Neonatal Intensive Care RN Needs Assessment 2010

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1 Neonatal Intensive Care RN Needs Assessment 2010 OO9b, 2010 NICU Needs Assessment Survey Results.mht.pdf 1. Identify your highest educational level: Percent Diploma 2.0% 1 Associate Degree 46.9% 23 BSN 34.7% 17 Baccalaureate in other field 8.2% 4 MSN/MN/MS 6.1% 3 Other 2.0% 1 answered question 49 skipped question 0 2. I prefer lectures give in: Percent 2 hour sessions 22.4% 11 4 hour sessions 59.2% 29 8 hour sessions 16.3% 8 other 2.0% 1 Other (please specify) 2 answered question 49 skipped question 0 1 of 18

2 3. I would like lectures given by: OO9b, 2010 NICU Needs Assessment Survey Results.mht.pdf Percent MD's/Residents 75.5% 37 NP's 73.5% 36 CNS/Educators 77.6% 38 Staff from UCIMC 40.8% 20 Staff from outside UCIMC 42.9% 21 Published Speakers 46.9% 23 National recognized speakers 57.1% 28 Other 2.0% 1 Other (please specify) 1 answered question 49 skipped question 0 4. I prefer to attend classes on: Percent Monday 22.4% 11 Tuesday 16.3% 8 Wednesday 26.5% 13 Thursday 12.2% 6 Friday 22.4% 11 answered question 49 skipped question 0 2 of 18

3 5. I would be interested in taking the following certification review courses in the next year: Percent Neonatal 88.6% 31 CCRN 17.1% 6 Certified Wound Care Nurse 20.0% 7 Other 2.9% 1 Other (please specify) 3 answered question 35 skipped question 14 3 of 18

4 6. The purpose of the annual needs assessment is to determine educational needs for the unit the next year. OO9b, 2010 NICU 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 Planning of Care for Neonatal Patients and Families 0.0% (0) 2.1% (1) 16.7% (8) 12.5% (6) 68.8% (33) Nurse Practice Act-Scope of Practice 0.0% (0) 12.5% (6) 16.7% (8) 33.3% (16) 37.5% (18) ANA Code of Ethics 0.0% (0) 10.4% (5) 20.8% (10) 39.6% (19) 29.2% (14) Evidence Based Practice 0.0% (0) 2.1% (1) 12.5% (6) 35.4% (17) 50.0% (24) Cultural Issues Influencing Patient Care in the NICU 0.0% (0) 6.1% (3) 12.2% (6) 36.7% (18) 44.9% (22) Pain/Sedation Assessment & Management 0.0% (0) 0.0% (0) 10.2% (5) 30.6% (15) 59.2% (29) Skin Care 0.0% (0) 0.0% (0) 14.3% (7) 30.6% (15) 55.1% (27) Care of the Very Low Birthweight Infant 0.0% (0) 4.1% (2) 4.1% (2) 28.6% (14) 63.3% (31) NICU Pharmacology 0.0% (0) 4.1% (2) 10.2% (5) 49.0% (24) 36.7% (18) Ethical and Legal Issues in Neonatal Care 0.0% (0) 2.0% (1) 20.4% (10) 49.0% (24) 28.6% (14) End-of-Life Issues 2.0% (1) 2.0% (1) 18.4% (9) 40.8% (20) 36.7% (18) Neonatal Resuscitation 0.0% (0) 2.0% (1) 4.1% (2) 34.7% (17) 59.2% (29) Prevention of Nosocomial Infections 2.0% (1) 0.0% (0) 6.1% (3) 30.6% (15) 61.2% (30) Medication Safety 0.0% (0) 0.0% (0) 8.2% (4) 12.2% (6) 79.6% (39) Developmental Care in the NICU 0.0% (0) 2.1% (1) 6.3% (3) 22.9% (11) 68.8% (33) Cardiovascular Anatomy and Physiology 0.0% (0) 6.1% (3) 20.4% (10) 46.9% (23) 26.5% (13) Cardiovascular Clinical Assessment and Diagnostic 2.0% (1) 6.1% (3) 16.3% (8) 46.9% (23) 28.6% (14) 4 of 18

5 Procedures OO9b, 2010 NICU Needs Assessment Survey Results.mht.pdf Congenital Cardiac Anomalies and Therapeutic Management 4.1% (2) 8.2% (4) 28.6% (14) 49.0% (24) 10.2% (5) Hemodynamic Monitoring 0.0% (0) 8.2% (4) 12.2% (6) 34.7% (17) 44.9% (22) Management of Patent Ductus Arteriosus 0.0% (0) 2.0% (1) 14.3% (7) 34.7% (17) 49.0% (24) Care and Management of the Cardiac Patient 2.0% (1) 6.1% (3) 18.4% (9) 51.0% (25) 22.4% (11) Pulmonary Anatomy and Physiology 0.0% (0) 6.1% (3) 14.3% (7) 36.7% (18) 42.9% (21) Pulmonary Clinical Assessment and Diagnostic Procedures 0.0% (0) 6.1% (3) 12.2% (6) 40.8% (20) 40.8% (20) Pulmonary Disorders and Therapeutic Management 0.0% (0) 6.1% (3) 14.3% (7) 40.8% (20) 38.8% (19) Mechanical Ventilation 0.0% (0) 8.3% (4) 8.3% (4) 31.3% (15) 52.1% (25) Weaning Patients from Mechanical Ventilation 0.0% (0) 4.4% (2) 13.3% (6) 28.9% (13) 53.3% (24) Neurologic Anatomy and Physiology 0.0% (0) 14.3% (7) 16.3% (8) 49.0% (24) 20.4% (10) Neurologic Clinical Assessment and Diagnostic Procedures 0.0% (0) 14.3% (7) 16.3% (8) 46.9% (23) 22.4% (11) Neurologic Disorders and Therapeutic Management 0.0% (0) 14.3% (7) 20.4% (10) 46.9% (23) 18.4% (9) Intraventricular Hemorrhage: Prevention, management and treatment 0.0% (0) 4.1% (2) 14.3% (7) 30.6% (15) 51.0% (25) Traumatic Birth Injuries 2.0% (1) 4.1% (2) 22.4% (11) 46.9% (23) 24.5% (12) Renal Anatomy and Physiology 2.0% (1) 4.1% (2) 36.7% (18) 32.7% (16) 24.5% (12) Renal Assessment and Diagnostic Procedures 2.1% (1) 4.2% (2) 37.5% (18) 31.3% (15) 25.0% (12) Renal Disorders and Therapeutic Management 2.0% (1) 4.1% (2) 34.7% (17) 36.7% (18) 22.4% (11) Fluid and Electrolyte Balance 0.0% (0) 4.1% (2) 16.3% (8) 36.7% (18) 42.9% (21) 5 of 18

6 Acute Renal Failure 2.0% (1) 10.2% (5) 24.5% (12) 38.8% (19) 24.5% (12) Gastrointestinal Anatomy and Physiology 0.0% (0) 4.2% (2) 10.4% (5) 35.4% (17) 50.0% (24) Gastrointestinal Clinical Assessment and Diagnostic Procedures 0.0% (0) 4.1% (2) 8.2% (4) 38.8% (19) 49.0% (24) Gastrointestinal Disorders and Therapeutic Management 0.0% (0) 4.1% (2) 12.2% (6) 34.7% (17) 49.0% (24) Necrotizing Enterocolitis 0.0% (0) 2.0% (1) 14.3% (7) 26.5% (13) 57.1% (28) Hepatic Failure 0.0% (0) 10.2% (5) 26.5% (13) 42.9% (21) 20.4% (10) Nutrition Support for the Neonatal Patient 0.0% (0) 2.1% (1) 12.5% (6) 39.6% (19) 45.8% (22) Endocrine Anatomy and Physiology 2.1% (1) 12.5% (6) 31.3% (15) 39.6% (19) 14.6% (7) Endocrine Assessment and Diagnostic Procedures 4.1% (2) 10.2% (5) 30.6% (15) 44.9% (22) 10.2% (5) Endocrine and Metabolic Disorders and Therapeutic Management 2.0% (1) 12.2% (6) 32.7% (16) 42.9% (21) 10.2% (5) Insulin Management 0.0% (0) 2.0% (1) 20.4% (10) 34.7% (17) 42.9% (21) Syndrome of Inappropriate Diuretic Hormone 2.0% (1) 12.2% (6) 40.8% (20) 30.6% (15) 14.3% (7) Shock 0.0% (0) 10.2% (5) 22.4% (11) 36.7% (18) 30.6% (15) Congenital Anomalies 0.0% (0) 6.3% (3) 33.3% (16) 31.3% (15) 29.2% (14) Hematologic Disorders 0.0% (0) 12.5% (6) 27.1% (13) 41.7% (20) 18.8% (9) Wound V.A.C. 2.1% (1) 25.0% (12) 22.9% (11) 35.4% (17) 14.6% (7) Ventilation Modes 0.0% (0) 6.3% (3) 10.4% (5) 37.5% (18) 45.8% (22) Care of the PICC lines 0.0% (0) 2.0% (1) 10.2% (5) 26.5% (13) 61.2% (30) Endotracheal suctioning 0.0% (0) 2.0% (1) 8.2% (4) 14.3% (7) 75.5% (37) Tracheostomy care 2.0% (1) 4.1% (2) 20.4% (10) 22.4% (11) 51.0% (25) Chest tube care 2.0% (1) 4.1% (2) 14.3% (7) 28.6% (14) 51.0% (25) 6 of 18

7 Blood warming devices (Ranger) 14.3% (7) 16.3% (8) 24.5% (12) 30.6% (15) 14.3% (7) Hypothermia Therapy 4.2% (2) 12.5% (6) 18.8% (9) 41.7% (20) 22.9% (11) Current NICU Performance Improvement Projects 4.1% (2) 8.2% (4) 18.4% (9) 40.8% (20) 28.6% (14) answered question skipped question 7. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect you job in the past year. 17 answered question 17 skipped question Please list the CHANGES in procedure, policies, equipment, or initiatives that have occurred during the last year in your unit that affect your job. 17 answered question 17 skipped question What are the procedures done in your unit that you consider HIGH RISK? 25 answered question 25 skipped question 24 7 of 18

8 10. What reference books would you like to see on your unit? 11 answered question 11 skipped question What materials for patient/family education would you like on your unit? 14 answered question 14 skipped question I would recommend the following speaker(s) to lecture on the following topics: 7 answered question 7 skipped question 42 8 of 18

9 Q2. I prefer lectures give in: 1 2 to 4 hrs, depending on subject Apr 28, :26 PM 2 or less! Apr 27, :30 PM Q3. I would like lectures given by: 1 Someone that speaks clearly and tries to make it interesting. Accents make it very difficult Apr 27, :25 PM Q5. I would be interested in taking the following certification review courses in the next year: 1 RNC-NIC May 25, :49 AM 2 none May 16, :32 AM 3 none May 4, :46 PM 9 of 18

10 10 of 18

11 Q7. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect you job in the past year. 1 unknown May 25, :49 AM 2 Delivery room resuscitation protocol for weeks, pyxis activity reports, preparing medications for a procedure May 20, :08 PM 3 pixis,24/7 visitation,h1n1 & flu shots, Quest May 13, :44 AM 4 breast milk May 12, :09 PM 5 cooling blanket, standardizing narcotics May 9, :24 PM 6 nasopharyngeal intubation with prolonged PEEP given to weekers, Small baby protocol for the first 3 days May 6, :35 PM 7 All are new to me, I'm per diem hired this year May 5, :32 PM 8 Brainz monitoring May 5, :56 AM 9 cooling blanket, quest, weaning of drips May 4, :20 PM 10 medication drip policy, hypothermia blanket, change in small baby protocol May 4, :46 PM 11 QUEST, drug concentrations May 4, :17 PM 12 too numerous to list.. changes are a constant process May 3, :58 AM 13 Breastmilk, sibling visitation May 1, :49 AM 14 breastmilk Apr 28, :21 AM 15 Signing off on pyxis daily, Apr 28, :19 AM 16 small baby protocol/delivery room Apr 27, :22 PM 17 too many to name Apr 27, :16 PM 11 of 18

12 12 of 18

13 Q8. 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 unknown May 25, :49 AM 2 wasting of narcan, incident report filed when narcan used, the use of fentanyl for pre-procedural pain/sedation May 20, :08 PM 3 visiting policy, breastmilk May 16, :32 AM 4 24/7 visitation, Quest May 13, :44 AM 5 visitation policy May 12, :09 PM 6 feeding during neoprofen, npo during transfusions May 8, :29 PM 7 nasopharyngeal intubation with prolonged PEEP for weekers May 6, :35 PM 8 none at this time May 5, :32 PM 9 Physical layout May 5, :56 AM 10 drug concentrations May 4, :17 PM 11 again too numersous to list May 3, :58 AM 12 breastmilk handling May 1, :49 AM 13 way too many Apr 28, :21 AM 14 New policies for banked breast milk, breast milk fortification/ expiration, new sibling visitation policy Apr 28, :19 AM 15 picc cutures, et suctioning practices Apr 27, :30 PM 16 fortificationof breastmilk Apr 27, :45 PM 17 too many to name Apr 27, :16 PM 13 of 18

14 14 of 18

15 Q9. What are the procedures done in your unit that you consider HIGH RISK? 1 PDA ligation, or any other surgery requiring anesthesia present to deliver sedation. May 20, :08 PM 2 PDA ligation, surgical bedside procedures May 20, :08 AM 3 everything is high risk May 16, :32 AM 4 all surgical procedures May 13, :44 AM 5 PDA Ligation May 12, :09 PM 6 SURGERIES May 12, :28 AM 7 laser, circ, PDA lig., PICC placement, ex. lap May 9, :24 PM 8 Giving meds/blood. Surgery May 8, :29 PM 9 surgeries May 6, :35 PM 10 cooling, surgeries May 6, :44 AM 11 all surgeries, picc line placement, admission of VLBW infant, intubations, codes, May 5, :47 AM 12 Medications May 5, :56 AM 13 Central line placement May 4, :15 PM 14 pda ligation May 4, :20 PM 15 everything May 4, :46 PM 16 insulin, drug concentrations, pumps May 4, :17 PM 17 ligations, laser eye surgery, exlaps, surgical procedures May 3, :58 AM 18 surgery, PDA, Laser, Exploratory Lap Apr 28, :26 PM 19 surgery Apr 28, :08 PM 20 all of them Apr 28, :21 AM 21 Medication administration (esp. narcotics), surgical procedures, Apr 28, :19 AM 22 PDA ligation and other surgeries Apr 27, :22 PM 23 bood products, drip medications, deliveries for kids less than 28 weeks Apr 27, :30 PM 24 line changes Apr 27, :45 PM 25 codes, hypothermia Apr 27, :16 PM 15 of 18

16 Q10. What reference books would you like to see on your unit? OO9b, 2010 NICU Needs Assessment Survey Results.mht.pdf 1 more detailed pharmacy, NICU physiology May 20, :08 AM 2 neonatology May 16, :32 AM 3? May 13, :44 AM 4 Lab book May 12, :09 PM 5 heart anomilies May 4, :20 PM 6 cardiac, infection and drug usage, vent stratagies May 4, :46 PM 7 more drug books May 4, :17 PM 8 new editions of everything Apr 28, :21 AM 9 More med books, Apr 28, :19 AM 10 More medication reference books Apr 27, :22 PM 11 Neofax! and NRP book Apr 27, :30 PM 16 of 18

17 Q11. What materials for patient/family education would you like on your unit? 1 customized for pt May 20, :08 AM 2 stuff in vietnamese, korean May 16, :32 AM 3? May 13, :44 AM 4 movie May 12, :09 PM 5 INTERACVE EDUCATION-DIGITAL TEACHING VIDEOS WITH QUESTION AND ANSWERS, AUTOMATICALLY RELAYS PART IOF VIDEO THAT PAENTS MISSED, ITS TOUCHSCREEN VERY COOL May 12, :28 AM 6 continue to increase intranet handouts May 5, :56 AM 7 avility to show videos on the computer May 5, :39 AM 8 handouts for referals post discharge May 4, :20 PM 9 developmental needs May 4, :46 PM 10 more available dvd units or better yet already loaded in computer with sound available May 3, :58 AM 11 handouts video things with good pictures Apr 28, :08 PM 12 videos for sibs to watch about their new premie Apr 28, :21 AM 13 Picc line/central line placement Apr 28, :19 AM 14 A worksheet on apnea and bradycardia for infants. Apr 27, :22 PM 17 of 18

18 Q12. I would recommend the following speaker(s) to lecture on the following topics: 1 robin koepell on ROP and respiratory disorders May 25, :49 AM 2 someone to talk about conflict resolution/work environment issues, effective communication May 16, :32 AM 3? May 13, :44 AM 4 HIE May 12, :09 PM 5 Gini Baker/Dr. Wight-lactation May 5, :39 AM 6 Price, pphn May 4, :20 PM 7 brenda Keppes on development May 4, :46 PM 18 of 18

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