WE DID IT! BRIGHAM AND WOMEN’S FAULKNER HOSPITAL

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NEWS FOR AND ABOUTB W F H N U R S I N G S TA F FBWFHNURSEFA L L 2 0 1 9WE DID IT! BRIGHAM AND WOMEN’S FAULKNERHOSPITAL RECEIVES MAGNET RECOGNITIONBrigham and Women’s Faulkner Hospital has received Magnetrecognition from the American Nurses Credentialing Center.The hospital was also recognized with three exemplars.“I want to express my congratulations and gratitude for theindividual and collective efforts that went into our Magnet journeyover that past several years,” says Cori Loescher, MM, BSN, RN,NEA-BC, Chief Nursing Officer and Vice President of PatientCare Services.Brigham and Women’s Faulkner Hospital is now amongapproximately eight percent of hospitals in the country that haveachieved Magnet recognition and the 500th organization to reachthis milestone!The Magnet Recognition Program is viewed around the world as thegold standard of nursing excellence and high-quality patient caredelivered by an entire organization that leads to the highest levels ofsafety, quality and patient satisfaction. While Magnet designation isconsidered the gold standard for excellence in nursing practice andhealthcare delivery, the honor is bestowed upon the entire hospital,not just the Nursing Department.“I just want to say thank you all to our entire staff for your incrediblecommitment to helping us achieve Magnet recognition and for allyou do for our patients, their families and each other every day!”says Loescher.Chief Nursing Officer and Vice President of Patient Care Services Cori Loescher, MM, BSN, RN, NEA-BC, celebrates with the Magnet teamBWFH Nurse FALL 2019 1

ANNUAL AWARDS HIGHLIGHT THE DEPARTMENT OF NURSINGEach year, as part of its National NursesDuring the presentation, Amie Kandalaft,to three members of Brigham and Woman’sWeek celebration, Brigham and Women’sRN, from the Pain Management Center wasFaulkner Hospital’s Department of NursingFaulkner Hospital celebrates its nurses withpresented with the Mary Devane Awardin recognition of their clinical skills and toawards recognizing excellence in criticalby Mary Devane’s daughter. The awardsupport their continuing education in thethinking, commitment to patient teaching,was established in 1998 to be given to anynursing profession.continuing education and outstandingmember of Brigham and Woman’s Faulknerdelivery of patient- and family-centeredHospital Department of Nursing (RN, PCA,In addition, three new Nurse Recognitioncare with compassion and dignity. ThisUST, MHW, Secretary) in recognition of theirAwards were presented this year:year’s winners are just a few examples ofcommitment to delivering patient care withthe amazing work being done within thecompassion, kindness and humor.The Newly Licensed Nurse Award wasestablished this year and is given to a NewlyDepartment of Nursing on a daily basis.Faydene Small-Jones, MSN, MHA, RN, fromLicensed Nurse hired in the previous 12On hand at the Nurse Recognition Awardsthe Gregory Endoscopy Centre receivedmonths at Brigham and Woman’s Faulknerceremony was Chief Nursing Officer andthe Elaine Hazelton Memorial ScholarshipHospital in recognition of their personal andVice President of Patient Care Services CoriAward. Elaine Hazelton’s family establishedprofessional growth. The inaugural winner isLoescher, MM, BSN, RN, NEA-BC, whothis award in 2009 to be given to a nursePaulina Kuczynska, BSN, RN, from 7 North.thanked members of the Department ofwho demonstrates a dedication to BrighamNursing for the work they do to care for ourand Woman’s Faulkner Hospital withinThe Community Outreach Award waspatients and their families each and everythe practice and advance of nursing. Thisestablished this year and is given inday. “Honestly, the work that you do isrecipient should be continuing his or herrecognition of a unit-based team orexceptional,” she said.nursing education.committee that has positively impacted aTo this year’s Nurse Recognition AwardsMembers of the McAlarney family were onWomen’s Faulkner Hospital. The inauguralwinners who were nominated by their peers,hand to present their award to John Welch,winner is the ICU Unit Based Council.she said, “It truly is an honor to be chosenRN, also from the Gregory Endoscopyby your colleagues who recognize that theCentre. The Angela McAlarney Award wasThe Evidence-Based Practice Awardwork you do makes their practice special.”established in 2003 to be given to a memberwas established this year and is given ingroup or community outside of Brigham andof Brigham and Woman’s Faulkner Hospital’srecognition of a multidisciplinary unit-basedBrigham and Women’s Faulkner HospitalDepartment of Nursing in recognition ofteam or committee with a project thatPresident David O. McCready, MBA, MHA,excellence in patient and family education.contributes to evidence-based practice.also spoke, reflecting on his mother’s careerThe inaugural winner is the Gregoryas a hospice nurse. “It was emotionallyErin Kelleher, RN, also from the Gregorychallenging for her, but also very meaningfulEndoscopy Centre, Jestin Jose, BSN, RN,for her,” he said. “Seeing that forever sealedVA-BC, from the IV Therapy Team, andmy admiration for your profession. I am oneHannah Jackson, BSN, RN, from 2 Southof your biggest fans and I appreciate theall received Mrachek Awards. The Mrachekwork that you do every day.”Award was established in 1995 and is givenEndoscopy Centre.Published by BWFH’s Nursing Professional Recognition and Advancement Committee2 BWFH Nurse FALL 2019Tracy Lane, MSN, RN-BCEllen McCarthy, MSN, RN, du

M A RY D E VA N E AWA R DE L A I N E H A Z E LT O N M E M O R I A LS C H O L A R S H I P AWA R DA N G E L A M C A L A R N E Y AWA R DAmie Kandalaft, RNFaydene Small-Jones, MSN, MHA, RNJohn Welch, RNM R A C H E K AWA R DHannah Jackson, BSN, RNJestin Jose, BSN, RN, VA-BCN E W LY L I C E N S E D N U R S EAWA R DErin Kelleher, RNPaulina Kuczynska, BSN, RNC O M M U N I T Y O U T R E A C H AWA R DE V I D E N C E - B A S E D P R A C T I C E AWA R DICU Unit Based Council membersGregory Endoscopy Centre staffBWFH Nurse FALL 2019 3

UNIT BASED COUNCILS MEET FOR ANNUAL SPRING SUMMITSpring Unit Based Council Summit attendeesThis spring, Brigham and Women’s Faulkner Hospital’s DepartmentAfter lunch, Quality and Magnet Program Manager Tracy Lane,of Nursing brought together nurses from each unit for their annualMSN, RN-BC, gave an update on Brigham and Women’s FaulknerSpring Unit Based Council Summit. Attended by co-chairs fromHospital’s then ongoing quest for Magnet designation, focusing oneach of the Unit Based Councils and Nursing Shared Governancehow to prepare for the site visit, which was held in early July. ThenCommittees, the day provided the opportunity to share ideas andthe talk turned to individual unit updates on their clinical questionsbest practices. The topics for the day supported ongoing leadershipto round out the day.advancement for nurses under the American Nurses Associationleadership domains of “Leading the Way: Leading yourself, leadingBefore the close of the summit, participants had a chance to shareothers, leading the organization.”their feedback on their experience. “This is my first Unit BasedCouncil Summit. It was really educational from top to bottom,” saidThe day began with ice breakers and a welcome from Executive2 South staff nurse Hannah Jackson, BSN, RN. “I am really happy IDirector of Nursing Professional Development, Practice andcame.”Innovation Colleen West, DNP, MBA, RN, CPHQ, followed by anupdate on the Nursing Strategic Plan by Chief Nursing Officer andFor other nurses who have been to the Unit Based Council SummitVice President of Patient Care Services Cori Loescher, MM, BSN, RN,before, they were equally glad they attended. Outpatient InfusionNEA-BC. In her welcome, Loescher said, “This is one of my favoriteCenter Clinical Leader Ginny Grace, BSN, RN, said, “It’s amazingdays of the year. I get to hear about all of the amazing work you areto see how each unit’s projects are changing and how much moredoing on your units!”involved they are becoming. It gives me energy to go back to ourdepartment, rally the staff and get working on our projects.”Later, Helene Bowen-Brady, DNP, MEd, RN-BC, NEA-BC, gavea presentation on abstract writing followed by a presentationSimilarly, Program Manager for Informatics for Nursing/Patienttitled “Defining a Problem and Gaining Buy-In” by PerformanceCare Services Paula Wolski, MSN, RN-BC, reflected on how far theImprovement Manager Claire Massero, MS. Before breaking forDepartment of Nursing has come over the years. “I can rememberlunch, the group heard one more presentation titled “Narrowing thea time when we were at 50 percent capacity on a daily basis and weGaps Between Insulin Dosing and Glucose Point-of-Care Testing tohonestly thought the hospital was going to close,” she said. “ToImprove Glycemic Control” by clinical nurses Jessica Ollis, BSN, RN,see the changes that have taken place since then and the role thatand Kim Danna, RN.nursing has played in all of it makes me very w.youtube.com/user/faulknerhospital4 BWFH Nurse FALL 2019

BRIGHAM AND WOMEN’S FAULKNERHOSPITAL NURSES PRESENT POSTERSAT NURSING SYMPOSIUMEach year, the New England Nursing Informatics Consortium hosts a symposium focusedon “Trends in Clinical Informatics: A Nursing Perspective.” At this year’s event, the group’sBERMINGHAMPRESENTS ATAMERICAN SOCIETYOF PERIANESTHESIANURSES NATIONALCONFERENCE17th annual symposium titled “Nurses Transforming Healthcare Through Innovation,” twoBrigham and Women’s Faulkner Hospital nurses presented posters.Program Manager for Informatics for Nursing/Patient Care Services Paula Wolski, MSN,RN-BC, presented a poster titled “Use of an Audit Report to Improve Business ContinuityAccess Testing.” Pre-Op Holding Clinical Leader Diane Pessa, MSN, RN-BC, presented aposter titled “Use of Mobile Application to Improve Nursing Department Communication.”For both Wolski and Pessa, the opportunity to present their work among the 27 posterson display at the symposium was very rewarding. “It is always great to see what work isoccurring at other New England institutions that could perhaps be considered best practicesand be brought back to our hospital to be put into use,” says Wolski. “There was a lot ofinterest in Diane’s communication application poster and attendees that stopped by had alot of questions related to operationalizing this project.”Wolski’s poster also got a lot of feedback. “The project I presented actually resultedin Partners Enterprise interest in using the report across all areas that have downtimecomputers to ensure that every area is prepared in the event of a downtime,” she explains.“Overall, it is always nice to get positive feedback as well as suggestions for improvementon the projects we presented.”Anne Marie Bermingham, BSN,RN, presented her poster “BedsideHandoff Between the PeriAnesthesia Care Unit and MedicalSurgical Unit” at the AmericanSociety of PeriAnesthesia Nurses(ASPAN) 38th National Conferencein Nashville, Tennessee. The eventfeatured over 2,000 attendees, 178posters and 50 plus workshops.Bermingham’s evidence-basedpractice project was instituted perASPAN Standards of Care PracticeRecommendation on Safe Transferof Care and noting many rapidresponse activations (RRTs) on themedical-surgical unit. Bedsidehandoff at Brigham and Women’sFaulkner Hospital demonstrateda decrease in RRTs by 50 percentPre-Op Holding Clinical Leader Diane Pessa, MSN, RN-BC, and Program Manager forInformatics for Nursing/Patient Care Services Paula Wolski, MSN, RN-BCand allows a quick assessment ofthe patient with both the PACUand med-surg nurse to identify anyconcerns and immediately respondto those concerns.BWFH Nurse FALL 2019 5

BRIGHAM AND WOMEN’S FAULKNER HOSPITAL HOSTS“EVENING OF INQUIRY”Over the summer, Brigham and Women’s Faulkner Hospital hostedThe use of violet signs to signify a violent patient was implementedthe Greater Boston Chapter of the American Association of Criticalhospital-wide in August 2016 with great success. “The hospital’sCare Nurses Evening of Inquiry.OSHA reportable incident rate of assaults on nurses decreased,”says McCarthy. “Strategies for preventing nurses and otherThe event showcased two podium presentations and several postercaregivers from patient assaults are crucial in the hospital settingpresentations on topics related to research and evidence-basedand this is a simple and cost-effective strategy that can really work.”nursing practice affecting acute and critical-care nurses. Amongthe presenters were several from Brigham and Women’s FaulknerFor McCarthy, the opportunity to present her work to a roomHospital: ICU nurse Meaghan McCarthy, MSN, RN, presented onefull of her peers was quite special. “It was empowering to shareof the two podium presentations and presented the accompanyingthe successes of the project to a room full of nurses who wereposter. Pain Management Center Clinical Leader Kathy Armando,all working to make a difference, not only on their units, but inBSN, RN, and Pain Management Center nurses Laurie Flahive, BSN,healthcare,” she says.RN, and Amy Kandalaft, RN, had one of the poster presentations.Armando, Flahive and Kandalaft’s poster, titled “Educating PatientsMcCarthy’s project, titled “Implementation of Violet Signs forBefore Spinal Cord Stimulator (SCS) Trial,” aims to prove thatViolent Patients to Reduce the OSHA Reportable Incidence ofpatients who have a pre-trial education appointment with staff atAssaults on Nurses,” was co-authored with Quality and Magnetthe Pain Management Center come to their SCS trial with moreProgram Manager Tracy Lane, MSN, RN-BC. The two began theknowledge of the planned procedure and there has been a zeroproject when they both worked on 6 South. There, the nursescancelation rate since implementing this practice change. “We nowagreed to use violet signs on the doors of patients with a historyprovide patient education to all patients undergoing SCS trial,” saysof violent behavior, instead of standard white signs. Violet wasArmando of her poster’s outcome.chosen to align with the tag line “Violet for Violence” to alert nursesand other team members of patients with a potential for violentArmando says the experience of presenting a poster at the Greaterbehavior. McCarthy explains, “This non-verbal cue is used to notifyBoston Chapter of the American Association of Critical Care Nursesall staff at Brigham and Women’s Faulkner Hospital to be on higherEvening of Inquiry was very rewarding. “It was truly an awe-inspiringalert when entering a room.”night,” she says of the work that was shared.Meaghan McCarthy, MSN, RNLaurie Flahive, BSN, RN, Amy Kandalaft, RN, andKathy Armando, BSN, RN6 BWFH Nurse FALL 2019

7 NORTH STAFF NURSE RECEIVES DAISY AWARDThis spring, Brigham and Women’s Faulkner Hospital’s Department of Nursing honored 7 North staff nurseHeidi Duran, BSN, RN, with a DAISY Award.Duran was nominated by a grateful patientwho wrote in his nomination letter:The day after my second shoulder surgerywas the most painful day in my 46 years andthe only time a complete stranger became acherished friend in a matter of 8 hours. Thisstranger was my nurse Heidi Duran, whoI’ve since found out was working per diemon the 7 South floor. I am not very religious,but given that fact, somebody was certainlylooking out for me that day. That morning,Heidi was assigned a guy and his girlfriendwho weren’t prepared for a hospitalovernight stay, couldn’t find the right mixof medicines, couldn’t manage restroom7 North staff nurse Heidi Duran, BSN, RN, accepts her DAISY Awardneeds, were sick of dealing with a brokenshoulder for 6 weeks and were challengedDuran was presented with her DAISYwith a pinched elbow nerve. From the firstAward by members of nursing leadership,Brigham and Women’s Faulknergreeting, Heidi said, “I won’t give up untilmembers of the Nursing ProfessionalHospital DAISY nurses consistentlyI solve this. Don’t worry.” Amazing. It wasRecognition and Advancement Committeedemonstrate excellence through theirthe worst of days, but Heidi, often literally,and her supportive co-workers. “To brightenclinical expertise and extraordinarilyheld our hands through the whole ordeal.a moment in the life of a patient is thecompassionate care. They areShe was a teacher, a caretaker and a friend.reason for everything I do,” she says. “It is arecognized as outstanding roleAnd a complete rockstar. By the end, we allprivilege and an honor to call myself a nurse.models in our nursing communityagreed that she did exactly as she promisedThank you very much for this award, it is aand make a profound difference inshe would do. In her shift, she solved it all,tribute to all nurses everywhere!”the lives of their patients and theirand walked me through on the whiteboardfamily members. Patients, visitors,what was needed to proceed after she left.The DAISY Award, established by thenurses, physicians and employeesMy girlfriend and I were so sad to see herDAISY Foundation, is named in memorymay nominate a deserving nurse bygo, but thrilled to see on the Brigham andof J. Patrick Barnes who died at the agecompleting a nomination online atWomen’s Faulkner Hospital tv screen anof 33 from Idiopathic tunity to nominate her for the DAISYPurpura (ITP), an auto-immune disease. Theorg/about-us/general-information/Award. She made such an impact on us thatBarnes Family was inspired by the care thatNursing/DAISY.aspx.I can’t imagine how many more lives shePatrick received and established this uniqueimpacts each 8 hour shift. Thanks so muchprogram to recognize and thank the nursesto Heidi and thanks for your consideration ofnationwide who make a profound differenceher for this award!in the lives of their patients and families.To learn more about the DAISY Foundation,visit daisyfoundation.org.BWFH Nurse FALL 2019 7

CELEBRATING NURSES WEEK 2019!During this year’s Nurses Week, the Department of Nursing at Brigham and Women’sFaulkner Hospital took the time to celebrate the important role nurses play in healthcare.At Brigham and Women’s Faulkner Hospital, we are proud to support our nurses wellbeingand the instrumental role they play in caring for our patients and their families.As part of the celebration kickoff, Patricia Rabbett, MSN, RN, CCRN-K, and Mary AnneBarry, MBA, BSN, RN, from Brigham and Women’s Faulkner Hospital’s Nursing Awards andProfessional Recognition Committee handed out cake to nurses and other staff on the firstday of Nurses Week. Cake was also brought around to the units in the evening for thoseworking later shifts.Patricia Rabbett, MSN, RN, CCRN-K,and Mary Anne Barry, MBA, BSN, RNBoston, MA 021301153 Centre StreetBrigham and Women’s Faulkner Hospital8

NEA-BC, Chief Nursing Officer and Vice President of Patient Care Services. Brigham and Women’s Faulkner Hospital is now among approximately eight percent of hospitals in the country that have achieved Magnet recognition and the 500th organization to reach this milestone! The Magnet Recognition