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Item type Presentation

Format Text-based Document

Title Developing Competent Float Pool Nurses ThroughCollaboration and Communication

Authors Clark, Dena T.; Duffy, Megan E.; Saupe, Jennifer L.

Downloaded 28-Mar-2018 12:42:51

Link to item http://hdl.handle.net/10755/291001

Developing Competent Float Pool Nurses

Through Collaboration and Communication

Dena Clark, MSN, RN, PNP-BC Education Specialist II – Pediatric ICU

Megan Duffy, MSN, RN, CPN Education Specialist II - Specialty Resource Unit

Jennifer Saupe, MSN, RN Education Specialist II - Specialty Resource Unit

Creating Healthy Work Environments

Cincinnati Children’s Hospital Medical Center

Cincinnati, Ohio, USA

Learning Objectives

• Discuss methods of improving

relationships and communication among

individual units and a float pool or resource

team.

• Describe elements of a standardized

process for orienting float pool nurses to a

unit.

By the end of this session the attendee

will be able to:

Background

• Prolonged PICU Orientation for SRU

(Specialty Resource Unit/float pool)

• Inconsistencies in precepting

• Lack of planning for SRU orientation

• Inadequate PICU staffing

Readiness Assessment Tool

• Successful completion of General Care,

Hem/Onc, BMT & NICU Orientation

• Exemplar/Discussion of critical thinking

ability

• Educator/Manager/staff agreement of

readiness

Preceptor Selection

• Feedback from PICU Charge Nurses

• Dedicated SRU & PICU preceptors

• Preparing PICU nurse for expectations

of SRU orientation

Orientation Planning

Classroom Didactic Content

• Respiratory Failure/Oxygen Delivery

• Bone Marrow & Solid Organ Transplants

• Cardiac Assessment/Inotropes

• Traumatic Brain Injury

• Shock/Sepsis

• Critical Care Line Management & Setup

Orientation Competency Tool

• Validation Statements

• Learning Opportunities

• Verification/Source of Evaluation

Continued Collaboration & Support

• Informal meetings throughout orientation

by SRU & PICU Leadership

• Protected work time to reinforce

orientation

• Review of PICU Competency

requirements

• Ongoing evaluation

2008 • 7 nurses

• Inconsistencies in precepting

2009

• 14 nurses

• All SRU precepting

• Large hiring increase overall for move & increase in beds

• Classroom content included

2010

• 6 nurses

• Majority all SRU precepting

• Classroom content cut

Timeline Prior to Implementation

2011

• 10 nurses (3 with concerns and/or extended orientation)

• October - Dena began as Educator for SRU Orientation

• November - Improvement Planning began with PICU & SRU Leadership teams

2012

• 15 nurses (2 completed orientation prior to 6 weeks)

• All shared (PICU & SRU) precepting

• January - Began use of Readiness Assessment & Competency Evaluation Tools

• March - Resumed Didactic Content prior to orientation, planned for one every ~ 3-4 months

2013

• 5 nurses completed in 1st quarter – projected 15 nurses

• Continuing didactic content

• Beginning some preceptor/orientee matching

Timeline After Implementation

Impact of Our Work

0

2

4

6

8

10

12

14

16

2010 2011 2012 Projected 2013

total # of orientees

shortened orienation

prolonged orientation

What questions do you have?

Contact Info

• Dena Clark – dena.clark@cchmc.org

• Megan Duffy – megan.duffy@cchmc.org

• Jenny Saupe – jenny.saupe@cchmc.org