Development and Implementation of a New Graduate Orientation Internship Program in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162628
Type:
Presentation
Title:
Development and Implementation of a New Graduate Orientation Internship Program in the Emergency Department
Abstract:
Development and Implementation of a New Graduate Orientation Internship Program in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:1999
Author:Carerie, , Kozak
Contact Address:Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA, 92354
Contact Telephone:USA
Clinical Topic: Due to the current shortage of experienced emergency department nurses, the purpose of this project was to develop a competency based emergency department orientation internship for newly graduated registered nurses (RNs). This comprehensive internship would orient nurses to the emergency department of a level I trauma center and paramedic base hospital.

Implementation: A structured written program was developed by the clinical nurse specialist/educator with input from the clinical director, nurse manager and leadership group (charge nurses). An orientation internship was developed to rotate RNs through the emergency department over the course of 12 weeks. An emergency department orientation manual was developed and distributed which included hospital and departmental policies, procedures, and competencies. An internship workbook was distributed which included self-study modules based on the Emergency Nurses Association (ENA) competency based orientation modules. Didactic and classroom presentations included emergency nursing concepts and emergency department procedures. Interactive skill stations were incorporated into the classroom presentations. Clinical observation rotation time was arranged in designated areas throughout the hospital that interface with the emergency department on a daily basis. Goals and objectives were delineated for each clinical area. Each intern had a dedicated clinical preceptor. Additionally, daily preceptor-orientee evaluations were completed and the CNS/educator conducted a weekly evaluation.

Outcomes: Using the orientation manual and internship workbook as a daily guide reduced confusion for both the orientee and the preceptor. It allowed the CNS/educator and leadership group to know where the orientee was in their orientation at any given time. It also ensured that all departmental policies and procedures were addressed and competencies were met. Basing the internship on a 12-week schedule allowed enough time to complete the competencies and self-study modules. The program provided a standardized orientation process that was the foundation for other departmental orientations. Constructive comments were implemented for program refinement. Evaluations from the orientees, preceptors and department management since the program was implemented have been consistently positive.

Recommendations: Development of an orientation internship should include: (1) A written program supplemented with didactic presentations, interactive skills stations, clinical rotation time, self-study modules, and area based competencies. (2) Active participation of preceptors and management in the planning, implementation, and evaluation stages. (3) Regular review and refinement of the orientation program. [Clinical Poster Presentation]
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.titleDevelopment and Implementation of a New Graduate Orientation Internship Program in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162628-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of a New Graduate Orientation Internship Program in the 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">1999</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Carerie, , Kozak</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Loma Linda University Medical Center, 11234 Anderson Street, Loma Linda, CA, 92354</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">USA</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: Due to the current shortage of experienced emergency department nurses, the purpose of this project was to develop a competency based emergency department orientation internship for newly graduated registered nurses (RNs). This comprehensive internship would orient nurses to the emergency department of a level I trauma center and paramedic base hospital.<br/><br/>Implementation: A structured written program was developed by the clinical nurse specialist/educator with input from the clinical director, nurse manager and leadership group (charge nurses). An orientation internship was developed to rotate RNs through the emergency department over the course of 12 weeks. An emergency department orientation manual was developed and distributed which included hospital and departmental policies, procedures, and competencies. An internship workbook was distributed which included self-study modules based on the Emergency Nurses Association (ENA) competency based orientation modules. Didactic and classroom presentations included emergency nursing concepts and emergency department procedures. Interactive skill stations were incorporated into the classroom presentations. Clinical observation rotation time was arranged in designated areas throughout the hospital that interface with the emergency department on a daily basis. Goals and objectives were delineated for each clinical area. Each intern had a dedicated clinical preceptor. Additionally, daily preceptor-orientee evaluations were completed and the CNS/educator conducted a weekly evaluation.<br/><br/>Outcomes: Using the orientation manual and internship workbook as a daily guide reduced confusion for both the orientee and the preceptor. It allowed the CNS/educator and leadership group to know where the orientee was in their orientation at any given time. It also ensured that all departmental policies and procedures were addressed and competencies were met. Basing the internship on a 12-week schedule allowed enough time to complete the competencies and self-study modules. The program provided a standardized orientation process that was the foundation for other departmental orientations. Constructive comments were implemented for program refinement. Evaluations from the orientees, preceptors and department management since the program was implemented have been consistently positive.<br/><br/>Recommendations: Development of an orientation internship should include: (1) A written program supplemented with didactic presentations, interactive skills stations, clinical rotation time, self-study modules, and area based competencies. (2) Active participation of preceptors and management in the planning, implementation, and evaluation stages. (3) Regular review and refinement of the orientation program. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:24Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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