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  • 1.  New Grad Ambulatory Track

    Posted 05-20-2024 11:09

    Hello,

    I am looking for any insight or suggestions for a "New Grad" track for Ambulatory Care. Currently we rarely consider hiring new grads of any kind but may be open to it in the future. Do you all hire new grads? Do you onboard/educate any differently? Thanks in advance! 



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    Casey Adams RN
    RN Education Specialist
    Knox Community Hospital
    Mount Vernon OH
    (740)462-3066
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  • 2.  RE: New Grad Ambulatory Track

    Posted 05-21-2024 08:44

    I am also interested in this as we are looking at recruiting new RN grads due to the shortage. We have discussed needing to provide at least a 10-month curriculum for all new grads but do not have anything definitive yet. Thanks for asking the question



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    Michelle Lynn COO
    SIU Healthcare
    Chatham IL
    (217)545-3653
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  • 3.  RE: New Grad Ambulatory Track

    Posted 05-21-2024 08:50

    Hi, Actually we are on the same situation I can say. From my experience on commissioning units and on-boarding staffs to operate the units,Balance recruitment between new grads and experience nurses will give you a plus. New grads will provide you the energy and optimism, while the experience staff will provide you the immediate quality of work you will need. On the other hand, you need to have different approach of on-boarding and education between them, The only thing will be the same is the orientation to the location and setting. To conclude, New grads will be a great support on your expected and worldwide concern in Nursing Workforce, on-boarding and education is the key. 



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    Rigor Rey Cuevas
    Head of Ambulatory Care Nursing Dept
    Qassim Univ Medical City
    Buraidah
    +966551892616
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  • 4.  RE: New Grad Ambulatory Track

    Posted 05-21-2024 13:31

    Good morning,

     

    At Kaiser Permanente last year we launched a National New Graduate RN Residency for all our markets (although many previously had residency programs) - we are using HealthStream as our vendor, who have been building some pretty decent ambulatory care content/assessments.  We have at least 5 ambulatory markets, including mine (Colorado) where we did not previously have a residency.  

     

    As a new grad residency coordinator, I do think a structured residency program is the best thing for helping new grad RNs make their professional transition into ambulatory care settings, as it provides extra training and education that is ambulatory focused, as well as extra support (both peer support and leadership support, along with having a mentor), but if a residency program is not something your organization is willing or able to consider I think pulling together some extra training and education for your new grads, along with extending their orientation would be critical to their success.  Assisting them to find a mentor I think is something that would also be helpful.  

     

    A huge piece of the puzzle is ensuring wherever your new grads are going that there are great preceptors who have had preceptor training and are interested in training new grads through an extended orientation.  We are typically doing 11 weeks of 100% precepted/non-productive orientation, but individualize as needed, and don't expect our new grads to achieve 100% productivity until between 6-12 months of experience.  I hope this was helpful!

     

    Kind regards,

    Megan

    Megan Koval MSN, RN, NPD-BC, AMB-BC
    Pronouns: she/her/hers

    Kaiser Permanente
    Regional RN Clinical Coordinator
    Nursing Professional Transition and Development Programs
    National Patient Care Services

    Kaiser Permanente Colorado
    Student Placement Coordinator
    Professional Development Consultant
    Clinical Practice, Development, and Excellence

    10350 E. Dakota Ave.
    Denver, CO 80247

    (720) 695-9839 (mobile)

    ---------

    Clinical Excellence Intake | DAISY Nomination | BEE Nomination | kp.org/thrive

     

     

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  • 5.  RE: New Grad Ambulatory Track

    Posted 05-22-2024 08:14

    UNC Health has a New Grad Residency for ambulatory that is based largely on the AAACN program. This is an amazing resource, so I HIGHLY recommend checking it out! We require our CNI's in ambulatory to fulfill the same 1-year residency expectation that our inpatient new grads complete. They also complete a quality improvement project and present it at the end of their residency. We ask that each new grad gets 12 weeks of precepting before they are "set free" from orientation, and continue to support them through residency and regular check-ins with their nurse educator.

    We are in the process of building a Transition to Practice (similar to residency) for experienced nurses from the inpatient world to help them understand the differences here in outpatient as well. Lastly, we have had a lot of interest in an LPN residency program as well, so I am looking into how I can tweak our current program to fit the needs of the new graduate LPN. 

    Happy to discuss and share our curriculum!



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    Torie Bonnet MSN RN NE-BC
    Clinical Nurse Edu Specialist-Ambulatory Care
    UNC Health
    Raleigh NC

    torie.bonnet@unchealth.unc.edu
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  • 6.  RE: New Grad Ambulatory Track

    Posted 05-22-2024 09:32
    Edited by Kimberly Nelson 05-22-2024 09:32

    Hi! At the AAACN conference several of us met and developed a Teams workgroup to share information for new grad residency and fellowship information. We are also working together to try to get the Casey Fink survey validated specifically for ambulatory. If you would like to be added to the Teams group, please let me know! 

    Kim 



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    Kimberly Nelson MSN Ed RN RNC-OB
    UT Southwestern Medical Center
    Dallas TX
    (214)836-1907
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  • 7.  RE: New Grad Ambulatory Track

    Posted 05-22-2024 14:27

    Hello Casey, 

    At UC Davis we are in our second cohort of an Ambulatory New Grad Residency. For our program, we relied heavily on the AAACN framework and combined this with our in-patient hospital's established Vizient program. New grads are part of a 3-week orientation, that is quite a bit different than the typical 2-week orientation other new employees receive. For our program, we provide additional classes through our hospital program built for new grads of all specialties as well as courses in moderate sedation, ECG interpretation and more. Residents are placed in various clinics and are rotated into different clinics and specialties over the course of 12 months. At the end of this 12 months, Residents are expected to apply for open jobs available to them in ambulatory areas. We have found that the new grads need additional education on many areas of ambulatory, even if they have the background of ambulatory settings under a different licensure. Would be happy to discuss the additional education and onboarding we do further! 



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    Eleanor Sanders-Estes
    Clinical Nurse Educator
    UC Davis
    Rancho Cordova CA
    (916)946-1237
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