Bold Voices - June 2018 - 12

Q&A
NURSE VOICES

We Have Consensus:
TeleICU Continues to Evolve
An interview With Lisa-Mae Williams

Lisa-Mae Williams is a nurse leader at the forefront of teleICU
practice and a member of the task force that crafted the
recently published "AACN TeleICU Nursing Practice: An Expert
Consensus Statement Supporting High Acuity, Progressive
and Critical Care." It offers a fresh perspective on this evolving
area of healthcare and updates AACN's benchmark teleICU
nursing guidelines first published in 2013. Williams' career has
evolved with the subspecialty - from bedside to teleICU nurse
to nurse leader - and she brings a front-line perspective to the
statement's real-life scenarios, recommendations and practice
model framework.

W

here do you work?

I'm operations director of telehealth and eICU at Baptist Health
South Florida in Miami. I've been a nurse for 16 years, with 10
of those in telemedicine.

Why did you decide to become a nurse?
I don't think I had a choice. Growing up in Jamaica, I was
always the 4-year-old taking care of all the other children in
nursery school. I think I was born to be a nurse. I've never
wanted to do anything else. I've geared my entire life around
healthcare, so it wasn't a decision. It was more this is what I
am, so this is what I'm doing.

and everybody was very nervous and anxious, so I waited. The
gentleman was a thin man, and he came out very swollen, at
least three times his weight. I didn't recognize him. And I kept
thinking to myself, how am I going to let the family see him
like this? We weren't able to save him, but the part that really
impacted me was how to bring dignity to him in that state,
that he didn't look like himself and then bringing the family
in to see him. That was the most difficult experience but also
rewarding because the family was so thankful.

What was your most meaningful nursing experience?

You're defending your doctoral dissertation soon,
right?

It was as a critical care nurse several years ago in the surgical
ICU. A gentleman was nervous about having open-heart
surgery. I had never prepped a patient before. I talked to him
that first day, then picked up in the morning and even went
with him to the OR. It was unusual for me to actually see a
patient prior to open-heart surgery. His family was there and
I told them, "I'm going to be here. We have a plan. We talked
about everything." The surgery went over by several hours.
They had trouble restarting his heart. The family was there,

Yes! I actually defend in the next couple of weeks. [laughs]
Now, I'm telling you, I'd better do well! I'm so excited to
finally be almost done. Yay! I actually used the original AACN
teleICU guidelines and model of success as the framework
for my study. [NOTE: Williams successfully defended her
doctoral dissertation, "TeleICU Nursing Practice to Prevent
Failure to Rescue of Patients in Critical Care With a Diagnosed
Hospital-Acquired Condition," earning a PhD from the Medical
University of South Carolina.]

12 JUNE 2018 | AACN BOLD VOICES



Table of Contents for the Digital Edition of Bold Voices - June 2018

Urine
The Power of Possibility
Sepsis: What Nurses Can Do
New Sepsis Bundle From Surviving Sepsis Campaign
Understanding CERPs for Specialty Certification Renewal
In Our Journals
Transitions
America’s ‘Other’ Drug Problem Needs Attention
Effect of Haloperidol on Reducing Mortality
Transitional Care Nurses Can Reduce Admissions of Older Patients
ASHP Developing Standardized Medication Concentrations
Online AACN Course on Care of Older Adults
Hospital Programs Help Employees Cope With Traumatic Events
National Summit on Identification, Prevention and Management of Burnout
Barbershops Help Black Patrons Control Hypertension
Nurse Treats Himself for Myocardial Infarction Using Telehealth
We Have Consensus: TeleICU Continues to Evolve
Cooking Classes Help Patients With CHF
Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Apple Watch Might Randomly Reboot in ICUs
Wound-Monitoring App Helps Reduce Hospital Readmissions
All Antidepressants Beat Placebo for Acute Major Depressive Disorder
Patients’ Online Search Trends
‘Timeout’ Reduces Medication Errors
Possible Link Between High Fitness and Reduced Risk of Dementia
DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Interviews With Two Acute Care Nurse Practitioners
Hiring for Cultural Fit
AACN Unveils Updated Online Pharmacology Course
Appreciating the Little Things
Bold Voices - June 2018 - Cover1
Bold Voices - June 2018 - Cover2
Bold Voices - June 2018 - Urine
Bold Voices - June 2018 - The Power of Possibility
Bold Voices - June 2018 - New Sepsis Bundle From Surviving Sepsis Campaign
Bold Voices - June 2018 - Understanding CERPs for Specialty Certification Renewal
Bold Voices - June 2018 - Transitions
Bold Voices - June 2018 - Effect of Haloperidol on Reducing Mortality
Bold Voices - June 2018 - Online AACN Course on Care of Older Adults
Bold Voices - June 2018 - National Summit on Identification, Prevention and Management of Burnout
Bold Voices - June 2018 - Nurse Treats Himself for Myocardial Infarction Using Telehealth
Bold Voices - June 2018 - We Have Consensus: TeleICU Continues to Evolve
Bold Voices - June 2018 - 13
Bold Voices - June 2018 - Beware of Chicken Nuggets — and Other Ultra-Processed Foods
Bold Voices - June 2018 - Wound-Monitoring App Helps Reduce Hospital Readmissions
Bold Voices - June 2018 - Patients’ Online Search Trends
Bold Voices - June 2018 - Possible Link Between High Fitness and Reduced Risk of Dementia
Bold Voices - June 2018 - DAISY Award Honors Nurses Who Exemplify Exceptional Compassion and Skill
Bold Voices - June 2018 - 19
Bold Voices - June 2018 - Hiring for Cultural Fit
Bold Voices - June 2018 - AACN Unveils Updated Online Pharmacology Course
Bold Voices - June 2018 - Appreciating the Little Things
Bold Voices - June 2018 - Cover3
Bold Voices - June 2018 - Cover4
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