Competency
Watching a Code for the first time
What is a vicarious experience?
A safe patient handoff model explaining situation, background, assessment, and recommendation.
What is SBAR.
Direct observation, scenarios and self-assessments.
What are three ways to assess competency in the clinical setting
"What do you make of your patient's lab results?"
What is an example of a question that can help you assess a situation and encourage the preceptee to think critically?
"Okay! it's crazy here today and there have been a few sick calls, I want you to stick by my side and we're going to get through this day together! We'll regroup later."
What is okay to say on a busy day when teaching may not be possible.
These can be described as broad or specific, performance focused, purpose oriented, short or long term, and designed to meet outcomes.
What are goals
These components, in order, provide a structure for nurse-to-provider report.
1. Introduction
2. Situation
3. Background
4. Recommendation
Setting and reviewing goals.
What is a simple precepting technique that measures progress.
"What signs and symptoms would you anticipate if the patient's condition worsened?"
What is a question to evaluate the preceptee's action and knowledge of the situation (critical thinking)?
Square peg in a round hole.
What is another way to say that not all preceptor/preceptee relationships work well.
Specific
Measurable
Attainable
Relevant
Time-bound
What is the pneumonic "SMART" used for creating goals and objectives
These individuals are just entering the work force, are described as pragmatic, are very familiar with technology, value flexibility and desire immediate and convenient access to information
Who are Generation Z?
"Your patient told me you were very patient with her when she got out of bed for the first time after surgery"
What is feedback that promotes confidence?
"What are your priorities for this patient?"
What is a good question to ask to help your preceptee plan?
What percentage of newly hired nurses leave within their first year of employment?
Knowing and decision-making that uses knowledge and experience to supplement analytical reasoning. It's also known as a "gut feeling" or "knowing without reason".
What is expert reasoning and Intuition?
Start with the heart, stay in dialogue, make it safe, don't let emotions rule thoughts, agree on a mutual goal, stick to the facts, agree on a plan.
What are the components of a crucial conversation?
On the preceptee's timeline.
How an orientation should progress.
"Why is this medication ordered?"
What is a good question when discussing the implementation of orders?
"Not right now"
What is it okay to say when you need a precepting break?
Noticing, Interpreting, Responding and Reflecting
What are the four aspects of Clinical Judgement?
Preceptor asks, "What went well?"
Preceptor provides an impression of what they think went well
Preceptor asks, "what can they do to improve?"
Preceptor shares their impressions for improvement
What is the Pendleton Feedback Model?
Confidence, curiosity and reflection.
What are critical thinking habits that may reflect progression towards independence.
"What documentation is required for this patient at this time?"
What is a good question to assess documentation?
It's like a nurse with one arm tied behind their back.
What is the reality of staffing when there's a new nurse and preceptor working together?