2017

Transformational Leadership

Joan Simon, CNO

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The excitement in the room was palpable on January 19, 2017, as our nurses and interprofessional team members gathered in the café classroom for a phone call from

the Magnet Commission. While we didn’t want to be over confident, there was no doubt in our minds that we would receive our third Magnet designation. The call came in and we heard the news; YES, Kootenai Health would retain its designation! Additionally, our Northern Idaho Crisis Center was recognized as a Magnet Exemplar; a nurse-led initiative other Magnet organizations should strive to replicate.

Fewer than 3 percent of organizations achieve three or more consecutive Magnet designations. As amazing as our first two designations were, this time, our work had placed Kootenai Health in that elite class!

Who could have imagined that before the celebration had even ended, we would receive a second call that would also reaffirm our Magnet designation in an extraordinary way. There had been a major accident on an icy mountain pass. A collision between a semi-tractor and logging truck left the semi-driver pinned in his truck cab under the weight of the logs. Emergency medical providers had been on the scene for hours, unable to extract him from the wreckage. When this call came, it was a request that Kootenai Health send a surgical trauma team to the accident scene. Without hesitation, a team of nurses, anesthesia providers and trauma surgeons organized, prepared and departed with our EMS partners. There was never a question of if the team would answer the call, it was simply a question of how.

A surgical amputation was required to extract the driver from his vehicle. He was stabilized and delivered safely to Kootenai Health for ongoing care, but the story did not end

there. Like so many patients and families, much more than expert medical care was needed. We had saved his life, but the aftercare would change his life forever. Our team of physicians, nurses, therapists and care managers worked tirelessly to develop a plan of care to address every aspect of physical, mental and social care needed to make his transition home as seamless as possible.

I am often asked what I am most proud of. Certainly I am very proud to be the chief nursing officer of a Magnet designated organization, but that is not what I am MOST proud of. As the events above illustrate, our nurses bring their education, experience, technical skills and their hearts to answer the call to heal others. They know each person they touch has a story; a story of hope, of what they want to achieve, of family. It is an honor to come alongside them through the most difficult chapters in their stories to not only provide the care they need, but also a listening ear and a gentle touch.

Our nurses work tirelessly to develop safe systems of care and improve outcomes by ensuring our care is evidence-based. They strive to keep their knowledge and skills up to date and to deliver expert clinical care. As important as that is, what our patients remember most is the care and compassion our nurses provide; a simple touch when they are grieving, a moment to sit by the bedside when teaching, or a smile when entering the room. These simple but important gestures that let our patients know – we’ve got this, and we are here for you!

So what I am MOST PROUD of is the extraordinary care and compassion our nurses and interdisciplinary teams provide each and every patient, each and every day. Together, we answer the call, “to improve health one patient at a time.”

Joan Simon, MSA, BSN, CENP, NEA-BC, FACHE Chief Nursing Officer

Nursing Excellence, Kootenai Health Answers the Call

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2017 Third Magnet® Designation: A year of celebration!

As of March 2018, there are

475 Magnet® Designated Hospitals

in the world

Only 3%

of US hospitals have received three or more consecutive

Magnet® Designations

At the 2017 Annual Magnet® Conference, Kootenai presented

2 podium and1poster presentation

We received exemplar marks for Kootenai’s contribution to the Northern Idaho Crisis Center

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Growing New Leaders: The Aspiring Nurse Leadership Program In recognizing the crucial role of the nurse manager in patient and staff satisfaction, as well as quality of care outcomes, Kootenai Health developed a new Aspiring Nurse Leader Program. Nursing leadership worked with Organizational Development to create a structured, year-long program for nurses with identified leadership potential. The program releases nurses from a portion of their regular hours in order to share experiences with their assigned mentors. The program culminates with an evidence-based practice project. Nurses who had an interest in participating in the program completed an application and interview process. Year-one participants chosen are: Wendy DeBlaquiere, NRT (mentor Meghan Smith, Family Birth Center Manager); Gina McCloskey, Organizational Development (mentor Ann Ealy, Nursing Administration) and Jennifer Collins, Transfer Center and Hospital Supervisor (mentor Miki Welch, 2 South).

Comprehensive Care Integration: Better Care for the FutureOur current healthcare system is often fragmented and confusing for patients and families. It is important for health care professionals to develop new care delivery models that create more value for our patients. In 2017, Kootenai Health CNO, Joan Simon, was charged with leading a team to design a new model that ensured care coordination, patient engagement and safe transitions from hospital and home. Her team of over 50 interprofessional members included social workers, providers, nurses, and pharmacists. They focused on maintaining health as

opposed to only treating illness. Some of the earliest work involved conducting a gap analysis using standards

required for our primary care clinics to become certified as a Patient Centered Medical Home.

This involved flow charting the new processes required and training staff to take on new roles and responsibilities. In addition, inpatient workflow needed to change to provide for a warm handoff to the outpatient setting. This

included piloting a new process to arrange for a discharge appointment with primary care provider

prior to day of discharge. It also required a follow-up phone call, ensuring that patients understood their plan of

care and that there were no barriers to care following discharge. This phone call is documented in the EMR and transmitted to the primary care office to ensure a seamless transition. This new model of care will move from pilot phase to spread phase in 2018.

The Growing Impact of Nurse Self Scheduling Since our 2016 Nursing Annual Report describing how the Post-Anesthesia Care Unit (PACU) improved staff satisfaction with a self-scheduling plan, nurses from Critical Care, Family Birth Center, and Kootenai Adult Behavioral Health have adopted variations of self-scheduling. As a result, the National Database Quality Indicators (NDNQI) question regarding RN’s influence over their schedule continues to climb higher for the whole organization!

3.30

3.25

3.20

3.15

3.10

3.05

3.00 2015 2016 2017

Average Hospital Score

NDNQI: Influence over schedule for RNs

3.25

3.18

3.11

Pictured (l-r) Wendy DeBlaquiere, NRT, Jennifer Collins, Transfer Center and Hospital Supervisor, Miki Welch, 2 South, Gina McCloskey, Organizational Development, and Ann Ealy Nursing Admin.

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The Joy of Unwrapping Patient EducationThe newly formed Patient Education Committee, an interprofessional team, is responsible for the evaluation, standardization and implementation of patient education materials. Led by Julie Hoerner, RN, patient engagement specialist, the committee was able to accomplish the following in 2017:

l Created a Patient Education and Training Policy

l Created standardized guidelines for creating education materials when needed

l Started work on a database of education materials created at Kootenai

l Adopted the use of the teach back technique and development of competency for all staff that educate patients or families

l Reviewed and approved education materials created by several teams

l Advised on education content in the GetWell Interactive Care System

The year ended with a fun and interactive holiday-themed Patient Education Fair attended by over 200 employees and providers. The theme was “The Gift of Education: Unwrapping Best Practices for Providing Patient Education.” Stations focused on teach back, health literacy, documenting education, diabetes, heart failure and nutrition education, and the GetWell Network Interactive Care system.

Spanning the Gap: Increasing Engagement by Reducing Nurse Manager Span The term “span of control” refers to how many employees a particular manager oversees. Nursing manager duties include scheduling, coaching, mentoring, quarterly check-ins, annual performance appraisals, clarifying expectations, promoting professionalism, maintaining accountability, barrier busting, and constant vigilance in regard to safety concerns. Gallup has recognized a link between a lower span of control for nurse managers and higher employee engagement scores. Starting in 2015, nursing leadership designed a clinical coordinator role to reduce the span of control for nurse managers. Each clinical coordinator now is responsible for individualized development of a group staff, including goal setting, accountability and strengths coaching.

Gallup noted that since reducing the nurse manager span of control, our nurse engagement scores have risen more than 0.20 points, which is considered a meaningful improvement.

New Chapter: Inland Northwest Society of Pediatric Nurses Kootenai Health pediatric nurses, Adriane Golob and Debbie Kitselman, collaborated with pediatric nurses from Washington and Montana to create a regional chapter for the Society of Pediatric Nurses. Two aspects utilized in becoming a chapter concentrated on recruiting paid members and creating chapter bylaws. The Inland Northwest Society of Pediatric Nurses (INWSPN) meets monthly and connects pediatric nurses from all over the inland northwest via telehealth. The use of telehealth technology is creating a positive impact on pediatric care for the inland northwest. Currently participating in the monthly INWSPN meetings are Kootenai Health, Sacred Heart Children’s Hospital, Billings Clinic, and Pullman Regional Hospital. Creating a chapter compliments the educational work the pediatric nurses have been doing this year in preparation for Kootenai Health’s new Pediatric Hospitalist program.

INWSPN has scheduled multiple experts in 2018 to discuss issues related to hemophilia, adverse childhood events, mental health, and others. A pediatric conference is scheduled to be held in Spokane during Pediatric Nurses Week on October 5.

Pictured (l-r) Jennifer Taylor, GetWell Representative, Rhonda Gray, RN, Tammi Gibbar, RN, and Derek Andersen, RN at the Patient Education Fair.

Debbie Kistelman, RN, pediatric nurse

Structural Empowerment

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World Class Joint Care in North Idaho Kootenai Health received certification from DNV GL as a Center of Excellence for Hip and Knee replacements in February 2017. This certification integrates

requirements related to CMS Conditions of Participation and the standards set forth by the American Academy of Orthopedic Surgeons. At time of this publication in 2018, only 22 such centers exist in the United States.

In order to meet these high standards, nurses from 2 East and the operating room (OR) worked collaboratively with an interprofessional team, the Kootenai Health Total Joint Program

Supervisory Committee, which meets monthly to evaluate and review data, patient education materials, and to ensure evidence based standards are being met. The onboarding process for new nurses on 2 East now include enhanced educational offerings and support for nursing certification. Seven 2 East nurse became orthopedic certified nurses (ONC).

Kootenai County Ranks Best in State for Pre-term Birthrates The March of Dimes collates the rate of pre-term births (less than 37 weeks gestation) by county for the whole of the United States biennially. They have set a goal of preterm birth rate of 8.1 percent for the United States by the year 2020. Idaho was graded a “B” for a statewide pre-term rate of 8.9 percent.

Kootenai County was the only county in the state of Idaho to earn an “A” with a pre-term rate of 7.2 percent.

According to Kootenai’s Family Birth Center and Kootenai Clinic OB-GYN nurses, careful attention to moms with history of pre-term births and early identification of infection during pregnancy are the two biggest keys to the success.

Moms Rock and Roll through Child Birth For the last couple of decades, labor and delivery has changed little for most women. After attending the national AWOHNN conference, nurses in the Family Birth Center were spurred to initiate a new program called Rock and Roll in 2017. Using experimental evidence from a similar program at Cedar-Sinai Medical Center, and with their permission, OB nurses developed policies and training for this new program. The heart of this program is encouraging laboring moms to change positions at least every 30 to 45 minutes, even when epidural analgesia is being used. The activity assists the baby to turn and move lower into the pelvis. The OB nurses are monitoring the Rock and Roll program in hopes of seeing a reduction in C-section rates.

Pictured (l-r) Natalie Anaya, RN, Elizabeth Jarman, RN, and husband John Jarman demonstrate one ofthe Rock and Roll positions.

Pictured (l-r) Elizabeth Jarman, RN, and husband John Jarman demonstrate a second Rock and Roll position.

Patients on 2 East consistently rate their care above the 90th percentile in seven out of eight HCAHPs categories.

Recognizing Our GEMS: Nursing Excellence Program After a long year of work by clinical nurses and leaders, Kootenai Health launched the Nursing Excellence Program in 2017 to “recognize, promote and reward nurse engagement and contributions to the organization, the community and the nursing profession.” Throughout the year, participants compiled the necessary documentation to support their accomplishments in portfolios. In January 2018, the portfolios were reviewed by a team of peers and a nurse manager, a nurse director, and a clinical nurse expert. Kootenai Health is pleased to recognize the following nurses for their contributions in 2017:

Name Unit AwardJessica Daugharty-Sterner PCU TopazMolina Allen Heart Center TopazRebecca Glenn 3N TopazPeggy Hoffman SPA TopazBrenda VanSlate SPA TopazNatalie Anaya Family Birth Center TopazShannon Kline PACU TopazPaul Kugler KHCNW TopazHailey Morris PACU TopazTeena Barnes KC - Cancer Services TopazStan Foster ED TopazCallie Runkel 2E TopazTeresa Deuling SPA TopazClete Helvey ED TopazElissa Horn SPA TopazCrystal McCown ED TopazJanelle Sladek Critical Care TopazRoxanne Gadberry 2S TopazTeresa Ragan PACU TopazBarb Richardson PACU TopazNancy Clough 1N OpalLori Jackson KHCNW OpalSarah Young SPA OpalMichelle Haynes SPA OpalKristie Hiiva NICU OpalRachel Otey Critical Care OpalChristine Oxenrider ED OpalEric Oscarson PACU OpalAnne Bear Critical Care OpalLynn Mai Bui 1N Opal

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Name Unit AwardMelissa Bunch PACU OpalAnnalynne Gonzales Critcal Care OpalChristina Treller PACU OpalLeanne Tweedy SPA OpalJenna Hall Critical Care OpalErin Paisley PCU OpalJen Porto PCU OpalLacy Engelstad Critical Care OpalMia McRory PACU Opal Bo Schramm PCU OpalAdam Wabs Critical Care OpalMolly Walker Critical Care OpalJesse Anderson Vascular Access Team OpalKim Ashmore Critical Care OpalKaren Wilson Vascular Access Team OpalAran Borgman Critical Care OpalLynda Heise NRT OpalKristy Handyside Critical Care OpalSamantha Pickering 1N OpalKathleen Barbera Critical Care Star GarnetMaddy Himmel ED Star GarnetWendy Smith ED Star GarnetMichael Davis Critical Care Star GarnetWendy Ferguson PACU Star GarnetMichael Little Critical Care Star GarnetMary Wagner SPA Star GarnetColleen Zwiers 1N Star GarnetAmy Bertone Vascular Access Team Star GarnetRachel Wickham OR Star GarnetLuke Emerson Trauma Star Garnet

Exceeding the goal: Increasing Academic Achievement Empirical evidence shows that when a higher percentage of the nursing workforce is educated at a BSN level or higher, patient outcomes improve. Recognizing this, the Institute of Medicine called for 80 percent of nurses to be educated at the BSN level or higher by 2020. Magnet hospitals are expected to show progression toward increasing the percentage of workforce at this educational level. Kootenai Health has met or exceeded the BSN goals for three consecutive years.

Nursing Workforce 2015 2016 2017 2018

Actual Achieved Year End - Clinical Nurses 52.0% 54.2% 57.9%

Actual Achieved Year End - All RNs 54.7% 58.1% 61.6%

Kootenai Health BSN Target % 48% 53% 58% 65%

Exemplary Professional Practice

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Patient Swarming: The New BUZZ in the EDMuch like any other Emergency Department (ED) in the United States, Kootenai Health’s ED was impacted with high volumes of patients and long lengths of stay in 2016. These factors resulted in patients leaving before they were seen by a provider. Commonly referred to as Left Without Being Seen (LWBS). In 2016, the LWBS rate was 2.93 percent. The Emergency Room staff worked within an inter-professional team to identify barriers to efficient patient throughput. The team then instituted the concept of “swarming.” Once an ED patient is in a room, they are greeted by the “swarm” consisting of the physician, scribe, nurse, and nursing assistant. This allows the entire team to hear the patient’s story at the same time. At discharge, another “swarm” is completed, allowing for clear communication between the patient and all the team members. This work resulted in the LWBS rate reduction in 2017 to 1.44 percent.

Percentage of patients who left

without being seen in 2016

2.93%Percentage of patients

who left without being seen in 2017

1.44%

Tick Tock: When Minutes Matter in the Emergency DepartmentThe Centers for Medicare and Medicaid Services (CMS) recognized that

early pain treatment for patients experiencing long bone fractures has been linked to reduced negative outcomes and increased patient

satisfaction. CMS requires all hospitals receiving funding from Medicare or Medicaid to report in minutes that emergency

department patients with long bone fractures wait for pain medication. Nurses, physicians and

pharmacists in the ED evaluated the process for patients with long bone fractures,

identifed an ideal future state, and made interventions to fill those gaps. This change reduced the wait

for pain medications for this patient population from 76 minutes

to 36 minutes.

Decreased wait time for long bone fracture patients to receive pain medication

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Reducing Falls in a Special Population Sheri McIlvain, RN, Continuous Quality/LEAN Improvement specialist for Behavioral Health, and adult behavioral manager, Alissa Miller, identified patient falls as a high priority for improvement. After assessing current fall reduction initiatives, they knew there had to be a better design for the Behavioral Health Unit. A LEAN project was initiated to develop a process for this patient population. The 2016 fall rate in the adult inpatient behavioral health unit was 4.71 falls for 1,000 patient days, significantly above the national median for this patient type.

McIlvain assembled a team including librarian, Karly Vesely; Behavioral Health director, Claudia Miewald; nursing unit fall champions, Morgan Reed, Morgan Cook, and Karin Hudson; and behavioral health clinical nurse expert, Crystal Vlastelic- St. John. The group conducted a literature search to identify the most up to date evidence-based practices as well as an in-depth analysis of all data associated with behavioral health falls. Two contributing factors were identified: slips and falls in the shower area, and helping patients to understand how to avoid falling.

A new product, the shower sock, addresses falls in the shower by providing friction in a slippery shower. Improved tools and signage help patients better understand how to avoid falls. The unit’s practice council felt that the current tools and signage regarding fall safety were wordy, lacked visual cues and were hard to understand. They enlisted the assistance of Communications and Marketing, Julie Hoerner, patient engagement specialist, and Kim Inman, lead for the house-wide fall team, to develop better tools. By soliciting patient feedback, it was determined that laminated signs located in bathrooms and shower areas would be the best way to display information. Positive results led to McIlvain’s project being one of only three choosen out of over 1,200 projects in the country to be shared with a group of quality experts during a webinar held on Novemember 8, 2017. During 2018, Kootenai Health is excited to see this work being used now in the youth behavioral health areas and the chemical dependency unit. The total fall rate for 2017 was 2.58 per 1,000 pateint days, a significant reduction from 4.71 falls.

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Earning Honors, Saving Lives – 3 South Nurses in Action Kootenai Health received the Silver Award in 2017 from the American Heart Association recognizing the superior outcomes of our patients that required cardiopulmonary resuscitation in 2016. Throughout 2017, staff furthered work in adhering to AHA guidelines, and survival rates from resuscitation continued to rise. Nurses from the 3 South step down unit were cited as key to the improved outcomes, taking leadership during resuscitation events to assure compliance with standards, reminding the code team of intervention time frames and more.

Kootenai 2016

Benchmark 2016

Kootenai 2017

Benchmark 2017

Percent of Survival to Discharge Code Blue Patients in Get With The Guidelines 23.81% 28.06% 39.47% 26.97%

To further improve their resuscitation readiness, 3 South nurses began conducting mock codes on a regular basis. An assessment of the staff’s confidence with the code blue process was done using a pre/post evaluation. After several months of simulated mock codes, the improvements in staff confidence have been noted.

14.00

12.00

10.00

8.00

6.00

4.00

2.00

0.00

Kootenai Behavioral Health Adult Unit Fall Rate/1,000 Patient Days

Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2016 2016 2016 2016 2016 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017 2017

11.44

6.80

3.97

8.758.10

2.97

1.34

6.75

1.42

Target

1.62

4.05 4

3.98

0 0 0

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New Knowledge, Innovations, & Improvements

Designing an Educational Effort for Nurses that will LASTWendy Ferguson BSN, RN, CEN, a clinical nurse in the Post Anesthesia Care Unit (PACU) led a project to bring awareness and knowledge about a rare and life threating event called local anesthetic systemic toxicity (LAST). A local anesthetic is an agent that is injected around the nerves to produces a loss of sensation, or numbness. One of the most common local anesthetics is lidocaine, often used in dental procedures. Local anesthetics are intended to stay only where applied, but can sometimes make into the circulatory system. This is when the possibility of a LAST event exists, this type of event can lead to cardiac arrest. Prompt identification and treatment of this condition is imperative to save the patient’s life.

This interprofessional project included pharmacy, nursing, physicians, and anesthesia and was based on current evidence based practices. Evalution of staff was conducted to determine how confident they were in addressing a LAST event and to determine their knowledge deficits and develop training. The average pre-training test scores regarding confidence was 60% and post-test scores increased to 95%. Knowledge of LAST events was 3.5/10 (35%) before the educational in-service and increased to 7.9/10 (79%) following education.

See Me As A Person: Patient StoryboardsThis research project was led by Colleen Zwiers, clinical coordinator from 1 North. Unit nurses realized patients come to the hospital with a lifetime of stories and wanted to create a process that would allow for them to share their experience. Believing that knowing about the patient would strengthen the nurse-patient relationship. The unit placed a patient storyboard in each room for patients or their families to share personal things about themselves.

Lynn Bui, a clinical RN from 1 North, said, “The smiles on patients’ faces as they discuss their favorite things are worth the boards alone, but the enriched atmosphere and communication generated by the increased comfort levels of both patients and staff members have staff excited about sharing this idea with other floors.”

Nurses average understanding of LAST signs and symptoms

35% Before educational inservice

79% Following educational inservice

Colleen Zwiers, RN next to the “See Me As A Person” patient board

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Improving Medication Reconciliation: One Bottle at a TimeKootenai Heart Clinics Northwest staff at the Clarkston office did a small pilot project to see if they could improve the medication reconciliation process. The project, led by Heide Brookes, RN, and Donita Hansen, MA, supports patients bringing their medication bottles to their appointments, ensuring the most accurate medication reconciliations are done. The office completed a four-week trial of 172 patients and identifed 443 errors. During 2018 ongoing interventions for further improvements will be forthcoming.

Care Zones: A Small ChangeWith a Big Impact3 North implemented a process to improve staff responsiveness to patient calls. The project was led by Paula Wyatt MA, BSN, RN-BC, 3 North manager, and Rebecca Glenn BSN, RN, 3 North clinical nurse leading to a simple redesign of care assignments by clustering assigned rooms and creating CNA care zones. This project required no additional FTE, or budget adjustments. The adjustment, allowed the nurses and nursing assistants to work more collaboratively, which has improved both communication and the unit’s responsiveness. The results are displayed in the table to the right.

60.0

58.0

56.0

54.0

52.0

50.0

48.0

HCAHPS Responsiveness of Hospital Staff - 3 North

Top Box (n=54) Top Box (n=52) Jan-Jun Jul-Dec

52.8

59.4

Luke Emerson, BSN, RN, CCCTMLuke was awarded the CCCTM of Distinction Award from the Academy of Medical-Surgical Nurses (AMSN). 2017 was the first year that this award was offered. Luke also gave a presentation at the AMSN conference regarding his work in transitions of care for trauma patients.

Crystal Vlastelic-St.John, MSN, RN-BCCrystal was awarded Nursing Innovation Nurse Leader by Nurse Leaders of Idaho for her work in improving care for behavioral health patients admitted to medical/surgical units.

Jane Spohn, BSN, RNJane was recognized as the 2017 Woman of Distinction in Healthcare by the Soroptimist organization for her contributions to woman’s health. They highlighted her work as a Sexual Assault Nurse Examiner.

Lynda Heise, BSN, RN-BCLynda was recognized by the International Nurses Association (INA) as a Worldwide Leader in Healthcare. The INA highlights and profiles the world’s top nurses, and this spotlight demonstrates Lynda’s success and leadership as a professional nurse.

Women’s Choice AwardThe Women’s Choice Award whose mission is to “give women a collective voice so that they can help each other identify brands, products and services that deserve the loyalty and referrals” recognized Kootenai Health as the only health care center in Idaho for Best Breast Center. They also recognized Kootenai Health as one of three Idaho facilities for Best Hospital for Cancer Care.

Levine Family Provides GrantDave and Julie Levine pledged $25,000 over five years to provide scholarship to train frontline nurses to be geriatric resource nurses (GRN) through the Nurses Improving Care for Healthsystem Elders (NICHE) program. Kootenai has participated in the NICHE program for three years.

Awards and Nursing Publications

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Publications

Coogle, Carlana (2017) Improving Emergency Severity Index Score with an Email: Can it be This Easy? Journal of Emergency Nursing Vol. 43, Issue 4, 60 – 61.

Wilson, M., Permito, R., English, A., Albritton, S., Coogle, C., Van Dongen H. (2017). Performance and sleepiness in nurses working 12-h day shifts or night shifts in a community hospital. Accident Analysis and Prevention, http://dx.doi.org/10.1016/j.aap.2017.09.023.

Riedy SM, English A, Albritton S, Burton J, Himmel M, Morgan P, Kadel KL, Van Dongen H, Wilson, M. (2017) Sleep Patterns During Duty Periods and During Off-Days Between Duty Cycles in Hospital Employees Working 12-Hour Night Shifts [abstract]. Abstract 0169 published in SLEEP, 40, A63.

Riedy, S.M., English, A., Albritton, S., Burton, J. Himmel, M., Morgan, P., Kadel, K.L., Van Dongen, H.P.A., Wilson, M. (2017). Sleep patterns during duty periods and during off-days between duty cycles in hospital employees working 12-hour night shifts. Poster presentation, SLEEP 2017, A joint meeting of the American Academy of Sleep Medicine and the Sleep Research Society, Boston, MA, June, 2017.

Presentations

Wyatt, Paula. Synergistically Building a Healing Environment. Accepted for poster presentation at the International Relationship-Based Care Symposium, Minneapolis, Minnesota, June 2017.

Mendenhall, Robert. Getting to the Heart of the Matter: Engaging all nursing staff in the creation of a Professional Practice Model. Accepted for poster presentation at the International Relationship-Based Care Symposium. Minneapolis, Minnesota, June 2017.

Ferguson, W., Coogle, C., Leppert, J. Local Anesthetic Systemic Toxicity (LAST): Designing an Educational Effort for Nurses that will LAST. Accepted for podium presentation at the Northwest PeriAnesthesia Nurses Association Conference, Anchorage, AK, September 2017.

Coogle, C., Suttlemyere, B., McIlvain, S., Lorincz, B. Nurses Partnering with Guest Services to Create a Safer Emergency Department. Accepted for poster presentation, Emergency Nurses Association Conference, St. Louis, Missouri, September 2017, ANCC National Magnet Conference ® Houston, Texas, October 2017, Idaho American Nurses Association Conference, November 2017.

Emerson, Luke. Medical-Surgical Nurses as Care Coordinators Creating Harmony Out of Cacophony to Improve Patient Outcomes. Accepted for podium presentation Academy of Medical-Surgical Nurses Annual Convention, Palm Springs, California, October 2017.

Miewald, C., Robinson, D. Leveraging Diversity of Community Partners for Crisis Care. Accepted for podium presentation ANCC National Magnet Conference® Houston, Texas, October 2017.

Coogle, Carlana. Improving Emergency Severity Index Score with an Email: Can it be This Easy? Accepted for poster presentation, Idaho American Nurses Association Conference, Boise, Idaho, November 2017.

Christen, Kimberly. Implementing a Specialty Pharmacy: Two Model Programs. Accepted for podium presentation, Association of Community Cancer Center, Washington, D.C. March 2017.

Emerson, L., Bussey, D., Rennison, J. Trauma Navigation: Putting the Broken Pieces Back Together is No Accident. Accepted for Poster Presentation at the TQIP Annual Scientific Meeting. Chicago, Illinois, November 2017.

English, A., Albritton, S., Burton, J., Himmel, M., Riedy, S.M, Morgan, P., Kadel, K.L., Van Dongen, H.P.A., Wilson, M. (2017). Drowsy healthcare workers in a business that never sleeps. Accepted for podium presentation, ANCC National Magnet Conference®, Houston, TX, October 2017.

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Presentations cont.

Burton, J., English, A., Albritton, S., Burton, J., Himmel, M., Riedy, S.M, Morgan, P., Van Dongen, H.P.A., Wilson, M. (2017). Measuring alertness in an acute care setting: A Health and Wellness priority. Accepted for poster presentation, Association of Occupational Health Professionals in Healthcare 2017 National Conference, Denver, CO, September 2017.

Riedy, S.M., English, A., Albritton, S., Burton, J. Himmel, M., Morgan, P., Kadel, K.L., Van Dongen, H.P.A., Wilson, M. (2017). The implications of a hospital break policy: A comparison of two regional hospitals using survey data. Podium presentation, 10th International Conference on Managing Fatigue, San Diego, CA, March 2017.

Riedy, S.M., English, A., Albritton, S., Burton, J. Himmel, M., Morgan, P., Kadel, K.L., Van Dongen, H.P.A., Wilson, M. (2017). Sleep patterns during duty periods and during off-days between duty cycles in hospital employees working 12-hour night shifts. Poster presentation, Inland Northwest Research Symposium, Spokane, WA, April, 2017.

Riedy, S.M., English, A., Albritton, S., Burton, J. Himmel, M., Morgan, P., Kadel, K.L., Van Dongen, H.P.A., Wilson, M. (2017). Sleep patterns during duty periods and during off-days between duty cycles in hospital employees working 12-hour night shifts. Poster presentation, GPSA research Exposition, Pullman, WA, March, 2017.

2017 Daisy Award Winners

1) Elizabeth Paddack, BSN, RN Critical Care

2) Clay Hudson, BSN, RN Critical Care

3) Lisa Rubinsky, BSN, RN 2 East

4) Andrew Kalley, BSN, RN, CPN Pediatrics

5) Yvette Roffe-Hiller, RN Emergency Department

6) Regina Allan, BSN, RN Care Management

7) Blaire Brady, BSN, RN Emergency Department

8) Andrew DePaul, BSN, RN PCU

In collaboration with:

1

2 3

45

6

7 8

1414

Graduates Degree DepartmentBrittany Payton BSN 1 North

Caralea Tanner BSN 1 North

Erika Spencer BSN 1 North

Karen Leoni BSN 2 East

Karen Bryan BSN 2 East

Kelly ONeal BSN 2 East

Kersten McDonald BSN 2 East

Amy Maykuth BSN 2 South

Lacey Bohannon BSN 2 South

Mary deTar BSN PCU

Brittany Markham BSN PCU

Cathy Waddell BSN PCU

Ellen Reed BSN PCU

Rebecca Rinaldi BSN PCU

Natalie Miller BSN Family Birth Center

Christy Stephens BSN Crisis Center

Aran Borgman BSN Critical Care

Shirley Miller BSN Critical Care

Christopher Gibbar BSN Emergency Department

John Bartlett BSN Emergency Department

Kaylene Wheeler BSN Emergency Department

Korrie Branson BSN Emergency Department

Sarah Holmbo BSN Emergency Department

Andria Macleod BSN Emergency Department

Joshua Burton BSN Employee Health

Raeleen Dorr MSN Family Residency

Dylan Williams BSN Critical Care

Jacquelyn Alexander DNP KC - Neurosurgery

Julie Crandall BSN KC - Neurosurgery

Ashley Spencer BSN KHCNW

Mariah Shinner BSN KHCNW

Mariah Thies BSN KHCNW

Crystal Vlastelic-St. John MSN Nursing Administration

Kelly Booth BSN Administration

Angelica Defelice BSN Family Birth Center

Chelsey Glenn BSN Operating Room

Mary Wagner BSN Specialty Procedures

Elizabeth Smith BSN Transfer Center

Regina Allan BSN Transitional Care

Connie Wadsworth-Harding BSN KBH - Youth

Leonard Fitzsimmons BSN KBH - Youth

Nursing Degrees for 2017

15

Graduates 2017 Certification DepartmentJulie Shaw ONC 1 North

Melissa Price ONC 1 North

Samantha Pickering ONC 1 North

Sara Brush ONC 1 North

Amanda Wallace ONC 2 East

Cassie Pedersen-Nordahl CMSRN Operating Room

Nicole Pool CMSRN 3 North

Jamie Tweedy PCCN PCU

Valerie Huggins RNC-OB Family Birth Center

Dylan Williams CCRN Critical Care

Jenna Hall CCRN Critical Care

Laura Van Voorhis CCRN Critical Care

Rachel Otey CCRN Critical Care

Kacie Klein CEN Emergency Department

Brandi McCurdy CCRN Emergency Department

Rose Mullgren CEN Emergency Department

Jennifer Wabs CMSRN Employee Health

Belinda Vanditto CVN Heart Center

Cheri Ward CVN Heart Center

Juanita Kelley CVN Heart Center

Kevin Dawson CVN Heart Center

Mary Taylor CVN Heart Center

Pamela Bertram CVN Heart Center

Pamela Kohn CVN Heart Center

Sharon Dutton CVN Heart Center

Cory Webster CIC Infection Prevention

Crystal Scott RN-BC Informatics

Merry Meghan RN-BC Informatics

Shelly Bewick RN-BC Informatics

Ana Getz RN-BC KBH Adult

Betsy Boyer RN-BC KBH Adult

Katherine Kooyman RN-BC KBH Adult

Morgan Reed RN-BC KBH Adult

Stephanie Meuhlhausen RN-BC KBH Adult

Debra Huegel-Reich OCN KC - Cancer Services

Julie Main OCN KC - Cancer Services

Luann Townsend OCN KC - Cancer Services

Pam Cysewski OCN KC - Cancer Services

Rosie Willy CPSN Kootenai Clinic

Jacquelyn Alexander ONC KC - Neurosurgery

Jacquelyn Alexander FNP-C KC - Neurosurgery

Lorietta Tuthill PCCN Nursing Resource Team

Meghan Smith CNML Family Birth Center

Shirleen Jacobs RNC-OB Family Birth Center

Tarah Livingston RNC-OB Family Birth Center

Michelle Woodworth CPN Pediatrics

Eric Johnson RN-BC KBH - Youth Acute

Kristine Carr RN-BC KBH - Youth Acute

Loreitta Tuthill PCCN-CMC Nursing Resource Team

Recognition: Acknowledgments/Achievments for 2017

208.625.4000 ❘ kh.org ❘ 2003 Kootenai Health Way ❘ Coeur d’Alene, ID 83814

WE BELIEVE IN

Our PatientsIt is a privilege to care for our patients, their families and our community. We believe in including patients and families as active participants in care, holistically integrating their unique needs into our plans and treatments.

Our TeamWe are committed to fostering a therapeutic healing and work environment that promotes respect, communication and collaboration among all members of the patient/ family/health care team.

Our OrganizationOur practice supports Kootenai Health’s mission to “improve health one patient at a time in a friendly and professional culture committed to providing superior safety and quality.”

Our ProfessionIntegrity and accountability are the foundation of our professional practice. We are committed to building a legacy of nursing excellence based on compassion, lifelong learning, evidence-based practice and research, innovation and professional development.