Pamela C. Rice

Introduction

Personal Definition of Nursing

      Nursing is a profession not a career path or job.  Nursing encompasses implementing patient and family centered care based on science and evidence based research.  Nursing requires a personal commitment to caring for the patient or client in a holistic manner.  Each patient and family you come in contact with have unique values, challenges, views and past experiences which will influence the manner in which they accept care and respond to care received.  Nurses not only treat patients physical problems but also the emotions that accompany their  illnesses.

      Nursing is an evolving profession which changes and grows with evidence based research and the development of new concepts and theories.  I see nursing interventions and goals change with the advances in medical treatments as well as the regulatory requirements and pay for performance that is tied to all care.

      A nurse is a professional who can choose many different career paths and interact with patients/clients of all ages.  A nurse is truly the patient's advocate and must ensure that the patient's needs are met by the health care team to ensure that the patient can return to the highest level of function achievable.

    This is an exciting time in health care as we move into Electronic Medical Records, Managed Medical Home and coordination of care.

Personal Philosophy of Nursing Practice 

    My nursing practice is based on compassion, caring, and ethical treatment of every patient.  Treating a person's medical condition is only a part of the complex picture that involves many factors which may have contributed to their illness or disability. The environment they live in, their understanding of treatment options and educational needs they have also impact the outcomes.  I find the knowledge and experience I have acquired related to prevention, intervention and treatment of a condition is not always easily understood by the patient or family.  I enjoy being a health care resource to family, friends and others who need someone to talk to about health care decisions.  Caring about my patient's needs and having compassion through listening to another person's problems are important to my practice.

      The variety of practice settings I have worked in has allowed me to experience many different types of nursing.  I have worked as a camp nurse, school nurse and critical care nurse in the hospital setting. A nurse must be able to interact and communicate with patients and families from all cultures and backgrounds.

    In December of 2012 I received my MSN in Nursing, from Liberty University through independent study and preceptors at UHS.  I aspire to use my knowledge and experience to impact the profession of nursing through my practice and teaching.

Conclusion

Technology has provided enourmous opportunities for nurses to earn advance practice degrees on-line while maintaining their professional practice.  My experience as an on-line student has given me the desire to teach and mentor others who are traveling the path of higher education that I pursured.

Objective

  My career objective is to obtain a position as a Nurse Educator at the undergraduate or graduate level as a professor of on-line instruction.  I completed my MSN using on-line technology and the experience has positionede to understand the challenges that students encounter. 

Work History

Work History
Jan 2003 - Present

Nursing Quality and Compliance Coordinator

United Health Services

Responsible for a variety of quality and process improvement projects and activities for UHS Nursing Services. Duties also include regulatory compliance, care reviews, and participation in many interdisciplinary teams. I have participated on several Lean Six Sigma Teams and process improvement projects. My responsibilities include analyzing data to determine quality improvement and cost reduction initiatives. Currently working with consultants to decrease costs of materials and expenses in the Patient Care Services division.  My position also requires many written communications to managers and staff as well as education for nursing staff related to changes in regulatory requirements, UHS policies and process improvement initiatives.

Jan 2001 - 2003

RN Emergency Department

United health Services

RN duties in Level II Trauma Center.

Education

Education
Jan 2010 - Present

MSN

Liberty University

Liberty University Online degree

1999 - 2000

Bachelors

Kennedy Western University
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1996 - 1998

Associates

SUNY Delhi
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1987 - 1988

Bachelors

Empire State College
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Skills

Skills

Nurse Educator

    My current position has required me to write education for clinical nursing staff for several years.  I have and continue to work closely with the Directors of Nursing and Chief Nursing Officer when writing and implementing education for nursing staff.  The mentoring I have received from my preceptor during clinical practicums has added to my skills and experience as an educator. I have learned how to apply evidenced based research to clinical practice and teaching.        My experience in regulatory compliance, quality and patient safety would be beneficial in teaching undergraduate students important concepts they must understand before beginning practice in a health care facility.        I have written a Geriatric Nursing Curriculum that would be beneficial for undergraduate students and also practicing nurses.  During research it was evident that there is a knowledge gap related to caring for the geriatric population and is not being addressed by colleges.       I presently work with undergraduate students on Quality and Safety projects that they must complete during their senior year for their BSN.        I am also mentoring a nurse who is completing his MSN online.       My experience includes writing and teaching both live and on-line education modules for clinical staff education.

Quality Improvement Coordinator

    Eleven years in current position - Nursing Quality and Compliance Coordinator. During that time I have developed skills in data analysis and spread sheets, writing clinical education, policy and procedure updates, regulatory compliance and surveys, Electronic medical Record build, education and implementation, case reviews and medication error investigation, process improvement projects, Smart pump implementation and monitoring, and UHS system committees and policies. I am currently involved in multiple aspects of Quality and Process Improvement, regulatory compliance and Accountable Care initiatives such as implementation of the Electronic Medical Record, Core Measure Complaince and Value Based Purchasing.         My responsibilities and experience include:   Regulatory requirements and survey readiness for Joint Commission, OSHA, Centers for Medicare and Medicaid, and New York State DOH as applicable to Patient Care Services     Compiled Joint Commission National Patient Safety Goals flash cards for 22010 and 012                 Participated in Joint Commission Survey March 2010 and 2013     Participated in NYS DOH Survey April 2010     Assisted in compiling and implementing the Joint Commission plan of correction     Wrote nursing staff education for Mosby’s module related to Joint Commission plan of correction     Participated in CMS Patient Rights survey June 2012 and resurvey August 2012     Assisted in writing plan of correction for CMS survey and  updating of policies and forms for plan   Case reviews, root cause analysis and medication error investigations Case review investigations related to Patient Care Services, to determine reasons contributing to  breaches of policies, procedures or regulations. Participate in root cause analysis to determine reason for error (system, human negligence) Review Medication errors and collaborate with Quality management to complete Root Case Analysis   Policy and Procedure management and experience Review and revise Patient Care Services and Administrative policies as required Develop UHS System policies in collaboration with other system members and UHS Legal Department.   Educational Responsibilities and experience Preparing and presenting education sessions yearly for Nursing Annual Education Preparing Mosbys education modules for required education related to policy updates and regulatory requirements Conduct Nursing Assistants Education Sessions on  Patient Safety and Quality of Care Conduct Clinical Ladder Nurses Education on Quality Initiatives, Joint Commission Standards, NYS DOH requirements, CMS requirements for reimbursement, Institute for Healthcare Improvement (IHI), Nursing Database of Nursing Quality Indicators (NDNQI), Core Measure Compliance and PI projects.   Quality Data Analysis and Management Participate in development of Nursing PI plan yearly Project Great House unit PI plan - assist administrative assistant in compiling data and reports for units. Help identify Project Great House benchmarks from National Database of Nursing Quality Indicators and other data. NDNQI fall data entry and review for trends on units Analyze and provide feedback of Pneumonia and Influenza vaccine failures for CAP Core Measure NYS Partners for Patient VTE and Fall data reporting Review, analyze and report Core Measure data for VTE, SCIP, and Immunizations for Patient Care Service indicators. Analyze Erroneous discharges, refer to managers to identify cause and counsel staff Compile and trend Incorrect Patient Identification Data (IPIDS) from MAK system for unit managers Review and analyze Alaris Smart Pump quarterly reports and run detail reports to identify issues review of Rapid Response and CPR calls and identification of “failure to rescue” Review Rapid Response Debriefing data and follow-up as indicated Review and analyze data from Nursing Chart audits, Clinical Systems reports and Quality Management report review to identify issues and trends that need to be researched and addressed   Committees, Councils, and Process Improvement Teams membership System Committees       System Nursing Practice Council     System Quality and Performance Improvement Committee     System team for SBAR standardization     High Risk Medication Team     Soarian Meaningful Use   Multidisciplinary Committees       MAK/Alaris steering committee – review MAK reports and Alaris reports for issues     Venous Thromboembolism team     Medication Safety Committee     Continuous Process Improvement Committee – report core measure for pneumonia and influenza     Committee for Quality and Value Analysis for medical/surgical products       Lean Six Sigma Medication Reconciliation Team     Lean Six Sigma Form Process Improvement Team     Lean Six Sigma Urinary Tract Infection Reduction Team     Lean Six Sigma Pain Reassessment Team     Lean Six Sigma Fall Team     Lean Six Sigma VTE Team     Lean Six Sigma SCIP Team     Rapid Turn around Team for Disposing of Wipes     Rapid Turn around  De-clutter Team   Nursing Councils/Committees       Nursing Leadership Council     Nursing Practice Council     Nursing Quality Council     Nursing Policy and Procedure Committee   Projects     SOARIAN electronic medical record     Member clinical documentation team     Nursing Advisory Council     Computerized Physician Order Entry team     Integrated testing     Education Team     SOARIAN Superuser   Alaris Smart Pump Implementation   Co- chair of Alaris Smart Pump Team (collaborated with vendors to set up sessions for nursing evaluation, worked with Patient Care Services team, Pharmacy and Purchasing to analyze pumps, tubing, and micro bore sets)   Helped coordinate education and implementation of the Alaris pumps October and November 2011.   Responsible for the ongoing review and evaluation of Alaris Guardrail compliance, Override reports, quarterly report analysis and benchmarking reports related to Alaris Pumps use at UHS.   System Policies developed with legal counsel and education written for policy implementation   UHS System Policy on Patient Bill of Rights UHS Patient Visitation Policy HIV Public Health Law Family Health Care Decisions Act     

Examples of Work/Projects

Certifications

Certifications

Nursing Hero

United Health Services
2009 - Present

Lean Six Sigma Expert

United Health Services
2010 - Present

Nursing Honor Society

Liberty University Nursing
1992 - 2013

Emergency Medical Technician

New York State Dept of Health