Nancy Bee
Director Of Emergency And Psychiatric Services
Salem,OR
Summary
Collaborative Director with proven dedication to partnering with managers, providers, and frontline teams to promote engaged, empowering work culture that leads to high quality patient outcomes. Documented strengths in building systems and fostering relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
27
27
years of professional experience
6
6
years of post-secondary education
Work History
Director of Emergency and Psychiatric Services
Salem Health
03.2022 - Current
- Develop high-performing teams by providing mentorship, guidance, and opportunities for professional growth that produce tangible positive outcome
- Enhance team collaboration through regular communication, goal setting, and transparency
- Highly values provider collaboration and dyad
- Support direct reports to reach organizational and personal goals.
- Listen for opportunities within teams and advocate for improvements
- Quickly learned new business lines (CDU and WVED) mentoring managers to build tools and system that improve patient care outcomes
- Proven consistency in being present and visible for team
- Measurable successful outcomes:
- Observation LOS from 133% GMLOS to 100% GMLOS
- Behavioral Health pts LOS in SHED from 11.53 hrs to 9 hrs
- SHED LOS from 5.31 hrs to 4.76 hrs
- WVED LOS from 2.48 hrs to 2.18 hrs
- Divisional suicide compliance from 70% to 98%
- Expanded Staff Resiliency and Engagement Advocate team from 0.9 FTE to 5 FTE supporting all Salem Health nursing divisions
- SHED LWBS from 5.49% to 4.99%
- WVED LWBS from 3.03% to 1.47%
- SHED Complex Care LOS from 14.39 hrs to 10.07 hrs
- 100% of departments with fiscal visibility tools that assist in their total success of meeting HPPD and HPPV targets for the past 11 months
Manager, Emergency Department
Salem Health
7 2017 - 03.2022
- Lead team of 5 ANMs and over 270 staff in partnership with SEPS provider group in caring for over 93,000 - 115,000 patients a year
- Intense focus on ED LOS specifically modeling and making visible patient flow to communicate the benefits of decrease LOS to frontline team
- Collaborative ED Provider dyad to support whole care team and patients
- Developed Staff Engagement and Resiliency Advocate team
- Lead ED ANMs in problem solving to improve documented patient pain re-screening from 79% to sustaining over goal of 90%
- Redesigned ED recruiting and hiring system to efficiently and successfully interview over 100 applicants and on boarding over 40 new staff in less than 7 months
- Partnered with Stroke Coordinator to add BEFAST and CSTAT to triage screening process ensuring patients (over 30 a month) arriving with stroke like symptoms independently are quickly recognized
- Co-lead RIE on Sepsis, increasing our SEP-1 Scorecard from 30% in June 2020 to sustained excellence to >70%
- Decreased ED foley insertions by 35% to decrease overall CAUTI rates
- Honored Culture of Safety survey and implemented new hand off standard in ED through active participation in 4SPS with IMCU and Oncology
- Successfully built, tested, check and adjusted and currently still utilize ED Financial Visibly tool to have daily visible awareness of ED team's daily outcome in labor management
- Passed Joint Commission survey with immediate implementation of 1:1 direct observation on severe suicide patients
- Successfully opened additional care space in ED, Pod 4, significantly increased patient flow and decreased LWBS from 7.87% to record monthly average low of 1.28% and increased overall patient experience from 81.4% to 87.7%.
Assistant Nurse Manager, Emergency Department
Salem Health
09.2011 - 04.2012
- Led emergency department daily operations to support excellent patient care through side by side care of patients, schedule building, time card accuracy, and participating in meeting strategic goals
- Successfully managed over 60 direct reports
- Developed and led implementation of ED Yellow Alert standard work
Interim Assistant Nurse Manager, Emergency Dept.
Salem Health
01.2011 - 08.2011
- Investigated and independently resolved complaints from staff, physicians and patients by leveraging clinical judgment and unit management expertise while easily partnering with ED Manager to ensure full knowledge of team concerns and problem solving.
Charge Nurse, Emergency Department
Salem Health
07.2007 - 12.2010
- Utilized great clinical and staff knowledge to support over 50 staff providing direct patient care to hundreds of patients
- Responded to codes and critical patients quickly and orchestrated efficient, skilled nursing and medical care
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
Staff Registered Nurse, Emergency Department
Salem Health
10.2006 - 02.2007
- Teamed on trauma and emergency interventions involving serious trauma injuries through Trauma Nurse role
- Precepted new nurses and students in proper techniques, care standards, operational procedures and safety protocols
- Performed as emergency department's EMS Liaison Decontamination team lead
Agency Registered Nurse, Emergency Department
Nurses PRN
08.2005 - 10.2006
- Provided exceptional patient care to all by filling agency shift needs throughout Portland Metropolitan area.
Contract Registered Nurse, Emergency Department
Redwood Memorial Hospital
07.2003 - 08.2005
- Executed direct patient care, stabilized patients and determined next steps in collaboration with staff, providers, and available resources.
Staff Registered Nurse, Emergency Department
Legacy Meridian Park Hospital
03.2003 - 07.2003
- Successfully completed Emergency Nurse Internship, expanding knowledge base to include emergency care of patients.
Contract Registered Nurse, Cardiac and Med/Trauma Registered Nurse
University Medical Center
08.2002 - 03.2003
- Collaborated with patient, family and healthcare team in open discussion to identify mutual goals based on nursing assessment and nursing diagnosis.
Contract Registered Nurse, Cardiac Stepdown Unit
San Jose Medical Center
03.2001 - 07.2002
- Cared for patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
Staff Registered Nurse, Cardiac Telemetry Unit
Providence St. Peter Hospital
07.2000 - 03.2001
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals post cardiac procedures.
Staff Registered Nurse, Cardiac Specialties Unit
Legacy Emanuel Medical Center
09.1997 - 05.2000
- Successfully began nursing career caring for diverse patient populations with a focus on cardiac concerns and post cardiac procedures/surgery.
Education
MBA-HCM - Health Care Management
Florida Institute of Technology-Melbourne
Melbourne, FL 08.2017 - 05.2019
Bachelor of Science - Nursing
Linfield College
Mcminnville, OR 09.1997 - 05.2000
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Whittier College
Whittier, CA 09.1995 - 05.1997
Skills
Excellent verbal and written communication
Passionate advocate for teams
Values provider collaboration
Proven relationship building and retention
Skilled at building systems to make work more effective and efficient
Timeline
Director of Emergency and Psychiatric Services
Salem Health
03.2022 - Current
MBA-HCM - Health Care Management
Florida Institute of Technology-Melbourne
08.2017 - 05.2019
Assistant Nurse Manager, Emergency Department
Salem Health
09.2011 - 04.2012
Interim Assistant Nurse Manager, Emergency Dept.
Salem Health
01.2011 - 08.2011
Charge Nurse, Emergency Department
Salem Health
07.2007 - 12.2010
Staff Registered Nurse, Emergency Department
Salem Health
10.2006 - 02.2007
Agency Registered Nurse, Emergency Department
Nurses PRN
08.2005 - 10.2006
Contract Registered Nurse, Emergency Department
Redwood Memorial Hospital
07.2003 - 08.2005
Staff Registered Nurse, Emergency Department
Legacy Meridian Park Hospital
03.2003 - 07.2003
Contract Registered Nurse, Cardiac and Med/Trauma Registered Nurse
University Medical Center
08.2002 - 03.2003
Contract Registered Nurse, Cardiac Stepdown Unit
San Jose Medical Center
03.2001 - 07.2002
Staff Registered Nurse, Cardiac Telemetry Unit
Providence St. Peter Hospital
07.2000 - 03.2001
Staff Registered Nurse, Cardiac Specialties Unit
Legacy Emanuel Medical Center
09.1997 - 05.2000
Bachelor of Science - Nursing
Linfield College
09.1997 - 05.2000
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Whittier College
09.1995 - 05.1997
Manager, Emergency Department
Salem Health
7 2017 - 03.2022