Page 13 - The Rounds - 2018 V1
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North Shore University Hospital   clinical rotations through other in-patient units   •  The orientation is standardized but tailored to
         managed by the team such as Palliative Care,               the needs of the individual.
 Department of Medicine –   RCU, Hematology, etc.               Great improvement has been achieved in retention



 Advanced Care Provider Orientation –   •  Prior to completing the clinical rotations the   scores:
         orientees attend 4 days of didactic sessions.
         Various topics are covered such as work-up and         •  ACP Retention has bounded from 70% in 2014 to
 “Laying the Foundation”  management of the Cardiac patient, Pulmonary,   81% in 2015 and most recently 92.4% YTD 2017
         Neurology/Stroke, Diabetes Management, CHF,
         Palliative Care, electrolyte imbalances, diagnostic    Other benefi ts of the program include employee
         test interpretation, etc. These sessions are taught    engagement, empowerment, improved satisfaction
         by ACP experts and physicians.                         and enhanced patient care.


     •  Throughout the orientation there are regular
         meetings between the orientee, preceptor and
         supervisor; as well as senior leadership updates
         with the Director.








                                           Current


                                           Hospital Operations
                                           Administrator,
 Nurses at North Shore University Hospital (NSUH)   also great focus on being a mentor and how to build   2015  Syosset Hospital
 are made for advancing the nursing practice. They   up the new employee while providing constructive
 have developed a standardized, comprehensive and   feedback, with the ultimate goal of a successful   Director, Site Information
 well-structured on-boarding process to help newly   transition to independent provider.  Services, Cohen Children’s
         Medical Center
 graduated NPs and PAs transition into their new role
 on the Medicine service.   This is the fi nal process that was created:  2011

                                               Manager, Clinical
 Early on, the team was queried regarding how to   •  The applicants are selected via a Peer Interview   Transformation Program,
 improve onboarding and retention. The greatest   Committee utilizing a standardized practice of   2013  Plainview Hospital
 emphasis was on new employee selection and the   behavioral questions as well as clinical questions.
 orientation process. In particular, new employees   A Likert scale is completed and the team   Director, Site Information   Jennifer Busch, RN, MSN
 felt unprepared to practice independently, even after   discusses and agrees upon off er.  Services, Plainview and
               Syosset Hospitals
 completing orientation. NSUH nurses divided into
 three teams – one for interviewing, one focusing   •  The employee is then credentialed and attends
 on education and the third on clinical rotations.   system and site orientation.
 Senior leadership mentored the team regarding   2001  2005
 interviewing practices. The clinical rotation team   •  The ACP then arrives for departmental   Registered Nurse, SICU,   Assistant Director
 collaborated with CLI and they selected individuals   orientation where they focus on Telemetry/  North Shore   of Nursing,
 who attended a class on how to precept. There was   Medicine patients with one preceptor but also do   University Hospital   Plainview Hospitall


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