CONSULTATIVE CHANGE RECOMMENDATION 1 Consultative Change Recommendation Michelle Rudman Western Governors University College of Health Professions C157
CONSULTATIVE CHANGE RECOMMENDATION 2 Purpose of Consultation and Overview of the Consultation Process Advanced Practice Nurses are educated and trained to be innovators, change agents, and consistently look for ways to improve on processes in nursing and the delivery of care. The purpose of a consultation is to evaluate a healthcare organization and its processes for the safe and meaningful delivery of care to its customers. The consultation should seek to identify strengths of the organization that can be built upon to ensure adequate and safe patient care. In addition, the consultation should determine the organization’s weaknesses, so that opportunities for improvement can be presented. The consultation should bring to the forefront the organization’s mission and core values to ensure that the care it provides aligns with the mission and values. The Advanced Practice Nurse Consultant should also strive to understand what policies and procedures the organization has in place for meeting Quality Improvement Standards. For this consultation, an interview was conducted with Lisa Balletto, BSN RN, a Nursing Officer of the Day at the Orlando Veterans Affairs Medical Center in Orlando, Florida. Lisa is a Nursing Supervisor during WHEN hours at the Orlando VA Medical Center. WHEN hours are made up of weekends, holidays, evening, and night shifts. The purpose of the interview with Lisa, was to gain a better understanding of her role within the organization along with the organization’s mission and core values, and the ways in which they deliver their mission. A discussion was had with her regarding how her role within the Orlando VA Medical Center supports the staff and the patients. Some of the topics discussed were employee education and resources, National Safety Patient Goals, and organizational policies. An important part of the interview was to assess Lisa’s beliefs of the Orlando VA Medical Center’s strengths and weaknesses in delivering safe and compassionate care to their patients. The data obtained during
CONSULTATIVE CHANGE RECOMMENDATION 3 the needs assessment was obtained through answers to the interview questions with Lisa, organizational data reports provided by Lisa, and internet research for benchmarking purposes. Organizational Analysis Description of Organization The Orlando VA Medical Center was established in October 2006 and serves more than 110,000 male and female veterans ranging in age from 18 to over 100 in the Central Florida area. The Orlando VA Medical Center serves Veterans living in the following counties: Brevard, Citrus, Hardee, Hernando, Hillsborough, Indian River, Lake, Manatee, Marion, Orange, Osceola, Pasco, Pinellas, Polk, Seminole, Sumter, and Volusia. Based on a report published by the Office of the Inspector General, as of 2016, this organization employed approximately 3,244 team members.
- Spring '17
- Nursing, VA Medical Center, Orlando VA Medical Center, Orlando VA Medical