Understanding VPNPP Advancement Christy Mullen MSN RN CPN

Understanding VPNPP Advancement Christy Mullen, MSN, RN, CPN Kelly Ernst, MSN, RN-BC Nicole Arnett, BS

Objectives • • Discuss the overall goals of VPNPP. Describe the 4 levels of nursing care as defined through VPNPP. Identify the steps involved in RN/LPN advancement. Identify resources to better understand VPNPP and the advancement process.

Vanderbilt Professional Nursing Practice Program • Performance-based career advancement program for both RNs and LPNs. • Utilizes self, peer, and manager evaluations to recognize and reward clinical nursing expertise in direct patient care • Supports growth within the role of professional nurse.

Understanding VPNPP • Program Goals • Levels of Practice

Goals of VPNPP Attract and retain nurses “Employer of Choice” in the community Reward nursing performance Provide opportunities for promotion Achieve consistent nursing performance standards and pay equity • Build a Performance Development System that promotes, supports, recognizes, and rewards nurses • • •

Novice to Expert • Level 1 – Novice o RN/LPN with less than 12 months of clinical nursing experience. • Level 2 – Competent o RN/LPN with more than 12 months of clinical nursing experience. o All nurses are required to attain and maintain practice at this level. • Level 3 – Proficient o This group consists of nurses who participate in continued selfeducation, changing unit or organizational processes • Level 4 – Expert o This group consists of nurses who lead and evaluate unit and organizational process changes using evidence as a guide for change.

VPNPP Advancement Process The Four Phases

Phase One- The Conversation • Discussion of advancement— • Could be initiated by either staff nurse or Manager • Leader: Review letter and candidate’s appropriateness for advancement http: //www. mc. vanderbilt. edu/documents/vpnpp/fil es/Candidate%20 Advancement%20 Letter. pdf

Phase Two- Advancement Evaluation Package • Manager assigns an advancement evaluation package or changes prior year’s annual evaluation to an advancement evaluation • Advancement Package includes: Self, Peers and a manager evaluation, VPES scores as well as the Advancement questions • RN completes the “Advancement questions. ” • Advancement to RN/LPN 4 requires completion of “Healthcare Endorsement Form. ” http: //www. mc. vanderbilt. edu/documents/vpnpp/files/hct_endors ement_form%20 rn%20 lpn. pdf

Phase Three: Final Advancement Package • When following have been completed: o o • Submit on-line “Advancement Application form. ” o • Evaluations finalized in the VPNPP system VPES scores are complete Answers to interview questions completed Healthcare Team Endorsement form (PRN) https: //www. mc. vanderbilt. edu/vunet/vumc. php? site=vpnpp &doc=21846 A confirmation of receipt will be sent when the application is received

What makes an Advancement Packet Complete? ? • Manager Evaluation* • Self Evaluation* • Peer Evaluation* (two individual evaluations or if a group peer was performed the names need to be listed in the “Collaborated With” box) • VPES Scores • Interview Questions • Health Care Team Endorsement (level 4 only) • *all evaluations need to be in the “Completed” status

Phase Four: Advocacy Team Review and Presentation • Advocacy Review Session • Presentation of Candidate by Advocacy Team • Central Committee Endorsement for Advancement

Resources • • www. vanderbiltnursing. com Observe VPNPP Central Committee E-mail questions to vpnpp@vanderbilt. edu Policy # CL 20 -07. 01

Thank you from the VPNPP Leadership Team: Nicole Arnett Kelly Ernst Christy Mullen