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On behalf of Tennova, we are glad you have chosen our facilities to expand your knowledge.

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On behalf of Tennova, we are glad you have chosen our facilities to expand your knowledge.

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Jefferson Memorial Hospital:

Melissa Reneau, RN

Lafollette Medical Center: Anita Seiber, RN, BSN

Newport Medical Center:

Scott B Smith, RN, BSN

North Knoxville, Physicians Regional, and Turkey Creek Medical Centers:

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Metro Area:

Physicians Regional Medical Center (PRMC) North Knoxville Medical Center (NKMC)

Turkey Creek Medical Center (TCMC) Community Area:

Jefferson Memorial Hospital (JMH) Newport Medical Center (NMC)

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 We use care manager to chart at Tennova. Your instructor

will teach you how to document.

◦ Some sites may not allow students to document in the permanent record or perform certain tasks (your instructor will know what facility specific guidelines are for the site you will be working).

 You will receive your access code after completing your

training class with your instructor; and signing your user agreement.

 Your electronic signature as a student will include the title of

student nurse and the school you attend. (If you are also an employee, you will have a different sign on for your employee access. DO NOT use your employee access when here as a student!

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 Do’s  Vital Signs  Intake/Output  ADL  Medications (depending on location)  Assessments (co-signed by your instructor)  Do NOT”S  Print the chart

 NEVER give your sign on to a co-worker

 Never use another persons’ sign on

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 Your school badge & Tennova student badge

must be worn at all times while in our facilities.

 Please place the Tennova student badge over

your school badge.

 If you need a replacement, please consult

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 Guidelines:

 Clean, neat, and professional at all times.  Hair should not restrict vision.

 No visible body piercings, other than one

earring in each ear.

 Tattoos and body artwork need to be

covered.

 NO acrylic nails.

 Lab jackets or uniforms when preplanning;

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 Students may utilize skills they have learned

and successfully mastered, according to the schools criteria while caring for our patients.

 Emergency Codes:

◦ Call 2911: Anywhere /Anything!!!

◦ Tell Operator:

 Type of Emergency  Your Location

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 Color:  PINK  BLACK  BLUE  YELLOW  RED  PURPLE  GRAY  GREEN  ORANGE  Code: Infant/Child Abduction Bomb Cardiac Arrest

Disaster (mass Casualty) Fire

Hostage

Severe Weather

Security Hazmat

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 Facility Policies:

 Check with your instructor to access

policies

 Intranet Resources:  Education/training:

 Clinical Pharmacology  Mosby's Skills

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HCAHPS

H

ospital

C

onsumer

A

ssessment of

H

ealthcare

P

roviders &

S

ystems

What does HCAHPS stand for?

• Identifies opportunities to improve and enhance patient care

• Consumers will have access to the data

• HCAHPS will be in the public eye

• Our Medicare reimbursement is based on our HCAHPS scores

Why is it important?

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 Students are required to participate in an

hourly rounding lab before providing patient care.

 Validation will be conducted by the nurse

instructor to include:

◦ Clinical Hourly Rounding

◦ 4 P’s

◦ Bedside Shift Report

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 What: An efficient & proactive approach to

patient care to make sure needs are met & improve clinical outcomes.

 Why: Actively monitor the wellbeing of

patients on an hourly basis.

 How: Nursing staff will visit patient rooms

each hour to monitor patient needs with the purpose of preventing falls & other adverse events. This also increases patient

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 Potty/Personal Needs – Unsafe behaviors related to toileting are one of the most

common reasons why residents fall. Rounding with the 4 P’s is an important way to manage fall risk. Many patients may need prompting to void as well as special approaches based on voiding patterns and incontinence. This is especially true for patients with cognitive impairment and those with urinary symptoms of urgency and frequency.

 Pain – When asking the patient if they are experiencing pain, use of a pain scale

will help to determine level. For those patients with moderate to severe dementia, staff will need to assess for grimacing, mood changes and other behaviors which may indicate pain. Pain should be reported to the nurse immediately and

managed appropriately with round the clock medication whenever possible.

 Positioning – Evaluating the patient for comfort and proper alignment is an

important way to reduce risk of skin breakdown, improve function and promote the resident’s well being. Proper positioning in the bed, chair and wheelchair should be included. Seating adaptations, pillows, special mattresses and other items should be available and used for proper positioning.

 Personal Items/Possessions – Placement of the bedside table, eye glasses, water

pitcher, call light, phone, tissues, trash can, TV remote and any other frequently used items should be within easy reach of the patient.

 Say when you will return and ask, “Is there anything else I can do for you before I

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 What: Conversation with the patient between

shifts allowing the off going nurse to

“manage up” the oncoming nurse, review plan of care, & provide updates on procedures & test set for the next shift.

 Why: Evidence based procedure to facilitate

effective communication between nurses & patients.

 How: Nurse educates patient on process &

introduces the oncoming nurse while discussing patient progress & care.

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 A=ACKNOWLEDGE – Greeting people with a smile, maintaining appropriate eye contact and

demonstrating a warm, receptive attitude to everyone you come in contact with

 I=INTRODUCE – Offering your name, your role in the patient’s care and stating your ability

and desire to help - Involves your full attention to the other person

 D=DURATION – An explanation of how long a procedure will take, how long the patient may

have to wait or how long it will take to get to your destination (if walking with a patient)

 E=EXPLANATION – Providing information about a test or procedure, why it is being

performed, who will perform it, pain or discomfort expectations and what will happen afterward – Also, an opportunity to answer questions the patient or family member might have

 T=THANK YOU – A sincere expression of thanks to the patient or visitor for choosing this

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 Every job has limitations and, as students, the

following procedures are exempted from your clinical experience:

◦ Administering any type of blood or blood products

◦ Accepting any verbal/phone orders

◦ Administering IV push medications

◦ Administering IV chemotherapy

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Please remember to take your test!

We hope your clinical experience at Tennova

Healthcare provides a positive learning

environment. If you need anything while you are

here, please feel free to contact us for anything.

We are glad to be part of your ongoing education!

Student Coordinators:

Hope Hubbard, RN, BSN

Anita Seiber, RN, BSN

Scott Smith, RN, BSN

References

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