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Nursing Report 2014
Table of Contents
Introduction
n Executive Leadership Team 2
n Message from CNO: A Year of Transition 3
Transformational Leadership
A Year of Nursing Excellence 4
n DFW Great 100 Nurses 6
n DAISY Awards 7
n Strauss Awards 7
n D Magazine Excellence in Nursing 7
Structural Empowermentn Shared Governance 8
n Certifications 9
n Education Levels 9
Exemplary Professional Practice n Nurse Satisfaction 10
n Clinical Ladder 10
n Emergency Department 11
n Diabetes Management Program 11
n Stroke Program 12
n Imaging Services 14
n Transplant Clinic 14
n Most-Improved Awards 16
n Community Involvement 17
New Knowledge, Innovation, and Researchn Publications, Posters, and Presentations 18-25
New Era in Clinical Care Beginsn Transition to Clements University Hospital 26
Nursing Philosophy
UT Southwestern is committed
to providing quality nursing care
through the effective use of re-
sources and the development of
innovative programs in clinical
practice, education, and research.
We value the worth, dignity, and
autonomy of our patients and their
families. We believe that each indi-
vidual has unique physical, social,
emotional, and spiritual needs that
are served through personalized
compassionate care.
We recognize and encourage each
nurse to care for his or her body,
mind, and spirit as a critical ele-
ment in achieving clinical excel-
lence. Nurses at UT Southwestern
are encouraged to nurture and
support one another in an environ-
ment that fosters teamwork and
interdisciplinary collaboration.
Working collaboratively affords
us the opportunity for common
goal-setting through trust, mutual
respect, and a commitment to open
and honest communication in
serving our patients.
UT Southwestern Nursing Mission and Vision
Nursing at UT Southwestern is
committed to being a national leader
among academic health centers in
providing high-quality, safe, and
innovative patient care and to being
a model of excellence in profes-
sional nursing practice, education,
and research.
Front cover, left to right: Julie Cox, B.S.N., RN; Lidia Sandron, B.S.N, RN; James Lester, B.S.N., RN
Inside front cover, left to right: Stephanie Vanderhill, B.S.N., RN; Kavitha Nair, B.S.N., RN
2014 was a year of transition for the Division of Nursing and for UT Southwestern
Medical Center in general. With transitions often come challenges, and I’m pleased to
report that our nurses met and proved more than capable of handling each test that
came their way.
At UT Southwestern, 2014 will be remembered as the year William P. Clements Jr.
University Hospital opened its doors while, on the same day, St. Paul University Hospital
closed its own—after more than 100 years of providing remarkable patient care. Along
with that major transition were changes in nursing leadership, evolution in the use of new
technologies in care, and the physical relocation of some specific patient populations. In
a normal year, any one of these transitions would be considered a challenge, yet facing
them all as a team enabled us to successfully navigate every change that came our way
over the incredibly busy past months.
On a personal note, 2014 brought me to UT Southwestern. I was immediately aware of
the high quality of care UT Southwestern nurses provide for patients—care based on the
collaborative work of each team member at the bedside and each team member’s ded-
ication to the patient and family experience. I was struck by the genuine concern every
member of the Nursing Division showed for the well-being of every patient. Everywhere
I turned, I saw nurses embracing the educational opportunities provided by the use of
new technology and observed genuine teamwork guiding decision-making related not
only to patient care but also to customer service. The value placed on excellence in
nursing was palpable my first day on campus, and it remains evident in each nurse’s
daily work.
I encourage you to join us in looking back at a very successful year of transitions in
nursing while we look forward with reinforced commitment to serving our patients, their
families, and each other.
This 2014 Nursing Annual Report provides a glimpse of just some of our accomplish-
ments. We are proud to share it with you and are already working diligently toward the
successes we will achieve in the coming year.
John Warner, M.D., M.B.A.
Chief Executive Officer
University Hospitals
Steven Leach, M.D.
Chief Medical Officer
University Hospitals
Becky McCulley, M.S.N., RN
Chief Operations Officer
University Hospitals
Susan Hernandez, M.B.A., B.S.N., RN
Chief Nursing Officer
University Hospitals
Executive Leadership Team Message from the CNO
2
A Year of Nursing Excellence As health care continues on its rapid path of change,
the Division of Nursing is not only keeping up but often leading the advancements taking
place. Each step of our journey continues to support the transformation needed to fulfill
our mission of providing excellent patient-centered care.
When Shelley Cleere-Brown, M.S.N., RN, Director of Neuroscience Services, moved into
the interim Chief Nursing Officer role in January 2014, she encouraged all team members
to continue this journey of nursing excellence. Nursing leaders in UT Southwestern’s
hospitals and clinics “stepped up” to her challenge and embraced our professional
practice model centered on relationship-based care and putting the patient and family
at the center of all we do. With evidence-based practices, strong leadership, advanced
nursing education, teamwork, and quality processes, the nursing councils under the
CNO leadership and Magnet Program director have built on the Nightingale philosophy
of “a hospital should do no sick patient harm.”
In the patient care settings, we saw new leaders emerge as we moved forward with
assigning Assistant Nurse Managers on each shift in charge as Care Coordinators.
Many “super users” emerged as they volunteered to help guide colleagues through the
move to the new William P. Clements Jr. University Hospital. Those who report directly
to Shelley attest that she often reminds others that “It’s all about the patient.” Shelley
moved smoothly from educator, manager, and director of a complex neurosciences and
rehabilitation-focused academic hospital to become UTSW’s interim CNO. In each role
she’s filled, she has been widely recognized for her level of skill and commitment.
Those attributes were extremely valuable when, on June 16, 2014, Susan Hernandez,
M.B.A., B.S.N., RN, joined UT Southwestern Hospitals and Clinics as the Chief Nursing
Officer. Shelley made Susan’s onboarding a smooth transition by shadowing and sharing
with Susan the many aspects of UTSW’s hospitals—including Clements University
Hospital, which opened less than six months after Susan’s first day on the job.
A strong advocate for nurses, Susan has served more than 20 years in progressively
responsible nursing practice and leadership roles. “We spent several months looking
for the right person to fill this important role,” said Dr. John Warner, CEO of University
Hospitals and Clinics. “We wanted someone committed to excellence in nursing; who
had experienced and appreciated the needs of those who are delivering nursing care on
a daily basis; who had demonstrated the ability to build, equip, and lead high-functioning
teams of nurses; and who would be a strong advocate for nursing.”
The CNO search, Dr. Warner added, involved collaboration with UT Southwestern
clinical department Chairs, Nursing Directors, and frontline nursing staff members.
“Their involvement was critical to our decision-making,” he said, “and it helped us arrive
at the decision to extend the offer to Susan, a well-respected nursing leader with broad
experience gained in a top-performing medical center known for nursing excellence.”
Transformational Leadership
5
Standing (left to right): Lisa Dalton, M.B.A., B.S.N., RN, NE-BC, CRN; Victoria England, M.B.A., B.S.N., RN, NE-BC; Mike Mayo, M.S.N., RN, CCRN; Scott Patterson, B.S.N., RN; Susan Hernandez, M.B.A., B.S.N., RN; Thea Vanderhill, M.S.N., RN, CNRN; Stephanie Huckaby, M.S.N., RN-BC; Rudy Arispe, B.S.N., RN; Lori Hodge, DNP, RN, OCN, NEA-BC. Seated (left to right): Carolanne Capron-Reid, M.Ed., B.S.N., RN; Renee Bailey, M.S., B.S.N., RN, CNOR; Shelley Brown-Cleere, M.S.N., RN; Cheryl Kaplan, M.B.A., M.H.A., RN.
Left: Kristin Cornatzer, B.S.N., RN
2014 DFW Great 100 Nurses
Every year, the Dallas/Fort Worth Great 100 Nurses are selected from hundreds of nominations submitted by patients, families, colleagues, teachers, students, co-workers, and supervisors. The mission of the DFW Great 100 is to recognize registered nurses from all practice areas who are nominated for being role models, leaders, community servants, compassionate caregivers, and sig-nificant contributors to the nursing profession. Nomination letters are reviewed and evaluat-ed in the areas of quality patient care, peer support, and advancing the overall quality of health care.
For 2014, four UT Southwestern nurses were selected to the DFW Great 100:
Karen Elmore, M.S.N., RN, NE-BC – Manager, 5 North and Women’s Resource Center
Jo Hoffman, B.S.N., RN, CCRN, CEN – ANMCC, CVICU, St. Paul University Hospital
Michael Rogers, B.S.N., B.S., RN, CCRN – Clinical Nurse, Zale Lipshy University Hospital SICU
Daniel White, B.S.N., RN – ANM, Psych, Zale Lipshy University Hospital
All nurses selected were honored at the Great 100 Nurses Celebration on May 14, 2014, at the Morton H. Meyerson Symphony Center in Dallas.
D Magazine Nurse Excellence Finalists
Ten UT Southwestern nurses were named finalists in D Magazine’s third annual Excel-lence in Nursing Awards, which honor Dallas and Fort Worth nurses who have made a difference in the lives of their patients and colleagues.
This year, the Dallas magazine received more than 450 nominations and chose 80 finalists, who were featured in the magazine’s March issue, along with the winners in each of the 25 categories. Award winners were selected from nominations made by patients, peers, and physicians. The UT Southwestern finalists, with winners denoted by an asterisk, were:
*Kenneth A. Adams, B.S.N., RN, PMH – Zale Lipshy Psychiatry
*Audrey Ayres, B.S.N., RN, CCRN, IOMSN – Ambulatory Nurse, Neurology Clinic
Hannah Emert, B.S.N., RN – Assistant Nurse Manager, 7 West ICU, St. Paul
Becky McCulley, M.S.N., RN – Associate Vice President and Chief Operations Officer, University Hospitals
Sarah McNeil, A.D.N., RN – Senior Research Nurse Simmons Comprehensive Cancer Center
*DaiWai Olson, Ph.D., RN, CCRN, FNCS – ICU Staff Nurse, Associate Professor of Neu-rology, Neurotherapeutics, and Neurosurgery
*Kathy Ahne Pratt, B.S.N., RN, OCN, CBCN – Breast Cancer Patient Navigator, Simmons Comprehensive Cancer Center
*Michael Rogers, B.S.N., RN, CCRN – Zale Lipshy ICU
*Sharon D. Smith, B.S.N., RN, CMSRN – 6 South, St. Paul
*Brenda Thompson, M.S., APRN, CNS, CCRN, FAHA – Heart and Lung Clinic
DAISY Award
To recognize our amazing nurses in direct patient care, UTSW partners with the DAISY Foundation, which established the DAISY Award in memory of J. Patrick Barnes, who died at age 33 of ITP, an autoimmune disease. (DAISY is an acronym for Diseases Attack-ing the Immune System.) The Barnes Family was awestruck by the clinical skills, caring and compassion of the nurses who cared for Patrick, so they created this national award to say thank you to nurses everywhere.
The DAISY Award committee selects one nurse each month from a hospital or hospi-tal-based clinic for exemplifying our mission. Each month’s winner receives a nominee pin, a DAISY Award recipient pin, a Healer’s Touch hand-carved statue, and an award certificate. In addition, the selected nurse’s unit receives a banner to post for the month and freshly baked cinnamon rolls for everyone on the day the award is presented. DAISY winners from UT Southwestern for 2014 were:
Jacqueline Coats, B.S.N., RN, CMSRN – 5 West St. Paul, February 2014
Samantha Shackleford, B.S.N., RN-BC – ED St. Paul, March 2014
Kelly Logan, A.D.N., RN, OCN – SCC Hospital-Based Clinic, April 2014
Katie Irwin, B.S.N., RN, CMSRN – 3 North St. Paul, June 2014
Sherry Link, B.S.N., RN, CCTN – SOTP Hospital-Based Clinics, August 2014
Kim Donoghue, A.D.N., RN – Psych Zale Lipshy, September 2014
Strauss Award
The quarterly Strauss Award recognizes employees who exemplify excellent care and service in a professional and positive manner, dedication to teamwork, and compassion for patients, guests, and co-workers. Employees from both St. Paul and Zale Lipshy University Hospitals are recognized.
D Magazine Nurse Excellence Finalists Back row (left to right): Brenda Thompson, Audrey Ayres, Michael Rogers, DaiWai Olson, Sarah McNeil. Front row (left to right): Hannah Emert, Becky McCulley, Ken Adams, Kathy Ahne Pratt. (Sharon Smith is not pictured.)
Meritorious Service Award 2014
Dilshad Nayani, RN, CCRN
Sabrina Sandifer, A.D.N., RNC-NIC
Hiaing Thu, B.S.N., RN, CRN
Byron Carlisle, B.S.N., CCRN
Gretel Reyes-Salaum, B.S.N., RN
Angela Buchman, B.S.N., RN
Transformational Leadership
Every day, our world-class nursing teams deliver comprehensive quality care, bringing
compassion and understanding to our patients, their families, and loved ones. When you
go beyond care to genuine caring, it makes a real difference. No wonder that once again
in 2014 UT Southwestern received two national awards for patient satisfaction.
2014 DFW Great 100 Nurses Daniel White, Jo Hoffman, Michael Rogers, and Karen Elmore
Strauss Award Winners
Sheila Woodward- Morgan, B.S.N., RN, CCE – 5 North St. Paul
Laura Fincher, A.D.N., RN, CNOR – Zale Lipshy Surgery
Gayle Adams, A.D.N., RN – Zale Lipshy PACU
76
Raechelle Robertson, B.S.N., RN, Surgical Coordinator Zale Lipshy OR
Suzanne Spears, BSN, BA, RN, CUH 10 North
Top left corner: Deleatha Foster, B.S.N., RN, CMSRN
Shared Governance UT Southwestern has a strong shared governance structure that
includes all staff from all areas and disciplines. Because health care is moving at rocket
speed and it is not always acceptable to wait a month until the next council meeting if a
change needs to be made, the UTSW Education Council developed a new process to
increase efficiency and communication. Facilitating better information flow and response
times, the new process is designed to recognize and move a new project, process,
thought, or evidence-based practice (EBP) from idea phase through to completion and
then dissemination.
The process works like this: Any staff member with an idea for improvement completes
an online form explaining the idea or EBP. The completed online form generates an
email with the information to the councils or committee chairs who can support moving
the idea forward. Those entities respond to the initiating staff member within 72 hours,
detailing the necessary next steps. This process has increased the Nursing Division’s
efficiency and communication across all areas.
Certifications
UT Southwestern nurses validate their mastery of skills, knowledge, and abilities through cer-tification, and they meet ongoing learning and practice requirements through recertification. Patients and families benefit from certification because it provides them with validation that the nurse caring for them has demonstrated experience, knowledge, and skills in the com-plex specialty of their care. Nurse certification and the continuing education required to maintain it contribute to the creation of an environment of professionalism and a culture of retention. Certification also differentiates UT Southwestern from other health care organizations, demonstrating to consumers that we have attracted the most skilled and experienced nursing professionals. We con-tinue to increase the number of nurses with specialty certifications, as demonstrated in the graph at left.
Education Levels
In October 2010, the Institute of Medicine (IOM) released its landmark report on “The Future of Nursing”, initiated by the Robert Wood Johnson Foundation, which called for increasing the number of baccalaureate- prepared nurses in the workforce to 80% by 2020. The expert committee charged with preparing the evidence-based recommen-dations in this report state that to respond “to the demands of an evolving health care system and meet the changing needs of patients, nurses must achieve higher levels of education.” The UTSW Executive Nurse Board supports the IOM recommendations to nursing and meets this overarching goal to enhance the knowledge, technical proficiencies, professional performance, and interpersonal skills of the Division of Nursing by providing evidence-based, clinically relevant informa-tion and support to those nurses wanting to increase their educational level.
Structural Empowerment
Research & Evidence-basedPractice Council
Practice Council
Nurse ExecutiveCouncil
Quality & SafetyCouncil
EducationCouncil
Shared GovernanceCoordinating
Council
UT Southwestern Nursing Shared Governance
Diploma RN
ADN
BSN
MSN
APN
DPN
Ph.D.
0 200 400 600 800 1000
129
60
263
210
694
839
50
45
35
25
3
3
3
1
2013
2014
RNs Education Level 2013-2014
9
Specialty Nursing Certifications
800
600
400
200
02013 2014
Left: Linnea Tolbert, B.S.N., RN
Clinical Ladder
UT Southwestern University Hospitals and Clinics’ Clinical Ladder process promotes clinical growth and development, addresses recruitment and retention, and encourages and rewards nurses in direct patient care and non-administrative roles.
“Recognition, reward, and retention of the experienced nurse in positions of direct clinical practice—along with the documentation and adequate description of their practice—are the first steps in improving the quality of pa-tient care.” (Patricia Benner, RN, M.S. “From Novice to Expert,” The American Journal of Nursing, 82(3), 1982, p. 407.)
The Clinical Ladder program consists of four levels of professional practice, each of which reflects incremental stages of achievement in:
•Professionaldevelopment
•Education/clinicalpractice
•ResearchandEBPatthebedside
•Customerserviceandcommunityservice
Advancement to each level is rewarded with a financial increase.
Emergency Department
At the dawn of 2014, the UTSW Emergency Department (ED) volume was continuing to increase, but, unfortunately, data were show-ing that patients leaving without being seen (LWBS) was also increasing. LWBS volume is an important measure of an ED’s operating ef-ficiency. When in January 2014 the ED LWBS percentage reached an all-time high of 9.07%, the ED leadership and staff knew they had to make improvements quickly. How to better serve patients was on everyone’s mind. So was the move from St. Paul to Clements Uni-versity Hospital that would happen later in the year. Studies showed that with the increased number of beds in the new hospital’s ED, an increase in ED volume of 10% to 20% was to be expected.
The entire ED team set out to decrease the LWBS to the national benchmarked level of 2% and to reach that milestone by July 2014. The staff reviewed the data and examined its current practice to determine what it could put into place to affect a change. One of the first changes enacted was triage training for all nurses, which would allow each patient to be seen by a nurse upon arrival and assigned to a room to be seen by the physician. The results from the change in workflow by each member of the ED team brought the LWBS percentage to below the national average in less than five months. As the chart above shows, by August 2014 the LWBS percentage was down to 1.39%.
Diabetes Management Program
The UTSW Diabetes Management Program team began 2014 with the goal of having 80% of the program’s patients utilizing MyChart, an interactive, online service that benefits patients by enabling them to have immediate access to their own medical information. Using MyChart, patients can view laboratory and radiology results, communicate with their health care providers, schedule appointments, renew prescriptions, and more.
Thanks to each team member’s high level of communication and dedication to patient care, the team met and maintained that goal. The Nursing Division would like to extend special kudos to every member of the Diabetes Man-agement Program leadership team:
•Lori Hodge, D.N.P., RN, OCN, NEA-BC – Director of Medical & Oncology Services, Diabetes Management
•Chanhaeng Rhee, M.D. – Medical Director
•Nancy Drobycki, M.S.N., RN, CDE – Clinical Coordinator
•Regina Bonnette, M.S., RD, BC-ADM, CDE – Diabetes Educator
•Erica Kline, B.S.N., RN, CDE – Diabetes Educator
•Jennifer Likover, RD – Diabetes Educator
•Sonia Juarez – Senior Administrative Assistant
Exemplary Professional Practice
Nurse Satisfaction Each year, UT Southwestern participates in a national benchmarked
nurse satisfaction survey. Literature shows that nurses enjoying their jobs and intending
to stay in their positions long term can translate to improved patient outcomes. As the
graph below shows, the UTSW Division of Nursing outperforms other academic medical
centers for nurse satisfaction.
11
2014 UTSW RN Satisfaction Compared to Other Academic Medical Centers
Academic Medical Centers Mean
Mean PES RN-MDRelation
AdequateStaff
ManagerLeadership
Foundationof QofC
HospitalAffairs
Participation
UTSW Mean
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
RN
Sat
isfa
ctio
n
3.06 3.18 2.88 3.04 3.19 3.00
2.94 3.08 2.75 2.98 3.07 2.83
Emergency Department – Left Without Being Seen (LWBS)
LWBS
Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14
9.07% 7.09% 5.66% 3.41% 2.75% 1.43% 0.65% 1.39%
10%
8%
6%
4%
2%
0%
Level One
Level Two
Level Three
Level Four
Clinical Ladder Recipients 2014
Left: Michael Munger, M.S.N., RN, CRNA
Stroke Program
The Cerebrovascular Disease and Stroke Program at UT Southwestern Medical Center provides comprehensive care for patients suffering from or at risk for stroke. Expert health care professionals representing multiple disciplines provide highly skilled medical, surgical, and rehabilitative care through ad-vanced diagnostics and evidence-based care protocols. These clinicians are supported by a strong infrastructure with resources dedicat-ed to the diagnosis and treatment of stroke and neurovascular diseases. The program is designed to provide continuity throughout the entire spectrum of stroke care, from initial diagnosis through clinical follow-up after dis-charge, ensuring a seamless, quality patient experience throughout, with services available 24 hours a day, seven days a week.
UTSW embarked on a journey to become the premier stroke center in the region.
In an effort to attain Joint Commission Com-prehensive Stroke Center recognition, groups were assembled to review our processes, collect data, and establish metrics that were reflective of evidence-based practice (EBP). One area of program improvement concerned the time of starting an intervention for pa-tients who require mechanical intervention to remove ischemic clots. Through transforma-tional leadership and lean methodology, we formed a multidisciplinary group and included representatives from the Neurointensive Care Unit, Emergency Department, Acute Stroke Unit, Angiography Labs, Preoperative Holding, Admissions, Respiratory Therapy, and Nursing Leadership. In 2014, we saw our greatest strides in reducing intervention start times. In 2012, our average time was 95.6 minutes, and by the end of 2014 our average time was 35.4 minutes. This success is a direct result of responses from medicine, nursing, technology, and other allied services and illustrates a true multidisciplinary success.
Nurses leading the stroke program include:
Becky McCulley, M.S.N., RN, COO of UTSW University Hospitals, has led the growth of the stroke program over the past two years, allowing for the initiation of stroke outreach, which includes the telestroke network and adding additional resources to expand the clinical services within Zale Lipshy University Hospital.
Shelley Brown-Cleere, M.S.N., RN, Direc-tor of Neuroscience Services, has led the UT Southwestern Medical Center University Hospital stroke program to a new level of excellence over the past two years.
Laura Riise, M.S.N., RN, CCRN, SCRN, Stroke Program Coordinator, is responsible for the ongoing review of stroke core measures, providing feedback to unit managers, and leading the Stroke Best Practices Committee.
Mandy Dirickson, M.S., APRN, ANP-C, SCRN, Stroke Program Outreach Coordinator and Associate Clinical Provider, has been on the core team since the first stroke committee meeting in 2009. She joined UT Southwestern Medical Center’s Department of Neurology and Neurotherapeutics in 2008 as the stroke program’s first nurse practitioner. Since that time, Amanda (Mandy) has moved from as-sisting with writing policies and order sets and educating staff while performing direct care provider duties to her current role as coordi-nator. While still supporting the growing NP team and mentoring when needed, Mandy’s role has changed to 50% outreach and 50% clinical inpatient duties. The outreach program includes professional education to EMS and outside hospitals nurses, as well as layman education on stroke signs and symptoms. The UT Southwestern Stroke Network, launched in 2012, includes telestroke support to outside emergency rooms through 24/7 remote pres-ence, a program she also coordinates with physician leaders.
Camille Sheldon, M.S.N., RN, CCRN, CNRN, Clinical Education Coordinator, performs a variety of services, including assessing the staff and educational needs relative to the care of stroke patients and ensuring those needs are met.
Donald Jones, M.A., A.D.N, CEN, B.A., RN Administrative Clinical Coordinator, is re-sponsible for the daily tracking of strokes that occur in the ED and communicating that data to stroke team members, all of whom work together as a multidisciplinary unit to achieve Joint Commission-recognized results.
Damon Watkins, M.S.N., RN, CPAN, high-lighted the team’s work in a poster presenta-tion at the annual American Nurses Associ-ation (ANA) – NQNDI conference in February 2014, as depicted below.
Exemplary Professional Practice
13
Door to Intervention (in minutes)
120
100
80
60
40
20
02012 2014
95.6
35.4
Damon Watkins, M.S.N., RN, CPAN, Clinical Coordinator Angiograph, Zale Lipshy, poster presentation at NDNQI 2014 Quality Conference.
Top left corner: Mathew Gilbert, B.S.N., RN
Imaging Services
Imaging Services comprises several modalities throughout the organization, including the Venous Access team and Procedural Nursing Support for Imaging Prep and Recovery areas. Imaging Services nurses support imaging activities at both UT Southwestern University Hospitals, as well as at locations on the North Campus and in the Outpatient Building, Pro-fessional Office Building, and Aston Ambulatory Care Center.
Collaboration with faculty through interdis-ciplinary meetings and the implementation of data trending to decrease interventional turnaround times has resulted in increased focus on workflow process changes to make for more efficient utilization of resources and decreased patient wait time from appointment arrival time to discharge after recovery.
The Imaging Services Nurse Ambassador Program increased patient rounding and next-day follow-up calls by 63% from January to August 2014, resulting in the proactive facil-itation of urgent follow-up care to patients when needed. This program has been tran-sitioned into the My Guy/My Gal program and provides a dedicated Imaging Services nursing contact person for specific floors. The result has been focused assistance and faster response times to nursing units regarding patient test- and treatment-related issues and inquiries.
The Venous Access team provides assistance in the reduction of multiple IV attempts with patients who are considered “difficult sticks.” Among the team’s major projects in 2014 was the implementation of the PowerGlide midline vascular access catheter. The team received additional training in use of the PowerGlide, which has a longer catheter and can be beneficial to patients who have required repeat IV placements due to issues experienced with standard IV catheters.
The Venous Access team helps reduce central line bloodstream infections and advocates for patients by recommending the use of Power-Glides as an appropriate alternative method for vascular access when a central line or PICC are not deemed necessary. Working collaboratively with hospitalists and nursing units to provide informational and instructional presentations where a midline is appropriate, the Venous Access team has experienced a 5.6% decrease in the monthly average num-ber of PICCs placed since August.
Transplant Clinic
In late 2013, nurses at the University Hospital Kidney & Liver Transplant Clinic began work-ing with clinic directors and other personnel to decrease the number of days patients were having to wait to determine if they would be listed for a kidney transplant.
At the time, the process of completing an outpatient evaluation for kidney transplant was not efficient, and the time it was taking to bring patients to the selection committee was not ideal.
By making a number of process improve-ments, the team made significant strides in 2014, decreasing the number of days from referral to transplant listing from a high of 129 days in November 2013 to a low of 41 days in September 2014.
This improvement was the result, specifically, of the team implementing a program called “All Hands On Deck.” Through this program, the team reviewed the prevailing process involved from the time a patient was referred to when he or she was listed. To determine where the “bottlenecks” were, the team reviewed individual team members’ roles to ensure efficiency and establish targets.
Among the changes the team put in place were:
•Transitioningtheprogramfromamanual tracker to the Phoenix tracker, an EPIC module
•Establishingweeklymeetingswithindividual M.D.s to keep the process on track
•Institutingthepresentationofamonthly Performance Report, made by a nephrologist, to further monitor progress
The team responsible for making these changes and drastically improving the clinic’s perfor-mance included the following members:
•Sherry Link, B.S.N., RN, CCTN, Pre-Transplant Coordinator
•Laura Restall, B.S.N., RN, Lead Transplant Coordinator
•Helen Lievan, RN, Pre-Transplant Coordinator
•Margaret Bryant, M.H.A., RN, CCRN, Quality Manager, Transplant
•Tina Tedder, Transplant Financial Coordinator
•April Morgan, Lead Ancillary
•Stephanie Fisher, Data Coordinator
•Carolyn Swann, M.S., M.B.A., RN, Associate Vice President of Solid Organ Transplant Services
•Cheryl Kaplan, B.S.N., M.B.A., M.H.A., RN, Clinical Director, Transplant
•Scott Bennett, Administrative Director, Transplant
•Miguel Vasquez, M.D., Medical Director of Kidney Transplantation
•Juan Arenas, M.D., Chair of the Division of Surgical Transplantation
Exemplary Professional Practice
14 15
Number of Days Kidney Pre-Transplant Referral to Listing
Days
Nov-13 Jan-14 Mar-14 May-14 Jul-14 Sep-14 Nov-14
129 84 64 70 61 41 48
140
120
100
80
60
40
20
0
Top left corner, left to right: Sesily Alaniz, B.S.N., RN; Heather Parker, RN; Cindy Woods, B.S.N., RN; Lori Robertson, B.S.N., RN Lower left: Anu Samuel, B.S.N., RN
Exemplary Professional Practice
Most-Improved Patient/Family Satisfaction Award
The quarterly “Most-Improved Patient/Family Satisfaction Award” recognizes one unit or department at St. Paul University Hospital and Zale Lipshy University Hospital as “most improved” in positively affecting the hospital experience for patients and their families.
At UT Southwestern, achieving excellence in the patient and family experience is a way of working, a way of interacting, and a way of thinking about our jobs as we work together with others. Although there are many facets of the patient experience that cannot be con-trolled, we in the Nursing Division are guided by the philosophy that we can make a differ-ence by the way we treat our patients, family members, guests, and each other—and that, in fact, everything we do affects the quality of care we provide.
Such difference-making starts with asking ourselves, “How would we like to be treated if we were patients at UT Southwestern?” When we as caregivers can see a little of ourselves in everyone we care for, it becomes easy to anticipate patient needs, ease apprehensions,
and fulfill expectations. Every chance we have to show compassion, empathy, and kindness makes a difference, and the winning teams of the Most Improved award have done just that. The winning teams for fiscal year 2014 are:
Quarter ending September 2014 — Zale Lipshy Patient Care Unit 7th Floor and St. Paul Patient Care Unit 3 South
Quarter ending June 2014 — Zale Lipshy Patient Care Unit 5th Floor and St. Paul Emergency Department
Quarter ending March 2014 — Zale Lipshy Patient Care Unit 7th Floor and St. Paul Patient Care Unit 3 South
Quarter ending December 2013 — Zale Lipshy Patient Care Unit 5th Floor and St. Paul Patient Care Unit 3 North
These teams have demonstrated an improve-ment. This is an extremely difficult accomplish-ment and clearly demonstrates teams that are very engaged in anticipating the needs of their patients and families while helping each other to make sure not only that these needs are met but that expectations are exceeded.
Nurses Volunteering in the Community
One of the most rewarding ways UT South-western nurses share their experience with the community is by lending their skills, knowledge, and time as volunteers. From formal volunteer programs to impromptu acts of community service, our nurses make a difference in their local communities while also bettering themselves as nurses by offering their services and lending a hand. UT South-western has an expectation that nurses will share their experiences and expertise through-out the community, and they are encouraged to participate through many different avenues both to help others and develop professionally through community involvement.
In 2014, Nursing Division team members showed a 5.11% increase over 2013 in community volunteering.
Our Nurses Are Leaders in the Community
Among the many new leadership roles UT Southwestern nurses assumed during 2014 are the following:
Matthew Flury, B.S.N., RN, became a Certified Post Anesthesia Nurse (CPAN). Matthew started his career in the Zale Lipshy University Hospital PACU as an intern in 2012. Congratulating Matthew on the achievement and noting his dedication to his work, Valorie Frederico, B.S.N., RN, CPAN, said, “Your thirst for learning and commitment to excel-lence establishes a high standard for all of us, and especially the five Zale PACU interns hired after you. Thank you for your commitment to our patients, practice, and profession!”
Max Holder, B.S.N., RN, CEN, CRNI, VA-BC, from Imaging Services, has been elected to two prestigious positions: One is a national position as Director-at-Large for the Infusion Nurses Society; the other is a leadership position at UTSW as the Chair of the CLABSI Committee. Michael Medina, Associate VP for Ancillary Services, noted a few reasons Max is a good fit for the posts, writing in a commendatory letter to Max, “You set a fine example for all of us in your commitment and
dedication to the provision of safe, quality patient care in the area of vascular access. We are extremely proud and privileged to have you representing UT Southwestern Medical Center and our Nursing and Clinical Ancillary Services.”
Victoria England, B.S.N., M.B.A., RN, NE-BC, has been elected to the Board of North Texas Nurse Executives (NTONE) and is the President-Elect of the Dallas-Fort Worth Great 100 Board.
President of Professional Nursing Organizations
David Andrew, M.B.A., B.S.N., CNOR – Association of Peri-Operative Nurses (AORN)
Jill Brown, B.S.N., RN – Association of Nurses in AIDS Care
Lisa Dalton, M.B.A., B.S.N., RN, CRN, NE-BC – Association for Radiologic and Imaging Nursing
Board Members of Professional Organizations
Rosita Barghi, A.D.N., RN, PCCN – Philippine Nurses Association North Texas (PNAA)
Tiffany McGowen, B.S.N., RN – Sigma Theta Tau
DaiWai Olson, Ph.D., RN, CCRN, FNCS – Neurocritical Care Society
Michelle Sepulvado, A.D.N., CCRN – American Association of Critical Care Nurses (AACN)
Committee Chair
Enna Jeudy, B.S.N., RN, CCRN – Professional Development Chair for American Association of Critical Care Nurses (AACN) Dallas Chapter
DaiWai Olson, Ph.D., RN, CCRN, FNCS – American Academy of Neurology Nurses (AANN)
Sharon Smith, B.S.N., RN, CMSRN – Chi Eta Phi
17
Top left corner: Julie Cox, B.S.N., RN Left: An Nguyen, B.S.N., RN Right page: Max Holder, B.S.N., RN
The Neuroscience Nursing Research Center (NNRC) began in 2013 and is dedicated to
ensuring that nurses at all levels are able to provide vital research contributions to the
science of caring for patients with neurological illness. The NNRC provides guidance
to nurses who are interested in engaging in research by leveraging and coordinating
existing research-related resources. The NNRC selected six UT Southwestern nurses for
its inaugural group of fellows:
New Knowledge, Innovation, and Research
The Nursing Research and Evidence-Based Practice Council (NREBPC) is a crucial com-ponent of the nursing research structure and process. As part of the shared governance structure, the NREBPC provides tool kits, education, and consultation for nurses in var-ious roles to navigate and implement clinical research. Stephanie Huckaby, M.S.N., RN-BC, Director of Nursing for Medical-Surgical and Women’s Services, serves as a leadership facilitator for the Council.
The Council has done tremendous work to develop, implement, expand, and advance nursing research efforts across the organiza-tion. Its accomplishments include providing education for nurses related to research/EBP topics and developing accessible tools to guide direct-care nurses in the research/EBP process while also offering an infrastructure of support from nurses, nurse leaders, and our academic consultant along their journey of clinical scientific inquiry.
April Crow, B.S.N., RN Rehabilitation
Max Holder, B.S.N., RNImaging Services
Michael Levy, RN Neurosurgery
Lillian Omburo, RN Post-Anesthesia Care Unit
Sue Thu, RN Imaging Services
Amy Weaver, M.S.H.A., B.S.N., RN Rehabilitation
Current Nurse Fellows
19
Left: Mini Kurian, B.S.N., RN Right page, left to right: Megan Fishel, B.S.N., RN; Annette Forbes, B.S.N., RN; Bryan Wells, B.S.N., RN; DaiWai Olson, Ph.D., RN, CCRN, FNCS
Dawn Brown, M.H.A., B.S.N., RN, and Stephanie Huckaby, M.S.N., RN-BC. Urinary retention.
April Crow, B.S.N., B.S., RN. Music Rehab.
Thomas Cutler, M.B.A., RN, FACHE, DaiWai Olson, Ph.D., RN, CCRN, FNCS, and Alison Nantz, RN. Asian women’s symptoms of coro-nary artery disease.
Joann El-Aya, B.S.N., RN, CCRN, and DiaWai Olson, Ph.D., RN, CCRN, FNCS. NATIVe.
Kelsey Davidson, B.S.N., RN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. CirQlator.
Victoria England, M.B.A., B.S.N., RN, NE-BC. Do patient supply servers save steps?
Maria Grabowski, M.S.N., RN, OCN, and Deborah Spitzer, M.S.N., OCN. Fertility preservation.
Max Holder, B.S.N., RN, CRNI, CEN, VA-BC. The impact of ultrasound intravenous place-ment on vein thrombosis risk (IV-DVT).
Stephanie Huckaby, M.S.N., RN-BC, Nancy Drobycki, M.S.N., RN, CDE, and Jan Burke, M.S.N., M.H.A., RN, CDE. Insulin knowledge assessment phase II.
Kelli Hulsman, M.S., B.S.N., RN, IBCLC, LCCE. Maternity care practices associated with infant feeding following hospital discharge: A multi-site study.
Martha Kingman, D.N.P., FNP, RN. Symptom burden in PH.
Michael Levy, RN, ACNP-BC, CNRN, DaiWai Olson, Ph.D., RN, CCRN, FNCS. Incidence of local pin site inflammation following Gamma Knife procedure (Ipin study).
Kavitha Nair, B.S.N., OCN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. Language of data.
Prudence Nietupski, B.S.N., RN, CAPA. Aromatherapy protocol changes inclusion/exclusion criteria.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. A pilot evaluation of an education program for professional development in nursing.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. Measuring and monitoring in neuroritical care: An ICP study.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. NCS-visiting.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. PCORI.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. PROSPER–Qualitative pilot.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. Pupillometer: Interrater reliability of pupillary assessments among physicians and nurses.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. SoNIC.
DaiWai Olson, Ph.D., RN, CCRN, FNCS, and Shelli Chernesky, B.S.N., RN, CCRN. Certifi-cation mentor.
DaiWai Olson, Ph.D., RN, CCRN, FNCS, and Jennifer Moss, M.S.N., RN, CCRN. Adam Williams.
Daiwai Olson, Ph.D., RN, CCRN, FNCS, and Julian Yang, M.D. QCI NAScar.
Lilian Omburo, B.S.N., RN. PENLight: Variance in pupillary exam findings among PACU nurses.
Julie Petite-Greer, B.S.N., RN. Do patients w/lido drip require step-down/progressive care unit Lidocaine drip?
Michael Rogers, B.S.N., B.S., RN, CCRN, and Daiwai Olson, Ph.D., RN, CCRN, FNCS. VERDAD-P.`
Ciji Saju, B.S.N., RN, CCRN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. Pupillometer.
Camille Sheldon, M.S.N., RN, CCRN, CNRN, and Nancy Drobycki, M.S.N., RN, CDE. The effectiveness of organizational interventions versus self-directed interventions upon moral distress in critical care nurses: A systematic review.
Hlaing Thu, B.S.N., RN, TNCC, CRN. Is the MRI waiting room time associated with increased anxiety? (I’M waiting).
Amy Weaver, M.S.H.A., B.S.N., RN, CEN. Effects of nurses’ sleep deprivation and fatigue on perceived medical error rates when caring for patients in the emergency department (NaP Study).
Amy Weaver, M.S.H.A., B.S.N., RN, CEN, and Susan Hernandez, M.B.A., B.S.N., RN. Clinical perceptions of teamwork in the ER: Does nurse and medical provider placement make a difference?
Margaret Wilson, B.A., RN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. Patient-cen-tered research into outcomes stroke patients prefer and effectiveness research (Prosper).
Publications
Debbie Arbique, D.N.P., RN, FNP-C, CRN, et al. “Therapeutic drug monitoring facilities blood pressure control in resistant hypertension.” Journal of Cardiology March 2014, 63(8).
Debbie Arbique, D.N.P., RN, FNP-C, CRN, Stephanie Huckaby, M.S.N., RN-BC, Marilyn Bordelon, M.S., A.D.N., RN, CMSRN, and Robert Dragoo, B.S.N., RN. “What you need to know about the causes of difficult peripheral intravenous (PIV) access, complications, and the steps for using ultrasound-guided technol-ogy.” MedSurg Matters May/June 2014, 23(3).
Keith Argenbright, M.D., Paula Anderson, RN, Emily Berry, RN, EC Inman, and Heidi Hamann, M.D. “Using community resources to build a survivorship program.” Oncology Issues Jan.-Feb. 2014:41-47.
Karen M. Brady, M.A.H.S.M., B.S.N., RNC-OB, C-EFM, Denise Bulpitt, B.S.N., RN, IBCLC, and Caren Chiarelli, B.S.N., RN. “An interprofessional quality improvement project to implement maternal/infant skin-to-skin contact during cesarean delivery.” Journal of Obstetric, Gynecologic, & Neonatal Nursing 2014, 43:488-496.
Elizabeth Dawson, B.S.N., RN. “Arrhythmias In The EMU: Looking for SUDEP.” Journal of Neuroscience Nursing. In press
Laura Duran, B.S.N., RN, CNRN, and Steph-anie Huckaby, M.S.N., RN-BC. “Current trends in stress management.” Academy of Medical-Surgical Newsletter March 2014.
Jo Hoffman, B.S.N., RN, CCRN, CEN. “Ap-proaches to therapeutic temperature manage-ment.” Journal of Infusion Nursing November 2014.
Stephanie Huckaby, M.S.N., RN-BC, and Regina Bonnette, RD, LIC. “Insulin knowledge assessment.” Academy of MEDSURG Nursing. MedSurg Matters. In press.
Kimberly Mackenzie, B.S.N., RN, CCRN, and Sara Wright, Pharm.D. “Management of steroid-resistant late acute cellular rejection following face transplantation: A case report.” Transplant Proceedings 2014.
June Marshall, D.N.P., RN, NEA-BC. Guest Editorial. “Nursing professional development and the Cochrane collaboration.” Journal for Nurses in Professional Development Nov.-Dec. 2013, 29(6): 283-4.
KC Oeffinger, KE Argenbright, GA Levitt, M McCabe, Paula Anderson, RN, Emily Berry, RN, J Maher, J Merrill, and DS Wollins. “Models of cancer survivorship in healthcare: Moving forward.” American Society of Clinical Oncology Education Book 2014, 34:205-213.
DaiWai Olson, Ph.D., RN, CCRN, FNCS, et al. “Barriers to conducting multicenter nursing research.” Journal of Nursing Care 2014, 2(2).
DaiWai Olson, Ph.D., RN, CCRN, FNCS, Kamal Abdulkadir, B.S.N., RN, Hunt Batjer, M.D., and Christiana Hall, M.D. “Measuring and monitoring ICP in neu-rocritical care: Results from a national practice survey.” Stroke epub April 2014. Doi:STROKE/2103/003898R1
DaiWai Olson, Ph.D., RN, CCRN, FNCS, et al. “Exploring the impact of augmenting sedation assessment with physiologic monitors.” Australian Critical Care 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Consensus summary statement of the Inter-national Multidisciplinary Consensus Confer-ence on Multimodality Monitoring in Neurocriti-cal Care.” Intensive Care Medicine 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS, et al. “Racial ethnic differences in process of care and outcomes among patients hospitalized with intracerebral hemorrhage.” Stroke Novem-ber 2014, 45(11):3243-3250.
Camille Sheldon, M.S.N., RN, CCRN, CNRN, and Nancy Drobycki, M.S.N., RN, CDE. “JBI systematic review—moral distress.” Joanna Briggs Institute.
Charlene Supnet, Sonja Stutzman, April Crow, B.S.N., B.S., RN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Music as medi-cine: The therapeutic potential of music for neurological injury.” Journal of Nursing Care [submitted June 2014].
Amy Weaver, M.S.H.A., B.S.N., RN, CEN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Top ten treatment tips for TBI.” Advance Web September 2014.
New Knowledge, Innovation, and Research
Nursing Research in 2014 Throughout the year, UT Southwestern nurses were involved
in nursing research and evidence-based practice initiatives in specific areas, as well as
presentations and publications, as noted below and on the following pages.
21
Left: Maggie Smith, B.S.N., RN Above: Shin Wu, B.S.N., RN
Poster Presentations
Keith Argenbright, M.D., Heidi Hamann, M.D., Paula Anderson, RN, Emily Berry, RN, and Bonnie Rose, RN. “Fort Worth program for community survivorship: A community model for providing multidisciplinary services.” MD Anderson Cancer Survivorship Research Symposium, Houston, Texas, January 2014.
Miriam Brainard, B.S.N., RN, CNOR. “We’ve got FEVAR: Ensuring your blood is free to circulate.” Association of Perioperative Nurses Conference, March 2014.
Miriam Brainard, B.S.N., RN, CNOR. “A collaborative approach for developing a tran-scatheter aortic valve replacement program.” Association of Perioperative Nurses Confer-ence, March 2014.
Miriam Brainard, B.S.N., RN, CNOR, and Karen Eldridge, A.D.N., B.S., RN. “Carbon dioxide angiography.” Society of Vascular Nursing 32nd Annual Convention, May 2014.
Shelli Chernesky, B.S.N., RN, CCRN, John Rizzo, B.S.N., RN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Incorporating peer-mentors to enhance a nursing specialty certification course.” 10th Annual Invocations in Healthcare Conference, February 2014.
Shelli Chernesky, B.S.N., RN, CCRN, John Rizzo, B.S.N., RN, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Incorporating peer-mentors to enhance a nursing special-ty certification course.” International Health Professionals Conference. Manila, Philippines, February 2014.
Lisa Dalton, M.B.A., B.S.N., RN, CRN, NE-BC, and Zoe Morelli, A.D.N., RN, CCRN. “Comparison of fenwal amicus and aterumo BCT cell separators for therapeutic plasma ex-changes.” American Society for Apheresis and World Apheresis Association Joint Conference, April 2014.
Maria Grabowski, M.S.N., RN, OCN. “Smoking cessation programing: Healthier air and meaningful use requirements achieved.” International Cancer Education Conference, October 2014.
Maria Grabowski, M.S.N., RN, OCN. “Fertility preservation for cancer patients: Meaning-ful use and optimal patient care achieved.” International Cancer Education Conference, October 2014.
M Gutierrez, K Cardarelli, M Paul, K Linnear, A Williams, K Petties, J Vishwanatha, A Carbajal-Diaz, D Austin-Thomas, D Flynn-White, E Trevino, F Villafane, F Adorno, M Senter, and M Debose. “Navigating the role of a backbone organiza-tion in collective impact for cancer prevention.” American Public Health Association, November 2014.
Michelle Roberson, B.S.N., RN, CMSRN. “Navigating throughput with care coordina-tion.” Academy of Medical-Surgical Nurses Annual Convention, September 2014.
Ciji Saju, B.S.N., RN, CCRN, Margaret Wil-son, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Interrater reliability of pupillary assess-ments among physicians and nurses.” 12th Annual Neurocritical Care Society Meeting, September 2014.
Sharon Smith, B.S.N., RN. “Getting accurate medication education (GAME).” Methodist Health Systems Quality Health Summit, 2014.
Deborah Spitzer, M.S.N., RN, OCN. “Devel-oping a nursing educational program for the hyperthermic intraperitoneal chemotherapy (HIPEC) procedure.” 4th Annual Cowtown Oncology Symposium, April 2014.
Sonja Stutzman, Ph.D., Donald Jones, A.D.N., M.S., RN, CEN, Laura Riise, M.S.N., RN, CCRN, NIHSS, Amanda Diricksen, RN, FNP, and DaiWai Olson, Ph.D., RN, CCRN, FNCS. “The ‘pit stop’ model to continuously enhance stroke treatment times.” 10th Annual Invocations in Healthcare Conference, Febru-ary 2014.
Christa Teller, B.S.N., RN. “Breastfeeding and early childhood caries: Empowering parents with evidence-based research.” TWU Spring Symposium, April 2014.
Fatemah Yousif, Ph.D., B.S.N., RN, OCN, and Kristen Vaught, B.S.N., RN, OCN. “Self-administration of peripheral bendamus-tine.” 4th Annual Cowtown Oncology Sympo-sium, April 2014.
New Knowledge, Innovation, and Research
As evidence of our organizational commitment to professional development,
UT Southwestern supports attendance at local, regional, and national conferences.
Financial support for continuing education is aligned with organizational priorities and
initiatives. Full or partial funding is awarded based on the nurse presenting a poster
or delivering a presentation at the podium. Over the past two years, we have taken an
increasingly forward-looking approach to supporting our nurses in participating in
key conferences through poster and podium presentations. This approach supports
our leadership’s strategic goal of positively impacting the nursing profession at
UT Southwestern and beyond.
22 23
Top left corner: Beena Johnson, RN; Chris John Davis, M.S.N., RN Lower left: Rebecca Dill, B.S.N., RN Top right: Homer Capiral, M.B.A., B.S.N., RN; Marilyn Pitzinger, RN Lower right: Mona (Meng) Cheung, M.S.N., FNP, RN
Podium Presentations by UT Southwestern Nurses in 2014
Marilyn Bordelon, M.S., A.D.N., RN, CMSRN. “Care of the OB patient with medical-surgical conditions.” AWHONN Convention, May 2014.
Jill Brown, B.S.N., RN. “Care coordination role and function with UT Southwestern Medical Center.” Texas Nurses Association – Inside Knowledge for Nurses Conference, June 2014.
Shelley Brown, M.S.N., RN. “Impacts of care coordination model into a facility.” Texas Nurses Association – Inside Knowledge for Nurses Conference, June 2014.
Denise Bulpitt, B.S.N., RN, IBCLC, and Karen Elmore, M.S.N., RN, NE-BC. “Implementing donor milk use in the wellborn population: It’s not just for the NICU anymore.” AWHONN National Conference, June 2014.
Denise Bulpitt, B.S.N., RN, IBCLC, and Linda Catterton, B.S.N., RN, IBCLC. “Implementing the use of donor breast milk in the well-baby population: It’s not just for the NICU any more.” AWHONN National Conference, June 2014.
Lisa Dalton, M.B.A., B.S.N., RN, CRN, NE-BC. “Comparison of fenwal amicus and terumo BCT optia cell separators for therapeu-tic plasma exchange.” American Society for Apheresis & World Apheresis Association Joint Conference, San Francisco, April 2014.
Rebecca Dill, A.D.N., B.S., RN. “UCSD break-fast with the experts: Best apheresis practices, program management (staffing, education, and technical aspects).” American Society for Apheresis & World Apheresis Association Joint Conference, San Francisco, April 2014.
Victoria England, M.B.A., B.S.N., RN, NE-BC. “Getting off to a good start: Everything you need to know.” North Texas Preceptor Academy, VA Hospital, July 2014.
Victoria England, M.B.A., B.S.N., RN, NE-BC. “Developing a desired state patient and family engagement framework in the hospital.” Sky-light Conference, San Diego, October 2014.
Victoria England, M.B.A., B.S.N., RN, NE-BC. “Getting off to a good start: Everything you need to know.” North Texas Preceptor Academy, Texas Health Resources, November 2014.
New Knowledge, Innovation, and Research
Maria Grabowski, M.S.N., RN, OCN. “Patient and community education: Making your impact! Achieving NCI goals with a technol-ogy-driven cancer information service.” ONS Annual Congress Symposium, May 2014.
Maria Grabowski, M.S.N., RN, OCN. “Skin cancer screening: Early detection rolling out to the community.” International Cancer Education Conference, Clearwater Beach, Fla., October 2014.
Stephanie Huckaby, M.S.N., RN-BC. “Implementing the care coordination role into UT Southwestern.” Texas Nurses Association – Inside Knowledge for Nurses Conference, June 2014.
Stephanie Huckaby, M.S.N., RN-BC. “Care coordination and the nursing profession.” Texas Nurses Association – Inside Knowledge for Nurses Conference, June 2014.
Adora Lucius, B.S.N., RN, CWOCN. “Wound management for the palliative patient.” Pallia-tive Care Team Presentation, UT Southwest-ern, Dallas, Texas, June 2014.
Adora Lucius, B.S.N., RN, CWOCN. “Decreased occurrence and severity of DTI over pelvic region in the CVTS patient popu-lation.” Clinical Safety & Epidemiology Project, UT Southwestern, Dallas, Texas, August 2014.
Karen Martin, B.S.N., RN, CNS, CWOCN. “Deep tissue injury in the CVICU patient who has undergone > 3 hours cardiovascular sur-gery.” Clinical Safety & Epidemiology Project, UT Southwestern, Dallas, Texas, April 2014.
Kavitha Nair, B.S.N., RN, OCN. “An evi-dence-based practice project to determine effectiveness of daily bathing with 2% chlor-hexidine wipes in addition to existing bundled interventions to reduce central line associat-ed bloodstream infection (CLABSI) rates in patients admitted to a bone marrow unit.” ONS 39th Annual Congress, Anaheim, Calif., May 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Basics of neuroscience nursing.” Nursing Interns Conference, Parkland Health & Hospital System, Dallas, Texas, January 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “What do/don’t we know about ICP?” Grand Rounds, UT Southwestern, Dallas, Texas, April 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “The role of neurotransmitters in brain injury.” Ohio Health Neuroscience Symposium, Columbus, Ohio, May 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Healthcare and industry: Conflict or coop-eration.” Medical Action Industries, Asheville, N.C., June 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Is there evidence for EBP?” Annual Oregon Stroke Network Conference, Salem, Ore., September 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Nursing therapeutic temperature manage-ment.” 12th Annual International Neurocritical Care Society Meeting, Seattle, September 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Nursing and neuroscience research.” 12th Annual International Neurocritical Care Society Meeting, Seattle, September 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Neuroscience nursing: Building foundations through clinical cases.” Advanced Critical Care and Emergency Nurses Preconference Ses-sion, Las Vegas, Nev., October 2014.
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “Lessons in neuroscience history.” 7th Saving the Brain Conference, Santa Barbara, Calif., October 2014.
Christina Teller, B.S.N., RN. “Breastfeed-ing and early childhood caries: Empowering parents with evidence-based research.” TWU Spring Symposium, April 2014.
24 25
In addition to the local, state, and national podium presentations, UT Southwestern was proud to be represented internationally in 2014 by two nurses who, as invited guests, delivered the following presentations abroad:
DaiWai Olson, Ph.D., RN, CCRN, FNCS. “The future of neuroscience.” International Confer-ence for Health Professionals, Centro Escolar University, Manila, Philippines, January 2014.
Victoria England, M.B.A., B.S.N., RN, NE-BC. “Journey to nurse excellence.” 2nd Annual International Quality Nursing Conference, Sun Yat-sen University, Guangzhou, China, May 2014.
Victoria England, invited guest speaker at the International Quality Nursing Conference held in May at Sun Yat-sen University in Guangzhou, China.
Top left corner: Shelly Wooten, B.S.N., RN Lower left: Esterlina Marquino, M.S.N., RN Right page: Michelle Roberson, B.S.N., RN
UT Southwestern Medical Center opened its innovative new William P. Clements Jr.
University Hospital on Dec. 6, 2014—successfully transferring 194 patients from
St. Paul University Hospital during the single-day move. UT Southwestern physician-
faculty members, nurses, and staff participated in the move to the new 12-floor, 460-
bed hospital, named in honor of the late Texas Gov. William P. Clements Jr., whose $100
million donation was instrumental in building the state-of-the-art facility. “The William P.
Clements Jr. University Hospital is a nationally distinctive facility, innovatively designed to
allow our physicians, nurses, and staff to provide the best possible care and experience
for patients by seamlessly integrating our three-part mission: excellence in patient care,
the education and training of current and future caregivers, and research that improves
the care and health of people everywhere,” said Dr. Daniel K. Podolsky, President of
UT Southwestern Medical Center, on opening day. “We are grateful for the contributions
made by so many at UT Southwestern and in the community to make this day a reality.”
Dr. John Warner, Vice President and CEO of University Hospitals, added, “Today’s
accomplishment reflects not only years of successful planning but a truly innovative ap-
proach to providing the best medical care to our patients. Our collaborative planning—
which involved hundreds of caregivers, patients, and their families—resulted in a facility
that reflects a rethinking of what a hospital should be, from the ground up. Every aspect
of the hospital’s design is intended to support caregivers in the provision of exemplary
patient care, fully integrated with cutting-edge research and training.”
The successful transition from the 50-year-old St. Paul University Hospital—which
was decommissioned after the move—to Clements University Hospital was especially
meaningful for many longtime supporters and employees, some of whom worked at
St. Paul for decades. “We will always have a special place in our hearts for St. Paul,”
said Becky McCulley, M.S.N., RN, Chief Operations Officer for UT Southwestern
University Hospitals, who was instrumental in planning the daily operations for the new
facility. “At the same time, we’re excited to begin the next era of service to the com-
munity in our new hospital. The smooth transition was the result of countless hours of
planning by our hospital team. Their devotion and commitment to this endeavor reflects
the depth of our commitment to our patients and their families and is only the beginning
of things to come.”
Kelli Hulsman, M.S., B.S.N., RN, IBCLC, LCCE
Marilynn Bordelon, M.S., B.S.N., RN, CMSRN
Suzan New, M.S., B.S.N., RN, CNOR
Tracy McGaw, B.S.N., RN, CCRN, CNRN
From Bedside Nurse to Director of New Hospital Transition
Nursing Director Thea Vanderhill, RN, and Renee Bailey, M.S.-MAS, B.S.N., RN, CNOR, didn’t know anything about construc-tion of a new building when they were chosen as Directors of New Hospital Transition. They did, however, know these three things: 1) what nurses need in order to do a great job; 2) what patients and families need to feel comfortable and safe; and 3) how to get things done. In addition, because of their experience as direct care nurses, they were keenly aware of the flow of the ORs to entering the emergency department (ED). Together, Thea and Renee were given a unique leadership opportunity that’s uncommon for nurses—yet perfectly suited for their expertise. Combining their practical nursing experience with a collabo-rative, can-do attitude resulted in having the perfect pair to lead what was a major and historical project. Thanks in large part to their leadership and orchestration, the transition to our new hospital was a smooth success.
Susan Hernandez, M.B.A., B.S.N., RN, Chief Nursing Officer for UT Southwestern University Hospitals, said the nursing staff will benefit from Clements’ unique “W” design, which, among other advantages, shortens hallways, requiring less walking to reach patients. “Nurse alcoves and patient supplies located immediately outside of patient rooms allow our nurses to spend less time traveling the unit and more time caring for patients,” Ms. Hernandez said. “Nurses and patients thrive when they can develop relationships at the point of care.”
Transition to Clements University Hospital
Nurses and clinical staff from both St. Paul and Zale Lipshy University Hospitals put in many hours of classroom and practice time preparing “super users” for the transition into the new Clements University Hospital. Working in teams, they taught, supported, and coached each other every step along the way, planning for all contingencies. Acute care nurses were excellent at reassuring their fellow team members that no one would be left behind in the big move. The nurses of St. Paul, which would be closing upon Clements’ open-ing, made the transition smoothly and quickly and transferred their energy to troubleshooting the challenges that new equipment and pro-cesses can create. All nurses demonstrated creativity, positivity, and resiliency throughout this year of transition. The following members of the Clinical Education Team were responsi-ble for educating and training more than 2,363 staff members in the month prior to the move to the facility:
Barbara Crim, M.B.A., RN, CNOR
Camille Sheldon, M.S.N., RN, CCRN, CNRN
Chito (Alfonso) Mendoza III, B.S.N., RN, CCRN, CNRN
Deborah Spitzer, M.S.N., RN, OCN
Gwen Way, M.S.N., RN-BC (ANCC Certified in Nursing Professional Development)
Jean Hoyt-Sehnert, M.S., B.S., RN, NEA-BC
John Rizzo, B.S.N., RN
Joyce Maples, M.S., B.S.N., RN
New Era in Clinical Care Begins
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Our Commitment to Our Patients and Each Other
n I will do my part to make the hospital environment a peaceful, quiet place dedicated
to the healing of the body and spirit.
n I will anticipate the needs of patients and their families rather than waiting to be asked
for assistance.
n I will own and resolve every problem I can or personally hand over the problem to
someone who can resolve it.
n I will respect the confidentiality of patients, their families, and my colleagues through
discrete conversation and attention to privacy.
n I will be responsible for keeping our work environments clean and safe.
n I will dress professionally, and I will speak and conduct myself in a manner that always
keeps the focus on our patients.
Left: Sarah Shodack, B.S.N., RN Right: Beena Johnson, RN
Managing Editor: Victoria England, M.B.A., B.S.N., RN
Magnet Program Director
Editor: Ronnie Rittenberry
Design: UTSW Design Services
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