Nursing
C o nn e c t i o n
A Meeting of the Minds
1, 3 Magnet Conference
Letter from Your
Chief Nurse Executive
4
Nursing Summit
5
TeamSTEPPS
6
Nursing Councils
7 Guardian Angel and
McLaren Update
8
DAISY History,
Awards, and Honors
A Publication for and
about the Compassionate
and Caring Nurse Colleagues
of Northern Michigan
Regional Hospital
National Magnet Conference
Inside This Issue
2
autumn/winter 2011
“I
t’s hard to describe the energy of 7,500 nurses coming
together to learn how to improve patient outcomes,”
says Jennifer Woods, RN, MSN, CNML, Senior Director.
“I do know that there was a continual feeling of celebration from
the moment we registered.” Thanks to the generosity of
Ed and Betty Benson and one anonymous donor, 21 nurse
Colleagues were able to attend the annual conference.
see page 3 for more
details and photos
Dear Friends and Colleagues,
You Are Magnet.
“I was so honored to be part of
the Hospital contingent as we
were named a Magnet facility.
The energy, enthusiasm, and
excitement generated at the
convention were contagious!
I remember when the Magnet
journey started at the Hospital
— it was amazing to see how
it suddenly caught fire. Our
What an exciting time for all nurse Colleagues
here at Northern Michigan Regional Hospital.
I marvel at the skills, the energy, and the dedication of this remarkable
group. I was especially pleased to join 20 of them at the National
Magnet Conference. I know they join me in sending thanks to the
generous Foundation donors whose gift allowed our group to attend
the conference.
In addition to Magnet Conference highlights, this issue also features
an update on the Nursing Councils. It is a good time to look at what
they offer and to plan on getting involved. Also, read about some of
our newest programs: TeamSTEPPS, the performance enhancing class
that empowers nurses; the Quiet Zone, designed to lessen the impact
of noise in our Hospital; and the Guardian Angel program, which will
recognize Colleagues who truly live our mission.
a vision and built upon it with
Finally, I commend all of you, our nurse Colleagues, who have done
so much to support and strengthen the Hospital mission. We are
all stronger because of you, the caring professionals who provide
healthcare as you would for your own family.
evidence, research, and sheer
Sincerely,
designation is truly a tribute
to the pioneer nurses who had
staying power. This has been a
great lesson for all of us. Now,
let us show our own staying
power and continue our journey
toward being the best nursing
professionals we can be!”
Reezie DeVet, RN, EdD
president & ceo
Northern Michigan Regional Health System
2 northernhealth.org · 800.248.6777
Mary-Anne D. Ponti, RN, MSN, MBA, CNAA-BC
Chief Operating Officer/Chief Nurse Executive
Northern Michigan Regional Health System
Nursing Connection Legend
Transformational Leadership
TL
Structural Empowerment
SE
Exemplary Professional Practice
EP
New Knowledge, Innovation, and Improvements
NK
Empirical Outcomes
EO
continued from front cover
Along with 20 of her Colleagues, Clinical Education
Specialist, René Bieganowski, BSN, BBA, RN-BC, wore a
ribbon that designated her as a Magnet Facility member.
“Other nurses would ask about
the Magnet journey or just offer
congratulations,” she says.
A fortuitous meeting occurred
when Bieganowski and nurse
Colleague, Amy Mansfield, RN, BSN, were seated at a table with one of the
Magnet surveyors who had visited Northern Michigan Regional Hospital in April
2011. “We talked for some time, and she was still excited about the Hospital.
She called us the little hospital that could,” Bieganowski adds. “She
told us that we are unique as a Magnet status facility because the average
Magnet hospital has 450 beds.” The surveyor indicated that the smaller size
of the Hospital and the lack of resources that larger hospitals enjoy made our
accomplishment even more amazing. The Magnet surveyor was particularly
impressed with the rewards and recognition programs including the Daisy
Awards, Basket Raffle, The Briefing, and Nursing Connection.
In fact, the surveyor was so impressed with the progress of Hospital
Colleagues that she suggested Northern Michigan Regional Hospital nurses
make a presentation at the next conference, scheduled for October, 2012, in
Los Angeles, California. “She thought the management team evaluation and
the Hospital Succession Plan Model are worthy of an abstract or podium
presentation at the national conference,” says Bieganowski. “We should
all celebrate the work we do and celebrate being part of a proud and
respected profession!”
pictured top left:
René Bieganowski, BSN, BBA, RN-BC, and Amy Mansfield, RN, BSN
Anne Heier, ADN, RN; Reezie DeVet, RN, EdD, with Mary-Anne Ponti, RN, MSN, MBA,
CNAA-BC; Toni Moriarty-Smith, RN, MSN/ED; Jennifer Woods, RN, MSN, CNML
pictured right (from top to bottom):
And the journey continues
Implement and monitor effectiveness of Magnet redesignation action
plans. Submit Interim Monitoring Report, in addition to current DIF, by
April 30, 2013. Content includes survey data about nursing satisfaction,
patient satisfaction, nursing-sensitive clinical indicators, and updates on
unit openings and closings and personnel changes.
Magnet Designation.
Conduct Magnet redesignation gap
analysis and develop action plans.
|
2011
|
Integrate action plans into Nursing
Strategic Plan and Council goals.
Update and submit Demographic
Information Form (DIF) by April 30, 2012.
2012
|
2013
|
2014
Identify and train Magnet writing
team and begin Magnet document.
Complete and submit application and current
DIF to ANCC Magnet Office by April 30, 2014.
|
2015
Complete and submit Northern Michigan
Regional Hospital Magnet document to
ANCC Magnet office by April 30, 2015.
Prepare for Magnet surveyor site visit.
Nursing Connection Autumn/Winter 2011 3
NK
Annual Nursing Summit
Nursing Excellence:
Sustaining the Magnet Culture
Dateline: November 1, 2011
Venue: Boyne Mountain Resort, boyne falls
An enthusiastic group of 58 nurse Colleagues attended the conference,
garnering vital information on patient care and Colleague teamwork.
Tim Amborski, RN, and Kim Krieger, RN, BSN
Featured Speaker: Phil Beauchene, RN, MHA, CMPE,
Senior Director, Nursing Executive Center, Advisory Board
Topic: Critical Thinking (It’s Not Just for New Grads)
Phil Beauchene spoke about the importance of collaboration and accountability
Karen George, RN, BSN, PCCN,
and Nicki Brinks, RN, BSN, PCCN
in shift reports to maximize excellence in patient care. Beauchene also presented
criticism as a positive part of daily communication. “We should run toward criticism
to make ourselves better,” he says. “When someone takes the time to offer critical
feedback, think of it as a gift.” Beauchene recommended positive, immediate
feedback cards, proactive safety huddles, and joint bedside reports. The Advisory
Board and its resources can be accessed at advisory.com. Use the Hospital email
address as the user ID and follow the prompts.
Linda Schofield, RN, PhD, reports
on Bullying Survey results
Featured Speaker: Melissa Fitzpatrick, RN, MSN, FAAN,
VP and Chief Clinical Officer, Hill-Rom
Topic: Taming Team Toxicity
Melissa Fitzpatrick inspired the attendees to empower each other for the good of
the whole. “It’s okay to have a bad day, or even a bad six months,” she says, “but it
is important to deal with negative behavior immediately in a face-to-face setting.”
Fitzpatrick stresses the importance of communication skills among Colleagues.
“Remember, it is better to build up everyone around you and to spread the power,”
she adds, “because when the tide rises, we all rise!”
S h h hh…
Quiet Zone
Jennifer Woods, RN, MSN, CNML, featured speaker,
Melissa Fitzpatrick, RN, MSN, FAAN, and
Toni Moriarty-Smith, RN, MSN/ED
S h h h h hhhhhhh
Noise affects the safety of our patients. It also affects the
physiological, psychological, and overall health of our patients.
h
TeamSTEPPS Initiative
EP
Maintaining the Culture of Safety
A
s of October 2011, nearly 900 Northern Michigan Regional Hospital Colleagues participated in the one-hour online
program developed by the Agency for Healthcare Research and Quality (AHRQ). TeamSTEPPS is an evidencebased framework used to optimize team performance across the healthcare delivery system. The initiative is a
response to several patient Safety of Culture surveys which stressed teamwork as a recurrent theme. “We know that
teamwork is crucial to enhance performance and improve patient safety. The TeamSTEPPS initiative is one more tool that
keeps us striving to be our best,” says Anne Foster, MLS.
The program was created by the U.S. Department of Health & Human Services, Agency for Healthcare Research and
Quality, to improve patient safety, communication, and teamwork skills among healthcare professionals. This is the first
year that Northern Michigan Regional Hospital has utilized the TeamSTEPPS Initiative.
TeamSTEPPS strategies and tools to
enhance performance and patient safety
Barriers
Tools and Strategies
• Inconsistency in Team
Membership
• Lack of Time
• Lack of Information Sharing
• Hierarchy
• Defensiveness
• Conventional Thinking
• Complacency
• Varying Communication
Styles
• Conflict
• Lack of Coordination and
Follow-up with Co-workers
• Distractions
• Fatigue
• Workload
• Misinterpretation of Cues
• Lack of Role Clarity
h…
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h
h
hhh
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Brief
Huddle
Debrief
STEP
Cross Monitoring
Feedback
Advocacy and Assertion
Two-challenge Rule
CUS
DESCC Script
Collaboration
SBAR
Call-out
Check-back
Handoff
Outcomes
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Shared Mental Model
Adaptability
Team Orientation
Mutual Trust
Team Performance
Patient Safety
Quick Reminders for
Creating a Culture of Quiet
Use your quiet voice and remind others to do the same
Close doors
Place all cell phones on vibrate
Mark rooms with QUIET ZONE door hangers
EP
WORKING TOGETHER
Nurse Colleagues Make a Difference
An Important Difference — Every Single Day
Share your ideas, your expertise, and your special skills to support your nursing
Colleagues in providing healthcare as you would for your own family.
Through the Nursing Shared Governance structure, there is a council for every
interest. Councils meet monthly. Below is a quick glance at the councils — check
those with member vacancies. Contact the council chair to get involved. You can
make a difference at Northern Michigan Regional Hospital.
Council
department Vacancies
chairperson(s)
Members
Recruitment
and Retention
Cath Lab, Progressive Pool,
L2N, Acute Rehab,
Ambulatory Surgery
Kathy Algendstedt, Chair
Jan Provost, Mgr. Support
Laura Becraft, Dixie Cosier, Heidi Brege, Judie Bricker, Rhonda Fink,
Anne Heier, Cindy Holman, Gene Kaminski, Margie Kessler, Wynne
Lienhardt, Kacey Marshall, Toni Moriarty-Smith, Jeanette Rokop,
Barbara Smith, Patricia Vincent, Linda Young
Douglas Hill, Chair
Sharon Ferrell, Co-chair
Suzette Proctor, Mgr. Support
Sue Albertson, Colleen Allen, Peggy Ball, Kathy Bowers, Sally Brown,
Robin Burke, James Douglas, Susan Finn, Lisa Fitzpatrick,
Amy Flynn, Anne Heier, Louise Kabat, Dena Kilpatrick, Kelly
Kragenbrink, Josephine Krause, Penny Lewin, Debbie McConnell,
Toni Moriarty-Smith, Linda Schofield, Gretchen Schrage,
Charlene Taylor, Patty Vincent
Supports creative strategies to recruit and retain top talent.
Nursing Quality and
Patient Safety
Cath Lab, Ambulatory Surgery
Ensures exceptional patient safety and nursing quality, patient-centered nursing care, measurement of
quality indicators, and correction for variances from acceptable results. The sub-committees also ensure
the development, use, and continuous refinement of best practice models.
Nursing Informatics
Emergency Department
Janet Stutzman, Chair
Chris Chappell, Mgr. Support
Supports and promotes a synergistic relationship between the Direct Care Providers and Information Technology
team. The Council works collaboratively to achieve an informatics system that supports patient-centered
documentation and effective integration of technology across the healthcare continuum.
Nursing Clinical
Ladder
L2N, L2S, Renal, ICU
Janet Gentle, Chair
Jane Mcauliff, Co-chair
Kathi St. Pierre, Mgr. Support
Sherrie Bradley, Mary Catton, Ronald Doe, Karen George, Jennifer
McBride, Sherri Miller, Carmen Michelle Murphy, Dennis Nessel,
Paul Newland, Sheila Roof, Barbara Stone, Cindy Strong, Ruth
Sullivan, Maryellen Swartz, Joan Vargo, Victoria Wagner, Christine
VanSlembrouck, Val Johns
Tim Amborski, Chair
VACANT, Co-chair
Lisa Hoover, Mgr. Support
Jane Armstrong, René Bieganowski, Eileen Butler, Karen George,
Leila Griffin, Beth Harwood, Sarah Henning, Sheryl Hitsman,
Rebecca Johnson, Karl Kowalewsky, Linda Leech, Darlene Lockery,
Amy Mansfield, Jane Mcauliff, Toni Moriarty-Smith,
Jeanette Rokop
Linda Schofield, Chair
VACANT, Co-chair
VACANT, Mgr. Support
Annie Crodova, Karen Doherty, Anne Foster, Alex Hull, Sue Kinney,
Toni Moriarty-Smith, Kali Penfold, Maureen Ronquist, Ruth Ann
Turner, Jennifer Jensen, Patty Dallaire, Sheryl Hitsman,
Stephanie Gulledge
Ensures the integrity of the peer review process.
Clinical Colleague
Development
L2N, ICU, Cath Lab,
Emergency Department
Defines, implements, and maintains educational standards that
promote professional growth and ongoing clinical competency.
Nursing Research
and Evidence-Based
Practice
Women & Children, L2N, L3,
Surgery, Acute Rehab,
Ambulatory Surgery
Irene Crandall, Ashley Groters, Stephanie Grozner, Sue Hoffman,
Jan Kendall, Amanda LaBrie, Amy Mansfield, Jeff Massey, Dianne
Rinock, Rebecca Sewell, Alison Sibbald, Laura Wallace, Kim
Westrick, Kelly Johnson, Mandi Kucharek, Elaine Whipp, Linda Judy,
James Douglas, Dr. Guy Golembiewski, Mark Gray, Angela Taylor,
Tammie Allen-Fettig, Toni Moriarty-Smith, Debra Allerding, Stephanie
Gulledge, Jennifer Woods, René Bieganowski
Provides opportunities to support nursing research activities and a forum for integration.
Professional Nurses
Council (PNC)
Surgery
Serves as the governing body for the division of nursing. This council
provides leadership and guidance to our six key operational councils.
6 northernhealth.org · 800.248.6777
Laura Elwell, Chair
Dena Kilpatrick, Co-chair
Shelly Germain, Mgr. Support
Kathy Algenstedt, Jane Armstrong, Deb Bonneville, Nicolette Brinks,
Sharon Bryant, Robyn Burke, Mary Catton, Karen Ciccoretti, Kari
Curtis, Will Dickinson, Anne Heier, Sherri Miller, Pat Henige, Doug
Hill, Louise Kabat, Sue Keith, Michele Khaled, Amy Mansfield, Scott
Mariner, Toni Moriarty-Smith, Randall Neeland, Aaron Nolan, Timothy
Amborski, Christine Perreault, Linda Schofield, Stephanie Smith, Lois
Stevens, Kathi St. Pierre, Janet Stutzman, Kris Trautmann, Susan
Vieau, Wendy Wagner, Jennifer Woods, Pat Woodside,
Diane Wren, Linda Young, Janet Gentle
Introducing Guardian Angel
A Program Honoring Colleagues
and Medical Professionals
Y
ou chose your profession knowing that it would be both demanding and rewarding, that
some days would test your skills and your patience, and that others would break your
heart. You are, after all, a healthcare professional who cares for your patients as you
would for your own family.
The Guardian Angel program allows grateful patients and family members the
opportunity to support Northern Michigan Regional Health System, while paying tribute to
Colleagues. Many patients take the time to send a note, but many would like to do more for the
Health System but don’t know how. The Guardian Angel program provides an opportunity for
patients and their families to honor Colleagues by making a donation. Gifts given through this
program can be designated to support a specific area or project, or to the area of greatest need.
This program is a way of recognizing those Colleagues for going above and beyond during what
could be a very difficult time.
ED Paramedic, Calvin
Penfold, EMT-P, is
recognized as the first
Guardian Angel by
Reezie DeVet, Health
System President & CEO
(left), and Julie Jarema,
Foundation Senior
Director of Development.
Those honored will receive a Guardian Angel lapel pin, a letter informing them that a donation
was made in their honor, and acknowledgement in Northern Michigan Regional Health System Foundation publications.
Become a Guardian Angel — It’s as easy as 1, 2, 3…
1
Continue to live the Health System
mission by providing healthcare as
you would for your own family.
2
Introduce the Guardian Angel
program to grateful patients or
family members who ask “What
can I do to thank you?”
3
Provide donation brochures
to your patients or direct them
to our waiting areas for brochures.
Generous Donor
The Process of Alignment
As a retired
nurse of 40
years, Betty
Benson
understands
the importance
of nursing
education and recognition. Betty and her husband,
Ed, generously donated funds toward participation
in the 2011 Magnet Conference. On Tuesday,
October 25, Betty was recognized by Magnet
conference attendees with an afternoon tea.
Since July, Northern Michigan Regional Health System and McLaren Health
Care in Flint have been fulfilling due diligence requirements, including
meeting with various departments and formulating strategic plans. The
process is progressing and will hopefully be completed by the end of the year.
Should an affiliation agreement be completed, Northern Michigan Regional
Hospital would become part of the McLaren Health Care system and would
be referred to as a subsidiary of McLaren Health Care.
The benefits of becoming a subsidiary include improved borrowing power
and access to capital for equipment and technology, the sharing of clinical
expertise and technology, and the sharing of financial and operational best
practices to reduce costs.
Nursing Connection Autumn/Winter 2011 7
SE
DAISY Awards
A History of Commitment and Professional Excellence
Kudos Awards Accolades
When the Daisy program was first initiated in Texas in 1999, few could have
imagined how the idea would grow. Today 950 facilities and 56 schools of nursing
participate in the Daisy Faculty award. Northern Michigan Regional Hospital initiated
its own program in June 2009, at the suggestion of Pam Melisko, then Magnet
Coordinator, who saw a way to encourage positive nurse/patient relations. The
Northern Michigan Regional Hospital nursing department now averages 30
nominations per month. “Daisy has been an outstanding success and
keeps the quality of care high,” says Toni Moriarty-Smith, RN, MSN/ED,
Magnet and CPM Manager.
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new Career Ladder Advancements
An exciting update for Career Ladder advancements will include Nurses
in Specialty Roles. Watch for information on how to apply in the first quarter of 2012.
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August Daisy Winner
Heather Weinschenk, RN
34 nominees
September Daisy Winner
Karen Ciccoretti, RN, ICU
39 nominees
Julia Gron, RN, was promoted to Nurse IV.
new certifications
Tammy Stacy, RN, and Rochelle Whitmore, MSN, obtained CRRN certification.
Crystal Thompson, RN, and Catherine Judkins, RN, obtained CRNI certification.
new scholarship
Endoscopy Department at the
Above the 45th Conference at
Boyne Mountain in September
On Friday, November 11, Northern Michigan Regional Health System
Foundation presented the following Colleagues with scholarships.
• Front: Adam Gross, RRT; Kelli Anderson, RN
• Middle: Shelly Bellmer, RN; Sheila Melke, CDM;
Julie Jarema (Foundation)
• Back: Kathy Hutchinson (Foundation); Joan Tiihonen, CTRS;
Kathy Bowers, RN, BSN; René Bieganowski, BSN, BBA, RN-BS;
Sarah Tanner, RN; Moon Seagren (Foundation)
• Missing from photo: Amy Burns, RN
Other awards and recognition
Janet Gentle, RN, MSN, CCDS, was asked to present at the Association of Clinical Documentation
Improvement Specialists 5th Annual National Conference in San Diego, CA, May 10 – 11, 2012.
Pat Woodside, RN, and Linda Schofield, RN, PhD, submitted an abstract titled “Use of Telehealth To Reduce
Heart Failure Readmissions In A Rural Community” to the American Association of Heart Failure Nurses
(AAHFN) Annual Conference. The abstract was selected for a poster presentation at the AAHFN 2011 National
Conference and awarded a “finalist” ribbon. Woodside attended the conference through a scholarship
provided by Northern Michigan Regional Health System Foundation.
The Endoscopy Department hosted the Michigan Society of Gastroenterology Nurses Association (MSGNA)
2011 Fall Conference at Boyne Highlands on September 16. The conference was attended by 140 participants
who received 10.5 CEs. Mary Catton, RN, BSN, CGRN, Barb Smith, RN, CGRN, and the Endoscopy Department
were integral parts of the conference through registration coordination, securing speakers, topics, and venue.
“It was an opportunity to showcase the area’s talent,” says Catton. Three Endoscopy Colleagues attended the
conference with the assistance of Foundation scholarships.