Implementation Training Improved with Electronic Tools

1. Implementation Training Improved with Electronic Tools Presented By:Ann Burtelow RN and Kandis Gillis BSN, RN

2. Presenter Information • Ann Burtelow RN • 20 year employee at SLCH • 12 years informatics experience • aburtelow@bjc.org Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Kandis Gillis BSN, RN • 2 year employee at SLCH • 7 years informatics experience • kkg3643@bjc.org

3. Session Objectives SLCH PCIS Training Plan Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Planning Strategy • Steps Taken • Identifying Constraints • Dealing with Reality • Methodology Changes • Use of Electronic Tools • Captivate • Emails • Linked Sites in Our Documentation System • Lessons Learned • Failures • Successes

4. SLCH Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus.

5. History of Computer Documentation at SLCH Our History Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Began Documentation in 1994 • Trialed on one unit in 1994 • Whole house documentation in 1995 • ICU’s only did med’s/IV’s and some Admission Hx • Ended Documentation in 1998 • Our documentation obscured the patient’s story • Documentation was over engineered and very cumbersome

6. Current Computerized Documentation NAIP – Nursing Assessments and Interventions Project Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • August of 2005 began designing new assessments and interventions • There were approximately 450 nursing staff to train • We had 2 training rooms with a total of 23 computers to train staff

7. Identifying Constraints Training Constraints Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Time Constraint • Training for New Equipment • Regulatory Training • Cost Factor • Pulling Staff in for an 8 hour class • Overtime costs • Staffing Issues • Staff Shortages

8. Reality Check Combining Reality with Constraints Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • How to train all the staff with as little mandatory classroom as possible • Ensure adequate exposure and training to the new documentation

9. Training Plan Training Strategy Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Pre-Class Work – 2-3 hours • 3 On-Line Training Courses with Tests • E-Mails: Hunt & Finds and Quick Tips • In Class Hands on Training – 4 hours • Demos with Hands On • Quick Tip Sheets • Post-Class • Train Icons on all Desktops • Resource Page in HED

10. Training Room Updating the Training Room Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. The Training Room Before

11. Training Room Original Blue Print Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus.

12. Training Room Re-Vamped Classroom Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus.

13. Prep Work Creating Electronic Training Modules with Captivate Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Development Strategy • Not too many • Not too long • Developed Three 20 Minute Long Training Modules • Intro to New Documentation Concepts • Overview of the new Assessments and Interventions • Specific training on Pain and Education Documentation

14. Demo of Captivate NAIP Training Module Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • C:\Documents and Settings\kkg3643\Desktop\NAIP Training.exe

15. CHEX Children’s Hospital Education Exchange Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Web-based Learning Management System • Provides • on line tracking/testing • Curriculum Functions • Certification Functions • Can be accessed from home • Currently used House Wide for quarterly mandatory training • CHEX contains a learning history for each staff member

16. CHEX Children’s Hospital Education Exchange Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • We attached our 3 Captivate Training Modules to CHEX with on line tests required for each module • Each staff member was required to view the training module and complete the test • SLCH requires that all tests be passed with a100% score • A printed certificate was required to gain entrance to the 4 hour on hands training class

17. E-Mail Used as a Training Tool raining Room E-mails Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Hunt & Finds • Department specific – developed by that units Super User • When the staff would locate the item they would email the response back to the Super User • Quick Tips • Department specific • House Wide quick tips that were developed

18. Resource Page in McKesson Resource Page Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Post Live Re-enforcement Tool • Easily accessible for staff while they where in documentation • Contains links to Policies and Guidelines • Links to training materials • Links to unit specific guidelines • Easily edited by the PCIS staff

19. Failures Failures Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Viewing Captivates in CHEX • Did not test viewing the training modules from CHEX on the individual devices on the units • Bottom section of the training module was not viewable • Pop up blockers prevented viewing the training modules • Caused frustration with the staff • PCIS staff had to do a lot of troubleshooting

20. Failures Failures Cont’d Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Printing Certificates from CHEX • Half the time the certificates were not printing • Instead of printing one certificate that indicated they completed all 3 courses the staff were printing 3 separate certificates • Found out after the process was implemented that this was a known printing application issue in CHEX • Required certificates for gaining entrance into the 4 hour training became an issue • Caused frustration with the staff • Held up training class because trainers had to check on line that the work was completed

21. Successes Success Dolor sit amet, consectetuer adipiscing elit. Phasellus et arcu eget quam pharetra adipiscing. Cum sociis natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Vivamus rutrum ullamcorper risus. • Staff Quickly Adapted to the New Documentation • Expected to have 24/7 support for 7 days • Only needed in house support of 5 days • Went to beeper coverage for 1 week with approx 2 calls • VP of Patient Care Services Remarks

22. Questions? Presented By:Ann Burtelow RN and Kandis Gillis BSN, RN