Med Surg RN Needs Assessment 2011

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1 Med Surg RN Needs Assessment 2011 OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf 1. Identify the area you work on. Percent SPPO 55.6% 35 4T & 5T 0.0% 0 3T 1.6% 1 DH % 1 ARU 0.0% 0 DH % 12 DH 76 & % 14 Other (please specify) 1 answered question 63 skipped question 0 1 of 21

2 2. I prefer lectures give in: OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf Percent 2 hour sessions 47.6% 30 4 hour sessions 30.2% 19 8 hour sessions 14.3% 9 other (AM PM) 7.9% 5 Other (please specify) 4 answered question 63 skipped question 0 3. I would like lectures given by: Percent MD's/Residents 58.1% 36 NP's 32.3% 20 CNS/Educators 41.9% 26 Staff from UCIMC 59.7% 37 Staff from outside UCIMC 32.3% 20 Published Speakers 30.6% 19 National recognized speakers 32.3% 20 Other 3.2% 2 Other (please specify) 3 answered question 62 skipped question 1 2 of 21

3 4. I prefer to attend classes on: OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf Percent Monday 34.9% 22 Tuesday 9.5% 6 Wednesday 12.7% 8 Thursday 11.1% 7 Friday 31.7% 20 answered question 63 skipped question 0 3 of 21

4 5. I would be interested in taking the following certification review courses in the next year: Percent CCRN (Critical Care Registered Nurse) 13.2% 7 PCCN (Progressive Care Registered Nurse) 9.4% 5 CMC (Cardiac Medicine Certification) 9.4% 5 CSC (Cardiac Surgery Certification) 5.7% 3 CNRN (Neuro) 13.2% 7 CGRN (Gerontology) 1.9% 1 ONC (orthopedics) 24.5% 13 Certified Rehabilitation 3.8% 2 Certified Oncology Nurse 24.5% 13 Certified Diabetic Educator 17.0% 9 Certified Wound Care Nurse 18.9% 10 Certification in Medical Surgical Nursing (CMSRN) 32.1% 17 Other 15.1% 8 Other (please specify) 6 answered question 53 skipped question 10 4 of 21

5 6. What classes have you taken at UCIMC during the last 12 months? Percent Mandatory classes (PALS, ACLS, BLS etc) 83.3% 45 Biannual Nursing Symposium 14.8% 8 Neuro Update 1.9% 1 Procedural/Equipment Classes (PICC, IV, Central Lines, Ventilator,Chest Tubes, etc) 31.5% 17 Preceptor/Mentor 9.3% 5 Professional Nursing Practice 16.7% 9 Cnlinical Nurse III 0.0% 0 Disease Specific (CABG, Diabetes, etc.) 14.8% 8 Other (please specify) 5 answered question 54 skipped question 9 5 of 21

6 7. The purpose of the annual needs assessment is to determine educational needs for the unit the next year. OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf No knowledge or skills Little knowledge, skills and experience Knowledgeable, but lack skill and experience Knowledgeable, but with little skill and experience Knowledgeable and competent with skills and experience Nurse Practice Act-Scope of Practice 11.8% (6) 7.8% (4) 9.8% (5) 29.4% (15) 41.2% (21) ANA-Code of Ethics 4.1% (2) 14.3% (7) 6.1% (3) 36.7% (18) 38.8% (19) Evidence based practice 6.5% (3) 4.3% (2) 10.9% (5) 45.7% (21) 32.6% (15) Cultural Issues influencing Patient Care 2.0% (1) 14.0% (7) 6.0% (3) 34.0% (17) 44.0% (22) Professional liability 4.0% (2) 10.0% (5) 14.0% (7) 42.0% (21) 30.0% (15) Professional career developement 2.0% (1) 14.3% (7) 12.2% (6) 36.7% (18) 34.7% (17) Current nursing legislature 6.4% (3) 8.5% (4) 25.5% (12) 53.2% (25) 6.4% (3) Ethical issues 2.1% (1) 12.5% (6) 12.5% (6) 41.7% (20) 31.3% (15) Assessment of: 7.7% (2) 7.7% (2) 26.9% (7) 42.3% (11) 15.4% (4) Cardiovascular 6.4% (3) 10.6% (5) 23.4% (11) 17.0% (8) 42.6% (20) Pulmonary 8.3% (4) 8.3% (4) 18.8% (9) 31.3% (15) 33.3% (16) Neurologic 6.3% (3) 14.6% (7) 18.8% (9) 29.2% (14) 31.3% (15) Gastrointestinal 8.2% (4) 10.2% (5) 16.3% (8) 28.6% (14) 36.7% (18) Renal 8.3% (4) 10.4% (5) 20.8% (10) 25.0% (12) 35.4% (17) Hematology 8.5% (4) 12.8% (6) 10.6% (5) 36.2% (17) 31.9% (15) Musculoskeletal 6.4% (3) 10.6% (5) 17.0% (8) 34.0% (16) 31.9% (15) Stages & types of shock 10.6% (5) 4.3% (2) 23.4% (11) 48.9% (23) 12.8% (6) Diagnostic procedures for the cardiovascular system 12.8% (6) 2.1% (1) 27.7% (13) 36.2% (17) 21.3% (10) Basic dysrhthmia interpretation 8.5% (4) 10.6% (5) 23.4% (11) 23.4% (11) 34.0% (16) 6 of 21

7 Advanced dysrhythmia interpretation OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf 13.0% (6) 4.3% (2) 32.6% (15) 34.8% (16) 15.2% (7) Coronary arteriography cardiac cath, percutaneous coronary interventions (PCI) 19.1% (9) 6.4% (3) 40.4% (19) 19.1% (9) 14.9% (7) Hemodynamic 12.5% (6) 12.5% (6) 33.3% (16) 25.0% (12) 16.7% (8) Nutritional support 8.0% (4) 6.0% (3) 20.0% (10) 32.0% (16) 34.0% (17) Pain Management 7.8% (4) 3.9% (2) 15.7% (8) 23.5% (12) 49.0% (25) Medications: 9.8% (4) 7.3% (3) 14.6% (6) 19.5% (8) 48.8% (20) Medication Safety 8.2% (4) 6.1% (3) 12.2% (6) 10.2% (5) 63.3% (31) Vasoactive drips 15.2% (7) 8.7% (4) 26.1% (12) 37.0% (17) 13.0% (6) Thrombolytics 13.3% (6) 6.7% (3) 20.0% (9) 24.4% (11) 35.6% (16) Immunosuppressive 11.1% (5) 6.7% (3) 17.8% (8) 35.6% (16) 28.9% (13) Antineoplastic/Antimetabolites 13.6% (6) 6.8% (3) 20.5% (9) 38.6% (17) 20.5% (9) Narcotics/Antimetabolites 11.1% (5) 4.4% (2) 13.3% (6) 28.9% (13) 42.2% (19) Antiretrovirals/Protease Inhibitors 11.1% (5) 8.9% (4) 24.4% (11) 40.0% (18) 15.6% (7) Tuberculosis Drugs/Resistance 11.1% (5) 8.9% (4) 13.3% (6) 44.4% (20) 22.2% (10) Equipment: 7.9% (3) 10.5% (4) 13.2% (5) 39.5% (15) 28.9% (11) PCA pump 8.0% (4) 10.0% (5) 8.0% (4) 22.0% (11) 52.0% (26) Epidural pump 10.2% (5) 8.2% (4) 14.3% (7) 24.5% (12) 42.9% (21) Colleagues IV pump 13.0% (6) 10.9% (5) 17.4% (8) 17.4% (8) 41.3% (19) Feeding pump 6.3% (3) 6.3% (3) 20.8% (10) 14.6% (7) 52.1% (25) Chest tubes set up and management 10.6% (5) 12.8% (6) 17.0% (8) 27.7% (13) 31.9% (15) Defibrillator 8.3% (4) 10.4% (5) 14.6% (7) 41.7% (20) 25.0% (12) Suction 6.3% (3) 6.3% (3) 16.7% (8) 20.8% (10) 50.0% (24) External warming and cooling devices 6.5% (3) 6.5% (3) 23.9% (11) 43.5% (20) 19.6% (9) 7 of 21

8 Wound Vac 8.2% (4) 12.2% (6) 16.3% (8) 28.6% (14) 34.7% (17) Traction maintenance 11.1% (5) 13.3% (6) 28.9% (13) 33.3% (15) 13.3% (6) Specialty beds 2.2% (1) 13.0% (6) 23.9% (11) 45.7% (21) 15.2% (7) Ostomy devices 8.9% (4) 11.1% (5) 17.8% (8) 31.1% (14) 31.1% (14) Specialty: 16.0% (4) 20.0% (5) 20.0% (5) 36.0% (9) 8.0% (2) Human Subject Research/Compliance 15.6% (7) 17.8% (8) 20.0% (9) 35.6% (16) 11.1% (5) Advanced Directives 8.5% (4) 8.5% (4) 12.8% (6) 36.2% (17) 34.0% (16) Patient Safety 4.3% (2) 6.4% (3) 10.6% (5) 21.3% (10) 57.4% (27) Total joint replacement 8.5% (4) 10.6% (5) 21.3% (10) 53.2% (25) 6.4% (3) Solid organ transplant 15.6% (7) 8.9% (4) 33.3% (15) 31.1% (14) 11.1% (5) Basic oncology treatments 13.6% (6) 9.1% (4) 27.3% (12) 27.3% (12) 22.7% (10) Chemotherapy administration 22.2% (10) 13.3% (6) 22.2% (10) 20.0% (9) 22.2% (10) Oncology Emergencies 24.4% (11) 8.9% (4) 33.3% (15) 15.6% (7) 17.8% (8) Diabetes 6.4% (3) 4.3% (2) 19.1% (9) 27.7% (13) 42.6% (20) CVA/Brain injury/spinal cord injury 8.5% (4) 14.9% (7) 17.0% (8) 40.4% (19) 19.1% (9) Ventriculosotomy 17.8% (8) 17.8% (8) 35.6% (16) 20.0% (9) 8.9% (4) Seizure monitoring 8.5% (4) 12.8% (6) 23.4% (11) 31.9% (15) 23.4% (11) HIV/AIDS 6.4% (3) 10.6% (5) 17.0% (8) 42.6% (20) 23.4% (11) Acute MI 6.5% (3) 15.2% (7) 15.2% (7) 32.6% (15) 30.4% (14) CHF 6.7% (3) 8.9% (4) 13.3% (6) 31.1% (14) 40.0% (18) Nutrition 6.3% (3) 8.3% (4) 12.5% (6) 33.3% (16) 39.6% (19) Peripheral Vascular Disease 12.8% (6) 8.5% (4) 14.9% (7) 29.8% (14) 34.0% (16) Trauma Care 8.7% (4) 4.3% (2) 26.1% (12) 39.1% (18) 21.7% (10) Ventilation Therapies 15.6% (7) 22.2% (10) 24.4% (11) 22.2% (10) 15.6% (7) Blood and blood component administration 12.8% (6) 6.4% (3) 14.9% (7) 21.3% (10) 44.7% (21) 8 of 21

9 Care and management of surgical wounds 8.5% (4) 8.5% (4) 14.9% (7) 21.3% (10) 46.8% (22) Care and management of pressure ulcers 4.4% (2) 8.9% (4) 8.9% (4) 26.7% (12) 51.1% (23) Care of the dying patient 4.3% (2) 8.5% (4) 12.8% (6) 23.4% (11) 51.1% (24) Organ donation 13.0% (6) 23.9% (11) 23.9% (11) 23.9% (11) 15.2% (7) Care of the patient with a history of substance abuse 6.4% (3) 10.6% (5) 23.4% (11) 38.3% (18) 21.3% (10) Care of teh patient with a history of mental illness/depression 8.9% (4) 11.1% (5) 22.2% (10) 33.3% (15) 24.4% (11) IV therapy and care of central lines 12.8% (6) 8.5% (4) 10.6% (5) 12.8% (6) 55.3% (26) Calculating doses, flow rates and administration of continuous intravenous infusions 15.6% (7) 6.7% (3) 8.9% (4) 26.7% (12) 42.2% (19) Complementary Care 7.0% (3) 18.6% (8) 20.9% (9) 37.2% (16) 16.3% (7) Geriatrics 8.3% (4) 4.2% (2) 22.9% (11) 22.9% (11) 41.7% (20) Grief Management 11.1% (5) 6.7% (3) 15.6% (7) 40.0% (18) 26.7% (12) Infectious disease/communicable diseases 4.3% (2) 8.5% (4) 19.1% (9) 29.8% (14) 38.3% (18) Mock codes 9.1% (4) 9.1% (4) 15.9% (7) 45.5% (20) 20.5% (9) answered question skipped question 8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect you job in the past year. 18 answered question 18 skipped question 45 9 of 21

10 9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have occurred during the last year in your unit that affect your job. 12 answered question 12 skipped question What are the procedures done in your unit that you consider HIGH RISK? 14 answered question 14 skipped question What reference books would you like to see on your unit? 17 answered question 17 skipped question What materials for patient/family education would you like on your unit? 16 answered question 16 skipped question of 21

11 13. I would recommend the following speaker(s) to lecture on the following topics: 10 answered question 10 skipped question of 21

12 Q1. Identify the area you work on. OO9e,2011 Med Surg Needs Assessment Survey Results.mht.pdf 1 sppo May 15, :55 AM Q2. I prefer lectures give in: 1 afternoon to pm May 11, :46 AM 2 pm May 9, :39 PM 3 Only 1 hour sessions please May 9, :19 AM 4 1 hour sessions May 9, :08 AM Q3. I would like lectures given by: 1 what ever is appropriate to the subject May 18, :32 PM 2 ir doesnt matter, just as long as they're not boring May 11, :55 AM 3 persons/specialists suggested by staff. Ask staff topics.i.e. Domestic Violence, Sexual Assault, etc.these things exist in our own staff even if they do not come forward. May 9, :39 PM Q5. I would be interested in taking the following certification review courses in the next year: 1 N/A May 13, :12 PM 2 leadership seminars May 12, :31 AM 3 emergency nursing pediatric course (ENPC), trauma nurse certification course (TNCC), advanced trauma life support (ATLS) May 10, :44 PM 4 PALS/ACLS May 9, :03 PM 5 Ceu's classes for certificate nursing assistant May 9, :57 PM 6 though I do not want this, don't we have a cert for psych nurses? May 9, :39 PM 12 of 21

13 Q6. What classes have you taken at UCIMC during the last 12 months? 1 Palliative Care May 10, :24 AM 2 wound May 9, :04 PM 3 None May 9, :03 PM 4 none May 9, :58 PM 5 Prevention and Management of Agressive Behavior (PMAB) May 9, :10 PM 13 of 21

14 14 of 21

15 Q8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect you job in the past year. 1 n\a May 19, :04 PM 2 N/A May 14, :44 AM 3 N/A May 14, :44 AM 4 Quest May 13, :42 PM 5 electric chest tube drainage system q pump May 11, :46 AM 6 double checking chemo, separate chemo pumps May 11, :55 AM 7 Interpreter Phones, Communication(0 TOLERANCE) May 10, :24 AM 8 None May 9, :03 PM 9 orthopaedic care May 9, :25 PM 10 N/A May 9, :57 PM 11 none May 9, :22 PM 12 not applicable May 9, :10 PM 13 caring for anterior cervical patients from pacu May 9, :43 PM 14 Educational topics need to relate to Event Reports as a needs source. May 9, :08 AM 15 dressing change May 6, :50 PM 16 none May 6, :48 PM 17 PICC line care, Chemo medication attachments to prevent spills, NS May 6, :59 PM 18 chemotherapy consents May 6, :02 PM 15 of 21

16 Q9. Please list the CHANGES in procedure, policies, equipment, or initiatives that have occurred during the last year in your unit that affect your job. 1 n\a May 19, :04 PM 2 N/A May 14, :44 AM 3 N/A May 14, :44 AM 4 equipment for Ortho Patients May 10, :24 AM 5 None May 9, :03 PM 6 POD scheduling May 9, :25 PM 7 N/A May 9, :57 PM 8 none May 9, :22 PM 9 not applicable May 9, :10 PM 10 dressing change May 6, :50 PM 11 none May 6, :48 PM 12 chemotherapy consent May 6, :02 PM 16 of 21

17 Q10. What are the procedures done in your unit that you consider HIGH RISK? 1 n/a May 23, :11 AM 2 chemotherapy May 17, :07 AM 3 N/A May 14, :44 AM 4 N/A May 14, :44 AM 5 Chemotherapy May 13, :42 PM 6 pain control, seq. stock., reposition, potty, red socks, fall sign, inc. spirometer. and equipment for motion May 10, :24 AM 7 None May 9, :03 PM 8 medication administration May 9, :25 PM 9 N/A May 9, :57 PM 10 none May 9, :22 PM 11 not applicable May 9, :10 PM 12 care of anterior cervical patients May 9, :43 PM 13 chemo administration, anticoagulation therapy, May 6, :01 PM 14 Blood transfusions, chemo admin, medication admin May 6, :02 PM 17 of 21

18 18 of 21

19 Q11. What reference books would you like to see on your unit? 1 AA BOOK self help book May 23, :11 AM 2 ecg & telemetry references May 17, :07 AM 3 ORTHO May 14, :44 AM 4 A DRUG BOOK PLEASE. MICROMEDIX IS SO COMPLICATED, CANT FIND MEDICATION INDICATION ON THE SPOT, IT TAKES TIME TO LOOK.:( May 14, :44 AM 5 use of pca and epidural pumps step by step resourse May 11, :46 AM 6 chemo books/ tele books May 11, :55 AM 7 Spiritual, Health,Living Well,Depression, Power Food. May 10, :24 AM 8 cardiac monitoring May 10, :13 AM 9 Education books May 9, :03 PM 10 none May 9, :22 PM 11 I'm just a SHA, not really sure May 9, :10 PM 12 ortho nursing May 9, :43 PM 13 policies and procedures. Finding policies online is not user friendly or easy. May 9, :39 PM 14 those specific to the specialy May 6, :01 PM 15 procedure guide book May 6, :50 PM 16 Nutrition May 6, :59 PM 17 Oncology and Cardiac May 6, :02 PM 19 of 21

20 Q12. What materials for patient/family education would you like on your unit? 1 mental illness/ depression / substance abuse May 23, :11 AM 2 joints/hip/back surgery care May 17, :28 PM 3 outside resources/support groups for cancer pts May 17, :07 AM 4 HIV/ SEZURE / JOINT REPLACEMENT May 14, :44 AM 5 ALL EDUCATIONAL MATERIALS APPLICABLE FOR PT. AND FAMILY May 14, :44 AM 6 chemo education materials May 11, :55 AM 7 Small Brochures for specific problems on back, unkle,knee ect. May 10, :24 AM 8 Micro Medic May 10, :37 AM 9 Hand outs May 9, :03 PM 10 post op care of the surgical patient, pain management options May 9, :25 PM 11 none May 9, :22 PM 12 not applicable May 9, :10 PM 13 Power of Attorney, Telephone # for Notary May 9, :39 PM 14 death and grieving, pain management, heart failure access, oncological specific teaching material May 6, :01 PM 15 Nutrition May 6, :59 PM 16 pt info from NIH, ACS, etc for Onc and Cardiac patients May 6, :02 PM 20 of 21

21 Q13. I would recommend the following speaker(s) to lecture on the following topics: 1 N/A May 23, :11 AM 2 n/a May 14, :44 AM 3 THE LECTURES I HAD TAKEN ABOUT THE ANA CODE OF ETHICS IS EXCELLENT. I THINK EVERYONE SHOULD BE KNOWLEDGEABLE ON THIS ONE, AND CONSIDER THAT THE SHA'S HAS TO ALSO ATTEND THIS CLASS. May 14, :44 AM 4.. May 10, :24 AM 5 Khaled Al Eid - Electrolyte/lab interpretation. May 10, :37 AM 6 None May 9, :03 PM 7 Dr. Bhatia-spine, Dr. Rafijah-hands, Dr. Zamarano-ortho trauma, Kathleen Hallpain May 9, :25 PM 8 none May 9, :22 PM 9 How to get a job as a new graduate RN May 9, :10 PM 10 Malinda Wheeler, Forensic Nurse Specialists: Domestic Violence, Strangulation, Sexual Assault May 9, :39 PM 21 of 21

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