NURSING BIENNIAL REPORT 2013-2014 • ENGLEWOOD

nursingN U R S I N G B I E N N I A L R E P O R T 2 0 1 3 - 2 0 1 4 • E N G L E W O O D H O S P I T A L A N D M E D I C A L C E N T E R

defined350 Engle StreetEnglewood, New Jersey 07631201-894-3000 • englewoodhospital.com

1

caring, dedication& perpetual motion

Spring 2015

Dear Colleagues & Friends, It is my pleasure to present Nursing Defined, a two-year review of the achievements of the nursing staff at Englewood Hospital and Medical Center.

Nursing excellence is realized through the vision, goals and commitment to care of all our nurses. Caring, compassion and selfless-ness are hallmarks of our nursing practice as we put our patients and their loved ones first.

We exceed expectations every day through accomplishments of all proportions, each one special in its own way. It is the nature of nursing to keep moving forward by setting and attaining new goals while advancing patient care. Our occupation, a genuine calling, puts emphasis on personal and professional growth. That value is exemplified by the manner in which so many of our nurses advance themselves by pursuing higher degrees and certifications, as well as other opportunities such as leadership and mentoring programs.

The unified vision of our Department of Nursing is reflected in a professional practice model, an empowering tool that matches the education, experience and competency of each caregiver to the needs of patients

and families. We are on a journey to excellence and this paradigm, explored here, provides strategic guideposts.

Our designation as a Magnet hospital since 2002 is a point of pride for the entire Medical Center. In addition, we have received numerous other hospital-wide recognitions for exemplary care, including the distinction of being named one of fewer than one hundred Top Hospitals in the country by the Leapfrog Group.

As a nursing leader and an individual who has dedicated her life to the profession of nursing, I am immensely proud to share with you Nursing Defined.

Sincerely,

Madelyn Pearson, MA, RN, NEA-BC Senior Vice President, Patient Care Services Chief Nursing Officer

nursingdefined 3

OUR PROFESSIONAL PRACTICE MODEL

Our professional practice model (PPM) is the nursing structure used to deliver care. It was established by our nurses to meet

the challenges of healthcare and the needs of our patients and families while optimizing the RN’s role. The model’s goals are to improve quality patient care and safety; drive autonomy, accountability and performance transparency; encourage lifelong learning; and increase job satisfaction and engagement. Its standards are based on theory and current research. The PPM supports shared decision making, decentralization and the Medical Center’s vision. It comprises five interdependent components: Patient Care Management, Nursing Practice, Collaborative Practice, Community Outreach and Leadership.

Central to the spirit and implementation of the PPM are various methods for evaluation, including ongoing monitoring, rapid cycle change initiatives, staff and management feedback, actionable data retrieval, information sharing, performance improvement strategies, and short-and long-term planning.

Much of the ongoing responsibility for developing and monitoring activities is placed with our nursing councils. There is also an Annual Practice Council Retreat. At the 2013 retreat, which was attended by 56 nurses from direct care, management and the executive level, the PPM was revised to emphasize the importance of including patients and families at the center of the model.

OUR PHILOSOPHY

The nursing philosophy incorporates ideas from Jean Watson’s theory of caring. Caring is central to nursing

at Englewood Hospital and Medical Center. Nurses at Englewood Hospital and Medical Center accept the patients and families for who they are now and what they may become. Effective caring promotes health in our patients and families, who are our principal focus and concern. Our practice of caring in nursing integrates biophysical knowledge and an awareness of human behavior that promotes increased well-being for those who have not yet achieved optimum

wellness. The nurturing behaviors provide comfort and therapy, and foster personal development in the presence of illness or disease. Nurses provide a caring environment for patients and their families, allowing for the best course of action at any given time. Nursing care is provided in an interpersonal relationship process of nurse-with-patient, nurse-with-family and nurse-with-group. Our practice of caring at Englewood Hospital and Medical Center emphasizes humanistic values in the treatment of the patient and our relationships among all staff and community.

To be a provider of family-centered care in an innovative, therapeutic and safe environment where actions are directed to the ultimate good of the patient.

our vision:

V vision |ˈviZHən| noun

the ability to think about or plan the future with imagination or wisdomOUR

PATIENTS FIRST

PATIENT MANAGEMENT

NURSINGPRACTICE

COLLABORATIVEPRACTICE

LEADERSHIP

COMMUNITY OUTREACH

PATIENT& FAMILY

Dina McCarthy, RN; Alyssa Vanides, RN

vision |ˈviZHən| noun

the ability to think about or plan the future with imagination or wisdomV

nursingdefined 5

concerning enough for the surgeon to delay the second procedure. Her caregivers recognized that her emotions were undermining her overall well-being. Surgery was scheduled after nurses collaborated with the patient, her parents, the child life specialist and the medical staff to produce a patient contract that empowered the girl to accept her role in what would eventually be an excellent recovery.

CRITICAL CARE NURSES LEAD THE WAY

Dramatically reduced rates for PICC line and central line associated blood stream infections resulted from the judicious application of the standards of various professional groups.

Using evidence-based findings, clinical nurses led the effort to enhance the use of available rescue therapies for critically ill patients. A revised protocol, education and the addition of an alternate vasodilator followed.

A lengthy collaborative effort in the application of therapeutic temperature modification brought about significantly better results for patients. The MSICU and CVICU outperformed their goal for improving neurological outcomes. The Critical Care Council’s participation demonstrated the benefits of the council model.

Patient Care Management is built on standards that are pre-defined patterns for patient care based on diagnosis.

These standards are based on research or current evidence and ensure consistency and continuity across different settings. Performance improvement is integrated into the process to ensure safe, efficient and effective care. The conscientious integration of evidence- based practice and research into clinical and operational processes is visible in our clinical practice. We value patient autonomy relating to choice of treatment, and how and where care will be provided.

Innovation in patient care, nursing and the practice environment is a hallmark of our

nursing practice and a Magnet requirement. Humanistic care is the centerpiece of patient care management.

TREATING THE WHOLE PERSON Placing the patient and family at the center of nursing practice includes a commitment to the unique needs of each patient, as in the case of a teenage patient who was having difficulty dealing with the challenges of complicated GI surgery. Treatment for ulcerative colitis included an ileostomy to be followed by reconstructive surgery called a J-Pouch. Her lack of participa-tion during the first surgical experience was

family-centered carepatient care management

humanistic |ˌ(h)yo͞oməˈnistik| adjective

of or relating to human affairs, nature, welfare or valuesH

Ssensitive |ˈsensitiv| adjective aware of and responsive to the feelings of others

Thresiamma George, RN; Elizabeth Casagrande, RN

Barbara Grygotis, RN; Joanne Moldt, RN; Patricia Boylan, RN; Laurencita Reyes, RN

nursingdefined6

Central line associated blood infections decreased and a zero PICC CLABSI rate was achieved.

Nine nurses who attended the National Teaching Institute of the American Association of Critical Care Nurses were the impetus for adopting guidelines that have been instrumental in resuscitating cardiac surgery patients with minimal or no neurologic deficits. A multidisciplinary effort made the change possible.

A RICHES OF RESOURCESA broad range of resources supported evidence-based practice and the accountability, competence and autonomy of nurses, including the hospital intranet and Health Sciences Library website. A health sciences librarian assists with research, reaching out to her consortium of librarians as needed. The hospital purchased a license for access to e-reference books, which are updated periodically to keep information current.

ENHANCED WORKFLOW Nurses continue to be at the forefront of the hospital’s efforts for improving workflow. One initiative in Med/Surg was the introduction of wireless monitors to better the timeliness of data entry and provide quicker availability of vital signs. Nurses were involved every step of the way. The amount of time for vital signs to appear in the electronic medical record (EMR) decreased by 92% after careful planning and implementation.

Ccompassion |kəmˈpaSHən| noun

sympathetic concern for the misfortune of others accompanied by a desire to alleviate suffering

Left: Kate Chung, RN top Right: Mariann Sheehan, RN; Brenda Ferrer, RN; Emilia Crisologo, RNBottom Left: Maria Ameralis, RNBottom Right: Patricia Kutner Fiume, RN

S skilled |skild| adjective

having or showing the knowledge, ability or training to perform a certain activity or task well

Events

6

5

4

3

2

1

0

Q1_135

Num

ber o

f CLA

BSI E

vent

s

Q2_132

Q3_132

Q4_133

Q1_140

Q2_142

Q3_141

PREVENTION OF CLABSI*Performance Improvement

*

nursingdefined 9

EVIDENCE-BASED PRACTICE/RESEARCHChair: Jill CoxMembers: Susan DeGennaro, Sharon Roche, Carol Eastman, Leilani Feliciano

MATERNAL- CHILD HEALTHChairs: Leilani Feliciano, Jackienette Gonzalez Members: Lindie Abdon, Anne Marie Ayala, Alice Barden, Elizabeth Casagrande, TheresaChun, Rose DiTaranto, Valerie French, ShaijaGeorge, Regina Gynegrowski, Nancy Harper, Mary Lloyd, Sally Mathew, LeAnthony Mathews, Elizabeth McConnell, Nancy Muldowney, Diana Raymond, Valerie Skettini,Laura Symons

MEDICAL/SURGICALChairs: Rosemarie Buse, Susan DeGennaro Members: Nelio Abdon, Jenifer Browne, Michele Bruno, Phyllis Capiaghi, Sophie Choe, Theresa Chun, Nicole Chvasta, Jill Cox, Lauren Dotson, Erline Everett, Luz Fiel, Aurora Garcia, Jennifer Guzman, Christine Kata, Linda Leighton, Shakila Lewis, Kimberly Lion, Norberta Maine, Janet Mantel, Christine Massey, Barbara Quirolgico, Diana Raymond, Jung Sang, Jennifer Shepp, Diana Torres, Jamie Valdez

NURSING PHARMACY COMMITTEEChairs: Elizabeth Cattani, Christine Kata, Jeff NemethMembers: Liliana Benitez, Eula Bergado,

NURSING COUNCILSCRITICAL CARE Chairs: Theresa Bertolotti, Sharon Roche Members: Trish Boylan, Barbara Connizzio, Liza Emolaga, Caryn Gallione, Barbara Grygotis, Rosemarie Hill, Ruth Marcelo, Dorothy Meehan, Joanne Moldt, Virginia Murphy, Laurencita Reyes, Minnie Tanion

EDUCATIONChair: Karen RaftiMembers: Jenifer Browne, Erline Everett, Debra Golaszewski, Mary Lloyd, Christine Massey, Dorothy Meehan, Rose Trojkovich, Michelle WuAd Hoc: Bettyann Cifu, Jill Cox, Diana Galdieri, Anna Hatzikyriakou, LeAnthony Mathews, Eva Matos-Botex, Leah Scilingo, Ena Scrivani

Medical/Surgical

Perioperative

Critical Care

OutpatientMaternal-Child Health

Education

Practice Reviewed by

Peers

Evidence-Based

Practice/Research

Joint Nursing Practice

DIVISIONAL

SYSTEM

NURSING COUNCILS & COUNCIL STRUCTURE

Nursing Pharmacy Committee

STEERING

PATIENT& FAMILY

Nurse autonomy is supported and promoted through the departmental council structure for shared decision making.

knowledge |ˈnälij| noun

facts, information and skills acquired through experience or educationK

Shared decision making comes in many forms at the hospital, including the council model, a compelling

example that reflects all components of Magnet nursing: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge, Innovations and Improvements, and Empirical Outcomes.

The model includes the Steering Council, as well as divisional and system-wide councils. The Steering Council reviews issues and supports the council chairs. It also assists in the resolution of situations that overlap two or more councils. Membership in the divisional and system-wide councils is a mix of managers and non-management staff.

making the differencepioneers of the future

Jenifer Browne, Arlene Keys, Vicki Krizek, Kari LoVerde, Michele McLaughlin, Marta Poznanska, Valerie Skettini, Elaine Van Buren-Rizzo, Michelle Wu

OUTPATIENTChair: Margaret Murphy

Members: Mindy Delaney, Amy Evans,

Melissa Keil, Patricia Kutner, Rulijo Legaspi,

Nancy Rossi, Alice Shu

PERIOPERATIVEChairs: Elizabeth Cattani, Rose Trojkovich Members: Nena DiTrani, Eleanor Dunn, Diana Galdieri, Cheryl Hernandez, D. Katherine Holloway, Denine Long, Margaret Nolan, Mary Templeton, Mary Tendler

PRACTICE REVIEW BY PEERSChairs: Barbara Grygotis, Erline Everett Members: Linda Finocchiaro, Chikara Iwuagwu, Michele McLaughlin, Stacie Morvay

Vincent Salazar, RN

nursingdefined 11

The matter was put before the Bioethics Committee, which after careful review of all contingencies arranged a Goals of Care Con-ference. The patient’s husband, mother, sister and primary oncologist attended, along with a clergy member and the unit patient care director and social worker. Comfort care was explained. The husband was reassured that he had done everything he could. After spending the night with his wife and speaking to his children, he agreed to the palliative measures, including a Do Not Resucitate order. This wife, mother, sister and daughter died a few days later in the company of her entire family. Each of the nurses on duty bid goodbye to their most cherished patient and family.

A CULTURE OF EMPOWERMENT The Medical Center sponsored numerous programs to support the personal and professional growth of nurses. Continuing education for nurses is one of the corner-stones of quality care.

A total of 73 nurses attended the Annual RN Professional Organization/Certification/Career Advancement events in 2013 and 2014. Organizations and colleges actively promoted and encouraged certification membership and education advancement.

The Preceptor Program, in which experienced nurses volunteer to share in the responsibility for nurse orientation, continued to flourish. The program included education for preceptors, ongoing evaluation and needs assessments that resulted in classes in stress management, conflict resolution and team building. New graduate nurses were supported through the highly successful Nurse Internship Program as they transitioned to the duties of a professional nurse. Continuing evaluation, education and skills review facilitated competence and empowerment. The Mentorship Program offered additional related opportunities. The Center for Nursing Practice incorporated educational strat-egies utilizing an individualized approach into all three activities.

Nursing care is provided utilizing an integrated practice model built upon principles that hold that every

caregiver is valued and “a nurse is a nurse” is contrary to our beliefs. Nursing is provided based on one’s scope of practice, which is defined by one’s education, experience and competence.

EVERYDAY CARING: ROUTINE BUT NOT ORDINARYThe heart of Magnet nursing is exemplary profes-sional practice, which necessitates a philosophy that values all parties in the care setting, including the nurse. The hospital has many mechanisms to support excellence in nursing practice, such

as the Bioethics Committee, a specially qualified group of professionals that provides counsel to caregivers, patients and families.

The committee’s resources were tapped for a particularly challenging case on the oncology unit. The patient, a 49-year-old mother of two young children, was approaching the end of her life. Although she had voiced her readiness to pass during lucid moments, her husband sought all aggressive measures, including CPR. United in their caring and compassion for the woman, the nurses and husband were far apart in their view of the approach to her care. Staff members were experiencing severe moral distress at the possibility of having to resuscitate their patient.

every caregiver is valuednursing practice

caregiver |ˈke(ə)rˌgivər| noun

a person who has accepted responsibility for looking after a vulnerable individualNC

Marie Jean-Baptiste, RNAnnarose Shinners, RN

nursingdefined12

FOCUS ON THE FUTURE Ensuring a highly qualified pool of nurses at all levels included an emphasis on leadership development, mentoring and succession planning.

Academic-service partnerships with William Paterson University (WPU) and Fairleigh Dickinson University (FDU) offer popular degree programs that facilitate professional excellence. At the end of 2014, 29 nurses were in a master’s degree program held at the hospital and taught by WPU faculty. In addition, our nurses have enrolled in RN-to-BSN programs at both universities.

Mentoring activities included several career advancement programs by The Advisory Board Company that fostered learning and leadership development.

KEEPING NURSES SAFEThe safety of nurses was an organization-wide priority encompassing numerous structures and processes, including safety plans, committees and initiatives.

To address slip, trip and fall injuries among nurses, an interdisciplinary team convened by the chief nursing officer (CNO) implemented changes that virtually eliminated RN injuries for such accidents within months.

Several safety improvements, the result of staff concerns and input regarding workplace risk for nurses on the psychiatric unit, ended such mishaps and related RN time away from work.

NURSE-DRIVEN PROTOCOLSMany protocols at the hospital are nurse- driven, with nurses having the autonomy to make decisions that influence outcomes. The Alteration in Skin Integrity Protocol, which is used in patients at risk for or with existing pressure ulcers, is one such example. With this protocol, the nurse is the key decision-maker in pressure ulcer prevention strategies.

Nurses outperformed the mean of a national benchmark in the categories of professional growth, nurse staff teamwork, manager actions and non-nurse teamwork in a survey returned by 43.5 percent of direct care RNs in December 2013. The findings were shared and reflected in various subsequent activities.

Education awards and other recognitions were implemented to reduce an already low turnover rate. Opportunities included scholarships and agreements with universities for onsite programs and other training sessions, seminars and classes. As a result, the turnover rate continued to be very favorable.

Nursing partnered with GlaxoSmithKline in Health Coaching Essentials, a course completed by 100 nurses that provides education for coaching patients and families.

An organization-wide increase of 1.6 percent in certification rates exceeding the target goal included a 14.1 percent increase for Maternal-Child Health.

Participation in the Daisy Award, a national program that acknowledges the compassion and kindness of individual nurses, continued as part of a culture of celebration and recognition.

Maria agustin

Michelyne gavin

anna hatzikyriakou

riah iMuan

yuna kiM

norberta Maine

Joan Pan

Margaret sMith

Paula vargas

sara Wagner

sandra yglesias

Certified Nurses-Overall

Divisional Goal

50%

45%

35%

30%

25%

20%

15%

10%

5%

0%Baseline 2012

30.5%

Year 1 - 201333.3%

33.0%

Year 2 - 201444.6%

35.5%

Perc

enta

ge o

f RN

s Ce

rtifie

d

MCH RESULTS for Professional Nursing Certifications 2012 - 2014

Jan2

Feb2

Mar1

Apr1

May1

Jun0

Jul0

Aug1

Sep0

Oct0

Nov0

Dec0

NUMBER OF RN INJURIES DUE TO SLIPS, TRIPS & FALLS 20142

1.5

1

0.5

0

Num

ber o

f RN

Inju

ries

Number of Injuries

*Performance Improvement

* *

practice |ˈpraktəs| noun

the actual application or use of an idea, belief or method as opposed to theories about such application or useNP

nursingdefined 15

Each year the hospital family gathers to celebrate the numerous recognitions received by Englewood Hospital and

Medical Center at a joyous gathering aptly titled A Celebration of Excellence. A total of 144 awards in numerous categories were announced at assemblies in 2013 and 2014, including many for hospital-wide achievement. The collaborative efforts of nurses were fundamental to making these awards possible, along with their exemplary professional practice, transformational leadership, visionary spirit of innovation, expertise and evidence-based practice.

HOSPITAL-WIDE AWARDS 2013HEALTHGRADES Distinguished Hospital Award for Clinical Excellence – Top 5% in Nation (2013)

LEAPFROG GROUP Safety Score of “A” – Spring and Fall

CARECHEX CareChex Medical Excellence Awards (Fall 2014) Overall Hospital Care: Top 100 in Nation; Top 10% in Nation Overall Surgical Care: Top 100 in Nation; Top 10% in Nation; #1 in NJ

CareChex Patient Safety Awards (Fall 2014) Overall Hospital Care – Top 10% in Nation; #1 in NJ Overall Surgical Care – Top 10% in Nation; #1 in NJ Overall Medical Care – Top 10% in Nation

US NEWS AND WORLD REPORT Best Hospitals, Northern New Jersey

HOSPITAL-WIDE AWARDS 2014HEALTHGRADES Patient Safety Excellence Award (2014)

LEAPFROG GROUP Top Hospital – A distinction achieved by an elite group of hospitals that meet the nation’s toughest standards for safety and quality. This award was presented to EHMC at the Leapfrog Annual Meeting on December 2, 2014.

Safety Score of “A” – Spring and Fall

CARECHEX CareChex Medical Excellence Award (2015) Overall Hospital Care – Top 100 in Nation; Top 10% in Nation

CareChex Patient Safety Awards (2015) Overall Hospital Care – Top 65 in Nation; Top 10% in Nation; #1 in NJ Overall Surgical Care – Top 60 in Nation; Top 10% in Nation; #1 in NJ; #1 in Market Overall Medical Care – Top 10% in Nation

HOSPITALS & HEALTH NETWORKS One of Healthcare’s Most Wired Hospitals (2014)

US NEWS AND WORLD REPORT Best Hospitals, Northern New Jersey

a culture of celebrationhallmarks of excellence

excellence |ˈeksələns| noun

the quality of being outstanding or extremely goodE

Erline Everett, RN; Jenifer Browne, RN; Jennifer Guzman, RN; Christine Kata, RN; Kimberly Lion, RN; Nicole Chvasta, RN Ana Maria Nava-Torres, RN

E

nursingdefined 17

A NEW FAMILY BIRTH PLACE The renovation of the Family Birth Place was completed with the opening of the new Labor and Delivery Unit. State-of-the-art equipment, contemporary features including whirlpool tubs for pain management and exceptional amenities for families such as private rooms with a sleeper sofa for a guest and room service are making our moms’ birthing experience even better.

ENHANCING AND SAVING LIVESTo mark National Donate Life Month, the hospital partnered with NJ Sharing Network to provide resources, pins and stickers to promote the importance of organ and tissue donation to patients, visitors and employees.

The critical care team, which consists of staff nurses, resident physicians, fellows, intensivists, advanced practice nurses and patient care directors, works with families and colleagues under extremely difficult conditions to support loved ones while maintaining the viability of the organs and tissue to be harvested.

TEAMWORK GETS RESULTS Good communication and education are critical to the overall care and satisfaction of patients and families. When nurses set about to improve communication on 7 Dean, the patient care director, advanced practice nurse and care managers, who also collect performance improvement data, developed a plan with a variety of measures. The tactics included the use of “key words at key times.” “Scripting,” in which all staff members use the same phrases, was also identified as a best practice, as was the studied use of the word “understand” in conversation and education with patients and families. The staff was apprised of the importance of these specific communication skills, and medication education was

Recognizing that patient care management requires an interdisciplinary approach, the Medical

Center supports a collaborative effort. The nurse, physician and other healthcare professionals define and evaluate both the care provided and the outcomes.

THE MOST TRUSTED PROFESSIONALOften described as the glue that holds a hospital together, nurses have been rated the most trusted professional in many surveys. Although few patients can appreciate the scope of nursing practice, it is nurses who are the frequent face of quality care for patients as they work by the bedside and in many other capacities.

an interdisciplinary approachcollaborative practice

C collegiality |kəˌlējēˈalitē| noun

cooperative interaction among colleagues related to or involving shared responsibility

Left page: Elizabeth Casagrande, RN; Leilani Feliciano, APN; Valerie French, RN; Roseangela DiTaranto, RN; Mary Lloyd, RN; Jackienette Gonzalez, RN Right page: Diana Torres, RN

A spirited ribbon-cutting marked the completion of the Family Birth Place. Roseangela DiTaranto, RN; Valerie French, RN; Elizabeth Carlin, MD; Faith Frieden, MD; Madelyn Pearson, RN; Warren Geller; Jackienette Gonzalez, RN; Michael Harris, MD

nursingdefined18

The advanced practice nurse specializing in wound care, the vendor, Med/Surg Council, Environmental Services and Engineering were involved in the change. The already low rate began to drop within weeks.

The Patient Safety Committee, which includes several nurses, significantly reduced the number of flash sterilizations after the method was identified as a high-risk issue. A detailed analysis resulted in modification to numerous aspects of its use, including processes, coding, monitoring, equipment and education.

When the care manager for MSICU recognized an opportunity for increasing the rate of compliance with our tPA policy, representatives from Nursing, Pharmacy, Biomedical Engineering, the Emergency Department and Quality developed and implemented a detailed performance improvement plan. The project far exceeded its goal of 90 percent.

made a nursing unit service goal. The performance goal for all nurses was to explain the what and why for each new medication prescribed. Cardiologists were asked to alert the primary nurse about such additions to expedite patient education. The hospital’s chief dietitian introduced a colorful flyer distributed on breakfast trays that asks, “Medication questions? Please ask your doctor or nurse — we are here to help.”

Patient surveys showed improvement by the next quarter in the areas of Communication with Nurses and Communication About Medications.

EXPERTS COLLABORATE TO IMPROVE CARE

Therapeutic mattresses replaced the standard mattresses on Med/Surg units as a way of lowering the pressure ulcer prevalence rate.

communication |kəˌmyo͞onəˈkāSHən| noun the successful conveying or sharing of ideas and feelingsC

Ccollaboration |kəˌlabəˈrāSHən| noun

the action of working with someone to produce or create something

top: Celestina Esmejarda, RN; Rulijo Legaspi, RN; Veronica Pieklo, RNBottom Left: Abigail Ferrer, RN; Marites Villondo, RNBottom Right: Ann Nestman, RN; Laura Symons, RN

Jan 130

0%

Feb 131

0.60%

Jan 140

0%

Feb 140

0%

Mar 132

1.20%Prevalence

Jan 13

Feb 13

Mar 13

Apr 13

May 13

Jun 13

Jul 13

Aug 13

Sep 13

Oct 13

Nov 13

Dec 13

Jan 14

Feb 14

Jun 130

0%

Jul 131

0.80%

Aug 131

0.70%

Sep 130

0%

Oct 131

0.70%

Nov 130

0%

Dec 130

0%

MEDICAL/SURGICAL MONTHLY PRESSURE ULCER PREVALENCE BEFORE AND AFTER ACCUMAX IMPLEMENTATION

2.5

2

1.5

1

0.5

0


**

Rate

BERRIE OR FLASH STERILIZATIONS120

100

80

60

40

20

0Q1_12

88Q2_12

111Q3_12

58Q4_12

38Q1_13

41Q2_13

29Q3_13

43Q4_13

39

Number of Flash Sterilizations*


nursingdefined20

The Med/Surg nurse practitioner leads an ongoing restraint management initiative by an interdisciplinary team. Its goals are to reduce the use of restraints, promote the hospital’s philosophy of a restraint-free environment when possible and maximize compliance with standards. Although the Medical Center has always done well in this area, raising the bar for this effort is an important part of Nursing’s journey to excellence. Improved docu-mentation, increased information sharing, nurse orientation, education, better monitoring and reminders posted in the EMR are among the strategies employed.

An initiative of the Nurse Pharmacy Committee, which is co-chaired by a patient care director and the director of Pharmacy, resulted in a significant drop in controlled substance discrepancies.

altruism |ˈaltro͞oˌizəm| noun

the belief in or practice of disinterested and selfless concern for the well-being of others

A

Ccaring |ˈke(ə)riNG| adjective displaying kindness and concern for others

noun the work or practice of looking after those unable to care for themselves, especially sick and elderly people; an art that requires commitment, knowledge and practice

Back: Shakila Lewis, RN; LeAnthony Mathews, RN; Diana Raymond, RN; Theresa Chun, RN fRont: Eula Demetra Bergado, RN; Shirley Muchmore, RN

100%

80%

60%

40%

20%

0%Jun 2014

91%

Perc

enta

ge o

f Com

plia

nce

Jul 201492%

Aug 2014100%

Sep 2014100%

Oct 201497%

Nov 201497%

VITAL SIGN NEUROCHECK NIH COMPLIANCE

91% 92% 97% 97%100% 100%

Vital Sign Neurocheck NIH Compliance


* *

160

140

120

100

80

60

40

20

03rd Q2012148

4th Q2012134

1st Q2013104

2nd Q2013123

3rd Q2013101

4th Q2013113

1st Q201487

CONTROLLED SUBSTANCE DISCREPANCIES

Discrepancies

*


nursingdefined 23

I don’t know if I could ever repay you for all you have done for me. I mean this from the bottom of my heart—you are a true inspiration, mentor and friend. Thank you so much!”

A UNIQUE PARTNERSHIP Nurses partner with patients and families in countless ways across the extraordinary spectrum of patient care. This role requires many qualities, including caring, good communication skills, compassion, empathy, knowledge, sensitivity and respect.

Nurses, led by the CNO, launched initiatives to better serve the mental health needs of the Korean community, a group that traditionally disapproves of mental health intervention. Well-attended screenings, educational sessions and health fairs staffed by Korean caregivers and volunteers provided information on topics such as dementia, stress, suicide and depression. A healing concert held at the hospital and sponsored by a Korean foundation during Suicide Awareness Month attracted 300 people.

Maternal-Child Health staff members were among the caregivers who net-worked with moms and dads at The Best Baby Shower Ever!, an annual favorite. The guests of honor participated in fun activities, met their prospective caregivers, and took home giveaways and raffle prizes. Upwards of 300 community members attended the event, a joint effort of Nursing and the Community Outreach Department.

Glycemic control improved significantly for a group of pre-diabetics and diabetics who participated in a nurse-led program designed to improve two crucial factors in the self-management of their disease, diet and exercise levels.

Nurse leaders, including the clinical director of The Institute for Patient Blood Management, provided extensive education about bloodless medicine to community members and fellow caregivers. More than 40,000 households receive invitations to popular informative assemblies each year. Representatives from the Jehovah’s Witness community and other advocates

for bloodless medicine are invited to learn more about the latest scientific, legal, clinical and ethical developments in the specialty.

ADVANCING NURSING RESEARCHThe Medical Center values and supports the advancement of nursing research, a vital source of numerous improvements and innovation. Nurses present the results of their research at the hospital and across the country at various conferences and publish their findings in journals, magazines and other outlets. They also collaborate with investiga-tors from other institutions.

Nurses practice beyond the confines of the institution both for professional development and to provide

community service. Their practice includes participation in local, state and national organizations where they promote the growth of the profession as a whole. They share information with peers through publications and seminars. As a clinician, the nurse provides education and screening functions for the community.

NURSES INSPIRE OTHERS Excellent nurses are nurturing individuals by definition. One young woman’s life was changed when a nursing leader from

Englewood Hospital recognized she had that special something required to be a nurse. Not only did the experienced nurse recruit her protégé to work as a patient care associate at the hospital, she offered support throughout her effort to become a registered nurse, as did many of the other nurses and physicians. The aspiring RN also benefited from the hospital’s tuition reimbursement program. In a heartfelt note, the new nurse, now on staff at the hospital, expressed her thanks.

“As I sit at my computer after taking what I believe to be the most difficult exam of my life, the NCLEX, I just can’t help but to think it’s because of you and your words of encour-agement I even made it to this journey….

relationships mattercommunity outreach

engage |enˈgāj| verb

to establish meaningful contact or connectionE

Ccommunity |kəˈmyo͞onitē| noun a social, religious, occupational, or other

group sharing common characteristics or interests and perceived or perceiving itself as distinct in some respect from the larger society within which it exists

9

8.5

8

7.5

7

6.5

6

5.5

CHANGE IN A1c VALUES

Pre Program 3-6 Months Post Program

8.9

7.4

Hem

oglo

bin

A1c

Valu

es

Arlene Fragante, RN

nursingdefined 25

was also an advocate and strategic partner for the creation of the patient portal, a highly effective tool for sharing health information with patients, leading the organization-wide team that created the portal. As a measure of its success, the involved vendor asked the group to share its strategies with hospitals struggling in this crucial endeavor.

KINDER, GENTLER PATIENT GOWNS The Value Analysis Committee, which includes nurses serving in a variety of capacities, initiated the project that would result in more comfortable, convenient and modest patient gowns. Cost analysis and quality issues were explored, and patients who trialed the sample gowns were polled. The new gowns proved a success, even garnering attention by the media.

FOSTERING THE MOTHER-BABY BONDRecognizing the detrimental physical and emotional effects of separating mother and baby after birth, nurses sought a way to connect mothers with babies when they could not be with their newborns in the NICU. After much study and planning, the webcam system NicView debuted to rave reviews by parents.

A BETTER EXPERIENCE FOR FAMILY MEMBERSDelays and lack of information add to the burden of family members as they wait for their loved one to come out of surgery. To lighten their load, Nursing initiated Waiting Room Rounds in the ambulatory surgery center waiting area, during which time nurses provide status updates. The staff also developed a brochure with helpful information about important aspects of the day, including what to expect, a description of the healthcare team and services such as the cafeteria, the gift shop and the Family Resource Center, a well-appointed lounge and information center.

SAFETY: A STRATEGIC PRIORITYPreventing falls is a perennial concern at all hospitals and a priority of the Nursing Strategic Plan 2013-2015. Efforts to improve already favorable fall rates are part of the hospital’s commitment to quality and safety.

Visionary leadership supports practice and the delivery of patient care. The CNO is the foremost nursing leader

and represents the Nursing Department when interacting with others both within and outside the institution. The nurse executive cannot do this alone. Every nurse in the organization is a leader.

A STRATEGIC PARTNERSHIPBy design, the CNO is a strategic partner in the organization’s decision making. Two projects in development reflect that relationship, including the upcoming renovation of the ICU, a multimillion-dollar improvement envisioned and planned under her leadership. The CNO

every nurse is a leaderleadership

leadership |ˈlēdərˌSHip| noun

the ability or power to lead, a universal imperative in nursingL

100%

80%

60%

40%

20%

0%Feb 1472%

Mar 1487.5%

Apr 14100%

May 14100%

PERCENTAGE OF MOMS REPORTING NICVIEW AS “EXTREMELY HELPFUL”

Percent of “Extremely Helpful”

Responses

Paula Vargas, RN

nursingdefined26

Patient fall rates for Med/Surg units were reduced and maintained below the national comparative mean due to a revised Fall/Injury Prevention Protocol, education and other actions by nurses.

Nurses are proactive advocates for patient safety. When the addition of door saddles on Behavioral Health caused safety concerns, the situation was discussed in patient rounding and huddles that included clinical nurses and the patient care director. Review of trended data supported the need for a modification. Nursing’s recommendations to remove door saddles on the unit were extremely fruitful. In three months, the fall rate decreased by more than half.

The participation of 307 nurses at a Safe Patient Handling (SPH) Skills Fair and the identification of expert users of SPH equipment for each unit reduced the numbers of employee days lost from lifting injuries.

Nursing’s commitment to safety extended to all employees. A hospital- wide slips, trips and falls initiative led by the CNO identified causes and solutions for the problem of related employee injuries. No workdays were lost in the four months after implementation of the program.

Etop Left: Denine Long, RNtop Right: Cheryl Hernandez, RN; Terri Campbell, RNBottom Left: Bonnie Chung, RN; Digna Guillermo, RN; Michelle Mourao, RN Bottom centeR: Jon-Kerwin Lagasca, RNBottom Right: Rosemarie Hill, RN; Filmore Flores, RN; Theresa Bertolotti, RN

evidence-based practice |ˈevədəns - beyst| |ˈpraktəs| noun

the judicious use of the best current evidence in making decisions about the care of the individual patient. The process integrates clinical expertise and takes

patient desires, values and needs into consideration.

FALL RATE ON BEHAVIORAL HEALTH16

14

12

10

8

6

4

2

0Aug-1414.46

Sep-149.03

Oct-149.02

Nov-146.23

No.

of F

alls

per

1,0

00 P

atie

nt D

ays Fall Rate on Behavioral Health

LOST DAYS FROM WORK DUE TO SLIPS, TRIPS & FALL INJURIES

Jan-148

Feb-140

Mar-140

Apr-141

May-140

Jun-140

Jul-140

Aug-140

8

6

4

2

0No.

of L

ost D

ays

(Org

aniza

tion-

Wid

e) Number Days Lost

*Performance Improvement*

EMPLOYEE DAYS LOST FROM LIFTING INJURIES

2nd Q_20137

3rd Q_20130

4th Q_20130

1st Q_20140

2nd Q_20140

76543210N

o. o

f Los

t Day

s Number Days Lost

nursingdefined28

SENIOR LEADERSMadelyn PearsonScott CooperD. Katherine HollowayKaren Rafti

Advanced Practice NursesFreida Arias-TopalianSusan AustinKathleen CahillFlorence CampbellSallie CanadaDonna CarrazzoneMarie ChengAmanda ChipkoJean ChoCarol CianciSylvia Colon CabassaPamela CorderoJill CoxSusan DeGennaroChristina DeMarcoMaureen DombkowskiJosemy Ebreo-FerrerKatarina FeeleyLeilani FelicianoDenise Kelly-Jones

Anna LangPatricia LoPintoDiane LubinskiJanet MantelPatricia MazzolaKellie McGuire O’SheaJulie MeliaBridgette MitchellCynthia MulderJennifer MurphyDeborah NeufvilleWen-Chiao PengKristofferson PinedaSharon RocheJoanne RuotoloLisa Salandra-BirnbaumLeah SandhausMarie SarubbiLisa SonzogniSharyn TondelFrances Vela-Contos

Patient Care Directors & Assistant Patient Care DirectorsTheresa BertolottiJenifer BrowneRose Marie Buse

Elizabeth CattaniLuz FielValerie FrenchJackienette GonzalezBarbara GrygotisRosemarie HillChristine KataLinda LeightonMargaret MurphyBarbara QuirolgicoDiana Torres

Nursing Administrative SupervisorsMargaret CalzarettaPhyllis CapiaghiZahava CohenPrince DankwahIrma DiazAbigail FerrerDonna GrotheerPearl John-StiellCassandra Martin-Walters Donald OhiomaElizabeth PietropaoliAnne RutkowskiJennifer Shepp

Savitri Sutton Marites Villondo Rose Welyzcko

Joint Practice Clinicians & Nurse EducatorsErline EverettDragana GeraghtyDebra GolaszewskiMary LloydChristine Massey Dorothy MeehanRose TrojkovichBarbara WiklinskiMichelle WuSuzanne Zafran

Nursing Leaders Throughout the OrganizationConstance Abate Patricia Bain Eula Demetra Bergado Patricia Brigley Theresa Chun Cio Dela Riva Linda Finocchiaro Filmore Flores

Katherine Garcia Deborah Germinario Mary Gifford Deborah Griffin Lori Habersaat Maureen Jaworski Shakila Lewis Gail Lundy Cristina Lutas Nistor Maria Magallanes Jennifer Morgan Cathy Muir-Quinn Mary O’Connor Toral Patel Mary Peterkin Diana Raymond Claire Rizzo Karis Robinson-Facey Christine Rohan Patricia Schwartz Diana Seymour Maria Lourdes Soriano Felicia Villari Mary Ellen Walter Christine Weiselberg

top Left: Christine Massey, RN; Michelle Wu, RN top Right: Michelle Edades, RN; Lucita LiPuma, RNBottom Left: Cynthia Mulder, APN; Amanda Chipko, APN Bottom Right: Yuna Kim, RN

nurse leadership team

nursingdefined30

Bedside Shift Reporting

Principal Investigator:Erline Everett, MSN, RN, APN-BC

Critical Care Patients: Examining the

Relationship Between Vasopressor

Administration and Pressure Ulcer

Development

Co-Investigators:Jill Cox, PhD, RN, APN-C, CWOCNSharon Roche, PhD, RN, APN-C, CCRN

Does Hand Massage Reduce Pre-Op

Anxiety in Same Day Surgery Patients?

Principal Investigator:Marlene Veselsky, BSN, RN

Emergency Severity Index (ESI) Acuity

System and Its Effectiveness on the

Delivery of Patient Care in the Emergency

Department

Principal Investigator:Sajeetha Jacob, BSN, RN

Evaluating the Effects of Family Educa-

tion on Medication Compliance as a Post

Discharge Support Intervention to Reduce

Readmission Rates in a Psychiatric Unit

Principal Investigator:Peter Obamije, BSN, RN

Factors Associated With Falls in Medical/

Surgical Patients

Co-Investigators:Charlotte Thomas-Hawkins, PhD, RN, Rutgers UniversityJill Cox, PhD, RN, APN-C, CWOCNSusan DeGennaro, MS, RN, APN-C, OCN

Huddling as a Communication Strategy

to Improve Patient Perception of the

Emergency Department Experience

Principal Investigator:Sylvia Lopez, BSN, RN, MSN

Improving ED Flow by Placing a Pivot

Nurse at Triage: A QI Project

Principal Investigator:Precious Inay, BSN, RN

New Jersey Registered Nurses’ Workplace

Support for Patient Advocacy

Co-Investigators:Barbara Chamberlain, PhD, RNMadelyn Pearson, MA, RN, NEA-BC

Nurse Liaison in a Surgical Waiting Area?

Effect on Patient Satisfaction

Principal Investigator:Joanne Preiss, BSN, RN

Patient Satisfaction and Nurse

Patient Ratio in the ED

Principal Investigator:Norma Barros, BSN, RN

Perceptions of Barriers to Continuing

Education Attendance Among Staff Nurses

Co-Investigators:Alice Barden, BSN, RNRebeca Esquivel, BSN, RN

Relationship Between Stress Levels and

Attendance in Stress Reduction Classes

Principal Investigator:Maria Car, BSN, RN

Team Work and Satisfaction

Principal Investigator:Amy Evans, BSN, RN

The Impact of Surgical Safety Checklist

and Communication in Operating Rooms

Principal Investigator:Elizabeth Cattani, BSN, RN

Transitional Care and the Impact

on Patient Safety Once Discharged

from the Hospital

Principal Investigator:Katherine Garcia, BSN, RN

research projects

Ddedication |ˌdediˈkāSHən| noun

the quality of being dedicated or committed to a task or purpose

Aileen S. Wilson Nursing Scholarship

2013 Nancy Wienberg

2014 Jennifer Guzman, Nancy Wienberg

Cadmus-Vreeland Nursing Scholarship

2013 Veronica Pomasin

2014 Laura Pazziuagan

Clara Lee Olsen Nursing Scholarship

2013 and 2014

Gabrielle Mulderrig

George Elliot Trust Fund

2013 Veronica Pomasin

2014 Thomas Helm

Laura Phipps

Student Nurse Scholarship

2014 Mary Frances Murphy, Vivi Nguyen

Shawn Simone

Woman’s Club of Englewood/

Laura Phipps Student Nurse Scholarship

2013 and 2014 Lauren Dotson

Woman’s Club of Englewood/

Sandra & David Bishop Nursing Award

2013 Liliana Benitez, Mary Mozia

2014 Mary Mozia, Veronica Pomasin

Maureen Jaworski, RN; Gail Lundy, RN; Maria Magallanes, RN; Constance Abate, RN

scholarships

nursingdefined32

19TH ANNUAL NURSING RESEARCH CONFERENCE POSTER PRESENTATIONSNovember 15, 2013

Presenters:Jill Cox, PhD, RN, APN-C, CWOCN Medical/Surgical Advanced Practice Nurse/ Wound Ostomy Continence Englewood Hospital and Medical Center

Sharon Roche, PhD, RN, APN-C, CCRN Critical Care Advanced Practice Nurse Englewood Hospital and Medical Center

The Relationship Between Vasopressor Therapy and Pressure Ulcer Development in Critically Ill Adults Jill Cox, PhD, RN, APN-C, CWOCN Sharon Roche, PhD, RN, APN-C, CCRN Aryeh Shander, MD

The Effect of Various Instructional Methodologies on Pressure Ulcer Knowledge Retention among Critical Care and Medical Surgical Nurses Jill Cox, PhD, RN, APN-C, CWOCN Sharon Roche, PhD, RN, APN-C, CCRN Elizabeth Van Wynen, EdD, RN, NE-BC

Predictors of Pressure Ulcer Development In Adult Critical Care Patients Jill Cox, PhD, RN, APN-C, CWOCN

Critical Care Physicians: Attitudes, Beliefs and Knowledge about Pressure Ulcers Sharon Roche, PhD, RN, APN-C, CCRN Jill Cox, PhD, RN, APN-C, CWOCN Nisha Gandhi, MD

Pediatric Antibiotic Lock Therapy Presenters: Patricia Munno, MSN, RN, CPN DNP Program, Fairleigh Dickinson University Stephanie Whelan, MSN, RN, FNP-BC DNP Program, Fairleigh Dickinson University

Using a Mock Trial Approach to Evaluate an Ethical Dilemma: Family Witnessed Resuscitation

Presenters: Andrea Centrella-Nigro, DNP, RN, CNE EBP/Research Mentor Holy Name Medical Center

Donna L. Flynn, DNP, RN, ACNS-BC, CCRN Education Specialist Holy Name Medical Center

Reflections of an EBP/Research Nurse Mentor: Lessons Learned Presenter: Andrea Centrella-Nigro, DNP, RN, CNE EBP/Research Mentor Holy Name Medical Center

20TH ANNUAL NURSING RESEARCH CONFERENCEPOSTER PRESENTATIONSNovember 14, 2014

Perceptions of Barriers to Continuing Education Attendance Among Staff NursesPresenters: Alice Barden, BSN, RN Rebecca Esquivel, BS, RN Staff Nurses, Englewood Hospital and Medical Center

The Relationship Between Caring Leadership, Nursing Job Satisfaction and Turnover Intentions Presenter:Danilo Bolima, EdD, MSN, RN, PCCN, NEA-BC Nurse Manager, Hackensack University Medical Center Mountainside

Transitional Care Presenter:Katherine Garcia, BSN, RN Staff Nurse, Englewood Hospital and Medical Center Designing and Implementing a Psychiatric Nursing Simulation Aimed at Teaching Students How to Simultaneously Initiate the Nurse-Patient Relationship While Conducting a Suicide Risk Assessment Presenter:Joanne Goldstein, MS, RN, APNC Family Psychiatric Nurse Practitioner DNP Program, Fairleigh Dickinson University Healthcare Workers with Visible Body Art: A Qualitative Study on the Public’s Perception of Visible Body Art Presenters:Jacqueline Hunteron-Anderson, Ian Noborine & Jenna Szumilcz Senior Nursing Students, Bloomfield College Marianne Flood, PhD, MA, RN Faculty Advisor, Bloomfield College

PUBLICATIONSCritical care physicians: attitudes,

beliefs and knowledge about pressure

ulcers. Advances in skin and wound

care; 26(4):168-176. 2013

Jill Cox, PhD, RN, APN-C, CWOCN Sharon Roche, PhD, RN, APN-C, CCRN Nisha Gandhi, MD

art |ärt| noun

a skill at doing a specified thing, typically one acquired through practiceA

Iinnovation |ˌinəˈvāSHən| noun

the introduction of new things or methods

top: Ramon Navarro, ST; William Matos, RNBottom: Dina McCarthy, RN; Joanne Choi, RN; Sylvia Lopez, RN

34

Oluyemisi Amosu, MSN

Ramapo College of New Jersey

Alice Barden, MSN

William Paterson University

Karl Brennan, BSN

University of Phoenix

Maria Car, MSN


Elizabeth Cattani, MSN


Scott Cooper, MBA


Cio Dela Riva, MA


Rebeca Esquivel, MSN


Amy Evans, MSN


Valerie French, MBACentenary College

Caryn-Lynn Gallione, MSNUniversity of Phoenix

Katherine Garcia, MSN


Lovely Garcia, BSNSaint Peter’s University

Chevon Gray, MSN


Renante Gumabon, MSN

Walden University

Shalva Hirsch, MSN

Rutgers University

Precious Inay, MSN


Sajeetha Jacob, MSN


Lilliya Kantorovich, BSN

Ternpil State Medical University

Ari Karakatsani, MSN


Sylvia Lopez, MSN


Peter Obamije, MSN


Mary O’Connor, MSN

Capella University

Joanne Preiss, MSN


Maria Ramirez, MSN


Elisheva Rosner, MSN


Jennifer Shepp, MSN

Fairleigh Dickinson University

Alice Shu, BSN


Jekyeong Sim, BSN

Korea National Open University

Marlene Veselsky, MSN

Dominican College

Samiah Whitteaker, MSN


new degrees

2013 NURSING SERVICES AWARDS

FRIEND OF NURSING James Regan, RPh, MS, MIS Rexell Baltazar & Sterile Processing Department Team ANCILLARY STAFF EXCELLENCE Jascynth Shereves, PCA EXCELLENCE IN PROFESSIONAL NURSING PRACTICE

Collaborative Practice Regina Gynegrowski, RNC

Community Outreach Joanne Preiss, BSN, RN

Leadership Jung-Hee Sang, BSN, RN

Nursing Practice Leocadie Toussaint, BSN, RN

Patient Care Management Susan DeGennaro, MSN, RN, APN-C, OCN

RISING STAR

Elizabeth Cattani, BSN, RN-BC

EXCELLENCE IN NURSING RESEARCH Sherri Ozawa, RN LEADERSHIP Christine Weiselberg, DNP, FNP-BC

NATIONAL HUMANITARIAN AWARDVanessa Lee, BSN, RN NURSING TEAM Pre-Admission Testing

Labor & Delivery

2014 NURSING SERVICES AWARDSFRIEND OF NURSING Julia Abreu

ANCILLARY STAFF EXCELLENCE Cheryl Armstrong EXCELLENCE IN PROFESSIONAL NURSING PRACTICE

Collaborative Practice Carol Kaufmann, RN

Community Outreach Erica Bello, BSN, RN

Leadership Roseangela DiTaranto, MSN, RN

Nursing Practice Monica Mallen, RN

Patient Care Management Rulijo Legaspi, RN

RISING STAR Diana Torres, BSN, RN, ONC

LEADERSHIP Jenifer Browne, BSN, RN

NURSING TEAM Critical Care Float Team

integrity |inˈtegritē| noun

the quality of being honest and having strong moral principlesI

Sylvia Lopez, RN

Riah Imuan, RN

nursingdefined36

Lilian HuiCatrin LeinsElise RadickJeanna RamiloDenise ScaglioneJudi SchusterSara WagnerMaria Yglesias

MAIN ORMary-Elizabeth BallEleanor DunnNazi FallahEdmee FerilHelen GarduqueWilliam MotosSoon Ho Shin-KwakLynda Venetos

MCH FLOAT TEAMMaria AgustinAlice BardenJane DiMassoRegina GynegrowskiStacy HershChristina Zisa

MED/SURG FLOATDiana AraqueLaura DuffyJohna Joy EmJean EngelmannPerla Francisco-LiponTeena JohnnyHeesoon Kim

Jamie LeeAmanda NeukumErwina SinagMarielle TotaroPaula Vargas

MOTHER/BABYLindie-May AbdonAnne AyalaLiliane BergsteinMichelle CaropoloRowena DelFierroRoseangela DiTarantoMeredith FriedbergBarbara KontosElizabeth OsterJanice PlattMary Reinfried Winifred SanchezMaryanne SheaLeocadie ToussaintRiah Vallejos-Imuan

MSICUAndrew Adecer Joanne CardonaPamela DelColleBarbara MilloStacie MorvayLolita Nunez-CaladiaoSuzanne ScheideggerMaryjo SharplesElaine Van Buren-RizzoKerry Volmer

NICUTheresa CarulloMary DeRitterLori FordIrma IberaCarol KaufmannSusan Maher-DziemianElizabeth McConnellNancy MuldowneyAnn NestmanHelen PunoMargaret RodriguesLaura SymonsPatricia Zisa

PACURebeca EsquivelDiane GaldieriCori GallagherLaura HoganTheresa LaSpinaSharon MarcellaroMichele McLaughlin Susana MeloShawn Simone

PEDIATRICSNancy HarperGeraldine Neiderhofer

PRE-ADMISSION TESTINGMargaret NolanTerttu SahadiNancy Wienberg

PSYCHIATRY 4 EASTEmilia CrisologoDaniel DanielEleanor GarciaRosita GermosoJudith GioiaNorbeta MaineSamantha SavarinoLeah ScilingoEna ScrivaniJoanne Seeger

RADIATION THERAPYMindy Delaney

2 KAPLENJessica BurgioKatherine Hauptman Kimberly Lion Cecilia Pascual Roxanne Paul Yu Wen

2 WESTLinda FritzGenny HurtarteEllen JohnstonDenine LongJoanne PreissLeoneta Zoleta

4 DEAN Jennifer AlexanderNoemi BalancioJulieanne ChaffiotteLinda CohenBarbara CruzLauren DotsonLucy GallandElizabeth GiraldoAnna HatzikyriakouIris LinCarol MalasitsAdorlina MaliwanagSaramma PalamattamMarissa Panganiban

Patricia PattiAdele ThomasDiana TicusanKaren TwomeyChristie WielangaWan Youh

6 DEANNicole ChvastaMaria De OcampoShirley Deguzman-AndujarAshley FitzpatrickJennifer GuzmanRachel IsipJunghwa LeeAnna MarzanVanetta MitchellMary MoziaMelanie NiazoffJessica OliveraLorna PazziuaganVelma PembertonSung-Jin SonMarichu SuceroJudith Swan 7 DEANAna AcostaLiliana BenitezMonica ChunKate Chung

Agnes DavidMartina Barbara FranciscoDiane LiccardoDaisy MacadaegBlessy PathroseVeronica PomasinMarta PoznanskaJudith RosenbergEmma SamsonJung-Hee SangRosana UrgellesJamie Valdez

8 DEANNelio AbdonDiane ArdizzoneLynn BaeBarbara BirkevaagRosemarie DalmanDigna GuillermoBella Luz ObelloJose Sison, JrMariamma Thomas

BERRIE ORSacha BarracaEun Choon ChangNena DiTraniSusan DoyleAnnmarie MartinLinda MaslankaMargaret Smith

BERRIE PRE/POSTKaren BarkleyCheryl Hernandez

Victoria KrizekPatricia MauerMary TendlerJanet Wright

CARDIAC CATHJessica PagesSylvia PamaHarrietta Venegas

CARDIAC REHABDeborah Tamburro

CVICULucia BerattoSung Yeon ChoiRosemarie DiazPatricia GattoSuzanne JacksonAri KarakatsanisRuth MarceloJoanne MoldtMarietta SuganobCarmelita Tinio-Navarro

CRITICAL CARE FLOATCarol BoutillierSukhwinder GhotraAnna Maria Nava-Torres Winifred Pitt

EMERGENCY DEPARTMENTJosepha AdvinculaBarbara ConnizzoArsenia Dimaano

Cathi GoldfischerPrecious InayArlene KeysDianne SteeleIrmina TanionBarbara Wiezik

ENDOSCOPYElizabeth BeddoeLinda DiLucci

HEMODIALYSISJasmina AminLucita LiPuma

INFUSION CENTERGael EisenbergRulijo LegaspiJudith SibugJodie Steuth

INTERVENTIONAL RADIOLOGYJennifer BargmanMelissa KeilJoan PowellNoreen Stacey

LABOR & DELIVERYCarol AffordCinderella AlegriaMaria Gina AmbuloElizabeth CasagrandeEvelyn EvangelistaSuzette GuintoShalva Hirsch

preceptors

Linda Williams, RN; Josephine Damalerio, RN

nursingdefined38

19TH ANNUAL NURSING RESEARCH EVIDENCE-BASED PRACTICE CONFERENCE Englewood Hospital and Medical Center – November 15, 2013

CO-CHAIRS:Susan DeGennaro and Barbara Wiklinski

COMMITTEE MEMBERS:Carol BoutillierErline EverettSuzanne JacksonCatherine LorenzoChristine MasseyKaren RaftiLia Sabbagh

KEYNOTE SPEAKER:Aline Holmes, MSN, RNBuilding Sustainability and Spread into Your EBP InitiativesKathy Kaminsky, MS, RN, NEA-BCCreating a Culture of Excellence in HealthcareJamie Ketas, BS, CCRPNavigating the IRB: What Every Nurse Needs

to KnowJudith Caruso, DNP, MBA, RN, NEA-BCPlanning to Decrease Heart Failure Patients’ Readmissions: Using EBP and Research to Change PracticeChristine Massey, MSN, RNDifferentiating PI, EBP and Research

ENDNOTE SPEAKER:Ann Kutney-Lee, PhD, RNCritical Surveillance: The Role of Nurses in Promoting Patient Safety & Quality of Care

20TH ANNUAL NURSING RESEARCH EVIDENCE-BASED PRACTICE CONFERENCE Englewood Hospital and Medical Center – November 15, 2014

CO-CHAIRS:Susan DeGennaro and Barbara Wiklinski

COMMITTEE MEMBERS:Carol BoutillierCarol EastmanErline Everett

Suzanne JacksonChristine MasseyKaren RaftiLia SabbaghMichelle Wu

KEYNOTE SPEAKER:Marilyn Bookbinder, PhD, RN, FPCNUsing Evidence and Quality as Our Compass to Embrace Change in the Decade AheadKrista Casey, MBABarbara Versage, MSN, RN, CPHQDoing the Right Thing at the Right Time: The Impact of Nursing Process on Quality IndicatorsSorrel KingJosie King Foundation: Creating a Culture of Safety, TogetherJill Cox, PhD, RN, APN-C, CWOCNSusan DeGennaro, MS, RN, APN-C, OCNDiana Torres, BSN, ONCFactors Associated with Falls in Hospitalized Adult Patients

ENDNOTE SPEAKER:Vidette Todaro-Fransechi, PhD, RN, FTCompassion Fatigue, Moral Distress, Burnout and Other Stuff… It’s Time to Heal the Carers

PRESENTATIONSCollaborating to Expand Nurse’s

Knowledge of PI, EBP and Research

Northern New Jersey Nursing Evidence-Based Research Consortium: 6th Annual Joint Nursing Research and Evidence Based Practice Consor-tium Conference, St. Joseph’s Wayne Hospital, Wayne, New Jersey, October 28, 2014Christine Massey, MSN, RN

Factors Associated with Falls in

Hospitalized Adult Patients Research Conference, Englewood Hospital and Medical Center, November 2014Jill Cox, PhD, RN, APN-C, CWOCN

Perceptions of Barriers to Continuing

Education Attendance Among Staff Nurses

Northern New Jersey Nursing Evidence Based Research Consortium: 6th Annual Joint Nursing Research and Evidence Based Practice Consortium Conference, St. Joseph’s Wayne Hospital, Wayne, New Jersey, October 28, 2014Alice Barden, BS, RN Rebeca Esquivel, BSN, RN

Pressure Ulcers in Critical Care

Patients: Developing and Implementing

a Program of Research

Northern New Jersey Consortium of Magnet Hospitals, Holy Name Hospital, Teaneck, New Jersey, September 2013Jill Cox, PhD, RN, APN-C, CWOCN

process |ˈpräˌses| noun

a series of actions or steps taken in order to achieve a particular endP

Ssafety |ˈsāftē| noun

the condition of being protected from or unlikely to cause danger, risk or injury

Vivi Nguyen, RN; Mary Mozia, RN

nursingdefined40

Maria Mitchell, RN; Eileen Franco, RN; Barbara Kontos, RN

top Left: Ellen Johnston, RN top Right: Linda Finocchiaro, RN; Mary Ellen Walter, RN Bottom Left: Jocelyn Claveria, RN; Irma Ibera, RNBottom Right: Susan Devries, RN

PROTÉGÉS 4 DEANJulia BorovskyAllyssa Capiaghi Adrienne DimaanoDeborah KimNicole ReyesMariam Shumilova

6 DEANMark Tuazon

8 DEANMaria AmeralisJacqueline BoylanJon-Kerwin LagascaMegan Ogden

PEDIATRICSSara Gordon

MENTORS4 DEANNoemi BalancioSaramma PalamattanPatricia PattiAdele Thomas

6 DEANTrisha Boland Christian Ortiz

7 DEANMarta Poznanska

BERRIE PRE-POSTMary Tendler

CARDIAC CATH LABAmy Evans

CVICUPatricia Gatto Ruth Marcelo

CRITICAL CARE FLOATCarol Boutillier Joan Pan

MSICUPamela DelColle Mary Ann Espejo Lolita Nunez-Caladiao

MED/SURG FLOATLaura Duffy

NICUSusan Maher-Dziemian Nancy Muldowney Ann Nestman

PACUMichele McLaughlin

PATTerttu Sahadi

YOU MAKE THE DIFFERENCERemberto DeLeon, Unit Secretary/ Monitor Tech6 DEAN

Irmina Tanion, RN, MSNEMERGENCY DEPARTMENT

Lisa Rothschild, RN8 DEAN

Meena Shariff, PCA8 DEAN

Rashad Whaley, Unit Secretary/ Monitor Tech7 DEAN

unique |yo͞oˈnēk| adjective

being the only one of its kind; unlike anything elseU

42

Patricia MazzolaKellie McGuire O’SheaMichele McLaughlinDorothy MeehanJulie MeliaSusana MeloEthel Wolda MendozaBridgette MitchellJoanne MoldtMegan MooreMelinda MoralesJennifer MorganCynthia MulderNancy MuldowneyJennifer MurphyMargaret MurphyMary Frances MurphyVirginia MurphyGeraldine NeiderhoferAndrea NeilAnn NestmanDeborah NeufvilleFlordeliza NogoyMary O’ConnorMary-Ellen O’SullivanSandra PalinMadelyn PearsonWen-Chiao PengMary PetrelliKristofferson PinedaWinnifred PittClaudia PortnoyJoanne PreissJeanne Price

Helen PunoSalomy PuthuvamkunnathElise RadickKaren RaftiJeanna RamiloCaren RemsaLaurencita ReyesSharon RocheAlessandra RodriguezRaylene RossNancy RossiErlinda RubioMary RufoJoanne RuotoloAnne RutkowskiTerttu SahadiLisa Salandra-BirnbaumYvette SambaLeah SandhausMarie SarubbiSamantha SavarinoDenise ScaglioneSuzanne ScheideggerRichard SchultzJudith SchusterLeah ScilingoEna ScrivaniJoanne SeegerTanya ServidioMarina ShabashkevichMaryjo SharplesMaryanne SheaSoonho Shin-KwakAlice Shu

Ample SmithLisa SonzogniAmy StabellMaria StratigisTim ThomanAdele ThomasMarissa TombocSharyn TondelDiana TorresSandra TrainorRose TrojkovichElaine Van Buren-RizzoLeena VargheseFrances Vela-CantosHarrietta VenegasHilda VeranoSara WagnerMary Ellen WalterChristine WeiselbergRose WelyczkoYu WenBarbara WiezikBarbara WiklinskiThomas WilkosJanet WrightMichelle WuMaria Sandra YglesiasWan Hyuck YouhSuzanne Zafran

Lindie-May AbdonCarol AffordBecky AhnCindy AhnAlexis AlcoberMaria Gina AmbuloOluyemisi AmosuFreida Arias-TopalianDenise ArzoomanianSusan AustinAnne Marie AyalaMylene BaelloMa Virginia BaliguatAlice BardenKaren BarkleySacha BarracaLisa BarraleElizabeth BeddoeLiliana BenitezTheresa BertolottiBarbara BirkevaagKaren BoutillierPatricia BoylanKarl BrennanKenneth BreretonPatricia BrigleyThomas ButlerKathleen Cahill

Joan CalantoneBeth CalingdongMargaret CalzarettaFlorence CampbellSallie CanadaBarbara CaparroPhyllis CapiaghiMae CarlsonMichelle CaropoloDonna CarrazzoneElizabeth CasagrandeElizabeth CattaniMarie ChengAmanda ChipkoJean ChoMihyang ChoBonnie ChungKate ChungCarol CianciZahava CohenSylvia Colon CabassaBarbara ComitoScott CooperPamela CorderoJill CoxLauren DaddettoJosephine DamalerioZeema Daniel

Susan DeGennaroCio Dela RivaPamela DelColleChristina DeMarcoMary DeRitterRosemarie DiazBetty DickerLinda DiLucciRoseangela DiTarantoNena DiTraniMaureen DombkowskiLauren DotsonEleanor DunnJosemy Ebreo-FerrerFlorian EstiveEvelyn EvangelistaErline EverettKatarina FeeleyLeilani FelicianoEdmee FerilAbigail FerrerLinda FinocchiaroEvelyn ForbesValerie FrenchLinda FritzLucy GallandCaryn-Lynn GallioneAdriana Gambino

Patricia GattoElena GeltzerSusan GeorgeThresiamma GeorgeDebbie GerminarioRosita GermosoSukhwinder GhotraSheila GinleyJudith GioiaDebra GolaszewskiCathi GoldfischerJackienette GonzalezSharyn GrantChevon GrayBarbara GrygotisRenante GumabonRichard GutierrezRegina GynegrowskiLori HabersaatLeigh HartungAnna HatzikyriakouKatherine HauptmanCheryl HernandezRosemarie HillShalva HirschLaura HoganD. Katherine HollowayLilian Hui

Rebecca ImbornoniPrecious InaySuzanne JacksonLatoya JohnsonEllen JohnstonKathleen KaminskyChristine KataDenise Kelly-JonesLisa KennyArlene KeysKyungsook KimVictoria KrizekBirgit LandersAnna LangKyounghee LeeThea LeGrandeLinda LeightonCatrin LeinsMarva LeslieIris LinErmelinda LlantadaMary LloydDenine LongSylvia LopezPatricia LoPintoLolita LorenzoDiane LubinskiSusan Maher-DziemianNorberta MaineTeresa MancusoJanet MantelMaryann MaricicCassandra Martin-WaltersPatricia Maurer

certified nurses

Edita Albert, RN; Marissa Tomboc, RN

44

EXCEPTIONAL CARING, EXEMPLARY CARE Nursing Defined is a

publication of the Department

of Nursing, Englewood

Hospital and Medical Center.

We thank the Office

of Communications for its

invaluable support. The

enthusiastic participation of

Nursing staff, other employees

and hospital friends also

made this report possible.

Nnurse |nûrs| noun A person trained to care for the sick or disabled, especially one

educated in the scientific basis of human response to health problems and specific ethical and professional standards. Origin: The verb nurse was originally a form of the word nourish.

Englewood Hospital and Medical Center has been recognized for outstanding patient care by numerous organizations, accrediting bodies and membership organizations. Please visit www.englewoodhospital.com for a full accounting.

Suzette Guinto, RN; Evelyn Evangelista, RN; Jeanna Ramilo, RN

Documents

NURSING BIENNIAL REPORT 2013-2014 • ENGLEWOOD