2.50
Hdl Handle:
http://hdl.handle.net/10755/163018
Type:
Presentation
Title:
Precepting: Building a Strong Foundation
Abstract:
Precepting: Building a Strong Foundation
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Bowland, Ruthann, RN, CEN, PCS
P.I. Institution Name:Aultman Health Foundation
Title:Patient Care Specialist
Contact Address:2600 6th Street SW, Canton, OH, 44710, USA
Contact Telephone:(330) 363-6203
Purpose: The implementation of a competency based assessment orientation process for registered nurses in the emergency department that improves observation, assessment, and prioritization skills was critical. The previous orientation focused only on skill completion. Current emphasis includes skill proficiency, critical thinking, customer relations, and patient advocacy. Design: The Emergency Room Orientation Program is a departmental Process Improvement based on the Standards of Emergency Nursing Practice from the Emergency Nurses Association (ENA) Orientation Module. It focuses on technical skills and knowledge of the organization's standards and protocols. Skill competency evaluation occurs at the completion of orientation. Progress evaluation occurs at three and six month intervals. Setting: Seeking Magnet Recognition, this Level II Trauma Center in northeast Ohio services a population of over 80,000. In 2004, over 75,000 people were treated and fifty eight percent were admitted to its 682-bed facility. Located one-hour north is a Level I Trauma Center and to the south are small rural facilities that rely on the specialty services available at this facility. Participants: Four new graduate registered nurses (RNs) and four RNs averaging five years nursing experience participated in the orientation process. Fifteen mentors provided guidance. Methods: The "Competency Assessment Orientation" section from the ENA Orientation Module provided the framework. The first component is a task-oriented Skills Matrix (checklist) identifying strengths and weaknesses assigning a numeric rating for each identified area. The second component assesses clinical and professional standards. Mentor assignment (1:1 nurse/mentor ratio) occurs in the third component. After orientation, each nurse participates in Mentorship Classes for one year. Each nurse participates in facilitated discussions and scenario role-plays in preparation for the variety of situations they will encounter in the Emergency Department. Orientation requirements are six weeks for new graduate RNs and four weeks for experienced RNs. Three and six month interval evaluation monitors progress. Results: Each new staff member and preceptor participates in weekly meetings to examine their progress and discuss any concerns. Eight registered nurses completed orientation in July 2005 and remain in the emergency department. When interviewed at the end of their orientation and at three months, ninety-five percent reported feeling confident to deliver complete care for the emergency department patient and provide excellent customer service. According to Press Ganey results, customer satisfaction has risen from seventy-three percent in April 2005 to ninety five percent in October. In September, eight new graduate RNs and four RNs with nursing experience have begun the new orientation and evaluation process. Recommendations: This new orientation process will continue (with revisions as needed) until sufficient data is available to analyze its appropriateness. Currently, this program is meeting the institution?s expectations for enhancing the clinical skills and professional standards of new RN emergency department employees.
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.titlePrecepting: Building a Strong Foundationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/163018-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Precepting: Building a Strong Foundation</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bowland, Ruthann, RN, CEN, PCS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Aultman Health Foundation</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Patient Care Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2600 6th Street SW, Canton, OH, 44710, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(330) 363-6203</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rbowland@neo.rr.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The implementation of a competency based assessment orientation process for registered nurses in the emergency department that improves observation, assessment, and prioritization skills was critical. The previous orientation focused only on skill completion. Current emphasis includes skill proficiency, critical thinking, customer relations, and patient advocacy. Design: The Emergency Room Orientation Program is a departmental Process Improvement based on the Standards of Emergency Nursing Practice from the Emergency Nurses Association (ENA) Orientation Module. It focuses on technical skills and knowledge of the organization's standards and protocols. Skill competency evaluation occurs at the completion of orientation. Progress evaluation occurs at three and six month intervals. Setting: Seeking Magnet Recognition, this Level II Trauma Center in northeast Ohio services a population of over 80,000. In 2004, over 75,000 people were treated and fifty eight percent were admitted to its 682-bed facility. Located one-hour north is a Level I Trauma Center and to the south are small rural facilities that rely on the specialty services available at this facility. Participants: Four new graduate registered nurses (RNs) and four RNs averaging five years nursing experience participated in the orientation process. Fifteen mentors provided guidance. Methods: The &quot;Competency Assessment Orientation&quot; section from the ENA Orientation Module provided the framework. The first component is a task-oriented Skills Matrix (checklist) identifying strengths and weaknesses assigning a numeric rating for each identified area. The second component assesses clinical and professional standards. Mentor assignment (1:1 nurse/mentor ratio) occurs in the third component. After orientation, each nurse participates in Mentorship Classes for one year. Each nurse participates in facilitated discussions and scenario role-plays in preparation for the variety of situations they will encounter in the Emergency Department. Orientation requirements are six weeks for new graduate RNs and four weeks for experienced RNs. Three and six month interval evaluation monitors progress. Results: Each new staff member and preceptor participates in weekly meetings to examine their progress and discuss any concerns. Eight registered nurses completed orientation in July 2005 and remain in the emergency department. When interviewed at the end of their orientation and at three months, ninety-five percent reported feeling confident to deliver complete care for the emergency department patient and provide excellent customer service. According to Press Ganey results, customer satisfaction has risen from seventy-three percent in April 2005 to ninety five percent in October. In September, eight new graduate RNs and four RNs with nursing experience have begun the new orientation and evaluation process. Recommendations: This new orientation process will continue (with revisions as needed) until sufficient data is available to analyze its appropriateness. Currently, this program is meeting the institution?s expectations for enhancing the clinical skills and professional standards of new RN emergency department employees.</td></tr></table>en_GB
dc.date.available2011-10-27T10:38:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:38:08Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.