Candidate for Director: Elizabeth Scruth


Elizabeth Scruth, PhD, RN, MPH, CCNS, CCRN, FCCM
Clinical Practice Consultant/CNS

Kaiser Permanente Northern California
Santa Clara, California

Experience and Activities

Chapter Membership

  • South Bay Chapter, 2005-present
    • Education chair, present
    • President, 2009-2010

AACN Commitment and Involvement in the Past 3 Years

Includes how the candidate integrated AACN's mission and work into her current role and practice. Local and national volunteer activities are listed, if applicable.

  • Volunteer, CCRN review classes for critical care RNs
  • AACN member, Society of Critical Care Medicine’s Family Centered Care Committee, 2014-2017
  • Assisted with implementing “Early Detection of Sepsis” throughout Kaiser Permanente NCAL 21 ICUs and EDs, based on existing evidence in the literature, 2008-present
  • Implemented performance improvement throughout Kaiser Permanente’s ICUs by implementing a bundle, “Rethinking Critical Care,” consisting of early mobility/ventilation strategies and early extubation after assessment for extubation daily/daily multidisciplinary rounds/assessment of delirium twice daily and communication of daily goals of care (evidence-based care), 2001-present

Key Professional Activities Outside AACN in the Past 3 Years

Includes involvement with other professional organizations, teaching and/or speaking.

  • Member, Preventive Cardiovascular Nurses Association, 2008-present
  • Society of Critical Care Medicine
    • Member, 2003-present
    • Family Centered Care Committee, 2014-2017
    • ICU Design Committee, 2014-2017
    • Poster presentation, 2014 Congress on Sepsis in Surgical Patients
    • Post Intensive Care Syndrome Committee, 2010-2013
  • Professional premium member, American Heart Association, 2006-present
  • National Association of Clinical Nurse Specialists
    • Member, 2006-present
    • Section editor, “Legal and Ethical Issues,” Clinical Nurse Specialist, 2014-present

Issues Statement

As the landscape of healthcare is changing rapidly and the value placed on quality and patient satisfaction is becoming front and center, it is time to acknowledge and highlight the importance of the bedside critical care RN as the driver for these. Quality starts at the bedside, and the critical care nurse will need to drive the process. Certification as a CCRN and knowledge of quality metrics as they relate to reimbursement, improved outcomes and standards of care must be seen as basic competencies for all critical care nurses.

Now is the time to emphasize the importance of both of these. Improving outcomes in critically ill patients through performance improvement methodology will be imperative to every healthcare organization, and the critical care RN will have to be engaged fully.

 As an organization, AACN can lead the way to provide and encourage knowledge in this area. Performance improvement initiatives developed and led by the critical care nurse will result in sustained processes that are hardwired and accepted by the multidisciplinary team. Certification of every critical care nurse will enhance recognition of their value to quality patient care, expertise in caring for complex patients and their commitment to the profession. By championing both of these, AACN will continue to be viewed as a leader and respected by our physician and interdisciplinary colleagues.

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