belief in VA’s mission. Fulfill my individual responsibilities and organizational responsibilities. Advocacy : Be truly Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries. Respect : Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it. Excellence : Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them (Orlando VA Medical Center website, n.d.). Current strengths One strength of the Orlando VA is the empowerment the organization gives to the front-line staff. They encourage staff nurses to own process improvement projects and celebrate their successes. They also provide education to the staff in how to effectively set up work groups and complete process improvements. During staff annual evaluations, recognition is given to those who have served the Veterans above and beyond, in the manner of promotions and bonuses. To promote patient and staff safety, the organization has electric lifts in every patient room, electronic health records that are available nation-wide at any VA, barcode scanning of medications, bedside handoff report, bed alarms which connect to mobile Vocera devices to alert all staff when a veteran is attempting to get out of bed unassisted, safety companions, specialized adaptive equipment available for disabled Veterans, and on-site physicians available at all times. To promote advanced nursing education, the organization offers employee scholarships to help pay tuition and robust education programs. Current weaknesses
CONSULTATIVE CHANGE RECOMMENDATION 9 One weakness of the Orlando VA organization is the lack of a nursing float pool to cover when there are call outs or planned time off and extra help is needed. Not having a nursing float pool leads to an unnecessary amount of overtime hours incurred; which leads to increased burden on the staff leading to burn-out and increased cost to the organization. As a result, the organization has recently lost a few nurses to outside medical facilities; which has led to a decrease in nursing staff resources. In addition, this VA hospital has only been open for 2 years. They still have a great deal to grow and learn from. Improvement to the policies and SOPs (Standard Operating Procedures) will greatly improve the care they provide. Evidence based practice activities As a covering supervisor, Lisa can work on her own process improvement projects. The NOD supervisors have been involved in many committees and workgroups to offer their perspective in the plans. Lisa has personally worked most recently on a patient acuity tool to help gauge the nurse-burden of each patient with a score. By supervising the whole campus, she and others see areas for improvement that span unit to unit, and that gives them a unique opportunity to participate in quality improvement efforts. She has involved front-line nursing staff to participate in the creation of the new acuity tool. The nurse educators use annual competencies as a time to educate nursing staff on new evidence-based research.
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- Spring '17
- Nursing, VA Medical Center, Orlando VA Medical Center, Orlando VA Medical