Lisa M. Soltis, MSN, RN-BC, APRN, PCCN, CCRN-CSC-CMC, CCNS, FCCM

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1 2739 Laurelcherry Street, Raleigh, NC (919) Cell FUNCTIONAL SUMMARY Clinical Expert in Cardiovascular surgical procedures, processes and policies. Active advocate and change agent for implementing evidenced based practice standards into daily clinical practice for both nursing and medical care models. Skilled at Performance Improvement initiatives and program development for inpatient cardiovascular surgery including short term mechanical support, LVADs and ECMO, advanced heart failure patient management including durable mechanical support and transplantation, as well as structural heart program development. Skilled with analyzing healthcare practices related to adult cardiovascular, critical and acute care patient population to improve patient outcomes and care. Experienced in clinical research initiatives, expert in staff development including orientation, device education and management, continued clinical competence and certification. Subject matter expert involved in the development of the Scope and Standards of Care for the Adult Acute Care Clinical Nurse Specialist, Scope and Standards of Care of the Acute Care RN, and the Practice Development Committee for the CCRN and the Cardiac Surgery/Cardiac Medicine certification exams with the American Association of Critical Care Nurses. Chair for the Advanced Practice Nursing & Practice Development Committee with the Society of Critical Care Medicine. PROFESSIONAL EXPERIENCE UNC Rex Health, Raleigh, NC o Clinical Nurse Specialist, Cardiovascular Surgery December, 2016 to present Sentara Heart Hospital, Norfolk, VA June, 2014 to November, 2016 o Cardiothoracic Surgery Clinical Nurse Specialist Wake Med, Raleigh, NC August, 2008 to March, 2014 o Cardiovascular/Critical Care Clinical Nurse Specialist Duke University, Durham, NC February, 2006 to July, 2008 o Nurse Manager/Clinical Educator, Cardio-Thoracic Surgery 3200 Progressive Nursing Staffers, Raleigh, NC March, 2005 February, 2006 o Critical Care Contract Work Wake Med, Raleigh, NC February, 1997 to February, 2005 o Staff Nurse III - CTSU EDUCATION Masters of Science-Nursing, December, 2008 o Adult Critical Care Clinical Nurse Specialist Program o Duke University Graduate School of Nursing 1

2 o Magna cum laude (GPA 3.85) o Sigma Theta Tau Honor Society, Beta Epsilon Chapter Bachelor in Science Nursing, August, 2003 o University of North Carolina-Charlotte School of Nursing o Summa cum laude (GPA 4.0) Associate in Science Nursing, November, 1996 o Wake Technical Community College School of Nursing o Valedictorian, Magna cum laude (GPA 3.8) Bachelor of Arts French & BioMedical Science, June 1990 o Western Michigan University o Lee Honors College WORK AND TEACHING ACTIVITIES 1. Clinical Nurse Specialist, Cardiovascular Surgery Services UNC Rex Healthcare December, 2016 to present Serve in the role of expert clinician, educator, consultant, change agent, and researcher. Develop, teach, coordinate and evaluate educational programs related to the adult cardiovascular patient populations in collaboration with nursing units and hospital leadership. Function as a leader and change agent through direct and indirect patient care, consultation, clinical research, program planning and education of patients, caregivers, and healthcare personnel. Analyze healthcare practices related to adult cardiovascular, critical and acute care patient population to improve patient outcomes and care. Nursing expertise is utilized along the continuum of care. Support the mission, vision, and values of the organization in conjunction with hospital leadership. Provide direct Advanced Practice care to cardiovascular, critically and acutely ill patients. 2. Cardiothoracic Surgery Clinical Nurse Specialist Sentara Heart Hospital June, 2014 to Nov Primary focus has been performance improvement activities related to Society of Thoracic Surgeons (STS) guidelines for practice. Early extubation with post-operative cardiothoracic patients was a critical project. June/July 2014 extubation rates in less than 6 hours were only 14% for cardiothoracic surgery. Led a multidisciplinary team to complete revisions to existing extubation protocol; provided staff education and inservices, and encouraged nurses to start weaning sedation earlier for hemodynamically stable patients. Extubation rate is currently averaging 60% of all cases are extubated in less than 6 hours with no untoward side effects or re-intubations. Working as team lead and clinical coordinator for Extracorporeal Membrane Oxygenation (ECMO) therapy. Data collection and patient outcomes review process initiated. Developed/updated policies and protocols, as well as initiation of therapy criteria for Cardiothoracic Surgery Service Line. Finalized application to become an Extracorporeal Life Support Organization (ELSO) certified ECMO program. 2

3 Restructured Ventricular Assist Device (VAD) training for post-surgical patients, in conjunction with the structural heart team. Initial competency training program development and maintenance of continuing competency training in progress. Clinical performance improvement initiatives included reduction of post-operative blood use, decreased incidence of post-operative atrial fibrillation, decreasing healthcare acquired infections, decreasing incidence of pressure ulcers, and improving mobility in critical care. Provide bedside clinical support to nursing staff, assist with orientation and critical thinking development activities for both didactic and hands on learning opportunities. CT surgery program recognized in the VCSQI consortium as the top performing program in reduction of atrial fibrillation, and reduction in hospital readmissions for 2015 and Cardiovascular/Critical Care CNS Wake Med Health & Hospitals August, 2008 to March 2014 Coordinated a multidisciplinary team to evaluate outcomes for the Cardio-Thoracic Surgical ICU, specifically the extubation rates per the Society of Thoracic Surgeons recommendations. Program experienced an increase in LOS, and an increase in pulmonary complications requiring return to ICU. By partnering with the respiratory care practitioner and targeting earlier extubation, able to increase our extubations in less than 6 hours to more than 45% (up from 14%). Able to identify contributing factors that lead to longer intubation times, and successfully decreased our prolonged intubations as well. As a result, our returns to ICU decreased to 4.5% (down from 7%) and the number of returns related to pulmonary complications decreased to 33% (down from 60%). Additionally, our ICU LOS decreased significantly and our overall LOS improved by more than 2 days. Clinical Team Leader for the implementation of IV smart pump technology Assisted in selection process, identified reduction in cost of disposables, identified opportunities for improvement in best practice behaviors for the use of IV therapies, coordinated training for over 3,000 nurses within our organization, and coordinated Go-Live activities for a successful product conversion. ($5 Million budget, lead to a reduction in disposables cost of over $500,000 annually.) Developed the Hospital Anticoagulation Resource team which evaluated patient complications related to the use of the anticoagulation therapies. Improved documentation of Anticoagulation therapies to 100%, and helped decrease related adverse drug events. Developed a Step-down development Task Force including the Management and leadership staff for the Acute Care division. Coordinated an Advanced Med-Surg Step down Core class for the organization that was tremendously successful. Developed a Clinical Care Pathway for CABG/Valve patients; incorporated a daily goals and progress note to be completed by nursing staff to ensure appropriate patient progression toward discharge. 3

4 Developed a VAD training program for CTSU staff, which included development of a competency validation tool, documentation flowsheet, and nursing care policy for the care of patients with a ventricular assist device. Actively participate in the Nursing Standards Quality Improvement Committee, Code Blue/Rapid Response Quality Improvement committee, Nursing Leadership committee, Public Reporting Quality Improvement committee, Nursing Policy & Procedure committee, and Critical Care Education committees. 3. Critical Care Instructor/Education Specialist Med-Ed Seminars January, 2009 to Present Course instructor for CCRN & PCCN review courses, Cardiac Surgery Certification review, Cardiac- Vascular Certification review, Excellence in Critical Care, Excellence in Cardiology Care, as well as Advanced Sepsis Management. Courses are offered nationally in a variety of settings, including education seminars, hotel conferences as well as on-site education for specific hospitals. 4. Owner, Critical Care Seminars and Certification Specialist Critical Care Seminars October, 2010 to Present Owner and education specialist for CCRN & PCCN review courses, Cardiac Surgery Certification review courses, Excellence in Critical Care, Excellence in Cardiology care, as well as Advanced Sepsis Management. Courses are offered nationally in a variety of settings, including education seminars and on-site custom education for specific hospitals. 5. Nurse Manager/Clinical Nurse Educator Cardio-Thoracic Surgical ICU Duke University Hospital Feb to July, 2008 Actively supported and promoted a professional practice model that encouraged staff participation in the development of clinical standards that was collaborative, collegial, and utilized current trends and data in professional practice. Responsible for the education of the critical care and step-down nursing staff for the CT surgery units. Roles included implementing a strategic plan for orienting new nurses as well as maintaining competencies for existing nurses in these units (160 nurses). Helped develop and implement a two-day training program for all of the Ventricular Assist Devices for both the step down and ICU nursing staff. Abstract submitted and accepted regarding training program and outcomes for the National Teaching Institute conference in Chicago, IL, through the AACN, Member of the Medication Safety Team Leader committee, Magnet Education team champion, Masters of Advanced Practice Program Committee (student representative,) Duke University School of Nursing, and the Thoracic Surgery Collaborative Action Team (TSCAT.) 4

5 Instructor for the Hospital Education Department. Classes taught included the Cardio-Thoracic Core curriculum, Heart Center Core Curriculum classes, Transplantation Classes, Critical Care Core curriculum classes (Sepsis and Multi-system Organ Failure, in addition to Renal Failure and Heart Failure courses). Developed educational newsletter for the CT surgery staff as well as formed the Cardio-Thoracic Education Steering Team (CTEST) to act as the clearing house for all educational needs and offerings. Assisted with the development of the Heart Center pocket guide; a resource for staff nurses for both the surgical and medical aspects of cardiology patient care. APPOINTMENTS 1/2017 to present Chair, Advanced Practice Nursing & Society of Critical Care Med. Practice Development Committee 6/2015 to 5/2016 Nominating Committee Board Member (elected) American Association of Critical Care Nurses (AACN) 6/2015 to 4/2016 Exam Development Committee for CSC AACN 12/2013 to 3/2016 Content expert & developer for ECCO 3.0 AACN Cardiovascular Chapters 1-3 8/2013 to present Item writer and content reviewer Advanced Critical Care (AACN) 6/2013 to 6/2015 CCNS Scope & Standards Task Force AACN 5/2013 to 6/2014 Commission on Advanced Practice Nursing North Carolina Nurses Assoc. 2/2013 to 10/2013 NCNA Leadership Academy Fellow North Carolina Nurses Assoc. 2/2012 to present Inducted as a Fellow of ACCM American College of Critical Care Medicine 2/2011 to 1/2014 CNS Member at Large Advanced Practice Nursing & Practice Development Board, SCCM 2/2011 to present Guidelines Utilization Committee Society of Critical Care Medicine Vice-Chair , Chair /2010 to 6/2012 President NC Affiliate of the NACNS 5/2010 to 6/2014 Treasurer/Board member Greater Raleigh Area Chap.-AACN 6/2010 to 6/2015 CSC/CMC Board of Appeals AACN 5

6 COMMITTEE ACTIVITIES Hospital Committees & Involvement (Sentara) Nursing Standards Quality Improvement Nursing Critical Care Policies and Procedures Cardiac Surgery Operations Committee Sentara Heart Hospital Operations Committee Partners in Education Committee Medication Safety Committee. Cardiovascular Surgery Performance Improvement Advanced Heart Failure Quality Improvement committee Critical Care Nursing Practice Committee Advanced Practice Nursing Council SPECIALTY CERTIFICATIONS Critical Care Registered Nurse Certification (CCRN) May, 2006 to present Cardiac Surgery Certification (CSC) January, 2008 to present Cardiac Medicine Certification (CMC) May, 2016 to present Critical Care Clinical Nurse Specialist Certification (CCNS) January, 2010 to present o American Association of Critical Care Nurses ELECTIVE CERTIFICATIONS Progressive Care Nursing Certification (PCCN) April, 2010 to present o American Association of Critical Care Nurses Fundamentals of Critical Care Support Instructor (FCCS) May, 2009 o Society of Critical Care Medicine Cardiac-Vascular Nursing Certification (RN-BC) January, 2012 to present o American Nurses Credentialing Center ACLS Instructor 1998 to present o American Heart Association LICENSURE North Carolina Board of Nursing Exp. 12/31/2018 Registered Nurse # Advanced Practice Registered Nurse, Clinical Nurse Specialist Exp. 12/31/2018 PROFESSIONAL SOCIETY MEMBERSHIPS American Association of Critical Care Nurses National Association of Clinical Nurse Specialists The Society of Critical Care Medicine, Carolina s Virginia Chapter member North Carolina Nurses Association 6

7 PROFESSIONAL SOCIETY ACTIVITIES AACN o Essentials of Critical Care Orientation 3.0 Content Expert (Jan 2014 to May 2016) o CCNS Scope & Standards Task Force (June, 2013 to May 2015) o Board member, Cardiac Surgery Certification Appeals Board (2010 to May 2015) o Advanced Practice Qualitative Continuing Education Review Panel (2009 to present) o Continuing Education Content Review Panel (2009 to present) o Item writer, Advanced Practice Journal (April, 2012 to present) o Local Chapter Board Member, Treasurer (May, 2010 to May 2014) NACNS o Past-President, North Carolina Affiliate of the NACNS ( ) o Member, National Association o National Conference Planning Committee for 2014 Society of Critical Care Medicine o Fellow of Critical Care Medicine o Fundamentals of Critical Care Support Course completion o Fundamentals of Critical Care Support Course Instructor (2009 to present) o SCCM-Nursing Section Committee member (2009 to present) o Guidelines Utilization Committee member (2012 to present) Vice Chair o Advanced Practice Nursing & Practice Development Chair Elect 2016 CNS Member at Large, Elected February, Carolinas/Virginia Chapter of SCCM PUBLICATIONS 1. Soltis, Lisa M. (2015) Role of the Clinical Nurse Specialist in Improving Patient Outcomes After Cardiac Surgery, AACN Advanced Critical Care, January/March 2015, Vol. 26, Issue 1, p Soltis, LM, Najera, A, Cox, D, Grooms, DM, McGrath, M. Improving Patient Safety Through Early Extubation after Cardiac Surgery Virginia Patient Safety Summit, 2016, Richmond, VA 3. Soltis, Lisa M. (2015) CCRN Certification Test Prep, Critical Care Nurse, April 2015, Vol. 35, Issue 2, p

8 ABSTRACTS Legal Issues in Nursing: Courageously Protecting Your License. National Teaching Institute, AACN, 2016 New Orleans, LA Maximizing Outcomes Through Medications: Understanding Cardiovascular Pharmacology National Teaching Institute, AACN, 2016 New Orleans, LA Thinning out the Confusion: What s New with Oral Anticoagulants Pre-conference National Teaching Institute, AACN 2015 San Diego, CA Tissue Oxygenation: It starts at the Cellular Level National Teaching Institute, AACN 2015 San Diego, CA Case Studies in Nurse Driven Fluid Optimization using Non-invasive Hemodynamic Monitoring. National Teaching Institute, AACN 2015 San Diego, CA Improving Patient Outcomes: Understanding Cardiovascular Pharmacology National Teaching Institute, AACN 2015 San Diego, CA Clinical Nurse Specialists: Endangered Species or Phoenix from the Ashes National Teaching Institute, AACN, 2014 Denver, CO Early Extubation after Cardiac Surgery Leads to Decreased Returns to ICU and Pulmonary Complications Critical Care Medicine, SCCM National Congress, January 2014 Sepsis: The Next Core Measure? National Teaching Institute, AACN 2013 Boston, MA Aces, ARBS, and Blockers: Cardiac Pharmacology National Teaching Institute, AACN, 2013 Boston, MA Case Studies in Cardio-Thoracic Surgery Hemodynamics in Various Shock States A Slice of NTI, AACN, Las Vegas, NV 2013 A Slice of NTI, AACN, Las Vegas, NV 2013 Tissue Oxygenation & Hemodynamic Monitoring: It s all About the O s National Teaching Institute, AACN,

9 Blood Transfusions in the ICU: Are we quietly killing our patients? National Teaching Institute, AACN, 2011 Dissections, Ruptures & Shock, Oh My! Case studies in Cardio-Thoracic Surgery National Teaching Institute, AACN, 2011 Acute Coronary Syndromes. National Teaching Institute, AACN, 2010 Improving Training for Maintaining Competency with VAD patients. National Teaching Institute, AACN, 2008 Heart to Heart: A Collaboration between Medical and Surgical Cardiology Educators. National Teaching Institute, AACN, 2007 Collaborative Practice Enhances Nursing Competence: Development of the Nursing Pocket Guide National Teaching Institute, AACN, 2007 SPEAKING ENGAGEMENTS Speaking Engagements available upon request. 9