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Daily Shift Share Program
3801 N Lamar Blvd, Austin, TX 78756
(512) 407-7000
06/15/2020 Page 2 of 14
Table of Contents
Topic Page number Keeping you in the know – Message from Sheila Fata 3
Welcome to Heart Hospital of Austin 4
To Do List 4
Clocking In 4
Pyxis Access 4
Meditech 5
Meditech Assistance Hotline 5
Orientation 5
Introduction to the Unit Worksheet 6
Maps, Parking and Entrances 7
Department/Floor Locations Map 8
Department/Floor Locations Grid 9-10
Important Phone Numbers 10
Department Phone Numbers 10-11
Badge and Uniform information 11
Café Hours and Information 11
Additional Tools/Just in Time Resources 12
Reassignment of Nurses 13
Learning on the Fly 13
Marketing Yourself in a Positive Way 13
Understanding Crisis Management Options 14
06/15/2020 Page 3 of 14
Keeping YOU in the KNOW-Nursing Updates
From day one, senior leadership has addressed the pandemic with two clear objectives.
To protect our nursing staff - keep them safe and employed. To protect the company - ensure its viability from a financial standpoint, so we can
continue to serve our communities for years to come.
As we reboot our operations, our mission remains constant. At the same time, we must be
nimble and adapt to the changed needs of our community. A key priority is to shift our nurses
from facilities with low census and demand to facilities with a high census.
On May 25, 2020, a division/market staffing process was initiated. This process occurs twice
daily and includes:
A virtual meeting with facility house supervisors that is chaired by the division leader A review of each facilities staffing per department A reassignment of nursing staff based on need and census. Staff will be notified of any
necessary assignment changes by the facility house supervisor before your shift Reassignments will occur between facilities within your market
We know that being asked to work in a facility other than your home facility is uncomfortable for
many. Please know that we have made this decision so that we may continue to provide
exceptional care to our patients, meet the changing needs of our community, and keep our
nursing staff employed.
This booklet is designed to give you some basic information about our hospitals to help ease
your transition.
Thank you for all that you do and have done for our patients!
Sheila Fata, MBA, BSN, RN, NEA-BC
Division Chief Nurse Executive
06/15/2020 Page 4 of 14
Welcome to our Facility!
Michael A. Lopez MBA, BSN,
RN, CEN
CNO Heart Hospital of Austin
3801 N Lamar Blvd, Austin, TX 78756
(512) 407-7000
“To Do List” for RNs Upon Arrival:
1. Park and proceed to your assigned unit
2. Ask for the Charge Nurse and introduce yourself
3. Discuss your competencies with the Charge Nurse
4. Ask who your “resource buddy” will be for the shift
5. Ask where to safely store your belongings
6. Ask for quick tour of the unit and use the tool on page 5 to guide you
Clocking In
Ask your receiving Charge Nurse for the Kronos Log sheet so you can enter your hours.
If you are familiar with Kronos ETE, you can also log your hours that way.
Pyxis Access
You will need temporary access granted from the unit you have been assigned to.
06/15/2020 Page 5 of 14
Meditech
Your Meditech Access should be available and working for you at your newly assigned
facility.
Meditech Assistance Hotline
Should you need charting assistance in Meditech, please call 1-800-737-8661 x1333 or
954-514-1333 and select option 2 to contact an experienced Meditech instructor.
Hours:
Weekdays: 8 AM – 5 PM EST
Orientation
Introductions are crucial to team success. Each individual brings with them certain
competencies and skills. In the introduction, each member should discuss what skills
they can assist with throughout the shift. Charge nurses should discuss the care needs
for patients within the unit and determine how the work can be divided up to ensure
each patient receives the best care utilizing everyone’s talents on the team. During your
orientation to the unit you have been assigned, the Charge Nurse will review
environment of care, which will include the safety features of the unit. Please use the
table on the following page to guide your conversation with the Charge Nurse so you
can rapidly become familiar with your new surroundings.
06/15/2020 Page 6 of 14
Introduction to the Unit
Introduction Unit/Dept. Specific Safety Key Equipment
Co-Workers Time clock location Fire Extinguishers & Fire Pull Locations
Computer workstations
Identify Skills/Competencies
Employee lockers Code Button Crash Cart
Types of Patients to be cared for
Employee restrooms Nurse Call System POCT Equipment
Location of important phone numbers
Linen and Supply Rooms
Medical Gas Shut Off Location
Defibrillator
Huddle/Assignment location
Medication Room Evacuation Plan and Supplies
Malignant Hyperthermia Cart
Supervisor/Manager (Office)
Soiled Utility Stairwell Exits Rapid Intubation Cart
Patient Transport Elevators
Tube System Bed Alarms/Operation
Chest Cart
Nurse Station
Respiratory Workroom Safe Lifting equipment
Pumps (IV, Epidural, Enteral Feeding, PCA)
Copy/Printer Room
Breakroom Restraint Location Bladder Scanner
Blood Bank
Hydration Stations PPE Donning and Doffing
Vital Signs Monitoring Equipment
Documentation
Negative Pressure Room
Patient Transport (Tele certified)
O2 set up and Tanks (Pulse Ox)
Patient Rounding
Assist with ADL Doppler
Hygiene Care
Suctioning Hypo/Hyperthermia Blanket
Scales for Patient Weight
Catheter Insertion Sequential Compression Device
Specimen Collection Suction Set-up
Post-mortem Care
i-mobile
06/15/2020 Page 7 of 14
Maps and Parking
Colleague Parking
For short-term redeployment assignments, colleagues may park in the front parking areas.
For long-term redeployment assignment, park in the parking garage located behind the apartment complex, as seen in the map above. Please park on Level 3 of the garage. Spaces will be marked as “non-reserved non-visitor.”
Entrances (see map above)
ED Entrance: entrance is on the north side of the hospital Main Entrance: entrance is on the south side of the hospital through the double doors behind the valet
06/15/2020 Page 8 of 14
Department Locations
06/15/2020 Page 9 of 14
Department/Floor Locations
Accounting Third
Administration Third
Admin Conference Room Third
Advanced Clinicals Midtown Medical ( 301 )
Austin Heart Central Park Tower - Fourth
BioMed First
Cafeteria First
Case Management Third
Cath Lab First
Classroom 3 Third
Central Scheduling Midtown Medical
Chaplain Services Third
Concierge First
CV Services First
Day Patient First
Emergency Department First
Employee Health Third
Environmental Services Third
EP Lab First
Executive Wellness Third
Food and Nutrition Services First
Health Information Management Third
Human Resources Midtown Medical - Third
Imaging Third ( 350 )
Infection Control First
Lab Second
Maintenance/Engineering First
Materials Management First
MCS ECMO/VAD Third
Medical Staff Services Third
MIS Third
Nursing Admin Second
OR First
PACU/Recovery First
Patient Access Services First
Patient Rooms 201-258 Second
Pharmacy Second
Physical Therapy Second
Pre-Admission Clinic Third
Quality Midtown Medical ( 301 )
06/15/2020 Page 10 of 14
Department/Floor Locations (cont.) Radiology/Imaging Services Second
Respiratory Therapy Second
Security Officer First
Sleep Center First
Valve Clinic First
Important Phone Numbers
Main Hospital: 512-407-7000
Security: 512-407-7911
House supervisor: 512-407-7200
Dept/Name Title Ext #
Cath Lab 77300
Steve Dunne Cath Lab Supervisor 77309 Concierge 77020
CV Services
Alicia Kayga Director of CV Services 77563
Dustin Graham Manager of CV Services 77406 Emergency Dept 77700
Kirsten McLaughlin Director of ED 77544
Employee Health
Denise Woods 77495 Environmental Services 77348
Larry Lear Director of EVS 77098
EP Lab 77354 Kate Swenson EP Supervisor 77313
Human Resources
Lizzette Runnels VP of HR 77515
Danielle Miller HR Coordinator 77564 Laboratory 77900
Kylar Hester Director of Lab Services 77550
Maintenance/Engineering 77198
IT/MIS 77050
06/15/2020 Page 11 of 14
Dept. Title Ext #
Nursing Services Judee Brinley Director of Inpatient Nursing
Services 77540
Alyssa Funke PCU Manager 77383
OR 77100 Missi Johnson Director of Surgery 77543
Pharmacy 77800 Mike Matthews Director of Pharmacy 77555
Radiology/Imaging Services 77600 Scott Lehman Director of Diagnostic Imaging 77544
Ricky Rodriguez Manager of Diagnostic Imaging 77123
Badge and Uniform Information
Please remember to wear your badge when reporting for your assignment as a source of identification and for access purposes. Department leadership will work with Facilities/Engineering to set up temporary badge access.
Clinical staff: wear your normal uniform Non-clinical staff: observe uniform guidelines (no jeans, leggings, tights, etc.)
HHA Café Hours and Information
The HHA Café is located on the first floor near the lobby.
The Café is open Monday-Friday from 7:00am-9:00am for breakfast and 11:00am-2:00pm for lunch.
The Café is not open on evenings or weekends, but Central Market is available next to the hospital.
06/15/2020 Page 12 of 14
Additional Tools and Information
Just In Time Resources
We want to refresh you on the resources you have available for just in time learning.
We have access to resources that include information and guidance to help provide
excellent care. If you cannot locate a resource please ask, we are here to help you!
ONLINE REFERENCES
Resource Name Description Location
Atlas HCA corporate intranet-HCA
initiatives and documents
SDH intranet>Atlas Connect
CE Direct Free access to continuing education
and certification review courses
SDH intranet>Clinical Tools; internet access available
Clinical Pharmacology Drug reference, including medication interactions, compatibility, etc.
SDH intranet>Medical Resources
EBSCO Clinical Research Clinical research database-to
access specific articles or journals
SDH intranet>Medical Resources; internet access available
E-Demand Repository for facility/SDH forms
(consents, specific patient instructions, etc.)
SDH intranet>Admin Tools
HealthStream
SDH/HCA Learning Management System- repository for most
mandatory and elective learning; HealthStream Competency
Center: electronic orientation and annual competency assessment for
all staff, as well as annual evaluations; HealthStream CE
Center: free access to continuing education and certification review
courses
SDH intranet>Admin Tools; internet access available
Dynamic Health SDH procedure manual,
includes instructions, checklists and references
SDH intranet>Medical Resources
Policytech Electronic file for SDH policies SDH intranet>Policies
Institute for Learning (IFL) Course Registration-for any
course offered through the IFL
SDH intranet>Institute for Learning; internet access available
www.stdavids- institute.com
06/15/2020 Page 13 of 14
Reassignment of Nurses – Based on Donna Wright Model
When nurses are floated from one nursing unit to another, the issue of competency
arises. We ask quite frankly, does this nurse have the skills, knowledge and abilities to
function in this capacity? Experiencing a surge of patients can make it difficult to cross-
train or put nurses through a complete orientation. How can we facilitate a successful
floating process? According to Donna Wright, when asking nurses that float and those
that receive float nurses, there are three themes that consistently are heard and are
actually competencies for the nurse that is reassigned to another care area. These
include:
Learning on the Fly
Marketing yourself in a positive way
Understanding crisis management options
Learning on the Fly
Learning on the fly competency has two parts to it. First, I need to know what I do not
know and be able to speak up about it. The second essential aspect of learning on the
fly includes:
I am not sure about this procedure….I am going to look it up.
I am going to ask someone how to do this.
I will use the resources that are available to guide my actions.
Obviously, this is not going to work for every procedure and task that we do, but many
times learning on the fly skill is used successfully. To demonstrate learning on the fly,
imagine a nurse is floated to a medical-surgical floor that provides dialysis. The nurse
has never worked in dialysis before and does not know how to do dialysis. The charge
nurse may ask an experienced nurse to setup the dialysis and point out the basic things
to watch for when monitoring a patient on dialysis. The charge nurse can buddy up the
inexperienced nurse with another professional to ask further questions to support the
patient’s care. The most important thing is to propose ways to be useful while remaining
open to learning new things.
Marketing Yourself in a Positive Way
As a Registered Nurse you have lot of knowledge, skill and experience that you can
bring to any situation. Also as RNs, we need to market ourselves a little better and let
those we are working with understand what skills and experience we can bring to the
06/15/2020 Page 14 of 14
team. Sometimes we may say, I was told to come here, I have never worked here
before, I am not familiar or comfortable with working in this area or specialty, and I do
not know how to do any of those things.
When you are reassigned to another nursing unit, we recommend that you make these
two statements to the team or the charge nurse:
My name is ________ I am floating to your unit for this shift. I am here to help
you out.
I have the following skills that I can offer to you today, and you can see how they
may fit into what is needed. I can do ___________, and so on.
When nurses have the ability to market themselves positively, the results and the shift
experiences are much better. The success of the shift and the reassignment
experience do not lie in the clinical skills, but instead in the “can-do” attitude the person
brings.
Understanding Crisis Management Options
Most of the time when a nurse is reassigned to another area, that area is under stress,
stretched, or moving into crisis mode because they do not have enough staff to meet
the needs. They need help to function, so they reach out for support. The nurse being
reassigned can provide care and/or service assistance to help the team get the routine
work done, but can also offer something else: a fresh perspective or insight that he
group may have trouble seeing.
The skill of understanding crisis management options can work in any area, not just in
nursing. The team is able to change the normal workflow temporarily to match the crisis
situation and still produce the desired results.
This is an excerpt from Donna Wright’s, Competency Assessment Field Guide for
Implementation and Application, 2015, Creative Healthcare Management. Prior to
COVID-19, HCA Healthcare began to transition to the Donna Wright Competency
Assessment Model. We will resume the implementation later in 2020.
Additions/Edits to this booklet? Please send email to [email protected]
