AACN media
CS48
Staff Nurses Starring: ICU Curriculum Classes
By: D. Davis, M. Holtschneider, Z. Mostaghimi, C. Miller, K. Mcbroom, M. Newman, J. Davis, C. Bryan, J. Onouha, J. Superville & M. Blackwell; Duke University Health System, Durham, NC
For further information, please contact: davis066@mc.duke.edu

Purpose: The ICU and progressive care units in our tertiary care hospital identified the need for improving education to new staff. Although orientation gave orientees the information to function safely and competently, we developed an additional plan to reinforce the core curriculum by specifically addressing the unique flow and care of our patient (pt.) population.

Description: In collaboration with the nurse educator, the unit preceptors presented a class in skit format designed to include care of cardiology pts. representing various levels of acuity from admission to discharge. The skit began with a staff nurse playing the role of a patient from a different cultural back ground who was admitted with unstable angina. A discussion of cultural sensitivity ensued. Other nurses admitted, assessed the “pt.”, and intervened as she became unstable. The “pt.” was sent emergently to the interventional cardiac catheterization lab where she had an angioplasty and intra-aortic balloon pump (IABP) placed. Discussion regarding the angioplasty was lead by a cath lab nurse. The “pt.” was then transferred to the CCU for further care. The skit included a preceptor teaching a new orientee the routine care for the patients with an IABP and a discussion of frequently used medications. The “pt.” was eventually transferred back to the floor and discharged home.

Evaluation/Outcomes: This unique teaching methodology not only encouraged interaction by both new and old staff but was entertaining, keeping the participants interested and engaged. ICU nurses better understood the care of patients on other units and the unique difficulties that staff nurses there might face. They learned about resources used on the other units that could be utilized in their own areas. Some voiced interest in floating to the other floors for experiences. Feedback from participants was resoundingly positive. Additional class days are currently being developed with different patient scenarios and skits.

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