2012 MAGNET UPDATE. Recognizing Nursing Excellence. Special Section

Transcription

1 2012 MAGNET UPDATE Recognizing Nursing Excellence Special Section

2 MAGNET PROFILES UPDATE Compelling reasons to seek ANCC Magnet Recognition Welcome to our special Magnet Update section. In these pages, you ll find out how organizations are enacting Magnet principles. If your organization isn t yet a Magnet facility, consider these top 10 reasons for seeking Magnet recognition: 10. Boosts organizational pride 9. Increases nurses professionalism 8. Improves nurse retention and attracts top talent 7. Engages coworkers to collaborate for efficient and effective care 6. Fosters appreciation for everyone s role in the patient experience 5. Reinforces the standards of nursing practice 4. Advances evidence-based practice and allows sharing of best practices 3. Taps innovative ideas of nurses on the front lines 2. Highlights nursing s essential role in improving the safety and quality of care 1. Demonstrates a commitment to better patient outcomes through nursing excellence We hope the articles in this section encourage you to apply for Magnet recognition. If your facility has already earned Magnet recognition, we think you'll find these articles useful as you promote a culture of collaboration and positive outcomes. Pamela F. Cipriano, PhD, RN, FAAN, NEA-BC Editor-in-Chief You better. As one of the region s leading Magnet hospital systems, we re committed to providing you with the resources, support and opportunities you need to deliver better healthcare. But that s just the beginning! Explore These Opportunities For RNs! Enjoy work-life balance, unit and ongoing education, and on-site child care. To apply, please visit: at UNC Health Care Find Career Opportunities in Chapel Hill, NC An equal opportunity employer. 42 American Nurse Today Volume 7, Number 3

3 Recession, reform, redesignation oh my! Find out how to energize staff for Magnet redesignation in challenging times. By Carolyn Ramwell, MSN, RN; Jean Blankenship, MSN, RN, PHCNS BC, CDE; and Mary Wolfe, AAS, RN MAGNET UPDATE Nurses have built on the legacy of past decades to become empowered, collaborative, outcome-oriented healthcare team members. Every nursing generation has had champions who ve embodied a new nursing paradigm. In this young century, the champion isn t a single person or symbol but individual nurses at each bedside, hospital, home, or clinic who embody the values of Magnet excellence. Today s healthcare environment and economic climate pose unique challenges. In the current somber reality, how can we infuse staff with the optimism and pride of the Magnet journey? How do we excite and invigorate nursing colleagues? Is the cheer leading of the past appropriate? Quality outcomes, evidence-based practice, and shared decision making When the Magnet Champion Committee at Martha Jefferson Hospital in Charlottesville, Virginia, faced these questions during our 2011 Magnet redesignation drive, we came up with creative solutions. Our Magnet champions became grounded for the redesignation journey by focusing on nurse-driven quality outcomes, evidence-based practice, staff empowerment, and opportunities for kindness and gratitude. We celebrated organizational outcomes for patient satisfaction and patient falls and pressure-ulcer prevention, validating nurses power to significantly improve patient outcomes. Use of data from the National Database of Nursing Quality Indicators for annual nurse satisfaction provided opportunities for national benchmarking and collaborative recognition at the unit level. Our shared governance (SG) councils demonstrate leadership and empowerment through advancing evidence-based practice, committing to professional development, adopting new knowledge, and taking responsibility for quality outcomes. This enculturated SG model says loudly to each nurse, We are our own heroes who define our practice and own our outcomes through quality improvement, leadership, and collaborative practice. The pride nurses showed at our Magnet site visit when they shared stories of nurse-led practice changes spoke to the success of our SG model. Small issues can be vitally important to staff, and favorable resolution can dramatically affect their work satisfaction. For example, a change in emergency-department policy allowed staff to have covered beverages at their work stations a huge satisfier in a fast-paced environment where hydration is important and breaks are unpredictable. Monthly electronic dashboards provide nursesensitive quality-indicator measures as well as patient, physician, and nurse satisfaction data. Data are reviewed at unit and hospital-wide SG council meetings and staff meetings. Magnet champions have raised staff awareness of unit-level data and involved staff in actions to maintain or improve outcomes. We celebrate excellent performance at staff meetings, SG council meetings, and Magnet champion meetings. Nurses have ownership of the information, as their dashboards directly reflect their unit s practice. Effective redesignation strategies Enculturation of a shared decision-making model is essential for success. SG council members and Magnet champions supported our Magnet redesignation journey by participating in multidisciplinary focus groups to gather evidence for redesignation documents. Champions used creative strategies to engage staff across all shifts in preparing for Magnet appraiser site visits through information exchange using games, posters, brown-bag lunches, and celebration of Magnet moments at staff meetings, on intranet web pages, and at shift-change huddles. With minimal impact on unit budgets, small gifts and food items, Wordles (text rearranged into a visual pattern) from our Magnet document, and unit-level scrapbooks filled with examples of nursing excellence helped staff celebrate redesignation. Magnet champions communicated information to staff to ease anxieties about the site visit. Mag- March 2012 American Nurse Today 43

4 MAGNET UPDATE Carilion Clinic 1906 Belleview Avenue Roanoke, VA Dana Johnson Level 1 trauma center. Aspire to be among the best. Carilion nurses are Committed to finding better ways to improve the health of the communities we serve. Thriving in an empowered practice environment that is guided by transformational leaders. Dedicated to the professional development and advancement of nurses as expert practitioners, researchers, teachers, and mentors. Respected and rewarded for the work they do within the hospital and among many communities in southwest Virginia. Actively engaged in interdisciplinary evidence-based initiatives that improve patient care and safety using the most advanced technologies and innovative strategies. Carilion Clinic is an Equal Employment Opportunity/Affirmative Action Employer. Children s National Medical Center 111 Michigan Ave, NW Washington, DC Sharon Livingston, MA, BSN, RN slivings@childrensnational.org Beds Level IIIC NICU; Level I pediatric trauma center; Critical Care Transport Teams; Magnet recognized facility; NICU, CICU & PICU received Beacon Award for Critical Care Excellence; Regional referral center for cancer, cardiac, orthopaedic surgery, neurology, and neurosurgery. Children s National Medical Center, located in Washington, D.C., is a proven leader in the development of innovative new treatments for childhood illness and injury. For more information about Children s National Medical Center, visit Cleveland Clinic: Main Campus & Fairview Hospital 9500 Euclid Ave., Cleveland, OH Katie Cwalinski kcwalins@ccf.org clevelandclinic.jobs Cleveland Clinic is ranked as one of the nation s top four hospitals by U.S.News & World Report. Both our Main Campus and Fairview Hospital have achieved Magnet Status. Visit clevelandclinic.org for more information. MedStar Franklin Square Medical Center 9000 Franklin Square Drive Baltimore, MD medstarfranklin.org Michael Clancy michael.clancy@medstar.net 400 Beds (all private rooms) MedStar Franklin Square is a community teaching hospital in eastern Baltimore County. We offer a broad range of healthcare specialties, advanced technologies and treatments. We are accredited by the Joint Commission, Primary Stroke Center certified and Magnet designated, as well as the recipient of numerous local and national quality awards. We are a member of MedStar Health, the region s largest integrated health system, repeatedly named a Best Place to Work. Mary Washington Healthcare 2300 Fall Hill Ave., Suite 207 Fredericksburg, VA Darla Burton darla.burton@mwhc.com Beds: Fredericksburg, 437; Stafford, 100 Mary Washington Healthcare consists of two leading hospitals and 28 facilities and wellness services including the Human Motion Institute, Neuroscience Center, Regional Cancer Center, Virginia Heart & Vascular Institute and Women s Health Institute. Magnet facilities outperform other hospitals in both recruiting and retaining nursing professionals, resulting in higher employee satisfaction and lower staff turnover National Magnet Conference will be held October in Los Angeles, California. UNC Health Care 101 Manning Drive Chapel Hill, NC or NURSE (toll-free) Nurse Employment Office Beds Beacon Award for Critical Care Excellence American Association of Critical Care Nurses. Our Cardiothoracic Intensive Care Unit was a recipient in 2008, 2010 and our Cardiac Intensive Care Unit received the award in American Nurse Today Volume 7, Number 3

5 net preparation was added to unit-level and hospital meetings as a standing agenda item. Redesignation documents were posted on the hospital intranet for staff to read. Magnet champions identified parts of the documents where their units were recognized, and highlighted these stories for staff. Champions and others in the organization were encouraged to submit abstracts to the National Magnet Conference as a way to share and celebrate organizational successes. A nursing endowment gift allowed all interested Magnet champions to attend the conference celebrating our redesignation. Accepted authors for podium or poster presentations got organizational support to attend the conference. As a low-cost, high-benefit strategy, we collaborated on a mock survey in April 2011 with another Virginia Magnet hospital applying for redesignation at the same time. During this visit, two nurse leaders appraised our staff as a Magnet surveyor would, providing an outsider s objective look at our organization. Staff nurses responded positively to the process. They began to see the mock survey as an opportunity to be recognized for the care they deliver. The mock survey also guided Evaluating Magnet redesignation preparation After the Magnet appraisers site visit, nursing staff were asked to complete a survey (n = 77) to evaluate the effectiveness of our redesignation preparation process. Here are the nurses top five responses to the question Which of these activities was most helpful in preparing you for our Magnet redesignation site visit? : Active participation on a committee, team, or shared governance council Preparation activities by Magnet champions Formal prep sessions with the Magnet coordinator, Magnet program director, or Magnet steering committee Information provided at unit-level staff meetings Mock site visit in April 2011 with support from Virginia Magnet Consortium colleagues our champions to focus on discussion of unit-level data and highlight work-design changes that have boosted nurse satisfaction. The mock survey helped staff view the site visit as a chance to showcase their excellence in nursing practice. More on Magnet champions Magnet champions were chosen for their demonstrated enthusiasm and dedication to nursing. MAGNET UPDATE KEVIN Registered Nurse WE VE BUILT OUR REPUTATION AS AN EXCELLENT EMPLOYER, ONE PERSON AT A TIME. The benefits of working as a nurse at VCU Health System are clear. We re a Magnet hospital the first in Richmond to achieve this prestigious designation and the first to gain re-designation, a seven-time Working Mother magazine 100 Best Company, a 2011 Richmond Employer of Choice and a recipient of the 2011 Alfred P. Sloan Award for Workplace Flexibility. As a great place for work/life balance, we provide child and elder care, flexible work options, extensive medical benefits, competitive pay and pre-paid tuition. Everything you need for a wonderful nursing career can be found here at VCUHS. Discover all that VCU Health System has to offer at What s it like at the top? You can fi nd out at Cleveland Clinic, consistently rated by U.S.News and World Report as one of the best hospitals in the country. Cleveland Clinic is a great career choice for nursing professionals who know that where they practice is often as important as how they practice. Be a world class caregiver. clevelandclinic.org/ant EOE/AA. Women, minorities, veterans and persons with disabilities are encouraged to apply. We are proud to be an equal opportunity employer. Smoke-free/drug-free environment. March 2012 American Nurse Today 45

6 MAGNET UPDATE Experience first-hand the difference Magnet Designation makes Nurses at MedStar Franklin Square Medical Center in Baltimore, Maryland are proud to deliver excellence in patient care worthy of the nation s most prestigious honor - Magnet Recognition. We thrive in a shared decisionmaking environment where our voice is heard at every level of the organization. We forge strong interdisciplinary partnerships to meet the unique needs of each patient entrusted to our care. Join us and experience first-hand our commitment to excellence and the difference YOU can make at MedStar Franklin Square. Champion meetings focused on celebrating the commitment to high-quality nursing care and helping champions spread their enthusiasm across their units. Monthly meetings gave champions opportunities to share with others the ideas that worked on their units, as well as to create props (chocolate kisses, magnets for lockers, lapel pins, flash cards, Jeopardy games, and bulletin boards) to help them celebrate Magnet redesignation throughout the organization. Magnet champion strategies varied from unit to unit but shared a common theme. Champions were responsible for developing and finding creative ways to share the theme for our Magnet journey. A schematic depiction of the Journey to Magnet Excellence was turned into a jigsaw puzzle in a family waiting room to share our journey with our community. In October 2011, champions decorated pumpkins for their units that served as icebreakers for Magnet discussions where nurses shared their stories. Stories were collected for bulletin boards, photo albums, scrapbooks, and posters. Magnet Moments became part of our shift-change huddles. Our champions focused on practicing gratitude, being creative, and remembering to find joy in the journey. To avoid Magnet fatigue, overstimulation, and message overload, our champions shared information in succinct communications. They alternated communication methods, including s, bulletin boards, scrapbook updates, and face-to-face conversations. During a particularly busy month, they took a formal communication break. One champion described our Magnet journey as a progressive dinner that would take time, rather than a Thanksgiving feast we would prepare and eat all at once. (See Evaluating Magnet redesignation preparation.) Cost-effective and successful We spent about $10,000 less preparing for our Magnet redesignation site visit than we did for our initial Magnet designation site visit. The real measure of our success came on July 21, 2011, when we found out we d achieved Magnet redesignation. The true value in our redesignation is knowing that our organizational commitment to excellence remains a priority despite healthcare complexities, the economic downturn, and competing priorities. A passion for excellence is our true north and Magnet is the compass that guides our journey phone medstarfranklin.org/nursing The authors work at Martha Jefferson Hospital in Charlottesville, Virginia. Carolyn Ramwell is a clinical nurse in the free-standing emergency department and a member of the adjunct faculty at the University of Phoenix. Jean Blankenship is the Magnet coordinator. Mary Wolfe is a clinical nurse IV and shift coordinator in the free-standing emergency department. 46 American Nurse Today Volume 7, Number 3

7 Breaking competitive barriers: The Colorado Magnet Collaborative Through a regional collaborative, Magnet Program Directors achieve more together than any one director could achieve alone. MAGNET UPDATE By Danielle H. Schloffman, MSN, RN, NE-BC; Jeanine M. Rundquist, MSN, RN, CRRN; Kathleen A. Bradley, DNPc, RN, NEA-BC; Zachary D. Mueller, DNP, RN, NEA-BC; Donna D. Poduska, MS, RN, NE-BC, NEA-BC; and Meredith C. Taylor, BSN, RN, OCN Magnet organizations have been shown to deliver exceptional patient care and outcomes and to demonstrate a culture of patient safety and collaborative work environments. Each individual Magnet organization is strong, but a group of Magnet organizations working together as a collaborative can have an even greater influence on the work environment and patient experience. The Colorado Magnet Program Director (MPD) Collaborative consists of eight diverse Magnet organizations, including an acute rehabilitation hospital, a pediatric hospital, an academic medical center, and five community-based hospitals. Magnet organizations are expected to mentor other organizations. Through this collaborative, we share best practices with peer Magnet and non-magnet organizations, nurture professional nursing in our state, and improve healthcare outcomes for our communities. Collaborative benefits Partnering as a group of exceptional healthcare organizations brings benefits yet it can pose challenges. Most of the organizations in our collaborative are part of their own separate health systems, meaning they compete with each other. Nonetheless, we ve been able to put competitiveness aside and break down the barriers between us. The Magnet Recognition Program gives member organizations a shared purpose that serves as the platform to build relationships among the MPDs in each program. Formalizing our relationship into a collaborative partnership brings even greater achievements. The MPD role can be lonely; other professionals in the organization may have difficulty understanding the demands and complexities of the MPD role. The collaborative allows MPDs to connect with peers who can provide emotional support, consultation, and advice. Equally crucial, it allows MPDs to share innovations that enhance their own organizations and patient care. Other benefits of the collaborative include helping each other interpret Magnet standards and expectations and helping each other prepare for document submission, Magnet appraiser site visits, and post-appraisal debriefings. We accomplish these goals by meeting quarterly, alternating sites. Joint events To meet Magnet expectations, each member organization in the collaborative already was mentoring aspiring Magnet organizations at the local, state, and national levels. In August 2010, we held a joint event to mentor other Colorado organizations; invitations had been ed to all chief nursing officers (CNOs) and MPDs in the state. The agenda included assessing readiness for the Magnet journey, the MPD s role, Magnet document preparation, and challenges and barriers. More than 50 professionals representing 26 organizations attended. Evaluations were positive. Here s a sampling: Most useful program for Magnet journey to date and I enjoyed the collaboration of the various (Magnet) hospitals. This feedback motivated us to continue the tradition. We used comments from these evaluations to build the agenda for our next event in August We expanded the joint session to encompass a full 8-hour day. Again, all Colorado CNOs and MPDs were invited. Registrants came from 27 organizations; more than 100 people attended. Some organizations brought their entire leadership team, including several interdisciplinary team members. Based on feedback from our first event, we added a review of the Magnet Model Components, along with other topics, such as keys to staff engagement and preparing staff for the site visit. Also, we provided a CNO panel, which gave attendees insight into the CNO s perspective of the Magnet journey and offered a question-answer forum. Like the first event, this one offered continuing-education credit hours. March 2012 American Nurse Today 47

8 MAGNET UPDATE While evaluation feedback from this event was positive overall, the responses reflected varying levels of knowledge about the Magnet Model Components and the Magnet journey. For 2012, the challenge is to meet the needs of a diverse audience and address the wide range of Magnet-related knowledge. Mock site visits One of the most stressful times for an MPD is the Magnet appraiser site visit. To help prepare staff for anticipated questions and build confidence in their interactions with appraisers, our collaborative held mock site visits. These visits, conducted by the various MPDs, were designed to emulate an actual site visit. They were scheduled 4 to 6 weeks before the actual appraiser visit to give ample time for improvements and staff education, if necessary. To prepare for the visits, the collaborative developed a list of 60 questions. Each organization chose mandatory questions to ask staff during the mock visit, based on gap analysis. The mock appraisers (Colorado MPDs) were escorted by staff members from the host organization, who would later escort Magnet appraisers for the actual site visit. The appraisers completed 20- to 30-minute visits of each area. Staff escorts and mock appraisers took notes of findings and recommendations. The mock visits took 4 to 5 hours. Afterward, debriefings were held with Magnet teams and nursing leaders to share strengths, vulnerabilities, and opportunities for improvement. Each MPD was expected to maintain professionalism and confidentiality during and after mock site visits. Sharing information, ideas, and educational tools Our collaborative has broken through the competitive barriers between us by sharing information, ideas, and educational tools and by offering feedback. Members share ideas to inspire staff in the continuing Magnet journey. Innovation and creativity are essential to promoting staff engagement. MPDs feel ownership for this creativity. For example, one organization completed an educational tool for staff before the site visit. This pocket-sized guide, organized according to the Magnet model, listed important elements of the organization s Magnet application. The idea was shared in the collaborative and used as a template for future site visits by all member organizations. Other shared ideas include a Magnet fair involving games, word puzzles, poster competitions, door prizes, physician information sheets, samples of electronic and written communication, unit-specific toolkits, MPD/CNO open forums, weekly huddles for Magnet teams, and targeted committee preparation. Reaching beyond the collaborative Our collaborative has established community part- Connecting To What Really Matters: Patients and Families Children s National Medical Center is designated as a Magnet * Hospital. Our dedicated Professional Registered Nurses have earned this designation because of their exemplary care and outcomes. Our nurses acknowledge that their practice allows the special gift to enter sacred spaces between children and their families. This relationship is part of a precious circle where trust is implicit and where professional nurses are part of the patient and family s joys and challenges. We are proud to be a Magnet Hospital: Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovations, and Improvements; and Empirical Outcomes. For additional information, please visit: eoe, m/f/d/v *Magnet status is granted by the American Nurses Credentialing Center, the world s largest nurse credentialing organization and a subsidiary of the American Nurses Association (ANA). The Magnet Recognition Program, ANCC Magnet Recognition, Magnet, National Magnet Conference names and logos are registered trademarks of the American Nurses Credentialing Center. Journey to Magnet Excellence TM is a trademark of the American Nurses Credentialing Center. All rights reserved. 48 American Nurse Today Volume 7, Number 3

9 Tangible take-aways Tangible take-away points from the Colorado Magnet Program Director Collaborative include professional practice models, clinical innovations, evidence-based practice models, leadership structures, educational tools, guest presentations, and marketing materials. ners by reaching out to home care agencies, senior care facilities, ambulatory settings, academic institutions, and professional organizations. Members of our collaborative act as content experts to provide education about the Magnet journey and achieving Magnet recognition. MPDs also partner with local universities to expose nursing students to the Magnet culture. We partner with each other as a speaker s bureau on Magnet-related topics, acting as consultants to support organizations in the collaborative and beyond. We also have cohosted visitors from London, Switzerland, Australia, and Lebanon, serving as mentors for their organizations in their own pursuit of Magnet recognition. Reaping the benefits Colorado MPD Collaborative members have found the benefits of being in the collaborative far outweigh the challenges. (See Tangible take-aways.) MPDs have a unique perspective, focusing on promoting professionalism and advancing nursing practice. The collaborative provides the support and relationships needed to achieve these tangible outcomes. Our plans include developing a formal charter, connecting with the Colorado Hospital Association and Colorado Organization of Nurse Leaders, and developing a collaborative for MPDs on the Magnet journey. Partnering with state organizations will give our collaborative greater reach in promoting the future of nursing through the Magnet framework. We ve found that collaborating has immeasurable value. Together, we can achieve more than any one MPD could achieve alone. Looking for a bigger and brighter future? We are expanding our team of experienced cardiac RNs at the Winchester Medical Center, our award-winning 445-bed Magnet facility within Valley Health. Our unprecedented $160 million expansion project is nearly completed, and our stunning North Tower now includes 48 new state-of-the-art critical care beds... and soon also a new 16-bed step-down unit. Our CVSICU is a proud recipient of the BEACON AWARD, so you can be certain that you will be among the best of the best in critical care nursing today. We are the only Level II Trauma Center and Certifi ed Chest Pain Center with PCI in the region and the only Acute Heart Failure Accredited Facility in Virginia. Managing heart disease is an absolute priority here at the Winchester Medical Center. Urgent, newly emerging and chronic heart conditions are expertly diagnosed and treated utilizing evidence-based practice guidelines by our highly qualifi ed and compassionate staff. In short, we offer the perfect environment for cardiac RNs to thrive. ASK ABOUT OUR $5,000 SIGN-ON BONUS! UP TO $3,000 FOR RELOCATION! WINCHESTER MEDICAL CENTER RN OPPORTUNITIES HEART & VASCULAR CENTER CLINICAL NURSE SPECIALISTS CRITICAL CARE UNITS STAFF RNS SURGICAL TELEMETRY STEP-DOWN RN INTERNSHIP PROGRAM TELEMETRY MONITORING SUPERVISING RNS We re looking for RNs with a dedication to excellence that matches our own. Valley Health is just 70 miles from Washington, D.C., yet removed from the day-to-day hassles of today s busy metropolitan areas. We offer competitive salaries and a dynamic professional practice ladder program. Our benefi ts are comprehensive and include up to 100% in tuition and textbook reimbursement to further advance your degree. To review all currently available openings, visit Apply online and be given immediate consideration for the opportunity to join our incredible team of Magnet nurses! MAGNET UPDATE Selected references Visit for a list of selected references. Danielle H. Schloffman is a Magnet Program Director at University of Colorado Hospital in Aurora, Colorado. Jeanine M. Rundquist is a Magnet Program Director at Children s Hospital Colorado in Aurora, Colorado. Kathleen A. Bradley is a Director of Performance, Practice and Innovation and Magnet Program Director at Porter Adventist Hospital in Denver, Colorado. Zachary D. Mueller is a Vice President of Nursing & Associate Chief Nursing Officer (CNO) at Medical City Dallas Hospital & Medical City Children s Hospital in Dallas, Texas. Donna D. Poduska is a CNO at Poudre Valley Hospital in Fort Collins, Colorado. Meredith C. Taylor is a Director of Professional Practice at North Colorado Medical Center in Greeley, Colorado. We would like to acknowledge newer members of the Colorado MPD Collaborative, including Barbara Ochsner, MSN, RN-BC; Lisa Shelton, MSN, RN, CRRN; and Jane Jostes-Wanek, MSN, RN-BC. Office of Nurse Recruitment Valley Health 1840 Amherst Street Winchester, VA EOE March 2012 American Nurse Today 49

10 MAGNET UPDATE Winchester Medical Center 1840 Amherst Street Winchester, VA Sharyn Gaither Director of Nurse Recruitment Beds These are exciting times at the Winchester Medical Center! We have nearly completed our unprecedented $160 million expansion project to allow us to better meet the needs of our growing community. In addition to being a Magnet Facility and a CVSICU BEACON Award Winner, Winchester Medical Center is also the only Level II Trauma Center, Nationally Certified Chest Pain Center with PCI, and Advanced Primary Stroke Center in the region. Our non-profit hospital serves as a quality comprehensive healthcare resource for the more than 400,000 residents throughout Virginia s northern Shenandoah Valley, neighboring West Virginia, and Maryland. VCU Health System 1250 E. Marshall Street Richmond, VA Gale Rose grose@mcvh-vcu.edu 779 Beds Level 1 Trauma Center; over 200 Specialty areas, to include Hume-Lee Transplant Center, Stroke Center, Massey Cancer Center, Harold F. Young Neurosurgical Center, Evans-Haynes Burn Center, Pauley Heart Center and the Children s Hospital of Richmond. VCU Medical Center is an internationally-recognized, Magnet-designated regional referral center on the forefront of health care, providing the most progressive treatments and medical technology available. Ranked among the top centers nationwide by U.S. News & World Report and one of only eight hospitals nationally with five or more unique AACN Beacon Award for Excellence recipients. MAGNET AD INDEX Carilion Clinic Children s National Medical Center... 44, 48 Cleveland Clinic... 44, 45 Mary Washington Healthcare... 42, 44 Subscribe Ways! MedStar Franklin Square Medical Center... 44, 46 UNC Health Care... 42, 44 Valley Health Winchester Medical Center... 49, 50 VCU Health System... 45, 50 For advertising information please contact: Tyra London, Associate Publisher, at x 117, or: tlondon@healthcommedia.com. 1 Now you can subscribe 2 2 different ways! There are two convenient ways for you to stay current with evidence-based, peer-reviewed clinical, practical nursing information that can impact your practice right away! Only American Nurse Today, the dynamic voice of nursing, offers you a choice of the way you receive your subscription! 1 Print Plus 12 issues 6 print issues PLUS access to all digital products including 6 electronic issues of American Nurse Today, e-edition, and archives. $ Digital Only 12 issues all issues delivered electronically to the address you provide during the subscription process as well as access to the e-edition and archives. $9.99 The choice is yours. It s as easy as 1-2! Go to to order now! Or call ext. 119 to order by telephone. 50 American Nurse Today Volume 7, Number 3