Page 40 - May 2017

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Holy Cross Hospital
How ARNPs are Making a Difference
Daisy Award Recipients
in the SNF Setting

BY VANIA NOEL, ARNP, NORTH BEACH REHABILITATION CENTER,
PART OF THE GREYSTONE HEALTH NETWORK

The role of advanced registered nurse practitioner (ARNP) has been taking on greater sig-
nificance in recent years by addressing the gap created with the shortage of MDs as well as
by meeting the requirements of patient-centered medical homes and accountable care organ-
izations. ARNPs are becoming more widely-recognized as providers of high quality, safe,
effective care, to oftentimes diverse patient populations in a variety of settings. One such set- Vania Noel
ting is the skilled nursing facility (SNF) where the ARNP can concentrate on restoring
patients’ independence and providing a safe transition of care.
The SNF-based ARNP is able to evaluate and manage patient care so that the facility nurse does not have to wait for con-
sultation with or approval from the primary care physician. This can include, but is not limited to, primary care manage-
ment, wound care, mental health care and behavior management, risk management, and medicine therapy. ARNPs are able
to order diagnostic/therapeutic tests, secure medical devices/supplies, counsel and educate patients and their families, pre- (l-r) Sheila Kasel, Giancarlo Martinez
scribe medicine, and now in the State of Florida prescribe controlled substances. In the presence of an in-house ARNP, SNF and Rita Parks
nursing staff is able to improve their technical nursing skills, becoming more aware of changing conditions and more effec-
tive response methods. Holy Cross Hospital is proud to spotlight its
This on-site ARNP model comes at a time when Medicare policy makers are evaluating every aspect of payment incen- 2017 DAISY award recipients: Sheila Kasel,
tives to healthcare providers and CMS is embarking on a quality-based system. An ARNP’s role is essential in meeting the Giancarlo Martinez and Rita Parks.
needs of residents and cutting overall medical costs throughout the continuum of care, especially in reducing hospital read- Sheila Kasel, R.N., received her award in January
missions. The ARNP is hyper-focused on managing every aspect of the patient’s needs including care planning and, in most for saving a patient's life after noticing an irregular
cases, alleviating some of the discomfort and uneasiness that can accompany re-hospitalization. pattern of blood pressure drops after an angioplasty
Within the SNF setting, ARNPs are instrumental in helping patients and residents transition through the continuum of procedure. A Holy Cross Associate for nine years,
care. They can provide necessary education regarding medical needs and instructions on current medical diagnosis, Sheila currently serves in the hospital's cardiovas-
required medical therapies and medical outcomes as it pertains to their current medical condition. The ARNP is knowl- cular intensive care unit.
edgeable in a multitude of health settings including training for those returning home or to a different residential setting. Giancarlo Martinez, R.N., serves in the hospital's
The ARNP also facilitates communication among patients/residents, family members/caregivers, and physicians, furthering intermediate care unit. A Holy Cross Associate for
optimal patient care. ARNPs are not only registered nurses with a lifetime of nursing experience, ARNPs are medically- two years, he received his award in February in
trained and perform the majority of duties outlined by a primary care physician. They are automatous in practice and col- recognition of his dedication, patience and com-
laborate with physicians to deliver superior care. With a foundation strongly-rooted in evidenced-based medicine, ARNPs passion.
practice under their own license and collaborate with physicians to deliver superior care. Their contribution to the Rita Parks, R.N., has been a nurse for 52 years.
improved management and efficiency of care in the SNF environment is making for healthier patients and reductions in She has served 47 of those years at Holy Cross in
overall healthcare costs. several areas, but mainly caring for infants and
children. She received her award in March for the
For information on Greystone Health Network services in South Florida, excellent care she provided to a patient recovering
contact Jessica Maglione at (813) 557-5643 or visit www.greystonehealth.com. from a caesarean section in the hospital's post-par-
tum unit.

Cover Story: Patricia Rosello: CEO with a Heart

Continued from page 1 years there.” “Our perspective is always from do right “People shouldn’t have to drive far to
Hospital and held several positions such By the time she was placed in charge of by the patient,” she says. “That is access quality care throughout the day,”
as Director of Nursing, Assistant Vice patient care operations, Rosello oversaw absolutely important and critical because says Rosello.
President of Patient Care Services and Vice the nursing department as well as support we’re in the business of taking care of peo- One way to bridge that distance
President of Operations. departments such as house physicians, ple but that has to be balanced with the between patient and clinician is through
She received both her Bachelor of pharmacy, emergency department, surgi- perspective of what has value in the value mobile devices. Baptist has a new care on
Science in Nursing and Masters of cal services, food and nutrition, environ- chain. As clinicians, we're never taught to demand program where patients can
Nursing in Administration from Barry mental and housekeeping.” look at the business aspects of our deci- access a Baptist Health physician or affili-
University in 1982 and 1989 respectively. When she joined Baptist Health South sions; we're only taught to look at the clin- ated physician on their mobile device.
For Rosello, one of the reasons for want- Florida in 1997 as the Vice President for ical aspects. You have to be able to balance “It's no longer just bricks and mortar,”
ing to become a nurse was an altruistic Ambulatory Services, she was tasked with the business and financial aspects with the says Rosello. “Our vision is to constantly
one. “I always loved taking care of peo- creating an outpatient ambulatory strategy clinical outcome you desire.” reinvent ourselves and ensure that we are
ple,” she says. “Nursing provided me with for the system. Being a good negotiator is also an offering access, quality, convenience to
an avenue of taking care of people, making In 2003, when the CEO for Baptist important criteria for becoming a CEO, residents throughout all of South Florida.”
people feel good and making a difference.” Outpatient Services left to go to work at Rosello notes. When she eventually retires, Rosello has
Rosello’s older sister was also a nurse South Miami Hospital, a vacancy was cre- “The world is full of compromise,” she one simple wish—to leave a caring organ-
and persuaded Rosello to join Pan ated. Rosello decided to throw her hat in says. “You can't always get necessarily ization behind.
American where she worked after she the ring and landed the position. what you want, instead you have to learn “It goes back to not just hiring great
graduated. For Rosello, what makes her job all how to work with others and through oth- people but people with a heart because
One way a small hospital such as Pan worthwhile is similar to the passion she ers, and that takes compromise. It often we're in the business of compassion,” she
American prepares people for a leadership had for nursing. takes negotiation and it also takes influ- says. “Anyone can do health care but not
position is due to its limited resources. As “I love helping other people achieve ence. These are all things that you learn everybody can deliver that health care
a result, Rosello became a jack of all their professional dreams,” she says. “It’s through experiences that you can't learn with a caring heart. We don't ever want to
trades. If an opportunity or project came finding talent, working with that talent in a book whether you went to nursing lose our humanity in the process. We have
up at work and someone needed assis- and helping them develop their skills and school or business school.” to keep the humanity in the forefront, take
tance, she often volunteered. be their best. That's how I get my fulfill- As she looks ahead to the future of care of people and make sure they feel
“When you work at small places, those ment.” Baptist Outpatient Services, Rosello notes cared for. To accomplish this, we have to
opportunities are afforded to you more so To succeed in the boardroom today, that her next focus is continuing to see hire people with a heart.”
than if you worked at a larger organiza- someone with a nursing background—or how they can bring their services and con-
tion,” Rosello explains. “I was able to get any clinician for that matter—needs to venience to as many communities as pos- For more information, visit
experience along the way during my 14 have a strong business sense, says Rosello. sible. www.baptisthealth.net.

40 May 2017 southfloridahospitalnews.com South Florida Hospital News