Creation of a Pediatric Rehab Orientation Guide

for the Inpatient/Pre-school Settings

PROJECT: Creation of a Pediatric Rehab Inpatient/Pre-school Orientation Guide and Competency Training

PROBLEM:PROBLEM: There was no formalized and comprehensive There was no formalized and comprehensive orientation and competency training for new orientation and competency training for new employees or for therapists that are new to the employees or for therapists that are new to the pediatric rehab inpatient/pre-school area. pediatric rehab inpatient/pre-school area.

Gena Henderson, PT Caryn Givens, PT Ellen Hobbs, OT Sarah

Wilson, OT Amber Yampolsky, PT

Pediatric Rehab Pediatric Rehab OrientationOrientationInpatient/Pre-schoolInpatient/Pre-schoolMethodsMethods1.1. Identified the main topic areas that are necessary to Identified the main topic areas that are necessary to

cover during orientation. cover during orientation. 2.2. Created an orientation check-list consisting of the main Created an orientation check-list consisting of the main

topic areas and sub-categories of topics within those topic areas and sub-categories of topics within those main areas. main areas.

3.3. Created written details with supporting information for Created written details with supporting information for each sub-category. each sub-category.

4.4. Collected and/or created reference/resource materials Collected and/or created reference/resource materials that were needed for each sub-category. that were needed for each sub-category.

5.5. Organized a binder with the orientation check-list, Organized a binder with the orientation check-list, written details, and supporting references/resources. written details, and supporting references/resources.

6.6. Created an orientation folder for new employees with Created an orientation folder for new employees with orientation and competency check-lists along with key orientation and competency check-lists along with key reference/resource materials useful in their everyday reference/resource materials useful in their everyday functions.functions.

Pediatric Rehab Pediatric Rehab OrientationOrientationInpatient/Pre-schoolInpatient/Pre-schoolMain Topic Areas Identified1. Departmental Information 2. Computers3. Performance4. Tour and Orientation to Floors5. Resources 6. Equipment7. Treatment Specific Information8. Physical Therapy Specific Information9. Occupational Therapy Specific Information10. Pre-school Specific Information

Pediatric Rehab Pediatric Rehab OrientationOrientationInpatient/Pre-schoolInpatient/Pre-schoolNew Systems/Resources Developed Equipment Powerpoint Equipment Orientation/Annual Competency

Check-off Treatment Specific Resources: Vitals Signs,

Lab Values, Common Tests/Scales Diagnosis Specific Protocols/Guidelines Lines, Leads, and Tubes Powerpoint Billing/Charging Reference List ADL Equipment Recommendation Hand-out Weekend Procedures Guide Competency Check-off: new employees,

PRN, and annual

DATE:_______________________________

NAME:_________________________________ MENTOR:_______________________________

Date InitialsDepartmental InformationDepartment Organization ChartID Badge Access and Resource CardsPhone Use: - Important Numbers to Know - Long Distance Code - Fax - Pagers - On-call pager 835-1161Paychecks - delivery&websiteCalendars: - Staff Meetings - 2nd Wed. of Month - Exempt Monthly Calendars - Time-Off CalendarTime-Off RequestsStaffing and SchedulingContinuing EducationSupplies & OrderingCopierLunchSafety FairWork Injury ReportingVeritasPolicies and ProceduresDisaster/Safety Manual & MSDS Safety Sheets

ComputersUser ID's and PasswordsEmail WebsiteRehab Website/IntranetWorkgroups Shared DriveAdministrative WorkstationsClinical WorkstationsWiz Order - patient order systemStar Panel - electronic medical recordMediserve - documentation system

ORIENTATION CHECKLIST FOR PT & OTPEDIATRIC INPATIENT REHAB SERVICES

Vanderbilt Children's Hospital

Subject

First Page of Orientation Checklist

New Hire Acute Care Competency

Check-list

Year:

Core Competencies

Training/Monitoring Tools

DateNote Any Occurrences:

Expiration/Renewal Date:

Chart Reviews - 5 in the first 6 months

Credo Behaviors - Performance Conversation at 3 months/Performance Evaluation at 6 months

Performance Conversation Date: Performance Evaluation Date:

Equipment Competency Check-off

General Acute Care Competency Plan For New Hires

Safety: Line Management, Fall Prevention, Precautions and Infection Control, High Risk Situations and Life Threatening Events

Documentation: PT/OT Evaluation and Treatment Planning for the Acute Care Pediatric Patient

Evaluation and Treatment Planning: PT/OT Evaluation and Treatment Planning for the Acute Care Pediatric Patient, Customer Satisfaction

EMPLOYEE NAME:

JCAHO National Patient Safety Goals supported by competency plan: 1. Reduce the risk of healthcare associated infections. 2. Reduce the risk of patient harm resulting from falls. 3. The organization identifies safety risks inherent in its patient population. 4. Improve recognition and response to changes in a patient's condition. 5. Encourage patients' active involvement in their own care as a patient safety strategy.

Completed During First 6 Months of Work

I certify that the information and competency data I submitted are true and accurately reflects my work and abilities to function as a physical or occupational therapist in my department. I understand that my ongoing professional growth is my responsibility and that I will notify my supervisor if I have further training needs.

Employee Signature: _______________________________________________________________ Date: _____________________________

Dates: 1. 2. 3. 4. 5.

Veritas Occurrence Reporting System (Policy: Occurrence Reporting: Patient and Visitor, OP 10-10.24)

VUMC and Area Policy Review-annual review of any new policies pertinent to this area

Manager Observations and Documentation Review - Weekly for first 3 months

Age specific competencies- (web inservice)

Vandy Safe/Safety Fair-annual 1. Universal Safety - Accident and Injury Prevention, fire and emergency preparedness, hazard communication, personal safety 2. Influenza and Influenza Vaccine Training 3. TB Skin Testing 4. Patient Contact: bloodborne pathogens, infection control, hand hygiene, tuberculosis precautions 5. N-95 Respirator Fit Testing and Training for staff who care for patients with airborne precautions 6. Standards of Conduct Training 7. Privacy and Security (HIPAA) 8. Conflict of Interest Disclosure

CPR Training/Certification Renewal (every 2 years)

VCH Acute Care Pediatric Rehab Orientation - Area Specific Orientation Book and Checklist

Pediatric Rehab Pediatric Rehab OrientationOrientationInpatient/Pre-schoolInpatient/Pre-schoolAssessment Creation of the orientation training

helped to develop a comprehensive and organized manual to guide initial training and to serve as a resource for current employees

It will serve as a reference for compliance and competency for our department

Pediatric Rehab Pediatric Rehab OrientationOrientationInpatient/Pre-schoolInpatient/Pre-schoolRecommendation and Plan The orientation and competency training will

be reviewed and updated annually by the assistant managers and/or clinical coordinators.

All current staff will review the orientation check-list and supporting material to bring the entire department up-to-date in their orientation and training.

Competency check-lists will be completed for the current year.

The orientation and competency training will be implemented with all newly hired staff or staff new to the area.