key accomplishments 2008 · accomplishments of the nurses of gettysburg and york hospitals. without...

32 2009 Acute Care Nursing Progress Report • Excellence in Nursing2009 Acute Care Nursing Progress Report • Excellence in Nursing

Table of Contents

Chief nursing officer message........................ 2

Key accomplishments.....................................4

CareCom: Teamwork in action.......................6

Magnet: Culmination of a journey ................10

Embracing relationship-based care ..............14

Professional practice councilaccomplishments ..........................................16

Gettysburg attacks hospital-acquiredinfection.........................................................26

Nursing leadership development ..................28

Awards and achievements ............................30

President’s message .....................................47

Introduction

Kris O’SheaChief Nursing OfficerGettysburg Hospital

Valerie Hardy-SprenkleChief Nursing Officer

York Hospital

This report is a celebration of achievement—your

achievement. Our legacy of nursing excellence

continues. Each year, the WellSpan Acute Care

Nursing Progress Report documents the remarkable

accomplishments of the nurses of Gettysburg and

York hospitals. Without exception, its pages

annually overflow with inspiring stories of

teamwork, individual initiative, and contributions to

the professional practice of nursing.

Yet we think you will agree that this past year

was remarkably unique. Over the past 12 months,

we as a group faced a variety of daunting challenges.

Technology changed the way we practice nursing

and provide care to our patients. A new model of

care has helped us reinvent our relationships with

patients and colleagues. These and other important

initiatives added fresh demands to an already

challenging and fast-paced work environment.

To be sure, the sweeping changes of the past year

were intimidating, but you rose to meet them with

unmatched determination and

professionalism and were

incredibly successful. During

each transition, you

maintained the outstanding

level of care that your patients

have come to expect and

appreciate. You also showed a

remarkable capacity for

cooperation and collaboration.

The implementation of a

shared electronic health

record at both hospitals was

an unbridled success. Care

Communication offers

tremendous potential as

together we enter a new era

in patient care.

We can all celebrate the honor as well as the

benefits associated with Magnet designation, which

was awarded to York Hospital in January 2009. This

prestigious award is a testament to the pride,

passion and professionalism shared by all WellSpan

nurses, and it will help us enrich our professional

practice and nursing tradition system-wide.

Relationship-based care (RBC) also presents

valuable opportunities for enhancing our care to

and relationships with our patients and their

families. Since that model is

firmly anchored in the most

fundamental relationship in

health care—the unique

connection shared by patient

and nurse—we know that

you are directly responsible

for its early successes. We

look forward to hearing more

of your inspiring stories as

RBC continues to grow and

flourish.

Further, Gettysburg was

one of just five rural

Pennsylvania hospitals chosen

for the innovative federal

project entitled “Spiraling

Upward for Nurse Retention & Quality Care.” This

three-year endeavor, funded by a grant from the

Health Resources and Services Administration

(HRSA), will further enhance the hospital’s work

culture.

Medical/surgical units at both York and

Gettysburg hospitals are looking forward to the

Thank you for all your

tireless efforts of the past, and

for all you are poised to do in

the future. You make our

organization the outstanding

health care system that it is.

The responsibilities of a nurse

are infinite, and your time is

precious.

“Transforming Care at the Bedside” initiative

sponsored by the Robert Wood Johnson

Foundation. It promises exciting new concepts in

safety and reliability, teamwork, and patient-

centered care.

Thank you for all your tireless efforts of the

past, and for all you are poised to do in the future.

You make our organization the outstanding health

care system that it is. The responsibilities of a

nurse are infinite, and your time is precious.

However, we invite you to take a few moments

and enjoy reading this report. Savor the

extraordinary achievements you and your

colleagues have made together, and reflect on your

enormous contributions to a grateful community.

Sincerely,

Valerie Hardy-Sprenkle

Chief Nursing Officer

York Hospital

Kris O’Shea

Chief Nursing Officer

Gettysburg Hospital

From the ChiefNursing Officers

◆

52009 Acute Care Nursing Progress Report • Excellence in Nursing4 2009 Acute Care Nursing Progress Report • Excellence in Nursing

Key Accomplishments 2008

January 2008

Elizabeth Fisher, RN, BSN, completes the first York

Hospital EBP/NR Fellowship – Development of

monitoring protocols for the administration of IV

Metoprolol

April 2008

Peter Eisert, RN, BSN, completes the second York

Hospital EBP/NR Fellowship – Development of

guidelines for forensic evidence collection in the ED

and OR

April 2008

First Annual Nursing Research Day – cosponsored

by WellSpan nursing, York College and Sigma Theta

Tau International

April 2008

York Hospital SDM Practice Council hosts SDM

chairs and members from Franklin Square Hospital

Center in Baltimore for professional practice

consultation and mentoring

May 2008

CareCom “Go-live” – Gettysburg Hospital including

Interactive View (Iview) and Electronic Medication

Administration Record (eMar)

May 2008

Relationship Based Care – Wave 1 units “Go-live”

(ED, Tower 2, BHS, 6 Main)

June 2008

Go Live for SurgiNet electronic documentation

system for Gettysburg Hospital surgical services

July 2008

2000+ page Magnet document submitted to

American Nurses Credentialing Center – York

Hospital

July 2008

Notification received that Gettysburg Hospital was

selected to participate in the “Spiraling Upward for

Nursing Retention and Quality Care” grant

sponsored by U.S. Health Resources and Services

Administration

October 2008

Dr. Linda Pugh – Nightingale

winner

October 2008

Alan Carroll lectureship speaker Jayne Felgen

introduced the principles of Relationship Based Care

to Gettysburg nurses and ancillary staff

November 2008

Magnet Site Appraisal Visit – York Hospital

December 2008

Achieved a 90 percent response rate for the Gettysburg

“Spiraling Upward” RN survey, designed to assess the

work environment and set the priorities for improvement

January 2009

York Hospital receives designation

as a Magnet hospital

February 2009

Gettysburg and York Hospitals selected to

participate in the RWJ Transformation of Care at the

Bedside (TCAB) national collaborative

March 2009

CareCom “Go-live” – York Hospital including

Interactive View (Iview) and Electronic Medication

Administration Record (eMar)

April 2009

Gettysburg Hospital introduced a revitalized multi-

disciplinary rounds process, designed to better “tell

the story” for inpatients and develop the plan of care

April 2009

Second Annual Nursing Research Day – co-

sponsored by WellSpan nursing, York College, Sigma

Theta Tau International and Memorial hospital

April 2009

York Hospital becomes a clinical examination site

for Excelsior College LPN to RN program

May 2009

Relationship Based Care – Wave 2 units “Go-live”

(Tower 3, 6 South, Pulmonary, Oncology, Tower 4)

May 2009

York Hospital SDM Coordinating Council chairs

requested to consult and provide a professional

practice of nursing presentation to Adventist Rehab

Hospital nurses

May 2009

WellSpan nursing is a founding member of the

South Central PA EBP/Nursing Research consortium

Throughout the year

• 13 nursing publications accepted involving 21 WellSpan nurses

• 30 oral presentations accepted involving 38 WellSpan nurses

• 43 poster presentations accepted involving 100 WellSpan nurses

• 120 new on-line PSNA accredited nursing education modules have been added

• The nursing webpage has been updated and SharePoint portal has been developed

• New nursing applications and scenarios have been created and implemented in the simulation lab

• Crew resource management training and implementation has been provided to over 200 healthcare providers

• Supported the development of RN to BSN students by offering 4, 3 credit classes on site atGettysburg Hospital, attended by 20 RNs

Linda Pugh

◆

72009 Acute Care Nursing Progress Report • Excellence in Nursing6 • Excellence in Nursing

CareCom:Teamwork in Action

Bringing the electronic health record to both WellSpan hospitals

was a multi-year process of planning, preparation, and most of

all, teamwork

A Brief History

CareCom dates back to February 2007,

when a diverse team of professionals from York

and Gettysburg hospitals came together to

design a comprehensive electronic health

record. They examined every aspect of patient

care, seeking to streamline workflows and

support the daily tasks of nursing.

The team incorporated essential components

such as Interactive View (Iview) for direct

charting. The Electronic Medication

Administration Record (eMAR) would feature

positive patient identification through barcode

scanning and replaces the traditional paper MAR.

Every element was geared to augment patient safety,

improve access to data, and boost efficiency.

Following a rigorous testing phase of the new

system, staff training at Gettysburg Hospital began.

Based on lessons from the past, a decision was made

to have clinical providers lead the training sessions,

rather than IT instructors.

“We actually had nurses teaching the classes,

which was very innovative,” said Sharon Muller, RN,

MSN, coordinator for nursing informatics. “The IT

educators were there to handle technical issues, but

99 percent of the questions that came up were

related to the process of doing the work.”

Muller explained that unique training methods

were just the beginning. Nursing leadership also

made a special commitment to supporting staff

during the implementation phase. Each unit sent

10 percent of its workers for advanced CareCom

training. This group joined with the hospital’s

clinical nurse specialists and educators to form a

cadre of “superusers.”

When CareCom went live, the superusers fanned

out across the hospital. They worked exclusively at

helping their coworkers adjust to the new system.

During each shift, superusers were in patient rooms,

fielding questions and offering advice. Muller said

that the presence of these experienced colleagues

helped reassure the CareCom newcomers.

Together, they resolved issues promptly and moved

on to the next patient.

“If something came up, the nurses didn’t have to

call and hope that somebody would come soon,”

Muller said.

Once CareCom had been integrated into the

daily routine at Gettysburg, the nursing informatics

team took time to evaluate the experience. It was

an undeniable success, but there was still room for

improvement. For example, the training sessions

clearly needed to be revamped. Rather than merely

calling up each screen and explaining its function,

instructors would now demonstrate how to

document based on nursing workflow and process.

This practical approach helped new users learn to

navigate the system more quickly.

CareCom’s implementation at York Hospital

took place in two waves: surgical services, behavioral

health, and women & children services began

implementation on March 10, 2009, as did some

ancillary units such as respiratory therapy and the

IV team. The medicine, oncology, cardiovascular

and emergency departments followed two weeks

later. Not only did the implementation need to be

divided into two waves due to size of the units, but

it also allowed the superusers and nursing

leadership team of each wave to spend time

supporting staff as their counterpart wave “went

live.”

continued

The project reached its first major milestone

in May 2008, when Gettysburg Hospital

implemented Care Communication, or

CareCom. Ten months later, the nurses of York

Hospital made the formidable transition,

benefiting from lessons learned at Gettysburg.

Since then, staff at both facilities have been

finding new ways to use and enhance the

system. The CareCom story continues, and so

does the teamwork.


O’Shea believes the future must also include plans for using CareCom to

share wisdom and knowledge. The electronic health record is more than just a

simple documentation tool, she said. It is a communication portal, through

which coworkers can incorporate their understanding and insight into a

patient’s condition. It is for this very reason that the system’s original name

(Care Documentation) was changed to Care Communication.

“We must learn to use the electronic heath record as a means of

communicating with each other about the key needs, concerns, and goals of the

patient,” O’Shea said.

“It was awesome to see the wave two superusers

and nurse leaders support the wave one nursing staff

and vice versa during this massive implementation,”

said Valerie Hardy-Sprenkle, chief nursing office at

York Hospital.

In addition to the invaluable lessons learned at

Gettysburg, the York Hospital staff had another

benefit—the nurses of Gettysburg themselves.

Dozens of experienced CareCom users traveled east

to share their expertise.

“It was a really great example of our two hospitals

sharing available resources,” said Kris O’Shea, chief

nursing officer at Gettysburg Hospital. “I was

particularly proud of how the nurses and their

leadership went all out to support each other.”

“I was impressed at the close collaboration of the

York and Gettysburg nurses not only in the education

and training sessions for CareCom, but also during

the “go-live” at both hospitals,” said Hardy-Sprenkle.

“This collaboration absolutely ensured success of the

new processes of care and documentation of care.”

The result was a remarkably smooth transition.

O’Shea estimated that most people began to feel

comfortable with the system after just three or four

shifts. “Everyone really worked together to create

the success that we had,” she said. “We had a lot of

comments from outside observers that this was the

best go-live they had ever seen.”

The Future

The flurry of activity during those early days has now

faded into memory. Today, there is a confident

determination to make the most of CareCom’s

potential. Sharon Muller’s office routinely receives

suggestions for improvement from staff at both hospitals.

“It’s exciting because the initial learning curve is

over,” Muller said. “The nurses are looking at what

they want to add and what they want to change.

They have embraced the system and are finding

opportunities to make it even better.”

CareCom Design Team

Ruth Brainerd Michelle T Bretzman Jeffrey Busser Kimberly S Coscia Susan L Dayhoff Julie Deel

Melissa Grove Dorothy Jones Kari Juliano Laura Kurish Stacie Maichle Nancy Mann

Arvilla McKinley Heather McKinley Sueanne McKniff Stacey Mease Sara Moody Sharon Muller

Lynn Sanderson Beth Scarbrough Christine Scarpato Kathryn Shull

Mary Waldron Laura Weikert Carole Wilkins Lori Young

John Smyser Wendy Stover

Just as before, this new

challenge will best be met

through teamwork.

◆


Professional Practice

On the afternoon of January 12, 2009, more than

200 York Hospital nurses, physicians, and

administrators huddled around the speakphone in

conference room 1030. Via conference call they

listened carefully to the voice of Dr. Gail Wolf, chair

of the Magnet Commission for the American

Nurses Credentialing Center (ANCC).

“I love having big crowds because I get to be the

first to congratulate you on getting Magnet

designation,” Wolf declared. An enormous cheer

immediately thundered through the room. This

moment was the successful culmination of a five-

year, hospital-wide journey.

“It was clear from your application that the

principles of Magnet are embedded in the DNA of

every one of your staff nurses,” Wolf said.

For Valerie Hardy-Sprenkle, chief nursing officer

at York Hospital, Wolf’s statement was much

appreciated and reinforced something she had

known all along. “Magnet designation is the

external validation of the excellence in quality and

nursing practice that we feel has been here for

years,” Hardy-Sprenkle reflected.

The Magnet journey began years earlier, but its

pace quickened in 2008 with the submission of a

comprehensive hospital portfolio in July, and a

three-day site visit by Magnet appraisers in

November. The appraisers carefully evaluated York

Hospital’s commitment to and integration of the 14

Forces of Magnetism into everyday practice.

“The appraisers were on site to verify, amplify

and clarify the information that we had submitted

in our extensive 2,000 plus page document,” stated

Magnet:Culmination ofa Journey

Hardy-Sprenkle. “We were thrilled with their kudos

and acknowledgement of the excellence in practice,

the interdisciplinary collaboration and the patient

compliments that they witnessed while on site.”

In the follow up report, it stated “appraiser’s

observations, interactions and document reviews

indicated that the Forces of Magnetism are well-

developed, disseminated throughout the

organization, sustained and encultured in the

organization.” The appraisers also sited as an

exemplar the involvement of our nursing staff in the

community, not only locally and regionally, but also

internationally. They found no deficiencies.

“They were very impressed by the high degree of

professionalism and autonomy of our nursing staff,”

said Sedney Pabon, RN, BSN, OCN, who helped

escort the group. “Some staff initially felt anxiety

about being approached by a Magnet appraiser, but

that all changed on the day of our site visit. Once

the appraisers started asking questions, there were

endless stories regarding quality of care, outstanding

clinical outcomes, and research initiatives.”

Kristine LaGore, RN-BC, also served as a Magnet

escort. She agreed that the appraisers “really

encouraged participation and made it very easy to

become a part of the process.”

During their tour, the Magnet appraisers spoke with

more than 400 direct care staff members. They

reported to ANCC that York Hospital’s nurses

“provided strong and consistent evidence of autonomy

over their practice, and input into organizational

decision-making related to quality of care, and

organizational problem solving related to resource

acquisition. As a matter of fact, during the site visit,

comments from the appraisers included: ”I’d love to

work here”; “You have a lot of best practices here; “We

can tell the nursing staff really own their nursing

practice” and “Your clinical effectiveness teams are an

exemplar based on what we’ve seen across the

country”.

Additionally, during the meeting between the

appraisers and the Medical Staff Leadership, the

following comments were made by the medical

staff: “We trust and respect the clinical nursing

staff”; “In the hospital where I used to work, nursing

had no voice. Nursing definitely has a voice here at

York”; “The nursing staff have been true partners

with us in our Crew Resource Management

Initiative – they have helped us be so successful”;

“It’s because of our nursing staff that the birth

trauma rate is so low – they have been key to

making the difference”; “Let’s not forget to mention

an important dimension – the nurses at York

Hospital are real advocates for our patients”.

Based on these and other findings, the Magnet

Commission voted unanimously to designate York

Hospital as a Magnet hospital. Only five percent of

all hospitals in the United States have achieved that

honor.

“It’s the highest recognition a hospital can receive

for demonstrating nursing excellence,” explained

Michelle DeStefano, RN, MPA, NEA-BC, director

of professional nursing practice at York Hospital.

“However, it’s also an organization-wide

recognition. As nurses, we collaborate with so many

other disciplines to obtain that excellence. Our

partners in every department helped York Hospital

obtain Magnet designation.”

Kris O’Shea, chief nursing officer at Gettysburg

Hospital, expressed great pride in the York

An enormous cheer

immediately thundered

through the room. This

moment was the successful

culmination of a five-year,

hospital-wide journey. continued

Magnet Announcement

On January 12, 2009, Dr. Gail Wolf of ANCC notified the nurses of York Hospital that they had achieved Magnet designation.

Watch a video of the Magnet announcement and celebration at www.youtube.com/watch?v=i9ljrWB6Cn4.

Magnet Champions

Judy Alleman .............................Wound Center

Beth Ann Allison......................................NICU

Christa Bamburg ....................Labor & Delivery

Maria Barbaro ....................................OH Team

Patricia Bentz .............T4 Maternity / Newborn

Angela Berkheimer ....................................4SW

Marilyn Brandon .......................Short Stay Unit

Loretta Brooks..............................................OR

Barbara Buchko .............................................T4

Janet Burrows.............T4 Maternity / Newborn

Dora Calhoun .....................................Pediatrics

12 2009 Acute Care Nursing Progress Report • Excellence in Nursing 132009 Acute Care Nursing Progress Report • Excellence in Nursing

Rebecca Cassel ..............................................T3

Carol Cottingham ........................................ED

Tana Currie............................House Supervisor

Aimee Densel................................................T3

Tina Eidemiller ............................................OR

Steph Emenheiser...................................6 Main

Traci Evans ...............................................NICU

Donna Fitz ....................Outpatient Transfusion

Joy Flicker ..................................................4SW

Jennifer Folk ...............T4 Maternity / Newborn

John Garcia ..................................................6 S

Terri Gisher ..........................Behavioral Health

Karen Gladfelter............................................T2

Dawn Grago .........................Behavioral Health

Dare Gray...............................................GI Lab

Judith Gunther........................Surgical Services

Christina Hansen.......................................CCU

Tami Hartlaub ...................................ED / CRT

Wendy Hawse.........................................TSICU

Martha R Henry ..................................OH ICU

Patricia Hinkle ........................................PACU

Betsy Hoffer ..........................Labor & Delivery

Katrina Howard.............................................T3

Janice Hull ..................................................OR

Phyllis Ingram ..............................................OR

Dorothy Jones ............T4 Maternity / Newborn

Andrea Junggust .....................................TSICU

Deb Kalpowsky ...............Medical Surgical ICU

Cynthia Kauffman.........................................T2

Megan Keeney........................................MTCU

Wendy Kilstein ............................................ED

Amy Kline..............................................MTCU

Kristine LaGore ............................................5S

Margarita Lane ........................Patient Logistics

Jennifer Leash .......................Labor & Delivery

Joan Luce............................................Pediatrics

Lindsay Manga .........6S / Medical Surgical ICU

achievement. She said that her institution also

embraces the Magnet philosophy, as evidenced by

its clinical ladder, its commitment to shared

decision-making, and its robust performance

improvement process.

“These things help us attract nurses because

people like the environment we’ve created, and

that’s the essence of Magnet,” O’Shea said.

DeStefano noted that the Magnet journey will

continue. The special designation lasts just four

years, and efforts for a smooth renewal are already

underway.

The 14 Forces of Magnetism have transitionedinto the new Magnet Model which emphasizesempirical outcomes, transformational leadership,exemplary professional practice, structural em-powerment and new knowledge, innovation andimprovements.

◆

Lisa Mangano .......................Case Management

Robin Mc Callister ..................................PHAS

Wendy Mc Dowell ......T4 Maternity/Newborn

Deb Mc Namara .....................................NICU

Cortni McGinnis .........................................OR

Susan Mickey ........................................Dialysis

Mary Miller ...........................Labor & Delivery

Tracy Miller .....................Adult Inpatient Psych

Marjorie Mitzel ...........................................ED

Amy Mong...................................................OR

Alisha Morgan ...............................................5S

Crystal Moser ...............................................5S

Melissa Nelson ..............MSICU / Vascular Lab

Sedney Pabon .......................7 South Oncology

Heather Peters .............................................6 S

Kelli Poole ................................................NICU

Phillip Rogers ..............................................ED

Diane Salter .............................................PACU

Christina Saur ..........................Short Stay Unit

Kristin School ...............................................T3

Kelly Shifflett .............................................4SW

Susan Shoff .................................................4M

Linda Sibert ........................................OH ICU

Cynthia Stermer .....................Surgical Services

Robin Stike ..............................................STCU

Angelique Sundell .....................................4SW

Lisa Swope ....................................................T2

Mark Talbott .............................................4SW

Jackie Taylor ..........................................Imaging

Lowella Thoman .................Surgical Trans Unit

Karen Thomas................................................5S

Angela Uhler................................................OR

William Varnell .....................Cardiac Cath Lab

Tim Ward ..............................Behavioral Health

Stacey Warfel ..........................................NICU

Gail Wilson..............................Surgical Services

Sonia Zambito .......................Labor & Delivery


Embracing Relationship-Based Care

Several years ago, WellSpan’s nursing leadership

investigated a dynamic new professional practice

model. Known as relationship-based care (RBC), it

emphasizes the special rapport that exists between

caregiver and patient.

This past year, RBC became a reality in York

Hospital for the four wave 1 units, while the five

wave 2 units prepared to go live in May 2009.

Meanwhile, Gettysburg Hospital prepared to

implement a modified version of relationship-based

care, customized to meet its own specific needs.

The RBC model stresses three essential

relationships: health care provider with patient and

family; health care provider with colleagues; and

health care provider with self. When a new patient

arrives on the unit, an RN takes primary responsibility

for that patient. The primary nurse establishes a

therapeutic relationship that will serve as the

foundation of care throughout the patient’s stay.

“The RN makes decisions based on the

therapeutic relationship they have with the patient,”

said Connie Gutshall, RN, MS, NE-BC, clinical

director for women & children services.

The primary nurse also communicates directly

with other members of the health care team,

physicians, therapists and other caregivers.

Proactive communication is crucial. The model

seeks to facilitate a robust flow of information about

the patient’s background and condition throughout

the patient’s continuum of care.

“All care providers are talking to one another so

that the plan of care is consistent,” Gutshall

explained.

Positive Results

Relationship-based care arrived at York Hospital

during two waves of implementation. The first

wave included the emergency department, Tower 2,

6 Main, and behavioral health services. Wave Two

featured 7 South, Tower 4, Tower 3, as well as 6

South and pulmonary services.

Respiratory therapist Dave Fillman, RRT, MPA,

said that although the relationship-based care

model has its roots in nursing, it offers tangible

benefits to all health care professionals and their

patients. “There may be some differences for

adaptation between a nursing unit and an ancillary

department, but the overall goals remain the same,”

he said.

Within just a few months, the new model of care

was showing striking results. Patient satisfaction

scores on the NRC Picker survey improved, as

patients noticed the enhanced individualized care

and enhanced communication they were receiving.

“We have definitely seen an increase in our NRC

Picker scores,” said Michelle DeStefano RN, MPA,

NEA-BC, director of professional nursing practice at

York Hospital. “Some of the units are exceeding the

NRC average and driving toward the top 10 percent

in those domains.”

For staff, the most noticeable difference is in the

communication of the plan of care. Caregivers are

finding it easier to share information with one

another.

All care providers are talking to one another so that the plan of

care is consistent.

“It’s helped to further enhance interdisciplinary

collaboration among all health care professionals,”

DeStefano explained. “Nurses now feel that they

can learn from each other. They’re talking with

other RBC units that may not necessarily be in their

service line.”

Gutshall noted that the new model has markedly

improved communications with physicians as well.

“When physicians come on the units, they actually

seek out the nurse who is assigned to their patient,”

she said.

Flexibility

At Gettysburg Hospital, relationship-based care

is still in the planning stages. Kris O’Shea, chief

nursing officer, said that a small community hospital

has different needs and challenges than a larger

institution. For example, a widely fluctuating

census often influences the smaller facility’s staffing

requirements. Assigning a primary nurse to each

patient in this type of environment can be difficult.

Nevertheless, Gettysburg has embraced the

essence of relationship-based care and is developing

an interdisciplinary care-planning model to enhance

patient care. “It will help us improve our

communication with each other and better

understand what the patient’s needs are,” O’shea said.

Flexibility is a strength of the RBC model.

Individual units may tailor its guiding principles to

suit their specific needs. When the staff at York

Hospital’s 6 Main wanted to stress awareness of the

needs and preferences of patients and families, they

developed a customized Patient Communication

Care Plan to meet that goal.

Tower 2 improved communication through the

implementation of a communication tree concept,

where each staff member communicates directly to

four to five staff members, who in turn talk with

other colleagues until the entire staff has heard the

message. Meanwhile, behavioral health wished to

boost morale and consistency in assignments. It

achieved that goal by assigning staff members to

their area of preference, rather than a rotation

schedule throughout all four distinct clinical venues.

“This model has truly empowered the unit

practice councils in designing how they want to

deliver care,” DeStefano said. “They will continue

to evolve it as necessary. It will look different in six

months to a year from now than it did on the day of

implementation.”

Patient-centeredcare is the core ofthe York HospitalNursingProfessionalPractice Modelwhich againemphasizes theintegration of RBCwith thecomponents ofnursing professionalpractice.

◆

Education CouncilAngela Calvert, RN,

CCRN has been

a WellSpan employee for

15 years and is

currently a clinical nurse

III in the trauma surgical

ICU. Angela began her

WellSpan nursing career in

1993 on 5 South. She

progressed to a clinical

nurse III in 1998. TSICU has had the benefit of

Angela’s dedicated service since 2000. She is a

CCRN as well as FCCS and ATCN certified.

Angela is a recognized member of the AACN.

Angela has been on a medical mission trip to

Nicaragua where she brought much needed

medical services to the remote, underserved

community. She has volunteered with the York

County Senior Games and Children Wellness

Days. Angela chaired the TSICU Education

Committee from Jan ‘07-Jan ‘09. The

committee’s focus was nursing excellence and

positive patient outcomes. She also has dedicated

the last 2 years to the surgical service line panel as

a representative. She currently serves on the

hospital wide Organ/Tissue Procurement

Committee.

Education Council Accomplishments 2008-2009

• Sponsored nursing grand rounds, with topicsrelated to the annual nursing needs assessment

• Sponsored bi-monthly Relationship Based Careeducation alternating between Session A (ANACode of Ethics, ANA Staffing Principles, PA StatePractice Act, overview of professional practiceintegrated with RBC and shared decision making)and Session B (the Caring Model©, teamwork,assertiveness, delegation and lateral violence)

• Revised NNEO to add simulation lab segment

• Internship program provides education for thenovice nurse to focus on equipment, safetydevices, patient transfers/lifts and basic skills.

• Provided education based on the off-shiftneeds assessment (PCA, heart failure, chesttubes, central lines, and eCare)

• Conducted a comprehensive annual nursingneeds assessment

• Developed an on-line evaluation form forpreceptors

• Collaborated with education services toprovide 120 on-line PSNA accreditededucation modules for experienced nurses

• Orchestrated activities recognizing NationalNurse’s Week

• Donated money to the Bev Malloy NursingScholarship Fund in lieu of providing a Nurse’sWeek gift to all nursing staff (in light of currenteconomic constraints)

• Reviewed and updated policies ADM 080 andADM 100

• Utilized Education Councilcommunication plan to coordinatethe sharing of information

• Developed an orientation checklistfor the primary nurse

• Developed brochure for continuingeducation requirements, for PAprofessional re-licensure

• Launched SDM education webpage

Shared Decision Making Council Accomplishments • York Hospital

Coordinating Council Accomplishments 2008-2009

• Provided oversight in the design andimplementation of new care delivery model,Relationship Based Care

• Facilitated and streamlined the flow of ideasand issues through the hospital wide councils

• Incorporated the WellSpan Blue Bookobjectives and the Nursing Strategic Plan intothe nursing Shared Decision Making Councils’agendas

• Coordinating Council chair began literaturereview of cultural diversity

• Assisted the service line chairs in goaldevelopment and review of accomplishments;Ensured inclusion of the shared decisionmaking process with the service line chairs

• Served as a resource for council chairs;provided leadership and guidance to facingdifficult situations and complex issues

• Served as shared decision making resourcesand educators to nursing throughout thehospital; Continued to facilitate discussions atnew nurse orientation, nursing grand rounds,JDS, etc.

• Served as a resource to outside nursingorganizations requesting assistance (AdventistRehab Hospital and Franklin Square HospitalCenter in Maryland)

• Re-evaluated components of the shareddecision making structure as it exists

• Developed a nursing web portal site:https://portals.wellspan.org/sites/yhnursing

Kelly Gipson, RN, BSN

has been a member of the

York Hospital Shared

Decision Making councils

since the inception in

2003 and served as chair

of Practice Council prior

to Coordinating Council.

Kelly is a 1998 graduate of

York College, and has

worked at York Hospital since graduation. Kelly’s

clinical experience includes 6 Main, PACU

and MSICU. In January 2008, Kelly was

promoted to be the associate patient safety

officer at York Hospital and continues in that

role. Kelly has been the treasurer for Eta Eta

chapter of Sigma Theta Tau since 2005 and has

participated in graduate classes at York College.

Coordinating Council

172009 Acute Care Nursing Progress Report • Excellence in Nursing2009 Acute Care Nursing Progress Report • Excellence in Nursing16


Evidence-Based Practice/Nursing Research Council Accomplishments 2008-2009

• Completed three house-wide EBP projects:

• “What are the best non-pharmacologicpractices to prevent DVT/VTE in hospitalizedpatients?” Results internally disseminatedvia a “traveling poster.” Poster presentationat the Johns Hopkins EBP Conferenceand Baltimore Magnet Workshop.

• “Which method of temperaturemeasurement most closely approximatescore temperature: temporal artery ororal?” Poster presentation at theUniversity of Maryland EBP conference.Research project now planned, as a resultof the project.

• “What are the best practices for storingand using equipment in a contact precaution

room?” Recommendations will be takento Practice and Education Councils.

• Provided financial support to nurses givingposter and podium presentations at local,regional, and national conferences

• Planned and presented the second AnnualResearch Day, entitled “EBP and NursingResearch: Possibilities for the RN (RealNurse)” in conjunction with York College andthe Eta Eta chapter of Sigma Theta TauInternational; 143 attended this day-longconference

• Became a founding member of the SouthCentral PA EBP/Nursing Research Consortium

• Supported Relationship Based Care, by doingan evidence review of caring behaviors

Sheree Seben, MSN, RN,

CCRN has been employed

at York Hospital for 19

years. She is an

experienced critical care

nurse and currently works

as a clinical nurse III and

clinical educator in the

coronary care unit. Sheree

received her diploma in

nursing from Lancaster General Hospital School of

Nursing, her bachelor’s and master’s degrees from

Villanova University. She served as chair of the

Performance Improvement/Research Council from

2003-2005 and was the recipient of the 2005 York

Hospital Excellence in Nursing and Practice Award

for Nurse Researcher. She became chair of the

Evidence-Based Practice/Nursing Research

Council upon its inception in spring 2006. Sheree

is past president of the Eta Eta Chapter of Sigma

Theta Tau International and an examination item

reviewer for the National Council of State Boards

of Nursing.

Evidence-Based Practice/Nursing Research Council

• Provided monthly education onresearch and EBP topics

• Supported York College/YorkHospital - student/staff nurseEBP/NR collaborations (ninecohorts in fall 2008 and ninecohorts in spring 2009)

• Added two additional EBP fellowswho are presently working on projects

• Supported the Magnet designationactivities and submitted necessaryevidence and documentation

Leadership CouncilSusan McQuade, RN,

BSN, MHA, CNOR, NE-BC

is the chair of the York

Hospital Nursing

Leadership Council and has

been in the nursing

profession for the past 11

years. Susan joined York

Hospital in 2006 and

served as an operating room

manager for two years. Currently, she is working

as a house supervisor primarily on the night shift

and holds an adjunct faculty position with The

University of Phoenix Online. After graduating in

1997 with an ADN from HACC, Susan completed

her BSN at York College in 2003, and most

recently graduated from Penn State University in

December of 2008 with a master’s in health

administration. Prior to coming to York Hospital,

Susan spent eight years in various nursing

administration positions including operating room

manager, surgical services director and assistant

chief nursing officer at her previous hospital. She is

a member of AORN, and holds two certifications,

one in Perioperative Nursing (CNOR) and a

second in Nursing Administration (NE-BC).

Leadership Council Accomplishments 2008-2009

• Analyzed data from the annual NDNQI NursingSatisfaction Survey to benchmark YorkHospital against other Magnet and non-Magnet hospitals of like size. Incorporatedoutpatient areas into action plans andanalysis.

• Performed quarterly analysis of unit-levelaction plans based on the NDNQI survey foridentified areas needing improvement; Workedwith service line representatives to coach andsupport efforts to improve results and providethe ultimate working environment for nurses

• Contributed to the successful Magnetdesignation through participation in evidenceand data collection, preparation ofdocumentation and the site survey.

• Provided support and development for frontline nursing leaders via hospital-wide chargenurse meetings.

• Completed annual Nurse Leader 360°evaluations to enable staff members to haveinput into the identified strengths and areasfor growth for the nurse leaders.

• Strengthened the relationships and improvedthe collaboration between nurses andphysicians at both the leadership and stafflevels through initiatives including the Magnetdesignation process, implementation of RBC,and clinical effectiveness teams.

• Aligned resources and staffing to the CareComimplementation, for a successful transition tothe electronic nursing documentation; Leadershipcouncil and Nursing Leadership team members

worked side-by-side, with staffnurses, as super users, in order toprovide needed support

• Evaluated and supported the five-year plan to achieve the desiredRN/patient ratios and skill mix, aswell as the success of the LPNstipend program

• Completed contract negotiations andpreparatory work to become anExcelsior Clinical Examination site inApril 2009 for LPN to RN studentexams.


Practice CouncilLeslie Johnston, RN, BSN

is the 2008-2009 chair of

Practice Council. She is a

clinical nurse III on the

pediatric unit with over 20

years of experience caring

for children at York

Hospital. Leslie has been

an active member of

Practice Council since its

launch six years ago and was inspired by the

Shared Decision Making Process to become chair

elect and now chair. Her background includes a

BSN from Cedar Crest College in 1979 and

clinical experience at Franklin Square Hospital,

Johns Hopkins in Baltimore and the Children’s

National Medical Center in D.C.

Practice Council Accomplishments 2008-2009

• Provided ongoing oversight of theRelationship Based Care model of nursing

• Prepared for Magnet survey in November2008 through evidence collection, educationand mock surveys

• Approved changes for Foley catheter insertionand care

• Approved implementation of new sepsisscreening tool

• Approved a new forensic chain of custodyform

• Developed sub-group to look into and makerecommendations on tubing misconnectionissues

• Continued evaluation and improvement ofticket to ride form

• Explored use of state-wide color-codedwristbands

• Learned about the A3 process utilizing Ticket-to-Ride issues

• Reviewed and revised Commitment to Caredocument

• Kept apprised of the implementation of theCrew Resource Management program in theOR

• Reviewed/revised over 350 nursing policiesover the year

Performance Improvement Council Accomplishments 2008-2009

• Developed medication education and scriptingfor improved patient satisfaction, including theconducting of a pilot study on the 6 Mainnursing unit followed by hospital-wide roll out

• Provided education to the council memberson trauma and OR clinical effectiveness teammonitors

• Expanded presentations by qualitymanagement on the YH Quarterly CoreMeasures Reports on pneumonia and CHF

• Supported the Magnet journey throughcollection of evidence and documentation forForces of Magnetism 6 and 7

• Developed survey tool for Relationship BasedCare metrics

• Continued oversight of JC and DOHcompliance measures and unit-specific actionplans

• Continued information sharing with two semi-annual PI presentations sessions, where 33 of34 nursing units presented theiraccomplishments

• Designed a new layout for PI bulletin boardsto standardize the display of Nursing SensitiveIndicators and hospital-wide and unit-specificPI measures

• PI Council chair nominated for YH Excellencein Nursing Caring and Practice Award in thecategory of staff nurse leader

Bill Varnell, RN, BSN is thefirst PI representative fromthe cardiovascular Lab andis in his third year on thecouncil. Bill is a 21 yearveteran of York Hospital andhas previously served aschair of the Unit Based PIcommittee in the HeartCenter as well as a Magnet

Champion. Bill holds two bachelor degrees fromYork College, one in communications and one innursing. Bill started working at York Hospital in1987 as a patient transporter while working on hisnursing degree. Upon graduation, Bill took a job on3 South (open heart step down unit) andsubsequently transferred to the cardiovascular labrecovery room in January 2001. Bill has had anarticle on nursing sensitive indicators published inthe nursing newsletter, and has developed CBT’s onnursing sensitive indicators and femoral arteryhemostasis management. Bill also participated in amedical mission trip to Sendafa, Ethiopia in August2007. Bill has recently been nominated to attendLean Six Sigma training for his Green belt, whichwill be completed in June 2009. He was alsonominated in the staff nurse leader category in the2009 YH Excellence in Caring and Practice Awards.

Performance ImprovementCouncil



Education Council Accomplishments 2008-2009

• Participated as a group in the cultural diversitycertificate program and promoted the programto staff

• Planned and implemented the Alan CarrollLecture in October 2008 – Relationship-BasedCare

• Defined mandatory house-wide competencieshospital-wide and collaborated with educationservices to develop and implement a unit-based competency program

• Assisted with development of role anddescription for education coordinator forAdams County

• Sponsored an information exposition withsessions on mock code blue, organ donation,and Gift of Life Program

• Supported the roll-out of new crash carts byplanning and implementing education for allnursing staff

Vickie Myers has been a

nurse for 30 years and has

worked at Gettysburg

Hospital for 20 years. She

has worked in many areas

of the hospital including

the ER, ACU, as a float

nurse on the med surg

floors, and am currently

working in the OR as

clinical nurse III. Vickie has been a member of the

hospital wide education council since the

beginning of our councilor structure. She was

employee of the quarter last year and has been an

active participant in the HRSA collaborative,

Spiraling Upward. She is also a member of the

local ambulance company and makes calls with a

team at night.

Education Council

Shared Decision Making Council Accomplishments • Gettysburg Hospital

Leadership CouncilJayne Sorber is a clinical

nurse III in Gettysburg

Hospital’s obstetric unit.

She has worked at

Gettysburg Hospital for

over 28 years. Jayne is a

certified lactation

consultant who provides

breastfeeding support to

both inpatients and

outpatients in Adams County. She is also an

instructor in our childbirth education and sibling

classes. She is on the Emergency Response Team

at her church.

Leadership Council Accomplishments 2008-2009

• Facilitated collaboration among emergencydepartment and medical surgical nurses incaring for patients in the ED when during highcensus

• Prepared for Care Com GO LIVE atGettysburg Hospital

• Designed, and implemented a successful planfor summer staffing

• Chose four nursing priorities related toRelationship-Based Care (RBC); initiatedrevision of policies to reflect RBC

• Chosen to participate in a HRSA Grant“Spiraling Upward for Nurse Retention andQuality Care.

• Updated the Clinical Advancement Program inpreparation for Performance ManagerSoftware

• Reviewed employee satisfaction results andidentified priority areas for improvement


Practice CouncilGlenda Heyser has been a

registered nurse and

worked at Gettysburg

Hospital for 33 years, 30 of

those years in the

emergency department.

She has also worked in

medical/surgical unit,

critical care, and cardiac

rehab. She is currently

working in the emergency room as clinical nurse

III and is board certified in emergency nursing.

Glenda is the chair of the hospital-wide and unit

based Practice Council. She is active in the Boy

Scouts and Gettysburg Fire Department.

Practice Council Accomplishments 2008-2009

• Revised code cart checks protocol

• Reviewed & revised suicide assessment toassure that an evaluation completed on alladmitted patients

• Updated restraint/seclusion policies

• Developed and implemented new protocolsfor the appropriate care and removal of anindwelling foley catheter in collaboration withinfection control

• Implemented hourly rounding on nursing units

• Active involvement with HRSA and RWJFinitiatives

Performance Improvement Council Accomplishments 2008-2009

• Active involvement in clinical effectivenessteams and clinical initiatives, achievingbenchmark performance in most areas

• Focused attention on hospital acquiredinfection achieving a 50 percent reduction incatheter-associated UTI’s and a continued lowrate of catheter-associated blood streaminfections

• Monitored implementation of standardizedpractices related to service

• Reviewed best practice literature associatedwith hourly rounds and fall reduction, anxietyreduction and patient satisfaction. Monitoreach units success with hourly rounding

• Managed the critical care consults (RapidResponse teams) process & implementationof HELP line

Lauren Cullison is a

clinical nurse III who enjoys

being a preceptor and

charge nurse in Gettysburg

Hospital’s PACU. She is a

graduate of Clarion

University and has enjoyed

the opportunity to become

more involved with

hospital-wide issues

through her leadership of PI council. She is active

in the community with Meals-on-Wheels and

church activities.

Performance ImprovementCouncil

Shared Decision Making Council Accomplishments • Gettysburg Hospital


◆


Quality

Gettysburg AttacksHospital-Acquired Infection

The ever-present battle against hospital-acquired

infection requires constant vigilance. In recent

years, Gettysburg Hospital has ramped up its

surveillance and prevention techniques to new

heights. The result has been a work culture

dedicated to halting infection.

The complications of hospital-acquired infection

are well known. A 2007 study by the Pennsylvania

Health Care Cost Containment Council found that

infected patients remain hospitalized an average of

15 days longer and suffer a 12.2 percent mortality

rate.

MRSA and VRE remain the top culprits, but

experts are also concerned about newly emerging

multi-drug-resistant bacteria.

“There will be more germs that are resistant to

antibiotics,” stated Sharon Fruehan, RN, infection

preventionist at Gettysburg Hospital.

To combat the growing threat, Fruehan and her

colleagues carefully evaluated Gettysburg’s

infection-control procedures, and boosted them

when necessary.

infections were a primary concern. The catheter task

force developed a variety of preventative measures.

Gettysburg’s staff awareness campaign included

education sessions, posters, and a Foley care policy.

The hospital also purchased new equipment.

“We ordered a special hanger for our IV poles so

that we could hang Foley catheters at the proper

height, since the handhold on the pole is too high,”

Fruehan explained.

“We really promoted the alcohol-based hand

sanitizers,” she said. “We put those up in places that

they hadn’t been before. We also enforced contact

precautions with staff, so that they are not

accidentally spreading germs to the next patient

with their uniforms.”

A series of task forces examined specific types of

infections and sought new ways to prevent them. As

in most hospitals, catheter-associated urinary tract

Gettysburg and York hospitals both adopted a

new StatLock device for securing Foley catheters.

WellSpan also instituted a system-wide protocol

enabling nurses to discontinue catheter use without

first obtaining physician approval.

Gettysburg’s culture of vigilance has also limited

the number of central-line infections at the hospital

to just one in the past three years. Fruehan noted

that the sole infection stemmed not from a central

line put in at Gettysburg, but rather from an

existing Mediport that staff had accessed.

Current and reliable statistics are an essential

component of Gettysburg’s surveillance program.

In mid-2008, the hospital began using control charts

to monitor infection activity. Fruehan furnishes

department directors with monthly updates, and

routinely speaks with nursing groups as well. She

also maintains an online statistical dashboard for

staff to access.

The hospital keeps an electronic registry of all

patients who test positive for MRSA. Fruehan said

that the nursing staff have become meticulous

about updating the registry and keeping it accurate.

Gettysburg Hospital continues to seek new and

innovative methods for protecting its patients from

infection. Yet no tool can be more effective than

the diligent and proactive attitude of its caregivers.

Fruehan reiterated that no matter how much time, effort and technology is dedicated to infection control,

the most basic step remains the most important.

“Wash your hands,” she said. “I say that in my sleep.”

◆


Professional Development

Nursing Leadership Development Programs 2008-2009

2008 2009Topic Presenter Participants Topic Presenter Participants

January

Magnet Conference Call - Magnet DesignationProcess: Unsuccessful With Evidence Submissionor Site Visit VHA 18

Magnet Workshop ANCC 8

NDNQI National Conference NDNQI 3

Nursing Grand Rounds – Culture of Safety York Hospital 36

End-of-Life Nursing – Palliative Nursing York Hospital 5

How to Read Research York Hospital 39

February

Nursing Leadership Excellence Series –“Why Are They So Different? GenerationalDiversity in Our Health Care Teams” VHA 17

Nursing Grand Rounds – Code of Ethics andBill of Rights York Hospital 137

End-of-Life Nursing – Pain Management York Hospital 5

Non-parametric Statistics York Hospital 32

March

Nursing Leadership Excellence Series – “SuccessfulStrategies for Developing Capital Budget Requests” VHA 8

Eastern Nursing Research Conference ENRS 8

Bridge from PI To Research York Hospital 30

Physician/Nurse Leadership Academy: HealthcareBuilding Collaborative Teams Advisory Board 26

April (cont.)

Nursing Research Day WellSpan Health,York College of

PA, Eta Eta STTI, 163and Memorial

Hospital

April

Nursing Leadership Excellence Series – “The WorryAll Nurses Share: Legal Issues in Patient Care” VHA 12

AONE National Conference AONE 3

Nursing Grand Rounds – Celebrations Aroundthe World York Hospital 28

Quality Forum WellSpan Health 98

Topic Presenter Participants

August

Research Forum – “How to Develop YourResearch Question and Conduct an Effective York HospitalLiterature Search” Emig Research 20

Nursing Grand Rounds – RBC York Hospital 87

Protocol Development and Navigating the IRBSubmission Process York Hospital 20

Topic Presenter Participants

November

Nursing Leadership Excellence Series – “Let’sTalk! Enhancing Patient Safety Through Great VHA 12Communication”

Research Forum – “Collecting Data” York Hospital –Emig Research 10

Ethics in Research York Hospital 22

December

How to Read a Meta-analysis York Hospital 21

Appreciative Inquiry Workshop HRSA-Gettysburg Hospital 40

January

Research Forum – “How to Conduct a Retrospective York Hospital –Chart Review” Emig Research 10

Protocol and Data Collection Tool Development York Hospital 17

February

Research Forum – “Preparing a Case Report” York Hospital –Emig Research 13

Effective PowerPoint Presentations York Hospital 45

March

Research Forum – “Writing an Abstract” York Hospital –Emig Research 5

MH/MR Patients in Palliative Care: An InformalDiscussion YH Palliative Care 5

End-of Life Nursing: Symptom Management YH Palliative Care 6

Comprehensive IRB Submission Process York Hospital 24

HRSA Grant Kick-off Gettysburg Hospital 8

April

RBC Kick-off – Wave II York Hospital 165

Nursing Research Day WellSpan Health,York College of

PA, Eta Eta STTI, 183and Memorial

Hospital

Excel Basics York Hospital 27

Quality Forum WellSpan Health 190

October

Nursing Leadership Excellence Series –“Bringing Light to a Dark Corner in Health Care: VHA 16Substance Abuse and Impaired Practice”

National Magnet Conference ANCC 4

Research Forum – “Writing the Successful Protocol” York Hospital –Emig Research 17

Writing for Publication York Hospital 21

Alan Carroll Lecture “Relationship Based Care” Gettysburg Hospital 156

Cerner Healthcare Conference Cerner 10

September

Nursing Leadership Excellence Series – “EthicalIssues Today – What Nurses Encounter Every Day” VHA 12

Research Forum – “How to Read Literature” York Hospital –Emig Research 13

Center for Frontline Nursing Leaderhip – “Data HealthcareDriven Department Leadership” Advisory Board 36

Wharton Institute University ofPennsylvania 1

Effective Poster Presentations York Hospital 24

Physician/Nurse Leadership Academy: Crucial HealthcareConversations Advisory Board 30

May

JDS Memorial Nursing Lecture – “10 Stepsto Save the First Dance for You York Hospital 587

EBP Workshop: “What are the Best Practicesto Reduce MRSA in Surgical Patients?” York Hospital 20

Magnet Retreat York Hospital 152

June

EBP Workshop: “What are the Best Practicesto Reduce MRSA in Surgical Patients?” York Hospital 15

Advanced EBP: Jumpstart Your Project York Hospital 19

July

Nursing Grand Rounds – ANA Code of Ethicsand ANA Bill of Rights York Hospital 77

Annual Management Forum – “OrganizationalPriorities” WellSpan Health 78

EBP/NR Fellowship Presentation York Hospital 15

AHA Leadership Forum AHA 1

◆


2008 Awards and Achievements

2008 CLINICAL LADDERADVANCEMENTS

York Hospital

Behavioral Health ServicesMonika Dennis – CN2

Sharon Kuehl – CN2

Tim Ward – CN2

Cardiovascular ServicesCherree Beachtel – CN2

Kelly Colberg – CN2

Deborah Diehl – CN2

Christina Hansen – CN2

Martha Horton – CN3

Cynthia Kauffman – CN2

Stephen Leskovec – CN3

Mandy Lewis – CN3

Michelle Robertson – CN3

Michelle Wagman – CN3

Jennifer Zumbrum – CN2

Emergency ServicesAmy Almquist – CN3

Lynette Heath – CN3

Mari Shearer – CN3

Randall Sinners – CN2

Heidi Wilkerson – CN3

Medical ServicesLorraine Bortner – CN3

Sandy Brown – CN3

Deb Diehl – CN2

Melissa Fair – CN2

Lydia Ganoung – CN2

Lynette (Heath) Gordy – CN3

Amy Fox Kline – CN3

Lindsay Manga – CN2

Cynthia McCarthy – CN3

Sarah Redden – CN2

Kelly Shifflett – CN2

Crystal Thompson – CN2

Oncology ServicesChristina Bouras – CN2

Kelly Hartlaub – CN2

Kari Juliano – CN2

Nicole Smith – CN2

Surgical ServicesAshley Barge – CN2

Regina Campbell – CN3

Christy Dietz – CN3

Landa Furman – CN2

Wendy Hawse – CN3

Tara Horn – CN2

Heather Ingoe – CN2

Lisa Leaman – CN2

Kristi McGonigal – CN2

Diane Salter – CN3

Dan Shoff – CN2

Carol Sprigle – CN3

Crystal Thompson – CN2

Women & ChildrenAmy (Myers) Brickner – CN2

Laura Bunty – CN2

Dianne Deibler – CN3

Wendy Grubbs – CN2

Brittany Jordan – CN2

Lynn Keller – CN3

Diane Mead – CN3

Michele Mills – CN2

Joan Patrilak – CN3

Susan Prevas – CN2

Celia Shermeyer – CN2

Julie Staub – CN3

Allison Turner – CN2

Julie Ward – CN2

Gettysburg Hospital

Critical Care Unit Michelle Bretzman – CN3

Tara Harshbarger – CN3

Beth Scarbrough – CN3

CVS - Cardiac RehabSusan Gills – CN3

Emergency DepartmentAlison Arrowood – CN2

Jennifer Bishop – CN3

Lisa Flickinger – CN2

Jennifer McNew – CN3

Selena Neiderer – CN2

Medical Surgical - A2Jennifer Clark – CN2

Julie Retowsky – CN3

Terry Whittington – CN3

Medical Surgical – B1Christine Ciparik – CN3

Marlene Crouse – CN3

Surgical Services – ORDavid Beard – CN3

Jane Feister – CN3

Donna Roth – CN3

Christine Stoner – CN2

Transitional Care UnitLaurie Donaldson – CN2

2008 AWARDS

York Hospital Excellence in Caringand Practice

Excellence Awards:

Advance Practice Nurse: Sarah Hunt,Neurosciences

LPN: David Shilke, Jr., Oncology

Nurse Educator: Rochelle Nyman,Cardiovascular Services

Nurse Researcher: Patricia Bentz, Women &Children Services

Nurse Leader: Karen Fanus, Oncology

Nursing Assistant/Tech: Julie Dixon, MedicalServices

Preceptor/Mentor: Pam Fake, Surgical Services

RN-CNI: Shelby Smith, Neurosciences

RN-CNII: Susan Cadawas, Surgical Services

RN-CNIII: Susan Rost, Women & ChildrenServices

RN-New Graduate: Angela Crum, EmergencyServices

Staff Nurse Leader: Natalie Billings,Emergency Services

Unit Secretary: Stephanie Krout, BehavioralHealth Services

Physician Award:

Collegial, Respectful Partner: Michael Bohrn,M.D., Emergency Services

Special Awards:

Community Service: Joan Tome, CardiovascularServices

Sharon G. Hardy “Caring at the End of Life”:Sedney Pabon, Oncology

Interdisciplinary Collaboration: EMS LiaisonCommittee

Kitty Reisinger “Heart of Nursing”: TracyHunter, Emergency Services

Shared Decision Making: 5 Main Team,Oncology

Charles T. Spurlock “Care for the Caregiver”:Vernette Rollison, Oncology

32 2009 Acute Care Nursing Progress Report • Excellence in Nursing 332009 Acute Care Nursing Progress Report • Excellence in Nursing

Gettysburg Hospital Spirit of NursingAward Winners

Christine Ciparik – Medical Surgical - B1 – RN

Laurie Donaldson – Transitional Care Unit – RN

Jane Gladhill – Medical Surgical - B1 –LPN/Paramedic

Sonya Hyde – Critical Care Unit – NursingLeader

Brenda Lewis – Medical Surgical - B1 – NursingAssistant

Mark Shaeffer – Emergency Department –LPN/Paramedic

Kimberly Towner – Transitional Care Unit – UnitSecretary

Nightingale Nominees and Winner

Nancy Bowling, MBA, RN, NE-BC2008 Nightingale Awards of Pennsylvania Nursing Administration - Nominee

Linda Pugh, PhD, RNC, FAAN2008 Nightingale Awards of Pennsylvania Nursing Research - Winner

Patient Safety

York Hospital

Individuals:Fatima Agbo – 7S

Leslie Johnston – Pediatrics

Christine Kenrick – OR

Alison Lippy – 5S

Jolene McDonald – Imaging

Jill Messersmith – NICU

Abigail Strouse – SSL

Teams:Best Care of the Orthopedic Patient Committee

Perioperative Glucose Task Force

Surgical Dressing Care Committee

N3A Staff

T2 Staff

7S Staff

Tiffany Anderson – T4 Earned the HACC Outstanding Career ProgramStudent Award

Patricia Bentz, Barbara Buchko, FayeHammers, Christy Hersey, Michelle Mills,and Donna Snyder – T4 Won award for Best Poster at STTI, Eta EtaChapter, Research Day – “Utilizing Education toIncrease the use of Kangaroo Care with TermInfants”

Barbara Buchko, Deborah Fake, and FayeHammers – T4 Received Award for Best Poster, by the AmericanNurse’s Credentialing Center – “Prevention ofPost-Operative Urinary Retention after Uro-Gynecologic Surgery”

Peter Eisert – NICUAwarded the York Hospital Evidence-BasedPractice Fellowship

Elizabeth Fisher – MSICU Won award for Best Case Study/Education posterat the 13th Annual Challenges in Critical CareConference – “Safe Administration of IVMetoprolol: Evidenced-Based Practice”

Won award for Best Podium Presentation atSTTI, Eta Eta Chapter, Research Day – “SafeAdministration of IV Metoprolol to Acutely IllAdult Patients in a Community Hospital:Evidenced-Based Practice”

Awarded the York Hospital Evidence-BasedPractice Fellowship

Lisa Martin – T2Received the York Hospital Medical Staff NursingScholarship

Sheree Seben – CCUEarned the Award for Excellence in Leadershipby STTI, Eta Eta Chapter

Rhonda Steffen – MSICUEarned the Award for Excellence in Practice bySTTI, Eta Eta Chapter

Abigail Strouse – SSLReceived the Charmain Bentz Award forexcellence in nursing education, integrity, andpromotion of the nursing profession, in graduatenursing studies, from York College ofPennsylvania

Inducted into Sigma Theta Tau

Laurie Foley – PACU

Dawn Stiner – 5 South

Wendy Stover – Nursing Informatics

Gettysburg Hospital

Christine Ciparik, Medical Surgical B1Received the National AMSN Award/ChapterEducation

2008 CERTIFICATIONS

York Hospital

Christine Bingman, CCRN – Infection Control

Jodi Bloss, RNC-MNN – T4

Deborah Brenneman, ONC – OR

Dora Calhoun, CPN – Pediatrics

Cherica Cottrell, OCN – 7S Oncology

Roshne Davidson, RNC – 3E

Maggie Davitt-Harris, AOCN – ED

Andrea Degges, CEN – ED

Michele Donner, School Nurse – T2

Karen Dunkin, CHT – YH Wound HealingCenter

Susan Economopoulos, CPAN – PACU

Peter J. Eisert, SANE-A – NICU/Safe Team

Kim Godfrey, SANE-A – ED

Patricia Graybill-D’Ercole, CRCST – OR

Judith Gunter, ONC – T3

Diane Harnish, Car Seat Safety Technician – NICU

Mary Alayne Hufnagel, NCC – NICU

Kimberly Hulse, TNCC – 4SW

Keith R. Jones, CEN – ED

Rebekah Kirouac, CNOR – OR

Jessica Leathery, CCRN – OHICU

Cindy Luong, CCRN – Cath Lab

Tina Malec, RNC – 4SW

Dustin Matthews, CSC – OHICU

Sonya McElwain, ONC – T3

Luanne McNew, CPN – Pediatrics

Susan Mickey, CNE – MSL

Michele Mills, IBCLC – T4

Michele Postol, CEN – ED

Barbara Taylor, CCNS – NICU

Angela Uhler, CNOR - OR



Gettysburg HospitalSteven Arentz, CEN – ED

Alison Arrowood, ENPC – ED

David Beard, CNOR – Surgical Services - OR

Leslie Brown, FCCS – WellSpan Endoscopy

Nita Gross, Anti-Coagulation Mgm – CVS - CathLab

Selena Neiderer, ENPC – ED

Selena Neiderer, HERT – ED

Donna Roth, CNOR – Surgical Services - OR

Joanne Smith, CRNP – ED

Cheryl Staub, CNOR – Surgical Services - OR

Lisa Tomko, Anti-Coagulation Mgm – CVS -Cath Lab

2008 RE-CERTIFICATIONS

York Hospital

Deborah Audette, CCRN, CSC – OHICU

Beth Ann Allison, Neonatal Intensive Care – NICU

Brenda A. Artz, CCRN – SSL

Wanda Baublitz, CLNC – L&D

Leah Birch, CPN – Pediatrics

Marsha Braucher, CPUR – CM

Angela Calvert, CCRN – TSICU

Theresa Catone, RNC – T4

Cindy Dantro, CSC – CCU

Hope Delp, RNC – 5M

Debra Dennison, CCRN – GI

Margaret D’Ercole, RNC - STCU

Karen M. Dykstra, CPAN – PACU

Colleen Fisher, AORN – OR

Linda Fitz, RNC – BHS

Janet Garbrick, MSC – STCU

Laura Hlodash, RNC – 6M

Roseann Huddleston, ONC - Oncology

Emily Jackson, RNC – 5M

Wendy Kilstein, CEN – ED

Kathy Krukonis, PNP – ED

Kristine LaGore, RNC – 5S

Debra K. Lehman, CCRN – TSICU

Tami Lewis, CNOR – OR

Joan Luce, PNCB – Pediatrics

Karen March, CCRN – Nursing Research

Susan McDonald, CCRN, CEN, RN, SAFE – ED

Christine Noll Quickel, PCE, LSS – L&D

Lori Parker, CWOCN – YH Wound Healing Center

Mary Rojahn, RNC – NICU

Celinda Sanders, CPAN – CM

Diane Shoemaker, CNN – Dialysis

Linda Sibert, CSC – OHICU

LuAnn Smith, IBCLC – Lactation Center

Lowella Thoman, RNC – STCU

Reda Willis, CCRN – Trauma Svs.

Diane Wolf, RN, CPAN – PACU

Sandra Yingling, CPN – Pediatrics

Gettysburg Hospital

Leslie Brown, CEN – ED

Leslie Brown, FNE – ED

Lisa Tomko, CMS – CVS - Cath Lab

2008 DEGREES

York Hospital

DoctorateMaggie Davitt-Harris – ED

Master’sCindy Dantro – CCU

Kelli Eldredge – TSICU

Susan McQuade – Nursing Affairs

Marjorie Mitzel – ED

Lynn Robertson – GI

Debra Sheffer – PHAS

Abigail Strouse – SSL

Bachelor’sEsther Anyatonwu – 4SW

Leea Chinquina – T3

Megan Clements – 6S

Robin Ferree – T2

Beth Harris – OHICU

Stephanie Lauer – 4SW

Leann Lighty – STCU

Jennifer Martin – 6S

Jolanda Myers – MSICU

Megan Myers – 5M

Michele Postol – ED

Ann Proctor – 7S

Sarah Shatto – T2

Stephen Smyser – 6S

Amanda Stevens – T3

Keren Stimeling – TSICU

Sue VanWyk – OR

Laura Weinstein – 3E

June Wineholt – ED

Ashley Winter – OHICU

Kristin Wintermyer – OR

Allison Wright – ED

Associate’sTiffany Anderson – T4

Rebecca Baker – T3

Becky Barrett – T3

Christine Barshinger – T2

David Bocanegra – 6S

Nancy Boeckel – 5M

Dorothy A. Brown – MTCU

Casey Fahringer – ED

Cassen Freshcorn – CCU

Joan Geyer – MTCU

Tanya Haugh – T2

Sarah Hensil – MSICU

Jody Houser – T2

Rebecca Kutsor – 6S

Christeen Law – ED


Robin Lightner – T4

Maria Lighty – 4SW

Janell Lucabaugh – T3

Inga Markle – 4SW

Lisa Martin – T2

Lara Mason – T2

Mary Mathis – IV

Tara Miller – CRT

Anissa Page – ED

Mindy Parks – T3

Jonathan Rohrer – T2

Becky Stevenson – N3A

Ashley Strausbaugh – ED

Angie Taylor – Dialysis SCW

Shyrl Tompkins – 6 Main

Benn Wagman – 3E

Gettysburg Hospital

Master’sJoanne Smith – ED

Bachelor’sAmanda Depowell – A2

Glenda Heyser – ED

Margaret Nicastro – Outpatient Infusion

Julie Retowsky – Medical Surgical - A2

Associate’sKimberly Palmer – ED

Courtney Spangler – Critical Care Unit

2008 PASSED BOARDS/NEWLYLICENSED

York Hospital

Tiffany Anderson – T4

Walter Andrews – OR

Rebecca Baker – T3

Becky Barrett – T3

Christine Barshinger – T2

Fedor Bilko – EKG

Allison Bledsoe – 7S

Nancy Boeckel – 5M

Dorothy A. Brown – MTCU

Amanda Delridge – L&D

Wendy Eschbach – ED

Casey Jo Fahringer – ED

Robin Ferree – T2

Julie Floyd – ED

Cassen Freshcorn – CCU

Beth Harris – OHICU

James Hazelip – T2

Allison Johnson – 7S

Jennifer Kerchner – 4SW

Christeen Law – ED

Emily Lehr – 4SW

Robin Lightner – T4


Leann Lighty – STCU

Maria Lighty – 4SW

Janell Lucabaugh – T3

Inga Markle – 4SW

Lisa Martin – T2

Lara Mason – T2

Tracy Minor – T3

Megan Myers – 5M

Mindy Parks – T3

Tiffany Robinson – T3

Jonathan Rohrer – T2

Jacquelyn Scott – TSICU

Sarah Shatto – T2

Angie Taylor – Hemodialysis SCW

Shyrl Tompkins – 6 Main

Jennifer R. Torsella – 4SW

Sue VanWyk – OR

Sara Wilson – OR

Gettysburg HospitalKimberly Palmer – Emergency Services

Courtney Spangler – CCU

2008 NURSING QUALITY FORUMPRESENTATIONS

York Hospital

Lori Abel, MEd, RN, ONC; MichaelLamenteer, MD – “Venous ThromboembolismEvaluation for Risk Assessment andStandardization of Ordering Practices”

Suzan Brown, MS, RN, CCNS, CCRN –“Effectiveness of Pneumonia Care: ProcessImprovements Linked to Improved LOS andMortality Rates”

Barbara Buchko, MS, RN; Leslie Robinson,MD – “Prevention of Urinary Retention AfterUro-Gynecologic Surgery”

Brenda Chapman, BSN, RN; Rose Stike,MEd, EMT-B – “Get With The Guidelines:Improving Door to CT Time In Acute IschemicStroke Patients”

Karen Fanus, MS, RN, OCN – “ImprovingPatient Satisfaction with Medication Education”

Pamela Himes, RN, CCRN; Robin Walker,RRT – “Impact of a Behavioral Health CareProcess on Admissions to a Medical IntensiveCare Unit”

Jennifer Leash, BSN, RN (YH); Laura Swomley,BSN, RN (GH) – “IHI Perinatal BundleInitiatives”

Glynnis Lowe, RN, CEN; Rose Stike, MEd,EMT-B – “Ready or Not, Here I Come:Promoting Patient Movement of an Admitted EDPatient to a Ready Inpatient Bed”

Jill Miller, RN, LDN; Wendy Herbst, RN; KathyLehman, RN; Lynn Glendye, MSW – “There’sNo Place Like Home: Implementation of aHome Hemodialysis Program”

Tracy Miller, BSN, RN – “BHSRestraint/Seclusion Rates Decreased DespiteRising Violence on the Adult InpatientPsychiatric Unit: Change Inpatient Care Modeland Flow”

Nancy Stoup, RN; Lori Abel, MEd, RN, ONC;Christy Freytag, PT – “Total Joint QualityReport Card: Musculoskeletal Program”

Sandy Young, MSN, RN, CVRN – “AMI:Decreasing Door To PCI Time for STEMIPatients”

Gettysburg Hospital

Kathy Allinger, RN – Gettysburg Hospital PHASProcess Redesign

Susan Callahan, RN, BSN, CCRN – Evidence-Based Care: Improving Outcomes in SepticShock

Lisa Flickinger, RN, BSN – Teaming forDocumentation Integrity

Bonnie King, RN – Gettysburg Hospital PHASProcess Redesign

Laura Swomley, RN, BSN – IHI PerinatalBundle Initiatives

Carol Rebert, RN, CCRN – Using 5S inStandardization of Adult Code Carts at GH

2008-2009 NURSINGPUBLICATIONS

Lorraine Bock, MSN, CRNP, CEN – “Changesin NP Reimbursement Issues”, Advance for NursePractitioners, May 2008

Susan Bowman, MSW, RN, OCN; Rod Grim,MA – “The Efficacy of the Nurse Navigator in aCommunity Hospital Breast Care Program”,Seminars in Breast Disease, March 2008

Barbara Buchko, MSN, RN – “Leading the Wayto Evidence Based Practice (abstract), ClinicalNurse

Barbara Buchko, MSN, RN – York HospitalMaternal Newborn Clinical Pathways (prenatal,vaginal birth, cesarean birth, newborn) inMaternal-Child Nursing (3rd ed.), Elsevier, Inc

Kellie Eldredge, BSN, RN, CCRN –“Assessment of Forensic Nurse Knowledge in theTrauma Setting”, Journal of Forensic Nursing,Winter 2008

Nicole Kratz Flemmens, BSN, RN –“Endovascular Nursing: Journey to Excellence”,AORN Journal, February 2009

Glynnis Lowe, RN, CEN; Rose Stike, Med,EMT-B; Mark Pollack, MD, PhD; JennyBosley, BSN, RN, CEN; Pattie O’Brien, RN,SANE; Amy Hake, BSN, RN, CEN, PHRN;Greta Landis, BSN, RN, CEN; Natalie Billings,BSN, RN, CEN; Pam Gordon, RN; SteveManzella, PhD; Tina Stover, MT – “NursingBlood Specimen Collection Techniques andHemolysis Rates in an Emergency Department:Analysis of Venipuncture Versus IntravenousCatheter Collection Techniques”, Journal ofEmergency Nursing, February 2008

Wendy McDowell, BSN, RN – “DetectingWomen at Risk for Postpartum Mood Disorders”,Nursing 2008, March 2008

Nancy Miller, MBA, RN – “Understanding IT”,Advance for Nurses, September 29, 2008

Linda Pugh, PhD, RNC, FAAN; and others –Johns Hopkins Nursing Evidence-Based Practice,Model and Guidelines, Sigma Theta TauInternational, September 2008 (Instructor’sGuide)

Lynn Robertson, MSN, RN – “A New Horizon:Recommendations and Treatment Guidelines forBarrett’s Esophagus”, Gastroenterology Nursing,2009



Cynthia Stermer, MS, RN, BC – “Helping YourPatient after Breast Reconstruction”, Nursing2008, August 2008

June Wineholt, RN, CEN; Stephanie Myers,RN; Michele Johnson, BSN, RN; MarcPollack, MD, PhD – “Patients Who Leave theEmergency Department Without Being Seen”,Journal of Emergency Nursing, March 2009

Susanlee Wisotzkey, PhD, CCRN, NE-BC –“Tight Glucose Control of the Roux-en-Y Bypass:A Correlation Study”, Bariatric Nursing andSurgical Patient Care, March 2008

2008 NURSING ORALPRESENTATIONS

Patricia Bentz, BSN, RN; Barbara Buchko,MSN, RN – “Evidence-Based Practice: UtilizingEducation to Increase the use of Kangaroo Carewith Term Infants”, AWHONN NationalConference, June 2008

Kay Bleecher, MSN, CRNP, CEN, PHRN – “AreWe Making a Difference”, American TraumaSociety, PA Division, March 2008

Kay Bleecher, MSN, CRNP, CEN, PHRN –“Amish Healthcare and the “Happening”,Pennsylvania State Nurse Practitioner’sConference, October 2008

Lorraine Bock, MSN, CRNP, CEN –“Reimbursement Issues in Insurance: How NursePractitioners Fit in the Game”, Pennsylvania StateNurse Practitioner’s Conference, October 2008

Barbara Buchko, MSN, RN; Linda Pugh, PhD,RNC, FAAN – “Evidence-Based Practice:Building the Infrastructure for MaternalNewborn Nurses”, AWHONN NationalConference, June 2008

Liz Burcin, MSN, RNC; Debi McNamara,BSN, RNC – “Oxygen Saturation Managementand Retinopathy of Prematurity in the NeonatalIntensive Care Unit: A Retrospective Study”,National Neonatal Nurses Meeting, October2008

Margaret E. Davitt, CRNP, AOCN, NP-C –“Professional Boundaries”, National OncologyNurses Society, May 2008

Gregory Gurican, MBA, MS, RN – “Use of aMultidisciplinary Task Force to Reduce Falls atYork Hospital”, National Database of NursingQuality Indicators (NDNQI) Conference,January 2008

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Rosa Hickey, MSN, RN, NEA-BC;Peter Hartmann, MD; Ted Bell (EmigResearch) – “RN/Physician ClinicalCollaboration: A Five Year Study”, EasternNursing Research Society, March 2008

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Kris O’Shea, MSN, RN, NEA-BC,Robert Batory – “Innovative Program to “Grow”RNs”, Workforce Investment Board of PA, March2008

Betsy Hoffer, RN – “Fetal Monitoring Principlesand Practice,” AWHONN National Conference,June 2008

Glynnis Lowe, RN, CEN – “Serving Those WhoServe Our communities”, Emergency NursesAssociation, June 2008

Stephanie McKoin, MPAHSA, RN, NEA-BC;Lori Senft, MSN, RN – “Infection PreventionUsing Tight Glucose control in Elective TotalKnee Arthroplasty”, National Association ofOrthopedic Nursing, May 2008

Ellen Metzger, RN, CHPN – “Advocating forEnd-of-Life Decision-Making in Patients with a‘Terminal’ Psychiatric Diagnosis”, NationalAAHPM Conference, March 2009

Dawn Stiner, RN, CPAN – “Creating Curriculumto Meet the Needs of the Experienced RN”,Sigma Theta Tau, Eta Eta Chapter, November2008

Susanlee Wisotzkey, PhD, CCRN, NE-BC –“Highlights of the International LeadershipAcademy”, Sigma Theta Tau, Eta Eta Chapter,December 2008

Susanlee Wisotzkey, PhD, CCRN, NE-BC –“Will I Stay or Will I Go: Insight into NursingTurnover” Nursing Management’s Recruitment &Retention Conference, March 2009

WELLSPAN HEALTH, YORKCOLLEGE, SIGMA THETA TAU,ETA ETA CHAPTER RESEARCHDAY - SPRING 2008

Jennifer Aguilar, MSN, RN; Liz Burcin, MSN,RNC; Susan Prevas, BSN, RN; and ClaudiaShermeyer, RN – poster presentation, “OxygenSaturation Management and Retinopathy ofPrematurity in the Neonatal Intensive Care Unit:A Retrospective Study”

Brenda Artz, MS, RN, CCRN; Nancy Mann,MS, APRN-PMH, BC; and Gregory Gurican,MSNE, MBA, BSEE, RN, ASDN – posterpresentation, “Use of a Multidisciplinary TaskForce to Reduce Falls at York Hospital”

Patricia Bentz, BSN, RN; Barbara Buchko,MS, RN; Faye Hammers, RN, AND, IBCLC;Christy Hersey, BSN, RN; Michele Mills, BSN,RN; Donna Snyder, BSN, RN – posterpresentation, “Utilizing Education to Increase theuse of Kangaroo Care with Term Infants” Wonaward for best poster presentation

Barbara Buchko, MS, RN – poster presentation,“Leading the Way to Evidence Based Practice”

Elizabeth Fisher, BSN, RN, CCRN – oralpresentation, “Safe Administration of IVMetoprolol to Acutely Ill Adult Patients in aCommunity Hospital: Evidenced-Based Practice”Won award for best podium presentation

Terri Gisher, RN; and Nancy Mann, MS,APRN-BC – poster presentation, “EvidenceBased Strategies for Reducing Falls in theGeripsychiatric Inpatient Population”

Pamela Himes, RN, CCRN – posterpresentation, “Impact of a Behavioral Health CareProcess on Admission to a Medical Intensive CareUnit”

Jill Madigan, BSN, RN; and Mary C. Myers,BSN, RN, CAPA – poster presentation,“Interventions That Are Most Effective toFacilitate Successful Long-Term Care Transitions”

Nancy Mann, MS, APRN-BC – posterpresentation, “Comparison of Patient PerceptionVersus Physician Perception of SymptomImprovement from Admission to Discharge at aCommunity Hospital’s Behavioral HealthInpatient Unit”

Karen March, PhD, RN, CCRN, APRN-BC –poster presentation, “Toward Evidence-BasedPractice: Description of Strategies for DesigningClinically Relevant Projects for BaccalaureateNursing Students”

Karen March, PhD, RN, CCRN, APRN-BC –poster presentation, “RX for NCLEX-RNSuccess: Reflections on Strategy Development atOne Baccalaureate Program”

Diane McElwain, MEd, RN, OCN – oralpresentation, “Lymphedema and CollaborativePractice: Changing the Referral Pattern”

Beth Reiley, MS, RN-BC; and Nancy Mann,MS, APRN-BC – poster presentation,“Innovation: Use of the Electronic HealthRecord as a Tool for Fall Prevention”

Angela Robinson, MS, RN, CCRN – posterpresentation, “Developing a PreceptorshipEvaluation”



Sheree Seben, MSN, RN, CCRN – posterpresentation, “EBP: What are the Best Non-Pharmacological Practices Related to VTE/DVTProhylaxis Using Mechanical Devices?”

Linda Sibert, MSN, RN, CCRN-CSC; andValerie Smeltzer, BS, RN, CCRN – posterpresentation, “Delirium in Older ICU Patients:Developing a Non-Pharmacologic Treatment Protocol”

Susanlee Wisotzkey, PhD, CCRN, NE-BC –oral presentation, “Tight Glucose Control in thePost-Operative Roux-en-Y Gastric Bypass Patient”

2008 NURSING POSTERPRESENTATIONS

Jennifer Aguilar, MSN, RN; Liz Burcin, MSN,RNC; Susan Prevas, BSN, RN; ClaudiaShermeyer, RN – “Oxygen SaturationManagement and Retinopathy of Prematurity inthe Neonatal Intensive Care Unit: A RetrospectiveStudy”, SVANN, May 2008

Brenda Artz, MS, RN, CCRN; Karen March,PhD, RN, CCRN, ACNS-BC; Linda Pugh, PhD,RNC, FAAN; and Rodney Grim, MA – “Bridgingthe Gap from Performance Improvement toNursing Research in Temperature Measurement:Temporal Artery Vs. Oral Electronic?”, Evidence-Based Practice Conference, April 2009

Lorraine Bock, MSN, CRNP, CEN – “InitialPrimary Assessment and Care of InternationallyAdopted Children”, American College of NursePractioners National Conference, October 2008

Lorraine Bock, MSN, CRNP, CEN – “Care ofthe Transgendered Adult in Primary Care”,American College of Nurse Practioners NationalConference, October 2008

Lorraine Bock, MSN, CRNP, CEN – “ClinicalWorkshop on Wound Care and Suturing”,American College of Nurse Practioners NationalConference, October 2008

Barb Buchko, MS, RN – “Leading the Way toEvidence-Based Practice”, NACNS AnnualConference, March 2008

Barb Buchko, MS, RN; Tracy Cadawas, RN;Deborah Fake, RN – “An Evidence-Based Planof Care: Potential for Greater Stability in theLate Preterm Newborn Cared for on a Mother-Baby Unit”, 11th Annual National Mother BabyNurses Conference, October 2008

Barbara Buchko, MSN, RN – “Potential forGreater Stability in the Late Preterm NewbornCared for on a Mother-Baby Unit”, Annual ENRSConference, March 2009

Barb Buchko, MS, RN; Michele Mills, BNS,RN, IBCLC; Tracy Cadawas, RN; DeborahFake, RN, Connie Gutshall, MS, RN, NE-BC;Donna Snyder, BSN, RN; and Ted Bell, MS –“An Evidence-Based Plan of Care: Potential forGreater Stability in the Late Preterm NewbornCared for on a Mother-Baby Unit”, Evidence-Based Practice Conference, April 2009

Susan Dayhoff, MS, RN, CNS; Jodi Collins,BS, RN; and Burnell Kehr, BS, RN – posterpresentation, “Falling Down Through PracticeChange”, Evidence-Based Practice Conference,April 2009

Michelle DeStefano, MPA, RN, NEA-BC;Rosa Hickey, MSN, RN, NEA-BC – “NurseManager Span of Control”, AmericanOrganization of Nurse Executives, April 2008

Peter Eisert, BSN, RN; Kelli Eldredge, MSN,RN, CCRN, APFN; Tami Hartlaub, RN, CEN,ATCN; Emily Huggins, BSN, RN, MHA, SANE-A, SANE-P; Geneva Keirn, RN; PattieO’Brien, RN, SANE-A; Heather Rozzi, MD,FAAEM, FACEP; Nicole Shue, RN; HeidiWilkerson, BSN, RN, ATCN; Linda Pugh, PhD,RNC, FAAN; Karen March, PhD, RN, CCRN,ACNS-BC – “Development of Forensic EvidenceCollection Guidelines for a Community TeachingHospital Emergency Department”, InternationalAssociation of Forensic Nurses, September 2008

Elizabeth Fisher, BSN, RN, CCRN – “SafeAdministration of IV Metoprolol: Evidence-Based Practice”, 13th Annual Challenges inCritical Care Conference, August 2008; Wonaward in the Case Study/Education Category

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Kris O’Shea, MSN, RN, NEA-BC –“NDNQI Data: Improving Skill Mix throughInnovation”, 2nd Annual NDNQI Conference,January 2008

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Kris O’Shea, MSN, RN, NEA-BC – “ACreative and Innovative Program to Improve SkillMix and RN/Patient Ratios”, AmericanOrganization of Nurse Executives, April 2008

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Bonita Trapnell, MSN, RN, NEA-BC;Astrid Davis, MPA, RN, NEA-BC; DebbieLookingbill, RN, CCRN – “Innovative Approachto Improve RN/Patient Ratios”, NursingManagement Congress, October 2008

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Michelle DeStefano, MPA, RN, NEA-BC – “A Successful Magnet Journey: History andLessons Learned”, ANCC Magnet Workshop,April 2009

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; and Jacquelin Harrington, DEd, RN –“Innovative Faculty Solution: Staff Nurses in aDual Role - Bedside Nurse and Nursing Faculty”,ANCC Magnet Workshop, April 2009

Mark Kahler, BS, RN; Debbie Lookingbill, RN,CCRN; Maria Smith, RNC; and AbigailStrouse, MS, RN – “Staff Led Self DirectedWork Team – 10 Years of Success”, NursingManagement Congress, October 2008

Nancy Mann, MS, RN, APRN-BC –“Comparison of Patient Perception vs. StaffPerception of Symptom Improvement fromAdmission to Discharge at a Community Hospital’sBehavioral Health Inpatient Unit”, AmericanPsychiatric Nurses Association, October 2008.

Nancy Mann, MS, RN, APRN-BC; and TracyMiller, BSN, RN – “Clothes Encounter: PatientPerception of Nursing Attire in a Behavioral HealthUnit”, Evidence-Based Practice Conference, April 2009

Karen March, PhD, RN, CCRN, ACNS-BC –"On Evolution of Evidence-Based Practice in theUndergraduate Curriculum," Building Partnershipsfor Evidence-Based Practice National Conference,September 2008

Karen March, PhD, RN, CCRN, ACNS-BC –"On Evolution of Evidence-Based Practice in theUndergraduate Curriculum," Pennsylvania StateNurses’ Association 105th Annual Summit,Heroes Helping Heroes, October 2008

Karen March, PhD, RN, CCRN, ACNS-BC, andAmbrose, J. – "Rx for NCLEX-RN Success:Reflections on Development of an Effective Processfor Senior Baccalaureate Students." PennsylvaniaState Nurses’ Association 105th Annual Summit:Heroes Helping Heroes, October 2008

Sheree Seben, MSN, RN, CCRN-CMC;Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Karen March, PhD, RN, CCRN,ACNS-BC; Linda Pugh, PhD, RNC, FAAN –“Expanding EBP Beyond the Shared Decision-Making Council”, Johns Hopkins EBPConference, September, 2008

Linda Sibert, BSN, CCRN; and ValerieSmeltzer, BS, CCRN – “Delirium in Older ICUPatients: Developing a Non-pharmacologicTreatment Protocol”, 13th Annual Critical CareChallenges Conference, August 2008



Cynthia Stermer, MS, RN; Brenda Artz, MS,RN, CCRN; Jacqueline Snyder, RN; EileenMcGowan, RN; Lynn Robertson, MS, RN;Kelly Gipson, BSN, RN, Mary Einsig, RN,Robert Patti, PharmD, JD, CACP – “PreventingBarium Retention: An EBP Project”, Evidence-Based Practice Conference, April 2009

Bonita Trapnell, MSN, RN, NEA-BC; NancyBowling, MBA, RN, NE-BC; Kim Logue, BSN,RN – “Road Map Needed – 2 Years ofGeographic Change and Expansion”, NursingManagement Congress, October 2008

Susanlee Wisotzkey, PhD, CCRN, NE-BC –“Tight Glucose Control of the Post-OperativeRoux-en-Y Gastric Bypass Patient”, Nursing 2008Symposium, March 2008

Susanlee Wisotzkey, PhD, CCRN, NE-BC –“Tight Glucose Control of the Post-OperativeRoux-en-Y Gastric Bypass Patient”, NationalAssociation of Bariatric Nurses 5th AnnualMeeting and Conference, October 2008

NATIONAL CONFERENCEPRESENTATIONS

Acceptances for 2009

Deborah Audette, BSN, RN, CCRN-CSC;Melinda Fuller, BSN, CCRN, CSC –“Development of a Pain Management Protocol forAdult Cardiac Surgery Patients UtilizingPreemptive and Multimodal Analgesia”, Center forAmerican Nurses Lead Summit 2009 Conference,June 2009

Dawn Becker, MSN, RN, CEN – poster,“Implementing a Clinical Nurse Specialist on theNight Shift”, ANCC National MagnetConference, October 2009

Barbara Buchko, MSN, RN; Michele Mills,BNS, RN – oral presentation, “Stability in theLate Preterm Newborn Cared for on the Mother-Baby Unit: An Evidence-Based Plan of Care”,AWHONN Convention, June 2009

Barbara Buchko, MSN, RN; Linda Pugh, PhD,RNC, FAAN – oral presentation, “Evidence-BasedPractice: Building the Infrastructure for BedsideNurses”, ANCC National Magnet Conference,October 2009

Barbara Buchko, MSN, RN; Tracy Cadawas,RN; Deborah Fake, RN; Connie Gutshall, MS,RN, NE-BC; Faye Hammers, RN, AND,IBCLC; Michele Mills, BSN, RN; DonnaSnyder, BSN, RN; and Theodore Bell, MS –poster “An Evidence-Based Plan of Care: Potentialfor Greater Stability in the Late Preterm Newborn”,ANCC National Magnet Conference, October 2009

Michelle DeStefano, MPA, RN, NEA-BC –panelist, “Cultures of Excellence Panel”, RBCSymposium, July 2009

Michelle DeStefano, MPA, RN, NEA-BC;Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE – poster presentation, “From Conceptualizationto Practical Application: Integrating a ProfessionalNursing Practice Model with the RBC CareDelivery Model”, RBC Symposium, July 2009

Peter Eisert, BSN, RN, SANE-A – oralpresentation, “Development of Forensic EvidenceCollection Guidelines for the EmergencyDepartment: An EBP Process”, 17th ScientificAssembly of the International Association ofForensic Nurses, October 2009

Peter Eisert, BSN, RN, SANE-A – posterpresentation, “CSI: New@ York: Development ofForensic Evidence Collection Guidelines”,Emergency Nurses Association, October 2009

Kelli Eldredge, MSN, RN, CCRN; EmilyHuggins, MHA, RN, SANE-A, SANE-P; andLinda Pugh, PhD, RNC, FAAN – posterpresentation, “Evidence-Based Practice in ForensicNursing: A Collaborative Effort”, InternationalSTTI Research Conference, July 2009

Sharon Muller, MSN, RN – oral presentation,“IView and eMar Training: Scenario-Based, Clinician-Driven,” Cerner Healthcare Conference, October 2009

Sharon Muller, MSN, RN; Kristen O’Shea,MS,RN,NEA-BC – oral presentation, “The MagneticPull Toward Clinical Transformation: Finding YourWay,” Cerner Healthcare Conference, October 2009

Kristen O’Shea, MS, RN, NEA-BC – oralpresentation, “Device Strategy: Using A “Role,Condition, Venue” Approach” Cerner HealthcareConference, October 2009

Cynthia Stermer, MS, RN-BC; Helen Noll,BSN, RN – poster presentation, “Innovation at theBedside: Utilization of a Staff/Patient/FamilyCommunication Tool to Create Continuity ofCare in an Acute Care Surgical Unit”, RBCSymposium, July 2009

Sandra Young, MSN, RN, CVRN; MarciaAdams, RN – poster presentation, “Grasping theRole of the Primary Nurse”, RBC Symposium,July 2009


GETTYSBURG HOSPITALCLINICAL EMPLOYEE OF THEQUARTER AWARD NOMINEESAND WINNERS

Jane Brewer, RN – House Supervisor, NursingAdministration – Winner

Vickie Myers, RN – Surgical Services – Winner

Selena Neiderer, RN – ED – Winner

Marlene Crouse, RN – Medical Surgical – B1 –Nominee

Angela Holler, US – WellSpan Endoscopy –Nominee

Shawna Meckley, RN – Medical Surgical – B1 –Nominee

Kimberly Shank, RN – ED – Nominee

2008 PROFESSIONAL DAYSPEAKERS

Dawn Becker, MSN, RN, CNS – “The Impact ofa Night Shift CNS”

Christine Bingman, BSN, RN – “Urinary TractInfections: Putting the Pieces Together forPrevention”

Susan Dayhoff, MS, RN, CNS – “PatientOutcome Improvement with Hourly Rounding”

Valerie Hardy-Sprenkle, MPH, RN, NEA-BC,FACHE; Peter Hartmann, MD, FAACP; RosaHickey, MSN, RN, NEA-BC; Ted Bell, MS,CLSp(MB) – “Clinical Collaboration: A 5-YearStudy of RN/Physician Interactions”

Rosa Hickey, MSN, RN, NEA-BC – “Nurse inWashington Experience”

Susan Mickey, MSN, RN, APRN-BC, AOCNS –“Effect of Horizontal Violence on Nursing”

Linda Pugh, PhD, RNC, FAAN – “TranslatingEvidence to Practice: Developing an ActionPlan”

Angela Robinson, MSN, RN, CCRN – “AcuteRespiratory Distress Syndrome EBP Update”

Abigail Strouse, BSN, RNC; Suzan Brown,MS, RN, CCNS, CCRN – “Using SimulationTechnology”

Tim Ward, RN – “Music Therapy Assessment inBehavioral Health”

Susan Witmyer, RN-BC – “Discharge ProcessPilot on Oncology”


2008 PROFESSIONAL DAYPOSTERS

Patricia Bentz, BSN, RN – “Kangaroo Care EBP”

Barbara Buchko, MSN, RN – “Prevention ofPost-operative Urinary Retention after Uro-Gynecologic Surgery”

Barbara Buchko, MSN, RN; Linda Pugh, PhD,RNC, FAAN – “Leading the Way to EvidenceBased Practice”

Pamela Ensminger, RN, OCN – “Women’sInfusion Room at the WIC”

Wendy Gayman-Grant, RN – “Huggable Hearts”

Michele Johnson, BSN, RN; Amy Gerhart,BSN, RN – “Teaming to ImproveDocumentation”

Nancy Mann, MS, APRN-BC – “PatientPerception vs. Staff Perception of SymptomImprovement from Admission to Discharge”

Nancy Mann, MS, APRN-BC; Beth Reiley, RN –“Innovation: Use of the Electronic Health Recordas a Tool for Fall Prevention”

Tracy Miller, BSN, RN – “BHSRestraint/Seclusion Rates Decrease DespiteRising Violence on the Adult InpatientPsychiatric Unit”

Sheree Seben, MSN, RN, CCRN – “BestPractices Related to DVT/VTE Prophylaxis UsingMechanical Devices”

Sheree Seben, MSN, RN, CCRN; ValerieHardy-Sprenkle, MPH, RN, NEA-BC, FACHE –“Building Support for EBP and Nursing Research”

Sonia Zambito, BSN, RN; Mary Miller, RN –“RTS Program”

EDITORS

Nursing Newsletter EditorsDereen HouckCindy Sanders – contributing writer

“ED Talk”Patricia Pollack

“Cardiac Courier”Sandra Young

“Fall Fast Facts”Gregory Gurican

SHARED DECISION MAKINGCOUNCILS

2008-2009 York Hospital SharedDecision Making Council Chairsand Chair Elects

Coordinating Council:

Chair: Kelly Gipson, BSN, RN – Patient SafetyChair-Elect: Patti Pollack, RN, BA – PalliativeCare

Education Council:

Chair: Angela Calvert, BSN, RN – TSICUChair-Elect: Nicole Smith, RN – RAD/ONC

Evidence-Based Practice/NursingResearch Council:

Chair: Sheree Seben, MSN, RN, CCRN – CCUChair-Elect: Elizabeth Fisher, BSN, RN – MSICU

Leadership Council:

Chair: Susan McQuade, BSN, RN, MHA, NE-BC– House SupervisionChair-Elect: Tracy Miller, BSN, RN – BHS

Performance Improvement Council:

Chair: Bill Varnell, BSN, RN – Cath LabChair-Elect: Jodi Collins, RN – 6 South

Practice Council:

Chair: Leslie Johnston, BSN, RN – PedsChair-Elect: Megan Keeney, RN – MTCU

2008-2009 Gettysburg Hospital SharedDecision Making Chairs

Education Council:

Chair: Vickie Myer , RN

Leadership Council:

Chair: Jayne Sorber, RN

Performance Improvement Council:

Chair: Lauren Cullison, RN

Practice Council:

Chair: Glenda Heyser, RN

2008 LEADERSHIP ROLE INPROFESSIONAL ORGANIZATIONS

York Hospital

Kay Ella Bleecher – EDMember, Pennsylvania Attorney General’s Boardon Elder Abuse

Member, Education and Planning Committee –American Trauma Society

President, Regional and Capital Chapters –Emergency Nurses Association

Member, Education Committee – EmergencyHealth Services Federation

Lorraine Bock – ED

Vice President, PA Coalition of Nurse Practitioners

Member, Multistate Reimbursement Alliance

Tana Currie – Nursing AffairsTreasurer, South Central Organization of NurseLeaders

Maggie Davitt-Harris – ED President, Capital Region Oncology NursingSociety

Member, Survivorship Conference PlanningCommittee – American Cancer Society

Michelle DeStefano – AdministrationMember, Research Commission – South CentralOrganization of Nurse Leaders

Member, Practice Committee – PA Organizationof Nurse Leaders

Karen M. Dykstra – PACUVice President, Eta Eta Chapter, Sigma Theta TauInternational

Beverly Eberly – PACUMember, Board of Directors – South Central PAAssociation of Perianesthesia Nurses

Wendy (Johnson) Evangelista – DialysisChair, Membership Committee – South CentralOrganization of Nurse Leaders

Barbara Fauth – OR Secretary, South Central PA Chapter of NationalAssociation of Orthopedic Nurses

Nancy Fike – SSLSecretary/Treasurer, South Central PA affiliateWOCN

Colleen Fisher – OR Vice President, Chair of Membership, Member ofNominating Committee, Newsletter Editor –

Local Chapter of Association of Operating RoomNurses

Kathy Gladfelter – SSUMember, Board of Directors – South Central PAPerianesthesia Nurses

Patricia Graybill-D’Ercole – OR Vice President, Association of Peri OperativeRegistered Nurses

Gregory Gurican – Nursing AffairsSecretary, South Central Organization of NurseLeaders;

Member, Conference Committee – PAOrganization of Nurse Leaders;

Chair, The Harrisburg Section 503 of AmericanSociety for Quality Serving South Central PA



Connie Gutshall – W&CSL Member, Board of Directors – PA Organization ofNurse Leaders

Rosa Hickey – EDSLMember, Legislative Committee – South CentralOrganization of Nurse Leaders

Patricia Hufnagel – OR Treasurer, Association of periOperative RegisteredNurses, Central PA Chapter

Patricia A. Keister – NICU Treasurer, PA Breastfeeding Coalition

Kari Kinard – 5SMember, Scholarship Committee – Eta EtaChapter, Sigma Theta Tau International

Karen March – Nursing ResearchMember, Continuing Education Review Panel –American Association of Critical Care Nurses

Content Expert, National Council State Boards ofNursing

Mary Jane McKee – TSICULiaison, American Association of Critical CareNurses

Susan Mickey – MSL Chair, Governance Committee and FacultyCounselor – Eta Eta Chapter, Sigma Theta TauInternational

Lorene Newman – NICU Treasurer, Susquehanna Valley Association ofNeonatal Nurses

Linda Pugh – Nursing Research Treasurer, United States BreastfeedingCommittee

Celinda Sanders – Case Management Member, Spring Conference Committee – SouthCentral PA Association of Perianesthesia Nurses

Newsletter Editor, SCPAPAN

Abigail Strouse – SSL Member, Leadership Succession Committee,Sigma Theta Tau Eta Eta CHapter

Bonita Trapnell – MSL Member, Education Committee – South CentralOrganization of Nurse Leaders

Gettysburg Hospital

Jennifer BishopTreasurer, ENA – Local

Christine CiparikCommittee Member, Academy Med/Surg Nurses

Jennifer McNewCommittee Member, ENA – Local

Selena NeidererEducation Chair, ENA – Local

Jane OylerMember, PSNA Executive Committee forCongress

Kimberly ShankCommittee Member, ENA – Local

Pamela WaldronSecretary, AORN - Central PA

Kevin Mosser, M.D.President, Gettysburg Hospital

Senior Vice President, WellSpan Health

Richard SeimPresident, York HospitalSenior Vice President, WellSpan Health

This year, your longstanding commitment to the14 Forces of Magnetism as pillars of professionalnursing practice received formal recognition. YorkHospital’s attainment of Magnet designation is aringing endorsement of the values and excellenceingrained in our entire organization. We congratulateyou on this honor and significant achievement.

During this year, you also embraced the dynamicmodel of nursing known as relationship-based carewhich represents the future of care delivery. Finally,you came together with your colleagues toimplement Care Communication at York andGettysburg hospitals. The spirit of teamwork andcollaboration shown during that difficult transitionwas simply inspiring. And as always, youaccomplished each of these goals while maintainingthe highest standards of patient care.

Even with all this progress, we can still reach new

heights of excellence. The nature of health care is

evolving rapidly, and we must evolve with it. In the

future, we will find new ways to use the electronic

health record to its maximum potential. We will

streamline our methods, making health care more

affordable for those who are struggling financially.

Finally, we will seek out further opportunity for

collaboration, making full use of our organization’s

vast professional and intellectual resources. Reaching

these objectives is not only our challenge for the

future, it is our obligation to the community we serve.

You have filled ourorganization with somany sources of pride.

Every single day, we note your unmatched

professionalism in delivering outstanding and

compassionate care. We see your resilient spirit in

the face of difficulty and distraction. Our

observations are routinely confirmed by glowing

praise from the medical staff and heartfelt words of

gratitude from your patients. Thank you for all you

have done. Please continue to lead the way with

your Pride, Passion, and Professionalism.

The past year was one of

unsurpassed achievement.

When examining the

accomplishments of the

past and preparing for the

challenges of the future,

we note one common

element contributing to

our success—

it is you,our nurses.

CEO Message: Looking Back and Ahead2008 Awards and Achievements

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Gettysburg Hospital147 Gettys StreetP.O. Box 3786Gettysburg, PA 17325-0786717.334.2121

York Hospital1001 South George StreetP.O. Box 15198York, PA 17405-7198717.851.2345

key accomplishments 2008 · accomplishments of the nurses of gettysburg and york hospitals. without...

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