Nursing Annual Report 2011 - 2012 Right Care. Right Now. Right Here. It’s my pleasure to be able to share with you our first nursing annual report. This report shines a light on the essential work of our nurses at The Children’s Medical Center of Dayton. This report highlights the depth – and breadth – of the professional practice of nursing exemplified each and every day for our region’s children. C. Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President for Patient Care Services and Chief Nurse Executive 1 Transformational Leadership Strategic planning, advocacy and influence, visibility, accessibility and communication Our nurses at Dayton Children’s reflect the organization’s commitment to be the first choice for children’s health by providing high-quality care for the children and families we serve. In this annual report, you’ll learn that professional nursing care at Dayton Children’s is driven by our mission to improve the health status of all children. You will witness how professional nursing at Dayton Children’s is practiced. Our professional practice model is built on Synergy, which matches nurse competencies and patient needs. Our nursing philosophy is designed to provide familycentered care that aligns with our SPIRIT standards and our culture of safety to produce the best patient outcomes. You will also see how we use evidence-based practice and collaborate with other children’s hospitals to improve safety and advance the quality of care. This past year, we continued our journey toward Magnet designation. Awarded by the American Nurses Credentialing Center (ANCC), Magnet designation is given to those organizations that demonstrate high-quality patient care, nursing excellence and innovation. It’s the gold standard for nursing practice! We plan to submit our documentation to ANCC in February 2013. Our documents will showcase our strong interdisciplinary relationships and excellence in nursing care. Should we be successful in having our documents accepted, we will have a site visit in the fall of 2013. Inside Nursing Services Vision and Mission 3 Transformational Leadership 4 Structural Empowerment 7 Exemplary Professional Practice 13 New Knowledge, Innovation and Improvements 17 Moving forward, nursing at Dayton Children’s will be guided by our first-ever nursing services strategic plan. This plan outlines our strategies for assuring excellence in nursing care and alignment with Dayton Children’s strategic plan. I am proud to work side by side with our nursing staff each day to provide the right care, right now, right here at Dayton Children’s. Transformational Leadership On the cover: Ottelee Waite, MSN, RN, CRNA, nurse anesthetist, surgical services 2 Nursing services vision Dayton Children’s is the first choice for pediatric health care for patients, families, practitioners and professional nurses. Nursing services mission To advocate for the health and well-being of children through excellent, highly reliable, evidence-based nursing care that places the family at the center and is strengthened through service, education and research. 3 Linda Hollen, MS, RN, FNP-BC, provides the right care, right now, right here in the surgical services department at Dayton Children’s. Nursing initiates a strategic plan Last year, Nursing Leadership began the process of developing its first strategic plan, setting the course for nursing at Dayton Children’s. Four strategies were identified that align with the strategic focus of the hospital’s 2015 strategic plan. “As nurses at Dayton Children’s, our mission is to advocate for the health and well- Strategic Plan 2015 being of children. The new strategic plan Strategic Focus Dayton Children’s Nursing Services requires us to serve as Assertiveness Take a more assertive market stance Serve as nurse leaders in pediatric health care deliver cost-effective Adapt to changing payer mix and reimbursement Deliver cost effective care for the children we serve resources at the right time, Access Drive revenue growth through improved patient access to specialty care Ensure the right resources are available to deliver the right care Quality/Safety Become a “high-reliability” organization Become a “high-reliability” organization Cost Effectiveness pediatric leaders, care and have the right in a safe environment.” Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President for Patient Care Services and Chief Nurse Executive Transformational Leadership 4 Sandy Bartosik, MS, RN, CCRC, 2012 Nursing Excellence award winner, educating a pulmonary patient and his mother on keeping accurate records. The Joint Commission In 2012, Dayton Children’s successfully completed an unannounced survey by The Joint Commission. Surveyors identified the daily safety briefing as a very strong asset to the care of our patients. The patient callback system in the emergency department was also identified as a “best practice,” and the surveyors encouraged us to share it with others. Success with The Joint Commission survey is always a testament to quality care and a collaborative environment among all disciplines. 5 Trauma nurse leader program: Equipping nurses to be leaders Dayton Children’s began its trauma nurse leader program in 2011. This program is designed to develop nurse leaders who direct the care of critically-ill children. A number of emergency staff nurses have completed the oneyear trauma nurse leader internship, providing them with the opportunity to develop leadership skills. Over the course of their internship, they not only assume a leadership role in the trauma room, but assume responsibility for evaluating process improvements, making recommendations for change and evaluating the results of these changes in practice. This group has become a respected and valuable asset at Dayton Children’s. The Soin Pediatric Emergency and Trauma Center had a record-high parent satisfaction with 91.5! Pictured left to right, front row: Brandon Carr, RN; Cesar “JR” Panganiban, BSN, RN; Janet Ellis, RN. Back row: Steven Lewis, RN; Karen McConnell, RN, CPEN; Michele Nadolsky, BSN, RN, CPEN. Trauma nurse leaders in training and not pictured include Daniel Lantis, RN; Lindsey Terrace, BSN, RN, and Brittany Pritchard, RN. Transformational Leadership 6 Jennifer Ayers, BSN, RN, 2012 Nursing Excellence award winner and Daisy Award winner, treats the sickest neonates in Dayton Children’s Regional Level IIIB Newborn Intensive Care Unit. Recognizing nurses Dayton Children’s has numerous awards and recognition programs to honor nurses for their vital contributions to patient care. 7 Structural Empowerment Professional development, teaching, community involvement, nursing recognition 2012 Nursing Excellence award winners The excellence award categories are based on the Synergy Professional Practice Model. The Daisy Award The DAISY Award recognizes nurses for their extraordinary acts of compassion with patients and families. August 2011 Nancy Callaham, BSN, RN Developmental Pediatrics Advocacy/Moral Agency Amanda Hofmann, RN Emergency Department Caring Practices Elizabeth Lee, RN Three West Clinical Judgment Alice Rivera, RN Surgical Services November 2011 Cynthia Dixon, MSN, RN, CPN Almost Home Unit February 2012 Erica Yanney, BSN, RN Almost Home Unit June 2012 Jennifer Ayers, BSN, RN Newborn Intensive Care Unit Clinical Inquiry Sandy Bartosik, MS, RN, CCRC Pulmonary Clinic Collaboration Molly Depoorter, RN Surgical Services Facilitator of Learning Cheryl Coffey, BSN, RN Hematology/Oncology Clinic Outstanding New Employee Jennifer Ayers, BSN, RN Newborn Intensive Care Unit Outstanding New Graduate Kristen Morey, BSN, RN Intermediate Care Unit/ Pediatric Intensive Care Unit Response to Diversity Amy Kosanovich, BSN, RN Three East August 2012 Kari Roberts, BSN, RN Hematology/Oncology Unit Systems Thinking Alysia Brazel, BSN, RN Emergency Department Structural Empowerment 8 IMPACTS program recipients fall 2011 class The IMPACTS (Improving My Professional Advancement Career Through Synergy) program is Dayton Children’s clinical advancement ladder. Nurses complete certain requirements in order to advance. This recognition program is for successful contributions as direct care providers. Level III Glenda Davis, BSN, RNC Intermediate Care Unit JoAnn Davis, MS, RN, CPNP-AC, CCRN Pediatric Intensive Care Unit Mari Jo Rosenbauer, MS, RNC, CPNP-PC, IBCLC, nurse and lactation consultant in the NICU. Cameos of Caring winner 9 Level II Sylvia Cain, BSN, RN, SANE-P Emergency Department April Denlinger, BSN, RN, CPEN, SANE-P Emergency Department Sarah Farley, BSN, RN Intermediate Care Unit Rebecca Hendricks, BSN, RN Intermediate Care Unit Heather Holfinger, BSN, RN Medical Imaging Lisa Kinsman, MS, RN, CPNP-PC House Float Carol Murray, MS, RN, CPN, CPNP-AC Intermediate Care Unit Lindsay Tucholski, BSN, RN Intermediate Care Unit Karen Turner, RNC-NIC Newborn Intensive Care Unit Cameos of Caring is a special awards program sponsored by the Wright State University’s College of Nursing and Health. All local hospitals participate. This award is a prestigious honor for recipients. Mari Jo Rosenbauer, MS, RNC, CPNP-PC, IBCLC Newborn Intensive Care Unit Mari Jo Rosenbauer, pictured above, has been with Dayton Children’s for 26 years. For more than a decade, she has served as a lactation consultant. Her position is critical to ensuring premature and critically-ill neonates receive the benefits of breast milk from their mother or our milk donor program. Nursing partners with Wright-Patterson Air Force Base Dayton Children’s nursing division is proud to assist Wright-Patterson Air Force Base with its combat readiness program. This program provides the opportunity for WrightPatterson nurses who are preparing for deployment to gain valuable experience in the care of critically-injured children. In 2012, Dayton Children’s developed the Partners in Practice program with Wright-Patterson to enable its nurses to refresh their pediatric clinical skills. Working together with our community partners helps strengthen the skills of the professional nursing staff of both organizations. Preparing the next generation for tomorrow’s patients Each year, Dayton Children’s hosts approximately 900 nursing students from undergraduate to doctoral students. Students come from across the state, gaining valuable clinical experience in pediatrics. Students are placed in inpatient units, ambulatory clinics, surgery and the emergency department. Students come from the following Ohio universities and colleges: Renae Phillips, MSN, RN, NEA-BC, FACHE, discusses the future of nursing to a group of potential caregivers during Nurse Camp. 4 Akron University 4 Cedarville University 4 Clark State University 4 Edison College 4 Kettering College of Medical Arts 4 Miami University 4 Ohio Northern University 4 The Ohio State University 4 Sinclair Community College 4 The University of Cincinnati 4 Wright State University Structural Empowerment 10 Vital Statistics* 13% Master’s Degree 50% BSN/Bachelor’s Degree 37% Diploma/Associate Degree 633 Total nurses: APNs, RNs and LPNs (63% of nurses have a bachelor’s degree or higher) 125 Nurses certified in their specialty 75 NRP certified (Neonatal resuscitation program) 117 TNCC certified (Trauma nurse core course) 345 PALS certified (Pediatric Advanced Life Support) “Every nurse has the 2012 Nursing Satisfaction** <40 low satisfaction opportunity to have a 40-60 60+ moderate satisfaction Job enjoyment high satisfaction 59.53 Children’s. I believe this RN-RN interactions Autonomy directly correlates to our outstanding nursing satisfaction scores.” — Renae Phillips, 53.80 MSN, RN, NEA-BC, 60.19 71.77 Professional status Professional development 73.55 65.42 RN-MD interactions Decision-making and their practice of nursing at Dayton 54.61 Task voice in patient care FACHE 65.53 Nursing management 58.16 Nursing administration 57.68 *Vital Statistics as of November 2012 **NDNQI (National Database of Nursing Quality Indicators), Nursing Satisfaction Survey 11 Evidence-based practice/outcomes, council leaders: Carol Murray, MS, RN, CPN, CPNP-AC Cindy Brown, MS, RN, CNS Jennifer York, BSN, RN, cares for a patient in the general pediatric unit. Shared Governance leads to high satisfaction — for nurses and patients Shared Governance provides nurses at every level within the organization an opportunity to be part of the decisionmaking about nursing through partnership, participation, ownership, authority and accountability. These councils promote the feeling that individual nurses have a personal stake in the organization and patient care, which increases employee satisfaction, improves the quality of health care and leads to greater patient satisfaction. Each of the Shared Governance councils are chaired by a staff nurse and co-led with a nurse leader mentor. Patient/family support, council leaders: Cynthia Dixon, MSN, RN, CPN Holly Lane, MS, RN, NEA-BC Clinical operations, council leaders: Cheri Skiles, BSN, RN Jennifer Morris, BSN, RNC-NIC Quality, council leaders: Terrie Koss, BSN, RN Cindy Burger, MS, RN Governance, council leaders: Alysia Brazel, BSN, RN Susan Powell, MS, MBA, RN Nursing Leadership: The final step of our shared governance model is Nursing Leadership. Nursing Leadership is a decision-making council that provides oversight and strategic direction for professional nursing practice at Dayton Children’s. Structural Empowerment 12 Aligning nurse competencies to patient needs Dayton Children’s professional practice model is called Synergy. The nursing professional practice model competencies include: advocacy/ moral agency, caring practice, collaboration, systems thinking, response to diversity, facilitation of learning, clinical inquiry and clinical judgment. By utilizing nurses’ competencies matched with patients’ needs, we enhance patient outcomes. To visually represent the model, Nursing Leadership created a graphic – the flower pot – which shows how the model is based on the foundation of the hospital’s mission and vision, and represents growth, rooted in a culture of safety and SPIRIT standards, encircled in familycentered care. 13 Exemplary Professional Practice Ethics, patient safety and quality infrastructure Keeping kids safe The OCHSPS initiative for Dayton Children’s is co-led by Hila Collins, MS, RN, CPNP-AC, CIC, and James Ebert, MD. Dayton Children’s initiatives in safety Leadership training: Four nurse super trainers assisted in rolling out training to 200 staff in leadership positions. Nursing quality indicators are continually monitored. Our outcomes are exceptional as compared to all hospitals nationwide. Central Line Bloodstream Infections 4.0 3.5 3.0 2.5 National Average 2.0 1.5 1.0 0.5 0 July June 2011 Training on behavioral expectations: Specific techniques were taught to all employees to demonstrate behavioral expectations, including hand-off techniques. Ventilator Associated Pneumonia Daily safety briefing: A team of employees, including seven registered nurses attend a 15-minute daily safety briefing to review events in the last 24 hours and discuss the next 24 hours in an effort to minimize risk of harm to patients, employees and visitors. Rate per 1,000 Ventilator Days Error prevention training: A team of registered nurses taught prevention techniques to more than 1,800 employees, physicians and volunteers. Our key nursing quality indicators Rate per 1,000 CVL Days Dayton Children’s is a part of Ohio Children’s Hospitals’ Solutions for Patient Safety (OCHSPS), a statewide learning network that is the first of its kind in the nation. OCHSPS is committed to making Ohio’s children’s hospitals the safest in the country. The goal is for all Ohio children’s hospitals to reduce serious harm by 95 percent by 2015. 5.0 4.5 National Average 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0 July June 2011 JulyJune 2012 JulyJune 2012 Exemplary Professional Practice 14 Staffing for today and tomorrow Nurse leaders work together to trend data to formulate a staffing plan. This helps ensure we have the right staff, at the right time, delivering the right care to our patients. The plan uses projected patient volumes, nursing standards and our staff’s competencies. The staffing committee is formed based on the principles of House Bill 346. The staffing committee makes recommendations to the chief nurse executive as part of the budget planning process. Participation in the staffing plan gives nurses the opportunity to be influential in driving strategies for more effective patient care. 2012 staffing committee staff nurse members 4 Betsy Medaugh, BSN, RN, General Pediatrics 4 Meghan Moore, BSN, RN, CPN, General Pediatrics 4 Patty Ducharme, RN, Newborn Intensive Care Unit 4 Alyssa Teegardin, RN, Almost Home Unit 4 Connie Cunningham, BSN, RN, Surgical Services 4 Erica Yanney, BSN, RN, Almost Home Unit 4 Michele Nadolsky, BSN, RN, CPEN, Emergency Department 4 Cheri Skiles, BSN, RN, Pediatric Intensive Care Unit 4 Molly Renaud, BSN, RN, House Float 4 Lindsay Tucholski, BSN, RN, Intermediate Care Unit 2012 staffing committee management members 4 Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President For Patient Care Services, Chief Nurse Executive 4 Joan Lakes, BSN, RN, Operations Coordinator, Surgical Services 4 Holly Lane, MS, RN, NEA-BC, Director, General Pediatrics 4 Tami Wiggins, MSA, RN, NE-BC, Administrative Manager, Pediatric Intensive Care and Intermediate Care Units 4 Karen Beekman, BSN, RNC-NIC, Resource Nurse, Newborn Intensive Care Unit 4 Christie Banford, BSN, RN, Administrative Manager, Almost Home and Hematology/Oncology Units 4 Susan Powell, MS, MBA, RN, Director of Nursing Excellence 4 Andrea Zimmer, BSN, RN, CPEN, Resource Manager, Nursing Administration 4 Leslie Grooms, MS, SPHR, CEBS, Director of Human Resources 15 Rounding for optimal outcomes The comprehensive family-centered rounding teams include physicians, pediatric nurse practitioners, staff nurses, residents, specialists, medical students and family members with the goal of including the family in the decisionmaking process. Family-centered rounds have been successful in our newborn intensive care, intermediate care and pediatric intensive care units, as well as the hematology/oncology unit. In the fall of 2011, this model was implemented on our general inpatient floors, three east and three west. The new rounding process in general pediatrics enhances the partnership of the family, nurses, physicians and other care team members. Including parents in the rounding process is more than just a courtesy — parents provide an important voice in their child’s care. With all inpatient units now fully participating in family-centered rounds, we’ve seen improvements in patient satisfaction scores across key questions relating to communication and family involvement. Nurses in general pediatrics assist physicians, residents and medical students with family-centered rounds. Top left: Emily Krumm, BSN, RN. Top right: Ann Marie Schmersal, MS, RN, CPNP-AC. Raw Score General Pediatrics Family-Centered Rounds 92 90 88 86 84 82 80 Comparison of scores three east and three west from 2011 and 2012 Doctors Nurses inform Doctors inform concern for using clear using clear questions/ language language worries 2011 86 86.9 88.5 2012 88.7 89 90.9 Prior to implementing family-centered rounds in 2011 Staff include Respect for you in deci- your knowl- Staff worked Care given at sions regard- edge of child well together this hospital ing treatment 84.5 85.4 87.2 87.9 89.2 87.7 86.9 90.7 Post implementation of family-centered rounds 2012 Exemplary Professional Practice 16 Erin Black, BSN, RN, CPEN, is an emergency department nurse who participates in the awardwinning, postdischarge outreach program. Recognition for the emergency department post-discharge outreach program The Dayton Children’s Emergency Outreach Nurse Program won first place in “Patient-Centered Care” at the First Annual National Nursing Patient Safety Awards Program at Georgetown University Hospital, Washington, D.C. in the summer of 2011. Through this program, outreach nurses call patients perceived to be at high risk, such as patients who left without being seen, patients who may not follow discharge instructions or patients who have a positive lab finding after discharge. A post-discharge phone call allows a registered nurse to reinforce discharge instructions, answer questions, arrange for follow-up appointments for testing or identify if a patient needs to return to the emergency department. Last year, more than 16,000 calls were made through the outreach program. 17 New Knowledge, Innovation and Improvements Nursing innovation, research, evidence-based practices Evidence-based practice and research leads to improved care At Dayton Children’s, nurses use research to provide evidence-based care that promotes quality health outcomes for patients and families. Examples of nurse-led research studies that were published this fiscal year include: 4 Effectiveness of oral sucrose for pain management in infants during immunizations. Published by Cindy Brown, MSN, RN, CNS, in Pain Management Nursing, this study examined the effects of oral sucrose Implementing the right as an analgesic agent during routine immunizations in infants at 2, 4 and 6 technology for patient safety months of age. A nurse-led committee implemented Alaris® System 4 A multicenter prospective analysis of smart pumps in March 2012. The Alaris pumps pediatric trauma activation criteria improve safety by preventing medication errors. routinely used in addition to the six The smart pump provides an alert if the nurse enters criteria of the American College of the incorrect medication name, dosage or infusion Surgeons. Published by Lisa Schwing, rate information. The nurse then has the opportunity RN, in Journal of Acute Care Surgeons, to make a correction to avoid a potential safety event. this study evaluated the American Cathy Gill, BS, RN, co-chair of the Clinical Value College of Surgeons six criteria (ACSAnalysis Committee (CVAC), led a multidisciplinary 6) routinely used for top-tier pediatric team, which reviewed and provided input on the trauma team activation and 21 other choice of pumps for patients. criteria to evaluate overtriage and undertriage rates. 4 Predictors of failure of high-flow, high-humidity nasal cannula therapy in infants with viral bronchiolitis. Cheri Skiles, BSN, RN, along with two other Dayton Children’s clinicians, published the findings of a three-year research study in Pediatric Critical Care Medicine. The study evaluated what patient variables are most likely to respond to noninvasive, positivepressure ventilation in patients with viral bronchiolitis. Julie Kelley, MS, RN, and Tynisha Edmondson, PCA, assisting a patient with an Alaris pump. New Knowledge, Innovation and Improvements 18 Pictured left to right: Kara Nurrenbrock, MS, MBA, RN-BC, and Karen Beekman, BSN, RNCNIC, received first place in “Quality” at OONE’s annual meeting and poster presentation for new process improvements that improve the health outcomes of our tiniest patients. Surgical services and NICU recognized for quality Dayton Children’s received first place in the “Quality” category out of 60 entries from around the state at the Ohio Organization of Nurse Executives (OONE) annual meeting last fall. The Regional Level IIIB Newborn Intensive Care Unit (NICU) and surgical services staff were recognized for improving the process of children in the NICU having surgery. These changes improve safety, reduce the risk of errors and better utilize the valuable time of staff. This initiative was developed by: 4 Rhonda Beane, MSN, RN, Director of Surgical Services 4 Cindy Burger, MS, RN, Director of Critical Care, Emergency and Trauma Services 4 Carol Wise, MS, RN-BC, CPHQ, Director of Quality 4 Kara Nurrenbrock, MS, MBA, RN-BC, Administrative Manager, Surgery 4 Karen Beekman, BSN, RNC-NIC, NICU Resource Nurse 4 Lisa Jasin, MS, RNC-NIC, NNP-BC, Neonatal Nurse Practitioner 19 Publications, posters and presentations Posters 4 Society of Pediatrics Nursing Convention April 2012, Houston, TX Effect of parent education and engagement related to the initiation of a pediatric response team call. Cindy Brown, MSN, RN, CNS, and JoAnn Davis, MS, RN, CPNP-AC, CCRN 4 Ohio Organization of Nurse Executives November 2012, Columbus, OH Effect of parent education and engagement related to the initiation of a pediatric response team call. Cindy Brown, MSN, RN, CNS, and JoAnn Davis, MS, RN, CPNP-AC, CCRN 4 Emergency Nurses Association General Conference September 13-15, 2012, San Diego, CA Developing an efficient and effective triage process in a pediatric emergency department. Pam Bucaro, MS, RN, PCNS-BC, CPNP-PC, CPEN; Erin Black, BSN, RN, CPEN; Elaine Markland, BSN, RN, CPEN; Karen McConnell, RN, CPEN; Carol Swigart, BSN, RN, CPEN 4 Pediatric Hospital Medicine Conference July 2012, Cincinnati, OH Apparent life-threatening event, seriously? Ann Marie Schmersal, MS, RN, CPNP-AC, and Ranjana Sinha, MD 4 Wright State University Submitted April 2012, Dayton, OH A U.S.-based study on nurses’ perceptions of family nursing practice. Renae Phillips, MSN, RN, NEA-BC, FACHE, Vice President for Patient Care Services, Chief Nurse Executive; Rosemary Eustace, PhD, CFLE, PHCNS-BC, RN, Assistant Professor, Wright State University; Donna Miles-Curry, PhD, RN, Professor, Wright State University; Bobbe Ann Gray, PhD, RNC-OB, CNS-BC, Associate Professor, Wright State University Presentations 4 The Children’s Medical Center of Dayton November 30, 2011, Dayton, OH Cystic fibrosis screening for the newborn. Leora Langdon, MS, As a teaching RN, CPNP-PC 4 The Children’s Medical Center of Dayton June 20, 2012, Dayton, OH Assessment of the emergent pediatric patient. Pam Bucaro, MS, RN, PCNS-BC, CPNP-PC, CPEN 4 The Children’s Medical Center of Dayton January 18, 2012, Dayton, OH Error prevention training. Hila L. Collins, MS, RN, CPNP-AC, CIC hospital, Dayton Children’s works closely with area universities, not only to train future nurses, but also to advance pediatric care through research and written scholarship, including journal articles and abstract publications. New Knowledge, Innovation and Improvements 20 Pictured left to right: Hila L. Collins, MS, RN, CPNPAC, CIC, and James Ebert, MD, presenting about the impact of a high-reliability organization using a daily safety brief. 4 The Children’s Medical Center of Dayton February 28, 2012, Dayton, OH The impact of a high-reliability organization using a daily safety brief. Hila L. Collins, MS, RN, CPNP-AC, CIC 4 Associate of Women’s Health, Obstetrics and Neonatal Nurses, Columbus Chapter August 2012, Columbus, OH In-utero methadone exposure. Lisa Jasin, MS, RNC-NIC, NNP-BC 4 Cedarville University June 21, 2012, Cedarville, OH Infectious disease in the pediatric population. Hila L. Collins, MS, RN, CPNP-AC, CIC 4 National Association of Neonatal Nurses November 2012, Palm Springs, CA In-utero substance exposure: What’s a neonatal nurse to do? Lisa Jasin, MS, RNC-NIC, NNP-BC 4 The Children’s Medical Center of Dayton June 27, 2012, Dayton, OH Skin and soft tissue case study. Hila L. Collins, MS, RN, CPNP-AC, CIC 4 Associate of Women’s Health, Obstetrics and Neonatal Nurses, Dayton Chapter March 2012, Dayton, OH In-utero methadone exposure. Lisa Jasin, MS, RNC-NIC, NNP-BC 21 4 The Children’s Medical Center of Dayton April 2012, Dayton, OH Chronic pain management in children and adolescents. Cindy Brown, MSN, RN, CNS 4 The Children’s Medical Center of Dayton June 2012, Dayton, OH Chronic pain management in children and adolescents. Cindy Brown, MSN, RN, CNS, and Daniel Lacey, MD, PhD 4 Dayton Area Graduate Medical Education Council March 2012, Dayton, OH Acute pain management in children and adolescents. Cindy Brown, MSN, RN, CNS 4 Life Connection of Ohio April 2012, Dayton, OH Supporting staff through the process of organ donation. Cindy Brown, MSN, RN, CNS Publications 4 Brown, C., Curry, D., Wrona, S. (2012) Effectiveness of oral sucrose for pain management in infants during immunizations. Pain Management Nursing. 22( 3), September 2012 4 Collins, H. (2012) Pertussis, Pediatric Clips, The Children’s Medical Center of Dayton, January 2012 4 Smith, S., and Hoersting, A. (2012) Positional plagiocephaly, Pediatric Clips, The Children’s Medical Center of Dayton, May 2012 4 Riedel, A. (2012) Tricyclic overdose, Pediatric Clips, The Children’s Medical Center of Dayton, September 2012 4 Hollen, L. (2012) What – No operation for appendicitis? Pediatric Clips, The Children’s Medical Center of Dayton, March 2012. 4 Bucaro, P. (2012) Case study on rabies. Pediatric Clips, The Children’s Medical Center of Dayton, June 2012. Nurse leaders who serve on local and national professional organizations 4 Karen Beekman, BSN, RNC-NIC March of Dimes Miami Valley Chapter, Committee Chair 4 Cathy Gill, BS, RN - Ohio Organization of Nurse Executives (OONE), Committee Chair - Dayton Organization of Ohio Nurse Executives, Board 4 Angela Hoersting, MS, RN, CPNP-AC/PC The National Association of Pediatric Nurse Practitioners (NAPNAP), Board 4 Susan Kern, MSN, RNC-NIC, NNP-BC Infant, Child and Adolescent Nutrition, Editorial Board 4 Renae Phillips, MSN, RN, NEA-BC, FACHE - Ohio Organization of Nurse Executives (OONE), President - Ohio Action Coalition, Member - American Organization of Nurse Executives, President 4 Abigail Riedel, MS, RN, CNP-AC/PC A Special Wish Foundation, Inc. — Dayton Chapter, Board 4 Stephanie Smith, MS, RN, CPNP The National Association of Pediatric Nurse Practitioners (NAPNAP), Committee Chair 4 Carol Wise, MS, RN-BC, CPHQ - Ohio Association for Healthcare Quality (OAHQ), Board Member - Ohio Patient Safety Institute Education Committee, Chair - Ohio Patient Safety Institute (OPSI), Chair New Knowledge, Innovation and Improvements 22 Nonprofit Organization U.S. Postage Paid Permit Number 323 Dayton, Ohio One Children’s Plaza Dayton, Ohio 45404-1815 Our Nursing Leadership Renae Phillips, MSN, RN, NEA-BC, FACHE Vice President for Patient Care Services and Chief Nurse Executive Rhonda Beane, MSN, RN Karen Braun, MHA, FACHE Director of Surgical Services Cindy Brown, MSN, RN, CNS Cindy Burger, MS, RN Director of Ambulatory Services Clinical Nurse Specialist for Hospital Operations Director of Critical Care Services, Emergency and Trauma Services Julie Deschenes, MS, RN, CPHQ Director of Nursing Informatics Leslie Grooms, MS, SPHR, CEBS Director of Human Resources Holly Lane, MS, RN, NEA-BC Director of General Pediatrics Susan Powell, MS, MBA, RN Director of Nursing Excellence Carol Wise, MS, RN-BC, CPHQ Director of Quality, Patient Safety and Corporate Education © 2013 The Children’s Medical Center of Dayton. 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