The Transformational Leadership tab is represented by my unit based project of creating the Pulmonary Transition Task Force that started in February of 2013 and ended in July of 2013. The goal was to create a systematic approach to identify potential problems and concerns that may occur during the Pulmonary Unit's expansion from 18 to 36 beds. The intent is to establish personal ownership for every member of the Pulmonary Unit team to generate a seamless transition.
The second part of this section is my Nursing Practice Guideline: Medical-Surgical Inpatient: Independent Double Checks of Medications that began in September of 2012 and concluded with the final approval in February of 2013. These double checks were perform inconsistently and frequently charted incorrectly. There was a need for clarification and education. The current policy did not address what particular components of the high risk medications that should have an independent double check performed. For example, if a Heparin (blood thinning medication) drip protocol dictated a rate change, then two nurses should independently make note of the current drip rate and the current Partial Thromboplastin Time (test of blood coagulation factors) to compare these numbers to the Medication Administration Record's Heparin protocol to conclude collectively what the new drip rate shall be. This is formally documented in the EPIC charting system under the rate change dual signoff format.
The second part of this section is my Nursing Practice Guideline: Medical-Surgical Inpatient: Independent Double Checks of Medications that began in September of 2012 and concluded with the final approval in February of 2013. These double checks were perform inconsistently and frequently charted incorrectly. There was a need for clarification and education. The current policy did not address what particular components of the high risk medications that should have an independent double check performed. For example, if a Heparin (blood thinning medication) drip protocol dictated a rate change, then two nurses should independently make note of the current drip rate and the current Partial Thromboplastin Time (test of blood coagulation factors) to compare these numbers to the Medication Administration Record's Heparin protocol to conclude collectively what the new drip rate shall be. This is formally documented in the EPIC charting system under the rate change dual signoff format.