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Planning the CNL Immersion Experience

Planning the CNL Immersion Experience. View From the Practice Side Sue Hartranft MS ARNP Morton Plant Mease HealthCare Clearwater, FL. Practice Partners . University of South Florida All Children’s Hospital Bayfront Medical Center James A Haley Veterans Hospital

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Planning the CNL Immersion Experience

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  1. Planning the CNL Immersion Experience View From the Practice Side Sue Hartranft MS ARNP Morton Plant Mease HealthCare Clearwater, FL

  2. Practice Partners • University of South Florida • All Children’s Hospital • Bayfront Medical Center • James A Haley Veterans Hospital • Morton Plant Mease HealthCare • Tampa General • University Community

  3. Early Planning • July 2004 • Hospitals and USF met to discuss CNL curriculum • Hospital partners agreed to take active role in developing and presenting the CNL Seminars • 3 Seminars developed students would take in Semester 2, 3 and 4 of program.

  4. Seminar I • Focused on Assessment • Role • With what disciplines would the CNL interact • Team member response to the role • Features of effective CNL • Unit • How is unit assessment different from patient assessment • What tools are available to assess unit

  5. Seminar II • Implementation • Unit project • PDSA • Communication • Leading teams

  6. Semester III • Evaluation • Motivating people • Using data to drive change • Preceptor training • Poster presentation of projects

  7. Residency/ImmersionAcademic View • Minimum 300 hours • Residency Agreement signed • VP of Nursing to sign • Daily • Unit assessment • Journal

  8. Residency/ImmersionPractice View • Discussion with key stakeholders • Senior Management • Physicians • Professional Practice Council • Case Managers

  9. Residency/ImmersionPractice View • Unit Selection • Immersion on unit where role to be implemented post graduation • One CNL changed unit based on identified need of unit • Preceptor Selection • Based on knowledge of CNL program

  10. Residency/ImmersionPractice View • Unit Preparation • One month prior meeting with Directors, Managers, CNL Preceptor and Students • Shared immersion objectives/expectations/evaluation • Discussed care delivery model • Managers to educate units regarding role and immersion experience

  11. Residency/ImmersionPractice View • Preceptor met daily with CNL students • Problems encountered • What was going well • Review targeted outcomes weekly • Challenges • Initially staff skeptical • Temptation to “pull” CNL to fill staff gaps

  12. Residency/Immersion Practice View • Lessons Learned • Senior Nursing Administration support is essential • Preceptor to help managers prepare units for the CNL role • Spending time with Information Services, Case Management, Safety Officer, Unit Based Pharmacist preparatory and should be done before immersion experience if possible

  13. Residency/ImmersionPractice View • Lessons Learned • Classes on communication and team building helped prepare CNL to deal with unit challenges. • Increase role play opportunities prior to immersion

  14. Questions for the Teleconference? Please email questions before and during the call to Joan Stanley at: jstanley@aacn.nche.edu

  15. Contact Information Sue Hartranft MS ARNP Morton Plant Mease 601 Main St MS 430 Dunedin, FL 34698 sue.hartranft@baycare.org 727 734 6140

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