Carry Your Candle...and Light the Way

The initial goal and purpose of this symposium was to develop a structured leadership class to prepare support charge nurses for the challenges they face in today\u27s healthcare environment. Using a transformational leadership framework aligned with the Professional Practice Model (PPM): The Compass, a content outline was developed for the charge nurse\u27s role. The focus was based on the charge nurse\u27s role using the following components: autonomy, accountability, critical thinking, crucial conversations, innovation, productivity, coaching and mentoring, healthy work environment principles and shared governance. This would ultimately optimize the Neuroscience/Spine Unit and Inpatient Rehabilitation Unit charge nurse\u27s professional function.https://digitalcommons.centracare.com/nursing_posters/1010/thumbnail.jp

St. Cloud Hospital Nursing Director Orientation and Mentorship Program

Develop and implement an evidence-based orientation and mentorship program for nursing directors using AONE’s Nursing Executive Competencies along with a structure curriculum.https://digitalcommons.centracare.com/nursing_posters/1104/thumbnail.jp

Development of Professionalism and Performance Accountability for Sustained FIM Accuracy Improvement

Purpose Rehabilitation nurses have essential responsibility for detailed Functional Independence Measure (FIM) documentation and accurate scoring. The goal of this performance improvement project was to improve individual FIM accuracy and establish and maintain a FIM accuracy standard. Methods This performance improvement project was implemented in a 20-bed CARF-accredited Midwestern acute care hospital inpatient rehabilitation unit. Findings Improved individual and overall RN FIM scoring accuracy, with increased length of stay and case mix index. Conclusions Concurrent FIM scoring and documentation review holds staff accountable and allows for timely revisions following discrepancy identification. Leadership supports for concurrent FIM audits, utilization of available technology, transparent reporting of results, and individual accountability lead to sustained improvement in FIM scoring accuracy. Clinical Relevance Accurate FIM documentation and scoring drive appropriate length of stay and case mix group assignment. Assessment competence enhances nursing engagement, confidence, and process accountability