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  • - It was just a really great feeling

  • to be able to walk into someone's room

  • and have them think that I'm not a new grad,

  • and I really feel like I got my comfort

  • and my time management skills

  • from the residency program.

  • (upbeat music)

  • - A new graduate nurse faces a lot of challenges.

  • For starters, they're transitioning

  • from the student nurse role

  • to the professional nurse role.

  • And that presents challenges

  • because they're going from a place

  • where they weren't necessarily held accountable

  • or weren't responsible for the patient's care

  • and now they are.

  • There's a lot for them to learn.

  • - I think the first challenge

  • is that it's not what they expected at all

  • in terms of what, school wise,

  • school has prepared them.

  • But in terms of like, I guess, like just the rhythm

  • of the hospital and what is expected of them,

  • they're not really sure.

  • - Often in school there's a thought of

  • once I complete school, I'll have time for my family,

  • more time for myself and then, in fact,

  • once they graduate, there are additional work commitments,

  • and time commitments related to starting your career.

  • So it's a challenging time.

  • - Basically time management and organizing themselves

  • is probably the biggest challenge

  • that new graduates face.

  • (upbeat music)

  • - Today our new graduate nurses, then,

  • are hired with the expectations

  • that we will provide support.

  • We have on the job training for them.

  • We have one-to-one preceptors for them.

  • We have classes that are offered for them

  • that are taught by clinical experts,

  • within and without our system.

  • And we also have networking and support

  • which we know then, helps to lead them to success.

  • - It was just incredibly scary starting out on your own.

  • I mean when you're in school, you know that you have

  • a preceptor there the entire time.

  • But before we started the residency,

  • I just knew that I was gonna be on my own

  • and that, you know, I felt like this huge fear.

  • - Well Meagan's progression through the program,

  • when she first came in she was nervous.

  • At first I would round with her in the morning

  • when we do bedside reports

  • to make sure that I met the patients too.

  • But eventually, it got to the point

  • where she would round herself.

  • I'd round after her.

  • And then she'd just call me with needs,

  • and I'd just sort of be in the hall

  • and she eventually slowly but surely

  • needed me less and less.

  • - The residency helped me feel more comfortable

  • with the type of patients that I have on my floor.

  • The residency gave me a huge comfort level.

  • You know, you're sort of tied to the cord,

  • and then slowly but surely, you cut the cord.

  • But yeah, that was sort of her progression.

  • (upbeat music)

  • - The biggest benefit is that they all start

  • as one group, one cohort.

  • And they network with each other to support each other.

  • And as the nurse residency coordinator,

  • I try to provide support and guidance to them when needed.

  • Their preceptors serve as very valuable resources.

  • But one of the biggest benefits that residents

  • themselves have said is the support

  • that they provide each other.

  • I liked how the residency program, it incorporated

  • the clinical aspects, but it also, you kinda had a chance

  • every week to go to a class and meet with other people

  • who were going through the same experiences

  • as you were going through.

  • - When we're in class, it's encouraged

  • that they talk about their experiences

  • on their unit, things that have happened that week,

  • and they kind of discuss with each other

  • what's going on.

  • So it gives them a valuable time

  • to be able to lean on each other

  • and provide that support network.

  • - You didn't feel like you were in it alone.

  • You really had a lot of support,

  • and I really liked that sense comradery

  • that the new grad program provided.

  • - Our ultimate goal is really to be able to have them

  • be comfortable in our environment,

  • as well as retain and want to stay in nursing.

  • (upbeat music)

  • - So the residency is structured

  • so that in the beginning, the first three weeks actually,

  • there's more time spent in class.

  • The first week they complete nursing orientation

  • just like any other new nurse hire.

  • Week two and week three,

  • there's a class on Monday and a class on Friday

  • for those two weeks.

  • So two class days for week two and three,

  • and then the rest of the time is available

  • to be spent working on their unit with their preceptor.

  • And then from that point on,

  • it depends on the specialty,

  • but it's structured to spend the majority of your time

  • on the unit that you're hired onto

  • with your preceptor being trained.

  • So guided, unit-based orientation.

  • And there is, on average, about one class a week.

  • The residency is 10 weeks long for med surg and rehab,

  • and then other specialties, labor and delivery,

  • critical care, specialties such as that are 13 weeks.

  • So it's 10 to 13 weeks.

  • - It was like you were still in school in a way.

  • I mean, we met with classes and we had lectures.

  • Weaknesses that I felt that I had were covered

  • in the residency in those lectures.

  • So it was kind a nice.

  • - We went in depth about pulmonary, cardiology,

  • endocrine, things like that.

  • And it really helped, because when you're on the unit

  • and you're taking care of patients,

  • sometimes you don't get to learn

  • every single little detail

  • about the patho.

  • And it's really nice to review that information

  • on a week to week basis.

  • - We have not utilized one set curriculum

  • and stuck with that.

  • We actually get a lot of feedback from educators, directors,

  • and then from residents themselves.

  • And based on the feedback that we get,

  • we have updated curriculum, changed classes,

  • changed the structure of the program

  • to be able to allow for the best learning.

  • (upbeat music)

  • - I had one of the most amazing preceptors.

  • I love her so much.

  • She, I mean would check in on me,

  • and really tried to style the learning for me

  • based on how I learn best.

  • Knowing that she was there, I mean I could text her,

  • call her outside of work,

  • was just a huge comfort for me.

  • - Usually I find out a week beforehand

  • that I'm gonna get my new graduates,

  • so I make them a binder

  • of all the important telephone numbers,

  • all the important policies that they're gonna need to read.

  • And then on the day that they're coming,

  • I get there a little early

  • so that I can greet them, find out who they are,

  • and then see, I guess, what challenges

  • they expect to face, what they're scared of

  • and then for the first two days,

  • I just let them follow me,

  • so that they can get the flow of things.

  • And then they start taking patients.

  • - When you're a new grad it's really good

  • to hear where you can improve.

  • And they're very honest with me,

  • but very supportive too.

  • It was never intimidating

  • when they would tell me

  • that I needed to work on my organization skills

  • or something like that.

  • And that kind of feedback

  • was extremely valuable and I felt like I became

  • a better nurse from that.

  • (upbeat music)

  • - We have always felt it was important

  • for new graduates to be able to have support

  • which makes them successful,

  • and so today we've just been able

  • to really raise the bar.

  • And with all of the evidence that is out there,

  • and all of really the expertise that we have

  • within the system, be able to meet

  • what our mission, vision and values are

  • for them as well.

  • - I feel like I am set to a higher bar

  • because I feel like St. David's

  • has invested so much in me.

  • But knowing that they have invested that time

  • is great and makes me wanna be a better nurse

  • and continue on with my education.

  • - St. David's really appealed to me

  • because their mission statement, I just,

  • when I went for my interview,

  • I saw the, just the spirit that they provided

  • care to their patients with.

  • Everybody was extremely supportive,

  • and this new grad program,

  • once I was introduced to it,

  • this was just a, this was a extremely appealing

  • thing for me to come to.

  • - The things that we have done specifically

  • that have made the residency successful

  • are allowing the new graduates

  • time to support each other

  • and an opportunity to support each other

  • and talk to each other.

  • Without the residency, a new graduate

  • may be the only new graduate on their unit,

  • so they may not get that kind of interaction.

  • And then providing a ongoing evaluation

  • and feedback to the residents.

  • If you don't know what you're doing wrong,

  • you can't fix it.

  • - You really get what you put into this program.

  • It felt like every week I was really trying

  • to work on the things that my preceptors

  • were telling me, and because of that I was able to

  • overcome some of the difficult things that I was facing

  • as a new grad.

  • - Use the residency program to your advantage,

  • because most nurses don't get that opportunity.

  • - I think it's successful because the system as a whole

  • really buys into the value of lifelong learning.

  • And really feels that the new graduates

  • are important and are key to our success.

  • - It feels amazing.

  • Knowing that I'm the person

  • that can really make a difference in someone's life,

  • just really helps my heart.

- It was just a really great feeling

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A2 residency nurse program grad week support

St. David's HealthCare Nurse Residency Program

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    林宜悉 posted on 2020/03/03
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