respective unit. Rachael has formal influence at NTC, such that she is the CNS for both the Stepdown Unit and Medical-Surgical Telemetry Unit. Her role at NTC is to provide clinical practice, education, consultation, performance improvement and research. In addition to the aforementioned responsibilities, Rachael also acts as a resource for the Unit Based Council for Stepdown and Med-Surg, providing consultations for the leadership teams on each floor to ensure a smooth workflow encompassing safe and effective care. Rachael also facilitates all educational activities for the unit, including education, training, and skills for all new hires, and annual training for every staff member. As an informal leader for her assigned floors, she makes rounds throughout the day, helping on the floor when she can by answering call lights, assisting with procedures, or assisting nurses with their daily tasks. Doing so has gained the respect of her
ESSENTIALS OF ADVANCED NURSING PRACTICE 7 staff members as well as her peers because she is noted as someone who the staff nurses look up to and follow her example. Many staff nurses have mentioned Rachael’s practices on the floor actually influence them and encourages them to assist each other on the floor and work better in a team. The American Association of Colleges of Nursing (AACN) Master’s Education in Nursing provide nine essentials that delineate of the “outcomes expected of all graduates of master’s nursing programs” (AACN, 2011). The nine essentials act as a guide to prepare graduate nurses for “diverse areas of practice in any healthcare setting” (AACN, 2011). Aligning with the AACN Master’s Education in Nursing Essential III: Quality Improvement and Safety, Rachael describes her role as a CNS, as the resource person required for the articulation of “methods, tools, performance measures, and standards related to quality,” and can adeptly “apply quality principles within an organization.” (AACN, 2011). Based on recent HCAHPS scores related to noise levels at night, Rachael has determined that there is a need for intervention related to noise levels on the floor. To increase patient satisfaction with noise levels and quality of rest and healing processes for the patient, Rachael is implementing a PDSA initiative to help decrease noise levels at night. Aligning with the AACN Master’s Education in Nursing Essential VII: Interprofessional Collaboration for Improving patient and Population Heath Outcomes, Rachael is both a member and a leader among the interprofessional team and communicates as well as collaborates with other healthcare professionals to assist with the management of every aspect of the patient’s care on her unit. Rachael is an integral part of the interdisciplinary team, where she consults with physicians, nurses, nursing assistants, social workers, therapists to provide the best patient
ESSENTIALS OF ADVANCED NURSING PRACTICE 8 experience possible. Her role is to use evidence-based practices as the foundation for interventions that would improve health outcomes for all patients.
- Spring '18