March 2013

Our Journey to Excellence

Damita J. Williams, RN, MSN, MA, CPN, NE-BC

Dear Colleagues,

We are approaching the end of the fiscal year's third quarter and much has happened this year. We are all very much aware that change is a constant and will be with us for some time to come. As you read this column we are already opening new areas in the hospital. We are re-purposing hospital space, and beds, giving us the opportunity to enhance our patient services. In January, a new observation unit opened on the hospital ground level, adjacent to the Emergency Department. This new unit will expand over the next few months from seven to 12 beds. This unit is dedicated to our short-stay patients who stay up to 23 hours.

Over the next few months watch for the opening of a new pre-and post-cardiac cath unit on the sixth floor, formerly the dialysis unit. Additionally we are merging PICU and 4 SW to create a new 38-bed intensive care unit. Room 408 will become a part of NICU to create a 40-bed unit. These changes will allow us to begin to accommodate the rising acuity of our patients in an intensive care unit and not on the medical and surgical floors.

Other changes that have taken place to enhance the patient experience are new patient experience service teams which you will be learning more about over the next few months. In addition to these groups, our family centered care commitment has expanded to a new parent-to-parent support group in the NICU and a new family advisory team in Nephrology.

Since our last issue, "You Asked, We Answered" has continued with the addition of more sleep recliners for patients, and soon to arrive monitors for the ED. This will hopefully allow clinical engineering to increase the numbers of working monitors throughout the hospital.

With change comes challenges, but also opportunities. In January at Everyday Excellence, I shared a graph with leaders and staff that showed that nearly 50 percent of our patient experience challenges are related to staff behavior. Supportive and professional behavior is an expectation of all of us that serve children and their families. Each of us needs to treat our patients and their guests as if they were a part of our family. Providing our patients and families with compassionate and competent care is something we all have control over.

As we move forward, there is much to be proud of here at Children's. Take a look at the progress of our Lean Six Sigma projects, two of which are already adding a new efficiency to the Emergency Department Triage and the Angel/Clown Pod.

Special thanks goes to the many individuals who prepared for the Bone Marrow Transplant survey administered by the Foundation for the Accreditation of Cellular Therapy (FACT) in early December 2012. The exit interview went extremely well. It took many months of preparation by Facilities, Epidemiology, Pharmacy, the Quality Team, 6 West, PICU, NICU, ED, OR, the Hematology/Oncology clinic along with our Safety Director Sue Andersen. We look forward to reviewing the final report.

We also participated in a Commission on Accreditation of Rehabilitation Facilities (CARF) survey for our Rehab Unit. Our CARF accreditation is a demonstration of accountability and conformance to internationally accepted standards that promote excellence. Enhancing the lives of the persons receiving rehab services is at the heart of CARF's mission. Thank you to all of our Rehab Unit staff for their outstanding cooperation.

I am committed to serving as your leader and am excited to see the progress each of you is making every day. I believe in you and I am confident that we can make the changes we need to make in key areas, such as patient experience and employee engagement. I look forward to the future because it is bright!

To What is Possible,
Damita J. Williams MSN, MA, RN, CPN, NE-BC
Vice President, Patient Care Services

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Advanced Practice Nursing

Congenital heart disease – heart disease that is present at birth – is the most common type of birth defect. Approximately one out of every 150 babies is born with some form of congenital heart disease. While congenital heart defects are common, not all cases are serious enough to require treatment. In cases where treatment is necessary, advances in medical technology and practice are making it possible for more patients than ever to not only survive into adulthood but to do so with a high quality of life. — Society for Cardiovascular Angiography and Interventions

We've left National Heart Month behind in February but we continue to salute our nurses who serve in the Cardiology and Cardiovascular Surgery units.

Michelle Dokas, MSG, CPNP-AC, has been a nurse practitioner with Children's Hospital for 22 years and noted that the Cardiovascular Surgery department has two pediatric nurse practitioners, three nurse clinicians and two physician assistants – all who provide a continuity of care for their young patients.

The role of a pediatric nurse practitioner in the Cardiovascular Surgery Department is a unique one. Kristen Richards, CPNP-AC, also a nurse practitioner, says they provide management and care to patients before and after surgery. The nurse practitioners are trained by attending physicians to first assist the surgeons in the operating room.

"This gives us an unprecedented opportunity to understand the anatomy, physiology, and hemodynamics of the surgical repair. It also allows us to better care for the patients after surgery, as well as the ability to answer a family's questions about what occurred in the operating room," said Michelle.

Kristen's views about training with physicians mirror Michelle's thoughts. Kristen has been with Children's for four years and has had many special moments as an acute care nurse practitioner for Cardiovascular Surgery Service. "I think our most special moments are when we bring children back from near death episodes, spend countless hours at their bedsides and hold their parent's hand. Then they return a few months, or years later, to visit as healthy vibrant children. That always makes the hard work worth every minute we spent caring for them."

Kathy Zelin, RN, MSN, CPNP, is a nurse practitioner in the Cardiology Department and has been at Children's Hospital for 25 years. Children's Hospital can lay claim to many innovations in pediatrics. Kathy added, "I think the best innovation in the care of the cardiology patient is the progression of the interventional cardiac catheterization procedures. Many patients no longer have to undergo surgery or have a lengthy hospital stay due to the current interventional procedures now performed in the cath lab. Common cardiac defects that fall under this category are ASD closures, PDA closures, valvuloplasty, stents, and the Melody Valve. Also, the state-of-the-art equipment we have in the cath lab enhances our ability to diagnose and treat patients with electrophysiologic disorders."

According to Michelle, memorable experiences occur on a daily basis in her department. "The children and families that we care for are critically ill and we all provide expertise, knowledge, physical and emotional support, and continuity of care every day. A very good day in our department happens when a family of a child who was near death in the hospital comes back to our clinic just to visit and say hello. It makes us remember that 'All we do is just for them.' After 22 years at Children's, I believe that we all have a special heart to work here."

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Lean Six Sigma Update: Emergency Department Triage Overview

GOAL: Analyze and improve the ED Triage Process by identifying all the required steps. Establish a process to measure and track the time from mini-registration to triage completion and patient out of the triage room. Establish an organized workplace and train all team members on the new standards.

The Triage project began in November 2011. Triage staff was asked to think about: What makes my job better to treat patients. From December 2011 to March 2012, Triage saw from 275 to 325 patients daily.

The team began with a four hour standardization workshop focusing on understanding the key lean concepts and practices. The Lean Six Sigma team observed the work flow, timed processes beginning with registration and did a review of workplace organization. Three experiment sessions were implemented to time out processes and observe where improvements were needed.

Highlights of the ongoing program:

A reminder to all: non-ED staff should not use Triage as a "walk-through" area. This is not an employee entrance and this practice has been disruptive to Triage staff and patients. We appreciate your cooperation.

Emergency Department Angel/Clown Pod Overview

GOAL: Analyze and improve the ED Angelfish Pod process by identifying all the required steps. Establish and organize workplace and train all team members on the new standards.

Whenever a Lean team comes in to assist a department, education on Lean philosophy and tools are first on the agenda. Lean is a "business system model that is operationally dedicated to the systematic and relentless elimination of waste" built on a foundation of respect for individuals. One commonly used Lean tool when first looking at a department is 5S: Store (organize); Shine (keep clean); Sort (reduce what is not needed); Standardize (processes and procedures); Sustain (keep it as you improve with daily lean management).

The work began in January 2013, and the Lean Six Sigma team delved into a review of the 29-minute initiative to improve patient and family satisfaction. This project will take up to six months and already the Sigma team and ED staff are making many improvements.

The Angelfish Pod sees a quarter of the ED patient volume – approximately 60 patients in 10 cubicles every day. The team is working to minimize steps to increase efficiency and make each pod an independent care area. A simple matter of reorganizing led to creating a portable cart for easy access for the most used and necessary supplies. This task provided staff with an uncluttered desk surface that was once a depository for supplies.

The team is also standardizing all cubicles and placed numbers 1-10 on the call lights for easy visibility. Staffing is being addressed by identifying the role of each RN, ED Tech and attending, resident or NP, and scheduling lunch and breaks, keeping in mind maximum staffing needed at all times. This is a work in process and the ED staff has been great partners with the Lean Six Sigma Team to improve efficiency and the care of our patients.

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NDNQI Survey Results

The National Database of Nursing Quality Indicators® (NDNQI®) mission is to aid the registered nurse in patient safety and quality improvement efforts by providing national comparative data to participating hospitals and by conducting research on the relationship of nursing care and patient outcomes. All indicator data are reported at the nursing unit-level. NDNQI® was started in 1998 as part of the American Nurses Association (ANA) Patient Safety and Quality of Care Initiative and is a program of ANA's National Center for Nursing Quality at the University of Kansas School of Nursing. Hospital membership is voluntary but nearly 1900 hospitals participate in all 50 states and the District of Columbia as well as internationally. NDNQI's® goals are to provide comparative information to hospitals for use in quality improvement activities and to develop national data on the relationship between nurse staffing and patient outcomes. The NDNQI's® nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care.

Children's Hospital of Michigan's NDNQI® RN Satisfaction Survey was completed in October 2012. Children's total average unit response rate was 83 percent in 2012. The Practice Environment Scale (PES) consisted of five subscales: Nursing Participation in Hospital Affairs, Nursing Foundations for Quality of Care, Nurse Manager Ability, Leadership, and Support of Nurses, Staffing and Resource Adequacy and Collegial Nurse–Physician Relations.

RNs choose a score of 1-4, (1 = strongly disagree; 2 = disagree; 3 = agree; 4 = strongly agree). The higher the score, the more positive the rating reported. As you can see, 2012 Average CHM All Units were close to reaching our National bench marks, except for "Adequate Resources".

Yellow: 2011 average CHM all units
Blue: 2012 average CHM all units

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Manager, PICU/4SW
Margo Tolson, RN, BSN

We are pleased to announce that Margo Tolson, RN, BSN has accepted the position of manager for the Pediatric Intensive Care Unit and 4SW Cardiology Unit. Margo graduated from the University of Windsor with her BSN in 1991. She has served on many process improvement committees, and is dedicated to improving patient experience, along with employee satisfaction. Margo began her nursing career as an adult intensive care nurse in 1991 at Detroit Receiving Hospital. In 2000, Margo decided to join the Pediatric Intensive Care Unit team at Children's. Since that time, Margo has served as clinical coordinator, and also as the interim clinical manager. She brings a vast amount of knowledge and experience to the PICU team, and we are proud to have her join the management team.

Manager, OBS Unit
Roberta Lindsay, BSN, RN, MSA

Roberta (Bobbie) Lindsay has accepted the position as manager for the Ground Floor Observation Unit. Bobbie recently was the manager for 5 East and the IV Team. Thank you Bobbie for your time on 5 East, and we look forward to your continued service on the OBS unit.

Interim Manager, 6 East
Deborah Ryan, BSN, RN, CPN

Deborah Ryan has accepted the interim manager position for 6 East. She also has many years of clinical manager experience on 6 East, along with many years of charge nurse experience.

Interim Manager, 5 East
Natalie Fisher, BSN, RN, CPN

Natalie Fisher has accepted the interim manager position for 5 East and the IV Team. Natalie has many years of clinical manager experience, along with previous interim manager experience, both at Children's and Henry Ford Hospital.

Interim Manager, ED
Rhonda Caldwell, RN, CPN

Rhonda Caldwell has accepted the interim manager role for the Emergency Department. Rhonda has many years of experience as charge nurse, clinical coordinator, and most recently interim clinical manager of the ED.

Interim Clinical Manager, IRP
Ginna Bowersock

Ginna Bowersock assumed in December the interim clinical manager role overseeing the IRP. Ginna has been employed as a Children's nursing supervisor since 2008 and prior to this new role was assisting with IRP scheduling and recordkeeping.

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Quality and Safety is a Priority at Children's

Deb Niedbala, RN, has been working with the Children's Hospital Quality and Safety team for three years and was recently appointed director. Prior to her new position, Deb worked as the trauma program coordinator and also spent time as an RN educator and staff nurse in the ED. Deb and her team is under the leadership of Rudy Valentini, MD. Gwen Seay and Renee Reaume round out the team and partner the program with Risk Manager Kay Vincent-Mosher and Regulatory Director Mary Klawitter.

"I am happy to report that the Children's Hospital physicians and nurses have embraced the MIDAS system to efficiently report and track quality and safety issues and incidents," Deb reported. "The MIDAS system is used at all Vanguard hospitals and therefore information can be shared." Recently Deb received a call from a Vanguard Chicago hospital after a Children's Hospital staff member used MIDAS to report a problem with IV tubing. The Children's team had contacted the manufacturer to correct the problem. Deb was able to give the Chicago hospital the technical information and product number in order for them to review their tubing for both safety and quality. Deb also noted that the collaborative efforts of doctors and nurses have improved communications for the patient handover process that results in consistent care.

Dr. Valentini has a "safety-huddle" every morning with key Children's leadership. When the new MIDAS system was introduced, Dr. Valentini demonstrated his own "Midas Touch," by wearing gold beads that were then passed out to members of the huddle.

The importance of Quality and Safety at its core is to keep patients and staff safe. The team works on several levels including monitoring falls, readmission rates for sickle cell patients, and overall process improvements.

"Using the MIDAS system we can track incidents. If the same or similar incident is reported from two or three different hospital units, it signifies a trend and we can follow-up accordingly and work to resolve the problem," said Deb. "We always strive for high standards of excellence and we want to make sure that our patients and their families are always safe."

Quality and Safety Team: Deborah Niedbala, Kay Vincent-Mosher, Gwen Seay, Mary Klawitter, Renee Reaume wearing golden MIDAS beads

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Nurses of the Month

October 2012

Acute Care
Suesan Eghbalian RN BSN

Suesan celebrated her first anniversary in October 2012 as an RN at Children's Hospital. She decided to become a nurse when she was in the fourth grade and decided she wanted to work in pediatrics. She graduated from Oakland University. What does she love most? "I love the kids. The children we meet on 6 West inspire and humble me, they have such a strong will to live and simply be a kid…I work with some the most intelligent, strong nurses who on most days are also just really big kids. We laugh together, we cry together like this big family, and we function like a team. I'm so grateful for that."

Alternative Practice
Lisa Zamojski RN PACU

Lisa has been an RN at Children's Hospital for 26 years. She has practiced on 6 NW, NICU and PACU since 2000. When asked what advice she might give a new nurse at Children's she said: "Remember nursing has a lot of different avenues with flexible schedules so you can do it all – be a wife, mother, daughter and nurse and be involved with your children's activities." One of her career highlights was being present at the first in utero surgery at Hutzel Hospital. She is a graduate of St. Clair College and returned to school in 2012 at University of Detroit Mercy to complete her BSN.

Critical Care
Kacee Harris RN PICU

Kacee is a graduate of the University of Michigan and has been at Children's Hospital for eight years. "What I love most about my job is the relationships with the doctors, how they continue to educate me so I truly understand the work that I do. Caring for the critically ill is humbling and rewarding. To see them get better, and know that you were a part of that is amazing. And on the other hand, in helping death be peaceful – there is no greater honor. These strong children and their families inspire me to be a better me and to appreciate the things I have."

November 2012

Acute Care
Vanessa Franz RN IRP

Alternative Medicine
Kristin Edwards RN BSN Sickle Cell Exchange Transfusion

Kristin is a graduate of Howard University and spent time nursing in Atlanta before joining Children's Hospital on Halloween Day 2011. She believes that nursing was never a choice, but her destiny. What is her most memorable experience as a nurse? "Every time I have a positive interaction with my patients/families I feel as though I am part of something greater than myself, and that means the world to me." Kristin provided advice for a new nurse at Children's: "Do everything with love and try not to be judgmental."

Critical Care
Eileen Lucier BSN PICU

Eileen has been with Children's Hospital for 22 years and is a graduate of the University of Michigan. Though she gave thought to becoming a chemistry professor, she chose nursing to help people. She loves it when parents return with a former patient to visit and show how well the child is doing. Her advice for a new nurse is, "Be patient, and know that it takes some time to get all the skills down, and the smile from your patient at the end of the day is better than anything."

December 2012

Acute Care
Pamela Richardson RN CPN

Pamela has been with Children's Hospital since 2005 and is a graduate of Macomb Community College. She became a nurse because she wanted a career she could be proud of and feel like she was making a difference. "I love working with children. Some of the oncology patients I work with would amaze you. The treatment they go through can be grueling and yet they manage to go through it with smiles, laughs and hugs for their nurses. They are true little heroes and inspiring. Forget the red carpet; the true VIPs are the patients on 6 West."

Alternative Practice
Corrine Biggs BSN RN Cardiology Clinic

Corrine has been at Children's Hospital for 13 years. When asked what was her most memorable experience she replied: "There are many, but one of the best was when I sent a patient who had been on the floor for a couple of weeks to the OR for his heart transplant, and ten days later, walked with him from his room in the PICU back to 4SW, and discharged him home the following week." Corrine is a graduate of University of Detroit Mercy and has worked on the cardiology unit nearly seven years and loves her team members.

Critical Care
Stefanie Blake RN BSN NICU

A nurse at Children's Hospital since 2000, Stefanie now works in the NICU. She is a graduate of University of Detroit Mercy. Stefanie's greatest memory is about a "rock star" baby. "My favorite NICU memory was dressing up an infant in a special outfit which turned into an impromptu photo shoot with her family; we would later refer to this as 'rock star day'. This was a great bonding experience between the infant, her family and me. It is heartwarming and endearing that the family had these pictures framed and proudly display them in their home. These moments bring a sense of joy and normalcy to parents who are dealing with the stresses of a critical care unit."

Rock Star Baby

January 2013

Acute Care
Amy Brozoski RN

A graduate of Henry Ford Community College, Amy came to Children's Hospital after graduating seven years ago. She has always worked on 6 East. She loves the variety of patients she works with and for her every day is an adventure. Amy always loved working with children and pediatrics was her first nursing choice. Advice she would give to a new nurse: "Have patience, don't get discouraged when things don't go exactly the way you planned, and never be too confident."

Alternative Practice
Lisa Brown RN

Lisa has spent her entire nursing career at Children's Hospital – 25 years. She has worked the surgical unit, burns and now, Same Day Surgery. She went to nursing school in Windsor, Ontario, Canada. She loves working with the families and the children. What is her advice for a new nurse at Children's Hospital? "Be a good team player, work hard and enjoy."

Critical Care
Stephanie Robell RN BSN CPN

Three years ago Stephanie came to Children's Hospital from Nashville's Vanderbilt Children's Hospital. She is a graduate of Cumberland University. Nursing is the only career that she ever remembers wanting to do. This is what she loves about her job: "The things I love most about my job are the amazing people that I get to work with every day. It really makes a difference throughout a shift when you are working with people who are always willing to help, and during difficult times make you laugh. I really enjoy the ICU and all of the different diagnoses I see every day. It is a constant learning experience and we get such a wide variety of illnesses. There is nothing better than having a patient who is critically ill, and then seeing them get better and get to go home with their family."

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Our Pediatric CRNA Program is Nation's Only

In 1997, Children's Hospital of Michigan began the only post-graduate fellowship training program for Certified Registered Nurse Anesthetists (CRNA) in the nation. Children's now has 13 CRNAs. Claudine Hoppen, CRNA, MSA, is the administrative director for the operating room and anesthesia; she was distinguished as the first CRNA at Children's in 1997.

According to the American Association of Nurse Anesthetists, 26 million people require anesthesia every year and one-half depend on a CRNA for care and comfort. CRNAs provide anesthetics to patients in every practice setting, and for every type of surgery or procedure. They are the sole anesthesia providers in nearly all rural hospitals, and the main provider of anesthesia to the men and women serving in the U.S. Armed Forces. Certified Registered Nurse Anesthetists have served in the military since the Civil War.

From 1997 to 2012, only one fellowship program was available every year at Children's. This year, two nurses will enter the program in affiliation with Wayne State University. Before a nurse can enter the fellowship program the following is required:

Upon completion of the six month CRNA Fellowship program the nurse also receives 12 credits toward a Ph.D.

"Our CRNAs work as part of a team with an anesthesiologist. We have found that the team approach provides for the best results for our patients. Every one of our patients receives a complete pre-op assessment, and depending on the age of the patient, a CRNA will acquaint the patient with procedures and demonstrate instruments. It really helps to prepare the children and take some of the scary out of their operation," said Claudine.

Children's Hospital CRNAs are also active in the metro Detroit community, meeting with high school students to discuss a career as a CRNA. Two CRNAs have been deployed as US Army Reservists in war zones, and others have served at medical missions in the Dominion Republic and Philippines.

The CRNA's below are listed in order of fellowship completion:

Beginning fellowship training March 2013:

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CHM Upcoming Nursing/PCS Town Halls

March 29, 2013
0100 to 0145
0200 to 0245
1130 to 1215
1230 to 1315

March 30, 2013
1130 to 1215
1230 to 1315

All in boardrooms A and B

Upcoming Conferences

April 11 – 14, 2013
American Burn Association (ABA)
Palm Springs, CA

April 23 – 26, 2013
Society of Pediatric Nursing Conference
Nashville, TN

April 15 – 18, 2013
Moving Forward with Patient and Family-Centered Care
Annapolis, MD

July 11 – 13, 2013
Pediatric Nursing 29th Annual Conference
Philadelphia, PA

September 17 – 18, 2013
ANCC Magnet Conference
Orlando, FL

September 19 – 21, 2013
Association of Pediatric Hematology/Oncology Nursing Conference APHON
Louisville, KY

September 27, 2013
Annual Research and Evidence-Based Practice Nursing Conference
Sponsored by: Children's Hospital of Michigan Department of Nursing
Funded by: Children's Hospital of Michigan Foundation
Grosse Pointe War Memorial
Contact Carolyn Clemons at or 313.745.7650

October 1 – 4, 2013
Emergency Nurses Association Conference (ENA)
Nashville, TN

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Congratulations to the CARF and FACT Teams

Congratulations to the CARF and FACT Teams who have participated in intensive weeks and months of information gathering for their respective surveys. Children's is now CARF accredited and awaiting results on the FACT survey. Read more for survey descriptions and pictures of the teams.

CARF representatives are invited into the facility they are surveying and the surveyors are practitioners in the field of Rehab Services. CARF accreditation is a demonstration of accountability and conformance to internationally accepted standards that promote excellence in your services. The value of CARF accreditation is evidence that your organization strives to improve efficiency, fiscal health, and service delivery – creating a foundation for consumer satisfaction. Consumers, their families, and the public look for CARF accreditation as assurance that providers strive to offer the highest quality services. This means that they have demonstrated conformance to proven standards for business practices and are committed to continuous quality improvement. Each provider's commitment to excellence is periodically evaluated on site and reconfirmed annually. CARF continuously works with accredited providers to improve the quality of life for patients and their loved ones. Enhancing the lives of the persons receiving services is at the heart of CARF's mission. Children's Hospital of Michigan is proudly CARF accredited and everyone involved in the process deserves thanks and kudos.

The CARF team

The BMT survey is performed by FACT (Foundation for the Accreditation of Cellular Therapy) every three years. Children's bone marrow transplant program is the pediatric clinical program within the larger Karmanos bone marrow transplant program.  Four inspectors were on-site to inspect the entire program, the site lead dedicated to evaluating Children's on December 14, 2012.  The survey is comprehensive and all-encompassing evaluating standards on everything from the policies within a program to the training of all staff involved in BMT patient care and system policies for disasters and emergencies. There is a set of standards that the clinical program must comply with; the program is thoroughly reviewed to ensure documentation is available to validate our compliance with those elements. Additionally, a review of 10 patient charts was performed by our physician inspector. This effort is one that requires weeks to months of preparation by several of our team members. This year, the core preparation team worked tirelessly on the weekends and late into the evenings prior to the inspection. Essential members from several disciplines assisted in this effort and were essential to our success, including pharmacy, the quality team, 6West, facilities, Safety Director Sue Anderson, epidemiology, PICU, NICU, ED, OR, Hem/Onc clinic, and several others.  We cannot thank everyone enough for their commitment to making our program shine!  Although we still await the final report, the exit interview was very favorable, as our inspector spoke to the many strengths of our program and the cohesiveness of our team.  More information to follow when the official results are received...

The FACT team

Rosa Hubble passes the Certified Poison Control Specialist exam

Poison Control Nurse Rosa Hubble RN, BSN, CSPI passed the Certified Poison Control Specialist (CSPI) exam offered through the American Association of Poison Control Centers Board, and has her certificate as a Poison Control Specialist (CSPI). She took the exam last year and we missed mentioning it in previous issues of I & E.

Article to be Published

Evaluation of a Multimodal Educational Program Designed to Teach Gastrostomy Tube Care to an Urban Population: A Pilot Study by Melori McDonald MSN, RN, CPNP with input from Christine Sandison BSN, RN, Hitomi Kobayashi PhD, RN and Marwan Zidan Ph.D. will be published in EndoNurse Magazine's April/May 2013 issue. EndoNurse is a professional journal specific to endoscopy professionals. "My article describes a program that is in place to teach our families how to care for gastrostomy tubes," said Melori. "My research project was proposed as a means to determine if the program is being presented at an appropriate literacy level for our population and if the hands-on component, which makes use of dolls with G-tubes and Mic-key buttons in place, is helpful. (See the photo below.)

Damita Williams to Lead Mission Trip

Damita Williams leads a mission trip to the Dominican Republic every summer with a team of over 160 people, from 5 years old to 80+, both medical and non-medical. Last year they treated over 3,000 patients that included nearly 300 eye exams and over 150 dental exams. They also filled over 8,000 prescriptions. The work of the mission is to provide medical, dental, and vision care to the residents. They deliver gifts, do construction, evangelism, and a children's ministry pastoral training. Here are some visuals of last year's trip.

Damita Williams on a recent mission trip to the Dominican Republic

Brande Mazzeo to Receive Catherine McAuley Award for Academic Excellence

Interim Clinical Manager Transport Team Brande Mazzeo RN, C-NPT, transport nurse and a member of the Children's Hospital of Michigan Pediatric and Neonatal Dedicated Ambulance Team, has been selected to receive the Catherine McAuley Award for Academic Excellence from the University of Detroit Mercy, at their Honors Convocation Ceremony on March 24. Brande, who has been with Children's Hospital of Michigan for almost 24 years, will be receiving her Bachelor of Science in Nursing (BSN) in August.

Children’s Hospital of Michigan Nursing Research Project Grant

The Department of Nursing Research & Education offers grants for research projects by nurses on staff at Children's Hospital of Michigan (CHM).

Project Narrative (3-page limit A – D)

  1. Specific Aims
  2. Background and Significance
  3. Methods
  4. Nursing Implications
  5. References
  6. Evidence of Institutional Review forEthical Standards
  7. Budget
  8. Support Letter from Management

PURPOSE: To increase the number of and support for nurse initiated projects that improve the process and outcome of nursing care.

ELIGIBILITY: Any nurse employed by Children’s Hospital of Michigan. The project must be directly related to the mission of CHM and pediatric nursing. In addition, the benefit to CHM patients and families must be explicit.


  1. Meet with the director of research and education to discuss the focus, scope, logistics, and resources needed for the project.
  2. Present the problem, potential solution, and expected outcomes to your unit research or practice council. The intent is to get input from nurse peers about the problem and refine the problem as necessary.
  3. Meet with the director of research and education to finalize your intent, research plan, budget, and time line for the project. Unit managers will be involved if time off the unit is part of the plan.

AMOUNT OF AWARD: Up to $1,000.00 per project. Budgets and allowable expenses will be at the discretion of the director of research and education with oversight from the CHM Nursing Grant Advisory Committee.



FOR MORE INFORMATION: Email Hitomi Kobayashi, PhD, RN at

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