Riley Children's Health Nursing Annual Report 2023

Structural Empowerment At Riley Children’s Health clinical nurses provide culturally and socially sensitive care to our patients. Kathleen Head, BSN, RN, CPN, CPHON, a clinical nurse on the Hematology/Oncology Unit, 5 West is an approved bilingual provider in Spanish at IU Health and a Spanish Educator. Kathleen identifies patients with the preferred language of Spanish. She meets with the patients and families to assess their needs and better understand their individual language preferences so the teams at Riley can best care for them, the caregivers can be fully included in the patient’s care, and education needs can be met. Kathleen is instrumental in ensuring that patients, caregivers, and team members at Riley have access resource to improve language access. This includes establishing an interprofessional language access council and advocating for additional video interpretation devices. Exemplary Professional Practice At Riley Children’s Health team members frequently partner with patients and families to influence change in the organization. In 2023, an interprofessional team of providers and nurses identified that patients did not have access to appropriate products to provide ethnic hair care. This group partnered with supply chain and the Riley Patient and Family Advisory Committee to identify the products that were needed, trial the products, and ensure that the appropriate products are available for use. In September of 2023, a bonnet, wide tooth comb/brush, shampoo and conditioner, hair care kit, and mesh bag were added to the supply ordering system which allows departments to order these products to provide appropriate hair care for all patients and families. New Knowledge, Innovations & Improvements Clinical nurses at Riley Children’s Health incorporate professional specialty standards or guidelines to implement a practice new to the organization. In early 2023, Tracy Swift, BSN, RN, CWON, clinical nurse and Cara Flanigan, BSN, RN, CWON, clinical nurse partnered with the interprofessional Riley-wide, hospital acquired pressure injury group to implement the use of the Braden QD scale to assess pressure injury risk. The Braden QD scale takes into consideration the medical devices the patient has which was not part of the previous assessment tool. The implementation of the Braden QD assessment tool has allowed clinical nurses to better appreciate the unique risks of hospitalized pediatric patients. Team members have noticed improvements in the removal of necessary devices, padding of devices, and other interventions directed towards addressing the challenges posed to the skin by medical devices.

Presentation and Publications Riley Children’s Health nurses are committed to disseminating new knowledge, innovations and improvements to the community of nursing. Here is a list of some of the presentations and publications that Riley nurses participated in in 2023: Presentations Bass, Sarah. Early Detection Can Reduce Suicide Risk in Ambulatory Care, American Academy of Ambulatory Care Nursing, 2023. Brown, Hilary & Hardacker, Sarah. (2023, July 28). Riding the waves of change: An NPD department re-design. Association for Nursing Professional Development. Clements, Hilary. (2023, Dec). Utilizing Nurse Executive competencies to plan Associate Administrator department growth and development (poster presentation). Riley Interprofessional Innovation in Practice Conference. Riley Hospital for Children, Indianapolis, IN. Estridge, Danielle & Hardacker, Sarah. (2023, Dec). Re-designing the new nurse orientation model (podium presentation). Riley Interprofessional Innovation in Practice Conference. Riley Hospital for Children, Indianapolis, IN.

Head, Kathleen. (2023, May). Language accessibility (poster presentation). IHI Patient Safety Congress, Maryland.

Humphery, Heather. (2023, Dec). 3 Dimensional Cardiac Defect Heart Models (poster presentation). Riley Interprofessional Innovation in Practice Conference. Riley Hospital for Children, Indianapolis, IN. Knight, Kelly, Hollar, Melissa, & Edge-Reetz, Mackenzie. OB ICU Nursing: An Innovative Counteroffensive to Maternal and Neonatal Morbidity and Mortality, The Women’s Hospital Annual Perinatal and Neonatal Symposium and Riley Interprofessional Innovations in Practice Conference. Seibold, Dianne & Smith, Tiffany E. (2023, Dec). Implementing the tiered skills acquisition model in a complex operative environment (podium presentation). Riley Interprofessional Innovation in Practice Conference. Riley Hospital for Children, Indianapolis, IN. Publications Bass, Sarah, Scholes, Kathryn, & Smith, Diane. (2023). Preventing nurse burnout to improve nurse retention in primary care. Journal of Nursing Management, 54(12): 26-33. Preventing nurse burnout to improve nurse retention in prima... : Nursing Management (lww.com) Brown, Hilary. Utilizing Nurse Executive Competencies to Plan House Supervisor department growth and development. 21(5): p547- 550, Oct 2023. https://doi.org/10.1016/j.mnl.2023.06.009 Utilizing Nurse Executive Competencies to Plan House Supervisor Department Growth and Development - ScienceDirect Engelmann, Jennifer & Klein, Nicole. (2023). Operation allies welcome: What matters most to patients and team members when cultures collide. Nurse Leader, 21 (5): 543-546. Operation Allies Welcome: What Matters Most to Patients and Team Members When Cultures Collide - ScienceDirect Hutchins, Larissa, King, Karen L., Piroso, Christina V., Williams, Laura M., Hardacker, Sarah N., Birnbaum, Shira, & Curley, Martha A. Q. Design and implementation of a new orientation program based on core competencies and a clinical mentor model. Journal for Nurses in Professional Development 39(6):p E228-E232, 11/12 2023. | DOI: 10.1097/NND.0000000000000993 Design and Implementation of a New Orientation Program Based... : Journal for Nurses in Professional Development (lww.com) McSweeney, Julia, Colglazier, Elizabeth, Becerra, Jasmine, Leary, Brienne, Miller-Reed, Kathleen, Walker, Stephen, Tillman, Katy, Magness, Melissa, Ogawa, Michelle, Bannon, Whitney, Kivett, Tisha, Jackson, Emma O., Davis, Anne, Shepard, Cathy, Richards, Susan, Whalen, Elise, Engstrand, Shannon, DiPasquale, Zachary, & Connor, Jean A. Failure to tolerate continuous subcutaneous treprostinil in pediatric pulmonary hypertension patients. Pulmonary Circulation. 2023 Apr 1;13(2):e12224. doi: 10.1002/pul2.12224. PMID: 37143765; PMCID: PMC10151594. https://pubmed.ncbi.nlm.nih.gov/37143765/ Failure to tolerate continuous subcutaneous treprostinil in pediatric pulmonary hypertension patients - McSweeney - 2023 - Pulmonary Circulation - Wiley Online Library

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