Summary of Identified Action Items for Fall 2014 Implementation

Summary of Identified Action Items for Fall 2014 Implementation

Summit Summary

Nursing Summit- Spring 2014

Summary of Identified Action Items for Fall 2014 Implementation

Schools of Nursing

Action Item / Intervention / Implementation Plan
Patient Assessment (Narrative / Focused):
Clinical Model- Faculty with Student Group:
- Ask patient if ok to have faculty & students in room to complete patient assessment.
- Faculty completes 3-5 patient assessments “as examples” for students, then students must perform assessments for remainder of semester.
- Outside patient room: student gives report on assigned patient to faculty and students, to include: history, presentation, labs, etc.
-Inside patient room: introduction, verbalized head-to-toe assessment, and patient / family input.
Presence at bedside:
- Verbalize all hands-on with patient
- Limit use of computer near patient
Wind (airway), Wound, Widget (SCD’s, IV, foley, etc.), Walk (ambulate) and teaching
Incorporate into Simulation:
Practice down-time (paper charting)
Scenarios instead of case study assignments- more than one correct answer
Assessment practice:
- Focused
- Narrative
- Admission
Unsterile and sterile gloving
Nursing grand rounds- case studies with skills
Critical lab values
SBAR- for reporting
Critical thinking at the bedside- prioritizing patient care
Pre-Op simulation (incorporate labs and sterile technique)
Action Item / Intervention / Implementation Plan
Personal / Professional Accountability:
Cell phone use – being “Present at the Bedside”
Structure of communication
- Teach “it’s ok to not know”, seek appropriate resource (seasoned RN)
Use acronym “CUS”:
Concerned and Uncomfortable for the Safety of my Patient
Incorporate into Clinical / Curriculum:
Hospital policy review – student assignment
Micromedex and Lexicomp use in class / clinical
Rotate students through a clinical day in the OR – exposure to sterile process
Senior year- review physical assessment skills
Senior practicum student to provide preceptor with a checklist of needed skills (student specific), available skills dependent on unit assigned.
Teach Quality Improvement Measures:
- HCAPS
- CAUTI
- CLABSI
- Falls
Plan of care vs. being task oriented
Evidence Based Practice- skills may be performed differently per hospital; present examples to differing policy to students

Nursing Summit- Spring 2014

Summary of Identified Action Items for Fall 2014 Implementation

GHS Nursing Academic Services / Workforce Development

Action Item / Intervention / Implementation Plan
New Graduate / New Graduate Preceptors:
Preceptor Academy
Resource Nurse- each shift
- Purposeful rounding on new grad (not just “Are you ok”?)
Assist new grads in how to access information and assistance
- Look up policies and procedures
Model “Being Present at the Bedside”
Use acuity level for new grad patient assignments
Student Nurse Preceptors:
Model communication skills- decrease intimidation felt by students
Attend preceptor training
School Specific:
Provide schools a listing:
- common medications per service line (OB, Peds, Med-Surg)
- common medications involved in medication errors per service line
Provide a routine summary of evaluation feedback to schools.
Review expanding skills and procedures allowed to students.
Invite student / faculty participation within GHS committees.
Make available GHS Nursing Policies and Procedures to schools

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