Annual Nursing Report 2024

2 0 2 4

“Finding Strength, Giving Back Lives, One Day Better, Every Day”

ANNUAL REPORT

Spaulding Rehabilitation Network Department of Nursing

CONTENTS

Message from the Chief Nursing Officer

03

Messages from the President & the COO & the CMO

04

Nursing Leadership Team

05

Mission & Vision

06

Spaulding by the Numbers

07

History of Spaulding

08

Spaulding Photos

09 - 10

11

Journey to Magnet

12 - 13

Magnet Photos

Transformational Leadership

14

Structural Empowerment

15

New Knowledge

16

CONTENTS

Bench Marks

17 - 18

Nursing Awards Winners

19

Daisy and Sunshine Award Winners

20

Spaulding Photos

21 - 22

Leadership Certifications

23

Specialty Rehabilitation Certifications

24 - 25

Backcover

26

Message from the Chief Nursing Officer Dear Nurses and Colleagues,

Most recently I attended the American Organization of Nurse Leaders' conference in New Orleans. Among the many speakers, we had the pleasure of hearing from Jorge Quinones, an ABC News Correspondent. Jorge is well known for his show, "What Would You Do?" His words of wisdom spoke to the many facets we wish to see happen as nurses and colleagues and how we must work together for the better. Below are a few paraphrased quotes from his message and how I have let them resonate with me through positivity. I hope you can find positivity too with your interpretations. “Nurses have been part of the many scientific breakthroughs and technological advancements in

healthcare and will continue to be pivotal agents in this movement.” I say, " Let us step into our shoes and walk the pavement as care giver pioneers, engineers and greatness. Know we may fail, but that it is okay. We gave it a try and we will try again. Let's change our narrative to yes we can.” "For 22 years, nurses have been voted in the Gallup survey as the most trusted profession.” I say, "Let us continue our quest for safe quality care for all, because truthfully we are part of all in the group identified." "Let us hold up a mirror to show what is right or what we can do. Say to yourself, What will I, You, We do when no one is watching? How will we manage such an opportunity to do right on what's wrong? Remember, silence is compliancy.” I say, "let us continue to move forward with advocacy, serving our mission and our vision for equitable, just healthcare across the continuum. Listen to the voice inside you and appreciate the value of your mind and heart asking you what you will do to thrive, do better, make it right.” "Let us pull ourselves upwards by our bootstraps, because we know truthfully now that when we need to pull together, we do, we pitch in to what matters in our hearts.” I say, "Together we are better. Find you, your hero, your opportunity and always treat each other with the fundamental value of respect, no matter the personal view. Do your best to stay above the line." "Admire the beauty of the butterfly. Remember the butterfly gives us lessons of life and shows us the many changes we must go through to become beautiful.” I say, " Change, while uncomfortable, brings us far and beyond what we could have imagined."

"

I express my gratitude to all of you for all that you have done and all you will continue to do.

Thank you

Judi Cullinane, PhD, MSN, RN

Message from the CEO, COO & CMO Dr. Ross Zafonte SRN, President Congratulations to the extraordinary nurses of Spaulding, whose

dedication and expertise have played an instrumental role in the success of our health systems. Achieving Magnet status at Spaulding Cambridge and Cape Cod is a testament to your unwavering commitment to excellence in patient care, education, and clinical innovation. Your tireless efforts not only enhance the quality of care provided but also contribute significantly to the academic and educational achievements of our programs. Your compassion, skill, and professionalism make a profound difference in the lives of patients and their families every day. Thank you for your exceptional contributions to our healthcare community.

Greg Jackson SRN, Chief Operating Officer

Congratulations to the dedicated nurses of Spaulding Rehabilitation! Your hard work and unwavering commitment over the last year have made a significant impact on the lives of countless patients. Your compassion, skill, and professionalism shine through in everything you do, and your efforts are truly commendable. Thank you for your dedication to excellence in patient care and for embodying the spirit of healing and compassion every day. Your contributions to Spaulding Rehabilitation are invaluable, and you deserve all the recognition and appreciation. Well done!

Dr. Cheri Blauwet SRN, Chief Medical Officer

Congratulations to all of our colleagues in nursing on your extraordinary accomplishments and thank you for your tireless efforts on behalf of our patients and their families. On behalf of all of our physician staff, we truly appreciate your partnership as we collectively strive to lead the field of rehabilitation in patient outcomes, quality, and fostering a positive patient experience. We can only reach these goals when we work as an interdisciplinary team, and your dedication to patient care, incredible talent and expertise, and commitment to creating a positive and welcoming workplace are central to our success. Thank you again - and I look forward to working alongside you as we continue to innovate and lead into the future!

Nursing Leadership

Spaulding Rehabilitation Hospitals, Chief Nursing Officer Dr. Judi Cullinane

Dr. Joanne Fucile

Martha Rafferty

Spaulding Hospital Cambridge, Associate Chief Nursing Officer

Spaulding Rehabilitation Hospital, Associate Chief Nursing Officer

Dr. Debra Blyth-Wilk Spaulding Rehabilitation Hospitals, Executive Director Nursing Excellence

Maureen Calnan Spaulding Hospital Brighton, Associate Chief Nursing Officer

Janice Maloof-Tomaso Spaulding Rehabilitation Cape Cod, Associate Chief Nursing Officer

Dr. Debra Abele

Spaulding Rehabilitation Hospitals, Senior Director of Professional Development Dr. Tamera Corsaro

Spaulding Rehabilitation Hospitals, Magnet Program Director

Mission and Vision Spaulding Rehabilitation nurses provide expert, compassionate care by empowering our patients, families and communities through our commitment to strength in nursing and patient advocacy, evidence- based Rehabilitation and Nursing excellence.

Spaulding Rehabilitation nurses will be globally recognized leaders through clinical practice, innovation, research, education and advocacy.

Spaulding by the numbers

5,500 inpatients served network-wide each year

76,000 patients treated network-wide annually

63,500 new outpatient evaluations each year at 26 outpatient

5 specialized Discovery Centers at the Schoen Adams Research Institute: • Brain Injury and Concussion Recovery • Spinal Cord Injury Recovery • Recovery from Chronic Pain • Stroke Recovery • Musculoskeletal Recovery 560,000 outpatient visits network-wide each year

495 beds at inpatient facilities Boston: 132 Brighton: 123 Cambridge: 180 Cape Cod: 60

1,450 virtual care visits each year 425 inpatient virtual visits with acute providers annually 100% score best place to work for disability inclusion on Disability Equality Index

therapy centers

3 nationally recognized model systems of research and care for: • Traumatic Brain Injury • Burn Injury • Spinal Cord Injury

300 annual publications

99 faculty members in the Harvard Medical School Department of Physical Medicine and Rehabilitation

in leading scientific journals

4 core mission pillars: • Clinical Care

5 specialty rehabilitation fellowship programs with 8 current fellows

$43M in funded rehabilitation research

6 consecutive years as a top three best rehabilitation hospital in U.S. News & World Report

• Research • Education • Advocacy

7 straight years as a Doximity top-ranked U.S. rehabilitation residency program, with a current total of 24 residents

230 research studies underway

$96M + raised in the Campaign for

542 Physical Therapists

3 committees

Spaulding Research Institute

established by the Equity, Dignity, and Respect Council: •

54 years of

140 Speech-Language Pathologists

565 Registered Nurses

263 Occupational Therapists

Education and Cultural Humility

Health Equity and Community Outreach Recruitment and Retention

extraordinary leadership in rehabilitation medicine

Our History First planned in 1967 by Josiah Spaulding and a group of other civic leaders to address the critical rehabilitation need created by changes to Medicare law, the current Spaulding Rehabilitation Hospital opened its doors on September 16, 1970. Forty years later, Spaulding Rehabilitation Hospital has grown into one of the top rehabilitation facilities in the world as a leader in teaching, research, and care in the rehabilitation field. SCC Spaulding Rehabilitation Hospital Cape Cod (SCC) is a 60-bed, acute rehabilitation hospital located in Sandwich, Massachusetts that serves both Cape Cod and the Islands. SCC is the only provider of hospital-level rehabilitation on Cape Cod. The Rehabilitation Hospital of the Cape and Islands (RHCI) admitted their first patient in October 1995. In 2010, RHCI became Spaulding Rehabilitation Hospital Cape Cod and became fully integrated into the Spaulding Rehabilitation Network. SHC The hospital was founded in 1895 by the Sisters of Charity of Montreal (the Grey Nuns) as the Holy Ghost Hospital for Incurables. A 24-bed “cottage”, the hospital served people with chronic illnesses and disabilities aiming to carry out the vision of the order’s foundress St. Marguerite d’Youville to serve all regardless of background. Over time, the facility grew to become Youville Hospital and Rehabilitation Center, a 305-bed care facility serving elders and those in need of rehabilitation. The name changed in 1970 and the facility operated as a member of the Covenant Health Systems. In 2001. Youville Hospital formed a joint venture with Spaulding Rehabilitation Hospital, and in 2009 Spaulding purchased Youville and changed the hospital’s name to Spaulding Hospital Cambridge. SRB Spaulding Nursing and Therapy Center in Brighton opened its doors and welcomed its first patients on Saturday October 28 th , 2017. The Spaulding Nursing and Therapy Center Brighton combined 2 former locations – one in the North End and the other West Roxbury. (SRB) is located at 100 North Beacon Street and is a fully licensed 123-bed skilled nursing facility for residents requiring skilled nursing services and short-term rehabilitation care. SRB staff provide interim nursing care from hospitalization to home. Services offered include complex wound care, intravenous antibiotic or fluid therapy, osmotic care and teaching, tube-feeding care and teaching, post-cardiac surgery care, aggressive pain management, therapy for chronic respiratory conditions, tracheotomy care, diabetic care and more.

SRH

Spaulding Rehabilitation Hospital was founded in 1971 as the Massachusetts Rehabilitation Hospital. It was named after Josiah Spaulding, a founder, after his death in 1983. The former location was in the West End of Boston, located behind North Station at 125 Nashua Street.

Our Magnet Journey

Spaulding Rehabilitation Hospital

Application Submitted 10/1/2023

Designation Decision 1/2025

Document Submission 6/3/2024

Anticipated Site Visit 11/2024

Spaulding Hospital Cambridge

Apply for 1 st Re-designation 4/2026

Interim Report Due 4/2025

1 st Re-designation Document Due 4/2027

Designated 5/2023

Spaulding Hospital Cape Cod

Interim Report Due 9/2024

Apply for 1 st Re-designation 9/2025

1 st Re-designation Document Due 10/2026

Designated 9/2022

Spaulding Rehabilitation Brighton

Application Submitted 10/1/2023

Designation Decision TBD

Document Submission TBD

Anticipated Site Visit TBD

Transformational Leadership

Spaulding Charlestown Erin Morrissey MSN, RN, CRRN, Clinical Nurse Leader for the 5 th Floor, exemplifies the characteristics of a transformational leader. In 2023, when the unit faced the loss of their nurse director, Erin assumed the role of interim nurse director, offering stability and advocacy. She guided her team through a challenging transition, offering mentorship and support to the new nurse director.

Spaulding Cambridge Erika Dilbarian BSN, RN, CWON takes the lead in bedside care, instilling confidence in the entire patient care team with her extensive knowledge and expertise in wound care. Collaborating with her mentor, Jennifer Godfrey MSN, RN, CWON, they have revamped the wound care training program. Erika actively engages the interdisciplinary team, fostering a culture of curiosity, and consistently advocates for best practices in patient care.

Spaulding Cape Cod David Soprano MHA, BSN, RN, CPHQ, a-IPC played a key role in implementing the virtual visit program at Spaulding Cape Cod, overseeing everything from family visits to physician appointments. Additionally, he took the lead in launching the quality dashboard project using Tableau.

Spaulding Brighton Haruka Tamura BSN, RN, a staff nurse at Spaulding Brighton. She played a pivotal role in the fundraising efforts for the Build A Bed Project by organizing dance classes at her local studio to assist with the cause.

Ambulatory Services Nancy Milligan MS, RN, Director, Medical Services Ambulatory Operations, exemplifies the ICARE principles daily. She is highly involved in ambulatory transformation. She recently worked with her team to revisit and strengthen the time-out procedure across the PM&R practices. She is highly energetic and motivates her team to be the best they can be.

Structural Empowerment

Spaulding Charlestown Samantha Picillo BSN, RN, CRRN, Kazumi Watson BSN, RN, Hes Conway BSN, RN, Andrea Murray BSN, RN, and Suzanne Murdock DNP, CENP, GNP-BC from the Professional Governance Council, are working on a project to identify methods and enhance the communication between nurses and medical residents.

Spaulding Cambridge The Professional Development Team at Spaulding Cambridge is using escape room simulation to reinforce concepts learned in nursing orientation. The use of escape rooms increases student motivation, engagement, and content mastery by incorporating adult learning principles that allow participants to have control over the learning environment through discussion, collaborative problem solving, and application of clinical experiences.

Spaulding Cape Cod By recognizing the value of interprofessional collaboration in both education and practice, Matthew Keilty MS, OTR/L, Director of Professional Development partnered with nursing to integrate interdisciplinary wound rounds into weekly practice at SCC which demonstrates a proactive approach to addressing patient needs comprehensively. By joining forces, they're not only enhancing the skills and knowledge of healthcare professionals but also directly impacting patient care and outcomes.

Spaulding Brighton Donna Keenan BSN, RN Infection Preventionist at SRB is crucial for maintaining patient health and safety. Collaborating closely with the Wound Care Team to identify and address pressure injuries or patients at risk for them demonstrates a proactive approach to healthcare. By ensuring timely recognition and treatment, Donna is plays a significant role in preventing complications and promoting better outcomes for patients. It's great to see healthcare professionals like Donna working together to provide comprehensive care.

Exempllarry Prracttiice

Patient Satisfaction Performance % of Units Exceeding the Benchmark Q4 2021- Q3 2023

Careful Listening SRH

100%

Care Coordination SHC

50%

Courtesy & Respect SCC

100%

Responsiveness SRB

100%

Exemplary Practice Nursing Quality Performance % of Units Exceeding the Benchmark Q4 2021- Q3 2023

Falls with Injury SRH

100%

Hospital Acquired MRSA SHC

83%

HAPI Stage 2+ SCC

100%

CLABSI SRB

100%

New Knowledge

Spaulding Charlestown Nurses on the 4 th Floor realized that it was taking an average of 12 minutes to locate supplies in the clean utility room - leading to extended wait times for patients. Using the CLIP process, they created a process for "color coding" items in the clean utility room according to frequency of use, area of use and discipline. They created a guide for the new process. Through this project, they were able to reduce the time spent in the clean utility room hunting for supplies from 12 to 7 minutes.

Spaulding Cambridge Samantha O’Neill RN, BSN, OCN developed an educational program using simulation in chemotherapy administration with a goal of increasing administrative confidence. She has presented her work both locally and nationally.

Spaulding Cape Cod Keturah Peters BSN, RN, as a member of the Wampanoag Tribe, is working on a project to bring cultural awareness and competence to the nurses at Spaulding Cape Cod. The Wampanoag are a Native American people of the Northeastern Woodlands currently based in southeastern Massachusetts and Cape Cod.

Spaulding Brighton At Spaulding Brighton, in collaboration with the medical providers, the nurses launched the EKG Patch Solution. This is a medical procedure that allows a 12-lead, rapid EKG to be administered anywhere. Nurse Director, Bridget Blake MSN, RN is teaching her colleagues how to use the device.

Ambulatory Services Kazumi Walton BSN, RN’s role as a nurse specializing in cryoneurolysis, alongside Dr. Rovito, showcases the intersection of innovation and patient care. Her skills in communication and empathy are invaluable in a field where patients may feel anxious or uncertain about novel treatments. By proactively educating, Kazumi not only enhances their understanding of the procedure but also fosters trust and confidence in the healthcare team. This personalized approach not only improves the patient experience but also contributes to better outcomes by ensuring patients feel informed and supported throughout their treatment .

SR N N ursing Clinical Excellence Award Winners

2018 : Ralph Ibalobor, BSN, RN 2019: Emily Miyazaki, BSN, RN 2020: Tara Drake, RN, CRRN 2021: Elissa Guzman, BSN, RN 2022: Annabel Tumapang, BSN, RN 2023: Evan Taylor, RN 2023: Haruka Tamura, RN

SR N Maureen Banks N ursing Transformational Leader Award Winners 2018: Christina Broderick, BSN, RN, Advanced Clinician, CBIS 2019: Martha Kaniaru, DNP, RN, CRRN, NEA-BC 2020: Lili Davis, BS, RN, CRRN 2021: Lisa Grover, MSN, RN 2022: Sue Murdock, DNP, RN, CENP, GNP-BC 2023: Jen Godfrey, MSN, RN, CWON

Certified N urses by Location

Spaulding Rehabilitation N etwork N ursing Leadership

Judith Cullinane PhD, MSN, RN, NEA-BC, LSBBH, CCRN

Maureen Calnan BSN, RN, MHA, CRRN

Joanne Fucile DNP, RN, CRRN, NEA-BC

Janice Maloof Tomaso MSN, RN, NEA-BC

Debra Abele, DNP, RN, NEA-BC

Debra Blyth-Wilk, DNP, JD, RN, CPHQ

Tamera Corsaro DNP, CNS, RN, ANPD-BC

Martha Kaniaru DNP, RN, NEA-BC, CRRN

Spaulding Hospital Brighton

Nicole Miceli BSN, RN, CRRN

Maria Butler BSN, RN, CCRN

Wendy York ASN, RN, CRRN

Lisa Grover MSN, RN, CRRN

Coreen Salmon MSN, RN, CRRN

Sixto Mantile BSN, RN, CRRN

Petcharin Charoenkul - WOCN

Spaulding Rehabilitation Hospital

Ann Caberoy MSN, RN, CRRN Marianna Parga BSN, RN, CRRN Josephine DiPietro MSN, RN, CRRN Theresa Price BSN, RN, CRRN Ritchel Tolentino BSN, RN, CRRN Deborah Wilson MSN, RN, CRRN Wendilynn Duquette MSN, RN, CRRN Merry Desquirado BSN, RN, CRRN Krisztina Nichols MSN, RN, RN-BC Sasha Dubois MSN, RN, NEA-BC Cintia Barbosa BSN, RN, CCM Abbie Kimemiah BSN, RN, CRRN Gabriel Shipon BSN, RN, ONC

Francine Carter ASN, RN, CRRN Christina Cassidy BSN, RN, CRRN Eden Digan BSN, RN, CRRN Rizza Rimpos BSN, RN, CRRN Jeannie See MSN, RN, CRRN Beth Sloane BSN, RN, CRRN Erin Morrissey MSN, RN, CRRN Mary Oberton Fiore BSN, RN, CRRN Jennifer Dresbach BSN, RN, CRRN Samantha Picillo BSN, RN, CRRN Patrick Davis BSN, RN, CRRN Kelly Rowe BSN, RN, CRRN Suzanne Murdock DNP, RN, CENP Elizabeth Gondek PhD, RN, RN-BC

Spaulding Hospital Cambridge

Nicole Pantos BSN, RN, CWOCN Julie Zuis MSN, RN, CCM Pauline Smith DNP, RN, NEA-BC Justine Belvin BSN, RN, CCTN Miriam Deukmejian DNP, RN, CCTN

June Alexander BSN, CCRN-CMC, PCCN Katherine Boyarsky BSN, RN, OCN Alicia Cruz BSN, RN, WOCN Erika Dilbarian BSN, RN, CWCN, COCN Erica Foley MSN, RN, RN-BC Emily Goddu BSN, RN, CWOCN Jennifer Godfrey MSN, RN, CWCN, COCN Samantha O’Neil MSN, RN, OCN

Jay Cronin BSN, RN, CRRN Orli Stitcher BSN, RN, CRRN Evan Taylor BSN, RN, PCCN

Spaulding Cape Cod

Deborah Byrne MSN, RN, CRRN

Jill Medeiros BSN, RN, CRRN

Susan Dewitt ASN, RN, CRRN

Christine Powers ASN, RN, CRRN

Tara Drake BSN, RN, CRRN

Leah Sawyer ASN, RN, CRRN

Polly Greene BSN, RN, CRRN

Laurie Shippey BSN, RN, CRRN

Irina Johnson BSN, RN, CRRN

David Soprano MHA, BSN, RN, CPHQ, a- IPC

Jeanne Laurie ASN, RN, CRRN

Colleen Vincent ASN, RN, CRRN

Martha Martin MSN, RN, CRRN

Linda Whalon BSN, RN, CRRN

Michael McGrail BSN, RN, CRRN

2022 Daisy Award Winners

2023 Daisy Award Winners

Jeannie See – SRH Marlene Sullivan - SHC Teresa Reddy – SRH Joseph Presentato – SRH Juliette Beckman – SCC Martha Martin – SCC

Annabel Tumapang – SRB Caroline Silvia – SCC Janice Willie – SRB Karen Glavin – SRH Minna Wang – SHC Evan Taylor – SHC Cassandra Bernbaum – SRH

2022 Sunshine Award Winners Danstan Htege – SRH Eli Prophete – SHC Marina Komissarova – SCC James Layton – SCC

2023 Sunshine Award Winners Alice Nabwateme – SHC

James Antoine – SRH Jennifer Best – SRB Marie Gerard – SRB Mary Ann Mercado – SRH Rosalina Yaya - SRH

Production Team: Debra Abele, DNP, RN, NEA-BC Magnet Program Director Erin Morrissey, MSN, RN, CRRN Magnet Program Coordinator / Clinical Nurse Leader Kevin Sroufe, LSSGB

Executive Administrative Assistant

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