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WRMC Medical/Surgical Nurse Residency program is an all inclusive program designed to:
- Meet the immediate needs of initial orientation and integration into the Medical/Surgical patient care team through the Basic Nursing Orientation and Clinical Orientation aspects.
- To develop a tailored orientation process based on standardized content for Med/Surg nurses.
- Refine the Clinical Orientation to focus on the work flow process and hospital policies of the major aspects of Med/Surg Nursing at WRMC as the preceptor and resident are supported with appropriate resources.
- Provide the opportunity for career development throughout the first two years of experience culminating in successful completion of the PCCN or AMSN exam.
Nurses who have applied and been accepted into the Med/Surg Nurse Residency program will:
- Receive initial introductions to staff and peers
- Receive text book (AMSN) and residency binder
- Sign 2 year contract
- Complete the high level competency exam (to be utilized to tailor content to specific needs)
- If off-cycle, complete Admission/Discharge and Medication Administration training.
- Receive schedule that includes:
- 10 weeks of orientation
- Weekly Monday Meetings
- Weekly Friday Meetings
- Preceptor Meetings
Following orientation an education plan will be designed to achieve the goal of successful PCCN or AMSN certification examination completion within 2 years.
- Following the initial 10 week orientation, the clinical educator, preceptor and unit director will meet with the Resident. This meeting will accomplish the following:
- Identification of remaining opportunities for growth
- Scheduling of continuing education class attendance
- Writing of 2 year and 5 year career goals by resident
- Evaluation of preceptor and program completion
Orientation Classes Include
| Focus Speaker |
Training Topic |
| Admission/History/Discharge |
Admission/history/discharge workflow process, policies, procedures and documentation |
| Medication Admin |
All medication administration routes, documentation, extra dose, over-rides, ad hoc documentation, care mobile, pyxis, tube system |
| Blood Admin |
Blood administration policy & procedures, Mosby's procedures, Cerner documentation, case study |
| Diabetes |
Elements of patient education for diabetes, elements of patient education for heart failure, 2010 patient education elements for IC & OR, documentation of patient education |
| Wounds/Skin |
Assessment of wounds/skin, documentation of wounds/skin, present on admission issues |
| Surgery |
Care of the pre-op patient, pre-op checklist, suspending and resuming medications, care of the post-op patient, assessment - consciousness, wound, infection prevention & education, respiratory therapy and post-op patient care considerations, transfer of care communication |
| Oncology |
Care of the oncology patient and related care issues, chemotherapy lecture |
| Renal |
Care of the renal patient and related care issues, peritoneal dialysis policy and procedure |
| Coding a patient/critical thinking |
Pre-code patient care and T-Rex process, identification of the patient in distress and appropriate interventions: respiratory compromise, hemodynamic compromise. |
| Education plan development |
Identify focus areas and schedule modules, preceptor class, AMSN Med/surg certification |
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