Dr. Mary Jane Bowles DNP RN CCRN CNS-BC - MWH Critical Care Services
Advancing Clinical Excellence (ACE) is a professional practice model which
is essential to strengthening nursing professionalism and enhancing job
satisfaction. ACE is a structure to support nurse empowerment; nurses
who have control of their practice are linked to high-quality patient outcomes.
A 2010 report from The Institute of Medicine (IOM) calls on nurses to
take a greater role in America’s increasingly complex health care
system. The American Nurses Association (ANA) commended the IOM for the
report on the nursing profession and acknowledges the need for nurses
to take a leadership role in all settings to meet the demands of our changing
health care system. The report recommends nursing focus on the following:
greater use and collection of workforce data, fostering interprofessional
collaboration, improving access to care, promoting nursing leadership
and transforming nursing education. Mary Washington Healthcare (MWHC)
convened a strategic workgroup to address the components within the context
of our system.
The revision and development of the ACE was one component of the strategic
workgroup. The goal of ACE is to provide a path for career promotion for
clinical nurses through mentoring and development. This nurse led program
promotes a highly educated workforce and drives succession planning. The
program incorporates Patricia Benner’s novice to expert framework
and is based on the principles of the Magnet program.
The ACE program is governed by a board of 18 clinical nurses who represent
all areas of the hospital. The Chief Nursing Officer (CNO), Magnet Program
Director, and Human Resources representatives are non-voting members.
There are three Nursing Executive Committee (NEC) Liaisons that aid the
Chair of the Board. Being a member of this Board carries a great deal
of responsibility for those selected will serve as ambassadors to our
community and adhere to the highest level of ethical standards. Board
members are appointed by the CNO and to serve the health system is viewed
as a privilege.
Regardless of the service, specialty or practice location, every clinical
nurse who practices at the bedside across MWHC is an ACE member. Every
clinical registered nurse (RN) has a job description, job code, and classification
as a Level 1 Novice, Level 2 Competent, Level 3 Advanced, Proficient,
or Level 4 Expert.
The Level I registered nurse is an entry level Novice nurse who has less
than one year experience at an acute care facility. Advancement to Level
II is mandatory within one year of hire.
The Level II professional registered nurse is an experienced clinician
who is Competent to care for complex patients. The Level II nurse demonstrates
the ability to work collaboratively within the healthcare team, incorporate
research and continuing education into practice, and participates on the
team to improve the quality of care in the designated clinical area.
The Level III registered nurse is an Advanced, Proficient nurse who demonstrates
advanced knowledge and skill caring for complex care patients and is a
recognized leader in the clinical area. The Level III nurse takes an active
role in contributing to improved patient outcomes, patient/staff education,
The Level IV registered nurse demonstrates Expert clinical skills and
is regarded as a clinical authority and resource both within the unit
as well as the hospital. The Level IV nurse is active and contributes
professionally beyond the hospital environment to the community.
The program officially launched in January 2015. Upon completion of our
new graduate nurse residency program, we celebrate their advancement from
Level I to Level II. The first group, our pioneers in the program, of
advancees from Level II to Level III completed requirements in late 2015.
Our first group of Level III RNs include:
- Cheryl Bird BSN RNC-NIC – Mary Washington Hospital Neonatal Intensive Care Unit
- Tricia Boring BSN RN CNOR RNFA – Mary Washington Hospital Operating Room
- Wendy Brown BSN RNC-NIC – Mary Washington Hospital Neonatal Intensive Care Unit
- Bibiana Cloonan BSN RN CCRN – Stafford Hospital Intensive Care Unit
- Tiffany Farrell BSN RN – Mary Washington Hospital Surgical Intensive Care Unit
- JoAnn Karopchinsky MSN RN CMSRN – Mary Washington Hospital 4 South
- Denise Katchur BSN RN CCRN – Mary Washington Hospital Surgical Intensive Care Unit
- Rosemarie Kauffman BSN RN – Stafford Hospital Nursing Administration
- Tina Keller BSN RN CNOR RNFA – Mary Washington Hospital Operating Room
- Karen Lynne BSN RNC-MNN RNC-LRN – Stafford Hospital Intermediate
- Catherine McAndrews BSN RN CCRN – Mary Washington Hospital Medical
Intensive Care Unit
- Rosemary Monsell BSN RN OCN – Mary Washington Hospital 4 North
- Karen Nunnally BSN RN CPAN – Fredericksburg Ambulatory Surgery Center
- Mary Paradis BSN RNC-NIC – Mary Washington Hospital Neonatal Intensive Care Unit
- Angel Patterson BSN RN – Stafford Hospital Endoscopy
- Rhonda Shell BSN RN –Stafford Hospital PACU
- Yvette Stone MSN RN – Stafford Hospital 4 West
- Tonya Watson BSN RN - MWH Cardiac Progressive Care