Welcome from our Vice President and Chief Nursing Officer

AONE Region 7 Board of Directors Candidate

There are many significant challenges facing AONE as we enact our vision of “shaping the future of healthcare” with the passing of healthcare reform. As nurse executives, we must embrace the AONE values of creativity, excellence, integrity, leadership, stewardship and diversity as we focus on:

• Providing safe, efficient and highly reliable patient-centered care.
• Exercising our voices in changing public policy.
• Mentoring new nursing leaders.
• Utilizing technologies in redesigning care delivery models.
• Collaborating with others in healthcare to improve outcomes.

You may follow me on:

Robert L. Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE
Vice President, Patient Care Services / Chief Nurse Executive
Contact me at bob.dent@midland-memorial.com or (432) 685-6646

Curriculum Vitae

EDUCATIONAL BACKGROUND

Doctor in Nursing Practice – 2010
Texas Tech University Health Sciences Center
Anita Thigpen Perry School of Nursing, Lubbock, Texas

Master’s Degree in Business Administration/Health Care Management - 2004
University of Phoenix - classroom, Phoenix, Arizona

Bachelor of Science Degree in Nursing (BSN) -2000
University of Phoenix - classroom, Phoenix, Arizona

Associates Degree in Applied Sciences - 1992
South Plains Community College, Levelland, Texas

Vocational Nursing - 1989
Texas State Technical Institute, Sweetwater, Texas

Other Educational Experience

Wharton Nurse Leaders Program (2004)
The Wharton School and the Leonard Davis Institute of Health Economics
University of Pennsylvania

Building the Leadership Bench in Arizona Hospitals (2004-2005)
Arizona Hospital and Healthcare Association

PROFESSIONAL EXPERIENCE

January 2007 to present

MIDLAND MEMORIAL HOSPITAL (MMH), Midland, Texas
(MMH, located on two campuses, 2200 W. Illinois Avenue and 4214 Andrews Highway, in Midland Texas, is a fully accredited, not-for-profit acute-care institution with 320 licensed beds, over 1,400 employees, more than 200 admitting physicians and $185million in Net Operating Revenue)

Vice President, Patient Care Services / Chief Nurse Executive (9/09 – present)

• In addition to the responsibilities identified as VP, Nursing / Chief Nursing Officer, I have assumed responsibilities for perioperative services, radiology, pharmacy, laboratory, rehab services, and cardiopulmonary

Vice President, Nursing/Chief Nursing Officer (1/07 – 9/09)

• Responsible for day-to-day operations of two-campus MMH.
• The Main Campus, 2200 W. Illinois, includes emergency services, heart institute, intensive care, critical care, ortho/neuro services, oncology, medical and surgical services, wound care services, and professional practice.
• The West Campus, 4214 Andrews Highway, includes antepartum, labor and delivery, post partum, nursery, pediatrics and emergency services.
• Major accomplishments:
• Created Nursing/Patient Care Services Bylaws with a Shared Governance Model;
• Created a Resource Team resulting in eliminating use of external agency (prior use >$6 million/year).
• Restructured Emergency Department and improved processes resulting in moving door-to-provider to 30 minutes and LWBT from >13% to <1%;
• Led a successful recruitment campaign resulting in hiring >80 nurses in 80 days.
• Created partnerships including:
• MMH, Texas Tech and Midland College for a comprehensive simulation center;
• MMH, Midland Memorial Foundation and Texas Tech to scholarship 120 nurse’s over three years to support professional development of nurses seeking a BSN or MSN.
• Implemented Versant RN Residency Program
• Implemented a Telephone Nurse Triage (68-NURSE) and MSE process to improve appropriate utilization of the ED.

May 2006 to June 2008

UNIVERSITY of PHOENIX
Online Faculty Member with the University of Phoenix facilitating classes involving healthcare leadership.

March 2005 to December 2006

STERLING REGIONAL MEDCENTER, Sterling, Colorado
(Sterling Regional MedCenter (SRM) is a not-for-profit 36-bed hospital within a multi-hospital system, Banner Health.  Located in Sterling, Colo., which is situated in the northeastern corner of Colorado near the Nebraska and Wyoming borders, SRM is the health care hub of northeastern Colorado and is the largest employer in Logan County with 347 employees and more than 30 physicians representing 10 specialties.)

            Chief Nursing Officer/Associate Administrator (3/05 – 12/06)

• Responsible for day-to-day operations of SRM including med/surg, labor and delivery, emergency services, dialysis, clinical education, rehabilitation, ICU, total care, nutrition, Preop, OR, PACU, Wellness Services, respiratory therapy, sleep lab, cardiac rehab, pharmacy and quality management.

August 1993 to March 2005

BANNER DESERT MEDICAL CENTER, Mesa, Arizona
(Banner Desert Medical Center (BDMC) is a not-for-profit 766-bed hospital within a multi-hospital             system, Banner Health.  Located on an 80-acre campus, BDMC’s 1,500 physicians and more than 3,500 employees are dedicated to providing medical excellence.  Banner Health has revenues of           $2.3 billion.)

Administrator, (3/98 – 3/05)

• Responsible for the total internal operations for transitional care services.  Concurrent responsibilities include Director of the Magnet Program, responsible for coordinating professional practice with Magnet Forces, and Nurse Extern Leader, overseeing nurse extern experience and budget.

           Accomplishments:

• Results - Recognized for the “Best of the Best” Award in 2004 by BDMC for achieving all strategic initiatives.
• Change - Successfully restructured nursing leadership decreasing the employee to manager ratio resulting in a 50.6% reduction in voluntary turnover from 2001 to 2003.  Current vacancy rates <5% with a waiting list of personnel.

Director of Nursing, Subacute and LTC Services, (9/97 - 12/98)

• Responsible for a 180-bed skilled nursing and long-term care facility with 120 FTE’s.

          Accomplishments:

• Revised the quality management program to include areas of responsibility and accountability of employees resulting in improvement in nursing quality of care.

Assistant Director of Nursing-Subacute Unit, (11/96 – 9/97)

• Responsible for a 60-bed subacute unit with 150-175 admissions and discharges per month and a staff of 60 FTE’s.

           Accomplishments:

• Restructured nursing practice, through staff involvement, into a modified team patient care model resulting in improved employee morale and clinical outcomes. 

Registered Nurse, (8/93 – 11/96)

• Staff nurse in the critical care areas of intensive care and cardiovascular intensive care.  Experience includes IABP, CABG, PTCA and Intensive Medical Care.
• Selected by peers to function in the role of Patient Care Manager
• Co-chaired a patient care delivery redesign committee exploring alternative ways to provide nursing care in the ICU/CVICU.

August 1989 to July 1993

METHODIST HOSPITAL, Lubbock, Texas
(Methodist Hospital was an 800-bed hospital that specialized in heart care – heart transplants, CHF, etc.  The facility had a children’s hospital and a women’s center on campus among many other comprehensive services)

Registered Nurse (5/92 – 7/93)

• Staff nurse in the Medical Intensive Care Unit.  Rotated through the Renal Intensive Care Unit, Surgical Intensive Care Unit, Cardiac Intensive and Care Units, Telemetry and Dialysis as part of assignments
• Completed a facility project determining supply management and strategies to reduce supply expenses.

Licensed Vocational Nurse (8/89 – 5/92)

• Staff nurse in the Coronary Care Unit.  Primary focus on postoperative heart transplants, CABG’s, IABP’s, CHF and Cardiac Hypertrophy.  Preceptor for heart transplants and IABP.

LICENSURES

• Registered Nurse, Texas, 582130, expires November 2010
• Registered Nurse, Colorado, 171034, expired September 2007
• Registered Nurse, Arizona, RN082751, expired June 2007
• Licensed Nursing Home Administrator, Arizona, 01282, expired June 2008

PROFESSIONAL MEMBERSHIPS

• American College of Healthcare Executives (ACHE) (2002 – Present)
• Board Certified in Healthcare Management
• Fellow
• American Organization of Nurse Executives (AONE) (2004 - Present)
• Certified Executive in Nursing Practice (2010)
• Texas Organization of Nurse Executives (TONE) (2007 – Present)
• Texas Nurses Association (TNA/ANA) (2007 - Present)
• Healthcare Coalition of Texas Nursing Leader Network (2007 – Present)
• Healthcare Financial Management Association (HFMA) (2009-Present)
• Sigma Theta Tau International Honor Society of Nursing, Iota Mu Chapter (2009-present)
• American College of Health Care Administrators (ACHCA) (2000 – 2005)
• Arizona Nurses Association (AzNA) (2003 - 2005)
• Arizona Organization of Nurse Executives (AzONE) (2003 - 2004)
• Colorado Organization of Nurse Leaders (CONL) (2005 - 2006)

PROFESSIONAL ACTIVITIES

1998 – 1999     Arizona Association of Homes and Housing for the Aged, Policy and Governmental Affairs Committee member.
2000 – 2005    Arizona Chapter, American College of Health Care Administrators Board:  Held multiple positions within state chapter including two terms as President.
2007 – 2009    AONE’s Nomination Committee (elected)
2007 – Present           Texas Nurses Association Practice Committee (chair 2009/2010)
2008 – 2010    Texas Organization of Nurse Executives (TONE) Board Member (elected)
2010                AONE Professional Practice Policy Committee
2010                Healthcare Coalition of Texas Nurse Leader Network - Chair

Awards and Recognitions

1998-2004    Paul L. Singer Award - Seven-time nominee for community service. The Banner Samaritans, a group of community leaders supportive of nonprofit health care, have been honoring employees who demonstrate commitment to community service.
2004    Vision Award:  Operational Excellence Initiative by Banner Desert Medical Center
2004    “Best of the Best” Award by Banner Desert Medical Center for achieving all strategic initiatives
2004    Nominated Witt/Kieffer’s “Up and Comer” Award by Rhonda Anderson, COO, BDMC
2006    Modern Healthcare and Witt/Kieffer’s  Class of 2006 “Up and Comer” of the Year.
2007    Fellow American College of Healthcare Executives
2007    Certification in Nursing Executive Advanced (NEA-BC) with American Nurses Credentialing                 Center.
2010    Certified Executive in Nursing Practice (CENP) with American Organization of Nurse Executives

COMMUNITY INVOLVEMENT

Rotary International (2005 - 2006); Secretary ’06-’07; President-elect nominee ’06-‘07
Maricopa Community Colleges (1998 – 2005) - Commission on Excellence.
The Boy Scouts of America (1993 – present) - Scoutmaster (Basic Training, Wood Badge), Varsity Coach (Basic Training), 11-year-old Scouts and Committee Member
Religious Activity (1990 – pres.) - Have held multiple leadership positions at church.
Vice Chair (2008 – pres.) – Texas Tech Health Sciences Center Laura W. Bush Institute for Women’s Health Advisory Board Meeting
Health Careers Consortium of the Permian Basin (2007-present) – member
Midland Vision 2020 (2009) – Member of Health and Social Services Committee.

PRESENTATIONS and ARTICLE SUBMISSION

1. “Visioning AzACHCA in the Coming Year”, Arizona Chapter of the American College of Health Care Administrators Annual Meeting, March 27, 2003.
2. “Fish!ing for Success in Charleston” Concurrent Educational Session Co-Presenter, American College of Health Care Administrators 37th Annual Convocation and Exposition, Celebrating Excellence with Southern Charm, Charleston, South Carolina.  April 26, 2003.
3. “Care Model Retreat” Facilitator, Banner Desert Medical Center, Tempe, Arizona.  May 12, 2003.
4. “2004 Shared Leadership Retreat – Our Journey to Magnet” Co-organizer and Facilitator, Banner Desert Medical Center, Tempe, Arizona.  January 13, 2004.
5. “Can This Marriage Be Saved? Physician-Hospital Relationships”, Arizona Health Futures, An Arizona Policy Primer, a collaborative between Saint Luke’s Healthcare Initiative and the Arizona Hospital and Healthcare Association’s 2005 Building the Bench Leadership Development Program.  December 2005
6. Dent, R.L. (2006)“A Successful Transition:  Urban Hospital Director to Rural Nurse Executive”, Nurse Leader, Volume 4 Number 1
7. Dent, R.L., Spinharney, S., and Arellano, P. (2009) “Ensuring Your Employees Right to Work: Best Practices for Engaging Your Workforce”, Texas Hospital Association Webinar/Audio conference.
8. Dent, R.L. (2009). Guest Lecturer, Healthcare Finance. Texas Tech University Health Sciences Center Anita Thigpen Perry School of Nursing.
9. Jordan, C., Zolnierek, C., Dent R.L., Krupula, J., Robinson, M.C. (2009). Safe hospital staffing: The role of the nurse staffing committee. Texas Nurses Association, Texas Hospital Association, Texas Healthcare Trustees, Texas Organization of Nurse Executives. Webinar.
10. Dent, R.L. (2009). Union Defense:  Best practices around shared governance. VHA TX, Inc. Webinar.
11. Dent, R.L., Armstead, C. (2009). Emergency department excellence. Emergency Department Management Summit. World Research Group. Boston, MA. December 8, 2009.
12. Dent, R.L. (2010). Living la vida loca: The CNOs role in maintaining balance. Think Tank. Chief Nurse Executives Forum. Connex Group. February 1, 2010. Dallas, TX.
13. Sjoberg, E., Epps, R., Thomas, K., Dent, R.L., and Clark, J. (2010). Workforce session panel. THA Leadership Conference. February 17, 2010. Austin, TX.
14. Dent, R. L. and Bradshaw, P. (2010). Predictive staffing models. Healthcare Coalition of Texas. February 23, 2010. Webinar.
15. Dent, R.L. (2010). Building the Business Case. Guest Lecturer, Healthcare Finance. Texas Tech University Health Sciences Center Anita Thigpen Perry School of Nursing. Doctorate in Nursing Practice Program.
16. Dent, R.L. (2010). 68NURSE (686-8773) Telephone Nurse Triage. Healthcare Coalition of Texas. Nurse Leader Network Presentation. August 13, 2010. Plano, TX.
    
    

Versant RN Residency

Midland Memorial Hospital's RN Residency consists of 25 percent classroom instruction and 75 percent hands-on training at the bedside. It features instructor-led courses on current and emerging clinical guidelines and standards; clinical preceptors who provide personalized bedside training; mentors who offer personal support and career development guidance; and, debriefing sessions that create a forum for exchange among residents. The residency also uses state-of-the-art web-based technology to efficiently execute the program.

FAQ

Who is eligible for the Nurse Residency Program?New graduate RNs and RNs with less than 6 months experience are eligible to apply for the nurse residency program. Others will be evaluated on a case-by-case basis.

What are the licensure requirements? Nurse residents are required to have passed the NCLEX prior to the start of the cohort.

When is the next residency? Cohorts are scheduled to begin the last Monday of January, June, and September.

Is there a contract to sign? There is no contract to sign. We're convinced our program and organization will make you want to remain employed at Midland Memorial Hospital.

When is the deadline to apply? All application components are due no later than the first day of December, May, and August for each respective cohort. There is competition for these positions so applying early is to your benefit! Deadline to apply is May 1, 2010 for the cohort that starts June 2010.

What paperwork gets me started?

• A completed Midland Memorial Hospital job application. Click here to apply online.
• At least two letters of reference from a clinical instructor, preceptor, or direct supervisor on letterhead.
• Current BLS card (American Heart Association)
• Official, sealed school transcripts (1 set) from an accredited school of nursing.
• Essay of 500 words or less which addresses the following:
• Describe when you were the most satisfied in your work, clinical, or school experience (past or present).Describe what was most satisfying about that experience.
• Describe, also, when you were the most dissatisfied in your work, clinical, or school experience (past or present).Describe what was most dissatisfying about that experience.
• 12 pt font, double-spaced

All parts of the application should be typed. Job application may be submitted on-line or in person. All other components of the RN Residency application must be mailed to:

Midland Memorial Hospital
ATTN: Angelina Winslett
2200 W. Illinois Ave.
Midland, Texas 79701

What is the schedule? Versant is an 18 week program that requires a full time commitment. Time off is granted only on an emergency basis during this program.

Can I go to any unit? Versant residents can be placed in all units with openings. Limited spaces may exist in the specialty areas, i.e., Labor & Delivery, Nursery, Emergency Department, Intensive Care Units.

Where can I get more information?

Angelina Winslett BSN, RN - RN Residency Manager (432)685-1673

Rebekah Powers MSN, RN - Director of Professional Practice (432)686-5268

Mary Fierro - Employment Manager (432)685-1646

rnresidency@midland-memorial.com

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Meet our Nursing Leadership Team

Barb Morris, BSN, RN, CCRN: Barb is the Director of Adult Acute Care. She has been employed with MMH since 1982. She earned her Associates Degree of Nursing from Mary Washington College in Fredericksburg, Virginia and her Bachelors of Science in Nursing from the University of Virginia. She is certified as a Critical Care Registered Nurse. Barb is a member of the American Association for Critical Care Nurses, SCCM, and the American College of Cardiovascular Administrators. At MMH, she is the Chair of the Professional Development Council, serves on the Patient Care Services Congress, the Forms Committee, the Cardiology Committee, the MI Task Force, the Institutional Review Board / P&T, the Code 4 Committee, the Critical Assessment Team Committee, Hospital Emergency Incident Command System Committee, the PPR Committee, the Therapeutic Hypothermia Team, the Point of Care Committee, the Performance Appraisal Task Force, the Performance Improvement Committee, the Patient Safety Committee, the VAP Committee, the Policy and Procedures Committee, the Glycemic Control Committee, and the Core Measures Focus Group.

John Leal, RN: John is the Nurse Manager of the 3 Surgery unit. He has been employed with MMH since 2003. He obtained his Associate Degree of Nursing from Odessa College. John is certified as an ACLS Instructor. At MMH, he serves on the Professional Development Council, the Nada Mae Committee, the Cardiovascular Value Analysis Team, the Critical Assessment Team, and the Core Measures Focus Group.

Wanda Brewer, RN: Wanda is the Nurse Manager of the 4 Medical unit. She has been employed with MMH since 1985. She graduated with her Associates Degree in Nursing from Howard College in Big Spring, Texas. She received her Bachelors of Science with a major in Biology / minor in Chemistry from Drake University in Des Moines, Iowa. At MMH, she is the co-chair of the Nurse Staffing Advisory Committee, serves on the Patient Care Services Congress, the Research Council, the Clinical Value Analysis Team, the Performance Improvement Task Force, the Core Measures Focus Group, the Code 4 Committee, the Rapid Response Team, the Nada Mae Committee, and the Patient Access and Throughput Team. She also serves on the Odessa College Associate Degree of Nursing Advisory Board.

Brenda Evans, RN, CCRN: Brenda is the Nurse Manager of Oncology. She has been employed with MMH since 1989.She received her Associate Degree of Nursing from Odessa College. She is currently in the Bachelors of Science in Nursing program from Texas Tech University. She is certified as an ACLS Instructor, BLS Instructor, and is a Critical Care Registered Nurse. She is also the SWTA Nurse Liaison and is a Chemobiotherapy Provider. Brenda is a member of AACN and ONS. At MMH, she serves on the Quality Council, the Clinical Value Analysis Team, the Performance Appraisal Task Force, the Cancer Committee, and the Radiation Safety Committee.

Cori Armstead, BSN, RN, CEN: Cori is the Director of Emergency Services and Telephone Nurse Triage. She has been employed with MMH since 2001. She earned her Associates Degree in Nursing from Angelo State University and her Bachelors of Science in Nursing degree from the University of Texas at El Paso. Cori is currently enrolled in the Masters of Science in Nursing program with Texas Tech University. Cori is the coordinator for MMH's Sexual Assualt Nurse Examiner program and is certified as a Sexual Assault Nurse Examiner. She is also a Certified Emergency Nurse, and a faculty instructor for Trauma Nursing Core Course, is an instructor for Emergency Nurses Pediatric Course. Cori is a member of Emergency Nurses Association. At MMH, she is the Chair the People Council, serves on the Patient Care Services Congress, the Nurse Staffing Advisory Council, the Patient Access and Throughput Team, Clinical Value Analysis Team, the Point of Care Committee, the Performance Appraisal Task Force, Hospital Emergency Incident Command System Committee Core Measures Focus Group,

Paula Brookings, BSN, RN: Paula is a Clinical Manager in the Main Campus Emergency Department. She has been employed with MMH since 1993. She earned her Bachelors of Science in Nursing from the University of Texas at El Paso. Paula is currently enrolled in the Masters of Science in Nursing with Texas Tech University. She is certified as a Sexual Assault Nurse Examiner, Trauma Nursing Core Course, Emergency Nurses Pediatric Course, ALCS, and PALS. She is a member of the Emergency Nurses Association.

Brenda Carrigan, BSN, RN, CEN: Brenda is a Clinical Managers for the West Campus Emergency Department. She has been employed with MMH since 1994. She received her Bachelors of Science in Nursing from Texas Women's University. She is a Certified Emergency Nurse and is a member of the Emergency Nurses Association. At MMH, Brenda serves on the People Council.

Cindy Brosig, LOT / CHT: Cindy is the Director of Perioperative Services. She has been employed with MMH since 1985. She graduated from the Texas Women's University. She is a member of the American Operating Room Nurses Association, the Texas Occupational Therapy Association, and the American Occupational Therapy Association. At MMH, she is a member of the Patient Care Services Congress, the Value Analysis Team, the Surgical Value Analysis Team, the Patient Safety Committee, the Environment of Care Committee, the Core Measures Focus Group, the Tissue and Transfusion Committee, the Surgical Control Committee, the Surgery Section, the Anesthesia Section, and the Cardiovascular Section of STS.

Judy Bruner, BSN, RN: Judy is the Nurse Manager of Same Day Surgery. She has been employed with MMH since 1981. She graduated from Norfolk General Hospital in Virginia with her Associate Degree in Nursing and graduated from Texas Tech University with her Bachelors of Science in Nursing degree. Judy is a member of the American Academy of Ambulatory Care Nursing. At MMH, she serves on the Professional Practice Council, the People Council, the Performance Appraisal Task Force, and the Tobacco Free Campus Committee.

Wes Barnt, RT(R)(CV), RCIS, MBA: Wes is the Cardiovascular Service Line Administrator. He has been employed with MMH since 2008. He obtained his Associates Degree from Lima Technical College. He earned his Bachelors Degree and Masters of Business Administration from Wayland Baptist University. Wes is a Registered Cardiovascular Invasive Specialist and is a member of the Association of Vascular and Interventional Radiographers. At MMH, he serves on the Clinical Informatics Council, the Surgical Value Analysis Team, and STS.

Lenora Sevcik, MSN, RN: Lenora is the Director of the Women's and Children's Division. She has been employed with MMH since 2005. She received her Bachelors of Science in Nursing and her Masters of Science in Nursing from Texas Tech University. She is a member of the Association of Women's Health, Obstetric, and Neonatal Nurses. At MMH, Lenora is the Chair of the Professional Practice Council, serves on the Patient Care Services Congress, the Research Council, the Policy and Procedures Committee, the Hospital Emergency Incident Command System Committee, the Performance Improvement Committee, the Information Technology Strategic Planning Committee, and is the Chapter Champion for Provision of Care.

Tonya Sullivan, RN: Tonya is a Clinical Manager in the Labor &Delivery unit. She has been employed with MMH since 1999. She received her Associates Degree from Midland College and is currently working towards a Bachelors of Science in Nursing degree. At MMH, she serves on the Professional Practice Council and FMEA Committee.

Chandra Keele, BSN, RN: Chandra is a Clinical Managers in the Labor &Delivery. She has been employed with MMH since 2003. She received her Bachelors of Science in Nursing from Texas Tech University and is working towards a Masters of Science in Nursing degree. Chandra is certified in ACLS, BLS, and NRP and is a member of the Texas Perinatal Association. At MMH, she serves on the Patient Care Services Congress and the Pathway to Excellence Committee.

Donna Doyle, BSN, RN, BC: Donna is the Clinical Manager for the Pediatrics unit. She has been employed with MMH since 1991. She received her Associates degree in Nursing and her Bachelors of Science in Nursing degree from Texas Tech University. Donna is a Certified Pediatric Nurse, a Certified Forensic Nurse, a Certified Adult Sexual Assault Nurse Examiner, and has a CA / CP SANE certification. She is a member of the American Nurses Association, the International Association of Forensic Nurses, the Texas International Association of Forensic Nurses, and the American College of Forensic Examiners Institute. At MMH, she is the Co-chair of the Quality Council, serves on the Patient Care Services Congress, the Nurse Staffing Advisory Committee, the Nada Mae Davis Committee, and participates in the Restraint Work Group.

Rebekah Powers, MSN, RN - Director of Professional Practice. Rebekah has been employed with MMH since 2003. She obtained her Associates Degree in Nursing from Rend Lake College in Illinois. She earned her Bachelors in Humanities from University of Texas Permian Basin. She received her Masters of Science in Nursing from the University of Texas at El Paso and is currently enrolled in the DNP Program at Rocky Mountain University of Health Professions in Provo, Utah. She possesses a certificate in Education and in Evidence-Based Practice from the University of Texas at El Paso. She is certified as a BLS instructor, PALS instructor. She is certified in ACLS and TNCC. Rebekah is a member of the Texas Nurses Association, Sigma Theta Tau International, the National Nursing Staff Development Organization, and the Oncology Nurse Society. At MMH, she is the Chair of the Research / Evidence-Based Practice Council, serves on the Patient Care Services Congress, the Professional Practice Council, the Policy and Procedures Committee, the Patient Safety Committee, the Performance Improvement Committee, the Electronic Medical Record Committee, the Institutional Review Board, and the RN Residency Task Force.

Robyn Kedzie, RN, MHSA, BSN: Robyn is the Director of Quality / Case Management, Risk Management, and Social Services. She has been employed with MMH since 1979. She obtained her Bachelors of Science in Nursing from the University of Texas at Houston and her Masters in Health Services Administration from Saint Joseph's College. Robyn is a Certified Case Manager. She is a member of the American Nurses Association, the American Organization of Nurse Executives, the National Association for Healthcare Quality, the Case Management Society of America, the Academy of Certified Case Managers, and the American Association of Critical Care Nurses. At MMH, she is a member of the Quality Council, the Quality Improvement Committee of the Board, the Performance Improvement Committee, the Ethics Committee, the Infection Control Committee, the Institutional Review Board Committee, the Utilization / Case Management Committee, the CliniNotes Committee, the Core Measures Focus Group, the Recovery Audit Contractor Committee, the Case Management /LTAC Committee, the Trauma Multidisciplinary Committee, and the Code 4 Committee.

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Shared Accountability

Midland Memorial Hospital adopted the Nursing Bylaws and Shared Accountability Structure on December 6, 2007. The Bylaws were revised September 26, 2008 to incorporate all Patient Care Service areas. The councils that participate in this process consist of the Patient Care Services Congress, the Clinical Quality Professional Practice Council,the Clinical Informatics Council, the Professional Development Council,the Patient Care Leadership Council,the People Council, the Research / Evidence-Based Practice Council, and the Nurse Staffing Advisory Council. The council meet on a monthly basis and consist of frontline staff members from most departments and units throughout the hospital.

The Patient Care Services Congress serves as the decision making and governing body for nursing and allied health, providing strategic and leadership direction to the councils. The Congress also allocates resources, provides support for a Magnet culture that enhances the practice of professionalism, and serves as a clearinghouse for issues and disseminates assignments to the appropriate council(s). The Patient Care Services Congress is responsible for resolving issues that overlap councils, budget constraints, goal setting, annual reviews of the bylaws, strategic plan, and goals, referring issues to the appropriate councils, coordinating interdisciplinary interaction, and maintaining and recommending the bylaws.

The Clinical Quality Professional Practice Council monitors patient care outcomes using evidence-based practice and process and performance improvement strategies to provide the highest quality patient care. This council also examines practice issues, questions, or discrepancies and identifies resources and mechanisms for the development and implementation of best practices in the delivery of patient care. The Clinical Quality Professional Practice Council is responsible for audits, monitoring practices, safety practices, standards of practice, incident reporting, product evaluation, patient satisfaction scores, effectiveness of performance improvements, quality assurance, quality improvement, celebrations, service excellence, education and adherence to hospital procedure, performance assessment, patient care model, professional practice model, patient acuity, and nursing peer review and safe harbor.

The Clinical Informatics Council integrates clinical science, computer science, and information science to manage and communicate data, information, and knowledge in clinical practice. This council facilitates the integration of data, information, and knowledge to support patients, clinicians, and other providers in their decision making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology. The Clinical Informatics Council is responsible for all aspects of the Electronic Medical Record, the Document Review Committee, forms, and product evaluation for information technology products.

The Professional Development Council defines, implements, and maintains educational standards that promote professional growth and ongoing clinical competency. The Professional Development Council is responsible for conferences, certifications, educational in-services, mentorship programs, preceptor programs, required education, orientation, outside educational funding, career advancement, Guidelines, Policy, and Procedure Committee, and the clinical ladder.

The Patient Care Leadership Council assists in shaping a healthy work environment and achieving a professional culture that recruits and retains expert clinicians. The Patient Care Leadership Council is responsible for The Science: Managing the Business (financial management, human resource management, performance improvement, foundational thinking skills, technology, strategic management, and appropriate clinical practice knowledge), The Art: Leading the People (human resource leadership skills, relationship management and influencing behaviors, diversity, and shared decision making), and The Leader Within: Creating the Leader in Yourself (personal and professional accountability, career planning, personal journey disciplines, and reflective practice reference behaviors / tenets).

The People Council builds strong internal and external relationships, promotes teamwork, nurtures an environment of excellence and provides a positive, creative, work place. Additionally, this council uses creative approaches to promote and recognize the spirit and Forces of Magnetism, and develops communication / marketing plans for patient care services, and mentors other hospitals in their pursuit of Magnet destination. The People Council is responsible for self scheduling, assignment methods, party events, dress code, interdepartmental relationships, recruitment and retention, MMH Versant RN New Graduate Residency Task Force, multidisciplinary relationships, employee satisfaction, staff / physician relationships, and other celebrations.

The Research / Evidence-Based Practice Council provides opportunities to support research activities and establishes a forum for the integration and dissemination of research and evidence-based practice. The Research Council is responsible for the use of research techniques to evaluate new products, partnerships with colleges and universities, evidence-based practice, education regarding evidence-based practice and research, promoting publications, and reviewing FMEA annually.

The Nurse Staffing Advisory Council addresses the staffing needs of the organization. The Nurse Staffing Advisory Council is responsible for reviewing and improving the written nurse staffing plan, considering critical staffing factors in determining staffing levels, considering nursing sensitive outcomes in evaluating the adequacy of staffing, facilitating timely and effective identification of concerns about the adequacy of staffing, and assurance of the fatigue management plan in place and monitored.

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Nursing Education & Professional Development

Our education and professional development is led by several clinical educators who are experts in a multitude of specialty areas. As healthcare is forever changing, MMH makes a commitment to ensure our nurses have evidence-based education, training, and the expertise required to provide excellent, professional care to our community. Our education department delivers evidence-based education and training incorporating adult learning theories. Abundant opportunities allow the professional nurse to expand his or her knowledge. The nursing education department delivers the following training courses on site: Advanced Cardiovascular Life Support (ACLS), Emergency Nursing Pediatric Course (ENPC), Pediatrics Advanced Life Support (PALS), Trauma Nursing Core Course (TNCC), Neonatal Resuscitation Program (NRP), Intermediate EKG, Advanced EKG, and Intra Aortic Balloon Pump (IABP).

MEET OUR NURSE EDUCATORS

Rebekah Powers, MSN, RN - Director of Professional Practice. Rebekah has been employed with MMH since 2003. She obtained her Associates Degree in Nursing from Rend Lake College in Illinois. She earned her Bachelor's in Humanities from University of Texas Permian Basin. She received her Master's of Science in Nursing from the University of Texas at El Paso and is currently enrolled in the DNP Program at Rocky Mountain University of Health Professions in Provo, Utah. She possesses a certificate in Education and in Evidence-Based Practice from the University of Texas at El Paso. She is certified as a BLS instructor, PALS instructor, teaches Preceptor Training and Physical Assessment. She is certified in ACLS and TNCC. Rebekah is a member of the Texas Nurses Association, Sigma Theta Tau International, the National Nursing Staff Development Organization, and the Oncology Nurse Society. At MMH, she chairs the Research / Evidence-Based Practice Council, serves on the Patient Care Services Congress, Professional Practice Council, the Policy and Procedures Committee, the Patient Safety Committee, the Performance Improvement Committee, the Electronic Medical Record Committee, the Institutional Review Board, and the RN Residency Task Force.

Raceli Gibson, BSN, RN - Nurse Educator for Intensive Care Services (ICU, CCU, and the Progressive Care Unit). Raceli has been employed with MMH since 1997. She received her Bachelors of Science in Nursing from the University of the Visayas in the Philippines. She is currently working on her Masters of Science in Nursing with the University of Texas at El Paso. She is certified in CPR, ACLS, PALS, ENPC, and TNCC. She teaches ACLS, Intermediate EKG, and the Critical Care Class. At MMH, she serves on the Professional Development Council, the Code 4 committee, the CAT Team, the Policy and Procedures Committee, the Core Measures Focus Group, and the Critical Value Analysis Team.

Mike Kahler, BSN, RN, CNOR - Nurse Educator for Perioperative Services (Main and West Campus Operating Rooms, Main and West Campus Same Day Surgery units, Preoperative Care Unit, Post Operative Care Unit, Cardiovascular Operating Room, Endoscopy, and Sterile Processing). Mike has been employed with MMH since 2000. He received his Associate Degree of Nursing from Midland College and his Bachelors of Science in Nursing from Texas Tech University. He is a Certified Nurse in the Operating Room and teaches CPR, ACLS, and PALS. At MMH, he serves on the Professional Development Council, the Policy and Procedure Committee, the Critical Value Analysis Team, and the Surgical Value Analysis Team.

Maurice Lopez, BSN, RN - Nurse Educator for Emergency Services (Main Campus Emergency Department and West Campus Emergency Department) Maurice has been employed with MMH since 2005. He obtained his Associate Degree in Nursing from Midland College, his Bachelors of Science in Nursing from Texas Tech University and is currently working on his Masters of Science, Family Nurse Practitioner Degree from Texas Tech University. He is an instructor for BLS, ACLS, PALS, ENPC, TNCC. Maurice is a member of the Texas Nurses Association, American Nurses Association, American Academy of Nurse Practitioners, Emergency Nurses Association, and the National Nursing Staff Development Organization. At MMH, he is a member of the Professional Development Council, the Policy and Procedure Committee, and the Emergency Services Committee.

Kim Jones, BSN, RN-BC - Nurse Educator for the Women's and Children's Services Division (Labor and Delivery, Post Partum, Nursery, Pediatrics, and the Wound Care Clinic). Kim has been employed with MMH since 1987. She obtained her Bachelors of Science in Nursing from the University of Utah and is certified in Pediatric Nursing through ANCC. Kim is an instructor for BLS, ACLS, ENPC, PALS. She is a Board Member of the Texas Perinatal Association. At MMH, she is a member of the Patient Care Services Congress, the Professional Development Council, the Policy and Procedures Committee, and the RN Residency Task Force Committee.

Angelina Winslett, BSN, RN - Nurse Educator for the Medical / Surgical Division (4 Medical, 3 Surgery, Ortho / Neuro, Oncology, and Clinical Operations). Angelina has been employed with MMH since 2006. She obtained her Associates Degree in Nursing from Maric College in San Diego, California and her Bachelors of Science in Nursing from the University of Phoenix. Angelina is an instructor for BLS and TNCC and is certified in ACLS and IV Therapy and Blood Withdrawl. At MMH, she is a member of the Professional Development Council.

Loretta Welch, BSN, RN - Versant RN Residency Program Manager, Nurse Educator for Orientation (conducts orientation for newly hired RN's and LVN's, initial orientation for unlicensed personnel, LVN-to-RN transition class, and Manager of the HealthStream system for the Patient Care Areas) Loretta has been employed with MMH since 2003. She obtained her Associate Degree in Nursing from Midland College, and her Bachelors of Science in Nursing from Texas Tech University, graduating Summa Cum Laude. She is a member of the Texas Nurses Association, the American Nurses Association, and the National Nursing Staff Development Organization. At MMH, she is a member of the Professional Development Council.

Jenny Delk-Fikes, RN - Clinical Excellence Manager, Nurse Educator for Clinical Informatics. Jenny has been employed with MMH since 2000. She has obtained her Associate Degree in Nursing from Midland College. Jenny is currently obtaining her Bachelors of Science Degree from the University of Phoenix and her goal is to graduate in October 2009. Jenny is a member of the National Nursing Staff Development Organization and the American Nurses Association. At MMH, she is a member on the Professional Development Council and the Clinical Informatics Council.

PROFESSIONAL DEVELOPMENT:

CERTIFICATION PROGRAM:

Midland Memorial Hospital supports and recognizes those nurses who choose to continue their education. Yearly, a certification fair is held to promote the various certifications that are available for all areas and units. When an employee obtains a certification in their specialty area, the employee receives an increase in pay.

LVN-to-RN PROGRAM:

Full time LVN's who are in the LVN-to-RN transition program at Midland College or Odessa College can work 24 hours per week and receive pay for 40 hours per week during the school year.

ADVANCING CLINCIAL EXCELLENCE PROGRAM:

The Midland Memorial Foundation, Midland Memorial Hospital, and Texas Tech University Health Sciences Center Anita Perry School of Nursing have joined together to provide scholarships to employees who wish to take their education to the next level. Nurses can receive their Bachelors or Masters level nursing degrees at little or no cost. This program started in January 2009 and is scheduled to run for at least three years.

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Join Our Team

Midland Memorial Hospital is a 320 bed acute care facility, accredited by The Joint Commission that strives to employ the best nurses in order to perform excellent quality patient care. Respected physicians and nurses are dedicated and committed to making our patients feel like a guest in our home. The combination of state-of-the-art technology and a caring team create an ideal work environment. Our compensation and benefits program includes:

• Competitive Salaries
• Medical, Dental, and Vision Insurance
• Life and Accidental Death & Dismemberment Insurance with optional opportunities for increased coverage
• Long Term Disability Plan
• Paid Time Off and Extended Illness Bank accruals
• 403(b) Retirement Savings Plan
• Tuition Reimbursement
• Flexible Spending Account
• Employee Assistance Program

We invite you to explore the opportunities at Midland Memorial Hospital and join our team of professionals that are committed to providing quality patient care.

Apply Now! »

Employee Summary of Benefits
(Full-time and Part Time)

Group Insurance - Self-funded plan - Eligible after a 15 day elimination period and becomes effective the 1st of the following month.

Cost Per Pay Period Medical Dental
Premium Basic
Plan Plan
Employee Only $ 27.30 $ -0- $ 4.73
Employee & Spouse $ 77.70 $ 28.35 $ 16.28
Employee & Child(ren) $ 69.30 $ 25.20 $ 13.13
Employee & Family $107.10 $ 38.85 $ 21.00
Part-time Employee $ 20.00 $ 10.00 $ 10.00

Preferred Provider Plan
Office Visit Co-pay $ 18.00 $ 25.00
PPO Deductible $150/annual $300/annual

Co-Insurance Non PPO Deductible
Midland Memorial 85% - 15% 80% - 20% Hospital $500.00
PPO Providers 80% - 20% 75% - 25% Co-insurance 70% - 50%

Prescription Drugs (30 day)
Advance PCS/Carmark
Formulary Generic $ 20.00 $ 25.00
Formulary Brand $ 30.00 $ 40.00

Outpatient Pharmacy
Generic $ 5.00 $ 8.00
Brand $12.00 $ 20.00

Retirement Savings Plan 403b - All eligible employees may participate immediately for purposes of salary reductions and employer matching contributions.

Employee Assistance Program - This is a free confidential voluntary program that provides easy access to a professional who can offer employees and their families support and direction with personal or job-related issues.

Long Term Disability Plan - MMH provides a Company Paid Core LTD Disability plan to provide you with a source of income in the event of your disability and will replace 50% of your monthly income up to $8,000 per month. You may purchase Voluntary Buy UP Long Term Disability insurance to increase the monthly benefit by 10%.

Optional Plans: Employee Pays Cost
Vision Service Plan - eligible after 30 days of employment or date of eligibility.

Cost Per Month
Employee $ 11.63/month
Employee & Spouse $ 18.32/month
Employee & Children $ 18.70/month
Employee & Family $ 30.15/month

Critical Illness Insurance - eligible after 30 days of employment or date of eligibility. This option is offered through payroll deduction. The coverage provides supplemental disability benefits by paying the employee a lump sum benefit upon diagnosis of a serious illness.

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Ways to Contact Us

You may contact the Human Resources Department at (432) 685-6980 or one of the recruiters listed below.

Mary Fierro
Employment Manager
(432) 685-1646
mfierro@midland-memorial.com

Lupe Reyes
Employment Specialist
(432) 685-1577
lupe.reyes@midland-memorial.com

Albert Valencia
Recruiting Assistant
(432) 685-1568
albert.valencia@midland-memorial.com

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