Summit Summary
Nursing Summit- Spring 2014
Summary of Identified Action Items for Fall 2014 Implementation
Schools of Nursing
Action Item
Patient Assessment (Narrative / Focused):
Intervention / Implementation Plan
Clinical Model- Faculty with Student Group:
- Ask patient if ok to have faculty & students in room
to complete patient assessment.
- Faculty completes 3-5 patient assessments “as
examples” for students, then students must perform
assessments for remainder of semester.
- Outside patient room: student gives report on
assigned patient to faculty and students, to include:
history, presentation, labs, etc.
-Inside patient room: introduction, verbalized headto-toe assessment, and patient / family input.
Presence at bedside:
- Verbalize all hands-on with patient
- Limit use of computer near patient
Wind (airway), Wound, Widget (SCD’s, IV, foley,
etc.), Walk (ambulate) and teaching
Incorporate into Simulation:
Practice down-time (paper charting)
Scenarios instead of case study assignments- more
than one correct answer
Assessment practice:
- Focused
- Narrative
- Admission
Unsterile and sterile gloving
Nursing grand rounds- case studies with skills
Critical lab values
SBAR- for reporting
Critical thinking at the bedside- prioritizing patient
care
Pre-Op simulation (incorporate labs and sterile
technique)
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Summit Summary
Action Item
Personal / Professional Accountability:
Intervention / Implementation Plan
Cell phone use – being “Present at the Bedside”
Structure of communication
- Teach “it’s ok to not know”, seek appropriate
resource (seasoned RN)
Use acronym “CUS”:
Concerned and Uncomfortable for the Safety of my
Patient
Incorporate into Clinical / Curriculum:
Hospital policy review – student assignment
Micromedex and Lexicomp use in class / clinical
Rotate students through a clinical day in the OR –
exposure to sterile process
Senior year- review physical assessment skills
Senior practicum student to provide preceptor with
a checklist of needed skills (student specific),
available skills dependent on unit assigned.
Teach Quality Improvement Measures:
- HCAPS
- CAUTI
- CLABSI
- Falls
Plan of care vs. being task oriented
Evidence Based Practice- skills may be performed
differently per hospital; present examples to
differing policy to students
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Summit Summary
Nursing Summit- Spring 2014
Summary of Identified Action Items for Fall 2014 Implementation
GHS Nursing Academic Services / Workforce Development
Action Item
New Graduate / New Graduate Preceptors:
Intervention / Implementation Plan
Preceptor Academy
Resource Nurse- each shift
- Purposeful rounding on new grad (not just “Are
you ok”?)
Assist new grads in how to access information and
assistance
- Look up policies and procedures
Model “Being Present at the Bedside”
Use acuity level for new grad patient assignments
Student Nurse Preceptors:
Model communication skills- decrease intimidation
felt by students
Attend preceptor training
School Specific:
Provide schools a listing:
- common medications per service line (OB, Peds,
Med-Surg)
- common medications involved in medication errors
per service line
Provide a routine summary of evaluation feedback
to schools.
Review expanding skills and procedures allowed to
students.
Invite student / faculty participation within GHS
committees.
Make available GHS Nursing Policies and Procedures
to schools
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