Unit Education Needs Assessment-5N Tele 2012

Transcription

1 North Unit Education Needs Assessment-N Tele. Job Title Percent RN.% CNA.% UC.% MT Other (please specify).%. Cardiovascular = No =Low high Lead EKG interpretation 4.8 CV Disease Manifestations: Occlusive disease, thrombosis, embolism.6 Emergency situations.6 Pathophysiology of Cardiac Processes.4 CV Disease Manifestations: structure (Regurg, stenosis, cardiomyopathy & aneurysm).4 Electro physiology- assessing for success.4 Sheath Removal.4 Rhythm interpretation. CAD & Atherosclerosis. MI Management & manifestations 4. CV Assessment & non invasive tests. Invasive tests & CV disease management. CV Disease Manifestations: arrhythmias & blocks. Cardiovascular pharmacology 4. Dyslipidemia Management. Cardiac Medications IV. CHF.8

2 North HTN Management.8 Cardiac Medications PO.8 Cardiovascular assessment.6 Pacemakers.4 Cultural considerations. Cardiovascular Other (please specify) # Cardiovascular Other (please specify) have planned for NP to teach. Pulmonary = No =Low high Pulmonary HTN.4 Chest tubes 4. PE Pulmonary Other (please specify). 4. Neurology = No =Low high CVA 4.8 Neurologic assessment Neurology Other (please specify).4 # Neurology Other (please specify) Stroke assessment planned for November. Endocrine = No =Low high DKA/HHNK 4.8 Diabetes Mellitus Endocrine Other (please specify).6

3 North 6. Hematology = No =Low high DIC. HIT. DDimer Hematology Other (please specify).4 7. Renal = No =Low high Renal assessment & labs 4. CRRT.8 Renal transplant.6 Renal (Other) Renal Other (please specify).4 8. Gastrointestinal = No =Low high TIPS. ISTAT.8 GI tubes and drains 4.8 Liver failure.6 GI bleed Gastrointestinal Other (please specify).6 9. Multisystem = No =Low high Cardiogenic shock.4 Hypovolemic shock. Septic shock. Anaphylactic shock Multisystem Other (please specify).8

4 North. Miscellaneous = No =Low high Withdrawal of life support. Code Blue.8 Core measures 4.8 Discharge process.8 Establishing a pain plan that really works.8 Rapid.6 Skin care.6 Spiritual Care.6 Medications use in the top diagnosis.6 Organ donation.4 Pneumovax/influenzae vaccines 4. Psychosocial Issues. Pain Assessment Pre & post. Falls prevention. Patient safety. Spinal surgery recovery Miscellaneous Other (please specify).. Overall Satisfaction with unit based education. =Very Dissatisfied =Somewhat Dissatisfied =Somewhat Satisfied 4=Very Satisfied Overall, how satisfied are you with your department or Unit's ongoing education and skills development? 4.8. If you are not "very satisfied" with your department/unit based education, please indicate what we can do to assist.

5 North # Text Offer more classes, the more free the better. more small short inservices. How would you improve the education offered in your department/unit? # Text as stated abovefollow up 4. Dept or Main Unit Percent N Oncology.% S Psych.% N Gen Surg.% 4E Spine.% 4N Ortho Joint.% E Gen Med.% N Telemetry.% Float Pool.% Geri Psych.% GI.% ICU.% Medical Imaging.% OR.% Pre Op.% PACU.% Rehab.% Women's Surgery Other (please specify).% 4=Very High Need. General Educational Needs =No Need =Low Need Need Critical Thinking Skills.4 Healthcare and Economics 4. 4

6 North Clinical. Patient Advocacy. Problem Solving. Hospital Consumer Assessment of Healthcare Providers and Systems (. HCAHPS) Medication Use for Different Diagnosis. Communication: Assuming Good Intent.8 Effective Patient Teaching Skills.8 Handling Conflict 4.8 Legal Issues/Risk Management.8 Mosby Consult, Index, Skills.8 Nursing Dashboard.8 Organizational Skills.8 Professional Portfolio.8 Stress Management 4.8 Writing Goals 4.8 Certification.6 Computer Skills: , intranet; excel.6 Decision Making 4.6 Professional Organizations.6 Shared Governance.6 Pressure Ulcer Prevention.6 Surgical Site Infection (SSI).6 Dealing with Change.4 Ethical Dilemmas.4 Magnet.4 Catheter Associated Urinary Tract Infection (CAUTI).4 Changing the Quality Performance Culture: Blood Administration.4 Central Line Associated Blood Stream Infection (CLABSI).4 Falls and Falls Prevention.4 Delegation.4

7 North Customer Service. Emotional Intelligence. Giving and Receiving Constructive Feedback. Identity Theft. Interdepartmental Teamwork. Library or Internet Research Skills 4. Mentoring/Precepting 4. Cultural Diversity. Effective Presentation Skills. Evidence Based Practice. Florence Nightingale Theorist. Journal Club. Ventilator Associated Pneumonia (VAP). 6. Overall Satisfaction with General education and skills Overall, how satisfied are you with your ongoing education and skills development at Porter Hospital? 7. Not Very Satisfied =Very Dissatisfied =Somewhat Dissatisfied =Somewhat Satisfied 4=Very Satisfied. 4 # Text small on unit ed rounds short fyi like min Facts

8 North 8. How would you improve the education offered at Porter? # Text Continue on! 4

9 East Unit Education Needs Assessment- E Q: Job Title RN CNA UC Other (please specify) Percent 6.%.% 6.% Q: Cardiovascular = No =Low =Modera te high Cardiovascular assessment Cardiac pharmacology CHF.6 7 DVT Q Pulmonary = No =Low high ABG interpretation Chest Tube Tracheostomy. 7 PULMONARY Other (please specify) PULMONARY Other (please specify) PULMONARY Other (please specify) PULMONARY Other (please specify) PULMONA RY Other (please specify) 7

10 East Q4 Neurology = No =Low high Neurologic assessment CVA 6. 7 TIA NEUROLOGY Other (please specify) NEUROLOGY Other (please specify) NEUROLOGY Other (please specify) NEUROLOGY Other (please specify) NEUROLO GY Other (please specify) 7 Q Endocrine = No =Low high Diabetes Mellitus Thyroid dysfunction ENDOCRINE Other (please specify) Q6 Hematology = No =Low high Blood transfusion

11 East Q7 Renal = No =Low high Renal Failure/Dialysis Renal transplant 7. 7 Q8 Gastroentestinal = No =Low high GI tubes: NG or Feeding tube GI Bleed Hepatitis Pancreatitis Liver failure Liver transplantation Q9 Multisystemic = No =Low high Anaphylactic shock.8 7 Hypovolemic shock Sepsis.88 7 Q Misc = No =Low high Code Blue Comfort Care Cultural Diversity 7. 7

12 East ETOH Falls prevention Organ donation Patient safety Pneumovax/influe nzae vaccines Psychosocial Issues Rapid Skin care Spiritual Care MISCELLANEOUS Other (please specify) 7 Q Overall Satisfaction Overall, how satisfied are you with your department or Unit's ongoing education and skills development? Q Not Satis = No =Low high

13 East # Text We have only had required CBT's, no p unit g based learning ( in g over two y years. ) nothing more funding for education, very important 4 Im just so sick of signs in the bathroom. Satisfied p p g 6 cover all areas of. 7 I still assistance with data g retrieval. g 8 there. We know this education is keeping us from whatever is going on on the floor and Q4 Improve Education in Unit 7 Text We just some type of yearly education Tape the Education programs, set up a llibrary, allow tapes to be checked out I think staff on a specialty unit should receive quarterly learning on 4 Satisfied Have more educational info available to staff and for patients. 6 any thing i to know gets to me right away 7 computer workshops.

14 4North & 4East combined Unit Education Needs Assessment-4N, 4E. Job Title. Job Title Percent RN.% CNA.% UC.% Other (please specify). Primary Unit Percent 4N Ortho 6.6% 7 4E Spine 6.4% 4. Clinical Surgery = No =Low 6 =Modera te high Spine surgery. Joint Replacement Skull Base Surgery Clinical Surgery Other (please specify) 4. Pulmonary Post Op Complications = No =Low =Modera te high Pulmonary atelectasis. PE.9 Preventing opioid induced respiratory depression Pulmonary Other (please specify) 4 4.8

15 4North & 4East combined. POST-OP COMPLICATIONS: Cardiac/ Vascular = No =Low =Modera te high DVT Compartment syndrome 4.6 Cardiac/Vascular: Other (please specify) 6. GI Post Op Complications = No =Low =Modera te high Post op nausea and.9 vomiting (PONV) Ileus GI Other (please specify) GU Post Op Complications = No =Low =Modera te high Urine retention GU Other (please specify) Neuro Post Op Complications = No =Low =Modera te high Neuro assessment for spine patient Neuro assessment for a joint replacement patient with a nerve block Confusion; Delerium Neuro Other (please specify)

16 4North & 4East combined 9. Pain = No =Low =Modera te high Treating acute pain.9 Epidural 4 4. PCA 4.9 Intermittent opioids.7 Nerve blocks 4.9 Treating pain in the opioid tolerant patient 4. Pain Other (please specify). Clinical/ Medical Rapid /Code blue response = No =Low =Modera te high Cardiac assessment. - Telemetry Pulmonaryassessment - Pulse oxyimetry 6.6 interpretation Endocrine - Diabetes 4.4 Sepsis.9 Osteoarthritis/Osteo porosis 6. Patient Safety Medical Other (please specify) 4 4.

17 4North & 4East combined. Miscellaneous = No =Low =Modera te high Code Blue 4.7 Core measures 7.9 Discharge process. Falls prevention 4.6 Organ donation 4. Patient safety.4 Pneumovax/influenz ae vaccines 6. Psychosocial Issues 8. Rapid 4.7 Skin care Spinal surgery recovery 4.7 Spiritual Care 7.4 Withdrawal of life support 4. Pain Assessment Pre & post.9 Establishing a pain plan that really works 4 4. Medications use in the top diagnosis. Miscellaneous Other (please specify). Satisfaction with =Modera ongoing unit = No =Low te high education. Overall, how satisfied are. If you are not very satisfied with your department/unit based education, please indicate what we can do to assist. Answer Options

18 4North & 4East combined # Text 8 Even though we are trained ortho nurses, not everyone uses the same learning methods. g g q y p refreshed on the basics...proper/thorough charting, accurate chart checks, emar charting I think we could use an annual "refresher course" on neuro checks and other spine/neuro related issues. Also it would be beneficial to learn about nerve stimulators, internal pain pumps (baclofen pump) and VP shunts. We get these patients randomly and don't have much education. Also DBS patients (we get them rarely as well)

19 North Unit Education Needs Assessment-N Gen Surg # #. Job Title Percent RN 8.% CNA.% UC 6.% Other (please specify) Other (please specify) clinical coordinator CNA. Clinical Surgery = No =Low 6 =Moderat e high Di Vinci prostatectomy.8 Abdominal surgery 4.67 Transplant 6. Skull Base Surgery Clinical Surgery Other (please specify) Clinical Surgery Other (please specify) WHIPPLE whipple. Preventing & Treating Post-Op Complications = No =Low =Moderat e high Preventing opioid induced respiratory depression 7.8 PE 4.9 Pulmonary atelectasis Pneumothorax/Pneumonia Pulmonary Other (please specify) Cardiovascular/Vascular = No =Low =Moderat e high DVT 4.67 Vital sign changes in the postop patient.7 Shock: Hemorrhage Cardiac/Vascular: Other (please specify)

20 North # Cardiac/Vascular: Other (please specify) educate cna's to come to the nurse about vitals!. GI Post Op Complicationns = No =Low =Moderat e high Post op nausea and vomiting (PONV) 4. Ileus GI Other (please specify).8 6. GU Post Op Complications = No =Low =Moderat high e Urine retention 7.7 GU Other (please specify) high 7. Neuro-Post Op Complications = No =Low =Moderat e Neuro assessment 4.9 Confusion 6.7 Delerium.8 Neuro Other (please specify) 8. Pain - Post Op Complications = No =Low =Moderat e high 4 Treating acute pain in the opioid tolerant patient 6.67 Epidural 4.67 PCA Pain Other (please specify). 9. Clinical-Medical = No =Low =Moderat e high Cardiac assessment - Telemetry 4 7. Cardiac assessment - Heart Failure 7.8 Neuro assessment: Liver patients 7.8 Neuro assessment: Stroke patients

21 North Rapid /Code blue response 4.9 GI assessment: Liver failure (pancreatitis, hepatitis)/transplant 4.9 GI assessment: Renal failure/transplant 4.8 Endocrine - Diabetes Skin assessment and documentation 8. Pulmonary-assessment - Pulse oxyimetry interpretation 8. Medical Other (please specify). Multisystem = No =Low =Moderat e high Septic shock 7.4 cardiogenic shock 7.8 hypovolemic shock anaphylactic shock.7 Fall prevention 9.7 Multisystem Other (please specify) # #. Overall Satisfaction with unit education =Very Dissatisfied =Somewhat Dissatisfied =Somewh at Satisfied 4=Very Satisfied Overall, how satisfied are you with your department or Unit's ongoing education and skills development?.. If you are not very satisfied with your department/unit based education, please indicate what we can do to assist. Text Possible handouts instead of classes which no one seems to be able to meet. How would you improve the education offered in your department/unit? Text 4 4 4

22 North Make the learning opportunities for times that best suits both shifts. 4. Dept or Main Unit Percent N Gen Surg.% N Oncology.% S Psych.% 4E Spine.% 4N Ortho Joint.% E Gen Med.% N Telemetry.% Float Pool.% Geri Psych.% GI.% ICU.% Medical Imaging.% OR.% Pre Op.% PACU.% Rehab.% Women's Surgery.% Other (please specify). General Education Needs =No Need =Low Need =Moderat e Need 4=Very High Need Dealing with Change. Medication Use for Different Diagnosis 8.9 Professional Portfolio Decision Making.64 Ethical Dilemmas Stress Management Certification 4. Critical Thinking Skills 6. Emotional Intelligence 6. Giving and Receiving Constructive Feedback 6. Legal Issues/Risk Management 4. Mentoring/Precepting 6. Surgical Site Infection (SSI) 6 4. Communication: Assuming Good Intent 4.4 Effective Presentation Skills 6.4

23 North Effective Patient Teaching Skills 6.4 Handling Conflict Healthcare and Economics Patient Advocacy Problem Solving 6.4 Changing the Quality Performance Culture: Blood Administration 4.4 Central Line Associated Blood Stream Infection (CLABSI) 4.4 Computer Skills: , intranet; excel Nursing Dashboard.6 Evidence Based Practice 4.7 Interdepartmental Teamwork Magnet 4.7 Organizational Skills 4.7 Delegation Hospital Consumer Assessment of Healthcare Providers and Systems ( 7.7 HCAHPS) Cultural Diversity 7.8 Identity Theft 4.8 Library or Internet Research Skills 6.8 Mosby Consult, Index, Skills 7.8 Clinical 7.8 Catheter Associated Urinary Tract Infection (CAUTI) 6.8 Falls and Falls Prevention 8.8 Pressure Ulcer Prevention 7.8 Customer Service 6.9 Florence Nightingale Theorist 6.9 Ventilator Associated Pneumonia (VAP) Professional Organizations. Shared Governance. Writing Goals Journal Club Overall Satisfaction with your education at Porter Hospital: Overall, how satisfied are you with your ongoing education and skills development at Porter Hospital? =Very Dissatisfied =Somewhat Dissatisfied =Somewh at Satisfied 4=Very Satisfied 4.9

24 North 7. If you are not "very satisfied", please indicate what we can do to assist. 8. How would you improve the education offered at Porter? Text There s to be more encouragement on furthering education. 6

25 North Unit Education Needs Assessment-N Oncology Job Title Job Title Job Title Answer Options RN CNA UC Other (please specify) Percent.%.%.% Cardiovascular = No =Low high Cardiovascular assessment. Rhythm interpretation. Cardiac Tamponade. Superior Vena Cava Syndrome. CARDIOVASCULAR Other (please specify) CARDIOVASCULAR Other (please specify) Cancer of the Head and Neck = No =Low (Medical Management)Chemotherapy and Radiation high 4. Skin Cancer (Squamous, Basal, Melanoma) 4. Updates on chemotherapy. Radiation Therapy. Lymphoma. Multiple Myeloma. Breast cancer. Skull base surgery. CANCER OF THE HEAD AND NECK Other (please specify)

26 North 4 Pulmonary = No =Low high Lung Cancer 4. Malignant pleural effusion. Pulmonary assessment. Tracheostomy. Suctioning. ABG interpretation. PULMONARY: Other (please specify) Neurology = No =Low high Brain Tumor. Spinal cord compression. CNS involvement with lymphoma. Neurologic assessment. Cranial nerve assessment. Stroke. ICP. NEUROLOGY Other (please specify) 6 Endocrine = No =Low high SIADH. Hypercalcemia. Diabetes Mellitus. Endocrine tumors. ENDOCRINE Other (please specify) 7 Hematology = No =Low high DIC. Leukemia HEMATOLOGY Other (please specify) 4.

27 North 8 Renal = No =Low high Renal assessment. Renal cell Cancer. Prostate cancer. RENAL Other (please specify) 9 GASTROINTESTINAL = No =Low high Pancreatic cancer. Liver Cancer. Colon cancer. Liver embolization. GI assessment. GI tubes and drains. GI bleed. Alcohol withdrawal. GASTROINTESTINAL Other (please specify) MULTISYSTEMIC = No =Low high Identifying pivotal Lab values. Hypovolemia shock. Anaphylactic shock. Sepsis/Septic shock. Tumor Lysis Syndrome. MULTISYSTEMIC Other (please specify) Miscellaneous = No =Low high Complementary therapy. Conflict management. Critical Thinking Skills. End of Life issues/hospice care. Ethical issues. Legal Issues.

28 North Nursing care of the patient with reconstructive surgery MISCELLANEOUS Other (please specify) Overall Satisfaction - Unit Education = No =Low Overall, how satisfied are you with your department or Unit's ongoing education and skills development? Not Very Satisfied # Text Provide attachments and articles to read for unit specific based issues Provide chemo specific education for taking OCN test How would you improve the education 4 offered in your unit? # Text Skills lab for each new employee Organized orientation for new employees with preceptors. Thanks for asking---ask throughout year what we Have a charge nurse orientation class Thanks for asking---ask throughout year what we. high.

29 ICU-SDU Unit Education Needs Assessment-ICU Question : Job Title Answer Options Percent RN 9.7% 8 CNA.% UC 4.9% MT.4% Other (please specify) 4 Number Question : Cardiovascular = No =Low =Modera te high Tandem Heart Open sternotomy IABP Hypothermia Post Cardiac Arrest Temporary pacemakers Lead EKG interpretation Cardiovascular pharmacology Cardiovascular assessment Hemodynamic monitoring Rhythm interpretation Cardiovascular - Other Other (please specify) NP only as what the uc s to do in these cases if not already known None. Question : Pulmonary = No =Low =Modera te high Skull Base Airway Management.97 8 Mechanical ventilation Tracheostomy ABG interpretation Pulmonary assessment Intubation/Extubation

30 ICU-SDU Chest tubes Pulmonary Other chest xray evaluation Question 4: Neurology = No =Low =Modera te high Deep brain stimulation 7. 8 ICP monitoring Cranial Nerve Assessment Neurologic assessment CVA EEG monitoring Neurology Other REGARING CVA: CORRECT CHARTING/TIMES FOR VS AND ASSESSMENTS. None Question : Endocrine = No =Low =Modera te high DI/SIADH DKA/HHNK Thyroid dysfunction Diabetes Mellitus Endocrine Other Question 6: Hematology = No =Low =Modera te high DIC HIT Hematology Other Addisons, reason for cortrosyn stim test None what does CBC mean None

31 ICU-SDU Question 7: Renal = No =Low =Modera te high CRRT Renal transplant Renal assessment Renal Other (please Renal Other (please specify) specify) 8 6 Renal Other Question 8: Gastrointestinal = No =Low =Modera te high Liver transplantation Liver failure TIPS Hepatitis Pancreatitis GI assessment GI bleed GI tubes and drains Question 9: Multisystem = No =Low =Modera te high Cardiogenic shock ScVO monitoring.66 8 Anaphylactic shock Hypovolemic shock Septic shock Multisystem ther renal values in ATN, obstruction, CRF New transplant drugs None when is the last time we put in a scvo monitoring line anyway? current evidence based practice suggestions for ARDS None

32 ICU-SDU Question Miscellaneous = No =Low =Modera te high Code Blue Rapid Spinal surgery recovery Organ donation Palliative Care Withdrawal of life support Psychosocial Issues 7. 8 Spiritual Care Age Specific Competency Miscellaneous Other Question - Overall Satisfcation with your unit/department based education =Very Dissatisfied =Somewhat Dissatisfied =Somewh at Satisfied 4=Very Satisfied Overall, how satisfied are you with your department or Unit's ongoing education and skills development? Question : If not Satisfied, Why? Number Staff mostly unaware of donor alliance triggers and when to call. I would love a class on paliative care vs. hospice! 9 Text Would like more ICU specific assessment, education classes when an RN asks for special training in a certain area or field it would be helpful if that opportunity would be made availabile. If it is observing in the OR or CATH lab or training in other fields. skills lab 4 More options at more times and definitely with more advance notice on inservices, etc. Not everyone seems to be at the same competency level

33 ICU-SDU Question How would you improve the education offered in your department/unit. Number 4 4 Text LEE a e DOES o e A educat FANTASTIC o s ots JOB!! a a ab e o bot day a d g t s t to be ab e to pa t c pate that means deligating some of the work/teaching so that not just one person is doing it all, then great. That will give others the opportunity to learn as well. Ask Cardiology, Weinstein, Crit Care to teach classes GET STAFF TO PLACE VALUE ON ONGOING EDUCATION FOR THE BETTERMENT OF THE PATIENTS AND OUR UNIT offer CCRN study classes that have been talked about for years but not implemented frequent lead ekg, rapid response code sessions various times Decrease the amount of competencies required for new hires and annually. I think we more competencies throughout the year rather than all at one time. Overall, I am happy with the unit based education. New Hire at this time, still in learning course work Individualize education to each person's weakness