{"id":5043,"date":"2015-10-14T00:00:00","date_gmt":"2015-10-14T06:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2015\/10\/14\/no-standing-on-ceremony-grad-rns-pitch-in-for-capacity-crunch\/"},"modified":"2017-09-15T10:47:46","modified_gmt":"2017-09-15T16:47:46","slug":"no-standing-on-ceremony-grad-rns-pitch-in-for-capacity-crunch","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/no-standing-on-ceremony-grad-rns-pitch-in-for-capacity-crunch\/","title":{"rendered":"No standing on ceremony: Grad RNs pitch in for capacity crunch"},"content":{"rendered":"
<\/div>

The day began with a sense of anticipation for a group of new graduate resident nurses at University of Colorado Hospital. They couldn\u2019t have anticipated the way the day developed.<\/p>\n

The group, numbering 51, arrived at the hospital on Aug. 27 dressed up for a ceremony to mark the completion of their one-year residency program. They would soon be headed back to their units to don scrubs and pitch in to help the hospital deal with a capacity crunch.<\/p>\n

An early look at the day showed that unless the hospital expedited discharges, the day would end with 25 patients waiting for beds, said Cathy Ehrenfeucht, RN, MS, the hospital\u2019s vice president of nursing and associate chief nursing officer.<\/p>\n

That meant all hands on deck, including the nurses ready for a graduation celebration, said Ehrenfeucht. They left the orderly ceremony for the controlled chaos of their packed units, hurriedly pulling off high heels and dress shoes in preparation for short shifts to fill staffing gaps.<\/p>\n

\u201cWe thought they were joking when they told us originally,\u201d said one of the grads, Ashley Mill, RN, who works on the Medical Intensive Care Unit (MICU).<\/p>\n

Rapid response<\/strong><\/p>\n

It was a less than ideal but unavoidable situation, Ehrenfeucht said.<\/p>\n

\u201cPlan D is an emergency situation that requires everyone to be available,\u201d she said. The hospital set up a command center, and all members of management cleared their schedules of meetings to ensure they were available to meet the capacity challenge, she added. \u201cOur main goal was to ensure patients were being cared for and that units had help if it was needed.\u201d<\/p>\n

The extra help from the nurse grads helped to ease a difficult situation, said Roxanne LaRochelle, RN, associate nurse manager on the Surgical\/Trauma Intensive Care Unit (STICU), where all 24 beds were filled. New grads Suvi Caton, RN, and Loren Peterson, RN, simply got into their scrubs and asked LaRochelle and the unit charge nurse what jobs needed to be done and how they could help. Both filled in for a couple of hours. Kailyn Hinrichsen, RN, went home to get a couple of hours of rest before returning to work a full 12-hour shift, LaRochelle said.<\/p>\n

\"\"
MICU nurse Ashley Mill, RN, wore a pair of patient’s socks to complete her short shift.<\/figcaption><\/figure>\n

\u201cWe saw the new grads as an asset,\u201d LaRochelle said, noting the STICU played a \u201cwaiting game,\u201d as the charge nurse worked with hospital managers and patient placement coordinators to move the unit\u2019s patients one at a time to med\/surg floors as beds opened up.<\/p>\n

Whatever it takes <\/strong><\/p>\n

The new grads were flexible as they filled in on an emergency basis. On the MICU, Mill and fellow grad Traci Priebe, RN, pulled on shoes suitable for working that they found in the unit\u2019s locker room, said Associate Nurse Manager Amy Hassell, RN. Mill, sockless for the completion ceremony, slipped on a pair used for patients. They assisted another nurse in intubating and documenting meds and other care for a patient during their short shifts, Hassell added.<\/p>\n

Mill said she stayed to help for three or four hours on a day that wouldn\u2019t have been unusual if she\u2019d been scheduled for a normal shift. \u201cOur unit is nearly always full and very busy anyway,\u201d she said.<\/p>\n

The need for extra hands was evident on the Medical Surgical Progressive Care Unit (MSPCU), where residents Julie Iverson, RN, and Jake Knarr, RN, helped to care for patients so other nurses could speed the discharges and transfers of 10 patients, said the unit\u2019s nurse educator, Amanda \u201cMax\u201d Swedhin, RN, CMSRN. Iverson had worked the night before, but helped with two patient discharges before MSPCU Nurse Manager Justin Oeth, RN, sent her home to rest.<\/p>\n

\"\"<\/p>\n

The MSPCU received an added boost from Caitlin Bittinger, RN, a new grad from the BMT Unit, who had previously worked on the MSPCU as an advanced care partner. Bittinger, \u201cdressed to the nines in fancy shoes,\u201d as Swedhin put it, helped her MSPCU colleagues care for a patient with an unfamiliar drain.<\/p>\n

With the announcement of the ceremony cancellation, Shelbi Moll, RN, headed for the ED in her high heels, changed into clogs she\u2019d stashed in a locker and put on her greens. She checked in with her charge nurse, Julie Tollefson, RN, then spent the next several hours as a float, helping to care for patients and transport others when beds opened up on the units upstairs.<\/p>\n

Personal sacrifice<\/strong><\/p>\n

The difficult situation left little time to acknowledge the efforts of the nurses, but several units tipped their collective hats. As thanks for the extra help, the MSPCU provided cake and drinks to \u201ccelebrate the accomplishments\u201d of the new grads, Swedhin said. The MICU ordered a pizza and staged a \u201cmini-celebration\u201d in the break room, Mill reported, adding that she and Priebe each received a card and flowers.<\/p>\n

In the ED, Moll and Ashley Grablin, RN, received cacti and congratulatory cards from the unit\u2019s leadership and positive reviews of their work, said Brandi Schimpf, RN, CEN, now manager of the Mobile Stroke Unit Program. ED leaders also placed Moll\u2019s and Grablin\u2019s evidence-based projects in the staff break room for display, Schimpf said.<\/p>\n

Still, Ehrenfeucht said the disappointment caused by the cancellation was \u201ctotally understandable,\u201d particularly as it meant sacrificing presentation of the nurses\u2019 evidence-based projects, the capstones of their one-year residencies. Moll, whose project studied sedation of intubated patients in the ED, said she had looked forward to presenting it, particularly with her mother, Cindy Taylor-Moll, RN, a nurse who has worked at UCH for 18 years, looking on.<\/p>\n

\"\"\u201cI know she was going to be proud to see me finish my first year as a nurse and follow in her footsteps,\u201d Moll said. The timing of the Plan D was a difficult pill to swallow, but she was gratified by words of thanks from her colleagues.<\/p>\n

\u201cMany of them were sympathetic,\u201d she said. \u201cThey knew how hard we all were working.\u201d<\/p>\n

\u201cIt was definitely disappointing because we had worked hard the whole year and were looking forward to the ceremony,\u201d Mill said. \u201cThe cancellation shocked everyone, but I understood why they did it.\u201d<\/p>\n

Ultimately, the new grads were one part of a broad effort that allowed the hospital to call off the Plan D at about 5 p.m. on the 27th<\/sup>, Ehrenfeucht said. \u201cI look at them as heroes that day,\u201d she said.<\/p>\n

\u201cIt takes a lot of teamwork to get through a capacity issue, including the primary and charge nurses, the hospital managers, and the command center,\u201d LaRochelle added. \u201cI\u2019m proud of our new grad nurses for understanding the need we had that day.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

The day began with a sense of anticipation for a group of new graduate resident nurses at University of Colorado Hospital. They couldn\u2019t have anticipated the way the day developed. The group, numbering 51, arrived at the hospital on Aug. 27 dressed up for a ceremony to mark the completion of their one-year residency program. […]<\/p>\n","protected":false},"author":2143,"featured_media":9204,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[359,294,263],"class_list":["post-5043","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-medical-intensive-care-unit","tag-nursing","tag-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nNo standing on ceremony: Grad RNs pitch in for capacity crunch - UCHealth Today<\/title>\n<meta name=\"description\" content=\"The day began with a sense of anticipation for a group of new graduate resident nurses at University of Colorado Hospital. 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The group, numbering 51, arrived at the hospital on Aug. 27 dressed up for a ceremony to mark the...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.uchealth.org\/today\/no-standing-on-ceremony-grad-rns-pitch-in-for-capacity-crunch\/","og_locale":"en_US","og_type":"article","og_title":"No standing on ceremony: Grad RNs pitch in for capacity crunch","og_description":"The day began with a sense of anticipation for a group of new graduate resident nurses at University of Colorado Hospital. They couldn\u2019t have anticipated the way the day developed. The group, numbering 51, arrived at the hospital on Aug. 27 dressed up for a ceremony to mark the completion of their one-year residency program. 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