2.50
Hdl Handle:
http://hdl.handle.net/10755/157095
Category:
Abstract
Type:
Presentation
Title:
Beyond the Basics of Training: Development of a Pediatric Cardiac Mentoring Program
Author(s):
Dillon, Patricia; Stone, Cathy; Irovando, Marilyn; Fineman, Lori D.
Author Details:
Patricia Dillon, San Francisco Childrens Hospital, San Francisco, California, USA, email: wardhogs@yahoo.com; Cathy Stone; Marilyn Irovando; Lori D. Fineman
Abstract:
PURPOSE: Pediatric critical care training programs for new nurses are often limited to eight weeks of didactic education and clinical training. This is often inadequate to ensure safe care of complex pediatric cardiac patients. We enhanced an existing cardiac training program in our Pediatric Cardiac Intensive Care Unit (PCICU) to extend the graduate nurses mentoring one year beyond their training program utilizing existing resources. Description: We extended the new nurses orientation to include follow-up courses at 6 months and 1 year following the completion of their training program. These courses prepared nurses to care for cardiac patients on arrival from the operating room (OR). In conjunction with the course content, we developed web-based competency modules that each nurse independently completed prior to being mentored. PCICU charge nurses who met established criteria were trained and educated to be cardiac mentors. From the staffing schedule, new nurses were paired with cardiac mentors to receive bedside mentoring for post-operative cardiac admissions. Prior to the admission, the new nurse works with the mentor for 10 minutes to describe the patient's history and congenital heart defect. The mentor assists the new nurse with a review of the surgical procedure, the identification of potential post-operative problems, and the development of a plan of care. The cardiac mentor assists and observes the admission process. A brief evaluation occurs at the end of the shift where emphasis is placed on the new nurses' ability to complete a rapid patient assessment, identify urgent clinical problems, and prioritize interventions appropriately. EVALUATION: Of 104 scheduled mentored shifts, 66 were completed (64%) and 37 were canceled (36%). Reasons for canceling shifts included ill calls, canceled surgical cases, and unanticipated patient complexity. Mentors provided 10 minutes of bedside mentoring in addition to their charge nurse responsibilities. Thirty seven mentors and 40 new nurses completed evaluations. Mentors rated the new nurses excellent in areas of clinical knowledge, patient assessment and communication. New nurses rated mentors excellent in areas of knowledge, availability and professionalism. Areas for improvement include improved end of shift debriefing. No additional hospital costs were incurred.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleBeyond the Basics of Training: Development of a Pediatric Cardiac Mentoring Programen_GB
dc.contributor.authorDillon, Patriciaen_GB
dc.contributor.authorStone, Cathyen_GB
dc.contributor.authorIrovando, Marilynen_GB
dc.contributor.authorFineman, Lori D.en_GB
dc.author.detailsPatricia Dillon, San Francisco Childrens Hospital, San Francisco, California, USA, email: wardhogs@yahoo.com; Cathy Stone; Marilyn Irovando; Lori D. Finemanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157095-
dc.description.abstractPURPOSE: Pediatric critical care training programs for new nurses are often limited to eight weeks of didactic education and clinical training. This is often inadequate to ensure safe care of complex pediatric cardiac patients. We enhanced an existing cardiac training program in our Pediatric Cardiac Intensive Care Unit (PCICU) to extend the graduate nurses mentoring one year beyond their training program utilizing existing resources. Description: We extended the new nurses orientation to include follow-up courses at 6 months and 1 year following the completion of their training program. These courses prepared nurses to care for cardiac patients on arrival from the operating room (OR). In conjunction with the course content, we developed web-based competency modules that each nurse independently completed prior to being mentored. PCICU charge nurses who met established criteria were trained and educated to be cardiac mentors. From the staffing schedule, new nurses were paired with cardiac mentors to receive bedside mentoring for post-operative cardiac admissions. Prior to the admission, the new nurse works with the mentor for 10 minutes to describe the patient's history and congenital heart defect. The mentor assists the new nurse with a review of the surgical procedure, the identification of potential post-operative problems, and the development of a plan of care. The cardiac mentor assists and observes the admission process. A brief evaluation occurs at the end of the shift where emphasis is placed on the new nurses' ability to complete a rapid patient assessment, identify urgent clinical problems, and prioritize interventions appropriately. EVALUATION: Of 104 scheduled mentored shifts, 66 were completed (64%) and 37 were canceled (36%). Reasons for canceling shifts included ill calls, canceled surgical cases, and unanticipated patient complexity. Mentors provided 10 minutes of bedside mentoring in addition to their charge nurse responsibilities. Thirty seven mentors and 40 new nurses completed evaluations. Mentors rated the new nurses excellent in areas of clinical knowledge, patient assessment and communication. New nurses rated mentors excellent in areas of knowledge, availability and professionalism. Areas for improvement include improved end of shift debriefing. No additional hospital costs were incurred.en_GB
dc.date.available2011-10-26T19:24:59Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:24:59Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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