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Surgical nursing

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by

PJ Braun

on 30 October 2012

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Transcript of Surgical nursing

Julie Burkel, PJ Braun, Jared Hagedorn Redefining perioperative nurse orientation Our change project idea came from the obvious lack of any consistent orientation process for surgical services staff members.

- High turnover rate
- Inadequate performance post orientation
- Disenfranchised nurse orientee
- Lack of structure Short Term Goals:

- Develop Orientation Pathway for surgical services
staff
- Create a unit specific committee to help with
pathway/process build
- Lay foundation to produce more CNORs Long Term Goals:
- Restructuring the orientation process
- Increase staff retention
- Develop effective orientation
- Documentation for both preceptors and
new employees.
- Increase overall staff moral Orientation that we currently offer:
- Nurse educator assigns new nurse to a
preceptor
- Preceptor is responsible for training
Sterile technique
policy and prceedure
intro to all surgical specialties/staff
keeping new nurse focused "Research shows that the average cost of replacing one nurse can range from $22,000 to more than $64,000. This price tag includes advertising, hiring agency nurses, paying overtime, orientation and lower productivity of nurses". (Wilson, 2012) Benner's novice to expert theory: Areas to redesign the future: - Incorporating a mandatory job shadow
- Individualized orientation framework
- Mentoring vs preceptoring
- New orientation tools
- Introduction of nurse residency program Job shadowing:
Individualized orientation: Orientation tools: Nurse residency: - Gives the applicant an idea of whats required

- Allows first hand experience of the O.R.

- Allows both staff & educator to evaluate - Assessing the needs of the orientee
- Creating a tailored orientation
pathway
- Focuses the needs of orientee
through evaluation - Week 1 consists of shadowing multiple preceptors
- discuss experience with educator to determine
chosen mentor Mentor vs Preceptor: - Preceptor checklists
- Daily orientation records
- Web based competencies
- "New people" weekly meeting - Individualized in existing hospital wide program

- Increases knowledge of common pathological processes, boosting confidence

- Creates networking opportunities to both increase
social support and educational support Evaluation: Create a survey for both preceptor and orientee
Determine the effectiveness of of the implications
Nurse mentor will accompany new nurse through nurse residency and web based compancy References
Callaghan, A., MEd,BN,RN. (2010). Student nurses’
perceptions of learning in a perioperative placement. journal of Advanced Nursing, 67(4), 854-864. doi:10.1111/j.1365-2648.2010.05518.x
Castelluccio, D., MSN,RN,CNOR. (2012). Educating for
the Future. AORN Journal, 95(4), 482-491. doi:10.1016/j.aorn.2011.05.023
Clifford, T., MSN,RN,CPAN. (2010). Orientation of New
Nurses. journal of PeriAnesthesia Nursing, 25(4), 261-262. doi:10.1016/j.jopan.2010.05.003
Dumchin, M., RN,MScN. (2010). Redefining the Future of
Perioperative Nursing Education: A Conceptual Framework. AORN Journal, 92(1), 87-100. doi:10.1016/j.aorn.2009.11.068
Kajermo, K. N., Rn, Nordstrom, G., PhD, RN, MSocSci, A. K., RN, & Lutzen, K., PhD, RN. (2001). Nurses’
experiences of research utilization within the framework of an educational programme. Journal of Clinical Nursing, 10(1), 671-681.
logan, R., MS,RN. (2012). Using YouTube in
Perioperative Nursing Education. AORN Journal, 95(4), 474-481. doi:10.1016/j.aorn.2012.01.023
Milner, M., RN,MN, Estabrooks, C., RN, PhD, & Myrick, F., RN,PhD. (2005). research utilization and clinical nurse
educators: a systematic review. Journal of Evaluation in Clinical Practice, 12(6), 639-681. doi:10.1111/j.1365-2753.2006.00632.x
Morgenhaler, L., RN,BSN,CNOR. (2008). Leaving the
Nest and Joining th Flock: OR Residency Programs and team Mentoring. AORN Journal, 88(1), 97-101.
Mott, J., MSN,RN. (2012). Implementation of an
Intraoperative Clinical Experience for Senior Level Baccalaureate Nursing Students. AORN Journal, 95(4), 445-452. doi:10.1016/j.aorn.2011.05.024
Stratton, M., MSN,MHSA,RN,CNOR,NEA-BC. (2011).
Helping Novice Perioperative Nurses Survive and Thrive425. AORN Journal, 93(4), 425-426. doi:10.1016/j.aorn.2011.01.006
Wilson, G., MS, RN, CNOR. (2012). Redesigning OR
Orientation. AORN Journal, 95(4), 453-462. doi:10.1016/j.aorn.2012.01.022
Full transcript