NICU Educational Plan - UC Irvine · PDF fileNICU Educational Plan . Our goal is to make measurable improvement in the quality of health care we provide. SE5f, NICU Annual Education

NICU

Educational Plan

Our goal is to make

measurable

improvement in the

quality of health

care we provide

SE5f, NICU Annual Education Plan.pdf

1

Neonatal Intensive Care Unit at the University of California, Irvine Healthcare

Table of Contents

I. Neonatal Intensive Care Nursing

II. Organization of the Neonatal Intensive Care Unit

III.NICU Education Philosophy Statement

IV. Educational Model

V. Needs Assessment

VI. Educational Tracks

VII.Annual Competency

VIII.Professional Development

IX.Clinical Advancement

X. Educational Opportunities

XI.Committees/Programs

XII.Rounds

XIII. Educational Plan


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I. Neonatal Intensive Care Nursing

Level III NICU: 45 Bed Unit

UC Irvine Medical Center provides the only combined tertiary level perinatal and neonatal program

in Orange Country to manage high-risk pregnancy or the at-risk fetus. Our neonatal intensive care

unit provides care for infants born at UC Irvine medical Center or neighboring communities

requiring a higher level of care..

II. Organization of the Neonatal Intensive Care Unit

Director of Women’s and Children’s: Gail Devaney, MSN, RN-NE-BC

Nurse Manager: Ruth Pusztai, BSN, RNC-NIC-BC

Nurse Supervisors: Alice Koh, BSN, RNC-NIC; Bonnie Ford, BSN, RNC-NIC

Clinical Nurse Specialist: Robin Koeppel, MS, RNC-NIC, CPNP, CNS

Clinical Nurse Educators: Nicole Jasso, MSN, RNC-NIC; Susan Gallitto, BSN, RNC-NIC

III. NICU Education Philosophy Statement

To promote clinical excellence, professional development and a healthy work environment which

fosters nurses’ who are prepared and empowered to positively impact and improve the quality of

healthcare they provide in the field of nursing.


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IV. Educational Model

The Novice to Expert Model, Dr. Patricia Benner

UC Irvine Medical Center understands that being a learner in the Neonatal Intensive Care Unit

(NICU) as a inexperienced nurse is difficult. In the NICU it is expected that a nurse will pass

through 5 levels of development during his or her nursing career. Each step builds on the previous

while the learner gains clinical expertise. The goal is to move the nurse through each level of

development until clinical expertise is obtained. “Instead of seeing patient care as bits of unrelated

information and a series of tasks, the expert is able to integrate various aspects of patient care into

a meaningful whole (Dracup and Bryan, 2004).”

Novice

Advanced beginner

Competent

Proficient

Expert

V. Annual Needs Assessment

The Department of Nursing Quality, Research and Education conducts an annual needs assessment

to determine gaps in clinical education. The results of the needs assessment are reviewed and

analyzed by the Clinical Nurse Specialist and Clinical Nurse educator of the NICU. The annual

education plan is developed based on the findings.


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VI. Educational Tracks

Every RN hired into the NICU will be placed on a two year educational plan after completion of their ori-

entation. The goal is to have a competent RN who is prepared to sit for the certification exam at two years

of hire.

New Graduate

Clinical Shifts: 36

Didactic Program Hours: 72

Evaluations: 3

Level I/II Experience (Hybrid)

(Step 1)Clinical Shifts: 9-feeder growers

Didactic Hours: 72

( Step 2)Clinical Shifts: 27

Evaluations: 3

Level III Experience

Clinical Shifts: 12-24

Didactic Program: NONE

Evaluations: 2

Per Diem

Clinical Shifts: 3

Didactic Program: NONE

Evaluations: 1


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VII. Annual Competency

Competency is the application of knowledge, skills, and behaviors that are needed to fulfill organiza-

tional, departmental, and work setting requirements under the varied circumstances of the real world

and the performance of professional nursing care according to established standards of care. The focus

is on verification of competency of knowledge, skills & behaviors that you already have and creating

educational opportunities for areas that have been determined high priority due to new initiatives,

changes in policy and procedure, or high risk job functions.

Three domains for competency assessment:

Clinical/Technical Domain

Critical Thinking Domain

Interpersonal Domain

Six core competencies will be established each year:

Example:

Competency: Method of Verification: Date

Completed

Clinical/Technical Domain

Promotion of Comfort at End of Life: Demonstrates the

ability to promote comfort at the end of life. Identifies the

components of end of life care. Demonstrates the ability to

utilize pain scales. Has the ability to provide non-

pharmacological pain management.

Required:

Attendance at the Bereavement station on Simulation day

In addition, choose one of the following:

Completes April Journal Club: Neonatal Ethics

Presentation of mini-neonatal ethics in-service on unit

___________

Medication Management: Code Medications: Demonstrates

the ability to administer code medications safely.

Required:

Attendance at the Code Meds station on Simulation Day

In addition, choose one of the following:

Completes May Journal Club: Medication errors in the

neonatal intensive care unit: special patients, unique issues

Presentation of mini-medication safety in-service on unit

___________


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VIII. Professional Development

Professional Development within the neonatal intensive care unit is encouraged. Participation in

professional development activities may include:

Advancement in the Clinical Ladder: Clinical Nurse III, Clinical Nurse IV

Nurses can choose to advance on the nursing clinical ladder if they meet criteria. Clinical advance-

ment is a voluntary progressive program that is supported by the Department of Nursing Quality,

Research and Education. Clinical Nurse Specialist and/or Clinical Nurse Educators serve as

mentors throughout the program.

Specialty Certification

Specialty certification validates the mastery of skills, knowledge and abilities. Certification demon-

strates your commitment to continuing education and creating an environment of professionalism.

Presenting research or clinical content at Local/National Nursing Conference

Presenting at a local or national conference is an opportunity for the bedside nurse to fulfill her

professional obligation to her profession. A Clinical Nurse Specialist and/or Clinical Nurse Educa-

tors will mentor each nurse throughout the process.

NRP Instructor

Becoming a NRP instructor in the NICU is a way for nurses to advance their professional develop-

ment. Instructors are able to teach an NRP course and test other nurses on their hand-on skills.

Clinical Preceptor

A clinical preceptor in the NICU is usually identified by the manager, Clinical Nurse Specialist and

or Educator. A clinical preceptor is not only clinical competence, but needs to have other qualities

as well to be a success preceptor. A preceptor update class is offered annually to all preceptors in

the NICU.

Participation in Professional Organizations

All neonatal nurses are encouraged to become members in their specialty organizations. The spe-

cialty organization for neonatal nursing is the National Association of Neonatal Nursing (NANN).


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IX. Clinical Advancement

Advance Transport Team

The UC Irvine Medical Center NICU transport program is a 24 hour transport service serving the

surrounding community. Referring facilities call directly to the NICU indicating the need for trans-

port. An NICU RN is required to have a minimum of 2 years NICU experience. The role of trans-

port RN is specialized and requires successful completion of the basic transport module and proc-

toring for initial training. Ongoing competency is maintained through annual competency training.

(See Policy T-111)

PICC Team

The Neonatal Intensive Care Unit (NICU) maintains a PICC team which consists of Neonatal

Nurse Practitioners (NNP) and Registered Nurses (RN) with experience in newborn intensive care

who have additional skills and training. NICU RN is required to have a minimum of 2 years NICU

experience. Initial competency requires successful completion of PICC insertion class and proctor-

ing. Ongoing competency is maintained through proctoring and annual training.

Arterial Stick Team

Performing peripheral arterial punctures and placing peripheral arterial lines in the NICU is a spe-

cialized skill that requires education and proctoring to establish competency

LCC/LEC


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X. Educational Opportunities

Monthly Journal Club

The monthly journal club article are an exciting way for staff to read current nursing literature and

critically analyze its implications for current practice. There is a new topic every month.

Neonatal Hot Topics

This is a semi-annual 4 hour course for NICU nursing and respiratory staff. Topics are relevant to

current NICU nursing practice and are presented along with the current research and evidence to

support the technique or practice.

NICU Review Course

This is a 2 day course that is designed as a preparatory review for nurses preparing for either the

National Certification Corporation (resulting in RNC) or the American Association of Critical Care

Nurses (resulting in CCRN) certification exam. It may also be helpful as a general review for the

experienced nurse.

Conferences

Staff are encouraged to attend national and local conferences as a way to maintain their profes-

sional competency. Staff members who are interested in presenting at a conference are mentored by

a Neonatal Clinical Nurse Specialist or Neonatal Clinical Nurse Educator.

Self Learning Modules

Self learning modules are developed based on the educational needs of the unit. Needs are based on

results of the annual needs assessment, or new practices/policies that have been implemented in the

unit. These modules contain with the most current evidence based evidence and are created by the

clinical nurse specialist or clinical nurse educator.


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XI. Committees/Programs

Professional Practice Council

Professional Practice Councils (PPC) were developed at UC Irvine Medical Center as a method to em-

power staff nurses and increase professional authority and accountability at the bedside. This is a solid

tradition that sets UC Irvine Medical Center apart from many other area hospitals. The purpose of the

PPC is to evaluate nursing practice and identify areas in which care can be improved.

Medication Safety Committee

Relationship Based Care Council

The Relationship Based Care Council defines the practice of Relationship Based Care at UC Irvine

Medical Center. The Relationship Based Care Council has the authority and accountability for assess-

ing, developing, implementing, and evaluating effective strategies, programs and processes for imple-

mentation of Relationship Based Care as the model of care at the medical center.

Infection Prevention Committee

Bereavement Committee

Mentor Program

The mentor program was established to provide a formal venue for nurses to support each other. The

program is called Nurses Supporting Nurses with the goals being: To develop and improve the work-

force environment Improve patient outcomes Improve cultural diversity competence

XII. Rounds

Interdisciplinary Rounds

Interdisciplinary Board rounds are conducted weekly to review the current plan of care of all patients in

the NICU.

Weekly Educator Rounds

Clinical Nurse Educator rounds are performed weekly. Topics are based on current needs of the unit.

The information provided to the staff during these rounds is supplemental education.

Physician Night Shift Teaching Rounds

A attending physician provides education rounds to the night shift weekly. The rounds consist of a pres-

entation of a current case, and nursing implications.


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January 2012

Sun Mon Tue Wed Thu Fri Sat

1

New Years Day

2

3 4 5 6 7

8 9 10

11 12 13 14

15 16

NICU Training Program

10-2pm

Martin Luther King Day

17 18 19 20


10-2pm

21

22 23


10-2pm

24 25 26 27 28

29 30


10-2pm

31

NRP

0800-1000

1000-1200

1300-1500

1500-1700


11

February 2012


1


10-2pm

2 3


10-2pm

4

5 6


10-2pm

7

Professional Practice

9-1 Main Auditorium

Skills Day with New Grad 2-4

8


10-2pm

9 10


10-2pm

11

12 13

Preceptor Workshop

9-3pm

56 113/114

14 15 16 17 18

19 20

President’s Day

21 22 23 24 25

26 27 28

NRP

0800-1000

1000-1200

1300-1500

1500-1700

29


10-2pm


12

March 2012


1 2 3

4 5 6 7


10-2pm

8 9 10

11 12


10-2pm

13 14 15 16


10-2pm

17

18 19


10-2pm

20 21

22 23 24

25 26


10-2pm

27

NRP

0800-1000

1000-1200

1300-1500

1500-1700

28

29


10-2pm

Department Quarterly

Meeting

UCI Campus

9-4pm

30 31


13

April 2012


1 2


10-2pm

3


9-1 Main Auditorium

4


10-2pm

5 6


10-2pm

Good Friday

7

8

Easter Sunday

9 10 11

Planning Patient Care in the

NICU 10-1pm

12 13 14

15 16

Alaris Pump Training

17


18


19


20


21

22 23 24 25

Residency Meeting 12-4

Building 56 114/115

26

NRP

0800-1000

1000-1200

1300-1500

1500-1700

27 28

29 30 Notes:

SEND OUT

MEDICATION MATH

REVIEW


14

May 2012


1 2 3

Preceptor /CN III Update

8-12pm

4 5

6 7 8 9 10 11

Preceptor Update/CN III

8-12pm

12

13

Mother’s Day

14 15 16

17 18 19

20 21 22

NRP

0800-1000

1000-1200

1300-1500

1500-1700

23


Building 56 113/114

24

25 26

27 28

Memorial Day

29 30 31

Perinatal/Neonatal Hot Top-

ics


15

June 2012


1 2

3 4 5


9-1 Main Auditorium

6 7

Orientation Part II

0800-1200

4843

8 9

10 11 12 13 14 15 16

17

Father’s Day

18 19

NRP

0800-1000

1000-1200

1300-1500

1500-1700

20

21 22 23

24 25 26 27


Building 56 113/114

28


Meeting

UCI Campus

9-4pm

29 30


16

July 2012


1 2 3 4

Independence Day

5 6 7

8 9 10 11 12 13 14

15 16

INTRO COURSE 10-2

ROBIN

17 18

INTRO COURSE 10-2

ROBIN/HEIDI

19 20 21

22 23

INTRO COURSE 10-2

ANDREA

24

NRP

0800-1000

1000-1200

1300-1500

1500-1700

25


Building 56 113/114

26 27 28

29 30

INTRO COURSE 10-2

ROBIN

31


17

August 2012


1

INTRO COURSE 10-2

ROBIN/ANDREA

2 3 4

5 6

INTRO COURSE 10-2

SUMMER/ROBIN

7


9-1 Main Auditorium

8

INTRO COURSE 10-2

ANDREA

9 10 11

12 13

INTRO COURSE 10-2

ROBIN

14 15

INTRO COURSE 10-2

SIM DAY

16 17 18

19 20 21 22


Building 56 113/114

23

NRP

0800-1000

1000-1200

1300-1500

1500-1700

24 25

26 27 28 29 30 31


18

September 2012


1

2 3

Labor Day

4 5

INTRO COURSE 10-2

ANDREA

6 7 8

9 10 11 12 13

INTRO COURSE 10-2

SANDY

14

INTRO COURSE 10-2

SANDY

15

16 17 18 19

INTRO COURSE 10-2

ROBIN

20 21 22

23 24

INTRO COURSE 10-2

TERI/ROBIN

25

NRP

0800-1000

1000-1200

1300-1500

1500-1700

26


Building 56 113/114

27


Meeting

UCI Campus

9-4pm

28 29

30


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October 2012


1

INTRO COURSE 10-2

SIM DAY

2


9-1 Main Auditorium

3 4 5 6

7 8

Columbus Day

9

INTRO COURSE 10-2

ANDREA

10

INTRO COURSE 10-2

11 12 13

14 15

INTRO COURSE 10-2

16

17

INTRO COURSE 10-2

ALL LAST DAY

18

19 20

21 22 23

24


Building 56 113/114

25

NRP

0800-1000

1000-1200

1300-1500

1500-1700

26 27

28 29 30

31


20

November 2012


1

NICU SKILLS DAY

1300-1700

7843

2

3

4 5 6

7

NICU SKILLS DAY

1300-1700

4843

8

9

10

11

Veterans Day

12 13

14

NICU SKILLS DAY

0800-1200

5843

15 16 17

18 19 20

21

NICU SKILLS DAY

0800-1200

5843

22

Thanksgiving

23 24

25 26 27

NRP

0800-1000

1000-1200

1300-1500

1500-1700

28

NICU SKILLS DAY

0800-1200

5843


Building 56 113/114

29

NICU SKILLS DAY

1300-1700

4843

30


21

December 2012


1

Department Holiday Party

2 3 4

5

NICU SKILLS DAY

0800-1200

5843

6

Perinatal/Neonatal Hot

Topics

7 8

9 10 11

12

NICU SKILLS DAY

1300-1700

4843

13

NICU SKILLS DAY

0800-1200

5843

14 15

16 17 18

NRP

0800-1000

1000-1200

1300-1500

1500-1700

19


Building 56 113/114

20 21 22

23 24 25

Christmas Day

26 27 28 29

30 31


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NICU New Hires

2010-2012

January 2010:New Graduates

Annemarie Pimentel

Keely Smith

Sunhee Dang

July 2010:New Graduates

Cara Benitez

Marla Barboza

January-July 2010Lisa Rogers

Cara Kung

Tina Yoshimura

Adrienne Tabije

Alyssa Bowie

Jin Cho

Marcia Simanowitz

Cynthia Pasaporte

Harsharan Mann

Jennifer Kim

Nancy Mukai

Alicia Simmoms

July – January 2010Amy Tjernagel

Maureen Ahearn

Chantelle LaFreniere

Karen Marsh

Natalie So

Suzie Nuguid

Angie Tito

Sarah Griffith

Maureen Campbell

Anna Hernandez

Vanessa Vincent

Jennifer Smyth

NICU Planning of

Patient Care Class

Date:03/10/10

Orientation Part II

Date: 09/2010

Neonatal Hot

Topics

Date:11/04/2010

NICU Review

Course

Date:04/2012

NICU Planning of

Patient Care Class

Date:05/13/10

Orientation Part II

Date:09/2010

Neonatal Hot

Topics

Date: 06/30/2011

NICU Review

Course

Date:04/2012

NICU Planning of

Patient Care Class

Date:01/27/2011

Orientation Part II

Date:09/2010

Neonatal Hot

Topics

Date:06/30/2011

NICU Review

Course

Date:04/2012

NICU Planning of

Patient Care Class

Date:01/27/2011

Orientation Part II

Date:09/2010

Neonatal Hot

Topics

Date:06/30/2011

NICU Review

Course

Date:04/2012

January 2012:

New GradsWhitney Brown

Amy Chang

Michelle Graner

Jane Song

NICU Planning of

Patient Care Class

Date:04/11/2012

Orientation Part II

Date:06/07/2012

Neonatal Hot

Topics

Date:06/06/2012

NICU Review

Course

Date:04/2014


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2 year Clinical Orientation Plan Neonatal Intensive Care Unit

UC Irvine Medical Center

Your 2 year plan We understand that you will be starting your orientation process here at UC Irvine as a novice nurse to the Neonatal Intensive Care Unit (NICU). It is our goal to help you develop and become a knowledgable, competent, efficient and confident nurse with good communication skills by your two year mark.We understand that the complexity of material peresented to you in your initial intro course is best retained when supported and nurtered over a period of time. Every 6 months you will be engaged as a learner. During your first two years your orientation is our priority, and we are fully invested in your success. The nursing profession is one which lifelong learning is essential, and this two year plan is just the start of your continuing education.

•NICU Intro Course (68 hours of Didactic and 8 hours in Simulation Lab) Preceptorship (Approx. 36 Clinical Shifts) Inital

•NICU Planning of Patient Care Class 3 Months

•Orientation Part II 6 Months

•Neonatal Hot Topics 1 year

•NICU Review Course 2 Years


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Intro Course/Preceptorship The Intro Course is an intense NICU training program which includes didactic classes and hands on experience in the simulation lab and with your preceptor on the unit. At the beginning of the intro course you will be provided the educational materials you need to complete the course. The curriculum is a combination of lecture, group discussions, work groups, hands on learning, exams and much more. NICU Planning of Patient Care Class This is a 3 hour class designed for the novice bedside NICU nurse and covers the responsibilities of nurses in the NICU in relation to assessment, diagnosis, planning, implementation and evaluation of nursing care. You will have hands on learning on the computer throughout this class. Orientation Part II This is a 4 hour hands on skills day that focuses on high risk low volume procedures in the NICU. You will get an opportunity to ask many questions, and interact with some CN III nurses on the unit. Neonatal Hot Topics This is a semi-annual 4 hour course for NICU nursing and respiratory staff. Topics which are relevant to current NICU nursing practice are presented along with the current research and evidence to support the technique or practice. You will have priority registration for this course. . RNC Review Course This is a 2 day course that is designed as a preparatory review for nurses preparing for either the National Certification Corporation (resulting in RNC) or the American Association of Critical Care Nurses (resulting in CCRN) certification exam. It may also be helpful as a general review for the experienced nurse.


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2 year Clinical Orientation Plan Neonatal Intensive Care Unit

UC Irvine Medical Center Below are the tentative dates and times for each component of your 2 year plan. You will have priority scheduling for all these components. Please contact Nicole Jasso with any questions about your two year plan.

Class/Course Date and Time Location Sign-ups NICU Intro Course/Preceptorship

Please refer to Intro Course outline

- -

NICU Planning of Patient Care Class

You will be assigned to this class

Orientation Part II

You will be assigned to this class

Neonatal Hot Topics

You will need to register on UC Learning

RNC Review Course

You will register for this class when registration opens


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Documents

NICU Educational Plan - UC Irvine · PDF fileNICU Educational Plan . Our goal is to make measurable improvement in the quality of health care we provide. SE5f, NICU Annual Education