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SLCH NICU: VOYAGE ORIENTATION MODEL. Improving the orientation experience for new nurses and preceptors.
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Describe the Voyage Orientation Model as it applies to New Graduate Nurses and Experienced Nurses Explore the tenets of Voyage and how it applies to the clinical setting, improving clinical judgment, time management, culture, and retention Analyze the preceptor’s role and responsibility related to orientation.
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CURRENT STATE. NICU Clinical Education| 2024. Orientation experience varies due to subjectivity Incremental Productivity Model Disjointed orientation experience for the preceptor and orienting nurse Preceptor style varies among individuals There is not an objective, quantitative way of ensuring orientees are progressing in their orientation.
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NICU Clinical Education| 2024. DESIRED STATE. 3. Have an objective manner of measuring the orientee’s abilities to ensure competency in multiple domains, streamline the orientation process, and improve the experience for all stakeholders..
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BACKGROUND. Improved retention within the first year.
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BACKGROUND. 5. Tier 1: Assessment and Documentation Assessment, vital signs, environmental scanning, documentation.
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PRIMARY TENETS OF VOYAGE. NICU Clinical Education| 2024.
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NICU Clinical Education| 2024. 7. KNOWLEDGE CHECK.
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NICU Clinical Education| 2024. 8. KNOWLEDGE CHECK.
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PRIMARY TENETS OF VOYAGE. NICU Clinical Education| 2024.
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TIER 1: ASSESSMENT AND DOCUMENTATION. Assessment/Reassessment.
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TIER 2: MEDICATION, COMMUNICATION, AND TEAMWORK. Medication administration.
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TIER 3: QUALITY AND SAFETY. 12. Sterile Procedures.
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TIER 4: CONTINUUM OF CARE. 13. Patient admission process.
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14. ASSESSMENT OF CRITICAL BEHAVIORS. Orienting Nurse and Precepting Nurse complete the electronic survey to assess critical behaviors after the third shift of the week..
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EXAMPLE: ORIENTEE CRITICAL BEHAVIOR FOR TIER 1. The orientee completes patient assessments and interprets findings appropriately I do not have this skill I can do this skill only with direct supervision I can do this skill with some support I can do this skill independently I can teach this skill to peers The orientee needs to score a 4 or 5 to move to the next tier.
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EXAMPLES OF CRITICAL BEHAVIORS. Tier 1 The orientee completes patient assessments and interprets findings appropriately The orientee documents accurately in a timely manner The orientee obtains accurate vital signs and identifies age-appropriate parameters The orientee completes 360 in 60 during bedside shift report The orientee completes oral and enteral feedings safely.
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EXAMPLES OF CRITICAL BEHAVIORS. Tier 3 The orientee identifies and uses appropriate resources (i.e., standard work documents, PolicyTech, etc.) when completing complex care (standard work documents) The orientee demonstrates sterile technique when performing a NAD change The orientee draws lab specimens from central lines safely The orientee prevents harm from hospital-acquired infections by using hand hygiene, PPE, and scrubbing the hub The orientee effectively manages an artificial airway.
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PRECEPTOR AND ORIENTEE RESPONSIBILITIES. NICU Clinical Education| 2024.
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KEY TAKEAWAYS - VOYAGE. NICU Clinical Education| 2024.
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THANK YOU. NICU Clinical Education| 2024.