Professional Nursing Practice at VUMC
                                                                                               Organizational Examples                                                     Unit/Clinic Examples
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         P                                                                                                                                         •   VMG (Comprehensive Care Center): Interdisciplinary Case 
                       Personalized Patient Health Care                              •      MyHealth at Vanderbilt
                                                                                                                                                       Management Plan of Care in Star Panel
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         i                                                                           •      Priority Problems/Plan of  Care
         g                                                                                                                                         •   Peds Diabetes Clinic:  Annual Diabetes Family Day, Multi-
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         t           Transform the way in which health is                            •      Overview Patient Care (OPC)                                disciplinary education checklist & teaching record in EMG
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         r                                                                                                                                         •   VUH (Cancer Center):  Screening tools for Palliative Care, 
         t       delivered across the continuum in order to                          •      STAR Panel
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                                                                                                                                                       phone call follow up post first chemo, post new oncology 
         g         ensure highly reliable personalized care,                         •      Patient Education & 
         n                                                                                                                                             consult, and post hospice referrals
         i         taking advantage of the capabilities and                                 Engagement Record
         s                                                                                                                                         •   Women’s Health:  New Parent Advisory Group
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         u          unique contributions of the entire care                                                                                        •   VPH:  Creation of individualized behavior charts on 
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                                    delivery team.                                                                                                     child/adolescent unit
                                                                                                                                                   •   Children’s:  8th floor interdisciplinary team rounds include 
                                                                                                                                                       families
                                                                                                                                                   •    Cancer Center:  Ongoing pharmacy and nursing collaboration 
                                                                                     •   Interdisciplinary Quality Teams                                for oral chemo safety processes, Chemo task force activity has 
        s       Engage nurses to work with other members                                 (Falls, HAPU, Hand Washing, etc.)
        l                                                                                                                                               netted decrease in errors after implementation of chemo 
        a          of the healthcare team to ensure safe & 
        o                                                                            •   Patient Cultural & Linguistics                                 review process
        G                             reliable care                                                                                                •    VPH:  RN participation in treatment team meetings
                                                                                         Council
        y                                                                                                                                          •    Women’s Health:  C-section infection reduction task force
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        i                                                                            •   Patient/Family Advisory Councils
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        a        Put in place structures and processes  that                                                                                       •    VMG (Comprehensive Care Center):  Interdisciplinary care 
        u                                                                            •   Patient & Family Centered Care                                 conferences  where patients are presented prior to onset or 
        Q                 ensure patient centered care                               •
                                                                                         Interpreter Services                                           change in treatment
                                                                                                                                                   •    Children’s Hospital:  Leadership staff rounding on patients
                             Quality, Safety & Service                                •    Nursing Model Tactics                                    •   Women’s Health:  adoption of AWHONN guidelines, staff 
                                                                                      •    Nursing Quality Plan and Council                             certification in fetal monitoring
        e                                                                                                                                           •   VMG:  Triage form for consistent communication
        c             Our focus is to provide safe, quality                           •    Prevention Program for Hospital 
        ti                                                                                                                                          •   Children’s:  FIRST program – family initiated rapid response
        c               care to  our patients and families
        a                                                                                  Acquired Conditions                                      •   Peds Diabetes:   staff certification as CDE’s
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        P    l                  through our services.                                 •                                                             •   VPH:  unit specific handbooks and access codes
                                                                                           Quality Dashboards
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                                           Professional Nursing Practice at VUMC
                                                                            Organizational Examples                                     Unit/Clinic Examples
       n                                                           •  Nursing Research Evidence-Based                      Cancer Center: Journal Club for Oncology Nurses
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       l         Evidence Based Practice & Effective                                                                       Portacath kits for improving sterile technique and reducing 
       P                                                              Fellowship Program
        
                                Processes                                                                                  CLABSI
       c                                                           •  Nursing Research Website
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       g                                                                                                                   Adult ED: use of essential oil atomizers to improve 
       e                                                           •  Eskind Biomedical Library
       t     Lead the nation in producing evidence that                                                                    environment in ED
       a                                                           •  Mosby’s Online
       r                                                                                                                   Women’s Health:  Baby Friendly Initiative and New Life 
       t     will drive nursing practice, recognizing and 
       S                                                           •  Octoberfest Research & Poster Day
                                                                                                                           Patient Education Books
       g     legitimizing the evolution of knowledge, in 
       n                                                           •  Tuition Benefit                                      VPH:  Professional Practice Board and ANCC Psych 
       i           a rapidly changing environment.  
       s                                                                                                                   Specialty Certification Review Course
       r                                                           •  Interdisciplinary Quality Teams
       u         Create passion and discipline for the                                                                     VMG (Cancer Center):  Standardized evidence based 
       N                                                           •  Handover Protocols
              translation of evidence into practice that           •  Universal Protocol Processes                         symptom management protocols
                    will optimize patient outcomes.                                                                        Pediatric Diabetes Center:  Monitoring outcomes such as 
                                                                   •  Quality Bundles                                      behavior goal attainment, hemoglobin A1C, time to 
                                                                                                                           complete initial education process.
                                                                                                                           Women’s Health:  OB  triage access leader and clinic 
       s          Redesign care to optimize nurses’                •  Interdisciplinary Quality Teams                      redesign
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       o        professional expertise and knowledge               •  Handover Protocols                                   Children’s Hosp. (8  floor):  HCT rounding on patients
       G                                                           •                                                       VMG (Comprehensive Care Center):  Interdisciplinary  
                                                                      Universal Protocol Processes
       y                                                                                                                   processes allow reflection of discipline specific focus  yet 
       t      Build systems and a culture of safety that 
       i                                                           •  Quality Bundles
       l                                                                                                                   allows comprehensive approach
       a     encourage, support and spread vitality and 
       u                                                                                                                   Cancer Center:  Collaborative meetings w/ Access Center 
       Q           teamwork in all areas of nursing                                                                        staff, telephone triage nurses, and cancer clinic staff to 
                                                                                                                           bridge communication and care for patients
                                                                   •  Interdisciplinary Collaborative Approach to           Pediatric Diabetes Center:  Multidisciplinary teams (MD, 
                       Evidence Based Practice                        Patient Care
      e                                                                                                                     RN, RD) collaboratively care for patients.  Advisory team 
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      ti              Our interdisciplinary team                   •  Clinical Practice Committee (P&P)                     which includes community and consumer stakeholders.  
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      a                                                            •  Nursing Research Website                              Diabetes Family Day.
      r           surrounds the patient and family 
      P   l                                                                                                                 Adult ED:  3D discharge process which involved both MD 
       
          e                                                        •  Eskind Digital Biomedical Library
      l   d       to provide evidence-based care.                                                                           and Nursing
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      n                                                            •  Nurse Residency Program
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                                           Professional Nursing Practice at VUMC
       n                                                                    Organizational Examples                                     Unit/Clinic Examples
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                                                                                                                            MICU: Manager serves as a coach in Frontline Leadership 
            Transformational Leadership and Professional            •  Frontline Leadership Program
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       i                                                                                                                    Academy.  Asst. Manager is a participant
       g                      Development                           •  S3 Series
       e                                                                                                                    Pulmonary Clinic (TVC):  actively  support cross training 
       t                                                            •  Elevate
       a                                                                                                                    of staff  (subspecialty  clinics and triage role) in order to 
       r      Create a leadership model that will provide 
       t                                                            •  E3 Mentoring Program
       S                                                                                                                    increase flexibility efficiency of operations
              current and future leaders the environment, 
       g                                                            •  Shared Governance                                    CRNA practice: leadership structure has been redefined 
       n      tools, evidence, and skill development to be 
       i                                                                                                                    to improve communication between novice practitioners, 
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       r     innovative and transformational during a time 
       u                                                                                                                    lead CRNA’s and leadership team.
       N          of healthcare reform and transition. 
               Focus on transformational leadership at all                                                                  MICU: unit board and preceptor committees take active 
       s                                                            •  Frontline Leadership Program                         roles to address issues including safe practices, worklife 
       l                           levels
       a                                                            •  E3 Mentoring Program                                 issues, etc 
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       G                                                            •  S3 Series                                            CRNA practice:  involvement of team in hiring of new staff. 
               Establish a quality learning system so that 
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       y                                                                                                                    Children’s (8  floor): shadowing of RN’s by nurse externs 
       t                                                            •  Shared Governance
       i       nurses at all levels throughout VUMC have                                                                    has increased communication/understanding of roles.
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       a                                                            •  Nursing Quality Council
       u       access to measurement & feedback about                                                                       Children’s (DOT): mobile triage to decrease patient wait 
       Q                 innovative care delivery                                                                           times
       l             Professionalism & Leadership                   •  VPNPP                                                Neuro ICU:  Staff have been recognized as an area with 
       e                                                                                                                    a high percentage of staff with either CCRN or Neuro 
       d    The transformational leader creates a compelling        •  Shared Governance
       o                                                                                                                    specialty certification
       M     picture of the future that inspires and catalyzes      •  Frontline Leadership Academy                         Pulmonary Clinic (TVC):  Clinic leadership actively 
               people and multidisciplinary teams to realize 
       e                                                            •  TN Nurse Practice Act                                encourages attendance at continuing education 
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       ti         their full potential. Through trust and           •  Tuition Reimbursement                                opportunities.
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       a     engagement, the transformational leader fosters                                                                CRNA practice:  lecture series developed by CRNA’s for 
       r                                                            •  Continuing Education
       P           a passion for excellence, continuous                                                                     new CRNA’s. Have also developed an orientation and 
        
        
       l     improvement, achievement of shared goals and           •  Certification                                        mentoring program for new hires.
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       n         the pursuit of innovative breakthroughs.
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