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The f,*:?r to Nursi*g Ex**lleaee
Introducto$r Workshop
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Objectives
.
Define UEXCEL professional practice
Program
.
Discuss steps required for successful portfolio
submission
.
Describe key elements of portfolio including
documentation of projects, teaching
activities, narrative, resume, literature review
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Background: UEXCEL
.
UEXCEL is our Professional Practice Model and
Program
-
Credentials nurees to practice, provides program
stan&rds of practice to mify RNs across the hospital
services, serves as the criteria for performance
appraisals, and provides an opportunity for
advancement.
.
Studryds bcd on ANA Stmduds {or Clinical Nurs Pracice
-
Evidenebased practice and research re the foudation
{or professional nurse practice at UCH
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Background: UEXCEL
All clinical RNs are credentialed to practice
Advancement to Level III and Level fV are
by application and presentation ofportfolio
UEXCEL advancement offers opportunity
for promotion while remaining as clinical
nurse
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UEXCEL Professional Practice Program
.
Framework Benner's Novice to Expert (1984), based on
Dreyfus theory of skill acquisition.
.
Four lrvels:
-
Level L BSN prepared
Braduate
nurse resident
-
Level II: competent professional nurse
-
Level III: advanced proficient nurse
-
Level W: Expen pro{essional RN
.
Four cetegories of standards: Exemplary Professional Practice,
Transform"ational Leadership, Structriral Empowerment, New
Krowledge and Innovation.-
.
Human Resources: Each level represents a distinct and seprate
job description, salary range md iew classification.
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UEXCEL Clinical Nurse Practice Roles
.
LEVELI
- Eatry level Adoanccd Beginno: *aduated from m accredired baccalaueare or
Mmers entn into oraoi& orosr;n. All newlv licensed RNs omicioate ia the
UHC/a.at(C Nurte Rsidi:n{ Progrm; hir6d irro hpaLieni. Peri-bpemti,e
& Emergency Senices.
.
LEYELII
-
Exoerienced clinicim who is Comoekn, to care for comolq oatieors. Work
collaborarirely oo.heahhcue temi, incorpo."to ,"r""..li rod1i[" Iong learning
Dro pmf,lce. pmcrpates rn quhty mrtHrrves.
.
LEVELIII
-
Adoarced, Pnliciert nutr clidcim, recosiad s leader in clinical uca. Tale.
nive role to iirprove petient outcomes, eiluetion. mryemeor. Promotes ufey
ud protesional'develcipmenq puicipais ir prolcsionrl-rcrivities ccniJied rr
sptrraliy.
.
LEVELIV
-
Demonstrates Frrd clinical skills. Reearded as clinical authoritv & resouree
witbin.the uit/sinice azl hospital. Signifi cant degree of
-resporisibiliry
&
leade_rsluPi afls as_meotor, resouce. Actrve m proleslotral orgmrAuoD:
ceftilied m specralty.
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What Does it Mean To Advance?
Adoancement dcmonstrates bersonal arbielement as a
Vrofessional
nurse; raisa the bar
for
prartice!
.
Valued by Manager /DirectorlHospital
-
Contract for protected time to reach goal.
,.
.,
.
Provides
professional growth
opoortunities: EBP and
Research projects add
"value
to
Sh,ice,hospital
.
Provides fiscal rewar& -abar,a?
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hr$,lth
.
Strengthens professional practice throuigh peef review
-
Peers contribute to performance apli;aisals
-
Write supporting letters for Leyels III &W applicants
-
Peer review of
pon{olios
with v6tins on aooroval or denial
of advancemeni, is core role of Uf>(CE,l Bbrd
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UEXCEL Advancement Rewards
.
Recognition
-
UEXCEL pin, unit recognition, UEXCEL
recognition ceremony, photo and name in the
Insilq
.
Fiscal
-
Regular RN status
.
kvel Itr - 4oi increae to bre pay in addition to exeeds
pay increae of 2.5o6
.
lrvel fV
-
79o increae to bae pay in addition to exceeds
pay increae of 2.5%
-
Flex RN status
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UEXCEL BOARD
' The UEXCEL Board is the soveming bodv for the UCH UEXCEL
progrm.
.
Q!4[:
clinical RN; cechair is a nursing director liaison
.
Commsition o[ Bord: 3] clirical ouss representirg bospiral clinical
uec; other members by related entities: HR, Educator, Nurse
Mmager, CNO/VP
.
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Meetings held month)y: clinical our*s comir ro J year
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Preparing for Advancemenr
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Tips for Success
.
Review UEXCEL standards
-
Read standards {or your mrent level
.
Klowwhat you oeedto be working on
.
Allow at le*t 6 months to prepare
.
Prepare to, yo,il"l-rrrtion
-
You must be Role Model status on you current level
performance appraisal in order to be eligible for
advancement
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Tirneiline,
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.
Select Cenified UEXCEL Advisor eaily on.
'
.
Submit Intsni tqCredentizlbyepril t iOt+
.,
Achieye Role Model Status ori p.'.fo.-rrr..
appraisal
July
2014
.
Submit portfolio, with supporring documentation,
by August 222014
-
Exemplary Professional Practice
-
Trmsformational Leadership
-
Structural Empowerment
-
New Klowledge, Innovations & Improvements
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Tips for Success
.
Plan ahead
-
S0ork consistently on you prcjects
-
Include activities that have taken place from
September 1,2013 thro;qghAugust 22,/0\4.
.
-
Maintain documentation of yow work
-
No last minute rushes; review timeline with your
mmager and cenified advisor
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Tips for Success
.
Submit independent and completed work
-
Documentation must reflect comoleted work, not future
Prdur
=:
-
ff work is part of a group proiect, your distinct
contribution should be presented usiog highlight, notes,
or &tails in htrodtrctory narrative
-
Do not submit a ponfolio with sections that xe urctly
t}e same as a colleague
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More Tips for Success
.
Choosing a certified advisor
-
You mav selecr a UEXCEL Board member who hm
credentiiled to thefevelE; aspile to, vrEo is cenified
-
You mav also *lect a IJCH nme m a cenified advisor.
who hr advarced to I'E?IEGII* mpire to reach
-
Other Resources: Educator/Manager Certified Advisor
-
Obtain advisor.coomitment sigtrtrre onthe Intmt to
Credential Applicdtian Forn
-
Make certain
your
advisor is listed on the UEXCEL
!(rebsite as a cirtified advisor!
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Tips for Success
.
Follow steps outlined in credentialing procedure
handout
.
Learn about ponfolio expectations
d(Aegrster
for the HealthStream Course titled UEXCEL:
Supporting and. Adaancing Yottr Naning Areer, Part I
and Pan ll. Submit cmificaus of complaion witb your
Irrtent to Credential Form- scan and send by Apil 1,
2014
-
Read descriptions/ask questions about the credentials
proadues
-
lVork
with your advisor on construction of the
portfolio
-
Be sure your advisor reviews your final portfolio
@@
submissionpertimeline
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Constructing Your Porrfolio
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Beseareh &
.
dinicTFsearch Gen ilg S unel ( I x par)
.
EB? Eootcaup (:x1tar)
.
EBP Bqarnd rlre Basics
{3xpa$
,
llrrwro ereate an atsnacr
Qx 3ea$
.
&rating a stu-rey(2spar)
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ftrot'to dislilar'6.s0 (2x pa$
.
Creating a poxer
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par aa,3 online}
.
Tltritirg ferPrrbli*atiol series
{lx,war)
.
JC8esearch
Memortnining
{a-:x
par}
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Portfolio O rganization
.
Use 3 ring binder (do not exceed 3")
.
Four sections with divider labels
-
Exemplary Professional Practice
-
Trmsformational Lea&rship
-
Structural Empowerment
-
New Knowledge, Innovations & Impro, vp,pnentg; ,
, ""
.
Typ" an introduction to each section
'
Inciuding a timeline is teirr4* :y.A;r*[
.
Follow directions in credentialing pacfet
.
kvel 4 oortfolios must be oresented in a
digital format rather than in a binder
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Portfolio Section: L
.
ExemplaryFrofessiofiatr?ractice
-
Pryfesional resume ,
-
Docmeqtatipp of education
.
Copy of BSN or RN to MSN diplom; additional education i{
youhaveachievedthis
-
.
Official rmscript wittr rchml seal showing coures you are
currently taking, if degree is not complered
-
You mm have pompleted BSN degre for Icvel IV
-
You mu* hre tohpleed anification if appllng for Inel IV.
Include dmmotation of ceriliction
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Portfolio Section: 1 (cont.)
.
Perfomance Appraisal
-Copy
of 2013-2014 appraisal
-Role
Model rating
o
Clinical Narrative
-Clinical
Judgment
& Intuirion shown by Refleoive
Prmice
-Mus
de*ribe you philosophy/valu; how you practice
these values
-Provide
amt cliniul wmple showi,ng how you
praoice bu advanced,/chrngid to reflecilevel iII or level
iv
-May
include additional letten if desired
Portfolio Section: 24
.
Transformational Leadership
-
Unit or Instirurional Proiecr(s)
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.
Kevlew exmPlg m pontollos
-
Policy and Procedure, Stmdards, Guidelines
.
Contributions to improving cue utilizing evidence-based
praaice; include literature reyiew or ab$ram ud citations of
rcurco including level of evidence
.
Exmples are provided in credentialiag portfolio
.
Follow institutional proedures for approval (eg PPPP Council,
internal approval per unit, Pt. Eduation Comice review,
Nursing Pncice Guidelines subcomminee, other)
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Ponfolio Section: 3
.
StructuralEmpowerment
-
PreceptorCenificate(ifapplicable)
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-
Include ertificate md evaluation form from thosc preepted
.
Level III: condwdng u imeruice, skills lab including coutent
developmef,t, conducting a CE, leading a joumal club or clinical
micle rwiev
.
Level W; condming u inserice, skills lab including content
development, conduaiag a CE, leading a journal club
-
Refcr to guidelina {or required supponing marerials
-
Optional
' Your CE record
.
comuityaaivities
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SUMMARY
.
Timeline
-
Aoose a certilied advisor
-
Submitlment to Credential Form with Certificate of
compledng UEXCEL Healihstream Modules I and tr
by Aoril 1. 2014
-
Work on activities/projects as part of achieving role
model rating on performance appraisal
-
Construct portfolio x you work on prcjects: put
papers as place holders in 3 ring binder
-
Rwi.eu work kequently /advisor, educator,
mentor
-
Submit ponfolio by August 22, 2014
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Portfolio Section:4
.
New Knowledge, Innovations & Improvements
-
You role leading a quality/outcome activity
.
Colloing data on a mit quality initiative,
-
FoculPDCA buines plm, chrer etc.
-
lndude audir forru md graphs when appropriare
.
Senirg on a Chmpion o[Cbuge tem e26dl*lXr.
,S]
-
Vhat did you do to uively improve outcomc or make a chmgel
-
Data md work mw go
lgBgj what is provided by chmpion
groups or Clinicd Excellene ud Patient Safery &pmment.
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.
Stop by Professional h.esources Depanment
ro request a poitfolio between O8OO-1700
Monday-Friday, Gprino 6fr floor.
'
-
Remember: you cannot coily anJ parts of these
notebooks,
just review ''
,
-
i:
iew Successful Portfolios!
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Questions?
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The Clinical Narrative
.
\flhy the UEXCEL Board values the clinical
narrative in the credentialing process
-
UEXCEL based on Benner's Nooice-to- Expert
tneory
-
The clinical narrative reflects the level (novice-to-
expert) at which the nurse practices
.
How does my practice look different ar Level II vs
Level IT[?
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\7hat is a Clinical Narrative?
.
Clinical
Judgment
& Intuition shown by
Narrative Storytelling
.
A personal story of a recent clinical situation that
helps others to understand your clinical judgment
and intuition
.
Describes your philosophy and values of nursing
practice and how you incorporate these into your
practice
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Clinical
Judgment
and Intuition
.
Responses to clinical situatioos are carried out in a
concerned, involved, and thoughtful manner
.
Deliberate, conscious critical thinkingthat defines
the competent nurse
.
An intuitive holistic response characteristic ofthe
proficient (advanced) and expert nurse
.
The "depth & breadth" of nursing practiced at a
higher level
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Choosing a "Story" to tell
.
A situation that stands out as exemplifying the quintessence
of good nursing practice
.
A memorable patient encounter that taught you something
about your practice
.
A situation where you cleady made a difference
.
An situation in which you care made a difference in patienr
outcome
.
An extraordinary or aqpical went
.
A particularly demanding patient care exmple
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The Clinical Narrative:
Helpful Hints
.
IJse your own words
.
Use'I" remember it is g'story"
.
Include personal thoughts & feelings
.
Maintain patient/peer confidentiality
.
Background information is useful in 'setting the stage"
.
Use clinical examples from the recent credentialing period
.
Include dialogue you had with the patient or others to
give a first hand account
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The Clinical Narrative:
Questions
to Ask Yourself
.
How did I interact with orhere significant to the patient?
.
$fhat questions cme to mind during my sessment of the
patient?
. rJ7hat
other health care team members did I collaborate with
in caring for this patient?
.
How did my (inter)actions effect others?
.
What might my colleagues learn about my nursing practice
when they read my clinical nrrative?
.
Does this nrrative rellect my mrrerit level of practice? How
is my practice as a Level III different thm it was m a Level II?
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Resoug;ces,
.
Benner, P. (2000). The wisdom of our practice. American
Iounal of Nursing, lOO(lO), b9-105.
.
.
Benner, P.,Tan..r, c., &'ch.rla, C- (1996i.
Expenise in
nursins praclice.
New York: Spi;Ag.; Ir"bl;r;fg'Eo
.
Dreyfu, H. & Dreyfus, S. (1986). Mind over machine, the
power
of human intuition md expertise in the era o{ the
computer. New York: The Free Press.
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Questions?
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\flhat is a Resume?
.
A first impression, don't underestimate it's
rmportance!
.
A tool to hiehlieht vour skills and
accomplishrient"s, sfrowing you are qualified for
a
Posrtron
or
Promotron
.
A well-rounded view of
you
as a
persor -
showinq work experience, educat'ion,
accomplishments] volunteer and community
actrvrtres
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Preparing to'S7rite Your Resume
lp'F'
.
Make lists of...
-Jobs
held
-
Skills acquired
-
Duties Performed
-
Schools attended
-
Honors received
-
Volunteer/Community activities
-
Committee involvement
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Resume Layout
.
Resumes are skimed in 2G 30 seconds be{ore {ully read
.
U* indentation, boldfacing, italics, capitaliation md
mderlining to emphsize peninent in{ormation
.
Divide information into clearly designated categories
.
Keep to a two-page maximum. May need to adjust margins,
font size.
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Information ro Include
-
Career objective
*
UEXCEL Creer Advmcemenr ro an Expen Level fV
RN in the Rehabilitation Unir
-
Education
-
highest level of degree only
-
\U7ork
History (most recent first)
-
Presentations, publications, proiect
rnvolvement
-
Certifications
-
Professional memberships
-
Committee involvement
-
Volunteer/Community activities
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R.r.r*. Do's
.
Leadwith
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"Led"'Implemented" "Mmaged"'Exeoted'
.
IJse power lmguage like 'career accomplishments"
instead o{ "responsibilities included"
"Provide quality patient cue."
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?rovide grimary crc ro 4 - 5 onhopedic. burn md po*-surgery
,-
parlents.
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.
Spell out acronlm (CPAN
- Certified PeriAnesthesia Nuree)
.
Focu on you differentiator. Vrhat mahes you stmd out from the
crowd)
.
Include "PAR" statements (problem- action- result)
-
Utilized rurent widene to revise outdated dialysis patient
education materials md oeated a more comprehemire md
user ftiendly takehome pmphlet
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.
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Resume Don'ts
.
Include perrcnal in{o - age, ruial stam, mial wty #
.
Ur distraoiag foor, colors, picuo, mork
-
[.ep ir cleu!
.
Ur sophirieed pre-fomaued resme progrm _
rwiewer mev oor
Dave @pabrLry ro olm rt elcrcnicdly.- MS\[ord is mm comrion.
.
Wrir io pargraph fom- avoid loog numives
.
Make spelliag or g.marical errore
.
Ifamrdown or ove sim. plify your accomplishm:nts
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Questions?
2012 UEXCEL INI III and IV Credetizlzd Ntlm
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Additional Resources
UEXCEL Board memben
m.bc.edu/off ices,/careers/skills/reswes
m.vpul.upem.edu/cilee6eruics/nusing/resme,hr
nn
GOOD LUCK!
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