Shared Decision Making
How does PrairieCare use an interprofessional shared decision-making model?
Inpatient: Unit Council and Nurses Meetings use shared gov formats.
Outpatient: Rounding model, charge nurse meetings, interdisciplinary staff meetings, discipline meetings
How are nurse managers accessible to nursing staff?
Nurse managers are working onsite, visible on the units and available in person, by email, by phone and by Microsoft teams.
How does the organization support direct care nurses to communicate concerns about the long term nurse staffing plan?
Charge nurses give input and determine staffing on a shift by shift basis. Charge nurses do this by considering census of each unit, acuity of current and incoming patients, number of discharges, and skill mix of staff.
Which two countries share the longest international border?
US and Canada
How are direct care nurses involved in planning, implementation and evaluation of well-being initiatives?
A frontline nurse in the LDP program is collaborating with leadership to plan, implement, and evaluate implementation of "Zen Dens" in the IP setting to support the well-being of our nurses
How do orienting nurses identify their self assessed competencies on a needs assessment tool to facilitate the individualization of their orientation?
Orienting RNs use a confidence scale to identify where they need extra support during their training. The nursing education team will connect with new hire and preceptor and make changes to orientation as needed.
Provide an example of a change in nursing practice that was a result of a shared gov initiative?
Wound care protocol, diabetic protocol, written report, medical pass OG, etc.
How is feedback from peers or direct report staff incorporated into performance evaluation of nurses in leadership roles?
During yearly eval time, numerous direct reports are asked to give anonymous feedback into the performance of their leader. That feedback is then incorporated into the performance eval.
How does the organization safeguard nurses from abuse by patients and/or families?
Completing patient and visitor searches to ensure nothing dangerous is brought onto the units
Outlining expectations of respectful behavior using signage and unit/group guidelines
Training nurses on de-escalation: ACE, CPS
Workplace violence prevention committee developed signage for visitors outlining expectations of respect for our staff and zero tolerance for violence
How do nurses implement evidence-based practice in patient care areas?
Wound Care Protocol
Diabetic Protocol
Hand offs/Report
Trauma Training
Med administration
How does the organization offer opportunities to support the well-being of staff who experience adverse work-related situations?
PC has developed a peer-to-peer program at the inpatient hospital. In this program there are designated peers that are trained to support their co-workers in the event of a challenging or emotional situation, difficult restraint, etc.
How is training provided and competence established before nurses are assigned to an area other than their primary area?
Cross trained staff complete a separate competency checklist for each level of care.
How have nurses been involved in decision-making related to implementation of new technology at PrairieCare?
Outpatient: Electronic Medication Companies: Dr. First, Treat, and Avatar
Inpatient: Propio: new translation devices
What are the methods in place to be utilized by leaders to support direct care nurses during times of planned and unplanned change?
During recent periods of planned change with the Newport acquisition and subsequent IT migration, nurse managers came to work during their off hours to be available to staff, answer questions, problem solve and trouble shoot challenges that arose with the migration.
How do direct care nurses have input in staffing decisions?
We review long term staffing plan with RNs annually- last reviewed in Q3 of 2022- implemented hiring ATN, second charge on PM shift, and opened par for hospital float
We additionally are staffing Earth/single occ differently going into expansion
Plan to have additional AM charge per recommendation of nurses as well with expansion
Stay tuned for expansion staffing committee to come!
Like fingerprints, every person has a unique ________ print.
Tongue
How is the organization providing nurses opportunities to create work scheduled that support nurse well-being?
PC leadership removed the mandate requirement Summer, 2022 to prevent IP nurses and psych techs from working beyond their scheduled shifts. Management replaced the mandates with incentives such as days off, bonuses, and extra treats to incentivize staff to work extra shifts to meet patient needs.
PrairieCare offers many flexible schedules, from Monday – Friday schedules, Baylor shift schedules, and a variety of FTE’s from PRN to 1.0 to accommodate personal needs. Flexibility is afforded when requested to accommodate appointments and other personal needs on a day-to-day basis as well.
How does the organization assist with professional growth through mentoring?
Charge Nurse Mentor Program
How are nurses included in the hiring process for new staff?
We invite frontline nurses into all interview for RNs, who provide input into the hiring
How do nurse managers engage direct care nurses in cost management?
Direct care nurses (charge nurses) are involved in cost management by maintaining efficient staffing practices (staffing to census, call off priority related to bonus or overtime pay etc)
Does the organization have processes in place to involve direct care nurses in reporting, reviewing and identifying trends of patient and nurse related safety events? If so, what are they?
Nurses report patient and nursing related safety events through the incident reporting platform
Nurses are able to review data and trends in both the PHP and Inpatient RN meetings that occur monthly
Nurses can recommend changes based on trends seen
How does the organization use interprofessional collaboration to meet quality initiatives?
Multidisciplinary committees and workgroups
Multidisciplinary service lines
Does senior leadership integrate employee resilience and well-being into strategic planning?
PC Leadership addresses compassion fatigue by providing education for all staff on transference/countertransference and by arranging for a staff member to work on a lower acuity IP unit/PHP group when a staff has expressed concerns of compassion fatigue.
How does the organization support direct care nurses to participate in professional development activities?
Nurse meetings, CEUs of the month, Information about certifications in CEUs of the month email, Sending Nurses to conferences, Charge nurse training, LDP, New grad program, Charge nurse mentor program
What does www stand for in a web address?
World Wide Web
How does the organization provide leadership development activities to enhance leadership competency?
PrairieCare has the Leadership Development Program, two RN participated in the most recent cohort. PrairieCare supports attendance to leadership conferences such as AONL (American Organization for Nurse Leadership) and MOLN (Minnesota Organization of Leaders in Nursing)
Who discovered penicillin?
Alexander Fleming
How does the organization promote a culture of person and family centered care?
Integration of Collaborative Problem Solving
Patient Centered Care- pillar of ACE- allowing patients to tell their story and support their individual needs during treatment
Our Mission Statement- this aligns with CPS
ACE training
How does the organization ask for suggestions from direct care nurses for future well-being initiatives?
A survey was conducted recently of all PC nurses. Data was reviewed and new initiatives are being born from the results and suggestions.
What is the smallest country in the world?
Vatican City
Which animal can be seen on the Porsche logo?
Horse
How is the CNO accessible to nursing staff?
CNO meets new nurses during orientation. CNO often attends training and meetings. Rounds on units and different sites. Staff are invited to email or access the CNO through an open-door policy to discuss questions or concerns.
Which country consumes the most chocolate per capita?
Switzerland
How does the organization provide sessions to education employees about respectful communication?
Preceptor training (teaches evidenced based strategies and skills to engage in respectful communication: initiating preceptor/preceptee relationship, debriefing skills, feedback skills, coaching and evaluation skills)
CPS Training- encourages all staff to believe that staff do well if they can and to give framework for engaging in problem solving conversations without becoming escalated
Charge Nurse Trainings- horizontal violence training
Most recent Relias- incivility and bullying training
How does the organization support and recognize nurses involvement in community volunteer activities?
Nurses are given 1 day of PTO per year to engage in community volunteer initiatives.
What is the process in place for newly graduated nurses to transition into practice?
New Graduate RN Transition to Practice Program!
Describe the interprofessional process that addresses how ethical concerns are managed within the organization?
This is coming!
Also...withdrawal from care conferences, escalating ethical concerns to nursing leadership so that we can take them to John Ryan/Legal
How do nurse managers accommodate and actively support direct care nurses to participate in shared governance committees?
Coverage is provided for direct care nurses to participate in shared governance committees. Time is blocked in shift wizard. Teams options are offered for those not working that day and all time is paid.
Describe how interprofessional decision-making is used in the process to transition patients from one level of care to another?
PHP has daily rounds where RNs give input on level of care based on safety concerns/risk for patients
In inpatient, nursing gives input based on assessment of sx for unit transfers (think single occ, child unit, sky, earth, etc. )
How does the organization employ strategies to align staff with the mission, vision, values or goals beyond orientation?
Video messages from our CEO which call out the purpose of our mission, vision, and values and how we continue to achieve them on a regular basis. These are also included in weekly newsletters from Ops or Nursing Director.
We give employees badge buddies as a reminder of mission, vision, and values
We give quarterly recognition as well as yearly recognition to staff who demonstrate mission/vision/values- these are announced and shared with all staff
We have “Value Ambassadors” who have specifically been recognized by peers- these people embody all three of our values. This award comes with a trophy, certificate, and public recognition.
We discuss mission, vision, values during performance evals- both 90 day and annual
Nursing education incorporates and ties together mission/vision/values into trainings
Values Pledge/Posters
How does nurse leadership foster a lived culture of recognition?
Direct care nurses have opportunities weekly to give shout outs to their peers in weekly staff huddles and newsletters. PC will be adopting the Daisy Award recognition program in the future.
How does the organization foster growth of direct care nurses as emerging nurse leaders within or outside the organization?
Nurses are identified as nurse preceptors and charge nurses.
Charge Nurse Mentorship Program
Nurses can participate in the Leadership Development Program