1. Professional Advancement Model for Nurses Office of Clinical Practice & Professional Development professional-advancement@umm.edu. Copyright 2009

2. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 2 Brief Background Professional Practice Partnership in effect for the past 15 years without significant change Professional Practice Partnership in effect for the past 15 years without significant change Nurses’ feedback indicated they were interested on more opportunities for professional growth and advancement Nurses’ feedback indicated they were interested on more opportunities for professional growth and advancement A Design Team convened on November 2006 to design the Professional Advancement Model. The membership included 53 staff RNs (of varying experience, tenure, shift), and management (directors, and managers)

3. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 3 Purpose The role of the registered nurse is pivotal to the success of the relationship-based care model and forms the foundation of the Professional Advancement Model. UMMC nurses: The role of the registered nurse is pivotal to the success of the relationship-based care model and forms the foundation of the Professional Advancement Model. UMMC nurses: Direct our practice through our governance structure.Direct our practice through our governance structure. Contribute to the development of the body of nursing knowledge through research, evidence-based practice, and performance improvement.Contribute to the development of the body of nursing knowledge through research, evidence-based practice, and performance improvement. Practice the art and science of nursing to the full extent of our licensure; and share our knowledge with patients, families, interdisciplinary colleagues and peers.Practice the art and science of nursing to the full extent of our licensure; and share our knowledge with patients, families, interdisciplinary colleagues and peers. The model provides opportunities for advancement through nurses’ contributions to patient care, nursing practice, and the profession of nursing. The model provides opportunities for advancement through nurses’ contributions to patient care, nursing practice, and the profession of nursing.

4. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 4 Objectives ObjectivesPurpose Provide opportunity for nurses have choice to move beyond entry level role based on interest in professional development, and increasing responsibility and accountability for leading nursing practice and care delivery Provide opportunity for nurses have choice to move beyond entry level role based on interest in professional development, and increasing responsibility and accountability for leading nursing practice and care deliveryObjectives Enhance professional growth and developmentEnhance professional growth and development Provide recognition for professional contributionsProvide recognition for professional contributions Encourage involvement of bedside nurses in decisions that support/enhance patient care outcomesEncourage involvement of bedside nurses in decisions that support/enhance patient care outcomes Provide motivation for direct care nurses to pursue higher education, certification and other professional achievementsProvide motivation for direct care nurses to pursue higher education, certification and other professional achievements Recruit & retain the highest caliber of nurses at UMMCRecruit & retain the highest caliber of nurses at UMMC

5. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 5 Elements of Each Role Nurses in all roles are expected to contribute in the following areas: Nurses in all roles are expected to contribute in the following areas: Clinical Practice and Care DeliveryClinical Practice and Care Delivery Professional DevelopmentProfessional Development Service Quality & SafetyService Quality & Safety Unit OperationsUnit Operations Criteria developed for each role that define performance expectations Criteria developed for each role that define performance expectations Advancement in the new model requires the nurse to meet defined criteria related to Clinical Practice, Professional Development, Safety, and Unit Operations. Advancement in the new model requires the nurse to meet defined criteria related to Clinical Practice, Professional Development, Safety, and Unit Operations.

6. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 6 New Roles and Job Titles New Title Clinical Nurse I Clinical Nurse I Clinical Nurse II Clinical Nurse II Senior Clinical Nurse I Senior Clinical Nurse I Senior Clinical Nurse II Senior Clinical Nurse II

7. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 7 Clinical Nurse I New grad or nurse with less than 12 months experience. Become competent in nursing practice and learn the institution. Begin participation in unit governance. Successfully pass the probationary period within 6 months.

8. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 8 Clinical Nurse II The minimum role for all nurses at UMMC with < 12 months experience. Practice and adhere to the guidelines specified in the UMMC Professional Nurse Role. Competent in the skills/knowledge required for all nurses beyond the entry level role. Full participation in unit governance.

9. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 9 Senior Clinical Nurse I This role is aimed for the nurse who is a clinical and professional leader at the unit level. Advances evidence based practices. Leads unit governance initiatives. Mentors others to achieve and grow in the role of the professional nurse.

10. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 10 Senior Clinical Nurse II Designed for the nurse who has achieved expertise and leadership in the clinical and professional role, within the unit and beyond. Leads and evaluates evidence based practice. Actively participates and/or leads organizational initiatives. Mentors and coaches nurses and other disciplines. Exemplifies the role of the professional nurse. Demonstrates active involvement in clinical & professional nursing beyond the walls of the unit and/or organization.

11. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 11 How Do I Apply? Clinical Nurse I may advance to Clinical Nurse II at end of probation, if fulfilling requirements Clinical Nurse I may advance to Clinical Nurse II at end of probation, if fulfilling requirements Decisions for CNII occur at the Manager’s level Decisions for CNII occur at the Manager’s level Applications for promotion to SCNI and SCN II are submitted to the Transition Team through the Office of Professional Development (S10B02) Applications for promotion to SCNI and SCN II are submitted to the Transition Team through the Office of Professional Development (S10B02) Submissions accepted every 3 months. Submissions accepted every 3 months.

12. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 12 Recommendations Read the role descriptions and criteria carefully Read the role descriptions and criteria carefully Complete the individual RN assessment tool to get a general idea of what role you qualify for Complete the individual RN assessment tool to get a general idea of what role you qualify for Meet with your manager or designee to discuss Meet with your manager or designee to discuss Start your nursing portfolio and application packet Start your nursing portfolio and application packet

13. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 13 New Opportunities for Everyone Membership in professional organizations Membership in professional organizations Continuing Education requirements (varies according to role) Continuing Education requirements (varies according to role) Recognition and rewards of participation and involvement at all levels (unit, organization, community) Recognition and rewards of participation and involvement at all levels (unit, organization, community)

14. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 14 Application Process Discussion with Manager Discussion with Manager Compose your portfolio Compose your portfolio Draft application packet Draft application packet Obtain letter of recommendation from manager and one peer review Obtain letter of recommendation from manager and one peer review Submit within timeline – opportunity to apply every 3 months. Submit within timeline – opportunity to apply every 3 months.

15. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 15 Transition Team The Team reviews applications for advancement to SCNI and SCNII roles and make recommendations The Team reviews applications for advancement to SCNI and SCNII roles and make recommendations Team members consist of Director, Managers, Clinical Nurses, Charge Nurses, CPPD Team members consist of Director, Managers, Clinical Nurses, Charge Nurses, CPPD Meets quarterly Meets quarterly RN not meeting the requirements of a role can re-apply as early as the next application period. RN not meeting the requirements of a role can re-apply as early as the next application period.

16. Copyright, 2009 University of Maryland Medical Center, Baltimore, MD. 16 For More Information If you have question about this model, contact: If you have question about this model, contact:professional-advancement@umm.edu.