Nursing Annual Report 2015 - East Tennessee Children's Hospital

Blythe Gulley and Denise Majors, R.N.

2 Nursing Annual Report • 2015

Hella Ewing, M.S.M., B.S.N., R.N., Vice Presidentof Patient Care Services/Chief Nursing Offi cer

Message from Hella My fi rst year at East Tennessee Children’s Hospital has been nothing short of amazing. Getting to know our staff and community deepened my commitment to our organization and the region we serve. In 2015 our leadership team had four major focuses: • Adapting our leadership structure to support succession and accountability • Improving effi ciencies that better support our frontline staff • Moving toward a practice model that represents all interdisciplinary members involved in patient care • Sustaining and building upon our culture of safety

We were able to address issues and improve processes that promoted positive change in all of these areas. Nursing units created a standardized leadership structure that better supports staff and our patients. The new structure creates a pathway for new leaders to emerge. We reduced our policies and procedures by 60 percent as we converted procedures to Lippincott and migrated remaining policies to Medworxx. We shifted from a nurse-centric council structure and incorporated our clinical peers in a completely revamped council structure that encourages decisions driven from the frontline. This structure advocates establishing priorities and controls the pace of change to not overwhelm our clinical teams. What impressed me with our team is how you continue to rise to the challenge and never settle for mediocrity. We celebrated a successful Joint Commission Survey, Solution for Patient Safety (SPS) recognized us as hospital of the month in December and Press Ganey awarded us with the Pinnacle of Excellence award for consistently high levels of excellence determined by our employees. We have much to celebrate but the best recognition is the letters we receive weekly from patient families telling us of their journey and how our staff made a difference in their lives. Our fi rst and last question is “What is best for our patients and families?” We make a difference and our results refl ect your hard work and commitment. As we look ahead, we are not slowing down. We will implement a new standardized educational process for clinical staff. A multi-disciplinary team of physicians, nurse practitioners, nurses, social workers, patient educators and home health staff are working collaboratively to develop a care-coordination team to focus on our medically complex children and create a bridge to our community medical homes. As we focus on our future, our campus continues to grow. We will be opening our new tower in September that supports a new perioperative center, neonatal intensive care unit and clinic spaces to better support patient- and family-centered care. I appreciate you making me feel at home in East Tennessee. Our hospital is a special place with special people. Remember, together we are stronger. Never stop challenging the norm, producing innovative change or creating a work environment that supports professional growth.

Nursingdemographics

Total number of nurses648

Average length of employment10.55 years

Percentage of Bachelor’s Degree in Nursing

64%

Message from Hella For the past 78 years, East Tennessee Children’s Hospital has been the primary provider of pediatric care in the region. Our 152-bed facility is a not-for-profi t, private, free-standing pediatric medical center certifi ed by the state as one of four Comprehensive Regional Pediatric Centers in Tennessee and is accredited by the Joint Commission.

About us

Our professional practice model:“It’s how we do our work.”

“The quality of patient care is directly correlated to the degree to which our nurses are active and empowered through the use of the professional

practice model.” – Karen Burchfi eld, M.S.N., R.N., C.P.N.

The schematic visual, a pinwheel, signifi es how clinical staff at Children’s Hospital practice, communicate and collaborate to provide the highest quality of care. The pinwheel is a refl ection of how nurses work as we continually respond to the needs of our patients and the environment.

Each petal represents a component of how we practice nursing at Children’s Hospital. The petals encompass the patient and family at the center of care.

Hospital admissions5,922

Emergency department visits66,196

Outpatient visits61,834

Surgeries10,477

3Nursing Annual Report • 2015

Susan Beckham, P.C.A., and Jax Dalton.

Nursingdemographics

Total number of nurses648

Average length of employment10.55 years

Percentage of Bachelor’s Degree in Nursing

64%

Neonatal abstinence syndrome In our neonatal intensive care unit (NICU), approximately 40 percent of our tiniest patients face a diffi cult diagnosis as soon as they are born: neonatal abstinence syndrome (NAS). NAS is caused when a baby is born to a mother who has used addictive illegal or prescription drugs during pregnancy, creating risk for the baby to develop a withdrawal syndrome at birth as the source of the drug stops. NAS patients are often irritable and have a loud, piercing cry. They are diffi cult to console, breathe erratically and suffer from digestive issues. Children’s Hospital specialists in the NICU, Pharmacy and Social Work departments collaborate to care for these patients and their families as this problem continues to grow in the region and across the United States. Since 2010, Children’s Hospital has treated more than 1,300 NAS patients, the second largest volume in the country, but fi ve years ago, there was little protocol for this diagnosis. Staff at Children’s Hospital researched and developed a NAS treatment protocol that is now being utilized across the country. Our NAS team currently offers consultation to hospitals in Alabama, California, Florida, Georgia, Kentucky and Washington. Children’s Hospital NICU nurses cared for more than 300 babies with NAS this year, which is approximately one-third the total number of NAS cases reported to the Tennessee Department of Health. In September, our NICU had the highest number of NAS admissions since the project’s start date. Because of the work of our team, on average, these babies now spend eight less days in the hospital than they would have fi ve years ago.

Solutions for Patient Safety Every parent wants to keep their child safe at all times, and at Children’s Hospital, we feel the same way. Our experts are committed to patient safety, and in an effort to expand that commitment, Children’s Hospital is an active member of Solutions for Patient Safety (SPS). SPS is a network of more than 90 pediatric hospitals that share best practices in the prioritization of patient safety. This network provides the opportunity for Children’s Hospital staff to learn, share and collaborate with other pediatric hospitals with one common interest – the safety of children. Children’s Hospital now serves as a mentor to other SPS hospitals.

2015 achievements• Children’s Hospital was awarded Hospital of the Month by SPS. • SPS recognized Children’s Hospital as one of the fi rst fi ve hospitals to achieve greater than the 90th percentile in our adherence to bundle processes on fi ve out of fi ve hospital- acquired conditions (HACS) since October 2014. The bundles that achieved this reliability goal include catheter-associated urinary tract infections (CAUTI), central line-associated blood stream infections (CLABSI), surgical site infections (SSI) and hospital-acquired pressure ulcers (HAPU).• SPS also named Children’s Hospital in the top 10 percent of participating hospitals in outcomes on CAUTI, CLABSI, ventilator-associated pneumonia (VAP) and falls for October 2014 through March 2015.

Safety coaches A pediatric medical center is often a fast-paced environment where an error can immediately impact the safety of a patient. Children’s Hospital implemented a safety coach program to keep consistency and reliability in policies, procedures and processes. This program provides more education and accountability so preventable harm can be avoided and patients will remain safe while they are in our care. A safety coach is a leader in building and sustaining accountability for expected safety behaviors throughout Children’s Hospital. There are 149 trained frontline staff safety coaches who look for opportunities to improve safety through positive or constructive feedback. The interdisciplinary group also includes an additional 67 active leaders in a variety of disciplines and 13 physicians and nurse practitioners. Taking advantage of these teaching opportunities in real-life situations allows staff to feel educated, confi dent and supported while following processes.


EXEMPLARY PRACTICE: I provide care that exceeds my patients’ needs.

NAS treatmentIn the NICU at Children’s Hospital, neonatal

nurses monitor the severity of the symptoms for each patient while providing some non-pharmacological

interventions including cluster care, reduction of environmental stimulation, swaddling and allowing the baby to sleep between feedings. This unit is busy, and

the clinical team is supported by cuddlers to help in the treatment of these patients. The 40 cuddlers at

the hospital are trained volunteers who spend time soothing babies suffering from withdrawal by holding,

rocking and even singing softly to them.


“Staff respond better to peers and coworkers observing and coaching

their behaviors in their natural work setting – all in an effort to educate,

reinforce and build accountability in our expected safety behaviors.”

–Tammy Van Dyk, M.S.N., R.N., C.P.E.N., Quality Management Manager.

EXEMPLARY PRACTICE: I provide care that exceeds my patients’ needs.

Amy Barnabee, Surgical Tech, and Sarah Moreno, R.N.

A bundle is a structured way of improving the processes of care and patient outcomes: a small,

straightforward set of evidence-based practices – generally three to fi ve –

that, when performed collectively and reliably, have been proven to improve

patient outcomes.

“We celebrate our successes together, and we investigate our missed opportunities together by welcoming questions

and observations from everyone. We have become a stronger voice as we encourage each other to speak up when we have a concern or a good catch. We have decreased our adverse

events because we learned to work together as a team for a focused purpose.”

– Darci Hodge, B.S.H.A., R.N., C.I.C., Quality Management and Infection Control Director.

PROFESSIONAL GROWTH: I can better both myself and the care I deliver to patients.


Pharmacist Ben Welch, SIM Center Coordinator

Becca O’Connor, B.S.N., R.N., C.P.E.N., and Tammy Van Dyk,

M.S.N., R.N., C.P.E.N., work together in the Simulation Center.


Simulation Center Because keeping patients safe is a priority, Children’s Hospital uses simulation to help clinical staff feel comfortable in high-stress situations. Our Simulation Center enhances high-quality patient care through integrating simulators into objective-based case scenarios for staff and community education. Interdisciplinary teams experience clinical scenarios and increase opportunities to learn life-saving and procedural skills with life-like manikins. Staff and other providers in the community receive the hands-on practice they need to take expert care of our patients in a distressing situation. The group must come together as a team and understand each other’s roles, all while navigating through the training to care for their patient.

Nurse extern program Many nursing students share that working at Children’s Hospital is one of their lifelong goals. Our nurse extern program is a way to partner with the community to make becoming a nurse at Children’s Hospital a reality. Our nurses provide care to the most vulnerable population and collaborate with families to provide safe and effective care, and through our nurse extern program, students can see this care in action, working alongside our clinical staff. The nurse extern program gives students the opportunity to discover pediatric nursing during nursing school. Not only do the students get experience working alongside a pediatric care team, they also learn fi rst-hand how it feels to touch the life of a child and to help make a visit to the hospital a little less intimidating.

12-month residency program Children’s Hospital provides a 12-month residency program to successfully integrate new graduate nurses into the real-life pediatric nursing practice. The residents participate in critical-thinking scenarios, high and low-fi delity simulation and work in nursing units with a trained preceptor. The program provides the opportunity to learn the skills necessary to meet the hospital’s mission and to collaborate in an interdisciplinary setting. The fi rst few weeks are spent in an educational setting, guiding nurses through the transition from the classroom to the fast-paced intricacies of the hospital. It consists of a 12-week medical surgical program and 16-week critical care program. Throughout the program, nurse residents periodically assemble as a cohort for follow up, discussion and support as they are immersed into the hospital’s culture.

“It’s an opportunity to learn in a safe environment, where

mistakes made during the scenario provide for learning without risk to the patient.”

– Becca O’Connor, B.S.N., R.N., C.P.E.N., SIM Center Coordinator.

“As a 12 year old, I was diagnosed with an uncommon type of cancer, and I basically lived at Children’s Hospital.

Ever since then, all I wanted to do was be a nurse on the second

fl oor at Children’s Hospital.”

– Casey Ramey, B.S.N., R.N., C.P.N.

SHARED DECISION-MAKING: I am a leader in collaboration across disciplines to improve patient care.


Telemedicine Sometimes life is busy, and Children’s Hospital is working to expand a program to help families of frequent patients in outlying counties receive the care their child needs without spending more time in the car than necessary. Children’s Hospital launched the telemedicine program in May 2015, starting with pediatric sleep medicine and adding pulmonology and cardiology in August 2015. With telemedicine, patients and families meet with a Children’s Hospital pediatric nurse who then video conferences with a Children’s Hospital physician in the appropriate subspecialty. The nurse uses a digital stethoscope so the physician can hear what the nurse is hearing and utilizes a high-defi nition camera with attachments for various examinations. “Families are appreciative of this opportunity,” Physician Outreach Coordinator Kyla Melhorn said. Rather than traveling into Knoxville, patients come to Morristown-Hamblen Health System, which can cut down their travel time by as much as three hours, she explained. These families come from all over the entire upper East Tennessee region. Telemedicine will continue to expand, as pediatric surgery, pediatric psychology and other subspecialties will be added in 2016.

Our main goal in launching our telemedicine program was to improve

access to subspecialty care. For families who are unable to take a day off work,

possibly caring for other children at home, or simply don’t have the transportation to travel to Knoxville, telemedicine is a great solution.

Children in upper East Tennessee who might have previously had diffi culty accessing specialty care now have the

care brought to them.


SHARED DECISION-MAKING: I am a leader in collaboration across disciplines to improve patient care.

Wireless technology in pediatric sleep medicine With pediatric sleep medicine patients, Kyla Melhorn, R.N., completes an initial consultation through telemedicine with pediatric sleep medicine physician Ehab Mansoor, M.D. This way, their fi rst trip to Knoxville can be for their overnight sleep study, cutting down the number of trips they are required to make. After, the patient can complete most follow-up appointments through telemedicine. Sleep Medicine director Anthony Wallace said, “Sleep medicine patients may have to come four times per year for 10 years. This eliminates a lot of travel time.” Sleep medicine is also utilizing wireless technology that allows staff and physicians to obtain immediate data frompositive airway pressure (PAP) units. The physician can observe potential events without requiring the patient to visit the offi ce or clinics, and staff can view usage and potential issues with the equipment. “We can get daily uploads from the machines with their data,” Wallace explained. “We can see any pauses in breathing and lots of other useful information.”

Ryder Nicaud

Precious Prints Children’s Hospital was the fi rst hospital to partner with the Precious Prints Project, a program started by the University of Tennessee College of Nursing that provides families who have lost a child with a silver charm imbedded with their child’s fi ngerprint.While a nurse extern at Children’s Hospital, Caitlin Ferguson, B.S.N., R.N., C.P.N., committed to working on the project in its beginning stages. “As a student, I worked to educate Children’s Hospital nurses on how to make a print, all while dreaming of being a nurse here someday,” Ferguson said. Ferguson raised funds for the project while still attending the University of Tennessee, even selling hot chocolate along campus sidewalks on chilly winter mornings. After fi nishing nursing school, Ferguson began working at Children’s Hospital as a new graduate nurse, developing a passion for growing Precious Prints within the hospital. At fi rst, the prints were only utilized in the NICU, and as a nurse who cared for older children who had passed away, Ferguson was deeply motivated to bring the project to other departments. “Everything about providing a print embodies why I became a nurse,” Ferguson said. Eventually, Ferguson became the hospital liaison for the Precious Prints Project. With support from hospital leader-ship, a committee was formed, full of passionate nurses looking to expand the project even more. Inpatient surgical nurse manager and Precious Prints advisor Debi Dobbs said, “As a nurse, you want to do everything you can for a patient and their family.”Now, families who lose a child in any area of the hospital or in home health care can receive prints for their family members. “We quickly realized what a priceless gift the print was,” Ferguson said. “I could not imagine a family leaving the hospital without a print. It means the world to me to know I am doing something special for parents during their darkest hour.” During 2015 Nurses’ Week, Children’s Hospital hosted a fundraiser to raise funds for Precious Prints. Children’s Hospital employees from all departments gave to help fund this special program.

Angel carts Telling parents their child has cancer is one of the hardest jobs at Children’s Hospital. In the Hematology/Oncology Unit, nurses often comfort a bereaved family or share in the diffi cult news of a devastating diagnosis. Our nurses needed a place to care for themselves and each other when they were struggling with the diffi cult aspects of caring for children.

The angel cart is a rapid response to these stressful experiences. The purpose of the

cart is to offer immediate support to our clinical staff, helping

in quickly easing stress after a challenging situation. Angel

carts are complete with hot tea, a microwavable warm neck wrap, a CD player with calming music,scented oils with a diffuser, drinks and snacks and other calming activities to use while nurses

take time to debrief together. Responding to a distressing event

helps clinical staff cope, feel sup-ported and connect with their team so

they can continue to provide expert care to our sick patients.


NURSING CORE VALUES: • Respect• Excellence• Teamwork• Integrity• Enthusiasm

10

NURSING CORE VALUES: • Respect• Excellence• Teamwork• Integrity• Enthusiasm


Nerissa Flores, B.S.N., R.N.

High reliability units Reliability is the ability to produce consistently excellent results time after time, and in 2015, Children’s Hospital embarked on a journey to create and maintain a high-reliability culture starting at the unit level that is focused on quality and safety. The transition to a high reliability unit (HRU) is complex, requiring our clinical staff to embrace the mindset of fi ve core principles: preoccupation with failure, sensitivity to operations, reluctance to simplify, commitment to resilience and deference to expertise. An HRU in health care requires unit level leaders, safety coaches and staff to accept personal responsibility for delivering the highest quality and safest care while collaborating with their teams and medical staff as well as Lean, Patient Experience and Quality Management departments to continuously champion the delivery of ideal patient care. HRUs are charged with the responsibility to lead improvement, promote creativity, support learning and integrate new processes to assure that we provide safe, effective, timely, effi cient and equitable patient- and family-centered care. Our pediatric intensive care unit (PICU) was the fi rst to adopt these principles and receive the distinction as a HRU in June 2015. PICU staff focused on preventing hospital-acquired conditions (HACs) such as CLABSI, CAUTI and HAPUs by adopting the Kamishibai Card Rounding (Harm Cards) audit tool. The benefi t of adopting this process is to improve awareness and transparency of HACs, provide face-to-face interaction, identify barriers, educate in real-time and improve reliability to our bundles to prevent potential harm to our patients. The PICU is also working to heighten their safety culture through improved communication in shift-to-shift handoffs and safety huddles. Inpatient surgery received this designation in November 2015. All inpatient clinical units will be adopting these principles and processes by June 2016. The project will continue to expand to include outpatient areas and other departments.

Care maps Children’s Hospital is committed to helping patients feel better. We are also committed to providing patients with care that is expertly executed, consistent with best practices and effective. Often, this requires staff to streamline processes to provide effi cient care plans for our patients. To consolidate various plans for care created for the same diagnosis, Children’s Hospital launched care maps, beginning fi rst with bronchiolitis treatment. The creation and launch of care maps is part of Children’s Hospital’s strategic plan.

The care map consolidated more than 20 policies associated with bronchiolitis to provide a consistent model for clinical staff to follow while caring for these patients. This plan is based on recommendations from the American Academy of Pediatrics (AAP) and practicing evidence-based care. Through this consistent care plan, patients will receive treatment that is well-coordinated and well-explained, receive less exposure to unnecessary medications andradiation and have the opportunity to go home sooner.

EMPOWERED TO IMPROVE: I have autonomy and can improve quality in patient care.


EMPOWERED TO IMPROVE: I have autonomy and can improve quality in patient care.


Robyn Taylor, R.N., C.C.R.N., and Mary Conkin, B.S.N., R.N., C.P.N.,

in the Children’s Hospital pediatric intensive care unit.

ACHIEVEMENTS


Melinda Adams, R.N., and Emerine

Mukechuru, R.R.T., with Lyla Nicaud.

ACHIEVEMENTS

Daisy award The Daisy award provides the opportunity for recipients to feel appreciated for the difference they make in patients’ lives. Coworkers and patients can nominate nurses for the award. Awards are presented monthly to an extraordinary nurse at Children’s Hospital.

2015 Daisy award winners • January: Kristen Powell, R.N.• February: Christen Aikens, B.S.N., R.N., C.P.N.• March: Brandy Payne, B.S.N., R.N., C.P.N.• April: Michelle Malone, R.N.• May: Donna Maddox, R.N.• June: Nikki Shular, R.N.• July: Andrea Murphy, B.S.N., R.N.• August: Georgia Larmer, R.N.• September: April Coleman, R.N.• October: Rachel Ingleby, B.S.N., R.N.• November: Lacey Beeler, B.S.N., R.N.• December: Vickie Gardner, R.N.

Sunfl ower award The Sunfl ower award is presented to extraordinary patient care assistants, technicians and transporters.

2015 Sunfl ower award winners• Rose Aceves, P.C.A.• Vivian “Denise” Bradley, C.H.U.C.

Lily award The Lily award is presented to exceptional health unit coordinators.

2015 Lily sward winners• Mo Mercer, H.U.C.


“This is the most amazing place to work. It’s renewed

my faith in nursing.”

– Tosha Phillips, B.S.N., R.N.

“I merely wanted to let

you know that your team did

a great job of providing

thorough and thoughtful care.

Each and every time we’ve

been there for something like

this or an injury, I have been

nothing short of impressed

by the entire team at

Children’s Hospital!

Thank you very much!”

Press Ganey recognition Children’s Hospital received the Press Ganey

Pinnacle of Excellence Award in 2015, which honors the top performing organizations on the basis of

extraordinary achievement and consistently high levels of excellence determined by their employees between

Jan. 2013-2015. Children’s Hospital was also recognized by Press Ganey as a Workplace of Distinction for sustaining

90th percentile on our employee engagement survey. The hospital received the Guardian of Excellence Award

from Press Ganey for achieving 95th percentile or higher on our employee engagement survey.


HUC of the Year The National Health Unit Coordinator (HUC) Association named Denise Hall, oncology/medical unit, HUC of the year. Hall has been instrumental in elevating the HUC profession at the hospital and in the community. She has supported HUC certifi cation and helped to highlight Children’s Hospital as the premier location for HUC education. Hall has devoted 30 years of service to Children’s Hospital.

Published work• Cindy Abraham, B.S.N., R.N.; Emily Carson, B.S.N., R.N.; and Deb Sharp, R.N., C.P.N. –”Nurses in Action: A Response to Culture Care Challenges in a Pediatric Acute Care Setting” published in the Journal of Pediatric Nursing

2015 presentations given• Cindy Abraham, B.S.N.; Emily Carson, B.S.N., R.N.; and Deb Sharp, R.N., C.P.N. – “Cultural Care”• Caitlyn Chaires, B.S.N., R.N. – “Preterm Infants and Smoking”• Tomica Bellamy, B.S.N., C.P.N. – “IV Infi ltration” • Sara Matalik, M.S.N., N.P.D.S. – “What animal are you? Learning Styles”• Michelle Martin, B.S.N., C.P.N., N.P.D.S., and Josh Picquet, B.S.N., C.P.N. – “Snot costs: bronchiolitis care collaboration”• Gail Clift, R.N. – “Understanding Neonatal Abstinence Syndrome” • Tina Jackson, R.N. – “Neonatal Abstinence Syndrome - Rescue Dosing Protocol” • Janet Noble, R.N. – “Understanding Neonatal Abstinence Syndrome” • Kary Pickard, B.S.N., R.N. – “CLABSI” and “VAP” • Kristen Powell, R.N. – “CLABSI” and “VAP” • Deborah Richardson, R.N. – “HAI”

“Denise is often seen making a circle with her hands, saying ‘We are a

team!’’’

– Kimberley Campbell, M.S.N.,

R.N.-B.C., C.H.C.P.

“If you are battling a

sickness, don’t worry.

The nurses and

doctors are very good.

Thank you to all

the nurses and

doctors for helping

me get out.”


Team members have had the opportunity to give presentations on best practices to the SPS network.

Presentations given include:• Janice Mays, M.A.O.M., B.S.N., C.P.H.Q. – “Pioneer Readmission Cohort Calls: Event Sharing and Standardize Hand-Off between Teams” • Hella Ewing, M.S.M., B.S.N., R.N. – National Learning Session: “Quality Leaders Peer-to-Peer Discussion” • Jeanann Pardue, M.D. – National Learning Session: “Why you should be excited about the PSO” • Tammy Van Dyk, M.S.N., R.N., C.P.E.N. – National Webinar: “High Reliability Rodeo-Reduction of CAUTIs Through the Use of High Reliability Principles” • Darci Hodge, B.S.H.A., R.N., C.I.C. – National Webinar: “Learning from CLABSIs” • Jeanann Pardue, M.D. – “SPS Reinforcing Foundations Workgroup” • Jeanann Pardue, M.D. – “Making a Safety Strategic Priority: Hospitals within a Hospital Workgroup” • Tammy Van Dyk, M.S.N., R.N., C.P.E.N., and Jeanann Pardue, M.D. – State Webinar: “Error Prevention and Leadership Methods Training Best Practice Sharing”• Tammy Van Dyk, M.S.N., R.N., C.P.E.N. – Destination Zero and Safety Coach programs presentation to Erlanger Health System

Research• Allison Stark, B.S.N., R.N. – “Qualitative Study on Siblings with a Brother or Sister in Chronic Care”• Monica Nelson, D.N.P., R.N. – “Ethnography Qualitative Study on the NAS Unit”• Ali Gonzalez, M.S.N., R.N., C.P.N. and Lauren Lisa, B.S.N., R.N., C.P.N. – “Procedural Pain Management and Nurses Perceptions”

New degrees • Kayla Atkins, M.S.N., R.N. • Jessica Baker, B.S.N., R.N. • Becca Criswell, M.S.N., F.N.P. • Christina Curry, B.S.N., R.N. • Tammy Dillon, B.S.N., R.N. • Brooke Franklin, M.S.N., F.N.P. • Kelsey Horner, M.S.N., P.N.P. • Karen Johnson, B.S.N., R.N. • Lisa Johnson, M.S.N., R.N. • Micah Kirby, B.S.N., R.N. • Carrie Marks, B.S.N., R.N. • Kelsey May, M.S.N., F.N.P. • Terri Moran, M.S.N., R.N. • Sarah Moreno, B.S.N., R.N. • Betty Norton, B.S.N., R.N. • Maggie Pierce, B.S.N., R.N. • Kimberly Rollings, M.S.N., N.P.• Angela Trentham, B.S.N., R.N. • Rebecca Troutt, B.S.N., R.N. • Melissa Veach, M.S.N., R.N. • Megan White, B.S.N., R.N. • Sarah Wu, M.S.N., F.N.P. • Jennifer Wyrick, B.S.N., R.N.

Casey Ramey, B.S.N., R.N., C.P.N., with Chance Smith.

continued on page 48


Certifi ed Pediatric Nurse• Debra Brady, R.N., C.P.N. • Jeannie Bunch, B.S.N., R.N., C.P.N.• Alexa Cannon, B.S.N., R.N., C.P.N. • Arminda Carter, R.N., C.P.N. • Tonia Coomer, R.N., C.P.N. • Misty Crosby, R.N., C.P.N.• Misty Dills, R.N., C.P.N. • Caitlin Ferguson, B.S.N., R.N., C.P.N. • Meghan Hart, B.S.N., R.N., C.P.N. • Casha Mayberry, B.S.N., R.N., C.P.N. • Kerri Powell, R.N., C.P.N. • Mary Quist, B.S.N., R.N., C.P.N. • Casey Ramey, B.S.N., R.N., C.P.N. • Ashley Summers, B.S.N., R.N., C.P.N.

Certifi ed Pediatric Emergency Nurse• Savannah Vinson, B.S.N., R.N., C.E.N., C.P.E.N. • Stacy Loy, B.S.N., R.N., C.P.N., C.P.E.N. • Katy Lynn, R.N., C.P.E.N. • Jenny Moss, B.S.N., R.N., C.P.E.N.

Certifi ed Gastroenterology Registered Nurse• Susan Earle, R.N., C.G.R.N.

“We spent more time than

most at East Tennessee

Children’s Hospital. So I

needed to let you know just

how grateful I am that, even

during those hardest times, we

were treated with the highest

level of professionalism, care

and patience. Again, thank

you for leading a team that

provides the highest level

of customer service with

the biggest hearts.”

“Children’s Hospital leadership cares

about staff.”

– Allison Cate, B.S.N., R.N.


REACH Recognizing Excellence at Children’s Hospital (REACH) is a program that encourages and rewards the professional development of nurses. Nursing’s professional engagement council oversees the REACH program.

Level III REACH participants:• Karen Beeler, B.S.N., R.N.C.-N.I.C. • Lacey Beeler, B.S.N., R.N., C.P.N. • Lauren Fisher, R.N., C.P.N. • Liza Graves, B.S.N., R.N., C.P.N. • Katelyn Kirk, B.S.N., R.N., C.P.N. • Dana Laney, B.S.N., R.N., C.P.N. • Becky LeMarbre, R.N., C.C.R.N. • Lisa McMahan, R.N., C.P.N. • Katelyn Oakley, B.S.N., R.N., C.P.N. • Kary Pickard, B.S.N., R.N. • Jennifer Schlomer, B.S.N., R.N. R.N.C.-N.I.C. • Nicole Shular, B.S.N., R.N. • Sarah Turner, R.N., C.P.N. • Aimee Zemke, B.S.N., R.N., C.P.N.

Level IV REACH participants: • Lauren Baumgardner, B.S.N., R.N., R.N.C.-N.I.C. • Tomica Bellamy, B.S.N., R.N., C.P.N.

The Nursing Annual Report is a publication of the Marketing Department at East Tennessee Children’s Hospital. Editor: Jessica Boyd Designer: Deborah Hosterman Photos by Neil Crosby and Michael Dayah

Charlotte Spaulding with Ashley Michael, R.N.

Nothing puts a smile on aNothing puts a smile on a child’s face quicker than getting a gift— child’s face quicker than getting a gift

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P A I DPERMIT 433

KNOXVILLE, TN

Tori Martinez,14 years old

Date post:	15-Apr-2017
Category:	Health & Medicine
Upload:	east-tennessee-childrens-hospital
View:	978 times
Download:	5 times

Nursing Annual Report 2015 - East Tennessee Children's Hospital

Health & Medicine