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CS124
Essentials Of Critical Care Orientation (ECCO), a Retention Tool?
By M. Roberts, K. Harris; Poudre Valley Hospital, Fort Collins, CO
For further information, please contact: mgr@pvhs.org
Purpose: To provide critical care nursing staff with the training and tools needed to provide world-class, compassionate care using a combination of bedside clinical orientation, ECCO, and skills review classes.
Description: In late 2003, we evaluated our current orientation process and determined the presentation of information was overwhelming in both content and timeframe. With the advent of ECCO program availability, we proposed changing the orientation process for critical care nurses and preceptors. All new critical care nurses will complete ECCO as part of orientation and the preceptors will utilize ECCO to prepare them for their new role. The orientee and preceptor focus clinical orientation on the same content as the ECCO module the orientee is completing. The clinical experience and ECCO knowledge are brought together in the skills classes to fill in gaps, reinforce specific standards of care, and highlight the most important information.
Evaluation/Outcomes: Addition of ECCO to the orientation process was evaluated in two ways: exemplars from all ECCO participants, and the subjective assessment of the educators and CNS. The exemplars were overwhelmingly positive. Positive comments include: defined expectation of base knowledge, reinforced ECCO content with clinical experience, ability to learn at own pace, and an ongoing resource when a new patient experience presents itself. An unexpected benefit was retention. Prior to ECCO implementation, 58% of critical care orientees stayed longer than 2 years. Since ECCO, we have 100% retention at 18 months. Of the preceptors who participated in ECCO, only one person has left in the past 18 months, and that was due to family obligations. Several of the preceptors who participated in ECCO commented how valued they felt that the organization would provide them with the opportunity.
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