GLOSSARY A - University Of Pittsburgh Medical Center

GLOSSARYAAACN – American Association of Critical Care NursesACLS – Advanced Cardiac Life Support; course, certification in technique from theAmerican Heart AssociationACM – Accredited Case ManagerACS – American College of SurgeonsADA – American Diabetic AssociationADC – Average Daily CensusAdvanced Clinical Education Specialist – registered nurse(s) Masters prepared withextensive experience, role of educatorAHA – American Heart AssociationAHCPR – United States Government Agency for Health Care Policy and ResearchALOS – Average Length of StayAMI – Acute Myocardial InfarctionANC – aboslute neutrophil countAOD – Administrative on Duty; nursing supervisor responsible for patient bed assignment and patient movement coordination from admission through dischargeAONE – American Organization of Nurse ExecutivesAPN – Advanced Practice Nurse(s); registered nurse(s) who have a Master’s Degreethat prepares them to practice in an advanced role (e.g., certified registered nurse practitioner [CRNP], certified registered nurse anesthetist [CRNA], Clinical Nurse Specialist)APS – American Pain SocietyARIA – electronic health record system at The Mario Lemieux Center for Blood CancersASC – Ambulatory Surgery Center1

GLOSSARYASPAN – American Society of PeriAnesthesia NursesAutovac – a closed blood drainage system for reinfusionBBARD – healthcare supplies vendorbed meeting – daily meeting held to discuss patient movement and hospital census;previously referred to as “cluster”blitz – campaign or event meant to quickly complete requirements or expectationsthrough intensity of programmingBSHA – Bachelor of Science Health AdministrationCCAP – Clinical Advancement ProgramCase Manager – also care manager; terms used interchangeablyCare Manager – also case manager; terms used interchangeablyCasual Employee – Per Diem equivalentCAUTI – Catheter Associated Urinary Tract InfectionCCAC – Community College of Allegheny CountyCCM – Comprehensive Crisis Management; training program to enhance staff safetyCCRN – Certified Critical Care Registered NurseCD – Clinical Director; nurse leaderC.diff (Clostridium difficile) – gastrointestinal bacteriaCEO – Chief Executive OfficerCenter for Quality Innovation and Improvement – system level department for qualityimprovement2

GLOSSARYCFO – Chief Financial OfficerCIO – Chief Information OfficerCLAB – Central Line-Associated BacteremiaClinician – clinical nurse clinician; majority of time spent in patient care unless otherwisenotedClinical Education Specialist – registered nurse(s) Masters prepared, role of educatorCMS – Center for Medicare and Medicaid ServicesCMSRN – Certified Medical Surgical Registered NurseCNEI – UPMC Center of Nursing Excellence and InnovationCNML – Certified Nursing Manager and LeaderCNO – Chief Nursing Officer–Sandy Rader, MSA, RN Vice President Patient CareServicesCNOR – Certified Nurse Operating RoomCNL – Clinical Nurse LeaderCNS –Clinical Nurse SpecialistCondition A – cardiopulmonary arrestCondition C – medical emergencyCondition H – Condition Help; patient or family help lineCondition L – Condition LostCondition M – Condition “Mental”; condition called when a patient, family member, orstaff member becomes verbally or physically aggressive and additional help to controlthe situation is necessaryCore Measures – standardized performance measures defined by the Joint Commissionand Centers for Medicare and Medicaid Services3

GLOSSARYCPAN – Certified Post Anesthesia NurseCPR – certification in Healthcare Provider level Basic Cardiac Life Support from theAmerican Heart AssociationCTICU – Cardiothoracic Intensive Care UnitCWOCN – Certified Wound and Ostomy Care NurseCXR – chest X-rayCY – calendar year; e.g., CY2012 is January 2012 through December 2012, inclusiveDDAS – Department of Ambulatory SurgeryDHPPD – Direct Hours Per Patient Day –DOH – Department of Health (Pennsylvania)DON – Director of Nursing; nurse leaderEEBPR – Evidence-Based Practice and Research CouncilEBP – Evidence Based PracticeED – Emergency DepartmentEHR – Electronic medical record; eRecordELNEC – End-of-Life Nursing Education ConsortiumEMG – Executive Management GroupEOL – end-of-lifeeRecord – electronic health record software from vendor CernerET – Enterostomal therapy4

GLOSSARYEVS – Environmental Services; also called HousekeepingFFHC – UPMC Shadyside Family Health CenterFIM – Functional Impairment MeasurementFTE – Full-time Equivalent; budgeted hours for each position, represented as a wholeor partial Full-time Equivalent numberFY – fiscal year; e.g., FY2012 is July 2011 through June 2012, inclusiveGGI – gastrointestinalGN – Graduate NurseGPN – Graduate Practical NurseGreen Book – Clinical orientation record for new employeesHHAC – hospital-acquired condition(s)HCAHPS – Hospital Consumer Assessment of Health Care Providers and SystemsHCC –Hillman Cancer CenterHighmark Blue Cross Blue Shield – Insurance provider; third party payorHighmark – Insurance provider; third party payorHIPAA – Health Insurance Portability and Accountability ActHPPD – Hours Per Patient Day– Nursing Care HoursHSLS – Health Science LibraryHUC – Health Unit Coordinator commonly known as Unit Secretary5

GLOSSARYIICU – Intensive Care UnitInfonet – intranet platformIPOC – Interdisciplinary Plan of CareIRB – Institutional Review BoardISD – Information Systems DivisionIT – Information TechnologyIT Council – Informatics and Technology CouncilIV – IntravenousIV Team – Intravenous Therapy Registered Nurse TeamIView – Critical Care eRecord application systemKKVI – Key Volume Indicator; a budgeting factorLLDI – Leadership Development Intensive\Level III Project – Senior Professional Staff Nurse Project; requirement for nurses withcertifications or Master’s Degrees who want to progress to the third clinical level in thenursing career plan, earning the title of Senior Professional Staff NurseLippincott – Lippincott Williams & Wilkins; vendor name refers specifically in this document to the online version of the Lippincott Manual of Nursing PracticeLOS – Length of StayMMedscape – an Internet-based educational resource for healthcare professionals6

GLOSSARYMERIT – Medical Emergency Response Improvement Team; committee responsible forRapid Response Team reports, oversight of condition response activities, changes inpractice and policies related to condition responseMHA – Masters of Health AdministrationMHRM – Masters Human Resource ManagementMICU – Medical Intensive Care UnitMPH – Masters of Public HealthMRS – Management Reporting System – Financial softwareMSICU – Medical-Surgical Intensive Care UnitMy Residency – nurse or nursing assistant/patient care technician residency orientationcourses typically completed within 6 months of start dateMy Nurse Residency – specifically, nurse residency orientation coursesNNAON – National Association of Orthopedic NursesNDEOS – National Diabetes Education Outcomes SystemNDNQI – National Database of Nursing Quality IndicatorsNEA-BC – Nurse Executive, Advanced–Board CertifiedNE-BC – Nurse Executive–Board CertifiedNIHSS – National Institute of Health Stroke ScaleNLN – National League of NursingNLNAC – National League for Nursing Accrediting Commission; accrediting body fornursing course curriculum.NPSG – National Patient Safety GoalsNPUAP – National Pressure Ulcer Advisory Panel7

GLOSSARYNSICU – Neuroscience Intensive Care UnitNurse Educator – registered nurse in role of educatorNurse, Staff – clinical nurse within first 6 months of licensure and hireNurse, Staff (BSN) – clinical nurse within first 6 months of licensure and hire, and aBachelor’s Degree in NursingNurse, Professional Staff – clinical nurse with 6 months or more of experienceNurse, Professional Staff (BSN) – clinical nurse with 6 months or more of experienceand a Bachelor’s Degree in NursingNurse, Senior (Sr.) Professional Staff – clinical nurse with professional certificationin a specialty or Master’s Degree in Nursing, plus a completed and approved SeniorProfessional Staff Nurse (Level III) ProjectNursing Education and Research (NERD) – department responsible for nursing education, certification information, and nursing research at UPMC ShadysideNursing Grand Rounds – continuing professional education programs sponsored byUPMC Shadyside and UPMC System Nursing DivisionNurse Verifier – nurse authorized to validate peer competencyOOCN – Oncology Certified NurseONC – Orthopedic Nurse CertificationONS – Oncology Nurses SocietyOOB – out of bedOR – Operating RoomOT – Occupational TherapyOvertime – worked hours exceeding 40 hours within the work week8

GLOSSARYPPACU – Post Anesthesia Care UnitPALS – Pediatric Advanced Life SupportPAP – Professional Advancement ProgramPAPAN – Pennsylvania Association of Peri Anesthesia NursesPAPNA – Pennsylvania Association of Practical Nursing AdministratorsPatient Care Services – commonly referred to as the Nursing Department, NursingDivision, or Nursing; the formal name for the department over which the VP of PatientCare Services and CNO presides, including all inpatient nurses, outpatient nurses, ambulatory department nurses, hospital-based clinics, Transport, and “dotted-line” specialtyservices or departments reporting up to the VP’s positionPCA – Patient Controlled AnalgesiaPCC – Primary Care Coordinator; Care/Case ManagementPCI – percutaneous coronary interventionPCT – Patient Care Technician; Advanced Nursing AssistantPDSA – Plan, Do, Study, Act; methodology for research, quality improvement, andevidence-based practice projects and changesPICC Line – peripherally inserted central catheterPRN – as-needed; refers to medication or other nursing carePPDC – Professional Practice and Development CouncilProgrammatic Nurse Specialist – registered nurse(s) Masters prepared with extensiveexperience and certification in a specialty, role of educator and specialty coordinatorPSNA – Pennsylvania State Nurses AssociationPT – Physical Therapy9

GLOSSARYQQI – Quality ImprovementQuality Improvement Specialist – title for position in any one of the quality improvement departments; typically an individual with a clinical or research background and aMaster’s degree in their specialtyQS Council – Quality & Safety CouncilRRD – Registered DieticianRIC Nurse – Resource Intensive Care Nurse; transport patients who require an increased level of care.ROC Nurse – Resource Oncology Clinical Nurse; specialty-based position that assistsall oncology inpatient units and the Beckwith Center at UPMC Hillman Cancer CenterRRT – Rapid Response TeamRT – Respiratory TherapySSAFETY – Safety, Ambulatory, Fall risk, oxygEn, isolaTion, memorY; acronym chosen torepresent six points of interest for a Transporter for moving a patientSART – Sexual Assault Response TeamSANE-A – Sexual Assualt Nurse Examiner - Adult/AdolescentSBAR – Situation Background Assessment and Recommendation; a communicationformat.SCIP – Surgical Care Improvement TeamSGNA – Society of Gastrointestinal Nurses AssociationShadyside Hospital Foundation – private donors that support projects specifically aimed10