Jacqueline Galante
Director of Performance
Improvement
&
Infection Prevention
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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
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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
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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
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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
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LICENSES AND CERTIFICATIONS
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CERTIFICATE IN SIMULATION
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COURSE SITES
APPLYING THE PRINCIPLES OF
QUALITY & SAFETY
IN NURSING PRACTICE
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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
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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
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MORE TEACHING STRATEGIES
Course Sites information -
https://padlet.com/jax963/pw62hsaioin3
https://www.thinglink.com/scene/1126224390078332929
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FALLS PREVENTION EDUCATION POSTER
View Poster at 21
https://padlet.com/jax963/pfi69lv7pc85
CAPSTONE TEACHING PROJECT
CENTRAL VENOUS CATHETER CARE
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https://youtu.be/41zzwlsv_-g
SITUATED LEARNING THEORY
Complete Teaching Plan available at
https://padlet.com/jax963/pfi69lv7pc85
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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
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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
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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