Preceptor Development for CMC Inpatient

You have been orienting Robert for 2 weeks in the PCT role and he is comfortable obtaining vital signs and blood sugars. However, he needs your guidance with time management. He is consistently falling behind on completing vital signs. What level of the development plan is he on and what should he be doing?

• Level 1; vital signs and blood sugars on half of the patient assignment

• Level 1; vital signs and blood sugars on the entire group and observing preceptor with other tasks

• Level 2; vital signs and blood sugars on the entire group and observing preceptor for all tasks

• Level 2; vital signs and blood sugars on half of the patient assignment

Sydney is a PCT and has been on orientation for 4 weeks now. Sydney manages vitals, documentation, q2h quality and mobility rounds with little oversight. What level of the development plan should she be at and what should she be doing on the floor?

• Level 2; vitals, documentation, q2 quality and mobility rounds with little oversight from the preceptor

• Level 2; independently managing half of the group and all admissions and discharges

• Level 3; all care for the entire group with oversight of the preceptor and admissions and discharges

• Level 4; everything independently with preceptor around for questions

You are orienting John who is a new graduate RN and has been on the floor a little over a month. He is successfully completing and documenting assessments on the entire patient group and has felt comfortable giving oral medications. He struggles to give handoff accurately and is uncomfortable with delegation. What level of the development plan should he be in and what skills correlate with this level?

• Level 1; John should only be giving medications and performing and documenting assessments

• Level 2; continue with meds, assessments, documentation, and focus on communications and teamwork

• Level 3; John should be doing the majority of the care with little oversight and working on quality outcomes and interventions

• Level 1; John should be caring for half the group until he is able to delegate appropriately.

Martha is an RN with 4 years of experience on a similar unit at an outside hospital. She has been on orientation for about 6 weeks and has been performing all patient care tasks for the whole group while you observe in the room. You have noticed that Martha frequently misses her pain reassessments and parts of required assessments. What level of the development plan should she be in and how would you address documentation concerns?

• Level 1 since she is unable to document appropriately she should remain in level 1 until improved

• Level 4; allow her to come off of orientation and have the unit director address it in her 1:1 quarterly eeting

• Level 5; she is able to manage the entire patient group but needs in the moment feedback related to her documentation prior to coming off of orientation

• Level 3 and put the information in the feedback form.

Will has been doing great with his PCT orientation for the past 2 weeks. He feels comfortable giving report to the oncoming shift and wants you to standby to observe his handoff. Will chooses to give handoff at the nurse's station and the oncoming PCT says that is ok. Will forgets to mention the patient in 506 is quadriplegic. What's wrong with this scenario?

• Handoff should happen at the bedside to include patients in plan of care

• The preceptor should have been giving report

• Will should be able to give report independently at this point in orientation

• This is an appropriate handoff

Danielle comes to your floor as a new PCT, however has 2 years of experience as a POA in the resource pool. This is her third shift orienting with you. Danielle is very eager to get off orientation, states she is confident in her skills and the patient care she delivers. However, she is spending the majority of her time socializing at the desk with other staff members. With her experience, how do you know when she is ready to come off orientation?

• Her competencies have been completed

• She tells you she feels confident

• You observe she is able to independently manage the entire assignment with little oversight and feedback forms show independent

• She seems to know what she is doing since she isn't interested in learning anymore