b'4)Modernized Nurse Training NurseswithspecialtycertificationsreporthigherIn an era of increasing nursing shortages, many facilitiesjob satisfaction and leave their jobs at lower rates feelforcedintoacceptingnursingstaffwhocontinually compared to nurses without those trainings. 7 In practice in high-acuity situations beyond what theyother words, hospitals can reduce costs paid to travel were trained to manage. This leads to further turnover,nursing agencies and locums, as well as the expenses additionalstaffingshortages,andmorecosts. of recruiting and onboarding new nurses, simply by providingspecialtytrainingtotheirexistingstaff.Intheoldparadigm,theefforttotrainupnursingtomanage the demands of a forward-thinking critical care program may be seen purely in terms of the time andOLD PARADIGM:costoftraining,whetheronsiteoroff.Thenewparadigmrecognizesthedownstreameffectsoflesser-trainednurses in the ICU. Fractional ICU coverageThere is ample academic literature that points to greater avoidance of negative outcomes if nurses can be trained Decreased qualityuptotheCCRNcertification:Increased nursing and clinician turnoverResearchers writing in the Pediatric JournalIncreased costs for coverage (ie. locums)of Critical Care surveyed 43 free-standingchildrenshospitalsandfoundthattheodds ofcomplicationssignificantlydecreasedasthe institutional percentage of nurses with a Critical NEW PARADIGM:CareRegisteredNursecertificationincreased. 5A review of multiple studies in Critical Care Increased quality and betterNursing found that patients who were cared outcomes:forbynurseswithspecialtycertificationhad a lower rate of falls, decreased rates of -Decreased ICU and inpatientcentral-line-associated bloodstream infections, mortalityand a decreased incidence of failure to rescue. 2 -Decreased ICU and Inpatientlength of stay Meanwhile, the COVID pandemic forced many care-Fewer patient complicationsteams to innovate their way toward better outcomes.and infectionsIn January 2022, nurses at Boston Medical Center-Decreased incidents of failurecataloged the impact of a Critical Care Resource Nurseto rescueTeam (CCRNT) on patient care. Having evolved theHigher nursing retentionconcept from traditional Rapid Response Teams (RRT), the CCRNT supported multiple patient care teamsImproved interdisciplinarywithin the hospital, seeking to erase siloed thinking andcommunication and collaborationtransition to a system-wide nursing and patient safety model. This new model improved communication, providedmonitoringforat-riskpatients,andsignificantly In the competition for top talent, it is important to make decreased patient mortality. 6 this training as available and accessible as possible. This means providing the courses onsite and for free, even reimbursingnursesfortheirtimeandcertificationcosts.Thebenefitsintermsoflowermortality,avoidanceofbad outcomes, and increased nursing retention and morale are more than worth the time spent on training.Together, we healTogether, we heal 8Together, we heal SCP HEALTHIBRINGING THE C-SUITE TO THE BEDSIDE IN CRITICAL CARE MEDICINE'