3/23/2020 Nursing Education and Professional Development:

Revised: 3/30/20

Surge Orientation Support (S.O.S.)Redeployment of Staff

Questions during WebinarYou will be automatically muted during this webinar.

Please send questions through the chat feature and will be answered after each section and at the end!

UpToDate Information..AVAILABLE ONLINE: COVID INFORMATION CENTER

COVID-19 Toolkit ->Nursing Resources

Advocate Aurora Health

Objectives:

• Recommendation of Deployed Roles

• Process Overview

• Review of SOS Onboarding Tools

• Team member/Unit Adjunct Support Documents

• Additional support and resources

Recommendation of Deployed Roles

Roles• Sitter

• Nursing Assistant/Sitter

• COVID Screener/tester

• Admit/Discharge RN

• Bedside Clinician

Nursing Assistant/SitterRationale:

• Increased shortage of Nursing Assistants and Sitters place additional stress on staffing

• Nurse can transition expeditiously into this role with minimal orientation

• Provides enhanced relief to primary RN through the ability to perform additional care with patient based on needs and skill level

Training Commitment:

Sitter: Minimum

NA: Minimum (experience depend.)

Requirements:

• CNA (not required)

• RN (not required)

• BLS (not required)

• Tech

• Infection Prevention knowledge

RN-COVID-19 Screener/Tester

Rationale:

• Requires minimal training for RN

• Augments response to increased demand without internally needing to deploy current clinical staff actively working in the acute care setting

• Does not require knowledge of site increasing ability to move between sites based on demand

• Requires minimal to no knowledge of EHR

Training Commitment: Minimum

Minimum Requirements:

RN license in applicable state-dependent on role

BLS (not required)

Admission/Discharge NurseRationale:

• Admit/Discharge Process time consuming for primary nurse

• Relieves the primary RN to attend to competing priorities

• Able to move from unit to unit providing relief to multiple areas

• Does not require up to date clinical skills needed to function as a bedside RN

Training Commitment: Minimum->Moderate

Minimum Requirements:

• RN license in designated state

• BLS (not required)

• EHR access/proficiency in admit/discharge process

• Infection Prevention knowledge

Bedside ClinicianRationale:

Provides the most robust relief of the bedside RN and nursing team

May consider to deploy as:

• Break relief RN

• Transport RN

• Primary RN

• Medication RN

• Alert Nurse/Rapid Response Nurse (requires additional competencies)

Training Commitment: Maximum

Minimum Requirement:

• RN license

• BLS (not required)

• EHR access and proficiency in documentation or complete training prior to deployment

• Orientation to unit of deployment minimum of one shift shadow but team member and unit independent

Questions on Roles?

Process Overview

Leader

Leader Process• Leader of furloughed team member:

✓ Meet with team member to discuss and decide on role

✓ Validate team member has minimum requirements for role

✓ Print out checklist for designated role and give to team member

• Leader/Educator of Unit receiving deployed team member:

✓ Validate that team member has minimum requirements for role

✓ Validate that team member has correct checklist

✓ Assign preceptor to team member

✓ Validate that checklist is successfully completed before team member works independently

✓ Validate that Unit leader, team member, and preceptor have signed checklist validating that team member is ready for safe independent practice.

Located on Page 2 of Checklist

Leader/Unit Educator Expectations Date Completed and Initials

Assign preceptor

Ensure oriented to environment (including codes/access to locked rooms)

Validate that team member has minimum prerequisites for role

Review checklist/add additional skills on allotted page

Review additional unit specific skills required

If team member is not able to verbalize skill, e-mail ASC-Surge-staff@aah.org to notify NEPD specialist to assign GROW/CBT modules and access accordingly (provide team member’s full name, email address and area of needed support)

Have team member complete POC training as applicable

What if the team member needs additional educational support? • Contact NEPD through ASC-Surge-staff@aah.org to notify of

areas of supportive education (ie blood transfusions, restraints).

• Content will be assigned to team member through a Computer Based Learning Platform

• Team member will be contacted and provided instructions on how to access learning material through NEPD.

• Team member should not work independently until learning completed and can be marked as reviewed on checklist.

• If team member does not require this skill for unit circle NA with expectation that this skill should not be performed independently during deployment

Contacting NEPD for Education Support

Email shared mailbox to ASC-Surge-staff@aah.org

Include following information:

• Team members full name

• Team members full email address

• Areas of needed support: ie blood transfusion, restraints, stroke..

• AAH site

• Confirmation email sent to team member with leader cc’d on communication regarding modules

• Use site/system Nursing Education Specialist at site as additional resource.

Questions Regarding Leader Process ?

Team Member

Deployed Team Member Process

• Meet with Current leader to discuss opportunity to redeploy to new role

• Bring checklist for designated role to new leader

• Review skills on checklist with leader/educator/preceptor

• If deemed additional education needed->complete education as assigned and initial checklist when confident with skill prior to working independently.

• Escalate concerns to leadership on deployed unit related to role assignment

Located on Page 2 of ChecklistTeam Member Expectations Date Completed and Initials

Present minimum requirements

Bring orientation checklist to unit

Verbalize understanding of role being deployed to

Complete designated portion of checklist

If team member is not able to verbalize skill, e-mail ASC-Surge-staff@aah.org to notify NEPD specialist to assign GROW/CBT modules and access accordingly (provide team member’s full name, email address and area of needed support)

Complete POC training as applicable

Questions Regarding Team Member Process?

Review of S.O.S. Onboarding Tools

Role

Minimum Shadow Experience

Use current process at

site for access

permissions

Page 2 of Every Checklist

S.O.S. Shared Email

ASC-Surge-staff@aah.org

Team Member/Unit Adjunct Support Documents

Charge Nurse Expectations• Greet team member at beginning of shift

• Provide team member with important unit specific details including location of supplies and codes to enter rooms….

• Provide team member with important resource phone numbers for unit; charge nurse phone, educator, unit leader(s)

• Round on team member during shift to provide support

• Assign the team member a “buddy” or resource working close by in addition to yourself

Additional Resources & Support

EHR-Expedited Access Illinois and Wisconsin

• Use expedited Excel forms provided in S.O.S. packet for Cerner and Epic

• Only applies to current team members

• Include team member to model access needs

• Include access needed (ie MEdSurgICU for admit/discharge, bedside RN)

• Send to Reneisha.jenkins@aah.org

Epic - WI Team Member Epic- IL Team Member Cerner

Learning ConnectionATMS/SharePoint https://advocatehealth.sharepoint.com/sites/EpicTrainingVideos/SitePages/Nursing%20-%20ClinDoc.aspx

ATMS

Role

Admit/Discharge RN Epic “Overview of the Brain” (5058601INP084): Epic Documenting in “Flowsheets” (5058601INP061): Epic Manage LDAs Using the LDA “Avatar” (5058601INP085)Epic “Validating Monitor” Data (5058601INP163): “Care Planning” at Aurora Health Care Part 1 (5058601CAREPLAN1)“Care Planning” at Aurora Health Care Part (5058601CAREPLAN2)Epic Document “Patient Education” (5058601INP074): Epic “Administering Medications” on the MAR (5058601INP062)Epic “Advanced Medication” Administration on the MAR (5058601INP162)

Watch the the below segments from the Nurse 200 and 300 eLearning:Nurse 200 - 4 (Admission)Nurse 200 - 5 (Admission cont.)Nurse 300 - 8 (Discharge)Nurse 300 - 9 (Discharge cont.)

Admission form workflow ATMS 136002 Complete admission form ATMS 136010 OPE workflow introduction ATMS 473004 Document allergies ATMS 136003 Document Patient Med History ATMS 136011 Complete med rec for nurses ATMS 136012 Discharge a patient ATMS136007

Bedside Med/surg RN

Nurse 100 - ATMS 851629Nurse 200 eLearningNurse 300 eLearningIV pump eLearning

Navigate Carecompass ATMS 136009 Use Caremobile ATMS 136006 Use iView ATMS 136013 Document in iView part 1 ATMS 136014 Document in iView part 2 ATMS 136015 Use the MAR ATMS 136005 Place Orders ATMS 136004 Enter Advanced Orders ATMS 136016 OPE document optimization ATMS 473005 Documenting using powerforms/tasklist ATMS 136001

Bedside ICU nurse Same as Med/Surg RN Same as Med/Surg RN

Nursing assistant PCT eLearning Use iview ATMS 136013 Document in iview part 1 ATMS 136014 Documenting in iView part 2 ATMS 136015

POC Access/Training

• Instructions included in Packet sent

• Includes testing materials

• Contact list for each site also included

NEPD Site Resources

Wisconsin Site Educators

Illinois Site Educators

Next Steps • S.O.S packet distributed

• Shared email to be utilized for team members needing additional educational support and assigning of Computer based learning content at ASC-Surge-staff@aah.org

• Contact Brenda.deane@advocatehealth.com for any further questions

• FAQ to be sent out after Webinar sessions completed

Questions?