Candidate for Nominating Committee: Michele Zucconi

 Michele Zucconi

Michele Zucconi, MSN, RN, CCRN
Administrative Director for Critical Care, Cardiac Catheterization and Interventional Radiology Lab

Inspira Health Network
Vineland and Elmer, NJ

Experience and Activities

Chapter Membership

  • Southeastern Pennsylvania Chapter (SePA), 1994-present

AACN Commitment and Involvement, 2012 - present

Includes ways in which the candidate integrated the mission and work of AACN into her current role and practice. Local and national volunteer activities are listed, if applicable.

  • Beacon Review Panel, 2011-present
  • Circle of Excellence award, 2013
  • “Impact of Canine-Assisted Ambulation on Hospitalized Congestive Heart Failure Patients’ Ambulation Outcomes and Satisfaction,” 2012
  • Podium presentation, National Teaching Institute, 2012
  • Mentored five other ICUs to meet Beacon standards

Key Professional Activities outside AACN, 2012 - present

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

  • American Organization of Nurse Executives, New Jersey chapter, 2009-present
  • Excellence in Quality Improvement Awards for Diabetes Care, New Jersey Hospital Association, 2015
  • Institute of Medicine, New Jersey Action Coalition, “Future of Nursing for the Health of Our State” Leadership Pillar
    • Committee member – present
    • Chair for planning committee, Southern New Jersey Forum awareness campaign and podium presentation
  • Poster presentation, “Impact of a Multidisciplinary Diabetes Self-Care Class on 30-Day Diagnosis-Specific Recidivism and Patient Perception,” ANA Quality Conference, 2015
  • Poster presentation, “Impact of a Multidisciplinary Diabetes Self-Care Class on 30-Day Diagnosis-Specific Recidivism and Patient Perception,” Academy of Medical-Surgical Nurses, Tennessee, 2013

Issues Statement

Recently, much attention has been given to the stressors facing nurses working in critical care and high-acuity environments. Research and recommendations have been published to address both alarm fatigue and compassion fatigue. However, rapid change has remained a consistent factor in the provision of high-quality healthcare. The majority of this change is related to the incorporation of technology into care routines. Informatics has dramatically improved patient safety (through initiatives such as barcoded medication administration). It has also created a detachment and dependence among patient care providers. Automated workflows and prompts have the potential to largely negate the need for critical thinking and creative problem-solving in patient care.

For example, many intravenous drip rates are automatically calculated by smart IV pumps, slight changes in ST measurements are detected by wireless cardiac monitors and remotely entered provider orders are sent directly to pharmacy personnel. While technological advancements have protected patients from potential harm, they removed the need for refined assessment and planning skills. This deficit can result in unfavorable patient outcomes in the event of technology failures such as computer downtime or loss of Internet connectivity. Recently, National Public Radio has highlighted examples of critical errors resulting from failure of technology safeguards that could have been avoided. In one case a medication order was entered incorrectly into an electronic physician order entry system and resulted in a pediatric patient receiving a dose 14 times higher than necessary. In short, patient safety largely begins and ends with the bedside nurse.

As a leader in critical care and high-acuity nursing, AACN is an organization uniquely positioned to advocate for judicious and safe incorporation of healthcare informatics into nursing practice while ensuring that nurses maintain the ability to think critically and creatively when faced with complex patient care situations or challenges.

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