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Frankford Hospital – FrankfordCelebrating Frankford NursesFrankford Avenue and Wakeling StreetPhiladelphia, PA 19124215-831-2000Frankford Hospital – TorresdaleKnights and Red Lion RoadsPhiladelphia, PA 19114215-612-4000Frankford Hospital – Bucks County380 North Oxford Valley RoadLanghorne, PA aphy: Robert NeroniJG 06-0496Frankford Hospitals’ Department of Nursing Annual Report 2005
The mission of Frankford Hospitals is to provideA Letter fromMary McAneney, RN, MSN, CNA,BCexceptional patient care and customer serviceto members of the communities served by theHospitals and recognize a patient’s rightto considerate and respectful care, regardlessof the ability to pay.Frankford Hospitals’ VisionTo be the premier, integrated health care deliverysystem serving Northeast Philadelphia, nearbyBucks and Montgomery Counties. Be recognizedfor high quality, commitment to service, and caringbehavior by all members of the hospital family.To be committed to constantly seek improvementsin service to our patients, our community, andto each other.To be the organization to which people,businesses, and insurers first turn to provide orarrange for health-related services.To be the standard by which hospital and otherhealth-related services are measured.Dear Nursing Colleagues:This has been a busy and exciting year for nursing at FrankfordHospitals’ three locations. To meet the needs of our growingpatient population, we have added additional beds to existinginpatient units and expanded our Emergency Department at theFrankford Campus, increased our telemetry beds at the BucksCounty Campus and opened a new patient care addition at theTorresdale Campus. In the coming year, we will open a CardiacCatheterization Laboratory at the Bucks County Campus,expand our operating room capacity at the Torresdale Campus,and further increase our bed capacity at the Frankford Campus.Frankford is an exciting, progressive institution and our nursesplay an important role in the continued success of our hospitals.This report highlights only a few of our many accomplishmentsover the past year. Our nurses have made an amazing impact onpatient safety and well-being for our elderly patients byincreasing compliance on pneumonia vaccine assessment from13% when nursing first assumed this responsibility, to over 91%in six short months.A small but dedicated group ofnurses and nursing educatorscompletely revised our fallprevention protocol and educated nursing and non-nursingpersonnel in the new process. We are carefully monitoring ourdata and expect to see an improvement based on their efforts.Our Wound Care Committee has recently completed a massiveeducational campaign at all three hospitals to improve the skillof our nurses in preventing and caring for pressure ulcers. Theydid an amazing job with their educational program andattendance overall exceeded 68%.We have also renewed our efforts to improve customer service.Each unit has chosen “One Thing” to focus on along withadopting a “Whatever It Takes” attitude towards doing the bestwe can for our patients and their families. The “One Thing”varies unit to unit, but all are focused on the needs of the patient.We are continuing on our Journey to Magnet and will submitour documents in 2006. Our nurses are dedicated, hardworking professionals who are worthy of Magnet designation.I am proud to work with nurses who display such a caring,committed and professional attitude. Thank you for makinga difference everyday for every patient and for supportingeach other.Mary McAneney, RN, MSN, CNA,BCChief Nursing OfficerVice President, Patient Care ServicesFrankford HospitalsFrankfor d Nur sing Annual Repor t 2005The Mission of Frankford Hospitals
Frankford Hospitals’ philosophy of nursing utilizesa holistic perspective in providing care, whichencompasses the physical and emotional responsesof the patient and family during their experiences withstress and coping. Our philosophy is based in largepart on the teachings of internationally recognizednursing theorist Patricia Benner, RN, PhD. We haveplaced important emphasis on “Primacy of Care”and “Novice to Expert Theory”, two of Dr. Benner’spublications that focus on patient care and the levelsof competency in nursing practice.Caring is a characteristic that permeates the NursingDepartment, and is evident in the quality care providedby our nursing staff. Caring means that persons, events,projects and things matter to people, and is a word for“being connected” within nursing practice. It fusesthought, feeling, action, knowing and being. All nursingpractice is underlined by respect for the inherent worth,dignity, and human rights of each individual. Nursing isviewed as a caring practice, whose science is rewardedby the moral art and ethics of care and responsibility.According to Benner’s theory, nurses progress throughmany stages of professional growth. The five levels ofproficiency are: novice, advanced beginner, competent,proficient and expert. On progression from novice toexpert, the nurse integrates the caring aspect with thetechnical aspect. The transition from novice to expert isfacilitated by support in knowledge and skill acquisition.Educational programs are provided to maintain nursingcompetency. Frankford acknowledges the movement through these various stages ofknowledge, skill and responsibility by recognizing the importance of clinical nursingcare, experience, continuing education, formal education, professional development,participation in hospital councils/committees, imparting of knowledge, peernetworking, mentoring, precepting and research. We also continually strive toprovide the tools that nurses need to succeed, and recognize and rewardprofessional certification.Professional Nursing CertificationFrankford Hospitals, in support of their mission to provideexceptional patient care, support the professional growthand development of its nurses. Frankford nurses are bothencouraged to pursue and rewarded for achieving nationalcertification.Certification serves as a mark of excellence, validatinga nurse’s specialty knowledge and clinical judgment.The process also demonstrates that they meet nationallyrecognized standards in their specialty. Through thedevelopment of specialty competence, nurses contributeto the delivery of safe and effective care of patients.Certification is a testimonial of their dedication to nursing,bringing greater accountability to the profession. Morethan 40% of Frankford’s nurses are certified in a specialtyarea. This percentage is well above the national average.The following nurses earnedtheir Specialty Certificationin 2005*:Nicole Gater, RN, BSN, CCRNMichael Caputo, RN, CCRNCharles Ortlip, RN, CENStephanie Provenzano, RN, CENDolores Mansfield, RN, CCRNDebbie Beaver, RN, BSN, CCRNAdrienne Lynch, RN, CCRNJoanne Rau, RN, NCCBarbara Lavin, RN, BSN, CCRNDiana Dominiano, RNC, BSNHeather Ackerman, RNC, BSNBarbara Kohler, RN, CNORSalud Smith-Mateescu,RN, BSN, CNORGita Sampat, RN, CNORLola Ann Morgan, RN, CCRNLisa Czekay, RN, BS, CCRNSusan O’Toole, RN, CSPANShannon DiMuzio, RN, CCRNAngeline Dougherty, RN, CCRNMichael F. Beshel, RN, BSN, CEN,CNA,BCLinda Grutzmacher,RN, BSN, CENDeena Paugh, RN, CCRNEleanor Hart-McIllhenny,RN, PCCNMargaret Knapp, RNCBeth Benn, RN, CENJill Lightkep, RNC, BSNNancy Fiske, RN, PCCNMichelle Fee, RNCElizabeth Lamelza, RNCCecilia Fox, RNC, BSNAngela Basile, RNCRivka Renee Terebelo, RNC, BSNTiffany Christensen, RN, CENMelissa Whitty, RNCCharles Hofmann, RN, BSN, CENSteve Kunz, RN, CENAlbert Jurowicz, RN, BSN, CCRNGail Lonergan, RN, CENSharon Clarke, RN, CEN* Certifications were awarded between July 1, 2004 and June 30, 2005.Frankfor d Nur sing Annual Repor t 2005Frankford Hospitals’ Nursing Philosophy
The clinical governance system is comprised of theCoordinating Council, which oversees the PerformanceImprovement Council, Resource Management andProfessional Development Council and the Clinical Practiceand Information Management Council.The Coordinating Council integrates the governancedecisions, recommendations and activities for all of thenursing councils. It serves as a clearinghouse for issuesbeing presented and disseminates them to the appropriatecouncil for action.The Clinical Practice and Information Management Councildefines the scope of practice of the registered professionalnurse and other nursing support staff at FrankfordHospitals. The Council develops, implements andmaintains standards of nursing care consistent withestablished professional standards. Policy developmentand revision takes into account evidence-based practice,as well as review and revision of our documentationmethods and information systems.Frankford Hospitals’ Department of Nursing supports theclinical governance structure to empower professionalnurses to collectively impact upon their own practice, aswell as their patients’ outcomes. The nurses’ clinicaldecision-making abilities are recognized and utilized in thework of the councils. The councils are composed of a varietyof members of the nursing department, including staffnurses, managers, administrators and educators.The Council also reviews and evaluates the adequacy ofinformation technology services to meet patient care needsand makes recommendations accordingly. Discussion,clarification and feedback regarding electronic and writtennursing documentation issues, as well as how they relateto other departments or disciplines, occurs in this group.Efforts and accomplishments of the Clinical Practice andInformation Council include: Development of the Patient Education Subcommittee Implementation of Krames On-Demand ElectronicPatient Education Materials “Smart Pump” Evaluation Session Computerized Wound Care Documentation “Falling Star” Patient Fall Prevention ProgramThe Resource Management and Professional DevelopmentCouncil participates in the development of recruitment,recognition, retention and educational programs fornursing. Material and human resources necessary tomeet patient care standards are also evaluated. The Councilreceives pertinent information through liaisons from avariety of sources, such as the Hospital ProductsStandardization Committee and the Human ResourcesDepartment.This Council also assisted with many initiatives in the pastyear including: Professional Nursing Recognition Program (PNRP)Going the Extra Mile (GEM) ProgramTuition ReimbursementParticipation in Recruitment at the Frankford HospitalSchool of Nursing Condolence Policy RevisionThe Performance Improvement Council monitors theappropriateness and effectiveness of nursing care byevaluating patient outcomes. This is achieved throughthe development and initiation of unit-based performanceimprovement projects, as well as coordinating compliancewith hospital-wide and system-wide data collectioninitiatives. Unit-based report cards are used tocommunicate unit specific results to staff.This data is used to evaluate our compliance withestablished standards of care and to promote innovativechanges to implement best practices. This Counciloversees both the Wound Care Committee and theResearch Committee and has helped steer the efforts listedbelow: Report Card Wound Care Safety StarsThe Research Committee fosters the development ofevidence-based nursing research at Frankford Hospitalby promoting education regarding the research process,allocating appropriate resources, collaborating to identifycontemporary practice issues for study and ensuring theprotection of human subjects. They develop, implementand monitor ongoing research and recommend bestpractices to improve patient outcomes based on nursingresearch findings, including: Research Lecture Series Research Protocols Related to:- Asthma Patient and Provider Expectations- Ventilator Associated Pneumonia (VAP)- Triage of Sexual Assault Victims- Second Stage Labor Research Consultation ServicesThe Wound Care Committee is comprised of staff nursesfrom each nursing unit, who guide practice and promotea consistent and cohesive approach to wound care, aswell as pressure ulcer prevention, using evidence-basedpractice. The staff nurses have developed, in conjunctionwith information management, a systematic computerizedwound care flow sheet to assist in accurate and consistentskin assessment and documentation. The staff has alsodeveloped and implemented standard protocols,supported by national guidelines, which are employedby the professional nurse to treat the various stages ofwound development and pressure ulcer prevention.Highlights of these efforts over the past year include: Development and Implementation of a Wound CareComputer Screen Quarterly Prevalence Studies Hill-Rom Partnership Nurse Education on Wound Care Protocolsand DocumentationFrankfor d Nur sing Annual Repor t 2005Nursing Clinical Governance
Frankfor d Nur sing Annual Repor t 2005Positive Patient OutcomesLooking AheadFrankford nurses’ dedication to“providing exceptional patientcare” is evident in our positivepatient outcomes.Our nurses exemplify a“Whatever It Takes” attitude topromote patient satisfaction andquality care. In alignment with our missionto “provide exceptional patient care”, theycontinually seek methods to improve patientoutcomes and promote patient satisfaction.In-Patient Satisfaction ScoresPercentile*Magnet Recognition1008060Two examples of nursing outcomes that arepositively impacted by Frankford nurses arepatient falls and pneumoccocal vaccinationscreening.40200Third Quarter2004Reduction of patient falls is a nursing priority.Although our fall rate is trending below thenational average, nurses strive to developmethods to continually improve safety, suchas the “Falling Star” Fall Prevention Program.In addition, the development andimplementation of a nurse-driven protocolto screen for patients who fit the criteria toreceive the pneumoccocal vaccination, hasled to a dramatic improvement in compliance.Fourth Quarter2004First Quarter2005Second Quarter2005*NY-NJ-PA/200-400 bed hospital groupFalls Per 1000 Patient Days543210Third Quarter2004Fourth Quarter2004First Quarter2005Second Quarter2005Pneumoccocal VaccinationPercentile100Frankford Hospital ispursuing Magnet Recognition status. This honor, awardedby the American Nurses’ Credentialing Center, identifies,recognizes and rewards excellence in clinical nursingpractice. Just as the individual certification of theprofessional nurse serves as a hallmark of excellence andvalidation of their clinical judgment, the MagnetRecognition status recognizes an organization’s excellencein the delivery of nursing services to their patients.Frankford Magnet Champions are the liaisons to theirnursing units. They assist in disseminating informationabout the Magnet Journey to their colleagues by gleaningevidence that exemplifies our professional workenvironment, our exemplary nurses and our superiorpatient outcomes. The Champions are dedicated to servingas advocates for their colleagues and in the recognition oftheir excellence by assisting in the achievement of MagnetRecognition status.Continually Improving Nursing Practice Staffing FlexibilityIntegration of on-line BidShift program through whichnurses can select available shifts at any of the threehospital campuses Healthy Work EnvironmentAddition of “Lift Team” and assistive equipment toprevent injury to staff while moving patients Patient SafetyImplementation of Smart Pump technology to provideincreased safety in intravenous medicationadministration CollaborationFormation of interdisciplinary teams coordinating effortson projects such as Chest Pain Center Accreditation anddevelopment of Rapid Response Team to provideexpedient care for unstable patients and decreasemortality AutonomyDevelopment of nursing protocols to decrease Door-toAspirin administration time for patients suspected ofhaving an acute myocardial infarction (MI) and Door-toAntibiotic time in patients with suspected pneumonia806040200Third Quarter2004Fourth Quarter2004First Quarter2005Second Quarter2005
Professional Nurse Recognition Program (PNRP)“Two surgical residents came out to the EmergencyDepartment waiting room and told me that my husband’sspleen had burst, that his blood pressure was 30/20 andthat he needed emergency surgery. The indication at thattime was that he wasn’t going to make it,” Kathy Larkinrecalled recently. Her husband, Frank, did make it. The69-year-old Yardley resident has since almost fully recoveredfrom the harrowing experience that kept him in the IntensiveCare Unit (ICU) at Frankford Hospitals’ Bucks CountyCampus for over two weeks in early April 2004.“I was just walking the dog when he spotted one of ourcats and took off. The next thing I knew I had fallen andwound up breaking 5 ribs,” said Mr. Larkin. It wasn’t untilseveral days later, in his primary care doctor’s office, thatFrank passed out. Little did they know that he was slowlybleeding to death. At Frankford Hospital – Bucks Countythey discovered the source of the bleeding, a severelydamaged spleen.“With such a long hospital stay, you really get to knowpeople. The nurses at Frankford – Bucks were terrific.I am just in awe of people who do this kind of work.Thank God for them,” said Mrs. Larkin.To show their appreciation for the nursing care theyreceived the Larkins recently pledged 15,000 to assistFrankford Hospitals in launching the Professional NurseRecognition Program. This initiative will providefinancial awards to nurses who reach various levelsof competency through clinical projects, continuingeducation and experience.Nurses practice in a variety of settings withinFrankford Hospital. Just as the geographiclocations vary between the three campuses,the patient populations are diverse in manyways. Frankford nurses adapt their skills toprovide current, evidence-based care to promotethe best patient outcomes.Frank Larkin, Kathy Larkin and their dog Shadow“This program is important on so many levels. It’s aboutrecognizing our nurses appropriately while at the sametime encouraging them to commit themselves to lifelongprofessional growth,” said Mike Beshel, Director ofNursing Operations. Beshel continued, “Exceptionalnursing care has long been a hallmark of FrankfordHospitals. This program will assist in continuing thatlegacy.”“I think nurses, especially ICU nurses, aren’t recognizedenough. This contribution is our small way of thankingthem for what they do,” said Mrs. Larkin. Mr. Larkinadded, “We are very grateful. Ever since this experienceI tell everyone that Frankford – Bucks is the place to gofor excellent care!”Frank and Kathy Larkin’s gift is one example of howordinary people can make an extraordinary difference!At Frankford, the bedside nurse’s roles extendbeyond the bedside care of patients. Many nursesare involved in our clinical governance modelthat shapes our practice, as well as in researchto determine what is evidence-based practice.Others are involved in education and supportprograms that extend beyond the bedside toprovide additional support for our patients.Some nurses are also involved in the communitythrough health care education or promotion ofthe nursing profession.The Resource Management and ProfessionalDevelopment Council developed ProfessionalNurse Recognition Program (PNRP) to recognizestaff nurses and their contributions at the bedsideand beyond. Their dedication to fulfilling theneeds of patients, their colleagues and thecommunity demonstrates how they expertlyincorporate “many roles” into the “oneprofession” of nursing!Professional Nurse Recognition RecipientsJusta M. Giambrone, RN – Level IIStacy L. Keen, RN – Level IICathleen Lopez, RN, CCRN – Level IIBarbara Burch, RN, CNOR – Level IIIBruce Boxer, RN, MA, PhD – Level IIIRachel Derr, RNC, BSN – Level IIISandra L. Gallina, RNC – Level IIIJohn Groh, RN, CCRN – Level IIIMary Jo Marino–Hertzog, RN, CAPA – Level IIIAnita Mohn–Hamilton, RN, CEN – Level IIILaurie Pinto, RNC – Level IIIKaren Schneider, RN, CNOR – Level IIIEllen M. Taylor, RNC, CCE, IBCLC, CD – Level IIILisa Turco, RN, C, CPCE – Level IIIChristine McKeever, RN, BSN, CPAN – Level IVKaren Schneider, RN, CNOR – Level IIICynthia Rizzo, RN, BSN, CCRN – Level IVMargaret Lowenthal, RN, MSN, CCRN – Level VM. Sue McMullen, RN, MSN, CCRN – Level IVCynthia DiChiara, RN, BSN, CCRN – Level IVNoreen Quinn, RN, BC, BSN – Level IVCarolyn McGonagle, RN, BSN, CCRN – Level IVNancy L. Larkins, RN, MSN, CCRN – Level VFrankfor d Nur sing Annual Repor t 2005The Larkins’ Story
2005 Nursing Award RecipientsFrankford Hospitals recognize their employees for promoting exceptionalpatient care and customer service. Many employees from the Department ofNursing have been recognized as CarePLUS Employees.*CARE is an acronym for: Courtesy, A Positive Attitude, Respect, EnthusiasmPLUS stands for attention paid to patient/physician satisfaction and cost savings.Charles Burgess, OrderlyDesiree Carter, CNADeborah Clark, RN, CENCynthia DiChiara, RN, BSN, CCRNRecognition ofExcellenceThe Promise of Nursing inPennsylvania GalaSponsored by Johnson and Johnson, The Promise ofNursing in Pennsylvania Gala was held on March 2, 2005.Mary McAneney, RN, MSN, CNA,BC, Vice President ofPatient Care Services, was a member of the SteeringCommittee to plan this event which raised funds torecruit new people into the nursing profession, as wellas provide scholarship opportunities. Frankfordsponsored a table and nurses from the three HospitalCampuses were in attendance.Clinical Nurse Excellence Awards 2005Frankford Campus Clinical Excellence Award Recipients:Lola Morgan (ICU), Donna Lamon (5W), Lynne Booz (ER),Martha Lynch (4E), Joanne Hartigan (5E), Cris McCrosson(Home Health), Jennifer Wilson (4W), and Margaret Moran(OR/PACU/SPU)Torresdale Campus Clinical Excellence Award Recipients:Karen Bramble (Float/Pool), Mini Saju (4B), Nancy Fiske (4A),Barbara Lavin (ICU), Veronica Walsh (Endo), Patricia Carrozza(PACU), Judy Cassidy (OR), Nancy Larkins (3C), GertrudeMeehan (EPS), Lisa Check (Cath Lab), Karen Kemp (3B),Margaret McMenamin (3A), Christina Harkins (NICU),Lorraine Peden (LDRP), Patricia Hrabyk (2B), Ann MarieSchlupp (2A), Beth Stratton (SPU), Nan Egan (SPU OR),Barbara Young (ER), and Joanne Trivelis (OBS)Martha Lynch, RNKaren Lee-Lucas, RNC, BSNBrian Mort, OrderlyLidia Pietrzyk, RNCNursing, 2004 CARE Employee of the YearBucks County Campus Clinical Excellence Award Recipients:Ruth Brown (ICU), Leena Joseph (2 North), Salud Matteescu-The Nursing Spectrum GalaFrankford Hospitals’ nurses were also honored at the2005 Nursing Spectrum Gala. Frankford had fivefinalists in the following categories:Joanne Romano, RNColleen Sagias, RNGeralyn Sincavage, RNLinda Smith, RN* Awards were received between July 1, 2004 and June 30, 2005.Leadership: Michael F. Beshel, RN, BSN, CEN, CNA,BCTeaching: Cathy Markey, RN, BSN, CEN, CCRNAdvancing the Profession: Lori Jones-Flak, RN, CCRNAdvancing the Profession: Clare Marie Tack, RN, MSN, CCRNClinical Care: Cindy Rizzo, RN, BSN, CCRNSmith (OR/PACU), Denise Dion (1 South), and DianaZimmerman (Tele)Not pictured are Sebastian Alappattu (ER), and Jean Eisler (1N)
Nursing at Frankford: As Far as You Need to Go!Nursing at Frankfordw w w. F r a n k f o r d H o s p i t a l s . o r gAs far as you need to go.Nursing at Frankfordw w w. F r a n k f o r d H o s p i t a l s . o r gAs far as you need to go.Frankford Hospital – FrankfordFrankford Avenue and Wakeling StreetPhiladelphia, PA 19124In celebration of the Department of Nursing’s contributions to the fulfillment of our215-831-2000Hospital mission, nurses from Frankford’s three locations have been featured in twoFrankford Hospital – Torresdalebillboard advertisements located on I-95 in Northeast Philadelphia. TheseKnights and Red Lion RoadsPhiladelphia, PA 19114advertisements have been part of Frankford’s outdoor advertising campaign which215-612-4000has featured various Hospital services and programs.Frankford Hospital – Bucks County380 North Oxford Valley RoadLanghorne, PA 19047215-949-5000www.FrankfordHospitals.org
Frankford Hospitals' Department of Nursing Annual Report 2005 Frankford Hospital - Frankford Frankford Avenue and Wakeling Street Philadelphia, PA 19124 215-831-2000 Frankford Hospital - Torresdale Knights and Red Lion Roads Philadelphia, PA 19114 215-612-4000 Frankford Hospital - Bucks County 380 North Oxford Valley Road Langhorne, PA .
