INOVA 2019 NURSING REPORT

Letter from the Chief Nurse Executive

Leading Through Change

It is a great privilege to share ’s 2019 Nursing Annual Report, which highlights innovations and advancements in nursing practice, research and outcomes across our health system.

2019 was a year of unprecedented success for Inova Nursing. We built on our strong foundation of professional practice to achieve even greater levels of patient care excellence. Inova was the only large health system in the nation with every hospital rated five stars by the Centers for Medicare & Medicaid Services, and all five hospitals also earned a Leapfrog Hospital Safety Grade of A—the highest possible ranking in the D.C. metro area and nationwide. None of which would be possible without the dedication and commitment of our highly specialized nursing team. Nurses are key partners in Inova’s new triad leadership structure, working with physicians and administrators to advance our mission and create a seamless, high-reliability system of care.

And now, amid a global pandemic—unlike anything we’ve ever experienced before—I am more confident than ever of our ability to thrive regardless of the challenges we face. Our nurses are innovative problem- solvers who remain compassionate care partners for all patients who walk through our doors. They exemplify our mission to provide world-class healthcare—every time, every touch—to each person we have the privilege to serve. I have even greater clarity on what that privilege means during such challenging times.

I know that the future is bright for nursing at Inova as we continue to learn, grow, excel, lead and innovate. Our journey is just beginning and I’m excited to see where it takes us. Meanwhile, I offer a heartfelt thank you to Inova’s 5,000+ dedicated nurses for the exceptional work they do on behalf of our patients every day, especially during these unprecedented times.

I’m proud to be an Inova nurse.

Sincerely,

Maureen E. Sintich, DNP, MBA, RN, WHNP-BC, NEA-BC Chief Nurse Executive Inova Health System

2019 NURSING REPORT I INOVA 3 Table of Contents

2 Inova Mission, Vision, Values 3 Welcome letter 5 Inova Nursing Professional Practice Model 6 Inova Nursing Purpose and Aspiration 7 Inova Nursing Strategic Plan 8 Inova Nursing at a Glance 9 Inova Chief Nursing Officers 10 Inova Alexandria Hospital 16 Inova Fairfax Hospital 30 Inova Fair Oaks Hospital 36 Inova Loudoun Hospital 44 Inova Hospital 50 Inova Medical Group 52 Inova System Office

4 INOVA I NURSING REPORT 2019 Inova’s Nursing Professional Practice Model

2019 NURSING REPORT I INOVA 5 Inova Nursing Purpose At Inova, our nursing practice is grounded in connection, Inova’s Nursing caring, compassion, and Aspiration and Purpose excellence through innovation, and the best evidence, in service to our patients, their families, our communities, and each other.

Inova Nursing Aspiration Inova nurses are the most trusted nurses in the nation.

IFOH NRP Escape Room builders team, Left to Right: Laura McNicholl, MS, RN, RN-BC, CCNS; Inga Rollins, BSN, RN, MPH, NPD-BC, CPN; Priscilla Trewertha, BSN, RN

6 INOVA I NURSING REPORT 2019 Inova Nursing Strategic Plan 2018 – 2020

GOAL 1: Stabilize and Enhance the Nurse Practice Environment

1A. Establish a multi-faceted approach to bi-directional communication between nurses. Including Shared Decision Making Framework 1B. Implement Unit Based Staffing/Scheduling Committees 1C. Evaluate Existing Shared Decision Making Structures (system, hospital and unit) 1D. Re-evaluate Professional Practice Model 1E. Implement Peer Feedback Process across all nursing positions 1F. Continue to Pursue BSN by 2020 1G. Continue to support national board certification 1H. Implement Nurse Residency Program across all Hospitals 1I. Develop and implement Advanced Practice Provider residency program

GOAL 2: Develop Current and Future Leaders

2A. Expand opportunities for Interprofessional Collaboration 2B. Develop formal Succession Planning Program for aspiring and current nurse leaders 2C. Expand RNUS education and mentoring program 2D. Develop formal leadership mentoring program for existing and aspiring nurse leaders at all levels

GOAL 3: Achieve Top Decile Performance in All We Do

3A. Ensure that Care Delivery Model is supported by Professional Practice Model. 3B. Set Nurse Engagement targets to exceed benchmark based upon Magnet criteria in advance of document submission 3C. Meet or exceed all Quality Goals

GOAL 4: Eliminate Waste

4A. Identify workflow/top of license challenges in model of care for all members of the care team 4B. Implement identified changes to ensure top of license

*All above goals are consistent with maintaining and achieving Magnet status throughout all facilities

2019 NURSING REPORT I INOVA 7 Inova Nursing at a Glance 2019

5 Hospitals 27 Community Clinics 136 Primary and Specialty Care Practices 14 Rehab Centers 18,685 1,800+ Employees Licensed beds $1,066,899 5,742 for scholarships and continuing education programs hosted at Inova in 2019 through generous philanthropic support Registered Nurses $76,857 Raised by Inova nurses for community outreach and 84.5% BSN+ in 2019 organizations like March of Dimes, American Heart Association, and American Cancer Society

582 Nurses participating in ADVANCE 131 new RN3s Facility RN3 RN4 Total 167 new RN4s IAH 29 22 51 IFMC 163 215 378 IFOH 67 39 106 42 88 130 New ADVANCE ILH IMVH 38 24 62 promotions 298 System Total 339 388 727

New Nursing 34 Daisy Award Winners 265 Degrees: 4 New DNPs, 230 New BSNs 145 Nursing Excellence Trained in New MSNs, New MSN-NP 36 Award Winners 29 1 Healing Touch 1 New MSHI Nurses contributed to research, quality 37.1% 1,118 improvement or EBP publications or presentations 407 with Specialty New Certifications Certification

8 INOVA I NURSING REPORT 2019 2019 Inova Chief Nursing Officers

Left to right:

Patricia E. Hill, MSN, RN, NEA-BC, CENP Marissa B. Jamarik DNP, RN, NEA-BC Fadia Feghali, MS, BSN, RN, NE-BC VP, Chief Nursing Officer VP, Nursing, VP, Nursing, Inova Fairfax Medical Campus Inova Heart and Vascular Service Line Inova Neurosciences Service Line Chief Nursing Officer Chief Nursing Officer Deborah Fulbrook, EdM, MHS, BSN, RN, Inova Loudoun Hospital Inova Alexandria Hospital NEA-BC VP, Nursing, Musculoskeletal Service Line Maureen E. Sintich, DNP, MBA, RN, Nancy J. Loeffler, MHA, BSN, ACM, Chief Nursing Officer WHNP-BC, NEA-BC CCM Inova Fair Oaks Hospital EVP, Chief Nursing Executive VP, Chief Nursing Officer Inova Health System Inova Physician Enterprise Alquietta Brown, PhD, MHSA, BSN, RN, NEA-BC Marguerite Swietlik, DNP, NEA-BC, VP, Chief Nursing Officer RN-BC, CPHIMS Inova Mount Vernon Hospital VP, Chief Nursing Informatics Officer Inova Health System

2019 NURSING REPORT I INOVA 9 Inova Alexandria Hospital

Magnet® Components Inova Alexandria’s CNO, senior directors and clinical directors are advocates for their own teams, many of Transformational Leadership whom are active participants in career coaching, mentoring Promoting a culture that embraces transformational and succession planning. Change is a constant within the leadership begins with a transformational chief nursing healthcare industry. Inova Alexandria Hospital’s nursing officer who creates a safe environment for her team. leadership exemplifies leading with a clear mission, vision, Inova Alexandria Hospital’s chief nursing officer (CNO), values and strategic plan that aligns with the organization’s Fadia Feghali, MS, BSN, RN, NE-BC communicates priorities. a clear vision to her team that focuses on prioritizing and rewarding staff development as well as patient Structural Empowerment outcomes. Results from the National Database of Inova Alexandria Hospital is continually evolving in Nursing Quality Indicators (NDNQI) nurse satisfaction structural empowerment. Along with all Inova hospitals, survey in 2019 demonstrated scores well beyond the Inova Alexandria Hospital participated in a Nursing Shared mean for the questions pertaining to CNO visibility Governance study to evaluate our internal degree of shared and accessibility, as well as equivalent power and governance. Results from this study will help us improve authority to other top-level hospital executives. Feghali and strengthen our Shared Governance decision-making is the biggest advocate for nursing at Inova Alexandria structures and processes. In 2019, the Strategic Nursing Hospital (IAH). She promotes nursing evidence-based Initiative Group, commonly known as the “SING” group, practice (EBP) and has supported numerous EBP projects restructured the Shared Governance meeting design. among her other contributions to nursing practice. The most notable change to the hospital’s nursing

10 INOVA I NURSING REPORT 2019 Inova Alexandria Hospital is proud to have a culture that promotes safety, high-quality care and continual quality improvement.

Shared Governance model was the transition to an all-day Exemplary Professional Practice Shared Governance monthly event. As part of the monthly Inova Alexandria Hospital is proud to have a culture that meeting, individual units meet in their respective clinical promotes safety, high-quality care and continual quality practice council (CPC) groups followed by a hospital-wide improvement. We achieve this through collaboration with Shared Governance meeting that includes the chairs and all disciplines, both within the hospital walls and beyond. co-chairs of all CPCs. Within the hospital-wide Shared Nurses analyze data submitted to externally managed Governance meeting, breakout sessions focus on various databases including NDNQI, Press Ganey, Vermont Oxford areas of nursing interest. and others in order to benchmark outcomes and make Supporting nurses’ professional development is an sustainable improvements. One example of a nursing best important aspect of structural empowerment. In Inova practice that Inova Alexandria Hospital has embraced is the Alexandria Hospital’s 2019 NDNQI survey, “professional Patient and Family Advisory Council (PFAC). Partnerships development opportunity” and “professional development with patients and families resulting from work within the access” were two of the highest performing measures PFAC have driven efforts to focus on patient-centered care relative to the national NDNQI mean. A dedicated and and have promoted interprofessional collaborative practice. robust nursing professional development team, both An example that highlights how nurses participate within Inova Alexandria Hospital and throughout Inova, with an interprofessional team to achieve exemplary contribute to the development opportunities nurses at Inova professional practice is a recent effort in the operating Alexandria Hospital value. room to demonstrate a safe and thorough time out prior Inova provides a nursing residency program supported to a procedure. One of Inova Alexandria Hospital’s nurse by Vizient. In 2019, 50 new nurses completed the residency. residents sought to empower new team members to

2019 Nursing Research and EBP Symposium, Left to Right: Olivia Hwang, BSN, RN; Emily Hagedorn, BSN, RN, CCRN; Fadia Feghali, MS, BSN, RN, NE-BC; Y-nhi Nguyen, BSN, RN, CEN, CCRN; Erin Reynolds BSN, RN, CCRN, CNML

2019 NURSING REPORT I INOVA 11 adhere to a proper and regimented nursing practice and also focused on and supplement active learning. This time out. She worked with the workflow improvements to improve is an example of nursing innovation in perioperative clinical mentor, physician efficiencies in care. Nurse resident action at Inova Alexandria Hospital. and nursing leadership, and media perspectives are particularly helpful in services to create and disseminate identifying improvement opportunities, a best practice video. Empowering because new staff bring an objective Awards and nurses across all levels to act on best perspective. Recognition practice recommendations is a central For example, after reviewing the tenet of nursing practice at Inova Nursing Excellence Awards August 2019 Hospital Consumer Alexandria Hospital. Melissa Bauer, BSN, RN – Assessment of Healthcare Providers Exemplary Professional Practice and Systems (HCAHPS) scores Mary Elizabeth Clouse, BSN, RN – for a medical-surgical unit at Inova New Knowledge and Rising Star Alexandria Hospital, nurses identified Y-Nhi Nguyen, BSN, RN – Innovation an opportunity to improve the New Knowledge, Innovation and Inova Alexandria Hospital supports way staff explains to patients what Improvement nursing research and EBP medications are used for and their Sarah Rose, BSN, RN, CMSRN – implementation in numerous ways. possible side effects. A group of Structural Empowerment Each month, the Inova Alexandria nursing residents sought to improve Suh Yang, BSN, RN – Hospital nursing team facilitates HCAHPS scores by using medication Exemplary Professional Practice a research and EBP meeting. All education stickers applied to the Robbin Young, MSN, RN, NEA-BC – nurses are welcome to attend reusable patient water bottles. After Transformational Leadership partnering with the hospital pharmacy, these meetings, and those seeking Cultural Leader of the Month publication or presentation of research medication stickers for the most Jasmine James, BSN, RN or EBP are required to attend. The commonly prescribed medications Vizient nurse residency program is were created and disseminated DAISY Awards another venue for nurses to practice to the unit. To supplement routine Victoria Jia, BSN, RN their research and EBP skills. As part medication education provided by Charity James, BSN, RN of the nurse residency program, all the nursing staff, stickers were placed Keylin Mejia, BSN, RN new graduate nurses work on an on patients’ drink containers. This First Place for EBP Poster EBP project within a small group to change resulted in a remarkable at Inova’s Nursing Research guide best practice within the hospital. improvement in HCAHPS scores. and Evidence-Based Practice Nurse resident EBP projects are not Scores improved on the two questions Symposium prescribed to the residents. Rather, related to medication education 23rd Emily Hagedorn, BSN, RN, CCRN they are guided by the resident’s and 4th percentile to the 97th and own interest and identified needs. 45th percentile, respectively, in only Health Quality Innovators Resident EBP projects at IAH have one month. The nursing team found Courtney-Sue Santora, BSN, RN, included technology implementation these stickers to be an effective RN-BC to enhance patient experience and method to drive mediation education

12 INOVA I NURSING REPORT 2019 HCAHPS scores on two medication related questions improved from the 23rd and 4th percentile to the 97th and 45th percentile, in only one month after nurses found a creative way to explain medication usage to their patients.

Nursing Stars Unit Recognition Annual Congress. Atlanta, GA, 25, 2019; NAON Review Course for Unit 21 – Medical May 18 – 21, 2019. Certification. Birmingham, AL, Unit 26 – Twig Surgical Center Down and Dirty Labs and Feb. 2, 2019; NAON Review Course Unit 27 – CVNICU Hypertension in Pregnancy [Poster] for Certification. Falls Church, VA, Unit 28 – Twig Ruth Cerullo, RNC-OB, C-EFM, Feb. 15, 2019; NAON Review Course RN4. AWHONN Morbidity Mortality for Certification. Lake City, FL, Presentations Conference. Silver Spring, MD, Aug. 1, 2019. April 1, 2019. A Caring Start to Professional Practice: Peanut Ball for Laboring Women Using Intentional Caring Behaviors Inova Critical Care Symposium [Poster] Throughout New Graduate Nurse Panel on Managing Patients in ICU Erin Andrew, MS, RN3, CNL, C-CEFM. Onboarding [Podium] who Are Experiencing Delirium AWHONN Regional Conference. Silver Jennifer Drake, DNP, RN, NPD-BC, [Panel Moderator] Spring, MD, April 1, 2019. ONC, Caritas Coach. 40th Annual Mary Elizabeth Clouse, BSN, RN. International Association for Human Inova Critical Care Symposium. The Future is Here! Using Technology Caring Conference. Greenville, SC, Falls Church, VA, Oct. 18, 2019. to Onboard Millennials and May 30 – June 2, 2019. Generation Z [Poster] National Association of Orthopaedic Caring for Your New Nurses: Using Emily Hagedorn, BSN, RN, CCRN; Nursing Review Course for Human Caring to Onboard Your New Ashley Rosteck, BSN, RN. Certification [Podium] Nurses [Podium] Inova Nursing Research and Evidence- Jennifer Drake, DNP, RN, NPD-BC, Jennifer Drake, DNP, RN, NPD-BC, Based Practice Symposium. Falls ONC, Caritas Coach. NAON Review ONC, Caritas Coach. 39th National Church, VA, Dec. 6, 2019. Association of Orthopaedic Nurses Course for Certification. Miami, FL, Jan.

2019 IAH Nurse Leader Transition Into Practice Graduates, Left to Right: Lisa Hawksworth, MSN, RN, NEA-BC; Kate Theissen, BSN, RN, CEN, NE-BC; Jackie Gonzalez MSN, MHA, RN; Cami Thomas MSN, RN NA-BC; Fadia Feghali, MS, BSN, RN, NE-BC; Ruth Lee, DNP, MS, MBA, RN, NEA-BC; Zach Wotherspoon, DNP, APRN, FNP-BC, RN, CEN, CPEN

2019 NURSING REPORT I INOVA 13 Empowering nurses across all levels to act on best practice recommendations is a central tenet of nursing practice at Inova Alexandria Hospital.

2019 Nursing Excellence Awards, Left to Right: Rina Bansal, MD, MBA; Fadia Feghali, MS, RN, NE-BC; Sarah Rose, BSN, RN, CMSRN; Robbin Young, MSN, RN, CCRN; Mary Clouse, BSN, RN; Melissa Bauer, BSN, RN; Suh Yang, BSN, RN, CCRN; Maureen E. Sintich, DNP, MBA, RN, WHNP-BC, NEA-BC

Will the Use of Adhesive Medication CCRN; Olivia Hwang, BSN, RN; Erin New Degrees Education Stickers on Patient Water Reynolds, BSN, RN, CCRN, CNML. Pitchers Help to Increase HCAHPS Inova Nursing Research and Evidence- Bachelors of Science in Scores? [Poster] Based Practice Symposium. Falls Nursing Miranda Baylor, BSN, RN Mary Elizabeth Clouse, BSN, RN; Church, VA, Dec. 6, 2019 Mingo Boards, BSN, RN Linda Nguyen, BSN, RN; Christina Publications Rena Hooper, BSN, RN Bochicchio, BSN, RN; Nace Amanda Jacobs, BSN, RN, CCRN Theresa Davis, PhD, RN, NE-BC, Dentonhurst, BSN, RN; Sangya Linda Pfeiffer, BSN, RN FAAN; Mary Ann Friesen, PhD, RN, Shrestha, BSN, RN. Inova Nursing Tatiana Semeniuk, BSN, RN, CMSRN Research and Evidence-Based CPHQ; Robin R. Jackson, MSN, Practice Symposium. Falls Church, VA, RN-BC, CCRN, CCNS, CHTP; Liliana Dec. 6, 2019. Suchicital, BSN, RN, CNB, CHTP, Scholarships ONC; Diane Swengros, MSN, RN, Too Wet or Too Dry? Passive Leg NPD-BC, CHTP/I. (2019) Inova Nurses BSN Scholars Raise as Noninvasive Assessment Miracles & Mysteries in J. Watson (Ed.), Robbin Young, BSN, RN, NE-BC, CCRN – Twig of Fluid Overload in Septic Shock Miracles and Mysteries: Witnessed by Patients [Podium] Jacyln LoBue, BSN, RN, CEN, TNCC, Nurses, (pp.55-56, 54, 57-58, 56-57, NREMT-P – IAH Medical Staff Clinical Emily Hagedorn, BSN, RN, CCRN; pp.54-55); Great Britain: Lotus Library. Advancement Scholarship in Memory Y-nhi Nguyen, BSN, RN, CEN, of Jessica Tisak

14 INOVA I NURSING REPORT 2019 Ahmad Clemmons, BSN, RN – Certified Pediatric Registered Nurse 3 Rydell Family Clinical Scholarship Hematology Oncology Nurse Rosmin Abdullah, BSN, RN, CMSRN Sadia Iman, BSN, RN, CMSRN – Brooke Bowers, BSN, RN, CPHON Josephine Agrabio-Thornton, BSN, RN, McKinley Oncology Advancement PCCN Scholarship Certified Surgical Services Shiksha Amatya, BSN, RN, CMSRN Michelle Abdala, BSN, RN – Manager Credential Rhiannon Armstrong, BSN, CAPA Speck Awards Gianfranco J. Villar, MS, RN, CSSM, Anita Babinski, BSN, RN, CAPA Arya Pretlow, BSN, RN, C-EFM, CNOR, CST Demeke Gisila, BSN, RN, CMSRN IBCLC-RLC – Speck Awards Critical Care Registered Allison Jiongo, BSN, RN, CPAM MSN Scholars Nurse Priscilla Kelleher, BSN, RN, CNOR Robin R. Jackson, MSN, RN-BC, Amanda Jacobs, BSN, RN, CCRN Katherine Merendino, BSN, RNC-NIC CCRN, CCNS, CHTP – Shih Nursing Christine Rolfes, BSN, CMC, TNCC, Tia Moffa, BSN, RN, CEN Conference Scholarship CCRN Kathryn O’Leary, BSN, RN, CEN Lauren Tafro, BSN, RNC-NIC Certifications Electronic Fetal Monitor Alexander Tay, BSN, RN, CCRN Erin Andrew, MS, CNL, C-CEFM Melissa Testa, BSN, C-EFM Cardiac Medicine Catherine Cicchetto, BSN, RN, (Subspecialty) Certified C-EFM Registered Nurse 4 Christine Rolfes, BSN, CCRN, CMC, Amalia Richards, BSN, RN, C-EFM Mervat Alhaj, BSN, RN, CMSRN TNCC Melissa Testa, BSN, RN, C-EFM Erin Andrew, MS, RN, CNL, C-EFM Randolph Balagtas, BSN, RN, CAPA Certified Ambulatory Erika Fox, BSN, RN, C-EFM Kelly Hof, BSN, RN, C-EFM Prima Esguerra Colburn, BSN, RNC-NIC Perianesthesia Nurse Natacha Fairbrothers, BSN, RNC-NIC Rhiannon Armstrong, RN, CAPA Maternal Newborn Nursing Priscilla Kelleher, BSN, RN, CNOR Brandy Hashbarger, BSN, RN, RNC- Katherine Merendino, BSN, RNC-NIC Certified Emergency Nurse MNN Eden Berhane, BSN, CEN Tia Moffa, BSN, RN, CEN Jennifer Byerly, BSN, CEN Nurse Executive Arya Pretlow, BSN, RN, C-EFM, IBCLC- Patricia Molseed, BSN, CEN Kate Theissen, BSN, RN, CEN, RLC Kathryn O’Leary, BSN, CEN NE-BC Rachel Roudik, BSN, RN, C-EFM Beth Stephens, BSN, RN, CEN Danielle Thompson, BSN, CEN Nursing Professional Development Maria Talavera, BSN, RN, C-EFM Certified Gastrointestinal Gretchen Teel, MA, BSN, NPD-BC Suh Yang, BSN, RN, CCRN Registered Nurse Neonatal Intensive Care Elizabeth Wainaina, BSN, RN, CMSRN Shalonda B. Covington, MSN, RN, Nursing Jenna Wills, BSN, RNC-NIC FNP-BC, CGRN Claudine McEntee BSN, RNC-NIC Jase Willette, BSN, RN, CEN Heather Wischkaemper, BSN, CEN Certified in Medical-Surgical Trauma Certified Registered Registered Nurse Professional Organization Activities Young McCollum, BSN, RN, CMSN Nurse Rosita Chandansingh, RN, CEN, Jennifer Drake, DNP, RN, NPD-BC, ONC, TCRN Caritas Coach. National Association of Certified Pediatric Emergency Orthopaedic Nurses – Test Item Writer Nurse for Certification Review Course Practice Irenious Suglo, BSN, RN, CEN, CPEN Questions.

2019 NURSING REPORT I INOVA 15 Inova Fairfax Hospital

Magnet® Components Structural Empowerment Unit-based practice councils continue to be the foundation Transformational Leadership of the strong nursing shared governance structure. Patricia Hill, MSN, RN, NEA-BC, CENP continued Over 300 RNs participate in activities each month, both leading Inova Fairfax Hospital Nursing in achieving at the organizational and unit levels. The Collaboration the goals established in Inova’s Nursing Strategic Plan. and Informatics Subcommittee established text alerts Accomplishments included implementation of a for Nursing Practice Congress, addressed workplace succession plan for nursing leadership across the violence issues, coordinated activities for Nurses Week, organization. Additionally, 12 nursing leaders from Inova and provided feedback on both the EPIC upgrade and the Fairfax Hospital participated in the inaugural Transitions Soft ID implementation. This subcommittee also worked into Practice program for nursing leaders. Hill continued on enhancing recognition through the DAISY and PEACH her active participation in the credentialing process for programs, which increased nominations by fivefold in 2019. advanced practice nurses as well as her pivotal role in The Professional Development and Recognition the opening of Inova Schar Cancer Center and the Acute Subcommittee worked to create a Preceptor Toolkit. This Rehabilitation Unit. Hill also led Inova Fairfax Hospital to subcommittee also supported unit-based activities related the successful completion and submission of Magnet to education and certification. The Quality, Outcomes and documentation on October 1, 2019. Safety Committee published informational brochures on

16 INOVA I NURSING REPORT 2019 Tricia Hill, VP, CNE; Kathleen Hannoosh, Clinical Director of Adult Psychiatry; Maureen Sintich, System CNE celebrating award winner Kate Asiedu, RN during nurses’ week 2019 the key clinical indicators evaluated by the NDNQI. The evidenced by a BSN rate of 84 percent and a certification Research and Evidence-based Practice Subcommittee rate of more than 31 percent. There were also 328 sponsored eight speakers on a variety of topics in addition participants in the Vizient residency. to actively participating in the review and dissemination of a variety of evidence-based and research projects. New Knowledge and Innovation Three research studies were initiated in 2019 at Inova Exemplary Professional Practice Fairfax Hospital: Shared Governance in a Multihospital Interprofessional teams at Inova Fairfax Hospital Healthcare System study, Music Therapy in Antepartum worked to improve all patient care outcomes. The Patients study and Infant-Driven Feeding study. efforts resulted in a 30-percent reduction in central Dissemination of organizational research findings occurred line-associated bloodstream infection rates and an through presentations at local, national and international 11-percent reduction in catheter-associated urinary tract conferences. Inova Fairfax Hospital nurses partnered with infections as compared to 2018 levels. Inova Fairfax other disciplines within Inova Fairfax Hospital and other Hospital was ranked the #1 Hospital in the Washington, DC nurses across Inova in several studies. Our RN research metro area by U.S. News and World Report. Gynecology activities also included partnerships with local universities services were ranked #13 nationally. Patient experience and the National Institute of Justice. All nurses participating scores across the hospital exceeded established goals. in the New Nurses Residency Program completed Excellence in nursing professional practice was also evidence-based practice projects during 2019.

2019 NURSING REPORT I INOVA 17 Iams Award: L.I.T.E. It Up! Lowering Infections with Team Engagement Bethany Batres, BSN, RN, RNC-OB Amy Donlan, MSN, RN, RNC-OB Natalie Doudaklian, MSN, RN, WHNP- BC 2019 Nursing Research and EBP Symposium, Left to Right: Patricia E. Hill, MSN, RN, Amber Fuller, BSN, RN NEA-BC, CENP; Leilani Jankus, MSN, RN, CCRN-K, CPAN, NE-BC Janet Hooper, MSN, RN, RNC-OB Dianna Hovmiller, MSN, RN, RNC-OB Navdeep Kaur, BSN, RN, C-EFM Jennifer Lykins, BSN, RN DAISY Awards Awards and Colleen Radich, BSN, RN, RNC-OB, Fowzia Abdi, BSN, RN CNOR Recognition Janice Beekman, BSN, RN Nursing Excellence Awards Katherine Garity, BSN, RN Luminary Award Cynthia Bauley, BSN, RN, IBCLC Pattie Johnson Madden, RN Kate Asiedu, BSN, RN – Behavioral – New Knowledge, Innovation and Grace Jun, BSN, RN Health Improvement Kate Kelly, BSN, RN Livia Desilva, BSN, RN – Inova Heart Dona Domer, RN – Lifetime Sean Madden, BSN, RN and Vascular Institute Achievement Award Masuda Nawabe, BSN, RN, CPN Donna Lyons, BSN, RN – Medical- Laurie Douthwaite, BSN, RN, CPHON Oanh Murakami, BSN, RN, PCCN Surgical and Oncology – Structural Empowerment Myra Olivos, BSN, RN Theresa Magnotti, BSN, RN, PCCN – Rebecca Lewis, BSN, RN – Exemplary Gallie Shugarman, BSN, RN and Nursing Professional Practice Catherine Villacortes, BSN, RN Operations Shawn Rohan, BSN, RN – Rising Star Bonnie Nelson, BSN, RN, CNOR – Megan Rupe, MSN, RN, RN-BC, NE- Iams Award: Building Perioperative Services BC – Transformational Leadership Foundations of Success Emily Rettig, BSN, RN, CBCN – Inova Laurie Douthwaite, BSN, RN, CPON Women’s Hospital Megan Mahan, MSN, RN, CPHON Dawn Williams, BSN, RN – Critical Iams Award: Hit the Road, Care, Neurology and Orthopedics Jack (and Don’t Come Back) Janet Woods, MSN, RN, RNC-NIC – Inova Children’s Hospital Darla Ceppi, MSN, RN Maura Mathieson, BSN, RN

18 INOVA I NURSING REPORT 2019 Efforts to improve patient care outcomes resulted in a 30 percent reduction in central line-associated bloodstream infection rates and an 11 percent reduction in catheter-associated urinary tract infections.

Nursing Stars Unit Recognition Be Happy with no HAPIs [Poster] Research and Evidence-Based Adult Obs SPT 10 - Medicine B Team. 2019 Practice Symposium. Falls Church, VA, APUN Patient Safety Hall of Fame. Falls Dec. 6, 2019. Cath/EP/IR Church, VA, March 19, 2019. CICU Fellowship, Nurse Residency, Clinical CTUN Bridge to Breathing: Pioneering Mentor: Cohesive Periop Orientation CTUS Ventilator Management in the [Poster] CVICU Freestanding ED [Poster] Madeleine Ly, BSN, RN, CNOR; Elaine CVOR Emergency Department Offsite Emergency Department Team. Feyder, MSN, RN, CNOR. 2019 AORN FACT 2019 Patient Safety Hall of Fame. Global Surgical Conference and Expo. ICAR Falls Church, VA, March 19, 2019. Nashville, TN, April 6 – 7, 2019. Neuro ICU Neuroscience Commonly Prescribed Medications Growing the Culture of Safety Through NICU with Deadly Complications [Podium] Closed-Loop Communication [Poster] PCCU Sonia Astle, MSN, RN, CCNS, CCRN, Interventional Cardiology Team. Pediatric Emergency Department CNRN. National Teaching Institute, 2019 Patient Safety Hall of Fame. PIMC American Association of Critical Care Falls Church, VA, March 19, 2019. Nurses. Orlando, FL, May 22, 2019. Presentations Hand Hygiene in the Perioperative A Call for Workarounds: Improving Creating Harmony in Surgical Setting [Podium] Problem Identification, Staff Education: Composing an ACS- Laila Bailey, DNP, NP. 2019 AORN Engagement and Patient Safety Accredited Education Institute [Podium] Global Surgical Conference. Nashville, [Podium] TN, April 6, 2019. Miriam Faunda, MSN, RN, CAPA; Paula Graling, DNP, RN, CNOR, FAAN; Emily Jones, MSN, RN, CNOR, Cheryl Portwood, MSN, RN, NEA-BC. High Reliability in Trauma Care NPD-BC. 2019 AORN Global Surgical American College of Surgeons’ Quality [Podium] Conference. Nashville, TN, April 6, and Safety Conference. Washington, Paula Graling, DNP, RN, CNOR, DC, July 21, 2019. 2019. FAAN. Annual TQIP Quality Assessing Post-Op Enhancing Early Literacy and Conference. Dallas, TX, Nov. 16, 2019. Pain for Clinical Gain [Podium] [Poster] Language Coaching with Nurse- Impact of a Dedicated Nursing Unit on Kayla Dundie, BSN, RN; Kendall Family Partnership [Poster] the Care of the Limb Patient [Podium] Bopp, BSN, RN, CCRN; Amy Tran, Miriam Faunda, MSN, RN, CAPA. Megan Rupe, MSN, RN-BC, NE-BC. BSN, RN; Socheat Long-Elliott, BSN, Advanced Methods Conference: RN, CCRN; Alissa Wong, DNP, RN. Limb Preservation, Wound Care and The Expanding Science of Sensor Inova Nursing Research and Evidence- Hyperbaric Oxygen Therapy Seminar. Technology in Research. Washington, Based Practice Symposium. Falls Falls Church, VA, Oct.26, 2019. DC, Oct. 23, 2019; Inova Nursing Church, VA, Dec. 6, 2019.

2019 NURSING REPORT I INOVA 19 Implementation of OSA Screening Improving First-Time PIV Insertion Neonatal Hypoglycemia: Does and End Tidal CO2 Monitoring in Utilizing NIRs Technology in the Everyone Agree? [Poster] the PACUs [Podium] CVICU [Podium] Renee Wardzinski, BSN, RNC-NIC. Kathryn R. Scully, MSN, RN, Socheat Long-Elliott, BSN, RN, CCRN. FANNP Conference. Clearwater, FL, CCRN, CAPA, CPAN. International 2019 MedStar Nursing Evidence- Oct. 18, 2019. Conference of Perianesthesia Nurses. Based Practice and Research NICU Unplanned Extubation A3 Cancun, Mexico, Nov. 5 – 8, 2019. Conference. Washington, DC, March [Poster] 12, 2019. Implementing an Evidence-Based NICU Team. 2019 Patient Safety Cardiac Training Program in a Improving Patient Safety by Reducing Hall of Fame. Falls Church, VA, Growing PICU [Poster] the Number of ED Boarder Patients March 19, 2019. Emily DeMarco, MSN, RN, NPD-BC, [Poster] North Tower 10 Unit Snapshot Huddle CCRN; Gail Green, MSN, RN, CNL, Capacity Management Team. 2019 Board [Poster] CCRN-K. NTI 2019. Orlando, FL, May Patient Safety Hall of Fame. Falls NPT 10 – Medicine A Team. 2019 20, 2019; Northeastern Pediatric Church, VA, March 19, 2019. Patient Safety Hall of Fame. Cardiac Nurses Association Annual L.I.T.E. it Up! Lowering Infections with Falls Church, VA, March 19, 2019. Conference. Washington, DC, Oct. 4, Team Engagement [Poster] 2019. Nursing Driven DKA Pathway [Poster] Labor and Delivery Team. 2019 Madison Rickard, BSN, RN; Patient Safety Hall of Fame. Falls Laura Sealover, BSN, RN; Megan Church, VA, March 19, 2019. McDonald, BSN, RN; Jannifer Arias, Maintaining Perioperative BSN, RN. Inova Nursing Research and Normothermia in Ambulatory Surgical Evidence-Based Practice Symposium. Patient [Podium] Falls Church, VA, Dec. 6, 2019. Oluwatoyin Akinyemi, MSN, RN, Nursing Interventions Decrease CNOR; Laurie Waldron, BSN, RN, Cesarean Section Rates [Poster] CAPA. Inova Nursing Research and Katherine Chromey, BSN, RNC-OB; Evidence-Based Practice Symposium. Natalie Doudaklian, MSN, RN, WHNP- Falls Church, VA, Dec. 6, 2019. BC; Bethany Batres, BSN, RNC-OB; Multidisciplinary Therapeutic Jennifer Truax, MSN, FNP-BC, RNC- Communication Training for Forensic OB; M. Lynne McLauchlin, BSN, RNC- Nurses: A Quality Improvement LRN. Inova Nursing Research and Project (Code 8) [Podium] Evidence-Based Practice Symposium. Natalie Brooks, DNP, PMHNP-BC, Falls Church, VA, Dec. 6, 2019. FNE. International Conference on Tricia Hill, CNO, VP Nursing and 2019 Forensic Nursing Science and Nurses Week speaker Allison Massari Practice. New Orleans, LA, Sept. 12, 2019.

20 INOVA I NURSING REPORT 2019 Optimizing Role Competence for Following Anesthesia [Poster] CPAN, NE-BC. MedStar Washington Leadership Success [Podium] Adult Preoperative and PACU Team. Hospital Center Research and Paula Graling, DNP, RN, CNOR, 2019 Patient Safety Hall of Fame. Evidence-Based Practice Conference. FAAN. 2019 AORN Global Surgical Falls Church, VA, March 19, 2019. Washington, DC, April 12, 2019; Conference. Nashville, TN, American College of Surgeons Quality Too Wet or Too Dry? Passive Leg April 10, 2019. and Safety Conference. Washington, Raise as a Noninvasive Assessment DC, July 19, 2019; Society Patient-Centered Communication of Fluid Overload in Septic Shock of Perianesthesia Nurses. Staunton, for Trauma Nurses and Clinical Patients [Podium] VA, September 7, 2019; International Technicians: Testing a Simulation- Emily Hagedorn, BSN, RN, CCRN; Conference of Perianesthesia Nurses. Based Curriculum [Podium] Y-nhi Nguyen, BSN, RN, CEN, CCRN; Cancun Mexico, Nov. 5, 2019; Inova Emily Jones, MSN, RN, CNOR, Olivia Hwang, BSN, RN. Inova Nursing Nursing Research and Evidence- NPD-BC; Chris McCormick, BSN, Research and Evidence-Based Based Practice Symposium. Falls RN; Grove, MSN, RN, CCRN. Practice Symposium. Falls Church, VA, Church, VA, Dec. 6, 2019. Inova Nursing Research and Dec. 6, 2019. Evidence-Based Practrice Symposium. Trio Rounding Nurse, Physician, Falls Church, VA, Dec. 6, 2019. Publications Patient: Perceptions of Benefits and Linda Halpin, MSN, RN. Annals of Prevention and Management of Challenges by Rehabilitation Nurses Thoracic Surgery, Frailty in the Cardiac Sleep Deprivation and Delirium in the and Physicians [Podium] [Poster] Surgical Patient: Comparison of Frailty Stroke Patient [Podium] Tigist Mannaye, MPH, BSN, RN, Tools and Associated Outcomes, Pgs. Keiko H. Kuykendall, DNP, AGPCNP- CRRN; Bernice Mowery, PhD, RN; 16-22, Society of Thoracic Surgeons, BC, GS-C. Neuroscience Nursing Samuel Osae, BSN, RN, CRRN; Emily Conference. Falls Church, VA, Jones, MSN, RN, CNOR, NPDBC. 2019. 10.1007/s11136-018-2022-1 Nov. 7 – 8, 2019. Inova Nursing Research and Evidence- Linda Halpin, MSN, RN. Quality of Life Based Practice Symposium. Falls Professional Educator, Perioperative Research, Confirmatory Factor Analysis Church, VA, Dec. 6, 2019. Certificate of Mastery [Podium] of the Minnesota Living with Heart Emily Jones, MSN, RN, CNOR, Worth the Wait: An Effort to Reduce Failure Questionnaire Among Patient NPD-BC. 2019 AORN Global Change of Shift Transfer Events Following Open Heart Surgery for Valve Surgical Conference. Nashville, TN, [Poster] Dysfunction, Pgs. 267-275, 10.1016/j. April 6 – 10, 2019. Family-Centered Care Team. 2019 athoracsur.2019.03.009. Patient Safety Hall of Fame. Falls The Electrolyte Shuffle [Podium] Church, VA, March 19, 2019. Sonia Astle, MSN, RN, CCNS, CCRN, Kathryn R. Scully, MSN, RN, CCRN, CNRN. National Teaching Institute Validation of Assessment Tools to CAPA, CPAN. Journal of Perianesthesia American Association of Critical Care Assess for Sleep Disordered Breathing Nursing, Implementation Science: Nurses. Orlando, FL, May 21, 2019. or Obstructive Sleep Apnea in Incorporating Obstructive Sleep Pediatric Patients in the Perianesthesia Apnea Screening and Capnography Riding the (End) Tidal Wave to CO2 Setting. [Podium] Into Everyday Practice, Epublication, Monitoring: Using Capnography for Leilani Jankus, MSN, RN, CCRN-K, Elsevier Inc, 10.1016/j.jopan.2019.06.004. Obstructive Sleep Apnea Patients

2019 NURSING REPORT I INOVA 21 New Degrees Kathryn Corey, BSN, RN Gregory Herrick, BSN, RN Natalie Cosme, BSN, RN Katie Hertel, BSN, RN Bachelors of Science David Crain, BSN, RN Michelle Hewlett, BSN, RN in Nursing Victoria Cross, BSN, RN, RNC-OB, Sarah Hobbs, BSN, RN Luwam Amare, BSN, RN C-EFM Rachael Holtsclaw, BSN, RN Hannah Amoako, BSN, RN Lauren Curaca Malito, BSN, RN Michael Howard, BSN, RN Apaporn Anaya, BSN, RN Donna Davis, BSN, RN Kaitlyn Hull, BSN, RN Tiffany Anomaly, BSN, RN Sherika Davis, BSN, RN Katelyn Humbert, BSN, RN Yasaman Ansari, BSN, RN Kaitlyn Denby, BSN, RN Natalia Iraheta, BSN, RN Kathryn Apperson, BSN, RN Shelby Denn, BSN, RN Gina Ivins, BSN, RN Regina Armstrong, BSN, RN, OCN Anna Deshong, BSN, RN Sabeena Jamali, BSN, RN Jennifer Austin, BSN, RN Olivia Diamond, BSN, RN Victoria Joseph, BSN, RN Mariama Bah, BSN, RN Kayleigh Dolieslager, BSN, RN Marija Jovic, BSN, RN Andrea Baker, BSN, RN Yuliya Drabovskaya, BSN, RN Fatu Kawah, BSN, RN Michele Banker, BSN, RN Jaymes Dressel, BSN, RN Judith Kelly, BSN, RN Brittany Barker, BSN, RN Deborah Dungan, BSN, RN, CEN Miranda Kemp, BSN, RN, C-EFM Annah Barrett, BSN, RN Samantha Ehrlich, BSN RN Caitlin Kenney, BSN, RN Ruth V. Bedwell, BSN, RN, CNOR Hawa Ehsan, BSN, RN Heather Kenney, BSN, RN Emily Bennett, BSN, RN, ACM Morgan Emo, BSN, RN Shakhnoza Khuzhamuradova, BSN, RN Kiersten Blevins, BSN, RN Patricia Engel, BSN, RN, RNC-NIC Frederick Kizina, BSN, RN Georgia Bloomfield, BSN, RN Abigail Esplana, BSN, RN Jennifer Kwapick, BSN, RN Karina Blunt, BSN, RN Pamela Estes, BSN, RN Jordyn Lang, BSN, RN Victoria Boakye, BSN, RN Zipporah Fedelicio, BSN, RN Stephanie Leary, BSN, RN Maria Bonnells, BSN, RN Stacie Feor, BSN, RN Aimee Lebet-Wilson, BSN, RN Lori Branch, BSN, RN Megan Fossi, BSN, RN Ashley Lee, BSN, RN Anna Briggs, BSN, RN Stephanie Francis, BSN, RN Jane Lee, BSN, RN Sydney Brookbank, BSN, RN Sophia Frelk, BSN, RN Mary Brown, BSN, RN, NREMT Fulton, BSN, RN Theresa Brown, BSN, RN Jennifer Galvin, BSN, RN Rachel Buxton, BSN, RN Deborah Geer, BSN, RN Suzanne Callahan, BSN, RN Madison Ginn, BSN, RN Michael Carnahan, BSN, RN Morgan Gocke, BSN, RN Arya Chapagain, BSN, RN Julia Golojuch, BSN, RN Eunice Cho, BSN, RN Jennifer Gonzalez, BSN, RN Orni Chowdhury, BSN, RN Karen Gotchel, BSN, RN, VA-BC Ingrid Chuecos, BSN, RN, RNC-LRN Jordan Grosskopf, BSN, RN Meghan Clarke, BSN, RN Danielle Guirgis, BSN, RN Cynthia Cleal, BSN, RN, RNC-OB Jineane Hallaj, BSN, RN 2019 Nurses Week CNO Award, Left to Right: Rebecca Cohen, BSN, RN, RNC-NIC Michael Harris, BSN, RN Najeeba W. Brown, MSN, RN; Patricia Hill, Kerry Hartman, BSN, RN MSN, RN, NEA-BC, CENP; Martha Schneider, DNP, RN, NEA-BC

22 INOVA I NURSING REPORT 2019 Jeong Bin Lee, BSN, RN Melanie Lee, BSN, RN Su Joung Lee, BSN, RN Sarah Lim, BSN, RN Shamal Lord, BSN, RN Kristine Lunsford, BSN, RN Devon Mackenzie, BSN, RN Bettina Magnotti, BSN, RN Jahoas Marquez, BSN, RN, NREMT Lourdes Martinez, BSN, RN Theresa Matula, BSN, RN Olivia McKnight, BSN, RN Casey McMunn, BSN, RN Brandin McNabb, BSN, RN 2019 Nursing Research and EBP Symposium, Left to Right: Kayla Dundie, BSN, RN; Colleen McNiff, BSN, RN Kendall Bopp, BSN, RN, CCRN; Amy Tran, BSN, RN; Patricia E. Hill, MSN, RN, NEA-BC, CENP Annmarie Meinsen, BSN, RN Katelyn Michalik, BSN, RN Benjasmina Reyes Castro, BSN, RN Sarah Turner, BSN, RN Kaitlyn Miller, BSN, RN Meagan Robichaud, BSN, RN Nnenna Victoria Uchella, BSN, RN Jamie Mills, BSN, RN Natasha Rovenolt, BSN, RN Natalie Vachon, BSN, RN Samira Mortazavi, BSN, RN Jessica Sariri, BSN, RN Hannah Viers, BSN, RN Amanda Navarro, BSN, RN Kathryn Scheetz, BSN, RN Rachel Wagner, BSN, RN Eric Ng, BSN, RN Jeannine Schulte, BSN, RN Andrew Warzinski, BSN, RN Mary Ellen Nguyen, BSN, RN Seltzer, BSN, RN Sarah Wilber, BSN, RN Tu Quyen Nguyen, BSN, RN Mia Shirey, BSN, RN Mela Wilburn, BSN, RN, Nasiba Nizam, BSN, RN Ambika Siwakoti, BSN, RN Michelle Willis, BSN, RN Rebecca Noyes, BSN, RN Sydne Smith, BSN, RN Cara Wittenauer, BSN, RN Matthew Oldenburg, BSN, RN Snoddy, BSN, RN Hunter Worrell, BSN, RN Tolulase Onifade, BSN, RN Krista Somers, BSN, RN Joanne Wotring, BSN, RN Elizabeth Overesch, BSN, RN Catherine-Mary Steenstra, BSN, RN, Laura Yeshnik, BSN, RN Valerie Park, BSN, RN, ACM RNC-NIC Katherine Young, BSN, RN Wallis Payano, BSN, RN Natalia Surak, BSN, RN Leslie Yousefi, BSN, RN Christina Petty, BSN, RN Alicia C. Talley, BSN, RN Maria Beatriz Zanotti, BSN, RN Minh-Tu Pham, BSN, RN Jeni Taskesen BSN, RN Deanne Zapanta, BSN, RN Emily Potts, BSN, RN Joshua Taylor, BSN, RN Leah Zhang, BSN, RN Kimberly Quitugua, BSN, RN, PCCN Jadon Thomas, BSN, RN Margaret Zhou, BSN, RN Victoria Ragland, BSN, RN Madison Thomas, BSN, RN Arianna Zoretich, BSN, RN Morgan Timberlake, BSN, RN Elaina Rahaman, BSN, RN Maite Zurita, BSN, RN Christopher Reilly, BSN, RN Samantha Tran, BSN, RN Bethany Rendall, BSN, RN Isabella Trolle, BSN, RN

2019 NURSING REPORT I INOVA 23 Master of Science in Nursing Scholarships MSN Scholars Virginia Beatty, MSN, RN, CNOR Frances Daneshzadeh, BSN, RN, Shelly Coppock, MSN, CPNP-AC, BSN Scholars RNC-MNN – Inova Nursing Excellence CPNP-PC, CCRN Mary Amoah, RN – Inova Nursing Scholarship Rachel Godfrey, MSN, RN, FNP-C Excellence Scholarship Tabitha Finley, BSN, RN – Inova Lisa Golley, MSN, RN Lori Branch, BSN, RN – Inova Nursing Nursing Excellence Scholarship Molly Goodman, MSN, RN Excellence Scholarship Adina Reno, RN, CCRN – Inova Dhaka Gurung, MSN, RN Shawnta Fenwick, RN – Inova Nursing Nursing Excellence Scholarship Shanna Guzman, MSN, RN, CCRN Excellence Scholarship Astrid Saavedra, BSN, RN – Inova Nursing Excellence Scholarship Dianna Hovmiller, MSN, RN, RNC-OB Cynthia Kessler, RN – Inova Nursing Excellence Scholarship Antoinette Trang, BSN, RN – Inova Supansa Kitjaroen, MSN, RN, FNP- Nursing Excellence Scholarship BC Caroline Sprenger, RN – Inova Nursing Excellence Scholarship Cherry Lynne Maliksi, MSN, RN, DNP Scholars FNP-BC MHA Scholars Sosthene Ndomo Mballa, BSN, RN – Brent Mathews, MSN, RN Socheat Long-Elliott, BSN, RN, CCRN 2019 Gail L. Ahrendts, RN, Excellence Amber McConnell, MSN, RNC-MNN – American College of Healthcare in Nursing Scholarship Jessica Nguyen, MSN, RN, CNL Executives Foster G. McGaw Student Marina Ocasio, MSN, RN, NE-BC, Scholarship CNL Delila Osterland, MSN, RN Kristine Pittman, MSN, RN Maria Schoen, MSN, RN Shannon Sullivan, MSN, RN Cuiyun Yu, MSN, RN Doctorate of Nursing Practice Judy Dooley, DNP, RN, CNML, NE- BC Yvonne McMillan, DNP, RN, AGPCNP-BC

2019 Nursing Research and EBP Symposium, Left to Right: Paula R. Graling, DNP, RN, CNOR, FAAN; Laurie Waldron BSN, RN; Oluwatoyin Akyinymi MSN, RN, CNOR; Patricia E. Hill, MSN, RN, NEA-BC, CENP

24 INOVA I NURSING REPORT 2019 Some of IFMC’s Celebrated 2019 Certified Nurses

Certifications Erica Hinds, BSN, RN, CCRN Ellen White, BSN, RN, CCRN Lauren Hooper, BSN, RN, CCRN-K, Lucie White, BSN, RN, CCRN Acute Critical Care Knowledge CCRN Michael Wilton, BSN, RN, CCRN Professional Susan Jarosz, BSN, RN, CCRN Sarah Wollett, BSN, RN, CCRN Valerie Long, BSN, RN, SCRN, SNRN, Kimberly Keller, BSN, RN, CCRN Cardiac Medicine CCRN-K Danielle Kemp, BSN, RN, CCRN Heather Lancaster, BSN, RN, CCRN (Subspecialty) Certification Acute Critical Care Nursing Amy Lane, BSN, RN, CCRN Kelly Duda, BSN, RN, CCRN, CMC (Adult) Charlene Liboon, BSN, RN, CCRN Brielle James, BSN, RN, PCCN, CMC Samantha Arnold, BSN, RN, CCRN Anne Manley, BSN, RN, CCRN Leslie Johnson, BSN, RN, CMC Breanna Bailey, BSN, RN, CCRN Kelly Marano, BSN, RN, CCRN Jenny Kim, BSN, RN, CMC Logan Barrick, BSN, RN, PCCN, Lacey Morris-Wright, BSN, RN, CCRN Cardiac Surgery (Subspecialty) CCRN Joseph Myers, BSN, RN, CCRN Certification Suzanna Joy Bell, BSN, RN, CCRN Stacy Osterhoudt, BSN, RN, NREMT, Kendall Bopp, BSN, RN, CCRN, CSC Carly Birkhold, BSN, RN, CCRN-K, CCRN Frankline Vidonyi, BSN, RN, CSC CCRN Terri Pai, MSN, RN, CCRN Lauren Blair, BSN, RN, CCRN Lauren Piccioli, BSN, RN, CCRN Cardiac/Vascular Nurse Patricia Budgick, BSN, RN, CCRN Ashley Purugganan, BSN, RN, CCRN Brittany Baran, BSN, RN, RN-BC Jennifer Calvo, BSN, RN, CCRN Caleb Reinhardt, BSN, RN, CCRN Kyle Chelius, BSN, RN, CCRN Lauren Resch, BSN, RN, CCRN Certified Ambulatory Hannah Devido, BSN, RN, CCRN Luis Saavedra Vargas, BSN, RN, Perianesthesia Nurse Lauren Douglass, RN, CCRN CCRN Anastacia Jacobsen, BSN, RN, CAPA Erin Fogleman, BSN, RN, CCRN Talia Skinner, BSN, RN, CCRN Lauren Schumpert, BSN, RN, CAPA Rebecca Gasaway, BSN, RN, CCRN Megan Snow, MSN, RN, CNL, CCRN Anna Tomkiewicz, BSN, RN, CAPA Amanda Gatti, BSN, RN, CCRN Meghan Stowell, BSN, RN, CCRN Janelle Wu, BSN, RN, CAPA Grace Gillette, BSN, RN, CMSRN, Jennina Ting, BSN, RN, CCRN Certified Breast Care Nurse CCRN Katherine Vandyke, BSN, RN, TCRN, Rebecca Johnson, BSN, RN, CBCN Kristen Hadel, BSN, RN, CCRN CCRN Emily Rettig, BSN, RN, RNC-MNN, Mary Heltemes, BSN, RN, CCRN Rocio Viggiani, BSN, RN, CCRN CBCN

2019 NURSING REPORT I INOVA 25 Certified Clinical Research Certified Pediatric Emergency Certified Professional in Coordinator Nurse Healthcare Quality Joshelynn Asis, BSN, RN, CCRC Susan Chesser, BSN, RN, CPEN Najeeba Brown, MSN, RN, CENP, Perry Montgomery, BSN, RN, CCRC Alexandra Digilio, BSN, RN, CPN, NEA-BC, CPHQ Serina Beatriz Zorrilla, BSN, RN, CPEN Susanne T. Fehr, PhD, RN-BC, NPD- CCRC Shayna Dixon, BSN, RN, CPEN BC, NE-BC, CENP, CPHQ Lindsey Doerr, BSN, RN, CPEN Certified Emergency Nurse Katie Healy, BSN, RN, CPN, CPEN Certified Wound Care Nurse Emily Hanes, BSN, RN, CEN Rhonda Lombardo, BSN, RN, CWCN Sarah Lemaster, BSN, RN, CPEN Ryan Robinson, BSN, RN, CEN Kathleen Lieb, RN, CPEN Electronic Fetal Monitoring Certified Heart Failure Nurse Meghan Martin, BSN, RN, CPEN Mona Abed, BSN, RN, C-EFM Alicia N. Young, BSN, RN, CHFN Sophia Motta, BSN, RN, CPEN Kristina Bruce, BSN, RN, C-EFM Erin O’Donovan, BSN, RN, CPEN Stephanie Bruno, BSN, RN, C-EFM Certified in Executive Nursing Stephanie Polizois, BSN, RN, CPEN Ericka Davis, BSN, RN, C-EFM Practice Stephanie Ryan, BSN, RN, CPEN Lynn Heun, BSN, RN, C-EFM Susanne T. Fehr, PhD, RN-BC, NPD- Ann Siemering, BSN, RN, CPEN Miranda Kemp, BSN, RN, C-EFM BC, NE-BC, CPHQ, CENP Rebecca Strizzi, RN, CPEN Krystol Large, BSN, RN, C-EFM Paige Wakefield, BSN, RN, CPHON, Amy Lee, RN, C-EFM Medical-Surgical Registered CPN, CPEN Elizabeth Mayberry, BSN, RN, C-EFM Nurse Heather Watt, BSN, RN, CPEN Elizabeth Quitno, BSN, RN, C-EFM Barbara Phyllis Acquah, BSN, RN, Kristin Reese, BSN, RN, C-EFM Certified Pediatric Nurse CMSRN Marie Swift, BSN, RN, C-EFM Nicole Dorman, BSN, RN, CPN Kelly Dobies, BSN, RN, CMSRN Sydney Vishneowski, BSN, RN, Emma Gonzalez, BSN, RN, CPN Felicia Flynch, BSN, RN, CMSRN C-EFM Jihye Hur, BSN, RN, CPN Srijana Kharel, BSN, RN, CMSRN Sophia Zamorano, BSN, RN, C-EFM Gwendolyn Landgrebe, BSN, RN, Ha Le, BSN, RN, CMSRN CPN Paige Massingill, BSN, RN, CMSRN Family Nurse Practitioner – Andrea Mangulabnan, BSN, RN, CPN Neva McCague, BSN, RN, CMSRN ANCC Kelly McCabe, BSN, RN, CPN Denice Raatz, BSN, RN, CMSRN Rachel Godfrey, MSN, RN, FNP-BC Megan Mccoy, BSN, RN, CPN Deborah Sackey, BSN, RN, CMSRN Bridget Mikatavage, BSN, RN, CPN Hosna Sarwary, BSN, RN, CMSRN Gerontological Nurse Jordan Morris, BSN, RN, CPN Bernadette Stratton, BSN, CCRN-K, Jeanette Upchurch, MSN, RN, Masuda Nawabe, BSN, RN, CPN RN-BC CMSRN Victoria Portell-Eismeier, BSN, RN, CPN Inpatient Obstetric Nursing Certified Nurse Operating Seema Fewell, BSN, RN, RNC-OB Capri Puglise, BSN, RN, CPN Room Jennifer Flores, BSN, RN, RNC-OB Kylie Spandra, BSN, RN, CPN Mary Jo Agee, BSN, RN, CNOR Jessica Lawrence, BSN, RN, RNC-OB Brianne Sutor, BSN, RN, CPN Caroline Brooks, BSN, RN, CNOR Laura Lizotte, BSN, RN, RNC-OB Katherine Frias, BSN, RN, CNOR Certified Postanesthesia Kyla Miller, BSN, RN, C-EFM, RNC-OB Kelsey Ghannam, BSN, RN, CNOR Nurse Melissa Piazza, BSN, RN, C-EFM, Rebecca Johnson, RN, CNOR Kathryn R. Scully, MSN, RN, CCRN, RNC-OB Katherine Monroe, BSN, RN, CNOR CAPA, CPAN Holly Sloan, BSN, RN, RNC-OB Suzanne Wolinsky, BSN, RN, CNOR

26 INOVA I NURSING REPORT 2019 Medical-Surgical Registered Nurse Executive, Advanced Nurse Yinette Almonte, MSN, RN, OCN, Julia Bailey, BSN, RN-BC NEA-BC Ira Nadine Geminiano, BSN, CMSRN, Najeeba Brown, MSN, RN, CENP, RN-BC CPHQ, NEA-BC Patricia Green, BSN, CMSRN, RN-BC Nursing Professional Miwa Hwang, BSN, RN-BC Development MS Nurse Emily DeMarco, MSN, RN, CCRN, RN- Kristin Cervizzi, BSN, RN, MSCN BC, NPD-BC Lynn Hardy, MSN, RN, RNC-NIC, RN- Neonatal Intensive Care BC, NPD-BC Nursing Ellen Makar, DNP, RN-BC, CCM, 2019 Nursing Research and EBP Lauren Bickel, BSN, RN, RNC-NIC CPHIMS, CENP, NPD-BC Patricia E. Hill, Rebecca Buffone, BSN, RN, RNC-NIC Symposium, Left to Right: Oncology Certified Nurse MSN, RN, NEA-BC, CENP; Emily Jones, Chandler Clark, BSN, RN, RNC-NIC Christine Banfield, BSN, RN, SANE-A, MSN, RN, CNOR, NPD-BC Amanda Fuentes, BSN, RN, RNC-NIC SANE-P, OCN Micheline Guirguis, BSN, RN, RNC- Amy Krevit, BSN, RN, OCN NIC International Board-Certified Sarah A. Jones, BSN, RN, RNC-NIC Progressive Care Nursing Lactation Consultant Jacquelyn Korka, BSN, RN, RNC-NIC (Adult) Holly Bull, BSN, RN, RNC-NIC, IBCLC Arminda Liston, BSN, RN, RNC-NIC Lena Ali, BSN, RN, PCCN Laura Musser, BSN, RN, IBCLC Sara Liu, BSN, RN, RNC-NIC Britt Anderson, BSN, RN, PCCN Kimberly Toft, BSN, RN, IBCLC Jamie Molder, BSN, RN-BC, RNC-NIC Monique Clarey, BSN, RN, PCCN Kerri Rassa, BSN, RN, RNC-NIC Low-Risk Neonatal Nursing Samantha Dabandan, BSN, RN, Courtney Sullivan, BSN, RN, RNC-NIC PCCN Stephanie Davila, BSN, RNC-LRN Sally Tobias, BSN, RN, RNC-NIC Carolyn Hahndorf, BSN, RN, PCCN Maternal Newborn Nursing Nicole Townsend, BSN, RN, RNC-NIC Rebecca Hazen, BSN, RN, PCCN Maria Barber, BSN, RN, RNC-MNN Lauren Trapeni, BSN, RN, RNC-NIC Rena Jordan, BSN, RN, PCCN Rachelle Cameron, BSN, RN, RNC- Jacquelyn Wallis, BSN, RN, RNC-NIC Whitney Joyner, BSN, RN, PCCN MNN Elise Wortman, BSN, RN, RNC-NIC Kimberly Quitugua, BSN, RN, PCCN Danielle Glenn, BSN, RN, RNC-MNN Natalie Wright, BSN, RN, RNC-NIC Lauren Saunders, BSN, RN, SCRN, Jessica Haupt, BSN, RN, RNC-MNN Erin Zimmerer, BSN, RN, RNC-NIC PCCN Kris Hematti, RN, RNC-MNN Roylene Scott, BSN, RN, PCCN Sally Johnson, BSN, RN, RNC-MNN Nurse Executive Carrie Stevens, BSN, RN, PCCN Emily Kruszewski, BSN, RN, RNC- Leilani Jankus, MSN, RN, CCRN-K, Patricia Tran, BSN, RN, PCCN CPAN, NE-BC MNN Brian Watson, BSN, RN, PCCN Marina Ocasio, MSN, RN, CNL, NE-BC Amber McConnell, MSN, RN, RNC- Katherine Zimmerman, BSN, RN, MNN Megan Rupe, MSN, RN, CMSRN, PCCN Andrea Patrice, BSN, RN, RNC-MNN NE-BC Lauren Payne, BSN, RN, RNC-MNN Sarah Stanmyre, MSN, RN, CEN, Psychiatric & Mental Health NE-BC Evelyn Sigala Arellano, BSN, RN, Nurse Jill Tunstall-Murphy, BSN, RN, NE-BC RNC-MNN Rachel Markovich, BSN, RN, RN-BC Michelle Vassallo, MHA, BSN, CEN, NE-BC

2019 NURSING REPORT I INOVA 27 Stroke Certified Registered Kelly Dobies, BSN, RN, CMSRN Rachel Shaw, MSN, RN, CNL Nurse Courtney Fairchild, BSN, RN, CPN Gallie Shugarman, BSN, RN, TCRN Sapana Bhattarai, MSN, RN, SCRN Angela Fite, BSN, RN, CEN Deborah Skertic, BSN, RN, IBCLC Mariah Dermody, BSN, RN, SCRN Alison Fowler, BSN, RN, CCRN, CEN Kylie Spandra, BSN, RN, CPN Jamie Dodson, BSN, RN, RNC-NIC, Grace Gillette, BSN, RN, CCRN, Amanda Stromberg, BSN, RN, CNOR SCRN CMSRN Megan Toliver, MSN, RN, CCRN Andrea Gavurin, BSN, RN, SCRN Lauren Givens, BSN, RN, C-EFM Lauren Trapeni, BSN, RN, RNC-NIC Daniela Haiduc, BSN, RN, SCRN Rebecca Hazen, BSN, RN, PCCN Elizabeth Turcott, BSN, RN, CPN Hannah Kreer, BSN, RN, SCRN Kris Hematti, RNC-MNN Paige Wakefield, BSN, RN, CPHON, Monica Lee, BSN, RN, SCRN Johana Hurst, BSN, RN, CPN CPN Meghan Lloyd, BSN, RN, SCRN Megan Iaconelli, BSN, RN, CPN William Wells, BSN, RN, CEN Sean Madden, BSN, RN, SCRN Rebecca Johnson, BSN, RN, CNOR Taylor Wittel, BSN, RN, CPN Melissa Mcelfish, BSN, RN, SCRN Sally Johnson, BSN, RN, RNC-MNN Sophia Zamorano, BSN, RN, C-EFM Kyle Merrell, BSN, RN, SCRN Adrian Jones, BSN, RN, CPAN Morgan Perez, RN, CCRN, SCRN Christine Kim, BSN, RN, C-EFM Registered Nurse 4 Danielle Shepherd, BSN, RN, SCRN Terri Ackermann, BSN, RN, CPEN, CPN Leteace Lee, BSN, RN, RNC-MNN Morgan Wheatley, BSN, RN, SCRN Jamie Addo, BSN, RN, CNOR Monica Lee, BSN, RN, SCRN Shannon Artis, BSN, RN, C-EFM Trauma Certified Registered Sumi Lee, BSN, RN, CMSRN Cameron Atherton, BSN, RN, C-EFM Nurse Mary Leltemes, BSN, RN, CCRN Blair Augustyn, BSN, RN, RNC-NIC Krista Borgquist, BSN, RN, TCRN Sarah Lemaster, BSN, RN, CPEN Cheryl Bantle, BSN, RN, CEN Julie Gullatt, BSN, RN, CEN, TCRN Kathleen Lieb, RN, CPEN Brittany Baran, BSN, RN, RN-BC Bayli Long, BSN, RN, CPEN, TCRN Sara Liu, BSN, RN, RNC-NIC Sydney Mawhorter, BSN, RN, CCRN, Rachel Bieligk, BSN, RN, C-EFM Meghan Martin, BSN, RN, CPN TCRN Carly Birkhold, BSN, RN, CCRN Laura McArdle, BSN, RN, CPHON Chelsea Portillo, BSN, RN, TCRN Bridgette Botha, BSN, RN, CCRN Kelly McCabe, BSN, RN, CPN Erica Royal, RN, TCRN Kristina Bruce, BSN, RN, C-EFM Laura McCarthy, BSN, RN, IBCLC Gallie Shugarman, BSN, RN, TCRN Blair Burns, BSN, RN, CMS-RN Macy McNair, BSN, RN, SCRN Alicia Waters, RN, TCRN Caitlin Butler, BSN, RN, CVOR Kyle Merrell, BSN, RN, CCRN Christien Byun, BSN, RN, ENLS Jessica Mollard, BSN, RN, RNC-MNN Kyle Chelius, BSN, RN, CCRN Masuda Nawabe, BSN, RN, CPN Julie Childs, BSN, RN, C-EFM Zahra Nouri, BSN, RN, RN-BC Registered Nurse 3 Monique Clarey, BSN, RN, PCCN Angela Alexei, BSN, RN, RN-BC Morgan Perez, BSN, RN, CCRN, Rebecca Cohen, BSN, RN, RNC-NIC Britt Anderson, BSN, RN, PCCN SCRN Crystal Corfman, BSN, RN, CNOR Rebecca Baumgart, BSN, RN, CEN Melissa Piazza, BSN, RN, C-EFM Laura Cornell, BSN, RN, IBCLC Kristen Bosch, BSN, RN, IBLC Kimberly Quitugua, BSN, RN, PCCN Lindsey Rainwater, BSN, RN, CAPA Ashley Crowther, BSN, RN, RNC-OB, Julie Brensy, BSN, RN, CCRN IBLC Madeline Reilly, BSN, RN, CPN Kelly Buckley, BSN, RN, TCRN Samantha Dabandan, BSN, RN, PCCN Stephanie Ryan, BSN, RN, CPN Kimberly Czech, BSN, RN, CPN Ericka Davis, BSN, RN, C-EFM Astrid Saavedra, BSN, RN, CCRN Halduc Daniela, BSN, RN, SCRN Tessa DeTour, BSN, RN, RNC-MNN Hosna Sarwary, BSN, RN, CMSRN Alexandra DiGilio, BSN, RN, CPN Jennifer Flores, BSN, RN, RNC-OB

28 INOVA I NURSING REPORT 2019 Felicia Flynch, BSN, RN, CMSRN Jocelyn Naranja, BSN, RN, RNC-OB Professional Kirsten Fulop, BSN, RN, RNC-NIC Hong An Ashley Nguyen, BSN, RN, Organization Activities Parini Gandhi, BSN, RN, CPN C-EFM Laila Bailey, DNP, RN, CNS, CNOR, Zahra Nouri, BSN, RN-BC Andrea Gavurin, BSN, RN, SCRN ACNS-BC. AORN Kelsey Ghannam, BSN, RN, CNOR Esther Okrah, MSN, RN, CRRN Chapter – Board Member Natalie Grieb, BSN, RN, TCRN Gwendolyn Oliphant, BSN, RN, Julie Gullatt Shows, BSN, RN, CEN, C-EFM Emily DeMarco, MSN, RN, CCRN, TCRN Jennifer Parker, BSN, RN, CNOR RN-BC. Association for Nursing Kathryn Harper, BSN, RN, CCRN Marie Pascucci, BSN, RN, RNC-MNN Professional Development – Created Marian Hass, BSN, RN, C-EFM Lauren Payne, BSN, RN, MNN Northern Virginia Chapter Katie Healy, BSN, RN, CPN Julia Pena, BSN, RN, RNC-NIC Mary Heltemes, BSN, RN, CCRN Yhena Perez, BSN, RN, SCRN Susanne T. Fehr, PhD, RN-BC, NPD- American Katie Hurley, BSN, RN, CNOR Melissa Piazza, BSN, RN, C-EFM BC, NE-BC, CPHQ, CENP. Nurses Credentialing Center – Content Katelyn Ivancich, BSN, RN, CNOR Lauren Piccioli, BSN, RN, CCRN Expert for the Nursing Professional Rebecca Johnson, BSN, RN, CNOR Lindsay Porter, BSN, RN, RNC-OB Development Program Julian Johnson-Hamlet, BSN, RN, Kristin Reese, BSN, RN, C-EFM CNOR Tiffany Riley, BSN, RN, RNC-NIC Rhonda Filipp, BSN, RN, MPA, CPHQ. Dominique Jones, BSN, RN, IBCLC Emma Rizzi, BSN, RN, C-EFM National Association for Healthcare Deidre Jones, BSN, RN, PCCN Hannah Root, BSN, RN-BC Quality – National Conference Danielle Kemp, BSN, RN, CCRN Abigail Rose, BSN, RN, C-EFM Planning Committee Miranda Kemp, BSN, RN, C-EFM Samantha Saccoccio, BSN, RN, CPN Tamara Kennedy, BSN, RN, RNC-NIC Diane Sarosi, BSN, RN, RNC-EFM Paula Graling, DNP, RN, CNS, Jennifer Kesner, BSN, RN, RNC-NIC Lauren Schumpert, BSN, RN, CAPA CNOR, FAAN. American Congress Radhika Khadka, BSN, RN, CMSRN Evelyn Sigala Arellano, BSN, RN, of Obstetricians and Gynecologists Christine Kim, BSN, RN, C-EFM RNC-MNN – Taskforce member; Association of Krystol Large, BSN, RN, C-EFM Catherine Steenstra, BSN, RN, RNC- Perioperative Registered Nurses – Amy Lee, BSN, RN, C-EFM NIC Trustee; Association of Perioperative Sara Liu, BSN, RN, RNC-NIC Carrie Stevens, BSN, RN, PCCN Registered Nurses Foundation – Socheat Long-Elliott, BSN, RN, CCRN Courtney Sullivan, BSN, RN, RNC-NIC Board Member Kelly Luellen, BSN, RN, RNC-NIC Dellora Swartz, BSN, RN, CCRN Tari Kovacs, BSN, RN. American Lauren Matz, BSN, RN, RNC-NIC Ruth Anne Thomas, BSN, RN, CPN Association of Neuroscience Nurses – Erin McCann, BSN, RN, RNC-OB Joyce Urban, BSN, RN, CPN, CPON Nurse Reviewer for AANN articles Amber McConnell, MSN, RN, RNC- Christa Valentine, BSN, RN, RNC-OB MNN Thea Faye Velarde, BSN, RN, CNOR Ellen Makar, DNP, RN-BC, CCM, Osila Medi, BSN, RN, SCRN Laurie Waldron, BSN, RN, CAPA CPHIMS, CENP. Association for Jessica Watts, BSN, RN, PCCN Andra Messner, BSN, RN, C-EFM Nursing Professional Development – Jessica Mollard, BSN, RN, RNC-MNN Nicole Webb, BSN, RN, CNOR Created Northern Virginia Chapter Katherine Monroe, BSN, RN, CNOR Ariel West, BSN, RN, C-EFM Elizabeth Montgomery, BSN, RN, Janelle Wu, BSN, RN, CAPA CCRN Brooke Yellen, BSN, RN, SCRN

2019 NURSING REPORT I INOVA 29 Inova Fair Oaks Hospital

Magnet® Components and collaboration beyond the scope of nursing. Strong leadership from senior directors and clinical directors Transformational Leadership supports the achievement of organizational goals, facilitates Transformational leaders advocate for resources and lead professional growth and promotes shared decision making. nurses to improve practice and achieve desired goals. In The leaders supported and advocated for resources, 2019, Deborah “Debbie” Fulbrook, BSN, RN, EdM, MHS, staffing, new equipment and supplies. Transformational NEA-BC, CNO, advocated for resources and supported leaders in all levels of nursing at Inova Fair Oaks Hospital adjusting nursing care hours, resulting in improved an influence change, improve the practice environment and patient ratio and more time for nurses to provide care. improve patient outcomes. Through Fulbrook’s leadership and vision, nurses at Inova Fair Oaks Hospital practice in an environment that Structural Empowerment supports autonomy and leads to amazing outcomes and Shared Governance Councils at Inova Fair Oaks Hospital collaboration. continue to focus on improving patient care and outcomes. Fulbrook continued to advocate for resources to support Unit- and hospital-based councils are working in concert the Vizient Nurse Residency program at Inova Fair Oaks to improve the patient experience and support the Hospital, supporting the new graduate nurse transitioning professional development of our registered nurses. into professional practice. She has been able to influence Additionally, the councils work to improve patient outcomes practices changes throughout the organization through through process improvement, research and evidence- strong partnerships with the interprofessional team based practice project implementation. Through the

30 INOVA I NURSING REPORT 2019 Both Inova's Care Delivery Model and Jean Watson's Theory of Care are incorporated into nurses' daily practice, serving as cornerstones in the delivery of compassionate care. support of the Professional Development Council and the Inova Fair Oaks Hospital nurses have formed strong Inova Fair Oaks Hospital Foundation, more than 50 nurses partnerships with both the local and global community. obtained specialty certification in 2019. The Clinical Practice Many of our nurses have participated in local, regional, and Safety Council is focused on improving medication national and international missions promoting health and administration safety, reducing pressure injuries and well-being. promoting workplace safety. Exemplary Professional Practice All of our shared governance councils work collaboratively Utilizing the Inova Professional Practice Model, patients with the interprofessional team to achieve identified goals at Inova Fair Oaks Hospital continue to see exceptional and improve patient experience. Communication between patient outcomes. Both Inova’s Care Delivery model and the councils is multidirectional, with information shared at Jean Watson’s Theory of Human Caring are incorporated the unit as well as organizational level. Nurses at all levels into nurses’ daily practice, serving as cornerstones in the are included in interprofessional councils, committees delivery of compassionate care. In 2019, we introduced and task forces designed to improve care and patient many new services to promote compassionate care, outcomes. Ongoing preceptor development has impacted including healing touch, animal-assisted interventions and the practice environment by supporting the enculturation music therapy. of new nurses to the organization. The Vizient Nurse Residency program supports the new nurse’s transition to Nurses at all levels of the organization participate and practice. In 2019, 21 nurses completed the program. lead interprofessional teams focused on improving patient care and patient safety. All nurse-sensitive indicators consistently outperform benchmarks compared to other Magnet facilities. The reduction or elimination of falls with injuries, hospital-acquired pressure injuries, catheter- associated urinary tract infections and catheter-associated bloodstream infections reflects the commitment of Inova Fair Oaks Hospital’s nurses to ensuring patient safety and implementing practices that are evidenced based. Several units have gone longer than one year without any hospital-acquired infections or pressure injuries. Inova Fair Oaks Hospital nurses, at all levels of the organization, use research, best practices, national standards and professional guidelines to drive practice and outcomes. Nurses contribute to outstanding patient experience scores, which outperform benchmark scores in all domains that are influenced by nursing. In 2018, a new workplace safety council was formed to identify strategies to promote 2019 Nursing Research and EBP Symposium, Left to Right: staff safety. A nurse-led, multidisciplinary team worked to Deborah Fulbrook, EdM, MHS, BSN, RN, NEA-BC; implement these workplace safety strategies in 2019. Laura McNicholl, MS, RN, CNS-BC, RN-BC

2019 NURSING REPORT I INOVA 31 New Knowledge and Awards and Presentations Innovation Recognition ABCs of Falls [Poster] Nurses from Inova Fair Oaks Hospital Pauline Huynh, BSN, RN, PCCN; consistently integrate evidence-based Nursing Excellence Awards Dillon Knighton, AD, RN; Ksenia practice, guidelines and research Kimberly Dillon, BSN, RN, CEN – Transformational Leadership Harris, BSN, RN; Mursal Hossein, into their clinical practice. Our nurses Deborah Fulbrook, EdM, MHS, BSN, BSN, RN, CCRN; Priscilla Trewartha, express thanks and gratitude to our RN, NEA-BC – Transformational BSN, RN; Rachel Odei-Kwatia, BSN, colleagues in the medical library on Leadership RN. Inova Nursing Research and the Inova Fairfax Medical Campus. The Jennifer McKeever, MSN, BS, CPN – Evidence-Based Practice Symposium. Structural Empowerment library staff support our many requests Falls Church, VA, Dec. 6, 2019. for literature searches helping to Debbie Mitchell, AD, RN, CCRN – New Knowledge and Innovation Aromatherapy in Bariatric Patients identify research and best practices to Vanessa Vargas, AD, RN – Rising Star [Podium] improve patient care and outcomes. Monica Vidal, MBA, BSN, RN-NC – Laura McNicholl, MS, RN, CNS-BC, These efforts strongly impacted our Exemplary Professional Practice RN-BC. Inova Nursing Research and key result of an exceptional patient Evidence-Based Practice Symposium. experience. DAISY Awards Kelly Banya, BSN, RN Falls Church, VA, Dec. 6, 2019. Multiple evidence-based practice Courtney Bryan, BSN, RNC-NIC Effects of Aromatherapy on Pain projects were implemented at Inova Regina O’Connor, BSN, RN and Anxiety Scores: A Pilot Study Fair Oaks Hospital this year, resulting Saghi Tehran, MPH, BSN, RN [Poster]Vicki Lindgren, MSN, RN, in improved patient outcomes and Erica Vaughan, BSN, RN, CAPA CCRN, CCNS; Laura McNicholl, experiences. Project results were Outstanding Nurse Resident MS, RN, CNS-BC, RN-BC; Mary disseminated both internally and Ann Friesen, PhD, RN, CHPQ; Scott externally at local, regional and Cohort Award Amber Ortman, BSN, RN, CEFM – Barnett, PhD. Virginia Patient Safety national conferences. Research Outstanding Nurse Resident Cohort 1 Summit. Richmond, VA, Jan. 30 – continues to be a focus, including 31, 2019; Nursing Evidence-Based use of aromatherapy for pain control, Ava Nazemian, BSN, RN – Outstanding Nurse Resident Cohort 2 Practice and Research Conference – infant-driven feeding protocol, and MedStar Washington Hospital Center. Tara Jones, BSN, RN – Outstanding long-term impact and use of alternate Washington, DC, March 12, 2019. Nurse Resident Cohort 3 light sources to identify deep tissue Greet and Go [Poster] injuries. Excellence in Nursing Alma Khan, BSN, RN; Grecia Lima Administration Awardy Valdez, BSN, RN; Ann Maas, BSN, Sum Chan, MSN, RN, CMSRN RN; Laura McNicholl, MS, RN, RN-BC, Guardian of Excellence Award CCNS; Amanda Patterson, BSN, RN; Radiation Oncology Department Inga Rollins, MPH, BSN, CPD-BC, CPN; Allison Slocum, BSN, RN; Olga Torralba, MSN, RN, CCRN. Inova Nursing Research and Evidence-

32 INOVA I NURSING REPORT 2019 2019 Nursing Stars Award, Inova Fair Oaks Intensive Care Unit, Left to right: Nina Ganjei, BSN, RN; Emily Daniecki, BSN, RN, CCRN; Mursal Hossein, BSN, RN, CCRN; Evelyn Irani, MSN, RN, CCRN, NE-BC, Clinical Director Intensive Care Unit; Ashlyn Knott, BSN, RN; Shahnaz Imani, AD, RN, CCRN

Based Practice Symposium. Falls Publications New Degrees Church, VA, Dec. 6, 2019. Vicki Lindgren, MSN, RN, CCRN, Bachelor of Science in Nursing HEARTS [Poster] CCNS; Laura McNicholl, MS, RN, Eleftheria Brown, BSN, RN Judy Irvine, BSN, RN, RN-BC; Chelsea CNS-BC, RN-BC; Mary Ann Friesen, Katrina Duy, BSN, RN Koser, BSN, RN, RN-BC; Jessica PhD, RN, CHPQ; Scott Barnett, PhD; Jasmine Garcia, BSN, RN Harasek, MSN, RN, RN-BC, CHIMS; Frances Collins, MSN, RN, CCRN-K, Ksenia Harris, BSN, RN Laura McNicholl, MS, RN, CNS-BC, NE-BC. Holistic Nursing Practice, Mursal Hossein, BSN, RN, CCRN RN-BC. Nursing Evidence-Based Effects of Aromatherapy on Pain Janet Lopez, BSN, RN Practice and Research Conference – and Anxiety Scores in Adult Patients Ann Maas, BSN, RN MedStar Washington Hospital Center. Admitted to a Community Hospital on Heather Madden, BSN, RN Washington, DC, March 12, 2019. the Medical Unit or Telemetry Unit: A Marie Monaghan, BSN, RN Pilot Study, Volume 33, Issues 6, Pgs. Maria Parker, BSN, RN Hit the Road, Jack (And Don’t You 346-353, Wolters Kluwer, 2019. Megan Plant, BSN, RN Come Back) [Poster] Stephanie Sandbank, BSN, RN, Zaitun Begam, MSN, RN, ONC; Tina Theresa Davis, PhD, RN, NE-BC, CNOR Poore, MSHA, ORT; Karen Duteil, FAAN; Mary Ann Friesen, PhD, RN, Wendy Sloss, BSN, RN MSN, RN, ONC. National Association CPHQ; Robin R. Jackson, MSN, Emily Wenger, BSN, RN of Orthopaedic Nurses Annual RN-BC, CCRN, CCNS, CHTP; Liliana Congress. Atlanta, GA, May 17 – 21, Suchicital, BSN, RN, CNB, CHTP, Master of Science in Nursing 2019. ONC; Diane Swengros, MSN, RN, Sum Chan, MSN, RN Bridget Dunn, MSN, RN NPD-BC, CHTP/I. (2019) Inova Nurses Nightmare: Complex Fistula Suin Lee, MSN, RN Miracles & Mysteries in J. Watson (Ed.), Management [Podium] Sarah McDonald, MSN, RN Miracles and Mysteries: Witnessed by Linda Arundel, MSN, RN, WCON. Julie Weinstein, MSN, RN, CEN, CFNP Nurses, (pp.55-56, 54, 57-58, 56-57, Mid-Atlantic Regional WOCN Annual pp.54-55); Great Britain: Lotus Library. Conference. Hunt Valley, MD, Oct. 11, 2019.

2019 NURSING REPORT I INOVA 33 All nurse-sensitive indicators consistently outperform benchmarks compared to other Magnet facilities.

Scholarships Critical Care Registered Nurse International Board-Certified Mursal Hossein, BSN, RN, CCRN Lactation Consultant MSN Scholars Andrea Hsu, BSN, RN, CCRN Sarah McDonald, MSN, RN, IBCLC Megan Foddrell, BSN, RN – Inova Fair Shanaz Imani, AD, RN, CCRN Oaks Auxiliary Scholarship Program Medical-Surgical Registered Electronic Fetal Monitoring Nurse DNP Scholars Kiran Ahmad, BSN, RN, C-EFM Therese Findjieu, BSN, RN, RN-BC Candice Davis, BSN, RN, CEB, CPEN, Catherine Gacheru, BSN, RN, C-EFM Karin Fecanin, BSN, RN, RN-BC TCRN – Inova Nursing Excellence Molly Gauthier, BSN, RN. C-EFM Scholarship Therese Griffin, BSN, RN, C-EFM Maternal Newborn Nursing Priscilla Trewartha, BSN, RN – Inova Ashley Earley, BSN, RN, C-EFM Adwoa Boahemaa, BSN, RN, RNC- Nursing Excellence Scholarship Kaitlin Kinkoph, BSN, RN, C-EFM MNN Dena McCoy, MSN, RNC-NIC, C-EFM Lolita Decano, BSN, RN, RNC-MNN Amber Ortman, BSN, RN, C-EFM Certifications Karen Peterson, BSN, RN, C-EFM Magdalene Elimimian, BSN, RN, RNC-MNN Carolyn Rostek, BSN, RN, C-EFM Certified Bariatric Nurse Michelle Gilliland, BSN, RN, RNC- Mirjana Zaka, BSN, RN, C-EFM Jana Harvich, MD, BSN, RN, CNOR, MNN CBN Gerontological Nursing Nicole Grace, BSN, RN, RNC-MNN Certified Nurse Operating Heather Austin, MSN, BS, AD, RN, Lucinda Klingensmith, BSN, RN, Room RN-BC RNC-MNN Stacy Bennett, BSN, RN, CNOR Maire Hernandez, BSN, RN, RN-BC Tiffany Laseter, BSN, RN, RNC-MNN Aimee Boice, BSN, RN, CNOR Adetutu Marioghae, BSN, RN, Inpatient Obstetric Nursing RNC-MNN Vanessa Vargas, BSN, RN, CNOR Katherine Putnam, BSN, RN, RNC-OB Mary Wang, BS, RN, CNOR Certified Pediatric Emergency Nurse Cristin Schaub, BSN, RN, CEN, CPEN Certified Pediatric Nurse Ruth Gonzales, AD, RN, CPN Sana Rehman, BSN, RN, CPN Certified Professional in Patient Safety Heather Austin, MSN, BS, AD, RN, RN-BC, CPPS Certified Wound Ostomy Nurse Kimberly Winter, BSN, RN, CEN, 2019 Nurse Excellence Awards, From Left to Right: Debbie Fulbrook, Ed.M., MHS, BSN, CWON RN, NEA-BC; Ksenia Harris, BSN, RN; Emily Wenger, BSN, RN; Mursal Hossein, BSN, RN, CCRN; Aundrea DeGregosis, BSN, RN; Ava Nazemian, BSN, RN; Vanessa Vargas, BSN, RN; Maureen Sintich, DNP, MBA, RN, WHNP-BC, NEA-BC

34 INOVA I NURSING REPORT 2019 Neonatal Intensive Care Bridget Dunne, BSN, RN, RNC-OB Stephanie Sandbank, BSN, RN, Nursing Patricia Fontanez Jones, BSN, RN, CNOR Jennifer Allen, BSN, RN, RNC-NIC CCRN Jessica Stabile, BSN, RN, PCCN Catherine Gacheru, BSN, RN, RNC- Jennifer Stroud, BSN, RN, CEFM, Nurse Executive OB Lara Vance, BSN, RN Lani Brown, MSN, RN, RNC-OB, NE- Alyson Garris, BSN, RN, CEN BC Therese Griffin, BSN, RN, C-EFM Professional Frances Collins, MSN, RN, CCRN-K, Maritza Harris, BSN, RN, ONC, RN-BC Organization Activities NE-BC Kelsey Heller, BSN, RN, CNOR Linda Arundel, MSN, RN, WCON. Alishia Reese, MS, BSN, RN, NE-BC Andrea Howlett, BSN, RN, RNC-NIC Ostomy support Group in Northern Nurse Executive, Advanced Tiffany Laseter, BSN, RN Virginia LLC – Appointed to Medical Marla Booker, MSHCA, BSN, RN, Melissa Mann, BSN, RN, CMSRN Advisory Board; Mid-Atlantic Region NEA-BC Edna Mansaray, BSN, RN, RN-BC Wound Ostomy and Continence Sally Miller, BSN, RN, RNC-NIC Nursing Society – Continuing Education Committee Chair Nursing Professional Deborah Mitchell, AD, RN, CCRN Development Thuy Nguyen, BSN, RN, CCRN Stephanie Fitch, BSN, RN, CEN, Inga Rollins, MPH, BSN, RN, CPN, Anh Phuong Nguyen, BSN, RN, CCRN TCRN. Emergency Nurses Association NPD-BC Aliya Sahadi, BSN, RN, CPN – Advisory Board; Virginia Emergency Nurses – President of State Council Oncology Certified Nurse Suvechhya Silwal, BSN, RN, CCRN Eileen Wilkinson, AD, RN, OCN Christine Smith, BSN, RN Aminata Steele, BSN, RN, RN-BC Vicki Lindgren, MSN, RN, CCRN, Progressive Care Nursing Ana Thomas, BSN, RN, CNOR CCNS. American Association of Critical Care Nurse – Senior Beacon Analyst (Adult) Kevin Trent, BSN, RN, CEN Kathryn Brewster, BSN, RN, PCCN Monica Vidal, BSN, RN, RNC-NIC Edna Mansaray, BSN, RN, RN-BC. Walaa Fayek, AD, RN, PCCN Mary Wang, BSN, RN, CNOR Inova Health System – Volunteer for Pauline Huynh, BSN, RN, PCCN Lindsay Winks, BSN, RN GYN Cancer Screening Sarah Wolf, BSN, RN, CMSRN Jennifer McCaughey, MSN, BS, RN, Trauma Certified Registered Amy Yildirim, BSN, RN, RNC-NIC Nurse RNC-MNN, CCE. National Certification Mirjana Zaka, BSN, RN, C-EFM Corporation – Content Team Member Candice Davis, BSN, RN, CEN, CPEN, for Certification Examination TCRN Registered Nurse 4 Eleni Brucki, BSN, RN, CEN Amy Buchanan, BSN, RN, RNC-OC Additional Lillian Cotter, BSN, RN, RNC-LRN Registered Nurse 3 Christina Gioe, MSN, RN, CNL. Inova Lucy Cusack, BSN, RN, RNC-NIC Kiran Ahmad, BSN, RN, C-EFM Health System – Completed the New Laura Day, BSN, RN, CEN Rebecca Cebrian, BSN, RN, PCCN Leader Transition into Practice Program Laura Cintorino, BSN, RN, ICLB Larissa Curto, BSN, RN, RNC-OB Erika Kong, BSN, RN, RN-BC Ramanpreet Kaur, BSN, RN. Inova Emily Daniecki, BSN, RN, CCRN Chelsea Koser, BSN, RN, RN-BC Health System – Volunteer for GYN Laura Day, BSN, RN, CEN Cancer Screening Brittany Manosalvas, BSN, RN, PCCN Regina Decristofaro, BSN, RN, RNC- Evangeline Niemala, BSN, RN, RNC- OB OB

2019 NURSING REPORT I INOVA 35 36

Inova Loudoun Hospital

Magnet® Components Structural Empowerment New graduate nurses benefited from the implementation Transformational Leadership of the Vizient Nurse Residency Program in 2018 with the Inova Loudoun Hospital’s Chief Nursing Officer (CNO), graduation of 39 nurse residents in 2019. Our first-year Marissa Jamarik, building on the work started in 2018, RN turnover has continued to decline with the addition of continued her monthly “Tea with the CNE” meeting. Clinical the clinical mentor role and the Vizient Nurse Residency nurses were invited each month to serve as consultants program. to the CNO on a variety of issues, including the creation Nurses at all levels are included in Shared Governance of a suggestion box for sharing ideas and concerns. 2019 and Unit Practice Councils. The councils are designed to was a big year for professional development opportunities. improve nursing care and patient outcomes and foster A Nurse Leader Transition into Practice (NLTIP) program the professional practice of nursing. In 2019, 14 nurses was initiated in April 2019, supporting and developing began their journey on the ADVANCE Clinical Ladder as our new leaders through a six-month training program. RN 3's, and 29 nurses climbed the ladder to become an In May, a new succession planning program was started, RN 4. Inova Loudoun Hospital currently has 135 nurses providing a more formal way of identifying staff interested participating in the ADVANCE program. Forty-two nurses in advancement opportunities. A new “career coaching” became newly certified, with an additional 22 nurses, program, available to all nursing staff, was launched in June two DNPs, three MSNs and 17 BSNs receiving advanced 2019. Nurses can sign up for mentors to help guide them degrees. in their professional development. Our Ashburn Healthplex received the prestigious Lantern Award in July 2019. A new The Professional Practice Council hosted the third annual peer feedback process began in July 2019. Innovation in Healthcare Conference on November 8, 2019.

36 INOVA I NURSING REPORT 2019 Inova Loudoun Hospital was in operation one full calendar year without a single catheter-associated urinary tract infection.

The keynote speaker for this year’s event, Linda Allen- NE-BC, FAAN; Mary Ann Friesen, PhD, RN, CPHQ; Anthony Benton, MS, discussed resilience in healthcare. Topics Meadows, PhD, MT-BC, LPC; Zhiwei Zhang, PhD; and Audra presented included workplace violence, sensory-friendly Gollenberg, PhD was published in the American Journal of environments at Inova Loudoun Hospital, the ICU sleep Critical Care in January 2019. A second article, published in project and many others. In addition to the informative the Journal of Emergency Nursing, was entitled: "Creating presentations, attendees also took part in an escape room a a Sensory Friendly Pediatric Emergency Department,” experience. In addition, the Professional Practice Council authored by Elyssa Wood, PhD, RN, CPEN; Allyson sponsors the quarterly “Did You Know?” nursing newsletter Halverson, BS, CCLS, CTP, Gina Harrison, MSN, RN, NE-BC, with topics important to nurses featured in each issue. CEN, CPEN; Amanda Rosenkranz, PhD, MSN, RN, CPEN. Approximately 35 nurses were able to attend professional We also had fourteen podium presentations at the local, conferences in 2019, such as the National Teaching Institute, regional, state, national and international levels. Ken Frese, Emergency Nurses Association Conference, and ANCC MSN, RN, ACNS-BC and Megan Placido, BSN, RN4, PCCN National Magnet Conference; thanks to the generous presented their “Bundle Up for Falls” evidence-based philanthropic support of the Stavish family. practice project at the Sigma Theta Tau International Conference in Washington, DC in November 2019. Elyssa Exemplary Professional Practice Wood, PhD, MPH, RN, CPEN; Gina Harrison, MSN, RN, Inova Loudoun Hospital nursing has a distinction to be NE-BC; Sarah Stinson, BSN, RN, CPEN; Kristina Presgrave, truly proud of: we went a full calendar year without a BSN, RN, CPEN; Erin Rovelli, BSN, RN; Mary Ann Friesen, single catheter-associated urinary tract infection (CAUTI). PhD, RN, CPHQ had a podium presentation at the national The majority of our units exceeded the Magnet mean for Emergency Nurses Association conference in Austin, TX falls with injury, hospital-acquired pressure injury, central in September for their “Video Discharge Instructions in the line-associated bloodstream infections and CAUTI. In the Spanish-Speaking Population” research project. The poster 2018 NDNQI Nursing Satisfaction Survey, the majority also won a national award for Best Research ePoster from of units exceeded the national Magnet© benchmarks in the Emergency Nurses Association. the nine major domains of adequate staffing, manager/ leadership, foundations for quality of care, participation in hospital affairs, autonomy, RN-RN interaction, professional development opportunity/access and interprofessional relationships.

New Knowledge and Innovation 2019 was another banner year for Inova Loudoun Hospital regarding research, evidence-based practice and quality improvement projects. Our nursing staff had two articles published in 2019. “The Impact of an Active Music Therapy Intervention on Patients in the Intensive Care Unit” by Amanda Golino, MSN, RN, CCNS, CCRN, RN-BC; Ray Leone, MMT, MT-BC; Debbie Stanger, MSN, RN, NEA-BC; 2019 Nursing Research and EBP Symposium, Left to Right: Cathy Christopher, Med, CCC-SLP, Theresa Davis, PhD, RN, Lindsay Schoem, BSN, RN; Alison Burton, BSN, RN, NEA-BC

2019 NURSING REPORT I INOVA 37 “The Psychosocial Benefits of Music Daisy Awards Therapy for Hospitalized Antepartum Kristin Bass, BSN, RN Patients” authored by Jaimee Rheya Brown, RN Robinson, MSN, RN, RNC-OB; Marie Michael Gammill, BSN, RN Tolliver, BSN, RN, RNC-OB; Ashley Ashley Jackson, BSN, RN Crowther, BSN, RN; Jennifer Truax, Elaine Lasky, BSN, RN MSN, FNP-BC, RNC-OB; Mary Ann Rebecca McCullock, BSN, RN Friesen, PhD, RN, CPHQ; Grace Muskett, BSN, RN Debra Stanger, MSN, RN, Natalie Ropp, BSN, RN NEA-BC; Carol Swamidoss Douglas, Lindsay Schoem, BSN, RN, TCRN Farhan Shaukat, BSN, RN PhD, RNC Inova Loudoun Hospital Al Villaflor, BSN, RN, CEN and Inova Fairfax Medical Campus; Ester Yang, BSN, RN 2019 Virginia Nurses Association Johanna Horn, MT-BC; Anthony Conference: Jaimee Robinson, MSN, Meadows, PhD, MT-BC, FAMI, LPC, American Heart Association RN, RNC-OB, C-EFM Shenandoah University, won first Get with the Guidelines place for Best Overall Poster at the Inova Loudoun Hospital In addition, eight posters were Fall 2019 Virginia Nurses Association presented at the local, state, and Conference in Richmond, VA. 2019 Platinum Performance national level, with three poster Achievement Award Chest winners. At the local level, at the Pain-MI Registry NCDR Inova Heart & Vascular Institute - Inova Research and Evidence-Based Awards and Schaufeld Family Heart Center Practice Conference in December Recognition 2019, the poster “Assessing the Survey 2019 Synergy Conference: Instrument: Perception of Opioid Use Nursing Excellence Awards Leslie Ebert Award Survey (POUS)” authored by Alison Johanna Emory, BSN, RN, CEN, TCRN Inova Loudoun Hospital Burton, BSN, RN; Lindsay Schoem, – Exemplary Professional Practice Kimberlee Klein, BSN, RN, CEN – American Nursing Foundation BSN, RN, TCRN; Scott Mueller, BSN, Transformational Leadership – Honored for Work Training RN; Alison Smolsky, DNP, RN, NE-BC; Shawn Lewis, BSN, RN4, CAPA – and Teaching Student Nurses Stacey Metcalf, BS; Debbie Stanger, New Knowledge, Innovations and Progressive Care Unit MSN, RN, NEA-BC; Elyssa Wood, PhD, Improvements RN, CPN, TCRN; Mary Ann Friesen, Grace Muskett, BSN, RN – Rising Star Best Nursing Home for 2019- PhD, RN, CPHQ; Scott Barnett, PhD, Megan Placido, BSN, RN, PCCN – 20 by U.S. News & World MSPH; and Lisa Levinson, MSN, RN, Transformational Leadership Report. Jennifer Sedlmeyer, MSN, RN, RNC- Inova Loudoun Nursing and Assistant Professor, Shenandoah MNN – Structural Empowerment Rehabilitation Center University won the Voter’s Choice award.

38 INOVA I NURSING REPORT 2019 Best Overall Poster 2019 VNA Brenda Sheive, BSN, RN, CRN – IHVI/ Nominee: Virginia Nurses Conference Radiology Foundation / Virginia Magnet Jaimee Robinson, MSN, RN, RNC- Adriene Simms, BSN, RN, CCRN – Consortium Awards Nursing MNN – Psychosocial Benefits of Music ICU Educator Therapy for Hospitalized Antepartum Katie Staub, BSN, RN, OCN – Jordan Tyczka, MSN, RN, CEN Patients: A Case Series. Oncology Nominee: Virginia Nurses Emergency Nurse Association Christina Sternberg, BSN, RN – NICU Foundation / Virginia Magnet National Conference – Best Karen Vanderlinde, RN - Operating Room/ENDO Consortium Awards Nursing Research Practice ePoster Brian Wilkinson, RN – ERA Leadership Award Alison Smolsky, DNP, RN, NE-BC Elyssa Wood, PhD, RN, CEN, TCRN Inga Woods, BSN, RN, CCRN – ERC Myriam Zinn, BSN, RN – Nursing Nursing Stars Unit Recognition Emergency Nurses Support Unit ICU Associations Lantern Award NAPBC Accreditation Award NICU Inova Loudoun Hospital Ashburn Pediatric ED HealthPlex Inova Loudoun Hospital Breast Program Virginia Emergency Nurse Unit Nurse of the Year Nominee: Virginia Nurses Association Nurse Advocate Recipients Rhonda Betties, RN – LNRC Foundation / Virginia Magnet Award Justin Hawkins, BSN, RN Erin Brand, BSN, RN, PCCN – PCU Consortium Awards Clinical Cheryl Brigola, BSN, RN – Float Pool Nursing Practice Team Collaboration – Lindsay Schoem, BSN, RN, TCRN Annie Eshun, BSN, RN, CPN – Decreased Use of Antibiotics Natalie Wright, BSN, RN Observation FCC Natalie Griffin, BSN, RN, RNC-OB – Nominee: Virginia Nurses NICU Labor and Delivery Foundation / Leadership The Joint Commission Gold Justin Hawkins, BSN, RN – ERL Excellence Awards Nurse Karen Hughes, BSN, RN, CCRN – IMC Seal of Approval® for Perinatal Educator Care Certification The Birthing Jessica Kelly, BSN, RN4, CMSRN – Jordan Tyczka, MSN, RN, CEN MSU Inn Samantha Kelly, BSN, RN, CAPA – Nominee: Virginia Nurses Surgical Services Virginia Emergency Nurse Foundation / Leadership Association Clinical Expertise Katherine Killian-Tucker, BSN, RN, Excellence Awards Nurse RNC-BC – Outpatient Services Award Manager/Director Rebecca McCoy, BSN, RN, CPEN Robin Morassutti, BSN, RN – PEDS Stephanie Boese, MSN, RN, CCRN, Satkeirn Perez, BSN, RN, RNC-MNN – TCRN Family-Centered Care Alison Smolsky, DNP, RN, NE-BC Lacey Peter, BSN, RN – ER Peds Cynthia Price, BSN, RN – LAMPS

2019 NURSING REPORT I INOVA 39 Presentations Inova Loudoun Hospital Innovation Implementing a Sensory-Friendly Conference. Sterling, VA, Nov. 8, 2019. Program [Podium} Assessing the Instrument: Perception Shawn Lewis, MSN, RN, CAPA; of Opioid Use Survey (POUS) [Poster] Encouraging Appropriate Testing and Samantha Kelly, BSN, RN, CAPA. Podium] Antibiotic Stewardship to Reduce Inova Loudoun Hospital Innovation Elyssa Wood, PhD, RN, TCRN; Mary Healthcare-Acquired Clostridium Conference. Sterling, VA, Ann Friesen, PhD, RN, CPHQ; Debra Difficile Infections [Poster] Nov. 8, 2019. Stanger, MSN, RN, NEA-BC; Stacey Anita Majette-Cain, BSN, RN, CIC. Metcalf; Alison Burton, BSN, RN; Association for Professionals in OR to ICU Handoff [Poster] Scott Mueller, BSN, RN; Lindsay Infection Control and Epidemiology Jaimee Robinson, MSN, RN, RNC-OB, Schoem, BSN, RN, TCRN; Allison 2019 Annual Conference. Philadelphia, C-EFM; Jordan Tyczka, MSN, RN, Smolsky, DNP, RN, NE-BC. Inova PA, June 13, 2019. TCRN, CEN; Jennifer Sedlmeyer- Nursing Research and Evidence- Johansen, MSN, RN, RNC-NIC, Based Practice Symposium. Falls Everything OB [Poster] [Podium] RNC-MNN. Virginia Simulation Alliance Church, VA, Dec. 6, 2019. Jennifer Sedlmeyer-Johansen, MSN, Conference. Williamsburg, VA, July 29, RN, RNC-NIC, RNC-MNN; Jaimee Being AUDIT We Can Be: Achieving 2019. Robinson, MSN, RN, RNC-OB, Excellence in Joint Commission Stroke C-EFM. Virginia Neonatal Perinatal Core Measure Compliance [Podium] OB EMS Simulation Training [Podium] Collaborative. Roanoke, VA, Oct. Amy Baker, MSN, RN, CEN; Nancy Joy Lucas, MSN, RN, CCRN-K. Virginia 21, 2019; Inova Loudoun Hospital Devlin, BSN, RN4, PCCN; Claire Hospital and Healthcare Association Innovation Conference. Sterling, VA, Nguyen, BSN, RN; Sara Johnson, Conference. Richmond, VA, Nov. 8, 2019. BSN, RN. 2019 Mid-Atlantic Heart Feb. 1, 2019. and Stroke Quality Summit – Stroke Gimme 5: Helping Babies Thrive Pediatric Simulation Readiness Conference. Raleigh, NC, April, 2019. [Podium] [Poster] [Podium] Bundle Up for Falls [Podium] Jennifer Sedlmeyer-Johansen, MSN, Elyssa Wood, PhD, RN, TCRN; Ken Frese, MSN, RN, ACNS-BC; RN, RNC-NIC, RNC-MNN. AWHONN Johanna Emory, BSN, RN, CEN, Megan Placido, BSN, RN, PCCN. DMV Regional Conference. Silver TCRN; Amber Wilson, MSN, RN, CEN. Sigma Theta Tau International Spring, MD, April 27, 2019; NANN 35th Inova Loudoun Hospital Innovation Conference. Washington, DC, Annual Conference. Savannah, GA, Conference. Sterling, VA, Nov. 8, 2019; Nov. 16, 2019. Oct. 9, 2019. Inova Nursing Research and Evidence- Critically Ill Patients Need Their Hit the Road, Jack (And Don’t You Based Practice Symposium. Falls Beauty Sleep [Podium] Come Back) [Poster] Church, VA, Dec. 6, 2019. Michelle Waterman, BSN, RN; Zaitun Begam, MSN, RN, ONC; Tina Windy Kana, BSN, RN, CCRN; Poore, MSHA, ORT; Karen Duteil, Sara Vandeginste, MSN, RN, CCRN; MSN, RN, ONC. National Association Tabitha Madill, BSN, RN, CCRN. of Orthopaedic Nurses Annual Congress. Atlanta, GA, May 17 – 21, 2019.

40 INOVA I NURSING REPORT 2019 Psychosocial Benefits of Music Therapy for Hospitalized Antepartum Patients [Poster] Jaimee Robinson, MSN, RN, RNC-OB; Marie Tolliver, BSN, RN, RNC-OB; Ashley Crowther, BSN, RN; Jennifer Truax, MSN, FNP-BC, RNC-OB; Mary Ann Friesen, PhD, RN, CPHQ; Debra Stanger, MSN, RN, NEA-BC; Carol Swamidoss Douglas, PhD, RNC Johanna Horn, MT-BC; Anthony Meadows, PhD, MT-BC, FAMI, LPC, Shenandoah University. Virginia Nurses Association Mind Matters Conference. Richmond, VA, Sept. 20, 2019.

Rapid-Fire Presentation of Psychosocial Benefits of MT for 2019 Nursing Research and EBP Symposium, Left to Right: Elyssa Wood PhD, RN; Antepartum Hospitalization [Podium] Johanna Emory RN; Amber Wilson, MSN, RN, CEN Jaimee Robinson, MSN, RN, RNC- OB, C-EFM; Johanna Horn, MT-BC. RN, TCRN; Sarah Stinson, BSN, RN, Amanda Golino, MSN, RN, CCNS, Virginia Nurses Association Mind CPEN; Kristina Presgrave, BSN, CCRN, RN-BC; Debra Stanger, MSN, Matters Conference. Richmond, VA, RN, CPEN; Erin Rovelli, BSN, RN; RN, NEA-BC, NE-BC; Mary Ann Sept. 21, 2019. Mary Ann Friesen, PhD, RN, CPHQ. Friesen, PhD, RN, CPHQ; Catherine Emergency Nurses Association Christopher, M.ED., CCC-SLP; Simulation Station: Pediatric Trauma Conference. Austin, TX, Sept. 29, 2019; Audra Gollenberg, PhD; Ray Leone, [Podium] ENA Conference. Austin, TX, Sept. 30, ML-BC; Theresa Davis, PhD, RN, Elyssa Wood, PhD, RN, TCRN; Sarah 2019. NE-BC, FAAN; Anthony Meadows, Stinson, BSN, RN, CPEN. Emergency PhD, MT-BC, LPC; Zhiwei Zhang, Nurses Association Southeastern Publications PhD. American Journal of Critical Seaboard Meeting. Norfolk, VA, March Elyssa Wood, PhD, RN, TCRN; Gina Care, The Impact of an Active Music 22, 2019. Harrison, MSN, NE-BC, CPEN, CEN; Therapy Intervention on Patients in Video Discharge Instructions in the Allyson Halverson, BS, CCLS, CTP; the Intensive Care Unit, January 2019, Spanish-Speaking Population [Poster] Amanda Rosenkranz, PhD, CPEN, Volume 28, No. 1. [Podium] CPN. Journal of Pediatric Nursing, Gina Harrison, MSN, RN, NE-BC, Creating a Sensory Friendly Pediatric CPEN, CEN; Elyssa Wood, PhD, Emergency Department.

2019 NURSING REPORT I INOVA 41 New Degrees Certifications Certified Registered Nurse Infusion Bachelors of Science in Critical Care Registered Nurse Sara Towne, BSN, RN, CRNI Nursing Devin Jackson, BSN, RN, CCRN Krissy Bass, BSN, RN Katherine Rodgers, BSN, RN, CCRN Certified Wound Ostomy Shannon Cox, BSN, RN Sara Vandeginste, MSN, RN, CCRN Nurse Joanne Peters, BSN, RN, CWS, Tatiana Cruz, BSN, RN Jessica Wepee, BSN, RN, CCRN CWON Jessica Darne, BSN, RN Doris Dixon, BSN, RN, PCCN Certified Childbirth Educator Inpatient Obstetric Nursing Mary Jo Dunn, BSN, RN, CMSRN Hannah Ferguson, BSN, RN, C-EFM, Maribeth Crooks, BSN, RN, RNC-OB RNC-CCE Lisa Eichelberger, BSN, RN Azam Dabirzadeh, BSN, RN, RNC-OB Doan Shinham, BSN, RN, CCE Sabrina Evangelisti, BSN, RN Anne Hooks, BSN, RN, RNC-OB Michael Gammill, BSN, RN Certified Emergency Nurse Kelly White, BSN, RN, RNC-OB Holly Harrigan, BSN, RN, RN-BC Katherine McCorry, BSN, RN, CEN Low Risk Neonatal Nursing Cynthia Jean, BSN, RN Kitty Sharp, BSN, RN, CEN Brittany Motter, BSN, RN, RNC-MNN, Scott Mueller, BSN, RN Alfredo Villaflor, BSN, RN, CEN IBCLC, RNC-LRN Natalie Ropp, BSN, RN Shelly Schiappa, BSN, RN, RNC-MNN Electronic Fetal Monitoring Maternal Newborn Nursing Heather Shell, BSN, RN Hannah Brooks, RN, RNC-EFM Jennifer Cifuentes, BSN, RN, RNC- Jaimee Robinson, MSN, RN, RNC-OB, MNN Erin Sweet, BSN, RN, CEN C-EFM Kim Ferrari, BSN, RN, RNC-MNN Devon Toms-McCrarey, BSN, RN Katyna Kitto, BSN, RN, RNC-MNN Certified Medical-Surgical Master of Science in Nursing Susan Leonard, BSN, RN, RNC-MNN Amy Baker, MSN, RN, CEN Registered Nurse Katherine Miller, BSN, RN, RNC-MNN Amber Wilson, MSN, RN, CEN Danessa Quispe, BSN, RN, CMSRN Megan Neighly, BSN, RN, RNC-MNN Certified Nurse Manager Satkeirn Perez, BSN, RN, RNC-MNN Master of Science in Nursing – Shelly Schiappa, BSN, RN, RNC-MNN and Leader Family Nurse Practitioner Rebecca Smith, BSN, RN, RNC-MNN Amy Gillam, MSN, RN, CCRN, CNML Bahareh Nazemi, MSN, FNP, RN Evie Umberger, BSN, RN, RNC-MNN Kristelle Toone, MSN, RN, CCRN, Doctorate of Nursing Practice CNML Medical-Surgical Registered Ann Chopivsky, DNP, RN, CEN Certified Nurse Operating Nurse Alison Smolsky, DNP, RN Susaan Liang, BSN, RN, RN-BC Room Mita Patel, BSN, RN, CMSRN, RN-BC, Natalie Lee, BSN, RN, CNOR Scholarships Certified Pediatric Emergency DNP Scholars Nurse Gina Harrison, MSN, RN, NE- Andrea Brown, BSN, RN, CPEN BC, CPEN, CEN – Inova Nursing Jamie Fife, BSN, RN, CPEN Excellence Scholarship Elizabeth (Amy) Peters, BSN, RN, CPEN

42 INOVA I NURSING REPORT 2019 Neonatal Intensive Care Registered Nurse 3 Nursing Alexandria Baranowski, BSN, RN, Trish DeNardis, BSN, RN, RNC-NIC RNC-NIC Alexandria Gallo Baranowski, BSN, Marissa Caulker, BSN, RN, CMSRN RN, RNC-NIC Doris Dixon, BSN, RN, PCCN Anna Haynes, BSN, RN, IBCLC, RNC- Dianna Fanning, RN, RNC-NIC NIC Michelle Fields, BSN, RN, CCRN Casey Hughes, BSN, RNC-NIC Noelle Franzen, BSN, RN, CPEN Sarah Jones, BSN, RN, RNC-NIC Hayley Godwin, BSN, RN, RNC-NIC Jennifer Sedlmeyer, MSN, RN, RNC- Vanessa Hiller, BSN, RN, CMSRN MNN, RNC-NIC Casey Hughes, BSN, RN, RNC-NIC Oncology Certified Nurse Kaitlyn Lloyd, BSN, RN, RNC-NIC Katie Staub, BSN, RN, OCN Tabitha Madill, BSN, RN, CCRN Marianito Pasaylo, BSN, RN, CCRN, Pain Management Nurse PCCN Sarah Brown Palos, BSN, RN, RN-BC Rebecca Smith, BSN, RN, RNC-MNN Danielle Schultz, BSN, RN, RNBC Jane Trachsel, BSN, RN, PCCN Progressive Care Nursing 2019 Virginia Nurses Association Registered Nurse 4 Conference, Left to Right: Jaimee (Adult) Debbie Barber, MSN, RN, CCE Robinson, MSN, RN, RNC-OB, C-EFM; Allison Barton, BSN, RN, PCCN Rebecca Berry, BSN, RN, CEN Johanna Horn, MT-BC, Music Therapy Erin Brand, BSN, PCCN Erin Brand, BSN, RN, PCCN Student Kelsey Malpartida, BSN, RN, PCCN Ann Chopivsky, DNP, RN, CEN Natalie Mateo, BSN, RN, PCCN Ashley Elmore, BSN, RN, CCRN Trauma Certified Registered Johanna Emory, BSN, RN, CEN, TCRN Brittany Motter, BSN, RN, RNC-MNN, Michelle Fields, BSN, RN, CCRN RNC-LRN, IBCLC Nurse Shaundreka Fox, BSN, RN, CNL, RNC- Mita Patel, BSN, RN, CMSRN, RN-BC Stephanie Boese, MSN, RN, CCRN, OB TCRN Peace Peters, BSN, RN, RN-BC Magdalene Greaney, BSN, RN, CPN Amanda Kroner, BSN, RN, TCRN Shelly Schiappa, BSN, RN, CCE Elizabeth Hacker, BSN, RN, RNC-OB Johanna Kushan, BSN, RN, CEN, Danielle Schultz, BSN, RN, RN-BC TCRN Jennifer Hartless, BSN, RN, CEN Doan Shinham, BSN, RN, CCE Lindsay Schoem, BSN, RN, TCRN Leslie Hicks, BSN, RN, RN-BC Rebecca Smith, BSN, RN, RNC-MNN Rosalyn Sneed, MSN, CEN, FNP-C, Anne Hooks, BSN, RN, RNC-OB Rosalyn Sneed, MSN, RN, CEN, TCRN Katherine Killian-Tucker, BSN, RN, FNP-C, TCRN Jordan Tyczka, MSN, RN, CEN, TCRN RN-BC Mildred Tayong, BSN, RN, RN-BC Elyssa Wood, PhD, RN, CPEN, TCRN Karen Kinkaid, BSN, RN, RNC-NIC Jane Trachsel, BSN, RN, PCCN Karen Kurre, BSN, RN, CCRN Laura Tricarico, BSN, RN, RNC-OB Katherine McCorry, BSN, RN, CEN Latrice Moore, BSN, RN, CCRN

2019 NURSING REPORT I INOVA 43 Inova Mount Vernon Hospital

Magnet® Components Structural Empowerment Inova Mount Vernon Hospital embraces a culture of shared Transformational Leadership governance and hearing the voice of the direct care At Inova Mount Vernon Hospital, we are well entrenched team member to improve outcomes through elevating in our Magnet journey. Transformational leadership at all practice. Each unit has a developed working unit-based levels is an essential part of influencing change throughout practice council, and the council chairs attend the monthly the organization. Chief Nursing Officer Alquietta Brown, Clinical Excellence and Quality Council (CEQC). The PhD, RN, NEA-BC, is a visionary leader who drives our CEQC members meet monthly and focus on quality, culture of transformation by providing a strong foundation safety, recognition, outcomes and nursing professional of collaboration. She invites nurses throughout Inova Mount development. The council works collaboratively with Vernon Hospital to come to town halls so she can hear interprofessional team members to achieve identified goals, and address their concerns first hand. She advocated for improve the work environment and boost patient outcomes. resources that would enhance the practice of the direct There are structures and processes in place to support care nurse, resulting in an additional clinical educator and the professional development of the nursing staff. In 2019, night-shift RN unit supervisor positions. She also led an Inova Mount Vernon Hospital sent more than 100 nurses organization-wide, multifaceted program that looked at key to external conferences related to their specialties. Time initiatives to improve patient and team member outcomes. It is provided for team members to attend local educational began as an offsite workshop comprised of nurses and now programs. In 2019, 20 nurses advanced on the clinical has evolved into an interprofessional model with colleagues ladder. Another 21 nurses became newly certified in their from all disciplines and levels of staff. This has morphed clinical specialties. into teams with specific goals around patient experience, quality, team member satisfaction and resource utilization. The Nurse Residency Program supports the transition of

44 INOVA I NURSING REPORT 2019 Inova Mount Vernon Hospital received the Gold Plus Target Stroke Honor Roll Elite Plus award for the third consecutive year.

new graduate nurses into practice, and the new leader Transition into Practice program supports our new clinical directors. In 2019 27 new nurses completed the residency program. We have nurses at all levels of the organization participate in a formal coaching and mentoring program. We continue to provide a quarterly professional development program for the RN unit supervisors to support their growth.

Exemplary Professional Practice The Inova Mount Vernon Hospital nursing team works in partnership with all interprofessional team members to advocate for high-quality patient outcomes through collaboration and bidirectional communication. Nurses at all levels participate in and lead interprofessional teams focused on improving patient care and safety. Nurses are 2019 Nursing Research and EBP Symposium, Left to Right: acutely aware of their unit-based quality data and review Rebekah Miller, BSN, JD, RN; Carine Wawa, MSN, RN, RN-BC, strategies geared toward improvement at their council Joanne Gucciardo, MS, BSN, NPD-BC, NE-BC; Alquietta Brown, meetings. We consistently outperform benchmarks on PhD, MHSA, BSN, RN, NEA-BC the nurse-sensitive indicators and have active plans in place to sustain our excellent outcomes. The reduction or hospitals with the sepsis core measure. In September, Inova elimination of falls with injury, catheter-associated urinary Mount Vernon Hospital had the opportunity to present its tract infections and central line-associated bloodstream work with sepsis on a statewide webinar series hosted infections are true examples of nursing’s commitment to by the Virginia Hospital and Healthcare Association. In ensure that patient care is comprehensive, coordinated and November, our hospital received the runner-up award for monitored for effectiveness. “Data-Driven Care” at the Health Quality Innovators of the Several of our units (Medical Oncology, Acute Rehabilitation Year Luncheon for reducing sepsis mortality by 146 percent and IMCU) have not had a central line-associated during the two-year Stopping Sepsis in Virginia initiative. bloodstream infection in more than two years. Other units Inova Mount Vernon Hospital received the Gold Plus Target (Medical-Surgical and IMCU) have not had a catheter- Stroke Honor Roll Elite Plus award for the third consecutive associated urinary tract infection in three years. Our falls year in a row, which reflects our commitment to continual rate dropped nearly 35 percent, from 2.52 in 2018 to 1.64 in process improvement, interdisciplinary collaboration and 2019. This was a result of the concerted efforts from clinical use of current evidence-based practices. Our hospital teams across the organization to develop and implement continues to lead the way for the system in best door-in- best-practice strategies around fall prevention. door-out times for eligible thrombectomy patients with a In 2019, Inova Mount Vernon Hospital continued to lead median time of 77 minutes. This is attributed to our nurse- the way with high-quality sepsis care. For the third year in a driven standard work in the Emergency Room. row, our hospital had the highest compliance among Inova

2019 NURSING REPORT I INOVA 45 New Knowledge and Innovation Awards and Recognition In 2019, Inova Mount Vernon Hospital saw an increase in clinical inquiry and use of evidence-based practice in nursing Nursing Excellence Awards care and operational practices. The Nursing Research and Stachy Aventino, ADN, RN, OCN – IMVH Nurse of the Year Evidence-Based Practice Council had a steady increase in front-line clinician membership. With the support of Inova’s Leticia Ho, RN – Rising Star medical library, we implemented multiple evidence-based Catherine Kilroy, BSN, CEN – Structural Empowerment practice projects that improved clinical outcomes, patient Tigist Mannaye, MPH, BSN, CRRN – New Knowledge, experience and the nurses’ work environment. Inova Mount Innovations and Improvements Vernon Hospital completed its first nurse-led research study. John Owusu, MBA-HM, BSN, RN-BC, CRRN, NE-BC – Information was disseminated internally and externally at a Transformational Leadership local conference. This research study was developed and led Cassie Palas, BSN, CMSN – Exemplary Professional by a direct care nurse from one of the Acute Rehabilitation units. Practice We had 11 posters presented at local and national conferences and two podium presentations at a local conference.

2019 Nursing Research and EBP Symposium, Left to Right: Brenda Moore, Rebekah Miller, BSN, JD, RN; Zewendsh Bryant, MSB, RN; Stacey Schaab, MHA, BSN, Sewite Esayes, BSN, RN, CMSN; Carine Wawa, MSN, RN, CMSN; Alquietta Brown, PhD, MHSA, BSN, RN, NEA-BC; Joanne Gucciardo, MS, BSN, NPD-BC, NE-BC; Chinaemerenwa Uzowihe, BSN, RN; Megan Daugherty, BSN, RN; Kelly Gidwani, MPH, MSN, RN

46 INOVA I NURSING REPORT 2019 2019 Nursing Research and EBP Symposium, Left to Right: Tigist Mannaye, MPH, BSN, RN, CRRN; Alquietta Brown, PhD, MHSA, BSN, RN, NEA-BC; Joanne Gucciardo, MS, BSN, NPD-BC, NE-BC; Bernice Mowery, PhD, RN; Samuel Osae, BSN, RN, CRRN

Daisy Awards Presentations Kelly Gidwani, MSN, MPH, RN; Leslie Lauren Schwindt BSN, RN4, CEN Woodward, BSN, RN, CWON, WOCN; Creating a Positive Work Environment Margaret Pobee-Orleans, BSN, RN Sewite Esayas, RN, CMSN. Inova Through a Care Zone System [Poster] Nursing Research and Evidence- Group Runner-Up Recipients [Podium] Based Practice Symposium. Falls of Innovators of the Year for Christine Kumah, BSN, RN; Rebekah Church, VA, Dec. 6, 2019. Data-Driven Care. Awarded by Miller, BSN, JD, RN; Maryn Mi-Reka, the Health Quality Innovators, BSN, RN; Carine Wawa, MSN, RN, Improving the Use of Virtual Reality Richmond VA, November RN-BC. Academy of Medical Surgical for Acute Pain Management in the 2019 Nurses Annual Conference. Chicago, Emergency Department: An Evidence- Kudirat Abdulsalam, BSN, RN, IL, Sept. 26 – 29, 2019; Inova Nursing Based Practice Approach [Poster] CCRN; Zewdensh Bryant, MSN, Research and Evidence-Based Jennilyn Tannesen, DNP, FNP-BC, RN; Ashley Chevres, BSN, RN, CEN; Larisa Golding, MSN, RN-BC; Practice Symposium. Falls Church, VA, AGACNP-BC. Inova Nursing Research John Lawrence, BSN, RN; Kathy Dec. 6, 2019. and Evidence-Based Practice McNamara, MSN, RN-BC, NE-BC; Symposium. Falls Church, VA, Dec.6, Does the Implementation of a Soha Salihi, BSN, RN; Jenna Tomajko, 2019. BSN, RN-BC Pressure Injury Education Program Among Critical Care Nurses Lead In Heart Failure Patients, Does Nursing Stars Unit Recognition to Increased Knowledge of Staff Consistent Education Using the “Living 4C Joint Replacement Members? [Poster] Well with Heart Failure” Booklet Lead 6A Critical Care Zewdensh Bryant, MSN, RN; Megan to Reduced Readmissions? [Poster] 6B IMCU Inova HealthPlex – Lorton Emergency Daugherty, BSN, RN; Maxime Alhaji Bangura, BSN, RN; Angel Department Djabang, RN. Inova Nursing Research Frances Feria, BSN, RN; Janmed Inova Mount Vernon Perioperative and Evidence-Based Practice Sesay, BSN, RN. Inova Nursing Nurses Symposium. Falls Church, VA, Dec. 6, Research and Evidence-Based Sarah Ann Richey Wound Care Nursing 2019. Practice Symposium. Falls Church, VA, Education Fund Dec. 6, 2019. Unit 3B Oncology and Infusion Center Getting Wound Up Over a Wound: Unit 5A Rehabilitation Essential Partnerships in Healthcare- Unit 5B Rehabilitation Acquired Pressure Injury Prevention Unit 5C Rehabilitation [Poster] Unit 6B Veatch Family Emergency Department

2019 NURSING REPORT I INOVA 47 New Degrees Bachelor of Science in Nursing Ashley Bentil, BSN, RN Shewa Birke, BSN, RN Fitsum Desta, BSN, RN Mercy Eresechima, BSN, RN Sara Fernandez, BSN, RN Barbara Lloyd, BSN, RN Jalloh Mendegilla, BSN, RN Elita Smith, BSN, RN Melissa Tello, BSN, RN 2019 Nursing Research and EBP Symposium, Left to Right: Samuel Osae, BSN, RN, Meskerem Tesfaye, BSN, RN CRRN; Tigist Mannaye, MPH, BSN, RN, CRRN Tarik Workalemahu, BSN, RN Master of Science in Nursing Kofi Owusu-Sotia, MSN, RN Mindful Moments: Incorporating Trio Rounding Nurse, Physician, Complementary and Alternative Patient: Perceptions of Benefits and Doctorate of Nursing Practice Medicine Therapies to Enhance the Challenges by Rehabilitation Nurses Margaret Arotimi, DNP, RN, NE-BC, Patient Experience [Poster] and Physicians [Podium] [Poster] RN-BC Kelly Gidwani, MSN, MPH, RN; Tigist Mannaye, MPH, BSN, RN, Jessica Montoya-Quintata, BSN, CRRN; Bernice Mowery, PhD, RN; RN; Chinaemerenwa Uzowihe, BSN, Samuel Osae, BSN, RN, CRRN; Emily Certifications RN; Amanda Whetzel, RN. Academy Jones, MSN, RN, CNOR, NPDBC. Certified Ambulatory of Medical Surgical Nurses Annual Inova Nursing Research and Evidence- Perianethesia Nurse Conference. Chicago, IL, Sept. 26 Based Practice Symposium. Falls Juliet Hall, BSN, RN, CAPA – 29, 2019; Planetree International Church, VA, Dec. 6, 2019. Certified in Executive Nursing Conference. Orlando, FL, Using an Individualized Educational Practice Oct. 27 – 30, 2019. Approach to Prevent C.difficle in Acute Jodi Hollis, MHA, BSN, RN, CCM, Rehabilitation Nurses and Rehabilitation. [Poster] CENP Aromatherapy [Poster] Daniel Ampomah, PhD, RN, NE-BC; Certified in Medical-Surgical Daniel Ampomah, PhD, RN, NE- Nasteho Abdulle, BSN, RN; Isra Nursing BC; Sarah Naputi, MNS-NI, RN, Ibrahim, BSN, RN; Samuel Osae, Meiha Lei, BSN, RN, CMSN CRRN; Samuel Osae, BSN, RN, BSN, RN, NPD-BC, CRRN. 2019 NPD-BC, CRRN. 2019 Association of Association of Rehabilitation Nurses. Certified Pediatric Nurse Rehabilitation Nurses. Columbus, OH, Columbus, OH, Nov. 6 – 9, 2019. Marcus Cueno, BSN, RN, CAPA, CPN Nov. 6 – 9, 2019.

48 INOVA I NURSING REPORT 2019 Certified Rehabilitation Tigist Hadgu, BSN, RN, ONC Registered Nurse 3 Registered Nurse Dawn Mendoza, BSN, RN, ONC Kudirat Abdulsalam, BSN, RN-BC Antsokiya Asfaw, BSN, RN, CCRN Michelle Viars, BSN, RN, ONC Stachy Aventino, BSN, RN, OCN D’Andrea Fortune, BSN, RN, CRRN Progressive Care Nursing Janet Badu, BSN, RN, CRRN April Hensley, BSN, RN, CRRN Marcus Cueno, BSN, RN, CAPA Kume Lemessa, BSN, RN, CRRN (Adult) Doug Spetalnick, BSN, RN, PCCN Catherine Kilroy, BSN, RN, CEN Vadim Zhitnikov, BSN, RN, CRRN Denise Lee, BSN, RN, CRRN Critical Care Registered Nurse Psychiatric & Mental Health Rebecca Mbulu, BSN, RN, CRRN Kudirat Abdulsalam, BSN, RN, CCRN Nurse Cardina Ross, BSN, RN-BC Ellen Koduah, BSN, RN-BC Eefar Tan-Missana, BSN, RN, CGRN Nurse Executive Elizabeth Onyejekwe, BSN, RN-BC Jenna Tomajko, BSN, RN-BC Margaret Arotimi, DNP, RN, NE-BC, Cardina Ross, BSN, RN-BC Hoa Tran, BSN, RN, CCRN RN-BC Trauma Certified Registered Registered Nurse 4 Orthopedic Nurse Certified Nurse Cariza Abinguna, BSN, RN, CCRN Stachy Aventino, BSN, RN, ONC Catherine Kilroy, BSN, RN, TCRN Maria Cachafeiro-Cavadas, BSN, RN, Jane Candelaria, BSN, RN, ONC CMSN Jane Candelaria, BSN, RN, ONC Megan Comunale, BSN, RN OCN Michelle Cortez, BSN, RN, CMSN Bernadeth Haile, BSN, RN, CRRN Zaid Kelib-Kidane, BSN, RN, CRRN Catherine Kilroy, BSN, RN, CEN Dawn Mendoza, BSN, RN, ONC Cassie Palas, BSN, RN, CMSN

Professional Organization Activities Margaret Hiler, MSN, RN, CWOCN. Wound Ostomy Continence Nurses Society – President, Local DC Affiliate

2019 Nursing Research and EBP Symposium, Left to Right: Sewite Esayas, BSN, RN, CMSN; Kelly Gidwani, MPH, MSN, RN; Cninaemerenwa, Uzowihe, BSN, RN

2019 NURSING REPORT I INOVA 49 Inova Medical Group

Patient Care Navigators Again Nursing Practice Council Reach Their Goals The Nursing Practice Council was active again in 2019, examining barriers to success and working on high reliability 2019 was the year of the navigator. Navigators are in the outpatient ambulatory setting. The council members nurses who guide and support patients, families and the worked on communication, examining their roles as RNs in healthcare team as they experience the continuum of the field and being role models to the medical assistants healthcare services. Inova Medical Group (physician and LPNs in their clinics. Discussions were held on how enterprise) once again met and exceeded expectations to get to excellence in the outpatient setting and what in patient navigation for patients experiencing chronic excellence looks like in our world. As we move into 2020, disease. The patient care navigators working with more activity is planned to reach the goals of excellence, cardiology patients focused their efforts on reducing communication, educations, informal leadership and council admissions and readmissions. Their success was seen in development. All the RNs are new to the role of council avoiding 257 admissions for congestive heart failure alone, members, and we spent time developing the council. saving $3.3 million in readmission costs. The navigators working with diabetes patients again succeeded in Safety Coaches Placed in the Clinics Identifying maintaining an average of 2.3 points dropped in A-1c Safety Issues and Resolving them levels. This equates to a 40-percent drop in negative The Patient Safety Committee, aligning with the patient outcomes such as kidney disease, amputations, safety coaches in each clinic, have been producing monthly retinopathy and neuropathy. Patient care navigators were reports on safety issues concerning environmental issues, placed in primary care practices, working with patients team member safety events and security events, with the with chronic care needs as well as psychosocial needs. goal of making the clinics a safer and better place to work. This program continues to strengthen the relationship This embodies our mission of Patient Always, Our Teams, between the patient and the primary care provider. Our People, Integrity and Excellence. The team is active in their daily work, yet keeping safety in the forefront of their activities.

50 INOVA I NURSING REPORT 2019 Poster presentation: Impact of Epilepsy Monitoring Unit on Management of Patients with Epilepsy, Left to Right: Mohan Kurukumbi, MD, Medical Director of Epilepsy, IFH; Laura Coonfield, INSI Research Coordinator; Joanne Lau, VCU Medical Student; Tulsi Shah, VCU Medical Student; Becky Schrews, BSN, RN; Jose Castillo, VCU Medical student

New Degrees Becky Schrews, BSN, RN; Dr. Mohan Awards and Kurukumbi (Medical Director, Recognition Bachelor of Science in Epilepsy) Laura Coonfield (INSI Nursing clinical research coordinator), Dr. Nursing Excellence Awards Laura Amador, BSN, RN James Leiphart (IMG Neurosurgery). Parker, BSN, RN – American Epilepsy Society 2019 Transformational Leadership Scholarships Annual Meeting. Baltimore, MD, Dec Jacqueline Ross, BSN, RN – Transformational Leadership BSN Scholars Jamie O’Connor, RN – Inova Nursing Impact of the Epilepsy Monitoring Nursing Stars Individual Excellence Scholarship Unit on Management of Patients Recognition with Epilepsy [Poster] Anita Harmon, BSN, RN Certifications Becky Schrews, BSN, RN; Dr. Mohan Rachel McLeod, RN, ACM Cardiac/Vascular Nurse Kurukumbi (Medical Director, Epilepsy) Kelly M. Statz, BSN, RN-BC Kelly M. Statz, BSN, RN-BC Laura Coonfield (INSI clinical research Induction into Sigma coordinator), Dr. James Leiphart (IMG Theta Tau Honor Society Presentations Neurosurgery). American Epilepsy of Nursing Behavior Improvements with Society 2019 Annual Meeting. Laura Amador, BSN, RN Improved Seizure Control Utilizing the Baltimore, MD, Dec. 6 – 10, 2019. Neuropace RNS System [Poster]

2019 NURSING REPORT I INOVA 51 Inova System Office

Inova Nursing Professional Development, formerly the their outstanding bedside care. These stories are filled Inova Learning Network, supports all nursing personnel with examples of nurses’ compassion, professionalism and in their initial orientation and onboarding. Specialty dedication. It’s not surprising that our patients express their thanks by giving back to Inova, supporting the very nurses fellowship programming is provided to novice nurses who supported them. or advanced beginners who are transitioning to a new specialty. Fellowship programming consists of blended In 2019, more than $1 million was raised to underwrite nursing professional development and scholarship support. learning to include classroom, simulation and online Also included in that record-breaking number is $100,000 modules provided by specialty organizations. In addition, to the annual Nursing Stars Recognition Program, a tangible Inova Nursing Professional Development provides the way patients, families and physicians single out and honor systemwide Clinical Technician Academy to all eligible exceptional nursing care. clinical technicians, EMTs, nurse externs and patient Other major philanthropic investments in 2019 included the safety associates. The program was completely following highlights: overhauled in 2019 in order to provide an enhanced • Long-time, annual education supporters, Marilyn learning experience and incorporate orientation time and David Karlgaard, established the Karlgaard on the home unit to practice and reinforce skills taught Nursing Scholarship Endowed Fund to perpetuate in the academy. The chart on page 53 summarizes the their commitment to providing nursing scholarship participation counts for these programs in 2019. assistance. • A new generous gift from Natalie and Wes Bush will Valuing Our Nurses – Philanthropy Exceeds support Inova Nursing Research, specifically related $1 Million in 2019 to evidence-based practice and implementation Every day there are countless stories about our nurses sciences. and the deep gratitude patients and their families feel for

52 INOVA I NURSING REPORT 2019 Orientation

INPD Specialty Fellowship Programming 2019 2018 Progressive Care Step Down 214 152 Inova System Office Critical Care 171 98 Emergency Nursing 162 143 Medical-Surgical 215 167 NICU 41 62 Oncology 13 No data Peri-operative 30 37 Pediatric Nurse Course 37 54 Perinatal ( L&D-FCC) 68 125 Behavioral Health 28 46

Totals: 979 884

Clin Tech Academy 2019 2018

CT1/CT2 405 408 CT3 2 10 EMT 33 29 Nurse Externs 45 78 Patient Safety Associates 29 47

Totals: 514 572

Schools of Nursing Inova partners with 10 local nursing schools that utilize This includes students enrolled in bachelor’s, associate Inova for clinical rotations. These rotations provide and LPN programs.

experience to nursing students in the Medical-Surgical, Inova also provides clinical placements for senior Women’s Health, Pediatric and Behavioral Health units capstone students. In 2019, Inova offered a total of 324 and assist with satisfying the clinical rotation hours nursing students a clinical placement for their senior required by the Virginia Board of Nursing. The graph capstone, totaling 51,417 hours precepted by an Inova RN. below represents how many hours each campus has We are able to offer capstone placements to local schools provided to the nursing students. In 2019, Inova provided as well as schools outside of the Northern Virginia region. 314,579 clinical hours to undergraduate nursing students.

2019 NURSING REPORT I INOVA 53 RN Student Clinical Groups Campus Jan - May Aug - Dec Total

IAH 24,416 18,369 42,785 ILH 26,656 23,003 49,659 IFMC 82,255 54,052 136,307 IFOH 21,004 10,304 31,308 IMVH 29,698 27,552 54,420

Total hours for 2019 314,579

2019 Senior Practicums Individual student slots Hours required offered per semester per rotation, (school determines School Spring Summer Fall hours) Total Hours

Catholic University of America 6 0 0 96 576

George Mason University 30 37 34 210 21,210

George Washington University 22 16 20 200 11,600

Georgetown University 3 1 0 350 1,400

James Madison University 4 0 8 200 2,400

Longwood University 3 0 0 270 810

Lynchburg University 1 0 0 120 120

Marymount University 30 0 18 96 4,608

Northern Virginia Community College 11 0 0 112 1,232

Old Dominion University 3 0 0 200 600

Shenandoah Leesburg 21 0 16 120 1,941

Shenandoah Winchester 3 0 4 120 840

Stratford University 11 8 11 120 3,600

University of Virginia 3 0 0 160 480

Total 151 62 111 51,417

54 INOVA I NURSING REPORT 2019 2019 Nurse Leader Transition Into Practice Graduation

Nurse Leader Transition into Practice Program (our nurse manager and clinical director levels) retention, resilience and organizational commitment. In April 2019, the Nurse Leader Transition into Practice Program was launched. The program was a six-month In October 2019, the first cohort of the Inova Nurse Leader collaboration between Inova Nursing Professional Practice Transition into Practice program graduated. Qualitative and Human Resources’ Organizational Development data comments included, “I am a much more confident Department. Content included crucial conversations, person, in general, now. I feel able to tackle issues at work mentoring, healthy practice environment, evidence-based and at home.” All 19 of the original participants graduated. practice, change, diversity, coaching and more. The Retention of these leaders remained at 100 percent three Transition into Practice Program is built on concepts of months after the program. resilience promotion that in turn supports nurse manager

2019 NURSING REPORT I INOVA 55 Magnet Journey

Inova Health System nurses were well represented at the 2019 ANCC Magnet conference held in Orlando in October. They gained enhanced knowledge on topics such as shared governance, mentorship, nursing- physician partnerships, nursing research, transition into practice programs, improving clinical outcomes and much more. All Inova hospitals are on the Magnet journey, some having achieved designation and others in process. The conference was a great stimulus for our continued growth in nursing excellence.

2019: Inova Nurses at the ANCC Magnet Conference

2019: Inova Nurses at the ANCC Magnet Conference

56 INOVA I NURSING REPORT 2019 Inova’s Coaching Mentor Program include new insights, growth, enhanced professional In the spring of 2019, Inova launched a career coaching, networking and team member retention. aka mentoring, program focused on nurses. The program From May to December 2019, 198 nurses across the centers on growth and development to support the system participated in training for the mentoring process. achievement of individual professional goals. The program As of the end of 2019, 56 dyads either were in process of has been implemented at all Inova facilities and all nursing the mentoring relationship or completed it. team members are encouraged to participate.

Multiple research studies show that a strong mentoring/ Succession Planning coaching program results in improved job satisfaction, In the spring and summer of 2019, a nursing succession greater empowerment and reduced work stress. planning program began at Inova. Successful succession Participation in a mentoring/coaching program results in a planning helps us know how to best develop team higher level of nurse engagement and improved patient members and enhance organizational success; to create outcomes. Implementation of a mentor program is one a qualified and ready “bench” of team members for of the recommendations from the Institute of Medicine key roles; and to ensure we live our Inova Values. The Report (2010) The Future of Nursing: Leading Change, reasons for succession planning include: Advancing Health. Participation in a coaching/mentoring • Reduce high cost associated with external program allows nurses to gain the skills and knowledge searches necessary to take an active role in leading changes to • Address turnover from: advance health. Mentoring/coaching has multiple benefits - Pending retirements for the mentor, mentee and Inova (see table). Benefits

Benefits for Mentors Benefits for Mentees Benefits for Organization

New Insights Reframing career growth Team Member Retention

Satisfaction of leaving a New Professional Growth More highly developed legacy, a contribution workforce

Job/career satisfaction Job/career satisfaction and Team member engagement optimism

Carrying a role in the growth Greater network of support May lead to recruitment from of the profession within (reduces costs)

Professional development Increased sense of belonging

2019 NURSING REPORT I INOVA 57 - Not developing high performers/high potentials time. To assist in the development of identified service enough orientation needs, a partnership was formed with the • Manage perceptions that promotion decisions are Fairfax Hospitalist group to create a formal orientation to made unfairly their service. A similar partnership is being formed with • Provide view of talent and ensure diversity in urgent care to strengthen their orientation process. Lastly, leadership skills days are being launched and/or developed for • Address common pattern of promoting technical critical care APPs and neuroscience APPs. expertise rather than leadership qualities

More than 180 administrative supervisors, nurse managers, clinical directors, senior directors and assistant Figure 1: NP: PA Distribution vice presidents participated in this program. Talent reviews were completed, and calibration of results was added. Suggestions for development for all 180-plus leaders were NP PA summarized. All participants were guided to complete individual development plans to continue their growth.

Advanced Practice Provider Transition NP: 21 PA: 6 into Practice Program Total: 27 In June 2019, an Advanced Practice Provider (APP) Transition into Practice (TIP) Program Manager was hired. Jon Messing, MSN, ACNP-BC, CCRN, TCRN, quickly initiated Inova’s inaugural APP TIP program, launched on November 8, 2019, with 10 participants. The program Figure 2. APP TIP Program Participant Sites contains content from three domains (professional, organizational and clinical) and follows a rolling admission process. Currently, there are 20 active participants with AMB an additional eight scheduled to join in February/March IMVH 2020. (Figure 1 demonstrates NP:PA distribution; Figure 2 IFMC demonstrates identified worksites.) Participants meet for IFOH six consecutive months to receive the core material listed ILH in the above domains. In addition, participants receive training on mentorship and are encouraged to meet with a provided mentor. Six, or 30 percent, of the active new-to-practice APPs are paired with a mentor at this

58 INOVA I NURSING REPORT 2019 Inova Evidence-Based Practice The 2019 symposium “Launching Evidence into Practice” the successful sustainment of best practices to improve was held on December 6, 2019 at the Inova Center patient health outcomes. This year, the Nursing Research for Personalized Health. With a record number of 319 and Evidence-Based Practice Fellows presented on four registrations, 34 podium presenters and 35 poster evidence-based practice projects and three research presentations, this was the largest Nursing Research studies conducted across all five Inova hospitals. The and Evidence-Based Practice Symposium held to date. symposium also highlighted the work of 12 Vizient Nurse The keynote speaker, Amanda Bettencourt PhD, APRN, Residents groups through poster presentations. In addition, CCRN-K, ACCNS-P, a Research Fellow, National Clinician three posters that won national or state awards were Scholars Program and TACTICAL Scholar at the University spotlighted. The symposium was rated in superlative of Michigan School of Nursing, gave a compelling terms by attendees on the program evaluation, including presentation on Implementation Science in Acute Care: both Inova nurses and nurses from hospitals across the What is it Really and How it Improves Patient Care. Her Washington, DC region. The annual symposium continues presentation highlighted the critical role that nurses to provide opportunities for nurses to network, collaborate, play in delivering evidence-based care and ensuring communicate and synergize in a unique venue.

Recipients of the 2019 Nursing Fellow Grants for Research and Evidence-Based Practice (EBP)

Hospital Type Team Title of Project Contact Inova Alexandria Hospital EBP Emily Hagedorn, Too Wet or Too Dry? Passive Leg Raise as a BSN, BA, RN, Noninvasive Assessment of Fluid Overload in CCRN Septic Shock Patients Y-nhi Nguyen, BSN, RN, CEN CCRN Inova Fairfax Hospital EBP Kayla Dundee, Assessing Post-Op Cardiac Surgery Pain for BSN, RN Clinical Gain Inova Fairfax Hospital EBP Toylin Akinyemi, Maintaining Perioperative Normothermia in MSN, RN, CNOR Ambulatory Surgical Patients Inova Fair Oaks Hospital Research Laura McNicholl The Use of Aromatherapy in Helping to Study MS, RN, CNS-BC, Decrease Nausea Levels in the Postoperative RN-BC Bariatric Patient Population on a Surgical Unit Inova Loudoun Hospital Research Alison Burton, Nurse Perception of Opioid Use Study BSN Inova Loudoun Hospital EBP Elyssa Wood, Improving Pediatric Readiness Among Nurses in PhD, MPH, RN the Freestanding Emergency Rooms Through Collaboration, Simulation and Readiness Training Inova Mount Vernon Hospital Research Tigist Mannaye, Trio Rounding Nurse, Physicians, Patient: Study MPH, BSN, RN, Perception of Benefits and Challenges by CCRN Rehabilitation Nurses and Physicians

2019 NURSING REPORT I INOVA 59 2019 Nursing Simulation Accomplishments Awards and Recognition The Inova Center for Advanced Medical Simulation (ICAMS) serves the entire Inova system, providing simulation Nursing Excellence Awards Mary Lou Bertola, MSN, RN CRRN – New Knowledge, to advance systemwide patient safety and quality Innovations and Improvements improvement initiatives. Utilization continues to grow with Elizabeth Drew, MSN, RN, CPAN – Exemplary Professional an increase of 16.35 percent from the previous year. Practice ICAMS continues to expand the number of Inova clinicians Jori Monk, RN – Structural Empowerment Aleta Rauch, MBA-HM, BSN, RN-BC, CRRN, NE-BC – who are engaged in simulation. The 2019 Simulation Faculty New Knowledge, Innovations and Improvements Development Course at ICAMS trained 35 new simulation instructors who will provide simulation to staff throughout Daisy Award Nominations the system. Nurses conduct 60 percent of all simulation Rachael Johnsen, RN, BSN, CCRN encounters at ICAMS, providing over 3,000 hours of Dean’s List simulation-based learning. Jennifer Shin, BSN, RN ICAMS was instrumental in the successful rollout of Exceptional Service Award new nursing simulation courses such as: End-of-Life Nina Reyes, BSN, RN Communication with Oncology Nurses, Oncology Nursing Fellowship, Trauma Crash Course for Nurses, Transition to Garcia Award Becky Schrews, BSN, RN High Acuity Care, Small Baby Course, and Perinatal Nursing Jennifer Shin, BSN, RN Fellowship. ICAMS is proud to have been awarded two auxiliary grants toward the purchase of manikins and task Nominee: Virginia Nurses Association 2019 trainers to enhance nursing education and improve quality Leadership Excellence Award of care. In our continued search for improvement, ICAMS Mary Ann Friesen, PhD, RN, CPHQ has implemented the DASH Tool for faculty debriefing Nursing Stars Individual Recognition validation, the ICAMS Staff Orientation Packet, and an Rachael Johnsen, BSN, RN, CCRN In-Situ Simulation Checklist and Safety Tips. Our overall learner satisfaction for 2019 was 4.85 out of 5. Nursing Stars Unit Recognition VIP 360 Our ongoing goal has been to utilize in-situ simulation Inova Urgent Care and debriefing to enhance everyday unit processes and teamwork. In the fall of 2019, we partnered with Yale School Outstanding Clinical Leadership Jennifer Shin, BSN, RN of Medicine to bring simulation to our communities and improve pediatric emergency readiness.

60 INOVA I NURSING REPORT 2019 Presentations Effects of Aromatherapy on Pain and Improving Sepsis Survival Using Anxiety Scores: A Pilot Study [Poster] MEWS for Early Recognition and Assessing the Instrument: Perception Vicki Lindgren, MSN, RN, CCRN, Immediate Response to Patient of Opioid Use Survey (POUS) [Podium] CCNS; Laura McNicholl, MS, RN, Decline [Podium] Elyssa Wood, PhD, RN, TCRN; Mary CNS-BC, RN-BC; Mary Ann Friesen, Patrick Bradley, MSN, RN, CCRN; Ann Friesen, PhD, RN, CPHQ; Debra PhD, RN, CHPQ; Scott Barnett, Marcia DePolo, MSN, RN, CCRN, Stanger, MSN, RN, NEA-BC; Stacey PhD. Virginia Patient Safety Summit. Judith Tipton, MSN, RN, CCRN; Metcalf; Alison Burton, BSN, RN; Richmond, VA, Jan. 30 – 31, 2019; Helen Stacks, DNP, RN-BC, NEA-BC, Scott Mueller, BSN, RN; Lindsay Nursing Evidence-Based Practice CHSE; Albert E. Holt, IV, MD, MBA. Schoem, BSN, RN, TCRN; Allison and Research Conference – MedStar 48th Society of Critical Care Medicine Smolsky, DNP, RN, NE-BC. Inova Washington Hospital Center. Annual Congress. San Diego, CA, Nursing Research and Evidence- Washington, DC, March 12, 2019. Feb. 17 – 20, 2019. Based Practice Symposium. Falls Church, VA, Dec. 6, 2019.

Decision Support to Reduce Nursing Documentation Burden. [Podium] Marguerite Swietlik, DNP, NEA- BC, RN-BC, CPHIMS; Patricia R. Sengstack, DNP, RN-BC, FAAN. AONE Annual Conference. San Diego, CA, April 11, 2019.

Early Warning Systems and the Management of Sepsis. [Podium] [Panel] Patrick Bradley, MSN, RN, CCRN. Society of Thoracic Surgeons 16th Annual Multidisciplinary Cardiovascular and Thoracic Critical Care Conference. Baltimore, MD, Sept. 26 – 28, 2019.

2019 Critical Care Symposium, Left to Right: Heather Hall, MSN, RN, CCRN-K; Erin Reynolds, BSN, RN, CCRN; Patrick Bradley, MSN, RN, CCRN; Judith Boyle, DNP, RN; Evelyn Irani, MSN, RN, CCRN; Rosa Rousseau, MSN, Ed, RNC-NIC; Lauren Campbell, BSN, RN, CCRN; Cindy DeHaan, MSN, RN, CCRN-K

2019 NURSING REPORT I INOVA 61 Physician Engagement Strategies to Video Discharge Instructions in the Vicki Lindgren, MSN, RN, CCRN, Improve Outcomes [Podium] Spanish-Speaking Population [Podium] CCNS; Laura McNicholl, MS, RN, Lynn Ribich, BSN, RN, MBA, Gina Harrison, MSN, RN, NE-BC, CNS-BC, RN-BC, Mary Ann Friesen, CPHQ; Neeta Goel, MD. MS ACO CPEN, CEN; Elyssa Wood, PhD, RN, PhD, RN, CHPQ; Scott Barnett, PhD; Collaborative Meeting. Baltimore, MD, TCRN; Sarah Stinson, BSN, RN CPEN; Frances Collins, MSN, RN, CCRN-K, Nov. 22, 2019. Kristina Presgrave, BSN, RN CPEN; NE-BC. Holistic Nursing Practice, Erin Rovelli, BSN, RN; Mary Ann Effects of Aromatherapy on Pain Sepsis Vigilance: A Real-World Friesen, PhD, RN, CPHQ. Emergency and Anxiety Scores in Adult Patients Approach to Improve Patient Nurses Association Conference. Admitted to a Community Hospital on Outcomes. [1/2 Day Course] Austin, TX, Sept. 30, 2019. the Medical Unit or Telemetry Unit: A Maureen E. Sintich, DNP, MBA, RN, Pilot Study, Volume 33, Issues 6, Pgs. WHNP-BC, NEA-BC; Albert E. Holt, 346-353, Wolters Kluwer, 2019. IV, MD, MBA; Patrick Bradley, MSN, Publications RN, CCRN; Theresa Davis, PhD, RN, Theresa Davis, PhD, RN, NE-BC, NE-BC, FAAN. IHI National Forum on FAAN; Mary Ann Friesen, PhD, RN, New Degrees CPHQ; Robin R. Jackson, MSN, Quality Improvement in Healthcare. Bachelor of Science in Nursing Orlando, FL, Dec. 7 – 11, 2019. RN-BC, CCRN, CCNS, CHTP; Liliana Kristen Dipini, BSN, RN Suchicital, BSN, RN, CNB, CHTP, Trio Rounding Nurse, Physician, ONC; Diane Swengros, MSN, RN, Master of Science in Nursing Patient: Perceptions of Benefits and NPD-BC, CHTP/I. Inova Nurses Samille Musambachime, MSN, RN Challenges by Rehabilitation Nurses Miracles & Mysteries in J. Watson (Ed.), and Physicians [Podium] [Poster] Master of Science in Miracles and Mysteries: Witnessed by Tigist Mannaye, MPH, BSN, RN, Management of Health Nurses, (pp.55-56, 54, 57-58, 56-57, CRRN; Bernice Mowery, PhD, RN; Informatics and Analytics pp.54-55); Great Britain: Lotus Library. Kristal Parker, BSN, RN, RNC-OB, Samuel Osae, BSN, RN, CRRN. Inova MSHI Nursing Research and Evidence- Amanda Golino, MSN, RN, CCNS, Based Practice Symposium. Falls CCRN, RN-BC; Debra Stanger, MSN, Master of Science in Nursing Church, VA, Dec. 6, 2019. RN, NEA-BC, NE-BC; Mary Ann with Emphasis in Health Care Friesen, PhD, RN, CPHQ; Catherine Using a Trauma Screening Informatics Christopher, M.ED., CCC-SLP; Ana Romero, MSN, RN, CEN Questionnaire to Assess for PTSD in Audra Gollenberg, PhD; Ray Leone, Sexually Assaulted Patients. [Poster] ML-BC; Theresa Davis, PhD, RN, Ashleigh Daniel, MSN, RN, SANE-A, NE-BC, FAAN; Anthony Meadows, SANE-P. Virginia Nurses Association PhD, MT-BC, LPC; Zhiwei Zhang, Mind Matters Conference. Richmond, PhD. American Journal of Critical VA, Sept. 20 – 21, 2019. Care, The Impact of an Active Music Therapy Intervention on Patients in the Intensive Care Unit, January 2019, Volume 28, No. 1.

62 INOVA I NURSING REPORT 2019 Certifications Informatics Nurse Sexual Assault Nurse Susan Weatherbee, MSN, RN-BC, Examiner – Pediatric Accredited Case Manager CAHIMS Ashleigh Daniel, MSN, RN, SANE-A, Tonya Kirchmyer, BSN, RN, MBA, SANE-P ACM, CCM Inpatient Obstetric Nusing Ariel Ward, BSN, RN, SANE-A, Amy Sullivan, BSN, RN, RNC-OB, SANE-P Certified Case Manager Agatha Williams, BSN, RN, RNC-OB Theresa Nguyen, BSN, RN, CCM Trauma Certified Registered Legal Nurse Consultant Lorraine Spittlehouse, MHA, BSN, Nurse ACM-RN Certified Melanie Flaherty, BSN, RN, CEN, Andrea Alness, MSN, LNCC CPEN, TCRN Certified Healing Touch Instructor Nursing Professional Professional Organization Diane Swengros, MSN, RN, NPD-BC, Development Activities CHTP/I Maureen DeSena, MSN, RN, ACNS- Lisa Robinson, MSN, RN, CPN, RNC- BC, NPD-BC MNN - Society of Pediatric Nurses - Certified Pediatric Emergency Phyllis J. Miller, MS, RN-BC, FHCE, Program Planning Committee Nurse NPD-BC Genevieve Ilao, BSN, RN, CEN, TCRN, Karole Nielsen, MSN, RN, ONC, CPEN CBCN, NPD-BC Theresa Smith, MS, BSN, RN, NPD-BC Certified Professional in Healthcare Quality Progressive Care Nursing Lynn Ribich, BSN, RN, MBA, CPHQ (Adult) Katrina Johnson, BSN, RN, PCCN Critical Care Registered Nurse Ivy Rycca R. Razaq, RN, MN, PCCN Corin Inderbitzin De Uviedo, BSN, RN, CEN, CCRN

2019 NURSING REPORT I INOVA 63 8110 Gatehouse Road, Suite 200W Falls Church, VA 22042 inovanursing.org

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