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High Dependency Care: Specialty Year of Practice Presenter: Luke Sloane

Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012. High Dependency Care: Specialty Year of Practice Presenter: Luke Sloane. Westmead Hospital. 1-1a_HRT1215-Session_SLOANE_WESTMEAD_NSW. KEY PROBLEM.

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High Dependency Care: Specialty Year of Practice Presenter: Luke Sloane

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  1. Innovation Poster Session HRT1215 – Innovation Awards Sydney 11th and 12th Oct 2012 High Dependency Care: Specialty Year of PracticePresenter: Luke Sloane Westmead Hospital 1-1a_HRT1215-Session_SLOANE_WESTMEAD_NSW

  2. KEY PROBLEM Difficulty, read: impossible, recruitment to positions in several of our High Dependency Care Units (HDUs) No educational preceptor programs existed for novice nurses rotating into or recruited to our HDUs The difficulty in recruitment was a result of a low unit profile, read: bad reputation

  3. AIM OF THIS INNOVATION Minimum filling of 50% of all vacancies carried by HDUs Implement a fully integrated High Dependency Care education and best practice program Increase number of high skill level, high dependency care staff Improved and sustained patient focused care in HDUs Knowledge sharing between HDUs of different specialties, creating dynamic HDU nurses. Implement and sustain the High dependency Care: Specialty Year of Practice (SYOP) with a 3 year plan

  4. BASELINE DATA For example our medical HDU (Ward B) was carrying 11.8 FTE in non specialised agency staff on top of 2.32 FTE of overtime within units., still leaving 0.31 vacancy per roster This cost Ward B $1,156,731.11 per annum in contingency labour alone Hospital wide in the 5 HDUs alone there was a 25.94 FTE vacancy carried for more than 12 months Team morale was low, burn out risk was high New staff rotating into unit post Transition to Practice Program, were no longer intensively supported to ‘up skill’ No incentives were available to attract and sustain competent and highly skilled Nursing Staff

  5. KEY CHANGES IMPLEMENTED A full brief and project plan was submitted to the Chief Executive via the Director of Nursing and Midwifery to recruit to min 30 positions directly associated with the SYOP program Brand marketing. Innovative advertising through leading publications, with fresh new advertising approach Education program in line with new recruits to the HDUs to support them during the first 12 months, in a self-directed, Nurse Educator supported multi-specialty support Cross HDU Nurse Education exchange

  6. OUTCOMES SO FAR 15 external recruits to HDUs RN2-RN7 10 internal recruits from acute wards to HDUs RN2-RN7 80% plus feed back on all face to face education sessions with 90% attendance rate. 100% self directed learning completion Increased team morale on all units including ‘Ward B’ Direct cost savings of $426, 821.47 per annum in contingency labour due to long carried vacancies being filled. 100% 12 month retention rate.

  7. LESSONS LEARNT Unit and facility profile contribute significantly to recruitment strategy success. Specialty education programs provide increased skill at the bedside, improved team morale and deliver unit appropriate levels of care. Nursing care delivery improved with knowledge Advertising is expensive, but rewarding Novice nurses that are well supported form bedding for sustainable highly skilled workforce All of the above influenced financial position indirectly

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