New Graduate Handbook (Paed) Jan 2012

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					  Nurse Entry to
Practice Programme
   Paediatric Stream

Counties Manukau District Health

   Graduate Nurse Handbook

                             New Graduate Handbook
                              Nurse Entry to Practice
                                Updated: 06/01/2012
                       Brigid Mathias, Nurse Educator, NETP

Amanda Browne    Nurse Coordinator   09 276 0044         021 974 332
                      NETP             ext 8312            *3593

Brigid Mathias    Nurse Educator     09 276 0044        021 242 6776
                      NETP            Ext 8329             *3637

 Pam Williams     Clinical Coach     09 276 0044            Locator:
                      NETP             ext 2102             93 8038

   Vanessa        Clinical Coach     09 276 0044            Locator:
   Wheeler            NETP             ext 2102             93 8248

 Emma Svatos        Programme        09 276 0044
                   administrator       ext 9178

                                                 New Graduate Handbook
                                                  Nurse Entry to Practice
                                                    Updated: 06/01/2012
                                           Brigid Mathias, Nurse Educator, NETP

The NETP year consists of two components – clinical and academic.
The clinical component is your area placements over the period of 12 months; this
may be one or two placements.
The academic component is over a 12-15 week period within this year and involves
post graduate study through the Auckland University of Technology (Paediatric). This
paper is run once a year beginning in March. The academic component also includes
NETP in-service education throughout the year.

Clinical Component
Clinical Placements
The programme is based on experiential and practice based learning.
Some graduate nurses will undertake two clinical placements each six months long.
Others will undertake one clinical placement for 12 months.

Supernumerary and Preceptorship Guidelines
There is a total of 6 weeks supernumerary time for graduate nurses.
Each graduate is to be preceptored by a designated preceptor for a minimum of the
supernumerary period. This preceptor will provide regular and consistent contact and
support for the remainder of the clinical placement. The preceptor must be a
registered nurse who has completed the preceptor training programme at CMDHB.
It is encouraged to meet up regularly with your preceptor throughout your clinical
placement to go over goals, debrief and check on how you are going. Time to do this
can be negotiated with the charge nurse.

         6 Month Rotations                         12 Month Placement
1 Six Months
   1 week orientation.                          1 week orientation.
   4 weeks supernumerary.                       4-6 weeks supernumerary
   May commence night shift after               May commence night shift after
      the first 10 weeks.                         the first 10 weeks.
   The first 2 nights will be                   The first 2 night shifts will be
      supernumerary.                              supernumerary.
   Speciality areas such as ICU, EC             Speciality areas such as ICU, EC
      and NICU are exempt from the                and NICU are exempt from the
      night duty stand down period.               night duty stand down period.

2nd Six Months
     2 weeks supernumerary
     May commence night shift after
        the first 4 weeks.
     The first 2 nights will be

                                                                New Graduate Handbook
                                                                 Nurse Entry to Practice
                                                                   Updated: 06/01/2012
                                                          Brigid Mathias, Nurse Educator, NETP

Academic Component
There are a total of 12 education days specifically for the NETP programme over the
12 months, plus a generic Welcome Day to CMDHB. These days are compulsory to
attend and are specifically designed to meet the needs of graduate nurses. The
education days are divided into 6 in-service days and 6 post graduate education days.
The academic component is closely aligned with the clinical component. The teaching
components are very clinically focused that can be linked directly back to practice.

The first week is orientation week. This consists of a welcome day to CMDHB where
you will meet key staff members, be introduced to some policies and complete skills
such as fire safety.

The next 3 days will introduce the graduate nurse to the NETP programme, identify
supports and expectations and discuss transition to an RN role. During this week the
graduate nurse will also complete Basic Life Support and computer (IS) training.

Orientation week allows the graduates to meet one another, key staff members,
preceptors, charge nurses and nurse educators.

Orientation Books

Each area has a specific orientation workbook that needs to be completed within the
time frames set out for this. These workbooks cover specific clinical conditions,
technical skills and clinical practices specific to your particular area. These are useful
to guide graduate learning. They are self directed and often involve check-lists as
achievement sign off.

The outline of each workbook is clear with the expectations and timeframes for
achieving the practical skills – ie medication certification, IV practical certification
etc. If you need further support please contact those that are able to assist.

Support from your preceptor, nurse educator and the clinical coaches NETP are
available to assist with the check-lists of these workbooks.

                                                                    New Graduate Handbook
                                                                     Nurse Entry to Practice
                                                                       Updated: 06/01/2012
                                                              Brigid Mathias, Nurse Educator, NETP
Study Days

      It is the responsibility of the graduate nurse to ensure these study days are
       accommodated for in the roster.
      It is compulsory to attend all study days for the full day.
      While we endeavour to avoid it, some changes could be made to these dates.
       You will be given plenty of warning of any changes via email.
      These study planners include your university study days and the NETP in-
       service education days held throughout the year.

Criteria for NETP Certificate
      Complete and pass post graduate paper (Auckland University of Technology)
      Complete and pass competent PDRP
      Finish 12 months clinical placement
      It is a requirement of the NETP programme that 90% of the study days are

If any one of these criteria is not met by the graduate nurse, they will not obtain a
completion certificate for the NETP programme.

                                                                  New Graduate Handbook
                                                                   Nurse Entry to Practice
                                                                     Updated: 06/01/2012
                                                            Brigid Mathias, Nurse Educator, NETP
Post Graduate Paper
As part of the NETP programme it is compulsory for each graduate to participate in
post graduate education through:

 Auckland University of Technology (AUT) – Paediatrics
        o Paediatric area – will complete a 30 point paper – Clinical Assessment
            for Advanced Practice

This paper is fully funded by CMDHB except for those who are international

In order to avoid international student fees, New Zealand Residency needs to be
obtained prior to a date set by the University. We will inform you of this date.

Auckland University of Technology
Clinical Assessment for Advanced Nursing Practice - 588624

This paper will advance nursing practice in the area of physical examination and
health assessment. It will assist in the development of clinical decision-making and
research utilisation.

This paper covers
        Client/Family centred care
        Reflective practice
        Clinical Reasoning
        Evidence based nursing
        Complete health history
              o Socio-cultural
              o Developmental considerations
        Mental health/HEADSS assessment
        Developmental assessment
        Physical examination
              o HEENT assessment
              o Respiratory and thorax assessment
              o Cardiac and peripheral vascular assessment
              o Abdominal assessment
              o Genitourinary assessment
              o Integumentary assessment
              o Musculoskeletal assessment
              o Neurological assessment

                                                                New Graduate Handbook
                                                                 Nurse Entry to Practice
                                                                   Updated: 06/01/2012
                                                          Brigid Mathias, Nurse Educator, NETP
Assessment methods
   1. Written case study
   2. Verbal case study presentation
   3. Observed structured clinical examination (OSCEs)

This paper is run jointly with AUT and CMDHB.

AUT Paper Co-ordinator:
     Shelaine Zambas, 09 921 9999 ext 7865

The co-ordinators for this paper at CMDHB:
       Sarah Little – 7021

The study days for this paper will be held at the AUT Manukau Campus in the
mornings and Kidz First in the afternoons for practice.

Paper Dates
29 February 2012     Full teaching day

14 March 2012        Half teaching day
                     Half day practice
28 March 2012        Half teaching day
                     Half day practice
2 May 2012           Half teaching day
                     Half day practice
16 May 2012          Half teaching day
                     Half day practice
30 May 2012          Full teaching day
20 June 2012         OSCE - Clinical Exam (with well children, at AUT venue TBA)

                                                               New Graduate Handbook
                                                                Nurse Entry to Practice
                                                                  Updated: 06/01/2012
                                                         Brigid Mathias, Nurse Educator, NETP

It is a requirement of the NETP programme that a competent PDRP in achieved by
the end of the NETP programme. Failure to do this will result in not completing the
NETP programme.

The following is some information about what is required for the PDRP. It would be
an idea to get a folder at the beginning of the year and put in the pieces of assessment
throughout the year. This will make it a lot easier when it comes to handing it in.

All of this information can be found on the PDRP website on Southnet:

Southnet Nursing Nursing Professional Development Unit (NPDU) PDRP
New Graduate Nurse

This page offers links through to other useful information.

Submission of PDRP
Please submit your portfolio to your service area nurse educator 2 months prior to
completion of your NETP Programme.

      January intake - by the end of November
      May intake - by the end of April
      September intake - by the beginning of July

Portfolio Presentation

      Please ensure that your portfolio is presented in a suitable folder, and that all
       pages are named and numbered.
      DO NOT place original certificates (like Annual Practicing Certificates,
       university marking grid and feedback etc) in the folder - make photocopies.

PDRP requirements

      Portfolio Checklist, Application & Declaration form
      2 Performance Reviews
      NCNZ Competencies
      Professional Development Activities
          o 12 study days for graduate nurses (96 hours clinical education and
               training over a 12 month period)
          o Any other education/study days or in-service sessions you have
               attended should be recorded here

                                                                    New Graduate Handbook
                                                                     Nurse Entry to Practice
                                                                       Updated: 06/01/2012
                                                              Brigid Mathias, Nurse Educator, NETP
          o  This section needs to include some reflection on a key learning point
             from the session and how you will transfer this to your clinical
      Development Hours (with preceptor team)
          o These hours are a requirement set by nursing council.
          o The preceptor ‘team’ includes your preceptor or any other registered
             nurse who is providing professional development on a one-to-one basis
             (ie charge nurse/nurse educator/other registered nurses in clinical area).
          o 16 hours of one-to-one time (over 12 months) with your
             buddy/preceptor allows for
                  Development of goals
                  Assessment of progress (i.e. discussion and work with
                  Placement/rotational final assessment
                  Peer support/cultural support
                  Critical reflection
                  Education

* Evidence of Cultural Safety is required throughout your portfolio. We highly
encourage the use of the Tikanga Responsiveness Guidelines which are available on
the PDRP website to assist you with this process.

                                                                  New Graduate Handbook
                                                                   Nurse Entry to Practice
                                                                     Updated: 06/01/2012
                                                            Brigid Mathias, Nurse Educator, NETP
Reflective nursing practice refers to the ongoing evaluation of the way we undertake
our nursing practice. Reflection has the potential to help nurses to develop and learn
from their practice. The emphasis of reflective practice remains on helping to develop
and challenge your knowledge, skills and values.

There are two tools to use to reflect on your practice, which is useful when writing
reflective pieces of evidence, like exemplars or reflection on a piece of work. These
tools are very useful to use in every day practice.

Reflection in Nursing Practice Reflective Practice in Nursing 4th edition, Bulman &
Schutz, 2008

       What is reflection?

“…reflection as reviewing experience from practice so that it may be described,
analysed, evaluated and consequently used to inform and change future practice.”

       Why are nurses interested in reflection?

Nursing like other professional groups, has recently moved to higher education which
has meant working in an educational system which has traditionally divided
theoretical & practical knowledge.

Nurses develop a ‘feel’ for what they do “practically and bodily so that it becomes
part of the knowing process” but cannot always be verbally expressed ‘we know more
than we can say’. Nurses need adequate ways to express themselves and reflection
is has the potential to prove such means.

       Why reflection?

Nursing is a practice discipline; effective preparation of nurses means that we can
effectively and competently care for our patients and continue to develop skills over a
professional life time.

Nurses reflect because it provides a tool or mechanism “through which they can
communicate and justify the importance of practice and practice knowledge.”

        What does reflection have to offer?

Reflecting on practice provides us with an opportunity to learn from it.

       Two models

There are two very simple models to use to reflect in practice. The website has links
to view these. You can print these out to be used as tool when writing evidence for
your portfolio.
                                                                   New Graduate Handbook
                                                                    Nurse Entry to Practice
                                                                      Updated: 06/01/2012
                                                             Brigid Mathias, Nurse Educator, NETP
Employee Assistance Programme

What is EAP
The Employee Assistance Programme (EAP) is a contracted service provided by
OH&SS. This is a confidential service and participation in the programme will not
adversely affect your work at CMDHB. No details are placed on your employment

EAP provides an opportunity for our staff to receive appropriate professional and
specialist assistance with personal problems which could impact on their performance
at work.

Up to three sessions are available for each staff member. If further sessions are
required, the service will negotiate with OH&SS what extra sessions are needed.

The programme is supportive, confidential and available to all CMDHB staff and
offers assistance with a wide range of problems:
     Stress and anxiety at home and at work
     Bereavement
     Marital and family relationships
     Physical illness
     Psychological problems
     Mental illness
     Alcohol or drugs
     Health of a family member
     Sleep disorders
     Anger management
     Gambling
     Conflict resolution
     Harassment at work (CMDHB Human Resources provides a Harassment
        Prevention Network which can also assist)

If you need someone to talk to about work or life in general, you can utilise our
Employee Assistance Programme.

How can I access this service?

Use of the service can occur through self referral (where you make your own
appointment) or with advice from your manager.

The accounts are kept completely separate to any other staff records including the
Occupational Health and Safety Service staff records.
The costs are charged to your department by OH&SS. The department has no details
of who is accessing the service or how many sessions have been used by any one

                                                                New Graduate Handbook
                                                                 Nurse Entry to Practice
                                                                   Updated: 06/01/2012
                                                          Brigid Mathias, Nurse Educator, NETP
Occupational Health and Safety

You will be able to learn about OH&SS by accessing their site on Southnet.

The services that OH&SS provide at CMDHB are:

       Blood & Body Fluid (BBFE) Management
       Work Incidents & Events Management
        - Rehabilitation
        - Wellnz

       H & S @ work
        - Hazard Management advice
        - Pre-employment screening
        - Health monitoring
        - Contact tracing

       Well @ work
        - Employee Assistance Programmes (EAP)
        - Well women's cervical screening
        - Well women's breast screening
        - Annual autumn influenza staff immunisation programme
        - Smoking cessation
        - Massage therapy
        - Formal referral
        - work station assessments

       Liten up
       Auditing and compliance


                                                                New Graduate Handbook
                                                                 Nurse Entry to Practice
                                                                   Updated: 06/01/2012
                                                          Brigid Mathias, Nurse Educator, NETP

              New Graduate Handbook
               Nurse Entry to Practice
                 Updated: 06/01/2012
        Brigid Mathias, Nurse Educator, NETP

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