Office of Nursing Services (ONS)
Clinical Practice Program (CPP)
The Clinical Practice Program was developed by the Office of Nursing Services to support nursing clinical practice, develop policies in coordination with other VHA program offices and to disseminate communication to the field. The program is made up of seven field advisory committees (FACs) in the following specialties: Cardiovascular, Geriatrics and Extended Care, Mental Health, Metabolic Syndrome/Diabetes, Oncology, Perioperative and recently added Polytrauma Rehabilitation.
Each FAC consists of a clinical nurse advisor and a committee made up of field-based nurses who serve a two-year rotation on the committee. The FACs are charged to assist Clinical Nurse Advisors in:
- Aligning work of assigned patient populations with National Nursing Strategic Goals/Objectives.
- Identifying/developing recommendations for:
- best practice, practice guidelines, patient care standards, and policy guidance
- staff and patient/caregiver training and educational priorities
- support tools for documentation, references
- research agenda for clinical inquiries
- publications and appropriate mechanisms for dissemination of best practices
- potential oversight functions needed in the field in the area of focus
The Clinical Practice Program Steering Committee provides guidance and oversight for the program to ensure dissemination of VHA program offices in developing policy.
Clinical Practice Program Manager
Suzanne Thorne-Odem, DNP, APRN, FNP-C serves as the Clinical Practice Program Manager. She has worked at the VA for 23 years. Suzy provides additional support for projects and activities in the Office of Nursing Services Clinical Practice Program. She has a passion for forensic nursing and has been practicing in this role for eight years. She is assisting in the development and expansion of the forensic nurse role in the VA.
Cardiovascular Clinical Nurse Advisor
Colleen Walsh-Irwin, RN, MS, CCRN, ANP is the Cardiovascular Clinical Nurse Advisor for the Office of Nursing Services. She is field based at the Northport VA Medical Center in New York where she works as a Cardiology Nurse Practitioner. In addition to her Adult Nurse Practitioner and Critical Care Certification, Colleen holds AACN certification as a Cardiac Vascular Nurse and Heart Rhythm Society certification as a NASPE Testamur. Colleen is also a Clinical Instructor for the School of Nursing at the State University of New York at Stony Brook and has spoken locally and nationally at many conferences. She is a Sub-Investigator on multiple research studies at her facility and sits on many local as well as national committees. Colleen is currently on the VITAS (Veterans Implant Tracking and Alert System) Workgroup and serves as a member of the VHA Nursing Clinical Practice Documentation Council and CHF QUERI Workgroup.
Colleen has been a member of and currently serves as Chair of the Cardiovascular Field Advisory Committee (FAC). The Cardiovascular FAC has been actively involved in developing the Anticoagulation Education Module, Cardiovascular Clinical Competencies and Clinical Practice Guidelines for Cardiac Monitoring Electrode Placement. We also have members serving on the SNOW-MED Terminology Committee, Stroke Group, CHF QUERI Workgroup, Ventilator Patients Outside of ICU Workgroup, The National Let’s Get Certified Campaign, VITAS, and the IPEC Clinical Advisory Group.
Geriatrics and Extended Care Clinical Nurse Advisor
Jenice Guzman, PhD, GNP-BC, is a certified Gerontological Nurse Practitioner at the VA Greater Los Angeles Healthcare System, Geriatrics Research, Education and Clinical Center (GRECC) Outpatient Clinic in West Los Angeles. She has been with the VA since 2001 and has worked in the field of geriatrics/gerontology for over 20 years. She received her education from the UCLA School of Nursing and currently serves as an Assistant Clinical Professor there. She is a primary care provider to a panel of frail older Veterans, a program developer for the GLA GRECC’s various clinical demonstration projects, and is a junior nurse researcher in the field of home telehealth use in older Veterans.
The Geriatrics and Extended Care Field Advisory Committee is made of 10 field based members with expertise in geronotological nursing practicing in a variety of patient care settings. Current projects/workgroups include: hospice and palliative care staffing considerations in the inpatient/CLC setting, dysphagia guidelines in the CLC, CLC RN Assessment Toolkit/Webinars/DecisionSim Scenarios, and serving as subject matter experts on various VHA committees with the goal of improving care of older Veterans.
ICU Workgroup Chair
Russell S. Coggins, RN, MSN is the Chair of the ONS ICU Workgroup and has been a member of that workgroup since 2011. He has worked as a Registered Nurse since 1997. The majority of his nursing career has been spent working in various Critical Care Units as a staff nurse. Russ has been with the VA since 2007, a Nurse Manager since 2008 and is currently the Nurse Manager of the Surgical ICU of the Charles George VA Medical Center in Asheville, NC. He earned his BSN from Western Carolina University in Cullowhee, NC, and his MSN from Walden University. He is a member of the VISN 6 IPEC Steering Committee and Chair of the VISN 6 Nurse Manager Academy Planning Committee as well as various facility committees. He is a Veteran, having served in the US Army during Desert Shield and Desert Storm as a M1A1 Armor Crewman, in the Tennessee National Guard as a Cavalry Scout Platoon Leader and in the Army Reserve as an Officer with the Army Nurse Corps.
Mental Health Clinical Nurse Advisor
Elizabeth Czekanski, DNP, MS, RN-BC, NE-BC, VHA-CM joined the VA Pittsburgh Health System in 2006 as a psychiatric nurse manager. Prior to joining the VA, she began her career working for the University of Pittsburgh Medical Center as a staff nurse and as a multi-unit manager of inpatient psychiatry and chemical dependency units contributing to her 17 years as a psychiatric nurse manager. Throughout her nursing career, Dr. Czekanski has worked in various roles including as Director of a residential program for homeless, chemically addicted women and as an independent legal nurse consultant. Since 2008 she has served as Adjunct Faculty at Carlow University in Pittsburgh, teaching psychiatric-mental health nursing. Dr. Czekanski earned her Doctor of Nursing Practice degree from Carlow University and currently holds two ANCC Board Certifications, as a Nurse Executive and Psychiatric Mental Health Nurse, and is certified as a VHA mentor. She is a 2011 graduate of the VA Network Executive Healthcare Leadership Institute and is currently serving as the Office of Nursing Service Mental Health Clinical Nurse Advisor.
The Mental Health Field Advisory Committee completed several projects including a RN Guide for Psycho-educational Groups, a Toolkit for Teaching Diabetes Self-Management, and several fact sheets. The Mental Health FAC provides consultation to behavioral programs throughout the VA system.
Metabolic Syndrome/Diabetes Clinical Nurse Advisor
Sharon A. Watts DNP, FNP-BC, CDE has been a nurse practitioner for 30 years, has her Nursing Doctorate from Case Western Reserve University and is a Certified Diabetes Educator and Family Nurse Practitioner. She is active in diabetes quality improvement research and publishing manuscripts on diabetes. She holds a Black Belt in Lean Six Sigma Quality Improvement. She has been an invited guest speaker for National Diabetes Forums such as American Diabetes Association, American Association of Diabetes Educators and VA/DoD National conferences. Sharon sits on many local and National diabetes related committees. She has been a member of and currently serves as Chair of the Metabolic Syndrome & Diabetes Field Advisory Committee (FAC).
The Metabolic Syndrome/Diabetes Field Advisory Committee has 9 members and current projects/workgroups include: diabetes competencies for both inpatient/outpatient nurses & education modules for nurses.
Oncology Clinical Nurse Advisor
Lori Hoffman Hogg, MS, RN, CNS, AOCN ® is the VHA National Oncology Clinical Advisor for the Office of Nursing Services and Chair of the Oncology Nursing Field Advisory Committee (ONC-FAC). Currently the National Program Manager, Prevention Policy for the VHA National Center for Health Promotion and Disease Prevention- NCP (10P4N) Durham, NC, she has also served as the Cancer Program Director at the Albany Stratton VA Medical Center in Upstate, New York. Lori holds a Master’s of Science Degree in Nursing and Clinical Nurse Specialist in Adult Health from the State University of New York Health Science Center. She is an Advanced Oncology Certified Nurse by the ONCC. She has worked for the VA for over 19 years and is a graduate of the VHA Executive Career Field Development Program. Nationally, she has served as planning committee member and faculty for the VHA Cancer Care Collaborative and Co-Director for the VHA Surgical and Specialty Care Collaborative for Medicine. She is consultant to the Patient Care Services ONC-FAC and is a member of the VHA Radiation Oncology Field Advisory Committee and Radiation Palliative Care Task Force. Lori serves on the VHA Executive Comprehensive End of Life Care Committee and the National Center for Ethics in HealthCare Life Sustaining Treatment Advisory Board along with the National Goals of Care Conversation Project. She is a VA representative to the NCI - National Cancer Institute’s Quality Cancer Care Committee and is appointed to the National Academies Institute of Medicine (IOM) National Cancer Policy Forum.
The Oncology FAC has 12 expert members who are well versed in hematology/oncology and radiation oncology nursing practices for cancer care across the continuum, ensuring evidence based care for this patient population. Project and workgroup outcomes include: Chemotherapy/Biotherapy Competency Handbook, testing and validation of nursing sensitive indicators with ONS and the Office of Quality and Performance; development of functional statement for the cancer care coordinator role for navigation; oncology skills documentation tools; sample oncology policies and patient education; developing cancer survivorship resources for VHA, and participating in lecture series development such as Cancer Care Essentials for the PACT RN Care Managers.
Pain Management Workgroup Co-Chairs
Janette (Jan) Elliott, RN-BC, MS, AOCN is a Clinical Nurse Specialist at the Palo Alto HCS and is the clinical coordinator for the pain service. She has worked for the VA 24 years, 19 of those with the pain service. She is one of the master faculty for the American Society for Pain Management Nursing and helped write both editions of the Pain Management Nursing Core Curriculum.
Susan Hagan, RN-BC, MS, ARNP-C is a Nurse Practitioner at the James A Haley VAMC. She is the Coordinator of the Pain programs at this facility. She joined the VA in 1988 to begin the development of the Nationally recognized Chronic Pain Rehabilitation program. Over the years she has been privileged to work on the Guidelines for both the VA/DOD Chronic Opioid Guidelines and Post-operative Pain Management Guidelines. She coordinates the Pain Resource Nurse program at Tampa and has been providing education nationally to nurse leaders to further the development of PRN programs throughout the VA. She is active in the American Pain Society and has been Chair of the Special Interest Group on Nursing Issues.
The Pain Management Nursing work group consists of up to 13 members from across the country with expertise in pain management nursing. The group is currently working toward standardizing nursing pain assessment and reassessment. They are beginning wok on identifying nursing competencies in pain management, identifying patient and staff education materials and making recommendations to the field about these materials. They plan to work with the Patient Education Committee of the VA National pain committee to improve access for veterans to pain education materials. A major focus of this group this coming year will be the development of educational materials for VA nursing. There is a sub-committee of this group working to modify the University of Wisconsin Pain Resource Nurse Curriculum to better meet the needs of our VA nurses and patients. The group also plans to work closely with developing educational materials for nursing working with the PACT program. There is a member of this workgroup assigned to work closely with each of the Field Advisory Groups as pain overlaps all of these programs.
Perioperative Clinical Nurse Advisor
Lisa Warner, RN, MHA, CNOR is the Clinical Nurse Advisor for the Perioperative Field Advisory Committee. Lisa is field based at the Phoenix VA Medical Center in Arizona where she also works half time as a Surgical Quality Nurse. Prior to this role, she served as the nurse manager of the OR, PACU and Same Day Surgery for over 13 years. She serves as a member of the OR Nurse Manager Advisory Board for the National Surgery Office, is a member on the Optimizing Patient Flow & Technology (OPF&T), is a member of the CIS/ARK Advisory Board, is a member of the VISN 18 Sterile Processing Services (SPS) Committee and VISN 18 Surgical Work group.
The Perioperative Field Advisory Committee (FAC) has 11 members. The FAC facilitates monthly conference calls with OR Nursing Leader, Ambulatory Surgery Center Nursing Leader and manages the OR Nurse Leader SharePoint. The FAC is currently involved in or working on the following projects: Working with System Redesign on Surgical Flow Improvement Initiative, working with DoD, the American Pain Society and the American Society of Anesthesiologists to develop post-operative pain guidelines, working on best practice for cleaning the OR, decreasing distractions in the OR, encourage a smoke free environment, examine the RNFA role as an adjunct to resident staffing and developing an educational tool for Vista Intraoperative Nursing Documentation.
Polytrauma Clinical Nurse Advisor (Acting)
Susan Pejoro, RN, MSN, GNP-BC is the Office of Nursing Services Acting Clinical Nurse Advisor for the Polytrauma Rehabilitation Field Advisory Committee. Ms. Pejoro is a Board Certified Gerontological Nurse Practitioner with over 23 years spinal cord injury nursing expertise currently employed at the Veterans Administration Palo Alto Health Care System as an Inpatient Nurse Practitioner. Prior positions include leadership roles in the Office of National Veterans Sports Programs and Special Events in Washington D.C. as both the Deputy Director and Acting Director during FY2013 addressing and aligning the clinical priority of rehabilitation and adaptive sports for our nations Veterans with disabilities as well as collaborating with Veterans Health Administration leadership to support adaptive sports for its long term health benefits. She is a former Paralyzed Veterans of America (PVA) Consortium for Clinical Practice Guidelines committee member representing ASCIP - Nursing Section from 2011- 2013. Ms. Pejoro was also selected an expert reviewer for the PVA Consortium for Clinical Practice Guidelines: Preservation of Upper Limb Function Following SCI and Sexuality & Reproductive Health. And, she is a current expert reviewer for the Journal of Sexuality and Disability.
The Polytrauma Rehabilitation Field Advisory Committee (PFAC) has 10 members. They represent all aspects of Polytrauma Rehabilitation and the diverse roles that are a crucial component of the Polytrauma System of Care, serving the OEF, OIF, OND (Afghanistan and Iraq) Veterans and their families. Members of the PFAC assisted in drafting components for the Caregiver Legislation, in developing the Spinal Cord Injury content for the Veterans Health Library and provided input for revisions to many handbooks and policies.