NURSING RIGHT NOW WINTER 2020

DECREASING HOSPITAL-ACQUIRED INFECTIONS WITH WILDCARDS

COMING TOGETHER TO COLLABORATIVE EFFORTS ADDRESSING THE APPROACH MENTAL, PROVIDING OPTIMAL NURSING SHORTAGE MEDICAL CARE CARE AND EDUCATION WITH A RECRUITER’S HOLISTICALLY OPPORTUNITIES MINDSET Nursing Right Now is published annually by UK HealthCare INSIDE Nursing and the UK College of Nursing. Editor Coordinator Ashley Tabb Jennifer Wirtz BEHAVIORAL AND MEDICAL CARE 18 Writers Publication Designer MEET IN THE MIDDLE Kim Klimek Emilee Stites Mental and medical health care are not mutually Kristin Baird Rattini exclusive, and they can no longer be treated Adrienne Sylver Photography independently. Integrative, multidisciplinary care Shaun Ring Seth Applegate and continuing nursing education are key.

PARTNERSHIPS POWER CARE AND 24 The University of Kentucky is committed to a policy of TRAINING PROGRAMS providing opportunities to people regardless of economic Collaborative efforts are breaking the barriers to or social status and will not discriminate on the basis of helping low-income patients and those suffering race, color, ethnic origin, national origin, creed, religion, political belief, sex, sexual orientation, marital status, age, from substance use disorder, as well as ensuring veteran status, or physical disability. nurses stay up to date with evidence-based training. UK HealthCare is UK Albert B. Chandler Hospital; WILDCARDS PROVIDE A SAFETY NET Kentucky Children’s Hospital; UK Good Samaritan Hospital; 28 Decreasing rates of the four most common Markey Cancer Center; Gill Heart & Vascular Institute; hospital-acquired infections, and preventing Kentucky Neuroscience Institute; and the clinical activities of the UK Colleges of Dentistry, Health Sciences, Medicine, serious patient injury, increased costs and Nursing, Pharmacy, and Public Health. We are firmly and greater lengths of stay with a simple, evidence- unequivocally committed to providing high-quality, safe, based checklist. patient-centered care to each and every patient. Our quality data can be viewed at www.ukhealthcare.uky. edu/quality/home. FOCUSING ON RECRUITMENT TO ADDRESS 34 THE NURSING SHORTAGE From pre-degree to postgraduate education, UK nurses have continuous support and encouragement to ensure they feel prepared and confident every step of the way.

1 Nursing Right Now 315 College of Nursing Bldg. 800 Rose St. Lexington, KY 40536 Lexington, KY 40536 2 Promotions and Transitions (859) 323-5108 (800) 233-5851 3 In Memoriam 4 Publications, Posters and Presentations

10 28th Annual Nursing Research Papers Day @UKYCON, @UKHealthCare 11 Nursing Hall of Fame

12 Lexington Black Nurses Association @ukynursing, @uk_healthcare 14 Spotlight: Margaret Plymale

16 Spotlight: Joshua Saleeby @ukynursing, @ukhealthcare 38 RN to BSN: By the Numbers 40 2019 Nurses Week Awards www.uky.edu/nursing, www.ukhealthcare.uky.edu Nursing Right Now | 1

NURSING RIGHT NOW

From left: Janie Heath, Gwen Moreland and Colleen Swartz.

provide evidence-based care and lead best-practice integration. Our longstanding academic-clinical partnership has garnered a strong reputation in the ways we work collaboratively to support value-based care and recruit students into dynamic programs, such as the LPN-BSN and accelerated BSN options. Within these pages, we will share our ongoing work to meet needs regarding communication, recruitment, retention and higher education to support the workforce. We will further highlight our commitment to “no patient harm,” and emphasize the evolving needs to meet behavioral health standards across the care continuum. While change is on the horizon, UK HealthCare and the CON are working diligently to fuel innovation and uphold our highest standard of care for “every patient, Dear Colleagues, every time.” It has been an honor to serve as the chief nurse executive and chief administrative officer, and I This year marks a special milestone for UK HealthCare® look forward to witnessing our partnership grow and and the UK College of Nursing – a year during which we thrive for years to come. Please enjoy reading about our will honor our legacy of excellence while continuing to journey and all the amazing work we do to bring the push the needle forward and make transitions reflective best nursing practice to life. of the ever-evolving nursing profession. For our publication’s 10th anniversary, we are pleased to unveil Sincerely, “Nursing Right Now” – formerly known as “InStep” – with a refreshed look that highlights our collective momentum toward a more contemporary, progressive practice in the community and beyond. Colleen Swartz, DNP, MBA, RN, NEA-BC In my new role as vice president of hospital Vice President of Hospital Operations, UK HealthCare operations, I look forward to proudly serving the community and bringing my nursing experience to the table in a different capacity. Gwen Moreland, DNP, MSN, RN, has taken over as chief nurse executive. I am thrilled Gwen Moreland, DNP, RN, NE-BC to see Dr. Moreland – also a CON alumna – take this next Chief Nurse Executive, UK HealthCare step from previously serving as assistant chief nurse executive for Kentucky Children’s Hospital. Our nurses and their patients could not be in better hands. As our patient populations and their clinical Janie Heath, PhD, APRN-BC, FAAN, FNAP, FAANP needs grow in complexity, so too do our academic Dean and Warwick Professor of Nursing, UK College and clinical programs in order to ensure our nurses of Nursing 2 | UK HealthCare & UK College of Nursing

Nancy Maggard 2018 PROMOTIONS MSN, RN Patient Family AND TRANSITIONS Services Manager

Anna Adams Jennifer Forman Marc Manley BSN, RN BSN, RN MSN, RN Patient Care Clinical Nurse Specialist Patient Care Manager Manager Assistant

Rachel Bentley Lynn Gentry Amanda Martin MSN, RN BSN, RN DN P, R N Staff Development Patient Care Patient Care Manager Specialist Manager Assistant

Amber Cantrell Marco Gomez Tonja Maynard BSN, RN MSN, RN BSN, RN Patient Care Staff Development Preop/Postoperative Manager Assistant Specialist Manager

Stephanie Carry Benjamin Hughes Matthew Proud MSN, RN MSN, RN DNP, RN, CEN Patient Care Manager Nursing Operations Nursing Operations Administrator Administrator

Keegan Chase Eydie Johnson Sherry Rosenacker BSN, RN BSN, RN MSN, RN Patient Care Patient Care Perioperative Manager Assistant Manager Assistant Services Director

Patricia Darnell Sherry Kopser Joan Scales BSN, RN BSN, RN LCSW, OSW-C Patient Care Patient Care Manager Psych-Oncology Manager Assistant Program Director

Julie Derringer Amanda Lykins Ronald Simpson MSN, RN MSN, RN BSN, RN Staff Development Clinical Nurse Specialist Patient Care Manager Specialist Nursing Right Now | 3

Elinor Smith NOT PICTURED: MSN, RN Staff Development Brandi Adams Specialist MSN, RN Enterprise Dialysis Operation Manager Kristen Stacy MSN, RN Barbara Latham Clinical Nurse Specialist BSN, RN Process Improvement Specialist

Farrah Taylor MSN, RN Patient & Family Education Specialist IN MEMORIAM

Lisa Thornsberry Jennifer “Jen” Chapman passed away in July 2018 MSN, RN after a sudden cancer diagnosis. A nurse manager in Academic Service Line obstetrics/gynecology at Good Samaritan Hospital, she Nursing Director touched many lives in and out of work with her positivity, compassion and carefree spirit. An active member of her community, Jennifer loved being with her children, family Julia Walton and friends. She inspired so many with her joy and grace, BSN, RN the legacy of which lives on through all who knew her. Patient Care Manager Assistant Abena Anane (Hilda Aduboahene Anane) passed away unexpectedly in March 2019. She was a strong, God-fearing Jennifer Watkins nurse who always had something to smile and laugh about. MSN, RN She was a delight to work with, and she always used her Academic Service faith to guide her in her patient care. At the time of her Line Nursing Manager passing, Abena had been a registered nurse at Good Samaritan Hospital for five years and was working to obtain her doctorate of nursing practice at the University of Marc Woods Louisville, which awarded her the degree posthumously. BSN, RN Assistant Chief Nurse Clay C. Pagan died unexpectedly at his home in May Executive for Behavioral 2018, survived by his wife and two children. A nurse in Health and Eastern the cardiovascular intensive care unit and emergency State Hospital department, Clay was a founding member of the American Men in Nursing Organization and had recently completed Nathaniel Wright his masters in psychiatric nursing, preparing to work in BSN, RN Veterans Affairs. He previously served in the U.S. Navy, Patient Care completing two tours of duty in the Persian Gulf, during Manager Assistant which time he developed a passion for surfing, triathlons and half-marathons. 4 | UK HealthCare & UK College of Nursing

2018 PUBLICATIONS, POSTERS AND PRESENTATIONS

Maria L. Gomez, DrPH, MPH; Sheri Setser-Legg, MS, RD, PUBLICATIONS Laura Hieronymus, DNP, MLDE, LD, MLDE, CDE; and Laura MSEd, RN, BC-ADM, FAADE, CDE; Hieronymus, DNP, MLDE, MSEd, Charles T. Harris, MD; Brittney M. Kristen B. Ashford, PhD, APRN, RN, BC-ADM, FAADE, CDE, “Type Dudley, MD; Daniel Davenport, WHNP-BC, FAAN; Janine M. 1 diabetes and the very-low- PhD; Jacob Higgins, BSN, RN, Barnett, BSN, MSN; and Theresa carbohydrate diet (VLCD): What CCRN-K; Lisa Fryman, DNP, RN, A. Renn, “Linking postpartum and you need to know [News & Tools],” NEA-BC; and Andrew Bernard, parenting women with a National Practical Diabetology Online. MD, “Use of Plasma-Based Trauma Diabetes Prevention Program: Transfusion Protocols at Level Recruitment efforts, challenges, Laura Hieronymus, DNP, MLDE, IV Trauma Centers,” Journal of and recommendations,” Diabetes MSEd, RN, BC-ADM, FAADE, CDE; Trauma Nursing, 25(4):213-217. Spectrum, 31(4):324-329. and Alba Morales, MD, “Recognizing type 2 diabetes in children and Jennifer J. McGrath, PhD, MPHA; Laura Hieronymus, DNP, MLDE, adolescents [About Diabetes],” Simon Racicot, PhD; Chizimuzo MSEd, RN, BC-ADM, FAADE, CDE, Diabetes Self-Management Online. T.C. Okoli, PhD, MPH, MSN, RN; “November is National Diabetes S. Katharine Hammond, PhD, CIH; Awareness Month [Editorial],” Laura Hieronymus, DNP, MLDE, and Jennifer O’Loughlin, PhD, Practical Diabetology, 37(4):1. MSEd, RN, BC-ADM, FAADE, CDE; “Airborne Nicotine, Secondhand Leslie Scott, PhD, APRN, MLDE, Smoke, and Precursors to Adolescent Laura Hieronymus, DNP, MLDE, CDE; and Andrea E. Francis, MS, Smoking,” Pediatrics, Vol. 141. MSEd, RN, BC-ADM, FAADE, CDE; LD, RDN, “Off to college with Pamela Allweiss, MD, MPH; and type 1 diabetes,” Diabetes Self- Jing Li, MD; Preetham Talari, Jessica McMaine, BSN, RN, MLDE, Management, 35(5):26-29. MD, FACP, FHM; Andrew Kelly CDE, “Diabetes and the graveyard BSN, RN; Barbara Latham; Sherri shift,” Diabetes Self-Management, Laura Hieronymus, DNP, MLDE, Dotson, MSN, RN; Kim Manning, 35(2):20-22. MSEd, RN, BC-ADM, FAADE, CDE; PharmD, BCPS; Lisa Thornsberry, Kristen Stakelin, MD, MLDE, MSN, RN, CNML; Colleen Swartz, Laura Hieronymus, DNP, MLDE, CDE; and Scott Kincaid, PharmD, DNP, MBA, RN; and Mark Williams, MSEd, RN, BC-ADM, FAADE, CDE; BCPS, “Insulin 101: Insulin MD, “Interprofessional Teamwork and John Fowlkes, MD, “Group concentration,” Diabetes Self- Innovation Model (ITIM) to Promote issues controversial type 2 diabetes Management, 35(4):20-22. Communication and Patient- guidelines: What you need to know centered Coordinated Care,” BMJ [Commentary],” Diabetes Self- Lisa McGee, DNP, RN, CCNS, Quality & Safety, 0:1-10. Management Online. CKC; and Courtney Weekley, MSN, APRN, ACNS-BC, RNC-OB, Shana Cunningham, MLDE, MSN, Laura Hieronymus, DNP, MLDE, “Umbilical Cord Blood Cultures,” RN, BC-ADM, CDE; and Laura MSEd, RN, BC-ADM, FAADE, CDE; American Journal of Medical Hieronymus, DNP, MLDE, MSEd, and Chlodys Johnstone, PA-C, Quality, (47)3:S33-S34. RN, BC-ADM, FAADE, CDE, “Summer “Patient-provider communication: day trips with diabetes,” Diabetes The bottom line [Research],” Alba Morales, MD; and Laura Self-Management, 35(4):17-19. Practical Diabetology Online. Hieronymus, DNP, MLDE, Nursing Right Now | 5

MSEd, RN, BC-ADM, FAADE, RN, BC-ADM, FAADE, CDE, “A CDE, “Screening, diagnosis and program designed to prevent or Left: Jessica Lawrence, MSN, RN (left), and Elizabeth Bonnet, MSN, management of type 2 diabetes in delay type 2 diabetes,” Diabetes RN, CCRN-K, RN-BC, with their poster, youth,” Practical Diabetology Online. Self-Management, 35(6):42-43. “Wildcards for Patient Safety,” at the Kentucky Organization of Nurse Leaders Leadership Sarah Lester, DNP, APRN, FNP-C, Sheri Setser-Legg, MS, RD, LD, Development Conference. CCRN-K, CENP, contributing author, MLDE, CDE; and Laura Hieronymus, Right: Ashley Cross, BSN, RN-BC, APCM High Acuity Nursing, 7th ed., Chapter DNP, MLDE, MSEd, RN, BC-ADM, (left), and Ashley Gomez, MSN, RN, 16: Determinants and Assessment of FAADE, CDE, “Fitness in the CNML, with their poster “Highlighting Cerebral Function, and Chapter 19: palm of your hand,” Weight Self- Safety: Fall Reduction on an Impatient Unit,” at the Kentucky Organization Traumatic Brain Injury. Management, 35(1):58-61. of Nurse Leaders Leadership Development Conference. Laura Hieronymus, DNP, MLDE, Allen Wolf, MSN, CNS, APRN, MSEd, RN, BC-ADM, FAADE, CFRN, CCRN, CTRN, CMTE; and CDE, “Four elements of innovative Benjamin Hughes, MSN, MS, RN, inpatient-centered diabetes AACN: Essentials of Critical Care care [News & Tools],” Practical Nursing, Chapter 17: Trauma, Diabetology Online. 4th Edition.

Dee Sawyer, MS, APRN, MLDE, Preetham Talari, MD, SFHM, FACP; AGCNS, BC-ADM, CDE; and Laura Jamie Cross, BSN, RN, CNML; Lisa Hieronymus, DNP, MLDE, MSEd, Thornsberry, MSN, RN, CNML; RN, BC-ADM, FAADE, CDE, “What Charles Jones, MD; Romil Chadha, to expect in the hospital,” Diabetes MD, SFHM, FACP; and Brandy Self-Management Online. Mathews, DNP, MHA, RN, NE- BC, “Optimizing Complex Patient Sheri Setser-Legg, MS, RD, Transitions Through Collaborative LD, MLDE, CDE; and Laura Care,” Journal of Hospital Medicine. Hieronymus, DNP, MLDE, MSEd, 6 | UK HealthCare & UK College of Nursing

PUBLICATIONS, POSTERS AND PRESENTATIONS

UK HealthCare staff posters on display at UK Albert B. Chandler Hospital. Jessica Lawrence, MSN, RN, POSTERS AND “Wildcards for Patient Safety,” Kentucky Organization of Nurse PRESENTATIONS Leaders Leadership Development Conference. Laura Broughton, BSN, RN, CCRN, “Promoting Self-Care Jamie Cross, BSN, RN, CNML, in PICU Professionals Using a “Optimizing Complex Patient Trauma-Informed Medical Care Transitions through Collaborative Framework,” Society of Critical Care,” American Organization of Care Medicine Congress. Nurse Leaders.

Jamie Cross, BSN, RN, CNML; Louise Simpson, MHA, and Preetham Talari, MD, FACP, Elizabeth McNamara, MN, RN, FHM; Lisa Thornsberry, MSN, “Coordinating Post-acute Care for RN, CNML; Elizabeth Bonnet, the Complex Patient,” Vizient PSO MSN, RN, CCRN-K, RN-BC; and Safety Web Conference. Nursing Right Now | 7

Preetham Talari, MD, SFHM, FACP; Laura Hieronymus, DNP, Elizabeth Warren, RN, “No Harm Jamie Cross, BSN, RN, CNML; Lisa MSEd, RN, MLDE, BC-ADM, for Babies: Implementing CLABSI Thornsberry, MSN, RN, CNML; CDE, FAADE, “2017 National Prevention Strategies,” National Charles Jones, MD; Romil Chadha, Standards for DSMES with a Advanced Practice Neonatal MD, SFHM, FACP; and Brandy Focus on Interpretative Guidance,” Nurse Conference. Mathews, DNP, MHA, RN, NE- American Association of Diabetes BC, “Optimizing Complex Patient Educators National Meeting. Ashley McAlpin, MSN, RN; Rachél Transitions Through Collaborative Ballard, MSN, APRN; Melissa Care,” Society of Hospital Medicine Jessica Lawrence, MSN, RN, Lefebvre, DO; James Van Buren, Annual Conference. “Burnout Among Nurses in the MD; Aric Schadler, MS; and Michael Pediatric Intensive Care Unit in the Wittkamp, MD, “Emergency Maria L. Gomez; Laura Hieronymus, United States,” Society of Critical Response in a Magnet-Designated DNP, MSEd, RN, MLDE, BC-ADM, Care Medicine Congress. Pediatric Ambulatory Care Setting,” CDE, FAADE; Kristen B. Ashford, American Academy of Ambulatory PhD, APRN, WHNP-BC, FAAN; Jessica Lawrence, MSN, RN; Care Nursing Annual Conference Janine M. Barnett, BSN, MSN; and and Anna Marcinko, “Food and Kentucky Organization of Theresa A. Renn, “Linking Hispanic and Feelings: A Healthy Work Nurse Leaders Conference. and Non-Hispanic Postpartum and Environment Initiative,” American Parenting Women with a Diabetes Nurses Association. Dirk Church, BSN, RN; Paula Prevention Program: Recruitment Halcomb, DNP, APRN; Jake Efforts and Recommendations,” Ashley McAlpin, MSN, RN, Higgins, PhD, RN; Lisa Fryman, American Public Health Association “Emergency Response Readiness DNP, RN; Sara Parli, PharmD; Annual Meeting and Expo. in a Magnet-Designated Pediatric Andrew Bernard, MD; and Doug Ambulatory Care Setting” Oyler, PharmD, “Safety and Laura Hieronymus, DNP, MSEd, American Academy of Ambulatory Efficacy of the CIWA-Ar protocol in RN, MLDE, BC-ADM, CDE, FAADE, Care Nursing. the Trauma Population,” Society of “Gestational Diabetes Mellitus: Trauma Nurses TraumaCon. PUBLICATIONS, POSTERS AND PRESENTATIONS Screening and Diagnosis,” Ashleigh Mefford, RN, CCTC; Kentucky Department of Public Jennifer Watkins, RN, CCTC; Jennifer Forman, MSN, RN-BC, Health Perinatal Nurses. Michael Daily, MD; Tiffany CNML; Rebecca Charles, BSN, Cavatassi, RN, CCTC; Angela RN, CNML; Paula Halcomb, DNP, Laura Hieronymus, DNP, MSEd, Milliner, RN, CCTC; Allyson Hinton, APRN, ACNS-BC, TCRN; Chase RN, MLDE, BC-ADM, CDE, FAADE, RN, CCTC, Stephanie Rachels, RN, Buck, BSN, RN; Karen Little, BSN, “Barnstable Brown Diabetes Center: CCTC; and Todd Maynard, RN, RN; Rachel Johnson, BSN, RN; National Diabetes Prevention CCTC, “Leveraging Video Technology Kayla Smith, BSN, RN, TCRN; Program,” Kentucky State to Improve Efficiency During Rachel Bentley, MSN, RN, RHIA; Engagement/National Diabetes New Patient Kidney Transplant Lisa Fryman, DNP, RN, NEA-BC; Prevention Program Meeting. Appointments,” Magnet Conference. and Cynthia Talley, MD, FACS, “Save our Skin: A Multidisciplinary Laura Hieronymus, DNP, MSEd, Julie Bargo and Lacey Buckler, Approach to Pressure Injury RN, MLDE, BC-ADM, CDE, FAADE, DNP, RN, ACNP-BC, NE-BC, Reduction,” Kentucky Organization “Diabetes Care Coordination: “Developing an Institutional of Nurse Leaders. When the Hospital and Home Student Placement Process: How Regimen are at Odds,” American to Organize the Chaos to Meet and Jennifer Forman, MSN, RN- Diabetes Association 78th Manage Demand,” Vizient Annual BC, CNML; Sydney Sims, MSN, Scientific Sessions. Clinical Connections Summit. PCCN; Amy Richardson, MSN, 8 | UK HealthCare & UK College of Nursing

POSTERS AND PRESENTATIONS

RN; and Michael Curran, BSN, PhD, RN, CCRN-K; J. Lawrence; Sarah Lester, DNP, APRN, FNP-C, RN, EMT-P, NHDP-BC, “Are you Amanda Lykins, DNP, RN-BC; and CCRN-K, CENP; Nina Barnes, MSN, Ready? NPD Practitioner Role in Elizabeth Bryant, MSN, RN, CEN, RN, CNML; and Kimberly Blanton, Serious Communicable Disease NE-BC, “Secondary traumatic MSN, MHA, RN, NE-BC, “No Harm Preparedness,” Association of stress, burnout, and compassion 2.0: Where Do We Go From Here?” Nursing Professional Development. fatigue among health care workers Institute for Healthcare Improvement at an academic medical center,” Patient Safety Congress. Jessica Lawrence, MSN, RN; American Psychiatric Nurses Kathleen Yoder, BSN, RN, CCRN-K; Association Conference. Sze Ngong Henry Lo, MS, Aric Schadler, MS; and Asha Shenoi, PharmD; Sarah Lester, DNP, MD, Dch, FAAP, “Burnout among Patty Hughes, DNP, RN, NE-BC, APRN, FNP-C, CCRN-K, CENP; and nurses in the pediatric intensive “Across the Street: Borrowing Catherine Pearce, PharmD, FCCM, care unit in the United States,” strategies from our inpatient “Evaluation of a Nursing-Driven American Association of Critical- partners to enhance patient Electrolyte Replacement Protocol Care Nurses Horizons Conference. experience in an ambulatory clinic,” in Adult ICU/PCU,” Vizient Clinical American Academy of Ambulatory Connections Education Summit. Joy Coles, MBA, BSN, RN; Care Nursing Annual Conference. Sarah Price, BSN, RN; and Patty Alissa Saas, MSN, RN, CCRN, Hughes, DNP, RN, NE-BC, “Non- Paula Halcomb, DNP, RN, SCRN, and Jessica Lawrence, pharmacological Acute Pain Control “Implementing and Sustaining MSN, RN, “Honor Walks,” National Utilizing Nurse-led Aromatherapy a Nurse Driven Early Mobility Association of Organ Procurement in Coronary Bypass Graft Patients; Program,” Kentucky Organization Organizations Webinar. A pilot Study,” American Society of Nurse Leaders. for Pain Management Nursing 28th Elizabeth Bonnet, MSN, RN, National Conference. Paula Halcomb, DNP, RN, CCRN-K, RN-BC, “On the flip side: “Implementing Delirium Screening Prone positioning and improved Lisa McGee, DNP, RN, CCNS, CKC, measures Outside the ICU,” Kentucky pressure injury prevention,” National and Courtney Weekley, MSN, APRN, Organization of Nurse Leaders. Association of Clinical Nurse ACNS-BC, RNC-OB, “Umbilical Cord Specialists National Conference. Blood Cultures,” Vizient Clinical Rachél Ballard, MSN, APRN, FNP-C, Connections Summit. and Heather Courtney, MSN, RN, Patty Hughes, DNP, RN, NE- CCRN-K, “Implementing evidence- BC, “Emerging Leader Specialty Brandy Mathews, DNP, MHA, based strategies to empower nurses Showcase,” National Student RN, NE-BC; Chizimuzo Okoli, towards nursing professional Nurses’ Association Mid-Year PhD, MPH, MSN, RN; and Marc certification in a Magnet®- Career Planning Conference. Woods, MSN, RN, “Examining designated healthcare facility,” Clinicians’ Attitudes and Self- American Academy of Ambulatory Ashley Gomez, MSN, RN, CNML, Efficacy towards Engaging Patients Care Nursing Annual Conference. and Ashley Cross, BSN, RN-BC, with Behavioral Health Problems APCM, “Highlighting Safety: Fall in a Hospital Setting,” America’s Donna Ricketts, DNP, RN, SCRN; Reduction on an Impatient Unit,” Essential Hospitals, VITAL2018 Alissa Saas, MSN, RN, CCRN, SCRN; Kentucky Organization of and American Psychiatric Nurses and Margie Campbell, BSN, RN, Nurse Leaders Leadership Association Annual Conference “Ready or Not, Here They Come: Development Conference. Are We Ready for CSC?” American Chizimuzo Okoli, PhD, MPH, Academy of Ambulatory Care MSN, RN; S. Seng; Jake Higgins, Nursing Annual Conference. Nursing Right Now | 9

NURSING IS MORE THAN A JOB READY TO GIVE? To be a part of our partnership IT’S AN INSTINCT— efforts or for more information, A CALLING TO SERVE OTHERS including options on how to give, please contact Alumni and Philanthropy Director Kerrie Moore TO PERSEVERE WITH DETERMINATION at [email protected] or AND COMPASSION (859) 323-1966. TO LEAD WITH INTEGRITY AND INNOVATION TO ENGAGE INDIVIDUALS AND COMMUNITIES IN REAL CHANGE

At UK, our nurses are achieving the extraordinary through unrivaled resilience and humanity. With your support, we can continue our legacy of nursing excellence and harness our collective power to heal lives. Together, we can transform our communities, one nurse at a time. 10 | UK HealthCare & UK College of Nursing

28TH ANNUAL NURSING RESEARCH PAPERS DAY OCTOBER 12, 2018

POSTERS Galisa Watts, BSN, RN, OCN, and Sarret Seng, BA, “Nursing leadership Jessica Basham, BSN, RN, “Are in addressing mental health Alicia Carpenter, MSN, RN-BC, and We Communicating? Improving inequalities: managing tobacco Lisa Boggs, MSN, RN, FNP, WOCN, Continuity of Care from Inpatient addiction in psychiatric inpatients.” “NG Securement: Two Birds with to Outpatient Settings.” One Stone.” STUDENT POSTER Rebecca Fogg, NCT, “Importance PODIUM PRESENTATIONS of Kangaroo Care in Kentucky PRESENTATIONS Birthing Center.” Yazan Al-Mrayat, MSN, RN, Chase Buck, BSN, RN, CCRN, “Effect of Substance Use History Jennifer Forman, MSN, RN- “Mobilizing Trauma Surgical on Nicotine Withdrawal Severity BC, CNML, “Save Our Skin: A Services.” During Psychiatric Smoke-Free Multidisciplinary Approach to Hospitalization.” Reduce Pressure Injuries.” Angela Clark, DNP, MSN, RNC-OB, “Evaluation of a Neonatal Abstinence Gabrielle Boehman, BSN, Debra Hampton, PhD, MSN, Syndrome Training Program on RN, “Psychosocial Wellness RN, FACHE, NEA-BC, CENP, Correct Use of the Finnegan Scoring in Perinatal Women with Co- “Development of Psychological Tool and Nurse Confidence.” occurring Tobacco Use and Empowerment over Time and Substance Use Disorder.” with Experience.” Jessica Harman Thompson, PhD, BSN, RN, CCRN-K, “Options for Kent Brouwer, BSN, RN, Kathryn Hughes, BSN, RN, End-of-Life Documentation in “Interprofessional Approach to “Postpartum weight retention Kentucky.” Promote Resiliency Through associated with infant feeding.” Mindfulness and Self-Care Practices Jessica Lawrence, MSN, RN, and in the Acute Care Setting.” Lori Nolan, DNP, RN, “Evaluating Elizabeth Bonnett, MSN, RN, the Relationship Between PHQ9 CCRN-K, RN-BC, “WILDCARDS for Rachele Cafazo, “Impact of JUUL and Global Pain Scale (GPS) Scores Patient Safety.” Use Among College Students on in Opioid Dependent Adults: A Respiratory Health.” Retrospective Correlational Study.” Joseph Lohr, BSN, RN, “EDucate Yourself: Utilization of podcasts Hana Henderson, BSN, RN, Margaret Plymale, DNP, RN-BC, for staff education in the “Risk Factor Screening in “Tertiary Care Ventral Hernia Emergency Department.” Hypertensive Patients.” Repair Resource Utilization: Beyond the Index Facility.” Martha Monroe, BSN, RN, “Interrupting Initiation of Robin Ray, MSN, RN, “Assessment Exclusive Breastfeeding.” of breastfeeding policies in Central Kentucky childcare centers.” Nursing Right Now || 1111

NURSING HALL OF FAME Out of more than 7,000 alumni from the University of Kentucky College of Nursing, Colleen Swartz, DNP, recently joined a select group of 15 as members of the college’s Hall of Fame. Established in 2006, the College of Nursing Hall of Fame identifies esteemed graduates and their extraordinary contributions to the nursing profession. Swartz became chief nurse executive for UK HealthCare in December 2008 and was appointed chief administrative officer in February 2017. More recently, she was appointed vice president of clinical operations for UK HealthCare in January 2019. Her prior experience includes serving as chief nursing officer at a regional community hospital, director of emergency and trauma services, director of flight nursing services, and director of the Capacity Command Center for UK HealthCare. She was instrumental in regaining Magnet® recognition — the gold standard of nursing care — from the American Nurses Credentialing Center in February 2016. Swartz completed the Johnson & Johnson Wharton Fellows Program in Management for Nurse Executives and is a Robert Wood Johnson Foundation Executive Nurse Fellow alumna, 2011 cohort. Her primary interest and investigation is the integration of production systems strategies to optimize the care delivery model. Her other research interests include study around clinical deterioration and early warning systems deployment in adult and pediatric populations. She has presented locally, nationally and internationally and has authored several publications. Swartz is currently a member of the American Organization of Nurse Executives; Sigma Theta Tau, Delta Psi Chapter; Honor Society of Phi Kappa Phi; and the National Academies of Practice.

Colleen Swartz, DNP, MSN, MBA, RN, NEA-BC, FNAP, Vice President of Clinical Operations, UK HealthCare BSN 1987, DNP 2011 12 | UK HealthCare & UK College of Nursing

BLACK NURSES ASSOCIATION DEDICATED TO SERVE

used by the local chapter to fulfill the mission of the national chapter to advance health equity among communities of color. The Lexington chapter seeks to develop partnerships with the Louisville NBNA chapter, Kentucky State University and Berea College. Through these partnerships, the chapter plans to conduct statewide health events to address community health needs across Kentucky. Three Lexington chapter members attended and served as delegates at the NBNA’s 47th Annual Institute and Conference, July 23-28, 2019, in New Orleans, Louisiana. The cornerstone of the NBNA is implementing culturally sensitive health programs and the Lexington chapter continued this great Lovoria Williams, PhD, FNP-BC, FAANP, Associate Professor, UK College of Nursing, (front) tradition by implementing a “Call with members of the Lexington Chapter of the National Black Nurses Association to Action” event in the fall of 2019. This event aimed to galvanize the The Lexington Chapter of the Lovoria Williams, PhD, FNP-BC, community to work collaboratively National Black Nurses Association is FAANP, associate professor at the with the NBNA and the UK College committed to maintaining a unified University of Kentucky College of of Nursing to improve the health of force of nurses (LPN/RN) and Nursing, has focused on developing people of color through conducting student nurses who are passionate a strategic plan that refines the health screenings, developing about improving the health of chapter’s structure, improves health ministries within the local communities. The main focus of the operations, increases its visibility churches and equipping them to NBNA is improving the health of and addresses the health needs of deliver evidence-based health people of color who often suffer a the community. behavior interventions. disproportionate burden of health The Lexington chapter has For more information about problems, higher risk behaviors conducted two membership and membership or for service and subsequent poor health retention drives: one in the UK opportunities, follow the Lexington outcomes. The organization offers College of Nursing and the other at Chapter of the NBNA on Facebook several benefits to students such as St. Joseph’s Hospital. During the at www.facebook.com/LCNBNA, scholarships and mentorship. drives, current members introduced and email your contact information Upon assuming leadership of themselves to interested nurses to [email protected] or the Lexington chapter in fall 2018, and informed them of the strategies [email protected]. WE ARE PROOF DELIVERING THE POWER OF ADVANCED MEDICINE

Our current advertising campaign – We are Proof – highlights stories of passion, perseverance, and courage told by UK HealthCare physicians, staff, patients and families. We prove the Power of Advanced Medicine every day.

DO YOU HAVE A STORY TO TELL? To share your story or to read more, visit proof.ukhealthcare.com.

Rebecca Heichelbech, RN, Markey Cancer Center, has become like family to middle school choral teacher Damon Greene.

“Middle school boys hugged me and said, ‘Thank you for taking care of Mr. Greene.’ That makes my job completely worth it.” REBECCA HEICHELBECH, RN MARKEY CANCER CENTER 14 | UK HealthCare & UK College of Nursing

SPOTLIGHT

MARGARET PLYMALE MINIMALLY INVASIVE SURGERY COORDINATOR

Margaret Plymale, DNP, RN-BC, has worked at UK HealthCare for 37 years. Currently, she serves as the coordinator for the minimally invasive surgery service within the division of general surgery. The primary patient population includes complex and recurrent hiatal and ventral hernias. Over the course of her tenure at UK HealthCare, she has advanced her career from an associate degree to a doctorate of nursing practice, and she has many times experienced first-hand the NRN: What changes have you of the nursing practice. I think benefits of working for and learning witnessed within the nursing it’s a disservice to themselves at an academic medical center. profession? and their career to not get a full understanding of hospital nursing. NRN: What drew you to a career MP: There are opportunities It’s not easy to be a nurse, but the in nursing? in nursing today that were not great opportunity is that you get available when I was starting out. into this world of your patients and MP: My mother was a nurse, and For example, when I was a young their families, and you get to help I always thought it was a good nurse, the nurse practitioner them along the way. But that’s the career. It seemed like something role had not yet been conceived. hard part too, because everything that would allow me to have some Also, the Magnet status that doesn’t work out perfectly for flexibility. You’re able to change UK HealthCare has obtained people when they’re sick. Keep your plans mid-career if you want to, has allowed concepts such as options open; if you find something and you don’t have to go back to the shared governance model of has become too stressful or just school to do it. nursing practice; we didn’t have doesn’t feel right, don’t be afraid to anything remotely like that when I change. There are other directions NRN: Is the nursing profession what was younger. you can go in, and that’s one of the you expected it to be? best things about the career for NRN: What advice do you have for the long term, because everybody MP: I think it’s been better for me current nurses? doesn’t fit into every position. than what I could have imagined as an 18-year-old. It has been a great MP: The hospital is full of young, NRN: What is most challenging, in decision because I was able to raise new graduate nurses, and I your opinion, about being a nurse? children and still work. I could think it’s important for them work part time and focus on the to spend an adequate amount MP: We’re taking care of a lot of family while not completely losing of time in a hospital setting to people with very complex problems the career. really understand the full scope and trying to make sure we’re doing Nursing Right Now | 15

the best we can for every patient MP: As a young nurse at UK, surgery residents and help them every day. You have to be diligent and when I started working with to reach their research goals; it on your game every minute, or you medical residents and students, provides a different challenge. can miss something very important. I saw the opportunities academic Also, my employer was flexible medicine presents for everybody. with me when I had to go to classes NRN: What is most rewarding about It’s a synergistic relationship; we or clinicals in the middle of the the nursing role for you? learn from them and they learn day while advancing my degree. I from us. I later got involved in was fortunate to be able to work MP: We create intense research and worked for a few that out by taking vacation or relationships with people, and years with a surgical researcher working later in the day. I always I find it very rewarding to help on cancer education. It gave felt supported. a patient get from A to B – from me an opportunity to gain and The quality of nurses at having a problem to recovering disseminate new knowledge UK HealthCare is outstanding. from a beneficial operation. through current medical Learning from them and with them literature. The main reason I got is an outstanding opportunity. NRN: What are the benefits of my master’s and my doctorate There are people with a variety pursuing a career and an education was to continue with those of backgrounds that UK is very at an academic medical center like opportunities. I’m fortunate to fortunate to have on their staff. NRN UK HealthCare? work with medical students and

In her 37 years at UK HealthCare, Margaret Plymale, DNP, has always appreciated the synergy of and opportunities in research, education and clinical practice of an academic medical center. 16 | UK HealthCare & UK College of Nursing

NRN: What is your advice to you have a patient pass away and anyone interested in pursuing a are expected to admit a brand-new SPOTLIGHT nursing career? patient immediately after.

JS: Do it. You can get out of NRN: What is most challenging in JOSHUA SALEEBY it whatever you put in. Don’t your career? be discouraged if you are in a CLINICAL NURSE EXPERT IN situation that isn’t your favorite. JS: Work-life balance always NEUROSCIENCE SERVICES There are endless possibilities that proves to be challenging, Joshua Saleeby, MSEP, BSN, RN, will lead to a rewarding career. but sometimes the job can be CCRN, SCRN, has been a nurse at thankless, with no recognition, and UK HealthCare since he started his NRN: What advice do you have for you have to keep your focus on why career in 2011. As clinical nurse current nurses? your work matters. expert for neuroscience services, he provides guidance and education JS: Always keep your focus NRN: What is most rewarding in in this field for nursing staff at on the patient. Don’t ever lose your career? Chandler Hospital, Pavilion A. His empathy, respect or the ability goal is to improve recognition of to compartmentalize. Nursing JS: Helping people, whether that and response to specific patient is so fast-paced and emotionally is other co-workers, patients, care issues, and further develop taxing that without the ability etc. Knowing that your job is critical thinking skills and a global to compartmentalize situations important and that your actions perspective in the novice nurse. or patients, the job will be can positively affect the outcomes overwhelming and start to erode of patients. I also appreciate the NRN: Why did you become a nurse? your personal life away from work. constant opportunity to learn: We The best example of this is when have patients with high acuity, but JS: I originally became a nurse to financially support myself through a PhD program. The flexibility, available opportunities and future job growth were attractive selling points for me.

NRN: Is the nursing career what you expected it to be?

JS: I honestly went into nursing maintaining an open and flexible mind. My expectations were met in regards to being in a field that offers endless opportunities, is challenging and rewarding, and would allow me to connect with people. What I didn’t expect was to change my career path for this field or to get as much out of it as I have. Nursing has given me a life I didn’t expect: a wife, kids, family, and a home. Nursing Right Now | 17

Joshua Saleeby, RN, has learned the importance of always focusing on the patient, maintaining empathy and knowing how to compartmentalize in a fast-paced, emotionally taxing environment.

everything is pretty cutting-edge JS: Everything is evolving; it’s all earning multiple degrees. If you say and we have a facility that can about the most current evidence- you need your schedule switched handle the future. based practice models. The because of class, they understand environment is about learning on 100 percent because they’re doing NRN: What is the best part of every level, so it’s great if that’s the same thing. nursing at UK HealthCare? the kind of person you are or if you want competent health care. NRN: How does your continuing JS: The best part of nursing at education coalesce with the work UK HealthCare is that you feel NRN: How is the work culture at you do? valued. Between the shared UK HealthCare supportive of career governance, strive for Magnet and education advancement? JS: Almost everything at UK is status, relationship between the evidence-based and current, and residents/doctors and nursing at JS: They encourage you to do it there are basically committees for the bedside, and the transparency and actually require it in some everything to ensure that. There have and honesty of ideas and directions cases: They made the BSN degree a been multiple practice alerts and from administration, you get the requirement. It’s actually easy to procedural changes, and those all idea that your job matters. work and continue your education come from those committees. In turn, because everyone is doing it. In the when you’re learning about these NRN: What makes UK HealthCare and time I’ve been here, my managers things in school, you’re able to apply UK a great place to work and learn? have gone back and earned multiple them almost immediately at work degrees at the same time we’re because they’re on the same plane. NRN

Nursing Right Now | 19

MEETING BEHAVIORAL HEALTH NEEDS WITH MEDICAL TRAINING

PRACTICES AND proportion of them visited a health care provider within a month of RESOURCES TO their death,” said Sarah Lester, HELP OVERCOME DNP, APRN, FNP-C, CCRN-K, CENP, THE CHALLENGE director of nursing professional practice and excellence and With suicide rates and substance director of inpatient wound care use disorder on the rise, hospitals services. “So we were missing out across the country are seeing a on the opportunity to ask patients steady increase in the number of these tough questions and check on patients who need both medical their well-being.” and mental health care, but the Approximately 3,400 nurses traditional model of treating these to date have been trained on the matters on separate units is no new screening process and have longer efficient. For UK HealthCare, received web-based education in the solution lies in integration and collaboration. The escalation of suicide "Unlike mortality from mortality rates recently spurred diseases like heart UK HealthCare to adopt the Columbia Suicide Severity Rating attack, stroke and Scale in the emergency department, cancer, which have on inpatient units and in several trended down with the ambulatory clinics. “Unlike mortality from advances that we’ve diseases like heart attack, stroke made in health care, UK HealthCare is establishing and cancer, which have trended we’ve seen suicide strategies to integrate mental and down with the advances that we’ve medical health services for improved quality of care. From left: Heather made in health care, we’ve seen rates continue to slowly Courtney, MSN, RN, CCRN-K, patient suicide rates continue to slowly trend up...” care manager; Philip Penn, RN; and Jeremy Brown, RN, APRN, behavioral trend up, and of the persons who health specialist. eventually complete suicide, a large SARAH LESTER 20 | UK HealthCare & UK College of Nursing

MEETING BEHAVIORAL HEALTH NEEDS WITH MEDICAL TRAINING recognizing suicidal thoughts and “A lot of us were trained and music, recreational and tendencies. All patients 12 years group therapy. Moreover, many of age and older are screened in the medical care of patients come to the hospital for suicide risk upon arrival. If patients, and behavioral with previously untreated mental warranted, the psychiatric intake health was just a section health illnesses due to insurance team of specially trained nurses limitations, transportation and social workers completes we had as part of our restrictions and financial a more in-depth assessment to education. Now we’re constraints that have prevented determine if the department of finding that we need them from seeking or complying psychiatry needs to get involved. with care. Additionally, patients between the behavioral health as The solution lies in ages of 5 and 12 are screened if one of our foundational integrative care provided through they arrive at the hospital with a pieces of learning how multidisciplinary collaborations, behavioral health concern, such as such as the telehealth services depression or anxiety. to care for patients in that UK HealthCare’s psychiatry “If a patient was determined to the environment we’re team offers. be at low risk and the psychiatric “The department of psychiatry intake team determined that they in today.” is providing integrated telehealth were safe to go home – they didn’t mediated behavioral health have any active thoughts of killing KATHY ISAACS services to primary care clinics themselves – the team would put in Eastern Kentucky, where together a patient safety plan,” DNP, MHA, RN, NE-BC, assistant there is a dearth of psychiatric Lester said. “This provides some chief nurse executive. providers,” said Seth Himelhoch, strategies and coping techniques if When the ED receives such MD, MPH, chair of psychiatry. “By they were to have suicidal thoughts a patient, the attending provider providing telehealth services in an at home. We also try to get them collaborates with nursing as integrated fashion, the department connected to mental health well as medicine and psychiatric of psychiatry is both helping to services in the community.” services to determine which increase the service delivery of unit can best meet the patient’s needed evidence-based psychiatric Integrating medical and mental greatest needs, while also making services and ensuring that these health services provisions for holistic care. services remain integrated with When someone presenting with “If the patient really needs to ongoing primary care.” both medical and mental health be on the behavioral health unit UK HealthCare’s new inpatient issues requires hospital admission, but has a medical condition, we addiction-consult and education do you place that patient on a will, from a nursing standpoint, service is another example of an medical or behavioral health unit? collaborate to see what we need integrated model of care. Patients Regardless of the answer, there to do to meet the patient’s needs,” suffering from substance use will be barriers to providing the Mathews said. “For example, disorder, particularly opioids, highest-quality care for all of the we might need to arrange for are connected to evidence-based patient’s needs. additional nursing or patient treatment and recovery services “When patients are admitted to safety resources.” while hospitalized and upon the hospital primarily for a medical On a medical unit, it is more discharge from the hospital. issue, they are placed on a medical difficult to coordinate mental “A physician, nurse unit, where the expertise to meet health services that are readily practitioner, licensed clinical their behavioral health needs [is available on a behavioral health social worker and nurse navigator limited],” said Brandy Mathews, unit, such as case management, are consulted on patients admitted Nursing Right Now | 21

Counterclockwise from left: Daniel Weaver, MD; Diana Ball, LCSW; Jessica Marshal, APRN; and Kate Dunn, RN, are members of the new to the hospital with a substance a section we had as part of our inpatient addiction-consult and education use disorder,” Mathews said. “The education,” said Kathy Isaacs, PhD, service, which helps connect patients with nurse navigator is doing patient RN, interim assistant chief nurse evidence-based treatment and recovery services for substance use disorder while in and family education on Narcan executive and enterprise director, the hospital and after discharge. use and harm-reduction strategies, nursing professional practice and and it’s helping facilitate patients’ development. “Now we’re finding participation in rehabilitation and that we need behavioral health as recovery postdischarge. The social one of our foundational pieces of worker is doing some individual learning how to care for patients in patient counseling and is planning the environment we’re in today.” to initiate group therapy in the UK HealthCare is working to near future.” address this gap for nurses in the field by offering ongoing education Supporting nurses through in crisis prevention and suicide education, resources competency. During their shifts, As behavioral and medical they can request assistance from health care become more the unit charge nurse or clinical intertwined, it is evident that nurse expert. A more recent nursing education curriculums will initiative has been the addition need to follow suit. of physician and nursing leaders “A lot of us were trained in in each unit who are responsible the medical care of patients, for rounding on staff to discuss and behavioral health was just situations that need more attention. 22 | UK HealthCare & UK College of Nursing

MEETING BEHAVIORAL HEALTH NEEDS WITH MEDICAL TRAINING As part of the new inpatient addiction consult and education service, Ellen Livengood, LCSW, offers individual patient counseling to those struggling “We do two-day crisis unit to manage patients who have with substance use disorder. prevention and intervention mental health needs. training for those in leadership “The behavioral health roles in nursing so that when specialists round on the floors and they’re in the building, nursing ask the nurses about the patients staff can call, text or page them they are caring for – if they have any and they will partner with nurses questions or challenges managing to help them work through those the patient’s illness, medications more challenging situations,” or behavior – and they help to care Isaacs said. for the patient arm in arm with the Additionally, Good Samaritan nurses,” Mathews said. Hospital added two behavioral The behavioral health health specialists, registered specialists are also able to request a nurses with more than 20 years psychiatric consult when warranted, of mental health care experience. further closing the gap between Their role is to help nurses working medical and psychiatric services on outside the behavioral health nonbehavioral health units. Nursing Right Now | 23

THE EVOLUTION

Another supportive role is usually with someone who has OF NURSING behavioral health clinical nurse more experience and may have EDUCATION specialist Amanda Lykins, DNP, RN- had a similar occurrence,” Isaacs BC. “I am here to be a resource for said. “It’s a safe environment As medical and mental health the nurses – to answer questions or for them to share what they’re care are more integrated, give on-the-spot education,” Lykins working through. nursing education will need to said. “There’s a huge emphasis “We are also trying to do reflect this transition. on workplace violence and de- more debriefs after traumatic “We are working escalation of patients right now, so situations, where we have people collaboratively with the UK we’ve developed a team to look at who were present when the event College of Nursing to talk those areas.” happened, as well as leadership about the educational needs Patient safety technicians are and chaplains,” Isaacs continued. of students so that they are as also facilitating behavioral health “It’s a safe place for everyone to prepared as possible to take care care by replacing security guards talk about the event and the impact of patients once they become in observing patients who are it had on them. It’s a time for health nurses,” said Brandy Mathews, under a 72-hour hold for a mental care providers to bond and realize DNP, MHA, RN, NE-BC, assistant health crisis. that we’re all experiencing the chief nurse executive at Good “We’ve had anywhere from 12 same things.” Samaritan Hospital. to 20 of those persons at any one The UK Nursing Residency time,” said Marc Woods MSN, RN, Success is a journey, not a Program offers a seminar for new assistant chief nurse executive destination graduate nurses that includes guest for behavioral health and Eastern The collaboration between lectures on mental health issues, State Hospital. “I thought it might UK HealthCare, Good Samaritan such as difficult inpatient scenarios, be better for us to have what would Hospital and Eastern State Hospital caring for patients and family traditionally be called a ‘sitter’ – has improved awareness of members during crises, high-risk someone trained with behavioral behavioral health care, availability issues like noncompliance, and MEETING BEHAVIORAL HEALTH NEEDS WITH MEDICAL TRAINING health skills and experiences. of standardized services for conflict and communication. If that person was sitting with patients and resources for staff. However, nurses in the field a patient, we might have better Everyone, however, agrees that also have options for expanding outcomes, less aggression and there is more to do. their understanding of and better patient satisfaction.” “We’re just getting started,” ability to interact with patients Woods said. “Addiction services suffering from mental health Managing stress, emotions in and suicide have a hot focus, so illnesses, such as crisis prevention providers by fostering resilience we’re in the beginning phases of and intervention, and suicide Education and on-the-job restructuring how we provide competence training. assistance are balanced by behavioral health nursing services. “We’re also working to emotional support for nurses and The focus for nursing is truly going establish a curriculum for the next other health care staff. Integrative to be integration of behavioral fiscal year of continuing education therapies such as yoga and mindful health care outside the walls of the needs for our nurses,” Mathews meditation aid in stress relief, traditional psychiatric unit.” said. “We will consider the gaps while the SOAR (Supporting One To learn more about resources and the best ways to deliver some Another to Rise) program offers and training regarding the care of of that education, relying on our peer-to-peer support following a patients with mental health illnesses, internal experts and partnering traumatic event. contact Marc Woods at marc. with the College of Nursing.” “SOAR tries to match people [email protected] or Amanda Lykins at in the same discipline, and it’s [email protected]. NRN 24 | UK HealthCare & UK College of Nursing

UK HealthCare’s Beyond Birth program treats substance use disorder in women with children ages 6 months to 5 years through counseling, peer support and medical treatment. Nursing Right Now | 25

Nancy Jennings, BSN, RN, (right) provides counseling services for parenting women suffering from substance use disorder through the Beyond Birth program.

WORKING TOGETHER UK COLLEGE OF NURSING AND UK HEALTHCARE PARTNERSHIPS POWER CARE AND TRAINING PROGRAMS

Health care is a team endeavor Beyond Birth Comprehensive help them stay in recovery and help that draws on the vast knowledge Recovery Center them and their babies live their and experience of practitioners Launched in January 2017 by the most healthy lives,” said Kristin across multiple disciplines. The CON and UK HealthCare, the Beyond Ashford, PhD, APRN, WHNP-BC, UK College of Nursing collaborates Birth Comprehensive Recovery FAAN, professor and associate with colleagues at UK HealthCare Center is an outpatient substance dean of undergraduate faculty and to create and sustain innovative use disorder treatment program for interprofessional education affairs, care and training partnerships postpartum and parenting women and director of perinatal research that improve the health of of children ages 6 weeks to 5 years and wellness at the CON. “The residents in the Commonwealth old. It follows the highly successful longer we stay with them, the more of Kentucky, such as the PATHways (Perinatal Assistance ways we identify to support them.” Beyond Birth Comprehensive and Treatment Home) Program, More than 300 women have Recovery Center; the Diagnosis, which treats pregnant women with participated in Beyond Birth to date. Wellness and Prevention Clinic; substance use disorder through six For her efforts on Beyond Birth collaborative efforts with Eastern weeks postpartum. and PATHways, Ashford received State Hospital; and continuing “Our inspiration was doing the a $600,000 Rita & Alex Hillman education opportunities. next right thing for these women to Foundation Innovation Award. The 26 | UK HealthCare & UK College of Nursing

WORKING TOGETHER

funding enabled Beyond Birth to “UK HealthCare and CON and Eastern State Hospital move into its own dedicated facility the College of Nursing has transformed the workforce at on the campus of Eastern State work together to provide this state-owned facility, managed Hospital in November 2018. There, education to develop the by UK HealthCare. mothers receive guidance on infant It used to be rare for ESH staff skill set required to care and toddler care, individual and to attend professional conferences. group counseling, peer support, for patients with substance That has changed thanks to the and medical treatment of substance use disorder.” creation of a multidisciplinary use and mental health disorders. evidence-based research council Additionally, students from the UK BRANDY G. MATHEWS by Chizimuzo (Zim) Okoli, PhD, School of Law have started offering MPH, MSN, RN, CTTS, associate consults on legal matters. obesity, and tobacco and/or professor at the CON, with a dual Beyond Birth staff have also substance misuse. Patients in these appointment at ESH. Now, staff created video training modules categories receive care guides that members are sharing posters and that share the lessons they have define their diagnosis, what their presentations at the American learned with care providers in risks are and how to manage them. Psychiatric Nursing Association high-need communities across the It also offers a tobacco-cessation national conference, and holding commonwealth. program based on guidelines leadership roles and hosting “These moms are very established by the Centers for conferences at the state level. stigmatized,” said Gwen Moreland, Disease Control and Prevention. Okoli has also introduced DNP, RN, NE-BC, chief nurse “We know that oral and evidence-based best practices into executive for UK HealthCare. systemic health are linked, tobacco-cessation programs for “We’re trying to re-educate not just especially with tobacco use,” ESH patients, 62 percent of whom providers, but also the public about said Angie Grubbs, DNP, APRN, use tobacco. A Medicaid grant addiction and what we can do to assistant professor at the CON and enables staff to engage patients in support these moms in prevention, the nurse practitioner on staff, who tobacco treatment after discharge, recovery and treatment.” helped to launch the program. “If and the CON is training ESH staff we help patients see that link, it members in SBIRT (Screening, Diagnosis, Wellness and might help them take ownership of Brief Interventions and Referral Prevention Clinic not only their dental, but also their to Treatment). “It’s a cutting-edge The Diagnosis, Wellness and medical health.” technique,” said Marc Woods, MSN, Prevention Clinic provides its The CON and COD hope to RN, assistant chief nurse executive underserved patients a convenient expand the clinic’s scope in the at ESH. “Thanks to the training, two-in-one service: both a dental future by bringing in nutritionists, it will be part of our standard and medical evaluation in one pharmacists and other specialists orientation going forward.” appointment. Opened in March from UK HealthCare. When several ESH nurses 2018, this partnership between the “We have worked together to expressed interest in acquiring CON and the UK College of Dentistry ensure that we can provide our their RN-BSN degree, the CON is staffed by a nurse practitioner, patients with the best holistic care worked with ESH to establish an dentist and dental students who see experience,” Grubbs said. “It has 18-month online Work Learning patients two days a week. been a great partnership, and our Program. Graduates agree to The clinic focuses on individuals patients have benefited from that.” work at ESH for one year after who have not seen a health care completing the program. provider in the past year, as well Eastern State Hospital “We now have nurses as those with high blood pressure, “A growth mindset” sums up academically prepared at a higher cardiovascular disease, diabetes, how the partnership between the level,” Okoli said. “That brings Nursing Right Now | 27

The UK HealthCare Diagnosis, Wellness and Prevention Clinic is increasing access to care for low-income patients by combining dental and medical care in one appointment. Pictured are Angie Grubbs, DNP, APRN, (right) with College of Dentistry students Shelby Oberst (left) and Hugo Sanchez Juan (back).

with it a professionalism and assistant chief nurse executive “UK HealthCare and the College of different perspective in caring for for advanced practice, strategic Nursing work together to provide our patients.” outreach and cardiovascular education to develop the skill nursing at UK HealthCare. set required to care for patients Continuing Education The CON also offers a variety with substance use disorder and Beyond the Work Learning of learning opportunities to aid the challenging behaviors that Program, the CON provides other practitioners in dealing with the sometimes accompany this disease.” continuing education opportunities opioid crisis, such as its annual day- As new needs arise – for for UK HealthCare staff. For long symposium and fall conference, example, the increased need for de- example, the college developed a post both focused on caring for the escalation training in mitigating masters acute care certificate that complex needs of acute-care patients difficult patient behavior before enables family nurse practitioners to with substance use disorders. a crisis occurs – the CON and gain their certification in a shorter “Understanding substance use UK HealthCare will continue to period of time. disorder is an ongoing opportunity collaborate on solutions. Their “That partnership enables for nurses and nursing students,” close partnership makes them our nurse practitioners to get said Brandy G. Mathews, DNP, uniquely qualified to bring the up and running with the correct MHA, RN, NE-BC, assistant chief highest level of care to patients certification,” said Lacey Buckler, nurse executive for Good Samaritan across the Commonwealth of DNP, RN, ACNP-BC, NE-BC, Hospital at UK HealthCare. Kentucky, and beyond. NRN 28 | UK HealthCare & UK College of Nursing Nursing Right Now | 29

WILDCARDS PROVIDE A SAFETY NET AGAINST PATIENT HARM

Hospitals across the country fight daily to prevent hospital- acquired injuries and illnesses, which is why UK HealthCare is vigilant about continuously evaluating and implementing evidence- based practices for patient safety.

Wildcards for safety are one of these tools. Based on a work-audit process called Kamishibai cards, developed in Japan to ensure consistency and excellence in manufacturing, Wildcards feature safety questions and a checklist. They are part of UK HealthCare’s No Harm initiative to improve Wildcards are patient safety patient care by preventing four checklists that have led to categories of hospital-acquired significant decreases in four conditions: falls, hospital-acquired major hospital-acquired conditions: falls, pressure pressure injuries, central line- injuries, central line-associated associated bloodstream infections, bloodstream infections and catheter-associated urinary and catheter-associated urinary tract infections. tract infections. 30 | UK HealthCare & UK College of Nursing

WILDCARDS PROVIDE A SAFETY NET AGAINST PATIENT HARM This page: The use of Wildcards has led to better resources for pressure injuries, such as frequent repositioning, decreasing these injuries by These conditions often cause “When we rolled out No Harm 18 percent so far. serious injury and discomfort to in 2017, we knew our nurses could patients, result in complications have a huge impact,” said Kathy Opposite page: Wildcards now include a measure of that lengthen hospital stays, Isaacs, PhD, RN, interim assistant assurance that patient beds and require more complex and chief nurse executive and enterprise are equipped with iBed, a technology that alerts staff if a expensive care. Furthermore, director, nursing professional patient gets out of bed or if the approximately 75,000 patients practice and development. “Focusing bed is positioned incorrectly. in the U.S. die each year from on the basics of bedside nursing, a variety of highly preventable ongoing education and rounding hospital-acquired infections, with the staff, using evidence- according to the Centers for based benchmarks to establish Disease Control and Prevention. clinical measures, partnering Nursing Right Now | 31

with our physicians and to the nurse call system – vital to interdisciplinary members of the a patient’s ability to ask for help team, and giving nurses a voice with walking or getting to the to express any concerns have all bathroom – is problematic. “It’s contributed to our success.” a 37-pin cord and the pins are easily bent,” said Becky Dotson, Initiative drives positive results RN, clinical nurse specialist who UK HealthCare has reason co-chairs the Fall Prevention to celebrate the initiative. Since Group. “We are now working with its inception, falls are down 36 the bed manufacturer to go to a percent, hospital-acquired pressure wireless system.” injuries dropped 18 percent, central Other essentials on the WILDCARDS PROVIDE A SAFETY NET AGAINST PATIENT HARM line-associated bloodstream Wildcard include ensuring The Wildcard initiative has infections decreased 33 percent and that beds equipped with iBed catheter-associated urinary tract awareness are activated, alerting empowered nurses to work infections fell by 36 percent. the staff if a patient gets out together in the fight against “We’re proud of the work that’s of bed or if a bed is positioned hospital-acquired injuries being done,” said Nina Barnes, incorrectly. Similar alarms are and illnesses. This teamwork RN, MSN, CNML, co-leader of the being added to patient chairs. and innovation fuel the initiative’s steering committee Additionally, nurses remind passion to provide leading- and nursing director for oncology high-risk patients to call for edge patient care while services/acute pain services. assistance with ambulation advancing professional “But it’s not status quo. We are and transfers, and to wear their constantly evaluating.” nonskid socks. “During hourly nursing practices. In the area of fall prevention, rounding, the staff asks the for example, nurses identified that patient if they need to use the the cord connecting a patient’s bed restroom,” Dotson said. “By asking 32 | UK HealthCare & UK College of Nursing

WILDCARDS PROVIDE A SAFETY NET AGAINST PATIENT HARM

“Focusing on the basics patients when we are already in the reposition patients frequently, of bedside nursing, room, we may prevent them from but we continue education, getting up on their own.” demonstrating ways to offload ongoing education areas of prominence.” and rounding with the Patient, family education critical Throughout UK HealthCare, staff, using evidence- To lower hospital-acquired patient and family education is pressure injuries, the Wildcard administered anytime a patient based benchmarks bundle calls for chair cushions is identified as high-risk for a to establish clinical and bed overlays that redistribute hospital-acquired pressure injury. a patient’s weight and protect “The staff talks with them about measures, partnering sensitive bony prominences, why repositioning is necessary and with our physicians assessment of these areas bearing shows them proper methods,” Elder and interdisciplinary any medical devices, and regular said. “We give them handouts and repositioning, among others. we have videos on the TV network members of the team and “We struggle, as do hospitals they can watch about prevention.” giving nurses a voice to across the nation, with our sickest Catheter-associated urinary express any concerns patients who are in the intensive tract infections are often caused care unit or trauma ICU,” said by prolonged use of a urinary have all have contributed Julie Elder, RN, clinical nurse catheter, so the Wildcard bundle to our success.” specialist and co-chair of the includes a twice-daily needs Hospital-Acquired Pressure assessment. “If it is no longer KATHY ISAACS Injury Group. “Our nurses needed, a pre-existing order from Nursing Right Now | 33

the physician is already in place Wildcards include guidelines about which are displayed for all to see. so that the nurse may remove it,” dressing changes, tubing and They discuss results and dig into said Beth Bonnet, RN, clinical end-cap changes, chlorhexidine any issue that comes up. Also nurse specialist and co-chair of gluconate treatment and more. new this year was Zero Heroes, a the Catheter-Associated Urinary “Every six months we revise celebration of those units that had Tract Infection Work Group. our bundles based on new zero incidences of harm. As such, Nurses may also review results of standards of care,” said Kay the project will be called Safe Care bladder scans and other tests to Roberts, RN, infection preventionist moving forward to better reflect determine whether a catheter must and co-chair of the Central Line- the positive outcomes that have be reinserted. Associated Bloodstream Infection resulted from tackling all patient “Sometimes a patient asks to Group. “Unlike urinary catheters, safety issues. NRN keep the catheter because they nurses do not remove central don’t want to get out of bed,” lines, but they talk with doctors Bonnet said. “Every patient is frequently about the continued treated individually, but we need for a line.” educate them about the benefits of As the project moves into Left: Chair alarms alert nursing staff if a patient tries to get out of the chair so that removing it.” its third year, the Wildcards are a nurse can provide assistance in order to helping streamline care while prevent the patient from falling. Standards are updated as maintaining transparency and Middle and right: In order to prevent falls, evidence mounts accountability. Nursing leadership the Wildcard bundle reminds staff to Patients who have central and unit staff meet regularly at encourage patients to wear their nonskid socks and to ask during hourly rounds if they lines are assessed in a similar way. the site of their Wildcat boards, need assistance using the bathroom. 34 | UK HealthCare & UK College of Nursing

HELP WANTED

The UK College of Nursing and UK HealthCare collaborate on recruitment efforts amidst a nationwide nursing shortage.

It’s a packed house for the career could probably hire another 100 or development course at the UK 200 each year because of growth College of Nursing. The 100 or so and turnover.” seniors in the class have some very To address that shortage, important visitors today: nurses UK HealthCare has collaborated and physicians representing nearly with the CON to champion several every department at UK HealthCare. innovative initiatives, as well “The visitors talk about their as return to recruiting basics area and why they think it’s the to develop strong, long-term The 10-week Student Nurse best one to work in,” said Jennifer relationships with CON students. Academic Practicum, or SNAP, Cowley, MSN, RN, the senior gives junior nursing students hands-on clinical experience in lecturer who teaches the class. A recruitment mindset from the field. “They’ve come to recruit, and they application to graduation would hire every single one of our This ongoing collaboration students if they could.” keeps UK HealthCare front and A national nursing shortage center for nursing students has put nurses in high demand. throughout their studies – According to the Bureau of Labor starting before they officially "Typically, we’re hiring Statistics, the registered nursing enter the program. upwards of 500 nurses workforce is expected to grow “First-year students at UK from 2.9 million nationwide in who are prenursing majors take a each year, the majority 2016 to 3.4 million in 2026, an course called Nursing 101,” said of them being new increase of 15 percent. The bureau Darlene Welsh, PhD, MSN, RN, graduates. But we also projects that an additional FNAP, professor and assistant 203,700 new registered nurses will dean of BSN program studies at the could probably hire be needed each year through 2026 CON. “It gives them an opportunity another 100 or 200 each to replace retiring nurses and fill to learn how nursing services work year because of growth newly created positions. at UK HealthCare.” That nursing shortage is being The CON is also utilizing and turnover.” felt at UK HealthCare. a holistic online interviewing “Typically, we’re hiring process designed to better identify GRAIGORY CASADA upwards of 500 nurses each year, applicants who would be a good the majority of them being new fit for the college and the nursing graduates,” said Graigory Casada, profession. The CON is only the RN, MSN, CNML, nurse recruitment second nursing program in the manager at UK HealthCare. “But we country to adopt this format. Nursing Right Now | 35

“We’re targeting the people Throughout their nursing relationships on the unit and in the who not only have an innate desire education, students frequently hear hospital well before they graduate.” to be a nurse, but also the qualities from guest lecturers who champion Two junior-year electives to be able to successfully follow UK HealthCare’s nursing practice. – perioperative nursing and through with that,” Welsh said. “We need great nurses in emergency nursing – provide a every area of patient care,” said deeper dive into highly specialized Unique learning opportunities at Peter Morris, MD, FACP, FCCP, roles at UK HealthCare. an academic medical center chief of pulmonary, critical care “It’s an opportunity not usually Once accepted into the program, and sleep medicine. available during their clinical 30 to 40 students each year receive Once they have completed rotations,” Casada said. “They the Nursing Educational Award, their fundamentals – typically at learn from adjunct faculty from which pays a significant portion the end of their sophomore year UK HealthCare who are nurses.” of tuition, books and fees. For – nursing students are eligible For juniors accepted into the each semester they accept the to become on-call nursing care Student Nurse Academic Practicum, scholarship, the recipients commit technicians at UK HealthCare. or SNAP, the 10-week intensive to six months of service to “That’s when we see many of summer program before their UK HealthCare upon graduation. them start their journey at senior year further solidifies their “It is one of our strongest UK HealthCare,” Casada said. relationship with UK HealthCare. recruitment tools,” Casada said. “They build long-term professional During more than 300 paid work 36 | UK HealthCare & UK College of Nursing

SNAP classmates participate in a group discussion.

HELP WANTED

“It was exciting to hours, they gain invaluable hands- Lexington. She reported for duty on clinical experience, as well as as a new hire in the emergency hear that I got the job three college credit hours. department in June 2019. of my dreams doing “It’s a great program that “It was exciting to hear that exactly what I wanted totally immerses the nursing I got the job of my dreams doing students into the everyday world exactly what I wanted to do, and to do, and to be able to of nursing practice here at to be able to continue learning in continue learning in the UK HealthCare,” said nursing the environment that made me love environment that made recruiter Lois Lewis, RN, MSN. emergency nursing to begin with,” SNAP serves as a vital channel Holmes said. me love emergency for recruitment: Participants often nursing to begin with.” return to the same department for Turning new hires into lifelong, their senior synthesis and, after engaged team members CAROLINE HOLMES graduation, as a new hire. Caroline UK HealthCare’s Nurse Holmes, RN-BSN, originally thought Residency Program, another she would return home to Northern valuable recruitment tool, helps Kentucky after completing her ensure that new hires such as degree at the CON. But after serving Holmes make a smooth transition her SNAP and synthesis in the adult into the workforce. emergency center at the UK Albert “Hospitals that offer a B. Chandler Hospital, she knew residency are more likely to retain she wanted to launch her career in their employees, and employees Nursing Right Now | 37

UK HealthCare’s Nurse Residency Program helps assimilate new hires into the nursing career following college graduation. Hospitals offering programs like this are more likely to retain staff, and the new nurses, like Caroline Holmes, RN-BSN, (right) tend to have higher job satisfaction.

are more likely to have increased Full-time employees can use their loan repayment program that will job satisfaction,” said Kristin Employee Education Program pay up to $6,000 annually for up Ashford, PhD, APRN, WHNP-BC, tuition benefit to pay for 18 credit to four years – another popular FAAN, professor and associate hours per calendar year as they recruitment tool, said Kathy dean of undergraduate faculty work toward their RN-BSN. Isaacs, interim assistant chief and interprofessional education Starting in January 2020, the nurse executive and enterprise affairs. “Participants also develop college will offer the first online director, nursing professional a camaraderie with the other new program in Kentucky for licensed practice and development. nurses in the residency, which practical nurses wanting to get Such innovative solutions further helps with satisfaction their RN-BSN degree, enabling benefit not only the nurses who and retainment.” participants to streamline their come to work at UK HealthCare, As an added benefit, nurses progression through the profession. but also the patients they serve. with an associate degree who “It’s really exciting,” said “As the UK College of Nursing complete the residency earn three Jessica Wilson, PhD, APRN, and UK HealthCare work together hours of college credit from the assistant professor, RN-BSN track to address gaps in the workforce, CON toward an RN-BSN degree. coordinator and director of online we are also looking at how to best The most successful innovation. “LPNs working at meet the health needs of Kentucky,” recruitment tools show potential UK HealthCare will be able to Ashford said. “As we address the hires their long-term prospects complete their clinicals in the same nursing shortage and the need for career development. The CON’s system where they work.” for high-level care, we are always innovative online RN-BSN program For nurses who already have looking for ways we can improve the serves that role for UK HealthCare. a BSN, UK HealthCare offers a nursing workforce in our region.” NRN 38 | UK HealthCare & UK College of Nursing

RN-BSN: BY THE NUMBERS

ME 11.6% MT 13.4% OR 13.2% ID 16.8% PA 11.5% OH DE IL 10.3% 20.7% WV 12.3% 12.7% MO KY 15% 10.8%

LA 13.3%

HI 12.7% States with the most growth in percentage of registered nurses with a bachelor’s in nursing or higher

*According to the Center to Champion Nursing in America, an initiative of AARP Foundation, AARP and RWJF. from 2010 to 2017*

Number of LPNs who are potential candidates for UK’s BSN program

80+ 13,142 920,000 Nursing Right Now | 39

UK’s RN-BSN enrollment demographics FALL 2010: 53 students FALL 2019: 161 students

KY RESIDENT

MINORITY STUDENT

NON-KY RESIDENT

UK’s RN-BSN program UK HealthCare’s BSN-prepared graduation rate nursing workforce 2014 2019 21 45 STUDENTS STUDENTS

62% 74% 2009-10 2018-19 40 | UK HealthCare

2019 NURSES WEEK AWARDS Celebrating the work of our nurses in 2018.

THE KAREN STEFANIAK AI/ THE DIANA WEAVER LEADERSHIP/ UK HEALTHCARE AND UK QUILT OF TEAMWORK AWARD MANAGEMENT AWARD UK COLLEGE OF NURSING AWARD FOR NURSING SUPPORT Nominees Winner Nominees Sarah Lester, DNP, APRN, FNP-C Lynne Jensen, PhD, RN, Stephanie Coyle and Vanessa Murphy Samantha Quaine, BSN, RN APRN Sheila Giles and Karrin Lindblom Dee Sawyer, MS, APRN, MLDE, Patient clerical assistants in the AGCNS-BC, BC-ADM, CDE emergency department Winner Winners Brandy Mathews, THE CHERYL SMITH Cardiopulmonary technologists DNP, MHA, RN, NE-BC NURSING PROFESSIONAL Assistant Chief Nurse ADVANCEMENT AWARD Executive, Good Nominees Samaritan Hospital Kaci Elder, BSN-RN Shelby Floyd Greenwell, BSN, RN

NIGHTINGALE PRECEPTOR Winner LAMP AWARD Sherry Griggs, Nominees RN, BSN, CCRN-CSC, THE KAREN SEXTON Connie Bruce, RN CMC, CCTN FIRESTARTER AWARD Jason Stouse, RN ECMO Specialist Nominees Jay Weitekamp, BSN, RN Cindy Isom, BSN, RN-GS5M Ashley McAlpin, MSN, RN Winner EASTERN STATE HOSPITAL Karina Molina, BSN, RN, CEN Lisa Thompson, FOUNDATION AWARD Savanna Shepherd, RN MSN, RN Nominees Emergency Department Lauren Blount, RN Winner Mary Boswell, RN Jennifer Forman, Mary Ann Florence, RN DN P, R N THE KAREN E. HALL Kelly Holland, RN Clinical Nurse NURSING EDUCATION AWARD Akua Larbi, RN Specialist, Trauma and Nominees Teresa Luckett, RN Surgical Services Rachel Bentley, MSN, RN, RHIA Sydney Raulinaitis, RN Kymberly Little-Bailey, BSN, RN Judy Malone, BSN, RN Winner THE M.J. DICKSON QUALITY Nita Khatiwada, RN NURSING CARE AWARD Winner Nominees Karolyn Roberts, Michelle Pulsfort, BSN, RN MSN, RN, CPN Staff Development Winner Specialist, Ambulatory Jacob Heil, Services BSN, RN, CCRN, CEN Clinical Nurse Expert, Emergency and Trauma Services Nursing Right Now | 41

PAM BRANSON BSN RESIDENT AWARD Winner Joseph Lohr, BSN, RN Emergency Services

DAISY AWARDS July 2018 Winners Chandler 6 south unit Christina Short, RN Laurianne Berles, RN Sarah Jennings, RN

November 2018 Winners Ines Aquino, RN Diana Brosius, RN Amy Day, RN Patricia Jones, RN Raychel Riggs, RN

February 2019 Winners Nathan Brown, RN Alice Carpenter, RN Hannah Letourneau, RN Shannon Mink, RN Nikki Schroeder, RN

Moments from the 2019 Nurses Week Awards ceremony and reception held in May 2019. Non-Profit Org. US Postage PAID 800 Rose St. Lexington KY Lexington, KY 40536 Permit #51 Address Service Requested

UK HEALTHCARE CAREER CENTER

The UK HealthCare Career Center is available to • Critique and preparation of cover letters UK HealthCare nurses, nurse administrators, nursing care • Interview strategies and practice interviews technicians, health professional staff members (including respiratory therapy, occupational and physical therapy, • Exploration of educational options, including graduate pharmacy, radiologic technology, and laboratory sciences), offerings, degree completion and more and UK College of Nursing students. Assistance is offered • Personal statements and setting goals for all career phases, including: • Customized job search, including out-of-state jobs • One-on-one career coaching and exploration • UK nursing students can attend weekly resumé or • Resumé and curriculum vitae critique and preparation interview group sessions

CONTACT INFORMATION AND LOCATIONS

Albert B. Chandler Hospital 800 Rose St., H-172, Lexington, KY 40536 P: 859.323.3169 F: 859.257.5219

Good Samaritan Hospital 310 S. Limestone, C-013, Lexington, KY 40508 P: 859.323.3169 F: 859.257.5219

ukhealthcare.uky.edu/career-center Right: Sue H. Strup, MSEd, MSN, career consultant.