SM Nursing Mission : Deliver Leading-Edge Patient Care, Research and Education by Utilizing

SM Nursing Mission : Deliver leading-edge patient care, research and education by utilizing SMH Nursing’s Professional Practice Model as a guide.

SM Nursing Vision : Through the Art of Nursing, we strive to heal humankind, one patient at a time, by delivering care that is grounded on the Relationship-based Care Model. Page 3 of 3

Meeting: / Exemplary Professional Practice / Date Time: / Monday, April 4, 2016 @ 1200-1500
Purpose: / Ensure the demonstration of exemplary nursing practice with patients, families, communities, and the interdisciplinary team at SMUCLA by: upholding the PPM; creating structures that ensure access to information, resources, and support; cultivate a culture of safety; equip nursing staff with a comprehensive understanding of the role of nursing. / Location: / Conference Room 1-2
Chair:
Chair since: / Danielle Greenacre, RN, BSN, CNII
Since April 2016 / Co-chair:
Co-chair since: / Heather Dodge, RN, BSN, CNII
Since April 2016
Electronic sign in – be sure to scan in your badge or ask one of the admins for assistance. You need to have a sub if you cannot attend.
Topic / Person reporting / Action Summary / PPM / Next step / Owned by / Items status
(mark one with x) /
EPP Element /
Review Minutes and General Announcements
(5 mins)
12:00-12:05 / Danielle Greenacre / ·  Review EPP council minutes from last meeting including progress on outstanding business. Minutes approved as reviewed by council.
·  Introduction of new members.
·  Review of expectations:
·  Consistent attendance by assigned reps every month – Members will utilize their badge to sign in during meeting / Goal: Members will check if their names are spelled correctly, input credentials, and add Month/Year of joining EPP.
Goal: Members to return folders in a box
Goal: Make sure everyone checks in for attendance.
Magnet Journey
(20 mins)
12:05-12:25 / Leah
Korkis / Preparation and Events for Magnet Appraisers Visit in April 18-20 / 5 / Goal: Members will understand the plans and events for the upcoming Magnet Appraisers Visit. / Standing Item
1,2,4,6 / In-Progress
Complete
Dashboard Data Review
(10 mins)
12:25-12:40 / Ksenia Kurnakova / Magnet Outcomes
·  Hospital Dashboard updates
·  Review UCLA SM Overall Audit Dashboard
·  Demonstration of Unit-specific Quick Trend Report fromPress Ganey Website
·  Nurse-sensitive clinical indicators:
1.  Falls and Falls with Injury
2.  HAPU stages 2 and above
3.  Central Line Associated Bloodstream Infections (CLABSI)
4.  Catheter Association Urinary tract infections (CAUTI)
5.  Patient satisfaction data / 3,4,5,6 / Goal: Identify the progress of our hospital. / Standing Item
1,2,3,4,5,6 / In-Progress
Complete
Subcommittee:
Magnet Rounding
(105 mins)
12:45-14:30 / Subgroup Leads / Round on the floor to discuss upcoming magnet appraiser visit with bedside RNs
A)  Divide subcommittees by floor
B)  Bring updated dashboard data with you to update each floor’s board.
C)  Discuss the pocket guide with nurses. Management has digital copies of the pocket guides if they have not been passed out already. / 3,4,5,6 / Goal: To assess magnet appraiser visit readiness of staff / Standing Item
1,3,4,6 / In-Progress
Complete
Subcommittee Report-back
(30 min)
14:30-15:00 / Subgroup Leads / Debrief Rounding
a)  What gaps were identified during the rounding?
b)  How can we be better prepared for our magnet appraiser visit? / 5 / Goal: Report off on the staff’s readiness for Magnet Appraiser visit. / Standing Item
In-Progress
1,2,3,4,5,6 / Complete
Next Meeting: Next meeting will be held Monday, April 2, 2016 from 12-3pm in Conference 1 & 2. / Parking Lot: Overview of New My Care Folders and Focus PDCAs
1. PPM / 2. Care Delivery System / 3. Interdisciplinary Care / 4. Accountability, Competence, & Autonomy / 5. Ethics, Privacy, Security, & Confidentiality / 6. Culture of Safety & Quality of Care
Development, implementation and evaluation of the PPM / Create partnerships with patients and families; incorporate standards/guidelines into the care delivery; Evaluate organizations standards; use internal/external experts to improve clinical setting / Provide leadership opportunities in collaborative interdisciplinary activities / Provide resources to support decision making in autonomous nursing practice; perform nursing peer case reviews, support and promote nurse autonomy / Encourage use of available resources to address ethical issues / Evaluate and improve workplace safety; involve nurses in facility-wide proactive risk assessment and error management; review, action-plan, and evaluate patient safety data and patient safety goals; monitor clinical indicators and patient experience data.
1. Patient, Family, Community / 2. Relationship-Based Care Model / 3. Leader / 4. Scientist / 5. Transferor of Knowledge / 6. Practitioner
Patient and family centered care. / Dr. Watson’s theory of human caring and Dr. Swanson’s five caring processes. / A self-directed decision maker, focused on the improvement of quality and safety outcomes for patients or patient populations. / Conducts research and quality improvement initiatives through EBP FOCUS-PDCA. / Guide colleagues, patients and family members through the learning process and document the outcomes of educational program. / Provide quality care to patients throughout the lifespan.

EPP Council Members

Infection Prevention

Emergency Department: Kayla Reynolds, RN, BSN, CNII (Member since June 2014, Infection Prevention Lead)

4CW: Mary Lawanson-Nichols, MSN, CCRN, CNS (Member since 2013, Infection Prevention Mentor)

4CW: Danielle Greenacre, RN, BSN, CNII (Member since November 2013, EPP Co-Chair)

4SW: Mac Queyquep, RN, OCN (Member since November 2013)

5NW: Rosalie A. Silva, RN-BC, BA, CNIII (Member since August 2013)

5MN: Patty Sheehan¸ RN, MN, CNS (Member since the start of EPP)

PACU/PTU: Michelle Dixon, RN, BSN, ANI (Member since June 2015)

Resource Team: Mary Ellen Blakley, RN, MS, ANII (Member since November 2013)

Infection Prevention: Alisa Trout, RN, BSN (Member since July 2015)

Interventional Services: Brittney Bucholtz, RN, CNII (Member since December 2015)

Infection Prevention: Mary Claire Horkay credentials? (Member since July 2015)

Unit?: Tali Leitner, MSN, CPN, BSN, RN (Member since December 2015)

Unit?: Brittney Buchollz, BSN, RN (Member since December 2015)

Pain

4SW: Franz Cordero, RN, BSN, OCN, ANI (Member since start of EPP, Pain Lead)

Palliative Care: Jeanne Meyer, RN, MSN, CCRN, CCNS, PCCN, ACHPN (Member since start of EPP, Pain Mentor)

4SW: Kristin Sy, RN, BSN (Member since July 2015)

4NW: Anna Nichik, RN, BSN (Member since July 2014)

4MN: Heather Dodge, RN, BSN (Member since December 2014)

5MN: Darya Ratliff, RN (Member since November 2013)

6NW: Diane Kui, BSN, MSN, CPN, CNII (Member since September 2013)

Palliative Care: Diana Ramirez, Administrative Assistant III (Member since start of EPP)

Administration: Ksenia Kurnakova, MPH, Senior Analyst (Member since November 2013)

Peer Review

4CW: Michele Maines, RN, MSN MSG, CNL, CNIII (Member since start of EPP, Peer Review Lead)

5MN: Michelle Thong, RN, BSN, CNII (Member since June 2014, Peer Review Lead)

3NW: Kim Ternavan, RN, MSN, MBA, UD (Member since May 2014, Peer Review Mentor)

2MN: Diane Shao, RN, ADN, ANI (Member since 2012)

2MN: Susan Nolan, RN, BSN, CNIII (Member since 2012)

2SWW: Denise Scalercio-Ribeiro, RN, AND, BA, MA, RNC-NIC, CNIII (Member since 2013)

5NW: Anila Ladak, RN, MSN, CNS (Member since start of EPP)

PACU/PTU: Clara Chavez, RN, CNII (Member since August 2012)

Emergency Department: Rebecca Lash credentials? (Member since June 2015)

Operating Room: Kim Young S., RN, BSN, CNII (Member since July 2014)

Quality: Sharron Hickey, RN, BSN, PHN, Quality Management Specialist (Member since September 2014)

Administration: Leah Korkis, RN, BSN, CNII, Interim Magnet Coordinator (Member since September 2013)

Falls

4MN: Betty Lee, RN, MN, CNS, CMSRN (Member since start of EPP, Falls Lead)

Physical Medicine: Trena Carpenter, PT (Member since start of EPP)

4NW: Julian Hilario, BSN, PHN, CNII (Member since October 2012, EPP Chair)

4NW: Roseanne Serrano, RN, BSN, CNII (Member since April 2015)

5NW: Christina Richner credentials? (Member since May 2015)

5MN: Jamie Hughes credentials? (Member since September 2015)

Quality: Anet Sinanyan, BS, MHA, CPHQ, Patient Safety Coordinator (Member since 2012)

Quality: Nathaniel Lacasse credentials?, Quality Management Specialist (Member since May 2015)

IOF: Philip Tu

Administration: David Bailey, MSN, RN, MBA, CCRN-CMC, NEA, BC, Interim Director of Nursing (Member since November 2013, Falls Mentor)

This document is located on the Nursing shared drive. To access it, go to the W drive, open SMH Nursing Leadership folder and click on Agenda-Minutes Template.