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- W2275209604 abstract "The pediatric intensive care unit (PICU) at Primary Children’s Medical Center, Salt Lake City, Utah, has developed an orientation and progressive education program to provide both mentorship and clinical guidance for nurses as they move from novice to expert in the critical care environment. The PICU is a diversified and challenging place to work. Our unit is a state-of-the-art, 26bed, multidisciplinary unit for children ages newborn to 18 years. These young patients have a wide variety of illness or injury needs, including respiratory distress, multisystem organ failure, multiple trauma, and postoperative cardiovascular care. Nurses are often overwhelmed entering this setting. Because of the nursing shortage, the unit must now hire new graduates. These eager but inexperienced nurses are placed into a special, progressive education program that begins in a medical-surgery area. During the 6 to 12 months when they are assigned to the medical-surgical area, these nurses can gain experience caring for children and acquire organizational skills. Also during this period, they meet once a month with a PICU educator for debriefing and an introduction to skills and critical thinking. With input from the medical-surgical team, the educator and novice nurse mutually decide when it is time to make the transition into the PICU. It is at this time that the nurse begins general orientation. Phases 1 to 3 of the orientation are similar to programs traditionally offered in critical care units, with 6 weeks devoted to didactics and mentored clinical shifts. Because the experience is often intense, only a small amount of the information is actually fully retained by the orientee. These nurses are able to provide adequate care for stable PICU patients of all ages. If, after approximately 4 months of this independent nursing care experience, competence is demonstrated, the nurse begins phase 4 of orientation. During this phase, the novice nurse returns to the classroom for an additional 12 hours of didactics, which focus on neurotrauma and respiratory care as it builds on the basic knowledge foundation established in the earlier orientation phases. Neurotrauma and respiratory concepts such as oxygen transport and assessment and treatment of increased intracranial pressure are reviewed. The course work is followed by 2 mentored shifts caring for unstable patients. The novice learner is given a checklist of skills to complete IN OUR UNIT" @default.
- W2275209604 created "2016-06-24" @default.
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- W2275209604 date "2002-08-01" @default.
- W2275209604 modified "2023-09-24" @default.
- W2275209604 title "Progressive critical care education" @default.
- W2275209604 doi "https://doi.org/10.4037/ccn2002.22.4.88" @default.
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