Offices

Cleveland Clinic is one of the world’s largest and busiest medical centers, serving patients from every state in the nation and from many countries around the world. Each year, more than 2 million outpatient visits are recorded, and approximately 65,000 surgical procedures are performed.

Because of the diversity of our nursing offices, Cleveland Clinic offers nurses the opportunity to provide exemplary care in a variety of disciplines.

Find out about our various nursing offices within the Zielony Nursing Institute.

Care Management Department

Experienced registered nurses with a broad background and good understanding of the continuum of care may function as case managers. These nurses perform a valuable service by guiding patients with complex needs and multiple physicians through their Cleveland Clinic experience.

Cleveland Clinic Staffing Resources Office
Cleveland Clinic Staffing Resources

Cleveland Clinic Staffing Resources (CCSR) is an innovative program within the Stanley Shalom Zielony Institute for Nursing Excellence. CCSR offers experienced registered nurses, licensed practical nurses, dialysis technicians, surgical technicians and others the opportunity to take advantage of the most flexible scheduling available while still being considered a Cleveland Clinic employee. Being a part of Cleveland Clinic Staffing Resources program allows CCSR employees the freedom to schedule themselves online at their convenience for shifts at any of Cleveland Clinic's facilities, including Weston, Florida.

Office of Advanced Practice Nursing

Cleveland Clinic Health System has more than 700 advanced practice nurses working in a variety of settings. These APNs are Masters or Doctorally prepared registered nurses who have been certified to function at an advanced level.

APNs include certified registered nurse practitioners, clinical nurse specialists, certified nurse midwives and certified registered nurse anesthetists. APNs work both independently and in collaboration with physicians, providing services such as performing physicals, ordering and interpreting tests and procedures, prescribing medications, coordinating care, and performing patient education.

Certified Registered Nurse Practitioners (CRNP) may be certified in a variety of specialty services including adult, family, pediatrics, acute care, psychology, neonatology, oncology and palliative care. These CRNPs provide primary and specialty care to their patients in collaboration with the medical staff and healthcare team in a variety of settings.

Certified Nurse Midwives (CNM) provide preventative and primary care services to adolescents and women. They manage and care for women during the normal birthing process and post-partum period may provide gynecologic care to women of all ages. Cleveland Clinic Nurse Midwives provide care at Cleveland Clinic and at a number of Cleveland Clinic health system (CCHS) hospitals and clinics.

Clinical Nurse Specialists (CNS) are advanced practice nurses, who provide and manage the care of individual or groups of patients with complex health problems. Through their advanced nursing education, they become clinical experts in a specific patient population such as acute care, community health, oncology, psychiatry/mental health, or medicine and surgery. They can function in a hospital setting or in a number of outpatient settings.

Certified Registered Nurse Anesthetists (CRNAs) administer anesthesia under the supervision of an anesthesiologist in a variety of settings. CRNAs may also assist in the pre-operative evaluation and post operative management of patients, as well as the management of acute and chronic pain in a variety of settings. Cleveland Clinic CRNAs provide care at Cleveland Clinic and at a number of Cleveland Clinic Health System (CCHS) hospitals and clinics.

Office of Ambulatory Nursing

Cleveland Clinic extends its reach into individual communities across Northeast Ohio and Florida through the work of over 1800 ambulatory care registered nurses. Employed throughout our institutes, Community Hospitals and in our Family Health Centers these nurses work to help patients and their families not only manage both acute and chronic illnesses, but also engage in illness prevention.

  • Routine tasks for ambulatory nurses vary based on where the nurse is stationed and their practice setting. In general the settings where ambulatory nurses work share the following characteristics.
  • Care is provided on an outpatient basis and may include Telehealth services.
  • The length of each individual patient visit is brief, but the nurse and patient care relationship may extend over years, especially with chronic disease management.
  • The care provided is diverse, based upon the specialty practice, and may include the provision of technologically advanced services and procedures.
  • Through education, support and consultation with other healthcare team members, ambulatory nurses support, foster and promote the patient’s involvement in self-care, including at home care.
  • Ambulatory nurses collaborate with other care providers to assure coordinated, quality care and smooth transitions of care.

At Cleveland Clinic our ambulatory nurses hold certifications in their individual specialties and go through extensive orientation programs. Nurses must exhibit enhanced critical thinking skills and both administrative and practitioner skills in order to succeed in the fast-paced career of an ambulatory nurse.

Office of Emergency Services

Nurses in the emergency room work in a fast-paced environment that requires organizational skills, quick decision-making and teamwork.  As part of Cleveland Clinic’s integration of emergency services, our emergency departments (EDs) are moving to a single electronic medical record, standardized processes and equipment, and the implementation of “split-flow” treatment tracks, which separate patients with urgent needs from those with more acute needs. These initiatives are meant not only to meet the needs of patients and their families, but also to improve staff engagement and pride. Cleveland Clinic EDs differentiate themselves from others by being models of efficiency while still maintaining compassion and world-class care.

Office of Nursing Education & Professional Development

To ensure nurses have the competencies and skills to provide excellence in care related to recent advances in research, technology and new treatment options, the department of Nursing Education & Professional Development promotes a broad array of opportunities for professional growth.

Cleveland Clinic provides a diverse set of both education initiatives and professional development programs. Nurses have the chance to make proactive strides in their educations and careers, all while continuing to provide exceptional patient care. In order to provide the utmost flexibility, all specialized education is done on site at Cleveland Clinic’s main campus.

Office of Nursing Informatics

Cleveland Clinic's Office of Nursing Informatics is a dynamic group that supports evidence-based nursing practice and quality patient outcomes through technology-based solutions to improve nursing communication, aid in electronic medical record documentation, and increase the efficiency of nursing care to our patients. 

Patient care drives the technology that is implemented and the nursing informatics team partners with nursing and information technology staff to successfully implement and continually optimize these technological solutions at the bedside.

Technology and the effective use of it is our future. The future of nursing and Nursing Informatics is in alignment with the future of healthcare – growth in the use of technology to ensure safety, positive outcomes and satisfaction of patients. Nursing is at the forefront of this wave of technology innovation.

A visionary nursing project currently in place at Cleveland Clinic is the Nursing Unit of the Future.  This is a collaborative project between the Zielony Nursing Institute and Information Technology Division. Established on a foundation of defining the ways in which people, processes and technology can improve patient outcomes and nursing practice, the Nursing Unit of the Future staff evaluates the feasibility of innovative mobile devices, applications and other communication technologies that have the potential to support enhanced workflow, documentation of patient care and the satisfaction of patients and staff.

The Nursing Unit of the Future provides nurses with an opportunity to experience, assess benefits and provide feedback regarding new information technologies prior to implementation house-wide. As the nurses evaluate the clinical efficacy of devices and applications, the Nursing Informatics team also evaluates technical and clinical outcomes criteria including:

  • How devices withstand normal wear and tear
  • How easily information is gathered and recorded
  • User friendliness
  • Clinician satisfaction
  • Time efficiency versus existing methods
  • Impact on patient safety
  • Impact on patient satisfaction
  • Impact on caregiver satisfaction

Taking Patient Care to New Levels

The implementation of the electronic medical record, as with other Cleveland Clinic approaches to clinical medical practice, sets a high standard for innovation, collaboration and interoperability.

Nursing Informatics, in collaboration with the Information Technology Division, is implementing an electronic medical records system from Epic Systems of Madison, WI. Electronic documentation of the patient’s medical record is transforming clinical practice for nursing, allied health and medical practitioners at Cleveland Clinic. After using EpicCare successfully in ambulatory outpatient services for two years, the Clinic is currently undergoing a phased implementation of the Epic system in the inpatient setting enabling health care providers to examine any patient record across the entire continuum of care in all Cleveland Clinic facilities. The current implementation includes Provider order entry (CPOE), nursing care documentation, medication dispensing and administration, and results reporting. Cleveland Clinic patients may even access their own records and request prescription renewals via the internet with MyChart.

Innovative Use of Technology

The Department of Nursing Informatics encourages nursing staff, patients and their families to suggest ideas for greater patient satisfaction. The department supports the resulting suggestions as much as is feasible and to that end, has made computers available for patients who have extended hospital stays. Dedicated solely to patients and their families, the computers provide access to the Internet for emailing friends and loved ones, interaction with support groups, researching information or playing computer games.

All Cleveland Clinic nursing staff have an email account in addition to access to the Zielony Nursing Institute Intranet site complete with Cleveland Clinic policies and procedures, clinical references, announcements of educational classes and opportunities for professional growth, hospital and nursing award opportunities.  Everything the nursing staff needs to know is in a comprehensive, easy-to-access site.

In 2006, wireless Voice-over-IP (voice carried over internet protocol networks) phones were implemented in all nursing units to facilitate ease of communication and coordination of patient care between staff, physicians, ancillary departments and patients. Voice-over-IP technology is the most state-of-the-art telecommunications methodology available commercially today and is fast becoming the standard for voice communications globally. The results improved communication and enhanced efficiency to improve patient care and satisfaction.

Office of Quality & Practice

The Zielony Nursing Institute department of Nursing Quality at Cleveland Clinic facilitates the improvement of patient outcomes, as well as promotes patient safety and the quality of nursing care at each hospital. Through the coordination of collecting, analyzing and reporting on multiple nursing quality indicators, Nursing Quality is involved in major activities that heighten awareness to improve patient care and nursing practice.

Key nursing care quality indicators in conjunction with hospital measurements have gone from in-house measurements to public information with performance scores and comparisons accessible to all health care consumers. In this time of heightened awareness, the staff of the Department of Nursing Quality strives to improve patient care by communicating evidence-based standards and by monitoring and reporting the progress of key nursing quality indicators.

Nursing Quality staff consists of Quality and Accreditation Nurses, a Nursing Patient Safety Officer (CNS), Data management support, Certified Skin Care Nurse Coordinators (WOCN) eliminate these initials, Magnet® Program Manager, and Magnet Program Coordinator. The nursing staff is required to have at least three years of hospital in-patient experience to be part of the quality and the skin care teams. The Skin Care Nurse Coordinators must have the equivalent experience with a concentration in wound and skin care and complete the training program at Cleveland Clinic's R.B. Turnbull Jr., MD, School of Enterostomal Therapy Nursing. The Quality and Accreditation Nurses receive training in performance improvement and group facilitation.

The department's major activities include:

  • Assisting the department to stay current with meeting and exceeding nursing and industry standards
  • Maintaining and communicating the Zielony Nursing Institute Online Nursing Standards which include administrative and clinical standards
  • Collecting, analyzing and reporting on multiple nursing or industry quality indicators, including monthly Quality Indicator reports for the Zielony Nursing Institute, as well as for individual units
  • Representing nursing's role and perspective on multiple hospital wide committees and task forces, in order to improve multidisciplinary interventions for patient care
  • Leading the Skin Care and Prevention initiative for Hospital Acquired Pressure ulcers
  • Communicating and maintaining compliance with the National Patient Safety Goals within the Zielony Nursing Institute
  • Facilitating the ANCC Magnet Recognition Program® and identifying the forces of magnetism within nursing practice
Office of Research & Innovation

10TH ANNUAL NURSING RESEARCH CONFERENCE
Launching New Knowledge: 10 Years and Counting
Dates: May 5 & 6, 2014

Nursing Research & Innovation staff members mentor nurses as principal and co-investigators in conducting, translating and disseminating research that will increase nursing knowledge about clinical and administrative practices and facilitate evidence-based nursing practices that improve patient outcomes.

The results of nursing research are used to provide rationale for current practice or a change in policies, procedures and behaviors. In addition, results that expand knowledge are often used as the basis for innovative nursing systems and processes and patient interventions.

In addition to roles as a nurse consultant, mentor and educator to nurses, the Nursing Research and Innovation department team provides other resources to aid the research process. Our Intranet website provides templates and forms to assist nurses and links to other departmental and non-Cleveland Clinic web-based resources. We maintain a database of current, completed and abandoned research projects so we have up-to-date information on nursing research activities. We offer a Nursing Research Day educational program annually and up to 12 workshops every fall on a variety of topics. Workshops provide an opportunity for nurses to learn in smaller groups and participate in the education session by receiving hands-on experiences. Examples of workshop themes are: developing an instrument, writing an abstract, developing a poster, developing research questions and differentiating quality improvement from quality research, to name a few. In the past, we have offered a Nursing Innovation Summit to encourage nurses to be creative and inventive in problem solving.

We encourage students wishing to complete clinical practice hours in research to utilize our department team as preceptors. PhD team members also assist doctorate students by joining the thesis or dissertation teams for DNP and PhD degree work, as clinical experts. Further, we strongly encourage collaborative research projects since multiple stakeholders with unique perspectives strengthen projects in terms of methods, results and implications. We encourage nurses from other settings and non-nurse healthcare providers and industry leaders to contact us regarding research project work that they believe we can lead or assist with.

The Cleveland Clinic Nursing Research Fund (NURF) is a privately supported internal grant-making system that supports nursing research. Annually, multiple awards are approved to nurses working in any capacity on Cleveland Clinic main campus or in one of the regional ambulatory practices. Internal grant funds are encouraged and sought to overcome costs associated with the research process.

Office of Patient Experience

Cleveland Clinic has been a pioneer in the rapidly-growing field of patient experience. We were the first major academic medical center to make patient experience a strategic goal, the first to appoint a Chief Experience Officer, and one of the first academic medical centers to establish an Office of Patient Experience.

The Office of Patient Experience’s mission is to ensure care that is consistently patient-centered by partnering with caregivers to exceed the expectations of patients and families.

The Office of Patient Experience serves as a patient experience advisory resource for critical initiatives across Cleveland Clinic health system. In addition, the Office offers education about HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), provides resources and data analytics, identifies, supports and publishes sustainable best practices, and collaborates with a variety of departments to ensure the consistent delivery of patient-centered care.

  • James I. Merlino, MD, FACS, FASCRS, Chief Experience Officer
  • Mary Linda Rivera, Executive Director, RN, ND