Integrating an ED Nurse Residency Orientation Model with NPD Principles
Christine Foote-Lucero, BSN, RN, CEN, SANE-A, SANE-P; Amanda Miller, BSN, RN, CEN
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<p>New Graduate Nurses face unique challenges when beginning their career in a specialty care environment such as the ED. ED nursing is a specialized area of practice that “requires expertise in triage and prioritization, resuscitation, intervention and stabilization, discharge training, crisis intervention, and emergency preparedness (Gurney, Bush, Walsh, & Wilson, 2015, p. 1). According to ENA, ED nurses must care for diverse patients of all ages that are suffering from complex and multi-system illnesses, complaints, and injuries (Gurney, Bush, Walsh, & Wilson, 2015). The literature supports a comprehensive approach to ED orientation to assure that nursing staff are competent to provide high quality, safe patient care (Gurney, Bush, Walsh, & Wilson, 2015).</p>
<p>Although the organizational New Graduate Residency Program is beneficial and necessary, it is geared towards the general in-patient nurse. Additional program development was required to incorporate ED-specific education such as triage, prioritization of care and tasks, across-the-room assessments, recognition of worst case scenarios, titration of critical drips, precipitous delivery and other obstetrical complications, behavioral health emergencies, and care of the trauma patient. The purpose of this poster presentation is to review the comprehensive, integrated NGEDNR program that was developed as well as its outcomes to help develop a well-rounded, clinically prepared nurse at Benner’s Advanced Beginner level (Benner, 1984).</p>
<p>Implications for practice are undetermined at this time. Collection of data is still in process and will be reported at the completion of the project in February of 2017.</p>
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nursing residency programs
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