1. Lead, Empower & Transform My Journey Gloria N. Martinez, MS, RN, NEA-BC, VHA-CM Associate Director Patient Care Service/Nursing Services VA Palo Alto Health Care System Philippine Nurses Association of Northern California 1

2. Nursing Practice Act NURSING PRACTICE ACT Practice of Nursing: “Nursing is a dynamic field, the practice of which is continually evolving to include more sophisticated patient care activities. It is the legislative intent also to recognize the existence of overlapping functions between physicians and registered nurses to permit additional sharing functions within organize health care systems that provide for collaboration between physicians and registered nurses.” 2

3. UPDATED FLORENCE NIGHTINGALE PLEDGE UPDATED FLORENCE NIGHTINGALE PLEDGE As I enter the nursing profession I pledge to: Use all knowledge, skills and understanding that I possess when providing professional nursing care. Deliver nursing care non-judgmentally and to all those who require it, to the best of my ability. Refrain from any action which might be harmful to the quality of life or health of those I care for. Refrain from any action which might be harmful to the quality of life or health of those I care for. Treat each client with respect. Hold in professional confidence all the personal information entrusted to me. Hold in professional confidence all the personal information entrusted to me. Keep my professional knowledge and skills at the highest level. Give my support and cooperation to all members of the health care team. And maintain my nursing practice in accordance with the professional nursing standards required for my profession. And maintain my nursing practice in accordance with the professional nursing standards required for my profession. www.registered nurse canada.com 3

4. Have An Interest Inquiry o Know a Contact (Aunt) o Family Support o Family Expectations o Self Expectations  High School/Weekend  Candy Striper 4

5. Sacrifices Family Sacrifices Self Sacrifices  NA  Ward Clerk  Tele Tech 5

6. Current State 6

7. Risk Taker Confidence – Self Confidence Of Others 7

8. Build Work State 8

9. Successful Completion Competent  New Grad  SICU/Trauma 9

10. Outcomes Credible Finish School Motivation – Goal Oriented UCSF Bold Move Family Support Hard Time 10

11. Professional Identity Florence Nightingale Vision Proficient! Current State → Future State Confidence Interest Commit to Administration Big Picture! 11

12. Ideal State 12

13. Characteristics of a Profession UNIQUE KNOWLEDGE PEER REVIEW EDUCATION SERVICE - COMMUNITY 13

14. “Most of all, know what you are talking about” “It is definitely not too late to start today” Florence Nightingale 14

15.  Your Blind Spots  Self Over estimating your strategic capabilities Valuing begin right over being effective Failing to balance the what with the how Believing that rules don’t apply to you Thinking the past is the past  Team Failing to focus on the vital few Taking your team model for granted Over rating the talent for granted Avoiding the tough conversations Trusting the wrong individuals Not developing a successor  Agency Failing to capture the hearts and minds Losing touch with the front Treating opinion as fact Putting personal ambition ahead of the organizations best interest.  Market Clinging to the status quo 15

16. The C’s  Competent  Confident  Credible 16

17. 7 Habits of Highly Successful Nurses 1.They Pay Attention to Detail 2.They Don’t Take Shortcuts 3.They Never Rush 4.They Never Stop Learning 5.They Dress for Success 6.They are Timely 7.They Volunteer 17

18. Just doing my job… Clinical Expert Advocate Teacher Mentor Problem Solver Compassionate Care Provider Saving a life Relieving a pain Comforting the Heart Leaving an Impact 18

19. WE CAN - Do Build WE MUST: Lead Change Grow Listen Act Care Challenge Teach 19

20. We All SHARE: Governance Accountability Responsibility Ownership 20

21. “Fail fast, Fail often, Succeed and Move on” 21

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