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Exemplary Professional Practice

Meeting Time:
1st Monday of every month
12:00 - 3:00 PM

Location:
Conference Room 3

Chair: Julian Hilario, BSN, RN

Co-Chair: Danielle Greenacre, BSN, RN 

Key Documents and Meeting Minutes

SMUCLA Exemplary Professional Practice Council 2015 - 2016

 

Purpose:

The Exemplary Professional Practice (EPP) Council will be tasked with ensuring nursing staff members have a comprehensive understanding of the role of nursing and the application of that role in demonstrating exemplary practice with patient, families, communities and the interdisciplinary team. The primary purpose of the EPP Council will be to: 1) Uphold the commitment to and implementation of the Professional Practice Model; 2) Creating structures that ensure access to information, resources, and support; and 3) Cultivating a culture of safety that empowers nursing staff to take advantages of the opportunities and resources available to them.

 

Interprofessional Collaboration:

Members are the Chief Nursing Officer (CNO), Nursing Outcomes members, designated direct-care nurses (50%); PI reps from units; one UD and one CNS.  Additional members include:

RN CNS/Unit Educator HR representative and Occupational Health  Department of Nursing Finance Representative  CA Nurse's Association Representative
Marketing Quality Department Representative Case Management Representative  
UCLA SON Liaison Palliative Care Representative Safety Representative  
Physician Representative Ethics Representative Risk Management  

  

SMH Magnet Document - EPPs

 SOE Title & Description

Units / Individuals Featured 

EP1 - Professional Practice Model: Provide a description, with supporting evidence, of the development of the nursing professional practice model and how clinical nurses were involved DEVELOPMENT OF THE PROFESSIONAL PRACTICE MODEL - background, development, implementation, enculturation, ongoing evaluation, UPCs use of PPM All unit leaders
EP2EO - Results of Professional Practice Model: Provide one example, with supporting evidence, of an improvement resulting from a change in clinical practice that occurred because of clinical nurses' involvement in the implementation or evaluation of the PPM. BEDSIDE HANDOVER BASED LEADS TO IMPROVEMENT IN NURSE COMMUNICATION SCORES IN 4ICU ICU, C. Wilson, M. Lawanson-Nichols
EP3EO - Nurse Satisfaction Data: Provide unit-based, national benchmarked nurse (RN) satisfaction data from the most recent survey administered within the previous 30 months before documentation submission. NURSE SATISFACTION SURVEY OVERVIEW - The Press Ganey Nursing Excellence Solution Survey administered to the SMUCLA nurses in October 2014. SMUCLA outperforms in the following 4 subscales:
? Adequacy of Resources and Staffing
? Autonomy
? Fundamentals of Quality Nursing Care
? Professional Development
All unit leaders
EP4  P1 - Establishing a Plan of Care: Provide one example, with supporting evidence, of nurses partnering with patients and families to develop an individualized plan of care based on the unique needs of the patient A PARTNERSHIP FOR EXEMPLARY PATIENT-CENTERED CARE - the evolving partnership between an oncology patient, her daughter, and the clinical nurses. 4SW, D. Lorick
EP4  P2 - Establishing a Plan of Care: Provide one example, with supporting evidence, of nurses partnering with patients and families to improve systems of care at the unit , service line or organizational level. TEEN AND YOUNG ADULT CANCER PROGRAM: PARTNERING FOR ONCO-FERTILITY NEEDS - "teen zone," Educating Nurses about Reproductive Issues in Cancer Healthcare (ENRICH) 6NW, A. Goldberg
EP5  P1 - Interprofessional Collaboration: Provide two examples, with supporting evidence, of nurses' involvement in interprofessional collaborative practice that ensures care coordination and continuity of patient care REDESIGN OF INTERDISCIPLINARY ROUNDS (IDR) 5NW, V. Yeo
EP5  P2 -  Interprofessional Collaboration: Provide two examples, with supporting evidence, of nurses' involvement in interprofessional collaborative practice that ensures care coordination and continuity of patient care IMPROVING CARE TRANSITIONS THROUGH INTERPROFESSIONAL AND CROSS-CONTINUUM COLLABORATION - smoother transition process for patients discharged from the hospital to the SNF. 5NW, V. Yeo
3NW, K. Ternavan
EP6 - Regulatory & Professional Standards: Provide one example, with supporting evidence, of nurses incorporating specialty standards/guidelines into the delivery of care  INCORPORATING VASCULAR ACCESS STANDARDS INTO CARE - PICC Service clinical nurses and nurse practitioners committed to ensuring timely, clinically-appropriate, and safe practices are provided for patients with complex vascular access. VAT
EP7EO - Standards of Care & Practice: Provide one example, with supporting evidence, of an improvement resulting from a change in clinical practice due to the application of a professional organizations' standards of nursing practice. The example provided may be at the unit, division or organizational level.  USING AWHONN AND BABY-FRIENDLY STANDARDS TO ENHANCE ROOMING IN OF MOTHERS AND BABIES - perinatal nurses align with Baby-Friendly Hospital Initiative (BFHI)  Perinatal, A. Heffernan, D. Suda
EP8EO - Internal & External Experts: an improvement that occurred due to a change in clinical practice setting resulting from the use of internal OR external experts INTERNAL CONSULTANT FACILITATES IMPROVEMENT IN PAIN MANAGEMENT - HCAHPS score Palliative Care, J. Meyer 
EP9  P1 - Staffing/Scheduling Participation: Provide two examples, with supporting evidence, from different practice settings when input from clinical nurses was used to modify RN staffing assignments and/or adjust the schedule to compensate for a change in patient acuity, patient population, resources or redesign of care. PLANNING FOR ONCOLOGY DESENSITIZATION  4SW, D. Lorick
EP9  P2 - Staffing/Scheduling Participation: Provide two examples, with supporting evidence, from different practice settings when input from clinical nurses was used to modify RN staffing assignments and/or adjust the schedule to compensate for a change in patient acuity, patient population, resources or redesign of care  CARING-HEALING ENVIRONMENT ON 3NW - adjust for changes in patient acuity; L. Ople, RN, L. Korkis, RN, S. Sauter, RN 3NW, K. Ternavan
P10  P1 - Budget Data Analysis: Provide two examples, with supporting evidence, from different practice settings, where trended data was used during the budget process, with clinical nurse input, to assess actual-to-budget performance to redistribute existing nursing resources or to acquire additional nursing resources. Trended data must be presented.  ICU CHARGE NURSES ADOPT SHIFT MANAGEMENT TOOL TO SUPPORT DATA-DRIVEN REDISTRIBUTION OF RESOURCES ICU, C. Wilson
EP10  P2 - Budget Data Analysis: Provide two examples from different practice settings, where trended data was used during the budget process, with clinical nurse input, to assess actual-to-budget performance to redistribute existing nursing resources or to acquire additional nursing resources. Trended data must be presented DATA-DRIVEN ADDITIONS TO EMERGENCY DEPARTMENT STAFFING - new team leader role E.D., E. George
EP11EO - Recruitment and Retention: Provide one example, with supporting evidence, of clinical nurses' participation in nursing recruitment activities and the impact on vacancy rates OR of clinical nurses' participation in nursing retention activities and the impact on turnover rates  IMPROVING NURSE RESIDENT RETENTION RATES IN THE INTENSIVE CARE UNIT - development of nurse preceptor role and champion team ICU, C. Wilson
EP12 - Nursing Leadership Roles: Provide one example, with supporting evidence, of a nurse-led (or nurse co-led) collaborative interprofessional quality improvement activity.  IMPLEMENTATION OF PATIENT-CENTERED ROUNDS - RN/MD rounding 4NW, P. Madley
EP13EO - Patient Education Programs: Provide one example, with supporting evidence, of an interprofessional patient education activity that was associated with an improved patient outcome  PREOPERATIVE EDUCATION FOR JOINT REPLACEMENT PATIENTS REDUCES LENGTH OF STAY 3NW, K. Ternavan
EP14  P1 - Resources for Autonomous Practice: Provide two examples, with supporting evidence, of how resources are used to support evidence-based clinical decision-making in autonomous nursing practice SKIN AND WOUND CARE GUIDELINES SUPPORT AUTONOMOUS NURSING PRACTICE - WOC nursing team, unit-based skin champion, prevalence day, NDNQI  WOC team, G. Fulgentes, L. Linares 
EP14  P2 - Resources for Autonomous Practice: Provide two examples, with supporting evidence, of how resources are used to support evidence-based clinical decision-making in autonomous nursing practice  NURSE GUIDELINES AND NURSE-DRIVEN SEPSIS PROTOCOL TO IDENTIFY EARLY SIGNS OF SEPSIS IN HOSPITALIZED ADULTS - nurse sepsis guidelines and driven sepsis protocol, EPP, Sepsis Day EPP Infection Prevention subgroup; Nicky Falgout, Sepsis Coordinator
EP15  P1 - Performance & Peer Review: Provide one example, with supporting evidence, of clinical nurses using periodic formal performance review that includes a self-appraisal and peer feedback process to enhance competence or professional development  SELF-APPRAISAL AND PEER FEEDBACK FOR THE CLINICAL NURSE - performance appraisal  ICU, C. Wilson
EP15  P2 - Performance & Peer Review: Provide one example, with supporting evidence , of nurse leaders using periodic formal performance review that includes a self-appraisal and peer feedback process to enhance competence or professional development NURSING SELF-APPRAISAL AND PEER FEEDBACK PROMOTE PROFESSIONAL DEVELOPMENT FOR NURSE LEADERS - annual performance review process 6NW, A. Goldberg
EP16  P1 - Nursing Autonomy: Provide one example, with supporting evidence, of clinical autonomy that demonstrates the authority and freedom of nurses to make nursing care decisions (within the full scope of their practice) in the clinical care of patients   UPC AND CLINICAL PRACTICE COUNCIL SUPPORT CLINICAL NURSE AUTONOMY IN IV INSERTION PRACTICES: Implementation of The Buzzy Bee for Pediatric IV Insertion, Intranasal Medication Administration as an Alternative to IV ED, E. George
EP16  P2 - Nursing Autonomy: Provide one example, with supporting evidence, of organizational autonomy that demonstrates the authority and freedom of nurses to be involved in broader unit, service line, organization or system decision-making processes pertaining to patient care, policies and procedures, or work environment CODE BLUE COMMITTEE AND RAPID RESPONSE TEAM ACTIVATION ICU, A. Trueblood, Code Blue Committee
EP17 - Ethical Issues: Provide one example, with supporting evidence, of nurses using available resources to address ethical issues related to clinical practice OR an organizational ethical issue USE OF ETHICS RESOURCES TO ENSURE PATIENT CARE PREFERENCES ARE HONORED ICU, C. Wilson
EP18EO  P1 - Workplace Safety: Provide two examples, with supporting evidence, of improved workplace safety for nurses resulting from the safety strategy of the organization REDUCING RISK OF NURSE EXPOSURES THROUGH STANDARDIZATION OF CHEMOTHERAPY SPILL RESPONSE: Code Orange  4SW, D. Lorick
6NW, A. Goldberg
EP18EO  P2 - Workplace Safety: Provide two examples, with supporting evidence, of improved workplace safety for nurses resulting from the safety strategy of the organization IMPROVING NURSE SAFETY THROUGH EDUCATIONAL PROGRAM ON DISRUPTIVE BEHAVIORS - challenging behavior toolkit 4MN, C. Byron
EP19EO - Proactive Risk Management: Provide one example, with supporting evidence, of an improvement in patient safety that resulted from nurses' involvement in facility- or system-wide proactive risk assessment or error management. RAPID RESPONSE PROGRAM OPTIMIZATION - reduce inpatient mortality and preventable deaths by increasing the number of rapid response calls in non-ICU and procedural areas across the hospital. ICU, Code Blue Committee,
A. Trueblood
EP20EO  P1 - Evaluating Patient Safety Data: Provide two examples, with supporting evidence, of an improvement in patient safety that resulted from clinical nurses' involvement in the evaluation of patient safety data at the unit level.  IMPLEMENTATION OF CODE SEPSIS IN THE EMERGENCY DEPARTMENT - improve overall bundle compliance  ED, E. George
QMS, L. Granger
EP20EO  P2 - Evaluating Patient Safety Data: Provide two examples, with supporting evidence, of an improvement in patient safety that resulted from clinical nurses' involvement in the evaluation of patient safety data at the unit level.  CLINICAL NURSE INVOLVEMENT IN THE USE OF DATA TO ELIMINATE CAUTI - UPC initiated CAUTI prevention bundle 5MN, V. Lopez, P. Sheehan
EP21EO - Patient Safety Goals: Provide one example, with supporting evidence, of nurses' involvement in activities that address national or international patient safety goals that led to an improvement in patient safety outcomes  NURSES LEADING ELIMINATION OF ANTICOAGULANT MEDICATION ERRORS ON STEP-DOWN UNIT  5MN, V. Lopez, P. Sheehan
EP22EO - Nurse Sensitive Quality Indicators: Unit- or clinic-level nurse-sensitive clinical indicator data outperform the mean or median of the national database used  DATA COLLECTION & BENCHMARKS - Nursing Sensitive Quality Indicators  EPP, all unit leaders
EP23EO - Patient Satisfaction: Unit- or clinic-level patient satisfaction data (related to nursing care) outperform the mean or median of the national database used  PATIENT SATISFACTION SURVEY OVERVIEW - National Research Center (NRC) and Press Ganey (PG) EPP, all unit leaders

 

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