Overview of Nursing Roles at Penn-Presbyterian
The Nursing Staff at Penn Presbyterian welcomes you and looks forward to collaborating with you in caring for our patients. Please feel free to contact the nurse managers and Clinical Nurse Specialists with any concerns.
1. Nursing Administration
A. Chief Nursing Officer (CNO)/ Associate Executive Director – Johanna Magner – overall responsibility for nursing services at Penn-Presbyterian
B. Clinical Directors – overall responsibility for specific product line/services
1. Medical/Surgical and Behavioral Health – Barb Anderson RN, MSN
2. Critical Care/Cardiology – Denise Gilanelli- RN, MSN
3. Perioperative/Operating Room/PACU – Richard Webster RN, MSN
4. Education – Patrick Kenny RN, PhD
C. Nurse Managers – 24 hour responsibility far a specific unit
1. Responsible for staffing, equipment, bed management; overall functioning of unit
2. Available by zone phones
3. There are 3 Nurse Mangers for Medical-Surgical Nursing
a. Donna O’Connell – 4 South (zone # 8979)
b. Staci Pietrafesa – Cupp 5 (zone# 8923)
c. Marjorie Lehigh – ACE ( acting) also covers Wright 4 (zone #8956; 8884)
4. One nurse manager each for CCU/ICU/ED
D. Patient Care Coordinators (PCC) – Nursing Supervisors
1. Provide administrative coverage from 3 PM – 7 AM daily and weekends; extension of nurse manager
2. Bed manager
3. Key person with overall picture of the hospital – bed availability; able to provide access to supplies, medications, equipment after hours
4. Usually only one in the house
2. Nursing – Clinical Practice Nurses
A. Clinical Nurse Specialists
1. Clinical and educational resource to staff nurses, physicians; responsible for clinical practice in partnership with nurse manager
2. Knowledgeable about nursing policy/procedures – i.e. what RN is able to do
3. If patient is very sick; waiting for ICU bed – page CNS to help with care
4. Usually cover 2 units
a. Kathy Witta RN, MSN – (medicine) ACE/4 South; beeper 215-306-9644
b. Peg Hubert RN, MSN (surgery) – 5 Cupp; beeper 215-306-2225
c. Martin Manno RN, MSN – 4 East
d. Critical Care/Cardiology – job share – available off shift as well
B. Clinical Nurse Educators
1. Responsible for orientation, CPR, inservices across the entities
C. Nurse Practitioners – only with Cardiology; vascular surgery
D. Wound Care RN – Bill Falone RN, MSN, CWOCN; beeper 215-306-0054; 8820
1. Needs to be called for any pressure ulcers; Braden scores <14; specialty beds, wound VAC
E. Acute Pain Service NP – Stephanie Blais
F. RNs – Staff RNs
1. Provide clinical care to patients
2. RN: patient ratio of 1:6
3. Most work 12 hour shifts
G. CNAs – work with RN to provide care to patients
GENERAL GUIDELINES FOR TYPES OF CARE PROVIDED ON THE MEDICAL-SURGICAL UNITS
1. The only type of IV drips that can be administered on the medical-surgical floors are:
a. Heparin
b. Insulin
c. Morphine
2. IVPB meds – Lopressor- needs to be on telemetry for first 5 doses; Vasotec
3. IVP meds – specific list locate in medication room
4. If IVPush med must be given in emergency – MD can give but also must monitor
5. Maximal frequency of fingersticks is every 2 hours
6. For a patient to be placed on a 1:1 close observation (except suicide precautions), RN must try alternative strategies low bed, distraction, approach; per hospital policy a psych consult and 24 hour order must be written (similar to restraints).
7. Try to avoid interruptions at change of shift 7 – 7:30 AM; 7- 7:30 PM
8. There is only one phlebotomy lab draw at Penn Presbyterian (this is at 7 AM); all other labs are drawn by the nursing staff.
a. It is the policy at Presby that RNs will draw labs around 2-3 PM. Labs which were not ordered for the 7 AM blood draw will be done at this time; if the labs need to be done before this time, the labs need to be drawn by the house staff. (ie if labs are not ordered in time for the 7 AM phlebotomy , it is not acceptable for the house staff to write at 9 AM for the AM labs to be drawn STAT by the nursing staff).
b. STAT labs are reserved for those lab results that will need emergency interventions.
c. Labs that are timed such as cardiac enzymes, PTTs will be drawn at the appropriately ordered time.
d. Please be mindful that frequent blood draws are an immense source of patient dissatisfaction, especially those patients who are “Hard” sticks.
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