November 2013

Our Journey to Excellence

Damita J. Williams, Ed.D., MSN, MA, RN, CPN, NE-BC

Dear Colleagues,

Earlier this month, I had the pleasure of congratulating the most recent graduates of our pediatric nursing residency program. They are starting their careers with us at a particularly exciting time as we explore the opportunities that our new partnership with Tenet Healthcare Corporation brings.

The Tenet leadership team and staff from the St. Christopher's Hospital for Children in Philadelphia have already reached out to us, eager for a partnership that will continue to enhance and support our standards of excellence in patient care. I know many of you may have questions about what this ownership change may mean. I will answer any questions you may have about this transition to the best of my ability.

A special thank you to the all those who helped plan our Research and Evidence-Based Practice Nursing Conference on Sept. 27. The day's events and presentations gave us an opportunity to reflect on the increasingly important role that high quality nursing plays in the changing health care scene and to share quality best practice research projects with peers.

In my presentation, "The Future of Nursing Leadership: No 2 Days the Same," I encouraged all of us to become effective leaders as we respond to rapid changes in healthcare. We must be willing to adapt quickly in ways that provide even better patient care and outcomes, while learning how to be even more accountable and efficient. In the words of Michael Jackson's Man in the Mirror that I shared at the end of my talk: "If you wanna make the world a better place/Take a look at yourself and then make a change/Be the change in the world." I am confident our staff has the will and spirit to do so.

Our hospital's continued significant investment in capital projects and resources supports our ability to deliver great patient care. Planning for the new Patient Tower will soon enter the detailed design phase. Representatives from various departments of the hospital will be asked to serve on design committees to share their ideas and insights. If you are interested in being on a committee, please let your manager know. We are continuing to see an increase in admissions from the emergency department. Our current strategic plan focuses on improving the speed and quality of that emergency care and transition to hospitalization. We're expanding our critical care resources, ICU capacity, and PANDA One Intensive Care Transport Team. Additional ventilators, monitoring equipment, transport isolettes, and improved telemetry capacity will help us toward this goal. The ICU expansion – converting six patient rooms on what was formerly 4 Southwest into new ICU rooms – will also start soon.

All of this progress makes me confident that Children's Hospital is well on its way to achieving the excellence in patient care we all desire. Several of us attended the national ANCC Magnet Conference this month so that we can begin to prepare for application again in the future. As you know, quality nursing practice is central to achieving Magnet designation. With your continuing hard work and dedication to providing the best care possible to the children we serve, I know we will be successful. We have an exciting time ahead!

To what is possible,

Damita J. Williams, Ed.D, MSN, MA, RN, CPN, NE-BC
Chief Nursing Officer

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Gemba: six months
and still walking!

November 1 marks the six-month anniversary of our first Gemba Walk, an important part of DMC's Lean Daily Management initiative.

"We ask you – the experts who are dealing with patients and families daily – to determine areas we can improve and set real goals that each staff area can aim for," says Annette Hartner, MSA, RN, NEA-BC, Regional Lean Manager-Children's Hospital of Michigan. "Everyone has an important contribution to make as we figure out how to impact patient experience and health and patient care issues."

Our hospital and staff can be proud of our contribution to this effort! Since that first walk through four units on May 1, we've expanded to 21 key areas where staff members take the lead in identifying issues that need improvement. They set the metrics and document their objectives and progress on Gemba boards that help focus daily morning reviews. There are now two hospital leadership teams visiting every board over two days to stay in tune with the work. Since May, our staff has identified almost 180 Key Performance Indicators to improve patient care and the hospital experience -- 75 of which have already met their goal!

Those who attended the Sept. 27 conference had a chance to see the poster presentation, "A Walk to a Successful Nursing Process Improvement Project," by Nitin Nayak, MBBS, BSN, RN, highlighting the staff nurse-led process on 6 West to prevent unnecessary central line entries for blood draws. Also, please be sure to read the related article about NICU's successful work.

"All of our staff members are taking leadership in identifying problems and then asking ourselves collectively, how can we fix this? This process helps us break down the silos so we are talking to each other and problem solving, connecting with each other and with other departments as needed. It is an exciting time," Annette says.

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Lean/Gemba Works!

Children's Hospital of Michigan's Neonatal Intensive Care unit (NICU) has made significant progress in reducing the number of clotted specimens utilizing the Lean Daily Management process. There were 16 lab specimen errors in May due to clotted specimens and nine in both June and July. In August, those errors were reduced to just one! What happened?

Unit Manager Cassandra Chassie states: "The initial goal for our Quality Metric was to have no lab specimen errors. We developed a new data collection tool, and within just two weeks it became clear that our most significant lab error was clotted CBC specimens. After completing multiple '5 Why's,' performing independent research, and interfacing directly with the lab, we implemented multiple practice changes that have now led to an almost complete elimination of clotted specimens that we can determine are related to user error. During the first three months, we re-educated staff on proper fill amounts, use of heel warmers, draw order, and the need to properly wrap or pad the tube prior to sending it through the pneumatic tube system to the laboratory. In addition, we changed our practice for performing venous lab draws or lab draws from a line, and now have two nurses present for the lab draw to expedite transport of the blood from the syringe to the tube. All of these measures have significantly decreased the number of clotted CBC specimens and can be attributed to the measures we instituted as a result of our KPI [Key Performance Indicators] data collection."

In addition to the great efforts accomplished in NICU, these processes are now being discussed with other CHM educators and will be rolled out to the entire hospital. All this from systematic problem solving and collaboration with multiple disciplines. Keep up the great work!

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Conference

A big thanks to everyone who made the 2013 Excellence in Nursing: Research / Practice / Innovation Conference a success. More than 110 people – including support staff and nursing students and educators – attended the September 27 conference at the beautiful Grosse Pointe War Memorial setting.

The keynote presentation by Michele Gonsman, BSN, RN, ALNC, CPPS, "The Affordable Care Act – How it Affects Your Daily Nursing Practice," provided insight into the increasingly important role quality nursing care will play in the changing healthcare landscape.

Nancy M. George, PhD, PNP-BC, and Assistant Professor at Wayne State University College of Nursing, shared information about State Senate Bill 2's proposed expansion of the scope of practice for advanced practice registered nurses. Damita J. Williams, Ed.D., MSN, MA, RN, CPN, NE-BC, and Children's Chief Nursing Officer, discussed "The Future of Nursing Leadership: No Two Days the Same."

The conference also featured 25 poster exhibits and presentations by our own staff, as well as one each from Wayne State University and the University of Michigan-Flint, highlighting evidence based research projects that will help us improve the quality and safety of our nursing practices.

"We have to understand the evidence and reasoning behind every bedside nursing care practice that we employ," says Dr. Hitomi Kobayashi, PhD, MSN, RN, Conference Chair and Children's Director Nursing Research and Education. "That is the way we ensure excellence and quality."

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Conference report

2013 Children's Hospital of
Michigan Excellence in Nursing:
Practice/Innovation Conference
Poster Presentations and
First Author

1. Medication Management, Health Literacy and Numeracy Skills in Adolescent Inflammatory Bowel Disease Patients; Melori McDonald.

2. Saline versus heparin in pediatric, short-term arterial line patency: A pilot study; Teresa A. Carlesimo.

3. Improved Patient Safety with Bedside Reporting; Tina Kaunelis.

4. An Integrative Review of Sexual Identity in LGBT Adolescents; Tonya M. Schmitt.

5. Extended Family involvement in Decision Making for Extremely Premature Infant; Karen Kavanaugh.

6. Development of an Academic Service Learning Course in Bereavement of Children: A Hospice Partnership Using a Camp Nurse Model; Maureen P. Tippen.

7. Autism Awareness within the Clinical Setting; Sharon Jutila.

8. Eliminating Mislabeled Labs; Dayle Ciurysek.

9. Are children with Type 1 diabetes happy with their physician? Examining the relationship between diabetes outcomes and satisfaction with the physician; Emily Glick.

10. Development and Implementation of a Reflexology Program for Adolescents with Headaches; Judith M. Fouladbakhsh.

11. Developing a New Nurse Residency Program; Beth Page.

12. Student Nurse Extern Program in a PICU; Lauren Kelm.

13. PEWS: Nursing Staff Education and Patient Safety; Beth Page.

14. International Outreach: A Medical Mission Trip to the Dominican Republic; Sandra Conoff.

15. A MSN Nurse Educator Student Led Mentoring Plan for Staff Nurse in the Labor & Delivering Unit; Kelley Ryan.

16. Heliox Use in the Treatment of Pediatric Asthma; Brende Mazzeo.

17. Improving Healthcare Worker Hand Hygiene in the Pediatric Ambulatory Setting with Family Survey. Elizabeth Toftey.

18. Spina Bifida Influences on Parental Uncertainty; Patricia Beierwaltes.

19. Creating a Caring Climate, Stay! Don't Go! Shant'e Page.

20. State of the Evidence: Factors influencing a teen's choice and continued use of a contraceptive method; Joanne Howard.

21. Gemba – A walk to a successful nursing process improvement project; Nitin Nayak.

22. Raising Awareness and Promoting Safe Sleep Environments on an Acute Care Nursing Unit; Karen Mathieson.

23. Does Core Strengthening Exercises Improve Voiding Dysfunction in Children: A Prospective Study; Kerrie Quenneville.

24. Improving Unplanned Extubation Rates in the NICU Through a Quality Improvement Initiative; Eunice Woldt.

25. Two Steps Forward, One Step Back: Process Improvement and Changing Clinical Practice; Natalie Fisher.

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Pediatric Residency Program Quarterly Grads

Congratulations and welcome to the June and July graduates of our Pediatric Residency Program. Admission is highly competitive for this program geared toward new graduates and novice nurses with a BSN who aspire to work at Children's. We receive as many 200 applicants for each program session!

June Nurse Residents

Katherine Aquilina, BSN, RN – E.D.
Megan Beam, BSN, RN – PICU
Cody Dale, BSN, RN – PICU
Valerie Nebbeling, BSN, RN – 5 East
Rebecca Tuinier, BSN, RN – 5 West
Ashley Williams, BSN, RN – E.D.

July Nurse Residents

Keri Becker, RN – E.D.
Ashley Chambers, BSN, RN – NICU
Rachel Eatmon, BSN, RN – 5 West
Elizabeth England, BSN, RN – NICU
Angela Fitzwater, BSN, RN – NICU
Debra Hsieh, BSN, RN – PICU
Miriam Macari, BSN, RN – NICU
Jennifer MacDonald, BSN, RN – E.D.
Samantha Moody, BSN, RN – 6 East
Lauren Nelson, RN – 5 East
Natalie O'Laughlin, BSN, RN – PICU
Julie Stieber, BSN, RN – PICU
Annie Subda, BSN, RN – PICU
Gabriella Tucci, BSN, RN – E.D.

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EMR/iView Training

Our Patient Care Associates had a successful go-live for iView charting in EMR (Electronic Medical Record system). Next online, our nurses are slated to go-live next with iView charting on Wednesday, November 13.

Important reminder: Nurses will have to do a Net Learning module and a competency with their unit educator prior to going live, says Kathy Dodds, BSN, RN, Director of Clinical Transformation.

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Remaining 2013 Nursing
Monthly Presentations
(Pizza Friday Lunch and Learns)

November 22 11:30am – 12:30pm Self Care Aldona Sonta
December 16 11:30am – 12:30pm Liver Transplant Updates Dr. Bruno

Remaining 2013 Nursing Grand Rounds

November 7 11:30am – 12:15pm Clinical Research in Nursing Practice Kathryn Miller, BSN, RN, NE-BC
December 5 11:30am – 12:15pm Medication Management, Health Literacy and Numeracy Skills in Adolescent Bowel Disease Patients Melori McDonald, MSN, RN, CPNP

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Spotlight on Certifications

Congratulations to...

Kara Schurig, BSN, RN, who graduated with her Bachelor's of Science in Nursing from Walden University in April. She also has her ABLS (Advanced Burn Life Support) and PALS (Pediatric Advanced Life Support) certifications. Kara, who has been with Children's Hospital for about eight and a half years, is a clinical coordinator on 5East, the Burn, Surgery and Rehab unit.

Lauren M. Kelm, MSN, RN, CCRN, CPNP, a 21-year nurse at Children's who was recently recognized by the AACN for her 20th year of achieving CCRN certification, the certification for adult, pediatric and neonatal critical care nurses. "Achieving and maintaining the CCRN credential over time is…validation of a nurse's dedication to advanced clinical knowledge and tangibly demonstrates a lifelong commitment to patients and families, employers and colleagues," the AACN announcement stated. Laura is a Pediatric Nurse Practitioner, Division of Critical Care Medicine.

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PHIL Award:
Maria Geisor-Walter

Maria Geisor-Walter

Congratulations Maria Geisor-Walter, the 2013 PHIL (Pulmonary Health and Illnesses of the Lung) Award winner. This annual award recognizes an outstanding respiratory therapist who had provided outstanding care and treatment of patients suffering from diseases of the lung. As a 33-year veteran of the Children's Hospital of Michigan, Maria is a valuable member of our healthcare team. She works primarily in our NICU and PICU. As a Senior Therapist, she also serves as a member of our ECMO team.

The award nominations say it all:

"Maria is an outstanding, compassionate Respiratory Therapist who is motivated to make absolutely sure all patients are receiving the best possible care. Her bubbly personality and winning smile are sure to light up any room."

"Maria is extremely knowledgeable and her excellent skills as a Respiratory Therapist are the reason physicians seek out her advice on the treatment of our patients.

"Maria is a wonderful resource person for employees as well as parents. She goes over and above what is expected of her as a Respiratory Therapist."

Congratulations for making a difference in the lives of every patient you care for, Maria!

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APNC Now You Know…

Think of Ambulatory Care Nursing as the "great roundabout" of DMC Children's Hospital of Michigan, says Giselle Baillargeon, BSN, RN, CPN, Chair, Ambulatory Professional Nurse Council (APNC). Sixty full- and part-time Ambulatory Care nurses and 90 support staff provide care across nearly 40 specialty areas and at clinics in Birmingham, Bloomfield Hills, Canton, Clinton Township, Southfield and Detroit. The APNC provides a home base where these nurses and medical assistants, medical office assistants, and patient care associates from so many specialty areas can share information, learn from each other, and set some common goals.

In addition to specialized nursing skills, ambulatory care involves "lots of trouble shooting in between clinic appointments: triaging problems and liaisoning to physicians, arranging procedures, advocating for access to needed equipment, medications, and transportation to follow up appointments, or connecting parents to other resources they need for their child and family. Name it, we do it, if it is related to making sure that children are getting the necessary care to keep them healthy," says Giselle, who has been at Children's for 15 of her 18 years as a DMC nurse.

The APNC gives clinical nurses a shared voice in helping to determine superior nursing practices and standards of care that support outpatients' health, such as coordinated scheduling of procedures to reduce the number of hospital visits a family must make or the times a child is administered anesthesia; reducing clinic and office waiting times, and developing staff wide communications expertise to support their vital role teaching children and families about illnesses and recommended treatments and care needs.

"We are also extending our care into the community by providing Patient and Family Support Groups for our specialties at various clinic locations, as well as supporting various community fundraising activities and camps related to our specialties," Giselle notes.

More than 100 staff members attended the APNC's January retreat that provided half-day training and presentation sessions for support staff and nurses with a shared lunch in between. Lunch and Learn sessions throughout the year highlight improvement areas such as pain management, fall elimination, even development of more user friendly, consistent forms across specialty areas.

"The APNC is a link to make sure that wherever we are working, we are connected to our common goal of providing superior care for every one of our patients and helping to ensure families have the information and tools they need to help their children achieve and maintain optimal wellness."

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Retirements

Staff members we bid a happy retirement to the first half of this year with lengths of service ranging from 23 to 48 years.

Marlene C. Ercolani
Clinical Improvement Coord
retired in January

Mary F. Podolak
Mgr Care Mgmt CHM
retired in June

Sue J. Smith
Clinical Nurse Specialist
retired in March

Denise Sartori
Staff Nurse
retired in March

Linda Retherford
Staff Nurse
retired in January

Gwendolyn Seay
Clinical Improvement Coord
retired in June

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Senior Executive Rounding on
5 West and 5 East with DMC Chief
Nursing Officer Shawn Levitt

DMC CNO Shawn Levitt participated in executive rounding on the 5th floor recently. The nurses were very engaged with Shawn, formerly Chief Operating Officer at Children's, and were gathered around her in a circle, telling her of their concerns. She really listened, asked many questions, and promised to follow up on concerns.

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CureSearch Walk

This year's CureSearch Walk for Southeast Michigan was a huge success, already raising nearly $32,000 toward a year-end goal of $175,000! Children's Cancer Destroyers team was the highest fundraiser among the hospital teams, and one of our patients was second among individual fundraisers!

We had a perfect day and great turnout for the September 21 rally at Rivard Plaza and walk along the Detroit Riverfront. This annual walk during Childhood Cancer Awareness Month honors children whose lives have been affected by childhood cancer and raises funds for lifesaving research. It was inspiring to see so many of our staff members join patients and their families for this special event and cause. WDIV's Chauncey Glover emceed. Gold balloons were released in remembrance of loved ones lost to cancer, and Dr. Jeffrey Taub, Division Chief, Oncology, spoke about the importance of research funding.

If you missed this year's walk, you can still help us reach our goal by donating online through December by clicking here. Donations can be made directly to CureSearch anytime. Special thanks to all who have already donated and to Team Captain Wendi Henning, MSW, Clinical Social Worker in the Division of Hematology/Oncology, and to Tina Bryant LMSW, Clinical Social Worker/Division of Hematology/Oncology, CHM liaison to the CureSearch Walk parent planning committee.

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Nurses of the Month

May 2013

Kimberly Farnstrom, BA, BSN, RN, CPN
Acute Care – Surgical Suite

A cultural anthropology major in college, Kimberley was inspired to become a nurse when a nurse midwife delivered her daughter 14 years ago. "My eyes were opened to advanced practice nursing." After graduating from Oakland University, she first worked with adults in an MICU but decided to come to Children's Hospital five years ago, working in the OR for the last four years. She is currently in Wayne State University's program studying to be an Acute Care Nurse Practitioner. "I love the group of people that I work with, and I find surgery fascinating. I like that I feel we have really helped a child when we are through. You can really see the difference you have made." While the work "can be challenging, it is very rewarding, especially working with children."

Simon Keleel, BNS, RN
Alternative Practice – 5 West

Simon, a past Daisy Award winner, came to Children's about two and half years ago from Oakland University where he not only received his nursing degree but also worked for University Housing and Undergraduate Admissions. Though he considered a career in secondary education, he ultimately chose nursing because he liked the idea of taking care of people and helping them feel better. His advice for new nurses: "Utilize the nurses and PCA/SNAs you work with. They are amazing resources on policies and procedures, patient care, creative solutions, and nursing history." What's the best part of the job? "I have the opportunity to play with kids all day, which is awesome…I love the people I work with. They have taught me so much about life, and relationships, and nursing."

Donna Ross, BSN, RN
Critical Care – Emergency Department

The orphaned children she met on a mission trip to Haiti several years ago inspired Donna to change careers. A career accountant, she said the experience "…made me want to do something that would have a more meaningful impact," Donna said. Nursing was it. After graduating with her BNS from the University of Michigan-Flint, Donna has worked in Children's Emergency Department a little over two years.

She loves "the wonderful group of people" she works with and the variety of patients and conditions that she sees. Her advice to new nurses? "Be aware that what might seem routine to you might be a crisis to a parent." If there was ever any doubt about her career change, it was dispelled instantly the day the younger siblings of one of her patients threw their arms around her legs, saying, "I love Miss Donna," as she discharged their brother.

June 2013

Laura Morasset, RN
Acute 5 West

Leah Dalsis, BSN, RN
Alternative Practice – OR

Leah has worked at Children's for almost two years, starting out on the cardiac critical care unit and now working in the operating room where she has had her most touching experience as a nurse: "a patient with whom I have built a relationship wanting me to go with her and help put her to sleep in the OR."

A graduate of Madonna University, Leah considered teaching but decided to become a nurse to make a difference in people's lives "through healing, comforting, educating, and simply being there for patients and families." Co-workers and kids make coming to work a blast every day. "They're so cute and funny!" she says of the kids. The most difficult challenge of nursing is to face the fact that no matter how caring and supportive the care, some children have terminal illnesses. To those who are just entering nursing, Leah says it's important to take it one day at a time. "It may seem challenging and hard to work with kids at times, but it's so worth it."

Denise Whitenight, BSN, RNC
Critical Care – NICU

In her 27 years at Children's, Denise has never wanted to work in any other department than NICU: "I have loved it here." From the time she was little, Denise sensed she had a "certain knack" caring for sick people, especially children, and was determined to become a nurse. She worked as a waitress to pay her way through St. Clair Community College for her ADN and Wayne State University for her BSN.

What's kept her in NICU for 27 years is best illustrated by this example Denise shared. As the primary nurse for a seriously ill preemie, Denise watched the baby struggle to overcome immense challenges, grow and eventually be discharged without any developmental delays. Through the years, the girl's parents kept in touch, inviting Denise to their daughter's high school graduation. "Looking at her, you would never have known that she came into her life facing so many obstacles and beat them all." Denise knows she was an important part of that.

July 2013

Laura Mead BSN, RN, CPN
Acute Care – 6 West

Laura was on the med school track, finishing her BS in Kinesiology from MSU and shadowing physicians, when she took a job as a home health aide and realized that, for her, nothing compared to the hands-on care she could provide and one-on-one relationships she could build with patients. Since she started at Children's nearly seven years ago as a student nurse at the University of Detroit Mercy and then as a registered nurse, she has been in pediatric oncology on 6 West.

"To see the look on [a parent's] face when their child walks out of here cancer free or in no sickle cell pain is the best feeling, and knowing that I had a small part in that feels wonderful." The biggest challenge is facing a child's death. "But we also get to see life! I have met the most amazing families through joy and tragedy, and that bond still continues today." Wonderful co-workers keep her on 6 West, as does the "honor and privilege to be part of my patients' and families' journey" whether being invited to a funeral, a band concert or communion celebration, or simply getting to watch a patient walk out of the hospital cancer free to the cheers of his entire football team waiting for him in the lobby.

Mary Ellen Hirsch, BSN, RN, CRNN
Alternative Practice – Physical Medicine & Rehabilitation Clinic

As a little girl painting "measles" on her dolls and playing hospital with her sister, Mary Ellen couldn't have imagined she'd some day be reflecting on retirement from 42 years in nursing! She started her "life career" at Children's in 1971 as a 19-year-old graduate from the Providence Hospital School of Nursing, later completing her BSN from Wayne State University in 1980. Over the years, she worked in most patient care areas, including ICN and cardiac care, eventually going into nursing education. She says that developing expertise in new specialty areas of interest always helped keep the work challenging and her skills sharp. But she advises nurses just beginning their careers always to "look to simple rewards your care and caring can bring – these in turn can bring you the greatest gratification. Smiling faces attracted me to Children's." And never underestimate the impact you have, she says, recalling the call she got one Christmas Day from a former patient she hadn't heard from in years. He just wanted to thank her for the care she'd shown him when he was a little boy with spina bifida in and out of the hospital many times.

Christine Vicini, BSN, RN
Critical Care – NICU

Christine came to Children's directly out of nursing school seven years ago. She was part of Oakland University's first graduating class of its second degree accelerated program and has a Bachelors degree in physiology with a concentration in kinesiology from Michigan State. At Children's, she had the opportunity to work in the NICU and "fell in love with it." Christine considered becoming a veterinarian tech but eventually realized that her love for animals might be more of a hobby than a career. Nursing not only provided more options for advancement but also aligned with her desire to help people. She loves working with families, patients, and co-workers: "My theory is I give the best care possible for the patients that I have in my care. It is very rewarding when you get to see your patient go home after being so sick."

As difficult as it can be to realize you can't fix every baby or every problem, Christine says, you learn to be inspired by always doing the best you can. "I love how there is always opportunity to see and learn new things. And I like how our unit works so well together as a team." The best advice she can give to nurses who are just starting their careers at Children's is to never be afraid of asking questions.

August 2013

Youngor E. Mulbah, BSN
Acute Care – 5 West

The tragedy of seeing people die from lack of basic health care during Liberia's civil war inspired Youngor to become a nurse. "I love taking care of people," and that keen desire to help people transformed into a career in nursing after she immigrated to the United States from her homeland. A graduate with a BSN from Wayne State University, she has spent the last 11 years at Children's in the Endocrine, Neurology, and Neurosurgery areas prior to transferring to 5 West, where "I love working with my coworker…The teamwork is excellent." The best part of nursing for Youngor is the appreciation that parents and children show. "Love what you do and you will admire it."

Sharon Joseph, BSN, RN
Alternative Practice – Recruitment

When Sharon tells prospective hires that Children's is the place to be for a rewarding career in nursing, she speaks from the heart. Apart from a brief stint elsewhere, Sharon has spent most of her career at Children's, starting as a nursing student 35 years ago. During the last 29 years of continuous service, she has worked in a variety of capacities as a staff nurse, as Care Coordinator for Children's Choice, as a Care Management Specialist/Utilization Management Specialist and now, as a recruiter of new nurses. Inspired by her older sister, a nurse, who was committed to helping people, Sharon never considered any other career. "It's always about the patients and families. Anything I could do to make their challenges easier, I wanted to be a part of." As a recruiter, Sharon helps the hospital provide the best care by attracting quality candidates who aspire to excellence. To new nurses, she offers these words: "Be patient with yourself. We can't possibly know everything, so be willing to ask questions and learn from your coworkers."

Lucille Baszewski, RN, C-NPT
Critical Care – NICU

Lucille has MASH reruns to thank for her 24-year career at Children's. "Corny, but true. I thought the nurses on MASH were really cool!" Lucille worked at Mt. Clemens General and St. John's before joining Children's where she has been in the Immunology Clinic and NICU. "Working at CHM and seeing the brave kids, their families, and what they deal with makes me feel humbled and appreciative of my own children and of our challenging, but blessed life." The best part of the work is the "autonomy and variety of patients that I see." Those who are starting their careers at Children's should be aware of the many opportunities that are here for learning and advancement. "Keep exploring until you find your niche."

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Daisy Award Winner:
Claire Martin

Every encounter with every child and family is a chance to build lasting trust that will help the patient heal and stay healthy. That's how Claire Martin, BSN, RN, Interim Director of Patient Care Services, Emergency Department, and winner of this quarter's Daisy Award sees it. Claire, a DMC nurse since 2010, came to nursing the long way around after years in the restaurant business, as a stay-at-home mom, and as a paramedic serving Detroit and surrounding communities.

Though she loved being a paramedic, "it's just not a job for an 'old' body," she quips, so at age 45, Claire decided to pursue a long-deferred dream and become a nurse. She received her Bachelors degree in nursing in May 2011, and this January, she will complete her Masters.

Growing up in a family of teachers who did overseas community service work and hosted exchange students from all over the world "…instilled in me the need to think about how you give back to your community, your world," Claire says. Nursing provides that opportunity every day.

"I'm a kind of nurturing, motherly person…and I think I bring that into my nursing care. I try to take care of my patients the same way I'd want someone to take care of my own kids," she says, whether it's trimming a straw so a child can reach it or taking a baby on her hip to give the parent a much needed break.

"Every encounter, even if it's just for five minutes, gives us the chance to make a difference in the lives of the children and their families. The important thing is to make a real connection and build trust. That is so important to the child and the success of their overall care," she insists. "There isn't a day that goes by that I don't feel very fortunate to be where I am and to be able to do what I'm doing."

Congratulations to all 2nd quarter nominees!

Bilal Abdulla – OBS Unit
Becca Adams – 6 East
Jennie Basirico – NICU
Julia Boury – 6 East
Jacquelyn Broughton – 5 West
Yohlan Clark – 5 East
Annette David – 6 East
Erica Downs – PICU
Christy Finn – 5 East (x2)
Nichole Gallagher – 5 East
Lamin Jawo – 6 West (x2)
Simon Keleel – 5 West
Gary Kleinman – 6 East
Natassja Kotlensky – 5 East (x2)
Bozena Lenczewski – 5 West
Laura Mead – 6 West
Nancy Merkel – 6 East
Amy Nemmer – NICU
Donna Nowicki – 6 West
Breeann O'Connor – NICU
Katie Perry – ED
Janet Robinson – 5 East
Wendi Tague – 5 West
Andrea Venettis – 5 West
Maureen White – 5 East

The DAISY Award is presented quarterly to publicly honor nurses who have provided exceptional and compassionate care to patients and families. It is based on information received from the At Your service (AYS) surveys completed by families. The DAISY Foundation was formed in January 2000 by the family of J. Patrick Barnes, who died at age 33 of complications from Idiopathic Thrombocytopenic Purpua. DAISY is an acronym for Diseases Attacking the Immune System.

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PANDA One

We're thrilled to announce that we have achieved 100 percent Certified Neonatal Transport (C-NPT) certification for all PANDA One nursing team members. We are especially proud to reach this milestone at the same time that we are expanding to two teams providing 24/7 coverage.

PANDA One is Children's dedicated ambulance equipped for the special needs of neonatal and pediatric patients and staffed by a team including specially trained registered nurses.

National studies show a direct correlation between certification of nurses and improved patient outcomes. This is an important element of Children's efforts to achieve Magnet status, in addition to enhancing our ability to provide this vital emergency transport and care service to critically ill children throughout Michigan.

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Announcements

May 2013

Women Who Lead 2013: Damita Williams
She's a local celebrity! Our own Chief Nursing Officer, Damita Williams, Ed.D., MSN, MA, RN, CPN, NE-BC, was featured in July as one of News/Talk 760 WJR's "Women Who Lead". This WJR podcast program spotlights women across the region who are making significant contributions as leaders in their professions and communities. Hosted by WJR's Ann Thomas, each edition of this podcast series presents an interview with impressive and inspiring women who are making a difference.

The WJR announcement notes, "Damita…tells WJR's Ann Thomas it's a great gift to work with children and help them heal." In addition to the podcast interview – which can be accessed by clicking on this link – Damita was formally recognized at a special breakfast hosted earlier this month by WJR.

Julie Bartoy, MSN, RN, Manager of Endocrine, Diabetes, DAC/BPD, GI, Dermatology, Psych, Blood draw stations (AKA lab), MA staffing resource pool
Julie joined Children's Hospital in 1994 as a staff nurse in the Emergency Department. She has expanded upon her skills by assuming roles as the Interim Clinical Manager of the Observation Unit, Nurse Educator, and her most recent role as the Clinical Manager of the Hematology/Oncology and Sickle Cell Clinics. Julie has participated in many councils and committees throughout her career at Children's. She was instrumental in assisting in the transition of some of the patients undergoing sickle cell exchange transfusions from the hem/onc clinic to the Specialty Center and has actively engaged staff in the Lean Daily Management process in the hem/onc clinic. Julie brings all her skills and process improvement initiatives with her to her new position.

Laura Deutschman, MSN, RN-BC, CNS, Manager of Cardiology and Cath lab
Laura joined Children's Hospital in 1984 and has held various positions. Laura has held various positions from a staff nurse in the NICU, Cardiology Clinical Nurse Specialist, NICU Nurse Educator to her most current position as the Clinical Manager of Cardiology services. A member of Sigma Theta Tau, Laura was instrumental in moving the Cardiology clinic to its new space in the Carls Building.

Susan Elm, BSN, RN, CNN, Manager of Dialysis, Nephrology, Infusion Center, Pre-Kidney Transplant
Susan joined Children's Hospital in 2007 and has held several positions in the division of Nephrology. As a Certified Nephrology Nurse, Susan has worked on the ESRD (End Stage Renal Disease) program – working to ensure that all CMS requirements are met. A Nephrology Nurses Association member, Susan was instrumental in the move of the dialysis suite to the Specialty Center.

Kim Iseler named manager of GPAM, PM&R, and the Immunization Station
Kim has a history with the DMC at the various adult hospitals and most recently as a manger with the adult ambulatory clinics. We are happy to have her join the Children's Hospital team.

Tina Kaunelis has joined the Children's Hospital Nurse Educator team as the new acute care nurse educator. Tina has worked in 6 East clinical nursing staff roles in her career and most recently served as the clinical lead preceptor for 6 East. Tina has shown exceptional clinical skills as well as strong preceptor experience in a variety of clinical settings. She recently started in her Master of Science in Nursing Education Program at Walden University. She will work closely with Hitomi Kobayashi and the 6E leadership team.

Michelle Lucier, BSN, RN, Manager of Allergy, Immunology, Pulmonary, Rheumatology, Genetics, Metabolics, Infectious Disease, Horizons, Vasculitis
Michelle joined Children's Hospital in 1976 and has held various roles from PICU staff nurse, Care Management Specialist, to Manager of SDS/Pre-op & PACU. After a sojourn to other opportunities, Michelle returned to Children's Hospital to her most recent role as clinical manager of the ambulatory clinics. A Sigma Theta Tau and American Academy of Ambulatory Care Nursing member, Michelle brings a vast array of experiences to her current position.

Kathy Miller, BSN, RN, NE-BC, Manager Hematology/Oncology, Sickle Cell
Kathy joined Children's Hospital in 1998 and has held various roles in the division of hematology/oncology. Kathy is a current member of APHON (American Pediatric Hematology Oncology Nurses), an ELNEC (End of Life Nursing Education Curriculum) certified trainer and a member of the Board of Directors for the Ronald McDonald House of SE Michigan. Kathy has been in the hem/onc clinic in many roles, as nurse clinician, clinical manager, and most recently research coordinator. She brings her previous experience as the manager of 6West to her current position.

Karen Morris, BSN, RN, RNC, has joined the Nurse Educator Team with more than 20 years of NICU nursing experience.
She is a mother of three children with an impressive nursing career. She most recently served as the clinical lead preceptor for NICU. Karen will start her Master of Science in Nursing Education Program in December.

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