2.50
Hdl Handle:
http://hdl.handle.net/10755/162683
Type:
Presentation
Title:
A Unique Approach to Staffing a Struggling SANE Program
Abstract:
A Unique Approach to Staffing a Struggling SANE Program
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Byrum, Makenzy, RN, BSN, SANE
P.I. Institution Name:Oregon Health and Sciences University
Title:Emergency Department Nursing Internship Coordinator
SANE Program Coordinator.
Contact Address:3181 SW Sam Jackson Park Road, Portland, OR, 97239-, USA
Contact Telephone:(503) 418-5520
Purpose: Maintaining a Sexual Assault Nurse Examiner (SANE) program with a dedicated group of nurses that commit to share on-call status, responding for sexual assault forensic exams (SAFEs), 24 hours a day, 7 days a week presents a challenge to many emergency departments (EDs). With a small group of nine SANE nurses, many SAFEs were performed by staff that were not SANE-certified. Additionally, many Emergency Nurses were uninterested, or unable, to make the commitment to be SANE-certified.

Design: A staff development project was initiated, to increase the number of certified SANEs available to the department.

Setting: A 42-bed emergency department in an academic, Level 1 trauma center.

Participants/Subjects: Nurses, without prior ED experience, selected from the Mother Baby (MBU) and Labor and Delivery (L&D) Units.

Methods: To meet the staffing demands of the SANE program, nurses with a thorough familiarity with reproductive anatomy and vaginal speculum exams were recruited from the MBU and L&D. Nurses with a minimum of two years experience were selected based on their clinical skill set, an active interest in caring for this patient population, and a written commitment to take a minimum of 32 hours of call each month for at least two years. The training consisted of didactic education, observation and precepted clinical experiences. After meeting all requirements, SANEs submitted their application for state certification and were responsible to fulfill their on-call commitment.

Results: This program doubled the number of SANE nurses available to the ED and dramatically increased the average on-call coverage. By requiring on-call commitments, the hours covered increased from 64 hours per month of coverage to 347 hours per month.

Recommendations: While participation in the SANE program increased, training the MBU and L&D nurses proved to be more labor intensive than predicted, as they required a full departmental orientation and coordination of their schedules on their home-units to allow for precepted experiences in the ED. Future recruitment will take this into account and build more education time into the projected budget. Additionally, because the number of trainees outnumbered the preceptors who were actively taking call, meeting all of the precepted requirements was challenging. Increased staffing will allow each trainee to be paired with one designated preceptor for the duration of their training, creating a consistent and efficient orientation. The success of this program supports the unique approach to recruiting non-ED nurses to staff an ED-based program, while facilitating professional growth.
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.titleA Unique Approach to Staffing a Struggling SANE Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162683-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Unique Approach to Staffing a Struggling SANE Program</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Byrum, Makenzy, RN, BSN, SANE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health and Sciences University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Department Nursing Internship Coordinator<br/>SANE Program Coordinator.<br/></td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3181 SW Sam Jackson Park Road, Portland, OR, 97239-, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(503) 418-5520</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">byrumm@ohsu.edu</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Maintaining a Sexual Assault Nurse Examiner (SANE) program with a dedicated group of nurses that commit to share on-call status, responding for sexual assault forensic exams (SAFEs), 24 hours a day, 7 days a week presents a challenge to many emergency departments (EDs). With a small group of nine SANE nurses, many SAFEs were performed by staff that were not SANE-certified. Additionally, many Emergency Nurses were uninterested, or unable, to make the commitment to be SANE-certified. <br/><br/>Design: A staff development project was initiated, to increase the number of certified SANEs available to the department. <br/><br/>Setting: A 42-bed emergency department in an academic, Level 1 trauma center.<br/><br/>Participants/Subjects: Nurses, without prior ED experience, selected from the Mother Baby (MBU) and Labor and Delivery (L&amp;D) Units. <br/><br/>Methods: To meet the staffing demands of the SANE program, nurses with a thorough familiarity with reproductive anatomy and vaginal speculum exams were recruited from the MBU and L&amp;D. Nurses with a minimum of two years experience were selected based on their clinical skill set, an active interest in caring for this patient population, and a written commitment to take a minimum of 32 hours of call each month for at least two years. The training consisted of didactic education, observation and precepted clinical experiences. After meeting all requirements, SANEs submitted their application for state certification and were responsible to fulfill their on-call commitment.<br/><br/>Results: This program doubled the number of SANE nurses available to the ED and dramatically increased the average on-call coverage. By requiring on-call commitments, the hours covered increased from 64 hours per month of coverage to 347 hours per month. <br/><br/>Recommendations: While participation in the SANE program increased, training the MBU and L&amp;D nurses proved to be more labor intensive than predicted, as they required a full departmental orientation and coordination of their schedules on their home-units to allow for precepted experiences in the ED. Future recruitment will take this into account and build more education time into the projected budget. Additionally, because the number of trainees outnumbered the preceptors who were actively taking call, meeting all of the precepted requirements was challenging. Increased staffing will allow each trainee to be paired with one designated preceptor for the duration of their training, creating a consistent and efficient orientation. The success of this program supports the unique approach to recruiting non-ED nurses to staff an ED-based program, while facilitating professional growth.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:23Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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