Broward College and the Nursing Specialty Consortium Broward Health, Holy Cross and the Memorial Healthcare System Issue Hospital Partner - Scheduling Meeting August 4, 2011 Discussion Action Welcome & Introductions 8:30am Kathy Jackson welcomed all and introductions ensued: • Debra Hauss - BC/MHS • Sonia Kaiser - BC /(BH/MHS) • Kathy King - Broward College • Suzanne Luongo - Memorial Health System • Chrissy Marrero - Holy Cross • Barb Perra - Broward Health • Jean Seaver - Broward Health • Linda Swartz - Memorial Health System • Evy Warmbier - BC/BH • Report: Critical Care Course by Evy Warmbier • The October (2010) course had 28 students who successfully passed. • Two Critical Care Courses have occurred to date (2011). This had a th total of 50 students. The August 8 class has 30 currently enrolled. • The implementation of BlackBoard improves communication with the students, saves on printing and ability to work on any internet computer and facilitates dissemination of materials • An “Open Lab” for skills was initiated. This assisted those students with minimal clinical experience. • Discussion ensued on the students lacking Basic Arrhythmia prior to entry, while not often, is challenging for all concerned. • There was discussion regarding students who CLEP the Basic Arrhythmia and those who take the Basic Arrhythmia Course. • Most students are weak in arrhythmia recognition, with AV Blocks being the primary rhythms missed. • A suggestion from Chrissy Marrero to perform a needs assessment prior to class. • The needs assessment would continue to be completed by the hospital systems, prior to class. Report: Emergency Nursing Course by Debra Hauss • Debbie Hauss stated that she had attended an ED conference in Orlando and plans to attend the ENA National Conference this year. • The focus of the course is to engage the students using a fast-paced Emergency Department format. This is accomplished through tools, games, critical thinking, lecture and simulation. • The challenges that were discussed : o Equipment: is expensive but changes quickly and outdated making it no longer useful o Students continue to request more time for scenarios/simulation. o Code Blue Management Day is challenging but students want more. o Blackboard: continues to be interactive and going well o Number of Courses: Do we need the number of courses that have a small number in each? Are hospitals hiring? With such small numbers had to limit faculty. Difficult to build a teaching team as there has been a turnover of personnel. 8.4.11 None 1 Kathy Jackson Report: Total courses CY ’11 by Barb Perra • TNCC – Pilot o Broward College has offered ENA’s TNCC Program as an adjunct to the hospital’s courses. TNCC is a canned course, similar to ACLS, no deviation, students have to be prepared. ED, ICU and Ortho students have benefited from the class. o ENA is not flexible wanting information 30 days ahead of course. Issues with accountability and keeping track of textbooks at $65 each o Cannot overbook course. Students needs to return book, if they don’t attend o Sharon Cohen was the past Course Director and now it will be Debbie Hauss. o We were paying for the course in advance but will be able to pay after the course in the future. o The quality of the instructors is excellent. o Slots will be held until six weeks prior to the course date. Currently, MHS has 15 and BH 5 slots. • Critical Care Contract AACN o Kathy Jackson discussed that the Critical Care Contract with AACN is due January 13, 2012. o The last renewal was $5000 for the site license. o Cleveland Clinic has shown interest in partnering with the consortium. If that is current information then the division of cost would be 4 instead of 3. They bring faculty and pay for slots. They usually send 2-4 per course. o Critical Care for the community pay more for a slot o Chrissy Marrero stated she needs to check the budget at Holy Cross o Needs to be finalized in September so new AACN contract can be reviewed by college attorney. • • • • • • • • • 8.4.11 Critical Care - 4 ED Nursing - 4 Basic Arrhy - 28 + 2 Hemodynamcis - 3 (Free-standing) Vent Mgmt - 4 12 Lead - 3 ACLS ASLS - 2 o CE Course , not a consortium course Discussion ensued o Two 12 Lead ECG Courses were not enough. However, it was decided to reduce to 2 and if necessary add a course. A 12-Lead Brochure is distributed at the end of every Critical Care Course to participants, encouraging them to attend after they gain some experience. o Hemodynamics (separate) was never intended to be a freestanding course, but for those who have completed a Critical Care Course and were held to attend Hemodynamics at a later date, after gaining experience. o Hemodynamics as a topic is incorporated into the current Critical Care Course (1 day). o Ventilator Course Has always been separate, following the Critical • January 2012 Debbie will relook at distribution of slots & start a waiting list. • Meeting to be scheduled with Cleveland Clinic Follow-up: Cleveland Clinic has agreed to join the Consortium, currently w/BC attorneys. AACN fees will be divided by 4. • Approved Courses 2012 • Critical Care - 4 • ED Nursing - 3 • Basic Arrhy - 26 • Hemodynamcis-3 • • • (Free-standing) Vent Mgmt - 4 12 Lead -2 Same number as 2010 2 Care Course. It is held at Broward College-North Campus. The Ventilator Course is incorporated within the ED Course. Basic Arrhythmia offers 3 formats of 32 hrs: 1 day per week 2 days per week 4 days per week The format has had no significance in outcome. Suggest that with the complexity of the course and the level of student current attending to offer more traditional courses (face-to-face) and reduce the computer (blended) programs. Re-evaluate at the end of 2012. Significant discussion ensued regarding ACLS and the purchase of books. A library system was discussed and the variables pertaining to that were discussed at length. Broward Health employees – lending library Memorial System employees – receive their own book from Education; not using a lending library system currently. o o Job Market • • Kathy Jackson asked what the job market was like in the community. The following discussion ensued: o Jean Seaver stated that turnover is currently low o Telemetry nurses are not being put through courses to advance to critical care. o Last year hired 460 nurses (240 new grads) o Chrissy Marrero stated that new grads cannot find jobs. o Suzanne Luongo stated that nurses have requested to come to courses on their own time, but then why do that when it cannot be used on the job. MHS has tuition reimbursement but have requests from people who apply for scholarships which pay for everything. It makes more sense to bring people into courses who already work at MHS. ASLS • Kathy King discussed the Advanced Stroke Life Support Course o The course is currently advertised on the BC website. o BH has 6 slots o MHS has 10 slots o Discussion ensued regarding the NIH criteria to be added. o All were reminded that both the Critical Care and Emergency Department Courses offer stroke hours. o Bring the Stroke Coordinators back to review and incorporate the NIH standards. (Norma, Cheryl, Robert, Chantel) o Can this new course be done in 1 ½ days? Simulation Center • Kathy Jackson discussed the current status of the BC Simulation Center. o The college has appeared to change directions and have now wanted to add classrooms. The architect has stopped all activity. o If the Simulation Center is not started by November the monies will have to be returned to the State of Florida. 8.4.11 • ACLS books will be ordered by BC and the ACLS lead instructor will collect the textbooks and the scholarship coordinator will return them to Broward Health. • No action • Set up meeting for Stroke Coordinators to discuss adding NIH criteria to ASLS. o o No action Follow-up: Ground breaking ceremony will be December, 6, 2011 3 Simulation Workshop • Kathy King discussed Simulation o MHS is hosting an Open House on Simulation o 2-day Simulation Workshop can be scheduled based on type of mannequins (SimMan, VitalSim series, Noelle, 3-G wireless SimMan). o It is very costly to purchase and not utilize the mannequins. o Laerdal has a Sim Store that programs can be purchased and downloaded into the computer o Hospitals can request workshop based on need. Debriefing Workshop • Kathy King discussed Debriefing o Instructors are having difficulty with the Debriefing Process as it is not intuitive. o They tend to want to coach, which should be done during practice. o Debriefing is done after testing o AHA Advanced Courses: ACLS/PALS need to incorporate debriefing at some level (2010 Guidelines) o Advantages of a Webcam (inexpensive tool), student can see how they performed o Would like to see a debriefing course for CC/ED Faculty Would like to have CC/ED/BA faculty meetings for 2012. • All requested meetings were approved by hospital partners. • Level 3 Evaluation • Susan Luongo initiated a discussion on Level 3 Evaluations regarding both CC/ED Courses o Can we coordinate a group and place a timeline? st o Meet before October 31 o Discussion of performance gaps, keeping Blackboard open longer and keep certificate until completed. This has a potential issue as the timeframe may cross semesters. • Debbie Hauss will coordinate this effort. AACN Manager curriculum • Chrissy Marrero initiated a discussion regarding AACN’s Nurse Manager curiculuum. o It is a structured program with an opportunity to grow nurses into managers. o Holy Cross wanted to launch and purchased seats last April o However, after purchasing 5 seats the program was placed on hold. o The seats are available for $2500 to hospital partners. o The course is on the BC system o There were no takers at this time. • No action Adjournment • The meeting was adjourned. • No action 8.4.11 4