Plueger Madona 180109


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Drive-Goodyear, AZ


Master of Science in Nursing-University of South Alabama-Mobile Alabama-May 2009
Bachelors of Arts in Nursing-Augustana College-Sioux Falls SD-2001
Associates Degree in Nursing-University of South Dakota-Vermillion SD May 1990
Licensure, State of Arizona RN-active since 2003
Licensure State of Arizona-Advance Practice RN-active since 2010
Certified Neuroscience Registered Nurse (CNRN) 2004-present
Adult Health Clinical Nurse Specialist-ANCC-2010-present


Candidate for the 2018-19 Fellow of American Epilepsy Society (FAES)
St. Joseph’s Hospital Employee of the Month 2007, 2011
Margaret Sherwood Nurse of the Year Candidate 2009, 2011, 2014
March of Dimes Finalist-Nurse of the Year-Education/Mentoring 2009
American Epilepsy Society Nursing Award-Poster Presentation 2010
March of Dimes Candidate-Nurse of the Year-Advanced Practice-2013

Vision for Neuroscience Nursing:

The vision for Neuroscience Nursing is about how we see ourselves as neuroscience nurses and how we hope our patients, families and colleagues that we interact with every day see us. The lens of what we look through involves intense views that cover the care and management of the patient and family that come under our care for their neuroscience health needs. These patients and families are vulnerable and uncertain of the path that they are on, or what their needs may be. Neuroscience nurses follow standards of care with skill sets that are able to encompass the entire patient experience. The lens that patients and families see through, should be a mirror image with a clearer focus of the keen awareness of feeling safe and secure under the care of the Neuroscience nurse. The members of the care teams vision mirror the perspective of the neuroscience nurse and patient and family experience.

Vision for the Association:

The word indispensable is used in the current vision of American Association of Neuroscience Nurses (AANN). A clear vision statement of an organization captures a clean and concise message to those seeking definition of what the organization is and what it could be for them. The definition of indispensable according to the Oxford dictionary, is absolutely necessary. The vision of AANN is that we encompass a multitude of components that are absolutely necessary to care for and address neuroscience health. The ongoing connections that are being created between partner organizations, industry and care partners across the continuum remains a strength of AANN and sets a clear course of navigation for our future. Educational resources are abundant and being enhanced daily. Efforts are in place to reach out to generational needs of members. There are tremendous Leadership opportunities to grow and inspire and influence changes that address comprehensive and complex patient care. AANN encompasses the vision of Neuroscience nurses and is set to focus on areas of standards of practice that the neuroscience nurse experiences. It is absolutely necessary that all neuroscience nurses know of our organization and what it has to offer.

Accomplishments in Professional Positions:

I am currently approaching eight years as a Neuroscience Adult Health Clinical Nurse Specialist (CNS). I work at a large, very active Neuroscience Institute. This past year has been challenging for our organization. We had our Chief Nursing Executive retire and welcomed a new one with new ideas and a multitude of new initiatives. The change ramped up responsibilities from the CNS role. Currently I and a colleague in critical care, are the only CNS’s in our facility. I have taken the valuable insights that I have learned from governance discussions in AANN; applying into practice. I have expanded my CNS consults and receive consultations now from staff, providers and returning patients and families. My role as an advanced practice nurse liaison on hospital committees has also expanded. I continue my involvement with our Pain Resource Group, as well as chairing our Prevention and Management of Disruptive Behavior Committee group. I hold enterprise (system wide) positions on these two topics also. The multitude of initiatives that are occurring in our healthcare setting provides the perfect landscape for the Clinical Nurse Specialist’s role. The opportunities abound for our neuroscience patient population; some of which I have a special interest in. The autoimmune disorder population has responded favorably to immune suppressant agents; biotherapy. My ongoing certification in biotherapy and chemotherapy agents continues to allow me the opportunity to follow these patients and to mentor the staff in administration processes. A process improvement initiative has resulted in a concise workflow process for this patient population at discharge, when readmission for repeat infusions are needed. I have rewritten and championed creations of new policies and processes throughout the facility. Every day creates a new opportunity.

Accomplishments in Leadership Positions:

I have held a variety of leadership positions with AANN. I served on the ABNN board from 2012 through 2017 serving as Trustee, Treasurer and President. During my tenure on the ABNN board we launched the SCRN certification. I was appointed as the liaison to the original SCRN test development committee. In 2015, the Presidents of AANN, ABNN and AMWF came together as the Tribaord and created a Triboard Mentorship program. I remain active with the Mentorship committee serving and chair and actively working in the matching of mentor and mentee. I am the current AANN representative to the Collaborative Partners of Care Initiatives; a collaborative effort to pull likeminded profession together in the name of Epilepsy and Seizure Disorders. This initiative is headed by the CDC and Epilepsy Foundation. I am on the Editorial Board of the Journal of Neuroscience Nursing (JNN); having being appointed for a second term in 2018.

I remain active with the American Epilepsy Society and have been asked to do a Podium Presentation at the annual conference in December. I am the co-chair of the Interprofessional committee and act in the position of Nurse Planner for CEU applications. I have submitted educational documents on behalf of the Psychosocial co-morbidities focus group. This year I have been asked to submit for the Fellow of American Epilepsy Society; meeting the requirements for such and accomplishment; as it relates to my accomplishments in AES.

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