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In conjunction with the outcomes of the Healthy People 2020 initiatives, the majority of patient care is being done on an outpatient basis rather than at bedside. It is this shift in the healthcare system that demands nurses in the ambulatory setting have the support they need in order to meet the necessities of complex patients. The integration of quality and safety measurements in the outpatient practices requires registered nurses to have constant support and guidance from ambulatory nurse educators. Orientation programs can ensure nurses are properly trained, maintain competencies’ compliance, and ensure they are able to provide the highest quality patient care. The need for a formal orientation program in the ambulatory practices was recognized and the cardiothoracic ambulatory registered nurse orientation was created. Its purpose was to serve as the basis for the beginning of a formal outpatient new hire education program. The orientation included six online-based modules that educated the newly hired registered nurse about the most common cardiothoracic diseases, surgeries, and patient problems. The modules were designed to be completed over the course of the first two weeks of hire, followed by an additional four weeks of integration into practice before taking the final assessment. In addition to the final assessment, there was an evaluation of the orientation program and a preceptor evaluation that the new hire completed to ensure preceptors were properly trained. The use of an orientation tool, already in place at the organization, ensured all aspects of the job responsibilities were completed by the end of the six weeks. The program was presented to the clinical resource coordinators, director of outpatient practices, chief operating officer, as well as practice managers of the organization during the monthly outpatient nursing meeting. The program was presented to the chief nursing officer as well as inpatient nurse educators during a private meeting. The orientation program and its module-based format have been approved for immediate implementation.
Significance and background: Our comprehensive cancer center places a priority on professional and educational development of our nurses. Our nurses are encouraged to continue their education and improve their leadership skills through the clinical ladder program…
Reaching nursing staff needing standardized education in a very large academic, multi-specialty and quaternary medical health system spanning 36,000 square miles, 16 counties, and 5 regions has proven complex…
Weight gain in pregnant women has been linked to childhood obesity in multiple studies. Standard pre-natal education includes information about maintaining a normal weight during pregnancy. However, even with education, eating habits are challenging to change…
Background: In December 2017, a needs assessment survey was conducted with all RNs and LPNs across 25 practice sites. The results indicated a need to focus on the foundations of care and infrastructure to support nursing practice…
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