Med Surg RN Needs Assessment 2011 - UC Irvine Health · 1 of 21 Med Surg RN Needs Assessment 2011...

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Med Surg RN Needs Assessment 2011

1. Identify the area you work on.

Response

Percent

Response

Count

SPPO 55.6% 35

4T & 5T 0.0% 0

3T 1.6% 1

DH 58 1.6% 1

ARU 0.0% 0

DH 32 19.0% 12

DH 76 & 78 22.2% 14

Other (please specify)

1

answered question 63

skipped question 0

OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf

2 of 21

2. I prefer lectures give in:

Response

Percent

Response

Count

2 hour sessions 47.6% 30



other (AM PM) 7.9% 5


4


skipped question 0

3. I would like lectures given by:

Response

Percent

Response

Count

MD's/Residents 58.1% 36

NP's 32.3% 20

CNS/Educators 41.9% 26

Staff from UCIMC 59.7% 37

Staff from outside UCIMC 32.3% 20

Published Speakers 30.6% 19

National recognized speakers 32.3% 20

Other 3.2% 2


3


skipped question 1


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4. I prefer to attend classes on:

Response

Percent

Response

Count

Monday 34.9% 22

Tuesday 9.5% 6

Wednesday 12.7% 8

Thursday 11.1% 7

Friday 31.7% 20


skipped question 0


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5. I would be interested in taking the following certification review courses in the next year:

Response

Percent

Response

Count

CCRN (Critical Care Registered

Nurse)13.2% 7

PCCN (Progressive Care

Registered Nurse)9.4% 5

CMC (Cardiac Medicine

Certification)9.4% 5

CSC (Cardiac Surgery

Certification)5.7% 3

CNRN (Neuro) 13.2% 7

CGRN (Gerontology) 1.9% 1

ONC (orthopedics) 24.5% 13

Certified Rehabilitation 3.8% 2

Certified Oncology Nurse 24.5% 13

Certified Diabetic Educator 17.0% 9

Certified Wound Care Nurse 18.9% 10

Certification in Medical Surgical

Nursing (CMSRN)32.1% 17

Other 15.1% 8


6


skipped question 10


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6. What classes have you taken at UCIMC during the last 12 months?

Response

Percent

Response

Count

Mandatory classes (PALS, ACLS,

BLS etc)83.3% 45

Biannual Nursing Symposium 14.8% 8

Neuro Update 1.9% 1

Procedural/Equipment Classes

(PICC, IV, Central Lines,

Ventilator,Chest Tubes, etc)

31.5% 17

Preceptor/Mentor 9.3% 5

Professional Nursing Practice 16.7% 9

Cnlinical Nurse III 0.0% 0

Disease Specific (CABG, Diabetes,

etc.)14.8% 8


5


skipped question 9


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7. The purpose of the annual needs assessment is to determine educational needs for the unit during

the next year.

No

knowledge

or skills

Little

knowledge,

skills and

experience

Knowledgeable,

but lack skill

and experience

Knowledgeable,

but with little

skill and

experience

Knowledgeable

and competent

with skills and

experience

Nurse Practice Act-Scope of

Practice11.8% (6) 7.8% (4) 9.8% (5) 29.4% (15) 41.2% (21)

ANA-Code of Ethics 4.1% (2) 14.3% (7) 6.1% (3) 36.7% (18) 38.8% (19)

Evidence based practice 6.5% (3) 4.3% (2) 10.9% (5) 45.7% (21) 32.6% (15)

Cultural Issues influencing Patient

Care2.0% (1) 14.0% (7) 6.0% (3) 34.0% (17) 44.0% (22)

Professional liability 4.0% (2) 10.0% (5) 14.0% (7) 42.0% (21) 30.0% (15)

Professional career developement 2.0% (1) 14.3% (7) 12.2% (6) 36.7% (18) 34.7% (17)

Current nursing legislature 6.4% (3) 8.5% (4) 25.5% (12) 53.2% (25) 6.4% (3)

Ethical issues 2.1% (1) 12.5% (6) 12.5% (6) 41.7% (20) 31.3% (15)

Assessment of: 7.7% (2) 7.7% (2) 26.9% (7) 42.3% (11) 15.4% (4)

Cardiovascular 6.4% (3) 10.6% (5) 23.4% (11) 17.0% (8) 42.6% (20)

Pulmonary 8.3% (4) 8.3% (4) 18.8% (9) 31.3% (15) 33.3% (16)

Neurologic 6.3% (3) 14.6% (7) 18.8% (9) 29.2% (14) 31.3% (15)

Gastrointestinal 8.2% (4) 10.2% (5) 16.3% (8) 28.6% (14) 36.7% (18)

Renal 8.3% (4) 10.4% (5) 20.8% (10) 25.0% (12) 35.4% (17)

Hematology 8.5% (4) 12.8% (6) 10.6% (5) 36.2% (17) 31.9% (15)

Musculoskeletal 6.4% (3) 10.6% (5) 17.0% (8) 34.0% (16) 31.9% (15)

Stages & types of shock 10.6% (5) 4.3% (2) 23.4% (11) 48.9% (23) 12.8% (6)

Diagnostic procedures for the

cardiovascular system12.8% (6) 2.1% (1) 27.7% (13) 36.2% (17) 21.3% (10)

Basic dysrhthmia interpretation 8.5% (4) 10.6% (5) 23.4% (11) 23.4% (11) 34.0% (16)


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Advanced dysrhythmia

interpretation13.0% (6) 4.3% (2) 32.6% (15) 34.8% (16) 15.2% (7)

Coronary arteriography cardiac

cath, percutaneous coronary

interventions (PCI)

19.1% (9) 6.4% (3) 40.4% (19) 19.1% (9) 14.9% (7)

Hemodynamic 12.5% (6) 12.5% (6) 33.3% (16) 25.0% (12) 16.7% (8)

Nutritional support 8.0% (4) 6.0% (3) 20.0% (10) 32.0% (16) 34.0% (17)

Pain Management 7.8% (4) 3.9% (2) 15.7% (8) 23.5% (12) 49.0% (25)

Medications: 9.8% (4) 7.3% (3) 14.6% (6) 19.5% (8) 48.8% (20)

Medication Safety 8.2% (4) 6.1% (3) 12.2% (6) 10.2% (5) 63.3% (31)

Vasoactive drips 15.2% (7) 8.7% (4) 26.1% (12) 37.0% (17) 13.0% (6)

Thrombolytics 13.3% (6) 6.7% (3) 20.0% (9) 24.4% (11) 35.6% (16)

Immunosuppressive 11.1% (5) 6.7% (3) 17.8% (8) 35.6% (16) 28.9% (13)

Antineoplastic/Antimetabolites 13.6% (6) 6.8% (3) 20.5% (9) 38.6% (17) 20.5% (9)

Narcotics/Antimetabolites 11.1% (5) 4.4% (2) 13.3% (6) 28.9% (13) 42.2% (19)

Antiretrovirals/Protease Inhibitors 11.1% (5) 8.9% (4) 24.4% (11) 40.0% (18) 15.6% (7)

Tuberculosis Drugs/Resistance 11.1% (5) 8.9% (4) 13.3% (6) 44.4% (20) 22.2% (10)

Equipment: 7.9% (3) 10.5% (4) 13.2% (5) 39.5% (15) 28.9% (11)

PCA pump 8.0% (4) 10.0% (5) 8.0% (4) 22.0% (11) 52.0% (26)

Epidural pump 10.2% (5) 8.2% (4) 14.3% (7) 24.5% (12) 42.9% (21)

Colleagues IV pump 13.0% (6) 10.9% (5) 17.4% (8) 17.4% (8) 41.3% (19)

Feeding pump 6.3% (3) 6.3% (3) 20.8% (10) 14.6% (7) 52.1% (25)

Chest tubes set up and

management10.6% (5) 12.8% (6) 17.0% (8) 27.7% (13) 31.9% (15)

Defibrillator 8.3% (4) 10.4% (5) 14.6% (7) 41.7% (20) 25.0% (12)

Suction 6.3% (3) 6.3% (3) 16.7% (8) 20.8% (10) 50.0% (24)

External warming and cooling

devices6.5% (3) 6.5% (3) 23.9% (11) 43.5% (20) 19.6% (9)


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Wound Vac 8.2% (4) 12.2% (6) 16.3% (8) 28.6% (14) 34.7% (17)

Traction maintenance 11.1% (5) 13.3% (6) 28.9% (13) 33.3% (15) 13.3% (6)

Specialty beds 2.2% (1) 13.0% (6) 23.9% (11) 45.7% (21) 15.2% (7)

Ostomy devices 8.9% (4) 11.1% (5) 17.8% (8) 31.1% (14) 31.1% (14)

Specialty: 16.0% (4) 20.0% (5) 20.0% (5) 36.0% (9) 8.0% (2)

Human Subject

Research/Compliance15.6% (7) 17.8% (8) 20.0% (9) 35.6% (16) 11.1% (5)

Advanced Directives 8.5% (4) 8.5% (4) 12.8% (6) 36.2% (17) 34.0% (16)

Patient Safety 4.3% (2) 6.4% (3) 10.6% (5) 21.3% (10) 57.4% (27)

Total joint replacement 8.5% (4) 10.6% (5) 21.3% (10) 53.2% (25) 6.4% (3)

Solid organ transplant 15.6% (7) 8.9% (4) 33.3% (15) 31.1% (14) 11.1% (5)

Basic oncology treatments 13.6% (6) 9.1% (4) 27.3% (12) 27.3% (12) 22.7% (10)

Chemotherapy administration 22.2% (10) 13.3% (6) 22.2% (10) 20.0% (9) 22.2% (10)

Oncology Emergencies 24.4% (11) 8.9% (4) 33.3% (15) 15.6% (7) 17.8% (8)

Diabetes 6.4% (3) 4.3% (2) 19.1% (9) 27.7% (13) 42.6% (20)

CVA/Brain injury/spinal cord injury 8.5% (4) 14.9% (7) 17.0% (8) 40.4% (19) 19.1% (9)

Ventriculosotomy 17.8% (8) 17.8% (8) 35.6% (16) 20.0% (9) 8.9% (4)

Seizure monitoring 8.5% (4) 12.8% (6) 23.4% (11) 31.9% (15) 23.4% (11)

HIV/AIDS 6.4% (3) 10.6% (5) 17.0% (8) 42.6% (20) 23.4% (11)

Acute MI 6.5% (3) 15.2% (7) 15.2% (7) 32.6% (15) 30.4% (14)

CHF 6.7% (3) 8.9% (4) 13.3% (6) 31.1% (14) 40.0% (18)

Nutrition 6.3% (3) 8.3% (4) 12.5% (6) 33.3% (16) 39.6% (19)

Peripheral Vascular Disease 12.8% (6) 8.5% (4) 14.9% (7) 29.8% (14) 34.0% (16)

Trauma Care 8.7% (4) 4.3% (2) 26.1% (12) 39.1% (18) 21.7% (10)

Ventilation Therapies 15.6% (7) 22.2% (10) 24.4% (11) 22.2% (10) 15.6% (7)

Blood and blood component

administration12.8% (6) 6.4% (3) 14.9% (7) 21.3% (10) 44.7% (21)


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Care and management of surgical

wounds8.5% (4) 8.5% (4) 14.9% (7) 21.3% (10) 46.8% (22)

Care and management of pressure

ulcers4.4% (2) 8.9% (4) 8.9% (4) 26.7% (12) 51.1% (23)

Care of the dying patient 4.3% (2) 8.5% (4) 12.8% (6) 23.4% (11) 51.1% (24)

Organ donation 13.0% (6) 23.9% (11) 23.9% (11) 23.9% (11) 15.2% (7)

Care of the patient with a history of

substance abuse6.4% (3) 10.6% (5) 23.4% (11) 38.3% (18) 21.3% (10)

Care of teh patient with a history of

mental illness/depression8.9% (4) 11.1% (5) 22.2% (10) 33.3% (15) 24.4% (11)

IV therapy and care of central lines 12.8% (6) 8.5% (4) 10.6% (5) 12.8% (6) 55.3% (26)

Calculating doses, flow rates and

administration of continuous

intravenous infusions

15.6% (7) 6.7% (3) 8.9% (4) 26.7% (12) 42.2% (19)

Complementary Care 7.0% (3) 18.6% (8) 20.9% (9) 37.2% (16) 16.3% (7)

Geriatrics 8.3% (4) 4.2% (2) 22.9% (11) 22.9% (11) 41.7% (20)

Grief Management 11.1% (5) 6.7% (3) 15.6% (7) 40.0% (18) 26.7% (12)

Infectious disease/communicable

diseases4.3% (2) 8.5% (4) 19.1% (9) 29.8% (14) 38.3% (18)

Mock codes 9.1% (4) 9.1% (4) 15.9% (7) 45.5% (20) 20.5% (9)

answered question

skipped question

8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in

your unit and affect you job in the past year.

Response

Count

18


skipped question 45


10 of 21

9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have

occurred during the last year in your unit that affect your job.

Response

Count

12


skipped question 51

10. What are the procedures done in your unit that you consider HIGH RISK?

Response

Count

14


skipped question 49

11. What reference books would you like to see on your unit?

Response

Count

17


skipped question 46

12. What materials for patient/family education would you like on your unit?

Response

Count

16


skipped question 47


11 of 21

13. I would recommend the following speaker(s) to lecture on the following topics:

Response

Count

10


skipped question 53


12 of 21

Q1. Identify the area you work on.

1 sppo May 15, 2011 3:55 AM

Q2. I prefer lectures give in:

1 afternoon to pm May 11, 2011 8:46 AM

2 pm May 9, 2011 12:39 PM

3 Only 1 hour sessions please May 9, 2011 9:19 AM

4 1 hour sessions May 9, 2011 9:08 AM

Q3. I would like lectures given by:

1 what ever is appropriate to the subject May 18, 2011 4:32 PM

2 ir doesnt matter, just as long as they're not boring May 11, 2011 1:55 AM

3 persons/specialists suggested by staff. Ask staff topics.i.e. Domestic Violence,Sexual Assault, etc.These things exist in our own staff even if they do not comeforward.

May 9, 2011 12:39 PM

Q5. I would be interested in taking the following certification review courses in the next year:

1 N/A May 13, 2011 1:12 PM

2 leadership seminars May 12, 2011 12:31 AM

3 emergency nursing pediatric course (ENPC), trauma nurse certification course(TNCC), advanced trauma life support (ATLS)

May 10, 2011 2:44 PM

4 PALS/ACLS May 9, 2011 10:03 PM

5 Ceu's classes for certificate nursing assistant May 9, 2011 2:57 PM

6 though I do not want this, don't we have a cert for psych nurses? May 9, 2011 12:39 PM


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Q6. What classes have you taken at UCIMC during the last 12 months?

1 Palliative Care May 10, 2011 10:24 AM

2 wound May 9, 2011 11:04 PM

3 None May 9, 2011 10:03 PM

4 none May 9, 2011 8:58 PM

5 Prevention and Management of Agressive Behavior (PMAB) May 9, 2011 1:10 PM


14 of 21


15 of 21

Q8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect youjob in the past year.

1 n\a May 19, 2011 5:04 PM

2 N/A May 14, 2011 12:44 AM

3 N/A May 14, 2011 12:44 AM

4 Quest May 13, 2011 1:42 PM

5 electric chest tube drainage system q pump May 11, 2011 8:46 AM

6 double checking chemo, separate chemo pumps May 11, 2011 1:55 AM

7 Interpreter Phones, Communication(0 TOLERANCE) May 10, 2011 10:24 AM

8 None May 9, 2011 10:03 PM

9 orthopaedic care May 9, 2011 7:25 PM

10 N/A May 9, 2011 2:57 PM

11 none May 9, 2011 2:22 PM

12 not applicable May 9, 2011 1:10 PM

13 caring for anterior cervical patients from pacu May 9, 2011 12:43 PM

14 Educational topics need to relate to Event Reports as a needs source. May 9, 2011 9:08 AM

15 dressing change May 6, 2011 8:50 PM

16 none May 6, 2011 4:48 PM

17 PICC line care, Chemo medication attachments to prevent spills, NS May 6, 2011 12:59 PM

18 chemotherapy consents May 6, 2011 12:02 PM


16 of 21

Q9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have occurred during the lastyear in your unit that affect your job.

1 n\a May 19, 2011 5:04 PM

2 N/A May 14, 2011 12:44 AM

3 N/A May 14, 2011 12:44 AM

4 equipment for Ortho Patients May 10, 2011 10:24 AM

5 None May 9, 2011 10:03 PM

6 POD scheduling May 9, 2011 7:25 PM

7 N/A May 9, 2011 2:57 PM

8 none May 9, 2011 2:22 PM


10 dressing change May 6, 2011 8:50 PM

11 none May 6, 2011 4:48 PM

12 chemotherapy consent May 6, 2011 12:02 PM


17 of 21

Q10. What are the procedures done in your unit that you consider HIGH RISK?

1 n/a May 23, 2011 9:11 AM

2 chemotherapy May 17, 2011 9:07 AM

3 N/A May 14, 2011 12:44 AM

4 N/A May 14, 2011 12:44 AM

5 Chemotherapy May 13, 2011 1:42 PM

6 pain control, seq. stock., reposition, potty, red socks, fall sign, inc. spirometer.and equipment for motion

May 10, 2011 10:24 AM

7 None May 9, 2011 10:03 PM

8 medication administration May 9, 2011 7:25 PM

9 N/A May 9, 2011 2:57 PM

10 none May 9, 2011 2:22 PM


12 care of anterior cervical patients May 9, 2011 12:43 PM

13 chemo administration, anticoagulation therapy, May 6, 2011 9:01 PM

14 Blood transfusions, chemo admin, medication admin May 6, 2011 12:02 PM


18 of 21


19 of 21

Q11. What reference books would you like to see on your unit?

1 AA BOOK self help book May 23, 2011 9:11 AM

2 ecg & telemetry references May 17, 2011 9:07 AM

3 ORTHO May 14, 2011 12:44 AM

4 A DRUG BOOK PLEASE. MICROMEDIX IS SO COMPLICATED, CANT FINDMEDICATION INDICATION ON THE SPOT, IT TAKES TIME TO LOOK.:(

May 14, 2011 12:44 AM

5 use of pca and epidural pumps step by step resourse May 11, 2011 8:46 AM

6 chemo books/ tele books May 11, 2011 1:55 AM

7 Spiritual, Health,Living Well,Depression, Power Food. May 10, 2011 10:24 AM

8 cardiac monitoring May 10, 2011 4:13 AM

9 Education books May 9, 2011 10:03 PM

10 none May 9, 2011 2:22 PM

11 I'm just a SHA, not really sure May 9, 2011 1:10 PM

12 ortho nursing May 9, 2011 12:43 PM

13 policies and procedures. Finding policies online is not user friendly or easy. May 9, 2011 12:39 PM

14 those specific to the specialy May 6, 2011 9:01 PM

15 procedure guide book May 6, 2011 8:50 PM

16 Nutrition May 6, 2011 12:59 PM

17 Oncology and Cardiac May 6, 2011 12:02 PM


20 of 21

Q12. What materials for patient/family education would you like on your unit?

1 mental illness/ depression / substance abuse May 23, 2011 9:11 AM

2 joints/hip/back surgery care May 17, 2011 9:28 PM

3 outside resources/support groups for cancer pts May 17, 2011 9:07 AM

4 HIV/ SEZURE / JOINT REPLACEMENT May 14, 2011 12:44 AM

5 ALL EDUCATIONAL MATERIALS APPLICABLE FOR PT. AND FAMILY May 14, 2011 12:44 AM

6 chemo education materials May 11, 2011 1:55 AM

7 Small Brochures for specific problems on back, unkle,knee ect. May 10, 2011 10:24 AM

8 Micro Medic May 10, 2011 1:37 AM

9 Hand outs May 9, 2011 10:03 PM

10 post op care of the surgical patient, pain management options May 9, 2011 7:25 PM

11 none May 9, 2011 2:22 PM


13 Power of Attorney, Telephone # for Notary May 9, 2011 12:39 PM

14 death and grieving, pain management, heart failure access, oncological specificteaching material

May 6, 2011 9:01 PM

15 Nutrition May 6, 2011 12:59 PM

16 pt info from NIH, ACS, etc for Onc and Cardiac patients May 6, 2011 12:02 PM


21 of 21

Q13. I would recommend the following speaker(s) to lecture on the following topics:

1 N/A May 23, 2011 9:11 AM

2 n/a May 14, 2011 12:44 AM

3 THE LECTURES I HAD TAKEN ABOUT THE ANA CODE OF ETHICS ISEXCELLENT. I THINK EVERYONE SHOULD BE KNOWLEDGEABLE ON THISONE, AND CONSIDER THAT THE SHA'S HAS TO ALSO ATTEND THISCLASS.

May 14, 2011 12:44 AM

4 . . May 10, 2011 10:24 AM

5 Khaled Al Eid - Electrolyte/lab interpretation. May 10, 2011 1:37 AM

6 None May 9, 2011 10:03 PM

7 Dr. Bhatia-spine, Dr. Rafijah-hands, Dr. Zamarano-ortho trauma, Kathleen Hall-pain

May 9, 2011 7:25 PM

8 none May 9, 2011 2:22 PM

9 How to get a job as a new graduate RN May 9, 2011 1:10 PM

10 Malinda Wheeler, Forensic Nurse Specialists: Domestic Violence, Strangulation,Sexual Assault

May 9, 2011 12:39 PM


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