Riley Children's Health Nursing Annual Report 2024

Transformational leadership Associate Chief Nursing Officer obtains additional clinical nurse specialists Riley clinical nurse specialists (CNS) are highly successful in helping to lead initiatives to decrease preventable patient harm. The CNS reports to the nursing practice team, but supports inpatient service lines such as Maternity, Hematology & Oncology and Cardiovascular. In February 2024, some of these departments had unfilled clinical nurse positions and Sharon Chaney, PhD, RN, CENP, Associate Chief Quality Officer, Association Chief Nursing Officer – Practice and Professional Development, used this as an opportunity to partner with these departments to use those resources to obtain additional CNS positions. This resulted in obtaining additional CNS positions for CVICU and 3 West, NICU, Periop and Maternity. The additional CNS positions have the ability to significantly impact patient outcomes and overall healthcare quality. The CNS role at Riley Children’s provides and supports specialized expertise and education, evidence-based practice, quality improvement, care coordination, and leadership and mentoring. Riley vascular access team In February 2024, Megan Isley, DNP, MBA, RN, NEA-BC, NPD-BC, Vice President for Patient Services and Chief Nursing Officer, pulled together an interprofessional team to establish a vascular access team (VAT) steering team. Team members on the VAT steering team included: Laura Alter, MSN, RN, Director of Clinical Operations – Critical Care; Leighan Bye, anesthesia physician; Mackenzie Edge-Reetz, BSN, RN, CCRN, Manager of Clinical Operations – OBICU; Andrew Gorman, Director – Facility Support Operations; Megan Isley, DNP, MBA, RN, NEA-BC, NPD-BC, Vice President for Patient Services and Chief Nursing Officer; Nicole Klein, MSN, RN, CPN, NE-BC, Director of Clinical Operations; Kelly Knight, BSN, RN, Manager of Clinical Operations – Labor and Delivery; Valerie Love, RN; Kelly Marvel, BSN, RN, RNC-OB, CNML, Director of Clinical Operations – Maternity Services; Anne McCalister-Mills, DNP, CPNP, Director of Quality & Safety; Kristin Miller, MSN, RN, NE-BC, CPN, Director of Nursing Practice; Nikki Sterling, Director of Finance; and Troy Tinsley, MBA, PMP, Director of Supply Chain. The VAT steering team was asked to establish a plan to expand vascular access support of PIV and blood draws to the Riley Maternity Tower by June 1, 2024. The VAT steering team ensured that the maternity services team members received education and competencies to complete challenging blood draws and PIV placements. In May 2024, VAT phase 1 went live at Riley Children’s with the Riley VAT team supporting the Riley Maternity Tower on challenging PIV placements and lab draws. The support the VAT team has provided at Riley Children’s improves patient health and safety. It ensures accurate diagnosis and monitoring, efficient medication delivery, reduced patient discomfort, improved patient outcomes and prevention of complications.

Nursing scholarly work

Kristin Miller, Laura Koke , Magnet and Pathways Panel Discussion, IU Health Nursing Research Conference – Leading & Sustaining Magnet Programs of Excellence Alisha Harter, Kristy Todd, Laura Koke, Christina Madriz Professional Governance Structure and Clinical Practice Panel, IU Health Ambulatory Conference Bri Carrera , New Grad RNs Driving Practice Through EBP, Riley Innovation in Practice Conference Stacy Nance, Scott Coven, Jamie Turman, Jennette Champion, Ericka Cheng , Health Equity Symposium, Pediatric Grand Rounds Kathleen Head, Amy Haskamp , Amplifying Voices of Another Language: A Nurse-Led Intervention to Address the Needs of Patients, Families, and Medical Interpreters, Association of Pediatric Hematology/Oncology Nurses Mackenzie Edge-Reetz, Melissa Hollar , Clinical Prevention of Severe Maternal Morbidity, Labor of Love Laura Koke, Kristin Miller , Riley Children’s Health DAISY Program, Indiana DAISY Round Table Discussion Kristin Miller, Laura Koke , Nursing Professional Governance’s Impact on the Professional Practice Environment, Riley Innovation in Practice Conference Lisa Mayer, Carly Steinborn, Rebecca Sutton , Riley Maternity and Newborn Health Perinatal Outreach Team OBGYN Sims, American Academy of Pediatrics National Conference RMNH Perinatal Outreach Team , Riley Maternity and Newborn Health Outreach, Riley Children’s Foundation Red for Our Kids Gala RMNH Perinatal Outreach Team , Surfactant Administration through Laryngeal or Supraglottic Airways (SALSA), 7th Annual Resuscitation Symposium Dr. Anthony Shanks, Dr. Lindsay Blazin, Kathleen Head , Achieving Language Equity: The Why and How of Using Medical Interpretation to Optimize Care, Indiana University School of Medicine Department of Pediatrics SEED Initiative Laura Blazier, Dr. Beatrice Stefanescu , Neuroprotective Bundle in Preterm Infants: A QI Initiative to Reduce Severe IVH, IU School of Medicine QI Competition Tisha Kivett, Colleen Brunetti, Lauren Janzen, Lisa Lea, Brittany Davis, Lee Ann McDowell, Navneet Singh , Partners in Progress: How Patients and Industry Can Work Together to Move Science Forward, 2024 International Pulmonary Hypertension Conference and Scientific Sessions Laura Koke, Katie Feley, Jen Embree, Indiana State Nurses Association Statewide Nurse Advocacy Coaching Program, IU Health Nursing Research Conference - Leading & Sustaining Magnet Programs of Excellence Laura Koke, Katie Feley, Jen Embree, Indiana State Nurses Association Statewide Nurse Advocacy Coaching Program, Indiana Organization for Nursing Leadership Fall Conference Cindy Fiscus, Katy Treadwell , Asthma Discharge Twistle Program Reduces Pediatric Asthma Admissions, Association of Asthma Educators Stacy Nance, Scott Coven, Jamie Turman, Karen Doe , Health Equity Community Engagement Through Family Partnerships, IU Health Nursing Research Conference - Leading & Sustaining Magnet Programs of Excellence

Structural empowerment Venipuncture training for RNs and medical assistants

In early 2024, there was a request that the RNs and medical assistants in the Riley Children’s Health Fort Wayne office start performing lab draws. The manager reached out to the nursing professional development team and a learning needs assessment was completed. Required education was created and provided to the RNs and medical assistants in the Fort Wayne office. This education covered the supplies needed for lab draws, venipuncture procedure, documentation, filling and labeling lab tubes, and age-appropriate resources to assist with lab draws. This training will significantly improve accuracy and efficiency, improved patient comfort, reduce complications, streamline the workflow, improve access to care and provide professional development to our team members.

Stacy Nance wins Riley Values Leadership Award for Nursing

In 2024, Stacy Nance, BSN, RN, CPHON, ambulatory clinical nurse, received the Riley Values Leadership Award for Nursing. Stacy consistently demonstrates the IU Health Values and supports the strategic priorities of Riley Children’s. Stacy is a mentor, researcher and facilitator. She invests time in health equity efforts and addressing social determinants of health. This is all done to improve health outcomes for our patients and families at Riley Children’s, aligning with our strategic priority to make Indiana one of the nation’s healthiest states.

Riley team members partner with Red Cross to install smoke detectors and create comfort kits for homeless hospitalized veterans.

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