Published Apr 19, 2019
mom25msRN
1 Post
I have been asked by my employer as a new clinical educator to come up with a training/orientation schedule for a new hire nurse with previous dialysis experience. We currently have a amazing new tech and nurse without experience training program. Our issue is feedback on this program from staff with experience is that it is too basic and waste of time and money for them to sit through the class time with non experienced staff. Does anyone have suggestions for developing a experienced dialysis nurse program. I know different states do different things. I am thinking of creating an skills check list for sure of the skills we do and expanding from there?
10GaugeNeedles, BSN
334 Posts
Interesting opportunity. I don’t play a clinical educator on TV but, here’s some ideas. I would suggest approaching this with the idea that you aren’t teaching an experienced nurse how dialysis works but, you are teaching them company policy. Everyone has different levels of experience. But they need to know how your company “does it.” I would start with a skills fair from top to bottom focusing on making sure everyone knows your company’s policies of how to string machines, access and tape, which ppe when, etc. develop your skills checklist, cover each check in a one day skills fair, then do an orientation period. I guess the main point is that, while they might know how to do it, they might not know how YOU do it. I’d also develop a study guide with a test that they take at the end of orientation. One day skills fair, issue the study guide (can cover anything including tx modalities, physiology, order sets, meds, complications, all the basics that they should know so that they can demonstrate competence on their own time rather than sitting through a class), one week or so of orientation so they can demonstrate competence and awareness of policy, and then take the test and they’re done. Wuddyathink?
nossawja, BSN, RN
25 Posts
When I was a clinical educator, we had a "fast track" for experienced nurses and technicians. They went to certain core classes that were basically review, they had to demonstrate skills in cannulation and machine set up, then they would take the final exam. They had one shot, and if they didn't pass the final exam, they had to begin from the beginning of the course. They were still hooked up with a preceptor for the first few weeks, but we could have experienced staff on the floor and working independently in a month.
Zeek, LPN
48 Posts
I basically have them do a competency test at the beginning to identify areas of weakness which we then do training on. Everyone gets a skills checklist yearly. Experienced staff are with a preceptor and I spend time with them going over P & P's and showing them how we do things etc. The Bio-med techs take them into the water area and complete a skills checklist there as well. I usually allow no more than a month for orientation - usually 2 weeks is the norm unless they've been out awhile. I do the same thing with travel nurses and techs but maybe faster.
AnkitSharma52
4 Posts
One my doubt what differences bachleors in dailysis therapy what will be jobs in abroad country like dailysis techinan or dailysis nurse because both are same doing bachleors degrees from field i request you to tell me answer this doubt