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Educational nightmare



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Nov 04, 2009 12:48 PM

Educational nightmare




No. 102 from shadow1100
Registered User
Age: 56

Join Date: Nov 2009
Posts: 1 Today, 06:40 PM

Educational nightmare
I am a Clinical Educator in a small community hospital. The nurse managers on the units wish for me to have a Nursing Skills day each year. I am finding it very difficult to comply with this request as there is nothing that I can think of that is similiar to each of the nursing units here at the hospital. Each unit tell me they have a "skills Day" for their staff but they still would like to have a Nursing Skills day for the hospital. I continually try to tell them that a unit specific skills day is adequate for verifying competency for each particular unit. Does anyone have any idea on how I could drive this point home with the nursing managers? If there is anyone that does do a hospital wide nursing skills day what competencies are being verified that each unit does? Items such as fire safety, HIPPA, information security, and medication error reporting are covered by a safety fair we have yearly and by a computerized annual training program.
Help please!

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10 Comments
No. 1
from c0ntagion
Old Nov 04, 2009, 12:51 PM

Default Re: Educational nightmare
We do have hospital wide competencies over HIPAA, PPE, med records, etc... these are online. We also have unit-specific modules.
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No. 2
from DaFreak71
Old Nov 04, 2009, 02:37 PM

Default Re: Educational nightmare
How about a presentation about interpersonal skills? It could be patient focused (how to deal with frustrating patients, handling grief, dealing with treatment resistant patients, etc) or it could be focused on the nurses interpersonal skills with each other in an effort to minimize drama/conflict.
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No. 3
from Moogie
Old Nov 04, 2009, 02:46 PM

Default Re: Educational nightmare
What kinds of things do the nurse managers wish you to go over at the skills fair?

Also, it might not be bad for staff to review skills needed in other nursing specialties in case they have to float.

Why not ask the NMs to choose a staff member with particular expertise in a certain skill to demonstrate those skills for the others? That would recognize clinical expertise as well as relieve you of having to demonstrate all the skills by yourself.

I don't think this sounds like a nightmare; I think it could be a lot of fun.
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No. 4
from Altra
Old Nov 04, 2009, 02:51 PM

Default Re: Educational nightmare
A couple of things come to my mind.

1. Can you simply ask the unit managers what they would like to see covered?

2. Are they looking to centralize these skills days? Many skills do apply to more than one unit. These are somewhat labor-intensive to plan and execute. Perhaps they are not comfortable with whoever is currently putting together the skills days - either it's too big a drain on regular staffing (although that would be unfortunate) or perhaps they are uncomfortable with the knowledge base of those putting together the skills days. (also unfortunate)

It sounds like there needs to be some clear communication so that you better understand what their goals are.
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No. 5
from SpringerCab
Old Nov 04, 2009, 02:53 PM

Default Re: Educational nightmare
We used to have a hospital skills day but got so it took too long that now it is divisional related. Some of the things we did were check off on PCA pumps, IV pumps, and what the process was to get blood from blood bank and how to check the armband. We involved every unit and so there were so many different equipments and skills for every unit it just got to be too much.
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No. 6
from mnono009
Old Nov 04, 2009, 03:18 PM

Default Re: Educational nightmare
Hospital wide skills days include: restraint use and charting, glucometer use, PPE, time outs (we do at bedside for cental line, PICC placement), conscious sedation (slightly different focus for m/s v critical care skills), use of lift devices, PCA set-up. Unit based skills competencies may include things like the cryocuff and CPM for ortho; trach care, NGT insertion for med/surg; external pacers, vent settings and troubleshooting for critical care. P+Ps for each skill are posted on the units a couple of weeks before the skills day. If a participant does poorly, 1 on 1 teaching is provided on the spot. "Facilitators" are assigned to each section to check the competency and keep things moving, a few extra people to provide indiviualized assistance if needed.
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No. 7
from OldnurseRN
Old Nov 04, 2009, 05:08 PM

Default Re: Educational nightmare
We have a designated skills day, which is fine and dandy. We have on-going education at each nurses meeting. What I HATE is unannounced "mock codes". Nothing is worse than a team of management showing up with a rescusitation model (not knowing what is happening on the floor) and expecting everyone to stop and do the "code". Granted, codes aren't planned in real life but, this unnecessary interruption is a stress we don't need. If I'm not qualified then I wouldn't have those TNCC, ACLS, and PALS certifications.
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No. 8
from Mulan
Old Nov 04, 2009, 07:44 PM

Default Re: Educational nightmare
We were told that JCAHO no longer accepts skills days or skills fairs.

Is that true or not?
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No. 9
from JoPACURN
Old Nov 04, 2009, 07:55 PM

Default Re: Educational nightmare
Are you talking about competencies?
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