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Kathleen M. Hill

Kathleen M. Hill

MSN, RN, CCNS

Clinical Nurse Specialist, Surgical Intensive Care Unit,
Cleveland Clinic Main Campus

Executive Summary

Kathleen M. Hill, MSN, RN, CCNS, is a clinical nurse specialist (CNS) for the surgical intensive care unit at Cleveland Clinic’s main campus location. Hill is a diversified CNS, having practiced in a variety of intensive care settings, including coronary care, heart failure, cardiac surgery and medical and surgical intensive care. She actively lectures and publishes works on critical care and advanced practice nursing, including face transplantation, hemodynamic monitoring, ethical issues at the end of life, prescriptive authority for the CNS, role delineation for mid-level providers, and more.

Hill is an avid member of the American Association of Critical Care Nurses (AACN), serving as chair for the organization’s CNS scope and standards task force and as a member of the evidence-based practice resources work group. She also sits on several councils within Cleveland Clinic health system, such as the adult intensive care unit practice council and the advanced practice nursing privileging council. Additionally, since 2004, she has been an American Red Cross community volunteer, and through the Northeast Ohio Nursing Initiative, has participated in a high school student/professional shadow program. In 2010, she received the national Circle of Excellence Award from the AACN, which recognizes significant contributions to the care of acutely and critically ill patients and their families.

Education

  • MSN, Kent State University, Kent, Ohio, 1984
  • BSN, Kent State University, Kent, Ohio, 1977

Certifications

  • Certified Clinical Nurse Specialist (CCNS), American Association of Critical Care Nurses
  • Advanced Cardiovascular Life Support Instructor, American Heart Association

Leadership

Hill’s work both within Cleveland Clinic and the healthcare industry has impacted the nursing profession on many levels. Her work ethic and leadership style is one that is focused on her clinical and professional expertise, from her lectures and published works on critical care nursing and advanced practice nurse roles to her notable participation within the AACN, both nationally and locally. Additionally, her active involvement in an initiative to improve the prevention and treatment of hospital acquired pressure ulcers has received recognition from the Institute of Healthcare Improvement, National Database for Nursing Quality Indicators, Wound Ostomy Continence Nurses Society and the National Pressure Ulcer Advisory Panel.

Clinical Practice

Hill’s clinical expertise is primarily in intensive care, specifically surgical intensive care and cardiovascular intensive care, with additional expertise in atrial fibrillation and thoracic and cardiovascular surgery.

Teaching

With a long history in higher education, Hill served as a faculty member within the division of continuing education at Cleveland State University for 23 years. Throughout her time with Cleveland State, she taught a wide variety of topics and courses, such as 12-lead electrocardiography (ECG) interpretation, hemodynamic monitoring, cardiovascular assessment, the registered nurse refresher series, and a critical care review course. Additionally, since 2009, Hill has presented in the CCRN/PCCN review course offered at Cleveland Clinic.

Research, Publications & Presentations

With many lectures and written works on critical care nursing and advanced practice roles, Hill has presented and published pieces on topics such as face transplantation, hemodynamic monitoring, ethical issues at the end of life, 12-lead electrocardiography (ECG) interpretation, prescriptive authority for the CNS, and role delineation for mid-level providers. In 2007, she was part of a team of clinical nurse specialists to receive a grant from ACCN to conduct the research study: “Evaluating the Impact of a Standardized Order Set on the Process of Withdrawing Life-Sustaining Treatments from Patients in the Adult ICU.”

View a selection of her work.

Research

2007. Principal Investigator. Evaluating the Impact of a Standardized Order Set on the Process of Withdrawing Life-Sustaining Treatments from Patients in the Adult ICU.

Publications

Hill K. AACN scope and standards for acute and critical care clinical nurse specialist practice. Aliso Viejo, CA: American Association of Critical Care Nurses. [In press]

Hill K. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome, in Sole, ML, et al: Introduction to Critical Care Nursing, 6th ed. St. Louis: Elsevier, Inc. 2013; Ch. 11.

Hill K. What you need to know about face transplantation. OR Nurse. 2012; 6(5), 40-46.

Contributor, Hemodynamic Monitoring Made Incredibly Visual, 2nd ed. Philadelphia: Lippincott, Williams, & Wilkins. 2011.

Contributor, ECG Interpretation Made Incredibly Easy, 5th ed. Philadelphia: Lippincott, Williams, and Wilkins. 2011.

Hill K. AACN scope and standards for acute and critical care clinical nurse specialist practice. Aliso Viejo, CA: American Association of Critical Care Nurses. 2010.

Hill K. Mitral valve repair: A new choice. American Nurse Today. 2009; 4 (5), 1-3.

Hill K. Surgical repair of cardiac valves. Critical Care Nursing Clinics of North America. 2007; 19: 353–360.

Hill K. Careful Assessment and Diagnosis Can Prevent Complications of DVT. Mosby’s Nursing Consult, http://www.nursingconsult.com/das/stat/view/73249645-2/cup. St. Louis: Elsevier, Inc. June, 2007.

Contributing editor. Cardiovascular Disorders, in Swearingen, Pamela, et al: Manual of Medical-Surgical Nursing Care: Nursing Interventions and Collaborative Management, 6th ed. St. Louis: Elsevier, Inc. 2007; Ch. 3.

Hill K. The Ps and Qs (and RSTs) of Assessing and Differentiating Chest Pain. Mosby’s Nursing Consult, http://www.nursingconsult.com/das/stat/view/69433923-2/cup. St. Louis: Elsevier, Inc. April 2007.

Contributor and consultant. ECG Strip Ease. Philadelphia: Lippincott, Williams, and Wilkins, Inc. 2006.

Hill K. Transcutaneous carbon dioxide (CO2) monitoring. Critical Care Nursing Clinics of North America, 2006; 18:211-5.

Hill K. Surgery for paroxysmal atrial fibrillation in the setting of mitral valve disease: a role for pulmonary vein isolation?” Annals of Thoracic Surgery, 2006; 81:19-26.

Hill K. Surgical ablation of atrial fibrillation with bipolar radiofrequency as the primary modality”, Journal of Thoracic and Cardiovascular Surgery. 2005; 129, 1322-1329.

Presentations

“Peer Review: I know what you did last year” at the Ohio Association of Advanced Practice Nurses Annual Meeting; Columbus, Ohio; October 2013, and at the American Association of Nurse Practitioners Annual Convention; Las Vegas, Nevada; June 2013.

“Intensive Care for the Rich or Famous.” Concurrent session at the National Teaching Institute, American Association of Critical Care Nurses; Boston, Massachusetts; May 2013.

“Oh the Things You Can Do that Are Good: Helping Staff Nurses Overcome the Barriers of EBP.” Concurrent session at the National Teaching Institute, American Association of Critical Care Nurses; Boston, Massachusetts, May 2013.

“Nursing Practice: Knowing What to Keep and What to Throw Away.” Concurrent session at the National Teaching Institute, American Association of Critical Care Nurses; Boston, Massachusetts; May 2013.

“Is the Way We Always Do It, the Way to Always Do It?” at the 30th Dimensions in Cardiac Care, Cleveland Clinic; Cleveland, Ohio; September 2012.

“Peer Review” at the National Association of Clinical Nurse Specialists Annual Meeting; Chicago, Illinois; March 2012.

“Sustaining clinical outcomes in pressure ulcer prevention” at the American Nurses Association Nursing Quality Conference; Las Vegas, Nevada; January 2012. [poster presentation]

“Confronting Moral Distress” at the 2nd Annual Patient Experience: Empathy and Innovation Summit, Cleveland Clinic; Cleveland, Ohio; May 2011.

“The Newly-Minted CNS: Form Follows Function” at the National Association of Clinical Nurse Specialists Annual Meeting; Baltimore, Maryland; March 2011.

“An APN-WOCN Partnership” at the National Pressure Ulcer Advisory Panel 2011 Biennial Conference; Las Vegas, Nevada; February 2011. [poster presentation]

“Measuring Excellence through Dramatically Reduced Pressure Ulcer Rates” at the National Database for Nursing Quality Indicators Annual Conference; Miami, Florida; January 2011. [poster presentation]

“Dramatically Improving ICU Pressure Ulcer Rates” at the 22nd Annual National Forum on Quality Improvement in Healthcare, Institute for Healthcare Improvement; Orlando, Florida; December 2010.

“Climbing Through a Window of Opportunity: The CNS with a Certificate to Prescribe” at the University of Michigan Clinical Nurse Specialist Conference; Ann Arbor, Michigan; November 2010.

“From the Top Down: Decreasing Unit Acquired Pressure Ulcer Rates - A Cleveland Clinic Experience” at the 2010 WOCN/WCET Joint Conference; Phoenix, Arizona; June 2010, and at the Wound Healing Society Annual Meeting; Orlando, Florida; March 2010. [poster presentations]

“From the Frying Pan into the Fire: How a CNS Can Impact Pressure Ulcer Incidence and Outcomes” at the National Association of Clinical Nurse Specialists Annual Meeting; Portland, Oregon; March 2010.

“IABP 101; Pressure Ulcers in the Critically Ill; The Devastation of Endocarditis” at the 35th Annual Critical Care Update; Las Vegas, Nevada; April 2009.

“New Adventures of a Legendary Procedure: Innovations in Cardiac Surgery”; and “Pressure Ulcers in the Critically Ill” at the Challenging Dimensions in Cardiovascular Nursing Conference, Clarian Health Partners; Indianapolis, Indiana; March 2009.

“Implementation of a Standard Order Set for the Withdrawing of Life-Sustaining Treatment in the ICU” at the Advanced Practice Nursing Conference, Mayo Clinic; Rochester, Minnesota; July 2008.

“First Things First: One Shared Governance Council’s Approach to Meeting Basic Needs” at the National Teaching Institute, American Association of Critical Care Nurses; Chicago, Illinois; May 2008.

“If I Could Turn Back Time: Changing Patient Outcomes in the ICU”; “An Insider’s Look at Cardiac Surgery: What Did They Do and How Did They Do It?”; “Where There’s Life There’s Hope” ... But Hope is Not a Plan: The Role of the Nurse in Advance Directives”; and “Is the Advanced Practice Nurse (APN) Role for Me?” at the 34th Annual Critical Care Update; Las Vegas, Nevada; March 2008.

“12 Lead ECG Interpretation” at the 27th Dimensions in Cardiac Care Symposium, Cleveland Clinic; Cleveland, Ohio; March 2008.

“So you want to be an APN?” at the Academy of Medical-Surgical Nurses 16th Annual Convention; Las Vegas, Nevada; October 2007.

“Using the 12 lead ECG as a Clinical Tool” at the Cleveland State University Division of Continuing Education; Cleveland, Ohio; October 2007.

“What’s in a Name: Specialized Cardiac Surgery Procedures” at the Quest for Excellence Conference, The Ohio State University Medical Center; Columbus, Ohio; September 2007.

“Valvular Surgery: To Repair or Replace” at the Cardio and Vascular Nursing Conference, The Ross Heart Hospital, of The Ohio State University Medical Center; Columbus, Ohio; April 2007.

“Ethics, Case Managers, and Planning Ahead” at the Northeast Ohio Case Management Network Annual Conference; Cleveland, Ohio; April 2007.

“Ethics, Nurses, and the ICU: A CNS-Led Intervention to Change the Status Quo” at the National Association of Clinical Nurse Specialists Annual Meeting; Phoenix, Arizona; March 2007.

“Ethics, Nurses and the ICU: Changing the Status Quo” at the Advanced Practice Nursing Conference, Mayo Clinic; Rochester, Minnesota; July 2006.

“Piecing It Together: Ethics, Nurses, ICU and Advance Directives” at the National Teaching Institute, American Association of Critical Care Nurses; Anaheim, California; May 2006.

“Ethics, Nurses, and Planning Ahead: The Role of The Nurse” at the National Teaching Institute, American Association of Critical Care Nurses; Anaheim, California; May 2006.

Professional Involvement

  • Chair, CNS Scope and Standards Task Force, American Association of Critical Care Nurses
  • Member, Evidence-Based Practice Resources Work Group, American Association of Critical Care Nurses
  • Member, Circle of Excellence Award Review Panel, American Association of Critical Care Nurses
  • Past Member, CCNS Exam Development Committee and Clinical Nurse Specialist Scope and Standards Task Force, American Association of Critical Care Nurses

Honors & Awards

  • Nursing Excellence Award, Lifetime Achievement, Cleveland Clinic, 2012
  • Circle of Excellence Award, American Association of Critical Care Nurses, 2010

Contact Information

Cleveland Clinic
9500 Euclid Avenue / G54
Cleveland, Ohio 44195
216.444.0134
hillk4@ccf.org