Manelski, M. J., Wagner, S. P., and Norris-Grant, D. M.
I N N O VAT I V E P R O G R A M S Proceedings of the 2013 AWHONN Convention
Keywords plans of care neonatal electronic health record interdisciplinary evidence-based practice
Professional Issues Paper Presentation
need for gestationally based IPOCs (preterm, late preterm, and term newborn). Specialty content that addressed additional neonatal medical conditions and procedures was identified with an emphasis on prevention of nosocomial complications/infections, family-centered care, breastfeeding, and neurodevelopmental promotion. This was challenging, yet it was exciting to hear all of the disciplines speak to their own expertise about providing care for neonates. This team developed the IPOC content using a third-party content vendor of evidence-based IPOC templates and an online blogging technology to seek feedback from clinicians.
Innovative strategies were used to facilitate interdisciplinary use and adoption. Preparatory education and training strategies included online learning modules, lectures, simulation labs, access to practice learning environments, and real-time online information. Post go-live strategies included real-time updates on the organization’s Intranet to communicate system status/problems, daily hot topics, tip sheets, as well as end-user bedside support and chart audits. Implications for Nursing Practice A total of 187 IPOCs were developed over a 24month period of which 18 were neonatal-specific and 24 were neonatal/pediatric-specific.
Beginnings: An Educational Foundation for Perinatal Nurses Patricia D. Woods, BSN, Purpose for the Program RN-BC, RNC-MNN, LCCE, ith the 2006 opening of Winnie Palmer HosCLC, Orlando Health, Orlando, pital for Women and Babies (WPH), a large FL
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Keywords beginnings novice nurses AWHONN Perinatal and Education Program comprehensive program women and newborn
Professional Issues Poster Presentation
tertiary care hospital, an influx of graduate nurses were hired. To provide optimum patient care for this specialty population, it was identified that standardized education was needed.
Proposed Change Information received from hospital administration, clinical managers, and educators served as the basis for the new course, Beginnings, which started in January 2008. The format was developed to provide novice nurses with an allinclusive women and newborn educational experience. Course presentations utilized the 2008 Association of Women’s Health, Obstetric and Newborn Nurses (AWHONN) Perinatal and Education Program (POEP). Implementation, Outcomes, and Evaluation The course began as a 7-day class and soon evolved into a 2-week comprehensive program. Format and presentations blended didactics with
case studies, simulations, and clinical opportunities. Additionally, the focus on student guidance and support was emphasized. Requirements for successful course completion included daily assessments and a post test with a minimum score of 84%. The Beginnings class was recognized as “core” specialty-education in women and newborn care for novice nurses, as well as for all nurses entering all areas of women’s services at WPH. Course evaluations were overwhelmingly positive. After the fact, it was noted that the retention rate was greater than 90% for those that attended the Beginnings course from January 2008 through December 2011. Implications for Nursing Practice Development of the Beginnings class continues to serve as the foundation of nursing knowledge for the graduate nurse by incorporating the Nursing Professional Practice Model and Magnet components, which utilize evidence-based practice, provide standardization, and support nursing practice for optimum patient-first care.
The Pearls and Perils of Cross-Training: A Collaboration of Antepartum and Labor and Delivery Room Nurses Mary J. Manelski, BSN, RNC, Purpose for the Program Christiana Care Health System, cross-training program was designed to inBear, DE
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crease the skill level of antepartum nurses in
Shelli P. Wagner, BSN, RNC, preparation for the increase acuity of patients in Christiana Care Health System, the unit. Cross-training has been used by healthNewark, DE care facilities to support the fluctuating needs of
hospital units. Staff with similar skill sets have been successfully cross-trained with education
JOGNN 2013; Vol. 42, Supplement 1
and clinical support. A cross-training program was implemented in our health system to increase the skill level of the nurses in the antepartum unit. The program was to be a means of strengthening ties with labor and delivery (L&D), while at the same time giving the antepartum nurse an opportunity to experience the L&D process. Linking these units with similar skills made cross-training easier
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