Tiffany McCue
November 2025
Tiffany
McCue
,
RN
4A ONCOLOGY
VA Northeast Ohio Healthcare System
Cleveland
,
OH
United States

 

 

 

Tiffany is always thinking of how we can improve the patient and family experience and recognizes that the patient is an extension of the family.
I have been a coworker of Tiffany for 1.5 years. As a newer nurse myself, she has been a resource, a teacher, a coworker, and a shoulder to lean on, and has taught me so much about what it truly means to be a compassionate and thorough nurse. Tiffany is a resource in numerous ways. If any of our team has a clinical question, Tiffany is right there to help find the answer and uses it as a learning opportunity to teach us how to find a solution. Tiffany has been so helpful in helping me navigate SharePoint, Lexicomp, and many other clinical resources. She advocates for evidence-based and policy-based care. I have witnessed Tiffany go above and beyond for her patients on many occasions.

Recently, she was a strong advocate in ensuring one of the Oncology Veterans passed with dignity and comfort. She recognized that he did not appear comfortable despite his pain regimen and reached out to palliative care directly to voice her concerns, as she did not feel it was being properly addressed. Palliative came to assess the patient and agreed with Tiffany’s assessment, adjusted pain medications, and the patient was much more comfortable during his end-of-life care, and his family was so thankful for her intervention.

Tiffany is always thinking of how we can improve the patient and family experience and recognizes that the patient is an extension of the family. Tiffany added Fisher House Brochures to the unit’s educational material, and multiple times I have heard Tiffany ask upon admission if this is a resource the family would need, and most often, it is. Tiffany also assesses the patients’ psychological and psychosocial needs closely and ensures that the Heme/Onc psychologist is seeing the patients as needed. She does not ever just look at the patient as a number in the bed. She looks at the veteran medically, psychologically, socially, and emotionally, and ensures to include the family in that as well.

I have been on the 4A Onc UPC with Tiffany for a year now, and she has had a huge impact on two successful projects on 4A Onc. One project included ensuring veterans were not being discharged home with access to medports, and since the project’s implementation, the rate has been zero. The second project is oxygen liter documentation to ensure oxygen trends and the clinical picture of the patient are accurate, which ensures the plan of care is accurate. Oxygen liter documentation increased from 32% to 81% from this project. Tiffany was the driving force behind the project and ensured staff were educated, did pre- and post-audits, and made the visuals for the project.

Tiffany’s clinical skills are extraordinary. She notices changes in her patients’ conditions quickly and ensures they are at the right level of care. She has often been my second opinion on a patient I have been concerned about and has given me the confidence to escalate their level of care. Tiffany is always quick to jump in and teach a new skill or guide a skill that may not been seen in a while, always patient with her teaching.

Tiffany is phenomenal with our oncology population and spends a lot of time with the patient at the bedside, teaching them all about their chemotherapy and all that comes with it. When she administers chemotherapy, she continues to teach as she is administering and ensures the patient and family are comfortable with the treatment. She ensures to educate on the effects as well, including side effects, nutrition, and follow-up care. She truly cares that the veteran and family feel ready to start such an important journey in their healthcare.

Tiffany supports the unit itself by entering work orders on the off tours and weekends. Tiffany recognizes the importance of ensuring nurses have the equipment they need, and if she is able, will enter a work order or escalate it to the manager. When Tiffany floats, she does not ignore broken or malfunctioning equipment on the unit she is floated to and will enter work orders and notify unit leadership to ensure the loop is closed. She never ignores broken equipment or environmental care issues.

Recently, a patient on another unit was getting Peritoneal Dialysis, and Tiffany overheard that there was a question of where to get supplies on the off tours. Even though it was not our unit, Tiffany did not hesitate to let that staff know where to get this equipment. She is truly a veteran-centered care nurse and stands by all of our veterans, are all of our veterans.

Tiffany was also instrumental in the creation of unit assignments on Microsoft Teams. She started this on 4B when she was a nurse there, and then it grew to encompass all the Acute Care units. This has also increased communication and collaboration with the multidisciplinary team, as case managers, social workers, residents, and attendings also have access, so that they can more effectively communicate with nursing staff. This was a huge change in practice and truly showed sensitivity to operations and technologically advanced workflow.

As a colleague, Tiffany is a support to many of us. She lifts us up when we are down, she helps when we are struggling, and she is the calm in the storm. She is a voice of reason and helps work out complex situations. She is a friend and a coworker. She moves quietly but makes a loud impact on all of us.