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June 2008, Week 1

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From:
jiana branco <[log in to unmask]>
Reply To:
jiana branco <[log in to unmask]>
Date:
Thu, 5 Jun 2008 10:24:01 -0400
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Below were responses I received regarding orientation for new APNs posted on May 27, 2008.
Thank you so very much for your help! Please do extend my gratitude to your nurses who were so willing to share what they did with me.
 
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This is what I found out from the administrator who runs our Nurses' Orientation. Hope this helps.
Based on a decision to provide uniform information to all newly hired RNs, n 2005 the Chief Nurse Executives required all APNs working in acute, ambulatory, long term care and behavioral health to attend the CHS Nursing Orientation for 1 day. The APNs nurse under this definition is identified as the CRNA and NP. All other APNs attend the full orientation (3 ˝ days) with the exception of areas identified to have a different time frame (1 ˝ days to 3 ˝ days).
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I have found that having an orientation schedule similar to other providers (physicians) is a more effective orientation process.  Having them orient with the RN's does not give them the information they need to function in their provider role.  
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Our APN's go to the general hospital orientation and then have an individual orientation in their area of practice. we do have an orientation manual that is specific to APN's.
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here's what my nurse leaders said:
They attend patient care orientation, (which is one 8 hour day), nurse orientation (which is another 8 hour day) then their orientation is individualized to meet the needs of their role. 
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Our APNs go through medical credentialing so they do not attend any orientation for the RN’s. We’re a 250+ bed free-standing not for profit pediatric hospital – not a teaching hospital, not part of a university system.
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We tend to sit down for the full (1 hour) library orientation with theadvanced practice nurses--just like the new physicians get.  They tend to bethe ones who do the research and keep up with new developments and updatepolicies, etc. and teach the rest of the nursing staff ...  Whereas, we onlyget a 15-minute introduction with the regular nursing staff.   
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Our organization firmly believes that all employees need to attend our formal System Orientation that covers all of the corporate and Joint Commission information. We are a organization of 11,000 employees working in 7 hospitals and 75 physician practices. All of our employees (including MD's) attend a central orientation on their first day. There is also a facility orientation that is held for individuals to cover information on their specific facility within the organization. Each service area also conducts their own orientation to the work environment.
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Carole Chen, MLS, AHIP 
Associate Librarian 
Medical Library 
Hackensack University Medical Center 
30 Prospect Avenue 
Hackensack, NJ 07601 
201.996.2326 
201.996.2467 (Fax) 
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> Date: Tue, 27 May 2008 15:29:53 -0400> From: [log in to unmask]> Subject: New APNs orientation> To: [log in to unmask]> > Please excuse cross-posting. 
Our APN (Advanced Practice Nurse) Council would like to know if other hospitals give separate orientation to newly hired APNs, instead of letting them attend orientation for new RNs. Any information you are willing to share will be greatly appreciated!! Regards,CaroleCarole Chen, MLS, AHIP Associate Librarian Medical Library Hackensack University Medical Center 30 Prospect Avenue Hackensack, NJ 07601 201.996.2326 201.996.2467 (Fax) [log in to unmask]
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