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Baylor Scott & White Medical Center – Irving

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​FY21 Nursing Annual Accomplishments


At Baylor Scott & White Health, our nurses are dedicated to the care of a diverse community of patients. As members of our frontline care team, they take pride in seeking opportunities to provide a higher level of care.

In 2021, the nurses at Baylor Scott & White Medical Center – Irving worked together to deliver excellence in key areas of nursing.

Transformational Leadership

  • CNO led the team through a very challenging time during the pandemic
  • CNO led initiative for staffing model using NCTTRAC for COVID-19 patients
  • CNO led the creation of surge plan for Covid-19 to add 46 new negative pressure rooms by cutting out windows and using blowers
  • CNO led the team through the implementation of EPIC
  • CNO serves as executive sponsor for BSWH for the new MDR program

Structural Empowerment

  • BSN rate 90.99%
  • Certification rate 54%
  • Nurse Residency Program improved graduation rate to 100%
  • DAISY Award recognition for nurses continues to be rolled out
  • Nurses recognized with the D Magazine Nursing Excellence Award
  • Study group for nurse leaders to take nurse executive exam

Exemplary Professional Practice

  • Re-designated as Chest Pain Center from The Joint Commission
  • Re-designated as Stroke Center from The Joint Commission noviembre 2021
  • Earned recognition on U.S. News & World Report’s Best Hospitals list by receiving a high performing rating in the treatment of Chronic Obstructive Pulmonary Disease and Congestive Heart Failure
  • Earned Silver Plus Award for Stroke from the American Heart Association/American Stroke Association Get with the Guidelines
  • Awarded Centers for Medicare and Medicaid Services Five-Star Quality Rating
  • Awarded Healthgrades’ America’s 250 Best Hospitals
  • Awarded Best Emergency Department in the City of Irving
  • Received Level II Maternal Care Center designation by the Texas Department of State Health Services
  • Received Level II NICU designation
  • Awarded Best Hospital and Best Emergency Room by Living Magazine, Las Colinas-Coppell
  • Awarded Best Medical Center of Irving by the Greater Irving-Las Colinas Chamber of Commerce
  • Awarded Best Medical Center by the readers of Coppell Gazette/Star Local Media
  • Completed Pulse Oximeter Pilot with success; readmissions from Jan-May – 4.5%
  • Length of Stay goal met at .95 (Goal = .98)
  • HCAHPS Composite Score: YTD Above Goal: 73.3 (Goal: 72.4)

New Knowledge, Innovations and Improvements

  • CEO Award received by Amy Thomas, pharmacist clinical coordinator for Covid-19 response, vaccine distribution and research trials at Irving, which was among 700 nominees
  • One of 143 hospitals that received CMS approval to implement a Home Recovery Care Program
    • 5 patients have received acute care at home
  • Moral Distress Among Nurses in the Environment of a Pandemic: A Survey Study completed 6/2021
  • Measuring the Clinical Nurses Perceptions of Workplace Bullying Part 3
  • Measuring the Unlicensed Assistive Personnel Perceptions of Workplace Bullying Part 3
  • Delaying the Bath to Increase Breastfeeding Rates in Mothers who Vaginally Delivered Newborns
  • Use of Weighted Blankets in Patients with Behavioral Disturbances in Acute Care Settings
  • Team Support: Help When You Need it! #3
  • Measuring Interventions for Meaningful Recognition and Skilled Communication using the Healthy Work Environment Scale for Direct Care Nurses in Acute Care Settings #10
  • Measuring Interventions for Meaningful Recognition and Skilled Communication using the Healthy Work Environment Scale for Nurse Leaders in Acute Care Settings #11
  • Effects of Virtual Reality for Non-Opioid Pain Management for Patients after a post-surgical procedure in Acute Care Settings
  • BSWQA Workplace Violence Grant obtained by Penny Huddleston, PhD, RN, NEA-BC
  • Huddleston, P. (2020). Measuring unlicensed assistive personnel perceptions of a healthy work environment in acute care settings, part 4. Journal of Nursing Administration, 50(10), 526-532.
  • Arroliga, M.E., Dhanani, K., Arroliga, A.C., Huddleston, P.S., Trahan, J., Aguilar, T. & Weldon, D. (2021). Allergic reactions and adverse events associated with the administration of mRNA-based vaccines: A health-care system experience. Allergy and Asthma Proceedings, 42, 395-399. 
  • ED submitted three (3) posters to the IER Quality Summit, receiving 2nd place for poster titled “House-wide Collaboration”
  • Does the John Hopkins Highest Level of Mobility Scale influence fall reduction in patients as compared to patients not rated by the John Hopkins Highest Level of Mobility Scale within a 6-month period? By Effie Thomas completed 9/2021
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