2.50
Hdl Handle:
http://hdl.handle.net/10755/162369
Type:
Presentation
Title:
Striving for Satisfaction and Success in a Stressful Emergency Department
Abstract:
Striving for Satisfaction and Success in a Stressful Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Brown, Karrie, RN
P.I. Institution Name:St. John Hospital and Medical Center - ED
Title:Emergency Department Nurse Educator
Contact Address:22101 Moross Road, Detroit, MI, 48236, USA
Contact Telephone:313-343-8737
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: The purpose of this project was to prepare the new nurse to perform clinically at an entry level in the Emergency Department.

Design: A staff development project to improve how new nurses functioned when the orientation process was complete.

Setting: An Urban hospital that is a regional-referral teaching hospital, Emergency Department volume is 100,000 patients per year. It is the largest acute care provider and the only designated Emergency Trauma Center for Adults and Pediatrics (Level 2) on the city's east side. As well, this hospital is a designated Accredited Chest Pain Center with PCI (Percutaneous Coronary Intervention) and accredited by the Joint Commission as an Advanced Primary Stroke Center.

Participants/Subjects: The participants included 33 new nurses. The average age of the participants was 30 years (range, 20 to 41 years); 28 were female nurses and 5 were male nurses. 4 held Bachelor of Science Nursing degrees and 29 held Associate degrees in Nursing.

Methods: The orientation process started during the hiring phase, orientation expectations were discussed thoroughly to assure there were no surprises if hired. PBDS (Performance Based Development System) was conducted to assess the new nurses' critical thinking. An individualized orientation was developed by the ED nurse educator and preceptor.
The new nurse completed a self evaluation and skills checklist, was paired with a preceptor and followed the preceptor's schedule. This allowed for consistency in teaching and learning among the pair. Over a 4 to 6 month timeframe there was a combination of didactic and clinical experiences. Assignments were planned to build critical skills for the ED.
The second part of the program was a combination of online modules and classes that included an Acute Coronary Syndrome quiz, Neurological modules, Pediatric Medication calculations; and Homeland Security training. Additional classes consisted of AACN Basic ECG Interpretation online module with a 4 hour face to face review class, ED Theory classes consisted of five 8 hour classes. They were at the system level, which included all new nurses from 8 emergency departments within the hospital system. Participants could meet others in the same situation but at different sites in the health care system and the ED nurse educators were able to meet, collaborate and develop a program based on ENA standards. Classes consisted of lecture with power points, hands on application and practice of equipment, and a group interactive game (Jeopardy). Participants were registered for Advanced Cardiac Life Support (ACLS) and Trauma Nurse Core Course (TNCC) to be completed within 1 year from hire date.

Results: From November 2008 to December 2009, 29 of the 33 nurses remain employed in the Emergency Department. The RN turnover rate dropped from 13.3% to 3.5%. New nurse satisfaction has improved based on follow up conversations with those individuals.

Implications: The program has been highly successful. Minor modifications have been made based on feedback from the participants, preceptors, ED Educator and ED Leadership.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleStriving for Satisfaction and Success in a Stressful Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162369-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Striving for Satisfaction and Success in a Stressful Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brown, Karrie, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. John Hospital and Medical Center - ED</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Department Nurse Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">22101 Moross Road, Detroit, MI, 48236, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">313-343-8737</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">karrie.brown@stjohn.org</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: The purpose of this project was to prepare the new nurse to perform clinically at an entry level in the Emergency Department. <br/><br/>Design: A staff development project to improve how new nurses functioned when the orientation process was complete. <br/><br/>Setting: An Urban hospital that is a regional-referral teaching hospital, Emergency Department volume is 100,000 patients per year. It is the largest acute care provider and the only designated Emergency Trauma Center for Adults and Pediatrics (Level 2) on the city's east side. As well, this hospital is a designated Accredited Chest Pain Center with PCI (Percutaneous Coronary Intervention) and accredited by the Joint Commission as an Advanced Primary Stroke Center.<br/><br/>Participants/Subjects: The participants included 33 new nurses. The average age of the participants was 30 years (range, 20 to 41 years); 28 were female nurses and 5 were male nurses. 4 held Bachelor of Science Nursing degrees and 29 held Associate degrees in Nursing. <br/><br/>Methods: The orientation process started during the hiring phase, orientation expectations were discussed thoroughly to assure there were no surprises if hired. PBDS (Performance Based Development System) was conducted to assess the new nurses' critical thinking. An individualized orientation was developed by the ED nurse educator and preceptor. <br/>The new nurse completed a self evaluation and skills checklist, was paired with a preceptor and followed the preceptor's schedule. This allowed for consistency in teaching and learning among the pair. Over a 4 to 6 month timeframe there was a combination of didactic and clinical experiences. Assignments were planned to build critical skills for the ED. <br/>The second part of the program was a combination of online modules and classes that included an Acute Coronary Syndrome quiz, Neurological modules, Pediatric Medication calculations; and Homeland Security training. Additional classes consisted of AACN Basic ECG Interpretation online module with a 4 hour face to face review class, ED Theory classes consisted of five 8 hour classes. They were at the system level, which included all new nurses from 8 emergency departments within the hospital system. Participants could meet others in the same situation but at different sites in the health care system and the ED nurse educators were able to meet, collaborate and develop a program based on ENA standards. Classes consisted of lecture with power points, hands on application and practice of equipment, and a group interactive game (Jeopardy). Participants were registered for Advanced Cardiac Life Support (ACLS) and Trauma Nurse Core Course (TNCC) to be completed within 1 year from hire date. <br/><br/>Results: From November 2008 to December 2009, 29 of the 33 nurses remain employed in the Emergency Department. The RN turnover rate dropped from 13.3% to 3.5%. New nurse satisfaction has improved based on follow up conversations with those individuals. <br/><br/>Implications: The program has been highly successful. Minor modifications have been made based on feedback from the participants, preceptors, ED Educator and ED Leadership.<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:27:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:00Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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