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jehaley

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  1. Hi! I am working on a project to increase nurse presents at interdisciplinary bedside rounds. Currently the team (Resident, attending physician, pharmacist, and fellow) round on patients in the morning (between 9am - 12pm). Depending on the fellow/resident, they call the nurse right before they go into the room to do bedside rounds. Our nurses would really love to be present for these rounds, but a lot of times they are either not called or are called last minute and unable to attend. We are hoping by increasing their presents at rounds it will also improve collaboration and communication between the medicine and nursing teams. Does anyone work at a hospital that has high rates of nurses being present at these bedside rounds? What tools did you use to increase nurse presents? Has anyone done a project similar to this? Thank you in advance for all of your help and input!
  2. Hi! I am working on a master's project and looking into the role of CNLs at hospitals across the country. I work on an oncology unit, so anything specific to that would be helpful too. Here is some information I am trying to gather for those of you who work or have worked at hospitals that hire CNLs (in designated CNL roles): Implementation process (Budget, Business plan, etc) Orientation process Measurements used to demonstrate the benefits of the CNL role (quality, safety, patient satisfaction, etc both currently and prior to implementation) Job description and responsibilities for the CNLs (inpatient and outpatient if applicable) Pay (hourly vs salary, how does this compare to the CNEs/floor nurses) Schedule (How many hours do they work? Are nights and weekends covered? Do they staff the unit when necessary?) Number of CNL positions (Inpatient vs outpatient/how many per unit Do you have nurse educators for each unit? Or are the nurse educators more focused on hospital wide orientation/policy? If you don't have them per unit, how many do you have? Do you have the clinical ladder at (CNII, CNIII, CNIV)? Does the CNL participate in rounding (bedside rounding)? If so, what is their role? Currently on my unit we have a nurse to patient ration of 1:3-4 with a charge nurse and a resource nurse available for the 53 bed unit. The resource nurse provides a helping hand when busy or answers nurses questions. Do you have a role similar to the resource nurse or is that filled by the CNL? Thank you in advance for your help!

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