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Central Maine Medical Center

Central Maine Medical Center. CENTRAL MAINE MEDICAL CENTER NEW GRADUATE NURSE ORIENTATION PROGRAM FOR ICU Mary Philbrick BSN, RN,CCRN Central Maine Medical Center, Lewiston, Maine. Brief overview.

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Central Maine Medical Center

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  1. Central Maine Medical Center CENTRAL MAINE MEDICAL CENTER NEW GRADUATE NURSE ORIENTATION PROGRAM FOR ICU Mary Philbrick BSN, RN,CCRN Central Maine Medical Center, Lewiston, Maine

  2. Brief overview • After reviewing in 2011 the new graduate orientation process at CMMC, there was a need for improvement and we identified many of the same gaps that are listed in the competencies mentioned from the MPNEP • CMMC was excited for the opportunity to create a more effective program that utilizes a novice to expert model and mentor philosophy that can help shape our newly hired ICU graduate nurses into future nurse leaders.

  3. Goal • To standardize orientation process through phases and to establish this program throughout the corporation for all new graduate nurses and utilize the best methods of training that are needed to help nurses practice at the highest standard of quality, safe and holistic patient care.

  4. Improve communication skills Augment critical thinking skills towards clinical reasoning Focus on patient quality and safety Gain knowledge and skills in phases Collaboration in the healthcare team Partnership = Shared responsibility in orientating new staff Encourage new staff to be engaged and accountable Reduce turnover & enhance job satisfaction Core Competencies

  5. Other key activities • Focus on novice to expert model • Standardized preceptor training • Mentoring from other disciplines - partnerships • Improve efficiency of training – road map • Decrease length of orientation

  6. Outcomes • 5 new graduate ICU RN’s • All 5 completed orientation in 6-8 months • Prior 2 years orientation this was 8-10 months • Mixed results with preceptors in utilizing new tools • 5 ICU staff received preceptor training • Standardized preceptor program developed

  7. Outcomes continued • New graduate nurse survey: • All 5 new staff felt the program phases were beneficial in moving them through orientation • 2 - 3 new staff felt the preceptors utilized the phases through the orientation • 4 - 5 new staff believed their orientation brought them to a proficient/competent level • Over all program rating “good” on a scale of poor, fair, good excellent)

  8. Recommendations • ICU leadership and preceptors survey pending • Job satisfaction survey pending • Need leadership & preceptor buy in • Needed more education on the process for those who make assignments

  9. Summary • New staff felt it created a solid foundation in application of concepts and clinical experience. • Improved time management skills • Small successes – new staff satisfaction • Change is hard – seasoned preceptors resistant

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