ANNUAL Out of many, we REPORT are one organization 2013 Patient Care Services at HackensackUMC

30 Prospect Avenue Hackensack, NJ 07601 855-424-WELL (9355)

HackensackUMC.org

Patient Care 3 Patient Care Servic e

Acknowledgements Table of Contents s at Ha c ken s a

c kUMC / 2013 A nn u REPORT BY:

Claudia Douglas, DNP, RN, CNN, APN-C Leadership Message 5 Manager, Nursing Practice & Research A Transformative Journey: Ashley Eddings, BA An Incredible Year in Review 8 Special Projects/Patient & Family Engagement Specialist Our Staff, Making the Difference 22 al REp ort

Highlights at a Glance 28

Pursuing Superior Quality & Unsurpassed Patient Satisfaction 50 SPECIAL THANKS:

Robert C. Garrett President and Chief Executive Officer Hackensack University Health Network

Dianne A.M. Aroh, MS, RN, NEA-BC Executive Vice President, Chief Nursing and Patient Care Officer

30 Prospect Avenue Hackensack, NJ 07601 855-424-WELL (9355)

HackensackUMC.org 5

Patient Care Servic e “...out of the more than 5,000 hospitals in leadership message this country; only two have the honor of We are pleased to present the being Magnet designated for 20 years.” 2013 Department of Patient Care Annual Report

s at Ha It is our pleasure to present you with the 2013 Department of Patient Care’s This level of care is evident in our recent ranking as the number one hospital in Annual Report. This year marked a particularly significant year for HackensackUMC, New Jersey and one of the top 30 hospitals in the nation by U.S. News & World c ken s as we began the process of, and ultimately achieved, our fifth consecutive Magnet Report – receiving 11 national specialty rankings. Just three percent – or 144 - of the

a designation—becoming just one of two hospitals in the entire nation to do so. To nearly 5,000 hospitals that were analyzed for Best Hospitals earned national ranking c kUMC / 2013 A nn u put this in perspective, out of the more than 5,000 hospitals in this country; only two in even one specialty. We were also the only hospital in New Jersey, New York and have the honor of being Magnet designated for 20 years. This not only demonstrates New England to be named one of America’s 50 Best Hospitals for eight consecutive our tremendous dedication to patient care, but also reflects a culture of teamwork years and receive the Healthgrades Distinguished Hospital Award for Clinical within HackensackUMC involving everyone from security to plant operations to Excellence 12 years in a row. We also currently have more Gold Seals of Approval housekeeping and guest services. from the Joint Commission than any other hospital in the country. al REp ort

The Magnet application process is a thorough, multi-tiered process. To be eligible, But we are only able to achieve all of this because of you—our dedicated hospitals must demonstrate success in these areas: Transformational Leadership; HackensackUMC team—from the patient care team to physicians and clinicians, Structural Empowerment; Exemplary Professional Practice; New Knowledge, to professional staff. With nearly 2,000 nurses, we are so proud of the type of Improvements and Innovations; and Empirical Outcomes. compassionate care and professional collaboration that is demonstrated every day both within the walls of our medical center, as well as the global and We are proud of the culture of care we have created at HackensackUMC. One local community. that encourages collaboration across all departments and empowers our patient care team members to become thought leaders and openly discuss We thank you for your continued commitment to going beyond for our patients, their ideas and suggestions. Oftentimes, because of our their loved ones, and each other. collaborative discussions and forums, we’ve been able to develop new practices and programs to enhance the level of care provided to our patients. Some of these internal programs include the Heart & Vascular Hospital’s Heart Failure Program as well as the oral mucositis evidence-based practice (EBP) project.

Robert C. Garrett Dianne A.M. Aroh, RN, NEA-BC President & Chief Executive Officer Executive Vice President, Hackensack University Health Network Chief Nursing and Patient Care Officer HackensackUMC A Transformative “Transformation is unmistakable and evident when all eyes are not Journey: An on what was, but fixed on what is yet to come.” Incredible Year in Review HackensackUMC Annual Report 2010

Since the founding of HackensackUMC in 1888, our staff continues to play a pivotal role in the organization’s success, growth and numerous accomplishments. Transformational leaders at every level demonstrate higher levels of commitment to better meet the needs of our patients and the community we serve.

2013 was an exciting time to be a part of the HackensackUMC Patient Care Services team. 9 Patient Care Servic e Embarking on our Fifth Magnet Designation Journey

Highlights of our Journey Magnet Champions

s at Ha HackensackUMC’s Magnet Champions are active unit representatives who help to further embed the Magnet culture across the organization. c ken s Magnet Olympics Kirsten Sprofera, RN Lindsay McLay, RN Elizabeth Bigos, RN 3 Conklin Center for Plastic & Ann Calvo, RN a The Magnet Olympics was a fun way to test speaker from the New York Football c kUMC / 2013 A nn u Reconstructive Surgery Aimee Giordano, RN our staff Magnet-readiness in preparation for Giants, Mathias Kiwanuka, whose mother is Victoria McKenzie, RN Mother/Baby West the site visit. The kickoff opening event on a nurse. He spoke about how much he 3 Link North Francine DeLuise, RN Dionne Dixon-Jeffrey, Ph.D. Kenneth Leff, RN October 10, 2013, included Board Member honors and respects the nursing profession. Jaime Anne Burgos, RN Denise Occhiuzzo, RN Observation Ro Sorce, who gave encouraging words, and On November 14 at the Closing Ceremonies, Courtney DiBona, RN Clinical Education Keynote Speaker Larry Barr, who also gave the gold, silver and bronze medals 3 Link South Sharon Sledge, RN Portia Chinnery, RN Patient Blood Management moving and motivational words to never quit were awarded. Donna Christiano, RN Denise Patoir, RN al REp ort 3 Link West Claudia Douglas, RN and to keep striving for excellence. Emergency and Trauma Center Patient Care Services Cristina Rice, RN Cathy Herrmann, RN 3 Pavilion East Melissa Barry, RN The “games” were four weeks – from Donna Sapnar, RN Michelle Wilder, RN October 16 through November 10 – and Yerman Santana, RN Endoscopy - 5 Conklin Pediatric Cardiology 4 Pavilion West consisted of 10 questions that tested the Donna Puleo, RN Lisa Pflug, RN inpatient and outpatient nursing staff Stephanie Iovino, RN Endoscopy Pediatric Day Magnet knowledge and readiness. The 5 Pavilion East 8th Floor Medical Plaza Accommodation Suite teams with the most correct answers Melissa Kern, RN Tracy Paradiso, RN Lorena DeJesus, RN received medals. The units that won were Jessica Tanzola, RN Epilepsy Monitoring Unit Magda Krzastek, RN 5 St. John Pediatric Pulmonology, 4 St. John, Coronary Tami Azouri, RN Pediatric Emergency Department Care Unit (CCU) and Women’s and Kurian Suja, RN Michelle Browning, RN Rachel Rothenberg, RN 6 St. John Melanie Wedlick, RN Children’s Antepartum. Pediatric Endocrine Susan Ring, RN Heart Failure Program Sandra McPherson-Gichie, RN 8 Pavilion East Maureen Imbrogno, RN On November 12, 2013, there were “playoffs” Pediatric Intensive Care Unit where these top four teams had a final set of Vicki Woodruff, RN Nidia Roman, RN Catherine Picarelli, RN questions to answer. We also had a guest 9 Pavilion East Patricia Schlett, RN Infusion Center Pediatric Nephrology Marie Fowler, RN Eva Krynski, RN Lori Torsiello, RN Tara Conlan, RN Pediatric Oncology Allergy Center Inpatient Dialysis Michelle Leone, RN Magnet Monday Mania Kerry Meier, RN Laura McBride, RN John Theurer Cancer Center Pediatric Pulmonary Magnet Monday Mania was another way Audrey Hepburn Children’s House – Hematology/Oncology Lori Krivak, RN to test Magnet-readiness. The aim was David Lai, RN Quality to acquire more knowledge surrounding Cardiac Catheterization Judy Howes, RN John Theurer Cancer Center Magnet-related topics, components and Laboratory/Electrophysiology Eileen Parapar, RN Center/Cardiac Day – Radiation Oncology Radiology education, and to have fun while doing Accommodation Room Michelle Messina, RN so. Each Monday, a question was sent to Donna Cricco, RN Janet Carozza, RN Clarissa Proctor, RN Surgical Admission Suite everyone at HackensackUMC via internal Laureen Ministero, RN Jacqueline Thaw, RN communications. Four winners were Marie Percarpio, RN Labor & Delivery randomly selected, recognized and Tara Ruggiero, RN Deborah DeSalvo, RN received a prize. Donna TenHoeve, RN Laura Wisse, RN Kathleen Vega, RN Main Operating Room Center for Ambulatory Surgery 11 Patient Care Servic e Community Outreach and Expansion 2013 Health Awareness Regional Program (HARP) Strides s at Ha

Magnet Action Planning Teams Staff: Carol Brush, BS, CHES; Diana Costagliola, BS, RN;

c ken s Dianne Aroh, RN, held a kick-off meeting titled, “Magnet Action Planning,” on Kate McDougall, MPA, RN; and Joanne Wendolowski, MS, RN, BC April 18, 2013. The meeting assembled key interdisciplinary leaders and members a

c kUMC / 2013 A nn u to provide additional support to the staff in the following four areas: In 2013, the Health Awareness Regional Program (HARP) of HackensackUMC was invited by the NJ Department of Health to participate in a Technical Advisory Group CLINICAL LADDERS and co-lead the Family Health Work Group, impacting public health practice. Team Leader: Administrative Director, Magnet Program Director Denise Occhiuzzo, RN Towns Served: Bogota, Carlstadt, Hackensack, Closter, Dumont, East Rutherford, Elmwood EVIDENCE-BASED PRACTICE Park, Emerson, Englewood Cliffs, Fairview, Fort Lee, Garfield, Hasbrouck Heights, al REp ort AND RESEARCH Leonia, Lodi, Mahwah, Montvale, New Milford, Palisades Park, Ramsey, Ridgefield, Team Leader: Manager, Nursing Practice & Research Ridgefield Park,R iver Edge, Rochelle Park, South Hackensack, Tenafly,T ownship Dr. Claudia Douglas of Washington, and Wallington. PROFESSIONAL PRACTICE MODEL Community Partnerships: AND CARE DELIVERY MODEL Health officers, schools, American Diabetes Association, American Cancer Team Leader: Administrator, Service Excellence Society, Bergen County Office on Aging, Community Health Improvement Darlene Cox, RN Partnership of Bergen County, Access to Care Task Force, Nutrition and Physical QUALITY AND PERFORMANCE Activity Task Force, Pascack Valley Meals on Wheels, Bergen County IMPROVEMENT Department of Health Services, Bergen-Hudson Chronic Disease Coalition, Team Leader: Administrative Director Bergen County Municipal Nurse Association and School Nurses Association, Theresa Colarusso, RN Partnership for Maternal and Child Health of Northern New Jersey: Lead Poisoning Prevention Coalition, New Jersey Public Health Administrators Teams partnered with Magnet Champions, Council Structures and the Clinical Association, New Jersey Office of Cancer Control and Prevention: Melanoma Education, Performance Improvement and Service Excellence departments to Cancer Taskforce Work Group, and New Jersey Immunization Network. deploy and cascade supporting information. Public Health Services: HARP provided 2,661 adult health screenings that included education on blood Site Visit pressure, stroke risk assessment, diabetes risk assessment, osteoporosis, and The Magnet Appraisal Team’s site visit consisted of guided tours and body fat/body mass index (BMI) assessment. 2,015 adults were screened, observations, as well as document review. The Appraisal Team also took part in representing an 18 percent (18%) increase in participation. Thirty-five percent scheduled meetings with members of HackensackUMC’s executive leadership (35%) of participants were prehypertensive and 19 percent (19%) had an elevated team, nursing leadership team, nurse managers, staff nurses, shared governance blood pressure. An additional 700 adults screened at community-based events council leaders, educators, quality/performance improvement and safety teams, reported they did not have a primary care provider and were linked to human resources team, and university partners. The healthcare team further HackensackUMC services. demonstrated its diversity with a sampling from numerous disciplines throughout the organization to welcome the appraisers, including: nurses, physicians, Health Promotion Activities: pharmacists, military personnel, AirMed One flight nurses, volunteers, In 2013, HARP presented 125 health promotion programs to 3,339 participants and paramedics. throughout Bergen County. Health education programs focused on the prevention of chronic illness by teaching the community to eat healthy, be active and avoid tobacco. 13 Patient Care Servic e

Melanoma Awareness and Prevention Campaign: A.I.R. (Asthma Information Relief) Skin cancer is the most common form of cancer in the United States. Melanoma Express Bus Strides is the third most common skin cancer, but is more dangerous and more likely to cause death than other skin cancers. Through collaborative efforts, the John s at Ha The A.I.R. Express has been in service since May 2004. The unit is a 35-foot Theurer Cancer Center, the Promise Foundation of Ridgewood, New Jersey, airstream mobile van that consists of two examination areas, an educational area, physicians and the Health Awareness Regional Program (HARP) of c ken s and a private space for registration and/or interviewing the patients. The A.I.R . HackensackUMC, a skin cancer screening was provided to the community Express is a visual image of HackensackUMC helping the community. This project

a serving more than 61 participants. This partnership includes an ongoing

c kUMC / 2013 A nn u was initially funded by a grateful asthmatic patient and his wife who wanted educational initiative to teach youth sun safe behaviors to middle school to provide access to the same care he received at our center to residents within students in five communities reaching 4,060 students. the community.

Reducing the Risk for Falls for Community Residing Older Adults: The bus provides early detection of asthma with spirometry screenings. Educational Project Healthy Bones is a 24-week exercise and education program for older information about asthma triggers and avoidance is offered in English and Spanish women and men at risk for, or who have, osteoporosis. The program is offered in attempt to reach diverse populations. The A.I.R. Express is staffed by the al REp ort in partnership with the New Jersey Department of Health. In 2013, the Health employees of The Center for Allergy, Asthma & Immune Disorders. Awareness Regional Program (HARP) collaborated with Montvale and Ramsey to provide this program to their communities. With the assistance of four Peer 2013 programs offered through the Air Express Bus: Leaders, 60 participants attend a weekly exercise and education class. Standing • Asthma screening of 4th grade students in the Hackensack School System Tall Against Falls, a fall risk reduction presentation, was presented to 10 older • National Kick Butts day at Hackensack High School, helping to educate and adult groups with a total of 350 participants. discourage teen smoking • Annual Golf Fundraising Event held at the Knickerbocker Country Club, Corporations: Tenafly, NJ, to raise funds for the bus In 2013, HARP provided on-site Workplace Wellness programs to corporations of all sizes throughout Bergen County. Worksite Wellness programs are designed Members of the community serviced via the A.I.R. Express Bus in 2013: to engage the employee in learning about health risks, education and strategies • Approximately 120 4th grade students were screened for asthma that can improve their health and quality of life. • Approximately 200 high school students visited the A.I.R. Express Bus • HARP conducted 30 on-site flu immunization programs that vaccinated on National Kick Butts Day 1,250 employees against influenza. • Three corporate health fairs were conducted that included screenings such as: comprehensive metabolic blood profile, blood pressure, body mass index (BMI), and body fat. The age range for participants was 18 to 70 years old. There were 202 employees screened for total cholesterol, 69 men for prostate specific antigen (PSA), and 123 screened for blood pressure. Education was distributed to increase the awareness of risk factors for hypertension, sodium and high blood pressure, high cholesterol, healthy nutrition, and the benefits of physical activity. • Three American Heart Association (AHA) Heartsaver Automated External Defibrillator (AED) classes were presented that trained 27 employees in Adult and Child CPR, and the use of an AED. • Two bloodborne pathogen classes were presented to 158 participants. • 110 Tuberculin Skin Tests were given along with education on prevention, and recognizing the signs and symptoms of Tuberculosis. • Educational programs were provided on-site that highlighted: men’s health, nutrition and physical activity, and cardiac education which focused on prevention Serving Those in Need

On Sunday, June 2, 2013, the Inpatient Dialysis unit team members served lunch at the Bergen County Homeless Shelter. They also donated much needed supplies to the shelter (toiletries, flip flops, underwear, etc.) The food they served was donated by Margie’s Deli in Moonachie, M&P Deli in Hackensack, Starbucks in Rockaway, and ShopRite of Oakland.

“This community outreach effort was a great example of caring and teamwork, but also had the added benefit of the after-effects of altruism,” said Sharon Mancini, RN, nurse manager. “We were humbled by the experience and are planning a return during the winter holidays.”

AirMed One: Air Medical Transport Service Interdisciplinary Collabor ation Volunteer Services and Patient Care Services 2013 total number of patients transported by:

The purpose of the Volunteer Services Department is to provide and maintain efficient, trained 277 14,603 8,652 volunteers to offer an extra dimension of care and service to patients, families and visitors. The Volunteer Services Department recognizes the priority of patient- and family-centered care by AirMed One Basic Life Support Advanced Life Support demonstrating our commitment to excellence through the patient experience. (BLS): Ambulances (ALS): Paramedics

Careers in Patient Care Assist staff in maintaining a sterile environment for the Environment Volunteers patient’s health and safety The passage of the Emergency Medical Systems Act of 1973 led to the acceleration of the emergency medical services system in the United States (Shah, 2006). The survival Careers in Patient Care Assist staff in the service of meals for patients across Nutrition Volunteers the lifespan, as well as visitors and staff rates of the injured at the battlefront brought into the forefront the impact of air medical transport, particularly by helicopter within the “Golden Hour” to trauma care. Air Careers in Function collaboratively with all interdisciplinary teams medical transport is vital as it provides a speedier response when a critical care response Nursing Volunteers on the unit assigned in order to best meet the needs of the patient is required. Take a Break Provide respite for a family member/caregiver at a Volunteers patient’s bedside in the Emergency and Trauma Center HackensackUMC has a long and distinguished history of leading the pursuit of quality emergency medical services in New Jersey: Hospital Elder Life Program Provide assistance with orienting, therapeutic activities, (HELP) Volunteers exercising and feeding • First “Heart Rescue Team” established in the 1970s • MACH-1 (now known as NJ-MSED), the first Emergency Mobile Trauma Unit John Theurer Assist staff with patient navigation and lunch distribution & Intensive Care Unit Cancer Center Volunteers in chemotherapy suites

• AirMed One, Hackensack University Health Network’s air medical transport service Courier Run errands for staff giving them more time to attend Volunteers to patients (i.e.: chart copy, blood bank, labs, pharmacy, Executive Sponsor Dianne Aroh, RN, chief nursing and patient care officer, and Lisa central supply and telemetry) Iachetti, RN, administrative director, Emergency Community Operations and Emergency Medical Services, led the exploration to search, review and analyze the current data and market forces to guide the decision for AirMed One. Pharmacy and Patient Care Services

Total number of prescriptions filled at the pharmacies in 2013: 67,221 26,617 HackensackUMC’s John Theurer Medical Plaza Pharmacy Cancer Center

17 Patient Care Servic e

2013 Joint Commission Disease Cultur al Diversit y Specific Certifications (DSCs) - 23 Total Miyeok Guk Soup

s at Ha 1. abdominal Aortic Aneurysm 14. inpatient Diabetes The Donna A. Sanzari Women’s Hospital at Miyeok Guk Soup 2. acute Myocardial Infarction 15. Joint Replacement – Hip HackensackUMC serves Miyeok Guk Soup. orderS each month c ken s 3. asthma 16. Joint Replacement – Knee A Korean tradition, it is the perfect blend of seaweed, vegetables and beef, or seaweed

a 4. asthma (Pediatrics) 17. Multi-System Trauma

c kUMC / 2013 A nn u broth, rich in calcium and iodine for new 5. Bone Marrow Transplant 18. Palliative Care 2013 mothers after giving birth, to celebrate the 6. Breast Cancer 19. Peripheral Vascular Disease birthday of their newborn and in times of 7. Carotid Stenosis 20. Pneumonia healing. It is ideal to jumpstart the recovery 53 26 62 28 8. Chronic Obstructive Pulmonary Disease 21. Prostate Cancer (3/2014) process and to share the same nutrients that JANUARY FEBRUARY MARCH APRIL 9. Colorectal Cancer 22. Stroke (Primary Stroke Center) the mother consumes with her baby during 40 33 41 25 feeding. HackensackUMC is delighted to help MAY JUNE JULY AUGUST al REp ort 10. Coronary Artery Bypass Graft 23. Uterine-Ovarian Cancer create a special bond between mother and child, 11. Depression 36 31 45 35 while also providing a delicious tasting soup. SEPTEMBER OCTOBER NOVEMBER DECEMBER 12. geriatrics Delirium 13. Heart Failure

Health and Wellness Environmentally Conscious Cardiac and Cancer Recycling in the Main Operating Room

HackensackUMC is the first hospital in the state of New Jersey to launch 100 200 111 a successful recycling program. Our Operating Room Green Team, led by Inpatients counseled for Participants attended the Programs held in 2013 at the Green Team Champion Nurses Jennifer Pallotta, BSN, RN, CNOR, and Joan smoking cessation in 2013 2013 Health Fair John Theurer Cancer Center with more than 160 participants Cooking Studio Banovic, BSN, RN, CNOR, started a departmental campaign focused on receiving a blood pressure screening recycling. This led to an organization-wide recycling initiative, minimizing our carbon footprint. The Maureen Fund at the John Theurer Cancer Center Lunch and Learn event summary: “Recycling in the Main Operating Room continues,” says Banovic. “We have • Events averaged 42-95 attendees performed several audits and have found that we are consistently falling into • February 18, 2013: the normal range of what would be expected for such an immense project. Bladder Control. Speaker: Khashayar Shakiba, M.D. A self-audit was performed several months ago with the help of SteriCycle, as well as a recent audit in the beginning of July. Our red bag waste • May 16, 2013: continues to be at a minimum! This we are certainly proud! Jennifer has Melanoma and Skin Cancer: What you need to know. educated other units on recycling: Endoscopy, Center for Ambulatory Speakers: Robin Ashinoff, M.D. and Andrew Pecora, M.D. Surgery (CAS), and Labor and Delivery (L&D).” • October 2, 2013: Gynecologic Cancer and Hormone Replacement Therapy. Speaker: Babak Litkouhi, M.D. 19 Patient Care Servic e Mentoring our Future 2013 Healthcare Explorers Professional Development & Education

Kathryn Grant Erin Geerlof Izaak Thomas

Patient Care Services at HackensackUMC provides high school sophomores, juniors School of Nursing Affiliations by the Numbers: s at Ha and seniors with a unique opportunity for temporary employment to gain experience in various aspects of the healthcare field by way of the Healthcare Explorer Program. c ken s With mentorship and guidance, the Healthcare Explorer provides assistance in various 32 1 2 School of Nursing Paramedic Science Health Education/Public

a departments throughout the medical center under direct supervision to obtain an overall

c kUMC / 2013 A nn u Affiliation Agreements Program Health Programs experience of the healthcare field. This competitive program welcomes high-performing students interested in a career in healthcare. The explorers are selected after undergoing an interview process and submitting a letter of recommendation. 1 209 21 Dietetic Internship Classes with contact hours Number of Program offered by Department of Student Nurse Externs (SNEs): Value-Based Leadership Clinical Education al REp ort For Sustainability and Growth

Nursing Participation in Interdisciplinary Committees: HackensackUMC nursing participation in interdisciplinary committees occurs at every level Consistent with our organizational and nursing strategic directions 2011-2015, specifically of governance throughout the organization. Nurses have input in the strategic directions #3, patient management outcomes and #8, operational and financial performance, Dianne and decisions affecting nursing practice. Our nurses serve on numerous committees in the Aroh recognized opportunities to optimize human, capital and operational resources to capacity of chair, member or advisory. See example below: reduce waste and increase efficiency to sustain and grow HackensackUMC, while continuing to achieve and maintain high-quality outcomes. The concept of value-based management (VBM) is a systems approach used to manage organizational priorities by identifying the PROFESSIONAL DEVELOPMENT & EDUCATION COMMITTEE

content of value for all stakeholders. Designed to increase the returns on investments (ROI) No. of Interdisciplinary Purpose & Scope of Decision Making for all stakeholders, the VBM ideology utilizes a network that carefully connects all the points Members Committee Committee of interactions to maximize outcomes. 46 Medication The Medication Safety Committee’s function is to provide ongoing Consensus Safety evaluation and monitoring of the medication administration practices to Committee assure safe, effective and efficacious use in medication administration. Long since woven into the transformative leadership fiber of Ms. Aroh is the vision to apply Nurses Committee Work Unit Work Unit Role VBM in our infrastructural tiering. With a clear vision in mind, and the endorsement of our Role President and Chief Executive Officer Robert Garrett, Ms. Aroh pivoted from the shared Andrea Hicks, BSN, RN, CNL Member Emergency Trauma Dpt Staff Nurse - Clinical Level III Cassandra Martin-Walters, MSN, RN Member Neo-Natal ICU Nurse Manager governance model and interweaved VBM into Patient Care Services. Catherine Herrmann, RN, CCRN, CGRN Member Endoscopy Unit Staff Nurse - Clinical Level III Diane Ohme, MSN, RN, CPN Member Pediatric Oncology Nurse Manager Donald Daniello, AAS, RN Member Emergency Trauma Dpt Staff Nurse Aligned with the organization’s priority of waste reduction as a strategy to sustain and grow, Donna Swartz, RN, CPHQ Member Performance Improvement Performance Improvement Advisor Ms. Aroh strategically created a value-based position. Appointed to the role was Joan Colella, Elizabeth Vaccarino, BSN, RN, CPEN Member Pediatric Emergency Rm Nursing Instructor - BS Karen Beggs, MSN, RN, CPN Member Performance Improvement Performance Improvement Advisor DNP, RN, APN-BC, NP-C. Ms. Aroh charged Ms. Colella with assessing care processes through Kathe Olohan, MSN, RN, APN, CDE Member Diabetes Center Advanced Practice Nurse II the VBM lens to identify opportunities for improvement, reduce waste while also guaranteeing Pam Benecke, BSN, RN Member 4 St. John Staff Nurse Krys Toczylowski, MSN, BS, RN, IBCLC Member Neonatal Intensive Care Unit Case Manager high quality. Linda Cohen, MSN, RN, APN, CDE, ADM-BC Member Diabetes Center Manager Linda Parry-Carney, MA, RN-BC Member Clinical Education Education Specialist Maria De Jesus, BSN, RN, CNOR Member Inpatient Operating Room Staff Nurse Maureen McElwee, MSN, RN Member Pediatric Emergency Rm Nurse Manager Nancy Van Buitenen, MSN, ANP, CCRN Member Critical Care Advanced Practice Nurse II Natalie Callis, MSN, RN-BC, CNL Member Nursing Performance Performance Improvement Advisor Improvement Pamela Benecke, BSN, RN Member 4 St. John Staff Nurse Susan Karpinski, BSN, RN, CRN Member Special Radiology Procedures Nurse Coordinator Taryn Facella-Scheuer, BSN, RN Member Nursing Performance Manager Improvement/Rg Compliance Teresa Rosolen, BSN, RN, CPAN Member Post Anesthesia Care Unit Staff Nurse - Clinical Level III Joan Reilly, BSN, RN Member Pre-Anesthetic Evaluation Staff Nurse “Surely a man has come to himself only when he has found the best Our Staff, Making that is in him, and has satisfied his heart with the highest achievement he is fit for.” the Difference

Woodrow T. Wilson 23 Patient Care Servic e

“Healing Far from Home” “Pushing Through the Storms”

s at Ha Not only did Teresita Dimaano travel to the remote More than a foot of snow clobbered New Jersey villages of Kibungan and Kapangan in the northern overnight, which meant Evan Epper had to call five

c ken s Philippines to provide free medical care, she also car services before finding a van driver brave enough helped raise funds for the mission’s supplies and to deliver her and her mission trip’s massive pile of a

c kUMC / 2013 A nn u medicine. Together with two other HackensackUMC medical supplies to JFK airport. It was the first leg nurses, Marites Welch and Alma McEnroe, of a long journey to the Philippine town of Abuyog, Teresita helped more than 600 patients receive where two months after Typhoon Haiyan, the local Teresita Dimaano, RN Evan Epper, RN Staff Nurse sophisticated, life-changing care. One patient, a Staff Nurse, hospital’s roof was still leaking. “All of the hospital’s Colon Cancer Prevention woman with stomach pain so severe she could no Endoscopy Unit supplies were damaged in the storm. They didn’t Center/Endoscopy Services HackensackUMC Nurse HackensackUMC Nurse longer work, was hesitant to see a doctor at the for 28 Years even have many supplies to begin with,” Epper

al REp ort for 21 Years clinic. Using an anatomy chart purchased at a dollar recalls. Epper says her tireless work ethic required store, Teresita helped locate the source of the pain to deliver care across the world is the same that and connected the woman to the proper treatment. she displays every day at HackensackUMC. “It’s how we do work here in New Jersey, too. We just have more supplies.”

“Paying it Forward” “Like a Son”

Hoshiyuki Iida was living in the United States, 6,500 It’s not unusual to find Dennis Leenig Jr. sitting and miles away from Japan, when he learned of his talking with a patient a half hour after his shift has grandfather’s diagnosis with prostate cancer. “I felt finished for the day. “Working with leukemia patients, helpless,” he says. It was this feeling that drove Hoshi I like that I get to see people through all stages of to become a nurse. “I feel like I’m paying it forward their care. You get to establish a rapport,” he says. It’s with what the nurses and doctors did for him. I treat a relationship that continues even after a patient has patients like I wanted him to be treated.” To Hoshi, gone home. Dennis always conducts follow up calls to Hoshiyuki Iida, RN Dennis Leenig Jr., RN Staff Nurse being a nurse is more than just a job. “I feel a lot of Staff Nurse, patients after they’re discharged to see how they’re Transplant/Medical responsibility for these patients because you become Bone Marrow feeling and to make sure they’re not having trouble Oncology Transplant/Oncology Unit HackensackUMC Nurse invested emotionally. You go home and you think HackensackUMC Nurse getting any medications. “Patients have told me I’m for Nine Years about your patients.” for Four Years like a son to them and that means the world to me.” Dennis remembers when his own father was a cancer patient at HackensackUMC. A nursing student at the time, it was while visiting his father that he realized his calling was in oncology. 25 Patient Care Servic e

“We are Ambassadors”

s at Ha Maybe you saw Barbara Zanetto at John F. Kennedy (JFK) International Airport in February lugging two

c ken s 70-pound bags and a small carry-on. The large bags were carefully packed with donated hospital a

c kUMC / 2013 A nn u equipment and supplies. The carry-on contained the few items Barbara brought for herself for the upcoming week of 16-hour days on a medical mission “Love Story” Barbara Zanetto, RN, Coordinator for Orthopae- in Nairobi. This being her fifth mission, Barbara has It was a love story, pure and simple. John and dics and Podiatry in the gotten quite good at packing. “We are ambassadors Inpatient Operating Room JoAnne Valenti met almost 50 years ago at St. HackensackUMC Nurse for HackensackUMC nurses and for our country,” she Joseph’s Feast in Lodi, married, and raised a family. al REp ort for 34 Years says. “My first day in Kenya, caring for a baby with a When John fell ill with cancer last year, their love cleft lip, a mother put her baby in my arms. That trust sustained them even as John grew weaker and that I’m going to give exceptional care to her child is spent more and more time in the hospital. “Even as so humbling. It reminds me why I want to be a nurse.” he became weaker, I wanted John to feel he had Besarta Lumani, RN, Clinical Level IV, control over his life,” says Besarta Lumani. “And I Staff Nurse, Stroke Unit wanted to help JoAnne so that she would have no HackensackUMC Nurse for Nine Years regrets.” During John’s final admission, Besarta and the hospital staff arranged for John and JoAnne to stay in the same room. John passed away with JoAnne by his side, holding his hand. “I know John never felt more human and himself than “Change of Heart” when surrounded by his wife and family,” Besarta remembers. Nancy Farnan was preparing law school applications when her brother was diagnosed with terminal cancer. Taking time off to help with his care, she discovered the strength of her need to help patients and decided to pursue nursing instead. Nancy remembers as a young nurse feeling nervous entering a new patient’s room. She credits her growth Nancy Farnan, RN, Staff Nurse, to the incredible strength of her full team. “Nurses Bone Marrow are always helping each other out and that helps us Transplant Unit HackensackUMC give our all to the patients,” she says. There are some Nurse for 17 Years skills you can’t learn from a textbook, so she takes great pride in her role mentoring young nurses. “If you are going to achieve excellence in big things, you develop the habit HIghlights at in little matters. Excellence is not an exception, it is a prevailing attitude.” a glance

Colin Powell 29

Patient Care Servic e at the Lighthouse Pregnancy Center, Judy Howes, BSN, RN, OCN, clinical nurse providing nursing care and support educator, John Theurer Cancer Center Service to the Community/Missions to pregnant mothers. She obtains and Renee Stein Goetz, MSW, LCSW, pregnancy tests and helps counsel senior social worker, Bone Marrow and clients after the pregnancy is Stem Cell Transplant Program, John confirmed and ensures the mother Theurer Cancer Center. Co-facilitator

s at Ha Andrea Hicks, MSN, RN, CNL, clinical level IV, Cathy Parker, BSN, RN, CPN, Pediatric has the appropriate supplies and and lead facilitator, respectively, of the nurse educator, Emergency and Trauma Day Accommodation Suite, Joseph M. resources needed. Bergen County Adult Post Transplant

c ken s Center (ETC). Organized an information Sanzari Children’s Hospital. Food pantry Support Group, “The New Norm,” the session on poison safety for mothers of volunteer for St. Paul’s Catholic Church, Doreen Tabussi, BSN, RN, CPN, nurse only adult transplant support group in a

c kUMC / 2013 A nn u the Verona/Caldwell Meetup at the Verona Ramsey, NJ. coordinator, Pediatric Rheumatology, Bergen County, sponsored by the Public Library, Verona, NJ. Immunology & Infectious Diseases, Leukemia & Lymphoma Society. Christine M. Perdon, BSN, RN, IBCLC, RLC, Joseph M. Sanzari Children’s Hospital. Annamaria Pallante, MSW, LCSW, senior lactation consultant, Neonatal Intensive Volunteered for the First Annual Music Laura Wisse, BSN, RN, CNOR, clinical licensed clinical social worker, Care Unit (NICU). Provided breastfeed- Scholarship Fundraiser, Connecticut level IV, Main Operating Room, Pediatric Specialty Social Work ing education for expectant parents at Farms Church, Union, NJ, March 2013; robotic coordinator, All Hazards Services, Joseph M. Sanzari Children’s Pottery Barn Kids, Hackensack, NJ, May Arthritis Foundation’s Annual Walk at Incident Management Team (AHIMT), al REp ort Hospital. Volunteered for the following and September 2013. Fairleigh Dickinson University, Teaneck, and Mobile Satellite Emergency organizations’ 2013 annual fundraising NJ, May 2013; Arthritis Foundation’s Department – Mobile OR Unit (MSEG 3) events: The Children’s Heart Foundation Christine Vinci, RN, research nurse, Camp CHAT (Children Have Arthritis clinical coordinator. Volunteer for the and It’s My Heart in Ridgewood, NJ, and Nursing Practice & Research. Too!), Hackettstown, NJ, July 2013; Morris County, NJ Medical Reserve Core. the Juvenile Arthritis Foundation (Kids Volunteered for the Muscular Multiple Sclerosis Foundation’s Regal Get Arthritis Too), Fairleigh Dickinson Dystrophy Association (MDA) which Luncheon, Asbury Park, NJ, September Leigh Quintero, BSN, RN, nurse manager, University, Teaneck, NJ. provides comprehensive services to 2013; and Arthritis Foundation’s Juvenile Pediatric Outpatient Neurology, families with muscle diseases. Team Arthritis Family Day, Edison, NJ, Pediatric Dermatology, Pediatric Barbara Zanetto, BSN, RN, CNOR, clinical Captain of “Team Inspirational Journey” September 2013. Epilepsy Monitoring Unit (EMU), level III, coordinator, Orthopaedics and for the 2013 MDA Muscle Walk held at Pediatric Outpatient Surgery, and Podiatry, Inpatient Operating Room. The Prudential Center in Newark, NJ, Giuseppina Finnerty, MSN, RN-BC, Pediatric Outpatient Ear, Nose and International medical mission to March 2013. The team collectively raised clinical level IV, Urology/Kidney Throat (ENT), Joseph M. Sanzari Jalapa, Guatemala in February 2013 with $230,000. Founding member of the Transplant Department. Facilitated and Children’s Hospital. Volunteered for International Surgical Mission Support MDA’s “A Toast to Life” Cocktail Party developed urology inservices, educating clothing exchange at a local church (ISMS) Operation Kids, Pediatric Medical and Reception. Committee member for registered nurses, advanced practice in Hackensack, NJ. Mission. 103 surgeries completed with the MDA’s 6th Annual “A Toast to Life” nurses, technicians, nursing assistants more than 500 clinical patients seen Cocktail Party and Reception, held and clinical educators on urology Lisa Pflug, BSN, RN, CPN, clinical and treated. at 4Sixty6 in West Orange, NJ, topics at HackensackUMC. The 2013 coordinator, Pediatric Day December 2013. The event raised educational inservice was Accommodation Suite, Joseph M. Carol McEvily, RN and Carol Minarick, $25,000. Member of the Bergen “Percutaneous Nephrostomy Surgery.” Sanzari Children’s Hospital. International BSN, RN, CSN, CPN, clinical level II County Board of Special Services medical mission to Jalapa, Guatemala nurses, Pediatric Emergency Parent Committee. Joanne Pasinski, BSN, RN, CCRN, clinical in February 2013 with International Department, Joseph M. Sanzari level IV, Neonatal Intensive Care Unit Surgical Mission Support (ISMS) Diane Zeug, BSN, RN, clinical level II, Children’s Hospital. Participated in the (NICU). Volunteer altar server Operation Kids, Pediatric Medical Pediatric Emergency Department, Damon Runyon 5K at Yankee Stadium, scheduler for St. Peter the Apostle Mission. Provided free plastic and Joseph M. Sanzari Children’s Hospital. raising $2,500 for cancer research. Church; volunteer for St. Joseph orthopaedic surgeries for International mission to Haiti with Open Regional High School; and underprivileged children. Door Haiti during the 2013 holiday Carol Minarick, BSN, RN, CSN, CPN, neighborhood representative for the season. Diane worked as a nurse in the clinical level II, Pediatric Emergency American Heart Association, March Marina Chen, RN, clinical level II, 4/5 clinic, while her three children helped Department, Joseph M. Sanzari of Dimes, Autism Awareness and Strawbridge, Medical-Surgical Unit. to paint the school and food house. The Children’s Hospital. Volunteer Basic Life American Diabetes Association. Disseminated information to breast family helped to build swing sets for the Support (BLS) instructor, teaching BLS cancer survivors and educated them orphanage and school children. Also, to teachers, students, and parents on practical and medical ways of free-of-charge. Diane volunteers as a nurse/counselor 31 Patient Care Servic e

overcoming intimacy and sexual Michelle (Mickey) Wilder, BSN, RN, CPN, the year to perform asthma screenings the Domestic Violence Response Team challenges resulting from cancer clinical level II, Pediatric Cardiology, and education. in Passaic, NJ, providing information treatments at the Northern New Jersey Joseph M. Sanzari Children’s regarding available resources, shelters Young Breast Cancer Support Group in Hospital. International medical mission Pamela R. Sutherland, MSN, APN-BC, and advocacy to domestic violence Paramus, NJ, and the Holy Name Breast to El Salvador in May 2013 with Heart nurse practitioner, 8 Pavilion West, abuse victims throughout 2013. s at Ha Cancer Support Group in Teaneck, NJ. Care International, an international Blood and Marrow Stem Cell non-profit organization dedicated to Transplantation. Volunteer for the Sharon Cadovius-Hardenbergh, RN, c ken s Melanie Cardona, BSN, RN, CPEN and providing and improving the care of Christian Health Care Ministry (CHCM), MICN, CPN, clinical level II, Pediatric

a Edith Marino, BSN, RN, CPEN, clinical congenital heart patients in developing providing free primary care medical Emergency Department, Joseph c kUMC / 2013 A nn u level III nurses, Pediatric Emergency countries. Provided pediatric visits for undocumented, indigent and M. Sanzari Children’s Hospital. Department, Joseph M. Sanzari diagnostic and interventional cardiac uninsured migrant farm workers in Volunteered as camp nurse for the Children’s Hospital. Facilitated holiday catheterizations as well as open heart Orange and Sullivan Counties, New Stewartville Cub Scout Day Camp toy drive in the Pediatric Emergency surgery. Co-chairperson for Annual York. Volunteer for Traveling Health in the summer of 2013. Department, obtaining gifts and Beefsteak/Tricky Tray Event, West Mobile, providing spiritual counseling donations from coworkers so children Paterson, NJ, April 2013; and co-chair- and support. Teresita C. Dimaano, BSN, RN, RN-BC,

al REp ort from low income households could person of the 6th Annual Congenital Colon Cancer Prevention Center/ receive toys for the holidays. This Heart Defects (CHD) Awareness Walk, Petra Tepper, BSN, RN, ONC, clinical Endoscopy Services. Surgical-medical benefited the Greater Bergen Ridgewood, NJ, September 2013. level IV, Orthopaedics. Volunteered mission to Kapangan and Kibungan, Community Action - Operation time as patient demonstrator, sharing Benguet Province, Philippines, August Holiday 2013. Nanette Bacani Tan, BSN, RN-BC, CGRN, knowledge and experience of - November 2013 with the Saint Louis co-chair, Nursing Research and amputations and prosthetics at the University School of Nursing Alumni As- Melanie Cardona, BSN, RN, CPEN, Innovation Council and staff nurse, Joyce Center Prosthetics and Holistic sociation, USA, Inc. (SLUSONAA, USA, clinical level III, Pediatric Emergency Pediatric Day Accommodation Room Rehabilitation, Manhasset, NY, April Inc.) Spearheaded fundraising efforts Department, Joseph M. Sanzari (DAR)/Recovery. Medical mission to 2013. Certified peer visitor for in support of this community outreach Children’s Hospital. Volunteered for Catmon, Cebu, Philippines in October amputees, empowering amputees project in collaboration with SLUSO- the John Theurer Cancer Center’s 2013 with the University of San through education, support NAA, Philippines. Total amount raised: Celebrating Life and Liberty event, Carlos-Carolinian Nurses Alumni and advocacy. $5,400. Volunteered for Public Health an annual celebration for John Association (USC-CNAA). Served Screening & Colon Cancer Prevention/ Theurer Cancer Center patients the indigent Filipino families with Rachel Peralta, BSN, RN, CCRN, clinical Colon Cancer Awareness, in conjunction and their loved ones at Liberty different services such as blood level III, Pediatric Intensive Care Unit with the Philippine Nurses Association State Park, Jersey City, NJ. pressure and glucose monitoring, (PICU). International medical mission (PNA) Bergen, NJ Subchapter, at the minor surgery (excision of cyst), to Jalapa, Guatemala in February 2013 Bergenfield Library, May 2013. Melissa Barry, BSN, RN, staff nurse, pediatrics “Operation Timbang” with International Surgical Mission and Karen Praschil, BSN, RN, nurse weighing scales to monitor nutritional Support (ISMS) Operation Kids, Pedi- Wendy Inserra, RN, CPN, clinical level II, coordinator, Pediatric Center for Heart status, OB-GYN, and dental and health atric Medical Mission. Provided surgical Pediatric Emergency Department, Disease. Coordinated the 2013 Forget teachings. The remaining medicine from procedures for underprivileged children. Joseph M. Sanzari Children’s Me Not Foundation’s “Resolve Through HackensackUMC was sent to Tacloban, Hospital. Founder and chair of “Shop Sharing” National Conference at the Philippines following the devastation Ramonita Jiménez, DNP, MPA, RN, NE- for a Cause,” Macy’s Paramus, NJ, an John Theurer Cancer Center at from super typhoon “Haiyan.” BC, administrator, Patient Care Services. event which raises money for various HackensackUMC over a period of three International mission to Panama City, charities including March of Dimes, days for more than 30 HackensackUMC Nicole Argenzia, BSN, RN, CPN, nurse Panama, July 2013 with a local church. Children’s Aid and Family Services, staff members providing bereavement manager; Barbara McGoey, BSN, RN, Due to the high incidence of human and the Joseph M. Sanzari Children’s training in perinatal death. research nurse; and Lori Torsiello, BSN, trafficking in this city, the team worked Hospital at HackensackUMC. Volunteer RN, staff nurse, the Center for Allergy, with local missionaries, focusing on for the Center for Food Action (CFA), Asthma & Immune Disorders. Provided spiritual and humanitarian work geared helping distribute food packages to asthma screenings to underserved areas toward high school girls. In addition, a families in need. Volunteer for Oakland in the Hackensack community by way of two-day free conference for the girls Braves Football and Cheerleading and HackensackUMC’s Asthma Information was held. Emerson Boys Club Wrestling Program, Relief (A.I.R.) Express Mobile Care Unit. providing education awareness relat- The team also visited every elementary Rosa E. Flores, BSN, RN-BC, PCCN, TNCC, ed to head injuries and concussions to school in Hackensack, NJ, throughout 3 Pavilion West. Volunteer for coaches, players and families. 33 Patient Care Servic e

Awards and Recognition 2013 DAISY Award Honorees

s at Ha Alissa K. Sandler, MSW, LCSW, section chief, Patricia Nierstedt, MS, RN, CEN, Trauma Erin Salerno, RN Jessica Raimo, RN Pompeyo Lacsamana, RN Sudden Infant Death Syndrome (SIDS) Program coordinator, Trauma/Surgical Cardiac Surgery Pediatric Oncology 8 Pavilion East

c ken s Center of NJ, social work supervisor, Critical Care & Injury Prevention. Intensive Care Unit (CSICU) Pediatric Specialty Services, Joseph M. Recipient of the Emergency Nurses Magdalena Pawlik, APN Precious Hogo, RN a

c kUMC / 2013 A nn u Sanzari Children’s Hospital. Recipient of Association (ENA) State Achievement Francy Lopez, RN Fetal Care Center Kirsten Sommer, RN the CJ Foundation for SIDS Live, Care, Award, ENA Leadership Conference, Ft. Women and Children’s Melanie Yenzer, RN Grow, Excellence in Giving Distinguished Lauderdale, FL. – High Risk Antepartum Maria Tessinari, RN 3 North Service Award on behalf of the SIDS 8 Pavilion East Center of NJ. Ramonita Jiménez, DNP, MPA, RN, NE-BC, Irena Jovanoska, RN Sara Dertouzos, RN administrator, Patient Care Services. Surgical Intensive Care Unit Mary Beth Ray, RN 4/5 Strawbridge Barbara Zanetto, BSN, RN, CNOR, clinical Recipient of the 2013 TWIN Award (SICU) Coronary Care Unit (CCU) al REp ort level III, coordinator, Orthopaedics and (Tribute to Women & INdustry). Tina Vacante, RN-BC Podiatry, Inpatient Operating Room. 2013 Ivonne Pereira, RN Mary Jo Conley, RN 2 Main Nurse.com Giving Excellence Meaning Sharon Cadovius-Hardenbergh, RN, MICN, John Theurer Cancer Center Wound Care (GEM) Award Finalist, NY/NJ Region, for CPN and Lauren De Jong, BSN, RN, Volunteerism and Service. CPEN, clinical level II nurses, Pediatric Janine Insinga, RN Michele Boonstra, RN Emergency Department, Joseph M. Pediatric Epilepsy Monitoring John Theurer Cancer Center Jessica Raimo, BSN, RN, staff nurse, Sanzari Children’s Hospital. Recipients of Unit (EMU) Pediatric Oncology, Joseph M. Sanzari a Citation from the County of Somerset Children’s Hospital. Recipient of the 2013 Board of Chosen Freeholders in March DAISY Award and 2013 Team Spirit 2013 for their help in setting up and Award, HackensackUMC, Hackensack, NJ. staffing the Mobile Satellite Emergency Department in Hillsborough, NJ, during 2013 Nursing Excellence Award Winners Joanne Pasinski, BSN, RN, CCRN, clinical the severe flooding from Hurricane Sandy. level IV, Neonatal Intensive Care Unit ADVANCING AND LEADING MANAGEMENT AWARD: (NICU). Recipient of Who’s Who in Susan Mikulak Cacciola, BSN, RN, WCC, THE PROFESSION AWARD: Victoria Sica, MPA, BSN, RN, CCRP Business Plaque. LNC, case manager, Emergency and Marybel Zapotosky, BSN, RN, CNOR Director, Clinical Cancer Research, Trauma Center. Recipient of the 2013 Clinical Level III, Main Operating Room John Theurer Cancer Center Lisa Pflug, BSN, RN, CPN, clinical Best of Legal Nurse Consultants and Gold coordinator, Pediatric Day Award from the New Jersey Law Journal. CLINICAL CARE AWARD: MENTORING AWARD: Accommodation Suite, Joseph M. Sanzari Eileen Kochis-Whittman, BSN, RN, CURN Wendy Neidich, BSN, RN Children’s Hospital. Recipient of the Clinical Level III, Department of Urology Nurse Coordinator, Radiation Oncology, Most Valuable Team Member – Clinical, John Theurer Cancer Center HackensackUMC, Hackensack, NJ. EDUCATION AWARD: Ann Marie Wisniewski, MSN, RN, AOCN NON-CLINICAL NURSE AWARD: Nanette Bacani Tan, BSN, RN-BC, CGRN, Nurse Instructor, John Theurer Cancer Center Patricia Megaris, RN co-chair, Nursing Research and RN Case Manager, Case Management Innovation Council and staff nurse, FRIENDS OF NURSING AWARD: Pediatric Day Accommodation Room Eric Durfee SERVICE TO THE COMMUNITY AWARD: (DAR)/Recovery. Recipient of the Clinical Systems Analyst I, Carol Minarick, BSN, RN, CSN, CPN Certificate of Excellence Award, Epic Systems Development Clinical Level II, Nursing Per Diem, honoring her valuable contribution as Pediatric Emergency Room poster presenter in the International INNOVATION AWARD: Scientific Forum of the University of Kristy Salloum, BSN, RN, CEN, CWOCN TEAM SPIRIT AWARD: Clinical Level III, San Carlos Department of Nursing, Inpatient Pediatric Oncology/Hematology Emergency and Trauma Center October 2013. 35 Patient Care Servic e

Academic Appointments Professional Involvement and Development

s at Ha Alissa K. Sandler, MSW, LCSW, section chief, Kenneth A. Bodkin, Au.D., PASC, manager, Alicia Havens, MSW, LCSW, licensed clinical David Schnabel, BSN, RN, Pediatric Sudden Infant Death Syndrome (SIDS) Department of Audiology, Joseph M. social worker, Pediatric Specialty Social Intensive Care Unit (PICU). Elected nurse

c ken s Center of NJ, social work supervisor, Sanzari Children’s Hospital. Adjunct Work Services, Joseph M. Sanzari representative to the United Nations, on Pediatric Specialty Services, Joseph faculty at Montclair State University in Children’s Hospital. Seminar In Field behalf of Sigma Theta Tau International a

c kUMC / 2013 A nn u M. Sanzari Children’s Hospital. Adjunct Montclair, NJ. Instructor (SIFI) to effectively supervise (STTI, The Honor Society of Nursing) and instructor at Robert Wood Johnson and teach graduate social work students. The Nightingale Initiative for Global Medical School, Rutgers, The State Lisa Capizzi Marain, MSW, LCSW, senior Health (NIGH, a non-governmental University, New Brunswick, NJ. social worker, Pediatric Specialty Ann Marie Stiefbold, MSN, RN, APN, CPON, nursing organization). Social Work Services, Joseph M. Sanzari advanced practice nurse (APN), Pediatric Anna Irizarry-Wood, MSW, LCSW, licensed Children’s Hospital. Adjunct instructor at Neurology and Neuro-Oncology. Chair of Dena McDonald, BSN, RN, nurse manager, clinical social worker, Pediatric Specialty Robert Wood Johnson Medical School, the Steering Council for the Association of 3 Conklin Medical/Surgical Unit and 4 Link al REp ort Social Work Services, Joseph M. Sanzari Rutgers, The State University, New Pediatric Hematology/Oncology Nurses Orthopaedics, and Michelle Kobayashi, Children’s Hospital, HackensackUMC. Brunswick, NJ. (APHON). BSN, RN, CEN, manager, Emergency Adjunct instructor at Robert Wood Community Operations and Emergency Johnson Medical School, Rutgers, The Barbara Zanetto, BSN, RN, CNOR, Critical Care Services. Accepted into State University, New Brunswick, NJ. clinical level III, coordinator, Orthopaedics the American Organization of Nurse and Podiatry, Inpatient Operating Room. Executives (AONE) Nurse Manager Cassandra A. Martin-Walters, MSN, RN, Co-chair of Exemplary Professional Fellowship. NE-BC, nurse manager, Neonatal Practice for NJ Council of Magnet Intensive Care Unit. Clinical preceptor, Organizations; co-chair of the Denise Menonna Quinn, MSN, RN-BC, Nursing Graduate Program at William Professional Practice Council, AOCNS, oncology nurse, Transplant Paterson University in Wayne, NJ. HackensackUMC, Hackensack, NJ; Division, John Theurer Cancer Center. and treasurer, Northern Garden State Continuing education reviewer for the Denise Menonna Quinn, MSN, RN-BC, Chapter of the Association of Oncology Nursing Society and New AOCNS, oncology nurse, Transplant periOperative Registered Nurses (AORN). Jersey State Nursing Association Division, John Theurer Cancer Center. (NJSNA). Adjunct faculty at Bergen Community Catherine Picarelli, BSN, RN, CNN, nurse College in Paramus, NJ. coordinator, Pediatric Nephrology, Joseph Doreen Tabussi, BSN, RN, CPN, nurse M. Sanzari Children’s Hospital. President of coordinator, Pediatric Rheumatology, Giuseppina Finnerty, MSN, RN-BC, the Northern New Jersey Chapter of the Immunology & Infectious Diseases, clinical level IV, Urology/Kidney American Nephrology Nurses Association. Joseph M. Sanzari Children’s Hospital. Transplant Department. Adjunct Member of the American College of professor at Bergen County Christine M. Perdon, BSN, RN, IBCLC, RLC, Rheumatology – Association of Community College in Paramus, NJ. lactation consultant, Neonatal Intensive Rheumatology Health Professionals Care Unit (NICU). Member of the New (ARHP) and the Rheumatology Jersey NICU Collaborative; Vermont Nursing Society. Oxford Network; International Lactation Consultants Association; Partnership for Giuseppina Finnerty, MSN, RN-BC, Maternal and Child Health of Northern clinical level IV, Urology/Kidney New Jersey; and United States Transplant Department. President of Breastfeeding Committee (USBC). Northern New Jersey Chapter 114, Society of Urologic Nurses and Associates (SUNA). 37 Patient Care Servic e

Joan Colella, DNP, APN-BC, NP-C, Lisa Capizzi Marain, MSW, LCSW, senior Nanette Bacani Tan, BSN, RN-BC, CGRN, Susan Campeau, BSN, RN, clinical level II, advanced practice nurse (APN), social worker, Pediatric Specialty Social co-chair, Nursing Research and Pediatric Neurology, Joseph M. Sanzari Value-based Projects and Radiation Work Services, Joseph M. Sanzari Innovation Council and staff nurse, Children’s Hospital. Member of the

s at Ha Oncology, Department of Patient Children’s Hospital. Advisory member, Pediatric Day Accommodation Room American Association of Neuroscience Care. Six Sigma Greenbelt – Health- Next of Kin Services and Communication (DAR)/Recovery. Board member, Nurses (AANN).

c ken s care, Villanova University, October Committee, Scientific Working Group for University of San Carlos- Carolinian 2013. Vice president and board Medicolegal Death Investigation Nurses Alumni Association (USC-CNAA). Susan Mikulak Cacciola, BSN, RN, WCC, a

c kUMC / 2013 A nn u member of the Society of Urologic – Nationwide. LNC, case manager, Emergency and Nurses and Associates’ (SUNA) Norie Epstein Hubner, MSW, LCSW, se- Trauma Center. Board member, American Northern New Jersey Chapter. Mary Zetelski, MSW, LCSW, licensed clinical nior social worker; Annamaria Pallante, Association of Legal Nurse Consultants, social worker and Annamaria Pallante, MSW, LCSW, senior licensed clinical social NJ Chapter; board member and Katie DeMarco, MSN, MSHS, APN-C, MSW, LCSW, senior licensed clinical social worker; and Mary Zetelski, MSW, LCSW, member-at-large, New Jersey Association FNP-BC, CHPN, Palliative Medicine worker, Pediatric Specialty Social Work licensed clinical social worker, Pediatric of Nurse Anesthetists (NJANA) Region Advanced Practice Nurse (APN), Pain Services, Joseph M. Sanzari Children’s Specialty Social Work Services, Joseph 2; and member, Sigma Theta Tau al REp ort & Palliative Medicine Institute. Founding Hospital. Facilitated a support group for M. Sanzari Children’s Hospital. Completed International (STTI) Honor Society member and vice president of Legislation patients with atypical hemolytic uremic Sibshops Facilitator Training Program. of Nursing. and Health Policy, New Jersey Palliative syndrome with the National Organization Care APN Consortium. of Rare Disorders. Palka Anand, BSN, RN, CCRP, Teresita C. Dimaano, BSN, RN, RN-BC, oncology clinical research nurse Colon Cancer Prevention Center/ Laura Wisse, BSN, RN, CNOR, clinical Mary Zetelski, MSW, LCSW, licensed coordinator, Multiple Myeloma Division, Endoscopy Services. President, Saint level IV, Main Operating Room, robotic clinical social worker, Pediatric Specialty John Theurer Cancer Center. Clinical Louis University School of Nursing coordinator, All Hazards Incident Social Work Services, Joseph M. Cancer Research Unit-Based Council co- Alumni Association, USA, Inc. Management Team (AHIMT), and Mobile Sanzari Children’s Hospital. Facilitator chair, John Theurer Cancer Center (SLUSONAA, USA, Inc.), April 2013 Satellite Emergency Department – Mobile and presenter for parents and teens: at HackensackUMC, Hackensack, NJ. to date; assistant treasurer, Philippine OR Unit (MSEG 3) clinical coordinator. “Taking Diabetes to College,” Juvenile Nurses Association, Bergen, NJ Secretary for the Northern Garden State Diabetes Research Foundation (JDRF), Patricia Nierstedt, MS, RN, CEN, trauma Subchapter; and chair, HackensackUMC’s Chapter of the Association of August 2013. program coordinator, Trauma/Surgical Nursing Research and Innovation Council. periOperative Registered Nurses (AORN). Critical Care & Injury Prevention. Marybel Zapotosky, BSN, RN, CNOR, clinical Immediate past president, New Jersey Theresa M. Gabay, MSN, APN, CNRN, Leigh Quintero, BSN, RN, nurse level III, Main Operating Room. Co-chair Emergency Nurses Association. advanced practice nurse (APN) II, manager, Pediatric Outpatient president of Association of periOperative Department of Pediatrics/Neurosurgery. Neurology, Pediatric Dermatology, Registered Nurses (AORN) Northern Petra Tepper, BSN, RN, ONC, clinical level National chairperson, Special Focus Pediatric Epilepsy Monitoring Unit Garden State Chapter. IV, Orthopaedics. Member-at-large, New Groups (SFG) for the American (EMU), Pediatric Outpatient Surgery, Jersey State Nursing Association, Region Association of Neuroscience Nurses and Pediatric Outpatient Ear, Nose Michelle (Mickey) Wilder, BSN, RN, CPN, III, Essex and Union Counties. (AANN). Director of Greater New York and Throat (ENT), Joseph M. Sanzari clinical level II, Pediatric Cardiology, Chapter of AANN. Children’s Hospital. Co-chair of the Joseph M. Sanzari Children’s Hospital. Sandra Emmanuel, MA, RN-BC, Pediatric Special Focus Group for the President and member of the Board of educational specialist, Department Victoria Correale, MSN, RN-BC, American Association of Neuroscience Directors for the Congenital Heart Defects of Clinical Education. Chairperson of education specialist, Department of Nurses (AANN). (CHD) Coalition. the Nominations Committee for the Clinical Education. Nursing Professional Consortium of New Jersey Development Content Expert Panelist for Nurse Educators. the American Nurses Credentialing Center (ANCC), 4 year term. Assists in the development of the ANCC certification exam for the Nursing Professional Development Role. 39 Patient Care Servic e

Promotions Publications Abstracts/Presentations

s at Ha Andrea Hicks, MSN, RN, CNL Colella. J. & Gejerman, G. (2013). Alissa K. Sandler, MSW, LCSW, “Unexpected February 2013; “Human Milk Use in the NICU Appointed to nurse educator of the Survivorship health information counseling Revelations: When Children are Not What – Road to Exclusivity,” HackensackUMC’s

c ken s Emergency and Trauma Center for patients with prostate cancer. Urologic Their Parents Anticipated,” 17th Biomedical CQI Donor Milk Project, Hackensack, NJ, Nursing, 33(6): 273-281. Ethics Symposium, HackensackUMC, June 2013; and “Breastmilk/Breastfeeding a

c kUMC / 2013 A nn u Annamaria Pallante, MSW, LCSW Hackensack, NJ, October 2013. (Panelist) 101 - Human Milk Project,” New Jersey NICU Douglas, C. (2013). An evidence-based Appointed to senior social worker in Collaborative Webinar, July 2013. practice approach to increase bed availability Pediatric Specialty Social Work Services Barbara McGoey, BSN, RN; Mary Ann on medical surgical units. The University of Michelis, M.D.; Parimal Patel, medical Daisy Gershuny, MS, CGC, “Phenotype of the Philippines Nursing Alumni Association Christi Iacono, BSN, RN-BC International (UPNAAI) Nursing Journal, Vol. student; and Michael Hauk, research stu- 46,XY,der(22)t(15;22)(q24.3;q13.31) resulting Appointed to clinical documentation 9, No.1, pg. 41-46. dent, “The Value of Juniper Mini Quality of from a paternal balanced reciprocal specialist in the Finance Department Life Scores in Asthmatic Patients And Its translocation between chromosomes 15 and al REp ort Gabay, T. M., Disbato, J. A., Schultz, T. Use In Clinical Management” and “Juniper 22,” National Society of Genetic Counselors, Lisa Pflug, BSN, RN, CPN (2013). Transition from pediatric to adult care. Mini Quality of Life Questionnaire Scores San Diego, CA, October 2013. Appointed to clinical coordinator of the Nursing Care of the Pediatric Neurosurgery do not Reflect Objective measures of Pediatric Day Accommodation Suite, Patient, 413-430. 2nd Edition of a new asthma control in a Northern New Jersey Dianne Aroh, MS, RN, NEA-BC, Joan Colella, Joseph M. Sanzari Children’s Hospital. reference textbook. Practice,” National Meeting of American DNP, APN-BC, NP-C and Claudia Douglas, Association of Asthma Educators, DNP, RN, APN-C, CNN, “A Non-Traditional Gabay, T. M. & Ledet, D. (2013). Susan Thompson, BSN, RN, CCRN Charleston, SC, August 2013. Home Care Pilot Program for Heart Failure Neurovascular disease. Nursing Care of the Appointed to administrative supervisor Patients,” Sixth Annual Advanced Practice Pediatric Neurosurgery Patient, 283-331. 2nd of the Neonatal Intensive Care Unit (NICU) Brian Faley, Pharm.D.; Joseph Feldman, Nurse (APN) Conference, HackensackUMC, Edition of a new reference textbook. M.D., FACEP; Douglas Finefrock, D.O.; Hackensack, NJ, November 2013. Victoria Mulbauer, BSN, RN, CPEN Hauk, M., McGoey, B., Michelis, M.A., Patel, Michelle Kobayashi, BSN, RN, CEN; Appointed to administrative supervisor P. (2013). Juniper mini quality of life Gabrielle Procopio, Pharm.D.; and Michael Doreen Tabussi, BSN, RN, CPN, “The of the Pediatric Emergency Department questionnaire scores do not reflect objective Wynd, Pharm.D., BCPS, “Assessing the Registered Nurse,” Kennedy High School, measures of asthma control in a northern New Impact of Pharmacy Student Collected Paterson, NJ, May 2013; and “School Issues Jersey practice. Journal of Asthma and Medication Histories in an Observation and Chronic Diseases,” Arthritis Foundation Allergy Educators, Vol. 4, No. 5, pg. 244-245. Unit,” Annual Meeting of the American Family Day, Edison, NJ, September 2013. Association of Colleges of Pharmacy, Hauk, M., McGoey, B., Michelis, M.A., Patel, Chicago, IL, July 2013. George Carter, MBA, BS, NREMT-P and P. (2013). The value of juniper mini quality of Jeanette Previdi, MPH, BSN, RN-BC, “When life scores in asthmatic patients and its use in Brian Faley, Pharm.D.; Joseph Feldman, Medics Talk, Our Doctors Listen,” Premier clinical management. Journal of Asthma and M.D., FACEP; Douglas Finefrock, D.O.; Breakthroughs Quality Conference, San Allergy Educators, Vol. 4, No. 5, pg. 245-246. Michelle Kobayashi, BSN, RN, CEN; Antonio, TX, June 2013. McBride, L. & Samuel, C.O. (2013). The side Gabrielle Procopio, Pharm.D.; and Michael effect profile of Carfilzomib: From clinical trials Wynd, Pharm.D., “Pharmacist Collected Giuseppina Finnerty, MSN, RN-BC, to clinical practice. Journal of the Advanced Medication Histories in an Observation Unit,” “Preparing for the Prostate Cancer DSC,” Practitioner in Oncology, Vol. 4. Suppl. 1. 32nd Annual Eastern States Conference Sixth Annual Advanced Practice Nurse for Pharmacy Residents and Preceptors, (APN) Conference, HackensackUMC, Quinn, D.M. (2013). Safety handling of Hershey, PA, May 2013. Hackensack, NJ, November 2013. chemotherapy agents in the non-oncology setting. Journal of Infusion Nursing Society, Christine M. Perdon, BSN, RN, IBCLC, RLC, Helio Pedro, M.D. and Sivya Twersky, MS, 36(3), 199-204. “Infant Driven Feeding in the NICU and CGC, “Grand Rounds: Hereditary Evidence-Based Family-Centered Cancer Risk Assessment,” HackensackUMC Stiefbold, A.M. (2013). Headaches. Approach,” HackensackUMC’s Second at Mountainside, Montclair, NJ, Telephone triage guidelines. A professional resource for pediatric hematology oncology Annual Innovation Day, Hackensack, NJ, February 2013. and stem cell transplant nurses. Association of Pediatric Hematology/Oncology Nurses, 143. 41 Patient Care Servic e

Joan Colella, DNP, APN-BC, NP-C and Krystyna Toczylowski, MSN, RN, IBCLC, Melinda S. Weber, MS, RN, APN, AOCN, Teresita C. Dimaano, BSN, RN, RN-BC, Jodi Galesi, MSN, RN, APN-C, “The APN “Getting Out of the Driver’s Seat: C; Diana DiQuarto, MSN, RN; and Greg “Nursing Research & Innovation Council Peer Review Process: The Transformational Implementation of Infant Driven Feeding in Eskinazi, RPh, BCOP, “Building the John (NRIC): Looking Back Then and Now: Its Journey,” Sixth Annual Advanced Practice a Level III NICU,” Vermont Oxford Network Theurer Cancer Center Oncology Accomplishments,” HackensackUMC’s s at Ha Nurse (APN) Conference, HackensackUMC, Neonatal Intensive Care Annual Quality Evidence-Based Supportive Therapy Second Annual Innovation Day, Hackensack, Hackensack, NJ, November 2013. Congress, Chicago, IL, October 2013. Guidelines for Symptom Management NJ, February 2013 and Sixth Annual c ken s into the Electronic Medical Record: A Advanced Practice Nurse (APN) Joanne Pasinski, BSN, RN, CCRN and Laura McBride, BSN, RN, OCN, CCRP, Multidisciplinary Collaboration,” Sixth Annual Conference, HackensackUMC, Hackensack, a c kUMC / 2013 A nn u Susan Thompson, BSN, RN, CCRN, “Enhancing Clinical Trial Discussions with Advanced Practice Nurse Conference, John NJ, November 2013. “Pathway to Portfolio Development Multiple Myeloma Patients,” 30th National Theurer Cancer Center, HackensackUMC, Workshop,” HackensackUMC, Hackensack, Oncology Conference of the Association Hackensack, NJ, November 2013. Theresa M. Gabay, MSN, APN, CNRN, NJ, September and November 2013. of Community Cancer Centers, Boston, MA, “Surgical Options for the Epilepsy Patient,” October 2013. Nanette Bacani Tan, BSN, RN-BC, CGRN, New York University Hospital, New York Jodi Galesi, MSN, RN, APN-C, “Nurse Driven “Care Delivery Model at HackensackUMC,” City, NY, sponsored by the Greater New

al REp ort Mobility Protocol,” Sixth Annual Advanced Laura Metcalfe, MSN, RN, APN, AOCNS International Scientific Forum at University York Chapter of the American Association Practice Nurse (APN) Conference, and Joanna P. Mohney, BSN, RN, OCN, of San Carlos - Talamban Campus, Cebu of Neuroscience Nurses (AANN), HackensackUMC, Hackensack, NJ, “Novel Therapy and the Patient Experience City, Philippines, October 2013. November 2013. November 2013. in Progressive, Advanced CRC: The Nurse Perspective,” a CME/CNE video Petra Tepper, BSN, RN, ONC, “Prosthetic Judith Solomon, MSW, LCSW, MPH, “Care presentation for PeerView Press, Parity and Amputee Awareness: The Role Giving for the Caregivers: First Aide for the December 2013. of the Nurse Advocate,” New Jersey State Soul,” Difficult Concepts in Palliative Care, Nurses/Institute for Nursing Convention, John Theurer Cancer Center, Hackensack, Leigh M. Ettinger, M.D.; Kenneth V. Atlantic City, NJ, October 2013. NJ, May 2013. Lieberman, M.D., and Catherine Picarelli, BSN, RN, CNN, “ACTH Gel for Treating Sarah Parisotto, MS, CGC, “Homozygous Kathryn Colon, BSN, RN, CPHON; Gina Steroid Resistance (SR) and Oral Steroid Mutations in the serine Hydroxymethyltrasn- Dovi, MSN, RN, CPHON; and Melanie Nycz, Intolerance (OSI) in Pediatric Minimal ferase 1 (SHMT1) Gene as a Novel Etiology MS, RN, CPNP-PC, “The Effects of Change Nephrotic Syndrome (MCNS),” for Childhood Ataxia and Developmental Cryotherapy in Pediatric Stem Cell 16th Tri-Annual International Pediatric Regression,” National Society of Genetic Transplant Patients,” Association of Pediatric Nephrology Association (IPNA) Congress, Counselors, San Diego, CA, October 2013. Hematology/Oncology Nurses (APHON) Shanghai, China, September 2013. 37th Annual Conference and Exhibit, Sivya Twersky, MS, CGC, “Screening for Louisville, KY, September 2013. Leigh Quintero, BSN, RN, “Concussions,” Hereditary Breast Cancer,” Excelis Inc., Lunch and Learn, HackensackUMC, Clifton, NJ, October 2013. Katie DeMarco, MSN, MSHS, APN-C, Hackensack, NJ, October 2013. FNP-BC, CHPN and Pam Benecke, BSN, Stephanie Garcia, Au.D., “Audiologist,” RN-BC, “Pain Champion Program & Lisa Capizzi Marain, MSW, LCSW, “Helping New Jersey Early Hearing Detection and HCAHPS,” Sixth Annual Advanced Practice Caregivers Provide the Best Supportive Intervention (NJ EHDI) Program Webinar, Nurse Conference, HackensackUMC, Environment,” National Organization for August 2013. Hackensack, NJ, November 2013. Rare Disorders, Hasbrouck Heights, NJ, April 2013 and Jersey City, NJ, August 2013. Susan Mikulak Cacciola, BSN, RN, WCC, Katie DeMarco, MSN, MSHS, APN-C, LNC, “Nutrition, Protein Energy Malnutrition FNP-BC, CHPN, “Solving the EMR Puzzle,” Mary Merwin, BSN, RN, C-ME, “Blood and the Medical Legal Pitfalls of Care,” Sixth Center to Advance Palliative Care National Pressure Monitoring In The Clinical Setting,” Annual Advanced Practice Nurse (APN) Conference, Dallas, TX, November 2013. Holy Name Medical Center, Teaneck, NJ, Conference, HackensackUMC, Hackensack, September 2013. NJ, November 2013. 43 Patient Care Servic e

Nursing Research Studies and Evidence-Based Practice (EBP) Projects at a Glance First Time Certifications in 2013

s at Ha Beth P. Geltman, RN, HNB-BC Jackie Nemeth, MSW, LCSW Maureen Murphy, RN, OCN EBP: RESEARCH: Holistic Nurse Baccalaureate - Licensed Clinical Social Oncology Certified Nurse

c ken s Board Certified Worker Joan Colella, DNP, RN, APN-BC, NP-C. Brian Faley, Pharm.D.; Joseph Feldman, Melanie Nycz, RN, CPNP-PC “Sitter Safety Zone Project.” M.D., FACEP; Douglas Finefrock, D.O.; a c kUMC / 2013 A nn u Michelle Kobayashi, BSN, RN, CEN; Brenda Woelfel, RN, OCN Jennifer Gill, NP-C Certified Pediatric Nurse Oncology Certified Nurse Nurse Practitioner Practitioner - Primary Care Joan Colella, DNP, RN, APN-BC, NP-C; Gabrielle Procopio, Pharm.D.; and Michael Claudia Douglas, DNP, RN, APN-C, CNN; Wynd, Pharm.D., BCPS. “Assessing the Carmela Cuccurullo, RN, OCN Joanna P. Mohney, RN, OCN Melissa Arroyo-Hernandez, Phyllis McKiernan, MSN, APN, OCN; and Impact of Pharmacy student collected Oncology Certified Nurse Oncology Certified Nurse RN, CEN Ann Marie Wisniewski MSN, RN, AOCN®. medication histories in an observation unit.” Certified Emergency Nurse “Mucositis.” Cassandra A. Martin-Walters, Joy Trangone, RN, OCN

al REp ort Cynthia Bachemin, MSN, RN; Sharon RN, NE-BC Oncology Certified Nurse Meredith McEllen, RN, OCN Joan Colella, DNP, RN, APN-BC, NP-C Burrows, BSN, RN, CPN; Jennifer Kirkby, Nurse Executive - Board Oncology Certified Nurse and Jodi Galesi, MSN, RN, APN-C. “Nurse BSN, RN, CPN; Karen Madigan, BSN, RN, Certified Judi Toback, RN, OCN Driven Mobility Protocol.” CPON; and Lisa Pflug, BSN, RN, CPN. “To what degree does nursing attire Oncology Certified Nurse Michele S. Boonstra, NP-C Cathy Parker, RN, CPN Nurse Practitioner Oscar Acosta, BSN, RN, ONC, Veronica influence the patient’s perception of the Certified Pediatric Nurse Justin Angeles, RN, PCCN Betts, DNP(c), MSN, RN; and Joan Colella, care experience?” Progressive Care Certified Rebecca Vriesema, RN, OCN DNP, RN, APN-BC, NP-C. “Discharge Colleen F. Kearney, RN, Nurse Oncology Certified Nurse Education: Three Day Teach-back Method.” Kathryn Colon, BSN, RN, CPHON; Gina Dovi, MSN, RN, CPHON; Nancy Durning, NE-BC Nurse Executive - Board Karen Mellone, RN, OCN Rosa E. Flores, RN-BC, PCCN, Palka Anand, BSN, RN, CCRP; Veena Batra; RN, APN.C.; Jeanette Haugh, MA, RN, APN, Certified Oncology Certified Nurse TNCC Urszula Bednarz, BS, CCRP; Elizabeth CPON, CCRC; Melanie Nycz, MS, RN, Progressive Care Certified Bilotti, MSN, MSJ, ANP-BC, RN; Kristin CPNP-PC, CPHON, and Nancy Polifroni, MS, Courtney Anderson, RN, OCN Kathleen Laico, RN, OCN Nursing Trauma Nursing Core Ivanovski, RN; Laura McBride, BSN, RN, RN, CPNP. “The Effects of Cryotherapy in Oncology Certified Nurse Oncology Certified Nurse Course OCN, CCRP; Ann McNeill, MSN, RN, APN; Pediatric Stem Cell Transplant Patients.” Laura Raucci, BS, CCRP; Joshua Richter, Dawn M. Siek, RN-BC Kristin Ivanovski, RN, CCRP Samantha Siegel, APN-C M.D.; David S. Siegel, M.D., Ph.D.; Judy Kesha Patel, BSN, RN; Claudia Douglas, Registered Nurse - Board Certified Clinical Research Nurse Practitioner Smith, BSN, RN, CCRP and David H. Vesole, DNP, RN, CNN, APN-C; Christine Vinci, RN; Certified Professional M.D., Ph.D., FACP. “Preliminary Results Rose Williams, BSMT, MSCRA, CCRP; Kelly Sandra Emmanuel, RN-BC of a Phase I/II Study of Carfilzomib, Innamorato, BSN-C, RN; Stephanie Bruno, Diana Hernandez, RN, PCCN Krystin Saglimbene, RN, OCN Registered Nurse - Board Lenalidomide, Vorinostat and BSN, RN-C, WHNP-C; Janice Kozzi, MSN, Progressive Care Certified Oncology Certified Nurse Certified Dexamethasone (QUAD) in Relapsed RN-BC, CNL, LNCC; and Deborah Graham, Nurse and/or Refractory Multiple BSN, RN. “International Watson Caritas Lauren De Jong RN, CPEN Sandy Rozema, NP-C Myeloma (MM).” Submission for 18th Comparative Database (IWCCD) Study.” Dorothy Chan, RN, PCCN Certified Pediatric Emergency Nurse Practitioner Congress of the European Hematology Progressive Care Certified Nurse Association, Stockholm, Sweden, Nurse Sharon June 13-16, 2013. Lisa B. Kramer, RN, OCN Cadovius-Hardenbergh, Faith Pedersen, RNC, IBCLC Oncology Certified Nurse RN, MICN International Board Certified Certified Mobile Intensive Lactation Consultant Lisa Capizzi Marain, MSW, Care Nurse LCSW Grace Perry, APN-C, OCN Certified Clinical Trauma Tonimarie Notare, RN-BC Nurse Practitioner Professional Medical Surgical Certified Oncology Certified Nurse Nurse 45 Patient Care Servic e

Academic Advancement

Allison Abate, BSN, RN, OCN, clinical infusion nurse, John Theurer Cancer Kristin Ivanovski, RN, CCRP, oncology research nurse coordinator,

s at Ha Center. BSN from Thomas Edison State College. Multiple Myeloma Division, John Theurer Cancer Center. Enrolled in RN to BSN Program at Chamberlain College of Nursing, March 2013 to present.

c ken s Angelica Castro, BSN, RN, research nurse coordinator, Nursing Practice & Research. Associate in Applied Science in Electronics Engineering Laura Maccone, MS, RN, CCRN, Rapid Response Team. MS, Family Nurse a

c kUMC / 2013 A nn u Technology from the Cleveland Institute of Electronics. Practitioner from Rutgers University.

Beth Kwiatkowski, BSN, RN, CEN, Cardiovascular Partners. BSN from The Laureen Ministero, BSN, RN, Post Anesthesia Care Unit (PACU). BSN from College of Saint Elizabeth. The College of Saint Elizabeth.

Christopher C. Garcia, BSN, RN, 3 North. BSN from Saint Peters University. Lisa Pflug, BSN, RN, CPN, clinical coordinator, Pediatric Day Accommodation Suite, Joseph M. Sanzari Children’s Hospital and Laura Van al REp ort Claudia Douglas, DNP, RN, CNN, APN-C, manager, Nursing Practice & De Putte, BSN, RN, CPON, nurse manager, Pediatric Day Accommodation Research. Doctorate in Nursing Practice from Fairleigh Dickinson University. Suite, Reuten Clinic, Pediatric Nephrology, Pediatric Pain & Palliative Care and Pediatric Oncology, Joseph M. Sanzari Children’s Hospital. Fairleigh Colleen D’Angiolillo, MSN, RN, CNOR, Main Operating Room. MSN, Dickinson University Master’s Program for Clinical Informatics to present. Education Track, from William Paterson University. Margaret Orzechowski, MSN, RN, administrative head nurse, 3 Conklin. Courtney DiBona, MSN, RN-BC, nursing care coordinator, Accountable MSN in Health Systems Administration from Seton Hall University. Care Organization. MSN, Clinical Management with a Transcultural Focus, from Kean University, Nathan Weiss Graduate School. Marieta Branis, DNP, RN, NP-C, ANP-BC, oncology advanced practice nurse, Women’s Oncology Division, John Theurer Cancer Center. Doctorate Denise Menonna Quinn, MSN, RN-BC, AOCNS, oncology nurse, Transplant in Nursing Practice from Fairleigh Dickinson University. Division, John Theurer Cancer Center. First year DNP student at William Paterson University. Marybel Zapotosky, BSN, RN, CNOR, clinical level III, Main Operating Room. AAS to BSN at the College of Saint Elizabeth. Gina Dovi, MSN, RN, CPHON, clinical level III, Pediatric Hematology/ Oncology/BMT, Joseph M. Sanzari Children’s Hospital. BSN to MSN Matthew Schmarak, BSN, RN, Emergency & Trauma Center. BSN from at Ramapo College. William Paterson University.

Gina Jaye, MAS, BSN, RN, Women’s Health. Master’s Degree in Melanie Nycz, MS, RN, CPNP-PC, CPHON, clinical level III, Pediatric Administrative Science from Fairleigh Dickinson University. Oncology. BSN to MS at Rutgers University.

Grace Perry, MSN, RN, OCN, NP-C, advance practice nurse, John Theurer Melissa Arroyo-Hernandez, MSN, RN, CEN, clinical level II, Pediatric Cancer Center. BSN to MSN at Fairleigh Dickinson University. Emergency Department, Joseph M. Sanzari Children’s Hospital. BSN to MSN in education at Felician College. Jaclyn Doell, MSN, RN, Pediatric Intensive Care Unit, Joseph M. Sanzari Children’s Hospital. BSN to MSN in Nursing Education at Ramapo College. Monina Galapon, BSN, RN, CPNP, clinical level II, Pediatric Emergency Department, Joseph M. Sanzari Children’s Hospital. Passed Pediatric Joan Colella, DNP, RN, APN-BC, NP-C, Value-based Projects APN, APN Boards in November 2013. Department of Patient Care. Doctorate of Nursing Practice from Fairleigh Dickinson University. Nicole Simone, MSN, RN, PCCN, Coronary Care Unit (CCU). MSN from the Adult Gerontology Program, Rutgers College of Nursing. Justyna Potocka, BSN, RN, CDS, clinical documentation specialist, Clinical Documentation Department. BSN with highest honor from the College of Njoki Ng’ang’a, Ph.D., MSc, RNC, clinical level IV, Labor & Delivery. Saint Elizabeth. Doctor of Philosophy degree in Nursing from Columbia University. 47 Patient Care Servic e

Retirees

Ramonita Jiménez, DNP, MPA, RN, NE-BC, administrator, Department of Diane Ohme, MS, RN

s at Ha Patient Care. Doctorate of Nursing Practice from the University of Medicine Nurse Manager and Dentistry of New Jersey. Inpatient Pediatric Oncology and

c ken s General Pediatrics Rayda Garcia, BSN, RN, 9 Pavilion West. BSN from Saint Peters University. a c kUMC / 2013 A nn u Samantha Jayne Rodgers, MSN, RN, Orthopaedics. BSN to MSN at Rutgers University.

Shoshanah Haricha, BSN, RN, Center for Occupational Medicine. BSN from South University Online. al REp ort Susan Dunn, BSN, RN, LNC, CNOR, Center for Ambulatory Surgery – Operating Room (CAS-OR). BSN from the College of Saint Elizabeth.

Tara Gregorio, MS, RN, CEN, Emergency & Trauma Center. MS, Family Nurse Practitioner from Rutgers University.

Key

BSN – Bachelor of Science in Nursing MS – Master of Science MSN – Master of Science in Nursing Pursuing Superior “Quality is never an accident; it is always the result of high intention, sincere effort, Quality & intelligent direction and skillful execution; it represents the wise choice of many alternatives.” Unsurpassed Patient William A. Foster Satisfaction 51 Patient Care Servic e

2013 Falls / Pressure Ulcer / Infection Control Data Patient Care Services / Falls | Falls with Injury: 2008 - 2013

s at Ha FALLS FALLS with Injury c ken s 700

a ZERO c kUMC / 2013 A nn u 600 Catheter-Associated 586 Urinary Tract Infections (CAUTI) 514 0 in the Pediatric Intensive Care Unit (PICU) 500 425 400

al REp ort 357 300 320 ZERO 253 Ventilator-Associated Pneumonia (VAP) 200 in the Pediatric Intensive Care Unit (PICU)

100 102 103 0 92 72 53 50 0 2008 2009 2010 2011 2012 2013 ZERO Central Line-Associated Bloodstream Infections (CLABSI) in the Neonatal Intensive Care Unit (NICU) 0 for the following birth weight categories: Patient Care Services / Nosocomial Pressure Ulcers Rates: 2008 - 2013 751-1000 g | 1001-1500 g | 1501-2500 g

TOTAL YEARLY RATE PRESSURE ULCER

ZERO 0.9%

Ventilator-Associated Pneumonia (VAP) 0.8% in the Neonatal Intensive Care Unit (NICU) for the following birth weight categories: 0.7% 0 <750 gms | 751-1000 gms | 1001-1500 gms 0.6% 1501-2500 gms | >2500 gms 0.5%

0.4%

0.3%

0.2%

0.1%

0.0% 2009 2010 2011 2012 2013 Patients’ Perception of Care December 31, 2013

HackensackUMC Press Ganey HackensackUMC Press Ganey 2013 4Q Database Mean (+/-) 2013 4Q Database Mean (+/-)

HCAHPS - Hospital Consumer Assessment Children’s hospital inpatient 90.0 +3.5 of Healthcare Providers and Systems overall mean 93.5 (Top Box Percent)

Communication with Nurses (Percent “Always”) 83.8 79.4 +4.4 Friendliness/courtesy of nurses 96.3 94.3 +2. Responsiveness of Hospital Staff 69.0 65.8 +3.2 Nurse’s promptness in response to call button 94.3 90.7 +3.6 (Percent “Always”) Nurse’s attitude toward requests 96.6 92.8 +3.2 Pain Management (Percent “Always”) 73.5 70.8 +2.7 Nurse’s attention to special/personal needs 95.5 91.7 +2.8 Nurse informed you using clear language 96.2 93.0 +1.8 Inpatient Overall Mean 90.9 88.9 +0.2 Skill of nurses 96.2 93.5 +2.7

Friendliness/courtesy of the nurses 94.1 93.2 +0.9 Skill in blood draw 90.9 87.1 +3.8 Promptness, response to call 88.2 87.0 +1.2 Skill of the IV starter 90.7 86.0 +4.7 Attention to special/personal needs 91.2 89.3 +1.9 Concern of comfort during T&T 91.5 89.0 +2.5 Nurse’s attitude toward requests 92.1 90.7 +1.4 Explained in language understood 93.6 91.1 +2.5 How well the nurses kept you informed 91.2 88.6 +2.6 Accommodations/comfort for visitors 93.2 86.9 +6.3 Skill of the nurses 94.5 92.4 +2.1 Instructions for child home care 93.2 90.1 +3.1 Staff concern for patient’s privacy 90.1 88.8 +1.3 Staff concern for privacy 94.0 90.3 +3.7 How well your pain was controlled 89.9 87.6 +2.3 Staff sensitivity to inconvenience 92.3 89.0 +3.3 Staff addressed emotional needs 88.1 86.4 +1.7 Staff addressed emotional needs 91.6 87.5 +4.1 Staff worked together to care for patient 92.8 90.7 +2.1 Response to concerns and complaints 91.5 87.6 +3.9 Likelihood of recommending this 93.5 89.9 +3.6 Staff include your decision regarding treatment 93.4 89.1 +4.3 hospital to others Respect for your knowledge of child 92.8 89.7 +3.1 Overall rating of care given 93.5 90.9 +2.6 Staff concerned not to frighten child 93.6 90.7 +2.9 Speed of discharge process 83.7 81.1 +2.6 How well your child’s pain was controlled 93.3 89.2 +4.1 Instructions for care at home 89.1 87.8 +1.3 Staff concerned to make stay restful 92.3 88.8 +3.5 Staff worked together 95.0 91.2 +3.8 Likelihood of recommending this hospital 95.6 92.9 +2.7 AMBULATORY SURGERY Overall Mean 96.0 94.5 +1.5 to others Friendliness of nurses 97.5 96.8 +0.7 Skill of nurse starting IV 94.4 92.7 +1.7 Children’s Hospital Neonatal 92.9 89.5 +3.5 Intensive Care Unit Information day of surgery 96.1 94.5 +1.6 Nurse’s concern for comfort 96.2 94.4 +1.8 Info given during delivery regarding baby 93.0 84.9 +8.1 Nurse’s courtesy toward family 96.7 95.1 +1.6 Emotional support to mother 93.4 86.8 +6.6 Information given to patient family 94.8 93.2 +1.6 Staff allowing mother to see baby 86.9 84.7 +2.2 Instructions regarding home care 94.8 93.0 +1.8 Info regarding baby’s condition at birth 89.8 83.3 +6.5 Confidence in skill of nurses 96.2 95.0 +1.2 Info regarding events post delivery 86.7 82.1 +4.6 Staff ID patient/procedure before surgery 97.5 96.5 +1.0 How well nurses communicated with you in a 94.0 90.7 +3.3 straight forward manner Degree pain was controlled 94.2 93.0 +1.2 Nurse help understand treat/prog 93.7 91.4 +2.3 Response to concerns and complaints 94.5 92.4 +2.1 Nurse cared about baby as a person 95.1 93.0 +2.1 Overall rating of care 96.9 95.5 +1.4 Nurse’s encouragement of your participation in 95.5 92.9 +2.6 Degree staff worked together 97.1 95.8 +1.3 your baby’s care when possible 93.6 90.8 +2.8 Likelihood of recommending center to others 97.2 95.4 +1.8 Nurse support: breastfeeding Nurse attentiveness: special needs 92.2 89.7 +2.5 Nurse respected parental role 95.5 91.3 +4.2 Nurse helped you to get to know the baby 93.6 90.6 +3.0 Nurse courtesy by phone 95.8 91.9 +3.9 HackensackUMC Press Ganey HackensackUMC Press Ganey 2013 4Q Database Mean (+/-) 2013 4Q Database Mean (+/-)

Children’s Hospital Neonatal Pediatric emergency department Intensive Care Unit COnt. OVERALL MEAN 90.7 86.7 +4.0

Nurse’s professional manner 94.7 92.4 +2.3 Nurse’s courtesy 94.6 90.1 +4.5 Accommodations for parents 91.3 81.0 +10.3 Nurse took time to listen 94.3 89.4 +4.9 Prepared to feed baby at home 93.6 92.0 +1.6 Nurse’s attention to you/child 93.1 88.9 +4.2 Prepared to discharge 93.1 91.5 +1.6 Nurse’s informative regarding treatments 93.0 87.6 +5.4 Consistency of info from NICU staff 89.6 85.2 +4.4 Nurse’s concern for privacy 93.3 90.0 +3.3 Baby’s discomfort controlled 91.3 90.3 +1.0 Courtesy of person who took child’s blood 92.7 87.9 +4.8 Staff makes you feel welcome 95.1 91.4 +3.7 Concern comfort when blood drawn 93.6 87.1 +6.5 Staff meets emotional needs 92.5 88.6 +3.9 Informed about delays 80.2 76.6 +3.6 Staff sensitivity regarding stress 90.7 88.6 +2.1 Staff sensitivity to fears/concerns 88.0 83.6 +4.4 Staff worked together to care 94.4 91.9 +2.5 How well pain was controlled 86.4 84.3 +1.9 Rating: care given to baby 95.5 94.0 +1.5 Information regarding home care 89.7 87.6 +2.1 Rating: care given to family 94.3 90.5 +3.8 Overall rating of care 89.2 86.9 +2.3 Likelihood of recommending to others 95.5 93.4 +2.1 Likelihood of recommending 91.5 87.6 +3.9

Outpatient Oncology- John Theurer 94.4 91.8 +2.6 emergency department Cancer Center Overall MEAN OVERALL MEAN 85.3 84.4 +0.9

Expect what to expect during chemo 94.0 90.7 +3.3 Nurse’s courtesy 89.7 88.6 +1.1 Chemo staff concern for comfort 96.0 93.8 +2.2 Nurse took time to listen 88.1 88.1 +1.0 Chemo staff courtesy 96.5 94.9 +1.6 Nurse’s attention to your needs 86.8 85.9 +0.9 Explain manage chemo side effects 93.3 90.8 +2.5 Nurse’s informative regarding treatments 86.2 83.4 +2.8 Emotional needs addressed 92.0 89.0 +3.0 Courtesy of person who took blood 88.2 87.5 +0.7 Kept family informed as what to expect 91.7 89.3 +2.4 Concern blood draw discomfort 87.1 86.5 +0.6 How well your pain was controlled 93.2 89.9 +3.3 Courtesy shown family/friends 87.2 86.6 +0.6 Concern for privacy 94.4 91.8 +2.6 Adequacy of info to family/friends 85.1 84.4 +0.7 Home care instructions 93.7 90.2 +3.5 Informed about delays 74.9 72.8 +2.1 Care coordinated among Doctors/caregivers 94.2 92.1 +1.9 How well pain was controlled 79.6 77.8 +1.8 Care given at this facility 96.4 94.0 +2.4 Likelihood of recommending services 97.1 94.7 +2.4

Outpatient SERVICES OVERALL MEAN 95.3 94.6 +0.7

Friendliness of staff 97.1 96.3 +0.8 Explanations given by staff 95.7 94.5 +1.2 Skill of techs/therapists/nurses 96.6 95.7 +0.9 Staff concern for comfort 95.8 94.9 +0.9 Staff’s concern/question worries 95.7 94.4 +1.3 Likelihood of recommending 95.4 94.9 +0.5 We are a team.

Leading. “Excellence is a better teacher than mediocrity. The lessons of the ordinary Collaborating. are everywhere. Truly profound and Partnering. original insights are to be found only in studying the exemplary.” Inspiring.

We continue to prove Warren G. Bennis that out of many, we are one organization.