As YNHH nursing force grows, so does its clinical ladder

Achieving CN IV is a significant accomplishment. Shown at the recent RCAP ceremony are the two nurses who attained CN IV. From the left are: RCAP Committee co-chair Catherine Ford, RN; Brown's manager Jennifer Menillo, RN, PSM, Medical Oncology Unit, Patti Brown, RN, CN IV; Sue Fitzsimons, RN, PHD, senior vice president, Patient Services; Kelly Benito, RN, CN IV; Bonito's manager, Carol Galanter, RN, PSM, Neuroscience/ Epilepsy Unit; and committee co-chair Mary McNally, RN.
Achieving CN IV is a significant accomplishment. Shown at the recent RCAP ceremony are the two nurses who attained CN IV. From the left are: RCAP Committee co-chair Catherine Ford, RN; Brown's manager Jennifer Menillo, RN, PSM, Medical Oncology Unit, Patti Brown, RN, CN IV; Sue Fitzsimons, RN, PHD, senior vice president, Patient Services; Kelly Benito, RN, CN IV; Bonito's manager, Carol Galanter, RN, PSM, Neuroscience/ Epilepsy Unit; and committee co-chair Mary McNally, RN.

Each quarter, Yale-New Haven Hospital recognizes the nurses who advance on its clinical ladder. Called the Recognition and Clinical Advancement Program but popularly known as RCAP, the program was introduced in 1991 and since then has advanced almost 4,000 nurses.

RCAP has three levels and nurses may advance to Clinical Nurse II, III and IV. With the approval and encouragement of their managers, nurses develop a professional portfolio which includes exemplars based on significant experiences with patients as well as additional documentation of their professional practice.

The fall RCAP celebration was the first to include nurses from the Saint Raphael Campus who had advanced. In all, almost 80 nurses were honored at the fall ceremony.

Patti Brown, RN, Medical Oncology Unit on the SRC, was one of two nurses to advance to CN IV at the recent celebration. The other was Kelly Bonito, RN, Neuroscience/Epilepsy Unit.

One of Brown's exemplars included the story of her work with a patient who no longer wanted to walk. Brown and other equally committed nurses from her unit got him out of bed and helped him walk down the hall. When he returned to his room, he found that the door had been blocked — by Brown's colleagues — and he could not enter.

The nurses kept him walking. That success gave him hope and confidence and changed his outlook, and his outcome. Today, he is a volunteer at Yale-New Haven.

"My work reflects the work of the entire team on our unit," says Brown. "RCAP gives nurses the opportunity to capture some of the special things that go on each day that result in positive outcomes for our patients. After 27 years as a nurse, RCAP gave me the opportunity to advance my practice and to be acknowledged for the work we do every day for our patients."

The RCAP Committee is co-chaired by Catherine Ford, RN, CN IV, Cardiothoracic Intensive Care Unit, and Mary McNally, RN, CN IV, Post-Anesthesia Care Unit. The committee reviews applications throughout the year and applications and exemplars for the next class of RCAP are due Friday, April 25.