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Professional Nursing Staff Organization

2010 President's Report

This report reflects the work of the 2010 PNSO Cabinet and Committees and the efforts to address nurse sensitive outcomes. The report is organized by Health System goals: I Care, I Heal, I Build.

2010 Nursing Priorities:

I Care * Assess the Health System environment's ability to accommodate patient & family needs based on what the patient states comprises a good experience. * Promote the Care Partners philosophy throughout the Health System. I Heal Outperform the benchmarked mean and pursue continual improvements in clinical outcomes: Falls, Restraints, Pressure Ulcers, Blood Stream Infections, Urinary Tract Infections, Mortality. * Involve patients & families in their pain management regimen through education and support. * Maintain & improve considerate communication between team members to achieve safety outcomes. I Build Effectively design and implement the EpicCare electronic medical record system. Pursue Magnet Redesignation and continue to incorporate Magnet tenets in UVAHS culture. * Aggressively promote environmental stewardship and reduce care delivery waste. * Prioritize strategies that have been shown to retain and recruit professional nurses * goals are set by the 2010 PNSO Cabinet and guided by the recommendations of the 2009 Nursing Congress delegates.

I CARE

Delegate Recommendation: Assess the Health System environment's ability to accommodate patient and family needs based on what the patient states comprises a good experience.

Hourly Rounding: At their January meeting, Cabinet members identified Hourly Rounding as an evidencebased method to address the patient's needs and assess the environment. Evidence of inconsistency in Hourly Rounding across practice areas was acknowledged. A combined taskforce of PNSO and Cabinet members is identifying additional support and accountability measures to enhance implementation. A webbased toolkit and leadership education was provided in July 2010.

Delegate Recommendation: Promote Care Partner's Philosophy throughout the Health System.

Refreshed tools and education, based on staff feedback: Reviewed and revised PNSO website toolkit: CP Toolkit for Managers and Staff, with the hyperlink prominently placed on PNSO website home page for six months, and permanently included in Nursing Portal/Focus Areas. Updated CP Procedure to reflect recent program revisions guided by direct nurse feedback. Offered additional education to Staffing Resource Office nurses. Followed up with volunteers as mechanism to assist with workload. Incorporated CP content into EPIC MyChart as part of the patientoutreach aspect of the electronic medical record.

Outcomes measured with periodic audits on units. Goal: 100% of admitted patients are offered the opportunity to participate in Care Partners. 2010 Audits show:

ACUTE CARE

Care Partners Audit (Acute Care)

100%

100%

Care Partners Audit (Acute Care)

80%

80%

60%

60%

40%

40%

20%

20%

0%

0%

3C May '09

3E August '09

3W 4C 4E 4W March '10 June '10 September '10

5C May '09

5W 6C 6E August '09 March '10

6W June '10

8W SSU September '10

CRITICAL CARE

Care Partners Audit (Critical Care)

100%

80%

60%

40%

20%

0%

CCU May '09

MICU August '09

MSICU NNICU STBICU TCVPO March '10 June '10 September '10

I HEAL

Delegate Recommendation: Involve patients and families in their pain management regimen through education and support.

Improving staff's resources for addressing pain management: Restructured Pain Committee with shared nursing and physician leadership and to report to Patient Care Committee; Identified areas of focus: o Patient Satisfaction Data o Naloxone Utilization o Pain Management Resources o Educational tools (unit posters, inroom pain scales) Identified Steve Morton, RN as Pain Committee member reporting to CPC.

Identified Nancy Eksterowicz, RN, a nationally recognized nursing expert in pain management, as acute care pain resource and a member of Nursing Pharmacy committee to engage to incorporate pain documentation and resources into the EMR. Exploring options for broader nursing certification in pain management. Children's Hospital Nursing Practice and Procedure Committee Pain champions identified in each unit. o Utilized education and materials provided by the Children's Hospital Education Committee. o Identified "Buzzy" pain management device for use as a distraction technique for injections, venipuncture and IV cannulation. o Created unit "distraction boxes" with toys that can be used during uncomfortable procedures. NEC Provided Inservices for "OnQ CBlock", regional nerve administration device available for use. Partnered with Nancy Eksterowicz RN to develop educational resources for units And educational sessions for NEC's on pain resources, patient satisfaction scores, and organizational goals Acute Care Procedure Committee Developed procedure for "OnQ CBlock". Revised procedure: Epidural Analgesic Administration and Patient Care CPC Established recurring "Comfort Corner" article in PNSO's Practice News. Refined nurse resource procedures and CPGs to clarify nurse role in managing patients receiving epidural therapy. Drafted education, guideline, documentation and followup for sedation assessments (POSS) for rollout with EPIC golive.

Delegate Recommendation: Maintain and improve considerate communication between team members to achieve safety outcomes.

Cabinet convened a Communication Special Initiative led by Caroline McDaniel. Revalidated "Relationshipbased Care" model as nursing care delivery model. Acknowledged relationshipbuilding as foundational to enhancing considerate communication efforts. Discussed scripting for patient satisfaction with key "connector" groups of nurses, Magnet Champions, Congress Delegates, and Cabinet. Developed Communication Toolkits: o Bedside Report, launched 6/15, o Hourly Rounding, launched 7/15, o SBAR communication, launched 8/15. o Designed webbased tools to promote successful implementation by providing nurses with inthe moment support and structured opportunities for feedback and outcomes metrics. Goal was full implementation in all areas by end of calendar year. Oversight, implementation and sustained support is to be provided by unit managers. Added communication skills into Nursing Skills Fair content. Supported Caroline McDaniel's attendance at the American Association for Communication in Healthcare in early June. Tools and strategies from this conference are being considered for use. Developed qualitative and quantitative audit tools for bedside report and hourly rounding and surveys for physicians and nurses on SBAR communication. Auditing/surveys completed in November. Provided a presentation on SBAR communication to the Ambulatory Practice Committee with subsequent recognition of applicability to triage phone calls. Developed a "Hoo Ya Gonna Call?" resource for bedside nurses. This reference tool identifies resources to call in a variety of situations that arise during patient care and for patient/family support. Presented session on improving peer review skills to the Outpatient Surgery Clinician 3s. Provided information, resource brochures from the American Academy for Communication in Healthcare, and connected them to Carole Wagonhurst for a peer review teaching session with them.

NECs and Nursing Education Services Used monthly meetings, Collab discussions and emails to support ongoing NEC/NES communication. Assisted Beth Owen with initiative to improve HOC for preop and PACU. Reviewed PNSO Summer Camp toolkits

I HEAL: NurseSensitive Clinical Metrics

Summary of Clinical Accountabilities:

Metric Falls NDNQI Restraints NDNQI Pressure Ulcers NDNQI BSI Meeting Benchmark? Generally, yes Concern about ICU falls rate Yes No

No Overall ICU rates slightly above NHSN mean. Initiated Acute Care data collection; expect to report first full quarter of data in January 2011.

UTI Mortality

No UHC benchmark Currently .96, target <1.0 (improving)

Falls

Leader C. Michelle Longley Changed fall risk identification color from pink to yellow Replaced yellow dots at the door side with larger magnets for refurbished units (maintained yellow paper signage for nonrefurbished units) Adopted NDNQI definition of fall event and levels of injury Adopted adult inpatient admission and observation NDNQI benchmarks Decreased housewide fall target from 3.5/1000 patient days to 3.4/1000 patient days Adopted Morse Fall Scale to replace Schmid tool in adult inpatient population Adopted Humpty Dumpty Fall Scale to replace Little Schmidy tool in pediatric inpatient population Eliminated low bed criteria and made available through MIS Equipment Request Revised low bed policy: may be used concurrently with restraints Participated in Acute Care Competency Fair Revised Fall Prevention Guidelines Ordered 30 additional chair alarms between MayAugust, 2010 Initiated radiology study tracking for cost analysis/financial impact Adopted Fall Prevention Program motto: "It takes a team to prevent falls". Collaborated with Women's Services to raise awareness of baby drop potential and postepidural education for staff o Collaborated with Marketing Department to develop baby drop prevention signage o Provided staff education regarding postepidural lower extremity testing Collaborated with Outpatient Surgery Center o Adopted yellow Fall Risk identifiers and placement strategies o Developing patient/staff awareness poster with Marketing Department

Developed action plan with Outpatient Renal managers. Drafted resources for specialty bed surfaces, including each device model/picture and manufacturer recommendations regarding side rail usage for patient safety; reviewed with Restraint Committee. Provided formal and informal fall prevention education at request of clinical leaders, managers, staff members, academic leaders, COD, SON, medical faculty, etc.

Restraints

Leader: Sharon Bragg Reorganized committee in March 2010 Collected prevalence data quarterly Reviewed and edited MC Policy 0159 based on CMS and Joint Commission changes Reviewed and edited restraint audit tools Reviewed and edited restraint flow sheets Instituted quarterly restraint sweeps to gather inthemoment data Built EPIC order sets Collaborated with Nursing Education Services to review and update Restraint Training resources Reviewed 2010 restraint data to develop practice recommendations

Pressure Ulcers

Leader: Jennifer Smoltz, Wound Team Standardized Wound VAC supplies in clinical areas. Authored articles for Practice News on Skin Care / Pressure Ulcer Prevention. Topics included distinguishing incontinenceassociated dermatitis from pressure ulcers, improving skin assessment and documentation skills, and pressure ulcer prevalence benchmarked trends. Conducted Research Mentor study on Skin Care Awareness. Introduced concept of Interventional Hygiene. Established network of skin champions for inpatient units; used NDNQI training module as core training Established WOCN team assignments to all inpatient units; mentored skin champions Established PUP Steering Committee Conducted quarterly PU prevalence rounds with WOC Team, Skin Champions, Clinical Leaders; shared results Educated nursing and PCA staff in basic PUP strategies, specifically linking interventions to Braden risk scores Provided regular PUP practice updates for Practice News Established storeroom stock of O2 cannula with padded ear pieces Established partnership with respiratory therapy Piloted new Skin Hygiene Bundle Programs on 5C and STBICU Initiated QR process for all hospital acquired pressure ulcers Educated staff on full skin assessment steps. Provided consistent pre PUP survey communication Conducted quarterly Pressure Ulcer Surveys Reviewed specialty beds / support surfaces procedure with Acute Care Procedure Committee

Blood Stream Infections

Leaders: Kristi Kimpel and Eve Gianetta CPC Implemented Nursing Quality Improvement Action Plan to track progress and outcomes. Contributed to reeducation plan based on 2009 IV therapy practice audits. Collaborated with 3 West on unit pilot of VHHA CUSP pilot. Completed IV Therapy Practice Audits for all in patient units; reported results in November Implemented housewide education and practice change for RN to instill Alteplase to manage CLs Conducted pilot for CHG baths in STBICU Collaborated with Infection Prevention and Control on acute care data collection to track rates Provided staff education on uncharted med reports and need to improve accurate timely documentation of medication administration Reviewed LPL feedback on Summer Camp Tool implementation Approved Evidence Based Practice "Change" Framework Piloted Skin Care Bundle in STBICU, TCH, KCRC, 5C, with plans for future housewide implementation. Children's Hospital Nursing Practice & Procedure Committee Developed new procedure for pediatric peripheral IVs. Critical Care Procedure Committee Introduced "Safeset" procedure, a closed system that reduces number of entry into intravascular lines. Collaborated with Acute & Critical Care Procedure Committees to review Central Line Removal procedure to increase timely discontinuation of central lines. Developed intraosseous catheter procedure. Acute Care Procedure Committee Collaborated with Acute & Critical Care Procedure Committees to review Central Line removal procedure to increase timely discontinuation of central lines. Wrote Catheter Clearance Procedure for clinicians using Alteplase to treat thrombotic occlusions of central lines. Reviewed 100 new Lippincott periop procedures Revised Insuflon procedure Revised and developed Chemotherapy administration procedures Documentation Committee Revised Systems Review assessment form to increase clinician awareness of "necessity for central line reviewed," and "date central line inserted." NEC Included reeducation on IV/Central line nursing practices in mandatory annual RN competencies Trained NEC's as supertrainers for instillation of Alteplase

Urinary Tract Infections

Leader Holly Hintz CPC Implemented Nursing Quality Improvement Action Plan format to track progress and outcomes. Utilized feedback from the UVA Urinary Tract Infection Reduction Workgroup to analyze best practices, gap analysis, and make recommendations for revisions to procedures for indwelling catheters for Adult & Pediatrics Implemented standardized equipment o 1416Fr and standard trays o Urimeter Bag kits Finalized nursedriven Foley Removal protocol, piloted on 3W. Develop plan to track number of Catheter Days Disseminated insertion criteria to surgeons and nurses. Supported OPSC research mentordriven project to reduce indwelling catheter use in GYN surgery patients. Children's Hospital Nursing Practice & Procedure Committee Authored procedure: Urinary Catheterization in the Neonate. Acute Care Procedure Committee Combined nine Indwelling Urinary Catheter procedures into one single updated reference. Documentation Committee Revised Systems Review assessment form to increase clinician awareness to "necessity for Foley reviewed". NEC Evaluation is underway of education and competency regarding insertion, care, maintenance, and UTI prevention including alternatives for catheterization.

I BUILD:

EpicCare Summary

Leader: Cindy Westley Provided regular reports to Cabinet and CPC Used CPC demonstrations to support practice decisionmaking. Identified strong nursing representation at every level. Partnered with other institutions to benefit from their lessons learned. Identified certified trainers and super trainers; developed CBLs for Clinical View Only access; developed optional CBL's available via Hyperspace & PC Basics. Provided interactive demonstration of medication administration process with WOW's, workflow and barcodes and bar code scanners. Partnered with NECs to maintain educational resources for EPIC needs Collaborated with Inpatient Nursing Documentation committee to develop EPIC downtime forms, and to transition the CCS Documentation manual to EPIC

Magnet Recognition Steering Committee

Leaders: Pam Dennison, Kathleen Rea · Hosted Magnet Anniversary event on September 20 to highlight exemplary clinical outcomes, our commitment to Magnet Redesignation and the superhero effort of our organization to implement EpicCare. Event was attended by more than 1000 employees; 160 appreciation boxes were sent to Ambulatory nurses and interdisciplinary teams who could not attend because they were preparing for Epic Go Live. Created Magnet logo and tag line, "Partners in Practice. Leaders in Action", for redesignation. Supported 16 nurses to attend the national magnet conference, Magnet: A Culture of Caring; UVA nurses presented 2 podium sessions and 1 poster presentation. Partnered with Marketing and Web Center colleagues to create a website for the Magnet Documentation.

Completed the 88 required standards of evidence with all associated exhibits and data. Magnet Champions Leaders: Mary Miller, Clara Winfield Used Appreciative Inquiry discussion to open each monthly meeting. Created "Magnet Pop Up" as educational display for practice areas to use to inform and engage staff. Discussed organizational commitment to nursing professional development, including support for certification. Discussed plans for Week of the Nurse recognition and interdisciplinary Day of Gratitude. Reviewed RN Satisfaction Survey results. Discussed timelines for Magnet Redesignation and Epic Training/Implementation and opportunities for synergy of efforts Reviewed Empirical Outcomes, including RN Satisfaction, Employee Engagement, Patient Satisfaction, Nurse Sensitive Clinical Metrics. Discussed staff safety and workplace advocacy outcomes.

Delegate Recommendation: Aggressively promote environmental stewardship and reduce care delivery waste.

Paper usage: Cabinet eliminated handouts and printed agendas at PNSO Committee meetings. Encouraged electronic submission of Career Ladder portfolios in 2010; made electronic submission mandatory for 2011 Virtual meetings: Many PNSO committees use Collab to facilitate participation to reduce time away from the bedside, and paper handouts, and to enable editing of documents. . Recycling: Nominated Kim Sutphin, as PNSO member of UVA Sustainability Committee CPC Improved process for communication of isolation status and discontinuation . Worked to clear patients of long term isolation in Ambulatory. Children's Hospital Nursing Practice & Procedure Revised CH Care Guideline on pulse oximetry in the neonate to replace tape rather than entire probe.

Delegate Recommendation: Prioritize strategies that have been shown to retain and recruit professional nurses.

Professional Development Committee Established partnership with HR Chief: John Boswell. Added Manager representation on PD Committee. Set goal for increasing certification by 5% as mechanism to retain nurses. Identified Preceptor Development as a measure to increase retention. Explored "career tracks" to help nurses develop professional skills in education, management, clinical ladder advancement, etc. Partnered with HR leaders and 2 MC managers, Joan Tepper. 4C and Bill Jordan. PICU, to develop a set of recommendations. NEC Tracked preceptor hours through ClairVia to support recognition and support. NCCAC Partnered with SON to provide 60 seats for AACN Preceptor Training Modules. Developed preceptor evaluation form for use by UVAHS & SON.

Requested and secured Judy Sands, PhD, RN, SON faculty, to teach preceptor course in fall. Hosted recruiting reception for 4th year nursing students. Hosted "meet the managers" reception for CNL students. Hosted receptions for medical center staff and SON students.

Clinical Career Ladder Advanced Spring 2010 · 42 Clinician IIIs, · 3 Clinician IVs, · 5 APN Is; Advanced Fall 2010 · 3 Clinician IIIs Transferred 7 RN's from the I.V. team to Clinician II. Revalidated 9 Clinician IVs. Validated 2 Clinician III hires Revised advancement timeline for 2011 with opportunities to be offered in both Spring and Fall. Implemented changes to APN ladder and revalidation processes. APNs scheduled to revalidate in 2010 will have an individualized grace period to align with the new APN 2year revalidation schedule. Revised APN revalidation portfolio requirements. Revised Clinician IV revalidation process. Changed to biannual process to begin October 2011 based on birth month. Certification will be required by April 2013. · Launched new webbased toolkits for panelists and managers · Revised Clinician III interview questions and reviewer worksheets · Developed guidelines to improve consistency and quality of Manager letter of support · Revised Clinical Career Ladder Handbook to reflect the Web resources; will also include an Administrator & APN Toolkits to support their respective roles in the APN Ladder. Planned schedule for 2011 Panel meetings and interview times · Restructured scope of Panels to align with Clinician and Advanced Practice arms of the ladder. o The former Central Panel will focus on Advanced Practice roles , assigning a designated APN panelist to partner with each regional administrator for routine hiring and revalidation consultation. The full panel will be convened for revalidation discrepancies. o The former Clinician III Panels will expand their scope to include Clinician IV advancement and revalidation; membership will include additional Clinician IV representatives; panel chairs will be Clinician IVs. o The APN Panel and the III/IV Panel will have their own Chair and ViceChair. The chair will coordinate and oversee the process; the vicechair will be an active panelist participant. o The Chairs/Vicechairs, together with the SON Dean, will form the Career Ladder Advisory Group. The PNSO President will participate in whichever panel is appropriate to his/her level of practice. Revised Advanced Practice Career Ladder: o As of July, all nurse practitioners employed by the Medical Center will be on the Advanced Practice Career Ladder, with title changes: Certified Nurse Practitioners become APN 1, former APN 1 become APN 2, former APN 2 become APN 3. o Approximately 94 nurses are affected. APN roles are outcomesfocused and partner directly with their regional administrator. o Streamlined the process for hiring new APNs: APN 1s are hired by their administrator; APN 2 or 3 has streamlined prehire peer review coordinated by the region's designated APN Panelist. All APN 1 roles are "hired into" rather than "advanced to;" this is a clarification of existing policy. o Advancement to APN 2 or 3 is brokered by the Panel. Revalidation is also streamlined, required of all levels of APN roles, changed to a rolling 2year schedule aligned with recredentialing schedule. o Revalidation review process emphasizes administrator's outcomes evaluation, regional panelist partner's peer review, and APN Panel Chair oversight of recommendations, convening the full panel only in case of discrepancies.

Additional Committee Work:

Clinical Practice Committee:

Hosted 6th Annual EvidenceBased Practice Day symposium with national speaker Kathleen Vollman, 17 podium presentations, and 37 poster presentations. Produced 6 editions of Practice News, and introduced new format. Formalized Local Practice Liaison role Reviewed LPL feedback on Summer Camp Tool implementation

Acute Care Procedure:

Reviewed procedure topics on: emergency equipment, peritoneal dialysis, feeding tubes, seizure precautions, and chemotherapy. Reviewed quarterly edits from Lippincott

Critical Care Procedure Committee:

· Explored optimal resource format to support best practices and access using hard copy of AACN manual or electronic resource.

Children's Hospital Practice/ Procedure Committee:

· Reviewed use of Transilluminators and Thermoregulation in NICU. Reviewed or revised 17 CH Care Guidelines and 1 CH Medication Guideline Collaborated with Pharmacy to supply individual doses of Enoxaparin Injection for doses less than 30mg. Evaluated enteral tube safe practice, and placement confirmation. IRB Approved Research project underway in PICU Revised Procedures: o Car Seat Trial o Breast Milk Fortification and Preparation o PICC Line Care & PICC Line Dressing Change Procedures o Home Choice Cycler Procedures for: Documentation, General Info. , General Info ­ including machine programming and troubleshooting, Obtaining effluent sample for culture, Disconnect patient for off unit procedure, Programming ­ using nurse menu settings

Inpatient Documentation Committee:

Focused on EPIC readiness by revising current tools to match EPIC requirements Reviewed new elements that will be required in EPIC. Developed Nursing Care Plan for Epic. Changed Acute Care Assessment to "Charting Within Defined Limits". Incorporated CAM (delirium assessment) into the Neurological Exam section.

Ambulatory Practice Committee:

Reorganized committee to assure adequate structure and processes. Developed committee's mission: · To examine nursing practice issues, questions or discrepancies across practice areas by applying an evidencebased model in resolution. · To identify the resources and mechanisms for the development and implementation of best practice. · To evaluate nursing quality data in consideration of nursing practice issues that traverse practice areas. Developed guiding principles: · To provide patient centered care · To standardize clinic operations when possible · To customize clinic operations only when absolutely necessary

NECs:

Developed NEC Orientation Program on the NEC role and resources. Provided mentorships for new NEC's using NEC II's, NEC Chair and CoChair and other experienced NEC's

Introduced Spiros safety devices for use with hazardous drugs

Nominating Committee:

Conducted rounds with all candidates to encourage participation in elections. Identified 6 candidates for Nominating Committee; 2 candidates for PresidentElect, Achieved 23% voter participation rate.

Congress Planning Committee:

Conducted Delegate checkpoint meetings Conducted visits to outgoing delegates and nurse managers of units that were to hold elections. Developed agenda for Day of Congress Negotiated for Keynote Speaker, Dennis Sherrod.

Professional Development Committee:

Promoted professional certification: o Negotiated for a display on the TV monitors in the cafeteria o Developed a handout / flyer distributed to nurses recognizing Certified Nurses Day, and provided information about the new CBL. Cards were distributed to RN staff by committee members. o Held CCRN certification exam on site; 22 nurses sat for the exam, 17 achieved certification. Collaborated with the PNSO to fund 10 nurses to attend VNA Legislative Day. 19 nurses applied for scholarships. Contributed to the PNSO Fall Leadership Forum

Nursing Mentor Research Program

Accepted and trained 11 new Research Mentor, bringing our complement up to 43. Required a letter from the applicant describing a change project and why they want to be a mentor. Required the administrator and manager to approve the application for the participant to be selected.

Recognition for our 2010 PNSO Committee leadership & activities:

Committee Nursing Cabinet Nursing Cabinet Executive Committee Clinical Practice Committee Acute Care Procedure Ambulatory Practice Children's Hospital Practice / Procedure Critical Care Procedure Inpatient Nursing Documentation Professional Development Committee Awards/Recognition Leaders Jennifer T Hall | Caroline McDaniel Jennifer T Hall | Caroline McDaniel Sally Miller | Kristi Kimpel Tanya Thomas | April Burns Debbie Childs Jennifer Mellot | Cathy Davis Kristine Shannon | Natalie Belt Amy Johnston Jenny Dixon | Mariah Rogers Suzanna Davis RNs / Total Members 29 / 30 8 / 8 26 / 26 10 / 10 Restructuring underway 23 / 24 14 / 14 16 / 17 24 / 24 44 / 44 Electronic Tools Collab & email Collab; email; Practice News electronic 10 Collab 3 10 Email 6 Collab & Email 7 Collab 5 Collab 0 meetings; hosted Spring Collab & email ­ and Fall Award entirely virtual! Ceremonies 4 Collab, email 2 orientation sessions; 13 interviews; 1 decision meeting. Hosted Adv. Reception 1 panel chair mtg; 2 orientation sessions; 47 interviews; 12 panel meetings 6 6 1 Kickoff for new RMs 3 3 12 Panelist web toolkit; Email; 2 electronic portfolios; web feedback survey. Panelist web toolkit; Email; 4 electronic portfolios; web feedback survey. "Magnet Popup" emailed monthly Emailed call for new RM applicants Email; some Collab Collab; email Collab; email 2010 Live Meetings 13 10 11

Nurse Educational Coordinators Clinical Career Ladder

Nora Zinz Cherie Parks | Dea Mahanes

46 / 51 first quarter 70 / 72 second quarter 14 / 14

Clinician III Panels

D Aretakis, K Boyle, S Bragg, L Brock, M Deivert, K Kimpel, S Lawson, M Maddox

39 / 39

Magnet Recognition Steering Magnet Champions Nursing Research Mentorship Nominating Committee Congress Planning Nursing Council, Clinical & Academic Collaboration

Pam Dennison | Kathleen Rea Mary Miller | Clara Winfield Suzi Burns | Beth Quatrara Kathleen Rea Caroline McDaniel | Leigh Ann Nordt Dorothy Tullman | Joan Tepper

10 / 12 83 / 83 43 / 43 6 / 6 9 / 10 10 / 10

Professional Nursing Staff Organization

RN Accomplishments in 2010

Clinician I's Welcomed in 2010

Honour Alston Erin Arizmendi Heather Atwell Erika Atzl Kathryn Bagley Alexandra Bandy Jerimie Batac Kimberly Bennett Ashleigh Bergstrom Rebekah Bolton Lisa Bowman Brittany Brauch Laura Brinn Jessica Brown Ashley Browne Amber Brownlee Kristina Buoni Caitlin Burchfield Laura Burris Geri Busick Amantha Carpenter Taylor Carrin Cameron Caswell Erin Chapman Monica Clark-Covert Carolin Connelly John Cosner Marissa Cuccia Timothy Darrah Michelle Dorsey Emily Downing Anne Fishwick Gwyneth Franck Sarah Fulks Tracy Fulmer Britte Ginty Brenda Griswold Lindsey Gustafson Sinziana Hada Marion Haege Gillian Jackson Renee Krieg Malisa Lacy Carolyn Lawson David Lester Olivia Lezanski Sarah Lutenski Marlene Mayberry Erin McAuliff

4 East Women's Services PICU 6 East 7 Acute ED 5 Central 8 West 3 East NNICU 3 West PICU 4 West 4 East TCVPO 3 Central 8 West 4 East OR Family-Centered Care 6 Central NICU CCU NICU KCRC 5 West TCVPO 3 Central MICU NICU Peds Sedation 3 West ED STBICU MSICU PICU 8 West 6 West NICU 3 Central 4 West 4 West 8 West PICU 6 West NNICU Peds Sedation 4 East STBICU

Margaret McBurney Emily McCallister Carolyn McQuarrie Cassondra McWilliams Kathleen Monihan Jeremy Morgan Lindsey Murray Elizabeth Newins Jordan Nigro Benjamin Nissley Jennie Packett Simona Parvulescu-Codrea Allison Patrizio Elizabeth Peters William Pierzala Laura Pishko Alison Poeppel Amanda Price Ashley Rubinstein Virginia Ruddock Carmen Sandridge Marcia Scofield Mary Shank Hyo Sun Shin Amy Silver Sarah Simmons Laurel Snyder Lindsay Staton Brigitte Stogbuchner Kimberly Suphal Megan Swanson Caroline Tierney Alberta Tran Elizabeth Van Dyke Scott van Nortwick Jenny Viar Theresa Walker Laura Wheaton Kristin Whitcomb Meredith White

3 West 3 Central 6 West STBICU STBICU 4 West CCU 6 West 4 West 4 East NICU DHC 4 Central 4 Central PICU 3 Central MICU Women's Services Women's Services 5 Central NICU MICU 3 Central 8 West 6 Central 4 Central 3 West OR 3 West Women's Services 4 Central 6 Central MICU NNICU 4 East PICU MICU STBICU NNICU 5 West

Clinical Career Ladder Advancements in 2010

Advancement to Advanced Practice Nurse 1

Laura Aurisy Cheri Blevins Mary Jane Griffith Cindi Sanborn Suzann Williams-Rosenthal

NICU MICU Cancer Center Diabetes Education & Management Senior Services/ Colonnades Medical Associates

Advancement to Clinician IV

M. Victoria Buffmire Kristie Coles Aimee Strong

TCVPO Radiation Oncology DHC

Advancement to Clinician III

Nancy Addison Kamera Aulie Melissa Elliott Sandra Farnum Robert Foreman Kimberly Giles Jennifer Glass Tausha Grim Charles Hammond Freeda Hara Matthew Henrich Jonathan Howard Tammy Irving Ahmad Ismail Jessica Kassay-McAllister Stephen Keese Emily Koch David Larew Veronica Lester-Ballard Crystal Lyon Jack Miller Joseph Moffett Elizabeth Noble Nina Poppe Deborah Romano Karen Root Lucinda Schatz Judy Sharpe Karen Shaw Victor Somers Douglas Spaulding III Carol Staton Chae Summe Crystal Toll Amber Tyson Jennifer Walter Stacey White Sallianne Whitman Haley Wilson Kelly Wozneak Meaghan Young Melynda Zarzyski

PICU NICU Psychiatric Med Operating Room MICU Short Stay Unit PICU PICU 3 West Lynchburg Home Train STBICU Emergency Dept Short Stay Unit TCVPO 4 Central NNICU 4 Central MET Program 6 East Renal Unit MICU MET Program Psychiatric Med Endoscopy Angio NICU 5 Central Psychiatric Med UVA OPSC MET Program 4 West MICU 8W GYN/ONC NNICU 7 Acute Angio NNICU 6 East NNICU 5 Central TCVPO CCU

New Degrees and Academic Certificates Earned in 2010

Candace Burton Kathleen Fletcher Linda G. Lee Beth Quatrara Helen-Marie Molnar Julie Armatas Alexandra Bandy Barbara Barry

PhD (University of California-San Francisco) DNP (University of Virginia) DNP (Chatham University) DNP (University of Virginia) Post-Masters' FNP (University of Virginia) MSN, ACNP (University of Virginia) MSN (University of Virginia) MSN (Old Dominion University)

Kimberly Bennett Ashleigh Bergstrom Ellen L. Brock Geri Busick JoDean Chisholm Sarah Craig Linda Dedo Nancy Eksterowicz Marion Haege Jamie H. Hicks Freda Lynn McAllister Kathleen Monihan Bridget L. Moss Simona Parvulescu-Codrea Allison Patrizio William Pierzala Joann Plencner Wanda Roach Ashley Rubinstein Virginia Ruddock Marcia Scofield Mary Beth Slagle Vickie Taylor Kristin Whitcomb Honour Alston Erika Atzl Kathryn Bagley Brenda Harrison Barrett Jerimie Batac Rebekah Bolton Lisa Bowman Brittany Brauch Elise-Elaine Brigham Laura Brinn Jessica Brown M. Victoria Buffmire Caitlin Burchfield Laura Burris Taylor Carrin Robert Cameron Caswell Erin Chapman Jie Chen Carolin Connelly Debbie Cortez Michelle Dorsey Emily Downing Gwyneth Franck Sarah Fulks Tracy Fulmer Joy Giglio Britte Ginty Tracey Gosse Sinziana Hada Lisa K. Harrison Gillian Jackson Dearing Johnson

MSN (University of Virginia) MSN (University of Virginia) MSN (James Madison University) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN/MHA (University of Phoenix) MSN (University of Virginia) MSN (University of Virginia) MSN-NNP (University of South Alabama) MSN (University of Phoenix) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Phoenix) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Virginia) MSN (University of Phoenix) MSN (University of Virginia) BSN (University of Virginia) BSN (University of Virginia) BSN (University of Virginia) BSN (University of Phoenix) BSN (University of Virginia) BSN (Georgetown University) BSN (University of Virginia) BSN (Johns Hopkins University) BSN (Western Governors University) BSN (University of Virginia) BSN (University of Virginia) BSN (Chamberlain College of Nursing) BSN (University of Virginia) BSN (Emporia State University) BSN (University of Virginia) BSN (Johns Hopkins University) BSN (Binghamton University) BSN (University of Virginia) BSN (Grand Valley State University, MI) BSN (James Madison University) BSN (University of Virginia) BSN (Radford University) BSN (University of Florida) BSN (Virginia Commonwealth University) BSN (Florida State University) BSN (Seton Hall University) BSN (Johns Hopkins University) BSN (Western Governors University) BSN (University of Virginia) BSN (University of Virginia) BSN (Norwich University) BSN (University of Virginia)

Amy Jordan Leigh Kloss Christina Knicely Carolyn Lawson Hannah Lee Olivia Lezanski Sarah Lutenski Gary Mahoney Erin McAuliff Margaret McBurney Emily McCallister Carolyn McQuarrie Cassondra McWilliams Lindsey Murray Elizabeth Newins Jordan Nigro Benjamin Nissley Jennie Packett Laura Pishko Alison Poeppel Carmen Sandridge Mary Shank Hyo Sun Shin Amy Silver Sarah Simmons Laurel Snyder Lindsay Staton Megan Swanson Caroline Tierney Alberta Tran Elizabeth Van Dyke Clara Winfield Erin Arizmendi Heather Atwell Ashley Browne Marissa Cuccia Brenda Griswold Renee Krieg Malisa Lacy David Lester Marlene Mayberry Jeremy Morgan Meredith White

BSN (Widener University) BSN (University of Pittsburgh) BSN (University of Virginia) BSN (University of Virginia) BSN (University of Virginia) BSN (Emory University) BSN (Johns Hopkins University) BSN (University of Virginia) BSN (Virginia Commonwealth University) BSN (University of Virginia) BSN (University of Michigan) BSN (Johns Hopkins University) BSN (Marymount University) BSN (Johns Hopkins University) BSN (University of Virginia) BSN (D'youville College, NY) BSN (University of Virginia) BSN (University of Virginia) BSN (University of Virginia) BSN (SUNY Binghamton) BSN (James Madison University) BSN (Eastern Mennonite University) BSN (University of Virginia) BSN (University of Florida) BSN (Brigham Young University) BSN (University of Southern Maine) BSN (University of Virginia) BSN (James Madison University) BSN (Georgetown University) BSN (University of Virginia) BSN (University of Virginia) BSN (University of Virginia) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Germanna Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Piedmont Virginia Community College) ADN (Cabarrus College)

New & Renewed Certifications in 2010

Case Management

Cindy Westley

RN-BC - Case Management

Clinical Nurse Leader

Alexandra Bandy Ashleigh Bergstrom Geri Busick Kathleen Monihan Simona Parvulescu-Codrea

CNL CNL CNL CNL CNL

Ashley Rubinstein Virginia Ruddock Marcia Scofield Kristin Whitcomb

CNL CNL CNL CNL

Critical Care

Felicity Cooper Sarah Craig Lisa K. Harrison Amy Jordan Sujarani Koolipurackal Lynn McNulty Sheryl Whaley

CCRN CCNS CCRN CCRN CCRN CCRN CCRN

Emergency Services

Cathey S. McCann Edward Meyers Stacy True

CEN CEN CEN

EPIC Systems Certified

Kim Goodman Stacey Lewis Blou Mileur Linda Weiler Beverly West Sue Wilson

EPIC Credentialed Trainer EpicCare Inpatient Masters Decision Support Order Transmittal EPIC Credentialed Trainer EPIC Builder: Ambulatory New Version EpicCare Stork

Executive, Management and Leadership

Jill Laird Sanders

NE-BC

Dermatology

Karen Lario

DNC

Heart and Vascular Center

M. Victoria Buffmire Dana Palmer Caroline Weber

RDCS RN-BC - Cardiac Vascular RN-BC - Cardiac Vascular

Hematology

Linda L. Myers

HP

Hospice & Palliative Care

Jane Griffith

ACHPN

Infection Prevention & Control

Megan Gosseling Christie Piedmont

CIC CIC

Medical-Surgical Care

Kimberly Elgin

CMSRN

Nephrology

Debbie Cote Linda L. Myers David Edward Simmons Jr. Kim A. Smith

CNN CNN CNN CNN

Neurosciences

Kathleen P. Morris Heather Turner Sheryl Whaley

CNRN CNRN CNRN

Nurse Practitioners

Julie Armatas Carole Ballew Dorothy Cage Kimberly S. Drewry Violet Horst Kim Leake Helen-Marie Molnar Bridget L. Moss Mary Beth Slagle

ACNP ACNP ACNPC AOCNP PNP FNP-C FNP ACNPC FNP

Oncology

Kimberly S. Drewry

AOCNP; CBCN

Pain Management

Nancy Eksterowicz

RN BC

PeriOperative Care

Elise-Elaine Brigham Debbie Lord Thomas McHugh Karen Elizabeth Shaw

CNOR CNOR CRNA CNOR

Rehabilitation

Debbie Cortez

CRRN

Transplant

Carole Ballew Rob Teaster

CCTC CTP, CPTC

Women's and Children's

Nancy Addison Sandy Dean Nicole Durden-Mundy Joy Giglio Jennifer Glass Katie W. Heck Carol Morrill Jacquelyn Brown Roberts

CCRN CPN RNC-NIC CPN CCRN IBCLC RNC MHE

Wound, Ostomy, Continence

Marilu Dixon CFCN Joann Plencner CWOCN Suzann Williams-Rosenthal CWOCN

Awards and Honors Received in 2010

International Honors

Debbie Cortez, Wanda Roach, Kelly Wozneak -- Inducted into Sigma Theta Tau International Nursing

Honor Society.

National Honors

Kristi Kimpel -- recipient, 2010 AACN Circle of Excellence Award. Liza Prudente Moorman -- named a Fellow of Heart Rhythm Society.

Local Honors

Caroline Tierney -- recipient, National Student Nurses Association Award, Georgetown University chapter.

UVA Health System organization-wide awards

Susan Card, Valerie Goodman -- co-recipients, Excellence in Patient and Family Education Award,

sponsored by the Patient & Family Education Subcommittee of UVA Health System.

Beth Quatrara -- named "Anne Pollock Hemmings Clinical Excellence Fellow" at the UVA School of Nursing. David Edward Simmons Jr. -- recipient, 2010 UVA Health System Community Service Award. Beverly West -- recipient, Superior Team Work Award - Epic Ambulatory Team, UVA Health System

Computing Services.

Cindy Westley -- named "Friend of the Claude Moore Health Sciences Library." Sarah Wilson, Jane Dwyer -- co-recipients, together with David Kaufman, of the 2010 Charles L. Brown

Quality Award, for their coordination of NICU care.

Nominees & 7 Recipients, PNSO Nursing Excellence Awards

Excellence in Clinical Practice

Lois Perry Katy Barksdale Beth Helmandollar Ken Kinsella Deb Shaffer Lorraine Taylor Sarah Wilson

6 West Neurological Intermediate Care PICU Zions Crossroads Dialysis 5 Central STBICU SSU NICU

(recipient)

Nurse of Distinction

Dale Shaw Nancy Addison Sharon Bragg Hunter Choate Janet Fones Edwina Windy Forch Rose Lewis Deb Shaffer

6 West (recipient) PICU MICU STBICU NICU Senior Services 4 West STBICU

Preceptor of the Year

Nancy Addison Erin Allebaugh Susan Almarode Katy Barksdale Mika Chorey Nicole Durdon-Mundy Jane Dwyer Luella Glanzer Sara Malda Carla Rothmann Lucinda Schatz William Van Atta

PICU NICU PICU 3 Central NICU NICU STBICU 7 Acute 6 West 5 Central STBICU

(recipient)

8 Central

Excellence in Caring

Nancy Pitts Terry Breeden Betty Koerner Linda Meyers Donna Misurelli Autumn Rabbers Cindi Sanborn

Heart and Vascular Clinic OR OR Renal Unit NICU 7 Acute Diabetes Education

(recipient)

Excellence in Nursing Research

Barb Trotter Kim Elgin Amy Johnston Clara Winfield

3 West 5 West 6 West SAS

(recipient)

Beginning Practitioner of the Year

Christie Massie Helen Berbert Megan Collier Larkin Hamrick Mladen Krstic Jessica Schneiderman Laura Watson

TCVPO 4 West Augusta Dialysis MICU OR CCU NICU

(recipient)

Distinguished Nurse Manager

Marian Lawson Sandy Bailey Jan Garnett Judy Kauffman

CCU

(recipient)

Internal Medicine & Anticoagulation Clinics 6 East/6 Central Renal Unit

Appointed and Elected Roles

As a Magnet organization, we demonstrate leadership beyond the walls of our own hospital. UVA nurses serve in many professional organizations to support the learning and promotion of best practice. We featured this robust leadership in our Magnet documentation in a 24-month profile. Please click here to see this important work: https://www.healthsystem.virginia.edu/intranet/pnso/cross-sitedocs/ExhibitOO6a.pdf

External leadership roles newly reported in 2010:

Debbie Cote -- appointed to the National Renal Administrators Board of Directors. Kim Deaver -- appointed to the Mid-Atlantic Renal Coalition Board of Directors; also appointed as a

Commissioner on the board of the Nephrology Nurses Certification Commission. Linda L. Myers -- appointed member of Certified Nephrology Nursing Test Writing Committee for Nephrology Nursing Certification Exam.

Publications in 2010:

Articles, Chapters, Books, or Continuing Education Modules

Balogun, R., Okafor, C., Myers, L., Anderson, J., Kauffman, J., Morris, A., Ward, D. (2010). Therapeutic Apheresis Academy: An Educational Compendium -- IV. Building a New Therapeutic Apheresis Service. Journal of Clinical Apheresis 25(5):275-279. Burns, S. M. (2010). Advanced Respiratory Concepts: Modes of Ventilation. In Chulay, M. and Burns, S. M. (Eds), AACN Essentials of Critical Care Nursing, 2nd Edition. New York:McGraw Hill. Burns, S. M. (2010). A Journey to Make Research Part of What We Do: From Inception to Success. HCPro's Advisor to the ANCC Magnet Recognition Program®, 6(5). Burns, S. M., Fisher, C., Tribble, S., Lewis, R., Merrel, P., Conaway, M., Bleck, T. (2010). Multifactor Clinical Score and Outcome of Mechanical Ventilation Weaning Trials: Burns Wean Assessment Program. American Journal of Critical Care. 19(5), 431-440. Ching, J. M., Burns, S. M. (2010). Pain and Sedation Management. In Chulay, M. and Burns, S. M. (Eds), AACN Essentials of Critical Care Nursing, 2nd Edition. New York:McGraw Hill. Ching, J. M., Burns, S. M. (2010). Pain and Sedation Management. In Chulay, M. and Burns, S. M. (Eds), AACN Essentials of Progressive Care Nursing, 2nd Edition. New York:McGraw Hill. Chulay, M., Burns, S. M., eds. (2010). AACN Essentials of Critical Care Nursing, 2nd Edition. New York:McGraw Hill. Chulay, M., Burns, S. M., eds. (2010). AACN Essentials of Critical Care Nursing: Pocket Handbook, 2nd Edition. New York:McGraw Hill. Chulay, M., Burns, S. M., eds. (2010). AACN Essentials of Progressive Care Nursing, 2nd Edition. New York:McGraw Hill. Deaver, K. (2010). Prevention of Dialysis Graft and Fistula Access Infections. Nephrology Nursing Journal 37(5): 503-506. Drake, E., Coolidge, G. (2010). Postpartum Depression: Don't Let Patients Suffer in Silence. American Nurse Today 5(12) [Online Edition http://www.americannursetoday.com/Article.aspx?id=7306&fid=6856]. Duensing L., Eksterowicz, N., Macario, A., Brown, M., Stern, L., Ogbonnaya, A. (2010). Patient and Physician Perceptions of Treatment of Moderate-to-Severe Chronic Pain with Oral Opioids. Current Medical Research & Opinion 26(7):1579-85. Griffith, J., Lyman, J., Blackhall, L. (2010). Providing Palliative Care in the Ambulatory Setting. The Clinical Journal of Oncology Nursing 14(2):171-175. Kleinpell, R. M., Burns, S. M. (2010). Multisystem Problems. In Chulay, M. and Burns, S. M. (Eds.), AACN Essentials of Critical Care Nursing, 2nd Edition. New York:McGraw Hill. Kleinpell, R. M., Burns, S. M. (2010). Multisystem Problems. In Chulay, M. and Burns, S. M. (Eds.), AACN Essentials of Progressive Care Nursing, 2nd Edition. New York:McGraw Hill. Mastroianni, A. C., Mello, M. M., Sommer, S., Hardy, M., Gallagher, T. H. (2010). The Flaws in State 'Apology' and 'Disclosure' Laws Dilute Their Intended Impact on Malpractice Suits. Health Affairs 29(9):1611-9. Myers, L. (2010). Postpartum Plasma Exchange in a Woman with Suspected Thrombotic Thrombocytopenia Purpura (TTP) vs. Hemolysis, Elevated Liver Enzymes, and Low Platelet Syndrome (HELLP): A Case Study. Nephrology Nursing Journal 37(4):399-402. Near, K., Westley, C. J. (2010). Forming a Solid Foundation for Patient Education Through Collaboration. Journal of Consumer Health on the Internet, 14(2):1-10.

Parrish, C. R., Quatrara, B. (2010). The Art of Reinfusion of Intestinal Secretions. The Journal of Supportive Oncology 8(2):92-96. Parrish, C. R., Quatrara, B. (2010). Reinfusion of Intestinal Secretions: A Viable Option for Select Patients. Practical Gastroenterology 34(4):26-40. Payne, H., Hudson, M., Cobb, P., Porterfield, G., Jenkins, D., King, M., Arrington, V., Lane, K., Miller, R., Conaway, M., Quatrara, B., Burns, S. M. (2010). Easing the Pain of Pediatric Venipuncture: A Pilot Study. HCPro's Advisor to the ANCC Magnet Recognition Program®, 6(8). Prachar, T. L., Mahanes, D., Arceneaux, A., Moss, B. L., Jones, S., Conaway, M., Burns, S. M. (2010). Recognizing the Needs of Family Members of Neuroscience Patients in an Intensive Care Setting. Journal of Neuroscience Nursing 42(5):274-279. Ratliff, C. R., Tomaselli, N. (2010). WOCN Update on Evidence-Based Guideline for Pressure Ulcers. Journal of Wound Ostomy Continence Nursing 37(5):459-60. Ratliff, C. R. (2010). Early Peristomal Skin Complications reported by WOC Nurses in Central Virginia. Journal of Wound Ostomy Continence Nursing 37(5):505-10. Ratliff, C. R., Tomaselli, N. (2010). Update on Evidence-Based Guideline for Pressure Ulcers. Long-Term Living 59(6):14-19. Ratliff, C. R., Tomaselli, N, et al. (2010). Guideline for Prevention and Management of Pressure Ulcers. Mount Laurel, New Jersey: WOCN. Ratliff, C. R. (2010). Pressure Ulcer Prevention: An Update on Strategies and Terms. ADVANCE for Nurse Practitioners 18(6): 24-26. St. John, R., Seckel, M., Burns, S. M. (2010). Airway and Ventilatory Management. In Chulay, M. and Burns, S. M. (Eds.), AACN Essentials of Critical Care Nursing, 2nd Edition. New York:McGraw Hill. St. John, R., Seckel, M., Burns, S. M. (2010). Airway and Ventilatory Management. In Chulay, M. and Burns, S. M. (Eds.), AACN Essentials of Progressive Care Nursing, 2nd Edition. New York:McGraw Hill. Wamstad, J. B., Cantore, L., Norwood, K. W., Darring, J., Blackman, J., Patrick, P. (2010). Comparison of the Very Young Child (Ages 0 through 5) with the Young Child (Ages 6 through 10) in a Prolonged Low Response State Following Severe Brain Injury. International NeuroTrauma Letter. International Brain Injury Association: http://www.internationalbrain.org/?q=node/146. Weierbach, F., Glick, D., Fletcher, K., Rowland, A., Lyder, C. (2010). Nursing Research and Participant Recruitment: Organizational Challenges and Strategies. Journal of Nursing Administration 40(1):43-48. Williams, M. E., DeGregory, K. A., Leake, K. F. (2010). Considerations in Non-Hodgkins Lymphoma: Case Studies in Mantle Cell Lymphoma. Journal of Multidiscplinary Cancer Care [Continuing Education offered: http://www.coexm.com/activities/print/nhl0210] Zuelzer, H. B., Ratliff, C. R., Drake D. B. (2010). Complications of Abdominal Contouring Surgery in Obese Patients: Current Status. Annals of Plastic Surgery 64(5): 598-604.

Presentations in 2010

International Presentations

Sarah Craig, "Innovative Technology: Intensive Care Nursing at the University of Virginia Hospital, 1954-1972." International Conference for American Association of the History of Nursing. London, England (September). Nancy Eksterowicz, Acute Nursing Program Workshop, Session I: "Pharmacology Review of Opioids, Local Anesthetics, and Adjuvant Analgesic Agents" and Session II: "Sedation and Monitoring for Regional Anesthesia and Postoperative Care." ASRA's 35th Annual Regional Anesthesia Meeting and Workshops. Toronto, Canada (April).

Neil Peterson, "No Child Left Behind and Dragging Our Fat Children Forward: Physical Activity in School-aged Children." 10th Annual Nursing and Midwifery Research Conference. Cork, Ireland (October).

National Presentations

Carole Ballew, "A Funny Thing Happened on the Way to the IRB" and "The Transplant Coordinator in Research: Tips, Tools & Practical Advice on How to Implement a Research Project." North American Transplant Coordinator's Organization Annual Meeting. Hollywood, FL (August). Carole Ballew, "Improving Consistency Among Nurses That Perform the HeartMate Driveline Dressing Change" and "Factors Associated With the Development of Pressure Ulcers in Patients with Ventricular Assist Devices." Annual Mechanical Circulatory Support Conference. Phoenix, AZ (February). Marie Victoria Buffmire, Marcia White, Stephen Morton, Mark Conaway, Suzanne M. Burns, "A Comparison of a Behavioral and Subjective Pain Scale in a TCV-PO Patient Population." American Association of Critical Care Nurses' 2010 National Training Institute. Washington, D.C. (May). Suzanne M. Burns, "Protocols, Pathways and Guidelines: Troublesome Trends and Unintended Consequences" and "CPAP and BIPAP: Science and Practice." 17th Annual Pulmonary Critical Care Health Symposium. Kingsport, TN (November). Suzanne M. Burns, "Ventilating Our Sickest Patients: ARDS and Asthma." The Greater Washington Area Chapter of the American Association of Critical Care Nurses. Washington, DC (November). Suzanne M. Burns, "How Making It `Easier' May Make It Harder: Complexity In Practice!" and "New Pressure Modes of Ventilation: the Good, the Bad, and the Ugly." Mountain Sound Chapter of the American Association of Critical Care Nurses. Seattle, WA (October). Suzanne M. Burns, "New Pressure Modes: the Good, the Bad, and the Ugly!" Baptist Health South. Miami Beach, FL (June). Suzanne M. Burns, "Ventilator Modes and Weaning Methods" (pre-conference), "Protocols, Pathways and Guidelines: Troublesome Trends and Unintended Consequences", and "Moving Beyond Implementing the Evidence to Actually Creating It." American Academy of Nurse Practitioners. Phoenix, AZ (June). Suzanne M. Burns, "Ventilating Our Sickest Patients: ARDS and Asthma", "Protocols, Pathways and Guidelines: Troublesome Trends and Unintended Consequences" and "New Ventilator Pressure Modes: the Good, the Bad and the Ugly." Slice of AACN NTI Contemporary Forums. Las Vegas, NV (April). Suzanne M. Burns, "New Pressure Modes: the Good, the Bad and the Ugly!" and "Weaning: Red Light, Green Light...Should We Stay or Should We Go." 2010 Swamped with Knowledge conference, Gainesville Chapter of the American Association of Critical Care Nurses. Gainesville, FL (February). Lis Cantore, Chris Matt, Jan Allaire, et al., "Severe Pediatric Brain Injury: Managing the Prolonged Low Response State." 64th Annual Conference of the American Academy for Cerebral Palsy and Developmental Medicine. Washington, DC (September). Sarah Craig, "Above Average Nursing Care: The Development of Intensive Care Nursing at the University of Virginia Hospital 1954-1972." Southern Association of the History of Medicine and Science Conference. Louisville, KY (March). Margie Danner-Roth, chair/host of DelMarVa 12th Annual Tri-Regional Conference of the Society of Gastroenterology Nurses and Associates. Charlottesville, VA (March). Kim Deaver, "Vascular Access Assessment and Treatment." National Kidney Foundation Clinicals - Spring Clinical Meetings. Orlando, FL (April). Kim Deaver, "Vascular Access Coordinators: Who Are They, Why Do We Need Them?" National Kidney Foundation's Conference on Chronic Kidney Diseases: Improving Outcomes. Charlottesville, VA (May). Kim Deaver, "Prevention and Treatment Therapies for Vascular Access." American Nephrology Nurses Association Fall Meeting. Las Vegas, NV (October). Linda Dedo, " Effective Workforce Management." Clairvia Users Conference. Orlando, FL (August).

Nancy Eksterowicz, "Qutenza®: A Novel Treatment Option for Patients with Post-Herpetic Neuralgia (supported by NeuroGesX)." 20th National Conference of the American Society for Pain Management Nursing. Minneapolis, MN (September). Nancy Eksterowicz, "Pathophysiology of Pain." National VHA Pain Management Teleconference (May). Nancy Eksterowicz, Steve Morton, & Jeff Ciucias, "Blocking the Pain." Regional Analgesia Preconference Workshop, The 20th National Conference of the American Society for Pain Management Nursing. Minneapolis, MN (September). Kimberly Elgin & Shirley Perry, "Maintaining Patency with Blood Infusions: Comparison of IV Normal Saline Infusion vs. Syringe Method" ANCC Magnet Conference. Phoenix, AZ (October). Kristi Ellen, Carol Parish, "Care and Nutrition Considerations for Patients with PEG's." DelMarVa 12th Annual Tri-Regional Conference of the Society of Gastroenterology Nurses and Associates. Charlottesville, VA (March). Judy Kauffman, "Therapeutic Apheresis," American Nephrology Nurses Association's 41st National Symposium. San Antonio, TX (May). Linda G. Lee, "Horizontal Violence In Nursing" and "Evidence-Based Practice Change Project: Matching RN Experience with Patient Acuity in a Clinic." Chatham University, Pittsburg, PA (March). Melissa Otoya, "The Physics of IV Therapy: The Pressure's On!" National Association of Neonatal Nurses' Annual Conference. Las Vegas, NV (September). Beth Quatrara, Suzanne M. Burns, "Who Says Research Isn't for Staff Nurses? If They Could See Us Now! " ANCC National Magnet Conference, Phoenix, AZ (October). Catherine R. Ratliff, "Risk Assessment in Pediatric Population", "Nutrition in Wound Care", and "Wound Bed Management." Boston's Children's Hospital/NPUAP Conference. Boston, MA (November). Catherine R. Ratliff, "CAUTI across care settings" and "WOCN Guideline for Prevention and Management of Pressure Ulcers." New England Region WOCN Society. Boston, MA (October). Catherine R. Ratliff, "Descriptive Study of Peristomal Skin Complications" and "New WOCN Pressure Ulcer Guidelines." WOCN/WCET Joint Conference on Patient Care. Phoenix, AZ (June). Dorothy Tullman, Valentina Brashers, "Inter-Professional Education Initiative: Enhancing Collaborative Medical and Nursing Practice." ANCC National Magnet Conference, Phoenix, AZ (October). Joe Surratt, "Clostridium Difficile." DelMarVa 12th Annual Tri-Regional Conference of the Society of Gastroenterology Nurses and Associates. Charlottesville, VA (March). Cindy Westley, "Effective Health Communication Through Collaboration Information." 7th National Conference on Quality Health Care for Culturally Diverse Populations. Baltimore, MD (October). Grace Beth White, "Endoscopic Ultrasound, Cystgastroscopy, Pseudocysts." DelMarVa 12th Annual TriRegional Conference of the Society of Gastroenterology Nurses and Associates. Charlottesville, VA (March).

Statewide Presentations

Carole Ballew, "Transitioning the Ventricular Assist Patient to the Community." Virginia 4th Annual Cardiovascular Symposium-Advanced Treatment for Heart Failure. Charlottesville, VA (September). Carole Ballew, "Patients With the HeartMate II Ventricular Assist Device: What the Community Hospital Needs to Know." Winchester Memorial Hospital, Winchester, VA (September). Suzanne M. Burns, Keynote "Making Clinical Research Do-able!" and "Evidence to Practice: How To Decide?" Centra Lynchburg General Hospital. Lynchburg, VA (November). Suzanne M. Burns, "Protocols, Pathways and Guidelines: Troublesome Trends and Unintended Consequences." Blue Ridge Chapter of the American Association of Critical Care Nurses. Harrisonberg, VA (October).

Margie Danner-Roth, coordinated Certification Review Course; presenter, "Diagnostic and Theraputic Procedures" and "GI Emergencies and GI Infectious Diseases." Certification Review Course for GI Nurses, Old Dominion SGNA Regional Chapter. Richmond, VA (January). Kim Deaver, "Vascular Access Assessment." Mid-Atlantic Renal Coalition's Spring Council Meeting. Fairfax, VA (May). Kathleen Fletcher, "Distinguishing Delirium, Dementia, and Depression." Sentara Health System, MedicalSurgical Nursing Conference. Virginia Beach, VA (May). Teresa Haller, "Financial Health: Are Nurses Ready for Retirement?" Virginia Nurses Association's Education Day. Richmond, VA (September). Violet Horst, "Simulation In Curriculum." Annual Virginia State Simulation Alliance Conference. Culpeper, VA (May). Violet Horst, "Pediatric Assessments for Hospice Nurses." Rockingham Memorial Hospital Hospice. Harrisonburg, VA (December). Judy Kauffman, Ted Pearson, "Centrifugation-based Therapeutic Apheresis: Instrument 1." Therapeutic Apheresis Academy. Charlottesville, VA (September). Marian Lawson, Dea Mahanes, & Kristi Kimpel, "Use of a Multidisciplinary Workgroup to Improve Care for Critically Ill Patients." 6th annual Excellence in Patient Safety Award program for the Virginians Improving Patient Care & Safety (VIPC&S) Conference. Richmond, VA (May). Linda L. Myers, "Hemapheresis Practitioner: Contribution to the Therapeutic Apheresis Service." Therapeutic Apheresis Academy. Charlottesville, VA (September). Linda L. Myers, Ted Pearson, "Centrifugation-based Therapeutic Apheresis: Instrument 2." Therapeutic Apheresis Academy. Charlottesville, VA (September). Catherine R. Ratliff, "Ins and Outs of Ostomy Care." Hunter Holmes McGuire Veteran's Medical Center Program: Pathway to Excellence in WOC Care. Richmond, VA (January). Heather Turner, April Burns, Kathleen Morris, E. Beth Patterson, Christina Salidis, "Patient and Family Knowledge with Strategic Placement of Stroke Education Posters." Virginia Nurses Association's Education Day. Richmond, VA (September). Clara Winfield, Christina Knicely, "What is the most comfortable (least painful) method for anesthesizing an intravenous site?" Virginia Nurses Association's Education Day. Richmond, VA (November).

Local Community Presentations

Carole Ballew, "Everything You Wanted To Know About Managing a Patient the HeartMate II Ventricular Assist Device: Information for the Emergency Responder." Albemarle County EMS Annual Meeting. Charlottesville, VA (September). Kathleen Fletcher, "I'm in Pain, Can You Tell? Pain Awareness in the Non-Verbal Resident." Working Together: Third Annual Conference on Improving Senior Care, sponsored by the Community Partnership for Long Term Care. Charlottesville, VA (February). Suzann Williams-Rosenthal, Norma Branham, "Quality at the End of Life." Working Together: Third Annual Conference on Improving Senior Care, sponsored by the Community Partnership for Long Term Care. Charlottesville, VA (February).

6th Annual PNSO Evidence-Based Practice Day Symposium

Susan Almarode, "Developmental Care in the NICU: Process Improvement/Creative Solution." Susan Almarode, Laura Aurisy, Sarah Buchholz; Kelly Donovan; Ellen Ford; Jennifer Fox; Daniele Ottinger; Martina Stevenson; Cate Williamson, "The Effect of Ventilation Care Plans on Weaning Outcomes of Extremely Low Birth Weight Infants."

Laura Aurisy, "Feeding tube colonization in NICU patients: Is this the next place for an infection control bundle?" Laura Aurisy, Taylor Cady, Elizabeth Miller, Lindsay Oldfield, Karen Root, Sarah Wilson, "Reducing Central Line-Associated Blood Stream Infections in the NICU." Abby Berube, Erin Hipp, Jennifer Holowecki, Myra Johnson, Lauren Stephens, "Safe Practices in Disposal of Body Fluids of Chemotherapy Patients." Cheri Blevins, Cynthia Lang, Melissa Vessar, "Recognizing Brain Dysfunction: Implementation of Delirium Assessment in the Medical ICU." Victoria Buffmire, Marcia White, Steve Morton, "Comparison of a Behavioral and Subjective Pain Scale in a TCV-PO Patient Population." Victoria Buffmire, Shannon Henderson, "Glucose Trends and Management in TCV Post-Operative Patients on Epinephrine Infusions with the Adult Critical Care Insulin Infusion Protocol." Victoria Buffmire, Wanda Breeden; Steven Ward, Marcy White, "Supply Expense Optimization in the Thoracic Cardiovascular Post-Operative Unit, 2007-2009." Suzanne M. Burns, Charles Fisher, Sidenia Tribble, Rose Lewis, Paul Merrel, Mark Conaway, Thomas Bleck, "The Relationship of a Multifactor Clinical Score to Weaning Trial Outcome: Burns Wean Assessment Program (BWAP)." Carlin Callaway, "Timing Is Everything: When to Consult Palliative Care." Beth A. Carta, Patricia Mitchell, Kate Lafferty, "Improving Compliance with Isolation Precautions." Regina DeGennaro, "Introducing Evidence-Based Practice Guidelines for Oral Mucosa Assessment in an Acute Oncology Setting in an Academic Medical Center." Mary Deivert; Roxie Macfarlan, "'Sedation Vacation' Best Practices in the ICU Setting." Juliana Frosch, "Telepsychiatry at UVA: An Innovative Model of Psychiatric Nurse Practitioner Practice." Rebecca T. Gilbert, Nicole Chase, Kirstin Cooney, Virginia Syptak, Stacy Williams, "Development of a procedure to prevent inadvertent placement of small-bore feeding tubes in the lungs of pediatric patients." Valerie B. Goodman, "The Case for Unit Dosing Breastmilk Feedings in the NICU." Mikel Gray, "Translating Research into Practice, and Making It Stick." Jacque Griffin, Terri Moore, "Bedside Report ­ Relationship Based Care At Its Best." Jennifer T. Hall, "PERT, PEWS and Relationships: Lessons Learned On The Way To Improved Outcomes." Nicole Henley, Deborah Curtis, "Using an Online Open Source Courseware Management System (Collab, Wiki) to Facilitate Outcomes in a Mature Shared Governance Model." Holly Hintz, David M. Mercer, "Benchmarking Key Nurse-Sensitive Quality Indicators from the National NDNQI Database." Beth Joyce, Laura Beech, Liz Gochenour, "Obstructive Sleep Apnea Pilot Project: A Multidisciplinary Approach to Increase Safety of Peri-operative Patients with Total Joint Replacement." Judy Kauffman, Darlene Wright, Celia Massie, "Caring for the Hemodialysis Patient and Performing CAPD." Kristi Kimpel, Marian Lawson, Dea Mahanes, "Use of a Multidisciplinary Workgroup to Improve Care for Critically Ill Patients."

Karen Lario, "The Importance of Sun Protection in Organ Transplant Recipients." Roxie Macfarlan, Judy Smith, Christine Morrison, Curtis Klann, Damien LaPar, "Ongoing Strategy for Reducing Prolonged Ventilation in the Postoperative Cardiac Surgery Patient." Dea Mahanes, Amy Johnston, Charles Durbin, "Decreasing the Incidence of Pneumothorax associated with Feeding Tube Placement in Neuroscience Patients." David M. Mercer, "Skin Care Awareness." Bridget L. Moss, "Preventing Catheter-Associated Bloodstream Infections: A Review of Current Literature." Donna Pfister, Lorie Nouwairi, "Using the Basic Knowledge Assessment Tool in Pediatric Critical Care Nursing (PEDS-BKAT5©) To Objectively Measure Acquisition of Pediatric Critical Care Knowledge Obtained During Orientation." Tanya L. Prachar, Kathleen A. Bledsoe, "A Practice Guideline to Aid in the Successful Weaning of High Dose Sedation." Sara Read, Lindsey Baskette, "Born in the OR: The Mother/Baby Reunion Project." Melissa Stell and Cardiology Clinic Team, "Cardiology Patient Learning Center." Aimee Strong, Elizabeth Good, Charito Seguerra, Jie Chen, Jeanne Geer, "Comparison of Different Taping Methods for Nasogastric Tubes." Jane von Gaudecker, "Medical Personnel Survey of Social Attitude about Epilepsy Patients." Clara Winfield; Tina Knicely; Carol Jensen; Susan Taylor; Karen Thomas, "What Is the Least Painful Method of Anesthetizing a Peripheral Intravenous (I.V.) Site?" Kelly Wozneak, "Chewing Gum to Reduce PostOperative Ileus (Literature Review)."

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2002 Congress Delegate Welcome Packet

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