Primary Needs of Organization’s Population CaroMont Health serves the residents of Gaston County, North Carolina. As of July 2018, Gaston County has a population of 222,000 with 51.8% female, 78% white, 17.6% African America, 7.3% Hispanic (US Census Bureau, n.d.). Upon review of Gaston County’s health rankings, there may be some areas for improvement for the community’s health. Obesity is at 30% along with 30% of the community being physically inactive (County Health Rankings & Roadmaps, n.d.). Smoking and excessive drinking are issues within Gaston County with 18% of the adults in Gaston County still smoking and 16% drinking excessively (County Health Rankings & Roadmaps, n.d.). The prevalence of Diabetes is at 12% in Gaston County (County Health Rankings & Roadmaps, n.d.). 11% of the community is uninsured along with 16% not having at least a high school education and 4.6% being unemployed (County Health Rankings &
CONSULTATIVE CHANGE RECOMMENDATIONS 4 Roadmaps, n.d.). Another issue of concern for Gaston County is the lack of health care providers available to the community. Primary care providers are 1,670 patients to one provider, dentists are 1800 patients to one provider, and mental health providers are 460 patients to one provider (County Health Rankings & Roadmaps, n.d.). Some health concerns due to obesity, inactivity, smoking and excessive drinking would be respiratory diseases including COPD, heart disease, diabetes, and cancer. Nurse Leader Interview Summary Role of the Nurse Leader The nurse leader chosen for this assignment was a Nurse Manager for the Coronary Care Unit (CCU), Progressive Coronary Care Unit (PCCU), and Telemetry Observation Unit (TOU). Tonya Overman has been with the organization for eleven years and in her position as Nurse Manager for three years. Prior to her current role, Tonya worked as a bedside nurse in both the CCU and PCCU then in an assistant nurse manager (ANM) position for CCU and PCCU. In her current role, Tonya provides direct leadership to all the clinical staff for the CCU, PCCU, and TOU units. She is responsible for improving and maintaining the quality metrics, patient outcomes, and patient satisfaction scores for the three units. She is also responsible for decrease staff turnover, increasing certifications among the bedside nurses, meeting productivity and budget as well as meeting the teammate engagement goals for all three units. Tonya serves not only as a mentor to her direct staff but also an advocate for the patients cared for on her units. She ensures that every patient receives quality patient care and encourages her staff to continually improve their selves and the care they provide. Tonya exemplifies the CARES values and holds her staff to the same expectations.
CONSULTATIVE CHANGE RECOMMENDATIONS 5 The Essentials of Master’s Education in Nursing are nine essentials that delineate the knowledge and practice expertise needed to provide a higher level of practice and leadership (American Association of Colleges of Nursing, 2011). Tonya meets Essential I and II by ensuring
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- Spring '17
- Health care provider, CaroMont Health