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Victoria E. Ribsam, RN, MSN, ONC - Nursing Leader

[email protected]

Location: Concord, New Hampshire, USA

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Victoria E. Ribsam, RN, MSN, ONC Nursing Leader [email protected] Concord, NH 03301 Summary of Qualifications: Experienced Nursing Leader, Nurse Navigator, and Bundled Payment for Care Improvement Clinical Developer, with a background in leading medical-surgical units and building/running programs. Strong communication, interpersonal, and customer service skills. Self-motivated, dependable, and strong problem solving skills. Education: Master of Science Nursing Leadership, Rutgers University; Newark, New Jersey May 2016 Certification Leadership Development, Rutgers University; New Brunswick, New Jersey January 2009 Bachelor of Science Nursing, Thomas Edison College Trenton, New Jersey October 2007 Associate of Science Nursing, Mercer County Community College; West Windsor, New Jersey December 1999 Professional Experience: Leadership Experience October 2017 present Director of Quality Outcomes/Nurse Navigator Concord Orthopedics; Concord, New Hampshire Developed new CMS Bundled Payment for Care Improvement program. Established nurse navigator program and currently serve as nurse navigator for a physician group practice. Manage approximately 500 patients per year. Developed process and manage data to improve outcomes. o Establish and maintain relationships with acute care providers and post-acute providers. o Met with and educate patients before during and after surgery. o Developed preoperative risk screening tools and processes. Complete preoperative risk screening. o Monitor patient outcomes to report trends to surgeons and implement process changes. o Wrote patient education and marketing materials. o Teach the preoperative Joint Replacement Education and developed a discharge class. January 2022 Present Adjunct Faculty NHTI Concord s Community College; Concord, New Hampshire Adjunct faculty professor teaching clinical nursing on an inpatient orthopaedic hospital unit. November 2013 October 2017 Joint Replacement Nurse Navigator University Medical Center of Princeton at Plainsboro; Plainsboro, New Jersey Established program and served as nurse navigator in a rapid growing joint replacement center (700 joint replacements in 2013 to 1,500 2017). Responsible for developing and ensuring smooth processes and transitions for patients and surgeons who rely on the center. Related responsibilities and results included: o Taught the preoperative Joint Replacement Education class and developed a discharge class. Brought attendance from 45% to 80% and created discharge class. o Supported transition from regular utilization from rehabilitation upon discharge (36% knee and 50% hip) to vast majority of patients return directly to home (80% knee and 86% hip). Co-wrote grant and developed preoperative rehabilitation support program, known as prehab, to support discharge directly to home o Created and maintained order sets and clinical pathways for hip and knee replacement. o Created and maintained PACU boarding metric to measure turn-around times. o Eliminated use of post operative urinary catheters. o Implemented preoperative and postoperative calls to patients. o Created process for preoperative patient risk communication. o Created and maintained Access database to collect data on patients. o Ran monthly Joint Replacement Management Team meeting. o Member of the fracture team. o Provided education to staff nurses. o Provided education about joint disease and joint replacement in the community. o Coached and mentor hip fracture coordinator. Led team through Joint Commission Disease Specific Survey for Hip and Knee. Maintained dashboards for submission to The Joint Commission to maintain Disease Specific Certification for Hip and Knee. Implemented Comprehensive Care for Joint Replacement (CJR) Bundled Payment program. Creation of beneficiary notification process. Creation of Patient Reported Outcome (PRO) data collection process and submission. Presented and developed Webinar for CMS CJR learning group on patient engagement. Developed and presented poster/podium presentation titled Using Appreciative Inquiry to Improve the Discharge Process at National Association of Orthopedic Nurses (NAON) Congress 2016. Won first place in leadership category. Co-Author of Clinical Practice Guidelines for Total Knee Replacement to be published by NAON in August 2017. Development of web based application for joint replacement education and management. Partnership between UMCPP and Johnson and Johnson. February 2011 November 2013 Clinical Director, Orthopedics Monmouth Medical Center a Partner of Barnabas Health; Long Branch, New Jersey Effectively managed $1.8 million dollar budget (1.6 million dollars labor) for 28 bed Orthopedic/ Neurosurgical/General Surgery Unit with 37 FTE s. HCAHPS scores leading the Barnabas Health System. Gold Award winner for 90th percentile or greater scores for first and second quarter 2011. Daily rounding on patients and staff. Implemented hourly rounding as prescribed by Studor Group on unit successfully. Implemented admission nursing for unit to accommodate sharp increases in census without patient care disruptions. February 2007 February 2011 Nurse Manager, Orthopedics/Video EEG Saint Peters University Hospital; New Brunswick, New Jersey Effectively managed $3.0 million budget ($1.3 labor) for 20 bed Orthopedic/Video EEG Unit with 21.16 FTE s. Press Ganey overall NJ peer group customer service score in 90th percentile. Nursing NJ peer group score in the 93rd percentile and Personal Issue NJ peer group score in the 76th percentile. Daily rounding on patients, staff, and physicians to assist in monitoring quality of care. Provided weekly report to staff and supervisor, and monthly reports filed to joint commission readiness director and customer service director. Instituted communication/accountability book to requiring staff to read and sign. Contained education and new policies and procedures as well as meeting minutes for relevant meetings and committees. Instituted quarterly quality teams responsible for data collection. Accountability for completion built into yearly and periodic performance evaluations. Instituted NDNQI based staff satisfaction/staff action plan yearly for staff to create and control. Initiated orthopedic certification requirement, following my successful completion of the same. When leaving the role, all full time and part time staff had either received orthopedic certification or were registered to take the next offered exam. Provided monthly presentations to staff to further professional development. Developed curriculum and teach community preoperative joint replacement class. Attended community health fairs to promote services. Organize and facilitate lectures for community by physicians/surgeons about services offered in hospital. Introduced new Video EEG with focus on neurosurgical intervention services to historically orthopedic focused unit. Awarded the Eleanor Higgins Link Award in May 2010. Award presented annually to outstanding nursing unit; minimum criteria are unit Press Ganey customer service scores above 70th percentile and 70% or greater certification rate, an essay written by nurse manager demonstrating a vision for continuing education, and a letter of recommendation from a physician practicing on the unit. Served on SCIP Committee with VTE focus since February 2007. Involvement includes: creation of VTE prophylaxis process in hospital; creation of associated paper and electronic forms, monitoring of use, and hospital-wide education; collection and aggregation of data and action plans for improvement. SCIP VTE compliance routinely above 90%. Recently created SCIP tutorial for inpatient units. Implemented interdisciplinary geriatric fracture committee since July 2008. Successfully reduced length-of-stay from seven days to four days. Maintained length of time from admission to OR to under 48 hours with few exceptions for medically unstable patients Served as interim float pool manager, supervising an additional 60 staff members. Rotated into Nursing Supervisor role for covering inpatient adult medical/surgical units; ICU s and adult emergency room. Clinical Experience March 2020 June 2021 Public Health Nurse New Hampshire Department of Health and Human Services Division of Public Health Services, Bureau of Infectious Disease Control Support public health response to COVID-19 pandemic by conducting infection investigations and responding to public inquiries regarding COVID-19. August 2002 February 2007 Staff Nurse Saint Peters University Hospital; New Brunswick, New Jersey Fulfilled all duties of a staff nurse on an orthopedic unit, often serving as a charge nurse and assisting the unit manager with her duties, while obtaining BSN. March 2001 August 2002 Staff Nurse Capital Health System, Helene Fuld Campus; Trenton, New Jersey Fulfilled all duties of a staff nurse on an oncology and respiratory unit. March 2000 March 2001 Unit Manager/Staff Nurse Tandem Healthcare Nursing Home and Rehab; Lawrenceville, New Jersey Fulfilled all duties of a staff nurse responsible for a 25 patient unit before being promoted to unit manager in December 2000. February 1997 March 2000 Home Health Aide Mercer Street Friends, Princeton, New Jersey Provided in-home care for patients throughout Mercer County while completing ASN until obtaining RN in March 2000. Publications: Co-Author: Best Practice Guidelines Total Knee Replacement National Association of Orthopaedic Nurses (http://www.orthonurse.org/p/bl/ar/blogaid=1300) July 2018 Author: NAON Position Statement Mobility Orthopaedic Nursing: January/February 2021 Volume 40 Issue 1 p 4-6 January 2021 Licenses and Certifications: Orthopedic Certification October 2008 Registered Nurse March 2000 Professional Memberships & Activities: National Association of Orthopedic Nurses Mentorship Program for Nurse Navigators (mentor) Mobility Task Force (member) Continuing Education: Completed host of Continuing Education programs, including, but not limited to: National Association of Orthopedic Nurses Annual Conference 2014, 2016, 2018, 2019 Serve as monitor and moderator Essentials of Nurse Manager Orientation: Financial Management in Healthcare Organizations Human Resource Management Quality Management in Healthcare Organizations The thinking Skill Strategic Management in Healthcare Organizations Lead Your Team Lead Your Organization Creating the Leader within yourself CITI biomedical sciences RCR Course for the Unaffiliated Leader Keywords: Arkansas Colorado New Hampshire New Jersey