Methodist Health System - 2020 Nursing Annual Report by methodistheatlhsystemdallas

NURSING ANNUAL REPORT

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Table of

TOC CONTENTS INTRO LETTER

SYSTEM OVERVIEW

2020 VISION

BY THE NUMBERS

COVID-19 SPECIAL SECTION

COMMUNITY OUTREACH

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

TRANSFORMATIONAL LEADERSHIP

STRUCURAL EMPOWERMENT

NURSING IMPROVEMENT PROJECTS

EXEMPLARY PROFESSIONAL PRACTICE

2020 RESEARCH

PRESENTATIONS AND PUBLICATIONS

CELEBRATING CERTIFIED NURSES

The Year of the Nurse, 2020, is a year we willLETTER never forget.” WELCOME

Greetings! It is with great pleasure that we present the 2020 Methodist Health System (MHS) Nursing Annual Report. The Year of the Nurse, 2020, is a year we will never forget. It was a year that required us to ascend even higher and do even more than the usual “above and beyond” that we are so accustomed to doing. Methodist nurses braved the frontlines and confronted this COVID-19 pandemic with fortitude, unparalleled strength, increased resilience, and greater courage, all while providing the most compassionate patient care possible. Despite the challenges the pandemic presented, Methodist nurses overcame them by continuing to pursue nursing excellence and remaining focused on our patients and the care they need. The MHS nurses continued to support and live out its mission to improve and save lives through the delivery of compassionate, quality healthcare. From caring for patients on the frontline to administering vaccines in the COVID-19 vaccine clinic, each nurse has contributed to fulfilling the health system’s vision to be the trusted choice for health and wellness. The challenges and obstacles of 2020 did not deter MHS from making strides in patient care and in the community. Methodist Midlothian Medical Center opened its doors in the fall, enabling our southern communities to have access to the same level of compassionate, quality healthcare services being experienced in other MHS locations. Methodist Charlton submitted their Magnet® documents and are eagerly preparing for their virtual visit in 2021. These accomplishments, and many more, are largely due to our outstanding team! We are honored to have nurses who choose to serve in our hospitals and provide highly competent, collaborative, and compassionate care to our patients and their loved ones during their greatest times of need. On behalf of myself and the hospital chief nursing officers, we are excited to celebrate the numerous contributions and accomplishments from our incredible nurses over the last year. Thank you nurses for your service and commitment – our nursing excellence journey continues!

Jolyn Angus, MBA, BSN, RN, NEA-BC, CENP Senior Vice President and Chief Nursing Executive, Methodist Health System

Teresa Land, MBA, BSN, RN Vice President Nursing and Chief Nursing Officer, Methodist Charlton Medical Center

Barbara Madden, MSN, RN Vice President Nursing and Chief Nursing Officer, Methodist Dallas Medical Center

Nora Frasier, DNP, RN, NEA-BC, FACHE Vice President Nursing and Chief Nursing Officer, Methodist Mansfield Medical Center

Irene Strejc, MPH, BSN, RN, CENP Vice President Nursing and Chief Nursing Officer, Methodist Richardson Medical Center

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

system

OVERVIEW METHODIST DALLAS MEDICAL CENTER 556 licensed beds Magnet® recognized hospital as designated by American Nurses Credentialing Center (ANCC) Approximately 2,200 employees, as well as over 1,500 corporate and subsidiary employees Home to The Liver Institute and The Transplant Institute at Methodist Dallas, Methodist Digestive Institute, and Methodist Brain and Spine Institute Level I Trauma Center, one of three in Dallas County and the only one in southern Dallas Surgery Epicenter, designated by Intuitive Surgical, the makers of the robotic da Vinci® Surgical System First in the nation to receive certification by The Joint Commission for pancreatic surgery and pancreatitis and the first hospital in Texas awarded certification by The Joint Commission for pancreatic cancer treatment Advanced care capabilities in comprehensive stroke, spine surgery, gastroenterology and advanced endoscopy, structural heart disease, maternal care, and neonatal intensive care

METHODIST RICHARDSON MEDICAL CENTER Includes Methodist Richardson – Campus for Continuing Care 443 licensed beds Magnet recognized hospital as designated by the ANCC Approximately 1,500 employees First in the nation to receive The Joint Commission Gold Seal of Approval® for pancreatic/hepatic/biliary cancer care Recognized care in several specialties, including stroke; heart attack; shoulder, hip, and knee replacement; cancer; and breast imaging Level III Neonatal Intensive Care Unit 4

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

system

OVERVIEW METHODIST CHARLTON MEDICAL CENTER 317 licensed beds More than 860 medical staff members Approximately 1,600 employees Level III Trauma Center Level II Neonatal Intensive Care Unit The Joint Commission Disease-Specific Care certifications for primary stroke; chest pain; and total knee, hip, and shoulder replacement

Recognized care in several specialties, including heart attack, stroke, cancer, breast care and imaging, labor and delivery, obstetrics and gynecology, and gynecologic surgery

METHODIST MANSFIELD MEDICAL CENTER 262 licensed beds Magnet recognized hospital as designated by ANCC Over 1,150 medical staff members Approximately 1,300 employees Level III Trauma Center Advanced Primary Stroke Center and Chest Pain accreditation from The Joint Commission Voted Best Hospital, Best Emergency Department, and Best Maternity Ward by Living Magazine, Arlington Today, and Focus Daily News Reader’s Choice Surveys

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

2020

OUR VISION METHODIST HEALTH SYSTEM VISION 2020 Participants reviewed and discussed Vision 2020 system strategies and identified those to be adopted by nursing. A look at the changing dynamics of healthcare and what it would take to be successful in the future, it was resolved that leading up to the year 2020, the nursing division would fully embody and successfully demonstrate three strategic priorities:

“TO BE THE TRUSTED CHOICE FOR HEALTH AND WELLNESS”

PURSUE EXCELLENCE “Be a leading, top-tier market provider.”

STRENGTHEN OUR PRESENCE “Protect our unique market position and establish access points to deliver care to patients when and where they want to receive care.”

Quality

Community presence and partner

• Advanced levels of quality care and patient safety

• Integral community partner

Optimal experience and engagement for patients, physicians, and employees • Experience and engagement with patients

TRANSFORM CARE DELIVERY

• Experience and engagement with employees • Experience and engagement with physicians • Employee retention • Inclusive and diverse environment

“Align with payers, employers, and consumers as an essential partner to improve the health of populations and provide high-value care.”

• System service expectations Financial strength • Operational efficiency

Technology and data • Successful Epic implementation

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

nursing by the

NUMBERS

Started in 2011

The DAISY Award for extraordinary nurses

During 2020

2,800

254

nurses

nurses recognized

Since 2014

Methodist Foundation Nursing Scholarship Award

During 2020

of nurses

recipients Clinical Advancement Program

During 2020

of nurses

CAP applications completed Nurse residents

523

residents

Specialty certification rate

32.25%

1,131 Since 2015

BSN or higher nursing degree

71.44%

356 Since 2015

Nurses in a direct patient care role

During 2020

Average tenure with Methodist Health System

6.4 years

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

COVID-19 pandemic: leading through STRENGTH AND RESILIENCY During 2020 many challenges arose throughout the COVID-19 pandemic. Such an impactful event calls for special attention in remembering the year. This section is dedicated to just a few of the stellar examples of true nursing leadership that were seen throughout 2020.

EMERGENCY DEPARTMENT The emergency department staff represents the extreme frontline in the fight against COVID-19. Every day and night, emergency department (ED) doctors and nurses treated patients suffering from COVID-19 — a virus with no cure, few treatment options, and no known immunity. During the pandemic, Methodist Health System staff juggled a steady stream of COVID-19 patients with the more routine — but no less urgent — needs of the ED, including strokes and heart attacks, as well as the worst trauma cases. “There is no typical day in the ED,” says Jennifer Coffman, MD, medical director of the emergency department at Methodist Mansfield Medical Center. “That is what makes it exciting and challenging at the same time.” Nurses, as well as ED doctors like Dr. Coffman, can plan ahead but must always be prepared for the unexpected. In this case, the unexpected was a once-ina-century pandemic. Here are some of the ways Methodist’s ED staff has risen to the challenge:

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Diana Alonzo, BSN, RN, Methodist Dallas Medical Center Diana has taken new hires and nurse residents under her wing, showing them how treating COVID-19 fits into the daily routine of emergency medicine. “Mentees are a little bit more stressed than usual, but Diana has functioned as a mentor,” says Amanda Peña, BSN, RN, nurse manager in the ED at Methodist Dallas. Seen above

“The teamwork among the nurses, the providers, and the physicians has been great to watch. Everyone has stepped up.” — Amanda Peña, BSN, RN, nurse manager in the emergency department, Methodist Dallas Medical Center

Kimberly Roland-Edmondson, BSN, RN, Methodist Dallas Medical Center Kimberly is a rock for her colleagues in the ED. She is always a positive presence and ready to pitch in when a less experienced nurse needs help. Like her fellow RNs, Kimberly’s spirit of camaraderie helped the team adapt their day-to-day processes early in the pandemic when the guidelines for personal protective equipment and other best practices constantly changed.

Seen on page 2

Ashley White, emergency medical service (EMS) liaison nurse at Methodist Dallas Medical Center Ashley makes countless calls each month to patients who pass through the ED, among other departments. Sometimes one followup call just won’t do, as was the case with an elderly woman who lived alone and was diagnosed with COVID-19. Ashley called day after day to ensure she was OK. Seen on the right

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

COVID-19 pandemic: leading through STRENGTH AND RESILIENCY

It was all hands on deck at Methodist Mansfield’s ED nurses station, where (from left) Allison Nelson; Dawn Morrison, RN, Blanca Estevez; Nursing Director Brooks Williams, RN, CCRN; and Leah Barbee, RN, monitored the symptoms of suspected COVID-19 cases. Nurses

like Dawn and Leah opened their homes to quarantining colleagues so they wouldn’t have to put their families at risk of infection. They also helped others whose spouses were laid off by offering gift cards, food, and other necessities.

Amanda Binnix, BSN, RN, CEN, LSSYB, director of quality, Methodist Charlton Medical Center Before many people even realized the full, devastating effects of COVID-19, Amanda looked for ways to thwart it. As a trained nurse with a background working in an emergency setting, she demonstrated strong crisis management skills, ensured staff had the supplies and equipment they needed, and streamlined hospital processes. Because of Amanda, Methodist Charlton had a plan in place for handling the worst-case scenario. Seen on the right

10 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

INTENSIVE CARE UNITS The coronavirus gives rise to the COVID-19 unit and forces intensive care units (ICUs) to adapt. Nurses and doctors in the ICU and COVID-19 unit now dress head to toe in personal protective equipment (PPE), including isolation gowns, gloves, face shields, and N95 respirator masks.

“The nurses are doing so many jobs,” says Lauren Hoffman, MD, a hospitalist on the medical staff at Methodist Dallas Medical Center. “They really have gone above and beyond.”

They work 12-hour shifts — on average — and must shuttle in and out of negative-pressure rooms designed to contain the airborne coronavirus that causes COVID-19.

That teamwork is evident in ICUs and other units across the system and allows Methodist Health System to provide our most critically ill patients the care and compassion they deserve.

Containing the coronavirus has meant keeping out patients’ loved ones, for their own protection. That’s put added emphasis on the care in caregiver, as nurses often play the role of surrogate family members.

Margaret Bondoc, ACNPC-AG, intensivist on the ICU staff at Methodist Dallas, Methodist Charlton, and Methodist Mansfield Medical Centers As a highly skilled nurse practitioner, Margaret has embedded herself in ICUs across Methodist Health System, managing the care of patients who need the closest attention. “Margaret has a keen sense of awareness when it comes to patients,” Dr. Shibu Thomas says. “She’s able to stabilize them with her medical knowledge and skill.”

Seen to the right

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

COVID-19 pandemic: leading through STRENGTH AND RESILIENCY Liz Pearson, RN (page 40), and Sameil Deleon, RN (on right), charge nurses in the COVID-19 unit at Methodist Dallas Medical Center As part of the resource team, Sameil and Liz are veteran nurses who are accustomed to coming to work and going wherever they’re most needed. They’ve helped lead the COVID-19 unit as it doubled in capacity from 27 to 54 beds, caring for patients and lessexperienced colleagues alike. “Both of them are mothers, so they’ve become mother hens for anyone who comes down there,” says Carol Oran, RN, nurse manager at Methodist Dallas.

Lucy Burns, RN (page 42), and Ruth Ruvalcaba, RN (right), charge nurses in the ICU at Methodist Dallas Medical Center Lacy is a “whirling dervish” and the “glue that holds the unit together,” says Nurse Manager Dawn Huggins, MSN, RN, COHN-S. A resource to everyone around her, she exudes joy and positivity that can be in short supply on the toughest days. Ruth “got thrown into the deep end of the pool” as a relatively new charge nurse, Huggins says, but has “taken to the role with aplomb.” She makes sure her fellow nurses have everything they need to provide their critically ill patients with the best care possible.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Mark Gemina, BSN, RN, CCRN, nurse leader for the COVID-19 unit at Methodist Charlton Medical Center Mark fearlessly leads a team of nurses and patient care technicians to treat COVID-19 patients. Recognizing that being quarantined away from their loved ones took a toll on his patients, Mark helped obtain tablets so that patients could chat online with family members. Mark worked 16-hour days to support his staff, and his empathetic leadership style boosted the unit’s morale. Seen on page 39

Jennifer Allen, BSN, RN, nurse manager in the ICU at Methodist Charlton Medical Center While managing a 44-bed unit filled with the hospital’s sickest patients, Jennifer took a proactive approach by visiting another unit with COVID-19 patients in less dire conditions. There, she showed nurses how to care for patients so they could keep breathing on their own without the need for mechanical ventilation. Seen to the right

Chanse Boehringer, BSN, RN, charge nurse for the COVID-19 unit at Methodist Mansfield Medical Center Chanse provides exceptional leadership and works closely with physicians to build relationships among nursing and the ancillary departments, creating teams that respect one another and have one focus in mind: the patients. The morale is high, the energy is vibrant, and it’s like the entire unit is a family when Chanse leads the charge. Seen on page 17

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

COVID-19 pandemic: leading through STRENGTH AND RESILIENCY Shannon Jackson, MSN, RN, MEDSURG-BC (below) and Danielle Cooper, BSN, RN, PCCN (page 28), nurse managers at Methodist Richardson Medical Center Both Shannon and Danielle had just begun working as nurse managers when the pandemic struck. Thrust into new roles, neither missed a beat. Shannon applied her expertise as a former trauma nurse to running one of two COVID-19 units at the hospital. Danielle’s team cares for patients on ventilators who require constant care.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Jacklyn Yeap, BSN, RN, CCRN-CSC, nurse in the ICU at Methodist Richardson Medical Center Since joining the ICU team last fall, Jacklyn has embraced team nursing and has served as charge nurse, a runner, and a primary nurse for COVID-19 patients. Her positive attitude and unwavering professionalism make her a role model and an inspiration to the ICU team. Seen to the right

Linda Turner, MSN, RN, CCRN, veteran ICU nurse at Methodist Richardson Medical Center Linda developed a nursing model to help expand our ICU capacity during the pandemic. She partnered her ICU staff with COVID-19 unit nurses to form mentoring teams that share four patients a shift. Her innovative approach gives patients who need ventilators the around-the-clock care they require.

Seen to the left

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

COVID-19 pandemic: leading through STRENGTH AND RESILIENCY

In a year where it took everyone’s best effort to continue to provide the best care to our patients, it’s important to recognize that nurses at Methodist Health System are at practice both in traditional bedside roles as well as corporate and support functions. As care continues to evolve, nurses are provided many areas of opportunities to utilize their skills. Whether it’s in case management, quality, or as a nurse navigator, these nursing support functions are vital to the success of our organization and deserve to be recognized for their hard work. The following two groups of nurses were pivotal to helping Methodist transverse the pandemic.

EMPLOYEE HEALTH Employee health nurses serve a vital role in our facilities every day. Pre-placement physicals, TB screenings, fit testing, job injury assessments, and vaccine administration are just some of their regular duties that keep this small but mighty team busy. During the course of 2020, this team worked tirelessly as they screened employees for COVID-19 exposure, identified source cases and traced contacts, set up testing and notification results, assigned quarantine length, and coordinated employees, return to work after quarantine. Certainly a task to conquer considering the Methodist workforce exceeds 10,000 people.

INFECTION PREVENTIONISTS Infection prevention has always had a pivotal role at each of our facilities in order to ensure the upmost in patient safety, but 2020 challenged this group in many new ways. This group is no stranger to infectious diseases, but COVID-19 was a new beast to conquer. Initially working with minimal data, this team trained our staff to protect themselves against COVID-19 and keep our patients safe while in our facilities by learning from their peers across the country. This team is made up of many former bedside nurses as well as members with a background in public health. Former bedside nurses, such as Cheryl Wherry (far right), infection prevention manager at Methodist Mansfield, utilize their nursing skills daily in order to be successful in their role. Cheryl says, “My nursing background allows me to approach training and recommendations to nurses through a truly empathetic lens. I fully understand what goes on in a typical bedside nursing shift and all of the things nurses have to handle. I feel this allows me to offer reasonable solutions that help us meet our goals of keeping our patients safe and free from infection.”

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

community OUTREACH

COMMUNITY PROFESSIONAL BOARD APPOINTMENTS Anne-Gret Friedrich-Cuntz, EdD, MSN, RN, CMSRN, Assoc. for Nursing Professional Development, President of the Dallas-Fort Worth Chapter Danielle D’Aquisto, BSN, RNC-OB, LSSYB North Texas Healthcare Employer Learning Consortium with the DFWHC Foundation Oak Cliff Works PCT Training Program Elizabeth Aaron, MSN, RN, NE-BC, CCRN-CMC American Association of Critical Care Nurses (AACN) president of the Dallas Chapter Irene Strejc, MPH, BSN, RN, CENP Richardson YMCA, Board Member Melissa Mitchell, DNP, RN, CMSRN, NPD-BC MISD Ben Barber Career and Technology Academy Advisory Board Tarrant County College Associate Degree Nursing Advisory Board Navarro College Associate Degree Nursing Advisory Board Southwestern Assemblies of God University BSN Program Advisory Board Lauralyn Brown, DNP, BS, RN, SSYB Dallas-Fort Worth Hospital Council Patient Safety and Quality Committee Laura Sweatt, MSN, NPD-BC Mansfield ISD School Health Advisory Committee Assoc. for Nursing Professional Development, President-elect of the Dallas-Fort Worth Chapter Lisa Cawthon, BSN MS RN NPD-BC North Texas Healthcare Employer Learning Consortium with the DFWHC Foundation Oak Cliff Works PCT Training Program Karen Yates, MSN, RN, RN-BC, CEN, EMT-P North Central Texas Trauma Regional Advisory Council, chair of cardiac committee Dallas Area Crisis Response Team Board of Directors Tiffany Au, CWOCN Wound, Ostomy, and Continence Nurses Society™ Standing Committee, two-year term Nora Frasier, DNP, RN, FACHE, NEA-BC Texas Organization for Nurse Executives Membership Committee TCU Nursing Professional Advisory Board, Member Tarrant County College Foundation Board, Member Sarah Towery, MS, BSN, RN, NEA-BC North Texas Healthcare Employer Learning Consortium with the DFWHC Foundation Oak Cliff Works PCT Training Program Sharon Blackerby, DNP, RN, NPD-BC, RN-BC, CPHQ Richardson ISD Healthcare Careers Academy Advisory Board, Member Dallas College Nursing Community Advisory Committee, Member Collin College Health Professions Advisory Committee, Member Chamberlain University Community Advisory board, Member Vicki Hallum, BSN, RN, CBCN West Coast University, Board Member Dallas College, Board Member University of Texas at Arlington, Board Member METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

community OUTREACH

Oncology unit donates $500 to North Texas Food Bank for pandemic relief efforts Clinical nurses from the med-surg oncology unit at Methodist Dallas Medical Center saw a need in the community when the pandemic hit. Many North Texans found themselves out of work and struggling to feed their families. These nurses jumped to action! The unit has had a long-standing snack drawer from which staff and visitors can buy snacks. Nursing staff voted to donate the snack drawer funds to the North Texas Food Bank in addition to collecting cash and food donations for the project. The unit was able to donate $500 to the North Texas Food Bank, which provided 1,500 meals to North Texas families.

Nurse leaders organize school supplies to local elementary school Local Dallas communities have shown up in various ways for Methodist Dallas nurses, and nurses wanted to show their love right back! Nursing administration organized a school supply drive for nearby Hogg Elementary, delivering 27 bins filled with school supplies. This particular community struggled with financial hardships due to the pandemic, and Methodist Dallas nurses showed up in a BIG way!

Christmas Lights Through the Neighborhood Methodist Dallas women and children’s services (L&D, 11ST, NICU) participated in collecting baby items such as diapers, wipes, clothing, and developmental toys for infants, newborn to 1 year old, in a drive-thru event called “Christmas Lights Through the Neighborhood.” The event featured a food pantry, free baby supplies, and holiday lights for 100 underserved families in Oak Cliff. A local 7-Eleven also participated by donating food and gift cards. Staff were incredibly engaged and were able to provide a generous donation to local families. 18

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

ewborn re ckage:

community OUTREACH

Pay It Forward Food Drive Throughout the pandemic, the staff of Methodist Richardson Medical Center has been continuously blessed by the Richardson community. Many businesses so generously donated food to the staff, which allowed them to eat quickly and get back to caring for patients. Methodist Richardson wanted to give back by hosting a hospitalwide Pay It Forward Food Drive. Partnering to ensure new under resourced moms have the essentials they need when transitioning from hospital to home.

1 newborn

car seat

1-2 receiving

blankets

Newborn

clothing

Diapers and

wipes

2-4 bottles

Newborn

hygeine care NEW MOMS NEED YOUR HELP. To join this partnership contact Annalise Dingus: annalised@mansfieldmission.org 817.239.3220

B E E S. Program The Methodist Mansfield Medical Center’s women and children’s services team, led by Jennifer Minor, collaborated with Mansfield Mission Center to start the Babies Earliest Essentials and Safety (B.E.E.S.) program. The program will help establish a relationship between patients identified with a need for essential items and the center. They receive a small care package and are connected with the center for assistance, including counseling, and physician, and dental visits if needed. We have given out four packages to date.

Methodist Mansfield continues Stop the Bleed training Methodist Mansfield Medical Center’s Community Health and Wellness Council, along with trauma services, trained 418 MISD staff members in Stop the Bleed lifesaving techniques.

Richardson Chamber health fair Methodist Richardson nurses provided stroke education to members of the community.

Blanket and socks drive Methodist Charlton Medical Center’s Nursing Shared Governance Councils decided in November’s meetings to hold a blanket and sock drive. Cedar

Hills Shares Food Pantry’s Dr. Osina Wright, manager, was excited to potentially have an additional gift for their clients. Methodist Charlton’s nurses, under the leadership of Teresa Land, MBA, BSN, RN, collected 152 blankets and 670 pairs of socks. This community activity is a testimony for a strong Nursing Shared Governance Structure.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

transformational LEADERSHIP

INTRODUCING JOLYN ANGUS Jolyn Angus, MBA, BSN, RN, NEA-BC, CENP, senior vice president and chief nursing executive, is an experienced nurse with more than 35 years of practice. With her primary clinical practice being in emergency and trauma nursing, she transitioned to nursing leadership over 18 years ago. Her nursing leadership career progressed through the ranks of nurse manager, director, assistant chief nursing officer, and CNO. Her leadership experiences span for-profit and nonprofit healthcare systems. She spent 12 years advancing through various nursing leadership positions within the Tenet Healthcare system. After Tenet, she worked with the Premier Health flagship facility, Miami Valley Hospital, as a vice president of hospital operations and CNO. She holds a Bachelor of Science in nursing, a Master of Business Administration, and will be completing her Doctor of Nursing Practice in February 2022. Angus is a member of the American Organization for Nursing Leadership (AONL) and holds certifications in executive nursing practice from both the AONL and the American Nurses Credentialing Center. Jolyn thrives on working collaboratively with all members of the healthcare team to ensure that all patients receive the highest quality of care. As such, she has worked closely with organizations’ leaders, medical staff, nursing leaders, all other care providers, support services, and frontline staff to ensure the best outcomes for patients. Additionally, she is passionate about mentoring and developing nursing leaders. Throughout her various roles, Jolyn has also demonstrated the importance of community involvement through her commitment to her church and being an active member of community boards. In her church, she and her husband are co-presidents of a vibrant marriage ministry. Her community board involvement includes the American Cancer Society, Ronald McDonald House Charities, and Nursing Advisory Councils for many local schools of nursing. Her most recent volunteer activities include being a volunteer driver transporting cancer patients from their homes to their treatment sites. Jolyn is married to Constantine, and they have three daughters, a granddaughter, and a grandson. Her hobbies include gardening, traveling, and watching movies, but her favorite pastime is just hanging out with her family for a good meal and game night. She is very excited about joining the Methodist Health System team and looks forward to leading the implementation of the nursing strategic plan, and the systemwide Magnet® journey, while working with the nursing division to develop the long-term strategic vision that will propel nursing at Methodist Health System to greater heights.

20 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

transformational LEADERSHIP

What brought you to Methodist? Before applying to Methodist Health System, I was very selective in the roles that I would pursue. I was interested in a system CNE role, located in the southern U.S., preferably in a not-for-profit organization, and one that aligns with my personal and practice values. Methodist checked all those boxes, so I am very excited to be here.

What has been the greatest challenge of 2020? The greatest challenge for 2020 has been to prevent compassion fatigue in our nurses. The yearlong COVID-19 pandemic has stretched our nurses physically, emotionally, and spiritually. Caring and compassion are the central truths of the nursing profession so without either, professional authenticity and personal fulfillment will be challenged.

What sets Methodist apart from other healthcare systems? The mission, vision, and values of Methodist are not just words on a page. It is a health system in which the core values underpin all we do. It is demonstrated throughout all levels of the organization every day.

What does the future look like for Methodist nurses? The future for nurses at Methodist is very bright. As the core values of the health system continue to permeate all of its endeavors, there will be a recognition that each employee is a valued member of the organization. By continuing to feel valued and supported, nurses will be inspired to continue their invaluable contribution that will drive the success of the health system into the future. With our dedication to the Magnet® philosophy of shared governance, each nurse should feel empowered and recognize that each voice is important. By staying informed, engaged, and energized about nursing and Methodist, there is no challenge we can’t overcome together.

How do you continue developing a thriving nursing culture at Methodist? I will work tirelessly to recognize and elevate the awareness of nursing’s contribution to the success of the health system.

What is the best advice you’ve ever received in your professional career? Every interaction creates an opportunity to learn.

Tell us something about yourself that’s not on your resume. I love to travel, and I love track and field events. I combined them both by attending the World Championships in 2015 to watch Usain Bolt in Beijing, China. Phenomenal experience! METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

transformational LEADERSHIP

METHODIST WELCOMES NEWEST HOSPITAL Methodist Midlothian Medical Center opened its doors in November 2020, becoming the first hospital in the history of this Ellis County community. Methodist Midlothian is now the 12th hospital owned by or affiliated with Methodist Health System. Located on a 67-acre campus just off U.S. Highway 287, the five-story, 200,000-square-foot medical center will feature a range of services, from emergency care and advanced surgery to labor and delivery. The campus will also include a 45,000-square-foot medical office building. “Our new hospital is all about serving the health and well-being of our neighbors,” says Jary Ganske, administrator of Methodist Midlothian. “We’re honored by the trust this vibrant community has placed in us.” The $175 million facility will be one of Midlothian’s largest employers and is expected to create 300 new jobs by the end of its first year of operation. It has 46 beds with room for expansion to 8o beds.

22 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

transformational LEADERSHIP

LEADERSHIP DEVELOPMENT COURSES In order to enhance its leadership, Methodist Health System recruits and identifies aspiring leaders and helps prepare them for possible future leadership roles through the Emerging Leaders Program (ELP). Now in its 11th year, the program annually mentors talented employees who are passionate about their roles at Methodist. The physical program, which runs for approximately four months, includes classroom sessions, an off-site team-building event, process improvement workshops, and a post-class special project. Participation is initiated by nomination and determined by application evaluation. Attendance is limited to high-potential full-time participants not currently in leadership positions.

ELP Nursing graduates: Methodist Charlton Jessica Cooper, BSN, RN Lacie Smith, BSN, RN, CNOR Lisa Bennett, PCCN Methodist Corporate Bianca Dulaney, BSN, RN, MEDSURG-BC Methodist Dallas Jena DiSimoni, RNC-OB

Methodist Mansfield Aleasha Johns, MSN, RN, CCRN Amy Johnson, RN Amy Wilkerson, BSN, RN Maria Butler, BSN, RN, CNOR Methodist Richardson Melissa Swift, BSN, RN Sheena Bryant, BSN, RN, PMH-BC Sue Roesler, BSN, RN, MEDSURG-BC

METHODIST CHARLTON SUBMITS MAGNET DOCUMENTS Methodist Charlton Medical Center submitted their Magnet® documents in August 2020 for their first Magnet designation. Nurse leaders are eagerly anticipating their virtual site visit in 2021 and have already begun preparing nursing staff and leaders for the momentous occasion.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 23

structural

EMPOWERMENT EL CENTRO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM AT METHODIST HEALTH SYSTEM HIGHLIGHTS The partnership between El Centro College and Methodist Health System has provided a great opportunity for current employees who take an interest in entering the field of nursing. The cost-effective program allows employees at all levels of the organization to participate. Since the partnership began, 18 El Centro graduates have gone on to receive advanced nursing degrees Katherine Odom obtained her associate degree in nursing through the El Centro College Associate Degree Nursing Program at Methodist Health System (ECC MHS) in fall 2014. With a desire to give back to Methodist, she became a volunteer in the emergency department while going to school. As a nursing student, Odom began working at Methodist Dallas Medical Center on 8ST as a patient care technician. Upon graduation, she discovered she had a heart for 8ST patients and staff and was excited to begin her residency there. While on 8ST Odom served as a preceptor for nursing students and new residents. Teaching grew into a passion, and upon graduation with her BSN-RN, she enrolled at the University of Texas at Arlington to pursue a master’s degree in nursing education. Since 2018, Odom has been serving as the bariatric coordinator with the Methodist Dallas Weight Management Program. Since becoming the bariatric coordinator/nurse navigator, she has obtained her Certified Bariatric Nurse credential and serves as the Intuitive Surgical robotic site coordinator for bariatric surgery. Odom makes the safety of our patients a top priority by serving on the Methodist Health System Clinical Research Institute’s (CRI) IRB Board, and working with the Clinical Research Institute (CRI) IRB board and Methodist Digestive Institute on numerous innovative research and grant projects. As a two-time DAISY Award® winner, Odom serves as a role model for exceptional patient care, engagement, and leadership at Methodist.

RETENTION RATE FOR YEARS EMPLOYED BY METHODIST HEALTH SYSTEM 100% 95% 90% 85% 80% 75%

100%

0-1 YEARS

100%

1-2 YEARS

24 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

98%

2-3 YEARS

90%

91%

3-4 YEARS

4-5 YEARS

structural

EMPOWERMENT

METHODIST MANSFIELD MEDICAL CENTER EVIDENCE-BASED PRACTICE AND RESEARCH COUNCIL PURPOSE STATEMENTS

ACTIONS

The Evidenced-based Practice and Research Council embraces the following responsibilities that provide purpose to our work:

• Developed Journal Club that has grown to have an average of 80-plus attendees each month.

• Increases awareness of evidence-based practice models

• Mentors nurses to understand, evaluate, and conduct nursing research

• Developed annual Professional Practice Expo where all Methodist Mansfield departments can showcase the great work accomplished through EBP with poster presentations.

• Coordinates and/or produces nursing research as relevant to improving care

• Developed and conducted five research studies over the past five years.

• Serves as a liaison with Clinical Research Institute for advancing nursing research at Methodist Mansfield Medical Center.

• Developed the Nurse Scholar Program, now expanded to all Methodist Health System campuses for participation.

• Develops a forum for creative, innovative thinking

GOALS FOR EVIDENCEBASED PRACTICE (EBP) AND RESEARCH COUNCIL FY2020 • Increase awareness of Methodist Mansfield staff regarding nursing research, EBP, and web resources by in-service education and/or study participation of at least 40% of direct care RNs.

• Presented project and research successes through poster and podium presentations at the Professional Practice Expo, Leading 2 Excellence SUMMIT, DFW patient safety conferences, TCU nursing students, Nursing Excellence Symposium, Texas Organization for Nursing Leadership, Magnet® conferences, American Organization for Nursing Leadership™, and Nursing World Conference.

• Present at least one research/EBP project or an abstract/ poster by December 2020. • Have at least one ongoing nursing research project each year. • Increase Journal Club attendance by 15%. METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 25

structural

EMPOWERMENT METHODIST DALLAS MEDICAL CENTER NURSING PRACTICE COUNCIL PURPOSE To implement and maintain standards of clinical nursing practice and patient care consistent with evidence-based practice and requirements of regulatory agencies.

ACTION Nurse leaders brought a developed catheter-associated urinary tract infection (CAUTI) action plan to council members in order to gain input from frontline nurses on ways to impact clinical practice in order to prevent urinary catheter infections. Council members evaluated the action plan and identified an opportunity for action in the way of improving accurate intake and output (I/O) documentation. If accurate I/Os are documented, that would decrease utilization of catheters. The obtained baseline data showed that staff were correctly documenting about 50% of the time. Council members decided that a departmental standard operating procedure (SOP) needed to be developed in order to level-set the expectations and delineate roles and responsibilities for consistency in practice. Departmental SOPs were developed and are in the final stages of approval from nurse leaders. Next steps are to educate on the new SOPs, conduct post-intervention data collection, and overall reduce the number of CAUTIs.

METHODIST CHARLTON MEDICAL CENTER EDUCATION COUNCIL PURPOSE Use evidence-based practice and standards of care to promote clinical competency in a lifelong learning environment. In addition, the council supports the shared governance structure by including clinical nurses in the decision-making process regarding educational needs in their area/unit.

26 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

ACTION • The council worked on the annual educational assessment and advocated for the assessment to be deployed via the online Methodist University portal for increased participation instead of an email submission. • Annual skills competencies were developed based on quality indicators. • A bedside shift report video was developed and is in the process to be deployed for viewing.

structural

EMPOWERMENT METHODIST RICHARDSON MEDICAL CENTER CLINICAL ADVANCEMENT REWARDS AND RECOGNITION COUNCIL PURPOSE

To promote, facilitate, and evaluate the image of nursing by advancing and informing frontline staff about the Clinical Advancement Program throughout the facility; to facilitate activities related to National Nurses Week, Certified Nurses Day™, and selection of the quarterly DAISY Award® winners; and to set annual goals for success that supports the achievement of the strategic nursing plan in collaboration with other shared governance councils.

ACTION The Clinical Advancement, Recognition, and Reward Council plans and facilitates activities for the Clinical Advancement Program, National Nurses Week, Certified Nurses Day, and the DAISY Awards. The majority of the activities require planning and preparations in the early part of the year. As a result, the council created subcommittees for each event. This new structure enables more members to be involved in the activities and increases the efficiency of the council. The National Nurses Week celebration is normally held in May each year, but the Year of the Nurse 2020 proved to be a remarkable one due to the COVID-19 pandemic with the celebration held in August 2020. In direct response to the pandemic, the Clinical Advancement, Recognition, and Reward Council implemented a new nursing award, My Healthcare Hero. The new award recognizes a direct care professional nurse at Methodist Richardson Medical Center who has worked above and beyond expectations during the pandemic. The My Healthcare Hero award winner was celebrated along with the award winners for the Rookie Nurse of the Year, Nurse of the Year, and Nurse Preceptor of the Year.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

structural

EMPOWERMENT RESIDENTS AND FELLOWS This year, each campus’ Nursing Education and Professional Development teams aligned residency programs with best practices via the American Nurses Credentialing Center’s (ANCC’s) Practice Transition Accreditation Program® (PTAP) standards. The ANCC developed these criteria as a way to elevate nurse residency and fellowship programs to the highest standard through a rigorous accreditation process. The ANCC PTAP sets the standard across the nation for transitioning nurses into new practice areas, including newly graduated nurses entering the workforce and experienced nurses who are transitioning to a new workplace setting. 2020 was a big year of growth and development for the nurse residency programs across the system as not only were they pursuing the journey to accreditation, but they were congruently becoming registered apprenticeships with the Department of Labor. Since ANCC PTAP sets the standard for residencies, it is fitting that their office was named a Standards Recognizing Entity (SRE) with the Department of Labor. As Methodist Health System’s nurse residency programs become accredited through ANCC PTAP, they also qualify to be labeled an IndustryRecognized Apprenticeship Program (IRAP). The ANCC PTAP is recognized by the Department of Labor as an SRE for IRAP. According to ANCC, “Transition to Practice Programs that use the ANCC PTAP framework find value in being able to improve structures and processes by creating robust, comprehensive programs for nurses’ transitions into and within the profession”. Methodist is proud to have all the nurse residency programs accredited and/or on the journey to accreditation!

28 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

structural

EMPOWERMENT METHODIST DALLAS

METHODIST CHARLTON

RESIDENTS

FELLOWS

Andrea Donovan Angela Choi Arlene Badillo Blanca Ortiz Carl Shean Calaud Carmen Hollmon Casie Thompson Catherine Belford Chinwendu Onwusor Danielle Roberts Eusnik (David) Shin Grecia Salvador Haley Bartlett Haseeb Ali Hayley Winklepleck Jazmine Velasquez Jazmin Resendez Jennifer Castellanos Jennifer Hernandez Joseph Saylor Julie Murray Kayla Armstrong Kayla Taulbee Kendra Chambers Kimthoa Nguyen Lindsey Gill Lisa Arauz Madelyn Treibly Marina Anderson Marissa Armijo Mason David Megan Meadors Meredith Evans Mikaela Brown Molly Richuitto Nhi Dinh Rahul Mathew Ricardo Montero Roxanna Luna Ruben Arcos Sara Bueno Sonia Mendoza Palma Stephanie Gutierrez Tabitha Linarez Taekgeun Vandygriff Taylor Burwell Teresa Nyaoga Tessa Volpitto Tiffani Fears Vanessa Fegale

Amber Baltazor Arianne Marks-Hodges Bernise Yanez Breanda Barragan Claudia Soto Crystal Ivey Emmanuela Jeune Esther Mendoza Eva Espinosa Felix Neilly Joey Griffith Kayla Duffey Kristin Vineyard Liza Corkill Roniesha Banks Syed Abood Timothy Cajulis

Alexis Miller Allison Grissett Alyssa Cinclair Amir Aziz Andrew Nguyen Ann Bijus Anne Mugambi Ashley Wallace Ashton Cato Ashtyn Schieferecke Bayron Alvarez Brandon Magee Brianna Strong Carmen Zuniga Cecilia Perez Chakavak Sheidaei Danesha Burch Danielle Lombardino Daniel Watthanavichit Delaney Dewolf Devon Johnson Diana Vitela Emily Enloe Eric Keopraseuth Esmeralda Gonzalez Ezekial Laxina Gabriel Shwabe Giangchau Ho Gunnar Patterson Haley Smith Hamidat Akamou Harrison Gargel Ivan Vallejo Jaime Zahirniak Janet Ramos Jina Lee Joselin Gutierrez Justin Black Katherine Geshel Kathleen Smith Kathryn Turnage Kayla Winans Kaylyn Bryner Kiana Tenorio Kimberly Alsbrooks Krista Shively Kumba Sicarr Laci Felderhoff Leah Cruz Lindsey Adams Lisa Cristiano Mackenzie Carlin Malea Enloe

Maria Cruz Basoco Martina Blas Mary Tovilla Zubiri Mckenna Selby Melissa Benitez Michelle Maillet Morgan Buckner Nancy Becerra Nancy Trinh Nicole Guerra Olasunkanmi (Samuel) Adesemoye Peter Dao Phuong Nguyen Ramon Colon Ramon Soto Rhondula Green Ruben Rodriguez Samantha Carter Samantha Chavez Andujo Shanea Smith Shawna Allen-Pierce Stephanie Wilson Stephanie Wilson Susan Ombega Taylor Barnett Taylor Moore Tina Souksomvang Travonna Foley Veronica Cardoza Garcia Veronica Goode Victoria Truong Victoria Wilson Viviana Barraza Vy Nguyen Phuong Yazmine Wall

FELLOWS Abigail Meade Ashley George Dustin Daniel Esther Rowe Nadia Ifteiha Tristan Nelson Zubair Gul

METHODIST MANSFIELD

METHODIST RICHARDSON

RESIDENTS Abbigail Norman Alyssa Colt Amanda Ortega Amma Owusu Angely DeLaRoca Anna Curran Ashley Richardson Audwin Sells Bailey Tonore Brandy Green Casey Kaelin Courtney White Darlene Ngwenya Dennis Harper Doris Boakye Evelyn Alanis Hannah Wright Jenna Tobillo Jessica Okoye Je’Lisa Sowels Joneau Shelton Kayla Darling

RESIDENTS Kendall Clarkson Kourtney Hall Kristi Lehman LaTasha Miller Lauren Bailey Lauren Stricklin Mackenzie Wood Macy Hill Marcie Blankenship Marilyn Reyes Martha Osebe Michaela Hochanadel Nancy Ly Nhung Ho Sarah Minnix Savannah Olivarez Suellen Chavet Tiffany Otero Yvonne Quintanilla Zachary Nguyen Zahra Ouasmine

Andrew Burkart Benven D’Souza Breanne Griffith Bruce Dick Collin Mathew Devin O’Donnell Eleni Tsegaye Jhea Nillas Kameron Geiger Kiymarah Thomas Lisa Avery Megan Zigler Nehemi George Raven Shipley Rosalynn Nunez Tiffany Jean Tuan Tran Whitney Mitchell

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 29

structural

EMPOWERMENT METHODIST DALLAS

Clinical Nurse of the Year Methodist Dallas Medical Center’s clinical nurses fearlessly rose to the many challenges that the 2020 pandemic presented. When planning the nursing awards for National Nurse Week, CARC members and nurse leaders agreed that nurses deserved more recognition this year than ever before. Each unit cast their nominations for Clinical Nurse of the Year to be awarded on the unit level. Out of the 14 unit-level winners, Dezorey Vahed, BSN, RN, CCRN, was voted as Methodist Dallas’ Clinical Nurse of the Year. Vahed’s nominations were inspiring and included the following excerpts: “You will not find ANYONE else as caring, smart, protective, or passionate as she is”; “She is beyond talented”; “Her kindness is contagious”; “She holds this hospital in a special place in her heart.” Methodist Dallas is grateful for all the Clinical Nurse of the Year winners as they have exhibited excellence in leadership and compassion for their patients and peers.

METHODIST CHARLTON

Educator of the Year Lacie Smith, BSN, RN, CNOR, received Methodist Charlton Medical Center’s Educator of the Year award. She was chosen because of her gift of being supportive to staff members as they seek to gain national certification, earn recertification, or find needed continuing education offerings. She is currently pursuing an advanced degree, a master’s degree in nursing education, as she seeks to achieve her personal goal of continuing her own professional development. She never exempts herself from the same high standards that she encourages her co-workers to obtain. Smith dedicates her time to find ways to educate and inform by methods never utilized in the department. She has excelled in the nursing professional development generalist position and willingly accepts all challenges that are posed to her from departmental or hospital leadership. Upon acceptance of the nursing generalist position, Smith was immediately challenged to structure a new fellowship program within her department. She completed the Methodist Health System Emerging Leader Program, and during the COVID-19 pandemic provided a multitude of educational offerings to her staff using social distancing but remaining in close contact. 30 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

structural

EMPOWERMENT METHODIST MANSFIELD

Nurse Innovator of the Year Tawaran, BSN, RN, CMSRN, is very active and a pioneer member of the Journal Club of Methodist Mansfield Medical Center. She helps to facilitate the club and has been actively attending each meeting. Tawaran holds an active role on the Evidence-based Practice (EBP) and Research Council and has served in various capacities. She represented the EBP council to the systemwide quality summit as a speaker for their poster entry “Sparkling Innovation”, and she discussed the goals and projects of the committee and the club. Tawaran is also a graduate of Nurse Scholar Program. She and her team are now working for their next EBP research project- violence in workplace. The EBP project Star 2 Study, of which she is a co-principal, demonstrated a project change wherein the administration heard the voice of the nurses who participated in the study. An example of this is when the new patient tower was built, all rooms had their designated sequential compression devices and IV poles. Tawaran is a co-chairman of the Skin and Wound Council (SWC) and is tasked to do a monthly skin sweep, quarterly pressure ulcer audits, and skin education to lessen the prevalence and development of skin breakdown in the hospital. She is an active member of our SWC and B3 unit councils, and she actively participates and suggests new projects. Through all of her activities both at the hospital and in the community, Tawaran never forgets that patient centeredness is at the core of all of her work.

METHODIST RICHARDSON

My Healthcare Hero Adrienne Graves, BSN, RN, was chosen as the inaugural recipient for the hospital’s My Healthcare Hero award for 2020. This nurse understands that our job is a team game, which drives her to include everyone on the unit every day in all matters great and small. Graves leads by example. During this unprecedented time, the unit was short on the night shift two nights in a row. She stepped up and filled the staffing shortage with no complaints — she just did what she thought needed to be done. Graves’ service recovery is fantastic and is attributable to her superior communication style. Her co-workers view her as a role model, stating “she is always there to help when needed” and “she checks up on you frequently.” To earn this award, Graves displayed a courage and confidence during stressful situations, as well as a humility with service to others and a selflessness by focusing on team building and a positive work culture. She also displays perseverance, patience, and an understanding during interactions with colleagues, patients, and families. She is active on the Unit-Based Council and serves as a charge nurse for her unit. She also helps provide education for the department. She conducts audits of records of patients with strokes for the purpose of improvement and provides the data at the interdepartmental and interdisciplinary stroke meetings. Graves volunteers her time with the East Texas Food Bank and Toys for Tots. METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

nursing

IMPROVEMENT PROJECTS Methodist Dallas

REDUCING CAUTI INCIDENCE ON 8ST, A MEDICAL-SURGICAL UNIT

GOAL The pursuit of quality patient care is simply the culture adopted by staff on Methodist Dallas Medical Centers’ 8ST. From RNs to patient care technicians (PCTs), the general medical-surgical unit staff has always implemented the latest evidence-based practices and upheld a high standard of quality patient care. When 8ST received a catheter-associated urinary tract infection (CAUTI) in October 2020, the unit set their goal to maintain an infection-free environment of healing for their patients.

ACTION The unit took this opportunity to turn to literature and dive into current best practices. They also looked at every angle of the recent infection and investigated opportunities to improve. The 8ST staff developed a multifaceted approach that included all members of the unit-level team to prevent further infections. Interventions included initating a process improvement bundle approach using K-cards for accountability, RN to RN handoff reports to include catheter necessity reason, charge nurses acting as a second set of eyes to double check the necessity of the catheter, nursing clinical coordinator campaigns daily to encourage catheter removal when no longer indicated, nurse manager discussing catheter necessity and removal plan in daily interdisciplinary plan of care rounds. Catheter care and maintenance was championed by the PCTs on 8ST. Each PCT is checked off biannually by a fellow PCT with the Mosby’s checklist in order to sustain competency and updated practice changes. PCT participation was included in the K-card bundles approach so that each team member had a role to play in CAUTI prevention.

OUTCOME With implementation of the bundle approach with accountability plan, keeping catheter removal at the forefront of practice and implementing PCTs to champion catheter care and maintenance, all have had lasting results. 8ST has not had a single CAUTI since the interventions were implemented and anchored. The unit remains CAUTI-free since October 2020. Keep up the great work, 8ST team!

32 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

nursing

IMPROVEMENT PROJECTS Methodist Charlton

REDUCING MATERNAL MORBIDITY AND MORTALITY WITH POSTPARTUM HEMORRHAGE BUNDLE IMPLEMENTATION

GOAL The goal is to decrease maternal morbidity among obstetric hemorrhage patients by decreasing the number of patients who are receiving four or more units of packed red blood cells below 0.45%.

ACTION 2.5 2 1.5 1 0.5

Sep-20

Aug-20

Jul-20

Jun-20

May-20

Apr-20

Mar-20

Feb-20

Jan-20

Dec-19

Nov-19

Oct-19

Sep-19

Aug-19

Jul-19

Jun-19

May-19

Apr-19

0 Mar-19

In an effort to reduce maternal morbidity and mortality, the plan was to implement an evidence-based safety bundle for postpartum hemorrhage to ensure safe and standardized care for women with this condition.

PERCENT OF MATERNAL PATIENTS RECEIVING 4 OR MORE UNITS PRBCs AT MCMC

OUTCOME Post data from September 2019–September 2020 revealed a decrease in the percentage of maternal patients receiving four or more units of blood to 9/1556 or 0.6%. This is a large reduction and shows the effects of the bundle elements in the OB hemorrhage policy of readiness, recognition, and response are working.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 33

nursing

IMPROVEMENT PROJECTS Methodist Mansfield

IMPROVING TRANSPORT TIME

GOAL Decrease dialysis delay fees at Methodist Mansfield Medical Center associated with patient transport from $1,500 per month baseline to $850 per month target by January 2021

ACTION • Educate staff on transport expectations • Establish communication of schedule early • Gain staff access to OneHub schedule system • Pilot having a dedicated transport patient care technician

DELAY FEES 3500 3000 2500 2000 1500 1000 500 0 Jun-20

Jul-20

Aug-20

Total Fees

$3,234.54

$2,928.57

$2,578.89

$2,863.01

$1,879.53

Transport Fees

$1,682.84

$1,988.81

$1,267.59

$1,573.56

$743.07

OUTCOME • 94% reduction in number of transport delays • Exceeded goal reaching a transport fees cost of $743.07 Recommendation: to investigate the possibility of a centralized transport team.

34 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Sep-20

Oct-20

nursing

IMPROVEMENT PROJECTS Methodist Richardson

FALLS WITH INJURY IMPROVEMENT ON 6 SURGICAL, 3 MEDICAL, 2 MEDICAL EAST, AND 2 MEDICAL WEST

GOAL

ACTION • Identify key drivers • Devise root cause and change ideas • Plan, launch, and analyze pilot: - Quick-release gait belt - Six-P’s and meaningful rounding (pain, potty, pump, position, possessions, plugs) -Bed alarm usage

RATE (FALLS PER 1,000 PATIENT DAYS)

Improve the patient falls with injury rate at Methodist Richardson Medical Center from 1.00 to 0.50, by January 31, 2021

MRMC - PATIENT FALLS W/INJURY RATE 1.10 1.00 0.90 0.80 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00 Aug

Aug-Sep

Aug-Oct

Cumulative Rate

Aug-Nov

Aug-Dec

Baseline

Aug-Jan Goal

• Define sustainability plan

OUTCOME • Silver Fellowship provided us with the necessary structure and a focused direction to identify key opportunities and how to effectively deliver improvement for our overall number of falls. • Decreased patient fall with injury rate from 0.90 to less than 0.50 (cumulative).

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 35

exemplary

PROFESSIONAL PRACTICE DAISY AWARD® WINNERS METHODIST DALLAS Coretha Powell, BSN, RN

COMMUNITY AWARDS

D MAGAZINE ’S EXCELLENCE IN NURSING AWARD

David Nguyen, BSN, RN Mojy Kamifiroozi, BSN, RN Katherine Dodd, BSN, RN Leslie Tu, BSN, RN Christian Casteneda, BSN, RN

METHODIST CHARLTON

Janaki Subramanian, RN, CA-SANE Methodist Dallas

Jeremy Taylor, MHA, BSN, RN, TCRN Methodist Mansfield

Michael Hernandez, MSN, NE-BC Methodist Mansfield

Brooks Williams, MSN, RN, CCRN-K, CENP Methodist Mansfield

Laura Sweatt, MSN, NPD-BC Methodist Mansfield

Karen Yates, MSN, RN, RN-BC, CEN, EMT-P Methodist Mansfield

Danielle Testa, RN Emmanuella Jeune, RN

REX MCRAE AWARD

Kayla Duffey, RN Hulda Pimental, ONC, Ortho Omar Qaddura, BSN, RN Miriam Anyanwu, BSN, RN

Michelle Fraile (El Centro College student), Methodist Dallas

Mackenzie Wood, RN Methodist Mansfield

METHODIST MANSFIELD Christy Rose, BSN

DALLAS-FORT WORTH HOSPITAL COUNCIL

Megan Lewis, CCRN Mike Busch, BSN Ryan Batac, BSN Karrie Klein, BSN, RN-OB Tracie Leverage, BSN, RN, RNC-OB

Janaki Subramanian, RN, CA-SANE Special Recognition Award, Methodist Dallas

Masoud Elmaawy, BSN, RN Preceptor of the Year, Methodist Dallas

Jamie Harrington, BSN, RNC-NIC Employee of the Year, Methodist Mansfield

METHODIST RICHARDSON Joshua Lamb, BSN, RN Natalie Kelley, BSN, RN, NPD-BC

FORT WORTH HEALTHCARE HERO AWARDS

Hayat Hussen, BSN, RN Michelle Ozarchuk, ADN, RN

36 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Laura Sweatt, MSN, NPD-BC and Aleasha Johns, MSN, RN, CCRN for “Saving Lives With Water Safety”

exemplary

PROFESSIONAL PRACTICE UNIT AWARDS BEACON AWARD Methodist Charlton ICU The Beacon Award for Excellence “recognizes caregivers in stellar units whose consistent and systematic approach to evidence-based care optimizes patient outcomes. Units that receive this national recognition serve as role models to others on their journey to excellent patient and family care.”

AMSN PRISM AWARD Methodist Mansfield B4 Surgical Acute Prestigious AMSN PRISM Award®, the first in the DFW area, for providing exceptional nursing practice, leadership, and outcomes in hospital medical-surgical units. The award, which stands for “Premier Recognition In the Specialty of Med-Surg,” is the first of its kind honoring med-surg nursing units in the United States and internationally. METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

2020

RESEARCH STUDY START YEAR

PROTOCOL ID

CRI PROTOCOL ID

STUDY TITLE

CAMPUS

2020

20201691

Improving Patient Perceptions of Comfort on Surgical and Medical Telemetry Units

Traci Brooks

Methodist Charlton

2020

074.NUR.2020.D

Implementation of the AHRQ Pressure Injury Prevention Toolkit

Nora Billodeaux

Methodist Dallas

2020

QI-20106

081.NUR.2020.D

Assessment of documentation of Barriers to Care via Implementation of a Nurse Navigator Intervention Form

Alejandra Waddle

Methodist Dallas

2020

088.NUR.2020.D

TCHMB Quality Improvement Initiative: Newborn Admission Temperature

Pamala Gessling

Methodist Dallas

2020

044.NUR.2020.M

Perceptions of Workplace Violence in a Community Acute Care Facility

Laura Sweatt

Methodist Mansfield

2020

058.NUR.2020.M

Decreasing Post-Operative Nausea and Vomiting in the Bariatric Surgical Patient

Ashley Attaway

Methodist Mansfield

2020

050.NUR.2020.R

Shared Decision-Making for Inpatient Behavioral Health

Dianna Goodman

Methodist Richardson

Jane Price [Methodist Champion: Kim Branum]

Methodist Richardson

Maxine Adegbola

Methodist Richardson

2020

065.NUR.2020.R

Implementing a Standardized Patient Education Program Using the Teach-back Method in Older Adults with Depression to Reduce Hospital Readmissions

2020

080.EDU.2019R

Perceived Coping, Meaning, and Joy at Work

38 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

external

PRESENTATIONS AND PUBLICATIONS CAMPUS

PARTICIPANT

EVENT

PRESENTATION

METHODIST MANSFIELD

Laura Sweatt

AONL 2020

Igniting Innovation: Sparking Interest in Nursing Research

METHODIST MANSFIELD

Laura Sweatt

ICN 2020

Igniting Innovation: Sparking Interest in Nursing Research

METHODIST MANSFIELD

Laura Sweatt

Nurse Educator’s Conference in the Rockies

Building an Evidence-Based Culture at the Bedside

METHODIST MANSFIELD

Lauralyn Brown

Mayo Clinic

Methodist Health System Sepsis Collaborative

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 39

celebrating

CERTIFIED NURSES METHODIST DALLAS Aaron Castilleja, CCRN/SCRN Abigail Calderon, CMSRN Abilene Silva, RN-BC Aimee Hernandez, CCRN Alice Cho/Winn, RN-BC Amanda Vazquez (Cortez), RNC-OB Amber Parker, RNC-MNN Amil Pilit, CCRN Aminata Njie, RN-BC Amy Mabry, NEA-BC Amy Thai, CCRN Andrea Stegall, CNOR Anna Ollarzabal, OCN Anne Fjordholm, RNC-OB Annie Paul, RNC-OB Anthony Nelson Li, CCRN Antonio Brame, CCRN April Moriarty, CCRN Ashley White (Dixon), CEN Asif Kamal, CMSRN Audia Porteous, RNC-MNN Barbara Picazo, OCN Benson Ndua, RN-BC Bettina Wagner-Tatum, RNC-MMM Bindhu John, RNC-MNN Boone Lo, RNC-OB Brenda Mancilla, CCRN Brent Courville, CCRN Brooke Buitureida, RN-BC Brooke Pennings, CCRN Caleb Schauweker, CCRN/SCRN Cerita Taylor, RNC-OB Channon Sherman, RNC-MNN Charla Caster, RNC-NIC Charla Ray, CNOR Charleen Garcia , CNOR Cheyenne Ruby, NPD-BCv Christian Mote, CCRN Christina Tillotson, CNOR Christi Schnernecke, NNP-BC, RN-NIC Comfort Uche, CMSRN Courtney Facundo, RNC-NIC Crystal Murphy, CEN Daniella Ramirez, CCRN/CAPA Danielle D’aquisto, RNC-OB David Ngari, RN-BC David Robertson, CNOR Debbie Derda, NEA-BC Dee Drake, CCRN Deniece Colbert, RN-BC Dezorey Vahed, CCRN/SCRN Ding Chen, CCRN Donald Tate, CCRN Donna Jarecke, RNC-NIC Elise Kaul, CEN Elizabeth Brown, CMSRN Elizabeth Miller, ONC Elizabeth Pearson, RN-BC Elizabeth Vasquez, RNC-MNN Elliot Azoulay, CEN Emily Berry, RNC-NIC Emily Daniel, CCRN Emily Wulf, CEN, CA-SANE Emma Briggs, CCRN Ephrata Demelew, CNOR Esmir Mujkic, CCRN Esther Knoll, CCRN Etienne Poufong, RN-BC Evan Sosebee, CCRN Evelyn De Ocampo, CMSRN Fatoumata Jallow, RN-BC Felicia Shavers, RNC-OB & RNC-EFM Finney Kelly , RN-BC Gabrielle Black, OCN Gil Gonzalez, CCRN, SCRN, CNRN, CNML Grace Kameau, CCRN Grace Shield, OCN Gregory Hurt, RN-BC Gretchen Hanner (Grubbs), RNC-OB Gretchen Horn, CEN, CFRN Heather Whitehill, RN-BC Herrdonli Yap, RN-BC Humera Aslam, CMSRN Huong Kim Thai, RNC-MNN Ihuoma Osuji, RN-BC Imelda Silva, CCRN

Jack Thurman , CCRN Janaki Subramanian, CA-SANE January Green, RN-BC Jay Goodwin, RN-BC, PCCN Jean Belizaire, PCCN Jeanne Brown, RNC-LRN Jeff Roark, RN-BC Jena Disimoni, RNC-OB Jen Mcdougal, RNC-NIC Jennifer Burns, RNC-MNN Jennifer Gardner, RNC-NIC Jennifer Meeks, RNC-NIC Jennifer Ross, CEN Jennifer Wruck, RN-BC Jerome Jordan, CEN Jessica Seldomridge, RN-BC Jessica Tandeski, RN-BC John Black, RN-BC Joli Uetrecht, CCTN Josie Tookey, CCRN Juana Bueno, CCRN Juli Carrell, RNC-MNN Julie Mendenhall, Cde Kande Franklin, RN-BC Kaprica Reynolds, CMSRN Karah Purvis, TCRN, CEN Karen Burnett, RNC-OB, C-EFM Katherine Britt-Price, RN-BC Kathryn Keetch, OCN Kelly Fincher, OCN Kelly Wilburn, OCN Kelsey Burke, CA-SANE Kelsey Long, RNC-OB Kenya Florence, RNC-OB Kikelomo Dawotola, RN-BC/NP-C Kimberly Fanning, RN-BC Kimberly Ortiz, CCRN Kimbrely Garrison (Beck), RNC-NIC Kim Lineberry, CAPA Kimm Wright, RNC-OB, C-EFM Kristen Caldwell, CCRN Kristen Pirkle, RN-BC Kristi Wilson, CCRN Laria Hicks, CMSRN Laronda Wilkerson, RNC-OB Laura Ruiz (Cruz), RNC-OB Lauren Gilmore, RNC-NIC Lauren Hampton, RNC-NIC Lauren Hardman, RN-BC Laurine Ndlovu, RN-BC, NPD-BC Lawrence Nguyen, CMSRN Laynell Fendell, RN-BC Leslie Ortiz (Fields), CMSRN Lina Gomez, CCRN Linda Walker, RNC-OB Lisa Espinosa, RN-BC Liz Lampe, RN-BC Lizziama Abraham, RNC-MNN Madison Lowrance, RN-BC Mandi Sullivan, PCCN Maranda Martin, CCRN Marcia Byrd, RN-BC Margaret Narvaez, CMSRN Maria D’souza, RNC-OB Mariah Boone , CCRN Maria Sandoval, RNC-NIC Maria Ukoha-Kalu, RN-BC Maria Valera, CCRN Marnie Kraiger, RNC-NIC Mary Cluley, CCRN/SCRN Meagan Been, CEN Megan Castaneda, RNC-MNN Megan Moon, CEN Meghan Reeves (Sullivan), RNC-NIC, RNC-OB Megha Patel, CAPA Melefotan Familusi/Oloyede, RN-BC Mercedes Morton, RNC-OB Meron Gulilat, CGRN Michael Onuorah, RN-BC Michael Vansteel , RN-BC, BC-NE Michael Waits Jr., RN-BC Mihaela Istrate, RNC-MNN Modibo Keith/Kieta, CCRN, CNRN Molly Oliver, RN-BC Monique Brumsey, CMSRN Nancy Aguillon, OCN Nantha Duffy, RN-BC Nicole Jones, CCRN Nomsa Musengezi, RN-BC

40 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Nora Billodeaux, RN-BC Norma Ramos, RNC-OB Olivia Delavega, RNC-MNN Olivia Mazade, SCRN Oma O’neal, RNC-NIC Omolola Fagboyegun, RN-BC Osas Eregie, CCRN Pam Gessling, NEA-BC, RNC-OB, C-EFM Parikchya Kc, RN-BC Patsy Boyd, CNOR Pegan Thomas, CCRN Rachel Bowen, CCRN Rachel Hayes, CCRN Rachel Mask, CCRN Rachel Valenzuela, CNOR Raelyn Lane, RN-BC Rana Kaidbey, TCRN Rashondra Calderon (Fort), RN-BC Rebecca Herchenbach, CA-SANE Reta Adere, CCRN Reyna Rodriguez (Nieto), RNC-NIC Rhonda Harper, CNOR Rhonda Lents, RNC-MNN Rhonda Mcgaughey, RNC-OB Rima Basal, RNC-NIC Robin Everett, CEN Rosaline Wahome, RN-BC Rosemary Acosta, CNOR Ryan Chang, CCRN Sajini Joseph, RN-BC Sally Broome, RNC-OB Samista Graham/Maharjan, CCRN Sara Cantrell, RNC-NIC Sarah Brown, CA-SANE Sarah Mccallum Sharp, RN-BC Sarah Towery, NEA-BC Sarndra Nasr, RNC-OB Selamawit Eshete, RN-BC Sequin Owens, RN-BC Shannon Houston, ONC Shannon Mentel, CNOR Sharon Alvarado, RNC-OB Sharon Bolluyt, RNC-OB Shenee Furlough, CMSRN Sheree Davis, RNC-OB Shericka Jones-Jackson, CMSRN Sherry Kibira, RN-BC Shiella Delacruz, RNC-NIC Sibby Jacobs, RNC-MNN Sondi Fiegel, Lean Six Sigma Green Belt Sophie Achar, ONC Stacy Singelton, RN-BC Stefani Newberry, RNC-MNN Stephanie Cunningham, RNC-NIC Stephanie Stewart, CEN Susan Howell, CCRN Sydney Laxo, CEN

Tabatha Coons, CEN Tabitha Cathcart, RNC-NIC Tammie Robak, RN-BC Tammy Holland, RNC-LRN Tari Matsikire, RN-BC Taylor Moore, CCRN Taylor Smith , CCRN Teresa Plumlee, RN-BC Teresa Sulak, RNC-MNN Terri Freeman, CMSRN, CRRN Theresa Brunner, OCN Theresa CONCeption, RNC-MNN Thuyan (Ann) Luu, CMSRN Thy Kave (Tran), RNC-OB Tina Nixon, RNC-MNN Tinotenda Pamberi, RN-BC Tinu Zacharias, CMSRN Tiny Chiramel, CSMRN, NPD-BC Tomy Kunjumol, RNC-OB Tonya Stringer, RN-BC Trang Nguyen, CMSRN Trang Nguyen, RNC-NIC Travis Rhoads, RN-BC Trenton Wall, RN-BC Trinh Ngo, CMSRN Uma Thillainathan, OCN Vanessa Criddle, CMSRN Vanessa Walther, RN-BC Victoria Idio, RN-BC Victoria Solis, RNC-MNN Victor Jimenez, CCRN Wanvisa Tosomboon, PCCN Willana Sucdad, CCRN Yolanda Leung, CMSRN Yun Baek, NP-C

celebrating

CERTIFIED NURSES

METHODIST MANSFIELD Aaron Greenwood, BSN, RN, CEN Ahmad Hamdan, PhD, RN, CCRN Albert Nyaanga, BSN, RN, CMSRN Aleasha Johns, MSN, RN, CCRN Alejandro Coonrod, BSN, RN, TNCC Alicia O’Mealia, BSN, RN, IBCLC Amanda Laukaitis, BSN, RN-BC Amber Carr, BSN, RN-BC Ambrose Ohide, RN-BC Anita Cordova, RN, CCRN, TNCC Anja Gomez, BSN, RN-BC Ashley Blanchard, BSN, RN-BC Ashley Damron, BSN, RNC-MNN Autumn Maddock, BSN, RNC-MNN Beverly Hill, RN-BC Brittany Hart, BSN, RN, CEN Brooks Williams, MSN, RN, CCRN, CENP Bryan Kelly, BSN, RN, CCRN, TNCC Carmen Otero Hill, RN-BC Cecilia Taduran, BSN, RN, CMSRN Chauntel Spruill, RN-BC Cheresa Simmons, BSN, RN-BC Cheryl Hammer Christina Wyatt, BSN, RN-BC Christine Nguyen, BSN, RN, CMSRN Cindy Espinoza, BSN, RN-BC Cindy Salinas, RN-BC Clementine Monda, MSN, RN-BC Contessa Henry, RN, CNOR Courtney Peterson, BSN, RN, CCRN, CNOR Crystal Martinez, MSN, RN, CCRN Deborah Ruth, RN, RNC-OB Derrick Tran, BSN, RN-BC Diana Cleveland, BSN, RN, IBCLC Edith Muoneke, BSN, RN-BC Elaine Johnson, RN, RNC-OB Elena Campuzano, BSN, RN-BC Erica Oldfield, BSN, RN, IBCLC Ethel Tate, BSN, RNC-NIC Evelyne Ongwae, MSN, RN, CCRN Faina Sandler, RN-BC Fawn Rojas, BSN, RN-BC Friday Aigbedion, MS-NP, APRN Gabriella Rubalcaba, BSN, RN-BC Gena Andrews , RN-BC Heather Smithwick, BSN, RNC-MNN Iris Pham, BSN, RN-CMSRN Jacey Shoemaker, BSN, RN, CEN Jacqueline Uy, BSN, RN-BC Jacquilyn Aniscol, BSN, RN, CCRN Jade Moss, RN, TNCC Jade Tra, BSN, RN, CCRN, SCRN James White, BSN, RN, CCRN Jamie Harrington, BSN, RNC-NIC

Janga Kc, BSN, RN, CCRN, SCRN Jennifer Box, BSN, RN Jennifer Graham, RNC-MNN Jennifer Roselius, BSN, RN-BC Jessica Shea, BSN, RN-BC Jessie Nham, RN-BC John Blevins, BSN, RN, CEN John Derouin, MSN, RN, CEN Juanita Libutan, MSN, RN, CCRN Juanita Zuniga, BSN, RN, CMSRN Judith Serra, BSN, RNC-NIC Judy Sueller, BSN, RN, CCRN Julie Norris, BSN, NEA-BC Julie Rogers, MSN, RN, CCRN Kacie Zhanel, RN, RNC-OB Karen Bosher, BSN, RN-BC Karlanette Arthur, RN, CCRN, TNCC Kathleen Cown, RN-BC Kathy Ripley, MSN, RN, CGRN Katrina Williams, BSN, RN, CNOR Katy McQuaid, BSN, RN, CCRN Kayla McAdams, RN, RNC-OB Kayleigh Garber, BSN, RN, CEN Kieu Le, BSN, RN-BC Kim Pham, BSN, RN, CEN Kim Tran, BSN, RN, PCCN Kirsten Williams, BSN, RN-BC Lacy Castleberry, BSN, RN, CCRN Lara Sarah , BSN, RN-TNCC Laura Nguyen, BSN, RN-BC Laura Sweatt, MSN, NPD-BC Linda Contreras, MSN, RN, CCRN Linda Obika, MS-NP, RN-BC, APRN Lindsey Miller, BSN, RN-BC Lisa Destreza, RN, CPAN Lisa Magana, BSN, RN-BC Lynae Cochran, RN, IBCLC Lynne Eisiminger, BSN, RN-BC Margaret Nyoni, BSN, RN-PCCN Mariam Ohemeng, BSN, RN-BC Marta Church, BSN, RN, RNC-OB Marvena Goss, BSN, RNC-MNN Mary Ann Carroll, RN-BC Mary Grace Rosquillo, BSN, RN-PCCN Mary Greer, BSN, RN, CNOR Mary Gunasekaran, MSN, RN, PCCN, CNML Matthis Deann, BSN, RN, CCRN Mavilma Ventura, BSN, RN, CNOR Meagan Nguyen, BSN, RN-BC Melanie Stanley, BSN, RN-BC Melissa Miller, RN, CNOR Melissa Mitchell, DNP, RN, CMSRN, NPD-BC Melissa Sujballi, BSN, RN, CCRN Michael Hernandez, MSN, NE-BC Michael Lewis, BSN, RN, CCRN, TNCC Michael Yomoah, MSN, RN-BC Michele Swanner, RNC-MNN Monica Mote, BSN, RN, RNC-OB Morgan Mascarinas, BSN, RN, CCRN Myrel Sabat, BSN, RN, CGRN Natalie Edgell, RN-BC Nicolette Ayala, RN, RNC-OB Nikki Osterloh, BSN, RN, CCRN Nora Frasier, DNP, RN, NEA-BC Patti Voegele, RN, CEN Patty Dill, BSN, RN, CCRN Pem Reainthong, MSN, RN, CCRN, TNCC Prathapan Selvanesan, BSN, RN-BC Qi Grijalva, BSN, RN, CCRN Rachel Bartholomew, BSN, RN, RNC-OB Rachel Mentzel, BSN, RN-BC Renju Raveendran, BSN, RN-BC Rita Nkea, MSN, RNC-MNN Robyn Colvin, RN-BC Rodias Estrada, BSN, RN-BC Rouvennie Tarede, BSN, RNC-MNN Salina Smizer-Harris, BSN, RN-BC Salve Tawaran, BSN, RN, CMSRN Sarah Haney, BSN, RN-BC Sarah Magby, RN-BC Sayonon Harmon, BSN, RN-BC Shanna Grummons, RN, RNC-OB Shannon Wright, BSN, RN-BC Sheri Jennings, BSN, RN, CCRN Simba Nyoni, RN, CCRN Simon Nguyen, BSN, RN-BC Sonia Hernandez, BSN, RN-BC Susan Taylor, BSN, RNC-HROB Tai Tran, BSN, RN-BC

TAMMY TRIETSCH, BSN, RN, CNOR Thomas Smith, BSN, RN-BC Tiffany Dickerson, BSN, RN, IBCLC Tiffany Nguyen, BSN, RN-BC Tiffany Otero, BSN, RN, EMT-P Tonya Pena, BSN, RN-BC Tonya Wilemon, RN, RNC-OB Tony Orafunam, BSN, RN-BC Tracie Leveridge, BSN, RN, RNC-OB Travis Tieke, BSN, RN-BC Vi Tran, BSN, RN-BC Wayne Gernon, MSN, RN-BC Wendy Ramirez, RN, RNC-OB, IBCLC Wubu Barclay, MSN, RN, AACN, ANPD

METHODIST CHARLTON Abdow Mohamed, RN-BC Adejuma, Akinlol, RNC Adeloa Ese, PCCU Alejandro Ruiz De Somocurcio, CCRN Alisha Wildee, RN-BC Alma Padilla, CMSRN Amanda Binnix, CEN, CPHQ Amanda Mckinney, RN-BC Amanda Rodriguez, RNC-NIC Amandine Ferre, CCRN Amber Long, FACHE, OCN Andrea Montes, CCRN Annaliza Maristela, PCCN Annalyn Fontillas, CMSRN, PCCN, Annam Wilson, PCCN Anne-Gret Friedrich-Cuntz, CMSRN April Bartley, IBCLC Ashley Nava, RN-BC Bertha Villarreal, RN-BC Betty Lovins, CCI- CNOR Beverly Fennell, RN-BC Blanca Castillo, RN-BC Bobbie Thomas, RN-BC Brittney Williams, RN-BC Candace Cross, CCRN Cathy Nelson, CMSRN Charla Amos, CDE Charlene Hernandez, CCI-CNOR Chelsea Knight, RNC-NIC Chelsea Ying, FNP-BC Cherie James, NPD-BC, OCN Christopher Page, CCRN Christopher Witkowski, CCRN Consuela Mendoza, RNC-PCCN Courtney Turner, ONC, RN-BC Cynthia Novak, RN-BC Deanna Lewis, RN-BC Debbie Moreno, RNC_MNN Deborah Shoemaker, CCI-CNOR Denise Followwill, RN-BC Donna Lawless, HCAP Edgar Ollarzaba, RN-BC Edna Olivares, RN-BC Elena Cordray, CCRN Elijah Moriango, CCRN Elizabeth Jacinto, RNC-OB Elsa Estrella, ONC, Ortho Emily Wheeles, CEN Emma Vega, CCRN Ericka England, TNCC Esperanza Garza, CCI-CNOR Esther Bernard, RN-BC Faith Shinawaga, CCRN Fatassia Reed-Black, CCRN Felix Neily, PCCN Franklin Martin, CCI-CNOR Garrett, Barnett, CCRN Genean Grant, NE-BC Gissela Chujutalli, PCCN Heronda Castille, RNC-MNN Hilda Mongeri, PCCN Huldah Pimental, ONC Ortho Ingrid Kindipan, CCRN Irene Mutheu, CCRN, CEN Jamie Lillard-Shine, RNC Janie Waggoner, RNC-MNN/IBC Janneth Soto, CCRN Jeannet Rogers, PCCN Jean Rodriguez, RN-BC Jennifer Daugherty, RNC-OB

Jennifer Henninger, RN-BC Jennifer Mullis, CEN Jessy Jesudas RNC Jordan Smith, CCRN Joy Bijula RNC, SCRN Juan Acuna, CEN Judith Argarin, ONC Julia Ogola, RNC-MNN Justin Weird, CGRN Karen Narvaez, CCRN Katherine Simson, RNC-OB Kathryn Ufolla, CCRN Kathy Ivison, CCRN Katrina NesbittRN-BC,RNC-MNN Kelly Wilson, RNC-LRN Kerri Lampe, CCRN Kevin Koshy CCRN Kevin Peterson, CCRN Kiah Bennett, CCRN Kimberly Burgess, RNC-OB Kimberly Head, RN-BC Krissy Puerto, CEN Laura Megonigal, RN-BC Lauri Rodgers, RNC-OB Lisa Bennett, PCCN Lisa Cawthon, NPD-BC Luritta Owens, CCRN Margarethe Bryant, CCI-CNOR Marissa Wilson, FNP-BC Mark Gemina, CCRN Mary Francis, PCCN Mary Jo Walters, RNC Mary Kay Swift, CNOR Mary Petterson, RN-BC Mathews Lyons, TNCCM Maureen Smith, CGRN Melissa Mejia, CCI-CNOR Mercedes Lopez, CENP, CPHQ Mercy George, RNC-OB Mercy Weah, RN-BC Merri Evans, CPN Michael Marr, CCM Michele Tietz, CEN Michelle Comeaux, C-EFM Michelle Hart-Rodriguez, CCRN Michelle Hart-Rodriguez, CCRN Mildred Arias, PCCN Monica Clayton, RN-BC Mosun Ajenikoko, RNC Ni Xiao, RNC-LRN Norma Urbina, CCRN Patricia Horton, CCI-CNOR Prudence Owusu-Prempeh, AGACNP-BC Quat Nguyen, CCRN Racquel Cabanas, RNC-MNN Rae Delgado, SCRN Regina Butler, RN-BC, WCN-C Renna Davis, RN-BC Rissa Gaufo, RNC-LRN Robin Hawkins,CEN, CCRN Roniesha Banks, RN-BC Rosemary Bradford, ONC Rusty Allen, CCRN, CEN Sandra Nordaby, CEN, CCRN Sarah Jones,CMSRN Sharon Ray, RNC Sharon Washington, CCRN Sherra Holmes, RN-BC Sherry Webb-Nance, RN-BC Shirley Philip, ONC Simplicio Sagutaon, CCRN Stephanie Crocker, CNOR Susan Watkins, RNC Suzanne Hunt, CEN Suzanne Wheatley, CRN, VA-BC Tamara Paschal, RN-BC Tamera Everett, CNOR Tammy Pikey, CMSRN Tatie Obenita, CEN Teofila Loza, RN-BC Terry Scofield, CEN Terry Smith, CCRN Theresa Moriarty, PCCN Tiffany Au, CWOCN Tochkwu Agbanaje, RN-BC Tony Roh, CCRN Veronica Romero, RNC-MNN Vicki Hallum, CBCN Wally Carrion, CEN

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

celebrating

CERTIFIED NURSES METHODIST RICHARDSON Aisosa Odigie, BSN, RN, PCCN Alaina Vest, ADN, RN, RNC-MNN Alexandra Luttrell, BSN, RN, MEDSURG-BC Alexandra Wright, BSN, RN, PMH-BC Alexandria Ferguson, BSN, RN, CBC Alisha Snelson, BSN, RN, MEDSURG-BC Alison McTague, BSN, RN, OCN Allison Ozols, ADN, RN, PMH-BC Allison Pike, BSN, RN, CV-BC Alyssa Polley, BSN, RN, MEDSURG-BC Amanda Krueger, BSN, RN, MEDSURG-BC Amber Smith, BSN, RN, IBCLC Amy Flores, BSN, RN, OCN Amy Kim, BSN, RN, MEDSURG-BC Anne Papp, ADN, RN, MEDSURG-BC Ann Oparaeke, BSN, RN, CCRN April Jackson, BSN, RN, PMH-BC Arlene Velazquez, MSN, RN, RNC-NIC Ashly Jarrett, BSN, RN, GERO-BC, WCC Ashly Paulson, BSN, RN, MEDSURG-BC Audrey Smith, BSN, RN, CCRN Bailey Downing, ADN, RN, PMH-BC Beena Mathai, MSN, RN, CCRN Betelihem Checol, BSN, RN, CMC, PCCN Bibitha Joseph, BSN, RN, PCCN Brittany Roy, BSN, RN, RNC-OB Brooke Wasick-Navar, ADN, RN, MEDSURG-BC Cara Rener, BSN, RN, RNC-MNN, IBCLC Carmen Abraham, BSN, RN, RNC-NIC Caroline Gombera, BSN, RN, RNC-MNN Cassandra Bryant, BSN, RN, CMSRN Catherine Ocampo, BSN, RN, PMGT-BC Cathy Gosnell, MSN, RN, NE-BC, RNC-OB Cecily Bingham, BSN, RN, RNC-OB Celina Flores, MBA, BSN, RN, CWS, WCC Chanel Bensinger, BSN, RN, RNC-MNN Charity Katarikawe, BSN, RN, CAPA Cheryl Koch, MSN, RN, NEA-BC Chinedum Ogbonna, BSN, RN, PMH-BC Chinyelu Nnake, MSN, RN, CMSRN Christina John, BSN, RN, MEDSURG-BC Christine Zalamea, BSN, RN, OCN Christy Robbins, BSN, RN, RNC-NIC Coco Balalau, BSN, RN, CEN Danielle Cooper, BSN, RN, PCCN Danielle Cullum, BSN, RN, MEDSURG-BC David Withrow, BSN, RN, CGRN Deborah Pomroy, BSN, RN, PMH-BC Debra Kahnen, BSN, RN, NPD-BC, CMSRN Debra Porter, RN, CCRN Deena Oommen, MSN, RN, CCRN Desiree Debaca, BSN, RN, RNC-OB, C-EFM Devin Bradshaw, ADN, RN, MEDSURG-BC Dinah Sanchez, BSN, RN, CCRN Donna Daniel, BSN, RN, RNC-MNN Doresa Maberry, MSN, RN, CMSRN, CNL Dorothy Omuga, BSN, RN, CPN Edna Vanessa Enriquez, BSN, RN, PCCN Elaine Mueller, RN, CAPA, CPAN Elaine Roquemore, BSN, RN, RNC-OB Elizabeth Aaron, MSN, RN, NE-BC, CCRN-CMC Elizabeth Eaton, RN, CGRN Elsa Landazabal, BSN, RN, OCN Elvie Stallard, BSN, RN, CCRN Emily Choga, BSN, RN, MEDSURG-BC Erica Sitzes, BSN, RN, RNC-OB Erika Agpawa, BSN, RN, CCRN Erika Scott, ADN, RN, CMSRN Faith Hughes, BSN, RN, RNC-NIC Farzana Wakil, BSN, RN, CGRN Getachew Yirga, BSN, RN, CCRN Gloria Sarmiento, BSN, RN, CCRN Heather Edmondson, BSN, RN, RNC-MNN Heidi Giamis, BSN, RN, CMSRN Idara Ekong, BSN, RN, MEDSURG-BC, GERO-BC Irene Strejc, MHA, BSN, RN, CENP Jacklyn Yeap, BSN, RN, CCRN, CSC Jacqueline Stevenson, BSN, RN, CFRN, CCRN Jacqueline Stitt, MSN, RN, CRRN James McKiddy, BSN, RN, MEDSURG-BC Jamie Le, BSN, RN, CCRN Janeth Sims, ADN, RN, RNC-OB Jane Whiteley, BSN, RN, CCRN Jasmine Smith, BSN, RN, PCCN

Jason Adawag, BSN, RN, CNOR, CBN Jeffrey Trippeer, BSN, RN, CEN Jeffrey Woodward, MSN, RN, RN-BC, CEN Jennifer McCarroll, BSN, RN, CEN Jennifer Mcrae, BSN, RN, OCN, ONN-CG Jessica Carpenter, BSN, RN, PMH-BC Jessica De Leon, BSN, RN, PMH-BC Jessica London, BSN, RN, CEN Jessica Montgomery, ADN, RN, MEDSURG-BC Jessica Rong, MSN, RN, CCRN Jessy Abraham, BSN, RN, RNC-MNN Jessy Vazhakatte, RN, CMSRN Jimmy Brumfield, MSN, RN, CNOR Joel Njau, BSN, RN, PCCN Joseph Chua, BSN, RN, CNOR Joseph Walker, ADN, RN, CGRN Josh Ast, BSN, RN, CNOR Julia Cisneros, BSN, RN, MEDSURG-BC Julie Harris, BSN, RN, CCRN Julie McMullin, BSN, RN, OCN Karyn Harris, BSN, RN, CEN Katherine Hartdegen, BSN, RN, CPN Kim-Long Kang, BSN, RN, CCE, IBCLC Kimberly Branum, MSN, RN, PMH-BC Kim Parker, BSN, RN, CCRN Kristin Arthur, BSN, RN, ONC Kylie Tedlock, BSN, RN, MEDSURG-BC Larissa Burch, ADN, RN, OCN Lauren Devries, BSN, RN, CCRN Lauren Kritzer, BSN, RN, MEDSURG-BC Lilian Mwangi, BSN, RN, PCCN Lily Bloodworth, BSN, RN, CCRN, PCCN Linda Turner, MSN, RN, CCRN Linda Vozzella, ADN, RN, CCM, OCN Lisa Bortz, ADN, RN, RNC-NIC Lori Melson, BSN, RN, CMSRN Lori Pierce, BSN, RN, MEDSURG-BC Lori West, BSN, RN, CDE Lucica Cable, BSN, RN, CCRN Lucita Rejano, BSN, RN, CNOR Lupita Ocampo, BSN, RN, OCN Lydia Lowell, MBA, MSLOD, BSN, RN, NE-BC Lydia Martin, BSN, RN, CMSRN Maggie Chivombo, BSN, RN, CMSRN Marian Brumfield, BSN, RN, CNOR Marivic Pinguel, BSN, RN, CCRN, PMH-BC Mary Robinson, BSN, RN, RNC-NIC Maryum Anderson, BSN, RN, PCCN Maxine Adegbola, PhD, RN, CNE, ANEF Mccrae Mutisya, BSN, RN, PMH-BC Melissa Grosh, BSN, RN, IBCLC Melissa Harbison, BSN, RN, CNOR Melissa Knight, ADN, RN, PMH-BC Mellisa Alvarez, BSN, RN, MEDSURG-BC Molly Dsouza, BSN, RN, CCRN, PCCN Nakia Pittman-Shaver, BSN, RN, MEDSURG-BC Nancy Keovongsy, BSN, RN, MEDSURG-BC Nancy Lehmann, BSN, RN, RNC-NIC Nancy Sandejas, BSN, RN, OCN Narcisa Razon, BSN, RN, CPAN Natalie Kelley, BSN, RN, NPD-BC Ngan Hoang, BSN, RN, MEDSURG-BC Nicholas Kelley, ADN, RN, PMH-BC Nonnie Breytspraak, MSN, RN, PCCN Nutchapat McKay, BSN, RN, MEDSURG-BC Olabisi Ogunleye-olawuyi, BSN, RN, PCCN Olayinka Immanuel, BSN, RN, MEDSURG-BC Patricia Woodard, ADN, RN, RNC-NIC Patrick Kariuki, BSN, RN, CCRN Patti Millington, BSN, RN, RNC-OB Paul Galipeau, BSN, RN, OCN Payge Daniel, BSN, RN, CMSRN Ponnamma Kurian, BSN, RN, CCRN Precious Thompson, BSN, RN, CCRN Raimol George, BSN, RN, RNC-MNN Rebecca Donnelli, BSN, RN, NE-BC, OCN, CCRN-K Rebecca Keyes, BSN, RN, CCRN Rebecca Terry, BSN, RN, CEN, CPEN Rebeka Carreon, BSN, RN, CMSRN Regina Ward, ADN, RN, CWCA Robert Jackson, ADN, RN, MEDSURG-BC Rodfil Camacho, BSN, RN, PMH-BC Roman Gebrewold, BSN, RN, ONC Romil Amar, BSN, RN, MEDSURG-BC Roscille Caston, BSN, RN, PMH-BC Royce Dela Cruz, BSN, RN, PCCN Ruthmary Lastick Lelion, BSN, RN, CCRN Sabrina Hastings, ADN, RN, CPN Sandra Osborn-Floyd, BSN, RN, CEN

42 METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020

Shannon Jackson, MSN, RN, MEDSURG-BC Sharareh Mirzaei, BSN, RN, CGRN Sharon Blackerby, DNP, RN, NPD-BC, RN-BC, CPHQ Sharon Mahoney, ADN, RN, CNOR Sheena Bryant, BSN, RN, PMH-BC Shelly Jones, BSN, RN, RNC-OB Shimelis Kebie, ADN, RN, CRRN Shirley Macalanda, BSN, RN, CCRN, CMC, CSC Sonia Hernandez, ADN, RN, MEDSURG-BC Sue-Ellen Balcom, ADN, RN, CGRN Sue Roesler, BSN, RN, MEDSURG-BC Susan Chacko, MSN, RN, PMH-BC Susan Garanzuay, ADN, RN, MEDSURG-BC Sylvia Ivie, BSN, RN, RNC-NIC Tanya Linsley, MSN, RN, CCRN Tanya McGuire, BSN, RN, OCN, VA-BC Terri Daugherty, MSN, RN, RNC-NIC, C-ELBW Terri Thompson, BSN, RN, CCRN Tesfaye Shibashi, BSN, RN, MEDSURG-BC Thanh Phan, BSN, RN, MEDSURG-BC Thao Tran, BSN, RN, MEDSURG-BC Tiffany Green, BSN, RN, MEDSURG-BC Timothy Moehlman, BSN, RN, CEN, CCRN Tina Coonrod, BSN, RN, RNC-OB Tina Hankins, BSN, RN, CEN Tori Forbes, ADN, RN, RNC-OB Ulda Veneziani, MSN, RN, MEDSURG-BC Valsamma Xavi, BSN, RN, PCCN Vanessa Henley, BSN, RN, RNC-MNN, IBCLC Vanessa Rogers, BSN, RN, CCRN, MEDSURG-BC Veronica Lee, BSN, RN, MEDSURG-BC Veronica Murira, BSN, RN, CCRN Vicki Sandefur, RN, RNC-NIC Vu Hoang, BSN, RN, MEDSURG-BC Wendy Board, BS, RN, RNC-OB Winnefred Akangbou, RN, CGRN

Despite the challenges the pandemic presented, Methodist nurses overcame them by continuing to pursue nursing excellence and remaining focused on our patients”.

METHODIST HEALTH SYSTEM | NURSING ANNUAL REPORT 2020 43

Methodist Health System - 2020 Nursing Annual Report

Articles inside

COVID-19 SPECIAL SECTION

CELEBRATING CERTIFIED NURSES

SYSTEM OVERVIEW

INTRO LETTER