Evidence-Based Practice Poster Session (Posters #1-#10)
1 - Sterile Processing: A Competency-based Orientation Program
Description: Clinical Problem/Significance: Sterile Processing has come under increased national regulatory scrutiny in recent years, particularly in the domain of high-level disinfection. Many Sterile Processing Units lack structured onboarding processes and do not include educators to help oversee this initial segment of departmental learning. These factors lead to a lack of employee engagement, confidence, retention, respect from operating room colleagues, as well as Sterile Processing be viewed as a stepping stone rather than a potential career pathway. This serves as the impetus for changing behaviors to meet current and future state operational demands.
Background: Montefiore Medical Center Sterile Processing Department currently lacks standardization in the onboarding process for new hire associates. Employee engagement, patient safety indicators, confidence, retention, competence, and respect from operating room colleagues are directly correlated to initial training, education, and annual competency review. In other health care environments, standardized orientation processes have demonstrated an improvement in operations, health care worker satisfaction, and patient-related outcomesClinical Question: “For new Sterile Processing Department employees at Montefiore Medical Center, does the implementation of the Association for the Advancement of Medical Instrumentation (AAMI) competency checklist, compared to current practice, improve employee self-efficacy with the department competencies in 8-10 weeks?”Description of Evidenced-Based Protocol: Competency checklist from the Association for Advancement of Medical Instrumentation (AAMI)Implementation of Evidenced-Based Protocol: -A competency-based learning approach will serve as the basis on which new hires are trained, evaluated, and safely transitioned into care. -For 8 weeks, each new hire Sterile Processing associate will rotate through each component of the department, including decontamination, sterilization, prep and pack, high-level disinfection, and case cart assembly. -Designated time at the beginning of each rotation will be set aside for the new hire associate to review pertinent AAMI standards and hospital policy.-Pre and post-intervention, the participants will complete the General Self Efficacy Scale (GSE) survey
Results: Project will be completed at the end of October 2019Conclusions/
Discussion: Conclusions will be available following project completion October 2019Perioperative Nursing Implications: -This quality improvement project will serve as the basis for providing training and education to all new hire associates within Sterile Processing.-Demonstrate increased ability to plan workforce needs based upon cycle time to hire and onboard new hires-Annual competencies will be modified to correspond to the core technical skills and knowledge base established during the new hire period. Generalisability of project results to other Perioperative Services disciplines.