linial fa ulty hand ook · following completion of bd pyxis medstation es system v1.5 basics...
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CLINICAL FACULTY
HANDBOOK
CONTACT INFORMATION STAFF EDUCATION AND PROFESSIONAL DEVELOPMENT
CLINICAL EDUCATION COORDINATORS
Clinical Education Coordinator for Undergraduate Nursing and Paramedic Programs Nicholas (Nick) Comeau, MSN, RN, CCRN, TCRN, CPN
Nursing Professional Development Specialist II
Union Square Campus
124 E. Gate City Boulevard
Greensboro, NC 27406
Office Phone (Direct Dial): 336-553-6053
E-Mail: [email protected]
Clinical Education Coordinator for Post-Licensure/Graduate Nursing Programs
Breten Chrismon, BA
Associate Instructor II
Union Square Campus
124 E. Gate City Boulevard
Greensboro, NC 27406
Office Phone (Direct Dial-Greensboro): 336-553-6064
Office Phone (Direct Dial—Burlington): 336-538-7558
E-Mail: [email protected]
General Contact Information
E-Mail: [email protected]
Staff Education and Professional Development Main Phone Line: 336-832-8173
Fax Number: 336-832-7175
NURSING STUDENT RESOURCES WEBSITE
Website https://www.conehealth.com/health-care-professionals/nursing-student-resources/
Description
The Nursing Student Resources website houses all current forms, information, and other doc-
umentation related to the conduction of clinical rotations at Cone Health.
CLINICAL FACULTY ORIENTATION AND ONBOARDING
GENERAL TIMELINES
NON CONE HEALTH EMPLOYEE
CONE HEALTH EMPLOYEE
CLINICAL FACULTY ORIENTATION AND ONBOARDING
GENERAL PATHWAY
STEP 1
Arrange and Attend New Clinical Faculty Orientation Meeting
STEP 2
Confirm the Following with Clinical Education Partner at
School of Nursing:
_____ Cone HealthLink Account Creation Request
_____ Cone Health ID Badge Request
STEP 3
Complete the Following Orientation Modules:
_____ CORE Orientation (see page 6)
_____ Cone Health Specific Orientation (see page 7)
STEP 4A
NON CONE HEALTH EMPLOYEE
PROCEED TO NON CONE HEALTH
CLINICAL ORIENTATION PATHWAY
STEP 4B
CONE HEALTH EMPLOYEE
PROCEED TO CONE HEALTH
EMPLOYEE CLINICAL ORIENTATION
PATHWAY
CORE ORIENTATION
CORE Orientation Access Link
https://www.wakeahec.org/pdf/ccep/core_orientation.html
Directions for Completion of the CORE Orientation Module
• Advance each frame at your own speed.
• From the last frame, click on the link to proceed to the “Test your Knowledge” Questions and Evaluation.
• Read the instructions carefully on the first page of the questions.
• Complete the questions and evaluation, click done to proceed to the Test Results.
• Click done again to proceed to the PDF Certificate.
• Insert your name, date on the certificate.
• Print the document and turn in to the academic site coordinator.
CONE HEALTH SPECIFIC ORIENTATION
Orientation Access Link
https://www.conehealth.com/health-care-professionals/nursing-student-resources/
student-information/
Directions for Access and Completion 1. Scroll to “2. Cone Health Orientation”
2. Click on and view in its entirety “Cone Health Specific Orientation”
3. Click on, complete, and submit “Cone Health Specific Orientation Test”
4. Click on and complete “Cone Health Orientation Acknowledgement”
Cone Health Orientation Acknowledgement Form
Once this form is signed by you, it should be submitted to your education partner/
clinical coordinator at the School of Nursing.
NON CONE HEALTH EMPLOYEE CLINICAL ORIENTATION PATHWAY
Clinical and Nursing Orientation Modules
Tuesdays 0800-1200
200 E. Northwood Street
5th Floor, Room 503
Greensboro, NC 27406
Equipment Orientation
Tuesdays 1300-1700
200 E. Northwood Street
4th Floor, Room 440
Greensboro, NC 27406
Exempt from Glucometer Competency
Basic IV Class
Wednesdays 0800-1000
200 E. Northwood Street
4th Floor (check for Room Assignment on monitors)
Greensboro, NC 27406
Department-Specific Orientation (Pathway A)
16 Hour 1:1 Preceptor Requirement
Coordinate with Department Leadership
Leadership Information can be obtained from Cone
Health Staff Education/Professional Development
Cone HealthLink Training
IPRN 100 and IPRN 200
Thursdays 0800-1700
200 E. Northwood Street
5th Floor, Room 503
Greensboro, NC 27406
Cone HealthLink Test Out
Previous Experience with
EpicCare (Inpatient) for >2
Years
NPDS II/CEC to issue
directions if eligible
CONE HEALTH EMPLOYEE CLINICAL ORIENTATION PATHWAY
Cone HealthLink Training
IPRN 100 and IPRN 200
Thursdays 0800-1700
200 E. Northwood Street
5th Floor, Room 503
Greensboro, NC 27406
Only required if not currently working in the inpatient setting
Examples: Emergency, Procedural Care Areas
Department-Specific Orientation
PATHWAY B OR PATHWAY C
Coordinate with Department Leadership
Leadership Information can be obtained from Cone
Health Staff Education/Professional Development
Department-Specific Orientation
PATHWAY B
NOT on Home Unit
8 Hour Preceptor/Observation Requirement
Department-Specific Orientation
PATHWAY C
On Home Unit
No Preceptor/Observation Requirement
Documented Discussion of Clinical Rotation
with Department Leadership
Reminders for Cone Health Employees Performing Clinical Faculty Roles • Not permitted to use employee ID (badge, controlled access, network access)
• Not permitted to perform CBG testing
• Do not function as a staff nurse while in the instructor role
CONE HEALTHLINK TEST OUT OPTION
Description and Purpose
In an effort to streamline Cone HealthLink (Epic) credentialing for clinical faculty that are
not employees of the health system, a test out option has been created to provide experi-
enced Epic users a mechanism to bypass CHL training and demonstrate proficient compe-
tency with Epic.
Test Parameters and Requirements
• Test may be attempted two times
• Final test score of 80% must be achieved to test out of Cone HealthLink Training
Test Access Link
https://www.classmarker.com/online-test/start/?quiz=npb58581054364f1
Contact Information Regarding Cone HealthLink
Brenda Taylor, RN
Instructional Designer
Inpatient Clinical Documentation and Stork
Information Technology Services
Office Phone: 336.840.2063
E-Mail Address: [email protected]
CLINICAL FACULTY DEPARTMENT SPECIFIC ORIENTATION
BASIC UNIT INFORMATION
• Number of Beds
• Staffing Ratio
• Assignment Construction Methodology
• Common Diagnoses
• Common Medications Utilized
• Common Medical and Surgical Treatments Seen
EMERGENCY EQUIPMENT
• Code Cart Location
• Fire Extinguisher Locations
• Fire Pull Station Locations
• Primary Evacuation Rotes
(Horizonal and Vertical)
DEPARTMENT SPECIFIC SUPPLIES AND EQUIPMENT
• Hil-Rom Call Bell System
• Telemetry/Bedside Monitors
• Phone Systems
• Location of PPE
• Location of Patient Care Equipment
• Room Locations
• Clean Utility
• Dirty Utility
• Equipment Room
• Break Room
• Conference Room
• Medication Room
• Nutrition Room
• Linen Room
CLINICAL ASSIGNMENTS
• Best practices to obtaining staff input for
patient care assignments?
• Where to post Student Assignments?
• Any specific information for the department?
BASIC ACCESS
• Pyxis Access
• Specific Unit Locations
• Badge Access?
• PIN Code Access?
HANDS ON DEMONSTRATIONS
• Monitors (IntelliVue)
• Vital Sign Equipment (Dynamap)
• Scales
• Beds
• Bedside Tables
• Alrams (Bed, Chair, Elopement etc.)
• Feeding Pumps
• Lift Equipment
POSTING OF STUDENT ASSIGNMENTS
• Post in department-approved location
• Add department specific information as indicated
• Assignment Form Required Information:
• Date / School / Program & Level of Students
• Faculty name / phone number / email
• Student’s names / assigned Room number & patient’s initials
• Start and End time
• Student’s responsibilities
• Medication administration
• Patient care ADLS
• Documentation
• Treatments / dressing changes
PATIENT CARE REPORTS
• Report Times
• Day Shift (0700—1900): Start at 0700
• Night Shift (1900-0700): Start at 1900
• Structure: Patient—Engaged Bedside Report
• Students are expected to participate in patient care reports to support effective patient care and work-
flow.
• Clinical Faculty Roles in Patient Care Reports • At the beginning of the shift, communicate briefly with each nurse who will be working with a stu-
dent to introduce self, student and confirm assignment.
• Ensure students are present at patients’ rooms or with nurse and ready for report.
• Direct the student in how to communicate effectively in reporting off prior to leaving department.
Suggestion for Best Practices
At the end of the shift, communicate briefly with each
nurse who worked with a student to confirm the assign-
ment is completed and obtain any insights.
PRE CONFERENCE AND POST CONFERENCE
ROOM RESERVATIONS PROCESS
Inquire about the use of department conference room to depart-
ment leadership for Pre Conference and Post Conference.
If Available: Use Department Conference Room
• Post Pre Conference and Post Conference Times
• Start Time
• End Time
If Not Available: Contact iLearn
• Contact via [email protected]
• Include following information in e-mail
• Dates
• Times (Start and End)
• Campus
• Total Number of People
• Room Preference (if applicable)
• Organizer (Clinical Faculty Name)
• Any Special Requests/Comments
Privacy and Compliance Reminder
Group meetings must never occur in any public area.
Pyxis MedStation ES System Training
Step 1: Navigate to: https://eim.carefusion.com/Account/Login?to=CU
Step 2: Click Sign Up (Where black arrow is pointing)
Step 3: Complete Registration
Step 4: Look in E-Mail Inbox (same e-mail you registered with for an activation e-mail – check junk mailbox if you do
not see it in your main inbox)
Step 5: Log into BD Learning Compass with your credentials
Step 6: Search for the following course:
BD Pyxis MedStation ES System v1.5 Basics (CLP-ES200-01)
Step 7: Click on Course and Click Launch
Step 8: Complete Enrolled Course
Step 9: When completed with course, print certificate of completion and submit to School of Nursing Education Part-
ner at School/University
Establishing Access with Pyxis
Following completion of BD Pyxis MedStation ES System v1.5 Basics (CLP -ES200-01)
1. Print out certificate of completion and submit it via e-mail to your School of Nursing Education Partner and
Staff Education/Professional Development Contact Person (Breten Chrismon or Nick Comeau). Be sure to
send your Cone HealthLink Log In ID in this e-mail to accelerate the granting of access.
2. Following receipt of the certificate of completion:
Staff Education/Professional Development will forward completion certificate to the appropriate pyxis cam-
pus team requesting for access. On this e-mail the department leadership will also be included.
3. E-mail from Pyxis Automation/Access Team at the specific Cone Health campus, will e-mail all parties stating
that access was approved and account is ready for use.
Documentation
Directions to Co-Sign Student Notes
1. From the student’s note, click the attest button
2. Free text the following statement or a statement of similar construct:
“I concur with this student’s documentation”
3. Sign the attestation statement
The note will display the attestation statement along with the student note.
Note: To make any updates to the attestation statement, click the edit button to complete
Cone Health requires all clinical faculty to attest/co-sign student documenta-
tion and notes placed into the Electronic Medical Record (EMR).
Document Attestation to student note Nursing instructors can now attest/cosign student notes within CHL.
Document an attestation 1. Locate the patient and open the chart. From the notes activity find the note created by the
student RN. Select the attest button. 2. Document your attestation statement via free text or a pre-built smartphrase has been
created to default this statement (.RNATTEST) 3. Sign the attestation. The note now displays the attestation statement along with the
student documentation. 4. User’s can use the edit attestation button to update their attestation documentation in the
event of an error.
System-Wide Student Expected Behaviors
As clinical faculty at Cone Health, it is your responsibility to ensure that the following behaviors are
enforced at all times when students are present in any Cone Health facility:
1. No engagement of social media while in Cone Health facilities
- No patient care related comments should be disclosed on Social Media regarding care rendered in a
Cone Health facility
2. No cellular devices (cell phones) are to be utilized in any Cone Health clinical care area
- If signifigant others, need to get into contact with the student, supply them with the department phone
number.
3. Faculty and instructors should not print out any material from the Electronic Medical records
- any notes utilized off the unit must never contain any patient identifiers
Examples: Name, Medical Record Number, Date of Birth, Account Number
4. No discussion of patient care activities or patient cases should ever occur in public settings.
Examples: Atriums, Cafeterias, On-Campus Cafés and Restaurants, Public Lounges
Cone Health Initiatives for Collaborative Clinical Experiences
Cone Health is committed to supporting our community and School of Nurs-
ing Affiliates by providing the highest quality in teaching and learning expe-
riences for our clinical faculty and students.
• A culture of collaboration
• Orientations that provide a welcoming environment for all students and faculty
• Passport Clinical On-Boarding and Orientation Process for students and faculty
• Online clinical placement request process—Transitioning to Rotation Manager
• Clinical rotations opportunities across all specialties and age spectrum
• Access to Elsevier Clinical Key and Clinical Skills for Nursing
• Comprehensive instructor department-based orientation and competencies
• Access Cone HealthLink (Epic) and training
• Cone Health Photo ID Badges for all students and faculty
Instructor Commitments
Student Supervision and Teaching
• It is the primary responsibility of the instructor to teach, supervise, and engage students while on the depart-
ment.
• Staff are committed to helping students as availability allows
• their primary responsibility is to patient care.
• Student clinical shifts begin when the department shifts begin.
• Ensure students are present at patients’ rooms or with nurse and ready for report. The
clinical schedule will need to allow time for this to occur.
• Ensure compliance with Cone Health dress code policy including a Cone Health photo ID on and visible while
in clinical.
• Students are not permitted on the department without instructor present.
• Verify annual Core and Cone Health Orientation has been completed
• Provide Department Orientation
• Have students sign and give the signed Clinical Department Orientation Document to your school Education Partner who will reconcile with the request for the department and submit to
Staff Education.
Faculty Commitment to Department Staff and Patients
• Maintaining open communication between faculty/student/and staff is imperative to patient safety and fos-
ters a collegial relationship.
• It encourages a climate of collaboration and mentorship and adds to the overall positive clinical ex-
periences between student, faculty, and staff.
• Prior to the start of the clinical day, faculty must post an Assignment form
• School name, date, contact information and a list of student patient-care responsibilities on the de-
partment.
• Confirm the assignment with the patient’s primary nurse or charge nurse
• At the beginning of the shift and throughout the day, faculty should encourage collaboration between the
student and patient’s nurse
• related to:
• patient expectations
• how the student can assist with patient care during the clinical experience.
• Absence from clinical: If, for any reason, faculty finds it necessary to cancel a scheduled clinical day you
must notify the department staff of your decision.
• Protect Privacy: Conferences are prohibited in public areas.
• Printed materials with patient identifiers are not permitted off the department.
Faculty Commitment to Department Leadership and Staff
• Contact Department Leadership at least one week prior to the first clinical day
• Offer an opportunity for the department leaders to ask questions and provide any necessary information.
• Provide department leadership with the following information in writing:
• Type of Program, level of student
• Clinical Course Objectives and expected outcomes
• Clinical Schedule
• days scheduled on department
• start/end date
• any days scheduled off the department.
• List of students – if an out -rotation, state when each student will be on the department
• Conflict Resolution: Attempts should always be made to first resolve any conflicts with the staff involved.
• Discuss any unresolved concerns with the Department Director or other department leadership.
Faculty Commitment to Clinical Education Coordinator
• Submit the Clinical Orientation Agreement by the end of the first week of clinical.
• This verifies that students have been oriented to the clinical department.
• Direct students complete the Clinical Exit Survey, for each department they have clinical experiences in.
See Survey Monkey Link on the Clinical Placement Website.
• Notify Clinical Education Coordinator for any concerns or issues not resolved on department.
• Provide information for any student Safety Zone Portal reports.
Out-Rotation Experiences at Cone Health
• All out-rotation requests are arranged through the Cone Health Staff Education Department using the Group
Clinical Request Form.
• These requests are submitted exclusively through the School’s Education Partner affiliated with Cone Health.
• Unless otherwise agreed upon, direct contact with department leadership for clinical placement is not made
until approval has been obtained through Staff Education.
• Out-rotations are defined as 1 – 2 day specialty department clinical experiences
• The purpose of the out-rotation is to supplement the clinical group department experience.
• This is a non-instructor led experience with the student shadowing or providing direct patient care under the
supervision of the appropriate department staff as instructor guidelines permit.
• Instructors are to be on the same hospital campus as where the out-rotation experience occurs unless previ-
ously approved, by the department leadership, to be as a different campus at the time of the clinical experi-
ence.
• Out-rotations are not to be scheduled independent of a clinical group scheduled at Cone Health.
All Out-Rotations will require the following information to be submitted to
Staff Education/Professional Development and the Department in which the
out-rotation is occurring:
• Course Syllabus
• Clinical Learning Objectives and Expected Outcomes in alignment to SON
curriculum and out-rotation department
• Schedule of Students
• Instructor Contact Information
Helpful Resources at Cone Health
Nursing Student Experiences Website
https://www.conehealth.com/health-care-professionals/nursing-student-resources/
Clinical Key for Nursing and Clinical Skills for Nursing
accessed via SharePoint
Clinical Key: contains information regarding diagnoses, medications, laboratory testing
Clinical Skills: Nursing Procedures Repository with adaptation to Cone Health
Cone HealthLink
Password reset via ASSIST Desk: 336-832-4272
Students will utilize student ID number for Social Security Number
Pyxis Access
For initial access: Refer to training and credentialing pages for Pyxis
For ongoing access issues: Contact Local Campus Pharmacy for assistance on pyxis access
Cone Health ID Badges
336-832-7849
General Contact Information
E-Mail: [email protected]
Staff Education and Professional Development Main Phone Line: 336-832-8173
Fax Number: 336-832-7175