Deb scheakh, The Patho Nursing Excelence UEXCEL CREDENTIALING PROCEDURES: LEVEL HL AND LEVEL IV 2016-2017 Dear Professional Registered Nurs, ‘The UEXCEL Boards delighted you are interested in advancing by credentialing 1 a new level af linical practice! Both regular and flex clinical registered nurses ae eligible to advance in the UEXCEL Practice Program by portfolio submission, UEXCEL is one ofthe eomerstones of nursing practice at our hospital, and contributes to sustaining our excellence as a Magnet™ designated hospital UEXCEL is structured around the Magnet model components: Exemplary Professional Practice ~ the goal is more than just the establishment of strong professional practice; i is what that professional pratice ean achieve. ‘Transformational Leadership ~ transformational leaders identify and communicate vision and values and ask for the involvement of the work group To achieve that vision Structural Empowerment ~ the organizational structure acknowledges, values, supports nd develops strong provessicnal practice New Knowledge, Innovations & Improvements ~ establishes new ways to achieve new heights ‘of quality efficiency, and effectiveness. EXCEL is a professional practice program tha offers the opportunity for promotion through submission of a portfolio demonstrating achievements of clinical nursing practice, and contributions to professional pursing at UCHeal and the community. ‘The UEXCEL Board has prepared this material to help you with your portfolio development. Please read this information carefully so you are suocessful in advancement. REQUIRED STEI IN APPLICATION PI ‘The UEXCEL Board wants you tobe success! Follow the steps outlined below. Remember to construct ‘your pertfolio so UEXCEL Board members who are not familiar with your specialty practice can clearly understand your work. Be very clear how you have met the advancement requirements Please note: All portfolios must be submitted in digital format. Contact the UEXCEL Board Secretary if you have any questions. ‘This document also serves as the Final Check-Off, peproreson ten tipaseManagers and Advisors Pease initial in the box adjacent to the requirement. Ifthe documentation is not complete and you cannot initial, the portfolio should not be ‘submitted, | steps tor application to Advance evel Levi tv “The fil copy of UEKCEL. andar & one UENCE StaePO KEW ‘nesta forthe level yw are appsing to advanse. Ya mst flemonstrate haw you are currently performing atthe level of sdvancement you are secking Mandatony Mandy Regis on Leaman compote the couse led UEXCEL Overview. Mandatory Mandaey UUENGEL Workshop are avai n ULaan flip you be seeceeil '+ UEXCEL Dig! Perso Onine Training: provise an overs” ofhow to navigate and et a ctedentsng poring ‘he digit platter rapped by UEXCEL + UEXCEL Rosa and Clinical Narative tis for complain Strats Broward Secosty Encouraged Teserch and Evidence ves Practice Course ae avaiable trough Utes 1+ Research: Howto erate poster resentation + Resear How te develops survey 4 Reseach: How te display data an tofuction 1 Reseach: Howto make arpa in Pomeroint Reseach Howto write an abraet Suensly Encourged Stcogly Econ ped Disease advance with yeu manager. Obl catination you ae o> track to be eoneldered a "Rete Model on your perfomance appr. 3 | Gain agreement for your project) administrative time and your manager andadvsor signatars ce fen o Cree rd Compensation Agreement Fonts Mandacry Mandtocy ‘Choose Your Advisor Carfil. Stee your adviser fon the stor ‘ified sds ston he UEXCEL Shea The ist il be pest Sand upded onthe UEXCEL SharePoint as individuals Become etd ‘Choe am advisor win Knows the current process for advancement sn Ising 1 take time to hep you toadvance. A avisor who has 44) soceilysevancat reve to he evel You hope to credential i mont help Oban hei signatureon the nen Creat Fom, Mander Maneater Level IV Applicants is stolyreonmendad you seleeta Level IV ‘Asor dt ye nailer service, to promote pati eptding our wode Cont the UEXCEL Boned Seereary for ere infratcn Secouly Encouraged ‘Stan amb tent 0 Credential and Conpesation Aeon! '5| Fonns tothe GENCE Beard Secretary by ema o ster than November 8 Mandatry Mandatory ° a ‘View sucess pois! Credentialing Nurses may conae the UEXCEL Board Soseary Tor git portoho samples, pial Optional The majority of your stvties documents in your pomolio mast have taken pce between Jay 1, 2016 and August 18,2017 All materials must be ste Mandacey Manéary Place all componenis within your digital poole Fat oly esena mers Excenive documentation, such a mull ema doen aot lp 6| yourapptcation Lint cml ta eleva sakchade appro ‘A Typeall document (dos sot appy ova dats or revisions to paces and procedures), Mandy Mandatory “The dig portoio must elude 4 secon able ws Flows Exemplary Professcal Practice Transformations Leadership Sinctyal Enpewement Neve Knowledge, lnovatins & Improvements pase, Mandatory Mandatory Foose ETT‘Steps for Appleton to Advance Fase teeny [mere Wo Ais ural chav regards of whore placed We porta ‘must ich CE epplicton,etendance Year elution Samer. competed ernque frm. and copy fer “Type an Latroducion and Timeline fr Transformational Leadership, Strvetural Empowerment, New Knomedge, Innovations & Improvements to provide the Board with an overview of yoar werk nd Achlevemens. Thi sped notion as lie mus tn be Followed Dythe supporting documentation being each seco as Mandatory ‘Complete your digital por o later han August 18,2017 Every prio revewed and rate test tw ferent Board members. there are questions about a praia Hid 7 review aks pice. Ths process is considered peer review ‘conden Iu sea approved for advancameny the provetue flloked is outine inthe UECEL Baws, palished on te UEXCEL ShurePoi Manducey Mandatory ‘Youare eiccurgel ts prem soar pono penonally ote UUEXCEL Beard at enc af the Boul portflis eiew seis ‘These who chowte is opon wil be ive 1D minute o rset tes potolio, Presenters shoul be prepare to pete ‘eal bight of cach ction [you chon nto pret inperten tl nt aff the Bond's redenialng decent Yeu ae aplsng for Level Il ad you covet present beire ‘hotoan you must ntfythe UENCEL Dead Secretary tthe Sm of pono submission ll Level IVs wil be conte smange sine for thee presentation tothe bord. pint You wile offically noted by the UEXCEL Beard of Pass of Deon Pending stats by delivery and read recep mal ete within fv basins Aspe ofthe let poli review session, You may choo ost supporting decantation fr review By emaling the Bow Secretary within five basnes das of reciving« Decision Pending email. The UEXCEL, Appeal ane willeview the pools and amy supporting document further lanition egies stapes! meting wl be Sceduld _apprsiately two weks aller the Decision Pending eter set 9 | te Heard approves your pcmotion, you promotes Increase in ey wil be aad according to Human Resouces tmwins Shoulda decison no be reached atthe appeals retin, the final decison shall be made by the UEXCEL ‘oat aa meting ale speSeal forthe appeal revi. If ‘healing ismade a you or advancement o Level I or [Level IV any pay rate adstens, sal emade erative to ‘he date tht credenlingpremetins were provese If deed advancement, You ae elise to reapply a thenext UEXCEL onan resenting exe Optona. it applic Option if sgicale ‘Submit tndependent ne Completed Work Piewe Leavy [Rese pepavescanen[ Year portaiows dosamariation you ae raqesting a promodon-Tsbows Faw ouareeligiletoe pemoed to higher evel of practice. Therefor, represents your cu completed work, plan forthe ft o the work of ‘her. Manaatry Te Trou pariopate wih oh oF & pe you an sow your aww tae ‘contribution presented in your oun weds, ighlghing your own work by ‘ole coing supped away fo este Your on Wor i less ind as compared ooh, Mandatory Mandstory t Do sot xpymaterl haa poor sabmiting for tet ponolio Do marinade ‘material that others have created only your original work, Mandatory Mandatory Ty fel your work might be silo someone eles ons our Inenage dicate aio oensre proper doeumentton of independent work, Mansy Mandatory ‘Aéalional Tips for Success you are considering Level V, the Beard rue pot tht wil fet an exper level fell pease Level Lely Mangstoy Tae Ani Tou arena clinical vealed mt petnanea charge reared arse ob dkescrion wt det patent eae, but seu perform an aemate ele ste ‘iin UCHeald, sich as but pointed te Chine Scholar or Outeomes Cecrtnaor, your UEXCEL Portolio MUST reflect work accomplished i the stn murve role with iret ptien care not the alter oe Please ct EXCEL Board menberif you have further questions Mandatory Mandaey ‘Yea my choos an in-depth project an cay ths though the entire plows “me wat mee te expettons fo hs to level of practice sina pins Porte Criteria evel it Teel ¥ Tee inital | Remove al patient ienifes Mandatory Mandar ‘A erate ven feterence it wth appropri Tew of evden ‘Mente for each cation is reuired to supper. your projec in the 1 | following sectone Tranefostonl Lager, Stuctan! Enpowennet, and New Knowledge, Imovations & Improvements. Ident a iscsi Iaraive no slevan erate Mandatory Mandatony Place uncine and induce ithe allowing setoan TansTorationnl Leadenbip, Suuctual Empowerment ad New Koowledge Inpvatcns & | Inpeovencnts You may inched an overall ineieon your homepage, if implementing one psec to fal al resins. Oars please crest ‘part timeline foreach ree Mandatony Mandatory Comaite ember aloe dos oo aT i egrets of any | seeton, You must domonseate advanced parsiption and corbuten ‘clarification page 6 Manton Mandatory BS Provide eudence of engapingwakeholden ander sppropete _omamitee spot proto smplomentng chanel) Mandatory Manat 05 ‘Sean te UERCEL Credeniing Focedares Form and etude your pti ain in Sour homepage Use this on to tee he cntenss {| hymen with you ais rior to sebmitng the portfolio, Your “dvs us ln each boo ada thatthe peti as been ‘eviened and ea fr ubison, thon sgn athe bors, Advises will sgn ts fn ul they fel your peo i ready for Beard review. Mandatory Mandatory os “Exemplary Profslonal Practce Levelt Level IV Pleas initia "You mia compat eoon AE under Exempla Friesonal Sesion Noes | YOUR Mandory Mandatery Do reponestener?Exemplary Profesional Practice Lett Level lV Preae init a Mander Nonny ADS, SN, BSN, or BN fo MSN diploma In isu of ‘misplaced diploma an oficial tansrp is required with she Seal ofthe school lived. No exceptions wll b mado this [ou ar a8 ADN applicant: You mathe esl ina BSN program or BN to NSN progam, In aon four ADN plone, you mt bmn an oficial arr show cours ou are cany kn froma college regina Taina prreuintes er sontimnation of fre secspance coumework doesnt represent ative faraiment Vout have a taser showing hrentmaningcoures to meet he regurement of setveenrliment Your anscrig ant how progress toward competion of oar BSN degre within the Thee 3) yar iat ram he date of eedentling, No reaptons wil bs ate sequent Mandatory Mandatory Tas ofRecommenation [Applicants nod > pnd eters of eommendton [RN aeevate mare manager tanaper eto | RN pes (other an yoursvioe). + Lars nit be on UCHen etre. Letters need ‘ode and completely lie How you demonsate ‘the qulifeatons nceary for peemona sdsancemesl Vourmay sce an adn ter bat iil ct ininence aed veri of your patio, ‘Woe: Ysoware an ambulatory mse applet nd ae suporived by wan rrse practice manage, an aeadetrs using directar mut co-sign the eter fm our mane Mandar Mandatory te Peformance Angas Icke one copy of yourmt resent Hams Rasourses priors pps. The apse mst be acknowledged by your managerldreior and show you reached Role Model ste yor ure level, Mandatory Mandatory ‘Tinian Client saatvs ae etccion of cnet using practic crignally described Bemer’s Boa rom Novice to Esper Benne . From Novice o Expert Merle Pare CA: Adaon Wesley Pushing 1988) Ths Book does eed ee your aca phlesophy of vals, ut desbes Now clinical taeaes ref your lve of pracice. 4 Te clinics! nara mist ese sour philoephy of the values of sing practice. and how you inet {his pleophthese ales nto Yourpractie. + What do you lee about uri ad your practice? ‘The cinta naauve must give deals of eine praie using ‘cuca examples wit te eedenaling year that sows "he Board how you ae pracicog ate level you ate apoling twaredemial How do you pactic diferely now that you ate working to advance to the ext level? You may se hoa soeodtes, but the clinical namaive examples) nist leo your cuent rate | Mendatry Mandatory Lew tapping for Lovl I ile documentation of ceicaon ingour peilty ares Aten, doaumenstion of action ‘it sho that ou have completed = BSN pr level ‘Standards and advnceren eiements, Level V RN ae Capea ta pve specie practice empl that of more ‘Adie and expe eve tahoe level of price Mandatory powovectator? sipsse“Transformational Leadership Leetitt Piese teverty | Pease Sesion Notes "Your ped miroditcn snd nei fr te Tensor Leadership section must explain bow yeu ject wes value ‘edo our unit. You must compete seco A and B under “ranformatioal Leadet. Mandaery | Mandatry cc ‘VaitOrwaizaonal Prec Review Ge UENCEL Landestip Standards carefully. Proje azz lo bea vale ab ‘pencat toa positon Value adel means aliens ‘eatin above and beyond job potion rexpenbiin, Fercxanple, acing a persaent charge RN fll the charge [RN jb deripon: yu re evaluated on thi practic by your sefornance appeal Etsmole oisdemested riots an implementing how unit pom is give, now mths or inpoving MDRN emmuniation, chaning ere dv ry Dw sod anton, improving sft fucation and nplewentng x clincal spilncebased peictce Ql pret ‘Tip fr organizational projects a flows Mandscry | Manastcy +" Week on daph ef peject rather than excessive auatiy, Vou caly have todo one vale-eded project "Your lederhip projet ca aye many componens thar provide supportive documenta rotor Sectns of your notbook, suchas isting tl on our peeect of measuring ulcers of your pie a iow sections of te porta, + Document aitraree searchevie with levels of evidence, 0 show the tonal for our project ‘+ Exphin ew tis project added vale, and what happened asa reso yourinvelveeent in this mare at “IF saving on «commas sles demonstrates your ena, include copy of ‘Sample commit mites 2 attendance record Optional 1 Purcpaion ad contbutions beyond contmitee membership mast be denestated + Compliance with commits membership expectations a Optional Lov IV Teka 1 Fees on projects at super how you function a0 Jeader within UCHeld ina broader scope This peofet must shove youre eae in your special, aking thelead on a project yeu fel passcantey abou fo inpove outcomes. The Project an te clin oraminxative,but mont eronsrate | ~ {dependent nitatv, ei tii td nterprofesonal se [uerdparmentlcllabersic, Projects mat be eval ia ‘ep fr lfestivnen, od nays conducted eo inact nd Mandy “Transtormational Leadership Levelt Pion Letty | Pease pepovesouient‘For more formation review Tansformatonl endeship Examples Docamet othe end ofthe checl ‘eattormatonlLeadevip quires commitment o improve UcHeah uring ratce by sting profesional tndards sing evidence ised practice, Exanples of ths rquireent Ince reins pices oproeces developing or resin documents sac x picis,gudelies, protocol, teaching Imes, putent each mater othe hsp fhe ‘stem: cetng inks Lipinct fo exitingdacurents’ cr ‘eating dar sets. A mate witha meine ust be clded ine section tt For developing new document 1 Before creating anew document, conto that one doesnot lend eit oe hospi of system (including Lppincor) 1 Listoatons rom iter serchirefrence ht Incding Teves of evidence + Hela dats wih al dcamestation Sora keboldom showing eso of changes an + THapproval speeding provide documentacn stating ite wil be resented vo ppovingcommitoe For tevton of dectmee elie: ‘+ Listiatons fom ere searehafrnce st inclading levels of evidence Mandatory | Mandstry + Ongina document and dats with your ats. Clearly ‘deni, with highlghng, the revisions or medications ht are diferent Eom the origi docement + Include dats wih mal documentation om sakbolda showing eiow of changes and Coens: Ema or other commuscaion stag Seproval fia document 4 Ifapproval is pending, provide documentatcn sting dae wil be presented approving commer Adding inks to Lippnect thins cure poe or dccumen, inode Oxia document 1 sited dovumen withthe ink meds Foertirng a dosumen! tha lead n Lappin Show evdene of he exiting docament ia Lippincott + Update tho ippince document witha Creal Nte if sgpicabe + Tintiaons fom Memtur earehrefrence list Inca level of eines + Teele dats, with xml docurnentaton fom akbolde, showing vee f changes: Emil ‘her communication siting approval of Bal document 1 TEapproval is pending, provide document stating | 7 atest be presented te approving commits ‘lode Shor Works a he en ofthis ches te your porte wo provide documentation ofthe approval fom, te colder or commit members involved wih the Mandicey | Mandatory Aboeumests. "For Ambulatory Services muses, please refer to the baler Senice guideline process and propre repovesooor?"aplasia PISO Tor ‘Ambulatory Clmes Level w [aI Level WV ures Fave experience wih plemening change hreugh previously updbting er ceating a plicy and ‘roel, gilnes or proto. Choowe a poeta shows {our advanced knowledge of pecforminga Mature Search evew and using EBP to make improvemets This Should more thn a ew changes and neds o show your ‘uerstanding ofthe proces for making improvements at Ute An examples a ole that impacts the hospital across divisions, or pile fra pepulaton actos the Stem Mandatory Structural Empowerment ‘Levelt Level Pease nia ‘Your pal mediston a inline forthe Stata [Empowemen! seston mast nie s eseption 3 oo Section Nats | share our experine wid peo ‘Your complete oof he lowing hoe seston (A-C) nde Srictal Eger Mandy | santos % receptor: Documentation Required + Eaunions Naive about Precepohip and why salves {hoor | atonal fon of dosmnettion 1 Anedance Recon em ait Preseptor Counc seecunss Minus fn unit Preeepor Coun ecings + _FreceptorCerifete wo ofthe Two ofthree "Tein Actes Review he UERCEL Sts Tmpowemen Stands Types devcrpion of what sou tap: nla copie of sopping dosamention Mustela Iiterstare ‘earch eference in, levels of evidence nd demostte aperitenabjet master Examples of eching scties ‘psa ar ot ints to Conducting an ineric, include sign shoot and ‘ile of conan development ‘+Education Poster. ichude sign ia shee and pice of poster cr poster content + Conducting aC class, ncode CE application, tcidneeecod and evahaton mtaary ‘+ Developing content and tensing a caso Skil ab, ‘nce evidence of content evslopenent od ign in sheet sections (0 Ose Stacia Enpowerne ‘anda sion Ore Sincunl Empowemnes ‘andar, ‘Conducting a Live o Viral ural Ci o Clanal Arle Review: must be value added. DeserBe how his impacted your Documentation Required + CE epplicnion ‘Altedance record valuation summary Completed critique form (panicipant or fii (Cony ofanice| {Cop ofblog cmment (Viral curl Clb only) Itsou are co-eiiater, you mast document your nition " Facies ‘linia ticle Journal cub, Faciliate oe Jeural club per yea Tt errsStrectural Empowerment Lett LovelIV + Your CE Red © Communi ectvities Optional Opsionat Teel Choose fscing sits iat stow Bow you ‘tion as a expr clean. Demestte how you shaze his ‘nowlnge wit ahs. Examples: hospital wie eat of LevettV | change intatveorjoumal etd conducted in mere than one | ~ fea Must proadecvdence in documento of hw You stared hs Knowledge with others and cial development of ‘eacing content Mandatory ‘New Knowledge, novation, & Improvertnts Levelt Levellv Tene ini "Yourtype iniroiction and tain Gscbing our outcome tvs and copies of data sul of ther documtation ‘mustbe cided under New Kaowllgs lasovatons & Ingrovenents Section Noten Mandatery Mandcry % ‘eseribe your ledesip role oncom ates: actade | a collection of pei projec and pan fr flow up. Example: ‘= FOCUS-PDCA orPDSA ‘Chang intatives (aay include a busines pla) + Quality Improvement projet Documentation eed samples of aendance ines 1 Liertre search reference ist with esl a viene, A {Acton taken forimproverentperabove dete | Mandtery ‘Outcome ntatves mus include eallestion af pre and port dna Dats mst be lasted graph rca Tom. Gps Imustinclode te following este ‘Danes pre-ta eletn, intervention ime peid posta collctn) 4 Tce" ornate, to describe sample size + Labeled aed yan Show sample ofa data calcd (eg. at forms pic report surveys, wrkshee) snd aay sul and deste ag or lio wp rears of sul Mandsoy Testa Ce RM, REENS BC, CEMACPEN [Now Knowledge, Innovations, & Improvement ‘Level Leva V Piewe itis ‘Lev Chee pacts at dencastate your pe ‘roeeg, eta thinking and leadership kis Ths Infomation must be prescted Hsp bse om, which ‘mut include an exlaation of background, methods, els Levey | dodimpicaieas fi practice Projects hat have plications | _ ‘erates sees th orgeieatien essen mst show lan for doseninain ofbest practices) eg. remming the code Ia rests fer ipatien series, hyper petea for ED spentical eave and eat lar education for amalatry Mandatory >onovescan617