2008 NursiNg ANNuAl report - Catholic Health System

2008 NursiNg ANNuAl report - Catholic Health System 2008 NursiNg ANNuAl report - Catholic Health System

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Nursing Committees/Councils Preceptor This work group continues to work on the orientation program for new nurses in order to alleviate the confusion and frustration that many graduate nurses experience while adapting to independence in the practice of nursing. In addition, the committee also looks at the requirements for participation as a preceptor to ensure a high quality orientation program for new nurses. Soarian Clinical Team The Soarian electronic documentation team began to develop work flows designed to electronically produce nursing orders and referrals based on what is documented on the medical records. The team meets monthly with nurse managers and staff nurses from around the system to gain input from the end users making for a more effective tool. Results Council Part of our Relationship-Based Care initiative is a multidisciplinary team that meets monthly to discuss the initiatives under way on specific units to improve the delivery of care to patients and their families. The team reviews initiatives, offers suggestions and asks if the unit needs help from any other departments. The team is charged with facilitating the efforts of unit level practice councils in all areas, not just nursing. Unit practice Each clinical nursing unit is expected to convene a Unit Practice Council meeting monthly to review patient outcome data for their unit. These councils include staff nurses and support team members. As opportunities for improvement are identified, the council members are charged with implementing action plans based on best practice or current available evidence. Literature research is encouraged with support from the librarian as practice guidelines are reviewed and revised. 4

Nursing Initiatives Promoting Relationship-Based Care 2008 saw the beginnings of the implementation process of this model, which focuses on our relationships with patients as well as patient’s families, relationships with each other and with other departments that support work of nursing at the bedside. By grouping nursing units into individual Waves, we are able to provide guidance to staff members as they form Unit Practice Councils and work on projects related to improving patient care and nursing practice. These councils are formed to provide an environment for examining nursing practice as it relates to patient outcomes as well as patient and nursing satisfaction, and to determine where specific improvements should occur. Members of the Wave I unit practice councils have already begun presenting on the Relationship-Based Care drive projects. ICU/CCU orientation Sisters Hospital hired four GNs to become part of the ICU team, including Robert Underwood, Madison Ringer, Rachel Brill, and Meg Bucello. The program consisted of several phases, beginning with an overall hospital orientation, as well as a meeting with the ICU nurse manager to define specific goals the new nurses should strive to achieve. Along with completing the ECCO Program, the new nurses shadowed their individual preceptors to fully understand the specific requirements of ICU/CCU nursing. Periodically, the new nurses underwent critical thinking sessions and competency testing headed by their preceptors. While the program was originally estimated to last 8-12 months, all four nurses completed the training in less than 6 months. Madison and Rachel remain full-time in the ICU, Robert has transferred to the ED, and Meg resigned to pursue graduate school. We also used this training program with a nurse who had not practiced nursing in 14 years. Denise Scoccia started orientation in early September 2008 and completed the program at the end of December 2008. She remains employed in the ICU as a weekend-only nurse. The program is slated to become available system-wide in 2009. 5

Nursing Committees/Councils<br />

Preceptor<br />

This work group continues to work on the orientation program for new nurses in order to alleviate<br />

the confusion and frustration that many graduate nurses experience while adapting to independence<br />

in the practice of nursing. In addition, the committee also looks at the requirements for participation<br />

as a preceptor to ensure a high quality orientation program for new nurses.<br />

Soarian Clinical Team<br />

The Soarian electronic documentation team began to develop work flows designed to electronically<br />

produce nursing orders and referrals based on what is documented on the medical records. The team<br />

meets monthly with nurse managers and staff nurses from around the system to gain input from the<br />

end users making for a more effective tool.<br />

Results Council<br />

Part of our Relationship-Based Care initiative is a multidisciplinary team that meets monthly to discuss<br />

the initiatives under way on specific units to improve the delivery of care to patients and their<br />

families. The team reviews initiatives, offers suggestions and asks if the unit needs help from any<br />

other departments. The team is charged with facilitating the efforts of unit level practice councils in<br />

all areas, not just nursing.<br />

Unit practice<br />

Each clinical nursing unit is expected to convene a Unit Practice Council meeting monthly to review<br />

patient outcome data for their unit. These councils include staff nurses and support team members.<br />

As opportunities for improvement are identified, the council members are charged with implementing<br />

action plans based on best practice or current available evidence. Literature research is encouraged<br />

with support from the librarian as practice guidelines are reviewed and revised.<br />

4

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