Skip to Main Content
Skip Navigation Links

Nursing Excellence

The Online Newsletter for Children's Nurses
e-Edition, Issue 4 

Beverly Hayden Pugh
Magnet LogoA Decade of Difference

By Beverly Hayden-Pugh, MOB, BSN, RN, NE-BC
Vice President & Chief Nursing Officer

Welcome to 2010! It is hard to believe that another decade has passed. As I reflect on the past 10 years, most notable is the enhancements within the professional practice of nursing. Let’s take a walk down some memorable “magnetic moments.”


In 2004 Children’s Hospital Central California achieved the Magnet Recognition Award for Excellence in Nursing Services from the American Nurses Credentialing Center (ANCC) followed by re-designation in 2008. What an incredible achievement! Less than five percent of hospitals nationwide have achieved this milestone with less than two percent achieving redesignation.

Culture of Safety and Quality

Quality and safety are the foundation of nursing care. Nurses throughout the organization have been involved in the National Patient Safety Goals, creating the “Ideal NICU” and participating in the activities of the National Database of Nursing Quality Indicators (NDNQI) and the Collaborative Alliance for Nursing Outcomes (CALNOC). 

Community Outreach

In 2002, we reached a milestone of Pediatric Community Health Screenings (from 1997-2002) holding 25 events, serving over 6900 community children in the Central Valley. Community outreach activities have been numerous throughout the decade including child advocacy, trauma/injury prevention activities, water safety program, outreach education, Medical Careers in Action Career Forum, and many individual contributions to our community, nation and the world at large.

Nursing Communication

In 2003, the first Nursing Excellence Newsletter was published, creating a method to highlight excellence and share information; this is our 21st edition. The Nursing Annual Report was created in 2006 followed by enhancing access to information through iCare, Children’s nursing portal, in 2007.


In 2004, we initiated the use of the EVALISYS Patient Classification System (PCS). Efforts focusing on staffing systems through the years have resulted in the Float Preference Program and High Census Plan, resulting in increased staff perception of staffing adequacy and quality care.


Technology was and continues to be a part of our past and future; highlighted by the implementation of Accuscan in 2003, Pyxis in 2004, transition to Admin RX in 2009 and implementation of Client Server in 2009. In addition, there was the implementation of electronic documentation in the Emergency Department (ED) in 2004 and PICIS in the Operating Room (OR) in 2005. In 2007, Premise Bed Management system was implemented, contributing to enhancements in patient throughout. Technology is a powerful tool which supports the provision of patient care.

Patient Throughput

The Patient Throughput Initiative in 2005 represented our culture of collaboration, innovation, and quality as the organization developed and initiated enhancements resulting in improved access to care.


We implemented our L.E.G.A.C.Y. Care Delivery Model, in 2005, designed by an interdisciplinary team of staff, leaders and physicians reflecting our commitment to Leadership, Excellence (Family-Centered Care), Growth, Accountability and Autonomy, Collaboration and Your Professional Practice.

Nursing Governance Structure

First initiated in 2002, the Nursing Governance Structure is based on a framework of participatory governance providing an environment for the nursing staff to govern the practice of nursing. Today the structure has continued to evolve and is comprised of nine nursing committees/councils and four interdisciplinary committees in addition to numerous unit-based committees.

Specialty Roles

Nurses have developed into new roles to support an ever growing complexity in patient care. Examples include Nursing Informatics Specialist, Vascular Access Specialist, Value Analysis Coordinator, Clinical Education Specialist, Program Manager Nursing Practice and Supervisor Health Information Data.

Patient Care Programs

Programs to support patient care were developed including programs supporting Bloodless Medicine and Surgery, Palliative Care, Sedation, Peripherally Inserted Central Catheter (PICC), and Caregiver Case Review.

Presentations, Organizations, Certification and Publication

A focus on professional presentations, nursing professional organizations, national certification and publications has resulted in a plethora of professional nursing activities, including participation in many professional organizations and establishment of local chapters of nursing organizations such as the Local Chapter of the National Society of Pediatric Nurses and the Central California Association of Neonatal Nurses. Nurses have presented and published nationally, sharing innovative practice and research activities. National Certification of our nurses has increased significantly; 39.26% of eligible nurses for fiscal year 2009 are nationally certified.

Continuing Education

We have focused our efforts in supporting on-going learning through activities such as the Nursing Leadership Academy, Clinical Leadership Workshop, Children’s Leadership Institute, Pediatric Nurse Extern (PNE) Program, Continuing Education Cores and Classes, Life Support, Critical Care Orientation Project, and offering nursing scholarships and assistance through education reimbursement.


Magnetically Charged People

Let’s stop, take a deep breath and continue with individual accomplishments, community-based awards in recognition of excellence, advancement on the Clinical Advancement Program and academic education and achievement of national certification. In this edition of the Nursing Excellence, we celebrate the accomplishment of nurses and Respiratory Care Practitioner’s (RCPs) across the organization who achieved national certification.

Most importantly, it is not the programs, roles or projects, but the individual contributions that each of you, individually, make to the professional practice of nursing. Each day with your care of each patient and family, service on committees, and participation on interdisciplinary teams - you make a difference, managing the present and molding the future. The next decade promises to be one in which all of our talent, commitment and advocacy for our patients, families and the professional will be needed. Thank you for the past and I look forward to our future. We are “Magnetically Charged.”


In This Issue

A Decade of Difference

National Certifications

The Benefits of Certification

A Journey to National Certification

A Vision for Advanced Respiratory Therapist Credentialing

The PICU's National Certification Journey

Working for a Living

Success - A Team Effort