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Nursing career highlights - Aligning Quality & Education.

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Published by jax963, 2019-05-30 00:14:46

Jacqueline Galante Professional Portfolio

Nursing career highlights - Aligning Quality & Education.

Keywords: nursing,Quality,Education

Jacqueline Galante
Director of Performance

Improvement
&

Infection Prevention

1

PART I: PRE-NURSING CAREER

❖ Second career nurse.
❖ Prior career: Paralegal, Claims Supervisor & Insurance Adjuster.

Strong Influence PART II: NURSING CAREER

❖ 2003 – Staff nurse – 275 bed community hospital.
❖ 2006 – First dedicated orthopedic nurse to work in a new Joint Replacement Center.
❖ 2013 – Clinical Nurse Educator – Managed staff learning needs for two nursing units.
❖ 2015 – Clinical Educator – Managed staff learning needs in Medical-Surgical Division.
❖ 2016 – Promoted to Accreditation and Patient Safety Coordinator in the Quality Department.
❖ 2017 - Orthopedic Nurse Navigator – Joint Replacement Program.
❖ 2018 - Promoted to Quality Director - 358 bed tertiary care teaching hospital in urban setting.

2019 Collaborate with organization to
ensure delivery of high quality
https://images.app.goo.gl/JzJFvEPudd4aBszr9
healthcare 2

TEACHING PHILOSOPHY

My teaching philosophy consists of: 3
❖ Self-reflection to ensure objectivity in all teaching strategies and

evaluation methods.
❖ Utilization of situated learning (constructivist learning theory)

allowing the learner to build knowledge acquisition through
experiential learning.
❖ Assuming a facilitator role in teaching and designing learning
experiences that incorporate thinking in the practice setting.
❖ Engaging the adult learner through active teaching strategies that
are problem-based or task-focused such as simulation, case
studies and gaming to stimulate critical thinking skills.
❖ Incorporating learning objectives in the three domains of learning
with a focus on the affective domain to ensure classroom content
is applied to practice.
❖ Empowering learners by role modeling critical-self reflection for
them to incorporate in building a reflective practice.

NURSING EDUCATION June
2019
❑ M.S.N., Nursing Education, Drexel University,
Philadelphia PA - 2019

❑ B.S.N. with High Honor - College of Saint
Elizabeth, Morristown, NJ - 2008

❑ A.A.S. Nursing - County College of Morris,
Randolph, NJ - 2003

4

NURSE EDUCATOR EXPERIENCE

2017

Instructor – Saint Clare’s Denville Hospital

➢ Pre-operative Education Total Joint Replacement

➢ Co-created with Joint Replacement Team – Saint Clare’s Denville Hospital

➢ Taught classes to candidates for joint replacement surgery

2014

Preceptor –Saint Clare’s Health System 5
College of Saint Elizabeth
RN to BSN Program

NURSE EDUCATOR EXPERIENCE

Instructor - Saint Clare’s Health System
2014

➢ Wound Salvaged Blood co-created with Denise Rockwell, RN

➢ Teaching session and return demonstration to staff nurses

Instructor - Saint Clare’s Health System
2015 Annual Competencies

➢ Patient Controlled Analgesia - co-created with Angela Garces, RN

➢ On Q competency - co-created with Denise Rockwell, RN

➢ Teaching session and return demonstration with Angela Garc6es, RN
& Denise Rockwell, RN

PROFESSIONAL EXPERIENCE

Saint Michael’s Medical Center, Newark, NJ, 2018-Present 7
Director of Performance Improvement

Saint Clare’s Denville Hospital, Denville, NJ, 2017 – 2018
Orthopedic Nurse Navigator

Saint Clare’s Health 2016 – 2017
Accreditation and Patient Safety Coordinator

Saint Clare’s Health 2015 – 2016
Clinical Educator, Medical-Surgical Division

Saint Clare’s Health System 2013 - 2015
Clinical Educator

HOSPITAL-WIDE COMMITTEES

2013-2016 Member, Medication Safety Committee
➢ Poster presentation Nursing Research Day 2016
Role of the Medication Safety Committee in Error Prevention

2015 – 2017 Member, Policy & Procedure Committee (COLT)
➢ Presented vital sign protocol for inpatient units for
post-operative inpatients - approved 2016
➢ Revised Non-violent and Violent Restraints
Policies – approved 2017

2016 – 2017 Co-Chair, Falls & Restraints Committee

➢ Poster presentation Nursing Research Day 2016

Role of the Falls & Restraints Committee 8

PROFESSIONAL ASSOCIATIONS

Member - 2010 - Present

2010-2013 Region 1 President

Member, NJSNA Convention Committee - 2015
➢ Personal escort for Miss Colorado – Keynote speaker Kelley Johnson
at NJSNA Convention
➢ Introduced Keynote Speaker Miss Colorado Kelley Johnson

Co-Chair, NJSNA Convention Committee - 2016
➢ Marketed advertising space to sponsors for Convention Journal
➢ Introduced speakers at CE sessions

9

Reference: https://images.app.goo.gl/q64K6RSAhovoU6J37

COMMUNITY INVOLVEMENT

2010

Initiated Region participation in community service
➢ Prepared and served meals to underserved - Trinity Church – Dover

2011

Volunteered at Chester Schools Science Fair
➢ Served as volunteer judge of science projects
➢ Issued Nursing Science awards – grades 6-8

10

HONORS AND AWARDS

Saint Clare’s Health System

➢ Nurse Excellence Award Volunteerism and Service - 2012
➢ Clinical Ladder Level I - 2008
➢ Star Award – 2007
➢ Recipient President’s Scholarship – 2016
➢ Drexel University Honor Society Network – 2017
➢ County College of Morris – Dean’s List - 2001-2003

11

LICENSES AND CERTIFICATIONS

12

CERTIFICATE IN SIMULATION

13

COURSE SITES

APPLYING THE PRINCIPLES OF
QUALITY & SAFETY

IN NURSING PRACTICE

14

PIKTOCHART FLYER

https://create.piktochart.com/output/34375356-healthcare-regulations-final

TEACHING STRATEGIES

https://padlet.com/jax963/pw62hsaioin3

Narrated PowerPoint Lectures

16

TEACHING STRATEGIES

https://padlet.com/jax963/pw62hsaioin3

17

TEACHING STRATEGIES

Kahoot

https://create.kahoot.it/details/a2aa5c4b-290f-484c-
bdf6-caf 7c1027c3c

https://create.kahoot.it/share/what-s-your-regulatory-
iq/1c007493-ba6a-4bda-9630-187966c3bb70

https://create.kahoot.it/share/test-your-joint- Mini teach session
commission-iq/c3e4d77a-1664-4d18-a674-
8ad5fc1270e3 https://padlet.com/jax963/pfi69lv7pc85

More Piktochart

https://create.piktochart.com/output/35142819-
transportation-services

https://create.piktochart.com/
output/34930926-scholarship

TEACHING STRATEGIES

https://padlet.com/jax963/pw62hsaioin3

You Tube Videos

19

MORE TEACHING STRATEGIES

Course Sites information -
https://padlet.com/jax963/pw62hsaioin3

https://www.thinglink.com/scene/1126224390078332929

20

FALLS PREVENTION EDUCATION POSTER

View Poster at 21
https://padlet.com/jax963/pfi69lv7pc85

CAPSTONE TEACHING PROJECT

CENTRAL VENOUS CATHETER CARE

22

https://youtu.be/41zzwlsv_-g

SITUATED LEARNING THEORY

Complete Teaching Plan available at
https://padlet.com/jax963/pfi69lv7pc85

23

INTRODUCTION USING THINGLINK

https://www.thinglink.com/scene/1171259899309457410

CENTRAL VENOUS CATHETER CARE

➢ Federal Advisory Committee
➢ Oversight –

▪ Dept. of Health and Human Services & CDC
➢ Infection control practices, surveillance strategies
➢ HAIs, antimicrobial resistance

➢ Two RNs are members – several are liaisons

CENTRAL VENOUS CATHETER CARE

➢HICPAC guidelines are incorporated in the
Central Venous Catheter Care Policy

➢Dressing change regimen
▪ Gauze dressings

▪ Transparent semi-permeable

CRITICAL CARE RNS MUST CHANGE THE DRESSING
EVERY THURSDAY REGARDLESS OF WHEN
DRESSING WAS PLACED

ALWAYS FOLLOW HOSPITAL POLICY

Change dressing if loose, wet or soiled

CHANGE

Includes HD patients

https://images.app.goo.gl/AzBZAKi7uEKBK2qT8

https://images.app.goo.gl/FqnNcF8a5Zc1uKXm9

https://images.app.goo.gl/CTRvpXMSa1cQ2UbP8

ALWAYS USE ASEPTIC TECHNIQUE

Gather
supplies

ID
patient

Medline #DYND75233 - KIT, DRESSING CHANGE, CENTRAL
VENOUS CATH, 40/CS

https://images.app.goo.gl/mbwDyoMtkvdtcSrQ8

Perform ASEPTIC TECHNIQUE
Hand
https://images.app.goo.gl/Syi1yAudWPiduUxe6
hygiene

Wash common missed
areas

(Adapted from taylor L (1978). An evaluation of
hand washing techniques-1. Nursing Times.12
January.pp 5455-)

PREPARE THE PATIENT

Dual face
masks

https://images.app.goo.gl/1Gjz8ouoFnLnCQ3A7

Don ASEPTIC TECHNIQUE
clean
gloves Don PPE

https://images.app.goo.gl/HaRvYPT7uDFhMyLd8
https://images.app.goo.gl/RFpfdL4LtSXS6JdX6

Dressing DRESSING REMOVAL
removal

https://images.app.goo.gl/JXDy5BJwMQ4DdfoK9 Refer to EBSCO
procedures under
Nursing
Reference Center

Discard soiled dressing
Remove gloves

Perform hand hygiene

ASEPTIC TECHNIQUE

Assess
skin

Assess patient’s skin
for signs of infection

➢ Pain

➢ Tenderness

➢ Redness

➢ Purulent drainage
at insertion site

https://images.app.goo.gl/UJiQiiXd1A1hjZK66

Create ASEPTIC TECHNIQUE
sterile
field Open supplies
Drop on sterile field

Note: Only used for PICC lines

Drop semi-transparent
dressing or gauze onto

sterile field

https://images.app.goo.gl/Ho7i78Qm3Nnv5e7L9

Skin ASEPTIC TECHNIQUE
antisepsis

Start with insertion site https://images.app.goo.gl/
Allow solution to air dry for one and a half (1.5) minutes QM1igN7wUtD6nVXf9
Do not blot or dry area

https://images.app.goo.gl/f5gXniWEFWNMMuNS6

One (1) Use flat side of foam tip
minute Vigorous back and forth strokes

Turn swabstick over & repeat

Skin ASEPTIC TECHNIQUE
antisepsis

Blue Printed Side Faces Upward
White Foam Releases CHG
Must Face Downward
and Touch Patient’s Skin

https://images.app.goo.gl/RqwTQWHGrNVnvmnR8

Apply new ASEPTIC TECHNIQUE
dressing

Apply dressing over Date and time of dressing change
insertion site RN initials

https://images.app.goo.gl/4YXZvQDD3ESxjupC9 https://images.app.goo.gl/xQaaFV1c4gci5ntq6

Discard supplies

Remove PPE DOFFING PPE
Gloves
Gown Hand
Mask hygiene

http://www.shelterhealthpro.com/templates/uim_template/banner/PPE-Sequence-for-
Donning-and-removing-PPE.pdf

https://images.app.goo.gl/Syi1yAudWPiduUxe6

https://images.app.goo.gl/eQyY5sRcAzRxnDU18 TEACH PATIENTS:

➢ Handwashing

➢ Do not touch central line
dressing, IV ports

➢ Report signs and symptoms
of fever, tenderness or pain
at or near insertion site

➢ Explain purpose of dressing
change

➢ Document in patient’s Care
Plan

DOCUMENTATION

Document in Patient Record Appearance

https://images.app.goo.gl/r7WKXgm7KT56uWj58 Dressing
type

Date and time of
dressing change

DUAL DISINFECTANT CAPS

➢ Evidence supports that the DualCap® System decreases the rate of CLABSI.

➢ DualCaps were developed for use on the male leur connector (at end of IV
tubing) (Dark blue cap).

➢ Needless connector valve (light blue DualCap®).

➢ If left in place for 30 seconds, the disinfecting caps provide a physical barrier
to contamination up to 7 days.

➢ Four month observational study of a Medical ICU demonstrated inadequate
practice of scrubbing the hub and improving compliance with the use of the
DualCap® system.

➢ Current guidelines support using disinfecting caps to cover needless
connectors .

Reduce CLINICAL EVIDENCE
CLABSI

DualCap® designed to prevent BSI from intraluminal
contamination and cross contamination

https://www.merit.com/cardiovascu
lar-and-critical-care/complete-
procedural-solutions/infection-
prevention/dualcap/#toggle-id-1

DUALCAP® PROTECTION

https://www.merit.com/ca
rdiovascular-and-critical-
care/complete-procedural-
solutions/infection-
prevention/dualcap/#toggl
e-id-1



REFERENCES

Barnes, S.D. (2016). Disinfecting caps: Decreasing the incidence of central line-
associated bloodstream infections [White paper]. Catheter Connections, Inc.

Centers for Disease Control and Prevention (2019). Healthcare infection
control practices advisory committee.
Retrieved from https://www.cdc.gov/hicpac/index.html

Merit Medical (n.d.). DualCap® disinfection & protection system. Dual cap.
Retrieved from https://www.merit.com/cardiovascular-and-critical-care/
complete-procedural-solutions/infection-prevention/dualcap/#toggle-id-1

St. Mary’s General Hospital (2019). Central venous catheter
care policy [unpublished internal document]. Nursing Manual.

TEACHING STRATEGIES

https://images.app.goo.gl/HfLM31KoyBNuC1ri7

View teaching strategies at 47
https://padlet.com/jax963/pfi69lv7pc85

HANDOUT

Handout available at 48
https://padlet.com/jax963/pfi69lv7pc85

PRACTICUM PROJECT

Rapid Always use Rapid
Response Response (RRT)
Kits now
available in Kit BEFORE
the ER and opening Code

ICU Cart

When a Bring Code Cart
Rapid

Response is
activated:
Bring Code

Cart to
patient’s

room
Critical
Care RN
will bring
the RRT Kit

Quick & convenient informal staff education 49
Staff In-service

Accessed in HealthStream

PRACTICUM PROJECT

In-service with staff 50
SSI Incidence and Case Study
https://padlet.com/jax963/pfi69lv7pc85


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