1. Professional Development Intro to CAN Program Nurse Residency Program Presented by Kristin Carnall, BS, RNC-NIC

2. Children’s Healthcare of Atlanta Objectives Identify CHOICE system councils and unit councils and the process of shared-decision making Discuss basic components of the Career Advancement for Nurses (CAN) program and portfolio Differentiate level based behaviors Differentiate CAN contributions Discuss the Professional Development Plan and how to create and track goals 2

3. Children’s Healthcare of Atlanta System CHOICE Councils Clinical Practice Council Equipment and Technology Council Patient and Family Advocacy Council Patient Safety and Quality Council Professional Development Council 3

4. Children’s Healthcare of Atlanta Clinical Decision Making 4 Children’s Healthcare of Atlanta Clinical Decision Making Definitions: CNE-Chief Nurse Executive NLF-Nursing Leadership Forum QCOB-Quality Committee of the Board of Trustees CHOICE – Choosing How Outcomes Impact Clinical Excellence

5. Children’s Healthcare of Atlanta Career Advancement for Nurses (CAN) Program 5

6. Children’s Healthcare of Atlanta 6

7. Overview of Levels NoviceColleagueResourceLeader 7

8. Children’s Healthcare of Atlanta Overview of Levels Entry-level professional nurse Focused on developing knowledge and skills Shows growth in ability to care for increasingly complex patients Benefits from feedback Not required to acquire CAN contributions Capable clinician focused on expanding knowledge and skills Consistently provides effective direct care as part of the interdisciplinary team to a variety of complex patients Seeks and provides feedback for improved clinical practice Assumes a beginning leadership role NoviceColleague

9. Children’s Healthcare of Atlanta Overview of Levels (continued) Experienced and highly skilled clinician Recognized for knowledge and skills by peers 2 years minimum experience Utilizes an interdisciplinary approach to patient care service delivery across the continuum of care Mentors others to promote quality and excellence of care Has an emerging leadership style and functions consistently and autonomously in this role Promotes improvement in processes and systems to benefit care and achieve unit and organizational goals. Baccalaureate in Nursing required 5 years minimum experience Leader within the institution Responsible for coordinating the total scope of care for a group of patients throughout the unit to achieve clinical, financial, and organizational outcomes Works with leaders to optimize team performance Incorporates goals and objectives of the hospital at the site of patient care May assume unit management functions Resolves problems Life support instructor status required ResourceLeader

10. Children’s Healthcare of Atlanta Components to CAN Contributions Behaviors

11. Children’s Healthcare of Atlanta Level Based Behaviors 11 NOVICECOLLEAGUE* CRITICAL THINKING Displays basic prioritization & time management skills Evaluates patient response to interventions & seeks support to adjust POC Utilizes resources on the unit to increase understanding of the care of unfamiliar patient populations Reads nursing research/EBP articles posted on unit Plans patient care based on assessment Participates in discharge planning with increasing responsibility & coordination Demonstrates comprehensive assessment skills Evaluates patient response to interventions & adjusts plan of care appropriately Demonstrates rapid recognition of subtle changes in patient status & takes appropriate action while maintaining professional composure Recognizes existence of nursing practice trends & questions care as it relates to EBP Consistently & independently prioritizes patient care. Reads nursing research/EBP articles posted on the unit & questions care as it relates to EBP

12. Children’s Healthcare of Atlanta Level Based Behaviors (cont.) NOVICECOLLEAGUE* INTERPERSONAL RELATIONSHIPS Includes family in patient care Provides effective education appropriate for learning needs of patient/family Communicates using SBAR with all team members & demonstrates effective communication skills Demonstrates cohesive behavior among team members Identifies situations of conflict involving patients, families, & staff & seeks appropriate resources for resolution Demonstrates Children’s customer service behaviors Includes family in patient care Provides effective education appropriate for learning needs of patient/family Effectively communicates using SBAR with all team members & physicians including transfer and the discharge process. Questions any inaccuracies or deviation from practice standards Appropriately communicates & demonstrates cohesive behavior among team members Resolves situations of conflict involving patients families & staff & seeks appropriate resources when necessary Participates in unit based customer service initiatives 12

13. Children’s Healthcare of Atlanta Level Based Behaviors (cont.) NOVICECOLLEAGUE* LEADERSHIP Demonstrates support of CHOICE through awareness of initiatives and providing input Completes PDP & shows progress on personal learning goals Seeks resources by actively consulting with the interdisciplinary team Supervises & ensures completion of tasks assigned to ancillary staff Demonstrates support of CHOICE & unit committees Supports unit goals Appropriately delegates tasks May serve as preceptor, mentor, team leader, or charge nurse Seeks resources by actively consulting with the interdisciplinary team 13

14. Children’s Healthcare of Atlanta Level Based Behaviors (cont.) NOVICECOLLEAGUE* TECHNICAL SKILLS Demonstrates basic assessment skills Demonstrates the 5 rights of medication administration Manages care for basic unit load & progresses to care for increasingly complex patients Accurately documents all aspects of the nursing process using electronic medical record if applicable to the area Understands & complies with Joint Commission standards & National Patient Safety Goals Accesses & follows policies Uses resources effectively to assist in maintaining budget Participates in PI process Participates in maintaining & monitoring the work environment to ensure a continual state of Joint Commission readiness Coordinates discharge planning 14

15. Children’s Healthcare of Atlanta Prorating Example Novice advances to Colleague in February. In this case, that means beginning Contributions in August. 5 months of contributions at the Colleague level are required. Colleague = 8 contributions (2 in each Competency area) 8 x 5/12 (5 out of 12 months) = 3.3 Contributions Always round down; therefore 3 Contributions are required. 15

16. Children’s Healthcare of Atlanta Contributions: Exceptions & Tips 16

17. Children’s Healthcare of Atlanta The CAN Portfolio Required forms – Cover Sheet – Contribution Forms – Aspen Transcript – Education Record – Mandatory Form Education Requirements – How much education do I need? – What counts as education? Contribution descriptions 17

18. Children’s Healthcare of Atlanta Let’s Practice! Steven Newnurse, BSN RN is a Colleague level RN, and he is getting ready to tally his contributions for the first time. This is a list of activities he’s kept. 18 PEARS provider course (8 hours) BLS provider course (8 hours) Unit-based journal club member Attended an 8 hour pediatric GI class and did a poster presentation on the Nissin Fundoplication Called rapid response x1 Camp nurse 2 days at Camp Braveheart 10 accucheck quality controls 10 hand hygiene audits 10 family refrigerator logs 20 customer service rounds Employee Relations committee member

19. Children’s Healthcare of Atlanta Resources CAN Page on Careforce CAN Page – Careforce>Nurses Station>Professional Practice>CAN/CAR>About the CAN Program – Here you can find more information and forms – Type “CAN FORMS” into Careforce search box Unit Educators and ANMs 19

20. Children’s Healthcare of Atlanta Professional Development Plan 20

21. Children’s Healthcare of Atlanta Purpose Review and assess your current knowledge and skill set Review and assess your behavior, and relate it to Children’s Clinical Staff Competency Model Consider behaviors that will help you be more successful on the job Identify skills/knowledge and the competency (or behavior) on which you will focus your development 21

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23. Children’s Healthcare of Atlanta PDP Components Developmental goal Developmental actions Timeframe Support needed/barriers to overcome 23

24. Children’s Healthcare of Atlanta Example Development Goal Improve my “Personal Accountability” regarding criticizing others, the organization, or how things are done so that I will be more productive and positive in my interactions with others. I will know that I have been successful when I receive feedback that I have a more positive attitude, and when I look for solutions to problems, instead of criticizing things I disagree with. 24

25. Children’s Healthcare of Atlanta Example Developmental Actions 1.Identify those individuals of whom I am most critical. 2.Monitor my words and actions so if I do not have something positive to say, or I do not have a solution to a problem, I do not make comments. 3.Write down those times when I have been critical and what I said, and then reflect on the situation. Determine what I could have done/said differently to avoid being critical. 4.Ask for feedback from my peers and supervisor as to improvement in this area. 25

26. Children’s Healthcare of Atlanta Opportunities Professional Development Calendar – Careforce>Departments> CHOICE>Professional Development Children’s offers: – Preceptor Workshop – Crucial Conversations – Leading Change – Situational Leadership – Project Management – Writing for Patients and Families – Optimizing Patient/Family Education Professional Certification – Certified Pediatric Nurse (CPN) – Certification in your specialty Finding the Leader within Yourself (FLY) Program – coming 2014 Educational Assistance – Policy 3.33Policy 3.33 Conferences: internal and external AACN Guide to Graduate Nursing Programs http://www.aacn.nche.edu/publicatio ns/brochures/GradStudentsBrochure.p df http://www.aacn.nche.edu/publicatio ns/brochures/GradStudentsBrochure.p df Johnson & Johnson’s www.discovernursing.com www.discovernursing.com 26

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28. Children’s Healthcare of Atlanta Questions? 28