Development and Implementation of a Customized Emergency Department Pocket Guide to Orientation

15.00
Hdl Handle:
http://hdl.handle.net/10755/162630
Type:
Presentation
Title:
Development and Implementation of a Customized Emergency Department Pocket Guide to Orientation
Abstract:
Development and Implementation of a Customized Emergency Department Pocket Guide to Orientation
Conference Sponsor:Emergency Nurses Association
Conference Year:1999
Author:Peg, , McBee
Contact Address:North Arundel Hospital, 301 Hospital Drive, Glen Gurnie, MD, 21061
Contact Telephone:USA
Clinical Topic: The purpose of this clinical project was to create a customized orientation pocket guide to facilitate orientation of RNs to a busy suburban emergency department and decrease the stress of orientation. The ED was originally built to accommodate 35,000 patients but now treats over 55,000 patients annually resulting in a fast pace for both preceptors and orientees. The goal of the pocket guide was to give orientees a quick reference to many procedures and drugs outlined in hospital protocols.

Implementation: Planning and implementation included the following steps: (1) developing and writing a pocket guide with the assistance of seasoned ED nurses, pharmacy, and the hospital education department, (2) obtaining administration approval, support and funding of the pocket guide for publication, (3) education of preceptors and orientees in the use of the pocket guide, and (4) evaluating the impact of adding the pocket guide to the orientation program. Topics originally selected included frequently used procedures, drugs and workups (for example - chest/abdominal pain, vaginal bleeding) specific to the ED patient population. Later when news of the book became common knowledge, many staff members suggested topics to include.

Outcomes: The first edition (72 pages) was printed and collated by the hospital print shop. Frequently used pager numbers, and procedures such as rapid sequence induction and chest tube insertion, were included. Guidelines for using over 35 drugs were included with the help of pharmacy. The latest edition included fire and safety, and infection control tips.

The pocket guide was especially well liked by new-graduate orientees. The most significant benefit identified on the evaluation was that the stress level of the orientees was reduced. A new-graduate orientee relayed "not a night goes by that I donÆt open my pocket guide." An unexpected positive outcome was that many of the experienced RNs are also using the guide.

Currently the 3rd update with over 100 pages is being published. The ICU/CCU also completed a similar guide for the critical care units. Hospitals in Utah, Ohio, and New York have purchased the guide to use as a reference in creating their own guide. Evaluations have been consistently positive by both preceptors and orientees.

Recommendations: Recommendations for ED orientation from this experience include (1) developing a pocket guide specific to the patient population of other EDs, (2) addition of the pocket guide to the orientation programs, (3) evaluation of the impact of the pocket guide in the orientation process, and (4) regular revision and update of the pocket guide. [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 Customized Emergency Department Pocket Guide to Orientationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162630-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of a Customized Emergency Department Pocket Guide to Orientation</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">Peg, , McBee</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">North Arundel Hospital, 301 Hospital Drive, Glen Gurnie, MD, 21061</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: The purpose of this clinical project was to create a customized orientation pocket guide to facilitate orientation of RNs to a busy suburban emergency department and decrease the stress of orientation. The ED was originally built to accommodate 35,000 patients but now treats over 55,000 patients annually resulting in a fast pace for both preceptors and orientees. The goal of the pocket guide was to give orientees a quick reference to many procedures and drugs outlined in hospital protocols.<br/><br/>Implementation: Planning and implementation included the following steps: (1) developing and writing a pocket guide with the assistance of seasoned ED nurses, pharmacy, and the hospital education department, (2) obtaining administration approval, support and funding of the pocket guide for publication, (3) education of preceptors and orientees in the use of the pocket guide, and (4) evaluating the impact of adding the pocket guide to the orientation program. Topics originally selected included frequently used procedures, drugs and workups (for example - chest/abdominal pain, vaginal bleeding) specific to the ED patient population. Later when news of the book became common knowledge, many staff members suggested topics to include.<br/><br/>Outcomes: The first edition (72 pages) was printed and collated by the hospital print shop. Frequently used pager numbers, and procedures such as rapid sequence induction and chest tube insertion, were included. Guidelines for using over 35 drugs were included with the help of pharmacy. The latest edition included fire and safety, and infection control tips.<br/><br/>The pocket guide was especially well liked by new-graduate orientees. The most significant benefit identified on the evaluation was that the stress level of the orientees was reduced. A new-graduate orientee relayed &quot;not a night goes by that I don&AElig;t open my pocket guide.&quot; An unexpected positive outcome was that many of the experienced RNs are also using the guide.<br/><br/>Currently the 3rd update with over 100 pages is being published. The ICU/CCU also completed a similar guide for the critical care units. Hospitals in Utah, Ohio, and New York have purchased the guide to use as a reference in creating their own guide. Evaluations have been consistently positive by both preceptors and orientees.<br/><br/>Recommendations: Recommendations for ED orientation from this experience include (1) developing a pocket guide specific to the patient population of other EDs, (2) addition of the pocket guide to the orientation programs, (3) evaluation of the impact of the pocket guide in the orientation process, and (4) regular revision and update of the pocket guide. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:31:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:31:26Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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