT, and one HUC joinedthe staff.
• Oncology began a new collaboration with three cancer navigators.
• Two nurse residents, Naomi Brown, RN, and Raegina Hawkins,RN, successfully completed their RN residencies.
• Rosanne Wike, RN, nurse educator, successfully completedChemotherapy and Biotherapy Certification.
• Chaplain Services were incorporated into the Oncology RNResidency Program.
• Fall prevention measures, such as chair alarms for patients atmoderate to high risk when out of bed and bed exit alarms on allbeds, yielded successful patient outcomes. Falls data werecollected throughout 2017 to identify trends. Staff did a literaturereview to identify medical conditions that increase fall risk, and acolor-coded Fall-Risk Intervention Document was created incollaboration with the Falls Committee.
• Denise Rodman, RN, served as director of Camp Quality, NewJersey, a camp for children with cancer.
• Staff members were team leaders and participants in the MakingStrides Against Breast Cancer event.
• The American Cancer Society’s Clinicians’ Portal was introduced toprovide resources to our inpatient population.
4 East Total Joint Center/Stroke Center Accomplishments Elana Joyce, MSN, RN, ANP-BC, Nurse Manager,4E Oncology and Total Joint/Stroke Center
• The Total Joint Center/Stroke Center welcomed Jennifer Wiley,RN, clinical leader, in March and Elana Joyce, RN, nurse manager,in June.
• Volunteers were present six days of the week to provide additionalrounding and transportation of specimens.
• A “Red Sock Initiative” was introduced for patients at high riskfor falls.
• The nursing station was renovated to better utilize space andincrease staff productivity.
• Staff nurses collaborated with the Joint Coordinator to provideTotal Joint Center (TJC) pre-operative education classes every twoweeks for elective joint replacement patients.
• Allison Marano, RN, Laura Blanc, RN, Stephanie Ricciardi, RN,Marc Delcy, RN, and Concepta Akachi, RN, all completed RNresidency requirements.
• 100% of RNs are ACLS certified.
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• Short Stay Unit renovations were completed in 2017, and haveimproved services by offering more privacy for patients, improvingstaff workflow, and increasing bed capacity.
• The staff participated in the Memorial Day Parade and the annualPaulette’s C of Blue Colorectal Cancer Run and supported CancerSurvivors’ Day 2017 and the Relay for Life.
• The Endoscopy Department nurses expanded their clinicalknowledge by learning new GI procedures with thegastroenterology physicians. A procedure room was convertedto an interventional room. This was greatly appreciated by staffand physicians.
• The staff was educated for Spyglass and Barrett’s procedures thatwere added this year.
• The Jean Muir Infusion Center patient satisfaction scoresremained in the 99th percentile.
Behavioral HealthUnit AccomplishmentsCheryl Craig, BA, BSN, MA, RN, Administrative Director,Behavioral Health Services
• Carly Minniti, RN, and Emily Rosenberger, RN, each achievedANCC specialty certification. They were also new to the NursingExcellence Program (NEP) clinical ladder this year.
• The Bi-Annual NJ Division of Mental Health and AddictionServices site review resulted in a citation-free re-designation ofour short-term care facility.
• A visitor’s locker room was established to facilitate additionalsafety for patients, visitors and staff members.
• The department achieved nurse-sensitive indicator results in the90th percentile nationally for Hospital-Based Inpatient PsychiatricServices Indicators (Psychiatric Core Measures).
• Emily Rosenberger, RN, identified an opportunity to bolster staffengagement and designed a poster presentation of stafftestimonials about the reasons they are dedicated to working onthe Behavioral Health Unit.
Cardiac Catheterization Lab (Cath Lab)Nursing AccomplishmentsKathryn Gazdek, BSN, RN, Nurse Manager, CardiacCatheterization Lab
• Wayne Germinario, RN, RT, achieved Registered CardiovascularSpecialist Assistant (RCSA). He is the only nurse in New Jerseywith this certification..
Cardiac Services AccomplishmentsMarcia Schaefer-Noto, MSN, RN-BC, NE-BC, Director,Cardiac Services
• Cardiac Services participated in the national Wear Red for Womeninitiative in February with a month-long calendar of activities thatwere presented with Employee Wellness, the Health AwarenessCenter, and CentraState Fitness & Wellness. Events for the staff
• The ACE team participated in the Virtual Dementia Tour (VDT) andwatched a video, the GEMS of Dementia, to have a betterunderstanding of the elderly population.
• In March, the team participated with the CJR/BCPI/CMS Coalitionon Mobility as part of the goal to increase mobility among elderlyand frail patients. Based on the data, the team identified thatincreasing mobility and decreasing use of alarms correlate withthe length of stay and discharge placement.
• ACE Unit rounding was initiated every Monday, Wednesday, andFriday at 10 AM in the ACE Unit Lounge. Dr. Khan, Hazen Yu, RN,and team members discuss patient care needs and reviewmedications ordered for patients that are frail and aged 65 andolder.
• The ACE Unit plan of care and order set were created to promotepatient-centered care for elderly patients.
• One ACE Unit goal is to streamline the care provided to elderly andfrail patients and to promote the continuum of care withinCentraState Health Care System. The length of stay (LOS) from2016 to 2017 was reduced by 3.45%. There was also a reductionin the number of discharged patients going to skilled nursingfacilities.
Ambulatory Services: Endoscopy,Jean Mehr Outpatient Infusion Services(OPIS), MAB, Minor Surgery, Short StayAccomplishments Nicole Buccino, BA, MSN, RN, Nurse Manager,Ambulatory Services
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and the community included “Stress Less,” “Heart-Centered Yoga,”and blood pressure and glucose screenings. Community outreachincluded lectures on brain health, aromatherapy and “Cooking forHeart and Soul.”
• A community event, “Paint to Your Heart’s Content: StressManagement,” was held to provide a fun evening while educatingwomen about healthier living.
• The Cardiac Rehabilitation Program achieved a three-year re-certification through the American Association for Cardiovascularand Pulmonary Rehabilitation.
• Staff participated in the annual cardiology lecture for FreeholdRegional High School District students. Interprofessionalpresentations introduced students to various health career optionsand provided a tour of the Cardiac Cath Lab.
• Cardiology Diagnostic Services and Oncology Services continuedto collaborate on the development of echocardiography servicesfor periodic monitoring of breast cancer chemotherapy patientsand those with radiation to the chest. Staff attended tumor boardmeetings and began an ongoing relationship with a breast surgeonfor pre-op evaluations. Nearly 70 echocardiograms with strainwere done.
• The Echocardiography Department was upgraded with newhardware and Cardiac Cath Lab interfaces.
• Cardiac Services staff were company leaders in the annualShoreline American Heart Walk held in October. Team CentraState,with more than 40 registrants, raised over $5,000 on behalf ofthe AHA.
• The Cardiac Rehabilitation Department hosted quarterly meetingsof the Mended Hearts Support Group with lectures in the Zenroom. Guest lecturers from Physical Therapy, Behavioral HealthServices, and the Novo Nordisk Diabetes Center providedinformation and support in areas of health and activities.
• Staff participated in the CentraState Fitness & Wellness Women’sHealth Retreat and provided lectures on the physiological impactof stress, relaxation techniques and dietary measures.
• In 2018, the staff looks forward to participating in CentraState’sfirst Heart Failure Symposium in February, partnering withRadiology to provide a vascular screening program for thecommunity, and initiating a “Supervised Exercise Therapy” (SET)program for patients with peripheral vascular disease.
Care Coordination DepartmentAccomplishmentsJoan Leimbach, BSN, RN, ACM, Manager ofCare Coordination
• Case managers, Christie Beyer, RN, Ellen Clark, RN, and LisaPopaca, RN, were ACM certified.
• Joan Leimbach, RN, is a board-member-at-large of NJ Chapter ofThe American Case Management Association (ACMA).
Clinical ResearchJayne Craig, PhD, RN, Manager, Clinicaland Nursing Research
• Four new studies were submitted to the IRB and approved:
1. “A Comparison of Craniosacral Therapy vs. Pelvic Floor PhysicalTherapy for the Treatment of Lower Urinary Tract Dysfunction inPeople with Multiple Sclerosis: A Pilot Study.” PI: DanielleRobbins, PT, DPT, CLT, and Brian Mason, PT.
2. “The Effect of Rock Steady Boxing Protocol on Gait, Speed, QOL,Balance and Gait Temporal Spatial Characteristics in Individualswith Parkinson’s Disease.” PI: Shannon Lenahan, PT, AmandaMangulabnan, Timothy Marshall and Brian Mason, PT.
3. “Defining the Microbiome in a Stratified Population of MSPatients.” PI: Amos Katz, MD, Ilana Sands Katz, MD.
4. “Examining the Impact of Yoga on Grip Strength and Self-Reported Measures of Balance in Patients With Cancer.”PI: Emily Bessemer, DPT.
• The Fourth Annual Research Day was held in September.
• New research staff added to department: Nayna Patel, RN.
• Thirty-one patients were entered on a variety of clinical trialsin 2017.
Critical Care Unit AccomplishmentsAnne Shelton MSN, RN, CCRN, Nurse Manager, CriticalCare Unit
• All ICU patients with central lines and Foley catheters weremonitored in an effort to decrease device utilization and hospital-acquired infections. There were two central line associated bloodstream infections (CLABSIs) and one catheter associated urinarytract infection (CAUTI) in 2017.
• Our CLABSI/CAUTI reduction journey was presented in a NewJersey Health Engagement Network (HEN) webinar; we alsopresented successes and lessons learned in an additional nationalwebinar.
• Annie Shelton, RN, was invited, as a technical expert panelmember, to participate in Preventing CLABSI and CAUTI for theAHRQ Safety Program for Intensive Care Units.
• The Purewick external female catheter remains a reliablealternative to an indwelling urinary catheter.
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• ED employees were rewarded for exceptional care with movietickets, manager discretionary points and CentraStars.
• The department continued with the Just Culture environment.
• New Philips Monitors were installed in the ED.
• A new ED monitor tech program was launched in December.
• The Opioid Overdose Recovery Program (OORP) was implementedin affiliation with the Barnabas Health Institute for Prevention; thistwo-year pilot program will provide recovery support for individualswho reversed from an opioid overdose. Of the 45 patients treatedin 2017, 41 accepted bedside intervention.
• The ED Health Unit Coordinators (HUC) performed homemedication list transcription as a trial process from mid-August tomid-September. The process looked at the number of listscompleted, the time it took to complete the lists and the accuracyof transcription.
• CSMC held the 8th Emergency Nurse (CEN) Certification Reviewclass; 26 percent of ED RNs are certified.
• The Director and Clinical Leader mentor ED RNs in their careerprogression and education.
• The department provided ED nursing experience to students fromBrookdale Community College, Middlesex County College andWagner College.
• Technical students from Advantage Career Institute performedclinical hours in the department; three were hired as ED Techs.
• Two student nurse externs had their summer experiences inthe ED.
• STEMI: The median time from door to EKG was seven minutes andthe median time from door to administration of TNKase was 22minutes; median time from door to transfer was 79 minutes.
• CAUTI Prevention: The foley insertion in the ED rate decreased;1st quarter, 3.2 percent; 2nd quarter, 2.6 percent; 3rd quarter, 2.7percent; 4th quarter, 3.1 percent.
• Chest Pain Accreditation: Twelve community education eventswere held focusing on Early Heart Attack Care (EHAC); a contractfor designation was signed with The Associate of the AmericanCollege of Cardiology (AACC) program.
HIM-Clinical Documentation IntegrityChristine Butka, MSN, RN, CEN, CCDS, Manager, ClinicalDocumentation Integrity
The Clinical Documentation Integrity (CDI) team strives to improvethe integrity, completeness and accuracy of documentation in medicalrecords to reflect the high quality of care provided to our patients.
• A new documentation improvement education program, the CDI /MD Rounding Project, was developed for clinicians. The CDI teameducates clinicians on documentation issues while they arerounding and seeing their patients. This allows clinicians to receivedocumentation education unique to their needs, using theirdocumentation as examples, and doesn’t require any additionaltime in their day.
• Staff explored the use of midline IV catheters as an alternative tocentral lines. The IV Therapy nurses were trained on insertion withthe goal of fewer central lines in the Critical Care andMedical/Surgical areas. Cathy Janzekovich, PhD, RN, AVP ofNursing, provided continued and unflagging support for thisinitiative.
• The CCU successfully transitioned to the new Philips cardiacmonitoring system. Additional monitors with alarms that areindividualized for each patient are being evaluated to decreasenuisance alarms and reduce alarm fatigue.
• Two nurses graduated from the revised CCU nurse residentprogram. We continue to fine tune the program through feedbackfrom the residents and preceptors. Marilen Rodriguez, RN, remainsthe primary preceptor. She currently oversees or precepts CCUnurse residents and experienced RNs who transfer frommedical/surgical areas. Marilen meets monthly with Pat Seaman,RN, critical care educator, the CCU manager and the nurseresidents to evaluate progress and address concerns.
• The Critical Care Committee reviewed and updated Critical Careand Step-Down Unit admission and discharge policies, the OxygenProtocol, and Mechanical Ventilation policies. Pat Seaman, RN,worked with IT and Pharmacy to update the Endotools policy toaccommodate the revisions. The new program allows for Insulinboluses for glucose levels that are difficult to control. CharlotteMarano, PharmD, assisted with programming the IV pumps andupdating the pump formulary program.
• Amy N’Doeka, RN, passed her CCRN exam, bringing the CCUcertification rate to 48%.
• In December, the Professional Development Department provideda 2-day Critical Care Review Course that was attended by ninecritical care nurses.
• CCU Press-Ganey scores are stable with year-to-date scores abovethe goal in all areas except care transitions.
• Anne Shelton, RN, NM, is responsible for the day-to-dayoperations of the 5 East Step-down Unit which opened inNovember 2016 for medical/surgical/observation patients. Staffingusually consists of one float RN and one Health Unit Coordinatoror PCT. The unit remained open throughout 2017 with a dailycensus of five to six patients.
Emergency Department (ED)AccomplishmentsLaurie Gambardella, MSN, RN, Administrative Director forObservation and Emergency Services
• 2017 ED patient satisfaction scores: 1st quarter, 80 percent; 2ndquarter, 88 percent; 3rd quarter, 86 percent; 4th quarter, 92 percent.
• The interprofessional ED Patient Experience Committee analyzesprocesses and creates performance improvement plans to improvequality of care and the patient experience. It initiated continuedrounding and the “Take 5” campaign with the entire ED clinicalstaff.
• The ED staff celebrated Emergency Nurses Week with gifts andsponsored dinners.
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• Streamlined clinical practices in outpatient, inpatient, and provider-based settings.
• Provided issue resolution to minimize patient care impact andimprove clinical effectiveness.
Interventional RadiologyNursing AccomplishmentsMandi Wortman, Clinical Director, Radiology Services
• Elizabeth Siegel, RN, is the new Interventional Radiology (IR) NurseCoordinator. She joined the department in June.
• Alisha Hruschka, RN, passed a trauma nursing care course andbecame trauma nursing care certified (TNCC).
• Mary Van Der Net, RN, transferred from CCU in March. Maryrecently completed her NIH stroke certification.
• To provide safety and accuracy in medication administration, the IRdepartment obtained an Omincell for medication storage and amedication CAB to scan medications at the bedside fordocumentation in Soarian.
• The IR suite, in collaboration with the anesthesia department,obtained dedicated anesthesia equipment to facilitate anesthesiaadministration for the increased number of procedures.
• Staffing was increased to three nurses, Monday through Friday, toaccommodate the increased IR procedure volume. The weekendon-call schedule for IR nurses was revised to include weekdaysand holidays.
Maternal Child Health (MCH)AccomplishmentsDawn Kline, BSN, MHA, RN-BC, Director, MaternalChild Health
• The MCH units received high HCAPHS scores.
• Staff participated in the annual Baby Fair.
• Staff participated in the annual “Walk to Remember” held inOctober.
• Two RN residents completed orientations for MCH areas.
• Nurses completed interprofessional, simulation-based emergencydrills for the obstetric patient for postpartum hemorrhage andemergency operative delivery.
• Two Code Amber drills were conducted.
• The C-section rate was 41%.
• The CareCheck Breast Milk matching system in the Special CareNursery (SCN) was upgraded for better efficiency and patientsafety.
• The “Gentle C-section” program was expanded to promotematernal-infant bonding by adding a clear drape that protects theoperative field, but still allows mother to see the birth of her baby.
• OBIX customizations were added to enhance electronicdocumentation of the following risk assessments: PPH Checklists,Opioid Sedation, Assessment of High-Risk Medications, andOxytocin and Magnesium.
• The CDI team meets with newly credentialed clinicians regardingcomplete and accurate documentation.
• The CDI team collaborated with the Nursing Wound CareCommittee regarding documentation of pressure injuries. This hasincreased awareness of the need for correct documentation toaccurately report pressure injuries that were present on admissionversus those that were hospital acquired.
• The CDI team continued collaboration with registered dieticiansto bring awareness to clinicians about malnutrition.
• The CDI team continues to work closely with the QualityDepartment to develop a process of identifying hospitalizedpatients with quality issues potentially reportable to CMS, suchas hospital-acquired conditions and patient safety indicators. TheCDI team reviews documentation with the physician. Oncecomplete and accurate documentation is achieved, the medicalrecords often do not have quality concerns.
• The CDI team works with the Information Systems AdvisoryCommittee on issues regarding documentation in the electronicmedical system.
• Team members educate select Health Information managementstaff (coders) about clinical issues, such as Glasgow coma scores,NIHSS scores, pressure ulcers and disease processes.
• All members of the CDI team have maintained their certificationsas Certified Clinical Documentation Specialists (CCDS).
• Rosalie Handoga, RN, and Mike Rispoli, RN, attended theAssociation of Clinical Documentation Improvement Specialistsconference in Las Vegas.
Information Technology NursingAccomplishmentsAnna McSorley, BSN, MA, RN, Manager, Clinical Applications
• Information Technology (IT) provided enhanced care coordinationwith the Million Hearts Program. For Million Hearts, the FamilyPractice of CentraState nurse navigators evaluated ASCVD scoresof their patients and referred those at high risk for future cardiacevents to health coach nurses in the Health Awareness Center.This partnership demonstrated how nurses working to the top oftheir licenses in non-traditional roles are having an impact in thecommunity to improve overall population health.
• IT nurses served on several committees, including the Nursing ITCommittee, Nurse Managers Meeting, Clinical Leaders Meeting,Family Practice Clinical IT Committee, and the Medication SafetyCommittee to share anticipated system upgrades andenhancements, and to give troubleshooting guidance, as well asprovide an opportunity for collaboration in promoting clinicalpractice efficiencies.
• IT nurses educated clinicians in classroom settings, provided“elbow-to-elbow” support, and assisted to documenting writtenmaterials.
• Supported regulatory requirements through the use of technology.IT Nurses worked with the Heart Failure Program nurses to developthe Heart Failure Teaching Plan in support of The Joint CommissionHeart Failure Accreditation program.
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Operating Room AccomplishmentsKenneth Saunders, Jr., BSN, RN, CNOR, Nurse Manager,Operating Room
• Kenneth Saunders, RN, is attending Kean University for an MSNdegree.
• Danielle Blutstein, RN, graduated Drexel University with anMSN-NP degree.
• Dianna Carney, RN, became a certified RN First Assist (CRNFA) inthe OR.
• Lori Chavez, RN, and 16 other staff members, completed the newDaVinci Xi robot training and certification program.
• Michelle Killian, RN, graduated the Monmouth University schoolnurse certification program.
• Kristine Maticka, RN, is attending New Jersey City University fora BSN degree.
• Lisa Floyd, RN, is attending Thomas Jefferson University for a BSNdegree.
• Rebecca Norton, RN, is attending Drexel University for an MSNdegree.
• Piyusha Parekh, RN, is attending New Jersey City University for aBSN degree.
• Rebecca Norton, RN, participated in two medical missions forhernia repair surgery in the Dominican Republic and Benin, Africa.
• Greta Tedesco, RN, participated in a medical mission to CentralAmerica for total joint replacement surgery.
Post Anesthesia Care Unit(PACU) AccomplishmentsMary Jane Fornecker, BSN, RN, CPAN,Assistant Nurse ManagerSheri Saker, MSN, RN, CCRN, Assistant Nurse Manager
• Sheri Saker, RN, achieved an MSN degree in May 2017.
• Mary Jane Fornecker, RN, achieved recertification in PostAnesthesia Care Nursing (PACN)
• Seven LDRP nurses and two SCN nurses participated in “OperationEducation,” a pilot program on the Progressive Care Unit thatfocused on discharge education, communication with nurses andcommunication about medications.
• A comprehensive neonatal abstinence parent educational brochurewas developed.
• Transitioned to following the new CDC guideline for givingHepatitis B vaccine to newborns within 24 hours of birth insteadof by day of discharge.
• The pediatric unit was relocated from 3 East to 2 West.
• Peanut balls were employed for advanced positioning techniquesduring labor.
• The MCH department held mock Code White drills with LDRP andSCN staff.
• Computerized Physician Order Entry (CPOE) was initiated inthe SCN.
Medical Library AccomplishmentsChristine Forbes, MLIS, RN, AHIP, Medical Librarian
• Created a new remote version of the library website to providehome access to online resources.
• Added four additional library computers dedicated for educationaluse.
• Provided a 90-minute instructional session on biomedical researchat Freehold High School for students enrolled in the MedicalSciences Specialized Learning Center.
• Nursing research journals and books were added to the librarycollection.
• Assisted several departments with creating online modules forCentraState’s general orientation program.
• Collaborated on the creation of videos for CentraState’s End of LifeCare Conference.
• Participated in the High Reliability Organization train-the-trainerprogram.
Observation UnitLaurie Gambardella, MSN, RN, Administrative Director forObservation and Emergency Services
• The 13-bed Observation Unit, located on 3 East, was renovatedand upgraded for adult patients and opened in June.
• Six additional observation beds were made available adjacent tothe ED.
• Formal Observation education was offered to staff and FamilyPractice Physician Residents
• Observation Care Maps were developed and are in use.
• The new Philips Care Event telemetry monitoring system displaysmonitor tracings on the internal phones used by the nurses. Analert is provided for any arrhythmia to which the nurse canimmediately respond.
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maintenance. Several IV Therapists maintain certification throughthe Infusion Nurses Society. This year, in addition to inserting PICClines three times a week, IV Therapists were certified to insertmidline IV catheters, which will reduce central line-associatedblood stream infection (CLABSI) rates.
• The APNs working at night in critical care are clinical resourcesfor CCU staff nurses. Their availability greatly enhances the criticalthinking and clinical reasoning skills of the staff RNs.
Progressive Care Unit (PCU)AccomplishmentsMaureen Colandrea, BSN, RN-BC, Nurse Manager
• Daily Huddle white boards were purchased for a Unit PracticeCouncil project.
• IT projects included a Clinical Leader Hand-Off Report that was built behind thePatient Information Board and JointCommission Electronic Binders for reviewof Certified Heart Failure, Total Joint,Stroke and Wound programs.
• Daily weight data were collected for fourweeks to assess for accuracy; additionaleducation was provided to staff.
• Staff created and presented a poster on Heart Failure for Nursingand Technical Skills Days.
• The Nurse Advice Line, a hot line for discharged patients to callwith questions about their diagnosis, treatments and medications,was implemented.
• Volunteers were trained to assist with collection of heart failuredata.
• Staff did a trial of Purewick, an external female urine collectiondevice to be used instead of urinary catheters, with the goal ofpreventing catheter-associated urinary infections (CAUTIs); thiswas successful and Purewick is now being used.
• The Fall TIPS (Tailoring Interventions for Patient Safety) Toolkit waspiloted; this was successful and will be used on other units.
• Matthew Breault, RN, attended a management conference atVillanova University.
• Kelly Collazo, RN, and Jayne Craig, PhD, RN, utilized the IOWAmodel to do an evidence-based pilot of the Montreal CognitiveAssessment (MoCA) to assess heart failure patients for cognitivedeficits to see if they are capable of being educated about theirdisease.
• Operation Education: LDRP RNs were cross trained and educatedto teach heart failure patients during times of low LDRP census.
• Kerry Stroud, RN, is the Medical Surgical Nurse of the Year; GinaGrassi, RN, and Jacqueline Sullivan, RN, were runners-up.
• The Tele Talk Newsletter continued to be published.
• Maureen Colandrea, RN, and Marcia Schafer-Noto, RN, presented“Mission Moment: Collaboration between PCU and CardiacRehab” at the Department Head meeting in February.
• Randi Eriksson, RN, traveled with Hernia Repair for theUnderserved surgical team to the Dominican Republic to helprecover patients from anesthesia after surgical procedures.
• Denise Zolnowski, RN, ran the 2017 Chicago Marathon.
• Randi Eriksson, RN, participated in the Five Boro Bike Tour in NYC.
Professional Development Departmentand IV Therapy DepartmentAccomplishmentsChair: Fiesta Clanton, MSN, RN, ACNS-BC, Director,Professional Development
• The Professional Development Department provides education andtraining to all nursing staff. The department also serves as aresource for education and training to other departments, whenneeded. Department members are Nurse Educators, the MagnetProgram Coordinator, the Diabetes Educator, IV Therapy Nursesand Nurse Practitioners working nights in the Critical CareUnit (CCU).
• Annual programs and courses provided: Cardiac MonitoringCourse, Critical Care Course, Preceptor Course, Nursing LeadershipI & II, and Med-Surg Certification Review Course. Outsidespeakers presented the CEN Certification Review Course and thePCCN/CCRN Certification Review, which was offered for thefirst time.
• Additional programs: A Sweet Retreat: Update on Caring forPatients with Diabetes; RN and Tech Orientation; RN ResidencyProgram; and the Nurse Extern Program, which provides an indepth look at the role of the RN for nursing students entering theirsenior year of school.
• New programs introduced in 2017 included several sessions onopioid over-sedation, safe lifts for patients with limited mobilityand simulations on communication about medications and onurinary catheter insertion. Several educators were preceptors fornurses who are completing advanced nursing degrees.
• Professional Development educators are active members in avariety of professional organizations: ANA, NJSNA, ONL/NJ,NJCOMO, Sigma Theta Tau, ANPD and GSADE. Most of theeducators have at least one nursing certification.
• Professional Development educators chair or coordinate manycommittees, such as the Diabetes Network Committee,Competency Committee, Patient Education Committee, NursingWound Committee, Restraints Committee, Nursing StandardsCommittee, Nursing Performance Improvement Committee, andProfessional Practice Council.
• The IV Therapists coordinated the monthly IV Certification Coursegiven to all newly hired nurses during orientation. They write orassist in writing the policies related to IV insertion, care and
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• PCU staff participated in manyfundraising activities includingthe Heart Failure Table at Paintto your Heart’s Content, AHAannual Heart Walk, and BreastCancer Awareness Day.
• Honor a Nurse Day: Faye Bizub,RN, APN, and Linda Cribb, RN,were celebrated.
• Staff celebrated PCT Appreciation Day.
• Tracy Laroc, RN, is the new Unit Practice Council Chair.
• Marisa Veneziani, PCT, is the new PCT Unit Council Chair.
• Sherry Ervin, RN, started a Unit Practice Council for the night shift.
Quality and PerformanceImprovement AccomplishmentsDonna Keehn, BSN, RN, Coordinator, PerformanceImprovement and Patient Safety
• In May, Karen Freeman, MSA, VP of Quality and Patient Safety,started her new position.
• CentraState joined the NJHA High Reliability Twelve HospitalCollaborative.
Radiation Oncology and Cancer CareServices Nursing AccomplishmentsBarry S. Asch, MPA, RTT, Assistant Vice President,Cancer Services
• The cancer navigation team was reorganized to increase cancernavigator hours from 1.2 FTE to 2.2 FTE.
• A new nurse navigator, Janine Eyd-Adonizio, RN, was hired forCancer Care Services.
• Breast cancer services were increased with a dedicated breastnurse navigator and a social worker.
• Staff participated in the 10th Annual Survivor Day celebrationin June.
• The department joined the Health Awareness Center and variouscommunity health care organizations for fundraising and also toprovide more than 30 cancer prevention and support activities.
• Screenings for prostate, colorectal, skin, thyroid, and oral cancerswere held monthly throughout the year.
Star and Barry Tobias Health AwarenessCenter (HAC) Accomplishments;Includes Community Wellness andPopulation Health and Novo NordiskDiabetes Center (NNDC)Alison Cleary, BSN, RN, Manager, Population HealthMaryellen Dykeman, MSN, RN, CCE, TDTS, Manager,Community Wellness
Community Wellness & Population Health
• Health Education: Held more than 35,000 encounters on memoryeducation, smoking cessation, support groups, student healthawareness education and activities, maternal child health, anddiabetes education.
• Cancer Prevention/Early Detection/Survivorship: Held over 3,500health screenings: 593 Cancer screenings (prostate, colorectal,oral, skin, Thyroid) with 47 referrals to physicians consultation withcancer navigator; 171 Molesafe® skin cancer screenings;the 10th annual “Choose Your Cover” skin screening on BelmarBeach in collaboration with OMHA, 130 people screened,23 biopsies recommended; five colorectal lectures and screeningsto participate with American Cancer Society and the NationalRoundtable, 80% by 18 Campaign, nearly 110 individuals screened,22% had positive results; and 847 glucose tests.
• Individual RN Health Coaching: Held over 1,500 sessions onhypertension (HTN), the Million Hearts Program, and CongestiveHeart Failure (CHF).
• RN Wellness Coaches attained certification through the NationalSociety of Health Coaches.
Population Health
• Novo Nordisk Diabetes Center: became a certified insulin pumptraining center for Omnipod and Medtronic devices.
• Healthy Hearts Coaching: program was developed in collabor-ation with Family Practice of CentraState.
• Health Coaching: performed outreach to 180 CentraStateemployees to engage them in varying levels of wellness activitiesbased on their “readiness to change.”
• Healthy Towns Designation: submitted application for this multi-year endeavor; participated in a subcommittee to prepare forearly submission deadline.
• Chronic Disease Program: collaborated with the ACE Unit toenroll recently discharged patients to help improve their diseasemanagement and decrease risks for re-admission.
• Maryellen Dykeman, RN, and Barbara Yuhas, RN, co-chaired theNational Medical Explorers Program; became certified in YouthProtection Training with Boy Scouts as a requirement.
• Collaborated with Freehold Township Mayor’s WellnessCommittee to support Freehold Township efforts to attain $20,000Healthy Communities Grant as a “Live Life Well Partner;” the grantrequires healthy eating and physical activity components.
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• Jean Ho participated in the Breast Tumor Board, Breast ProgramLeadership, and Nurse Navigator meetings. She continues to bepart of the Performance Improvement and Magnet Championcommittees.
• Performance Improvement Indicator: “Was a follow-up phone callmade to patients with BR4 or BR5 on their mammogram?” Wehave reached our goal at 100% compliance.
• The Women’s Center nurse navigator provides patients withmammography results and makes diagnostic call backs with apersonal phone call within 24 hours.
• The Women’s Center achieved ACR (American College ofRadiology) accreditation for the Stereotactic Breast Biopsy, andMammographic Imaging Services and passed the MammographyQuality Standards Act (MQSA) inspection.
The Wound and Hyperbaric CenterAccomplishmentsDiane Yacono, MSN, RN, APN-BC, CWS, Manager,The Wound and Hyperbaric Treatment Center
• The Wound Center provides individualized, interprofessional,clinical management of patients from surrounding communitieswho have had chronic wounds for more than three weeks.
• In 2017, Briana Rainey, BSN, RN, and Ilyasah Byfield, MSN, RN,ANP-BC, CWS, joined the clinical nursing staff.
Star & Barry Tobias Women’s HealthCenter AccomplishmentsMandi Wortman, Clinical Director, Radiology Services
• Jean Ho, BSN, RN, is the new Breast Center Nurse Navigator. Asthe nurse navigator, she implements consistent care coordinationand guidance throughout the continuum of care, assesses thephysical, psychological and social needs of the patient, andprovides education and support for the patient and family.
• Ladies Night Out cancer screenings were held in the Women’sCenter: VNA Ladies Night Out, CentraState Employees LadiesNight Out (held twice), Ladies Night Out with Family Practicepatients, Ladies Night Out with United Healthcare patients, andLadies Night Out with VNA NJCEED.
• The Women’s Center participated in community cancer screeningevents: Women’s Heart Event, Paint and Nosh Party, CancerSurvivor Day, Walmart Health Fair, and Health Fair and Open Househeld at office of Mira Kaga, MD.
• Staff participated in the American Cancer Society Making StridesAgainst Breast Cancer Walk in Point Pleasant.
• Jean Ho, RN, collaborated with the Health Awareness Center topresent “Women and Breast Health” to educate teenaged GirlScouts about breast cancer.
• Jean Ho, RN, participated in the Breast Cancer Support Groupevery month.
“We seek to bring calm and soothing, loving tones to the environmentalfield in the midst of crises, disease, pain and suffering.”
— Jean Watson PhD, RN
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Chest Pain CommitteeChair: Laurie Gambardella, MSN, RN, Administrative Directorfor Observation and Emergency Services
Highlights from 2017 include:
• There were 73 STEMI cases.
• Door to EKG: Benchmark was 10 minutes.
- ED outcomes were Q1: 8 minutes, Q2: 5 minutes, Q3: 6 minutes,Q4: 5 minutes
• Door to TNKase: Benchmark was 30 minutes.
- ED outcomes were Q1: 17 minutes, Q2: 29 minutes, Q3: 23minutes, Q4: 21 minutes
• Door to Transfer: Benchmark was 40 minutes.
- ED outcomes were Q1: 66 minutes, Q2: 87 minutes, Q3: 84minutes, Q4: 73 minutes
• Repeat EKG within 1 hour of first negative EKG in all patientsexhibiting acute coronary syndrome symptoms increased to 95%compliance.
• Participated in over 25 community events to increase communityawareness of recognizing signs and symptoms of heart attack andcalling 911. Early Heart Attack Care (EHAC) education:
- Heart attacks have beginnings; EHAC shifts the focus fromtreating to preventing a heart attack.
- Adults tend to ignore or deny symptoms: 1) Mild chest pain,2) Fatigue, 3) Shortness of breath and 4) Stuttering chestdiscomfort.
- All employees of CentraState receive EHAC education.
• There was an increase in low-risk acute coronary syndromepatients in observation status.
• 3 East Observation Unit opened with 13 beds and a first floor OBSas overflow.
• Placing observation patients in one unit reduced their length ofstay (LOS).
• Care Event cardiac monitoring is used on 3 East Observation Unit.
• Stress test performed prior to discharge: 40% averaged.
• Committee annually approves all flow charts and policies relatedto the chest pain program.
• Chest Pain Coordinator continues to meet with coordinator fromJSUMC to streamline processes.
Clinical Alarm Management CommitteeChair: Cathleen Janzekovich, PhD, MA, RN-BC, NEA-BC,Assistant Vice President, Nursing
Highlights from 2017 include:
• Philips Cardiac Monitor alarm default settings were decreased by10% for bigeminy, trigeminy, multifocal PVCs, missed beat, CVPand SPO2 (high 100%, low 85%, desaturation 85%) to help preventalarm fatigue.
Cancer Community Outreach CommitteeChair: Theresa Brown, MEd, BSN, RN, FN-CSA, SANE, CHC,Health and Wellness Coordinator
Co-chair: Elaine Dymyd, BSN, RN, CHC, Wellness CoachCoordinator
Highlights from 2017 include:
• Lung Cancer Screening Program continued to enroll more newpatients and diagnosed lung cancers.
• Paulette’s C of Blue Run for Colorectal Cancer Awareness was heldin May.
• Continued collaboration with the NJ Cancer Education and EarlyDetection Screening (CEED) Program and the VNA to refer patients.
• Continued to run programs, such as Look Good-Feel Better, incollaboration with the American Cancer Society (ACS).
• Survivor Day was held in June.
• Survivorship services increased and now include Lymphoma andLymphedema Support Groups.
• The Star & Barry Tobias Women’s Health Center offered numerousevents, such as ladies nights, screenings, mammograms, andeducation.
• CentraState was a survivor tent sponsor in ACS’s Making Stridesevent in October; approximately 60,000 people attended.
• CentraState partnered with ACS in the 80% by 18 ColorectalScreening Campaign and took the pledge to increase the numberof colorectal screenings performed; approximately 100 take-homekits were distributed with a 96% return rate.
• CentraState collaborated with Ocean-Monmouth Health Alliance(OMHA) and ACS to sponsor a conference, “Colorectal Cancer: APrimary Concern”.
• CentraState partnered with Ocean Monmouth Health Alliance(OMHA) for the 10th Annual Choose Your Cover Skin CancerScreening on Belmar beach; 130 people were screened.
• The Health Awareness Center conducted 12 cancer screeningsduring the year; approximately 350 people were screened forthyroid, prostate, colorectal, skin and oral cancers.
• The MoleSafe® Program screened 153 people for early detectionof melanoma.
• Collaborated with John McGeehan, Community RelationsCoordinator, to review the community needs assessment.
• Participated in the ACS Relay for Life in Freehold.
• Collaborated with OMHA in an initiative to increase awarenessand education about HPV by holding a community lecture andschool-nurse workshop.
• A survey was developed to determine the effectiveness ofscreening and educational programs. In 2017, 80% of screeningparticipants said they would positively change their behavior as aresult of our screenings and lectures.
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Controlled SubstanceDiversion CommitteeChair: Barbara Yuhas, MSN, RN-BC, NE-BC, Director, MedicalSurgical Nursing Services
Highlights from 2017 include:
• Policy, Controlled Drugs: Non-Automated and AutomatedDispensing Units, was updated for wastage of controlledsubstances to include the Anesthesia Department. A procedurewas included for steps to take when licensed staff is not availableto witness a waste. All licensed RN, LPN, and Anesthesia staffsigned they read the policy and are aware of the procedures.Monitoring compliance continues through narcotic audits bynursing and pharmacy.
• The Impaired Employee policy was updated with a new procedureto follow for staff suspected of impairment when OccupationalHealth is closed. ED staff will collect blood and urine from theemployee and securely send it to an offsite lab used byOccupational Health. A kit for collection and a box for lab pickupare located in the ED. This provides a chain of custody for thespecimen.
• Narcotic Counts: the Omnicells identify which controlled substancedrawers have been opened between narcotic counts. As a result,nurses only count narcotics in the drawers that have been openedduring a shift. This has given nursing much satisfaction.
• Jeff Anderson, RN, and Barbara Yuhas, RN, continued to offer theControlled Substance Diversion presentation at staff meetings. Itwas offered to the Surgical and Anesthesia Departments and alsoto surgeons at the Surgical Department biannual meeting.
Diabetes Network CommitteeChair: Ruth Bihuniak, BSN, RN, CDE, Inpatient DiabetesEducator
Co-Chair: Judith Ralyea, RN, Staff Nurse, Pediatric Unit
The goals for the Diabetes Network Committee in 2017 were toincrease nurses’ knowledge of when to hold and/or withhold insulinand to promote appropriate documentation related to diabetes in theclinical information system. Highlights from 2017 include:
• The committee was concerned about where and when nursesdocument changes in insulin administration. As a result, all newnurses spend time with the Inpatient Diabetes Educator to reviewinsulin administration and diabetes patient education.
• Sites for diabetes education documentation in Soarian are beingtaught to newly hired nurses with immediate improvement noted.
• Committee members taught experienced CentraState nurses theimportance of documenting all diabetes education, regardless ofthe amount of time spent with the patient or family.
• The Inpatient Diabetes Educator and committee memberscollaborated with the chair of the Nursing Performance Improve-ment (PI) Committee to enhance diabetes PI. As a result, diabetesPI indicators were revised and all patients with the term diabetesin their admitting diagnosis are now included in the studies.Committee members discuss any problems or improvementmeasures identified through PI processes and bring them to theunit level.
• Capnography alarms were evaluated at the request of the 4 Northand PCU nursing staffs to help prevent alarm fatigue. The settingfor the respiratory rate was personalized to meet individual patientneeds.
• IV Pump Education: Nursing staff was educated that the height ofthe IV bag contributes to the upstream occlusion alarm. IV bagsneed to be 18 inches above the actual pump.
• The Cardiac Care Event Module was implemented on the 3 EastObservation Unit.
• Monitor technicians were employed in the Emergency Department.
Competency CommitteeChair: Annette M. Keller, MA, BSN, RN, CEN, CNL, NurseEducator, Observation and Emergency Services
The Competency Committee is a sub-committee of the NursingStandards Committee. This committee oversees the processes forcompetency assessment. Highlights from 2017 include:
• The committee welcomed M. Aguilar, RN, 4 North; D. Hodan, RN,Float Pool; and M. Kurczeski, RN, ED, as new members.
• The Competency Workshop was held in January to identify andupdate yearly competencies. Our theme “Competency Thriller”added some fun and excitement for Friday the 13th as committeemembers danced into the workshop to some thrilling music!
• General and unit-specific yearly competencies were developed orrevised for Patient Care Services and Clinical Servicesdepartments.
• Members voted to delete the use of competency validationforms, because so much information is obtained from comp-uterized reports.
• Copies of approved competencies were imported to a shareddrive for access by nursing leadership.
• Packets of competencies were distributed to insert in the front ofcompetency books on the units.
• Members approved a 4 North pilot to import competencies to ashared drive instead of maintaining individual competency books.
• The 2018 Competency Workshop was planned for February 13,2018.
• The following orientation competencies were revised orreviewed: RN General, Health Unit Coordinator, AdministrativeCoordinator, Nurse Manager, ED Monitor Technician and ClinicalLeader of ED and Observation Units.
• Reporting to Nursing Standards, Education Advisory, andProfessional Development Committees continued throughout theyear.
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• A Holistic Nursing Pampering Station was held during NursesWeek. Stations included aromatherapy, sound energy healing,Reiki, meditation, mandala coloring station, and healthy snacks. Araffle was held for four baskets of holistic items that were donatedto the committee.
• The committee did a literature review and gathered productinformation for major revisions to the aromatherapy policy. Inaddition to lavender essential oil (EO), the committee hopes thatlemon and ginger EOs will be made available in 2018.
Interprofessional Wound CommitteeChair, Diane Yacono, MSN, RN, APN-C, CWS, Manager,Wound Treatment Center
Highlights from 2017 include:
• The Hyperbaric Unit closed after reimbursement requirementschanged, leading to fewer patient visits.
• The Wound Center will add lymphedema/edema patients to theirpatient selection for treatment of patients with wounds/edema.
• The department is currently participating in a Puraply AM syntheticgraft study. Puraply AM graft is an antimicrobial wound matrix thatconsists of a collagen sheet coated with polyhexamethylenebiguannide hydrochloride (PHMB). It may be applied on many typesof wounds.
• The Wound Center is trialing two new grafts: Affinity, a freshamniotic membrane and Nushield, a dehydrated placental allograftthat includes the amnion and chorion layer.
Med Error Trending CommitteeChair: Barbara Yuhas, MSN, RN-BC, NE-BC, Director, MedicalSurgical Nursing Services
The Med Error Trending Committee reviews medication errors andinterventions to improve processes that are identified for high alertmedications. Highlights from 2017 include:
• Insulin. The trend of inappropriately holding insulin declined due totwo interventions: 1) During the first quarter, nurses were educated
Education Advisory CommitteeChair: Fiesta Clanton, MSN, RN, ACNS-BC, Director,Professional Development
The Education Advisory Committee is an interprofessional committeethat meets quarterly. The purpose of the committee is to review andcoordinate evidenced-based, scholarly programs for staff ofCentraState Healthcare System (CSHS) and the community.Committee members encourage the professional growth anddevelopment of the CentraState Medical Center (CSMC) nursing staffand other CSHS staff. Highlights from 2017 include:
• Committee members reviewed evaluations from CSMC nursingcontact hour programs and discussed the monthly nursing updatesfrom the computer information system. New programs presentedby nursing along with future programs planned by otherdepartments for CentraState staff and for the community werehighlighted.
• Library resources, customer service, patient education, and HealthAwareness Center updates were discussed. Members from long-term care shared their identified learning needs and educationalaccomplishments with the committee. Committee membersoffered suggestions for education and other presentations.
• One of the committee’s objectives is to make education programseasily accessible to all CSHS staff. This was partially met byproviding new program content on the Learning ManagementSystem (LMS) which all CSHS employees can access throughCentraNet. The Education Advisory Committee continues to lookfor opportunities to expand the use of resources on the LMS by allCSHS staff on a more consistent basis.
Holistic Nursing CommitteeChair: Donna Baird, MPH, MSN, RN, NE-BC, Magnet ProgramCoordinator/Nurse Educator
Co-Chair: Karen Stanisce, BSN, RN-BC, Staff Nurse, 4 North
Holistic Nursing Committee (HNC) members integrate holistic nursingpractices and the Caring Science Theory of Jean Watson, PhD, RN,to enhance patient care. Members educate staff about holisticnursing practices and holistic nursing modalities. They promotehealing, caring environments and establish caring relationships forthemselves and others. Highlights from 2017 include:
• Jeffrey Anderson, RN, chair, Pain Resources Committee, asked forideas of what nurses can offer patients as alternatives andadjuncts to opioids. Suggestions currently available at CSMCinclude aromatherapy, Reiki, music, back rubs and gentle handmassage.
• Pat Dela Parra, occupational therapist, Behavioral Health Services,demonstrated drumming as a rhythmic form of meditation.Drumming can reset the body’s natural rhythms, align with Chakraswithin the body, and promote or enhance physical movement.
• The committee held a Holistic Nursing Committee Open House,during the spring and fall Nursing and Technical Skills Days. Reiki,guided imagery, progressive muscle relaxation, hand massage,focused breathing, meditation, intention setting, aromatherapy,chair yoga, sound healing, drumming, coloring therapy, and theholistic nursing committee posters were offered. Evaluations werepositive and the programs were enjoyed by attendees.
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department, a clinical leader, a Professional Development clinicaleducator, the director of Medical-Surgical Nursing, and InformationSystems analysts. Highlights from 2017 include:
• Standard of Care: the standardized times that assessments mustbe documented were changed per request.
• Patient’s Home Medication List: identified, requested andimplemented a printed form of the patient’s home medication listas required for Short Stay procedures.
• Neurovascular Checks, Neurological and NIH StrokeAssessments: changed to columnar style to provide a quickdisplay of any patient changes.
• Vancomycin Trough Work Flow: A guest physician presentedadditions for committee approval; modifications were made,presented, and approved.
• Patient Discharge Medication Lists: A guest department headrequested two kinds, one for mental health patients and the otherfor medical/surgical patients, to be printed and distributed onpatient discharge in order to meet regulatory requirements.
• Johns Hopkins Fall Risk Assessment: A guest Falls PreventionCommittee member requested changes related to patientmobility and cognition.
• PCT Documentation Initiative: Presented by director of nursing;committee members assisted with review, design, andimplementation of this as a pilot on one unit.
Nurse/Physician CollaborativePractice CommitteeCo-Chair: Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE,Vice President, Patient Services
The Nurse/Physician Collaborative Practice Committee meets bi-monthly to discuss clinical practice issues that affect nursing andpractitioners. Pharmacy and Information Technology are invited onan as needed basis. Nurses and physicians enjoy sharing theirconcerns and suggestions for improvement in a positive, supportiveenvironment. Highlights for 2017 include:
• Medication Reconciliation Processes: Discussed frustrations withprocesses and ongoing improvements, such as ED health unitcoordinators transcribing medication information and plans to hirea Pharmacist to work in the ED and help with medication lists.
• Weight-based dosing for physician orders was implemented inthe Special Care Nursery.
• Issues related to too many calls to the covering night housephysician/practitioner.
• Revisions proposed to the Admission Consent Form.
• The use and benefits of TeamSTEPPS in perinatal units.
• Rapid Admit Orders were discussed.
• Tap-N-Go was installed on all nursing units.
• Renovations were done in the hospital Pharmacy Department.
• Admission delays due to inappropriate orders for telemetry led torevision of telemetry admission criteria.
not to hold insulin and 2) a list of insulin that was held was emaileddaily to nurse managers and the Director of Medical SurgicalNursing to monitor compliance.
• Heparin. The trending of heparin infusion errors demonstrated thatthe most common error is a delay in changes to heparin infusionrates due to delays in PTT lab work. A proposal to the MSQICommittee for all PTT monitoring to be done at standardize times,every six hours, was approved. It also was approved by thePharmacy and Therapeutic Committee. Further work will be donein 2018 to revise the computer system.
• Narcotic. Error trending focused on Fentanyl patches that weremissing upon inspection. Fentanyl patches sometimes fall off wetskin or come off when patients move around against the bedsheets, or patients pull them off. A request ticket is in forIT/Pharmacy to extend the daily check to every 12 hours.
Medication Safety CommitteeCo-chair: Donna Keehn, BSN, RN, Coordinator, PerformanceImprovement/Patient Safety
The interprofessional Medication Safety Committee meets quarterlyto foster a Just Culture that values safety, reporting errors, and usingquality and system analyses to identify, analyze and design measuresto prevent medication errors. The committee is co-chaired by theDirector of Pharmacy. Highlights from 2017 include:
• Medication-related policies scheduled for review were identifiedand updated, as needed.
• The committee discussed medication process improvement goals,Sentinel Alerts involving medications, and the Institute forSafe Medication Practices (ISMP) Quarterly Action AgendaAssessments.
• Medication error trends and the actions taken for improvementwere summarized and quality audits were reviewed.
• One success in 2017 was the reduction in over-sedation related toopiate administration. In 2016, there were 18 cases of patientswho required Narcan for reversal of opioid over sedation. A taskforce from this committee looked at processes to alert staff topatients identified as being at-risk for opioid over sedation. InFebruary, an Opioid Risk Assessment tool was implemented in theelectronic medical record. Through November 2017, only onepatient required Narcan for opioid reversal. The committeecontinues to monitor outcomes related to the Opioid assessmenttool and use of Narcan.
Nursing/IT CommitteeCo-Chair: Susan Hager, RN, Clinical Education Analyst,Information Technologies
Co-Chair: Diana Cappiello, RN, Rapid Admit Nurse,Emergency Services
The Nursing/IT Committee is responsible for reviewing, redesigning,testing, and approving all nursing electronic documentation, includingworkflows for assessments and alerts. All nursing involved projectdesigns are reviewed by the committee, as are projects and changesin the systems that have an impact on nursing processdocumentation. Members include a staff RN from each unit or
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Nursing Research CommitteeChair: Jayne Craig, PhD, RN, Manager, Research
The Nursing Research Committee meets monthly to review all nursingresearch proposals for studies to be conducted at CentraStateMedical Center prior to submission to the IRB. Members fosternursing research and evidence-based practice (EBP) throughout theorganization by guiding nurses to perform research the correct wayand to use evidence when making practice changes. Highlights from2017 include:
• The 4th Annual Research Day was held in September.
• The 2017 Inquisitor Nursing Research Newsletter Packet with 12contact hours was completed by more than 60 nurses.
• New research study: Examining the Impact of Yoga on GripStrength and Self- Reported Measures of Balance in Patients WithCancer (Emily Bessmer, Principal Investigator).
• New research study: Sun Protection Habits and Attitudes AmongHealthcare Workers in a NJ Coastal Hospital (Jayne Craig, RN,Principal Investigator).
• New research study: Hemolyzed Specimens in the ER (Jayne Craig,RN, Principal Investigator).
• New research study: NDNQI Falls Study (Kristina Veintimilla, RN,Principal Investigator).
• New EBP Project: Operation Education.
• New EBP Project: Communication about Medications, leading toPhone Calls Received by Nurses.
• New EBP Project: Cognitive Assessment for CHF Patients (MoCA).
Nursing Standards CommitteeChair: Patricia Seaman, MSN, RN-BC, CCRN, Nurse Educator,CCU and PACU
Highlights from 2017 include:
• The screening process for MRSA surveillance was updated. TheCritical Care Unit no longer places patients on contact precautionswhile waiting for results.
• The High Risk Assessment Tool for Respiratory Depression due toOpioids policy was revised. This policy incorporates the use ofcapnography for patients deemed to be high-risk for opioid over-sedation. The required follow-up assessments were changed toreflect peak times of intravenous opioid administration.
• The Opioid Antidotes (Naloxone) policy is a nurse protocol that setsguidelines for the nurse to initiate Naloxone immediately if over-sedation is suspected.
• The Patient Education Form was updated to include outpatientsreceiving blood.
• The Hypoglycemia Protocol policy was updated in accordance withcurrent evidence, so that only one-half ampule of Dextrose 50% isadministered for symptomatic hypoglycemia.
• The Blood Transfusion Reaction policy was changed to state thata physician must be present at the bedside to assess for asuspected transfusion reaction.
Nursing Quality and PerformanceImprovement CommitteeChair: Kristina Soto-Veintimilla, MSN, BS, RN, CSN,PI/NDNQI/Research Nurse
Members of the Nursing Performance Improvement (PI) Committeedevelop general and unit-specific nursing performance improvementindicators. They report quarterly on their monthly audit results andshare ideas for action plans for improvement. Highlights from 2017include:
• Universal PI projects for all inpatient units: Falls reduction; pressureinjury prevention, and monitored restraint usage.
• Behavioral Health Unit: Compliance with the Alcohol Use DisordersIdentification Tool (AUDIT) Screening tool; face-to-face smokinguse assessments; initiation of nicotine replacement order set; andsleeping medications administered between 2100 and 0200.
• 4 East Total Joint/Stroke Center and Progressive Care Unit: neurochecks done every four hours for patients with diagnosis of TIA orstroke per AHA Guidelines.
• Critical Care Unit: Participated in the AHRQ Safety Program toreduce CLABSI and CAUTI in ICUs.
• Emergency Department: Auditing occurred to ensure the mentalhealth patient is medicated in a timely manner (within 60 minutesof clinician order); auditing to ensure patients with sepsis receivethe standard of care for this diagnosis.
• Progressive Care Unit: Auditing occurred to ensure that the heartfailure (HF) patient has an appropriate standard of care; auditingoccurred to ensure all HF patients who have diabetes mellitus (DM)are educated regarding DM.
• 4 North Surgical Unit: Auditing occurred to ensure the riskassessment for over-sedation and appropriate interventions arein place.
• 4 East Total Joint/Stroke Center/4 East Oncology: New medicationplaced on white board daily to enhance patient education.
• 3 North Acute Care for the Elderly (ACE) Unit: Improved mobility/functional status (auditing occurred to ensure the patient is out ofbed daily).
• Operating Room and PACU: Worked in collaboration to improve“Hand-off Communication”.
• Post Anesthesia Care Unit (PACU): Auditing occurred to ensureincentive spirometer use.
• Labor and Delivery (LDRP) and Special Care Nursery (SCN):Auditing occurred to ensure that teaching of skin to skin (STS) wastaught and patient is encouraged to do.
• Pediatrics: Auditing occurred on completed pediatric painassessments on every shift
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• EndoTool is an evidence-based intravenous insulin infusionprogram. Our current application was upgraded and the policy wasupdated to reflect the changes.
• A new policy for the LifeVest external defibrillator was approved.Education was given several times for nurses in areas that mightsee patients wearing a LifeVest.
• The Moderate Sedation policy was changed. A Mallampati Scorewill be done by Anesthesia to assess the patient’s palate andpredict the ease of endotracheal intubation in case intubation isrequired.
• The Safe Patient Handling policy was updated to include ourcurrent equipment and the standards for using the equipment. TheProfessional Development Department has been providinginservices to ensure that the staff is competent to use theequipment.
• A new Oxygen Therapy Protocol was initiated. The nurse mayinitiate oxygen via nasal cannula for the patient at 2 liters perminute, if necessary. The nurse must follow-up with theRespiratory Therapy Department and the attending physician.
• A Pre-Operative Urine Pregnancy Test Protocol requires a urinepregnancy test to be done on any woman 50 years old and underwho is still having menses. The nurse no longer has to obtain aphysician order for this test.
• The policy for Suicide Screening had several important changes.First, all patients entering CSMC are to be screened for suicidalideation. If the patient is deemed a high risk for suicide, thepatient’s doctor is notified and further consultation is recom-mended. If the patient is placed on continuous observation, theemployee staying with the patient must observe all visitors’belongings. The documentation sheet was updated to include anRN sign-off every 6 hours to ensure that a ligature risk assessmentwas performed on the environment. Some nurses were also trainedto perform a face-to-face assessment one hour after applyingbehavioral restraints.
Nursing Wound CommitteeChair: Rosanne Wike, BSN, RN-BC, Nurse Educator, 4 EastOncology and 4 East Total Joint and Stroke Center
Highlights from 2017 include:
• The committee welcomed four new members, including TerreHeck, RN, CDIS and Ilyasah Byfield, RN, ANP-BC, CWS, NursePractitioner.
• The committee developed and distributed, “Protecting and HealingYour Skin,” an educational brochure for patients and families.
• Inpatient committee representatives completed four quarters ofWound Prevalence Studies on their units. Results were enteredinto the NDNQI data base.
• All new RN Residents participated in at least one WoundPrevalence Study during their orientation.
• New negative pressure wound therapy (NPWT) products werebrought to the hospital. The V.A.C. Ulta from KCI/Acelity, canprovide up to four separate types of NPWT. The Simplace dressing,also from KCI, was initiated, and makes the V.A.C. dressing changemuch quicker and easier for nurses. These products provided acost-savings to the hospital.
• Committee members educated nurses about the V.A.C. Ulta andthe Simplace dressing during spring and fall Nursing and TechnicalSkills Days.
• Cloth pads were removed from hospital linen carts and staff waseducated to use only one moisture-wicking pad at a time forincontinence management, as supported by current evidence.
• All RNs and LPNs were required to complete four NDNQI PressureInjury Training Modules. RNs received contact hours after finishingthe modules.
• The Pressure Injury Protocol was revised based on recom-mendations of the National Pressure Ulcer Advisory Panel (NPUAP)and additional input from the committee.
• A Turn Clock was created for patients at-risk for pressure injury toremind to all staff that enters the room that the patient needs tobe turned and repositioned every two hours. Two Turn Clock auditswere done for compliance with the practice.
• The committee obtained approval to revise and improve pressureinjury documentation in Soarian.
• Staff was educated about the various types of wound measuringtools that are available in the hospital.
• Two copies of The Fourth Edition Pocket Guide to Pressure Ulcers,published by NJHA, were purchased for each nursing unit to beused as a reference for classifying, staging and documentingwounds.
• The committee viewed the NJHA webinar “Changes in thePressure Injury Staging System.”
• Barbara Yuhas, RN, developed a new pressure ulcer report that isavailable in Soarian. Report topics are Wound Consult, PhysicianAlert, Braden score, Turn and Position, Most Recent and PriorPressure Ulcer documentation, and the most recent and priorIntegumentary documentation. This report is being used by ClinicalLeaders to audit pressure injury documentation.
• Cheryl Eitel, RN, developed a Skin Breakdown Algorithm to helpnurses with pressure injury documentation.
• Rosanne Wike, RN, gave a presentation about physician docu-mentation of pressure injury to physicians at the MSQI Committee.
• Six committee members attended the NJHA Pressure InjurySeminar in November.
Pain Resource Group CommitteeChair: Jeff Anderson, BSN, RN, Nurse Manager, 4 North
The interprofessional Pain Resource Group Committee meets toidentify methods to improve pain management and provide evidence-based resources and education to clinical staff, physicians, patients,and families about safe control of pain without increasing sideeffects. Highlights from 2017 include:
• The committee created a poster regarding pain managementand presented it at the spring and fall Nursing and Technical Skills Days.
• The committee reviewed the Joint Commission 2017 PainAssessment and Management Standards to assure compliance atCentraState.
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• A Pet Therapy Sub Group was formed to define a policy for pettherapy.
• A pain management subcommittee evaluated options for musiclistening for patients in pain.
Patient Care LeadershipChair: Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE, VicePresident, Patient Services
The Patient Care Leadership Committee meets quarterly and providesan opportunity for nurses in all departments to share new processes,events in their area, and communicate with nurses on various issues.Nurse leaders in Nursing, Research, Professional Development,Wound Care, the Manor, Applewood Estates, Monmouth Crossing,Family Medicine Center, Infection Control, Pastoral Care, RespiratoryTherapy, Radiology, Sterile Processing, Dialysis, Nutrition, CareCoordination, Palliative Care and the Stroke Coordinator aremembers. Information is shared from Medical Staff Committees,such as decisions made by Quality Council and the Medical ExecutiveCommittee. Nursing committee actions from Standards, ProfessionalPractice and Nursing Performance Improvement are shared. Everyonelearns something new at the meetings! Highlights from 2017 include:
• Blood audit results
• A study in the ED on hemolyzed specimens and actions taken
• The Inquisitor newsletter for nursing research education
• Research studies
• The Nursing Excellence Program clinical ladder brochure
• Insulin pump education
• Community and nursing educational programs (such as the HeartFailure Symposium).
• RN Shadowing Program
• Change in tray delivery and pick-up processes
• New forms and policies
• Hospital acquired infection rates
• Falls Committee activities
• The No One Dies Alone program
• Diabetic Patient Education outcomes
• Quality outcomes and issues
• Risk Assessment Tool for Opioid Oversedation
• New equipment, such as capnography and hemocath catheters
• RN cancellations
• Dieticians writing TPN orders
Patient Education CommitteeChair: Stephanie Loadholt, BSN, MS, RN, OrientationCoordinator/Nurse Educator
The Patient Education Committee supports interprofessional patientand family education by evaluating all patient education materials toassure that they are evidence-based and meet Joint Commission andother regulatory agency requirements. Highlights from 2017 include:
• The committee approved a Special Care Nursery (SCN) poster toeducate families about cell phone use in the SCN and theimportance of hand hygiene.
• The committee continued to evaluate the use of the Tigr® videosto educate patients. The members worked with a TelehealthServices representative to make some minor changes to contentson the basic TV screen and to replace some old programs with newones for patients and visitors.
• Outpatient education on smoking cessation, stroke, falls, diabetesmellitus and heart failure were added to the Tigr programming inSeptember.
• The pneumonia education packet was updated with new materialand approved for distribution.
• The Progressive Care Unit-CHF Education Binder was updated toinclude information on cardiac ejection fractions, cardiacmedications, cardiac nutrition and heart healthy eating. Patientsmay call the Heart Failure Hot Line if they have questions.
Patient Safety CommitteeChair: Donna Keehn, BSN, RN, Coordinator, PerformanceImprovement/Patient Safety
The Patient Safety Committee is an interprofessional hospital-widecommittee that meets monthly. Members are from Risk Management,Laboratory, Nursing Department, Quality/Patient Safety Department,Health Information Management, Infection Control, Falls Committee,Restraint Committee, Patient Experience, Security, MaterialsManagement, Patient Access, Radiology, Pharmacy, Short Stay,Administration, Cardiology, Respiratory, the Library and InformationTechnology. Highlights from 2017 Include:
• Patient safety initiatives involved tracing anticoagulant and insulinhigh-risk medication events, mislabeled specimens, weight-baseddosing order sets, falls, medication reconciliation, hand hygienecompliance, VTE, CAUTIs, CLABSIs, consents, surgical safety,opioids, vaccinations, root cause analyses, illegible records, tubingmisconnections, clinical alarms, Just Culture training, and the GoodCatch program.
• Documents of patients that left against medical advice (AMA)were reviewed and no trends were identified. Procedures fordrawing blood were revised with a subsequent reduction inhemolyzed specimens. Narcan use decreased. Mislabeledspecimens continued and a task force was formed to address theissues. The Safe Patient Handling and Medication SafetyCommittees provided updates. The insulin order set was changedin CPOE. Unapproved abbreviations were zero. Hospital-acquiredinfections were reviewed. The number of medicationsinappropriately entered during medication reconciliation
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Responsiveness Domain CommitteeChair: Barbara Yuhas, MSN, RN-BC, NE-BC, Director, MedicalSurgical Nursing Services
The Responsiveness Domain Committee is an Interprofessionalgroup that meets to improve patient satisfaction related to theresponsiveness of staff to patients’ needs. Highlights from 2017include:
• The Responsiveness Committee did not achieve its goals for 2017.
• Volunteers were trained on patient rounding and taught to feedpatients.
• Rounding and signing of rounding sheets was reinstituted.
• The committee decided to revamp the membership in 2018 toinclude more clinical staff.
Restraint Utilization CommitteeChair: Cheryl Craig, BSN, BA, MA, RN, AdministrativeDirector, Behavioral Health Services
Highlights from 2017 include:
• Members reviewed and adopted committee objectives to identify1) current trends of restraint/seclusion use, 2) strategies to insureand improve patient safety related to the use of restraint/seclusion,3) strategies to reduce the use of restraints/seclusion and 4)organizational needs related to restraints/seclusion.
• The Committee reviewed the use of behavioral and medicalrestraints, identified trends, and offered recommendations todecrease use, including strategies for early identification ofescalating mood or behaviors, and use of psychoactive medicationsto reduce anxiety, fear, thought disturbance, and substancewithdrawal symptoms.
• Members reviewed physical holds and identified strategies,including LMS education, Skills Day stations, and staff meetings,to clarify physical holds as a form of restraint and the requireddocumentation for the intervention.
• Case reviews were conducted and opportunities were identified toimprove collaboration between disciplines in addressing episodesof violent behaviors.
• The policy and practice of observations provided to restrainedpatients in the ED setting were reviewed and adjusted to meet thebehavioral and medical needs of our patients.
Safe Patient Handling CommitteeChair: Barbara Yuhas, MSN, RN-BC, NE-BC, Director, MedicalSurgical Nursing Services
The interprofessional Safe Patient Handling Committee continuesto look at practices throughout the facility. Highlights from 2017include:
• More than 400 clinical nurses and ancillary staff were trained bythe Professional Development Department on the use of safe liftdevices.
decreased. Root cause analyses were reviewed. Initiatives todecrease falls and restraints were presented. The ViolencePrevention, Patient Experience, and Environment of CareCommittees provided updates. High Reliability Organization(HRO) training was discussed. Trainers received education andcertification. All staff will be trained in 2018.
Professional Practice CouncilChair: Maria Elena Rodriguez, MSN, RN, CCRN, RN, ClinicalEducator, Critical Care Unit
Co-Chair: Alexandrina Ceausu, BS, RN, PCCN, Staff Nurse,Progressive Care Unit
Highlights from 2017 included:
• The council reviewed all Nursing Excellence Program (NEP) clinicalladder applications; 81 candidates were approved at one of thefour NEP levels.
• The council voted to change the time from the afternoon to themorning for printing the computerized medication educationreports.
• The Nursing Excellence Award winners were selected using a newform to score the nomination points.
• The Professional Practice Council presented Communicating andCaring: The Journey to Wellness, a Grand Rounds program forNurses Week.
• Members revised the New Resident Physician Orientation Programand presented it to the new family practice physician residentsduring their first full week at CentraState.
• Cathy Janzekovich, PhD, RN, AVP, Nursing, attended a meeting tosummarize unit-specific staffing guidelines and receive feedback.
• The council reviewed wearing a white vest during the morningmedication pass and voted for the practice to continue.
• Council members recommended setting a standard that the RNmust call the physician whenever holding any insulins.
• An ongoing review and revision of the NEP clinical ladder pointsystem took place over most of the year.
• The council reviewed and decided to change the brochure thatdescribes how to participate in the NEP; revisions will continue in2018.
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• One lift device was purchased for the Radiology Departmentsand one VanTurn was purchased for the Observation Unit.
• Slide sheets were introduced in July and staff continues to betrained on their use.
• Staff injuries were tracked for compliance with use of safe liftingdevices, and were reviewed by the committee.
Stroke Advisory Committee Chair: Ellen Ciacciarelli MS, RN, APN-C, CCRN, SCRN, NursePractitioner, Stroke Coordinator
Highlights from 2017 include:
• Awarded Gold Plus Target Stroke Elite status from American Heartand Stroke Association based on 2017 Get with the Guidelinescore measure results.
• Participated with a Duke University team in the ARAMIS researchstudy with 21 registered patients.
• Presented stroke risk factors and recognition of stroke in multiplecommunity venues.
• Completed newest tPA inclusion/exclusion checklist and began tointegrate into practice.
• Stroke Month! Educational tent cards were placed in public areasduring May; a stroke quiz was in Check Up; a stroke informationtable was in the main lobby for one week; an EMS bulletin boardwas set up in the ambulance bay entrance area with pre-notification sign, badge cards and EMS triage cards; a strokeeducation table in the cafeteria with 142 quizzes returned; a strokevideo from Howell HS students was used as a public serviceannouncement.
• Neuro assessment and NIHSS were revised in Soarian to acolumnar format and presented in collaboration with the ITcommittee.
• Collaborated with A Keller, RN, ED Nurse Educator, to discussstroke competency requirements and completion for 2017.
• Ellen Ciacciarelli, RN, APN-C, was co-chair with Marcia Schaeffer-Noto, RN, director of cardiac services, of the Annual ShorelineHeart and Stroke Walk in October.
• The nomenclature was changed from Stroke Alert to Code Stroke;all areas received appropriate education and notification; policiesthat reflect Code Stroke; order sets, and CPOE are in transition.
• CentraState was successfully re-accredited by TJC as an AdvancedPrimary Stroke Center.
• Ellen Ciacciarelli, RN, APN-C, was recording secretary for the NewJersey Stroke Coordinators Consortium for 2017.
• Ellen Ciacciarelli, RN, APN-C, was co-chair of the CaregiverSupport Group and chaired the first meeting.
• Ellen Ciacciarelli, RN, APN-C, was recipient of the March of DimesNurse of the Year Award in General Adult Acute Care.
Value Based Purchasing CommitteeChair: Cathleen Janzekovich, PhD, MA, RN-BC, NEA-BC,Assistant Vice President, Nursing
The interprofessional Value Based Purchasing Committee identifiesbest practices for staff to improve patient satisfaction. Highlightsfrom 2017 include:
• Bedside Shift Report: Outgoing nursing staff collaborates withpatients to report at the patients’ bedsides to incoming nursingstaff.
• Nurse Advice Line: PCU patients and families are advised to call ifthey have any questions post-discharge.
• M in the Box: An inpatient medication education program initiatedduring rounding that emphasizes educating patients about one newmedication a day.
• Simulation Education: Focused on communication techniquessurrounding medication education.
• Daily Medication Education Sheets: Formats were revised to makeit easier for patients to read and comprehend.
• The Patient and Family Advisory Council: was created for previouspatients, their families and community members to provide a betterunderstanding of the patient experience and help improve patientsatisfaction measures.
“Holistic Nursing is not merely something we do. It is also an attitude,a philosophy and a way of being that requires nurses to integrate self-care, self-responsibility, spirituality, and reflection in their lives.”
— Lucia Thornton RN, MSN, AHN-BC, Past-President, AHNA
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The CentraState Professional Practice Model (PPM) has three levelsthat demonstrate how nurses practice, collaborate, communicate,and develop clinically and professionally to provide the highest qualitycare for our patients, their families, and the surrounding communities.Clinical nurses selected Jean Watson, PhD, RN, and Patricia Benner,PhD, RN, as the nurse theorists whose ideas best represent nursingat CentraState. Watson’s “Caring Science” philosophy and Benner’s“Novice to Expert” concepts are represented throughout the model.Each level of the model depicts a different element of professionalnursing at CentraState.
Level I. CSMC-Nursing Governance Model
Level II. CSMC-Nursing Patient Care Model
Level III. CSMC-Nursing RN Professional Model
Each level is represented by circles that are created with dots tosignify the influence and flow of people, information, technology,supplies and equipment.
Caring ScienceCaring has been described by Jean Watson, PhD, RN, as the essenceof nursing. Caring Science encourages all nurses to develop helping-trusting, human-caring relationships in all patient interactions. Nursesare asked to be open and present with their patients and to accepteach person as he or she is at the moment. By genuinely caring,nurses promote healing, health, individual and family growth, a senseof wholeness, and an inner peace that transcends the crisis and fearof disease, diagnosis, illness, traumas, or life changes. Nurses mustcare for themselves in order to care for others. Caring Science isreflected in our nursing mission and philosophy, in our nursing unitsand our plans of care.
Examples of “Caring Science” in 2017:• The Holistic Nursing Committee (HNC) celebrated Caring Science
by holding Holistic Nursing Open Houses during Nursing SkillsDays. Participants enjoyed total body relaxation, chair yoga, soundenergy healing, breathing techniques, mandalas and coloring forrelaxation, drumming, aromatherapy, hand massage, and settingintentions.
- Spring Open House: 20 nurses attended
- Fall Open House: 35 nurses attended
• HNC members began a comprehensive evidence-based revision ofthe aromatherapy policy.
• Quiet time, soothing environments, 24-hour visiting in the CriticalCare Unit.
• Cardiac Services staff participated in the CentraState Fitness &Wellness Women’s Health Retreat and provided lectures on thephysiological impact of stress, relaxation techniques and dietarymeasures.
Novice to ExpertThe “Novice to Expert” framework of Patricia Benner, PhD, RN, hasfive stages that represent the growing competence of nurses as they
add to their knowledge, skills, and education over time. Each stageincreases in complexity and reflects how the nurse gradually developsskills and a greater understanding of patient care needs. Each nursegains experience over time and can progress from beginner tocompetent practitioner to proficient practitioner, and may eventuallybecome an expert in his or her chosen specialty.
Examples of “Novice to Expert” in 2017:• The annual Nursing Excellence Awards give recognition to
clinical nurses and advanced practice nurses who exemplify thehighest standards of nursing practice through clinical competency,professional development and improvement of patient outcomes.
• The Student Nurse Extern Program: Nursing students, about toenter their senior year in a BSN program, spent ten weeks of theirsummer at CSMC working with a preceptor in a nursing unit andreceived additional lectures and clinical learning experiences.
• The Nurse Residency Program: An extended orientation fornewly graduated registered nurses to ease the transition fromstudent to professional nurse; experiences included lectures,hands-on demonstrations, shadowing and observation of variousprofessionals, and increasing responsibilities in clinical care ofpatients.
• The number of clinical RNs in the Nursing Excellence Program(NEP), the clinical ladder for nurses: 81 RNs
Patient-Centered Care“Patient-Centered Care” means that the patient and family areare central to all nursing decisions and actions. Patient careassignments are made according to the severity of each patient'scondition and the complexity of nursing care required. The patientand family are included in developing and implementing the plan ofcare. Patient care is individualized and includes educating the patientand family about care requirements after discharge. Our patients andfamilies are the focus of each nursing unit and area of practice, nomatter what the clinical specialty.
Clinical nurses who hold a national specialty Nursing Certification
Percent of clinical nurses with Diploma as highest nursing degree
Percent of clinical nurses with ADN as highest nursing degree
Percent of clinical nurses with BSN as highest nursing degree
Percent of clinical nurses with MSN as highest nursing degree
49%
12%
20%
63%
5%
Clinical RNs with Specialty Certificationand Levels of Education in 2016:
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Level I. CSMC-Nursing Governance
The first level represents the shared governance of the NursingDepartment. Nurse leaders and clinical nurses are members of thethree key committees: Professional Practice Council, NursingStandards Committee, and Performance Improvement Committee.These committees exchange information and participate in decision-making in collaboration with the Unit Practice Councils. Thecommittees are supported by nursing management, professionaldevelopment department and nursing committees. The nursingdepartment is affected by organizational processes, strategicplanning, and regulatory agencies.
Level II. CSMC-Nursing Patient Care
This level represents the nursing unit or patient care area. The patientand family are the focus of all nursing care and clinical decisions.Clinical nurses participate in their Unit Practice Council, practiceaccording to their specialty standards and guidelines, and take partin evidence-based practice and research activities. The staff issupported by nurse managers, staff meetings, care coordinators, andunit-based educators. The Nursing unit is influenced by the threegovernance committees, plus members of other disciplines,
administrative coordinators, multidisciplinary committees, resourcenurses and internal consultants.
Level III. CSMC-Nursing RN Professional
Level III represents the individual registered nurses who practiceat CentraState. Each RN is influenced by achieving general andunit-specific nursing competencies and participating in the NursingExcellence Program. RN practice is affected by upholding the ANACode of Ethics, the ANA Scope and Standards of Practice, the NewJersey Nurse Practice Act; by attaining specialty certification; andby membership and participation in nursing organizations. Thenurse’s level of education, as well as involvement in evidence-based practice projects and nursing research, helps to shape his orher nursing practice. Professional nursing practice is also supportedby nurse mentors and preceptors, continuing education, committeemembership, and collaboration with other nurses and otherdisciplines. It is also influenced by nurse administrators, nursemanagers and leaders, and nurse educators.
CSMC-Professional Practice Model: 2007; Revised 2013
CSMC-Professional Practice Model: 2007; Revised 2013
CSMC-Professional Practice Model: 2007; Revised 2013
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Nursing Excellence Awards (Presented During 2017 Nurses Week)
Crisann Maher, BA, RN, Staff Nurse, Behavior Health ServicesMental Health Award
Alyssa Mauro, BSN, RN, CEN, Staff Nurse, Emergency DepartmentEmergency Department/Critical Care Award
Rebecca Norton, BSN, BA, RN, CNOR, Nurse Educator, Operating RoomPerioperative Services Award
Esta Ross, BSN, BA, RN, Staff Nurse, Special Care NurseryMaternal Child Services Award
Mary Jane Saada, BSN, RN, CCRP, Staff Nurse, Cardiac ServicesExtended Nursing Care Services Award
Kerry Stroud, MSN, RN, PCCN, Clinical Leader, Progressive Care UnitMedical Surgical Services Award
Award Runners Up
Jena Campanella, BSN, BA, RN, Staff Nurse, LDRPMaternal Child Health Award
Nicole Delcore, BSN, BS, RN, Staff Nurse, Critical Care UnitCritical Care Award
Gina Grassi, RN, Staff Nurse, Progressive Care UnitMedical Surgical Services Award
Jean Ho, BSN, RN, Navigator, Women’s Health CenterExtended Nursing Care Award
Marites Nieveras, BSN, RN-BC, Staff Nurse, Ambulatory Surgery,Perioperative Services Award
Jacqueline Sullivan, BSN, BA, RN, Staff Nurse, Progressive Care UnitMedical Surgical Services Award
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Honored for Dedication to CentraState
Promotions/New Positions
Elizabeth Baker, BSN, RN-BCSenior Administrative Coordinator/Nurse Educator
Kristen Connors, MSN, RNClinical Leader, Emergency Department
Carole Eisenman, BSN, RN-BCNurse Educator, 4 North Medical SurgicalUnit and Behavioral Health Services
Laurie Gambardella, MSN, RN Administrative Director, EmergencyDepartment/Observation Unit
Michelle Healey, RN-BCClinical Leader, Progressive Care Unit
Jean Ho, BSN, RN Navigator, Star & Barry Tobias Women’sHealth Center
Loretta Impastato, BSN, RNNurse Manager, EmergencyDepartment/Observation Unit
Dawn Kline, BSN, MHA, RN-BCDirector of Maternal Child Health andPatient Experience
Rebecca Norton, BSN, BA, RN,CNORNurse Educator, Operating Room
Nayna Patel, RN-BCResearch Nurse, Clinical ResearchDepartment
Iryna Shpott, RN-BCClinical Leader, Progressive Care Unit
Elizabeth Siegel, RN, CENCoordinator, Interventional Radiology
40 Years of Service
Charlene Greenwood, RNJoanne Wolfe, RN
35 Years of ServiceDenise Zolnowski, BSN, RN, CCRN
30 Years of Service
Debra Ayres, RNChung Choi, BA, RNMonique Meagher, RNBeth O’Dwyer-Styles, BSN, RN, CENAudrey Zarrow, RN
25 Years of Service
Patricia Barnosky, RN-BCBette Becker, BA, RN-BCLinette Linga, BSN, RN
20 Years of ServiceDonna Deane, RN-BCJennie Flanagan, BSN, RN-BCTerri McNamara, RN-BC
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Awards/Certifications
Leslie Berger, MSN, RN, CDE, AGPCNP-BC, Diabetes Educator, NovoNordisk Diabetes CenterCertification: Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP-BC)
Jennifer Beukers, BSN, RN, ONC, Staff Nurse, Radiation OncologyCertification: Oncology Nurse Certified (ONC)
Theresa Brown, MEd, BSN, RN, FN-CSA, SANE, Wellness CoachCoordinator, Population HealthAward: Outstanding Service to Wounded Warriors Award presented by the Handicapped
Scuba Diving AllianceAward: Telehealth Honors Award for Exceptional Patient Care in the Home using Modern
Telehealth Technology presented by Health Recovery Solutions (HRS)Certification: Health Coach Certification (HCC)
Ilyasah Byfield, MSN, RN, APRN-BC, FNP-BC, CWS, Nurse Practitioner,Wound Center Certification: Certified Wound Specialist (CWS)
Kendie Castillo, MSN, RN-BC, FNP-BC, Staff Nurse, Float PoolCertification: Family Nurse Practitioner-Board Certified (FNP-BC)
Josephine Chilton, MSN, RN, Community Wellness Instructor Award: Honored by Mayor of Freehold Township for initiating CPR and saving a life at a
local church function
{ Ellen Ciacciarelli, MS, RN, ACGNP, CCRN, SCRN, StrokeCoordinator, Nurse Practitioner
Award: March of Dimes, Nurse of the Year, General Adult Care Award
Susan Devrous, MSN, RN, CPHQ, CNE, PCCN, Staff Nurse, Progressive Care UnitCertification: Progressive Care Certified Nurse (PCCN)
Elaine Dymyd, BSN, RN, Community Wellness Coordinator,Population HealthAward: Outstanding Service to Wounded Warriors Award from the Handicapped Scuba
Diving AllianceCertification: Health Coach Certification (HCC)
Dianne Errichetti, MSN, RN, Community Wellness Coordinator,Population HealthAward: Walk for Obesity Presenting Sponsor Award from American Society for Metabolic
and Bariatric Surgery (ASMBS)Certification: Health Coach Certification (HCC)
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Awards/Certifications (continued)
Melissa Fryer, BSN, RN, PCCN, Staff Nurse, Progressive Care UnitCertification: Progressive Care Certified Nurse (PCCN)
Wayne Germinario, RN, RT, CVRN, RCIS, RCSA, Cardiac CatheterizationCoordinator, Cardiac Catheterization LabCertification: Registered Cardiovascular Specialist Assistant (RCSA); Wayne is the only
RCSA in NJ!
Laura Giffen, MA, RN-BC, CCM, Instructor, Community Wellness ProgramCertification: Medical-Surgical Nurse, Board Certified (RN-BC)
Carly Minniti, BSN, RN-BC, Staff Nurse, Behavioral Health ServicesCertification: Mental Health-Psychiatric Nursing, Board Certified (RN-BC)
Karen Morgan, BSN, RN-BC, Staff Nurse, Cardiac ServicesAward: Sigma Theta Tau, International, Nursing Honor Society
Amy N’Doeka, RN, CCRN, Staff Nurse, Critical Care UnitCertification: Critical Care Registered Nurse (CCRN)
Lisa Popaca, MSN, RNC-OB, ACM-RN, LCCE, Care Coordinator,Care CoordinationCertification: American Case Management-RN (ACM-RN)
Emily Rosenberger, BSN, RN-BC, Staff Nurse, Behavioral Health ServicesCertification: Mental Health-Psychiatric Nursing, Board Certified (RN-BC)
Diane Savastano, MSN, RNC, C-EFM, IBCLC, Clinical Leader, LDRPAward: Sigma Theta Tau, International, Nursing Honor Society
Louis Silvestri, BSN, RN-BC, Clinical Leader, Behavioral Health ServicesAward: Non-violent Crisis Intervention Meritorious Instructor Award presented by the Crisis
Prevention Institute
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2016 Graduates
Leslie Berger, MSN, RN, CDE, AGPCNP-BC, Diabetes Educator, NovoNordisk Diabetes CenterDegree Attained: MSN, Monmouth University
Johanna Biddle, BSN, RN-BC, Staff Nurse, 4 East Total Joint/StrokeCenterDegree Attained: BSN, New Jersey City University
Danielle Blutstein, MSN, RN, CNOR, Staff Nurse, Operating RoomDegree Attained: MSN, Drexel University
Matthew Breault, MSN, RN, PCCN, Clinical Leader, Progressive Care UnitDegree Attained: MSN, Monmouth University
Nadine Bowles Brown, BSN, RN, Staff Nurse, Interventional RadiologyDegree Attained: BSN, Felician University
Cynthia Cannizzaro, BSN, RN, HN-BC, Staff Nurse, LDRPDegree Attained: BSN, University of Louisiana at Lafayette
Kendie Castillo, MSN, RN-BC, FNP-BC, Staff Nurse, Float PoolDegree Attained: MSN, Monmouth University
Alison Cleary, MSN, RN, Manager, Population HealthDegree Attained: MSN, Thomas Edison State University
Lisa Fishman, MSN, BS, RN, Staff Nurse, Critical Care Unit Degree Attained: MSN, Chamberlain School of Nursing
Laurie Gambardella, MSN, RN, Administrative Director, Observation andEmergency ServicesDegree Attained: Post Master’s Certificate in Healthcare Quality and Safety, Southern NewHampshire University
Marcella Francesca Jones, BSN, RN, Staff Nurse, Emergency DepartmentDegree Attained: BSN, Penn State University
Kara Kendall, BSN, RN, Staff Nurse, PediatricsDegree Attained: BSN, Sacred Heart University
Michelle Kutner, MSN, RN-BC, FNP-BC, Staff Nurse, Post AnesthesiaCare UnitDegree Attained: Post Master’s Certificate, Family Nurse Practitioner; Thomas JeffersonUniversity
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Alexa Mallozzi, BSN, RN, Staff Nurse, Progressive Care Unit Degree Attained: BSN, Temple University
Christina Moscato, BSN, RN, Staff Nurse, 4 North Medical-Surgical UnitDegree Attained: BSN, New Jersey City University
Dana Pelliccia, BSN, RN, Staff Nurse, Critical Care UnitDegree Attained: BSN, Western Governors University
Tatiana Puerta, BSN, RN, Staff Nurse, Operating RoomDegree Attained: BSN, New Jersey City University
Caitlin Raiten, MSN, RN-BC, Staff Nurse, 4 East Total Joint/Stroke CenterDegree Attained: MSN, Thomas Edison State University
Jessica Rubino, BSN, RN, Staff Nurse, 4 North Medical-Surgical UnitDegree Attained: BSN, Temple University
Sheri Saker, MSN, CCRN, Assistant Nurse Manager,Post Anesthesia Care UnitDegree Attained: MSN, Kean University
Diane Savastano, MSN, RNC, C-EFM, IBCLC, Clinical Leader, LDRPDegree Attained: MSN, Thomas Edison State University
Christine Siele, BSN, BS, RN-BC, Care Coordinator, Care CoordinationDegree Attained: BSN, Thomas Edison State University
Kerry Stroud, MSN, RN, PCCN, Clinical Leader, Progressive Care UnitDegree Attained: Post Master’s Degree (FNP), Wagner College
Karina Swenticky, BSN, RN-BC, Staff Nurse, 4 North Medical-Surgical UnitDegree Attained: BSN, Thomas Edison State University
Alison Tripple, BSN, RN, Staff Nurse, 4 East Total Joint/Stroke CenterDegree Attained: BSN, New Jersey City University
Lauren Weiss, BSN, RN, CEN, CPEN, Staff Nurse, Emergency DepartmentDegree Attained: BSN, Western Governors University
Alison Weyersberg, MSN, RNC, Staff Nurse, LDRPDegree Attained: MSN, Benedictine University
Carolyn Zuccarelli, BSN, RN, Staff Nurse, Emergency DepartmentDegree Attained: BSN, New Jersey City University
2016 Graduates (continued)
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Podium PresentationsProgram: 2017 AHRQ Safety Program for IntensiveCare Units• Anne Shelton, MSN, BS, RN, CCRN, Nurse Manager,Critical Care UnitTechnical Expert Panel Member: “Preventing CentralLine-Associated Blood Stream Infections (CLABSI) andCatheter-Associated Urinary Tract Infections (CAUTI)”
Program: 2017 Fall/Winter Critical Care Course, CSMC• Ruth Bihuniak, BSN, RN, CDE, Inpatient DiabetesEducator“Diabetes, DKA, HHA, Hypoglycemia”
• Deborah Burg, MSN, RN, LNC, Clinical Leader,Observation“Acute and Chronic Renal Failure, Dialysis, ElectrolyteImbalances”
• Ellen Ciacciarelli, MS, RN, APN-C, CCRN, SCRN,Nurse Practitioner, Stroke Coordinator“Guillian-Barre, Myasthenia Gravis, Encephalopathy;”“Neuro A&P, Peripheral Nervous System and CranialNerves;” “Neuro Assessment, ICP Monitoring;” “BrainInjuries, AV Malformations;” “Spinal Cord Injuries, ComaStates, Stroke;” “Neuro Assessment and Simulation”
• Sandy DiPisa, MSN, RN, CCRN-K, Nurse Educator“GI Bleed, Pancreatitis, Acute Liver Failure, Hepatitis;”“Hemodynamics Monitoring, Therapeutic Hypothermia;”“Pharmacology in Critical Care;” “Drug Overdose”
• Sandy DiPisa, MSN, RN, CCRN-K, Nurse Educator;Patricia Seaman, MSN, RN-BC, Educator, CriticalCare Unit and Progressive Care Unit“Learning Lab: Arctic Sun, 12 Lead EKG”
• Carole Eisenman, BSN, RN-BC, Educator,4 North Medical-Surgical Unit and BehavioralHealth Services“The Bariatric Patient”
• Laurie Jaffe, BSN, BA, RN, CCRN, Staff Nurse, PACU“Respiratory Diseases, Respiratory Failure, PneumoniaCOPD”
• Annette Keller, MA, BSN, RN, CEN, CNL, NurseEducator, Emergency Department“Cardiology: A&P, CAD, Acute Coronary Syndrome;”“Shock Syndromes;” “Shock Simulation/Case Studies”
• Annette Keller, MA, BSN, RN, CEN, CNL, NurseEducator, Emergency Department;Patricia Seaman, MSN, RN-BC, Educator, CriticalCare Unit and Progressive Care Unit“SIM Man: Acute Coronary Syndrome, Heart Failure,Respiratory Failure”
• Hemaxiben Maisuria, RRT, Registered RespiratoryTherapist, Respiratory Department“ABG Interpretation, Oxygen Modalities;” “MechanicalVentilation Weaning;” “Respiratory Simulation Lab”
• Patricia Seaman, MSN, RN-BC, Educator, CriticalCare Unit and Progressive Care Unit“Cardiomyopathy, Valve Diseases;” “Heart FailureStages;” “Endocrine A&P, Diabetes Insipidus, SIADH,Acute Adrenal Insufficiency”
• Vikranta Sharma, MD, Hospice and Palliative Care“AND/DNR, End of Life Care, Hospice and Palliative Care”
• Kathleen Stanley, MSN, RNC-OB, CNL, Educator,Maternal Child Services“Obstetrics: Post-Partum Hemorrhage, HypertensiveEmergency; HELLP”
• Rosanne Wike, BSN, RN-BC, Nurse Educator,Oncology and Total Joint/Stroke Center“Hematology and Immunology, HIV”
Program: “2017 Holistic Nursing Committee Spring andFall Skills Day Open House”• Donna Baird, MPH, MSN, RN, NE-BC, MagnetProgram Coordinator/Nurse Educator;Mary Jane Saada, BSN, RN, CCRP, Staff Nurse,Cardiac Services“Color Me Relaxed: Mandala Station”
• Sophia Balsirow, RN, CNOR, Staff Nurse, OR;Recynthia Henderson-Jones, RN, CCRN, Staff Nurse,PACU“Affirmation/Intention Setting Board”
• Shelly Botwinick, Community Health Instructor,Health Awareness Center“Sound Healing and Energy Meditation”
• Cindy Cannizzaro, BSN, RN, HN-BC, Staff Nurse,LDRP“Focused Breathing and Guided Imagery”
• Jennifer Casey, RN, Staff Nurse, Critical Care Unit“Vibrational Healing with Crystal Bowls”
• Pat De La Parra, OT, Activities Director, BehavioralHealth Services“Drumming for Health”
• Kathy Lee, RN, PCCN, Staff Nurse, ProgressiveCare Unit“Aromatherapy with Essential Oils”
• Mary Jane Saada, BSN, RN, CCRP, Cardiac Services“Hand Massage,” “Mindful Eating of a Raisin”
• Karen Stanisce, BSN, RN-BC, Staff Nurse, 4 NorthMedical-Surgical Unit“Reiki/Meditation”
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Podium Presentations (continued)
Program: 2017 Medical-Surgical 2-Day CertificationReview Course• Ellen Ciacciarelli, MS, RN, APN-C, CCRN, SCRN,Nurse Practitioner, Stroke Coordinator“Neurological System”
• Fiesta Clanton, MSN, RN, ACNS-BC, Director,Professional Development Department“Professional Nursing Practice: Ethics, Research, Legal,and Cultural Issues”
• Carole Eisenman, BSN, RN-BC, Nurse Educator,4 North Medical-Surgical Unit and BehavioralHealth Services“Homeostasis, Fluid and Electrolytes, and Pain” and“Respiratory System”
• Nancy Engel, MSN, APRN, CNS, Nurse Educator,3 North ACE Unit“Age-Related Changes and Pharmacology”
• Janice Perrone, BSN, RN-BC, Wound TreatmentCenter“Integumentary System”
• Maria Elena Rodriguez, MSN, RN, CCRN, ClinicalEducator, Critical Care Unit“Endocrine System” and “Gastrointestinal System”
• Patricia Seaman, MSN, RN-BC, Educator, CriticalCare Unit and Progressive Care Unit“Renal System” and “Cardiovascular System”
• Kristina Soto-Veintimilla, MSN, BS, RN, ClinicalResearcher“Psychosocial Issues”
• Rosanne Wike, BSN, RN-BC, Nurse Educator, 4 EastOncology and 4 East Total Joint/Stroke Center“Hematology/Oncology Systems” and“Musculoskeletal System”
Program: 2017 New Family Practice PhysicianResident Orientation Program• Donna Baird, MPH, MSN, RN, NE-BC, MagnetProgram Coordinator/Nurse Educator;
• Adina Ceausu, BS, RN, CCRN, Staff Nurse,Progressive Care Unit;
• Glenda Lawson, BSN, RN, ED Coordinator,Emergency Department;
• Terri McNamara, RN-BC, Staff Nurse, AmbulatoryServices;
• Nayna Patel, RN-BC, Cardiac DiagnosticsCoordinator, Cardiac Services;
• Maria Elena Rodriguez, MSN, RN, CCRN, ClinicalEducator, Critical Care Unit“What Clinical Nurses Want You to Know”
Program: 2017 Nursing Grand Rounds: Communicationand Caring• Meaghan Adinolfi, BSN, RN, Staff Nurse, 4 NorthMedical-Surgical Unit;
• Jessica Bonazinga, BSN, RN, Staff Nurse, CardiacCatheterization Lab;
• Alexandrina Ceausu, BS, RN, PCCN, Staff Nurse,Progressive Care Unit;
• Ellen Ciacciarelli, MS, RN, APN-C, CCRN, SCRN,Nurse Practitioner, Stroke Coordinator;
• Deborah Dafick, RN, Staff Nurse,Labor/Delivery/Recovery/Post Partum ;
• Cathy Glowzenski, BSN, RN-BC, Staff Nurse,3 North ACE Unit;
• Glenda Lawson, BSN, RN, ED Coordinator,Emergency Department;
• Terri McNamara, RN-BC, Staff Nurse, AmbulatoryCare/Short Stay Unit;
• Vicki Moon, RN-BC, Staff Nurse, 4 East TotalJoint/Stroke Center;
• Lisa Morrell, MSN, RNC, Staff Nurse, SpecialCare Nursery;
• Nayna Patel, RN-BC, Cardiac DiagnosticsCoordinator, Cardiac Services;
• Maria Elena Rodriguez, MSN, RN, CCRN, ClinicalEducator, Critical Care Unit;
• Louella Rowe, BSN, RN-BC, Staff Nurse,Behavioral Health;
• Denise Zolnowski, BSN, RN, CCRN, Staff Nurse, PostAnesthesia Care Unit
Program: 2017 Nursing Leadership Retreat,CentraState Healthcare System• Donna Baird, MPH, MSN, RN, NE-BC, MagnetProgram Coordinator, Nurse Educator“Updates from the 2017 Magnet Conference”
• Fiesta Clanton, MSN, RN, ACNS-BC, Director,Professional Development Department;Cathleen Janzekovich, PhD, RN-BC, NEA-BC,Assistant Vice President, Nursing“Succession Planning”
• Jayne Craig, PhD, RN, Manager, Clinical Research“Nursing Research and Evidence-Based Practice”
• Karen Freeman, MSA, Vice President, Quality andPatient Safety“High Reliability Organization”
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Podium Presentations (continued)
• Laurie Gambardella, MSN, RN, AdministrativeDirector, Emergency Department;Loretta Impastato, BSN, RN, Nurse Manager,Emergency Department and Observation;Amanda Rich, BSN, RN-BC, Staff Nurse,Observation Unit“Observation Unit Updates”
• Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE,Vice President, Patient Services“Nursing/Vision/Philosophy,” “AnnualGoals/Organizational Direction” and “Beyond the Walls,Part 1: Nursing Strategic Plan and Legislation”
• Thomas W. Scott, MHA, FACHE, FABC, ChiefOperating Officer“Beyond the Walls, Part 2: Hospital Strategic Plan & PHO”
• Hazen Yu, BSN, RN, Nurse Manager,3 North ACE Unit;Barbara Yuhas, MSN, RN-BC, NE-BC, Director,Medical Surgical Nursing“ACE Unit and Patient Mobility”
Program: 2017 Student Nurse Extern Summer Program, CSMC• Donna Baird, MPH, MSN, RN, NE-BC, MagnetProgram Coordinator, Nurse Educator“Patient Rights and Legal Aspects,” “Magnet and CSMCProfessional Practice Model”
• Ruth Bihuniak, BSN, RN, CDE, InpatientDiabetic Educator“Diabetes”
• Jacqueline Breuer, RN, CIC, InfectionControl Coordinator“Infection Prevention”
• Ellen Ciacciarelli, MS, RN, APN-C, CCRN, SCRN,Nurse Practitioner, Stroke Coordinator“Stroke”
• Nancy Engel, MSN, APRN, CNS, Nurse Educator,3 North ACE Unit ;Kathryn Poznanski, RN, Palliative Care Nurse;Vikranta Sharma, MD, Hospice and Palliative Care“Palliative Care/A.N.D./POLST”
• Maureen Colandrea, BSN, RN-BC,Nurse Manager, Progressive Care Unit“Discussion with Nurse Manager”
• Jayne Craig, PhD, RN, Manager, Clinical Research“Nursing Research and Clinical Trials”
• Daniella Davis, BSN, RN, Staff Nurse, 4 NorthMedical-Surgical Unit“Discussion with Staff Nurse”
• Nancy Engel, MSN, APRN, CNS, Nurse Educator, 3North ACE Unit “Welcome to Extern Program;” “Patient Safety: Call Lights,Falls, Rounding, Restraints;” “Patient Safety: The JosieKing Story”
• Rosanne Wike, BSN, RN-BC, Nurse Educator, 4 EastOncology and 4 East Total Joint/Stroke Center“Improving Skin Care Outcomes”
• Kathleen Stanley, MSN, RNC-OB, CNL, NurseEducator, Maternal Child Services “Maternal Codes”
Program: 2017 Sweet Retreat: Do You Know What YouDon’t Know to Manage Care of the Diabetic Patient?
• Ruth Bihuniak, BSN, RN, CDE, Inpatient DiabetesEducator“DKA versus HHS: How to Tell Them Apart;” “Insulin andAnti-Hyperglycemia Agents: To Hold or Not to Hold;”“Nursing Concerns with Insulin Pumps;” “Glucose Controlwith Renal Failure;” “Pre- and Post-Op Management”
• Kelly Collazo, BSN, RN, Staff Nurse, ProgressiveCare Unit“Diabetes Heart Health”
• Zeeshan Kahn, MD, Family Practice andGerontology Physician “Oral Anti-Hyperglycemic Agents: Cautions”
• Matthew Parisi, MD, BS, Family PracticePhysician Resident“Ominous Octet (Pathophysiology of Diabetes)”
• Emily Rosenberger, BSN, RN-BC, BehavioralHealth Services“Mental Health and Diabetes Control”
• Jennean Schram, MS, RD, CDE, Dietician Instructor,Novo Nordisk Diabetes Center“Medical Nutrition Therapy: Plate Model”
• Rosanne Wike, BSN, RN-BC, Nurse Educator,Oncology and Total Joint/Stroke Center“The Diabetic Foot”
Program: American Hospital Association Webinar• Cathleen Janzekovich, MSN, RN-BC, NEA-BC,Assistant Vice President, Nursing;Anne Shelton, MSN, BS, RN, CCRN, Nurse Manager,Critical Care Unit“Spreading Prevention – One Department at a Time”
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Podium Presentations (continued)
Program: February 2017 Department Head Meeting,CSMC• Maureen Colandrea, BSN, RN-BC, Nurse Manager,Progressive Care Unit;Marcia Schaefer-Noto, MSN, RN-BC, NE-BC,Director, Cardiac Services“Mission Moment: Collaboration between PCU andCardiac Rehab”
Program: Future of Nursing: Hot Topics in MagnetOrganizations, NJCOMO• Cheryl Anne Craig, BSN, BA, MA, RN, AdministrativeDirector, Behavioral Health Services“Dealing with Difficult People;” Keynote Presentation
Program: Perioperative Services InterprofessionalDepartment Meeting, CSMC• Thomas Kayal, MD, Colorectal Surgeon;Rebecca Norton, BSN, BA, RN, CNOR, NurseEducator, Operating Room“Enhanced Recovery After Surgery (ERAS)”
Program: Peritoneal Dialysis Update 2017, CentraStateMedical Center• Kim Balagot, BSN, RN-BC, Clinical Leader, 4 NorthMedical-Surgical Unit;
• Carole Eisenman, BSN, RN-BC, Nurse Educator,4 North Medical-Surgical Unit and BehavioralHealth Services;
• Leah Mendoza, RN-BC, Staff Nurse, 4 NorthMedical-Surgical Unit“Performing Peritoneal Dialysis Safely”
Program: Staff Orientation for Camp Quality,New Jersey• Denise Rodman, RN, OCN, Staff Nurse, 4 EastOncology“Eight-hour Training Sessions” for 50-60 camp staff(held twice/year)
Program: Wedgewood Gardens, Rehabilitation andSkilled Nursing Facility • Mary Jane Saada, BSN, RN, CCRP, Staff Nurse,Cardiac Services“Heart Disease,” an educational presentation forresidents and staff
Participation in Professional and Community OrganizationsJeffrey Anderson, BSN, RN, Nurse Manager, 4 NorthMedical-Surgical UnitCo-Founder: Conversation of Your Life, Monmouth Cnty, NJVolunteer Nurse Coach: New Jersey Action Coalition
Donna Baird, MPH, MSN, RN, NE-BC, Magnet ProgramCoordinator, Nurse EducatorMember: American Holistic Nursing Association Member: American Nurses AssociationMember: Magnet Program Directors’ Committee, NewJersey Council of Magnet OrganizationsMember: New Jersey State Nurses AssociationMember: Organization of Nurse Leaders New Jersey Member: Sigma Theta Tau, International, Honor Society ofNursing; Lambda Iota Chapter
Tomasita Balisalisa, BSN, RN, Staff Nurse, CriticalCare UnitVolunteer: Missionaries of the Poor, Kingston Jamaica
Alexandrina Ceausu, BS, RN, PCCN, Staff Nurse,Progressive Care UnitMember: American Association of Critical Care Nurses
Fiesta Clanton, MSN, RN, ACNS-BC, Director,Professional Development DepartmentBoard Member: Chamberlain College of NursingMember: New Jersey State Nurses AssociationMember: Education and Development Committee, NJCouncil of Magnet OrganizationsMember: Rater for Nursing, McMaster Online Rating ofEvidence (MORE)
Maureen Colandrea, BSN, RN-BC, Nurse Manager,Progressive Care UnitMember: Organization of Nurse Leaders New Jersey
Kelly Collazo, BSN, RN, Staff Nurse, Progressive Care UnitMember: American Association of Heart Failure Nurses
Cheryl Anne Craig, BSN, BA, MA, RN, AdministrativeDirector, Behavioral Health ServicesMember: American Psychiatric Nurses AssociationMember: New Jersey Hospital Association BehavioralHealth Constituency GroupMember: New Jersey Hospital Association BehavioralHealth Nursing Advisory CouncilMember: NJ Psychiatric Nurses AssociationMember: Organization of Nurse Leaders New Jersey
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Participation in Professional and Community Organizations (continued)Louise Damiani, BSN, RN, OCN, CHPN, Staff Nurse, 4East OncologyMember: Oncology Nursing Society, National Organizationand Local ChapterMember: National Hospice and Palliative Care Organization
Nancy Engel, MSN, APRN, CNS, Nurse Educator,3 North ACE UnitMember: Geriatric Advanced Practice Nurses AssociationVolunteer: Manalapan Day, Annual Event, Health Screeningand Education
Randi Eriksson, RN, CPAN, Staff Nurse, PACUVolunteer: Hernia Repair for the Underserved, DominicanRepublic
Laurie Gambardella, MSN, RN, Administrative Director,Observation and Emergency ServicesMember: Mentoring Committee, Organization of NurseLeaders New Jersey
Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE, VicePresident, Patient ServicesMember: Advocacy Committee, Organization of NurseLeaders New JerseyMember: Board of Directors, Organization of Nurse LeadersNew JerseyAdvisory Board Member: Thomas Edison State University
Gabriele Hallbauer, BSN, RNC, Clinical Leader,Maternal Child ServicesMember, Board of Trustees: Central Jersey Family HealthConsortium
Cathleen Janzekovich, MSN, RN-BC, NEA-BC,Assistant Vice President, NursingMember: Advocacy Committee, Organization of NurseLeaders New Jersey
Ellen Kane, BSN, RN, CPAN, Staff Nurse, PACUChair: Freehold Borough Board of Health, Freehold, NJ
Annette Keller, MA, BSN, RN, CEN, CNL, NurseEducator, Emergency DepartmentMember: American Association of Critical Care NursesMember: Association of Nursing Professional DevelopmentMember: Emergency Nurses AssociationMember: Sigma Theta Tau, International, Honor Society ofNursingBoard Member: Society for Healthcare Education andTraining of New Jersey
Glenda Lawson, BSN, RN, ED Coordinator, EmergencyDepartmentMember: Education and Development Committee, NewJersey Council of Magnet Organizations
Joan Leimbach, BSN, RN, ACM, Manager, CareCoordinationBoard Member-at-Large: American Case ManagerAssociation, New Jersey Chapter
Stephanie Loadholt, BSN, MS, RN, OrientationCoordinator/Nurse EducatorMember: Association of Nursing Professional DevelopmentParticipant: Black Women’s Healthcare Study, Phase 2,Conducted by Boston UniversityMember and Advisor: Garden State Chapter, NAHUCAdvisory Board Member: Jersey College School of NursingMember: National Association of Health Unit CoordinatorsBoard Member and Membership Chair: Society forHealthcare Education and Training of New Jersey
Michelle Mahler, BSN, RN-BC, Staff Nurse, CardiacServicesMember: American Association of Cardiovascular andPulmonary RehabilitationMember: Tri-State Society for Cardiovascular and PulmonaryRehabilitation
Tricia Marceante, MSN, RN, APN-C, NursePractitioner, Women’s Heart Program Member: New Jersey State Nurses Association (NJSNA)Member: Preventive Cardiovascular Nurses Association(PCNA)
Karen Morgan, BSN, RN-BC, Staff Nurse, ProgressiveCare UnitMember: Sigma Theta Tau, InternationalTeam Captain: America Heart Association, Heart Walk
Rebecca Norton, BSN, BA, RN, CNOR, Nurse Educator,Operating RoomVolunteer: Hernia Repair for the Underserved, Benin AfricaVolunteer: Hernia Repair for the Underserved, DominicanRepublicVolunteer: Parker Clinic, Red Bank, NJ
Denise Rodman, RN, OCN, Staff Nurse, 4 East OncologyBoard Member: National Trainer; Medical Coordinator: CampQuality, New Jersey
Maria Elena Rodriguez, MSN, RN, CCRN, ClinicalEducator, Critical Care UnitVolunteer: Missionaries of the Poor, Kingston Jamaica
Mary Jane Saada, BSN, RN, CCRP, Staff Nurse, CardiacServicesMember: American Association of Cardiovascular andPulmonary RehabilitationMember: Faith Community Nursing, St. Catharine's ParishNursing MinistryMember: Tri-State Society for Cardiovascular and PulmonaryRehabilitation
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Participation in Professional and Community Organizations (continued)Marcia Schaefer-Noto, MS, MSN, RN-BC, NE-BC,Director, Cardiac ServicesMember: American Association for Cardiovascular andPulmonary RehabilitationMember: American College of CardiologyMember: Organization of Nurse Leaders, New JerseyMember: Sigma Theta Tau International, Honor Society ofNursing, Upsilon RHO Chapter
Annie Shelton, MSN, BS, RN, CCRN, Nurse Manager,Critical Care UnitMember: Communication and Growth Committee, NewJersey Council of Magnet OrganizationsMember: Finance Committee, Organization of Nurse Leaders,New Jersey
Kathleen Stanley, MSN, RNC-OB, CNL, Nurse Educator,Maternal Child ServicesMember: Association of Women’s Health, Obstetric andNeonatal NursesMember: Society for Healthcare Education and Training ofNew Jersey
Jennifer Wiley, MSN, RN, PCCN, Clinical Leader, 4ETotal Joint/Stroke CenterMember: American Association of Critical Care Nurses Member: American Organization of Nurse ExecutivesMember: Organization of Nurse Leaders of New Jersey
Poster PresentationsProgram: 33rd Annual Symposium, Tri-State Society for Cardiovascular and Pulmonary Rehabilitation (TSSCVPR)• Michelle Mahler, BSN, RN-BC, Staff Nurse, Cardiac Services;Mary Jane Saada, BSN, RN, CCRP, Staff Nurse, Cardiac Services“High Intensity Interval Training (HIIT) for Cardiac Rehab Patients”
ArticlesJames J. Matera, DO; Kimberly Simers, MHA; and Alison Cleary, MSN, RN, Manager, Population HealthArticle: “The Effects of Health Coaching and Population Health on Hypertension” Consultant360, October 2017 Supplement.
Adjunct Faculty PositionsLaurie Gambardella, MSN, RN, Administrative Director,Observation Unit and Emergency ServicesPreceptor: Leadership Course for BSN StudentsSchool: Wagner College
Linda Geisler, DBA, MNEd, RN, NEA-BC, FACHE, VicePresident, Patient ServicesAdjunct Faculty: Mentor to Nursing Students, MSN ProgramSchool: Monmouth University
Cathleen Janzekovich, MSN, RN-BC, NEA-BC,Assistant Vice President, NursingPreceptor: BSN StudentSchool: Rutgers University
Tricia Marceante, MSN, RN, APN-C, NursePractitioner, Women’s Heart Program Adjunct Clinical Field Supervisor: Primary CareSchool: Monmouth University
Kristina Soto-Veintimilla, MSN, BS, RN, ClinicalResearcherAdjunct Faculty: BSN Program, Clinical Mental HealthRotationSchool: Felician University
Kathleen Stanley, MSN, RNC-OB, CNL, Nurse Educator,Maternal Child Services Preceptor: MSN Student Capstone ProjectsSchool: Benedictine University
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The Nursing Excellence Program (NEP) is the professional clinical ladder for clinical registered nurses at CentraState. It wasestablished over a decade ago and was revised in 2012 by the Professional Practice Council to correspond with components of theMagnet Model. The following registered nurses were approved for one of the four NEP levels in 2017:
Level I, Proficient
Debra Ayres
Virginia Bird
Debra Dafick
Beverly Dey
Tabitha Encarnacion
Janine Eyd-Adonizio
Kara Kendall
Carly Minitti
Astrid Noseal
Katherine Poznanski
Maria Schurott
Danielle Slipstein
Level II, Advanced
Brigid Bambrick
Juana Buergo
Norma Concepcion
Daniella Davis
Donna Dolcemascolo
Beth Gutierrez
Michelle Kilian
Kristine Maticka
Michelle Osetkowski
Piyusha Parekh
Demetra Rotsides s
Heather Suchniak
Level III, Expert
Patricia Barnosky
Bette Becker
Donna Betar
Johanna Biddle
Helen Bueti
German Butay
Alexandrina Ceausu
Eileen Christie
Kelly Collazo
Meghan Daley
Lisa Davenport
Donna Deane
Nicole Delcore
Yolanda Donahue
Theresa Faiella
Mary Foster
Frances Franco
Cathy Glowzenski
Recynthia Henderson-Jones
Laurie Jaffe
Ellen Kane
Glenda Lawson
Angela Lee
Mychelle Lima
Megan Lukens
Crisann Maher
Michelle Mahler
Melissa Mapa
Alyssa Mauro
Leah Mendoza
Victoria Moon
Karen Morgan
Lisa Musante
Claudia Nogueira
Beth O’Dwyer-Styles
Janice Perrone
Angela Post
Monique Raphael
Carole Reihing
Geralyn Rivera
Denise Rodman
Terry Rosenberg
Esta Ross
Louella Rowe
Lydia Sison
Allison Steinitz
Madelaine Tricarico
Alison Weyersberg
Christina Zarnowski
Dorota Zielinski
Denise Zolnowski
Level IV, Mentor
Mary Ann Bonatakis s
Lisa Morrell
Rebecca Norton
Maria Elena Rodriguez
Mary Jane Saada
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Nursing Research and Evidence-Based PracticeAt CentraState, registered nurses are encouraged to identify areas for evidence-based practice studies and nursing research. Afterreviewing the literature, they participate in evidence-based practice studies and generate new knowledge through research. Nursesare mentored to become principal and co-investigators in research studies. All nursing research studies at CentraState must beapproved by the Nursing Research Committee and the Institutional Review Board.
Fourth Annual Research DayThe fourth annual interdisciplinary research day was heldin September. Posters about nursing and medical studiesdone throughout the year were on display in the medicalcenter. .
Evidence-Based Practice and NursingResearch StudiesCommunication with Medications and Side EffectsEvidence-Based Practice Study: CompletedProfessional Development Department nurse educators andthe clinical researcher developed and implemented aprogram for all medical-surgical nurses on effectivecommunication about medications. Feedback from staff ledto an additional study on types and numbers of phone callsnurses receive that impact their teaching about medications. Study Coordinator: Jayne Craig, PhD, RN, ClinicalResearcherCo-Coordinator: Annette Keller, BSN, MA, RN, CEN, CNL,Nurse Educator, EDCo-Coordinator: Kathleen Stanley, MSN, RNC, CNL, NurseEducator, Maternal-Child Services
Nursing Competency in Hospital EvacuationNursing Research: Study CompletedPrincipal Investigator: Cindy McVey, RN, APN, DNP Studentat Wagner CollegeThis research studied the potential responses of emergencyroom staff in the event of a need for hospital evacuation
Sun Protection Habits and Attitudes among HealthcareWorkers Employed at a NJ Coastal HospitalNursing Research: Study CompletedPrincipal Investigator: Jayne Craig, PhD, RN, ClinicalResearcherSub investigator: Barry Asch, MPA, RTT, AVP, Cancer CareServicesSub investigator: M. Faith Conlon, BSN, RN-BC, ResearchNurseThis study investigated attitudes and practices of healthcareworkers about sun exposure and protection.
Comparison of Pain Levels in Single vs. Multiple-SiteLaparoscopic Cholecystectomy Patients Research Study: CompletedThis study suggested that the pain levels in patients withsingle versus multiple incisions in laparoscopiccholecystectomy patients are very similar.Principal Investigator: Amit Kharod, MD, General SurgeonSub-investigator: Rebecca Norton, BSN, BA, RN, CNOR,Nurse Educator, ORSub-investigator: Jayne Craig, PhD, RN, Research Nurse
Addressing Real-World Anticoagulation ManagementIssues in Stroke Research Study: In ProgressPrincipal Investigator: Ellen Ciacciarelli, MS, RN, APN,SCRN, CCRN, Nurse Practitioner, Stroke CoordinatorCo-investigator: Faith Conlon, BSN, RN-BC, Research Nurse
“Nurses use research to provide evidence-based care that promotes quality healthoutcomes for individuals, families, communitiesand health care systems. Nurses also useresearch to shape health policy in direct care,within an organization, and at the local, state
and federal levels. Nurses conduct research, use research in practice,and teach about research.”
— American Nurses Association
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Clinical Nurses with BSN and Higher Nursing DegreesPatient care needs are complex. Critical thinking, clinical reasoning and excellent clinical skills are essential for clinical registerednurses. They also need competencies in leadership, health policy, system improvement, evidence-based practice, research, andteamwork, in order to assure safe, high-quality, patient-focused care. In 2010 the Institute of Medicine recommended that 80% ofclinical nurses should have a BSN or higher nursing degree by 2020. Preparation at BSN and higher levels of nursing education givesnurses the ability to collaborate and coordinate patient care across teams of health professionals in multiple healthcare andcommunity settings. At CentraState, the percent of RNs with BSN or higher degrees has been increasing annually. We are on theway to meeting the 2020 goal!
2015 2016 2017
CSMC RNs with BSN andHigher Nursing Degrees
75.5% 76.0% 77.0%
60.0%
65.0%
70.0%
75.0%
80.0%
Perc
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CentraState Medical Center RNs with BSN and Higher Nursing Degrees2015-2017
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Nurse (RN) SatisfactionAs a Magnet designated organization, CentraState is required to monitor nurse satisfaction. A confidential employee opinion surveyis administered at CentraState Medical Center (CSMC) every two years. The Employee Voice Survey was administered onlinethrough CentraNet, the CSMC internal website, in June and July, 2017 by Press Ganey, Inc. The survey was not mandatory, but allemployees were encouraged to participate.
The CSMC RN data was extracted from the organizational data by Press Ganey and then compared with the Press Ganey NationalNursing Excellence normative data of over 160,000 RN responses for July 2017. The nurse responses included items in sevencategories that were selected by Magnet to describe attitudes about their employment situations. Magnet requires over 50% ofnursing units and areas where RNs work must have scores above the national benchmark in at least three of the categories.CentraState results revealed that nurses outperformed the benchmark in five of the seven categories for nurse satisfaction. Sixty-four percent of CSMC RNs participated in the survey.
AutonomyFundamentals ofQuality Nursing
CareInterprofessional
RelationshipsLeadershipAccess and
Responsiveness
ProfessionalDevelopment
RN to RNTeamwork andCollaboration
CSMC 3.6 3.99 4.22 3.76 4.07 4.04 4.26
National Scores 3.48 3.89 4.12 3.82 3.86 3.95 4.27
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CSMC RN Satisfaction - July 2017ANCC Nursing Excellence Category Performance Scores
Survey administerd by Press Ganey, Inc.
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MEM
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inside back cover. nothing prints here.
The full circle of health and wellness dedicated to excellence.
901 West Main Street • Freehold, NJ 07728(732) 294-7080 • www.centrastate.com
On the Cover: 2017 Nursing Excellence Awards Recipients (clockwise starting on the top left):
Alyssa Mauro, BSN, RN, CEN - Emergency Department/Critical Care Award; Esta Ross, BSN, BA, RN - Maternal ChildServices Award; Kerry Stroud, MSN, RN, PCCN - Medical Surgical Services Award; Crisann Maher, BA, RN - Mental HealthAward; Mary Jane Saada, BSN, RN, CCRP - Extended Nursing Care Services Award; Rebecca Norton, BSN, BA, RN, CNOR- Perioperative Services Award
000 - 08/18 - TD
