DNP, MSN, RN, APN, CCRN, CCNS

Transcription

1 Joelle Denise Hargraves DNP, MSN, RN, APN, CCRN, CCNS Department of Nursing, 523 Jones Hall 3307 North Broad Street, Philadelphia, PA Phone: (215) (W) EDUCATION 2012 DNP - Doctor of Nursing Practice Chatham University, Pittsburgh, PA Capstone Project: Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion Protocol 1990 MSN - Critical Care Widener University, Chester, PA 1988 BSN Widener University, Chester, PA 1982 AAS Nursing Luzerne County Community College, Nanticoke, PA LICENSURE 26NJ Advanced Practice Nurse with Prescriptive Authority NJ #NR PA #RN NPI CERTIFICATIONS CCNS (Critical Care Clinical Nurse Specialist) to present CCRN (Critical Care Registered Nurse) to present ACLS and BLS - current AWARD Excellence in Advancing Nursing Practice - Honorable Mention - October 2013 American Association of Colleges of Nursing Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidencebased Insulin Infusion Protocol PROFESSIONAL ORGANIZATIONS Chatham University - Sigma Theta Tau present Chatham University - Nursing Honor Society 2012 American Association of Critical Care Nurse (AACN) to present Southeastern Pennsylvania (SePA) Chapter AACN Chair-elect Education Committee Education Committee Chairperson

2 PROFESSIONAL EXPERIENCE ASSISTANT PROFESSOR OF NURSING August 2015 present Department of Nursing, College of Public Health of Temple University Responsibilities include: teaching seniors critical care and advanced medical/surgical nursing; clinical coordination of senior clinical including the internship, ATI remediation for seniors, and chair DNP capstone project, evidence-based practice Courses taught: General Nursing Practice IV (GNP IV), Senior Seminar, Senior Internship, Health Assessment, reader for Genetics course Research interests: critical care and cardiovascular (CV) nursing with specific interest in CV disease prevention, heart failure, and cardiac surgery DNP Capstone Chairperson ( ) Implementing an Evidence-based Practice Educational Program for Cardiac Rehabilitation Patients" CARDIAC REHABILITATION NURSE June 2016 to present (per diem position) Cape May Courthouse, NJ Provided direct nursing care to outpatients participating in cardiac and pulmonary rehab. Evaluated patient response to exercise and revised plan of care. Supervised the Fitness Center when exercise physiologist took days off Assessed (focused) members (many former cardiac and pulmonary rehab patients) prior to and following exercise. As required sent members to the Emergency Department or Health Care Provider. NURSE REVIEWER May 2015 August 2015 (summer/seasonal position) HMS, Hamilton, NJ HMS 5-year contract with the New Jersey (NJ) Department of Health to review cardiovascular programs offering percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) and cardiac surgery programs Summer 2015 Reviewed medical records at PCI centers in NJ to: validate data submitted to the NJ Cardiac Catheterization Registries (electronic database); correct data discrepancies; review and reconcile data changes with site coordinator; and identify and communicate serious quality/safety issues requiring immediate attention to project manager and ultimately the NJ Cardiovascular Health Advisory Panel (CHAP) Findings will be publically reported to inform patients and families; and used to assess current care as well as improve overall quality of cardiovascular care CARDIOVASCULAR DISEASE PROGRAM MANAGER/ ADVANCED PRACTICE NURSE July February 2015 AtlantiCare Regional Medical Center, Pomona, NJ 2

3 Responsible for developing the infrastructure and growth of key Heart Institute initiatives including the Valve Clinic - Transcatheter Aortic Valve Replacement (TAVR) Program in collaboration with Valve Program Coordinator; inpatient and outpatient Heart Failure (HF) Program including aquapheresis; Chest Pain Program; Arrhythmia Management Program; Pulmonary Hypertension; and Vascular Program in collaboration with the Assistant Vice President - Cardiovascular Service Line, Director of Cardiovascular Inpatient Services, and the Medical Director of Cardiovascular Integration. Implementation of the evidence-based cardiovascular disease specific clinical practice guidelines and evaluation on quality patient outcomes Patient care and supervision of the HF Resource Center in collaboration with HF Nurse Navigator to assess and educate patients on self-management to prevent readmission and improve quality of life utilizing AtlantiCare's WOW ME 2000:Weight - Output - Walking - Medications- Evaluation of Symptoms mg Na and 2000 ml fluid/day Responsible for achievement of cardiovascular core measures, reducing readmissions for HF and STEMI patients, and Joint Commission accreditation of heart failure Education of registered and advanced practice nurses on cardiovascular topics. Mentoring of new staff. Supervision of three Advanced Practice Nurses, three HF Nurse Navigators of which one also does Cardiology Outreach Coordinator, Valve Program Coordinator (CV RRT), and CMA Chairperson of the annual Current Tides and Future Waves in Nursing Practice conference sponsored by the APN Council. The conference has grown into a regional event with over 215 nurses from four states attending in CRITICAL CARE CLINICAL NURSE SPECIALIST July July 2013 AtlantiCare Regional Medical Center, Pomona, NJ Responsible for the Cardiovascular Unit (CVU), Intensive Care Unit (ICU) & 3 Harbor Progressive Care Unit (3 H PCU) Authored the successful Beacon Award application for ICU - Silver Level Clinical consultation, education (formal and informal), program development, competency validation, nursing management, and ongoing performance improvement activities including, but to limited to: Surgical Care Improvement Project (SCIP), preventing hospital acquired infections (ventilator-associated pneumonia, central line-associated blood stream infections, catheter-associated urinary tract infections), and NDNQI (pressure ulcer prevention, falls, restraints). Development and implementation of evidenced based nursing practice. - glycemic control in critical illness and urinary catheter protocol which empowers nurses to remove a urinary catheter when the patient no longer meets criteria Collaborated with Nursing Director in establishing 3 H PCU in January 2009 including development of the plan/timeline for opening, staff education, standard of care, policy and procedures, hiring of staff nurses and a nurse manager, ongoing clinical support. Chairperson of the annual "Current Tides and Waves in Nursing Practice" sponsored by APN Council from the inaugural year to present. Co-chairperson of the annual Cardiovascular Nursing Symposium 3

4 ADJUNCT NURSING FACULTY August December 2006 Joint Appointment - Atlantic Cape Community College, Mays Landing, NJ & AtlantiCare Regional Medical Center, Pomona, NJ Clinical Instructor - Nursing Supervised 12 senior student nurses on 2 South (Surgical Floor with Telemetry). Responsible for clinical assignments, pre and post-conference education, completion of patient care, medication administration and evaluation of each student's clinical practice. ICU POOL/CVU STAFF NURSE June 2005 to July 2007 AtlantiCare Regional Medical Center, Pomona, NJ Provided direct patient care to critically ill adults in the Cardiovascular Unit (CVU) post cardiac surgery, post interventional cardiology procedure or post myocardial infarction. Lecturer Critical Care Bridge Program VENTRICULAR ASSIST DEVICE (VAD) COORDINATOR December 2001 to June 2005 Montefiore Medical Center, Bronx, NY Developed the infrastructure of the Cardiac Transplantation and Assist Device Program during the start-up phase Authored the successful Medicare Application for Heart Transplant Program approval in collaboration with the Vice President of the Heart Center Achieved approval from Medicare for VAD Destination Therapy Leadership responsibilities for the Continuous Quality Improvement Program Coordinated the successful UNOS Survey Established the VAD Transport Program UNOS Transplant Administration Created the Cardiac Transplantation and Assist Device Program Manual which included protocols for the pre- and post-op management of patients receiving a heart transplant and/or a ventricular assist device Created computerized order sets for the patient being evaluated for heart transplant, pre- and post-op orders for heart transplant and ventricular assist device patients Provided interdisciplinary education (Nurses, Attending Physicians, CT Residents, Critical Care fellows, Residents, Physical and Occupational Therapists) on ventricular assist device as each new device was introduced Provided education to patients/family in the management of the HeartMate LVAD and Novacor LVAS in preparation for discharge to home Clinical expert o Abiomed Circulatory Support System: BVS 5000 and AB 5000 Ventricl o HeartMate XVE Left Ventricular Assist Device (LVAD) o Thoratec Ventricular Assist Device (VAD) o Novacor Left Ventricular Assist System (LVAS) o Heart Transplant o Critical Care Nursing Administrative responsibilities for outpatient office & personnel 4

5 JCAHO preparation Research o IRB preparation, submission and follow-up of VAD protocols o RELIANT Study - Co-investigator o Evaluation and ongoing management of study participant CLINICAL ABSTRACTOR December March 2003 University of Pennsylvania, School of Nursing, Philadelphia, PA Clinical abstractor for the NIH funded study Collaborative Care for Elders with Heart Failure. Principal Investigator - Mary Naylor RN, Ph.D. INDEPENDENT CONTRACTOR July December 2001 Independent Nursing Services Direct nursing care to patients in the ICU/CCU and Telemetry Floor COORDINATOR, MECHANICAL CARDIAC ASSIST PROGRAM August 1997 to July 2001, Philadelphia, PA Clinical management of: o Patients on an Abiomed VAD, HeartMate LVAD and Thoratec VAD o Patients receiving medical therapy in The REMATCH Trial. Research Coordinator o HeartMate Vented Electric Left Ventricular Assist Device Trial, ThermoCardiosystems Inc. (TCI - now Thoratec Corporation) Co-investigator o The REMATCH Trial (The Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure) o Protocol preparation and submission to the IRB, data collection/monitoring, and reporting of adverse events. Patient/family and staff education Heart transplant and VAD on-call CRITICAL CARE CLINICAL NURSE SPECIALIST September 1990 to August 1997, Philadelphia, PA Clinical consultation, education (formal and informal), program development, management, research, and ongoing performance improvement activities for assigned nursing units to 1997 Surgical Intensive Care Unit - Cardiothoracic (SICU-CT) 1995 to 1997 Heart Failure Care Unit (HFCU) 1996 to 1997 Cardiac/Cardiothoracic Nursing Unit (7 East) 1990 to 1996 Coronary Care Unit (CCU) 1990 to 1995 Neurosurgical Intensive Care Unit (NICU) 1993 to 1995 Neuroscience Nursing Unit (4 East) 5

6 Expertise in the nursing care of critically ill patients experiencing cardiac surgery (coronary artery bypass grafting, valve repair/replacement, ventricular assist device insertion, heart and/ or lung transplant), heart failure, myocardial infarction, arrhythmias, post-interventional cardiology procedures, and multi-system organ failure. Leadership Activities: o Coronary Artery Bypass Graft (CABG) Care Map Author Team - Co-chairperson o Cardiac Services Nursing Performance Improvement Committee - Co-chairperson o Nursing Performance Improvement Committee o Healthcare Evaluation Committee o Systems Committee o Intensive Care Unit Committee o Nursing Education and Quality Improvement Division o Cardiac Services Division Consultant o Nursing Leadership o Policy and Procedure o Product Standardization o Peer Review Committee o Preceptor - Graduate Nursing Students o JCAHO Survey - preparation EDUCATIONAL CONSULTANT/FACULTY 1996 American Healthcare Institute (AHI) Silver Spring, Maryland Presented full day seminars on cardiac and critical care nursing on a per diem basis. NURSE CONSULTANT 1996 White & Williams 1500 Lancaster Avenue Paoli, PA Review medical records and provide expert testimony in malpractice cases CRITICAL CARE INSTRUCTOR September August 1990 Roxborough Memorial Hospital, Philadelphia, PA Education for the Intensive Care/Coronary Care Unit (ICU/CCU), Progressive Care Unit (PCU), and Emergency Department (ED). Orientation and evaluation of new nurses in critical care. CPR instructor. Policy and Procedure Committee. STAFF NURSE - INTENSIVE CARE UNIT/CORONARY CARE UNIT POOL September August

7 Roxborough Memorial Hospital, Philadelphia, PA Provided nursing care to critically ill medical, surgical and cardiac patients. STAFF NURSE - CRITICAL CARE (SUMMER POSITION) June August 1988 Shore Memorial Hospital, Somers Point, NJ Provided nursing care to patients in the Intensive Care Unit and Progressive Care Unit STAFF NURSE - SURGICAL INTENSIVE CARE UNIT September August 1987 Hospital of the University of Pennsylvania, Philadelphia, PA Provided nursing care to critically ill adults experiencing major surgery (i.e. - cardiothoracic, neurosurgery) and/or multiple trauma. STAFF NURSE - MEDICAL SURGICAL INTENSIVE CARE UNIT (MSICU) June August 1986 Wilkes-Barre General Hospital, Wilkes-Barre, PA Provided nursing care to critically ill adults and children experiencing major surgery and acute medical problems. RESEARCH RELIANT - Randomized Evaluation of the Novacor LVAS in A Non Transplant Population Co-investigator Sponsored by WorldHeart Inc Collaborative Care for Elders with Heart Failure Clinical Abstractor NIH funded study, University of Pennsylvania, School of Nursing 2000 Myoblast Transplantation for the Treatment of End-stage Congestive Heart Failure Co-Investigator & Coordinator- Sponsored by Diacrin Inc., MA 1999 Mechanism of Improved Diastolic Function in Human Heart Failure: Protocol 2 - Dobutamine Responsiveness Co-Investigator EKG Changes in Patients with End Stage Heart Failure with and Without a Left Ventricular Assist Device Co-Investigator - 7

8 1998 Driveline Infections: A Comparison of Two Dressing Change Methods for Care of the Exit Site Principal Investigator ThermoCardiosystems Inc. Investigator's Meeting Baltimore, MD The Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (The REMATCH Study) - Funded by NHLBI Co-Investigator and Coordinator, TCI HeartMate Vented Electric Left Ventricular Assist System for Mechanical Circulatory Support Study Coordinator, 1994 The Effects of Endotracheal Suctioning On Regional Cerebral Blood Flow Poster presentation American Association of Critical-care Nurses Southeastern Pennsylvania 1993 The Effects of Closed Endotracheal Suctioning on Regional Cerebral Blood Flow Principal Investigator Grant Award - $1, American Association of Critical-Care Nurses, Southeastern PA Chapter 1990 TPA in a Community Hospital Crozer-Chester Medical Center Graduate Clinical Rotation 1989 Relationships between Critical Care and Emergency Nurses: A Study of Communication, Conflict, and Territoriality Principal Investigator Widener University ACADEMIC EXPERIENCE Adjunct Clinical Instructor 2014, 2001, Widener University Graduate Program - School of Nursing 8

9 Adjunct Clinical Preceptor Undergraduate Program 2007 & Graduate Program University of Delaware - School of Nursing Adjunct Clinical Preceptor RN - BSN Student Thomas Jefferson University - School of Nursing Adjunct Clinical Faculty Joint Appointment - Atlantic Cape Community College, Mays Landing, NJ & AtlantiCare Regional Medical Center, Pomona, NJ Adjunct Clinical Preceptor 1996 Villanova University Graduate Program - School of Nursing Clinical Preceptor University of Pennsylvania Graduate Program - School of Nursing Mentor , Opportunities in Healthcare Program PUBLICA TIONS Hargraves, J.D. (2014). Glycemic Control in Cardiac Surgery: Implementing an Evidence-based Insulin Infusion Protocol. American Journal of Critical Care, 23(3), doi: /ajcc Hargraves, J.D. (2012). Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion Protocol. Capstone, Chatham University: Pittsburgh, PA. Fleck, D.A., & Hargraves, J. (2005). Ventricular Assist Devices. In AACN Procedure Manual for Critical Care (5th Ed.). (pp ). Philadelphia, PA: Saunders. Hargraves, J. (1996). Contributor: Managing the diagnostic workup: cardiovascular testing. In The Clinical Answer Book (pp ). Springhouse, PA: Springhouse Corporation. Hargraves, J. & Larese-Ortiz, G. (1993, August) Unit-based nursing research. Nursing Spectrum. PRESENTATIONS October 2016 N4885 General Nursing Practice Internship Temple University, College of Public Health 9

10 December 2014 Chest Pain and Myocardial Infarction: Pre-Hospital Care for the EMT Little Egg Harbor - Parkville Fire House: December 2014 Atlantic County Training Center - November 2014 Cape May County Training Center - October 2014 October 2014 Transcatheter Aortic Valve Replacement (TAVR) Tri-State Society for Cardiovascular and Pulmonary Rehab Pomona, NJ May 2014 Transcatheter Aortic Valve Replacement (TAVR) Stockton Center on Successful Aging 2014 Pomona, NJ April 2013 Glycemic Control in Cardiac Surgery: Implementing an Evidence-based Insulin Infusion Protocol Podium Presentation AtlantiCare Regional Medical Center - 10th Annual Nursing Research Conference Atlantic City, NJ September 2012 Glycemic Control in Cardiac Surgery: Revising and Educating Nurses on an Evidence-based Insulin Infusion Protocol Poster Presentation Chatham University, Pittsburgh, PA April 2012 Simulation - Cardiac Case Study Trends in Cardiovascular Nursing, Atlantic City, NJ American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2012 Preventing Heart Failure Readmissions: Implementation of an Aquapheresis Program Poster Presentation AtlantiCare Regional Medical Center- 9th Annual Nursing Research Day Atlantic City, NJ June 2010 Strategies for the Management of the Patient with Heart Failure: Preventing Readmission to the Hospital Current Tides and Future Waves Advanced Nursing Practice Atlantic City, NJ 10

11 July Ongoing Courses/Presentations - AtlantiCare Regional Medical Center Cardiac Surgery Program Ventricular Assist Device Class Cardiac Care Course Critical Care Bridge Program 12 Lead EKG ABG Interpretation Fluid & Electrolyte Imbalance Cardiovascular Pharmacology Cardiac Case Studies Abiomed Course Patient Management Abiomed Training Course - Animal Lab Montefiore Medical Center May 2003 Management of the Patient Post Heart Transplant in the Emergency Department Setting the Pace 2003 New York State Emergency Nurses Association November 2002 Mechanical Cardiac Assist Devices American Association of Critical-Care Nurses Jersey Shore Chapter October 2002 Mechanical Cardiac Assist Devices Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2002 Mechanical Cardiac Assist Devices Trends in Cardiovascular Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 2001 Mechanical Cardiac Assist Devices: 2001 and Beyond Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter April 2001 Mechanical Cardiac Assist Devices: 2001 and Beyond Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania 11

12 October 2000 Advances in the Medical and Surgical Management of Heart Failure Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter September 2000 Expanding Indications for LVAD Support ThermoCardiosystems Inc. Investigator's Meeting, Miami, FL April 2000 Surgical Management of Heart Failure Living Life on the Edge: A Patient Perspective on Heart Failure - Living on a Left Ventricular Assist Device (LVAD) Waiting for Heart Transplant Trends in Cardiovascular and Trauma Nursing American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 1999 LVAD as a Bridge to Transplant and Destination Therapy Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences April 1999 Nursing Management of the Post Cardiotomy Ventricular Assist Device Patient Left Ventricular Assist Devices as a Bridge to Heart Transplant Trends in Cardiovascular and Trauma Nursing American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter October 1998 Driveline Infections: A Comparison of Two Dressing Change Methods for Care of the Driveline Exit Site ThermoCardiosystems Inc. Investigator's Meeting, Baltimore, MD October 1998 Nursing Management of the Post Cardiotomy Ventricular Assist Device Patient Left Ventricular Assist Devices as a Bridge to Heart Transplantation Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences October 1997 Heart and Heart/Lung Transplantation Mechanical Cardiac Assistance Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences 12

13 June 1997 The Critical Edge: Advanced Concepts in Critical Care Nursing Program Co-coordinator February and April 1997 Critical Care Emergencies American Healthcare Institute, Fairfield, New Jersey February 1997 How Your Heart Works Waldron Mercy Academy, Ardmore, PA November 1996 When a Code is Called... Rapid Nursing Response American Healthcare Institute, Long Island, New York October 1996 The Wearable LVAD: New Hope for the Failing Heart Trends in Critical Care Nursing, Philadelphia, PA American Association of Critical-Care Nurses Southeastern Pennsylvania Chapter and Allegheny University of the Health Sciences June 1996 Critical Care Skills for Non-ICU Nurses American Healthcare Institute, Baltimore, Maryland June 1996 Cardiac Triage Conference Co-coordinator The Critical Edge: Advanced Concepts in Emergency Nursing June Lead EKG Interpretation: Ischemia, Injury, Infarction Conference Co-coordinator The Critical Edge: Advanced Concepts in Emergency Nursing February 1995 Neuromuscular Blocking Agents Emergency Nursing Today '95 Philadelphia Chapter Emergency Nurses Association 13

14 July 1994 Head Trauma Trauma Nurse Course June 1994 Ethical Issues and Medical Futility JCAHO Preparation Poster June 1994 Intracranial Pressure Monitoring Conference Co-coordinator The Critical Edge: Advanced Concepts in Emergency Nursing May 1994 Vented Electric Left Ventricular Assist Device Education and clinical consultation for initiation of FDA research protocol April 1994 The Effects of Endotracheal Suctioning On Regional Cerebral Blood Flow Poster Presentation American Association of Critical-care Nurses Southeastern Pennsylvania February 1994 Unusual Neurological Presentations Emergency Nursing Today '94 Philadelphia Chapter Emergency Nurses Association Lung Transplantation Course Education for initiation of Lung Transplant Program June 1993 Neuromuscular Blockade Conference Co-coordinator August 1992 Spinal Cord Injuries Trauma Nurse Course 14

15 1992 Nursing Management of the Patient with a Pneumatic Ventricular Assist Device 1992 Neuro Assessment Conference Co-coordinator The Critical Edge: Advanced Concepts in Emergency Nursing April 1992 Medical Management of Valvular Heart Disease ITI, Wilmington, Delaware April 1992 Continuous Renal Replacement Therapy (CCRT) Advanced Renal Nursing March 1992 Peripheral Vascular Disease and Aneurysms Graduate Program - Temple University School of Nursing September 1991 Medical Management of Valvular Heart Disease Horizons in Cardiovascular Nursing: Valvular Hear Disease Update, Department of Cardiac and Thoracic Surgery June 1991 Thrombolytic Update Conference Co-coordinator The Critical Edge: Advanced Concepts in Emergency Nursing May 1991 Nursing Management of the Patient with a Ventricular Assist Device (Thoratec) Education and clinical consultation for initiation of program Basic Critical Care/Emergency and Cardiovascular Nursing Course Intra-aortic Balloon Pump Workshop Cardiac Surgery and Ventricular Assist Device Program Preceptor Workshop 15

16 Roxborough Memorial Hospital Physical Assessment Course and Critical Care Course Head and Neck Neuro Abdomen Adult Physical Assessment Advanced Hemodynamic Monitoring Cardiogenic Shock Advanced Hemodynamic Monitoring: Care of the Patient in Shock Axis Deviation MI Interpretation Advanced EKG Interpretation REVIEWER 2014 Diabetes Technology and Therapeutics 16