Optimizing RN/RPN Skill Mix in Acute Care Settings - RPNAO

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Lessons Learned • Challenged with recruiting RPNs graduating from the new education program 2005 or later • 3 month delay from education to the staff on units to the time of orientation of new RPN hires • Moral: RPNs experienced personal frustrations similar to being a new Nurse or a new hire when needing to ask other RNs for 6/1/2011 help 22
Evaluation Evaluation in progress: Did Nurse sensitive outcomes stay the same or get worse: indicators of quality of care • Pain management • Pt satisfaction/nurse satisfaction • Wound management, prevalence & incidence pressure ulcers • Safety reports • Falls • Medication errors • Restraint use • Assignment changes during shifts (focus group) 6/1/2011 23
Page 1 and 2: Optimizing RN/RPN Skill Mix in Acut
Page 3 and 4: Acknowledgement • Skill mix proje
Page 5 and 6: Implementation of Pilot Project Nov
Page 7 and 8: Implementation of Pilot Project Con
Page 9 and 10: Challenges with Recruitment • >10
Page 11 and 12: Change Management • Talking at un
Page 13 and 14: Change Management Unit level Transi
Page 15 and 16: Accountability TL/Charge Nurse Acco
Page 17 and 18: Autonomy for RPN Assignment • Pat
Page 19 and 20: Environment: Questions to consider:
Page 21: •2/8 RPN exited after orientation
Page 25 and 26: Case Study #1 Continued • Today t
Page 27 and 28: Case Study #2 Continued There are p
Page 29: 6/1/2011 29

Optimizing RN/RPN Skill Mix in Acute Care Settings - RPNAO

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