SlideShare uma empresa Scribd logo
1 de 65
Preceptor Workshop Part I
Objectives: ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Purpose:
[object Object],[object Object],[object Object],[object Object],The Preceptor Role
[object Object],[object Object],[object Object],What is a Preceptor?
Protector Educator Coach ROLE  MODEL Judge Mentor Friend Supervisor Roles of a Preceptor
LEVELS OF NURSING PRACTICE Advanced Beginner Novice Competent Proficient Expert
[object Object],[object Object],[object Object],[object Object],Responsibilities of a Preceptor
[object Object],[object Object],[object Object],[object Object],Responsibilities of a Orientee
[object Object],[object Object],[object Object],[object Object],[object Object],Adult Learners
Preceptor Effective? What makes a?
Desire    Knowledge   Experience   Organization   Teaching Skills   People Skills   What does it take?    Yes Yes Yes Yes Yes Yes
What else do you need?  Objectivity People Skills      Concrete Goals   Evaluation Tools  Effective Documentation
What works?  Goals & Agreements   Timeframes  Checklists  Evaluation Tools    Progress Notes Resources
Goals are the single most important factor in achieving success   Why make Goals?
Goals & Agreements  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Timeframes   ,[object Object],[object Object],[object Object]
Checklists  ,[object Object],[object Object],[object Object],[object Object]
Evaluation Tools  ,[object Object],[object Object],[object Object],[object Object]
Progress Notes  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resources  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Becoming Effective
EVALUATE    NEEDS   How to be Effective
USE    RESOURCES How to be Effective
USE   THE   TOOLS   How to be Effective
PLAN  GOALS How to be Effective
S pecific M easurable A ttainable R ealistic T ime Bound Plan SMART Goals
ASSESS   DAILY How to be Effective
KEEP    NOTES   How to be Effective
SEEK    OUT   OPPORTUNITIES How to be Effective
THE EFFECTIVE PRECEPTOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Part II Preceptor Workshop
[object Object],[object Object],[object Object],[object Object],Objectives:
TEACHING STRATEGIES
Teaching Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessing Learning Needs ,[object Object],[object Object],[object Object],[object Object],Ways to assess learning needs:
[object Object],[object Object],[object Object],Assessing Learning Needs Ways to assess learning needs: (cont..)
[object Object],[object Object],[object Object],[object Object],[object Object],Dealing with Frustration
Making Goals TAKE    ONE MINUTE
Making Weekly Goals TAKE   FIVE  (or less) MINUTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Why Goals Work
S pecific M easurable A ttainable R ealistic T ime Bound Use SMART Goals
Sample Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Making Agreements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PBDS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Using PBDS ,[object Object],[object Object],[object Object],[object Object]
PBDS Progress Notes Examples From PBDS Department
                   0 of 6     Resp. Neuro 1.  Admit and manage 2 respiratory patients independently by 10/29/06 2.  Give 4 organized reports to physicians by 10/29/06 10/20/06 - Admission for pneumonia with preceptor 10/22/06 - Admission for COPD done independently.  Followed appropriate protocol. 10/23/06 – Managed  PE pt. independently.  Followed appropriate protocol.  Participated in successful code. 2.  10/20/06 - Dr. Jones (+)   10/20/06 - Dr. Smith (+)   10/22/06 - Dr. Green (+ w/urgency)   10/23/06 - Dr. Davis (+)    1  4 DE Ima Newtoyou  10/16 -10/29/06
                2 of 6     Neuro    2  4 DE Ima Newtoyou   1.  Admit and manage 2 neuro patients independently by 11/12/06 2.  Complete all charting by end of shift by 11/12/06 1.  10/31/06 - Admission for closed  head trauma done independently.  Followed appropriate protocol.   11/6/06 - Admission for r/o CVA, followed protocol for thrombolytics. 2.  10/31/06 - All completed   11/6/06 - 20 min. OT   11/7/06 - All completed   11/9/06 - All completed  10/30-11/12/06
11/13-11/26/06                   3 of 6         3  4 DE Ima Newtoyou Consistently manage 6 patients independently by 11/26/06 11/17/06 - 4 11/20/06 – 5 11/22/06 – 6 (w/little help) 11/23/06 - 6
11/27-12/3/06                   6 of 6         Orientation complete UBE reviewed reassessment video #107 CTA class scheduled 12/4/06 PBDS Reassessment scheduled 12/11/06 4  4 DE Ima Newtoyou
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evaluations
Evaluate Daily ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to Evaluate the Orientee ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Use Resources
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Documentation
Document Daily ,[object Object],[object Object],[object Object],[object Object],[object Object]
Giving Feedback ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role Modeling We learn  by example
Goals can make winning easy and give us measurable tools Winning Goals
Make it easy to win Set reasonable goals Make it Easy
A standard procedure for teaching a task that a student finds difficult is to break it down into smaller units.  Breaking it Up
Evaluate daily  (were the goals met?) Adjust new goals accordingly Make Adjustments
Adjust goals according to your evaluations Turn ideas into plans for your orientee Be Flexible
SHARE IDEAS ?

Mais conteúdo relacionado

Mais procurados

ISBAR a better way to communicate
ISBAR  a better way to communicateISBAR  a better way to communicate
ISBAR a better way to communicateaifl
 
Effective Communication in healthcare
Effective Communication in healthcare Effective Communication in healthcare
Effective Communication in healthcare Himanshu Nath
 
Innovative clinical teaching methods
Innovative clinical teaching methodsInnovative clinical teaching methods
Innovative clinical teaching methodsjas sodhI
 
Nursing competencies
Nursing competenciesNursing competencies
Nursing competenciesAhmad Thanin
 
Sc4 preceptor training ppt
Sc4 preceptor training pptSc4 preceptor training ppt
Sc4 preceptor training pptwiadams
 
Patient & Family Education: A Multi-modal approach to improve the experience
Patient & Family Education: A Multi-modal approach to improve the experiencePatient & Family Education: A Multi-modal approach to improve the experience
Patient & Family Education: A Multi-modal approach to improve the experienceWellbe
 
Ward management for nurses
Ward management for nursesWard management for nurses
Ward management for nursesshanza aurooj
 
Nursing process (Assessment)
Nursing process (Assessment)Nursing process (Assessment)
Nursing process (Assessment)Malek Hroub
 
Policies and procedure nursing
Policies and procedure nursingPolicies and procedure nursing
Policies and procedure nursingLiza Arshad
 
Patient Safety (Final).ppt
Patient Safety (Final).pptPatient Safety (Final).ppt
Patient Safety (Final).pptssuser9953df2
 
Clinical Pathways
Clinical PathwaysClinical Pathways
Clinical Pathwayspradhasrini
 
Time management in nursing
Time management in nursingTime management in nursing
Time management in nursingJohny Wilbert
 
Evidence based practice
Evidence based practiceEvidence based practice
Evidence based practicepramod kumar
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safetyRenelda Tugade
 
Goals of Clinical Nursing Education
Goals of Clinical Nursing EducationGoals of Clinical Nursing Education
Goals of Clinical Nursing Educationbodo-con
 
Patient safety
Patient safetyPatient safety
Patient safetysuji kalai
 

Mais procurados (20)

Best preceptor
Best preceptorBest preceptor
Best preceptor
 
ISBAR a better way to communicate
ISBAR  a better way to communicateISBAR  a better way to communicate
ISBAR a better way to communicate
 
Effective Communication in healthcare
Effective Communication in healthcare Effective Communication in healthcare
Effective Communication in healthcare
 
Innovative clinical teaching methods
Innovative clinical teaching methodsInnovative clinical teaching methods
Innovative clinical teaching methods
 
Patient Education ppt
Patient Education pptPatient Education ppt
Patient Education ppt
 
Nursing competencies
Nursing competenciesNursing competencies
Nursing competencies
 
Sc4 preceptor training ppt
Sc4 preceptor training pptSc4 preceptor training ppt
Sc4 preceptor training ppt
 
Patient & Family Education: A Multi-modal approach to improve the experience
Patient & Family Education: A Multi-modal approach to improve the experiencePatient & Family Education: A Multi-modal approach to improve the experience
Patient & Family Education: A Multi-modal approach to improve the experience
 
Ward management for nurses
Ward management for nursesWard management for nurses
Ward management for nurses
 
Nursing process (Assessment)
Nursing process (Assessment)Nursing process (Assessment)
Nursing process (Assessment)
 
Policies and procedure nursing
Policies and procedure nursingPolicies and procedure nursing
Policies and procedure nursing
 
Patient Safety (Final).ppt
Patient Safety (Final).pptPatient Safety (Final).ppt
Patient Safety (Final).ppt
 
Clinical Pathways
Clinical PathwaysClinical Pathways
Clinical Pathways
 
Time management in nursing
Time management in nursingTime management in nursing
Time management in nursing
 
Evidence based practice
Evidence based practiceEvidence based practice
Evidence based practice
 
NURSING SUPERVISOR job description
NURSING SUPERVISOR job descriptionNURSING SUPERVISOR job description
NURSING SUPERVISOR job description
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safety
 
Goals of Clinical Nursing Education
Goals of Clinical Nursing EducationGoals of Clinical Nursing Education
Goals of Clinical Nursing Education
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Ethics 2012
Ethics 2012Ethics 2012
Ethics 2012
 

Destaque

3rd skills build goals and objective setting
3rd skills build  goals and objective setting3rd skills build  goals and objective setting
3rd skills build goals and objective settingsheffieldEnterprise
 
Managing oneself
Managing oneselfManaging oneself
Managing oneselfvikaskum
 
Goal Setting 2014 | Setting SMART Goals
Goal Setting 2014 | Setting SMART GoalsGoal Setting 2014 | Setting SMART Goals
Goal Setting 2014 | Setting SMART GoalsRobert J Banach
 
LPC Core Issues in Effective Clinical Supervision
LPC Core Issues in Effective Clinical SupervisionLPC Core Issues in Effective Clinical Supervision
LPC Core Issues in Effective Clinical SupervisionGlenn Duncan
 
Managing Oneself And Reflective Practise Drucker Hackett
Managing Oneself And Reflective Practise Drucker   HackettManaging Oneself And Reflective Practise Drucker   Hackett
Managing Oneself And Reflective Practise Drucker HackettNaomi Smith
 
Nursing evaluations ppt
Nursing evaluations pptNursing evaluations ppt
Nursing evaluations pptJamie Saltkill
 
12 Step Goal-Setting Process-Brian Tracy
12 Step Goal-Setting Process-Brian Tracy12 Step Goal-Setting Process-Brian Tracy
12 Step Goal-Setting Process-Brian TracySanath Dasanayaka
 
Concept Mapping... for the slightly confused
Concept Mapping... for the slightly confusedConcept Mapping... for the slightly confused
Concept Mapping... for the slightly confusedguestcc23f8a
 
Personality development presentation
Personality development presentationPersonality development presentation
Personality development presentationMehak Vaswani
 
How To Write SMART Goals
How To Write SMART GoalsHow To Write SMART Goals
How To Write SMART GoalsColin G Smith
 
Goal Setting PowerPoint
Goal Setting PowerPointGoal Setting PowerPoint
Goal Setting PowerPointemurfield
 
nursing process Evaluation
nursing process Evaluationnursing process Evaluation
nursing process EvaluationShaells Joshi
 

Destaque (20)

3rd skills build goals and objective setting
3rd skills build  goals and objective setting3rd skills build  goals and objective setting
3rd skills build goals and objective setting
 
Managing oneself
Managing oneselfManaging oneself
Managing oneself
 
Managing Oneself
Managing OneselfManaging Oneself
Managing Oneself
 
Directing2
Directing2Directing2
Directing2
 
Goal Setting 2014 | Setting SMART Goals
Goal Setting 2014 | Setting SMART GoalsGoal Setting 2014 | Setting SMART Goals
Goal Setting 2014 | Setting SMART Goals
 
LPC Core Issues in Effective Clinical Supervision
LPC Core Issues in Effective Clinical SupervisionLPC Core Issues in Effective Clinical Supervision
LPC Core Issues in Effective Clinical Supervision
 
Managing Oneself And Reflective Practise Drucker Hackett
Managing Oneself And Reflective Practise Drucker   HackettManaging Oneself And Reflective Practise Drucker   Hackett
Managing Oneself And Reflective Practise Drucker Hackett
 
Effective Supervision and Staff Leadership
Effective Supervision and Staff LeadershipEffective Supervision and Staff Leadership
Effective Supervision and Staff Leadership
 
Nursing evaluations ppt
Nursing evaluations pptNursing evaluations ppt
Nursing evaluations ppt
 
Smart Goal Setting
Smart Goal SettingSmart Goal Setting
Smart Goal Setting
 
12 Step Goal-Setting Process-Brian Tracy
12 Step Goal-Setting Process-Brian Tracy12 Step Goal-Setting Process-Brian Tracy
12 Step Goal-Setting Process-Brian Tracy
 
Concept Mapping... for the slightly confused
Concept Mapping... for the slightly confusedConcept Mapping... for the slightly confused
Concept Mapping... for the slightly confused
 
Personality development presentation
Personality development presentationPersonality development presentation
Personality development presentation
 
How To Write SMART Goals
How To Write SMART GoalsHow To Write SMART Goals
How To Write SMART Goals
 
Samples SMART Goals
Samples SMART GoalsSamples SMART Goals
Samples SMART Goals
 
Importance of goal
Importance of goalImportance of goal
Importance of goal
 
Goal Setting PowerPoint
Goal Setting PowerPointGoal Setting PowerPoint
Goal Setting PowerPoint
 
Goal setting ppt
Goal setting pptGoal setting ppt
Goal setting ppt
 
GOAL SETTING POWERPOINT
GOAL SETTING POWERPOINTGOAL SETTING POWERPOINT
GOAL SETTING POWERPOINT
 
nursing process Evaluation
nursing process Evaluationnursing process Evaluation
nursing process Evaluation
 

Semelhante a Levels Of Nursing Practice

Assessing students and giving feedback
Assessing students and giving feedbackAssessing students and giving feedback
Assessing students and giving feedbackSean_Polreis
 
Assessment 1 Develop and maintain professional competenceSubmiss.docx
Assessment 1 Develop and maintain professional competenceSubmiss.docxAssessment 1 Develop and maintain professional competenceSubmiss.docx
Assessment 1 Develop and maintain professional competenceSubmiss.docxdavezstarr61655
 
How to Prepare for a Skills Test.pdf
How to Prepare for a Skills Test.pdfHow to Prepare for a Skills Test.pdf
How to Prepare for a Skills Test.pdfIscalePro
 
Embracing the diploma presentation Richard Cragg
Embracing the diploma presentation Richard CraggEmbracing the diploma presentation Richard Cragg
Embracing the diploma presentation Richard CraggPHEScreening
 
Fundamentals Of Coaching
Fundamentals Of CoachingFundamentals Of Coaching
Fundamentals Of Coachingdonhhenry
 
Using Treatment Manuals in Counseling Practice
Using Treatment Manuals in Counseling PracticeUsing Treatment Manuals in Counseling Practice
Using Treatment Manuals in Counseling PracticeSamantha Klassen
 
"CMC Moving Ahead": Assessment In-Service 2010
"CMC Moving Ahead": Assessment In-Service 2010"CMC Moving Ahead": Assessment In-Service 2010
"CMC Moving Ahead": Assessment In-Service 2010S T
 
Evaluation in Education
Evaluation in EducationEvaluation in Education
Evaluation in EducationKusum Gaur
 
Data, decisions, action slideshare
Data, decisions, action slideshareData, decisions, action slideshare
Data, decisions, action slideshareMary Miller
 
Chnaging trends in Medical Education Oct 23.pptx
Chnaging trends in Medical Education Oct 23.pptxChnaging trends in Medical Education Oct 23.pptx
Chnaging trends in Medical Education Oct 23.pptxRajan Duda
 
NCA Residency Session 3 Nov 9 2016
NCA Residency Session 3 Nov 9 2016NCA Residency Session 3 Nov 9 2016
NCA Residency Session 3 Nov 9 2016CHC Connecticut
 
Riverina APs epac
Riverina APs epacRiverina APs epac
Riverina APs epacmacduff721
 
Companion Materials Looking Through the Lens of Rubrics
Companion Materials Looking Through the Lens of RubricsCompanion Materials Looking Through the Lens of Rubrics
Companion Materials Looking Through the Lens of Rubricsanniesyso
 
Writing learning objectives
Writing learning objectivesWriting learning objectives
Writing learning objectivesNazia Ashraf
 
Day 3 action research movie bridgewater
Day 3 action research movie bridgewaterDay 3 action research movie bridgewater
Day 3 action research movie bridgewatervpriddle
 

Semelhante a Levels Of Nursing Practice (20)

Assessing students and giving feedback
Assessing students and giving feedbackAssessing students and giving feedback
Assessing students and giving feedback
 
Assessment 1 Develop and maintain professional competenceSubmiss.docx
Assessment 1 Develop and maintain professional competenceSubmiss.docxAssessment 1 Develop and maintain professional competenceSubmiss.docx
Assessment 1 Develop and maintain professional competenceSubmiss.docx
 
How to Prepare for a Skills Test.pdf
How to Prepare for a Skills Test.pdfHow to Prepare for a Skills Test.pdf
How to Prepare for a Skills Test.pdf
 
Embracing the diploma presentation Richard Cragg
Embracing the diploma presentation Richard CraggEmbracing the diploma presentation Richard Cragg
Embracing the diploma presentation Richard Cragg
 
Fundamentals Of Coaching
Fundamentals Of CoachingFundamentals Of Coaching
Fundamentals Of Coaching
 
MailCom 2009 Train The Trainer
MailCom 2009 Train The TrainerMailCom 2009 Train The Trainer
MailCom 2009 Train The Trainer
 
Using Treatment Manuals in Counseling Practice
Using Treatment Manuals in Counseling PracticeUsing Treatment Manuals in Counseling Practice
Using Treatment Manuals in Counseling Practice
 
"CMC Moving Ahead": Assessment In-Service 2010
"CMC Moving Ahead": Assessment In-Service 2010"CMC Moving Ahead": Assessment In-Service 2010
"CMC Moving Ahead": Assessment In-Service 2010
 
Evaluation in Education
Evaluation in EducationEvaluation in Education
Evaluation in Education
 
NEET Classes in Ahmednagar
NEET Classes in AhmednagarNEET Classes in Ahmednagar
NEET Classes in Ahmednagar
 
Data, decisions, action slideshare
Data, decisions, action slideshareData, decisions, action slideshare
Data, decisions, action slideshare
 
Updated new techniques
Updated new techniquesUpdated new techniques
Updated new techniques
 
Staff appraisal training
Staff appraisal trainingStaff appraisal training
Staff appraisal training
 
Chnaging trends in Medical Education Oct 23.pptx
Chnaging trends in Medical Education Oct 23.pptxChnaging trends in Medical Education Oct 23.pptx
Chnaging trends in Medical Education Oct 23.pptx
 
NCA Residency Session 3 Nov 9 2016
NCA Residency Session 3 Nov 9 2016NCA Residency Session 3 Nov 9 2016
NCA Residency Session 3 Nov 9 2016
 
Wessex AHSN organisational change roadmap
Wessex AHSN organisational change roadmapWessex AHSN organisational change roadmap
Wessex AHSN organisational change roadmap
 
Riverina APs epac
Riverina APs epacRiverina APs epac
Riverina APs epac
 
Companion Materials Looking Through the Lens of Rubrics
Companion Materials Looking Through the Lens of RubricsCompanion Materials Looking Through the Lens of Rubrics
Companion Materials Looking Through the Lens of Rubrics
 
Writing learning objectives
Writing learning objectivesWriting learning objectives
Writing learning objectives
 
Day 3 action research movie bridgewater
Day 3 action research movie bridgewaterDay 3 action research movie bridgewater
Day 3 action research movie bridgewater
 

Mais de Sherry Knowles

Mais de Sherry Knowles (20)

CCRN Prep 2019 Pulmonary
CCRN Prep 2019 PulmonaryCCRN Prep 2019 Pulmonary
CCRN Prep 2019 Pulmonary
 
CCRN Prep 2019 Cardiovascular
CCRN Prep 2019 CardiovascularCCRN Prep 2019 Cardiovascular
CCRN Prep 2019 Cardiovascular
 
CCRN Review part 2
CCRN Review part 2CCRN Review part 2
CCRN Review part 2
 
CCRN Review part 1
CCRN Review part 1CCRN Review part 1
CCRN Review part 1
 
CCRN Review Part 2 (of 2)
CCRN Review Part 2 (of 2)CCRN Review Part 2 (of 2)
CCRN Review Part 2 (of 2)
 
CCRN Review Part 1 (of 2)
CCRN Review Part 1 (of 2)CCRN Review Part 1 (of 2)
CCRN Review Part 1 (of 2)
 
Advanced Hemodynamics
Advanced HemodynamicsAdvanced Hemodynamics
Advanced Hemodynamics
 
PCCN Review Part 2 (of 2)
PCCN Review Part 2 (of 2)PCCN Review Part 2 (of 2)
PCCN Review Part 2 (of 2)
 
PCCN Review Part 1 (of 2)
PCCN Review Part 1 (of 2)PCCN Review Part 1 (of 2)
PCCN Review Part 1 (of 2)
 
Rhythm Strip Review
Rhythm Strip ReviewRhythm Strip Review
Rhythm Strip Review
 
Heart Sounds And Murmurs
Heart Sounds And MurmursHeart Sounds And Murmurs
Heart Sounds And Murmurs
 
Drug Classifications
Drug ClassificationsDrug Classifications
Drug Classifications
 
Hemodynamics
HemodynamicsHemodynamics
Hemodynamics
 
Blood Products
Blood ProductsBlood Products
Blood Products
 
Advanced Hemodynamics
Advanced HemodynamicsAdvanced Hemodynamics
Advanced Hemodynamics
 
Arterial Blood Gases
Arterial Blood GasesArterial Blood Gases
Arterial Blood Gases
 
Gastrointestinal Disorders
Gastrointestinal DisordersGastrointestinal Disorders
Gastrointestinal Disorders
 
C X R Interpretation
C X R  InterpretationC X R  Interpretation
C X R Interpretation
 
A D V A N C E D P A C I N G
A D V A N C E D  P A C I N GA D V A N C E D  P A C I N G
A D V A N C E D P A C I N G
 
Blood Products
Blood ProductsBlood Products
Blood Products
 

Último

Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsP&CO
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear RegressionRavindra Nath Shukla
 
Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Roland Driesen
 
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Gomti Nagar - 7388211116 - With room Service
Call Girls in Gomti Nagar - 7388211116  - With room ServiceCall Girls in Gomti Nagar - 7388211116  - With room Service
Call Girls in Gomti Nagar - 7388211116 - With room Servicediscovermytutordmt
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communicationskarancommunications
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfPaul Menig
 
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756dollysharma2066
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...lizamodels9
 
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒anilsa9823
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangaloreamitlee9823
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...anilsa9823
 
RSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors DataRSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors DataExhibitors Data
 
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Centuryrwgiffor
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...lizamodels9
 
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesMysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesDipal Arora
 
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...Any kyc Account
 
Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023Neil Kimberley
 

Último (20)

Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and pains
 
Regression analysis: Simple Linear Regression Multiple Linear Regression
Regression analysis:  Simple Linear Regression Multiple Linear RegressionRegression analysis:  Simple Linear Regression Multiple Linear Regression
Regression analysis: Simple Linear Regression Multiple Linear Regression
 
Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...Boost the utilization of your HCL environment by reevaluating use cases and f...
Boost the utilization of your HCL environment by reevaluating use cases and f...
 
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Pune Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls in Gomti Nagar - 7388211116 - With room Service
Call Girls in Gomti Nagar - 7388211116  - With room ServiceCall Girls in Gomti Nagar - 7388211116  - With room Service
Call Girls in Gomti Nagar - 7388211116 - With room Service
 
Pharma Works Profile of Karan Communications
Pharma Works Profile of Karan CommunicationsPharma Works Profile of Karan Communications
Pharma Works Profile of Karan Communications
 
Grateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdfGrateful 7 speech thanking everyone that has helped.pdf
Grateful 7 speech thanking everyone that has helped.pdf
 
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Mahipalpur Delhi Contact Us 8377877756
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
 
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒VIP Call Girls In Saharaganj ( Lucknow  ) 🔝 8923113531 🔝  Cash Payment (COD) 👒
VIP Call Girls In Saharaganj ( Lucknow ) 🔝 8923113531 🔝 Cash Payment (COD) 👒
 
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow 💋 Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
 
RSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors DataRSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors Data
 
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Navi Mumbai Just Call 9907093804 Top Class Call Girl Service Avail...
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Century
 
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
Call Girls In DLf Gurgaon ➥99902@11544 ( Best price)100% Genuine Escort In 24...
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
 
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesMysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
 
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...
KYC-Verified Accounts: Helping Companies Handle Challenging Regulatory Enviro...
 
Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023Mondelez State of Snacking and Future Trends 2023
Mondelez State of Snacking and Future Trends 2023
 

Levels Of Nursing Practice

  • 2.
  • 3.
  • 4.
  • 5.
  • 6. Protector Educator Coach ROLE MODEL Judge Mentor Friend Supervisor Roles of a Preceptor
  • 7. LEVELS OF NURSING PRACTICE Advanced Beginner Novice Competent Proficient Expert
  • 8.
  • 9.
  • 10.
  • 12. Desire Knowledge Experience Organization Teaching Skills People Skills What does it take? Yes Yes Yes Yes Yes Yes
  • 13. What else do you need? Objectivity People Skills Concrete Goals Evaluation Tools Effective Documentation
  • 14. What works? Goals & Agreements Timeframes Checklists Evaluation Tools Progress Notes Resources
  • 15. Goals are the single most important factor in achieving success Why make Goals?
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. EVALUATE NEEDS How to be Effective
  • 24. USE RESOURCES How to be Effective
  • 25. USE THE TOOLS How to be Effective
  • 26. PLAN GOALS How to be Effective
  • 27. S pecific M easurable A ttainable R ealistic T ime Bound Plan SMART Goals
  • 28. ASSESS DAILY How to be Effective
  • 29. KEEP NOTES   How to be Effective
  • 30. SEEK OUT OPPORTUNITIES How to be Effective
  • 31.
  • 32. Part II Preceptor Workshop
  • 33.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39. Making Goals TAKE ONE MINUTE
  • 40. Making Weekly Goals TAKE FIVE (or less) MINUTES
  • 41.
  • 42. S pecific M easurable A ttainable R ealistic T ime Bound Use SMART Goals
  • 43.
  • 44.
  • 45.
  • 46.
  • 47. PBDS Progress Notes Examples From PBDS Department
  • 48.                    0 of 6     Resp. Neuro 1. Admit and manage 2 respiratory patients independently by 10/29/06 2. Give 4 organized reports to physicians by 10/29/06 10/20/06 - Admission for pneumonia with preceptor 10/22/06 - Admission for COPD done independently. Followed appropriate protocol. 10/23/06 – Managed PE pt. independently. Followed appropriate protocol. Participated in successful code. 2. 10/20/06 - Dr. Jones (+) 10/20/06 - Dr. Smith (+) 10/22/06 - Dr. Green (+ w/urgency) 10/23/06 - Dr. Davis (+)    1 4 DE Ima Newtoyou  10/16 -10/29/06
  • 49.                 2 of 6     Neuro    2 4 DE Ima Newtoyou   1. Admit and manage 2 neuro patients independently by 11/12/06 2. Complete all charting by end of shift by 11/12/06 1. 10/31/06 - Admission for closed head trauma done independently. Followed appropriate protocol. 11/6/06 - Admission for r/o CVA, followed protocol for thrombolytics. 2. 10/31/06 - All completed 11/6/06 - 20 min. OT 11/7/06 - All completed 11/9/06 - All completed  10/30-11/12/06
  • 50. 11/13-11/26/06                   3 of 6         3 4 DE Ima Newtoyou Consistently manage 6 patients independently by 11/26/06 11/17/06 - 4 11/20/06 – 5 11/22/06 – 6 (w/little help) 11/23/06 - 6
  • 51. 11/27-12/3/06                   6 of 6         Orientation complete UBE reviewed reassessment video #107 CTA class scheduled 12/4/06 PBDS Reassessment scheduled 12/11/06 4 4 DE Ima Newtoyou
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59. Role Modeling We learn by example
  • 60. Goals can make winning easy and give us measurable tools Winning Goals
  • 61. Make it easy to win Set reasonable goals Make it Easy
  • 62. A standard procedure for teaching a task that a student finds difficult is to break it down into smaller units. Breaking it Up
  • 63. Evaluate daily (were the goals met?) Adjust new goals accordingly Make Adjustments
  • 64. Adjust goals according to your evaluations Turn ideas into plans for your orientee Be Flexible

Notas do Editor

  1. The purpose of this presentation is to give preceptors the resources and tools they need in order to precept any level orientee.
  2. Level I: Novice A GN or RN with less than one year experience. • No experience with situations for which they are in • Need rules to guide actions • May be asked to perform tasks without any situational experience • Unable to use discretionary judgment, works better with rules than with guidelines • Must be backed up by a competent nurse • Has no rule about which tasks are most relevant in a real-world situation or when an exception to the rules is necessary Level II: Advanced Beginner An RN with one to three years experience: A Level I nurse may advance to Level II status after a minimum of one year experience and recommendation by a Clinical Manager. • Demonstrates marginally acceptable performance • May shift from teaching rules to teaching guidelines • Is gaining experience with real situations and able to note meaningful patterns • Needs assistance in prioritizing (or have priorities pointed out by preceptor) • Must be backed up by a competent nurse • Can formulate guidelines for actions in terms of patterns and attributes • Has difficulty identifying important aspects; treats all attributes as equally important Level III: Competent Nurse An RN with a minimum of three years experience may be hired into the level if he/she shows evidence of meeting specified criteria. A Level II RN can advance to Level III after a minimum of two years experience and recommendation by a Clinical Manager. All required unit-specific certification must be completed in order to advance to Level III. • Begins to see his or her actions in terms of relevance • May focus on improving decision-making of long-term goals or overall plan and ways to improve • Begins to distinguish relevance of care and of multiple, complicated care needs • Feels the ability to cope and manage the interdisciplinary needs of patients • A good preceptor for a novice nurse, can see unforeseen events • Lacks the speed and flexibility of a proficient Nurse Level IV: Proficient Nurse A Level III RN may advance to Level IV status after a minimum of three years or specialty experience. The nurse must meet specified criteria and be recommended by a Clinical Manager. Level IV requires the nurse to maintain his/her status by performing additional activities. A candidate for Level IV is usually approved by a Clinical Ladder Committee. • Can discern situations as wholes rather than concentrating on selected parts • Use complex case studies to facilitate learning rather than single pieces of information • Uses past experiences to judge situations rather than rules or guidelines alone • A good preceptor for a competent nurse guide • Can recognize when the expected normal picture is absent • Considers fewer options and hones in on accurate elements of a problem Level V: Expert Nurse A Level IV nurse may advance to Level V after a minimum of five years or specialty experience. The nurse must meet the specified criteria and be recommended by a Clinical Manager. Level V requires the nurse to maintain his/her status by performing certain activities. A candidate for Level V must be approved by a Clinical Ladder Committee. • Practices holistic rather than fractionated care • Grasps situations intuitively and correctly identifies processes and solutions without wasting time • Encourage other nurses in advance practice • Demonstrates excellent practice with extraordinary management of clinical problems • Considered an expert by others • A good preceptor for a competent nurse   Benner, P. (1984) "From Novice to Expert: Excellence and Power in Clinical Nursing Practice." Addison-Wesley Publishing Company, Nursing Division, Menlo Park, California. Additional Data from Benner, P. (1982). From novice to expert. American Journal of Nursing, 82, 402-407.    
  3. Children start with no preconceived ideas They have no knowledge about the subject to begin with They have a natural curiosity Adults are autonomous and self-directed Adults have accumulated a foundation of life experiences and knowledge Adults need to be given rationales for why they are learning what they are learning. Adults learn what is necessary for them. Adults are problem-centered vs. subject-centered Most adult learners have specific expectations of a learning experience. Adults learn in supportive and positive environments.
  4. Be realistic Set your orientee up to Succeed Be specific Don’t make people have to guess Make expectations clear Don’t leave your orientee wondering what you want from them
  5. Record progress towards meeting goals Establish basic competence and compliance with ORHS standards Keep it to the point
  6. Critical Checks (Clinical) Think Link (Education & Training) Patient Care Education (Clinical) Pharmacy Services (Departments) MRSA (Education & Training) SLP (Education & Training) CAI (Education & Training GN Roundtables (Education & Training) HR Resources for job description and personal stuff Policy & Procedures Incident Reporting - How to (Education & Training) Trach Care (E-Learning) UBE Corporate Education
  7. Orientee Self Assessment (Adults can often determine their own learning needs) PBDS Report (Good indicator of orientation needs)
  8. Critical Checks (Clinical) Think Link (Education & Training) Patient Care Education (Clinical) Pharmacy Services (Departments) MRSA (Education & Training) SLP (Education & Training) CAI (Education & Training GN Roundtables (Education & Training) HR Resources for job description and personal stuff Policy & Procedures Incident Reporting - How to (Education & Training) Trach Care (E-Learning) UBE Corporate Education
  9. Daily & Weekly Goals Take 1 minute a day Take 5 minutes weekly Give Ongoing Expectations SMART Goals: Specific Measurable Attainable Realistic Time Bound
  10. Plan Exactly what you want Daily & Weekly Goals Take 1 minute a day Take 5 minutes weekly Give Ongoing Expectations SMART Goals: Specific Measurable Attainable Realistic Time Bound
  11. Did you accomplish the goals? If not, what do you need in order to do so? Assess daily and weekly.
  12. Document, document, document Document Daily & Weekly
  13. Look for common ground
  14. Plan Exactly what you want Daily & Weekly Goals Take 1 minute a day Take 5 minutes weekly Give Ongoing Expectations SMART Goals: Specific Measurable Attainable Realistic Time Bound
  15. Complete all initial assessments by 0800 and have them documented by 1000; all medications must be given within 30 minutes of scheduled time S pecific M easurable A ttainable R ealistic T ime Bound
  16. Critical Checks (Clinical) Think Link (Education & Training) Patient Care Education (Clinical) Pharmacy Services (Departments) MRSA (Education & Training) SLP (Education & Training) CAI (Education & Training GN Roundtables (Education & Training) HR Resources for job description and personal stuff Policy & Procedures Incident Reporting - How to (Education & Training) Trach Care (E-Learning) UBE Corporate Education