Journey of Excellence

2 0 1 7 a n n u a l n u r s i n g r e p o r t

I am very pleased to welcome you to New England Baptist Hospital’s overview of nursing excellence. Our Fiscal Year 2017 Annual Report demonstrates the collective efforts aimed at

supporting our professional practice model within the areas of expert caring, empowered leaders, quality achievement, innovation and lifelong learning. The accomplishments of nurses to advance orthopedic nursing have been exciting, demanding and fruitful. This report reflects the exceptional dedication and focus on professional nursing practice and the desire to deliver a higher level of care with tremendous patient quality and safety outcomes.

Numerous accomplishments are presented in this publication that highlights our remarkable nurses and their work to advance excellence in the nursing profession. Just over 400 NEBH nurses care for patients seeking musculoskeletal care in inpatient, ambulatory and surgical settings. We have clinical nurses as well as nurses in executive, educational and administrative roles.

At New England Baptist Hospital, we value the contributions nurses make to their patients and the profession. This publication shares with you our accomplishments and I hope you join me in a collective acknowledgement of the significant impact and outcomes realized. I am very proud to stand among and with NEBH nurses and I thank them for their dedication, expertise and collegiality.

Best,

Mary Sullivan Smith, MS, RN Senior Vice President, Chief Operating Officer, Chief Nursing Officer & Chief Compliance & Privacy Officer

New England Baptist Hospital is widely known for expert care, a commitment to excellence, and legendary patient experience. This recognition is due to the work and dedication of the entire team at the

Baptist. With steadfast commitment to our mission, we place our patients at the center of the care team as partners in the care process, in order to meet their needs for personalized, goal oriented care.

This year, we were proud to be recognized as one of America’s leading institutions for orthopedic care; and for the 10th year in a row, awarded top honors for providing outstanding patient service and satisfaction. We strive to sustain this level of performance and improve it by continuously raising the bar and learning how to become better at all that we do.

Our nurses bring a subspecialty expertise and professionalism in their practice to patient care at the Baptist. They are at the core of the treatment team, and leading our organization to new heights while inspiring others to do the same. As our nurses continue on the Journey of Excellence towards designation by the American Nurses Credentialing Center (ANCC) of Magnet Hospital recognition, I am excited about what the future holds for our organization, our team and most importantly, patients throughout New England.

Thank you!

Trish Hannon, MBA, RN, FACHE President and Chief Executive Officer

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

2

★★★★★Centers for Medicare and Medicaid

Services Five-Star Rated

Nursing Professional Practice ModelThis is a visual representation of NEBH’s Professional Practice Model. The model includes values and goals that define our professional nursing identity. The model captures the professional elements and identifies the what, how and why of what Baptist nurses do.

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

3

Model is surrounded by

the NEBH Mission

NEBH core values are at the center

of the model

The five elements of our nursing practice are

highlighted

Nursing Vision We will be recognized as a leader in exemplary nursing practice, compassionate care delivery, research and innovation. We will foster a professional practice environment that engages nurses in improving the quality of life for patients and in enhancing the clinical environment.

Nursing Mission Nurses will transform lives through an unwavering commitment to excellence in patient care and outcomes.

Empowered LeadersShared Decision Making

Preparing successful nurse leaders is a focus at New England Baptist. Our Nursing Strategic Plan aligns with the overall hospital plan and serves as a guide for short and long term goals, realizing possibilities and positioning ourselves as a leader in musculoskeletal care. The Nursing Strategic Plan includes priorities, key metrics, defined goals, and interventions all focusing on the identified key areas of the organization:

• ValueLeadership

• ClinicalProgramDifferentiation

• Culture

To lead progressive and transformative care, effective shared decision making is essential. To achieve and maintain strong leadership within nursing and specifically within our shared

decision making structure in 2017, we offered learning opportunities to expand the knowledge and experience base. Our goal is to anchor all nurses with leadership skills that are effective at the bedside through the boardroom. To this end, providing education and skills is an ongoing effort.

Assuring our co-chairs of our unit based councils and central councils are well equipped is necessary.Leveragingourin-houseexperts as well as external nursing experts aided this goal along with education and training sessions.

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

4

Haley Mason, BSN, RN, Clinical Nurse, 5 West

Unit Based Council and Central Council Members:

Unit Based CoUnCil

Chairs Members

5 West Lauren Kirk, BSN, RN

Castella Edward, MSN, RN

Haley Mason, BSN, RN

5 East Lauren Jasminski, BSN, RN

Kate Elias, BSN, RN

Tricia Peters, BSN, RNDante Mendoza, BSN, RN

Intensive Care Unit

Ginny Williams, MSN, RN

Sue DeBerardinis, BSN, RN

Ann Ell, BSN, RNNick Kastanek, BSN, RNSam Babchuck, BSN, RN

4 West Jensen McKee, BSN, RN

Laura Morgan, BSN, RN

Lauren Callahan, BSN, RNJill Wasylow, BSN, RNErin Rull, BSN, RN

4 East Lisa Spenser, BSN, RN

Alyssa Ruta, BSN, RN

Paula Cote, BSN, RNStacy Bottary, BSN, RNChristina Riccio, BSN, RN

Bond Chris Bell, MSN, RN

Tricia Fitzgerald, BSN, RN

Mary Dillion, RNHelen Bartkow, RN

Operating Room Maryanne Cole, MSN, RN

Kate Doller, RN

Sherry Gomes, BSN, RNJacquelyn McManus, BSN,

RNKristina Rutherford, BSN, RNLauren Townsend, BSN, RNCaroline Davey, BSN, RNKate Pelgrin, BSN, RN

Post-Anesthesia Care Unit

Melanie Hughes, BSN, RN

Jayne Campbell Beaudet, BSN, RN

Susan Boudreau, RNJennifer Weaver, BSN, RNCiara Lordan, BSN, RN

Pre-Admission Screening

Marcia Robertson, BSN, RN

Jan Mills, MSN, NP

Cathy Botts-Deegan, RNMargaret Rice, APN

Dedham/Pain Jeanne Capone- McCabe, BSN, RN

Janet Bridges, BSN, RN

Marci Kling, BSN, RNJane Donegan, BSN, RNMarie Reed, RNJoanne Petrillo, BSN, RN

Professional PraCtiCe CoUnCil

Chairs Members

5 West Andrea Machado, BSN, RN

Sherry Gomes, BSN, RN

Sharon Connolly, BSN, RN

Margaret McCarthy, MSN, RNCastella Edward, MSN, RN

5 East Lauren Jasminski, BSN, RN

Intensive Care Unit

Sue DeBerardinis, BSN, RNKeri O’Brien, JD, BSN, RN

4 West Jensen McKee, BSN, RNLaura Morgan, BSN, RNCathy Donovan, MSN, RN

4 East Paula Cote, BSN, RN

Bond Chris Bell, MSN, RN

Operating Room Joanne Cassiani, BSN, RNBarbara McKinnon, BSN, RN

Post-Anesthesia Care Unit

Melanie Hughes, BSN, RNDenise Cody, MSN, RN

Pre-Admission Screening

Sheila Querfurth, MSN, NP

Dedham/Pain Janet Bridges, BSN, RNJane Donegan, BSN, RNMarie Reed, RN

Information Technology

Rhonda Adams, MSN, RN

Nursing Office Sharon Connolly, BSN, RN

IV Gloria Cottreau, RN

Coumadin Noreen Howie, BSN, RN

Quality + Patient Safety

Lauren Koloski, MSN, RN

Case Management

Janet Niccoli, RN

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

5

Continued on next page

JoUrney of exCellenCe CoUnCil

Chairs Members

5 West Margaret McCarthy, MSN, RN

Joanne Petrillo, BSN, RN

Lauren Kirk, BSN, RN

5 East Kate Elias, BSN, RN

Intensive Care Unit

Ginny Williams, MSN, RN

4 West Laura Morgan, BSN, RN

4 East Lisa Spencer, BSN, RNAlyssa Ruta, BSN, RN

Bond Chris Bell, MSN, RNTricia Fitzgerald, BSN, RN

Operating Room Maryanne Cole, MSN, RN

Post-Anesthesia Care Unit

Jennifer Weaver, MSN, RN

Pre-Admission Screening

Janet Mills, MSN, NP

Dedham Jeanne Capone McCabe, BSN, RN

Case Management

Patti Holbling, RN

Quality + Patient Safety

Lauren Koloski, MSN, RN

Nursing Leadership

Mary Sullivan Smith, MS, RNTricia Ide, MS, RN

QUality & Patient safety CoUnCil

Chairs Members

5 West Katie Corrigan, MSN, RN

Lauren Koloski, MSN, RN

Haley Mason, BSN, RN

5 East Dante Mendoza, BSN, RN

Intensive Care Unit

Sue DeBerardinis, BSN, RN

4 West Jensen McKee, BSN, RNLaura Morgan, BSN, RN

4 East Alyssa Ruta, BSN, RN

Bond Tricia Fitzgerald, BSN, RN

Operating Room Sherry Gomes, BSN, RNTerri Corina, RN

Post-Anesthesia Care Unit

Jennifer Weaver, BSN, RN

Pre-Admission Screening

Sheila Querfurth, MSN, NP

Dedham Marci Kling, BSN, RN

Quality + Patient Safety

Alyssa Powers, MEDTricia Ide, MS, RN

Coordinating CoUnCil

Chairs Members

Tricia Ide, MS, RN

Lauren Kirk, BSN, RNMargaret McCarthy, MSN,

RNLauren Jasminski, BSN,

RNKate Elias, BSN, RNGinny Williams, MSN, RNSue DeBerardinis,

BSN, RNJensen McKee, BSN, RN

Laura Morgan, BSN, RNLisa Spencer, BSN, RN Chris Bell, MSN, RNTricia Fitzgerald, BSN, RNMaryanne Cole, MSN, RNMelanie Hughes, BSN, RNJayne Campbell Beaudet,

BSN, RNMarcia Robertson, BSN,

RN

Jan Mills, MSN, NPJanet Bridges, BSN, RNJeanne Capone McCabe,

BSN, RNJoanne Petrillo, BSN, RN Katie Corrigan, MSN, RNLauren Koloski, MSN, RNCastella Edward, MSN,

RN

Andrea Machado, BSN, RN

Mary Sullivan Smith, MS, RN

Gail Sebet, MSN, RNJudi Moscatel, MSN, RNCathy Donovan, MSN, RNBarbara McKinnon, BSN,

RNMarybeth Hamilton, MSN,

RN

Keri O’Brien, JD, BSN, RNDenise Cody, MSN, RNSheila Querfurth, MSN,

NPAlyssa Ruta, BSN, RNKate Doller, RNSherry Gomes, BSN, RNSharon Connolly, BSN, RN

Unit Based Council and Central Council Members: continued

nUrsing researCh and evidenCe Based PraCtiCe CoUnCil

Chairs Members

Chris Bell, MSN, RN

Tricia Ide, MS, RNBetsey DraperMarcia Robertson,

BSN, RN

Keri O’Brien, JD, BSN, RNMargaret McCarthy,

MSN, RN

Linda Cunningham, BSN, RN

Joanne Petrillo, BSN, RN

Ann Ell, BSN, RNSusan Boudreau, RN

Gina Ursoleo, RN Maryanne Cole, MSN, RN

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

6

MEASUREMeasure

performance & understand

causes

SUSTAINEnsure

accountability for sustaining

the gains

NEBHContinuous

Improvement

AIMDefine the smart goal,

team & plan

CHANGEPlan Do

Study Act

The delivery of high quality safe patient care is a central focus for New England Baptist. Nurses make an essential contribution to quality outcomes through clinical practice, research and leadership. Improvement of patient outcomes has been our top priority. The Quality and Patient Safety Council and the Unit Based Councils have taken the lead to improve nurse sensitive indicators and overall care at NEBH. Measures such as falls, pressure incidents, urinary tract infections and pain are constantly tracked, trended, analyzed and addressed. We learn from opportunities and leverage them to be better tomorrow than today.

We introduced our Continuous Improvement (CI) methodology house-wide and nursing quickly adopted the use of our CI roadmaps. These are a one page summary of improvement work every unit based council is involved with and is making a difference in the care patients receive.

Quality initiatives are a reflection of putting our patients first. By utilizing our CI methodology and tools, having available and useful data, leveraging evidence based best practices and leadership support — we are impacting the care we deliver. Creating standard practices that are effectively adopted and deployed promotes efficient, reliable and safe care.

Quality Achievement

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

7

ICU Clinical Nursing Staff (left to right): Bea Weisberger, BSN, RN; Ann Ell, BSN, RN; Ginny Williams, MSN, RN; Shannon Traft, BSN, RN

AIM

SUSTAIN

CHANGE

MEASURE

•Utilizenew“SharpSafetyisEveryone’sResponsibility”Actionlist,whichispostedineveryOR.

•JudiMoscatelwillsende-mailtoORstaffconfirmingadoptionofactionlist.

•Actionlistwaslaminatedandposted.

•Staffreadandsignedcurrentactionlistinplacetoimprovesharpsafetyforaccountability.

•CirculatingRNtoincludesharpsawarenessatdebriefing

•AnnBurnsandJeanneCaponeMcCabewillreviewhipscopesharpsafetyatastaffmeeting-DateTBD

•NewORtechsstarting10/2/17andwillbeeducatedre:thispracticestandard.

7. follow-UpHow will this change be sustained?•Continuetomonitormonthlyandfollowupifnecessary

•Metgoalofdecreasingby50%socontinuetomonitortosustain

•Shareresultswithstaff

1. Background Why are you talking about it?TheDedhamsitenoticedanincreaseinsharpsgoingtoCentralSupplyfromtheORinQuarter3FY16

3. smart goalWhat outcome is required?ReducesharpsgoingtoCSPDby50%byQuarter12017

2. Current state Where things stand today.WhenthishappensareportisdoneinRLsolutions

5. Proposed Countermeasures

•Continuetosharefindingswithstaffandelicitsuggestionsforsolutions

•Continuetoreinforceeducationwithstaffre:sharpsafety

•ContinuetoenterallincidentsintoRLsolutions

•Followupwithindividualsresponsible

•Progressivedisciplinaryactionasneeded

6. Plan Who needs to do what by when?

4. analysisWhat’s the top root cause?

CI Roadmap: Sharp Safety Owner: New England Baptist Outpatient Care Center

Dedham: types of events related to sharps in OR-CSPD

Bladeorneedlelefton

Surgicalbladeinwater

Needlestick

Sharpattached

Sharpfoundincasecart

10

8

6

4

2

0

Goal<3

Needle sticks and exposure/splash DedhamQ3FY16Baseline

Sharps Issues: Dedham, Ambulatory Surgery

9

1

6 Incidents

Q1FY17

1Q1FY17

0Q2FY17

1

1

3

Q4FY16

1

3

Q3FY16

1

4

1

Q3FY17

1

1

2

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

8

1 Hospital Consumer Assessment of Healthcare Providers and Systems, Source: Press Ganey

2 Press Ganey, National Database of Nursing Quality Indicators

3 Source: National Healthcare Safety Network (NHSN)4 Premier Inc., National Quality Database 2016 Overall Top Performer 3M5 Press Ganey, National Database of Nursing Quality Indicators

1.35

1.44

0.00

1.51

1.38 0.92

FY2016

FY2016 FY2016

Total hip replacement

Benchmark: <1.000

0.187 0.150FY2016 FY2017

Total knee replacement

Benchmark: <1.000

0.290 0.320

FY2016 FY2017FY2017

FY2017 FY2017

Hospital acquired pressure injury prevalence study: Stage 2 and aboveNEBH vs. NDNQI All Hospital Peer Group5

FY2016 FY2017

99 99

NEBH Percentile Ranking

FY2016FY2016 FY2017FY2017

HCAHPS1 — Percent of patients who responded “Always”NEBH vs. Press Ganey Large Database Peer Group2

72

91.189

72.8

2.73

3.51 1.36

95.293.4

Overall RatingLikelihood to recommend

Surgical site infections Standardized Infection Ratio (SIR)3

Infections that were not present or incubating at the time of admission to the hospital that occur within 90 days of surgery.

Falls per 1,000 patient daysNEBH vs. NDNQI All Hospital Peer Group2

Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) per 1,000 patientsNEBH vs. Premier Top Performer hip, knee, spine4

LOWeris better

LOWeris better

HIGHeris better

LOWeris better

LOWeris better

Number of hospital acquired Stage 2 or Above pressure injuries per number of patients assessed

Quality Data

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

9

6 Source: National Healthcare Safety Network (NHSN)7 Premier Inc., National Quality Database8 Premier Inc., National Quality Database

9 Premier Inc., National Quality Database9 Premier Inc., National Quality Database

Due to a combination of case complexity, a high volume of revisions, and sending most patients home, length of stay for knee and spine patients is slightly higher than the national rate.

CAUTI Utilization RatioNEBH vs. NHSN Surgical Unit Type 6

LOWeris better

LOWeris better

LOWeris better

Discharges to Home/Home CareNEBH vs. Premier Massachusetts Hospitals 7

LOWeris better

FY2016 FY2016FY2016 FY2017 FY2017FY2017

2.08

2.872.943.233.06

3.53

2.71

2.072.28

Knee SpineHip

Average Length of StayNEBH vs. Premier 2016 Overall Top Performer 3M8

30-Day Unplanned Readmission Rate — Hip, Knee, SpineNEBH vs. Premier 2016 Overall Top Performer 3M9

30-Day Unplanned Readmission Rate— All DiagnosisNEBH vs. Premier 2016 Overall Top Performer 3M10

FY2016

FY2016 FY2016

FY2016FY2017

FY2017 FY2017

FY2017

0.23

3.49 8.04

78

0.17

790.21

0.59

79HIGHeris better

0.310.470.74

Quality Data

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 0

Fostering the generation and implementation of knowledge to support evidence based practice and research for nurses as well as the integration of collaboration with academic partners invigorate the practice environment. The Nursing Research Council has led the effort to engage, ignite and foster nursing research activities.

Nursing Research

“Sustained Impact of Blood Management Strategies in Orthopedics: Continuous Quality Improvement”Michelle Deeney, BSN, RN, CNOR Linda Levinus, MLS (ASCP), CQA (ASQ), RABT

Poster PresentationsASPAN, 2017

“Identifying the Barriers to Using Research at an Orthopedic Specialty Hospital”Christine Fournier Bell, MSN, RN, CAPA, WCC and NEBH Nursing Research Council

“Oral Tranexamic Acid Reduces Transfusions and Operating Room Time in Total Knee Arthroplasty”Christine Fournier Bell, MSN, RN, CAPA, WCC

Innovation

CUrrent nUrsing researCh aCtivities

Research Title Principle Investigator

Pre-operative Screening Urinalysis Practice Change and Its’ Effect on Surgical Site Infections and Catheter Associated Urinary Tract Infections in an Orthopedic Population

Christine Bell, MSN, RN

Understanding Pre-Operative Patient Education (Patient Education for TKR)

Tricia Ide, MS, RN

Identifying Contributing Factors of Presyncopal Episodes in Post-Operative Patients

Ann Ell, BSN,RN

Pre-Operative Warming and Its’ Effects on Meperidine Usage in the PACU

Linda Cunningham, BSN, RN

Door Opening in the Operating Room Associated with Increased Environment Contamination

Linda Cunningham, BSN, RN

Identifying Nurses’ Perception of Barriers to Research at an Orthopedic Specialty Hospital

Christine Bell, MSN, RN

The Effects of a Skin Barrier Film Product on Incidence of Post-Operative Skin Blister Development in Spine Surgery: A Randomized Study

Maryanne Cole, MSN, RN

Oral Tranexamic Acid Reduces Transfusion in Knee Arthroplasty Christine Bell, MSN, RN

The Effects of Patient Controlled Pre-Operative Warming

Linda Cunningham, BSN, RN

Blood Pressure Cuff and Electrocardiographic Telemetry Lead Disinfection using Hydrogen Peroxide 0.5% Wipes

Erika Giovanniello, BSN, RN

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 1

NEBH is a learning organization with a mission that focuses on teaching and education. Nurturing a learning environment to promote professional practice is a foundational cornerstone within nursing. To support the mission, benefits are offered to employees to support them in advancing their education. A highly educated nursing workforce accelerates and stabilizes the quality of care delivered, realizes exceptional patient outcomes and contributes to nursing research that advances the profession.

The landmark report from the Institute of Medicine titled “The FutureofNursing:LeadingChange, Advancing Health” has spurred national action to change nursing education, practice and leadership. In response to this, NEBH has aligned our nursing strategic goal regarding education levels, certification and training.

NEBH Nurses by the numbers

402 Registered Nurses

251 Bachelors of Science in Nursing

47 Master’s

147 Professional Certifications

54 RNs oriented in FY2017

45 Senior preceptorships

19 Clinical student group placements

7 NEBH RNs were clinical instructors

Partnerships with Schools of Nursing:

• BostonCollege

• CurryCollege

• EmmanuelCollege

• EndicottCollege

• FitchburgState

• MassachusettsGeneralHospital Institute of Health Professions

• MassachusettsCollegeofPharmacyandHealthSciences

• NortheasternUniversity

• RegisCollege

• SimmonsCollege

• UniversityofMassachusetts,Boston

• UniversityofMassachusetts,Dartmouth

• UniversityofMassachusetts,Lowell

Lifelong Learning

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 2

Sam Babchuck, BSN, RN, Clinical Nurse, ICU

A highly educated nursing workforce accelerates and stabilizes the quality of care.

Sue DeBerardinisAnexcerptfromher2017exemplar

When I decided which patient to use for my exemplar, I came across a quote which I believe embodies how this clinical situation caused me to reflect and serve as a model of excellence in my clinical practice. In the words of Benjamin Franklin, “Tell me and I forget, teach me and I may remember, involve me and I learn.”

At NEBH we are committed to, and focused on, improving patient outcomes and decreasing length of stay through evidenced based practice. Being actively involved in the Magnet Journey has given me the opportunity to be directly involved in the processes necessary to continuously look at ways to improve nursing practice. This clinical situation highlighted for me an area of improvement which could be examined and improved in the ICU.

Mr. C was an 85 year old gentleman who underwent an elective right total knee replacement. This gentleman had an extensive past medical history with many serious comorbidities including atrial fibrillation with long term anticoagulation, pleural effusions, lymphadenopathy, alcoholic cirrhosis and venous insufficiency.

Expert Caring

Mr. C’s postop course was complicated by persistent bleeding into the operative site requiring multiple blood transfusions with persistently high INR levels. The patient developed increasing shortness of breath despite receiving diuretics, as well as an elevated white blood count. A CT scan revealed bibasilar opacities. He was started on Zosyn for aspiration pneumonia. He also developed further confusion and a worsened hematoma at the operative site. His lactate level was elevated and he was hypotensive requiring transfer to the ICU for closer evaluation and monitoring.

Improving the critical thinking of the ICU staff independent of the LicensedIndependentPractitioner(LIP)isofutmostimportanceasnurses have been and will be a “fail safe” when it comes to patient care. It is critical that nurses recognize diagnoses which others may not recognize and/or may not have considered and make suggestions in regard to patient care. This is an integral part of being a member of the interprofessional team.

Now comes the exciting part, what changes can we make to address the areas in need of improvement in the ICU? This will involve not only education but also self-reflection and reinforcement of clinical scenarios to keep them in the forefront of the nurses minds for future reference. In addition we need to support and empower the

less experienced nurses to approach theLIPinarespectful,assertivemanner. It became clear to me from the start this would require help from the intensivist, Nurse Educator, Nurse Manager, CN3s and CN4s in the ICU.

The first area for improvement was education. One problem I noticed right away was that the Sepsis Algorithm was not available on the intranet under the organizational policies and procedures. I discovered a policy and procedure for sepsis didn’t exist and the algorithm was difficult to locate. Upon further discussion we decided we would develop a policy and procedure for sepsis, thus making a reference easily accessible to the nursing staff. We also posted the Sepsis Algorithm and flyer in highly visible areas of the ICU and sent out an email to the staff with

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 3

Sue DeBerardinis, BSN, RN, CCRN, Clinical Nurse, ICU

Continued on next page

Expert Caring,continued

references included. I approached the educator and suggested we have the staff nurses develop and present a case study based on Mr. C. I believed this would serve the dual purpose of self-reflection for the nurses directly involved as well as education for the rest of the staff about a clinical experience they may encounter in the future. We also decided we would reinvigorate ICU case study presentations using the model NEBH has adopted since it was so well received by the staff nurses. I will also be suggesting we keep these case studies in a central location as reference for future situations as well as a refresher/reminder.

I believe education by peers is an extremely effective tool. I am heavily involved in preceptorship, mentorship and education of nurses at NEBH. This clinical experience made me take a closer look at how we can better lend support to less experienced practitioners. It is a delicate practice to hold people accountable in a way that doesn’t feel punitive. I try to achieve this through “teachable moments.” In the instance with Mr. C, during the day shift following his arrival in the ICU, I collected the sepsis resources from NEBH as well as updated 2017 SCCM guidelines. I gathered the staff around during a lull in activity and held an informal discussion about his symptoms, labs etc. We reviewed the algorithm together and applied it to the patient. The nurses immediately began to see that he fit the Severe Sepsis/Septic Shock criteria. Upon further analysis they were able

to see which interventions were and/or should’ve been applied. By sharing in this experience together I believe the staff was more relaxed and able to absorb and retain the information. They were able to see how teamwork benefits everyone. Although nurses are assigned to care for a particular patient we are part of a team working together to improve patient care.

This experience really highlighted for me the need to continuously reinforce education and support peers in their quest for improved patient outcomes. As a more experienced nurse, I have an obligation to support and empower my younger colleagues to continuously improve and refine their practice. In doing so, it causes me to examine my own practice and areas for improvement. No matter what your age or experience, we are continuously learning and growing.

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 4

Castella Edwards, MSN, RN, Clinical Nurse, 5 West

This clinical experience made me take a closer look at how we can better lend support to less experienced practitioners. It is a delicate practice to hold people accountable in a way that doesn’t feel punitive.

2017 Nursing Excellence AwardsNational Nurses Week was celebrated May 6 through May 12. The week celebrates the role nurses play in delivering high quality care to patients. Congratulations to all who were recognized!

Nurses as LeadersAnn Callahan, BSN, RN, ONC, Clinical Nurse, OR

Jan Woodbury Sliby, MSN, RN, Excellence in Clinical Nursing Practice and Department AppreciationPetyaPapazova,MSN,APRN,HospitalistTeam

Mary Sullivan Smith, MS, RN, Spirit of InquiryKatieCorrigan,MSN,RN,ONC,QualityPerformanceManager

Nurses as Teachers SusanBoudreau,RN,ClinicalNurse,PACU

Empowered Leaders

N E B H A n n u a l N u r s i n g R e p o r t 2 0 1 7

1 5

125 Parker Hill AvenueBoston, Massachusetts 02120617.754.5000www.nebh.org

New England Baptist Hospital is a regional and national center of excellence for orthopedic care. The hospital is a teaching affiliate of Tufts University School of Medicine and conducts teaching programs in collaboration with Harvard Medical School.

The 2017 Annual Nursing Report was produced by the Office of Public Affairs at New England Baptist Hospital.

Office of Public Affairs New England Baptist Hospital 125 Parker Hill Avenue Boston, MA 02120617-754-5400

© 2018 New England Baptist Hospital. All rights reserved.

• Resto r in g Fun c t io n • Le ss e n i n g D is a b i l i ty • A

l l evi

a ti n

g Pa

in •

Prom

ot ing Wel lness • Advancing Knowledge

Expert

Caring

Innovation

LearningLifelong

Achievem

ent

Quality

Empowered

Leaders

OWNERSH

IPEX

CEL

LENC

ESU P E R I O R S E R V I C

ERESPECT