Transcript Creation of a Pediatric Rehab Orientation Guide for the Inpatient/Pre-school Settings PROJECT: PROBLEM:

Creation of a Pediatric Rehab Orientation Guide
for the Inpatient/Pre-school Settings
Gena Henderson, PT Caryn Givens, PT Ellen Hobbs, OT
Sarah Wilson, OT Amber Yampolsky, PT
PROJECT:
Creation of a Pediatric Rehab Inpatient/Pre-school
Orientation Guide and Competency Training
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PROBLEM:
There was no formalized and comprehensive
orientation and competency training for new employees
or for therapists that are new to the pediatric rehab
inpatient/pre-school area.
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Pediatric Rehab Orientation
Inpatient/Pre-school
Methods
1. Identified the main topic areas that are necessary to cover
during orientation.
2. Created an orientation check-list consisting of the main topic
areas and sub-categories of topics within those main areas.
3. Created written details with supporting information for each
sub-category.
4. Collected and/or created reference/resource materials that
were needed for each sub-category.
5. Organized a binder with the orientation check-list, written
details, and supporting references/resources.
6. Created an orientation folder for new employees with
orientation and competency check-lists along with key
reference/resource materials useful in their everyday
functions.
Pediatric Rehab Orientation
Inpatient/Pre-school
Main Topic Areas Identified
1. Departmental Information
2. Computers
3. Performance
4. Tour and Orientation to Floors
5. Resources
6. Equipment
7. Treatment Specific Information
8. Physical Therapy Specific Information
9. Occupational Therapy Specific Information
10. Pre-school Specific Information
Pediatric Rehab Orientation
Inpatient/Pre-school
New Systems/Resources Developed
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Equipment Powerpoint
Equipment Orientation/Annual Competency
Check-off
Treatment Specific Resources: Vitals Signs, Lab
Values, Common Tests/Scales
Diagnosis Specific Protocols/Guidelines
Lines, Leads, and Tubes Powerpoint
Billing/Charging Reference List
ADL Equipment Recommendation Hand-out
Weekend Procedures Guide
Competency Check-off: new employees, PRN,
and annual
ORIENTATION CHECKLIST FOR PT & OT
PEDIATRIC INPATIENT REHAB SERVICES
Vanderbilt Children's Hospital
DATE:_______________________________
NAME:_________________________________ MENTOR:_______________________________
Subject
First Page of
Orientation
Checklist
Departmental Information
Department Organization Chart
ID Badge Access and Resource Cards
Phone Use:
- Important Numbers to Know
- Long Distance Code
- Fax
- Pagers
- On-call pager 835-1161
Paychecks - delivery&website
Calendars:
- Staff Meetings - 2nd Wed. of Month
- Exempt Monthly Calendars
- Time-Off Calendar
Time-Off Requests
Staffing and Scheduling
Continuing Education
Supplies & Ordering
Copier
Lunch
Safety Fair
Work Injury Reporting
Veritas
Policies and Procedures
Disaster/Safety Manual & MSDS Safety Sheets
Computers
User ID's and Passwords
Email Website
Rehab Website/Intranet
Workgroups Shared Drive
Administrative Workstations
Clinical Workstations
Wiz Order - patient order system
Star Panel - electronic medical record
Mediserve - documentation system
Date
Initials
General Acute Care Competency Plan For New Hires
EMPLOYEE NAME:
Year:
Core Competencies
Safety: Line Management, Fall Prevention, Precautions and Infection Control, High Risk Situations and Life Threatening Events
Documentation: PT/OT Evaluation and Treatment Planning for the Acute Care Pediatric Patient
Evaluation and Treatment Planning: PT/OT Evaluation and Treatment Planning for the Acute Care Pediatric Patient, Customer Satisfaction
JCAHO National Patient Safety Goals supported by competency plan: 1. Reduce the risk of healthcare associated infections. 2. Reduce the risk of patient
harm resulting from falls. 3. The organization identifies safety risks inherent in its patient population. 4. Improve recognition and response to changes in a patient's
condition. 5. Encourage patients' active involvement in their own care as a patient safety strategy.
Training/Monitoring Tools
New Hire
Acute Care
Competency
Check-list
Completed During First 6 Months of Work
Date
Note Any Occurrences:
Veritas Occurrence Reporting System (Policy: Occurrence Reporting: Patient and Visitor, OP 10-10.24)
VUMC and Area Policy Review-annual review of any new policies pertinent to this area
Vandy Safe/Safety Fair-annual
1. Universal Safety - Accident and Injury Prevention, fire and emergency preparedness, hazard communication,
personal safety
2. Influenza and Influenza Vaccine Training
3. TB Skin Testing
4. Patient Contact: bloodborne pathogens, infection control, hand hygiene, tuberculosis precautions
5. N-95 Respirator Fit Testing and Training for staff who care for patients with airborne precautions
6. Standards of Conduct Training 7. Privacy and Security (HIPAA) 8. Conflict of Interest Disclosure
Expiration/Renewal Date:
CPR Training/Certification Renewal
(every 2 years)
VCH Acute Care Pediatric Rehab Orientation - Area Specific Orientation Book and Checklist
Equipment Competency Check-off
Manager Observations and Documentation Review - Weekly for first 3 months
Dates: 1.
2.
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5.
Chart Reviews - 5 in the first 6 months
Age specific competencies- (web inservice)
Credo Behaviors - Performance Conversation
at 3 months/Performance
Evaluation at 6 months
Performance Conversation Date:
Performance Evaluation Date:
I certify that the information and competency data I submitted are true and accurately reflects my work and abilities to function as a physical or occupational
therapist in my department. I understand that my ongoing professional growth is my responsibility and that I will notify my supervisor if I have further training needs.
Employee Signature: _______________________________________________________________
Date: _____________________________
Pediatric Rehab Orientation
Inpatient/Pre-school
Assessment
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Creation of the orientation training
helped to develop a comprehensive and
organized manual to guide initial training
and to serve as a resource for current
employees
It will serve as a reference for
compliance and competency for our
department
Pediatric Rehab Orientation
Inpatient/Pre-school
Recommendation and Plan
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The orientation and competency training will be
reviewed and updated annually by the assistant
managers and/or clinical coordinators.
All current staff will review the orientation
check-list and supporting material to bring the
entire department up-to-date in their
orientation and training.
Competency check-lists will be completed for the
current year.
The orientation and competency training will be
implemented with all newly hired staff or staff
new to the area.