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Keywords:

  • orientation;
  • Level III NICU;
  • nursing education;
  • transition;
  • simulation

Poster Presentation

  1. Top of page
  2. Poster Presentation

Purpose for the Program

To describe an innovative new orientation program that was begun in 2011 with registered nurses from St. Elizabeth Healthcare and Cincinnati Children's Hospital Newborn Intensive Care Unit.

Proposed Change

To increase knowledge, confidence, and skills for registered nurses at St. Elizabeth Healthcare who are preparing to transition from a Level II to Level III neonatal intensive care unit (NICU). The proposed unit would provide ventilation and other services to infants born between 28 and 32 weeks gestation.

Implementation, Outcomes, and Evaluation

The program was developed by nursing leadership from St. Elizabeth Healthcare and Cincinnati Children's Hospital Newborn Intensive Care Unit. The training program is a combination of learning experiences, online and classroom education and clinical time in the Level III NICU. During the 160 hours of hands-on training in the NICU, the registered nurses are under the direct supervision of a preceptor who is a clinically advanced registered nurse. Weekly meetings took place with the Cincinnati Children's Hospital Newborn Intensive Care Unit Level III NICU educator to discuss and individualize learning experiences for each registered nurse, including observations with respiratory therapy, unit charge nurse, speech pathology, and the peripherally inserted central catheters team. Newborn Individualized Developmental Care and Assessment Program's theory, principles, and techniques introduced at Cincinnati Children's Hospital Newborn Intensive Care Unit were reinforced with programs at St. Elizabeth Healthcare. A final evaluation of the program will occur with a simulation day that is planned for November 2011 to safely practice interaction and clinical skills without compromising the safety of real neonatal intensive care unit infants.

Implications for Nursing Practice

This program is an exemplary demonstration of two health care facilities working together to implement best practice via a cooperative educational agreement. St. Elizabeth Healthcare and Cincinnati Children's Hospital Newborn Intensive Care Unit are both Magnet hospitals that continually focus on the importance of collaboration, innovation, and the enhancement of professional growth and development of nurses.