OR Manager - February 2020 - 23

Success Stories
Clinical Rotation Schedule
(Days 3-8 of the 8-Day Perioperative Immersion Program)
y 3
RE
PACU
CU
(CS)
CU
PACU
A
B
D
E
F
Day 4
PACU
Student
Student OR (S)
A
C
OR (A)
B
D
Day 3
PRE
C PAT/PACU
E
OR (A)
F
Day 5
(Days 3-8 of the 8-Day Perioperative Immersion Program)
(Days 3-8 of the 8-Day Perioperative Immersion Program)
Day 3
PRE
PAT/PACU
PRE Day 4
OR (CS)
PRE PAT/PACU OR (A) OR (S) OR (A)
PRE PRE OR (A)
PRE
PAT/PACU
PACU
OR (CS)
PACU
PACU OR (CS)
PACU
PAT/PACU
piece of feedback was that students
wanted to experience more of the full
sweep of perioperative care, not just
what goes on in the OR. In response to
this suggestion, the clinical rotations
were redesigned to include PAT, the
PACU, and preoperative holding.
Build recruiting into the program.
As noted above, the nursing recruiter
meets with the students on the last day
of the program to discuss employment
opportunities. In addition, the recruiter
remains in close contact with students
as they move through graduation and
licensure. The core goal of a perioperative
immersion experience is to build a
pool of potential hires, so program leaders
should not be shy about asking for
what they want.
Establish a tracking system.
Whereas the PIP students are currently
placed at two campuses, they
could be hired at other campuses
within the NYU Langone Health system.
For immersion programs serving
multihospital organizations, a central
tracking system would save time and
increase the accuracy in identifying
the immersion hires from across all
campuses. It would also help nursing
leaders track retention rates.
PAT/PACU
PAT/PACU
OR (A)
OR (S)
PAT/PACU
OR (A)
Cost-effective strategy
As the nursing shortage intensifies, OR
management teams will naturally consider
devoting more resources to recruiting
efforts. However, these efforts can
be costly. Recruitment advertising alone
www.ormanager.com
Clinical Rotation Schedule
OR (A)
Day 4
PACU
PACU
OR (S)
Day 5 PACU
Day 5
PAT/PACU
PAT/PACU
OR (CS) PRE OR (S)
PAT/PACU
PRE
OR (A) OR (CS)
OR (A)
PRE
OR (S)
OR (CS)
PRE
OR (CS)
OR (S)
OR (A)
PACU
OR (CS)
OR (A)
PAT/PACU PACU
OR (S)
OR (CS)
OR (A)
PAT/PACU
OR (S) PAT/PACU OR (S)
OR (CS)
OR (S)
OR (CS)
PACU
OR (CS)
OR (CS)
Day 6 OR (A) Day 7
Day 6
Day 6
Clinical Rotation Schedule
Day 7
Day 8
OR (S)
Day 7
OR (CS)
PAT/PACU
OR (S)
PACU
OR (CS)
PRE
Day 8
OR (S)
OR (CS)
OR (S) OR (A) PACU PRE
OR (S) PACU
PAT/PACU
OR (S)
PACU
PRE
OR (A)
OR (A)
PRE
Acknowledgments
Day 8
OR (S)
OR (CS)
PRE
PACU
OR (A)
PRE = preoperative holding room
PAT = preadmission testing
PRE = preoperative holding room
PAT = preadmission testing
PACU = postanesthesia care unit
S = scrub day in the OR
PACU = postanesthesia care unit
S = scrub day in the OR
A = day includes 1 hour with anesthesia
CS = day includes 1 hour in central sterile
A = day includes 1 hour with anesthesia
CS = day includes 1 hour in central sterile
PRE
The authors would like to acknowledge
Maria Cristina Uy, MSN, RN-BC, CNOR;
the perioperative educators, nurse leaders,
and staff at NYU Langone Orthopedic
Hospital and NYU Langone Medical
Center; and colleagues at NYU Rory
Meyers College of Nursing for their invaluable
contributions to the Perioperative
Immersion Program. ✥
References
PRE = preoperative holding room
PAT = preadmission testing
can approach $10,000 per hire. If a new
hire later decides that he/she does not
want to work in the OR, the organization
will incur even more expenses in the
form of additional recruiting and orientation
costs. In addition, if nursing agencies
are used to fill workforce gaps, the
costs can go even higher.
AORN. AORN Guidelines for perioperative
practice 2019 (1st ed). Denver,
CO: AORN, 2019.
PACU = postanesthesia care unit
S = scrub day in the OR
A = day includes 1 hour with anesthesia
CS = day includes 1 hour in central sterile
Ball K, Doyle D, Oocumma N I. Nursing
shortages in the OR: Solutions for
new models of education. AORN J.
2015;101(1):115-136.
Battie R N. The IOM report on the
future of nursing: What perioperative
nurses need to know. AORN J.
2013;98(3):227-234.
Compared to these expenditures, an
OR clinical immersion program is very
cost-effective. Once the program has
been established, it requires relatively
little in terms of staff time and attention,
and it yields significant returns in
the form of new hires. We have found
that the PIP students who convert to
employees are focused, prepared, and
eager to make a commitment to a career
in perioperative services.
Althea Mighten, EdD, DNP,
CMSRN, PMHNP, NPD,
APRN-BC, is the senior director
of nursing professional
development and
nursing recruitment; Ann
Vanderberg, MA, MBA, RN,
NEA-BC, is the vice president
of nursing and patient
services; and Edward
1
Creasy, DNP, CNOR, RN-BS, NE-BC, was
formerly nurse educator at NYU Langone
Orthopedic Hospital, New York City.
1
Buerhaus P L, Skinner L E, Auerbach
D I, et al. Four challenges facing
the nursing workforce in the United
States. J Nurs Regul. 2017;8(2):4046.
Edwards
D, Hawker C, Carrier J, et al.
A systematic review of the effectiveness
of strategies and interventions
to improve the transition from student
to newly qualified nurse. Int J
Nurs Stud. 2015;52(7):1254-1268.
Gorgone P, Arsenault L, MillimanRichard
Y, et al. Development of a
new graduate perioperative nursing
program at an urban pediatric institution.
AORN J. 2016;104(1):2329.e2.
Mollohan
J K, Morales M. Strategies
for successful perioperative orientation.
AORN J. 2016;104(2):100-
110.
NSI Nursing Solutions, Inc. 2019 National
Health Care Retention & RN
Staffing Report. http://www.nsinursingsolutions.com/Files/assets/
library/retention-institute/2019%20
National%20Health%20Care%20
Retention%20Report.pdf.
1
OR
Manager | February 2020 23
http://www.nsin http://www.ursingsolutions.com/Files/assets/ http://www.ormanager.com
OR Manager - February 2020

Table of Contents for the Digital Edition of OR Manager - February 2020
