Daily Shift Share Program

919 E 32nd St. Austin, TX 78705

Phone: (512) 476-7111

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Table of Contents

Topic Page number Keeping you in the know – Message from Sheila Fata 3

Welcome to St. David’s Medical Center 4

To Do List 4

Clocking In 4

Pyxis Access 4

Meditech 5

Meditech Assistance Hotline 5

Orientation 5

Introduction to the Unit Worksheet 6

Campus Map 7

Map by floor 8

First Floor Map 8

Second Floor Map 9

Telephone Instructions 9

CNC Phone List 10

Director Phone List 10-11

Manager Phone List 11-12

Security Contact Information 12

Additional Tools/Just in Time Resources 13

Reassignment of Nurses – Donna Wright 14

Learning on the Fly 14

Marketing Yourself in a Positive Way 14

Understanding Crisis Management Options 15

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Keeping YOU in the KNOW-Nursing Updates

From day one, senior leadership has addressed the pandemic with two clear objectives.

To protect our nursing staff - keep them safe and employed. To protect the company - ensure its viability from a financial standpoint, so we can

continue to serve our communities for years to come.

As we reboot our operations, our mission remains constant. At the same time, we must be

nimble and adapt to the changed needs of our community. A key priority is to shift our nurses

from facilities with low census and demand to facilities with a high census.

On May 25, 2020, a division/market staffing process was initiated. This process occurs twice

daily and includes:

A virtual meeting with facility house supervisors that is chaired by the division leader A review of each facilities staffing per department A reassignment of nursing staff based on need and census. Staff will be notified of any

necessary assignment changes by the facility house supervisor before your shift Reassignments will occur between facilities within your market

We know that being asked to work in a facility other than your home facility is uncomfortable for

many. Please know that we have made this decision so that we may continue to provide

exceptional care to our patients, meet the changing needs of our community, and keep our

nursing staff employed.

This booklet is designed to give you some basic information about our hospitals to help ease

your transition.

Thank you for all that you do and have done for our patients!

Sheila Fata, MBA, BSN, RN, NEA-BC

Division Chief Nurse Executive

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Welcome to our Facility!

Lynn O’Neill, MBA, BSN, RN,

FACHE, NEA-BC

CNO St. David’s Medical Center

919 E 32nd St. Austin, TX 78705

Phone: (512) 476-7111

“To Do List” for RNs Upon Arrival:

1. Park and proceed to your assigned unit

2. Ask for the Charge Nurse and introduce yourself

3. Discuss your competencies with the Charge Nurse

4. Ask who your “resource buddy” will be for the shift

5. Ask where to safely store your belongings

6. Ask for quick tour of the unit and use the tool on page 5 to guide you

Clocking In

Ask your receiving Charge Nurse for the Kronos Log sheet so you can enter your hours.

If you are familiar with Kronos ETE, you can also log your hours that way.

Pyxis Access

You will need temporary access granted from the unit you have been assigned to.

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Meditech

Your Meditech Access should be available and working for you at your newly assigned

facility.

Meditech Assistance Hotline

Should you need charting assistance in Meditech, please call 1-800-737-8661 x1333 or

954-514-1333 and select option 2 to contact an experienced Meditech instructor.

Hours:

Weekdays: 8 AM – 5 PM EST

Orientation

Introductions are crucial to team success. Each individual brings with them certain

competencies and skills. In the introduction, each member should discuss what skills

they can assist with throughout the shift. Charge nurses should discuss the care needs

for patients within the unit and determine how the work can be divided up to ensure

each patient receives the best care utilizing everyone’s talents on the team. During your

orientation to the unit you have been assigned, the Charge Nurse will review

environment of care, which will include the safety features of the unit. Please use the

table on the following page to guide your conversation with the Charge Nurse so you

can rapidly become familiar with your new surroundings.

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Introduction to the Unit

Introduction Unit/Dept. Specific Safety Key Equipment

Co-Workers Time clock location Fire Extinguishers & Fire Pull Locations

Computer workstations

Identify Skills/Competencies

Employee lockers Code Button Crash Cart

Types of Patients to be cared for

Employee restrooms Nurse Call System POCT Equipment

Location of important phone numbers

Linen and Supply Rooms

Medical Gas Shut Off Location

Defibrillator

Huddle/Assignment location

Medication Room Evacuation Plan and Supplies

Malignant Hyperthermia Cart

Supervisor/Manager (Office)

Soiled Utility Stairwell Exits Rapid Intubation Cart

Patient Transport Elevators

Tube System Bed Alarms/Operation

Chest Cart

Nurse Station

Respiratory Workroom Safe Lifting equipment

Pumps (IV, Epidural, Enteral Feeding, PCA)

Copy/Printer Room

Breakroom Restraint Location Bladder Scanner

Blood Bank

Hydration Stations PPE Donning and Doffing

Vital Signs Monitoring Equipment

Documentation

Negative Pressure Room

Patient Transport (Tele certified)

O2 set up and Tanks (Pulse Ox)

Patient Rounding

Assist with ADL Doppler

Hygiene Care

Suctioning Hypo/Hyperthermia Blanket

Scales for Patient Weight

Catheter Insertion Sequential Compression Device

Specimen Collection Suction Set-up

Post-mortem Care

i-mobile

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Campus Map

Basement • Café • Respiratory Therapy • Imaging • Endo • Conference Hall

First Floor • ER • Lab • Cath Lab • Case Management • Medical Records • Gift Shop

Second Floor • Surgery Center • PACU • OR • PCU/Tele/EP • ICU

Third Floor • Women’s Services • NICU

Fourth Floor • Ortho/Neuro

Fifth Floor • Med Surg • ICU

Sixth Floor • EP

Parking Instructions

Please park in Parking Garage 1. Remember to bring your parking ticket in with you to get validated. Level 1 is for visitors only, please park on level 2 and above.

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Map by Floor

First Floor Map

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Second Floor Map

Telephone Instructions

Main Number: 512-544-7111

Dial 0 for operator

Dial 9 for an outside line

Dial 4-TECH for IT Service Desk

For calls from inside the facility, dial 4 + the four digit extension

For calls from outside the facilities, dial 512-544 + the four digit extension

For Acute patient rooms, dial 41 + the room number

For Rehab patient rooms, dial 45 + the room number

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CNC Phone List

Department CNC Clerk

ED 737-223-0010 512-544-8555

2ICU 737-223-0050 737-223-0054

5ICU 737-223-0025 512-544-4019

Tele 737-223-0021 512-544-4201

PCU 737-223-0020 512-544-4201

EP 737-223-0067 512-544-4201

Neuro 737-223-0040 512-544-4204

Ortho 737-223-0041 512-544-5700

MS/SOU 737-223-0051 737-223-0052

512-544-4228

House Supervisor

512-544-4282

Director Phone List

Directors Last First Department Extension

Agol Shannon Health Information Management 512-544-4288

Ard Monica Case Management & Social Svcs 512-544-8282

Adeniyi Bode Patient Access Svcs (PAS) 512-544-4039

Alexander Andre EVS 512-544-8169

Boring Amanda Nursing Practice & Innovation 512-544-4099

Bushen Faith Respiratory Therapy (RT) 512-544-8410

Caillouet Sid OR 512-544-8178

Compian Breanna Neuro/Ortho Nursing 512-544-2032

Cowperthewaite Matt NTI Research 512-544-8059

Claxton Berkeley Controller 512-544-4081

Culver Kate (Helen) PCU 512-544-4307

Doyle Caroline Med/Surg Nursing 512-544-1121

Dunne Eileen Patient Safety / Risk Management 512-544-5480

Flores Adrian Resources Mgmt 512-544-8325

Gumbert George Emergency Services 512-544-4369

Granger Roland IT&S 512-544-0402

Gundersen Nancy Surgical Services 512-544-4211

Jahn Peggy (Margaret) Quality 512-544-8533

Janak Jenny Clinical Informatics 512-544-8705

Kadlecek Chris Occupational Health 512-544-8246

Kobasic Pam Medical Staff 512-544-8933

Koppenhoefer Megan Rehab Services 512-544-5117

Ledvina Adrienne Imaging Services 512-544-8301

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Marthol Fritz Intensive Care 512-544-7543

McIntyre Laraine Women's Services 512-544-4279

Miller Delaina Materials/Supply Chain 512-544-4292

Miller Trisha Rehab Svcs 512-544-5461

Mitchell Jennifer Rehab Liaison 512-544-5722

Mohanty Sanghamitra (Mitra) TCAI Research 512-544-8198

Moldenhour Tia Physician Relations 512-544-1292

Newkirk Patrick EVS 512-544-8169

Pack Angie Physician Relations 512-544-1292

Patel Kiran Laboratory 512-544-8241

Posey James FANS 512-544-4253

Raymond Laura Cardiovascular Services 512-544-4464

Reed Rhonda NICU 512-544-4189

Ridgway Michael Plant Ops / Facilities 512-544-4203

Velarde Laura Clinical Resource HPG 512-544-4200

Zercher Teresa Nursing Administration 512-544-4455

Manager Phone List

Managers Last First Department Extension

Allen Jacki Volunteer Services 512-544-4491

Barber Michael Pastoral Care 512-544-4414

Beecher Lana Newborn Nursery 512-544-8109

Bennett Annie Cardiology Svcs 512-544-4263

Breakfield Jennifer Patient Safety / Risk Management 512-544-4220

Brunn Jasean FANS NA

Burgtorf Tammy Endo 512-544-6977

Burzynski David Rehab (IP) 512-544-5361

Bustos Nichole Neuro Institute 512-544-5544

Cope Katie Emergency Services 512-544-8731

Covington Andi Administration, Co-ECO 512-544-5817

Darapheth Kortney Facilities (Environment of Care) 512-544-0730

Davila Amanda ICU 512-544-7549

Davis Daisha Social Services 512-544-5046

Demming John Safety/Emergency Management 512-544-4001

Dippong Jacqui OR 512-544-5709

Dohoney Gina Asset Management NA

Erben Andi OHS Operations 512-544-8012

Farmer Timothy Neonatal Transport 512-544-8190

Friedrich William FANS 512-544-4256

Gentry Christina NICU (Nursery) 512-544-4102

Gonzalez Claudia Micro Lab 512-544-4274

Hays Lyn Therapies- PT/OT/ST 512-544-5120

Honaker Amber PCU/Tele/EP 512-544-8522

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Jamali Rabia Pharmacy 512-544-8574

Jordan Darin FANS 512-544-8422

Jordan Eric EP Lab 512-544-8176

Kainer Sara CVICs NA

Kincheloe Lee Ann EH/EHSP 512-544-8267

Longoria Sherri Clinical Operations 512-544-8142

Maurizi-Schiff Patricia EVS 512-544-6064

McAfee Emily Cath Lab 512-544-4275

McClanahan Billy CVICs 512-206-3645

Meyer John Infection Prevention 512-544-1351

Milton Anna Labor & Delivery (L&D) 512-544-4451

Moreland Jenna PACU 512-544-0304

Moreland Valerie OHS Business Services 512-544-8895

Neal Danotra Case Management / Social Services 512-544-7100

Piazza Stephanie Rehab (IP) 512-544-5769

Robinson Keenan Wound Care 512-544-5555

Sanders Alicia Neuro/Ortho 512-544-8309

Skarren Patrick EVS 512-544-4317

Soumaoro Fasson Med/Surg 512-544-8455

Swayze Dustin Imaging Services 512-544-4117

Thakkar Neesha Pharmacy 512-544-8053

Thomas Tonya Patient Access Svcs (PAS) 512-544-4002

Tiemann Audra Construction 512-544-8155

Trang Tina Quality 512-544-4365

Wuellner Morgan PCU/Tele/EP 512-544-1118

Security Contact Information

Security Office located on South Dock For non-emergencies, dial 4-4121 For emergencies, dial 4-2222 Please bring your home facility’s badge with you as a source of identification. Most

departments in the facility have keypad access so you will be able to get into the appropriate areas as needed.

If you are going to work in the following departments you will be escorted to the security office to get a temporary badge.

ICU Electrophysiology OR Cath Lab Women’s Services

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Additional Tools and Information

Just In Time Resources

We want to refresh you on the resources you have available for just in time learning.

We have access to resources that include information and guidance to help provide

excellent care. If you cannot locate a resource please ask, we are here to help you!

ONLINE REFERENCES

Resource Name Description Location

Atlas HCA corporate intranet-HCA

initiatives and documents

SDH intranet>Atlas Connect

CE Direct Free access to continuing education

and certification review courses

SDH intranet>Clinical Tools; internet access available

Clinical Pharmacology Drug reference, including medication interactions, compatibility, etc.

SDH intranet>Medical Resources

EBSCO Clinical Research Clinical research database-to

access specific articles or journals

SDH intranet>Medical Resources; internet access available

E-Demand Repository for facility/SDH forms

(consents, specific patient instructions, etc.)

SDH intranet>Admin Tools

HealthStream

SDH/HCA Learning Management System- repository for most

mandatory and elective learning; HealthStream Competency

Center: electronic orientation and annual competency assessment for

all staff, as well as annual evaluations; HealthStream CE

Center: free access to continuing education and certification review

courses

SDH intranet>Admin Tools; internet access available

Dynamic Health SDH procedure manual,

includes instructions, checklists and references

SDH intranet>Medical Resources

Policytech Electronic file for SDH policies SDH intranet>Policies

Institute for Learning (IFL) Course Registration-for any

course offered through the IFL

SDH intranet>Institute for Learning; internet access available

www.stdavids- institute.com

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Reassignment of Nurses – Based on Donna Wright Model

When nurses are floated from one nursing unit to another, the issue of competency

arises. We ask quite frankly, does this nurse have the skills, knowledge and abilities to

function in this capacity? Experiencing a surge of patients can make it difficult to cross-

train or put nurses through a complete orientation. How can we facilitate a successful

floating process? According to Donna Wright, when asking nurses that float and those

that receive float nurses, there are three themes that consistently are heard and are

actually competencies for the nurse that is reassigned to another care area. These

include:

Learning on the Fly

Marketing yourself in a positive way

Understanding crisis management options

Learning on the Fly

Learning on the fly competency has two parts to it. First, I need to know what I do not

know and be able to speak up about it. The second essential aspect of learning on the

fly includes:

I am not sure about this procedure….I am going to look it up.

I am going to ask someone how to do this.

I will use the resources that are available to guide my actions.

Obviously, this is not going to work for every procedure and task that we do, but many

times learning on the fly skill is used successfully. To demonstrate learning on the fly,

imagine a nurse is floated to a medical-surgical floor that provides dialysis. The nurse

has never worked in dialysis before and does not know how to do dialysis. The charge

nurse may ask an experienced nurse to setup the dialysis and point out the basic things

to watch for when monitoring a patient on dialysis. The charge nurse can buddy up the

inexperienced nurse with another professional to ask further questions to support the

patient’s care. The most important thing is to propose ways to be useful while remaining

open to learning new things.

Marketing Yourself in a Positive Way

As a Registered Nurse you have lot of knowledge, skill and experience that you can

bring to any situation. Also as RNs, we need to market ourselves a little better and let

those we are working with understand what skills and experience we can bring to the

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team. Sometimes we may say, I was told to come here, I have never worked here

before, I am not familiar or comfortable with working in this area or specialty, and I do

not know how to do any of those things.

When you are reassigned to another nursing unit, we recommend that you make these

two statements to the team or the charge nurse:

My name is ________ I am floating to your unit for this shift. I am here to help

you out.

I have the following skills that I can offer to you today, and you can see how they

may fit into what is needed. I can do ___________, and so on.

When nurses have the ability to market themselves positively, the results and the shift

experiences are much better. The success of the shift and the reassignment

experience do not lie in the clinical skills, but instead in the “can-do” attitude the person

brings.

Understanding Crisis Management Options

Most of the time when a nurse is reassigned to another area, that area is under stress,

stretched, or moving into crisis mode because they do not have enough staff to meet

the needs. They need help to function, so they reach out for support. The nurse being

reassigned can provide care and/or service assistance to help the team get the routine

work done, but can also offer something else: a fresh perspective or insight that he

group may have trouble seeing.

The skill of understanding crisis management options can work in any area, not just in

nursing. The team is able to change the normal workflow temporarily to match the crisis

situation and still produce the desired results.

This is an excerpt from Donna Wright’s, Competency Assessment Field Guide for

Implementation and Application, 2015, Creative Healthcare Management. Prior to

COVID-19, HCA Healthcare began to transition to the Donna Wright Competency

Assessment Model. We will resume the implementation later in 2020.

Additions/Edits to this booklet? Please send email to Eileen.Kirrane@StDavids.com