1
After 23 years of unparalleled service to the University
of Colorado Hospital, Mary Krugman PhD, RN, NEA-
BC, FAAN, will retire in June of 2015. Mary’s career at
the University of Colorado Hospital began in 1992 when
she assumed her role as Director of Professional
Resources, a position she held for 20 years. As Director
of Professional Resources, Mary’s responsibilities
included oversight for Nursing and Allied Health
Research, the UEXCEL Professional Nursing Practice
Program, and the AACN/UHC National Post-
Baccalaureate Residency Program. The department’s
mission under Mary’s direction was to “create a work
environment that supports evidence and best practices
for the clinical nurse to deliver safe, highly professional,
excellent patient care.”
In 2012, Mary moved into her current position as
Director of Nursing Innovations and Outcomes. In this
role, Mary has been responsible for managing special
projects for the Carolyn Sanders, VP and Chief Nurse
Executive, while also mentoring clinical nurses and
leadership on projects and publications.
Throughout her professional nursing career Mary has
truly established herself as a legend in the world of
Nursing Research and Evidence-Based Practice. She has
served as primary investigator or site coordinator for 18
protocols and provided expert mentorship and oversight
to countless others. Mary has published greater than 50
manuscripts with more than half of those either
reporting on or pertaining to research and evidence-
based practice. Her resume documents a mere sampling
of her national presentations to include more than 50
invited presentations during the course of her UCH
professional career!
Mary has held professional membership in numerous
organizations including such prestigious organizations as
the American Academy of Nursing of which Mary has
been a Fellow since 2002. She has also received
countless awards and recognitions including receipt of
Special points of
interest:
New chapters for long-
time UCH nurses;
CNS Impact;
MICU QI Project
In this issue:
JoAnn’s Journal 1
Regina Fink’s
Retirement
2
Deb Davis’
Retirement &
CNS on the
Move
3
Good-bye; Hello
& Lisa’s Library
Learnings
4
Colleen Goode
R&EBP
Foundation
Award
5
Trivia! 6
Magnet
Moments & RNS
Classes
7
MICU QI
Project
9
Research and
EBP Symposium
11
College of
Nursing &
DAISY
Foundation
Award Winner
12
Council Chatter 13
Motivational
Interviewing
14
Choosing Wisely
& ED Pulse for
EBP
15
Kudos 16
SPRING/SUMMER 2015
T H E E X A M I N E R
the esteemed 2011 Nightingale
Award for Nursing Excellence
from the Colorado Nurses
Foundation and the 2013
Belinda E. Puetz Award for
Outstanding Achievement from
the Association of Nursing
Professional Development.
Despite many honors,
recognitions, publications, and presentations, what
seems to have been most important to Mary
throughout her career has been developing other
nursing professionals. She mentors, role models, and
advocates for them in all she does. Mary’s caring for
the profession means she shares her expertise and
materials with others to support their initiatives and
promote their success. In a recent “Ask an Expert”
column, published in the Journal for Nursing Professional
Development, when asked for advice she would give to
nursing professionals, Mary was quoted as saying “step
up to the action and be the change you wish for! [The
power to make change] does not have to be written
into a job description, it can come from assuming
accountability for important initiatives in your
organization and successfully producing the
deliverables.” In reading this column it occurred to me
that in her career Mary has been “the change she wished
for!” She assumed accountability for important
initiatives such as a successful professional practice
model and a nationally recognized nurse residency
program (to name only a few!) and she certainly
produced the deliverables!
If you see Mary in the halls of UCH during her
remaining weeks, take a moment to thank her for the
amazing foundation of extraordinary evidence-based
nursing she has helped build for all of us! Though she
will soon move on to the next chapter of her life, her
impact will resonate throughout UCH indefinitely!
Thank you Mary!
VOLUME 10, ISSUE 1
JoAnn’s Journal: Farewell to a Research and EBP Legend
JoAnn DelMonte, RN-BC, MSN
Senior Director, Professional Development – University of Colorado Health
2
After 25+ years of a wonderful and exciting
career at UCH, I am retiring on June 30, 2015. I
have thoroughly enjoyed my tenure here and am
grateful for the many and diverse opportunities
employment at UCH has afforded me. From
being hired into the position of oncology clinical
nurse specialist/educator in 1990 to working
with the Department of Anesthesiology as their
acute pain clinical nurse specialist, and finally to
be offered the first research nurse scientist
position in 1998, I have truly been given a
fabulous opportunity. I feel invigorated by our
wonderful nursing team and have been privileged
to work with so many other disciplines
(physicians, pharmacists, respiratory therapists,
CNAs, social workers, rehab therapists,
librarians, administrative support services, etc.).
I have some incredible upcoming family
occasions in which I wish to partake. In the next
years, I plan to finish my American Cancer
Society funded palliative care grant (to be
completed in June 2016), maybe write some
more grants, and teach two Master’s level
palliative care courses at the University of
Colorado College of Nursing. So you may still
see me around.
I foresee many exciting plans for the future of
the research and evidence-based practice
enterprise at UCH and University of Colorado
Health. My heart and soul are with you and am
supportive of all your future work. In FY 2016, I
am planning to underwrite a $750 grant through
the Colleen Goode Foundation for an EBP
project related to oncology symptom
management, pain, or palliative care. Plan to
apply for the grant. The call will come out in the
Fall newsletter.
I cannot begin to express the gratitude I have for
the unbelievable career that I have had in
nursing; many thanks for the support and
mentoring I have received from you, my
colleagues. I will miss you all very much.
Best—Regina
It is with a plethora of emotions, including sadness, joy, and great admiration,
that we bid Regina Fink, RN, PhD, AOCN, FAAN the very best wishes,
happiness, and success in her retirement and future endeavors! Regina has
been a pillar in establishing Research and Evidence-Based Practice (EBP) at
UCH and throughout University of Colorado Health. As the first Research
Nurse Scientist, hired into her role in 1998, she rejuvenated and expanded the
Research and EBP symposium. This interprofessional and robust conference is
now in its 28th year and brings together organizations across the region.
Regina’s limitless support and skilled mentoring has deepened UCH nurses’
understanding and application of research and EBP. Her dedication to research
was paramount in the development of the journal club at UCH as a collegial
mechanism for discussing evidence to guide practice. Regina is well-known to
the oncology, pain, and palliative care services for her clinical expertise and
engagement with these interprofessional teams. Regina has contributed an
enormous body of work to the field of nursing including over 61 journal
articles; 23 book chapters, 5 books as an editor as well as 8 international, 43
national and over 250 local/regional presentations; she has received over 15
awards and honors for her stellar work. One of the greatest contributions by
Regina and her longtime colleague, Kathy Oman, RN, PhD, FAEN, FAAN, was
the creation of the University of Colorado Practice Outcomes Research and EBP
Manual, now in its 3rd edition & used by countless people locally and nationally.
Regina’s positive spirit and kind demeanor have made her a magnet for
individuals seeking her mentorship and wisdom. Regina is a welcoming
individual, always happy and eager to share her enthusiasm for the field of
nursing research. She is a strong mentor to the field of EBP to nurses, both
young and seasoned. Her breadth of knowledge and energy will be missed at
UCH. Regina will continue to share her knowledge and enthusiasm for
research and evidence based practice through teaching palliative care courses
at the University of Colorado College of Nursing and engaging in active grant
work with the University of Colorado Health System.
Regina will be sorely missed by her colleagues, and future generations of UCH
staff will not have the great opportunity to know and work with Regina. The
RNS team will have a large void without our valuable team member, Regina.
Words cannot express how much she has meant to each of us professionally
and personally and impacted our careers and lives profoundly and permanently.
We wish you nothing but the very best, Regina.
Farewell, my dearest sister, fare thee well:
The elements be kind to thee, and make
Thy spirits all of comfort! Fare thee well.
William Shakespeare
Good-bye Friend
The Research Nurse Scientist Team:
Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, FAAN; Kathy Oman, RN,
PhD, FAEN, FAAN; Melanie Sandoval RN, PhD & Mary P. Mancuso, MA
Retirement Awaits
Regina Fink, PhD, RN, AOCN, FAAN
Research Nurse Scientist
3
Deborah Davis, MS, CNS,
RNC-OB, C-EFM, Clinical
Nurse Specialist and
Educator, OB
Deborah (Debbie) Davis, a
long time clinical nurse
specialist and educator for
women’s services retired in
June after 37 years of amazing service. Debbie
was instrumental to the development of a robust
women’s services to ensure safe delivery of
infants and care of the mother during her tenure
at UCH. During her years at UCH she oversaw
and taught nurses essential knowledge and skill
for fetal monitoring. Successfully lead an
interprofessional quality improvement process to
reduce maternal blood loss during emergent
obstetric procedures and facilitated orientations
for hundreds of nurses and assistive care
providers. This project focused on translating
current practice recommendations into practice
using simulation to improve obstetric patient
outcomes during a crisis event.
Debby’s passion was fetal monitoring. She was
one of five members of the original AWHONN
fetal heart monitoring committee in 1990, and
has continued to contribute and review course
content for the Intermediate Fetal Monitoring
course. Debby was recently the recipient of the
AWHONN Fetal Heart Monitoring Program
Instructor Recognition Award for her
exceptional efforts and dedication to advancing
practice and patient safety through fetal
monitoring technology
Debbie’s kind spirit, positive approach to
working with people and smile will be missed!
However, we wish her well in her retirement!
Warning to all the fish out there…. “Beware….
Debbie Davis, an avid angler is looking forward
to days of fishing and
we’re guessing some
pretty good ‘fishing stories’
UCH Clinical Nurse Specialists (CNSs) ‘On the Move’….
Robin Scott, RN, ND, MS, CEN, Emergency Department CNS
Shannon Johnson-Bortolotto, MS, RN, APN, CCNS, Critical Care CNS
Barbara Wenger, MS, RN, AOCNS, CRNI, Oncology/BMT and Gyn/Onc CNS
Another Retirement: Deb Davis
Sepsis Practice:
Sepsis care has received increasing
focus since 1991 and continued to
evolve with the Surviving Sepsis
Campaign’s inception in 2002.
UCH instituted bundled sepsis
care in 2010 and has monitored
length of stay and mortality data
since that time. After multiple
clinical and educational initiatives in the Intensive Care Unit (ICU) and Emer-
gency Department (ED), CNSs Shannon Johnson-Bortolotto and Robin Scott
took a ‘deep dive’ into sepsis outcomes from a clinical perspective. The pro-
ject focused on implementing the “Big 4” interventions in the severe sepsis
care bundle: fluid resuscitation of 30mL/kg, drawing blood cultures prior to
administering antibiotics, drawing serial lactate levels, and administering broad
spectrum antibiotics with 1-3 hours of sepsis identification. The sepsis patient
population included in the study were those who were admitted to the ICUs
with a diagnosis of sepsis, septicemia, severe sepsis and septic shock; 77% of
this patient population presented through the ED. Outcomes revealed compli-
ance in hanging antibiotics with 1-3 hours climbed from 70% to 90% in the five
month review period. Drawing serial lactate levels decreased from 90% to
85% and drawing blood cultures prior to administering antibiotics averaged
75.6% compliance. One additional important clinical step the CNSs made was
to examine instances in which fluid resuscitation did not follow sepsis bundle
parameters to determine if fluid administration was clinically appropriate
based on patient presentation and clinical data. Findings revealed that if the
30mL/kg guideline was not followed, it was mostly appropriate based on more
nuanced clinical assessment of patient volume status. Shannon Johnson
Bortolotto and Robin Scott presented these practice data nationally at the
National Association of Clinical Nurse Specialist (NACNS) conference in
March of 2015 in a presentation titled, Best Practices in Sepsis: An ED and Criti-
cal Care Collaborative. This CNS lead sepsis project is now connected to a larg-
er UCHealth system wide sepsis quality improvement initiative as intact sepsis
recovery continues to be the goal.
Formation of a UCHealth CNS Council:
Managing practice issues from a system perspective has been an opportunity
with the newly formed UCHealth. UCHealth CNSs, representing various clini-
cal areas at all hospital sites, did not skip a beat in the cultivation of system
level CNS connections. In an environment of change and transformation in
(See CNS, Page 5)
4
Countless hours of self-
exploration have led to a decision
to modify my career trajectory.
After 20+ amazing years at UCH,
I’ve made, what was for me, a
very difficult decision to leave this
wonderful organization and
pursue a career in research and
academia. Yet I am truly grateful
for all the wonderful friendships
and collegial experiences that I have been blessed with
during my tenure here.
When I look back, the time went very quickly! Many of
you know I started at UCH in the Burn Trauma and SICU
as a bedside nurse back in 1994. Shortly after joining the
team, I moved into the Clinical Nurse Specialist (CNS)
and Educator role for those units. After having my second
child, I moved to the Transplant Unit as the CNS/
educator and started teaching at the College of Nursing.
In 2004, I came back to the critical care department as the
CNS/Educator for Burn Trauma and Neuro ICUs. In
2008, I was thrilled to have the opportunity to move into
a part-time Research Nurse Scientist position for Critical
Care.
Over the years I have met numerous remarkable
individuals and had the pleasure of working with and being
mentored by so many wonderful people. To all of you,
Thank you! The people and experiences here have shaped
my professional life into a tapestry of fantastic experiences
and memories.
I’ll be leaving UCH at the end of July and moving over to
the CU College of Nursing in August. It is my hope that I
will continue to be engaged with the interprofessional
team at UCH through research and other practice
advancement opportunities as the future unfolds!
With sincere gratitude I bid goodbye, but I also say
“Hello”!
All the Best~
Mary Beth
Lisa’s Library Learnings
Lisa K. Traditi, MLS, AHIP
Head of Education and Reference, Health Sciences Library
and Associate Professor, University of Colorado Anschutz
Medical Campus
“It's time to say goodbye,
but I'd much rather say hello.”
~Ernie Harwell
Mary Beth Flynn Makic RN PhD CNS CCNS FAAN FNAP
You’ll be seeing a new face around the hospital and at
the Patient Services Research and EBP (R&EBP) Council Meetings. I’m
happy to introduce Kristen DeSanto, MSLS, MS, RD, AHIP, as the
new Clinical Librarian for the University of Colorado Health Sciences
Library. Kristen’s job will be to take up the challenge of integrating
library resources and services more deeply and meaningfully into the
campus’ clinical enterprise.
Kristen started at the CU Anschutz Library
on May 15, but we’ve known her in the Col-
orado medical library community for several
years. Kristen was most recently the Manag-
er of the Children’s Hospital Colorado Clini-
cal and Research Library, where she worked
closely with all clinical staff, particularly nurs-
es. She was a member of the Nursing Re-
search Council and the Nursing Quality and
Preventable Harm Committee, and taught
classes to nurses on searching the literature. Before coming to Auro-
ra and the CHC, Kristen was the Medical Librarian at Children’s Med-
ical Center Dallas. Prior to her career in librarianship, Kristen was a
clinical dietician, in Houston and Dallas, specializing in nutrition sup-
port for ICU patients. Kristen is active in the Medical Library Associ-
ation (MLA), the Midcontinental Chapter of MLA, and the Colorado
Council of Medical Librarians.
In her free time, Kristen volunteers at the
Buddy Center, caring for small mammals –
who knew rats were so smart and cud-
dly? She also enjoys hiking, 4-wheeling,
and wilderness camping with her husband,
Tony, throughout Colorado, Utah, and
New Mexico. Kristen will be working with
the R&EBP Council, the champions, the
nurse educators, and others to
learn how she can help all of you
with your clinical information
needs. You can reach Kristen by
email or phone: Kris-
303-724-2121.
5
(CNS, continued
from Page 3)
healthcare, the
establishment
of hospital
systems has
many central
aims including
development of care that is safe, standardized and cost
effective. Transformational change throughout a hospital
system requires both a commitment to evidence based
structure and interdisciplinary support. We viewed the role
of the CNS as uniquely prepared to effectively lead process
changes that support clinically invested stakeholders and
innovators in healthcare to adjust hospital based structures
to system based ones; connected to established practice
evidence, care quality and patient safety standards. The
newly formed CNS council objective was to coalesce
inpatient CNSs to align evidence based standards and define
practice expectation in a hospital system; comprised of three
formerly independent hospitals. Targeted for efficiency and
standardization are major aspects of nursing care: electronic
documentation, medication administration, communication,
general practice and management of equipment/supplies.
The CNS System Council was formalized in December,
2013. Within the first six months of establishment the group
originated a Council Charter, identified system level
integration for promotion of clinical change, and begun
networking within a system level Clinical Practice
Governance Group (CPGG) to compose updated system
level policies. When establishing new policy and procedure
standards, the CNS Council reviews various sources of
clinical evidence and conveys recommendations based on
mutually agreed upon best practices and standards.
Efficiency and defined practice expectations remain pivotal in
Council endorsements. Currently, the Council has built
system level practice change for the following policies:
Independent Double Check of Medications, Pain
Management, Delirium Assessment and Management and
Standards in Vascular Access. The Council has also
partnered with our Informatics team for various electronic
documentation change recommendations to best reflect
policy, efficiency, quality and practice guideline expectations.
(See CNS, Page 6)
Dr. Colleen Goode served as our vice president of patient services
at the University of Colorado Hospital between 1997 and 2009.
She is a leader in Evidence-Based Practice (EBP) and Research
nationally and is a Professor at the University of Colorado Denver,
College of Nursing. She developed The Colleen Goode Nursing
Research and EBP Grant Fund. It is fitting in her honor to support
nurses in the clinical application of their own inquisitiveness to
benefit patient care.
Funding nursing research and evidence-based practice projects
links our desire to improve patient care at UCH with our passion
for the compassionate work nurses and other health care
professionals provide.
This program provides support for nurses to:
Continually evaluate their practice
Seek answers to clinical questions in an effort to improve their
practice
Change their practice based on evidence and evaluation of that
change
The 2015 grant awardee is Anne Hageman RN, BSN, MSTC, Level
IV RN in the Infectious Disease clinic.
The purpose
of Anne’s EBP
Project is to
determine if
modifying the
initial visit for
new HIV
positive
patients in the
Infectious Disease Group Practice results in better appointment
adherence. Not staying in care is the biggest barrier to better
patient health. When patients stay in care they get the services
that they need. When patients are retained in care they’re more
likely to be medication adherent, have undetectable viral load, less
opportunistic infections, and fewer HIV transmissions. The ID
clinic participates in the national In+Care campaign and Anne’s
project is one aspect of the campaign.
Colleen Goode Foundation Research & EBP
Grant Award
Kathy Oman, RN, PhD, FAEN, FAAN
Research Nurse Scientist
6
(CNS, continued from Page 5)
Many future state practice and policy recommendations are
in process. Shannon Johnson Bortolotto and Melanie Roberts
presented this exciting CNS Council work nationally at
NACNS Conference in March of 2015 in a presentation
titled, Formation Of A CNS System Council: Transitioning To
Coordinated Care Standards Across A Healthcare System.
Promoting Early Mobility of Medical Surgical Patients:
The ICUs have been improving mobility of their patient
population through focused assessment and actions to
progressively mobilize patients safely. The medical/surgical
(M/S) units did not have a focused program to encourage
assessment and appropriate mobilization tools. A recent
survey of ~300 of our M/S nurses found several challenges to
safe mobility in that population. Common barriers included:
fall risk concerns for patient, lack of knowledge and
availability of patient mobility equipment, and time. In Fall
2014, an interprofessional QI project commenced to
improve mobilization of M/S patients and prevent employee
injury. The team conducted an evidence-based literature
review and identified the Banner Mobility Assessment Tool
(BMAT) as a potential good fit for UCH practice. The BMAT,
a valid and reliable mobility assessment tool, guides patient
mobility and suggests which equipment should be used by the
healthcare worker to prevent patient/staff harm (Boynton et
al., 2014). Permission was obtained to use the BMAT which is
currently being trialed on two M/S units (Oncology/BMT and
Medicine Specialties). Gradual implementation of the BMAT
will occur over the next several months. One benefit of the
BMAT is that the direct assessment provides us information
about which mobility devices are recommended to safely
move the patient. Staff is receiving education on mobility
tools, Sara Steady™, gait belts, walkers, and lifts, all with the
goal of improving safe mobility of the patient and healthcare
worker body mechanics. Additionally, the patient mobility
assessment is documented on the white board in the patient room
to encourage safe patient movement. Outcomes being assessed
include documentation of mobility progression of patients, length
of stay, fall rates, HAPU, appropriate timing of PT/OT consults,
patient disposition (home vs rehab), and health provider reported
injuries. While this EBP informed QI project is in its early phases
the feedback thus far from the trial units have reported the BMAT
tool is easy to use, provides guidance for nursing staff on how to
mobilize a patient safely, and encourages proper mobility
equipment use.
Team: B.Wenger, M. Paul, M. Gallagher, T. Gschwend, S.Cox, K.
Stockman, H. Newman, J.Nordhagen, K.Tadken, M. Makic,
J.Zwink, E. Erickson
Reference:
Boynton, T, Kelly L, Perez, A, et al. (2014). Banner mobility assessment tool for
nurses: Instrument validation. Am JSPHM. 4(3): 86-92
Trivia Question
Last edition’s question:
In a qualitative research
study, data collection is
considered finished when
categories of data are full
and no new data are being
discovered. What is this
term called?
Answer: Saturation
Theresa Heyborne was
the contest winner!
New question:
What guidelines are used to report meta-analyses of randomized
controlled trials?
The person with the first correct answer emailed to
[email protected] will receive a coffee gift card.
7
Magnet Conference
If you have ever wondered what professional
nursing conference you should attend…we
have the conference just for you! Join us at
the ANCC International Magnet conference,
October 7-9 in Atlanta. UCH will be
recognized for achieving a 4th designation and
we will be celebrating! Everyone is highly
encouraged to attend!
Need more convincing? Check out the short
video clip on the conference website to be
inspired: http://www.nursecredentialing.org/
MagnetConference
Contact Leanna Leder for group discount
registration details
We are very proud to report 24 abstracts
from UCH were submitted for consideration
to the Magnet Conference. Of these
impressive abstracts, five were accepted --
from a total of 1,700 submissions.
Congratulations to those who were
accepted, and to all those who submitted
abstracts, as you exemplify the Magnet
culture that we live and promote in this
organization!
Podium Presentations
Bringing the Power Back To Staff:
Jump Starting Unit-Based Councils –
Millissa Morin, Kaycee Shiskowsky
(Pulmonary)
Cost Effective Strategies to Sustain a
Magnet Culture – Danielle Schloffman,
Terry Rendler, Megan Hansford, Krista Held
(Magnet Program)
Poster Presentations
Elimination of Triage in the Emergency Department – April Koehler,
Stephanie Prevost, Brandi Schimpf (Emergency Department)
POSSE: Peers of Stroke Survivors Empowering - Meeting the Needs of
Stroke Survivors/Families – Mary Holden, Shelly Limon, Jennifer Wolff
(Neuroscience)
Intersecting Expertise for Excellence:
A Cross-training Partnership –
Christy Math, Melissa Moore, Beth
Gabrielski, Dorothy Mathieson (Colorado
Institute for Maternal and Fetal Health)
(See Magnet Moments, Page 8)
Magnet Moments
Danielle Schloffman, RN, MSN,
NE-BC
Magnet Program Director
Upcoming 2015 Research and Evidence-Based Practice
Class Schedule
ULEARN Modules available to
take at your convenience:
NEW: Anatomy of a Journal
Club will be released soon!
Creating a Poster
Creating a Survey
How to Display Data
How to Write an Abstract
Live classes:
Clinical Research: Getting
Started: 10/22, 7:30-4 PM, LB 612
EBP Boot Camp: 9/16/15, 730-4 PM, Health Sciences Library
JC Research Mentor Training: 1/11/15 (LB 612), 9-11 AM
Statistics for the Clinician: 6/17/15 (LB 613) and 12/3/15 (LB 620), 8-11 AM
New Searching for the Evidence resources:
Recorded presentation of Lisa K. Traditi, MLS, AHIP,
Head of Education and Reference, Health Sciences Library:
http://hslstream.ucdenver.edu/videos/Nursing_Evidence_3-11-15.mp4
Resources available on the Inerprofessional Research Resources website:
https://www.uchealth.org/professionals/Pages/Research/Interprofessional-
8
(Magnet Moments, continued from Page 7)
2015 Magnet Nurse of the Year Awards
A total of 44 stellar nominations were received for the 2015
Magnet Nurse of the Year Awards. Eight winners were selected
by the Magnet Advisory Council and announced during Nurses
Week in May. All nominees were given a certificate of
recognition and a copy of their nomination letter.
Congratulations to the nominees who represent the high
caliber of professional nursing at UCH! And thank you to all
those who nominated a peer and honored the work done to
improve patient outcomes, nursing practice and the work
environment. The 2015 winners are:
Clinical Nurses:
Michael Metcalf
(Rehabilitation) –
Transformational
Leadership
David Ricke (Neuro ICU)
– Structural Empowerment
Stephanie Nelson
(Orthopaedics) –
Exemplary Professional
Practice
Vicki Slat-Vasquez
(Cancer Center Infusion)
– New Knowledge,
Innovations &
Improvements
Non-Traditional Practice Nurses:
Jamie Nordhagen
(Oncology/BMT) –
Transformational
Leadership
Kathy Foss (Professional
Resources) –
Structural Empowerment
Staci Aden
(Pulmonary) –
Exemplary Professional
Practice
Michelle Ballou (AIP
PACU/PreOp) -–
New Knowledge,
Innovations &
Improvements
9
Critical illness is not just a medical issue. Acute and chronic sequelae span body systems and functional domains.3-8 Mechanically
ventilated patients specifically are at risk for developing ICU-acquired weakness including critical illness myopathy (CIM),
polyneuropathy (CIP), or both (CINM).8,21 Significant limitations in activity, decreased health related quality of life, and disability
may be observed for up to 5 years.3-8 Patients exhibit neurocognitive impairments including anxiety, post-traumatic stress, and
depressive symptoms/depression.5-6 Family members and care givers can struggle with stress, anxiety, and complicated grief. Early
mobility and physical therapy is safe and feasible in critical ill patients including those requiring mechanical ventilation. Preliminary
studies indicated improved short term functional status, increased strength, and decreased ICU/hospital length of stay.9-15,20
Post-intensive care unit syndrome (PICS) classifies possible, and common, post-critical care limitations.16
Needham DM, Davidson J, Cohen H et al. Improving Long Term Outcomes after discharge from intensive care: Report from a
stakeholders conference. Crit Care med 2012:40;2. p 502-9.
Patient’s overwhelmingly tell us is that they like the early physical medicine and rehabilitation, they like being awake. They certainly like
getting out of bed and moving. It shows them that there is hope; it shows them there is a life beyond the intensive care unit. And, it shows
them there is a life for them to get back to. It gives them goals for improvement; it shows them that they can get better.
– Dale Needham, MD, PhD, Medical Director of Johns Hopkins MICU Physical Medicine & Rehab Program
Although safe and feasible, ability to deliver such care in routine practice was limited not only by ICU
PT staffing, but variance in PT consults and lack of routine MICU PT presence. At UCH, physical
therapy for patients requiring > 7 days mechanical ventilation is independently associated with
improved discharge status. (PT yes: 37% home, PT no: 13% home).1 In 2007, a physical therapy
consultation was less likely in the MICU relative to other ICUs for patients requiring MV > 7 days
(MICU 57%, Neuro ICU 67%, SICU 87%).1 Retrospective analysis indicated a consult rate of 40-60%
of patients in the MICU, with only half of those patients receiving therapy on any given day. A 2 week survey of bedside RNs and
PTs found that approximately 75-80% of MICU patients were appropriate for some form of therapy assessment and intervention.
(See PT ICU, Page 10)
Medical ICU Physical Therapy Quality Improvement Project Kyle Ridgeway, PT, DPT
Senior Physical Therapist
Coordinator, MICU Physical Therapy Quality Improvement Project
10
(PT ICU, continued from Page 9)
Director of Rehabilitation Timothy Wimbish, SLP utilized a financial model constructed at Johns Hopkin’s to draft a business
proposal for a MICU physical therapy quality improvement (QI) project.15 Subsequently, a 9 month QI project was approved and
included interdisciplinary meetings, education, and training including respiratory therapists, RNs, and therapists. Staffing was
Increased (3 PTs, 6 days a week) to address the goals of:
Decreasing time from MICU admit to physical therapy treatment
Increased total number and percentage of patients participating in PT within MICU
Increased frequency, duration, and relative intensity of physical therapy
We must stop making excuses about why a patient can’t do rehabilitation today—he has a CT scan or she’s getting dialysis. We need to
highly prioritize rehabilitation, which we now see as just as—if not more—important than many other tests and treatments we offer our
patients in intensive care. – Dale Needhman, MD, PhD
The program will involve response dependent, individualized progression and assessment to safely maximize the function, activity,
and ability of each patient.
The number of patients receiving physical therapy as well as timing, frequency,
and duration will be assessed as will ICU and overall hospital length of stay. In
addition, specific strength and functional measures will be utilized within the
project. Rehab leadership anticipate utilization a similar QI process for other
units, including non-ICUs, to more robustly model, assess, and implement the
most efficient and effective approaches to patient management and delivery of
therapy.
Team Members:
Project Coordinator: Kyle Ridgeway, PT, DPT
Rebecca Downey, PT, DPT
Lauren Harper, PT, DPT
Becca Medina, PT, DPT
Special Thanks to the following individuals for their support, input, and training:
Jerome Piccoli, RRT, CPFT
Candice Ymetz, RRT
Pol Sennecal, MSN NP CNS ACNP CCNS
Mark Yoder, RN, MICU RN Manager
Amy Hassel, RN, CCRN, MICU MICU RN associate manager
Mandy Thompson, RN, CCRN
Ellen Burnham, MD, MS, Medical Director MICU
Marc Moss, MD, Section Head Critical Care Medicine
Matthew Gallagher, PT, DPT in-patient rehab supervisor
Danielle Sockolosky, PT, DPT, OCS in-patient PT supervisor
Entire MICU staff including all the fantastic RN's, RT’s, and MD’s
The bottom line is having a patient, who for at least a part of the day, can be awake from drug affect, and interact with the
environment in a purposeful way is the key foundation to the idea. – John P. Kress, MD
(See References PT ICU, Page 23 )
11
The 27th Annual Research and EBP Symposium held April 9-10th,
2015 at the Hyatt Regency Denver Tech Center was a huge
success. We had over 250 participants, 32 podium presentations,
and 58 posters. Many of the podium and poster presentations
were authored and presented by University of Colorado Health
healthcare professionals! The symposium provided a wonderful
avenue for networking with colleagues as well as learning new
innovative strategies for improving practice and patient care
outcomes. Our Thursday’s keynote speaker was Dr. Lynn
Gallagher Ford, Director of the Center for Transdisciplinary EBP
and Associate Professor at the Ohio State University. Dr.
Gallagher shared how understanding and integrating EBP into the
foundation of clinical decision-making can drive best practice,
achieve quality and safety goals, and deliver excellent patient
outcomes.
We had five very successful 3 hour workshops on such topics as Demonstrating the Value of EBP, QI: Improving Care One
Process at a Time, Anatomy of a Journal Club, Caring for the Caregiver, and Professional Writing for Clinical Science Projects.
Dr. Ned Calonge, President and CEO of The Colorado Trust was Friday’s dynamic keynote speaker presenting on Improving
Population Health. We also had a fabulous and interactive lunchtime panel presentation that focused on Differentiating Shade of
Gray: Distinguishing Research from EBP, QI, and Program Evaluation. Interdisciplinary speakers included: Warren Capell, MD,
Past Director COMIRB, University of Colorado Denver, Associate Professor of Medicine, Division of Endocrinology, Metabolism,
and Diabetes, University of Colorado School of Medicine; Jeffrey J. Glasheen, MD, Associate Dean for Clinical Affairs-Quality and
Safety Education; Director, Hospital Medicine Program, Professor of Medicine, University of Colorado School of Medicine; Mary
Sue McAslan, PharmD, Clinical Pharmacist and Program Manager for Quality Improvement, Department of Pharmacy Services, VA
Eastern Colorado Healthcare System; Cynthia A. Oster, PhD, MBA, APRN, CNS-BC, ANP, Nurse Scientist, CNS Critical Care
and Cardiovascular Services, Porter Adventist Hospital; and Candy Tefertiller, PT, DPT, NCS, Director Physical Therapy, Craig
Hospital.
Poster presentation award winners were honored:
1. People’s Choice Award – Best Research Poster: Caregiver Perceptions of Decision Making Around Destination
Therapy Left Ventricular Assist Devices; Colleen K. McLlvennan, DNP, ANP, University of Colorado, School of Medicine
2. People’s Choice Award – Best EBP Poster: Lavender Aromatherapy: Can You Smell It? An Evidence-Based Project to
Help Decrease Anxiety and Promote Relaxation; Angela Miskolci, BSN, RN, CCTN, University of Colorado Hospital,
University of Colorado Health Central
3. Juried - Best Research Poster: I’ve Fallen and I Can’t Get Up!: Factors Associated with Inpatient Falls on Two Adult
Psychiatric Units; April D. Romero, BSN, RN, Porter Adventist Hospital, Centura Health
4. Juried - Best EBP Poster: Pharmacy Fill Histories Provide Insight into Patient Medication Compliance; Nicole D.
McCormick, BSN, RN, MBA, CCTC, University of Colorado Hospital, University of Colorado Health Central
It was truly a wonderful event. We look forward to next year’s symposium. So Save the Date and plan to submit an abstract.
28th Annual Symposium: Thursday, April 14 & Friday, April 15, 2016. Watch for the Call for Abstracts out in July!
27th Annual Rocky Mountain Interprofessional Research and EBP Symposium:
The Impact of Research and EBP on Evolving Healthcare Environments
Regina Fink, PhD, RN, AOCN, FAAN
Research Nurse Scientist and Symposium Chair
12
The objective of the Colorado Collaborative for Nursing
Research (CCNR) is to (a) extract nursing-specific data from
various electronic health records (EHR), (b) import/
harmonize/analyze those data, and (c) return high-quality
nursing-centered analytics to acute care facilities in near-real-
time to inform the decision-making and practice of nurse
leaders and nurse clinicians.
This stated objective is not meant to imply that nurses do
not already employ EHR. We do. But again, nurse leaders do
not have access yet to nursing-targeted EHR data analytics to
drive day-to-day decision-making. Nurse clinicians do not
have access to nursing-targeted EHR data to determine best
practices. In short, the nursing profession can exploit the
volume and richness of EHR data in much more sophisticated
ways. To accomplish this, nursing must take charge of its
own future.
Therefore, formal discussions are underway between the
CCNR and UCHealth (Central, North, and South) to
establish a federated data-sharing system.
A “federated” data-sharing network allows each participating
institution to keep total control of its own data and choose
whether or not to release data when project proposals arise.
The system currently being negotiated with UCHealth will
establish the CCNR as a data hub that (a) processes and
harmonizes incoming data, (b) returns raw data to the
original owners, and (c) distributes to all participants
information/analyses derived from the raw data. This will
allow for nurse leaders and nurse clinicians to make
decisions based on the best, freshest data.
Similar discussions with Centura Porter Adventist
Hospital and VA Eastern Colorado Healthcare
System have moved beyond the initial stages; in fact,
CCNR Director Karen Sousa and CCNR Statistician
Oliwier Dziadkowiec will be given uncompensated
employee status at the VA in order to work more
closely with their IT people on incorporating the VA into the
data-sharing federation.
This would be the first multi-system nursing-centered
data-sharing federation anywhere in the world.
In our BMT population, we utilize a fever protocol that requires
initiating treatment if a patient has a temperature of 38 degrees
Celsius. Over the last few years, we have had many conversations
with our providers regarding the accuracy of the temporal artery
thermometer (TAT) used with these patients. Many providers ask
for an oral temperature in addition to the TAT. Because of this
perceived discrepancy, we decided to look into the literature.
The evidence consistently
showed that TAT is very
accurate in afebrile
states, but there was
inconsistency in the
reported accuracy of the
TAT in febrile states.
Since the febrile state is
our concern with the
TAT, we decided to pursue a research study to look at the
accuracy of TAT and oral temperatures in comparison to core
temperature. Most TAT: core comparisons were done in
pediatrics and/or ICUs where invasive core temperature
measurements were necessary. We stumbled upon a core
temperature monitoring “pill” that wirelessly connects to a
continuous temperature monitoring device and is passed through
the GI tract normally. We also identified a patient population with
very predictable febrile patterns in our patients receiving IL-2
therapy.
We are very excited to have submitted this research proposal and
received funding from the DAISY Foundation. Thanks to Regina
Fink, Mary Mancuso, and Barb Wenger for mentoring me through
the process and also to Miki Law, an oncology RN, and Krista
Treichel, a coordinator in the melanoma clinic, for contributing
clinical assistance with this endeavor!
DAISY Foundation Funded Study: TAT, Oral,
and Core Temperature in Cancer Patients
Mandy Johnson, RN, MNHP, CCRN, OCN
Associate Nurse Manager
Oncology and Bone Marrow Transplant
College of Nursing Update
Karen H. Sousa, RN, PhD, FAAN
Professor, Associate Dean for Research & Scholarship
13
After receiving input from both the Council and Champions, the Research and Evidence-
Based Practice (EBP) Council and EBP Champions have merged to form one group. This
change was effective January 2015. Our Patient Services Research and Evidence-Based Practice Council includes both council
members and EBP champions (interprofessional representatives from many of the inpatient and ambulatory care areas with an
interest in EBP). The council meets the 3rd Tuesday of the month from 12-1 PM. Our charter has been updated; the council
includes four key functions that are delineated below. The council is always looking for new members and subcommittee
representatives. Please let co-chair [email protected] know if you are interested in participating with us!
1. Mentorship:
Provide a formal process to develop and oversee research and EBP initiatives
Assist with grant applications and reviews
Consult on abstract writing
Assist with the development of poster and podium presentations
Provide support for writing for publication
Develop and assist EBP champions in their role as unit based liaisons
Review abstracts for the Research and EBP Symposium
Members: Kirtley Ceballos, NICU; Larry Golightly, Pharmacy
Co-chairs: Kathy Oman and Robin Scott
2. Protocol Review:
Provide a Protocol Review Team (ad hoc) to review all expedited and full review research proposals involving UCH nurses
and other health care professionals (e.g., respiratory therapy, social work, rehabilitation services) prior to COMIRB
submission
Review University of Colorado College of Nursing (CON) faculty research projects conducted at UCH
Review all SBAR and Research/QI/EBP/PE projects prior to approval and signature by Professional Resources Department
director
Review Colleen Goode Grant applications and oversee their dissemination.
Members: Lee Rucker, Respiratory; Claire Rutherford, EP Lab
Co-chair: Melanie Sandoval
3. Dissemination:
Disseminate on-going research and EBP projects through the twice yearly EBP Newsletter
Disseminate Research and EBP resources (e.g., Practice Outcomes Manual, RN Annual
Competency, EBP toolkit)
Develop Intranet Research and EBP resources; assists in updating and streamlining website
Distribute calls for abstracts and grant opportunities
Promote and foster unit-based and virtual journal club activity; encourage the critical analysis of research articles; support
various Champions’ teams in this activity; develops calendar of journal clubs and disseminates on intranet
Reviews new and revised Translating Research Into Practice (TRIP) sheets as needed.
Present Research and EBP structure and process at Nursing Orientation
Members: Megan Hellrung, AIP OR; Monica Brock, PACU; Isabel De Silver, Birth Center
Co-chairs: Regina Fink and Mary Mancuso
(See Council, Page 14)
Council Chatter
Regina Fink, PhD, RN, AOCN, FAAN
Research Nurse Scientist and Council Co-Chair
14
Have you heard the term “Motivational
Interviewing” and wondered about this
sensation that’s sweeping the nation? Why has
it become such a phenomenon? Put simply, it
works.
Motivational Interviewing (MI) is an evidence-
based interpersonal style used with individuals who would benefit from
changes in their behaviors. This technique has been applied in a variety of
healthcare settings, but its origins are the field of Psychology. Motivational
Interviewing was initially used with individuals struggling with substance use
who were “resistant” to behavior change.1 The principles involved in MI come
from social psychology and include: the concepts of social influence and
persuasion, the realization that people will resist efforts to change them, and
the importance of remaining person-centered throughout this approach.
Motivational Interviewing is exceptional because this process recognizes that
individuals who are contemplating behavior change will feel ambivalent. People
continue to engage in behaviors (some of them unhealthy) because they
receive some benefit (e.g., reduction in anxiety from substance use), but there
are also negative outcomes resulting from their behaviors. Motivational
Interviewing acknowledges this ambivalence involved in change and helps
people explore and resolve the ambivalence. The spirit of MI is one of
respecting the individual’s autonomy, remaining empathetic while interacting
with the individual, and serving as a guide for the individual rather than making
decisions or suggesting solutions for the individual.2
A growing body of research supports the effectiveness of MI including meta-
analyses that have demonstrated the effectiveness of MI for behavior change in
substance use, diet, exercise, and adherence to treatment.3-4 There are a
smaller number of studies showing the effectiveness of MI for smoking
behaviors, but the findings are consistent.5 Evidence is growing examining the
effectiveness of MI for behaviors such as safe sex,
HIV medication adherence, and eating disorders.
The four main principles of MI include:
Rolling with resistance:
Listening and understanding the individual
but not offering solutions and avoiding arguing about behavior change
Developing discrepancy:
The individual comes up with his/her own arguments for change
Expressing empathy:
Being reflective, accepting, &
collaborative
Supporting self-efficacy:
Individuals are the experts of their own
lives and will decide when it is time to
change
Importance place on individual’s
perspective while facilitating hope for
change
If you would like to learn more about the
techniques used in MI, the College of Nursing
has an online module, Motivational Interviewing for
Healthcare Professionals and includes three
courses: Motivational Interviewing for Primary Care,
Motivational Interviewing Techniques in Practice, and
Using Motivational Interviewing with Difficult
Patients. You can learn about and register for the
course at: http://www.ucdenver.edu/academics/
colleges/nursing/programs-admissions/CE-PD/
Pages/Motivational-Interviewing-for-Healthcare-
Professionals.aspx. There is also a live advanced
class taught at the College of Nursing by Dr.
Paul Cook and Laurra M. Aagaard.
(See References MI, Page 22)
Motivational Interviewing for Healthcare Professionals:
What’s the Buzz? Mary P. Mancuso, MA
Professional Research Assistant and Patient Education Development Assistant
(Council, continued from Page 13)
4. Education:
Volunteers for and/for and/or attends the annual
Rocky Mountain Inter-professional Research and
EBP Symposium
Participate in coordinating and sponsoring yearly
Research and EBP Nursing Grand Rounds
(annual competency)
Provide education and enrichment to the Patient
Services R&EBP Council
Assists the research nurse scientist team in the
development and provision of multiple classes
and workshops in EBP and clinical research.
Reviews and revises ULearn educational modules
on research and EBP, as needed.
Members: Marty Turner, BTICU; Stephanie Elston,
Transplant; Dori Buese, Orthopedics; Kelsey McIn-
tosh
Co-chairs: Mary Beth Makic
15
It is estimated that as much as 30% of
care delivered in U.S. is duplicative or
unnecessary and may not improve
people’s health
(www.ChoosingWisely.org). It is urgent that health care providers and patients work
together and have conversations about wise treatment decisions and choosing care
that is supported by evidence.
An initiative of the American Board of Internal Medicine (ABIM), Choosing Wisely,
aims to promote conversations between clinicians and patients by helping patients
choose care that is:
Supported by evidence
Not duplicative of other tests or procedures already received
Free from harm
Truly necessary
In response to this challenge, national organizations representing healthcare
specialists asked their providers to “choose wisely” by identifying tests or procedures
commonly used in their field whose necessity should be questioned and discussed.
To help patients engage their health care provider in these conversations and
empower them to ask questions about what tests and procedures are right for them,
Consumer Reports has developed patient-friendly materials based on the specialty
societies’ lists of recommendations.
70 Health Care Provider organizations have released lists of practices that should be
questioned. The American Academy of Nursing has identified the following 5*
practices that should not occur:
1. Don’t automatically initiate continuous electronic fetal heart rate (FHR)
monitoring during labor for women without risk factors: consider intermittent
auscultation (IA) first.
2. Don’t let older adults lie in bed or only get up to a chair during their hospital
stay.
3. Don’t use physical restraints with an older hospitalized patient.
4. Don’t wake the patient for routine care unless the patient’s condition or care
specifically requires it.
5. Don’t place or maintain a urinary catheter in a patient unless there is a specific
indication to do so.
*There are 5 additional practices specific to patients with cancer that are also listed.
You can find out what medical practices have been listed in specialty practice areas at
www.ChoosingWisely.org
The Emergency Department (ED) is
conducting several research projects in
2015. One current project examining the
reliability and validity of the Minnesota
Detoxification Scale (MINDS); the MINDS
scale is an alternative alcohol withdrawal
scale to the Clinical Institute Withdrawal
Assessment (CIWA) score. In addition, a
new ED alcohol withdrawal protocol,
which incorporates the use of higher
initial doses of benzodiazepines to control
withdrawal
symptoms, has
been
implemented. This
project will assess
if this new approach to controlling
withdrawal symptoms is effective at
decreasing overall admissions, ICU
admissions, and length of stay.
Another project, happening concurrently
in the ED, is an interdisciplinary project,
aligning medical, nursing, and pharmacy
services. This project aims to develop a
nurse driven sedation protocol, allowing
nurses to adjust intubated patient’s
sedation levels based on patient sedation
scores and a physician approved protocol.
The primary endpoint of this study is to
ensure appropriate sedation post
intubation, defined nationally as a RASS
score of 0 to -3.
A third study will examine the effects of
de-escalation training on security usage.
This study, slated for Fall 2015, will train
all clinical staff in the ED in verbal de-
escalation techniques and then assess staff
confidence in these strategies as well as
determining if events requiring security
assistance decrease in response to staff
training.
Checking ED Pulse for EBP
Robin Scott, RN, ND, MS, CEN
Interim Trauma Program Manager
Choosing Wisely Campaign
Kathy Oman RN, PhD, FAEN, FAAN
Research Nurse Scientist
16
Safety Auditing as a Nursing Accountability Measure for Hospital
Fall Prevention
Nicole (Nicky) Huntley, BSN RN, presented at the National Association of Clinical Nurse
Specialists (NACNS) Conference in San Diego, CA, earlier this spring. Her poster
presentation was titled “ Safety Auditing as a Nursing Accountability Measure for Hospital Fall Prevention”. Nicky was part of
the essential leadership in this UCH-Central endeavor to reduce falls through evaluation of consistent safety practice
interventions. The fall leadership team engaged the fall champions in performing quarterly audits completed by unit champions to
assess both fall risk assessment charting and that required interventions are in place at the bedside. Unit champions quickly
review the Electronic Health Record for Fall Risk Level and required charting, they then enter each patient room to audit
interventions in place. If needed fall prevention interventions were not in place, the unit champions used direct bedside
opportunity to educate staff involved (both RN and support staff). Upon completion of the audits, the forms are returned for
compilation and review. Compiled audits are then returned to the unit champion, unit Nurse Manager and Associate Nurse
Manager for review and sharing with staff. If there are issues with intervention compliance, the unit champion is asked to
provide an action plan to correct the issue in the next three months before the following audit. Audit results, specifically bed
alarm compliance, are shared in the Fall Champions Meeting, Falls Steering Committee Meeting, and Shared Leadership Meetings
so that the audits are seen as truly value-added in the overall efforts to reduce patient falls. Within the first three months of
Safety Audit initiation falls decreased from 3.41 to 3.05 falls/1000 patient days. Two years after audit implementation, UCH had
its lowest rate ever at 1.59 falls/1000 patient days.
Nicky shared the project, outcomes, and her leadership in this project
at the NACNS conference. Nicky commented that “Sharing the poster
at my National Organization's Annual Conference was a great honor. I
had the great opportunity to connect and network with other Clinical
Nurse Specialist Students and Practicing APRNS.” Additionally, the
poster was awarded 2nd place, for the CNS student posters. This was
an even high honor, as there were some truly amazing projects and
posters. Nicky has received numerous emails asking for more
information on the project, her leadership, and overall strategies to
engage staff in reducing falls through preventative actions. She continues
to have an active role on the EBP Fall Champion team and leads the quarterly fall prevention audit tracking process.
AWARDS AND CERTIFICATIONS:
Colorado AHEC 2015 Nightingale Luminary Awardee: Mary Beth Flynn Makic, RN, PhD, CNS, CCNS, FAAN, FNAP
Mary Hanna Memorial Journalism Award, April 2015, The Journal of Perianesthesia Nursing, Research Category,
3rd Place
Oman, K. S, Fink R. M., Kleiner. C., Makic M. B. F., Wenger, B., Hoffecker, L., Mancuso, M., Schmiege, S., & Cook. P. (2014).
Intradermal Lidocaine or Bacteriostatic Normal Saline to Decrease Pain Before Intravenous Catheter Insertion: A Meta-
Analysis. Journal of Perianesthesia Nursing, 29(5), 367-376.
$200 – Submitted to the Colleen Goode Foundation
Master Certified Health Education Specialist: Monique McCollum, RN, MPH, CPHQ, MCHES
Monique earned this certificate from the National Commission for Health Education Credentialing, Inc. She is one of only
900 people in the world to have this certification. Congratulations Monique!
17
NURSING
PUBLICATIONS:
Barton, A. J. & Makic, M. B. F. (2015). Technology and patient safety. Crit Nurse Specialist, 29(3), 129-130.
Makic, M. B. F. (2015). Rethinking mobility and intensive care patients. JoPAN, 30(2), 151-152.
Fink, R. M., Makic, M. B. F., Poteet, A. & Oman, K. S. (In press, September 2015). The ventilated patient’s experience. Dimensions
of Critical Care Nursing.
Makic, M. B. F., Rauen, C., & Jones K. et al. (2015). Continuing to challenge practice to be evidence-based. Critical Care Nurse, 35
(2), 39-50.
McCallum, C. A., Oman, K. S., & Makic, M. B. (2015). Improving the assessment and treatment of pelvic inflammatory disease
among adolescents in an urban children’s hospital emergency department. Journal of Emergency Nursing, 40(6), 579-585.
Mramor, W., Hagman, J., Ford, D. & Oman, K. S., & Cumbler, E. (2015). Purposeful visits for hospitalized elderly patients. Journal
of Gerontological Nursing, 41(3), 42-48.
Pell, J. M., Mancuso, M., Limon, S., Oman K. S, & Lin, C. T. (2015). Patient Access to Electronic Health Records During
Hospitalization. JAMA Internal Medicine, Mar 9. doi: 10.1001/jamainternmed.2015.121.
PODIUM PRESENTATIONS:
Asakura, Y. (2014, July). DNP Education and the Effect on Health Care System in the US. Podium presented at Hiroshima Bunka
Gakuen University, Hiroshima, Japan.
Asakura, Y. (2014, July). Pain Management and Evidence Based Practice. Podium presented at the 8th Annual Meeting of Japanese
Society for Chronic Illness and Condition Nursing, Fukuoka, Japan.
Asakura, Y. (2014, July). Advanced Practice Nursing and Evidence Based Practice. Podium presented at the 8th Annual Meeting of
Japanese Society for Chronic Illness and Condition Nursing, Fukuoka, Japan.
Kudos Kolumn*
Staff at UCH have been busy presenting the good work that is
being done here. We would like to recognize and congratulate
the following health care professionals who have published or
presented podium and poster presentations or have received
awards.
Acknowledgement: Thank you Monica Brock, MS, RN,
CPAN, Clinical Nurse Educator, Pre-op & PACU for her help
in compiling these many accomplishments!
*We strive to include all achievements. Inform us if you have additional kudos
to include in the next publication.
18
PODIUM PRESENTATIONS (continued):
Asakura, Y. (2014, July). Expanding Possibility of Carrier up in Nursing. Podium presented at
Okinawa Nursing Education Center, Okinawa, Japan.
Asakura, Y. & Wenger, B. (2014, November). Difficult Communication in Oncology Nursing.
Podium presented at the Metro Denver Oncology Nursing Society monthly meeting,
Denver, CO.
Brock, M. (2015, April). Anatomy of a Journal Club. Podium presented at the 27th Annual
Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Crock, J. & Huntley, N. (2015, April). Safety Auditing as a Nursing Accountability Measure for
Hospital Fall Prevention. Podium presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium,
Denver, CO.
Knippa, S., (2015, April). Beyond Skills Checklists: Orientation that Captures the Essence of Nursing! Podium presented at the
Association for Nurses in Professional Development, Orlando, FL.
Makic, M. B. F. & Rauen C., (2015). Improving practice through EBP. Moving sacred cows out to pasture. Podium presented at the
American Association of Critical Care Nurses, National Teaching Institute, San Diego, CA.
Neff, I. & Leonardi-Warren, K. (2015, April). Exploring Cancer Patient's Sexual Health Information Needs. Podium presented at the
27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Oman, K. S., & Lowe, N., (April 2015). Professional writing for clinical science projects. Workshop, 27th Annual Rocky Mountain
Interprofessional Research and Evidence-Based Practice Symposium. Denver, Colorado.
Oman, K. S., Yoder, M., Sauer, B., & Nordenholz, K. (December, 2014). Family presence at resuscitation or invasive procedures:
update and review. University of Colorado Ethics Grand Rounds, University of Colorado Hospital, Aurora, CO.
Oman, K. S. & Glover J., (October 27, 2014). What is futile care? How does it affect patient care and transitions? 9th Annual Palliative
Care Conference, University of Colorado Hospital, Aurora, CO.
Sousa, K., Oman, K. S., Oster, C., Reeder, B., Welton, J. (April 2015). Colorado Collaborative for nursing research: Nurses, pioneers,
trailblazers. Podium presented at the Western Institute of Nursing Conference, Albuquerque, NM.
Stewart, D., Pearson, J., Wong, M., & Makic. M. B. F. ((2015, April). An Interprofessional Medication Teaching System to Improve
Medication Teaching Processes with Patients: A Quality Improvement Project. Podium presented at the 27th Annual Rocky Mountain
Interprofessional Research and EBP Symposium, Denver, CO.
Weimer, S., Bell, C., & Makic, M. B. F. (April, 2015). Sedation management during burn wound care, a descriptive study. 27th Annual
Rocky Mountain Research and Evidence-Based Practice Symposium, Denver, CO.
Wenger, B. & Brackett. H. (2015, April). Compassionate Extubation in a Non ICU Setting. Podium presented at the 27th Annual
Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
19
POSTER PRESENTATIONS:
Bishop, M. (2015, April). Let's get digital: An online call sign up system. Poster presented at the
27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Brackett, H., Wenger, B., Johnson-Bortolotto, S., Baiamonte, V., Petrie, J., Marso, J., Sande,
M., & Youngwerth, J. (2014, October). Compassionate Extubation in a Non ICU Setting. Poster
presented at the Palliative Care Conference, Aurora, CO.
Cowan, K. (2015, April). Shift Huddles: Shifting Across the Void. Poster presented at the 27th Annual Rocky Mountain
Interprofessional Research and EBP Symposium, Denver, CO.
Davis, A. (2015, April). Patient Education for Better Pain Management. Poster presented at the 27th Annual Rocky Mountain
Interprofessional Research and EBP Symposium, Denver, CO and the Oncology Nursing Society 40th Congress, Orlando, FL.
Davis, A. (2015, April). Patient Education for Better Pain Management. Poster presented at the 27th Annual Rocky Mountain
Interprofessional Research and EBP Symposium, Denver, CO and the Oncology Nursing Society 40th Congress, Orlando, FL.
Fink, R., Silvermann, M., Sung-Joon, M., Mancuso, M. P., & Brant, J. (2015, February). Results of a palliative care needs assessment in
Middle Eastern Countries. Poster presented at the Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association, Philadelphia, PA.
Heinke, P. (2015, April). Development of Certified Nursing Assistant /Advanced Care Partner Council on the Oncology/ BMT unit. Poster
presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Hodkins, S. (2015, February). An Innovative Approach to Interdisciplinary Case Review. Poster presented at the American Nurses
Association, Orlando, FL.
Knippa. S. (2015, April). Sleep Promotion in the Cardiac ICU: A Quality Improvement Project. Poster presented at the 27th Annual
Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Maher, S., Donovan, K., & Barron, A. (2015, April). Management of Chemotherapy-Induced Nausea and Vomiting. Poster presented
at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Neff, I. (2015, April). Right Patient, Right Unit, Right Time: Reducing Unplanned Level-of-Care Transfers in the Peri-Admission Period.
Poster presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Nicholson, R. (2015, April). A Voiding algorithm to reduce post operative urinary retention in outpatients. Poster presented at the 27th
Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Rogers, J. (2015, April). CAM-ICU & Inappropriate UTA ratings in Intubated Patients in the Cardiac ICU. Poster presented at the 27th
Annual Rocky Mountain Interprofessional Research and EBP Symposium, Denver, CO.
Romero, R. (2014, October and 2015, March). PACU Checklist: An Electronic Reminder for Documentation Compliance. Poster
presented at the Association of periOperative Registered Nurses, Denver, CO and the Magnet National Conference, Dallas, TX.
**Received 2nd place in EBP Category at AORN Conference
20
PODIUM PRESENTATIONS (continued):
Wenger, B., Neff, I., Leonardi-Warren, K., Mancuso, M.,
Galbraith, M., & Fink, R. (2015, April). Sexual Health: The
Avoided Assessment. Poster presented at the Oncology
Nursing Society 40th Congress, Orlando, FL.
INPATIENT REHAB THERAPY SERVICES
PODIUM PRESENTATIONS:
Pearson, J. (2015, April). An Interprofessional Medication Teaching System to Improve Medication Teaching Processes with Patients: A
Quality Improvement Project. Podium presented at the 27th Annual Rocky Mountain Interprofessional Research and EBP
Symposium, Denver, CO.
Sockolosky, D. (2014, October). Airway Clearance Prescription in Difficult Clinical Situations: Monitored exercise during acute pulmonary
exacerbations: results of a single center QI initiative. Podium presented at the North American Cystic Fibrosis Conference, Atlanda,
GA.
POSTER PRESENTATIONS:
Malone, D., Ridgeway, K., Nordon-Craft, A., Moss, P., Schenkman, M., & Moss, M. (2015, May). Physical Therapists Perceptions of
Rehabilitation Practices in The Intensive Care Unit: Results Of A National Survey. Poster presented at the American Thoracic Society
Annual Conference, San Diego, CO.
Malone, D., Ridgeway, K., Nordon-Craft, A., Moss, P., Schenkman, M., & Moss, M. (2015, May). Staffing Patterns, Training Methods,
And Barriers To Providing Physical Therapy in the ICU: Results Of A National Survey. Poster presented at the American Thoracic
Society Annual Conference, San Diego, CO.
PHARMACY:
Aquilante CL, Page RL 2nd, Vu A, Roscoe N, Wolfel EE, Lindenfeld JA. Comparison of office, home, and ambulatory blood
pressure in heart transplant recipients. J Card Fail. 2014;20:602-10.
Babilonia KM, Golightly LK, Gutman JA, Hassell KL, Kaiser JN, Kiser TH, Klem PM, Trujillo TC. Antithrombotic
therapy in patients with thrombocytopenic cancer: Outcomes associated with reduced-dose low-molecular-weight heparin
during hospitalization. Clin Appl Thromb Hemost. 2014;20:799-806.
Barber GR, Safdar A. Unique antibacterials. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases.
8th ed. Philadelphia, PA: Elsevier; 2014:440-6.
Foster CL, Mould K, Reynolds P, Simonian PL, Erlandson KM. Clinical problem-solving: Sick as a dog. N Engl J Med.
2015;372:1845-50.
Golightly LK, Simendinger BA, Barber GR, Stolpman NM. Compliance with hospital medication management standards
for safety and efficacy information. J Pharm Pract. 2015;28:135-6.
21
JOURNAL PUBLICATIONS (continued):
Hafermann MJ, Kiser TH, Lyda C, Fish DN, Barber GR, Wempe MF,
Cleveland JC Jr. Weight-based versus set dosing of vancomycin for coronary artery
bypass grafting or aortic valve surgery. J Thorac Cardiovasc Surg. 2014;147:1925-30.
Jansen JJ, Oldland AR, Kiser TH. Evaluation of phenylephrine stability in polyvinyl
chloride bags. Hosp Pharm. 2014;49:455-7.
Kanji S, Hayes M, Ling A, Shamseer L, Chant C, Edwards DJ, Edwards S, Ensom MH, Foster DR, Hardy B, Kiser TH, la Porte C,
Roberts JA, Shulman R, Walker S, Zelenitsky S, Moher D. Reporting guidelines for clinical pharmacokinetic studies: The ClinPK
Statement. Clin Pharmacokinet. 2015 Jan 31 [℮pub ahead of print]. doi 10.1007/s40262-015-0236-8
Kiser TH. Cerebral vasospasm in critically ill patients with aneurysmal subarachnoid hemorrhage: Does the evidence support
the ever-growing list of potential pharmacotherapy interventions? Hosp Pharm. 2014;49:923-41.
Kiser TH, Allen RR, Valuck RJ, Moss M, Vandivier RW. Outcomes associated with corticosteroid dosage in critically ill patients
with acute exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014;189:1052-64.
Kiser TH, Fish DN, Aquilante CL, Rower JE, Wempe MF, MacLaren R, Teitelbaum I. Evaluation of sulfobutylether-β-
cyclodextrin (SBECD) accumulation and voriconazole pharmacokinetics in critically ill patients undergoing continuous renal
replacement therapy. Crit Care. 2015;19:32. doi: 10.1186/s13054-015-0753-8
Kiser TH, Vandivier RW. Severe acute exacerbations of chronic obstructive pulmonary disease: Does the dosage of
corticosteroids and type of antibiotic matter? Curr Opin Pulm Med. 2015;21:142-8
Lewis WR, Piccini JP, Turakhia MP, Curtis AB, Fang M, Suter RE, Page RL 2nd, Fonarow GC. Get With The Guidelines AFIB:
Novel quality improvement registry for hospitalized patients with atrial fibrillation. Circ Cardiovasc Qual Outcomes. 2014;7:770-7.
Lind SE, Boyle ME, Fisher S, Ishimoto J, Trujillo TC, Kiser TH. Comparison of the aPTT with alternative tests for monitoring
direct thrombin inhibitors in patient samples. Am J Clin Pathol. 2014;141:665-74.
MacLaren R, Kassel LE, Kiser TH, Fish DN. Proton pump inhibitors and histamine-2 receptor antagonists in the intensive
care setting: Focus on therapeutic and adverse events. Expert Opin Drug Saf. 2015;14:269-80.
MacLaren R, Preslaski CR, Mueller SW, Kiser TH, Fish DN, Lavelle JC, Malkoski SP. A randomized, double-blind pilot study
of dexmedetomidine versus midazolam for intensive care unit sedation: Patient recall of their experiences and short-term
psychological outcomes. J Intensive Care Med. 2015;30:167-75.
MacLaren R, Reynolds PM, Allen RR. Histamine-2 receptor antagonists vs proton pump inhibitors on gastrointestinal tract
hemorrhage and infectious complications in the intensive care unit. JAMA Intern Med. 2014;174:564-74.
McIlvennan CK, Page RL 2nd, Ambardekar AV, Brieke A, Lindenfeld J. Activated partial thromboplastin time overestimates anti
-coagulation in left ventricular assist device patients. J Heart Lung Transplant. 2014;33:1312-4.
Mueller SW, Preslaski CR, Kiser TH, Fish DN, Lavelle JC, Malkoski SP, MacLaren R. A randomized, double-blind, placebo-
controlled dose range study of dexmedetomidine as adjunctive therapy for alcohol withdrawal. Crit Care Med. 2014;42:1131-9.
22
JOURNAL PUBLICATIONS (continued):
Oldland AR, Golightly LK, May SK, Barber GR, Stolpman NM. Electronic inventory systems
and bar-code technology: Impact on pharmacy technical accuracy and error liability. Hosp Pharm.
2015;50:34-41.
Page RL 2nd, Ghushchyan V, Gifford B, Read RA, Raut M, Bookhart BK, Naim AB, Damaraju CV,
Nair KV. Hidden costs associated with venous thromboembolism: Impact of lost productivity on employers and employees. J
Occup Environ Med. 2014;56:979-85.
Preslaski CR, Mueller SW, Kiser TH, Fish DN, MacLaren R. A survey of prescriber perceptions about the prevention of
stress-related mucosal bleeding in the intensive care unit. J Clin Pharm Ther. 2014;39:658-62.
Reynolds PM, MacLaren R, Mueller SW, Fish DN, Kiser TH. Management of extravasation injuries: A focused evaluation
of noncytotoxic medications. Pharmacotherapy. 2014;34:617-32.
Reynolds PM, Mueller SW, MacLaren R. A comparison of dexmedetomidine and placebo on the plasma concentrations of
NGF, BDNF, GDNF, and epinephrine during severe alcohol withdrawal. Alcohol. 2015;49:15-9.
Schoeppler KE, Aquilante CL, Kiser TH, Fish DN, Zamora MR. The impact of genetic polymorphisms, diltiazem, and
demographic variables on everolimus trough concentrations in lung transplant recipients. Clin Transplant. 2014;28:590-7.
Schoeppler KE, Zamora MR, Northcutt NM, Barber GR, O'Malley-Schroeder G, Lyu DM. Invasive Microascus trigonosporus
species complex pulmonary infection in a lung transplant recipient. Case Rep Transplant. 2015;2015:745638. doi:
10.1155/2015/745638
Shakowski C, Page RL 2nd, Fish DN, Stolpman N. The Aurora theater shooting: Lessons learned in a department of
pharmacy. Am J Health Syst Pharm. 2014;71:780, 782.
VanderWeide LA, Foster CJ, MacLaren R, Kiser TH, Fish DN, Mueller SW. Evaluation of early dexmedetomidine addition
to the standard of care for severe alcohol withdrawal in the ICU: A retrospective controlled cohort study. J Intensive Care Med.
2014 Oct 16 [℮ pub ahead of print}. doi: 10.1177/0885066614554908
Washam JB, Herzog CA, Beitelshees AL, Cohen MG, Henry TD, Kapur NK, Mega JL, Menon V, Page RL 2nd, Newby LK.
Pharmacotherapy in chronic kidney disease patients presenting with acute coronary syndrome: A scientific statement from the
American Heart Association. Circulation. 2015;131:1123-49.
(References MI, continued from Page 14)
References:
1. Miller, W. R. and Rollnick, S. (1991) Motivational interviewing: Preparing people to change addictive behavior. New York, NY: Guilford Press.
2. Rollnick S., & Miller, W.R. (1995). What is motivational interviewing? Behavioural and Cognitive Psychotherapy, 23, 325-334.
3. Burke, B. L., Arkowitz., H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of
Consulting and Clinical Psychology, 71, 843-861.
4. Rubak, S., Sandboek, A., Lauritzen, T., & Christensen, B. (2005). Motivational interviewing: A systematic review and meta-analysis. British Journal of General
Practice, 55, 305-312.
5. Heckman, C. J., Egleston, B. L., & Hofmann, M. T., (2010). Efficacy of motivational interviewing for smoking cessation: A systematic review and meta-
analysis. Tobacco Control, 19, 410-416.
23
(References PT ICU, continued from Page 10)
Resources & References:
1. Benson AB, Nordon-Craft A, Schenkman M, Wegzyn D, Moss M. Inpatient Physical Therapy for Mechanically Ventilated Patients Is Independently
Associated with Improved Discharge Status. Am J Respir Crit Care Med 179;2009:A5473. http://www.atsjournals.org/doi/abs/10.1164/ajrccm-
conference.2009.179.1_MeetingAbstracts.A5473
2. Benson AB, Ridgeway K, Macht M, Clark BJ, Smart A, Schenkman M, Nordon-Craft A, Moss M. Patient And Proxy Perceptions Of Intensive Vs.
Standard Physical Therapy In Critically Ill Patients. Am J Respir Crit Care Med 185;2012:A3078.
http://www.atsjournals.org/doi/abs/10.1164/ajrccm-conference.2012.185.1_MeetingAbstracts.A3078
3. Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr
A, Cook D, Slutsky AS; Canadian Critical Care Trials Group. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J
Med. 2003 Feb 20;348(8):683-93.
4. Fan E, Dowdy DW, Colantuoni E, Mendez-Tellez PA, Sevransky JE, Shanholtz C, Himmelfarb CR, Desai SV, Ciesla N, Herridge MS, Pronovost PJ,
Needham DM. Physical complications in acute lung injury survivors: a two-year longitudinal prospective study. Crit Care Med. 2014 Apr;42(4):849-
59.
5. Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D,
Slutsky AS, Cheung AM; Canadian Critical Care Trials Group. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med.
2011 Apr 7;364(14):1293-304. doi: 10.1056/NEJMoa1011802.
6. Adhikari NK, Tansey CM, McAndrews MP, Matté A, Pinto R, Cheung AM, Diaz-Granados N, Herridge MS. Self-reported depressive symptoms and
memory complaints in survivors five years after ARDS. Chest. 2011 Dec;140(6):1484-93. doi: 10.1378/chest.11-1667. Epub 2011 Oct 13.
7. Herridge MS. Legacy of intensive care unit-acquired weakness. Crit Care Med. 2009 Oct;37(10 Suppl):S457-61
8. Batt J, dos Santos CC, Cameron JI, Herridge MS. Intensive care unit-acquired weakness: clinical phenotypes and molecular mechanisms. Am J Respir
Crit Care Med. 2013 Feb 1;187(3):238-46.
9. Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, Spears L, Miller M, Franczyk M, Deprizio D, Schmidt GA, Bowman
A, Barr R, McCallister KE, Hall JB, Kress JP. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised
controlled trial. Lancet. 2009 May 30;373(9678):1874-82.
10. Pohlman MC, Schweickert WD, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, Spears L, Miller M, Franczyk M, Deprizio D, Schmidt GA, Bowman
A, Barr R, McCallister K, Hall JB, Kress JP. Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation. Crit
Care Med. 2010 Nov;38(11):2089-94.
11. Sricharoenchai T, Parker AM, Zanni JM, Nelliot A, Dinglas VD, Needham DM. Safety of physical therapy interventions in critically ill patients: a
single-center prospective evaluation of 1110 intensive care unit admissions. J Crit Care. 2014 Jun;29(3):395-400.
12. Morris PE, Goad A, Thompson C, Taylor K, Harry B, Passmore L, Ross A, Anderson L, Baker S, Sanchez M, Penley L, Howard A, Dixon L, Leach S,
Small R, Hite RD, Haponik E. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med. 2008 Aug;36
(8):2238-43.
13. Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J. 2012 Mar;23(1):5-13
14. Kayambu G, Boots R, Paratz J. Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis. Crit Care Med. 2013 Jun;41
(6):1543-54.
15. Lord RK, Mayhew CR, Korupolu R, Mantheiy EC, Friedman MA, Palmer JB, Needham DM. ICU early physical rehabilitation programs: financial
modeling of cost savings. Crit Care Med. 2013 Mar;41(3):717-24
16. Needham DM, Davidson J, Cohen H et al. Improving Long Term Outcomes after discharge from intensive care: Reports from a stakeholders
conference. Crit Car Med 2012:40;2. p. 502-9.
17. Engel HJ, Tatebe S, Alonzo PB, Mustille RL, Rivera MJ. Physical therapist-established intensive care unit early mobilization program: quality
improvement project for critical care at the University of California San Francisco Medical Center. Phys Ther. 2013 Jul;93(7):975-85. doi: 10.2522/
ptj.20110420. Epub 2013 Apr 4.
18. Engel HJ1, Needham DM, Morris PE, Gropper MA. ICU early mobilization: from recommendation to implementation at three medical centers. Crit
Care Med. 2013 Sep;41(9 Suppl 1):S69-80. doi: 10.1097/CCM.0b013e3182a240d5.
19. Amy Nordon-Craft, PT, DSc, Margaret Schenkman, PT, PhD, FAPTA, Kyle Ridgeway, DPT, Alexander Benson, MD, Marc Moss, MD. Physical
Therapy Management and Patient Outcomes following ICU-Acquired Weakness: A Case Series. J Neurol Phys Ther. 2011 Sep; 35(3): 133–140. doi:
10.1097/NPT.0b013e3182275905.
20. Alexander B. Benson, MD , Kyle Ridgeway, DPT , Madison Macht, MD, BSc , Brendan J. Clark, MD , Alexandra Smart, MD , Margaret Schenkman,
Ph.D. , Amy Nordon-Craft, MSPT, Marc Moss, MD. Patient And Proxy Perceptions Of Intensive Vs. Standard Physical Therapy In Critically Ill
Patients.
21. Nordon-Craft A, Moss M, Quan D, Schenkman M. Intensive care unit-acquired weakness: implications for physical therapist management. Phys
Ther. 2012 Dec;92(12):1494-506. Epub 2012 Jan 26.
24
Professional Resources
Mail Stop 901
12401 E. 17th Avenue
Aurora, CO 80045
www.uchealth.org
University of Colorado Hospital
Edited by the Research Nurse Scientists:
Regina Fink, PhD, RN, AOCN, FAAN
Mary Beth Flynn Makic, PhD, RN, CNS, CCNS, FAAN
Kathy Oman, PhD, RN, FAEN, FAAN
Melanie Sandoval, PhD, RN
And Professional Research Assistant:
Mary P. Mancuso, MA
Newsletter design and layout by:
Mary P. Mancuso, MA