C157 Essentials of Advanced Nursing Practice.docx

Description

Change in healthcare is inevitable and necessary in order to improve patient care and stay current with evidenced based practice and technology. The purpose of this paper is to describe an interview with a nurse leader in order to identify an area of need in which change is necessary and to implement the strategies necessary to begin this change process. (A1.) Purpose of Consultation and Overview of Consultation ProcessThe purpose of this consultation is to identify a national benchmark that is not being met or in danger of not being met and to suggest an organizational change that can improve benchmark scores. For this task, I interviewed a unit coordinator of the cardiac specialty unit at Sentara Obici Hospital in Suffolk, Virginia.

C157 Essentials of Advanced Nursing Practice.docx

The consultation process included a face-to-face interview, as well as background research into national rates of catheter-associated urinary tract infection (CAUTI), Sentara policy, and the Joint Commission on Accreditation of healthcare organizations (JCAHO) standards and recommendations. Organizational AnalysisA2.Description and Characteristics of OrganizationThe cardiac specialty unit is a busy 32-bed medical-surgical unit in a rural Virginia hospital that services approximately 4,000 annually. Sentara Obici Hospital is part of the Sentarahealthcare system, which consists of 12 hospitals, 4 medical groups, and multiple other practices in the healthcare industry throughout Virginia and North Carolina (Sentara Healthcare, 2019). Within the Obici hospital in Suffolk, this unit specializes in patients with cardiac needs, such as congestive heart failure, angina, coronary artery disease, and patients recovering from procedures such as cardiac catheterizations, nuclear stress tests, stent placement, and patients requiring cardiac drips such as diltiazem, amiodarone, dobutamine, etc. This unit also receives various medical overflow patients as well and is therefore very busy.

C157 Essentials of Advanced Nursing Practice.docx

The unit staff 4 unit coordinators,25 registered nurses (RNs), 4 licensed practical nurses (LPNs), 12 nursing care partners (NCPs), and 2 administrative assistants (AAs). The unit has 4 full-time nurse positions available as well.A3.Primary needs of the population served by this organization while Sentara Healthcare services the entire state of Virginia and most of North Carolina, Obici hospital and the special cardiac unit particularly serve the citizens of the western Tidewaterregion which includes the City of Suffolk, Isle of Wight County and the City of Franklin in Virginia. According to the Sentara website, “We work together as a team to provide qualityhealthcare regardless of a person’s Race, ethnicity, language, gender, age or religion (SentaraHealthcare, 2019).”According to the 2017 United States Census, the population of Suffolk, Virginia, is approximately 91,000 people, spread over a land area of about 400 square miles.

C157 Essentials of Advanced Nursing Practice.docx

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