Jessica Listman-Ward

NURS 406

 Jung

Typology Test score ESFJ

11% Extrovert
25% Sensing
12% Feeling
78% Judging

Guardian

Provider
Put the needs of others first
Give own time and resources
to groups
highly cooperative, skilled
in maintaining teamwork
among their helpers, and are
also tireless in their
attention to the detail of
furnishing goods and
services (Kiersy, 2014)
Friendly and love family
traditions.
Sensitive to feelings of
others
Tirelessly give to help others

David Kiersy

Enjoys entertaining and giving

Love being in charge and
delegating
Give 100% and expect the same
wear their heart on their
sleeve
Mothering instinct

Sometimes makes it hard to justify

right and wrong
serve excellently as protectors,
outstanding in fields such as
medical care and elementary
education (Butt, 2014)
Ability to express emotions makes
for great administrative positions
Look at things as being black and
white, no gray area

Joe Butt

 Growing

up I was shy
Ive become more outgoing
I use a balance of sense and intuition
I use feelings and thinking in decision making
I use judgments and rationales over
observations
While I do not agree with the results 100% I
feel that they are relatively accurate.

put the needs of others before mine

I will drop what I am doing to help someone
in need
My close friends describe me as the kind of
person that will give you the shirt off my
back.
I give 100% to anything Im involved in
Strong ties to family traditions

prefer to give rather than receive

I continually give and never ask for anything
in return
I love being a leader
I can easily delegate tasks
I work great with a team
I have a strong sense to help others
Keeping these things in mind- it seems that I
was born to be a nurse

 Small

town girl who grew up learning how to

be a leader though many organizations:

Girl scouts
4-H
FFA
Various choral groups
Nursing Student Association

 Characteristics:

Honesty
Communication
Reliability
Positive attitude
Ability to admit that I am wrong or a mistake has
been made

Church Hill Community Hospital

Located in Church Hill, MD
Free standing emergency department with 20 beds,
radiology and ultrasound
Differ than most EDs in that we will treat patients as
inpatient
200 employees including MDs, RNs, radiology techs,
secretarial staff

Over 50 nurses with some new grads, some with

10+ years of experience
Monthly staff meetings, open door policy for all
leaders, mentor partnership with local facilities,
training classes, anonymous online
questions/complaints/compliance link for all
staff on the intranet

Nursing

Must follow the Nurse Practice Act for the State of Maryland
Ensure that consent forms are completed before patient care
is done, expect for medical emergencies
Be the patient advocate
Prevent patient neglect
Ensure safety when administering medications

Doctors
Ensure patient safety when administering medications
Perform medically necessary services
Explain all procedures to patients and have nurses witness
necessary forms

Medical Facility
Provide clean safe environment
Ensure that all equipment is in proper working order

 All

staff must follow the code of conduct

Doctors Code of Conduct from the AMA

Nurses Code of Ethics from the ANA

HIPPA
Protect

patient rights and privacy

The facility cant discriminate against anyone

We treat any/all patients regardless of race,
gender, ethnicity, income, etc.
We encourage staff to attend Chesapeake
College class

Spanish for medical staff

We hold bi-annual meetings to discuss cultural

considerations
Jehovahs witnesses do not accept blood transfusions
Preferences in gender for medical staff
Offer blue phone which acts as translator for many
languages

Open door policy

Encourages communication
Promotes positivity among the staff
Breaks the barriers between management and floor
staff

Meet with all staff individually

5-10 minutes to check in and see if there are any
issues
Follow up on any issues to see if they have been
resolved

Disciple policy

Verbal warning after 2 occurrences within a year

Written warning after 3 occurrences within a year
Termination after 5 occurrences within a year

Leadership Theories:

Transformational Leadership- involves the importance of

interpersonal relationships (Sullivan, 2013, p. 43).

All employees should embrace the vision of the hospital

All employees and leaders improve themselves
All leaders, including myself, influence followers to do something
bigger and create a change
Encourage further education and certifications
Active involvement in committees

Servant Leadership- involves the concept of a need to serve

and help out (Sullivan, 2013, p. 44).

I became a nurse because I had a strong desire to help others

I encourage others to reach their full potential and seek out
opportunities
I prefer to lead by example showing others that it is never too late
to reach their dreams
I have 2 bachelor degrees that I received before I decided to
pursue my real dream of nursing

 Forecasting

Changes in healthcare due to Obamacare

Allow patients to access medical records online

Hiring nurses with a BSN or higher by the year 2017
Working closely with Medicare and Medicaid for
reimbursements
Treating more patients in an outpatient facility- we
will continue to follow this trend and may branch out
with those facilities

 Joint

Commission

Non profit organization

Accreditation means the facility meets organizations
standards
Promote highest quality of health care
Evaluates the safety and effectiveness of the facilities
healthcare

 EMTALA

Emergency Medical Treatment & Labor Act

Unable to discriminate in health care due to patient

inability to pay
Requires facilities to stabilize patients, or at patient
request transfer to another facility

OSHA

Occupational Safety and Health Administration

Employers must provide sage and healthy workplace

Ensure standards are followed through training,
education and workplace checks

Joint Commission
Survey must be done
Criteria must be met before survey:

Fulfill your states licensure requirements

Complete and submit the CMS 855 application to
Medicare
Notify CMS and Maryland Dept. of Health with a letter
that the Joint Commission with be doing a survey for
accreditation
Must have one active inpatient case and 10 inpatient
records at the time of the survey.
For Medicare certification must have one inpatient case
when survey is conducted
Must have 20 inpatient records since daily census is
less than 21

 Other

requirements:

Organization is located within the United States

Organization assesses and improves the quality of
its care, treatment, and/or services
Organization identifies the services it provides,
indicating which care, treatment, and/or
services it provides directly, under contract, or
through some other arrangement
Organization provides services addressed by The
Joint Commissions standards
Joint Commission, 2014

 Employee

retention

Provide reimbursement for education after

employee has been at facility for >6 months
Provide paid ACLS certification for RNs and MDs
Provide paid BLS certification for other staff
Allow employees to participate in town hall
meetings

Give them a chance to talk about benefits

How can the facility improve employee satisfaction

 Marketing

Plan

Serve Church Hill and the surrounding areas

Affiliate with Church Hill Volunteer Fire Dept.
and the Queen Annes County Rescue Squad
Offer sports physicals in the fall for the local
athletes
Send out quarterly newsletter to community
Hold open house/health fair once a year for the
community to see the facility

BP screenings
Dieticians to talk about heart disease, diabetes, etc.

Human Resources

Assist them in creating a mentor program for interested

high school students
Assist employee health in ensuring that all PPDs, CPR
are completed before they expire
Assist them in hiring new nursing staff

Work on the committee that hires new doctors

Look over all incoming applicants

Assist in checking references
Participate on the interview panel
Participate on the interview panel
Look into credentials of the applicant
Will they be a good fit for the facility?

Work with HR on benefits for staff

Provide them with staff feedback from the meetings

Research what other facilities have

 As

the manager I
report to the
directors
Nursing and
ancillary-CNAs,
respiratory report
to me

We are located on the eastern shore so we must

be prepared for all sorts of weather
Hurricanes
Flooding
Blizzards

Look at FEMA recommendations for these issues

Educate the community of preparedness for
disasters
Hold mock drills as training

Act as a dry run to work out any kinks in the policy

Improve communication
Gives staff a realistic expectation of what can occur

 As

emergency department we will be the

first place people go

All hands on deck for staffing

Work with local medical facilities

Work

with Church Hill Volunteer Fire

Department and Queen Annes County Rescue
Squad
Ensure extra staffing for impending disasters

Provide food, sleeping quarters for on call staff

Provide additional pay for employees who come
in and stay during this difficult time

 Focus

on leadership and improvement of

others

Mentor program
Communication
Internships

Mentor

program

Pairing new nurses with experienced nurses

Allowing open communication between staff
Promotes improvement for all staff

 With

a mentor program we can allow

everyone to excel and reach full potential
As the manager I will follow up with
everyone involved in the program
I will continue to looks at senior nurses and
those who are up and coming
Those who chose to go above and beyond and
promote education, etc. will be recognized
Out of these staff members we will be able
to choose someone to replace my position at
retirement

The facility would like to partner with other

local facilities

Training sessions to staff when FEMA offers them

Promotes health care in all aspects

Provides exceptional care to the community
Promotes safety of patients
Provides additional education to staff

Attend conferences

Attend the ENA conferences

Educate the staff on new information after the

conference
Get staff feedback

Attend the MNA conference and encourage staff to

attend
Allows us to network with larger facilities

Amer, K.S. (2013). Quality and safety for transformational nursing core
competencies. New York, NY: Pearson
Butt, Joe. (2014). ESFJ Description. Humanmetrics.com. Retrieved from
http://www.humanmetrics.com/personality.esfj
Humanmetrics. (2014). Humanmetrics Jung Typology Test. Retrieved from
http://www.humanmetrics.com/hr/JTypesResult.aspx
Kiersey, David. (2014). Guardian: Portrait of a provider (ESFJ). Retrieved
from http://www.keirsey.com/4temps/provider.asp

Sullivan, E.J. (2013). Effective leadership and management in nursing. New

York, NY: Pearson.
The Joint Commission. (2014). Accredidation, Health Care, Certification.
Retrieved August 10, 2014, from http://www.jointcommission.org/