Nursing Student Support Center

G.R.I.N. Project

Status Report

September 24, 2007

“This product was funded by a grant awarded under the President’s Community-Based Job Training Grants as implemented by the U. S. Department of Labor’s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U. S. Department of labor. All references to non-governmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only.”

The beginning . . . . . . . . . .

A dream A grant A portable building The staff The equipment The supplies The packets The scenarios The STUDENTS

The Books, the Computers, the “Magic” Packets…………

Development of a resource library Selection of educational tools Creation of student-friendly learning

packets Conception of an appointment calendar Collaboration with Faculty to establish a

student referral system Implementation of the remediation

program

ADN Program – Nursing Student Support Center

Student Utilization - Q2 ’06 to Present

ADN Program – Nursing Student Support Center

Remediation Statistics Q2 ’06 to Present

The Scenario Task Force WHO?

~GRIN Project Manager & Retention Specialist~ADN Faculty Representatives~Grant Partner Nurses

WHAT?~Developed scenarios to integrate into ADN curriculum; ideas came from high risk/low volume situations, JCAHO and CMS regulations, high risk/high volume situations; inclusive of National Patient Safety Goals

Task Force Continued

WHEN?~ Implemented Spring Semester 2007

HOW?~ Blocks of time were assigned to each Level prior to the beginning of the semester.~ Scheduled blocks of time typically fell during the student’s “expected clinical day.”~ Clinical groups divided in building for simulation and theory activities.

Task Force Continued

Recommendations:

~Integrate at least two simulation scenarios into the curriculum for each of the four levels (total of 8) in the Spring 2007 semester

~Continue to develop scenarios based on diagnoses which can be leveled based on a student novice to expert model* based on Benner’s theory of nursing

* Faculty member, 2006

Task Force Continued

Recommendations Continued

~ Develop a program evaluation process based on Benner’s Novice to Expert nursing theory:

The Student Novice to Expert Model*–

Stage 1: Novice (Level I)

Stage 2: Advanced Beginner (Level II)

Stage 3: Competent (Level II / III)

Stage 4: Proficient (Level III)

Stage 5: The Expert (Level IV)

* Faculty member, 2006

Spring 2007 Scenarios

Level I Health

AssessmentChest Pain G. I. Bleed Post-Op Pain

Level II Hypoglycemia Chest Pain Normal OB Normal New-

born

Level III

Pediatric Respiratory

FailureChest Pain

Complicated OB – PIH / Pre-Eclampsia

Newborn Resuscitation

Level IV

Blunt Abdominal

TraumaMock Code MODS ARDS

So, WHY are we doing this??

To increase opportunities for clinical skills acquisition in a predictable, risk-free environment

To provide an opportunity for students to integrate clinical decision-making into the development of psychomotor skillsdevelopment of psychomotor skills

To free up much needed clinical space for moreadvanced nursing care experiences

Critical Thinking plus Psychomotor Skills

Putting it all together!

ADN Program – Nursing Student Support Center

Tutoring / Laboratory Usage Q2 ’06 to Present

ADN Program – Nursing Student Support Center

Student Contact Time Equivalents

ADN Program – Nursing Student Support Center

Average Visits per Student by Program Level

ADN Program – Nursing Student Support Center

Time and Effort Review

Student Evaluations of Support CenterSemester Review

GRIN helped me /c test & skills; all of the staff is wonderful.

GRIN Project staff are God sent. The ladies @ GRIN are wonderful,

always helpful, make you feel very comfortable about going there.

Communication between teachers & them hasn't always been the same making an inconvenience to the students, who it is supposed to be benefitting.

Experience and knowledge retained from GRIN has helped me greatly.

Grin was extremely helpful this semester

The staff is great. They are always willing to help. They are a valuable asset to the Nursing Program.

The technology is great, & the instructors are very knowledgeable.

They are really nice, & seem to help you anytime you need it & make it to were you can understand

Great job! GRIN is very helpful. I enjoy

it and would recommend everyone to use it

Test remediation takes up time that could be used to study for the next test.

Student Evaluations of Simulation Lab Quarters I, II, and III 2007

A great opportunity to practice in a controlled environment.

After having the opportunity to experience a simulated code…I have gained a better understanding of the entire process.

SimLab was a very informative and educational experience. Going through step by step w/o the pressure of a real setting helps you understand and learn.

This was very educational and I learned more in here doing it than sitting in a classroom reading about it.

I am glad we have this technology & the opportunity to participate.

It helps prepare me for what I might actually come across in a clinical setting.

Can …. hone critical thinking skills where the patient is not at risk.

Believe I will now be much more comfortable when the actual situation arises in the hospital setting.

I was able to see and participate in the procedure at a slower pace than what would happen in a real setting. We were able to talk through it and ask questions.

Liked best: accountability, non- threatening, learning environment; opportunity to use critical thinking skills.

Love this stuff. Extremely hands on. Really excited anytime I get to come here.

When can we come again?

The Journey Continues. . . .

Our Motto: Student Competence is Gained through Practice.

“Tell me, and I will forget.

Show me, and I may remember.

Involve me, and I will understand.”

- Confucius 450 BC