On behalf of Tennova, we are glad you have chosen our facilities to expand your knowledge.
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:
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)
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!
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
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
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;
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
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
Facility Policies:
Check with your instructor to access
policies
Intranet Resources: Education/training:
Clinical Pharmacology Mosby's Skills
HCAHPS
H
ospitalC
onsumerA
ssessment ofH
ealthcareP
roviders &S
ystemsWhat 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?
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
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
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
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.
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
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
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