indiana nursing quarterly feb 2012

YOUR WORLD: Caring for loved ones at home

Q&A with:

Rita Fiorentino

Mastering nursing informatics

W I NT E R 2 01 2

Q U A R T E R LY

I N D I A N A

indystar .com/nurs ing

Inside

I N D I A N A

QUA R T E R LY

5 Clips & Tips

8 On the Pulse Nursebullying

Cover Story 10 Nursinginformatics:

Technology+patientcare=betteroutcomes

Your World

17 Organdonation 20 Nursesascaregiversathome 22 Q&AwithRitaFiorentino

Cover:LindaHainlenismanageroftheLearningSolutionsdepartmentatIUHealth.

Cover photo:MarcLebryk

Online nowNominatesomeoneforSalutetoNurses.Findanewjobinnursing.Subscribeforfreeemailalerts.Doitallatindystar.com/nursing.

AdvertisingOutsidesalesand CarrieBernhardteventssupervisor (317)444-7288 [email protected]

Insidesalesand MorrisBradleyeventsexecutive (317)444-7437 [email protected]

Healthcarespecialist SarahHarmon(317)[email protected]

Educationspecialist MandiKeeney(317)444-7267

[email protected]

2 Indiana Nursing Quarterly • indystar.com/nursing • Winter 2012

Date: 1/25/12

Client: Indiana Wesleyan University

Market:

Contact: Kristin Higgins

Job # 2012006

Size: 1/6 page (2.25”x4.75”)

Publication: Salute to Nurses - Indy Star

Insertion Dates:

866-498-4968

Online/Indiana/Kentucky/Ohio Classes are forming now. Call today.

indwes.edu

IWU Online • Post-licensure (RNBSN) • MSN in Administration and Education • Certificate in Parish Nursing

Education Centers in Indiana, Kentucky, and Ohio* • Post-licensure (RNBSN) • MSN in Primary Care Nurse (Family Nurse Practitioner)

IWU campus in Marion, Indiana • BSN Degree – traditional 4-year program • BSN Degree – Transition to Nursing

* Not all programs available at all locations

Indiana Wesleyan University provides education options for nurses:

ADVANCEYOUR EDUCATION

ADVANCEYOUR CAREER

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PLEASE READ CAREFULLY • SUBMIT CORRECTIONS ONLINE

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Cindy Adams, Chief Nursing Officer,Community Health Network

WHEN OPPORTUNITY KNOCKS, WE’RE FIRST TO OPEN THE DOOR.

Make plans to be part of our advanced-practice nursing seminar in mid-January.Learn more at eCommunity.com/nursing.

Nurses are right there on the front lines of care and

at Community, they also happen to be right there on

the front lines of change. The Institute of Medicine

recommends advanced education for nurses and

suggests they should be in full partnership with

physicians and other professionals in redesigning

health care. At Community, we couldn’t agree more

and are opening doors to help our nurses advance in

this direction.By providing more educational oppor-

tunities and fostering interdisciplinary partnerships,

we strengthen our ability to deliver exceptional care.

And that’s a pretty strong argument for change.

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• Health, Dental, Vision, andLife Insurance

• Employee AssistanceProgram

• 401(k)

• Tuition Assistance

• Paid Time Off

• Six Paid Holidays

• Short-term Disability

For more information regarding our current opportunities, please visit our website at:www.AmericanSrCommunities.com Or send your resume to: American Senior Communities,6900 South Gray Rd., Indianapolis, IN 46237; Call: 317.787.6454 x313;Email: [email protected] EOE

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American Senior Communities, thelargest senior healthcare and housingprovider in Indiana, has built a solidreputation of staying at the forefront oftheir industry. ASC’s leadership has longbeen aware of the simple fact that toprovide the best care, you need the bestcaregivers.

We’re growing.With over 61 locationsand more coming, we’re looking forfrontrunners with the decision-making,focus, and drive to join our team oftalented and skilled professionals. Ifyou’re looking to lead the way in seniorcare, it’s all happening right here.

OPPORTUNITIES EXISTTHROUGHOUT INDIANA.

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Content

Editor AngelaParker(317)[email protected]

Contributing editor MandaNewlin

Contributing writers BrookeBaker,KarenMurray,AshleyPetry

Graphic designer JoeSoria

Photos MarcLebryk

Indiana Nursing QuarterlyisaproductofStarMedia,307N.PennsylvaniaSt.,Indianapolis,Ind.It’sdistributedelectronicallytoregisterednursesthroughoutcentralIndiana.

[email protected].

Besureyou’reintheknow.SignuptoreceivefreeemailalertswhentheeachquarterlyissueofINQpublishes:indystar.com/nursing.

Get your INQ updates!

[email protected] news to

On the Pulse Promotions, workshops, awards

You comfort. You help heal. You educate.

Are you ready to see where your nursing career can take you? At Medtech you can have the opportunity to:

Become an instructor – We’re always looking for fresh faces to share their knowledge in our classroomsGain new skills quickly – Our short-term medical courses can boost your skill setAdvance your career – You could move ahead with our Practical and Registered Nursing programs

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AD PROOF: (DH)Proof Due Back By: 01/27 2pmAd #: P21113-f-13680-3x4Deadline To Pub: 01/27 5pmFirst Run: 02/01/12Publication: SpecSection: n/aSpecs: 2.25 x 4.75

Approved as is.

Approved with revisions. Revise and resend.Initial _________ Date __________

■ AppointmentsISNA officers

TheIndianaStateNursesAssociationnamedthefollowingofficers:Jennifer

Embree,Campbellsburg,president;Diana K. Sullivan,Greenwood,vicepresident;Mary Cisco,Indianapolis,secretary;andMichael Fights,Lafayette,treasurer.

NewboardmembersareChristine Delnat,TerreHaute;Vicki Johnson,Seymour;andMonica Weissling,TellCity.

■ RecognitionIndy Black Nurses recognize St. Francis Health

TheBlackNursesAssociationofIndianapolispresentedits2011DistinguishedCommunityServiceAwardtoFranciscanSt.FrancisHealth.

Theawardrecognizestheorganization’sexemplaryrecordofvolunteercommunityservicebasedonitsachievementsforimprovingthehealthandsocialconditionsofindividuals,familiesandcommunities.

CitingthemanyprogramsthroughwhichFranciscanSt.Francisprovidesoutreach,theBNAsaid:“TheSt.Francisteamencouragesotherstoleadhealthierlivesthroughcommunitypartnerships,educationalprogramsinschoolandchurches,healthscreeningsandpublicseminarspresentedbythemedicalstaff.”

Daisy Awards recognize extraordinary patient care

TheDAISYAwardisanationalawardinmemoryofJ.PatrickBarneswhodiedat33fromanauto-immunedisease.ThecareheandhisfamilyreceivedinspiredBarnes’familytofoundtheDAISYFoundationandcreatetheDAISYAwardinrecognitionofnurseswhomakeadifferenceinthelivesofpatientsandtheirfamilies.RecentDAISYAwardwinnersinclude:

HendricksRegionalHealthLeann Brown,CMSRN

FranciscanSt.FrancisHealth-BeechGroveLisa Binger,RN,acuteinpatientrehabMickey Sullivan,RN,surgicalunitMonica Lee,RN,oncology

FranciscanSt.FrancisHealth-MooresvilleJoan Frith,RN,intensivecare

FranciscanSt.FrancisHealth-IndianapolisTaren Popovich,RN,adultinpatientBecky Teising,RN,surgicalintensivecareMichael Painter,RN,surgicalintensivecareEric Balka,RN,surgicalintensivecare

■ NoteworthyFranciscan St. Francis Health names operations director for Carmel facility

Stephen J. Wheatley,RN,BSN,hasbeennamedoperationsdirectorofFranciscanSt.FrancisHealth’snewCarmelhospital.

Hecomestothepositionafterservingnearly10yearsasadministratoroftheFranciscanSurgery

CenterinIndianapoliswherehewasresponsibleforoveralldirectionofallclinicalandnon-clinicalactivities.

Wheatleyreceivedhisbachelor’sdegreeinnursingfromIndianaUniversitySchoolofNursingin1980.

Wheatley

Cisco

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Indiana Nursing Quarterly • indystar.com/nursing • Winter 2012 5

[email protected] news to

Clips & Tips

harrison.edu

GET YOUR NURSING TRAINING AT ACOLLEGE THATFOCUSES ON CARING.

For required program disclosure information,please go to harrison.edu/disclosure

Are you currently considering an Associate RN program? Or maybe you’re looking toward a BSN? Either way, Harrison College is the perfect place to take your nursing career to new heights. Our caring faculty and sta impart real world skills while a ording you hands-on experience. And our low instructor-to-student ratio means you’ll never get lost in the crowd.

Visit Harrison.edu for more information. Or better yet, call 1-800-401-1497 and talk to a program specialist.

Reducing radiation exposureSt.VincentSetonSpecialtyHospitalsin

IndianapolisandLafayetteuseadevicecalledSapiensTCStoplacePICClinesneartheheart.InsteadofusingachestX-raytoguidethecatheter,theSapiensTCSrelaysthepatient’scardiacelectricalactivityonthescreenofanelectrocardiogram.Thesystemisfaster,allowsmoreaccurateplacementandeliminatesradiationexposurefromtheX-ray.

Source:WIBC

Eldercare in a home-like atmosphere

Mostpeoplethinkofinstitutionalsettingswhentheythinkofnursinghomes,butthat’sstartingtochangethankstotheSistersofProvidenceofSaintMary-of-the-Woods.TheVillasofGuerinWoodsarefashionedmorelikeregularhomes,withindividualbedroomsandbathroomslocatedoffacommonlivingareaandkitchen.

“It’ssmall,it’scozy,it’scomfortable,”saidSister Barbara Ann Zeller.“Thebeautyofitis,becausewehaveonly10elderspervilla,

wecanmaximizeeachperson’sinterestsandcapabilities.”

Thevillasdon’thavecertaincharacteristicsofaninstitutionalsettingsuchasnurse’sstationsandroomnumbering.

Anotherimportantfeatureisself-directedcare,whichmeansthatresidentsdeterminetheirownschedulesincludingwhentogetup,batheandeat.

Source:PublicNewsService-IN

Creating a patient-safety ‘blanket’TheIndianaActionCoalitionhopesto

improvepatientsafetythroughanetworkof10patient-safetycoalitions.Thecoalitionswillhelpimplementrecommendationsfromthe2010InstituteofMedicinereport,“TheFutureofNursing:LeadingChange,

Research, trends, tips

AdvancingHealth”relatedtoengagingfrontlinenursesininterdisciplinaryimprovementefforts.

Thegoalistoreducethingslikereadmissions,infections,falls,pressureulcersandmedicationerrorsthatoccurinhospitals.Aftercoalitionsidentifycommon

topicsofpatientsafety,theytypicallysendteamstoworkonthoseissues.

“Workteamstypicallyhavefrontlinenursesworkingwithpharmacistsandotherstotrytosolvethose

patient-safetyissuesforacommunityorregion,”saidBetsy Lee,RN,BSN,MSPH,amemberoftheIACsteeringcommitteeanddirectoroftheIndianaPatientSafetyCenterattheIndianaHospitalAssociation.“There’ssomuchthathappensintheworkenvironment,wehavetocreatesafersystemsofcare.”

Source:Nurse.com

Lee

Zeller

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RHI provides personalized, compassionate care that enables individuals to regain hope and independence after life-changing injury or illnessCome talk with us about a specialty certification as CCRN.

We offer competitive wages and excellent benefits.Please visit our website at www.rhin.com to see our current job listing and complete an online application.

REHABILITATION HOSPITAL OF INDIANA4141 Shore Drive | Indianapolis, IN 46254

Rehabilitation Hospital of Indiana

opened in 1992 and we are proud of our many years of outstanding service. RHI is one of the largest freestanding inpatient physical rehabilitation hospitals in the Midwest. We offer comprehensive inpatient and outpatient care to those with spinal cord injuries, brain injuries, orthopedic intervention and strokes.

With our program model, we focus on our centers of excellence and can offer you opportunities to work with other clinical experts and newly emerging information, technology and treatments. We invite you to join our team of healthcare professionals as we assist our patients in achieving their highest potential.

REGISTERED NURSE OPPORTUNITIES

Located just minutes south of Indianapolis, in Franklin, IN Johnson Memorial Hospital offers a competi-tive compensation and benefits package.We invite you to go to ourwebsite formore information and to see our current employmentopportunities: www.johnsonmemorial.org or call our toll-free Jobline at: 877-695-4561. EOE

1125West Jefferson Street, Franklin, IN 46131 | Phone: (317) 736-3440 | Fax: (317) 738-7858

www.johnsonmemorial.org A hospital you can believe in.

E M P O W E R I N G P R O F E S S I O N A L SAt JohnsonMemorial Hospital, whenwe hire you, we give you the support, technology, and training you need, and thenwe let you get to work. Youwon’t run into thekind of red tape you’re used to. We believe in our people andwant them to grow. Enjoy the feeling of empowerment that comeswith a career at JohnsonMemorial.

Director of Surgical ServicesWe are a not-for-profit hospital seeking a proven leader to direct our expanding Surgical ServicesDepartment. Reporting to the Chief Nursing Officer you will be responsible for insuring the quality ofpatient care, managing finances, maintaining department policies/procedures and promoting a harmoniousteam. Current Indiana RN license and BSN required. MBA and CNOR are preferred. 5 years of clinical experi-ence in surgical services including 2 years in a leadership role and CPR and ACLS are required.

Charge Nurse - Critical CareCritical Care Unit; Full-time nights; 6pm-6:30am with rotating weekends;72 hours per two-week pay period. Requires current IN RN licensure;BSN preferred. Minimum 18 months current criticalcare nursing experience. BLS and ACLSrequired.

pdf

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Kristine C.| Holly R. | Stefanie C.

Discoveringthe needs of nurses

Congratulations to the three winners who received a $50 Marsh Gift Card for completing the November issue survey.

Thank you to everyone that took the time to complete the survey, we plan to utilize the helpful feedback and will continue to improve the Indiana Nursing Quarterly.

Don’t miss another quarterly issue of INQ.

Sign up for free e-mail alerts to let you know when each issue

publishes. To register, please visit IndyStar.com/INQ

INQ Survey Winners.indd 1 1/31/12 2:58 PM

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F l i g h t n u r s e s

Guest columnist Ruby McBride, RN, MSN, CS, is Administrative Resource to Practice Alliance at Marion General Hospital.On the Pulse

But have you ever heard the phrase “nurses eat their young?” It describes behaviors that professional nurses and educators don’t like to admit exist. It is exhibited through demeaning

glances, degrading statements, avoidance and negative comments.

As a nurse for more than 41 years, I not only have been the recipient of such behavior, I regrettably

have participated in and witnessed other professional nurses and

physicians involved in this behavior. Subordinate nurses often perceive

seasoned nurses as cliquey, mean-spirited and intimidating. This behavior seems to give them a sense of power. Senior nurses who behave this way not only degrade the profession, but also reinforce to junior nurses that they are substandard and without power. At the end of the day, it is the patients who suffer, because nurses who berate co-workers are neglecting their own job responsibilities.

On the other hand, student nurses and graduate nurses at times appear over-confident by behaving as if

they know everything when, in fact, they have knowledge but very little experience. They are perceived as overbearing and consequently are ignored.

The way to avoid this perception is to come out of post-graduation with a clean slate, listen to experienced colleagues and learn from them. Being an expert nurse comes with years of experience, exhibited by sound clinical expertise, problem solving and outstanding communication skills.

Seasoned nurses need to receive student and graduate nurses in a positive manner, recognizing that

Let’s stop bullying and belittling

McBride

■ As professional nurses, we pride ourselves on being portrayed as nuturing and care-giving individuals.

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F l i g h t n u r s e s

On the Pulse

Taking care of people and making a difference. These are our daily goals at CarDon & Associates, where we believe in the dignity and potential of every resident. Join us today and begin a career in which you can achieve personal success and make an important contribution to the care and well-being of our residents.The CarDon senior living communities and Health & Living Centers provide a full range of lifestyle and care options from independent living, assisted living and full-service continuing care retirement communities to rehabilitation, long-term care and memory support services

CarDon locations can be found throughout Central and Southern Indiana. We offer a variety of excellent Company benefits and our associates matter because they are the Difference Makers!

Apply online at

www.cardon.usLocations and contact information may also be found on our website.

Difference Makers

they often have knowledge of recent theories, research and practices.

Marion General Hospital has incorporated practices to promote an environment that positively impacts not only student nurses, but also all hospital personnel. These practices can be applied at any health care facility and include posting photos of new nurses in their units, extending orientation, providing an extensive mentor/preceptor program, and promoting a positive-behavior standard of the month.

As professionals, nurses need to examine what they want, choose their roles and determine how they want their professional relationships to develop. All nurses should be able to walk out on the floor or unit each day knowing they can make a difference. They should never be put

in a position where they don’t feel valued, recognized or appreciated for the talents they bring to nursing every day. Nurses must respect those functioning in levels below theirs and be humble to those in levels above.

Nurses can make choices in the workplace that will transform their work environment. To do this, they must be willing to recognize each other’s strengths and weaknesses. They must assist each other when the environment becomes overwhelming not only for new nurses, but also for seasoned nurses.

We need to recognize that our ultimate goal is to demonstrate professionalism not only in practice, but also in our conduct. Then and only then will we be recognized and respected by patients, peers and other professionals. ●

All nurses should be able to walk out on the floor or unit each day knowing they can make a difference. They should never be put in a position where they don’t feel valued, recognized or appreciated for the talents they bring to nursing every day.

By Ashley Petry

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Cover Story


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Just as iPhones and Kindles have changed the way

we live our personal lives, new technology is changing the professional practice of nursing.

In the past decade, many nursing schools have developed a new specialty track called nursing informatics to help nurses manage the integration of information technology and patient care.

“Nursing informatics is about information management in nursing,” said Josette Jones, PhD, associate professor of nursing and health informatics at IUPUI. “It’s not just about using computers. It’s about how you deal with the massive amount of information and make decisions with it.”

The Indiana University School of Nursing includes an informatics course as part of the core curriculum for its master’s degree in nursing administration. Other MSN candidates can take a nursing informatics practicum and introduction to nursing informatics.

Nursing informatics: Technology + patient care = better outcomes

Continued on Page 14

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12 Indiana Nursing Quarterly • indystar.com/nursing • Fall 2011

White, tan and brown fruits and vegetables contain

varying amounts of phytochemicals of interest to scientists.

theof health

Brought to you by:

For more information visit fruitsandveggiesmorematters.org marsh.net

Your Guide to the Many Benefits of Fruits & Vegetables...

Fill half your plate with fruits & vegetables. Getting a colorful variety of fruits and vegetables is

important! Why? Because colorful fruits and vegetables provide the wide range of vitamins, minerals, fiber and

phytochemicals your body uses to stay healthy and energetic, help maintain a healthy weight, protect against

the effects of aging and reduce the risk of cancer and heart disease.**Diets rich in fruits and vegetables may reduce the risk of some types of cancer and other chronic diseases.

Green fruits and vegetables contain varying amounts of

phytochemicals such as lutein and indoles, which interest

researchers because of their potential antioxidant,

health-promoting benefits.

Specific phytochemicals in the red group that are being

studied for their health-promoting properties include

lycopene and anthocyanins.

[ carbohydrates, proteins & fats ] Compounds found

in foods that the body uses to generate energy or build cells.

[ phytochemicals ] Natural plant compounds that may

provide a variety of health benefits. Many of the bright

colors in fruits and vegetables come from phytochemicals.

[ antioxidants ] Plant substances that protect

the body by neutralizing free radicals, or unstable oxygen

molecules, which can damage cells and lead to poor health.

[ vitamins & minerals ] Natural substances contained

in a wide variety of foods, long recognized as essential to

maintaining healthy body systems. Scientists have defined

specific daily amounts that are necessary for good health.

Blue/purple fruits and vegetables contain

varying amounts of health-promoting

phytochemicals such as anthocyanins and

phenolics, currently being studied for their

potential antioxidant and anti-aging benefits.

Yellow/orange fruits and vegetables contain varying

amounts of antioxidants such as Vitamin C as well

as carotenoids and bioflavonoids, two classes of

phytochemicals that scientists are studying for their

health-promoting potential.

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White, tan and brown fruits and vegetables contain

varying amounts of phytochemicals of interest to scientists.

theof health

Brought to you by:

For more information visit fruitsandveggiesmorematters.org marsh.net

Your Guide to the Many Benefits of Fruits & Vegetables...

Fill half your plate with fruits & vegetables. Getting a colorful variety of fruits and vegetables is

important! Why? Because colorful fruits and vegetables provide the wide range of vitamins, minerals, fiber and

phytochemicals your body uses to stay healthy and energetic, help maintain a healthy weight, protect against

the effects of aging and reduce the risk of cancer and heart disease.**Diets rich in fruits and vegetables may reduce the risk of some types of cancer and other chronic diseases.

Green fruits and vegetables contain varying amounts of

phytochemicals such as lutein and indoles, which interest

researchers because of their potential antioxidant,

health-promoting benefits.

Specific phytochemicals in the red group that are being

studied for their health-promoting properties include

lycopene and anthocyanins.

[ carbohydrates, proteins & fats ] Compounds found

in foods that the body uses to generate energy or build cells.

[ phytochemicals ] Natural plant compounds that may

provide a variety of health benefits. Many of the bright

colors in fruits and vegetables come from phytochemicals.

[ antioxidants ] Plant substances that protect

the body by neutralizing free radicals, or unstable oxygen

molecules, which can damage cells and lead to poor health.

[ vitamins & minerals ] Natural substances contained

in a wide variety of foods, long recognized as essential to

maintaining healthy body systems. Scientists have defined

specific daily amounts that are necessary for good health.

Blue/purple fruits and vegetables contain

varying amounts of health-promoting

phytochemicals such as anthocyanins and

phenolics, currently being studied for their

potential antioxidant and anti-aging benefits.

Yellow/orange fruits and vegetables contain varying

amounts of antioxidants such as Vitamin C as well

as carotenoids and bioflavonoids, two classes of

phytochemicals that scientists are studying for their

health-promoting potential.

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Cover Story


Another option is to earn a graduate certificate in health informatics from the IU School of Informatics.

“We cover the three focus areas of informatics, which are information competency, leadership competency and computer skills,” Jones said.

Similarly, the College of Nursing and Health Professions at the University of Southern Indiana offers health care informatics as a core course for the MSN concentration in nursing management and leadership.

In general, informatics courses tend to address potential ethical and social issues in informatics, as well as data acquisition, management, representation and presentation.

Informatics career paths | Nurses with a specialty in informatics are in high demand, although job titles aren’t yet well defined and often vary from one employer to another.

“In 2002, I would say, there was about one person per hospital or per unit,” Jones said. “Now there are several, and our program is growing exponentially.”

Generally, nurses with informatics training serve as liaisons between

the IT department and the nursing leadership. They also might help implement new systems such as electronic medical records.

“Very often, I have seen them get the leadership role at the unit level to communicate with the higher-ups,” Jones said.

A new mindset | As the field of nursing informatics grows, so does the list of available resources for nurses. One is the Online Journal of Nursing Informatics, ojni.org, which was launched in 1996. The professional, refereed journal covers the theoretical and practical aspects of nursing informatics.

Another resource is the TIGER project, which stands for Technology Informatics Guiding Educational Reform. More than 1,500 nurses with expertise in informatics have joined the project, which identifies nursing informatics best practices and works to integrate them into nursing practice and nursing education.

A valuable tool | The Alliance for Nursing Informatics is another leader, serving as an umbrella organization

Continued from Page 11

Generally, nurses with informatics training serve as liaisons between the IT department and the nursing leadership.

MARCLEBRYK/CUSTOMPUBLICATIONS

JosetteJones,(secondfromleft)isassociateprofessorofnursingandhealthinformaticsatIUPUI.Shesaidnurseswithinformaticstrainingareplacedinleadershiproles.

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for other nursing informatics organizations. It also offers training programs for emerging leaders in nursing informatics.

Despite the rising profile of nursing informatics, some nurses continue to resist the integration of new technology into their nursing practice. Jones said nurses often say they would rather focus on working with patients than working with computers. Eventually, though, they come to realize that new technology can help improve the delivery of patient care.

“It makes [the practice of nursing] more intensive but also better,” Jones said. “We have more data to make our decisions, so we can be more precise and help patients better.”

Linda Hainlen, manager of the Learning Solutions department at IU Health, said hospitals spend a

significant amount of time training nurses on technology used within their health care systems — and nurses themselves are participating more than ever in the implementation of that technology.

“The approach has really changed,” Hainlen said. “It used to be that you went and took care of a patient, came back and documented it in your computer. Now, as we get newer devices that we can take into patient rooms, it’s part of the care instead of something we do afterward.”

That leads to more accurate documentation, Hainlen said, partly because health care professionals no longer have to decipher each other’s handwriting.

“I want [nurses] to see technology not as an enemy but as a really valuable tool,” she said. ●

Get the credentialsInadditiontopursuingmaster’s

degreesandcertificateprogramsinhealthinformatics,nursescansitfortheAmericanNursesCredentialingCenter’sexamininformaticsnursing.

Candidatesmusthaveatleastabachelor’sdegreeinnursingorarelevantfieldandmustholdacurrentRNlicense.Theyalsomusthavepracticedfortheequivalentoftwoyearsasfull-timeRNs,mustmeetcertaininformaticspracticerequirements,andmusthavecompleted30hoursofcontinuingeducationininformaticswithinthepastthreeyears.

Formoreinformation,visitwww.nursecredentialing.org.

LindaHainlenmanagestheLearningSolutionsdepartmentatIUHealthwhereshetrainsnursesontheuseoftechnologyinmedicine. MARCLEBRYK/CUSTOMPUBLICATIONS

Careers & Training

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AnanonymousgifttotheIndianaStateUniversityFoundationwillhelptheuniversityaddressanationwideshortageofnursesbyprovidingscholarshipstostudentswhoplantobecomenurseeducators.

The$50,000giftwillfundscholarshipsforupto10studentsduringthenexttwoto

IWU offers dual degreeIndianaWesleyanUniversityhasrecruited11studentsinthefirst

cohortforathree-yearonlineprogramthatwillawardstudentsbothanMSNandanMBA.Thisisthefirstdual-degreeprogramforIWU.

Thedualdegreeisfornurseswhoareinterestedinmid-toupper-managementpositions.Itwillhaveastrongemphasisonfinancesas

wellasleadershipinthehealthcaresetting.MSN/MBArecipientscouldbecomehospitalchief

nursingofficer,departmentdirectororunitmanager,Drakesaid.Thedegreewillincludegraduate-levelcoursesinfinance,economicsandaccounting;

organizationalbehavior,nursingmanagementandhealthcarefinance;andnursingtheory,healthcarepolicyandethics,amongothers.

IWUdecidedtooffertheprogramafterhearingfromrepresentativesofthehealthcarecommunityinIndiana,KentuckyandOhiothathospitalsintheregionneedmorebroadlyeducatednurseadministrators.

Nursing on the upswingArecentstudyfoundthatbetween2002and

2009,thenumberofwomenaged23to26whobecamefull-timenursesincreasedby62percent.That’saturnaroundfromthe1980sand90swhentherewasanursingshortage.Manybelievethatnumberwillcontinuetoincrease.

“Theprofessionhasevolvedoverthelastcentury,”saidDr.MarceeEverly,chairpersonoftheDepartmentofBaccalaureateNursingatIndianaStateUniversity.“There’snowalotmoreknowledge,alotmoreautonomy.”

Expertssaythebiggestreasonfortheemploymentincreaseisbecauseofthejobsecuritynursingoffers.Source:MyWabashValley.com

Find out more

Gift will help train nurse educatorsfouryears.ThestudentsmustagreetoteachintheCollegeofNursing,HealthandHumanServicesaftercompletingaPhD,DoctorofNursingPracticeorDoctorofEducation.

Nationwide,onlyone-thirdofnurseeducatorsholddoctorates,comparedwith60percentofallpost-secondaryfacultymembers.

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Your WorldBy Karen Murray

Marital compatibility | Kari and Chris Nodine share more than high school memories, a young family and a home in Pendleton. Chris is the living donor who saved Kari’s life.

When she was four months old, doctors removed Kari’s left kidney because of a nephroblastoma or Wilm’s Tumor. Follow-up treatment for this kind of cancer includes chemotherapy and radiation. By the time she was 36, Kari’s remaining kidney started to fail.

“My right kidney’s slow decline in function was likely due to the radiation during my treatment,” Kari said.

By 2010, Kari, an RN and EMT at Community Hospital Anderson, was undergoing peritoneal dialysis every eight hours. Though she loves her job, her health forced her to reduce her schedule.

Kari’s blood relatives were tested for compatibility as kidney donors, but all were rejected. Her co-workers tested, too, with no luck. Chris, a firefighter/paramedic, was well aware of his wife’s dire status. Without Kari’s knowledge, he tested for compatibility, too.

“There was no hesitation on my part,” Chris said. “I hoped to surprise Kari with good news.”

That good news came via cell phone as Chris, Kari and her mother were having dinner at a restaurant. When his mother-in-law let out an ecstatic “Whoop!” Chris explained the happy commotion to the other diners.

The six-hour transplant took place on Feb. 15, 2011, but the kidney didn’t work right away. For the next four weeks, Kari underwent hemodialysis three times per week.If the new kidney failed to work, dialysis would continue until another donor was found.

“It’s called a sleepy kidney,” Kari said. “It had to be coaxed into fully working. In the hospital, I was getting sicker and sicker, waiting for this kidney to function.”

On March 10, the couple’s 10th wedding anniversary, Kari noticed a need to urinate more often. Tests confirmed success.

“That’s how organ donation goes,” Chris said. “[In my job] I often see death and dismemberment, so it’s good to have happy endings.”

Organ donation:Giving and receiving a second chanceIn1954, when a Massachusetts man donated a kidney to his ailing twin brother, it functioned for a year, establishing an organ transplantation milestone.

In the 1960s, tissue typing and the introduction of drugs to suppress the immune system (thereby decreasing the potential for organ rejection) advanced organ transplantation further.

Today, kidneys are by far the most frequently transplanted organ and can come from living or deceased donors. The United Network for Organ Sharing manages a national database of more than 110,000 patients awaiting transplants. Nearly 1,500 of those are Hoosiers.

Deceased donation | The Bureau of Motor Vehicles gives drivers the option to indicate on their licenses their desire to become organ donors after their death. Deceased organ donors can give kidneys, pancreas, livers, lungs, hearts, intestinal organs, tissue and corneas.

Typical circumstances that render a person’s organs suitable for donation after death include accidents, strokes and aneurysms in which the brain is damaged beyond recovery. To be viable, a deceased person’s organs must

have blood and oxygen flowing through them until they are removed.

Living donation | Living donors successfully donate kidneys, lungs and portions of their liver and intestines. Compatibility testing takes 30 to 60 days and investigates blood and tissue typing and other health concerns.

A nondirected living donation is made by a stranger; a directed living donation is made by someone the recipient knows. Directed living donations of kidneys are on the rise at St. Vincent Health, where six such transplants were performed in 2010. That number doubled in 2011, and the 2012 total is expected to surpass that mark. Tami Rader is St. Vincent’s first transplant coordinator

dedicated solely to working with living donors. “Our goal is to protect the donor,” Rader said. “We look

for indications that donors are healthy and not at risk for complications later in life. We have [them] talk to someone who’s donated already. Donors can decide to withdraw at any point, even up to the day of surgery.”

Nurses who have been there

Because people have two kidneys but can live with only one, they are the most frequently transplanted organs.

“I was getting sicker and sicker, waiting for this kidney to function”

— Kari Nodine

M18


Your World

Diabetic effect | Lisa Stiffler, RN, CNN, a certified nephrology nurse for IU Health, knows kidneys. She counsels diabetics with kidney disease, steering them to kidney transplants when dialysis loses effectiveness.

Stiffler, 48, also intimately knows diabetes: She was diagnosed with Type I diabetes at age five. She empathizes with the varied challenges her diabetic patients face: meal planning, blood

glucose monitoring, and the desire to avoid inconveniencing loved ones.

At an early age, Stiffler adopted healthy habits that include daily athletic activity and eating a balanced diet. Diabetes didn’t damage her kidneys, but it threatened her life in another way. Starting in 2006, she noticed that she was becoming insensitive to extreme blood sugar swings. Blackouts became common.

“All diabetics get lows and manage lows — but my lows had become bad

and frequent,” she said. “I was having two or three episodes a day. Once, I woke up on the kitchen floor with my child standing over me, offering me a Pop-Tart. I had no memory of how I got there.”

Despite a blood sugar monitor and an insulin pump embedded in her mid-section, Stiffler’s diabetes was uncontrollable.

“I didn’t want to die, lying on the kitchen floor with my daughter standing over me trying to wake me up and save my life,” she said. “But that’s where I was headed.”

One day in 2008, Stiffler read an article about the success of kidney transplant patients who also had pancreas transplants several months later.

“This made me think: ‘Why can’t I get a new pancreas?’ ”

She researched that possibility and learned that her frequent, plunging blood glucose levels qualified her for the pancreas transplant list. In 2009, a 21-year-old Albuquerque man who’d been killed protecting his roommate during an armed robbery provided

Stiffler with a pancreas and partial bowel.

“My life on a day-to-day basis is so different from what it was before,” she said. “I don’t have that constant worry. I can run or water ski without having to stop to make sure my blood glucose levels aren’t getting dangerously low. I just live my life.”

Now, Stiffler said, the only monitoring she does is voluntary.

“Since the transplant, I’ve checked my blood sugar every day because it just makes me feel so good that it’s normal. Every time.”

It’s a 3-peat.Wecouldn’t have done it without your hard work and dedication.

With three consecutive honors from both Modern Healthcare Magazine’s Best Places to Work in Healthcare AND IndianaChamber of Commerce’s Best Place to Work, it’s no secret that Hancock Regional Hospital boasts the best nurses in thebusiness. We want to thank you, our nurses, for our consistent winning streak. We are currently accepting applications from

Registered Nurses For more information or to apply online, visit theCareers section of our website:

www.hancockregional.org

801 N. State Street, Greenfield, IN 46140 EOE

pdf

Patients on the Indiana waiting list: 1,432Kidney: 1,220Liver: 86Lung: 76

Kidney/pancreas: 65Heart: 43

Pancreas: 32Intestine: 13

Livingdonorstodate:1,536Deceaseddonorstodate:2,652

“ I don't have that constant worry ... I just live my life”

— Lisa Stiffler

NURSE19


Your World

Equal Opportunity Employer

BE PART OFSOMETHING GREAT.At the Indiana Orthopaedic Hospital, our nurses deliverextraordinary patient-focused care and receive exceptionalrewards for doing so. If you are a nurse looking to bechallenged, rewarded and recognized for the exceptionalcare you deliver everyday, then it’s time you make the moveto the Indiana Orthopaedic Hospital.

Check out the opportunitieswaiting for you at

OrthoIndy.comand be a part of something great!

pdf

For more information about organ donation:Indiana Organ Procurement Organization,Inc.www.iopo.org

Donate Life Indiana www.indianalastwishregistry.org

United Network for Organ Sharing www.unos.org

Twice blessed | Romma Woodward, RN-BC, MSEd, MSN, director of clinical education for Community Health Network, has a large extended family. In 1996, they united around a life-and-death crisis for Woodward’s great-niece, Morgan Dale, who was born with a rare disorder that affected her heart.

When she was seven weeks old, Dale went into surgery with doctors prepared to replace her heart valves. What they found shocked them.

“They opened her chest and, instead of heart valves, found clots,” Woodward said. “Surgeons told us that she was on a waiting list for a heart transplant and that all we could do was wait.”

Dale came out of surgery with her chest not sutured together, and was put on life support, but her condition weakened with each passing hour.

“I knew when she was out of the first surgery that she might not get a newborn heart in time,” Woodward said. “I didn’t want to say anything that would cause my family to give up hope for

the best outcomes.”After five days, Dale received a strawberry-sized newborn heart, which

served her well for a decade. Because a transplanted heart doesn’t grow at the normal rate, another transplant when she was 10 years old gave Dale an adult-sized heart. Today, the vivacious 15-year-old promotes the Indiana Organ Procurement Organization and raises funds for Riley Hospital for Children.

Through it all, Woodward viewed her great-niece’s successes and setbacks through the lens of her vocation.

“I was the only medical person in the family, so I acted as interpreter for the medical jargon,” she recalled about Dale’s dire early days. “Even when you’re familiar with what’s going on, it’s still overwhelming.” ●

Patients on the national waiting list: 112,570Kidney: 90,563Liver: 16,074Heart: 3,122Kidney/pancreas: 2,112Lung: 1,671Pancreas: 1,326Intestine: 278Heart/lung: 63

Livingdonorstodate:115,154Deceaseddonorstodate:260,934

“ Even when you’re familiar with what’s going on, it’s still overwhelming.

— Romma Woodward

NURSE20


Your World By Ashley Petry

When she was pregnant with her first child, Wendy Deaton, RN, BSN, CNML, had a mother’s intuition that something was wrong with her baby.

Sure enough, an hour after her son, Mack, was born, a nurse from the NICU told her that the child had Down syndrome. It would take two weeks to get the final confirmation, but Deaton and her husband, Andy, knew they had a tough road ahead.

At the time, Deaton told her mother:

“I’m kind of numb. I don’t really know how I should feel.”

To which her mother replied, “This is supposed to be the happiest day of your life. Don’t let the devil steal your joy.”

Since then, the Deatons have operated on that principle, focusing on the positive aspects of their situation and remembering that many other families face worse situations.

Mack is now 16, and able to manage many daily-living tasks on his own. But he also has insulin-dependent diabetes and hypothyroidism, so

the Deatons must be vigilant about managing his medical conditions.

“I don’t know that he will ever live independently or work without a job coach,” Deaton said. “He has to be supervised all the time.”

A better advocate | Deaton, who has worked for 23 years as a labor-and-delivery nurse, is just one of many nurses who serve as dual caregivers, ministering to their patients at work and caring for loved ones at home.

“I think by nature women are caregivers, so whether they work

Pulling double duty:

Some nurses are caregivers both at work and home

InadditiontocaringforpatientsatHendricksRegionalHospital,WendyDentoncaresforher16-year-oldson,Mack,athome.MackwasbornwithDownsyndromeandhasinsulin-resistantdiabetes.

MarcLebryk/CUSTOMPUBLICATIONS

NURSE21


Your Worldin the home or outside the home, they’re all struggling with balancing that,” Deaton said.

The dual-caregiver role can be exhausting mentally, physically and emotionally, and Deaton admits that she sometimes struggles to be more patient at home. On the other hand, she said, being a nurse makes her a better advocate for her son.

“It’s a blessing for me, being a nurse, because I understand how health care works,” she said. “Some people dealing with the health-care system might get frustrated, but that doesn’t happen to me. I’m not afraid to ask questions.”

More intuitive | Many baby boomer nurses find themselves in what is called the “sandwich generation,” still raising children at home but also caring for aging parents.

One is Peggy Whitlow, ASN, a medical-surgical nurse at Wishard Health. Her 92-year-old mother has advanced dementia as the result of a stroke and recently moved in with

Whitlow, her husband and 16-year-old son.

“I’m really good at separating,” she said. “When I’m at work, I’m at work. When I’m at home, I’m at home. It’s sometimes challenging, just because you feel like you don’t have enough time or energy to do what you need to do.”

On the plus side, Whitlow said she is now more sensitive to her patients’ needs, especially their nonverbal cues.

“A stranger could come in here and see my mom and say, ‘She’s looking good,’ whereas I can look at her and say, ‘She’s having some pain,’ ” she said. “I’m a lot more careful now, and I talk to families if I have a patient who is in my mom’s shoes.”

Coping with dual responsibilities | Being a dual caregiver takes patience and stamina, but Deaton and Whitlow say it can be done, if caregivers are willing to ask for help when they need it.

“I think that because a person is a nurse, people think, ‘Oh, she can do it, she’s a nurse,’ ” Deaton said. “Try not

to take it all on yourself, and make sure you’re clear with those who are helping you.”

It also is important, they say, to take a break every now and then — although they both admit they don’t do this often enough.

“We don’t really ever truly get away,” Deaton said. “Our son is very attached to us, and he gets upset when we go out of town. That’s something I could be better at.”

Whitlow said she rarely leaves the house when respite care is there, but she takes the time to read a book or enjoy a quiet meal with her husband and son.

With support and a positive attitude, she said, being a dual caregiver can become a positive experience.

“This is my immortality,” Whitlow said. “What I do for my mother, taking care of someone and being kind, this is what is going to make me live forever. A million years from now, the world will be a little bit better place because I can be kind and care for someone.”●

jobs.stvincent.org

We’re looking for nurses who exceed expectations.

HerO. Healer. Nurse.

TolearnmoreaboutworkingforSt.Vincent,visitjobs.stvincent.org.

At St.Vincent, we bring cutting-edge technology to faith-based care. And we know that a dedicated nurse brings much more to the job than education and experience. We’re looking for the best and brightest nurses to join our growing family.

Did you know that St.Vincent:

• Offersflexiblescheduling• Hasvaluessteepedinfaith-basedtradition• Supportsyourclinicaladvancementgoals• Iscentrallylocatedforaneasycommute

NURSE22


About mePosition: Founder,TheGathering

TogetherinPlainfield

Education: ASN,NewYorkRegentsCollege

Experience: Hospicenurse

with Rita Fiorentino

Your World

You worked in real estate for years and went into nursing as a second career. What moved you to do that?

“I was 41 when I went into nursing. I had recently graduated from a Bible college and I was doing missionary outreach in the Virgin Islands. I had this clear sense of giving back in service to the world for the second half of my life

because I had so much fun in the first half.

“My mom had been in the hospital and she had some problems that I think could have been handled [with fewer complications]. There’s a saying: ‘The next thing that God puts in front of you is the thing to do.’ And it just popped up. When my mom had those problems, God just put it on my heart that this was what I had to do.”

You’re from the San Francisco area. What brought you to central Indiana?

“I had a friend in Indiana who was looking for someone to take care of their house while they were out doing ministry things, so I decided to move here. I was here for a couple of years and then moved back home because my parents were getting older and had

By Holly Wheeler


M23

some health issues. I stayed there for a number of years and started working in hospice care. I came back to Indiana in 2001 to visit friends, and when I went to church on Sunday I just heard the Lord say ‘Come back. This is home for you now.’ I bought this building, which is my home, the very next day.”

What prompted you to found The Gathering Together?

“Working as a hospice nurse, I saw that there was a need in hospice care for this sort of place. I don’t call it a hospice, because it’s not. It’s a home for the terminally ill. I wanted to step in as a surrogate family and offer a safe and comfortable place where families or individuals who don’t have anyone can come and get the help they need to care for the dying.”

How has The Gathering Together grown since you founded it?

“It used to be just me, but now we have more people who help, so I’m not just doing it by myself. In the past

Send an email to [email protected] Tell us about your world

TheGatheringTogetherwasfoundedin2002.Itsmissionistoprovideacomfortablehomeenvironmentwheretheterminallyillandtheirfamiliescanspendtheirlastdays,freeofcharge.

Lettuce Gather Together fundraiserWhen:Sunday,April29Where:TheGatheringTogether,147N.CenterSt.,PlainfieldMore information: (317)837-9570Website:www.thegatheringtogether.org


few years, we’ve gotten a very active board of directors and committed volunteers. Many of our volunteers are people who have been touched by the hospice experience. Some of our strongest volunteers have had family stay here. In 2010 we had nine patients, and in 2011 we had 19 patients.”

What are some of the rewarding parts of the work you do?

“These people are undergoing a crisis in their lives, and they just open up and let me be a part of it. I think it’s a miracle that they can allow me and The Gathering Together and the volunteers into their lives and let us share in what they’re going through.

“Being able to care for patients one-on-one is hugely rewarding, because that doesn’t happen a lot in nursing, being able to spend as much time as you need to with someone. I’ve laughed and cried with a lot of people and rejoiced with them as well. It’s amazing. God is good.”

What are some of the challenges? “Being tired is probably one of the big

challenges. I work at night as a phone triage nurse for a hospice, which allows me to support myself and remain at home to run The Gathering Together. I can get tired, especially if we have patients one right after the other and patients who don’t sleep well at night.

“Finances are always a challenge as well. It takes a lot more than I have to maintain this home. People make donations and they’re very generous.” ●

RitaFiorentino(left)andanassistant,visitapatientatTheGatheringTogether.

M24

Joinour mission. Work alongside the greatest

healer of all time

INDIANAPOLIS STAR NEWS Nursing Magazine1ATM004265B

7.25 x 9.75” (4c process) KMURRAY JWISFR0361

jb Nursing Magazine

At St. Francis Health,

we believe

delivering healthcare

is more than a job.

It’s a calling.

If you have an angel’s

touch and a servant’s

heart, we invite you

to join our mission.

The people, the faith-based ministry, professionalism and compassionate care are what make St. Francis Health a great place to have a rewarding career in health care.

We are currently seeking candidates for the following positions:

Beech Grove Campus

Nurse Practitioner – Oncology The qualified candidate must be a graduate of MSN accredited program, accredited Nurse Practitioner, eligible for prescriptive privileges within Indiana. Oncology experience required.

RNs – Emergency Department, Intensive Care, Resource Center, Operating RoomCurrent Indiana RN license is required. Previous experience within designated specialty is needed.

Indianapolis Campus

RNs – Emergency Department, Intensive Care, Labor & Delivery, Resource Center, Operating RoomCurrent Indiana RN license is required. Previous experience within designated specialty is needed.

Unit Manager – Labor & DeliveryThe qualified candidate must possess a BSN from an accredited school of nursing and a valid Indiana RN license. MSN is preferred. Previous management experience is required. A background in business is ideal.

Unit Manager – Medical Progressive Care The qualified candidate must possess a BSN from an accredited school of nursing and valid IN licensure. Master’s preferred. A minimum of 3-5 years management experience and experience in project management, budgets & productivity; cardiac experience is required.

Carmel Campus

RNs – Operating RoomCurrent Indiana RN license is required. Previous experience within designated specialty is needed.

Please visit our website at

www.stfrancishospitals.org/careers for a list of additional opportunities and to apply.

St. Francis Health is part of the Franciscan Alliance. Equal Opportunity Employer

indiana nursing quarterly feb 2012

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