55 2025 Nursing Annual Report Implications for Nursing • Decreases physical and emotional strain on nursing staff dealing with ED overcrowding and bottlenecks • Enables more time for nurses in direct patient care focusing on patient needs • Enhances communication and coordination across units and departments 2025 List of Accomplishments — Sharp Chula Vista Medical Center External Honors and Awards ACNL Excellence in Leadership 2025 - Christina Kelley Presentations and Posters See Addendum Publications • David, M.A., Downing, J., Graham, J., Gomez, L., Jenkins, D., & LeClair, K. (2025). ED Nurse-Led Code Sepsis to Reduce Time to Antibiotics. Adv Emerg Nurs J. 2025 Jan-Mar 01;47(1):64-74. • Graham, J., Richardson, L., Maldoon, L., Durrant, J., & Kelley, C. (2025). Limitations to End of Life Care Planning for Patients on High Flow Nasal Cannula. Prof Case Manag. 2025 May-Jun 01;30(3):122-124 • Graham, J., Westcott, A., Smith, S., Bello, D., & Bahena, A., et al. (2025). Metabolic Profiles of Critical Care Patients to Confirm Sepsis and Further Understand the Metabolic Phenotype of Sepsis. Crit Care Nurse Q. 2025;48(1):8-14. • Graham, J., Quillin-McEwan, M., & Kelley, C. (2025). Acute-on-Chronic Inflammation and Patients’ Risk for Renal Support in Critically Ill Patients. Crit Care Nurs Q. 2025 Jan-Mar 01;48(1):52-58. • Failla, K., Hinson, J., Daniels, M., Brown, L., Harrell, D., & Graham, J.K. (2025). An Electrocardiogram Taskforce to Lean System Competency in Rhythm Recognition in a High-Reliability Organization. Clin Nurse Spec. 2025;39(1):46-49. • Westhoff, K., Balestrieri-Martinez, B., Graham, J.K., & Kelley, C. (2025). Safeguarding the Future: Ethical Artificial Intelligence in Healthcare Documentation. Clin Nurse Spec. 2025;39(1):3-6. • Kelley, C., Graham, J., & Malagon-Maldonado, G. (2025). Case Management Matters: Truth at the End of Life. Professional Case Management Professional Vol. 30, No. 5. • Mann, E., Kelley, C., Gray, L., Westcott, A., & Graham, J.K. (2025). Transcutaneous Monitoring of Carbon Dioxide to Optimize Ventilator Weaning in At-Risk Adults After Cardiopulmonary Bypass. Clinical Nurse Specialist, 39(4), 180–184. • Graham, J., Jenkins, D., Iris, K., & Kelley, C. (2025). A Directional Model Depicting Nursing’s Command of Clinical Surveillance as a Science. Critical Care Nursing Quarterly. • Graham, J., Maldoon, L., & Kelley, C. (2025). Limitations to End of Life Care Planning for Patients on High Flow Nasal Cannula. Professional Case Management, 30(3), 122–124 • Abrahim, H., Liuson, O., Kelley, C., & Holman, A. (2025). Racism and the well-being of nurses of color: A scoping review, Nursing Outlook, Volume 73, Issue 2