Daily Shift Share Program

2000 Scenic Dr, Georgetown, TX 78626

(512) 943-3000

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Table of Contents

Topic Page number Keeping you in the know – Message from Sheila Fata 3

Welcome 4

To Do List 4

Clocking In 4

Pyxis Access 4

Meditech 5

Meditech Assistance Hotline 5

Orientation 5

Introduction to the Unit Worksheet 6

Parking 7

Department/Floor Location 8-9

Department/Floor Locations Grid 10

Telephone System Instructions 10

Hospital Departments and Phone Numbers 10-11

Disasters/Vacility lockdown 12

Ethics 12

Information Technology 12

Interpreters 13

Café Hours 13

Additional Tools/Just in Time Resources 14

Reassignment of Nurses – Donna Wright 15

Learning on the Fly 15

Marketing Yourself in a Positive Way 15

Understanding Crisis Management Options 16

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Keeping YOU in the KNOW-Nursing Updates

From day one, senior leadership has addressed the pandemic with two clear objectives.

To protect our nursing staff - keep them safe and employed. To protect the company - ensure its viability from a financial standpoint, so we can

continue to serve our communities for years to come.

As we reboot our operations, our mission remains constant. At the same time, we must be

nimble and adapt to the changed needs of our community. A key priority is to shift our nurses

from facilities with low census and demand to facilities with a high census.

On May 25, 2020, a division/market staffing process was initiated. This process occurs twice

daily and includes:

A virtual meeting with facility house supervisors that is chaired by the division leader A review of each facilities staffing per department A reassignment of nursing staff based on need and census. Staff will be notified of any

necessary assignment changes by the facility house supervisor before your shift Reassignments will occur between facilities within your market

We know that being asked to work in a facility other than your home facility is uncomfortable for

many. Please know that we have made this decision so that we may continue to provide

exceptional care to our patients, meet the changing needs of our community, and keep our

nursing staff employed.

This booklet is designed to give you some basic information about our hospitals to help ease

your transition.

Thank you for all that you do and have done for our patients!

Sheila Fata, MBA, BSN, RN, NEA-BC

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Division Chief Nurse Executive

Welcome to our Facility!

Tracy Rodriguez, DNP, RN,

CENP

CNO St. David’s Georgetown

Hospital

2000 Scenic Dr, Georgetown, TX 78626 (512) 943-3000

“To Do List” for RNs Upon Arrival:

1. Park and proceed to your assigned unit

2. Ask for the Charge Nurse and introduce yourself

3. Discuss your competencies with the Charge Nurse

4. Ask who your “resource buddy” will be for the shift

5. Ask where to safely store your belongings

6. Ask for quick tour of the unit and use the tool on page 5 to guide you

Clocking In

Ask your receiving Charge Nurse for the Kronos Log sheet so you can enter your hours.

If you are familiar with Kronos ETE, you can also log your hours that way.

Pyxis Access

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You will need temporary access granted from the unit you have been assigned to.

Meditech

Your Meditech Access should be available and working for you at your newly assigned

facility.

Meditech Assistance Hotline

Should you need charting assistance in Meditech, please call 1-800-737-8661 x1333 or

954-514-1333 and select option 2 to contact an experienced Meditech instructor.

Hours:

Weekdays: 8 AM – 5 PM EST

Orientation

Introductions are crucial to team success. Each individual brings with them certain

competencies and skills. In the introduction, each member should discuss what skills

they can assist with throughout the shift. Charge nurses should discuss the care needs

for patients within the unit and determine how the work can be divided up to ensure

each patient receives the best care utilizing everyone’s talents on the team. During your

orientation to the unit you have been assigned, the Charge Nurse will review

environment of care, which will include the safety features of the unit. Please use the

table on the following page to guide your conversation with the Charge Nurse so you

can rapidly become familiar with your new surroundings.

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Introduction to the Unit

Introduction Unit/Dept. Specific Safety Key Equipment

Co-Workers Time clock location Fire Extinguishers & Fire Pull Locations

Computer workstations

Identify Skills/Competencies

Employee lockers Code Button Crash Cart

Types of Patients to be cared for

Employee restrooms Nurse Call System POCT Equipment

Location of important phone numbers

Linen and Supply Rooms

Medical Gas Shut Off Location

Defibrillator

Huddle/Assignment location

Medication Room Evacuation Plan and Supplies

Malignant Hyperthermia Cart

Supervisor/Manager (Office)

Soiled Utility Stairwell Exits Rapid Intubation Cart

Patient Transport Elevators

Tube System Bed Alarms/Operation

Chest Cart

Nurse Station

Respiratory Workroom Safe Lifting equipment

Pumps (IV, Epidural, Enteral Feeding, PCA)

Copy/Printer Room

Breakroom Restraint Location Bladder Scanner

Blood Bank

Hydration Stations PPE Donning and Doffing

Vital Signs Monitoring Equipment

Documentation

Negative Pressure Room

Patient Transport (Tele certified)

O2 set up and Tanks (Pulse Ox)

Patient Rounding

Assist with ADL Doppler

Hygiene Care

Suctioning Hypo/Hyperthermia Blanket

Scales for Patient Weight

Catheter Insertion Sequential Compression Device

Specimen Collection Suction Set-up

Post-mortem Care

i-mobile

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Parking

Parking in the front of the building is for patients and visitors only. Parking in the ED parking lot is restricted to ED patients only Employees can park in the “yes” boxes (Please note that physician parking is

designated north of the helipad. Please do not park in those designated spaces.) Violations will result in disciplinary action.

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Department/Floor Locations

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Level 1 Level 2 Level 3 Level 4 Level G

Admissions Auxiliary / Front Desk Cafeteria Case Management Chaplain Dietary Emergency Dept. Environmental Services Gift Shop Health Info. Mgmt./Medical Records Laboratory Maintenance / Engineering Materials Mgmt. (General Stores) Nuclear Med. Outpatient Surgery Pathology Peri-Operative (OR) Radiology Security (Located in ED) Social Services Volunteer Office

House Supervisor Intensive Care Unit (South) Med/Surg (Central) Pharmacy (Central) Respiratory Therapy (Central)

Administration (South) Human Resources (South) Med/Surg (Central and North) Rehabilitation Center (South) Inpatient Therapy Services (North)

Women’s Pavilion (North) *Public only accessible by using the north elevator, those with access may use central elevator.

(Only accessible by using the north elevator) Cardiac Services Infection Control Information Systems Help Desk Quality

Telephone System Instructions Dial 0 for operator

Dial 9 for an outside line

For calls within the facility dial 24+ the three digit extension, e.g. 24792.

o This includes Spectralink phones.

For calls to departments and offices from outside the facility dial 942-4+ the three

digit extension.

o This includes Spectralink phones.

For Acute and Rehab patient rooms, dial 942-4 + the room number.

Hospital Departments & Phone Numbers

HOSPITAL MAIN LINE: 512-943-3000

To dial outside hospital, dial 9, then number.

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Department Number

Administration 24190

Admissions 24277

Auxiliary/Front Desk 24449

Cafeteria 24526

Cardiac Services 24162

Case Management 24559

Chaplain 24777

Dietary 24525

Emergency Dept 24367

Environmental Services 24134

Gift Shop 24278

Health Info. Mgmt. (Medical Records) 24270

House Supervisor 24365

Human Resources 24287

Infection Control 24485

Information Systems Help Desk 24136

Intensive Care Unit 24351 or 24352

Laboratory 24198

Maintenance/Engineering 24557

Materials Management (General Stores) 24521

Nuclear Med 24562

Outpatient Surgery 24500

Pathology/Histology 24695

Peri-Operative (OR) 24199

Pharmacy 24191

Quality 24220

Radiology 24112

Rehabilitation Center 24700 or 24705

Respiratory Therapy 24180

Security (Non-Emergencies/Emergencies)

Dial 0/Dial 3

Social Services 24640

Inpatient Therapy Services 24255

Outpatient Therapy Services (Sun City/Lake Aire)

512-931-2791 / 24399

Volunteer Office 24777

Women’s Pavilion (OB Dept) 24400

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Disasters/Facility Lockdown

See Red Emergency Preparedness Folder on Unit for Specific Duties for

Codes/Disasters and your evacuation gathering locations.

During a lockdown of the facility you will be told what door to use. You must have your badge or your supervisor will have to come and vouch for you.

Ethics Our Ethics and Compliance Officer is Christina Roscoe, COO.

Our Co-Ethics and Compliance Officer is Jennifer Jackson, Director of Patient

Safety.

o Can be reached at 942-4301 o Office is located in Administration and always open to discuss any ethics

concerns

Or you can call the Ethics Hotline to report any unethical behaviors or actions that you may encounter.

o Absolutely confidential o Answered at Corporate Headquarters 24 hours a day

o 1-800-455-1996

Information Technology

Important Things to Know

Two types of computers: Genshare/WOW, Workstation

Sign off your computer when away

Internet and E-Mail should be used for Business purposes only

Don’t allow others to use your Meditech session To Reach IT If between the hours of 7 am and 6 pm call ext. 24136 or 942-4136.

If between the hours of 6 pm and 7 am do the following: o If it is an emergency call the patient care supervisor and they will page the

tech o If it is not an emergency then call ext. 24136 and leave a message

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Interpreters

Use ‘Stratus’

o Locate the iPad on a green rolling stand in your department o One button process connects you to company o If there is no iPad in department – contact House Supervisor o Interpret for over 300 languages

For sign language, we use ‘Communication By Hand Interpretation Services’ - Call

512-467-1917

Café Hours Weekdays: 6:30a – 7:00p (Breakfast served until 10:30a. Lunch served from 11:00a - 2:30p. Dinner served from 5:00p – 7:00p.) Weekends: 7:00a – 2:00p (Breakfast and lunch are served)

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Additional Tools and Information

Just In Time Resources

We want to refresh you on the resources you have available for just in time learning.

We have access to resources that include information and guidance to help provide

excellent care. If you cannot locate a resource please ask, we are here to help you!

ONLINE REFERENCES

Resource Name Description Location

Atlas HCA corporate intranet-HCA

initiatives and documents

SDH intranet>Atlas Connect

CE Direct Free access to continuing education

and certification review courses

SDH intranet>Clinical Tools; internet access available

Clinical Pharmacology Drug reference, including medication interactions, compatibility, etc.

SDH intranet>Medical Resources

EBSCO Clinical Research Clinical research database-to

access specific articles or journals

SDH intranet>Medical Resources; internet access available

E-Demand Repository for facility/SDH forms

(consents, specific patient instructions, etc.)

SDH intranet>Admin Tools

HealthStream

SDH/HCA Learning Management System- repository for most

mandatory and elective learning; HealthStream Competency

Center: electronic orientation and annual competency assessment for

all staff, as well as annual evaluations; HealthStream CE

Center: free access to continuing education and certification review

courses

SDH intranet>Admin Tools; internet access available

Dynamic Health SDH procedure manual,

includes instructions, checklists and references

SDH intranet>Medical Resources

Policytech Electronic file for SDH policies SDH intranet>Policies

Institute for Learning (IFL) Course Registration-for any

course offered through the IFL

SDH intranet>Institute for Learning; internet access available

www.stdavids- institute.com

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Reassignment of Nurses – Based on Donna Wright Model

When nurses are floated from one nursing unit to another, the issue of competency

arises. We ask quite frankly, does this nurse have the skills, knowledge and abilities to

function in this capacity? Experiencing a surge of patients can make it difficult to cross-

train or put nurses through a complete orientation. How can we facilitate a successful

floating process? According to Donna Wright, when asking nurses that float and those

that receive float nurses, there are three themes that consistently are heard and are

actually competencies for the nurse that is reassigned to another care area. These

include:

Learning on the Fly

Marketing yourself in a positive way

Understanding crisis management options

Learning on the Fly

Learning on the fly competency has two parts to it. First, I need to know what I do not

know and be able to speak up about it. The second essential aspect of learning on the

fly includes:

I am not sure about this procedure….I am going to look it up.

I am going to ask someone how to do this.

I will use the resources that are available to guide my actions.

Obviously, this is not going to work for every procedure and task that we do, but many

times learning on the fly skill is used successfully. To demonstrate learning on the fly,

imagine a nurse is floated to a medical-surgical floor that provides dialysis. The nurse

has never worked in dialysis before and does not know how to do dialysis. The charge

nurse may ask an experienced nurse to setup the dialysis and point out the basic things

to watch for when monitoring a patient on dialysis. The charge nurse can buddy up the

inexperienced nurse with another professional to ask further questions to support the

patient’s care. The most important thing is to propose ways to be useful while remaining

open to learning new things.

Marketing Yourself in a Positive Way

As a Registered Nurse you have lot of knowledge, skill and experience that you can

bring to any situation. Also as RNs, we need to market ourselves a little better and let

those we are working with understand what skills and experience we can bring to the

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team. Sometimes we may say, I was told to come here, I have never worked here

before, I am not familiar or comfortable with working in this area or specialty, and I do

not know how to do any of those things.

When you are reassigned to another nursing unit, we recommend that you make these

two statements to the team or the charge nurse:

My name is ________ I am floating to your unit for this shift. I am here to help

you out.

I have the following skills that I can offer to you today, and you can see how they

may fit into what is needed. I can do ___________, and so on.

When nurses have the ability to market themselves positively, the results and the shift

experiences are much better. The success of the shift and the reassignment

experience do not lie in the clinical skills, but instead in the “can-do” attitude the person

brings.

Understanding Crisis Management Options

Most of the time when a nurse is reassigned to another area, that area is under stress,

stretched, or moving into crisis mode because they do not have enough staff to meet

the needs. They need help to function, so they reach out for support. The nurse being

reassigned can provide care and/or service assistance to help the team get the routine

work done, but can also offer something else: a fresh perspective or insight that he

group may have trouble seeing.

The skill of understanding crisis management options can work in any area, not just in

nursing. The team is able to change the normal workflow temporarily to match the crisis

situation and still produce the desired results.

This is an excerpt from Donna Wright’s, Competency Assessment Field Guide for

Implementation and Application, 2015, Creative Healthcare Management. Prior to

COVID-19, HCA Healthcare began to transition to the Donna Wright Competency

Assessment Model. We will resume the implementation later in 2020.

Additions/Edits to this booklet? Please send email to Eileen.Kirrane@StDavids.com