Christine B. Macaulay D.N.P, R.N., C.E.N.

** ***** *** **** ********** Crossing, PA 18977

Email: adu71s@r.postjobfree.com

EXPERIENCE

The Children's Hospital of Philadelphia

Safety and Quality Specialist – July 2021 – June 2022

Program leader for patient safety and quality improvement in collaboration with medical and nursing leadership. Supports institutional initiatives and regulatory requirements that impact patient outcomes. Coordinates the design and implementation of initiatives working collaboratively with the Office of Safety and Medical Operations to align efforts.

•Proposal Submitted - Ambulatory Safety Program framed on E.B.P. Armstrong Institute CUSP program and approved by Sr. Nursing Director of Ambulatory.

•Led Immunization Error Reduction Multidisciplinary Committee 2016 -2022 outcomes displayed monthly on the newly created dashboard for enterprise

•Supported education for novel B.P. under 3yr initiative in collaboration with

providers for primary care and specialty care satellites.

Nursing Practice and Patient Safety Specialist July 2004- June 2021

and Advanced Practice Nurse Coordinator July 2011- June 2015

Accountable for Nursing Practice and Patient Safety programs, coordination of Health System comprehensive safety initiatives, Program Charters for Primary and Specialty, knowledge expert on regulatory standards, Joint Commission (T.J.C.), Center for Medicaid Services (C.M.S.), and Department of Health (DOH) accreditation.

•Support included a daily review of clinical events like immunization errors, monitored outcomes based on established standards, and led groups toward continuous quality improvement.

• Mentored staff in leadership initiatives, policy, and procedure compliance, embedding current best practices into practice through analysis, design, project management, teaching, and coaching staff aligned with policy and procedures.

•Designed novel quality improvement programs focused on patient-centered care and prevention of preventable patient care events while providing R.N. opportunities for professional growth.

oAmbulatory Fall Prevention Program –2012 to present

o nationally recognized by American Nurses Association as an Exemplar for Magnet training and at the national conference. Transitioned program to an R.N. team lead. Outcomes; reduction in preventable patient falls, enterprise Ambulatory Dashboard. Presented from the podium as ANA quality conference and Ambulatory Nursing conferences. Creation of a parent-centered video on ambulatory fall prevention used across 51 CHOP ambulatory sites during patient encounters.

oImmunization Error Prevention – 2016 to present

oLed Chartered Quality Improvement Project for Primary care Immunization Error prevention. Ex. Sponsors Nursing Director and Medical Director, Multidisciplinary team formed. Outcome: Piloted prevention strategies and consensus standards.

oNurse Call System Project Improvement – Hospital-wide– outcome; safety and education redesigned based on analysis, staff feedback, alarm management, and vendor redesign of technology program.

•Mentored front-line nursing staff developing safety programs such as the Ambulatory Pediatric Fall Prevention Program, vaccine error reduction, and asthma care.

•Ambulatory fall prevention program selected, podium presentation at American Nurses Association (ANA) National Quality Conference for Ambulatory Fall Prevention Program (AFPP).

•Ambulatory Fall Prevention Program Recognized as Exemplar for a Magnet education program.

•Presented Immunization Error Prevention for Childhood Vaccine Program at the American Academy of Ambulatory Care Nursing (AAACN) quality conference,2020.

•Served as a knowledge expert in orientation design support for 60 practice locations in two states.

•Chaired Asthma Care task force for a novel nurse education project: Mentored R.N. leaders in design, implementation, and outcomes for the Follow-up Asthma Patient Teaching initiative.

•Served as nursing practice leader supporting nursing specialty and primary care staff, a consultant on the scope of practice, and a mentor for actions in quality improvement programs. Examples: orientation, the scope of practice, asthma care and stroke care, nurse call/communication of alarms for hospital comprehensive improvement project, interdisciplinary plan of care and handoffs of care, GYN exam procedure, patient flow initiatives including time and motion studies in emergency department, adolescent care clinic and primary care center. Served as knowledge expert on the scope of role for medical assistants.

•Functioned as health systems point person for T.J.C., C.M.S., and DOH readiness

•Accountable for orientation mentoring of certified nurse practitioners, certified nurse midwives, registered nurses, licensed practical nurses, certified medical assistants, and clinical support associate staff in primary care, emergency department, specialty care, and Special Delivery certified nurse midwives and inpatient units.

•Initiated and tested a pilot program in 2008 to foster a systematic and standardized approach to onboarding advanced practice nurses, registered nurses, licensed practical nurses, and certified medical assistants. The program achieved positive outcomes, as evidenced by formal and informal surveys.

•Oversaw the development of the Advanced Practice Provider (APP) new onboarding program resulting in adopters of the Competency-Based Orientation program (C.B.O.).

•Provided APP preceptor education and development.

•Served as the APP Coordinator, including creating projects such as hand-over of patient care initiative, Chair of APP Shared Governance Professional Development council, designed and Chair of Clinical Nurse Specialist Fellowship program, regulatory compliance coordination, credentialing coordination, development of programs in support of APP transitions to new roles and care models.

•Educated staff on performance improvement, evaluation process, and standards of care.

•Participated as a member of health system environment of care committee, disaster and decontamination teams, Advanced Practice Provider Manager Council as a supporting member, Chair APP Shared Governance Professional Development Council, Ambulatory

Shared Governance Council, Clinical Care Committee member, Accreditation Leadership Committee, Asthma Care Committee.

•Became a Certified Safe Keeping Trainer for health system broad safety program

•Wrote policy and procedures and job descriptions for various new procedures and devices

•Served as a Chief Nursing Officer Task Force - Communication Strategic Planning committee member.

•Served as the Advanced Practice Provider and Ambulatory Nursing Share Point Community Manager, including initial and ongoing design.

•Developed multiple telephone triage courses designed in support of ambulatory care staff.

•Participated in Disaster Response Committee.

•Responsible for design and coordination of orientation of nurse practitioners, clinical nurse specialists, certified nurse midwife, both new and transfer hire in partnership with Advanced Practice Nurse Director, Advanced Practice Nurse Managers across the entire network.

Interim Manager of Children's Hospital of Philadelphia Ambulatory Specialty Care Center, King of Prussia, PA July 2003- February 2004

•Appointed interim Nurse Manager Role in Specialty Care Satellite, Oncology Clinic in King of Prussia, PA, during a vacancy. Lead author job descriptions, policy, and procedures for quality improvement initiatives

•Oversight of day-to-day patient care, process improvement, and operations.

o Oncology patients procedures, pediatric sedation, and recovery post-MRIs/C.T.

o East Building -Medical Specialty Offices

oWest Building – Oncology Clinic and Radiology Services

Emergency Department Clinical Nurse Specialist/Project Coordinator 2001-January 2004

•Provide coordination and leadership support for specific management projects as requested: policy and procedure development and new E.D. design meetings.

•E.D. tech orientation program development, competency validation, and Job Description.

•Support E.D. Patient Care Assistant staff during Supervisor FMLA. Created orientation program for P.C.A. role and Emergency Disaster Response.

•Improved emergency department communication systems. Walkie-talkies and Telephone communication systems.

•Created ED Nursing Multidiscipline Research Committee to study Triage evidence-based practice.

•Improved supply delivery systems working in collaboration with key stakeholders, purchasing,

Surgical attendings, E.D. Medical, and Nursing Directors.

•Created performance improvement initiatives in alignment with the strategic plan.

•Managed progressive and yearly performance evaluations.

•Led E.D. event program to follow up, trending data for improvement opportunities, and action plan lead as needed.

Holy Redeemer Health System, Meadowbrook PA 1994 – 2000

Director Emergency Services 1995 -2000

Direct administration and operations of Emergency Services, hospital admissions, emergency registration, and Occupational health.

•Managed a staff of 50 FTEs (81 people)

•Managed Emergency Services day-to-day operations and clinical

•Redesigned Emergency Response for E.D. and influenced health system redesign.

•Responsible for E.D. compliance as a Radiation Emergency designated site.

•Administrator On-Call for Health System

•Designed protocol for new stroke medication, T.P.A., for E.D. nursing staff.

•Designed new pediatric code curriculum, including proposal and approval for purchasing two new pediatric code carts.

•Resolved "quantity insufficient" problem related to trends in phlebotomy rejections by the lab.

•Piloted and approved for wireless monitoring of the patient in E.D. being transported out of E.D. to intensive care units and procedural units.

•Appointed Interim Chief Nurse Executive during a Joint Commission accreditation visit year. Led organization redesign reflecting a "new nursing leadership model" by creating a strategic nursing plan aligned in compliance with regulatory criteria. Senior Executives approved the project. The change resulted in positive outcomes during the Joint Commission accreditation visit.

•Developed E.D. patient acuity program, every patient assigned an acuity score at discharge or after admission. Outcomes: data collected led to an improved care model and approval for justification of additional FTEs.

•Improved door-to-doctor times from an average of 1 hour to 15 minutes.

•Developed an E.D. Leadership council to engage front-line staff in quality improvement

Nurse Manager Emergency Services 1994-1995

•Assumed responsibility for front-line management of Emergency Department and Occupational Health staff.

•Responsible for fiscal, operational, and quality outcomes in compliance with S.O.P.

•Developed a new E.D. orientation program for RNs, L.P.N.s, ED Techs, Unit Clerks, and Registration Staff in compliance with current regulations. All regulatory and clinical competency goals were met.

•Developed ED Nurse Care Classification/Acuity system for budget planning.

Mercer Medical Center, Trenton NJ Jan 1988- September 1994

Clinical Nurse Specialist Emergency Department 1988-1994

•Responsible for orientation of all new staff, developing and coordinating educational programs for R.N., L.P.N., E.D. Technicians, Unit Secretaries, and Nurse Practitioners.

•Department of Education Committee Member - reviewed and updated policies, procedures, and education documents assigned by Director. Participated and Led courses in A.L.S., C.P.R.

•Member of multihospital education collaborative - Trenton Regional Association of Nurse Educators (TRAIN). Education classes for new hires and professional development for staff bi-annually. Collaborated with Nurse Educators for curriculum development, scheduling of speakers, course testing, and evaluations. Refined courses based on participant feedback with learner-centered outcomes.

•Delivered direct care regularly as flow and events indicated.

•Designed Cardiac Emergency procedures with the Medical Director to deliver a new cardiac medication (T.P.A.). Developed documentation forms for accurate documentation of the protocol-driven medication. Door-to-needle time met metric goals.

•Improved documentation for Emergency Department care through standards committee, form design, patient education committee, and staff education.

•Served as Quality Assurance Coordinator for E.D. in collaboration with E.D. Medical Director, participated in hospital Q.A. committee.

•Shared administrative responsibilities with the Nurse Manager, including budget and performance evaluations.

•Designed policy and procedure for E.D. autotransfusion.

•Developed pediatric code response procedure in E.D. in collaboration with Pediatric Unit leaders and Medical Staff.

•Member of multihospital education collaborative teaching topics on trauma, neurological emergencies, and pediatric E.D. care.

Abington Memorial Hospital ED Abington PA 1986-1988

Staff Nurse

Performed various R.N. Emergency Department nursing staff duties in Level II Trauma center while completing a full-time M.S.N. program.

Nazareth Hospital, Philadelphia, PA 1982-1986

Charge Nurse/Staff Nurse

•Performed various Emergency Department duties, including charge nurse

•Selected as Care Employee of the Month – by hospital staff

•Chosen to present a lecture on the septic shock to hospital clinical staff

•Served as a member of the Nursing Standards Committee

•Preceptor of new E.D. staff.

PROFESSIONAL EDUCATION

Regis College - Doctorate in Nursing Practice, Weston MA, graduated December 18, 2022. GPA 3.725

•Leadership, Educator track with nine elective credits; Online Education, Methods, Instructional Methods in Nursing Ed, and Simulation in Nursing Education.

oScholarly Project - Effects of E-learning on Nurse's Self-Efficacy Learning Vaccine Error Prevention in Ambulatory Care – successful defense November 18, 2022

oCurriculum Development Example– Simulation Teaching Program for Vaccine Error Reduction (Senior Nursing students) December 17, 2022

•University of Notre Dame - Medodoza College of Business, Advanced Executive Negotiations Certificate, August 2010 and Executive Certificate in Negotiations October 2010.

Villanova University, Villanova, PA., Post Graduate Certification in Nurse Executive Program 2000-2000

De Sales University, Masters in Business Administration Program courses, Accounting, Marketing, Business Ethics, Center Valley PA. 1999-2000

Jefferson University/College of Graduate Studies Philadelphia, PA. Postmasters Certificate in Critical Care/Trauma Certificate as a Clinical Nurse Specialist, 1990-1991 GPA 4.0

Gwynedd Mercy College, Gwynedd Valley, PA Master of Science in Nursing – Gerontology/ Management 1987 GPA 3.86

Bucks County Community College, Newtown PA Associates Degree in Nursing 1982 -GPA 3.50

Gwynedd Mercy College, Gwynedd Valley, PA BS Education.

CURRENT CERTIFICATIONS

1985 to present: Certified Emergency Nurse

PAST CERTIFICATIONS

American Heart Association Basic Cardiac Life Support Basic Cardiac Life Support Instructor

Pediatric Emergency Care Instructor

Advanced Cardiac Life Support and Pediatric Advanced Life Support

HONORS AND AWARDS

CHOP Safety Day Research Award May 13, 2019-2nd, place - Immunization Errors in Primary Care: A Successful Human Factor Approach Using Data Analytics to Reduce Errors.

Sigma Theta Tau award for serving as Trenton State College Chapter President 1993

Commendation from Department of Veterans Affairs for support of Operation Desert Storm August 2, 1990-March 1, 1991.

Keynote Speaker for School of Nursing Graduation Mercer Medical Center School of Nursing Trenton NJ - 1989

Guest Speaker for Trenton State College and Rider College Nursing staff for school infirmaries - Topic: Triage 1990

Care Employee of the Month Nazareth Hospital 1986

Phi Theta Kappa - Junior College Society 1982

VOLUNTEER PROFESSIONAL POSITIONS

Sigma Theta Tau President Delta Nu chapter 1993

Sigma Theta Tau Vice President Delta Nu Chapter 1992

Advanced Practice Nurse student preceptor at both CHOP and other health system

RESEARCH PRESENTATIONS

•American Academy of Ambulatory Nursing (AAACN) National Conference Immunization Errors in Primary Care: A Successful Human Factor Approach Using Data Analytics to Reduce Errors. 2020

•American Nurses Association(ANA) Quality

Conference Presentation: Ambulatory Fall Prevention Program - selected as Exemplar for American Nurses Credentialing Center Magnet education program. 2014

•American Academy of Ambulatory Nursing (AAACN) Pediatric Special Interest Group (SIG) speaker at National Conference AAACN Website library 2016

•American Nurses Association (ANA) Quality Conference "The Value of R.N. in Ambulatory Care" poster presentation 2016

•Abstract for Ambulatory Fall Reduction Program accepted at AAACN National Conference Poster presentation May 2013 and The Children's Hospital of Philadelphia Research Day 2013

•Pediatric Care and Safety-Guest Speaker - Pediatric updates AAACN 2010

•The Effect of Leadership Style of the Emergency Department Nurse Manager on the Job Satisfaction of her Staff – Master's Thesis 1987

oOral and Poster Presentation: Organization of Nurse Executives 1991

oAmerican Association of Critical Care Nurses 1991

oGraduate Hospital Research Symposium 1991

oEmergency Nurses National Conference in San Francisco 1991

Teacher Practitioner Researcher - Lehigh Valley Hospital 1991

PUBLICATIONS

•Emergency Nursing Malpractice in Patricia Iyer and Barbara Levin (Eds), Nursing Malpractice Fourth Edition, Lawyers & Judges Publishing Co. 2011

•Contributor to E.D. Nursing periodical addressing nurse liability risk 2009

•Guest Speaker -Web seminar "From Triage to the Courtroom, Legal Risk in E.D. Practice" 2008

•Abstract for Master’s Thesis published in Journal of Emergency Nursing- The Effect of Leadership Style of the Emergency Department Nurse Manager on the Job Satisfaction of her Staff 1992

COMMUNITY SERVICE

•ACEN (previously NLNAC) National Nursing Programs evaluator

•Aid for Girls - as a Big Sister

•Chaired profit-making fundraiser as Alumni Board Gwynedd - Mercy College

•Religion teacher

•Drug and Alcohol awareness grant program -Trenton public schools

•Pediatric Hospital Awareness program (Teddy Bear program) K-3rd grade

•Graduate Nursing Student preceptor

•Trauma Education for Emergency Medical System staff.

TECHNICAL SKILLS

Microsoft Office, Word, Excel, PowerPoint, Access, Teams, Project Management

Adobe Create/Creative Cloud, Shutterstock

Vimeo, Survey Monkey

Blackboard, Moodle, Core Elms,

SharePoint- Community Manager, Redcap, KAPS, QlikView data analysis

Blue Jeans, Webex, Teams, Zoom.

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