Inside best practice: Promote nursing autonomy with evidence

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, August 5, 2008

To promote nursing autonomy and prepare for redesignation, the clinical nurse specialist on the medical-surgical unit at Columbus Regional Hospital—an ANCC Magnet Recognition Program® recipient in 2003—looks at evidence every day and shares it with the nurses. Because of this evidence, the unit has implemented the following two protocols from Centers for Medicare and Medicaid Services (CMS): 

  1. Screening patients for flu and pneumonia—Nurses are expected to ask their patient if they’ve had the flu and pneumonia vaccine. If the patient hasn’t had one or both of the vaccines—and if they are eligible—the nurse is allowed to give the flu and/or pneumonia vaccine without having to first call a physician to get his or her approval.
  2. Screening patients for smoking—Nurses are expected to ask their patient if they are a smoker. If the patient is a smoker, nurses are encouraged to advise the patient to quit smoking by providing a smokers aid packet and counseling from trained tobacco counselors.

Source: HCPro’s Advisor to the ANCC Magnet Recognition Program®, April 2008. Don't have a subscription? Take a look at the benefits of becoming a member of HCPro’s Resource Center for the ANCC Magnet Recognition Program®.

Editor’s note: Do you have a best practice that you would like to share? E-mail your best practice to associate editor Cameran Erny at and see your name in print!


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