1. Applied safety initiatives to daily practice, including rounding and effective hand-off communication using SBAR.
2. Recognizes and responds to patient deterioration and verbalizes how to activate the Rapid Response Team and Code Blue, and access emergency equipment.
3. Assesses patients for fall risk and implements fall prevention measures.
4. Participates in Interdisciplinary Rounds.
5. Implements and follows nursing process for Admission and Discharge.
6. Documents pertinent information accurately in the electronic medical record.
7. Demonstrates appropriate delegation when working with Nursing Assistants in accordance with the Rhode Island Nurse Practice Act.
8. Understands the role of the Charge nurse and Clinical Administrators and utilizes appropriately.
9. Demonstrates awareness and application of correct infection control measures, including caring for patients in isolation.
10. Consistently practices accurate hand hygiene.
11. Demonstrates safe administration of medications of various modalities.
12. Demonstrates competency with gaining IV access, IV therapy and management of other various access devices.
13. Manages patient’s pain and documents pain assessment, intervention, and re-assessment.
14. Demonstrates ability to provide palliative and end of life care to patients.
15. Provides post mortem care of patient, NEOB notification.
16. Reviews the use and documentation of Restraints.
17. Understands and follows Blood Administration Policies/Procedures.
18. Address and cares for patients with wounds requiring simple to complex dressings/interventions.
19. Demonstrates knowledge and use of Intra-facility procedures when transferring patients.
20. Recognizes reportable events including near misses, and enters events into the electronic reporting system.
21. Articulates knowledge of the process for required reporting of abuse.
22. Demonstrates knowledge of the nutritional needs of patients and utilizes resources to assess and optimize nutrition in patient care.
23. Demonstrates correct use of safe patient handling equipment.

1. Demonstrates ability to recognize various cardiac rhythms.
2. Provides care to patients requiring telemetry monitoring.
3. Demonstrates ability to set up & maintain Cardiac Monitors.
4. Assesses patients for chest pain and implements Chest Pain Protocol.
5. Provides care to and recognizes patient with Acute Coronary Syndrome.
6. Provides care to and recognizes patient with Congestive Heart Failure.
7. States indication, dosage, side effects & nursing implications of common cardiac medications.
8. Demonstrates knowledge and skill in administering and monitoring patients receiving Cardizem Infusions.
9. Provides care to patients post Cardiac Catheterization.
10. Demonstrates how to do a 12 lead EKG.

1. Demonstrates knowledge of various age related changes.
2. Demonstrates knowledge and understanding of delirium prevention techniques.
3. Supports aging sensitivity in all care provided to the geriatric patient.
4. Demonstrates knowledge and understanding of age related sensory changes and communication.
5. Demonstrates ability to differentiate between delirium and dementia.
6. Articulates the meaning of being a NICHE (Nurses Improving Care of Healthsystem Elders) designated hospital.

1. Provides pre-operative and post-operative care to the general surgical patient.
2. Provides care to the orthopedic patient.
3. Provides care to the bariatric patient.
4. Demonstrates safe use and understanding of various pain control modalities.
5. Provides care to and manages post-operative drains and tubes.
6. States indication, dosage, side effects & nursing implications of common pre/post op medications.
7. Accurately documents pre and post-operative care in the electronic medical record.

1. Provides care to and recognizes patient with COPD.
2. Provides care to and recognizes patient with pneumonia.
3. Provides care to and manages tracheostomy site.
4. Correctly utilizes oxygen therapy equipment, including equipment for suctioning.
5. Accurately manages incentive spirometer.
6. Provides care to the patient on Bipap, and manages equipment.
7. Provides care to patients with chest tubes and manages drainage system.
8. States indication, dosage, side effects & nursing implications of common respiratory medications, including aerosol delivery medications.
9. Identifies and obtains equipment in emergency situations, including the ambu bag and equipment to assist with intubation.

1. Demonstrates knowledge stroke signs and symptoms, and how to activate the Stroke Team.
2. States indication, dosage, side effects & nursing implications of common neurological related medications.
3. Demonstrates understanding of Tele-neurology procedure.
4. Provides care to the patient with Acute Stroke.
5. Assesses and understands the needs of a patient with dementia.
6. Demonstrates use of diversion activity in the care of patient with dementia.

1. Provides care to and manages various GI tubes and drains.
2. States indication, dosage, side effects & nursing implications of common GI related medications.

1. Provides care to and manages patients with indwelling catheters, utilizing the Nurse Driven Protocol.
2. Demonstrates knowledge about the catheter associated urinary tract infections and removing indwelling urinary catheter as soon as possible.
3. Assesses patients need for straight catheterization and use of bladder scanner.
4. Provides care to the patient requiring dialysis.
5. Accurately monitors and documents patient Intake and Output.

1. Provides care to patients with Diabetes.
2. Demonstrates understanding of various types of insulin.
3. Provides care for the patient with thyroid disease.

1. Demonstrates an overall awareness of behavioral and substance abuse conditions and issues.
2. Demonstrates use of the KAWAS scale to assess for alcohol withdrawal.
3. Understands and participates in educating patients about opioid overdose and the use of naloxone.
4. Understands and follows protocol for activating Code Grey to assist in managing behavioral issues.
5. Identify resources to assist in care of patients with behavioral and/or substance abuse conditions.

Performance Improvement & Safety, Interprofessional Communication & Collaboration, The Patient Experience, NICHE and the Geriatric Resource Nurse Program, Resources and Chain of Command

Policy, procedure, protocol review and documentation, Equipment review, Resources for policies and procedures

Managing stress and stressful situations, Nurse Residency Debriefing, Interdisciplinary Grand Rounds: Managing Chest Tubes

Nutritional needs of patients, The patient experience, Care of the pre and post-operative patient and preventing potential complications

Hypo/hyperglycemia, Diabetes, DKA, Care of the Bariatric Patient

Palliative care, Delirium, KAWAS protocol, D-escalation techniques, Safety, security and code grey, Behavioral conditions/resources, Debriefing

Code of Ethics/Scope of practice, Clinical Informatics Roundtable, Transition to practice, Discussion

Methods will include discussion, case studies, simulation, journal article review, guest speakers and presentations.