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For the past two years, I’ve enjoyed the great honor of work-ing with the exceptional nurses at Einstein Medical Center Philadelphia and Einstein Medical Center Elkins Park. I’m so proud of your dedication, performance and the progress we’ve made. You are the heart of our organization.

As we review the past year, which included our network’s noteworthy 150th anniversary, you have achieved some remarkable feats. Some that come to mind include successful redesignation as a Watson Caring Science Institute Affiliate for the 5th year in a row, decreasing post-op infection rates, reducing falls, increasing patient satisfaction, and fully implementing a safe patient handling program.

You’ve taken the initiative to participate in shared governance to ensure the voice of Nursing is heard on issues that matter to you as professionals in the workplace. Through your work on interdisciplinary teams, you provide valuable input into your patients’ care plans. In addition, more and more nurses here at Einstein have increased their knowledge and skill level by attaining additional certifications and degrees. Together, as important members of the inter-professional care team, we deliver high-quality healthcare, provide outstanding customer service and create a wonderful workplace environment.

I encourage you to read this annual report as a celebration of your achievements.

Thank you for all that you do to support our network and for your dedication to professional nursing excellence. Let’s continue to make Einstein an even greater place to work.

Flo Gunn Gallagher, BSN, RN, CRRN, Chair of Network Council & Clinical Nurse: 1 West - MossRehab Elkins Park

I have been an Einstein nurse for over five years and could not be more proud. As an organization, specifically Nursing, we continually strive to improve quality, patient care, and RN engagement. One of the ways in which we positively influ-ence patient outcomes and strengthen our inter-professional relationships is through our shared governance structure. This structure is founded on the cornerstone principles of partnership, equity, accountability, and ownership. It enables frontline Nursing staff to utilize their professional autonomous voice and inform the delivery of nursing care within a healthcare system.

Looking back on the most recent year, our involvement in everything from selecting the products we use to promoting evidence-based practices has helped Einstein Healthcare Network meet our goals. A few examples of how our shared governance structure has impacted Nursing across the network are the involvement of interdisciplinary teams with CUSP and SUSP committees, reaching the designation phase for being Baby Friendly, and multiple community outreach projects at all levels.

When our Nursing Shared Governance leaders gathered at a Nursing retreat on Jan. 5, 2016, nurses from every level were in attendance to give presentations on accomplishments toward Nursing strategic plan goals and objectives. From evidence-based practices and research projects to interdisciplinary teamwork to nurse education and professional development, and caring science projects, we’ve had quite a year!

I encourage all nurses to continue to make sure our voice is heard by actively participating in shared governance.

As Chairperson of Network Nursing Council, thank you to all my fellow nurses for an outstanding year.

Ric Cuming, EdD, MSN, RN, CNOR, NEA-BC, Vice President & Chief Nurse Executive

Welcome to Einstein’s Nursing Annual Report for 2015-16

32 WELCOME WELCOME

EMC_AnnualReport_r2.indd 2-3 6/8/16 7:30 PM

T A B L E O F C O N T E N T SEinstein Healthcare Network 150 Years

Einstein’s History & Mission

Locations

Transformational Leadership Nursing Mission, Vision, and Values

Nursing Strategic Plan

Nursing Philosophy

Leadership Accessibility

Internal Nursing Float Pool

UHS Equipment Assessment

ANCC Magnet Application

Internal Customer Service and Satisfaction

Structural Empowerment Shared Governance

Teaching and Role Development

Community Outreach

Nursing Recognition & Awards

Professional Development

Certified Nurses

BSN and Certification Trends

Exemplary Professional Practice Professional Practice Model

Watson Re-Designation

Preventing HAPU

Safe Patient Handling Program

Nursing Recruitment

Improving Patient Satisfaction

New Knowledge, Innovations & Improvements Research and EBP Council

Research Day

Curos Caps

Informatics Council

Snoogle Dolls

Levy 7 Redesign

Empirical Outcomes Temporal Thermometers

Journey to Baby-Friendly Designation

Falls Project MossRehab

LGBT Healthcare Equality

Colostrum Project Research Study

Reduction in SSI

Disability Etiquette Project

54 TABLE OF CONTENTS TABLE OF CONTENTS


Our History & MissionThe mission and founding principle of the Jewish Hospital was to provide relief to the sick and wounded, without regard to creed, color or nationality, or ability to pay. This was a revolutionary concept in 1866. The hospital opened in a 22-bed farmhouse in West Philadelphia.

The hospital quickly became a refuge for soldiers returning from the Civil War, freed slaves and immigrants. Our original mission and core principle to care for all in need continues to guide Einstein Healthcare Network today.

In 1952, the Jewish Hospital merged with Mount Sinai Hospital in South Philadelphia and Northern Liberties Hospital under the new name of Albert Einstein Medical Center - with the approval of the great scientist. The new entity was “devoted to medical teaching, medical research, and community health activity.” Today, Einstein Healthcare Network is a 1,000-bed regional network with approximately 8,500 employees serv-ing the communities of Philadelphia and Montgomery County, Pa.

Included in the organization are nationally ranked MossRehab, the Willowcrest skilled nursing center, outpatient care centers, and a network of more than 1,000 primary care physicians and specialists throughout the region.

Einstein Healthcare Network is a not-for-profit healthcare system, serving patients in the Greater Philadel-phia region through our hospitals, physi-cian practices and outpatient facilities. We have a proud history of clinical excellence and providing the kind of personalized, innovative care that goes far beyond just white coats and stethoscopes. At Einstein Healthcare Network, our Mission is to provide compassionate, high-quality healthcare to as many as we can reach. For 150 years, that idea has served as the basis for everything we do and can be traced to how we got our start back in 1866. While the hospital has grown from our original 22-bed facility into one of the largest, most comprehensive healthcare providers in the Philadelphia region, our Mission remains as important today as it was in the late 1800s. Over the years, it has defined us and helped us to redefine ourselves. Today, we are a leader in finding innovative ways to serve increasingly diverse communi-ties and deliver new technologies and breakthroughs in breast health, organ transplantation and other areas. Here are some quick facts about Einstein:

Locations See page 8-9

EmployeesAbout 8,500

PhysiciansApproximately 1,200 staff and voluntary physicians

Licensed Beds1,000

Residents and Fellows410

Medical Education Programs32

Patient VolumeHospital Admissions: 43,000 AnnuallyEmergency Room Visits: 158,000Outpatient/Physician Visits: 1.4 million annually

E I N S T E I N H E A LT H C A R E N E T W O R K

76 EINSTEIN HEALTHCARE NETWORK EINSTEIN HEALTHCARE NETWORK


P H I L A D E L P H I A

M O N T G O M E R YC O U N T Y

B U C K SC O U N T Y

30

1

GERMANTOWN PIKE

RIDGE PIKE

PA TURNPIKE

MossRehabDriving Program

MossRehabInpatient Locations

MossRehabOutpatient Centers

MossRehabClubhouse Programs

Primary Care

Einstein Center One (Philadelphia)

Einstein at Germantown

The Nicholas and Athena Karabots Medical Building

Minerva D. Braemer Medical Arts Building(Einstein Medical Center Montgomery campus)

633 W. Germantown Pike (Plymouth Meeting)

Women's Health & Wellness Center (East Norriton)

Specialty Care

KEY

AMBULATORY CARE CENTERS

To RehobothBeach, DE

To Allentown, PA

To Wilmington, DE

To Doylestown, PA

To Woodbury, NJ

To Langhorne, PA

TA

ToUpper Gwynedd

Logan

Elkins Park

Jenkintown

Blue Bell

Mayfair

Far Northeast

Pennypack

LawndaleGermantown

Norristown

Olney

Wadsworth

Cedarbrook

PlymouthMeeting

Center City

King ofPrussia Lafayette

Hill

Bryn Mawr

To Paoli

To Marlton, NJ

South Philadelphia

Old City

UniversityCity

Abington

Bala Cynwyd

DELAWARE RIVER

SCHUYLKILL RIVER

To Doylestown, PA

East Norriton

A

Burholme

Conshohocken

North WalesToCollegeville

ToColmar

Einstein HealthcareNetwork MainLocations

L O C A T I O N S

Primary and Specialty CareEinstein offers quality primary and specialty services, includinginternal medicine, family practice, obstetrics/gynecology, pediatrics,cardiology, gastroenterology, nephrology, orthopedics and others.

Surgical CareAdvanced outpatient and inpatient surgical care, using traditional as well as minimally invasive techniques in cardiology, orthopedics,bariatrics, liver/kidney/pancreas transplantation, neurosurgery andother specialties.

WALT WHITMANBRIDGE

BENJAMIN FRANKLINBRIDGE

BETSY ROSSBRIDGE

TACONY PALMYRABRIDGE

Einstein Medical Center Montgomery559 West Germantown PikeEast Norriton, PA 19403

Full service, tertiary care medical center in central Montgomery County, offering advanced cardiac services, cancer care, orthopedic services, minimally invasive and robotic surgery, and family-centered maternity care.

MossRehabWorld-renowned physical medicine and rehabilitation, research and technology.

Einstein Medical Center Elkins ParkAcute-care medical center specializingin minimally invasive surgery.Both at 60 Township Line Road Elkins Park, PA 19027

Einstein Medical Center Philadelphia

5501 Old York Road, Philadelphia, PA 19141Flagship location for Einstein Healthcare Network.Largest independent academic medical center in the region.

Einstein Healthcare Network Holmesburg

Einstein Healthcare Network Collegeville

98 LOCATIONS LOCATIONS


T R A N S F O R M A T I O N A L L E A D E R S H I PTransformational leaders develop a strong vision and clear philosophy that ensures Nursing’s mission, vision, values and strategic plan are aligned with the organization.

Our Vision:

Advancing the art and science of Nursing.

Through that vision, we aspire to bring to our patients and community Einstein Brilliance and Compassion in All We Touch, which is the vision for Einstein Healthcare Network.

Our Mission:

The mission of Nursing is a commitment to creating caring, healing environments with authenticity and intentionality for all we reach and touch through practice excellence, innovation, scholarship, and expressions of caring practices.

With humanity, humility and honor, to heal by providing exceptionally intelligent and responsive healthcare and education for as many as we can reach is the mission of Einstein Healthcare Network. The mission is grounded in the Jewish concept of repairing and healing the world. In doing so, we respect the opportunity to be involved in our community and in people’s lives.

We Value:

• Each other as our greatest resource in achieving our mission.

• Professionalism in our discipline.

• Diversity for enriching our communities.

• A culture of safety that protects our patients and ourselves.

• Teamwork which supports and strengthens interdisciplinary collaborative practices.

• Our patients and their families as active participants in their care.

• Creating a superior experience for our patients, families, and communities.

• Caring science, innovative models of care delivery, and integration of research and evidence-based practices.

• Peer review as necessary for professional growth and development.

• Education and lifelong learning.

• Change and the opportunities it creates.

Einstein Nursing’s Mission, Vision, and Values Nursing Strategic Plan

Our Core Purpose Statement:

To provide exceptional nursing care that honors the humanity and dignity of each person while advancing nursing as a profession.

Envisioned Future Goal:

The Nursing Service Organization will drive the recognition of Einstein as the premiere network by being a leader in nursing innovation, caring science, scholarship, and community integration.

Vivid Descriptions:

• Einstein Nursing will be recognized as an influential determinant for choice of care within the community.

• The Nursing Service Organization will be a major contributor to clinical excellence and the financial goals of Einstein Healthcare Network.

• Continuing to use evidence-based practices and caring science, Einstein nurses will be trusted leaders in the optimal delivery of patient-centered care.

• Our Nursing Service Organization will attract and retain nurses committed to exemplary professional practice and the cultivation of the next generation of nurse leaders.

Nursing Philosophy

At Einstein Healthcare Network, we believe Nursing is both a discipline and a practice profession. As a discipline, we have a domain of knowledge, which has been developed over time by nursing theorists, leaders, scholars, and professional organizations. As a practice profession, we use the theoretical structures of this knowledge to inform education, practice, and research.

Watson’s Theory of Human Caring is the overarching nursing theory that informs the mission, vision, philosophy, and professional practice model for the Nursing Service Organization. The conceptualization of our philosophy is based on Caritas Process™ 4 Developing and Sustaining a Helping Trusting Caring Relationship. Relationship includes relationship to self, relationship with colleagues, relationship with patients, and relationship with community. To allow for caring moments, we need to have an authentic presence, seek genuine human connection, listen to hear the story of another, and be present for another.

1110 TRANSFORMATIONAL LEADERSHIP TRANSFORMATIONAL LEADERSHIP


Leadership Accessibility

There are several ways in which Einstein ensures our nurses have access to nurse leadership. Each month, invitations are extended to 24 nurses to join Vice President and Chief Nurse Executive Ric Cuming at either a breakfast or luncheon discussion group held on the Einstein Medical Center Philadelphia or Einstein Medical Center Elkins Park campuses.

Nursing leaders, including Ric, regularly round on the Nursing units and hear from staff and patients how needs can be better met. Ric, Nursing directors and managers participate with staff in a variety of forums such as the Shared Governance Unit Practice Committee, cluster and council meetings, Research and Evidence-based Practice Council, and Comprehensive Unit-based Safety Program (CUSP) to name a few.

Nurse Leaders: Always Within Reach

You can regularly see or hear from Ric Cuming and Nursing leadership in a number of different venues:

• Leader Rounding

• Shared Governance Meetings

• Nursing Newsletters

• Nursing Matters Emails

• Town Halls

• Breakfast Discussion Groups

Internal customer service and satisfaction are essential to productivity and the delivery of consistently excellent service to the patients and personnel of the healthcare organization. In January 2014, Internal Customer Satisfaction (ICS) survey scores for Einstein Medical Center Philadelphia averaged 71.7%. Leadership challenged itself to obtain an Internal Customer Satisfaction Score of 76.3% or above for the hospital.

Beginning in May 2014, Vice President and Chief Nurse Executive Ric Cuming and Pat Modaferi, VP Healthcare Services implemented several initiatives that focused on improving ICS:

• Formed a committee to suggest and develop strategies that will serve to improve ICS.

• Developed an ICS Dashboard. The electronic dashboard provides support

area and Nursing leaders with ICS survey data, interactive viewing capabilities, and resources needed to be successful in partnering to improve ICS.

• Encouraged participation in the ICS survey, and emphasized the need to provide honest feedback when completing it.

• Introduced and enforced ICS rounding to the network. Service area leaders must use standardized tools to guide rounding activities and document discussion, successes, and areas for improvement. They also must develop an action plan and document goal attainment. By September 2014, the ICS survey scores rose to 80.2%, surpassing the goal. By September 2015, the ICS survey scores increased even more to 86.5%.

You spoke. Leadership Listened.

Internal Nursing Float Pool

In direct response to needs identified by our nurses working at Einstein, a Central Staffing Clinical Manager position was approved. Pearl Megafu, BSN, RN, Clinical Manager of Central Staffing, was hired and is currently working on an initiative to recruit more nurses and patient care associates into the float pool. Float pool nurses will cover a variety of units, including Surgical, Medical, Critical Care, and more. UHS Assessment of Equipment

In October 2015, when problems with IV pumps were identified, we brought in Universal Health System (UHS) to do an assessment and ultimately hired them to manage a large portion of our equipment, including pumps, in spring 2016. UHS brought in extra pumps and distributed them to all Nursing units. Going forward, UHS will make sure pumps are where we need them to be.

Nursing Submits Official Application to ANCC to Begin Magnet® Designation Journey

On December 23, 2015, Vice President and Chief Nurse Executive Ric Cuming submitted Einstein’s official inaugural application to the American Nurses Credentialing Center (ANCC) to begin our Magnet® Designation Journey. The application includes Nursing units at Einstein Medical Center Philadelphia, Einstein Medical Center Elkins Park, MossRehab, Einstein Center One, and Willowcrest. Magnet® recognition from ANCC is widely regarded as the highest mark of excellence a hospital can receive for Nursing. Bill Hudson, BSN, RN, CNML, joined the organization to oversee and guide the Magnet® Designation process.

Improving Internal Customer Service and Satisfaction

1312 TRANSFORMATIONAL LEADERSHIP TRANSFORMATIONAL LEADERSHIP

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Jan‘14

Sep‘14

Dec‘14

Apr‘15

Jun Sep‘15 ‘15

Internal Customer SatisfactionSurvey Scores

71.7%

80.2% 85.4% 88.1%

84.0% 86.5%


S T R U C T U R A L E M P O W E R M E N TStructural Empowerment ensures that nurses can take part in Shared Governance and decision-making structures and processes. At Einstein Medical Center Philadelphia, our nurses actively support organizational goals, contribute to improved community healthcare, and embrace opportunities for professional development.

Our Commitment to Shared Governance

Shared Governance has been central to Einstein Nursing for more than 23 years. The success of Shared Governance and of the clinical nurses on the units, clusters, and Network Council relies on the guid-ance, coaching and full support of Nursing management. Just as important, Nursing management is successful when clinical nurses have a voice and autonomy. This leads to improved empirical outcomes for our patients and a strong practice environment for our nurses.

Our Shared Governance is a professional structural model, founded on the principles of partnership, equity, accountability and ownership. These principles enable sustainable and accountability-based decisions to support an interdisciplinary design for excellent patient care.

Nursing Shared Governance leaders gathered at a Nursing retreat on Jan. 5, 2016. During the retreat, members formed workgroups to focus on the strategic plan, care delivery model and peer review. They explored how the professional practice model is evident in the practice of nursing.

1514 STRUCTURAL EMPOWERMENT STRUCTURAL EMPOWERMENT

Each Specialty Cluster Chairperson or Cluster Representative gave a presentation on their accomplishments toward Nursing strategic plan goals and objectives, which included the following:

• RNs from SICU and SSU authored a featured article in the Nov/Dec 2015 issue of Clinical Nurse Specialist.

• NICU presented on the “Benefits of Oral Swabbing of Colostrum” at a national conference in Florida.

• RNs from MossRehab presented at conferences of the Association of Rehabilitation Nurses and International Association of Human Caring.

• Eight Einstein nurses attended the Dynamic Shared Governance Conference in North Carolina in September. Three attendees from Network Nursing Council presented key information learned from national nursing experts on Shared Governance to Einstein Nursing Leadership on

October 22, 2015.


Heart Failure Education/Teach Back Success Story Heart Failure (HF) is a chronic condition, which has been associated with high 30-day hospital readmission rates across health institutions in the United States. Many HF patients have grappled with managing their condition. Published literature supports the importance of education in preventing readmissions. Einstein Medical Center Philadelphia has its share of challenges with high readmissions rates among HF patients. Thus, the institution sought to develop measures to effectively educate our hospitalized patients with HF about self-care in order to curtail preventable readmissions.

Einstein Nursing’s Professional Practice Model and Care Delivery System provides the framework for improving nurses’ expertise in teaching the patient and family. In this instance, there was an opportunity for Einstein’s nurses to analyze the role patient education played in managing chronic conditions.

Nursing decided we needed to find a more effective way to teach patients. This led to the implementation of “teach-back” (TB), an evidence-based form of teaching that has been found to help patients retain more information. Einstein launched an initiative to train the Nursing staff on the TB techniques to be used to improve patient education. Meanwhile, the Heart Cluster (HC), the members of Shared Governance for the Institute for Heart and Vascular Health, were concurrently developing an Evidence-Based Project on standardizing education for HF patients, which led to

the creation of a HF Education Packet (HFEP). The group decided to apply the “teach-back” methodology to the HC patient education project to increase its effectiveness.

The HFEP were placed strategically on each unit for nurses to distribute to HF patients. Staff began using TB with the HFEP packets, to more effectively educate patients on understanding their condition, and learning how to manage it. The documentation section allowed nurses to see what the patients already had learned, and focused on the information the patient needed.

The nurses found the HFEP in conjunction with the TB techniques to be excellent patient education tools. The consensus was that it improved teaching. The patients really liked the layout, and found it easy to understand. Similarly, the educational opportunity provided by the institution through the TB methodology was well received and found to be crucial in equipping the nurses with the necessary skills and knowledge to address the complex needs of HF patients. The overall feedback from the Nursing staff and patients was very positive. The project is ongoing, and data is still being collected. The continued dedication of the organization in supporting the staff and patients we serve with these quality programs makes sustainable improvements very likely.

Teaching and Role Development



In an attempt to promote health and well-ness, Einstein Medical Center Elkins Park and MossRehab asked Cheltenham School District if it would be interested in having Einstein administer flu vaccinations. The District has an annual flu shot campaign, in which it offers flu shots to its employ-ees, so it was thrilled to have a hospital within its community offering assistance. Einstein provided nurses who volunteer to screen school staff and administer the flu shot. Screenings are held in October and schools are assigned times.

Einstein provides the needed items for administration including the forms, vaccine and needles. The RNs volunteering their time meet with each Cheltenham District employee to review a flu shot questionnaire and answer any questions. The nurse then administers the flu shot and provides the employee with a copy of the flu shot questionnaire and acknowledgment form.

Carol Daley, BSN, RN, Mary Lou Arocena BSN, RN, Jean Albany MSN, RN, Sue McLaverty and Bernadette Anderson, BSN, RN, were all participants in the flu shot campaign. Kate Hesson, BA, Senior Physician Liaison, assists with the arrangements between the District and Einstein.

Since the program has begun, the Einstein staff administered approximately 200 to 250 flu shots annually to the Cheltenham School District staff. The District continues to call yearly to set up its flu shot schedules.

Community Outreach

Community benefit programs are critical to the health and well-being of Einstein patients and neighbors. We’re proud of our nurses’ dedication to these programs. Nursing is fully involved with the Gutman Diabetes Institute and state-funded Centering Pregnancy Program. On Stroke Alert Day, nurses provided stroke awareness information to the commuting public.

Additionally, hundreds of Nursing staff members participated in the netwok’s community events. In total, we provided health screenings and health information at 43 community events, touching over 3,700 residents in all our service areas.

School District Flu Shots

Einstein Medical Center Philadelphia, Einstein Medical Center Elkins Park, MossRehab, and Willowcrest Nursing Staff members donated new school supplies, gloves, hats, scarves, snacks, story books, coloring books, stuffed animals, stickers, games, and many other items to fill large treasure chests – enough for 28 classrooms plus the Principal’s office at the Potter Thomas Prom-ise Academy in North Philadelphia.

Maryann Donnelly, BSN, RN, SICU spearheaded a holiday collection of items desired by U.S. troops. Staff members and employees dropped their donated items into the designated carton on the unit. Donnelly and her husband personally covered all shipping costs for the filled and heavy cartons that they sent to our service men and women deployed overseas.

In addition to the Angel Tree Project (program of the Salvation Army) that Carolyn Jacobson, MSN, RN, CCRN, SICU coordinates annually, she also partnered with an organization called The Joy Of Sox and collected 20 packages of heavy-duty socks, which are then given to men, women, and children who are homeless. Although there are many needs, socks are one of the cherished items that the homeless rarely receive.

Levy 4 Unit Practice Committee collected TastyKakes, cookies, candy and other treats along with cards, books, and games, which were packed up and shipped out to surprise a unit staff member’s son and his fellow soldiers stationed in Afghanistan.

Levy 7 Unit Practice Committee members and their unit staff created holiday gift bags. Staff purchased and/or donated items such as socks, shampoo, deodorant, books, inspiration angels, and other items and filled each bag. Between Christmas Eve and Christmas Day, each patient on their unit was personally given one of the gift bags by staff members.

1 North MossRehab staff adopted a family that was in need and referred by an employee. Unit employees collected donated items and the gifts were delivered to the family for Christmas. It was an uplifting experience for both patients and staff members.

Maryann Feldstein, BSN, RN, Neonatal ICU and Amanda Conley, BSN, RN, Medical ICU coordinated efforts in which each of their units

adopted a (2nd and 4th grade) class at a local school. Staff members donated and wrapped gifts so each child had a gift with his or her name on it.

Lifter 3 & 4 staff members have been caring and supportive to a very ill colleague with visits, calls, notes and cards, offering and bringing her comfort and caring. Keeping babies warm is a project coordinated by Carla Lecoin, BSN, who purchased four baby snowsuits for moms in need. Staff collected $525 as a gift for a staff member caring for a seriously ill family member.Randi Boucher, BSN, RN, CBC, Terri Jasner, BS, RN, CBC, and Carla Lecoin, BSN, coordinated an event with proceeds going to the staff member to help care for her family member.

The Neuroscience, Surgical Stepdown, and Medical Progressive Units adopted a family with two children through the Breathing Room. Nursing staff members and employees donated funds for this holiday activity. Rachel Lehman, BSN, RN, Dawn Delaney, BSN, RN, Tammy Wicher, BSN, RN, and Kristina Tregnan, Health Unit Coordinator, did the shopping, wrapping and delivering of all the gifts to a surprised and appreciative family.

Medical Progressive Care Unit staff donated funds for a poinsettia plant for each patient on their unit.

Tower 4 staff adopted a family for the holiday and then on Christmas Eve, a colleague’s house had a major fire. On Christmas morning, Andee Tompkins, RN, had already initiated a collection to provide some support to their co-worker.

Lisa Pinder, BSN, CRRN, Nurse Manager, along with six nurses and a neuro-psychologist from the Brain Injury Unit at MossRehab at Elkins Park, prepared a Cinco de Mayo-themed dinner for the residents (patients and families) at the Gift of Life House in Center City Philadelphia. The group shopped for and purchased the food, then prepared and served the meal, which was enjoyed by all.

MossRehab at Sacred Heart team created a giving tree. This year the staff decorated their holiday tree with an abundance of assorted school supplies. All of the items will be donated to a deserving 1st grade class in their Lehigh Valley Community.


Home Cook Heroes

Members of the MossRehab Cluster participated in the Home Cook Heroes program on February 17, 2016, at Gift of Life Family House. This program ensures a home-cooked meal for our guests at the Family House, which makes a difference in the lives of transplant patients and their families.


Advance Team Award

The Women’s and Infant’s Cluster Council was named the winner of Advance for Nurses Best Nursing Team Award in the Community Outreach Category. They will be featured in the May Issue of Advance.

2015 Nurses Week Caring Spirit Awards

MossRehab Cluster

Ghazala Khan, BSN, RN, 4th Fl

Danielle Scarpitti, RN, CRRN, 4th Fl

Angelika McCaffrey, BSN, RN, Bucks

Nicole Zeoli, BSN, RN, 1 West

Nolan Bowers, NA, Doylestown

Yvonne McKinstry, NA, 1 North

Women and Children’s Cluster

Beverly Carroll, RN, L&D

Sue Rubin, RN, NICU

Stacey Redley-Peak, BSN, RN, NICU

Team Award- NICU Community Outreach Group

Critical Care Cluster

Catherine Vanore, BSN, RN, CCRN, SICU

Gwynne Booth, BSN, RN, CCRN, SICU

Molly Fitzpatrick, BSN, RN, PCU

Kristen Gerard, BSN, RN, CCRN, MICU

Team Award - Neuroscience Unit Practice Committee for the Christmas Project

Emergency Cluster

Raelynne Bamberger, BSN, RN, CEN, EMCP

Gene Spoerl, RN, EMCP

Kathleen F. Kelly, BSN, RN, EMCP

Heart Institute

Denise McLaughlin-Smith, RN, CCU

Cynthia Visco-Ludwig, RN, CCU

Nicole Carter, BSN, RN, T5

Romana Ouana, Tech, T5

Teena Branham Wilson, HUC, T5

Willowcrest

Merrill Baby, BSN, RN

Tyona Washington, C.N.A.

Surgical Services

Evelyn Gonzalez, BSN, RN, CNOR, EMCP

Danielle Bilsland, BSN, RN, EMC EP

Stephanie Repitsky, ARRT, Center 1

Shared Governance Leadership Award

Crystal Long, BSN, RN, T8

Nursing PRISM Award

Catherine Reynolds, RN, BSN, ML, JL

Marianne Smith Catanzaro Caring Spirit Award

Marlene Case, RN, EMCP ED

Tommy Campbell Caring Spirit Award

Kevin Ho, BSN, RN, MICU

Medical Surgical Cluster

Tyra Minnay, PCA, Levy 7

Susan Gulla, MSN, RN, CMSRN, Tower 4

Lillian Arrington, HUC

Team Award - Diabetes Resource Team

Pat Adams, RN, Gutman Diabetes Institute

Becky Storbrauck, RN, Gutman Diabetes Insitute

Jackie Dwyer, Gutman Diabetes Institute

Noreen Aswad-Castelli, Food & Nutrition

Lisa Tafflin, Food & Nutrition

Christine Garrity,EMCP, Tower 5

Nicole Carter, RN, EMCP, Tower 5

Marilynn Gregory, RN, EMCP, PCU

Tonya Austin, RN, EMCP, Tower 6

Andrea Young, RN, EMCP, Tower 8

Vini Joby, RN, EMCP, Tower 8

Naomi Higgins, RN, EMCP, Levy 9

Patricia Lundlin,RN, EMCP, Levy 9

Shinzy Mathew, RN, EMCP, Levy 9

Sarah Palacios, RN,EMCP, NSU

Mini Saji, RN, EMCP, Levy 7

Dominque Sime-Joseph, EMCP, MICU

Elizabeth Thomas, MSN, RN, ACNS-BC, NEPD

Mary Lou Arocena, RN, EMC Elkins Park, PCU

Angelo Arocena, RN, MossRehab, 3 Main

Lailitha Mathew, RN, MossRehab, 2 Sley

The RN Excellence Awards were presented at a special celebration held at Einstein Medical Center Philadelphia. Lindsay Dietz, BSN, RN, CRRN, from MossRehab at Doylestown, was presented with the Vanessa Hawkins-Sellers RN Excellence Inspiration Award, given to honor a nurse who is shown to be inspirational to others trying to achieve RN Excellence. This award honors the memory of Vanessa Hawkins-Sellers, BSN, RN, a former Einstein nurse who passed away in 2009. RN Excellence pins were distributed to 127 RNs who had RN Excellence portfolios approved in the areas of Clinical Practice, Leadership, and Education.

Advance Team Award

The Women’s and Infants’ Cluster Council was named the winner of Advance for Nurses Best Nursing Team Award in the Community Outreach Category. They were featured in the May 2016 Issue.



April 2016Michele Braga5 MainEinstein Medical Center Elkins Park

Lauren GrabowskiDepartment of UrologyPhysician Practices

March 2016Aurore SuongTabor AcuteMossRehab

Terry McShaneNeonatal ICUEinstein Medical Center Philadelphia

February 2016Benita McCannSurgical ICUEinstein Medical Center Philadelphia

Eileen Irlich1 NorthMossRehab

January 2016Maria KelmanskyTower 5 TelemetryEinstein Medical Center Philadelphia

Timi FlorkowskiTabor Inpatient AcuteMossRehab

December 2015Jim RosnickEmergency DepartmentEinstein Medical Center Elkins Park

Daphne DennisMedical ICUEinstein Medical Center Philadelphia

Matt PetruzziBrain Injury UnitMossRehab

November 2015Adrienne FlintShort Procedure UnitEinstein Medical Center Philadelphia

Lori RoadcapMossRehab Unit at Doylestown

October 2015Michael Carpenter1 West, Post-Stroke UnitMossRehab

Mary MoleskiTower 8Einstein Medical Center Philadelphia

September 2015Robin Stotesbury, RNShort Procedure UnitEinstein Medical Center Philadelphia

Carol Daley, BSN, RNProgressive Care UnitEinstein Medical Center Elkins Park

Lindsay Dietz, RN, BSN, CRRNMossRehab Unit at Doylestown

August 2015Karen Shipman, RN, CENEmergency DepartmentEinstein Medical Center Philadelphia

Ghazala Khan, MSN, RN, CRRNBrain Injury UnitMossRehab

July 2015Mary Kate Brady, BSN, RN, CCRNSurgical IICUEinstein Medical Center Philadelphia

Tara Davis, BSN, RNMossRehab Unit at Doylestown

June 2015Lalitha Mathew, RNTabor Inpatient AcuteMossRehab

Holly Simon, BSN, RNCritical Care UnitEinstein Medical Center Elkins Park

Patrick Molloy, BSN, RN, CCRNSurgical ICUEinstein Medical Center Philadelphia

May 2015Dinu Mathew, BSN, RNMossRehab Unit at Doylestown

Megan Kempf, BSN, RN, CBCLabor & Delivery UnitEinstein Medical Center Philadelphia

April 2015Nida Quirong Jones, RN, CNNHome DialysisEinstein Medical Center Philadelphia

Sandy Puthran, BSN, RN, CRRN3 Main/WestMossRehab

March 2015Barbara Davis, RN, CENEmergency DepartmentEinstein Medical Center Elkins Park

Velma Ross, RNWillowcrest

Patrice Stone, RN, CRRNSley 2MossRehab

Omega Tarnoviski, MSN, CRNPCardiologyPhysician Practices

Natalie Jordan, BSN, RNCardiac Critical Care UnitEinstein Medical Center Philadelphia

February 2015Colleen Dikon, BSN, RN, CCRN Surgical ICUEinstein Medical Center Philadelphia

Edythe Durning, RN, CRRN1 NorthMossRehab

January 2015Andee Tompkins, RN Tower 4 Einstein Medical Center Philadelphia

Evelyn Cline, BSN, RN, CRRNSpinal Cord Injury UnitMossRehab

Reba Azoff NursingScholarship Program

2015 Scholarships

BSNMary Wright – ED, EMC EP

Joanne Brown – ED,EMC EP

Kathleen Kelly – ED, EMCP

Francesca Abrams - 3 Main, MossRehab

Tyanna Brown - 1 North, MossRehab

Lisa Magee - 1 West/1 North, MossRehab

MSNDenise Griffin-Stevenson - NEPD

Simone Nicholson – OR, EMCP

Anthony Saint-Preux – SICU, EMCP

Susan Ackiewcz – Levy 5E, EMCP

During the 2014 Nurses Week celebration, we announced the creation of the Reba Azo� Nursing Education Scholarship program. Created by a bequest of the Reba Azo� estate, the scholarship program will award up to 10 individual scholarships annually. These scholarships are one-year awards. The scholarships are intended to support Einstein nurses in their quest to advance their professional nursing education and are in addition to our existing tuition reimbursement program. During Nurses Week 2015, the scholarship winners were announced and have been pursuing their educational endeavors.

DAISY Award Honorees January 2015 – April 2016



Recognition & Awards

Cathy Markey, MSN, RN, CCRN, CEN, Trauma Education and Outreach Coordinator, was selected as a finalist in the category of Educator – Staff Development in the 2015 Nightingale Awards of Pennsylvania.

Nida Imperial, BSN, RN, Tower 5 clinical nurse, was recognized by the National Organization of the Philippine Nurses Association of America for her leadership and dedication demonstrated by the increase in chapter membership and fund-raising.

Lindsay Dietz, BSN, RN, CRRN, MossRehab Doylestown Unit, received the Vanessa Hawkins Sellers Inspiration Award on November 13, 2015 at the annual RN Excellence Program recognition event. The award is given in memory of a former Einstein nurse who inspired and guided her peers in developing their own portfolios of evidence supporting their professional growth and nursing achievements.

The Women’s and Infants’ Cluster was selected by Advance for Nurses publication for the region’s 2016 Best Team Award for Community Outreach for their ongoing work supporting the women and children in a local domestic violence shelter. This collaborative team includes the following nurses from Labor and Delivery, NICU, and Mother Baby Units: Ayesha Allen, BSN, RN CBC, Randi Bouccher, BSN, RN CBC, Sarah Brown, BSN, RN CBC, Diana Cameron, BSN, RN CBC, Elizabeth Capella, BSN, RN, Debbie Elliot, BSN, RN CBC, Maryann Feldstein, RNC-NIC, CBC, Sonia Gonzalez, BSN, RN CBC, Karen Horner, BSN, MHA, RNC-OB, Sherrie Joseph, ADN, RNC-OB, Megan Kempf, BSN, RN CBC, Laren Keller, BSN, RN CBC, Erin Kocotis, BSN, RN CBC, Sonali Patel, BSN, RN, Antoinette Phillips, RN, and Alicia Valentin, BSN RNC-OB.

Elaine Flynn, MSN, RN, CRRN, CIC Infection Preventionist, MossRehab, was awarded the 2015 ARN President Award at the ARN Education Conference in New Orleans. The recipient of the President’s Award has demonstrated special service to ARN as a leader in both national and chapter capacity and exemplified the organization’s philosophy and goals.

Bertha Jackson, MSN, RNC, CRNP, in the Immunodeficiency Clinic has been selected by the Community Advisory Board of the Penn Center for AIDS Research to receive a prestigious Red Ribbon Award for Community Leadership. The ceremony took place in Philadelphia’s City Hall on December 1, 2014.

Poster Presentations

Elaine Flynn, MSN, RN, CRRN, CIC, Beth Jacobs, RN, and Arlene Sirmarco presented a poster entitled “Challenge Accepted: Creation of a Clinical Competent Comprehensive Pressure Ulcer Prevention Program” at the American Medical Rehabilitation Providers Association meeting in Nashville, on October 14, 2015.

Nida Quirong-Jones, RN, Home Dialysis, had two abstract submissions accepted for poster presentations as follows: “Peritoneal Dialysis in Elderly Patients” accepted for the 36th Annual Dialysis Conference in Seattle, Washington, from February 27 to March 1, 2016.

“Successful Peritoneal Dialysis in Elderly Patients” accepted for poster presentation at the 47th National Symposium of the American Nephrology Nurses Association in Louisville, Ky. from May 1 to 4, 2016.

Elizabeth Thomas, MSN, RN, ACNS-BC, Nursing Education and Professional Development and Stacey Doering, BSN, RN, Tower 6 presented a poster: “Wiping Away Blood Stream Infections: Chlorhexidine Baths in the Medical Surgical Population” at the Academy of Medical Surgical Nurses National Convention in Las Vegas, from September 24 to 27, 2015.

Maryann Malloy, MSN, RNC-NIC, Nurse Manager presented her poster “Integration of the language of caring into the documentation through the development of the electronic interdisciplinary plan of care” at the SouthEastern Pennsylvania Organization of Nurse Leaders Conference, on November 7, 2014 in Malvern, PA.

The following posters were presented at the 2015 Einstein Nurses Week Research, Evidence-based Practice and Caritas Day.

Nicole Pecoraro, BSN, RN, CMSRN, and Elizabeth Thom-as, MSN, RN, ACNS-BC, presented “Preventing Read-missions: Empowering Patients To Drive the Discharge Process.”

Dolores Morrison, MSN, RN, ACNS-BC and Charlene Griffin, MSN, RN, ACNS-BC, presented “Venous Access Preservation Program: Using Ultrasound Guidance” and “The Role of the Clinical Nurse Specialist in Developing a Vascular Access Preservation Program with Ultrasound for Medical Surgical and Step Down Clinical Nurses.”

Lisa Pinder, BSN, RN, CRRN, Megan Wood, BSN, RN, CRRN and Robyn Silverman, BA, presented “The Magic of a Safe Patient Handling Program: Keeping Patients and Healthcare Providers Safe.”

Pamela Kain, MSN, RN, ACNS-BC, presented “Educating RNs on Extracorporeal Liver Assist Device (ELAD).”

Elaine Flynn, MSN, RN, CRRN, CIC; Beth W. Jacobs, RN, CCM, CRRN; Susan McCulley, MSN, RN, NE-BC, presented “Empowering the Team to Prevent Hospital Acquired Pressure Ulcers.”

Sharon Sauer, BSN, RNC-NIC, Heather Coughenour, Amy Miller, BSN, RN, Sonali Patel, Colleen Masterson, Moira McDevitt, Priscilla Nunez shared “Caring Language in the Neonatal Care Plans.”

Maryann Malloy, MSN, RNC-NIC, and Sharon Sauer, BSN, RNC-NIC, presented “Integrating the Language of Caring into the Interdisciplinary Plans of Care.”

Elaine Flynn, MSN, RN, CRRN, CIC, Mary Hunter, BSN, RN, CNN,Nicole Pecoraro, BSN, RN, CMSRN, and Peggy Seminara, MHA, RN, NE-BC, NHA, presented “We’re not in ICU Anymore: Long-term Care and Dialysis Units Collaborate on Process Improvement to Reduce Central Line-associated Bloodstream Infections.”

Dayana Durocher, MSN, RN, Laila Derrick-Neal, BSN, RN, Turena Reeves, BSN, RN, Kisha Wilkinson, BSN, RN, and Jill Stunkard, MSN, RN, presented their CUSP team work “Learning From Defects Decreases MICU CLABSI Rates.”

Denise Griffin Stevenson, BSN, RN, NEPD, presented “Touch Therapy: What a Great Complement.”

Joan Weymouth, BSN, RN, CEN, presented her poster “Mindfulness and Chronic Pain – a literature review.”

Neonatal Intensive Care CUSP Team members presented “Learning from Defects- Neonatal CUSP Initiative in the safety of Blood product administration.”

Sharon Sauer, BSN, RNC-NIC, Heather Coughenour, RN, Jenny DiCondina, RN, Philomena Hagerty, BSN, RNC, from NICU presented “Effectiveness of Oral Administration of Colostrum.”

Crystal Lentz, BSN, RN, Maureen McGinnis, BSN, RNC, Amy Miller, BSN, RN, Sonali Patel, BSN, RN, Jane Lodise, MSN, RNC, and Anneliesse Gualtieri, RN, presented “Journey to Baby Friendly: Education is the Ticket.”

Nida Quirong-Jones, RN, CNN; Renee Johnson, RN, CNN, presented “Peritoneal Dialysis Course 101 for Inpatient Nursing Staff.”

Maryann Malloy, MSN, RNC-NIC, had a poster, “Infusing the Theory of Human Caring into the Role of the Nurse Leader in Conjunction with our Studer Initiative, at the Association of Neonatal Nursing” in September 2015.

Podium Presentations

Shari Goodman, MSN, RN, CRRN, presented “Taking Cred-it Where Credit is Due: Translating Care Into Nursing Documentation.” on October 2, 2015 at the 41st Annual Educational Conference for the Association of Rehabilitation Nurses in New Orleans.

Lisa Pinder, RN, BSN, CRRN, presented “One Team’s Approach to a Brain on Fire” at the UPMC 6th Annual Current Concepts in Brain Injury Rehabilitation in Pittsburgh on November 7, 2015.

Theresa DiFranco, BSN, RN, PCCN, SCRN, Stepdown Unit presented on the topic Hemorrhagic Strokes at the stroke conference held at Einstein Medical Center Philadelphia.

Lisa Sincavage, BSN, RN & Elaine Flynn, MSN, RN, presented “Decision-Making Through Shared Governance” at the Association of Rehabilitation Nurses 40th Education Conference in Anaheim, Calif. in October 2014.

Elaine Flynn, MSN, RN, “If You Dream It You Can Do It: Bundled Approach to Prevention of Hospital Associated Infections” Paper at the Association of Rehabilitation Nurses 40th Education Conference in Anaheim, Calif. in October 2014.

Concurrent session “A Journey into Caring Caritas Consciousness - Imagine the Possibilities” at the Association of Rehabilitation Nurses 40th Education Conference in Anaheim, Calif, in October 2014.

Elaine Flynn, MSN, RN, CRRN, CIC, presented “CMS IRF Infection Control Quality Indicators“ on October 2, 2015 at the 2015 ARN Education Conference in New Orleans.

Ric Cuming, RN, MSN, EdD, NEA-BC, CNOR, VP and Chief Nurse Executive, along with three colleagues from the RJW Executive Nurse Fellows Program, presented “Culture of Civility and Respect: A Nurse Leader’s Role” in October 2014 at the American Nurses Credentialing

Center’s annual Magnet Conference in Dallas.

Caritas Coaches Maryann Malloy, MSN, RNC-NIC, Neonatal Intensive Care Unit, EMCP, and Sharon Sauer, BSN, RNC-NIC, NICU Clinical Nurse, presented their work integrating caring language into the documentation through the development of the electronic interdisciplinary plan of care at the Caritas Consortium in October 2014 in Dearborn, Michigan.

Maryann Malloy, MSN, RNC-NIC, gave a podium presentation on “Infusing the Theory of Human Caring into the Role of the Nurse Leader in Conjunction with our Studer Initiative” at the Caritas Consortium in October 2015.

Speaking Engagements

Cathy Markey, MSN, RN, CCRN, CEN, Trauma Education & Outreach Coordinator and Director of Think First, along with Donna L. Long, M.Ed., CTRS, Manager of MossRehab Clubhouse, conducted an injury prevention program to two groups of high school students at Jenkintown High School in February.

Desiree Soto, RN, Cardiac Catheterization Lab Clinical Nurse, presented the five-year history of the ICD Support Group at their anniversary celebration in September 2015. The Electrophysiology staff participated in this endeavor.

Publications

Amanda Conley, BSN, RN, CCRN, authored the short story “Jane Doe” published July 2015 in Chicken Soup for the Soul: Inspiration for Nurses, 101 Stories of Appreciation and Wisdom.

Ric Cuming, MSN, RN, EdD, CNOR, NEA-BC, co-authored the chapter “Workforce Engagement and Collective Action” in the 6th edition of Patricia S. Yoder-Wise’s Lead-ing and Managing in Nursing.

Beth Hurwitz, BSN, RN, CEN, and Joanne Brown, RN, Einstein Medical Center Elkins Park Emergency Department, and Gerry Altmiller, EdD, APRN, ACNS-BC, Faculty Consultant, authored “Improving Pediatric Temperature Measurement in the ED” published in the American Journal of Nursing, September 2015, Volume 115 - Issue 9.

Andrea McGlinsey, MSN, RN, Surgical ICU, Patricia Rudd, BSN, RN, Levy 4 and Alanna Bergman, MSN, CRNP, CCRN, along with two colleagues, authored a manuscript, “Restraint reduction, restraint elimination, and best practice: Role of the clinical nurse specialist in patient safety” which was published in Clinical Nurse Specialist Journal in the November to December 2015 issue.

Elizabeth Thomas, MSN, ACNS-BC, and a colleague had a journal article, “Diabetes Guidelines: Who is in the Drivers’ Seat?” published in the January/February 2014 Med-Surg Matters.

Dolores Morrison, MSN, RN, ACNS-BC, Justine Sgrillo, BSN, RN, BA, and Lauren H. Daniels, MSN, RN, ACNS-BC, authored a continuing education article, “Managing Alcoholic Liver Disease” published in the November issue of Nursing 2014.



Professional Organizations

Nida Imperial, BSN, RN, Tower 5 Clinical Nurse, was elected President of the Pennsylvania Chapter of the Philippine Nurses Association of America.

Bill Hudson, BSN, RN, CNML, Director, Magnet Program was appointed to the 2016 American Organization of Nurse Executives Abstract Review Task Force, 2015 Steering Committee for Nursing Leadership for Maryland Action Coalition, and Chair of Work Task Force of the Philadelphia Area Magnet Consortium.

Chuck Belmont, BSN, RN, CHEP, Nurse Manager, Emergency Department is PA State Board Director of Emergency Nurses Association.

Ric Cuming, EdD, MSN, RN, CNOR, NEA-BC, VP & Chief Nurse Executive, is an Editorial Board Member of AORN Journal.

Nancy Pokorny, MSN, MHA, RN, Director of Nursing, is on the Nominations Committee for SouthEastern Pennsylvania Organization of Nurse Leaders.

Elaine Flynn, MSN, RN, CRRN, CIC, Infection Control Practitioner, is Board Director, Education Committee and Government Affairs Committee of the Greater Philadelphia chapter of Association of Rehabilitation Nurses.

Susan McCulley, MSN, RN, NE-BC, Clinical Director, MossRehab and Einstein Medical Center Elkins Park Acute Inpatient is Board Director and Leadership Committee of Greater Philadelphia chapter of Association of Rehabilitation Nurses.

Julie Hensler–Cullen, MSN, RN, CRRN, Director, Quality and Education, MossRehab, is Surveyor for Commission of Accreditation for Rehab Facilities.

Alanna Bergman, MSN, RN, CRNP, Nurse Practitioner, Immunodeficiency Center, is a Board member on the Association of Nurses in AIDS Care.

Community/Civic OrganizationsRic Cuming, MSN, RN, EdD, CNOR, NEA-BC, VP and Chief Nurse Executive, was recently appointed to the Nursing Leadership Committee of the Philadelphia Convention and Visitor’s Bureau.

Cathy Markey, RN, MSN, CCRN, CEN, Trauma Education & Outreach Coordinator, is Chapter Director at ThinkFirst.

Flo Gunn Gallagher, BSN, RN, CRRN, Clinical Nurse, Chair Network Council, 1 West, is a Board member on Philly Cure HD (Huntington’s Disease).

Julie Hensler–Cullen, MSN, RN, CRRN, Director, Quality and Education, MossRehab, is Commission member of the Phiia. Mayor’s Commission on People with Disabilities.


Opportunities for RN Engagement RN Excellence Award Program 3 Categories:

• Clinical Practice

• Education and Professional Development

• Leadership/Citizenship Shared Governance Nursing staff participates in decision making about nursing practice, education, quality, and safety through the Shared Governance Guiding Principles Charter in Unit Practice Committee → Cluster → Network Nursing Council

Committee Membership Opportunities

• Research & Evidence-Based

• CLABSI and CAUTI

• Policy & Procedure

• Diabetes

• Falls

• Skin

• Caritas Circle

• Unit CUSP Teams

• Nurse Excellence Champions

• and many more committees

Tuition Reimbursement for all levels

• Onsite, online, at school campus

• Discounts at participating colleges

Reba Azoff Scholarships Awards RNs seeking funds for BSN completion, or for the MSN or Doctorate can submit applications with a brief essay to NEPD. Graduate and Doctoral degrees must be in Nursing leadership or education. Applications are reviewed and selected by committee. DAISY Award for Extraordinary Nurses

• Personal & Public Recognition - personal and professional pride

• Financial - Chamberlain College tuition discount

• ANCC - DAISY Award winners pay only $100 for certification/ recertification exam

• Award recipients archived on DAISY Foundation website

Einstein Society Funds available to conduct Nursing-related Study – e.g., unit-based research

Certification Reimbursement of $1000 annually

CE Direct Online continuing education modules available for all RNs

Caritas Coach Training with Jean Watson, PhD, RN, FAAN; Caritas Circle integrates theory into practice

Professional Conferences Requests for attendance may be submitted to NEPD review committee for funding approval.

Einstein Supports Nurse Professional Development

From tuition reimbursement for attainment of nursing degrees, bonuses for certification, and sponsorship to attend conferences, Einstein is committed to the professional growth and development of our nurses.

Last year the organization paid for nurses to attend the Magnet® conference, Trends, NTI, Neonatal Nursing Conference, AORN, Emergency conference, PONL, SEPONL, Shared Governance Leadership, Association of Rehab Nurses, International Caritas Consortium, and International Human Caring Conference, among many others. Additionally, Einstein invited multiple nationally recognized nurses to speak onsite on a variety of topics.

Each year, a staff nurse can participate in the RN Excellence Program that promotes and rewards the ongoing professional growth and development of frontline RN staff through documented evidence of accomplishments through portfolio development. Nurses with approved portfolios are awarded $4,000, $6,000, or $8,000. At the last RN Excellence update, Jill Stunkard, MSN, RN, Associate Chief Nurse Executive, shared that 167 portfolios had been approved by the RN Excellence Committee for 127 RNs.

Professional Development: By the Numbers

• $25,000: Annual Reba Azoff Nursing Education awarded 10 scholarships totaling $25,000 per year in 2015 and 2016

• $6,000: Tuition reimbursement per year for graduate studies leading to nursing degree

• $4,000: Tuition reimbursement per year for undergraduate studies towards a BSN completion

• $1,000: Certification bonus payable each year to an RN at any level who holds certification in a nursing specialty


NAME CERT

Griffin, Charlene A. ACNS-BC

Morrison, Dolores ACNS-BC

Thomas, Elizabeth ACNS-BC , M/S

Kwak-Ko, Grace Cardiac Vascular Nursing

McBrien, Dorothy Cardiac Vascular Nursing

Meldrum, Bryan Cardiac Vascular Nursing

Ross, Jana Cardiac Vascular Nursing

Acevedo, Angel R. CBC

Allen, Ayesha CBC

Bianchi, Liza CBC

Bishop, Audrey CBC

Bongart, Jacqueline CBC

Brown, Sarah CBC

Elliott, Deborah CBC

Gonzalez, Mariel CBC

Gonzalez, Sonia CBC

Jasner, Terri CBC

Keller, Lauren CBC

Kempf, Megan CBC

Lee, Diana CBC

Som, Jenny CBC

Taylor, Latisha CBC

Tucker, Christine CBC

Vizza, Denise CBC

Wallace, Glenna CBC

Zimmer, Emma CBC

Camacho, Johanna CBC

Cameron, Diana CBC

Colon, Melinda ( McCoy) CBC

Dougherty, Jane CBC

Gibson, Patricia CBC

Kocotis, Erin CBC

Mattioli, Maria CBC

Padgeon, Jacqueline CBC

Shelly, Randi CBC

Tallon, Ashley CBC

Webb, Mary CBC

Watt-Cyrus, Charissa CBC, MNN

McGrath, Nancy S. CBN

Ajuz, Yvonne CCRN

Albertson, Diane CCRN

Benjamin-Mlynar, Susan CCRN

Booth, Gwynne CCRN

Brady, Mary Kate CCRN

Brennan, Beatrice CCRN

Campbell, Patrick CCRN

NAME CERT

Cannon, Patty CCRN

Capili, Glenn CCRN

Collins, Kevin CCRN

Conley, Amanda CCRN

Cunningham, Patrick CCRN

Curley, Stacy CCRN

Derrick-Neal, Laila CCRN

Dikon, Colleen CCRN

Egan, Brendan CCRN

Eldow, Aleyamma CCRN

Gerard, Kristen CCRN

Gewirtz, Justin CCRN

Grant, Kathryn CCRN

Gray, Marcia CCRN

Haney, Eileen CCRN

Hopkins-Pepe, Loraine CCRN

Hulme, Timothy CCRN

Jacobson, Carolyn CCRN

Janse Van Rensburg, Febe CCRN

Jointer, Carlondra CCRN

Kain, Pamela CCRN

Kelly, Kathleen CCRN

Koba, Patricia CCRN

Kull, Carol CCRN

LaHart, Daniel CCRN

Markey, Mary Catherine CCRN

Massa, Christopher Q. CCRN

Mastrogiorgio, Samantha CCRN

McCall, Janice CCRN

McGlinsey, Andrea CCRN

Miller, Teresa M CCRN

Mills, Chelsea CCRN

Molloy, Patricia CCRN

Molloy, Patrick CCRN

Pasos, Jennifer CCRN

Poindijour, Myriam CCRN

Powroznik, Marie CCRN

Rahemtulla, Nikia T. CCRN

Siddhika, Bibi CCRN

Simoncini, Susan CCRN

Sliwinski, Aidan CCRN

Soto, Desiree CCRN

Stone, Lisa CCRN

Stone, Manuela CCRN

Thomas, Frances CCRN

Tran, Jerry CCRN

NAME CERT

Vanore, Catherine CCRN

Weber, Mary Ellen CCRN

Webster, Stacie CCRN

Wechter, Kim Marie CCRN

Weymouth, Joan CCRN

Williams, Nisha CCRN

Bartoletti, MaryLynn CCRN

Adams. Patricia CDE

Storbrauck, Rebecca CDE

Beard, Karen CEN

Blackwell, Rhunette CEN

Caraballo, Linette CEN

Davis, Barbara CEN

Hurwitz, Beth CEN

Jones, Madilynn CEN

Katz, Gun-Britt I. CEN

Kensecki, Amanda CEN

King, Jacquline CEN

Maher, Kimberly CEN

Markey, Mary Catherine CEN

Michener, Barbara CEN

Misuro, Sarah CEN

Moody, Erin CEN

Peterson, Victoria CEN

Ryan, Jill CEN

Shipman, Karen CEN

Smith-Pejka, Margaret CEN

Spoerl, Gene CEN

Swierczynski, Kerry CEN

Trajano, James CEN

Welch, Daniel CEN

Wible, Marylynn CEN

Wright, Mary CEN

Bamberger, Raelynne CEN

Crowe, Erin CEN

Fitzgerald, Stephanie CEN

Healey, Marilyn CEN

Kelly, Kathleen CEN

Kelly, Kristy CEN

McDonald, Krista CEN

Rossmair, Mark CEN

Trojecki, Theresa CEN

Wagner, Tiffany (Peterson) CEN

Gervasoni, Pamela (Mariotti) CLC

Dougherty, Jane CLC

Abraham, Mercy CMSRN

NAME CERT

Alex, Soumya CMSRN

Armstrong, Nancy CMSRN

Braga, Michelle CMSRN

Brennen-Jacoby, Roseann CMSRN

Carlson, Colleen CMSRN

Conners, Alison CMSRN

Conwell, Tania CMSRN

Daley, Stepheney CMSRN

Daniel, Gina CMSRN

D’Antonio, Colleen S. (Martin)

CMSRN

Elefante, Glenda CMSRN

Enzmann, Megan E. CMSRN

Hollerbach, Priscilla CMSRN

Imperial, Jennifer CMSRN

John, Princes CMSRN

Johnson, Elizabeth CMSRN

Joo, Min Jung CMSRN

Joyce, Kelly A. CMSRN

Kelly, Donna CMSRN

Lee, Anastasia CMSRN

Leva, Anita CMSRN

Longmore, Kristen CMSRN

Lou, Miaoping CMSRN

Lukose, Beena CMSRN

Luu, Chau CMSRN

Mangoni, Evelyn CMSRN

Mathew, Sherine CMSRN

Matthews, Catherine CMSRN

McCloskey, Kelly Ann CMSRN

McDonnell, Loretta CMSRN

Menzano, John M CMSRN

Miller, Veronica CMSRN

Mulinga, Koki CMSRN

Pace, Sophia CMSRN

Paul, Omana CMSRN

Payne, Bethany CMSRN

Pecoraro, Nicole M. CMSRN

Randolph, Chevelle CMSRN

Saji, Mini CMSRN

Salazar, Eunice CMSRN

Santos, Ruby CMSRN

Smith, June CMSRN

Tankersly, Chanda (Jones) CMSRN

Taylor, Kelly Ann CMSRN

Thomas, Simi S. CMSRN

NAME CERT

Uzdevenes, Terri L. CMSRN

Valentine-Charles, Reynalease CMSRN

Zane, Ellen CMSRN

Zanine-Gauss, Denise CMSRN

Zeserman, Mary Ann CMSRN

Cattolico, Debra CMSRN

Flint, Adrienne CMSRN

Jah, Ma-Jenneh H. CMSRN

Julius, Tisa M. CMSRN

Talarowski, Laura CMSRN

Quirong-Jones, Nida CNN

Semet Patrice CNN

Alessandroni, Stephen CNOR

Byer, Carol CNOR

Cooke, Susan CNOR

Dyer, Marie CNOR

Eliff, Mina-Kathleen CNOR

Gonzalez, Evelyn L. CNOR

Heck, Eunice CNOR

Izzard, Adrienne CNOR

Lash, Rebecca CNOR

Phelts, Stella Louise CNOR

Sabat, Ernest CNOR

Samuel, Sheejamol CNOR

Schwartz, Karen A. CNOR

Sebastian, Sherly CNOR

Shepherd, Barbara CNOR

Stefano, Jo-Ann CNOR

Yerkes, Annette CNOR

Holzerman, Kathleen CNOR

Baker, Theresa CNOR CRNFA

McGrath, Nancy S. CPAN

Newns, Diane CPAN

Wells, Elizabeth CPHQ

Gaynor, Crystal CPN

Gillard, Colleen CPN

Arocena, Angelo CRRN

Atkinson, Cynthia CRRN

Bongrat, Nicole Y CRRN

Carpenter, Michael CRRN

Cline, Evelyn CRRN

Creighton, Joanne (Lynch) CRRN

Danko, Janina CRRN

Day, Dorothy CRRN

Dietz, Lindsay H CRRN

Durning, Edythe CRRN

Abbreviations

ACNS-BC - Adult Health CNS

CBC - Certified Breast-feeding Counselor

CDE - (Certified Diabetes Educator)

CLC - (Certified Lactation Consultant)

CNN - (Certified Nephrology Nurse)

CPHQ - (Professional In Healthcare Quality)

CWCN - (Certified Wound Care Nurse)

MNN - (Maternal Newborn Nurse)

NEA-BC - (Nurse Executive, Advanced)

NE-BC (Nurse Executive)

NICN - (Neonatal Intensive Care Nurse)

OCN - (Oncology Certified Nurse)

SCRN - (Stroke Certified Registered Nurse)

WCC - (Wound Care Certified)

Einstein Certified Nurses



NAME CERT

Ekobeni, Alice Marcelle CRRN

Fegan, Nina CRRN

Florkowski, Timothea CRRN

Flynn, Elaine CRRN

Foley, Kathryn CRRN

Forrest, Michelle CRRN

Gallagher, Florence (Gunn) CRRN

George, Thankamma CRRN

Gogna, Parvesh CRRN

Goodman, Shari CRRN

Gorman, Erin CRRN

Griffin, Denise CRRN

Gutierrez, Maria (Lamadrid) CRRN

Ha, Jeong CRRN

Hartigan, Joanne CRRN

Hicks, Lorraine CRRN

Irlich, Eileen CRRN

Jackson, Adamma CRRN

Jacob, Teny CRRN

Jandrisevits, Jaclyn CRRN

Jimenez, Xiomara CRRN

Kinee, Andrea ( Troy) CRRN

Kling, Karyn CRRN

Kuriakose, Rinju CRRN

MaGee, Lisa CRRN

Malgapo, Gertrude CRRN

Mathew, Laitha CRRN

McKenna, Patrick CRRN

Montford, Frances CRRN

Njoku, Julie CRRN

Norton, Robert CRRN

Oates, Kenyatta CRRN

O’Connell, Doreen CRRN

Odom, Tiffany CRRN

Palmer, Michele CRRN

Pedicone, Marianne CRRN

Pina, Jillian CRRN

Pinder, Lisa CRRN

Powell, Theresa CRRN

Purathoottuu, Noby CRRN

Puthran, Sandhya CRRN

Rigous, Rachelle CRRN

Rivera, Maria CRRN

Roeder Roadcamp, Lori A. (Erb) CRRN

Rotz, Kathleen CRRN

Scarpitti, Danielle CRRN

NAME CERT

Scott, Pamela CRRN

Shatoff, Meredith CRRN

Sincavage, Lisa CRRN

Sklarow, Linda CRRN

Stone, Patrice CRRN

Suong, Aurore CRRN

Taylor, Carol CRRN

Wible, Elaine CRRN

Wichert, Lori CRRN

Wissman, Mary CRRN

Wood, Megan CRRN

Rudolph, Shane CWCN

Hayes, Patricia Anne CWCN

MacLennan, Alicia (Hudson) Gerontological Nursing RN-BC

Borton, Dorothy IC

Brill, Theresa Inpatient Obstetric Nurse

Byrd-Jerry, Kimberly Inpatient Obstetric Nurse

Eklu, Augustina Inpatient Obstetric Nurse

Gilliam, Annitia Inpatient Obstetric Nurse

Horner, Karen Inpatient Obstetric Nurse

Jones, Merle Angela Inpatient Obstetric Nurse

Joseph, Sherrie Inpatient Obstetric Nurse

Juliani, Patrice M. Inpatient Obstetric Nurse

Lark, Cheryl Inpatient Obstetric Nurse

Mather, Patsy Inpatient Obstetric Nurse

Muhammad, Hajar Inpatient Obstetric Nurse

Neff, Cheryl Inpatient Obstetric Nurse

Rice, Joyce Inpatient Obstetric Nurse

Robin, Smitha Inpatient Obstetric Nurse

Trautz, Bridget Inpatient Obstetric Nurse

Valentin, Alicia Inpatient Obstetric Nurse

Philip, Renu Inpatient Obstetric Nurse

Sandford, Matthew Medical-Surgical Nursing (MSNCB)

Griffin, Charlene A. Medical-Surgical Nursing RN-BC (ANCC)

Cuevas, Yamile Medical-Surgical Nursing RN-BC (ANCC)

Dolan, Christine Medical-Surgical Nursing RN-BC (ANCC)

Eluwa, Susan Medical-Surgical Nursing RN-BC (ANCC)

Farber, Cheryl Medical-Surgical Nursing RN-BC (ANCC)

Gulla, Susan Medical-Surgical Nursing RN-BC (ANCC)

Johnson, Shelley Medical-Surgical Nursing RN-BC (ANCC)

Kwasnjuk, Jeanne Medical-Surgical Nursing RN-BC (ANCC)

Lawlor, Kathy ( Fritsch-Butler) Medical-Surgical Nursing RN-BC (ANCC)

Longyard, Janis Medical-Surgical Nursing RN-BC (ANCC)

Mouzon, Naja Renee Medical-Surgical Nursing RN-BC (ANCC)

Nyce, Phyllis Medical-Surgical Nursing RN-BC (ANCC)

Young, Deborah Medical-Surgical Nursing RN-BC (ANCC)

NAME CERT

Barone, Lisa Medical-Surgical Nursing RN-BC (MSNCB)

Gill, Anita Medical-Surgical Nursing RN-BC (MSNCB)

Joseph, Philomina MNN

Lodise, Jane MNN

Cuming, Ric NEA-BC

Faust, Judith NEA-BC

Pollock, Marilyn NEA-BC

Rodzen, Lisa NEA-BC

Tomlinson, Lisa NEA-BC, Cardiac Vascular Nursing

Jackson, Theresa NE-BC

McCulley, Susan L. NE-BC

Seminara, Margaret NE-BC

Zarra, Thomas NE-BC

Ball, Elaine NICN

Allen, Silvia NICN

Castillo, Carla NICN

Cody, Lisa NICN

Donahue, Eileen NICN

Feldstein, Maryann M. NICN

Finn-Hagerty, Philomena NICN

Hartley, Christine NICN

Malloy Maryanne NICN

McCabe-Menefee, Jerri NICN

McGinnis, Maureen T. NICN

Roos, Amy NICN

Sauer, Sharon NICN

Cherry, Ruth OCN

Hunt, Karen OCN

Reeves, Turena OCN

Alexis, Wileen PCCN

Alexis, Wileen PCCN

Alias, Mini (Koorankarottuveettil)

PCCN

Arocena, Mary Lou PCCN

Benny, Raji PCCN

Bish, Catherine PCCN

Dennis, Athena PCCN

DiFranco, Theresa PCCN

Donahue, Theresa PCCN

Ehnow, Christine PCCN

Fairchild, Deborah PCCN

Famawa, Thomas PCCN

Flynn, Mollie PCCN

Gereaghty, Patricia PCCN

Iezzatti, Katie PCCN

NAME CERT

Javardian, Maria PCCN

Jindal, Priyanka PCCN

Kates, Matthew PCCN

Koshy, Maneejo PCCN

Lombardi Snyder, Catherine PCCN

Malloy, Jennifer PCCN

Miller, Amanda PCCN

Payne, Marnee PCCN

Richardson, Clifton PCCN

Sayen, Catelin PCCN

Thomas, Stacy-Ann PCCN

Williamson, Muibat PCCN

Wittman, Marianne PCCN, NE-BC

Fallows, Patricia Perinatal Nursing

Gage, Beth PMHCNS-BC

Cantwell, Angela Psychiatric & Mental Health Nursing RN-BC

Haney, Robert Psychiatric-Mental Health Nursing RN-BC

Power, Mwasonoh Psychiatric-Mental Health Nursing RN-BC

Stupka, Carolyn Psychiatric-Mental Health Nursing RN-BC

Williams, Angelia Patricia Psychiatric-Mental Health Nursing RN-BC

Hushen, Patricia Ann SCRN

Magat, Percival WCC

Kosmidis, Parease WOCNCB

Einstein Certified Nurses


0%

10%

20%

30%

40%

50%

60%

70%

80%

FY'16 Q2 FY'15 Q2 FY'14 Q2

% BSN & Higher

% Certified of Eligible Clinical RNs

% Certified Clinical RNs

75% 71%

67%

38%

33% 31% 31%

28% 26%

BSN and CertificationTraining Trends


E X E M P L A R Y P R O F E S S I O N A L P R A C T I C EExemplary Professional Practice is demonstrated through effective and efficient care services, inter-professional collaboration and excellent patient outcomes. Using national benchmarks, we monitor our performance and excel through an ongoing dedication to quality improvement.

Professional Practice Model

At Einstein, our Nursing Professional Practice Model reflects how we communicate, practice, collaborate, and develop, while integrating mission, vision, values, philosophy, and nursing theory with our practice.

• Caring - Watson’s Theory of Human Caring serves as the foundation of our Nursing practice, education, and research encircling and infusing all we do. The Caritas Processes™ give a voice and language to specific practices as we connect with patient, self, family, colleague, or community.

• Knowledge, Ethics, Advocacy and Accountability are core concepts that we bring to our practice, how we practice, and that practice is ongoing/continual.

• Quality, Safety, Relationships and Collaboration represent both the focus and the outcomes of our professional practice. Relationships and Collaboration intersect the circle as our practice touches all those we reach - within our community, and out to the broader regional and global communities.

• Person represents patient, self, family, colleague, and community. Person is the heart, the center, the humanity, the reason for our connection. Seeing the patient as a person beyond diagnosis/illness is a core concept of Watson’s Theory.

The development of this model arose from the thoughts, ideas, artistry, and work of over 150 nursing staff members from the Magnet® Champions, Caritas Circle, and Network Nursing Council.

3332 EXEMPLARY PROFESSIONAL PRACTICE EXEMPLARY PROFESSIONAL PRACTICE


At Einstein, nursing practice is grounded in caring science, specifically Watson’s Theory of Human Caring and our professional practice model. In 2015, Einstein Healthcare Network was re-designated as a Watson Caring Science Institute (WCSI) Affiliate. Einstein Healthcare Network was the first, and remains the only healthcare organization in Pennsylvania and the Delaware Valley region so designated. There are now 10 affiliates worldwide. This unique affiliate status recognizes Einstein’s tremendous leadership in demonstrating a Caring Science model for staff and patients, families, and community.

Jean Watson, PhD, RN, AHN-BC, FAAN, world-renowned nursing theorist, visited Einstein Medical Center Philadelphia on December 4, 2015, as part of the Watson Caring Science Institute’s (WCSI) Affiliation designation process.

Dr. Watson, along with her colleague Sara Horton-Deutsch, PhD, RN PMHCNS, FAAN, ANEF, Endowed Chair of Watson Caring Science Institute, listened to the caring stories, evidence-based practices, and research activities of Einstein nurses. More than 100 nurses attended the morning session to listen and share their firsthand accounts of caring in action, and to learn from the reflections of Dr. Watson.

Einstein nurses presented sources of evidence for ways they have integrated caring theory into various aspects of practice:

• Heather Coughenour, RN, and Amy Miller, BSN, RN, presented their work on the Snoogle Doll that utilizes infant and mother scents to stimulate and increase breastfeeding.

• Maryann Malloy, MSN, RN-NIC, spoke about the work on the electronic Caritas processes now being used with the Interdisciplinary Plans of Care (IPOC) for all patients.

• Sharon Sauer, BSN, RN-NIC, shared her quality work turned research project on the use of colostrum to decrease infection and empower parents in the care of their tiny infants in the Neonatal Intensive Care Unit.

• Amanda Conley, BSN, RN spoke about nurses’ overwhelming support for student and teacher needs at a Philadelphia school with donations of new hats, gloves, socks, games, books, puzzles, snacks, stickers, stuffed toys, and school supplies, filling 29 treasure chests.

Affiliate status is an important honor in terms of our professional model of care, our continual integration of the Theory into clinical and administrative decision making, and the ongoing caring science research and evidence-based practice.

Einstein Healthcare Network Re-Designated Watson Caring Science Institute Affiliate



Embracing a Culture of Safety: Safe Patient Handling (SPH) Program

Einstein launched our Safe Patient Handling (SPH) program in September 2013 to improve the culture of safety and have a positive impact on the practice environment. Training consisted of identifying coaches from within the Nursing Division (including Registered Nurses and Patient Care Associates) to attend comprehensive training on the program and the new equipment so that the house-wide education rollout was peer to peer.

Nurses throughout our organization have embraced the SPH program and, in doing so, have decreased the amount and severity of injuries caused by lifting and moving patients.

Einstein Steps Up Nursing Recruitment Activities The Recruitment & Placement Center held an Open House at Einstein Medical Center Philadelphia in 2015, which was attended by more than 70 RNs. Attendees had the opportunity to network with our Nurse Managers, Human Resource Specialists, and Recruitment Specialists. A number of attendees have already been recruited as a result of the event!

Improving Patient Satisfaction

Improving the patient experience is an important goal of our organization. In January 2015, we selected three areas of focus for improvement: Nursing responsiveness, communication, and perception of pain management.

Two important actions/behaviors that support this patient experience work are intentional rounding (about every hour) and consistent use of the communication boards in each patient’s room. This is an evidence-based approach and how we organize and deliver patient care.

Our work has resulted in feedback from our patients indicating that their experience is improving.

Preventing HAPU with Wedges and Mepilex®

Reducing/preventing the occurrence of hospital-acquired pressure ulcers (HAPU) is an element identified in Einstein’s Nursing strategic plan. HAPU not only cause pain and risk for patients, they are also costly to treat and increase patient length of stay in the hospital.

In February 2016, a pilot began in MICU (Medical Intensive Care Unit) and Levy 6, to examine the effectiveness of using wedges and Mepilex® Border Sacrum dressings on patients at high risk for developing pressure ulcers.

Ric Cuming, EdD, MSN, RN, CNOR, NEA-BC, Vice President and Chief Nurse Executive gave his approval for wedges to be purchased for all departments for which this positional device would be useful. Wedges are currently available in the MICU and Levy 6 for patient use. Jill Stunkard, MSN, RN, has provided assistance to the Nursing directors and managers to make sure the wedges get rolled out to the other Nursing units.

Wound Care Specialists Trish Hayes, MSN, RN, CWSN, and Parese Fasciocco, BSN, CWON, have developed a pressure ulcer prevention bundle that will start when the Mepilex® Border Sacrum dressing pilot begins. Data will be collected on the effectiveness of Mepilex® in preventing HAPUs.


Responsiveness of Hospital Staff

Pain Management Communication with Nurses

FY14 60.0 64.7 74.9

FY16 62.4 69.0 76.8

50.0

55.0

60.0

65.0

70.0

75.0

80.0

85.0

90.0

95.0

100.0

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en

t S

ati

sfacti

on

S

co

res

Patient Experience Scores: ECMP

Percentile RankImprovement

+ 9


+ 18


+ 8


N E W K N O W L E D G E , I N N O V A T I O N S & I M P R O V E M E N T SNew Knowledge is a cornerstone of providing outstanding care. Through research, evidence-based practice and innovation, we achieve high-quality, effective and efficient care for our patients.

Research and Evidence-Based Practice (EBP)

Research and EBP Council Hosts Nurses Week

The Research and Evidence-Based Practice Council along with the Caritas Circle members celebrated Nurses Week 2015. Focusing on the theme of Ethical Practices and Quality Care, they held a session for nursing posters, projects, publications to be viewed, and experiential stations for self-care modalities during the week of May 6 to 12, 2015.

On May 7, 2015, Nursing held a Shared Governance Leadership Summit at which Vice President and Chief Nurse Executive Ric Cuming, EdD, MSN, RN, NEA-BC, CNOR, presented the keynote address on “Cultures of Civility and Respect: Empowering Nurse Leaders to Identify, Intervene, and Prevent Workplace Bullying.”

Shared Governance leaders provided an annual update on the activities focused on practice, education, leadership, research and evidence-based practice projects, along with efforts to continue integrating caring theory into practice.

Nursing presented Caring Spirit Awards that honor nurses and members of the healthcare team at annual Nursing Recognition receptions at the Einstein Medical Center Philadelphia and Einstein Medical Center Elkins Park campuses.

Research Day

During Nurses Week 2015, the Nursing Research and EBP Council coordinated a half-day poster presentation session. Einstein nurses shared their posters on EBP projects and research activities with their colleagues, as well as copies of their published manuscripts. Attendees reviewed posters and commented on the poster session form about each poster, which becomes an entry into a raffle for a chance to win gift certificates. The Caritas Circle members and Caritas coaches offered stations of caring modalities such as chair yoga, aroma therapy, hand massage, and other relaxation techniques that introduced nurses and all employees to stress-reducing activities. The session was open to nurses, physicians, and all employees as a wonderful learning opportunity about the scholarly work being done by Einstein nurses.

Improving Patient Outcomes: Curos Caps

Across the United States, health institutions have struggled with the very real danger of Central Line Associated Bloodstream Infections (CLABSI). Einstein Medical Center Philadelphia’s CLABSI Committee aimed to reduce the hospital’s rate of CLABSIs.

Committee members conducted a literature search, which revealed that the use of alcohol impregnated caps achieved significant improvements in outcomes. They identified Curos Caps as an intervention that could be implemented as a prevention measure to minimize the risk of infection to central line catheters.

In July 2014, a two-week trial of the Curos caps was launched in Willowcrest, the Medical Intensive Care Unit (MICU), Surgical Step-down Unit (SSU), and Dialysis Unit. Audits were performed to monitor compliance and product evaluation. The feedback was very positive from staff, and compliance was high.

As a result of this change in Nursing practice, our patients have benefited tremendously, as evidenced by a consistent improvement in CLABSI rates. Moreover, the improvements have translated into shortened lengths of stay and decreased complications secondary to CLABSIs. The implementation of the Curos Caps initiative is just one example of our nurses’ commitment to providing the best care by evaluating their practice, and evidence-based practice application to improve patient outcomes.

3938 NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS


Nursing Informatics Council

The Nursing Informatics Council assists with design and decisions affecting clinical practice, provides clinical direc-tion and guidance, and acts as the voice of the nurse.

The Informatics Council’s purpose is to maintain one standard and decrease variation; prevent silos and competing requests; support adoption by prioritizing issues, focusing on solutions, and developing implementation strategies globally; and determine the end user behaviors necessary to effect change.

During Nurses Week 2015, the council reported that it had completed the following initiatives:

• Repeatable group documentation for Wounds/Incisions/Skin abnormalities/Pressure Ulcers

• Simplified pressure ulcer/specialty bed documentation

• SBAR MPage customization for streamlined patient handoff

• Heart Failure education added to general education form

• Modified critical care tasks times to improve nursing care delivery

• Modified documentation of ADL section for CLABSI prevention

• Modified the PRN Reason code set to include options for pain, anxiety, and nausea

Snoogle Dolls

When a baby is admitted into the NICU, a breastfeeding mother may experience an insufficient breast milk supply due to the infant’s inability to latch because of prematurity, maternal-infant separation, and/or a decrease in breast stimulation. Heather Cougheour, RN, and Amy Miller, BSN, RN, developed an initiative that utilizes infant and mother scents to stimulate and increase breastfeeding.

A Snoogle Doll is a cotton ball covered by a piece of fabric that a mother will place in her bra to help increase her milk supply. The purpose of the Snoogle Doll is to allow an infant to smell the moth-er’s scent, while allowing the mother to smell the infant’s scent through the Snoogle Doll.

As part of this initiative, the mother receives an instruction card and two Snoogle Dolls. The mother is to place one Snoogle Doll in her bra and wear it for 2-3 days, and then place the doll next to her baby. She places the second doll in her bra and repeats the cycle. The hope is that using the Snoogle Doll will help the breastfeeding mother increase her milk production.

Einstein Healthcare Network’s Center for Advanced Liver Disease and Transplantation is one of the first of its kind in Philadelphia and has seen significant growth over the last few years. Patients with advanced liver disease awaiting transplantation are frequently hospitalized and often require very individualized care.

In May 2015, renovations began on Levy 7 West, the inpatient unit designated for patients with advanced liver disease. Throughout the renovation process, several nurse leaders were integral to the operational decisions and the chain of communication for clinical nurses. The project was discussed at the unit level during the Levy 7 monthly meeting of their Comprehensive Unit-based Safety Program (CUSP).

Most of the rooms on Levy 7 West were converted from semi-private rooms to private rooms. The nurses’ station was remodeled to support optimal workflow. While the West side was being renovated, beds were opened on Levy 7 East to support patient care needs.

In November 2015, construction on Levy 7 West was completed and the Liver Care Center at Einstein Medical Center Philadelphia was opened to meet the specialized needs of this complicated patient population.

The smooth transition of this planned change for Levy 7 ensured that patients of the Center for Advanced Liver Disease and Transplantation received the consistent level of care they continue to count on.

Levy 7 Redesign

4140 NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS


E M P I R I C A L O U T C O M E SEmpirical measurement of quality outcomes related to Nursing is important, as the work nurses do every day directly contributes to the health of the patient, work-force and hospital.

Temporal Thermometers

In September 2012, the Emergency Services cluster was concerned with patient satisfaction, nurse satisfaction, and slow triage processes. The cluster soon identified the consistent practice of obtaining rectal thermometer readings in pediatric patients under the age of five years as a source of patient and family member dissatisfaction and a practice that may contribute to a slower triage process.

Using the Iowa model of Evidence-Based Practice, the committee worked together with nurse consultant, Gerry Altmiller, EdD, APRN, ACNS-BC, to clearly identify the practice problem. Using PICOT format, the Emergency Services cluster prepared the following clinical question: For pediatric patients younger than five years of age (P), who require temperature measurement (I), what is the safest method of measurement (C) to achieve consistently reliable temperature measurement (O) in the triage process (T).

With the support of Nursing administra-tion, cluster members met each month to create goals for the project, complete a literature search, distribute relevant articles, and discuss and level the evidence. Based on the evidence found, the cluster decided on practice change recommendations:

• All children older than 90 days who present without potential infectious complaints – that is, reported fever – will be screened with temporal artery thermometry measurement.

• A rectal temperature can be measured in a child of any age at the request of a physician or at the nurse’s discretion.

• A rectal temperature measurement will be obtained for children five years or younger with febrile or infectious symptoms.

The practice change was implemented and results of the initiative were positive:

• Increase in Nursing satisfaction and triage speed: Six months after the initiative began, 87% of nurses agreed or strongly agreed that the speed of triage was increased by using the temporal artery thermometer.

• Increase in patient satisfaction: After the implementation of this practice change, patient satisfaction scores increased by 3.9% on the Picker Catalyst Survey.

The project was presented as a poster and the manuscript was published in The American Journal of Nursing in September 2015.

Journey to Baby-Friendly Designation

Einstein Medical Center Philadelphia is proud to be seeking certification as a “baby-friendly” hospital by Baby-Friendly USA, Inc., which is the accrediting body for the Baby-Friendly Hospital initiative. This initiative encourages and recognizes hospitals that offer an optimal level of care for infant feeding and mother/baby bonding. Becoming a Baby-Friendly facility is a comprehensive, detailed and thorough journey toward excellence in providing evidence-based maternity care. It compels facilities to examine, challenge and modify longstanding policies and procedures to improve outcomes in this area.

4342 EMPIRICAL OUTCOMES EMPIRICAL OUTCOMES


Shortly after his appointment to the role of Chief Nurse Executive in May 2014, Ric Cuming identified an opportunity to further demonstrate the organization’s mission, “With humanity, humility and honor, to heal by providing exceptionally intelligent and responsive healthcare and education for as many as we can reach.”

Ric had previous experience with the Human Rights Campaign (HRC) Foundation, which is the educational division of the largest lesbian, gay, bisexual and transgender (LGBT) civil rights organization in the United States. He was aware of a program which was congruent with Einstein’s mission and values and that communicated a welcoming and safe healthcare environment to LGBT patients and their families. Ric encouraged senior leadership to learn more about it, as he felt confident they would want to participate.

Ric quickly observed that Einstein was missing an opportunity to be designated a Leader in LGBT Healthcare Equality via the Healthcare Equality Index (HEI). The HEI is an annual survey designed to enable healthcare organizations to complete a self-assessment of policies and practices surrounding lesbian, gay, bisexual and transgender (LGBT) patient-centered care.

At a Healthcare Services/Physician Services Operations Group meeting in early June 2014, Ric presented information about the HEI. The senior leadership group made the decision to complete the HEI assessment process. For a number of the members, this also included the expectation to complete LGBT health education, which further demonstrated their commitment to the program.

Today, Einstein been recognized as a “Leader in LGBT Equality” in the Human Rights Campaign Foundation’s annual

Healthcare Equality Index for the past two years. This partnership provides the resources necessary to assist our physicians and staff in providing equitable and respectful treatment to the diverse patient populations whom we serve.

Einstein Again Recognized as a “Leader in LGBT Healthcare Equality”Falls Project MossRehab

Colostrum Project Research Study

A research study entitled “The Effectiveness of Oral Administration of Colostrum to Safely Provide Immunity” began as an evidence-based practice project. Critically ill neonates are prone to nosocomial infections because of their immature immune system. Based on the results of the colostrum project, it is recommended that oral colostrum be administered to critically ill neonates to help prevent nosocomial infections. Sharon Sauer, BSN, RNC, the principal investigator for the research study, worked with several of her colleagues in the NICU on data collection for the evidence-based practice project, and delivered a poster presentation on the study.


MossRehab used the CUSP initiative to launch a program to decrease patient falls on the stroke unit.

CUSP was designed to improve the safety culture of a unit and to learn from mistakes by integrating safety practices into the daily work of a specific unit. The focus of the program comes from a unit safety assessment done by staff working on the unit.

The MossRehab CUSP team began by ensuring that all staff members participated in a science of safety assessment training session. Over 60% of those who took part in the sessions agreed that a fall was the greatest risk to their patient.

The CUSP team held monthly meetings to review the past six months of falls and to note trends and possible suggestions.

One trend that was noted was the amount of falls that occurred with patients being left in the bathroom unattended. The team decided to implement the practice of never leaving a patient unattended in the bathroom under any circumstance. This education needed to reach three levels that included staff, one-to-one agency, and family/patient. Staff developed education and scripting about the need for safety and why the staff would remain in the bathroom with the patient. This education was then rolled out to all unit staff.

Based on the efforts of the MossRehab CUSP team, patient falls on the unit sharply decreased, resulting in a 26% improvement.

4thQ 2013

1stQ 2014

2ndQ 2014

3rdQ 2014

4thQ 2014

1stQ 2015

2ndQ 2015

3rdQ 2015

# Patient Falls on 1 West

29 12 13 15 9 20 10 12

0

5

10

15

20

25

30

35

# P

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West

MossRehab Comprehensive Unit Based Safety Program - CUSP

26%Improvement


Work of Surgical Unit Safety Program Team Leads to Significant Reduction in Surgical Site Infections

The multidisciplinary Surgical Unit Safety Program Team at Einstein worked in conjunction with the surgical site infections (SSI) group to help prevent SSI in patients that have had orthopedic total joint surgeries.

One intervention that was implemented is the use of a travel tag, which follows the patient from the physician’s office, to preadmission testing, to the Pre-Op, Intra-Op, PACU and Med Surg Unit. This travel tag creates awareness by alerting the staff to the key points of the evidence-based bundle that need to be completed while the patient is in their care.

When discussions at team meetings were opened to encourage any team member to share where they felt we needed to focus some effort to reduce infection, Housekeeping staff expressed that there could be better standardization in OR room cleaning for cases that ran late in the day.

Leaders on the team and in the Environmental Services Department supported the importance of that work.

The support staff took the lead in updating a room-cleaning checklist and took the initiative to lead in-services with Housekeeping staff to promote standardization and perform observations for compliance.

As a result of this team’s efforts and interventions, there has been a significant reduction in SSIs related to hip and knee arthroplasty. When the initiative began in 2014, the SSI rate was 2.85%; in June 2015, the rate was down to 1.12%.

The team’s success has led them to explore SSI reduction for other types of surgery utilizing the same format, such as colon surgery, as part of the comprehensive Infection Control and Patient Safety Program.

Einstein’s MossRehab is renowned globally for its innovation, leadership and care of persons with physical disabilities, but was only known locally for its expertise in disability etiquette and sensitivity education. An innovative grant awarded by the Albert Einstein Society in 2013 allowed the MossRehab team to fill that void by creating “It’s Just Respect”. The Disability Etiquette Program “It’s Just Respect” included the creation of a series of “Disability Etiquette Gone Wrong” videos. These videos depicting real-life stories shared by MossRehab patients have been loaded onto YouTube and to date have received over 10,000 hits.

The goal of this project was to improve the lives of people with disabilities

Disability Etiquette Project

by educating people in workplaces, schools, places of worship, etc. about the lived experiences of persons with different types of disabilities. For many years, a MossRehab and Einstein leader, Julie Hensler-Cullen, RN, MSN, had visited local schools, universities, and other public institutions to share tips about communicating with and about persons with disabilities. Now, with the development of the “It’s Just Respect” program along with the training of additional rehabilitation staff and volunteers, MossRehab has extended the reach to include presentations at places such as Cigna Healthcare, Capital Grille Restaurant, law firms, and the U.S. Mint. Most recently in 2015, Julie has presented to the docents and volunteers at The Barnes Foundation.



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