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2011 - 2012 THE MOUNT SINAI HOSPITAL DEPARTMENT OF NURSING REPORT

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Page 1: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

2011 - 2012

THE MOUNT SINAI HOSPITAL

Department of nUrSInG report

Page 2: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-
Page 3: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

 

 

 

 

Page 4: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-
Page 5: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

Carol Porter, DNP, rN, FaaNEdgar M. Cullman, Sr. – Chair of the Department of Nursing

Chief Nursing Officer/ SVP- Mount Sinai Medical Center

Associate Dean of Nursing Research and Education- Mount Sinai School of Medicine

I am delighted to share with you the 2011/2012 report for the Department of Nursing.

this report is an abbreviated record of the numerous accomplishments of Mount Sinai nurses in their quest to consistently improve the quality of care we provide to our patients and their families.

the Department of Nursing is dedicated to creating an environment of care that supports the nurse-patient relationship, while also fostering evidence based practice and scholarship.

our Nursing Professional Practice Model is based on patient outcomes and safety. It is the overarching conceptual framework for nurses, nursing care, and interdisciplinary patient care. the model depicts how nurses practice, collaborate, communicate and develop professionally to provide the highest quality care for our patients and their families. We encourage critical thinking, strong interdisciplinary collaboration, and support life-long learning and teaching.

I am particularly honored to have been conferred as the first edgar M. Cullman, Sr. Chair of the Department of Nursing. this milestone represents the first Nursing Chair in the history of the Mount Sinai Medical Center and brings the voice of nursing to research and educational endeavors in the Medical School. I proudly share this honor with all Mount Sinai nurses.

Page 6: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

traNSForMatIoNal leaDerShIP

Carol Porter, DNP, rN appointed as Mount Sinai’s First-ever Chair of Nursing In 2012 Mount Siani School of medicine established the edgar m. Cullman Sr. Chair of the Department of Nursing. this is the first endowed Chair of the Department of Nursing in the institution’s 160-year history. Carol Porter, DNP, rN, Chief Nursing officer and Senior Vice Presidents for Nursing was appointed as the inaugural chair holder. representing the Cullman Family, Susan r. Cullman, a long-time member of the Mount Sinai Boards of trustees, presented the endowment at the 31st annual Board of trustees’ awards for excellence in Nursing Practice, held during Nurses Week. the chair is named in honor of her father, edgar M. Cullman, Sr., who had a long-standing and deep admiration for nurses and a keen understanding of the dynamics of patient care.

the Nursing Chair was also recognized at the annual MSSM Convocation Ceremony in Sept, 2012. at this ceremony the endowed professorships conferred by our benefactors are recognized. the faculty and staff renew the school’s commitment to excellence in research, education, and clinical care, as well as recognize individual faculty for their outstanding contributions to serving science and society.

american academy of Nursing announces 2012 Class of FellowsIn october of 2012 Carol Porter, DNP, rN, was selected for fellowship in the american academy of Nursing. Selection for membership in the academy is a prestigious honor. Selection criteria include evidence of significant contributions to nursing and health care and sponsorship by two current academy Fellows.

applicants are reviewed by a panel comprised of elected and appointed Fellows and selection is based, in part, on the extent to which the nominees’ nursing careers influence health policies and the health and well-being of all.

Carol Porter with the Cullman Family at the Medical School Convocation Ceremony (Pictured from Left to Right) John Kirby, Susan Cullman, Carol Porter, Louise Cullman, Lucy Cullman-Danziger

Carol Porter, DNP, RN with Kenneth L. Davis, MD Convocation Ceremony on September 27th in Stern Auditorium.

2012 Academy of Nursing Induction Dinner; Pictured Left to Right; Seated: Frances Wong, Professor, PhD, BSN, RN, Professor, Hong Kong Polytechnical University, Department of Nursing; Sylvia Fung, DHS, MSc, RN, Chief Nurse, Hong Kong Hospital AuthorityCarol Porter, DNP, RN, FAANStanding; Angela Barron McBride, PhD, RN, FAAN, AAN Living Legend and Professor Emerita Indiana University; Sophia Chan, PhD, MPH, RN, FAAN, Professor and Former Dean, Hong Kong University School of Nursing; Barbara Nichols, DHL, MSN, RN, FAAN, AAN Living Legend, Former CEO CGFNS; Joyce Fitzpatrick, PhD, RN, FAAN, Adjunct Professor, Mount Sinai School of Medicine, Professor of Nursing, Case Western Reserve University; Agnes Tiwari, PhD, RN, FAAN, Head, School of Nursing and Assistant Dean, University of Hong Kong; Beth Oliver, DNP, RN, Vice President, Mount Sinai HeartMaria Vezina, EdD, RN, NEA-BC, Senior Director of Nursing, Mount Sinai; Karen Martin, MSN, RN, FAAN, Consultant and Founder, The Omaha System6

Page 7: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

 

Welcome  Pat  Matos,  DNP,  RN  Magnet  Program  Director  

The Mount Sinai Hospital

Magnet Newsletter  

This Month’s Issue: P.  2    “MOUNT  SINAI  CLINICAL  EXCELLENCE  AWARDS”  P.  3    “RELATIONSHIP  BASED  CARE”  

Spring  2012  |  Volume  1  |  Issue  2  

Nurses  are  celebrated  during  Nurse’s  Week    which  coincides  with  the  birthday  of  Florence  Nightingale.  This  year  Mount  Sinai  has  a  full  week  of  scheduled  events  to  honor,  recognize  and  enrich  our  nurses.  Please  find  a  way  to  attend  some  of  these  events.  Please  take  time  to  honor  your  colleagues.  And,  most  importantly,  please  recognize  your  own  valuable  and  unique  contributions.  

Mount  Sinai  Awards  for  Excellence  in  Nursing  Practice    Each  year  during  Nurse’s  week,  Mount  Sinai  recognizes  outstanding  nurses  throughout  the  institution.  This  year  I  am  honored  to  be  one  of  them.  

How  does  it  feel  to  be  the  recipient  of  a  prestigious  nursing  award?  I  have  got  to  admit  that  it  feels  wonderful  to  have  your  efforts  applauded.  The  ego  loves  the  attention  and  it  gets  the  validation  it  seeks.    But  after  the  initial  excitement,  I  wonder  why?  Why  me?  There  are  so  very  many  other  wonderful  Mount  Sinai  nurses,  why  would  I  be  singled  out?  There’s  the  longevity  piece,  the  fact  that  I’ve  stuck  around  for  32  years  proves  my  loyalty  to  the  institution.  There’s  the  Benner  theory  of  how,  after  years  of  training  and  practice,  one  becomes  not  just  competent,  but  expert  at  nursing.  There’s  the  fact  that  I  love  to  read  and  so  have  continued  learning  throughout  all  these  years.  I’ve  kept  abreast  of  current  trends  and  the  forward  progression  of  our  profession.  I’ve  volunteered  beyond  my  basic  employment  requirements  to  enrich  our  community.  But  so  has  many,  many  other  Mount  Sinai  nurses.    So  why?  Why  me?    

The  only  answer  that  makes  sense  to  me  is  that  there  is  something  about  my  personal  belief  system  that  makes  me  stand  out.  I  believe  that  there  are  many  paths  to  fulfillment  and  so  respect  the  many  ways  people  seek  their  answers.  I  believe  that  since  there  is  more  than  enough  to  go  around  and  so  I  need  to  share.  I  believe  that  we  have  to  think  about  what  we  do  and  say,  so  as  to  not  harm,  but  to  help.  I  believe  that  we  are  all  interconnected,  you  are  me  and  I  am  you.  Many  people  say  they  share  some  of  my  beliefs,  but  still  operate  from  places  of  fear.  This  hinders  their  ability  to  truly  reach  out  and  give  fully.  I  believe  that  when  we  acknowledge  our  true  intention;  we  can  deliver.  

I  am  accepting  the  Mount  Sinai  Award  for  Clinical  Excellence  with  the  deepest  of  gratitude  for  my  leaders  who  guide  me,  my  colleagues  who  teach  me  so  much  and  my  patients  who  give  me  wisdom  and  purpose.  I  am  accepting  this  award  on  behalf  of  all  nurses  who  are  making  a  better  world  for  us  all.  

Submitted  by  Sylvie  Jacobs,  RN,  BSN,  CPAN    

 

Welcome  Pat  Matos,  DNP,  RN  Magnet  Program  Director  

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What is Magnet? by Pat Matos, DNP, RN Welcome  to  the  first  edition  of  the  Magnet  Newsletter.  This  newsletter  is  designed  to  share  information  about  the  Magnet  program  with  all  nurses  the  Mount  Sinai  Medical  Center.  Mount  Sinai  was  designated  as  a  Magnet  hospital  for  the  first  time  in  2004  and  re-­‐designated  in  2009  after  meeting  the  rigorous  standards  outlined  by  the  American  Nurses  Credentialing  Center  (ANCC).  The  process  involves  the  submission  of  several  volumes  of  documentation  demonstrating  evidence  of  standard  compliance.  This  is  reviewed  by  the  Magnet  Commission  and  if  it  demonstrates  sufficient  evidence  of  compliance,  a  survey  is  then  scheduled.  The  re-­‐designation  survey  in  2009  at  Mount  Sinai  was  conducted  for  three  days,  and  while  focused  on  nursing  practice,  staff  of  all  disciplines  in  every  area  of  the  hospital  participated.  We  were  notified  in  March,  2009  that  we  had  been  re-­‐designated.  This  is  achieved  by  only  a  small  number  of  hospitals  in  the  United  States.    

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So,  many  ask,  what  is  Magnet  exactly?  To  explain,  it  is  best  to  start  with  a  brief  history.  In  1983,  The  American  Academy  of  Nursing’s  Task  Force  on  Nursing  Practice  in  Hospitals  surveyed  163  hospitals  in  the  U.S.  to  ascertain  what  factors  created  an  atmosphere  that  attracted  and  retained  nurses.  Of  the  163  hospitals,  41  demonstrated  “magnet”  characteristics  that  attracted  and  retained  nurses.  These  characteristics  came  to  be  known  as  the  “Forces  of  Magnetism.”  The  14  forces  included  quality  of  care,  autonomy,  and  professional  development,  to  name  a  few.    

In  2007,  in  response  to  changes  in  healthcare,  the  ANCC  conducted  a  study  in  which  a  statistical  analysis  of  surveyor  scores  was  done  and  the  result  was  a  clustering  of  the  sources  of  evidence  into  over  30  groups.  The  14  Forces  of  Magnetism  were  grouped  into  five  components  (Transformational  Leadership,  Structural  Empowerment;  Exemplary  Professional  Practice;  New  

The Mount Sinai Hospital

Magnet Newsletter  

Did You Know? •  The  Magnet  Conference  for  2012  will  be  in  Los  Angeles  this  year.  The  dates  are  October  10  -­‐12.  Register  early!  •  The  ANA  National  Nurses  week  is  being  celebrated  at  Mount  Sinai  April  30  –  May  7.  Traditionally,  Nurses  Week  is  celebrated                around  the  May  12th      birthday  of  Florence  Nightingale,  the  founder  of  modern  nursing.  

If  you  want  to  make  suggestions  or  comments  to  the  newsletter  send  to  [email protected]  

This Month’s Issue: P. 2 “A Look at Leadership” P. 3 “Spotlight on KP5” P. 4 “Mind, Body & Spirit” & “Global Outreach” P. 5 “Red Carpet Treatment”

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Knowledge,  Innovations  &  Improvements,  and  Empirical  Outcomes)  which  form  the  basis  for  the  Magnet  Model.  Currently,  there  are  over  87  sources  of  evidence  under  these  components.  In  the  written  documentation  and  the  survey,  each  of  these  sources  of  evidence  is  evaluated.    

The  Magnet  Recognition  Program  is  a  rigorous  and  ongoing  process  of  achieving  and  improving  nursing  excellence.  Magnet  organizations  must  now  demonstrate  that  quality  outcomes  exceed  the  norm  over  50%  of  the  time.  It  is  no  longer  enough  to  have  processes  in  place  –  we  must  show  that  these  processes  are  effective.  Being  designated  a  Magnet  hospital  means  we  are  meeting  the  highest  standards  we  have  in  the  nursing  profession.  It  is  reason  to  be  proud  and  reason  to  continue  to  practice  at  this  level  in  every  area  of  practice.        

WELCOME

Spring  2012  |  Volume  1  |  Issue  1  

The Mount Sinai Hospital

Magnet Newsletter

Between reviewing discharge medications and prepping your patient to go to the OR it might be the last thing on your mind to consider agreeing when someone comes up to you and asks, “Hey, would you like to let a high school student shadow you around while you work?” Now, before you give your answer, please finish this article.

Mount Sinai’s Center for Excellence in Youth Education (CEYE) led by Dr. Lloyd Sherman, has a very energetic educational coordinator, Eboni Jones, as their scout for finding healthcare professionals in the hospital to serve as mentors for New York City high school students. For over 40 years, CEYE has partnered with area schools to help students who have an interest in healthcare careers get real life experiences in a hospital setting. Students go through an application and interview process and then best attempts are made to place each student in an area of the hospital in which he or she has expressed a specific interest.When I was approached by Ms. Jones, at first I thought to myself, “Oh I have several research projects and the Magnet committee, do I have time for this?” Then I thought, “Will a high school student really be interested in what I do?” Despite my initial hesitation, I am so glad that I decided to say yes.

“I realized that taking a student with me through the day offers many opportunities to share what it is we actually do and how different a nurse’s role is from one area to another. I found myself helping students translate what was learned in the labs and classrooms into daily patient care. I could enable students to witness firsthand how complex healthcare can be.”

I enjoyed the challenge of finding new experiences to engage the students. I thought about what I, myself, would have liked to learn about before working in a hospital and I asked the students what it was that they hoped to get from this experience. Goals and objectives for the students were planned out. By being a good role model and promoting students’ interaction with patients and other members of the healthcare team I hoped it might lead students into careers in healthcare.This mentoring opportunity made me see that one can be a leader without working in a traditional leadership position. I wanted to see how the students were influenced by their mentors and learn how the nurses felt about their experiences as leaders. As graduation was approaching, I talked with them and I was touched by the responses.

Leon, a student in GI, said that he learned about the aspects of being a nurse

This Month’s Issue:Taking The Lead

Congratulations to Carol Porter

Onboarding New Nursing Staff

Save the Date/Calling All Nurses

Relationship Centered Care in Action

Safe Patient Handling Program

What I Did On My Summer Vacation

Making A Defference Overseas

Chatting with Maria Vezina

Horizontal Violence

Joseph F Cullman Jr Institute for

Patient Care & Patient Service Center

Fall 2012 / Volume 1 / Issue 4

Taking the LeadSubmitted by Christine Seidler BSN, RN-BC

Transformational Leadership

SAVE THE DATEANNUAL NURSING RESEARCH DAY: DECEMBER 7, 2012

Please plan to attend and see the inspirational research done by your colleagues. The Nursing Research Committee Meetings are held the third Friday of every month, contact Dr. Emerson Ea to apply.

[email protected]

Christine Seidler (Middle) with Ilan Mandel (left) and Shakira King (Right)

(cont. on page 3)

One day in 2007, while rounding on her geriatric psychiatry unit, Clinical Nurse Manager Lorna

Green encountered an agitated 89 year old crying for her Mommy and her doll. What do nurses do when confronted with emotional anguish? We stay present and listen. We feel and acknowledge the pain. We formulate a plan and act. Ms Green turned to Lola Bloomfield, Mental Health Associate and asked her to somehow come up with a doll. Ms Bloomfield created a pillowcase doll with arms and legs and “dressed” her with a red sash around her waist. The patient immediately embraced this pillowcase doll, her face lit up and she calmed down.

Curious and determined, Ms Green investigated doll therapy. She found a small amount of information on the internet and noticed most of the doll therapy research was done overseas. She sent one of her nurses, Kathy Clancy to Toys R Us and their first doll purchase was made.

The Mount Sinai Hospital

Magnet Newsletter

The Doll ProjectSubmitted by Sylvie Jacobs, RN, BSN

Now Klingenstein Clinical Center 7 South seems to have dolls all over. They’re on shelves, they’re riding in a cart and they’re being carried in arms. They are culturally and gender diverse, with different facial expressions and dress. They are offered to patients who choose their doll, saying

sometimes that they remind them of relatives. Patients who are uncooperative with feeding seem to relax and eat better if they are also

“feeding” their babies. One gentleman was so agitated that he required four caregivers just to get through AM care. He chose a doll and became calm and cooperative. He was able to be discharged back to his long term care

facility. On follow up, he is still carrying and caring for his doll there.

This caught the eye of Dr Davis and Dr Porter who visited the unit and encouraged research to measure outcomes. 7 South began a log of patient observations. They

also measured the use of prn Haldol between patients who had dolls and those that did not. These results showed that patients with pre-existing symptoms of agitation who accepted the doll, used less Haldol prns than patients who did not accept the doll. (story continues on page 3)

Patients benefit by the care and connection they feel when holding a doll...members of the health care team can feel a

greater sense of satisfaction and purpose.

This Month’s Issue:The Doll Project

Spotlight on GP9C

Philippines Welcomes Back Leilani and Imelda

Helping Hand to Haiti

Nursing Research & Evidence Based Projects

Nurses Week 2012 Highlights

New York’s Friendliest

My Overseas Experience in Nursing

Summer 2012 / Volume 1 / Issue 3

established in 2012, the Mount Sinai Magnet Newsletter relates stories and articles portraying Magnet Nursing as it is practiced at Mount Sinai.

It is compiled through contributions from the Magnet Champions and its editor, Sylvie Jacobs, BSN, rN,CPaN.

the letter is distributed via e-mail to more than 2,000 nurses.

the Mount Sinai hospital Magnet Newsletter

GUeSt SpeaKerSJoyce J. Fitzpatrick, PhD, MBA, RN, FAAN Adjunct Professor, Mount Sinai School of MedicineProfessor of Nursing, Case Western Reserve UniversityKeynote address, Nurses Week 2012Relationship Based Care

Barbara Nichols, MS, RN, DHL, FAANRecognized Living Legend of the American Academy of NursingNursing Grand rounds: A History of Nursing, Including the Pivotal Contributions of Mount Sinai Nurses, October, 2012

W i nte r, S p r i n g , S u m m e r & Fa l l Ed i t i o n s of t h e M ag n et N ews l ette r fo r 2 01 2

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(RCC)

Page 8: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

relatIoNShIP BaSeD Care, relatIoNShIP CeNtereD Care

The Mount Sinai Hospital Relationship Centered Care (MSHRCC)

Professional Practice Model

Relationship Based Care

Relationship Centered Care

Mount Sinai Hospital Relationship Centered Care

(MSHRCC)

Care of:Patients/Family

SelfClinician ColleaguesCare Team Members

Community (Local – Global)

Professional Practice Model

exeMPlary ProFeSSIoNal PraCtICe

The Mount Sinai Professional Practice Model is the over arching conceptual framework for nurses, nursing care, and interdisciplinary patient care. the model depicts how nurses practice, collaborate, communicate and develop professionally to provide the highest quality care for our patients and their families. rBC and rCC tenets are extended to all care team members and to the global community.

Key Tenets: § Care of patients/families § Care of self § Care of clinical colleagues (physicians, therapists, assistive personnel) § Care of care team members

(environmental workers, dietary, business colleagues, assistive personnel) § Care of community (local and global)

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(RBC)

Page 9: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

The Mount Sinai Hospital Department of Nursing

Care Delivery ModelModified Primary Nursing

Pro

fess

ion

alN

urs

ing

Pra

ctic

e

ANA Standards

Professio

nalN

ursin

gP

erfo

rmance

MSH Nursing Philosophy

STRUCTURE DIMENSIONS

Positive PracticeEnvironmentScope of PracticeCertificationANA Social Policy StatementANA Code of EthicsNY State Nurse Practice ActMSH Institutional Policies and Procedures

OUTCOME DIMENSIONS

Quality SafetyEvidence

MSH RELATIONSHIP CENTERED

CARE (MSHRCC)PROFESSIONAL PRACTICE

MODEL

TENETS OF MODIFIEDPRIMARY NURSINGNurse Patient RelationshipAccountabilityAutonomyContinuityCollaboration

PROCESS DIMENSIONSAssessmentDiagnosisOutcomesPlanningImplementation/Evaluation

Modified Primary Nursing

the Foundation of Patient/Family-Centered Carethe value of relationship in patient care must be understood. Sitting at the bedside allows the staff

the opportunity to connect with the patient, build a relationship, and demonstrate caring and compassion.

transformational change happens one relationship at a time

healthy team relationships create the conditions for caring

Nurse and Patient Care associate discussing plan of care with a patient

Interdisciplinary Pain Committee celebrates excellence in Pain Management with

unit staff

Physician and Nursing Medicine team prepares for Multidisciplinary rounds

The Care Delivery Model is integrated within the Professional Practice Model and promotes continuous, consistent, efficient, and accountable delivery of nursing care. the Care Delivery Model is a system that is adapted to regulatory considerations and describes the manner in which care is planned and delivered, skill set required, context of care, and expected outcomes of care.

Based on the MSh Professional Practice Model of relationship Centered Care (MShrCC) and the tenets of Primary Nursing - nurse patient relationship, accountability, autonomy, continuity and collaboration – the Care Delivery Model is a modification of Primary Nursing. this model provides the framework for the planning, assignment and delivery of care on a daily basis.

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Page 10: THE MOUNT SINAI HOSPITAL Department of nUrSInG report · PDF fileCarol Porter, DNP, rN, FaaN Edgar M. Cullman, Sr. – Chair of the Department of Nursing Chief Nursing Officer/ SVP-

Words from a grateful Mount Sinai Patient

“No one enjoys a hospital stay. However, your staff provided a remarkable level

of care to myself and from what I observed all the other patients.

They put a human face on my health care. Collectively and individually they

are a credit to Mount Sinai Hospital and their profession.

They positively impacted my stay and subsequent recovery. Myself and my family

are very grateful”

National Average

2012

MSH Goals2012

2nd Quarter 2012

MSH CAHPS Composites

61 60 66 Communication about Medicine80 80 84 Communication with Doctors76 76 79 Communication with Nurses82 82 83 Discharge Information69 69 75 Pain Control68 67 70 Rate Hospital64 62 62 Responsiveness of Hospital Staff65 65 64 Hospital Environment72 72 72 Room Kept Clean58 58 56 Room Quiet At Night69 69 78 Would Recommend Hospital

rCC is “practicing from a caring, healing perspective that seeks to preserve the dignity and integrity of the patient and the patient’s family.” rCC supports the active collaboration between the patient, family and healthcare team in decision-making, patient care, and treatment; and is focused on creating a work environment that engages staff and recognizes their commitment and creativity.

rCC Phase I Patient Units have established formal operational teams lead by the Clinical Nurse Manager and their Physician partner. Initiatives include rounding, joining unit meetings, review of data, participating in the development and monitoring of unit based improvement plans, and staff educational programs. team rewards and recognition have been established for achieving quality, clinical and operational improvements.

Mount Sinai hospital relationship Centered Care Model (rCC)

eMPIrICal oUtCoMeS

the Foundation of Patient/Family-Centered Care

the relationship between patients, families, and the caregiver is at the heart of care delivery

the essence of caring is in human connection

transplant team spending time with a pre-transplant patient

Neonatal Intensive Care Unit team with a mother and her baby

Nurse & Patient “Sit-Down” Interaction

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hurricane Sandy, a hospital Prepared

Nurses from NYU Langone Medical Center were welcomed to Mount Sinai by, FRONT ROW: Erin DuPree, MD, left; Carol Torchen, MSN, RN, Director of Nursing, Women’s and Children’s Services, second from left; Carol Porter, DNP, RN, FAAN, fourth from left; Peter W. May, Chairman, Boards of Trustees, The Mount Sinai Medical Center, middle; Kenneth L. Davis, MD, President and Chief Executive Officer, The Mount Sinai Medical Center, fifth from right; BACK ROW: Michael Brodman,MD, Chair, Department of Obstetrics, Gynecology and Reproductive Science; Rachel Barr, MD, Resident; and Susan Hiraldo, RN.

(LEFT)

William Donovan, born three weeks early with congenital heart disease, looks at his mother Jennie from the safety of his bed in Mount Sinai’s Neonatal Intensive Care Unit. He arrived from NYU Langone Medical Center at the height of the storm.

(BELOW)

Carol Porter and the Directors of Nursing rounded on all patient care units and provided the nursing staff with trays of cookies and heartfelt thanks.

as hurricane Sandy made landfall in New york City, the Mount Sinai Medical Center implemented its emergency preparedness plan and took in 107 evacuated patients from area hospitals that had lost power or endured storm damages.

When NyU langone Medical Center and Bellevue hospital Center lost power, Mount Sinai was ready with beds and staff to accept the evacuated patients, many of whom had serious and complex conditions.

Nurses from those hospitals were quickly credentialed and welcomed to Mount Sinai to work side-by-side with our nurses and the patient care teams to ensure continuity of care.

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With transportation difficult, and in the midst of one of the worst storms to ever hit the Metropolitan New york area, our patients and families were taken care with exceptional expertise and compassion.

Patient care units made room, intensive care units were at maximum capacity, and nurses and staff members stayed at the hospital, sleeping on cots, working long hours, and providing our patients and families with the same high level of care we provide every day.

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Between april and July of 2011 Mount Sinai implemented a state-of-the-art electronic clinical information system (ePIC) that provides a comprehensive electronic medical record. the ePIC system is widely acknowledged as best in class and was essential for us to improve the quality and safety of patient care, as well as remain at the forefront of innovation.

a group of 17 nurses, a physical therapist, a nutritionist, and 2 ancillary staff comprised the epic Project Implementation team (ePIt). the ePIt was created to serve as a liaison between the clinical providers and the Mount Sinai epic It project team. the 17 nurses were taken out of their clinical roles, received extensive training, and were dedicated Fte’s to the epic implementation. this group was led by the Senior Director of Nursing Finance and operations, amy albano, MBa, BSN, rN, FaChe.

the ePIts collaborated with the staff nurses in all the units, gathered the paper documentation, and proposed changes to the Nursing Informatics (NI) committee for standardization and approval. together with

the nursing leadership, the ePIts critically evaluated current clinical practices and documentation and assisted nursing leadership with improving the process. Post-live, the ePIts shadowed clinical and non-clinical staff to observe the workflow throughout a patient’s stay from admission to discharge to ensure all processes were running smoothly.they successfully bridged the gap between the clinical users and the It Project team which resulted in an almost seamless implementation of epic’s electronic health record.

ePIC

NeW KNoWleDGe, INNoVatIoNS & IMProVeMeNtS

ruttenberg treatment Center moves to hess Center for Science and Medicine

there has been significant strategic recruitment and growth within all aspects of the oncology program at Mount Sinai Medical Center. this included moving the ruttenberg treatment Center, our ambulatory cancer center, to the hess Center for Science and Medicine (CSM), Mount Sinai’s new research and patient care building, in october of 2012. located on the third and fourth floors of CSM, the new space provides them with double the space they formerly had. the new space increases patient privacy and allows the program to continue to grow as the nursing staff remains focused on improving the quality of care provided.

The Ruttenberg Treatment Center Nurses in their new location

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Epic Project Implementation Team (EPIT)

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Nursing research DayNursing research Day is celebrated annually to showcase nursing research and scholarship at the Mount Sinai Medical Center.

the research day includes a didactic component, in the form of a lecture or series of speakers and a panel discussion, and also a poster session where outcomes and progress of scholarly projects at Mount Sinai and affiliate institutions are displayed and presented.

There were a total of 18 poster abstracts presented in 2011

the didactic session included 3 panelists: Dr. Joyce Fitzpatrick (elizabeth Brooks Professor of Nursing Case Western reserve University Frances Payne Bolton School of Nursing Cleveland, ohio), Janet Johnson, MA, ANP-BC (Nurse Practitioner, Mount Sinai heart Cardiology aDS Service) and Piera Poletti (Director, CereF Centre for research and education advanced education Padua, Italy). The event was attended by approximately 150 Mount Sinai nurses, nursing students, and colleagues from affiliated institutions.

There were a total of 30 poster abstracts presented in 2012 the didactic session included 3 panel presenters: Mei Fu, PhD, RN, FAAN, associate Professor New york University College of Nursing, New york, NyMarisa A. Cortese, PhDc, RN, FNP, BC, Senior Manager, oncology education, Quality and research Mount Sinai Medical Center Keville Frederickson, EdD, FAAN, Professor and Director, research and Scholarship, Department of Nursing, lehman College/executive officer, Doctor of Nursing Science Program, the Graduate Center, the City University of New york.

More than 200 Mount Sinai nurses, nursing students, and colleagues from affiliated institutions attended.

Nurses and Students at the 2012 Nursing Research Day Poster sessionDecember 2012

Keville Frederickson, EdD, FAAN Speaking in The Hatch Auditorium, Nursing Research Day, December 2012

(Left) Piera Poletti Speakingin

The Hatch Auditorium, Nursing Research Day,

2011

(Right) Nursing Leaders

at Nursing Research Panel Discussion

Nursing Research Day 2011, Poster Session, December 2011

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StrUCtUral eMPoWerMeNtClINICal NUrSe exCelleNCe aWarDS 2012

the Mount Sinai Nurse recognition Committee designs, implements, and evaluates formal programs which acknowledge professional achievements by nurses and other professionals for outstanding contributions to the hospital. Members of the committee organize celebrations throughout the year including National Nurses Week, Clinical Nurse excellence awards, Physician of the year awards, and ellen Fuller awards for excellence in Nursing leadership.

National Nurses Week includes daily activities that highlight the profession of nursing by providing educational forums, scholarly presentations and other opportunities for nurses to gather and celebrate.

During this week, the Mount Sinai Medical Center Board of trustees sponsors the Clinical excellence awards, established thirty-one years ago, to recognize professional nurses who consistently demonstrate excellence in nursing practice.

Participating in the 31st Annual Awards for Excellence in Nursing Practice were FRONT ROW, FROM LEFT: Krystal Locke, BSN, RN; Stephanie Yabut, BSN, RN; Carol Porter, DNP, RN; Sylvie Jacobs, BSN, RN; Susan R. Cullman, Member, Boards of Trustees; Linda Pagan, MS, RN; Melissa Williams, BSN, RN; Patricia S. Levinson, Member, Board of Trustees; Kathleen Scher, EdD, RN, Vice President of Nursing; Claudine Brown, MSN, RN; Patricia Sterner, MSN, RN, CNS; and Lisa Menotti, BSN, RN; BACK ROW, FROM LEFT: Geraldine Basler, MSN, RN; Marisa Cortese, MS, RN, FNP; Kim Mayo-Smith, BSN, RN; Patrice Burke, MSN, RN; Sofia Fleishmann, BSN, RN; Marie Daniel, BSN, RN; Nicole Wells, BSN, RN; Cathy Lin, BSN, RN; Jefferson Aglipay, BSN, RN; and Emily Kropp, BSN, RN

Mr. Edgar Cullman Sr.

The Department of Nursing mourns the passing of Mr. Edgar M. Cullman, Sr. in August of 2011. Mr. Cullman was the third generation of his family to serve on the Board of Trustees of Mount Sinai Medical Center. He had also served on the Board of the Mount Sinai Hospital School of Nursing from 1950 until it closed in 1971.

Mr. Cullman’s work with the School of Nursing Board inspired in him a lifelong advocacy for nursing and patient care, interests which he passionately championed throughout his life. Mr. Cullman was a regular participant in the Department of Nursing Annual Clinical Excellence Awards and was beloved by Mount Sinai nurses.

Nurses Week 2011 Clinical Excellence Award Ceremony. Carol Porter, PhD, RN, Chief Nursing Officer; Edgar M. Cullman, Sr., Medical Center Trustee; Radley Flores, BSN, RN, Clinical Nurse, Emergency Department and Patricia Levinson, Medical Center Trustee.

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Nursing Research Coordinator Sharon Wexler, PhD, RN, Dr. Wexler was one of seven fellows inducted during the 2012 annual convention of the National Gerontological Nursing association (NGNa) in Baltimore Maryland.

Dr. Wexler has been a member of NGNa since 1991, and has been the chairperson of the organization’s research committee since 2010. She was instrumental in developing a defined research track at the annual meeting as well as developing a poster session and research award for students.

the NGNa is dedicated to the clinical care of older adults across diverse care settings, and their core mission is to improve care for older adults. Fellowship in the organization is an honor which is conferred upon members who demonstrate outstanding leadership in gerontological nursing and who have made significant contributions to the profession.

StuDENt NuRSE INtERNS 2011 (Pictured Left to Right)Top Row: Jason Bruck, Irvin Hiralall, Jerin Kallickal, Ndidi Adogu, Jaclyn Kalin, Juda Zurndorfer Danny Vanel

Bottom Row: Alexa Segna, Alpha Omega Acapulco, Keianna McQueen, Angel Lee, Allison Rapp, Melanie Pineda, Melissa Gardon, Kriselle Farrales

Mount Sinai hospital Student Nurse Intern Program

StuDENt NuRSE INtERNS 2012(Pictured Right, Left to Right)Top Row: Leah Riggs Hamilton, Yuri Mickler, Jeremy Lestch2nd Row: Kaitlyn Hilton, Alexandra O’Brien, Megan McCarthy, Karyl Del Mundo3rd Row:Kristen Sampson, Mikaela Kislevitz, Princess Okunola 4th Row Stephanie Osei-Bonsu, Naresa Baksh, Lauren SchottBottom Row: Nicole Ramirez, Carmelle Dulaurier

Fifteen Student Nurse Interns (SNIs) are recruited each June for an 8-week program. requirements include the completion of a medical/surgical rotation and a GPa of 3.25. the SNIs receive a competitive salary and a comprehensive orientation. the role of the SNI is reflective of assistive personnel for a few added functions. every SNI is assigned a Clinical Nurse Mentor to guide, support, and teach them.

the Mentors explain everything and are open to questions and discussion. the SNIs develop a close relationship with their Mentor and all of the SNIs and Mentors are uniformly positive about the experience. the internship concludes with a Graduation and celebration with the SNIs, the Mentors and other nurses involved in the program. after graduation from nursing school, many of the SNIs return to Mount Sinai as clinical nurses.

the New york times tribute to Nurses

Sylvie Jacobs, BSN, RN, CPAN, Clinical Nurse, Perioperative Services has been a Mount Sinai nurse for more than 34 years. In 2012 she was the Department of Nursing Clinical excellence Winner as well as the New york times 2012 Winner in the Category of leadership.

Sylvie is intelligent, kind, compassionate, creative, and has a never-ending desire to improve the quality of care. She has a vision and a passion about the care she provides to her patients, and she energizes others to do the same. Sylvie has a sound clinical knowledge and mentors less experienced nurses with ease. She is also a leader in the Magnet Champions group and serves as editor of the Magnet Newsletter. the other Champions look to her for ideas and solutions to problems and she consistently helps the nurses find answers in a professional manner using an evidence-based approach. Sylvie Jacobs, BSN, RN, CPAN

2012 New York Times Tribute to Nurses Winner

Janet Johnson , MA, ANP-BC, has been dedicated to the profession of nursing for over 30 years, and has been a member of the Mount Sinai Community of Nurses for 17 years. In 2011 she was the Department of Nursing Clinical excellence Winner as well as the New york times 2011 Winner in the Category of education. the thing that distinguishes Janet is her incredible ability to get things done.

She is the driving force of the Mount Sinai heart Nurse Practitioner Symposium founded five years ago and sponsored by our cardiac NPs for nurses and NPs in the tri-state area and beyond. It was the first conference of its kind in the United States, and is now an annual event with more than 300 participants. In addition, Janet orients new nurses and students, initiates educational meetings, and is an integral part of the cardiac nurse practitioner orientation and training. Janet is always available to anyone who wants to teach or learn.

Janet Johnson , MA, ANP-BC2011 New York Times Tribute to Nurses Winner

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2011 MOUNT SINAI MEDICAL CENTER BOARD OF TRUSTEES 30th ANNUAL AWARDS FOR EXCELLENCE IN NURSING PRACTICEJanet Ansong-Danquah, BSN, RN, labor & DeliveryColette Bradford, BSN, RN, Perioperative ServicesDianne Cavanaugh, RN, FNP, the Mount Sinai hospital of QueensTracy Crippen, BSN, RN, GP 8 WestMagalie Elie, MSN, RN, KP 5Radley Flores, BSN, RN, emergency DepartmentLorna Green, MSN, RN, KCC6S, 7SJennifer Jaromahum, MS, rN-BC, GP 8eJulia Manansala, BSN, rN, GP 11CAngela Melluzzo, BSN, rN, radiologyNella Pineda-Marcon, BSN, RNC, Madison 6Laura Schneider, MSN, RN, NICU, Mary Mendes Pediatric Nursing Practice awardJoanne Sultana, BSN, RN, the Mount Sinai hospital of Queens

DEPARTMENTAL WINNERJanet Johnson, MA, ANP-BC, Mount Sinai heart

2011 ELLEN FULLER AWARDS FOR NURSING LEADERSHIPCaroline Erni, MSN, RN, FNP-BC, Nurse Practitioner, orthopaedicsJennifer Jaromahum, MS, RN-BC, Clinical Nurse Manager, Guggenheim Pavilion 8 east

2011 PHySICIAN OF THE yEAR AWARDSLana Zhovtis-Ryerson, MD, Department of Neurology, house officer awardJason Prager, MD, Department of Geriatrics, Fellow awardEvan Flatow, MD, Bernard J. lasker Professor Chair, Department of orthopaedics, attending awardDavid Reich, MD, horace W. Goldsmith Professor Chair, Department of anesthesiology, Special recognition award

the MoUNt SINaI hoSPItal NUrSING reCoGNItIoN aWarD WINNerS

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the MoUNt SINaI hoSPItal NUrSING reCoGNItIoN aWarD WINNerS2012 MOUNT SINAI MEDICAL CENTER BOARD OF TRUSTEES 31st ANNUAL AWARDS FOR EXCELLENCE IN NURSING PRACTICEJefferson Aglipay, BSN, RN, CNOR, Perioperative ServicesPreciosa Basiao, BSN, RN, the Mount Sinai hospital of QueensGeraldine Basler, MSN, RN, CCNR, Coronary Care UnitClaudine Brown, MSN, RN, the Mount Sinai hospital of QueensPatrice Burke, MSN, RN, CNSN, Pediatric Nutrition Support, Marisa Cortese, MS, RN, FNP, BC, the tisch Cancer InstituteMarie Daniel, BSN, RN, Klingenstein Clinical Center 2Sofia Fleischmann, BSN, RN, Pediatric Intensive Care UnitDechen Lama, RN, the Mount Sinai hospital of QueensCathy Lin, BSN, RN, Inpatient DialysisKrystal Locke, BSN, RN, Madison 6Kim Mayo-Smith, BSN, RN, Klingenstein Pavilion 8Lisa Menotti, BSN, RN. emergency DepartmentLinda Pagan, MS, RN, CARN, ambulatory NursingPatricia Sterner, MSN, RN, CNS, IBCLC, lactationNicole Wells, BSN, RN, CMSRN, Guggenheim Pavilion 8eMelissa Williams, BSN, RN, Internal Medicine associatesStephanie yabut, BSN, RN, Klingenstein Pavilion 5

DEPARTMENTAL WINNERSylvie Jacobs, BSN, RN, CPAN, Post-anesthesia Care Unit,Pat liang PaCU Nursing Practice award

2012 ELLEN FULLER AWARDS FOR NURSING LEADERSHIPLoraine O’Neill, MPH, RN, Director of Quality Initiatives, Department of obstetrics, Gynecology & reproductive ScienceLorisa Richards, MS, FPN, RN, Clinical Nurse Manager, Guggenheim Pavilion 9 east

2012 PHySICIAN OF THE yEAR AWARDSKatharine Maglione, MD, Department of radiology, house officer awardKai Tsao, MD, Division of hematology and Medical oncology, tisch Cancer Institute,Fellow awardBruce Darrow, MD, PhD, Department of Medicine/Division of Cardiology, attending awardPatricia A. Bloom, MD, Brookdale Department of Geriatrics and Palliative Medicine, Special recognition award

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GloBal ISSUeS IN NUrSING & health Care

Global Nursing Missions, January 2011 to December 2012mary Joy abraham, mSn, rn, anp, Nurse Practitioner, Rehabilitation Medicine, Philippines, May 2012Lauren abrams, Cnm, mSn, Clinical Director of Midwifery, Guatemala, January 2011Janet ansong-Danquah, rnC, BSn, Infection Control, Liberia, January 2011 and January 2012tatiana arreglado, mSn, rn, Clinical Program Manager, India, November/December 2012Katie atkinson, fnp, rn, Pediatrics, Kenya, May 2012Irene Banares, ma, rn, Cnor, Manager, Perioperative Services, Philippines, February 2011 and February 2012ma.angelina Begonia, mS, rn, Clinical Nurse Manager, GP 9West, Philippines, September 2012Linda Benoit, BSn, rn, Clinical Nurse, Madison 6, Haiti, August 2012 and December 2012, India October 2012Stefanie Buissereth, BSn, RN, Clinical Nurse, GP 6 West, Haiti, July 2012Cora Cajulis, Dnp, rn, anp-BC, Associate Director, Medicine Services, Philippines, January 2012Donna Lee Cataldo, anp, mSn, Nurse Practitioner, Transplant, Haiti, July 2012Lynn e. Cochran, BSn, rn, Clinical Nurse, GP 6 West, Haiti, July 2012Valerie Davis, BSn, rn, Clinical Nurse, Perioperative Services, Dominican Republic, October 2012raheeman frederick, BSn, rn, Clinical Nurse, KP7, Grenada, August 2012antoinette Gabriel, BSn, rn, Clinical Nurse, SICU, Haiti, July 2012margaret Garrett-Herry, mSn, rn, fnp, Clinical Nurse Manager, Clinical Research Center, Grenada, July 2011marianne Gelber, mSn, Gnp, aCHpn, Nurse Practitioner, Palliative Care, India, May 2012Ireneo Jore rn BSn, Clinical Nurse, Interventional Radiology, Philippines, July 2012Getl Kasper, rn, Carn-ap, Clinical Nurse, Madison 5, Mexico, February 2012Heeock Lee, mSn, anp-C, Nurse Practitioner, Russia, September 2011natalie Kirton, BSn, rn, Clinical Nurse, SICU, Haiti, July 2012Virginie Lucus, BSn, rn, Clinical Nurse, GP 8Center, Haiti, July 2012Kathleen mcCollum, mS, rn, Clinical Nurse Manager, CCU, Liberia, December 2012/January 2013Judy miranda, mSn, rn, Director of Nursing, Transplant, Hong Kong, May 2012Illouise murillo, mS, rn, Manager Performance Improvement, Psychiatry, Mount Sinai Global Mental Health Program, Belize, July 2012Leilani pineda, BSn, rn, Clinical Nurse, Perioperative Services, Philippines February 2012Carol porter, Dnp, rn, Chief Nursing Officer, Hong Kong 2011 and Saudi Arabia 2012Diane reyda, BSn, rn, Clinical Nurse, SICU, Haiti, July 2012Shalom Simmons, mSn, BBa, rn, Clinical Nurse Manager, GP 6W, Haiti, July 2012Samantha Smith, BSn, rn, Clinical Nurse, Labor & Delivery, Guatemala, October 2012Imelda tuason, BS, rn, Cardiac Catheterization Laboratory, Philippines February 2012risa turetsky, rn, fnp, mpH, Adolescent Health, Kenya, May & September 2011 and 2012fabienne Ulysse Dnp, anp-BC, Nurse Educator, Ruttenberg Treatment Center, Haiti, July 2012Shirley Wilson, BSn, rn, Clinical Nurse, Perioperative Services, Haiti, July 2011

Dominican Republic Philippines India Australia Guatemala Haiti

Singapore Netherlands Saudi Arabia Lithuania Italy

The interest in Global Nursing activities at Mount Sinai has grown, as evidenced by the number of Mount Sinai nurses who have chosen to participate as volunteers in Global Nursing Missions in underprivileged parts of the world (34) and the number of nurses

from other countries who have come to observe nursing at Mount Sinai (64).

Mount Sinai Nurses who have completed a Global Nursing Mission in 2011/2012. Four of the nurses have completed more than one nursing mission.

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Russia Liberia Kenya Mexico Grenada Belize

Hong Kong Israel Ireland Thailand Germany Scotland

Global Nursing Visits, January 2011 to December 2012Chan ming fung, BSn, rn, Yeung York mui, mSn, rn, Lee Yuk mun, mSn, rn, tsang Hing Ling, mSn, rn, Nurse Leaders, Hong Kong, November/December 2012ma Yi mon Soe, BSn, rn and nurshifa Binte Shaik Hussain, BSn, rn, Nurse Clinicians, Singapore, November 2012professor piera poletti, Director, CEREF, Italy, August 2012mally ehrenfeld, phD, rn, Dean of Nursing, Tel Aviv University, Israel, July/August 2012Josephine Hegarty, BSc, phD, rGn, mSc, rnt, Professor of Nursing and Midwifery, University College, Irelandprofessor trish Dito, Deputy Director of Nursing Operations, Australia, May 2012orratai thanawinitcharen, mSn, rn, panor tubtimtong, BSn, rn, Wasanar Chanabholpat, mSn, rn, thitipornthanomboon, mpH, rn, Suphalak rathasara, mSn, rn, Siriwan Kuawiriyapan, mSn, rn, piyachat Chumchuen, mSn, rn, Nurse Leaders, Thailand, May/June 2012agnes twari, phD, rn, faan, Dean, University of Hong Kong School of Nursing, Hong Kong, April 2012franz Wagner, mSc, rhp, International Magnet Commissioner, Germany, March 2012Veronica Casey, rn, rm, B Nursing, MSN, International Magnet Commissioner, Australia, March 2012Kit mui Chiu, mSn, rn, Suit Lai or, mSn, rn, Advanced Practice Nurses, Hong Kong, March/April 2012mev. r. Immink-Speet, Christiaan Beers, mevr. m. Wit, ammy van der tol-paap, marjan de Hoop, Sylvia oosterveen, Judith de Weerd-mans, marja Voskuilen, frieda Jansen, anke van de Lageweg, Ina van Ingen Schenau-Veldman, Nurse Practitioner Students, Holland, February 2012Virginia pui fung Chong, mSn, rn, Carmen Ka man Ho, mSn, rn, Itea Sui-foon Leung, mSn, rn, ping fat Lau, mSn, rn, Nurse Leaders, Hong Kong, January/February 2012professor Bridget Johnson, University of Dundee, Scotland, December 2011Jurate macijauskienne, mD, phD, professor aurelia Blazeviciene, Lithuanian University, December 2011mike Gob, BSn, rn, School of Health Sciences, Nanyang Polytechnic, Singapore, September/October 2011Susan Clement, Claire Kennedy, Janet Hardwick, Sue armstrong, Gail o’Grady, Sarah Coleman, Senior Nurse Leaders, Australia, October 2011Chief executive nurse and 11 Senior nurse managers, Hong Kong, April 2011Lisette fijtten, Nurse Practitioner Student, The Netherlands, March 2011Jenny Cubitt, Nurse Manager, Australia, March 2011Ineke Baas-arends, np, rn, Hilly de Haan-rijpma, np, rn, Lydia redelaar Diana, np, rn, thoma-Sloots, np, rn, Cardiac Nurse Practitioners, The Netherlands, January, 2011

(Pictured Above with Judy Miranda )Yeung York Mui, Lee Yuk Mun, Chan Ming Fung, Tsang Hing Ling were four nurses from Hong Kong brought to Mount Sinai through the Visiting Nurse Scholar Program.

Dr. Phil Landrigan, Professor & Chair, Preventive Medicine, Agnes Tiwari, PhD, RN, FAAN, Head, School of Nursing and Assistant Dean, University of Hong Kong; Carol Porter, DNP, RN; Lisa Martin, PhD, RN, Senior Manager, Nursing Practice.

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