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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