February 11, 2019
Story by Gregory Kennedy
CALGARY — Bringing relevant, interesting and convenient education to busy emergency department (ED) nurses is no picnic in the park. Yet it’s a challenge clinical educators at Foothills Medical Centre not only embraced, but overcame by creating hands-on education stations that nurses can access around the clock in their fast-paced environment.
“We had to figure out a way to do it for our 280 nurses who are working 24 hours a day, seven days a week — and we’re not always there — so we needed to ensure these education stations are easy to follow and that people could do them on their own without getting frustrated,” says Sara Nosworthy, a registered nurse and now adult trauma coordinator at Foothills.
She and her fellow RNs — Jennifer Jordan, now a quality improvement nurse, and Jennifer Evangelista, a clinical nurse educator — put their heads together in 2017 to drastically rethink the traditional classroom model and step into uncharted waters. Their journey paid off.
What they came up with were self-directed education stations — each offering an opportunity or simulation to keep skills sharp and polished — that can be completed in 15 minutes or less, right in the emergency department during downtime.
“We had to come up with different ways to provide education for staff with limited time within our department,” says Evangelista. “This is a new and innovative way. It also allows us to target our night staff, our weekend workers and those who work straight evenings when we’re not available as educators.”
“We didn’t have any extra budget,” adds Jordan, “but we did have a lot of support from our management team that allowed us that free rein to be creative in coming up with a different way to deliver education for our department.”
The education stations are set up in the ED for easy access by all staff and are rotated every six to eight weeks. Each station highlights different systems and skills in which ED nurses are required to be competent. Completion of an education station is confirmed through a five-question online exam.
“We worked collaboratively with our simulation team with the equipment that we had in the emergency department as well as with the University of Calgary to find more equipment, which was loaned to us,” says Nosworthy.
Their efforts have also garnered praise from leadership.
“Love the initiative and the creativity of this approach,” says Brad Dorohoy, senior program director, Talent Management Strategies, and Chair of the Learning Council. “At AHS we’re trying to move away from a heavy reliance on classroom training and create multi-modal learning opportunities. Well done to this team at the Foothills for leading the way.”
To date, eight stations have been created, covering skills and topics in areas such as access (implanted ports), cardiac (recognizing and treating dysrhythmias), trauma (thoracotomy use), respiratory (ventilator management, inline suctioning), pediatrics (medication calculation and administration) and neuro (identifying and managing stroke patients) — to name a few.
A big upside to this 24-7 module approach is it has freed up more time during the nurses’ traditional annual education day for other subjects and simulations, where a group approach is more effective.
“Our annual education used to be an eight-hour day that consisted of CPR, and we would stuff in a whole bunch of brief certification-type stations staff were interested in,” says Evangelista. “Then we thought our nurses could be getting ‘pockets’ of education throughout the year — and our annual education could be more concentrated and SIM-focused.”
Jordan adds: “The annual education now includes simulation, using case scenarios based on patients who have presented to the ED throughout the year. Mandatory basic life support and defibrillation testing is also included in the simulations. This provides the opportunity to give real-time feedback on the RNs’ comprehension quality and how we function as a team.”
This comprehensive program and new style of education is now spreading across the province.
“Personally, I love that we’re able to offer education to all our staff members, and that they all feel included,” says Evangelista. “I really enjoy the fact that we’re able to incorporate simulation more into our annual education because I think that truly is how staff are learning.”