NURSE II

1. Practice

• I have served as a charge nurse of PACU where I supervised 6 RNs, 3 LVN, and 8 CNA. I was responsible for the operation of the nursing unit, direct nursing tasks, and services, and utilize interpersonal skills to facilitate communication and the work of others.

• I serve as a leader for Heart Failure (HF) Simulation education program in my unit which focuses on patient engagement and meaningful education. I actively engaged the HF patients and everyone in the care team, discussed cases during interdisciplinary rounds, and evaluated the efficacy of the program. The education results showed the HF patients have higher confidence in treatment plans and greater satisfaction of their care. There has been a significant reduction in 30-day readmission rates on my unit for the last 12 months since initiating the education program.

2. Ethics

• I have serviced as a skin champion to a successful Pressure Injury (PI) prevention. I learn best practices in wound care and pressure injury preventions and engage my fellow staff nurses peer-to-peer. I also advocate for performance improvement, serve as on-the-spot resources, and motivate other staff nurses to take personal ownership in preventing PIs. This advocacy helps to reduce variations in care and improve outcomes.

3. Resource Utilization

• I have served as an EPIC Super User, which is Electronic Medical Records for my unit. I received additional in-depth training on EPIC and serve as trainers as well as resources for staff during the transition process and assist in providing feedback during the evaluation phase after the program was rolled out.

4. Education/Career Development

• I received my certification in Certified Case Management (CCM) from the Commission for Case Manager Certification (CCMC) last year. The CCM certification is the gold standard for all case management certifications. Obtaining a professional certification allowed me to grow professionally and validate my skills and knowledge. It also enhanced my experience, expertise, skills and the ability to practice competently. Besides, I remain current and am knowledgeable in case management through attending case management conferences, workshops, and reading current nursing journals.

5. Performance

• I collaborate in our department’s Nursing Peer Review (NPR) which identifies safety concerns and provides evidence-based solutions to improve the quality of nursing performance. Through NPR, I can elevate nursing practice and ultimately promote patient safety and quality outcomes to the highest standards.

6. Collaboration

• I am a member of the Heart Failure committee. I collaborate with members of the HF committee and use the group process to improve the care and outcomes of HF patients. For example, I worked with an HF workgroup and reviewed the process of HF diuresis protocols, developed patient education materials that are evidenced-based and standardized. Patient satisfaction surveys revealed the updated education materials not only were meaningful, relevant but also helped increase the self-efficacy in their care.

7. Collegiality

• I frequently serve as a preceptor to newly hired RN case managers. I provided valuable teaching and learning experiences and became a role model for the new case managers. I focused on safe patient care using evidence-based practice, creativity skills, facilitation skills, a positive attitude, and patience. I also offered case managers challenging situations that prepared them to practice independently. I received positive feedback and recognition from the new case managers and how much they enjoyed learning and growing professionally.

8. Quality of Care

• I am responsible for collecting data on 30-day readmission risk and rates for Heart Failure (HF) Patients. I am actively involved in the quality improvement activities in reducing the 30-day HF readmission rate. For example, I actively participate in the HF education program, work closely with community physicians and physician groups, partner with community-based programs, such as home health care, and arrange for follow-up visits before discharge. These quality improvement activities not only help identify readmission risk but also consistently demonstrates a 5 % reduction in 30-day readmission rates for HF patients.

9. Research

• I have actively engaged in a research study called the Better Respiratory Education And Treatment Help Empower (BREATHE) Study, which National Center for Biotechnology Information (NCBI) approved. The study was a randomized controlled trial among 240 participants who got hospitalized due to Chronic Obstructive Pulmonary Disease (COPD). A random half of the participants received the BREATHE program while the other half received usual care. I worked closely with clinical research coordinators, and the principal investigator and recruited participants in my unit. The study was proven to help COPD patients manage the post-discharge period, prepare them for long term self-management, and ultimately reduce COPD readmissions.

 
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