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Published by , 2017-03-15 14:38:46

Nursing Annual Report - 2015

Nursing Annual Report - 2015

Nursing Councils | Virginia Healthcare System

2015 Accomplishments

Created NQC Dashboard for centralized reporting of Nursing Sensitive
Indicator
data (NSI)
Developed Performance Improvement Portfolio to track unit-based projects
Recognized 12 nurses with Daisy Award
Developed Daisy Award tracking tool in Smartsheet which improved efficiency
and appropriate nurse recognition
Supported Magnet Survey

Performance/Process Improvement

Implemented Smartsheet technology to improve access and distribution of
NQC Dashboard & Portfolio
Revised Daisy Award process to facilitate evaluation of Daisy nominees
against award requirements
Collaborated with wound care team to develop HAPU debrief tool
Spearheaded initial development of non-nurse Associate recognition program
Collaborated with C-diff Taskforce to reduce hospital-wide infection

Education and Development Council - Mary Washington Hospital

Mission


To develop and facilitate learning activities (such as continuing education)
intended
to build on the education and experience of nurses and promote
professional
practice through specialty certification and advanced nursing
education.

2015 Accomplishments

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

Development of new hire RN/CNA orientation and Skills day
Development of the celebration for certified nurses
Development of a house wide education needs assessment
Revision of the NetLearning process regarding who receives CBLs
Development of house wide regulatory annual skills day
Nursing Impact


All in one computers placed on all nursing units to provide staff with
ready access to
complete ongoing education requirements.

Nurse Leadership Council - Mary Washington Hospital
Mission


To create a culture that empowers nursing through innovative and Evidence
Based
Nursing Leadership.


2015 Accomplishments
The Nurse Manager Orientation was initiated

Nursing Impact
Peer to Peer mentorship established in conjunction with Human Resources,
Learning & Organizational Development.
Quality Excellence Council - Stafford Hospital

Mission


http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

To develop and support performance improvement processes and projects,
through evidence based
practice, that promotes positive outcomes through
Nursing Sensitive Quality Indicators (NSQI) and the
Quality Tier One goals.


2015 Accomplishments


Successful completion of appreciation calendar
Revision of regulatory readiness checklist to include infection control
Initiation of Quiet Time project
Wound Care debrief in Soarian database
Mentoring/Retention Program in conjunction with Education Council

Education Council - Stafford Hospital

Mission

To develop and facilitate learning activities intended to build on the
education
and experience of nurses and caregivers
To enhance nursing practice, education, administration, research, or theory
development with the goal of improving the health status of the community
To contribute to the development, maintenance, and enhancement of
competent
nursing practice through evidence based practice and critical
thinking.

2015 Accomplishments

Developed port access validation form and identified RNs to serve as
validators
Provided inpatient education on mobility protocol
Offered Lunch & Learns where contact hours provided

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

Created tools to assist staff in accessing policies and procedures from
electronic database

Clinical Practice Council - Stafford Hospital

Mission


To define and develop methods to ensure excellence in clinical practice
through best practice identification,
benchmarking and performance improvement


2015 Accomplishments


Instituted Quiet Time
Improved nursing staff/physical therapy communication to improve patient
mobility
Initiated Acudose Optimization project

Clinical Informatics Council - MWHC


Mission


To evaluate, incorporate and apply computer technology and information
systems to
facilitate communication and enhance the nursing process.

2015 Accomplishments

Created/revised new assessments to enhance patient care and improve
compliance
(C diff, MEWS, Chart Check, Interdisciplinary Rounds, Clinically
Aligned
Pain Assessment (CAPA), Advance Directive, Cancer Navigator.
Increased usability of viewing data in the electronic system – created
display
groups and clinical summary views as well as re-organized nursing
orders to
increase clarity (display groups for disease specific diagnosis
such as heart
failure and stroke, new clinical summaries for respiratory.

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

Research Council - MWHC


Mission

To foster a culture of nursing research and promote application of evidence-based
practice that facilitates optimal outcomes in healthcare. To educate and
mentor
nurses and nursing students in their understanding of clinical
research and
evidence-based practice. Assist facilitate the integration
of research in the clinical
setting, translate evidence based practice
into clinical practice and facilitate
conducting nursing research.

2015 Accomplishments


Coordinate a hospital based research project annually:
“Proper Identification and Documentation of Skin Assessment is
Dependent
on Adequate Staffing” study completed and poster
presented during
Nurse Week 2015
Approval by Institutional Review Board – “Barriers to Shared
Governance”

Translation of evidence based practice into clinical practice with Lunch
‘n’
Learns:

“The Mandate for BSN at the Bedside, What does the RESEARCH tell
us” presented by Dr. Pamela McCullough CPNP – Dean of Nursing,
University of Mary Washington
“What does research tell us regarding central line care” presented
by
Bonnie Smith, Genetech
ANA Webinar – Ethical Practice – Quality Care

Research Education

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

“How to create an effective poster presentation”
Literature reviews
Step by step review of the research process
Webinar series from the US Department of Health & Human Services,
Office
of Human Research Protections

2015 MWHC Nursing
Annual Report

Welcome Letter

Articles 

Nursing At MWHC

Accomplishments 

Overview

Nursing Councils

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

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LOCATIONS

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1001 Sam Perry Blvd


Fredericksburg, VA 22401 Fredericksburg, VA 22401

Stafford Hospital
101 Hospital Center Blvd


Stafford, VA 22554

http://www.marywashingtonhealthcare.com/About-Us/2015-MWHC-Nursing-Annual-Report/Nursing-Councils.aspx[1/18/2017 7:18:51 PM]

Nursing Councils | Virginia Healthcare System

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