133 - Impact of Perioperative Transition in Practice Programs on Nursing Retention and Return on Investment
Clinical Issue: There are more nursing staff entering retirement age and less trained perioperative nurses available to replace the workforce. Sutter Health leadership wanted to begin to invest in the training and "growing" of our own specialty nursing staff. Description of the Team: The program began with a Clinical Education Specialist and a project coordinator to gather information needed and design the program. It has grown to include part time retired OR RNs that bring their wisdom and skills to the bedside for novice participants. Preparation and Planning:It is believed that is Sutter Health had the ability to train and develop OR nurses, this would improve the overall supply of OR nurses in Sutter. Financial benefits would accrue from this in the form of reduced overtime and contract labor staffing. There were reviews completed of various articles and training materials during this stage to ensure that evidenced based practices and standards of care were being met.
Assessment: It is assumed that Contract Labor (CL) hours are a direct reflection of OR nursing shortages and that this will be partially alleviated with a training program. In addition the training programs will keep the nursing staff engaged and increase retention. Implementation: The Operating Room program was implemented initially with a 9 day course load. Currently there is a 10 day program course that has 40% didactic, 40% skills and 20% games and interactive learning. There is a prerequisite that requires each participant to complete the AORN PeriOp 101 interactive computer modules prior to day 1 of the on campus course. This allows for the participants to have a base or foundation as the course begins. Outcome:Post Program Outcomes shows 190% increase in the participant's ability to perform AORN best practice techniques for preventing Surgical Site Infections. Participants were able to gown & glove surgeons without contamination with 115% accuracy. 96% of Sutter Health surgeons when surveyed were very satisfied with the skill level of OR RNs from the Transition in Practice Program. There was a $14 million replacement cost dollars saved with the implementation of the program and the retention of the nursing staff. Implications for Perioperative Nursing:Sutter Health's Perioperative Transition in Practice Program has been active since 2012. During this timeframe there have been 280 new nurses which have entered into the Operating Room. There is less than an 8% turnover rate from the nursing staff that have completed the training program. Alumni nurses that have come through this program have moved forward with becoming preceptors, managers and directors within Sutter Health.