New Knowledge, Innovation and Improvements

Transformational nurse leaders, robust structures and exemplary nursing practice are the foundation of Magnet-designated organizations, while innovation and the generation of new knowledge propel us into the future. With a renewed focus on fostering a culture of clinical inquiry, our nurses utilized a variety of resources to evaluate and redesign our evidence-based practice (EBP) processes and to turn their unanswered questions into robust nursing research studies

A nurse-led research study examined organizational readiness for integration of EBP at Children’s Health. The study results and implications were disseminated to our nurses and appeared in the Journal of Pediatric Nursing in 2021. Findings from the study indicated that Children’s Health nurses across the system hold strong EBP beliefs and understand that EBP results in the best quality outcomes for pediatric patients. To increase organizational readiness for EBP integration, nurses must possess EBP competencies, and leadership must increase the visibility of resources available to engage in the EBP process. Increasing awareness of EBP resources and developing EBP competencies may help nurse leaders integrate EBP into daily practice.


In addition to the study, nurse leaders and nurse scientists at Children’s Health evaluated evidence-based practice models, and with the input of clinical nurses they adopted the Iowa Model of Evidence-Based Practice, which is known as the gold standard and top choice of clinical nurses due to its ease of use and supportive resource tools. This model includes a decision tree and recommendations for specific steps to pilot and institute evidence-based nursing practice improvements. Based on this model, Children’s Health created a toolkit that is being trialed in our Nurse Residency Program in support of nurse residents’ EBP projects and their implementation.


Lindsey Patton setting the goal of to increasing Iowa Model EBP education “We plan to increase Iowa Model EBP education and opportunities for our nurses and nursing leaders to foster our culture of clinical inquiry throughout the health system.”
– Lindsey Patton, MSN, APRN, PCNS-BC,
Senior Program Director of Nursing Research and Evidence Based Practice

Indeed, Children’s Health nurses are increasingly incorporating research findings and EBPs to ensure safe nursing practice, improve patient care and enhance the patient and family experience.

Our firm commitment is underscored by numerous initiatives and programs:


  • Culture of Clinical Inquiry Committee
  • Evidence-based practice and nursing research
  • Affiliation agreements with schools of nursing in our region
  • Telenursing innovations:
    • Virtual safety huddles
    • Post-discharge texting to patient families
  • Virtual reality innovations:
    • Discharge preparation
    • Pain management

The Children’s Health Culture of Clinical Inquiry Committee encourages a culture of clinical inquiry in nursing by committing to:

  • Develop infrastructure to support nurse-led research
  • Facilitate the generation of new knowledge and implementation science through nursing research and the integration of evidence into practice
  • Prioritize nursing research and evidence-based nursing practice throughout the system
  • Improve the quality of nursing care and patient/family outcomes by advancing nursing science through the alignment of clinical inquiry and professional nursing practice

The committee’s voting members include senior nurse leaders, the Magnet Program Director, Clinical Nurse Specialists and schools of nursing faculty advisors representing the universities with which Children’s Health collaborates on research. Ad hoc members include a biostatistician, an ethics representative, a medical librarian and other subject matter experts.


Happy woman smiling in front of artwork “My 30 years at Children’s Health have been devoted to furthering EBP, and my goal is to empower nurses to improve outcomes not only for patients but also for nurses and staff.”
– Ginger Young, MSN, APRN, PCNS-BC, Clinical Nurse Specialist, Critical Care Services

Our collaborative partnerships with local schools of nursing through affiliation agreements enhance our ability to conduct nursing research and enhance nurse participation in scholarly activities.


For example, through our collaboration with Texas Christian University’s prestigious Harris College of Nursing & Health Sciences, we nominate nurses to join the TCU Evidence-Based Practice Fellowship. Our selection process includes evaluating the applicants’ prospective projects using six criteria, such as relevance to a common or high-priority problem and the likelihood of improving processes, safety or patient outcomes. Fellowship recipients are baccalaureate-prepared and demonstrate leadership attributes within Children’s Health.


We now also collaborate with TCU on nurse-led research studies through our Nursing Research Affiliation, which was solidified in early 2021. When nurses are unable to answer a question by searching the literature, they can draw on the expertise of TCU nursing faculty who devote time and energy to research in the relevant field.


Because of our work with TCU, grants totaling $78,000 are helping fund nurse-led studies on topics such as patient experience and communication in the pediatric ambulatory setting, the efficacy of probiotic use in children who were administered antibiotics after appendicitis treatment, and nurse prevention of hospital-acquired conditions such as central line-associated bloodstream infections. More than a dozen research studies are complete or ongoing, enabling our nurses to develop expertise in research, and future affiliations with additional schools of nursing in our community are under development.


The benefits of our research touch every aspect of nursing and beyond. Staff have access to education on practices ranging from pressure injury prevention to early identification of clinical status preceding acute events, and much more. Nurses report greater confidence in their ability to deliver the best care, as well as enhanced empowerment to help effect change to improve outcomes.


Children’s Health telenursing innovations have resulted from nurse-led EBP projects and other nursing quality improvement initiatives. Building on the foundation of telemedicine, our nurses are advancing the use and impact of telenursing during the pandemic.


Virtual safety huddles improve communication and help elevate patient safety. In the past, it was challenging to gather all Acute Care Services staff in daily safety huddles at Children’s Medical Center Plano. The 48 Acute Care Services beds are distributed among four units, with one charge nurse for all four, preventing staff from gathering efficiently. To solve the issue, nurses collaborated with the virtual health team to upload a virtual meeting platform to iPads already in use.

We now have more reporting of safety concerns, and we have caught things that might not have been considered without virtual safety huddles.
Rachael Burris-Alcala, BSN, RN, Clinical Manager, Acute Care Services

The huddles include nurses, providers, care coordinators, patient care technicians, respiratory therapists, Child Life staff and more. Due to this enhanced virtual platform in support of patient safety communication, over 50 patient safety issues were identified, addressed and resolved in real time. In addition, quality improvements were made in medication management, clinical informatics, equipment resources and educational programs.

Virtual Reality Innovations

In yet another collaboration with a nearby university, nurses in our Pauline Allen Gill Center for Cancer and Blood Disorders participated in the Children’s Health Innov8 4 Kids hackathon, a virtual competition that included students from across the nation.


This evolved into a multidisciplinary project with Innovation, Child Life and other departments to create PediaTrek, a discharge education scavenger hunt game, which is now in the pilot stage.


Wearing a headset, the patient walks the hallways, finding pictures containing digitized clues to guide them to the next picture. Eventually they answer quizzes and win prizes while learning their discharge instructions.


Kid playing with virtual reality headset “The walking that the game encourages helps improve breathing and promotes healing, and at the same time the patient receives education.”
– Deborah Echtenkamp, MSN, APRN, CPON,
Clinical Nurse Specialist, Center for Cancer and Blood Disorders

Pain management: Seeing a need to manage chronic pain with fewer opioids, nurses are collaborating with other teams to implement a virtual treasure hunt. Wearing a KindVR virtual reality headset, the patient sees an undersea universe where the patient can control various parts of the experience, including colors.


Studies show less pain, fewer locations of pain and less stress following this 15-minute intervention. Children’s Health plans to use intervention with unique disease cases and crisis pain, and it may be helpful with chronic sickle cell disease. When patients can be prescribed lower opioid doses and are less sleepy, they breathe more deeply and stay more engaged in their surroundings.


Post-discharge texting to patient families: To ensure timely replies to patient families’ questions and concerns, nursing staff recommended adoption of SMS texting, circumventing phone tag. We use PatientEXP to send automated text messages based on data in Epic. A direct integration with Epic allows automated outreach to specific patient families after discharge


When a parent replies to a texted question with a response that indicates help or support is needed, a unique phone number is sent to the parent that corresponds to that question. This allows a team member staffing the Nurse Advice Line to know which item the parent needs help with and to ask follow-up questions.


Engagement Rate for January – April 2021: 63%


  • Parent/guardian completed the protocol in full, answered at least one question or answered a question and was provided a Nurse Advice Line number.
  • Opt-out rate: <2%

Our nurses are also developing a system to send patient families ad hoc text updates from Epic. This enables efficient automated outreach to specific families, resulting in more timely resolution of their questions and improved care.

Achievements

Organizational and Department Recognition


  • Children’s Health has achieved three Magnet designations and is currently pursuing a fourth designation.
  • The Children’s Health Nurse Residency Program earned a Commission on Collegiate Nursing Education (CCNE) accreditation for five years.
  • Children’s Medical Center Dallas attained a Level 1 Children's Surgery Verification in 2021 from the American College of Surgeons.
  • Children’s Medical Center Dallas was verified as a Level I Trauma Center for three years by the Texas Department of State Health Services.
  • Children’s Medical Center Plano was verified as a Level IV Trauma Center for three years by the Texas Department of State Health Services.
  • Children's Medical Center Dallas ranked in 10 out of 10 specialties in the U.S. News & World Report 2021-2022 Best Children’s Hospitals survey for the 11th year.

Awards

2021 DFW Great 100 Nurses


  • Elaine Beardsley, MN, ACCNS-P, CPEN
  • Nicole Bessinger, BSN, RN, CPN
  • Joshua Bourgeois, MS, RN
  • Natalie Denson, MSN, RN, NEA-BC
  • NaShawn Finley, MBA/HCM, BSN, RN, CCRN
  • Sarah Kennedy, MSN, RN, CPHON
  • Lisa Mason, DNP, MHA, MBA, RN, NEA-BC
  • Lindsey Patton, MSN, APRN, PCNS-BC
  • Jennifer Shelby, BSN, RN, CCRN, EMT-B

2021 D Magazine Excellence in Nursing


  • Rachel Akins, BSN, RN
  • Angela Allain, BSN, RN, CPN
  • April Berry, BSN, RN, CCTC
  • Nicole Bessinger, BSN, RN, CPN
  • Joshua Bourgeois, MS, RN
  • Diana Cardwell, MSN, APRN, PCNS-BC
  • Alexa Coldewey, BSN, RN
  • Natalie Denson, MSN, RN, NEA-BC
  • Elia Esquivel, BSN, RN
  • Kirbie Haynie, BSN, RN, CPN
  • Julia Hesler, MSN, RN, CPN
  • McKenzie Pedigo, BSN, RN, CPN
  • Chelsea Reynolds, MSN, RN, CPN
  • Martha Shaw, BSN, RN, NPD-BC, CPN
  • Josette Stegmair, BSN, RN
  • Jesse Harper-Tarantolo, BSN, RN

2021 May Smith Nursing Excellence Award


  • Leafar Abundo, MBA/HSM, BSN, RN, CPN, Systems Thinking
  • Julie Davis, BSN, RN, Caring Practices
  • Emily Hernandez, BSN, RN, Advocacy/Moral Agency
  • Tera Holland, BSN, RN, CPN, Facilitation of Learning
  • Caitlin Layton, BSN, RN, CPN, Collaboration
  • Kathryn Liddle, BSN, RN, CCRN, CPN, Clinical Inquiry
  • Kimberly Michaelis, BSN, RN, Response to Diversity
  • Dawn Penner, RN, CRRN, Clinical Judgment

The DAISY Award for Extraordinary Nurses 2021


  • Crystal Aldridge, BSN, RN
  • Jorica Calabazaron, BSN, RN
  • Katie Catalano, BSN, RN
  • Leyna Dowden, BSN, RN, CPN
  • Lindsey Flores, BSN, RN, CPN
  • Chad Gautreaux, BSN, RN, PMH-BC
  • Rebekah Goodwin, BSN, RN
  • Lauren Hendrix, BSN, RN, CPN
  • Dulce Igle, BSN, RN
  • Sarah Meadows, BSN, RN
  • Rachel Morcom, BSN, RN
  • Michelle Nguyen, BSN, RN
  • Kristen Poer, BSN, RN
  • Jordan Schools, BSN, RN, NPD-BC, CPN
  • Megan Stoker, BSN, RN, CPN
  • Araseli Tinajero, BSN, RN

Individual Recognition


  • Lindsey Patton, MSN, APRN, PCNS-BC, 2021 Texas Christian University Evidence-Based Practice Mentor of the Year
  • Lisa Mason, DNP, MHA, MBA, RN, NEA-BC, 2021 March of Dimes Excellence in Leadership Award

Q2 Patient Safety Champions


  • Angela Coffaro, BSN, RN, CNOR
  • Chandler Coolbaugh, BSN, RN
  • Katherine Covey, BSN, RN, CPN
  • Rebecca Fritchie, BSN, RN
  • Claudia Gordon, BSN, RN
  • Courtney Hummingbird, BSN, RN
  • Monique James, BSN,

Publications


  • Candace Bailey, BSN, RN
  • Elaine Beardsley, MN, ACCNS-P, CPEN
  • Casey Bradfield, MSN, RN, NEA-BC
  • Rebecca Brooks, MSN, APRN, PCNS-BC
  • Sarah Clark, BSN, RN, CRRN, CPN
  • Bailey Cochrum, BSN, RN, CPN
  • Kristin Cummins, DNP, RN, NE-BC
  • Hayden Dutton, MSN, RN, CPN
  • Mayra Garcia, DNP, APRN, PCNS-BC
  • Ann Gosdin, MS, APRN, CNS, CPNP-BC
  • Jenny Harshman, MSN, RN, NPD-BC, CPN, CCRN-K
  • Dulce Igle, BSN, RN
  • Melissa Langford, BSN, RN
  • Maria Leal, BSN, RN
  • Tiffany Montgomery, MSN, RN, NPD-BC
  • Lindsey Patton, MSN, APRN, PCNS-BC
  • Dawn Penner, AND, RN, CRRN
  • Kiele Samuel, BSN, RN, CPN
  • Ashely Sewell, BSN, RN
  • Ayehubirhan Shenkute, BSN, RN, CRRN, CPN
  • Jerithea Tidwell, Ph.D., APRN-BC, FCNS
  • Jennifer Watt, MSN, APRN, PCNS-BC
  • Tammy Webb, Ph.D.(c), MSN, RN, NE-BC
  • Virginia Young, MSN, APRN, PCNS-BC

Presentations


  • Elaine Beardsley, MN, ACCNS-P, CPEN
  • Janna Berg, BSN, RN, CPN
  • Shelby Beyers, BSN, RN, CPN
  • Alex Birely, APRN, ACCNS-P
  • Casey Bradfield, MSN, RN, NEA-BC
  • Deniro Brown, BSN, RN, CCRN
  • Jennifer Brown, BSN, RN, CTRS
  • Shelley Burcie, BSN, RN
  • Jenna Buys, BSN, RN
  • Krista Carey, BSN, RN
  • Brena Carmin, BSN, RN, CNOR, CRNFA, CPN
  • Angie Chelf, MSN, RN-BC, CPEN, CPN
  • Misty Daugherty, BSN, RN, CPHQ
  • James DeMasi, APRN, CPNP-AC/BC, AP-PMN
  • Hayden Dutton, MSN, RN, CPN
  • Deb Echtenkamp, MSN, APRN, CNS, CPON
  • NaShawn Finley, MBA-HM, BSN, RN, CCRN-K
  • Jeanne Gaines, RN
  • Nicole Garber, BSN, RN
  • Mayra Garcia, DNP, APRN, PCNS-BC
  • Erika Grimes, MSN, RN, NPD-BC
  • Amy Hadley, BSN, RN, CCRN
  • Jenny Harshman, MSN, RN, NPD-BC, CPN, CCRN-K
  • Neredia Hernandez, BSN, RN
  • Jill Hesler, MSN, RN, CPN
  • Tera Holland, BSN, RN, CPN
  • Bria Jones, BSN, RN
  • Kymeone Lanehart, RN
  • Leslie Lewis, DNP, APRN, CPNP-AC, CCRN, C‑NPT, CPEN, CPN, EMT-LP, FP-C, CCP-C
  • Lisa Mason, DNP, MHA, MBA, RN, NEA-BC
  • Tiffany Montgomery, MSN, RN, NPD-BC
  • Diana Montoya, BSN, RN, CPN, NPD-BC
  • Michelle Moore, BSN, RN, C-NPT
  • Angelica Morris, BSN, RN
  • Ginger Nelson, BSBA, BSN, RN, NPD-BC
  • Lindsey Patton, MSN, APRN, PCNS-BC
  • Meredith Pearson, BSN, RN
  • Taylor Ritzel, BSN, RN, CPN
  • Kim Schuettner, MS, BSN, RN, NPD-BC, CCRN‑K
  • Christina Smith, BSN, RN, CPN, CPPS
  • Jean Storey, MSN, RN, NEA-BC
  • Jerithea Tidwell, Ph.D., APRN-BC, FCNS
  • Andrea Torzone, MSN, APRN, CPNP, PCNS
  • Tammy Webb, Ph.D., MSN, RN, NE-BC
  • Krista Westbrook, MSN, RN, CPN

Nursing Research

Exploring Nurse Beliefs and Perceived Readiness for System-Wide Integration of Evidence-Based Practice in a Large Pediatric Health System


PIs: Lindsey Patton, MSN, APRN, PCNS-BC & Jerithea Tidwell, Ph.D., APRN-BC, FCNS


Adoption and Sustainment of Central Line-Associated Bloodstream Infection Bundle in a Pediatric Intensive Care Unit: An Implementation Science Formative Evaluation


PI: Lindsey Patton, MSN, APRN, PCNS-BC


Probiotics and Antibiotic Associated Diarrhea in Pediatric Complicated Appendicitis


PI: Mayra Garcia, DNP, APRN, PCNS-BC


Improving Pediatric Sepsis Outcomes: A Children's Hospital Association Quality Collaborative


PI: Virginia Young, MSN, APRN, PCNS-BC


Anxiety and Family Satisfaction during the Pediatric Pre-Anesthesia Visit


PI: Ann Johnson, Ph.D.


Communicate to CARE in the Pediatric Ambulatory Setting: An Implementation Science Framework Study to Drive Meaningful Practice Interventions


PI: Brennan Lewis, DNP, APRN, PCNS-BC


Adolescent Capacity to Engage (ACE) Index Instrumentation Study


PI: Brennan Lewis, DNP, APRN, PCNS-BC


A Quantitative Assessment of the Pupillary Light Reflex in Pediatric Seizure


PI: Jennifer Watt, MSN, APRN, CNS, CNRN


Unit Interest Survey – Instrument Development


PI: Tiffany Montgomery, MSN, RN, NPD-BC


Shared Governance – Nurses’ Perceptions Regarding Influence over Professional Practice in a Large Pediatric Health Care System.


PIs: Tammy Webb, Ph.D., MSN, RN, NE-BC & Casey Bradfield, MSN, RN, NEA-BC


Minimal Stimulation as a Nursing Practice: An Exploratory Descriptive Study


PIs: Shelley Burcie, BSN, RN & Angelica Morris, BSN, RN


Keeping the Trach Safe Instrument Development


PI: Rebecca Brooks, MSN, APRN, PCNS-BC

2021 Evidence-Based Practice and Research Poster Fair Winners


Improving Patient Safety by Predicting Early Deterioration in the Pediatric Pulmonary Population, Evidence-Based Practice


Authors: Christina Smith, BSN, RN, CPN, CPPS, Lindsey Patton, MSN, APRN, PCNS-BC, Peng Chen, MPH, CPH, BS, Chelsea Reynolds, MSN, RN, CPN, Martha Shaw, BSN, RN, NPD-BC, CPN, Megan Toler, BSN, RN, CPN, PED-BC


Promoting Patient Safety Using Virtual Safety Huddles, Quality


Authors: Rachel Burris-Alcala, BSN, RN, Julie Baker, RN, EMT-P, CPPS, Ann Gosdin, MS, APRN, CNS, CPNP-PC


Initial Results of the Ask Suicide Questions (ASQ) Patient Questionnaire Implemented at Children's Health, Research


Authors: Jane Miles, M.D., Karla Hutcherson, LPC-S, Jennifer Brown, BSN, RN, CTRS


PICU Team Member Innovative Support Plan: Intentional Caring Practices to Mitigate Moral Distress, Secondary Trauma, and Burnout in the Intensive Care Unit, Innovation


Authors: Ginny Leinweber, BSN, RN, CCRN, Kendel Richards, BSN, RN, Jessica Roumillat, LCSW, Leslie Leach, BSN, RN, CPHRM, Elaine Beardsley, MN, ACCNS-P, CPEN


"Nurses: Are You in Pain? Patient: No Answer," Peer Choice


Author: Katie McLaurin, BSN, RN


TCU EBP Fellowship 2021 Graduates


  • Katie McLaurin, BSN, RN
  • Sara Moore, DNP, APRN, PPCNP-BC, CPNP-AC, NNP
  • Christina Smith, BSN, RN, CPN, CPPS
  • Susan Weber, MSN, RN, CEN, CPN, CPEN, TCRN, CCCTM

Clinical Nurse Achievement Program Participants

  • Suja Abraham, BSN, RN
  • Mariamma Abraham, BSN, RN, CPN
  • Leafar Abundo, BSN, RN, CPN
  • Alyson Adams, BSN, RN, CPN
  • Kamala Adhikari Lohani, BSN, RN
  • Leah Akeman, BSN, RN, CPN
  • Tera Akerly, BSN, RN, CCRN
  • Rachel Akins, BSN, RN
  • Anne Alba, BSN, RN, CCRN
  • Amber Albiar, BSN, RN, CPN, CPEN
  • Lorivi Albos, BSN, RN
  • Alejandra Albritton, BSN, RN, CPN
  • Crystal Aldridge, BSN, RN
  • Kaitlin Alexander, MSN, RN, CPN
  • Lori Allen, BSN, RN, CCRN
  • Mackynzi Andrews, BSN, RN
  • Leisha Archer, BSN, RN, CPN
  • Kimberly Arnold, BSN, RN, CPN
  • Jessica Arroyo, BSN, RN, CPN
  • Pegah Askari, BSN, RN, CPN
  • Alison Axon, BSN, RN, CPN
  • Allison Baer, BSN, RN, CCRN
  • Maria Bagtas-Desamours, BSN, RN, CPN
  • Carlye Bakian, BSN, RN, VA-BC
  • Erica Balda, BSN, RN
  • Nicole Bancroft, BSN, RN
  • Desiree Barnard-Peterson, BSN, RN
  • Jonathan Barr, BSN, RN, CCRN
  • Rebecca Barr, BSN, RN, CPN
  • Tami Beaudin, BSN, RN, CPHON
  • Janna Berg, BSN, RN, CPN
  • Shelby Beyers, BSN, RN, CPN
  • Nicole Bizzack, BSN, RN
  • Colin Boe-Ashley, BSN, RN, CPN
  • Kelly Bonilla, BSN, RN
  • Hope Bostrom, BSN, RN
  • Callie Boyd, BSN, RN
  • April Broussard, RN
  • Tylen Brown, BSN, RN
  • Shaquanna Brown, BSN, RN
  • Chad Bruce, BSN, RN, VA-BC
  • Shelley Burcie, BSN, RN
  • Montana Burkhardt, BSN, RN
  • Amanda Burris, BSN, RN
  • Caroline Butts, BSN, RN, CPN
  • Jenna Buys, BSN, RN, CPN
  • Haley Byrne, BSN, RN, CPN
  • Jorica Calabazaron, BSN, RN
  • Krista Carey, BSN, RN
  • Amanda Carlough, BSN, RN
  • Kelly Carlson, BSN, RN, RNC-NIC, CPN
  • Rosa Carrasco, BSN, RN, CPN
  • Amber Carrington, MSN, RN
  • Kathryn Carson, BSN, RN
  • Eduardo Casas, BSN, RN, CPN
  • Rosemary Casibang, BSN, RN
  • April Castleman, BSN, RN, CPHON
  • Anna Chambliss, BSN, RN, CPN
  • Emily Champagne, BSN, RN
  • Sarah Chapman, BSN, RN
  • Sunila Cherian, MSN, RN, RNC-NIC
  • Geri Ching, BSN, RN, CCRN, VA-BC
  • Sarah Clark, BSN, RN, CPN
  • Kathleen Clark, BSN, RN
  • Kylie Clay, BSN, RN, CPN
  • Susan Cleburn, BSN, RN, CPN
  • Tricia Cobb, BSN, RN, CNOR
  • Bailey Cochrum, BSN, RN, CPN
  • Jessalynn Colbert, BSN, RN, EMT-LP, CPEN, C-NPT
  • Robin Cole, BSN, RN, CPN
  • Margaret Coleman, BSN, RN, CPN
  • Ashley Collins, BSN, RN, CPEN
  • Elizabeth Collins, BSN, RN, CPN
  • Hannah Colomina, BSN, RN, CPN
  • Casey Conrad, BSN, RN, CCRN
  • Olivia Cooney, BSN, RN, CPN
  • Lilliam Correa, BSN, RN, CCRN
  • Christina Cupples, BSN, RN
  • Brittany Cusimano, BSN, RN
  • Katharine Dachniwsky, BSN, RN, CPN
  • David Dansby, RN
  • Megan Daugherty, BSN, RN, RNC-NIC
  • Claire Davenport, BSN, RN
  • Sylvia Davis, RN, CPN
  • Tess Davis, BSN, RN, CPN
  • Adrienne Davis, BSN, RN
  • Robin Davison, BSN, RN, RNC-NIC
  • Amber Dayton, BSN, RN, CPEN
  • Allison Dean, BSN, RN, CPN
  • Rose Anne Dela Cruz, BSN, RN
  • Rose Delgado, RN
  • Elizabeth DeMoss, BSN, RN, CPN
  • Sally Derrick, BSN, RN, CPN
  • Holly Dickens, BSN, RN, CPN
  • Richard Diola, BSN, RN
  • Johonna Dittoe, BSN, RN, CPEN
  • Ellie Doolin, BSN, RN, VA-BC
  • Candice Dorsey, RN, CPN
  • Katherine Duncan, BSN, RN
  • Jennifer Dunnam, BSN, RN, CPN
  • Kelsey Dye, BSN, RN, CPHON
  • Shelby Eckles, BSN, RN, CPHON, BMT-CN
  • Molly Egan, BSN, RN, CPN
  • Virginia Elizondo, BSN, RN, CPEN
  • Elizabeth Engelbrecht, BSN, RN, CCRN
  • Judy Espinosa, BSN, RN
  • Deirdre Espinoza, BSN, RN, CPN
  • Bethena Fan, BSN, RN, CCRN
  • Kayla Feaster, BSN, RN
  • Monica Fee, BSN, RN
  • Kathleen Fields, BSN, RN
  • Courtney Fields, BSN, RN
  • Alice Figueroa, BSN, RN, RNC-NIC
  • Cindy Flom, BSN, RN, CPHON
  • Lindsey Flores, BSN, RN, CPN
  • Kelli Fortenberry, BSN, RN, CPN, VA-BC
  • Kristina Francis, BSN, RN, WCC, CPN
  • Monica Fuller, BSN, RN
  • Juana Galindo Paz, BSN, RN
  • Jemima Gallardo, BSN, RN, CPN
  • Alison Gallegos, BSN, RN
  • Kristin Gamble, BSN, RN, CPN
  • Tracie Gardner, BSN, RN
  • Robert Gaudette, BSN, RN, C-NPT, EMT-P
  • Calley Gerik, BSN, RN, CPHON
  • Heidi Gerst, BSN, RN, CPHON
  • Julia Gerstmann, BSN, RN, CCRN
  • Heather Glover, BSN, RN
  • Marlen Gonzalez, BSN, RN
  • Stacy Goode, RN
  • Kimberly Grace, BSN, RN
  • Madeleine Grace, BSN, RN
  • Elizabeth Grant, BSN, RN
  • Melissa Gray, BSN, RN, CCRN
  • Shaila Green, BSN, RN, VA-BC
  • Rebecca Green, BSN, RN, CPN
  • Brandi Green, BSN, RN
  • Chelsea Haizlip, BSN, RN
  • Christine Hajovsky, BSN, RN, CCRN
  • Brittany Hale, RN, BSN, CPN
  • Lindsay Hall, BSN, RN, CPN
  • Morgan Hallberg, BSN, RN, CPN
  • Jenine Hamed, BSN, RN
  • Jill Hanks, BSN, RN, CPN
  • Mackenzie Harkins, BSN, RN, CPN
  • Jesse Harper-Tarantolo, BSN, RN
  • Jenna Harris, BSN, RN, CCRN
  • Callie Harris, BSN, RN, CPHON
  • Irene Harris, MSN, RN, CCRN
  • Natalie Harris, BSN, RN, CCTC
  • Lauren Hart, BSN, RN
  • Laura Hatton, BSN, RN, CCRN
  • Rebecca Haupt, BSN, RN, CPN
  • Toni Haynes, BSN, RN
  • Lauren Hendrix, BSN, RN, CPN
  • Marlee Herman, BSN, RN, CCRN
  • Georgina Hernandez, BSN, RN
  • Madeline Herrera, BSN, RN, CCRN
  • Paige Herring, BSN, RN
  • Diana Hill, BSN, RN, NREMT-P, EMT-P
  • Zaneta Hinton, BSN, RN, CPN
  • Myphi Hoang, BSN, RN
  • Kimberly Hodges, BSN, RN, CPN
  • Christine Hogan, BSN, RN
  • Tera Holland, BSN, RN, CPN
  • Kaylan House, BSN, RN
  • Shae House, BSN, RN
  • Lisa Howard, BSN, RN
  • Carlos Huerta, BSN, RN, CCRN
  • Courtney Hummingbird, BSN, RN
  • Leslie Huntington, BSN, RN, CPN
  • Mahalkita Hurst, BSN, RN, CPN
  • Bailey Hutchens, BSN, RN
  • Taylor Hutcheson, MSN, RN, CPN
  • Neiry Inguanzo, MSN, RN
  • Amber Isbell, BSN, RN, CCRN
  • Suni Jacob, BSN, RN, RNC-NIC
  • Sarah Jaeger, BSN, RN, CPEN
  • Kali Janshego, BSN, RN, CPN
  • Zan Jayroe, BSN, RN, CPN
  • Rebecca Jenkins, BSN, RN, CPHON
  • Sherli John, BSN, RN, RNC-NIC
  • Claire Johnson, BSN, RN, CPEN
  • Carly Johnson, BSN, RN, CPEN
  • Russell Johnson, BSN, RN
  • Brandi Johnson, BSN, RN
  • Mindi Johnson, BSN, RN
  • McKenzie Johnson, MSN, RN, CPN
  • Myesha Jones, BSN, RN
  • Kathleen Jones, BSN, RN
  • Karri Jones, BSN, RN
  • Emily Jordan Ressman, MSN, RN, CPHON, EMT-B, C-NPT
  • Litty Jose, BSN, RN
  • Caroline Kelley, BSN, RN, CCRN
  • Elizabeth Kelley, BSN, RN, CPN
  • Lauren Kellum, BSN, RN
  • Paxton Kersul, BSN, RN
  • Judy Kiarie, BSN, RN, CPN
  • Sherry Kibira, BSN, RN, RN-BC
  • Sarah Kidd, BSN, RN, CPHON, BMT-CN
  • Shannon Klemm, BSN, RN
  • Yesenia Kohli, MSN, PMHNP
  • Lonny LaBarge, BSN, RN, CPN, VA-BC
  • Melissa Langford, BSN, RN, CPN
  • Danna Lara, MSN, APRN, CPNP-AC, CPN
  • Lashunda Lawson, BSN, RN, CPN
  • Caitlin Layton, BSN, RN, CPN
  • Victoria Lee, BSN, RN, CPN
  • Amanda Lewis, BSN, RN
  • Hayley Lewis, BSN, RN
  • Sally Lewis, BSN, RN, CPN
  • Shuang Li, BSN, RN, CPN
  • Kelsey Liburd, BSN, RN, CPHON, CPN
  • Karen Liddy, BSN, RN
  • Rowilma Limjuco, BSN, RN, CCRN
  • Meagan Lombardo, BSN, RN, CNOR
  • Lauren Longobardo, BSN, RN
  • Alice Maddox, BSN, RN, CWOCN
  • Kristen Mahood, BSN, RN, CPHON, CPN
  • Roxana Mars, BSN, CPHON, RN
  • Nikki Marshall, BSN, RN
  • Michelle Martin, BSN, RN, CCRN
  • Mariah Mathews, BSN, RN
  • Meghan Matlock, BSN, RN, CPN
  • Samantha McCune, BSN, RN
  • Peggy McDonald, BSN, RN, RNC-NIC
  • Karen McElroy, BSN, RN
  • Lila McEntire, RN, BSN
  • Kaitlyn McLaurin, BSN, RN
  • Emily McMahan, BSN, RN, CPN
  • Yaseming Medina Hernandez, BSN, RN, SANE-A
  • Ricardo Medrano, BSN, RN, CCRN
  • Miriam Mejia, BSN, RN
  • Karla Mendoza, BSN, RN, CPN
  • Amber Mersberger, BSN, RN, CPEN, CPN
  • Kimberly Michaelis, BSN, RN
  • Lindsey Miller, BSN, RN
  • Riley Mills, BSN, RN
  • Julia Moore, BSN, RN, C-NPT
  • Dale Morano, BSN, RN, RNC-NIC
  • Rachel Morcom, BSN, RN
  • Janet Morgan, BSN, RN, WCC, CPN
  • Angelica Morris, BSN, RN
  • Nicole Mueller, MSN, RN, CPN
  • Johanna Muller, BSN, RN, CPEN
  • Valerie Munoz, BSN, RN
  • Milton Munro II, MBA-HC, BSN, RN
  • Hector Murillo, BSN, RN, CPN
  • Kristin Murray, BSN, RN, CPN
  • Sarah Newby, BSN, RN, CCRN
  • Xuan Nguyen, BSN, RN, CPN
  • Hong-Xuan Nguyen, BSN, RN, WCC
  • Kim Nguyen, RN
  • Michelle Nguyen, BSN, RN
  • Kris Noel, BSN, RN
  • Martha Oglesby, BSN, RN
  • Rachael O'Leary, BSN, RN, CPN
  • Kerrie Olivarez, BSN, RN
  • Margaret O'Neal, BSN, RN, CCRN
  • Ashlyn Orms, BSN, RN
  • Lauren Orr, BSN, RN, CPEN, CEN, SANE-A, SANE-P
  • Tina Overbeck, BSN, RN, CPN, VA-BC
  • Jacqueline Owen, BSN, RN
  • Mary Pacheco, BSN, RN, CPN
  • Ashleigh Panelli, MSN, RN
  • Priya Patel, MSN, RN
  • Raji Pathak, BSN, RN
  • Jayme Pemberton, BSN, RN, NREMT-P, EMT-P, C-NPT
  • Margaret Pendleton, BSN, RN, CPN
  • Dawn Penner, RN, CRRN
  • Sonja Perry-Cotton, BSN, RN, CPN
  • Clarissa Petty, BSN, RN, CPN
  • Thi Phan, BSN, RN
  • Jessica Pinion, BSN, RN
  • Aisha Pleasant, BSN, RN, CPN
  • Kristen Poer, BSN, RN
  • Ginger Poindexter, BSN, RN, CPEN
  • Amy Powell, BSN, RN, CCRN
  • Sydney Pownell, BSN, RN
  • Taylor Prater, BSN, RN
  • Linette Price, MSN, RN
  • Gemmarie Punzalan, BSN, RN, CPN
  • Rachel Puttkammer, BSN, RN, CPN
  • Cindy Quiroz, BSN, RN
  • Margarita Ramos, BSN, RN, CCRN
  • Haly Rath, BSN, RN, CCRN
  • Ashlyn Ray, BSN, RN
  • Taylor Read, BSN, RN
  • Vanessa Reese, BSN, RN, CPHON
  • Sydney Reilly, BSN, RN, CPN
  • Erin Reinhardt, BSN, RN, CPN
  • Karlyene Renn, MSN, RN, CPNP-AC
  • Christina Reyna, BSN, RN, CPN
  • Tammy Reynolds, MBA, BSN, RN, RNC-NIC
  • Mary Rinaldi, BSN, RN, CPN
  • Maida Rios, BSN, RN
  • Kristin Ritchie, BSN, RN, CPN
  • Taylor Ritzel, BSN, RN, CPN
  • Claire Roberts, BSN, RN, CPN
  • Elaine Roberts, BSN, RN, CCRN
  • Mallory Rodgers, BSN, RN, CPN
  • Angelica Rodick, BSN, RN, CPEN
  • Christa Rogers, BSN, RN, CCRN
  • Kristin Rollins, BSN, RN, CPEN
  • Naomi Russian, BSN, RN, CPN
  • Ashley Saenz, BSN, RN
  • Brittney Saldierna, MSN, RN, CPN
  • Susan Sales, BSN, RN, EMT-P, C-NPT, CPN
  • Kiele Samuel, BSN, RN, CPN
  • Alyssa Sander, BSN, RN, RNC-NIC
  • Gabriel Sanders, BSN, RN
  • Shaiza Saqib, BSN, RN, CPN
  • Dawn Schindler, BSN, RN, IBCLC
  • Deborah Schmidt, BSN, RN, CCRN
  • Samantha Schryver, BSN, RN, CPN
  • Mary Schwaer, BSN, RN, CPN
  • Hailee Scoggins, RN, BSN, CPN
  • Mer Scott, BSN, RN, RNC-NIC
  • Heather Seay, BSN, RN
  • Tena Segovia, BSN, RN, CCRN
  • Isamar Serrano, BSN, RN, CPEN
  • Anjali Sethi, BSN, RN, CPN
  • Ashley Sewell, BSN, RN, CPN
  • Jennifer Shelby, BSN, RN, CCRN, EMT-B
  • Ayehubirhan Shenkute, BSN, RN, CPN, CRRN
  • Kendra Shotts-Fraser, BSN, RN
  • Allison Sickerott, BSN, RN, CPN
  • Courtney Siewert, BSN, RN, CPHON
  • Misty Singleton, BSN, RN
  • Cassidy Sklar, BSN, RN
  • Katherine Smalling, BSN, RN, CPHON
  • Arlette Smith, BSN, RN, CPN
  • Angela Smith, BSN, RN, CPN
  • Quineka Smith, BSN, RN, CPN
  • Patsy Snider, BSN, RN, CCRN
  • Bonnie Solorzano, BSN, RN
  • Ryan Solt, BSN, RN
  • Christina Sproul, BSN, RN
  • Stephanie St. Clair, BSN, RN, CPEN
  • Ryan Stanwix, BSN, RN, CPN
  • Caitlin Steele, BSN, RN, CPN
  • Josette Stegmair, BSN, RN
  • Megan Stoker, BSN, RN, CPN
  • Mary Stokes, BSN, RN
  • Juby Sunny, BSN, RN
  • Deborah Swain, BSN, RN, CRN
  • Maira Swift, BSN, RN, CPN
  • Kylie Thomas, BSN, RN, CCRN
  • Jasmine Thomas, MSN, RN, CPN
  • Jennifer Thomas, BSN, RN
  • Katelyn Thompson, BSN, RN
  • Valerie Tidwell, BSN, RN
  • Tuan Tieu, MSN, FNP-C
  • Araseli Tinajero, BSN, RN
  • Brittany Tinker, BSN, RN
  • Cathy Tison, BSN, RN, CPN
  • Megan Toler, BSN, RN, CPN, RN-BC
  • Annie Tolliver, MSN, RN, CPN
  • Haley Tomlinson, BSN, RN, CCRN
  • Archel Torres, BSN, RN
  • Pamela Townsend, BSN, RN, CPN
  • McKenzie Toye, MSN, RN, CPEN
  • Kimberly Trent, BSN, RN
  • Angela Trindle, BSN, RN, CPEN
  • Brandi Trosclair, BSN, RN, CPN
  • Julie Trueax, BSN, RN
  • Nga Truong, BSN, RN, CPN
  • Jasmin Tubig, BSN, RN
  • Elisabeth Umlor, BSN, RN
  • Ashley Utley, BSN, RN, CPN
  • Michelle Valera, BSN, RN
  • Alexis Valtierra, BSN, RN
  • Lilivette Velez, BSN, RN
  • Elizabeth Verges, BSN, RN, CPN
  • Kelsey Walsh, BSN, RN
  • Makenzie Washerlesky, BSN, RN
  • Shamara Watkins, BSN, RN
  • Cheila Webb, BSN, RN, VA-BC
  • Kailey Webster, BSN, RN
  • Sarah Weemes, BSN, RN
  • Adam Welch, BSN, RN, RNC-NIC
  • Christina Whittington, BSN, RN, CCRN
  • Emily Wikman, BSN, RN
  • Kelli Williams, BSN, RN, CPN
  • Michael Williams, BSN, RN, CCRN
  • Brittany Williams, BSN, RN, CCRN
  • Whitney Williamson, BSN, RN, CCRN
  • Amy Wilson, BSN, RN, CPEN, EMT-LP
  • Jennifer Wilson, BSN, RN, CPN, VA-BC
  • Rebecca Wilson, BSN, RN, CPN
  • Cynthia Winkle, BSN, RN, CPHON
  • Louise Wissbaum, BSN, RN, CRNI, VA-BC
  • Rebekah Wollenman, BSN, RN, CPN
  • Katherine Woodall, BSN, RN
  • Pamela Xiong, BSN, RN, CPN
  • Elizabeth Yells, BSN, RN, CPN
  • Beena Zacharias, BSN, RN, RNC-NIC
  • Kayla Zanni, MSN, RN, CCRN
  • Soledad Zinn, BSN, RN, CNOR
  • Roseherlyne Zulueta, BSN, RN, CPN