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JCMC Nursing Annual Report - Mountain States Health Alliance

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From the Chief <strong>Nursing</strong> Officer<br />

It is with great<br />

pleasure that I am<br />

writing to you as the<br />

chief nursing officer<br />

to acknowledge the<br />

nursing excellence<br />

evidenced at Johnson<br />

City Medical Center.<br />

Being the first hospital<br />

in Tennessee to<br />

achieve Magnet status<br />

and redesignation<br />

has provided us with an opportunity to focus on our<br />

success as a Magnet organization by “Celebrating the<br />

Strengths That <strong>Nursing</strong> Brings to Patient-Centered<br />

Care.” These strengths are the key to excellence and<br />

our overall success at Johnson City Medical Center<br />

( <strong>JCMC</strong>). The strengths cross all Magnet forces and<br />

provided the basis for our redesignation success and<br />

the evidence that our nursing staff is continuously<br />

identifying new ways to improve how patient care is<br />

delivered.<br />

The exemplars identified by the Magnet Site<br />

appraisers included our strategic plan to eliminate<br />

travel nurses with the onboarding of 120 new grads<br />

and the hiring of 10.6 FTEs of support in clinical<br />

resource nurses and educational roles to support<br />

the transition of the new grads. The projected cost<br />

savings for elimination of contract labor, an 84-hour<br />

cardiovascular option, an Emergency Department<br />

weekend staffing option, the use of i-choice<br />

scheduling options and nursing role definitions have<br />

been estimated at $7.2 million. We also exceeded<br />

Magnet expectations in disseminating quality<br />

data throughout the organization. Our personal<br />

Blueprint cards, based on our four pillars of quality,<br />

Magnet cited as an exemplar for communicating<br />

quality data to all team members. We exceeded<br />

Magnet expectations in providing adequate resources<br />

for consultation and access to nursing expertise to<br />

nurses at all levels in the organization and fiscal<br />

allocations for affiliated schools and colleges of<br />

nursing based on the identification of needs within<br />

the nursing program to meet the goals for health care<br />

in the region. They commended the examples offered<br />

that demonstrate how nurses are used in promotional<br />

materials, brochures, advertisements, newspaper<br />

articles, television and radio advertisements, direct<br />

mailings, educational booklets, pamphlets and<br />

community activities. <strong>JCMC</strong> was congratulated on<br />

providing resources that include tuition support,<br />

scholarships and flex time to attend school, and<br />

demonstrating support to nurses, financially, to<br />

attend different conferences or symposiums.<br />

With our Magnet redesignation, it will truly be<br />

a year to celebrate our excellence. ANCC honors<br />

all the newly designated and redesignated Magnet<br />

organizations at the National Magnet Conference<br />

each year. We look forward to receiving this honor<br />

at the 2010 ANCC National Magnet Conference<br />

in Phoenix, Oct. 13-15, 2010, at the Phoenix<br />

Convention Center.<br />

We also realized a successful Joint Commission<br />

survey and achieved, for a second time, the TNCPE<br />

Governor’s Award for Excellence.<br />

Over the past five years, our organization<br />

has made significant investments in improving<br />

recruitment and retention. RN recruitment, turnover<br />

and retention are now blueprint measures for the<br />

CNO and her nursing leaders. We now have 150<br />

students enrolled in our scholarship program who<br />

will be employed at the completion of their RN<br />

program. We are developing LPN to RN and LPN<br />

to BSN programs. We have also implemented a<br />

<strong>JCMC</strong> Nurse Retention Committee. With these new<br />

initiatives and dedicated resources, our recruitment<br />

numbers have shown an increase for this year.<br />

In addition, to recognize and financially reward<br />

excellence at the bedside, the “BEST” Nurse (Bedside<br />

Excellence Shining Through) Clinical Advancement<br />

Program at Johnson City Medical Center is the spirit<br />

and practice of caring for patients, families and the<br />

community through leadership, knowledge and<br />

compassion. We believe that nursing is both an art<br />

and a science incorporating multiple realms of care<br />

including the physical, developmental, emotional,<br />

social, psychological, cultural and spiritual. <strong>Nursing</strong><br />

2

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