University Of Kentucky - UK HealthCare

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University of Kentucky HospitalDepartment of NursingORIENTATION HANDBOOKFORNURSING FACULTYAcademic Year 2017-2018Revised 06/1/20171

Table of ContentsWelcome .3General Information .5Faculty Responsibility .6Placement Process .7Patient Care Manager Contact Numbers .10Unit Description .12Nursing Administration .15UK HealthCare Policies and Procedures .16Parking .17Identification Badges .18Electronic Medical Record .18Pyxis/Medication Administration .19Point of Care Testing .20Health Requirements .21Educational Opportunities .22Patient Care and Safety .23Feedback .34Appendix .35Appendices A: Instructor Forms .36Appendices B: Student Forms .44Appendices C: HIPAA Education . .53Appendices D: Kentucky Children’s Hospital .58Appendices E: Unit Overview Checklist for New Clinical Faculty to UK . 71Revised 06/1/20172

Welcome to UK HealthCare!UK HealthCare Senior Nursing Leadership Team (from left): Dianna Weaver, Robyn Cheung,Patty Hughes, Julie Hudson, Kathy Isaacs, Brandy Mathews, Kathleen Kopser, GwenMoreland, Colleen Swartz, Marc WoodsWelcome to Chandler Hospital, Kentucky Children’s Hospital, and Good SamaritanHospital. We are excited to welcome you and your students, and look forward to being part ofan exciting educational experience for each of you. UK HealthCare nursing takes pride inproviding exceptional care to patients and their families. In order to continue this tradition, weare committed to our mission of providing high quality educational opportunities for students.Additionally, we recognize the role we play in creating the nurses of the future who willcare for our patients. We look forward to working with each of you to facilitate the process ofdeveloping these future nurses, nurses who will contribute to the health of the people of theCommonwealth of Kentucky. Thank you for choosing us to assist you in this worthy endeavor,and let us know what we can do to help you in your important work.Revised 06/1/20173

Message from Nursing Professional DevelopmentNursing professional development (NPD) is a vital phase of lifelong learning in whichnurses engage to develop and maintain competence, enhance professional nursing practice, andsupport achievement of career goals (ANA, 2000). At UK HealthCare, the department ofNursing Professional Development is committed to facilitating the ongoing professionaldevelopment of nurses to support lifelong learning, advance professional nursing practice andoptimize patient outcomes. We are dedicated to the highest standards of quality and safety inpatient care, and the ongoing pursuit of evidence-based practice and practice improvement.In addition, we strive to employ best practices in learning and development, theprinciples of shared governance in nursing practice, and the development of values consistentwith the Magnet Recognition Program . We share the University’s mission of excellence ineducation in an environment supportive of diversity and inclusiveness. Welcome to UKHealthCare – we look forward to having you here!For questions or assistance, please contact:Kathy Isaacs, PhD., RNDirector, Nursing Professional DevelopmentPhone (859) 323-4192Email kathy.isaacs@uky.eduRebecca Garvin, MSN, MBA, RN-BCManager, Nursing Staff DevelopmentPhone (859) 323-0433Email rebecca.garvin@uky.eduElaine G. Smith, MSN, RN-BC, RNC-LRNStudent Placement CoordinatorPhone (859) 218-4903Email Elaine.smith2@uky.eduRevised 06/1/20174

General InformationAddress:University of Kentucky Hospital800 Rose StreetLexington, KY 40536-0293Point of Contact:Elaine SmithStaff Development SpecialistStudent Placement CoordinatorOffice: H-704Office: (859) 218-4903Cell: (859) 200-0865Email: Elaine.Smith2@uky,eduBecky GarvinManager - Staff DevelopmentOffice: (859) 323-0433Fax: (859) 257-4838Email: rebecca.garvin@uky.eduThis Orientation Handbook has been developed to ensure that faculty responsible for students at UKHealthCare have the information necessary for meeting the orientation requirements. A review of the handbookis required by faculty on an annual basis. It is the responsibility of faculty to relay any necessary information inthis handbook to students. Faculty must submit an abbreviated resume validating recent clinical experience inthe placement area for which the clinical rotation will take place.In addition to the Faculty Handbook, faculty supervising students in the Kentucky Children’s Hospital(KCH) are required to review the Faculty Orientation Manual for KCH (located in the appendix). Facultywith students in KCH are expected to have demonstrated recent clinical experience in the care of pediatricpatients.All faculty must also submit objectives for the clinical rotation, and a copy of all paperwork included thispacket (the list of clinical students with contact information will be kept in clinical file to be used in emergentsituations only).This handbook, as well as the Orientation Handbook for Nursing Students, is available ng/faculty/Revised 06/1/20175

Faculty ResponsibilityFaculty and Student OrientationClinical faculty members new to UK HealthCare are required to meet with the Student PlacementCoordinator prior to starting clinical experiences with students. This gives the faculty member time to askquestions and review the required paperwork for the facility prior to his/her clinical group starting. Orientationto the assigned unit must be arranged by the faculty with the unit manager if new to the institution or clinicalarea. Each new faculty member can expect to spend 1-2 days on a unit shadowing an RN prior to commencingorientation for his/her clinical group.Faculty instructors are required to provide an orientation for their students to review, expand upon, andanswer any questions regarding the information provided for the students in the Orientation Handbook forNursing Students. It is the responsibility of each faculty instructor to obtain and distribute the Handbooks.These handbooks have been developed to ensure that orientation is provided prior to the students’ first clinicalexperiences. The student handbook introduces the students to the expectations and standards set forth by theUK HealthCare. The handbooks are to be given to all undergraduate and graduate nursing students, LPN’s ornursing assistant students by each faculty instructor.Please Note:All faculty documentation must be complete and submitted to the Student Placement Coordinator priorto the first day of the clinical rotation. Failure to comply with required documentation may result in immediatedismissal of the clinical group from the unit until further notice.Required student documents must be complete and submitted to the Student Placement Coordinatorprior to any patient contact or care assignment. Failure to submit student documents may result in immediatedismissal of the clinical group from the unit until further notice.Revised 06/1/20176

PLACEMENT PROCESSCoordination of Student PlacementThe process of student placement begins with the activities of the Bluegrass Planning Committee. Thisorganization meets biannually and is comprised of representatives of all schools of Nursing and ClinicalAgencies within the Central Kentucky Bluegrass area. Each academic program requests student placement forthe following semester and agencies agree on what can be accepted. As a faculty member this committee hascleared your agency affiliation, unit assignment, and limit on numbers of students. Clinical groups are givenapproval at this meeting. Preceptorships and MSN student approval is tentative based on preceptor availabilityand will be finalized closer to the start of the semester. Requests for Preceptorships must also be initiallyrequested through the Bluegrass Planning process.The Student Placement Coordinator within the Department of Nursing is responsible for coordination of allnursing student placements within the Medical Centers.Types of Student Placements AvailableA.B.Clinical Group: Supervised directly by school’s clinical faculty instructor/professorPreceptorship/Synthesis Experience: Supervised directly by UKHC staff registered nurse withschool’s clinical faculty/instructor available by phone, pager, or onsiteClinical Group Placement Guidelines1. Only one clinical group can be on a unit at one time.2. Only 2 clinical groups can be on a unit in a 24-hour period.3. Prior to the beginning of each semester, the clinical instructor should confirm the units, dates, times, andnumber of students with the Student Placement Coordinator. If you do not plan to use a unit that wasoriginally requested and granted, please forward that information as soon as possible.4. The faculty member is expected to be CONTINUOUSLY AVAILABLE to non-preceptedundergraduate students during clinical hours and to provide DIRECT supervision for techniques that areunfamiliar to the student.5. Faculty is responsible for determining student assignments after discussion with nursing staff. Anassignment form should be posted on the clinical unit as soon as assignments are made. Students comingin for pre-clinical assessments may do so at a time when there are no other nursing students on the unit.This time must be approved through Bluegrass Planning.6. As a courtesy to patients, please let the patient know that she/he will be having a nursing student withfaculty supervision.7. Objectives for the clinical experience should be shared with the Patient Care Manager prior to the firstclinical experience.8. Be aware that, at times, preceptorships for new staff as well as students may be occurring in the clinicalarea. Preceptees work with RN staff with whatever assignment he/she has for that shift (direct patientcare, record reviews, in-services, facilitation of student clinical experiences, etc, etc.).Revised 06/1/20177

Preceptorship: Student PlacementDefinition: A “Preceptorship” is a clinical experience that links a senior nursing student with experiencedRegistered Nurse employed at UKHC. The student “Preceptee” performs that clinical experience during thescheduled work shifts of the RN “Preceptor”. Nursing student Preceptorships are requested via the BluegrassPlanning process. Faculty or the Clinical Coordinator should give a list of students needing preceptorships tothe Student Placement Coordinator. The Student Placement Coordinator will then arrange preceptors for asmany of the students as possible. Patient Care managers should not be directly contacted for student preceptorsunless directed to do so. The guidelines are as follows:1. To verify the data submitted to the previous Bluegrass Planning meeting, faculty should contact the StudentPlacement Coordinator first. This will ensure that information regarding school priority placements is knownand will provide ideas for unit preceptor opportunities.2. Faculty will submit a list of students to the Student Placement Coordinator for preceptorship placement.3. Objectives and measures of success developed by the student and supervising faculty member should beshared with the Patient Care Manager and the Preceptor prior to the first clinical day.4. Faculty is expected to orient students on the unit for a clinical rotation at UK.5. A student may contact a Preceptor only after the faculty facilitator has made the contact with the Patient CareManager and objectives have been shared.6. Preceptor students may be on a unit at the same time as a clinical group.7. Please bring any student placement questions or concerns to the Student Placement Coordinator.Preceptorship: Undergraduate StudentsFaculty is expected to meet with the student and preceptor on a REGULAR basis during the semester.Expectations of the faculty for preceptor involvement in the evaluation process should be shared at the firststudent/faculty/Preceptor conference. The faculty member will negotiate availability of the faculty as aresource during student clinical hours with the Preceptor, student, and Patient Care Manager (PCM) of the unit.The school’s clinical faculty/instructor is expected to be readily available by phone, pager, or onsite. Objectivesfor the clinical experience should be shared with the PCM and Preceptor prior to the first clinical experience.Students do not receive independent access to the PYXIS system. Student access to the electronic medicalrecord system (SCM) is dependent upon completion of appropriate request and student training. Students arenot granted individual/independent access to other secure computer systems.Preceptorship: Graduate Students (including students in advanced practice nursing programs)Requests for graduate student clinical assignments will be made to the student placement coordinator.Objectives and clinical plan are to be submitted to the Patient Care Manager and the preceptor prior to theclinical experience. Graduate students on a unit are expected to inform the RN caring for the patient when theyfirst arrive on the unit and communicate their objectives. If the graduate student plans a clinical experience toinclude direct patient care, it is expected this will occur at a time when no other student groups are on the unitunless approval is received by the Patient Care Manager and the student placement coordinator. The studentwill communicate with the assigned registered nurse preceptor to receive report and to communicate anypertinent patient information during the clinical experience. Care given must be documented and reportprovided to the nurse preceptor at the completion of the clinical experience.Revised 06/1/20178

If any graduate or undergraduate nursing student is planning a project or research activity at UKHCas part of their student experience, a nursing research proposal must be submitted to the Chairperson ofthe Nursing Research Committee from the individual investigator. If the study involves human subjects,approval may also be subject to review by the Medical Institutional Review Board. Please contact KathyIsaacs Director, Nursing Professional Development (859) 323-4192 or Kathy.isaacs@uky.edu prior tobeginning any project/research activity.Hospital ObserversAn observer is defined by Hospital Policy HP01-20 (Hospital Observers) as one of the following: A student, trainee, or practitioner in the area of health care who is participating in University trainingunder the supervision of a University health care provider.A University non-health care professional who is participating in training to perform their Universityresponsibilities.A person authorized by the patient(s) to be observed pursuant to a properly executed HIPPA-compliantauthorization.Note: This policy excludes students, trainees and practitioners who are under generalsupervision.The sponsoring department will make arrangements with Hospital Administration, Room N100 at(859) 257-2278.Revised 06/1/20179

Patient Care Manager Contact InformationThe PCM is accountable for patient care on their unit(s). An initial contact with the PCM should be made bythe clinical instructor who will be utilizing a specific patient care area. Communicate with the PCM routinelyto discuss special student needs, student objectives, and problem resolution for that specific unit. A listing ofthe PCMs with phone numbers and email addresses is provided (See resource for PCMs & SDS).UNITPCMPHONE & EMAIL ADDRESSCentral Monitoring StationMelascene Cole8E, 8S, 8W & Dialysis –Trauma/SurgicalJitana Benton-Lee7S & 7WNeuro6N/6WCardiac6S/6EPulmonary5th floorInternal MedicineAcute Care-KCH(4E& 4W)NICU & 3 NeoGayle PlankPICU-KCHSuellen HedgerL&D, NBN, MBUAnita TaylorCAS Pre-Op, PACURobin Wilson-NeeleyPACU, Pre-Op, HoldingPre-Op ClinicMarkey Cancer Center 2Raymond YoungMarkey Cancer Center 3 & BMTLola ThomasonMarkey Cancer CenterOutpatientEmergency DepartmentChandlerLauren StroudHeather CourtneyAshley GomezLisa ButcherShannon HaynesShannon WeilBonnie BrownMatt ProudEndoscopyInterventional RadiologyCath LabVacantTransitional Care Unit/7EPamela LaneRevised 06/1/2017Kim ail.uky.edu859 lane@uky.edu

PAV A 6th floor Tower 200NSICUPAV A 6th floor Tower 100NS Prog/ACPAV A 7th floor Tower 200Trauma/Surgical Prog/ACPAV A 7th floor Tower 100Trauma/Surgical ICUPAV A 8TH floor Tower 100CardiovascularPAV A 8TH floor Tower 200CardiovascularPAV A 9TH floor Tower 100 & 200Universal Beds MedicalPAV A 9TH floor Tower 100 & 200ICU MICUPAV A 10TH floor Tower 100 & 200UniversalPAV A 10th floor Tower 100 & 200Medicine ICUGOOD SAMARITANHeather VanceUNITEmergency DepartmentPCMErin MoorisGSH ORSherri StevensGSH PACUMonica JohnsonBehavioral HealthKaren Gaible-CarrollTele 4 WestICUTele Main/ 4 MainTheresa CrossleyMed-Surg/5 Main & 2WJamie CrossOrtho/ 6 MainDonna LaneGSH 7th floorSherri DotsonWound CareCori MatsakisRevised 06/1/2017Leah PerkinsChristina BurtonRebecca CharlesChristine GribbinsDemond JacksonCheryl MitchellRon SimpsonRhonda Yocum-SaulsberryStacy MasonVerna ry@uky.edu859 257-2464stacy.mason@uky.eduPHONE & EMAIL herri.fields@uky.edu226-7031cori.matsakis@uky.edu

Unit DescriptionsPAVILION HUnit / Number of Beds8E / 10 beds8S / 9 beds8W / 10 beds7E / 9 beds7S / 10 beds7W / 10 beds6E / 8 beds6S / 9 beds6W / 8 beds6N / 12 beds5E / 10 beds5S / 10 beds5W / 10 bedsDialysis / 5 beds4E, 4WPICUNICU4NL&D / 12 bedsTriage / 4 bedsOR / 2 suitesMBU / 17-26 bedsNBN / 24 bassinettes3N /12 bedsMCC-BMT / 16 bedsMCC-3 / 12 bedsMCC-2 / 28 bedsTransitional Care Unit/ 24bedsRevised 06/1/2017Population DescriptionKidney/Liver/Pancreas TransplantSurgical Progressive CareSurgicalTransitional Care UnitMedical-Surgical5 beds Medical-Surgical5 beds Epilepsy MonitoringPulm/Med Service LinePulm/Med Service LineCV Service LineCV Service LineInternal MedicineInternal MedicineInternal MedicineAcute and Chronic DialysisSee Kentucky Children’s HospitalAddendumSee Kentucky Children’s HospitalAddendumSee Kentucky Children’s HospitalAddendumSee Kentucky Children’s HospitalAddendumLabor and Delivery;AntepartumMother/Baby UnitMedical SurgicalBlood & MarrowTransplant/LeukemiaHematology OncologySurgical OncologyHigh acuity similar to ED12Staffing ouplets: 1LDR:2:1NBN:1 RN & 1NCT6:11:31:41:5Acuity dependent:4:1 to 1:1

PAVILION ATower 1, 6th Floor: 12 ICU beds 20 Progressive CareStroke bedsTower 2, 6th Floor:Neurosciences2:1 or 1:1 ICU)3:1(ProgressiveCare)Neurosciences2:1 or 1:1 (ICU)3:1 (ProgressiveCare)5:1(Acute Care)Trauma, Orthopedics, GeneralSurgery, Abdominal Transplants2:1 or 1:1 (ICU)3:1 (ProgressiveCare)5:1(Acute Care)Trauma, Orthopedics, GeneralSurgery, Abdominal Transplants2:1 or 1:1 (ICU)3:1 (ProgressiveCare)5:1(Acute Care)Cardiovascular2:1 or 1:1 (ICU)3:1 (ProgressiveCare)5:1(Acute Care)Tower 2, 8th Floor: 32 ICU Care BedsCardiovascular2:1 or 1:1 (ICU)Tower 1 & 2, 9th Floor 24 ICU beds 20 UniversalMedicineTower 1 & 2, 10th Floor 24 ICU beds 20 UniversalCardiac Cath Pre-op andRecoveryMedicine2:1 or 1:1 (ICU)3:1 (ProgressiveCare)5:1(Acute Care)3:1 (ProgressiveCare)5:1(Acute Care)Chandler ED 12 Observation 12 Peds ED 58 Adult EDLevel 1 Trauma Center EmergencyDepartment 12 ICU beds6 Progressive Carebeds14 Acute Care bedsTower 1, 7th Floor: 12 ICU beds6 Progressive Carebeds14 Acute Care bedsTower 2, 7th Floor: 12 Surgical &Transplant beds 6 Progressive Carebeds 14 Acute Care bedsTower 1, 8th Floor: 32 Progressive CareBedsRevised 06/1/2017Cardiac outpatient and inpatient(general and ICU)13Patient to nurseratio varies

Good SamaritanEmergencyDepartmentEmergency DepartmentPatient to nurseratio varies3rd floor 19 Adult 12 AdolescentBehavioral Health UnitVaries based on acuity4th Floor 32 Telemetry4 Main 12 Telemetry4 West 15 ICUTelemetry/Progressive/ICU4:1 Telemetry2:1 ICU5th Floor 23 Acute CareBedsMedical Surgical5:1 (Acute Care)6th Floor 35 Acute CareBedsOrthopedics – total joint replacements5:1 (Acute Care)7th Floor 30 Beds – 24/30soft teleMedical Surgical/Telemetry5:1 (Acute Care)Revised 06/1/201714

Nursing Administration ServicesNursing Administration Services provides support to the divisions of patient care services. Nursing leadersare listed below for your reference.Nurse LeaderColleen SwartzBrandy MathewsLacey BucklerJulie HudsonGwen MorelandPatty HughesNina BarnesSarah LesterKathy IsaacsPhillip EatonPatti HowardLisa ThornsberryKathy StephensonJulie BlackburnLisa FrymanKim PenningtonJulie DevergesJudy PoeShelly MarinoRevised 06/1/2017TitleChief Nurse Executive and Chief Administrative OfficerAssistant Chief Nurse Executive Good SamaritanAssistant Chief Nurse Executive Cardiovascular and OutreachAdministrator Enterprise: Perioperative and Interventional AreasAssistant Chief Nurse Executive Kentucky Children’s HospitalAssistant Chief Nurse Executive Ambulatory ServicesDirector, Markey Cancer CenterDirector: Professional Practice & InnovationDirector: Nursing Professional DevelopmentDirector Medicine/Pulmonary ServicesDirector Emergency ServicesDirector Good Samaritan Acute CareDirector Good Samaritan Critical CareDirector Neuroscience Service LineDirector Trauma/Acute Care Surgical Service LineDirector Gill Heart ServicesDirector Perioperative Services at Good Sam and CASDirector Procedural ServicesDirector KCH Women’s and Neonatal Services15

UK HealthCare Policies & ProceduresThe following references and resources are available through the UK Hospital intranet:www.hosp.uky.edu/careweb Hospital PoliciesNursing PoliciesNursing Protocols (under Nursing Policies)Nursing Continuing EducationNursing Web PageHere are some of the UK HealthCare policy numbers Patient Rights & ResponsibilitiesConfidentialityPatient IdentificationInfant Child SecurityHand HygieneStandard Transmission PrecautionsSNAP Access to the Electronic Medical RecordDress CodeDress and Appearance for 5-100A09-085NU09-12Please refer to the website listed above for any additional policy information.Revised 06/1/201716

ParkingFaculty and students are responsible for obtaining a parking pass for UK HealthCare Chandler Hospital,Kentucky Children’s Hospital, and Good Samaritan Hospital.Faculty members are eligible for an E parking permit; non-UK College of Nursing faculty should apply for a“Visiting Professor” parking permit. Permits can be obtained at Parking Structure #6, located on the corner ofVirginia and Press Avenues. Students who plan to drive may apply online for a student parking permit atwww.uky.edu/pts.Students enrolled at the University of Kentucky follow standard student procedures to obtain parking. Studentsenrolled in other colleges and universities are required to apply in person at 721 Press Avenue (inside ParkingStructure #6, on the corner of Virginia and Press Avenues). Parking is not permitted in the Hospital Parkingstructure. For more information, the P&TS phone number is (859) 257-5757.Parking is not permitted in the Hospital Parking structure.Revised 06/1/201717

Identification BadgesAll Clinical Instructors must obtain an individual UK ID badge. The new badges consist of a WildCard ID(which has the technology – such as door access) and a UK HealthCare specific badge for clear identification. Each school except UK College of Nursing should have student badges assigned by the clinical instructoreach semester. This badge must be worn in addition to the student’s school identification badge duringtheir clinical experience. At the end of the semester the clinical instructor must get the UK assigned badgeback from the clinical student so that the clinical instructor can use it again the next semester. UK Collegeof Nursing students will continue to use their school ID that they receive when enrolling into the nursingprogram. The clinical instructor for all schools will need to complete the identification badge assignment form andemail it to the student placement coordinator at elaine.smith2@uky.edu and security atsecurityIDBadges@uky.edu at least one week prior to start date in order for the badges to be activated.Electronic Medical RecordUK HealthCare has implemented electronic documentation. Nursing documentation and documentation ofmedication administration will be performed via the Sunrise Clinical Manager (SCM) computer system.Documentation Faculty AccessAccess may be granted to SCM for clinical faculty/instructors following completion of an initial trainingclass and competency. The Student Placement Coordinator will offer training dates and times to facultymembers prior to the start of each semester. It is the responsibility of the faculty member to sign up andattend this class.For returning instructors that have documented in the SCM system within 6 months or less, an onlinereview module is available as a refresher. Returning instructors that have NOT documented in the SCMsystem for 6 months or greater are required to repeat the classroom training and competency.Clinical instructors may be required to complete additional training in the event of major upgrades orchanges to the documentation system. Minor changes to the SCM system may be included in generalcommunication to instructors and/or schools.Revised 06/1/201718

Documentation Student AccessStudents have the opportunity for View Only or Nursing Student Documentation access to SCM. Theprocess for student SCM access is as follows: Each school or Clinical Instructor must submit an SCM Access Request Form to the StudentPlacement Coordinator by the semester deadline:o Fall Semester – July 1sto Spring Semester – December 1sto Summer Semester – May 1stRequests for access will be made to the UKIT Security Department by the Student PlacementCoordinator. Building individual access for students into the system may take up to 4-6 weeks, orlonger during peak times.Each semester (regardless of prior SCM training and experience), students must complete theappropriate training module and competency – training modules are provided to the school by theStudent Placement CoordinatorThe school or Clinical Instructor will notify the Student Placement Coordinator when student SCMtraining is complete (see appendix for form)A Confidentiality Agreement in the Student Handbook must be signed

Manager - Staff Development Office: (859) 323-0433 Fax: (859) 257-4838 Email: rebecca.garvin@uky.edu This Orientation Handbook has been developed to ensure that faculty responsible for students at UK HealthCare have the information necessary for meeti

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