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 CS127
ED/ICU Rotation: A Strategy for Staff Retention and Improvement of Patient Care in the Critically Ill
By: J, Beckman; L, Brown; C, Davis; J. Hanley; T. McCoy; J. McAteer & S. Nash; Sharp-Grossmont Hospital, CA
For further information, please contact: jenbeckman@cox.net
Purpose: The Emergency Department and Intensive Care Units developed a program for job sharing of experienced RN’s. This project was designed to facilitate excellent care of critical patients regardless of location. It has provided an opportunity for experienced nurses to have new learning opportunities, while still grounded to their home unit.
Description: In search of seeking new experiences, several ED nurses requested the opportunity to work in the ICU at the same time ICU nurses were looking for new challenges. In response to this request, the educators of both units with the support of management evaluated many different programs prior to implementation of this pilot project. The history of previous attempts of this venture and feedback from an ED staff member, who had recently attempted to transfer to the ICU, was added to the plan to avoid potential problems. The program had a 6 week orientation on the new unit which then switches to an alternating schedule between the two units. The educators set the acceptable criteria to be met. To continue the quality of care in each unit, the applicant must have worked two years in home unit, take a knowledge assessment test for the new unit and receive 80% to participate in this program. The new staff members are required to complete initial competencies during orientation and also participate in the yearly competencies required for both units. This plan was then taken to the managers and directors of each area, who set the criteria from an administrative perspective i.e. weekend commitment, vacations, time allotment for orientation. There was a final meeting with ED and ICU Directors, Managers and Educators to confirm the contract. The educators continuously monitor the project and make changes as required.
Evaluation: A survey was given to 30 staff members including ICU and ED nurses, and physicians. The survey assessed the impact on the quality of care for the critically ill in the ED and the impact on the ED/ICU relationship. 100% of the staff surveyed felt that the ED/ICU rotation had increased the staff confidence level in providing care for critically ill patients 99% of the staff felt that this program had improved relations between the ICU and ED. Most nurses have remained in their new dual role and have expressed increased job satisfaction
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