Spring 2014 Affiliating Nursing Instructor Handbook

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Spring 2014

Affiliating Nursing

Instructor Handbook

IU Health Methodist Hospital

1701 North Senate Blvd. Indianapolis, IN 46202 317.962.2000

IU Health University Hospital 550 University Blvd. Indianapolis, IN 46202

317.944.5000

Riley Hospital for Children at IU Health 705 Riley Hospital Drive, Indianapolis, IN 46202

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Clinical Placement Team Contact Information

Shelley Suarez, MSN, RN, CNOR Education Specialist, Nursing Education Graduate and NP students

Wile Hall Room 507 (O) (317) 962-5208 (BB) (317) 447-1403 [email protected]

Cindy Bowers, MSN, RN, CNE Capstone Students (BB) (317) 242-8139 [email protected] Kim Davis, MSN, RN Methodist Hospital [email protected]

Colleen Flora, MSN, RN, CPN, PCNS-BC, CNE Riley Hospital for Children

(P) (317) 312-7115 [email protected]

Vema Sweitzer, MN, RN, CNE Indiana University Hospital (O) (317) 274-2886

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IU Health Mission and Values

Indiana University Health's mission is to improve the health of our patients and

community through innovation and excellence in care, education, research and service. We value:

• Total patient care, including mind, body and spirit • Excellence in education for health care providers • Quality of care and respect for life

• Charity, equality and justice in health care • Leadership in health promotion and wellness • Excellence in research

• An internal community of mutual trust and respect

The vision that guides IU Health is as follows:

"IU Health strives to be a preeminent leader in clinical care, education, research and service. Our excellence is measured by objective evidence and established best practices. Exemplary levels of respect and dignity are given to patients and their families, while professionalism and collegiality mark relationships between employees and physicians. IU Health continues to focus on innovation and excellence through collaboration among its partner hospitals and its affiliation with Indiana University School of Medicine." http://iuhealth.org/about-iu-health/mission-vision-values/

School of Nursing Faculty Orientation Dates 2014: Fairbanks Hall 1110 0800-1630 January 14 February 11 March 11 April 8 May 6 June 17 July 15 August 12 September 9 October 7 November 4 December 2

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Instructor Expectations

Our goal is safe, quality care for each and every patient as well as the patient’s family. We want to keep our associates and students safe as well. Keeping this safety goal foremost, we want to assist you in providing excellent, clinical experiences for nursing students.

1. Attend the required, one time, instructor orientation session prior to serving in the role of instructor.

2. Orient to any new clinical unit for which instructor will supervise clinical students. All clinical orientations are arranged by the affiliating nursing school liaison.

3. Complete a Pyxis form and return to a member of the clinical placement team for Pyxis access.

4. Schedule all clinical experiences through the Clinical Placement Team.

Instructors are not to call or email nursing units or nursing leadership directly to request clinical space, observations, or leadership and/or capstone preceptors. 5. Ensure students are fit for duty each clinical shift. Students are not allowed to participate in clinical with fever, diarrhea, any infectious disease, or disabling physical condition until symptoms have resolved and/or they have been cleared by the respective private or occupational health professional.

6. Maintain visibility on the clinical unit and communicate frequently and openly with unit’s charge and staff RNs. If the clinical experience is off-site, the

instructor is expected to contact the clinical area via telephone to check in on the student’s behavior.

7. Provide students with orientation prior to patient contact. Provide unit orientation and document participation by using the Instructor and Student Orientation Checklist (electronic version available upon request).

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6 Instructor and Student Orientation Checklist

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Instructors Co-Signature

8. Co-Sign the medical record, via computer for the student’s activity prior to the end of the clinical shift (see screenshots that follow).

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Student Orientation

It is the responsibility of the clinical instructor to provide the student’s orientation. The student must be oriented to the following prior to the first clinical experience rotation with patient contact.

Computer access for patient documentation

o Instructors are responsible for teaching students how to use the computerized charting system. Instructors and students must complete respective charting WBT’s.

§ For information on accessing the Faculty School of Nursing Web Page: http://www.informaticsed.org/sonfaculty/login.php

§ For information on accessing the Student School of Nursing Web Page: http://www.informaticsed.org/son/login.php

o If student is an employee of IU Health, the student is to perform only in the role of student nurse during clinical time. The student will not use the employee log in to document nursing clinical activities.

o Please review IU Health Information Security and Confidentiality policies before requesting Cerner access. Return the “Access Request” and

“Responsibility Statement” forms (see screen shots below) to IU Health Information Services Data Security by scanning your request to

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Security Self-Serve in Cerner

Students who are IU Health employees will need to change status in Cerner or

PowerChart for clinical. For example, they will need to change status from PCI to student nurse. The Security Self Serve (SSS) application is designed for students who hold two or more job responsibilities that require different and distinct security permissions within PowerChart.

The student must first submit a SOLAR to their IU Health manager for multiple security permission. Please note- approval could take several days. Once a user is approved for multiple security permission, the user will then be able to switch security permissions using the following instructions.

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10 • From the desktop, click the familiar Cerner icon and select the new Security Self

Serve icon

• Upon opening Security Self Serve (SSS), the user will see the screen below. Type in your Cerner Username and Password and click the Login button.

• Upon clicking the Login button the User will read “Currently logged in as

YOUR NAME” displays.

• By clicking in the “Select” box the User will have the option to choose which security position they need in order to successfully fulfill their current role at IU Health

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Hospital Intranet

o Policy and procedures are located on the Pulse page. Instructors are

responsible for instructing students on how to access policies. Students are expected to follow IU Health policies and procedures for all patient care.

o Micromedex and Lexi-Comp, the approved medication reference for IU Health, are accessible via the Pulse page.

Dress Code

o Students and instructors are required to wear their student/instructor uniform or lab coat and program/university name tag when present for any clinical activity, including clinical prep time. Tag must be worn within 4” of face.

o Students and instructors must adhere to IU Health Dress Code and Professional Image policies. Key components include:

§ Professional Image: Individuals exhibit courteous, conscientious and business-like behavior consistent with Indiana University Health’s Standards of Service. When having contact with patients and/or their families, individuals introduce themselves and identify their role to help increase the comfort level of patients and their family members. § Hair will be clean and neatly styled. Facial hair will be neatly styled

and groomed.

§ Flesh-colored or white hosiery is worn with skirts or dresses. Hosiery or plain-colored socks must be worn with scrub pants. Shoes: All shoes must have soles of non-skid material, clean, and closed toe. Croc style shoes with holes are not allowed.

§ Undergarments must be covered and not visible.

§ Hands and nails are clean and well groomed. Nail polish and style will be subtle and nail length conservative. Nails must be clean and

trimmed neatly. Nails must be free of jewelry or decals. Nails must be of appropriate length to ensure patient safety. Artificial nails may not be worn by any direct care personnel.

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12 § Jewelry will be kept to a minimum (e.g., no more than 3 earrings in

one ear) and may be banned in some areas to safeguard against injury. Non-traditional body jewelry (e.g., tongue, eyebrow, lips, nose) may not be worn. Jewelry should be conservative in style and free of edges that might scratch a patient. Dangling jewelry is not to be worn

(bracelets, earrings, and necklaces).

§ Visible body piercing, other than earrings, is not allowed and must be removed or covered.

§ Tattoos must be covered

§ Fragrance will be minimized and may be banned to avoid allergic reactions, if needed. Students are expected to refrain from smoking at any time while in clinical.

ID Badges

o IUPUI Faculty and Students will wear their Jag Tags for ID Badges while in the clinical setting at Methodist, University, or Riley.

o Faculty and Students for all non-IUPUI schools will need to go to the Safety and Security Department office in the basement of Wile Hall, room WG32 to have a photo ID made. Faculty, please send a list of your students, the school name, the students title, and the ID tag expiration date to Sharon Sullivan [email protected] before they go to this office so she will be prepared. You can do this during orientation to the unit or students can do this on their own time. Faculty and students for all three downtown facilities will go to this office for ID Badges. There is no charge for ID badges.

Parking

Methodist Hospital

o Parking tags will be obtained from designated personnel at the school of nursing

o The bottom portion of tag will be completed by student/instructor and

returned to the Safety and Security office located in the basement of Wile Hall

o The top portion of the tag will be displayed in the windshield of vehicle

o This tag permits parking in employee surface lots at Methodist University and Riley Hospital

o Temporary parking permits can be obtained at the IUPUI Parking services office located in the Vermont Garage

o Items needed when applying for a temporary parking permit include;

o Letter from IU Health explaining the need for parking

o Completed “IUPUI Parking Permit Application”

o Payment

o If you park in Vermont Garage and do business in the office, they will validate your parking, so please bring in your ticket. Find Vermont Garage, building "XB", on the IUPUI Campus Map.

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13 § IUPUI Parking Services office location

1004 W Vermont St Indianapolis, IN 46202

Student Injury

o The student is to immediately inform his/her instructor of any injury.

o In the event of a student injury, contact the unit charge RN for assistance. Notify the Affiliating Nursing School Liaison to report the injury.

o It is the instructor’s responsibility to inform the student of the affiliating institution’s process for student injury.

o Students instructed to report to the emergency department for evaluation and/or treatment will incur and be responsible for any hospital charges.

Pre/Post Conference and Meeting Space

o Lobbies, waiting areas, nurses’ stations, or any public area should NEVER be used for clinical conference or discussions.

o Although classroom space is limited, there may be conference rooms available in some clinical areas. To negotiate/schedule classroom space, contact unit leadership.

Student and Faculty Requirements

Each institution shall ensure that students and or faculty placed at IU Health meet the follow requirements prior to beginning a rotation at I.U. Health:

• Possess health insurance that is satisfactory to IU Health

• Have a criminal background check that has been completed by a vendor suitable to IU Health

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14 • Has had the following vaccinations: mumps, rubella, varicella, measles, tetanus,

diphtheria, pertussis, annual influenza and Hepatitis B (or declination form on file) or shows appropriate antibody titer

• Has had an annual TB test

• Have successfully passed a drug screen

• Have completed fit testing for an N95 respirator • CPR/BCLS certification if required by the clinical area

The above documentation must be on file with the University or provided to IU Health and shall be produced if requested by Indiana University Health, Inc. These requirements will be in effect once the new IU Health contract is signed which will be by July 2013 for all schools.

Clinical Rotation Request Process

At least three (3) months before the semester begins, the clinical managers are contacted to determine the number and availability for hosting students for the upcoming semester. This information will be sent to the schools of nursing for which Indiana University Health has signed agreements.

Schools are given a deadline to submit requests for clinical experiences. Schools are to submit the following information in writing:

• Date, length and hours of the experience, including orientation to the unit • Program (AD, BSN, Graduate, Diploma), semester and year of the program • Name and contact information of faculty facilitating the clinical experience • Total number of students for the experience

• Type of experiences (i.e., basic care, management, observation)

These requests are integrated into a master schedule and should scheduling conflicts arise, the schools are notified. If the schools are not able to resolve the conflicts, a meeting is called for all parties involved.

Notices are sent to the clinical managers letting them know when and which school of nursing will be on their units.

If there is a new request for clinical experience after this initial scheduling, a written or verbal request from the school of nursing must include the same elements outlined above. Once the request is received, the availability of clinical spots will be determined. If spots are available, the spots will be scheduled and the school of nursing and unit clinical

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The Patient Care Research Committee will review any clinical experience that includes a project involving data collection from patients or staff that will be utilized outside the nursing unit or hospitals.

The schools of nursing are responsible for:

• Sending a list of students that will be at each hospital prior to the clinical experience

• Notifying the clinical manager and clinical placement coordinators of any changes to their schedules

• Securing parking permits for the students

• Assuring that the students comply with all Indiana University Health policies, regulations and procedures

• When requested, the school of nursing shall provide written proof of TB status, immunizations and/or proof of immunity, orientation to clinical unit(s), and BLS for all students and faculty. In order to be timely in providing this information to regulatory bodies, the school will have until the end of business the day following the request to comply

• The school of nursing will inform students about OSHA Regulations pertaining to blood and airborne pathogens prior to clinical experiences at Indiana University Health

• All new school of nursing faculty are required to attend new faculty orientation prior to bringing nursing students into any IU Health facility

• The school of nursing will provide onsite clinical faculty for all nursing clinical experiences that mandate direct patient care

Exception: Clinical Experiences with Trained Preceptor situations wherein trained preceptors work with nursing students with school of nursing faculty oversight.

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Pre-Licensure Student Guidelines

Instructor Led Clinical

Please consult the list below and refer to it as necessary during your clinical experiences at any Indiana University Health hospital

Student nurses may not:

• Hang, administer, or verify blood or blood products with hospital personnel

• Initiate, maintain, and/or monitor continuous IV titratable medications on IV pumps • Enter any information into a therapy-driven software program: Glucostabilizer and

Thrombostabilizer

• Perform bedside point of care (POC) testing

• Give IV push meds other than saline and heparin flush solutions • Program the PCA pump or change the syringe and/or tubing • Administer parenteral chemotherapy drugs: IM, SQ, IVPB, IV • Administer intermittent epidural analgesia

• Initiate, maintain, and/or monitor continuous epidural analgesia • Administer intrapleural medications

• Access subcutaneous ports: port-a-caths, infuse-a-ports

• Administer medications via arterio-venous access devices: grafts, permacaths • Care for domestic violence case clients

• Manipulate or drain external ventricular devices • Take verbal or phone orders

• Other restrictions as appropriate and defined by the clinical area

Trained Preceptor Led Clinical

Capstone students are subject to the above limitations but may assist with the following tasks with direct preceptor supervision:

• Initiate, maintain and/or monitor continuous IV titratable medications on IV pumps • Perform bedside point of care (POC) testing

• Give IV push meds other than saline and heparin flush solutions • Program the PCA pump or change the syringe and/or tubing