Exemplary Clinical Practice
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- Ambulatory Care Nursing Conference
- Nurse-run Outpatient Lactation Services
- Pressure Injury Prevention
- Publications and Awards
Ambulatory Care Nursing Conference
The UWMC Ambulatory Care Division was well represented at the 35th Annual Ambulatory Care Nursing Conference (UW Continuing Nursing Education).
Kate Featherston, RN3 in the General Internal Medicine Clinic, presented on updates in HIV care and prevention.
Julie Un, RN3 and Bren Hammond, Nurse Manager for 4 South Special Procedures Unit, spoke about how their ambulatory infusion center leveraged shared governance to increase RN engagement.
Natalie Conner, RN2 in the UWMC Transition Care Program and a member of the conference planning committee, presented on coordinating transitions to adult care for pediatric patients with complex medical conditions.
Javiera Lakkis, RN2 and Rebecca Swanson, RN3, Lactation Consultant Nurses at the Pediatric Care Clinic, presented Lactation as a Specialty Service.
Caron McMahon, Director of Ambulatory Care Nursing for Montlake and Northwest and a member of the planning committee, addressed the AACN Healthy Work Environment Standards in her talk, Taking the Lead and Influencing the Health of Your Work Environment.
Nurse-run Outpatient Lactation Services
Located within the UWMC Pediatric Care Clinic on Roosevelt Way NE is a nurse-run lactation consultation service. RNs Javiera Lakkis and Ann Stephenson support UW families who have feeding questions and concerns such as latch difficulties and painful latch, low milk supply, slow weight gain, bottle feeding, pumping, weaning and many other topics. The nurses, International Board-Certified Lactation Consultants, have comprehensive appointments each clinic day either in-person or by telemedicine conference. Along with these longer visits, they also provide shorter appointments for clients with brief questions or concerns. If the baby is not currently a patient of a UW provider, parents can ask their primary provider for a referral to the service.
Javier, who is bilingual in Spanish, joined UWMC in 2023, bringing many years of experience as a lactation consultation. Ann has worked with mothers and babies at UWMC since 2010 and divides her time between the lactation consultation service and caring for patients in the Women’s Health Care Center.
Pressure Injury Prevention
- Thorough skin assessment including head to toe, front, back, and sides, every skin fold, and around every tube and device on admission, and every shift for every patient.
- Turn/mobilize patients at least every two hours, and document reason turn not safe and not done when applicable. We have added an automatic turn task in Epic for at-risk patients (Braden of < 18).
- Reinforce use of ceiling lifts or slide sheet every time patient is turned/repositioned to prevent friction/shear injury associated with moving patients.
- Secure all tubes and devices without pressure to the surrounding skin.
- Keep skin is clean and dry.
- Promote optimal nutrition and hydration, and well-controlled blood glucose.
- Education posters monthly related to nosocomial full-thickness pressure injuries including prevention interventions to avoid recurrence - ML.
- Device-specific education posters to notify units of device-related pressure injuries and how to prevent them - ML.
- Weekly Unit Based Skin Rounds on at risk patients, reviewed at weekly quality huddles. HAPI committee meetings quarterly – NW.
- 4-6 Wound Care workshops per year
- Inclusion of pressure injury prevention interventions in Nursing Central Orientation, Transition to practice workshops, and unit education days.
Publications and Awards
Cheri Constantino-Shor, MSN, RN, PMH-BC, CRNI, CMSRN
- Oncology Nursing Society Annual Bridge Conference 2023, virtual: Rebuilding Strong Teams: Finding the Pathway Back from Stress Injury, September 2023
- Emergency Nurses Association 2023 Leadership Conference, Keynote Address, Scottsdale, AZ: Re-building Strong Teams: Shifting Away from the “I’m fine” Culture in Healthcare, January 2023
- Washington State Hospital Association 2023 Annual Conference, Keynote Address, virtual conference: Re-building Strong Teams: Shifting Away from the “I’m fine” Culture in Healthcare, January 2023
Katy Sanford, MSN, RNC (BSN)-EGM, BA
- Presenter, “Informational Session on: Driving our own Health Care and Wellbeing” Equity, Inclusion & Belonging at VMLY&R
Irene Krall, BSN, MHA, RN-CMS
- Chapter President for the American Nephrology Nurses Association local Chapter #503 PNW
- Member of the ANNA Health Policy Committee (national committee)
Nancy Colobong Smith, MN, ARNP, ANP-BC, CNN
- Highlighted in Minority Nurse magazine, Mary 15, 2023
- President-elect, American Nephrology Nurses Association
- Equity, Diversity & Inclusion Peer Trainer, Office for Healthcare Equity
Raj Bais, DNP, MSN, ARNP, AGNP-C, BC-ADM, CDCES
- DAISY Award in 2023 for Advanced Practice Nursing
- Washington Heroes in Action Finalist in 2023
- ADCES (Association of Diabetes Care & Education Specialists) National Committee-Credentialing Board Member
- Oversight of credentialing process and reviewing all policies and procedures related to maintenance of the national credential
- Assist with National Conference Planning
- Write and Revise National Board Exam Questions
- Editorial Oversight for ADCES Exam Prep Books
- Washington ADCES Coordinating Body Conference Planning Committee in 2023
- Regional Conference Retreat in Leavenworth, WA