RCH Nursing Competency Workbook. Appendix 3: 2011 Graduate Nurse Program Handbook

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RCH Nursing

Competency

Workbook

Appendix 3:

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The Royal Children's Hospital (RCH) Nursing Competency Workbook is a dynamic document that will provide you with direction and assist you in your professional development as a nurse working at the RCH. The workbook also provides a record of your orientation and competency obtainment. Chapter 1

• Includes resources for nurses and is complemented by the Royal Children’s Hospital (RCH)

New Starter Pack, Hospital Orientation and Nursing Orientation day, to provide an introduction to nursing at the RCH.

Chapter 2

• Generic Nursing Competency Assessment Forms

Chapter 3

• Specialty Nursing Competency Assessment Forms

Appendix 1

• Unit / Department Nursing Orientation

Appendix 2

• Index of ALL Specialty Nursing Competency Assessment Forms

Appendix 3

• Graduate Nurse Program Workbook

All chapters and appendices are downloadable as pdfs from the Mackinnon Nursing Education and Development Centre Website

http://www.rch.org.au/mcpc/index.cfm?doc_id=11861

The RCH Nursing Competency Workbook developed by the Mackinnon Nursing Education and Development Team with input from specialist nurses at the RCH

For further information contact: Melody Trueman

Director of Nursing Workforce Development Email [email protected]

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3.5 10 Week Learning Objectives 3.6 10 Week Performance Assessment 3.7 6 Month Learning Objectives 3.8 6 Month Performance Assessment 3.9 9 Month Learning Objectives 3.10 9 Month Performance Assessment 3.11 12 Month Learning Objectives 3.12 12 Month Performance Assessment 3.13 Learning Objectives (additional page)

3.14 Completion of Graduate Nurse Program Checklist

3.15 Completion of Graduate Nurse Program Checklist Example REFERENCES

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Contact Details:

Transition Program Nurse Educators &

Program Coordinator

Mercy Thomas RN

Transition Program Educator Phone: 9345 5768

Pager: 6353

Email: [email protected]

Claire Stewart RN

Transition Program Educator (0.4 eft) Phone: 9345 5768 Pager: 5768 Email: [email protected] Gemma Phipps Program Coordinator Phone: 9345 6716 Email: [email protected]

Office: Mackinnon Nursing Education and Development Centre Level 7

South East Building Royal Children’s Hospital

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Welcome to Royal Children’s Hospital’s (RCH)

Graduate Nurse Program

Introduction

The RCH Graduate Nursing Program (GNP) is designed specifically for new graduate nurses to develop specific knowledge and skills required to work in a children’s speciality hospital. This is a structured program with integrated study days and debriefing sessions to assist the graduate nurse to practice as safe, confident and accountable professionals.The Program is designed to promote:

• Child and family centred care

• Competence in paediatric nursing practice

• Engagement in critical questioning and reflective practice • Integration into effective multidisciplinary teams

RCH philosophy of care is also developed focused on these four key principles:

Child and family-centred care includes the principles of informed choice, collaborative decision-making and the inclusion of families and carers as partners in the provision of care, as well as the provision of a child and family-centred environment and facilities;

Respect for children’s needs and issues focuses on issues such as developmental needs, pain management and assisting children to become active participants in their treatment and care;

Care co-ordination becomes part of the core business of the hospital – programs of care developed, particularly for patients with chronic conditions requiring multidisciplinary care; and Partnerships and linkages becomes part of the core business of the hospital – stronger relationships developed with metropolitan and regional hospitals, community paediatricians, GPs, community agencies and schools to facilitate integrated care co-ordination.

Program Outline

Program Aim

The Graduate Nurse Program aims to facilitate the transition from a new graduate nurse to a competent registered nurse by supporting learning and development needs in a safe environment.

Program Outcomes

At the completion of this program the participants will:

• be able to demonstrate their practice as a competent registered nurse • demonstrate confidence in patient and family-centred care

• be an advocate for Children and children’s health

• contribute as an effective member of the specialty multidisciplinary team through

collaborative and co-operative teamwork.

• be a talented, respected and valued staff member in the Unit/department • be able to demonstrate the ability to practice in a culturally responsive manner

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Structure of the Program:

The program offers the graduate nurse one single 12 month placement in a clinical setting in RCH. A supportive learning environment is provided during this clinical placement. Each graduate will be allocated a preceptor and will have access to Clinical Nurse Facilitators, Clinical Nurse Educators and Transition Program Educators to support their transition process. The graduate nurse will have supernumerary time with their preceptors for up to six to ten weeks of the program depending on each departmental orientation requirement. There is the flexibility to extend or reduce these timeframes in specific instances, subject to agreement with the New graduate, Preceptor, Nurse Unit Manager, Clinical Nurse Educator and Transition program Educator. The key determinant should be that the new graduate is supported adequately to meet the learning requirements during this time.

Content

A planned learning development course combining the clinical experience provides the new graduate nurse the time to explore the knowledge and concepts required for the development of sound clinical reasoning. The content of the program comprises of a mix of clinical and theoretical components presented through the study days focused on management of paediatric patients and families.

Clinical Component:

The clinical time will comprise of normal rostered shifts in an allocated clinical area under the supervision of a Preceptor and the guidance of a Clinical Nurse Educator and Clinical Nurse Facilitator. This is further supported by providing debriefing sessions to support and learn from others. There is ongoing clinical training that occurs in the clinical units with the support of a hospital wide preceptorship model and a competency framework with clear goals, objectives and timelines. Furthermore, collaboration between the Nurse Unit Manager, Nurse Educator, Preceptor & Transition Programme Educator will ensure that a strong support network is available to the new graduate throughout the programme with a clear delineation of roles & responsibilities

Theoretical component:

The GNP consists of a total of 12 study days including GNP orientation day, RCH nursing orientation day and Post graduate studies. During the first half of the program year six study days are facilitated to assist the graduate nurses to develop the knowledge and skills to work in a paediatric speciality environment. During the second half of the program, the nurses are further assisted in building up their advanced clinical assessment skills by participating in Child health assessment program delivered in partnership with the University of Melbourne.

The Child health assessment program is designed as a theoretical (48 hrs) and clinical subject (min 300 hrs) that will enable the staff to receive 25 credits towards post graduate studies. This program facilitates registered nurses to conduct a comprehensive and systematic nursing assessment of children and to deliver effective patient care based on sound theoretical reasoning and critical thinking. The theoretical time may be through planned study blocks, study days/ half days or structured tutorials. Details of the Child Health Assessment program will be provided soon in the Paper Outline.

The equivalent of twelve Study Days, (96 hours), over the period of the programme comprises of: (Appendix 3.1)

• Orientation and paediatric specific study days to RCH, (6 days)

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These study days will be facilitated and delivered by experienced clinical nurses/educators under the guidance of the transition programme co-ordinator. These facilitators and teachers will be chosen for their clinical expertise and will be assisted by the Transition Program Educator to utilise problem-solving methods that develop clinical thinking and explore the application and use of knowledge in different clinical settings. These facilitators and teachers will then be available to support the nurses and their preceptors in the practice experience with developing knowledge.

Assessment Process

Feedback is critical to the development of practice and in the progress of learning. Practice assessments will be based on clinical observation and emphasise the new graduate’s ability to manage nursing care, make sound clinical decisions and work effectively in a multidisciplinary team.

Clinical Assessment Points

Successful Completion of GNP Program Performance assessment

(10 weeks)

Manager / Nurse Unit Manager & Assessor

Performance assessment (6 months)

Manager / Nurse Unit Manager & Assessor Completion of mandatory &generic nursing

competencies by 6-10 weeks

Completion of Generic nursing competencies by 9-12 months

Completion of Speciality Nursing competencies

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Previously set learning objectives are reviewed during the Performance Assessment in terms of progress with outcomes. Your assessor (Preceptor or CNE/F) and NUM will tick to indicate this has occurred. Once the Performance Assessment meeting has occurred and all comments are documented you must sign and date to indicate that you agree with the comments

provided. Once the Performance Assessment meeting _{has occurred and all comments are documented} a member of the Transition Team (or nominated representative) must view this form and sign to indicate that they have read the content.

Your assessor (Preceptor or CNE/F) and NUM are required to provide written feedback after discussion at the Performance Assessment meeting. You are required to capture a self reflection with regards to your performance to date prior to the meeting. You must then sign and date your entry.

Performance Assessments

Performance Assessments provide you with an opportunity to reflect on your own performance as well as meet with your Nurse Unit Manager (NUM) and assessor (Preceptor or CNE/F) to discuss your performance and receive constructive feedback. A Performance Assessment occurs at four time points throughout the GNP: 10 weeks, 6 months, 9 months and 12 months. Your reflections and the comments from your NUM and assessor regarding performance are documented on the corresponding forms found in this appendix as evidence of your professional development throughout the GNP.

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Academic Assessments

Child Health Assessment Program assessments include:

− Written Assignment − Exam

− Physical Examination

Details of these assessment points will be provided in the Paper Outline.

For successful completion of the programme, participants will be required to have their clinical practice assessed as constantly meeting the required performance standards set by you unit manager and hospital policies. This includes Preceptor Feedback, Self-Assessment and Performance Appraisal.

Participants who successfully complete all clinical assessments will receive GNP completion certificate and those who complete academic assessments will receive 25 credit points towards post graduate certificate in nursing.

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Program Requirements

The table below outlines the key due dates for the GNP program requirements. You are responsible for ensuring that each of the requirements listed is achieved within the timeframe specified. If you encounter difficulties, please discuss this with your Nurse Unit Manager and Transition Team member in advance to ensure alternative arrangements can be made where appropriate.

Program Requirement Group A

Due by Friday

Group B Due by Friday

Formulate 10 Week Learning Objectives February 18 March 18

Completion of Supernumerary Time Checklist

(for Graduate Nurses with up to 6 weeks supernumerary time) March 4 April 1

Mandatory Competencies (for Graduate Nurses with up to 6

weeks Supernumerary time) March 4 April 1

Completion of Supernumerary Time Checklist

(for Graduate Nurses with up to 10 weeks Supernumerary time) April 1 April 29

Mandatory Competencies (for Graduate Nurses with up to 10

weeks Supernumerary time) April 1 April 29

Generic Nursing Competencies (identified as to be attained

within 10 weeks) April 1 April 29

10 week Performance Assessment with Assessor and

Nurse Unit Manager April 1 April 29

Completed Supernumerary Time Checklist and 10 week Performance Assessment viewed by Transition Team member

April 8 May 6

Agree on 6 Month Learning Objectives with Assessor April 8 May 6

6 month Performance Assessment with Assessor and

Nurse Unit Manager July 22 August 12

6 month Performance Assessment viewed by

Transition Team member August 5 August 19

Agree on 9 Month Learning Objectives with Assessor August 5 August 19

9 month Performance Assessment with Assessor and

Nurse Unit Manager October 21 November 18

Transition Team member October 28 November 25

Agree on 12 month Learning Objectives with Assessor October 28 November 25

Generic Nursing Competencies (identified as to be attained

within 12 months) January 13 2012 February 10 2012

12 Month Performance Assessment with Assessor and

Nurse Unit Manager January 13 2012 February 10 2012

Transition Team member January 20 2012 February 17 2012

Completion of Graduate Nurse Program Checklist January 20 2012 February 17 2012

Specialty Nursing Competencies

As advised by assessor __/__/20__ As advised by assessor __/__/20__

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Support Process

A matrix (Appendix 3.2) which outlines the support network available to all graduates has been developed to assist graduates in accessing appropriate support and resources. Graduate nurses are provided with external resources for support should they be required. The Employee Assistance Program is a free confidential counselling service that is available to all RCH employees. Graduate nurses at RCH are also provided with the contact details of the Graduate and Final Year Student Support Officer from the Australian Nursing Federation.

Facilitated Debriefing

Graduate nurses are also provided with ten opportunities to attend facilitated debriefing sessions throughout the Graduate Nurse Program (GNP). It is an expectation of the GNP that graduate nurses participate in a minimum of five sessions by sharing or actively listening. Should a graduate nurse experience difficulty in attending it will be their responsibility to contact their lead facilitator to negotiate participation in one of the other groups for the month

The purpose of Facilitated Debriefing is to provide support in a safe environment that promotes reflective practice and critical thinking to improve nursing practise.

Participants are provided with an opportunity to:

• Share experiences with others in similar situations • Support and learn from others

• Be challenged to explore current issues in their practise • Consider how learning might be translated into practise

The Transition Stream works closely with the Nursing Development team (NDT) to facilitate and evaluate facilitated debriefing for Graduate Nurse Program (GNP)

Facilitated debriefing sessions are scheduled monthly. Graduate nurses are allocated to one group. These groups meet on one of four days: Tuesday, Wednesday, Thursday or Friday. There are lead facilitators for each of the four groups. Please refer to the table below for a list of lead facilitators and group members.

If there is a change in facilitator for any reason graduate nurses will be notified via email a minimum of 24 hours prior to the scheduled session.

Each group will establish ways of working together during the first scheduled session. Information shared in all sessions remains confidential. Any information shared outside of the group must be negotiated between the facilitator(s) and individual(s).

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Debriefing Sessions 2011

Tuesday Group Lead facilitator: Claire Stewart Ext: 5768

Ashlea Austin, Felicity Jones, Nicole Ruys, Elise Baines, Diana Sarraj, Anthony Khoo, Dereley Collins, Cherise Allender, Sarah Catling, Madeline North, Catriona Ryan

Wednesday Group Lead facilitator: Sally Hicks Ext: 4210

Bianca Ogier, Leah Clifton, Holly Creber, Lauren Cassidy, Rebecca Hibbert, David Phillips, Amy Van der Velden, Andrea Numa, Karen Walker, Julianna Staunton

Thursday Group Lead facilitator: Danielle Mee Ext: 6350

Michelle Healey, Hailey May, Emma Blandy, Sally Lloyd, Alicia Thompson, Jamie Hatherley, Kaylee Dumble, Meridee Houtengraff, Sarah Gilbert, Jessica White, Emma Lew

Friday Group Lead facilitator: Mercy Thomas Ext: 5768

Laura Collins, Claire Barber, Vanessa Williams, Melissa Anania, Lydia Farrell, Stephanie Centonze-Williams, Alyssa Pintimalli, Sara La Vella, Rebecca Mower

Please refer to the table below for the schedule of time, locations1 and dates.

Time: 1430-1530 Location: MRI Seminar Room2 Tuesday Group (Group A) Claire Stewart Wednesday Group (Group B) Sally Hicks Thursday Group (Group A) Danielle Mee Friday Group (Group B) Mercy Thomas March 8 March 10

April 5 April 6 April 7 April 8

May 3 May 4 May 5 May 6

June 7 June 8 June 9 June 10

July 5 July 6 July 7 July 8

August 2 August 3 August 4 August 5

September 6 September 7 September 8 September 9

October 4 October 5 October 6 October 7

November 8 November 9 November 10 November 11

December 6 December 7 December 8 December 9

January 4 January 6

1

The sessions scheduled for December and January will occur in the New Hospital. Locations for theses sessions will be communicated to group members via email.

2

The MRI Seminar Room is located in the Medical Imaging Department on Level 2. Walk past the X-ray reception desk and turn right. Continue walking towards MRI and the Seminar Room is the last room on the right before entering MRI.

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Additional Appendices

3.1 GNP program SD timetable 3.2 Support process

3.3 Debrief & Nursing Development Sessions Attendance 2011 3.4 Learning Objectives Example

3.5 10 Week Learning Objectives 3.6 10 Week Performance Assessment 3.7 6 Month Learning Objectives 3.8 6 Month Performance Assessment 3.9 9 Month Learning Objectives 3.10 9 Month Performance Assessment 3.11 12 Month Learning Objectives 3.12 12 Month Performance Assessment 3.13 Learning Objectives (additional page)

3.14 Completion of Graduate Nurse Program Checklist

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Appendix 3.1

Graduate Nurse Program (GNP) Timetable 2011

Study Day

Date

Group A Group B

RCH Nursing orientation day 24th January 21st February GNP Orientation day 25th January 22nd February Paediatric foundation SD 1 31st January 28th February Paediatric foundation SD 2 7 th February 7th March Paediatric foundation SD 3 14th February 17th March Management Of Clinical Aggression Training

(MOCA) SD 3

rd

March 31st March

Child Health Assessment Program – Day 1 8th August 15th August Child Health Assessment Program – Day 2 ₂₂nd_August _{29th August}

Child Health Assessment Program – Day 3 ₅th

September 12th September

Child Health Assessment Program – Day 4 ₁₉th

September 26th September

Child Health Assessment Program – Day 5 ₃rd_October _{10th October}

Child Health Assessment Program – Day 6 ₁₇th_October _{24th October}

Clinical Assessment Due Dates

10 weeks

10 week Performance assessment 1st April 29th April Agree on 6 months learning objectives 8th April 6th may

6 months

6 months Performance assessment 22nd July 12th August Agree on 9 months learning objectives 5th August 19th August

9 months

9 months Performance assessment 21st October 18th November Agree on 12months learning objectives 28th October 25th November

12 months

12 months Performance assessment 13th January 10th February Completion and submission of graduate

nurse program documents to Transition team 20th January 17

th

February Academic Assessment Due Dates

Academic Assessment One TBA TBA

Academic Assessment Two TBA TBA

Exam TBA TBA

N.B: The taught component of the program consists of 12x 8 hr days (96 hrs) over the course of the year

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Appendix 3.2

Available Support for Graduate Nurses

Graduate Nurse

Preceptor

ANUM

Clinical Nurse

Facilitator/Educator

Nurse Unit Manager

Divisional Director

Transition Program

Educators

Program

Coordinator

Other Sources of Support

Facilitated Debriefing Colleagues

Fellow Program Participants Employee Assistance Program Australian Nursing Federation

Additional Resources

Competency Framework Preceptorship Model Position Description (RN) RCH Policies and Procedures People and Culture Processes Clinical

Support

Educational Support

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Appendix 3.3

Debrief & Nursing Development Sessions Attendance 2011

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Appendix 3.4

Learning Objectives

Learning objectives are “statements of desired, observable, teachable, learnable behaviours that are evidence of learning” (Ferguson, 1998). Formulating learning objectives helps to provide focus in terms of what you need and want to learn throughout your GNP. You are required to generate learning objectives that are then agreed upon with your assessor (Preceptor or CNE/F). Learning objectives must initially be formulated by week four and must then be reviewed at each of your Performance Assessments, which are detailed on the following page. After each Performance Assessment you will have a week to agree on any additional learning objectives with your assessor (Preceptor or CNE/F). Please note there is a page for additional learning objectives to capture those that do not fit on one page. This can be photocopied and used as needed.

Figure 1: Example of Learning Objectives form

State the behaviour you want or need to learn Refer to Tools for Writing Learning Objectives pages 5 and 6,Chapter 1, Nursing Competency Workbook

Describe strategies outlining how you plan to achieve the objective. Provide evidence that describes how you achieved the objective. Document the

date that you recorded the learning objective.

Document the date that you achieved the learning objective.

Once you have formulated your learning objectives your assessor (Preceptor or CNE/F) must review the objectives and agree that they are specific, measurable, realistic and time based. Once agreed upon you must both sign and date here.

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Appendix 3.5

10 Week Learning Objectives

Date

written

Learning Objective

Action

Outcome

Date achieved

Relating to a:

o Key Performance Indicator, or

o Development Area

How you plan to achieve the objective How you achieved the objective

Learning Objectives agreed upon by:

Nurse Assessor (Preceptor or CNE/F)

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Appendix 3.6

10 Week Performance Assessment

Individual’s comments

Signature: Date:

Assessor’s (Preceptor or CNE/F) comments

10 week learning objectives reviewed

Signature: Date:

Nurse Unit Manager’s Comments

10 week learning objectives reviewed

Signature: Date:

The Registered Nurse agrees with comments provided as a result of the Performance Assessment:

Signature……….. Date …../…../………

Viewed by Transition Team member (or nominated representative identified by Transition Team) Name………. Signature ……… Date …../…../……….

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Appendix 3.7

6 Month Learning Objectives

Date

written

Learning Objective

Action

Outcome

Date

achieved

Relating to a:

o Development Area

Learning Objectives agreed upon by:

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Appendix 3.8

6 Month Performance Assessment

Signature: Date:

6 month learning objectives reviewed

Signature: Date:

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Appendix 3.9

Date

written

Learning Objective

Action

Outcome

Date

achieved

Relating to a:

o Development Area

Learning Objectives agreed upon by:

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Appendix 3.10

Signature: Date:

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Appendix 3.11

Date

written

Learning Objective

Action

Outcome

Date

achieved

Relating to a:

o Development Area

Learning Objectives agreed upon by:

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Appendix 3.12

Signature: Date:

Note: Comments may be used to inform the PDAP to be completed at 12 months. The Registered Nurse agrees with comments provided as a result of the Performance Assessment:

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Appendix 3.13

Learning Objectives (additional page)

Date

written

Learning Objective

Action

Outcome

Date

achieved

Relating to a:

o Development Area

Learning Objectives agreed upon by:

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Tick the allocated box to indicate that the program requirement has been completed. Each program requirement listed refers to the resource where evidence of completion must be recorded.

You, your assessor (Preceptor or CNE/F) and a Transition Team member (or nominated representative) must sign and date that the above program requirements have been completed within the program indicating that you have successfully completed the GNP.

Appendix 3.14

Example of Completed Graduate Nurse Program

Checklist

This Completion of Graduate Nurse Program Checklist provides an outline of the program requirements you are expected to complete within the 12 month program.

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RCH Nursing Competency Workbook Appendix 3

Appendix 3.15

Completion of Graduate Nurse Program Checklist

Upon completion of the Graduate Nurse Program the Registered Nurse will have completed the following:

Attendance at all Graduate Nurse Program Study Days

(Refer to evidence captured in Professional Practice Portfolio) Completed

Participation in a minimum of five Facilitated Debriefing Sessions

(Refer to evidence captured in Professional Practice Portfolio) Completed

Mandatory Annual Competencies

(Refer to pages 9 & 10, Chapter 2) Completed

Generic Nursing Competencies: 10 weeks & 12 months

(Refer to Chapter 2) Completed

Specialty Nursing Competencies (as determined by the unit)

(Refer to Chapter 3) Completed

Completion of Supernumerary Time Checklist

(Refer to page 7, Chapter 1) Completed

Formulation and agreed upon learning objectives: 10 weeks, 6 months, 9 months, and 12 months

Completed Performance Assessment: 10 weeks, 6 months, 9 months

and 12 months

Completed Forms viewed by Transition Team member:

• Completion of Supernumerary Time Checklist Completed

(Refer to page 7, Chapter 2)

• Performance Assessments 10 weeks, 6 months,

9 months and 12 months Completed The Registered Nurse must have completed the above listed Program

Requirements to successfully complete the Royal Children’s Hospital Graduate Nurse Program.

Nurse

Name………Signature ……… Date …../…../………. Assessor (Preceptor or CNE/F)

Name………Signature ……….Date …../…../………. Transition Team member

(or nominated representative as identified by the Transition Team)

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References

Ferguson, L. M. (1998). Writing Learning Objectives. Journal of Nursing Staff Development, 14(2), 87-94.

RCH Nursing Competency Workbook. Appendix 3: 2011 Graduate Nurse Program Handbook

RCH Nursing

Table of Contents

INTRODUCTION PROGRAM OUTLINE

Contact Details:

Mercy Thomas RN

Welcome to Royal Children’s Hospital’s (RCH)

Program Outline

Structure of the Program:

Clinical Component:

Assessment Process

Clinical Assessment Points

Performance Assessments

Program Requirements

Program Requirement Group A

Support Process

Debriefing Sessions 2011

Please refer to the table below for the schedule of time, locations1 and dates.

Additional Appendices

Group A Group B

Clinical Assessment Due Dates

Appendix 3.2

Facilitated Debriefing Colleagues

Additional Resources

Competency Framework Preceptorship Model Position Description (RN) RCH Policies and Procedures People and Culture Processes Clinical

Appendix 3.3

Figure 1: Example of Learning Objectives form

Appendix 3.5

Learning Objectives agreed upon by:

Appendix 3.6

Appendix 3.7

Learning Objectives agreed upon by:

Appendix 3.8

Appendix 3.9

Learning Objectives agreed upon by:

Appendix 3.10

Appendix 3.11

Learning Objectives agreed upon by:

Appendix 3.12

Appendix 3.13

Learning Objectives agreed upon by:

Appendix 3.14

Attendance at all Graduate Nurse Program Study Days

and 12 months

References