2019 Nursing Annual Report

Nurses in Action Nursing Annual Report 2019

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Welcome “To think about your life is to create it. You have to take ownership of where you are right now and know where you want to go before you get there. Keep collecting evidence for your success. You can believe it, and you can be it.” - Ali Vincent.

At Orange Regional Medical Center (ORMC), quality is the center of our continual journey for nursing excellence. Our mission is devoted to improving the health of our community by providing exceptional healthcare. Patient-centered care, which places our patients and families first, is paramount. Transparency and open communication foster a robust and engaged workforce. We are driven by operational excellence, teamwork and collaboration so that nurses are accountable and take ownership to provide an impeccable healing environment for our peers, our patients and our community.

This has been a year of significant growth in workforce numbers, but more importantly in professional excellence. Our Shared Governance Nursing Congress exemplifies evidenced-based practice through ongoing research projects at all levels. Members of our team have been recognized at state, national and international levels. By participating in Shared Governance Nursing Congress Committees and Councils, ORMC nurses make change happen. We work at a facility that encourages staff to use evidence to enhance the quality of the care we provide our patients. Our peers act as a team to teach and mentor each other.

When a nurse obtains their license, they make an extraordinary decision to dedicate their career to the science and art of nursing. Decisions were made on which school to attend and apply their most important years of study to achieve licensure. Choosing a healthcare employer is an important decision.

As with many organizations, we are proud of our Magnet designation and proud that over 1000 nurses have chosen to practice the Art of Nursing within our walls. Nursing is the foundation in driving the patient experience to provide exceptional service. The list of achievements for 2019 signifies only a small amount of the work that is done by our nursing staff.

The difference at ORMC is that our nurses own their practice. It is part of our nursing strategic plan and goals. The future is in our hands to enhance the patient experience. The 2020 Magnet re-designation is all about celebrating ORMC nursing excellence in practice.

Sincerely, Lisa Oldham, PhD, MSN, RN-BC, NEA-BC, FACHE Chief Nursing Officer and Vice President of Patient Care Services

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Magnet designation is a prestigious credential given to a hospital for two reasons: excellence in nursing care practices and outstanding patient outcomes. Orange Regional Medical Center has fortified our commitment to nursing excellence.

In 2016, Orange Regional received the Magnet designation only privileged to 27 other hospitals in New York State. Orange Regional is the only hospital in the Mid-Hudson Valley with such recognition.

We filter every decision through the lens of our time-tested Magnet components.

Examples of our accomplishments are evidence of our nurses’ journey to Magnet excellence and nursing practice success. Some of the 2018-2019 Magnet component nursing accomplishments for which we are most proud of are:

TRANSFORMATIONAL LEADERSHIP • Our nursing leaders are visible, accessible and transparent • Welcoming a new Chief Nursing Officer and Vice President of Patient Care Services • Our nurses are empowered to lead in decision-making processes through our enhanced Shared Governance model and the direction of the organization’s mission, vision and values • Development of leader and staff-driven Tiered Huddles

STRUCTURAL EMPOWERMENT • In partnership with our community, nurses have been involved and have launched LGBTQ+ activities, Maternal Child activities and Healthcare Community activities • The recognition that some of our nurses have achieved for their contribution to the profession – Daisy Awards • Recognition for Nurse Board Certification

EXEMPLARY PROFESSIONAL PRACTICE • Our sustainment of exceptional patient care through our robust Professional Practice Model, C.A.R.E.I.N.G., is the cornerstone of support • The amazing work and initiatives in place to write the Magnet document together to showcase our Orange Regional nurses - GO WRITING TEAM! • New knowledge, innovations and improvements • The amazing laser focus centering on quality, evidence-based practice, research and innovation, all of which advancements have been achieved

• Successful implementation of the optimization of electronic assessments, care plan and SBAR • Welcoming a full-time Nurse Scientist, Ebony M. Samuel-Bakpessi, MSN-Ed., RN-BC, NPD

EMPIRICAL OUTCOMES • Orange Regional achieved the Healthgrades® 2019-2020 America’s 250 Best Hospitals Award™, placing the hospital in the top five percent of more than 4,500 hospitals assessed nationwide for superior clinical performance • Ethisphere Institute awarded as one of the 2018-2019 World’s Most Ethical Companies • Nurse Board Certification rate increased to 65% for staff nurses • Nurses BSN and higher degree rate increased to 74% • The continued success of our New Graduate Cohort/ Nurse Residency Program (NRP) yielded over 260 graduates since 2016 Orange Regional Medical Center is on the Magnet journey for re-designation. Creating and sustaining a culture of excellence is what it means to be on the Magnet journey. We are creating opportunities in challenging times as we embark on care driven by standards of excellence.

Sincerely, Dionne Johnson, MSN, RN Magnet Program Director

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MAGNET

About Magnet Designation

NURSING BY NUMBERS

Nursing By Numbers

27

Nursing Specialties

1,074

Average nursing experience is

11

74%

YEARS

65% Nurse Board Certification Rate

Our degree rate for BSN or higher surpasses the national average

69

Nurses

Nurse Leaders

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As our Magnet/Nursing Excellence Committee continues to grow and evolve, helping our staff march forth into our re-designation in 2020, we collectively decided to choose another Magnet facility within New York State to visit and to share information and ideas with.

Orange Regional Medical Center adopted Det Norske Veritas (DNV) as our accreditation partner. Our committee sent a letter asking for an invitation to visit a facility that adopts both DNV and Magnet Certifications of Nursing Excellence.

Det Norske Veritas means “The Norwegian Truth.” It has helped our facility reach new levels of nursing innovation and excellence for our patients, as we continue to gain a variety of accreditations for our hospital, health information management systems and program certifications. This advancement directly reflects our goals as a Magnet hospital, providing nursing excellence for our patients and community. As Magnet Champions, we hope to share our knowledge and commitment with other nurses in New York State and beyond.

THE C.A.R.E.I.N.G. MODEL As Magnet Champions, sharing the tremendous nursing excellence of ORMC’s nurses throughout the facility, we were asked to help develop our Nursing Professional Practice Model. This model has been redefined over the last several years and has been a shining reminder to all nurses of the amazing care we provide to our patients. The combination of Collaboration, Autonomy, Respect, Education, Innovation, Nursing Excellence and Growth is shown in all patient care areas.

Our team of Magnet Champions have been asked to develop a policy to expand on and detail this C.A.R.E.I.N.G. model and how it ties into our care delivery. The members collectively chose Bedside Handoff, “Per Protocol Orders”, Relate Training, MyChart patient information access, complementary and alternative medicine, reiki, HealthStream Learning Management System, Patient Falls Huddle, No Pass Zone for patient safety, Certifications, use of Voceras for communication, Quiet at Night and Plan of Care for patients as the main themes to tie into the Professional Practice Model of nursing care.

Each topic ‘fits’ into a piece of our C.A.R.E.I.N.G. model.

As we continue to work on our policy, we will bring forth the continued excellence of our nursing staff at ORMC, and our commitment to the mission of improving the health of our community by providing exceptional healthcare.

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MAGNET STORIES

Magnet Champions Stories

MAGNET JOURNEY

The Magnet Champions Journey Continues FUNDRAISING EFFORTS FOR MAGNET CONFERENCE

When our Magnet Director, Dionne Johnson, MSN, RN, received details regarding the 2019 Magnet conference, multiple Magnet committee members expressed their interest in attending. Our team knew that having members in attendance, and learning about Magnet at a national conference, would be of value.

In May 2019, we held bake sales to raise funds to send our members to the conference in Orlando, Florida. With the help of our Magnet Director, Magnet committee members and dedicated Magnet supporters, we held four extremely successful bake sales, raising more than $2,400 to help with the cost to attend the conference.

We are proud of our efforts and believe this shows our dedication to learn and evolve as Magnet committee members aka Magnet Champions. We are looking forward to sending our colleagues off to an informational Magnet conference and can’t wait for them to share their knowledge and experience with us!

MAGNET MONDAY SURVEY/RAFFLE BASKETS – NURSING EXCELLENCE

Each year, our Magnet team engages our nursing staff on “Magnet Monday” to kick off National Nurses Week. We create beautiful and thoughtful gift baskets (for free!) to raffle off to nurses. It is our way of saying “thank you” for their dedication to the nursing profession.

In 2019, we created a poster board presentation focusing on Nursing Excellence and how, we as nurses, excel in our profession at ORMC. We also used the presentation to help foster feedback from staff nurses on how they think the hospital/management/nursing staff could improve. We traveled from unit to unit with index cards, asking nurses to openly comment (negatively or positively) regarding their perception on the following areas: Adequacy of Resources & Staffing, Fundamentals of Quality Nursing Care, Professional Development, Autonomy, RN-to-RN Teamwork & Collaboration, Inter-professional Relationships and Leadership Access & Responsiveness. These responses were submitted anonymously to management and used to give insight into staff needs and thoughts. To give ALL staff a fair shot at being involved, our Magnet Director and Magnet committee members also made rounds on Magnet Monday Night at midnight for the nightshifters!

At the end of Nurses Week, three large gift baskets full of different relaxation goodies were given to nursing staff involved in the event. Thank you to ALL who participated in our interactive survey. Our committee’s focus is to remind nurses of their excellence and to help engage our fellow colleagues in our Magnet journey.

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C.A.R.E.I.N.G. EXAMPLE OF PROFESSIONAL GROWTH THROUGH COLLABORATION WITH LOCAL NATIONAL CHAPTER Nurses working in the Information Technology (IT) department are committed to professional development and recognize that there are not many opportunities to obtain continuing education (CE) credits in informatics in the local region.

Several of the nurses in the IT department belong to the American Nursing Informatics Association (ANIA) and their local chapter, New York Tri-State Chapter of ANIA. Currently, two of the nurses hold board positions on the local chapter.

Jennifer Lebron, MSN, RN-BC, Alumnus PCCN, Epic Clinical Documentation Analyst, is the Chapter President and Tara Vollano, BSN, RN, Lead ASAP Analyst, is the Membership Outreach Coordinator. The team saw this as an opportunity to collaborate. Through the leadership and guidance of Shelly Massimilla, MSN, RN, Director of Clinical Systems and Epic Training, and Lisa Oldham, PhD, MSN, RN-BC, NEA-BC, FACHE, CNO/VP Patient Care Services, nurses partnered with the New York Tri-State Chapter of ANIA to host the Fall in Love with Nursing Informatics Symposium.

The symposium is a venue through which members of the informatics community are able to attend sessions focused on the latest trends in informatics right in the Hudson Valley. Attendees will be awarded 5 CE credits upon completion.

Four out of the five speakers are nurses that work in the IT department. The nurses worked closely with Marcy Manheim, Director of Marketing and Public Relations, Lauren Kropf-Zuckerman, Senior Marketing and Public Relations Specialist, Rebekka Slate, Marketing and Public Relations Coordinator and Victoria Lange, Marketing and Public Relations Digital Specialist, to advertise the event within our internal employee newsletters, online and provide promotional items. The CNE approval process was facilitated by Peggy A. Ensslin, MSN-Ed, MBA, RN-BC, CEN from Nursing Professional Practice. This is an example of how a team of nurses can work collaboratively within their organization and utilize their membership in professional organizations to continue to grow within their own community.

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C.A.R.E.I.N.G.

C.A.R.E.I.N.G.

C.A.R.E.I.N.G. CONTINUES

ORMC C.A.R.E.I.N.G. Continues 3 NORTH C.A.R.E.I.N.G. MODEL

THE CLINICAL DECISION AREA AND AUTONOMY

The 3 North, Progressive Care Unit (PCU), is comprised of nurses, nursing assistants, unit clerks and housekeepers who ensure our patients are receiving high-quality, safe patient care every day. This is evident by our patient satisfaction scores in the category of “Nurses treated you with courtesy and respect”, where we are currently at the 93rd percentile.

When the Clinical Decision Area (CDA) team opened the new unit two years ago, it was a very exciting time. Many experienced nurses decided to leave what they knew and begin a new journey. Months of planning and identifying patient care needs went into the development of the CDA. As with anything new, there was a learning curve and within a few weeks, nurses identified areas of enhancement regarding patient selection.

Collaboration: “PCU Cares” is a program that

allows nurses to collaborate and provide care within the community. Examples: we provided meals for the women’s shelter, provided food for the animal shelters, donated and delivered Christmas presents to 15 families (wrapped and hand-delivered) and participated in garbage pick-up day in Middletown, NY.

CDA nurses raised their concerns and decided the best way to meet length of stay goals was to allow nurses the autonomy to identify which patients could be best served in the CDA. They learned about observation and shortly became experts on what diagnoses and patients they could treat quickly to meet the length of stay goal of 24 hours.

Nurses choosing their own patients is not practiced anywhere else in the hospital. The nurses presented their case to leadership and were granted the autonomy to make the decision as to which patients they could and could not take into the CDA. They owned the process and before long, our conversion rate dropped from 50% to 5-7%.

The morale in the unit increased as the nursing team was encouraged by their ability to be autonomous in their practice.

Autonomy: As educators, nurses use autonomy to

provide written material to our patients regarding their disease process and side effects of new medications that patients are prescribed.

Respect: The staff engagement team from days and

nights on the unit collaborated with our providers to increase the lines of communication among the healthcare team, including the patients and families.

This allows the patient the respect and courtesy of being up-to-date on their plan of care.

Education: Our nurses continue to strive for a higher

level of education, which shows their commitment to their profession. We are currently at 74% for BSN prepared RNs, with four RNs currently enrolled in Baccalaureate programs.

Innovation: Nurses and nursing assistants are involved

in the PCU councils to continually find ways of improving processes for positive patient outcomes and satisfaction, both patient and staff.

Nursing Excellence: Several nurses from 3 North were awarded the Daisy award, which highlights the excellent care that these nurses provide our patients.

Growth: Our nurses continue to raise the bar for

themselves, committing to their profession through certification. We have doubled our percentage of certified nurses in the last year, from 27% to 65%.

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1.

2.

Orange Regional Medical Center 2019 Nurse BSN and Higher Degree Rate

Nurse Board Certification Rate

90%

BSN and Higher Degree Rate

Orange Regional Medical Center 2019 Nurse Board Cer fica on Rate

RN BSN and Higher Degree Goal =/>80%

100%

80% 70% 60% 50% 40% 30% 20%

BIG 5 QUALITY STATS

Big 5 Quality Stats Nurse Board Cer fica on Target =/>51%

80% 70% 60% 50% 40% 30% 20% 10%

10%

0%

0%

2018 Baseline

2019_Q1

2019_Q2

2019_Q3

2019_Q4

Clinical Nurses

47%

51%

65%

73%

65%

Nurse Leaders

53%

57%

64%

58%

57%

3.

100%

Orange Regional Medical Center 2019 Pa ent Experience InPa ent Communica on with Nurses Top Box Percent

90%

Top Box Percent

80% 70% 60% 50% 40% 30% 20% 10% 0%

4.

Q2-2019

Q3-2019

Q4-2019

81%

80%

81%

79%

Na onal Benchmark-300-400 Beds

79%

79%

79%

79%

Orange Regional Medical Center 2019 Pa ent Experience InPa ent Communica on with Nurses Top Box Percent

90%

80%

80%

70%

70%

60% 50% 40% 30% 20%

Q2-2019

Q3-2019

Q4-2019

ORMC InPa ent Communica on with Nurses Top Box Percent

81%

80%

81%

79%

Na onal Benchmark-300-400 Beds

79%

79%

79%

79%

Orange Regional Medical Center 2019 Pa ent Experience Ambulatory Overall Nurses Top Box Percent

40% 30% 20%

Q1-2019

Q2-2019

Q3-2019

Q4-2019

ORMC Ambulatory Overall Nurses Top Box Percent

87%

85%

86%

87%

Na onal Benchmark-Onsite Peer Group

86%

86%

86%

86%

NURSE SENSITIVE INDICATORS

5.

100% 90% 80% 70%

Top Box Percent

50%

0% Q1-2019

60% 50% 40% 30% 20% 10% 0%

60%

10%

10% 0%

Orange Regional Medical Center 2019 Pa ent Experience Ambulatory Overall Nurses Top Box Percent

100%

90%

Top Box Percent

Top Box Percent

100%

Q1-2019

ORMC InPa ent Communica on with Nurses Top Box Percent

Q1-2019

Q2-2019

Q3-2019

Q4-2019

ORMC Ambulatory Overall Nurses Top Box Percent

87%

85%

86%

87%

Na onal Benchmark-Onsite Peer Group

86%

86%

86%

86%

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Celebrating Certified Nurses Day Orange Regional Medical Center and Orange Regional Medical Group celebrate Certified Nurses Day by honoring their Board-certified nurses. This list reflects Board-certified nurses between the dates of March 20, 2018 and March 19, 2019 as they appeared in the Times Herald-Record in March 2019.

Nicholas Acierno, RN Kristen Adams, RN Lydia Akite Ogwal, RN Stefanie Alexander, RN Michelle Alexis, RN Heather Anderson, RN Karen Anderson, RN Angel Angeles, RN Taj-Mone’t Anthony, RN Julia Arras, RN Andrea Arsenault, RN Elise Babcock, RN Stephanie Babcock, RN Alice Bach Bast, RN Yolani Baker, RN Jennifer Bankich, RN Ellen Barron, RN Dawn Bast, RN Debra Beakes, RN Tiffany Beam, RN Roberta Beany, RN Angel Beebe, RN Jennifer Behrent, RN Zoe Beickert, RN Teresa Bell, RN Martha Belzie, RN Heidi Benedict-Lewis, RN Enid Berg, RN Kathy Bermo, RN Lauren Berweger, RN Daphne Besten, RN Sandra Binkowski, RN Stacey Binns, RN Debbie Biondi, RN Christia Blackburn, RN Kereen Blackwood-Hiller, RN Tracy Blum, RN Veronica Bollati, RN Stephanie Bonanno, RN Zoe Boniface, RN Stacy Bonner, RN Marjorie Borkenhagen, RN Elizabeth Bouquot, RN Steven Bowley, RN Jennifer Breitenfeld, RN Cynthia Brennan, RN Sarah Brown, RN Tess-Ann Brown, RN Rachelle Brutus-Bush, RN Alyssa Bujalski, RN Laura Bukowski, RN Christina Burgess, RN Deirdre Burns, RN Tara Byrne, RN Tanya Camacho, RN

Karen Canavan, RN Susan Cannock, RN Christine Canzoneri, RN Lauren Caroli, RN Kyra Carr, RN Donna Charitable, RN Barbara Charland, RN Samantha Chatham, RN Linda Chudow, RN Jessica Citriniti, RN Kathryn Clark, RN Sunceray Clarke-Velez, RN Kevin Clay, RN Mary Anne Clay, RN Lauretta Colgan, RN Dawn Colon, RN Tamera Compasso, RN Renee Conklin, RN Freddy Conklin, RN Lauren Connoly, RN Diane Conte, RN Gloria Contreras, RN Jennifer Coomer, RN Rosemarie Corigliano, RN Mary Ellen Crittenden, RN Korinne Croce, RN Abigail Cross, RN Alyssa Crowe, RN Anna Cruz, RN Marie Jasmine Cuison, RN Mary Catherine Cutilli, RN Briana Da Silva, RN Annmarie Dale, RN Deirdre D’Alfonso, RN Jeanine Davison, RN Susan Decker, RN Jennifer Delgado, RN Monica Delrosso, RN Karen Deroziere, RN Valentina Desmedt-Wells, RN Maria Dets, RN Colleen Devitt, RN Ann DiAgostino, RN M’Lissa Dick, RN Linda Dickman, RN Jennifer DiMascio, RN Kristal Dolson, RN Karen Donaldson, RN Maureen Donnelly, RN Barbara Dubois, RN John Duffy, RN Nicole Dugan, RN Courtney Durfee, RN Stefanie Dymond, RN Theresa Eckert, RN

Patricia Elliott, RN Lisa Enright, RN Peggy Ensslin, RN Josephine Ewanciw, RN Ricky Fairbairn, RN Regina Falasca-Smith, RN Donna Ferguson, RN Jamie Ferguson, RN Diana Fernandez, RN Enid Figueroa, RN Miriana Figueroa, RN Halana Finnie, RN Kathleen Flessa, RN Soila Flores, RN Nancy Folino, RN Dalia Fong, RN Kristin Ford, RN Tiffany Fortes, RN Patricia Fox, RN Tonya Fox, RN Catriona Fraser, RN Keble Frazer, RN Nora Gage, RN Lynn Gailie, RN Fabrisa Gallagher, RN John Gallagher, RN Margaret Gallagher Brother, RN Jasmine Garces-King, RN Laura Garlick, RN Sharon Geidel, RN Justine Geisler, RN Arielle Gelardi, RN Andrea Gerspach, RN Renee Gerstner, RN Patricia Gonzalez, RN Brigitte Gordon, RN Dawn Goring, RN Loretta Grahn, RN Katrina Grandolfo, RN Bonnie-Jo Graziano, RN Virginia Grieb, RN Laura Guerra, RN Jeanice Guinup, RN Jennifer Hadden, RN Christina Hahn, RN Shufei Hall, RN Robert Hamilton, RN Dawn Hammer, RN Katie Hanrahan, RN Karen Hansen, RN Michele Harfield, RN Jennifer Harker, RN Lydia Hart, RN Evelyn Hehir, RN Amy Heins, RN

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Deborah Heins, RN Sarah Hendryk, RN Nora Higgins, RN Michele Hoffmann, RN Michelle Hostutler- Okeefe, RN Joan Howe, RN Tara Hunter, RN Karen Huslinger, RN Nadine Hutchins, RN Amir Islam, RN Kimberly Jablonski, RN Veronica Jackson, RN Zena Jamal, RN Edmund James, RN Sheilla Jean-Baptiste, RN Christopher Johnson, RN Tammy Jollie, RN Dana Jones, RN Laura Jones, RN Jasinth Jones-Clark, RN Kathleen Joy, RN Danielle Juers, RN Jean Kania, RN Shannon Karwoski, RN Veerpal Kaur, RN Kathleen Keeley, RN Shannon Keesler, RN Maureen Kennedy, RN Kristina Keppler, RN Dahlia Khawns, RN Deborah Kippel, RN Erin Kirwan, RN Sarah Klein, RN Elizabeth Klimczak, RN Joseph Klotz, RN Amy Knapp, RN Elizabeth Knight, RN Jacqueline Knosp, RN Heather Knox, RN Jeanine Koehnken, RN Svitlana Koroleva, RN Belinda Kowal, RN Lisa Kozma, RN Jodi Kresse, RN Samantha Krunfol, RN Ryan Kruse, RN Melissa Kuhn, RN Molly Kuhn, RN Alice Kwiecinski, RN Amanda LaBar, RN Jennifer Lacina, RN Cheryl LaFiandra, RN Angella Laing-Rodgers, RN Nancy Lane, RN Linda Lanfear, RN

Board certification of nurses plays an increasingly important role in the assurance of high standards of care for patients and their loved ones. Orange Regional encourages national Board certification for all our nurses.

Please join Orange Regional and the national nursing certification organizations in honoring these hardworking, dedicated nurses for their professionalism and a job well done! Thank you for all you do!

To join our team of dedicated nurses at Orange Regional, visit ormc.org/careers.

Catherine Langlitz, RN Christina Laruccia, RN Dawn Lauchaire, RN Jennifer Laurentius, RN Melissa Lawlor, RN Tracy Lawrence-Stevens, RN Jennifer Lebron, RN Siena Lecorps, RN Courtney Leslie, RN Heather LeVea, RN Rose Lindsay, RN Hannah Loderhose, RN Susan Loos, RN Robert Lotz, RN Katherine Lucchese, RN Vanessa Lupo, RN Krystle Mabee, RN Andrea Machado, RN Wendy Mack, RN Christine Mackay, RN Leann Maher, RN Ellen Mahony, RN Angela Maina, RN Jennifer Maloy, RN Jason Manclow, RN June Maniaci, RN Laura Mannix, RN Gisselle Marcido, RN Michelle Marte, RN Donna Martin, RN Stephanie Martir, RN Agnes Marvulli, RN Lynn Matthews, RN Natalia McCafferty, RN Jacqueline McCloud, RN Angela McCormack, RN Elizabeth McDonald, RN Madeline McDonough, RN Bonnie McFarland, RN Jessica McGrail, RN Maureen McInerney, RN Lindsay McKeon, RN Paula Mcloughlin, RN Kathleen McMahon, RN Sonya McMillan, RN Kristin Mecocci Walicki, RN Allyson Medina, RN Aimee Meehan, RN Dianne Merenyi, RN Erin Miller, RN Melissa Mills, RN Mary Mineau, RN Colleen Minnock, RN Mary Miraglia, RN Paula Mohansingh, RN

Irene Moloney, RN Alexandra Monell, RN Jeannette Montalvo, RN Vickie Monti, RN Kerin Mora, RN Sheila Moreau, RN Michelle Morgiewicz, RN Gaelle Morris, RN Heidi Mosher, RN Tonianne Motta, RN Cynthia Mucci, RN Sidoney Mullings, RN Sara Mulzac, RN Dianne Murphy, RN Meghan Murphy, RN Sean Murphy, RN Erika Nadramia, RN Brittany Nagy, RN Gail Nastasi, RN Susanne Neenan, RN Maureen Neidnig, RN Tracie Newkirk, RN Maranique Nichols, RN Maria Noa, RN Charlotte Noviello, RN Joanne O’Brien, RN Lauren O’Connell, RN Holly Ohern, RN Lisa Oldham, RN Karly Olivieri, RN Michele Olszanecki, RN Jayne Omalley, RN Belinda Ong, RN Rebecca Orman, RN Edna Orsini, RN Jennifer Ortiz-Patton, RN Lucy Palomino, RN Kelly Paluszek, RN Arienne Patzelt, RN Herminia Paulovici, RN Liza Peereboom, RN Suzanne Peller, RN Deirdre Pettus, RN Jennifer Pfeister, RN Jezzreel Phillips, RN Carmella Pistone-Halpern, RN Monica Polick, RN Lorraine Porcaro, RN Jeanne Price, RN Promesa Primus, RN Dawn Prosser, RN Maria Pryluck, RN Pamela Pugliese, RN Justin Ramcharitar, RN Mohani Ramsahai, RN

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Jean Regan, RN Ann Reilly, RN Anthony Rella, RN Robin Remaley, RN Shanita Reynolds, RN Latoya Richards, RN Jessica Rios, RN Rena Rios-Martin, RN Tennille Rivera, RN Kristina Roberts, RN Myrtle Robertson, RN Sady-Ann Robinson, RN Sharon Robinson, RN Sara Rodriguez, RN Rachel Roeber, RN Laura Roetman, RN Michael Rollin, RN Kayla Rosa, RN Margaret Rosas, RN Lisa Rose, RN Maureen Rose, RN Melissa Rose, RN Kelly Roth, RN Charmaine Rufh, RN Sarah Ruggiero, RN Cathy Ryan, RN Sara Sargente, RN Callie Schlosser, RN Nicole Schultz, RN Jennifer Selby, RN Robin Sells, RN Lisa Semmeles, RN Nicole Sewell, RN Virginia Sharff, RN Jennifer Shepp, RN Dorothy Shivers, RN Mary Shormis, RN Cindy Shufelt-Boyce, RN Nicole Siegel, RN Corinne Siracusa, RN Jacqueline Slanovec, RN Jennifer Smyth, RN Debora Snyder, RN Kimberly Soria, RN Melina St. Tulias, RN Edna Stachurski, RN Laurie Stalter, RN Jemps Stfleur, RN Latoya Stukes, RN Sue Sturtz, RN Sadhana Subramanian, RN Sheri Succi, RN Maria Sutz, RN Geraldine Sweeney, RN Margaret Swyka, RN

Deborah Szulewski, RN Geraldine Tam, RN Yoriko Tange-Campbell, RN Brenda Taylor, RN Selin Tekin, RN Roberta Tenorio, RN Susan Thirkield, RN Alicia Thomas, RN Cheryl Thomas-Harcum, RN Sarah Tice, RN Elissa Tomich, RN Kaitlyn Umstead, RN Jessica Verblaauw, RN Deborah Vermilyea, RN Lucy Vesely, RN Polly Ann Victor-Anthon, RN Melissa Villamil, RN Samantha Villanueva, RN Amanda Vucetaj, RN Donna Waaland, RN Marianne Walker, RN Emily Walsh, RN Ann Wanderling, RN Donna Watch, RN Lauren Werner, RN Stephanie Wheeler, RN Patrick Wilcox, RN Lauren Wildrick, RN Kimberly Wilkins, RN Emani Wilmore, RN Elisa Wilson, RN Melissa Wixon, RN Jessica Wood, RN Carolyn Woods, RN Kate Woods, RN Michele Worden, RN Alison Wright, RN Karen Wurtz, RN Kimberly Yablonski, RN Rosalinda Yap, RN Julie Ziegler, RN Jennifer Zink, RN Melissa Zuber, RN

AMERICAN NURSES CREDENTIALING CENTER

SHARED GOVERNANCE

Shared Governance Nursing Congress A BEST PRACTICE APPROACH

Shared Governance Nursing Congress 2019

As we continue our journey toward nursing excellence, everyone should be aware of the importance of having a Shared Governance Nursing Congress.

HOW DOES SHARED GOVERNANCE NURSING CONGRESS FUNCTION? Shared Governance Nursing Congress meets monthly.

Additional activities and meetings are added as necessary.

Meetings and activities of the day are as follows:

• STATE OF THE UNION HUDDLE/UPDATE: A

WHAT IS SHARED GOVERNANCE NURSING CONGRESS?

15-minute huddle/update session with the CNO/ VP, Nurse Leader Advisors, Shared Governance facilitators and members representing all Councils and Committees.

Orange Regional Medical Center Shared Governance Nursing Congress provides the framework for accountability and autonomy of the nursing practice and strategic goals. Shared Governance is comprised of frontline staff and leader advisors who actively engage in the work of enhancing their practice.

• COUNCILS: The Council shared decision process

promotes plans, actions and implementation for optimal patient care based on best practice and best evidence.

• COMMITTEE: A shared decision-making group

There are eight Nursing Councils and five Focused-Based Committees ensuring consistency of nursing practice at all levels throughout the organization. The Councils and Committees utilize a shared decision-making model to guide the development, implementation and evaluation of evidence-based practice and quality in the practice setting.

representing members from each of the eight Nursing Councils discusses focus-based concerns. Action and implementation are formulated.

• SENATE: Coordinates the work completed by all

Committees and Councils. The Nurse Leader Advisor, Chair or Co-Chair for each Committee and Council is the product of the Senate.

Self-nomination and nomination forms to become an active member of Shared Governance are distributed in the fall and confirmations are posted in November.

New and continuing members are invited to an Inauguration-Learning Session in January to better understand Shared Governance.

• CASCADING SENATE HIGHLIGHT: This is a report

which includes key discussions summarized from all levels of Shared Governance Nursing Congress meetings. The report is cascaded, disseminated and shared with frontline staff via email/post.

For more information, please contact Dionne Johnson, MSN, RN, Nursing Professional Development Department, at 845-333-2131 or djohnson5@ghvhs.org.

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Orthopedics / Rehabilitation / Surgical / Procedural Council

Nursing Professional Excellence Committee

Safety Committee

Emergency / Behavioral Health / Clinical Decision Area Council

SHARED GOVERNANCE

NURSING COUNCILS AND FOCUSED-BASED COMMITTEES

Nursing Leadership Advisory Council

Nursing Research and Evidence-Based Practice Committee

Nursing Unit Coordinators Council

Nursing Assistants / Technicians Council

Interdisciplinary Education Committee

Critical Care / Progressive Care Council

Medical / Oncology Council

Nursing Innovation Committee

Maternal / Child / Pediatrics Council

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AWARDS AND RECOGNITION

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NurseNOMINEES of Distinction

In conjunction with an 1199SEIU joint labor management project, outstanding nurses from Orange Regional represented our organization at the “Academy Awards for Nurses” in May 2019 at the Brooklyn Bridge Marriott.

Each year, one winner is selected in each of the following categories: nurse of distinction, nurse leader, preceptor and novice nurse. Congratulations to the following nurses for being selected by Orange Regional’s Nurse of Distinction Committee as a nominee in the following categories: NOVICE Paula McLaughlin - Operating Room

NURSE LEADER Debra Beakes - Administrator of Medical Services

PRECEPTOR Steven Bowley - Inpatient Rehabilitation

NURSE OF DISTINCTION Alexandra Monell - Infusion Therapy

Nurses were nominated by their peers and leadership in recognition of their skills and dedication to their profession, patients, co-workers and the organization. From the list of nominees, semi-finalists in each category were selected. Semi-finalists across New York State were interviewed by the New York City nursing committees and competed against other New York institutions for the top honor in each category.

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NURSING SPECIALTIES

Where Nurses Provide C.A.R.E.I.N.G.

NURSING RESEARCH

Nursing Research PROJECT SPOTLIGHT: THE GREAT COOKIE EXPERIMENT Project Title: The Great Cookie Experiment: How to Differentiate Between Good and Crummy Research Principal Investigator: Ebony M. Samuel-Bakpessi, MSN-Ed., RN-BC, NPD Nursing Research and EBP Committee IRB Approval: October 3, 2019

The Shared Governance Nursing Research and Evidence-Based Practice (EBP) Committee is delighted to announce their acceptance of the abstract on “The Great Cookie Experiment: How to Differentiate Between Good and Crummy Research”, submitted by Nurse Leader Advisor Ebony M. Samuel-Bakpessi, MSN-Ed., RN-BC, NPD for Sigma Theta Tau International 31st International Nursing Research Congress. Participants of the study were comprised of Nursing Shared Governance Members and Magnet Champions, totaling 57 participants. The project has been selected for a poster presentation at the 2020 Congress that will take place in Abu Dhabi, United Arab Emirates in July 2020. Cheers to Nursing Research and EBP.

NEW KNOWLEDGE, INNOVATION & IMPROVEMENTS NURSING RESEARCH STUDIES APPROVED BY ORMC INTERNAL REVIEW BOARD Project Title: Distress Screenings for Oncology Patients: A Best Practice Approach Principal Investigator/Co-PI: Alexandra Monell, BSN, RN & Stephanie Bonanno, BSN, RN, OCN IRB Approval: November 19, 2019 Project Title: Alleviation and Prevention of Burnout Syndrome Amongst Critical Care Nurses Utilizing a Multi-modal Approach Principal Investigator: Kathy Bermo, BSN, RN, CCRN, CMSRN, NE-BC IRB Approval: July 18, 2019 Project Title: Improving Bi-Directional Communication within Nursing Service by Implementing a Tiered Huddle Structure Nursing Leadership Advisory Council (NLAC) IRB Approval: July 16, 2019

Project Title: Increasing Knowledge on Lavender Essential Oil to Reduce Work Related Stress: Ashley Lapolla, BSN, RN & Brittaney Torchio, BSN, RN IRB Exemption: March 4, 2019

Project Title: Enhanced Recovery After Surgery Principal Investigator: Jessica Wood, DNP, RN, CMSRN IRB Approval: April 3, 2018 Project Title: Increasing Nurses’ Knowledge Regarding Pain Management Principal Investigator: Irene Moloney, BSN, RN IRB Approval: July 18, 2017 Project Title: The Effect of White Noise Machine as Therapy to Promote Sleep in Rehabilitation Unit Patients Principal Investigator: Sadhana Subramanian, BSN, RN, CRRN IRB Approval: November 21, 2017

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PRESENTATIONS AND PUBLICATIONS

The Great Cookie Experiment: How to Differentiate Between Good and Crummy Research By: Ebony M. Samuel-Bakpessi, MSN-Ed., RN-BC, NPD and the Nursing Research and EBP Committee Transdisciplinary Purposeful Rounding-Harms Reduction By: Carmella Pistone-Halpern, MA, CRRN, NEA-BC; Ann McEnroe-O’ Connor, MBA, PT; Brianne Germain, BSN, RN; Steven Bowley, CMSRN, CRRN Improving Quiet at Night Scores with White Noise Machines/Research Utilization Among Rehabilitation Nurses By: Sadhana Subramanian BSN, RN, CMSRN; June Maniaci, BSN, RN, CRRN; Nora Higgins, BSN, RN, CMSRN; Zoe Beickert, BSN, RN, CMSRN; Carmella Pistone-Halpern, MA, CRRN NEA-BC; Ann McEnroe-O’ Connor, MBA, PT Subcutaneous Injection Guidelines for the Education of Persons with Diabetes-2019 By: Lorraine Porcaro, MS-DEDM, RN, CDE, BC-ADM Increasing Nurses Knowledge on Lavender Essential Oil to Reduce Work Related Stress By: Brittaney Torchio BSN, RN and Ashley Lapolla BSN, RN

SHARED GOVERNANCE NURSING RESEARCH AND EVIDENCE-BASED PRACTICE COMMITTEE

The Shared Governance Nursing Research and Evidence-Based Practice Committee strives to offer support to all. With the hope to ignite a spirit of inquiry, seeking to bring best practices to fruition, the committee is dedicated to the success of Nursing Research and Evidence-Based Practice at ORMC. Over the last year the committee has:

• Disseminated education and guidance to the various Nursing Shared Governance Councils and Committees

• Fostered interdisciplinary collaboration with the Graduate Medical Education Department • Evaluated, appraised and recommended action plans to other associates with Nursing Research and Evidence-Based Practice competency levels ranging from Novice to Expert

The committee looks forward to the future as we continue our journey of nursing excellence.

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NURSING RESEARCH

Nursing Research and Evidence-Based Practice

STRATEGIC PLAN

ORANGE REGIONAL MEDICAL CENTER...

WHERE OUR NURSES MAKE ABOVE AND BEYOND POSSIBLE .

Nursing Strategic Plan 2018 - 2022 MISSION

Nursing will improve the health of our community by providing exceptional healthcare.

OUR ‘SIGNATURE’ PROMISE THAT WE OWN OUR PRACTICE

VISION

GOALS § Service: Sustain OUR Nursing C.A.R.E.I.N.G. model to create an exceptional patient experience utilizing RELATE principles. § Quality & Patient Safety: Promote a harm-free environment by providing safe quality care for our patients.

Nurses are caring professionals driven by standards of excellence who go above and beyond to provide an exceptional patient care experience.

§ Finance: Provide fiscally responsible efficient Nursing practice that supports ORMC financial health.

VALUES § Patients and families first.

§ People: Support excellence in clinical practice by recruiting and retaining the highest quality Nursing personnel.

§ Honesty, integrity & transparency in action.

§ Growth: Further Nursing professional growth and development by employing Evidence Based Practice and embracing change.

§ Operational excellence, teamwork, collaboration & communication. § Accountability.

Nursing is more than a profession of integrity and compassion, it is a privilege that measures out your values as a human being and the responsibilities granted to you with the precious gift of life.

§ An impeccable healing environment.

August 2018

A member of the Greater Hudson Valley Health System

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NURSING IS MORE THAN A PROFESSION OF INTEGRITY AND COMPASSION Collaboration is the interaction that ORMC nurses have with other professionals to ensure we provide an exceptional patient care experience.

Autonomy is the authority and freedom of ORMC nurses to engage in decision-making within the full scope of our practice.

Respect is the empathic communication that ORMC nurses have with patients, families and other health professionals.

Education is empowering patients through information and patient engagement initiatives. Patients and families come first for a compassionate, healing environment with respect for dimensions of diversity and informed decision-making.

Innovation is the novel set of behaviors and practices that ORMC nurses direct at improving health outcomes, administrative efficiency, cost effectiveness and/or patient experience. These are implemented through our planned and coordinated actions.

Nursing Excellence is when ORMC nurses hold each other accountable for our behaviors and performance. We recognize that the actions of one speak for the entire team. We all strive to provide an exceptional patient care experience.

Growth is the act of ORMC nurses developing professionally. This can be accomplished through formal education, continuing education, membership in a professional organization, membership on an ORMC council or committee, attending conferences, reading current nursing literature, staying current on national nursing trends, participating in evidence-based practice opportunities and participating in nursing research opportunities.

Nursing is a privilege that measures our values as human beings

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C.A.R.E.I.N.G. MODEL

Nursing Professional Practice Model

707 East Main Street | Middletown, New York 10940 | 845-333-1000 | www.ormc.org A member of the Greater Hudson Valley Health System