Magnet
Transformational Leadership
Structural Empowerment
Exemplary Professional Practice
New Knowledge, innovations and improvements
100
What does Magnet designation recognize
What is: nursing excellence and the systems processes and structures that support it
100
What are todays five components of the magnet model based on?
What IS: RESEARCH FROM THE 1980S THAT IDENTIFIED 14 FORCES OF MAGNETISM EXHIBITED BY HOSPITALS THAT ATTRACT AND RETAIN WELL-QUALIFIED NURSES THAT PROVIDE QUALITY PATIENT CARE
100
Describe Opportunities for professional development
What are:
nursing orientation
conference attendance
resource nurse preceptor training
BIDMC Simmons cohorts for MSN/DNP
nursing scholarships for educational advancement competency days
Nursing grand rounds
transition into different specialities
100
Describe examples of autonomy in your nursing practice
What are :
CAUTI nurse driven ISC and Foley protocols
Trigger the marked nursing concern trigger is a reliable call out for patient concern(has shown in the past )to be predictive of poor patient outcomes
provide skin care interventions using guidelines in eflow sheet to address braden score <18
100
What resources do you have access to so that you can investigate best practice?
What is:
Knowledge services and librarian
expert nurses (nurse Specialists)
PPGD
Lexicomp for medication as well as patient education(ie diabetes teaching)
Up to Date
200
What are the 5 magnet model components?
What are: transformational leadership,
structural empowerment,
exemplary professional practice,
new knowledge, innovations and improvements
empirical outcomes
200
Who is BIDMC's Chief Nursing Officer?
What is: Marsha Maurer DNP,RN,FAONL
200
Who is on your Unit Council?
What are Unit Council goals?
Who are:
What is : increasing certification via AMSN
200
What are examples of resources clinical nurses can use to address ethical issues and combat caregiver stress and burden?
What are; can initiate an ehics consult by placing a request via POE or page the ethicist on call via pager 38322
combatting stress :clinical debrief, spiritual care, code lavender, pet therapy staff visit arranged via volunteer services
emotional PPE, going home checklist silver cloud counseling service, peer support, employee assistance program
200
What are some examples of evidence based practice on your unit?
During Covid surge we implemented proning for Covid patient who were not intubated
We no longer discontinue our PIV at day 4 but assess for s/s of irritation and remove as needed.
We added a safety tray New protocol was presented to Nursing, indicating Nursing discretion to order the appropriate safety precaution for meal tray. this is for patients who may use utensil as a weapon for self harm or harm others as well as patients who ingest utensils
use PICOT to look at quality improvement projects
300
What is the magnet model?
What is:
300
Name the individual's in the nursing reporting structure between you and the CNO?
What are :
ND
ACN
Chief Nursing officer
300
What opportunities exist for nursing excellence to be recognized?
What are;
RESA(recognizing excellence scholarship and accountability)
annual department and nursing awards
annual nursing scholarships
highlights monthly nursing news brief
my applause
DAISY awards coming this fall
300
How is your performance evaluated? What role does peer feedback play in the process?
What is:
Annual employee performance evaluations
Peer feedback and a self appraisal are completed and inform a professional goal for professional development created by the staff member.
These are both incorporated into the employee performance evaluation by the manager and the employee
300
What are nurses doing to make their practice or work environment more efficient?
Use QIMS to identify areas for improvement one intervention was administration of the phenobarbital loading that had begun in the ICU
We devolved an algorithm to provide care for patients who develop ETOH withdrawal and are started on a load with phenobarbital, and then transfer to Med Sug and may need additional doses. This provided guidance for the safe administration and monitoring of patients receiving IV phenobarbital at all levels of care
400
In the Magnet model what are some examples here of New knowledge,innovations and improvement
What is:
We integrate EBP using Quality Improvements (Using QIMS), EBP for our policy and procedures through practice council and our research and innovation chose Johns hopkins model to evaluate our EBP. Nursing research we use Silverman posters and NGR to highlight nursing research
400
How do direct care nurse initiate change to improve patient care, nursing practice and or the work environment?
What is:
Through professional governance: Unit based councils,5 central councils(NWE, Practice, Research, PDNE, Quality)
staff meetings ,interdisciplinary projects,steering groups such as CAUTI,SPH,RESA
400
What is our unit goal for increasing professional certification and how are you currently doing on it?
What is: our unit goal is 2 percent
We are currently educating staff on how to sign up for certification
400
What nurse sensitive indicators does our unit follow, how are we doing on them and what are we doing to improve?
We are tracking CAUTI, CLABSI, HAPI, Falls. We have significantly improved our HAPI and have improved CAUTI we are currently changing our focus to falls. We are trying to be sure all our staff understand our IHI bundle and RN/PCT discussions are ongoing throughout the shift for any changes
400
How are nurses involved in the design implementation of technology or changes in the environment which directly affects nursing practice or the patient experience?
Clinical nurses serve on the e-testing team
nurse have piloted different communication tools to try to change away from pagers -none successful yet
can provide feedback through EMR applications about issues or ideas for improvement
nurses involved in mock up of new building with room built out for nurse to walk through at Med Surg Competency day
500
What are the dates for our Magnet site visit?
What is:
September 12,13,14,15th
500
What programs are available to assist clinical nurses in transitioning into new positions and continuing to grow and develop professionally?
What are:
TTP all new grads
mentoring program
resource nurse and preceptor training
clinical support training
500
What quality improvement projects or initiatives are your unit council working on
FA 2 introduced Facts and snacks as a way to get more education that is requested by the staff at a time that works for staff
500
How does inter professional teamwork and care unfold on your unit or care area?
MAP morning awareness plan
What: Brief face to face POD touchbase to plan for the morning together
When: Occurs @ 9:05am for 5-15 mins before PPR
Initiated by: Resident (If new members in POD, make sure to introduce!)
Objectives:
•Situational awareness (any overnight updates or concerns?)
•Shared mental model (any additional emergent input?)
•Prioritize patients & triage bedside rounding needs (who needs to be seen together?)
•Highlight key wins (do you want to acknowledge anyone for the past day?)
500
How does BIDMC support Nursing Research
ACN for professional development and research
endowed nurse scientist position (helps with EBP on TTP)
Nurse sit on the IRB