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My Contribution Status 2010 - 2012 Name Department Date Nursing Education Received Project Title of My Professional Contribution Date Council Reviewed Contribution Contribution Approved Y/N (if no, see Recommend ation Section) Date Contribution Approved √ = My Contribution ANA Form Completed & Turned In **Requirem- ent as of November 2011** Recommendations Date Project Sent to Elaine Panza for CNO Signature Date Terri Pellegrino Retrieved Contribution from Elaine with CNO signature Comments Zenone, Vittoria 3B 9/20/2010 Annual Outcome Report 2009 "Meeting the Psychosocial Needs of the Inpatient at UPMC St. Margaret" 9/24/10 This is last year's project (2009) - just needs signed by Rose Gaglia 9/24/2010 Zenone, Vittoria 3B 9/20/2010 Annual Initiation 2010: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH" 9/24/10 Y 9/24/2010 9/24/2010 Zenone, Vittoria 3B 10/17/2011 Annual Outcome 2010: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH" 10/28/11 Y 10/31/2011 12/6/2011 12/7/2011 Zenone, Vittoria 3B 1st submission received: 10/17/2011. 2nd submission received: 11/17/11. Annual Initiation 2011: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH" 1st submission reviewed: 10/28/11. 2nd submission reviewed: 11/18/11. Y 11/18/2011 1st submission recommendation s: Redefine purpose & narrow down the focus. 2nd submission recommendation s: Clarify if this is for 3B or housewide & do new lit search. 12/6/2011 12/7/2011 Kastelic to return contribution to Vicki & mentor her. 2nd submission comments: Approved but with modifications. Wendy will continue to mentor her. Contribution needs signed by employee and UD & after it is signed will be given to Terri Pellegrino to forward to Mary for signature. Update: On 12/5/11, Vicki delivered revised, signed contribution to Terri.

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Page 1: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Zenone, Vittoria

3B 9/20/2010 Annual Outcome Report 2009 "Meeting the Psychosocial Needs of the Inpatient at UPMC St. Margaret"

9/24/10 This is last year's project (2009) - just needs signed by Rose Gaglia

9/24/2010

Zenone, Vittoria

3B 9/20/2010 Annual Initiation 2010: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH"

9/24/10 Y 9/24/2010 9/24/2010

Zenone, Vittoria

3B 10/17/2011 Annual Outcome 2010: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH"

10/28/11 Y 10/31/2011 12/6/2011 12/7/2011

Zenone, Vittoria

3B 1st submission received: 10/17/2011. 2nd submission received: 11/17/11.

Annual Initiation 2011: "Meeting the Spiritual Needs of the Inpatient of 3B Unit at UPMC SMH"

1st submission reviewed: 10/28/11. 2nd submission reviewed: 11/18/11.

Y 11/18/2011 √ 1st submission recommendations: Redefine purpose & narrow down the focus. 2nd submission recommendations: Clarify if this is for 3B or housewide & do new lit search.

12/6/2011 12/7/2011 Kastelic to return contribution to Vicki & mentor her. 2nd submission comments: Approved but with modifications. Wendy will continue to mentor her. Contribution needs signed by employee and UD & after it is signed will be given to Terri Pellegrino to forward to Mary for signature. Update: On 12/5/11, Vicki delivered revised, signed contribution to Terri.

Page 2: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

On 12/6/11, Terri gave contribution to Elaine for Mary to sign. Update: On 12/7/11, Terri gave contribution to Wendy to return to Vicki.

Brannagan, Bonnie

4B 10/15/2011 Annual Initiation 2011: Improving Pain Management Scores on 4B

10/28/2011 Y 10/28/2011 √ Delete last statement of purpose & restate as - The purpose is to develop a pain education program for 4B nurses based on current HCAPS & Press Ganey results. Delete "and patient" from methodology education statement. Ask for timeline for methodology.

10/31/2011 Janine Sharer to mentor. 11/2/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer.

Dzvonick, Donna

4B 4/21/2011 Annual Outcome Report 2010: "Nursing Care of the Patient with a Peripheral Nerve Block"

4/22/2011 Y 4/22/2011 4/22/2011

Page 3: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Dzvonick, Donna

4B 4/21/2011 Annual Initiation 2011: "Nursing Care of the Patient with a Peripheral Nerve Block"

4/22/2011 Y 4/22/2011 √ Need to include audit and specify what is being audited

4/22/2011

Runco, Margaret

4B 3/28/2011 Annual Outcome Report 2010: "Joint Replacement Class for Preop Patients and Their Families"

4/22/2011 Y 4/22/2011 4/22/2011

Runco, Margaret

4B 1st submission received on 3/28/2011. 2nd submission received on 5/4/11.

Annual Initiation 2011: "Center of Excellence of Orthopedics Perioperative Joint Replacement Class & Patient Follow Up"

1st submission reviewed on 4/22/2011. 2nd submission to be reviewed on 5/27/11.

1st submission not approved at 4/22/11 meeting Y -revision approved 5/27/11

5/27/2011 √ 1st submission recommendations: Needs to do more - update class, evals and be specific with updates. 2nd submission recommendations: Approved with pending recommendations: Change focus to the class follow-up; make changes to class based on patient input; measure satisfaction based on follow up tool.

Terri gave to Elaine 5/31/11 for Mary to sign.

6/1/2011 1st submission comments: Contribution placed on Janine Sharer's desk on 4/22/11 for Janine to review with Margaret. 2nd submission comments: 6/1/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Margaret.

Page 4: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Olszewski, Roberta

5A 1st submission received on 8/26/2010. 2nd submission received on 9/20/10.

Annual Initiation 2010: "Discharge Instructions for Patient's Receiving Chemotherapy"

1st submission reviewed on 8/27/2010. 2nd submission reviewed on 9/24/10.

1st submission not approved at 8/27/10 meeting. Y - revision approved 9/24/10.

9/24/2010 1st submission recommendations: Needs to be more specific with methodology & measurements.

9/24/2010 1st submission comments: Terri Pellegrino was on vacation when contribution was received in Nursing Education; therefore, it was not scanned prior to panel review and not placed into SharePoint. Diane Corr to return contribution to Roberta with explanation.

Jaecke, Pam 5B 8/26/2010 Annual Initiation 2010: "Competency Coordinator"

8/27/2010 Y 8/30/2010

Jaecke, Pam 5B 8/26/2010 Annual Outcome Report (Completed Project for 2009) "Peritoneal Dialysis"

8/27/2010 This is last year's project (2009) - just needs signed by Rose Gaglia

8/30/2010

Jaecke, Pam 5B 9/8/2011 Annual Outcome 2010: "Competency Coordinator"

Y 9/23/2011 9/23/2011 √ 9/26/2011 9/29/2011 9/30/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Anna Kalafut.

Page 5: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Jaecke, Pam 5B 9/8/2011 Annual Initiation 2011: "Medical Surgical Nursing Certification Champion"

Y 9/23/2011 9/23/2011 √ Identify timeline

and how binder

will be utilized.

Can offer

classes to other

units.

9/26/2011 9/29/2011 9/30/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Anna Kalafut.

Kijowski, Lynn 5B 1st submission received on 8/26/2010. 2nd submission received on 9/23/10

Annual Initiation 2010: "Increasing Attendance Unit Based PPC"

1st submission reviewed on 8/27/2010. 2nd submission reviewed on 9/24/10.

1st submission not approved at 8/27/10 meeting (can be promoted if needed - evaluation not due yet). Y - revision approved 9/24/10.

9/24/2010 1st submission recommendations: Needs to be more specific.

9/24/2010 1st submission comments: Terri Pellegrino was on vacation when contribution was received in Nursing Education; therefore, it was not scanned prior to panel review and not placed into SharePoint. Kim Klamut returned contribution to Lynn with explanation.

Kijowski, Lynn 5B 6/20/2011 Annual Outcome Report 2010: "Further Development of a Unit Based Professional Practice on 5B"

6/24/2011 Y 6/24/2011 6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution and made a copy for HR. Anna will return it to Lynn.

Page 6: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Kijowski, Lynn 5B 6/20/2011 Annual Initiation 2011: "Further Development of a Unit Based Professional Practice on 5B"

6/24/2011 Y 6/24/2011 Focus on NDNQI as measurement baseline. Survey staff at end of project with NDNQI measurements to see outcome. Eliminate HCHAPS measurement & focus on staff.

6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution and made a copy for HR. Anna will return it to Lynn.

Holmes, Kim 4A Resource

5/28/2010 Annual Initiation 2010: "Save Our Skin"

5/28/2010 Y 5/28/2010 Broaden scoring tools to include HAPU

5/28/2010

Holmes, Kim 4A Resource

6/24/2011 Annual Outcome 2010: "Save Our Skin"

6/24/2011 Y 6/24/2011 6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Kim Klamut to return to Kim Holmes.

Holmes, Kim 4A Resource

6/23/2011 Annual Initiation 2011: "Save Our Skin Education, Bedside Tool & Treatment Protocol"

6/24/2011 Y 6/24/2011 6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Kim Klamut to return to Kim Holmes.

Hanselman, Patricia

6A 8/24/2011 Annual Initiation 2011: "Best Practice for Post Operative Vital Signs Using EBP"

8/26/2011 Y 8/26/2011 Add specific mention of 6A in the purpose. Add 6A's previous standards of care and the modifications.

8/26/2011 8/29/2011 8/29/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Diane Corr. Diane will give contribution to Lisa Lehman at the HUC meeting today.

Page 7: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Sulkowski, Christine

6A 7/26/2010 Annual Initiation 2010: "Improved Glycemic Control in Post Op Patient"

7/26/2010 Y 7/26/2010 See comment section

Contribution was not reviewed at regularly scheduled review panel meeting nor was it scanned & placed on SharePoint. On 7/26/10: Diane pulled a group of 5 together to review consisting of herself, Cathy B., Kim Klamut, Wendy Kastelic & Amy Haugh. Contribution needs signed by Lisa Lehman. On 7/27/10: Diane delivered contribution to Lisa with instructions to forward to Elaine for Rose's signature.

Mains, Karen 6A 7/26/2011 Annual Outcome Report 2010: "Support the Use of a Stress Management Program & Restoration Room in Reducing Nursing Stress"

7/26/2011 Y 7/22/2011 Be sure to present to Throughput Committee any data gathered to initiate policy change.

7/25/2011 7/26/2011 7/26/11: Terri Pellegrino gave contribution to Diane Corr to return to Karen.

Mains, Karen 6A 7/22/2011 Annual Initiation Form 2011: "The Right Time to Move"

7/22/2011 Y 7/22/2011 Be sure to present to Throughput Committee any data gathered to initiate policy change.

7/25/2011 7/26/2011 7/26/11: Terri Pellegrino gave contribution to Diane Corr to return to Karen.

Page 8: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Pettigrew, Jerome

6B 1/26/2012 Annual Initiation Form 2012: "Suctioning Competency Champion"

1/27/12 Y 1/27/2012 √ Make PowerPoint read & sign for al staff. Stress that it is the RNs responsibility.

1/27/2012 2/2/2012 2/2/12 Terri Pellegrino scanned contribution and made a copy for HR. Kim will return it to Jerry.

Sproul, Rebecca

Cardiac Cath Lab

12/23/2010 Annual Initiation 2010- 2011: "Cardiology Department Quarterly Newsletter"

1/28/2011 Y see recommen-dation section

1/28/2011 Touch base with Steve Gardner in the ED. He puts out a newsletter for the ED staff and can assist Rebecca with ideas, etc.

1/28/2011

Hitrik, Kim ED 8/10/2011 Annual Outcome 2010: "NIH Stroke Scale"

8/26/2011 Y 8/26/2011 8/26/2011 8/29/2011 8/29/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer.

Page 9: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Hitrik, Kim ED 8/10/2011 Annual Outcome 2011: "Educational Liaison for ED"

8/26/2011 Y 8/26/2011 Title: Change title to NIH Stroke Scale Educational Champion for the ED. Purpose: Add dysphagia screening tool of the NIH Stroke Scale. Methodology: Current data of compliance compare to past ed. data. Change target of 100% completion.

8/26/2011 8/29/2011 8/29/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer.

Schaffhauser, Meaghan

ED 5/12/2011 Annual Outcome - started July 2009 "Improving Patient Throughput"

5/27/2011 Y 5/27/2011 5/31/2011 6/1/2011 6/1/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Meaghan.

Schaffhauser, Meaghan

ED 5/12/2011 Annual Initiation 2011: "Improving Patient Throughput"

5/27/2011 Y 5/27/2011 Approved but add title - make unique; pull out improvements - Janine Sharer to review.

5/31/2011 6/1/2011 6/1/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Meaghan.

Page 10: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Spangler, Shari Review date is 4/24/11

ED 3/22/2011 Annual Outcome Report 2010: "Unit Retention Coordinator for the Emergency Department"

3/25/2011 Y 3/25/2011 3/25/2011

Spangler, Shari

ED 3/22/2011 Annual Initiation 2011: "Department Communications & Activities Coordinator"

3/25/2011 Y 3/25/2011 √ Review title to reflect true contribution & More clearly outline the details of how she plnas to go about accomplishing her professional contribution.

3/25/2011 Diane Corr will review recommendations with Shari. The annual initiation form needs signed by Traci Fick. Diane to deliver to Traci with instructions to sign and then forward to Elaine for CNO signature.

Baskin, Abena Harmar OR

5/18/2011 Annual Initiation 2011: "Can You Hear Me Now: Nurses Voices Being Heard"

5/27/2011 Y 5/27/2011 √ Add to title 5/31/2011 6/1/2011 6/1/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Abena.

Farren, Julie Ann

Harmar OR

6/15/2011 Annual Outcome Report 2010: "Competency Coordinator: Ophthalmic Service"

6/24/2011 Y 6/24/2011 6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Julie.

Page 11: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Farren, Julie Ann

Harmar OR

6/15/2011 Annual Initiation 2011: "Competencies Coordinator "

6/24/2011 Y 6/24/2011 √ Add staff input in a survey monkey. Include nursing leadership - look at outcome (reduce some not all).

6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Julie.

Ober, Susan Harmar OR

6/25/2010 Annual Initiation 2010: "Unit Based Yearly Competencies"

7/23/2010 N Needs more literature review & outcomes.

Cathy Bellisario to give contribution back to Mary Barkhymer.

Wright, Virginia

Harmar OR

6/16/2011 Annual Initiation 2011:Reintro-duction of Journal Club at Harmar.

6/24/11 Y 6/24/2011 √ May be difficult to complete monthly. Maybe 9 times a year. Query staff for topics.

6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Ginny.

Praniewicz, Trudy

ICU 6/25/2010 Annual Initiation 2010: "The Electrolyte Protocol: A Matter of Compliance" (Collaborated w/ Kimberly Yurchick)

7/23/2010 N No manager signature - needs more defined

Page 12: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Praniewicz, Trudy

ICU 6/24/2011 Annual Initiation 2011: "VAP: Critical Event"

6/24/2011 Y 6/24/2011 Need more detailed plan and sequence. Methodology to focus on education for this project.

6/24/2011 6/28/2011 6/28/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Deb Campbell to return to Trudy.

Shoaf, Rhoda ICU 10/26/2011 Annual Initiation 2011: Noise Reduction in the ICU

10/28/2011 Y 10/28/2011 Suggest to add Press Ganey scores & pre/post survey - "How will this be measured & evaluated?"

10/31/2011 11/2/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Wendy Kastelic.

Stubgen, Kariane

ICU 3/23/2012 Annual Initiation 2012: Implementation of NxStage-Continuous Renal Replacement Therapy in the ICU

3/23/2012 Y 3/23/2012 √ Use APA format when listing website, i.e., specific area in the website. Maybe get assistance with this project (superuser). What plan is in place if a nurse doesn't pass competency?

3/23/2012 3/30/2012 3/30/12: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Stacey Allen.

Yurchick, Kimberly

ICU 6/25/2010 Annual Initiation 2010: "The Electrolyte Protocol: A Matter of Compliance" (Collaborated w/Trudy Praniewicz)

7/23/2010 N No manager signature - needs more defined

Terrie Fowler returned contribution to Kim.

Page 13: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Yurchick, Kimberly

ICU 5/19/2011 Annual Initiation 2011: "The Electrolyte Protocol: A Matter of Compliance"

5/27/2011 Y 5/27/2011 Approved with suggestions: Suggest a copy of the protocol; attach audit tool; audit quarterly # of pts; collaborate w/ unit based pharmacists.

5/31/2011 6/1/2011 6/1/11 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Debbie Campbell to return to Tina.

Kochick, Mary Med Unit 1/26/2011 Annual Outcome Report 2010: "Senior Professional Registered Nurse"

1/28/11 Y 1/28/2011 1/28/2011

Kochick, Mary Med Unit 1/26/2011 Annual Initiation 2011: "Development of a Nursing Orientation Manual for the Medical Unit at UPMC SMH"

1/28/11 Y see recommendation section

1/28/2011 Look at a way to measure the effectiveness of the binder. Contact 6A & 4A Rehab to look at their orientation manuals & resource binders.

1/28/2011

Jones, Roberta

OR 8/26/2010 Annual Initiation 2011: "Sterilization Basics to Increase Sterilization Knowledge & Decrease Flash Sterilization"

8/26/2010 Y 8/27/2010 √ 8/30/2010

Page 14: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Pore, Brittany OR 8/24/2011 Annual Initiation 2011: "Geriatric Fracture Program"

8/26/2011 Y 8/26/2011 √ Title: Change title to Geriatric Fracture Program for the OR Staff. Purpose: Add OR specific to sentence. Methodology: Track percentage of employees educated - attach pretest.

8/26/2011 8/29/2011 8/29/11: Terri Pellegrino scanned contribution and made a copy for HR. Original will be given to Janine Crider upon her return from vacation on 9/6/11 and she will return it to Brittany.

Ryan, Deborah

OR 11/2/2010 Annual Initiation 2011: "To provide baseline research and develop a communication tool for our Surgical Services nursing staff to change their practice and increase our quality of care to both the patient and family"

11/19/2010 Y 11/19/2010 √ Narrow focus 11/19/2010 11/19/10: Amy Haugh will speak with Deb.

Santillo, Heather

OR 10/26/2011 Annual Initiation 2011: CNOR Certification

10/28/2011 Y 10/28/2011 √ Suggest to complete post survey. Change #1 statement of anticipated benefit/outcomes.

10/31/2011 Roberta Jones to mentor. 11/2/11: Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Crider.

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My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Ober, Susan Harmar OR

7/20/2011 Annual Outcome 2010: "Unit Based Yearly Competencies"

7/22/11 Y 7/22/2011 See Lippincott 7/25/2011 7/26/2011 A comment was noted on the Annual Outcome Report that the biggest challenge Susan overcame was the contribution process. She stated she turned in her revised application in September and did not hear anything from the committee until April and this gave her two months to do her project. See above comments when contribution was reviewed in July 2010. This contribution was never turned back into the review panel. 7/26/11: Terri Pellegrino gave contribution to Diane Corr. Diane will deliver it to Susan at Harmar since Janine Sharer is on vacation this week.

Ober, Susan Harmar OR

7/19/2011 Annual Initiation 2011: "Unit Based Evidence Based Policy Committee"

7/22/11 Y 7/22/2011 √ Send agenda of meeting/committee discussion points and policy revision - who is on committee?? A mix of staff? Is this coordinated with staff here? Has Lippincott

7/25/2011 7/26/2011 7/26/11: Terri Pellegrino gave contribution to Diane Corr. Diane will deliver it to Susan at Harmar since Janine Sharer is on vacation this week.

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My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

policies been considered.

McKeag, Kathleen

Radiology 7/18/2011 Annual Initiation 2011: "Radiology Nursing - A Certification Guideline"

7/22/2011 Y 7/22/2011 √ Title needs changed.

7/25/2011 7/26/2011 Great project! We would like to use this model on other units. 7/26/11: Terri Pellegrino gave contribution to Anna Kalafut to return to Kathleen.

Olszewski, Roberta

5A 7/22/2011 Annual Outcome 2010: "Discharge Instructions for Patient's Receiving Chemotherapy"

7/22/11 Y 7/22/2011 Typo needs fixed on d/c instructions.

7/25/2011 7/26/2011 7/26/11: Terri Pellegrino gave contribution to Anna Kalafut to return to Roberta.

Olszewski, Roberta

5A 7/22/2011 Annual Initiation 2011: "Care of the Neutropenic Patient in the Acute Care Setting"

7/22/11 Y 7/22/2011 7/25/2011 7/26/2011 7/26/11: Terri Pellegrino gave contribution to Anna Kalafut to return to Roberta.

Sproul, Rebecca

Cardiac Cath Lab

12/12/2011

Annual Outcome 2010- 2011: "Cardiology Department Quarterly Newsletter"

12/16/2011 Y 12/16/2011 √ Utilize survey monkey results & discuss outcome data in addition to measureable goals.

12/19/2011 12/22/2011 12/2711 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Wendy Kastelic to return to Rebecca.

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My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Sproul, Rebecca

Cardiac Cath Lab

12/12/2011 Annual Initiation 2011- 2012: "Community Based Hypertension Education"

12/16/2011 Y 12/16/2011 √ 12/19/2011 12/22/2011 12/2711 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Wendy Kastelic to return to Rebecca.

Jones, Roberta

OR 2/1/2012 Annual Outcome 2011: "Sterilization Basics to Increase Sterilization Knowledge & Decrease Flash Sterilization"

2/24/2012 Y 2/24/2012 Terri gave to Elaine on 2/28/12 for Mary to sign

2/29/2012 3/1/12 Terri Pellegrino scanned contribution, made a copy for HR. Left voice message with Janine Crider to see if she wants to pick up signed contribution or if it should be sent via interoffice mail.

Jones, Roberta

OR 2/1/2012 Annual Initiation 2012: "Getting the word out: Spreading the Word to Decreasing Flash Sterilization in the Operating Room Facilitating Changing Practice"

2/24/2012 Y 2/24/2012 Emailed Janine Crider 2/28 to have Roberta sign & send back to me

Clarify purpose; include outcome report

Terri gave to Elaine on 2/28/12 for Mary to sign

2/29/2012 3/1/12 Terri Pellegrino scanned contribution, made a copy for HR. Left voice message with Janine Crider to see if she wants to pick up signed contribution or if it should be sent via interoffice mail.

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My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Runco, Margaret

4B 2/21/2012 Annual Outcome Report 2011: "Center of Excellence of Orthopedics Preoperative Joint Replacement Class "

2/24/2012 Y 2/24/2012 Terri gave to Elaine 2/28/12 for Mary to sign.

2/29/2012 3/1/12 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Margaret.

Runco, Margaret

4B 2/21/2012 Annual Initiation 2012: "Surgical Care Improvement Project: SCIP Initiative with a Focus on VTE Champion for 4B"

2/24/2012 Y 2/24/2012 √ Clarify that you are focusing on VTE

Terri gave to Elaine 2/28/12 for Mary to sign.

2/29/2012 3/1/12 Terri Pellegrino scanned contribution, made a copy for HR and gave original to Janine Sharer to return to Margaret.

Holmes, Kim 4B 4/26/2012 Annual Initiation 2012: "Orthopedic Fall Champion"

4/27/2012 Y 4/27/2012 √ Purpose is to decrease falls (statement). Need ortho literature on falls. Under measurement also list dash boards results - # of falls on ortho. Pilot maybe 4A ortho timeline.

4/27/2012 5/2/2012 5/2/12 Terri Pellegrino scanned contribution, made copy for HR and gave original to Janine Sharer to return to Kim Holmes.

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My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Ryan, Deborah

OR 4/23/2012 Annual Outcome 2011: "To provide baseline research and develop a communication tool for our Surgical Services nursing staff to change their practice and increase our quality of care to both the patient and family"

4/27/12 Y 4/27/2012 4/27/2012 5/2/2012 5/3/12 Terri Pellegrino scanned contribution, made copy for HR. Emailed Janine Crider to pick up.

Ryan, Deborah

OR 4/23/2012 Annual Initiation 2012: "Press Ganey Champion of the Surgical Services Division"

4/27/12 Y 4/27/2012 √ Meet with Renee Carolan to assist with presentation & data definition. Identify surgical services in benefit outcome.

4/27/2012 5/2/2012 5/3/12 Terri Pellegrino scanned contribution, made copy for HR. Emailed Janine Crider to pick up.

Spangler, Shari

ED 4/9/2012 Annual Outcome 2011: "Department Communicat-ions & Activities Coordinator"

4/27/2012 Y 4/27/2012 4/27/2012 5/2/2012 5/4/12 Terri Pellegrino scanned contribution, made copy for HR. Returned to Janine Sharer to give to Shari

Page 20: My Contribution Status 2010 - 2012 · My Contribution Status 2010 - 2012 Name = N E R * e D epar tment ate urs ing d uc ation Received Project Titl of My Prof es onal C o ntr ib Co

My Contribution Status 2010 - 2012

Name

Department Date Nursing

Education Received Project

Title of My Professional Contribution

Date Council Reviewed

Contribution

Contribution Approved Y/N

(if no, see

Recommendation Section)

Date Contribution

Approved

√ = My

Contribution ANA Form

Completed & Turned In

**Requirem-ent as of

November 2011**

Recommendations Date Project Sent to

Elaine Panza for CNO

Signature

Date Terri Pellegrino Retrieved

Contribution from Elaine with CNO signature

Comments

Spangler, Shari

ED 4/9/2012 Annual Initiation 2012: "Department Communicat-ions & Activities Coordinator Nurse/Physician Communication Liaison"

4/27/2012 Y 4/27/2012 √ In the title add ED and Nursing Retention. Define benefit job satisfaction (how are you measuring?). Job satisfaction will increase thereby retention will increase. Literature to support retention and more updated no later than 2007. Timeline in methods - monthly activity?

4/27/2012 5/2/2012 5/4/12 Terri Pellegrino scanned contribution, made copy for HR. Returned to Janine Sharer to give to Shari

Himes, Aleta Spec Proc GI Harmar

4/26/2012 Annual Initiation 2012: "Policy/Procedure Champion for Special Procedures Unit"

4/27/2012 Y 4/27/2012 √ Spell out SGNA most don't know what this means. Integration of Lippincott under methodology to the policies - mention team approach (structure & process). How are you going to educate your staff?

4/27/2012 5/2/2012 5/2/12 Terri Pellegrino scanned contribution, made copy for HR and gave original to Janine Sharer to return to Aleta Himes.