New Graduate RN Building Blocks to Success Adventist Health + Rideout
Brianna White, BSN, RN, CEN, TCRN; Theresa Hyer, MSN, TNS, PHN
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Session A presented Thursday, September 27, 10:00-11:00 am Purpose: New graduate registered nurses (RN) are a costly asset for a hospital, especially in the emergency department (ED). They require a long orientation period and have higher than "normal" expectations placed on their performance in the ED. The objective of this project is to give new graduate ED RNs the knowledge and skills to safely take care of any emergency department patient presentation and improve new graduate nurse’s retention rates. Design: The new graduate ED RN building blocks and mentoring program is an evidence-based project focused on staff development with the goal of new graduate nurse growth and retention. Setting: Rural, Level III trauma center, STEMI receiving and primary Stroke receiving center, with 74000 patient visits a year. Participants/Subjects: Participants include: All new graduate ED RNs (with <1 year experience as an RN) hired to our emergency department, all emergency department preceptors, the emergency department educator, all clinical coordinators, and all of the members of the ED management team. Methods: The success of the new grad ED RN building blocks really begins with pairing the new grad with a preceptor whom they can learn and grow from. Constant communication in the form of email and text occur between the educator and the new grad and the educator and the preceptor. The preceptor acts as a mentor to the new grad as they have the same schedule for at least a month. New grads are given a “New Grad Binder” explaining all the nuances of the department as well as information regarding body systems, assessment tips, setting up invasive hemodynamic monitoring and explanations of targeted endpoints. The new grad has this binder on them at all times and marks competencies complete as their preceptor evaluates their progress on orientation. New grad ED RNs are enrolled in the building block lecture series, this series is based on ENA material and each class builds on the next body system. New grads are able to bring in experiences they have witnessed while in the ED and ask questions in a safe environment. Case scenario, lecture, and kinesthetic labs are used in the building block classes. Clinical coordinators and the ED management team meet with the preceptors and new grads separately to obtain feedback and address any concerns starting in their fourth week of orientation. Results/Outcomes: In 2015/2016 our new graduate ED RN retention rate was 40%. 2017 was the first year of the ED RN building blocks for new graduates with a current retention rate of 100%. The feedback from the program has been positive with the new graduate nurses stating they feel like they are being groomed in to solid ED nurses. Implications: The building blocks and mentoring program creates a strong foundation for the emergency department nurse. By developing a solid process for staff development and growth it creates a direct impact on staff retention and satisfaction.
Emergency Nursing 2018. Held at David L. Lawrence Convention Center, Pittsburgh, Pennsylvania, USA
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|Review Type||Abstract Review Only: Reviewed by Event Host|
|Keywords||New Graduate Nurse;
|Name||Emergency Nursing 2018|
|Host||Emergency Nurses Association|
|Location||Pittsburgh, Pennsylvania, USA|
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