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Dossiers


Dossiers

Margaret L. Anthony

Goals of your Project
  • Complete move and separation of chemo infusion, BMT clinic and infusion, pharmacy, and some of the adult oncology clinics to their newly renovated space.
  • Develop and evaluate schedules for clinics and infusion areas that will work in the new area.


  • Status of Project
  • Ongoing – the move has successfully been completed and now we are looking at ways to make things easier and more efficient.


  • Major Accomplishments
  • Successfully moving the above – mentioned clinical services with virtually no break in service for our patients.
  • Developing and working with a group to accomplish goals and make the move go smoothly.
  • Developing skills to work within a group that contained some negativity.


  • Major Lessons
  • Effective leadership can make a difficult project go well.
  • Exhibiting a positive attitude made a difference – the staff and physicians became less negative about the move.
  • Change is difficult for anyone – allowing the staff to vent and express this helped also.


  • Wanda Ayers

    Goals of your Project
  • To facilitate a redesign and empowerment of the nurse clinician role in the hem/onc clinic to a level of greater satisfaction for the nurse and improved patient care.


  • Status of Project
  • Still in process, but many objectives have been
  • achieved.

    Major Accomplishments
  • Change in team leader personnel
  • Establishment of nursing vision developed by the staff.
  • Greater involvement by nurse clinicians in quality projects in the clinic.


  • Major Lessons
  • Multiple stumbling blocks and barriers.
  • Resistance to change by some nurses.


  • Louise Baca

    Goals of your Project
  • To develop a nursing skills lab that is conducive to stress free learning, that is properly equipped and that has a clearly defined procedure and protocol manual.


  • Status of Project
  • Work in progress but not under my direction. I have since resigned from that position but my replacement has continued the progress.


  • Major Accomplishments
  • Acquiring furniture and supplies donated from local hospital to upgrade and modernize skills lab.
  • Initiated and implemented “min. skills lab sessions” twice weekly for hands on skills review.
  • Completely reorganized and utilized space designated as “the lab”.


  • Major Lessons
  • If you strive hard enough, you can realize your goals.


  • Margaret M. Bellerjeau

    Goals of your Project
  • To develop and implement standard operating procedures on the bone marrow transplant unit.


  • Status of Project
  • My goal of organizing, standardizing and writing down basis unit routines is completed – we are now in the process of expanding this to an SOP format.


  • Major Accomplishments
  • Obtaining cooperation, input and support from the nursing staff – a real group project.


  • Major Lessons
  • Patience in getting/completing a project.




  • Carolyn Ceronsky

    Goals of your Project
  • Facilitate creation of interdisciplinary clinician groups in sites across health system to improve end of life care.
  • Connect clinicians for networking, exchange of ideas, education.


  • Status of Project
  • Continue to develop and refine implementation strategies.


  • Major Accomplishments
  • Created tool kit of resources related to family conferences.
  • Wrote and distributed four issues of electronic program newsletter.
  • Presented initial grief in the workplace program to leaders.


  • Major Lessons
  • Connection to other parties expands ability to implement programs.
  • Need to continually look for opportunities to “plant seeds”, demonstrate connections.


  • Gerri L. Chabot

    Goals of your Project
  • To develop an acuity system and scheduling guidelines for outpatient infusion in oncology practice.


  • Status of Project
  • Completed


  • Major Accomplishments
  • Provided quality of life for nurses in any practice setting by allowing them time for lunch, build that in their schedule. Provide safe environment for administration of chemotherapy to our patients. Increased productivity allowing nurses to see actually more patients in a safer environment.


  • Major Lessons
  • Building trust takes time and patience. Positive feedback and small steps made a difference. I accomplished way more than I ever expected to.


  • Dee Dee Cook

    Goals of your Project
  • To implement a new fundraising organization in our area to assist local cancer patients with medications transportation, house notes, rent, or any other financial obligation that they may need assistance with.


  • Status of Project
  • Working on second fundraiser scheduled for March 8, 2003.
  • To date we have helped over 150 patients with medication, transportation, house notes, rent, utilities, etc.


  • Major Accomplishments
  • Raised over $100,000 on our first fundraiser.
  • Membership has grown from 2 to 63 ladies.
  • Have the support of area hospital CEO’s, hospital administrators, oncologists as well as many in the business community.
  • Were able to get a $25,000 sponsor our first year!
  • Our application process for financial assistance takes less than an hour and usually less than 20 minutes.
  • Work with a local pharmacy who will let us fax prescriptions to them and who will bill us at the end of the month. Many times will even deliver to the patients’ home.
  • Last year we made and delivered Christmas baskets to 60 patients who would not have had a Christmas dinner without our assistance. This year we will make and deliver 100 Christmas Baskets – full of gifts. A ham and all the fixings for Christmas dinner.


  • Major Lessons
  • I have learned that there is nothing more rewarding them making a difference in someone’s life. Our membership consists of ladies from all walks of life. We have CPA’s, an attorney, teachers, doctors’ wives, young stay at home moms, nurses, social workers and others. And as it’s turned out, the Cancer Foundation League has made a difference in the lives of many patients and also in the lives of the 63 ladies who are members. I see it every day. And from the overwhelming support we have received from the community, I would say we have made a difference in their lives too. And we have only just begun!
  • I have learned people in our area are more trusting of a new organization that will keep all the money locally than of a national organization that will send most of the money out of the community.


  • Lisa F. Cull

    Goals of your Project

    Implement Complementary Therapies on Inpatient Oncology Unit
  • Create a mission, vision, goals, plan
  • Develop standards, policies, procedures, criteria and types of services
  • Education of staff (MDs, Interdisciplinary Team, Administration, employees)
  • Implementation of service


  • Status of Project
  • Implemented and completed the Therapeutic Pet Program in July on the Oncology Unit and it has now been expanded to the Orthopedic Unit. This is the first program to be introduced. The other programs to be implemented in the next year are: “Prepare for Surgery-Heal Faster”, Comfort Care Therapeutic Massage for oncology patients, Therapeutic Massage for staff to reduce stress, and schedule Therapeutic Massages sessions in the Diabetes Clinic.


  • Major Accomplishments
  • Incorporated a new meeting concept based on the book “Calling the Circle” by Christina Baldwin, into the hospital’s traditional culture. This concept was introduced at our planning meetings and subcommittees as we moved forward towards our dream. It continues to be used at our newly named center without walls, center for Healthcare Integration (CHI).
  • Helped to design an Integrative Care Survey for all staff and MD’s in the hospital.
  • Received Administrative and Board of Director’s approval for the Therapeutic Pet Program.
  • Held a Therapeutic Pet Program Open House with 8 dogs and handlers for hospital staff and public.
  • Implemented the very successful Therapeutic Pet Program on the Oncology Unit in June. It is now expanded to the Orthopedic Unit.


  • Major Lessons
  • The input of all players is integral to the success of the program.
  • Never expect that program planning and development will be smooth. There are always “speed bumps” which is a message to stop, rethink/regroup, and perhaps try a different avenue.
  • Belief in what the final goal is and how it will affect patient outcomes.
  • Trying to implement and do too much! Need to take smaller steps, follow time line, and delegate more.


  • Dee DeLollo

    Goals of your Project
  • Collaborate with health care facilities to provide programs to cancer patients and families, while pooling resources reducing budgets and not being repetitive in programs but to have a wide resource to pull from.


  • Status of Project
  • Completed


  • Major Accomplishments
  • Established relationship and competitive hospital provided education programs to cancer patients and families.
  • Reduced budget by sharing expenses.


  • Major Lessons
  • Not everything has to be political patients come first – however timing is everything. The person I collaborated with found out they were terminating her cancer center’s program. Patients and staff were very upset. This contributed to low attendance to our program.


  • M. Joyce (Joy) Dienger

    Goals of your Project Development of chapter member us of chapter website. Goals:
  • Increase participation of local chapter members on website through dissemination of information regarding the site.
  • Implement mechanism to use chapter website as a resource for networking.


  • Status of Project
  • Project has changed somewhat as our chapter website has been deleted (as of November, 2002) and a page in the ONS Chapter’s Virtual Community developed. I am the administrator for our chapter’s page on the virtual community.


  • Major Accomplishments
  • Knowledge and skills regarding web page development and maintenance increased significantly.
  • Assisted in revision of chapter membership form so that members email addresses and permission for inclusion on mailing list could be obtained. Members granting such permission are currently being added to a massive email mailing list and will begin receiving chapter information via email soon. Hopefully, communication with chapter members will increase and chapter expenses decrease.


  • Major Lessons
  • This project took much longer to implement and more of my personal time than I anticipated. Identification of key individuals and communication with those individuals became the most critical elements to accomplishing tasks.




  • Susan Eichholz

    Goals of your Project
  • To take what I learned from LDI to develop team work among nurses, nursing assistive personnel, secretaries and house keepers.


  • Status of Project
  • Midpoint of improving team work on our unit.


  • Major Accomplishments
  • I have made team work a focus on the unit. Staff has identified 6 values with behaviors to support each value that they will work by and hold each other accountable for. Also arranged a team work retreat that all staff participated in.


  • Major Lessons
  • It is so important to get staff to buy into, commit to the vision, goal. It is a slow process – need to be patient.


  • Jean Ellsworth-Wolk

    Goals of your Project
  • Develop guidelines for integrating palliative care into nursing practice in community hospital setting.


  • Status of Project
  • Suspended indefinitely – left institution 7/02.


  • Major Accomplishments
  • Spearheaded development of “standing orders” for palliative care patients.


  • Major Lessons
  • Need to build consensus before meeting as an interdisciplinary group.
  • Need for factual supportive data for MD’s/Administrators in order to gain support.
  • Need for PATIENCE and PERSISTANCE when working on organizational change.


  • Christoper R. Friese

    Goals of your Project
  • Increase the interface between oncology nursing and outcomes research.


  • Status of Project
  • Ongoing.


  • Major Accomplishments
  • Selected to present at ONS/ACS Nursing Research Conference.
  • Grant awarded by OES to do outcomes study.


  • Major Lessons
  • Stay focused even when others are skeptical.
  • Be patient – things don’t happen at your pace.
  • Keep others informed.


  • Shirleen Gamonal

    Goals of your Project
  • Create an environment where experienced oncology nurses will welcome and mentor inexperienced nurses in our unit.


  • Status of Project
  • Overall environment slightly improved – but is grossly affected by ongoing use of agency RN’s.


  • Major Accomplishments
  • Existing staff now welcoming student nurses and taking extra time/energy to nurture/mentor.
  • CPC (Clinical Practice Committee) more empowered and is now involving all staff RN’s in data collection of quality indicators. (This is both data collection as well as education/prompts to RN’s re: quality issues)


  • Major Lessons
  • This is an extremely enormous project which felt overwhelming at times.
  • Would have been best to identify smaller segments for improvement and focus on those.
  • I saw no progress until I could get a specific RN to buy into the need for CPC to change our own practices. She is the one nurse that all fear and respect on our floor!


  • Sylvia Heinze

    Goals of your Project
  • To get students involved in our Oncology Nursing Society Chapter.


  • Status of Project
  • Completed.


  • Major Accomplishments
  • A student from St. Anthony’s College of Nursing did her internship in leadership with me as Chapter President.


  • Major Lessons
  • People are really ready and willing to assist if you present things to them.


  • Jennifer D. Jenkins

    Goals of your Project
  • Develop a series of patient education tools for symptom management clusters with nursing team.


  • Status of Project
  • Incomplete.


  • Major Accomplishments
  • Learning about myself as a leader, and learning the difference between a leader and a manager.


  • Major Lessons
  • How to pickup the pieces when life throws you major career curve balls.


  • Maria Johnson

    Goals of your Project
  • Our head and neck patients were a challenge. Our goal was to minimize side effect of radiation and chemotherapy that our patients were experiencing. Maintaining their body weight and optimal nutritional body weight.


  • Status of Project
  • Patients were seen and given an oral mouth care exam and weekly weights were obtained. Additional supportive care was also available.


  • Major Accomplishments
  • Patients who received these mouth care but, an occasionally had decrease side effect i.e. mucositis, ropy saliva - and decline in xerostomia. We are now identifying these (H&N) head and neck patients for the day of consultation and a continuation of supportive care was issued. Develop this in the Rad/Onc Quality consumer journal.


  • Major Lessons
  • Identifying the patients prior to the start of their radiation therapy and more intense review of the adjuvant therapy –i.e. amifostines or chemotherapy has helped to foresee potential problem.


  • Michele Kane

    Goals of your Project
  • Increase participation at the board level of our local chapter.


  • Status of Project
  • Continuation but my goals have been met.


  • Major Accomplishments
  • Increase in volunteering of the general membership to board positions and also on committees for our local chapter.
  • Our membership continues to rise (over 50).


  • Major Lessons
  • Setting a positive good example and setting incentives for active participation.
  • I found it rewarding and more successful to have as much direct contact with each member, encouraging others to participate with positive feed back.


  • Eula Keen-Woods

    Goals of your Project
  • Educate the oncology nursing staff on the importance of adequate pain management and providing pain management in a timely manner. Improve patient satisfaction Press-Ganey scores regarding pain management.


  • Status of Project
  • Continuous process.


  • Major Accomplishments
  • Approx. 60 nurses attended pain management seminar.
  • Patient satisfaction Press-Ganey scores have continued to improve over past year.
  • Nursing staff more attentive to patients pain management needs.


  • Major Lessons
  • Monitoring pain management is a continuous process.
  • Staff needs to be encouraged on a regular basis to view pain assessment as the “5th vital sign”.
  • Nurses are collaborating with physicians to reach patient’s pain management needs.


  • Debra Koenig

    Goals of your Project
  • My project involved developing a series of "Disease Summit" dinner programs for the physicians and clinical staff of my 32 physician oncology practice. Our physicians practice at 10 different locations, and rarely get together except to discuss business.
  • Provide a format for practice physicians to get together to discuss clinical practice.
  • Encourage our physicians to get to know their peers.
  • Develop the program involving speakes from within the practice.
  • Develop a way for our Medical Oncology physicians to become more aware of services provided by the other specialities within our practice (Radiation Oncology, GYN Oncology, transplant, research, etc.) Enhance referral opportunities.
  • Organize an educational opportunity for clinical staff, including handouts for everyone.


  • Status of Project
    Programs completed:
  • Multiple Myeloma Summit (Jan 2002) (speakers: Med-Onc., Transplant, Research)
  • Lung Disease Summit (June 2002) (speakers: Med-Onc., Rad-Onc., Research)

  • Programs planned:
  • Colorectal Cancer Summit (March 2003) (speakers: Surgeon (from outside our practice), Rad-Onc., PET)
  • Prostate Cancer Summit (June 2003)
  • Breast Cancer Summit (October 2003)
  • Gynecologic Oncology Summit (November 2003)


  • Major Accomplishments
  • After the Multiple Myeloma summit the number of referrals to transplant skyrocketed.
  • Radiation Oncologists (new to practice within last 2-3 years) feel that they have a way to educate Med-Oncs. for appropriate referrals.
  • Team building, camaraderie among physicians, clinical staff.
  • Opportunity to "mentor" some physicians, teach Power Point; opportunity to practice their public speaking skills
  • I invited our Executive Director, and he loves to come, because he usually just sees the physicians at meetings where he is the leader. He can relax at these summits, and mingle with the docs.
  • Physicians loved the idea, loved the summits! Major "atta-girls"!


  • Major Lessons
  • Get "buy-in" from a few physicians in leadership roles before you start, helped a lot!
  • Some physicians don't speak often because they don't know how to use Power Point, or have not had much experience with public speaking. This has been a good growth experience for them, and I have been able to "mentor" a few of them.
  • Partner with your Amgen representative to support summits. They are one of the few pharmaceutical companies left with the flexibility to support an educational meeting where they aren't supplying one of their paid speakers.


  • Sandy Kuhbander

    Goals of your Project
  • Increase visibility of ONS to general public in Greater Louisville area.
  • Get local ONS group to think “out of the box” of work place.


  • Status of Project
  • Complete.


  • Major Accomplishments
  • 70 plus people attended 20th birthday celebration.


  • Major Lessons
  • Bigger committee to plan and execute would have decreased my anxiety and work load.


  • Annie R. Langley

    Goals of your Project
  • To disseminate my learning from the LDI to educate medical oncology nurses in Duke’s outreach sites to clinical trials.


  • Status of Project
  • Onging


  • Major Accomplishments
  • 100% of the nurses completed the in-service/dinner lecture “Introduction to Clinical Research”. 60% of the doctors attended.
  • All of the designated research nurses completed NIH online training “Ethical Treatment of Human Subjects”.
  • Annual nursing retreat was totally focused on clinical research.


  • Major Lessons
  • To educate the nurses does not automatically lead to greater participation. Research does not have priority with them. Administrative support and incentive to the nurses would or should proceed education. Although the nurses respond that research seems to be interesting, they feel too overburdened with their usual activities to take on another one.


  • Connie Limburg

    Goals of your Project
  • To provide an educational course to Navy Corpsman regarding the process of carcinogenesis, sdid and hematological cancers and treatment plans.


  • Status of Project
  • Course is still in development phase, with completion date to be March 1, 2003.


  • Major Accomplishments
  • To identify the need for course and getting leadership to also identify this need.
  • Development of corpsman who care for the oncology patients.


  • Major Lessons
  • Steps needed for the development of courses and the objectives.


  • Jean M. Lynn

    Goals of your Project
  • Develop a women’s health conference.


  • Status of Project
  • Conference will be held March 15, 2003.


  • Major Accomplishments
  • Organized conference, identified speakers, topics, developed brochure.


  • Major Lessons
  • Planning – time line developed prior to project – is proceeding as planned.


  • Janice Maienza

    Goals of your Project
  • Building staff morale on a very busy hematology/oncology unit.


  • Status of Project
  • Ongoing


  • Major Accomplishments
  • Developed a Patient Education Book for Patients and families undergoing treatment at the hospital.
  • Developed Team Building Projects through the ongoing Unit Practice Committee
  • a) Developed “Welcome in Pratt 8” folder
  • b) Initiated guidelines (decision tree) on how to safely administer chemotherapy
  • Instituted Ethics rounds (4 conferences to date, 3 offered CEU’s for nursing)
  • a) Now working with a collaborative team to institute Schwartz Rounds in our hospital.
  • Worked with the Asian community to help organize (as a committee member) an Asian Health Fair (2 fairs to date)
  • Instituted “Strength for Caring” program through a grant from Ortho Biotech that provides information/support to families of patients undergoing bone marrow and stem cell transplants (6 held to date)
  • Beginning to offer sessions to families of oncology patients on the strength for Caring Model (2 planned for November and December)
  • Bereavement Program planned in December for families and caregivers of those who have died in the past year.


  • Major Lessons
  • Since LDI, I’ve learned how important it is to look beyond one’s own perspective. Before LDI, I knew what all the problems were and didn’t need to do an assessment. I also know how to fix them all. I learned it is more about careful listening. Nurses, in my institution, need tools on hand to be able to do their work. It was difficult to find this out through formal assessments. I finally learned this only from months of listening to them informally and also picking up and finishing projects that were ongoing long before I even came to work here. By doing or helping them do many of these patient focused projects, I have empowered the nurses to do their jobs more effectively. It is still very difficult for me to objectively evaluate whether this is true other than patient satisfaction surveys which are improving, and program evaluations.


  • Deborah Pack Braccia

    Goals of your Project
  • The goal of my project was to submit a manuscript to the Clinical Journal of Oncology Nursing (CJON) on “Surgical and Ablative Treatments for Metastasis Colorectal Cancer to the Liver”, and have it accepted for publication.


  • Status of Project
  • The manuscript has been completed, submitted and accepted for publication.


  • Major Accomplishments
  • The manuscript has been accepted for publication in the March/April 2003 issue of CJON.
  • Many accomplishments I have had over the past year are related to my LDI participation. After attending LDI, I was motivated to apply for acceptance into a Doctorate of Nursing Program. I have been accepted into the Doctorate Program at Columbia University in New York and plan on starting the coursework.
  • Since attending the LDI program I have increased my involvement in ONS activities. Included in these activities are: Board member of NYC ONC Chapter; Served as reviewer for ONS Congress 2003 abstracts; Selected as participant for OCN Exam Writing Workshop November 2002; and joined tow SIGs.
  • Recently, I have applied for the “Nurse in Washington Internship (NIWI)” Program. After being introduced to the OCN legislative center through the LDI and participation in Hill Day, I have seen that “nurses” can make a difference in the legislative arena. The LDI experience encouraged me to apply for this internship.


  • Major Lessons
  • Take initiative. Not all projects will be successful, however there is always a lesson to be learned. If one does not try and/or take initiative one can never succeed. Networking is essential.


  • Helen M. Pavilonis

    Goals of your Project
  • To promote certification in oncology nursing by having a recognition ceremony for oncology certified nurses, advanced oncology certified nurses and pediatric oncology certified nurses. We had an ice cream party for OCNs, AOCNs and CPONs.


  • Status of Project
  • Recognition ceremony was held in September.


  • Major Accomplishments
  • I think the major accomplishment of my project was to let certified oncology nurses at Duke know that people know they’re certified and appreciate their effort to obtain certification.


  • Major Lessons
  • Even the smallest projects to recognize people cost money. It’s difficult to get support from other leaders if they aren’t vested in the project. We have several managers that aren’t certified in oncology and they had no interest in promoting this effort.


  • Bonnie B. Porter

    Goals of your Project
  • My goal was to develop a plan for ongoing oncology education for our staff because most of our staff thinks that giving chemotherapy is oncology nursing and that’s it. I wanted to educate the staff that oncology nursing is for more than giving chemotherapy.


  • Status of Project
  • 95% complete. I have obtained all the needed information and just need to organize and promote it.


  • Major Accomplishments
  • In our inpatient setting we have no access to drug reps. I know they have a great deal of information that would be helpful to my project. Getting the names and phone numbers of members of the drug reps even in my situation this was a major accomplishment.


  • Major Lessons
  • Most of my coworkers are not self motivated to expand their knowledge base. When I complete my project then I will need to promote, promote, promote so that it is utilized. I will also need to update my information, add and delete on a periodic basis.


  • Kamala (Kami) Potter

    Goals of your Project
  • Novice towards expert mentorship program to support the newly hired oncology nurses. Nurse retention, high job competency and satisfaction.


  • Status of Project
  • Complete


  • Major Accomplishments
  • Retention of all five novice nurses occurred for the year that the program was in place.
  • The nurses verbalized the helpfulness and value of the program to their 1st year in oncology nursing.


  • Major Lessons
  • Acquiring administrative support of the program is essential it is not enough to have the CNS and nurse manager on board. Benefits of a mentorship program must be seen system wide.


  • Pamela W. Salisbury

    Goals of your Project I developed my mission statement, which was to promote the professionalism of oncology nursing.

    From my mission statement I was able to create my vision. My vision is that of empowering myself and other oncology nurses:
  • To take responsibility for safely administering chemotherapy and biotherapy
  • To recognize and manage symptoms related to cancer and its treatment
  • To involve not only the patient and family, but the community in the education about cancer and its treatment
  • To include mentoring of other oncology nurses as part of their own professional performance
  • To incorporate professional and self-development as a continuing growth practice.
  • I have also worked on my professional value statement that includes integrity, authenticity and inclusivity.

    Professional Goal To develop an Oncology Educational Program for the Syracuse VAMC by
  • Promoting an institutional nursing certification program that would eventually become a policy and procedure
  • Develop an institutional oncology continuing education program.


  • Status of Project
  • I have taken the ONS Train the Trainer Course and offered the ONS Chemotherapy/Biotherapy Class 5/02, 10/02 and plan to offer it again 1/23 & 1/24/03. We have 100% of our RN staff certified to administer chemotherapy on the inpatient oncology floor. An added benefit is that we have arranged to market our classes to outside institutions and the proceeds from their participation have gone into a fund we developed. Hopefully this fund will grow enough in the future so that it will allow us to send our RN staff to the ONS Congress and Institutes of Learning. I see attendance of these programs a key part of professional growth and development, networking, and being able to set higher standards for oncology nursing. Our institution does not have any formal mechanism for funding these types of experiences.


  • My proposal for an institutional certification program is awaiting final approval from our Director of Nursing and Patient Services and it will then become an institutional policy and procedure.


  • Given these two accomplishments I feel I have attained my first goal. The second goal of developing an oncology continuing education program has not been attained yet. It was a lofty goal considering that I started in an institution I was net to, was working with a unit that had no leadership on the unit managerial level to support the process, have very poor nurse to patient rations (so that time to participate in this activity is non-existent, and was working with nurses that didn’t have basic knowledge about cancer and its treatment.)


  • I did develop monthly poster sessions, self study packets and planned monthly in-services, that were offered at two separate times to include all staff. However, the lack of leadership on the oncology floor has been my major stumbling block. I now do this on an individual basis, on an as needed or as directed by my superiors. I am hopeful that I can learn how to engage the unit manager, entice her participation or if all else fails, coerce a change in the leadership.


  • Major Accomplishments
  • See Status of Project above.


  • Major Lessons
  • Patience, the importance of: building consensus, networking, developing strategy, and support from coworkers and superiors. I have also learned the benefits of reevaluation, flexibility and reimplementation. I have learned that my greatest professional resource has been my professional organization. ONS continues to impress my peers and myself.


  • Judy Schmutzer

    Goals of your Project
  • To implement complementary services for outpatient oncology.


  • Status of Project
  • Free chair massage will be available as of Jan. 1, 2003. Brochures are being developed that make recommendations for symptom management and aromatherapy. Social services will be offering Reike and chair exercises.


  • Major Accomplishments
  • Getting the project opening in spite of administrative barriers.


  • Major Lessons
  • The major lesion I learned was not to give up in something you believe in in spite of barriers. There were several people that said it couldn’t be done for various reasons. There were also several people who did not believe in the benefits of these services.




  • Joanne E. Sheldon

    Goals of your Project Goals of your project:
  • To develop a Train the Trainer Program that would be used to teach qualified registered nurses to teach symptom and pain management to new orientees hired by the agency.
  • To implement this program within the agency.
  • To evaluate the positive and negative aspects of this program.
  • To improve pieces of the program that need to be changed.


  • Status of Project
  • My project is completed on paper, has been reviewed and commented on by my peers in the Education Team and I adapted suggestions where needed. The project was proposed to Team Leaders who would decide who from their team would attend. This met initially with resistance, but after clearly explaining the advantages to each team and its team leaders, the majority of them were willing to send at least one team member. Then our census increased very rapidly. This required putting the program on hold until all referred patients were properly cared for and that staff had time to attend extra educational opportunities. Also, during the period of change, the position of the Team Leader of the Education Team has changed three times. Each new leader offered different responses to my project with the last requesting me to check in with the director to see when it can be trailed and become a priority again. This will come, but I am not sure exactly when that will be.


  • Major Accomplishments
  • The program is written with objectives, content, timeline, suggested speakers and methods to be used.
  • I was able to discuss this plan with the Education Team and respond to their questions and challenges. The LDI has helped to improve my ability to speak up and defend my impressions or needs. It has also provided me with more self-confidence. I see this occurring as I am convinced that at some point this program will be presented as written.
  • I have faced challenges from my Directors, listened to their suggestions, and discussed my concerns and still, continued on weaving the best of their suggestions with my finished projects and focusing on my goals.
  • I have also learned that projects such as this go much slower because of existing policies, the importance of the project in different peoples’ minds, and the need for a few more committed delegates to assist in finishing the project.
  • I feel more self-confident when teaching and that my Major lesions include: a) Delegating information and other required material is a major concern of mine. This institute has made me aware of my problem, but I think that this is only the beginning. This will be an on-going struggle and challenge. b) Developing programs for the increased number of new topics that continue to arise. c) Integrating new teaching and learning techniques. d) Identify the importance of the Adult Learning Principles and their application.
  • If you could do it all over again, what would you do differently? a) Start on a smaller scale. b) Work with one Director (This was not under my control.) c) Invite more comments from other members of the LDI Institute


  • Nelly Stone

    Goals of your Project
  • Establish ONS chemotherapy administration guidelines for Memorial Regional Hospital.


  • Status of Project
  • Complete.


  • Major Accomplishments
  • A Hospital (Memorial Regional) wide proactive Total Quality Improvement Team (TQM) was created (August 2001) by administration to address the concerns of safe practice with the administration of chemotherapy. Upon the completion and success of this team (September 2002) a system wide team was created.
  • Changed policy for all three hospitals, inpatient and outpatient areas where chemotherapy is administered, in adult and pediatric populations.
  • Changed education process for nursing. Previous policy for hospital system was a one time four hour course. Policy was changed to only nurses who have successfully completed the ONS chemotherapy course can administer chemotherapy in any format. Over 150 nurses educated with the ONS CHEMOTHERAPY ADMINISTRATION COURSE.
  • Chemotherapy orders must be checked for correct ht, wt, diagnosis, mg/m2 by two staff members in pharmacy and two registered nurses.
  • Chemo nurses to completely write out and recalculate prescription on new chemo order sheet or by computerized chemo order data sheets to show mathematical process.
  • All registered nurses, within six months of hire, complete a mandatory six hour class, Introduction to Chemotherapy, where they are educated in the cancer disease process, five chemo drugs, side effects of chemo, and how to physically and emotionally assist chemotherapy patients.
  • Clinical competency to be monitored yearly for nursing and pharmacy.
  • Pharmacy policies changed to mirror ONS guidelines.


  • Major Lessons
  • Administration created the TQM team to address all areas and all populations at one time. It was too big a task to complete in six months. It was accomplished in ten months with one person working on all policies for almost all of that time. It would have been easier to tackle one population in one setting, ig. Adult inpatient areas or pediatric outpatient areas.




  • Karen Taoka

    Goals of your Project
  • To enhance team building within the case managers and social workers and care management assistants.


  • Status of Project
  • Initiated project; was elected to Joint Council for the three groups where building a cohesive group was a goal. However, at the end of April 2002, I changed positions and was no longer affiliated with these groups.


  • Major Accomplishments
  • Initiated process for team building within the three groups.
  • Elected to Joint Council. Initiated team building within the Join Council. Used the totem exercise with this group.


  • Major Lessons
  • The problem can be easily identified, but buy-in and acceptance to need to work on the problem is a very slow process at times.
  • Clarify, clarify, clarify. Get crystal clear understanding with your supervisor re: goals of project, ownership of project.


  • Terri Tope

    Goals of your Project
  • No change since last progress report at 6 months.


  • Status of Project
  • Completed


  • Major Accomplishments
  • See 6 month progress report.


  • Major Lessons
  • See 6 month progress report.




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