Reinventing the (training) wheel

Reinventing the (training) wheel

In the world of 24/7 hospital-based patient care, breaking away for staff training can be difficult.

So, a team of clinical leaders and physician residents at Juravinski Hospital is bringing training to staff.

The interdisciplinary training program they developed is completely responsive to staff’s interests. Nurses identify areas of clinical practice or procedure that they’d like to know more about, and resident chiefs work with the leadership team to develop learning programs which increase knowledge in these areas.

 The more effectively that we can communicate, the better we can work together to care for our patients.

“Our teams have asked for training in certain parts of patient care or hospital operations. This model brings the experts to the point of care to remove barriers for staff to participate. The goal is balancing continuous improvement and development without impacting patient care,” says Nick Millar, a clinical leader who designed the program with Mena Billeci and physician leads.

huddleTopics have included identifying electrolytes in bloodwork and responses to Code Blue scenarios, like heart attacks and medical emergencies. The most recent sessions touched on another important topic for hospital-based care: communication between clinical staff and residents. Specifically, when to page residents and what information is critical to have on hand when you do.

“We share responsibility for patient care with our nursing colleagues around the clock. We rely on their assessments and knowledge of the patient. The more effectively we communicate, the better we can work together to care for our patients,” said Dr. Stephanie Paolone, chief medical resident who leads the sessions.

When the teaching team rolls into a unit, a call out goes out to staff to gather. Sessions are about 10-15 minutes and include a short presentation followed by a chance to ask and answer questions. The team travels to three units during the day shift and the same three units during the evening shift.

Whenever you bring people together and provide value for them, you get the best results.

While education is the most obvious driver for the program, there are other equally important benefits to the approach as well, like creating opportunities for team building and strengthening workplace culture.

“Nurses and doctors work closely on patient care every day, but they don’t often get the chance to relate in a different light. Programs like this bring awareness to other parties’ challenges and provide the opportunity to fulfill certain needs they may have,” said Dr. Samir Raza, who oversees the resident team and is a champion of the program.

Millar and his colleagues will be evaluating the program in the near future and will be looking at where it could go next. Judging by the strong reception its received from staff and residents, he’s optimistic about what is still to come.

“We’re pleased with how it has gone so far. Whenever you bring people together and provide value for them, you get the best results,” he said.