Critical Care RN Needs Assessment 2010

Transcription

1 Critical Care RN Needs Assessment 2010 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 1. Identify the area you work on. Percent SSDU 17.2% 10 NSDU 3.4% 2 NSCU 13.8% 8 BICU 8.6% 5 SICU 31.0% 18 MICU 12.1% 7 CCU 13.8% 8 answered question 58 skipped question 0 2. Identify the patient population you care for Percent Adult 87.9% 51 Pediatric 0.0% 0 Adult & Pediatric 12.1% 7 answered question 58 skipped question 0 1 of 18

2 3. I prefer lectures give in: OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Percent 2 hour sessions 19.0% 11 4 hour sessions 51.7% 30 8 hour sessions 24.1% 14 other 5.2% 3 Other (please specify) 3 answered question 58 skipped question 0 4. I would like lectures given by: Percent MD's/Residents 58.2% 32 NP's 47.3% 26 CNS/Educators 78.2% 43 Staff from UCIMC 56.4% 31 Staff from outside UCIMC 47.3% 26 Published Speakers 52.7% 29 National recognized speakers 54.5% 30 Other 1.8% 1 Other (please specify) 4 answered question 55 skipped question 3 2 of 18

3 5. I prefer to attend classes on: OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Percent Monday 29.3% 17 Tuesday 25.9% 15 Wednesday 20.7% 12 Thursday 6.9% 4 Friday 17.2% 10 answered question 58 skipped question 0 3 of 18

4 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 6. I would be interested in taking the following verification review courses in the next year: Percent CCRN (Critical Care Registered Nurse) 63.0% 34 PCCN (Progressive Care Registered Nurse) 13.0% 7 CMC (Cardiac Medicine Certification) 16.7% 9 CSC (Cardiac Surgery Certification) 14.8% 8 CNRN (Neuro) 11.1% 6 CGRN (Gerontology) 7.4% 4 OCN (orthopedics) 1.9% 1 Certified Rehabilitation 1.9% 1 Certified Oncology Nurse 1.9% 1 Certified Diabetic Educator 13.0% 7 Certified Wound Care Nurse 24.1% 13 Other 5.6% 3 Other (please specify) 4 answered question 54 skipped question 4 4 of 18

5 7. The purpose of the annual needs assessment is to determine educational needs for the unit the next year. OO9d, 2010 Critical Care Needs Assessment Survey Results.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 Critically Ill Patients and Families 0.0% (0) 3.4% (2) 5.2% (3) 24.1% (14) 67.2% (39) Planning of Care for the Pediatric Patient 35.1% (20) 29.8% (17) 17.5% (10) 12.3% (7) 5.3% (3) Concepts of Developement Milestones for Pediatric Patients 30.4% (17) 35.7% (20) 14.3% (8) 16.1% (9) 3.6% (2) Pediatric Safety Interventions 29.8% (17) 31.6% (18) 17.5% (10) 14.0% (8) 7.0% (4) Pain, Sedation, and Neuromuscular Blockade Management 0.0% (0) 5.3% (3) 5.3% (3) 42.1% (24) 47.4% (27) Critical Care Pharmacology 0.0% (0) 5.3% (3) 8.8% (5) 36.8% (21) 49.1% (28) Ethical and Legal Issues in Critical Care 0.0% (0) 6.9% (4) 13.8% (8) 37.9% (22) 41.4% (24) End-of-Life Issues 0.0% (0) 5.3% (3) 12.3% (7) 36.8% (21) 45.6% (26) Synergy Model 20.0% (11) 18.2% (10) 14.5% (8) 40.0% (22) 7.3% (4) High-Risk and Critical Care in Obstetric Issues 12.3% (7) 38.6% (22) 31.6% (18) 14.0% (8) 3.5% (2) Gerontologic Alterations and Management 3.5% (2) 3.5% (2) 15.8% (9) 50.9% (29) 26.3% (15) Advanced Cardiac Life Support 0.0% (0) 0.0% (0) 7.0% (4) 33.3% (19) 59.6% (34) Pediatric Advanced Life Support 43.9% (25) 21.1% (12) 15.8% (9) 10.5% (6) 8.8% (5) Prevention of Nosocomial Infections 0.0% (0) 0.0% (0) 3.5% (2) 10.5% (6) 86.0% (49) Medication Safety 0.0% (0) 0.0% (0) 3.4% (2) 6.9% (4) 89.7% (52) Medication Calculations 0.0% (0) 0.0% (0) 3.6% (2) 23.2% (13) 73.2% (41) Stress and Critical Illness for Adult Patient 0.0% (0) 0.0% (0) 5.2% (3) 34.5% (20) 60.3% (35) 5 of 18

6 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Child Abuse 14.0% (8) 26.3% (15) 22.8% (13) 28.1% (16) 8.8% (5) Healthy Work Environment 0.0% (0) 5.3% (3) 17.5% (10) 22.8% (13) 54.4% (31) Cardiovascular Anatomy and Physiology 0.0% (0) 0.0% (0) 8.8% (5) 36.8% (21) 54.4% (31) Cardiovascular Clinical Assessment and Diagnostic Procedures 0.0% (0) 1.8% (1) 10.5% (6) 35.1% (20) 52.6% (30) Cardiovascular Disorders and Therapeutic Management 0.0% (0) 0.0% (0) 13.8% (8) 41.4% (24) 44.8% (26) Hemodynamic Monitoring 0.0% (0) 1.7% (1) 12.1% (7) 32.8% (19) 53.4% (31) Interpretation and Management of Basic Cardiac Rhythms 0.0% (0) 0.0% (0) 3.5% (2) 26.3% (15) 70.2% (40) Pacemakers 0.0% (0) 3.4% (2) 17.2% (10) 48.3% (28) 31.0% (18) Management of Acute Myocardial Infarctions 0.0% (0) 0.0% (0) 17.2% (10) 34.5% (20) 48.3% (28) Care and Management of the Cardiac Surgery Patients 3.4% (2) 12.1% (7) 15.5% (9) 39.7% (23) 29.3% (17) Use and Effects of Vasopressors and Inotropes 0.0% (0) 0.0% (0) 8.6% (5) 34.5% (20) 56.9% (33) Deep Vein Thrombosis Prophylaxis 0.0% (0) 0.0% (0) 1.7% (1) 25.9% (15) 72.4% (42) Pulmonary Anatomy and Physiology 0.0% (0) 0.0% (0) 6.9% (4) 32.8% (19) 60.3% (35) Pulmonary Clinical Assessment and Diagnostic Procedures 0.0% (0) 0.0% (0) 10.3% (6) 39.7% (23) 50.0% (29) Pulmonary Disorders and Therapeutic Management 0.0% (0) 0.0% (0) 12.1% (7) 46.6% (27) 41.4% (24) Nitric Oxide 8.6% (5) 10.3% (6) 36.2% (21) 37.9% (22) 6.9% (4) ETCO2 Monitoring 6.9% (4) 13.8% (8) 22.4% (13) 31.0% (18) 25.9% (15) Mechanical Ventilation 0.0% (0) 1.8% (1) 17.5% (10) 22.8% (13) 57.9% (33) Weaning Patients from Mechanical Ventilation 0.0% (0) 8.8% (5) 14.0% (8) 19.3% (11) 57.9% (33) 6 of 18

7 Neurologic Anatomy and Physiology OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 0.0% (0) 1.7% (1) 20.7% (12) 37.9% (22) 39.7% (23) Neurologic Clinical Assessment and Diagnostic Procedures 0.0% (0) 8.6% (5) 12.1% (7) 39.7% (23) 39.7% (23) Parkinsons, ALS, Guillian Barre, Myasthenia Gravis, Alzheimers, Multiple Sclerosis, Cerebral Palsy 0.0% (0) 13.8% (8) 24.1% (14) 41.4% (24) 20.7% (12) Eplilepsy & Seizures 1.7% (1) 6.9% (4) 24.1% (14) 36.2% (21) 31.0% (18) Standards of Care for the Traumatic Brain Injured Patient 0.0% (0) 12.1% (7) 22.4% (13) 32.8% (19) 32.8% (19) Identification and Treatment of Vasospasm 1.8% (1) 8.8% (5) 21.1% (12) 36.8% (21) 31.6% (18) Intracranial Pressure Monitoring 1.7% (1) 10.3% (6) 20.7% (12) 27.6% (16) 39.7% (23) Brain Tissue Oxygen Monitoring 8.6% (5) 5.2% (3) 24.1% (14) 37.9% (22) 24.1% (14) Cerebral Perfusion Pressure Management 6.9% (4) 6.9% (4) 25.9% (15) 31.0% (18) 29.3% (17) Care and Management of Stroke 0.0% (0) 5.2% (3) 10.3% (6) 50.0% (29) 34.5% (20) Traumatic Brain Injuries 3.4% (2) 8.6% (5) 19.0% (11) 36.2% (21) 32.8% (19) Brain Tumors 1.8% (1) 10.5% (6) 28.1% (16) 35.1% (20) 24.6% (14) Therapeutic Hypothermia 7.0% (4) 7.0% (4) 26.3% (15) 35.1% (20) 24.6% (14) Prevention of ICU Delirium/Use of CAM-ICU 6.9% (4) 5.2% (3) 22.4% (13) 29.3% (17) 36.2% (21) Renal Anatomy and Physiology 0.0% (0) 0.0% (0) 8.6% (5) 44.8% (26) 46.6% (27) Renal Assessment and Diagnostic Procedures 0.0% (0) 0.0% (0) 12.1% (7) 39.7% (23) 48.3% (28) Renal Disorders and Therapeutic Management 0.0% (0) 3.4% (2) 8.6% (5) 39.7% (23) 48.3% (28) Fluid and Electrolyte Balance 0.0% (0) 0.0% (0) 8.6% (5) 27.6% (16) 63.8% (37) Acute Renal Failure 0.0% (0) 0.0% (0) 8.8% (5) 31.6% (18) 59.6% (34) Renal Replacement Therapies 0.0% (0) 7.0% (4) 8.8% (5) 40.4% (23) 43.9% (25) Gastrointestinal Anatomy and 0.0% (0) 0.0% (0) 5.3% (3) 33.3% (19) 61.4% (35) 7 of 18

8 Physiology OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Care of the Whipple Patient 3.4% (2) 5.2% (3) 13.8% (8) 43.1% (25) 34.5% (20) Gastrointestinal Clinical Assessment and Diagnostic Procedures 0.0% (0) 3.4% (2) 10.3% (6) 29.3% (17) 56.9% (33) Gastrointestinal Disorders and Therapeutic Management 0.0% (0) 3.4% (2) 12.1% (7) 27.6% (16) 56.9% (33) Acute Gastrointestinal Bleeding 0.0% (0) 1.7% (1) 12.1% (7) 34.5% (20) 51.7% (30) Acute Pancreatitis 0.0% (0) 0.0% (0) 15.8% (9) 33.3% (19) 50.9% (29) Fulminant Hepatic Failure 3.4% (2) 5.2% (3) 17.2% (10) 41.4% (24) 32.8% (19) Nutrition Support for the Critically Ill Patient 0.0% (0) 1.7% (1) 12.1% (7) 34.5% (20) 51.7% (30) Endocrine Anatomy and Physiology 0.0% (0) 1.7% (1) 13.8% (8) 43.1% (25) 41.4% (24) Endocrine Assessment and Diagnostic Procedures 1.8% (1) 5.3% (3) 12.3% (7) 42.1% (24) 38.6% (22) Endocrine Disorders and Therapeutic Management 0.0% (0) 3.6% (2) 14.3% (8) 44.6% (25) 37.5% (21) Insulin Management 0.0% (0) 0.0% (0) 8.8% (5) 24.6% (14) 66.7% (38) Management of the Diabetic Patient 0.0% (0) 0.0% (0) 7.1% (4) 19.6% (11) 73.2% (41) Diabetic Ketoacidosis 0.0% (0) 0.0% (0) 19.3% (11) 26.3% (15) 54.4% (31) Hyperglycemic Hyperosmolar State 0.0% (0) 5.5% (3) 16.4% (9) 30.9% (17) 47.3% (26) Diabetes Insipidus 0.0% (0) 5.4% (3) 14.3% (8) 39.3% (22) 41.1% (23) Syndrome of Inappropriate Diuretic Hormone 0.0% (0) 7.1% (4) 16.1% (9) 41.1% (23) 35.7% (20) Care and Management of Multisystem Problems 0.0% (0) 3.5% (2) 10.5% (6) 43.9% (25) 42.1% (24) Planning of Care for the Criticaly Injured Trauma Patient 1.8% (1) 8.8% (5) 10.5% (6) 33.3% (19) 45.6% (26) Shock 0.0% (0) 3.5% (2) 12.3% (7) 29.8% (17) 54.4% (31) Systemic Inflammatory Syndrome and Multiple Organ 1.8% (1) 5.3% (3) 14.0% (8) 36.8% (21) 42.1% (24) 8 of 18

9 Dysfunction Syndrome OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Burns 3.6% (2) 14.3% (8) 41.1% (23) 28.6% (16) 12.5% (7) Organ Donation and Transplantation 3.6% (2) 8.9% (5) 21.4% (12) 19.6% (11) 46.4% (26) Hematologic Disorders and Oncologic Emergencies 1.8% (1) 3.5% (2) 33.3% (19) 40.4% (23) 21.1% (12) BIS Monitor 7.0% (4) 7.0% (4) 12.3% (7) 26.3% (15) 47.4% (27) Peripheral Nerve Stimulator 5.4% (3) 7.1% (4) 14.3% (8) 16.1% (9) 57.1% (32) Curlin Pump 0.0% (0) 0.0% (0) 5.4% (3) 14.3% (8) 80.4% (45) Collegue Guardian Pump 3.6% (2) 0.0% (0) 5.4% (3) 16.1% (9) 75.0% (42) Wound V.A.C. 0.0% (0) 1.8% (1) 7.1% (4) 30.4% (17) 60.7% (34) IABP 17.5% (10) 22.8% (13) 24.6% (14) 19.3% (11) 15.8% (9) CRRT (Prisma) 14.0% (8) 14.0% (8) 19.3% (11) 28.1% (16) 24.6% (14) CPS 23.2% (13) 23.2% (13) 28.6% (16) 17.9% (10) 7.1% (4) Cortrak 14.3% (8) 8.9% (5) 25.0% (14) 21.4% (12) 30.4% (17) Oscillating ventilator 19.6% (11) 10.7% (6) 21.4% (12) 32.1% (18) 16.1% (9) Pressure Controlled ventilation 10.5% (6) 8.8% (5) 19.3% (11) 15.8% (9) 45.6% (26) Care of the PICC lines/central Lines 0.0% (0) 1.8% (1) 3.6% (2) 10.7% (6) 83.9% (47) Endotracheal suctioning 0.0% (0) 0.0% (0) 7.1% (4) 7.1% (4) 85.7% (48) Tracheostomy care 0.0% (0) 0.0% (0) 5.4% (3) 12.5% (7) 82.1% (46) Chest tube care 0.0% (0) 0.0% (0) 8.9% (5) 14.3% (8) 76.8% (43) Intraabdominal pressure monitoring 13.0% (7) 13.0% (7) 9.3% (5) 37.0% (20) 27.8% (15) Blood warming devices (Ranger) 5.5% (3) 12.7% (7) 16.4% (9) 32.7% (18) 32.7% (18) Rotation therapy (Hill-Rom Total Sport Care bed) 3.6% (2) 10.7% (6) 8.9% (5) 26.8% (15) 50.0% (28) answered question skipped question 9 of 18

10 8. Please list the NEW procedures, policies, equipment, or initiatives that have begun in your unit and affect you job in the past year. OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 14 answered question 14 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. 13 answered question 13 skipped question What are the procedures done in your unit that you consider HIGH RISK? 18 answered question 18 skipped question of 18

11 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 11. What reference books would you like to see on your unit? 15 answered question 15 skipped question What materials for patient/family education would you like on your unit? 10 answered question 10 skipped question I would recommend the following speaker(s) to lecture on the following topics: 5 answered question 5 skipped question of 18

12 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Q3. I prefer lectures give in: 1 Depends on the type of lecture and content. May 18, :40 AM 2 6 hour sessions May 4, :20 PM 3 depending on the topic. the timing can vary May 3, :02 PM Q4. I would like lectures given by: 1 anyone who is an expert on the topic is good enough May 3, :02 PM 2 all depending on their expertise Apr 27, :13 AM 3 anyone with his/her expertise. Apr 27, :56 AM 4 Any good lecturer that is an expert on the topic being presented Apr 26, :14 PM Q6. I would be interested in taking the following verification review courses in the next year: 1 ANCC Board Certification May 3, :02 PM 2 hemodynamics, ccrt Apr 28, :37 AM 3 pain resourse Apr 27, :13 AM 4 More courses on PEDS TRAUMA/peds CCRN Apr 26, :14 PM 12 of 18

13 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 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 Quest, Curlin Pump Library, Open Unit Visiting, etc. (the list for both these questions could go on and on) May 8, :08 PM 2 rhabdo protocol salt wasting protocol tbi protocol dcd protocol May 4, :38 AM 3 skin, curlin, new beds, charting, infection control May 3, :31 PM 4 CPS - done too infrequently and needs staff re-training more often May 3, :02 PM 5 Procedure for Oscillating Ventilator Apr 30, :32 PM 6 Curlin pump regulataions. Insulin drips. Restraints policy Apr 30, :09 PM 7 clinical pathway of CHF/AMI Apr 29, :22 PM 8 double checks of high risk medications Apr 28, :49 AM 9 Change in concentrations of PCA medications Apr 28, :23 AM 10 Administering code medications Apr 27, :46 PM 11 product trials, ett place holder, new et tubes, auto transfuser Apr 27, :33 AM 12 use of only CHG wipes to bathe pt. Apr 27, :59 AM 13 New Insulin Protocol, Suicide Identification, Devastating brain injury. Apr 27, :02 AM 14 CIWA, Apr 26, :14 PM 13 of 18

14 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 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 SBAR, Lack of enough computers and space to write; use of phones in isolation rooms May 8, :08 PM 2 as above May 4, :38 AM 3 See above there are so many, are they changes or new things. May 3, :31 PM 4 end of life in critical care (one of many) May 3, :02 PM 5 Curlin; epidural May 1, :55 AM 6 Skin documentation big time change Apr 29, :22 PM 7 no ACLS drugs standardized nursing practice,need orders Apr 28, :05 PM 8 double checks Apr 28, :49 AM 9 Administering code medications, drips Apr 27, :46 PM 10 kurlin pump Apr 27, :18 PM 11 central line changes Apr 27, :33 AM 12 POP, standards of care Apr 26, :14 PM 13 The Change of the PCA settings Apr 26, :57 AM 14 of 18

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16 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Q10. What are the procedures done in your unit that you consider HIGH RISK? 1 All ICU Units/all procedures are high risk-some more than others. May 8, :08 PM 2 central line, swanz Ganz, May 7, :40 PM 3 cps May 4, :38 AM 4 whipple care, transplant care, cardiothoracic care, cardiovascular critically ill care May 3, :31 PM 5 ICP monitoring- done too infrequently May 3, :02 PM 6 CPS May 1, :55 AM 7 EVD placement Apr 30, :32 PM 8 Care of critically ill pt. who is on CPS Apr 29, :22 PM 9 line insertion, CPS Apr 28, :49 AM 10 Placing intravenous lines in agitated patients with infectious diseases Apr 28, :23 AM 11 Administering insulin gtts, propofol gtts Apr 27, :46 PM 12 med admin, following complex protocols not frequently seen Apr 27, :33 AM 13 Placement of Intracranial monitors. ICP monitoring. Apr 27, :02 AM 14 bedside o.r. procedures Apr 26, :37 PM 15 EVD placement Apr 26, :04 PM 16 Any procedure done by interns Apr 26, :40 AM 17 Lumbar drain placement Apr 26, :06 AM 18 Bedside Chest tubes Apr 26, :57 AM 16 of 18

17 Q11. What reference books would you like to see on your unit? OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf 1 AACN, Basic Med/Surg Procedures Text...the list could be pretty long; at least one set of books in case computers are down for extended periods. May 8, :08 PM 2 Lab diagnostics, PDR May 7, :40 PM 3 Lippincott's nursing manual May 3, :31 PM 4 none- they become outdated; prefer electronic resources May 3, :02 PM 5 Critical care skills and procedures May 1, :55 AM 6 critical care textbook Apr 29, :22 PM 7 nothing particular Apr 29, :46 AM 8 Ravel's clinical laboratory medicine Apr 28, :05 PM 9 Drug handbooks in med room Apr 28, :49 AM 10 Post-op care for whipple patients Apr 28, :23 AM 11 Good critical care book Apr 28, :52 AM 12 Mosby's-Pediatric updated version Apr 27, :46 PM 13 nursing clinical reference site fully accessible (not blocking articles I look at) Apr 27, :33 AM 14 policies and procedures quick reference with table of contents of where to find online Apr 27, :59 AM 15 acceptable critical care book Apr 26, :53 AM 17 of 18

18 OO9d, 2010 Critical Care Needs Assessment Survey Results.pdf Q12. What materials for patient/family education would you like on your unit? 1? May 8, :08 PM 2 bariatric diet, esophogeal ca diet, post-whipple diet, all diet handouts May 3, :31 PM 3 anything not available from Micromedex May 3, :02 PM 4 Informational brochures r/t diagnosis May 1, :55 AM 5 anything that will help in educating pt/family Apr 29, :22 PM 6 Diabetic teaching in Spanish/vietnamese Apr 28, :23 AM 7 Pain management in children Apr 27, :46 PM 8 visitation policy Apr 27, :59 AM 9 End of life care materials that adress coping for children who are loosing their parents Apr 26, :40 AM 10 Visual aids Apr 26, :06 AM Q13. I would recommend the following speaker(s) to lecture on the following topics: 1? May 8, :08 PM 2 orthopaedic care, whipple care, cardiology/cardiothoracic care May 3, :31 PM 3 review topics Apr 27, :33 AM 4 Whipple Surgery, prevention of ICU delerium, Apr 27, :59 AM 5 denis prager on happiness Apr 26, :28 AM 18 of 18