Northern Light Health

On-the-job Training

• Orientation
  • Understands and complies with basic employment requirements
  • Understands their role and responsibilities of the within the parameters of the care team
  • Seeks opportunities for ongoing professional growth; implements to improve practice and shares with colleagues as appropriate
  • Gives full attention to what other people are saying, taking the time to understand; ask questions and not interrupt
  • Creates and maintains a positive work environment
  • Completes mandated trainings
  • Uses logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems
• Key Processes and Polices
  • Understands organizational charts (EMMC Intranet - Leadership Page -Who's Who)
  • Understands Function Teams
  • Understands Role of DHN, Clinical Supervisor, Clinical Educator, SN II, SN I, SN, Chc1rge Nurse, LPN, NT, CNS and US
  • Identifies Support Departments/knows when & how to contact: Infection Control, Dispatch, Transport, Facilities, Care Management, Patient Relations, Risk Management
  • Contributes to Professional Practice Committee
  • Participates on Safety Committees
  • Attends and contributes to Unit Staff Meetings
  • Attends Patient Care Process Review Committee
  • Understands and respects the Role of the: Nursing Supervisor, Patient Access Manager
  • Understands the Role of Resource Nurse
  • Understands Principles of Corporate Compliance - Can contact the Compliance Hotline
  • Applies Patient First Initiative procedures, Patient Satisfaction (AVATAR), Quarterly Leadership Workouts, Quarterly Employee Updates, Must Haves (Thank You Notes, Follow-Up Phone Calls [Discharge Call Manager]) White Boards
  • Performs "Rounding with a Purpose", "Pain, positioning, potty, pump", Patient Rounding, Employee Rounding
• Physical Environment
  • Able to describe and locate: Main Corridor(s): Emergency shut offs, Fire extinguishers, Fire alarms, Means of egress (evacuation), Elevators and stairs
  • Able to describe and locate: Patient Room: Bed operation, Call system (including bathroom/emergency calls), Lights, Bathroom, Sharps containers, Medical gas/vacuum (including emergency shut off), Red outlets, Telephones. Television, Closets (A Bed verses
  • Able to describe and locate: Nurse Station: Disaster Phone, Computer terminals (include call system monitor), Drawers and files, Photocopier/FAX machines, Pneumatic Tube system, Drawers and contents, Chart rack (describe color wheel and process), Other un
  • Able to describe and locate: Kitchen: Refrigerator - temperature check/documentation, Pantry supplies, Nourishment carts, Ice/water machines
  • Able to describe and locate: Nurses Lounge: Combination, Lockers, Securing of valuable
  • Able to describe and locate: "Dirty" utility room: Trash compactors, Dietary trays, Dirty equipment
  • Able to describe and locate: Clean utility area: Medication prep area, Eye Wash Station, Linen carts, Exchange carts, Other supplies, Time clocks, Mailboxes, Bulletin boards
  • Able to describe and locate: Dictating room: Dictaphone/Telephone, Other supplies
  • Can locate other Offices/Workspaces on the Unit
• Equipment use (including repair facilitation)
  • Demonstrates competency in use of: NBIP
  • Demonstrates competency in use of: Pulse Oximeter
  • Demonstrates competency in use of: Thermometer
  • Demonstrates competency in use of: Doppler
  • Demonstrates competency in use of: O2 Tanks
  • Demonstrates competency in use of: Scales - bed and standing
  • Demonstrates competency in use of: Glucometer
  • Demonstrates competency in use of: EZ Lift
  • Demonstrates competency in use of: Tube feeding pumps
  • Demonstrates competency in use of: Eye Wash Station
  • Demonstrates competency in use of: Portable computers (including maintenance)
  • Demonstrates competency in use of: Able to locate and provide assistance with Otoscope/Ophthalmoscope
  • Demonstrates competency in use of: Point of Care Testing
• Emergency Procedures
  • Understands and responds appropriately: Dr. STAT/Rapid Response Team: 4444, Emergency call light, Initiate CPR/Note time of and details of arrest, STAT Cart contents, Defibrillator, STAT Cart coverage
  • Understands and responds appropriately: Fire Safety: 4444, Staff role in fire drill/fir, Fire alarms/extinguishers and locations
  • Understands and responds appropriately: Code Pink: 4444, Staff responsibilities, Searching of unit
  • Understands and responds appropriately: Disaster Drill: Role of staff, Call down lists, Role of charge nurse, Role of secretary, Command center
• Patient Care
  • Provides AOL's: Bathes patient in bed, tub or shower, Shampoo, Sitz bath, Mouth care, Skin care, Mouth care/Denture Care, Shaving, Feeding patient, Makes occupied/unoccupied bed, Ambulation/transfers, Elimination (urinals, bedpans, commodes), Perinea! car
  • Accurately takes and records vital signs
  • Collects specimens (urine, fecal) for lab tests
  • Administers and reports results of: Saline enema, Cleaning enema, Fleets enema, Rectal suppository (glycerin)
  • Properly turns and positions patients
  • Administer douche
  • Provide assistance with active and passive range of motion
  • Applies sequential compression devices
  • Assist with hot and cold non-sterile applications
  • Assists with post-mortem care
  • Application of a sterile band-aid dressing and 4X4 gauze
  • Applies slings, splints and binders
  • Properly applies air mattresses, foam mattresses, bed cradles, sheepskin and donut rings
  • Performs colostomy care on an established stoma
• Documentation of care
  • A. Performs accurate documentation electronically and on remaining paper documents; B. Accurately documents l & O; C. Verbalizes understanding of rationale behind "Unacceptable Abbreviations" and can state what abbreviations are unacceptable for use in th
• Admissions
  • Obtains admission vital signs
  • Obtains and enters height, weight and allergies into clinical information system
  • Completes the Valuables Record (on-line documentation)
  • Orients patient to room
  • Assists with review of information contained in admissions packet
• Patient Discharge
  • Assists RN with patient discharge ensuring that patient has all belongings and valuables
  • Able to verbalize an understanding of the Hospitality Unit and identify patients who can use this service
• Restraint Management
  • Able to identify patients who may require restraint management
  • Identifies alternatives to prevent, reduce and/or eliminate the use of restraints
  • Demonstrates the proper use of restraints: PCD's 6.001 and 6.001
  • Exhibits Restraint competency as describes in booklet
  • View Video: Restraint reduction and Fall Protection
  • Completes restraint application competency
  • Verbalizes an understanding of the CMS requirement of reporting the death of a patient: In restraint at the time of death, In restraint within 24 hours of death, In restraint within one week where it is reasonable to assume that the restraint contributed
• Patient Care (requiring precautions)
  • Fall Prevention: Reviews PCD 6.00; Demonstrates the ability to identify patients who may be at risk for falls; Identifies techniques and strategies to prevent, reduce and eliminate falls
  • Suicide Precautions: Verbalizes an understanding of the various levels of suicide precautions and strategies to keep the patient safe
  • Isolation Precautions: Verbalizes an understanding of the various types of isolation precautions and required PPD.; Standard Precautions; Contact Precautions; Droplet Precautions; Airborne Precautions
• Performance Improvement Process
  • Verbalizes the performance improvement initiatives and measures of performance occurring house-wide and unit specific
  • Verbalizes an understanding of the following organizations and the role they play: JCAHO, CMS, Maine Quality Forum, IHI, VHA