Author

FANCHON KNIGHT

NURSE OF THE YEAR AWARD:

MARILYN PARKER

This nurse has served as a role model for most of her

39-year career at Loyola. She leads by example with a

can-do attitude. She has helped many nurses and patient

care techs grow professionally over the years. She

listens to what their needs may be and helps guide them

to make the safest and most effective decisions. She has

genuine warmth and an amazing sense of humor that

she uses appropriately when caring for patients or when helping staff. Her

professionalism and kindness reaches many departments in our Loyola

community, as she works to achieve positive outcomes for patients. This nurse

makes herself available to whomever needs help without regard to what she may

have going on. She does all of this effortlessly while also being responsible for

working with multiple physician practices and complex patients. If you ask

anyone who has worked with this nurse, they would certainly agree that she

demonstrates qualities that many strive to achieve in their career.

Please join us in congratulating Marilyn Parker on earning the nurse of the year

award.

I N S I D E T H I S

I S S U E :

Nurse Excellence

Award Winners

1,3,4,

5

CNE Corner 2

Kudos to

Nursing

6,7

Reflections of a

Nurse

8

Niehoff School of

Nursing

9

CAUTI Initiative 10

CLABSI Initiative 11

Spiritual

Corner

11

Certification

Corner

12

Transfusion

Safety

13

Shared

Governance

Updates

14,15

Baby Friendly

Initiative

16

Educational

Offerings

17

2015 Nursing Excellence Award Winners

Nurse Link J U N E 2 0 1 5 V O L U M E 9 , I S S U E 3

Loyola University Health System

Nursing Professional Practice Model

All the Nurse Excellence Award Winners

Paula A. Hindle, RN,

MSN, MBA

Chief Nurse Executive

Vice President of

Nursing Strategy and

Professional Practice

Karen Anderson has asked me to periodically share this column with her. I am absolutely delighted to have the opportunity to discuss the great work you all do to meet our patient

needs and to discuss our next initiatives as we continue on our Magnet journey to excellence

in patient care.

I hope you all enjoyed Nurses’ Week. The highlight of the week for me is always the Nurs-

ing Excellence Awards. This year we had more than 150 nominees. This is a record number

and the selection committee undoubtedly had a difficult job in the selection process. We continue to see attendance at the ceremony grow, which is great. But I personally want to

see more staff and colleagues. The spirit in the room is just phenomenal. The Nurse of the

year award, named after Fanchon Knight, is always a very special part of the program.

Fanchon Knight worked for thirty years at Loyola in a variety of departments from Neuro-

sciences to the Cancer Center. When she passed away, her family began a fund for nursing education. Subsequently, the family has continued to contribute to the fund. The monies are

used to support the Nursing Excellence Awards. The Knight family has been very generous

and remains in contact with a number of staff who were close to Fanchon. Just before she

passed away, Fanchon had told her father that she did not want to be forgotten. None of us knew that until after we dedicated the Nurse of the Year in her name. Fanchon won’t be for-

gotten, and she continues recognize those nurses who demonstrate excellence and compas-

sion in care like Fanchon. This year’s winner is Marilyn Parker. Marilyn works in the Can-cer Center with the breast cancer patients. Dr. Godellas attended the ceremony to also

acknowledge her contribution to excellence in patient care.

Besides the activities of Nurses’ Week, Karen Anderson organized a retreat to update the

Nursing Strategic Plan. The participants included the Executive Directors, the Chairs of the

Councils and the strategic planning staff. The purpose of the retreat was to define the current

state of nursing at Loyola, to establish our goals and to design a plan for implementation. Topics discussed were national trends for nursing, Trinity Health’s vision for the future and

the goals for our organization. This vision for the future describes the healthcare system

moving from provider-centered and episodic care to patient-centered care and population health.

The goals we will focus on this year are patient experience, developing an engaged work-

force, achieving financial performance metrics and strategic growth. The goals and objec-tives we establish through this process also will be the goals for our councils. It was ex-

tremely helpful having the Magnet Council Chairs at the planning session to get their input

early on in the process. These goals are important work for all of us.

The work has begun to address the patient experience goal led by Carol Schleffendorf. Af-

ter a retreat for this goal specifically, five goals were identified. These goals include improv-ing patient and family discharge, enhancing the experience for patients in semi-private

rooms, improving pain management, improving medication education for the patient and

family and finally, involving patients and families in beside rounds in all inpatient areas.

These five goals will really enhance the patient’s experience with us by building trust, com-munication and improved patient outcomes. Watch for future editions of Nurse Link where

we will share our progress toward these goals.

CNE Corner P A G E 2

N U R S E L I N K

Reflections on Nurses Week and the Future of Nursing at Loyola

P A G E 3

2015 Nurse Excellence Award Winners

N U R S E L I N K

This nurse teaches those she mentors to always think of patients as a member of

your family and to treat the patient how you would want your family member to

be treated. This nurse provides thorough explanations and hands-on

demonstrations when she teaches. She is never too rushed to answer questions.

One nurse noted that this coach and mentor taught her more in her first few days

of working together than she learned in all of nursing school. This nurse has a

happy demeanor and a contagious laugh and a great rapport and working

relationship with her coworkers. Many nurses are terrified when they start. This

coach/mentor puts nurses at ease by saying, “Check the patient first. Then check

their equipment and medication.” There is never a day that this nurse makes

those she is mentoring feel small. She gives constructive criticism and an equal

amount of praise.

Please join us in congratulating Lucy Bensfield on earning the coach-mentor

award.

This enthusiastic and energetic nurse embodies Loyola’s Magis values. She has

the biggest heart and a passion for nursing. She has a remarkable work ethic, she

drops everything for others and always goes above and beyond. This nurse

fosters an atmosphere of respect and professionalism among her staff. She

whole-heartedly supports furthering education by encouraging her colleagues to

pursue their Bachelors of Science in Nursing degree. She is always approachable,

understanding and willing to consider various points of view. She also gives her

staff autonomy while creating a true team environment that always keeps patients

and their families at the center. This nurse leader gracefully and tirelessly juggles

countless responsibilities without ever sacrificing the qualities that define Loyola

nursing. She is held in high regard by all she comes in contact with, not only for

her vast experience but for her cheerful attitude and professional manner.

Please join us in congratulating Nancy Coppin on earning the nurse leader award.

This nurse is a fine example of a clinical expert. She is a long-time Loyola

employee who has consistently demonstrated her commitment to Loyola’s

patients and staff. What sets this nurse apart is her professionalism and

exemplary clinical knowledge of operating room procedures. Her calm demeanor

is welcoming in a high-stress environment. Her patience is a virtue as a teacher

and a mentor to new operating room staff. As a hands-on trainer, this nurse

effectively communicates to new staff standards of patient care as well as

provides ongoing training to all staff members during inservice meetings. This

nurse also has been heavily involved with her professional organization, the

American Operating Room Nurses Association. This nurse comes highly

recommended for this award by her colleagues.

Please join us in congratulating Lisa Coy on earning the clinical expert award.

Lucy Bensfield

Coach/Mentor

Nancy Coppin

Nurse Leader

Lisa Coy

Clinical Expert

P A G E 4

2015 Nurse Excellence Award Winners

N U R S E L I N K

This nurse is a tremendous patient advocate, confident and caregiver. Every day,

she calmly counsels and guides patients. This nurse is beyond wonderful with

Loyola’s pregnant population, but her colleagues really like to watch her shine

with young girls and elderly women. She calms and reassures girls facing their

first gynecologic exam, and she takes the arm of our elderly patients and chats

with them like they are old friends. Her phone conversations also are outstanding.

Patients come to the office and ask, “Where is that woman I spoke with on the

phone? She was so nice and really made me feel better.” This nurse is willing to

do whatever is required to satisfy patient needs and keep the office running

smoothly. No task is too great or too small for her attention. Over the years, she

has collected food for holiday drives and bought baby clothes for patients and

staff in need. The ultimate team player is one who puts the good of the patient

and office above herself, and this defines this awardee perfectly.

Please join us in congratulating Carol McDonald on earning the team player award.

This nurse has been integral in implementing a new technology to biopsy the

prostate. She was nominated by her clinical coordinator to be the nurse who

would best serve this special group of patients. She enthusiastically took on this

challenge and worked side-by-side with a physician to care for patients. She has

mastered this equipment with unsurpassable skill, and she is amazing to watch as

she operates the technology. While she uses the equipment, this nurse is very

supportive and gentle with her patients while keeping them informed every step

of the way. Her willingness to take on new technology also is beneficial to

researchers and advances that will be made in the care of prostate cancer patients

in the future. Her coworkers unanimously feel that there is no one more

deserving of this award.

Please join us in congratulating Melissa Kierkowski on earning the innovator

award.

.

This nurse was nominated for many reasons. First and foremost, she is a pioneer.

Her patients also absolutely adore her and this is apparent through her extremely

high patient volume. There are a significant amount of patients who specifically

request to see her. She is truly wonderful to her patients and coworkers. But we

would be remiss if we did not to speak to her best attribute, and that is her humor.

She is hilarious and this transcends through her care, which is why coworkers and

patients alike think so highly of her. This nurse makes everyone feel like a friend.

This nurse, who is mom of a little boy, also is extremely hard-working, dedicated

and accountable in all that she does. Her son, coworkers and patients are lucky to

have her as a role model.

Please join us in congratulating Julie Marks on earning the advanced practice

nurse award.

Carol McDonald

Team Player

Melissa Kierkowski

Innovator

Julie Marks

Advanced Practice

Nurse

P A G E 5

2015 Nurse Excellence Award Winners

N U R S E L I N K

This nurse’s dedication to community involvement is incredible. She always re-

sponds positively to any request for help with health fairs in the community. At

these fairs, she not only does what is asked, but she works with the Illinois State

Police and the Emergency Nurses Association to give lectures to teenagers about

distracted and drunk-driving. She has reached more than 800 teens through these

health fairs. This nurse also manages the Alcohol Screening, Brief Intervention

and Referral to Treatment program for drivers who have been drinking and

driving and who have caused a situation that is dangerous to themselves and oth-

ers. This nurse also plans and implements the annual Big Save BBQ to honor

trauma survivors. She also is a valuable resource, because she coordinates cours-

es for nurses, physicians and members of the community.

Please join us in congratulating Jeanne Mueller on earning the

community contributor award.

This nurse serves as a patient advocate to many patients who have just been

diagnosed with devastating diseases. This nurse always shows compassion when

speaking with these patients and their families. She also uses her vast knowledge

of these diseases to help comfort and reassure them. Many of these patients find

it difficult to function during this time. She helps them gather the necessary

medical records needed for their upcoming physician visits. When these patients

and their families arrive for their first appointment, they often ask to meet this

nurse, as she was often their first connection to Loyola.

This nurse has more than 30 years of experience and certification in her field. She

has cared for patients at the bedside and has said that one of her most rewarding

experiences was being able to sit and provide quiet support to patients at the end

of life. For all of these reasons, she deserves to receive the patient advocate

awards.

Please join us in congratulating Patricia Scafuri on earning the patient advocate

award.

It is impossible to put into words all of the contributions this nurse has made to

the staff of her unit and her sister unit. This nurse is someone who has taken the

role of a nurse very seriously. She began her career at Loyola as a PCT. She did

not stop until she completed her BSN, her professional certification and her clini-

cal ladder III. She also has helped her colleagues become certified and earn their

clinical ladder. Excellence in patient care is something this nurse demonstrates

every day. She is respected by her coworkers and is never too busy to help. She

thinks critically and solves problems. She is a wealth of knowledge and the “go-

to” person on her unit. She has been a preceptor and mentor for the majority of

new staff in her area. She guides them to achieve the knowledge and skills need-

ed to deliver safe, quality care. This nurse is an asset to her unit and to the profes-

sion of nursing.

Please join us in congratulating Elizabeth Szydlo on earning the role model

award.

Jeanne Mueller

Community

Contributor

Patricia Scafuri

Patient Advocate

Elizabeth Szydlo

Role Model

P A G E 6 V O L U M E 9 , I S S U E 3

Kudos to Nursing: Certifications The following people are now Certified Critical

Care Nurses:

Rebecca Blackley, CCRN, 3MICU

Lindsey Martin, CCRN, Neuro ICU

The following people are now Certified Medical

Surgical Nurses:

Kristen Halvorsen, CMSRN, 4 Tower

Kayleigh Persino, CMSRN, 4 Tower

Miljana Ruiz-Vasilic, CMSRN, 4 Tower

Justine Dahl, OCN, Cancer Center Day Hospital,

has been recertified as an Oncology Certified

Nurse.

Kimberly Grosvenor, SCRN, 2W Neuro ICU, has

become a Certified Stroke Certified Nurse.

Teresa Boland, NCC, Women's Health, has become

a Certified Inpatient Obstetric Nurse.

Marilyn Erxleben, CNN, Dialysis, has become a

Certified Nephrology Nurse.

Allyson Hamman, FNP-BC, 3HTU/CCU, has been

recertified as a Family Nurse Practitioner.

Linda Juretschke, NNP-BC, Neonatal, has

become a certified Neonatal Nurse Practitioner.

Nancy Madsen, CCDS, Clinical Documentation

Specialist, has been recertified as a Certified

Clinical Documentation Specialist.

Operating Room Nurse of the Year Pictured here in the OR is Dr. Hopkinson, Maria

Carmen Galvan (Carm) receiving her award, Karen

Anderson MSN, MBH, RN, Vice President, Patient

Care Services & Chief Nurse Executive and Ella

Echavez RN, OR Nurse manager.

As part of the celebration of nurses week, Carm was

voted by her fellow OR nurses and staff as the OR

Nurse of the year. Carm is the Orthopedics Nurse

team leader. Kudos to her and the Ortho OR Team.

Clinical Ladder The deadlines for submitting your clinical ladder application are

July 31, October 31, January 31, & April 30.

Three copies of the application should be submitted with binder clips or rubber bands only, to the

Nursing Administration Office room 1328.

Please seek out a Clinical Ladder liaison to review your application and

provide feedback before submitting it.

P A G E 7 V O L U M E 9 , I S S U E 3

Kudos to Nursing: Clinical Ladder

January 2015

First Name Last Name Dept

Jennifer Terrazas 7SW

Samantha Green 4ICU

Michelle Kethcart 3MICU

Lynsey Riedl L/D

Michelle Ballard NICU

Michelle Castaneda Cardiovascular Recovery

Jessica Spitelli GI Lab

Renewal Level 4

New Level 3

First Name Last Name Dept

Kristen Halvorsen 4Tower

Madeline Thompson 4ICU

Kayleigh Persino 4T Tower

Megan Roberts HTU/CCU

Sandra Parsons 2ICU

First Name Last Name Dept

Julie Boothby 2W Neuro ICU

Pamela Hagedorn PAR

Allyson Hamman HTU/CCU

New Level 4

Renewal Level 3

First Name Last Name Dept

Krystle Koszola L&D

Elizabeth Nakis 4ICU

Adolfo Estandarte Interventional Radiology

Laura Maida 3NW

Agnes Grodzik 7SW

Maria Langton 7SW

Rebecca Popovich CCU

Camille Agpaoa Valiente 3MICU

Ashley Donner ED

Lindsay Traeger GI Lab

Julie Misner 5 Tower

Charlene Eggleston Cardiac Rehab

Kaylea Reeves ASC

Brittany Larson 6 South West

Sandrine Bopeya 2 CV-ICU

Nicole Vancura GI Lab

Kathryn Clemans BICU/7N

Stephanie Anderson 7SW

Reflections of a Loyola Nurse

P A G E 8

N U R S E L I N K

When I was young, I wanted to be a teacher like my mother. I also thought of

being something fun like an interior designer or a photographer. The reason I

decided to become a nurse is because ever since I can remember my father was

sick. He was in and out of the Hines Veterans Administration (VA) hospital

all of my life, so I spent a lot of time there. At that time, Hines VA had large

wards of patients, and I saw a lot of veterans who were in pretty bad shape. I

would play cards with them or go to the canteen to get them snacks. It really

made an impression on me. Also, I was very impressed by the nurses and how

they knew what to do to take care of all these patients.

My Dad was in the Navy during WWII, and he was exposed to some chemicals which affected his

kidneys. He developed kidney disease and when I was very young, he was started on peritoneal

dialysis and then later on hemodialysis. He had to go to Hines VA for his treatments three to four

times a week. When I was 11 years old the Hines VA staff told my mom that the nurses could

teach her how to do hemodialysis in our home.

The nurses taught my mom the dialysis process and then the Hines VA hospital delivered a dialysis

machine to our house. A nurse came to our house for the first two treatments and after that my

Mom was on her own. I thought this was the coolest thing. I would get home from school before

my Mom got home from work so I learned how to get the machine set up. My brother, our friends

and I would sit in our basement playing monopoly with my Dad while his blood flowed through the

tubes of the kidney machine. It just became a normal routine for us. Looking back I don’t know

how my Mom did it.

Unfortunately, my Dad passed away four years later when he was only 50-years old. But because

he could have dialysis in our home we got to spend a lot more time together. I feel blessed to have

been able to help take care of him. If it wasn’t for the advances of medicine I may have lost my

Dad sooner. I knew then that I wanted to be a nurse. Nursing has so many facets, and I am always

learning new things. You can really never get bored, because there are so many things you can do

in Nursing. It is a very diverse field. I have worked in different areas and different hospitals

throughout my career from the OR to management to clinical research.

I worked at Loyola from 1986-88 in the “Mulcahy Outpatient Center”. I decided to return to

Loyola four years ago because I like the mixture of people at a teaching hospital and the dedication

to research. I also see patients at Hines, so I feel a connection to my Dad. I have met the most

amazing, intelligent and dedicated people throughout my career, including doctors, nurses, support

staff, patients and their families. I believe everyone’s role in healthcare is very important and has

an impact on the people we serve. I feel lucky to have a career that I really enjoy. I am proud to be

a nurse and help people through their health issues and hopefully, I make their journey a little

easier.

Beth Chiappetta, RN, BSN, MBA

Nursing Research

P A G E 9 V O L U M E 9 , I S S U E 3

As the field of nursing continues to develop, so do the opportunities for nurses in

key leadership roles.

Now a Nurse Practitioner at Loyola’s Department of Anesthesia, Daria Ruffolo

recalls getting the call to work as Loyola’s first hospital-based nurse.

“I received an offer to join Loyola’s trauma critical care team. Subspecialty units

with NPs are commonplace now, but at the time it was uncommon to see

someone like myself working on the frontlines. I was writing orders, discharging

patients, and performing procedures. The position marked a cultural shift,

helping break down barriers within the profession.”

After working in that position for thirteen years, Daria decided to take the next

step in her career and return to school for her Doctor of Nursing Practice (DNP).

“Loyola’s DNP program is practical in nature. It allows you to collaborate in solving problems in the

health care system. With so many years of experience in patient care, I knew I needed a degree that was

hands-on. The DNP felt like a natural progression in my career, helping me succeed at the highest level

of clinical practice while learning to envision population-based problems. I was able to work on larger

issues of trauma prevention, with practical applications for the neighborhood in which I work.

My experience in the profession has been rewarding in ways I never expected. I started my career

thinking I would be limited to an associate degree in nursing. And here I am with a doctorate degree

from an esteemed university, and, for that, I am humbled and eternally grateful.”

Marcella Niehoff School of Nursing: Focus on a Graduate

Sujata Nadkarni

Marketing Communications Specialist

Loyola University Chicago

N U R S E L I N K

Interested in completing your DNP and want to learn more?

Request more information: http://luc.edu/nursing/rfi/index.shtml

Register for an upcoming info session: http://luc.edu/nursing/dnp

Start your application today. https://gpem.luc.edu/apply/

Contact Loyola with any questions at gradapp@luc.edu or 312-915-8900.

Daria C. Ruffolo DNP,

RN, CCRN, ACNP-BC

Department of Anesthesia,

Loyola University Medi-

cal Center

P A G E 1 0

N U R S E L I N K

In an effort to reduce catheter associated urinary tract infection (CAUTI) rates hospital wide, the CAUTI steering committee has rolled out mandatory education for all inpatient nurses and patient care technicians. More than 70 super-users were identified to be the trainers at the hands-on sessions. These

sessions were held in May and all RNs and PCTs attended a one-hour hands-on training session.

The education was in collaboration with LUC’s simulation laboratory in the lower level of Stritch School of Medicine.

The hands-on training session included education on Foley insertion, maintenance,

discontinuation, and culturing. A bladder scanner station was established to review the procedure.

The super-users will be performing new audits on their units in the coming weeks.

CAUTI rates will continue to be monitored and this is a publically reported measure.

Measures to reduce the risk of catheter-related complications include: Indwelling catheter care is performed at least daily and after every bowel movement.

When irrigating a Foley catheter, biofilm is sent high into the bladder and possibly ureters.

Irrigation is highly discouraged.

The longer the Foley catheter stays in, the greater the risk of developing an infection.

These slides show even though a Foley Catheter may be inserted correctly the formation of bacteria (biofilm) forms quickly.

For indwelling catheters, daily assessment of the need to continue use is performed. Indwelling catheters without any indication(s) for continued use should be removed to reduce catheter-

associated urinary tract Infections.

Catheter-Associated Urinary Tract Infections Initiative Linda Flemm, MSN, APN, AOCNS

CLABSI Initiative

P A G E 1 1 V O L U M E 9 , I S S U E 3

The task force to reduce central-line associated blood stream infection (CLABSI) consists of multidisciplinary members. We have representation from senior management, physicians from different service line, managers and staff nurses. These are the following initiatives to decrease CLABSI: A new insertion line kit that includes a full body drape for insertion of subclavian and internal

jugular sites was rolled out June 2014.

The Central-Line Insertion Practices (CLIP) was modified to align with CDC guidelines. There is an ongoing monthly audit to determine compliance.

Real-time identification of CLABSI and unit notification.

Debrief of each CLABSI at the monthly CLABSI task force meeting.

Consistent “Ok-to-Use” orders in EPIC to facilitate abstraction of central line days.

Use of CHG (chlorhexidine gluconate) wash cloth to bathe patients with central line on all the

non-ICU units started May 11, 2015. All ICUs have been using CHG for more than nine years.

Dear Lord, please give me strength, to face the day ahead. Dear Lord, please give me courage, as I approach each hurting bed. Dear Lord, please give me wisdom, with every word I speak. Dear Lord, please give me patience, as I comfort the sick and weak. Dear Lord, please give me assurance, as the day slips into night. That I have done the best I can, that I have done what's right.

Spiritual Corner Patrick Hyland Pastoral Care

Herminia G. Pua RN, BSN, CIC Infection Prevention Practitioner 1

P A G E 1 2

N U R S E L I N K

Certification Corner: Break the Barriers of Getting a

Nursing Certification -Part One

Have you noticed the big push lately for nurses to get certified in their specialty? More and more

companies are offering certification preparation courses. Organizations are incorporating certification

into their clinical ladders and professional nursing organizations are creating new certifications for

specialties. Why? The reason has to do with the ever-changing practice environment.

If you’ve been practicing for a while, you most definitely feel the added and growing burden nurses face

to deliver safe and effective high quality care. From computerized charting and added regulatory

constraints to new medications and treatment options, the expectations placed on nurses to be competent

and knowledgeable is tremendous. Add the concern for medical errors and fraud in the mix and you’ve

just created a legitimate reason for consumers of health care to expect proof that they are being cared for

by competent nurses. Certification does just that. Having a certification validates your competence to

your colleagues, to your patients and to the public.

Reasons why every nurse should get certified:

Opportunity. Some of the things I love about nursing are the plethora of opportunities available. From

direct patient care and education to executive leadership, legal consulting and more, opportunities are

endless! However, additional opportunities bring additional competition. More and more nurses are

taking advantage of the different options we have. Getting certified puts you ahead of your competition.

I’ve done many interviews and hired many nurses over the years. I always look for “evidence” that a

candidate is serious about his or her role. Certification sends a message that you are serious and that

nursing isn’t just a job, it’s a career.

Bottom line: Certification = Opportunity

Higher job satisfaction. Studies reveal that nurses who are certified in their specialty have higher job

satisfaction and less burnout. However, the reasons are unclear. If you are struggling with burnout or

worried that it “might happen to you,” consider getting certified in your specialty. My personal opinion of

the cause is that nurses that get certified take their role seriously. They are in this profession for the right

reasons and they take “ownership” of their practice. They see themselves as solutionaries and are trying

to make a difference instead of seeing themselves as victims.

Bottom line: Certification = Job satisfaction

Improved knowledge. I teach certification courses. Not only do the nurses in the course gain knowledge,

but I do too! Health care is changing at rapid speeds. There are new discoveries, medications and

treatment options every day. It’s humanly impossible to keep up with the changes. However, what’s most

important is that you keep up with the changes in your specialty. Preparing for a nursing certification ex-

am does just that. It reminds, updates and provides you with the knowledge you need to feel competent

about the work you do.

Bottom line: Certification = Knowledge

By Renee Thompson on Thu, Sep 26, 2013, retrieved from nursetogether.com

P A G E 1 3

N U R S E L I N K

For Magnet, we are tracking the number of

nurses who volunteer outside of Loyola.

If you volunteer in the community, please

contact Armond Andreoni at aandreo@lumc.edu

or call 708-216-3825.

Transfusion Safety Vein-to-Vein

Many of you have heard me use the phrase

“Vein-to-Vein” in the past but maybe you don’t

know exactly what I mean by that.

Blood components are safer than they have been at

any point in history. Donors are carefully screened

for illness and travel that could potentially transmit

illness to the recipient. The blood itself undergoes

more than a dozen different tests to screen for

transmissible viruses. But safety on the donor side

isn’t enough! Safety on the recipient side is at least

as important when we talk about “Transfusion

Safety”.

The recipient side of transfusion safety starts well

before you have a blood component in hand ready to

transfuse. Safety starts with patient identification

when the blood bank sample is collected. If the pa-

tient is not properly identified at the time the sample

is collected all of the other checks and balances that

you so diligently conduct are subject to error.

Although the frequency has been dropping, in FY

2013 acute hemolytic transfusion reactions from

ABO incompatibility accounted for 3 percent of

transfusion associated fatalities reported to the FDA.

In the past five years, 13 patients died from acute

hemolytic transfusion reaction due to ABO

incompatibility. Patient identification errors account

for most of those fatalities.

Since 2012, Loyola has required a confirmatory

blood type – as second sample – before anything oth-

er than Group O RBCs are issued for transfusion.

This sample requires a second patient identification

and second phlebotomy. Simply collecting an addi-

tional tube at the same time as the original sample,

defeats the purpose of having the patient identified on

two separate sample collection events.

In 2013, the blood bank started collecting data on

samples that indicated patient mis-identification; ei-

ther the current sample did not match the patients his-

torical blood type or the first sample and the confirm-

atory sample did not match.

The results are interesting:

2013 – 18

2104 – 19

2015 through April – 0. Congratulations!!!

This improvement shows YOUR commitment to

keeping patients safe. Thanks for all you do!

What’s Coming UP?

Blood administration documentation is scheduled to

go live in EPIC this summer. Watch your email for

drop in sessions to see the new documentation

module

Call me anytime!

Cathy Shipp, RN – Transfusion Safety Officer

Office 6-4836, Pager 10691

Catherine A. Shipp, RN, BSN, HP(ASCP)

Transfusion Safety Officer Transfusion Safety Corner

P A G E 1 4

APN Council Co-Chairs:

Ann Briggs MS, CRNA

Eevin Judkins CCRN, ACNP-BC

Next Meeting: Tuesday June 16, noon to 1p in SSOM Room 170. Our guest

speakers will be Sheri Winsper, executive director, Quality & Patient Safety and Patricia Cavaliere, nurse clinical abstractor with the Center for Clinical

Effectiveness.

Bi-annual OPPE submissions

Administrative updates

Development by our subcommittee of our APN/PA resource list.

Education and Professional

Development

EPD Co-Chairs: Diane Stace RN, MSN, APN, CCRN,

CCNS

Josey Pudwill RN, BSN, CPN

Magnet: Nurses Week celebration

Nurse Link: discussed possibility of changing to an electronic newsletter

E-Learning Modules: list of mandatory modules were updated and can be found on the Department of Nursing Education webpage; discussed new

platform for stroke education and patient education material

Education Stipend: discussed and distributed new guidelines

Clinical Ladder: reminder to be sure clinical logs are used to document only

clinical activity and not to use mandatory education for in-services and

continuing education; discussed need to clarify shared committee participation requirement

Formal Education: encouraged Masters-prepared nurses to consider becoming clinical instructors for the School of Nursing

SON Update: continue to need more faculty to meet high demand and

enrollment

Ambulatory Update: discussed population health system

Professionalism: discussed moral courage, professional identity

Certification: discussed NDNQI data, goals and ideas for encouraging

certification among staff

Nursing Quality and

Safety Council

Co-Chairs:

Dee Matz, BSN, RN Karen Thomas MS RN PCCN

Judy McHugh, MSN, RN Advisor

Good Catch Stories: discussed how nursing intervention can prevent a near

miss event from reaching the patient.

Lessons Learned Risk Management: IV pump safety & 5 Rights of Medication

Trinity Practice, Education and Research (PER) Council: All hospital with use approved AHA nomenclature for arrhythmias. Falls Collaborative and PER Council voted to adopt the LUMC Modified

Johns Hopkins Fall Program. Awaiting approval from Trinity CMO and CNO Council. All nursing staff will document patient use of inhalants and electronic

cigarettes

Transfusion and Medication Safety issues were discussed.

CAUTI prevention hospital-wide initiative: inpatient nursing staffing

received extensive training insertion and care of Foley this May.

Infection Prevention and Control: presented CAUTI data, hand washing compliance data, hospital-acquired infection updates

Sepsis Protocol: discussed

CLABSI: use of chlorhexidine cloths to prevent central line infections

Hourly Rounding Sustainment Committee: updates discussed

Fall/Restraint Marathon: focus on inpatient nursing staff

Magnet Ambassador Council MAC Co-Chairs:

Theresa Pavone, DNP, RN

Mary Lang, MSN, RN

2015 Nursing Week: activities discussed

Nurse Excellence Recipients: acknowledged

Nurse Image: discussed how to improve nurse image

N U R S E L I N K

Shared Governance Updates

P A G E 1 5 V O L U M E 9 , I S S U E 3

N U R S E L I N K

Nursing Professional

Practice Council NPPC Co-Chairs:

Jeanette Cronin RNC, BSN

Renee Niznik BSN, RN

Kathy Thiesse RN, ET

CAUTI Prevention Hospital-wide initiative: reviewed educating unit champions on new product & practice for Foley insertion, re-insertion, maintenance, handling, obtaining

specimen and bladder scan use to decrease CAUTI infections. Training to begin about

the third week in May and last about one hour.

CLABSI: use of chlorhexidine cloths for bathing to begin in May on med-surg patients with central lines.

Falls: reviewed use of floor mats to reduce injuries from falls. Judy McHugh contin-

ues to evaluate new products for fall reductions, currently she is looking into integrat-ing bed/chair alarms into Vocera.

IV Tubing: reviewed current policy on IV tubing change, disposing of outdated tubing

and the current process of accountability of tube change during shift hand-off. Nursing Practice Model: discussed reviewing Nursing theorists and possible change in

current Nursing Practice Model.

Nursing Research

and

Evidence-Based

Practice Council Co-Chairs:

Pam Clementi PhD, RN-BC

Grace Hooker, BSN, RN,

CCRN

Research e-Journal Club: On April 7, the Nursing Research and Evidence-Based Prac-tice Council launched a new ‘Research e-Journal Club article’ using the new process.

Comments about the new process continue to be very positive. The research article

critique form and the evaluation form are attached to the April 7, 2015, e-mail, which

also includes directions and links are included to access the article and the survey mon-key questions. The journal this quarter, ‘Three Nursing Interventions’ Impact on

HCAHPS Scores, Kennedy, B., Craig, J., Wetsel, M., Reimels, E., & Wright, J., Nurs-

ing Care Qual., Vol 28. No 4 p 327-334.

Accessing Nursing e-Journal Club:

1. Print the article critique and evaluation form sent via e-mail sent on April 7, 2015

2. Select the ‘library’ link (see below) included in the e-mail announcement and

follow the directions to access the article http://

ovidsp.ovid.com.archer.luhs.org/ovidweb.cgi T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00001786-

201310000-00007&PDF=y

3. After reading the article and critique, select the ‘survey monkey’ link (see be-low) in the e-mail announcement and share your individual thoughts and opin-

ions about the article answering each questions https://

www.surveymonkey.com/r/zcycn5x 4. Contact hours will be awarded to those who read the article and critique, post

an original thought or opinion to each of the discussion questions and com-

plete the evaluation form. Send your completed evaluation form to Pam Clem-

enti, Mulcahy Room 0701, by June 30, 2015, to receive contact hours. 5. Clinical Ladder Points: partnering with a member of the Research Council in

selecting an article and writing the critique will earn you clinical ladder points

under Professional Development/ Knowledge Seeker. Completed e-journals can be used toward the 16 non-mandatory CE’s needed for clinical ladder.

4th Cohort of Nursing Research Fellows: Teresa Alesia, BSN, RN, Edith Boyles,

BSN, RN, Jessica Licari, BSN,RN, Colleen Carroll, AD, RN, Judy King, AD, RN Mary Lang, MS,BS,RN continue to engage in the research process as they write their

research proposals in preparation to complete the IRB applications.

Research Presentation: Miriam Tournai, RN, BAN, CCRN, TNCC, a participant in the

3rd Nursing Research Fellowship cohort, presented her research findings in a poster

presentation at the Palmer Symposium April 11th, Survey of Adult Intensive Care (ICU) Nurse’s Perception of Delirium and delirium /screening Tools.

Shared Governance Updates

P A G E 1 6 Women’s Health News

N U R S E L I N K

LOYOLA RECEIVES BABY FRIENDLY DESIGNATION

By Pam Allyn RN, BSN, LCCE, IBCLC

Loyola University Medical Center is proud to be the first medical center in the Chicago area and the fifth institution in Illinois to have been designated as a Baby-Friendly hospital. Based on the Ten Steps to Successful Breastfeed-ing, this award recognizes birth facilities that offer breastfeeding mothers the information, confidence and skills needed to successfully initiate and continue breastfeeding their babies.

“Hospital support for the new mom is the most important (variable) in breastfeeding statistics, especially when it comes to duration of breastfeeding, said Laurence Grummer-Strawn, captain with the US Public Health Service in the CDC. A recent patient comment praised the Loyola nurses for their help. “They kept reinforcing what I knew – that he should learn to breastfeed. They helped him relax and find the right positions.” The patient’s advice to other new moms: “Stick with it. You can do it. There are so many advantages just for the baby’s health alone. It’s worth it.” Loyola nurses were an important part of implementing this improved best practice.

Click the link to see more https://www.youtube.com/watch?v=1WPWdkQ1Nlg

BIRTH CERTIFICATE ACCURACY INITIATIVE

By Teri Boland, RNC, MS, NCC-OB/NICU, C-EFM

Illinois Perinatal Quality Collaborative (ILPQC) works to improve the health of pregnant women, mothers and in-fants through perinatal quality improvement initiatives implemented by participating birthing hospitals across Illinois. ILPQC provides quality improvement infrastructure, resources, and data management support to over 100 hospitals across the state. Loyola is part of that collaborative to make Illinois an even better place to be born. Besides being a record of birth, it is also a legal document that follows a person across the continuum of life. Birth Certificates provide a critical source of information on birth, birth outcomes, and the health of mothers and babies. Accuracy of data inputted into the Birth Certificate is vitally important and most every state across the nation has found opportunities for improvement in the process. The Loyola team from Women’s Health consists of Jean Goodman, MD, Director; Susan Wucka, RN, Manager; Teri Boland, RN Clinical Nurse Specialist; Laura De La Pena, RN Quality Coordinator; and Gina Novak, Birth Regis-trar. One hundred and two Illinois hospital teams met in Springfield on May 18, to share best practices for the Birth Certificate Accuracy Initiative. Hospital teams will audit medical records monthly to see if 17 key Birth Cer-tificate variables are supported by documentation. This will direct targeted education for physicians, nurses and birth certificate clerks to improve consistency between the birth certificate and the medical record with a goal of 95 percent accuracy.

P A G E 1 7

N U R S E L I N K

Continuing Education Programs

Save the Date for Continuing Education Programs Sponsored by the Department of Nursing Education

2015 Check your Loyola e-mail approximately four weeks prior to each program date for complete program de-

tails, including agenda, guest speakers, logistics and instructions on how to register.

Certification Review Classes: These classes are designed to help candidates better prepare for exam success by reaffirming clinical knowledge and boosting test-taking confidence.

Perinatal Morbidity and Mortality Conference July 29, September 30, December 30

Ambulatory Nurse Certification Review Course November 7, 21

Critical Care Nurse Review Course November 6, 20, December 4, 11

Pediatric Nurse Certification Review Course October 26, Nov 2, 9

Progressive Care Nurse Certification Review September 11, 18, October 2, 9

Other Program Topics Date

Ambulatory Nursing September 19

Organ Transplant September 26

12 Lead EKG November 14

Preceptor Workshop December 3

In addition to the above, Nursing Grand

Rounds and Schwartz Center Rounds are

offered once a month. Check your email for

date, time, location and topic of these rounds.

They are typically 60 minutes in length.

Executive Editor: Rose Lach

Managing Editors: Teri Boland

Joyce Despe

Linda Flemm

Josey Pudwill

Nurse Link Staff

LOYOLA PERINATAL CENTER

Call 7-9050 for further information Advanced Fetal Monitoring

June 15 8:00 am – 3:00 pm at Morris

EFM Certification Review

June 22 8:00—4:00 pm at Loyola

The S.T.A.B.L.E. Program

October 19 7:00 am – 4:30 pm at Morris