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Through parental participation
in decision-making and provision of care the nursing staff acknowledges
the parent's right to maintain control over their child's situation.
The child's rights are respected in accordance to his/her developmental
stage to be informed and participate in care.
Current practice is supported by up to date
research data. Interventions are individualized for the particular
client need. Standardized intervention sheets are utilized for some
of the common nursing diagnoses. Family education and discharge
planning is standard practice for all patients and their families.
The continuum of care is identified for all clients and access for
care is based on a needs assessment. Support for school re-entry
is addressed individually on an as needed basis.
PATIENT CARE DELIVERY
MODEL
The patient care delivery model is a patient-focused
model, supported by primary nursing. Patient-focused care is high
quality, comprehensive, accessible, supportive and personalized
care.
The primary nurse and the associate nurses are
responsible for designing a plan of care for the child that incorporates
the Medical, Physical, Developmental, Psycho-social, Cultural, Spiritual
and Educational needs of the child and family. The nurses on Ellison
17 realize that excellence in patient care is the result of a multidisciplinary
effort requiring expertise, collaboration and respect from all members
of the health care team.
TEAM MEMBERS
Staffing is by Registered Nurses and institutionally
trained nursing assistants. To inquire about positions available
on this unit, contact Jackie Lynch at jglynch@partners.org.
SCHEDULING PRACTICES
Staff schedules are driven by patient need.
The scheduling process is staff driven and flexible to accommodate
personal and educational needs. Once the schedule is posted, the
staff manages changes.
STAFF ORIENTATION
All staff attends a one- week nursing orientation
program. Unit orientation is preceptor based, individualized and
determined by the Nursing Director, clinical nurse specialist and the
new employee. The length of orientation is also individually determined.
New nursing graduates participate in the New
Graduate Mentorship Program.
Registered Nursing Staff are required to complete
and maintain skill and competence in One Touch, Point of Care Testing,
IV Admixtures, Defibrillator, PCA, Epidural, Phlebotomy, Chemotherapy,
IV push Chemotherapy, Portacath, Blood Transfusion, RSV IVIG, Ribavirian,
Trach Care, Mechanics of Ventilation, Peritoneal Dialysis, Tidal
Dialysis, IV push mediations.
EDUCATIONAL AND DEVELOPMENT OPPORTUNITIES
Staff education and development is supported
by The Norman Knight Nursing Center for Clinical & Professional Development. Full and partial day programs
are offered. Staff may also access outside educational opportunities.
The teaching environment provides staff with a daily opportunity
to discuss patient care related educational issues with members
of the graduate medical education program and with other members
of the care-delivery team.
Clinical Nurse Specialists provide educational
support to staff on the nursing units. Staff has time allocated
and the necessary support to offer educational programs to other
staff members. Nursing Grand Rounds programs are offered on a regular
basis.
Staff RNs have the opportunity to participate
as a nurse preceptor or a team leader. RNs may advance in their
clinical practice and demonstrate proficiency through the Clinical
Recognition Program.
Competence is dynamic. It is expected that all
clinical staff will only deliver care that they are competent in.
It is expected that clinical staff will identify their learning
needs and seek out educational information through their Nursing Director,
Clinical Nurse Specialist or the The Norman Knight Nursing Center for Clinical & Professional Development. Competence
is essential in:
- Family Centered Care
- Age Specific Care/Needs
- Pain Management
- Culturally Competent Care
- Ethics
- Fluid and Electrolyte Maintenance
- Respiratory Care / Airway Management
- Cancer Care
- Care of the Child with Traumatic Injuries
- Medication Administration (pediatric doses and calculations)
- Documentation of the Nursing Process
- Pediatric Cardiopulmonary Resuscitation
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