table of contents From the desk of Paula J. Webb, Chief Nursing Officer ..................................................... 1 Nursing Excellence ............................................................................................................ 3 Compassion and Care - Patient Story ................................................................................. 5 Neurosciences and Nursing ............................................................................................... 7 Neonatal Intensive Care Unit (NICU) Expansion ................................................................ 9 Community Service ......................................................................................................... 11 Councils .......................................................................................................................... 13 Developing New Nurses - Residency Program ................................................................. 15 Scholarship...................................................................................................................... 19 Recognition ..................................................................................................................... 25 Cook Children’s Promise ................................................................................................. 33 About Cook Children’s Cook Children’s Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of six entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Health Plan and Health Foundation. Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout north Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state. Cook Children’s traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children’s combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day. For more information, please visit www.cookchildrens.org. from the desk of Chief Nursing Officer Paula Webb What a great year to be a nurse at Cook Children’s Medical Center! As our Magnet-designated team continues to expand our quest for excellence, we are delighted to announce that Cook Children’s was named to the U.S.News and World Report’s list of America’s Best Children’s Hospitals once again. For 2009, Cook Children’s ranked No. 24 for Diabetes and Endocrine, No. 27 for Respiratory Disorders, No. 27 for Neurology and Neurosurgery and No. 29 for Cancer. While this recognition keeps us in the national spotlight, I believe it’s our hearts that truly separate us from others. I’m proud to work for Cook Children’s, not only for the awards that adorn our walls, but for our shared values, our promise and our commitment to our patients. We have a tremendous group of compassionate and collaborative nurses who go above and beyond every day they come to work. They are a tribute to our profession, and I’m honored to work alongside them. We are pleased to highlight some of our excellent staff in this report, as well as detail how our team delivers exemplary and comprehensive care to our children and their families. Please join me in celebrating Cook Children’s as a leader in pediatric nursing. Cook Children’s Nursing Service Collaboration Respect Family– Centered Care Commitment to Caring Critical Thinking Professional Development Practice Model 1 2009 Nursing Annual Report Art and Science Paula J. Webb, RN, MSN, NEA-BC Vice President, Nursing Chief Nursing Officer Cook Children’s nursing excellence celebrating our nursing excellence In 2006, the American Nurses Credential Center recognized Cook Children’s Medical Center as a Magnet-designated organization, placing it in the top 5 percent of the nation’s hospitals for its nursing excellence. With the help of Cook Children’s Magnet Program Director Julie Withaeger, RN, MSN, RNC-NIC, Cook Children’s will apply for Magnet re-designation in the fall of 2009. Pending the acceptance of the application, the medical center will submit the supporting documentation in August 2010. The Magnet appraisers will evaluate the document to determine if a site visit is needed, and the decision to re-designate the medical center will be made by the Commission on Magnet Recognition. The process for gathering information to be used in the document has already started. There are plans to represent every area of the medical center, as remarkable examples of quality care which embody the spirit of the Magnet program can be found throughout Cook Children’s. Our organization has truly advanced since our initial designation and we look forward to sharing this with the Magnet office. 3 2009 Nursing Annual Report compassion and care As an Arizona Cardinals fan, Donna Poole, RN, hoped for a miraculous ending for her team in the 2009 Super Bowl. And while her Cardinals came up short, Poole definitely received a miracle through patient Jake O’Kelly. Poole left her small Bible fellowship class shortly after kickoff and made her way to work. She listened to the game during the drive. Once she began her rounds in the Cook Children’s Pediatric Intensive Care Unit (PICU), she met Jake O’Kelly and his family. Jake was dying. What had begun as a simple sinus infection for the 12-year-old unfortunately turned into meningitis. He was non-responsive in a PICU bed and his prognosis gave his family little hope. For Poole, Jake’s situation stirred emotional memories. She herself had once been immobile after going in for a simple procedure that took a serious turn. But she always remembered the nurse who talked to her while she wasn’t conscious. Poole returned the favor to Jake. She came into his room on a regular basis and gave the middle school football player a running play-by-play of the Super Bowl. “The Steelers intercepted a pass and ran it back for a touchdown. It’s halftime.” strengthened through the night. The family prayed for Jake. Poole noticed that during the prayer, Jake’s vital signs stabilized. Later, the O’Kellys invited Poole to join in their prayer. They didn’t have to ask twice. “I don’t always pray out loud for my patients, but I pray for all of them,” Poole said. Poole and the O’Kelly family believe those prayers led to what came next. Poole came into Jake’s room to brush his teeth. Jake’s mother was asleep and his dad was taking a quick shower. Jake’s grandmother, his aunt and a family friend were in the room with Jake. When Poole began to brush Jake’s teeth, he suddenly pulled both his legs up to his chest and his hand reached up to Poole’s hand. Once Jake’s dad came into the room and saw what was happening, he woke up his wife. Shortly after, Jake opened his eyes and began to respond to commands. “Pittsburgh just threw a touchdown pass to take the lead again.” “The PICU nurses amazed me with the care and love they showed our family,” Jana, Jake’s mom, said. “PICU goes out of their way every minute. Donna did an absolutely wonderful job that night. I really feel like she was a godsend. Every nurse in the PICU did an incredible job for us.” “Even though they said Jake’s brain had shut down, you really never know,” Poole said. “I always treat my patients like they are here. I never assume they can’t hear us.” Poole has been a nurse at Cook Children’s for 16 years and calls Jake’s survival “amazing” and a “humbling” reminder of God’s work. So maybe her Cardinals didn’t win it all, but Poole got her miracle. The bond between Poole and the O’Kellys “How else would you explain it?” Poole asked. “The Cardinals took the lead with three minutes to play.” 5 2009 Nursing Annual Report Name: Donna Poole, RN Years at Cook Children’s: 16 Area of Expertise: Critical care nursing “I don’t always pray out loud for my patients, but I pray for all of them.” neurosciences and nursing For families, epilepsy can be a frustrating and confusing condition. Most children do not experience any warning signs prior to their first seizure. Susie Spellman, RN, clinical coordinator for Cook Children’s Neurology, said most families, understandably, panic after witnessing their child’s seizure and believe their child will not be able to live a normal life. Spellman said that is not usually the case and most children with epilepsy “can do great things, just like any other child.” Because parents often become overwhelmed following an epilepsy diagnosis, education plays a critical role in the family’s treatment plan at Cook Children’s. Cook Children’s Neurology Nurse Educator Jamie Bankston, RN, MS, leads and manages the familycentered epilepsy education program. She visits with patient families and speaks to the community to educate school employees such as nurses, teachers and bus drivers. “It’s important for people to recognize seizures and also to know the treatments out there for so many kids with epilepsy,” said Bankston. “Other than contact sports like football, we normally do not place limitations on the majority of our patients. We encourage them to live a normal and productive life.” Cook Children’s has an advantage over many practices because each physician is assigned a nurse for their patient population, allowing the nurses to develop a strong bond with their families. “Our nurses do a lot of education, and then we have Jamie when we need her to help with a situation,” Spellman said. “When she is getting calls from a family, we will often coordinate with her and have her attend the visit with the patient here in the office. Our nurses are more involved with calling test results to families than other offices also.” 7 2009 Nursing Annual Report Because of the number of nurses in Neurology, they are able to be more focused on specific families. They can be easily reached for questions or concerns, and spend more time communicating on a level the family understands. “Once a nurse gets to know a family, the nurse has a better idea of the best way to give information to that family, in a way that they understand it,” Spellman said. “The difference for the nurse doing education is that we also do a lot of hand holding during the education process. Sometimes the family just needs to be able to speak to a familiar voice and we can be that voice.” The Centers for Disease Control and Prevention estimates epilepsy affects 2.5 million Americans. Despite this large number, misconceptions remain about the disease. Angel Hernandez, M.D., the medical director of Cook Children’s Comprehensive Epilepsy Program, said parents often blame themselves for their child having epilepsy, but there is rarely a history of epilepsy seizures in a patient’s family. Dr. Hernandez said parents of children without epilepsy are sometimes afraid to invite a child with epilepsy to their home, concerned that their child may “catch” epilepsy or the epileptic child may have a seizure at their home. Dr. Hernandez said 70 percent of children with epilepsy live completely normal lives without any learning disabilities and should be treated as normal children. “It is very frustrating for families not to have a specific reason why this is happening,” Dr. Hernandez said. “It’s hard to explain to families that most of the time they did nothing wrong. It’s unfortunate it happened, but now we have to deal with it and the nurses play a major role in helping the families understand that.” Name: Susie Spellman, RN Years at Cook Children’s: 14 Area of Expertise: Neurology “Once a nurse gets to know a family, the nurse has a better idea of the best way to give information to that family, in a way that they understand it.” nicu expansion The Neonatal Intensive Care Unit (NICU) at Cook Children’s always has been a big part of making the medical center special. Now it’s getting even bigger. Thanks in large part to the feedback from the NICU nurses, the rooms will be specifically designed to fit the needs of staff, parents and patients. Staff nurses, as well as parents, have been involved with the new NICU design from the beginning. The expansion plan calls for 100 single-bed rooms, as well as rooms to accommodate twins, triplets and even a set of quadruplets. The unit will utilize state-of-theart technology regarding light and sound for optimal neurodevelopment of the infant, while incorporating true concepts of family-centered care. The expanded NICU will consist of five separate areas or units (ranging from 18 to 22 beds) on two floors, covering 87,000 square feet. In general, babies will be admitted to one room and stay in that room until discharge. “The heart of the unit will be an atrium with a ‘Starbucks’-type look and feel for both the families and staff to enjoy,” said NICU Director Barbara Greer, MSN, RN, NE-BC. “This allows them the opportunity to have some relaxing time, away from the bedside in a bright and comforting environment. Directly across from the atrium, will be the staff lounge that is two stories, allowing the staff from the five separate units to socialize in a single area.” Each floor will have its own family lounge/kitchen and laundry to accommodate parents who wish to stay with their infant. Each patient room will have a bed for a parent, a TV (with headsets for noise control) and storage for the parent’s personal items. Parents will be encouraged to attend shift-to-shift reports and become better partners in care for their infant. Staffing will change from the current model to accommodate more individualized care of the baby and his or her family. Based on Benner’s Model of Novice to Expert, staff will be leveled by expertise and assigned to each of the units based on those levels. This allows for an even distribution of competence for each unit. In this model, staff will become more familiar with their patients, as they will consistently work with the same 18 to 22 patients. Currently, the Cook Children’s NICU belongs to the Vermont Oxford Network Build and Design team. The group is working on six potential best practices and is collaborating with five other NICUs from around the country that are in various stages of build and design. “I am honored to be involved in the building design of our new NICU. It will be comforting, colorful and warm right when you walk through the doors. It’s exciting to think about how it will help us provide an even higher level of family-centered care.” -Wendy Dougherty, RN 9 2009 Nursing Annual Report Name: Monica Briscoe, RN Years at Cook Children’s: 3 Area of Expertise: Neonatal nursing “It is an honor to work with nurses who genuinely care about our patients and their families. I am blessed to be surrounded by talented individuals who love what they do and strive to exceed expectations.” community service At Cook Children’s, we believe in doing more than just the minimum. We strive to give extra measures of care and concern to the children we serve, to their families and to our colleagues in patient care. As examples to our community, we will lead the way in the giving of talent, time and philanthropic resources for our sacred cause. Volunteering expertise to help protect our families Recognizing the potential to safeguard children, a team of Cook Children’s nurses and other employees joined Harris Methodist Hospital’s Parish Nursing Program in its effort to administer pediatric flu vaccinations at local parishes just prior to the 2008 flu season. When the call for volunteers was made, employees from across the Cook Children’s system answered with wholehearted support. As more dates at local churches were announced, more volunteers came forward to generously offer their time and expertise. The Cook Children’s team visited 12 congregations, volunteered 140 hours and gave 577 vaccines. Remembering those often forgotten Cook Children’s helped nearly 100 homeless children prepare for the 2008-2009 school year through a “school supply drive.” Within two weeks, Cook Children’s employees gathered more than 3,000 items, including binders, crayons and composition books, as well as store gift cards, checks and cash donations. On the heels of that drive, Keith Faison, RN, MBA, director of Nursing Administration, and Jill Koss, director of Family Support Services, spearheaded a coat and bedding drive to help keep homeless children and their parents warm during the chilly months. Cook Children’s nurses played a major role in the drive, which helped to gather more than a half-ton of coats, bedding and blankets. Promoting the importance of organ donation Thanks to the guiding work of Laurie Patterson, RN, CCRN, Pediatric Intensive Care Unit (PICU) nurse manager, Steve Irwin, D.Min. (Doctor of Ministry), LPC, pastoral care supervisor, and Britt Nelson, M.D., PICU medical director, the U.S. Department of Health and Human Services heralded the accomplishments of Cook Children’s organ donation program with the Organ Donation Medal of Honor in October 2008. Cook Children’s has led the nation by achieving a 100 percent conversion rate of eligible donors to actual donors for the past three years. As the only free-standing children’s hospital in the state of Texas that participates in “donation after cardiac death” (DCD) and features a memorial celebrating the donors themselves, Cook Children’s has embraced the important role of leading the way in organ donation at children’s hospitals, both regionally and nationally. The American Nurses Association recognized Cook Children’s in 2008 for achieving a 77 percent employee influenza vaccination rate, which is well above the average of 54 percent among health care personnel. With heightened internal awareness, the employee vaccination percentage for the 2008-2009 flu season reached 84.7 percent. 11 2009 Nursing Annual Report nursing councils The work environment at Cook Children’s is enhanced dramatically through the creative and collaborative efforts of the nursing governance councils. The councils assist in decision making by providing innovative ideas and direction for nursing issues. The councils are represented by staff nurses, clinical leadership, advanced practice nurses, coordinators and managers. The eight councils at Cook Children’s, as well as the Nursing Executive Council, are defined as follows: Nursing Executive Council • Communicates information to and from areas represented. • Coordinates activities of the councils. • Facilitates communication/goal attainment. • Develops a nursing strategic plan in conjunction with the medical center strategic plan. • Creates nursing bylaws that describe the council structure. • Serves as arbitrators during appeals of Clinical Excellence decisions. • Provides educational and consultative services to council members. Coordinating Council • Shares reports and information from all councils. • Discusses areas of concern from council presentations. • Provides insight or decisions when appropriate to councils when appropriate. Rewards and Recognition Council • Organizes and celebrates Nurses Week each year. • Researches different types of certifications available for the pediatric nurse. • Encourages participation in the Great 100 nurses. • Creates a significant Great 10 Nurses program within Cook Children’s Medical Center. • Evaluates and administers a useful staff satisfaction survey tool. 13 2009 Nursing Annual Report Policies and Procedures Council • Reviews existing Patient Services Policies and Procedures. • Recommends new policies as identified by the group. • Reviews and approves policies and procedures presented to the committee. • Assists with the education of staff and serves as liaison between staff and the committee. Quality Improvement Council • Communicates information to and from areas represented. Nurse Staffing Advisory Council • Solicits and receives input from nurses on the development, monitoring and evaluation of the staffing plan. • Adopts, implements and enforces a written staffing plan. • Incorporates a process that facilitates the timely and effective identification of concerns about the staffing plan’s adequacy. • Provides an annual evaluation of the nurse staffing plan to the Board of Trustees. Nurse Managers Council • Identifies nurse-sensitive quality indicators appropriate to pediatric setting for monitoring and evaluation. • Coordinates agenda for medical center-wide nurse managers meeting. • Reviews data identified as usable for benchmarking to identify opportunities for improvement and best practice. • Facilitates open forum for dialogue between specific nursing areas and all other clinical areas. • Facilitates processes and resources to ensure data is available to nursing staff. • Communicates information to the bedside clinicians. • Provides evidence that patient care areas are accountable to those receiving service for the evaluation of standards and determination of compliance. • Improves patient care through the implementation of an evaluation system aimed at preventing, detecting and resolving identified issues. • Assures communication and reporting of quality improvement activities to the individual patient care units, chief nursing officer, directors, risk manager, Legal, Quality Improvement, Quality in Practice Committee, Quality Analysis and Integration Committee and the Board of Trustees. Nursing Evidence-based Practice and Research Council • Acts as an advising body to promote, facilitate and evaluate research and publication activities that enhance the practice of evidenced-based nursing to improve patient care and outcomes. • Develops strategic plans for implementing all change that affects patient care at the staff level. Professional Development Council • Provides a forum for discussion of clinical education issues impacting practice. • Facilitates evidence-based, outcome-oriented continuing education programs. • Promotes mentors and encourages those seeking mentors. • Develops competent speakers and presenters. • Creates an environment of quality care through needs-based, outcome-oriented programs. • Encourages knowledge and application of nursing standards. • Recognizes and promotes cultural diversity within the organization. • Collaborates in the development of unit-based leaders. • Provides point-of-care education. • Stimulates interest among Cook Children’s nurses to examine the basis of their practice. • Facilitates the application of research and knowledge into evidenced-based nursing practice. • Develops support resources which promote the conduct of research and publication by Cook Children’s nursing professionals. • Serves as a facilitative review body for nursing research proposals and professional publications. 2009 Nursing Annual Report 14 developing new nurses Considering a tertiary care pediatric facility–a practice environment where clinical judgment is critical–and the limited exposure nursing students receive in pediatrics, there is an obvious chasm as the newly graduated nurse seeks to transition to a clinically competent nurse. Therefore, Deborah Rubinson, RN, MS, assistant vice president of education, and Paula Webb, RN, MSN, NEA-BC, chief nursing officer, collaborated on a proposal to bridge this gap – a nurse residency program. With administrative support, Cook Children’s post-baccalaureate nurse residency program was developed in accordance with the Commission on Collegiate Nursing Education criteria. The residency will enhance the recruitment, development and retention of nurses with increased competency and confidence; socialization to the profession; and enculturation and commitment to the organization. In January 2009, Cook Children’s launched its first nurse residency program with 15 graduate nurses selected from a competitive application process, including interviews with educators and nurse managers. The nurse residency is a 12-month program with two phases. Phase one consists of five six-week rotations in various pediatric clinical specialties, followed by a “shadow week” of learning about partners in caring such as radiology, translation, laboratory, pharmacy, dietary and others. Phase two consists of 16 weeks on the unit where the resident is hired. 15 2009 Nursing Annual Report “This program is a testament to phenomenal collaboration.” -Ann Smith, RN, Ph.D., CPNP, CNE Name: Barbara Greer, RN, MSN, NE-BC Years at Cook Children’s: 23 Area of Expertise: Neonatal nursing “Our new nurses are our future. Through our residency program, we have the opportunity to mentor and grow them to provide the highest quality of pediatric care for our patients and their families.” developing new nurses “Not only has the residency program helped me decide which area of pediatrics I like best, it has also been a great way to gain experience and confidence as I start my nursing career.” - Kendyll Helf, RN, BSN With the guidance of 80 staff nurses who volunteer Current residents report that some of the best to be “unit mentors,” the residents complete aspects of the residency are the rotational exposure rotations in various pediatric specialties throughout to different pediatric specialty areas, as well as Cook Children’s Medical Center. The rotation meeting staff throughout the medical center. In opportunity helps the residents learn where they addition, staff reactions are also overwhelmingly may fit best. “This program is a testament to phenomenal collaboration,” noted Nurse Residency Coordinator Ann Smith, RN, Ph.D., CPNP, CNE. “Paula Webb and the Nursing Executive Council provide leadership and support; nurse managers participate in the selection process and in an advisory capacity; positive. Nurses who serve as unit mentors during the residents’ rotations are gratified by watching the new graduates develop clinical competence. A second cohort of 15 new graduate nurses started in June 2009. The participants were selected from a pool of 80 applicants from 28 different university schools of nursing in nine states. Eleven different schools of nursing are represented among the 15 educators provide nursing specialty expertise for graduate nurses selected for this group, which the classes that are part of the required curriculum shows there is raised awareness about the quality of and serve as career mentors; and unit mentors guide nursing at Cook Children’s Medical Center and the clinical practice.” residency program. 17 2009 Nursing Annual Report Name: Michelle Mayeux, RN Years at Cook Children’s: 2 Area of Expertise: Neurology “I feel lucky because my floor has a great team of doctors, nurses, techs, care partners, medics and Child Life staff. Everyone works together to help the days go smoothly.” nursing scholarship The culture of nursing scholarship at Cook Children’s continues to expand on a daily basis. Our nurses are discovering new knowledge through research, applying evidence to change practice and improve patient outcomes and sharing their new knowledge and practice innovations with other nurses through presentations at professional conferences. The Cook Children’s Nursing Evidence-based Practice (EBP) and Research Council had a busy year with a strong emphasis on promoting evidence-based practice. Composed of staff nurses, educators, advanced practice nurses and faculty from local schools of nursing, the council members served as “EBP/Research Ambassadors.” They often traveled to each of the units, taking information about the council and resources to support EBP and research activities. Additionally, the council sponsored workshops, unit-based presentations and brown bag lunches on selected EBP and research topics. Evidence-based Practice Projects Family Involvement in Shift Report (Four Pavilion Epilepsy Monitoring Unit) Needle Stick Pain Protocol (Fourth Floor and Emergency Department) Involving parents in shift report is one way to partner Reducing or eliminating pain associated with needle sticks with family members and encourage them to be included is an essential component of pediatric care. This EBP project, in the plan of care. This EBP project will determine if led by Cook Children’s Texas Christian University EBP family involvement in shift report, along with a hand-off fellows, aims to update the current pain protocol, introduce communication model, helps improve patient outcomes, new needle stick pain reduction methods, increase use of communication, documentation, customer satisfaction the pain protocol and increase patient satisfaction. scores and staff satisfaction. Securing Peripheral IV (Pilot on Fifth Floor and Cardiovascular Surgery) Enteral Nutrition for Pediatric Stem Cell Transplant Patients (Hematology and Oncology Third Floor) This nurse-led multidisciplinary EBP project introduced This house-wide EBP project aims to identify and pilot enteral nutrition for stem cell transplant patients in place test the most effective methods to secure peripheral IVs or in combination with the standard of total parenteral to achieve the outcomes of easier site visualization, nutrition. The projected outcomes are improved or decreased infiltrations and dislodgments, cost effectiveness maintained nutritional status, reduced length of stay and and ease of use. decreased cost. 19 2009 Nursing Annual Report Name: Trish Anderson, RN Years at Cook Children’s: 1 Area of Expertise: Hematology and Oncology “It’s great to work side by side with such an exceptional staff taking care of our children. I can’t imagine working anywhere else.” nursing scholarship Pediatric Early Warning System or PEWS (Pilot on Third Floor) Neonatal Pain Assessment (Neonatal Intensive Care Unit) To facilitate the outcomes of early recognition and Dissatisfied with their current pain assessment tool, nurses from the Neonatal Intensive Care Unit-based council are evaluating the evidence to identify the most effective pain assessment tool specifically for neonates. This EBP team has expanded to include physician colleagues, and the team is working toward development and implementation of an evidenced-based pain management protocol. intervention for children with deteriorating medical conditions, this EBP project was created to evaluate the use and efficacy of the PEWS by nursing staff. Stem Cell Transplant Orientation Program (Hematology and Oncology Stem Cell/ Bone Marrow Transplant Third Floor) The third floor unit-based council identified that caring for complex, critically ill patients undergoing stem cell transplants required greater proficiency and expertise than what was currently being provided in the general Hematology and Oncology orientation. This EBP team evaluated and incorporated research evidence and staff survey data to develop an interactive stem cell transplant orientation. While nurse satisfaction and confidence has increased, evaluation of outcomes is ongoing. Competency-based Staffing (Neonatal Intensive Care Unit) The Neonatal Intensive Care Unit management team was looking for the most effective way to provide staffing that would not just provide an adequate number of nurses, but optimal experience and skill levels. Using Benner’s theory of Novice to Expert and other research evidence, this EBP team implemented a staffing model based on the nurses’ level of competency (based on Benner’s levels) to ensure that there is always a set mix of experience on any given shift. Nurse satisfaction and patient outcomes are being evaluated. Cook Children’s nurses are also obtaining new knowledge through research, and we are especially proud of our nurses who are developing and leading research studies. In addition, Cook Children’s nurses participate in national multi-center studies though collaborative groups such as Child Health Corporation of America (CHCA), The National Association of Children’s Hospitals and Related Institutions (NACHRI), National Institute of Nursing Research (NINR) and Vermont Oxford Network (VON). Nursing Research Adams, C., Badgett, V., Peterson, C., Rubinson, D. and Smith, A. B. ~ Content Analysis of an Interdisciplinary Communication Tool Used in an Inpatient Pediatric Setting. Newcomb, P. ~ DNA Methylation Patterns in Children with Asthma. Bashore, L. ~ Establishing the Content Validity of the POWE Fatalism Inventory (PFI) in Young Adult Hispanic Childhood Cancer Survivors: An Exploratory Approach. Peterson, C. ~ NACHRI Survey for Pediatric Intensive Care Unit (PICU) Nurse Managers: Retaining the Experienced RN in the PICU. Brown, D. ~ Attitude of Novice Nurses’ in Pediatric Palliative Care. Peterson, C. ~ NACHRI Reducing Catheter-associated Blood Stream Infections Initiative. Hoff, T. ~ Acuity-adjusted Staffing, Nurse Practice Environments and Neonatal Intensive Care Unit Outcomes. Smith, A. ~ Post-baccalaureate Nurse Residency Evaluation. Hoff, T. ~ The Effect of Nursing on Neonatal Intensive Care Unit Patient Outcomes. SouthWorth, B. and Chapa, O. ~ Skin Integrity in Critically Ill and Injured Children. 21 2009 Nursing Annual Report Patterson, L. ~ Safety Attitude Questionnaire (NACHRI). Smith, A. B. ~ CHCA Pediatric Inpatient Falls Study. In an effort to help others in the field, nurses at Cook Children’s are sharing their knowledge, discoveries and practice innovations through presentations and publications. We are proud of the interest and effort our nurses have demonstrated in submitting dozens of abstracts to state and national conferences. An exceptional acceptance rate of more than 90 percent is evidence of the quality of work taking place at Cook Children’s. In addition, our staff’s work was highlighted in eight professional journal publications. Poster Presentations Adams, C., Badgett, V., Peterson, C., Rubinson, D. and Smith, A. B. Content Analysis of a Multidisciplinary Communication Tool in a Pediatric Inpatient Setting. Children’s Hospital Association of Texas Nursing Conference, 11/08, Winner Outstanding Research Poster. Sigma Theta Tau/Delta Theta Chapter Research Symposium, 12/08, Winner First Place for Excellence Research Posters. Anderson, C. A Patient Safety Program in a Pediatric Intraoperative MRI (iMRI) Suite. Society of Pediatric Nurses National Conference, 4/09. Castro, S., Trinkman, H., Jenson, J., Bretlinger, A. and Mansell, M. Rooming-In: An Educational Program for Pediatric Stem Cell Transplant Discharge. Accepted 2009 Association of Pediatric Hematology/Oncology Nurses National Conference. Colby, B. Repeat Back to Me: A Program to Improve Understanding and Retention of Health Care Information. 2009 NACHRI Conference, 3/09. Society of Pediatric Nurses National Conference, 4/09. Bankston, J. Infantile Spasms: A Teaching Protocol. Children’s Hospital Association of Texas Nursing Conference, 11/08. Society of Pediatric Nurses National Conference, 4/09. Brennan, L., Mansell, M., Tettleton, S. and Odiorne, A. Empowering Nurses and Improving Patient Care by Creating a Unit-based Council. Accepted 2009 Association of Pediatric Hematology/Oncology Nurses National Conference. Camp, S. Application of the Therapeutic Milieu Concept for Staff in a Pediatric Medical Surgical Setting. Society of Pediatric Nurses Conference National Conference, 4/09. Castro, S., Clark, T., Heym, J., Howrey, R., Burdock, C., Molina, M., King, G. and Brennan, L. An Evidence-based Practice Project to Implement Enteral Feeding for Nutrition Support During Pediatric Stem Cell Transplant. Sigma Theta Tau/Delta Theta Chapter Research Symposium, 12/08, Winner First Place for Excellence - EBP Posters. 2009 Nursing Annual Report 22 nursing scholarship Hoff, T. Implementation of a Primary Neonatal Line Insertion Team. Accepted 2009 National Neonatal Nurses Association Conference. Hood, J., Smith, A. B., Murphey, D. K. and LaCoe, L. An Evidence-based, Patient-centered Model to Increase Influenza Vaccination Rates in Pediatric Health Care Workers. Sigma Theta Tau/Delta Theta Chapter Research Symposium, 12/08. Society of Pediatric Nurses National Conference, 4/09. LaCoe, L., Park, J., Mazade, M., Shelton, M. and Dunn, J. Rapid Interventions to Limit Transmission of Vancomycinresistant Enterococci in a Neonatal Intensive Care Unit. Society for Healthcare Epidemiology of America (SHEA), 3/09. Molina, M., Hennon, J., Brown, E., Hartman, V. and Douglas, K. Using Evidence to Develop and Implement a Stem Cell Transplant Orientation Program. Accepted 2009 Association of Pediatric Hematology/Oncology Nurses National Conference. Smith, A. B., Newcomb, P. and Webb, P. Implementation of a New Professional Practice Model: Impact on Pediatric Nurse Job Satisfaction. 22nd annual Conference of the Southern Nursing Research Society, 2/08. 18th annual Convention of the Society of Pediatric Nurses, 4/08. Smith, A. B., Withaeger, J., Adams, C. and Newcomb, C. PICO de Practice: An Easy Interactive Method to Learn the PICO Format for Clinical Questions. 7th annual Summer Institute on Evidence-based Practice, UT Health Science Center at San Antonio, Texas, 6/08. Society of Pediatric Nurses National Conference, 4/09. Withaeger, J. The Perks Plan: Utilizing Shared Governance to Improve Retention and Morale. Society of Pediatric Nurses National Conference, 4/09. Podium Presentations Bashore, L. Late Effects of Childhood Cancer Treatment. 29th annual Western Regional Oncology Conference, 1/09. 23 2009 Nursing Annual Report Bashore, L. Childhood Cancer Survivorship: Tips for Survival. 3rd annual Leukemia & Lymphoma Society Forum, 2/09. Bashore, L. Life With and After Cancer: Children, Adolescents and Young Adults. Educational Symposium University of North Texas Health Science Center, 5/09. Beck, R. Code Blue: Breathing Life Back into Your Dying Chapter. 2008 American Association of Critical Care Nurses – National Teaching Institute (NTI), 5/08. Beck, R. Living Large: Post Operative and Follow-up Care of the Gastric Bypass Patient. 2009 American Association of Critical Care Nurses – National Teaching Institute (NTI), 5/09. Burdock, C., Clark, T., King, G. and Downs, H. An Evidence-based Practice Project to Implement Enteral Feeds During Pediatric Stem Cell Transplant. Accepted Association of Pediatric Hematology/Oncology Nurses 2009 National Conference. Colby, B. Repeat Back to Me: A Program to Improve Understanding. 3rd annual Case Management Conference, 9/08. Droke, J. Adult Growth Hormone Deficiency and the Transition Patient. Endocrinology Nursing Society 2009 Convention, 4/09. Frey, S. and Redmon, S. Impact of a Primary Neonatal Line Insertion Team. Pediatrix Dallas/Fort Worth Quality Improvement Collaborative, 2/09. Frey, S. and Redmon, S. What’s In Your Line? Perinatal-Neonatal Institute, 5/09. Greer, B. Moving Up, Out or Sideways: What is Right for You? 13th annual NICU Leadership Meeting, 4/09. Greer, B. Competency-based Staffing Model in the NICU. 13th annual NICU Leadership Conference, 4/09. Accepted 2009 National Neonatal Nurses Association Conference. Hood, J. Adult Immunization Update 2009. North Texas Association of Occupational Health Nurses Conference, 3/09. Protection through Decontamination and Doffing. Proceedings of National Occupational Research Agenda Symposium, Denver, Colorado, 7/08. Ransom, S. Certified Pediatric Nurse Preparation Course. Cook Children’s Medical Center, 4/09. Larrañaga, M. D., Karunasena, E., Gratton, T., Hood, J., Palmer, E., Holder, H. W. and Straus, D. C. (2008). Risk Associated with Microbial Contamination in Healthcare Facilities: A Mixed Model for Fungal and Bacterial Contamination. Journal of ASHRAE, 5/08. Smith, A. B. Empowering Pediatric Nurses Through Evidence-based Practice. Pre-Conference, 18th annual Convention of the Society of Pediatric Nurses, 4/08. Smith, A. B. and Green, A. Creating Successful Abstracts and Posters: Getting Started. Society of Pediatric Nurses National Conference, 4/09. Smith, J., Newcomb, P., Sunberg, E. and Shaffer, P. (2009). Relationship of Opioid Analgesic Protocols to Assessed Pain and Length of Stay in the Pediatric Post-anesthesia Unit Following Tonsillectomy. Journal of PeriAnesthesia Nursing, 24(2), 86-9. Smith, A. B. and Newcomb, P. Practical Considerations for Conducting the Assent Process with Adolescents. 22nd annual Conference of the Southern Nursing Research Society, 2/08. Newcomb, P., Smith, A. B. and Webb, P. (2009). Relationship of Nurse Job Satisfaction to Implementation of a Professional Practice Model. Southern Online Journal of Nursing Research (in-press). Ward, S., Dorman-O’Donnell, M. and Hickman, G. Removing Barriers to Health Care for the Homeless. NACHRI and N.A.C.H. 2009 Creating Connections Conference, 3/09. Publications Hood, J. (2008). Pertussis Update - An Occupational Health Perspective for the 21st Century. Journal of the American Association of Occupational Health Nurses, 56(1), 7-8. “By sharing our successful approaches with other health care providers, we can also contribute to the prevention of illness outside our community.” – Cook Children’s Director of Occupational Health Services Joyce Hood, MPH, RN, COHN-S Hood, J. (2008). Health Care Work Hazards and Pregnancy: An Evidencebased Approach to Job Assignment and Reassignment. Journal of the American Association of Occupational Health Nurses, 56(8), 329-33. Hood, J. and Boyce, A. (2008). OSHA 300 Log Record-keeping Basics for Hospital Employee Health Nurses. Journal of the Association of Occupational Health Professionals in Healthcare, summer 2008. Hood, J., Murphey, D. K. and Dunn, J. (2008). Hospital-Acquired Pertussis Among Newborns – Texas, 2004. Morbidity and Mortality Weekly Report, 57(22), 600-603. Bolton, F. N., Volz, D. L., Hood, J. and Larrañaga, M. D. (2008). Dirty Doffing Evaluation: Improving Continuity of * Bolded names represent Cook Children’s nursing staff. 2009 Nursing Annual Report 24 nursing recognition Cook Children’s is proud of the many achievements of our extraordinary nursing staff. On the following pages, we celebrate our nurses who have completed our Clinical Excellence program, received advanced certifications, been recognized for the Texas Nurses Association’s District Three and Four Great 100 Nurses and the Cook Children’s Great 10 Nurses awards. In addition, we have partnered with The DAISY Foundation to recognize our nurses with The DAISY Award for Extraordinary Nurses. Join us in celebrating the exceptional care our nurses provide to every child, every day. Clinical Excellence Carin Adams, RN, BSN, CPN Sheila Guinn, RN, BSN Karen Osborn, RN Staci Alldredge, RN Beth Gunn, RN Cindi Pace, RN Kimberly Anthony, RN Stacy Hall-Ford, RN, BSN, CPN Linda Paytonjian, RN LeAnn Ash, RN, BSN, CCRN Kimberly Harbold, RN, BSN Fay Philpot, RN, BSN, RNC Cristina Ayala, RN, BSN Sandra Hendrix, RN, BSN Sara Redden, RN Donna Baker, RN, RNC Lori Hill, RN, BSN, RNC Jerri Redding, RN Janet Baker, RN, BSN, CCRN Dena Horton, RN, BSN Linda Roark, RN Kimberly Bobbitt, RN, BSN Gwen Hughes, RN Sara Roderick, RN, CPN Ginger Brewer, RN, BSN Wannetta Hughes, RN Tammy Scarpello, RN Karen Burnett, RN, CPN Melissa Irving, RN, BSN, RNC Shawna Sherrill, RN Cathleen Carter, RN, RNC Michelle Jimenez, RN Moveta Simonson, RN Mindy Coats, RN, BSN Rebekah Jones, RN, BSN Loyd Stearman, RN, BSN Floyd Collins, RN, BSN Ginelle King, RN, BSN Renae Taggart, RN, RNC Linda Cumbie, RN, BSN Kassandra Kubes, CRNA Cheryl Thames, RN Natalie Deal, RN, BSN, CPN Stephanie Lavin, RN Jesse Tucker, RN Katie Fenton, RN, BSN Tracie Lehner, RN, BSN Katy Walthall, RN, BSN Shannon Flowers, RN, CPN Brenda Liberto, RN Ulla-Britt Wilson, RN, BSN, CNOR Dorene Foster, RN, BSN, CCRN Shirley Martin, RN, BSN, CPN Jennifer Woodruff, RN, BSN Laura Garrett, RN, CPN Melinda McCullough, RN, BSN, CPON Shonda Yocham, RN Christie Gatewood, RN, BSN Deana McLelland, RN Susan Zappa, RN, CPN Sarah Goodall, RN Trona Milano, RN, BSN, CCRN Leslie Zimpleman, RN, BSN Kim Gosdin, LVN Roberta Miller, RN, BSN Laurie Growald, RN Bethany Olinger, RN 25 2009 Nursing Annual Report Name: Angela Childers, RN Years at Cook Children’s: 1 Area of Expertise: Comprehensive medical care “Children are such a big part of our future, and getting a chance to be a small part of their tomorrow by helping them, makes working at Cook Children’s that much more wonderful.” nursing recognition Advanced Certifications Carin Adams, RN, BSN, CPN Karen Burnett, RN, CPN Angelique Donnelly, RN, CPN Kathy Alexander, RN, CNOR Beth Camacho, RN, BSN, CPN Michelle Dozier, RN, BSN, CPN Marinda Allender, RN, MSN, CPN Leigh Campbell, RN, CPN Jan Droke, RN, CDE Chelsea Anderson, RN, BSN, CNOR Cathleen Carter, RN, BSN, RNC Brad Dunn, RN, CCRN Patti Archilles, RN, BSN, CPN Dena Casey, RN, BSN, RNC Noelia Echols, RN, BSN, CPN LeAnn Ash, RN, BSN, CCRN Sophia Castro, RN, BSN, CPON Mary England, RN, CPUR, CLNC Ronnie Atchley, RN, CNOR Orlando Chapa, RN, MHA, CCRN Tiffany Epperson, RN, BSN, CPUR Cristina Ayala, RN, CPN Gabriela Chavez, RN, BSN, CPN Amarina Evans, RN, CEN Karen Backus, RN, BSN, CCRN Stephanie Church, RN, CPON Elizabeth Evans, RN, SANE-A Donna Baker, RN, RNC Teresa Clark, RN, BSN, MCHA, CPON Sharon Evans, RN, BSN, CPN Janet Baker, RN, BSN, CCRN Jana Cline, RN, RNC Laurie Fenton, RN, RNC Julie Bakke, RN, RNC Shelley Clonts, RN, BSN, CPN Shannon Flowers, RN, CPN Mary Balknap, RN, BSN, CPN Rebecca Colby, RN, CPUR Joan Ford, RN, CPN, CPUR Stacy Baller, RN, CPN Floyd Collins, RN, CCRN Dorene Foster, RN, BSN, CCRN Angela Barton, RN, CDE Megan Collins, RN, BSN, CPN Karen Frank, RN, CCM Carla Beard, RN, CCM Kathy Cook, RN, CCRN Keith Franklin, RN, BSN, CCRN Jodi Bell, RN, CCM Dinah Cooke, RN, CPN Deborah Fresch, RN, CCM, CPUR Linda Biron, RN, CPN Sandra Corbin, RN, CPN Dawn Galloway, RN, CPUR Diane Bonham, RN, IBCLC Leeann Cornelison, RN, CDE Heith Gammons, RN, BSN, CCRN Deborah Boudreaux, RN, BSN, CCRN Melissa Crable, RN, RNC Debra Gardiner, RN, CPN, CLNC Jeannie Bradley, RN, BSN, CPN Gayla Craig, RN, CPN Laura Garrett, RN, CPN Cam Brandt, RN, BSN, CPN, CEN Kristi Creed, RN, CNRN Karen Gartner, RN, BSN, CPON Mary Branum, RN, CEN Kim Crill, RN, CCRN Irene Gill, RN, CPN Kelli Brazzel, RN, BSN, CPN Rhonda Crowson, RN, BSN, CCRN Marilyn Godkin, RN, CPN Kay Breaux, RN, CPN Lisa Curiel, RN, CPN Kathleen Gordon, RN, BSN, CPON Ginger Brewer, RN, CCRN Shawn Dailey, RN, BSN, CPN Mariel Gotera, RN, CNOR Donna Brown, RN, CCRN Julie Dandridge, RN, CPN Barbara Greer, RN, MSN, NEA-BC Shetrelia Brown, RN, CPN Kathryn Davis, RN, CNOR Kathy Grieser, RN, CCRN Beth Browning, RN, RNC Natalie Deal, RN, BSN, CPN Stacey Groome, RN, BSN, CPN Holly Buchanan, RN, BSN, CNOR Araceli Desmarais, RN, RNC, SANE-A Laurie Growald, RN, CPN Cheryl Bullock, RN, CLNC Dawn Dewall, RN, BSN, CEN Jennifer Guenther, RN, BSN, RNC Caitlyn Burdock, RN, BSN, CPN Leigh Donahue, RN, CCRC Carolyn Guess, RN, BSN, CPN 27 2009 Nursing Annual Report Sharon Gunter, RN, CPN Melody Hackfeld, RN, RNC Ashleigh Haggard, RN, CPON Stacy Hall, RN, BSN, CPN Sherry Hamilton, RN, CPN Lynette Harless, RN, CCM, CLNC Sheralyn Hartline, RN, BSN, RNC Rosamarie Hatch, RN, CPUR Connie Headley, RN, BSN, RNC Donna Heine, RN, CPUR Janice Hennon, RN, CPN Gina Hernandez, RN, BSN, CPN Shelley Hernandez, RN, CCM Jennie Heym, RN, BSN, CPON Lori Hill, RN, BSN, RNC Susan Hillin, RN, BSN, RNC Bronwyn Holland, RN, CPN Ginelle King, RN, CPN Anne Mattern, RN, BSN, CNOR Diane Holman, RN, BSN, CPN James Kubecka, RN, BSN, CCRN Maureen Mayeux, RN, CPN Katherine Holstrom, RN, RNC Jamie Kuhn, RN, BSN, CPN Melinda McCullough, RN, CPON Andrea Horsch, RN, BSN, CPON Lisa LaCoe, RN, BSN, CIC Kami McCurdy, RN, BSN, CPN Barry Hudson, RN, BSN, CEN Kara Lanning, RN, BSN, CPN Nancy McEntire, RN, BSN, CEN Traci Huff, RN, CPN Alicia Layman, RN, CPON Michelle McMillan, RN, CDE Heather Hurford, RN, CPN Elizabeth Leeper, RN, BSN, CNOR Melinda Meacham, RN, CCRC Melissa Irving, RN, BSN, RNC Rosa Leos, RN, CNOR Rebecca Meester,; RN, CPN Diane Jackson, RN, CPN Sally Leppla, RN, CPN Trona Milano, RN, BSN, CCRN Paula Jackson, RN, RNC Jennifer Lipscomb-Rios, RN, BSN, CPUR Alma Milburn, RN, BSN, CPN Michelle Jimenez, RN, CPN Amy Locker, RN, BSN, CPN Roberta Miller, RN, BSN, CPN Frances Johnson, RN, CPN Becky Lowery, RN, BSN, CPN Theresa Miller, RN, RNC Cynthia Jones, RN, BSN, CPN Amelia Macalua, RN, RNC Bernyce Molenda, RN, BSN, CNOR Yvette Keenan, RN, BSN, CPN Rita Maddux-Potter, RN, CPN Maranda Molina, RN, BSN, CPON Bernadette Kelly, RN, SANE-A Amy Madsen, RN, BSN, CPN Cynthia Moore, RN, BSN, CPON Amy Key, RN, CPON Miriam Marshall, RN, RN-BC Scott Muchow, RN, CPN Gail King, RN, CPN, CPON Shirley Martin, RN, BSN, CPN Linda Muecke-Roark, RN, RNC 2009 Nursing Annual Report 28 nursing recognition Advanced Certifications (continued) Elizabeth Musser, RN, RNC Jerri Redding, RN, CPN Kerrie Sutton, RN, CPN Darla Nagel, RN, CPN Maryann Reed, RN, CNRN Tina Sutton, RN, BSN, CPN Catherine Neiswender, RN, BS, CPUR Sara Roderick, RN, CPN Renae Taggart, RN, RNC Vicki Nelms, RN, CPN Marsha Rogers, RN, CCRN Sharon Tatum, RN, CNOR Sharon Nelson, RN, CNN Sheila Rogers, RN, RNC Cheryl Thames, RN, CPN Brooke Nobles, RN, CPN Julie Rudd, RN, BSN, CNN Paula Thieme, RN, CDE Kathy Norman, RN, CPN Rosemarie Russ, RN, BSN, SANE-A Nancy Thurmon, RN, BSN, CPHQ Tamisha Northam, RN, BSN, CPN Jo Russell, RN, BSN, CPON Diane Todd, RN, CCM Regina O’Connor, RN, CPN Nancy Russell, RN, MS, CPN Toni Tucker, RN, BSN, RNC Lori Oelschlager, RN, CCM Erica Ramirez Salaiz, RN, CPN Sheila Unwin, RN, CPN Brenda Osborne, RN, CPN Carla Sams, RN, RNC Margaret Ostrom, RN, CPUR Deb Sapp, RN, CPN Heather Owen, RN, BSN, CPN, CPON Saskia Schroats, RN, CPN Carol Paek, RN, BSN, RNC Sara Scott, RN, CCRC Bridget Page, RN, COHN-S Claudia Sebastian, RN, CPN Jan Park, RN, CIC Theresa Seigler, RN, BSN, CPN Laurie Patterson, RN, CCRN Sherry Senevey, RN, MSN, CNAA, BC Terri Pearcy, RN, CPN Diana Shannon, RN, CCRN Cynthia Penland, RN, CPN Courtney Sheward, RN, CNOR Amy Peterson, RN, CPN Joanie Shreve, RN, CPN Cheryl Petersen, RN, MBA, CCRN Movetta Simonson, RN, CST Kristin Peterson, RN, CCM Sharon Smith, RN, MSN, CPN Fay Philpot, RN, BSN, RNC Tonya Sosebee, RN, BSN, CPN Lisa Pickens, RN, CPN Lisa Dawn St. Clair, RN, BSN, CPN Terri Pippin, RN, CPN Jennifer St. Peters, RN, BSN, CPN Narae Wilson, RN, BSN, CPN Sharon Pollard, RN, BSN, CPN Linda Stacy, RN, CPN Ulla-Britt Wilson, RN, BSN, CNOR Gary Potter, RN, CFRN Jeanie Stakes, RN, CNOR, RNFA Carol Wise, RN, CPN Janet Powers, RN, BSN, CPN Jennifer Stephen, RN, MSN, CPN Julie Withaeger, RN, MSN, RNC-NIC Cynthia Raines, RN, CPN Barbara Stewart, RN, BSN, CPN Rachel Witten, RN, CPN Judy Ramsey, RN, CPUR Catherine Stewart, RN, RNC Ronica Wright-Loewen, RN, CCRC Sharon Ransom, RN, MHA, CPN Glenna Stone, RN, CPN Patti Samarron, RN, RNC Shelley Read, RN, BSN, CPN Erin Sundberg, RN, BSN, CPN Susan Zappa, RN, CPN 29 2009 Nursing Annual Report Leslie Varnon, RN, CPN Linda Vaughan, RN, CCM Wendy Wadley, RN, CPN Lisa Wafer, RN, CPN Lisa Waggoner, RN, CNOR Miriam Waks-Grantham, RN, CPUR Candace Walker, RN, BSN, RNC Tony Wallace, RN, BSN, CPN Kathryn Walthall, RN, CPN Sally Ward, RN, CPN Nadine Waycaster, RN, BSN, CPN Paula Webb, RN, MSN, NEA-BC Cynessa Whaley, RN, CNOR Gena White, RN, BSN, CPN Tammy Williamson, RN, CNOR 2009 Cook Children’s Great 10 Nurses Linda Biron, RN, CPN Kathy Cook, RN, CCRN Julie Dandridge, RN, CPN Noelia Echols, RN, BSN, CPN 2009 Texas Nurses Association’s District Three and Four Great 100 Nurses 2008-2009 DAISY Award Winners Carin Adams, RN, BSN, CPN Linda Cumbie, RN, BSN Paula Webb, RN, MSN, NEA-BC Matt Williams, LVN Deb McGrew, RN Rachael Hancock, RN Stellena Giddings, LVN Sana Massad, RN, MSN Barry Hudson, RN, BSN, CEN Ollie Burke, RN Sandy Lopez, RN, BSN Travis Weilbacher, RN, BSN Anita Proctor, RN, BSN Cindy Pace, RN, BSN Sally Ward, RN, CPN JoAnn Bradden, RN Carol Wise, RN, CPN Linda Glenn, RN, BSN Loyd Stearman, RN, BSN In April 2009, Cook Children’s Chief Nursing Officer Paula J. Webb, RN, MSN, NEA-BC, (on left) and DAISY Foundation founders Mark and Bonnie Barnes (on right) recognized JoAnn Bradden, RN, with an honored DAISY Award. While visiting Cook Children’s, Mark Barnes could see the connection between the talented nurses he met in the halls with those who had cared for his son and were the inspiration for starting the DAISY Foundation. “Nurses so many times say, ‘I was just doing my job,’” said Barnes. “But what they do, means so much more than that to families.” 2009 Nursing Annual Report 30 our promise Knowing that every child’s life is sacred, it is the promise of Cook Children’s to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. Every Child: 2020 Every Child: 2020 is the “map” we follow to improve the health of every child in our region. Map points: 1. Enhance the child-and family-centered environment of care. 2. Expand access to health services. 3. Provide the highest quality of care and safety built upon evidence from clinical and health services research. 4. Foster the continued growth and development of great physicians, great leaders and great staff. 5. Capitalize upon our unique health care delivery system to better integrate processes, services and companies. 6. Enhance community-wide collaborations, coordinate health resources and information, to meet the region’s growing children’s health needs. www.cookchildrens.org 33 2009 Nursing Annual Report Cook Children’s values are: Safety, Integrity, Caring, Collaboration, Innovation, Giving
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