daily shift share program - st. david's institute

Daily Shift Share Program

12221 N Mopac Expy, Austin, TX 78758

(512) 901-1000

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Table of Contents

Topic Page number Keeping you in the know – Message from Sheila Fata 3

Welcome 4

To Do List 4

Clocking In 4

Pyxis Access 4

Meditech 5

Meditech Assistance Hotline 5

Orientation 5

Introduction to the Unit Worksheet 6

Employee Parking 7

Map of Facility 8

Department/Floor Locations Grid 9-10

Important Navigational Tips 10

Customer Service 11

Nursing Contact List 11

Non-Nursing Contact Lists 12-13

Employee Business Center 13

Cafeteria Hours 13

Additional Tools/Just in Time Resources 14

Reassignment of Nurses – Donna Wright 15

Learning on the Fly 15

Marketing Yourself in a Positive Way 15

Understanding Crisis Management Options 16

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Keeping YOU in the KNOW-Nursing Updates

From day one, senior leadership has addressed the pandemic with two clear objectives.

To protect our nursing staff - keep them safe and employed. To protect the company - ensure its viability from a financial standpoint, so we can

continue to serve our communities for years to come.

As we reboot our operations, our mission remains constant. At the same time, we must be

nimble and adapt to the changed needs of our community. A key priority is to shift our nurses

from facilities with low census and demand to facilities with a high census.

On May 25, 2020, a division/market staffing process was initiated. This process occurs twice

daily and includes:

A virtual meeting with facility house supervisors that is chaired by the division leader A review of each facilities staffing per department A reassignment of nursing staff based on need and census. Staff will be notified of any

necessary assignment changes by the facility house supervisor before your shift Reassignments will occur between facilities within your market

We know that being asked to work in a facility other than your home facility is uncomfortable for

many. Please know that we have made this decision so that we may continue to provide

exceptional care to our patients, meet the changing needs of our community, and keep our

nursing staff employed.

This booklet is designed to give you some basic information about our hospitals to help ease

your transition.

Thank you for all that you do and have done for our patients!

Sheila Fata, MBA, BSN, RN, NEA-BC

Division Chief Nurse Executive

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Welcome to our Facility!

Cynthia Nicholas, MSN, RN,

NEA-BC

CNO St. David’s North Austin

Medical Center and St. David’s

Surgical Hospital

12221 N Mopac Expy, Austin, TX 78758

(512) 901-1000

“To Do List” for RNs Upon Arrival:

1. Park and proceed to your assigned unit

2. Ask for the Charge Nurse and introduce yourself

3. Discuss your competencies with the Charge Nurse

4. Ask who your “resource buddy” will be for the shift

5. Ask where to safely store your belongings

6. Ask for quick tour of the unit and use the tool on page 5 to guide you

Clocking In

Ask your receiving Charge Nurse for the Kronos Log sheet so you can enter your hours.

If you are familiar with Kronos ETE, you can also log your hours that way.

Pyxis Access

You will need temporary access granted from the unit you have been assigned to.

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Meditech

Your Meditech Access should be available and working for you at your newly assigned

facility.

Meditech Assistance Hotline

Should you need charting assistance in Meditech, please call 1-800-737-8661 x1333 or

954-514-1333 and select option 2 to contact an experienced Meditech instructor.

Hours:

Weekdays: 8 AM – 5 PM EST

Orientation

Introductions are crucial to team success. Each individual brings with them certain

competencies and skills. In the introduction, each member should discuss what skills

they can assist with throughout the shift. Charge nurses should discuss the care needs

for patients within the unit and determine how the work can be divided up to ensure

each patient receives the best care utilizing everyone’s talents on the team. During your

orientation to the unit you have been assigned, the Charge Nurse will review

environment of care, which will include the safety features of the unit. Please use the

table on the following page to guide your conversation with the Charge Nurse so you

can rapidly become familiar with your new surroundings.

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Introduction to the Unit

Introduction Unit/Dept. Specific Safety Key Equipment

Co-Workers Time clock location Fire Extinguishers & Fire Pull Locations

Computer workstations

Identify Skills/Competencies

Employee lockers Code Button Crash Cart

Types of Patients to be cared for

Employee restrooms Nurse Call System POCT Equipment

Location of important phone numbers

Linen and Supply Rooms

Medical Gas Shut Off Location

Defibrillator

Huddle/Assignment location

Medication Room Evacuation Plan and Supplies

Malignant Hyperthermia Cart

Supervisor/Manager (Office)

Soiled Utility Stairwell Exits Rapid Intubation Cart

Patient Transport Elevators

Tube System Bed Alarms/Operation

Chest Cart

Nurse Station

Respiratory Workroom Safe Lifting equipment

Pumps (IV, Epidural, Enteral Feeding, PCA)

Copy/Printer Room

Breakroom Restraint Location Bladder Scanner

Blood Bank

Hydration Stations PPE Donning and Doffing

Vital Signs Monitoring Equipment

Documentation

Negative Pressure Room

Patient Transport (Tele certified)

O2 set up and Tanks (Pulse Ox)

Patient Rounding

Assist with ADL Doppler

Hygiene Care

Suctioning Hypo/Hyperthermia Blanket

Scales for Patient Weight

Catheter Insertion Sequential Compression Device

Specimen Collection Suction Set-up

Post-mortem Care

i-mobile

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Employee Parking – North Austin Medical Center

Blue circle – physician parking; Green circle – patient parking; Red circle – employee parking

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Map of Facility

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North Austin Medical Center Department by Floors

Department Description Floor Location

3W Infusion 3 West wing

4N OP Infusion 4 North wing

Administration 4 West wing

Ambulatory Care 1 North wing

Antepartum 2 Women's Center of Texas

Cafeteria Ground Atrium

Cardio Services 1 Near main elevators

Case Management 4 West wing

Diabetes Education 3 West wing

Emergency Services 1 North entrance

Endoscopy Ground Near main elevators

Engineering Ground West wing

Environmental Services Ground West wing

Fetal Testing Center 1 Women's Center of Texas

House Supervisor 4 West wing

Human Resources Ground Atrium

ICU 1 East wing

Imaging Services 1 North wing

IMC 3 South wing

Infection Control 4 Near main elevators

Inpatient Rehab Ground East wing

Labor and Delivery 2 Women's Center of Texas

Laboratory 1 Near main elevators

Med Surg 3 East 3 East wing

Med Surg 3 North 3 North wing

Med Surg 3 South 3 South wing

Med Surg 4 North 4 North wing

Med/Surg 4 East 4 East wing

Medical Staff Services 4 West wing

NICU Level III 2 Near main elevators

Occupational Therapy MOB Building - 12201 Renfert Way; 3rd Floor

Suite 360

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Department Description Floor Location

Outpatient Imaging Center

1 South wing

PACU 1 East wing

Patient Registration 1 West wing

PBX Ground East wing (inside security)

Pediatrics ED 1 South entrance

Pediatrics ICU 1 South wing

Pediatrics Med Surg 1 South wing

Pharmacy Ground Near main elevators

Physical Therapy MOB Building - 12201 Renfert Way; 3rd Floor Suite 360

Post Partum 2 Near main elevators

Quality 4 West wing

Renal Transplant MOB Building - 12201 Renfert Way; 3rd Floor near elevators

Respiratory Care 1 South wing

Risk Management 4 West wing

Security Ground East wing

Speech Therapy MOB Building - 12201 Renfert Way; 3rd Floor Suite 360

Sterile Processing Ground East wing

Surgery 1 Near main elevators

US-WMNS 1 Women's Center of Texas

Volunteers 3 West wing

Wound Care 1 South wing

Important Navigational Tips

Austin Diagnostic Clinic (ADC) – ADC clinics are scattered throughout the facility.

Elevators – we have two set of elevators. Main elevators are facing towards the atrium (center of the hospital) and glass elevators located on the south and north wing.

Ground Floor & 1st Floor o Ground Floor – access to east entrance o 1st Floor – access to south, west, and north entrance

Women’s Center of TX – separate building next to St. David’s North Austin Medical Center (NAMC) near east entrance. The sky bridge connects the two

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buildings—employees of Women’s Center of Texas only have access to sky bridge.

Customer Service

An extremely important part of our culture is customer service. Please take time to assist visitors to their destination or direct them to the 1st floor North entrance, where the Volunteers can assist.

St. David’s North Austin Medical Center – Nursing Contact List

House Supervisor 917-5086

NAMC Security x2666

NAMC Emergency x2222

Area Leader Name Leader Title Office

Case Management Deborah Walters Director 901-2534

Sarah Yanchak Manager 901-6494

Critical Care

Suz Hindelang Director 901-2350

Lola Mahoney Manager 3South & IMC 901-2203

Keisa Williams Manager ICU 901-2325

Emergency Services

Kim Barker Director 901-1166

Mark Stagman Manager Adult ER 901-2106

Jenn Beltran Manager FreeStanding ER 901-1120

Labor & Delivery

Angelica Gideon Director 901-2907

Tammy Phares Manager 901-1636

Kare Wales Manager 901-2158

Medical Surgical Units

Jonelle Jonas Director 901-6118

Paula Smith Manager 3 East 901-2368

Bobbi Mordecai Manager 3 North 901-2344

Marcia Francis Manager 4 East 901-6402

Blanca Cannaday Manager 4 North 901-2424

NICU Amy Irons Director 901-2908

Della Feehan Manager 901-6172

Pediatrics

Bess Searles Director 901-1919

Kami Stone Manager Peds ED 901-1911

Mikka Magee Manager PICU & Peds MedSurg 901-1916

Postpartum

Juli Butler Director 901-2177

Lorrie Collins Manager 901-2713

Judy Hellmann Manager 901-2700

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St. David’s North Austin Medical Center – Non-Nursing Contact List

House Supervisor

512-917-5086

NAMC Security x2666

NAMC Emergency x2222

Area Leader Name Leader Title Office

Engineering

Matt McKenzie Director 901-2661

Pat Kovar Manager 901-6883

EVS Marvin Ramey Director 901-6223

Brandon Randolph Manager 901-6395

Food & Nutrition Services

Karen English Director 901-2813

Deb Hughes Manager 901-6989

Andrea Ahern Manager Clinical Nutrition 901-2816

Imaging Services

Joe Lopez Director 901-1320

Siris Evans Manager Imaging 901-6639

Barbara Nogales

Manager Outpatient Imaging 901-4396

Tonna Hollins Manager Ultrasound & MFM 901-1390

Laboratory Services Lisa Whittaker Director 901-1202

Donna Rollins Manager 901-1203

Pharmacy Rusty Pendley Director 901-1414

Leslie Getchell Manager 901-1413

Quality

Mary Markovich Director 901-2513

Tina Noeth Manager 901-2536

Rehab Services & Wound Care

Crystal Milan Director 901-1855

Valerie Johnson Manager Inpatient Rehab 901-1823

Paula Pajak Manager Rehab 901-6496

Lisa Moore Manager Wound Care 901-1750

Respiratory

Susie Lane Director 901-1818

Bryan Hall Manager Adult RRT 901-1805

Anna Obidos Manager NICU & Peds RRT 901-6734

Cardiology Services & Endo

Jayne King Director 901-1327

Dana Anderson Manager 901-6713

Perioperative Services

Lacie Hanberry Director 901-2008

Kesha Brown Manager Ambulatory 901-2070

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Debra Preyer Manager PACU 901-2007

Jacob Sanchez

Manager Sterile Processing 901-2022

Rachel Fling Manager Surgery 901-2013

Transplant

Lauren Rutledge Director 901-2896

Eunice Elliott Manager 901-2882

Employee Business Center

Ground floor across from the Cafeteria

7:30am – 4:30pm (badge access required outside of these times)

Cafeteria Hours:

Cafeteria Monday-Friday 6:45 a.m.-6:45 p.m.

Saturday/Sunday 8:30 a.m.-2:00 p.m. Bistro

Monday-Sunday 7 a.m.-10 p.m.

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Additional Tools and Information

Just In Time Resources

We want to refresh you on the resources you have available for just in time learning.

We have access to resources that include information and guidance to help provide

excellent care. If you cannot locate a resource please ask, we are here to help you!

ONLINE REFERENCES

Resource Name Description Location

Atlas HCA corporate intranet-HCA

initiatives and documents

SDH intranet>Atlas Connect

CE Direct Free access to continuing education

and certification review courses

SDH intranet>Clinical Tools; internet access available

Clinical Pharmacology Drug reference, including medication interactions, compatibility, etc.

SDH intranet>Medical Resources

EBSCO Clinical Research Clinical research database-to

access specific articles or journals

SDH intranet>Medical Resources; internet access available

E-Demand Repository for facility/SDH forms

(consents, specific patient instructions, etc.)

SDH intranet>Admin Tools

HealthStream

SDH/HCA Learning Management System- repository for most

mandatory and elective learning; HealthStream Competency

Center: electronic orientation and annual competency assessment for

all staff, as well as annual evaluations; HealthStream CE

Center: free access to continuing education and certification review

courses

SDH intranet>Admin Tools; internet access available

Dynamic Health SDH procedure manual,

includes instructions, checklists and references

SDH intranet>Medical Resources

Policytech Electronic file for SDH policies SDH intranet>Policies

Institute for Learning (IFL) Course Registration-for any

course offered through the IFL

SDH intranet>Institute for Learning; internet access available

www.stdavids- institute.com

http://www.stdavids-institute.com/

http://www.stdavids-institute.com/

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Reassignment of Nurses – Based on Donna Wright Model

When nurses are floated from one nursing unit to another, the issue of competency

arises. We ask quite frankly, does this nurse have the skills, knowledge and abilities to

function in this capacity? Experiencing a surge of patients can make it difficult to cross-

train or put nurses through a complete orientation. How can we facilitate a successful

floating process? According to Donna Wright, when asking nurses that float and those

that receive float nurses, there are three themes that consistently are heard and are

actually competencies for the nurse that is reassigned to another care area. These

include:

Learning on the Fly

Marketing yourself in a positive way

Understanding crisis management options

Learning on the Fly

Learning on the fly competency has two parts to it. First, I need to know what I do not

know and be able to speak up about it. The second essential aspect of learning on the

fly includes:

I am not sure about this procedure….I am going to look it up.

I am going to ask someone how to do this.

I will use the resources that are available to guide my actions.

Obviously, this is not going to work for every procedure and task that we do, but many

times learning on the fly skill is used successfully. To demonstrate learning on the fly,

imagine a nurse is floated to a medical-surgical floor that provides dialysis. The nurse

has never worked in dialysis before and does not know how to do dialysis. The charge

nurse may ask an experienced nurse to setup the dialysis and point out the basic things

to watch for when monitoring a patient on dialysis. The charge nurse can buddy up the

inexperienced nurse with another professional to ask further questions to support the

patient’s care. The most important thing is to propose ways to be useful while remaining

open to learning new things.

Marketing Yourself in a Positive Way

As a Registered Nurse you have lot of knowledge, skill and experience that you can

bring to any situation. Also as RNs, we need to market ourselves a little better and let

those we are working with understand what skills and experience we can bring to the

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team. Sometimes we may say, I was told to come here, I have never worked here

before, I am not familiar or comfortable with working in this area or specialty, and I do

not know how to do any of those things.

When you are reassigned to another nursing unit, we recommend that you make these

two statements to the team or the charge nurse:

My name is ________ I am floating to your unit for this shift. I am here to help

you out.

I have the following skills that I can offer to you today, and you can see how they

may fit into what is needed. I can do ___________, and so on.

When nurses have the ability to market themselves positively, the results and the shift

experiences are much better. The success of the shift and the reassignment

experience do not lie in the clinical skills, but instead in the “can-do” attitude the person

brings.

Understanding Crisis Management Options

Most of the time when a nurse is reassigned to another area, that area is under stress,

stretched, or moving into crisis mode because they do not have enough staff to meet

the needs. They need help to function, so they reach out for support. The nurse being

reassigned can provide care and/or service assistance to help the team get the routine

work done, but can also offer something else: a fresh perspective or insight that he

group may have trouble seeing.

The skill of understanding crisis management options can work in any area, not just in

nursing. The team is able to change the normal workflow temporarily to match the crisis

situation and still produce the desired results.

This is an excerpt from Donna Wright’s, Competency Assessment Field Guide for

Implementation and Application, 2015, Creative Healthcare Management. Prior to

COVID-19, HCA Healthcare began to transition to the Donna Wright Competency

Assessment Model. We will resume the implementation later in 2020.

Additions/Edits to this booklet? Please send email to [email protected]

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