I have been totally MIA for a while. I've been doing my MSN for Nurse Education. I am about to start my next (and final) class that includes creating a EBP proposal.
From reading the syllabus, it appears that I just have to create this proposal, not implement it. However I would like to be able to use something that I can then take to my unit as a proposal to implement a positive change. I currently have two ideas, i would like to pick your brains if you will, and if you have any other suggestions that are going on in your unit or have gone on in your unit I would greatly appreciate it.
1. Head neutral positioning for preventing IVH: this has come up for me because of two little ones I have been caring for for some time. One is my primary. They both have severe IVH one more than the other and I noticed that there really isn't any practice/protocol for head neutral position in the unit. Many of our micros and preemies have head bleeds of some sort.
2. Extended continual education/rare skills/skill & comprehension for novice nurses: this has come up because since I have been at this unit for just about 2 years we have gotten over a dozen new/novice nurses. Some did not last through orientation, some did not last much past the end of their orientation, some are still struggling. Some (at least half a dozen) have come to me to vent about how they feel thrown to the wolves, or are struggling in one form or another with a variety of things. I would like to implement some kind of continuing workshops available for new/novice nurses for 6 months to a year after they are finished with orientation to revisit skills/practice/concepts to help them feel more confident/comfortable/safe in providing excellent care for these precious patients. It wold include flame free round table meetings where the new nurses can bring forth questions or concepts that they are struggling with. These round table meetings would address areas that need improvement and additional education.
I HAVE discussed both of these ideas with a few of my peers and they like both of the ideas. But I also want to know what else is going on out there in other units.
Thanks in advance for your thoughts and ideas.