{"id":9629,"date":"2017-02-22T08:30:19","date_gmt":"2017-02-22T15:30:19","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=9629"},"modified":"2023-04-20T14:14:41","modified_gmt":"2023-04-20T20:14:41","slug":"clinical-orientation-uchealth-shelves-slides","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/clinical-orientation-uchealth-shelves-slides\/","title":{"rendered":"Clinical orientation at UCHealth shelves the slides"},"content":{"rendered":"
<\/div>

Welcome to UCHealth. You\u2019re a nurse, respiratory therapist, speech-language pathologist or other provider newly arrived to one of its hospitals and you\u2019re anxious to begin your clinical orientation. You settle into a chair along with dozens of your new colleagues. To your surprise and disappointment, you watch a succession of presentations. They are the latest in the long-running series \u201cDeath by PowerPoint.\u201d<\/p>\n

It\u2019s not that the information isn\u2019t important. It covers a host of topics essential to life in a hospital, both from a patient care and regulatory perspective: infection control, emergency response, use of restraints, pain management and so on. The subject matter experts in each area know their stuff. But the long day features talk, not action.<\/p>\n

Not the most effective way to reach young clinicians used to a faster pace and more interaction.<\/p>\n

\u201cPeople in clinical care aren\u2019t used to sitting all day, said Lauren Hewson, coordinator of education programs for UCHealth University of Colorado Hospital\u2019s Professional Development team. \u201cThey wanted change.\u201d<\/p>\n

Skewing younger<\/strong><\/h3>\n

That came through loud and clear \u2013 without a word being spoken, Hewson added. \u201cAs a facilitator, I saw the non-verbals. They weren\u2019t excited. It was just a check mark on their list rather than being excited about working at UCH and having the tools to succeed on their units.\u201d<\/p>\n

Hewson is among a group at UCHealth who have flipped the script for orienteers and those who work with them. The new approach to clinical orientation, which began at all UCHealth hospitals in January, features interactive video presentations, hands-on introductions to equipment, group discussions and problem solving \u2013 even take-offs on Bingo and Monopoly.<\/p>\n

\"picture
The Ambulopoly board takes orienteers on a spin around the University of Colorado Anschutz Medical Campus and off-site locations while familiarizing them with life at UCH.<\/figcaption><\/figure>\n

The point wasn\u2019t to change the content of the orientation, but rather to reboot the presentations to meet the needs of the audience and deliver consistent training across the entire system, said Kari Waterman, MS, CNS, RN-BC, RNC-NIC, manager of Clinical Education and Professional Development at UCH.<\/p>\n

She noted that about 75 percent of UCHealth\u2019s new clinical hires are millennials. Seemingly simple changes like shelving traditional paper evaluations in favor of making them accessible through cell phones have been satisfiers. Sheaves of handouts have been banished in favor of a single-page agenda, downloadable from UCHealth\u2019s Clinical Orientation website.<\/p>\n

\u201cThe feedback we\u2019ve gotten has been outstanding,\u201d Waterman said. \u201cThe energy in the room is more dynamic and engaging.\u201d<\/p>\n

\"\"
The new approach to clinical orientation stresses showing over telling. Here, Todd Gschwend, injury prevention coordinator at UCH, demonstrates safe patient-handling techniques to a small group of orienteers.<\/strong><\/figcaption><\/figure>\n

Ready for action<\/strong><\/h3>\n

The new emphasis on showing rather than telling was on display on a recent morning in the Leprino Building at UCH. Todd Gschwend, RN, injury prevention coordinator for Employee Health and Wellness, stood before a small group of orienteers to discuss safe patient handling. His visual aids weren\u2019t PowerPoint slides, but rather the actual supplies and equipment his audience would need to help lift and move patients without risking injury to either.<\/p>\n

Gschwend demonstrated, for example, how a powered sit-to-stand device helps patients use the toilet while minimizing the risk of falling \u2013 and potentially taking a caregiver down with them.<\/p>\n

He noted that patients understandably dislike using bed pans and bedside commodes and many will try to avoid them, even if it means unadvised and unaided trips to the toilet.<\/p>\n

\u201cI encourage you to get your patients to the bathroom if at all possible,\u201d Gschwend said. \u201cThese devices will help you do it.\u201d<\/p>\n

Standing by a hospital bed, Gschwend also showed the onlookers how to position the body and use equipment such as slings when they move a patient to avoid injury. He noted that while bariatric patients pose an obvious lifting challenge, a 98-pound person made combative from dementia can be just as problematic. The bottom line: it\u2019s easy to get injured by trying to do too much without assistance.<\/p>\n

\u201cOnce you start tweaking a body part, the stress becomes cumulative,\u201d he said. \u201cI don\u2019t want you to get injured or to tweak an injury. I want you to be a bedside nurse for as long as you want to be.\u201d<\/p>\n

Short stuff<\/strong><\/h3>\n

The roughly half-hour session went by quickly, and the orienteers headed off to the next item on the agenda. The quick hits are important, Hewson said.<\/p>\n

\u201cWe want to focus on the high level, then people can ask more specific questions on their units,\u201d she said.<\/p>\n

That avoids information overload, Waterman added. \u201cWe\u2019ve been trying to pour a big pitcher of Kool-Aid into a Dixie cup,\u201d she said. \u201cWe\u2019ve been fooling ourselves if we thought people were retaining everything we gave them.\u201d<\/p>\n

With that in mind, the new arrivals get an additional dose of key information at roughly the 21-day post-hire mark. In a 60-minute course titled, \u201cTransforming Care & Improving Lives,\u201d they learn details of three key \u201cquality metrics\u201d the organization focuses on: sepsis, C. diff infections, and pressure injuries. They split into groups and move through three stations to learn about the quality initiatives and strategies for addressing these issues in each region.<\/p>\n

\"group
New employee clinical orientation for ambulatory providers includes this innovative twist: a board game based on Monopoly called \u0093Ambulopoly.\u0094 It was developed by Mary Caughren and Laurie Kirkley, clinical nurse educators for Ambulatory Services at UCH. \u0093It covers topics that encompass the Ambulatory care setting while reviewing key concepts that are covered in HR orientation and Professional Development\u0092s clinical orientation,\u0094 Caughren explained.<\/figcaption><\/figure>\n

The aim again is to engage the clinicians, Waterman said. The segment on pressure injuries features a short video, viewed on iPads, depicting a nurse entering a patient\u2019s room and doing a \u201c360 walk-around,\u201d she said. The group tries to identify points that might present risk of a pressure ulcer.<\/p>\n

\u201cThey scribe the things they would want to intervene on and then each group posts them on the board for review,\u201d Waterman said. \u201cThey love the competition.\u201d<\/p>\n

In the C. diff presentation, the group gowns up and uses a black light with glow powder simulating bacterial spores to see where they may have contaminated the environment. The aim is to encourage the clinicians to think about their infection prevention practice and raise their awareness of its importance.<\/p>\n

Getting engaged<\/strong><\/h3>\n

The sepsis segment features a true scenario that illustrates \u201cmissed opportunities\u201d for identifying the potentially deadly infection and responding to it quickly.<\/p>\n

\u201cWe didn\u2019t want to bore them to death,\u201d said Nicky Huntley, RN, MS, APN, a clinical nurse specialist and sepsis coordinator for UCH, who leads the exercise. \u201cAt 21 days, they have their feet wet and have a feeling for their clinical area. They are establishing their practice, but we want to help them understand other things that are important for our organization and the system.\u201d<\/p>\n

In her presentation, Huntley takes the group through the case of a patient admitted to a med\/surg floor and later to an ICU. It emphasizes the importance of recognizing the signs of sepsis early and ordering treatment \u201cbundles<\/a>\u201d within three and six hours. Along the way, she highlights points where things went right \u2013 a CNA very early on noticed cloudy urine and reported the concern, for example \u2013 and things that didn\u2019t, including not following all the steps in the bundle, such as ordering antibiotics and fluids.<\/p>\n

The patient\u2019s sepsis worsened and she ultimately spent extensive additional time in the hospital. Huntley believes an actual case is more likely to strike home with care providers than \u201cclinical data on a screen.\u201d<\/p>\n

The presentation \u201cconnects it to somebody, one person who suffered deleterious effects when she could have gone home,\u201d Huntley said. \u201cIt\u2019s not about the data, and it\u2019s not about talking at them. It\u2019s about having a team conversation.\u201d<\/p>\n

In keeping with the new approach to clinical orientation, Huntley and her colleagues plan to keep the content fresh.<\/p>\n

\u201cWe\u2019ll be nimble,\u201d she said. \u201cThe presentations will change depending on what happens at the hospital.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Welcome to UCHealth. You\u2019re a nurse, respiratory therapist, speech-language pathologist or other provider newly arrived to one of its hospitals and you\u2019re anxious to begin your clinical orientation. You settle into a chair along with dozens of your new colleagues. To your surprise and disappointment, you watch a succession of presentations. They are the latest […]<\/p>\n","protected":false},"author":2143,"featured_media":9633,"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":[294],"class_list":["post-9629","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-nursing"],"acf":[],"yoast_head":"\nClinical orientation at UCHealth shelves the slides - UCHealth Today<\/title>\n<meta name=\"description\" content=\"UCHealth's appraoch to clinical orientation features interactive video presentations, hands-on introductions to equipment and group discussions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/clinical-orientation-uchealth-shelves-slides\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical orientation at UCHealth shelves the slides\" \/>\n<meta property=\"og:description\" content=\"UCHealth's appraoch to clinical orientation features interactive video presentations, hands-on introductions to equipment and group discussions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/clinical-orientation-uchealth-shelves-slides\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-02-22T15:30:19+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-20T20:14:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/02\/28140437\/EXT_021317_Gschwend-Clinical-Orientation-Feature-Photoshop.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Tyler Smith\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tyler Smith\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/\"},\"author\":{\"name\":\"Tyler Smith\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/98c85c0e40c4933eedcec2cd054f349d\"},\"headline\":\"Clinical orientation at UCHealth shelves the slides\",\"datePublished\":\"2017-02-22T15:30:19+00:00\",\"dateModified\":\"2023-04-20T20:14:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/\"},\"wordCount\":1385,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2017\\\/02\\\/28140437\\\/EXT_021317_Gschwend-Clinical-Orientation-Feature-Photoshop.webp\",\"keywords\":[\"Nursing\"],\"articleSection\":[\"News\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/clinical-orientation-uchealth-shelves-slides\\\/\",\"name\":\"Clinical orientation at UCHealth shelves the slides - 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