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 Other Christiana Care-affiliated Girl Scouts honorees include President and CEO Janice E. Nevin, M.D., MPH (2016); Trustee and past Board Chair Carol A. Ammon (2007); Trustee and pediatrician Patricia H. Purcell, M.D. (2003); and the late Katherine L. “Kitty” Esterly, M.D., chair of Pediatrics at Christiana Care from 1994 to 2007, honored posthumously with a Lifetime Achievement Award in 2015. 
Catherine Shull Fernald joins Christiana Care as chief nursing officer, Acute Care
Catherine Shull Fernald, DNP, RN, RNC-OB, NEA-BC, has joined Christiana Care as chief nursing officer, Acute Care.
Fernald has more than 27 years of experience in managing clinical operations, nursing, ancillary and support services across the continuum of care.
She most recently served as chief operating officer at Carepoint Health at Bayonne Medical Center, Bayonne, N.J., where she was responsible for operations
of a 275-bed hospital, including patient care, nursing, ancillary clinical services and quality and safety. C O N T I N U E D
| Extraordinary People
Before that she was assistant vice president of patient care services for Carepoint Health at Christ Hospital in Jersey City, N.J., where she oversaw the operational, financial and strategic responsibility to drive evidence-based nursing practice for value- added patient outcomes. She previously was vice president
of patient care services and chief nursing officer of Canton Potsdam Hospital, Potsdam, N.Y., and served at Pennsylvania Hospital, Philadelphia, in a variety of positions of increasing responsibility over a period of 10 years.
As chief nursing officer for Acute Care, she works closely with Chief Medical Officer, Acute Care, Kert Anzilotti, M.D., MBA, to ensure a unified clinical strategy for the optimization of care delivery at the acute care level. She oversees nursing care
in Christiana Care-owned and affiliated-hospital and facility- based acute-care related services, focusing on strategic vision, network development, clinical technology implementation and leveraging nursing informatics.
In partnership with operational leadership, she drives optimal health, exceptional experience and organizational vitality within the acute care environments of Christiana Care Health System.
Fernald received a doctor of nursing practice degree from American Sentinel University, a master’s degree in nursing from the University of Phoenix and a bachelor’s degree in nursing from DeSales University. 
  B E S T P R A C T I C E R E V I E W : Pre-spiking IV bags .
    Q. How much in advance can I prepare my IV infusion?
A. IV infusions should be prepared as needed. Infusions must begin within one hour of spiking the bag. If administration has not begun within one hour following the start of preparation, the IV bag should be promptly and properly discarded. In ad- dition, any single dose vial used to prepare an infusion should be used within one hour of opening and discarded immediately after the single use.
Q. Can I pre-spike the IV bags if there are no added medications?
A. No. IV bags, regardless of the content, cannot be pre-spiked for use later in the day. Infusions must begin within one hour of spiking the bag. This applies to all IV fluids such as lactated ringers, normal saline and dextrose.
Q. Does the one-hour pre-spiking rule apply to anticipation of an emergent administration, for example trauma emergency bays or a trauma operating room?
A. Yes. The one-hour pre-spiking rule applies to all areas including the emergency departments, operating rooms, inpatient areas, surgical and procedural areas, infusion suites, diagnostic areas, medical office practices and outpatient services.
Q. What are the risks of pre-spiking an IV bag?
A. Risks include clinically significant microbial contamination
which could lead to patient harm. n
Always exercise proper hand hygiene, aseptic technique and safe medication practices when preparing and administering medications!
 If you have questions about this Best Practice Review, please contact the content expert: Caroline Attia, Pharm.D, 733-6099. Safety Hotline, call 7233 (SAFE) from within Christiana or Wilmington hospitals; from outside call 623-7233 (SAFE).
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