Director Of Clinical Excellence Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Talented director of quality and team leader offering 10 years of success in an acute healthcare environment. Strategic thinker with outcome-driven proficiency. Offers proven ability to build effective teams and focus on sustainability. Committed to identifying and leveraging opportunities for growth. Certified in quality.

Work History
Director Of Clinical Excellence , 2013 to Current
Iconma StaffingDayton, OH,

Responsible for hospital practice changes, quality initiatives, and sustaining improved outcomes.

  • Lead and manage a team of supervisors & coordinators in Fall, Pressure Injury Prevention, Stroke Care, and Geriatric Programs
  • Collaborate with interdisciplinary leaders to meet quality indicators for NDNQI, LeapFrog, DNV, CMS, and NJDOH standards
  • Maintain and update policies with evidence-based practice and in accordance with regulatory standards
  • Obtained National Primary Stroke Designation-DNV certification in 2019 and successfully completed annual survey in 2020
  • Maintained the AHA/ASA Get With The Guidelines Gold Plus Stroke Award for consecutive years and awarded the Target Honor Roll
  • Sustained Stroke Education Core Measure outcome above the Get With The Guidelines national benchmark & was named an Exemplary Exemplar, during the 2017 Magnet Site Visit
  • Chairperson of the Quality & Safety Nursing Council, Falls Interdisciplinary Committee, Policy Committee, and Co-Chair of the RWJBH System Falls Committee
  • Serve as internal consultant on matters of best practice. Instrumental in the attainment of the VoPE Award and Magnet Award
  • Adverse Event Team-Root Cause Analysis committee member
  • High Reliability Organization Certified Trainer
  • Track, trend and communicate NDNQI outcomes
  • Implement best practices to improve Nurses Sensitive Indicators such as the female external urine catheter device, fall prevention alarm monitor and criteria for use, Wilson Sims Fall Risk Assessment Tool, weight distribution & tracheostomy pressure injury prevention dressing, foot drop and pressure injury prevention boot
  • Promote shared governance across all levels of nursing, through mentorship and support
  • DAISY Award Coordinator from 2010 to 2016
Clinical Nurse Leader for the Critical Care Division, 2008 to 2013
Jersey City Medial CenterCity, STATE,

Medical-Surgical/Trauma/Cardiac and Open Heart

  • Oversight of lateral integration of patient care
  • Implemented current evidence-based practice to prevent nosocomial infection and improve patient outcomes such as VAP, CLABSI & CAUTI bundles
  • Served on the strategic planning team for reducing mortality
  • Instituted the Sepsis Campaign: Reduced and sustained baseline mortality by 30%
  • Oversight of the completion of the Early Warning Scoring System/Rapid Response and Sepsis strategic plan tactics
  • Served as a coordinator for the development of the emergency responder role and the rapid response team
  • Tracked and trended monthly code blue, rapid response, and sepsis data
  • Coordinated ongoing education for nurses and physicians on all critical care initiatives
  • Initiated first phases of delirium prevention which included: changing of agitation sedation scale, delirium prevention strategies, sedation and pain order set for mechanically ventilated patients, and sedation awakening and breathing trials
  • Developed and reorganized a new Handoff/Plan of Care tool that is used as a rounding tool by the interdisciplinary care team
  • Certified TeamStepps Trainer. Provided staff TeamStepps training
Critical Care Registered Nurse, 2003 to 2008
Jersey City Medical CenterCity, STATE,

Registered Nurse-Clinical Ladder Level II


  • Charge nurse of an adult 16-bed medical/surgical/trauma Intensive Care Unit
  • Directly responsible for: admission, assessment, initiation of orders, reevaluation and hemodynamic data interpretation of critical care patients
  • Provided exceptional care to critically ill patients in patient family centered focus environment
  • Leveraged interpersonal communication strengths to establish rapport and build trust with patients and families
  • Collaborated with healthcare team to provide coordinated treatment and optimal care
  • Served as resource and educator on ICU Collaborative
  • Served as primary preceptor for new nursing staff
  • Committee member: Unit Practice Council member and Research committee
Medical-Surgical Hemotology/Oncology RN, 1998 to 2003
Jersey City Medical CenterCity, STATE,

Registered Nurse


  • Effectively managed care to six to seven adult Medical-Surgical, Hematology/Oncology adult in-patient unit.
  • Utilized the nursing process to conduct a complete assessment and on-going development of individualized care-plans
  • Collaborated with the healthcare team daily to coordinate patient care, address needs and provide timely interventions
  • Served as a Charge Nurse in a 24 bed adult
  • Built positive trusting relationship with patients and families, ensuring safety and involvement in plan of care
  • Served as a preceptor to new Registered Nurses
  • Administration of chemotherapeutic agents
Doctor of Nursing Practice : Nursing , Expected in 2016
Rutgers University - Newark Campus - Newark, NJ
Master of Science in Nursing : Clinical Leadership, Expected in 2012
University Of Medicine & Dentistry - Newark, NJ
Bachelor of Science in Nursing : Nursing, Expected in 2000
New Jersey City University - Jersey City, NJ
Associate Degree in Nursing : Nursing , Expected in 1998
Elizabeth General Hospital - Elizabeth, NJ


Six Sigma Green Belt

TeamStepps Trainer

Clinical Nurse Leader


Service on Committees

2018 to Present DNV Committee 

2016 to Present: Malignant Hyperthermia Response Task Force  
2015 to Present: Catheter Associated Urinary Tract Infection Reduction Committee    
2015 to Present: JCMC Magnet Steering Committee Member 
2011 to Present: Strategic Planning Task Force: Assigned as leader for initiatives, accountable for completing tasks for house-wide initiatives  Key Clinical Process:  Report clinical initiative progress to the Chief Nursing Officer and Vice President Chairman of Medical                                
2016 to 2017: Alcohol Withdrawal Symptom Treatment and Management Task Force
2011 to 2017: Institutional Review Board member 
2010 to 2016: DAISY Award Coordinator · Implemented the DAISY award    
2010 to 2013: CHF readmission: IHI readmission Collaborative member, implemented and educated on teach back method
2010 to 2013: Co-Chair of the Sepsis Collaborative    
2010 to 2011: Six Sigma Falls Team, Green Belt: Used statistical methodology for defining the cause of our fall rates, measured current process, analyzed potential causes, improved process by implementing new protocols, and placed controls to hardwire practice   
2009 to Present: Chair of the Quality & Safety Nursing Council:  Improve upon and facilitate interventions to deliver quality safe care to patients through the development policies, guidelines, and revision of current standards     
2009 to 2013: Co-Chair of the Critical Care Committee:  Develop agenda items to assist in raising the standard in the Critical Care Division
2008 to 2013: Chair of the Rapid Response & Code Blue Committee
2008 to 2014: Co-chair and Advisor to the Nursing Research Council
2008, 2012, & 2016 :Magnet Committee: Prepared institution’s staff for Magnet status in various formats and wrote sections of the Magnet document
2006 to 2013: ICU Collaborative


Podium Presenter-Pathway to Excellence Florida "Sustaining Nursing QI Are You Set Up For Success?"-2018

Principal Investigator-Assess the Predictive Value of the Johns Hopkins Fall Risk Assessment Tool and the Wilson Sims Fall Risk Assessment Tool in a Psychiatric Inpatient Unit-Descriptive Correlational Retrospective Study-2017

Co-Principal Investigator- Barriers and Facilitators in Sustaining Quality Improvement in Nurse Sensitive Indicators in the Acute Care Setting-Qualitative Study-2016

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School Attended
  • Rutgers University - Newark Campus
  • University Of Medicine & Dentistry
  • New Jersey City University
  • Elizabeth General Hospital
Job Titles Held:
  • Director Of Clinical Excellence
  • Clinical Nurse Leader for the Critical Care Division
  • Critical Care Registered Nurse
  • Medical-Surgical Hemotology/Oncology RN
  • Doctor of Nursing Practice
  • Master of Science in Nursing
  • Bachelor of Science in Nursing
  • Associate Degree in Nursing