Tax-Individual – Assignment week 5
March 14, 2021
Case Study Analysis – Armenian Power Group
March 14, 2021

You will engage with and interview a nurse leader in person. You should begin thinking about this activity as soon as possible and identify how you will identify and gain access to the interview. You may include photos, graphs, or charts. Weiss, S. A. & Tappen, R. M. (2015). Essentials of nursing leadership and management (6th ed.). F. A. Davis Company. Read chapter 9 Choose a nurse leader who holds a leadership nursing position in their organization who have direct reports (they supervise other employees). Examples of this include Director of Nursing, Director, Unit Manager. *You may not be employed in the same facility as your interviewee or shadow during personal work hours Develop an interview guide before conducting the interview. Identify information that you want to know before the interview and plan clarifying questions. You must include at least one question about technology/informatics. Conduct an interview regarding their professional role in the organization, and a current health care issue that is of interest to you (ethics, conflict management, budget, staffing, culture of safety, “just culture”, career advancement, quality improvement, etc.). Identify the name of the organization and use names of all involved (no anonymity). Please feel free to elaborate or addendum the questions Individual graduated from U T Health science center in San Antonio and works at Audie Murphy (VA) 1. Please describe the nursing and inter-professional teams that operate in this facility/on this unit. Nursing is the backbone and essential part of our inter-professional teams. Our inter-professional teams consist of physicians, including residents and fellows, advance practice provider, nurses, pharmacists, social worker, dietician and chaplain service. Interprofessional collaboration involves communication and collaboration between all members of the team to ensure the best optimal care is provided to the patient. 2. Can you provide an example of a nursing practice that has been changed in the last year based on current best evidence? The addition of closed system transfer device (CSTD) and wearing two pairs of chemotherapy to prevent occupational exposures to antineoplastic and other hazardous drugs. Nurses are frequently expose to hazardous drugs that may potentially lead to adverse health effects. The integration of both these practices minimizes exposure. 3. What do you consider your biggest challenge? Delivering bad news 4. What do you love most about your job? The staff. To see them prosper in their professional roles as they provide the best quality patient care. 5.Why did you choose this job? The opportunity to make a difference in my organization and impact my team. 6. What other kinds of nursing/other job did you ever do? My career as an RN began in a cardiology/neurology medical surgical ward where I worked for 2 years, then transition to ICU cardiology and surgical where I worked for another 3 years before entering the leadership role. 7.How would you describe your company’s culture? We are a Pathway to Excellence designated facility. Receiving the designation validates quality initiatives such as shared governance; a safety culture and best place to work. The company promotes safety first and empowers the staff to speak up when something is not right. 8.How would you describe your role in admission and staffing decisions? Admissions minimal – staff are empowered to review admission candidates for necessary criteria. Most admission to our unit are anticipated. Staffing, unless there is an incidence where someone has called in and coverage is absolutely needed and the assistant nurse manager (ANM) is not here, then I will intervene. For the most part schedule is done in advance, employee’s vacation weeks are posted and any additional request days off are email to ANM and/or me. Staffing is an essential role to manage, but unless there are concerns with sick leave abuse, which I typically do not have, I do not intervene. 9. What is your leadership style? Servant leadership style. I encourage a collaborative approach and encourage collective decision making among staff. I enjoy connecting people’s personal goals to the goals of the organization; foster an environment that is empathetic, stimulating, and cooperative. 10. In the last year, what has been implemented into the unit? Several things were implemented FY20. Coordination of the 96-hour list for staff and providers to ensure timely orders; home infusion for non-chemo to reduce patient load through COVID pandemic; development of the patient home spill kit and chemotherapy pump card for patients receiving continuous chemotherapy via a gravity pump; same day follow-up proceeded by same day treatment was stopped to ensure safety in chemo orders and administration; one chair removed from clinic space to enforce social distancing during COVID and partnered with coding to improve chemo clinic documentation resulting in significant increase in Veterans Equitable Resources Allocation (VERA) reimbursement.  

 

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