Advanced Practice Provider Centralized Orientation in a Pediatric Health Care System

Friday, March 27, 2020

Lisa Marie Ring, DNP
Cardiovascular Surgery, Advanced Practice Department, Childrens National Health System. George Washington University School of Medicine and Health Sciences, Washington, DC, DC, USA
Sarah A. Birch, DNP
Department of Advanced Practice Nursing; Department of Pediatrics, Children's National Health System; The George Washington School of Medicine and Health Sciences Center, Washington, DC, USA

Purpose:

Develop and implement xxxxxxx for newly hired xxxxxx

Methods:

Provision of quarterly didactic live educational and simulation sessions for all newly hired xxxx. Quarterly didactic sessions include the following live presentations: Medication Safety; Revenue Integrity (billing basics); Coding and Documentation Information; PEWS and the Decompensating Patient; and a general Overview of Organizational xxxx and Resources. Simulation sessions include: didactic education, demonstration and practice of basic airway management skills; code cart review; and simulation of a decompensating pediatric patient.

Pre and post evaluations of presented didactic content to determine usefulness of information for newly hired staff.

Pre and post confidence evaluations and a debrief evaluation for the skills and simulation sessions.

Results:

Five didactic sessions included 24 participants. During, these five session 42% of participants strongly agreed and 53% participants agreed that overall the xxxx was effective and preparatory for their role. 100% of participants agreed the xxxx welcome and overview information was useful. Fourteen participants commented that the billing and/or coding education was the most valuable part of the didactic orientation and two participants reported all the topics were helpful.

There were 16 participants for the 4 simulation sessions.

Overall, there was evidence of increased confidence after the simulation and skills session completion. Specific areas evaluated included: appropriately intervening for a child in distress and confidence in finding emergency equipment. Eighty- eight percent of the participants reported the session provided a realistic and practical learning experience. All participants agreed the simulation session enhanced their ability to perform as a first responder to a child in distress. Comments for naming two things that will change your practice after the simulation and skills session included; "Improve communication. Be more confident in responding", importance of communication and identifying a leader" and "putting a sicker patient in a room with oxygen. Will check where closest code cart is".

Conclusion:

Although this is a small sample size, early evaluations of the new xxxxxx program, point to both the didactic content and simulation session as being a useful and informative program for newly hired xxxx.