National Association for Home Care & Hospice
HOME HEALTH SERVICES Preceptor _____________________
RN ORIENTATION CLINICAL PATHWAY Preceptor _____________________
Preceptor _____________________
Orientee: _______________________________ Preceptor _____________________
|Category |Week 1 |Week 2 |Week 3 |Week 4 |Week 5 |Week 6 |
|HHS Activities |Hospital orienta- tion|Shadow visits, |Admit, discharge, |Patient assignments |Patient assignments |Patient assignments |
| |day 1 & 2 |continue patient care |transfer patient. | | | |
| |Intro to patient care | |Use of paging system, | | | |
| |& home safety. | |partici-pates in team | | | |
| | | |conference. | | | |
|Equipment |Completion of skills |Review of equipment as|CADD pump, Flexflow |Review of equipment as|Review of equipment as|Review of equipment as|
| |lab, glucometer |applicable r/t client |Tube Feeding pumps, O2|applicable r/t client |applicable r/t client |applicable r/t client |
| |certification, fire |usage |& aerosol equipment, |usage |usage |usage |
| |extinguisher, fire | |review of equipment as| | | |
| |codes, review of | |applicable r/t client | | | |
| |equip. as applicable | |usage | | | |
| |r/t client usage. | | | | | |
|Skills |Skills Lab, Computer |Begins unit based |Begin Case Managing |Expand Case Management|Expand Case Management|Case Management of |
| |Classes |competency, Lovenox |client care, IVT, |responsibilities |responsibilities |Clients |
| | |administration |phlebotomy lab | | | |
| | |(protocols, orders) | | | | |
|Assessment |Intro to patient care |Intro to patient care |Intro to patient care |Shadow varied client |Shadow varied client |Shadow varied client |
| |– shadow RN |– shadow RN |– shadow RN |cases as indicated |cases as indicated |cases as indicated |
|Documentation |Self-learning forms |Implementation of |HHS competency based |HHS competency based |HHS competency based |HHS competency based |
| |packet initiated, |protocols, nursing |checklist |checklist |checklist |checklist |
| |introduction to |documentation, | | | | |
| |scheduling forms: DIS,|clinical pathways, HHS| | | | |
| |OASIS, 485’s, |competency based | | | | |
| |Admissions packet, HHS|checklist | | | | |
| |competency based | | | | | |
| |checklist | | | | | |
|Policies / |Introduction to: |Location of: |Incident Reports: |Review policies and | | |
|Procedures |-Nursing Dept |-Staff educa-tional |-follows policies in |procedures as needed | | |
| |philosophy, |records |all aspects of care | | | |
| |organizational |-Infection Con-trol |-client satis-faction | | | |
| |structure, |Manual |ques-tionnaire | | | |
| |-CPR policy |-Other safety & | | | | |
| |-Job Description |resource manuals | | | | |
| |-Scheduling procedures|-Policy & Procedure | | | | |
| |-Patient’s rights |books | | | | |
|Patient Education | |Location of Patient |Use of teaching |Use of teaching |Use of teaching | |
| | |Educa-tion info; |packets |packets |packets | |
| | |Location of teaching | | | | |
| | |packets | | | | |
RN ORIENTATION CLINICAL PATHWAY – continued
|Video Activity |Mandatory video for |Views video for unit | |Mandatory videos | | |
| |orientation |based competency; | |completed | | |
| | |PPS/HHS | | | | |
| | |Tele-conference | | | | |
|Meets Expectations? |( Yes |( Yes |( Yes |( Yes |( Yes |( Yes |
| |( No |( No |( No |( No |( No |( No |
|Plan of Action | | | | | | |
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|Additional Comments (please date): |
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