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Ingalls Nursing News Ingalls Nursing News

Volume 3 Volume 2—3— IssueIssue 2

3rd2nd Quarter, Quarter,2012 2012

Message from the Chief Nursing Officer Kathy Mikos, DNP, RN, NEA-BC We will all remember the HOT, dry summer of 2012 which is quickly coming to a close; soon we will be into the fall season which will likely be a welcome relief. Time truly flies by quickly. I want to thank all the nurses who joined me for our recent nursing forum. It was such an honor to celebrate with you the significant accomplishments nursing has made at Ingalls. It was important to meet with you in person to discuss the speed with which healthcare reform is bringing about change for our profession. We must become very adept in responding to change if we want to thrive during this transformational period in healthcare. It is clear that we must think of new and innovative ways of delivering care that are effective, efficient, and patient-

centered. This will be an era of opportunities for nurses to demonstrate that through evidence-based practice we can achieve great outcomes for our patients. During the Nursing Forums, we had the opportunity to experiment using technology to connect Ingalls professional nurses across our system via teleconferencing. This was significant as it pulled us all together even in a complex logistical layout. It was a time saver as well as an effective means of communicating with one another. This may prove to be a great way to have more system wide input for project work as well. We will continue to test its impact and will look forward to your feedback. Along with our nursing editorial committee, I hope that you find this addition of the Ingalls Nursing News informative and valuable to you. Of course we are always looking for additional nurses who are interested in joining our committee to assist in developing our quarterly newsletter. If interested, please contact me at ext #5043 or kmikos@ingalls.org.

Inside this issue: Ingalls Nurses take Medical Mission Journey

2

Honor Flight

3

The Nurses’ Health Study

3

New Nursing Clinical Ladder Program

4

NDNQI RN Survey

4

Nursing Quality Council

4

Evidenced-Based Practice; Pain Management

5

Pain Resource Nurse Program

5

Nursing Excellence

5

RN Self-Care Survey

6-7

Ingalls On-Site Workout Facility

7

The Daisy Award

8

Building A Culture of Safety

8

Compassion and Caring Award

8

Roadmap to a Comprehensive Falls Prevention Program

9

Professional Growth & Development; Returning to School

9

Achieving Your National Nursing Certification Are you considering pursuing certification in your specialty? There are numerous reasons for achieving certification. According to the American Nurses Credentialing Center (ANCC) certification not only benefits the nurse but also our patients, their families, our organization and our colleagues. Certification has become an important benchmark for hospitals and healthcare entities to demonstrate competence and expertise within their professional staff. There is increasing evidence that specialty certification is associated with clinical competence and improved patient outcomes. In the report The Future of Nursing, Leading Change, Advancing Health (2011) published by the Institute of Medicine (IOM), the need for lifelong learning and continuing competence is addressed. The IOM report states “certification represents a level of professional competency attainment that differs from licensure, which documents a basic standard of safe care delivery. Certification represents optimum competencies in the

development of self as a member of the discipline.” (Bleich, M., 2012). Certification is offered in 11 areas by the American Nurses Credentialing Center (http:// www.nursecredentialing.org/Certification.aspx) as well as offered by at least 13 specialty groups. If you are interested in a particular area of certification you can access the ANCC website or contact Ingalls Education Department for a listing. When you are investigating certification you should review the prerequisites that will assist you in your preparation. Most certifications will require a number of hours working in the area you wish to become certified. Many offer review courses and review materials. These materials allow you to test your knowledge and perform a self assessment to determine your readiness for the certification exam. The Education Department has many of the specialty certification review books available to borrow. Forming a study group with other colleagues who are also pursuing certifications a great way to prepare for the exam.

Ingalls will reimburse the certification fee upon successful completion of the exam. This reimbursement is for the initial certification only and not for certification renewal. You will need to complete a tuition reimbursement form from Human Resources for certification reimbursement. Certification will now be recognized and rewarded in the Nursing Clinical Ladder Program. Currently approximately 7% of IHS RNs are nationally certified. Bleich, M., (2012) Certification as an Emerging Force in Competence Development and Attainment. Institute of Medicine (IOM). (2010). The future of nursing: Leading change, advancing health. Roseann Serafin, MSN, RN, OCN Education Coordinator


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Ingall s Nu rses take M edical Mi ssio n Jou rney by eating well, exercising, and making regular doctor’s visits, is nearly unheard of until they feel ill enough. Our mission was to provide clinical screenings and offer specialist consults to address the Peruvians’ complaints and possibly resolve matters surgically or pharmacologically at a local community hospital in Cuzco. About 75 volunteers ventured on this trip, with a majority belonging to an optometry foundation known as VOSH. This past May, Dr. Rueben Chuquimia organized a medical mission trip in conjunction with the Homewood Rotary Club for one week to his hometown of Cusco, Peru. Medical staff (including doctors, medical students, nurses, physical therapists, biomedical engineers and radiology techs) as well as anyone interested in simply volunteering their time were all welcomed to take a trip to a world away set in the Andes Mountains and make a difference in a stranger’s life. Upon seeing this posting at Ingalls last fall, I jumped at the opportunity faster than I punch in some days coming to work a little late. Since I was a nursing student, I had always been fascinated by the places and opportunities our nursing careers can take us and I couldn’t wait to take advantage of the first trip I heard about. While working in the hospital was the primary focus, we also arranged for some fun activities. We took a trip to Macchu Picchu, a stone structured community and ancient Incan ruin set in the jungle. We also took a city tour of Cuzco as well as Lima, Peru upon returning to its international airport at the end of the trip. I really loved the tours because they added such great emphasis to the country’s unique culture.

Cuzco, Peru was once the capital city for the ancient Incan Indians; now, it is a somewhat overcrowded and busy metropolis of Spanish-speaking civilians working day in and day out, sunrise until past sunset to earn their keep. Maintaining a good state of health

VOSH consisted of fifteen optometrists and 26 optometry students who provided a vision screening clinic and about 22,000 pairs of donated glasses. And by the end of the trip, VOSH had donated every pair of glasses, which made a significant difference in the Cuzco community as the optometric crew had screened over 1400 people in just four days. My roommate, Karen, a young optometrist, would leave for the hospital in the

morning before I would and she did not return until well after I was back, putting in about twelve hours a day. I am still amazed at the positive changes VOSH has made to those peoples’ lives so that they may see a clearer day. Since this was not only my first medical mission but also my first adventure out of the United States, I kept my mind completely open and without any expectations of what I would experience. I simply wanted to make a difference somewhere. Three other nurses and I were assigned to the OR and recovery room where we primarily took care of burn victims. A burn specialist surgeon provided skin graft transplants for patients who had suffered severe third degree burns, which we were able to observe and then care for in the recovery room before they returned to the floor. I absolutely loved watching how they removed skin and delicately replaced it to the affected site using the split thickness method; it is a very delicate process. Working in their recovery room generally follows the same process as we would here along with

nursing care plans; the tricky part was transcribing between English and Spanish. Luckily for me, an anesthesiologist allowed me to intubate two patients with laryngeal mask airway (LMA) tubes.

The other nurses and I also observed a baby boy born by a C-section and then assisted in a young boy’s eye removal after it was accidentally severed by a machete. While observing the baby boy’s birth was a very happy moment, I was a little torn up seeing the boy with no choice but to have his severed eye removed at just three years old. I couldn’t experience this tragedy without walking away having learned something however. One of our very own Ingalls’ nurses on the trip reminded me that at least all of this young boy’s vision wasn’t lost by both eyes being removed. She reminded me that, in this profession, we will continually hear or work with patients burdened with heartbreaking stories; it is part of the job but that does not make it any easier. Nurses share in making the difference for these patients and the key is to look at the bright side for each of them.

Barb Ehlers (1), Courtney Sullivan (3) Sheryl McMahon (4)

Courtney Sullivan, BSN, RN East 6


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Ingalls RN Promotes the Honor Flight Being a registered Nurse is all about the rewards of caring for your patients. But sometime, you may find yourself using your nursing skills away from the hospital or clinic setting, and in a very different venue than you could ever even dream about. I serve as a medical guardian with the Land of Lincoln Honor Flight in Springfield, Illinois. The Honor flight network is a national organization with over 120 hubs in 30 states. The sole mission of Honor Flight is to show gratitude to World War II veterans by taking them to Washington DC for the day to visit the World War II Memorial and other war memorials built to honor their service and sacrifice. These trips are provided to veterans at no cost; all flights are paid through private donations. By the time the national World War II Memorial was dedicated in 2004, these veterans were all over eighty years old. After waiting sixty years to be recognized with a national monument, many of these veterans could not make the trip because of physical and/or financial limitations. Honor Flight helps these vets overcome these limitations by providing a free, one day, fully-escorted tour. Each veteran is accompanied by an individual volunteer guardian (who pays his/her own expenses) to ensure their comfort and safety. Each flight includes several medical guardians who are responsible for monitoring the condition of the veterans

Would you like to be a part of groundbreaking research on women’s health, lifestyle, environment and nurses’ work life? The Harvard School of Public Health and Brigham and Women’s Hospital are recruiting 100,000 female nurses and nursing students for a Nurses’ Health Study. This will be the third study of this kind. The first study was started in 1976. The goal of the original study was to learn more about potential long term risk factors for cancer and cardiovascular disease in women. This expanded to the second study in 1989 which looked at diet and lifestyle risk factors in women ages 25—42. The 2 studies had a total of 289,000 participants. The new study has a goal of enrolling 100,000 female nurses between the ages of 20 and 46. This study will continue to look at women’s health issues related to lifestyle, fertility and pregnancy, environment and nursing exposures. To learn more about this exciting study, go the www.nhs3.org. Consider participation! Patricia Pfersdorf, BSN, RN Manager, East 6

throughout the day, making sure they remember to take necessary medications, monitoring their oxygen, carrying the first aid kit, etc. On flights we take an average of 85 veterans and have had as many as 60 of them in wheelchairs on one flight! On our day trip we visit the World War II Memorial, the Viet Nam Memorial, the Korean Memorial, the Lincoln Memorial, Iwo Jima and the Air Force Memorial. We visit the Smithsonian Air and Space Museum ad end the day at the changing of the guard at the Tomb of the Unknown Soldier at Arlington Cemetery. I will fly my 14th trip on June 19th, 2012. This flight will carry our 1000th veteran since we began our flights on May 27th, 2009. The founders selected the name “Honor Flight” because they wanted to ensure that our WWII veterans receive the honor they deserve for their service. I think differently about the name. It is my honor to accompany them on this emotional journey. I am humbled to be part of it. These veterans deserve our gratitude and have earned their “one more tour with honor”. Carol Locke, RN Pre-Admission Testing


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New Nursing Clinical Ladder Program In June, Ingalls launched it’s Nursing Clinical Ladder Program. This is one of the projects that the professional Development Council has been working on.

To see the specific criteria for each step, please access IMH services on your PC, click the Nursing info tab, and access the Nursing Clinical ladder folder.

Based upon Benner’s work from novice to expert, the clinical ladder allows nurses to receive recognition for advancing professionally, and providing care at the bedside.

Frank Bradtke, MSA, RN, NEA-BC Director, Patient Care Services

Nurses may advance up the ladder by achieving goals and outcomes outlined in the specific guidelines for each step in the ladder. As the nurse moves up to Level 3 or Level 4, the requirements increase, but the nurse has several options to consider within the step guidelines.

Evidenced-Based Practice: Pain Management

Its that time of year again! We are approaching the annual NDNQI Nurse Satisfaction Survey. It will open for your input on September 10th, and remain open through September 30th. During that time period, you will have an opportunity to complete the on line survey documenting your perceptions related to a number of nursing practice issues. Last year we reached an 87% response rate; this year our goal is to surpass 90% participation. We anticipate this year’s results will reflect the efforts

surrounding the work toward shared governance, unit based councils, clinical ladder program, nurse staffing/budgeting committee, excellent clinical outcomes, as well as all the other great efforts we have put forward this your. Frank Bradtke, MSA, RN, NEA-BC Director, Patient Care Services

News from the Nursing Quality Council Important aspects included utilization of the I-Directory (Ingalls on-line Physician Directory) for the most up to date contact numbers and instructions. Also, importance is stressed on timeliness. If a physician does not respond, after multiple attempts within 1 hour, then nursing leadership and the appropriate medical chairperson should be contacted.

The June meeting saw a change in the staff leadership for this Council. Many thanks go out to Jerrina Schelinski, Flossmoor F.C.C. for her 2 years of serving as co-Chair. We also wish to congratulate Dianna Simmons, West 5, for jumping in as the new cochair. The first Peer Review case involved the process for notification of a physician.

The second case involved safe and accurate blood administration. Key aspects included that any questionable order should be reviewed with the physician for clear understanding. Also, the blood administration policy should be familiar to all and used as quick reference. A third case was reviewed. This one highlighted the importance of up to date and complete documentation involving abnormal vital signs and response to medications. This

Fall Committee members reported on the progress of new, unit specific, fall prevention plans and a revised Post-Fall Huddle form that will be implemented in the near future. Paul Zielske, MBA, RN Director, Patient Care Services


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Evidenced-Based Practice: Pain Management The council has been working on improving the management of our patient’s pain. A literature review was performed on evidence based practices related to pain management. Margo McCaffery, MSN, RN, nationally respected pain consultant, defines pain as whatever the patient says it is and occurs whenever the patient says it does. Discussions ensued around the practice of pain management as it relates to assessment, pharmacological and non-pharmacologic interventions, evaluating the outcomes of the interventions, and becoming strong advocates for our patients as it related to lessening their pain and promoting comfort. The members of the council conducted a survey of their patients as it related to their pain experience. When patients were asked how well their pain was managed the results were as follows:

     

6% Not managed

Patients were asked what else we could do to relieve their pain. Some of the ways mentioned included positioning with pillows, applying ice, listening to music, distraction, talking, and medication. The Council developed “distraction” baskets on each unit including items such as puzzles, stress balls, crayons and coloring pages, games, and cards. This is offered to patients additionally to further promote comfort. A laminated pain poster was made for each patient room which includes the medication given and when the next dose is due. The pain education insert in the admission packets was reviewed and determined to be a great resource. Evaluation for new heating and cooling pads used to alleviate pain is underway. Lora McGuire, MSN, RN, pain management expert presented a lecture on the topic of Pain Management. Lecture now available on Healthstream and awarded 1 CE credit.

17% Not as good as expected 37% Ok 9% Better than expected

Susan Klaczak, MSN, RN Director, Patient Care Services

20% Pretty good 11% Excellent

Coming to Ingalls: Pain Resource Nurse (PRN) Program Ingalls will be implementing the Pain Resource Nurse (PRN) program developed by the University of Wisconsin, which supports the American Pain Society Guidelines with a structured multi-level systems approach to pain management. Program goals include: 1) pain promptly assessed and treated, 2) patients involved in their plan of care for pain, 3) treatment patterns are improved, 4) reassessments and adjustments to their plan are made regularly, and 5) measurements of process and outcomes are monitored. The Pain Resource Nurse functions as a resource to their peers and patients and becomes a change agent through disseminating information and interfacing with other members of the healthcare team. They become role models for other staff through their assessments, documentation, interventions, communication, and patient teaching.

In order to be eligible for the PRN program, nurses must have a minimum of one year of nursing experience in a clinical setting, demonstrate interest in sharing knowledge with staff, have an ability to collaborate with others, demonstrate effective problem solving skills, and effective communication skills. The PRN program consists of two days of interactive case-based learning workshops. There will be quarterly Pain Care team quarterly meetings. They will be encouraged to assist in coordination of in-services, review journal articles and disseminate Pain Management Guidelines. If you are interested in learning more about this program, please call Roseann Serafin at X 5391. Susan Klaczak, MSN, RN Director, Patient Care Services

Nursing Excellence — Achieving high standards related to patient care outcomes The Ingalls Nursing Excellence Awards are being sponsored by the Ingalls Medical Staff for the third year in a row. Four categories in which the professional nurses practicing at Ingalls will be eligible for these awards include the following:

Excellence in Patient/Family Centered Care

Excellence in Role Modeling/Mentoring

Excellence in Collaboration/Relationships

Excellence in Leadership Role

Each winner will receive an award of $250 to be used toward

continuing education. We want you to consider your colleagues and their accomplishments over the past year. Consider nominating a peer worthy of these distinguished awards. Award winners will be announced at the 5th Annual Maureen Meyers Lecture Series planned on October 19, 2012. The Award forms can be found on the Ingalls intranet under the nursing info icon or on your units. Please return completed forms to Toni Folker by September 30. Susan Klaczak, MSN, RN Director, Patient Care Services


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Ingalls RN Self-Care Survey In March of this year, an RN Self-Care Survey was made available to 640 Ingalls nurses via online HealthStream. There were 255 nurses (39.8% return rate) who responded. The survey elicited nurses’ perceptions of their own self care. The first part consisted of 17 statements RNs were to read and rate how each one resonated with their life using a scale from strongly disagree to strongly agree. Next, staff were asked to rate the importance of ten potential self-care activities that the hospital could make available to assist employees in achieving stronger work-life balance. Finally, a free text section encouraged nurses to list any additional suggestions as to how Ingalls could further support their self care. Statement on Self-Care

Percentage of Strongly Agree

I feel the hospital supports me in self-care.

11

I am content with my current body weight.

20

I feel appreciated at work.

36

I take 30 minutes 3 times a week to exercise.

42

I eat a healthy diet each day.

48

I eat what is quick and available.

49

I know how to relax.

56

I do not have trouble managing my stress.

56

I feel I have the ability to step away after I have a particularly challenging situation.

59

I am able to detach myself from the little things.

62

I feel that I have the energy to complete my work days.

63

I am able to prioritize my personal time for self-revitalization.

65

I would participate in self-care activities if they were offered at the hospital.

67

I would take a 5 minute break for personal interests if there were a designated area.

69

I am able to leave my home problems at home and my work dilemmas at work.

75

I am able to forgive myself and others.

82

I have a positive outlook on life and am happy with my life.

85

Survey Findings The second section of the survey asked employees to rate the importance of potential self-care activities that the hospital could provide to assist nurses in achieving a stronger work-life balance. Results rated as strongly agree are presented in the following table.


Page 7 Self-Care Activity

Percentage of Strongly Agree

Onsite work-out facility

76.47

Diet/Weight counseling

68.24

Medical care (i.e. blood pressure checks)

64.71

Yoga

58.04

Self-care lecture series

57.65

Health coach

56.87

Respite room

55.29

Financial counseling

52.54

Meditation

52.16

Smoking cessation Program

34.90

The item listed as most important by nurses to help in achieving a stronger work- life balance was to have an onsite work-out facility (see graph). The second highest was diet/weight counseling. Both of these items appear to coincide with their feelings on the perceptions of selfcare related to weight, diet, and exercise from the first section of the survey. The fact that they rated the onsite exercise facility as number one also shows they are looking to the organization to help them in their realization of self-care.

Susan Klaczak, MSN, RN Director, Patient Care Services

Patricia Padilla, MSN, RN Manager, Patient Care Services

Joan Moser, MSN, RN Manager, Staffing Resources

Ingalls On Site Workout Facility Available Equipment:

Coming in August

Exercise Bikes  

Treadmills Ellipticals

How do you join?

Hours:

1st Floor behind Preadmission Testing Open 24 hours a day

Fee:

Free to all employees

Location:

Complete online Healthstream Orientation! Program questions call: Susan Klaczak Ext. 6725 Vik Pancholi Ext. 5004 Kathy Mikos Ext. 5043.


Page 8 Ingalls most current award recipients;

As we continue to move ahead, we want to recognize all the great work of our nurses. The Professional Development Council has been charged with continuing this excellent recognition program. After our initial award during nursing week in 2011, we have continued with monthly winners. All nurses are eligible, and nominations come from peers, patients and families, and are received via mail, email, voice mail, or written submission. Nominees are presented to the Professional Development Council, and a monthly Daisy Award recipient is selected from all the qualified nominees.

April Winner: Cindy Mazzoni, R.N., ICU May Winner: Peggy Spruner-Izzo, R.N., E4 June Winner: Diana DeBoer, R.N., E5 Frank Bradtke, MSA, RN, NEA-BC Director, Patient Care Services

Building a Culture of Safety Did you know that nursing is the #1 profession for strains and sprains risk and only second to heavy industry in injuries to muscles and joints? In April of 2011, Ingalls began a journey to create a “Culture of Safety” by initiating the Safe Patient Movement Program. All units and departments that participate in any form of patient movement completed an assessment. Based on this assessment, a list of equipment needs was developed and distributed. Trainings were held for Peer Safety Leaders in December and January. Peer Safety Leaders are staff members chosen from each unit/department who receive special training and then returns to the unit to share knowledge and skills with coworkers (Nelson & Baptiste, 2004). All staff completed Healthstream education and equipment competencies by the end of March 2012. So far this year (beginning in January 2012), we have seen 19 injuries related to patient movement. If this rate continues, we

will have accomplished a 20.8% reduction in staff injuries! So what can you do to continue to build this “Culture of Safety”? Use lift equipment whenever possible when moving patients – its safer for you and for the patient and can also help to decrease falls. Talk with your unit/department’s peer safety leader if you have a questions about which equipment to use or if you are unsure of how to use the equipment. Keep equipment in its designated location within the department so staff can find it easily. Don’t think it is faster to “just do it yourself” – it takes a lot longer to complete an occurrence report. Remember – it is not always the immediate injury that is the problem – it’s a lifetime of wear and tear on your joints and back that cause injuries in the future.

Utilize the information on the IMH Intranet on Safe Patient Movement. The Safe Patient Movement Program gives us the tools to strengthen our “Culture of Safety”. And by doing so we are demonstrating the Relationship-Based Care principles of caring for our patients, each other, and ourselves. Dorene Albright, MSN, RN, NE-BC Director, Comprehensive Rehabilitation

The Dr. Timothy C. Field Compassion and Caring Award Timothy C. Field, M.D., general and vascular surgeon, died on February 29, 2012, after an 11 month courageous battle against Leukemia. Dr Field demonstrated commitment to service to IMH for 28 years. He was a mentor, teacher/educator to many employees. He had vision and initiative in making IMH the healthcare provider of choice for the community. He motivated others to be the best that they could and challenged them to advance their careers. He truly saw the patient and their family as the center of his professional practice. His caring and compassion surrounded his presence

the organization. He collaborated with many disciplines to ensure with patients. Throughout Dr. Field’s tenure at Ingalls he touched many lives not of just patients and families but employees throughout excellent patient care and outcomes. In honor of Dr. Timothy Field the Field family established the Dr Timothy Field Compassion & Caring Award to recognize an Ingalls Health System employee that exhibits significance around compassion & caring in their interactions with patients. The award is open to all Ingalls employees. The first award with be given in October. Further details are available on IMH intranet. Michealene Redemske, MSN, RN Critical Care


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Roadmap to a Comprehensive Falls Prevention Program The Fall Prevention Committee recently completed an assessment of our Fall Prevention Program utilizing the “Roadmap to a Comprehensive Falls Prevention Program” developed by the Minnesota Hospital Association and the Veterans Integrated Service Network 8 (VISN8). The Veteran’s Administration has does extensive research into fall prevention within their large health system. The team decided to begin work on three initiatives: Education for Patients and Families, Fall Risk Screening/Assessment of Risk Factors/Linked Interventions, and Safe Environment. The objectives of these workgroups are;

Evaluate current screening tool.

Add additional assessment of patient risk factors when screening tool is positive.

Safe Environment

Link intervention options to risk factors.

Promote purposeful bedside rounding for all patients.

Develop process for front-line staff to integrate fall prevention checks in their rounding process for every patient.

Develop environmental assessment to identify safety issues on the units.

Develop patient/family education tools on fall safety.

Develop mechanism for documentation of education.

Research has shown that a screening tool is not enough when implementing a fall prevention program. Screening is not assessment….it only gives us a trigger for where to conduct a more thorough assessment. Once assessed, we must then link patient-specific interventions to the risks identified.

Develop mechanism for additional education when: patient’s condition improves making them more vulnerable to attempting unassisted transfers, patient has change in status that would make them more vulnerable to a fall (e.g., change in medication, undergoing a procedure), following a fall.

What can you do now? Focus on purposeful patient rounding every hour. Purposeful means incorporating the 4 P’s – pain, positioning, potty and personal belongings. Many falls are related to these four issues and anticipating patient needs can go a long way to reducing falls.

Education for Patients and Families

Fall Risk Screening/Assessment of Risk Factors/Linked Interventions

Dorene Albright, MSN, RN, NE-BC Director, Comprehensive Rehabilitation

Professional Growth and Development: Returning to School Today’s healthcare systems are rapidly changing and as professionals we are called upon to meet many challenges. Providing our patients with the best interventions and evidence based care requires a commitment to lifelong inquiry and learning. Formal education provides us a means to do this. Pursuing a higher level of education is encouraged and supported by our organization through the many programs and opportunities available. Some of these options include tuition reimbursement, scholarships, and discounted tuition rates at designated schools. Tuition reimbursement is available for qualifying employees through Human Resources. Applications must be completed prior to the first class of the course for which tuition reimbursement is being sought. Only approved schools (i.e.: North Central Accreditation) are covered. Full details regarding our tuition reimbursement program (eligible reimbursement, conditions of employment, etc.) can be found in the Hospital Policy: Tuition Reimbursement with Form # 967 . Scholarships are available from the Development Foundation. Employee scholarships are available two times a year (spring and fall semesters every year). Watch for postings or call the Development Foundation for information about the employee scholarship program.

Ingalls Education Department continues to pursue partnership agreements with schools to offer our employees discounted tuition rates. For information regarding available discounts through partnerships please contact the Education Department. We also welcome schools to host information tables in the Memorial Lobby throughout the year in an effort to make available to our staff information about the schools and the programs they offer. Watch for postings announcing these events and stop by the information tables to discuss programs with representatives. Roseann Serafin, MSN, RN, OCN Clinical Educator, Patient Care Services


“Nursing is an art: and if it is to be made an art, it requires an exclusive devotion as hard a preparation, as any painter’s or sculptor’s work; for what is the having to do with dead canvas or dead marble, compared with having to do with the living body, the temple of God’s spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts.” - Florence Nightingale Editorial Board: Karen Cicirale, ADN, RN, Discharge Nurse Navigator Nikki Castleberry, RN, Critical Care Marsha Habib, RN, Comprehensive Rehab Peggy Jugovics, RN, East 4 Pat Pfersdorf, BSN, RN, Nurse Manager/East 6 Roseann Serafin, MSN, RN, OC Clinical Educator Kathleen Mikos, DNP, RN, NEA-BC, Vice President for Patient Care Services/Chief Nursing Officer


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