Professional Advancement While Serving PAWS Professional Advancement While Serving

Descriptions White Level Black Level This is your new nurse In process of completing 1st year Successful evaluations by preceptors Has completed house-wide orientation, including AIDET, PFCC… Functions independently in role May be asked to be a preceptor Can take a charge role May be on committee or collecting data Attends educational opportunities to advance knowledge Working on BSN or certification

Descriptions GOLD Level STRIPES Level Seen as leader, often takes a charge role BSN with Certification Functions as a resource nurse Active participation in committees, collection of data, quality improvement Shares knowledge with others, preceptor, mentor Looks at unit/hospital issues for improvement Submits posters, specific education at unit levels, CED Seen as leader, takes a charge role BSN with Dual Certification or MSN/PhD with Certification Functions routinely as a resource nurse Leads committees, Participates in collection of data, quality improvement Shares knowledge with others, preceptor, mentor Looks at system issues for improvement Published, Provides education at system level for staff

STRIPES LEVEL GOLD LEVEL BLACK LEVEL WHITE LEVEL Each level builds on the next. You may fall into different categories i.e. a black level nurse may have some gold qualities and a gold level nurse may have some stripes qualities.

Example: White Level Able to identify recourses Has completed AIDET and PFCC training Able to identify culture of yes behaviors Has completed mandatory competencies Successful feedback from preceptors Compliant with bedside shift report, hourly rounding and nurse/physician rounding Asks for help appropriately Able to identify policies and protocols specific to practice Understands diversity needs of patient population Protects patient rights Completes all orientation feedback Maintains positive attitude Able to identify recourses Develops plan of care on admission Can find online and printed education Independent with power chart, documents appropriately and timely Participated as member of 2 focus PDSA projects Reviews articles relevant to practice Acquires 10 CEUs per year Participates in huddles Attends 80% of staff/committee meetings Shows engagement by attending Town Halls and other events Donates time to community (1 event per year)

Examples: black level Maintains enough CEUs to maintain certification Builds collaborative relationship with the team Function as preceptor Provides patient education and prepares for discharge Participates in unit committees or focus groups Attends daily huddles, rounding, team conferences Updates care plans to meet changing needs of patients Able to identify QI projects, patient satisfaction scores and understands where unit is at in performance improvement goals Maintains enough CEUs to maintain certification Seeks out learning opportunities Completes projects in a timely manner Member of a professional organization Coaches staff to manage up and demonstrates positive image

Examples Gold Level Preceptor and mentor Participates in hospital committees, improvement projects, looks for ways to initiate change Provides education to unit/hospital staff Participates in reviewing/developing policies and procedures Trainer (i.e. ACLS, CPI…) Looks for opportunities for improvement, collects data, recommends changes Resource to other staff or units BSN with certification Encourages and coaches staff Identifies ethical dilemmas and reports approriately Provides community education Volunteers at least 2 x year OR plans 1 event Holds office in local/regional organization

Examples Stripes Level Participates in system wide committees, improvement projects Provides system wide education System wide resource BSN with dual certification Masters or PhD Able to float to other facilities Floats as house manager as needed Develop system wide policies, process improvements… Committee chair Holds office at national level in professional organization Develops community activities, coaches others to plan events Fosters a professional communication with multidisciplinary team, able to coach others to meet expectations

Formatting your binder Start at beginning of year and add throughout so it is not overwhelming Exemplars just need to tell a story or “paint a picture” ½ page to 2 page max Identify patients by number i.e. patient # 3 / date and track with patient information (do not take home….must stay secure) Look for opportunities to “shine” you will find more than you realized. Some things you just take for granted as part of the job Brag on yourself Make copies of tiger cards, nominations, complimentary emails…. And put in book Track attendance to committee meetings, staff meetings…. Track CEUs, seminars Keep records of education done, objectives, material and sign up sheet, even if simple education to staff meeting, or bulletin board or formal Tag on letters of support i.e. identifying you as a project leader, resource, etc.

Formatting your binder Knowledge: explains the key qualities Action: shows how you can demonstrate that knowledge Measurement: is where you put the “meat” of what you do Give examples Tell a story (exemplar) Show attendance records When reviewing ASK YOURSELF: IS THIS NORMAL STANDARD OF CARE? IS THIS WHAT I WOULD EXPECT A NURSE CARING FOR A PATIENT TO DO? If the answer is yes….it is not GOLD or STRIPES

REmember It is way easier to do a little a time rather than trying to remember later!