Mock Magnet Surveyors

This week we had our first visit from the mock magnet surveyors. Over the next few months they are going to come around randomly and ask people questions about our unit.  For everyone's reference/to assist with future mock surveys please see the information below. I started to answer the questions at the end of the document (off the top of my head so I may have missed things!) but as you can see there are a ton- just look over them and if you need help answering any feel free to ask me.  Also remember this information is on bulletin boards in the unit as well as in the Magnet binder. If we advance in the process to having a site visit, I am also going to make tags for your badges with little reminders. :) I sent this in an e-mail as an attached word document for you to keep for your reference.

PICU MOCK SURVEY INFORMATION

General Information to Know:

Nursing Strategic Plan

-          Vision: MUSC recognized in top 25% among academic medical centers

-          Mission: MUSC Nursing: Best Practices for Best Outcomes

MUSC Shared Governance Structure

-          Nurse Alliance is our organizational shared governance

o   A shared governance is a balance between staff and administration that affords everyone a role in planning and decision making

o    Nurse Alliance is further broken down into Education Council, Practice Council, Research Council, Quality Council, Leadership Council

Professional Practice Model

-          Motto: Caring within a tradition of excellence

-          Wrought iron gate symbol, found around Charleston, sunrise graphic

-          6 core values-

o   Collaboration

o    Expertise

o    Advocacy

o    Integrity

o    Innovation

o   Accountability

Care Delivery Model

-          (three overlapping circles)

-          Nurse Relationship with Patient/Families

-          Nurse Relationship with Self

-          Nurse Relationship with healthcare Team

Magnet Working Groups

-          Transformational Leadership

-          Structural Empowerment

-          Exemplary Professional Practice

-          New Knowledge

Dr. Marilyn Shaffner’s CNO-lead initiative

-          Professionalism

-          Healthy Work Environment

PICU Specific Information to Know:

PICU Shared Governance

-          PICU Practice Council

Nursing Sensitive Quality Indicators in PICU

-          Goal: Majority of the units meet the benchmark majority of the time

-          PICU Scores:

o   Injury Falls per 1,000 patient days: 5/5 quarters we met this goal

o   CLABSI per 1,000 line days: 4/5 quarters we met this goal

o   CAUTI per 1,000 device days: 3/5 quarters we met this goal

o   Percent Surveyed with HAPU (pressure ulcers) greater than or equal to stage 2: 3/5 quarters we met this goal

Questions they may ask….

Tell me what you’re proud of on your unit?

-          Several nurses are perusing Bachelor's degrees. Two recent graduates, one in the MUSC scholarship program, several taking classes.

-          Increased number of nurses participating in Nursing Leadership council this year (from 3 to at least 6 each meeting)

-          Three new RN III's with projects including: Improved Physician and Nurse Communication via Structured Rounds, A New Code Caboodle, and Debriefing after Traumatic Events 

-           Increased nursing participation in education events, recently the Trauma Class and BMT class.

-          Several nurses studying for the CCRN with a new CCRN this year

-          Teamwork, Leadership, Orientation going well… etc.

How does integrating technology support your work?

-          In-Services and CATTS modules to educate on new technologies used in the unit including recently: new EVD drainage system, new wireless Glucose monitors

-          Training on new PiCCO monitors

-          Education on telemedicine machine

-          Several RN's are Epic Super-Users to help with transition to new EMR

-          Education on new CVVH machines last year

What are your unit nurse sensitive indicators?

-          CLABSI, CAUTI, Pressure ulcers, Falls

What are some specific unit accomplishments?

-          100% compliance on Hand Washing Audits

-          Low CLABSI rates, with successful class for all new RNs

-           New Nurse Driven Sedation Protocol to be rolled out soon

-           Katherine won October 2014 DAISY award

-          Several nurses nominated for Children's Hospital Nurse of the Year

-          Nominees for DAISY award

-          Several nurses back in school

-          Several nurses studying for CCRN

-           Increased participation in leadership councils

-          Improved Cleanliness scores increasing patient satisfaction

-          Three new RN IIIs

-          New Rounding form and structure

-           New code caboodle

-          New debriefing process to be rolled out soon

And more…

What types of patients do you care for at MUSC?

Why should these patients come to MUSC?

How satisfied are you with your job at MUSC?

What do you like and not like about working here?

What committee are you on?

How are decisions made on your unit?

Can you name a time/situation in which you were supported by nursing leadership?

Do you share your best practices with other units? Do they share with you? Explain.

What type of research projects have been completed by nurses? How have you used this knowledge?

How have you used evidence to change practice?

How does MUSC’s professional practice model apply to the care that you deliver every day?

How do you work together in teams?

How involved are you in making care better for patients and families?

What resources are available to you to support your decision-making? What if an ethical issue is involved?

How does MUSC support education and other opportunities?

What professional organizations do you belong to?

How are your professional accomplishments recognized?

How have you reached out to the community?

What does Magnet mean to you?

What makes you a Magnet nurse?